耳聋胁痛，寒热，呕而口苦，是足少阳胆经受证。假如先起恶寒身热，耳聋胁痛者，本病。已
后呕而舌干口苦者，标病。缘胆无出入，病在半表半里之间，只宜小柴胡一汤加减，和解表里治之，
再无别汤。（本方自有加减法。）此经有三禁，不可汗、下、吐也。若治之得法，有何坏证？常须
识此，宜当审焉。
耳聋胁痛，寒热，呕而口苦舌干，便属半表半里证，不从标本从乎中治。
脉见弦数，本经证。
耳聋胁痛，寒热，呕而口苦舌干者，用柴胡双解饮。（即加减小柴胡汤。）
腹满自利，津不到咽，手足温者，是足太阴脾经受证。假如先起腹满咽干者，本病。已后身目
黄，标病。内有寒热所分，不可混治，临病之际，用在得宜。
脉见沉而有力，宜当下。脉见沉而无力，宜当温。
腹满咽干，手足温，腹痛者，桂枝大黄汤。（即加减桂枝汤。）身目黄者，茵陈大黄汤。（即
加减茵陈汤。）自利不渴，或呕吐者，加味理中饮。（即加减理中汤。）重则回阳救急汤。（即加
减四逆汤。）
舌干口燥，是足少阴肾经受证。假如先起舌干口燥者，本病。已后谵语，大便实者，标病。至
阴经则难拘定法，或可温而或可下。阴分直中者，寒证。传经者，热证。是其发前人之所未发也。
Deafness, hypochondriac pain, alternating chills and fever, vomiting with a bitter taste in the mouth, indicate a syndrome of the Foot-Shaoyang Gallbladder Channel (Zu Shao Yang Dan Jing). If the onset is characterized by aversion to cold and fever, deafness, and hypochondriac pain, it is the Ben (Root) disease. If subsequently vomiting, dry tongue, and bitter taste occur, it is the Biao (Branch) disease. Since the Gallbladder has no direct entry or exit, the pathology lies between the Exterior and Interior. Only Xiaochaihu Tang (Minor Chaihu Decoction), modified as appropriate, should be used to harmonize the Exterior and Interior; no other formula is suitable. (This formula has its own modification rules.) This channel has three prohibitions: sweating, purging, and emesis are contraindicated. If treated correctly, what adverse reactions could arise? One must always bear this in mind and exercise caution.
Deafness, hypochondriac pain, alternating chills and fever, vomiting with a bitter taste and dry tongue, constitute a Half-Exterior Half-Interior syndrome. Treatment does not follow the standard Ben or Biao approaches but employs the "Middle Treatment" (harmonizing method).
A wiry and rapid pulse indicates a syndrome of this channel.
For cases presenting with deafness, hypochondriac pain, alternating chills and fever, vomiting, bitter taste, and dry tongue, use Chaihu Shuangjie Yin (Chaihu Dual-Resolving Drink). (This is essentially a modified Xiaochaihu Tang.)
Abdominal fullness, spontaneous diarrhea, inability of fluids to reach the throat, and warm hands and feet indicate a syndrome of the Foot-Taiyin Spleen Channel. If the onset begins with abdominal fullness and dry throat, it is the Ben disease. If jaundice (yellowing of the body and eyes) develops subsequently, it is the Biao disease. There is a distinction between Cold and Heat patterns internally; they must not be treated indiscriminately. Clinical application requires appropriateness.
Abdominal fullness, dry throat, and jaundice belong to Fu-Organ Heat. Spontaneous diarrhea without thirst, or with vomiting, belongs to Zang-Organ Cold.
A deep and forceful pulse indicates suitability for purging. A deep and weak pulse indicates suitability for warming.
For abdominal fullness, dry throat, warm hands and feet, and abdominal pain, use Guizhi Dahuang Tang (Cinnamon Twig and Rhubarb Decoction). (This is a modified Guizhi Tang.) For jaundice, use Yinchene Dahuang Tang (Artemisiae Scopariae and Rhubarb Decoction). (This is a modified Yincheng Hao Tang.) For spontaneous diarrhea without thirst, or with vomiting, use Jiawei Lizhong Yin (Modified Lizhong Drink). (This is a modified Lizhong Tang.) In severe cases, use Huiyang Jiuji Tang (Restoring Yang and Saving from Crisis Decoction). (This is a modified Sini Tang.)
Dry tongue and parched mouth indicate a syndrome of the Foot-Shaoyin Kidney Channel. If the onset begins with dry tongue and parched mouth, it is the Ben disease. If delirium and solid stool develop subsequently, it is the Biao disease. When reaching the Yin channels, fixed rules cannot be rigidly applied; one may use warming methods or purging methods. Direct invasion into the Yin branch constitutes a Cold syndrome; transmission via meridians constitutes a Heat syndrome. This elucidates insights previously unexpressed by earlier authors.