夫自汗，多因伤风伤暑，及喜怒惊恐，房室虚劳，皆能致之。无问昏醒，浸浸自出者，
名曰自汗；或睡着汗出，即名盗汗，或云浸汗。若其饮食劳役，负重涉远，登高疾走，因动
汗出，非自汗也。人之气血，犹阴阳之水火，平则宁，偏则病，阴虚阳必凑，故发热自汗，
如水热自涌；阳虚阴必乘，故发厥自汗，如水溢自流。考其所因，风暑涉外，喜怒惊恐涉内
，房室虚劳涉不内外，理亦甚明。其间如 节、肠痈、香港脚、产蓐等病，皆有自汗，治之当
推其所因为病源，无使混滥。如经脉别论所载，但原其汗所出处，初非自汗证也，不可不知。
治下元气虚，脐腹胀满，心胁刺痛，泄利呕吐，自汗，阳气渐微，手足厥冷，
及伤寒阴证，霍乱转筋，久下冷利，少气羸困，一切虚寒，并宜服之。常服助阳消阴，正元
气，温脾胃，进饮食。
人参 白茯苓 白术（各三两） 黄 （一两半） 甘草(炙) 乌药(去木) 山药(姜汁浸炒)
附子(炮去皮脐) 川芎 干葛（各一两） 桂心 乌头(炮去皮尖，各半两） 红豆(炒) 干姜(炮)
橘皮（各三钱）
上为末。每服二钱，水一盏，姜三片，枣一个，盐少许，煎七分，食前冷服。自汗，加浮麦。
治诸虚不足，及新病暴虚，津液不固，体常自汗，夜卧即甚，久而不止，羸瘠
枯瘦，心忪惊惕，短气烦倦。
牡蛎(米泔浸去土， 取粉) 麻黄根 黄 （各一两）
上为锉散。每服三钱，水一盏半，小麦百余粒，同煎至八分，去滓，不拘时。一方，为
细末，每三钱，水三盏，葱白三寸，煎一盏半，分三服。
自汗，多因感受风邪或暑邪，以及情绪上的喜怒惊恐、房事过度导致的虚劳，都能引起这种症状。无论清醒还是睡眠中，汗水浸浸地自行流出，称为自汗；如果在睡着时出汗，则称为盗汗，也有人称之为浸汗。如果是由于饮食不节、劳累役使、负重远行、登高快跑等运动后出汗，这不属于自汗的范畴。人体的气血，就像阴阳中的水火一样，平衡则安宁，偏颇则生病。阴虚则阳热必然凑集，所以出现发热和自汗，就像热水自然涌出一样；阳虚则阴寒必然乘虚而入，所以出现四肢厥冷和自汗，就像水溢出自然流淌一样。考察其病因，风邪和暑邪属于外感因素，喜怒惊恐属于内伤因素，房事过度及虚劳属于不内外因，道理也非常明白。其中如疟疾（此处原文“ 节”疑为疟疾之误或通假，结合语境指代特定病证，按常见古籍校勘常指疟疾或类似寒热往来病，但严格依字面若无法确认为标准病名暂不列入diseases，若依“肠痈”等并列，此处“ 节”极大概率为“疟”字缺笔或异体，鉴于要求不推测，且原文有“肠痈”，故提取明确出现的病名）、肠痈、香港脚（脚气病）、产后病等病症，也都可能出现自汗，治疗时应当推究其病因作为病源，不要混淆滥治。如《经脉别论》中所记载的，如果只追溯汗出的来源部位，起初并不是自汗这个证候，这一点不可不知道。
治疗下元元气虚弱，导致脐腹部胀满，心胁部刺痛，腹泻痢疾伴呕吐，自汗，阳气逐渐微弱，手足冰冷，以及伤寒阴证，霍乱转筋，长期腹泻伴有冷利，气短身体瘦弱困倦，一切虚寒证候，都适宜服用此方。经常服用可以助阳消阴，补正元气，温养脾胃，增进饮食。
人参、白茯苓、白术（各三两）、黄芪（一两半）、甘草（炙）、乌药（去木质）、山药（用姜汁浸泡后炒制）、附子（炮制去皮去脐）、川芎、干葛（各一两）、桂心、乌头（炮制去皮去尖，各半两）、红豆（炒制）、干姜（炮制）、橘皮（各三钱）。
以上药物研为细末。每次服用二钱，用水一盏，生姜三片，大枣一个，少许盐，煎煮至七分，饭前冷服。若有自汗症状，加浮小麦。
治疗各种虚损不足，以及新病突发导致的极度虚弱，津液不固摄，身体经常自汗，夜间睡觉时更严重，久治不愈，身体消瘦枯瘦，心慌惊惕，气短烦闷疲倦。
牡蛎（用米泔水浸泡去除泥土，取粉）、麻黄根、黄芪（各一两）。
以上药物锉成散剂。每次服用三钱，用水一盏半，小麦百余粒，同煎至八分，去渣滓，不拘泥时间服用。另一方法，将药物研为细末，每次三钱，用水三盏，葱白三寸，煎煮至一盏半，分三次服用。
Zi Han (Spontaneous Sweating) is mostly caused by contracting Wind or Summerheat pathogens, as well as emotional disturbances such as Joy, Anger, Fear, and Shock, or Kidney deficiency and consumptive disease due to sexual excess. All these can lead to this condition. Regardless of whether one is conscious or asleep, if sweat oozes out spontaneously, it is named Zi Han (Spontaneous Sweating); if sweat occurs during sleep, it is named Dao Han (Stealing Sweat), also referred to as Jin Han (Oozing Sweat). If sweating results from improper diet, physical overexertion, carrying heavy loads, traveling long distances, climbing high, or walking fast, this is not considered Zi Han (Spontaneous Sweating). The Qi and Blood of the human body are like Yin and Yang, Fire and Water; when balanced, there is tranquility; when unbalanced, disease arises. When Yin is deficient, Yang inevitably encroaches, leading to fever and spontaneous sweating, similar to hot water gushing forth naturally; when Yang is deficient, Yin inevitably takes advantage, leading to Jue Ni (Cold Extremities) and spontaneous sweating, similar to water overflowing and flowing freely. Examining the etiology, Wind and Summerheat involve external factors, Joy, Anger, Fear, and Shock involve internal factors, while sexual excess and consumptive disease involve neither purely internal nor external factors, which is quite clear. Among them, diseases