大热喘嗽而满者,黄连解毒汤(二十一);或热甚咳嗽闷乱,三一承气汤(十三)。少阳咳者,
小柴胡(九)去人参、大枣、生姜,加五味子、干姜。喘嗽头疼者,茯苓半夏汤(三十八)。咳嗽者,
白虎汤(二十二)加半夏、桔梗。咳嗽不已,人参石膏汤(三十五),或崔宣武人参石膏汤(三十六)。
痰逆咳嗽,半夏橘皮汤(三十七)。汗之后气闷咳嗽,五味子汤(四十四)。
凡口干烦渴者,伤寒汗出而渴者,饮水反吐名曰水逆,俱宜五苓散(二十四)。少阴病二、
三日,口燥咽干,三一承气汤(十三)。或里热燥甚,伤寒怫郁留饮不
散,烦渴不止则腹高起痛不可忍,但呕冷涎,大渴不能饮,饮亦不能止其渴,喘急闷乱,但欲死者,
三一承气汤,下咽立止其渴,有若无病之人,须臾大汗而愈。至此往往多有不利而汗出,亦有药力但
随汗之宣通,不利而愈。或汗吐下后,烦渴口干,脉浮大,白虎汤(二十二)加人参;烦躁多渴,
凉膈散(二十三)加滑石。
伤寒烦躁多渴,凉膈散(二十三)加滑石。中暑、伤寒汗后烦躁,五苓散(二十四)。一切火热
狂躁喘满,黄连解毒汤(二十一)。烦躁而渴,白术散(四十二),或加滑石;甚者加姜汁。
懊 烦心,反复颠倒不得眠者,烦热怫郁于内而气不能宣通也,或胸满结痛,或烦、微汗出、虚
烦者,栀子汤(二十八)主之;或气少者,加甘草一钱;或呕者及初误以丸药下者,加生姜半两。
凡懊 虚烦者,皆用凉膈散(二十三)甚佳,及宜汤濯手足,使心胸结热宣散而已。心烦腹满,坐
卧不安,栀子浓朴汤
(三十)主之。或阳明病下之后,躁热而懊 者,三一承气汤(十三)。汗后烦躁不得眠,五苓散(二
十四)或凉膈散(二十三);口燥呻吟,错语不得眠,五苓散、黄连解毒汤(二十一);烦心者凉膈散。
少阳证,胸中烦而不呕者,小柴胡(九)去半夏、人参加栝蒌实主之。
大热、喘促咳嗽且胸腹胀满的,用黄连解毒汤(方剂二十一);或者热势极盛导致咳嗽、胸闷烦乱的,用三一承气汤(方剂十三)。少阳经咳嗽的,用小柴胡汤(方剂九),去掉人参、大枣、生姜,加入五味子、干姜。喘促咳嗽伴有头痛的,用茯苓半夏汤(方剂三十八)。咳嗽的,用白虎汤(方剂二十二)加半夏、桔梗。咳嗽久治不愈的,用人参石膏汤(方剂三十五),或者崔宣武人参石膏汤(方剂三十六)。痰气上逆引起咳嗽的,用半夏橘皮汤(方剂三十七)。发汗后出现气闷咳嗽的,用五味子汤(方剂四十四)。
凡是口干心烦口渴的,伤寒发汗后口渴的,喝水反而呕吐的称为水逆证,都适宜用五苓散(方剂二十四)。少阴病发病两三天,口燥咽干的,用三一承气汤(方剂十三)。或者体内热盛燥结严重,伤寒邪气郁滞留饮不散,烦渴不止进而腹部高高隆起疼痛难忍,只呕吐冷涎,极度口渴无法饮水,即使饮水也不能止渴,喘急胸闷烦乱,感觉快要死去的,用三一承气汤,服药后立即止渴,患者如同痊愈之人,不久大汗出而病愈。到了这个阶段往往多有腹泻并出汗,也有药力仅通过发汗宣通,虽未腹泻但病愈的情况。或者在发汗、催吐、泻下之后,出现烦渴口干,脉象浮大的,用白虎汤(方剂二十二)加人参;烦躁多渴的,用凉膈散(方剂二十三)加滑石。
伤寒烦躁多渴的,用凉膈散(方剂二十三)加滑石。中暑、伤寒发汗后烦躁的,用五苓散(方剂二十四)。一切火热引起的狂躁、喘促胀满的,用黄连解毒汤(方剂二十一)。烦躁而口渴的,用白术散(方剂四十二),或者加滑石;严重的加姜汁。
心中懊恼烦闷,翻来覆去不能入睡的,是烦热郁结于内而气机不能宣通所致,或者胸满结痛,或者烦热、微汗出、虚烦的,用栀子汤(方剂二十八)主治;或者气虚少的,加甘草一钱;或者呕吐的以及起初误用丸药泻下的,加生姜半两。凡是心中懊恼虚烦的,都用凉膈散(方剂二十三)效果很好,并且适宜用汤液洗烫手足,使心胸部的结热宣散即可。心烦腹满,坐卧不安的,用栀子厚朴汤(方剂三十)主治。或者阳明病泻下之后,躁热且心中懊恼的,用三一承气汤(方剂十三)。发汗后烦躁不得入睡的,用五苓散(方剂二十四)或凉膈散(方剂二十三);口燥呻吟,胡言乱语不得入睡的,用五苓散、黄连解毒汤(方剂二十一);心烦的用凉膈散。少阳证,胸中烦闷但不呕吐的,用小柴胡汤(方剂九)去掉半夏、人参,加入栝蒌实主治。
For severe heat with panting, cough, and abdominal fullness, use Huanglian Jiedu Tang (Coptis Decoction to Relieve Toxicity) [Formula 21]; or if the heat is extreme causing cough, chest oppression, and mental disturbance, use Sanyi Chengqi Tang (Three-One Purging Decoction) [Formula 13]. For Shaoyang (Lesser Yang) cough, use Xiaochaihu Tang (Minor Bupleurum Decoction) [Formula 9], removing Renshen (Ginseng), Dazao (Jujube), and Shengjiang (Fresh Ginger), and adding Wuweizi (Schisandra Berry) and Ganjiang (Dried Ginger). For panting, cough accompanied by headache, use Fuling Banxia Tang (Poria and Pinellia Decoction) [Formula 38]. For cough, use Baihu Tang (White Tiger Decoction) [Formula 22] added with Banxia (Pinellia Tuber) and Jiegeng (Platycodon Root). For persistent cough, use Renshen Shigao Tang (Ginseng and Gypsum Decoction) [Formula 35], or Cui Xuanwu Renshen Shigao Tang [Formula 36]. For cough caused by phlegm rebellion, use Banxia Chupi Tang (Pinellia and Tangerine Peel Decoction) [Formula 37]. For qi obstruction and cough after sweating, use Wuweizi Tang (Schisandra Berry Decoction) [Formula 44].
