风温被下必失溲。鼾睡难言自汗流。（仲景云。风温为病。脉阴阳俱浮。自汗出。身重。多眠睡。鼻息必鼾。语言难
出。若被下者。小便不利。直视失溲。）三阳合病身体重。不觉遗尿也可忧。（仲景云。三阳合病。腹满身重。难以转侧。
口不仁。面垢。谵语。遗尿。发汗则谵语。下之则额上生汗。手足厥冷。自汗宜白虎汤主之。）下焦不归亦遗溺。三者根据
方病可瘳。（仲景云。下焦不归其部。则遗溲已上三证。随证治之可愈。）忽然直视并狂语。肾绝如何得久留。（仲景云。
溲便遗失。狂言。反目直视者。此为肾绝也。）
太阴腹满必时痛。（仲景云。太阴之为病。腹满吐食不下。下之甚。腹满时痛。）合病腹满身体重。（仲景云。三阳合
病。腹满身重。难以转侧。）阳明腹满口苦干。微喘小柴胡可用。（仲景云。阳明中风。口苦咽干。腹满微喘。发热。脉
浮而紧。下之。则腹满而小便难也。）谷疸之时且调胃。（仲景云。阳明病。脉迟欲成谷疸。下之则腹满。）潮热更兼便不
利。勿令大下使之虚。微和胃腑宜承气。（仲景云。阳明脉迟。腹满而喘。有潮热。小承气汤主之。又云。腹大满而不大
便者。小承气。微和其胃气。勿令大下。）下后心烦而腹满。栀子浓朴汤宜尔。（仲景云。伤寒下后。心烦腹满。卧起不
安者。栀子浓朴汤。）汗后浓朴最为佳。（仲景。发汗后腹胀者。浓朴五物汤。）吐后小承当审谛。（仲景云。伤寒吐后腹
满者。小承气汤主之。此一证当仔细辨之。）太阴桂枝芍药汤。大实大黄汤可治。（仲景云。太阳病。医反下之。因腹满
时痛属太阴。桂枝芍药汤。大实痛。则用大黄汤主之。）
If Wind-Warmth (Fengwen, a disease caused by warm pathogenic factors) is treated with purgation, it will inevitably lead to incontinence of urine. The patient will exhibit snoring, difficulty in speaking, and spontaneous sweating. (Zhang Zhongjing stated: In Wind-Warmth disease, the pulse is floating at all three positions (Cun, Guan, Chi); there is spontaneous sweating, heaviness of the body, excessive sleepiness, snoring nasal breathing, and difficulty in speech. If purgation is mistakenly applied, it leads to difficult urination, fixed gaze, and loss of control over urination and defecation.) In San-Yang combined disease (simultaneous involvement of the Taiyang, Yangming, and Shaoyang meridians), the body feels heavy, and involuntary enuresis may occur, which is a cause for concern. (Zhang Zhongjing stated: In San-Yang combined disease, symptoms include abdominal fullness, heaviness of the body, difficulty in turning the body, numbness of the mouth, facial greasiness, delirium, and enuresis. Mistaken diaphoresis worsens delirium; mistaken purgation causes sweating on the forehead and cold limbs. For cases with spontaneous sweating, Baihu Tang [White Tiger Decoction] is indicated.) Failure of the Lower Jiao (Lower Burner) Qi to return to its proper location also results in urinary incontinence. The above three conditions can be cured by treating according to the specific syndrome. (Zhang Zhongjing stated: When the Qi of the Lower Jiao does not reside in its proper region, urinary incontinence occurs. The aforementioned three syndromes can be resolved by treating them according to their respective presentations.) Sudden fixed gaze accompanied by manic speech indicates Kidney Exhaustion (Shen Jue); how long can life be sustained? (Zhang Zhongjing stated: Loss of control over urination and defecation, manic speech, and upward-turned fixed eyes indicate Kidney Exhaustion.)
Taiyin disease presents with abdominal fullness necessarily accompanied by intermittent pain. (Zhang Zhongjing stated: The manifestation of Taiyin disease includes abdominal fullness, vomiting, and inability to eat. Severe mistaken purgation leads to significant abdominal fullness and intermittent abdominal pain.) San-Yang combined disease also presents with abdominal fullness and heaviness of the body. (Zhang Zhongjing stated: In San-Yang combined disease, symptoms include abdominal fullness, heaviness of the body, and difficulty in turning the body.) Yangming disease presents with abdominal fullness, bitter taste in the mouth, and dry throat; if accompanied by slight asthma (wheezing), Xiaochaihu Tang [Minor Bupleurum Decoction] may be used. (Zhang Zhongjing stated: In Yangming Wind-Strike, symptoms include bitter taste, dry throat, abdominal fullness, slight asthma, fever, and a floating-tight pulse. Mistaken purgation leads to abdominal fullness and difficult urination.) During Gu-Dan (Grain Jaundice), the Stomach Qi should be regulated first. (Zhang Zhongjing stated: In Yangming disease, a slow pulse suggests impending Grain Jaundice. Mistaken purgation leads to abdominal fullness.) If tidal fever (Chao Re) is accompanied by constipation, do not use drastic purgation that would deplete the healthy Qi; instead, mildly harmonize the Stomach Fu organs using Chengqi Tang [Purgative Decoction]. (Zhang Zhongjing stated: In Yangming disease with a slow pulse, abdominal fullness, asthma, and tidal fever, Xiao Chengqi Tang [Minor Purgative Decoction] is indicated. It is also stated: For significant abdominal fullness without large bowel movement, Xiao Chengqi Tang is used to mildly harmonize Stomach Qi, avoiding drastic purgation.) After purgation, if restlessness and abdominal fullness occur, Zhizi Houpo Tang [Gardenia and Magnolia Bark Decoction] is appropriate. (Zhang Zhongjing stated: After purgation in Cold Damage disease, if restlessness, abdominal fullness, and restlessness in lying down or sitting up occur, Zhizi Houpo Tang is indicated.) After diaphoresis, Houpo (Magnolia Bark) preparations are most suitable. (Zhang Zhongjing stated: For abdominal distension after diaphoresis, Houpo Wuwu Tang [Five-Ingredient Decoction with Magnolia Bark] is indicated.) After emesis, Xiao Chengqi Tang should be used after careful differentiation. (Zhang Zhongjing stated: For abdominal fullness after emesis in Cold Damage disease, Xiao Chengqi Tang is indicated. This syndrome requires careful differentiation.) For Taiyin disease with abdominal fullness and intermittent pain, Guizhi Shaoyao Tang [Cinnamon Twig and Peony Root Decoction] is used; for severe excess pain, Dahuang Tang [Rhubarb Decoction] can treat it. (Zhang Zhongjing stated: In Taiyang disease, if the physician mistakenly applies purgation, leading to abdominal fullness and intermittent pain belonging to Taiyin, Guizhi Shaoyao Tang is used. For severe excess pain, a formula containing Dahuang [Rhubarb] is indicated.)