太阳病发汗。遂漏不止。其人恶风。小便难。四肢微急。难以屈伸者。桂枝加附子汤主之。
发汗伤阳。外风复袭。汗遂不止。活人所谓漏风是也。夫阳者。所以实腠理、行津液、运肢
体者也。今阳已虚。不能护其外。复不能行于里。则汗出小便难。而邪风之气。方外淫而旁溢。
则恶风、四肢微急、难以屈伸。是宜桂枝汤解散风邪。兼和营卫。加附子补助阳气。并御虚风也
。
桂枝加附子汤方
于桂枝汤内加附子一枚。破八片。炮。去皮。余根据前法。
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。
发汗后。邪痹于外。而营虚于内。故身痛不除。而脉转沉迟。经曰、其脉沉者。营气微也。又
曰、迟者。营气不足。血少故也。故以桂枝加芍药、生姜、人参。以益不足之血。而散未尽之邪。
东垣云、仲景于病患汗后身热。亡血。脉沉迟者。下利身凉。脉微。血虚者。并加人参。古人
血脱者。必益气也。然人参味甘气温。温固养气。甘亦实能生血。汗下之后。血气虚衰者。
非此不为功矣。
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。
心为阳脏。而汗为心之液。发汗过多。心阳则伤。其人叉手自冒心者。里虚欲为外护也。悸
、心动也。欲得按者。心中筑筑不宁。欲得按而止之也。是宜补助心阳为主。桂枝、甘草。辛甘相
合。乃生阳化气之良剂也。
桂枝甘草汤方
桂枝（四两去皮） 甘草（二两炙）
上二味。以水三升。煮取一升。去滓。顿服。
按发汗过多。有动肾中之阳者。以阳为汗之根。而肾为阳之宅。枝伤者其本必戕也。有动心中
之阳者。以汗为心之液。而心为阳之脏。液亡者。气必从之也。救肾阳者。必以咸温。救心阳者。
必以甘辛。咸性善下。而温能返阳。故四逆为救肾之剂。甘辛相合。而阳气乃生。故桂甘为益心
之法也。未持脉时。病患叉手自冒心。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。
病患叉手自冒心者。心阳内虚。欲得外护。如上条所云也。耳聋者。阳气上虚。阴反得而实之
也。师因叉手冒心。而更试耳之聪否。以求阳之虚实。若耳聋无闻。其为过汗致虚。当与温养无疑。
临病之工。宜如是详审耳。许叔微曰。伤寒耳聋。发汗过多者。正气虚也。邪不出者。邪气闭也。虚
之与闭。治法悬殊。学人更宜详审。
太阳病发汗。汗出不解。其人仍发热。心下悸。头眩。身 动振振。欲擗地者。真武汤主之
。发汗过多。不能解太阳之邪。而反动少阴之气。于是身仍发热。而悸眩 动等证作矣。少阴之
气。水气也。心属火而水乘之。故悸。头为阳而阴加之。故眩。经脉纲维一身。以行血气。故水入之
。则振振 动也。擗犹据也。眩动之极。心体不安。思欲据地以自固也。此与阳虚外亡有别。阳虚
者。但须四逆以复阳。此兼水饮。故必真武以镇水。方用白术、茯苓之甘淡。以培土而行水。附子
、生姜之辛。以复阳而散邪。芍药之酸。则入阴敛液。使泛滥之水。尽归大壑而已耳。
真武汤方
茯苓（三两） 芍药（三两） 白术（二两） 生姜（三两） 附子（一枚炮去皮破八片）
上五味。以水八升。煮取三升。去滓。温服七合。日三服。
发汗后。其人脐下悸者。欲作奔豚。茯苓桂枝甘草大枣汤主之。
发汗后。脐下悸者。心气不足而肾气乘之也。奔豚、肾之积。发则从少腹上冲心胸。如豕之
突。故名奔豚。
又肾为水脏。豚为水畜。肾气上冲。故名奔豚。茯苓能泄水气。故以为君。桂枝能伐肾邪。故以为
臣。然欲治其水。必防其土。故取甘草、大枣。补益土气为使。甘澜水者。扬之令轻。使水气去不
益肾邪也。
茯苓桂枝甘草大枣汤方
茯苓（半斤） 桂枝（四两） 甘草（三两） 大枣（十五枚）
上四味。以甘澜水一斗。先煮茯苓减二升。纳诸药。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。
病患脉数。数为热。当消谷引食。而反吐者。此以发汗。令阳气微。膈气虚。脉乃数也，数为
客热。不能消谷。以胃中虚冷。故吐也。
脉数为热。乃不能消谷而反吐者。浮热在上。而虚冷在下也。浮热不能消谷。为虚冷之气逼
而上浮。如客之寄。不久即散。故曰客热。是虽脉数如热。而实为胃中虚冷。不可更以寒药益其
疾也。
发汗后。腹胀满者。浓朴生姜甘草半夏人参汤主之。
发汗后。表邪虽解而腹胀满者。汗多伤阳。气窒不行也。是不可以徒补。补之则气愈窒。亦不
可以迳攻。攻之则阳益伤。故以人参、甘草、生姜助阳气。浓朴、半夏行滞气。乃补泄兼行之法
也。
浓朴生姜甘草半夏人参汤方
生姜（半斤切） 半夏（半升洗） 甘草（二两炙） 人参（一两） 浓朴（半斤去皮炙）
上五味。以水一斗。煮取三升。去滓。温服一升。日三服。
伤寒发汗。解半日许。复烦。脉浮数者。可更发汗。宜桂枝汤主之。
伤寒发汗。解半日许。复烦者。非旧邪去而新邪复乘也。余邪未尽。复集为病。如余寇未尽。
复合为乱耳。脉浮数者。邪气在表之征。故可更发其汗。以尽其邪。但以已汗复汗。故不宜麻黄
