（节庵自注云∶即四逆汤。） 治三阴中寒，初病身不热，头不痛，恶寒战栗，四肢厥
冷，引衣自盖，蜷卧沉重，腹痛吐泻，口中不渴。或指甲唇青，口吐涎沫，或无脉，
迟无力。（初病无身热头痛，是无表邪，邪不在阳也。恶寒厥逆，是寒中于里，阳气不
四肢也。引衣自盖，蜷卧沉重，是寒中少阴也。腹痛吐泻不渴，是寒中太阴也。指甲唇
口吐涎沫，是寒中厥阴也。至于沉迟无脉，阴寒为已甚矣。战栗，有属阴者，阳微阴胜
气内争，而正不胜，故心寒足蜷，鼓颔厥冷，而一身战摇也。有属阳者，真阳来复，正气
动，外争而胜，故身为振摇，遂大汗以解也。）
附子（炮） 干姜 肉桂 人参（五分） 白术 茯苓（一钱） 半夏 陈皮（七分） 甘
草（三分）
泄泻加升麻
寒中三阴，阴盛则阳微，故以附子姜桂辛热之药，祛其阴寒。而以六君温补之药，助其
阳气
（金匮） 治小便不利，有水气，其人渴。栝蒌根（二两） 茯苓 薯蓣（三两） 附
子（一枚炮） 瞿麦（一两） 炼蜜丸服，以小便利腹中
者用之。以其胃中有热，腹中有寒，故变八味丸之制为此
胃热必消谷引食，大便必坚，小便必数。是其淋而且渴
热，茯苓瞿麦，以利小水。然肾中寒水之气，上入于腹
方下云∶以小便利腹中温为知，制方之义，可绎思也。
（节庵的自注说：这就是四逆汤。）治疗三阴经中寒邪，初起时身体不发热，头部不疼痛，怕冷且战栗，四肢冰冷，喜欢裹着衣服自己遮盖，蜷缩而卧，身体沉重，腹痛伴有呕吐和腹泻，口中不觉得口渴。或者指甲和嘴唇发青，口吐涎沫，或者脉搏摸不到，脉象迟而无力。（初起没有身热头痛，说明没有表邪，病邪不在阳经。怕冷、四肢厥逆，说明寒邪深入体内，阳气不能温煦四肢。喜欢裹衣、蜷卧沉重，说明寒邪侵入少阴经。腹痛、吐泻且不渴，说明寒邪侵入太阴经。指甲嘴唇发青、口吐涎沫，说明寒邪侵入厥阴经。至于脉象沉迟或无脉，说明阴寒之气已经极盛。战栗，有的属于阴证，是阳气微弱、阴气亢盛，阴阳之气在体内相争，正气不能战胜邪气，所以心寒脚蜷，下巴打颤、四肢厥冷，全身颤抖。有的属于阳证，是真阳回复，正气发动，与邪气在外相争并取胜，所以身体振摇，随后通过大汗而病解。）
附子（炮制） 干姜 肉桂 人参（五分） 白术 茯苓（一钱） 半夏 陈皮（七分） 甘草（三分）
如果泄泻严重，加升麻。
寒邪侵入三阴经，阴气盛则阳气微，所以用附子、干姜、肉桂这些辛热的药物，来驱散阴寒。再用六君子汤这类温补的药物，来扶助阳气。
（出自《金匮要略》）治疗小便不通畅，有水气停留，病人感到口渴。栝楼根（二两） 茯苓 薯蓣（三两） 附子（一枚，炮制） 瞿麦（一两）。炼蜜为丸服用，以小便通利、腹部温暖作为见效的标志。因为胃中有热，腹中有寒，所以改变八味丸的配方制成此方。胃中有热必然消谷善饥，大便必然坚硬，小便必然频数。这是淋证兼有口渴的症状。用栝楼根清热生津，茯苓、瞿麦利水通淋。然而肾中的寒水之气上逆进入腹部……（原文此处似有缺漏或断句不清，依文意推测后续逻辑）方后下云：“以小便利、腹中温为知”，制定方剂的意义，可以由此推究思考。
(Jie'an's self-note says: This is Sini Tang (Four Reversal Decoction).) It treats cold pathogen invading the three Yin meridians. In the early stage, there is no fever, no headache, aversion to cold with shivering, cold limbs, a desire to cover oneself with clothes, curled-up posture with heaviness, abdominal pain accompanied by vomiting and diarrhea, and no thirst in the mouth. Alternatively, the fingernails and lips may turn cyanotic, saliva may be vomited, or the pulse may be imperceptible, slow, and weak. (The absence of fever and headache at the onset indicates no exterior pathogenic factor; the pathogen is not in the Yang meridians. Aversion to cold and cold limbs indicate that cold has penetrated inward, and Yang Qi fails to warm the limbs. The desire to cover oneself and the heavy, curled-up posture indicate cold invading the Shaoyin meridian. Abdominal pain, vomiting, diarrhea, and lack of thirst indicate cold invading the Taiyin meridian. Cyanosis of the nails and lips, and spitting of saliva, indicate cold invading the Jueyin meridian. As for the deep, slow, or absent pulse, it signifies that Yin-cold has reached an extreme severity. Shivering can belong to Yin patterns, where Yang is deficient and Yin is excessive, leading to internal struggle between Yin and Yang, with righteous Qi failing to overcome the pathogen; thus, the heart feels cold, the feet curl up, the jaw chatters, limbs are cold, and the whole body trembles. It can also belong to Yang patterns, where true Yang recovers, righteous Qi mobilizes, struggles externally against the pathogen, and wins; thus, the body shakes, followed by resolution through profuse sweating.)
Prepared Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma), Rougui (Cinnamomi Cortex), Renshen (Ginseng Radix et Rhizoma, 5 fen), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium, 7 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen).
If diarrhea is severe, add Shengma (Cimicifugae Rhizoma).
When cold invades the three Yin meridians, excess Yin leads to deficient Yang. Therefore, pungent and hot herbs such as Fuzi, Ganjiang, and Rougui are used to dispel Yin-cold. Meanwhile, warming and tonifying herbs from Liujunzi Tang (Six Gentlemen Decoction) are employed to assist Yang Qi.
(From *Jin Gui Yao Lue*) Treats difficulty in urination with water retention and thirst in the patient. Gualougen (Trichosanthis Radix, 2 liang), Fuling (Poria), Shuyu (Dioscoreae Rhizoma, 3 liang), Prepared Fuzi (Aconiti Lateralis Radix Praeparata, one piece), Qumai (Dianthi Herba, 1 liang). Form into pills with refined honey. Take orally; efficacy is indicated when urination becomes smooth and the abdomen feels warm. Because there is heat in the Stomach and cold in the abdomen, the formula modifies the structure of Bawei Wan (Eight-Ingredient Pill with Rehmannia Root). Heat in the Stomach necessarily leads to rapid digestion and hunger, hard stools, and frequent urination. This presents as stranguria accompanied by thirst. Gualougen clears heat and generates fluids, while Fuling and Qumai promote diuresis. However, the cold-water Qi from the Kidney ascends into the abdomen... The text below states: "Efficacy is indicated when urination is smooth and the abdomen is warm." The rationale behind this prescription can be deduced and contemplated.