里实而不利者，下之；表实而不解者，散之；表里俱实而不解者，解表攻里；表里俱
解而不
者，不宜用峻利，当审而治之。
一男子患此，肿痛发热作渴，脉实便秘。以五利大黄汤下之，诸证悉退；以葛根牛蒡子
汤，四剂而痊。
一男子表里俱解，肿痛尚不退，以葛根升麻汤，二剂而消。
一男子肿痛，发寒热，脉浮数。以荆防败毒散，二剂少愈，以人参败毒散，二剂势减半
，又二剂而瘥。
一男子耳面赤肿作痛，咽干发热，脉浮数。先以荆防败毒散，二剂势退大半，又以葛根
牛蒡子汤，四剂而痊。
一妇人表邪已解，肿尚不消。诊之脉滑而数，乃瘀血欲作脓也。以托里消毒散，溃之而
愈。
一男子 肿，胀痛作渴，烦热便秘，脉数，按之尤实。用防风通圣散，一剂诸证顿退；
以荆防败毒散加玄参、牛蒡子、黄芩，二剂而瘥。
一老人冬月头面耳项俱肿，痛甚，便秘，脉实，此表里俱实病也。饮防风通圣散，不应
。遂
络，药力难达故也。恶血既去，其药自效。或拘用寒远寒，及年高畏用硝黄，而用托里，与
夫寻常消毒之剂，或不砭泄其毒，专假药力，鲜不危矣。
一男子表里俱解，惟肿不消。以托里消毒散，四剂脓成，针之而愈。
一妇人肿痛，用硝黄之剂，攻之稍缓，翌日复痛。诊之外邪已退，此瘀血欲作脓也。用
托里消毒散，溃之而愈。
一男子头面肿痛，服硝黄败毒之剂，愈甚。诊之脉浮数，邪在表，尚未解，用荆防败毒
散，
以下肿，地之气也。乃邪客心肺之间，上攻头目而为肿，此感四时不正之气为患，与夫膏粱
积
致有误。常见饥馑之际，刍荛之人多患之，乃是胃气有损，邪气从之为患，不可不察。余常
治邪在表者，用葛根牛蒡子汤、人参败毒散，或普济消毒饮子；邪在里者，五利大黄汤、栀
子仁汤；表里俱不解者，防风通圣散；表里俱解而肿不退者，犀角升麻汤；如肿甚者，砭患
处，出恶血以泄其毒，或用通气散，取嚏以泄其毒，十日外自愈，若嚏出脓血即愈。欲其作
脓者，用托里消毒散；欲其收敛者，用托里散，此法最为稳当。五七日咽喉肿闭，言语不出
，头面不肿，食不知味者，不治。
一男子服表散药愈炽。发热便秘，诊其脉沉实，此邪在里也。以大黄汤下之，里证悉退
，以
毒之气，而感之于人也。其候发于鼻面耳项咽喉，赤肿无头，或结核有根，令人增寒发热，
头痛，或肢体痛甚者，恍惚不宁，咽喉闭塞，人不识者，将为伤寒。便服解药，一二日肿气
增益，方悟，始求疮医。原夫此疾，古无方论，世俗通为丹瘤。病家恶言时毒，切恐传染。
考之于经曰∶人身忽经变赤，状如涂丹，谓之丹毒。此风热恶毒所为，与夫时毒，特不同耳
。盖时毒初状如伤寒，五七日间乃能杀人，治者宜精辨之。先诊其脉，滑数浮洪，沉紧弦涩
，皆其候也。盖浮数者，邪气在表也；沉涩者，邪气深也。气实之人，急服化毒丹以攻之；
热实不利，大黄汤下之。其有表证者，解毒升麻汤以发之；或年高气软者，五香连翘汤主之
。又于鼻内 通气散，取十余嚏作效，若 药不嚏者，不可治。如嚏出脓血者，治之必愈。
左右看病之人，每日用 药嚏之，必不传染。其病患每日亦用嚏药三五次，以泄热毒，此治
时毒之良法也。
经三四日不解者，不可大下，犹宜和解之，服犀角连翘散之类。至七八日，大小便通利
，头
此病若五日以前，精神昏乱，咽喉闭塞，语声不出，头面不肿，食不知味者，必死，治之无
功矣。然而，此疾有阴有阳，有可汗，有可下。常见粗工，但云热毒，就用寒药，殊不知病
有微甚，治有逆从，不可不审矣
附方
五利大黄汤 治时毒 肿赤痛，烦渴便秘，脉实数。
大黄（煨） 黄芩 升麻（各二钱） 芒硝 栀子（各一钱二分） 作一剂，水一钟半，煎六
