栀子仁 豆豉（倍用） 或加干姜少许。
表证未退，医早下之，阳邪乘虚入里，固结不能散，烦热懊 。更以陷胸汤继投，愈虚其虚，病不起尔。栀、
豉靖虚烦客热，服而探吐。俾误下表邪，一涌而出。去邪存正，此为上策。加姜者，既误必损胃之意。若未经下，
烦闷及多痰头痛，以赤小豆、苦瓜蒂为散主之。盖苦能涌泄，瓜蒂苦物也。燥可去湿，赤小豆燥物也。夫病未经
下，元气虽虚未损，头痛挟痰，又似实症，故用二物在上，吐而夺之，诚为快利。今人唯知汗下，而吐法全不能
讲究，何哉？丹溪曰∶吐中就有发散之义。戴人亦谓吐法兼汗。镜虽不敏，请事斯语矣。
烧盐调热童便，本治霍乱搅肠，愚以治伤食睑肿，痛连
胸膈，三饮而三吐之，亦效。所谓死方活用，全者多矣。
（一方量用蓖麻子、生大黄、生猪膏捣，捏长条，导入肛门内，效尤捷）
蜜二合煎极稠，捏如指，蘸皂角末少许，乘热纳入谷道。病患以手紧抱，勿令出，顷当便；猪胆一枚，入醋
些子，用竹管深深灌入广肠，亦妙。
阳明症自汗，小便利，大便秘者，蜜胆导之。此仲景原文。汪注∶胃实自汗，小便复利，此津液内竭，非热
结也。若与下药，则液愈耗矣。宜用外导之法。按是方只大便不行，别无所苦，及虚羸人燥秘，久病患欲下不敢
下，蜜能润肠，角能通窍，胆寒清热，醋酸致液，迎而夺之，于法允合。若云胃实，应有痞、满、潮、渴等症。
阳明自汗，决为内热逼出，汗亡津液，小便安得反利。立言似此，作述均失之矣，大匠以为如何。
栀子仁 豆豉（加倍使用） 或者加入少许干姜。
表证尚未消退，医生过早使用泻下法，导致阳邪趁虚侵入体内，固结在一起无法消散，出现烦热、心中懊恼的症状。如果此时再投用陷胸汤，会使正气更加虚弱，病情将无法挽回。栀子和豆豉能平息因虚而生的烦躁和客居的热邪，服用后通过催吐的方式，使误入体内的表邪随呕吐涌出。去除病邪而保存正气，这是上策。加入生姜，是因为误用下法必然损伤胃气。如果没有经过泻下治疗，出现烦闷以及多痰、头痛的情况，以赤小豆、苦瓜蒂研成散剂为主治。因为苦味能涌泄，瓜蒂是苦味的药物。燥性能去除湿气，赤小豆是燥性的药物。既然病未经过泻下，元气虽然虚弱但并未受损，头痛夹杂痰湿，又像是实证，所以用药作用于上部，通过催吐来攻夺病邪，确实非常痛快利落。现在的人只知道发汗和泻下，却完全不讲究催吐法，为什么呢？朱丹溪说：催吐中蕴含着发散的意义。张从正也说催吐法兼有发汗的作用。我黄庭镜虽然不聪明，但也打算践行这句话。
用烧热的盐调和温热的童便，原本用于治疗霍乱引起的肠中搅痛，我用来治疗伤食导致的眼睑肿胀，疼痛牵连胸膈，喝三次并随之呕吐三次，也有效。这就是所谓的死方活用，成功的案例很多。
（另一方：取适量蓖麻子、生大黄、生猪脂捣烂，捏成长条状，导入肛门内，效果尤其迅速）
蜂蜜二合煎至极稠，捏成手指粗细的形状，蘸取少许皂角末，趁热纳入肛门。患者用手紧紧抱住臀部，不让药条滑出，片刻之后应当排便；猪胆一枚，加入少许醋，用竹管深深灌入直肠，也很奇妙。
阳明症出现自汗，小便通畅，大便秘结的，用蜜胆导法治疗。这是张仲景原文。汪昂注解说：胃实导致自汗，小便反而通利，这是津液在内枯竭，并非热结。如果给予下药，津液会更加耗损。适宜使用外导的方法。按此方只适用于大便不通，没有其他痛苦，以及身体虚弱消瘦者的燥秘，久病患者想下不敢下的情况，蜂蜜能润肠，皂角能通窍，猪胆性寒能清热，醋能收敛津液，迎头攻夺病邪，在治法上是合适的。如果说胃实，应该有痞、满、潮热、口渴等症状。阳明自汗，决认为是内热逼迫出汗，汗出导致津液亡失，小便怎么反而会通利呢？立论如此，著述都有失误，高明者认为如何。
Zhi Zi Ren (Gardenia Seed) and Dou Chi (Fermented Soybean, used in double dose), or add a small amount of Gan Jiang (Dried Ginger).
