惊热
痫热 惊气热 螈 热 客忤热 五心热 伤寒热
伤风热 伤暑热 夹惊热 夹食热
疳热
虚热 烦躁热 筋热 骨热 肾热
以上并宜与服葱根脱甲散
风热
痰热 变蒸热 肝热 大肠热 瘾疹热 并宜加麦门冬子去心煎
丹热
实热 血热 三焦热 小肠热 龙带热 并宜加大黄及灯心煎
疮疹热
麻子热 温气热 已出症热 未出症热 并宜加紫草茸川当归同煎
余毒热
胎热 肺热 伤寒后余毒热 疮疹后余毒热并宜加薄荷煎
项上坐核作热 作腮热 痈疖
以上宜服大连翘饮子(随症加前件汤便同前)
潮热
荣热 卫热 瘴气 两日一发 三日一发
积热
脾热 胃热 痞癖热 肚热
热
邪热 寒热 脾 鬼 (夜发) 单疟(热)
以下宜服梨浆饮子
八种虚痢作热
吐热 泻热 霍乱吐泻热
以上并宜服正气丸调胃散用调助胃气不可
以凉药退热胃气和其热自然而散愈
虚中积热 腹痛积热 虫痛积热
以上并推下积
调理婴孩小儿伤寒体热头目昏沉不思饮食夹惊夹食寒热大小便闭涩或赤或白烦躁作渴冷
汗妄
流夹积伤滞膈满胀急青黄体瘦日夜大热及疗伤风伤暑惊痫客忤筋骨肾脏疳气等热并宜服之脱
甲散良方
柴胡(三两去芦) 川当归(净洗二两) 龙胆草(三两去芦) 白茯苓(二两半) 人参(二
两) 知母(三两) 甘草(炙四两) 川芎(二两) 麻黄(二两去节又根一两仲)
上件为细末每服一大两水小小盏入小葱白连须一寸同煎至半温服不拘时候
议曰此方散热扶表救里表虚令汗不妄行里热令气不闭结外即遍关内即开渠通关流行经络
不壅脏腑然其知母当归顺正阴阳人参甘草和益肠胃柴胡川芎敌去寒邪茯苓龙胆止汗生津麻黄
去
节留根功全表里葱白连须出汗效正盈亏热在表里之间施无不可积传 痫之候用立见切葱根至
良号曰脱甲奇妙述难尽议书载易详但专诚用之对症功效率无见诮者耶
惊热
痫热(癫痫引起的发热)、惊气热(受惊吓导致的发热)、抽搐热、客忤热(外邪侵袭或惊吓所致之热)、五心热(两手心、两足心及心胸烦热)、伤寒热
伤风热、伤暑热、夹惊热(兼有惊悸的发热)、夹食热(兼有积食的发热)
疳热(小儿疳积发热)
虚热、烦躁热、筋热、骨热、肾热
以上各类热症,均适宜服用葱根脱甲散。
风热
痰热、变蒸热(婴幼儿生长发育过程中的生理性发热)、肝热、大肠热、瘾疹热(荨麻疹类发热),均适宜加入麦门冬子(去心后煎煮)。
丹热(丹毒引起的发热)
实热、血热、三焦热、小肠热、龙带热(指热毒炽盛如龙带之状),均适宜加入大黄及灯心草煎煮。
疮疹热(痘疹类疾病发热)
麻子热(麻疹发热)、温气热(温热病邪发热)、已出症热(皮疹已发出后的发热)、未出症热(皮疹尚未发出前的发热),均适宜加入紫草茸和川当归同煎。
余毒热(病后残留热毒)
胎热(胎儿在母体内受热)、肺热、伤寒后余毒热、疮疹后余毒热,均适宜加入薄荷煎煮。
颈部淋巴结肿大伴发热、腮部肿胀发热、痈疽疖肿
以上情况适宜服用大连翘饮子(根据症状加入前述汤剂,用法同上)。
潮热(定时发热)
荣热(营分发热)、卫热(卫分发热)、瘴气(山岚瘴毒之气)、两日一发(隔一日发作一次)、三日一发(隔两日发作一次)
积热(积滞内蕴化热)
脾热、胃热、痞癖热(腹中结块发热)、肚热
疟热(此处原文缺字,结合上下文推测为疟疾相关热症)
邪热、寒热往来、脾疟、鬼疟(夜间发作的疟疾)、单疟(无寒战仅有发热的疟疾)
以下情况适宜服用梨浆饮子。
八种因虚痢导致的发热
呕吐发热、腹泻发热、霍乱吐泻发热
以上情况均适宜服用正气丸调胃散,用以调理助益胃气,不可使用凉药退热。胃气调和,其热自然消散而痊愈。
虚中积热、腹痛积热、虫痛积热(寄生虫引起的腹痛发热)
以上情况均应推荡攻下积滞。
调理婴幼儿伤寒体热、头目昏沉、不思饮食、夹惊夹食、寒热往来、大小便闭涩或色赤或色白、烦躁作渴、冷汗妄流、夹积伤滞、膈满胀急、青黄体瘦、日夜大热,以及治疗伤风、伤暑、惊痫、客忤、筋骨肾脏疳气等热症,均适宜服用此脱甲散良方。
柴胡(三两,去芦头)、川当归(净洗二两)、龙胆草(三两,去芦头)、白茯苓(二两半)、人参(二两)、知母(三两)、甘草(炙四两)、川芎(二两)、麻黄(二两,去节,另取根一两)。
将上述药材研为细末。每次服用一大两,加水一小盏,放入小葱白连须一寸,共同煎煮至一半量,温服,不拘时候。
曾世荣评议说:此方能散热、扶正固表、救里。若表虚则令汗液不致妄行,若里热则令气机不致闭结。在外则遍通关窍,在内则开通渠络,使经络气血流通而不壅滞,脏腑功能协调。其中知母、当归顺应并调和阴阳;人参、甘草补益和缓肠胃;柴胡、川芎抵御祛除寒邪;茯苓、龙胆草止汗生津;麻黄去节留根,功效完备以兼顾表里;葱白连须发汗效力纯正。无论虚实盈亏,热在表里之间,施用皆无不可。对于积滞传变及癫痫之候,用之立见成效。葱根极好,号称“脱甲”,奇妙之处难以尽述。医书记载较为简略,但只要专心诚意使用,对症施治,功效迅速,难道还会有被指责的地方吗?