之峻剂。而宜桂枝之缓法。此仲景随时变易之妙也。
发汗。病不解。反恶寒者。虚故也。芍药附子甘草汤主之。
发汗不解。反加恶寒者。邪气不从汗而出。正气反因汗而虚也。是不可更逐邪气。当先复其正
气。是方芍药之酸。可以益血。附子之辛。可以复气。甘草甘平。不特安中补虚。且与酸合而化阴
。与辛合而生阳也。
芍药甘草附子汤方
芍药（三两） 甘草（三两炙） 附子（一枚炮破八片）
上三味。以水五升。煮取一升五合。去滓。分温服。
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。
汗出而恶寒者。阳不足而为虚也。芍药甘草附子汤治之是已。汗出而不恶寒但热者。邪入里
而成实也。然不可以峻攻。但与调胃承气汤。和其胃气而已。
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。
发汗后。汗出而喘。无大热者。其邪不在肌腠。而入肺中。缘邪气外闭之时。肺中已自蕴热
。发汗之后。其邪不从汗而出之表者。必从内而并于肺耳。故以麻黄、杏仁之辛而入肺者。利肺气
。散邪气。甘草之甘平。石膏之甘辛而寒者。益肺气。除热气。而桂枝不可更行矣。盖肺中之邪。
非麻黄、杏仁不能发。而寒郁之热。非石膏不能除。甘草不特救肺气之困。抑以缓石膏之悍也。
麻黄杏仁甘草石膏汤方
麻黄（四两去节） 杏仁（五十枚去皮尖） 炙甘草（二两） 石膏（半斤碎绵裹）
上四味。以水七升。先煮麻黄减二升。去上沫。纳诸药。煮取二升。去滓。温服一升。
发汗后。饮水多。必喘。以水灌之。亦喘。
发汗之后。肺气必虚。设饮水过多。水气从胃上射肺中。必喘。或以水灌洗致汗。水寒之气
从皮毛而内侵其所合。亦喘。成氏谓喘为肺疾是也。
发汗后。水药不得入口为逆。若更发汗。必吐下不止。
发汗后吐逆。至水药不得入口者。必其人素有积饮。乘汗药升浮之性而上行也。是当消饮下气
。虽有表邪。不可更发其汗。设更发之。重伤阳气。其饮之在中者。不特上逆而仍吐呕。亦且下注
而成泄利矣。
太阳病。小便利者。以饮水多。必心下悸。小便少者。必苦里急也。
病在太阳之时。里热未甚。水液尚通。其外虽病。而其内犹晏如也。故不可多饮水。设饮水多
。必停于心下为悸。所以然者。里无热。不能消水。心属火而畏水。水多凌心。故惕惕然跳动不宁
也。然使小便自利。则停水自行。虽悸犹当自愈。若小便不利而少。则水不下行。积于膀胱。必苦里急。里急者。
小便欲行而不能。则小腹奔迫急痛也。此以饮水所致。比于汗下之过。而非太阳本病。故附于斡
旋法下。
以上十五条。并发汗后证。而或伤卫阳。或损营血。或亡心阳。或动肾水。或伤胃阳。及伤脾
气。或邪仍不解。或解而转属阳明。及传膀胱。或动饮气。或伤肺气。或入肺中。其变种种不同。
其治因之各异。学人谙练在心。亦可以应变无穷矣。
Taiyang disease (Disease of the Taiyang Channel) treated with sweating. Subsequently, sweating continues unceasingly. The patient fears wind, has difficulty urinating, slight stiffness in the four limbs, and difficulty in flexion and extension. Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction plus Aconite Root) is the primary treatment.
Sweating damages Yang Qi (Vital Energy), and external Wind Pathogen (Evil Wind) re-invades, causing sweating to continue unceasingly. This is what the *Huoren Shu* (Book of Vitality) calls "Leakage Wind" (Lou Feng). Yang Qi serves to solidify the Couli (pores/skin texture), circulate Jin-Ye (Body Fluids), and move the limbs. Now that Yang Qi is deficient, it cannot protect the exterior nor circulate within. Thus, there is sweating and difficulty urinating. Meanwhile, the pathogenic Wind Qi invades outward