（温热冬温温毒温疫同治）
温病久羁阳明。或已下。或未下。身热面赤。口干舌燥。甚则齿黑唇裂者。热邪渐伤少阴肾水也。脉沉实者。仍可
下之。若脉虚大。手足心热。甚于手足背者。邪热少虚热多也。加减复脉汤主之。温病误表。以致心中震震。舌强神昏
者。心气被伤津液被劫也。宜复脉汤。（舌上津回则生）
温病六七日后耳聋者。阴火内炽。病在少阴也。宜复脉汤。（若误认少阳证。服柴胡汤。则必死。）
劳倦内伤。复感温病六七日外不解者。宜复脉汤。若身不热而倦甚者加人参。
温病已发汗而汗不出。已下而热不退。六七日以外。脉尚躁盛者。邪正交争也。重与复脉汤。
温病误用升散。脉结代。甚则两至者。法当急救其里。所谓留人治病也。重与复脉汤。温病汗下后。口燥咽干。神
倦欲眠。舌赤苔老者。少阴液亏也。与复脉汤。
加减复脉汤（照经方加减也）
炙甘草（三钱） 干地黄（三钱） 生白芍（三钱） 麦冬（二钱五分连心） 阿胶（一钱五分） 麻仁（一钱五
分）
水煎服。病甚者。甘草加至五钱。地黄白芍加至四钱。麦冬加至三钱五分。
温病误表。以致舌强神昏。汗自出。中无所主者。心气津液受伤过甚也。救逆汤主之。
救逆汤
即于加减复脉汤内去麻仁加生龙骨（二钱） 生牡蛎（四钱） 脉虚大欲散者加人参（一钱） 下后大便溏甚。日
三四行。脉仍数者真阳素虚而里热未清也。一甲煎主之。服一二日后。如大便不溏。可与一甲复脉汤。
下焦温病。凡大便溏者。即与一甲复脉汤（系于复阴方中。寓固阴之意）
一甲煎
生牡蛎（一两碾细）
水煎温脉。
一甲复脉汤
即于加减复脉汤内去麻仁加牡蛎（五钱）
热邪深入下焦。脉沉数。舌干齿黑。手指蠕动者。真水受亏。不能涵木也。急防痉厥。二甲复脉汤主之。
二甲复脉汤
即于加减复脉汤内加生牡蛎（二钱五分） 生鳖甲（四钱） 下焦温病。热深厥甚。脉细促。心中大动甚则心中痛
者。
肾虚不能济木。肝风鸱张。心君失偶也。三甲复脉汤主之。
三甲复脉汤
即于二甲复脉汤内加生龟板（五钱）
少阴温病。心烦不得卧者。真阴欲竭。壮火复炽也。黄连阿胶汤主之。
黄连阿胶汤
黄连（四钱） 黄芩（一钱） 阿胶（三钱） 白芍（一钱） 鸡子黄（二枚）
水八杯。先煎芩连芍三味。取三杯去滓。兑胶化尽。再入鸡子黄搅匀。分三次服。
夜热早凉。热退无汗者。邪热深伏阴分。热自阴来也。青蒿鳖甲汤主之。
青蒿鳖甲汤
青蒿（二钱） 鳖甲（五钱） 细生地（四钱） 知母（二钱） 丹皮（三钱）
水煎服。
既厥且哕。（俗名呃忒）脉细而劲者。温邪久踞下焦。消烁肝液。扰及冲脉也。小定风珠主之。
小定风珠
鸡子黄（一枚生用） 真阿胶（二钱） 生龟板（六钱） 童便（一杯） 淡菜（三钱）
水五杯。先煎龟板淡菜。取二杯去滓。兑入阿胶。火上化尽。入鸡子黄搅匀。再冲童便顿服。
下焦温病。神倦螈 。舌绛苔少。脉气虚弱。时时欲脱者。热邪久羁吸烁真阴也。大定风珠主之。（此证多因误表
误
攻而成）
大定风珠
生白芍（六钱） 阿胶（三钱） 生龟板（四钱） 干地黄（六钱） 麻仁（二钱） 五味子（二
钱） 生牡蛎（四钱） 麦冬（六钱连心） 炙甘草（四钱） 鸡子黄（二枚生） 鳖甲（四钱生）
水八杯。煎三杯去滓。再入鸡子黄搅匀。分三次服。喘者加人参。自汗者加龙骨人参小麦。悸者加茯神人参小麦。
凡壮火尚盛者。不得用定风珠复脉。邪少虚多者。不得用黄连阿胶汤。阴虚欲痉者。不得用青蒿鳖甲汤。
下焦温病。痉厥神昏。舌短烦燥。如寸脉大。口气重。目赤颧红。壮热者。手少阴邪热未清也。先与牛黄丸紫雪丹
之属。开窍搜邪。再与复脉存阴。三甲潜阳。临证细参。勿致倒乱。
