胎毒风热两相抟。又值时令疠气传。人如感之出温疹。调治乖张变多端。
温麻者。由于胎毒。感于风热。又值时令疫疠之气流行。城市乡村。传染迅速异常。调治若不
得法。立刻变证。治法、于初热时。及欲出未出之际。宜以宣毒发表汤（见第五条）去升麻、桔梗、
甘草主之。已出红肿大甚者。用化毒清表汤去桔梗、甘草主之。出透流毒成痢者。用清热导滞汤
（见第七十二条）主之。此三方。以之加减变化。无论正麻温麻。每用定获奇效。然凡出过正麻之
后。即不再发温麻。
化毒清表汤 治麻已出。红肿大甚。并为麻疹已现主方。并附加减法于方尾。（总除甘、桔二味不用。）
前胡 干葛 知母 连翘 桔梗（各七分） 牛蒡子（炒七分） 木通（六分） 元参（一钱） 黄连（酒炒）
防风 栀仁（炒黑各三分） 薄荷 黄芩（酒炒各五分） 天花粉 地骨皮（各八分） 淡竹叶（一钱） 生甘草（去
皮三分） 灯心五十寸为引加生犀角（三分）更好。
潮热轻者。除淡竹叶、栀仁、黄连、薄荷。潮热重者。加生地黄、地骨皮。赤苓、枳壳、黄连、黄
芩。生用。口渴。加麦冬、熟石膏。如不作口渴。除知母、花粉。大便涩。加炒火麻仁、枳壳。大便闭。
加枳壳、炒白黑丑牛。如二三日不通者。加大黄。小便赤涩。加木通、泽泻等分。小便不通者。加车
前子。无咳。加留白陈皮。无汗。加葱白。紫色。加紫草茸、红花。赤色。加牡丹皮、当归尾。夹红紫
斑。加紫草茸、牡丹皮。热甚不减。去防风、薄荷。加生地黄、川贝母。咽痛。加射干、山豆根、麦冬。
谵语。加生地黄、木通。 。加栝蒌蒌、葶苈。除天花粉、淡竹叶、薄荷。气促。加苏子、莱菔子。去
天花粉、淡竹叶、薄荷。呃逆。加竹茹、柿霜、枇杷叶。呕吐亦宜。
胎毒与风热两种邪气相互搏结。又恰逢时令疠气（具有强烈传染性的外感病邪）传播。人体一旦感受此邪，便会发出温疹（一种类似麻疹但性质偏热的出疹性疾病）。若调理治疗失当，病情变化就会多种多样。
所谓“温麻”，是由于体内有胎毒，又感受了风热之邪，再加上当时流行着疫疠之气，在城市和乡村中，传染速度异常迅速。如果治疗方法不得当，病情会立刻发生变证。在治疗上，在发热初期以及皮疹欲出未出之际，适宜使用宣毒发表汤（见第五条），去掉升麻、桔梗、甘草作为主方。如果皮疹已经发出且红肿非常严重的，使用化毒清表汤，去掉桔梗、甘草作为主方。如果皮疹透发后，余毒流注导致出现痢疾症状的，使用清热导滞汤（见第七十二条）作为主方。这三个方剂，通过加减变化来运用，无论是正麻（普通麻疹）还是温麻，每次使用都能获得奇效。然而，凡是出过正麻之后，就不会再发温麻。
化毒清表汤：治疗麻疹已经发出，红肿非常严重，是麻疹已现的主方。并在方剂末尾附加加减法。（总体原则是除去甘、桔两味药不用。）
前胡、干葛（葛根）、知母、连翘、桔梗（各七分）、牛蒡子（炒制七分）、木通（六分）、元参（一钱）、黄连（酒炒）、防风、栀仁（栀子仁，炒黑各三分）、薄荷、黄芩（酒炒各五分）、天花粉、地骨皮（各八分）、淡竹叶（一钱）、生甘草（去皮三分）。以灯心草五十寸为引，加入生犀角（三分）更好。
如果潮热较轻的，除去淡竹叶、栀仁、黄连、薄荷。如果潮热较重的，加生地黄、地骨皮、赤茯苓、枳壳、黄连、黄芩，均生用。如果口渴，加麦冬、熟石膏。如果不感到口渴，除去知母、天花粉。如果大便涩滞，加炒火麻仁、枳壳。如果大便闭塞，加枳壳、炒白丑牛（牵牛子）、炒黑丑牛。如果二三天仍不通畅，加大黄。如果小便红赤涩痛，加木通、泽泻，两者等量。如果小便不通，加车前子。如果没有咳嗽，加留白陈皮。如果没有汗，加葱白。如果疹色紫暗，加紫草茸、红花。如果疹色赤红，加牡丹皮、当归尾。如果夹杂红紫色斑点，加紫草茸、牡丹皮。如果热势严重且不减退，去防风、薄荷，加生地黄、川贝母。如果咽痛，加射干、山豆根、麦冬。如果出现谵语（神志不清，胡言乱语），加生地黄、木通。如果出现喘促痰鸣，加栝蒌、葶苈子，同时除去天花粉、淡竹叶、薄荷。如果气促，加苏子、莱菔子，同时除去天花粉、淡竹叶、薄荷。如果出现呃逆，加竹茹、柿霜、枇杷叶，呕吐也适宜使用这些药物。
The fetal toxin (inherited pathogenic factors) and wind-heat pathogens contend with each other. At the same time, seasonal pestilential qi (highly contagious external pathogens) spreads. If a person contracts this pathogen, warm maculopapular rashes (a type of exanthematous disease similar to measles but with heat characteristics) will erupt. If the treatment is improper, the condition will manifest in various complicated ways.
