恶风自汗是伤风。（仲景谓伤风为中风。）体热头疼病势浓。手足不冷心烦躁。面色如常无惨容。（解在前篇。）脉浮
而缓是本证。寸大尺弱有时逢。（伤风脉虽浮而缓。活人书云。有尺脉弱寸口大者。仲景云。阳浮而阴弱。阳浮者热自发。
阴弱者汗自出。）桂枝败毒独活辈。宜皆选用在其中。（活人书云。治中风药宜桂枝败毒独活散之类。）项强桂枝加干葛。
（仲景云。太阳病项背强KT KT 。反汗出恶风者。宜桂枝加葛根汤主之。）漏风加附可收功。（仲景云。
太阳病发汗。遂漏不止其人恶风。小便难。四肢微急。难以屈伸者。桂枝加附子汤主之。）伤风伤寒何以判。寒脉紧涩风
浮缓。寒必恶寒风恶风。伤风自汗寒无汗。（解在前篇。）
恶寒不躁微四逆。脉浮而缓来无力。恶风烦躁手足温。脉诊紧浮来又涩。伤寒反得伤风诊。中风却见伤寒脉。大青
龙证是为宜。调卫调荣斯两得。（仲景云。太阳中风脉浮紧。发热恶寒。身疼痛。不汗出而烦躁者。大青龙汤主之。又云。
伤寒脉浮缓。身不疼。但重。乍有轻时。无三阴证者。大青龙汤主之。中风宜浮缓。今却浮紧。伤寒宜浮紧。今却浮缓。
此中风见寒脉。伤寒见风脉也。）要知其病加烦躁。方可服之为最的。脉微自汗又恶风。误用肉 并筋惕。（仲景云。脉
微弱。汗出恶风者。不可服之。服之厥逆。筋惕肉 。此为逆也。故王实止用桂枝麻黄各半汤。）
恶风、自汗是伤风的特征。（张仲景称伤风为中风。）身体发热、头痛，病情较重。手足不冷，心中烦躁。面色如常，没有惨白之色。（解释见前篇。）脉象浮而缓是本证的典型表现。有时会出现寸脉大、尺脉弱的情况。（伤风的脉象虽然浮而缓，《活人书》说：有尺脉弱、寸口大的情况。张仲景说：阳脉浮而阴脉弱。阳脉浮表示热自发，阴脉弱表示汗自出。）桂枝汤、败毒散、独活等药物，适宜从中选用。（《活人书》说：治疗中风的药宜用桂枝败毒散、独活散之类。）项背强急，用桂枝加葛根汤。（张仲景说：太阳病项背强几几，反而出汗、恶风的，宜用桂枝加葛根汤主治。）汗漏不止，加附子可收效。（张仲景说：太阳病发汗后，汗漏不止，其人恶风，小便困难，四肢轻微拘急，难以屈伸的，用桂枝加附子汤主治。）伤风和伤寒如何判断？寒邪致病的脉象紧涩，风邪致病的脉象浮缓。伤寒必定恶寒，伤风只是恶风。伤风自汗，伤寒无汗。（解释见前篇。）
恶寒但不烦躁，四肢微逆冷。脉象浮而缓且来势无力。恶风且烦躁，手足温暖。脉诊紧浮且来势又涩。伤寒反而出现伤风的脉象，中风却出现伤寒的脉象。此时大青龙证较为适宜。调和营卫，两者兼顾。（张仲景说：太阳中风脉浮紧，发热恶寒，身体疼痛，无汗而烦躁的，用大青龙汤主治。又说：伤寒脉浮缓，身体不疼，只是沉重，偶尔有轻的时候，没有三阴证的，用大青龙汤主治。中风宜见浮缓脉，现在却见浮紧脉；伤寒宜见浮紧脉，现在却见浮缓脉。这是中风见到寒脉，伤寒见到风脉。）要知道病人是否伴有烦躁，方可服用此方最为确切。如果脉象微弱、自汗且恶风，误用大青龙汤会导致四肢厥逆、筋肉跳动。（张仲景说：脉微弱，汗出恶风的，不可服用。服后会导致厥逆、筋惕肉瞤，此为逆证。所以王实只主张用桂枝麻黄各半汤。）
Aversion to wind and spontaneous sweating are characteristics of Wind Strike (Zhong Feng, 中风). (Zhang Zhongjing refers to Wind Strike as Shang Feng, 伤风.) The body is hot, the head aches, and the disease severity is intense. The hands and feet are not cold, and there is mental restlessness. The facial color is normal, without a pale or ghastly appearance. (Explanation is found in the previous chapter.) A floating and moderate pulse is the sign of this syndrome. Sometimes, a large cun pulse and a weak chi pulse may be encountered. (Although the pulse of Shang Feng is floating and moderate, *Huo Ren Shu* states: there are cases with a weak chi pulse and a large cun-kou pulse. Zhang Zhongjing states: Yang [cun] is floating and Yin [chi] is weak. Floating Yang indicates spontaneous heat; weak Yin indicates spontaneous sweating.) Guizhi Tang (Cinnamon Twig Decoction), Baidu San (Poison-Expelling Powder), Duhuo (Radix Angelicae Pubescentis) and similar herbs should be selected for use. (*Huo Ren Shu* states: Medicines for treating Zhong Feng should include Guizhi Baidu San or Duhuo San.) For neck stiffness, Guizhi Jia Gegen Tang (Cinnamon Twig Decoction with Pueraria Root) is indicated. (Zhang Zhongjing states: In Taiyang disease, if there is stiffness in the neck and back, accompanied by sweating and aversion to wind, Guizhi