枳实（三枚炙） 栀子（十四枚擘） 豉（一升绵裹）
上三味。以清浆水七升。空煮取四升。内枳实栀子。煮取二升。下豉。更煮五六沸。去滓。温分再服。覆令微似汗。
成注云。枳实栀子豉汤。则应吐剂。此云覆令。微似汗出者。以其热聚于上。苦则吐之。热散于表者。苦则发之。
内经曰。火淫所胜。以苦发之。此之谓也。
琥按仲景云劳复证。以劳则气上。热气浮越于胸中也。故用枳实为君。以宽中下气。栀子为臣。以除虚烦。香豉为
佐。以解劳热。煮以清浆水者。以瘥后复病。宜助胃气也。胃气升。则劳复之热降矣。覆令微似汗者。胃家之气既升。
则遍身得以和畅。故云微似汗也。成注云。热聚于表。苦则发之误矣。又方氏条辩。注劳复之劳为房劳。尚论篇已斥其
非。
伤寒瘥以后。更发热者。小柴胡汤主之。脉浮者。以汗解之脉沉实者。以下解之。（瘥以后。不因劳食而更发热者。
此半表半里之间有留邪也。故用小柴胡汤。汤中有人参以扶正气。去余邪。乃和解法也。若诊其人而脉浮。是热发在表。
脉沉实。是热发在里。表里有邪。另当斟酌汗下之法。条辩云脉浮是有重感。脉沉实是饮食失节。其说极是。小柴胡汤
方已见前第七卷少阳篇中）
大病瘥后。从腰以下有水气者。牡蛎泽泻散主之。（成注云。大病瘥后。脾胃气虚。不能制约肾水。水溢下焦。腰以
下为肿也。金匮要略云腰以下肿。当利小便。与牡蛎泽泻散。利小便而散水也。）
Zhi Shi (Fructus Aurantii Immaturus, three pieces, roasted) Zhi Zi (Fructus Gardeniae, fourteen pieces, broken) Chi Dou (Folium Sojae Praeparatum, one sheng, wrapped in silk gauze)
Take the above three herbs. Boil them in seven sheng of Qing Jiang Shui (clear sour rice water). First, boil alone until reduced to four sheng. Add Zhi Shi and Zhi Zi, and boil until two sheng remain. Then add Chi Dou, and boil for five or six more boils. Strain. Take warm, divided into two doses. Cover with blankets to induce a slight perspiration.
Cheng Wuji commented: Zhi Shi Zhi Zi Chi Tang should be an emetic agent. The text here says "cover with blankets to induce slight perspiration" because the heat is gathered in the upper jiao; bitter substances can induce vomiting. If the heat is scattered on the exterior, bitter substances can disperse it.
The *Nei Jing* states: When fire pathogen prevails, use bitter substances to disperse it. This refers to this principle.
Hu notes: Zhang Zhongjing states that for Laofu syndrome (relapse due to overexertion), exertion causes qi to rise upward, and hot qi floats and rises in the chest. Therefore, Zhi Shi is used as the sovereign herb to broaden the middle and descend qi; Zhi Zi as the minister herb to clear deficiency vexation; and Xiang Chi (aromatic fermented soybean) as the assistant herb to resolve heat from exertion. Boiling with Qing Jiang Shui is because after recovery, when disease recurs, it is appropriate to assist stomach qi. When stomach qi ascends, the heat of Laofu descends. Covering with blankets to induce slight perspiration occurs because once stomach qi ascends, the qi throughout the body becomes harmonious and smooth, hence it is said to be slight perspiration. Cheng's comment that "heat gathers at the exterior, bitter disperses it" is incorrect. Furthermore, Fang Shi's *Tiaobian* interprets the "Laofu" (exertion relapse) as sexual exhaustion, which has been refuted by *Shanglun Pian*.
After Taiyang disease recovers, if fever recurs, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the primary treatment. If the pulse is floating, treat by inducing sweating; if the pulse is deep and solid, treat by purging. (If fever recurs after recovery without being caused by exertion or diet, this indicates residual pathogen lingering between the interior and exterior. Thus, Xiao Chai Hu Tang is used. The decoction contains Ren Shen (Radix Ginseng) to support healthy qi and eliminate residual pathogen, belonging to the harmonizing method. If upon examination the pulse is floating, the heat is at the exterior; if deep and solid, the heat is at the interior. With pathogen in both interior and exterior, the methods of sweating and purging must be carefully considered. *Tiaobian* states that a floating pulse indicates secondary contraction, and a deep solid pulse indicates irregular diet, which is a very correct explanation. See Xiao Chai Hu Tang formula in Volume 7, Shaoyang chapter.)
After severe disease recovers, if there is fluid accumulation below the waist, Mu Li Ze Xie San (Oyster and Alisma Powder) is the primary treatment. (Cheng commented: After severe disease recovers, Spleen and Stomach qi are deficient and cannot control Kidney water, causing water to overflow into the lower jiao, resulting in edema below the waist. The *Jin Gui Yao Lue* states: For edema below the waist, promote urination. Administer Mu Li Ze Xie San to promote urination and dissipate fluid.)