一经水不调属虚者。乃冲任之血不足。宜服归脾汤二十剂。再以海螵蛸四两。茜草一两。
以
一经水不调属实者。自有实症实脉可验。宜四物汤。加醋炒大黄香附桃仁丹皮青皮红花
之类。
一经水不调因郁而致者。宜加味逍遥散。
一妇人肥而不妊。乃子宫脂满。宜四物汤。去地黄。加香附半夏贝母。以益母膏为丸。
如瘦
一妇人带病。皆由中土亏损。带脉不能收引。以致十二经脉。因而内陷也。宜六君子汤。
加炮姜以补脾。甚者。以补中益气汤。以提之。或以椿根皮黄柏牡蛎粉醋糊为丸。间服以涩
之。
伤寒（伤寒以六经为主。太阳阳明少阳为三阳。太阴少阴厥阴为三阴。病症百出无常。
总范
一百
病
敢
（为寒水之经。主一身之表。）
何谓太阳经症。曰头痛项强发热恶寒是也。一脉缓自汗恶风。为虚邪。宜桂枝汤。○如
八九
不
邪未
而竭
枣。
二汤
按此二法。治表中之表也。○时法。冬月以加味香苏饮代上二方。三时感胃。以九味羌
活
何谓太阳腑症。曰表邪不去。必入于里。膀胱为表中之里也。有蓄水蓄血之辨。
一太阳症。其人口渴烦躁不得眠。脉浮小便不利。水入即吐。为膀胱蓄水症。宜五苓散。
一太阳症。其人如狂。小腹硬满。小便自利脉沉。为膀胱蓄血症。（古用抵当汤丸。今
畏其
按此二法治表中之里也
何谓太阳变症。曰汗下失宜从阴从阳之不一也。
一不应下而下之。续得下利清谷身疼痛。宜四逆汤。以救清谷之里。又以桂枝汤。以救
身疼
一病发热头痛。脉反沉。若不瘥。身体疼痛。当救其里。宜四逆汤。
一大汗大下利而厥冷者。四逆汤主之。
太阳病。发汗太过。遂漏不止。其人恶风。小便难。四肢微急。难以屈伸。桂枝加附子
汤主
一太阳病。发汗太过。动其营血。而卫邪反内伏。其人仍发热。心下悸。头眩身 动振
振欲
阳
一阳盛于内。误服桂枝汤。大汗出后。大烦十渴不解。脉洪大者。白虎加人参汤主之。
一伤寒若吐若下后。七八日不解。热结在里。表里俱热。时时恶风。大渴舌上干燥而烦
欲
一伤寒不大便六七日。（为里症）头痛有热（为表症。）外不解。由于内不通也。下之。
里和而
病患烦热。汗出则解。又加疟状。日晡所发热。属阳明也。脉实者。宜下之。与大承气
汤。
一发汗后恶寒者。虚故也。不恶寒但热者。实也。当和胃气。与调胃承气汤。
一太阳病未解。脉阴阳俱停。（停者。沉滞不起也。阴阳者。尺寸也。）先振栗汗出乃解。
但
汗
以上言汗下失宜。热炽而伤其阴阴伤则从阳明阳化之症多以大肠阳明递相传也。
何谓发汗利水。为治太阳两大门。曰邪伤太阳病在寒水之经也。驱其水气以外出。则为
汗逐
太阳为寒水之经。邪之初伤。必须发汗。麻黄汤。发皮肤之汗。桂枝汤。发经络之汗。
葛根
发汗
渴
雷
散之
大陷
甚于
宜小
出不
强。
以桂
月经不调属于虚证的，是冲任二脉的血液不足。适宜服用归脾汤二十剂。再用海螵蛸四两、茜草一两。
月经不调属于实证的，自然有实证和实脉可以验证。适宜用四物汤，加入醋炒大黄、香附、桃仁、丹皮、青皮、红花之类。
一位身体肥胖但不孕的妇女，是因为子宫脂肪丰满堵塞，适宜用四物汤，去掉地黄，加入香附、半夏、贝母，以益母膏做成丸药。
如果身体瘦弱……（原文此处中断）
一位患有带下病的妇女，都是因为中焦脾胃亏损，导致带脉不能收摄牵引，致使十二经脉因而内陷。适宜用六君子汤，加入炮姜来补脾。病情严重的，用补中益气汤来提升阳气。或者用椿根皮、黄柏、牡蛎粉，以醋糊做成丸药，间隔服用以收敛固涩。
伤寒（伤寒以六经辨证为主，太阳、阳明、少阳为三阳经，太阴、少阴、厥阴为三阴经。病症变化无常，总纲……一百……病……敢……（作为寒水之经，主管一身之表。）
什么是太阳经的症状？回答说：头痛、项强、发热、恶寒就是太阳经的症状。脉象缓、自汗、恶风，属于虚邪，适宜用桂枝汤。○如果……八九日……不……邪未……而竭……枣……二汤……
按这两种方法，是治疗表证中的表证。○时令治法：冬季用加味香苏饮代替上述两个方子。其他三个季节感受外邪，用九味羌活……
什么是太阳腑证？回答说：表邪不去，必然传入里部。膀胱是表中之里。有蓄水证和蓄血证的辨别。
一种太阳病，病人口渴、烦躁、不得睡眠，脉浮、小便不利，喝水即吐，这是膀胱蓄水证。适宜用五苓散。
一种太阳病，病人像发狂一样，小腹硬满，小便自利，脉沉，这是膀胱蓄血症。（古代用抵当汤或抵当丸，现在……畏惧其……
什么是太阳变证？回答说：汗法和下法使用不当，导致从阴化或从阳化的情况不一。
一种本不应下而误用下法，随后出现下利清谷（完谷不化）、身体疼痛。适宜用四逆汤，以救治下利清谷的里寒证；又用桂枝汤，以救治身体疼痛的表证。
一种病发热、头痛，脉象反而沉，如果不好转，身体疼痛，应当先救其里，适宜用四逆汤。
太阳病，发汗太过，导致汗漏不止，病人恶风，小便困难，四肢轻微拘急，难以屈伸。由桂枝加附子汤主治。
一种太阳病，发汗太过，扰动营血，而卫分之邪反内伏，病人仍然发热，心下悸动，头晕，身体……动振振欲……阳……
一种阳气盛于内，误服桂枝汤，大汗出后，大烦渴不解，脉洪大的，由白虎加人参汤主治。
一种伤寒，如果用吐法或下法后，七八天病邪不解，热结在里，表里俱热，时时恶风，大渴，舌上干燥而烦……欲……
一种伤寒不大便六七天。（这是里证）头痛有热（这是表证）。表证未解，是由于内部不通畅。用下法。里气和顺而……
病患烦热，汗出则缓解，又加上类似疟疾的症状，傍晚时分发热，属于阳明病。脉实的，适宜用下法，给予大承气汤。
一种发汗后恶寒的，是虚证。不恶寒但发热的，是实证。应当调和胃气，给予调胃承气汤。
一种太阳病未解，脉阴阳俱停。（停者，指沉滞不起也。阴阳者，指寸尺两部脉。）先出现战栗，然后汗出才解除。但……汗……
