宣明双解散治一切风热积热
益元散 防风通圣散(各一两)
上每三五钱入葱白盐豉五十粒姜三片煎服
按此足太阳阳明少阴厥阴手足太阴药也治风热郁热甚捷但本论云治风寒暑湿饥饱劳役内
邪所伤无问杂病便可通解然斯意混同主治而寒湿何以得散内伤不足之证何以抵受邪实实虚虚
不无致逆故潘思敬云是仲景调胃承气汤后人一变加连翘栀子薄荷黄芩谓之凉膈至河间又一变
于凉膈中加防风川芎当归芍药麻黄石膏桔梗滑石荆芥白术谓之防风通圣古之复方也今复之又
复制法盖可知矣而学人识之
大柴胡汤治伤寒杂证发热脉沉实弦数热日数多或有表复有里脉洪头痛而谵妄或湿热自利
表里证已急宜此下之
柴胡(四钱) 黄芩 芍药(各一钱半) 半夏(一钱二分) 枳实(二钱) 大黄(二钱半)
上 咀入姜枣煎
按此足少阳阳明太阴厥阴药也出太阳例
局方人参白虎汤治气热心烦发渴
石膏(四钱) 知母(一钱半) 甘草(一钱) 人参(半钱)
上 咀入粳米一合煎
按此足阳明少阴手太阴药也
清心莲子饮治发热口干小便白浊夜则安静昼则发热
黄芩 麦门冬 地骨皮 车前子 甘草(各三钱半) 莲肉 茯苓 黄 柴胡 人参(
各二钱半)
上 咀水煎
按此足少阳少阴手足太阴药也
宣明柴胡饮子解一切肌热蒸热积热或汗后余热脉洪实弦数
黄芩 甘草 大黄 芍药 柴胡 人参 当归(各二钱半)
上 咀入姜煎
按此足少阳例又表里血药也宝鉴附于气分热例下今姑从之学人宜取择焉
机要云若肤如火燎而热以手取之不甚热为肺热目睛赤烦燥或引饮黄芩一味主之昼则行阳
二十五度此言气分热也
宣明双解散治疗一切风热和积热。
益元散、防风通圣散（各一两）。
以上药物每次取三至五钱，加入葱白、盐豉五十粒、生姜三片，煎煮后服用。
按语：此方是足太阳、阳明、少阴、厥阴经以及手太阴经的药物组合，治疗风热郁结之证非常迅速。但是《本论》说它治疗风寒暑湿、饥饱劳役等内邪所伤，不论何种杂病都可以通用解表。然而这种说法混淆了主治范围，寒湿之邪如何能发散？内伤不足之证如何能承受攻伐实邪的药力？这样容易导致“虚虚实实”的误治，产生逆乱。所以潘思敬说：这是张仲景调胃承气汤的后世变方，第一次变化加入连翘、栀子、薄荷、黄芩，称为凉膈散；到刘河间又进行第二次变化，在凉膈散中加入防风、川芎、当归、芍药、麻黄、石膏、桔梗、滑石、荆芥、白术，称为防风通圣散，这是古代的复方。现在再次复制并制定法则，大概可以知道了，学习的人应当知晓。
大柴胡汤治疗伤寒杂病出现的发热，脉象沉实、弦数，发热天数较多，或者既有表证又有里证，脉象洪大，头痛且胡言乱语，或者湿热导致的自利（腹泻），表里证候都已具备，此时应紧急使用此方攻下。
柴胡（四钱）、黄芩、芍药（各一钱半）、半夏（一钱二分）、枳实（二钱）、大黄（二钱半）。
以上药物切碎，加入生姜、大枣煎煮。
按语：此方是足少阳、阳明、太阴、厥阴经的药物组合，出自太阳病的例证。
局方人参白虎汤治疗气分发热、心烦、口渴。
石膏（四钱）、知母（一钱半）、甘草（一钱）、人参（半钱）。
以上药物切碎，加入粳米一合煎煮。
按语：此方是足阳明、少阴经以及手太阴经的药物组合。
清心莲子饮治疗发热、口干、小便白浊，夜间安静，白天发热。
黄芩、麦门冬、地骨皮、车前子、甘草（各三钱半）、莲肉、茯苓、黄芪、柴胡、人参（各二钱半）。
以上药物切碎，用水煎煮。
按语：此方是足少阳、少阴经以及手太阴、足太阴经的药物组合。
宣明柴胡饮子解一切肌热、蒸热、积热，或者汗出后的余热，脉象洪实、弦数。
黄芩、甘草、大黄、芍药、柴胡、人参、当归（各二钱半）。
以上药物切碎，加入生姜煎煮。
按语：此方属于足少阳经的例证，又是表里兼治血分的药物。《宝鉴》将其附在气分热的例证之下，现在暂且遵从它，学习的人应当自行取舍。
《机要》说：如果皮肤像火烧一样热，用手触摸时并不觉得特别热，这是肺热；眼睛发红、烦躁，或者想喝水，单用黄芩一味药主治。白天阳气运行二十五度，这里说的是气分热。
Xuanming Shuangjie Decoction treats all wind-heat and accumulated heat.