牛黄丸 紫雪丹（见前） 复脉汤（见前）
三甲复脉汤（见前）
温邪久羁。肌肤甲错。或因下后里通。邪欲溃。或因服存阴药。液增欲汗。正气已虚。不能即出。阴阳互争而战者。
欲作战汗也。复脉汤热饮之。虚甚者加人参助汗外出。若其人肌肉尚盛。未至甲错。当听其汗自出。不可骚动。
时欲漱口不欲咽。大便黑而不燥者。阴亏而有瘀血也。犀角地黄汤主之。
犀角地黄汤
夜热昼凉。少腹坚满。小便自利。大便闭。脉沉实者。邪盛而蓄血也。桃仁承气汤主之。
桃仁承气汤
大黄（二钱五分） 芒硝（一钱） 桃仁（一钱五分） 当归（一钱五分） 芍药（一钱五分） 丹皮（一钱五分）
水煎服。
温病服清解药后。脉反濡小。下利稀水。或便脓血者。热撤里虚也。桃花汤主之。
桃花汤
赤石脂（三钱，二钱整煎一钱研细末调） 炮姜（一钱五分） 白粳米（三钱） 水三杯煎一杯半去
滓入石脂末温服。 虚者加人参。
温病七八日后。身热舌绛苔少。下利日数十行。完谷不化。脉虚数者。里邪已尽。脾阳下陷也。桃花粥主之。
桃花粥
人参（三钱） 炙甘草（三钱） 赤石脂（六钱研细末） 白粳米（二合）
水十杯先煎参草。取六杯去滓再入粳米煮取三杯。以一杯兑石脂末二钱顿服之。利止。停后服。如不止。再服第二
杯。每次兑石脂末二钱。或因先过用寒凉。脉不数身不热者。加干姜（三钱）。妇女温病。经水适来。脉数身热。入夜
热
甚。
或谵语者。热入血室也。法当辛凉退热。兼清血分。清热养荣汤主之。
清热养荣汤
青蒿（二钱） 桑叶（一钱五分） 知母（一钱） 鳖甲（三钱） 赤芍（一钱五分） 生地（二钱） 丹皮（一
钱五分） 丹参（二钱） 水煎服。 如壮盛人服之不解者加柴胡（一钱五分）。妇女温病。经水适来。脉数耳聋。干
呕烦渴。十数日不解。热邪内陷发痉者气血兼病也。竹叶玉女煎主之。
竹叶玉女煎
生石膏（三钱） 干地黄（二钱） 麦冬（二钱） 知母（一钱） 牛膝（一钱） 竹叶（一钱
五分）
水四杯。先煎石膏地黄。取二杯。再入余四味煎成一杯。温服。
热入血室。服两清气血药后。邪去其半。余邪不解。脉仍数者。护阳和阴汤主之。
护阳和阴汤
白芍（二钱五分） 炙甘草（一钱） 人参（一钱） 麦冬（一钱连心炒） 生地（一钱五分炒）
水煎服。
热入血室。邪去八九。暮微寒热。右脉虚数者。邪少虚多。气血兼病也。加参复脉汤主之。
加参复脉汤
即于复脉汤内加人参一钱五分。
妇女热病。经水适来。十余日不解。舌痿饮冷。心烦热。神气忽清忽乱。脉右长左沉者。瘀热在里。有蓄血也。加
减桃仁承气汤主之。
加减桃仁承气汤
大黄（一钱五分制） 桃仁（一钱五分炒） 细生地（三钱） 丹皮（二钱） 泽兰（一钱） 人中白（一钱）
水煎服。
温病在阳明经停留时间较长。如果已经使用过泻下法，或者尚未使用泻下法，出现身体发热、面色发红、口干舌燥，甚至牙齿发黑、嘴唇干裂的症状，这是热邪逐渐损伤少阴肾水所致。脉象沉实的，仍然可以使用泻下法治疗。如果脉象虚大，手足心发热比手足背更严重，说明邪热较少而虚热较多，应以加减复脉汤为主进行治疗。温病误用发汗解表法，导致心中悸动不安、舌体僵硬、神志昏迷的，是心气受损、津液被劫夺所致。适宜使用复脉汤。（若舌上津液恢复则预后良好）
温病六七日后出现耳聋的，是阴火在内炽盛，病位在少阴。适宜使用复脉汤。（如果误认为是少阳证，服用柴胡汤，则必然导致死亡。）
因劳累过度导致内伤，又感受温病，六七日以上病情未解除的，适宜使用复脉汤。如果身体不发热但极度疲倦的，加入人参。