分，空心热服。
栀子仁汤 治时毒肿痛，大便秘结，脉沉数。
郁金 枳壳（麸炒去穣） 升麻 山栀仁（炒） 牛蒡子（炒） 大黄（煨，各等分） 上为细
末，每服三钱，蜜水调下。
荆防败毒散 治时毒肿痛发热，左手脉浮数。
即人参败毒散加防风、荆芥（方见溃疡发热门。）
葛根牛蒡子汤 治时毒，肿痛脉数而少力者。
葛根 贯众 甘草 江西豆豉 牛蒡子（半生杵炒，各二钱）作一剂，水一钟半，煎八
分，食后服。
防风通圣散 治时毒肿痛，烦躁，表里脉证俱实（方见疔疮门。）
人参败毒散（方见溃疡发热门）
托里消毒散 治时毒表里俱解，肿尚不退，欲其作脓（方见肿疡门。）
普济消毒饮 治时毒疫疠，初觉增寒体重，次传头面肿痛，或咽喉不利，舌干口
燥。
黄芩 黄连（各五钱） 人参（三钱） 橘红 玄参 甘草（各一钱） 柴胡 桔梗（炒，各
二钱）连翘 鼠粘子 板蓝根 马勃（各一钱） 白僵蚕（炒） 升麻（各七分） 作一剂，水二钟，煎
一钟，去渣，稍热，食后徐徐服之。如大便硬，加酒煨大黄一钱或二钱以利之。肿势甚者，
宜砭刺之，去恶血。
通气散 治时毒 肿，咽喉不利，取嚏以泄其毒。
玄胡索（一钱五分） 猪牙皂角 川芎（各一钱） 藜芦（五分） 羊踯躅花（二分半） 上
为细末，用纸捻蘸少许， 于鼻内，取嚏为效。
托里散（方见肿疡门。）
里实证且大便不通的，用泻下法；表实证且表邪未解的，用发散法；表里俱实证且病邪未解的，采用解表攻里的方法；表里之邪均已解除但肿胀仍不消退的，不宜使用峻猛的泻利药物，应当仔细审察病情后进行治疗。
有一个男子患此病，出现肿痛、发热、口渴，脉象实大，大便干结。我用五利大黄汤给他泻下，各种症状全部消退；随后服用葛根牛蒡子汤，四剂药后痊愈。
有一个男子表里之邪都已解除，但肿痛仍然不退，我用葛根升麻汤治疗，两剂药后肿胀消散。
有一个男子出现肿痛，伴有发冷发热，脉象浮数。我用荆防败毒散治疗，两剂药后症状稍有好转；接着用人参败毒散，两剂药后病势减半；再服两剂药后痊愈。
有一个男子耳部和面部赤肿疼痛，咽喉干燥，发热，脉象浮数。我先用荆防败毒散，两剂药后病势退去大半；又用葛根牛蒡子汤，四剂药后痊愈。
有一个妇人表邪已经解除，但肿胀仍未消退。诊察其脉象滑而数，这是瘀血将要化脓的表现。我用托里消毒散治疗，促使疮疡溃破后痊愈。
有一个男子头面肿胀，胀痛并伴有口渴，心烦发热，大便干结，脉象数，重按更加坚实。我用防风通圣散，一剂药后各种症状顿时消退；再用荆防败毒散加玄参、牛蒡子、黄芩，两剂药后痊愈。
有一位老人在冬季头面、耳部、项部全部肿胀，疼痛剧烈，大便干结，脉象实大，这是表里俱实的病证。服用防风通圣散，没有见效。这是因为经络阻滞，药力难以到达的缘故。（若先用砭石）刺破络脉，排出恶血，那么药物的效力自然显现。如果拘泥于“寒季慎用寒药”的说法，以及因为年高而畏惧使用芒硝、大黄，而改用托里补益之法，或者仅仅使用寻常的解毒药剂，如果不通过砭刺泄出毒邪，专门依赖药力，很少有不陷入危境的。
有一个男子表里之邪都已解除，只有肿胀不消退。我用托里消毒散，四剂药后脓液形成，针刺排脓后痊愈。
有一个妇人肿痛，使用含有芒硝、大黄的泻下剂攻逐，症状稍缓，第二天又疼痛。诊察发现外邪已退，这是瘀血将要化脓的表现。我用托里消毒散治疗，促使疮疡溃破后痊愈。
