太阳病外证未解脉浮弱者当以汗解宜桂枝汤
太阳病失于解表经热不泄则自表达里然里证虽成而外证不能自解凡脉见浮弱者犹当汗解宜桂枝汤也外解后审有里证
乃可议下耳脉浮弱即前章阳浮阴弱之义
太阳病外证未解者不可下也下之为逆欲解外者桂枝汤主之
太阳病外证未解虽有里证不可下也下之卫阳内陷此之为逆欲解外者不越桂枝也外解已然后里证可议下否耳
夫病脉浮大问病者言但便硬耳设利之为大逆硬为实汗出而解何以故脉浮当以汗解
阳明腑病脉浮大（阳明篇二阳合病脉浮大上关上）病脉浮大是有腑证乃问病者但言觉便硬耳未至痛满也则非急下之
证设遽利之此为大逆盖便硬虽内实而表证尚在犹须汗出而解不宜下也此何以故其脉大纵属内实而脉浮则当以汗解也
欲自解者必当先烦乃有汗而解何以知之脉浮故知汗出解
按宛邻本原脱此一条今补于此文在太阳篇也黄氏注不可考大抵亦上条意
太阳病未解脉阴阳俱停必先振栗汗出而解但阳脉微者先汗出而解但阴脉微者下之而解若欲下之宜调胃承气汤（方在
阳明二十）
太阳表证未解脉忽尺寸俱停止而不动者此气虚不能外发营卫郁闭之故也顷之必先振栗战摇而后汗出而解其未停止之
先尺寸之脉必有大小不均若但寸脉微弱者是阳郁于下必阳气升发汗出而后解此先振栗而后汗出者也若但尺脉微弱者是阴
虚肠燥下窍堵塞得汗不解必下之通其结燥使胃热下泄而后解阳明病腑热蒸发则汗出表解今太阳病表证未解是内热未实此
时若欲下之宜于汗后用调胃承气硝黄甘草调其胃腑之燥热也
太阳病表证未解，脉象浮而弱，应当用发汗法解除，适宜使用桂枝汤。
太阳病因未能及时解表，导致体内热邪无法宣泄，从而由表入里。虽然里证已经形成，但表证不能自行解除。凡是脉象见浮弱的，仍然应当用发汗法解除，适宜使用桂枝汤。待表证解除后，再仔细审查是否有里证，然后才可以讨论使用泻下法。脉象浮弱，就是前文所说的“阳浮阴弱”的含义。
太阳病表证未解的，不可使用泻下法，否则属于逆治。想要解除表证的，以桂枝汤为主方。待表证解除之后，然后再根据情况讨论是否可以针对里证使用泻下法。
太阳病表证未解，虽然有里证，也不可使用泻下法。如果误用泻下法，会导致卫阳之气内陷，这叫做逆治。想要解除表证的，离不开桂枝汤。待表证解除后，然后再考虑是否对里证使用泻下法。
病人脉象浮大，询问病人，病人说只是大便干硬而已。如果此时使用泻下法，是大逆之举。大便干硬是因为里有实邪，但如果通过出汗就能解除，为什么呢？因为脉象浮，说明表证仍在，应当用发汗法解除。
阳明腑实证，脉象浮大（参考《伤寒论·阳明篇》中关于两阳合病、脉浮大位于关上部位的论述）。病脉浮大，表明有腑实证候，但询问病人，只说感觉大便干硬，尚未达到疼痛胀满的程度，这就不是急需使用峻下法的证候。如果仓促使用泻下法，这是大逆。大概大便干硬虽然属于内有实邪，但表证依然存在，仍然需要依靠出汗来解除，不适宜使用下法。这是什么原因呢？脉象虽大，纵然属于内实，但只要脉象浮，就应当用发汗法解除。
疾病想要自行解除时，必定先出现心烦的症状，随后会有汗出而病解。怎么知道会这样呢？因为脉象浮，所以知道会通过出汗而解除。
按：宛邻本原本脱漏了这一条，现在补在这里。这段文字出自《伤寒论·太阳篇》，黄元御的注解已不可考。大体意思与上一条相同。
太阳病病情未解，脉象寸关尺三部都停止不动，必定先出现寒战颤抖，随后汗出而病解。如果只有阳脉（寸脉）微弱，先汗出而病解；如果只有阴脉（尺脉）微弱，通过泻下法而病解。如果想要使用泻下法，适宜使用调胃承气汤（该方剂在《伤寒论·阳明篇》第二十节中记载）。
太阳表证未解，脉搏忽然在寸部和尺部都停止不动且没有波动，这是因为气虚不能向外宣发，营卫之气郁闭的缘故。过了一会儿，必定先出现寒战颤抖，然后汗出而病解。在脉搏停止之前，寸尺脉必然大小不均。如果仅仅是寸脉微弱，这是阳气郁结在下部，必须等待阳气升发，汗出后才能解除，这就是先寒战颤抖而后汗出的情况。如果仅仅是尺脉微弱，这是阴虚肠燥，下窍堵塞，即使出汗也不能解除，必须使用泻下法疏通燥结，使胃热下行泄出，然后才能解除。阳明病腑热蒸腾则汗出，表证自解；如今太阳病表证未解，说明内热尚未结实。此时如果想要使用泻下法，应当在发汗之后，使用调胃承气汤（含芒硝、大黄、甘草）来调和胃腑的燥热。
Taiyang disease (Disease of the Taiyang/Bladder channel) with exterior symptoms unresolved, and the pulse floating and weak, should be resolved by sweating; Guizhi Tang (Cinnamon Twig Decoction) is appropriate.
