治太阳病桂枝证，医反下之，利遂不止，脉促表未解，喘而汗出者。
葛根（八两） 甘草（二两） 黄芩 黄连（各三两） 水八升，先煮葛根减二升，纳
诸药，煮取
葛根黄芩黄连汤，甘草四般治二阳。（太阳误下，邪入阳明。）解表（葛根）清里（黄芩
黄连）兼和胃（甘草），喘汗脉促利为良。（此条喘汗为轻，下利不止为重，故药亦先治其利。
但下利乃寒热虚实俱有之证。脉促急者，则为热邪无疑，表虽未解，则不当用桂枝之辛热，
故用葛根之甘凉以解表。因喘汗而利，用芩、连之苦以坚阴。甘草不特和胃，且以和表里也。
若脉
（陶节庵《伤寒六书》） 治太阳阳明合病，目痛鼻干不得卧，头痛恶寒无汗，脉浮而
洪。
柴胡 干葛 羌活 白芷 黄芩 赤芍 桔梗 甘草 石膏 生姜 枣
柴葛解肌汤节庵，（节庵自云“此代葛根汤”）羌膏芷桔芍芩甘。三阳经病邪居表，合解
三阳法可参。（按∶此汤以羌、葛、柴胡并用，而石膏、黄芩等为佐，乃统治三阳经表证、
寒将化热之法。若谓太阳阳明合病，则柴胡尚不宜用，而节庵用之，何也？）
（钱仲阳《阎氏小儿方论》） 治阳明伤寒，中风头疼身痛，发热微恶寒，无汗口渴，
目痛鼻干不得卧，及阳明发斑，欲出不出，寒暄不时，人多疫证。
升麻 干葛（细锉） 芍药 甘草（锉炙各等分） 同为粗末，每服四钱，水一盏半，
煎至一盏，量大小与之，温服无时。〔头痛，加川芎、白芷（川芎为通阴阳气血之使，白芷
专治阳明头痛）。身痛背强，加羌活、防风（此兼太阳，故加二药）。热不退，春加柴胡、黄
芩、防风（春为少阳司令，柴、芩少阳经药），夏加黄芩、石膏（清降火热）。头面肿，加荆
芥、防风、连翘、白芷、川芎、牛蒡、石膏（升散解毒）。咽痛，加桔梗（清肺利咽膈）。斑
出不透，加紫草茸（紫草凉血，用茸取其升发）。脉弱，加人参。胃虚食少，加白术。腹痛，
倍芍药。〕
升麻葛根（汤）芍药草，（此即仲景葛根汤去麻、桂加升麻，转温散为凉散，乃后人超
出之方也。）升散阳明表证好。（葛根汤治太阳将入阳明之表，此汤治阳明自病之表。）微寒
壮热与头疼，（太阳表病初起则恶寒甚，且发热而仍畏寒；阳明表证初起则微恶寒，及至壮
热则寒不复恶矣。又太阳则头项痛，阳明则头额眉棱骨痛，此为辨也。）热迫下利均堪保。（暴
注下迫皆属于热。此因邪热内陷于太阴，是表实里虚，故用升、葛升阳散表，白芍敛阴，甘
草和里，表解里和，下利自止。）亦治时疫与阳斑，（升麻、甘草解毒之功。）痘疹已出慎勿
捣。（痘疹初起，热自内达表，故亦宜于凉散；若已出者勿用，恐升散重虚其表也。）
治疗太阳病桂枝证，医生反而使用攻下法，导致腹泻不止，脉象急促且表证未解，出现气喘并伴有出汗的症状。
葛根（八两） 甘草（二两） 黄芩 黄连（各三两） 用水八升，先煮葛根，水量减少二升后，加入其余药物，再煎煮取汁。
葛根黄芩黄连汤，由甘草等四味药组成，用于治疗太阳与阳明合病。（因太阳病误用下法，邪气内传入阳明。）此方兼具解表（葛根）、清里热（黄芩、黄连）以及调和胃气（甘草）的功效，对于气喘、出汗、脉促及腹泻症状疗效良好。（本条文中，气喘和出汗症状较轻，而腹泻不止症状较重，因此用药优先治疗腹泻。然而，腹泻是寒证、热证、虚证、实证均可能出现的病症。若脉象急促有力，则无疑是热邪所致。虽然表证未解，但不应当使用桂枝的辛热之性，故选用葛根的甘凉之性来解表。因气喘、出汗兼见腹泻，故用黄芩、黄连的苦寒之性以坚阴止利。甘草不仅调和胃气，还能调和表里。如果脉……）
（陶节庵《伤寒六书》） 治疗太阳与阳明合病，症见目痛、鼻干、无法安卧，头痛、恶寒、无汗，脉象浮而洪大。
柴胡 干葛（葛根） 羌活 白芷 黄芩 赤芍 桔梗 甘草 石膏 生姜 大枣
柴葛解肌汤出自节庵之手，（节庵自称“此方替代葛根汤”），包含羌活、石膏、白芷、桔梗、赤芍、黄芩、甘草。三阳经的病邪位于体表，可参考同时解除三阳经邪气的方法。（按语：此汤剂将羌活、葛根、柴胡并用，而以石膏、黄芩等为佐使，是统治三阳经表证、防止寒邪化热的治法。如果说这是治疗太阳阳明合病，那么柴胡尚且不适宜使用，而节庵却使用了它，这是为什么呢？）
（钱仲阳《阎氏小儿方论》） 治疗阳明伤寒，中风引起的头痛身痛，发热且轻微恶寒，无汗口渴，目痛鼻干无法安卧，以及阳明发斑，斑疹欲出而未出，寒热交替不定，此类情况多为疫病。
升麻 干葛（细切） 芍药 甘草（锉碎炙烤，各等分） 共同捣成粗末，每次服用四钱，加水一盏半，煎煮至一盏的量，根据患者年龄大小给予服用，随时温服。〔若有头痛，加川芎、白芷（川芎为通行阴阳气血的引经药，白芷专治阳明头痛）。若身体疼痛、背部僵硬，加羌活、防风（此为兼有太阳经病，故加这两味药）。若热势不退，春季加柴胡、黄芩、防风（春季为少阳主令，柴胡、黄芩为少阳经药物），夏季加黄芩、石膏（以清降火热）。头面部肿胀，加荆芥、防风、连翘、白芷、川芎、牛蒡子、石膏（以升散解毒）。咽喉疼痛，加桔梗（以清肺利咽膈）。斑疹透发不畅，加紫草茸（紫草凉血，用其嫩芽取其升发之意）。脉象虚弱，加人参。胃气虚弱、饮食减少，加白术。腹痛，加倍芍药用量。〕
