1．太阳病，发热无汗，反恶寒者，名曰刚痉。
2．太阳病，发热汗出，而不恶寒，名曰柔痉。
3．太阳病，发热，脉沉而细者，名曰痉。为难治。
4．太阳病，发汗太多，因致痉。
5．夫风病，下之则痉。复发汗，必拘急。
6．疮家，虽身疼痛，不可发汗，汗出则痉。
7．病者，身热足寒，颈项强急，恶寒，时头热，面赤目赤，独头动摇，卒口噤，背反张者，痉病也。若发
其汗者，寒湿相得，其表益虚，即恶寒甚，发其汗已，其脉如蛇。
8．暴腹胀大者，为欲解，脉如故；反伏弦者，痉。
9．夫痉脉，按之紧如弦，直上下行。（一作∶筑筑而弦。《脉经》云∶痉家，其脉伏坚，直上下。）
10．痉病有灸疮，难治。
11．太阳病，其证备，身体强，几几然，脉反沉迟，此为痉。栝蒌桂枝汤主之。
栝蒌桂枝汤方
栝蒌根（二两） 桂枝（三两） 芍药（三两） 甘草（二两） 生姜（三两） 大枣（十二枚）
上六味，以水九升，煮取三升，分温三服，取微汗。汗不出，食顷啜热粥发。
12．太阳病，无汗而小便反少，气上冲胸，口噤不得语，欲作刚痉。葛根汤主之。
葛根汤方
葛根（四两） 麻黄（三两，去节） 桂枝（二两，去皮） 芍药（二两） 甘草（二两，炙） 生姜（三
两） 大枣（十二枚）
上七味， 咀，以水一斗，先煮麻黄、葛根减二升，去沫，纳诸药，煮取三升，去滓，温服一升，复取微似
汗，不须啜粥。余如桂枝汤法将息及禁忌。
13．痉为病，（一本痉字上有刚字。）胸满口噤，卧不着席，脚挛急，必 齿，可与大承气汤。
大承气汤方
大黄（四两，酒洗） 浓朴（半斤，炙，去皮） 枳实（五枚，炙） 芒硝（二合）
上四味，以水一斗，先煮二物取五升，去滓；纳大黄煮取二升，去滓；纳芒硝，更上火微一二沸，分温再服，
得下止服。
14．太阳病，关节疼痛而烦，脉沉而细（一作缓）者，此名湿痹。（《玉函》云，中湿。）湿痹之候，小便不利，
大便反快，但当利其小便。
15．湿家之为病，一身尽疼（一云∶疼烦，）发热，身色如熏黄也。
16．湿家，其人但头汗出，背强欲得被复向火，若下之早则哕，或胸满，小便不利（一云利，）舌上如苔者，
以丹田有热，胸上有寒，渴欲得饮而不能饮，则口燥烦也。
17．湿家，下之，额上汗出，微喘，小便利（一云不利）者。死；若下利不止者，亦死。
18．风湿相搏，一身尽疼痛，法当汗出而解。值天阴雨不止，医云此可发汗，汗之病不愈者，何也？盖发其
汗，汗大出者，但风气去，湿气在，是故不愈也。若治风湿者，发其汗，但微微似欲出汗者，风湿俱去也。
19．湿家病，身疼发热，面黄而喘，头痛鼻塞而烦，其脉大，自能饮食，腹中和无病，病在头中寒湿，故鼻
塞，纳药鼻中则愈。（《脉经》云∶病患喘。而无“湿家病”以下至“而喘”十三字。）
20．湿家，身烦疼，可与麻黄加术汤。发其汗为宜，慎不以火攻之。
麻黄加术汤方
麻黄（三两，去节） 桂技（二两，去皮） 甘草（一两，炙） 杏仁（七十个，去皮尖） 白术（四两）
上五味，以水九升，先煮麻黄，减二升，去上沫，纳诸药，煮取二升半，去滓，温服八合，复取微似汗。
21．病者一身尽疼，发热，日晡所剧者，名风湿。此病伤于汗出当风，或久伤取冷所致也。可与麻黄杏仁薏
苡甘草汤。
麻黄杏仁薏苡甘草汤方
麻黄（去节，半两，汤泡） 甘草（一两，炙） 薏苡仁（半两） 杏仁（十个，去皮尖，炒）
上 麻豆大，每服四钱，水一盏半，煮八分，去滓，温服，有微汗避风。
22．风湿脉浮，身重，汗出，恶风者，防己黄
汤主之。
防己黄 汤方
防己（一两） 甘草（半两，炒） 白术（七钱半） 黄 （一两一分，去芦）
上 麻豆大，每抄五钱七，生姜四片，大枣一枚，水盏半，煎八分，去滓，温服，良久再服。喘者加麻黄半
两，胃中不和者加芍药三分，气上冲者加桂枝三分，下有陈寒者加细辛三分。服后当如虫行皮中，从腰下如冰，
后坐被上，又以一被绕腰下，温令微汗，瘥。
23．伤寒八九日，风湿相搏，身体疼烦，不能自转侧，不呕，不渴，脉浮虚而涩者，桂枝附子汤主之。若大
便坚，小便自利者，去桂加白术汤主之。
桂枝附子汤方
桂枝（四两，去皮） 生姜（三两，切） 附子（三枚，炮，去皮，破八片） 甘草（二两，炙） 大枣（十
二枚，擘）
上五味，以水六升，煮取二升，去滓，分温三服。
白术附子汤方
白术（二两） 附子（一枚半，炮，去皮） 甘草（一两，炙） 生姜（一两半，切） 大枣（六枚）
上五味，以水三升，煮取一升，去滓，分温三
服。一服觉身痹，半日许再服，三服都尽，其人如冒状，勿怪，即是术附并走皮中，逐水气未得除故耳。
