上四味，以水七升，煮取二升，去滓，温服七合。日三服。
244．太阳病，寸缓、关浮、尺弱，其人发热汗出，复恶寒，不呕，但心下痞者，此以医下之也。如其不下
者，病患不恶寒而渴者，此转属阳明也。小便数者，大便必硬，不更衣十日，无所苦也。渴欲饮水，少少与之，但以
法救之。渴者，宜五苓散。方三十。
猪苓（去皮） 白术 茯苓（各十八铢） 泽泻（一两六铢） 桂枝（去皮，半两）
上五味，为散，白饮和服方寸匕，日三服。
245．脉阳微而汗出少者，为自和（一作如）也；汗出多者，为太过；阳脉实，因发其汗，出多者，亦为太
过。太过者，为阳绝于里，亡津液，大便因硬也。
246．脉浮而芤，浮为阳，芤为阴；浮芤相搏，胃气生热，其阳则绝。
247．趺阳脉浮而涩，浮则胃气强，涩则小便数；浮涩相搏，大便则硬，其脾为约，麻子仁丸主之。方三
十一。
麻子仁（二升） 芍药（半斤） 枳实（炙，半斤） 大黄（去皮，一斤） 浓朴（炙，去皮，一尺）
杏仁（去皮尖，熬，别作脂，一升）
上六味，蜜和丸如梧桐子大。饮服十丸，日三服，渐加，以知为度。
248．太阳病三日，发汗不解，蒸蒸发热者，属胃也，调胃承气汤主之。方三十二。（用前第一方。）
249．伤寒吐后，腹胀满者，与调胃承气汤。方三十
三。（用前第一方。）
250．太阳病，若吐、若下、若发汗后，微烦，小便数、大便因硬者，与小承气汤，和之愈。方三十四。
（用前第二方。）
251．得病二三日，脉弱，无太阳柴胡证，烦躁、心下硬；至四五日，虽能食，以小承气汤，少少与，微
和之，令小安；至六日，与承气汤一升。若不大便六七日，小便少者，虽不受食，（一云不大便）但初头硬，
后必溏，未定成硬，攻之必溏；须小便利，屎定硬，乃可攻之，宜大承气汤。方三十五。（用前第二方。）
252．伤寒六七日，目中不了了，睛不和，无表里证，大便难，身微热者，此为实也。急下之，宜大承气
汤。方三十六。（用前第二方。）
253．阳明病，发热、汗多者，急下之，宜大承气汤。方三十七。（用前第二方，一云大柴胡汤。）
254．发汗不解，腹满痛者，急下之，宜大承气汤。方三十八。（用前第二方。）
255．腹满不减，减不足言，当下之，宜大承气汤。方三十九。（用前第二方。）
256．阳明少阳合病，必下利。其脉不负者，为顺
也；负者，失也。互相克贼，名为负也。脉滑而数者，有宿食也，当下之，宜大承气汤。方四十。（用前第二方。）
257．病患无表里证，发热七八日，虽脉浮数者，可下之。假令已下，脉数不解，合热则消谷喜饥，至六
七日，不大便者，有瘀血，宜抵当汤。方四十一。（用前第二十四方。）
258．若脉数不解，而下不止，必协热便脓血也。
259．伤寒发汗已，身目为黄，所以然者，以寒湿（一作温）在里不解故也。以为不可下也，于寒湿中求之。
260．伤寒七八日，身黄如橘子色，小便不利，腹微满者，茵陈蒿汤主之。方四十二。（用前第二十三方。）
261．伤寒身黄发热，栀子柏皮汤主之。方四十三。
肥栀子（擘，十五个） 甘草（炙，一两） 黄柏（二两）
上三味，以水四升，煮取一升半，去滓，分温再服。
262．伤寒瘀热在里，身必黄，麻黄连轺赤小豆汤主之。方四十四。
麻黄（去节，二两） 连轺（连翘根是，二两） 杏仁（去皮尖，四十个） 赤小豆（一升） 大枣
（擘，十二枚） 生梓白皮（切，一升） 生姜（切，二两） 甘草（炙，二两）
上八味，以潦水一斗，先煮麻黄再沸，去上沫，内诸药，煮取三升，去滓。分温三服，半日服尽。
(Continued from above) Decoct the above four ingredients in seven sheng of water to obtain two sheng of liquid. Remove the dregs and take seven he warm. Administer three times a day.
