(里寒而土虚 方见阳明虚证) 少阴吐利躁烦时,厥冷旋惊在四肢,腹有真寒为病本,吴萸汤用总相宜。
(里寒而水泛 方见太阳坏病) 少阴停水四肢沉,腹痛旋惊泄不禁,小便利癃终莫定,或兼呕咳病弥深。
(里热而有湿 方见阳明虚证) 少阴下利咳相连,呕渴心烦不得眠,惟有猪苓汤可用,腹中湿热总能痊。
(里热而有郁) 少阴四逆病多端,咳悸或兼小便难,泄利有时还下重,腹中疼痛未能安。
四逆散
草惟补气芍清风,内窒还宜枳实攻,开郁柴胡为妙品,胸中滞结赖宣通。
(里寒而阳微) 下利厥生在四肢,里寒外热脉微时,腹疼面赤兼干呕,痛入咽喉病更危。
通脉四逆汤
驱寒附子与干姜,重用方能挽绝阳,甘草补中真入妙,原书加减再参详。
白通汤
(证附 里寒而脉绝) 一线残阳脉已微,白通治利挽生机,葱能达表真神妙,姜附温中得指归。
(里寒而无脉) 脉微下利病堪忧,汤服白通泄未休,无脉呕烦兼厥逆,再加猪胆性能收。
白通加猪胆汁汤
葱能达表附回阳,再入干姜力倍强,人尿更加猪胆用,服时脉续始安康。
(里寒而下利脓血) 少阴四五日初过,下利腹疼总未瘥,小水不通无足怪,惟惊大便血脓多。
桃花汤
固脱全凭赤石脂,干姜温里用相宜,汤煎粳米能和胃,春暖阳回利止时。
黄连阿胶汤
(证附 里热而液耗) 心烦不卧病非轻,芍药芩连君火清,更用阿胶滋燥土,鸡黄搅入补脾精。
(里寒而土虚 方见阳明虚证)少阴病出现呕吐、腹泻、烦躁不安时,四肢厥冷并突然惊悸,腹部有真寒是疾病的根本原因,使用吴茱萸汤最为适宜。
(里寒而水泛 方见太阳坏病)少阴病体内停聚水饮导致四肢沉重,腹痛并突然惊悸、泄泻无法控制,小便通畅与否始终不确定,或者兼有呕吐、咳嗽,病情更加深重。
(里热而有湿 方见阳明虚证)少阴病下利与咳嗽相互关联,伴有呕吐、口渴、心烦、无法入睡,只有猪苓汤可以使用,腹中的湿热总能痊愈。
(里热而有郁)少阴病四逆证表现多样,咳嗽、心悸或兼有小便困难,泄泻有时还伴有肛门重坠感,腹部疼痛不得安宁。
四逆散
甘草主要补气,芍药能疏风清热,内部气机窒塞还需用枳实来攻破,开解郁结柴胡是妙品,胸中的滞结依赖宣通来解除。
(里寒而阳微)下利和四肢厥冷发生在四肢,里寒外热且脉象微弱时,腹部疼痛、面色发红兼有干呕,疼痛放射至咽喉,病情更加危险。
通脉四逆汤
驱除寒邪需用附子和干姜,重用才能挽回绝灭的阳气,甘草补益中焦真是精妙,原书中的加减法再详细参考。
白通汤
(证附 里寒而脉绝)一线残存的阳气脉象已微弱,白通汤治疗下利挽回生机,葱白能通达表里真是神妙,生姜、附子温中得到了指引。
(里寒而无脉)脉象微弱、下利的病令人担忧,服用白通汤后泄泻仍未停止,无脉、呕吐、心烦兼有四肢厥逆,再加入猪胆汁性能收敛。
白通加猪胆汁汤
葱白能通达表里,附子回阳,再加入干姜力量加倍增强,人尿加上猪胆汁使用,服药后脉搏接续才始得安康。
(里寒而下利脓血)少阴病过了四五日初头,下利腹痛始终未愈,小便不通也不足为怪,只是惊讶大便中血脓很多。
桃花汤
固脱全靠赤石脂,干姜温里使用适宜,汤剂煎煮粳米能和胃,春暖阳气回复时利止。
黄连阿胶汤
(证附 里热而液耗)心烦不卧的病非轻症,芍药、黄芩、黄连清君火,再用阿胶滋润干燥的脾土,鸡黄搅入补益脾精。
(Interior cold with deficiency of Earth [Spleen/Stomach], see Yangming deficiency syndrome) When Shaoyin disease presents with vomiting, diarrhea, restlessness, and sudden palpitations accompanied by cold extremities, the root of the pathology lies in true interior cold. Wuzhuyu Tang (Evodia Decoction) is most appropriate.
