疹子欲出未出之时,宜早发散,以解其毒,则无余灾。若不预解,使之尽出,以致毒蓄于中,或为壮热,日
久枯瘁,或成惊痫,或为泄利,或咳血喘促,或作疳 而死。此虽一时戾气之染,未有不由于人事之未尽者也。
疹子收后,身有微热者,此虚热也。不须施治,待气血和畅,自然退去。若热太甚,或日久不减,以柴胡麦
门冬散。甚则以黄连解毒汤(方见前)合人参白虎汤(方见前),与前方相间服之。如发枯毛竖,肉消骨立,
渐渐羸瘦者,柴胡四物汤主之。
柴胡麦门冬散
柴胡(五分) 甘草(二分) 麦门冬(八分) 龙胆草(三分) 人参(半钱) 玄参(半钱)
上锉细,水煎服。
柴胡四物汤 治疹后余热。
柴胡 麦门冬 淡竹叶 当归身 川芎 生地黄 白芍药 地骨皮 人参 黄芩 知母
上锉细,水一盏,煎七分,去滓,温服不拘时。
在疹子想要发出但尚未完全发出的时候,应当尽早使用发散的方法,以解除其毒邪,这样就不会留下后患。如果不预先解毒,让毒邪全部发出来,导致毒邪蓄积在体内,可能会引起高热,时间久了身体干枯憔悴,或者形成惊痫(惊风抽搐),或者出现腹泻痢疾,或者咳血气喘急促,或者发展成疳积(小儿慢性消耗性疾病)而死。这虽然是一时戾气(具有强烈传染性的病邪)的感染,但没有不是因为人事处理不当而导致的。
疹子消退之后,身体有轻微发热的,这是虚热。不需要进行治疗,等待气血调和通畅,自然会退去。如果发热太严重,或者时间久了不减退,使用柴胡麦门冬散。严重时则用黄连解毒汤(方剂见前文)合人参白虎汤(方剂见前文),与前方的药物交替服用。如果出现头发枯槁、毛发竖起、肌肉消瘦、骨骼显露,逐渐变得瘦弱的情况,主治方剂为柴胡四物汤。
柴胡麦门冬散
柴胡(五分) 甘草(二分) 麦门冬(八分) 龙胆草(三分) 人参(半钱) 玄参(半钱)
以上药材切碎细末,用水煎煮后服用。
柴胡四物汤 治疗疹子后的余热。
柴胡 麦门冬 淡竹叶 当归身 川芎 生地黄 白芍药 地骨皮 人参 黄芩 知母
以上药材切碎细末,用水一盏,煎至七分,去除药渣,不拘时间温服。
When the rash is about to erupt but has not yet fully appeared, it is advisable to disperse and vent early to resolve its toxicity, thereby preventing residual disasters. If one fails to resolve it in advance and allows the toxin to fully emerge, leading to the accumulation of toxin within, it may result in high fever; over time, this causes emaciation and exhaustion, or develops into epilepsy (convulsions), diarrhea or dysentery, hemoptysis with panting, or even death from infantile malnutrition (Gan syndrome). Although this is an infection by a pathogenic qi (virulent infectious agent) for a short period, there is no case that does not stem from inadequate human management or care.
After the rash subsides, if there is slight fever in the body, this is deficiency heat. No treatment is required; wait for the Qi and blood to harmonize and flow smoothly, and it will naturally subside. If the fever is too severe or persists for a long time without abating, use Chaihu Maidong San (Bupleurum and Ophiopogon Powder). In severe cases, combine Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) [formula seen previously] with Renshen Baihu Tang (Ginseng White Tiger Decoction) [formula seen previously], administering them alternately with the previous formula. If hair becomes dry and brittle, standing erect, muscles waste away, bones become prominent, and the patient gradually becomes emaciated, Chaihu Siwu Tang (Bupleurum Four Substances Decoction) is the primary prescription.
Chaihu Maidong San (Bupleurum and Ophiopogon Powder)
Chai Hu (Bupleuri Radix) (5 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma) (2 fen) Mai Men Dong (Ophiopogonis Tuber) (8 fen) Long Dan Cao (Gentianae Radix) (3 fen) Ren Shen (Ginseng Radix et Rhizoma) (0.5 qian) Xuan Shen (Scrophulariae Radix) (0.5 qian)
The above herbs are finely chopped, decocted in water, and taken orally.
Chaihu Siwu Tang (Bupleurum Four Substances Decoction) Treats residual heat after the rash.
Chai Hu (Bupleuri Radix) Mai Men Dong (Ophiopogonis Tuber) Dan Zhu Ye (Lophatheri Herba) Dang Gui Shen (Angelicae Sinensis Radix - root portion) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Sheng Di Huang (Rehmanniae Radix) Bai Shao Yao (Paeoniae Radix Alba) Di Gu Pi (Lycii Cortex) Ren Shen (Ginseng Radix et Rhizoma) Huang Qin (Scutellariae Radix) Zhi Mu (Anemarrhenae Rhizoma)
The above herbs are finely chopped, decocted in one *zhen* (approx. 200ml) of water until reduced to 0.7 *zhen*, strain the dregs, and take warm at any time without restriction.