脉浮紧，法当身痛，当以汗解。假令尺中脉迟，为荣气不足，血少故也。（前阳明
病脉迟汗出多，微恶寒，宜桂枝汤，不责荣不足，盖尺脉长大而迟也。此若软紧而迟，不可汗，宜
小建中汤。）
小建中汤
桂枝（三分） 生姜（三分） 芍药（一两半） 甘草（半两） 枣（六枚） 饴糖（二合半）
咀，水二升半，煮取九合，去滓，方下饴糖，煎令化。每温饮一汤盏，日进二三服。尺尚迟，
再作一剂，入人参加半两同煎最良。旧有微溏或呕者，不用饴糖也。兼治伤寒一二日，胸中悸而烦，
及汗后身疼，脉沉迟。又治伤寒阳脉涩，阴脉弦，法当腹中急痛，先小建中汤；不瘥，与柴胡汤。
（方在和表证中。）
庞曰∶凡脉紧，病必无汗，唯濡而紧，病必自汗。勿误行桂枝，宜建中汤也。
脉濡弱，不可发汗，汗则厥而烦躁，不得眠。
诸动气在心腹上下左右，不可发汗。
庞曰∶诸脉动数微弱，不可发汗。（以上并宜建中汤。若烦躁者，宜竹叶汤。）
竹叶汤治虚烦，病似伤寒，身亦热而烦躁，头不痛，身不疼，脉不数者。兼治中 ，渴吐
逆而脉滑数者，及伤寒解后，虚羸少气，气逆欲吐者，并宜服之。
淡竹叶（半把） 石膏（四两） 半夏（三分） 人参（半两） 甘草（半两） 麦门冬（二两）
粳米（一合，淘过）
细锉，以水五升，煎二升半，米熟去滓。温饮一盏，日进三服，夜二服。呕者，
加生姜一两半，不呕不用。
虚烦或呕吐，脉弦细芤迟，手足微寒，胸满者，橘皮汤主之，兼治暴烦下利。（方在太阴证中。）
四逆不可发汗，发汗则声嘶，舌萎不得前，言乱睛眩者，命将难全。
咽中闭塞，不可发汗，发汗则吐。血气微绝，手足不能自温者，干姜甘草汤主之。（方在太阴
证中。）
淋家，不可发汗，发汗必便血。
疮家，虽身痛，不可发汗，汗出则 。（以痈疮家脓血过多。）
动气在右，不可发汗，汗出则衄而渴，心苦烦，饮则吐水。（动者，谓心腹中虚气动，若误汗
有此证，先宜五苓散三服，方在可水证中。次服竹叶汤，方在前。）
动气在左，不可发汗，发汗则头眩，汗出则筋惕肉 ，此为逆，难治。（但先服防风白术散，
次服建中汤，方在前。）防风白术散
防风（一两） 牡蛎粉（半两） 白术（三分）
细末，温米饮调下二钱，日二三服，汗出续与建中汤。
动气在上，不可发汗，发汗则气上冲，正在心端，李根汤主之。
半夏（半两） 桂枝 当归 芍药 黄芩 甘草 人参（各一分） 茯苓（三分）
粗末，每五钱水二盏，姜三片，甘李根白皮一团，如鸡子黄大，煎八分，通口，日三五服。
动气在下，不可发汗，发汗则心中大烦，骨节苦痛，目运恶寒，食则反吐，谷不得前，先服大
橘皮汤；得吐止，后服建中汤。大橘皮汤（亦主手足冷呕哕。）
橘皮（一两半） 生姜（二两） 枣（二十四个） 甘草（半两） 人参（一分） 竹茹（半两）
咀，水三升，煎一升半，去滓。温服一盏，食顷再服。不当汗而强汗之，则津液枯槁而死。
脉象浮紧，按照常规应当出现身体疼痛，治疗上应采用发汗法解除表邪。假如尺部脉搏迟缓，这是因为营气不足、血液亏少所致。（前文提到阳明病脉迟且汗出多，伴有轻微恶寒，适宜用桂枝汤，那时并不责难营气不足，因为那是尺脉长大而迟的情况。此处若是脉象软紧而迟，则不可发汗，适宜用小建中汤。）
小建中汤
桂枝（三分） 生姜（三分） 芍药（一两半） 甘草（半两） 大枣（六枚） 饴糖（二合半）
将药材切碎，加水二升半，煎煮至九合，滤去药渣，此时加入饴糖，加热使其融化。每次温服一茶盏，每日服用二至三次。如果尺脉仍然迟缓，再制作一剂，加入人参半两共同煎煮效果最佳。原本就有轻微腹泻或呕吐的患者，不使用饴糖。此外还治疗伤寒发病一二天，心中悸动且烦躁，以及发汗后身体疼痛、脉象沉迟的症状。又治疗伤寒患者阳脉涩、阴脉弦，按照法则应当腹部拘急疼痛，先服用小建中汤；若未痊愈，再给予柴胡汤。（此方位于和解表证的章节中。）
庞安石说：凡是脉紧的病，必定无汗；只有脉濡而紧的病，必定自汗。不要误用桂枝汤，应该使用建中汤。
脉象濡弱，不可发汗，若发汗则会导致四肢厥冷、烦躁不安、无法入睡。
