张仲景之论伤寒。截要诸书指下看。脉辨阳阴分表里。一身证候百余般。第一先论太阳经。发热恶寒须要明。尺寸
但浮头体痛。解肌发热。要参详。有汗恶寒宜桂枝。恶寒无汗用麻黄。身热目黄鼻又干。脉长不得片时安。
三个阳明俱目下。脉寒恶汗两中寒。传到少阳胃胁痛。传来寒热耳聋看。
口苦舌干脉浮呕。柴胡解表莫盘桓。腹痛咽喉手足温。自利不渴肠胃痛。
沉细理中并四逆。太阳浮大表尤存。少阴脉沉仔细认。口燥舌干是其证。
中和恶寒四逆汤。口燥咽干胆风盛。热气流传脏腑间。承气急攻如指圣。
厥阴囊缩满烦时。微汗属肝真个是。若还恶寒入腹中。急治勿令损伤命。
脉察阴阳分表里。表证恶寒但急痛。脉浮发汗急令迟。各半麻黄枝与齐。
夏加升麻并黄芩。知母石膏同为治。莫教助热发黄斑。医人见此难疗治。
若还秋冬春气盛。热盛须用柴胡医。表不恶寒而恶热。掌心津液下汗时。
胃干咽燥大便难。肠满谵语小便赤。腹痛坐卧不安宁。气血不通多喘息。
沉细滑数而宜通。便进元阳亦无失。亦闻三因可汗下。太阳少阴俱可讶。
少阴发热太阳浮。微微芍后不须快。附子甘草并莪术。服之微汗真无价。
衄血下血坏病患。经后风温湿温者。虚烦腹中急痛时。医者汗兮真可骂。
三因积病要参详。切莫庸医乱处方。太阳腹满时痛作。桂枝芍药大黄汤。
少阴咽痛口中燥。腹满不食大便燥。忽然自利清水来。心下痛时精正挠。
劝君急用承气汤。何用神 空祷告。脉还虚细脉并浮。恶寒呕吐便轻少。
古人戒用承气汤。君若要投真可叹。或有表里两证见。或六七日不大便。
有汗头痛如破面。若还使用承气汤。便是医人有灵验。心满不食大便硬。
脉浮头面出绵绵。微是恶寒手足冷。小柴胡汤能治全。随证治之不宜恋。
若有身热反欲根据。或有身热不盖被。此用表热里内寒。表热宜用桂枝汤。
更用柴胡加减治。寒在皮肤热在骨。白虎加苓不可忽。桂枝麻黄并半两。
次第用之至紫菀。或有手足厥冷时。脐腹疼痛冷汗出。呕出不利渴亦烦。
咽痛身如被杖击。若还六脉沉绝时。此名阴毒不须疑。白术附子正阳汤。
回阳还阴真最奇。气海关元多着灸。直向脐中急熨之。熨之手足稍温阳。
气冷自然有汗出。又有一证名阳毒。谵语妄言君休笑。面赤咽干利亦黄。
脉须浮滑并洪促。葶苈苦酒黑如瓦。栀子仁汤宜早服。数药尤宜选用之。
大汗散解宜阳服。但问病患宜潮热。谵语如对鬼神说。循衣摸床甚惊人。
此多因吐不能得。数日不便面揣来。下后脉浮人便生。若还芤沉脉还涩。
脉实下之真妙诀。阴似阳兮阳似阴。身烦热燥不饮水。此名阴盛隔阳热。
霹雳丹砂君自截。手足逆冷只名厥。冷热君须次第排。冷厥迟热不饮水。
四逆理中汤妙绝。冷厥日中烦燥热。重手按之脉还涩。扬手掷之不得眠。
白虎大承君子辨。更有辨证十余般。蛔厥之病虹长虫。乌梅理中丸可攻。
更有一证阴阳易。身体重而气自衰。阴毒腹中多搅痛。眼内生花内破裂。
妇人腰膝连腹痛。毒瓦斯相交香港脚重。烧 鼠粪竹茹汤。干姜竹茹皆可治。
阳虚阴盛下则死。阳盛阴虚汗之祖。一日头疼身体痛。口干烦满少阴攻。
二日腹满身重热。谵语不食可忧凶。三日耳聋常厥厥。水浆不入魂魄空。
此名两感伤寒疾。仲景不治载方中。但便根据经分表里。阴阳分别有神功。
脉浮而紧更头痛。四肢拘急恶寒存。无汗寒多热少时。面色惨而不名誉。
腰腹疼而手足厥。此是伤寒之大概。各根据将病处方医。莫学庸医难晓会。
寸大尺弱后有浮。自汗体热并头痛。寒多热少不须瞒。更识身体恶风甚。
手足厥冷面光浮。便识伤寒随证治。活人汤剂不须忧。发热恶寒燥大盛。
手足温潮脉浮急。先是伤寒伤风脉。奉劝医人当仔细。寒多热少不须瞒。
大青麻黄桂枝证。发热恶寒口洌脉。浑身体痛百骨节。忧热病因是寒伤。
麻黄大青加减别。中暑病证热中同。虽是脉浮病加渴。痰逆恶寒橘皮汤。
白虎五苓加妙绝。恶寒发热夏至前。头痛心疼却似煎。温病脉须浮紧盛。
此名寒疟古人传。加减柴胡五苓散。温暖四肢不能收。喘息不眠心自梦。
姜苓防己葛根汤。渴甚瓜姜汤可用。长幼之中病是同。此名温疫不须穷。
先将此散轻轻服。次第根据他证候攻。此是医家真妙理。后之学人要精通。
张仲景关于伤寒的论述，是截取关键要点，在指下诊察时进行辨析。通过脉象辨别阴阳，区分表里，全身的症状有一百多种。首先论述太阳经病：发热和恶寒必须明确分辨。寸关尺三部脉仅见浮象，伴有头身疼痛，这是解肌发热的证候，需要仔细参详。若有汗且恶寒，适宜用桂枝汤；若无汗且恶寒，则用麻黄汤。若出现身体发热、目黄、鼻干，脉象长而躁动不安，片刻不得安宁。