24．风湿相搏，骨节疼烦，掣痛不得屈伸，近之则痛剧，汗出短气，小便不利，恶风不欲去衣，或身微肿者，
甘草附子汤主之。
甘草附子汤方
甘草（二两，炙） 附子（一枚，炮，去皮） 白术（二两） 桂枝（四两，去皮）
上四味，以水六升，煮取三升，去滓，温服一升，日三服。初服得微汗则解。能食汗出复烦者，服五合。恐
一升多者，服六七合为妙。
25．太阳中 ，发热恶寒，身重而疼痛，其脉弦细芤迟，小便已，洒洒然毛耸，手足逆冷，小有劳，身即热，
口开前板齿燥。若发其汗，则其恶寒甚；加温针，则发热甚；数下之，则淋甚。
26．太阳中热者， 是也。汗出恶寒，身热而渴，白虎加人参汤主之。
白虎人参汤方
知母（六两） 石膏（一斤，碎） 甘草（二两） 粳米（六合） 人参（三两）
上五味，以水一斗，煮米熟汤成，去滓，温服一升，日三服。
27．太阳中 ，身热疼重，而脉微弱，此以夏月伤冷水，水行皮中所致也。一物瓜蒂汤主之。
一物瓜蒂汤方
瓜蒂（二七个）
上 ，以水一升，煮取五合，去滓，顿服。
1. In Taiyang disease (Disease of the Taiyang/Bladder channel), characterized by fever and absence of sweating, with an aversion to cold, it is named Gang Jing (Yang Spasm).
2. In Taiyang disease, characterized by fever and sweating, without aversion to cold, it is named Rou Jing (Yin Spasm).
3. In Taiyang disease, with fever and a deep, fine pulse, it is named Jing disease (Spasm). It is difficult to treat.
4. Excessive sweating in Taiyang disease leads to Jing disease (Spasm).
5. If a patient with Wind disease undergoes purgation, Jing disease (Spasm) results; if sweating is induced again, limb stiffness and urgency will definitely occur.
6. A patient with sores or ulcers, even if experiencing body pain, should not undergo sweating therapy; if sweating occurs, Jing disease (Spasm) will result.
7. The patient presents with body heat but cold feet, stiff and urgent neck and back, aversion to cold, occasional head heat, red face and eyes, isolated head tremor, sudden lockjaw, and opisthotonos (back arching backward). This is Jing disease (Spasm). If sweating therapy is applied, cold-dampness combines, further weakening the exterior, leading to severe aversion to cold; after sweating, the pulse becomes like a snake (winding and weak).
8. Sudden abdominal distension indicates impending resolution, with the pulse remaining normal; if the pulse is instead hidden and wiry, it is Jing disease (Spasm).
