又名复脉汤。
甘草（四两，炙） 生姜（三两） 人参（二两） 生地黄（一斤） 桂枝（三两，去皮） 麦门冬（半斤，去心）
阿胶（二两） 麻仁（半斤） 大枣（三十枚，擘） 上九味，以清酒七
升，水八升，先煮八味，取三升，去渣，纳胶，烊消尽，温服一升，日三服。
伤寒脉结代，脉来缓而时一止复来，曰“结”；脉来动而中止，不能自还，因而复动，曰∶“代”。几动
一息亦曰∶“代”。皆气血两虚而经隧不通，阴阳不交之故。心动悸，心主脉，脉之止息，皆心气不宁之故。
炙甘草汤主之。此治伤寒邪尽之后，气血两虚之主方也。
《活人书》云∶阴盛则结，阳盛则促。
甘草（四两，炙） 干姜（二两，炮） 上二味，以水三升，煮取一升五合，去渣，分温再服。
芍药（四两） 甘草（四两，炙） 上二味，以水三升，煮取一升五合，去渣，分温再服。
伤寒脉浮、自汗出，小便数，心烦，微恶寒，以
上俱似桂枝症。脚挛急，里虚之象，只此一症，决非桂枝症矣。凡辨症，必于独异处着眼。反与桂枝汤，
欲攻其表，此误也，得之便厥，咽中干，烦躁吐逆者，有阳越之象。作甘草干姜汤与之，以复其阳，若
厥愈、足温者，更作芍药甘草汤与之，其脚即伸，此汤乃纯阴之剂，以复其阴也，阴阳两和而脚伸矣。若
胃气不和，谵语者，留邪在中焦。少与调胃承气汤。若重发汗，复加烧针者，四逆汤主之。详见四逆汤条下。
问曰∶证象阳旦，《活人书》云∶桂枝汤加黄芩，曰阳旦。成无己云∶即桂枝汤别名。按法治之而增剧，
厥逆，咽中干，两胫拘急而谵语，以上言按法用方，而病不应手，其故安在？师言∶夜半手足当温，两脚
当伸。后如师言。何以知此？答曰∶寸口脉浮而大，浮则为风，大则为虚。风则生微热，虚则两胫挛。
病形象桂枝，因加附子参其间，桂枝加附子汤。增桂令汗出，附子温经，亡阳故也。厥逆两胫拘急，
即亡阳之兆。厥逆咽中干，烦躁，阳明内结。阳越在上。谵语烦乱，更饮甘草干姜汤。通纳阳气。夜半
阳气还，两足当热，胫尚微拘急，重与芍药甘草汤。
阳复而阴又虚，以此养阴气。尔乃胫伸，以承气汤，微溏则止其谵语，以涤阳明所结之余邪。故知病可愈。
病证象桂枝句以下∶历叙治效，以明用药之次第当如此。盖病证既多，断无一方能治之理，必先分证而
施方。而其先后之序又不可乱，其方有前后截然相反者，亦不得以错杂为嫌。随机应变，神妙无方，而又
规矩不乱。故天下无不可愈之疾。后人欲以一方治诸症，又无一味中病之药，呜呼！难哉。
又名复脉汤。
甘草（四两，炙） 生姜（三两） 人参（二两） 生地黄（一斤） 桂枝（三两，去皮） 麦门冬（半斤，去心）
阿胶（二两） 麻仁（半斤） 大枣（三十枚，擘） 以上九味药，用清酒七升、水八升，先煎煮前八味药，取汁三升，滤去药渣，加入阿胶，加热使其完全溶化，每次温服一升，每日服用三次。
伤寒病出现脉结代，脉搏来势缓慢且时常有一次停顿后恢复跳动，称为“结”；脉搏跳动时突然中止，不能自行恢复，随后再次跳动，称为“代”。几次搏动中有一息停顿的，也称为“代”。这都是因为气血两虚且经络不通，阴阳之气无法交通的缘故。心中悸动不安，心主血脉，脉搏的停歇，都是心气不宁的缘故。
用炙甘草汤主治。这是治疗伤寒邪气已尽之后，气血两虚的主方。
《活人书》说：阴气盛则脉结，阳气盛则脉促。
甘草（四两，炙） 干姜（二两，炮制） 以上两味药，用水三升，煎煮取汁一升五合，滤去药渣，分两次温服。
芍药（四两） 甘草（四两，炙） 以上两味药，用水三升，煎煮取汁一升五合，滤去药渣，分两次温服。
伤寒病见脉浮、自汗出、小便频数、心烦、微恶寒，以上症状看似桂枝证。但脚部拘挛急迫，是里虚的表现，仅凭这一个症状，就决不是桂枝证了。凡辨证，必须在独特异常之处着眼。反而给予桂枝汤，想要攻解表邪，这是误治，服药后便出现四肢厥冷、咽喉干燥、烦躁呕吐逆气的症状，这是阳气外越的现象。制作甘草干姜汤给患者服用，以回复其阳气，如果四肢厥冷痊愈、足部变温暖，再制作芍药甘草汤给患者服用，其脚部即可伸展，此汤乃是纯阴之剂，用以回复其阴液，阴阳两气和调而脚部伸展。如果胃气不和，出现谵语，说明邪气留滞在中焦。少量给予调胃承气汤。如果重发汗，又加用烧针疗法，用四逆汤主治。详见四逆汤条文下。
问曰：证候表现像阳旦，《活人书》说：桂枝汤加黄芩，称为阳旦。成无己说：即桂枝汤的别名。按照常规法治之而病情加重，出现四肢厥逆、咽喉干燥、两小腿拘挛急迫并伴有谵语，以上所述是按照法度使用方药，但病不应手而加剧，这是什么原因？老师说：夜半时分手足应当转温，两脚应当伸展。后来果然如老师所言。怎么知道会这样？回答说：寸口脉浮而大，浮则代表风邪，大则代表虚损。风邪则产生微热，虚损则导致两小腿拘挛。
