茯苓四两 桂枝四两 甘草（炙）三两 五味子半升
右四味，以水八升，煮取三升，去滓，分温三服。
茯苓四两 甘草 干姜 细辛各三两 五味子半升
右五味，以水八升，煮取三升，去滓，温服半升，日三服。
茯苓四两 细辛 干姜各二两 五味子 半夏各半升
右五味，以水八升，煮取三升，去滓，温服半升，日三服。
茯苓四两 甘草三两 五味子半升 干姜三两 细辛三两 半夏三两 杏仁（去皮、
尖）半升。
右七味，以水一斗，煮取三升，去滓，温服半升，日三服。
茯苓四两 半夏半升 甘草三两 五味子半升 干姜三两 细辛三两 杏仁（去皮、
尖）半升 大黄三两
右八味，以水一斗，煮取三升，去滓，温服半升，日三服。
@@@
厥阴之为病，消渴，气上冲心，心中疼热，饥而不欲食，食即吐蛔，下之利不止。
【按】
此条是『伤寒论』厥阴经正病，与杂病消渴之义不同，必是错简。
@@@
寸口脉浮而迟，浮即为虚，迟即为劳，虚则卫气不足，劳则荣气竭。
【按】
此条当在『虚劳篇』中，错简在此。
【注】
寸口，通指左右三部而言也。浮而有力为风，浮而无力为虚，按之兼迟，即为虚劳之
证，故主卫外荣内虚竭也。
@@@
趺阳脉浮而数，浮即为气，数即消谷而大坚，气盛则溲数，溲数即坚，坚数相抟，即
为消渴。
【按】
「而大坚」句不成文，「大」字之下当有「便」字，必是传写之遗。
【注】
趺阳胃脉也。胃脉浮盛，按之而数，为胃气热，故善消谷也。火盛消谷，则大便必坚
，气盛消水，则小便必数，故溲数即坚也，坚数相抟，即为消谷消渴之病。
@@@
趺阳脉数，胃中有热，即消谷引食，大便必坚，小便即数。
【注】
此复申上条大便坚、小便数之义也。
@@@
男子消渴，小便反多，以饮一斗，小便一斗，肾气丸主之。
【注】
饮水多而小便少者，水消于上，故名上消也；食谷多而大便坚者，食消于中，故名中
消也；饮水多而小便反多者，水消于下，故名下消也。上、中二消属热，惟下消寒热
兼之，以肾为水火之藏也。饮一溲一，其中无热消耗可知矣。故与肾气丸从阴中温养
其阳，使肾阴摄水则不直趋下源，肾气上蒸则能化生津液，何消渴之有耶！
【集注】
程林曰：小便多则消渴，经曰：饮一溲二者不治。今饮一溲一，故与肾气丸治之。肾
中之动气，即水中之命火，下焦肾中之火，蒸其水之精气，达于上焦，若肺金清肃，
如云升而雨降，则水精四布，五经并行，自无消渴之患。今其人必摄养失宜，肾水衰
竭，龙雷之火不安于下，但炎于上而刑肺金，肺热叶焦，则消渴引饮，其饮入于胃，
游溢渗出，下无火化，直入膀胱，则饮一斗，溺亦一斗也。故用桂附肾气丸，助真火
蒸化，上升津液，何消渴之有哉！
沈明宗曰：「男子」二字，是指房劳伤肾，火旺水亏而成消渴者。
茯苓四两，桂枝四两，甘草（炙）三两，五味子半升。
以上四味药，用水八升，煎煮至三升，滤去药渣，分三次温服。
茯苓四两，甘草，干姜，细辛各三两，五味子半升。
以上五味药，用水八升，煎煮至三升，滤去药渣，每次温服半升，每日服用三次。
茯苓四两，细辛，干姜各二两，五味子，半夏各半升。
以上五味药，用水八升，煎煮至三升，滤去药渣，每次温服半升，每日服用三次。
茯苓四两，甘草三两，五味子半升，干姜三两，细辛三两，半夏三两，杏仁（去皮、尖）半升。
以上七味药，用水一斗，煎煮至三升，滤去药渣，每次温服半升，每日服用三次。
茯苓四两，半夏半升，甘草三两，五味子半升，干姜三两，细辛三两，杏仁（去皮、尖）半升，大黄三两。
以上八味药，用水一斗，煎煮至三升，滤去药渣，每次温服半升，每日服用三次。
@@@
厥阴病（Jueyin Disease）的主要症状表现为：消渴（极度口渴多饮），气上冲心（气逆向上冲击心脏部位），心中疼热（胃脘部疼痛且有灼热感），虽有饥饿感但不想进食，进食后则呕吐出蛔虫，若误用泻下法治疗，会导致腹泻不止。
【按语】
此条论述的是《伤寒论》中厥阴经的正病，与杂病中的“消渴”含义不同，此处原文次序可能有误（错简）。
@@@
寸口脉（Cunkou Pulse，手腕桡动脉处诊脉点）浮而迟，浮脉代表虚证，迟脉代表劳损，虚证导致卫气（Wei Qi, Defensive Qi，行于脉外、护卫肌表的阳气）不足，劳损导致营气（Ying Qi, Nutritive Qi，行于脉中、化生血液的营养之气）枯竭。
【按语】
此条应当位于《金匮要略·血痹虚劳病脉证并治》篇中，此处为原文次序错误（错简）。
【注释】
寸口脉，泛指左右手三部脉象。浮而有力的为风邪，浮而无力的为虚证，重按兼见迟脉，即为虚劳之证，故主治卫外不固、荣内虚竭的病机。
@@@
趺阳脉（Duyang Pulse，足背动脉处诊脉点，候胃气）浮而数，浮脉代表气盛，数脉代表消化食物过快且大便坚硬，气盛则小便频数，小便频数则津液亏损致大便更坚，大便坚与小便数相互搏结，即形成消渴病。
【按语】
“而大坚”一句文意不通，“大”字之下应当有“便”字，可能是传抄遗漏。
【注释】
趺阳脉是胃脉。胃脉浮盛，重按而数，说明胃气有热，所以容易消化食物。火盛消耗水谷，则大便必然坚硬；气盛消耗水液，则小便必然频数，所以小便频数会导致大便坚硬，大便坚与小便数相互影响，即形成消谷善饥和消渴的疾病。
@@@
趺阳脉数，说明胃中有热，就会消谷引食（食欲旺盛），大便必然坚硬，小便必然频数。
【注释】
这是对上一条文中大便坚硬、小便频数含义的再次阐述。
@@@
