风温被下必失溲。鼾睡难言自汗流。（仲景云。风温为病。脉阴阳俱浮。自汗出。身重。多眠睡。鼻息必鼾。语言难
出。若被下者。小便不利。直视失溲。）三阳合病身体重。不觉遗尿也可忧。（仲景云。三阳合病。腹满身重。难以转侧。
口不仁。面垢。谵语。遗尿。发汗则谵语。下之则额上生汗。手足厥冷。自汗宜白虎汤主之。）下焦不归亦遗溺。三者根据
方病可瘳。（仲景云。下焦不归其部。则遗溲已上三证。随证治之可愈。）忽然直视并狂语。肾绝如何得久留。（仲景云。
溲便遗失。狂言。反目直视者。此为肾绝也。）
太阴腹满必时痛。（仲景云。太阴之为病。腹满吐食不下。下之甚。腹满时痛。）合病腹满身体重。（仲景云。三阳合
病。腹满身重。难以转侧。）阳明腹满口苦干。微喘小柴胡可用。（仲景云。阳明中风。口苦咽干。腹满微喘。发热。脉
浮而紧。下之。则腹满而小便难也。）谷疸之时且调胃。（仲景云。阳明病。脉迟欲成谷疸。下之则腹满。）潮热更兼便不
利。勿令大下使之虚。微和胃腑宜承气。（仲景云。阳明脉迟。腹满而喘。有潮热。小承气汤主之。又云。腹大满而不大
便者。小承气。微和其胃气。勿令大下。）下后心烦而腹满。栀子浓朴汤宜尔。（仲景云。伤寒下后。心烦腹满。卧起不
安者。栀子浓朴汤。）汗后浓朴最为佳。（仲景。发汗后腹胀者。浓朴五物汤。）吐后小承当审谛。（仲景云。伤寒吐后腹
满者。小承气汤主之。此一证当仔细辨之。）太阴桂枝芍药汤。大实大黄汤可治。（仲景云。太阳病。医反下之。因腹满
时痛属太阴。桂枝芍药汤。大实痛。则用大黄汤主之。）
风温病若误用攻下法，必然导致小便失禁。患者会出现打鼾、难以言语以及自汗淋漓的症状。（张仲景说：风温这种病证，脉象寸关尺三部皆浮，有自汗出、身体沉重、嗜睡多眠、鼻息声重如鼾、语言困难等症状。如果误用攻下法，会导致小便不通利、两眼直视、大小便失禁。）三阳经同时受病的患者身体沉重，不知不觉出现遗尿，这也是令人担忧的症状。（张仲景说：三阳合病，表现为腹部胀满、身体沉重、难以翻身转侧、口舌麻木不知味、面部污垢、胡言乱语、遗尿。如果误用发汗法，会加重胡言乱语；误用攻下法，会导致额头出汗、手足冰冷。若有自汗症状，适宜用白虎汤主治。）下焦之气不能回归本位也会导致遗尿。以上三种情况根据具体证候治疗即可痊愈。（张仲景说：下焦之气不归其部，就会发生遗尿。上述三个证候，随其证候特点进行治疗即可治愈。）如果突然双眼直视并伴有狂乱谵语，这是肾气绝灭的表现，生命如何能长久维持呢？（张仲景说：二便失禁、胡言乱语、眼球上翻直视的，这是肾气绝灭的征象。）
太阴病腹部胀满必然伴随间歇性疼痛。（张仲景说：太阴病的表现是腹部胀满、呕吐、饮食难以下咽。如果误用攻下法，会导致严重的腹部胀满和间歇性腹痛。）三阳合病也会出现腹部胀满和身体沉重。（张仲景说：三阳合病，表现为腹部胀满、身体沉重、难以翻身转侧。）阳明病腹部胀满且口苦咽干，若有轻微气喘，可以使用小柴胡汤。（张仲景说：阳明中风，表现为口苦、咽干、腹部胀满、轻微气喘、发热、脉象浮而紧。如果误用攻下法，会导致腹部胀满且小便困难。）患谷疸病时应当先调理胃气。（张仲景说：阳明病，脉象迟，将要形成谷疸。如果误用攻下法，会导致腹部胀满。）如果有潮热并且兼有大便不通利，不要使用峻猛攻下法使其正气虚弱，只需轻微调和胃腑，适宜用承气汤。（张仲景说：阳明病脉象迟，腹部胀满且气喘，有潮热症状，用小承气汤主治。又说：腹部显著胀满但大便不畅通的，用小承气汤，轻微调和胃气，不要使用峻猛攻下法。）攻下之后出现心烦且腹部胀满，适宜使用栀子厚朴汤。（张仲景说：伤寒经过攻下治疗后，出现心烦、腹部胀满、躺卧起坐不安的，用栀子厚朴汤。）发汗之后，厚朴最为适宜。（张仲景说：发汗后出现腹胀的，用厚朴生姜半夏甘草人参汤，此处简称为浓朴五物汤，意指以厚朴为主的治疗方剂。）呕吐之后，小承气汤应当仔细辨证使用。（张仲景说：伤寒呕吐后出现腹部胀满的，用小承气汤主治。这一个证候应当仔细辨别。）太阴病腹满时痛可用桂枝加芍药汤，大实痛则可用大黄汤治疗。（张仲景说：太阳病，医生反而误用攻下法，导致腹部胀满间歇性疼痛，这属于太阴病范畴，用桂枝加芍药汤；如果是大实痛，则用含有大黄的主治方剂。）
If Wind-Warmth (Fengwen, a disease caused by warm pathogenic factors) is treated with purgation, it will inevitably lead to incontinence of urine. The patient will exhibit snoring, difficulty in speaking, and spontaneous sweating. (Zhang Zhongjing stated: In Wind-Warmth disease, the pulse is floating at all three positions (Cun, Guan, Chi); there is spontaneous sweating, heaviness of the body, excessive sleepiness, snoring nasal breathing, and difficulty in speech. If purgation is mistakenly applied, it leads to difficult urination, fixed gaze, and loss of control over urination and defecation.) In San-Yang combined disease (simultaneous involvement of the Taiyang, Yangming, and Shaoyang meridians), the body feels heavy, and involuntary enuresis may occur, which is a cause for concern. (Zhang Zhongjing stated: In San-Yang combined disease, symptoms include abdominal fullness, heaviness of the body, difficulty in turning the body, numbness of the mouth, facial greasiness, delirium, and enuresis. Mistaken diaphoresis worsens delirium; mistaken purgation causes sweating on the forehead and cold limbs. For cases with spontaneous sweating, Baihu Tang [White Tiger Decoction] is indicated.) Failure of the Lower Jiao (Lower Burner) Qi to return to its proper location also results in urinary incontinence. The above three conditions can be cured by treating according to the specific syndrome. (Zhang Zhongjing stated: When the Qi of the Lower Jiao does not reside in its proper region, urinary incontinence occurs. The aforementioned three syndromes can be resolved by treating them according to their respective presentations.) Sudden fixed gaze accompanied by manic speech indicates Kidney Exhaustion (Shen Jue); how long can life be sustained? (Zhang Zhongjing stated: Loss of control over urination and defecation, manic speech, and upward-turned fixed eyes indicate Kidney Exhaustion.)
