发汗过多其人叉手自冒心心下悸欲得按者桂枝甘草汤主之
汗亡心液火泄神虚故叉手自冒其心（冒者覆也）汗多阳亡温气泄脱风木不宁而土败胃逆浊气填塞风木上行升路郁阻
故心下动悸欲得手按以宁神宇桂枝甘草汤桂枝疏木而安动摇甘草补土以培根本也
桂枝（四两） 甘草（二两炙）
上二味以水二升煮取一升去滓顿服
未持脉时病患叉手自冒心师因教试令咳而不咳者此必两耳聋无闻也所以然者以重发汗虚故如此
五脏阴也阴中有阳清阳升发开窍五官浊阴下降七窍空灵故能闻见汗伤中气肝脾不升肺胃不降清阳下陷浊阴上逆浊气
堙塞听宫障蔽是以聋也
脉浮数者法当汗出而愈若下之身重心悸者不可发汗若自汗出乃解所以然者尺中脉微此里虚须表里实津液自和便自汗
出愈
浮数之脉当以汗解设在下后而见身重心悸之证虽有浮数之脉不可发汗当使其自汗出乃愈盖水旺土湿则身体重浊木郁
风生则心下悸动以其伤肝脾之阳故也所以然者寸口虽见浮数而尺中则脉微弱寸口主表尺中主里寸口浮数虽为表实而尺脉
微弱则为里虚须里气渐复表里俱实则里气内拒表气外发邪无内陷之虑便自汗出而愈医家于此贵有实里解表之法虽汗出而
无虚虚之嫌则以人巧而代天工矣
发汗后其人脐下悸者欲作奔豚茯苓桂枝甘草大枣汤主之
汗亡血中温气风木郁动是以振悸枝叶不宁则悸在心下根本不安则悸在脐间脐下振悸根本撼摇则奔豚欲作矣奔豚者风
木奔腾状如惊豚上冲胸膈及乎咽喉腹胁心首诸病皆作喘呼闭塞七窍火生病势凶恶莫此为剧仲景扁鹊以为肾邪（仲景霍乱
脐上筑者肾气动也扁鹊难经肾之积曰奔豚）其实纯是肝气盖木气奔冲原于阳亡而水寒也苓桂甘枣汤茯苓桂枝泄癸水而疏
乙木甘草大枣补脾精以滋肝血也
发汗过多，病人双手交叉按压在心口部位，心中悸动不安，想要用手按压以缓解症状的，用桂枝甘草汤主治。
汗出过多导致心液耗亡，心火随汗外泄而神气虚弱，所以病人双手交叉覆盖在心口（“冒”意为覆盖）。汗多导致阳气亡失，温煦之气泄脱，风木之气不得安宁，进而脾土败坏、胃气上逆，浊气填塞胸中，风木之气上行之路受阻郁滞，所以心下部位跳动悸动，想要用手按压来使神志安宁。桂枝甘草汤中，桂枝疏理肝木以安定动摇，甘草补益脾土以培固根本。
桂枝（四两） 甘草（二两，炙）
以上两味药，用水二升，煮取一升，去滓，一次性服用。
医生在诊脉之前，见病人双手交叉按压在心口，于是教导病人试着咳嗽，如果病人不咳嗽，这一定是双耳听力丧失的原因所在。之所以这样，是因为过度发汗导致正气虚损的缘故。
五脏属阴，阴中有阳，清阳之气升发则五官九窍空灵，故能听视；浊阴之气下降则七窍通畅。汗出损伤中焦脾胃之气，导致肝脾之气不升，肺胃之气不降，清阳之气下陷，浊阴之气上逆，浊气壅塞于听宫，障蔽耳窍，因此耳聋。
脉象浮数者，治法应当通过发汗而痊愈。如果用攻下法，出现身体沉重、心悸的症状，则不可再发汗。如果病人自然出汗，病就会痊愈。之所以这样，是因为尺部脉象微弱，这是里虚的表现，需要表里之气充实，津液自然调和，便会自然出汗而愈。
浮数之脉本应以汗法解表，但如果经过攻下后出现身体沉重、心悸的症状，虽然仍有浮数之脉，也不可发汗，应当等待其自汗出才能痊愈。这是因为水湿旺盛、脾土潮湿则身体感觉重浊，肝木郁结、风气内生则心下悸动，这是由于损伤了肝脾的阳气所致。之所以这样，是因为寸口脉虽见浮数，但尺中脉却微弱。寸口主表，尺中主里，寸口浮数虽为表实，但尺脉微弱则为里虚。必须等到里气逐渐恢复，表里俱实，里气在内拒邪，表气在外发散，邪气无内陷之虑，便会自然出汗而痊愈。医家在此处贵在掌握先实里后解表的方法，即使出汗也没有虚上加虚的嫌疑，这是以人的巧思代替天工的作用。
发汗之后，病人感到脐下悸动，有奔豚病发作的趋势，用茯苓桂枝甘草大枣汤主治。
汗出导致血中温气亡失，风木之气郁而动，所以产生振颤悸动。枝叶不宁则悸动在心下，根本不安则悸动在脐间。脐下振颤悸动，根本撼摇，则奔豚病即将发作。奔豚病，是风木之气奔腾，状如受惊的小猪，向上冲撞胸膈直至咽喉，腹部、胁肋、心脏、头部等各种病症都会发作，气喘呼塞，七窍闭塞，火热生病势凶恶，没有比这更严重的了。张仲景和扁鹊认为这是肾邪所致（张仲景说霍乱病中脐上筑动者是肾气动，扁鹊《难经》说肾之积名为奔豚），其实纯粹是肝气作祟。盖因木气奔冲，源于阳气亡失而水寒。茯苓桂枝甘草大枣汤中，茯苓、桂枝泄泻癸水（肾水）而疏泄乙木（肝木），甘草、大枣补益脾精以滋养肝血。
If excessive sweating has occurred, and the patient crosses their hands over the heart area, experiencing palpitations and desiring to press upon it for relief, Guizhi Gancao Tang (Cinnamon Twig and Licorice Decoction) is indicated.