and overflows laterally, causing fear of wind, slight stiffness in the four limbs, and difficulty in flexion and extension. It is appropriate to use Guizhi Tang (Cinnamon Twig Decoction) to dissipate the Wind Pathogen and harmonize Ying (Nutritive Qi) and Wei (Defensive Qi), while adding Fuzi (Prepared Aconite Root) to assist Yang Qi and ward off the deficient wind.
Formula: Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction plus Aconite Root)
Add one piece of Fuzi (Prepared Aconite Root) to Guizhi Tang (Cinnamon Twig Decoction), broken into eight pieces, processed (Pao), skin removed. Follow the previous method for preparation and administration.
After sweating, if body pain persists and the pulse is Chen (Deep) and Chi (Slow), Xinjia Tang (Newly Added Decoction) composed of Guizhi Tang (Cinnamon Twig Decoction) with an additional one liang of Shaoyao (Peony Root) and Shengjiang (Fresh Ginger), and three liang of Renshen (Ginseng Radix) is the primary treatment.
After sweating, pathogenic factors are obstructed externally while Ying Blood (Nutritive Blood) is deficient internally. Therefore, body pain remains, and the pulse turns Deep and Slow. The Classics state: "A Deep pulse indicates weak Ying Qi." It also states: "A Slow pulse indicates insufficient Ying Qi due to blood deficiency." Thus, Guizhi Tang (Cinnamon Twig Decoction) is used with added Shaoyao (Peony Root), Shengjiang (Fresh Ginger), and Renshen (Ginseng Radix) to replenish the deficient blood and dissipate remaining pathogens. Li Dongyuan stated: Zhang Zhongjing adds Renshen (Ginseng Radix) for patients who, after sweating, have fever, loss of blood, and a Deep-Slow pulse; or who have diarrhea, cool body, faint pulse, and blood deficiency. Ancients believed that when blood is depleted, Qi must be tonified. Renshen (Ginseng Radix) is sweet and warm; warmth consolidates and nourishes Qi, and sweetness truly generates blood. After sweating or purging, when Qi and Blood are deficient and exhausted, this herb is indispensable for its efficacy.
