舌见微黄色者。初病即得之。发谵语。此由失汗，表邪入里也。必用汗下兼行。以双解散加解毒汤两停主之。
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【介按】舌苔微黄而薄。是外邪初入阳明。犹带表证。微兼恶寒。治宜辛凉解散。如黄而兼燥。外证不恶寒、反恶
热。是邪初入阳明之里。或温热内发欲出阳明之表。治宜凉解里热。是以风热温暑之表证。及伤寒传入阳明之府证。其
苔必现微黄。如若失治。则黄色由薄而转浓。甚则变为焦黄。外证大热、大渴、谵语、便闭、或无汗、或自汗。此因热
邪由表入里。治宜汗下兼行。但须清解凉散。今因双解散内有辛温升散之品。故加解毒汤以佐之。凡治此等证候。用药
必须随症斟酌。倘如舌苔黄燥。或生芒刺。而有脐腹胀满硬痛之证者。治法又宜急下以存津。
双解散加解毒汤
防风 川芎 当归 芍药 大黄 麻黄 连翘 芒硝（各半两） 石膏 黄芩 桔梗（各一两） 滑石（三两） 甘
草（二两） 荆芥（半两） 白术 山栀（各半两）
上 咀。每服一两。水一钟半。姜三片。煎八分服。不拘时。一云有桂枝二两。
【介按】双解散。即防风通圣散去硝黄是也。今此方有硝黄而无薄荷。名之曰双解散加解毒汤者。谅系双解表里热
毒之意也。吴鹤皋曰。解表有防风、麻黄、薄荷、荆芥、川芎。解里有石膏、滑石、黄芩、栀子、连翘。复有当归、芍
药以和血。桔梗、白术、甘草以调气。营卫皆和，表里俱畅。故曰双解。
舌苔呈现微黄色。如果在发病初期就出现这种情况，患者会出现说胡话（谵语）的症状。这是由于未能及时发汗，导致体表邪气内传入里所致。治疗必须采用发汗与攻下并用的方法。以双解散加解毒汤为主方进行治疗。
【介按】舌苔微黄且薄，说明外邪刚刚初入阳明经，仍然带有表证，轻微兼有怕冷症状。治疗应当使用辛凉解表的方法。如果舌苔黄且干燥，外部症状不怕冷反而怕热，这是邪气刚进入阳明之里，或者是温热邪气在内发动想要透达至阳明之表。治疗应当用清凉的方法解除里热。因此，无论是风热、温病、暑病的表证，还是伤寒传入阳明腑证的候象，其舌苔必然呈现微黄色。如果延误治疗，黄色会从薄变浓，甚至变成焦黄色。外部症状表现为大热、大渴、说胡话、大便闭塞，或者无汗，或者自汗。这是因为热邪由表入里所致，治疗应当发汗与攻下并用，但必须配合清热、解毒、凉散的药物。如今因为双解散中含有辛温升散的药材，所以加入解毒汤来辅助佐治。凡是治疗这类证候，用药必须根据具体症状斟酌调整。倘若舌苔黄燥，或者生出芒刺，并且伴有肚脐及腹部胀满、坚硬、疼痛的症状，治疗方法又应当急用攻下法以保存津液。
双解散加解毒汤
防风、川芎、当归、芍药、大黄、麻黄、连翘、芒硝（各半两）、石膏、黄芩、桔梗（各一两）、滑石（三两）、甘草（二两）、荆芥（半两）、白术、山栀（各半两）。
以上药材切碎。每次服用一两，加水一钟半，生姜三片，煎煮至八分量的药液时服用。不拘泥于固定时间。另一种说法是方中有桂枝二两。
【介按】双解散，就是防风通圣散去掉芒硝和大黄。现在这个方子含有芒硝和大黄却没有薄荷，命名为“双解散加解毒汤”，推测是意在双解表里的热毒。吴鹤皋说：解表有防风、麻黄、薄荷、荆芥、川芎；解里有石膏、滑石、黄芩、栀子、连翘。又有当归、芍药来调和血液，桔梗、白术、甘草来调理气机。营卫都调和了，表里都通畅了，所以称为双解。
When the tongue coating appears slightly yellow, if this occurs at the onset of illness, the patient will exhibit delirious speech (delirium). This is caused by the failure to induce sweating, allowing exterior pathogens to penetrate inward. Treatment must employ simultaneous diaphoresis and purgation. The primary formula is Shuangjie San (Double-Release Powder) modified with Jiedu Tang (Detoxification Decoction).
