卫阳不固汗汪洋。须用黄 附子汤。（黄 一两。熟附子五钱。水煎服。）附暖丹田元气
主。得 固脱守其乡。（行于皮毛者。卫外之气也。卫气根于元气。黄 虽专走卫。有附子
挟之同行。则能回大汗欲脱之气。守于其乡。而汗自止矣。）
陈修园曰。神农本草经云。黄 气味甘微温无毒。主痈疽久败疮。排脓止痛。大疯癞疾。
五痔鼠 。补虚小儿百病。本经只此三十三字。皆取其质轻味淡。偏走皮毛。故治大风痈疽。
及一切外症脓血过多用之。补养皮肉之虚而已。又云主小儿百疾者。以轻薄之品。大人不足
倚赖。惟小儿经脉未盛。气血皆微。不宜峻补。得此微补之品。百病可以概治也。细味经旨。
安能大补元气以止汗。如六黄汤之大寒以除热。热除则汗止。 附汤之大热以回阳。阳回则
汗止。玉屏风之解肌以驱风。风除则汗止。三方不重在黄 。却得黄 之轻快。径走皮肤。
奏效更速。数百年来。无一人谈及。甚矣医道之难也。
玉屏风散主诸风。止汗先求 通。（风伤卫则汗自出。黄 得防风。其功愈大。以二
药同行走表。令 微似汗。其风邪从微汗而解。则卫无邪扰。汗不再出矣。）发在 防（黄
防风。时医误认为止汗之品。害人无算。）收在术。（表风得黄 防风而解。则外无所扰矣。
脏气得白术而安。则内有所据矣。）热除（风属阳邪阳则为热。）湿去（太阳为湿土。湿热交
蒸
则为自汗发热之症。）主中宫。（白术补中宫上气。故能止汗除热。防风黄 白术各等分为末。
酒
陈修园曰。以黄 为固表药。千古贻误。前贤用之不应。所以有汗能止。无汗能发。骑
墙之说。及庸辈有炙用能止。生用能发之分也。神农本经俱在。奈何舍而不读也。余于本条
小注甚详。细心体认。如拨云见日。明者自知。
卫阳不固导致汗出如汪洋般大量。必须使用黄芪附子汤。（黄芪一两，熟附子五钱，水煎服。）附子温暖丹田元气之主，得黄芪则能固脱守其乡。（行于皮毛的是卫外之气。卫气根源于元气。黄芪虽然专走卫分，但有附子挟持同行，则能挽回大汗欲脱之气，守护在它的本乡，而汗自然停止。）
陈修园说：《神农本草经》记载，黄芪气味甘、微温，无毒。主治痈疽久败疮，排脓止痛，大风癞疾，五痔鼠瘘。补虚，治小儿百病。《本经》只有这三十三字，都是取其质地轻、味道淡，偏走皮毛，所以治疗大风痈疽，以及一切外症脓血过多时使用它，只是补养皮肉之虚罢了。又说主治小儿百病，是因为轻薄的药物，大人不足以依赖，只有小儿经脉未盛，气血皆微弱，不宜峻补，得到这种微补的药物，百病可以概治。细细品味经旨，怎么能说是大补元气以止汗呢？像六黄汤的大寒以除热，热除则汗止；芪附汤的大热以回阳，阳回则汗止；玉屏风散解肌以驱风，风除则汗止。三方不重在黄芪，却得黄芪之轻快，径走皮肤，奏效更速。数百年来，没有一个人谈及这一点，医道之难啊！
玉屏风散主治诸风，止汗先求通畅。（风伤卫则汗自出，黄芪得防风，其功效更大，因为二药同行走表，令汗微似有汗，其风邪从微汗而解，则卫无邪扰，汗不再出矣。）发在芪防（黄芪、防风，时医误认为是止汗之品，害人无算。）收在术。（表风得黄芪、防风而解，则外无所扰了；脏气得白术而安，则内有所据了。）热除（风属阳邪，阳则为热。）湿去（太阳为湿土，湿热交蒸则为自汗发热之症。）主中宫。（白术补中宫上气，故能止汗除热。防风、黄芪、白术各等分为末，酒调下。）
陈修园说：把黄芪当作固表药，千古贻误。前贤用之不应，所以有“有汗能止，无汗能发”的骑墙之说，及庸辈有炙用能止、生用能发的区分。《神农本草经》俱在，奈何舍而不读呢？我于本条小注甚详，细心体认，如拨云见日，明者自知。
Wei Yang (Defensive Yang) fails to consolidate, resulting in profuse sweating like a vast ocean. One must use Huangqi Fuzi Tang (Astragalus and Prepared Aconite Decoction). (Huangqi [Astragali Radix] 1 liang, Shu Fuzi [Prepared Aconiti Lateralis Radix] 5 qian, decocted in water and taken orally.) Fuzi warms the Yuan Qi (Original Qi) of the Dantian; with Huangqi, it secures against collapse and guards its native territory. (The Qi that circulates in the skin and hair is the Wei Qi (Defensive Qi), which protects the exterior. Wei Qi is rooted in Yuan Qi. Although Huangqi specifically travels through the Wei level, accompanied by Fuzi, it can rescue the Qi on the verge of collapse due to profuse sweating, guarding it in its native territory, thus stopping the sweating naturally.)