244. In Taiyang Disease (Taiyang Channel Syndrome), if the Cun pulse is slow, the Guan pulse is floating, and the Chi pulse is weak, and the patient presents with fever, sweating, aversion to cold, no vomiting, but only fullness and stuffiness in the epigastrium (Xin Xia), this is due to the physician’s erroneous use of purgation. If purgation was not used, and the patient has no aversion to cold but experiences thirst, the disease has transferred to Yangming Disease (Yangming Channel Syndrome or Gastrointestinal Dryness-Heat). If urination is frequent, the stool will inevitably be hard; even if there is no bowel movement for ten days, there is no distress. When thirsty and desiring water, give small amounts. Treat according to the proper method. For thirst, Wuling San (Five-Ingredient Powder with Poria) is appropriate. Formula 30.
Zhu Ling (Polyporus, peeled), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria) (each eighteen zhu), Ze Xie (Alismatis Rhizoma) (one liang six zhu), Gui Zhi (Cinnamomi Ramulus, peeled, half liang).
Grind the above five ingredients into a powder. Mix with rice gruel and take one fangcunbi (a square-inch spoonful) each time. Administer three times a day.
245. If the Yang portion of the pulse is faint and sweating is scanty, it indicates spontaneous harmony (some texts say "as if"); if sweating is profuse, it is excessive. If the Yang pulse is excess, and sweating is induced resulting in profuse output, this is also excessive. Excessiveness leads to the isolation of Yang within the interior, loss of body fluids (Jin Ye), and consequent hardening of the stool.
246. If the pulse is floating and Kou (hollow like a scallion stalk), floating represents Yang, and Kou represents Yin. The combination of floating and Kou pulses generates heat in the Stomach Qi, leading to the isolation of Yang.
247. If the Fuyang pulse (dorsalis pedis pulse, reflecting Spleen and Stomach status) is floating and Choppy (Se), floating indicates strong Stomach Qi, and choppiness indicates frequent urination. The combination of floating and choppy pulses results in hard stool. This is Pi Yue (Spleen Constraint Syndrome), treated with Maziren Wan (Hemp Seed Pill). Formula 31.
Maziren (Cannabis Semen) (two sheng), Shaoyao (Paeoniae Radix Alba) (half jin), Zhishi (Aurantii Fructus Immaturus, stir-fried) (half jin), Dahuang (Rhei Radix et Rhizoma, peeled) (one jin), Houpo (Magnoliae Officinalis Cortex, stir-fried, peeled) (one chi), Xingren (Armeniacae Semen Amarum, peeled and tips removed, decocted separately into fat) (one sheng).
Mix the above six ingredients with honey to form pills the size of wutong seeds. Take ten pills with water, three times a day. Gradually increase the dosage until efficacy is observed.
248. In Taiyang Disease, if after three days of diaphoresis the condition is not resolved, and steaming fever (heat steaming from inside out) occurs, it belongs to the Stomach. Treat with Tiaowei Chengqi Tang (Stomach-Regulating Order-the-Qi Decoction). Formula 32. (Use the first formula mentioned previously.)
249. After vomiting in Shanghan (Cold Damage), if there is abdominal distension and fullness, administer Tiaowei Chengqi Tang. Formula 33. (Use the first formula mentioned previously.)
250. In Taiyang Disease, if after vomiting, purgation, or diaphoresis, there is slight irritability, frequent urination, and consequent hard stool, administer Xiao Chengqi Tang (Minor Order-the-Qi Decoction) to harmonize and cure. Formula 34. (Use the second formula mentioned previously.)
