1．太阳之为病，脉浮、头项强痛而恶寒。
2．太阳病，发热、汗出、恶风、脉缓者，名为中风。
3．太阳病，或已发热，或未发热，必恶寒、体痛、呕逆、脉阴阳俱紧者，名为伤寒。
4．伤寒一日，太阳受之。脉若静者，为不传；颇欲吐，若躁烦，脉数急者，为传也。
5．伤寒二三日，阳明、少阳证不见者，为不传也。
6．太阳病，发热而渴，不恶寒者，为温病。若发汗已，身灼热者，名风温。风温为病，脉阴阳俱浮、自
汗出、身重、多眠睡、鼻息必鼾、语言难出；若被下者，小便不利、直视失溲；若被火者，微发黄色，剧则如
惊痫，时螈 ；若火熏之，一逆尚引日，再逆促命期。
7．病有发热恶寒者；发于阳也；无热恶寒者，发于阴也。发于阳，七日愈；发于阴，六日愈。以阳数七、
阴数六故也。
8．太阳病，头痛至七日以上自愈者，以行其经尽故也。若欲作再经者，针足阳明，使经不传则愈。
9．太阳病欲解时，从巳至未上。
10．风家，表解而不了了者，十二日愈。
11．病患身大热，反欲得衣者，热在皮肤，寒在骨髓也；身大寒，反不欲近衣者，寒在皮肤，热在骨髓也。
12．太阳中风，阳浮而阴弱，阳浮者，热自发；阴弱者，汗自出。啬啬恶寒，淅淅恶风，翕翕发热，
鼻鸣干呕者，桂枝汤主之。方一。
桂枝（去皮，三两） 芍药（三两） 甘草（炙，二两） 生姜（切，三两） 大枣（擘，十二枚）
上五味， 咀三味，以水七升，微火煮取三升，去滓，适寒温，服一升。服已须臾，啜热稀粥一升余，以
助药力，温覆令一时许，遍身 微似有汗者益佳；不可令如水流离，病必不除。若一服汗出病瘥，停后服，
不必尽剂；若不汗，更服，根据前法；又不汗，后服小促其间，半日许令三服尽。若病重者，一日一夜服，周时
观之，服一剂尽，病证犹在者，更作服；若汗不出，乃服至二、三剂。禁生冷、粘滑、肉面、五辛、酒酪、臭
恶等物。
13．太阳病，头痛、发热、汗出、恶风，桂枝汤主之。方二。（用前第一方。）
14．太阳病，项背强KT KT ，反汗出恶风者，桂枝加葛根汤主之。方三。
葛根（四两） 麻黄（去节，三两） 芍药（二两） 生姜（切，三两） 甘草（炙，二两） 大枣
（擘，十二枚） 桂枝（去皮，二两）
上七味；以水一斗，先煮麻黄、葛根，减二升，去上沫，内诸药，煮取三升，去滓，温服一升。覆
取微似汗，不须啜粥，余如桂枝法将息及禁忌。(臣亿等谨按仲景本论，太阳中风自汗用桂枝，伤寒无汗用麻黄，今
证云汗出恶风，而方中有麻黄，恐非本意也。第三卷有葛根汤证云，
无汗恶风，正与此方同，是合用麻黄也。此云桂枝加葛根汤，恐是桂枝中但加葛根耳。)
15．太阳病，下之后，其气上冲者，可与桂枝汤，方用前法；若不上冲者，不得与之。方四。
16．太阳病三日，已发汗，若吐、若下、若温针，仍不解者，此为坏病，桂枝不中与之也。观其脉证，
知犯何逆，随证治之。桂枝本为解肌，若其人脉浮紧、
发热、汗不出者，不可与之也。常须识此，勿令误也。方五。
17．若酒客病，不可与桂枝汤，得之则呕，以酒客不喜甘故也。
18．喘家，作桂枝汤，加浓朴、杏子佳。方六。
19．凡服桂枝汤吐者，其后必吐脓血也。
20．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。方七。
桂枝（去皮，三两） 芍药（三两） 甘草（炙，三两） 生姜（切，三两） 大枣（擘，十二枚） 附
子（一枚，炮，去皮，破八片）
上六味，以水七升，煮取三升，去滓，温服一升。本云桂枝汤，今加附子，将息如前法。
21．太阳病，下之后，脉促、胸满者，桂枝去芍药汤主之。方八。（促，一作纵。）
桂枝（去皮，三两） 甘草（炙，二两） 生姜（切，三两） 大枣（擘，十二枚）
上四味，以水七升，煮取三升，去滓，温服一升。本云桂枝汤，今去芍药，将息如前法。
22．若微恶寒者，桂枝去芍药加附子汤主之。方九。
桂枝（去皮，三两） 甘草（炙，二两） 生姜（切，三两） 大枣（擘，十二枚） 附子（炮，去皮，
破八片，一枚）
上五味，以水七升，煮取三升，去滓，温服一升。本云桂枝汤，今去芍药，加附子，将息如前法。
23．太阳病，得之八九日，如疟状，发热恶寒，热多寒少，其人不呕，清便欲自可，一日二三度发。脉
微缓者，为欲愈也；脉微而恶寒者，此阴阳俱虚，不可更发汗、更下、更吐也；面色反有热色者，未欲解也，
以其不能得小汗出，身必痒，宜桂枝麻黄各半汤。方十。
桂枝（去皮，一两十六铢） 芍药 生姜（切） 甘草（炙） 麻黄（去节，各一两） 大枣（擘，四枚）
杏仁（汤浸去皮尖及两仁者，二十四枚）
上七味，以水五升，先煮麻黄一二沸，去上沫。内诸药，煮取一升八合，去滓，温服六合，本云桂枝汤三
合，麻黄汤三合，并为六合，顿服，将息如上法。(臣亿等谨按桂枝汤方，桂枝、芍药、生姜各三两，甘草二两，大枣
十
二枚。麻黄汤方，麻黄三两，桂枝二两，甘草一两，杏仁七十个。
今以算法约之，二汤各取三分之一，即得桂枝一两十六铢，芍药、生
姜、甘草各一两，大枣四枚，杏仁二十三个零三分枚之一，收之得二
