（即伤寒论中葛根汤。去桂枝大枣。又葛根芩连汤中。去黄连。二方相合之复方也。）
葛根（一两） 黄芩 麻黄（各五钱去节） 芍药（四钱） 甘草（一钱） 生姜（五大片）
上六味。以水四升。先煮葛根麻黄减一升。内诸药。煮取二升。去滓。分温再服。覆取微似汗。
琥按上汤。乃治太阳病发热而渴。不恶寒者。成注云。发热而渴。不恶寒。阳明也。病兼阳明。故以上汤合二经
温热而去之。若自汗出。则此汤又在所当禁用。
治风温之病。脉阴阳俱浮。汗出体重。其息必喘。其形状不仁。嘿嘿但欲眠。下之者。则小便难发其汗者。必谵语。
加烧针者。则耳聋。难言。但吐下之。则遗失便利如此疾者。宜服之方。
葳蕤 白薇 麻黄 独活 杏人 芎 甘草 青木香（各二两） 石膏（三两）
上九味。 咀。以水八升。煮取三升。去滓。分三服。取汗。若一寒一热。加朴硝一分。及大黄三两下之。（活人书
用大羌活。不用独活。加葛根）
琥按上方。乃太阳阳明药也。兼入少阴之剂。其云治风温者。以仲景有风温之病而无方。故特制此汤以补仲景之
未备。但汗。下。被火之后。其变证与仲景则有异。即如发汗后。仲景云。语言难出。此则反云。谵语。又是胃实证。
故方后。复加硝黄也。设加烧针而耳聋者。又不敢下。至于汗后。本方中麻黄。又不宜用。全在医者。因证出入。庶乎
其无误矣。此方已见前第五卷太阳篇后止。分两略殊耳。
(This formula is Ge Gen Tang (Kudzu Decoction) from the *Shanghan Lun* (Treatise on Cold Damage). It removes Guizhi Twig (Cinnamon Twig) and Dazao (Jujube); it also takes Gegen Qinlian Tang (Kudzu, Scutellaria, Coptis, and Licorice Decoction), removing Huanglian (Coptis Rhizome). It is a compound formula combining these two.)
Ge Gen (Kudzu Root, one liang) Huangqin (Scutellaria Root) Mahuang (Ephedra Stem, five qian each, remove joints) Shaoyao (Peony Root, four qian) Gancao (Licorice Root, one qian) Shengjiang (Fresh Ginger, five large slices)
Take the above six ingredients. Add four sheng of water. First boil Ge Gen and Mahuang until the volume decreases by one sheng. Then add the remaining herbs. Boil to obtain two sheng of decoction. Strain out the dregs. Divide into two doses and take warm. Cover with blankets to induce a slight sweat resembling mist.
Hu notes: The above decoction treats Taiyang disease (disease pattern caused by pathogenic invasion of the Taiyang channel) characterized by fever, thirst, and absence of aversion to cold. Cheng Wuji commented: "Fever with thirst and no aversion to cold" indicates Yangming disease (disease pattern caused by pathogenic invasion of the Yangming channel). Since the pathology involves both channels, this decoction is used to clear the warm-heat pathogens from both channels. If spontaneous sweating is already present, this decoction should be strictly contraindicated.
It treats Fengwen disease (exterior heat syndrome caused by wind-heat pathogen). The pulse is floating at all three positions (cun, guan, chi). There is sweating and heaviness of the body. Respiration is necessarily panting. The physical condition presents with numbness or lack of sensation. The patient is taciturn and desires sleep. If purgation is mistakenly applied, difficulty in urination results. If diaphoresis is mistakenly induced, delirium ensues. If moxibustion via burning needles is applied, deafness and difficulty in speech result. If only emesis or purgation is used, incontinence of urine and feces occurs. For diseases presenting such complications, the following formula is appropriate.
Weiru (Polygonatum Rhizome/Baihe type, here referring to Yuzhu/Polygonatum odoratum) Baiwei (Anemarrhenae Rhizoma) Mahuang (Ephedra Stem) Duhuo (Angelicae Pubescentis Radix) Xingren (Prunus Seed) Xiong (Ligusticum Chuanxiong Rhizome) Gancao (Licorice Root) Qingmuxiang (Aucklandiae Radix) (each two liang) Shigao (Gypsum Fibrosum, three liang)
Take the above nine ingredients. Crush them. Add eight sheng of water. Boil to obtain three sheng of decoction. Strain out the dregs. Divide into three doses. Induce sweating. If there are alternating chills and fever, add Poxiao (Mirabilite) one fen, and Dahuang (Rhubarb Root) three liang to purge accumulation. (*Leizheng Huoren Shu* uses Da Qianghuo instead of Duhuo, and adds Ge Gen.)
Hu notes: The above formula consists of medicines for Taiyang and Yangming diseases, and also enters the Shaoyin channel (Shaoyin disease pattern). It states it treats Fengwen because Zhang Zhongjing mentioned Fengwen disease in his work but provided no formula; thus, this decoction was specifically created to supplement Zhang Zhongjing's omission. However, the transformation syndromes after sweating, purgation, and fire therapy differ from those described by Zhang Zhongjing. For instance, after sweating, Zhang Zhongjing stated "difficulty in speaking," whereas here it mentions "delirium," indicating Stomach Excess Syndrome (excess heat accumulation in the stomach and intestines). Therefore, Xiaoshi (Niter) and Dahuang are added later in the prescription. If burning needles cause deafness, purgation is again contraindicated. Furthermore, after sweating, Mahuang in this formula should not be used. It entirely depends on the physician to modify the formula according to the specific syndrome to ensure accuracy without error. This formula has already appeared in the latter part of Volume Five, Taiyang Chapter, with only slight differences in dosage.