男子患消渴病，小便反而增多，如果喝水一斗，小便也排出一斗，应用肾气丸（Shenqi Wan, Kidney Qi Pill）主治。
【注释】
饮水多而小便少的，是水被消耗在上焦，所以称为上消（Upper Xiao）；吃饭多而大便坚硬的，是食物被消耗在中焦，所以称为中消（Middle Xiao）；饮水多而小便反而多的，是水被消耗在下焦，所以称为下消（Lower Xiao）。上消和中消属于热证，只有下消寒热夹杂，因为肾是水火之脏。喝水一斗，小便一斗，其中没有热邪消耗的征象可知。所以给予肾气丸，从阴中温养其阳，使肾阴能够摄纳水液而不直接流向下方源头，肾气上蒸则能化生津液，哪里还会有消渴呢！
【集注】
程林说：小便多则导致消渴，经文说：喝一份尿两份者难治。现在喝一份尿一份，所以用肾气丸治疗。肾中的动气，就是水中的命门之火，下焦肾中的火，蒸腾水的精气，达于上焦，若肺金清肃下行，如同云升雨降，则水精四布，五脏经脉并行，自然没有消渴的祸患。现在此人必定是调养失宜，肾水衰竭，龙雷之火不安于下，只炎上刑克肺金，肺热叶焦，则消渴引饮，其饮入于胃，游溢渗出，下焦无火气化，直入膀胱，则喝一斗尿一斗。所以用桂附肾气丸，助真火蒸化，上升津液，哪里还有消渴呢！
沈明宗说：“男子”二字，是指因房劳伤肾，火旺水亏而形成的消渴病。
Fuling (Poria) 4 liang, Guizhi (Cinnamon Twig) 4 liang, Gancao (Licorice Root, prepared with honey) 3 liang, Wuweizi (Schisandra Fruit) half sheng.
The above four herbs are decocted in 8 sheng of water to obtain 3 sheng of liquid. The dregs are removed, and the decoction is divided into three warm doses.
Fuling (Poria) 4 liang, Gancao (Licorice Root) 3 liang, Ganjiang (Dried Ginger) 3 liang, Xixin (Asarum) 3 liang, Wuweizi (Schisandra Fruit) half sheng.
The above five herbs are decocted in 8 sheng of water to obtain 3 sheng of liquid. The dregs are removed, and 0.5 sheng is taken as a warm dose, administered three times daily.
Fuling (Poria) 4 liang, Xixin (Asarum) 2 liang, Ganjiang (Dried Ginger) 2 liang, Wuweizi (Schisandra Fruit) half sheng, Banxia (Pinellia Tuber) half sheng.
The above five herbs are decocted in 8 sheng of water to obtain 3 sheng of liquid. The dregs are removed, and 0.5 sheng is taken as a warm dose, administered three times daily.
Fuling (Poria) 4 liang, Gancao (Licorice Root) 3 liang, Wuweizi (Schisandra Fruit) half sheng, Ganjiang (Dried Ginger) 3 liang, Xixin (Asarum) 3 liang, Banxia (Pinellia Tuber) 3 liang, Xingren (Apricot Seed, peeled and tip removed) half sheng.
The above seven herbs are decocted in 1 dou of water to obtain 3 sheng of liquid. The dregs are removed, and 0.5 sheng is taken as a warm dose, administered three times daily.
Fuling (Poria) 4 liang, Banxia (Pinellia Tuber) half sheng, Gancao (Licorice Root) 3 liang, Wuweizi (Schisandra Fruit) half sheng, Ganjiang (Dried Ginger) 3 liang, Xixin (Asarum) 3 liang, Xingren (Apricot Seed, peeled and tip removed) half sheng, Dahuang (Rhubarb Root) 3 liang.
