奔豚动气有奇方。左右高低细揣量。去术理中兼用桂。不堪汗下应须详。
奔豚者。肾积也。动气者。谓脏气不调。肌肤间筑筑跳动。遂藏所主。见于脐之左右上
下。
独不言当脐者。脾为中州。以行四脏之津液。左右上下皆不可汗下。何况中州。其敢轻动乎
。古通用理中汤去术加桂苓为主。以茯苓利水。桂泄奔豚。故宜加用。白术滞气。故去之。
脏结无阳舌白苔。阴筋急痛引脐来。虽然饮食全如故。下利频频不可回。
厥而下利当不食。反能食者号除中。此为胃气无余候。纵有良师莫奏功。
螈为引缩 为伸。热极风生并在经。涤热祛风犹可望。防风通圣散能平。
筋急而缩为螈。筋缓而伸为 。伸缩不已。为螈 。俗谓之搐搦是也。此皆热极生风。
风主动。故螈 。宜以防风通圣散治之。以涤热而祛风也。
怫郁阳蒸聚体肤。便坚为实哕为虚。二阳并病容颜赤。承气参枝各半舒。
怫郁者。谓阳气蒸越。形见于头面体肤之间。聚赤而不散也，凡伤寒怫郁。有因小便不利
。时
有微热。大便乍难。怫郁而不得卧者。此为燥屎囊实也。宜承气汤下之。有因吐下后极虚。
其人怫郁。复与水发汗。因而得哕者。此胃中虚也。宜桂枝人参汤主之。有因太阳初得病发
汗不彻。并归阳明。续自微汗面赤者。此阳气怫郁也。宜各半汤主之。
奔豚病和动气病有奇特的方剂。需要仔细揣测判断其发作部位在左右、高低的差异。治疗时应使用理中汤去掉白术，并加入桂枝（或茯苓）。如果患者不适合发汗或攻下，必须详细审慎地考量。
奔豚病，是肾脏的积病。动气病，是指脏腑之气不调和，肌肤之间感到筑筑跳动感，这种跳动往往出现在脐部的左、右、上、下方位。
唯独没有提到发生在正对肚脐的情况，是因为脾脏居于中州（人体中央），负责运行输送四脏的津液。既然左、右、上、下四个方位都不可轻易使用发汗或攻下法，何况位于中央的中州脾胃，怎么敢轻易扰动它呢？古时候通用理中汤去掉白术，加入桂枝和茯苓作为主方。因为茯苓能利水湿，桂枝能泄除奔豚之气，所以适宜加入。而白术性质滞涩容易阻碍气机，所以将其去除。
脏结病表现为没有阳热征象，舌苔白滑。阴筋拘急疼痛牵引至脐部。虽然饮食完全如常，但频频下利，病情危重难以挽回。
四肢厥冷且伴有下利的病人，通常应当不能进食。如果反而能够进食，这叫做“除中”。这是胃气耗尽的最后征兆。即使有良师名医，也无法奏效治愈。
抽搐表现为肢体引缩，瘛疭表现为肢体伸展。热极生风，病邪仍在经络。通过清除热邪、祛除风邪，仍有希望治愈。防风通圣散能够平复此症。
筋脉拘急收缩称为“螈”（chōu），筋脉松弛伸展称为“瘛”（chì）。伸缩交替不已，合称为“螈瘛”。俗称搐搦。这些症状都是由于热极而生风，风性主动，导致螈瘛。适宜用防风通圣散治疗，以清除热邪并祛除风邪。
怫郁证表现为阳气蒸腾聚集体表皮肤。大便坚硬属于实证，呃逆属于虚证。如果是太阳与阳明两经并病，面部发红，可用承气汤与桂枝人参汤各取一半剂量来舒缓病情。
怫郁，是指阳气蒸腾外越，表现于头面和体肤之间，聚集红色而不消散。凡是伤寒引起的怫郁，有的因为小便不利，时有微热，大便乍难，因怫郁而不能安卧，这是燥屎内结属实证，适宜用承气汤攻下。有的因为经过吐法或下法治疗后极度虚弱，其人出现怫郁，又给水饮并发汗，因而导致呃逆，这是胃中虚寒，适宜用桂枝人参汤主治。有的因为太阳病初起发汗不彻底，病邪转入阳明，持续自汗且面色发红，这是阳气怫郁在表，适宜用桂枝二越婢一汤（各半汤）主治。
Ben Tun (Panic-like Qi Rushing Upward) and Dong Qi (Throbbing Qi) have specific unique prescriptions. One must carefully assess the variations in their locations, whether on the left or right, high or low. The treatment involves using Lizhong Tang (Regulate the Middle Decoction) with Baizhu removed, combined with Guizhi (Cinnamon Twig). If the patient is unsuitable for sweating or purging methods, these contraindications must be examined in detail.
