31．太阳病,项背强KT KT 、无汗、恶风，葛根汤主之。方一。
葛根（四两） 麻黄（去节，三两） 桂枝（去皮，二两） 生姜（切，三两） 甘草（炙，二两）
芍药（二两） 大枣（擘，十二枚）
上七味，以水一斗，先煮麻黄、葛根，减二升，去白沫，内诸药，煮取三升，去滓，温服一升，覆取
微似汗。余如桂枝法将息及禁忌，诸汤皆仿此。
32．太阳与阳明合病者，必自下利，葛根汤主之。方二。（用前第一方，一云用后第四方。）
33．太阳与阳明合病，不下利，但呕者，葛根加半夏汤主之。方三。
葛根（四两） 麻黄（去节，三两） 甘草（炙，二两） 芍药（二两） 桂枝（去皮，二两） 生姜
（切，二两） 半夏（洗，半升） 大枣（擘，十二枚）
上八味，以水一斗，先煮葛根、麻黄，减二升。去白沫，内诸药，煮取三升，去滓，温服一升。覆取
微似汗。
34．太阳病，桂枝证，医反下之，利遂不止，脉促者，表未解也；喘而汗出者，葛根黄芩黄连汤主之。方
四。（促，一作纵）
葛根（半斤） 甘草（炙，二两） 黄芩（三两） 黄连（三两）
上四味，以水八升，先煮葛根，减二升，内诸药，煮取二升，去滓，分温再服。
35．太阳病，头痛、发热、身疼、腰痛、骨节疼痛、恶风、无汗而喘者，麻黄汤主之。方五。
麻黄（去节，三两） 桂枝（去皮，二两） 甘草（炙，一两） 杏仁（去皮尖，七十个）
上四味，以水九升，先煮麻黄，减二升，去上沫，内诸药，煮取二升半，去滓，温服八合，覆取微
似汗，不须啜粥，余如桂枝法将息。
36．太阳与阳明合病，喘而胸满者，不可下，宜麻黄汤。方六。（用前第五方。）
37．太阳病，十日以去，脉浮细而嗜卧者，外已解也。设胸满胁痛者，与小柴胡汤；脉但浮者，与麻黄汤。
方七。（用前第五方。）
小柴胡汤方∶
柴胡（半斤） 黄芩 人参 甘草（炙） 生姜（切，各三两） 大枣（擘，十二枚） 半夏（洗，半升）
上七味，以水一斗二升，煮取六升，去滓，再煎取三升，温服一升，日三服。
38．太阳中风，脉浮紧、发热、恶寒、身疼痛、不汗出而烦躁者，大青龙汤主之；若脉微弱，汗出恶风者，
不可服之。服之则厥逆、筋惕肉 ，此为逆也。大青龙
汤方。方八。
麻黄（去节，六两） 桂枝（去皮，二两） 甘草（炙，二两） 杏仁（去皮尖，四十枚） 生姜（
切，三两） 大枣（擘，十枚） 石膏（如鸡子大，碎）
上七味，以水九升，先煮麻黄，减二升，去上沫，内诸药，煮取三升，去滓，温服一升，取微似汗。
汗出多者，温粉粉之。一服汗者，停后服；若复服，汗多亡阳，遂（一作逆）虚，恶风、烦躁、不得眠也。
39．伤寒，脉浮缓，身不疼，但重，乍有轻时，无少阴证者，大青龙汤发之。方九。（用前第八方。）
40．伤寒，表不解，心下有水气，干呕、发热而咳，或渴，或利，或噎，或小便不利、少腹满，或喘者，
小青龙汤主之。方十。
麻黄（去节） 芍药 细辛 干姜 甘草（炙） 桂枝（去皮，各三两） 五味子（半升） 半夏（洗，
半升）
上八味，以水一斗，先煮麻黄减二升，去上沫，内诸药。煮取三升，去滓，温服一升。若渴，去半
夏，加栝蒌根三两；若微利，去麻黄，加荛花，如一鸡子，熬令赤色；若噎者，去麻黄，加附子一枚，炮；
若小便不利、少腹满者，去麻黄，加茯苓四两；若
喘，去麻黄，加杏仁半升，去皮尖。且荛花不治利。麻黄主喘，今此语反之，疑非仲景意。(臣亿等谨按小青龙汤，大要
治水。又按本草，荛花下十二水。若水去，利则止也。
又按千金，形肿者，应内麻黄。乃内杏仁者，以麻黄发其阳故也。以此证之，岂非仲景意也。)
41．伤寒，心下有水气，咳有微喘、发热不渴。服汤已，渴者，此寒去欲解也，小青龙汤主之。方十一。
（用前第十方。）
42．太阳病，外证未解，脉浮弱者，当以汗解，宜桂枝汤。方十二。
桂枝（去皮） 芍药 生姜（切，各三两） 甘草（炙，二两） 大枣（擘，十二枚）
上五味，以水七升，煮取三升，去滓，温服一升。须臾啜热稀粥一升，助药力，取微汗。
43．太阳病，下之微喘者，表未解故也，桂枝加浓朴杏子汤主之。方十三。
桂枝（去皮，三两） 甘草（炙，二两） 生姜（切，三两） 芍药（三两） 大枣（擘，十二枚）
浓朴（炙，去皮，二两） 杏仁（五十枚，去皮尖）
上七味，以水七升，微火煮取三升，去滓，温服一升，覆取微似汗。
44．太阳病，外证未解，不可下也，下之为逆；欲解外者，宜桂枝汤。方十四。（用前第十二方。）