Chen Xiuyuan stated: The *Shennong Bencao Jing* (Divine Farmer's Materia Medica) records that Huangqi has a sweet flavor and slightly warm nature, and is non-toxic. It treats chronic ulcers from carbuncles and sores, expels pus and relieves pain, severe leprosy-like diseases, the five types of hemorrhoids, and rat-hole fistulas. It tonifies deficiency and treats hundred ailments in children. This classic contains only these thirty-three characters, all indicating that it takes advantage of its light texture and bland taste to preferentially travel to the skin and hair. Therefore, it is used for severe wind-carbuncle-sores and any external conditions with excessive pus and blood loss, merely to tonify the deficiency of skin and flesh. It also states it treats hundred ailments in children because light and thin substances are insufficient for adults to rely upon. Only children, whose meridians are not yet developed and whose Qi and Blood are both weak, should not undergo harsh tonification. Receiving this mild tonifying substance, their hundred ailments can be generally treated. Carefully pondering the intent of the classics, how can one claim it greatly tonifies Yuan Qi to stop sweating? Just as Liu Huang Tang (Six Yellow Decoction) uses great coldness to eliminate heat; when heat is eliminated, sweating stops. Qifu Tang (Astragalus and Aconite Decoction) uses great heatness to restore Yang; when Yang is restored, sweating stops. Yu Ping Feng San (Jade Windscreen Powder) releases the muscle layer to drive out wind; when wind is eliminated, sweating stops. These three formulas do not focus on Huangqi, but rather benefit from Huangqi's lightness and agility, traveling directly to the skin, achieving effects more rapidly. For hundreds of years, no one has mentioned this. Indeed, the Way of Medicine is difficult!
Yu Ping Feng San (Jade Windscreen Powder) primarily treats various winds. To stop sweating, one must first seek unobstructed flow. (When wind injures the Wei Qi, sweating occurs spontaneously. When Huangqi is combined with Fangfeng, its efficacy increases significantly. Because these two herbs travel together to the exterior, they induce a slight perspiration, allowing the pathogenic wind to resolve through this slight sweat. Thus, the Wei Qi is free from pathogenic disturbance, and sweating ceases.) The release lies in Huangqi and Fangfeng (Huangqi and Fangfeng are mistakenly regarded by contemporary physicians as antiperspirants, causing countless harms.) The consolidation lies in Baizhu. (When the exterior wind is resolved by Huangqi and Fangfeng, there is no longer external disturbance; when the Zang organ Qi is stabilized by Baizhu, there is internal support.) Heat is eliminated (Wind belongs to Yang pathogens, and Yang implies heat.) Dampness is removed (Taiyang corresponds to damp earth; when dampness and heat interact and steam, symptoms of spontaneous sweating and fever arise.) It governs the Middle Palace (Baizhu tonifies the Qi of the Middle Jiao, thus it can stop sweating and eliminate heat. Fangfeng, Huangqi, and Baizhu in equal parts are ground into powder and taken with wine.)
Chen Xiuyuan stated: Regarding Huangqi as a surface-consolidating herb has caused errors throughout history. Previous sages found its application ineffective, leading to the contradictory theory that "it stops sweating when present and induces sweating when absent," and quacks distinguished between roasted use (stopping sweat) and raw use (inducing sweat). The *Shennong Bencao Jing* remains available; why abandon it without reading? My annotations on this section are very detailed. Reflect carefully, and it will be like clearing clouds to see the sun; those who understand will know themselves.