有一个男子头面肿痛，服用含有芒硝、大黄等败毒泻下的药剂后，病情反而加重。诊察其脉象浮数，说明邪气在表，尚未解除，应用荆防败毒散（治疗）。以下文字涉及地气与邪气客居心肺之间，上攻头目导致肿胀，这是感受四时不正之气引起的疾病，与膏粱厚味积热导致的误治有所不同。常见于饥荒年间，地位低微的人多患此病，这是因为胃气受损，邪气乘虚而入致病，不可不仔细考察。我常治疗邪气在表的，用葛根牛蒡子汤、人参败毒散，或普济消毒饮子；邪气在里的，用五利大黄汤、栀子仁汤；表里俱不解的，用防风通圣散；表里俱解而肿胀不退的，用犀角升麻汤；如果肿胀严重的，用砭石刺患处，放出恶血以泄毒，或用通气散，取嚏以泄毒，十日左右自愈，如果嚏出脓血即愈。想要使其成脓的，用托里消毒散；想要使其收敛的，用托里散，这种方法最为稳妥。如果发病五七日后，咽喉肿闭，不能言语，头面不肿，进食不知味道，属于不治之症。
有一个男子服用表散药物后病情加剧。发热便秘，诊察其脉象沉实，这是邪气在里。用大黄汤泻下，里证全部消退。以下文字论述时毒之气感于人身的情况。其症状发作于鼻、面、耳、项、咽喉，赤肿无头，或有结核有根，使人憎寒发热，头痛，或肢体疼痛严重，神志恍惚不安，咽喉闭塞，不认识这种病的，会误认为是伤寒。随意服用解表药，一二日后肿气增加，才醒悟，开始求治于疮科医生。原来这种疾病，古代没有方论，世俗通称为丹瘤。病人忌讳说是时毒，担心传染。考证经典记载：人身忽然变红，状如涂丹，称为丹毒。这是风热恶毒所致，与时毒特别不同。大概时毒初起状如伤寒，五七日间能致人死亡，治疗者应当精细辨别。先诊察其脉象，滑数、浮洪、沉紧、弦涩，都是其征候。大概浮数的，邪气在表；沉涩的，邪气深在。气实的人，急服化毒丹以攻逐；热实且大便不利，用大黄汤泻下。有表证的，用解毒升麻汤发散；或者年老气弱的人，主用五香连翘汤。又在鼻内吹入通气散，取十余次喷嚏为有效，如果用药不引起喷嚏的，不可治愈。如果嚏出脓血的，治疗必愈。左右看护的人，每天用嚏药喷鼻，必定不会传染。病患每天也用嚏药三到五次，以泄热毒，这是治疗时毒的好方法。
经过三四日病不解的，不可猛烈泻下，仍宜和解，服用犀角连翘散之类。到了七八日，大小便通利，头面……（此处原文似有缺漏或断句问题，依文意推测为症状缓解或继续观察），此病如果在五日以前，精神昏乱，咽喉闭塞，语声不出，头面不肿，进食不知味道，必定死亡，治疗无效了。然而，此疾有阴证阳证之分，有可汗法，有可下法。常见粗疏的医生，只说热毒，就用寒凉药，却不知道病有轻重，治有逆从，不可不审慎啊。
附方
五利大黄汤 治疗时毒，红肿疼痛，烦渴便秘，脉象实数。
大黄（煨） 黄芩 升麻（各二钱） 芒硝 栀子（各一钱二分） 作一剂，水一钟半，煎至六分，空腹热服。
栀子仁汤 治疗时毒肿痛，大便秘结，脉象沉数。
郁金 枳壳（麸炒去瓤） 升麻 山栀仁（炒） 牛蒡子（炒） 大黄（煨，各等分） 研为细末，每服三钱，蜜水调下。
荆防败毒散 治疗时毒肿痛发热，左手脉浮数。
即人参败毒散加防风、荆芥（方见溃疡发热门。）
葛根牛蒡子汤 治疗时毒，肿痛脉数而少力的。
葛根 贯众 甘草 江西豆豉 牛蒡子（半生杵炒，各二钱） 作一剂，水一钟半，煎至八分，食后服。
防风通圣散 治疗时毒肿痛，烦躁，表里脉证俱实（方见疔疮门。）
托里消毒散 治疗时毒表里俱解，肿尚不退，欲使其作脓（方见肿疡门。）
普济消毒饮 治疗时毒疫疠，初觉增寒体重，次传头面肿痛，或咽喉不利，舌干口燥。
黄芩 黄连（各五钱） 人参（三钱） 橘红 玄参 甘草（各一钱） 柴胡 桔梗（炒，各二钱） 连翘 鼠粘子 板蓝根 马勃（各一钱） 白僵蚕（炒） 升麻（各七分） 作一剂，水二钟，煎至一钟，去渣，稍热，食后徐徐服之。如果大便硬，加酒煨大黄一钱或二钱以利之。肿势严重的，宜砭刺，去恶血。