Yiyuan San (Beneficial Origin Powder), Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder) (each 1 liang).
Take 3 to 5 qian of the above herbs per dose, add scallion white, salted fermented soybeans (50 grains), and ginger slices (3 pieces), decoct, and take orally.
Note: This formula comprises herbs from the Foot-Taiyang, Foot-Yangming, Foot-Shaoyin, Foot-Jueyin, and Hand-Taiyin meridians. It is very effective for treating wind-heat and stagnant heat. However, the *Benlun* states that it treats injuries caused by internal pathogens such as wind-cold, summerheat, dampness, overeating, or fatigue, and can be used universally for various miscellaneous diseases to resolve the exterior. Yet this view conflates indications; how can cold-dampness be dispersed? How can deficiency patterns due to internal injury withstand the purgation of excess pathogens? Such an approach risks causing "deficiency making deficiency more deficient" and "excess making excess more excessive," leading to adverse outcomes. Therefore, Pan Sijing stated: This is a later variation of Zhang Zhongjing's Tiaowei Chengqi Tang. The first variation added Lianqiao (Forsythiae Fructus), Zhizi (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), and Huangqin (Scutellariae Radix), called Liangge San (Cooling the Chest Powder). Liu Hejian then made a second variation by adding Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Mahuang (Ephedrae Herba), Shigao (Gypsum Fibrosum), Jiegeng (Platycodonis Radix), Huashi (Talcum), Jingjie (Schizonepetae Spica), and Baizhu (Atractylodis Macrocephalae Rhizoma) to Liangge San, calling it Fangfeng Tongsheng San, which is an ancient compound formula. Today, we replicate and codify its methods; learners should understand this.
Dachaihu Tang (Major Bupleurum Decoction) treats fever in shaoyin disease or miscellaneous disorders with a deep, solid, wiry, and rapid pulse, prolonged fever, or simultaneous exterior and interior syndromes with a surging pulse, headache, and delirium, or spontaneous diarrhea due to damp-heat. When both exterior and interior signs are present, this formula should be urgently administered to purge.
Chaihu (4 qian), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix) (each 1.5 qian), Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine) (1.2 qian), Zhishi (Aurantii Fructus Immaturus) (2 qian), Dahuang (Rhei Radix et Rhizoma) (2.5 qian).
Cut the herbs, add ginger and jujube, decoct, and take.
Note: This formula comprises herbs from the Foot-Shaoyang, Foot-Yangming, Foot-Taiyin, and Foot-Jueyin meridians, originating from the Taiyang pattern examples.
Jufang Renshen Baihu Tang (Bureau of Medical Welfare Formula Ginseng White Tiger Decoction) treats qi-level fever, vexation, and thirst.
Shigao (Gypsum Fibrosum) (4 qian), Zhimu (Anemarrhenae Rhizoma) (1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian), Renshen (Ginseng Radix et Rhizoma) (0.5 qian).
Cut the herbs, add rice (1 he), decoct, and take.
Note: This formula comprises herbs from the Foot-Yangming, Foot-Shaoyin, and Hand-Taiyin meridians.
Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction) treats fever, dry mouth, turbid urine, quietness at night, and fever during the day.
Huangqin (Scutellariae Radix), Maidong (Ophiopogonis Radix), Digupi (Lycii Cortex), Cheqianzi (Plantaginis Semen), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3.5 qian), Lianrou (Nelumbinis Semen), Fuling (Poria), Huangqi (Astragali Radix), Chaihu (Bupleuri Radix), Renshen (Ginseng Radix et Rhizoma) (each 2.5 qian).
Cut the herbs, decoct with water, and take.
Note: This formula comprises herbs from the Foot-Shaoyang, Foot-Shaoyin, Hand-Taiyin, and Foot-Taiyin meridians.
Xuanming Chaihu Yinzi (Xuanming Bupleurum Infusion) resolves all muscular heat, steaming heat, accumulated heat, or residual heat after sweating, with a surging, solid, wiry, and rapid pulse.
Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma), Shaoyao (Paeoniae Radix), Chaihu (Bupleuri Radix), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each 2.5 qian).
Cut the herbs, add ginger, decoct, and take.
Note: This formula follows the Foot-Shaoyang pattern and acts on both the exterior/interior and blood levels. *Baojian* attached it to the qi-level heat category; we tentatively follow this, but learners should exercise discretion.
*Jiyao* states: If the skin feels hot like a burn but does not feel particularly hot to the touch, this indicates lung heat. Red eyes, vexation, or desire for drinking indicate heat in the qi level, treated solely with Huangqin (Scutellariae Radix). During the day, yang qi circulates twenty-five times; this refers to qi-level heat.