阳明经的病证主要看眼睛下方，脉象表现为恶寒与自汗（或恶风），这是中寒的表现。病邪传到少阳，会出现胁痛；若传来寒热往来、耳聋的症状，口苦、舌干、脉浮、呕吐，此时应用柴胡汤解表，不可迟疑拖延。
若出现腹痛、咽喉痛、手足温暖，自利（腹泻）且不口渴，这是肠胃痛。脉象沉细，宜用理中汤或四逆汤。若太阳病脉象浮大，说明表证依然存在。少阴病脉象沉，需仔细辨认，口燥舌干是其典型症状。若伴有恶寒，用四逆汤；若口燥咽干，则是胆火旺盛。热气流传于脏腑之间，承气汤急攻，如同指圣（一种急救神方）般有效。
厥阴病出现睾丸收缩、腹部胀满烦躁时，微汗出属于肝经病变，确是如此。如果恶寒深入腹中，必须紧急治疗，以免损伤性命。
诊察脉象以辨别阴阳、区分表里。表证恶寒但伴有急痛，脉浮应发汗，但命令要迟缓谨慎。大小青龙汤、麻黄汤、桂枝汤可配合使用。夏季加用升麻和黄芩，知母和石膏也共同用于治疗，不要助热导致发黄发斑，医生见到这种情况难以治疗。
如果是秋冬季节，或者春季阳气过盛，热盛时必须用柴胡医治。表证不恶寒而恶热，掌心出汗，津液下行。胃干咽燥，大便困难，肠满，谵语，小便赤红。腹痛，坐卧不安宁，气血不通，多喘息。脉象沉细滑数，适宜通下，进用元阳（此处指温补或特定药物，原文语境稍显晦涩，通常指针对虚寒或特定实证的治法，结合上下文“亦无失”，意指误治风险低或对症则无害，但在伤寒论语境下，此处可能指代某种特定的通下或温通策略，鉴于原文“便进元阳亦无失”与前文“沉细滑数而宜通”并列，可能存在传抄错误或特殊用法，此处直译：即使进用元阳类药物也不会有失误，或者指通下后正气不伤）。也听说三因学说可以运用汗法和下法，太阳病和少阴病都令人惊讶（指病情复杂或易误治）。
少阴病发热，太阳病脉浮，微微芍药甘草汤后不需急于求快。附子、甘草并莪术，服用后微汗出，真是价值连城。
出现衄血、下血等坏病，或者是月经后感受风温、湿温者，虚烦、腹中急痛时，医生若再用汗法，真该被骂。
对于三因积滞之病要仔细参详，切莫让庸医乱开处方。太阳病出现腹满时痛，用桂枝芍药大黄汤。少阴病咽痛口中干燥，腹满不食，大便燥结。忽然排出清水样便，心下疼痛时，精气正受扰动。劝君紧急使用承气汤，何必向神灵空自祷告。
脉象还见虚细兼浮，恶寒呕吐，二便轻少。古人告诫慎用承气汤，你若真要投用，真让人叹息。或者有表里两证同时出现，或者六七天不大便。有汗、头痛如破，如果使用承气汤，那就是医生虽有灵验但也属冒险（原文“便是医人有灵验”在此语境下略显突兀，通常承气汤用于实证，若有表证或虚象误用为逆，此处可能意指若辨证准确则为良医，若误用则非，结合下文“心满不食大便硬...小柴胡汤能治全”，此处意在对比，强调辨证的重要性。若按字面翻译：若是这样还用承气汤，那医生就算有灵验也是侥幸/或指其后果严重。考虑到中医逻辑，此处更可能是说若误用承气汤于表证或未完全入里的情况，即便看似有效实则隐患，或者反之，若确为腑实，用之则效。鉴于前文“古人戒用”，此处转折，意为若确有里实，用之则对。但后文紧接“心满不食大便硬...小柴胡汤能治全”，暗示此条可能并非纯里实。暂按字面意译并保留歧义空间：若是这样还使用承气汤，那便是医生有灵验（意指敢用且有用，或反讽）。*修正理解*：结合“或有表里两证见...有汗头痛如破...若还使用承气汤”，这通常是禁忌症。故此处“便是医人有灵验”极可能是文本讹误或特殊语境下的反语，或者指“若是那样（指正确的适应症），才是医生有灵验”。但根据“有汗头痛如破”这一表证未解或虚证表现，用承气汤是大忌。因此，这句话更可能的意思是：如果有这些症状却还用承气汤，那是医生缺乏灵验/错误。但原文写的是“有灵验”。为了忠实原文，我译为“那便是医生有灵验”，但在知识分类中会标注其争议性。*再次审视*：有些版本作“便是医人有害命”或类似。既然必须忠实原文，我将直译，并在实体提取中注意。）
心满不食，大便硬，脉浮，头面出汗绵绵不断，轻微恶寒，手足冷，小柴胡汤能治愈。随证治之，不宜留恋（久用）。
如果有身体发热反而想盖厚被，或者有身体发热但不盖被子，这是表热里寒的情况。表热适宜用桂枝汤，再配合柴胡加减治疗。寒在皮肤，热在骨，白虎加苍术（原文苓，疑为苍术或茯苓，白虎汤常加苍术治湿热，或加茯苓治水气，此处依原文“苓”）不可忽略。桂枝、麻黄各半两，次第使用直到紫菀（此处“至紫菀”语义不明，可能是“至痊愈”之误，或指用到紫菀这味药，暂按字面）。
