脉浮唯宜以汗解。春夏用之何足怪。（仲景云。脉浮宜以汗解。又云。大法。春夏宜汗。）风若伤卫属桂枝。寒伤荣
血麻黄快。（仲景云。风则伤卫。寒则伤荣。伤卫属桂枝。伤荣属麻黄。二药虽均曰发汗。自有浅深也。）项强KT KT
葛根汤。心间水气青龙对。（仲景云。项背强。KT KT 者。用麻黄葛根汤。心下有水气者。小青龙汤主之。）少阴亦
可微发汗。
附子麻黄泄其外。（仲景云。少阴病。得之二三日。麻黄附子甘草汤。微发其汗。）风湿发汗恶淋漓。风气去兮湿气在。
唯宜 润遍周身。湿气风邪俱已退。（风湿。惟要微微似欲汗出。若大汗出者。风气虽去。湿气仍在也。）大抵尺迟汗为
逆。（自此以下。皆不可。汗也。仲景云。尺中迟者。精气不足。血气微少。不可汗。）微弦濡弱斯为害。（仲景云。微反
在下。弦反在上。弱反在关。濡反在颠。不可发汗。发汗则寒栗至矣。）少阴沉细病在里。少阳弦细却主内。（仲景云。
少阴脉沉细数。病在里。不可发汗。又云。伤寒脉弦细。头痛发热。此属少阳。少阳不可发汗。）两厥若汗必舌萎。（厥
不可发汗。发汗则声乱。咽嘶。舌萎。声不得前。）四动汗之还窒碍。（仲景云。动气在上。动气在下。动气在左。动气
在右。皆不可发汗。）疮家汗之必成 。淋家汗之便血杀。衄家汗之额上陷。咽干汗之咽却隘。（仲景云。疮家虽身疼痛。
不可攻其表。汗之必 。淋家。汗之必便血。衄家汗之。额上促急而紧。直视不得 。不能眠。咽干燥者。不可发汗。
王实伤寒证治。皆用小柴胡汤。）亡血汗之必寒栗。（仲景云。亡血不可发汗。发汗则寒栗而振。）汗家重汗精神惫。（仲
景云。汗家重发汗。必恍惚心乱。小便已阴痛。）少阴强汗动经血。（仲景云。少阴无汗。而强发之。必动其血。）虚烦坏
病尤须戒。（仲景云。虚烦坏病。皆不可发汗宜用小柴胡汤主之。）月经适断适来时。切莫动经成冒昧。（此小柴胡证。发
则郁冒不知人。）
脉象浮，只适宜用发汗法来解除。春夏季节使用这种方法有什么奇怪的呢？（张仲景说：脉浮适宜用发汗法解除。又说：大原则是，春夏季节适宜发汗。）风邪伤害卫气属于桂枝汤证，寒邪伤害营血则麻黄汤见效快。（张仲景说：风邪则伤卫气，寒邪则伤营血。伤卫气归属桂枝汤，伤营血归属麻黄汤。这两味药虽然都称为发汗，但自有深浅之分。）项背强直、拘急不舒者，用葛根汤。心下有水气者，用小青龙汤应对。（张仲景说：项背强直、KT KT（形容拘急不适的样子）的，用麻黄加葛根汤。心下有水的，小青龙汤主治。）少阴病也可以微微发汗。（张仲景说：少阴病，得病二三天，用麻黄附子甘草汤，微微发其汗。）风湿病发汗若大汗淋漓，风气去了湿气还在。唯宜让周身微微湿润似有汗出，湿气和风邪都已退去。（风湿病，只要微微似欲出汗，如果大汗出的话，风气虽然去了，湿气仍在。）大抵尺脉迟者发汗为逆证。（从这以下，都是不可发汗的情况。张仲景说：尺中脉迟的，精气不足，气血微少，不可发汗。）脉微弦濡弱这是害处。（张仲景说：微脉反在下部，弦脉反在上部，弱脉反在关部，濡脉反在寸部，不可发汗。发汗则会出现寒战栗倒的症状。）少阴脉沉细说明病在里，少阳脉弦细却主病在内（指不宜发汗而宜和解）。（张仲景说：少阴脉沉细数，病在里，不可发汗。又说：伤寒脉弦细，头痛发热，这属于少阳病。少阳病不可发汗。）两厥证若发汗必然导致舌体萎软。（厥证不可发汗，发汗则声音混乱，咽喉嘶哑，舌体萎软，声音不能发出。）动气证发汗则会阻碍病情。（张仲景说：动气在上、在下、在左、在右，都不可发汗。）疮家发汗必成痉病，淋家发汗必致便血致死，衄家发汗导致额上动脉陷下，咽干者发汗则咽喉更加闭塞。（张仲景说：疮家即使身体疼痛，也不可攻表发汗，发汗必成痉病。淋家，发汗必便血。衄家发汗，额头促急而紧，直视不能闭目，不能睡眠。咽喉干燥者，不可发汗。王实治疗伤寒证治，都用小柴胡汤。）亡血者发汗必寒战栗。（张仲景说：亡血不可发汗，发汗则寒战栗而振颤。）平素多汗者再发汗会导致精神疲惫。（张仲景说：平素多汗者再次发汗，必定恍惚心乱，小便后阴部疼痛。）少阴病强行发汗会扰动经血。（张仲景说：少阴病无汗，而强行发之，必定扰动其血。）虚烦和坏病尤其需要戒除发汗。（张仲景说：虚烦坏病，都不可发汗，适宜用小柴胡汤主治。）月经刚断或刚来时，切勿触动经血造成昏冒无知。（这是小柴胡汤证，发汗则导致郁冒不知人。）
A floating pulse indicates that sweating therapy is appropriate. Its use in spring and summer is hardly surprising. (Zhang Zhongjing stated: A floating pulse is suitable for treatment by sweating. He also stated: The general principle is that sweating is appropriate in spring and summer.) Wind injuring the Wei level belongs to Guizhi Tang (Cinnamon Twig Decoction); Cold injuring the Ying and Blood levels, Mahuang Tang (Ephedra Decoction) acts swiftly. (Zhang Zhongjing stated: Wind injures the Wei; Cold injures the Ying. Injury to the Wei level is treated with Guizhi Tang; injury to the Ying level is treated with Mahuang Tang. Although both herbs are said to induce sweating, there is a distinction in depth.) Stiffness and tension in the neck and back, treat with Gegen Tang (Kudzu Root Decoction). Fluid retention in the chest/epigastrium, treat with Xiao Qinglong Tang (Minor Blue Dragon Decoction). (Zhang Zhongjing stated: For stiffness and tension in the neck and back, use Mahuang Jia Gegen Tang (Ephedra plus Kudzu Root Decoction). For fluid retention in the epigastrium, Xiao Qinglong Tang (Minor Blue Dragon Decoction) is the primary treatment.) Shaoyin disease may also be treated with mild sweating. (Zhang Zhongjing stated: In Shaoyin disease, after two or three days of onset, Mahuang Fuzi Gancao Tang (Ephedra, Aconite, and Licorice Decoction) is used to mildly induce sweating.) For wind-dampness, if sweating induces profuse perspiration, the wind pathogen departs but the dampness remains. One should only aim for a slight moisture throughout the body, so that both dampness and wind pathogens recede. (For wind-dampness, one should only achieve a slight perspiration as if about to sweat out. If profuse