[Commentary by Jie] A slightly yellow and thin tongue coating indicates that external pathogens have just entered the Yangming channel, still retaining exterior syndrome characteristics, accompanied by slight aversion to cold. Treatment should utilize acrid-cool dispersing methods. If the coating is yellow and dry, and the external symptoms show aversion to heat rather than aversion to cold, it signifies that pathogens have just entered the interior of Yangming, or that warm-heat pathogens are stirring internally attempting to emerge to the exterior of Yangming. Treatment should employ cooling methods to resolve interior heat. Therefore, whether in the case of exterior syndromes of wind-heat, warm diseases, or summerheat, or in Fu-organ syndromes where Cold Damage has transmitted to Yangming, the tongue coating will necessarily present as slightly yellow. If treatment is delayed, the yellow color will deepen from thin to thick, even becoming scorched yellow. External symptoms manifest as high fever, severe thirst, delirium, constipation, or anhidrosis, or spontaneous sweating. This is due to heat pathogens moving from the exterior to the interior. Treatment should combine diaphoresis and purgation, but must be supplemented with clearing heat, detoxifying, and cooling-dispersing agents. Since Shuangjie San contains acrid-warm ascending and dispersing herbs, Jiedu Tang is added to assist and harmonize. In treating such syndromes, medication must be carefully adjusted according to specific symptoms. If the tongue coating is yellow and dry, or develops prickles, accompanied by abdominal distension, fullness, hardness, and pain around the umbilicus, the treatment method should urgently employ purgation to preserve body fluids.
Shuangjie San (Double-Release Powder) Modified with Jiedu Tang (Detoxification Decoction)
Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Dahuang (Rhei Radix et Rhizoma), Mahuang (Ephedrae Herba), Lianqiao (Forsythiae Fructus), Mangxiao (Natrii Sulfas) (each 0.5 liang), Shigao (Gypsum Fibrosum), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix) (each 1 liang), Huashi (Talcum) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang), Jingjie (Schizonepetae Spica), Baizhu (Atractylodis Macrocephalae Rhizoma), Shanzhi (Gardeniae Fructus) (each 0.5 liang).
Crush the above ingredients. Take 1 liang per dose, add 1.5 zhong of water and 3 slices of ginger, decoct until 0.8 zhong remains, then administer. Time of administration is not restricted. Another version states the inclusion of Guizhi (Cinnamomi Ramulus) 2 liang.
[Commentary by Jie] Shuangjie San (Double-Release Powder) is essentially Fangfeng Tongsheng San (Wind-Protecting Universal Rescue Powder) without Mangxiao (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma). This current formula contains Mangxiao and Dahuang but lacks Bohe (Menthae Haplocalycis Herba). It is named "Shuangjie San Modified with Jiedu Tang," presumably intending to double-release heat and toxins from both the exterior and interior. Wu Hegao stated: For releasing the exterior, there are Fangfeng (Saposhnikoviae Radix), Mahuang (Ephedrae Herba), Bohe (Menthae Haplocalycis Herba), Jingjie (Schizonepetae Spica), and Chuanxiong (Ligustici Chuanxiong Rhizoma); for resolving the interior, there are Shigao (Gypsum Fibrosum), Huashi (Talcum), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), and Lianqiao (Forsythiae Fructus). Additionally, Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix) harmonize the blood, while Jiegeng (Platycodonis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma) regulate qi. When Ying (Nutritive Qi) and Wei (Defensive Qi) are harmonized, and both exterior and interior are unobstructed, it is called "double-release."