阳明表证反有汗，桂枝加葛中风传。热证无汗亡津液，燥渴仍从白虎痊，胃实汗热
原应下，恶寒浮缓表为先。欲知定硬识矢气，不转微涩下之冤。舌滑尿白小便数，便硬休
攻导自安。小便数多知便硬，无苦数少是津还。
【注】阳明表证应无汗，反有汗，是从风邪传来，仍从表治，宜用栓枝加葛根汤。阳
明热证应有汗，反无汗，是或吐、或汗、或下亡其津液。若无燥渴，则从表治，若有燥
渴、仍从热治，宜用白虎汤。胃实自汗潮热，原应下之，若有恶寒浮缓之表，宜先解表。表
解已、乃可攻之，欲知大便硬定未定，当少与小承气汤，转矢气者，已成定硬，当与大
承气汤攻之。若不转矢气者，未成定硬，攻之必溏，勿更与也。若脉微涩者，亦不可下，
下之则冤死也。舌滑、尿白、里热微也，虽小便数、大便硬，其热远在广肠，亦不可下，
用蜜煎猪胆导法自可安也。凡小便数多，知大便必硬，虽大便硬而无或满、或痛之苦，当
审其小便日几行，日减数少，是津液还于胃中，慎不可攻，不久必自大便出也。详阳明
篇。
往来寒热胸胁满，脉弦目眩而耳聋，口苦默默不欲食，心烦喜呕少阳经，或渴或咳
身微热，或胁硬痛腹中疼，或悸不呕尿不利，舌苔滑白小柴宗。
【注】脉弦，谓少阳病脉也。往来寒热胸胁满，目眩耳聋，口苦默默不欲食，心烦喜
呕，少阳经主证也。或渴、或咳身微热，或胁硬痛、腹中疼，或悸、不呕、尿不利、舌
苔滑白者，皆少阳或有之证也。均宜小柴胡汤主之，随证加减治之可也。详少阳篇。
Yangming exterior syndrome presents with sweating, which indicates the transmission of wind-pathogen to Yangming; treat with Guizhi Jia Gegen Tang (Cinnamon Twig plus Kudzu Root Decoction). Yangming heat syndrome without sweating results from fluid depletion; if accompanied by dryness and thirst, treat as heat syndrome using Baihu Tang (White Tiger Decoction) for recovery. Stomach excess syndrome with spontaneous sweating and tidal fever originally requires purgation; however, if chills and a floating, slow pulse indicate an exterior syndrome, resolve the exterior first. To determine if feces are hardened, observe for flatus (passing gas); failure to pass gas after attempted purgation constitutes a medical error. Slippery tongue coating, white urine, and frequent urination suggest that even with hard feces, purgation is contraindicated; use suppository methods (e.g., honey or pig bile enema) for relief. Frequent urination indicates likely hard feces; however, if there is no discomfort and urine frequency decreases, fluids are returning to the stomach; avoid purgation as bowel movement will occur naturally. Refer to the Yangming chapter for details.
[Note] Yangming exterior syndrome should present without sweating; sweating indicates wind-pathogen transmission, requiring exterior resolution via Guizhi Jia Gegen Tang. Yangming heat syndrome should present with sweating; absence of sweating follows fluid loss from emesis, diaphoresis, or purgation. Absence of dryness/thirst implies exterior treatment; presence of dryness/thirst implies heat treatment using Baihu Tang. Stomach excess with spontaneous sweating and tidal fever requires purgation, but chills and floating/slow pulse necessitate prior exterior resolution. After exterior resolution, interior attack may proceed. To test for fecal hardness, administer a small dose of Xiaochengqi Tang (Minor Order the Qi Decoction); passage of flatus confirms hardness, warranting Dachengqi Tang (Major Order the Qi Decoction). Absence of flatus indicates unhardened feces; purgation will cause diarrhea, so do not repeat. A faint and choppy pulse contraindicates purgation; purging may be fatal. Slippery tongue and white urine indicate mild interior heat; despite frequent urination and hard feces, heat is distant in the large intestine, so purgation is contraindicated; use suppository methods for safety. Frequent urination predicts hard feces; if no distension or pain exists and urine frequency decreases, fluids return to the stomach; avoid purgation as natural evacuation will occur. See Yangming chapter.
Alternating chills and fever, chest and hypochondriac fullness, wiry pulse, vertigo, and deafness, bitter taste, taciturnity, anorexia, irritability, and frequent vomiting characterize Shaoyang meridian syndrome. Optional symptoms include thirst, cough, slight fever, hard/painful hypochondrium, abdominal pain, palpitations, absence of vomiting, dysuria, and slippery-white tongue coating. These are all indications for Xiaochaihu Tang (Minor Bupleurum Decoction).
[Note] Wiry pulse denotes Shaoyang disease. Alternating chills/fever, chest/hypochondriac fullness, vertigo/deafness, bitter taste, taciturnity/anorexia, irritability/frequent vomiting are primary Shaoyang symptoms. Thirst, cough, slight fever, hard/painful hypochondrium, abdominal pain, palpitations, absence of vomiting, dysuria, and slippery-white tongue coating are optional Shaoyang manifestations. All are treated primarily with Xiaochaihu Tang, modified according to specific symptoms. See Shaoyang chapter.