发热恶寒，脉浮者，属表，即太阳症也。（方论见前太阳病条。）发热汗出，不恶寒反恶热者，属里，即
阳明症也。（方论见阳明自汗。）发热脉弦细，头痛者，属半表半里，即少阳症也。（论见口苦咽干。）发热
而呕者，小柴胡汤。（论见呕。）发热咳嗽，表不解者，小青龙汤。兼胁痛喜呕者，小柴胡加干姜五味子汤。
（方论见效。）发热而喘，表不解者，小青龙去麻黄加杏仁汤。兼胸满者，麻黄汤。（方论见喘。）发热口渴，
有属表者，有属里者，治法方论甚众。（并见渴门。）
发热汗解，半日许复烦躁，脉浮数大者，可更发汗，宜桂枝汤。论见烦，（方见上。）
发汗后恶风寒者，虚故也。不恶寒但恶热者，实也，当和胃气，宜调胃承气汤。太阳病三日，发汗不解，
蒸蒸发热者，属胃也，调胃承气汤主之。（海藏云∶大黄泄实，芒硝软坚，甘草和中，必燥实坚三症全者可
用之。）
调胃承气汤方
大黄（一两。海藏云∶宜酒浸，盖邪气居高，非酒不到，譬如物在高巅，人迹所不及，则射而取之，故用酒浸引而
上之。
若生用苦泄峻下，则遗高分之邪热，所以愈后或目赤或喉闭或头肿，膈上反生热症矣） 甘草（半两，炙。
海藏云∶甘以缓之）芒硝（九钱。海藏云∶辛以润之，咸以软之）
上 咀，水一盏，煮大黄、甘草至七分，去渣，入芒硝，更上火微煮令沸，温服。
发热汗出不解，心下痞硬，呕吐而利者，大柴胡汤。（论见痞。）发汗后，身灼热，脉浮，汗出，身重多眠，鼻
鼾者，风温。（论见风热。）发汗后，仍发热，心悸头眩，身 动，振振欲擗地者，宜真武汤。（论见下利。）汗出热不去，
内拘急，四肢疼，下利厥逆恶寒者，宜四逆汤。（论见下利。）大汗出，脉阴阳俱盛不解者，死。（论见大法。
《内经》云∶温病汗彻复热而脉躁疾，不为汗衰，狂言不能食，谓之阴阳交者，必死也。）
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，故知在外，当须解
外则愈，桂枝汤主之。汗下后，仍头痛发热，心下满，小便不利者，桂枝去桂加茯苓白术汤。（论见结胸。）大下后，
身热不去，心中结痛者，栀子豉汤主之。（论见心痛。）大下后，身热不去，微烦者，栀子干姜汤。（方论见烦。）
阳明病下之，其外有热，手足温，心中懊 ，饥不能食，但头汗出者，栀子豉汤。（论见烦。）
太阳病当恶寒，今自汗出，不恶寒发热，关脉细数者，以医吐之过也。一二日吐之者，腹中饥，口不能食。
三四日吐之者，不喜糜粥，欲食冷食，朝食暮吐，以医吐之所致，为小逆。
瘥后更热者，小柴胡汤。脉浮者以汗解，脉沉者以下解。（论见劳复。）
伤寒脉浮滑，此表有热，里有寒，白虎汤主之。
白虎汤方
知母（三两） 甘草（一两，炙） 粳米（三合） 石膏（八两，捶碎）
上 咀，每服五钱，水煎温服。
脉浮而迟，表热里寒，下利清谷者，四逆汤。（论见下利。）下利厥逆，汗出热不去者，四逆汤。
少阴病下利清谷，厥逆，里寒外热者，通脉四逆汤。（方论见下利。）身热，手足逆冷而脉虚，
当夏月发者，为中
暑。（论见中暑。）
伤寒表不解，干呕发热而咳，下利者，小青龙去麻黄加芫花汤。（论见咳。）太阳与阳明合病，
必下利，其症头痛腰疼，身热鼻干，脉浮大而长者，宜葛根汤。（论见合病。）发热下利，脉微迟厥逆者，
通脉四逆汤。太阳与少阳合病，自下利，其症头痛胸满，往来寒热，脉浮大而弦者，宜黄芩汤。
（论见合病。）
下利清谷，脉沉迟，其人面赤微热而厥者，必郁冒，汗出自解。
发热下利厥逆，躁不得卧者死。发热而利，汗不止者死。（二论俱见下利。）
发热吐利，心下痞硬者，大柴胡汤，渴者五苓散，不渴者理中汤。（论并见痞及吐利门。）
发热，经水适来适断，小柴胡汤，刺期门。（论见谵语疟状。）发热脉数，消谷，不大便者，有瘀血，
宜抵当汤。（论见蓄血。）
〔《素》〕病甚者，为五十九刺。（穴见温病门。）
Fever accompanied by aversion to cold and a floating pulse indicates a exterior syndrome, specifically the Taiyang disease (Taiyang Disease). (For formula discussions, see the section on Taiyang Disease.) Fever with sweating, absence of aversion to cold but presence of aversion to heat indicates an interior syndrome, specifically the Yangming disease (Yangming Disease). (For formula discussions, see the section on Spontaneous Sweating in Yangming Disease.) Fever with a wiry and fine pulse, accompanied by headache, indicates a half-exterior half-interior syndrome, specifically the Shaoyang disease (Shaoyang Disease). (For discussion, see the section on Bitter Taste in Mouth and Dry Throat.) Fever with vomiting is treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction). (For discussion, see the section on Vomiting.) Fever with cough and unresolved exterior syndrome is treated with Xiao Qing Long Tang (Minor Blue Dragon Decoction). If accompanied by hypochondriac pain and a desire to vomit, treat with Xiao Chai Hu Tang plus Gan Jiang (Dried Ginger) and Wu Wei Zi (Schisandra Fruit). (For formula discussions, see the section on Efficacy.) Fever with panting and unresolved exterior syndrome is treated with Xiao Qing Long Tang minus Ma Huang (Ephedrae Herba) plus Xing Ren (Prunus Armeniaca Seed). If accompanied by chest fullness, treat with Ma Huang Tang (Ephedra Decoction). (For formula discussions, see the section on Panting.) Fever with thirst may belong to either exterior or interior syndromes; there are many treatment methods and formula discussions. (See the section on Thirst.)