If excessive sweating causes the patient to cross their hands over the heart region, experiencing palpitations and desiring pressure, Guizhi Gancao Tang (Cinnamon Twig and Licorice Decoction) is the primary treatment.
The Heart is a Zang Organ of Yang, and sweat is the fluid of the Heart. Excessive sweating injures Heart Yang. When the patient crosses their hands over the heart, it is because internal deficiency seeks external protection. "Palpitation" refers to the beating of the heart. Desiring pressure indicates a sense of unrest ("Zhu Zhu") in the chest, seeking pressure to alleviate it. The treatment should primarily focus on assisting Heart Yang. The combination of Guizhi (Cinnamon Twig) and Gancao (Licorice Root), pungent and sweet, is an excellent formula for generating Yang and transforming Qi.
Formula: Guizhi Gancao Tang (Cinnamon Twig and Licorice Decoction)
Guizhi (Cinnamon Twig) (4 liang, skin removed); Gancao (Licorice Root) (2 liang, honey-fried).
These two ingredients are boiled in 3 sheng of water to obtain 1 sheng. Strain and take in one dose.
Note: Excessive sweating may disturb the Yang of the Kidney, as Yang is the root of sweat and the Kidney is the residence of Yang; injury to the branch affects the root. It may also disturb the Yang of the Heart, as sweat is the fluid of the Heart and the Heart is a Yang organ; loss of fluid leads to loss of Qi. To rescue Kidney Yang, salty-warm herbs are required; to rescue Heart Yang, sweet-pungent herbs are required. Salty flavors descend, and warmth restores Yang; thus, Sini Tang (Frigid Extremities Decoction) rescues the Kidney. Sweet and pungent combinations generate Yang; thus, Guizhi-Gancao Tang benefits the Heart. Before taking the pulse, if a patient crosses their hands over the heart, the physician may instruct them to cough. If they do not cough, they likely suffer from bilateral deafness. This occurs because heavy sweating causes severe deficiency.
When a patient crosses their hands over the heart, it is due to internal deficiency of Heart Yang seeking external protection, as described above. Deafness results from deficiency of Yang Qi in the upper jiao, allowing Yin to fill the space. By observing the hand-crossing and testing hearing, the physician assesses the deficiency or excess of Yang. If deafness is present, indicating deficiency from excessive sweating, warming and nourishing therapy is undoubtedly indicated. Physicians treating diseases must examine such details carefully. Xu Shuwei said: In cold damage, deafness caused by excessive sweating indicates deficiency of healthy Qi; failure of pathogens to exit indicates obstruction by pathogenic factors. Deficiency and obstruction require vastly different treatments; students must examine these carefully.
In Taiyang disease, if sweating fails to resolve the condition, and the patient still has fever, palpitations, dizziness, tremors, and a desire to collapse to the ground, Zhenwu Tang (True Warrior Decoction) is the primary treatment.
