胃冷仍加发汗重。因成蛔厥吐长虫。病源本属厥阴证。宜用乌梅与理中。（仲景云。蛔厥者。其人当吐。今病者静而
复时烦。此为脏寒。蛔上入其膈。故须臾得止。得食而呕。又烦者。蛔闻食臭必出。其人当自吐蛔。乌梅丸理中丸主之。）
伤寒自汗证有九。卫不和兮桂枝候。（仲景云。病患脏无他病。时发热。自汗出而不愈者。此卫气不和也。先其时发
汗则愈。宜桂枝汤。）风温风湿及伤风。（仲景云。风温为病。脉阴阳俱浮。自汗出。身重多眠睡。此风温自汗也。仲景
云。湿家之为病。其人头汗出。背强。欲得覆被向火。又云。额上汗出。微喘。此风湿自汗也。仲景云。太阳中风。阴
弱者汗自出。此伤风自汗也。）中暑亡阳柔 有。（仲景云。太阳中 者。其人汗出。恶寒。身热而渴。此中暑自汗也。
仲景云。伤寒自汗出。小便数。心烦微恶寒。脚挛急。桂枝加附子人参。其间增桂。令汗出。附子温经亡阳故也。又云。
脉阴阳俱紧。而反汗出。为亡阳。属少阴。此亡阳自汗也。仲景云。太阳病。发热汗出。不恶寒。名曰柔 。此柔 自
汗出。）霍乱下利四肢逆。（仲景云。霍乱吐利。汗出发热。恶寒。四肢拘急。手足厥冷。四逆汤主之。）阳明多汗津液漏。
（仲景云。阳明病。阳脉微而汗出少者。为自和。汗多者太过。太过者阳积于内。亡津液。大便因坚也。）少阴无汗或有
之。额上手背时时透。（仲景云。阴不得有汗。故知非少阴也。少阴有汗但额上手背有耳。朱蒂伤寒阴证。诀云。阴病。
额上手背皆有冷汗。三二日中尚可行。）随证治疗莫令差。更看病形深体究。
胃中虚冷，若误用发汗法加重病情，会导致蛔厥，出现吐出长虫的症状。此病的本源属于厥阴病证。适宜使用乌梅丸和理中丸治疗。（张仲景说：所谓蛔厥，病人应当呕吐。现在病人安静，却又时常心烦，这是因为内脏寒冷。蛔虫向上进入膈部，所以一会儿又能停止。进食后发生呕吐，再次心烦，是因为蛔虫闻到食物的气味就会出来，病人自然会吐出蛔虫。乌梅丸和理中丸主治。）
伤寒自汗的病证有九种情况。卫气不和，表现为桂枝汤证。（张仲景说：病人内脏没有其它疾病，时常发热，自汗出而不能痊愈的，这是卫气不和。在发热出汗之前进行发汗治疗就能痊愈，适宜用桂枝汤。）还有风温、风湿以及伤风引起的自汗。（张仲景说：风温这种病，脉象寸关尺都浮，自汗出，身体沉重，嗜睡，这是风温引起的自汗。张仲景说：患湿病的人，头部出汗，背部僵硬，想要盖被子靠近火源取暖。又说：额头出汗，轻微气喘，这是风湿引起的自汗。张仲景说：太阳中风，脉象阴弱则汗自出，这是伤风引起的自汗。）中暑导致亡阳，以及柔痉（柔痓）也有自汗。（张仲景说：太阳中暍（中暑），病人汗出，恶寒，身体发热且口渴，这是中暑引起的自汗。张仲景说：伤寒自汗出，小便频数，心烦，轻微恶寒，脚部拘挛急迫，用桂枝加附子人参汤，其中增加桂枝用量，令其发汗。因为附子能温经救逆，针对亡阳的情况。又说：脉象寸关尺都紧，反而汗出，这是亡阳，属于少阴病，这是亡阳引起的自汗。张仲景说：太阳病，发热汗出，不恶寒，名叫柔痉，这是柔痉引起的自汗。）霍乱伴有下利，四肢逆冷。（张仲景说：霍乱吐泻，汗出，发热，恶寒，四肢拘急，手足冰冷，用四逆汤主治。）阳明病多汗，导致津液泄漏。（张仲景说：阳明病，阳脉微而汗出少的，是正气自和；汗出多的则是太过。太过则阳气积聚于内，耗亡津液，大便因此干硬。）少阴病通常无汗，或者只有额头和手背偶尔透出冷汗。（张仲景说：少阴病不应该有汗，所以知道这不是典型的少阴病。少阴病若有汗，仅见于额头和手背。朱肱《类证活人书》中说：阴病，额头和手背都有冷汗，两三天内还可以救治。）应当根据症状进行治疗，不要出错，更要仔细诊察病形，深入探究病机。
If the stomach is cold and sweating therapy is inappropriately intensified, it may lead to *Hui Jue* (Roundworm Cold Cramp), characterized by vomiting long roundworms. The etiology of this condition belongs to the *Jueyin* disease pattern. It is appropriate to use *Wumei Wan* (Mume Pill) and *Lizhong Wan* (Regulate the Middle Pill). (Zhang Zhongjing stated: Regarding *Hui Jue*, the patient should vomit. Now, the patient is quiet but occasionally experiences vexation; this is due to cold in the zang organs. The roundworms move upward into the diaphragm, hence they stop after a short while. Vomiting occurs after eating, followed by vexation again, because the roundworms emerge upon smelling food odor, and the patient will naturally vomit them out. *Wumei Wan* and *Lizhong Wan* are indicated.)
