循衣摸床有二因，太阳火劫热伤阴，小便利生不利死，阳明热极热弥深，皆缘三法
失成坏，脉实堪下弱难禁，虚实阴阳难辨处，独参六味可回春。
【注】循衣摸床，危恶之证也。一因太阳火劫取汗，致阳盛伤阴。阴若末竭，则小便
利，多生；阴若已竭，则小便难，多死。一因阳明热极，汗、吐、下三法失宜，致成坏
证。其热弥深，脉实者，堪下则可治；脉弱者，不堪下则难治。此已成危恶坏证，往往
阴阳虚实，医莫能辨，无下手处，当以大剂独参、六味、干生地黄汤，时时与之，每获
生也。
太阳阳邪有水逆，消渴发热汗出烦，小便不利水入吐，脉浮而数五苓攒。
【注】太阳阳邪，有水逆消渴之病，谓太阳中风，有渴欲饮水，水入即吐者，名曰水
逆；饮水多而小便少者，名曰消渴。发热汗出，风邪出。烦，热也。小便不利，水入则
吐，饮停也。浮数，风热脉也。均宜五苓散，多服暖水，令微汗出，外解太阳，内利停水
则愈。若不能饮暖水，欲饮冷水者，是热盛也，以五苓散加寒水石、石膏、滑石可也。详
太阳上编。
太阳阴邪有水气，伤寒无汗热烘烘，主
证干呕咳微喘，外发内散小青龙，小便不利少腹满，下利除麻共入苓，噎麻易附喘加杏，
渴加花粉减半平。
【注】太阳阴邪有水气，谓太阳伤寒表不解，发热无汗，兼有干呕而咳微喘，饮病之
主证，宜以小青龙汤，外发寒邪，内散寒饮，则可愈也。或小便不利少腹满，或下利，或
噎、或喘、或渴，此饮病或有之证，亦以小青龙汤主之。小便不利，少腹满，是水停下
焦，大便下利，是水走大肠，俱除麻黄，共入茯苓，专渗利也。噎为内寒之甚，以麻黄
易附子，散内寒也。喘气上逆，加杏仁以降逆也。渴加花粉，减去半夏，以避燥生津也。
详太阳下编。
循衣摸床（手指无意识地抓摸衣物和床沿）有两种病因：一是太阳病经火劫发汗导致热盛伤阴；二是阳明病热极深入。若小便通利则预后良好，小便不利则预后不良。这都是因为误用汗、吐、下三法导致病情恶化成坏证。此时若脉实者可攻下，脉弱者则难以承受攻下。在虚实阴阳难以辨别的情况下，使用独参汤或六味地黄丸等方剂可以挽回生机。
【注】循衣摸床是一种危重恶性的证候。一种原因是太阳病用火劫法取汗，导致阳热亢盛损伤阴液。如果阴液尚未枯竭，则小便通利，多能存活；如果阴液已经枯竭，则小便困难，多会死亡。另一种原因是阳明病热势极盛，因汗、吐、下三法使用不当，导致成为坏证。热邪越深，若脉象实者，可用攻下法治疗；若脉象弱者，不可攻下，则难治。这已成为危重的坏证，往往阴阳虚实难以分辨，医生无处下手，应当给予大剂量的独参汤、六味地黄汤或干生地黄汤，频繁服用，常能获得生机。
太阳经受阳邪且伴有水饮内停，表现为消渴（口渴欲饮）、发热、汗出、心烦，小便不利，饮水即吐，脉象浮数，宜用五苓散治疗。
【注】太阳经受阳邪，有水逆和消渴的病证。所谓太阳中风，若有渴欲饮水，水入即吐的情况，称为水逆；饮水多而小便少的情况，称为消渴。发热汗出是风邪外泄的表现。烦是热的表现。小便不利，水入则吐，是水饮内停的表现。脉浮数是风热之脉。均适宜使用五苓散，多服暖水，令其微微出汗，外解太阳表邪，内利停聚之水饮，即可痊愈。如果不能喝暖水，想喝冷水，说明热盛，可在五苓散中加入寒水石、石膏、滑石。详见《伤寒论》太阳上编。
太阳经受阴邪且伴有水气，表现为伤寒无汗、身体烘热，主要症状为干呕、咳嗽、轻微气喘，宜用小青龙汤外散寒邪、内化寒饮。若伴有小便不利、少腹胀满，或下利，应去掉麻黄，加入茯苓以利水渗湿。若出现噎膈，将麻黄改为附子以散内寒；若气喘加重，加入杏仁以降逆平喘；若口渴，加入天花粉，减半半夏用量以避燥生津。
【注】太阳经受阴邪伴有水气，是指太阳伤寒表证未解，发热无汗，兼有干呕、咳嗽、轻微气喘，这是水饮病的主要证候，适宜用小青龙汤，外发寒邪，内散寒饮，则可痊愈。或者伴有小便不利、少腹胀满，或者下利，或者噎膈，或者气喘，或者口渴，这些是水饮病可能出现的兼证，也以小青龙汤为主治方。小便不利、少腹胀满，是水停下焦；大便下利，是水走大肠，都应去掉麻黄，共同加入茯苓，专门用于渗利水湿。噎膈是内寒严重的表现，用麻黄替换附子，以发散内寒。气喘气机上逆，加入杏仁以降逆。口渴加入天花粉，减去半夏，以避免燥性并生津液。详见《伤寒论》太阳下编。
Toucheing clothes and bed (involuntary grasping of clothes and bed) has two etiologies: one is heat damaging Yin due to fire therapy in Taiyang disease; the other is extreme heat deepening in Yangming disease. If urination is free, prognosis is good; if difficult, prognosis is poor. These result from improper use of sweating, vomiting, and purging methods leading to deteriorated conditions (Huai Zheng). If the pulse is excess, purging may be used; if weak, purging is contraindicated. When deficiency/excess and Yin/Yang are hard to distinguish, Dushen Tang or Liuwei Dihuang Wan can restore health.