If the exterior syndrome has not resolved, and the physician prematurely employs purgation, the Yang pathogen enters the interior due to deficiency, becoming fixed and unable to disperse, resulting in vexation-heat and mental restlessness (Ao Nao). If Xian Xiong Tang (Chest-Sinking Decoction) is subsequently administered, it further depletes the already deficient righteous Qi, leading to an incurable condition. Zhi Zi and Dou Chi calm empty vexation and guest heat; after administration, inducing vomiting expels the exterior pathogen that was mistakenly driven inward. This method eliminates the pathogen while preserving the righteous Qi, representing the superior strategy. The addition of Sheng Jiang (Fresh Ginger) is intended to protect the Stomach Qi damaged by the erroneous purgation. If no purgation has been taken, and symptoms include vexation, stuffiness, excessive phlegm, and headache, a powder made of Chi Xiao Dou (Red Bean) and Ku Gua Di (Bitter Melon Pedicel) should be used as the primary treatment. Bitter flavors induce vomiting and drainage; Ku Gua Di is bitter. Dryness can eliminate dampness; Chi Xiao Dou is drying. Since the disease has not undergone purgation, although the Yuan Qi (Primal Qi) is weak, it is not yet damaged. Headache with phlegm resembles an excess syndrome; thus, using these two agents acting on the upper body to purge via vomiting is indeed swift and effective. Today, people only know sweating and purging, but completely neglect the vomiting method. Why? Dan Xi (Zhu Zhenheng) stated: "Vomiting contains the principle of dispersion." Dai Ren (Zhang Congzheng) also said that the vomiting method combines sweating. Although I, Jing (Huang Tingjing), am not intelligent, I propose to practice these words.
Burnt salt mixed with warm Tong Bian (Child's Urine) originally treats Huo Luan (Cholera-like disorder) with intestinal twisting pain. I use it to treat Shang Shi (Food Retention) causing eyelid swelling and pain radiating to the chest and diaphragm. Drinking it three times induces vomiting three times, which is also effective. This is called applying dead formulas flexibly, with many successes.
(Another formula: Use appropriate amounts of Bi Ma Zi (Castor Seed), Sheng Da Huang (Raw Rhubarb), and Sheng Zhu Gao (Raw Pork Fat), pound into a paste, shape into a long strip, and insert into the anus. The effect is even more rapid.)
Mi Feng (Honey), two he, boiled until extremely thick, shaped like a finger, dipped in a small amount of Zao Jiao Mo (Gleditsia Sinensis Powder), and inserted into the anal opening while hot. The patient should hold their buttocks tightly with their hands to prevent expulsion. After a moment, defecation should occur. One pig gallbladder, mixed with a little Cu (Vinegar), deeply infused into the large intestine using a bamboo tube, is also excellent.
Yang Ming syndrome with spontaneous sweating, free urination, and constipation is treated with Mi Dan Dao (Honey-Gallbladder Suppository). This is from Zhang Zhongjing's original text. Wang Ang's annotation states: "Stomach excess with spontaneous sweating and frequent urination indicates internal depletion of fluids, not heat accumulation. Administering purgatives would further consume fluids. External suppository methods are suitable." Analysis: This formula applies only when there is inability to pass stool without other discomforts, or for emaciated individuals with dry constipation, or for chronic patients afraid to take purgatives. Honey moistens the intestines, Zao Jiao opens orifices, Pig Gallbladder clears heat with its cold nature, and Vinegar generates fluids. Attacking the pathogen directly aligns with therapeutic principles. If claiming Stomach Excess, symptoms such as fullness, distension, tidal fever, and thirst should be present. Yang Ming spontaneous sweating is definitely caused by internal heat forcing sweat out, leading to fluid loss; how can urination become frequent? Such statements and compositions contain errors. How does a master judge this?