十四个，合方，详此方乃三分之一，非各半也，宜云合半汤。)
24．太阳病，初服桂枝汤，反烦，不解者，先刺风池、风府，却与桂枝汤则愈。方十一。（用前第一方。）
25．服桂枝汤，大汗出，脉洪大者，与桂枝汤，如前法。若形似疟，一日再发者，汗出必解，宜桂枝二麻
黄一汤。方十二。
桂枝（去皮，一两十七铢） 芍药（一两六铢） 麻黄（去节，十六铢） 生姜（切，一两六铢） 杏仁
（去皮尖，十六个） 甘草（炙，一两二铢） 大枣（擘，五枚）
上七味，以水五升，先煮麻黄一二沸，去上沫，内诸药，煮取二升，去滓，温服一升，日再服。本云
桂枝汤二分、麻黄汤一分，合为二升，分再服。今合为一方，将息如前法。(臣亿等谨按桂枝汤方，桂枝、芍药、生姜
各三两，甘草二两，大枣十二枚。麻黄汤方，麻黄三两，桂
枝二两，甘草一两，杏仁七十个。今以算法约之∶桂枝汤取十二分之五，即得桂枝、芍药、生姜各一两六铢
，甘草二十铢，大枣五枚；麻黄汤取九分之二，即得麻黄十六铢，桂枝十铢三分铢之二，收之得十一铢，
甘草五铢三分铢之一，收之得六铢，杏仁十五个九分枚之四，收之得十六个。二汤所取相合，即共得桂枝一两
十七铢，麻黄十六铢，生姜芍药各一两六铢，甘草一两二铢，大枣五枚，杏仁十六个，合方。)
26．服桂枝汤，大汗出后，大烦渴不解，脉洪大者，
白虎加人参汤主之。方十三。
知母（六两） 石膏（碎，绵裹，一斤） 甘草（炙，二两） 粳米（六合） 人参（三两）
上五味，以水一斗，煮米熟，汤成去滓，温服一升，日三服。
27．太阳病，发热恶寒，热多寒少，脉微弱者，此无阳也。不可发汗，宜桂枝二越婢一汤。方十四。
桂枝（去皮） 芍药 麻黄 甘草（炙，各十八铢） 大枣（擘，四枚） 生姜（切，一两二铢） 石膏
（碎，绵裹，二十四铢）
上七味，以水五升，煮麻黄一二沸，去上沫，内诸药，煮取二升，去滓，温服一升。本
云∶当裁为越婢汤、桂枝汤，合之饮一升；今合为一方，桂枝汤二分、越婢汤一分。(臣亿等谨按桂枝汤
方∶桂枝、芍药、生姜各三两，甘草二两，大枣十二枚。越婢汤方∶麻黄二两，生姜三两，甘草二两，石膏
半斤，大枣十五枚。今以算法约之∶桂枝汤取四分之一，即得桂枝、芍药、生姜各十八铢，甘草十二
铢，大枣三枚；越婢汤取八分之一，即得麻黄十八铢、生姜九铢、甘草六铢、石膏二十四铢，大枣一枚八
分之七，弃之。二汤所取相合，即共得桂枝、芍药、甘草、麻黄各十八铢，生姜一两三铢，石膏二十
四铢，大枣四枚，合方。旧云∶桂枝三，今取四分之一，即当云桂枝二也。越婢汤方，见仲景杂方中。《外
台秘要》∶一云起脾汤。)
28．服桂枝汤，或下之，仍头项强痛、翕翕发热、无汗、心下满微痛、小便不利者，桂枝去桂加茯苓白术
汤主之。方十五。
芍药（三两） 甘草（炙，二两） 生姜（切） 白术 茯苓（各三两） 大枣（擘，十二枚）
上六味，以水八升，煮取三升，去滓，温服一升，小便利则愈。本云桂枝汤，今去桂枝，加茯苓白术。
29．伤寒脉浮、自汗出、小便数、心烦、微恶寒、脚挛急，反与桂枝，欲攻其表，此误也。得之便厥、咽
中干、烦躁吐逆者，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；若胃气
不和谵语者，少与调胃承气汤；若重发汗，复加烧针者，四逆汤主之。方十六。
甘草干姜汤方∶
甘草（炙，四两） 干姜（二两）
上二味，以水三升，煮取一升五合，去滓，分温再服。
芍药甘草汤方∶
白芍药 甘草（炙，各四两）
上二味，以水三升，煮取一升五合，去滓，分温再服。
调胃承气汤方∶
大黄（去皮，清酒洗，四两） 甘草（炙，二两） 芒硝（半升）
上三味，以水三升，煮取一升，去滓，内芒硝，更上火微煮令沸，少少温服之。
四逆汤方∶
甘草（炙，二两） 干姜（一两半） 附子（生用，去皮，破八片，一枚）
上三味，以水三升，煮取一升二合，去滓，分温再服。强人可大附子一枚、干姜三两。
30．问曰∶证象阳旦，按法治之而增剧，厥逆、咽中干、两胫拘急而谵语。师曰∶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；浮为风，大为虚，风则生微热，虚则两胫挛。病形象桂
枝，因加附子参其间，增桂令汗出，附子温经，亡阳故也。厥逆、咽中干、烦躁、阳明内结、谵语烦乱，更饮
甘草干姜汤，夜半阳气还，两足当热，胫尚微拘急，重与芍药甘草汤，尔乃胫伸；以承气汤微溏，则止其谵语。
故知病可愈。
1. 太阳病（太阳经受邪所致的病证）的脉证表现是：脉象浮，头痛且颈项僵硬疼痛，并且怕冷。
2. 太阳病，出现发热、出汗、怕风、脉象缓弱的，称为中风（外感风邪）。
3. 太阳病，无论是否已经发热，一定怕冷、身体疼痛、呕吐气逆、寸关尺三部脉象都紧的，称为伤寒（外感寒邪）。
4. 伤寒第一天，太阳经接受病邪。如果脉象平静不数急，说明病邪没有传变；如果很想呕吐，或者烦躁不安，脉象数而急促，说明病邪已经传变。
5. 伤寒两三天后，如果没有出现阳明病（阳明经受邪）和少阳病（少阳经受邪）的证候，说明病邪没有传变。