If fever resolves with sweating, but after about half a day restlessness recurs with a floating, rapid, and large pulse, another diaphoretic treatment is indicated, preferably Gui Zhi Tang (Cinnamon Twig Decoction). (For discussion, see the section on Restlessness; for formula, see above.)
After inducing sweating, if aversion to wind and cold persists, it is due to deficiency. If there is no aversion to cold but only aversion to heat, it is excess; one should harmonize the Stomach Qi, preferably using Tiao Wei Cheng Qi Tang (Regulate the Stomach and Direct Downward Decoction). In Taiyang disease, if after three days and induction of sweating the condition remains unresolved with a steaming fever, the pathogen belongs to the Stomach, and Tiao Wei Cheng Qi Tang is the primary treatment. (Hai Zang stated: Da Huang (Rhei Radix et Rhizoma) purges excess, Mang Xiao (Natrii Sulfas) softens hardness, and Gan Cao (Glycyrrhizae Radix et Rhizoma) harmonizes the middle; this formula is suitable only when dryness, excess, and hardness symptoms are all present.)
Formula for Tiao Wei Cheng Qi Tang (Regulate the Stomach and Direct Downward Decoction):
Da Huang (Rhei Radix et Rhizoma) (1 liang. Hai Zang stated: It is suitable to soak in wine, because the pathogenic factor is located high, and only wine can reach it. Just as objects at high peaks are unreachable by footprints and must be shot down, so wine is used to guide the medicine upward. If used raw, its bitter drainage is too severe, leaving the heat of the high pathogen behind, which may result in red eyes, throat closure, or head swelling after recovery, causing heat syndromes in the diaphragm region.) Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, roasted. Hai Zang stated: Sweetness relieves urgency.) Mang Xiao (Natrii Sulfas) (9 qian. Hai Zang stated: Pungency moistens, saltiness softens.)
Chop the ingredients. Add one sheng of water, boil Da Huang and Gan Cao until reduced to 0.7 sheng, strain, add Mang Xiao, and boil briefly over fire until boiling. Take warm.
Fever with sweating that does not resolve, accompanied by epigastric fullness and hardness, vomiting, and diarrhea, is treated with Da Chai Hu Tang (Major Bupleurum Decoction). (For discussion, see the section on Fullness.) After inducing sweating, if the body becomes burning hot, pulse is floating, sweating occurs, the body feels heavy with excessive sleepiness, and snoring is present, it is Feng Wen (Wind-Warmth). (For discussion, see the section on Wind-Heat.) After inducing sweating, if fever persists, accompanied by palpitations, dizziness, tremors of the body, and a sensation of trembling collapse, Zhen Wu Tang (True Warrior Decoction) is indicated. (For discussion, see the section on Diarrhea.) If sweating does not stop the fever, with internal cramping, limb pain, diarrhea, and cold limbs with aversion to cold, Si Ni Tang (Frigid Extremities Decoction) is indicated. (For discussion, see the section on Diarrhea.) Profuse sweating with surging pulses in all positions that do not resolve leads to death. (For discussion, see the General Principles. The *Nei Jing* states: In Warm diseases, if sweating is thorough but fever returns with a rapid and restless pulse that does not subside with sweating, accompanied by delirium and inability to eat, it is called Yin-Yang Intersection, which is fatal.)
