（温疫同法。暑温伏暑附）
湿温久羁。三焦弥漫。神昏窍阻。少腹硬满。大便不下者。湿郁下焦气分也。宣清导浊汤主之。
宣清导浊汤
猪苓（二钱五分） 茯苓（二钱五分） 寒水石（三钱） 晚蚕砂（二钱） 皂荚子（一钱五
分，去皮）
水煎服。
湿凝气阻。三焦俱闭。二便不通者。肾中真阳为湿所困也。半硫丸主之。
半硫丸
石硫黄 制半夏
上二味各等分为细末。蒸饼为丸。梧子大。每服一二钱。白滚水送下。
湿温病身热久不解。口渴舌干。忽然发痉。或手足搐搦者。津枯邪滞。厥阴风火上升也。羚羊角汤主之。（如兼大
便
不通。脉沉有力。舌黄起刺者。本方去牡蛎。送酒军丸徐攻之。）
羚羊角汤
羚羊角（一钱五分） 女贞子（三钱） 钩藤（一钱五分） 鲜生地（三钱） 石决明（三钱生用）
鳖甲（三钱醋炒） 生牡蛎（二钱） 菊花（一钱五分） 桑叶（一钱五分）
水煎服。
湿温伏暑胁痛。或咳或不咳。或但热不寒。或寒热往来如疟者。湿邪积为支饮。悬于胁下也。不可误认柴胡证。香
附旋复花汤主之。
香附旋复花汤
生香附（一钱五分） 旋复花（一钱五分绢包） 苏子霜（一钱五分） 广皮（一钱） 半夏
（二钱五分） 茯苓（一钱五分） 苡仁（二钱五分） 杏仁（二钱）
水煎温服 腹满者加浓朴。痛甚者加降香末。暑邪深入少阴消渴者。心火独亢肾液受亏也。深入厥阴麻痹者。热邪
伤阴。筋失所养也。俱连梅汤主之。心热烦燥神迷甚者。先服紫雪丹。再服连梅汤
连梅汤
乌梅（一钱五分去核） 黄连（一钱） 麦冬（一钱五分连心） 生地（一钱五分） 阿胶（一钱）
水煎服。 脉虚大而芤者加人参。
暑邪深入厥阴。舌灰消渴。心下板实。呕恶吐蛔。寒热。泻血水。甚至声音不出。上下格拒者。土败木乘。正虚邪
炽危候也。椒梅汤主之。
椒梅汤（此方寒热并用。以辅正驱邪为法。乃从仲景乌梅丸方化出。）
黄连（一钱） 黄芩（一钱） 干姜
（一钱） 生白芍（一钱五分） 川椒（一钱五分，炒黑） 乌梅（一钱五分去核） 人参（一钱） 枳实（八分） 半
夏（一钱）
水煎服。
暑邪误治胃口伤残。延及中下。气塞填胸。燥乱口渴者。邪气内结。清浊交混。危候也。来复丹主之。
来复丹
太阴玄精石（一两） 舶上硫黄（一两） 橘红（二钱） 硝石（一两同硫黄为末微火炒结砂子大） 青皮（二
钱去白） 五灵脂（二钱澄去沙炒令烟尽）
上为细末。醋糊为丸。如梧子大。每服一二十丸。米饮送下。
暑邪久热。寝不安。食不甘。神识不清者。阴液元气两伤也。三才汤主之。
三才汤
人参（二钱） 天冬（一钱五分） 干地黄（三钱五分）
水煎温服 阴虚甚者加麦冬五味子 阳虚甚者加茯苓炙甘草
暑温蓄血。及热入血室证。均与温热同法。详见上卷风温下焦篇。
湿温病迁延日久，导致三焦气机弥漫阻滞，出现神志昏迷、窍道阻塞，以及少腹部坚硬胀满、大便不通的症状，这是湿邪郁结在下焦气分所致。应当使用宣清导浊汤主治。
宣清导浊汤
猪苓（二钱五分） 茯苓（二钱五分） 寒水石（三钱） 晚蚕砂（二钱） 皂荚子（一钱五分，去皮）
用水煎煮后服用。
若湿气凝滞导致气机受阻，三焦全部闭塞，大小便均不通畅，这是因为肾中真阳被湿邪所困遏。应当使用半硫丸主治。
半硫丸
石硫黄 制半夏
将上述两味药各取等量，研磨成细末，用蒸饼作为粘合剂制成丸子，大小如梧桐子。每次服用一二钱，用白开水送服。
湿温病患者身体发热长久不退，口渴舌干，突然发生痉挛，或者手足抽搐，这是津液枯竭、邪气滞留，导致厥阴风火上扰上升所致。应当使用羚羊角汤主治。（如果兼有大便不通，脉象沉而有力，舌苔黄且起刺的情况，本方去掉牡蛎，配合送服酒军丸慢慢攻下。）
羚羊角汤
