（即伤寒论中葛根汤。去桂枝大枣。又葛根芩连汤中。去黄连。二方相合之复方也。）
葛根（一两） 黄芩 麻黄（各五钱去节） 芍药（四钱） 甘草（一钱） 生姜（五大片）
上六味。以水四升。先煮葛根麻黄减一升。内诸药。煮取二升。去滓。分温再服。覆取微似汗。
琥按上汤。乃治太阳病发热而渴。不恶寒者。成注云。发热而渴。不恶寒。阳明也。病兼阳明。故以上汤合二经
温热而去之。若自汗出。则此汤又在所当禁用。
治风温之病。脉阴阳俱浮。汗出体重。其息必喘。其形状不仁。嘿嘿但欲眠。下之者。则小便难发其汗者。必谵语。
加烧针者。则耳聋。难言。但吐下之。则遗失便利如此疾者。宜服之方。
葳蕤 白薇 麻黄 独活 杏人 芎 甘草 青木香（各二两） 石膏（三两）
上九味。 咀。以水八升。煮取三升。去滓。分三服。取汗。若一寒一热。加朴硝一分。及大黄三两下之。（活人书
用大羌活。不用独活。加葛根）
琥按上方。乃太阳阳明药也。兼入少阴之剂。其云治风温者。以仲景有风温之病而无方。故特制此汤以补仲景之
未备。但汗。下。被火之后。其变证与仲景则有异。即如发汗后。仲景云。语言难出。此则反云。谵语。又是胃实证。
故方后。复加硝黄也。设加烧针而耳聋者。又不敢下。至于汗后。本方中麻黄。又不宜用。全在医者。因证出入。庶乎
其无误矣。此方已见前第五卷太阳篇后止。分两略殊耳。
（此方即《伤寒论》中的葛根汤。去掉桂枝和大枣；又取葛根黄芩黄连汤，去掉黄连。将这两方合并而成的复方。）
葛根（一两） 黄芩 麻黄（各五钱，去节） 芍药（四钱） 甘草（一钱） 生姜（五大片）
以上六味药，用水四升，先煮葛根和麻黄，水量减少一升后，加入其余药物，煎煮至取药液二升，滤去药渣。分两次温服，服药后覆盖衣被以取得微微似汗的效果。
琥按：上述汤剂，是治疗太阳病（太阳经受邪所致的病证）发热且口渴、不恶寒的病症。成无己注释说：“发热而渴，不恶寒”，这是阳明病（阳明经受邪所致的病证）。病情兼涉阳明经，因此用上述汤剂来清解两经的温热之邪。如果患者已有自汗出，则此汤剂应当禁用。
治疗风温病（感受风热之邪所致的外感热病）。脉象寸关尺三部皆浮，出汗且身体沉重，呼吸必定气喘，肢体感觉麻木不仁，沉默寡言只想睡觉。若误用攻下法，会导致小便困难；若误用发汗法，必然导致谵语（神志不清，胡言乱语）；若误用烧针疗法，会导致耳聋、言语困难。若仅用吐法或下法，会导致大小便失禁。对于出现此类变证的疾病，适宜服用以下方剂。
葳蕤（玉竹） 白薇 麻黄 独活 杏仁 川芎 甘草 青木香（各二两） 石膏（三两）
以上九味药，切碎，用水八升，煎煮至取药液三升，滤去药渣。分三次服用，以取汗为度。如果出现一阵冷一阵热的症状，加朴硝（芒硝）一分，以及大黄三两以攻下积滞。（《类证活人书》使用大羌活，不用独活，并加入葛根。）
琥按：上述方剂，是治疗太阳病和阳明病的药物，兼入少阴经（少阴经受邪所致的病证）。文中说它治疗风温病，是因为张仲景在《伤寒论》中提到了风温病却没有给出方剂，所以特别制定此汤以补充张仲景的未备之处。但是，经过发汗、攻下、火疗之后的变证，与张仲景所述有所不同。例如发汗后，张仲景说“语言难出”，此处反而说“谵语”，这又是胃实证（胃肠实热内结），所以在方后补充加入了硝石和大黄。如果因加用烧针而导致耳聋，又不宜再用攻下法。至于发汗之后，本方中的麻黄也不宜使用。全凭医生根据具体证候灵活加减，才能确保无误。此方已见于前第五卷太阳篇之后，只是分量略有不同罢了。
(This formula is Ge Gen Tang (Kudzu Decoction) from the *Shanghan Lun* (Treatise on Cold Damage). It removes Guizhi Twig (Cinnamon Twig) and Dazao (Jujube); it also takes Gegen Qinlian Tang (Kudzu, Scutellaria, Coptis, and Licorice Decoction), removing Huanglian (Coptis Rhizome). It is a compound formula combining these two.)
