治太阳阳明合病。（方在前）
有人病伤寒脉浮而长，喘而胸满，身热头痛，腰脊强，鼻干不得卧。予曰∶太阳阳明合
病证
麻黄
仲
为
不
合
少
曰阴中之
因中风寒
者考之，
阳为终之
少阴，少阴而后厥
大黄（一两，去皮） 浓朴（半两，去皮，姜汁涂炙） 枳实（二片，去穣，麸炒）
上三味，锉如麻豆大，每服三钱，水一盏，煮至三分，去滓温服。以利为度。初服须更
衣者
钱，
有人病伤寒八九日，身热无汗，时时谵语，时因下利，大便不通三日矣。非烦非躁，非
寒非
之曰
仲景
难乍易
此夜
非寒非痛
胃中安
又有人病伤寒，大便不利，日晡发潮热，手循衣缝两手撮空，直视喘急，更数医矣，见
之皆
已
便利，诸疾渐退，脉且微弦，半月愈。或人问曰∶下之而脉弦者生，此何意也？予曰∶《金
匮
汤
阳明
此所以有生
也。
又记有人病伤寒下利，身热神昏多困，谵语不得眠，或者见下利，便以谵语为郑声，为
阴虚证
也。
甚者从
用，通因通
止。此通因
治项背强。
葛根（一两） 麻黄（三分，去节） 桂枝（去皮，不见火） 甘草（炙） 芍药（各
半两）
上粗末，每服五钱，水一盏半，煎至八分，去滓温服，覆汗为度。
有人患伤寒无汗恶风，项既屈而且强。予曰∶项强几几，葛根汤证。或人问曰∶何谓
KTKT ？予曰∶KT KT 者，如凡足疾屈而强也。谢复古谓病患羸弱，须凭几而起，
误也。
盖仲景论中极有难晓处，如振振欲擗地，心中懊 ，外邪怫郁，郁冒不仁，膈内拒痛。如此
之类甚多。
有人患伤寒，脉象浮而长，气喘且胸部胀满，身体发热、头痛，腰部及脊柱僵硬，鼻干无法安卧。我说：这是太阳阳明合病的证候。
麻黄（一两，去皮） 大黄（一两，去皮） 浓朴（半两，去皮，用姜汁涂抹后炙烤） 枳实（两片，去掉瓤，用麦麸炒制）
以上三味药，切碎如麻豆大小，每次服用三钱，用水一盏，煮至剩余三分之一的药液，滤去药渣，温服。以大便通畅为度。初次服药后需要更换衣物的人……
又有人患伤寒八九日，身体发热无汗，时常说胡话（谵语），有时伴有腹泻，但大便已经三天不通了。患者并不烦躁，也不恶寒疼痛……
又说：有人患伤寒，大便不通利，傍晚时分出现潮热，手不自觉地抓摸衣缝，两手向空中抓取，眼睛直视不动，气喘急促，已经看过多位医生，见到这些症状都认为是……（病情危重）。后来使用下法治疗后，二便通畅，各种疾病逐渐消退，脉象变得微弦，半个月痊愈。有人问我说：使用下法后脉象变弦的能生存，这是什么意思呢？我说：《金匮要略》中提到……这是所以能生存的原因。
又记得有人患伤寒并伴有腹泻，身体发热，神志昏迷且困倦，说胡话无法入睡。有的人看到腹泻，就把说胡话当作“郑声”（虚证时的语言重复），认为是阴虚证……严重者从……采用“通因通用”的方法，使邪气排出而不止住。这就是“通因通用”。
治疗项背部僵硬。
葛根（一两） 麻黄（三分，去掉节） 桂枝（去皮，不经过火烤） 甘草（炙烤） 芍药（各半两）
以上药物捣成粗末，每次服用五钱，用水一盏半，煎至八分，滤去药渣，温服，以出汗为度。
有人患伤寒，无汗且怕风，颈部既弯曲又僵硬。我说：项背强几几（形容项背拘急不舒的样子），是葛根汤的证候。有人问我说：什么叫“几几”？我说：“几几”的意思是，就像普通人脚部患病时屈曲且僵硬一样。谢复古认为病人身体羸弱，需要依靠几案才能起身，这是错误的。
大概张仲景的论述中有很多难以理解的地方，比如“振振欲擗地”（身体震颤想要倒在地上）、“心中懊憹”（心中烦闷特甚）、“外邪怫郁”（外邪郁结在体表）、“郁冒不仁”（头昏目眩且肢体麻木）、“膈内拒痛”（胸膈内部抗拒性疼痛）。这样的例子很多。
Treats the combined disease of Taiyang (Greater Yang) and Yangming (Yang Brightness). (The formula is mentioned earlier.)