Taiyin disease presents with abdominal fullness necessarily accompanied by intermittent pain. (Zhang Zhongjing stated: The manifestation of Taiyin disease includes abdominal fullness, vomiting, and inability to eat. Severe mistaken purgation leads to significant abdominal fullness and intermittent abdominal pain.) San-Yang combined disease also presents with abdominal fullness and heaviness of the body. (Zhang Zhongjing stated: In San-Yang combined disease, symptoms include abdominal fullness, heaviness of the body, and difficulty in turning the body.) Yangming disease presents with abdominal fullness, bitter taste in the mouth, and dry throat; if accompanied by slight asthma (wheezing), Xiaochaihu Tang [Minor Bupleurum Decoction] may be used. (Zhang Zhongjing stated: In Yangming Wind-Strike, symptoms include bitter taste, dry throat, abdominal fullness, slight asthma, fever, and a floating-tight pulse. Mistaken purgation leads to abdominal fullness and difficult urination.) During Gu-Dan (Grain Jaundice), the Stomach Qi should be regulated first. (Zhang Zhongjing stated: In Yangming disease, a slow pulse suggests impending Grain Jaundice. Mistaken purgation leads to abdominal fullness.) If tidal fever (Chao Re) is accompanied by constipation, do not use drastic purgation that would deplete the healthy Qi; instead, mildly harmonize the Stomach Fu organs using Chengqi Tang [Purgative Decoction]. (Zhang Zhongjing stated: In Yangming disease with a slow pulse, abdominal fullness, asthma, and tidal fever, Xiao Chengqi Tang [Minor Purgative Decoction] is indicated. It is also stated: For significant abdominal fullness without large bowel movement, Xiao Chengqi Tang is used to mildly harmonize Stomach Qi, avoiding drastic purgation.) After purgation, if restlessness and abdominal fullness occur, Zhizi Houpo Tang [Gardenia and Magnolia Bark Decoction] is appropriate. (Zhang Zhongjing stated: After purgation in Cold Damage disease, if restlessness, abdominal fullness, and restlessness in lying down or sitting up occur, Zhizi Houpo Tang is indicated.) After diaphoresis, Houpo (Magnolia Bark) preparations are most suitable. (Zhang Zhongjing stated: For abdominal distension after diaphoresis, Houpo Wuwu Tang [Five-Ingredient Decoction with Magnolia Bark] is indicated.) After emesis, Xiao Chengqi Tang should be used after careful differentiation. (Zhang Zhongjing stated: For abdominal fullness after emesis in Cold Damage disease, Xiao Chengqi Tang is indicated. This syndrome requires careful differentiation.) For Taiyin disease with abdominal fullness and intermittent pain, Guizhi Shaoyao Tang [Cinnamon Twig and Peony Root Decoction] is used; for severe excess pain, Dahuang Tang [Rhubarb Decoction] can treat it. (Zhang Zhongjing stated: In Taiyang disease, if the physician mistakenly applies purgation, leading to abdominal fullness and intermittent pain belonging to Taiyin, Guizhi Shaoyao Tang is used. For severe excess pain, a formula containing Dahuang [Rhubarb] is indicated.)