治太阳发汗。遂漏不止。其人恶风。小便难。四肢微急。难以屈伸者。
桂枝汤原方。加附子。（一枚 炮去皮。破八片）
上六味。 咀。以水七升。煮取三升。去渣。温服一升。
歌曰 汗因过发漏漫漫。肢急常愁伸屈难。尚有尿难风又恶。桂枝加附一枚安。
男元犀按。太阳之脏即是少阴。太阳病本宜发汗。发之太过而为漏不止。必用附子以固
之。
脱液。尚喜肾中之真阳未亡。
只用附子大补少阴之气。得桂枝汤为太阳之专药。令阴交于阳则漏止。漏止则液不外脱。
而
治太阳病下之后。脉促胸满者。
桂枝汤原方。去芍药。
上四味。以水七升。煮取三升。温服一升。
桂枝去芍药加附子汤 治同前。更加微寒者。
即前方加附子。（一枚 炮去皮。破八片）
上五味。 咀。以水七升。煮取三升。去滓。温服一升。恶寒止。停后服。
歌曰 桂枝去芍义何居。胸满阴弥要急除。若见恶寒阳不振。更加附子一枚俱。
蔚按。伤寒论大旨。以得阳则生。上节言汗之遂漏。虑其亡阳。此节言下后脉促胸满。
亦恐
阳位而为满。脉亦数中一止而为促。治宜急散阴霾。于桂枝汤去芍药者。恐其留恋阴邪也。
若见恶寒。为阳虚已极。徒抑其阴无益。必加熟附以壮其阳。方能有济。喻嘉言、程扶生之
解俱误。
Treats Taiyang disease after excessive sweating, resulting in continuous leakage of sweat. The patient experiences aversion to wind, difficulty in urination, slight stiffness and tension in the four limbs, making flexion and extension difficult.
Use the original Guizhi Tang (Cinnamon Twig Decoction), adding Fuzi (Prepared Aconite Root). (One piece, processed, skin removed, broken into eight pieces)
The above six ingredients are coarsely crushed, boiled with seven sheng of water until three sheng remain, strained, and taken warm, one sheng at a time.
The verse states: Sweating due to over-induction leads to endless leakage; Limb stiffness makes flexion and extension hard to bear. With difficulty in urination and aversion to wind, Adding one piece of Fuzi to Guizhi Tang brings peace.
Nan Yuanxi notes: The interior organ associated with the Taiyang channel is Shaoyin. Taiyang disease is originally suitable for inducing sweating; if done excessively, causing continuous leakage, it is necessary to use Fuzi to secure and consolidate.
To prevent the loss of body fluids, fortunately, the True Yang within the Kidney has not yet perished.
Using only Fuzi to greatly tonify the Qi of Shaoyin, combined with Guizhi Tang as the specific medicine for the Taiyang channel, allows Yin to interact with Yang, stopping the leakage. Once leakage stops, fluids no longer escape externally.
Treats Taiyang disease where purgation was mistakenly used afterwards, resulting in a rapid pulse (Cu Mai) and chest fullness.
Use the original Guizhi Tang (Cinnamon Twig Decoction), removing Shaoyao (White Peony Root).
The above four ingredients are boiled with seven sheng of water until three sheng remain, and taken warm, one sheng at a time.
Guizhi Qu Shaoyao Jia Fuzi Tang (Cinnamon Twig Decoction without White Peony plus Prepared Aconite Root) treats the same condition as above. If accompanied by slight aversion to cold:
Add Fuzi (Prepared Aconite Root) to the previous formula. (One piece, processed, skin removed, broken into eight pieces)
The above five ingredients are coarsely crushed, boiled with seven sheng of water until three sheng remain, strained, and taken warm, one sheng at a time. Stop subsequent doses once aversion to cold ceases.
The verse states: Why remove Shaoyao from Guizhi Tang? To urgently dispel Yin excess causing chest fullness. If aversion to cold appears, indicating weak Yang, Add one piece of Fuzi to complete the remedy.
Wei notes: The main principle of Shanghan Lun (Treatise on Cold Damage) is that life depends on obtaining Yang. The previous section discussed sweating leading to leakage, fearing the loss of Yang. This section discusses rapid pulse and chest fullness after purgation, also fearing that Yang Qi is trapped in the upper jiao causing fullness; the pulse is rapid but occasionally pauses, termed Cu Mai (Rapid Pulse). Treatment should urgently disperse Yin pathogens. Removing Shaoyao from Guizhi Tang avoids retaining Yin pathogens. If aversion to cold is seen, it indicates extreme Yang deficiency; merely suppressing Yin is useless. It is necessary to add Shu Fuzi (Processed Prepared Aconite Root) to strengthen Yang, which will be effective. The interpretations by Yu Jiayan and Cheng Fusheng are both incorrect.