瓜蒂（一分熬） 赤小豆（一分）
上二味各别捣筛为散已合治之取一钱匕以香豉一合用热汤七合煮作稀糜去滓取汁合散温顿服之不吐者少少加得快利
乃止
伤寒吐下后发汗阳虚烦脉甚微八九日心下痞硬胁下痛气上冲咽喉眩冒经脉动惕者久而成痿
吐下而又发汗阳虚生烦脉甚微弱至八九日心下痞硬胁下疼痛缘阳亡土败胃气上逆碍胆经降路胆脉自胃口而循两胁胆
经壅塞故心下痞而胁下痛胃口堵塞肺气不得下行故上冲咽喉肺胃上逆阳气升浮旋转不宁故头目眩冒浊气郁蓄而不疏通经
脉莫容故动惕不安如是者久而成痿盖肝司营血而主筋脉血旺筋柔是以不痿甲木逆升相火上炎乙木下降郁而生风营血瘀涩
经气不畅风木抑遏是以动摇久而经脉失养故成痿病也 素问痿病治痿独取阳明阳明者五脏六腑之海主润宗筋宗筋主束骨
而利机关也冲脉者经络之海主渗灌溪谷与阳明合于宗筋阴阳总宗筋之会会于气冲而阳明为之长皆属于带脉而络于督脉故
阳明虚而宗筋纵带脉不引故足痿不用也阳明下降则化金水金水收藏相火下秘而温肾肝木气滋荣故筋脉轻健而不痿软阳明
不降胃逆胆升火泄而水寒生气枯槁筋脉不荣是以成痿
太阳病医发汗遂发热恶寒因复下之心下痞表里俱虚阴阳气并竭无阳则阴独复加烧针因胸烦面色青黄肤 者难治令色
微黄手足温者易愈
太阳病医发其汗营卫俱虚卫气内陷则发热营血外束则恶寒医见汗之不愈因复下之阳亡土败心下痞结汗泄其表下泄其
里表里俱虚内外之气并竭表里阳亡但有独阴复加烧针以泄心肺之气因而胸膈生烦若面色青黄皮肤 动者是土败木贼风动
而经郁也其病难治若色微黄而不青手足温暖而不冷是土气续复而无木邪四末阳回而非独阴其病易愈也
瓜蒂（一分，炒制） 赤小豆（一分）
以上两味药分别捣碎、过筛成散剂后混合均匀。取一钱匕的药粉，用香豉一合，加入热水七合，煮成稀粥状，滤去渣滓，取汁液与药粉混合，温服一次顿下。如果不呕吐，就少量多次增加剂量，直到出现腹泻或呕吐反应为止。
伤寒经过催吐、泻下之后又发汗，导致阳气虚弱而心烦，脉象极其微弱。到了第八九日，出现心下部痞塞坚硬、胁下疼痛、气上冲咽喉、头晕目眩、经脉跳动不安等症状，时间久了会发展成痿证。
催吐、泻下后又发汗，阳气虚弱产生心烦，脉象极其微弱。到了第八九日，心下部痞塞坚硬，胁下疼痛。这是因为阳气亡失、脾胃衰败，胃气上逆阻碍了胆经的下降通路。胆脉从胃口出发沿着两胁走行，胆经壅塞不通，所以心下痞塞而胁下疼痛。胃口堵塞，肺气不能下行，所以气上冲咽喉。肺胃之气上逆，阳气升浮旋转不定，所以头目眩晕。浊气郁积而不疏通，经脉无法容纳正气，所以跳动不安。像这样的情况，时间久了就会形成痿证。大概因为肝主管营血并主宰筋脉，血液旺盛则筋脉柔和，所以不会痿废。如果甲木（胆）逆升，相火上炎，乙木（肝）下降受阻而生风，营血瘀滞涩涩，经气不畅，风木被抑制遏阻，所以出现动摇。时间久了经脉失去滋养，所以形成痿病。《素问·痿论》说治疗痿证要独取阳明经。阳明经是五脏六腑气血的海源，主要滋润宗筋。宗筋主束骨而利关节。冲脉是经络的海源，主要渗透灌溉溪谷，与阳明经会合于宗筋。阴阳总汇于宗筋，会合于气冲穴，而阳明经为统领，都隶属于带脉并联络于督脉。所以阳明虚损则宗筋松弛，带脉不能牵引，所以足部痿废不能用。阳明经气下降则能化生金水（肺肾），金水收藏相火，使其下秘而温暖肾肝，使木气滋荣，所以筋脉轻健而不痿软。如果阳明不降，胃气上逆，胆气上升，火气外泄而水寒，生气枯槁，筋脉得不到滋养，所以形成痿证。
太阳病，医生发汗后，病人反而发热恶寒，接着又用了泻下法，导致心下痞塞，表里俱虚，阴阳之气都衰竭了。没有阳气的表现就是阴气独盛，如果再使用烧针，会导致胸中烦闷，面色青黄、皮肤颤动的难以治愈；如果面色微黄、手足温暖的容易痊愈。
太阳病，医生发了汗，导致营卫俱虚。卫气内陷则发热，营血外束则恶寒。医生见发汗后病未愈，于是又用了泻下法，导致阳气亡失、脾胃衰败，心下痞结。汗出泄其表气，泻下泄其里气，表里都虚，内外之气都衰竭。表里阳气亡失，只有独阴存在。如果再使用烧针来泄心肺之气，因而胸膈产生烦闷。如果面色青黄、皮肤颤动，这是土败木贼（脾虚肝乘）、风动而经气郁滞的表现，这种病难治。如果面色微黄而不青，手足温暖而不冷，这是土气逐渐恢复而没有木邪克制，四肢阳气回归而不是独阴存在，这种病容易痊愈。
Cauti (Gardenia Trichotoma Fruit), one fen, processed by frying; Chixiaodou (Adzuki Bean), one fen.