For those with dry mouth, mental restlessness, and thirst; for those with thirst after sweating in Shanghan (Cold Damage); and for "Water Rebellion" (Shui Ni) where drinking water leads to vomiting, all are suitable for Wuling San (Five-Ingredient Powder with Poria) [Formula 24]. In Shaoyin (Lesser Yin) disease on the second or third day, with dry mouth and throat, use Sanyi Chengqi Tang (Three-One Purging Decoction) [Formula 13]. Or if internal heat and dryness are severe, with Shanghan pathogenic factors stagnant and retained fluids not dispersing, leading to unceasing mental restlessness and thirst, followed by a protruding abdomen with unbearable pain, only vomiting cold saliva, extreme thirst unable to be quenched even by drinking, panting, chest oppression, mental disturbance, and a sensation of impending death, use Sanyi Chengqi Tang (Three-One Purging Decoction). Upon swallowing, the thirst stops immediately, the patient appears as if healthy, and within a short time, profuse sweating occurs leading to recovery. At this stage, there is often diarrhea accompanied by sweating; alternatively, the medicinal power may only disperse through sweating, resulting in recovery without diarrhea. Or after sweating, emesis, or purgation, if there is mental restlessness, thirst, dry mouth, and a floating and large pulse, use Baihu Tang (White Tiger Decoction) [Formula 22] added with Renshen (Ginseng); for mental restlessness and excessive thirst, use Liangge San (Cooling the Diaphragm Powder) [Formula 23] added with Huashi (Talcum).
For Shanghan (Cold Damage) with mental restlessness and excessive thirst, use Liangge San (Cooling the Diaphragm Powder) [Formula 23] added with Huashi (Talcum). For heatstroke or Shanghan (Cold Damage) with mental restlessness after sweating, use Wuling San (Five-Ingredient Powder with Poria) [Formula 24]. For all cases of fire-heat causing mania, restlessness, panting, and fullness, use Huanglian Jiedu Tang (Coptis Decoction to Relieve Toxicity) [Formula 21]. For mental restlessness with thirst, use Baizhu San (Atractylodes Macrocephala Powder) [Formula 42], or add Huashi (Talcum); for severe cases, add Jiangzhi (Ginger Juice).
For inner annoyance (Ao Nao) and mental restlessness, tossing and turning unable to sleep, this is due to heat-fire stagnating internally preventing the free flow of qi. If accompanied by chest fullness and binding pain, or mental restlessness, slight sweating, or deficiency-related restlessness, Zhizi Tang (Gardenia Decoction) [Formula 28] is the primary treatment; if qi is deficient, add Gancao (Licorice Root) one qian; if vomiting occurs, or if initially mistakenly treated with pill-based purgatives, add Shengjiang (Fresh Ginger) half liang. For all cases of inner annoyance and deficiency-related restlessness, Liangge San (Cooling the Diaphragm Powder) [Formula 23] is very effective, and it is also appropriate to wash and soak the hands and feet in decoction to disperse the binding heat in the heart and chest. For mental restlessness with abdominal fullness, inability to sit or lie comfortably, Zhizi Houpo Tang (Gardenia and Magnolia Bark Decoction) [Formula 30] is the primary treatment. Or after purgation in Yangming (Greater Yang) disease, with irritability, heat, and inner annoyance, use Sanyi Chengqi Tang (Three-One Purging Decoction) [Formula 13]. For mental restlessness and insomnia after sweating, use Wuling San (Five-Ingredient Powder with Poria) [Formula 24] or Liangge San (Cooling the Diaphragm Powder) [Formula 23]; for dry mouth, groaning, delirium, and insomnia, use Wuling San (Five-Ingredient Powder with Poria) and Huanglian Jiedu Tang (Coptis Decoction to Relieve Toxicity) [Formula 21]; for mental restlessness, use Liangge San (Cooling the Diaphragm Powder). For Shaoyang (Lesser Yang) syndrome, with vexation in the chest but no vomiting, use Xiaochaihu Tang (Minor Bupleurum Decoction) [Formula 9], removing Banxia (Pinellia Tuber) and Renshen (Ginseng), and adding Gualou Shi (Trichosanthes Fruit) as the primary treatment.