（表解而里微实） 汗出热潮便不通，表邪已解里堪攻，微和胃气方如法，泄下须防过失
中。
小承气汤
枳朴同煎力独雄，大黄荡秽有奇功，腹中烦满须和胃，里实先宜此药攻。
（表解而里大实） 发热潮生不恶寒，谵言独语未能安，绕脐疼痛尤烦躁，粪粒坚时
大便难。
（三急下证） 腹中满痛速攻宜，发热汗多急下之，睛不能和难了了，便坚内燥治休迟。
大承气汤
大黄荡秽果神奇，枳朴同攻辅助宜，再用芒硝坚可破，腹中燥粪下无遗。
蜜煎导方、猪胆汁方
（证附） 大便虽坚不可攻，捻成蜜梃纳肛中，醋调胆汁尤能导，外法神奇
亦有功。
（里实而脾约） 浮而兼涩脉形真，胃气强时小水频，大便难行脾作约，法宜丸药用麻仁。
麻仁丸
攻用大黄妙入神，润肠芍杏合麻仁，更兼枳朴专行气，炼蜜为丸合病因。
（里实而血瘀 方见太阳本病） 病入阳明却喜忘，久经蓄血腹中藏，便虽黑硬行偏易，
消谷善饥治并详。
（里寒而水盛 方见太阳坏病） 表热里寒阴胜阳，浮迟脉象辨宜详，腹经下利多清谷，
治法偏宜四逆汤。
（里寒而土虚） 食谷居然呕吐生，从知胃逆属阳明，中虚总是宜温补，汤用吴萸治法精。
吴茱萸汤
温中妙品用生姜，再入吴萸益助阳，参枣滋肝兼补气，调和脾胃是良方。
（表证已解，里实轻微）汗出且定时发热，大便不通畅。此时表邪已经解除，可以攻逐里实，但需轻微调和胃气才符合法度，若使用峻下之法必须防止出现过失。
小承气汤
枳实与厚朴同煎，其行气消痞之力独显雄强；大黄荡涤秽浊，具有奇效。若腹部烦闷胀满，应当调和胃气，对于里实之证，首先适宜用此药攻下。
（表证已解，里实严重）发热如潮水般定时发作，不再恶寒，胡言乱语、独自说话而不得安宁，脐周疼痛尤为烦躁，粪便干结如颗粒状时，排便困难。
（三急下证）腹部胀满疼痛，应当迅速攻下；发热且汗多，急需攻下；眼睛视物不清、昏花不明，大便坚硬、体内燥热，治疗不可迟缓。
大承气汤
大黄荡涤秽浊确实神奇，枳实与厚朴共同攻下以作辅助，再加入芒硝以破除坚结，使腹中燥屎无所遗存。
蜜煎导方、猪胆汁方
（证候附注）大便虽然坚硬但不可使用攻下法，可将蜂蜜捻成栓剂纳入肛门中，用醋调制的胆汁也能起到引导通便的作用，外治法同样神奇且有效。
（里实兼脾约）脉象浮而兼涩，这是真实的脉形。当胃气强盛时，小便频数，大便难以排出是因为脾的约束功能过强，治法适宜使用丸药，药物包含麻子仁。
麻仁丸
攻下使用大黄，功效妙入神境；润肠配合芍药、杏仁与麻子仁；再加上枳实与厚朴专门行气，炼蜜为丸以契合病因。
（里实兼血瘀 方剂见太阳本病章节）病邪传入阳明却出现健忘，久病导致蓄血积聚于腹部，大便虽然黑硬但排出来反而容易，消谷善饥的症状在治法中有详细论述。
（里寒兼水湿盛 方剂见太阳坏病章节）体表发热而体内寒冷，阴寒胜过阳气，脉象浮迟，辨别时需仔细详察。腹部经络因腹泻而排出未消化的食物，治法特别适宜使用四逆汤。
(Exterior syndrome resolved, interior excess is mild) Sweating with tidal fever and unsmooth bowel movement. Since the exterior pathogenic factor has been resolved, the interior can be attacked; however, only by mildly harmonizing the stomach qi does one follow the proper method. One must guard against errors when using purgative methods.
