太阳发汗已。身犹灼热。名风温。脉尺寸俱浮。自汗身重。多眠鼻鼾。语言难出。（葳
蕤汤
汤）痉症。口噤不能言。（刚痉用葛根汤柔痉用桂枝汤加栝蒌）热病。喑哑不言。三四日不得
汗出者死。火邪刑金。声哑。（芩连甘桔知母黄连麦冬五味）风热壅盛。咳嗽声嗄。（荆防甘
桔薄荷花粉知母）
（乃面赤也阳气怫郁在表故面色发赤虽由于热然六经俱无可下之症亦有阴寒症水
极似火者须以他症别之）
太阳病。如疟状。脉微。恶寒。面反热色。身痒。（桂枝麻黄各半汤小汗之）太阳发汗不
彻。转属阳明。续微汗出。不恶寒。若太阳症不罢。不可下。可小发汗。设面色缘缘正赤。阳气怫
郁在表。当汗之。（麻黄汤）阳明面赤不可攻。（葛根汤）少阴小利清谷。厥逆脉微。反不恶寒。
（通脉四逆汤加葱白）面赤如锦纹。咽喉痛。吐脓血者。阳毒也。（阳毒升麻汤）
气上冲心疼。饥不欲食。吐蛔者厥阴病。（桂枝白术茯苓汤理中安蛔散）静而时烦。此为
藏寒。蛔上入膈。须臾复止。得食而呕。又烦。蛔闻食臭出。当吐蛔。（乌梅丸）病患有寒。复发
汗。胃中冷。必吐蛔。（先服理中汤次服乌梅丸）
按吐蛔主胃寒。人所共知。然亦有属阳症者。如脉来洪大数实。或渴。或秘。或 。或
黄。皆以冷剂取效。切不可执一也。凡吐蛔症。勿服甘草。勿食甜物。盖蛔虫得甘则动。得苦则
安。得酸则止。得辛则伏也。
After the Taiyang disease was treated with sweating, the body remained burning hot; this is called Wind-Warmth (Fengwen). The pulse at both the Cun and Chi positions is floating, there is spontaneous sweating, heaviness of the body, somnolence, snoring, and difficulty in speaking. (Weirui Tang) In Spasm (Jingzheng), the jaw is clenched and speech is impossible. For Gang-Jing (rigid spasm), Gegen Tang is used; for Rou-Jing (flexible spasm), Guizhi Tang with Gualou is used. In Heat Disease (Rebing), aphonia occurs. If no sweat appears after three or four days, death ensues. Fire pathogen punishing Metal (Lung) causes hoarseness. (Huangqin, Huanglian, Gancao, Jiegeng, Zhimu, Huanglian, Maidong, Wuweizi) Exuberant Wind-Heat obstruction leads to cough and hoarse voice. (Jingjie, Fangfeng, Gancao, Jiegeng, Bohe, Hehua, Fenxin, Zhimu)
(This refers to a red face. Yang Qi is constrained on the exterior, hence the facial redness. Although it stems from heat, there are no indications for purgation in the Six Channels. There are also Yin-Cold patterns where extreme Water mimics Fire; these must be distinguished by other symptoms.)
Taiyang disease presents like malaria, with a faint pulse, aversion to cold, and an abnormal red-hot color on the face, accompanied by itching of the body. (Guizhi Mahuang Ban Ge Tang, administered in small doses to induce slight sweating) If the sweating treatment for Taiyang disease was incomplete, the condition may transfer to Yangming. There follows slight continuous sweating without aversion to cold. If the Taiyang symptoms have not ceased, purgation is contraindicated; instead, mild sweating should be induced. If the face is persistently bright red due to Yang Qi constrained on the exterior, sweating therapy is indicated. (Mahuang Tang) Facial redness in Yangming disease is not an indication for attack/purgation. (Gegen Tang) In Shaoyin disease, with slight diarrhea of undigested food, cold extremities, and a faint pulse, yet without aversion to cold, Tongmai Sini Tang with Congbai is used. A face red as brocade, sore throat, and expectoration of pus and blood indicate Yang Du (Yang Toxin). (Yangdu Shengma Tang)
Qi rushing upward causing heart pain, hunger without desire to eat, and vomiting of roundworms characterize Jueyin disease. (Guizhi Baizhu Fuling Tang, Lizhong Anhui San) When quiet but occasionally irritable, this indicates interior Cold. The roundworms ascend into the diaphragm, then stop after a moment. Eating induces vomiting and further irritability, as the worms emerge upon smelling food odor; vomiting of worms is expected. (Wumei Wan) If a patient with a Cold pattern undergoes repeated sweating, leading to Cold in the Stomach, vomiting of roundworms will certainly occur. (First administer Lizhong Tang, then Wumei Wan)
Note: Vomiting roundworms primarily indicates Stomach Cold, which is common knowledge. However, there are also cases belonging to Yang patterns, such as a洪大数实 (surging, large, rapid, and full) pulse, thirst, constipation, dark urine, or yellow coating, all of which respond to cold-natured agents. One must not adhere rigidly to one view. In cases of vomiting roundworms, Gancao should not be taken, nor should sweet foods be consumed. This is because roundworms become active with sweetness, calm with bitterness, stop with sourness, and subside with pungency.