芍药（三两味酸微寒） 甘草（三两炙味甘平） 附子（一枚炮去皮破八片味辛热）
以上三味。以水五升。煮取一升五合。去滓、分温服。疑非仲景意。
芍药之酸。收敛津液而益荣。附子之辛温。固阳气而补卫。甘草之甘。调和辛酸而
安正气。
发汗、若下之。病仍不解。烦躁者。茯苓四逆汤主之。
发汗若下。病宜解也。若病仍不解。则发汗。外虚阳气下之。内虚阴气。阴阳俱虚。
邪独不解。故生烦躁。与茯茯四逆汤。以复阴阳之气。
茯苓（六两味甘平） 人参（一两味甘温） 甘草（二两炙味甘平） 干姜（一两
味辛热） 附子（一枚生用去皮破八片味辛热）
上五味。以水五升。煮取三升。去滓、温服七合。日三服。
四逆汤以补阳。加茯苓人参以益阴。
沈亮宸云。正虚有邪。正欲胜邪而不能。故烦躁。温其正气。邪自除矣。又云。大青
龙烦躁者。实也。茯苓四逆汤烦躁者。虚也。
发汗后。恶寒者虚故也。不恶寒。但热者。实也。当和胃气。与调胃承气汤。
汗出而恶寒者。表虚也。汗出而不恶寒。但热者。里实也。经曰。汗出不恶寒者。此
表解。里未和。与调胃承气汤。和胃气。
太阳病。发汗后。大汗出。胃中干。烦躁不得眠。欲得饮水者。少少与饮之。令胃
气和。则愈。若脉浮。小便不利。微热。消渴者。与五苓散主之。
小便不利而渴。此膀胱蓄热津液不行也。与五苓散。以利水行津。
发汗。已解。胃中干。烦躁不得眠。欲饮水者。少少与之。胃气得润。则愈。若脉
浮者。表未解也。饮水多而小便少者。谓之消渴。里热甚实也。微热、消渴者。热未成
实。上焦燥也。与五苓散。生津液。和表里。
芍药（三两，味酸，性微寒） 甘草（三两，炙用，味甘，性平） 附子（一枚，炮制，去皮，破成八片，味辛，性热）
以上三味药。用水五升。煮取药液一升五合。去渣滓。分两次温服。此方疑非张仲景原意。
芍药的酸味。能收敛津液而滋养营气。附子的辛温之性。能固护阳气而补益卫气。甘草的甘味。能调和辛酸之性而安定正气。
经过发汗或攻下治疗后。病证仍未解除。出现烦躁症状的。用茯苓四逆汤主治。
发汗或攻下后。病证本应解除。如果病仍不解除。说明发汗导致体表阳气虚弱。攻下导致体内阴气虚弱。阴阳俱虚。邪气独留不解。所以产生烦躁。给予茯苓四逆汤。以恢复阴阳之气。
茯苓（六两，味甘，性平） 人参（一两，味甘，性温） 甘草（二两，炙用，味甘，性平） 干姜（一两，味辛，性热） 附子（一枚，生用，去皮，破成八片，味辛，性热）
以上五味药。用水五升。煮取药液三升。去渣滓。每次温服七合。每日服用三次。
四逆汤用于补益阳气。加入茯苓、人参以增益阴气。
沈亮宸说。正气虚弱而有邪气滞留。正气想要战胜邪气却力不能及。所以出现烦躁。温补其正气。邪气自然除去。又说。大青龙汤证的烦躁。属于实证。茯苓四逆汤证的烦躁。属于虚证。
发汗后。出现恶寒症状的。是因为虚证。如果不恶寒。只发热。属于实证。应当调和胃气。给予调胃承气汤。
出汗且恶寒的。是表虚证。出汗但不恶寒。只发热的。是里实证。医经说。出汗且不恶寒的。这是表证已解。里气未和。给予调胃承气汤。调和胃气。
太阳病。发汗后。大汗出。胃中干燥。烦躁不得安眠。想要喝水的。少量多次给予饮水。使胃气调和。则病愈。如果脉浮。小便不利。轻微发热。口渴多饮的。用五苓散主治。
小便不利且口渴。这是膀胱蓄积热邪。津液运行不畅。给予五苓散。以利水行津。
发汗后。病证已解。但胃中干燥。烦躁不得安眠。想要喝水的。少量多次给予饮水。胃气得滋润。则病愈。如果脉浮。说明表证未解。饮水多而小便少的。称为消渴。这是里热盛实。轻微发热、口渴的。是热邪尚未完全结实。上焦燥热。给予五苓散。生津液。调和表里。
Radix Paeoniae Alba (San Liang, sour flavor, slightly cold nature) Radix Glycyrrhizae Preparata (San Liang, processed with honey, sweet flavor, neutral nature) Rhizoma Aconiti Lateralis Preparatus (One piece, processed, skin removed, broken into eight pieces, acrid flavor, hot nature)
The above three herbs. Boil in five sheng of water. Reduce to one sheng and five he. Strain the dregs. Divide into two doses and take warm. This formula is suspected not to be the original intention of Zhang Zhongjing.