6. 太阳病，发热且口渴，不怕冷的，是温病（温热之邪致病）。如果发汗之后，身体灼热厉害的，名叫风温。风温这种病，寸关尺脉象都浮，自动出汗，身体沉重，嗜睡，呼吸必有鼾声，说话困难；如果误用泻下法，会导致小便不通利、两眼直视、大小便失禁；如果误用火疗，轻者皮肤微黄，重者像惊痫一样抽搐；如果用火熏蒸，一次误治还能拖延时日，再次误治就会缩短寿命。
7. 疾病有发热怕冷的，是发于阳经；无热怕冷的，是发于阴经。发于阳经的，七天痊愈；发于阴经的，六天痊愈。这是因为阳数是七，阴数是六的缘故。
8. 太阳病，头痛持续到七天以上自然痊愈的，是因为病邪在经脉中运行完毕的缘故。如果病邪想要传入下一经，针刺足阳明经的穴位，使病邪不传变就能痊愈。
9. 太阳病想要解除的时间，是从巳时（上午9-11点）到未时（下午1-3点）。
10. 患风病的人，表证解除但身体仍不舒服的，十二天会痊愈。
11. 病人身体非常热，反而想穿衣服的，是热在皮肤表面，寒在骨髓深处；身体非常冷，反而不想靠近衣服的，是寒在皮肤表面，热在骨髓深处。
12. 太阳中风，脉象阳部浮而阴部弱，阳浮所以发热自然产生；阴弱所以汗液自然流出。瑟瑟地怕冷，淅淅地怕风，翕翕地发热，鼻塞鸣响且干呕的，用桂枝汤主治。
桂枝（去皮，三两） 芍药（三两） 甘草（炙，二两） 生姜（切，三两） 大枣（擘开，十二枚）
以上五味药，切碎三味，用水七升，小火煮取三升，去掉药渣，待温度适宜，服用一升。服完药片刻后，喝热稀粥一升多，以助药力，盖上被子保温约一个时辰，让全身微微似有汗出最好；不可让汗水像水流一样淋漓，否则病一定不除。如果服一次药出汗病好了，就停止后服，不必喝完药剂；如果不出汗，再服，按照前面的方法；还不出汗，后服药的时间间隔缩短，半天左右让三次药服完。如果病重的，一天一夜服用，随时观察，服完一剂药，病证还在的，再制作服用；如果汗不出，就服到二、三剂。禁止吃生冷、粘滑、肉类面食、五辛、酒酪、臭恶等食物。
13. 太阳病，头痛、发热、出汗、怕风的，用桂枝汤主治。（使用前第一方。）
14. 太阳病，项背强直拘急，反而出汗怕风的，用桂枝加葛根汤主治。
葛根（四两） 麻黄（去节，三两） 芍药（二两） 生姜（切，三两） 甘草（炙，二两） 大枣（擘开，十二枚） 桂枝（去皮，二两）
以上七味药，用水一斗，先煮麻黄、葛根，减少二升，去掉上面的泡沫，放入其他药，煮取三升，去掉药渣，温服一升。盖被取微似汗出，不需要喝粥，其余调护和禁忌同桂枝汤法。（臣亿等谨按：张仲景原论中，太阳中风自汗用桂枝，伤寒无汗用麻黄，现在证候说汗出怕风，而方中有麻黄，恐怕不是本意。第三卷有葛根汤证说无汗怕风，正与此方相同，是应该用麻黄的。这里说桂枝加葛根汤，恐怕是桂枝汤中只加葛根而已。）
15. 太阳病，泻下之后，气向上冲逆的，可以给桂枝汤，用法同前；如果气不上冲的，不能给此方。
16. 太阳病三天，已经发过汗，或者吐过、泻下过、用过温针，仍然不解的，这是坏病（误治后的变证），桂枝汤不适合给了。观察他的脉象和证候，知道犯了什么错误，随证治疗。桂枝汤本是解肌表的，如果病人脉象浮紧、发热、不出汗的，不可给此方。常须记住这点，不要弄错。
17. 如果是经常喝酒的人患病，不可给桂枝汤，喝了就会呕吐，因为喝酒的人不喜欢甜味。
18. 平素喘息的病人，制作桂枝汤时，加厚朴、杏子好。
19. 凡是服桂枝汤呕吐的，以后一定会吐脓血。
20. 太阳病，发汗后，于是汗漏不止，病人怕风，小便困难，四肢轻微拘急，难以屈伸的，用桂枝加附子汤主治。
桂枝（去皮，三两） 芍药（三两） 甘草（炙，三两） 生姜（切，三两） 大枣（擘开，十二枚） 附子（一枚，炮制，去皮，破成八片）
以上六味药，用水七升，煮取三升，去掉药渣，温服一升。原本是桂枝汤，现在加附子，调护如前法。
21. 太阳病，泻下之后，脉象促急、胸满的，用桂枝去芍药汤主治。（促，一作纵。）
桂枝（去皮，三两） 甘草（炙，二两） 生姜（切，三两） 大枣（擘开，十二枚）
以上四味药，用水七升，煮取三升，去掉药渣，温服一升。原本是桂枝汤，现在去芍药，调护如前法。
22. 如果轻微怕冷的，用桂枝去芍药加附子汤主治。
桂枝（去皮，三两） 甘草（炙，二两） 生姜（切，三两） 大枣（擘开，十二枚） 附子（炮制，去皮，破成八片，一枚）
以上五味药，用水七升，煮取三升，去掉药渣，温服一升。原本是桂枝汤，现在去芍药，加附子，调护如前法。
23. 太阳病，得病八九天，像疟疾一样，发热怕冷，热多寒少，病人不呕吐，大小便基本正常，一天发作两三次。脉象微缓的，是要痊愈了；脉象微细且怕冷的，这是阴阳俱虚，不可再发汗、再泻下、再催吐；面色反而有热色的，是病未欲解，因为不能得出小汗，身体一定痒，宜用桂枝麻黄各半汤。
桂枝（去皮，一两十六铢） 芍药 生姜（切） 甘草（炙） 麻黄（去节，各一两） 大枣（擘开，四枚） 杏仁（热水浸泡去皮尖及双仁者，二十四枚）
