夫病深而药浅,终见无功;病浅而药深,反增他剧。寒微而热药太过,内则目赤
咽痛,痰壅气促,外则斑烂痈毒,燥裂干红;热微而寒药太过,内则吐泻腹胀,外则
陷伏痒塌。势缓而投急剂,急则拂乱其经,病剧又宜劫药,缓则援生不及,以本药而治
本病,病去盒饭行别议。防变症而用变药,变症贵审乎将来,故偏行补法,未必尽为怯
弱,执用辛温,岂因概是虚寒?合用即用,当去即去,药随病迁,机要在我,故升麻进
于未点之先,若还泻甚而莫投;黄 用于催脓之际,必待气弱而可用。身无壮热,休加
干葛、柴胡,脸不繁红,勿进芩连、翘芥,拥遏只许疏通,投补剂则胸膨减食;内热便
宜清利,多发药则表烂疮疼。热壅心烦,丁桂须知患目;便溏胃弱,芩连误用夭亡。伤
食吐酸,先宜消导;不食干呕,须与和胃。粪焦热泻,温补岂其所宜;溏泻清稀,凉药
总为不合。胃虚弱而补阴,恐增泄泻;三焦拥而益阳,虑发狂颠,喘满便清,虽虚烦而
可补;气粗腹胀如秘结而可通。咳嗽有痰切勿乱投半夏;热冲作吐且教慢入干姜。气虚
不振,参 奏捷;脾胃虚寒,桂附成功。芩连,解热毒于未解;荆翘清血热于血泡。然
若势在行浆,此等皆为所叱。六七日内不起,保元勿禁;八九日外泻生,异攻何迟?
补法不宜早,加温药必须在后;发散乃是先锋,温补总为截阵。
When the disease is deep-seated but the medication is superficial, it ultimately yields no effect; when the disease is mild but the medication is profound, it may instead exacerbate other severe symptoms. If cold pathogenic factors are slight yet hot-natured medicines are overused, internally this leads to red eyes, sore throat, phlegm obstruction, and shortness of breath; externally, it results in ulcerated rashes, carbuncles, toxins, dry cracked skin, and a dry red appearance. If heat pathogenic factors are slight yet cold-natured medicines are overused, internally this causes vomiting, diarrhea, and abdominal distension; externally, it leads to involution, itching, and collapse of lesions. When the condition is slow-moving but urgent prescriptions are administered, urgency disrupts the meridians; when the condition is critical and "robbing" (strong purgative or resolving) medicines are indicated, using them too slowly fails to rescue life in time. One should use the fundamental prescription to treat the fundamental disease; once the disease is eliminated, further discussions on alternative strategies should follow. To prevent transformation syndromes by using medicines for transformed conditions, one must carefully anticipate future developments. Therefore, relying solely on tonification methods does not necessarily imply universal weakness; rigidly employing acrid-warm herbs does not imply that all cases are deficiency-cold. Combine when appropriate, discard when necessary; let the medicine adapt to the shifting disease, with the key lying in the practitioner's judgment. Thus, *Shengma* (Cimicifugae Rhizoma) should be advanced before eruption occurs, unless there is severe diarrhea, in which case it should not be administered; *Huangqi* (Astragali Radix) is used during the pus-formation stage, but only when Qi deficiency is present. If the body lacks high fever, do not add *Gegen* (Puerariae Lobatae Radix) or *Chaihu* (Bupleuri Radix); if the face is not excessively red, do not administer *Qinlian* (Scutellariae Baicalensis Radix et Coptidis Rhizoma), *Qiao* (Lonicerae Japonicae Flos), or *Jiejie* (Schizonepetae Spica). For obstruction and stagnation, only dredging and unblocking are permitted; administering tonics will cause chest fullness and reduced appetite. Internal heat is suitable for clearing and draining; excessive diaphoretic herbs lead to surface ulceration and sore sores. Heat obstruction causing irritability requires caution with *Dingxiang* (Caryophylli Flos) and *Guirou* (Cinnamomi Cortex), as they may affect the eyes; loose stools and weak stomach function mean that misusing *Qinlian* could be fatal. For food stagnation causing acid regurgitation, digestion-promoting and guiding-out methods are first indicated; for anorexia and dry retching, harmonizing the stomach is required. Scorched, hot diarrhea indicates that warming and tonifying are inappropriate; loose, clear, and thin diarrhea indicates that cooling medicines are altogether unsuitable. Tonifying Yin when the Stomach is weak may worsen diarrhea; benefiting Yang when the Sanjiao (Triple Burner) is obstructed may provoke mania or epilepsy. With wheezing, fullness, and clear urination/defecation, although there is irritability, tonification is permissible; with coarse breathing and abdominal distension resembling constipation, unblocking is appropriate. For cough with phlegm, avoid indiscriminate use of *Banxia* (Pinelliae Rhizoma); for vomiting caused by rising heat, introduce *Ganjiang* (Zingiberis Rhizoma) slowly. For Qi deficiency lacking vigor, *Renshen* (Ginseng Radix et Rhizoma) brings quick results; for Spleen-Stomach deficiency-cold, *Guizhi* (Cinnamomi Ramulus) and *Fuzi* (Aconiti Lateralis Radix Praeparata) achieve success. *Qinlian* clears heat toxins before they manifest; *Jingqiao* (Schizonepetae Spica et Lonicerae Japonicae Flos) clears blood heat from blood blisters. However, if the pathological trend is in the pustule-filling stage, such medicines are rejected. If within six to seven days the lesions do not rise, *Baoyuan Tang* (Preserve the Origin Decoction) is not prohibited; if after eight to nine days the generation is slow, why delay *Yigong San* (Extraordinary Merit Powder)? Tonification should not be applied too early; adding warming medicines must come later. Dispersing and releasing the exterior serves as the vanguard, while warming and tonifying serve as the rear guard.