悉照前方。加芍药。
脉浮为风。大为虚。风则微热。虚则痉挛。宜与桂枝加附子汤。厥逆咽干烦躁。阳明内
结。谵语烦乱。更饮甘草干姜汤。夜半阳气还。两足当热。胫尚微拘急重。与芍药甘草汤。乃胫
伸。以承气汤微溏。则止其谵语。
芍药 甘草
浮为风。合用桂枝汤。大为虚。虚而胫挛者。寒则筋急也。非附子不能温经以舒筋。故
加之。厥逆咽干烦躁。此阴躁也。虽内结谵语。而阳气未回。故以甘草干姜，温理中气。为脾主
四肢。又甘能缓急也。及阳气已还。则除去温剂。虽胫尚拘急。不过以芍药
和营而已。直待胫伸。寒症尽去。然后以承气止其谵语。盖内结者。非承气不能除耳。一症
也。始而大温之。既而微温。又既而微寒之。终而大寒之。非有见垣之智者。未易语此。后
人遇此症。岂复能出此手眼耶。
白术 甘草 附子 生姜 大枣
主风湿相搏。身痛。不呕渴。脉虚涩若其人大便硬。小便利者。宜与此汤。仲景云。初
服之。其人身如痹。半日许。复服之。三服尽。其人如冒状。勿怪。此以术附并走皮内。逐水气
。未得除故耳。当加桂四两。此本一方二法。以大便硬。小便利。故去桂也。以大便不硬。
小便不利。当加桂附。
甘草 白术 桂枝 附子
风湿相搏。骨节痛。不能屈伸。汗出短气。小便不利。恶风。或身微肿。身肿。加防风。
小便不利。加茯苓。
完全依照前面的方剂。加入芍药。
脉象浮表示有风邪，脉象大表示正气虚弱。风邪侵袭则出现轻微发热，正气虚弱则导致肌肉痉挛。适宜使用桂枝加附子汤（在桂枝汤基础上加入附子）。如果出现四肢厥冷、咽喉干燥、烦躁不安，这是阳明经内部热结所致，伴有谵语和神志烦乱。此时应再服用甘草干姜汤。到了半夜阳气恢复，双脚应当变热。如果小腿仍然轻微拘急沉重，给予芍药甘草汤，这样小腿就能伸展。再用承气汤使大便轻微通畅，即可停止谵语。
脉浮为风邪，合用桂枝汤。脉大为虚证，虚证且小腿挛急的，是因为寒邪导致筋脉紧急。非附子不能温通经脉以舒缓筋脉，所以加入附子。四肢厥冷、咽喉干燥、烦躁不安，这属于阴躁证。虽然内部有热结和谵语，但阳气尚未回复，所以用甘草干姜汤来温补调理中焦脾胃之气。因为脾主四肢，且甘味药物能缓解急迫。等到阳气已经回复，就除去温热性质的药物。虽然小腿仍有拘急，不过是用芍药调和营血罢了。直待小腿伸展，寒症完全去除，然后用承气汤止住谵语。因为内部的实热结滞，非承气汤不能清除。这是一个病症。开始用大温之剂，接着用微温之剂，然后又用微寒之剂，最后用大寒之剂。如果不是具有洞察事物本质的智慧的人，很难与此谈论这些道理。后人遇到这种病症，难道还能有这种见识和手段吗？
主治风湿相互搏结。身体疼痛，没有呕吐和口渴，脉象虚涩。如果病人大便干硬，小便通畅的，适宜给予此汤。张仲景说：初次服用后，病人身体感觉像麻痹一样；约半个时辰后，再次服用；三服药服完后，病人感觉头昏目眩像要晕倒的样子，不要奇怪。这是因为白术和附子共同走窜于皮内，驱逐水湿之气，尚未被清除的缘故。应当增加桂枝四两。这原本是一个方剂两种用法，因为大便干硬、小便通畅，所以去掉桂枝。如果大便不干硬、小便不利，应当增加桂枝和附子。
风湿相互搏结，骨节疼痛，不能屈伸，出汗，气短，小便不利，怕风，或者身体轻微浮肿。身体浮肿的，加防风。小便不利的，加茯苓。
Follow the previous prescription exactly. Add Shaoyao (Paeoniae Radix Alba).
A floating pulse indicates Wind pathogen; a large pulse indicates deficiency. Wind invasion leads to slight fever, while deficiency causes muscle spasms. It is appropriate to use Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction with Aconite Root). If there are cold extremities, dry throat, and irritability, this indicates internal binding in the Yangming channel accompanied by delirium and mental confusion. At this time, one should administer Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction). By midnight, when Yang qi returns, both feet should become warm. If the calves remain slightly cramped and heavy, administer Shaoyao Gancao Tang (Peony and Licorice Decoction), so that the calves will extend. Then, use Chengqi Tang (Gut-Resolving Decoction) to induce slight loose stools, which will stop the delirium.
Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma)
Shaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma)
A floating pulse signifies Wind, hence Guizhi Tang (Cinnamon Twig Decoction) is combined. A large pulse signifies deficiency. When deficiency is accompanied by calf cramping, it is due to Cold causing tendon urgency. Only Fuzi (Aconiti Lateralis Radix Praeparata) can warm the meridians to relax the tendons; therefore, it is added. Cold extremities, dry throat, and irritability constitute Yin restlessness (Yin Zao). Although there is internal binding and delirium, Yang qi has not yet returned; thus, Gancao Ganjiang Tang is used to warm and regulate the Middle Jiao Qi. Since the Spleen governs the four limbs, and sweet flavors can relieve urgency, this treatment is chosen. Once Yang qi has returned, the warming agents are removed. Although the calves remain cramped, Shaoyao (Paeoniae Radix Alba) is used merely to harmonize the Ying (Nutritive) level. One must wait until the calves extend and the Cold syndrome is completely eliminated before using Chengqi Tang (Gut-Resolving Decoction) to stop the delirium. Internal binding cannot be cleared without Chengqi Tang (Gut-Resolving Decoction). This is a single syndrome treated sequentially: first with strong warming agents, then mild warming, followed by mild cooling, and finally strong cooling. Unless one possesses wisdom to see through walls (profound insight), it is difficult to discuss these matters. Would later generations encountering such syndromes possess such vision and skill?
Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus)
Indicated for Rhebi (Wind-Dampness) interlocking. Symptoms include body pain, absence of vomiting or thirst, and a deficient, choppy pulse. If the patient has hard stool but free urination, this decoction is appropriate. Zhang Zhongjing stated: After the initial dose, the patient may feel numbness; after about half a day, upon taking subsequent doses, once all three doses are consumed, the patient may experience a sensation of dizziness or clouded consciousness. Do not be alarmed. This occurs because Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuzi (Aconiti Lateralis Radix Praeparata) move together within the skin to expel water dampness, which has not yet been fully eliminated. In this case, Gui Zhi (Cinnamomi Ramulus) should be increased by four liang. This was originally one formula with two methods. Because the stool was hard and urination free, Gui Zhi (Cinnamomi Ramulus) was removed. If the stool is not hard and urination is difficult, Gui Zhi (Cinnamomi Ramulus) and Fuzi (Aconiti Lateralis Radix Praeparata) should be added.
Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata)
Rhebi (Wind-Dampness) interlocking causes joint pain, inability to flex or extend, sweating, shortness of breath, difficulty in urination, aversion to wind, or slight body edema. For body edema, add Fangfeng (Saposhnikoviae Radix). For difficulty in urination, add Fuling (Poria).