以上论述的是汗下法使用不当，热势炽盛而损伤阴液。阴伤则从阳明化燥，阳化之症多以大肠阳明递相传变。
为什么说发汗和利水是治疗太阳病的两大法门？回答说：邪气伤害太阳，病在寒水之经。驱除其水气使其向外排出，则为汗逐……
太阳是寒水之经，邪气初伤，必须发汗。麻黄汤，发皮肤之汗；桂枝汤，发经络之汗；葛根……发汗……渴……雷……散之……大陷……甚于……宜小……出不……强。以桂……
Irregular menstruation due to deficiency involves insufficient blood in the Chong and Ren vessels. It is suitable to take Guipi Tang (Restore the Spleen Decoction) for twenty doses. Then, use Haidiao Xiao (Cuttlefish Bone) four liang and Qian Cao (Madder Root) one liang.
Irregular menstruation due to excess presents with clear signs of excess syndrome and excess pulse. It is suitable to use Siwu Tang (Four Substances Decoction), adding Cu Chao Dahuang (Vinegar-processed Rhubarb), Xiangfu (Cyperus Rhizome), Taoren (Peach Seed), Danpi (Moutan Cortex), Qingpi (Aurantii Fructus Pericarpium), Honghua (Carthamus Flower), and similar herbs.
Irregular menstruation caused by Qi stagnation is suitable to be treated with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder).
A woman who is obese but infertile has a uterus filled with fat/phlegm dampness. It is suitable to use Siwu Tang (Four Substances Decoction), removing Dihuang (Rehmannia Root), adding Xiangfu (Cyperus Rhizome), Banxia (Pinellia Tuber), and Beimu (Fritillaria Bulb), formed into pills using Yimu Gao (Motherwort Paste).
If thin... (Text interrupted here)
A woman suffering from leukorrhea (dai disease) suffers from this because of the depletion of the Middle Jiao (Spleen/Stomach), causing the Dai vessel (Girdle Vessel) to fail in its restraining function, leading to the depression of the twelve primary meridians internally. It is suitable to use Liujunzi Tang (Six Gentlemen Decoction), adding Pao Jiang (Prepared Ginger) to tonify the Spleen. In severe cases, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to raise the Qi. Alternatively, use Chun Gen Pi (Toona Bark), Huangbai (Phellodendron Bark), and Muli Fen (Oyster Shell Powder), bound with vinegar paste into pills, taken intermittently to astringe and secure.
Shanghan (Cold Damage) is primarily differentiated by the Six Channels: Taiyang, Yangming, Shaoyang are the Three Yang channels; Taiyin, Shaoyin, Jueyin are the Three Yin channels. The manifestations are myriad and unpredictable... (Text fragmented)... (As the channel of Cold Water, it governs the exterior of the body.)