Excessive sweating depletes Heart fluid, and as Heart fire escapes with the sweat, Spirit becomes deficient; thus, the patient crosses their hands over the heart ("mao" means to cover). Excessive sweating leads to the loss of Yang Qi, causing the dispersal of warming Qi. When Wind-Liver Qi becomes unsettled, Earth fails and Stomach Qi rebels, allowing turbid Qi to fill the chest. The upward path of Wind-Liver Qi becomes obstructed and stagnant, resulting in palpitations below the heart. The patient desires manual pressure to calm the Spirit. In Guizhi Gancao Tang, Guizhi (Ramulus Cinnamomi) soothes Liver Wood to stabilize agitation, while Gancao (Radix Glycyrrhizae Preparata) tonifies Spleen Earth to secure the root.
Guizhi (4 liang), Gancao (2 liang, prepared by honey-frying)
Take the above two ingredients, decoct in 2 sheng of water to obtain 1 sheng, remove the dregs, and take in one dose.
Before taking the pulse, if the physician observes the patient crossing their hands over the heart and instructs them to cough, but the patient does not cough, this indicates bilateral deafness. This occurs because severe sweating has caused deficiency.
The Five Zang organs belong to Yin, within which resides Yang. Clear Yang ascends to open the orifices of the five sense organs, allowing hearing and vision; Turbid Yin descends, keeping the seven orifices clear. Sweating damages Middle Jiao Qi, preventing the ascent of Liver-Spleen Qi and the descent of Lung-Stomach Qi. Clear Yang sinks, while Turbid Yin rebels upward. Turbid Qi blocks the Tinggong acupoint, obscuring the ear orifices, leading to deafness.
A floating and rapid pulse typically indicates that sweating should resolve the condition. However, if purgation is used and results in heavy body sensation and palpitations, sweating is contraindicated. If spontaneous sweating occurs, the disease will resolve. This is because a weak pulse at the Chi position indicates interior deficiency. The interior and exterior must be strengthened so that Body Fluids harmonize naturally, leading to spontaneous sweating and recovery.
Although a floating-rapid pulse suggests treatment via sweating, if symptoms of heavy body and palpitations appear after purgation, sweating is still contraindicated despite the pulse. Recovery depends on spontaneous sweating. This is due to Water abundance and Damp Earth causing heaviness, and Liver Wood stagnation generating Wind causing palpitations, resulting from damage to Liver-Spleen Yang. Although the Cun position shows a floating-rapid pulse (exterior excess), the Chi position is weak (interior deficiency). Interior Qi must recover gradually; when both interior and exterior are solid, interior Qi repels internally and exterior Qi expels externally, preventing pathogen invasion, leading to spontaneous sweating and recovery. Physicians must prioritize strengthening the interior before releasing the exterior to avoid exacerbating deficiency, effectively substituting human skill for Heaven's work.
After sweating, if the patient experiences palpitations below the navel, indicating an impending Ben Tun (Rushing Pig) syndrome, Linggui GanZao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) is indicated.
Sweating depletes the warming Qi within Blood, causing Wind-Liver Qi to become agitated and unsettled. Instability in the branches causes palpitations in the chest, while instability in the root causes palpitations below the navel. Severe trembling below the navel shakes the root, precipitating Ben Tun. Ben Tun involves Wind-Liver Qi surging like a startled pig, rushing up through the chest, diaphragm, and throat. It manifests with various ailments in the abdomen, flanks, heart, and head, including wheezing, obstruction, and closed orifices. The pathological heat is fierce and severe. Zhang Zhongjing and Bian Que attributed this to Kidney Evil (Zhongjing noted Kidney Qi movement causing epigastric pounding in Huoluan; Bian Que's Nan Jing described Ben Tun as a Kidney accumulation). However, it is essentially Liver Qi pathology. The surging of Wood originates from Yang depletion and Cold Water. In Linggui GanZao Tang, Fuling (Poria) and Guizhi (Ramulus Cinnamomi) drain Gui Water (Kidney Water) and soothe Yi Wood (Liver Wood), while Gancao (Radix Glycyrrhizae) and Dazao (Fructus Jujubae) tonify Spleen Essence to nourish Liver Blood.