通气散 治疗时毒肿胀，咽喉不利，取嚏以泄其毒。
玄胡索（一钱五分） 猪牙皂角 川芎（各一钱） 藜芦（五分） 羊踯躅花（二分半） 研为细末，用纸捻蘸少许，吹于鼻内，取嚏为效。
托里散（方见肿疡门。）
If the interior is excess and unrelieved by bowel movement, purge it; if the exterior is excess and unrelieved by sweating, disperse it; if both exterior and interior are excess and unrelieved, resolve the exterior and purge the interior; if both exterior and interior pathogens have resolved but swelling persists, harsh purgatives should not be used; instead, carefully examine the condition and treat accordingly.
A man suffered from this disease with swelling, pain, fever, thirst, a full pulse, and constipation. I administered Wu Li Da Huang Tang (Five-Advantage Rhubarb Decoction) to purge him, after which all symptoms subsided; subsequently, he took Ge Gen Niu Bang Zi Tang (Kudzu and Burdock Seed Decoction), and recovered after four doses.
A man had both exterior and interior pathogens resolved, yet swelling persisted. I treated him with Ge Gen Sheng Ma Tang (Kudzu and Cimicifuga Decoction), and the swelling subsided after two doses.
A man presented with swelling, pain, chills, fever, and a floating-rapid pulse. I prescribed Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction for Overcoming Toxins); after two doses, symptoms improved slightly. Then I administered Ren Shen Bai Du San (Ginseng Decoction for Overcoming Toxins); after two doses, the pathogenic force was halved; after another two doses, he recovered.