Jing Re (Heat due to Fright)
Xian Re (Heat associated with Epilepsy), Jing Qi Re (Heat caused by Shock/Fright), Chong Yu Re (Heat with Convulsions), Ke Wu Re (Heat from External Invasion or Startle), Wu Xin Re (Heat in Five Centers: palms, soles, and chest), Shang Han Re (Heat from Cold Damage).
Shang Feng Re (Heat from Wind-Cold Injury), Shang Shu Re (Heat from Summerheat Injury), Jia Jing Re (Heat accompanied by Fright), Jia Shi Re (Heat accompanied by Food Stagnation).
Gan Re (Heat from Infantile Malnutrition/Gan Syndrome).
Xu Re (Deficiency Heat), Fan Zao Re (Heat with Restlessness), Jin Re (Heat in Tendons), Gu Re (Heat in Bones), Shen Re (Heat in Kidneys).
All the above types of heat are suitable for administration of Cong Gen Tuo Jia San (Scallion Root Exfoliation Powder).
Feng Re (Wind Heat)
Tan Re (Phlegm Heat), Bian Zheng Re (Physiological Heat during Infant Growth/Transformation), Gan Re (Liver Heat), Da Chang Re (Large Intestine Heat), Yin Zhen Re (Heat from Urticaria/Rashes). All are suitable for adding Mai Men Dong Zi (Ophiopogon Seed, heart removed) for decoction.
Dan Re (Heat from Erysipelas/Dan Disease)
Shi Re (Excess Heat), Xue Re (Blood Heat), San Jiao Re (Sanjiao Heat), Xiao Chang Re (Small Intestine Heat), Long Dai Re (Intense Heat resembling Dragon Belt). All are suitable for adding Da Huang (Rhubarb Root and Rhizome) and Deng Xin Cao (Juncus Effusus) for decoction.
Chuang Zhen Re (Heat from Pox/Rashes)
Ma Zi Re (Heat from Smallpox/Measles), Wen Qi Re (Heat from Warm Pathogens), Yi Chu Zheng Re (Heat after Rash Eruption), Wei Chu Zheng Re (Heat before Rash Eruption). All are suitable for adding Zi Cao Rong (Arnebia Root) and Chuan Dang Gui (Angelica Sinensis) for simultaneous decoction.
Yu Du Re (Residual Toxic Heat)
Tai Re (Fetal Heat), Fei Re (Lung Heat), Shang Han Hou Yu Du Re (Residual Heat after Cold Damage), Chuang Zhen Hou Yu Du Re (Residual Heat after Pox/Rash). All are suitable for adding Bo He (Mint) for decoction.