羚羊角（一钱五分） 女贞子（三钱） 钩藤（一钱五分） 鲜生地（三钱） 石决明（三钱，生用）
鳖甲（三钱，醋炒） 生牡蛎（二钱） 菊花（一钱五分） 桑叶（一钱五分）
用水煎煮后服用。
湿温或伏暑导致胁肋疼痛，或者咳嗽或不咳嗽，或者只有发热没有恶寒，或者寒热往来像疟疾一样，这是湿邪积聚形成支饮，悬挂在胁下所致。不可误认为是柴胡证。应当使用香附旋复花汤主治。
香附旋复花汤
生香附（一钱五分） 旋复花（一钱五分，用绢布包裹） 苏子霜（一钱五分） 广皮（一钱） 半夏（二钱五分） 茯苓（一钱五分） 苡仁（二钱五分） 杏仁（二钱）
用水煎煮后温服。如果腹部胀满，加浓朴；疼痛严重的，加降香末。
暑邪深入少阴经导致消渴症状的，是心火独亢、肾液受损所致；深入厥阴经导致肢体麻痹的，是热邪损伤阴液、筋脉失去滋养所致。这两种情况都使用连梅汤主治。如果心热烦躁、神志迷乱严重的，先服用紫雪丹，再服用连梅汤。
连梅汤
乌梅（一钱五分，去核） 黄连（一钱） 麦冬（一钱五分，带心） 生地（一钱五分） 阿胶（一钱）
用水煎煮后服用。如果脉象虚大且芤，加人参。
暑邪深入厥阴经，出现舌色灰暗、消渴、心下部板硬结实、呕吐恶心甚至吐出蛔虫、寒热交替、泻下血水，甚至声音发不出、上下格拒不通的情况，这是土败木乘、正气虚弱而邪气炽盛的危重证候。应当使用椒梅汤主治。
椒梅汤（此方寒热药物并用，以扶助正气、驱除邪气为法则，是从张仲景的乌梅丸方化裁而来。）
黄连（一钱） 黄芩（一钱） 干姜（一钱） 生白芍（一钱五分） 川椒（一钱五分，炒黑） 乌梅（一钱五分，去核） 人参（一钱） 枳实（八分） 半夏（一钱）
用水煎煮后服用。
暑邪因误治导致胃口受损，病情蔓延至中焦和下焦，气机堵塞充满胸膈，燥乱口渴的，这是邪气内结、清浊之气交混的危重证候。应当使用来复丹主治。
来复丹
太阴玄精石（一两） 舶上硫黄（一两） 橘红（二钱） 硝石（一两，与硫黄一起研末，用微火炒结成砂子大小） 青皮（二钱，去白） 五灵脂（二钱，澄清去沙，炒至烟尽）
将上述药物研成细末，用醋糊作为粘合剂制成丸子，大小如梧桐子。每次服用一二十丸，用米汤送服。
暑邪导致长期发热，睡眠不安，饮食无味，神识不清的，这是阴液和元气都受到损伤。应当使用三才汤主治。
三才汤
人参（二钱） 天冬（一钱五分） 干地黄（三钱五分）
用水煎煮后温服。如果阴虚严重，加麦冬、五味子；如果阳虚严重，加茯苓、炙甘草。
(The treatment principles for Warm Epidemic are the same. Summer-heat and latent summer-heat should follow this method.)
When Damp-Warmth lingers for a long time, it causes diffuse obstruction in the San Jiao (Triple Burner), leading to coma with blocked orifices, hardness and fullness in the lower abdomen, and constipation. This is due to dampness stagnating in the Qi aspect of the Lower Jiao. Xuan Qing Dao Zhuo Tang (Decoction to Clear Purity and Guide Out Turbidity) is the primary prescription.
