伤湿肢节不和，舌苔渐黄，口渴喜饮，溺赤烦
冤，此湿遏热蒸。宜用葛根，花粉、黄芩、木通、杏
仁、厚朴、滑石、豆卷、芦根、淡竹叶等味，清肺
理湿也。
上条湿热参半，故宜苦辛凉解。此条热甚于湿，渐灼肺
津，势等燎原，所以肢节欠利，口渴舌黄，烦热溺赤，身中
阴液皆被消烁，岂可再杂温燥，以伤气液。只宜葛根、花粉
清上焦，黄芩、木通宣经隧，杏仁、厚朴运脾气，滑石，芦
根，豆卷、竹叶甘凉淡渗以清气分，庶不致阴伤风动也。
伤湿烦蒸身痛，舌黄尖绎，脉大而洪，此阳明
气热。宜用苍术白虎汤(1)加连翘、元参、杏仁、通草、
芦根、滑石等味，清气化热也。
上条热甚于湿，湿尚留连，故清凉淡渗之中，少杂苦温
以运脾阳。此条湿渐化热，热甚于湿，传入阳明，则蒸热烦
躁，逼犯心营，则舌尖渐绎，脉渐洪大，此邪在阳明，将欲
入营。故用白虎汤加元参、连翘以清气热，合滑石、芦根，
通草甘凉淡渗，以驱湿热，仍用苍术者 以身尚疼痛，余师
未尽耳。
伤湿热不解，舌黄鲜绛，神昏谵语，脉大而数，
(1)苍术白虎汤：《类证活人书》卷十八原作"白虎加苍木汤"
此气血燔蒸，热陷心营。宜用玉女煎加连翘心、元
参心、鲜石斛、鲜菖蒲、青竹叶、牛黄丸等味，两
清气血也。
此条湿尽化热，气血俱病也。热在气分，则舌黄，既灼
血分，则鲜绎，及燎于心营，则神昏谵妄。故用玉女煎之生
地凉血，石膏清气，知母、石斛养胃阴，连翘、元参清内
热，菖蒲，竹叶清心，牛黄丸宣窍，务得气爽神清，不使热
烁津耗，而成痉厥为要。
伤湿导致肢体关节活动不利，舌苔逐渐变黄，口渴想喝水，小便颜色深红且心中烦闷冤屈，这是湿气遏制、热气蒸腾的表现。适宜使用葛根、天花粉、黄芩、木通、杏仁、厚朴、滑石、大豆卷、芦根、淡竹叶等药物，以清肺理湿。
上一条所述是湿热各占一半，所以适宜用苦辛凉解的方法。这一条是热势重于湿邪，逐渐灼伤肺部的津液，病势如同烈火燎原，因此肢体关节不够灵活，口渴、舌苔发黄、心烦发热、小便深红，身体中的阴液都被消耗干涸，怎么可以再混杂温燥的药物，从而损伤气机和阴液呢？只适宜用葛根、天花粉清上焦之热，黄芩、木通宣通经络隧道，杏仁、厚朴运化脾气，滑石、芦根、大豆卷、淡竹叶甘凉淡渗以清除气分之热，这样才不至于导致阴液受伤而引发肝风内动。
伤湿导致心中烦闷蒸热、身体疼痛，舌苔黄、舌尖红绛，脉象大而洪数，这是阳明经气分热盛的表现。适宜使用苍术白虎汤加连翘、玄参、杏仁、通草、芦根、滑石等药物，以清气化热。
上一条是热势重于湿邪，但湿邪尚且留恋不去，所以在清凉淡渗的药物中，稍微混杂一点苦温的药物来运化脾阳。这一条是湿邪逐渐化为热邪，热势重于湿邪，病邪传入阳明经，则出现蒸蒸发热、烦躁不安；逼迫侵犯心包营分，则舌尖逐渐红绛，脉象逐渐变得洪大，这是邪气在阳明经，即将进入营分的表现。所以使用白虎汤加玄参、连翘以清除气分热邪，配合滑石、芦根、通草甘凉淡渗，以驱除湿热，仍然使用苍术是因为身体还有疼痛，说明余邪未尽。
伤湿与热邪久留不解，舌苔黄且鲜红绛色，神志昏迷、胡言乱语，脉象大而快速，这是气血燔灼蒸腾，热邪陷入心包营分。适宜使用玉女煎加连翘心、玄参心、鲜石斛、鲜石菖蒲、青竹叶、牛黄丸等药物，以气血两清。
这一条是湿邪完全化为热邪，气分和血分都受到病变影响。热邪在气分，则舌苔发黄；已经灼伤血分，则舌色鲜红绛；以及热邪燎灼心包营分，则出现神志昏迷、胡言乱语。所以使用玉女煎中的生地黄凉血，石膏清气，知母、石斛滋养胃阴，连翘、玄参清除内热，石菖蒲、竹叶清心，牛黄丸开窍醒神，务必达到气机清爽、神志清醒，不让热邪烁伤津液耗损，从而避免形成痉厥（抽搐昏厥）作为治疗的关键。
Injury by dampness leads to dysfunction of the limbs and joints, the tongue coating gradually turns yellow, thirst with a desire to drink, dark red urine accompanied by vexation and grievance. This is dampness restraining and heat steaming. It is appropriate to use Puerariae Radix (Ge Gen), Trichosanthis Radix (Hua Fen), Scutellariae Radix (Huang Qin), Akebia Caulis (Mu Tong), Armeniacae Semen Amarum (Xing Ren), Magnoliae Officinalis Cortex (Hou Po), Talcum (Hua Shi), Sojae Preparata (Dou Juan), Phragmitis Rhizoma (Lu Gen), and Lophatheri Herba (Dan Zhu Ye) to clear the Lung and regulate dampness.