升麻葛根汤由芍药、甘草组成，（此方即张仲景的葛根汤去掉麻黄、桂枝，加入升麻，将温散转为凉散，是后人超越前人的方剂。）善于升散阳明经的表证。（葛根汤治疗太阳经邪气即将传入阳明经的表证，此汤治疗阳明经自病的表证。）微恶寒、壮热与头疼，（太阳表病初起时恶寒严重，且发热仍畏寒；阳明表证初起时仅微恶寒，等到壮热时便不再恶寒了。此外，太阳病头痛在项部，阳明病头痛在前额眉棱骨处，这是鉴别要点。）热邪迫注导致的腹泻也都能保全。（暴注下迫皆属于热证。此处是因邪热内陷于太阴，属表实里虚，故用升麻、葛根升阳散表，白芍敛阴，甘草和里，表解里和，腹泻自然停止。）也可治疗时行疫病与阳斑，（升麻、甘草具有解毒功效。）痘疹已经发出者慎用勿用。（痘疹初起，热气自内达表，故适宜用凉散之法；若痘疹已发出则不可使用，恐升散之力再次损伤体表正气。）
Treats Taiyang disease presenting with Guizhi syndrome (Cinnamon Twig Syndrome), where the physician erroneously applied purgation, resulting in persistent diarrhea. The pulse is rapid (Cu Mai), the exterior syndrome remains unresolved, and the patient presents with wheezing and sweating.
Ge Gen (Radix Puerariae, 8 liang) Gan Cao (Radix Glycyrrhizae, 2 liang) Huang Qin (Radix Scutellariae) Huang Lian (Rhizoma Coptidis, each 3 liang). Use eight sheng of water. First decoct Ge Gen until the volume reduces by two sheng, then add the remaining herbs. Decoct to obtain the liquid.
Ge Gen Huang Qin Huang Lian Tang (Kudzu Root, Scutellaria, and Coptis Decoction) consists of four ingredients including Gan Cao, treating the simultaneous involvement of Taiyang and Yangming meridians. (When Taiyang disease is erroneously purged, pathogenic factors enter the Yangming.) This formula simultaneously releases the exterior (via Ge Gen), clears interior heat (via Huang Qin and Huang Lian), and harmonizes the stomach (via Gan Cao). It is effective for wheezing, sweating, rapid pulse, and diarrhea. (In this clause, wheezing and sweating are mild symptoms, while persistent diarrhea is severe; thus, treatment prioritizes stopping the diarrhea. However, diarrhea can arise from cold, heat, deficiency, or excess patterns. A rapid and urgent pulse indicates heat pathogens without doubt. Although the exterior is not yet resolved, one should not use the acrid-warm nature of Guizhi; instead, the sweet-cool nature of Ge Gen is used to release the exterior. Due to wheezing, sweating, and diarrhea, the bitter nature of Huang Qin and Huang Lian is employed to firm the yin. Gan Cao not only harmonizes the stomach but also harmonizes the interior and exterior. If the pulse...)
(Tao Jian'an's *Shanghan Liushu*) Treats simultaneous involvement of Taiyang and Yangming meridians, characterized by eye pain, nasal dryness, inability to sleep, headache, aversion to cold, absence of sweating, and a floating and surging pulse.