9. The pulse of Jing disease (Spasm), when pressed, is tight and string-like, running straight up and down. (Another version: pulsating and wiry. *Mai Jing* states: For patients with Jing disease (Spasm), the pulse is hidden and firm, running straight up and down.)
10. Jing disease (Spasm) combined with moxibustion sores is difficult to treat.
11. Taiyang disease with complete symptoms, stiff body, and a "Ji Ji" sensation (stiffness in the neck and back), with a reverse deep and slow pulse, is Jing disease (Spasm). It is treated with Gualou Guizhi Tang (Trichosanthes Root and Cinnamon Twig Decoction).
Gualou Guizhi Tang (Trichosanthes Root and Cinnamon Twig Decoction) Formula:
Gualou Gen (Trichosanthes Radix, 2 liang), Guizhi (Cinnamomi Ramulus, 3 liang), Shaoyao (Paeoniae Radix Alba, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), Shengjiang (Zingiberis Rhizoma Recens, 3 liang), Dazao (Ziziphi Jujubae Fructus, 12 pieces).
The above six ingredients are boiled in 9 sheng of water to obtain 3 sheng. Divide into three warm doses to induce slight sweating. If sweat does not appear, drink hot porridge for a while to promote sweating.
12. Taiyang disease with no sweating, reduced urine output, Qi rushing to the chest, lockjaw preventing speech, indicating impending Gang Jing (Yang Spasm). It is treated with Gegen Tang (Kudzu Root Decoction).
Gegen Tang (Kudzu Root Decoction) Formula:
Gegen (Puerariae Lobatae Radix, 4 liang), Mahuang (Ephedrae Herba, 3 liang, nodes removed), Guizhi (Cinnamomi Ramulus, 2 liang, bark removed), Shaoyao (Paeoniae Radix Alba, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried), Shengjiang (Zingiberis Rhizoma Recens, 3 liang), Dazao (Ziziphi Jujubae Fructus, 12 pieces).
The above seven ingredients are crushed, boiled in 1 dou of water. First boil Mahuang (Ephedrae Herba) and Gegen (Puerariae Lobatae Radix) until reduced by 2 sheng, skim off foam, then add other herbs. Boil to obtain 3 sheng, filter, and take 1 sheng warm. Cover to induce slight sweating; drinking hot porridge is not required. Rest and dietary precautions follow the method of Guizhi Tang (Cinnamon Twig Decoction).
13. In Jing disease (Spasm), with chest fullness, lockjaw, inability to lie flat on the back (severe opisthotonos), leg cramps, and teeth grinding, Da Chengqi Tang (Major Order the Qi Decoction) may be given.
Da Chengqi Tang (Major Order the Qi Decoction) Formula:
Dahuang (Rhei Radix et Rhizoma, 4 liang, wine-washed), Houpo (Magnoliae Officinalis Cortex, half jin, honey-fried, bark removed), Zhishi (Aurantii Fructus Immaturus, 5 pieces, honey-fried), Mangxiao (Natrii Sulfas, 2 he).
The above four ingredients are boiled in 1 dou of water. First boil Houpo (Magnoliae Officinalis Cortex) and Zhishi (Aurantii Fructus Immaturus) to obtain 5 sheng, filter; add Dahuang (Rhei Radix et Rhizoma), boil to obtain 2 sheng, filter; add Mangxiao (Natrii Sulfas), boil briefly over fire for one or two boils, divide into two warm doses. Stop taking upon defecation.
14. Taiyang disease with joint pain and irritability, and a deep, fine (or slow) pulse, is named Shi Bi (Dampness Bi Syndrome). (*Yu Han Jing* states: Infected by Dampness). The manifestation of Shi Bi (Dampness Bi Syndrome) includes difficulty in urination and loose stools; treatment should focus on promoting urination.
15. Patients with chronic Dampness present with generalized body pain, fever, and a sallow yellow complexion resembling smoked yellow.
16. Patients with chronic Dampness who only sweat from the head, have a stiff back, and desire covering and warmth near fire, if treated too early with purgation, may experience hiccups or chest fullness. With difficulty in urination (or clear urination) and a tongue coating resembling moss, this is due to Heat in the Dantian (Lower Jiao) and Cold in the Chest (Upper Jiao). Thirst with inability to drink leads to dry mouth and irritability.