温病已经发汗但无汗出，已经泻下但热势不退，病程超过六七日，脉象依然躁动旺盛的，是邪气与正气相互交争的表现。应重用复脉汤。
温病误用升提发散的药物，导致脉象结代（脉搏间歇），甚至两息一至的，治法应当急救里虚，这就是所谓的“先留人后治病”。应重用复脉汤。温病经过发汗和泻下治疗后，出现口燥咽干、精神疲倦想睡觉、舌质红赤、苔老黄的，是少阴津液亏损的表现。给予复脉汤。
加减复脉汤（根据经典方剂进行加减而成）
炙甘草（三钱） 干地黄（三钱） 生白芍（三钱） 麦冬（二钱五分，保留心部） 阿胶（一钱五分） 麻仁（一钱五分）
用水煎服。病情严重的，甘草加至五钱，地黄和白芍加至四钱，麦冬加至三钱五分。
温病误用发汗解表法，导致舌体僵硬、神志昏迷、自汗出、心神无所依托的，是心气和津液受到严重损伤。以救逆汤为主进行治疗。
救逆汤
即在加减复脉汤中去掉麻仁，加入生龙骨（二钱）、生牡蛎（四钱）。脉象虚大欲散的，加入人参（一钱）。泻下后大便稀溏严重，每天三四次，脉象仍然数的，是真阳素来虚弱而里热未清的表现。以一甲煎为主治疗。服用一二日后，如果大便不再稀溏，可以给予一甲复脉汤。
下焦温病，凡是出现大便稀溏的，立即给予一甲复脉汤（此方属于滋阴方中，蕴含固护阴液之意）。
热邪深入下焦，脉象沉数，舌干齿黑，手指蠕动的，是真水受亏，不能涵养肝木的表现。急需防止发生痉厥。以二甲复脉汤为主治疗。
二甲复脉汤
即在加减复脉汤中加入生牡蛎（二钱五分）、生鳖甲（四钱）。
下焦温病，热深厥冷严重，脉象细促，心中剧烈跳动，甚至心中疼痛的，是肾虚不能济助肝木，肝风猖獗，心主失守的表现。以三甲复脉汤为主治疗。
少阴温病，心烦不得安卧的，是真阴将要枯竭，壮火重新炽盛的表现。以黄连阿胶汤为主治疗。
黄连阿胶汤
黄连（四钱） 黄芩（一钱） 阿胶（三钱） 白芍（一钱） 鸡子黄（两个）
用水八杯，先煎煮黄芩、黄连、白芍三味药，取汁三杯，去渣。将阿胶兑入化尽，再放入鸡子黄搅匀，分三次服用。
夜间发热、清晨凉爽，热退时无汗出的，是邪热深伏于阴分，热从阴分发出的表现。以青蒿鳖甲汤为主治疗。
青蒿鳖甲汤
青蒿（二钱） 鳖甲（五钱） 细生地（四钱） 知母（二钱） 丹皮（三钱）
用水煎服。
既出现四肢厥冷又出现呃逆（俗称打嗝），脉象细而劲急的，是温邪长久占据下焦，消烁肝之阴液，扰动冲脉的表现。以小定风珠为主治疗。
小定风珠
鸡子黄（一个，生用） 真阿胶（二钱） 生龟板（六钱） 童便（一杯） 淡菜（三钱）
用水五杯，先煎煮龟板和淡菜，取汁二杯，去渣。将阿胶兑入，在火上化尽。放入鸡子黄搅匀，再冲入童便一次性顿服。
下焦温病，精神疲倦，肢体抽搐，舌质深红、苔少的，脉气虚弱，时时感觉要脱绝的，是热邪长久停留，吸烁真阴的表现。以大定风珠为主治疗。（这种证候多因误用发汗解表或误用攻下而成）
大定风珠
生白芍（六钱） 阿胶（三钱） 生龟板（四钱） 干地黄（六钱） 麻仁（二钱） 五味子（二钱） 生牡蛎（四钱） 麦冬（六钱，保留心部） 炙甘草（四钱） 鸡子黄（两个，生用） 鳖甲（四钱，生用）
用水八杯，煎煮取三杯，去渣。再放入鸡子黄搅匀，分三次服用。气喘的加入人参；自汗的加入龙骨、人参、小麦；心悸的加入茯神、人参、小麦。
凡是壮火仍然炽盛的，不得使用定风珠和复脉汤；邪气少而虚损多的，不得使用黄连阿胶汤；阴虚想要发生痉挛的，不得使用青蒿鳖甲汤。
下焦温病，出现痉厥、神志昏迷、舌体短缩、烦躁，如果寸脉大，口气重浊，眼睛发红、颧骨发红、高热不退的，是手少阴心经邪热未清的表现。先用牛黄丸、紫雪丹之类的药物，开窍搜剔邪气，然后再用复脉汤存养阴液，用三甲潜镇阳气。临证时要仔细参详，不要导致混乱。