如果有手足厥冷，脐腹疼痛，冷汗出，呕吐不利，口渴烦躁，咽痛身体像被杖击，如果六脉沉绝，这叫阴毒，不必怀疑。用白术、附子、正阳汤，回阳还阴真是奇妙。气海、关元穴多施灸，直接向脐中急熨。熨之后手足稍温，阳气恢复，寒气自然有汗出。
又有一种证候叫阳毒，谵语妄言，你不要笑。面赤咽干，大便泄泻色黄，脉须浮滑洪促。葶苈子、苦酒黑如瓦片，栀子仁汤宜早服。这几味药尤其适宜选用。大汗散解适宜阳服（此处“阳服”语义不明，可能指温服或针对阳证，暂译：大汗后解散适宜温服）。只问病人是否潮热，谵语如对鬼神说话，循衣摸床非常惊人。这多是因为吐法不能得效（或误用吐法所致）。数日不便，面色揣来（形容面色晦暗或异常），下法后脉浮人便生。如果脉芤、沉、涩，脉实才下之，真是妙诀。
阴似阳，阳似阴，身体烦热燥却不饮水，这叫阴盛隔阳热。霹雳丹砂你自己截断（意指慎用或不用，或指此药猛烈）。手足逆冷只名叫厥。冷热你必须次第排除。冷厥迟，热不饮水，四逆汤、理中汤妙绝。冷厥日中烦躁热，重手按之脉还涩，扬手掷之不得眠，白虎汤、大承气汤君子辨。更有辨证十余种。蛔厥之病虹长虫（蛔虫长），乌梅丸、理中丸可攻。
更有一种证候叫阴阳易，身体重而气自衰。阴毒腹中多搅痛，眼内生花内破裂。妇人腰膝连腹痛，毒瓦斯相交，香港脚重（脚气重症）。烧鼠粪、竹茹汤，干姜、竹茹皆可治。
阳虚阴盛下则死，阳盛阴虚汗之祖（指汗法是治疗阳盛阴虚的原则之一，或指此类病症汗法为始）。一日头疼身体痛，口干烦满少阴攻。二日腹满身重热，谵语不食可忧凶。三日耳聋常厥厥，水浆不入魂魄空。这叫两感伤寒疾，仲景不治载方中（注：仲景原书可能有治法，此处指后世认为难治或书中记载有限）。但便根据经分表里，阴阳分别有神功。
脉浮而紧更头痛，四肢拘急恶寒存，无汗寒多热少时，面色惨而不名誉（形容面色难看）。腰腹疼而手足厥，这是伤寒之大概。各根据将病处方医，莫学庸医难晓会。
寸大尺弱后有浮，自汗体热并头痛，寒多热少不须瞒，更识身体恶风甚。手足厥冷面光浮，便识伤寒随证治，活人汤剂不须忧。发热恶寒燥大盛，手足温潮脉浮急，先是伤寒伤风脉。奉劝医人当仔细，寒多热少不须瞒。
大青、麻黄、桂枝证，发热恶寒口洌脉，浑身体痛百骨节，忧热病因是寒伤。麻黄、大青加减别，中暑病证热中同。虽是脉浮病加渴，痰逆恶寒橘皮汤，白虎、五苓加妙绝。
恶寒发热夏至前，头痛心疼却似煎，温病脉须浮紧盛，此名寒疟古人传。加减柴胡五苓散，温暖四肢不能收，喘息不眠心自梦。姜苓防己葛根汤，渴甚瓜姜汤可用。长幼之中病是同，此名温疫不须穷。先将此散轻轻服，次第根据他证候攻。此是医家真妙理，后之学人要精通。
The discussions on *Shanghan* (Cold Damage) by Zhang Zhongjing are excerpts of key points, observed under the fingers during pulse diagnosis. Pulse differentiation distinguishes Yin and Yang, and separates Exterior from Interior. There are over a hundred types of symptoms throughout the body. First, discuss the Taiyang (Greater Yang) channel: Fever and aversion to cold must be clearly distinguished. If the pulses at the Cun, Guan, and Chi positions are merely floating, accompanied by headache and body pain, this is a syndrome of releasing the muscle layer with fever, which requires careful analysis. If there is sweating and aversion to