以上七味药，用水五升，先煮麻黄一二沸，去掉上沫。放入其他药，煮取一升八合，去掉药渣，温服六合，原本说是桂枝汤三合，麻黄汤三合，合并为六合，一次服下，调护如上法。（臣亿等谨按：桂枝汤方，桂枝、芍药、生姜各三两，甘草二两，大枣十二枚。麻黄汤方，麻黄三两，桂枝二两，甘草一两，杏仁七十个。现在用算法约算，二汤各取三分之一，即得桂枝一两十六铢，芍药、生姜、甘草各一两，大枣四枚，杏仁二十三个零三分枚之一，收整得二十四个，合方，详细看此方乃是三分之一，并非各半，宜称为合半汤。）
24. 太阳病，初服桂枝汤，反而心烦，病不解的，先针刺风池、风府穴，再给桂枝汤就会痊愈。（使用前第一方。）
25. 服桂枝汤，大汗出，脉象洪大的，给桂枝汤，如前法。如果形状像疟疾，一天发作两次的，汗出必解，宜用桂枝二麻黄一汤。
桂枝（去皮，一两十七铢） 芍药（一两六铢） 麻黄（去节，十六铢） 生姜（切，一两六铢） 杏仁（去皮尖，十六个） 甘草（炙，一两二铢） 大枣（擘开，五枚）
以上七味药，用水五升，先煮麻黄一二沸，去掉上沫，放入其他药，煮取二升，去掉药渣，温服一升，一天服两次。原本说是桂枝汤二分、麻黄汤一分，合为二升，分两次服。现在合为一个方，调护如前法。（臣亿等谨按：桂枝汤方，桂枝、芍药、生姜各三两，甘草二两，大枣十二枚。麻黄汤方，麻黄三两，桂枝二两，甘草一两，杏仁七十个。现在用算法约算：桂枝汤取十二分之五，即得桂枝、芍药、生姜各一两六铢，甘草二十铢，大枣五枚；麻黄汤取九分之二，即得麻黄十六铢，桂枝十铢三分铢之二，收整得十一铢，甘草五铢三分铢之一，收整得六铢，杏仁十五个九分枚之四，收整得十六个。二汤所取相合，即共得桂枝一两十七铢，麻黄十六铢，生姜芍药各一两六铢，甘草一两二铢，大枣五枚，杏仁十六个，合方。）
26. 服桂枝汤，大汗出后，大烦渴不解，脉象洪大的，用白虎加人参汤主治。
知母（六两） 石膏（碎，棉布包裹，一斤） 甘草（炙，二两） 粳米（六合） 人参（三两）
以上五味药，用水一斗，煮到米熟，汤成去掉药渣，温服一升，一天服三次。
27. 太阳病，发热怕冷，热多寒少，脉象微弱的，这是无阳（阳气虚）。不可发汗，宜用桂枝二越婢一汤。
桂枝（去皮） 芍药 麻黄 甘草（炙，各十八铢） 大枣（擘开，四枚） 生姜（切，一两二铢） 石膏（碎，棉布包裹，二十四铢）
以上七味药，用水五升，煮麻黄一二沸，去掉上沫，放入其他药，煮取二升，去掉药渣，温服一升。原本说：应当裁减为越婢汤、桂枝汤，合起来饮一升；现在合为一个方，桂枝汤二分、越婢汤一分。（臣亿等谨按：桂枝汤方：桂枝、芍药、生姜各三两，甘草二两，大枣十二枚。越婢汤方：麻黄二两，生姜三两，甘草二两，石膏半斤，大枣十五枚。现在用算法约算：桂枝汤取四分之一，即得桂枝、芍药、生姜各十八铢，甘草十二铢，大枣三枚；越婢汤取八分之一，即得麻黄十八铢、生姜九铢、甘草六铢、石膏二十四铢，大枣一枚八分之七，弃之不用。二汤所取相合，即共得桂枝、芍药、甘草、麻黄各十八铢，生姜一两三铢，石膏二十四铢，大枣四枚，合方。旧说：桂枝三，现在取四分之一，即应当说桂枝二。越婢汤方，见张仲景杂方中。《外台秘要》：一说叫起脾汤。）
28. 服桂枝汤，或者泻下后，仍然头项强痛、翕翕发热、无汗、心下满微痛、小便不利的，用桂枝去桂加茯苓白术汤主治。
芍药（三两） 甘草（炙，二两） 生姜（切） 白术 茯苓（各三两） 大枣（擘开，十二枚）
以上六味药，用水八升，煮取三升，去掉药渣，温服一升，小便通利则痊愈。原本是桂枝汤，现在去桂枝，加茯苓白术。
29. 伤寒脉浮、自汗出、小便频数、心烦、轻微怕冷、脚挛急，反而给桂枝汤，想攻其表，这是错误的。得到这个结果便四肢厥冷、咽喉干燥、烦躁呕吐气逆的，制作甘草干姜汤给他，以恢复其阳气。如果厥冷愈后脚温的，再制作芍药甘草汤给他，他的脚就能伸直；如果胃气不和说胡话的，少给调胃承气汤；如果重发汗，又加烧针的，用四逆汤主治。
甘草干姜汤方：
甘草（炙，四两） 干姜（二两）
以上二味药，用水三升，煮取一升五合，去掉药渣，分两次温服。
芍药甘草汤方：
白芍药 甘草（炙，各四两）
以上二味药，用水三升，煮取一升五合，去掉药渣，分两次温服。
调胃承气汤方：
大黄（去皮，清酒洗，四两） 甘草（炙，二两） 芒硝（半升）
以上三味药，用水三升，煮取一升，去掉药渣，放入芒硝，再上火微煮令沸腾，少量温服。
四逆汤方：
甘草（炙，二两） 干姜（一两半） 附子（生用，去皮，破成八片，一枚）
以上三味药，用水三升，煮取一升二合，去掉药渣，分两次温服。强壮的人可用大附子一枚、干姜三两。
30. 问曰：证候像阳旦证，按法治之却加重，四肢厥逆、咽喉干燥、两小腿拘急而且说胡话。老师说：半夜手足应当温暖，两脚应当伸展。后来正如老师所说，怎么知道这样的？答曰：寸口脉浮而大；浮为风邪，大为虚，风则生微热，虚则两小腿痉挛。病形象桂枝证，因而加附子参入其中，增加桂枝令汗出，附子温经，是因为亡阳的缘故。四肢厥逆、咽喉干燥、烦躁、阳明内结、说胡话烦乱，再饮甘草干姜汤，半夜阳气回复，两足应当热，小腿尚微拘急，重给芍药甘草汤，于是小腿伸展；用承气汤使大便微溏，则止住其说胡话。所以知道病可愈。