Excessive sweating fails to resolve Taiyang pathogens but instead stirs the Qi of Shaoyin (Lesser Yin). Consequently, fever persists, and symptoms like palpitations, dizziness, and tremors arise. Shaoyin Qi relates to Water Qi. The Heart belongs to Fire, which is overcome by Water, causing palpitations. The head is Yang, overlaid by Yin, causing dizziness. Meridians support the body and circulate Blood and Qi; when Water enters, tremors occur. "Pi" means to lean upon. Extreme dizziness and trembling cause mental unrest, leading to a desire to lean on the ground for stability. This differs from Yang deficiency with exterior collapse. Yang deficiency requires Sini Tang (Frigid Extremities Decoction) to restore Yang; here, with concurrent Water Retention, Zhenwu Tang (True Warrior Decoction) is needed to subdue Water. Baizhu (Atractylodis Rhizoma) and Fuling (Poria) are sweet and bland to strengthen Earth and promote Water movement. Fuzi (Prepared Aconite Root) and Shengjiang (Fresh Ginger) are pungent to restore Yang and dissipate pathogens. Shaoyao (Peony Root) is sour, entering Yin to astringe fluids, ensuring overflowing Water returns to its reservoir.
Formula: Zhenwu Tang (True Warrior Decoction)
Fuling (Poria) (3 liang); Shaoyao (Peony Root) (3 liang); Baizhu (Atractylodis Rhizoma) (2 liang); Shengjiang (Fresh Ginger) (3 liang); Fuzi (Prepared Aconite Root) (1 piece, processed, skin removed, broken into 8 pieces).
These five ingredients are boiled in 8 sheng of water to obtain 3 sheng. Strain and take 7 he of warm decoction, three times daily.
After sweating, if the patient experiences palpitations below the navel, indicating impending Ben Tun (Running Piglet Syndrome), Linggui Zhugan Dazao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) is the primary treatment.
After sweating, palpitations below the navel indicate insufficiency of Heart Qi allowing Kidney Qi to invade. Ben Tun (Running Piglet Syndrome) is an accumulation of the Kidney; during attacks, Qi rushes from the lower abdomen to the chest and heart like a piglet charging, hence the name.
Furthermore, the Kidney is the Water Organ, and the piglet is a water animal; Kidney Qi rushing upward is named Ben Tun (Running Piglet Syndrome). Fuling (Poria) drains Water Qi and serves as the Sovereign herb. Guizhi (Cinnamon Twig) suppresses Kidney pathology and serves as the Minister herb. To treat Water, one must prevent Earth weakness; thus, Gancao (Licorice Root) and Dazao (Jujube Fruit) tonify Earth Qi as the Envoy herb. Ganlan Shui (Agitated Water) is made by agitating water to make it light, preventing Water Qi from aiding Kidney pathology.
Formula: Linggui Zhugan Dazao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction)
Fuling (Poria) (half jin); Guizhi (Cinnamon Twig) (4 liang); Gancao (Licorice Root) (3 liang); Dazao (Jujube Fruit) (15 pieces).
These four ingredients are boiled in one dou of Agitated Water. First boil Fuling (Poria) until reduced by two sheng, then add other herbs. Boil to obtain 3 sheng. Strain and take 1 sheng warm, three times daily.
Method for making Agitated Water: Take two dou of water, place in a large basin, and agitate with a ladle until hundreds of thousands of bubbles chase each other on the surface. Use this water.
If the patient's pulse is Shu (Rapid), indicating Heat, digestion should be accelerated and appetite increased. However, if vomiting occurs instead, it is because sweating caused slight Yang Qi and deficiency of Ge Qi (Diaphragm Qi), resulting in a Rapid pulse. This Rapid pulse represents "Guest Heat," which cannot digest food. Due to Cold-Deficiency in the Stomach, vomiting occurs.
A Rapid pulse indicates Heat, yet inability to digest food with vomiting suggests Floating Heat above and Cold-Deficiency below. Floating Heat cannot digest food; it is forced upward by Cold-Deficiency Qi, residing temporarily like a guest, and will soon dissipate—hence "Guest Heat." Although the pulse appears Hot, the reality is Stomach Cold-Deficiency. Cold-natured drugs must not be used to exacerbate the condition.