The above eight herbs are decocted in 1 dou of water to obtain 3 sheng of liquid. The dregs are removed, and 0.5 sheng is taken as a warm dose, administered three times daily.
@@@
The principal manifestations of Jueyin Disease (Jueyin Bing) include: extreme thirst with excessive drinking (Xiao Ke), sensation of qi rushing upward to the heart region, pain and heat sensation in the epigastrium/heart area, hunger without desire to eat, vomiting of roundworms after eating, and persistent diarrhea if purgatives are mistakenly used.
[Commentary]
This clause describes the proper disease pattern of the Jueyin Meridian in the *Shanghan Lun*, which differs from the meaning of "Xiao Ke" in miscellaneous diseases; this is likely due to textual disorder (cuojian).
@@@
The Cunkou pulse (pulse at the radial artery) is floating and slow. Floating indicates deficiency; slow indicates labor/exhaustion. Deficiency leads to insufficiency of Wei Qi (Defensive Qi); exhaustion leads to depletion of Ying Qi (Nutritive Qi).
[Commentary]
This clause should belong in the chapter on Deficiency Labor (Xulao Pian); its presence here is likely due to textual disorder (cuojian).
[Annotation]
Cunkou refers generally to the three positions on both wrists. A floating pulse that is forceful indicates wind; a floating pulse that is weak indicates deficiency. If it is also slow upon deep pressure, it constitutes a syndrome of Xu Lao (Chronic Deficiency Exhaustion), thus indicating insufficiency of defensive exterior protection and depletion of nutritive interior essence.
@@@
The Duyang pulse (pulse at the dorsalis pedis artery, reflecting Stomach Qi) is floating and rapid. Floating indicates excess of Qi; rapid indicates rapid digestion leading to hard stools. Excess of Qi causes frequent urination; frequent urination leads to dryness/hardness. When hardness and frequency contend together, they form Xiao Ke (Wasting-Thirst).
[Commentary]
The phrase "er da jian" (and greatly hard) is grammatically incomplete; there should be a character for "stool" (bian) after "da"; this is likely an omission during transcription.
[Annotation]
Duyang is the Stomach pulse. A floating and vigorous pulse that becomes rapid upon pressure indicates Heat in Stomach Qi, hence the tendency to digest food rapidly. Excessive Fire consuming food grains results in hard stools; Excess Qi consuming fluids results in frequent urination. Thus, frequent urination leads to hard stools. The interplay between hard stools and frequent urination constitutes the disease of excessive digestion and Wasting-Thirst.
@@@
A rapid Duyang pulse indicates Heat in the Stomach, leading to excessive appetite and digestion, hard stools, and frequent urination.
[Annotation]
This reiterates the meaning of the previous clause regarding hard stools and frequent urination.
@@@
When men suffer from Xiao Ke (Wasting-Thirst), their urination is abnormally increased. If one dou of fluid intake results in one dou of urine output, Shenqi Wan (Kidney Qi Pill) is the primary treatment.
[Annotation]
When fluid intake is high but urine output is low, fluids are consumed in the Upper Jiao, termed Upper Xiao (Upper Wasting-Thirst). When food intake is high but stools are hard, food is consumed in the Middle Jiao, termed Middle Xiao (Middle Wasting-Thirst). When fluid intake is high and urine output is also high, fluids are consumed in the Lower Jiao, termed Lower Xiao (Lower Wasting-Thirst). Upper and Middle Xiao belong to Heat patterns; only Lower Xiao involves both Cold and Heat, because the Kidney is the residence of Water and Fire. The ratio of one dou intake to one dou output indicates no Heat consumption within. Therefore, Shenqi Wan is prescribed to warm and nourish Yang from within Yin, enabling Kidney Yin to retain fluids rather than draining directly downward, and allowing Kidney Qi to ascend and transform into body fluids, thus resolving Wasting-Thirst.
[Collected Annotations]
Cheng Lin stated: Frequent urination leads to Wasting-Thirst. The classics state: "One part drink, two parts urine" is incurable. Now, with one part drink and one part urine, Shenqi Wan is used. The moving Qi in the Kidney is the Life Fire within Water. The Fire in the Lower Jiao Kidney steams the essence of water upward to the Upper Jiao. If Lung Metal descends clearly, like clouds rising and rain falling, water essence distributes everywhere, and the five meridians function in harmony, avoiding Wasting-Thirst. However, this person likely suffered from improper regimen, leading to Kidney Water depletion. Dragon-Li Fire rests uneasily below, flaring upward to damage Lung Metal. Lung Heat scorches leaves, causing Wasting-Thirst and craving for drinks. The drink enters the Stomach, overflows, and since there is no Fire below to transform it, it goes straight to the Bladder, resulting in one dou in, one dou out. Thus, Guifu Shenqi Wan is used to assist True Fire in steaming and transforming, ascending fluids, eliminating Wasting-Thirst.
Shen Mingzong stated: The term "Men" refers to cases where sexual exhaustion damages the Kidney, creating Wasting-Thirst through Hyperactive Fire and Deficient Water.