1. The manifestation of Taiyang Disease (disease caused by pathogen invading the Taiyang meridian) is characterized by a floating pulse, headache and stiffness/pain in the head and nape, and aversion to cold.
2. In Taiyang Disease, if there is fever, sweating, aversion to wind, and a slow/moderate pulse, it is named Zhong Feng (Wind Strike).
3. In Taiyang Disease, whether fever has developed or not, there must be aversion to cold, body pain, vomiting/counterflow qi, and a tight pulse in both Yin and Yang positions; this is named Shang Han (Cold Damage).
4. On the first day of Shang Han, the Taiyang meridian receives the pathogen. If the pulse is calm, the disease does not transmit; if there is a strong desire to vomit, or irritability/restlessness, and the pulse is rapid and urgent, the disease is transmitting.
5. If after two or three days of Shang Han, symptoms of Yangming Disease and Shaoyang Disease do not appear, the disease has not transmitted.
6. In Taiyang Disease, if there is fever and thirst, but no aversion to cold, it is Wen Bing (Warm Disease). If after inducing sweating, the body becomes scorching hot, it is named Feng Wen (Wind-Warmth). Feng Wen is characterized by a floating pulse in both Yin and Yang positions, spontaneous sweating, heavy body, drowsiness, snoring during breathing, and difficulty speaking. If purgation is mistakenly applied, it leads to difficult urination, fixed gaze, and incontinence. If fire therapy is mistakenly applied, mild cases develop slight yellowing of the skin, while severe cases resemble convulsive epilepsy with spasms. If smoked with fire, one mistake may prolong life slightly, but a second mistake will hasten death.
7. Diseases with fever and aversion to cold originate in the Yang meridians; diseases without fever but with aversion to cold originate in the Yin meridians. Those originating in Yang heal in seven days; those originating in Yin heal in six days. This is because the Yang number is seven and the Yin number is six.
