食谷欲呕，属阳明也，吴茱萸汤主之。得汤反剧者，属上焦也，治上焦。一少阴吐利，手
厥逆冷，烦躁欲死者，吴茱萸汤主之。厥阴干呕，吐涎沫者，头痛极甚，吴茱萸汤主之。
自利不渴者，属太阴，以其脏寒故也，宜服四逆汤辈。太阴手足自温，脉浮者，桂枝汤。
脉浮
吐，始得之，手足寒，脉弦迟者，此胃中实，不可下也，当吐之。若膈上有寒饮，干呕者，
不可吐也，当温之，宜四逆汤主之。少阴病，脉沉者，急温之，宜四逆汤。大汗若下利而厥
冷者，四逆汤主之。大汗出，热不去，内拘急，四肢疼，又下利厥逆而恶寒者，四逆汤主之
。下利腹胀，满身疼痛者，先温里乃攻表。温里宜四逆汤，攻表宜桂枝汤。呕而脉弱，小便
复利，身有微热见厥者难治，宜四逆汤主之。属厥阴吐利汗出，发热恶寒，四肢拘急，手足
厥冷，四逆汤主之。吐利小便复利而大汗出，下利清谷，内寒外热，脉微欲绝者，四逆汤主
之。病发热头痛，身体不疼痛，当救里，宜四逆汤主之。
少阴病，下利清谷，里寒外热，手足厥逆，脉微欲绝，身反不恶寒，其人面色赤，或腹
痛，或干呕，或咽痛，或利止脉不出，通脉四逆汤主之。下利清谷，里寒外热，汗出而厥者，通
脉四逆汤主之。此属厥阴。
After eating, if there is a desire to vomit, it belongs to Yangming disease (disease of the Stomach channel), and Wuzhuyu Tang (Evodia Decoction) is the primary treatment. If symptoms worsen after taking the decoction, it belongs to the Upper Jiao (Upper Burner), and should be treated accordingly.
In Shaoyin disease (disease of the Kidney/Heart channel) presenting with vomiting and diarrhea, cold extremities reaching the hands and elbows (Jue Ni), and severe irritability as if dying, Wuzhuyu Tang (Evodia Decoction) is the primary treatment. In Jueyin disease (disease of the Liver/Pericardium channel) presenting with dry heaving, spitting of saliva and foam, and extremely severe headache, Wuzhuyu Tang (Evodia Decoction) is the primary treatment.
Spontaneous diarrhea without thirst belongs to Taiyin disease (disease of the Spleen/Stomach channel), due to internal organ coldness; Si Ni Tang (Counterflow Decoction) or similar formulas are appropriate. In Taiyin disease, if the hands and feet are naturally warm and the pulse is floating, Guizhi Tang (Cinnamon Twig Decoction) is indicated.
At the onset of illness, if the hands and feet are cold and the pulse is wiry and slow, this indicates excess in the Stomach; purgation is contraindicated, and emesis should be induced. However, if there is cold fluid retention above the diaphragm causing dry heaving, emesis is contraindicated; warming is required, and Si Ni Tang (Counterflow Decoction) is the primary treatment.
In Shaoyin disease, if the pulse is deep, immediate warming is required, and Si Ni Tang (Counterflow Decoction) is indicated. Following profuse sweating or diarrhea with cold extremities, Si Ni Tang (Counterflow Decoction) is the primary treatment. With profuse sweating, persistent fever, internal cramping, limb pain, accompanied by diarrhea, cold extremities, and aversion to cold, Si Ni Tang (Counterflow Decoction) is the primary treatment.
For diarrhea with abdominal distension and generalized body pain, the interior must be warmed first before attacking the exterior. Warming the interior is suitable with Si Ni Tang (Counterflow Decoction), while attacking the exterior is suitable with Guizhi Tang (Cinnamon Twig Decoction).
If vomiting occurs with a weak pulse, clear urination, slight fever, and cold extremities, it is difficult to treat; Si Ni Tang (Counterflow Decoction) is the primary treatment. For Jueyin disease presenting with vomiting, diarrhea, sweating, fever with aversion to cold, limb cramping, and cold extremities, Si Ni Tang (Counterflow Decoction) is the primary treatment.
With vomiting, diarrhea, clear urination, profuse sweating, diarrhea of undigested food, interior cold with exterior heat, and a faint pulse nearly imperceptible, Si Ni Tang (Counterflow Decoction) is the primary treatment.
When suffering from fever and headache but without body pain, the interior must be rescued; Si Ni Tang (Counterflow Decoction) is the primary treatment.
In Shaoyin disease, presenting with diarrhea of undigested food, interior cold with exterior heat, cold extremities, and a faint pulse nearly imperceptible, yet the body does not feel cold, and the person’s face is red, or accompanied by abdominal pain, dry heaving, sore throat, or cessation of diarrhea with no pulse emerging, Tongmai Si Ni Tang (Pulse-Returning Counterflow Decoction) is the primary treatment.
For diarrhea of undigested food, interior cold with exterior heat, sweating, and cold extremities, Tongmai Si Ni Tang (Pulse-Returning Counterflow Decoction) is the primary treatment. This belongs to Jueyin disease.
For cold extremities and a fine pulse nearly imperceptible, Danggui Sini Tang (Angelica Sinensis Decoction for Reversing Cold Extremities) is the primary treatment.