A man had red swelling and pain in his ears and face, dry throat, fever, and a floating-rapid pulse. First, I used Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction for Overcoming Toxins); after two doses, the pathogenic force receded by more than half. Then I used Ge Gen Niu Bang Zi Tang (Kudzu and Burdock Seed Decoction), and he recovered after four doses.
A woman’s exterior pathogen had already resolved, but swelling remained. Her pulse was slippery and rapid, indicating that blood stasis was about to suppurate. I treated her with Tuo Li Xiao Du San (Support Interior and Eliminate Toxin Decoction), leading to suppuration and recovery.
A man had head and facial swelling, distending pain, thirst, irritability, fever, constipation, and a rapid pulse that felt particularly full upon deep palpation. I used Fang Feng Tong Sheng San (Saposhnikovia Powder to Unblock the Hinderance); after one dose, all symptoms suddenly subsided. Then I prescribed Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction for Overcoming Toxins) added with Xuan Shen (Scrophulariae Radix), Niu Bang Zi (Arctii Fructus), and Huang Qin (Scutellariae Radix); he recovered after two doses.
An elderly man suffered from swelling of the head, face, ears, and neck in winter, severe pain, constipation, and a full pulse; this was an excess condition of both exterior and interior. He drank Fang Feng Tong Sheng San (Saposhnikovia Powder to Unblock the Hinderance) without effect. This was because the collaterals were blocked, preventing the medicinal power from reaching the site. [If] the collaterals are first pricked to expel evil blood, the efficacy of the medicine will naturally manifest. If one adheres rigidly to the principle of "avoiding cold in cold seasons" or fears using Mang Xiao (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma) due to advanced age, opting instead for interior-supporting methods, or merely uses ordinary detoxifying agents, and does not use bian stone (砭石) to vent the toxin, relying solely on medicinal power, few will avoid danger.
A man had both exterior and interior pathogens resolved, but only the swelling persisted. I treated him with Tuo Li Xiao Du San (Support Interior and Eliminate Toxin Decoction); after four doses, pus formed, and he recovered after puncture and drainage.
A woman had swelling and pain. After being purged with agents containing Mang Xiao (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma), symptoms eased slightly, but pain returned the next day. Examination revealed that external pathogens had retreated, indicating blood stasis about to suppurate. I treated her with Tuo Li Xiao Du San (Support Interior and Eliminate Toxin Decoction), leading to suppuration and recovery.
A man had head and facial swelling. After taking agents containing Mang Xiao (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma) for detoxification, the condition worsened. His pulse was floating and rapid, indicating the pathogen was in the exterior and had not yet resolved; thus, Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction for Overcoming Toxins) should be used. [The following text discusses how earth qi interacts with pathogens lodging between the Heart and Lung, attacking upward to cause head and facial swelling. This is caused by contracting abnormal qi of the four seasons, distinct from errors caused by accumulation of rich foods.] It is commonly seen during famines that people of low status often suffer from this, due to damage to Stomach Qi allowing pathogens to invade. This must be carefully examined. I often treat exterior pathogens with Ge Gen Niu Bang Zi Tang (Kudzu and Burdock Seed Decoction), Ren Shen Bai Du San (Ginseng Decoction for Overcoming Toxins), or Pu Ji Xiao Du Yin (Universal Benefit Decoction to Eliminate Toxins); interior pathogens with Wu Li Da Huang Tang (Five-Advantage Rhubarb Decoction) or Zhi Zi Ren Tang (Gardenia Seed Decoction); unresolved exterior and interior with Fang Feng Tong Sheng San (Saposhnikovia Powder to Unblock the Hinderance); resolved exterior and interior with persistent swelling with Xi Jiao Sheng Ma Tang (Rhinoceros Horn and Cimicifuga Decoction); for severe swelling, use bian stone (砭石) on the affected area to release evil blood and vent toxin, or use Tong Qi San (Vent Qi Powder) to induce sneezing to vent toxin; self-healing occurs after ten days, or if pus and blood are sneezed out, healing is immediate. To promote suppuration, use Tuo Li Xiao Du San (Support Interior and Eliminate Toxin Decoction); to promote contraction, use Tuo Li San (Support Interior Powder). This method is most secure. If after five to seven days there is throat swelling and closure, inability to speak, no head/facial swelling, and loss of taste, it is incurable.