45．太阳病，先发汗不解，而复下之，脉浮者不愈。浮为在外，而反下之，故令不愈。今脉浮，故在外，
当须解外则愈，宜桂枝汤。方十五。（用前第十二方。）
46．太阳病，脉浮紧、无汗、发热、身疼痛，八九日不解，表证仍在，此当发其汗。服药已微除，其人发
烦目瞑，剧者必衄，衄乃解。所以然者，阳气重故也。麻黄汤主之。方十六。（用前第五方。）
47．太阳病，脉浮紧，发热，身无汗，自衄者愈。
48．二阳并病，太阳初得病时，发其汗，汗先出不彻，因转属阳明，续自微汗出，不恶寒。若太阳病证不
罢者，不可下，下之为逆；如此可小发汗。设面色缘缘正赤者，阳气怫郁在表，当解之熏之；若发汗不彻，
不足言，阳气怫郁不得越，当汗不汗，其人躁烦，不知痛处，乍在腹中，乍在四肢，按之不可得，其人短气但
坐，以汗出不彻故也，更发汗则愈。何以知汗出不彻，以脉涩故知也。
49．脉浮数者，法当汗出而愈。若下之，身重、心
悸者，不可发汗，当自汗出乃解。所以然者，尺中脉微，此里虚。须表里实，津液自和，便自汗出愈。
50．脉浮紧者，法当身疼痛，宜以汗解之；假令尺中迟者，不可发汗。何以知然，以荣气不足，血少故也。
51．脉浮者，病在表，可发汗，宜麻黄汤。方十七。（用前第五方，法用桂枝汤。）
52．脉浮而数者，可发汗，宜麻黄汤。方十八。（用前第五方。）
53．病常自汗出者，此为荣气和。荣气和者，外不谐，以卫气不共荣气谐和故尔。以荣行脉中，卫行脉
外。复发其汗，荣卫和则愈。宜桂枝汤。方十九。（用前第十二方。）
54．病患脏无他病，时发热、自汗出，而不愈者，此卫气不和也。先其时发汗则愈，宜桂枝汤。方二十。
（用前第十二方。）
55．伤寒脉浮紧，不发汗，因致衄者，麻黄汤主之。方二十一。（用前第五方。）
56．伤寒不大便六七日，头痛有热者，与承气汤；其小便清（一云大便清）者，知不在里，仍在表也，当
须发汗；若头痛者必衄。宜桂枝汤。方二十二。（用前第十二方。）
57．伤寒发汗已解，半日许复烦，脉浮数者，可更
发汗，宜桂枝汤。方二十三。（用前第十二方。）
58．凡病，若发汗，若吐，若下，若亡血，亡津液。阴阳自和者，必自愈。
59．大下之后，复发汗，小便不利者，亡津液也。勿治之，得小便利，必自愈。
60．下之后，复发汗，必振寒、脉微细。所以然者，以内外俱虚故也。
61．下之后，复发汗，昼日烦躁不得眠，夜而安静，不呕、不渴，无表证，脉沉微，身无大热者，干姜附
子汤主之。方二十四。
干姜（一两） 附子（生用，去皮，切八片，一枚）
上二味，以水三升，煮取一升，去滓，顿服。
62．发汗后，身疼痛，脉沉迟者，桂枝加芍药生姜各一两人参三两新加汤主之。方二十五。
桂枝（去皮，三两） 芍药（四两） 甘草（炙，二两） 人参（三两） 大枣（擘，十二枚） 生姜（四两）
上六味，以水一斗二升，煮取三升，去滓，温服一升。本云桂枝汤，今加芍药生姜人参。
63．发汗后，不可更行桂枝汤。汗出而喘，无大热者，可与麻黄杏仁甘草石膏汤。方二十六。
麻黄（去节，四两） 杏仁（去皮尖，五十个） 甘草（炙，二两） 石膏（碎，绵裹，半斤）
上四味，以水七升，煮麻黄，减二升，去上沫，内诸药，煮取二升，去滓，温服一升。本云，黄耳 。
64．发汗过多，其人叉手自冒心，心下悸欲得按者，桂枝甘草汤主之。方二十七。
桂枝（去皮，四两） 甘草（炙，二两）
上二味，以水三升，煮取一升，去滓，顿服。
65．发汗后，其人脐下悸者，欲作奔豚，茯苓桂枝甘草大枣汤主之。方二十八。
茯苓（半斤） 桂枝（去皮，四两） 甘草（炙，二两） 大枣（擘，十五枚）
上四味，以甘澜水一斗，先煮茯苓，减二升，内诸药，煮取三升，去滓，温服一升，日三服。
作甘澜水法∶取水二斗，置大盆内，以勺扬之，水上有珠子五六千颗相逐，取用之。
66．发汗后，腹胀满者，浓朴生姜半夏甘草人参汤主之。方二十九。
浓朴（炙，去皮，半斤） 生姜（切，半斤） 半夏（洗，半升） 甘草（二两） 人参（一两）
上五味，以水一斗，煮取三升，去滓，温服一升，日三服。
67．伤寒，若吐、若下后，心下逆满、气上冲胸、起则头眩、脉沉紧，发汗则动经，身为振振摇者，茯苓
桂枝白术甘草汤主之。方三十。
茯苓（四两） 桂枝（去皮，三两） 白术 甘草（炙，各二两）
上四味，以水六升，煮取三升，去滓，分温三服。