Jia Gegen Tang should be administered.) For leakage of sweat (Lou Feng, 漏风), adding Fuzi (Radix Aconiti Lateralis Preparata) can achieve efficacy. (Zhang Zhongjing states: In Taiyang disease, after inducing sweating, if sweating continues unceasingly, accompanied by aversion to wind, difficulty in urination, slight rigidity of the four limbs, and difficulty in flexion and extension, Guizhi Jia Fuzi Tang should be administered.) How to distinguish between Shang Feng and Shang Han? The pulse for Cold pathogen is tight and choppy; the pulse for Wind pathogen is floating and moderate. Shang Han necessarily involves aversion to cold, whereas Shang Feng involves only aversion to wind. Shang Feng presents with spontaneous sweating, while Shang Han presents with no sweating. (Explanation is found in the previous chapter.)
Aversion to cold without restlessness, with slightly cold extremities. The pulse is floating and moderate but forceless. Aversion to wind with restlessness, with warm hands and feet. The pulse is tight, floating, and choppy. Shang Han unexpectedly presents with the pulse of Shang Feng, while Zhong Feng unexpectedly presents with the pulse of Shang Han. In such cases, Da Qing Long Tang (Great Blue Dragon Decoction) is appropriate. It harmonizes Wei (Defensive) and Ying (Nutritive), addressing both aspects. (Zhang Zhongjing states: In Taiyang Zhong Feng, if the pulse is floating and tight, with fever, aversion to cold, body pain, no sweating, and restlessness, Da Qing Long Tang should be administered. He also states: In Shang Han, if the pulse is floating and moderate, with no body pain but heaviness, occasionally alleviating, and without Shaoyin disease signs, Da Qing Long Tang should be administered. Zhong Feng typically presents with a floating-moderate pulse, but now it is floating-tight; Shang Han typically presents with a floating-tight pulse, but now it is floating-moderate. This represents Zhong Feng showing Cold pulses and Shang Han showing Wind pulses.) One must ascertain whether the patient has restlessness before administering this formula to ensure accuracy. If the pulse is faint, with spontaneous sweating and aversion to wind, misusing Da Qing Long Tang will lead to Jue Ni (Cold Reversal, 厥逆) and Jin Ti Rou Dong (Muscle Twitching, 筋惕肉瞤). (Zhang Zhongjing states: With a faint pulse, sweating, and aversion to wind, this formula must not be used. Administration leads to Jue Ni and muscle twitching, which constitutes an adverse reaction. Therefore, Wang Shi advocated using Guizhi Mahuang Ge Ban Tang [Half-Guizhi Half-Mahuang Decoction].)