The preceding clause describes half-dampness and half-heat, thus bitter-pungent cool resolution is suitable. In this clause, heat exceeds dampness, gradually scorching the fluids of the Lung, with a momentum like a spreading fire. Therefore, the limbs and joints are not smooth, there is thirst, yellow tongue coating, vexatious heat, and dark red urine; the yin fluids in the body are all being consumed. How can one again mix warm-drying herbs to damage Qi and fluids? One should only use Puerariae Radix and Trichosanthis Radix to clear the Upper Jiao, Scutellariae Radix and Akebia Caulis to unblock the meridians, Armeniacae Semen Amarum and Magnoliae Officinalis Cortex to move Spleen Qi, and Talcum, Phragmitis Rhizoma, Sojae Preparata, and Lophatheri Herba, which are sweet, cool, and light-leaching, to clear the Qi level, so as to avoid damaging Yin and stirring wind.
Injury by dampness causes vexatious steaming and body pain, yellow tongue coating with a crimson tip, and a large and surging pulse. This is Qi-level heat in the Yangming channel. It is appropriate to use Cangzhu Baihu Tang (Cangzhu White Tiger Decoction) plus Forsythiae Fructus (Lian Qiao), Scrophulariae Radix (Yuan Shen), Armeniacae Semen Amarum, Thunbergia Caulis (Tong Cao), Phragmitis Rhizoma, and Talcum to clear Qi and transform heat.
The preceding clause had heat exceeding dampness, but dampness still lingered, so within the cooling and light-leaching formulas, a little bitter-warm herb was added to move Spleen Yang. In this clause, dampness gradually transforms into heat, and heat exceeds dampness. The pathogen transmits to Yangming, causing steaming heat and restlessness; pressing upon and invading the Ying (Nutritive) level of the Heart, the tongue tip gradually becomes crimson, and the pulse gradually becomes large and surging. This indicates the pathogen is at Yangming and is about to enter Ying. Therefore, Baihu Tang is used with Scrophulariae Radix and Forsythiae Fructus to clear Qi-level heat, combined with Talcum, Phragmitis Rhizoma, and Thunbergia Caula, which are sweet, cool, and light-leaching, to drive out damp-heat. Cangzhu (Atractylodis Rhizoma) is still used because the body still has pain, indicating that residual pathogens remain.
When damp-heat does not resolve, the tongue coating is yellow and fresh crimson, with mental confusion and delirious speech, and a large and rapid pulse. This is Qi and Blood blazing and steaming, with heat sinking into the Ying level of the Heart. It is appropriate to use Yunu Jian (Jade Woman Decoction) plus Forsythiae Calyx (Lian Qiao Xin), Scrophulariae Calyx (Yuan Shen Xin), fresh Dendrobii Caulis (Shi Hu), fresh Acori Tatarinowii Rhizoma (Shi Pu), green Lophatheri Folium (Qing Zhu Ye), and Niuhuang Wan (Calculus Bovis Pill) to clear both Qi and Blood.
This clause involves complete transformation of dampness into heat, affecting both Qi and Blood. Heat at the Qi level causes yellow tongue coating; once it scorches the Blood level, the color becomes fresh crimson; and when it blazes the Ying level of the Heart, mental confusion and delirious speech occur. Therefore, Sheng Dihuang (Rehmanniae Radix) in Yunu Jian is used to cool the Blood, Shigypsum (Gypsum Fibrosum) to clear Qi, Zhi Mu (Anemarrhenae Rhizoma) and Shi Hu to nourish Stomach Yin, Lian Qiao and Yuan Shen to clear internal heat, Shi Pu and Zhu Ye to clear the Heart, and Niuhuang Wan to open orifices. The goal is to achieve clear Qi and lucid spirit, preventing heat from scorching fluids and leading to convulsions and syncope.