庞安石说：凡是脉象动数微弱者，不可发汗。（以上情况均适宜使用建中汤。若出现烦躁症状的，适宜使用竹叶汤。）
竹叶汤治疗虚烦，病症类似伤寒，身体发热且烦躁，但头部不痛、身体不疼、脉象不数。兼治中焦湿热导致的口渴、呕吐逆气且脉象滑数的情况，以及伤寒病愈后，身体虚弱消瘦、气息短少、气逆想吐的症状，都适宜服用此药。
淡竹叶（半把） 石膏（四两） 半夏（三分） 人参（半两） 甘草（半两） 麦门冬（二两） 粳米（一合，淘洗过）
细细切碎，用水五升，煎煮至二升半，待米熟后滤去药渣。温服一盏，每日三次，夜间两次。若有呕吐症状，加生姜一两半，若无呕吐则不加。
虚烦或呕吐，脉象弦细芤迟，手足微寒，胸中满闷者，由橘皮汤主治，兼治突发烦躁伴下利。（此方在太阴证章节中。）
四逆证不可发汗，若发汗则声音嘶哑，舌体萎缩不能伸展，言语错乱、眼睛眩晕，性命难以保全。
咽喉闭塞者，不可发汗，若发汗则导致吐血。气血微弱欲绝，手足不能自行温暖者，由干姜甘草汤主治。（此方在太阴证章节中。）
疮家（长期患疮疡的人），即使身体疼痛，也不可以发汗，若发汗则会导致津液枯竭。（因为痈疮患者脓血流失过多。）
动气在右侧，不可发汗，若发汗则导致鼻衄（流鼻血）且口渴，心中苦于烦躁，饮水则呕吐出水。（“动”是指心腹中虚气动，如果误用发汗法出现这些症状，先宜服用三服五苓散，此方在可水证章节中。随后服用竹叶汤，此方在前面。）
动气在左侧，不可发汗，若发汗则导致头晕目眩，出汗则肌肉跳动抽搐，这是逆证，难以治疗。（应当先服用防风白术散，随后服用建中汤，此方在前面。）
防风白术散
防风（一两） 牡蛎粉（半两） 白术（三分）
研成细末，用温热的米饮调服二钱，每日二至三次，出汗后继续给予建中汤。
动气在上方，不可发汗，若发汗则导致气上冲，直抵心窝处，由李根汤主治。
半夏（半两） 桂枝 当归 芍药 黄芩 甘草 人参（各一分） 茯苓（三分）
切成粗末，每取五钱，加水二盏，生姜三片，甘李根白皮一团（大小如鸡子黄），煎煮至八分，不分昼夜服用，每日三至五次。
动气在下方，不可发汗，若发汗则心中极度烦躁，骨节痛苦，视物旋转且恶寒，进食反而呕吐，食物无法下行，先服用大橘皮汤；待呕吐停止后，再服用建中汤。大橘皮汤（也主治手足冰冷、呕吐呃逆。）
橘皮（一两半） 生姜（二两） 大枣（二十四个） 甘草（半两） 人参（一分） 竹茹（半两）
将药材切碎，加水三升，煎煮至一升半，滤去药渣。温服一盏，饭后不久再服一次。如果不应当发汗却强行发汗，则会导致津液枯竭而死。
Pulse is floating and tight; according to the method, body pain should occur, and sweating (Han Jie) should be used to resolve it. If the Chi (尺) pulse is slow, it is due to deficiency of Ying Qi (Nutritive Qi) and blood insufficiency. (In the previous Yangming disease section, a slow pulse with profuse sweating and slight aversion to cold indicated Gui Zhi Tang [Cinnamon Twig Decoction], without attributing it to Ying deficiency, as that involved a large and slow Chi pulse. Here, if the pulse is soft, tight, and slow, sweating is contraindicated; Xiao Jian Zhong Tang [Minor Construct the Middle Decoction] is appropriate.)