8. In Taiyang Disease, if headache persists for more than seven days and then heals spontaneously, it is because the pathogen has completed its course through the meridian. If the pathogen intends to transmit to the next meridian, acupuncture at the Foot Yangming meridian prevents transmission and leads to recovery.
9. The time when Taiyang Disease tends to resolve is from Si hour (09:00-11:00) to Wei hour (13:00-15:00).
10. For patients with Wind disorders, if the exterior syndrome resolves but they still feel unwell, they will recover in twelve days.
11. If a patient has high body heat but desires clothing, the heat is in the skin while cold is in the bones/marrow. If the patient feels very cold but rejects clothing, the cold is in the skin while heat is in the bones/marrow.
12. In Taiyang Zhong Feng, the Yang pulse is floating and the Yin pulse is weak. Floating Yang indicates spontaneous heat generation; weak Yin indicates spontaneous sweating. Symptoms include shivering aversion to cold, rustling aversion to wind, mild fever, nasal congestion with sound, and dry retching. Guizhi Tang (Cinnamon Twig Decoction) is the main treatment.
Guizhi (Ramulus Cinnamomi, peeled, 3 liang), Shaoyao (Radix Paeoniae Alba, 3 liang), Gancao (Radix Glycyrrhizae Preparata, 2 liang), Shengjiang (Rhizoma Zingiberis Recens, sliced, 3 liang), Dazao (Fructus Jujubae, broken, 12 pieces).
Decoct the above five ingredients. Crush three ingredients. Use 7 sheng of water, simmer over low heat to obtain 3 sheng, remove dregs. Take 1 sheng at a suitable temperature. Shortly after taking, drink over 1 sheng of hot thin porridge to assist medicinal power. Cover with bedding for about one shichen (2 hours) to induce mild sweating all over the body; profuse sweating like flowing water must be avoided, otherwise the disease will not be eliminated. If sweating occurs and the disease resolves after one dose, stop subsequent doses; the full dose need not be consumed. If no sweating occurs, take another dose according to the previous method. If still no sweating, shorten the interval between subsequent doses, completing three doses within half a day. For severe cases, administer day and night, observing continuously. If one dose is finished but symptoms persist, prepare another dose. If sweating does not occur, up to two or three doses may be administered. Avoid raw/cold, sticky/slipy, meat/noodle, five pungent spices, alcohol/dairy, and foul-smelling foods.
13. In Taiyang Disease, with headache, fever, sweating, and aversion to wind, Guizhi Tang (Cinnamon Twig Decoction) is the main treatment. (Use the first formula above.)
14. In Taiyang Disease, with stiffness and tension in the nape and back, and conversely with sweating and aversion to wind, Guizhi Jia Gegen Tang (Cinnamon Twig Decoction plus Kudzu Root) is the main treatment.
Gegen (Radix Puerariae Lobatae, 4 liang), Mahuang (Herba Ephedrae, nodes removed, 3 liang), Shaoyao (Radix Paeoniae Alba, 2 liang), Shengjiang (Rhizoma Zingiberis Recens, sliced, 3 liang), Gancao (Radix Glycyrrhizae Preparata, 2 liang), Dazao (Fructus Jujubae, broken, 12 pieces), Guizhi (Ramulus Cinnamomi, peeled, 2 liang).
Decoct the above seven ingredients. Use 1 dou of water. First decoct Mahuang and Gegen, reducing by 2 sheng, skim off the foam. Add other ingredients, decoct to obtain 3 sheng, remove dregs. Take 1 sheng warm. Cover to induce mild sweating. Porridge is not required. Other care and contraindications follow the Guizhi Tang method. (Note by Chen Yi et al.: In Zhang Zhongjing's original text, Guizhi is used for Taiyang Zhong Feng with spontaneous sweating, and Mahuang for Shang Han without sweating. Here, the symptom is sweating with aversion to wind, yet Mahuang is in the formula, which may not be the original intent. Volume 3 mentions Ge Gen Tang for no sweating with aversion to wind, which matches this formula's use of Mahuang. The name "Guizhi Jia Gegen Tang" here likely implies adding only Gegen to Guizhi Tang.)
15. In Taiyang Disease, after purgation, if qi rushes upward, Guizhi Tang may be given using the previous method. If qi does not rush upward, it must not be given.
16. In Taiyang Disease, after three days, if sweating, vomiting, purgation, or warm needle therapy has been applied but the disease remains unresolved, this is a Huai Bing (Mishandled Disease). Guizhi Tang is not suitable. Observe the pulse and symptoms to identify the error and treat accordingly. Guizhi Tang is originally for releasing the muscle layer. If the patient has a floating and tight pulse, fever, and no sweating, it must not be given. Always remember this to avoid errors.
17. For patients who are habitual drinkers, Guizhi Tang must not be given, as it will cause vomiting; drinkers dislike sweetness.
18. For patients with chronic asthma, when preparing Guizhi Tang, adding Houpo (Cortex Magnoliae Officinalis) and Xingzi (Semen Armeniacae Amarum) is beneficial.
19. Anyone who vomits after taking Guizhi Tang will subsequently vomit pus and blood.
20. In Taiyang Disease, after sweating, if sweating leaks incessantly, the patient has aversion to wind, difficult urination, slight spasms in the four limbs, and difficulty flexing/extending, Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction plus Aconite) is the main treatment.