The above two herbs are separately pounded and sifted into powder, then mixed together. Take one qianbi (a small measuring spoon) of the powder. Use Xiangchi (Prepared Soybean Fermented), one he, with seven he of hot water, boil until it resembles a thin porridge. Strain to remove the dregs, take the liquid, mix with the powder, and take warm in one dose. If vomiting does not occur, gradually increase the amount slightly until diarrhea or vomiting occurs, then stop.
After Han syndrome has undergone emesis and purgation followed by sweating, Yang deficiency leads to irritability, and the pulse is extremely faint. On the eighth or ninth day, epigastric fullness and hardness, pain in the hypochondrium, Qi rushing up to the throat, dizziness, and twitching of the meridians occur; if prolonged, this develops into flaccidity syndrome (Wei Bing).
Emesis, purgation, and subsequent sweating cause Yang deficiency and irritability, with an extremely faint pulse. By the eighth or ninth day, epigastric fullness and hardness and hypochondriac pain arise. This is due to the loss of Yang and the failure of the Spleen-Stomach Earth, causing Stomach Qi to rebel upward and obstruct the descending pathway of the Gallbladder Meridian. The Gallbladder Meridian originates from the stomach region and runs along the hypochondrium; when the meridian is congested, epigastric fullness and hypochondriac pain result. Obstruction at the stomach opening prevents Lung Qi from descending, causing Qi to rush up to the throat. Rebellion of Lung and Stomach Qi causes Yang Qi to float and rotate restlessly, leading to dizziness. Accumulation of turbid Qi without unblocking causes the meridians to be unable to contain the righteous Qi, resulting in twitching. Such conditions, if prolonged, lead to flaccidity syndrome. Generally, the Liver governs Ying Blood and controls the sinews; when blood is abundant, sinews are flexible, preventing flaccidity. If Jia Wood (Gallbladder) rebels upward and Ministerial Fire flares, Yi Wood (Liver) fails to descend, generating wind; Ying Blood becomes stagnant and sluggish, and Qi dynamics are impaired. Suppressed Wind-Wood causes tremors. Prolonged lack of nourishment to the meridians results in flaccidity disease. The *Su Wen* states that for treating flaccidity, one should exclusively focus on the Yangming channel. Yangming is the sea of the five Zang and six Fu organs, primarily moistening the Zong Jin (major tendons). Zong Jin binds the bones and facilitates joint movement. The Chong Mai (Penetrating Vessel) is the sea of the meridians, primarily infiltrating the muscle valleys, and merges with Yangming at the Zong Jin. Yin and Yang converge at the Zong Jin, meeting at Qichong (ST30), with Yangming as the leader, all connected to the Dai Mai (Belt Vessel) and linked to the Du Mai (Governing Vessel). Thus, Yangming deficiency leads to laxity of Zong Jin and inability of the Dai Mai to draw, resulting in foot flaccidity and inability to use them. When Yangming Qi descends, it transforms into Metal and Water; Metal and Water store Ministerial Fire, keeping it secure below to warm the Kidney and Liver, nourishing Wood Qi, so sinews remain light and agile without flaccidity. If Yangming fails to descend, Stomach Qi rebels, Gallbladder Qi rises, Fire leaks out, Water becomes cold, vital Qi withers, sinews lose nourishment, and flaccidity ensues.
In Taiyang disease, after medical sweating, fever and aversion to cold persist; subsequently, purgation is applied, leading to epigastric fullness. Both exterior and interior are deficient, and both Yin and Yang Qi are exhausted. Absence of Yang implies dominance of Yin. If moxibustion (burning needle) is added, chest irritability arises. A greenish-yellow complexion with skin twitching indicates difficulty in treatment; a slightly yellow complexion with warm hands and feet indicates ease of recovery.
In Taiyang disease, medical sweating causes simultaneous deficiency of Ying and Wei. Wei Qi sinking inward causes fever; Ying Blood constrained outward causes aversion to cold. Seeing that sweating did not resolve the condition, the physician applies purgation, causing Yang loss and Spleen-Stomach failure, resulting in epigastric knotting. Sweating depletes exterior Qi, purgation depletes interior Qi; both exterior and interior are deficient, and internal and external Qi are exhausted. Exterior and interior Yang are lost, leaving only solitary Yin. Adding burning needles to drain Heart and Lung Qi causes chest diaphragm irritability. A greenish-yellow face with skin twitching indicates Earth failure with Wood encroachment, wind movement, and meridian stagnation; this disease is difficult to treat. A slightly yellow, non-green face with warm, non-cold hands and feet indicates restoration of Earth Qi without Wood pathogenic influence, return of Yang to the four extremities rather than solitary Yin; this disease is easy to recover from.