又曰。阳明病。发热。汗多者。急下之。宜大承气汤。（一云大柴
胡汤）
又曰。发汗不解。腹满痛者。急下之。宜大承气汤。
又曰。腹满不减。减不足言。当下之。宜大承气汤。
又曰。阳明少阳合病。必下利。其脉不负者顺也。负者失也。互
相克贼。名为负也。
又曰。脉滑而数者。有宿食也。当下之。宜大承气汤。雍曰。此本
文与前证相连。恐是合病脉滑数者。更详之。
又曰。病患无表里证。发热七八日。虽脉浮数者。可下之。假令
已下。脉数不解。合热则消谷善饥。至六七日不大便者。有瘀血也。
宜抵当汤。
又曰。若脉数不解。而下不止。必协热而便脓血也。常氏云。可
白头翁汤。千金方通前证合为一证。
又曰。伤寒发汗已。身目为黄。所以然者。以寒湿在里。不解故
也。以为不可下也。于寒湿中求之。常氏云。可五苓散。
又曰。伤寒七八日。身黄如桔子色。小便不利。腹微满者。茵陈蒿汤主之。
又曰。伤寒。身黄发热。栀子柏皮汤主之。
又曰。伤寒。瘀热在里。身必发黄。麻黄连轺赤小豆汤主之。
仲景曰。脉尺寸俱弦者。少阳受病也。当三四日发。其脉循
胁。络于耳。故胸胁痛而耳聋。三阳皆受病。未入于府者。可汗而
已。
又曰。少阳之为病。口苦咽干目眩也。
又曰。少阳中风。两耳无所闻。目赤。胸中满而烦者。不可吐下。
吐下则悸而惊。庞氏云。可小柴胡汤。常氏云。吐下惊而悸者。可桂
枝去芍药加龙骨牡蛎汤。雍曰。此证当服柴胡加龙骨牡蛎汤。用桂
枝非也。
又曰。伤寒脉弦细。头痛发热者。属少阳。少阳不可发汗。发汗
则谵语。此属胃。胃和则愈。胃不和则烦而悸。（一作躁）庞氏云。多
少阳者宜调胃承气汤。此属少阳阳明证。少阳宜和表。鲜有汗证。仲
景少阳和表。宜小柴胡汤。
又曰。本太阳病不解。转入少阳。胁下硬满。干呕不能食。往来
寒热。尚未吐下。脉沉紧者。与小柴胡汤。庞氏云。脉紧者。与小柴胡
加牡蛎汤。
又曰。若已吐下发汗温针。 语。柴胡汤证罢。此为坏病。知犯
何逆。以法治之。庞氏曰。犯何逆。犯四温病。坏病也。雍曰。千金方
通前合为一证。则小柴胡首尾备见为当。温针谵语。亦宜桂枝甘草
龙骨牡蛎汤。
又曰。三阳合病。脉浮大。上关上。但欲眠睡。目合则汗。常氏
云。可柴胡桂枝汤。庞氏云。不言弦者。隐于长大也。
又曰。伤寒六七日。无大热。其人躁烦者。此为阳去入阴故也。
常氏云。可八石散、茯苓汤。庞氏云。四五日或七八日。
又云。伤寒三日。三阳为尽。三阴当受邪。其人反能食而不呕。
此为三阴不受邪也。庞氏云。病到阴。必吐利也。
又曰。伤寒三日。少阳脉小者。欲已也。庞氏云。谓小而平匀
也。
又曰。少阳病欲解时。从寅至辰上。
It is also said: In Yangming disease, if there is fever and profuse sweating, urgent purgation should be employed. Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. (Another version suggests Xiao Chai Hu Tang).
It is also said: If sweating fails to resolve the condition and abdominal fullness with pain occurs, urgent purgation should be employed. Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated.
It is also said: If abdominal fullness does not decrease, or any decrease is negligible, purgation should be employed. Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated.
It is also said: In combined diseases of Yangming and Shaoyang channels (He Bing), diarrhea will inevitably occur. A pulse that does not show mutual overcoming is a favorable sign; one that shows overcoming is unfavorable. Mutual overcoming and damaging are termed "Fu" (Negative/Overcoming).
It is also said: A slippery and rapid pulse indicates retained food stagnation. Purgation should be employed. Da Cheng Qi Tang (Major Order the Qi Decoction) is indicated. Guo Yong states: This originally connects with the preceding syndrome; it likely refers to combined diseases with a slippery and rapid pulse. Please examine further.
It is also said: If a patient presents with neither exterior nor interior syndromes but has had fever for seven or eight days, even if the pulse is floating and rapid, purgation may be used. Suppose purgation has already been applied, yet the rapid pulse persists. The combination of heat leads to excessive digestion and hunger. If after six or seven days there is no bowel movement, this indicates blood stasis. Di Dang Tang (Resist the Pill) is indicated.
It is also said: If the rapid pulse persists and diarrhea continues unceasingly, pus and blood will inevitably appear in the stool due to heat. Chang Shi states: Bai Tou Weng Tang (Pulsatilla Decoction) can be used. *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) combines the preceding syndromes into one.
It is also said: After sweating for cold damage, the body and eyes turn yellow. The reason is that cold-dampness remains inside and cannot resolve. It is considered inadvisable to use purgation; instead, treatment should seek methods suitable for cold-dampness. Chang Shi states: Wu Ling San (Five-Ingredient Powder with Poria) can be used.