Guizhi (Ramulus Cinnamomi, peeled, 3 liang), Shaoyao (Radix Paeoniae Alba, 3 liang), Gancao (Radix Glycyrrhizae Preparata, 3 liang), Shengjiang (Rhizoma Zingiberis Recens, sliced, 3 liang), Dazao (Fructus Jujubae, broken, 12 pieces), Fuzi (Radix Aconiti Lateralis Preparata, 1 piece, processed, peeled, broken into 8 slices).
Decoct the above six ingredients. Use 7 sheng of water, decoct to obtain 3 sheng, remove dregs. Take 1 sheng warm. Originally Guizhi Tang, now with added Fuzi; care follows the previous method.
21. In Taiyang Disease, after purgation, if the pulse is hurried (Cu) and there is chest fullness, Guizhi Qu Shaoyao Tang (Cinnamon Twig Decoction minus Peony) is the main treatment. (Cu also interpreted as Zong.)
Guizhi (Ramulus Cinnamomi, peeled, 3 liang), Gancao (Radix Glycyrrhizae Preparata, 2 liang), Shengjiang (Rhizoma Zingiberis Recens, sliced, 3 liang), Dazao (Fructus Jujubae, broken, 12 pieces).
Decoct the above four ingredients. Use 7 sheng of water, decoct to obtain 3 sheng, remove dregs. Take 1 sheng warm. Originally Guizhi Tang, now with Shaoyao removed; care follows the previous method.
22. If there is slight aversion to cold, Guizhi Qu Shaoyao Jia Fuzi Tang (Cinnamon Twig Decoction minus Peony plus Aconite) is the main treatment.
Guizhi (Ramulus Cinnamomi, peeled, 3 liang), Gancao (Radix Glycyrrhizae Preparata, 2 liang), Shengjiang (Rhizoma Zingiberis Recens, sliced, 3 liang), Dazao (Fructus Jujubae, broken, 12 pieces), Fuzi (Radix Aconiti Lateralis Preparata, processed, peeled, broken into 8 slices, 1 piece).
Decoct the above five ingredients. Use 7 sheng of water, decoct to obtain 3 sheng, remove dregs. Take 1 sheng warm. Originally Guizhi Tang, now with Shaoyao removed and Fuzi added; care follows the previous method.
23. In Taiyang Disease, after eight or nine days, if symptoms resemble malaria with fever and aversion to cold, more heat than cold, no vomiting, normal bowel/bladder function, and episodes occurring 2-3 times a day: if the pulse is slightly slow/moderate, recovery is imminent. If the pulse is faint and there is aversion to cold, this indicates deficiency of both Yin and Yang; further sweating, purgation, or vomiting must not be induced. If the face shows a flushed/hot color, the disease is not resolving due to inability to sweat slightly, causing body itching. Guizhi Mahuang Ge Ban Tang (Half-and-Half Decoction of Cinnamon Twig and Ephedra) is suitable.
Guizhi (Ramulus Cinnamomi, peeled, 1 liang 16 zhu), Shaoyao (Radix Paeoniae Alba), Shengjiang (Rhizoma Zingiberis Recens, sliced), Gancao (Radix Glycyrrhizae Preparata), Mahuang (Herba Ephedrae, nodes removed, each 1 liang), Dazao (Fructus Jujubae, broken, 4 pieces), Xingren (Semen Armeniacae Amarum, soaked in hot water, skin/tips removed, 24 pieces).
Decoct the above seven ingredients. Use 5 sheng of water. First boil Mahuang 1-2 times, skim foam. Add other ingredients, decoct to obtain 1 sheng 8 he, remove dregs. Take 6 he warm. Originally stated as mixing 3 he of Guizhi Tang and 3 he of Mahuang Tang for a single dose; care follows the previous method. (Note by Chen Yi et al.: Based on calculations, this formula represents one-third of each original decoction, not half-and-half; it should be called He Ban Tang.)
24. In Taiyang Disease, if initial administration of Guizhi Tang causes vexation and no resolution, first acupuncture Fengchi (GB20) and Fengfu (GV16) points, then administer Guizhi Tang for recovery. (Use the first formula above.)
25. After taking Guizhi Tang, if profuse sweating occurs and the pulse becomes surging/large, administer Guizhi Tang as before. If symptoms resemble malaria with two episodes per day, sweating will resolve it; Guizhi Er Mahuang Yi Tang (Two-parts Cinnamon Twig One-part Ephedra Decoction) is suitable.
Guizhi (Ramulus Cinnamomi, peeled, 1 liang 17 zhu), Shaoyao (Radix Paeoniae Alba, 1 liang 6 zhu), Mahuang (Herba Ephedrae, nodes removed, 16 zhu), Shengjiang (Rhizoma Zingiberis Recens, sliced, 1 liang 6 zhu), Xingren (Semen Armeniacae Amarum, skin/tips removed, 16 pieces), Gancao (Radix Glycyrrhizae Preparata, 1 liang 2 zhu), Dazao (Fructus Jujubae, broken, 5 pieces).
Decoct the above seven ingredients. Use 5 sheng of water. First boil Mahuang 1-2 times, skim foam. Add other ingredients, decoct to obtain 2 sheng, remove dregs. Take 1 sheng warm, twice daily. Originally stated as mixing 2 parts Guizhi Tang and 1 part Mahuang Tang for 2 sheng, divided into two doses. Now combined into one formula; care follows the previous method.
26. After taking Guizhi Tang, if profuse sweating is followed by severe vexation, thirst, unresolved symptoms, and a surging/large pulse, Baihu Jia Renshen Tang (White Tiger Decoction plus Ginseng) is the main treatment.