cold, *Guizhi Tang* (Cinnamon Twig Decoction) is appropriate; if there is no sweating and aversion to cold, use *Mahuang Tang* (Ephedra Decoction). If there is body heat, yellow eyes, and dry nose, with a long and restless pulse that cannot remain stable for even a moment, it indicates severe disturbance.
Yangming (Bright Yang) channel syndromes are primarily observed below the eyes. The pulse presents with aversion to cold and spontaneous sweating (or aversion to wind), indicating middle-cold. When the pathogen transmits to Shaoyang (Lesser Yang), hypochondriac pain occurs; if accompanied by alternating chills and fever, deafness, bitter taste in the mouth, dry tongue, floating pulse, and vomiting, *Chaihu Jiebiao* (Bupleurum Exterior-Resolving) should be used without hesitation.
If abdominal pain, sore throat, warm hands and feet, spontaneous diarrhea without thirst, and intestinal discomfort occur, and the pulse is deep and fine, *Lizhong Tang* (Regulate the Middle Decoction) or *Sini Tang* (Frigid Extremities Decoction) should be used. If the Taiyang pulse is large and floating, the exterior syndrome still exists. Shaoyin (Lesser Yin) disease has a deep pulse, which must be carefully recognized; dry mouth and tongue are its signs. If accompanied by aversion to cold, use *Sini Tang*; if there is dry mouth and throat, it indicates excessive Gallbladder fire. Heat qi circulates among the Zang-Fu organs; *Chengqi Tang* (Purgative Decoction) attacks urgently, acting as effectively as a divine remedy.
Jueyin (Terminal Yin) disease presents with testicular retraction, abdominal fullness, and irritability; slight sweating belongs to the Liver channel, truly so. If aversion to cold penetrates into the abdomen, urgent treatment is required to prevent life-threatening damage.
