表里俱见之证∶或半在表，或半在里之证者，谓前表里二证，病在相参。有欲汗之而有里病，欲
下之而表病未解；汗之不可，吐之又不可，法当和解。伤风，白虎汤（二十二）；伤寒、中风或两感，
小柴胡汤（九）。一法不问风寒暑湿，用凉膈散（二十三）、天水散（五十二）二药合一服，用煎解之。
或表热多，里热少，天水一，凉膈半；或里热多，表热少，凉膈一，天水半；表热极，里有微
热，身疼头痛，或眩或呕，不可汗吐下者，天水、凉膈散合和解之。解之又不能退其热者，用黄连解毒
汤；表里之热俱微者，五苓散（二十四）；表里之热俱盛者，大柴胡汤（八）微下之，更甚者大柴
胡合大承气汤（十）下之，双除表里之热。服双解散（五十四）之后若不解，病已传变，后三日在里，法
当下之。殊不知下之太早，则表热乘虚而入里，遂成结胸、虚痞、懊 、发黄之证，轻者必危，危者
必死，但宜平和之药，宣散其表，和解其里，病势或有汗而愈，或无汗气和而愈。用小柴胡（九）、凉
膈（二十三）、天水（五十二），合和主之。病在半表半里，用小柴胡，凉膈散合和而解之，或小柴胡合
解毒汤（二十一）。如服，热势未退者，大柴胡（八）合三一承气汤（十三）。表里俱微，半表半里，
若里微者宜大柴
胡（八）合黄连解毒汤（二十一）合服。诸小柴胡汤证后病不解，表里热势更甚，而心下急郁微烦；
或发热汗出不解，心下痞硬、呕吐不利；或阳明病多汗；或少阴病下利清水，心下痛而口干；或
太阴病腹满而痛；或无表里证但发热，七、八日，虽脉浮而数，而脉在肌肉实数而滑者，并宜大柴胡汤
（八）。病至七、八日，里热已甚，表渐微，脉虽浮数，用三一承气汤（十三）合解毒下之。下证未全，
不可下者，用白虎汤（二十二）或人参石膏汤（三十五）。脉洪、躁，里有微热，不可
汗者，用黄连解毒汤（二十一）。
表证和里证同时出现的病证：或者病邪一半在表，一半在里的病证，是指前面的表证和里证两种病证，病情相互参杂。有的想通过发汗治疗却伴有里证，想用泻下法治疗但表证尚未解除；此时发汗不行，催吐也不行，治疗方法应当采用和解法。如果是伤风病，用白虎汤（二十二）；如果是伤寒、中风或两感病，用小柴胡汤（九）。有一种方法不分风寒暑湿，将凉膈散（二十三）和天水散（五十二）两药合为一剂服用，用水煎煮后解服。如果表热多而里热少，天水散一份，凉膈散半份；如果里热多而表热少，凉膈散一份，天水散半份；如果表热极盛，体内仅有微热，身体疼痛头痛，或者眩晕或者呕吐，不能使用发汗、催吐、泻下法的，将天水散和凉膈散合并使用以和解之。如果和解之后热势仍不退，用黄连解毒汤；如果表里之热都轻微，用五苓散（二十四）；如果表里之热都亢盛，用大柴胡汤（八）轻微泻下，更严重的用大柴胡汤合大承气汤（十）泻下，双除表里之热。服用双解散（五十四）之后如果病不解，说明病邪已经传变，三天后病邪在里，治法应当用泻下法。却不知道如果泻下太早，表热就会乘虚进入体内，于是形成结胸、虚痞、懊憹、发黄等病证，轻的必定危险，危险的必定死亡，只宜用平和的药物，宣散表邪，和解里邪，病势或许通过出汗而愈，或许不出汗但气机调和而愈。用小柴胡汤（九）、凉膈散（二十三）、天水散（五十二），合并调和为主治。病邪在半表半里，用小柴胡汤、凉膈散合并调和而解，或者小柴胡汤合解毒汤（二十一）。如果服用后，热势仍未退的，用大柴胡汤（八）合三一承气汤（十三）。表里之热都微弱，半表半里，如果里热轻微的宜用大柴胡汤（八）合黄连解毒汤（二十一）合并服用。各种小柴胡汤证之后病仍不解，表里热势更加严重，并且心下急迫郁闷微烦；或者发热出汗但病不解，心下痞塞坚硬、呕吐腹泻；或者阳明病多汗；或者少阴病下利清水，心下疼痛且口干；或者太阴病腹部胀满而痛；或者没有表里证只是发热，经过七、八天，虽然脉象浮数，但脉在肌肉层实数而滑的，都适宜用大柴胡汤（八）。病至七、八天，里热已经很盛，表热逐渐微弱，脉象虽然浮数，用三一承气汤（十三）合解毒汤泻下。下法的指征不完全具备，不可用泻下法的，用白虎汤（二十二）或人参石膏汤（三十五）。脉象洪大、躁动，里有微热，不可发汗的，用黄连解毒汤（二十一）。
Syndromes presenting with both exterior and interior manifestations: Syndromes where the pathogen is partly in the exterior and partly in the interior refer to the previous exterior and interior syndromes, where the pathological conditions are intermingled. In cases where one wishes to induce sweating but there are interior symptoms, or wishes to purge but the exterior syndrome has not yet resolved; inducing sweating is contraindicated, and inducing vomiting is also contraindicated; the treatment method should be harmonization. For wind-strike (Shangfeng), use Baihu Tang (White Tiger Decoction) (22); for cold damage (Shanghan), wind-strike (Zhongfeng), or simultaneous contraction of two meridians (Lianggan), use Xiaochaihu Tang (Minor Bupleurum Decoction) (9). One method applies regardless of wind-cold, wind-heat, summerheat, or dampness: combine Liangge San (Cooling the Diaphragm Powder) (23) and Tianshui San (Heavenly Water Powder) (52) into a single dose, decocted and administered. If exterior heat is predominant and interior heat is slight, use one part Tianshui San and half part Liangge San; if interior heat is predominant and exterior heat is slight, use one part Liangge San and half part Tianshui San. If exterior heat is extreme with only slight interior heat, accompanied by body pain, headache, dizziness, or vomiting, where sweating, vomiting, and