牛黄丸 紫雪丹（见前文） 复脉汤（见前文） 三甲复脉汤（见前文）
温邪长久停留，肌肤粗糙如鳞甲交错，可能是因为泻下后肠道通畅，邪气欲溃散；或者是因为服用存阴药物，津液增加欲作汗出，但正气已虚，不能随即排出，阴阳互相争斗而战栗的，这是欲作战汗的表现。用复脉汤热饮。虚损严重的加入人参以助汗外出。如果其人肌肉尚且丰满，未达到肌肤甲错的程度，应当听任其汗自然流出，不可惊扰骚动。
时常想漱口但不想吞咽，大便黑色而不干燥的，是阴液亏损而有瘀血的表现。以犀角地黄汤为主治疗。
夜间发热、白天凉爽，少腹部坚硬胀满，小便自利，大便闭塞，脉象沉实的，是邪气盛实而有蓄血的表现。以桃仁承气汤为主治疗。
桃仁承气汤
大黄（二钱五分） 芒硝（一钱） 桃仁（一钱五分） 当归（一钱五分） 芍药（一钱五分） 丹皮（一钱五分）
用水煎服。
温病服用清热解表药后，脉象反而濡小，下利稀水，或者便脓血的，是热势撤去而里气虚弱的表现。以桃花汤为主治疗。
桃花汤
赤石脂（三钱，其中二钱整煎，一钱研成细末调服） 炮姜（一钱五分） 白粳米（三钱） 用水三杯煎至一杯半，去渣，加入石脂末温服。虚损的加入人参。
温病七八日后，身体发热、舌质深红、苔少，下利每天数十次，完谷不化的，是里邪已尽，脾阳下陷的表现。以桃花粥为主治疗。
桃花粥
人参（三钱） 炙甘草（三钱） 赤石脂（六钱，研成细末） 白粳米（二合）
用水十杯，先煎煮人参和甘草，取汁六杯，去渣。再放入粳米煮取三杯。用一杯兑入石脂末二钱，一次性顿服。腹泻停止后，停服后续药物。如果不停止，再服第二杯，每次兑入石脂末二钱。如果是因为先前过度使用寒凉药物，导致脉不数、身不热的，加入干姜（三钱）。
妇女温病，月经适来，脉数身热，入夜热势更甚，或者出现谵语的，是热入血室的表现。治法应当辛凉退热，兼清血分。以清热养荣汤为主治疗。
清热养荣汤
青蒿（二钱） 桑叶（一钱五分） 知母（一钱） 鳖甲（三钱） 赤芍（一钱五分） 生地（二钱） 丹皮（一钱五分） 丹参（二钱）
用水煎服。如果是体质强壮的人服用后不解，加入柴胡（一钱五分）。
妇女温病，月经适来，脉数耳聋，干呕烦渴，十几天未解除，热邪内陷导致发生痉挛的，是气血兼病。以竹叶玉女煎为主治疗。
竹叶玉女煎
生石膏（三钱） 干地黄（二钱） 麦冬（二钱） 知母（一钱） 牛膝（一钱） 竹叶（一钱五分）
用水四杯，先煎煮石膏和地黄，取汁二杯。再放入其余四味药煎成一杯，温服。
热入血室，服用清气血两燔的药后，邪气去了一半，余邪未解，脉象仍然数的，以护阳和阴汤为主治疗。
护阳和阴汤
白芍（二钱五分） 炙甘草（一钱） 人参（一钱） 麦冬（一钱，连心炒） 生地（一钱五分，炒）
用水煎服。
热入血室，邪气去了八九成，傍晚有轻微寒热，右脉虚数的，是邪少虚多，气血兼病。以加参复脉汤为主治疗。
妇女热病，月经适来，十余日未解除，舌体痿软、喜饮冷水，心烦热，神气忽清忽乱，脉象右长左沉的，是瘀热在里，有蓄血的表现。以加减桃仁承气汤为主治疗。
加减桃仁承气汤
大黄（一钱五分，制过） 桃仁（一钱五分，炒） 细生地（三钱） 丹皮（二钱） 泽兰（一钱） 人中白（一钱）
用水煎服。
(The treatment for warm-heat disease, winter-warm disease, warm-toxin disease, and warm-epidemic disease is the same.)