68．发汗病不解，反恶寒者，虚故也，芍药甘草附子汤主之。方三十一。
芍药 甘草（炙，各三两） 附子（炮，去皮，破八片，一枚）
上三味，以水五升，煮取一升五合，去滓，分温三服。疑非仲景方。
69．发汗，若下之，病仍不解，烦躁者，茯苓四逆汤主之。方三十二。
茯苓（四两） 人参（一两） 附子（生用，去皮，破八片，一枚） 甘草（炙，二两） 干姜（一两半）
上五味，以水五升，煮取三升，去滓，温服七合，日二服。
70．发汗后，恶寒者，虚故也；不恶寒，但热者，实也，当和胃气，与调胃承气汤。方三十三。（玉函云∶
与小承气汤。）
芒硝（半升） 甘草（炙，二两） 大黄（去皮，清酒洗，四两）
上三味，以水三升，煮取一升，去滓，内芒硝，更煮两沸，顿服。
71．太阳病，发汗后，大汗出、胃中干、烦躁不得眠，欲得饮水者，少少与饮之，令胃气和则愈；若脉浮、
小便不利、微热、消渴者，五苓散主之。方三十四。（即猪苓散是。）
猪苓（去皮，十八铢） 泽泻（一两六铢） 白术（十八铢） 茯苓（十八铢） 桂枝（去皮，半两）
上五味，捣为散，以白饮和服方寸匕，日三服。多饮暖水，汗出愈，如法将息。
72．发汗已，脉浮数、烦渴者，五苓散主之。方三十五。（用前第三十四方。）
73．伤寒，汗出而渴者，五苓散主之；不渴者，茯苓甘草汤主之。方三十六。
茯苓（二两） 桂枝（去皮，二两） 甘草（炙，一两） 生姜（切，三两）
上四味，以水四升，煮取二升，去滓，分温三服。
74．中风，发热六七日不解而烦，有表里证，渴欲饮水，水入则吐者，名曰水逆，五苓散主之。方三十
七。（用前第三十四方。）
75．未持脉时，病患手叉自冒心。师因教试令咳，而不咳者，此必两耳聋无闻也。所以然者，以重发汗，
虚故如此。发汗后，饮水多必喘；以水灌之亦喘。
76．发汗后，水药不得入口，为逆。若更发汗，必吐下不止。发汗、吐下后，虚烦不得眠；若剧者，必
反复颠倒，心中懊 ，栀子豉汤主之；若少气者，栀子甘草豉汤主之；若呕者，栀子生姜豉汤主之。方三十八。
栀子豉汤方∶
栀子（擘，十四个） 香豉（绵裹，四合）
上二味，以水四升，先煮栀子，得二升半，内豉，煮取一升半，去滓，分为二服，温进一服，得吐
者，止后服。
栀子甘草豉汤方∶
栀子（擘，十四个） 甘草（炙，二两） 香豉（绵裹，四合）
上三味，以水四升，先煮栀子、甘草，取二升半，内豉，煮取一升半，去滓，分二服。温进
一服，得吐者，止后服。
栀子生姜豉汤方∶
栀子（擘，十四个） 生姜（五两） 香豉（绵裹，四合）
上三味，以水四升，先煮栀子、生姜，取二升半，内豉，煮取一升半，去滓，分二服。温进一服，
得吐者，止后服。
77．发汗，若下之，而烦热胸中窒者，栀子豉汤主之。方三十九。（用上初方。）
78．伤寒五六日，大下之后，身热不去，心中结痛者，未欲解也，栀子豉汤主之。方四十。（用上初方。）
79．伤寒下后，心烦、腹满、卧起不安者，栀子浓朴汤主之。方四十一。
栀子（擘，十四个） 浓朴（炙，去皮，四两） 枳实（水浸，炙令黄，四枚）
31. For Taiyang Disease (Taiyang Channel Syndrome), presenting with stiffness and discomfort in the nape and back (Xiang Bei Qiang Ji Ji), absence of sweating, and aversion to wind, Ge Gen Tang (Kudzu Root Decoction) is the main treatment. This is Formula 1.
Ge Gen (Puerariae Lobatae Radix, 4 liang), Ma Huang (Ephedrae Herba, remove nodes, 3 liang), Gui Zhi (Cinnamomi Ramulus, remove bark, 2 liang), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 2 liang), Shao Yao (Paeoniae Radix Alba, 2 liang), Da Zao (Jujubae Fructus, broken, 12 pieces).
