\r厥阴舌图\pt101a10.bmp\r
舌见红色。内有黑纹者。乃阴毒中于厥阴经。肝主筋。故舌见如丝之形也。用理中合四逆汤治之。
【介按】既云阴毒中于厥阴。其苔应当青滑。根据旧说。因肝属风木之脏。主筋而色青故也。至于淡紫青筋舌。则
淡紫带青而湿润。又绊青黑筋者。乃寒邪直中阴经也。必身凉而四肢厥冷。其脉沉缓或沉弦。可用四逆、理中、等汤以
温之。如小腹痛甚者，宜回阳急救汤。（附子、干姜、肉桂、人参、白术、茯苓、半夏、陈皮、甘草、五味子）治之。更
须辨其舌之或干、或润。若舌不湿润而干枯者。乃是实热之证。宜用寒凉之剂以治之。即梁特岩所谓“余以为凡舌色纯
红兼显黑丝。必非寒证。当是热气结于足少阴。宜用寒凉药”者之候也。
四逆汤
附子（一枚生作八片） 甘草（六钱二分半） 干姜（半两炮）
上 咀。每服五钱。水一钟。煎六分。不拘时温服。
【介按】方名四逆者。言其能治少阴中外皆寒。四肢之厥逆也。取姜附之辛热。助阳以胜寒。因甘草得姜附。能鼓
肾阳而温中寒。有水中暖土之功。姜附得甘草，能通关节而走四肢。有逐阴回阳之力。俾阳气外达。则四肢转温矣。
理中汤
人参 甘草（炙） 干姜（炮） 白术（炒）
服法如前。
【介按】此为温补中气之要方也。王晋三曰。人参、甘草。甘以和阴。白术、干姜。辛以和阳。辛甘相辅以处中。
则阴阳自然和顺矣。
厥阴舌图
舌色呈现红色，内部有黑色纹路。这是阴毒邪气侵袭厥阴经所致。肝主司筋脉，因此舌象呈现出如丝线般的形态。治疗应使用理中汤合四逆汤。
【介按】既然说是阴毒邪气侵袭厥阴经，其舌苔应当是青色且滑润的。根据旧说，因为肝属于风木之脏，主司筋脉且颜色为青，所以如此。至于淡紫色带青色筋络的舌象，则是淡紫中带青且湿润，又伴有青黑色筋络的，这是寒邪直接中伤阴经的表现。必定伴有身体发凉、四肢厥冷，脉象沉缓或沉弦。可以使用四逆汤、理中汤等方剂来温补。如果小腹部疼痛剧烈，适宜使用回阳急救汤（附子、干姜、肉桂、人参、白术、茯苓、半夏、陈皮、甘草、五味子）进行治疗。还必须辨别舌苔是干燥还是湿润。如果舌苔不湿润而干枯，那就是实热证候，适宜用寒凉性质的药物来治疗。这就是梁特岩所说的“我认为凡是舌色纯红并显现黑丝纹的，必定不是寒证，应该是热气结聚于足少阴经，适宜用寒凉药”的情况。
四逆汤
附子（一枚，生用，切成八片） 甘草（六钱二分半） 干姜（半两，炮制）
以上药材切碎。每次服用五钱，加水一钟，煎煮至六分满。不拘时间，温服。
【介按】方名叫做四逆，是说它能治疗少阴病内外皆寒、四肢厥逆的症状。取生姜和附子的辛热之性，辅助阳气以战胜寒邪。因为甘草配合姜和附子，能够鼓动肾阳而温煦中焦寒邪，具有在肾水中温暖脾土的功效。姜和附子配合甘草，能够通达关节并运行至四肢，具有驱逐阴寒、回复阳气的力量。使得阳气外达，那么四肢就会转暖。
理中汤
人参 甘草（炙烤） 干姜（炮制） 白术（炒制）
服用方法同上。
【介按】这是温补中焦脾胃之气的关键方剂。王晋三说：人参、甘草，味甘以调和阴气；白术、干姜，味辛以调和阳气。辛味与甘味相辅相成以居中调理，那么阴阳自然就会和谐顺遂了。
Tongue Diagram of Jueyin (Jueyin Tongue Chart)
The tongue appears red with black striations within. This is caused by Yin-Toxin pathogenic factors invading the Jueyin Meridian (Jueyin Channel). The Liver governs the sinews, thus the tongue manifests a thread-like shape. Treatment should employ Lizhong Tang (Cinnamon Twig and Atractylodes Decoction) combined with Sini Tang (Frigid Extremities Decoction).
[Jie's Commentary] Since it is stated that Yin-Toxin invades the Jueyin, the tongue coating should be greenish and slippery. According to traditional theories, because the Liver belongs to the Wind-Wood element, governs the sinews, and its color is green, this is the case. As for the tongue with pale purple and greenish meridians, which is pale purple with a hint of green and moist, accompanied by dark green-black meridians, this indicates Cold Pathogens directly striking the Yin Meridians. It must present with cold body temperature and cold extremities (Jue Ni), with a deep-slow or deep-taut pulse. One may use Sini Tang (Frigid Extremities Decoction) and Lizhong Tang (Cinnamon Twig and Atractylodes Decoction) to warm the interior. If there is severe lower abdominal pain, Huoyang Jijiu Tang (Restore Yang and Rescue from Crisis Decoction) [composed of Fuzi, Shengjiang, Rougui, Renshen, Baizhu, Fuling, Banxia, Chenpi, Gancao, Wuweizi] is appropriate. One must further distinguish whether the tongue is dry or moist. If the tongue is not moist but dry and withered, it is a pattern of Excess Heat, and cold-natured medications should be used. This corresponds to the condition described by Liang Te Yan: "I believe that whenever the tongue color is purely red with visible black threads, it is certainly not a Cold pattern; rather, it is heat qi knotting in the Foot Shaoyin Meridian, suitable for cold medicines."
Sini Tang (Frigid Extremities Decoction)
Fuzi (Aconiti Lateralis Radix Praeparata, one raw piece, sliced into eight pieces)
Gancao (Glycyrrhizae Radix et Rhizoma, two shillings and half a candareen - approx. 6.25 qian)
Shengjiang (Zingiberis Rhizoma Recens, half liang - approx. 24 grams, processed)
Crush the above herbs. Take five qian per dose, add one zhong of water, decoct until reduced to six parts. Take warm at any time.
[Jie's Commentary] The formula is named Sini (Frigid Extremities) because it treats Shaoyin disease characterized by cold inside and out, leading to cold extremities. It utilizes the acrid-hot nature of Ginger and Aconite to assist Yang Qi to overcome Cold. Because Gancao combined with Ginger and Aconite can stimulate Kidney Yang and warm Middle Jiao Cold, it has the function of warming Earth within Water. When Ginger and Aconite are combined with Gancao, they can unblock joints and reach the four limbs, possessing the power to expel Yin and restore Yang. Thus, when Yang Qi reaches the exterior, the four limbs become warm.
Lizhong Tang (Cinnamon Twig and Atractylodes Decoction)
Renshen (Ginseng Radix)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Ganjiang (Zingiberis Rhizoma, processed)
Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried)
Administration method as above.
[Jie's Commentary] This is an essential formula for warming and tonifying Middle Qi (Middle Jiao Qi). Wang Jin San stated: Renshen and Gancao, being sweet, harmonize Yin; Baizhu and Ganjiang, being acrid, harmonize Yang. Acrid and Sweet assisting each other to reside in the center allows Yin and Yang to naturally harmonize and flow smoothly.