251. Two to three days after onset, if the pulse is weak, without signs of Taiyang or Chaihu (Shaoyang) syndromes, but with irritability and hardness in the epigastrium; by the fourth or fifth day, although the patient can eat, administer a small amount of Xiao Chengqi Tang to gently harmonize and provide slight relief. On the sixth day, administer one sheng of Chengqi Tang. If there is no bowel movement for six to seven days and urination is scanty, even if the patient cannot eat (some texts say "no bowel movement"), the stool may be hard initially but loose later, indicating it has not fully hardened. Purgation at this stage will cause diarrhea. One must wait until urination is free and the stool is definitely hard before attacking. Use Da Chengqi Tang (Major Order-the-Qi Decoction). Formula 35. (Use the second formula mentioned previously.)
252. In Shanghan, after six to seven days, if vision is blurred, the eyes do not move harmoniously, there are no typical exterior or interior signs, defecation is difficult, and there is slight body heat, this is an Excess syndrome. Purge urgently. Use Da Chengqi Tang. Formula 36. (Use the second formula mentioned previously.)
253. In Yangming Disease, if there is fever and profuse sweating, purge urgently. Use Da Chengqi Tang. Formula 37. (Use the second formula mentioned previously; some texts say Da Chaihu Tang.)
254. If diaphoresis fails to resolve the condition, and there is abdominal fullness and pain, purge urgently. Use Da Chengqi Tang. Formula 38. (Use the second formula mentioned previously.)
255. If abdominal fullness does not decrease, or the reduction is negligible, purge. Use Da Chengqi Tang. Formula 39. (Use the second formula mentioned previously.)
256. In combined Yangming and Shaoyang diseases, diarrhea is inevitable. If the pulse does not show signs of mutual overcoming (Ke), it is a favorable pattern; if it does, it is unfavorable. Mutual overcoming and damage is called "Fu" (negative/unfavorable). If the pulse is Slippery (Hua) and Rapid (Shu), there is retained food. Purge. Use Da Chengqi Tang. Formula 40. (Use the second formula mentioned previously.)
257. If the patient has no exterior or interior signs, but has had fever for seven to eight days, even if the pulse is floating and rapid, purgation is permissible. If purgation has already been performed but the rapid pulse persists, and combined heat causes rapid digestion and hunger, and if there is no bowel movement for six to seven days, there is blood stasis. Use Didang Tang (Resist-Preservation Decoction). Formula 41. (Use the twenty-fourth formula mentioned previously.)
258. If the rapid pulse persists and diarrhea continues, there will inevitably be discharge of pus and blood with heat.
259. After diaphoresis in Shanghan, if the body and eyes become yellow, this is because Cold-Dampness (some texts say Warmth) remains unresolved in the interior. Do not purge. Seek treatment methods for Cold-Dampness.
260. In Shanghan, after seven to eight days, if the body is yellow like the color of a tangerine, urination is inhibited, and there is slight abdominal fullness, treat with Yinchenhao Tang (Capillaris Decoction). Formula 42. (Use the twenty-third formula mentioned previously.)
261. In Shanghan, if there is yellowing of the body and fever, treat with Zhizi Baipi Tang (Gardenia and Phellodendron Bark Decoction). Formula 43.
Fei Zhizi (Large Gardenia Fruit, broken) (fifteen pieces), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) (one liang), Huangbai (Phellodendri Chinensis Cortex) (two liang).
Decoct the above three ingredients in four sheng of water to obtain one and a half sheng. Remove the dregs and divide into two warm doses.
262. In Shanghan, if stagnant heat is in the interior, the body will inevitably become yellow. Treat with Mahuang Lianqiao Chixiaodou Tang (Ephedra, Forsythia Root, and Adzuki Bean Decoction). Formula 44.
Mahuang (Ephedrae Herba, nodes removed) (two liang), Lianqiao (Forsythiae Fructus, specifically the root) (two liang), Xingren (Armeniacae Semen Amarum, peeled and tips removed) (forty pieces), Chixiaodou (Vignae Semen) (one sheng), Dazao (Jujubae Fructus, broken) (twelve pieces), Sheng Zibaipi (Fresh Catalpa Bark, cut) (one sheng), Shengjiang (Zingiberis Rhizoma Recens, cut) (two liang), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) (two liang).
Decoct the above eight ingredients in one dou of rainwater. First boil Mahuang until it boils twice, remove the upper foam, add the other ingredients, and boil to obtain three sheng. Remove the dregs. Divide into three warm doses and consume within half a day.