（外科门亦名时毒。）
此症有阴阳，有可汗不可汗者。其症发于头上，并脑后、项、腮、颊与目，赤肿而痛，发热，
症似伤寒。治疗散见各医书，本门兹不多赘，用前刺法亦妙。
大力子丸 兼治哑瘴。
元参 连翘（去隔） 甘草 桔梗 川大黄（生熟酌用） 石膏（ ，研） 川连（酒炒） 黄
芩（酒炒） 荆芥 防风 羌活 大力子（炒，研）
为末，作丸。或姜煎服亦可。
又方 僵蚕（二两，浸） 大黄（二两）
姜汁丸弹子大。蜜水和服一丸。
又方 普济消毒饮（见《医方集解》，专治大头瘟初起。）
又方 大头瘟生疙瘩及喉闭，并将疙瘩刺出血，即愈。
其症胸高胁起，呕汁如血，宜生犀饮。
生犀饮
黄土（五钱） 犀角（二钱，镑） 苍术（泔浸，油炒） 川连 山茶（一撮）
流水煎，入金汁和服，日三夜二。虚，加人参（盐水炒）；大便结，加大黄；渴，加花粉；
表热，去苍术、黄土，加桂枝；（性热，似不宜，当酌加别解表药。）便脓血，去苍术，倍黄土，
加黄柏（使；）便滑，人中黄代金汁。
（形似杨梅。）
其症遍身紫块，忽发出霉疮者是也。用清热解毒汤下人中黄丸，并刺块出血。（霉，音枚，
物着湿变色。）
清热解毒汤
川连（酒洗） 黄芩（酒洗） 生地 白芍（酒炒） 石膏（ ，研） 知母（盐、酒炒）
人参 甘草 升麻 葛根 羌活
日三服，夜二服。姜煎。
人中黄丸
大黄（三两，尿浸） 苍术（油炒） 桔梗 滑石（各二两） 人参 川连（酒洗） 防风（各五钱）
香附（两半，姜汁浸，生用） 人中黄（二两。如无，坑垢代之。）
神曲糊为丸，清热解毒汤送。如气虚，用四君子汤送；如血虚，四物汤送；痰甚，二陈汤送；
热甚，童便送。
锦按∶二方用参，非取其补，取其鼓舞之，以祛邪也。
（外科门类中，此病也称为“时毒”。）
这种病症有阴证和阳证之分，有的适合发汗治疗，有的则不适合发汗。症状表现为头部、脑后、颈部、腮部、脸颊以及眼部出现红肿疼痛，伴有发热，症状类似伤寒。治疗方法散见于各种医书中，本门在此不再赘述，使用前面提到的刺血疗法也非常巧妙。
大力子丸：兼治哑瘴（一种以声音嘶哑或失音为特征的瘟疫）。
药材组成：玄参、连翘（去除内部隔膜）、甘草、桔梗、川大黄（生用与熟用酌情选择）、石膏（捣碎研磨）、川黄连（酒炒）、黄芩（酒炒）、荆芥、防风、羌活、大力子（即牛蒡子，炒后研磨）。
制法：研成细末，制成丸剂。也可以用生姜煎汤送服。
又一方：僵蚕（二两，浸泡）、大黄（二两）。
制法：用姜汁泛丸，大小如弹子。服用时用水蜜调和，吞服一丸。
又一方：治疗大头瘟引起的头面生疙瘩及喉闭症，将疙瘩刺破出血，即可痊愈。
另一种症状表现为胸部高耸、胁肋部隆起，呕吐物如血样，适宜使用生犀饮。
生犀饮
药材组成：黄土（五钱）、犀角（二钱，镑成薄片）、苍术（用淘米水浸泡，用油炒）、川黄连、山茶（一撮）。
用法：用流动的水煎煮，加入金汁（人粪清）混合服用，白天服三次，夜间服两次。若体质虚弱，加人参（盐水炒）；若大便干结，加大黄；若口渴，加天花粉；若表热明显，去掉苍术和黄土，加桂枝；（注：桂枝性热，似乎不太适宜，应当酌情添加其他解表药。）若便脓血，去掉苍术，加倍使用黄土，加黄柏（使君子？此处原文可能有误，通常指黄柏引药下行或清热燥湿，但括号内写“使”，疑为笔误或特定用法，保留原意）；若大便滑泄，用人中黄代替金汁。
（症状形状像杨梅。）
这种症状表现为全身出现紫色斑块，突然发出类似霉疮的皮疹。使用清热解毒汤送服人中黄丸，并将斑块刺破出血。（“霉”读音同“枚”，指物体受潮变色。）
清热解毒汤
药材组成：川黄连（酒洗）、黄芩（酒洗）、生地、白芍（酒炒）、石膏（捣碎研磨）、知母（盐、酒炒）、人参、甘草、升麻、葛根、羌活。
用法：白天服三次，夜间服两次。用生姜煎汤送服。
人中黄丸
药材组成：大黄（三两，用尿液浸泡）、苍术（油炒）、桔梗、滑石（各二两）、人参、川黄连（酒洗）、防风（各五钱）、香附（一两半，姜汁浸泡，生用）、人中黄（二两。如果没有，可用坑垢代替）。
制法：用神曲糊作为粘合剂制成丸剂，用清热解毒汤送服。如果气虚，用四君子汤送服；如果血虚，用四物汤送服；如果痰多，用二陈汤送服；如果热盛，用童便（儿童尿液）送服。
(Also known as "Shidu" [Time Toxin] in the Surgery category.)
