桂枝（四两去皮） 附子（三枚炮去皮破八片） 生姜（三两切） 甘草（二两炙） 大枣（十二枚擘）
上五味。以水六升。煮取二升。去滓。分温三服。
成注云。风在表者。散以桂枝甘草之辛甘。湿在经者。逐以附子之辛热。姜枣辛甘。行营卫。通津液。以和表
也。○愚以风散湿逐。寒即随之而去矣。
内台方议云。与桂枝汤。去芍药以治风加附子以散表中之风湿寒邪。○愚以去芍药者。谓非中寒所宜也。
若其人大便硬。小便自利者。去桂枝。加白术汤主之。（此承上条而申言之。有如上条证全具矣。若其人大便
硬。小便自利者。后条辩云。此湿虽盛而津液自虚也。于上汤中去桂。以其能走津液。加术。以其能生津液。○或
问云。小便利。则湿去矣。何以犹言湿盛。余答云。湿热郁于里。则小便不利。寒湿搏于经。则小便自利。又有昧
理者云。大便溏。宜加白术。殊不知白术为脾家主药。后条辩云。燥湿以之。滋液亦以之。条辩以白术作苍术。以
其能益土燥湿误矣。）
（此方原论中无考。今照上方云云去桂枝。加白术也）
于上方内去桂枝。加白术四两余根据前法煎服风湿相搏。骨节烦疼。掣痛。不得屈伸。近之则痛剧汗出短气。小
便不利。恶风不欲去衣或身微肿者。甘草附子汤主之。（风湿相搏。最前条已明言之矣。风虽阳邪。然与湿相交结。
则纯是寒气为病。寒主收引。故烦疼比前条更甚。内入骨节之间。四肢掣痛。不得屈伸也。近之则痛剧者。申言病
邪之重。迕之则逆也。风伤卫。故汗出短气。恶风不欲去衣。湿内着。故小便不利。湿外薄。故或身微肿。或者未
定之辞。乃兼及之证。非主病也。与甘草附子汤。以温经散风湿。○愚按方注风湿相搏。有中风汗出过多。伤寒发
汗过多二证。夫中风伤寒。皆热病也。岂有反变而为寒之理。又其注短气。为汗多亡阳。注恶风不欲去衣。以重伤
故恶甚。大谬之极。）
Cinnamon Twig (Si Liang, peeled) Aconite Root (San Mei, processed, peeled, broken into eight pieces) Fresh Ginger (San Liang, sliced) Licorice Root (Liang, honey-fried) Jujube (Shi Er Mei, torn open)
The above five herbs. With water six Sheng. Boil to obtain two Sheng of decoction. Remove the dregs. Divide into three warm doses.
Cheng Wuji's commentary states: When wind pathogen is in the exterior, disperse it with the acrid-sweet nature of Guizhi Tang (Cinnamon Twig Decoction) and Gancao (Licorice). When dampness is in the meridians, expel it with the acrid-hot nature of Fuzi (Processed Aconite Root). The acrid-sweet combination of Shengjiang (Fresh Ginger) and Dazao (Jujube) circulates Ying and Wei (Nutritive and Defensive Qi), unblocks Jin Ye (Body Fluids), and harmonizes the exterior. ○ I believe that when wind is dispersed and dampness is expelled, cold pathogen will follow and depart.
Neitai Fangyi discusses: This formula is based on Guizhi Tang (Cinnamon Twig Decoction), removing Shaoyao (Peony Root) to treat wind, and adding Fuzi (Processed Aconite Root) to dissipate wind-damp-cold pathogens in the exterior. ○ I believe Shaoyao (Peony Root) is removed because it is not suitable for Zhonghan (Cold Damage).
If the patient has hard stools and free urination, use the formula with Cinnamon Twig removed and Atractylodes Macrocephala Rhizome added as the primary treatment. (This continues from the previous clause to elaborate. If all symptoms of the previous clause are present, but the patient has hard stools and free urination, the next clause analyzes: This indicates that although dampness is abundant, Body Fluids are deficient. Therefore, remove Guizhi (Cinnamon Twig) from the upper formula because it can deplete Body Fluids; add Baizhu (Atractylodes Macrocephala Rhizome) because it can generate Body Fluids. ○ Question: If urination is free, dampness should have left, why say dampness is still abundant? Answer: If damp-heat is stagnant internally, urination will be difficult; if cold-damp struggles in the meridians, urination will be free. Some who do not understand principles say: Loose stools suit adding Baizhu (Atractylodes Macrocephala Rhizome). They do not know Baizhu (Atractylodes Macrocephala Rhizome) is the master herb for the Spleen. The next clause analyzes: It can dry dampness and also moisten fluids. The analysis mistakenly identifies Baizhu (Atractylodes Macrocephala Rhizome) as Cangzhu (Atractylodis Rhizoma), thinking it tonifies Earth and dries dampness, which is an error.)
(This formula has no verification in the original theory. Now, following the above method, remove Guizhi (Cinnamon Twig) and add Baizhu (Atractylodes Macrocephala Rhizome).)
Remove Guizhi (Cinnamon Twig) from the above formula, add Baizhu (Atractylodes Macrocephala Rhizome) four Liang, and prepare and take according to the previous method. When Wind-Dampness Bi (Wind-Damp Obstruction) occurs, causing vexing pain in bone joints, pulling pain, inability to flex or extend, severe pain upon touch, sweating, shortness of breath, difficulty in urination, aversion to wind with reluctance to remove clothes, or slight swelling of the body, Gancao Fuzi Tang (Licorice and Aconite Decoction) is the primary treatment. (Wind-Dampness Bi was clearly stated in the earliest clauses. Although Wind is a Yang pathogen, when intertwined with Dampness, it becomes purely Cold pathogen disease. Cold governs contraction and drawing-in, so the vexing pain is more severe than in the previous clause. Entering between bone joints, limbs suffer pulling pain and cannot flex or extend. Severe pain upon touch reiterates the severity of the pathogen; disturbing it causes rebellion. Wind injures Wei (Defensive Qi), hence sweating, shortness of breath, aversion to wind, and reluctance to remove clothes; Dampness adheres internally, hence difficulty in urination; Dampness presses externally, hence possible slight swelling. "Or" is a term of uncertainty, indicating accompanying syndromes, not the main disease. Use Gancao Fuzi Tang (Licorice and Aconite Decoction) to warm the meridians and scatter Wind-Dampness. ○ My note: The formula commentary mentions "Wind-Dampness Bi" having two conditions: excessive sweating from Fengzhong (Wind Strike) and excessive sweating from Shanghan (Cold Damage). Both Fengzhong and Shanghan are heat diseases; how could they transform into cold? Furthermore, the commentary claims shortness of breath is due to sweating causing loss of Yang, and aversion to wind is due to severe injury causing extreme aversion to wind, which is extremely absurd.)