大法。春夏宜发汗。
（春夏阳气在外。邪气亦在外。故可发汗。）
凡发汗。欲令手足俱周。时出以 然一时间许。亦佳。不可令如水流漓。若病不解。
当重
（汗缓缓出。则表里之邪悉去。汗大出。则邪气不除。但亡阳也。阳虚为无津液。故不
可重
凡服汤发汗。中病便止。不必尽剂。凡云可发汗。无汤者。丸散亦可用。要以汗出为解。
然
（圣济经曰。汤液主治。本乎腠理。壅郁除邪气者。于汤为宜。金匮玉函曰。水能净万
物。
夫病脉浮大。问病者言。但便硬尔。设利者。为大逆。硬为实。汗出而解。何以故。脉
浮当
（经曰。脉浮大。应发汗。医反下之。为大逆。便硬难。虽为里实。亦当先解其外。若
行利
而复
下利后。身疼痛。清便自调者。急当救表。宜桂枝汤发汗。
（外台云。里和表病。汗之则愈。）
太阳病。脉浮数者。宜发汗也。
太阳病。脉浮大数者。宜发汗也。
阳明病。脉迟。汗多而微恶寒者。外未解。宜发汗。
阳明病。脉浮数者。宜发汗。
太阳病。常汗微微自出。更宜发汗。
凡脉浮而紧者。浮则为风。紧则为寒。宜发汗。
太阳病。下之微喘者。外未解也。宜发汗。
太阳病。发热汗出而恶寒。宜发汗。
发汗多亡阳。谵语者。不可下。与柴胡桂枝汤。和其营卫。以通津液。后自愈。
（胃为水谷之海。津液之主。发汗多亡津液。胃中燥。必发谵语。此非实热。则不可下。
与
治疗的大原则是：春夏季节适宜使用发汗法。
（因为春夏时节阳气浮越于体表，邪气也停留在体表，所以可以使用发汗法。）
凡是使用发汗法，要使手足周身都微微出汗，持续大约一顿饭的时间，这样也很好。不可让汗水像水流一样淋漓不止。（如果缓缓出汗，则表里之邪都能去除；如果大汗淋漓，则邪气不能除去，只会导致亡阳。阳气虚衰会导致津液枯竭，所以不可再次强行发汗。）
凡是服用汤药发汗，只要病愈就停止，不必服完全部药剂。凡是说可以发汗的，如果没有汤药，丸剂和散剂也可以使用，关键在于以出汗作为病解的标志。
（《圣济经》说：汤液主治疾病，根本在于腠理，对于壅滞郁结、祛除邪气的情况，用汤剂为宜。《金匮玉函》说：水能净化万物……）
如果病人的脉象浮大，询问病人说，只是大便干硬而已。如果使用泻下法，属于严重的误治。大便硬是因为里有实邪，应当通过发汗使邪气从表而解。为什么呢？脉浮说明邪气在表，应当发汗。（经文说：脉浮大，应当发汗，医生反而使用泻下法，这是严重的误治。大便干硬难解，虽然属于里实证，但也应当先解除表邪。如果直接使用泻下法，就会造成变证。）
在下利之后，身体疼痛，但大小便正常者，应当紧急救治表证，适宜用桂枝汤发汗。
（《外台秘要》说：里气和而表证未解，发汗治疗即可痊愈。）
太阳病，脉象浮数的，适宜发汗。
太阳病，脉象浮大数的，适宜发汗。
阳明病，脉象迟缓，汗多且轻微恶寒的，说明表证未解，适宜发汗。
阳明病，脉象浮数的，适宜发汗。
太阳病，经常微微自汗出的，更适宜发汗。
凡是脉象浮而紧的，浮主风邪，紧主寒邪，适宜发汗。
太阳病，经过泻下治疗后出现轻微喘息的，说明表证未解，适宜发汗。
太阳病，发热、汗出且恶寒的，适宜发汗。
发汗过多导致亡阳，出现谵语的，不可使用泻下法。给予柴胡桂枝汤，调和营卫，以疏通津液，之后自然痊愈。
（胃是水谷之海，津液的主宰。发汗过多导致津液亡失，胃中干燥，必然发生谵语。这并非实热证，所以不可使用泻下法。给予……）
General principles: In spring and summer, it is appropriate to induce sweating.
(Because in spring and summer, Yang Qi floats on the exterior, and pathogenic factors also remain on the exterior; therefore, inducing sweating is applicable.)
When inducing sweating, one should aim for uniform, mild perspiration over the hands, feet, and entire body, lasting approximately the time it takes to eat a meal, which is ideal. One must not allow sweat to pour out profusely like flowing water. (If sweat emerges slowly, both exterior and interior pathogens are eliminated; if sweat pours out excessively, pathogens remain while Yang Qi is lost. Deficiency of Yang leads to depletion of Body Fluids, hence forcing sweating again is contraindicated.)
When administering decoctions to induce sweating, stop once the disease resolves; there is no need to consume the entire dose. For conditions where sweating is indicated but no decoction is available, pills or powders may be used, provided that sweating occurs as the sign of resolution.
(The *Shengji Jing* states: Decoctions treat diseases primarily through the Cou Li (interstitial spaces); for conditions involving stagnation and郁结 (stagnation/accumulation) requiring the expulsion of pathogens, decoctions are suitable. The *Jingui Yufan* states: Water can purify all things...)
If the patient's pulse is floating and large, and upon inquiry, the patient reports only hard stool, using purgatives constitutes a major error. Hard stool indicates interior excess; however, relief should be sought through sweating. Why? A floating pulse indicates the pathogen is at the exterior, warranting sweating. (The classics state: With a floating and large pulse, sweating is indicated; if the physician instead uses purgation, it is a major error. Although hard stool suggests interior excess, the exterior syndrome must first be resolved. If purgation is applied directly, complications will arise.)
After diarrhea, if the body aches but bowel and bladder functions are normal, urgent treatment of the exterior is required. Guizhi Tang (Cinnamon Twig Decoction) is appropriate to induce sweating.
(The *Waitai Miyao* states: When the interior is harmonious but the exterior remains diseased, sweating therapy leads to recovery.)
In Taiyang Disease (Disease of the Exterior), if the pulse is floating and rapid, inducing sweating is appropriate.
In Taiyang Disease, if the pulse is floating, large, and rapid, inducing sweating is appropriate.
In Yangming Disease, if the pulse is slow, with excessive sweating and slight aversion to cold, the exterior has not yet resolved, so inducing sweating is appropriate.
In Yangming Disease, if the pulse is floating and rapid, inducing sweating is appropriate.
In Taiyang Disease, if there is frequent, mild spontaneous sweating, inducing sweating is further indicated.
Whenever the pulse is floating and tight, floating indicates Wind, and tight indicates Cold; inducing sweating is appropriate.
In Taiyang Disease, if mild wheezing occurs after purgation, the exterior has not resolved, so inducing sweating is appropriate.
In Taiyang Disease, if there is fever, sweating, and aversion to cold, inducing sweating is appropriate.
Excessive sweating leading to loss of Yang Qi, accompanied by delirium, is contraindicated for purgation. Administer Chaihu Guizhi Tang (Bupleurum and Cinnamon Twig Decoction) to harmonize Ying and Wei (Nutritive and Defensive levels) and facilitate the flow of Body Fluids; the condition will resolve spontaneously thereafter.
(The Stomach is the sea of water and grain, and the master of Body Fluids. Excessive sweating depletes Body Fluids, causing dryness in the Stomach, which inevitably leads to delirium. This is not an excess-heat pattern, thus purgation is contraindicated. Administering...)