[Note] Toucheing clothes and bed is a critical and malignant syndrome. One cause is using fire therapy to induce sweating in Taiyang disease, causing excessive Yang to damage Yin. If Yin fluid is not exhausted, urination is free, and survival is likely; if Yin fluid is exhausted, urination is difficult, and death is likely. Another cause is extreme heat in Yangming disease, resulting from improper application of sweating, vomiting, and purging methods, leading to Huai Zheng. The deeper the heat, the more severe the condition. If the pulse is excess, purging is feasible and treatable; if weak, purging is intolerable and difficult to treat. This has become a critical Huai Zheng, where doctors often cannot distinguish between Yin/Yang and deficiency/excess, leaving no clear treatment path. Large doses of Dushen Tang, Liuwei Dihuang Tang, or Gan Sheng Di Huang Tang should be administered frequently, often resulting in recovery.
Taiyang receiving Yang pathogenic factors with retained water manifests as Xiao Ke (excessive thirst), fever, sweating, irritability, dysuria, and regurgitation upon drinking, with a floating and rapid pulse. Wuling San is indicated.
[Note] Taiyang receiving Yang pathogenic factors involves Shui Ni (water regurgitation) and Xiao Ke. In Taiyang Wind Strike, if there is excessive thirst for water but vomiting immediately after drinking, it is called Shui Ni; if water intake is high but urine output is low, it is called Xiao Ke. Fever and sweating indicate the release of Wind pathogen. Irrability indicates Heat. Dysuria and vomiting upon drinking indicate retained water. Floating and rapid pulses indicate Wind-Heat. Wuling San is suitable for all cases. Drinking warm water in abundance to induce slight sweating resolves the Taiyang exterior and promotes diuresis of retained water, leading to cure. If the patient cannot tolerate warm water and desires cold water, it indicates intense Heat; add Han Shui Shi, Shi Gao, and Hua Shi to Wuling San. See Taiyang Upper Volume.
Taiyang receiving Yin pathogenic factors with Water Qi manifests as Shang Han (cold damage) with no sweating and feeling hot, primarily presenting with dry retching, cough, and mild wheezing. Xiao Qing Long Tang is indicated to disperse exterior Cold and resolve interior Cold-Fluid. If accompanied by dysuria and hypogastric fullness, or diarrhea, remove Mahuang and add Fu Ling. For dysphagia, replace Mahuang with Fu Zi; for worsening wheezing, add Xing Ren; for thirst, add Hua Fen and reduce Banxia.
[Note] Taiyang receiving Yin pathogenic factors with Water Qi refers to unresolved Taiyang Shang Han exterior syndrome with fever and anhidrosis, accompanied by dry retching, cough, and mild wheezing, which are main symptoms of Fluid retention diseases. Xiao Qing Long Tang is appropriate to release exterior Cold and scatter interior Cold-Fluid, leading to cure. Alternatively, if accompanied by dysuria and hypogastric fullness, or diarrhea, or dysphagia, or wheezing, or thirst, these are possible accompanying symptoms of Fluid diseases, also treated primarily with Xiao Qing Long Tang. Dysuria and hypogastric fullness indicate Water stagnating in the Lower Jiao; diarrhea indicates Water moving into the Large Intestine. In these cases, remove Mahuang and add Fu Ling specifically for promoting diuresis. Dysphagia indicates severe interior Cold; replace Mahuang with Fu Zi to dissipate interior Cold. Wheezing with rebellious Qi requires adding Xing Ren to descend rebellious Qi. Thirst requires adding Hua Fen and reducing Banxia to avoid drying properties and generate fluids. See Taiyang Lower Volume.