When warm-heat disease lingers in the Yangming stage for a long time, whether purgatives have already been used or not, if symptoms such as fever, facial redness, dry mouth and tongue, and even black teeth and cracked lips appear, this indicates that the pathogenic heat is gradually damaging the Kidney Water of Shaoyin. If the pulse is deep and solid, purgatives may still be used. If the pulse is deficient and large, and the heat in the palms and soles is more severe than in the dorsum of hands and feet, it indicates that there is less pathogenic heat and more deficiency heat; Jiajian Fumai Decoction (Modified Pulse-Recovering Decoction) should be administered as the primary treatment. If warm-heat disease is mistakenly treated with diaphoretic methods, leading to palpitations, stiff tongue, and coma, it signifies damage to Heart Qi and depletion of body fluids. Fumai Decoction (Pulse-Recovering Decoction) is appropriate. (Recovery of saliva on the tongue indicates a favorable prognosis.)
If deafness occurs after six or seven days of warm-heat disease, it is due to blazing Yin fire within, indicating the disease is in Shaoyin. Fumai Decoction (Pulse-Recovering Decoction) is suitable. (Mistaking this for a Shaoyang syndrome and administering Chaihu Tang [Bupleurum Decoction] will inevitably lead to death.)
For internal injury due to overexertion combined with warm-heat disease that remains unresolved after six or seven days, Fumai Decoction (Pulse-Recovering Decoction) is indicated. If there is no fever but extreme fatigue, add Ren Shen (Ginseng).
If sweat has been induced without perspiration, or purgatives have been used without reduction of fever, and after six or seven days the pulse remains rapid and vigorous, this represents the struggle between pathogenic factors and healthy qi. Heavy doses of Fumai Decoction (Pulse-Recovering Decoction) should be given.
If warm-heat disease is mistakenly treated with ascending and dispersing agents, resulting in knotted and intermittent pulses, or even one beat per two breaths, the method requires urgent rescue of the interior, known as "preserving life before treating disease." Heavy doses of Fumai Decoction (Pulse-Recovering Decoction) should be used. After sweating and purging in warm-heat disease, if dry mouth and throat, mental fatigue, drowsiness, red tongue, and old coating appear, it indicates deficiency of Shaoyin fluids. Administer Fumai Decoction (Pulse-Recovering Decoction).
Jiajian Fumai Decoction (Modified Pulse-Recovering Decoction) [Based on modification of classic formulas]:
Zhi Gan Cao (Honey-fried Licorice Root, 3 qian), Gan Di Huang (Prepared Rehmannia Root, 3 qian), Sheng Bai Shao (Raw White Peony Root, 3 qian), Mai Dong (Ophiopogon Tuber, 2.5 qian, retaining the heart), E Jiao (Donkey-hide Gelatin, 1.5 qian), Ma Ren (Hemp Seed, 1.5 qian).
Decoct in water and take orally. For severe cases, increase Zhi Gan Cao (Licorice Root) to 5 qian, Gan Di Huang (Rehmannia Root) and Bai Shao (White Peony Root) to 4 qian each, and Mai Dong (Ophiopogon Tuber) to 3.5 qian.
If warm-heat disease is mistakenly treated with diaphoretics, leading to stiff tongue, coma, spontaneous sweating, and loss of mental control, it signifies severe damage to Heart Qi and body fluids. Jiuniu Tang (Rescue Counteraction Decoction) is the primary treatment.
Jiuniu Tang (Rescue Counteraction Decoction):
Take Jiajian Fumai Decoction (Modified Pulse-Recovering Decoction), remove Ma Ren (Hemp Seed), and add Sheng Long Gu (Raw Dragon Bone, 2 qian) and Sheng Mu Li (Raw Oyster Shell, 4 qian). If the pulse is deficient, large, and dissipating, add Ren Shen (Ginseng, 1 qian). If diarrhea is severe after purgation, occurring three to four times daily, with a rapid pulse, it indicates inherent deficiency of True Yang with uncleared interior heat. Yi Jia Jian (Single Shell Decoction) is the primary treatment. After one or two days of administration, if stool normalizes, Yi Jia Fumai Tang (Single Shell Pulse-Recovering Decoction) may be given.
In lower-jiao warm-heat disease, whenever loose stools occur, immediately administer Yi Jia Fumai Tang (Single Shell Pulse-Recovering Decoction) [This formula belongs to yin-nourishing formulas, containing the intent of securing yin].
Yi Jia Jian (Single Shell Decoction):
Sheng Mu Li (Raw Oyster Shell, 1 liang, finely ground).
Decoct in water and take warm.
Yi Jia Fumai Tang (Single Shell Pulse-Recovering Decoction):
Take Jiajian Fumai Decoction (Modified Pulse-Recovering Decoction), remove Ma Ren (Hemp Seed), and add Mu Li (Oyster Shell, 5 qian).
When pathogenic heat penetrates deeply into the lower jiao, presenting with deep and rapid pulse, dry tongue, black teeth, and twitching fingers, it indicates deficiency of True Water failing to nourish Wood. Urgently prevent spasms and convulsions. Er Xiang Fumai Tang (Two Shells Pulse-Recovering Decoction) is the primary treatment.