Xuan Qing Dao Zhuo Tang (Decoction to Clear Purity and Guide Out Turbidity)
Zhu Ling (Polyporus, 2.5 qian) Fu Ling (Poria, 2.5 qian) Han Shui Shi (Calcitum, 3 qian) Wan Can Sha (Mulberry Leaf Silkworm Frass, 2 qian) Zao Jia Zi (Gleditsiae Sinensis Seed, 1.5 qian, peeled)
Decoct in water and take orally.
If dampness coagulates and obstructs Qi, causing complete closure of the San Jiao (Triple Burner) with both urinary and fecal retention, it indicates that the True Yang of the Kidney is constrained by dampness. Ban Liu Wan (Half-Sulfur Pill) is the primary prescription.
Ban Liu Wan (Half-Sulfur Pill)
Shi Liu Huang (Stibnite, processed) Zhi Ban Xia (Pinelliae Rhizoma, prepared)
Grind the above two ingredients into fine powder in equal parts. Form pills using steamed wheat cake dough, sized like wu-tou seeds. Take 1-2 qian per dose, washed down with plain boiling water.
In Damp-Warmth disease, if body heat persists without resolution, accompanied by thirst and dry tongue, followed suddenly by spasms or twitching of hands and feet, this indicates exhaustion of Jin-Ye (Body Fluids) and stagnation of pathogenic factors, with Wind-Fire rising from the Jue Yin (Liver/Pericardium). Ling Yang Jiao Tang (Antelope Horn Decoction) is the primary prescription. (If accompanied by constipation, a deep and forceful pulse, and a yellow tongue coating with prickles, remove Mu Li (Oyster Shell) from this formula and slowly purge using Jiu Jun Wan (Wine-Processed Rhubarb Pill).)
Ling Yang Jiao Tang (Antelope Horn Decoction)
Ling Yang Jiao (Saiga Antelope Horn, 1.5 qian) Nv Zhen Zi (Ligustri Lucidi Fructus, 3 qian) Gou Teng (Uncariae Ramulus cum Uncis, 1.5 qian) Xian Sheng Di Huang (Rehmanniae Radix Recens, 3 qian) Shi Jue Ming (Haliotidis Concha, raw, 3 qian) Bie Jia (Testudinis Carapax et Plastrum, vinegar-fried, 3 qian) Sheng Mu Li (Ostreae Concha, raw, 2 qian) Ju Hua (Chrysanthemi Flos, 1.5 qian) Sang Ye (Mori Folium, 1.5 qian)
Decoct in water and take orally.
For Damp-Warmth or latent summer-heat causing hypochondriac pain, with or without cough, or only fever without chills, or alternating chills and fever resembling malaria, this is caused by dampness accumulating into Zhi Yin (Fluid Retention in the Hypochondrium) hanging below the ribs. Do not mistakenly diagnose this as Chai Hu Syndrome. Xiang Fu Xuan Fu Hua Tang (Cyperi Rhizoma and Inulae Flos Decoction) is the primary prescription.
Xiang Fu Xuan Fu Hua Tang (Cyperi Rhizoma and Inulae Flos Decoction)
Sheng Xiang Fu (Cyperi Rhizoma, 1.5 qian) Xuan Fu Hua (Inulae Flos, wrapped in silk, 1.5 qian) Su Zi Fang (Perillae Fructus Frost, 1.5 qian) Guang Pi (Citri Reticulatae Pericarpium, 1 qian) Ban Xia (Pinelliae Rhizoma, 2.5 qian) Fu Ling (Poria, 1.5 qian) Yi Yi Ren (Coicis Semen, 2.5 qian) Xing Ren (Armeniacae Semen Amarum, 2 qian)
Decoct in water and take warm. If abdominal fullness is present, add Hou Po (Magnoliae Officinalis Cortex); if pain is severe, add Jiang Xiang Mo (Dipterocarpi Resina powder).
When Summer-heat pathogen penetrates deeply into the Shao Yin (Heart/Kidney) causing Xiao Ke (Wasting-Thirst), it is due to excessive Heart Fire depleting Kidney fluids. When it penetrates deeply into the Jue Yin (Liver) causing numbness, it is due to Heat damaging Yin and failing to nourish the sinews. Both conditions are treated with Lian Mei Tang (Coptis and Mume Decoction). If Heart heat, irritability, and mental confusion are severe, first administer Zi Xue Dan (Purple Snow Elixir), then take Lian Mei Tang.
