丁香（五个） 柿蒂（五个） 甘草（炙，五分） 干姜（一钱
为末，沸汤点服，为妙。
（ 即恼字，古通用）
懊 ，心中郁郁不舒，比之烦闷有甚焉者。由表邪未尽，乘虚内陷，结伏于心胸之间也
栀子（三钱） 香豉（五钱
水煎服，服后，随手探吐之。若加枳实，名枳实栀子豉汤，治前证，并伤饮食。
昏冒而神不清，俗谓昏愦是也。经云∶诸虚乘寒者，则为厥，郁冒不仁，此寒气上逆也
法当温补。又阳明证，小便不利，大便乍难乍易，时有微热，喘冒不得卧，有燥屎也，法
当下之。又伤寒传至五六日间，渐变神昏不语，形貌如醉，或睡中独语一二句，与之以水则
咽，不与则不思，医者不识，投以承气则误矣。盖不知此热传手厥阴心胞络经也。与食则咽
邪不在胃也。不与则不思，神昏故也。邪热既不在胃，而在心胞，宜用导赤散，合黄连解
木通（一钱五分） 生地（三钱） 赤茯苓（二钱） 灯心（二十节
水煎服。
气从少腹上冲心而痛，如江豚之上窜，此下焦阴冷之气，宜用姜附汤，加肉桂、吴萸肉
、茯苓主之。或以橘核、小茴、川楝子佐之，尤效。
病患身大热，反欲得近衣者，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。
窃谓身热，反欲得近衣者，伤寒外感之属也；身寒，反不欲近衣者，热邪内郁之候也。
然亦有欲得近衣而为内热者，火极似水也；亦有不欲近衣而为里寒者，水极似火也。是
丁香（五个） 柿蒂（五个） 甘草（炙，五分） 干姜（一钱）
研为细末，用沸水冲服，效果更佳。
（“懊”即“恼”字，古时通用）
懊憹（ào nǎo），指心中郁郁不舒的感觉，比一般的烦闷更为严重。这是由于表邪未尽，乘虚内陷，结伏在心胸之间所致。
栀子（三钱） 香豉（五钱）
加水煎服，服用后，随即探喉催吐。如果加入枳实，则称为枳实栀子豉汤，用于治疗上述证候，以及因饮食积滞引起的病症。
昏冒而神志不清，俗称昏愦。《内经》说：各种虚证兼受寒邪的，就会发生厥逆，出现郁冒和麻木不仁，这是寒气上逆的缘故。
治疗方法应当温补。另外，如果是阳明病证，小便不利，大便时而困难时而容易，偶尔有轻微发热，气喘且头昏不能卧床，这是因为体内有燥屎，治疗方法应当攻下。还有，伤寒传变到五六天之间，逐渐变为神志昏迷、不说话，外貌像喝醉了一样，或者在睡梦中独自说一两句话，给水喝就能咽下，不给就不想吃，医生如果不认识这种病状，误投承气汤就错了。这是因为不知道此热邪已经传入手厥阴心包络经。给食物吃能咽下，说明邪气不在胃中。不给就不想吃，是因为神志昏迷的缘故。既然邪热不在胃，而在心包，适宜使用导赤散，合黄连解毒汤加减。
木通（一钱五分） 生地（三钱） 赤茯苓（二钱） 灯心（二十节）
加水煎服。
气从少腹向上冲击心脏并疼痛，就像江豚向上窜跃一样，这是下焦阴冷之气上逆所致，适宜使用姜附汤，加肉桂、吴茱萸肉、茯苓来主治。或者以橘核、小茴香、川楝子作为辅助药物，效果尤其显著。
病人身体大热，反而想要靠近衣物保暖的，是热在皮肤（表象），寒在骨髓（里层）；身体大寒，反而不想靠近衣物的，是寒在皮肤（表象），热在骨髓（里层）。
我认为，身体发热，反而想要靠近衣物的，属于伤寒外感的范畴；身体发冷，反而不想靠近衣物的，是热邪内郁的表现。
然而也有想要靠近衣物却是内部有热的，这是火极似水的表现；也有不想靠近衣物却是内部有寒的，这是水极似火的表現。这
Dingxiang (Caryophylli Flos, five pieces), Shidi (Diospyri Fructus, five pieces), Gancao (Glycyrrhizae Radix et Rhizoma, processed with honey, 0.5 qian), Ganjiang (Zingiberis Rhizoma, 1 qian).
