大黄 浓朴 枳实
小热微结。此汤主之。 小热微结者。示亚于大热坚结也。惟其热不大甚。故去芒硝。
结不至于坚。是以稍减枳朴也。
猪苓 茯苓 泽泻 滑石 阿胶
脉浮发热。渴欲饮水。小便不利者。此汤主之。 按浮字上应有不字。详见后释。 活
人云。脉浮者。五苓散。脉沉者。猪苓汤。则知此汤论中。脉字下脱一不字也。按太阳篇内五苓散
。乃猪苓泽泻茯苓三味中。加桂与白术也。阳明篇内猪苓汤。乃猪苓泽泻茯苓三味中。加阿
胶滑石也。桂与白术。味甘辛为阳主外。阿胶滑石。味甘寒为阴主内。南阳之言。可谓不失
仲景之旨矣。但竟以沉字易之。不若不浮为妥。
用蜜微火煎凝。如饴状。捻作挺。内谷道中。欲大便乃去。汗出小便自利。此津液内竭
。虽硬不可攻。待自欲大便。以此导之。
（治症同上）
大猪胆一枚。泻汁和醋少许。灌谷道中。如一食顷。当大便。
汗出。则津液枯于上。小便利。则津液竭于下。若强攻之。危症立见。如上二法导之。
为虚弱人立权巧法也。然此惟燥在直肠者宜之。若燥屎在上者。非其治也。
茵陈蒿 栀子 大黄
阳明病。发热。但头汗出。小便不利。渴饮水浆。腹微满。身发黄。如橘子色。汗出者
。热得以越。但头汗出而他处无汗。且小便不利。则热不得越。郁而发黄。黄如橘子色者。是热
甚于外。津液不行也。非大寒之品。不能彻其郁热。茵陈酸苦。栀子苦寒。二物之性。皆能
导丙丁之邪。屈曲下行者也。黄为土之本色。夺土郁而无壅滞者。大黄有专掌焉。夫三物
偕行。而水泉涌决。则发黄之症。可使遄已。
大黄、厚朴、枳实。
适用于小热微结证。此方主治。所谓小热微结，是指病情轻于大热坚结证。正因为热势不是特别严重，所以去掉芒硝。
结滞程度未达到坚硬程度，因此稍微减少枳实和厚朴的用量。
猪苓、茯苓、泽泻、滑石、阿胶。
脉浮发热，口渴想喝水，小便不利者。此方主治。按：在“浮”字上面应当有一个“不”字，详见后文解释。《活人书》说：脉浮者用五苓散，脉沉者用猪苓汤。由此可知，本条论述中，“脉”字下面脱漏了一个“不”字。按：在太阳病篇中的五苓散，是在猪苓、泽泻、茯苓三味药的基础上，加上桂枝和白术。在阳明病篇中的猪苓汤，是在猪苓、泽泻、茯苓三味药的基础上，加上阿胶和滑石。桂枝和白术，味甘辛，属阳，主表；阿胶和滑石，味甘寒，属阴，主里。南阳先生（指张仲景）的话，可以说没有违背仲景的本意了。但如果直接用“沉”字来替换，不如用“不浮”更为妥当。
用蜂蜜在微火上煎煮至凝固，像饴糖一样的状态，捏成条状，纳入肛门中。想要大便时才去除。如果是汗出且小便自利，这是津液在内枯竭。虽然大便干硬，但不可使用攻下法。等待患者自然有便意时，用此法导引通便。
（治疗症状同上）
取一个大猪胆，挤出胆汁，加入少许醋，灌入肛门中。大约一顿饭的时间，应当能大便。
汗出，则津液枯耗于上焦；小便利，则津液竭乏于下焦。如果强行攻下，危重病症会立即出现。采用上述两种方法导引，是为体虚之人设立的权宜巧妙之法。然而，这仅适用于燥屎位于直肠的情况。如果燥屎位于上部肠道，则不是此法的适应证。
茵陈蒿、栀子、大黄。
阳明病，发热，只有头部出汗，小便不利，口渴想喝汤水，腹部轻微胀满，身体发黄，颜色像橘子色一样。如果有汗出，热邪得以发散。如果只是头部出汗而身体其他部位无汗，并且小便不利，那么热邪就无法发散，郁积而发黄。黄色像橘子色，是因为热势盛于体表，津液运行不畅所致。如果不是大寒性质的药物，不能彻底清除其郁积的热邪。茵陈性酸苦，栀子性苦寒，这两味药的药性，都能引导丙丁之火（心火/热邪）曲折下行。黄色是土的本色。消除土的郁滞而没有壅塞停滞，大黄有专门的职责。这三味药共同作用，能使水泉涌决般排泄，那么发黄的病症，可以使它迅速痊愈。
Rhubarb, Magnolia Bark, Immature Bitter Orange.
