太阴手足温无厥，少阴厥冷不能温，厥阴寒厥分微甚，热厥相因辨浅深。
【注】太阴经无厥逆，而有手足自温。少阴经有寒厥，而无热厥。厥阴经有寒、热二
厥。寒厥者，只寒而不热也。热厥者，由热而厥，由厥而热，热厥相因无休歇也。当辨
阴阳浅深，以当归四逆、承气等汤施治可也。详厥阴篇。
少腹满而按之痛，厥逆尿白冷膀胱，不厥血蓄小便利，小便不利水为殃。
【注】少腹满按之痛，若四肢厥冷，小便清白者，是冷结膀胱，宜当归四逆加吴茱萸
生姜汤。不厥冷，小便自利者，是血蓄膀胱，宜桃仁承气汤。小便不利者，是水蓄膀胱，宜
五苓散，若大小便不利者，是水热蓄结，宜八正散。
神昏胃热重阳狂，三黄三承白解汤。蓄血发狂小便利，少腹硬痛属太阳，阳明蓄血
大便黑，其人如狂而喜忘，桃仁承气抵当治，须识作汗奄然狂。
【注】神昏胃热，谓神昏是胃经热极乘心也。重阳狂，谓热入于阳则狂乱也。三黄，谓
三黄石膏汤，治神昏狂乱表实无汗者也。三承，谓三承气汤，治神昏狂乱里实不便者也。
白解汤，谓白虎解毒汤，治神昏狂乱，无表里证而热极者也。太阳蓄血发狂，则少腹硬
痛，小便自利。若小便不利，是水热蓄也，非血蓄也。阳明血蓄如狂，则喜忘大便黑，若
大便不黑，是热极也，非血蓄也。蓄血轻者，桃仁承气汤，重者抵当汤，择而用之可也。然
发狂证，亦有阳盛阴虚之人，作汗将解之时，奄然发狂， 然汗出而解者，当须识之，不
可以药也。
太阴病手足温暖而无厥冷，少阴病四肢厥冷且无法回暖，厥阴病的寒厥需区分程度轻重，热厥则需辨别病邪的浅深。
【注】太阴经不会出现厥逆症状，但表现为手足自然温暖。少阴经存在寒厥，但不存在热厥。厥阴经既有寒厥也有热厥。所谓寒厥，是指只有寒冷而没有发热的症状。所谓热厥，是由内热导致四肢厥冷，或由四肢厥冷引发内热，热与厥相互交替、无休止地发作。此时应当辨别阴阳及病位的浅深，可采用当归四逆汤、承气汤等方剂进行治疗。详细内容参见厥阴篇。
少腹部胀满且按压时疼痛，若伴有四肢厥冷、小便清长色白，这是冷邪结于膀胱；若无四肢厥冷、小便通畅，这是瘀血蓄积于膀胱；若小便不通利，则是水湿停聚为患。
【注】少腹胀满且按压疼痛，如果四肢厥冷、小便清白，这是冷邪结于膀胱，适宜使用当归四逆加吴茱萸生姜汤。如果不出现四肢厥冷、小便自利，这是瘀血蓄积于膀胱，适宜使用桃仁承气汤。如果小便不利，这是水湿蓄积于膀胱，适宜使用五苓散；如果大小便均不通利，这是水热互结，适宜使用八正散。
神志昏蒙由胃热引起，重阳（极热）会导致狂乱，可用三黄石膏汤、三承气汤或白虎解毒汤治疗。瘀血蓄积导致发狂且小便通利，少腹部硬痛属于太阳病范畴；阳明病蓄血则大便色黑，患者神情如狂且健忘，可用桃仁承气汤或抵当汤治疗。必须识别那种在即将出汗解表时突然发狂的情况。
【注】“神昏胃热”，是指神志昏蒙是因为胃经热极上乘于心所致。“重阳狂”，是指热邪侵入阳分则导致狂乱。“三黄”，指的是三黄石膏汤，用于治疗神志昏蒙、狂乱、表实且无汗的症状。“三承”，指的是三种承气汤，用于治疗神志昏蒙、狂乱、里实且大便不通的症状。“白解汤”，指的是白虎解毒汤，用于治疗神志昏蒙、狂乱，既无表证也无里证但热势极盛的情况。太阳病蓄血导致发狂，表现为少腹部硬痛，小便自利。如果小便不利，则是水热蓄积，而非瘀血蓄积。阳明病瘀血蓄积导致神情如狂，表现为健忘、大便黑色；如果大便不黑，则是热势极盛，而非瘀血蓄积。瘀血蓄积较轻者，用桃仁承气汤；较重者，用抵当汤，根据情况选择使用即可。然而，发狂证中，也有因阳盛阴虚之人，在将要出汗而病情缓解之时，突然发狂，随后汗出而病愈的情况，对此必须加以识别，这种情况不需要用药治疗。
Taiyin disease presents with warm hands and feet without cold extremities (Jue); Shaoyin disease presents with cold extremities that cannot be warmed; Jueyin disease's cold Jue requires differentiation of severity, while heat Jue requires differentiation of depth.