(Interior cold with water flooding, see Taiyang damaged disease) In Shaoyin disease, fluid retention causes heaviness in the four limbs; abdominal pain, sudden palpitations, and uncontrollable diarrhea occur. The state of urination remains uncertain, or it may be complicated by vomiting and coughing, making the condition more severe.
(Interior heat with dampness, see Yangming deficiency syndrome) In Shaoyin disease, diarrhea is linked with coughing, accompanied by vomiting, thirst, irritability, and insomnia. Only Zhuling Tang (Polyporus Decoction) can be used; the damp-heat in the abdomen can be completely cured.
(Interior heat with stagnation) Shaoyin disease presenting as Sini syndrome has various manifestations: cough, palpitations, or difficulty in urination; diarrhea sometimes accompanied by a sensation of rectal tenesmus; abdominal pain causing discomfort.
Sini San (Frigid Extremities Powder)
Gancao (Licorice Root) primarily tonifies Qi; Baishao (White Peony Root) disperses wind and clears heat. For internal obstruction, Zhishi (Immature Bitter Orange) should be used to attack the blockage. Chaihu (Bupleurum Root) is an excellent herb for opening stagnation; chest congestion relies on diffusion and unblocking.
(Interior cold with diminished Yang) Diarrhea and cold extremities affect the limbs; when there is interior cold with exterior heat and a faint pulse, abdominal pain, flushed face, and dry retching occur. If pain radiates to the throat, the condition becomes critical.
Tongmai Sini Tang (Pulse-Reviving Frigid Extremities Decoction)
To dispel cold, Fuzi (Aconite Lateral Root) and Ganjiang (Dried Ginger) are used; heavy dosage is required to rescue devastated Yang. Gancao (Licorice Root) tonifying the middle is truly exquisite; refer to the original text for detailed modifications.
Baitong Tang (White Onion Decoction)
(Case attached: Interior cold with absent pulse) A thread-like residual Yang shows a faint pulse; Baitong Tang treats diarrhea and rescues vital energy. Congbai (Scallion White) reaching the exterior is truly miraculous; Shengjiang (Fresh Ginger) and Fuzi warming the interior provide guidance.
(Interior cold with no pulse) A faint pulse and diarrhea are worrying conditions. After taking Baitong Tang, if diarrhea persists without cessation, and the patient presents with no pulse, vomiting, irritability, and cold extremities, add Pig Gallbladder Juice (Zhuke Danzhi).
Baitong Jia Zhuke Danzhi Tang (White Onion Decoction plus Pig Gallbladder Juice)
Congbai (Scallion White) reaches the exterior; Fuzi (Aconite Lateral Root) restores Yang; adding Ganjiang (Dried Ginger) doubles the strength. Using Renao (Human Urine) and Zhuke Danzhi (Pig Gallbladder Juice), health is restored only when the pulse resumes after administration.
(Interior cold with purulent bloody diarrhea) Early in the fifth or fourth day of Shaoyin disease, diarrhea and abdominal pain persist without relief. Obstruction of urination is not surprising; what is startling is the large amount of blood and pus in the stool.
Taohua Tang (Peach Kernel Decoction)
Stopping collapse relies entirely on Chishizhi (Red Kaolin); Ganjiang (Dried Ginger) warming the interior is suitable. Decocting Jingmi (Rice Grain) harmonizes the Stomach; when spring warmth returns and Yang recovers, diarrhea stops.
Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction)
(Case attached: Interior heat with fluid consumption) Irritability and inability to lie down indicate a non-trivial illness; Baishao (White Peony Root), Huangqin (Scutellaria Root), and Huanglian (Coptis Rhizome) clear Minister Fire. Further use of Ejiao (Donkey-Hide Gelatin) moistens dry Earth [Spleen]; Jiuhuang (Egg Yolk) stirred in tonifies Spleen essence.