Examine the pulse to differentiate Yin and Yang, and separate Exterior from Interior. For exterior syndromes with aversion to cold but acute pain, and a floating pulse requiring diaphoresis, the command should be cautious and delayed. *Da Qing Long Tang* (Major Blue Dragon Decoction), *Mahuang Tang*, and *Guizhi Tang* can be used together. In summer, add *Shengma* (Cimicifugae Rhizoma) and *Huangqin* (Scutellariae Radix); *Zhimu* (Anemarrhenae Rhizoma) and *Shigao* (Gypsum Fibrosum) are also used jointly. Do not assist heat to cause jaundice and macules; physicians find such cases difficult to treat.
In autumn or winter, or when spring Qi is excessive, if heat is severe, *Chaihu* (Bupleuri Radix) medicine must be used. The exterior syndrome does not have aversion to cold but aversion to heat; palm sweat flows, and fluids descend. The stomach is dry, the throat is parched, defecation is difficult, the intestines are full, there is delirium, and urine is red. Abdominal pain causes restlessness; blocked Qi and Blood lead to frequent panting. A deep, fine, slippery, and rapid pulse indicates suitability for purgation; administering Yuan Yang (primordial Yang) agents will not result in error. It is also heard that the Three Causes theory allows for sweating and purging methods; Taiyang and Shaoyin diseases both present surprising complexities.
Shaoyin fever with Taiyang floating pulse: after using *Shaoyao Gancao Tang* (Peony and Licorice Decoction) slightly, one need not rush. *Fuzi* (Aconiti Lateralis Radix Praeparata), *Gancao* (Glycyrrhizae Radix et Rhizoma), and *Ezhu* (Curcumae Rhizoma) administered induce slight sweating, which is truly invaluable.
Epistaxis or lower bleeding constitutes a deteriorated patient condition. Post-menstrual Wind-Warmth or Damp-Warmth syndromes, with empty irritability and acute abdominal pain, should never be treated with sweating methods by physicians, lest they deserve censure.
Carefully analyze stagnation diseases caused by the Three Causes; do not let mediocre doctors prescribe randomly. Taiyang abdominal fullness with intermittent pain is treated with *Guizhi Shaoyao Dahuang Tang* (Cinnamon Twig, Peony, and Rhubarb Decoction). Shaoyin sore throat with dry mouth, abdominal fullness, anorexia, and dry stool, suddenly followed by clear water diarrhea and epigastric pain disturbing the essence, urges the urgent use of *Chengqi Tang*. Why pray vainly to spirits?
If the pulse remains deficient, fine, and floating, with aversion to cold, vomiting, and scanty urination/defecation, ancients warned against using *Chengqi Tang*. If you insist on prescribing it, it is lamentable. However, if both exterior and interior syndromes appear, or if there has been no bowel movement for six or seven days, and there is sweating with headache like a splitting face, using *Chengqi Tang* would be a mistake (Note: Original text says "physician has spiritual efficacy," but context implies contraindication or high risk; literal translation provided). Epigastric fullness, anorexia, hard stool, floating pulse, continuous sweating on the head and face, slight aversion to cold, and cold hands and feet are best treated with *Xiao Chaihu Tang* (Minor Bupleurum Decoction). Treat according to the syndrome; do not linger.
If there is body heat but a desire to cover up, or body heat without covering, this indicates Exterior Heat and Interior Cold. Exterior heat is suitable for *Guizhi Tang*, further treated with modified *Chaihu*. Cold in the skin, heat in the bones: *Baihu Jia Ling* (White Tiger plus [Fuling/Cangzhu]) must not be ignored. Use *Guizhi* and *Mahuang* each half liang, sequentially until recovery (or using Ziwan).
If there are cold extremities, umbilical and abdominal pain, cold sweat, vomiting, difficulty in urination, thirst, irritability, sore throat, and body pain as if beaten by a staff, and the six pulses are deep and absent, this is named Yin Du (Yin Toxin) without doubt. Use *Baizhu Fuzi Zhengyang Tang* (Atractylodes, Prepared Aconite, and Correct Yang Decoction) to restore Yang and return Yin, which is truly miraculous. Moxibustion on Qihai and Guanyuan acupoints should be abundant; apply hot compress urgently to the navel. After warming, extremities become slightly warm, Yang returns, and natural sweating occurs due to cold expulsion.
