身疼之证,无问风寒,双解散(五十四)。表热甚,头项肢体疼痛,黄连解毒
汤(二十一)。伤寒瘟疫,遍身疼痛,少力,头旋,腰脚麻重,呕哕、壮热、减食,三一承气(十三)减
硝加贯众、紫河车,入金银煎,名银煎散。中湿一身尽痛,五苓散(二十四)。
腹胀满,脉沉者,以三一承气汤(十三)合解毒(二十一)下之。诸腹满实痛、烦渴谵妄、脉实
数而沉者,无问日数,三一承气汤。少阳证,腹中痛者,小柴胡(九)去黄芩加芍药汤。少阳证,胁
下痞硬者,小柴胡去枣子加牡蛎。太阴证,腹满时痛,桂枝(二)加芍药;痛甚桂枝加大黄。
往来寒热属少阳,一日二、三作,来往无期,用小柴胡汤(九)主之。
潮热属阳明,一日一发,日晡而作也。阳明里热极甚,或吐下后不解大便
五、六日至十余日,日晡潮热,心胸烦热而懊 ,如疟状,脉沉实者,三一承气
汤(十三)。阳明、少阳合病,下利,日晡发热如疟者,大柴胡汤(八)。通宜三一承气(十三)合解毒(二十一)。
自汗者,不发表解肌自出汗也,伤风自汗也。伤风自汗,桂枝汤。伤寒自汗,脉沉数而实,表里俱
热者,三阳合病自汗者,厥逆自汗者,头疼自汗者,伤寒自汗未解半入于里者,中暑自汗脉虚者,俱
宜白虎汤(二十二)。伤寒寝汗不止,白虎汤加麻黄根、浮麦。伤寒汗下后,自汗、脉虚、热不已,白
虎加人参、苍术服之,汗止身凉,通仙之法也。
中暑自汗,白虎汤,后以澹渗汤(二十五)调之。自汗多崔宣武人参石膏汤(三十六)。
Symptoms of body pain, regardless of whether caused by wind-cold or other factors, are treated with Shuangjie San (Double-Resolution Powder) [Formula 54]. If exterior heat is severe, causing pain in the head, neck, and limbs, Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) [Formula 21] is used. In cases of cold damage or plague characterized by generalized body pain, weakness, dizziness, numbness and heaviness in the waist and legs, vomiting and hiccups, high fever, and reduced appetite, Sanyi Chengqi Tang (Three-One Purging Decoction) [Formula 13] is employed, with Mangxiao (Natrii Sulfas) removed, and Guanzhong (Cyatheae Spadix) and Ziheche (Placenta Hominis) added, decocted with Yinjin (Silver Thread), named Yinjian San (Silver Decoction Powder). For generalized body pain due to dampness obstruction, Wuling San (Five-Ingredient Powder with Poria) [Formula 24] is used.
For abdominal distension and fullness with a deep pulse, Sanyi Chengqi Tang [Formula 13] combined with Jiedu Tang [Formula 21] is used to purge. For all cases of abdominal fullness, solidity, and pain, accompanied by irritability, thirst, delirium, and a rapid, deep, and forceful pulse, regardless of the number of days since onset, Sanyi Chengqi Tang is indicated. In Shaoyang syndrome with abdominal pain, Xiao Chaihu Tang (Minor Bupleurum Decoction) [Formula 9] is modified by removing Huangqin (Scutellariae Radix) and adding Shaoyao (Paeoniae Radix). In Shaoyang syndrome with stuffiness and hardness under the hypochondrium, Xiao Chaihu Tang is modified by removing Zao (Jujubae Fructus) and adding Muli (Ostreae Concha). In Taiyin syndrome with abdominal fullness and intermittent pain, Guizhi Tang (Cinnamon Twig Decoction) [Formula 2] is modified by adding Shaoyao; if pain is severe, Guizhi Dahuang Tang (Cinnamon Twig and Rhubarb Decoction) is used.
Alternating chills and fever belong to Shaoyang syndrome, occurring two or three times a day without a fixed schedule, treated primarily with Xiao Chaihu Tang [Formula 9].
Tidal fever belongs to Yangming syndrome, occurring once daily, typically arising in the late afternoon. When Yangming interior heat is extremely severe, or after emesis or purgation, if constipation persists from five to six days up to ten or more days, presenting with late-afternoon tidal fever, mental restlessness and oppression in the chest and heart, symptoms resembling malaria, and a deep, solid pulse, Sanyi Chengqi Tang [Formula 13] is used. In combined Yangming and Shaoyang disease with diarrhea and late-afternoon fever resembling malaria, Da Chaihu Tang (Major Bupleurum Decoction) [Formula 8] is indicated. Generally, it is appropriate to use Sanyi Chengqi Tang [Formula 13] combined with Jiedu Tang [Formula 21].
Spontaneous sweating refers to sweating that occurs naturally without the use of diaphoretic or muscle-releasing methods, often caused by wind-strike. For spontaneous sweating due to wind-strike, Guizhi Tang is used. For spontaneous sweating due to cold damage, if the pulse is deep, rapid, and forceful, indicating heat in both exterior and interior; or for spontaneous sweating due to combined disease of the Three Yang syndromes; or due to jue-ni (cold extremities); or associated with headache; or when cold damage spontaneous sweating has not resolved and pathogenic factors have partially entered the interior; or for spontaneous sweating due to summerheat with a deficient pulse, Baihu Tang (White Tiger Decoction) [Formula 22] is suitable. For night sweats (sleeping sweat) persisting in cold damage, Baihu Tang is modified by adding Mahuang Gen (Ephedrae Radix et Rhizoma) and Fumai (Tritici Fructus Levigatus). After cold damage treatment with sweating or purgation, if spontaneous sweating continues, the pulse is deficient, and heat persists, taking Baihu Tang with Renshen (Ginseng Radix) and Cangzhu (Atractylodis Rhizoma) stops the sweat and cools the body, which is the method of Tongxian.
For spontaneous sweating due to summerheat, Baihu Tang is used first, followed by adjustment with Danshen Tang (Lightly Percolating Decoction) [Formula 25]. For excessive spontaneous sweating, Cui Xuanwu's Renshen Shigao Tang (Ginseng and Gypsum Decoction by Cui Xuanwu) [Formula 36] is used.