Xiao Jian Zhong Tang (Minor Construct the Middle Decoction)
Gui Zhi (Ramulus Cinnamomi, three fen), Sheng Jiang (Rhizoma Zingiberis Recens, three fen), Bai Shao (Radix Paeoniae Alba, one liang half), Gan Cao (Radix Glycyrrhizae, half liang), Da Zao (Fructus Jujubae, six pieces), Yi Tang (Maltose, two he half).
Crush the herbs, add two sheng and a half of water, decoct until nine he remain, remove the dregs, then add Yi Tang and heat until dissolved. Take warm, one cup per dose, two to three times daily. If the Chi pulse remains slow, prepare another dose adding Ren Shen (Radix Ginseng, half liang) for best results. For those with prior mild diarrhea or vomiting, do not use Yi Tang. It also treats Shang Han (Cold Damage) in its first or second day, presenting with palpitations and irritability in the chest, or body pain and deep-slow pulse after sweating. Furthermore, it treats Shang Han where the Yang pulse is choppy and the Yin pulse is string-taut, typically indicating acute abdominal pain; administer Xiao Jian Zhong Tang first; if not cured, give Chai Hu Tang [Bupleurum Decoction]. (This formula is located in the Harmonizing Exterior Syndrome section.)
Pang stated: Generally, a tight pulse indicates no sweating; only when the pulse is soft and tight does spontaneous sweating occur. Do not mistakenly use Gui Zhi Tang; use Jian Zhong Tang instead.
A weak and soggy pulse indicates that sweating is contraindicated; if sweating is induced, it leads to cold extremities (Jue), irritability, and insomnia.
If there are moving Qi sensations above, below, left, or right in the heart and abdomen, sweating is contraindicated.
Pang stated: Any pulse that is rapid, forceful, yet weak and minute indicates that sweating is contraindicated. (All the above cases are suitable for Jian Zhong Tang. If irritability is present, Zhu Ye Tang [Bamboo Leaf Decoction] is appropriate.)
Zhu Ye Tang treats deficiency irritability, where the condition resembles Shang Han, with fever and irritability, but without headache or body ache, and a non-rapid pulse. It also treats damp-heat in the middle jiao causing thirst, vomiting, and reflux with a slippery-rapid pulse, as well as post-Shang Han weakness, emaciation, shortness of breath, and rebellious Qi desiring to vomit. All these conditions are suitable for this decoction.
Dan Zhu Ye (Herba Lophatheri, half a handful), Shi Gao (Gypsum Fibrosum, four liang), Ban Xia (Rhizoma Pinelliae, three fen), Ren Shen (Radix Ginseng, half liang), Gan Cao (Radix Glycyrrhizae, half liang), Mai Men Dong (Radix Ophiopogonis, two liang), Jing Mi (Semen Oryzae Sativum, one he, washed).
Finely chop, add five sheng of water, decoct until two sheng and a half remain, remove dregs when rice is cooked. Take warm, one cup per dose, three times daily and twice at night. If vomiting occurs, add Sheng Jiang (Rhizoma Zingiberis Recens, one liang half); if no vomiting, do not add.