purging are contraindicated, combine Tianshui San and Liangge San for harmonization. If harmonization fails to reduce the fever, use Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity); if both exterior and interior heat are mild, use Wuling San (Five-Ingredient Poria Pill) (24); if both exterior and interior heat are vigorous, use Daichaihu Tang (Greater Bupleurum Decoction) (8) with mild purging; for more severe cases, combine Daichaihu Tang with Dachengqi Tang (Major Order the Qi Decoction) (10) for purging to simultaneously eliminate exterior and interior heat. If the condition does not resolve after taking Shuangjie San (Double-Resolution Powder) (54), it indicates that the disease has transmitted; three days later, the pathogen is in the interior, and the treatment method should be purging. However, if purging is performed too early, exterior heat will enter the interior due to deficiency, leading to syndromes such as Jie Xiong (Chest Binding), Xu Pi (Empty Fullness), Ao Nao (Restlessness), and Huang Du (Jaundice). Mild cases will become critical, and critical cases will lead to death. It is advisable to use mild medications to disperse the exterior and harmonize the interior; the disease may resolve through sweating or through the harmonization of Qi without sweating. Use Xiaochaihu Tang (9), Liangge San (23), and Tianshui San (52) combined as the main treatment. For pathogens in the half-exterior half-interior stage, use Xiaochaihu Tang and Liangge San combined for harmonization, or combine Xiaochaihu Tang with Jiedu Tang (21). If the fever persists after administration, use Daichaihu Tang (8) combined with Sanyi Chengqi Tang (Three-One Order the Qi Decoction) (13). If exterior and interior heat are both mild, located in the half-exterior half-interior, and interior heat is slight, use Daichaihu Tang (8) combined with Huanglian Jiedu Tang (21). If the condition does not resolve after various Xiaochaihu Tang syndromes, with intensified exterior and interior heat, urgency and oppression in the epigastrium with slight irritability; or fever and sweating without resolution, epigastric fullness and hardness with vomiting and diarrhea; or Yangming disease with profuse sweating; or Shaoyin disease with watery diarrhea, epigastric pain, and dry mouth; or Taiyin disease with abdominal fullness and pain; or absence of exterior/interior syndromes but persistent fever for seven to eight days, where although the pulse is floating and rapid, it is solid, rapid, and slippery at the muscle level, all are suitable for Daichaihu Tang (8). By the seventh or eighth day, interior heat is intense while exterior heat is fading; even if the pulse is floating and rapid, use Sanyi Chengqi Tang (13) combined with Jiedu Tang for purging. If the indications for purging are not fully present and purging is contraindicated, use Baihu Tang (22) or Renshen Shigao Tang (Ginseng and Gypsum Decoction) (35). For a surging and restless pulse with slight interior heat where sweating is contraindicated, use Huanglian Jiedu Tang (21).