Er Xiang Fumai Tang (Two Shells Pulse-Recovering Decoction):
Take Jiajian Fumai Decoction (Modified Pulse-Recovering Decoction), add Sheng Mu Li (Raw Oyster Shell, 2.5 qian) and Sheng Bie Jia (Raw Softshell Turtle Shell, 4 qian).
In lower-jiao warm-heat disease, if heat is deep with severe cold extremities, pulse is fine and hurried, with severe palpitations or even chest pain, it indicates Kidney deficiency failing to assist Liver Wood, rampant Liver Wind, and loss of the Heart Master's support. San Jia Fumai Tang (Three Shells Pulse-Recovering Decoction) is the primary treatment.
San Jia Fumai Tang (Three Shells Pulse-Recovering Decoction):
Take Er Xiang Fumai Tang (Two Shells Pulse-Recovering Decoction), add Sheng Gui Ban (Raw Tortoise Plastron, 5 qian).
In Shaoyin warm-heat disease, if there is irritability and inability to sleep, it indicates exhaustion of True Yin and resurgence of vigorous fire. Huanglian Ejiao Tang (Coptis and Donkey-hide Gelatin Decoction) is the primary treatment.
Huanglian Ejiao Tang (Coptis and Donkey-hide Gelatin Decoction):
Huang Lian (Coptis Rhizome, 4 qian), Huang Qin (Scutellaria Root, 1 qian), E Jiao (Donkey-hide Gelatin, 3 qian), Bai Shao (White Peony Root, 1 qian), Ji Zi Huang (Egg Yolk, 2 pieces).
Use eight cups of water. First decoct Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome), and Bai Shao (White Peony Root) to obtain three cups, then strain. Dissolve E Jiao (Donkey-hide Gelatin) in the liquid. Add Ji Zi Huang (Egg Yolk), stir well, and divide into three doses.
Night fever and morning coolness, with no sweat upon fever resolution, indicate pathogenic heat deeply hidden in the Yin division, arising from Yin. Qinghao Biejia Tang (Artemisia Annuae and Softshell Turtle Decoction) is the primary treatment.
Qinghao Biejia Tang (Artemisia Annuae and Softshell Turtle Decoction):
Qing Hao (Artemisia Annua Herb, 2 qian), Bie Jia (Softshell Turtle Shell, 5 qian), Xi Sheng Di (Fine Prepared Rehmannia Root, 4 qian), Zhi Mu (Anemarrhena Rhizome, 2 qian), Dan Pi (Moutan Cortex, 3 qian).
Decoct in water and take orally.
Both cold extremities and hiccups (commonly known as hiccupping), with a fine and forceful pulse, indicate warm pathogenic factors occupying the lower jiao for a long time, consuming Liver fluids, and disturbing the Chong Mai (Penetrating Vessel). Xiao Ding Feng Zhu (Small Calming Wind Pearl) is the primary treatment.
Xiao Ding Feng Zhu (Small Calming Wind Pearl):
Ji Zi Huang (Egg Yolk, 1 piece, raw), Zhen E Jiao (Authentic Donkey-hide Gelatin, 2 qian), Sheng Gui Ban (Raw Tortoise Plastron, 6 qian), Tong Bian (Child's Urine, 1 cup), Dan Cai (Edible Mussel, 3 qian).
Use five cups of water. First decoct Sheng Gui Ban (Raw Tortoise Plastron) and Dan Cai (Edible Mussel) to obtain two cups, then strain. Add Zhen E Jiao (Authentic Donkey-hide Gelatin) and melt over fire. Add Ji Zi Huang (Egg Yolk), stir well, then mix with Tong Bian (Child's Urine) and take in one dose.
In lower-jiao warm-heat disease, if there is mental fatigue, convulsions, crimson tongue with scant coating, weak pulse energy, and frequent sensations of collapse, it indicates prolonged pathogenic heat consuming True Yin. Da Ding Feng Zhu (Great Calming Wind Pearl) is the primary treatment. (This condition often results from mistaken diaphoresis or purgation.)
Da Ding Feng Zhu (Great Calming Wind Pearl):
Sheng Bai Shao (Raw White Peony Root, 6 qian), E Jiao (Donkey-hide Gelatin, 3 qian), Sheng Gui Ban (Raw Tortoise Plastron, 4 qian), Gan Di Huang (Prepared Rehmannia Root, 6 qian), Ma Ren (Hemp Seed, 2 qian), Wu Wei Zi (Schisandra Berry, 2 qian), Sheng Mu Li (Raw Oyster Shell, 4 qian), Mai Dong (Ophiopogon Tuber, 6 qian, retaining the heart), Zhi Gan Cao (Honey-fried Licorice Root, 4 qian), Ji Zi Huang (Egg Yolk, 2 pieces, raw), Bie Jia (Softshell Turtle Shell, 4 qian, raw).