Indicated for the syndrome of slight heat and mild accumulation. This decoction is the primary treatment. "Slight heat and mild accumulation" indicates a condition inferior to severe heat and hard accumulation. Because the heat is not particularly intense, Niter (Mirabilite) is omitted.
Because the accumulation does not reach a state of hardness, the dosages of Immature Bitter Orange and Magnolia Bark are slightly reduced.
Polyporus, Poria, Alisma, Talcum, Donkey-hide Gelatin.
For cases with floating pulse, fever, thirst with desire to drink water, and dysuria, this decoction is indicated. Note: There should be a "not" character before "floating". See the explanation later. The *Liu Ren Shu* states: For a floating pulse, use Wuling San; for a sinking pulse, use Zhuling Tang. From this, it can be known that the character "pulse" in this discussion has a missing "not" character below it. In the Taiyang chapter, Wuling San consists of Polyporus, Alisma, and Poria, plus Cinnamon Twig and Atractylodes Macrocephala Rhizome. In the Yangming chapter, Zhuling Tang consists of Polyporus, Alisma, and Poria, plus Donkey-hide Gelatin and Talcum. Cinnamon Twig and Atractylodes Macrocephala Rhizome are sweet and pungent, belonging to Yang, governing the exterior. Donkey-hide Gelatin and Talcum are sweet and cold, belonging to Yin, governing the interior. The words of Mr. Nanyang [Zhang Zhongjing] can be said to have not deviated from the intent of Zhang Zhongjing. However, replacing it directly with "sinking" is less appropriate than using "not floating".
Honey is used to simmer over a gentle fire until it solidifies, resembling maltose syrup. It is shaped into suppositories and inserted into the anus. Remove only when defecation is desired. If there is sweating and spontaneous urination, this indicates depletion of body fluids internally. Although the stool is hard, purgative methods should not be used. Wait for the natural urge to defecate and use this method to guide evacuation.
(The symptoms treated are the same as above.)
Take one large pig gallbladder, extract the bile, mix with a small amount of vinegar, and instill into the anus. After approximately the time it takes to eat one meal, defecation should occur.
Sweating causes body fluids to dry up in the upper jiao; frequent urination causes body fluids to deplete in the lower jiao. If forced purgation is applied, critical conditions will appear immediately. The aforementioned two methods of guidance are established as expedient and clever measures for patients with deficiency. However, this is only suitable for dry feces located in the rectum. If dry feces are located in the upper intestines, this is not the appropriate treatment.
Artemisiae Scopariae Herba, Gardeniae Fructus, Rhubarb.
In Yangming disease, with fever, sweating only on the head, dysuria, thirst with desire to drink liquids, slight abdominal fullness, and jaundice where the skin turns yellow like the color of an orange. If sweating occurs, the heat can dissipate. If there is sweating only on the head and no sweating elsewhere, coupled with dysuria, the heat cannot dissipate. It stagnates and causes jaundice. The yellow color resembling an orange indicates that heat is prevalent on the exterior and body fluids are not circulating properly. Only potent cold-natured herbs can thoroughly clear this stagnant heat. Artemisiae Scopariae Herba is sour and bitter; Gardeniae Fructus is bitter and cold. The properties of both herbs can guide the pathogenic fire of Bing-Ding [Heart Fire/Heat] downward through tortuous pathways. Yellow is the true color of Earth. To remove the stagnation of Earth without causing obstruction, Rhubarb has a specific role. When these three herbs act together, they cause a surge like flowing springs, allowing the jaundice syndrome to resolve rapidly.