The sourness of Radix Paeoniae Alba can astringe body fluids and nourish Ying Qi (Nutritive Qi). The acrid-warm nature of Rhizoma Aconiti Lateralis Preparatus can consolidate Yang Qi and supplement Wei Qi (Defensive Qi). The sweetness of Radix Glycyrrhizae Preparata can harmonize acrid and sour flavors and stabilize Zheng Qi (Upright Qi).
After sweating or purging therapies, if the disease remains unresolved and irritability arises, it should be treated with Fuling Sini Tang (Poria Decoction for Reversing the Cold Extremities).
Sweating or purging should theoretically resolve the disease. If the disease remains unresolved, it indicates that sweating has depleted external Yang Qi, and purging has depleted internal Yin Qi. With both Yin and Yang deficient, the pathogenic factor remains unresolved alone, thus generating irritability. Administer Fuling Sini Tang (Poria Decoction for Reversing the Cold Extremities) to restore Yin and Yang Qi.
Rhizoma Polygonati (Liang, sweet flavor, neutral nature) Radix Ginseng (Yi Liang, sweet flavor, warm nature) Radix Glycyrrhizae Preparata (Er Liang, processed with honey, sweet flavor, neutral nature) Rhizoma Zingiberis Recens (Yi Liang, acrid flavor, hot nature) Rhizoma Aconiti Lateralis Cruda (One piece, used raw, skin removed, broken into eight pieces, acrid flavor, hot nature)
The above five herbs. Boil in five sheng of water. Reduce to three sheng. Strain the dregs. Take seven he warm per dose, three times daily.
Sini Tang (Decoction for Reversing the Cold Extremities) tonifies Yang Qi; adding Rhizoma Polygonati and Radix Ginseng benefits Yin Qi.
Shen Liangchen stated: When upright Qi is deficient while pathogens remain, the upright Qi desires to overcome the pathogens but lacks strength, hence irritability. By warming the upright Qi, the pathogens will naturally be eliminated. He further stated: Irritability in Da Qing Long Tang (Major Green Dragon Decoction) syndrome is excess; irritability in Fuling Sini Tang (Poria Decoction for Reversing the Cold Extremities) syndrome is deficiency.
After sweating, if chills are present, it is due to deficiency. If there are no chills but only fever, it is an excess pattern. One should harmonize Stomach Qi and administer Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Decoction).
Sweating accompanied by chills indicates exterior deficiency. Sweating without chills but with fever indicates interior excess. The Classics state: Sweating without chills means the exterior is resolved but the interior is not harmonized. Administer Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Decoction) to harmonize Stomach Qi.
In Taiyang Disease (Disease of the Greater Yang), after sweating, profuse sweating may dry the Stomach, causing irritability and insomnia. If the patient desires water, give small amounts frequently to drink. Once Stomach Qi is harmonized, the patient will recover. If the pulse is floating, urination is difficult, there is slight fever, and polydipsia occurs, treat with Wuling San (Five-Ingredient Powder with Poria).
Difficulty in urination accompanied by thirst indicates heat accumulation in the Bladder with impaired fluid metabolism. Administer Wuling San (Five-Ingredient Powder with Poria) to promote diuresis and regulate fluid distribution.
After sweating, if the disease resolves but Stomach dryness persists with irritability and insomnia, and the patient desires water, give small amounts frequently. Once Stomach Qi is moistened, recovery ensues. If the pulse is floating, the exterior pathogen remains unresolved. Drinking large amounts of water with scanty urination is termed Xiaoke (Wasting-Thirst), indicating severe interior heat excess. Slight fever and thirst indicate heat that has not yet fully solidified, representing upper Jiao dryness. Administer Wuling San (Five-Ingredient Powder with Poria) to generate fluids and harmonize the interior and exterior.