There are nine patterns of spontaneous sweating in *Shanghan* (Cold Damage) diseases. When the defensive qi (*Wei Qi*) is disharmonious, it presents as the *Guizhi Tang* (Cinnamon Twig Decoction) pattern. (Zhang Zhongjing stated: If a patient has no internal organ pathology but experiences periodic fever and spontaneous sweating without resolution, this indicates disharmony of the defensive qi. Sweating should be induced prior to the onset of fever to achieve cure; *Guizhi Tang* is indicated.) Other causes include wind-warmth (*Feng Wen*), wind-dampness (*Feng Shi*), and wind-strike (*Shang Feng*). (Zhang Zhongjing stated: In wind-warmth disease, the pulse is floating at all positions (cun, guan, chi), with spontaneous sweating, heaviness of the body, and excessive sleepiness; this is spontaneous sweating due to wind-warmth. Zhang Zhongjing stated: In patients suffering from dampness, there is sweating on the head, stiffness of the back, and a desire to cover oneself and face fire for warmth. He also stated: Sweating on the forehead with slight panting indicates spontaneous sweating due to wind-dampness. Zhang Zhongjing stated: In Taiyang wind-strike, if the yin pulse is weak, sweating occurs spontaneously; this is spontaneous sweating due to wind-strike.) Spontaneous sweating also occurs in heatstroke leading to collapse of yang (*Wang Yang*), and in *Rou Ji* (Soft Spasm/Flaccid Tetany). (Zhang Zhongjing stated: In Taiyang heatstroke, the patient sweats, fears cold, has a hot body, and thirst; this is spontaneous sweating due to heatstroke. Zhang Zhongjing stated: In Shanghan, if there is spontaneous sweating, frequent urination, vexation, slight aversion to cold, and cramping of the legs, *Guizhi Jia Fuzi Renshen Tang* (Cinnamon Twig Decoction plus Aconite and Ginseng) is used, with increased dosage of Cinnamon Twig to induce sweating. This is because Fuzi warms the channels and rescues collapsed yang. He also stated: If the pulse is tight at all positions but sweating occurs, this indicates collapse of yang belonging to Shaoyin; this is spontaneous sweating due to collapse of yang. Zhang Zhongjing stated: In Taiyang disease, if there is fever, sweating, and no aversion to cold, it is named *Rou Ji*; this is spontaneous sweating due to soft spasm.) In Huoluan (Acute Vomiting and Diarrhea) with downward discharge, there is cold reversal of the four limbs. (Zhang Zhongjing stated: In Huoluan with vomiting and diarrhea, sweating, fever, aversion to cold, contraction of the four limbs, and cold hands and feet, *Sini Tang* (Decoction for Reversal of Yin) is indicated.) In Yangming disease, there is profuse sweating leading to leakage of body fluids. (Zhang Zhongjing stated: In Yangming disease, if the yang pulse is faint and sweating is scant, it indicates self-harmony; if sweating is profuse, it indicates excess. Excess leads to accumulation of yang internally, depletion of body fluids, and consequently hard stool.) Shaoyin disease typically presents with no sweating, or only occasional cold sweat on the forehead and dorsum of the hands. (Zhang Zhongjing stated: Shaoyin disease should not have sweating, thus one knows it is not a typical Shaoyin presentation. If Shaoyin disease has sweating, it is limited to the forehead and dorsum of the hands. Zhu Gong's *Lei Zheng Huo Ren Shu* states: In yin diseases, there is cold sweating on both the forehead and dorsum of the hands; within two to three days, treatment can still be effective.) Treatment must be administered according to the syndrome to avoid error; one must carefully examine the clinical manifestations and thoroughly investigate the pathogenesis.