伤寒所至，太阳病 湿 ，此三种宜应别论，以为伤寒相似，故此见之。
太阳病，发热无汗，反不恶寒，名曰刚 。
太阳病，微热汗出，不恶寒，名曰柔 。（《病源》云恶寒。）
其证身热足寒，头强项急，恶寒时头热，面赤目脉赤，独头摇，卒口噤，背反张者， 病。
太阳病，发汗太过，因致 。（《素问》曰∶太阳所至，为寝汗 。又云∶肺热移于肾，传为
柔。始太阳中风，发热而过迫肺金，金投子而避害，故移热于肾水，水为火迫则上升，复凌心位，
水入火乡而为汗，
若汗太多，因而熟寐，汗反为冷湿之气复着太阳经，故发 也。）
病卧不着席，小儿腰背去席二指，大人侧掌，为难治。 病脉弦，直上下行。
仲景云∶太阳病证，其身体KT KT 然，脉反沉迟者，为欲作 ，宜桂枝加栝蒌汤。（栝蒌不主中
风，项强KT KT ，其意治肺热，令不能移于肾也，桂枝汤内当加栝蒌四两。）
病不宜大发汗及针灸，宜小汗之。
柔 宜桂枝加葛根汤。（桂枝汤内加葛根四两。）
刚 宜葛根麻黄汤。（方在解表证中。）
刚柔 加减葛根麻黄汤。
葛根 麻黄 生姜（各一两） 防风 芍药 白术 人参 芎 黄芩 防己 桂枝 甘草（各
半两） 附子（一枚）
咀，水六升，先煮麻黄、葛根数沸，去上沫，内诸药，煮取二升，去滓。饮服一盏，食顷再
服，日四五，夜二三。柔 自汗者，去麻黄加葛根成一两半。
刚 ，胸满口噤，卧不着席，脚挛急，其人必 齿，宜大承气汤下之。（方在可下证中。）
伤寒病邪侵袭，导致太阳病与湿邪相合，这三种情况应当分别论述，因为它们的表现与伤寒相似，所以在此处出现。
太阳病，表现为发热、无汗，反而不恶寒，称为刚痉（一种以项背强直、口噤不开为特征的痉挛性疾病）。
太阳病，表现为微热、有汗，不恶寒，称为柔痉。（《诸病源候论》中记载为恶寒。）
其症状表现为身体发热但足部发凉，头部僵硬、颈部拘急，时而恶寒、时而头部发热，面色红赤、目睛脉络充血，唯独头部摇动，突然牙关紧闭，角弓反张（背部向后弯曲如弓状），这是痓病（痉病）的症状。
太阳病，发汗过度，因而导致痓病。（《素问》说：太阳经气异常，会导致睡中出汗。又说：肺热转移至肾，传变为柔痉。起初是太阳中风，发热过盛而逼迫肺金，肺金作为肾水之母，为避害而将热转移给肾水，水被火逼迫则上升，进而凌犯心位，水进入火乡化为汗液。如果汗出太多，随后陷入熟睡，汗液反而变成冷湿之气再次附着于太阳经，因此发生痓病。）
痓病患者卧床时身体不能接触席面，小儿腰部背部离开席面两指宽，成人侧卧时手掌能插入背后，属于难治之症。痓病的脉象弦直，上下贯通。
张仲景说：太阳病出现痓证，身体拘挛僵硬，脉象反而沉迟的，是即将发生痓病，适宜用桂枝加栝蒌汤治疗。（栝蒌并不主治中风，针对项背拘挛僵硬，其用意在于清肺热，防止热邪转移至肾脏，在桂枝汤中应加入四两栝蒌。）
痓病不宜大发汗及针灸治疗，适宜用小汗法。
柔痉适宜用桂枝加葛根汤。（在桂枝汤中加入四两葛根。）
刚痉适宜用葛根麻黄汤。（方剂见解表证章节。）
刚柔痉加减葛根麻黄汤。
药材组成：葛根、麻黄、生姜（各一两）、防风、芍药、白术、人参、川芎、黄芩、防己、桂枝、甘草（各半两）、附子（一枚）。
切碎，用水六升，先煮麻黄、葛根数沸，去掉上面的浮沫，加入其他药物，煮取二升，去渣。每次服用一盏，隔一段时间再服，白天四五次，夜间二三次。柔痉自汗者，去掉麻黄，增加葛根至一两半。
刚痉，胸满、牙关紧闭，卧床时身体不能接触席面，脚部抽筋拘急，病人必定磨牙，适宜用大承气汤攻下。（方剂见可下证章节。）
When pathogenic factors of Cold Damage (Shanghan) invade, causing a combination of Taiyang disease and dampness, these three conditions should be discussed separately because their manifestations resemble those of standard Cold Damage, hence their appearance here.