Another syndrome is named Yang Du (Yang Toxin): delirious speech and妄言 (delusions), do not laugh. Red face, dry throat, yellow diarrhea, and a pulse that is floating, slippery, surging, and hurried. *Tingli* (Descurainiae Semen) and vinegar, black as tile; *Zhizi Ren Tang* (Gardenia Seed Decoction) should be taken early. These medicines are especially suitable for selection. After heavy sweating resolves, take with warmth. Ask if the patient has tidal fever, delirium as if speaking to ghosts, grasping at bedclothes, which is alarming. This often results from ineffective or improper emesis. Several days of constipation with abnormal complexion: after purgation, if the pulse becomes floating, the patient survives. If the pulse is hollow, deep, or choppy, and solid, purging is the true excellent method.
Yin resembles Yang, Yang resembles Yin. Body irritability and heat without desire to drink water is named Yin Excess blocking Yang Heat. *Pili Dansha* (Thunderbolt Cinnabar) should be handled with caution. Cold extremities are simply called Jue (Reversal). Differentiate cold and heat sequentially. Cold Jue is slow; heat Jue involves no desire to drink. *Sini Tang* and *Lizhong Tang* are superb. Cold Jue with midday irritability and heat, deep pressure reveals a choppy pulse, tossing limbs and insomnia: *Baihu Tang* and *Da Chengqi Tang* require discernment by gentlemen. There are more than ten other differentiation patterns. Ascariasis Jue involves long worms; *Wumei Wan* (Mume Pill) and *Lizhong Wan* can attack it.
Another syndrome is Yin-Yang Yi (Yin-Yang Transmission): body heaviness and spontaneous Qi decline. Yin Du causes internal twisting pain, visual disturbances, and internal rupture. Women suffer waist and knee pain connected to abdominal pain; toxin qi intersects with severe Hongjiao (Charley Horse/Gout). Burned rat feces and *Zhuru* (Bambusae Caulis in Taenia) decoction, or dried ginger and bamboo shavings, can treat it.
Yang deficiency and Yin excess: purging leads to death. Yang excess and Yin deficiency: sweating is the ancestor (principle). Day 1: headache, body pain, dry mouth, irritability, Shaoyin attack. Day 2: abdominal fullness, body heaviness, heat, delirium, anorexia, ominous. Day 3: deafness, frequent Jue, inability to swallow liquids, empty soul. This is Lianggan Shanghan (Double Exposure Cold Damage); Zhang Zhongjing records it as untreatable in some contexts. But following the channels to separate Exterior and Interior, distinguishing Yin and Yang has divine efficacy.
Floating and tight pulse with headache, limb stiffness, aversion to cold, no sweating, more cold than heat, pale and disreputable complexion, waist and abdominal pain, cold extremities: this is the general outline of Shanghan. Prescribe according to the disease; do not imitate mediocre doctors who are hard to understand.
Cun large, Chi weak, later floating; spontaneous sweating, body heat, and headache. More cold than heat, do not hide; recognize severe aversion to wind. Cold extremities, shiny and floating face: recognize Shanghan and treat according to syndrome. *Huoren* (Living Person) formulas need not worry. Severe fever, aversion to cold, and dryness; warm extremities, tidal pulse, floating and urgent: these are initially Shanghan or Shangfeng (Wind Injury) pulses. Advise physicians to be careful. More cold than heat, do not hide.
*Daqing*, *Mahuang*, *Guizhi* syndromes: fever, aversion to cold, cold mouth/pulse, whole body pain in all joints. Worry about heat because it is caused by cold injury. Modify *Mahuang* and *Daqing*. Summerheat syndrome shares similarities with internal heat. Although the pulse is floating, the disease adds thirst. Phlegm reversal with aversion to cold: *Ju Pi Tang* (Tangerine Peel Decoction); *Baihu* and *Wuling* additions are excellent.
Aversion to cold and fever before Summer Solstice; headache and heart pain like frying. Warm disease pulse must be floating, tight, and strong; this is named Han Nue (Cold Malaria) transmitted by ancients. Modified *Chaihu* and *Wuling San* (Five-Ling Powder). Warm limbs cannot be retrieved; panting, insomnia, and mental dreams. *Jiang Ling Fangji Gegen Tang* (Ginger, Poria, Stephania, and Kudzu Decoction); if thirst is severe, *Gua Jiang Tang* (Melon and Ginger Decoction) can be used. Disease is the same for young and old; this is named Wen Yi (Warm Plague), do not exhaust the discussion. First, take this powder lightly; sequentially attack according to other symptoms. This is the true profound principle of physicians; future learners must master it thoroughly.