Zhimu (Rhizoma Anemarrhenae, 6 liang), Shigao (Gypsum Fibrosum, crushed, wrapped in cotton, 1 jin), Gancao (Radix Glycyrrhizae Preparata, 2 liang), Jingmi (Semen Oryzae, 6 he), Renshen (Radix Ginseng, 3 liang).
Decoct the above five ingredients. Use 1 dou of water. Cook until rice is done. Remove dregs. Take 1 sheng warm, three times daily.
27. In Taiyang Disease, with fever and aversion to cold, more heat than cold, and a faint/weak pulse, this indicates Yang deficiency. Sweating must not be induced. Guizhi Er Yuebi Yi Tang (Two-parts Cinnamon Twig One-part Yuebi Decoction) is suitable.
Guizhi (Ramulus Cinnamomi, peeled), Shaoyao (Radix Paeoniae Alba), Mahuang (Herba Ephedrae), Gancao (Radix Glycyrrhizae Preparata, each 18 zhu), Dazao (Fructus Jujubae, broken, 4 pieces), Shengjiang (Rhizoma Zingiberis Recens, sliced, 1 liang 2 zhu), Shigao (Gypsum Fibrosum, crushed, wrapped in cotton, 24 zhu).
Decoct the above seven ingredients. Use 5 sheng of water. First boil Mahuang 1-2 times, skim foam. Add other ingredients, decoct to obtain 2 sheng, remove dregs. Take 1 sheng warm. Originally stated as combining Yuebi Tang and Guizhi Tang; now combined into one formula with 2 parts Guizhi Tang and 1 part Yuebi Tang.
28. After taking Guizhi Tang or purgation, if headache/stiffness in head/nape, mild fever, no sweating, fullness/slight pain below the heart, and difficult urination persist, Guizhi Qu Gui Jia Fuling Baizhu Tang (Cinnamon Twig Decoction minus Cinnamon Twig plus Poria and Atractylodes Macrocephala) is the main treatment.
Shaoyao (Radix Paeoniae Alba, 3 liang), Gancao (Radix Glycyrrhizae Preparata, 2 liang), Shengjiang (Rhizoma Zingiberis Recens, sliced), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria, each 3 liang), Dazao (Fructus Jujubae, broken, 12 pieces).
Decoct the above six ingredients. Use 8 sheng of water, decoct to obtain 3 sheng, remove dregs. Take 1 sheng warm. Recovery occurs when urination becomes free. Originally Guizhi Tang, now with Guizhi removed and Fuling/Baizhu added.
29. In Shang Han, with floating pulse, spontaneous sweating, frequent urination, vexation, slight aversion to cold, and calf spasms, mistakenly administering Guizhi Tang to attack the exterior is an error. This leads to cold reversal of limbs, dry throat, irritability, and vomiting/counterflow qi. Prepare Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction) to restore Yang. If cold reversal resolves and feet become warm, prepare Shaoyao Gancao Tang (Peony and Licorice Decoction) to extend the legs. If stomach disharmony causes delirium, give a small amount of Tiaowei Chengqi Tang (Stomach-Regulating Order-the-Qi Decoction). If heavy sweating and burning needles were used, Sini Tang (Frigid Extremities Decoction) is the main treatment.
Gancao Ganjiang Tang: Gancao (Radix Glycyrrhizae Preparata, 4 liang), Ganjiang (Rhizoma Zingiberis, 2 liang). Decoct in 3 sheng water to 1.5 sheng, remove dregs, divide into two warm doses.
Shaoyao Gancao Tang: Baishaoyao (Radix Paeoniae Alba), Gancao (Radix Glycyrrhizae Preparata, each 4 liang). Decoct in 3 sheng water to 1.5 sheng, remove dregs, divide into two warm doses.
Tiaowei Chengqi Tang: Dahuang (Radix et Rhizoma Rhei, peeled, washed with clear wine, 4 liang), Gancao (Radix Glycyrrhizae Preparata, 2 liang), Mangxiao (Natrii Sulfas, 0.5 sheng). Decoct first three in 3 sheng water to 1 sheng, remove dregs, add Mangxiao, boil briefly. Take small amounts warm.
Sini Tang: Gancao (Radix Glycyrrhizae Preparata, 2 liang), Ganjiang (Rhizoma Zingiberis, 1.5 liang), Fuzi (Radix Aconiti Lateralis, raw, peeled, broken into 8 slices, 1 piece). Decoct in 3 sheng water to 1.2 sheng, remove dregs, divide into two warm doses. Strong individuals may use 1 large Fuzi and 3 liang Ganjiang.
30. Question: The syndrome resembled Yangdan, but treatment worsened it, causing cold reversal, dry throat, calf spasms, and delirium. The Master said: "Hands and feet will warm at midnight, and legs will extend." It happened as predicted. How was this known? Answer: The Cun Kou pulse was floating and large. Floating indicates Wind; large indicates Deficiency. Wind generates slight heat; deficiency causes calf spasms. The disease resembled Guizhi pattern, so Fuzi was added to warm the meridians due to Yang collapse. Cold reversal, dry throat, irritability, Yangming internal binding, and delirium were treated with Gancao Ganjiang Tang. At midnight, Yang returned, feet warmed. Calves remained slightly spasmodic, so Shaoyao Gancao Tang was given again to extend them. Chengqi Tang was used to loosen stools slightly, stopping delirium. Thus, recovery was predicted.