It is also said: After cold damage for seven or eight days, if the body is yellow like an orange peel, urination is difficult, and there is slight abdominal fullness, Yin Chen Hao Tang (Artemisia Capillaris Decoction) is the primary treatment.
It is also said: In cold damage, if the body is yellow with fever, Zhi Zi Bai Pi Tang (Gardenia and Phellodendron Bark Decoction) is the primary treatment.
It is also said: In cold damage, if stagnant heat is trapped inside, the body will inevitably turn yellow. Ma Huang Lian Qiao Chi Xiao Dou Tang (Ephedra, Forsythia, and Adzuki Bean Decoction) is the primary treatment.
Zhang Zhongjing says: When both the Cun (Inch) and Chi (Cubit) pulses are wiry (Xian), Shaoyang disease is present. It typically manifests on the third or fourth day. The channel traverses the hypochondrium and connects to the ears; therefore, there is pain in the chest and hypochondrium and deafness. When all three Yang channels are affected but have not entered the Fu organs, sweating therapy alone is sufficient.
It is also said: The defining symptoms of Shaoyang disease are bitter taste in the mouth, dry throat, and vertigo/dizziness.
It is also said: In Shaoyang wind-strike, if there is bilateral hearing loss, red eyes, chest fullness, and irritability, emetics and purgatives must not be used. Using them will cause palpitations and fright. Pang Shi states: Xiao Chai Hu Tang (Minor Order the Gallbladder Decoction) can be used. Chang Shi states: For palpitations and fright caused by emesis/purgation, Gui Zhi Qu Shao Yao Jia Long Gu Mu Li Tang (Cinnamon Twig Decoction without Peony plus Dragon Bone and Oyster Shell) can be used. Guo Yong states: This syndrome should be treated with Chai Hu Jia Long Gu Mu Li Tang (Bupleurum Decoction plus Dragon Bone and Oyster Shell); using Gui Zhi Tang (Cinnamon Twig Decoction) alone is incorrect.
It is also said: In cold damage, if the pulse is wiry and thin, accompanied by headache and fever, it belongs to Shaoyang. Shaoyang disease should not be treated with sweating. Sweating will lead to delirious speech (Chan Yu). This then involves the Stomach. If the Stomach harmonizes, recovery occurs; if not, irritability and palpitations ensue. (Another version reads "restlessness"). Pang Shi states: Cases leaning towards Shaoyang should use Tiao Wei Cheng Qi Tang (Regulate the Stomach Major Order the Qi Decoction). This belongs to Shaoyang-Yangming combined disease. Shaoyang requires harmonizing the exterior; pure sweating syndromes are rare. For harmonizing the exterior in Shaoyang, Zhang Zhongjing indicates Xiao Chai Hu Tang (Minor Order the Gallbladder Decoction).
It is also said: If the original Taiyang disease does not resolve and transfers to Shaoyang, presenting with hardness and fullness under the ribs, dry retching, inability to eat, alternating chills and fever, and if no emesis, purgation, or acupuncture has been used, and the pulse is deep and tight, Xiao Chai Hu Tang (Minor Order the Gallbladder Decoction) is given. Pang Shi states: If the pulse is tight, Xiao Chai Hu Tang plus Mu Li (Oyster Shell) is given.
It is also said: If emesis, purgation, or warm needle therapy has already been used, leading to delirious speech, and the Chai Hu syndrome has ceased, this is termed a "Huai Bing" (Ruined/Damaged Disease). One must determine what error was committed and treat according to the law. Pang Shi states: "What error" refers to errors involving four types of warm diseases, resulting in a ruined disease. Guo Yong states: *Qian Jin Fang* combines the preceding cases into one; thus, seeing Xiao Chai Hu Tang (Minor Order the Gallbladder Decoction) at the beginning and end is appropriate. For delirium caused by warm needles, Gui Zhi Gan Cao Long Gu Mu Li Tang (Cinnamon Twig and Licorice Decoction plus Dragon Bone and Oyster Shell) is also indicated.
It is also said: In combined diseases of the three Yang channels, if the pulse is floating and large, prominent above the Guan (Bar) position, and the patient desires sleep, sweating occurring when closing the eyes, Chang Shi states: Chai Hu Gui Zhi Tang (Bupleurum and Cinnamon Twig Decoction) can be used. Pang Shi states: The absence of "wiry" implies it is hidden within the floating and large quality.
It is also said: In cold damage, after six or seven days, if there is no significant external heat but the person is restless and irritable, this indicates the departure of Yang and entry into Yin. Chang Shi states: Ba Shi San (Eight Minerals Powder) and Fu Ling Tang (Poria Decoction) can be used. Pang Shi states: Four to five days or seven to eight days.
It is also said: After three days of cold damage, the pathogenic factors in the three Yang channels are exhausted, and the three Yin channels should receive the pathogen. If the person can eat and does not vomit, this indicates the three Yin channels do not receive the pathogen. Pang Shi states: Once the disease reaches Yin, vomiting and diarrhea must occur.
It is also said: In cold damage, if the Shaoyang pulse becomes small, the disease is about to resolve. Pang Shi states: This means the pulse is small, calm, and uniform.
It is also said: The time when Shaoyang disease tends to resolve is from Yin hour to Chen hour.