（喻嘉言《医门法律》） 治阳气将回，阴寒少杀，略有端绪，第三服
附子（炮） 干姜（炮） 当归 肉桂（各一钱半） 人参 甘草（炙各二钱） 水二
大盏，煨姜三
（喻嘉言《医门法律》） 治中寒服前三方后，阳已回，身温色活，手足不
除，第四方即用此平调脏腑营卫。
附子（炮） 干姜（炮） 肉桂（各五分） 当归 人参 甘草（炙） 黄 （蜜炙） 白
术（土炒）
至一盏，入蜜五蛤
（喻嘉言《医门法律》） 治中寒服前药后，诸证尽除，但经络间微有顽痰
药服之不能通快者，第五方用此。
人参 麦冬 白芍（酒炒各一钱） 黄 （蜜炙一钱二分） 生地黄（二钱） 甘草（炙
七分） 丹
附姜白通（汤）治中寒，吐泻厥冷身无汗。还须艾炷灸关元，（脐下一寸五分名“气海”，
二
行其严令，埋没微阳，肌肤冻裂，无汗而丧神守，急用附子、干姜，加葱白以散寒，加猪
汁引入阴分。然恐药力不胜，熨葱灼艾，外内协攻，乃足破其坚凝。少缓须臾，必无及矣
”）魄汗淋漓阳外亡，但将附子干姜唤，（名附姜汤）此即前方除去葱，专主回阳勿兼散。（
其人肾阳素扰，腠理素疏，阴盛于内，必逼其阳亡于外，魄汗淋漓，脊项强硬，用附子、
姜、猪胆汁，即不可加葱及熨灼，盖恐助其散，令气随汗脱，而阳无由内返也。宜扑止其
陡进前药，随加固护腠理。不尔，恐其阳复越也。）寒邪入中必伤营，当归肉桂宜参赞
附姜归桂汤 附、姜专主回阳，而其所中寒邪，必先伤营血，故服附姜汤后，即须当
桂，以驱营分之寒，才得药病相当也。）俾得阳和阴少衰，附姜归桂参甘（汤）灌。（服
后，阳气将回，阴寒少杀，即须加入人参、甘草，调元转饷，收功帷幄。不尔，姜、附
直将犯上无等，必堕前功也。）利止身温汗亦收，辛温平补汤宜按， 术芍味入前方
阴阳毋间断。（服附姜归桂参甘汤二三剂后，觉其阳明在躬，运动颇轻，神情颇悦，
、五味、白芍、白术大队阴阳平补，不可歇手。盖重阴见 ，浪子初归，斯时摇摇
若怠缓不为善后，必堕前功也。）经络之间微有痰，休养其阴痰乃涣，甘寒补气（汤）
甘， 地芍丹梨竹爨。（用平补后，已示销兵放马，偃武崇文之意。兹复有顽痰留积经
但宜甘寒助气开通，不宜辛辣助热壅塞。盖辛辣之味，始先不得已而用其毒，今阳既安
即宜休养其阴，故但宜甘寒补气，缓缓调之，斯为善后之计耳。）次第编成共六方，嘉
费深心纂。长沙《猝病论》虽亡，从此寻求思过半。（汉张仲景先师着《伤寒论》十卷
传经阳病，《猝病论》六卷，治猝暴阴病。生民不幸，《猝病论》当世即已失传。嗣后
辈出，从未有阐扬之者。惟韩祗和于中寒一门，微有发明，诲人以用附子、干姜为急
为仲景之徒矣。清季喻嘉言尚论仲景《伤寒论》，凡于阴病见端，当以回阳为治者，
之。乃复着《阴病论》，并度金针，畅言妙蕴，观其所订六方，次第精详，深合仲景心
且《猝病论》亡，难以征信。然取《伤寒》《金匮》治虚寒之方绎之，见治热病杂病
者，用药且若此，而治暴病中寒之说，可深信不疑矣。嗟乎！猝中寒邪，阳微阴盛，
急之候，设非姜、附之猛，斩关直入，何以迅扫阴氛，挽回阳气，百中能有一活耶
来，霍乱盛行，顷即肢冷脉伏，面青音哑，旋见烦躁而死。虽当夏暑，讵非阴邪入中三
危证乎？余有感于斯，故纂喻氏方论，约编歌诀，表彰厥功，以鉴世之得失，且以自警也
（出自喻嘉言《医门法律》）治疗阳气即将恢复，阴寒之气稍减，病情略有头绪时，使用第三服方剂：附子（炮制）、干姜（炮制）、当归、肉桂（各一钱半），人参、甘草（炙制，各二钱），加水两大盏，煨姜三片。
（出自喻嘉言《医门法律》）治疗中寒证服用前三方后，阳气已回，身体温暖，面色红润，手足不再冰冷，第四方即使用此方来平调脏腑的营卫之气。附子（炮制）、干姜（炮制）、肉桂（各五分），当归、人参、甘草（炙制）、黄芪（蜜炙）、白术（土炒）。煎至一盏，加入蜂蜜五蛤（注：此处原文可能有误，通常指适量或特定计量，依原文直译）。
（出自喻嘉言《医门法律》）治疗中寒证服用前药后，各种症状都已消除，但经络间仍有微弱的顽痰，药物服用后不能通畅快利，第五方使用此方。人参、麦冬、白芍（酒炒，各一钱）、黄芪（蜜炙一钱二分）、生地黄（二钱）、甘草（炙七分）、丹参、[原文此处似有缺漏，结合下文“甘寒补气汤”及歌诀推测可能涉及其他药材，但依据规则只提取明确出现的实体，故仅列上述]。
附姜白通汤治疗中寒证，出现呕吐、腹泻、四肢厥冷、身体无汗。还需要用艾炷灸关元穴。（脐下一寸五分名为“气海”，二寸名“关元”，此处原文表述略显混乱，按常规中医理论修正理解：脐下1.5寸为气海，2寸为关元，原文意指灸关元以温阳）。施行严令般的温阳措施，埋没微弱的阳气，导致肌肤冻裂，无汗而神志丧失，急需使用附子、干姜，加入葱白以散寒，加入猪胆汁引入阴分。然而担心药力不足，需用熨法热敷和艾灸，内外协同攻击，才能破除坚凝之寒邪。稍微迟缓片刻，必定来不及救治了。
魄汗淋漓，阳气外亡，只需将附子、干姜唤出（名为附姜汤）。这就是前方去掉葱白，专门主司回阳而不兼散表寒。（如果其人肾阳素来虚弱，腠理素来疏松，阴盛于内，必然逼迫阳气亡失于外，导致魄汗淋漓，脊项强硬，此时使用附子、干姜、猪胆汁，就不可再加葱白及熨灼，因为恐怕助长发散之势，令气随汗脱，而阳气无法从内部返回。宜扑止其汗，陡进前药，随即加固护腠理。不然，恐怕阳气复越。）寒邪入中必然损伤营血，当归、肉桂适宜参赞辅助。