Ben Tun is an accumulation disease of the Kidney. Dong Qi refers to the disharmony of Zang organ Qi, manifesting as a throbbing sensation under the skin. This throbbing typically appears around the umbilicus, in the areas above, below, to the left, and to the right.
The text does not mention the area directly over the umbilicus because the Spleen resides in the Central Region (Zhong Zhou), responsible for transporting fluids to the four other Zang organs. Since the left, right, upper, and lower areas are all contraindicated for sweating or purging, how much more so should the central Spleen not be lightly disturbed? Historically, the general approach was to use Lizhong Tang (Regulate the Middle Decoction) with Baizhu removed, adding Guizhi (Cinnamon Twig) and Fuling (Poria) as the main formula. Fuling promotes diuresis, while Guizhi dissipates Ben Tun; thus, they are added. Baizhu tends to stagnate Qi, so it is removed.
Zang Jie (Organ Knotting) presents without Yang heat signs, with a white tongue coating. Yin sinews become tense and painful, radiating to the umbilicus. Although food intake remains normal, frequent diarrhea occurs, making the condition critical and difficult to reverse.
In cases of Jue (Cold Extremities) accompanied by diarrhea, the patient usually should not be able to eat. If they suddenly can eat, this is called Chu Zhong (Elimination of the Middle/False Appetite). This indicates that Stomach Qi is exhausted. Even with excellent physicians, no cure can be achieved.
Chou (Contraction) refers to limb retraction, while Chi (Extension) refers to limb extension. When extreme heat generates wind, the pathogen remains in the meridians. Clearing heat and dispelling wind offers hope for recovery. Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder) can calm these symptoms.
Sinew tension and contraction constitute Chou; sinew relaxation and extension constitute Chi. Continuous alternating contraction and extension form Chou Chi, commonly known as spasms or convulsions. These conditions arise from extreme heat generating wind, and since wind is active, it causes Chou Chi. Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder) is appropriate for treatment to clear heat and dispel wind.
Fu Yu (Oppression/Stagnation) manifests as Yang Qi steaming and accumulating on the body surface. Hard stools indicate an Excess pattern, while hiccups indicate a Deficiency pattern. In cases where Taiyang and Yangming diseases occur simultaneously with facial redness, a combination of Chengqi Tang (Gut-Draining Decoction) and Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction) in equal halves may be used to relieve the condition.
Fu Yu refers to Yang Qi steaming and escaping outward, appearing as accumulated redness on the head, face, and skin. In Shaoyin cold damage, Fu Yu may arise from:
1. Difficulty in urination, slight fever, occasional difficulty in defecation, and inability to sleep due to oppression. This indicates dry feces accumulation (Excess); Chengqi Tang (Gut-Draining Decoction) should be used to purge.
2. Extreme deficiency after vomiting or purging, followed by administering water and inducing sweat, leading to hiccups. This indicates Stomach Deficiency; Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction) is indicated.
3. Incomplete sweating during the initial Taiyang stage, with the pathogen transferring to Yangming, resulting in continuous mild sweating and facial redness. This is Yang Qi oppression in the exterior; Guzhi Er Yuebi Yi Dan Tang (Half-and-Half Decoction) is indicated.