懊 者，心中懊懊 ，郁闷不舒之貌。盖由表证误下，正气内虚，阳邪内陷，结于心胸之间，
甚则为结胸也。邪在心胸则宜吐，热结胃腑则宜下，不可拘也。发汗、吐、下之后虚烦不得眠，甚
则反复颠倒，心中懊 ，栀子豉汤。舌上白苔，饥不能食，虚烦不眠，头汗懊 ，上同。
短气烦躁，咽硬，胸中懊 ，大陷胸汤。阳明病，下之后懊 而烦，中有燥屎，宜承气汤。阳明
无汗，小便不利，心中懊 者，必发黄，宜茵陈蒿汤。
身痛，太阳表证也。虽曰表邪未解，而有发汗温经先后之不同。自利脉沉，为阴病。身痛，其
身重者，属乎阳明，为有风也。又有阳邪内行，不荣于表，是又不可不知。
太阳身痛，脉浮紧，无汗，麻黄汤；或尺脉迟，为无血，先用小建中汤，候尺脉浮，却用麻黄
汤。
下利脉沉，身痛，宜四逆汤辈。
发汗后身痛，脉沉迟，桂枝芍药人参汤。一身尽痛，发热面黄，七八日后结热在里，乃攻其表。
温里，四逆汤；攻表，桂枝汤。
霍乱后身痛不休，桂枝汤。湿家身疼痛，不可发汗，发汗则成 ，葛根桂枝汤。
凡中湿身痛，有本条。
拘急者，手足不能自如，屈伸不便，如蜷卧恶风之貌。四肢者，诸阳之本。盖因发汗亡阳，阳
虚，是有其证也。
伤寒，脉浮，自汗出，小便数，心烦恶寒，脚挛急，芍药甘草汤；小便难者，桂枝加附子。
太阳病，发汗，遂不止，恶风，小便难，四肢微急，难以屈伸，桂枝加附子汤。
吐利汗出，发热恶寒，四肢拘急，手足厥冷，四逆汤。
Ao Nao (Agitated Distress) refers to the appearance of mental agitation, depression, and discomfort. It generally arises from the mistaken use of purgation on exterior syndromes, leading to internal deficiency of healthy Qi and the inward sinking of Yang pathogenic factors, which knot in the chest and heart region; in severe cases, it becomes Jie Xiong (Chest Binding). When pathogens are in the chest and heart, emesis is indicated; when heat knots in the stomach fu organs, purgation is indicated; treatment should not be rigid. After sweating, vomiting, or purging, if there is empty irritability preventing sleep, or even tossing and turning with Agitated Distress in the heart, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is used. If there is a white coating on the tongue, hunger without desire to eat, empty irritability, insomnia, head sweating, and Agitated Distress, the treatment is the same as above. With shortness of breath, restlessness, hardness in the throat, and Agitated Distress in the chest, Da Xian Xiong Tang (Major Formula to Drain the Chest) is used. In Yang Ming disease, after purgation, if there is Agitated Distress and vexation with dry stool inside, Cheng Qi Tang (Order the Qi Decoction) is appropriate. In Yang Ming disease, if there is no sweating, difficulty in urination, and Agitated Distress in the heart, jaundice will inevitably occur, and Yin Chen Hao Tang (Artemisiae Scopariae Herba Decoction) is appropriate.
Body pain belongs to Tai Yang exterior syndromes. Although it is said that exterior pathogens have not yet resolved, the sequence of inducing sweating versus warming meridians differs according to the condition. If there is spontaneous diarrhea with a deep pulse, it is a Yin disease. Body pain accompanied by heaviness of the body belongs to Yang Ming, indicating the presence of wind. Furthermore, one must not ignore cases where Yang pathogens move internally and fail to nourish the exterior.
For Tai Yang body pain with a floating and tight pulse and no sweating, Ma Huang Tang (Ephedra Decoction) is used; or if the cun-kou pulse at the chi position is slow, indicating blood deficiency, Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is used first, and once the chi pulse becomes floating, Ma Huang Tang is then used.
For diarrhea with a deep pulse and body pain, Si Ni Tang (Frigid Extremities Decoction) and similar formulas are appropriate.
After sweating, if body pain persists with a deep and slow pulse, Gui Zhi Shao Yao Ren Shen Tang (Cinnamon Twig, Peony, and Ginseng Decoction) is used. If the whole body hurts, accompanied by fever and yellow complexion, and after seven or eight days the heat knots internally, the exterior should be attacked. To warm the interior, Si Ni Tang is used; to attack the exterior, Gui Zhi Tang (Cinnamon Twig Decoction) is used.
If body pain persists after Huo Luan (Cholera-like disorder), Gui Zhi Tang is used. For those habitually damp who suffer body pain, sweating should not be induced; if induced, it will lead to Jing (Spasm), and Ge Gen Gui Zhi Tang (Pueraria and Cinnamon Twig Decoction) is used.
Regarding body pain caused by dampness, there is a specific section addressing this.
Ju Ji (Contraction and Cramping) refers to the inability of the hands and feet to move freely, with difficulty in flexion and extension, resembling a curled posture with aversion to wind. The four limbs are the root of all Yang channels. This syndrome occurs because excessive sweating leads to the loss of Yang, resulting in Yang deficiency.
In Shang Han (Cold Damage), if the pulse is floating, there is spontaneous sweating, frequent urination, heart vexation, aversion to cold, and cramping in the feet, Shao Yao Gan Cao Tang (Peony and Licorice Decoction) is used; if there is difficulty in urination, Gui Zhi Jia Fu Zi Tang (Cinnamon Twig Decoction with Added Aconite) is used.
In Tai Yang disease, if sweating continues excessively after inducing sweat, with aversion to wind, difficulty in urination, slight contraction of the four limbs, and difficulty in flexion and extension, Gui Zhi Jia Fu Zi Tang is used.
With vomiting and diarrhea, sweating, fever, aversion to cold, contraction of the four limbs, and cold extremities, Si Ni Tang is used.