芍药（三两味酸微寒） 甘草（三两炙味甘平） 附子（一枚炮去皮破八片味辛热）
以上三味。以水五升。煮取一升五合。去滓、分温服。疑非仲景意。
芍药之酸。收敛津液而益荣。附子之辛温。固阳气而补卫。甘草之甘。调和辛酸而
安正气。
发汗、若下之。病仍不解。烦躁者。茯苓四逆汤主之。
发汗若下。病宜解也。若病仍不解。则发汗。外虚阳气下之。内虚阴气。阴阳俱虚。
邪独不解。故生烦躁。与茯茯四逆汤。以复阴阳之气。
茯苓（六两味甘平） 人参（一两味甘温） 甘草（二两炙味甘平） 干姜（一两
味辛热） 附子（一枚生用去皮破八片味辛热）
上五味。以水五升。煮取三升。去滓、温服七合。日三服。
四逆汤以补阳。加茯苓人参以益阴。
沈亮宸云。正虚有邪。正欲胜邪而不能。故烦躁。温其正气。邪自除矣。又云。大青
龙烦躁者。实也。茯苓四逆汤烦躁者。虚也。
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。表虚也。汗出而不恶寒。但热者。里实也。经曰。汗出不恶寒者。此
表解。里未和。与调胃承气汤。和胃气。
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。与五苓散主之。
小便不利而渴。此膀胱蓄热津液不行也。与五苓散。以利水行津。
发汗。已解。胃中干。烦躁不得眠。欲饮水者。少少与之。胃气得润。则愈。若脉
浮者。表未解也。饮水多而小便少者。谓之消渴。里热甚实也。微热、消渴者。热未成
实。上焦燥也。与五苓散。生津液。和表里。
Radix Paeoniae Alba (San Liang, sour flavor, slightly cold nature) Radix Glycyrrhizae Preparata (San Liang, processed with honey, sweet flavor, neutral nature) Rhizoma Aconiti Lateralis Preparatus (One piece, processed, skin removed, broken into eight pieces, acrid flavor, hot nature)
The above three herbs. Boil in five sheng of water. Reduce to one sheng and five he. Strain the dregs. Divide into two doses and take warm. This formula is suspected not to be the original intention of Zhang Zhongjing.
The sourness of Radix Paeoniae Alba can astringe body fluids and nourish Ying Qi (Nutritive Qi). The acrid-warm nature of Rhizoma Aconiti Lateralis Preparatus can consolidate Yang Qi and supplement Wei Qi (Defensive Qi). The sweetness of Radix Glycyrrhizae Preparata can harmonize acrid and sour flavors and stabilize Zheng Qi (Upright Qi).
After sweating or purging therapies, if the disease remains unresolved and irritability arises, it should be treated with Fuling Sini Tang (Poria Decoction for Reversing the Cold Extremities).
Sweating or purging should theoretically resolve the disease. If the disease remains unresolved, it indicates that sweating has depleted external Yang Qi, and purging has depleted internal Yin Qi. With both Yin and Yang deficient, the pathogenic factor remains unresolved alone, thus generating irritability. Administer Fuling Sini Tang (Poria Decoction for Reversing the Cold Extremities) to restore Yin and Yang Qi.
Rhizoma Polygonati (Liang, sweet flavor, neutral nature) Radix Ginseng (Yi Liang, sweet flavor, warm nature) Radix Glycyrrhizae Preparata (Er Liang, processed with honey, sweet flavor, neutral nature) Rhizoma Zingiberis Recens (Yi Liang, acrid flavor, hot nature) Rhizoma Aconiti Lateralis Cruda (One piece, used raw, skin removed, broken into eight pieces, acrid flavor, hot nature)
The above five herbs. Boil in five sheng of water. Reduce to three sheng. Strain the dregs. Take seven he warm per dose, three times daily.
Sini Tang (Decoction for Reversing the Cold Extremities) tonifies Yang Qi; adding Rhizoma Polygonati and Radix Ginseng benefits Yin Qi.
Shen Liangchen stated: When upright Qi is deficient while pathogens remain, the upright Qi desires to overcome the pathogens but lacks strength, hence irritability. By warming the upright Qi, the pathogens will naturally be eliminated. He further stated: Irritability in Da Qing Long Tang (Major Green Dragon Decoction) syndrome is excess; irritability in Fuling Sini Tang (Poria Decoction for Reversing the Cold Extremities) syndrome is deficiency.
After sweating, if chills are present, it is due to deficiency. If there are no chills but only fever, it is an excess pattern. One should harmonize Stomach Qi and administer Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Decoction).
Sweating accompanied by chills indicates exterior deficiency. Sweating without chills but with fever indicates interior excess. The Classics state: Sweating without chills means the exterior is resolved but the interior is not harmonized. Administer Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Decoction) to harmonize Stomach Qi.
In Taiyang Disease (Disease of the Greater Yang), after sweating, profuse sweating may dry the Stomach, causing irritability and insomnia. If the patient desires water, give small amounts frequently to drink. Once Stomach Qi is harmonized, the patient will recover. If the pulse is floating, urination is difficult, there is slight fever, and polydipsia occurs, treat with Wuling San (Five-Ingredient Powder with Poria).
Difficulty in urination accompanied by thirst indicates heat accumulation in the Bladder with impaired fluid metabolism. Administer Wuling San (Five-Ingredient Powder with Poria) to promote diuresis and regulate fluid distribution.
After sweating, if the disease resolves but Stomach dryness persists with irritability and insomnia, and the patient desires water, give small amounts frequently. Once Stomach Qi is moistened, recovery ensues. If the pulse is floating, the exterior pathogen remains unresolved. Drinking large amounts of water with scanty urination is termed Xiaoke (Wasting-Thirst), indicating severe interior heat excess. Slight fever and thirst indicate heat that has not yet fully solidified, representing upper Jiao dryness. Administer Wuling San (Five-Ingredient Powder with Poria) to generate fluids and harmonize the interior and exterior.