Use eight cups of water, decoct to three cups, strain. Add Ji Zi Huang (Egg Yolk), stir well, and divide into three doses. For panting, add Ren Shen (Ginseng). For spontaneous sweating, add Long Gu (Dragon Bone), Ren Shen (Ginseng), and Xiao Mai (Wheat). For palpitations, add Fu Shen (Poria with Hostwood), Ren Shen (Ginseng), and Xiao Mai (Wheat).
Whenever vigorous fire is still abundant, Ding Feng Zhu (Calming Wind Pearls) and Fumai Tang (Pulse-Recovering Decoctions) must not be used. When pathogenic factors are few and deficiency is predominant, Huanglian Ejiao Tang (Coptis and Donkey-hide Gelatin Decoction) must not be used. When yin deficiency leads to impending spasms, Qinghao Biejia Tang (Artemisia Annuae and Softshell Turtle Decoction) must not be used.
In lower-jiao warm-heat disease, if spasms, convulsions, coma, short tongue, irritability occur, along with large cun pulse, heavy breath, red eyes, malar flush, and high fever, it indicates uncleared pathogenic heat in the Hand-Shaoyin (Heart) channel. First administer Niuhuang Wan (Calculus Bovis Pill) or Zixue Dan (Purple Snow Elixir) to open orifices and search out pathogens. Then use Fumai Tang (Pulse-Recovering Decoction) to preserve yin, and San Jia (Three Shells) to anchor yang. Consult carefully during clinical practice to avoid confusion.
Niuhuang Wan (Calculus Bovis Pill), Zixue Dan (Purple Snow Elixir) [See previous], Fumai Tang (Pulse-Recovering Decoction) [See previous], San Jia Fumai Tang (Three Shells Pulse-Recovering Decoction) [See previous].
When warm pathogenic factors linger for a long time, causing skin roughness like fish scales, it may be because purgation cleared the interior and pathogens are about to溃散 (disperse); or because yin-preserving medicines were taken, increasing fluids and inducing sweat, but healthy qi is too weak to expel them immediately. The struggle between yin and yang causes shivering, indicating an impending battle-sweat. Administer Fumai Tang (Pulse-Recovering Decoction) hot. For severe deficiency, add Ren Shen (Ginseng) to assist sweat expulsion. If muscles are still full and skin is not rough, allow sweat to occur naturally without disturbance.
Frequent rinsing of the mouth without swallowing, and black but dry-free stools, indicate yin deficiency with blood stasis. Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) is the primary treatment.
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction)
Night fever and daytime coolness, hardness and fullness in the lower abdomen, free urination, constipation, and deep solid pulse indicate excess pathogens and blood accumulation. Taoren Chengqi Tang (Peach Kernel and Magnolia Bark Decoction) is the primary treatment.
Taoren Chengqi Tang (Peach Kernel and Magnolia Bark Decoction):
Da Huang (Rhubarb Root, 2.5 qian), Mang Xiao (Mirabilite, 1 qian), Tao Ren (Peach Kernel, 1.5 qian), Dang Gui (Angelica Sinensis Root, 1.5 qian), Shao Yao (Peony Root, 1.5 qian), Dan Pi (Moutan Cortex, 1.5 qian).
Decoct in water and take orally.
After taking clearing and resolving medicines for warm-heat disease, if the pulse becomes soggy and small, with watery diarrhea or pus-and-blood stools, it indicates heat has retreated leaving interior deficiency. Taohua Tang (Peach Blossom Decoction) is the primary treatment.
Taohua Tang (Peach Blossom Decoction):
Chishi Zhi (Red Halloysite, 3 qian: 2 qian whole for decoction, 1 qian powdered for mixing), Pao Jiang (Processed Ginger, 1.5 qian), Bai Jing Mi (White Glutinous Rice, 3 qian). Use three cups of water, decoct to one and a half cups, strain, add Chishi Zhi powder, and take warm. For deficiency, add Ren Shen (Ginseng).
After seven or eight days of warm-heat disease, if there is fever, crimson tongue with scant coating, frequent diarrhea (dozens of times daily) with undigested food, and deficient rapid pulse, it indicates interior pathogens are exhausted and Spleen Yang has sunk. Taohua Zhou (Peach Blossom Porridge) is the primary treatment.
