万物之生也，人为最灵；四时有变兮，百疾兆生。欲辨阴阳之证，必明天地
之情。稽寒温表里之疑，式明标本；施汗、下、补、吐之法，溥济群生。
始而毫毛，次传肤腠。恶风自汗，乃桂枝之证；喘热恶寒，则麻黄之候。阴
阳俱虚而身必痒，各半同功（桂枝麻黄各半汤代）；寒热共作而脉尚虚，二、一共
凑（桂枝二越婢一汤）。
于是助以姜、枣，杂以豉、葱。便利、恶风者，干姜；心悸、腹痛者，建中。脉热极而烦者，
入人参于白虎；脉烦盛而喘者，加杏子以青龙。结胸、下利而表解，朱雀取效；头眩肉 而水泄，玄武当功。
致使橘梗宽咽，甘草平悸。腹内胀满兮，浓朴、姜；心中懊 兮，栀子、豉。
小便不利，则投之以猪苓；膈间有痰，则吐之以瓜蒂。或乃热作而腹胁胀满；又
若狂妄而潮热发悸。或里已入而表未除，或小便涩而大便秘。必明大、小柴胡，
直叙前后承气。结胸多渴，祝侍者议任陷胸；谵语发狂，委将军（即大黄）功先调胃。
当知青龙、十枣兮，水分表、里；三黄、四逆兮，利有寒、温。下利者通脉，烦躁者茯苓（茯苓
四逆汤）。脉绝用当归（当归四逆汤），亡血须人参（四逆加人参）；汗出加附子（附子泻心汤），恶
风入黄芩（黄芩泻心汤），胁下有水则生姜（生姜泻心汤），心中呕逆则人参（人参泻心汤）。上四者，
总归于四逆；下四者，类同于泻心。温寒实而解结胸，美三白之功妙；生津液而逐水道，嘉五苓之用深。
唾血则黄 宜服，便脓则桃仁可加。黄胆，茵陈必先求之瓜蒂（先瓜蒂后茵
陈）；斑毒，紫雪当后用于升麻（先升麻后紫雪）。温湿之于桂、附、苍术可入；理中之内参姜，附子宜加。
此外若青龙与柴胡有加减之余议∶身有余热者，桂枝须加；胁下硬满者大枣可去；多汗者附子加
小柴胡；奔豚者桂枝加桂；喘者小青龙加杏仁；嗽者小柴胡加五味。瓜蒂治烦渴未除，茯苓医小
便不利。内寒者茱萸，外肿者防己。生姜止呕，半夏疗哕。用枳壳兮，缘酒毒留胸；有黄柏兮，因衄血出
鼻。或得人参以除烦，或取茯苓而愈悸。头痛如破，葱白连须；咳逆欲绝，干柿并蒂。下利则干
姜，身痛则栀豉。岂二方之独用，亦众药之同推。妙哉！吾今精此四十余年，活人之功尝识。
万物的生长中，人类最为灵秀；四季气候的变化中，各种疾病便由此萌生。想要辨别阴阳的证候，必须明了天地自然的情理。考察寒热、表里的疑惑，以明确疾病的标本关系；施行发汗、攻下、补益、催吐的方法，广泛地救济众生。
病邪起初侵犯毫毛，随后传变至皮肤腠理。出现怕风、自汗的症状，是桂枝汤（调和营卫）的适应证；出现气喘、发热、怕冷的症状，则是麻黄汤（发汗解表）的征候。如果阴阳两虚导致身体必定瘙痒，可用桂枝麻黄各半汤（小剂量合方）共同奏效；如果寒热交替发作且脉象尚显虚弱，可用桂枝二越婢一汤（桂枝汤与越婢汤的小剂量合方）配合使用。
在此基础上，辅以生姜、大枣，混杂豆豉、葱白。大小便通畅但怕风的，用干姜；心悸、腹痛的，用建中汤（温中补虚）。脉象极热且心烦的，在白虎汤中加入人参；脉象烦盛且喘息的，在青龙汤中加入杏仁。结胸证、下利且表证已解的，朱雀汤（此处指代特定清热利水或安神方剂，原文语境可能指代具体经验方或误植，依文意译为朱雀汤）可取疗效；头眩、肌肉跳动且水样腹泻的，玄武汤（此处指代特定温阳利水方剂，依文意译为玄武汤）当见功效。
致使桔梗能宽利咽喉，甘草能平定心悸。腹部胀满的，用厚朴、生姜；心中烦闷懊恼的，用栀子、豆豉。小便不利，则投予猪苓汤；膈间有痰饮，则用瓜蒂散催吐。或者出现热邪发作且腹部胁肋胀满；又或者神志狂妄且潮热发作伴心悸。或者里证已入而表证未除，或者小便涩痛而大便秘结。必须明辨大柴胡汤与小柴胡汤的区别，直接叙述大承气汤与小承气汤的应用。结胸证多伴有口渴，诊治者应选用陷胸汤来治疗；说胡话、发狂的，委托大黄发挥先期调理胃气的功效。
应当知道青龙汤、十枣汤，分别针对水分在表或在里；三黄汤、四逆汤，分别针对有利湿或寒温的不同情况。下利的用通脉四逆汤，烦躁的用茯苓四逆汤。脉象绝微的用当归四逆汤，亡血的须用人参（即四逆加人参汤）；汗出的加附子（即附子泻心汤），怕风的加入黄芩（即黄芩泻心汤），胁下有停水的加生姜（即生姜泻心汤），心中呕逆的加人参（即人参泻心汤）。以上四种情况，总归属于四逆汤类；以下四种情况，类似同于泻心汤类。温散寒实以解除结胸，赞美“三白”汤（白虎、白散等）功效精妙；生津液以疏通水道，嘉许五苓散作用深远。
咳唾带血则宜服用黄芩，大便脓血则可加入桃仁。黄疸病，茵陈蒿汤必先寻求，但需先用瓜蒂（先涌吐后清利）；斑疹毒邪，紫雪丹应当在升麻葛根汤之后使用（先解表透疹后清热解毒）。温化湿邪可用桂枝、附子、苍术；理中汤内参入姜、附子则适宜。
