者，先太阳中风，重感于寒，无汗为刚 ；中风，重感于湿，有汗为柔 。俱身热足寒，颈
项强急，恶寒，头面赤，目脉赤，独头摇，卒口噤，背反张，手足挛搐，皆 病也。伤风头痛，常
自汗出而呕，若汗之，必发 。大发湿家汗，亦作 。新瘥血虚，汗出当风，亦成 。若脉沉而迟，
或紧，或散于指外者，皆死证也。有汗，加减冲和汤；无汗者，羌活冲和汤；口噤切牙者，大承气
汤下之。
螈 者， 则急而缩， 则缓而伸。热则生风，风主乎动，故筋脉相引而伸缩。伤寒至此证，
可谓死矣，能以去风涤热之剂，间有生者，是其幸也。治法 病同。
风温，尺寸俱浮，素伤于风，因时伤热，风与热搏，即为风温。其外证四肢不收，身热自汗，
头疼喘息，发渴昏睡，或体重不仁。慎不可汗，汗之则谵语躁扰，目乱无睛光，病在少阴、厥阴二
经，葳蕤汤、小柴胡选用。未醒者，柴胡桂枝汤。发汗复身灼热，知母葛根汤；渴者，栝蒌根汤。
脉浮身重，防己汤。误汗风温，防己黄 汤也。
湿温，寸濡而弱，尺小而急，素伤于湿，因时中暑，湿与热搏，即为湿温。其
状胸腹满，目痛，壮热妄言，自汗，两胫疼，倦怠恶寒。若发其汗，使人不能言，耳聋，不知痛处，
其身青，面色变，是医杀人耳。湿温在太阴，苍术白虎汤加桂。湿气胜，一身尽痛，发热身黄，小
便不利，大便尽快，五苓散加茵陈。脏虚自利，附子理中汤也。
所谓“痓病”，是指先感受太阳中风证，又重感寒邪，无汗的称为刚痓；若感受中风后，又重感湿邪，有汗的称为柔痓。这两种情况都表现为身体发热、足部发冷、颈项强直拘急、恶寒、头面部发红、眼目脉络充血、唯独头部摇动、突然牙关紧闭、角弓反张（背部向后反折如弓）、手足抽搐挛急，这些都是痓病的症状。伤风引起的头痛，通常自汗出并伴有呕吐，如果误用发汗法治疗，必然会导致痓病发作。大发湿家（素患湿病者）之汗，也会引发痓病。新近病愈而血虚之人，出汗时当风受邪，也会形成痓病。如果脉象沉迟，或紧，或散乱于指外，都是死证。对于有汗的柔痓，使用加减冲和汤；无汗的刚痓，使用羌活冲和汤；牙关紧闭、切齿咬牙的，用大承气汤攻下。
所谓“瘛疭”（chì zòng），筋脉收缩为“瘛”，舒长为“疭”。热极则生风，风性主动，所以导致筋脉相互牵引而出现收缩与舒张交替。伤寒发展到此种证候，可以说是危在旦夕了，如果能用去风涤热的方剂治疗，偶尔有存活的可能，这算是侥幸。治疗方法同痓病。
风温证，寸脉和尺脉都浮，是因为素体伤于风邪，又因时令伤于热邪，风与热搏结，就形成风温。其外在证候表现为四肢不能收持、身体发热、自汗、头痛喘息、口渴昏睡，或者身体沉重、麻木不仁。千万不可发汗，如果误汗，会导致谵语躁扰、目光混乱无神，病位在少阴、厥阴二经，可选用葳蕤汤或小柴胡汤。神志未清醒的，用柴胡桂枝汤。发汗后身体灼热更甚的，用知母葛根汤；口渴厉害的，用栝蒌根汤。脉浮身重的，用防己汤。误治风温导致的变证，用防己黄芪汤。
湿温证，寸脉濡弱，尺脉小且急，是因为素体伤于湿邪，又因时令中暑，湿与热搏结，就形成湿温。其症状表现为胸腹胀满、眼睛疼痛、高热胡言乱语、自汗、两小腿疼痛、倦怠恶寒。如果误用发汗法，会使人不能说话、耳聋、不知疼痛部位、身体发青、面色改变，这是医生杀人啊。湿温病在太阴经，用苍术白虎汤加桂枝。湿气偏盛，全身疼痛、发热身黄、小便不利、大便溏泄的，用五苓散加茵陈。脏气虚弱导致自利的，用附子理中汤。
The condition referred to as "Jing" (Spasm) occurs when one first contracts Wind-Strike at the Taiyang stage and is subsequently re-exposed to Cold. If there is no sweating, it is termed Gang-Jing (Rigid Spasm); if Wind-Strike is followed by re-exposure to Dampness with sweating present, it is termed Rou-Jing (Flaccid Spasm). Both present with fever in the body but cold feet, stiffness and tension in the neck and nape, aversion to cold, redness of the head and face, congestion of the eye vessels, isolated head tremor, sudden lockjaw, opisthotonos (backward arching of the back), and spasmodic contraction of the limbs. These are all manifestations of Jing disease. Headache due to Wind-Strike typically presents with spontaneous sweating and vomiting; if diaphoresis is incorrectly induced, Jing will inevitably develop. Excessive sweating in patients with chronic Dampness also induces Jing. Patients recovering from illness with blood deficiency who sweat and are exposed to wind will also develop Jing. If the pulse is deep and slow, or tight, or scattered beyond the finger pads, these are signs of death. For cases with sweating, use Modified Chonghe Decoction; for cases without sweating, use Qianghuo Chonghe Decoction; for those with lockjaw and teeth grinding, administer Da Chengqi Tang to purge.