Taohua Zhou (Peach Blossom Porridge):
Ren Shen (Ginseng, 3 qian), Zhi Gan Cao (Honey-fried Licorice Root, 3 qian), Chishi Zhi (Red Halloysite, 6 qian, finely powdered), Bai Jing Mi (White Glutinous Rice, 2 he). Use ten cups of water, first decoct Ren Shen (Ginseng) and Zhi Gan Cao (Licorice Root) to obtain six cups, strain. Add Bai Jing Mi (Glutinous Rice) and cook to obtain three cups. Take one cup mixed with 2 qian of Chishi Zhi powder in one dose. Stop subsequent doses if diarrhea ceases. If it continues, take the second cup, mixing 2 qian of Chishi Zhi powder each time. If caused by prior overuse of cold-cooling herbs, resulting in non-rapid pulse and no fever, add Gan Jiang (Dried Ginger, 3 qian).
In women with warm-heat disease, if menstruation coincides with onset, presenting with rapid pulse, fever, worse heat at night, or delirium, it is Heat Entering the Blood Chamber (Xueshi). The method should be acrid-cool to reduce fever, combined with clearing the blood level. Qingre Yangrong Tang (Clear Heat and Nourish Ying Decoction) is the primary treatment.
Qingre Yangrong Tang (Clear Heat and Nourish Ying Decoction):
Qing Hao (Artemisia Annua Herb, 2 qian), Sang Ye (Mulberry Leaf, 1.5 qian), Zhi Mu (Anemarrhena Rhizome, 1 qian), Bie Jia (Softshell Turtle Shell, 3 qian), Chi Shao (Red Peony Root, 1.5 qian), Sheng Di (Prepared Rehmannia Root, 2 qian), Dan Pi (Moutan Cortex, 1.5 qian), Dan Shen (Salvia Miltiorrhiza Root, 2 qian).
Decoct in water and take orally. If the patient is robust and symptoms persist, add Chai Hu (Bupleurum Root, 1.5 qian).
In women with warm-heat disease, if menstruation coincides with onset, presenting with rapid pulse, deafness, dry retching, irritability, thirst, unresolved for over ten days, and heat sinking inward causing spasms, it is a combined disease of Qi and Blood. Zhuye Yunü Jian (Bamboo Leaf Young Woman Decoction) is the primary treatment.
Zhuye Yunü Jian (Bamboo Leaf Young Woman Decoction):
Sheng Shi Gao (Raw Gypsum Fibrosum, 3 qian), Gan Di Huang (Prepared Rehmannia Root, 2 qian), Mai Dong (Ophiopogon Tuber, 2 qian), Zhi Mu (Anemarrhena Rhizome, 1 qian), Niu Xi (Achyranthes Root, 1 qian), Zhu Ye (Bamboo Leaf, 1.5 qian).
Use four cups of water, first decoct Sheng Shi Gao (Gypsum) and Gan Di Huang (Rehmannia) to obtain two cups. Add the remaining four herbs and decoct to one cup. Take warm.
For Heat Entering the Blood Chamber, after taking medicines clearing both Qi and Blood levels, if half the pathogens are gone but residual pathogens remain with a still rapid pulse, Huyang Heyin Tang (Protect Yang and Harmonize Yin Decoction) is the primary treatment.
Huyang Heyin Tang (Protect Yang and Harmonize Yin Decoction):
Bai Shao (White Peony Root, 2.5 qian), Zhi Gan Cao (Honey-fried Licorice Root, 1 qian), Ren Shen (Ginseng, 1 qian), Mai Dong (Ophiopogon Tuber, 1 qian, fried with heart), Sheng Di (Prepared Rehmannia Root, 1.5 qian, fried).
Decoct in water and take orally.
For Heat Entering the Blood Chamber, if eight or nine-tenths of pathogens are gone, with slight evening chills and fever, and a deficient rapid right pulse, it indicates few pathogens and predominant deficiency, a combined disease of Qi and Blood. Jiashen Fumai Tang (Ginseng-Added Pulse-Recovering Decoction) is the primary treatment.
Jiashen Fumai Tang (Ginseng-Added Pulse-Recovering Decoction):
Take Fumai Tang (Pulse-Recovering Decoction) and add Ren Shen (Ginseng, 1.5 qian).
In women with febrile disease, if menstruation coincides with onset, unresolved for over ten days, with flaccid tongue, desire for cold drinks, irritability, fluctuating mental clarity, and a long right pulse with sunken left pulse, it indicates stasis-heat in the interior with blood accumulation. Jiajian Taoren Chengqi Tang (Modified Peach Kernel and Magnolia Bark Decoction) is the primary treatment.
Jiajian Taoren Chengqi Tang (Modified Peach Kernel and Magnolia Bark Decoction):
Da Huang (Rhubarb Root, 1.5 qian, processed), Tao Ren (Peach Kernel, 1.5 qian, fried), Xi Sheng Di (Fine Prepared Rehmannia Root, 3 qian), Dan Pi (Moutan Cortex, 2 qian), Ze Lan (Lygodium Spore, 1 qian), Renzhongbai (Human Ash, 1 qian).
Decoct in water and take orally.