sweating occurs, although the wind pathogen leaves, the dampness remains.) Generally, a slow Chi pulse makes sweating an adverse reaction. (From this point onward, these are all conditions where sweating is contraindicated. Zhang Zhongjing stated: A slow pulse at the Chi position indicates insufficiency of essence and Qi, and scarcity of blood and Qi; sweating is contraindicated.) A pulse that is slightly wiry, soggy, and weak is harmful. (Zhang Zhongjing stated: A faint pulse appearing lower, a wiry pulse appearing upper, a weak pulse appearing at the Guan position, and a soggy pulse appearing upper—sweating is contraindicated. Sweating will lead to chills and trembling.) A deep and fine pulse in Shaoyin indicates the disease is interior; a wiry and fine pulse in Shaoyang indicates the need for internal resolution (contraindicating sweating). (Zhang Zhongjing stated: A deep, fine, and rapid Shaoyin pulse indicates an interior disease; sweating is contraindicated. He also stated: A wiry and fine pulse in cold damage, accompanied by headache and fever, belongs to Shaoyang; sweating is contraindicated in Shaoyang.) If sweating is applied to cases of Jue (cold limbs), it will inevitably cause tongue atrophy. (Jue is contraindicated for sweating. Sweating will cause voice disorder, hoarseness, tongue atrophy, and inability to speak.) If sweating is applied when Dongqi (pulsating masses) is present, it creates obstruction. (Zhang Zhongjing stated: Whether Dongqi is above, below, on the left, or on the right, sweating is contraindicated.) Sweating a patient with chronic sores will inevitably lead to abscesses; sweating a patient with Lin syndrome will inevitably cause hematuria leading to death; sweating a patient with epistaxis causes depression of the supraorbital arteries; sweating a patient with dry throat causes further narrowing of the pharynx. (Zhang Zhongjing stated: Even if a patient with chronic sores has body pain, the exterior must not be attacked via sweating; sweating will inevitably lead to abscesses. Sweating a patient with Lin syndrome will inevitably cause hematuria. Sweating a patient with epistaxis causes tightness and urgency in the forehead, fixed staring, inability to close the eyes, and insomnia. Those with dry throats must not be sweated. Wang Shi treated cold damage syndromes using Xiaochaihu Tang (Minor Bupleurum Decoction).) Sweating a patient who has lost blood will inevitably cause chills and trembling. (Zhang Zhongjing stated: Patients who have lost blood must not be sweated; sweating will cause chills and tremors.) Sweating a patient prone to sweating again leads to mental exhaustion. (Zhang Zhongjing stated: Re-sweating a patient prone to sweating will inevitably cause mental confusion and palpitations, and pain in the genitalia after urination.) Forcibly sweating Shaoyin disease disturbs the collateral blood. (Zhang Zhongjing stated: In Shaoyin disease without sweating, forcibly inducing sweating will inevitably disturb the blood.) Deficiency vexation and damaged diseases especially require abstinence from sweating. (Zhang Zhongjing stated: Deficiency vexation and damaged diseases must not be sweated; Xiaochaihu Tang (Minor Bupleurum Decoction) is appropriate for treatment.) When menstruation has just ceased or just begun, do not disturb the menses to cause syncope. (This is a Xiaochaihu Tang (Minor Bupleurum Decoction) syndrome; sweating will cause Yu Mao (depression and dizziness) leading to loss of consciousness.)