such as Nue Ji (Malaria - *Note: Original text has a missing character likely representing Malaria*), Chang Yong (Intestinal Abscess), Xiang Gang Jiao (Hong Kong Foot / Beriberi), and Chan Ru (Postpartum Conditions) all present with spontaneous sweating. Treatment should deduce the cause as the source of the disease to avoid confusion and indiscriminate treatment. As recorded in *Jing Mai Bie Lun*, if one only traces the origin of the sweat's exit, it was initially not a case of Zi Han (Spontaneous Sweating) syndrome; this must be known.
This formula treats deficiency of Yuan Qi (Primal Qi) in the lower burner, resulting in abdominal distension and fullness around the umbilicus, stabbing pain in the heart and hypochondrium, diarrhea and vomiting, spontaneous sweating, gradual weakening of Yang Qi, cold hands and feet, as well as Yin syndromes of Shang Han (Cold Damage), Huo Luan (Cholera-like disorder) with muscle cramps, chronic cold diarrhea, shortness of breath, emaciation, and fatigue. It is suitable for all deficiency-cold conditions. Regular use helps Yang, dissipates Yin, rectifies Yuan Qi (Primal Qi), warms the Spleen and Stomach, and promotes appetite.
Ren Shen (Ginseng Radix), Bai Fu Ling (Poria), Bai Zhu (Atractylodis Rhizoma) (each 3 liang), Huang Qi (Astragali Radix) (1.5 liang), Gan Cao (Licorice Root, honey-fried), Wu Yao (Linderae Radix) (wood removed), Shan Yao (Dioscoreae Rhizoma) (soaked in ginger juice and stir-fried), Fu Zi (Aconiti Lateralis Radix Praeparata) (processed, skin and navel removed), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Ge Gen (Puerariae Lobatae Radix) (each 1 liang), Gui Xin (Cinnamomi Cortex), Wu Tou (Aconiti Radix) (processed, skin and tip removed, each 0.5 liang), Hong Dou (Adzuki Bean) (stir-fried), Gan Jiang (Zingiberis Rhizoma) (processed), Ju Pi (Citri Reticulatae Pericarpium) (each 3 qian).
Grind the above into powder. Take 2 qian per dose, with 1 cup of water, 3 slices of fresh ginger, 1 jujube, and a little salt. Decoct until reduced to 0.7 parts. Take cold before meals. For spontaneous sweating, add Fu Mai (Floating Wheat).
It treats various deficiencies and sudden severe weakness after new illnesses, where Jing Ye (Body Fluids) fail to consolidate, causing frequent spontaneous sweating, worsening at night, persisting for a long time, leading to emaciation and thinness, palpitations, frightfulness, shortness of breath, and irritability/fatigue.
Mu Li (Ostreae Concha) (soaked in rice washing water to remove soil, take the powder), Ma Huang Gen (Ephedrae Radix et Rhizoma), Huang Qi (Astragali Radix) (each 1 liang).
Grind the above into a coarse powder. Take 3 qian per dose, with 1.5 cups of water and over 100 grains of Xiao Mai (Triticum aestivum L.), decoct together until reduced to 0.8 parts. Strain and remove dregs. Take at any time. Another method: grind into fine powder. Take 3 qian, with 3 cups of water and 3 cun of Cong Bai (Allii Fistulosum Bulbus), decoct until reduced to 1.5 cups. Divide into three doses.