For deficiency irritability or vomiting, with string-taut, fine, hollow, or slow pulses, slightly cold hands and feet, and chest fullness, Ju Pi Tang [Tangerine Peel Decoction] is the primary treatment; it also treats sudden irritability with diarrhea. (This formula is in the Taiyin Syndrome section.)
Si Ni syndrome (Four Extremities Cold) is contraindicated for sweating; inducing sweating leads to hoarseness, tongue atrophy unable to extend, disordered speech, and vertigo, endangering life.
Throat obstruction is contraindicated for sweating; inducing sweating leads to hematemesis. For slight and nearly exhausted Qi and Blood, with inability to warm the hands and feet, Gan Jiang Gan Cao Tang [Dried Ginger and Licorice Decoction] is the primary treatment. (This formula is in the Taiyin Syndrome section.)
Patients with Lin syndrome (Strangury) are contraindicated for sweating; inducing sweating will inevitably lead to hematuria.
Patients with Chuang (sores/ulcers) are contraindicated for sweating even if they have body pain; inducing sweating leads to exhaustion. (Because patients with abscesses and sores have already lost excessive pus and blood.)
Moving Qi on the right side is contraindicated for sweating; inducing sweating leads to epistaxis and thirst, severe mental irritability, and vomiting water upon drinking. ("Moving" refers to empty Qi movement in the heart and abdomen; if mistaken sweating causes these symptoms, first administer San Fu Wu Ling San [Five苓 Powder, three doses], found in the Water Retention section. Then administer Zhu Ye Tang, found earlier.)
Moving Qi on the left side is contraindicated for sweating; inducing sweating leads to vertigo, and sweating causes muscle twitching and tremors. This is an adverse reaction and difficult to treat. (First administer Fang Feng Bai Zhu San [Saposhnikovia and Atractylodes Powder], then Jian Zhong Tang, found earlier.)
Fang Feng Bai Zhu San [Sapothnikovia and Atractylodes Powder]
Fang Feng (Radix Saposhnikoviae, one liang), Mu Li Fen (Concha Ostreae powder, half liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae, three fen).
Grind into fine powder, take two qian mixed with warm millet drink, two to three times daily. After sweating, continue with Jian Zhong Tang.
Moving Qi on the upper side is contraindicated for sweating; inducing sweating leads to Qi rushing upward, centering at the heart. Li Gen Tang [Plum Root Bark Decoction] is the primary treatment.
Ban Xia (Rhizoma Pinelliae, half liang), Gui Zhi (Ramulus Cinnamomi), Dang Gui (Radix Angelicae Sinensis), Bai Shao (Radix Paeoniae Alba), Huang Qin (Radix Scutellariae), Gan Cao (Radix Glycyrrhizae), Ren Shen (Radix Ginseng, each one fen), Fu Ling (Sclerotium Poriae, three fen).
Cut into coarse pieces, take five qian per dose, add two zhan of water, three slices of ginger, and a piece of Gan Li Gen Bai Pi (Cortex Pruni Spinosa Albus, size of a chicken egg yolk). Decoct until eight fen remain. Drink through the mouth, three to five times daily.
Moving Qi on the lower side is contraindicated for sweating; inducing sweating leads to extreme mental irritability, painful bone joints, vertigo, aversion to cold, vomiting after eating, and food failing to descend. First administer Da Ju Pi Tang [Major Tangerine Peel Decoction]; once vomiting stops, then administer Jian Zhong Tang. Da Ju Pi Tang also treats cold hands and feet with vomiting and hiccups.
Ju Pi (Pericarpium Citri Reticulatae, one liang half), Sheng Jiang (Rhizoma Zingiberis Recens, two liang), Da Zao (Fructus Jujubae, twenty-four pieces), Gan Cao (Radix Glycyrrhizae, half liang), Ren Shen (Radix Ginseng, one fen), Zhu Ru (Caulis Bambusae in Taeniam, half liang).
Crush the herbs, add three sheng of water, decoct until one sheng and a half remain, remove dregs. Take warm, one cup, repeat shortly after meals. Forcing sweating when it is not indicated will lead to death due to exhaustion of Jin Ye (Body Fluids).