Xiao Cheng Qi Tang (Minor Order the Qi Decoction)
Zhi Shi (Immature Bitter Orange) and Hou Po (Magnolia Bark) decocted together exert a unique and powerful force in moving qi and relieving distension. Da Huang (Rhubarb Root and Rhizome) sweeps away filth with miraculous efficacy. When there is abdominal irritability and fullness, the stomach qi should be harmonized; for interior excess, this formula is first appropriate to attack.
(Exterior syndrome resolved, interior excess is severe) Tidal fever without aversion to cold, delirious speech and muttering alone causing restlessness, periumbilical pain especially accompanied by irritability. When feces are hard like pellets, defecation is difficult.
(The Three Urgent Purging Syndromes) Abdominal fullness and pain require rapid purging; fever with profuse sweating requires urgent purging. If the eyes cannot focus clearly (vision is blurred), and feces are hard with internal dryness, treatment must not be delayed.
Da Cheng Qi Tang (Major Order the Qi Decoction)
Da Huang (Rhubarb Root and Rhizome) sweeping away filth is truly miraculous; Zhi Shi (Immature Bitter Orange) and Hou Po (Magnolia Bark) jointly attack as auxiliary support. Adding Mang Xiao (Mirabilite) breaks down hardness, ensuring no dry feces remain in the abdomen.
Mi Jian Dao Fang (Honey Suppository Formula) and Zhu Dan Zhi Fang (Pig Bile Formula)
(Syndrome Note) Although the stool is hard, it cannot be treated with harsh purgatives. Honey can be shaped into a suppository and inserted into the anus. Vinegar-mixed pig bile can also guide evacuation; external methods are equally miraculous and effective.
(Interior excess with Spleen Constraint) The pulse is floating and additionally choppy, which is the true pulse form. When stomach qi is strong, urination is frequent. Difficulty in passing stool is due to the Spleen's constraint; the method should utilize pills containing Ma Ren (Cannabis Seed).
Ma Ren Wan (Cannabis Seed Pill)
Using Da Huang (Rhubarb Root and Rhizome) for purging works with miraculous subtlety; Run Chang (moistening the intestines) combines Shao Yao (Peony Root), Xing Ren (Apricot Seed), and Ma Ren (Cannabis Seed). Furthermore, Zhi Shi (Immature Bitter Orange) and Hou Po (Magnolia Bark) specialize in moving qi; refined honey is used to make pills to accord with the etiology.
(Interior excess with Blood Stasis - Formula seen in Taiyang Primary Disease chapter) The disease enters Yangming yet presents with forgetfulness; blood stasis has accumulated in the abdomen for a long time. Although the stool is black and hard, it passes relatively easily. The symptom of excessive hunger after eating is detailed in the treatment methods.
(Interior cold with abundant water-dampness - Formula seen in Taiyang Damaged Disease chapter) Exterior heat with interior cold, where yin excess overcomes yang. The pulse is floating and slow; differentiation must be careful and detailed. Frequent diarrhea with undigested food indicates pathology in the abdominal meridians; the treatment method particularly favors Si Ni Tang (Frigid Extremities Decoction).
(Interior cold with Spleen-Stomach deficiency) Vomiting occurs after eating grain; thus, rebellious stomach qi belongs to the Yangming category. Middle jiao deficiency always requires warming and tonification; the decoction uses Wu Zhu Yu (Evodia Fruit), demonstrating precise treatment methods.
Wu Zhu Yu Tang (Evodia Decoction)
Sheng Jiang (Fresh Ginger) is a wonderful product for warming the middle; adding Wu Zhu Yu (Evodia Fruit) further assists yang. Ren Shen (Ginseng Root) and Da Zao (Jujube Fruit) nourish the Liver and supplement qi; harmonizing the Spleen and Stomach makes this an excellent prescription.