病象类似桂枝证，因此加入附子在其中，即桂枝加附子汤。增加桂枝用量令其出汗，附子温通经脉，这是因为亡阳的缘故。四肢厥逆、两小腿拘挛急迫，即是亡阳的先兆。四肢厥逆、咽喉干燥、烦躁，阳明内结。阳气外越于上。谵语烦乱，再饮用甘草干姜汤。以通达纳入阳气。夜半阳气回归，两足应当发热，小腿尚且轻微拘挛急迫，再次给予芍药甘草汤。
阳气回复而阴液又虚，以此滋养阴气。然后小腿伸展，用承气汤，大便微溏则停止服用以消除谵语，以涤荡阳明所结之余邪。所以知道病可痊愈。
从“病证象桂枝”句以下：详细叙述治疗效果，以说明用药的次第应当如此。大概病症既然众多，断没有一方能治愈所有病症的道理，必须先分辨证候而施予方药。而其先后顺序又不可混乱，那些方药有前后截然相反的，也不得因错杂而产生嫌疑。随机应变，神妙无穷，而又规矩不乱。所以天下没有不可治愈的疾病。后人想用一方治疗各种症状，又没有一味药能中病的，唉！难啊。
Also known as Fumai Tang (Pulse-Recovering Decoction).
Gancao (Licorice Root, four liang, honey-fried), Shengjiang (Fresh Ginger, three liang), Renshen (Ginseng Root, two liang), Shengdihuang (Rehmannia Root, one jin), Guizhi (Cinnamon Twig, three liang, bark removed), Maimendong (Ophiopogon Tuber, half a jin, heart removed), Ejiao (Donkey-hide Gelatin, two liang), Mahren (Sesame Seed, half a jin), Dazao (Jujube Fruit, thirty pieces, torn open). The above nine ingredients are decocted with seven sheng of clear wine and eight sheng of water. First, boil the first eight ingredients to obtain three sheng of liquid, strain off the dregs, add the gelatin, and melt it completely by heating. Take one sheng warm each time, three times a day.
In Shanghan disease, if the pulse is Jie or Dai: when the pulse comes slowly and occasionally stops before resuming, it is called "Jie" (Knotted); when the pulse beats and then abruptly stops, fails to resume on its own, and only resumes after a pause, it is called "Dai" (Intermittent). If there is a pause in every few beats, it is also called "Dai". These conditions are caused by deficiency of both Qi and Blood, obstruction of the meridians, and failure of Yin and Yang to interact. Palpitations occur because the Heart governs the vessels; the cessation of the pulse is due to the unrest of Heart Qi.