In Taiyang disease, if the exterior is not released in time, internal heat cannot vent out, leading to transmission from the exterior to the interior. Although interior symptoms have formed, the exterior symptoms cannot resolve spontaneously. Whenever the pulse is floating and weak, it should still be resolved by sweating; Guizhi Tang (Cinnamon Twig Decoction) is appropriate. After the exterior is resolved, carefully examine whether there are interior symptoms before discussing the use of purgation. The pulse floating and weak refers to the meaning of "floating Yang and weak Yin" mentioned in the previous chapter.
When Taiyang disease has exterior symptoms unresolved, purgation must not be used; doing so is a contraindication (adverse treatment). To resolve the exterior, Guizhi Tang (Cinnamon Twig Decoction) is the primary formula. Only after the exterior is resolved can one discuss whether to use purgation for the interior symptoms.
Although Taiyang disease has exterior symptoms unresolved and interior symptoms exist, purgation must not be used. If purgation is used, Wei Yang (Defensive Yang) will sink inward, which is called a contraindication (adverse treatment). To resolve the exterior, one cannot go beyond Guizhi Tang (Cinnamon Twig Decoction). Only after the exterior is resolved can one consider using purgation for the interior symptoms.
The patient's pulse is floating and large. Asking the patient, they say only that their stool is hard. If purgation is used at this time, it is a major contraindication. Stool hardness indicates interior excess, but if sweating resolves the condition, why? Because the pulse is floating, indicating the exterior syndrome remains, and it should be resolved by sweating.
Yangming Fu-organ disease presents with a floating and large pulse (refer to *Shanghan Lun*, Yangming Chapter: "Two Yang combined disease, pulse floating and large at Guan position"). A floating and large pulse indicates Fu-organ excess, yet asking the patient reveals only a sensation of hard stool, without pain or fullness, so it is not an indication for urgent severe purgation. If purgation is rashly applied, it is a major contraindication. Although stool hardness implies interior excess, if exterior symptoms remain, resolution through sweating is still required; purgation is inappropriate. Why? Although a large pulse may suggest interior excess, a floating pulse dictates that resolution should be achieved through sweating.
If the disease is to resolve spontaneously, vexation (fan) must occur first, followed by sweating and resolution. How do we know this? Because the pulse is floating, we know it will resolve through sweating.
Note: The Wanlin edition originally omitted this passage; it is supplemented here. This text comes from the Taiyang Chapter. Huang Yuanyu's commentary is lost. It essentially conveys the same meaning as the preceding paragraph.
In Taiyang disease where the condition has not resolved, if the pulse at all three positions (Cun, Guan, Chi) stops and becomes motionless, chills and tremors (zhen li) will necessarily occur first, followed by sweating and resolution. If only the Yang pulse (Cun/inch) is faint, resolution occurs through sweating first; if only the Yin pulse (Chi/cubit) is faint, resolution occurs through purgation. If purgation is desired, Tiaowei Chengqi Tang (Regulate the Stomach and Direct Downward Decoction) is appropriate (formula recorded in Yangming Chapter 20).
When Taiyang exterior symptoms are unresolved, and the pulse suddenly stops at both Cun and Chi positions without movement, this is due to Qi deficiency failing to emit outward, causing stagnation and closure of Ying (Nutrient) and Wei (Defensive) Qi. After a while, chills and tremors will necessarily occur, followed by sweating and resolution. Before the pulse stopped, the Cun and Chi pulses were likely unequal in size. If only the Cun pulse is faint, this indicates Yang Qi stagnating below; resolution requires Yang Qi to ascend and sweat to emerge, resulting in chills and tremors followed by sweating. If only the Chi pulse is faint, this indicates Yin deficiency with intestinal dryness and blockage of the lower orifices; sweating alone will not resolve it. Purgation is necessary to unblock the dryness, allowing Stomach heat to drain downward for resolution. In Yangming disease, Fu-organ heat evaporation leads to sweating and exterior resolution. However, in current Taiyang disease, the exterior symptoms are unresolved, indicating interior heat is not yet solidified. At this time, if purgation is desired, it should be administered after sweating, using Tiaowei Chengqi Tang (containing Mangxiao/Rhizoma Imperatae, Dahuang/Rhei Radix et Rhizoma, Gancao/Glycyrrhizae Radix) to harmonize the dryness and heat of the Stomach organ.