Lian Mei Tang (Coptis and Mume Decoction)
Wu Mei (Mume Fructus, pitted, 1.5 qian) Huang Lian (Coptidis Rhizoma, 1 qian) Mai Dong (Ophiopogonis Radix, with heart, 1.5 qian) Sheng Di Huang (Rehmanniae Radix, 1.5 qian) E Jiao (Asini Corii Colla, 1 qian)
Decoct in water and take orally. If the pulse is empty, large, and Kou (bamboo-slip shaped), add Ren Shen (Ginseng Radix).
When Summer-heat pathogen penetrates deeply into the Jue Yin (Liver), presenting with gray tongue, wasting-thirst, board-like hardness in the epigastrium, vomiting, nausea, expulsion of roundworms, alternating chills and fever, bloody watery diarrhea, inability to speak, and upper-lower rejection, this is a critical condition of Earth failure and Wood overacting, where healthy Qi is deficient and Pathogenic Factors are rampant. Jiao Mei Tang (Sichuan Pepper and Mume Decoction) is the primary prescription.
Jiao Mei Tang (Sichuan Pepper and Mume Decoction) (This formula uses both cold and hot herbs, aiming to support Healthy Qi and expel Pathogens; it is derived from Zhang Zhongjing's Wu Mei Wan.)
Huang Lian (Coptidis Rhizoma, 1 qian) Huang Qin (Scutellariae Radix, 1 qian) Gan Jiang (Zingiberis Rhizoma, 1 qian) Sheng Bai Shao (Paeoniae Radix Alba, raw, 1.5 qian) Chuan Jiao (Zanthoxyli Pericarpium, stir-fried until black, 1.5 qian) Wu Mei (Mume Fructus, pitted, 1.5 qian) Ren Shen (Ginseng Radix, 1 qian) Zhi Shi (Aurantii Fructus Immaturus, 0.8 qian) Ban Xia (Pinelliae Rhizoma, 1 qian)
Decoct in water and take orally.
If Summer-heat is mistreated, damaging the Stomach Qi, spreading to the Middle and Lower Jiao, causing Qi blockage filling the chest, agitation, and thirst, this is a critical condition of internal pathogenic knotting and mixing of Clear and Turbid Qi. Lai Fu Dan (Restoring Harmony Elixir) is the primary prescription.
Lai Fu Dan (Restoring Harmony Elixir)
Tai Yin Xuan Jing Shi (Nephrite, 1 liang) Bo Shang Liu Huang (Imported Sulfur, 1 liang) Ju Hong (Citri Reticulatae Pericarpium Rubrum, 2 qian) Xiao Shi (Natrii Sulfas, 1 liang, ground with sulfur and stir-fried on low heat until granular) Qing Pi (Citri Reticulatae Pericarpium Viride, white part removed, 2 qian) Wu Ling Zhi (Trogopterori Faeces, clarified to remove sand and stir-fried until smoke ceases, 2 qian)
Grind into fine powder. Form pills using vinegar paste, sized like wu-tou seeds. Take 10-20 pills per dose, washed down with rice drink.
When Summer-heat causes prolonged fever, restless sleep, lack of taste in food, and unclear consciousness, it indicates damage to both Yin fluids and Yuan Qi (Original Qi). San Cai Tang (Three Capabilities Decoction) is the primary prescription.
San Cai Tang (Three Capabilities Decoction)
Ren Shen (Ginseng Radix, 2 qian) Tian Dong (Asparagi Radix, 1.5 qian) Gan Di Huang (Rehmanniae Radix Preparata, 3.5 qian)
Decoct in water and take warm. If Yin deficiency is severe, add Mai Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Fructus). If Yang deficiency is severe, add Fu Ling (Poria) and Zhi Gan Cao (Glycyrrhizae Radix Preparata).
Blood stasis caused by Summer-Warmth, and the syndrome of Heat entering the Blood Chamber, are treated according to the same methods as Warm-Thermal diseases. See details in the Upper Volume, Wind-Warmth Lower Jiao Chapter.