Decoct the above seven ingredients in one dou of water. First decoct Ma Huang and Ge Gen until two sheng of water are reduced. Skim off the white foam, add the other ingredients, and decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm, cover with clothing to induce a slight sweat. The remaining nursing methods and contraindications follow those of Gui Zhi Tang (Cinnamon Twig Decoction); all other decoctions follow this method.
32. In cases of combined Taiyang and Yangming Diseases, spontaneous diarrhea will inevitably occur. Ge Gen Tang (Kudzu Root Decoction) is the main treatment. This is Formula 2. (Use the first formula above; another version says to use the fourth formula below.)
33. In cases of combined Taiyang and Yangming Diseases, if there is no diarrhea but only vomiting, Ge Gen Jia Ban Xia Tang (Kudzu Root Decoction plus Pinellia) is the main treatment. This is Formula 3.
Ge Gen (4 liang), Ma Huang (remove nodes, 3 liang), Gan Cao (prepared, 2 liang), Shao Yao (2 liang), Gui Zhi (remove bark, 2 liang), Sheng Jiang (sliced, 2 liang), Ban Xia (Pinelliae Rhizoma, washed, half sheng), Da Zao (broken, 12 pieces).
Decoct the above eight ingredients in one dou of water. First decoct Ge Gen and Ma Huang until two sheng of water are reduced. Skim off the white foam, add the other ingredients, and decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm. Cover with clothing to induce a slight sweat.
34. For Taiyang Disease manifesting as Gui Zhi Tang Syndrome, if the physician mistakenly uses the purgative method, resulting in incessant diarrhea and a Cu pulse (rapid pulse with irregular intervals), the exterior syndrome is not resolved. If there is panting and sweating, Ge Gen Huang Qin Huang Lian Tang (Kudzu Root, Scutellaria, and Coptis Decoction) is the main treatment. This is Formula 4. ("Cu" is written as "Zong" in some versions.)
Ge Gen (half jin), Gan Cao (prepared, 2 liang), Huang Qin (Scutellariae Radix, 3 liang), Huang Lian (Coptidis Rhizoma, 3 liang).
Decoct the above four ingredients in eight sheng of water. First decoct Ge Gen until two sheng of water are reduced, add the other ingredients, and decoct to obtain two sheng of liquid. Remove the dregs. Divide into two warm doses.
35. For Taiyang Disease, presenting with headache, fever, body pain, lower back pain, joint pain, aversion to wind, absence of sweating, and panting, Ma Huang Tang (Ephedra Decoction) is the main treatment. This is Formula 5.
Ma Huang (remove nodes, 3 liang), Gui Zhi (remove bark, 2 liang), Gan Cao (prepared, 1 liang), Xing Ren (Armeniacae Semen Amarum, remove skin and tips, 70 pieces).
Decoct the above four ingredients in nine sheng of water. First decoct Ma Huang until two sheng of water are reduced, skim off the upper foam, add the other ingredients, and decoct to obtain two and a half sheng of liquid. Remove the dregs. Take eight he warm, cover with clothing to induce a slight sweat. There is no need to consume porridge; the remaining nursing methods follow those of Gui Zhi Tang.
36. In cases of combined Taiyang and Yangming Diseases, if there is panting and chest fullness, purgation is contraindicated. Ma Huang Tang (Ephedra Decoction) is appropriate. This is Formula 6. (Use the fifth formula above.)
37. For Taiyang Disease, after more than ten days, if the pulse is floating and fine and the patient prefers lying down, the exterior syndrome has resolved. If there is chest fullness and hypochondriac pain, administer Xiao Chai Hu Tang (Minor Bupleurum Decoction); if the pulse is merely floating, administer Ma Huang Tang. This is Formula 7. (Use the fifth formula above.)
Xiao Chai Hu Tang Formula:
Chai Hu (Bupleuri Radix, half jin), Huang Qin, Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (prepared), Sheng Jiang (sliced, each 3 liang), Da Zao (broken, 12 pieces), Ban Xia (washed, half sheng).
Decoct the above seven ingredients in one dou and two sheng of water to obtain six sheng of liquid. Remove the dregs, re-decoct to obtain three sheng. Take one sheng warm, three times a day.
38. For Taiyang Zhong Feng (Taiyang Wind-Strike), if the pulse is floating and tight, with fever, aversion to cold, body pain, absence of sweating, and vexation, Da Qing Long Tang (Major Green Dragon Decoction) is the main treatment. If the pulse is faint and weak, with sweating and aversion to wind, it must not be taken. Taking it will cause reversal coldness of the limbs and twitching of muscles and tendons; this is a counterflow condition. Da Qing Long Tang Formula. This is Formula 8.
Ma Huang (remove nodes, 6 liang), Gui Zhi (remove bark, 2 liang), Gan Cao (prepared, 2 liang), Xing Ren (remove skin and tips, 40 pieces), Sheng Jiang (sliced, 3 liang), Da Zao (broken, 10 pieces), Shi Gao (Gypsum Fibrosum, size of a chicken egg, crushed).