Zhi Gancao Tang (Honey-Fried Licorice Decoction) is the principal formula for this condition. This is the main formula for treating post-Shanghan deficiency of both Qi and Blood after the pathogenic factors have been exhausted.
The *Liuren Shu* states: Excess Yin leads to Jie pulse, while excess Yang leads to Cu pulse (Rapid/Interrupted).
Gancao (Licorice Root, four liang, honey-fried), Ganjiang (Dried Ginger, two liang, roasted). The above two ingredients are decocted with three sheng of water to obtain one sheng and five he of liquid. Strain off the dregs and take warm in two divided doses.
Shaoyao (Peony Root, four liang), Gancao (Licorice Root, four liang, honey-fried). The above two ingredients are decocted with three sheng of water to obtain one sheng and five he of liquid. Strain off the dregs and take warm in two divided doses.
In Shanghan disease, presenting with floating pulse, spontaneous sweating, frequent urination, irritability, and slight aversion to cold, these symptoms superficially resemble Guizhi Zheng (Cinnamon Twig Syndrome). However, calf cramping indicates interior deficiency; based solely on this symptom, it is definitely not Guizhi Zheng. In syndrome differentiation, one must focus on unique and abnormal signs. Prescribing Guizhi Tang instead, intending to attack the exterior, is an error. This results in Jue (cold extremities), dryness in the throat, irritability, vomiting, and reflux, indicating the phenomenon of Yang floating outward. Administer Ganshao Ganjiang Tang (Licorice and Dried Ginger Decoction) to restore Yang. If the Jue resolves and feet become warm, administer Shaoyao Gancao Tang (Peony and Licorice Decoction) next, which will allow the legs to extend. This decoction is purely Yin-nourishing, restoring Yin fluid. When Yin and Yang harmonize, the legs extend. If there is stomach Qi disharmony accompanied by delirium, it indicates pathogenic retention in the Middle Jiao. Administer a small amount of Tiaowei Chengqi Tang (Regulate the Stomach and Order the Qi Decoction). If excessive sweating was performed and moxibustion with burning needles was added, Sini Tang (Frigid Extremities Decoction) is indicated. See the section on Sini Tang for details.
Question: The presentation resembles Yangdan. The *Liuren Shu* states that adding Huangqin (Scutellaria Root) to Guizhi Tang is called Yangdan. Cheng Wuji states it is an alias for Guizhi Tang. Following standard treatment aggravated the condition, leading to Jue ni (reversed cold limbs), dry throat, bilateral calf cramping, and delirium. Why did the illness worsen despite following the method? The Master said: By midnight, the hands and feet should become warm, and the feet should extend. Later, this indeed happened. How was this predicted? Answer: The Cun Kou (inch position) pulse is floating and large. Floating indicates Wind, and large indicates Deficiency. Wind generates slight heat, and deficiency causes calf cramping.
The pathology resembles Guizhi syndrome, so Fuzi (Aconite Lateral Root) was added to Guizhi Tang, forming Guizhi Jia Fuzi Tang (Guizhi Decoction plus Aconite). Increasing Guizhi promotes sweating; Fuzi warms the meridians, addressing the loss of Yang. Jue ni and calf cramping are precursors to Yang loss. With Jue ni, dry throat, and irritability, there is internal binding in the Yangming stage, with Yang floating upward. Delirium and confusion require administering Ganshao Ganjiang Tang again to guide and absorb Yang Qi. By midnight, Yang Qi returns, and the feet become warm. Since the calves remain slightly cramped, administer Shaoyao Gancao Tang again to nourish Yin after Yang has recovered but Yin remains deficient. Subsequently, the calves extend. Use Chengqi Tang; once stools become slightly loose, stop administration to resolve delirium by clearing residual pathogens bound in Yangming. Thus, recovery is anticipated.
From the phrase "pathology resembles Guizhi," the text narrates the therapeutic effects in detail to illustrate that the sequence of medication must be as described. Given the multitude of syndromes, no single formula can treat all cases. One must differentiate syndromes and apply formulas accordingly. The order of application cannot be chaotic. Even if formulas have opposing natures, they should not be avoided due to apparent complexity. Adapt to changes flexibly, acting with divine efficacy yet adhering strictly to principles. Therefore, there is no disease that cannot be cured. It is lamentable that later practitioners attempt to use one formula for all symptoms and seek one herb to cure everything. Alas! How difficult it is.