Neck Lymph Node Swelling with Heat, Cheek Swelling with Heat, Yong Ji (Abscesses and Furuncles).
The above conditions are suitable for taking Da Lian Qiao Yin Zi (Large Forsythia Decoction) (add previous ingredients as per symptoms, usage same as above).
Chao Re (Tidal Fever)
Rong Re (Nutrient/ Ying Level Heat), Wei Re (Defensive/ Wei Level Heat), Zhang Qi (Miasma/Malarial Air), Liang Ri Yi Fa (Attacking every other day), San Ri Yi Fa (Attacking every third day).
Ji Re (Accumulated Heat)
Pi Re (Spleen Heat), Wei Re (Stomach Heat), Pi Pi Re (Heat from Abdominal Masses/Stagnation), Du Re (Abdominal Heat).
Nue Re (Malaria Heat - inferred from context)
Xie Re (Pathogenic Heat), Han Re (Cold-Heat Alternation), Pi Nue (Spleen Malaria), Gui Nue (Ghost Malaria - occurring at night), Dan Nue (Simple Malaria - fever only).
The following conditions are suitable for taking Li Jiang Yin Zi (Pear Syrup Decoction).
Ba Zhong Xu Li Zuo Re (Eight Types of Deficiency Dysentery Causing Heat)
Tu Re (Vomiting Heat), Xie Re (Diarrhea Heat), Huo Luan Tu Xie Re (Heat from Cholera-like Vomiting and Diarrhea).
All the above are suitable for taking Zheng Qi Wan Diao Wei San (Righteous Qi Pill Regulating Stomach Powder) to regulate and assist Stomach Qi. Do not use cold-natured medicines to reduce fever. When Stomach Qi is harmonized, the heat will naturally dissipate and heal.
Xu Zhong Ji Re (Accumulated Heat within Deficiency), Fu Tong Ji Re (Abdominal Pain Accumulated Heat), Chong Tong Ji Re (Parasitic Pain Accumulated Heat).
The above conditions should be treated by pushing down and purging accumulation.
For regulating infants and young children with Shang Han body heat, dizziness and heaviness of head and eyes, loss of appetite, accompanying fright and food stagnation, alternating cold and heat, constipation or dysuria with urine either red or white, restlessness, thirst, spontaneous cold sweating, accumulation injury and stagnation causing fullness and distension, cyanotic complexion, emaciation, severe day and night fever, as well as treating Shang Feng, Shang Shu, Jing Xian, Ke Wu, Jin Gu, Kidney, and Gan Qi heat, all are suitable for taking this Tuo Jia San excellent prescription.
Chai Hu (3 liang, remove rhizome), Chuan Dang Gui (cleaned, 2 liang), Long Dan Cao (3 liang, remove rhizome), Bai Fu Ling (2.5 liang), Ren Shen (2 liang), Zhi Mu (3 liang), Gan Cao (roasted, 4 liang), Chuan Xiong (2 liang), Ma Huang (2 liang, remove joints, plus roots 1 liang).
Grind the above ingredients into a fine powder. Each dose takes 1 da liang. Add water 1 xiao zhan (small cup), place 1 cun (inch) of small scallion white with roots, decoct together until half remains. Take warm, no fixed time.
Commentary by Zeng Shirong: This formula clears heat, supports the exterior, and rescues the interior. If the exterior is deficient, it prevents profuse sweating; if the interior has heat, it prevents qi obstruction. Externally, it opens all orifices; internally, it unblocks channels, allowing smooth flow through meridians without congestion, harmonizing the zang-fu organs. Zhi Mu and Dang Gui harmonize yin and yang; Ren Shen and Gan Cao tonify and moderate the stomach and intestines; Chai Hu and Chuan Xiong resist and expel cold pathogens; Fu Ling and Long Dan Cao stop sweating and generate fluids; Ma Huang with joints removed but roots retained achieves completeness in treating both exterior and interior; Scallion white with roots promotes sweating effectively. Whether deficiency or excess, whether heat is in the exterior or interior, its application is always appropriate. For conditions involving accumulation transmission and epilepsy, effects are seen immediately. Scallion root is excellent, named "Tuo Jia" (Exfoliating Shell), its wonders are hard to fully describe. Medical texts record it briefly, but if used with sincerity and correct diagnosis, its efficacy is rapid. Would there be any criticism?