Decoct the above seven ingredients in nine sheng of water. First decoct Ma Huang until two sheng of water are reduced, skim off the upper foam, add the other ingredients, and decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm to induce a slight sweat. If sweating is profuse, apply warm powder to the body. If sweating occurs after the first dose, stop subsequent doses. If taken again, profuse sweating will lead to Yang collapse, resulting in deficiency, aversion to wind, vexation, and insomnia.
39. For Shang Han (Cold Damage), if the pulse is floating and moderate, the body is not painful but feels heavy, with occasional relief, and there are no Shaoyin Syndrome signs, Da Qing Long Tang (Major Green Dragon Decoction) is used to induce sweating. This is Formula 9. (Use the eighth formula above.)
40. For Shang Han, if the exterior syndrome is not resolved and there is fluid retention in the epigastrium, presenting with dry retching, fever, and cough, or thirst, or diarrhea, or choking sensation, or difficult urination and lower abdominal fullness, or panting, Xiao Qing Long Tang (Minor Green Dragon Decoction) is the main treatment. This is Formula 10.
Ma Huang (remove nodes), Shao Yao, Xi Xin (Asari Radix et Rhizoma), Gan Jiang (Zingiberis Rhizoma), Gan Cao (prepared), Gui Zhi (remove bark, each 3 liang), Wu Wei Zi (Schisandrae Chinensis Fructus, half sheng), Ban Xia (washed, half sheng).
Decoct the above eight ingredients in one dou of water. First decoct Ma Huang until two sheng of water are reduced, skim off the upper foam, add the other ingredients. Decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm. If thirsty, remove Ban Xia and add three liang of Gua Lou Gen (Trichosanthis Radix). If there is mild diarrhea, remove Ma Huang and add Rao Hua (Wikstroemiae Indicae Cortex) the size of a chicken egg, stir-fried until red. If there is choking, remove Ma Huang and add one piece of Fu Zi (Aconiti Lateralis Radix Praeparata), processed. If there is difficult urination and lower abdominal fullness, remove Ma Huang and add four liang of Fu Ling (Poria). If there is panting, remove Ma Huang and add half sheng of Xing Ren, removing skin and tips. Note: Rao Hua does not treat diarrhea. Ma Huang treats panting. The text here suggests the opposite, which is suspected not to be Zhang Zhongjing's original intent. (Ministers Yi et al. respectfully note: Xiao Qing Long Tang primarily treats fluid retention. According to the Materia Medica, Rao Hua drains twelve types of fluid retention. If fluid is removed, diarrhea will stop. According to Qian Jin Fang, for edema, Ma Huang should be added. Here, Xing Ren is added because Ma Huang disperses Yang Qi. This proves that it is indeed Zhang Zhongjing's intent.)
41. For Shang Han, if there is fluid retention in the epigastrium, cough with slight panting, fever, and no thirst, and after taking the decoction, thirst appears, this indicates the cold pathogen is leaving and the disease is about to resolve. Xiao Qing Long Tang (Minor Green Dragon Decoction) is the main treatment. This is Formula 11. (Use the tenth formula above.)
42. For Taiyang Disease, if the exterior syndrome is not resolved and the pulse is floating and weak, sweating should be used to resolve it. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 12.
Gui Zhi (remove bark), Shao Yao, Sheng Jiang (sliced, each 3 liang), Gan Cao (prepared, 2 liang), Da Zao (broken, 12 pieces).
Decoct the above five ingredients in seven sheng of water to obtain three sheng of liquid. Remove the dregs. Take one sheng warm. After a short while, drink one sheng of hot thin porridge to assist the medicinal power and induce a slight sweat.
43. For Taiyang Disease, if slight panting occurs after purgation, it is because the exterior syndrome is not resolved. Gui Zhi Jia Hou Po Xing Zi Tang (Cinnamon Twig Decoction plus Magnolia Bark and Apricot Kernel) is the main treatment. This is Formula 13.
Gui Zhi (remove bark, 3 liang), Gan Cao (prepared, 2 liang), Sheng Jiang (sliced, 3 liang), Shao Yao (3 liang), Da Zao (broken, 12 pieces), Hou Po (Magnoliae Officinalis Cortex, prepared, remove bark, 2 liang), Xing Ren (50 pieces, remove skin and tips).
Decoct the above seven ingredients in seven sheng of water over a gentle fire to obtain three sheng of liquid. Remove the dregs. Take one sheng warm, cover with clothing to induce a slight sweat.
44. For Taiyang Disease, if the exterior syndrome is not resolved, purgation is contraindicated; purgation is a counterflow treatment. To resolve the exterior, Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 14. (Use the twelfth formula above.)
45. For Taiyang Disease, if initial sweating fails to resolve the condition and purgation is subsequently applied, a floating pulse indicates the disease is not cured. A floating pulse indicates the disease is in the exterior; applying purgation incorrectly prevents cure. Now, since the pulse is floating, the disease is still in the exterior. The exterior must be resolved for cure. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 15. (Use the twelfth formula above.)