A man’s condition intensified after taking exterior-dispersing medicines. He had fever and constipation; his pulse was deep and full, indicating the pathogen was in the interior. I purged him with Da Huang Tang (Rhubarb Decoction), resolving all interior symptoms. [The following text describes the nature of Shi Du (Seasonal Toxin) qi affecting humans.] Its manifestations occur on the nose, face, ears, neck, and throat: red swelling without a head, or nodules with roots, causing aversion to cold and fever, headache, severe limb pain, mental restlessness, throat closure. Those unfamiliar with it may mistake it for Shang Han (Cold Damage). Blindly taking resolving medicines causes swelling to increase within one to two days, at which point they realize their error and seek a surgeon. Originally, this disease had no ancient formulas or discussions; the common people call it Dan Liu (Red Swelling). Patients fear saying "Shi Du" due to contagion concerns. Examining classics: sudden reddening of the body, like painted rouge, is called Dan Du (Erysipelas). This is caused by wind-heat evil toxin, distinct from Shi Du. Shi Du initially resembles Shang Han (Cold Damage) but can kill within five to seven days; practitioners must distinguish it carefully. First, examine the pulse: slippery-rapid, floating-hong, deep-tight, wiry-slippery are all signs. Floating-rapid indicates pathogen in the exterior; deep-slippery indicates pathogen deep inside. For those with strong constitution, quickly administer Hua Du Dan (Toxin-Transforming Pill) to attack; for heat-excess with constipation, purge with Da Huang Tang (Rhubarb Decoction). For those with exterior signs, use Jie Du Sheng Ma Tang (Detoxify and Raise Yang Decoction) to disperse; for the elderly and weak, use Wu Xiang Lian Qiao Tang (Five-Aromatic Forsythia Decoction). Also, blow Tong Qi San (Vent Qi Powder) into the nose; inducing over ten sneezes is effective. If medication does not induce sneezing, it is incurable. If pus and blood are sneezed out, treatment will surely succeed. Caregivers should use the sneeze-inducing medicine daily to prevent contagion. Patients should use it three to five times daily to vent heat-toxin; this is an excellent method for treating Shi Du (Seasonal Toxin).
If unresolved after three to four days, do not purge heavily; still appropriate to harmonize, taking Xi Jiao Lian Qiao San (Rhinoceros Horn and Forsythia Powder). By seven to eight days, if urination and defecation are free... [text fragment]. If before the fifth day there is mental confusion, throat closure, inability to speak, no head/facial swelling, and loss of taste, death is certain, and treatment is futile. However, this disease has Yin and Yang aspects, and allows for sweating or purging. Crude physicians often simply say "heat-toxin" and use cold medicines, unaware that diseases vary in severity and treatments have counteracting or following approaches; this must be carefully considered.
Attached Formulas
Wu Li Da Huang Tang (Five-Advantage Rhubarb Decoction): Treats Shi Du (Seasonal Toxin) with red swelling, pain, irritability, thirst, constipation, and full-rapid pulse.
Da Huang (Rhei Radix et Rhizoma, baked), Huang Qin (Scutellariae Radix), Sheng Ma (Cimicifugae Rhizoma) (each 2 qian); Mang Xiao (Natrii Sulfas), Zhi Zi (Gardeniae Fructus) (each 1.2 qian). Make one dose, boil in 1.5 zhong of water to 0.6 zhong, take hot on an empty stomach.
Zhi Zi Ren Tang (Gardenia Seed Decoction): Treats Shi Du (Seasonal Toxin) swelling/pain, severe constipation, and deep-rapid pulse.