此外，若对青龙汤与柴胡汤有加减的余论：身体有余热的，桂枝汤须加味；胁下硬满的，大枣可去掉；多汗的，附子加入小柴胡汤；奔豚气的，用桂枝加桂汤；喘息的，小青龙汤加杏仁；咳嗽的，小柴胡汤加五味子。瓜蒂治疗烦渴未除，茯苓医治小便不利。内有寒邪的用吴茱萸，外有肿痛的用防己。生姜止呕，半夏治疗呃逆。使用枳壳，是因为酒毒留滞胸中；使用黄柏，是因为鼻衄出血。或者得到人参以消除烦闷，或者取得茯苓而治愈心悸。头痛剧烈如破裂感，用连须葱白；咳嗽气逆欲绝，用干柿并蒂。下利用干姜，身痛用栀豉汤。难道只是这两方的单独使用，也是众多药物的共同推崇。妙啊！我如今精通此道四十余年，救人的功绩曾经见识过。
Among all living things, humans are the most spiritual; as the four seasons change, various diseases arise. To distinguish yin and yang syndromes, one must understand the principles of heaven and earth. Investigating the doubts of cold and heat, exterior and interior, clarifies the root and branch (Ben-Biao); administering methods of sweating (Han), purging (Xia), tonifying (Bu), and vomiting (Tu) broadly benefits all living beings.
The pathogen initially affects the hair follicles, then transmits to the skin and interstices. Aversion to wind and spontaneous sweating indicate a Guizhi Tang (Cinnamon Twig Decoction) syndrome; wheezing, fever, and aversion to cold indicate a Mahuang Tang (Ephedra Decoction) pattern. When both yin and yang are deficient and the body itches, Guizhi Mahuang Gehan Tang (Guizhi and Mahuang Half-Combined Decoction) acts synergistically; when chills and fever alternate and the pulse is still deficient, Guizhi Er Yuebi Yi Tang (Guizhi Twice-Yuebi Once Decoction) should be combined.
Thereupon, ginger and jujube are assisted, mixed with fermented soybean and scallion. For free urination and defecation but aversion to wind, Ganjiang (Dried Ginger) is used; for palpitations and abdominal pain, Jianzhong Tang (Middle-Joint Building Decoction) is indicated. For an extremely hot pulse and vexation, Renshen (Ginseng) is added to Baihu Tang (White Tiger Decoction); for a vexatious and surging pulse with wheezing, Xingren (Apricot Kernel) is added to Qinglong Tang (Azure Dragon Decoction). For chest binding (Jie Xiong), diarrhea, and resolved exterior syndrome, Zhuque Tang (Vermilion Bird Decoction) yields results; for dizziness, muscle twitching, and watery diarrhea, Xuanwu Tang (Black Tortoise Decoction) achieves efficacy.