Taiyang disease presenting with fever, absence of sweating, and paradoxically no aversion to cold is termed Gang Jing (Yang Spasm, a type of spastic disease characterized by rigidity of the neck and back and lockjaw).
Taiyang disease presenting with slight fever, presence of sweating, and no aversion to cold is termed Rou Jing (Yin Spasm). (The *Zhubing Yuanhou Lun* records it as having aversion to cold.)
Its symptoms include body heat with cold feet, stiffness in the head and urgency in the neck, alternating aversion to cold and heat in the head, red face with congested eye vessels, isolated head tremor, sudden lockjaw, and opisthotonos (arching of the back like a bow); this is Bing Ji (Spasm disease).
If Taiyang disease is treated with excessive sweating, it may lead to Bing Ji. (The *Suwen* states: "When Taiyang qi is abnormal, it leads to nocturnal sweating." It also states: "Lung heat transfers to the Kidney, transmitting into Rou Jing." Initially, there is Taiyang Wind Strike; excessive fever forces Lung Metal. As the mother of Kidney Water, Lung Metal avoids harm by transferring heat to Kidney Water. Forced by Fire, Water rises and invades the Heart position. When Water enters the Fire realm, it transforms into sweat. If sweating is excessive, followed by deep sleep, the sweat turns into cold-damp qi that re-attaches to the Taiyang meridian, thus causing Bing Ji.)
For patients with Bing Ji who cannot touch the mat when lying down, where children's lumbar region is two fingers' width off the mat, or adults can fit a palm behind them when lying on their side, the condition is difficult to treat. The pulse for Bing Ji is wiry and straight, extending up and down.
Zhang Zhongjing said: In Taiyang disease with spasm signs, if the body is rigid and stiff, and the pulse is surprisingly deep and slow, it indicates impending Bing Ji; Guizhi Jia Gualou Tang (Cinnamon Twig Decoction plus Trichosanthes Root Decoction) is appropriate. (Gualou does not primarily treat Wind Strike; regarding neck rigidity, its intent is to clear Lung heat to prevent transfer to the Kidney. Four liang of Gualou should be added to Guizhi Tang.)
Bing Ji should not be treated with heavy sweating or acupuncture; mild sweating is appropriate.
Rou Jing is treated with Guizhi Jia Gegen Tang (Cinnamon Twig Decoction plus Pueraria Root Decoction) (Add four liang of Gegen to Guizhi Tang).
Gang Jing is treated with Gegen Mahuang Tang (Pueraria and Ephedra Decoction). (Formula found in the Exterior-Resolving chapter.)
Modified Gegen Mahuang Tang for Gang-Rou Jing.
Ingredients: Gegen (Puerariae Radix), Mahuang (Ephedrae Herba), Shengjiang (Zingiberis Rhizoma Recens) (each 1 liang), Fangfeng (Saposhnikoviae Radix), Shaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Xiongqiong (Chuanxiong Rhizoma), Huangqin (Scutellariae Radix), Fangji (Stephaniae Tetrandrae Radix), Guizhi (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (one piece).
Coarsely crush, add six sheng of water, first boil Mahuang and Gegen for several boils, remove the foam on top, add remaining herbs, boil to obtain two sheng, strain. Drink one zhan, repeat after a short interval, four to five times during the day, two to three times at night. For Rou Jing with spontaneous sweating, remove Mahuang and increase Gegen to 1.5 liang.
For Gang Jing with chest fullness, lockjaw, inability to touch the mat when lying down, leg cramps, and teeth grinding, Da Chengqi Tang (Major Order the Qi Decoction) should be used to purge. (Formula found in the Purging chapter.)