After sweating, if abdominal fullness occurs, Houpo Shengjiang Gancao Banxia Renshen Tang (Magnolia Bark, Fresh Ginger, Licorice, Pinellia, and Ginseng Decoction) is the primary treatment.
After sweating, although exterior pathogens are resolved, abdominal fullness persists due to excessive sweating injuring Yang Qi and causing Qi stagnation. Pure tonification is inappropriate as it worsens stagnation; direct purgation is inappropriate as it further injures Yang. Therefore, Renshen (Ginseng Radix), Gancao (Licorice Root), and Shengjiang (Fresh Ginger) assist Yang Qi, while Houpo (Magnolia Bark) and Banxia (Pinellia Tuber) move stagnant Qi. This is a method of simultaneous tonification and purgation.
Formula: Houpo Shengjiang Gancao Banxia Renshen Tang (Magnolia Bark, Fresh Ginger, Licorice, Pinellia, and Ginseng Decoction)
Shengjiang (Fresh Ginger) (half jin, sliced); Banxia (Pinellia Tuber) (half sheng, washed); Gancao (Licorice Root) (2 liang, honey-fried); Renshen (Ginseng Radix) (1 liang); Houpo (Magnolia Bark) (half jin, skin removed, honey-fried).
These five ingredients are boiled in one dou of water to obtain 3 sheng. Strain and take 1 sheng warm, three times daily.
In cold damage, after sweating resolves the condition for half a day, if restlessness recurs and the pulse is Floating and Rapid, sweating may be repeated. Guizhi Tang (Cinnamon Twig Decoction) is appropriate.
Restlessness appearing half a day after sweating resolution does not indicate new pathogens replacing old ones, but rather residual pathogens gathering again, like remaining bandits regrouping. A Floating-Rapid pulse indicates pathogens in the Exterior, so sweating can be repeated to exhaust them. However, since sweating has already occurred, harsh formulas like Mahuang Tang (Ephedra Decoction) are unsuitable; the gentle method of Guizhi Tang (Cinnamon Twig Decoction) is preferred. This demonstrates Zhang Zhongjing's skill in adapting to circumstances.
If sweating fails to resolve the disease, and chills worsen, it indicates deficiency. Shaoyao Fuzi Gancao Tang (Peony, Aconite, and Licorice Decoction) is the primary treatment.
Failure to resolve after sweating, accompanied by worsening chills, indicates pathogens did not exit via sweat, and healthy Qi became deficient due to sweating. One should not pursue pathogens further but first restore healthy Qi. Shaoyao (Peony Root)'s sourness nourishes Blood; Fuzi (Prepared Aconite Root)'s pungency restores Qi. Gancao (Licorice Root) is sweet and neutral, calming the Middle and tonifying deficiency. Combined with sourness, it transforms Yin; combined with pungency, it generates Yang.
Formula: Shaoyao Fuzi Gancao Tang (Peony, Aconite, and Licorice Decoction)
Shaoyao (Peony Root) (3 liang); Gancao (Licorice Root) (3 liang, honey-fried); Fuzi (Prepared Aconite Root) (1 piece, processed, broken into 8 pieces).
These three ingredients are boiled in 5 sheng of water to obtain 1.5 sheng. Strain and divide into warm doses.
After sweating, chills indicate deficiency; absence of chills with only fever indicates excess. Harmonize Stomach Qi with Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Decoction).
Sweating with chills indicates Yang insufficiency and deficiency, treated by Shaoyao Fuzi Gancao Tang (Peony, Aconite, and Licorice Decoction). Sweating without chills but with fever indicates pathogens entering the Interior becoming excess. Harsh purgation is avoided; Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Decoction) is given merely to harmonize Stomach Qi.
After sweating, Guizhi Tang (Cinnamon Twig Decoction) should not be used again. If sweating and wheezing occur without significant heat, Mahuang Xingren Gancao Shigao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) may be administered.