Thus, Jiegeng (Platycodon Root) widens the throat, and Gancao (Licorice Root) calms palpitations. For abdominal fullness, Houpo (Magnolia Bark) and Shengjiang (Fresh Ginger) are used; for mental restlessness and oppression in the heart, Zhizi (Gardenia Fruit) and Chishi (Fermented Soybean) are employed. For difficult urination, Zhuling Tang (Polyporus Decoction) is administered; for phlegm-rheum in the diaphragm, Gouti San (Melon Seed Powder) induces vomiting. Or, when heat arises with abdominal and hypochondriac fullness; or again, when madness occurs with tidal fever and palpitations. When the interior is affected but the exterior remains unresolved, or when urination is scanty and stool is constipated, one must clearly distinguish between Da Chaihu Tang (Major Bupleurum Decoction) and Xiao Chaihu Tang (Minor Bupleurum Decoction), and directly narrate the applications of Da Chengqi Tang (Major Order the Qi Decoction) and Xiao Chengqi Tang (Minor Order the Qi Decoction). Chest binding often involves thirst, so the practitioner should rely on Xianxiong Tang (Depress the Chest Decoction); delirium and madness require Dahuang (Rhubarb) to first regulate the stomach.
One should know that Qinglong Tang (Azure Dragon Decoction) and Shizao Tang (Ten Jujube Decoction) address water retention in the exterior or interior; Sanhuang Tang (Three Yellows Decoction) and Sini Tang (Reversed Extremities Decoction) address dampness with cold or warmth. For diarrhea, Tongmai Sini Tang (Pulse-Reviving Reversed Extremities Decoction) is used; for irritability, Fuling Sini Tang (Poria Reversed Extremities Decoction) is indicated. For absent pulse, Danggui Sini Tang (Angelica Reversed Extremities Decoction) is used; for blood loss, Renshen (Ginseng) is required (Sini Jia Renshen Tang). For sweating, Fuzi (Aconite Root) is added (Fuzi Xiexin Tang); for aversion to wind, Huangqin (Scutellaria Root) is included (Huangqin Xiexin Tang); for water under the hypochondrium, Shengjiang (Fresh Ginger) is added (Shengjiang Xiexin Tang); for nausea and vomiting in the heart, Renshen (Ginseng) is added (Renshen Xiexin Tang). The former four cases generally belong to Sini Tang categories; the latter four cases are similar to Xiexin Tang categories. Warming cold excess and resolving chest binding praises the subtle merit of "Sanbai" (Three Whites) decoctions; generating fluids and unblocking water pathways appreciates the profound use of Wuling San (Five-Ingredient Powder with Poria).
For hemoptysis, Huangqin (Scutellaria Root) is suitable; for pus in stool, Taoren (Peach Kernel) can be added. For jaundice, Yinchen Hao Tang (Artemisia Capillaris Decoction) is sought first, but Gouti (Melon Seed) should be used prior (first emetic, then clearing); for macular toxins, Zixue Dan (Purple Snow Pill) should be used after Shengma Gegen Tang (Cimicifuga and Kudzu Decoction) (first releasing the exterior, then clearing heat). For warming and drying dampness, Guizhi (Cinnamon Twig), Fuzi (Aconite Root), and Cangzhu (Atractylodes Rhizome) can be entered; within Lizhong Tang (Regulate the Middle Decoction), adding Jiang (Ginger) and Fuzi (Aconite) is appropriate.
Furthermore, regarding additional discussions on modifications of Qinglong Tang and Chaihu Tang: for residual heat in the body, Guizhi Tang requires additions; for hardness and fullness under the hypochondrium, Dazao (Jujube) can be removed; for excessive sweating, Fuzi (Aconite Root) is added to Xiao Chaihu Tang (Minor Bupleurum Decoction); for Ben Tun (Running Piglet Qi), Guizhi Jia Gui Tang (Guizhi Plus Cinnamon Twig Decoction) is used; for wheezing, Xingren (Apricot Kernel) is added to Xiao Qinglong Tang (Minor Azure Dragon Decoction); for coughing, Wuweizi (Schisandra Berry) is added to Xiao Chaihu Tang (Minor Bupleurum Decoction). Gouti (Melon Seed) treats persistent vexation and thirst; Fuling (Poria) treats difficult urination. For internal cold, Zhuyu (Cornus Fruit) is used; for external swelling, Fangji (Stephania Root) is employed. Shengjiang (Fresh Ginger) stops vomiting, Banxia (Pinellia Tuber) treats hiccups. Using Zhike (Bitter Orange Peel) is due to alcohol toxin lingering in the chest; using Huangbo (Phellodendron Bark) is due to epistaxis. One may obtain Renshen (Ginseng) to remove vexation, or take Fuling (Poria) to cure palpitations. For severe headache like breaking, Congbai Lianxu (Scallion White with Roots) is used; for coughing and rebellious qi nearing exhaustion, Ganshi Bingdi (Dried Persimmon with Peduncle) is employed. For diarrhea, Ganjiang (Dried Ginger) is used; for body pain, Zhichi Tang (Gardenia and Fermented Soybean Decoction) is applied. Is it not just the exclusive use of these two formulas, but also the common recommendation of many herbs? Wonderful! I have refined this knowledge for over forty years, and my merit in saving lives has been witnessed.