Chai Hu (Radix Bupleuri) Gan Ge (Rhizoma Puerariae) Qiang Huo (Rhizoma Notopterygii) Bai Zhi (Radix Angelicae Dahuricae) Huang Qin (Radix Scutellariae) Chi Shao (Radix Paeoniae Rubra) Jie Geng (Radix Platycodi) Gan Cao (Radix Glycyrrhizae) Shi Gao (Gypsum Fibrosum) Sheng Jiang (Rhizoma Zingiberis Recens) Zao (Fructus Jujubae)
Chai Ge Jie Ji Tang (Bupleurum and Kudzu Decoction to Resolve the Muscle Layer) originates from Jian'an. (Jian'an claimed "this replaces Gegen Tang"). It contains Qiang Huo, Shi Gao, Bai Zhi, Jie Geng, Chi Shao, Huang Qin, and Gan Cao. For pathogenic factors residing in the exterior of the three yang meridians, methods for simultaneously resolving the three yang meridians may be referenced. (Note: This decoction combines Qiang Huo, Gan Ge, and Chai Hu, assisted by Shi Gao and Huang Qin. It is a method for uniformly treating exterior syndromes of the three yang meridians and preventing cold from transforming into heat. If stated as treating simultaneous Taiyang-Yangming involvement, Chai Hu is generally unsuitable; why did Jian'an use it?)
(Qian Zhongyang's *Yan Shi Xiao'er Fang Lun*) Treats Yangming Shanghan (Cold Damage) and Zhongfeng (Wind Strike) causing headache and body pain, fever with slight aversion to cold, absence of sweating, thirst, eye pain, nasal dryness, inability to sleep, as well as Yangming macules (ban) that wish to erupt but do not, intermittent chills and fever, and epidemic diseases common in such conditions.
Sheng Ma (Rhizoma Cimicifugae) Gan Ge (Rhizoma Puerariae, finely sliced) Shao Yao (Radix Paeoniae Alba/Lactiflora) Gan Cao (Radix Glycyrrhizae, sliced and roasted, equal parts). Grind together into a coarse powder. Take 4 qian per dose, add 1.5 sheng of water, decoct to 1 sheng, and administer warm at any time according to the patient's age and size. [For headache, add Chuan Xiong (Radix Ligustici Chuanxiong) and Bai Zhi (Chuan Xiong acts as an envoy to circulate yin-yang qi and blood; Bai Zhi specifically treats Yangming headaches). For body pain and back stiffness, add Qiang Huo (Rhizoma Notopterygii) and Fang Feng (Saposhnikoviae Radix) (as this involves the Taiyang meridian, these two herbs are added). If fever persists, in spring add Chai Hu and Huang Qin, Fang Feng (Spring is governed by Shaoyang; Chai Hu and Huang Qin are herbs for the Shaoyang meridian); in summer add Huang Qin and Shi Gao (to clear and descend fire-heat). For swelling of the head and face, add Jing Jie (Schizonepetae Herba), Fang Feng, Lian Qiao (Forsythiae Fructus), Bai Zhi, Chuan Xiong, Niu Bang Zi (Arctii Fructus), Shi Gao (to ascend and disperse, detoxify). For sore throat, add Jie Geng (to clear the lungs and benefit the throat). For macules that fail to erupt fully, add Zi Cao Rong (Herba Lithospermi tender shoots) (Zi Cao cools blood; using the tender shoots leverages their ascending properties). For weak pulse, add Ren Shen (Radix Ginseng). For deficient stomach qi and poor appetite, add Bai Zhu (Rhizoma Atractylodis Macrocephalae). For abdominal pain, double the dosage of Shao Yao.]
Sheng Ma Ge Gen Tang (Cimicifuga and Kudzu Decoction) consists of Shao Yao and Gan Cao. (This is essentially Zhongjing's Gegen Tang minus Ma Huang and Gui Zhi, plus Sheng Ma, transforming warm dispersal into cool dispersal, a formula created by later generations surpassing predecessors.) It is good at ascending and dispersing exterior syndromes of the Yangming meridian. (Gegen Tang treats the exterior stage when Taiyang pathogenic factors are about to enter Yangming; this decoction treats the exterior stage of primary Yangming disease.) Slight aversion to cold, high fever, and headache. (In early Taiyang exterior disease, aversion to cold is severe, and fever occurs with continued fear of cold; in early Yangming exterior disease, there is only slight aversion to cold, and once high fever sets in, aversion to cold ceases. Furthermore, Taiyang headache is in the neck/occiput, while Yangming headache is in the forehead/glabella; this is the distinction.) Heat forcing downward diarrhea can also be managed. (Sudden violent diarrhea belongs to heat. Here, pathogenic heat has sunk into the Taiyin, representing exterior excess and interior deficiency. Thus, Sheng Ma and Ge Gen are used to ascend yang and disperse the exterior, Shao Yao to astringe yin, and Gan Cao to harmonize the interior. When the exterior is resolved and the interior harmonized, diarrhea stops spontaneously.) It also treats seasonal epidemics and yang macules. (Sheng Ma and Gan Cao have detoxifying effects.) Caution: Do not use if measles/rubella eruptions have already appeared. (In early stages, heat moves from interior to exterior, so cool dispersal is suitable; if eruptions have already appeared, do not use, lest the ascending and dispersing action further damage the exterior qi.)