Ge Gen (Kudzu Root, one liang) Huangqin (Scutellaria Root) Mahuang (Ephedra Stem, five qian each, remove joints) Shaoyao (Peony Root, four qian) Gancao (Licorice Root, one qian) Shengjiang (Fresh Ginger, five large slices)
Take the above six ingredients. Add four sheng of water. First boil Ge Gen and Mahuang until the volume decreases by one sheng. Then add the remaining herbs. Boil to obtain two sheng of decoction. Strain out the dregs. Divide into two doses and take warm. Cover with blankets to induce a slight sweat resembling mist.
Hu notes: The above decoction treats Taiyang disease (disease pattern caused by pathogenic invasion of the Taiyang channel) characterized by fever, thirst, and absence of aversion to cold. Cheng Wuji commented: "Fever with thirst and no aversion to cold" indicates Yangming disease (disease pattern caused by pathogenic invasion of the Yangming channel). Since the pathology involves both channels, this decoction is used to clear the warm-heat pathogens from both channels. If spontaneous sweating is already present, this decoction should be strictly contraindicated.
It treats Fengwen disease (exterior heat syndrome caused by wind-heat pathogen). The pulse is floating at all three positions (cun, guan, chi). There is sweating and heaviness of the body. Respiration is necessarily panting. The physical condition presents with numbness or lack of sensation. The patient is taciturn and desires sleep. If purgation is mistakenly applied, difficulty in urination results. If diaphoresis is mistakenly induced, delirium ensues. If moxibustion via burning needles is applied, deafness and difficulty in speech result. If only emesis or purgation is used, incontinence of urine and feces occurs. For diseases presenting such complications, the following formula is appropriate.
Weiru (Polygonatum Rhizome/Baihe type, here referring to Yuzhu/Polygonatum odoratum) Baiwei (Anemarrhenae Rhizoma) Mahuang (Ephedra Stem) Duhuo (Angelicae Pubescentis Radix) Xingren (Prunus Seed) Xiong (Ligusticum Chuanxiong Rhizome) Gancao (Licorice Root) Qingmuxiang (Aucklandiae Radix) (each two liang) Shigao (Gypsum Fibrosum, three liang)
Take the above nine ingredients. Crush them. Add eight sheng of water. Boil to obtain three sheng of decoction. Strain out the dregs. Divide into three doses. Induce sweating. If there are alternating chills and fever, add Poxiao (Mirabilite) one fen, and Dahuang (Rhubarb Root) three liang to purge accumulation. (*Leizheng Huoren Shu* uses Da Qianghuo instead of Duhuo, and adds Ge Gen.)
Hu notes: The above formula consists of medicines for Taiyang and Yangming diseases, and also enters the Shaoyin channel (Shaoyin disease pattern). It states it treats Fengwen because Zhang Zhongjing mentioned Fengwen disease in his work but provided no formula; thus, this decoction was specifically created to supplement Zhang Zhongjing's omission. However, the transformation syndromes after sweating, purgation, and fire therapy differ from those described by Zhang Zhongjing. For instance, after sweating, Zhang Zhongjing stated "difficulty in speaking," whereas here it mentions "delirium," indicating Stomach Excess Syndrome (excess heat accumulation in the stomach and intestines). Therefore, Xiaoshi (Niter) and Dahuang are added later in the prescription. If burning needles cause deafness, purgation is again contraindicated. Furthermore, after sweating, Mahuang in this formula should not be used. It entirely depends on the physician to modify the formula according to the specific syndrome to ensure accuracy without error. This formula has already appeared in the latter part of Volume Five, Taiyang Chapter, with only slight differences in dosage.