[Note] The Taiyin meridian does not present with Jue (cold extremities), but rather with naturally warm hands and feet. The Shaoyin meridian presents with cold Jue but not heat Jue. The Jueyin meridian presents with both cold and heat Jue. Cold Jue refers to symptoms characterized only by coldness without heat. Heat Jue refers to a condition where internal heat causes extremity coldness, or extremity coldness induces internal heat, with heat and Jue alternating incessantly. In such cases, one must differentiate the Yin-Yang status and the depth of the pathogen, treating with formulas such as Danggui Sini Tang (Angelica Sinensis Decoction for Cold Extremities) or Chengqi Tang (Purgative Decoctions). For details, refer to the Jueyin chapter.
Fullness in the lower abdomen with pain upon palpation, accompanied by cold extremities and clear, white urine, indicates cold binding in the Bladder; absence of cold extremities with free urination indicates blood stasis in the Bladder; difficulty in urination indicates water retention causing harm.
[Note] Lower abdominal fullness with pain on pressure, if accompanied by cold extremities and clear, white urine, indicates cold binding in the Bladder, suitable for Danggui Sini Tang plus Evodia and Fresh Ginger Decoction. If there is no cold extremities and urination is free, it indicates blood stasis in the Bladder, suitable for Taoren Chengqi Tang (Peach Kernel Purgative Decoction). If urination is difficult, it indicates water retention in the Bladder, suitable for Wuling San (Five-Ingredient Powder with Poria). If both stool and urine are obstructed, it indicates water-heat accumulation, suitable for Bazheng San (Eight-Ingredient Powder for Rectification).
Mental confusion due to Stomach heat, extreme Yang heat leading to mania, can be treated with Sanhuang Shigao Tang (Three-Yellow Gypsum Decoction), the three Chengqi Tangs, or Baihu Jiedu Tang (White Tiger Detoxifying Decoction). Blood stasis causing mania with free urination and hardness/pain in the lower abdomen belongs to the Taiyin/Sunyang category; Yangming blood stasis presents with black stool, mental restlessness akin to mania, and forgetfulness, treatable with Taoren Chengqi Tang or Didang Tang. One must recognize the phenomenon of sudden mania occurring just before sweating resolves the condition.
[Note] "Mental confusion due to Stomach heat" means that mental confusion arises from extreme heat in the Stomach meridian affecting the Heart. "Extreme Yang heat leading to mania" means that when heat enters the Yang aspect, it leads to madness. "Sanhuang" refers to Sanhuang Shigao Tang, used for mental confusion, mania, exterior excess with no sweat. "Three Chengqi" refers to the three Chengqi Tangs, used for mental confusion, mania, interior excess with constipation. "Baijie Tang" refers to Baihu Jiedu Tang, used for mental confusion, mania, with neither exterior nor interior signs but extreme heat. Taiyin blood stasis causing mania presents with hardness and pain in the lower abdomen and free urination. If urination is difficult, it is water-heat accumulation, not blood stasis. Yangming blood stasis causing mental restlessness presents with forgetfulness and black stool; if the stool is not black, it is extreme heat, not blood stasis. For mild blood stasis, use Taoren Chengqi Tang; for severe cases, use Didang Tang, choosing according to the situation. However, in mania syndromes, there are also cases where individuals with Yang excess and Yin deficiency experience sudden mania just as they are about to sweat and resolve the illness, followed by recovery after sweating. This must be recognized, and no medication is required.