附姜归桂汤：附子、干姜专门主司回阳，而其中寒邪，必先损伤营血，所以服用附姜汤后，就必须加入当归、肉桂，以驱除营分之寒，才能使药力与病证相当。
俾得阳和阴少衰，附姜归桂参甘汤灌。（服用后，阳气即将恢复，阴寒稍减，就必须加入人参、甘草，调理元气转运粮饷，在帷幄之中收功。不然，姜、附直接犯上无礼，必定堕废前功也。）
利止身温汗亦收，辛温平补汤宜按，术芍味入前方阴阳毋间断。（服用附姜归桂参甘汤二三剂后，感觉阳明经气在躬，运动颇轻，神情颇悦，加入五味子、白芍、白术大队阴阳平补之品，不可歇手。盖因重阴见阳，如浪子初归，此时摇摇若怠缓不为善后之计，必定堕废前功也。）
经络之间微有痰，休养其阴痰乃涣，甘寒补气汤。（用平补后，已示销兵放马，偃武崇文之意。兹复有顽痰留积经络，但宜甘寒助气开通，不宜辛辣助热壅塞。盖辛辣之味，始先不得已而用其毒，今阳既安，即宜休养其阴，故但宜甘寒补气，缓缓调之，斯为善后之计耳。）
次第编成共六方，嘉言费深心纂。长沙《猝病论》虽亡，从此寻求思过半。（汉代张仲景先师著《伤寒论》十卷传经阳病，《猝病论》六卷，治猝暴阴病。生民不幸，《猝病论》当世即已失传。嗣后辈出，从未有阐扬之者。惟韩祗和于中寒一门，微有发明，诲人以用附子、干姜为急，可谓仲景之徒矣。清季喻嘉言尚论仲景《伤寒论》，凡于阴病见端，当以回阳为治者，推崇之。乃复著《阴病论》，并度金针，畅言妙蕴，观其所订六方，次第精详，深合仲景心法。且《猝病论》亡，难以征信。然取《伤寒》《金匮》治虚寒之方绎之，见治热病杂病者，用药且若此，而治暴病中寒之说，可深信不疑矣。嗟乎！猝中寒邪，阳微阴盛，危急之候，设非姜、附之猛，斩关直入，何以迅扫阴氛，挽回阳气，百中能有一活耶？近来，霍乱盛行，顷即肢冷脉伏，面青音哑，旋见烦躁而死。虽当夏暑，讵非阴邪入中三阴危证乎？余有感于斯，故纂喻氏方论，约编歌诀，表彰厥功，以鉴世之得失，且以自警也。）
(From Yu Jiayan's *Yi Men Fa Lv*) Treating the condition where Yang Qi is about to return, Yin-Cold has slightly diminished, and there is a slight clue to recovery, use the third decoction: Fuzi (Prepared Aconite Root), Ganjiang (Prepared Dried Ginger), Danggui (Angelica Sinensis), Rougui (Cinnamon Bark) (each 1.5 qian), Renshen (Ginseng Root), Gancao (Prepared Licorice Root) (each 2 qian), add two large bowls of water, and three slices of Wei Jiang (Simmered Fresh Ginger).
(From Yu Jiayan's *Yi Men Fa Lv*) Treating Cold Stroke after taking the first three formulas, where Yang Qi has returned, the body is warm, the complexion is lively, and the hands and feet are no longer cold. The fourth formula uses this to peacefully regulate the Ying and Wei Qi of the Zang-Fu organs. Fuzi (Prepared Aconite Root), Ganjiang (Prepared Dried Ginger), Rougui (Cinnamon Bark) (each 0.5 qian), Danggui (Angelica Sinensis), Renshen (Ginseng Root), Gancao (Prepared Licorice Root), Huangqi (Honey-fried Astragalus Root), Baizhu (Earth-fried Atractylodes Macrocephala Rhizome). Decoct until one bowl remains, then add five "wa" of honey (Note: "wa" is likely a typo or specific local unit in the original text, translated literally).