Grind into fine powder, take with boiling water; this is the best method.
("Ao" is identical to "Nao", interchangeable in ancient texts.)
Aonao (Oppressive restlessness): A feeling of depression and discomfort in the heart, more severe than ordinary vexation. It arises because exterior pathogens have not been fully resolved and, taking advantage of deficiency, have sunk inward, knotting and stagnating between the heart and chest.
Zhizi (Gardeniae Fructus, 3 qian), Xiangchi (Fermented Soybean, 5 qian).
Decoct in water and take orally. After ingestion, induce vomiting immediately by stimulating the throat. If Zhishi (Aurantii Fructus Immaturus) is added, it is named Zhishi Zhizi Chi Tang (Bitter Orange, Gardenia, and Fermented Soybean Decoction), used to treat the aforementioned syndrome as well as disorders caused by dietary accumulation.
Hunmao (Fainting and dizziness) with unclear spirit, commonly known as Hunkui (Confusion and stupor). The Classics state: "In cases of various deficiencies combined with cold pathogenic factors, Jue (cold extremities/reversal) occurs, accompanied by Yu Mao (depressive dizziness) and numbness; this is due to the counterflow of cold qi upward."
The treatment method should be warming and tonifying. Furthermore, in Yangming disease patterns, if there is difficulty in urination, alternating difficulty and ease in defecation, occasional slight fever, panting, and dizziness preventing lying down, this indicates the presence of dry stool; the treatment method should be purgation. Additionally, when Shaoyang transmission reaches the fifth or sixth day, gradual onset of coma and muteness occurs, with a facial appearance resembling intoxication, or speaking alone for one or two sentences during sleep. Water is swallowed if offered, but there is no desire to drink if not offered. If physicians fail to recognize this condition and administer Chengqi Tang (Gastrodia and Rhubarb Decoction variants), it would be an error. This is because they do not realize that the heat has transmitted to the Hand-Jueyin Pericardium Meridian. Food is swallowed because the pathogen is not in the Stomach. There is no desire to eat because of the confused spirit. Since the pathogenic heat is not in the Stomach but in the Pericardium, Daodi San (Guide Out Red Powder) combined with Huanglian Jiedu Tang (Coptis Decoction to Relieve Toxicity) should be used.
Mutong (Akebiae Caulis, 1.5 qian), Shengdi (Rehmanniae Radix, 3 qian), Chifuling (Poria with Red Host, 2 qian), Dengxin (Junci Medulla, 20 segments).
Decoct in water and take orally.
Qi rushing from the lower abdomen up to the heart causing pain, resembling the leaping of a river dolphin; this is caused by Yin-cold qi from the Lower Jiao rising upward. Jiangfu Tang (Ginger and Aconite Decoction) added with Rougui (Cinnamomi Cortex), Wuyu (Evodiae Fructus), and Fuling (Poria) should be used as the main treatment. Alternatively, using Juhe (Tangerine Seed), Xiaohui (Foeniculi Fructus), and Chuanlianzi (Meliae Semen) as adjuvant herbs yields particularly effective results.
When a patient's body is extremely hot yet desires to wrap themselves in clothes, the heat is on the skin (exterior/surface) while the cold is in the marrow (interior/deep); when the body is extremely cold yet does not desire to wrap themselves in clothes, the cold is on the skin (exterior/surface) while the heat is in the marrow (interior/deep).
I believe that body heat with a desire for warmth belongs to the category of Taiyang external contraction (Shaoyang/Exterior Cold damage); body coldness without a desire for warmth is a sign of internal stagnation of heat pathogens.
However, there are cases where desiring warmth indicates internal heat, which is "extreme fire resembling water"; and there are cases where not desiring warmth indicates interior cold, which is "extreme water resembling fire". This