17. If patients with chronic Dampness are purged, resulting in sweating on the forehead, slight wheezing, and clear urination (or difficulty in urination), death ensues; similarly, if diarrhea persists uncontrollably, death ensues.
18. When Wind-Dampness combats, causing generalized body pain, sweating should theoretically resolve the condition. However, during continuous rainy weather, if a physician prescribes sweating therapy and the illness persists, why? Because excessive sweating expels only the Wind, leaving Dampness behind, hence no cure. To treat Wind-Dampness, sweating should be mild and continuous ("like wanting to sweat"), allowing both Wind and Dampness to be expelled.
19. Patients with chronic Dampness presenting with body pain, fever, yellow face, wheezing, headache, nasal congestion, irritability, and a large pulse, yet able to eat normally with a harmonious abdomen, have Cold-Dampness lodged in the head causing nasal congestion. Inserting medicine into the nose will cure it. (*Mai Jing* notes: Patient wheezes. Omits the thirteen characters from "Shi jia bing" to "er chuan".)
20. Patients with chronic Dampness suffering from vexatious body pain may be given Mahuang Jia Zhu Tang (Ephedra plus Atractylodes Macrocephala Decoction). Sweating is appropriate; caution against using fire therapy.
Mahuang Jia Zhu Tang (Ephedra plus Atractylodes Macrocephala Decoction) Formula:
Mahuang (Ephedrae Herba, 3 liang, nodes removed), Guizhi (Cinnamomi Ramulus, 2 liang, bark removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried), Xingren (Armeniacae Semen Amarum, 70 seeds, skin and tips removed), Baizhu (Atractylodis Macrocephalae Rhizoma, 4 liang).
The above five ingredients are boiled in 9 sheng of water. First boil Mahuang (Ephedrae Herba), reduce by 2 sheng, skim foam, add other herbs, boil to obtain 2.5 sheng, filter, and take 8 ge warm. Cover to induce slight sweating.
21. Patients with generalized body pain and fever that worsens at dusk (You period, 3-5 PM) have Feng Shi (Wind-Dampness). This condition arises from sweating exposed to wind or prolonged exposure to cold. It is treated with Mahuang Xingyi Gancao Tang (Ephedra, Coix Seed, and Licorice Decoction).
Mahuang Xingyi Gancao Tang (Ephedra, Coix Seed, and Licorice Decoction) Formula:
Mahuang (Ephedrae Herba, nodes removed, half liang, soaked in hot water), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried), Yiyiren (Coicis Semen, half liang), Xingren (Armeniacae Semen Amarum, 10 seeds, skin and tips removed, stir-fried).
Crush the ingredients to the size of hemp seeds. Take 4 qian per dose with 1.5 sheng of water, boil to 0.8 sheng, filter, and take warm. Avoid wind after inducing slight sweating.
22. For Wind-Dampness with a floating pulse, heavy body, sweating, and aversion to wind, Fangji Huangqi Tang (Stephania and Astragalus Decoction) is indicated.
Fangji Huangqi Tang (Stephania and Astragalus Decoction) Formula:
Fangji (Stephaniae Tetrandrae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, 7.5 qian), Huangqi (Astragali Radix, 1 liang 1 fen, rhizome removed).
Crush ingredients to the size of hemp seeds. Take 5.7 qian per dose with 4 slices of Shengjiang (Zingiberis Rhizoma Recens) and 1 piece of Dazao (Ziziphi Jujubae Fructus), boil in 1.5 sheng of water to 0.8 sheng, filter, and take warm. Repeat later. Add Mahuang (Ephedrae Herba) half liang for wheezing, Shaoyao (Paeoniae Radix Alba) 3 fen for stomach disharmony, Guizhi (Cinnamomi Ramulus) 3 fen for Qi rushing upward, and Xixin (Asari Radix et Rhizoma) 3 fen for old cold below. After taking, a sensation of insects crawling under the skin and ice-cold feeling below the waist is expected. Sit on a quilt and wrap another around the waist to keep warm until slight sweating occurs, then recovery.