46. For Taiyang Disease, with a floating and tight pulse, absence of sweating, fever, and body pain, if the condition persists for eight or nine days with exterior symptoms remaining, sweating should be induced. After taking the medicine, if symptoms slightly relieve but the patient becomes vexed and closes their eyes due to photophobia, severe cases will inevitably have epistaxis (nosebleed), and the disease will resolve after bleeding. This is because the Yang Qi is excessively accumulated. Ma Huang Tang (Ephedra Decoction) is the main treatment. This is Formula 16. (Use the fifth formula above.)
47. For Taiyang Disease, with a floating and tight pulse, fever, and absence of sweating, spontaneous epistaxis leads to recovery.
48. In Bing Bing (Combined Disease) of two Yang channels, when Taiyang Disease first occurs, sweating is induced. If sweating is incomplete, the disease transfers to Yangming, followed by continuous slight sweating and no aversion to cold. If Taiyang symptoms persist, purgation is contraindicated; purgation is a counterflow treatment. In such cases, mild sweating is permissible. If the face is consistently red, Yang Qi is depressed in the exterior; it should be resolved by sweating or fumigation. If sweating is incomplete, Yang Qi is depressed and cannot vent. If sweating should occur but does not, the patient becomes restless and vexed, unable to locate the pain, which shifts between the abdomen and limbs, and cannot be found upon pressure. The patient has shortness of breath and can only sit. This is due to incomplete sweating. Sweating again will lead to cure. How do we know sweating was incomplete? Because the pulse is choppy.
49. If the pulse is floating and rapid, the law states that sweating should lead to recovery. If purgation is used, resulting in body heaviness and palpitations, sweating is contraindicated. Recovery will occur only through spontaneous sweating. This is because the Chi pulse is faint, indicating interior deficiency. One must wait for the exterior and interior to become solid and body fluids to harmonize naturally, leading to spontaneous sweating and recovery.
50. If the pulse is floating and tight, body pain is expected, and sweating is appropriate for resolution. However, if the Chi pulse is slow, sweating is contraindicated. Why? Because Ying Qi (Nutritive Qi) is insufficient and blood is deficient.
51. If the pulse is floating, the disease is in the exterior. Sweating is permissible. Ma Huang Tang (Ephedra Decoction) is appropriate. This is Formula 17. (Use the fifth formula above; nursing follows Gui Zhi Tang method.)
52. If the pulse is floating and rapid, sweating is permissible. Ma Huang Tang (Ephedra Decoction) is appropriate. This is Formula 18. (Use the fifth formula above.)
53. If a patient constantly has spontaneous sweating, this indicates harmonized Ying Qi. If Ying Qi is harmonized but the exterior is not, it is because Wei Qi (Defensive Qi) is not harmonized with Ying Qi. Ying circulates within the vessels, while Wei circulates outside the vessels. Inducing sweating again will harmonize Ying and Wei, leading to recovery. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 19. (Use the twelfth formula above.)
54. If the patient has no other organ diseases but experiences intermittent fever and spontaneous sweating that does not heal, this is disharmony of Wei Qi. Sweating before the onset of fever/sweating will lead to recovery. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 20. (Use the twelfth formula above.)
55. For Shang Han, with a floating and tight pulse, if sweating is not induced and epistaxis occurs, Ma Huang Tang (Ephedra Decoction) is the main treatment. This is Formula 21. (Use the fifth formula above.)
56. For Shang Han, if there is no bowel movement for six or seven days, with headache and fever, administer Cheng Qi Tang (Order the Qi Decoction). If the urine is clear, it indicates the disease is not in the interior but still in the exterior; sweating is required. If there is headache, epistaxis is inevitable. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 22. (Use the twelfth formula above.)
57. For Shang Han, if the disease resolves after sweating but vexation returns after about half a day, with a floating and rapid pulse, sweating can be induced again. Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate. This is Formula 23. (Use the twelfth formula above.)
58. For any disease, whether treated by sweating, vomiting, purgation, or resulting in blood loss and fluid depletion, if Yin and Yang harmonize themselves, spontaneous recovery will occur.
59. After severe purgation and subsequent sweating, if urination is difficult, it is due to fluid depletion. Do not treat it; when urination becomes smooth, spontaneous recovery will occur.
60. After purgation and subsequent sweating, shivering with aversion to cold and a faint, fine pulse will inevitably occur. This is because both interior and exterior are deficient.
61. After purgation and subsequent sweating, if there is daytime vexation and insomnia, nighttime quietness, no vomiting, no thirst, no exterior syndrome, a deep and faint pulse, and no high fever, Gan Jiang Fu Zi Tang (Dried Ginger and Aconite Decoction) is the main treatment. This is Formula 24.
Gan Jiang (Zingiberis Rhizoma, 1 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, raw, remove skin, cut into 8 slices, 1 piece).
Decoct the above two ingredients in three sheng of water to obtain one sheng of liquid. Remove the dregs. Take in one dose.
62. After sweating, if there is body pain and a deep, slow pulse, Gui Zhi Jia Shao Yao Sheng Jiang Ge Yi Liang Ren Shen San Liang Xin Jia Tang (Cinnamon Twig Decoction plus Peony, Ginger, and Ginseng New Addition) is the main treatment. This is Formula 25.