Yu Jin (Curcumae Radix), Zhi Ke (Aurantii Fructus, bran-fried, pith removed), Sheng Ma (Cimicifugae Rhizoma), Shan Zhi Ren (Gardeniae Semen, fried), Niu Bang Zi (Arctii Fructus, fried), Da Huang (Rhei Radix et Rhizoma, baked) (equal parts). Grind to fine powder, take 3 qian per dose, mixed with honey-water.
Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction for Overcoming Toxins): Treats Shi Du (Seasonal Toxin) swelling/pain/fever, left hand floating-rapid pulse.
Same as Ren Shen Bai Du San (Ginseng Decoction for Overcoming Toxins) plus Fang Feng (Saposhnikoviae Radix) and Jing Jie (Schizonepetae Spica) (Formula see Ulcer Fever Chapter).
Ge Gen Niu Bang Zi Tang (Kudzu and Burdock Seed Decoction): Treats Shi Du (Seasonal Toxin) with swelling/pain, rapid pulse, and weakness.
Ge Gen (Puerariae Lobatae Radix), Guan Zhong (Cyatheae Spina), Gan Cao (Glycyrrhizae Radix et Rhizoma), Jiangxi Dou Chi (Fermented Soybean), Niu Bang Zi (Arctii Fructus, half raw, half pounded and fried) (each 2 qian). Make one dose, boil in 1.5 zhong of water to 0.8 zhong, take after meals.
Fang Feng Tong Sheng San (Saposhnikovia Powder to Unblock the Hinderance): Treats Shi Du (Seasonal Toxin) swelling/pain, irritability, with full exterior-interior pulse/symptoms (Formula see Carbuncle Chapter).
Ren Shen Bai Du San (Ginseng Decoction for Overcoming Toxins) (Formula see Ulcer Fever Chapter).
Tuo Li Xiao Du San (Support Interior and Eliminate Toxin Decoction): Treats Shi Du (Seasonal Toxin) where exterior-interior pathogens are resolved but swelling persists, aiming to promote suppuration (Formula see Swollen Ulcer Chapter).
Pu Ji Xiao Du Yin (Universal Benefit Decoction to Eliminate Toxins): Treats Shi Du (Seasonal Toxin) epidemics, initial chills and heaviness, progressing to head/facial swelling/pain, or throat discomfort, dry tongue/mouth.
Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma) (each 5 qian); Ren Shen (Ginseng Radix et Rhizoma) (3 qian); Ju Hong (Citri Reticulatae Pericarpium), Xuan Shen (Scrophulariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1 qian); Chai Hu (Bupleuri Radix), Jie Geng (Platycodonis Radix, fried) (each 2 qian); Lian Qiao (Forsythiae Fructus), Shu Niu Zi (Arctii Fructus), Ban Lan Gen (Isatidis Radix), Ma Bo (Fly Agaric Mushroom) (each 1 qian); Bai Jiang Can (Bombyx Batryticatus, fried), Sheng Ma (Cimicifugae Rhizoma) (each 0.7 fen). Make one dose, boil in 2 zhong of water to 1 zhong, strain, take slightly warm slowly after meals. If stool is hard, add Jiu Wei Da Huang (Rhei Radix et Rhizoma, wine-baked) 1-2 qian to facilitate. For severe swelling, prick with needle to release evil blood.
Tong Qi San (Vent Qi Powder): Treats Shi Du (Seasonal Toxin) swelling, throat discomfort, induces sneezing to vent toxin.
Xuan Hu Suo (Corydalis Rhizoma) (1.5 qian), Zhu Ya Zao Jiao (Gleditsiae Sinensis Spina), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 qian); Li Lu (Veratrum nigrum) (0.5 fen), Yang Zhi Zhu Hua (Daphne odora flower) (0.25 fen). Grind to fine powder, dip paper twist in small amount, blow into nose to induce sneezing.
Tuo Li San (Support Interior Powder) (Formula see Swollen Ulcer Chapter).