This condition presents with Yin and Yang patterns; some cases are suitable for diaphoresis (sweating therapy), while others are not. The symptoms manifest as redness, swelling, and pain on the head, back of the head, neck, cheeks, jaw, and eyes, accompanied by fever. The presentation resembles Shaoyang disease (Taiyang disease). Treatment methods are scattered across various medical texts and will not be elaborated upon here. The acupuncture bleeding method mentioned earlier is also effective.
Dali Zi Wan (Arctii Fructus Pill): Also treats Yazhang (Mute Malaria/Plague characterized by aphonia).
Ingredients: Xuanshen Radix Scrophulariae (Scrophularia Root), Lianqiao Forsythiae Fructum (Forsythia Fruit) (devoid of septa), Gancao Glycyrrhizae Radix et Rhizoma (Licorice Root), Jiegeng Platycodonis Radix (Balloon Flower Root), Chuan Dahuang Rheum Radix et Rhizoma (Rhubarb Root) (use raw or cooked as appropriate), Shigypsum Fibrosum (Gypsum Fibrosum) (crushed and ground), Chuan Lian Coptidis Rhizoma (Coptis Rhizome) (stir-fried with wine), Huangqin Scutellariae Radix (Scutellaria Root) (stir-fried with wine), Jingjie Schizonepetae Spica (Schizonepeta Spike), Fangfeng Saposhnikoviae Radix (Saposhnikovia Root), Qianghuo Notopterygii Rhizoma et Radix (Notopterygium Rhizome), Dali Zi (Arctii Fructus) (stir-fried and ground).
Preparation: Grind into powder and make pills. Alternatively, decoct with fresh ginger and take orally.
Another prescription: Jiangcan Bombyx Batryticatus (Silkworm) (2 liang, soaked), Dahuang Rheum Radix et Rhizoma (Rhubarb Root) (2 liang).
Preparation: Use ginger juice to coat and form pills the size of a bullet. Take one pill mixed with honey water.
Another prescription: Puji Xiaodu Yin (Puji Detoxifying Decoction) (see *Yifang JiJie*, specifically for early-stage Datouwen [Big Head Plague]).
Another prescription: For Datouwen causing facial nodules and Houbi (throat closure), puncture the nodules to release blood, which leads to recovery.
In cases where symptoms present with chest elevation and rib distension, vomiting blood-like fluid, Shengxi Yin (Raw Rhinoceros Horn Decoction) is indicated.