Gui Zhi (remove bark, 3 liang), Shao Yao (4 liang), Gan Cao (prepared, 2 liang), Ren Shen (3 liang), Da Zao (broken, 12 pieces), Sheng Jiang (4 liang).
Decoct the above six ingredients in one dou and two sheng of water to obtain three sheng of liquid. Remove the dregs. Take one sheng warm. Originally stated as Gui Zhi Tang, now with added Shao Yao, Sheng Jiang, and Ren Shen.
63. After sweating, Gui Zhi Tang should not be administered again. If there is sweating and panting without high fever, Ma Huang Xing Ren Gan Cao Shi Gao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) can be given. This is Formula 26.
Ma Huang (remove nodes, 4 liang), Xing Ren (remove skin and tips, 50 pieces), Gan Cao (prepared, 2 liang), Shi Gao (crushed, wrapped in cotton, half jin).
Decoct the above four ingredients in seven sheng of water. Decoct Ma Huang until two sheng of water are reduced, skim off the upper foam, add the other ingredients, and decoct to obtain two sheng of liquid. Remove the dregs. Take one sheng warm. Originally called Huang Er Bei.
64. If excessive sweating causes the patient to cross their hands over the heart, with palpitations in the epigastrium desiring pressure, Gui Zhi Gan Cao Tang (Cinnamon Twig and Licorice Decoction) is the main treatment. This is Formula 27.
Gui Zhi (remove bark, 4 liang), Gan Cao (prepared, 2 liang).
Decoct the above two ingredients in three sheng of water to obtain one sheng of liquid. Remove the dregs. Take in one dose.
65. After sweating, if there is palpitation below the umbilicus, indicating impending Ben Tun (Running Piglet Qi), Fu Ling Gui Zhi Gan Cao Da Zao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) is the main treatment. This is Formula 28.
Fu Ling (Poria, half jin), Gui Zhi (remove bark, 4 liang), Gan Cao (prepared, 2 liang), Da Zao (broken, 15 pieces).
Decoct the above four ingredients in one dou of Gan Lan Shui (agitated water). First decoct Fu Ling until two sheng of water are reduced, add the other ingredients, and decoct to obtain three sheng of liquid. Remove the dregs. Take one sheng warm, three times a day.
Method for making Gan Lan Shui: Take two dou of water, place in a large basin, and agitate with a ladle until five or six thousand beads of water chase each other on the surface. Use this water.
66. After sweating, if there is abdominal distension and fullness, Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang (Magnolia Bark, Ginger, Pinellia, Licorice, and Ginseng Decoction) is the main treatment. This is Formula 29.
Hou Po (prepared, remove bark, half jin), Sheng Jiang (sliced, half jin), Ban Xia (washed, half sheng), Gan Cao (2 liang), Ren Shen (1 liang).
Decoct the above five ingredients in one dou of water to obtain three sheng of liquid. Remove the dregs. Take one sheng warm, three times a day.
67. For Shang Han, if vomiting or purgation results in epigastric fullness with rebellious Qi, Qi rushing up to the chest, dizziness upon rising, and a deep, tight pulse, sweating will disturb the meridians, causing trembling and shaking of the body. Fu Ling Gui Zhi Bai Zhu Gan Cao Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction) is the main treatment. This is Formula 30.
Fu Ling (4 liang), Gui Zhi (remove bark, 3 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (prepared, each 2 liang).
Decoct the above four ingredients in six sheng of water to obtain three sheng of liquid. Remove the dregs. Divide into three warm doses.
68. If the disease is not resolved after sweating and aversion to cold worsens, it is due to deficiency. Shao Yao Gan Cao Fu Zi Tang (Peony, Licorice, and Aconite Decoction) is the main treatment. This is Formula 31.
Shao Yao, Gan Cao (prepared, each 3 liang), Fu Zi (processed, remove skin, break into 8 pieces, 1 piece).
Decoct the above three ingredients in five sheng of water to obtain one sheng and five he of liquid. Remove the dregs. Divide into three warm doses. Suspected not to be Zhang Zhongjing's formula.
69. If the disease is not resolved after sweating or purgation, and vexation occurs, Fu Ling Si Ni Tang (Poria Four Counterflow Decoction) is the main treatment. This is Formula 32.
Fu Ling (4 liang), Ren Shen (1 liang), Fu Zi (raw, remove skin, break into 8 pieces, 1 piece), Gan Cao (prepared, 2 liang), Gan Jiang (1.5 liang).
Decoct the above five ingredients in five sheng of water to obtain three sheng of liquid. Remove the dregs. Take seven he warm, twice a day.
70. If aversion to cold occurs after sweating, it is due to deficiency. If there is no aversion to cold but only heat, it is an excess condition. Stomach Qi should be harmonized. Tiao Wei Cheng Qi Tang (Stomach-Regulating Order the Qi Decoction) is given. This is Formula 33. (Yu Han Jing states: Give Xiao Cheng Qi Tang.)
Mang Xiao (Natrii Sulfas, half sheng), Gan Cao (prepared, 2 liang), Da Huang (Rhei Radix et Rhizoma, remove skin, washed with clear wine, 4 liang).
Decoct the above three ingredients in three sheng of water to obtain one sheng of liquid. Remove the dregs, add Mang Xiao, and boil twice more. Take in one dose.