23. After eight or nine days of Shanghan (Cold Damage), with Wind-Dampness combatting, causing painful body irritability, inability to turn independently, no vomiting, no thirst, and a floating, deficient, and choppy pulse, Guizhi Fuzi Tang (Cinnamon Twig and Prepared Aconite Decoction) is indicated. If stool is hard and urination is free, remove Guizhi (Cinnamomi Ramulus) and add Baizhu (Atractylodis Macrocephalae Rhizoma), treated with Baizhu Fuzi Tang (Atractylodes Macrocephala and Prepared Aconite Decoction).
Guizhi Fuzi Tang (Cinnamon Twig and Prepared Aconite Decoction) Formula:
Guizhi (Cinnamomi Ramulus, 4 liang, bark removed), Shengjiang (Zingiberis Rhizoma Recens, 3 liang, sliced), Fuzi (Aconiti Lateralis Radix Praeparata, 3 pieces, processed, bark removed, broken into 8 pieces), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried), Dazao (Ziziphi Jujubae Fructus, 12 pieces, split).
The above five ingredients are boiled in 6 sheng of water to obtain 2 sheng, filter, and divide into three warm doses.
Baizhu Fuzi Tang (Atractylodes Macrocephala and Prepared Aconite Decoction) Formula:
Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1.5 pieces, processed, bark removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried), Shengjiang (Zingiberis Rhizoma Recens, 1.5 liang, sliced), Dazao (Ziziphi Jujubae Fructus, 6 pieces).
The above five ingredients are boiled in 3 sheng of water to obtain 1 sheng, filter, and divide into three warm doses. After the first dose, numbness may be felt; repeat after half an hour. After all three doses, a dizzy sensation may occur; do not be alarmed, as this is Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuzi (Aconiti Lateralis Radix Praeparata) moving through the skin to expel water qi.
24. When Wind-Dampness combats, causing painful joints, pulling pain preventing flexion and extension, severe pain upon touch, sweating, shortness of breath, difficulty in urination, aversion to wind with reluctance to remove clothes, or slight edema, Gancao Fuzi Tang (Licorice and Prepared Aconite Decoction) is indicated.
Gancao Fuzi Tang (Licorice and Prepared Aconite Decoction) Formula:
Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried), Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, processed, bark removed), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Guizhi (Cinnamomi Ramulus, 4 liang, bark removed).
The above four ingredients are boiled in 6 sheng of water to obtain 3 sheng, filter, and take 1 sheng warm, three times daily. Initial dose induces slight sweating for relief. If eating and sweating cause renewed irritability, take 5 ge. If 1 sheng is considered too much, 6-7 ge is optimal.
25. Taiyang Zhongshu (Summerheat Stroke) presents with fever, aversion to cold, heavy body pain, and a wiry, fine, knotted, and slow pulse. After urination, there is a chill with hair standing on end, cold extremities, fever upon slight exertion, open mouth, and dry front teeth. Sweating exacerbates aversion to cold; warming needles exacerbate fever; repeated purgation exacerbates strangury.
26. Taiyang Zhongre (Summerheat Heat) is Zhongshu (Summerheat Stroke). With sweating, aversion to cold, body heat, and thirst, Baihu Jia Renshen Tang (White Tiger plus Ginseng Decoction) is indicated.
Baihu Jia Renshen Tang (White Tiger plus Ginseng Decoction) Formula:
Zhimu (Anemarrhenae Rhizoma, 6 liang), Shigao (Gypsi Fibrosus, 1 jin, crushed), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), Jingsmi (Oryza Sativa, 6 he), Renshen (Ginseng Radix et Rhizoma, 3 liang).
The above five ingredients are boiled in 1 dou of water until rice is cooked and soup is ready, filter, and take 1 sheng warm, three times daily.
27. Taiyang Zhongshu (Summerheat Stroke) with body heat, pain, heaviness, and a weak pulse is caused by injuring cold water in summer, with water qi circulating in the skin. Yi Wu Goudi Tang (Single Ingredient Momordica Seed Decoction) is indicated.
Yi Wu Goudi Tang (Single Ingredient Momordica Seed Decoction) Formula:
Goudi (Momordicae Fructus, 27 seeds).
Crush the ingredient, boil in 1 sheng of water to obtain 5 he, filter, and take once.