"Wen Ma" (Warm Measles) arises from fetal toxin combined with wind-heat infection, compounded by the prevalence of pestilential qi during the season. In both cities and villages, transmission occurs at an exceptionally rapid pace. If the therapeutic approach is incorrect, pathological changes will occur immediately. During the initial fever stage and when the rash is about to emerge but has not yet fully appeared, it is appropriate to use Xuan Du Fa Biao Tang (Dispel Toxin and Release the Exterior Decoction) (see Article 5), removing Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix), and Gancao (Glycyrrhizae Radix et Rhizoma) as the principal formula. If the rash has already emerged and is severely red and swollen, use Hua Du Qing Biao Tang (Transform Toxin and Clear the Exterior Decoction), removing Jiegeng (Platycodonis Radix) and Gancao (Glycyrrhizae Radix et Rhizoma) as the principal formula. If the rash emerges completely but residual toxins flow downward causing dysentery-like symptoms, use Qing Re Dao Zhi Tang (Clear Heat and Guide Out Accumulation Decoction) (see Article 72) as the principal formula. These three formulas, when modified appropriately, yield remarkable effects whether for Zheng Ma (Standard Measles) or Wen Ma (Warm Measles). However, once a person has contracted Standard Measles, they will not contract Warm Measles subsequently.
Hua Du Qing Biao Tang (Transform Toxin and Clear the Exterior Decoction): Treats cases where measles have erupted with severe redness and swelling; it is the main formula for manifested measles. Modifications are listed at the end of the prescription. (General rule: Do not use Gancao [Glycyrrhizae Radix et Rhizoma] and Jiegeng [Platycodonis Radix].)
Qianhu (Peucedani Radix), Gange (Puerariae Radix), Zhimu (Anemarrhenae Rhizoma), Lianqiao (Forsythiae Fructus), Jiegeng (Platycodonis Radix) (each 0.7 qian), Niubangzi (Arctii Fructus, stir-fried 0.7 qian), Mutong (Akebiae Caulis) (0.6 qian), Xuanshen (Scrophulariae Radix) (1 qian), Huanglian (Coptidis Rhizoma, wine-fried), Fangfeng (Saposhnikoviae Radix), Zhiren (Gardeniae Fructus, charred black, each 0.3 qian), Bohe (Menthae Haplocalycis Herba), Huangqin (Scutellariae Radix, wine-fried, each 0.5 qian), Tianhuafen (Trichosanthis Radix), Digupi (Lycii Cortex) (each 0.8 qian), Danzhuye (Lophatheri Herba) (1 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, peeled 0.3 qian). Use Dengxin (Junci Medulla) 50 cun as a guide, adding Sheng Xijiao (Rhinocerotis Cornu, raw) (0.3 qian) is better.
If tidal fever is mild, remove Danzhuye (Lophatheri Herba), Zhiren (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), and Bohe (Menthae Haplocalycis Herba). If tidal fever is severe, add Sheng Dihuang (Rehmanniae Radix), Digupi (Lycii Cortex), Chiling (Poria Cocos with Red Core), Zhike (Aurantii Fructus), Huanglian (Coptidis Rhizoma), and Huangqin (Scutellariae Radix), all used raw. If thirsty, add Maidong (Ophiopogonis Radix) and Shushigao (Calcitum, calcined). If not thirsty, remove Zhimu (Anemarrhenae Rhizoma) and Tianhuafen (Trichosanthis Radix). If stool is dry and difficult, add Chaohuomaren (Hemp Seed, stir-fried) and Zhike (Aurantii Fructus). If constipated, add Zhike (Aurantii Fructus), Chaobaishouli (White Morning Glory Seed, stir-fried), and Chaheishouli (Black Morning Glory Seed, stir-fried). If no bowel movement after two to three days, add Dahuang (Rhei Radix et Rhizoma). If urine is red and scanty/painful, add Mutong (Akebiae Caulis) and Zexie (Alismatis Rhizoma) in equal proportions. If urination is obstructed, add Cheqianzi (Plantaginis Semen). If there is no cough, add Liubai Chenpi (Tangerine Peel with white pith retained). If there is no sweating, add Congbai (Allii Fistulosi Bulbus). If the rash color is purple, add Zicaorong (Arnebiae Radix et Rhizoma) and Honghua (Carthami Flos). If the rash color is bright red, add Mudanpi (Moutan Cortex) and Dangguiwei (Angelicae Sinensis Radix tip). If mixed with red-purple spots, add Zicaorong (Arnebiae Radix et Rhizoma) and Mudanpi (Moutan Cortex). If high heat persists without abating, remove Fangfeng (Saposhnikoviae Radix) and Bohe (Menthae Haplocalycis Herba), add Sheng Dihuang (Rehmanniae Radix) and Chuanbeimu (Fritillariae Cirrhosae Bulbus). If throat pain occurs, add Shegan (Belamcandae Rhizoma), Shandougen (Sophorae Tonkinensis Radix), and Maidong (Ophiopogonis Radix). If delirium occurs, add Sheng Dihuang (Rehmanniae Radix) and Mutong (Akebiae Caulis). If wheezing with phlegm occurs, add Gualou (Trichosanthis Fructus) and Tinglizi (Descurainiae Semen seu Lepidii Semen), while removing Tianhuafen (Trichosanthis Radix), Danzhuye (Lophatheri Herba), and Bohe (Menthae Haplocalycis Herba). If shortness of breath occurs, add Su Zi (Perillae Fructus) and Laifuzi (Radish Seed), while removing Tianhuafen (Trichosanthis Radix), Danzhuye (Lophatheri Herba), and Bohe (Menthae Haplocalycis Herba). If hiccups occur, add Zhuru (Bambusae Caulis in Taenia), Shishuang (Diospyri Fructus Frost), and Pipaye (Loquat Leaf); this is also suitable for vomiting.