71. For Taiyang Disease, after sweating, if there is profuse sweating, dryness in the stomach, vexation, insomnia, and desire to drink water, give small amounts of water to harmonize Stomach Qi for recovery. If the pulse is floating, urination is difficult, there is slight fever, and Xiao Ke (wasting and thirsting), Wu Ling San (Five-Ingredient Powder with Poria) is the main treatment. This is Formula 34. (Also known as Zhu Ling San.)
Zhu Ling (Polyporus, remove skin, 18 zhu), Ze Xie (Alismatis Rhizoma, 1 liang 6 zhu), Bai Zhu (18 zhu), Fu Ling (18 zhu), Gui Zhi (remove bark, half liang).
Grind the above five ingredients into powder. Mix with rice water and take one Fang Cun Bi (square inch spoonful), three times a day. Drink plenty of warm water; sweating will lead to recovery. Follow standard nursing care.
72. After sweating, if the pulse is floating and rapid, with vexation and thirst, Wu Ling San (Five-Ingredient Powder with Poria) is the main treatment. This is Formula 35. (Use the thirty-fourth formula above.)
73. For Shang Han, if there is sweating and thirst, Wu Ling San (Five-Ingredient Powder with Poria) is the main treatment. If there is no thirst, Fu Ling Gan Cao Tang (Poria and Licorice Decoction) is the main treatment. This is Formula 36.
Fu Ling (2 liang), Gui Zhi (remove bark, 2 liang), Gan Cao (prepared, 1 liang), Sheng Jiang (sliced, 3 liang).
Decoct the above four ingredients in four sheng of water to obtain two sheng of liquid. Remove the dregs. Divide into three warm doses.
74. For Zhong Feng (Wind-Strike), if fever persists for six or seven days with vexation, presenting both exterior and interior syndromes, thirst with desire to drink, and vomiting upon drinking water, it is called Shui Ni (Water Reversal). Wu Ling San (Five-Ingredient Powder with Poria) is the main treatment. This is Formula 37. (Use the thirty-fourth formula above.)
75. Before taking the pulse, if the patient crosses their hands over the heart, the teacher instructs them to cough. If they do not cough, they must be deaf in both ears. This is due to repeated sweating causing deficiency. After sweating, excessive water intake will cause panting; pouring water on the body will also cause panting.
76. If water and medicine cannot be retained after sweating, it is a counterflow condition. If sweating is induced again, incessant vomiting and diarrhea will occur. After sweating, vomiting, and purgation, if there is deficient vexation and insomnia, or in severe cases, tossing and turning with Ao Nao (vexation and distress) in the heart, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the main treatment. If there is shortness of breath, Zhi Zi Gan Cao Chi Tang (Gardenia, Licorice, and Fermented Soybean Decoction) is the main treatment. If there is vomiting, Zhi Zi Sheng Jiang Chi Tang (Gardenia, Ginger, and Fermented Soybean Decoction) is the main treatment. This is Formula 38.
Zhi Zi Chi Tang Formula:
Zhi Zi (Gardeniae Fructus, broken, 14 pieces), Xiang Chi (Sojae Semen Praeparatum, wrapped in cotton, 4 ge).
Decoct the above two ingredients in four sheng of water. First decoct Zhi Zi to obtain two and a half sheng, add Xiang Chi, and decoct to obtain one and a half sheng of liquid. Remove the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
Zhi Zi Gan Cao Chi Tang Formula:
Zhi Zi (broken, 14 pieces), Gan Cao (prepared, 2 liang), Xiang Chi (wrapped in cotton, 4 ge).
Decoct the above three ingredients in four sheng of water. First decoct Zhi Zi and Gan Cao to obtain two and a half sheng, add Xiang Chi, and decoct to obtain one and a half sheng of liquid. Remove the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
Zhi Zi Sheng Jiang Chi Tang Formula:
Zhi Zi (broken, 14 pieces), Sheng Jiang (5 liang), Xiang Chi (wrapped in cotton, 4 ge).
Decoct the above three ingredients in four sheng of water. First decoct Zhi Zi and Sheng Jiang to obtain two and a half sheng, add Xiang Chi, and decoct to obtain one and a half sheng of liquid. Remove the dregs. Divide into two doses. Take one warm dose. If vomiting occurs, stop subsequent doses.
77. If vexation, heat, and a stifling sensation in the chest occur after sweating or purgation, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the main treatment. This is Formula 39. (Use the first formula above.)
78. For Shang Han of five or six days, after severe purgation, if body heat persists and there is knotted pain in the heart, the disease is not yet resolved. Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the main treatment. This is Formula 40. (Use the first formula above.)
79. After purgation for Shang Han, if there is heart vexation, abdominal fullness, and restlessness (unable to lie down or sit still), Zhi Zi Hou Po Tang (Gardenia and Magnolia Bark Decoction) is the main treatment. This is Formula 41.
Zhi Zi (broken, 14 pieces), Hou Po (prepared, remove bark, 4 liang), Zhi Shi (Aurantii Fructus Immaturus, soaked in water, prepared until yellow, 4 pieces).