In Taiyang disease, if initial sweating fails to resolve the condition and purgation is subsequently applied, a floating pulse indicates non-resolution. A floating pulse indicates the pathogen is still exterior; applying purgation erroneously causes non-resolution. Since the pulse is now floating, we know the pathogen is still exterior; resolving the exterior will lead to recovery, primarily using Gui Zhi Tang (Cinnamon Twig Decoction). After sweating and purgation, if headache and fever persist, along with epigastric fullness and difficulty urinating, Gui Zhi Qu Gui Jia Fu Ling Bai Zhu Tang (Cinnamon Twig Decoction minus Cinnamon Twig plus Poria and Atractylodes Macrocephala Decoction) is used. (For discussion, see the section on Chest Binding.) After severe purgation, if body heat persists and there is knotted pain in the heart region, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the primary treatment. (For discussion, see the section on Heart Pain.) After severe purgation, if body heat persists with slight restlessness, Zhi Zi Gan Jiang Tang (Gardenia and Roasted Ginger Decoction) is used. (For formula discussion, see the section on Restlessness.)
In Yangming disease, after purgation, if there is external heat, warm hands and feet, mental restlessness (Ao Nu), hunger but inability to eat, and only sweating on the head, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is used. (For discussion, see the section on Restlessness.)
In Taiyang disease, aversion to cold is expected. If now there is spontaneous sweating, no aversion to cold or fever, and a fine, rapid pulse at the Guan position, it is due to the physician's error in using emesis. If emesis is used on days 1-2, the patient feels hungry in the abdomen but cannot eat. If used on days 3-4, the patient dislikes congee, desires cold food, and vomits what was eaten in the morning by evening; this is caused by the physician's erroneous emesis and is termed a minor deviation.
If fever recurs after recovery, use Xiao Chai Hu Tang (Minor Bupleurum Decoction). If the pulse is floating, resolve via sweating; if sinking, resolve via purgation. (For discussion, see the section on Labor Recurrence.)
In Shang Han (Cold Damage), a floating and slippery pulse indicates heat in the exterior and cold in the interior, treated with Bai Hu Tang (White Tiger Decoction).
Formula for Bai Hu Tang (White Tiger Decoction):
Zhi Mu (Anemarrhenae Rhizoma) (3 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 liang, roasted) Jing Mi (Oryza Sativa Grain) (3 he) Shi Gao (Gypsum Fibrosum) (8 liang, crushed)
Chop the ingredients. For each dose of 5 qian, decoct in water and take warm.
A floating and slow pulse with exterior heat and interior cold, accompanied by diarrhea with undigested food, is treated with Si Ni Tang (Frigid Extremities Decoction). (For discussion, see the section on Diarrhea.) Diarrhea with cold limbs and sweating that does not stop the fever is treated with Si Ni Tang (Frigid Extremities Decoction).
In Shao Yin disease, diarrhea with undigested food, cold limbs, interior cold with exterior heat, is treated with Tong Mai Si Ni Tang (Pulse-Resuscitating Frigid Extremities Decoction). (For formula discussion, see the section on Diarrhea.) Body heat with cold hands and feet and a deficient pulse, occurring in summer, is Zhong Shu (Heat Stroke). (For discussion, see the section on Heat Stroke.)
In Shang Han, if the exterior syndrome is unresolved, accompanied by dry retching, fever, cough, and diarrhea, use Xiao Qing Long Tang minus Ma Huang (Ephedrae Herba) plus Yuan Hua (Genkwa Flos). (For discussion, see the section on Cough.) In combined Taiyang and Yangming disease, diarrhea is inevitable; symptoms include headache, backache, body heat, dry nose, and a large, long, floating pulse; Ge Gen Tang (Kudzu Root Decoction) is indicated. (For discussion, see the section on Combined Diseases.) Fever with diarrhea, a faint and slow pulse, and cold limbs are treated with Tong Mai Si Ni Tang (Pulse-Resuscitating Frigid Extremities Decoction). In combined Taiyang and Shaoyang disease, spontaneous diarrhea occurs; symptoms include headache, chest fullness, alternating chills and fever, and a large, wiry, floating pulse; Huang Qin Tang (Scutellaria Decoction) is indicated. (For discussion, see the section on Combined Diseases.)
Diarrhea with undigested food, a deep and slow pulse, facial redness, slight heat, and cold limbs indicate impending Yu Mao (Depression and Dizziness); sweating will naturally resolve it.
Fever with diarrhea, cold limbs, restlessness, and inability to lie down indicates death. Fever with diarrhea and unceasing sweating indicates death. (Both discussions are found in the section on Diarrhea.)
Fever with vomiting and diarrhea, and epigastric fullness and hardness, is treated with Da Chai Hu Tang (Major Bupleurum Decoction); if thirsty, use Wu Ling San (Five-Ingredient Powder with Poria); if not thirsty, use Li Zhong Tang (Regulate the Middle Decoction). (Discussions are found in the sections on Fullness and Vomiting/Diarrhea.)
Fever occurring while menstruation has just started or stopped is treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction) and needling of Qi Men (LR14). (For discussion, see the section on Delirium and Malaria-like Symptoms.) Fever with a rapid pulse, ability to digest food quickly, and constipation indicates Blood Stasis (Yu Xue), treated with Di Dang Tang (Di Dang Decoction). (For discussion, see the section on Blood Accumulation.)
[From the *Su Wen*]: In severe cases, employ the Fifty-Nine Acupoints Needling method. (Acupoints are listed in the Warm Disease section.)