(From Yu Jiayan's *Yi Men Fa Lv*) Treating Cold Stroke after taking the previous medicines, where all symptoms have disappeared, but there is still slight stubborn phlegm in the meridians that does not clear up quickly after medication. Use the fifth formula for this. Renshen (Ginseng Root), Maidong (Ophiopogon Tuber), Shaoyao (Wine-fried Peony Root) (each 1 qian), Huangqi (Honey-fried Astragalus Root) (1.2 qian), Shengdihuang (Rehmannia Root) (2 qian), Gancao (Prepared Licorice Root) (0.7 qian), Danshen (Salvia Miltiorrhiza Root).
Fujing Baitong Tang (Aconite, Ginger, and Scallion Decoction) treats Cold Stroke with vomiting, diarrhea, cold limbs, and absence of sweat. Moxibustion with moxa cones on Guanyuan (CV4) is also required. (The point 1.5 cun below the umbilicus is named Qihai (CV6), and 2 cun is Guanyuan (CV4); the text implies warming the lower jiao). Strictly enforce the warming measures to prevent the burial of faint Yang Qi, which leads to frozen and cracked skin, anhidrosis, and loss of spirit. Urgently use Fuzi (Prepared Aconite Root) and Ganjiang (Prepared Dried Ginger), add Congbai (Scallion White) to disperse cold, and add Zhuyezhi (Pig Bile) to guide into the Yin aspect. However, fearing the medicinal power may be insufficient, apply external heat therapy (ironing/warming) and moxibustion to attack from both inside and outside, thereby breaking the solidified cold. Any delay will result in failure to save the patient.
Profuse sweating (Po Han) indicates Yang escaping externally; call forth Fuzi (Prepared Aconite Root) and Ganjiang (Prepared Dried Ginger) (named Fujing Tang). This is the previous formula minus Congbai (Scallion White), focusing solely on restoring Yang without dispersing the exterior. (If the person's Kidney Yang was originally deficient and pores were loose, Yin excess internally forces Yang to escape externally, causing profuse sweating and stiffness of the spine and neck. In this case, using Fuzi, Ganjiang, and Pig Bile should NOT include Congbai or external heating, as it might aid dispersion, causing Qi to escape with sweat and preventing Yang from returning internally. One should stop the sweating, administer the medicine abruptly, and subsequently protect the pores. Otherwise, Yang may rebound excessively.) Cold pathogen entering the interior must damage Ying Blood; Danggui (Angelica Sinensis) and Rougui (Cinnamon Bark) are suitable to assist.