A person suffered from Shanghan (Cold Damage), with a pulse that was floating and long, accompanied by panting and chest fullness, fever, headache, stiffness in the lower back and spine, dry nose, and inability to lie down. I said: This is the syndrome of combined Taiyang and Yangming disease.
Ephedrae Herba (Mahuang, 麻黄) [Note: Original text lists Mahuang here but context implies Xie Xin Tang or similar variation, however strictly translating entities listed] Rhubarbi Radix et Rhizoma (Dahuang, 大黄) Magnoliae Officinalis Cortex (Houpo, 厚朴) Aurantii Fructus Immaturus (Zhishi, 枳实)
These three herbs are chopped into pieces the size of hemp seeds. Each dose is three qian, boiled in one sheng of water until reduced to one-third. Strain and take warm. The treatment is considered effective when bowel movement occurs. After the first dose...
Another person suffered from Shanghan for eight or nine days, with fever, no sweat, occasional delirium, intermittent diarrhea, yet constipation for three days. There was no irritability, nor aversion to cold or pain...
Again, a person suffered from Shanghan with difficulty in defecation, tidal fever in the late afternoon, unconsciously grasping at clothing seams, picking at empty air, staring straight ahead, panting and urgency in breathing. Several doctors had seen him... After using purgative methods, urination and defecation became smooth, various ailments gradually receded, and the pulse became slightly wiry. He recovered in half a month. Someone asked me: Why does a wiry pulse after purgation indicate survival? I said: As mentioned in *Jin Gui Yao Lue*... This is why there is hope for survival.
I also recall a case where a person suffered from Shanghan with diarrhea, fever, coma, drowsiness, and delirium preventing sleep. Some physicians, seeing the diarrhea, interpreted the delirium as "Zheng Sheng" (repetitive speech indicating deficiency) and diagnosed it as Yin deficiency... In severe cases, employing the method of "treating obstruction with unblocking agents" (Tong Yin Tong Yong), allowing pathogens to exit without stopping the discharge. This is "Tong Yin Tong Yong".
Treats stiffness in the neck and back.
Puerariae Lobatae Radix (Gegen, 葛根) Ephedrae Herba (Mahuang, 麻黄) Cinnamomi Ramulus (Guizhi, 桂枝) Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) Paeoniae Radix Alba (Baishao, 白芍)
Crush these into coarse powder. Each dose is five qian, boiled in one and a half sheng of water until reduced to eight-tenths. Strain and take warm. Induce sweating as the goal.
A person suffered from Shanghan with no sweat and aversion to wind, with the neck bent and stiff. I said: Stiffness in the neck and back described as "Ji Ji" is the syndrome for Gegen Tang (Kudzu Decoction). Someone asked: What is "Ji Ji"? I said: "Ji Ji" means like the stiffness and flexion seen in foot diseases. Xie Fugu mistakenly believed it referred to weak patients needing to lean on a table to rise.
Zhang Zhongjing's discussions contain many difficult-to-understand passages, such as "trembling and wanting to fall to the ground" (Zhen Zhen Yu Pi Di), "extreme mental restlessness" (Xin Zhong Ao Nao), "external pathogens constrained and depressed" (Wai Xie Fu Yu), "dizziness and numbness" (Yu Mao Bu Ren), and "pain resisting pressure in the diaphragm" (Ge Nei Ju Tong). There are many such examples.