Shengxi Yin
Ingredients: Huangtu Raw Earth (5 qian), Xijiao Rhinocerotis Cornu (Rhinoceros Horn) (2 qian, shaved thin), Cangzu Atractylodis Rhizoma (Atractylodes Rhizome) (soaked in rice water, stir-fried with oil), Chuan Lian Coptidis Rhizoma (Coptis Rhizome), Shancha Camelliae Flos (Camellia Flower) (a pinch).
Usage: Decoct with running water, mix with Jinzhi (Human Feces Clear Liquid), and take orally. Three times during the day and twice at night. If deficiency exists, add Renshen Ginseng Radix et Rhizoma (Ginseng Root) (stir-fried with salt water); if constipation occurs, add Dahuang; if thirst is present, add Huafen Trichosanthis Radix (Trichosanthes Root); if exterior heat is prominent, remove Cangzhu and Huangtu, and add Guizhi Cinnamomi Ramulus (Cinnamon Twig); (Note: Guizhi is hot in nature and may seem inappropriate; consider adding other exterior-resolving herbs instead.) If dysentery with pus and blood occurs, remove Cangzhu, double the amount of Huangtu, and add Huangbai Phellodendri Cortex (Phellodendron Bark); if loose stools occur, replace Jinzhi with Renzhonghuang Human Medicated Soil.
(Symptoms resemble Yangmei [Bayberry].)
This condition manifests as purple patches all over the body, suddenly appearing like Meichuang (Measles-like rash). Use Qingre Jiedu Tang (Clear Heat and Detoxify Decoction) to administer Renzhonghuang Wan (Human Medicated Soil Pill), and puncture the patches to release blood. ("Mei" sounds like "Mei," referring to discoloration due to dampness.)
Qingre Jiedu Tang
Ingredients: Chuan Lian Coptidis Rhizoma (Coptis Rhizome) (washed with wine), Huangqin Scutellariae Radix (Scutellaria Root) (washed with wine), Shengdi Rehmanniae Radix Preparata (Prepared Rehmannia Root), Baishao Paeoniae Radix Alba (White Peony Root) (stir-fried with wine), Shigypsum Fibrosum (Gypsum Fibrosum) (crushed and ground), Zhimu Anemarrhenae Rhizoma (Anemarrhena Rhizome) (stir-fried with salt and wine), Renshen Ginseng Radix et Rhizoma (Ginseng Root), Gancao Glycyrrhizae Radix et Rhizoma (Licorice Root), Shengma Cimicifugae Rhizoma (Black Cohosh Rhizome), Gegen Puerariae Lobatae Radix (Kudzu Root), Qianghuo Notopterygii Rhizoma et Radix (Notopterygium Rhizome).
Usage: Take three times during the day and twice at night. Decoct with fresh ginger.
Renzhonghuang Wan
Ingredients: Dahuang Rheum Radix et Rhizoma (Rhubarb Root) (3 liang, soaked in urine), Cangzhu Atractylodis Rhizoma (Atractylodes Rhizome) (stir-fried with oil), Jiegeng Platycodonis Radix (Balloon Flower Root), Huashi Talcum (Talc) (each 2 liang), Renshen Ginseng Radix et Rhizoma (Ginseng Root), Chuan Lian Coptidis Rhizoma (Coptis Rhizome) (washed with wine), Fangfeng Saposhnikoviae Radix (Saposhnikovia Root) (each 5 qian), Xiangfu Cyperi Rhizoma (Cyperi Rhizome) (1.5 liang, soaked in ginger juice, used raw), Renzhonghuang Human Medicated Soil (2 liang. If unavailable, Kenggou [Pit Filth] can be substituted).
Preparation: Use Shenqu Mass Medicata (Medicated Leaven) paste to form pills. Take with Qingre Jiedu Tang. If Qi deficiency exists, take with Sijunzi Tang (Four Gentlemen Decoction); if Blood deficiency exists, take with Siwu Tang (Four Substance Decoction); if phlegm is severe, take with Erchen Tang (Two Aged Substances Decoction); if heat is severe, take with Tongbian (Child's Urine).
Commentary by Jin: The use of Renshen in these two prescriptions is not for tonification, but to stimulate the body's righteous Qi to expel pathogenic factors.