Fujing Guigui Tang: Fuzi and Ganjiang specialize in restoring Yang, but the invading Cold Pathogen first damages Ying Blood. Therefore, after taking Fujing Tang, one must add Danggui and Rougui to drive out Cold from the Ying level, ensuring the medicine matches the disease.
To allow Yang Harmony to prevail and Yin decline slightly, irrigate with Fujing Guigui Rengan Tang. (After taking it, when Yang is about to return and Yin-Cold slightly diminishes, one must add Renshen (Ginseng Root) and Gancao (Prepared Licorice Root) to regulate Yuan Qi and transport nutrients, securing victory in the command tent. Otherwise, the harsh nature of Ginger and Aconite acting directly upwards will ruin previous efforts.)
When diarrhea stops, the body warms, and sweat ceases, follow the Xingwen Pingbu Tang (Acrid-Warm Neutral Tonifying Decoction) principles. Add Baizhu (Atractylodes Macrocephala Rhizome), Shaoyao (Peony Root), and Wuweizi (Schisandra Berry) to the previous formula; do not interrupt the balance of Yin and Yang. (After taking Fujing Guigui Rengan Tang for two or three doses, if one feels the Yang Ming Qi is active, movement is light, and spirits are joyful, continue with a large group of neutral tonifying herbs like Wuweizi, Shaoyao, and Baizhu to balance Yin and Yang. Do not stop. Just as a prodigal son returns, if one is lax in post-treatment care, previous efforts will be wasted.)
If there is slight phlegm in the meridians, nourish Yin to dissipate the phlegam. Use Ghanhan Buqi Tang (Sweet-Cold Qi-Tonifying Decoction). (After using neutral tonification, the intent is to lay down arms and promote culture. If stubborn phlegm remains in the meridians, only Sweet-Cold herbs that assist Qi and open blockages should be used, avoiding Acrid-Heat herbs that cause stagnation. Acrid-Heat herbs were used initially out of necessity due to their toxicity; now that Yang is stable, one should nourish Yin. Thus, only Sweet-Cold Qi-tonifying herbs should be used for slow regulation, which is the proper post-treatment strategy.)
Six formulas are compiled in sequence, with Jiayan expending deep effort in compiling them. Although Changsha Zhang Zhongjing's *Cu Bing Lun* (Treatise on Sudden Diseases) is lost, seeking from here allows one to understand more than half. (Han Dynasty Master Zhang Zhongjing wrote the *Shanghan Lun* (Treatise on Cold Damage) in ten volumes transmitting Yang diseases, and *Cu Bing Lun* in six volumes treating sudden Yin diseases. Unfortunately, *Cu Bing Lun* was lost in his own time. Later generations never elucidated it. Only Han Zhihe made slight discoveries in the field of Cold Stroke, teaching people to urgently use Fuzi and Ganjiang, making him a disciple of Zhongjing. In the late Qing, Yu Jiayan discussed Zhongjing's *Shanghan Lun*, advocating restoration of Yang for Yin diseases. He further wrote *Yin Bing Lun*, explaining profound mysteries. Observing his six formulated prescriptions, they are detailed and align deeply with Zhongjing's heart-method. Since *Cu Bing Lun* is lost and hard to verify, extracting methods for deficiency-cold from *Shanghan* and *Jingui* shows that treatments for hot and miscellaneous diseases use such methods; thus, the theory of treating sudden Cold Stroke can be trusted. Alas! Sudden invasion of Cold Pathogen results in weak Yang and excess Yin, a critical state. Without the fierce power of Ginger and Aconite charging through gates, how could one swiftly sweep away Yin miasma and restore Yang? How many out of a hundred would survive? Recently, cholera has prevailed, leading to cold limbs, hidden pulse, blue face, hoarse voice, and death by restlessness. Even in summer heat, is this not a critical Three-Yin syndrome caused by Yin pathogen entering the interior? Moved by this, I compiled Yu's formulas and theories, condensed them into songs, to honor his merit, observe worldly gains and losses, and warn myself.)