"Chi Zong" (Clonic convulsions) refers to the alternating contraction (Chi) and extension (Zong) of tendons and vessels. Heat generates Wind, and Wind governs movement, causing the tendons and vessels to pull against each other, resulting in alternating contraction and extension. When Shanghan progresses to this stage, it is considered fatal; survival is only possible through the rare application of formulas that dispel Wind and clear Heat, which is merely a stroke of luck. The treatment method is the same as for Jing.
Fengwen (Wind-Warmth) presents with floating pulses at both the Cun and Chi positions. It arises from pre-existing Wind injury compounded by seasonal Heat exposure, where Wind and Heat contend to form Fengwen. External symptoms include inability to control the limbs, body heat, spontaneous sweating, headache, wheezing, thirst, drowsiness, or heavy sensation with numbness. Diaphoresis must strictly be avoided; inducing sweat leads to delirium, restlessness, chaotic vision with loss of luster, indicating pathology in the Shaoyin and Jueyin meridians. Wenyu Tang or Xiao Chaihu Tang should be selected. If consciousness is not restored, Chaihu Guizhi Tang is used. If body heat intensifies after sweating, Zhimu Gegen Tang is indicated; for severe thirst, Gualougen Tang is used. For floating pulse and heaviness, Fangji Tang is employed. For complications arising from incorrect sweating in Fengwen, Fangji Huangqi Tang is used.
Shiwen (Damp-Warmth) presents with a soggy and weak pulse at the Cun position and a small, rapid pulse at the Chi position. It results from pre-existing Damp injury compounded by seasonal Summerheat, where Damp and Heat contend to form Shiwen. Symptoms include fullness in the chest and abdomen, eye pain, high fever with delirious speech, spontaneous sweating, pain in both calves, fatigue, and aversion to cold. Inducing sweating in this condition renders the patient mute, deaf, unaware of pain locations, causes the body to turn blue, and alters facial complexion; this constitutes medical homicide. For Shiwen affecting the Taiyin meridian, Cangzhu Baizhu Tang (Cangzhu Baihu Tang) with Gui Zhi is used. For predominant Dampness presenting with generalized pain, fever, jaundice, difficult urination, and loose stools, Wuling San with Yinchen is administered. For deficiency of the Zang organs leading to spontaneous diarrhea, Fuzi Lizhong Tang is used.