What are the symptoms of the Taiyang Channel? It is said: headache, stiffness of the neck, fever, and aversion to cold. A slow pulse with spontaneous sweating and aversion to wind indicates an empty pathogen (deficiency type), suitable for Guizhi Tang (Cinnamon Twig Decoction). ○ If... eight or nine days... not... pathogen not... exhausted... dates... two decoctions...
According to these two methods, they treat the exterior within the exterior. ○ Seasonal method: In winter, Jiawei Xiangsu Yin (Modified Fragrant Su Drink) replaces the above two formulas. For external contraction in the other three seasons, use Jiuwei Qianghuo...
What are the Fu-organ syndromes of Taiyang? It is said: if the exterior pathogen does not resolve, it must enter the interior. The Bladder is the interior within the exterior. There is a distinction between Water Retention and Blood Stasis syndromes.
One type of Taiyang syndrome: the patient has thirst, irritability, insomnia, floating pulse, difficulty urinating, and vomiting immediately after drinking water. This is the Bladder Water Retention Syndrome. It is suitable to use Wuling San (Five-Ingredient Powder with Poria).
One type of Taiyang syndrome: the patient appears manic, has hardness and fullness in the lower abdomen, free urination, and a deep pulse. This is the Bladder Blood Stasis Syndrome. (Ancient texts used Didang Tang or Didang Wan, modern practitioners... fear its...
According to these two methods, they treat the interior within the exterior.
What are the altered syndromes of Taiyang? It is said: improper use of sweating and purging methods leads to varying transformations into Yin or Yang.
One case where purgatives were incorrectly used when not indicated, followed by diarrhea with undigested food (Qinggu) and body pain. It is suitable to use Sini Tang (Frigid Extremities Decoction) to rescue the interior cold of the diarrhea, and simultaneously use Guizhi Tang (Cinnamon Twig Decoction) to rescue the body pain of the exterior.
One case of fever and headache with a contrary deep pulse. If it does not improve and there is body pain, one should first rescue the interior, suitable for Sini Tang (Frigid Extremities Decoction).
One case of excessive sweating, severe purging/diarrhea, and cold extremities. This is primarily treated with Sini Tang (Frigid Extremities Decoction).
Taiyang disease, after excessive sweating, results in continuous leakage of sweat. The patient has aversion to wind, difficulty urinating, slight stiffness of the four limbs, and difficulty in flexion and extension. This is primarily treated with Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction plus Aconite).
One Taiyang disease, after excessive sweating, disturbs Ying and Blood, while Wei pathogen retreats inward. The patient still has fever, palpitations in the epigastrium, dizziness, and trembling/shaking... Yang...
One case of internal Yang excess, where Guizhi Tang (Cinnamon Twig Decoction) was mistakenly taken. After excessive sweating, there is severe irritability and unquenchable thirst, with a flooding pulse. This is primarily treated by Baihu Jia Renshen Tang (White Tiger Decoction plus Ginseng).
One case of Shanghan where, after emesis or purging, the pathogen remains unresolved after seven or eight days. Heat is consolidated in the interior, with heat in both interior and exterior, occasional aversion to wind, severe thirst, dry tongue, and irritability... desire...
One case of Shanghan with constipation for six or seven days. (This is an interior syndrome.) Headache with fever (this is an exterior syndrome). The exterior is not resolved due to internal blockage. Use purgation. When the interior harmonizes...
The patient has vexatious heat, which resolves with sweating. Then, malaria-like symptoms appear. Fever at dusk belongs to Yangming disease. If the pulse is excess, purgation is suitable, giving Dachengqi Tang (Major Order the Qi Decoction).
One case of aversion to cold after sweating indicates deficiency. Absence of aversion to cold but presence of heat indicates excess. One should harmonize the Stomach Qi, giving Weichengqi Tang (Minor Order the Qi Decoction).
One Taiyang disease unresolved, with pulses at both Cun and Chi positions being stagnant/suspended. (Suspended means sinking and sluggish; Yin and Yang refer to Cun and Chi positions.) First, there is chills and shaking, then sweating occurs, and the condition resolves. But... sweat...
The above discusses improper sweating and purging, leading to blazing heat damaging Yin. Yin damage transforms into Yangming dryness; Yang-transforming syndromes often transmit sequentially through the Large Intestine and Yangming.
Why are sweating and promoting urination considered the two major gates for treating Taiyang? It is said: when the pathogen injures Taiyang, the disease lies in the Cold Water channel. Driving out the fluid retention outward via sweating...
Taiyang is the channel of Cold Water. At the initial stage of pathogenic injury, sweating is mandatory. Mahuang Tang (Ephedra Decoction) induces sweating from the skin; Guizhi Tang (Cinnamon Twig Decoction) induces sweating from the collaterals; Ge Gen (Kudzu Root)... induce sweating... thirst... Lei... disperse... Da Xian... worse than... suitable for Xiao... not excrete... strong. With Gui...