After sweating, sweating with wheezing and no significant heat indicates pathogens are not in the muscle layer but have entered the Lung. During external closure, Heat was already accumulating in the Lung. After sweating, if pathogens do not exit via sweat, they merge internally into the Lung. Mahuang (Ephedra Herb) and Xingren (Apricot Seed) enter the Lung, benefiting Lung Qi and dispersing pathogens. Gancao (Licorice Root) is sweet and neutral; Shigao (Gypsum Fibrosum) is sweet, pungent, and cold, benefiting Lung Qi and clearing Heat. Guizhi (Cinnamon Twig) is contraindicated. Lung pathogens require Mahuang (Ephedra Herb) and Xingren (Apricot Seed) for release; Cold-constrained Heat requires Shigao (Gypsum Fibrosum) for clearance. Gancao (Licorice Root) saves Lung Qi distress and moderates the harshness of Shigao (Gypsum Fibrosum).
Formula: Mahuang Xingren Gancao Shigao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction)
Mahuang (Ephedra Herb) (4 liang, nodes removed); Xingren (Apricot Seed) (50 pieces, skin and tips removed); Zhi Gancao (Honey-fried Licorice Root) (2 liang); Shigao (Gypsum Fibrosum) (half jin, crushed, wrapped in silk).
These four ingredients are boiled in 7 sheng of water. First boil Mahuang (Ephedra Herb) until reduced by 2 sheng, remove floating foam, then add other herbs. Boil to obtain 2 sheng. Strain and take 1 sheng warm.
After sweating, drinking too much water will certainly cause wheezing. Washing the body with water will also cause wheezing.
After sweating, Lung Qi is necessarily deficient. Excessive drinking allows Water Qi to shoot from the Stomach into the Lung, causing wheezing. Alternatively, washing with water induces sweating; Cold-Water Qi invades from the skin into its corresponding organ (Lung), also causing wheezing. Cheng Wuji stated that wheezing is a Lung disease, which is correct.
After sweating, if water and medicine cannot be kept down, it is a adverse reaction. Further sweating will certainly cause continuous vomiting and diarrhea.
Post-sweating regurgitation where water and medicine cannot enter indicates pre-existing Phlegm-Fluid retention rising due to the ascending nature of sweating herbs. Treatment should resolve Phlegm-Fluid and direct Qi downward. Even if exterior pathogens exist, sweating is contraindicated. Further sweating severely injures Yang Qi; retained Phlegm-Fluid will not only regurgitate upwards but also flow downwards causing diarrhea.
In Taiyang disease, if urination is free, excessive drinking will cause palpitations in the epigastrium. If urination is scanty, there will be discomfort and urgency in the interior.
During Taiyang disease, interior Heat is not severe, and fluids are patent. Although exteriorly ill, the interior is tranquil. Thus, excessive drinking is prohibited. Excessive drinking causes fluid retention in the epigastrium leading to palpitations. Since there is no interior Heat to transform fluids, and the Heart (Fire) fears Water, excess Water overwhelms the Heart, causing palpitations. If urination is free, retained water dissipates, and palpitations resolve spontaneously. If urination is obstructed and scanty, water does not descend but accumulates in the Bladder, causing interior urgency. "Interior urgency" refers to the desire to urinate without ability, causing lower abdominal distension and pain. This results from drinking, distinct from errors in sweating/purging, and is not a primary Taiyang disease, hence appended to the section on managing complications.
The above fifteen articles all discuss post-sweating syndromes. Some injure Wei Yang (Defensive Yang), some damage Ying Blood, some deplete Heart Yang, some stir Kidney Water, some injure Stomach Yang and Spleen Qi, some pathogens remain unresolved, some resolve and transfer to Yangming, or transmit to the Bladder, some stir Phlegm-Fluid Qi, some injare Lung Qi, or enter the Lung. Variations are numerous, and treatments differ accordingly. Students must master these mentally to respond infinitely to changes.