伤寒中风与温湿。热病痉 并时疫。证候阴阳虽则同。别为调治难专一。（以上七证。大略虽相似。须别作调治。）
一则桂枝二麻黄。三则青龙如鼎立。精对无差立便安。何须更数交传日。（孙尚云。一桂枝。二麻黄。三青龙。三日能精
对无差。立当见效。不须更候五日转泻。反致坏病也。）发热恶寒发于阳。无热恶寒自阴出。（仲景云。发热而恶寒者。
发于阳也。无热而恶寒者。发于阴也。）阳盛热多内外热。白虎相当并竹叶。（白虎汤。竹叶石膏汤。皆治内外热证。）阴
盛寒湿脉沉弦。四逆理中为最捷。（孙兆云。阴盛寒湿。则用四逆汤。理中丸。）热邪入胃结成毒。大小承气宜疏泄。（热
邪入胃。久则胃伤烂。宜调胃。或大小承气汤。）胸满宜用泻心汤。（胸满证候。用大小泻心汤。）结胸痞气当分别。按之
不痛为虚靳。按之若痛为实结。浅深大小陷胸丸。仲景方中不徒设。（孙兆云。结胸痞气两分浅深则大小陷胸丸。）茵陈
可治发黄证。柏皮治痢兼下血。（发黄胆热。则用茵陈汤。下利肠毒恶痢下血。柏皮汤。）小便不利更喘满。烦渴五苓安
可缺。（利小便止烦渴。用五苓散。）半在里兮半在表。加减小柴胡有法。（小柴胡治半在表里。仲景有加减法。）夜中得
脉日中愈。阴得阳兮灾必脱。日中得脉中夜安。阳得阴兮自相悦。阴阳调顺自和同。不须攻治翻为孽。（孙尚云。凡伤寒
三日脉微而微数以顺四时。身凉而和者。此名欲解也。夜半得脉。来日日中愈。阴得阳而解也。日中得脉。夜半愈。阳
得阴而和也。阴阳和同尔。）
伤寒、中风、温病、湿病、热病、痉病以及时行疫病，这七种病症的证候在阴阳属性上虽然相同，但具体的调理和治疗却难以采用统一的方法。（以上七种病症，大体症状虽相似，必须分别进行调理治疗。）
第一种情况适用桂枝汤，第二种情况适用麻黄汤，第三种情况适用小青龙汤，这三方如同鼎足般稳固重要。精准辨证无误，服药后立刻就能痊愈，何必再等待五日传经变证的日子？（孙尚说：一用桂枝汤，二用麻黄汤，三用小青龙汤，若能精准辨证无误，立刻就会见效，不必再等候五日转属少阳或阳明等导致坏病的情况。）
发热且恶寒，是病发于阳经；无发热而仅恶寒，是从阴经发出的。（张仲景说：发热而恶寒的，是发于阳经；不发热而恶寒的，是发于阴经。）阳气盛则热多，表现为内外皆热，可用白虎汤或竹叶石膏汤相当对治。（白虎汤、竹叶石膏汤，都用于治疗内外俱热的证候。）阴气盛则寒湿内停，脉象沉弦，四逆汤和理中丸是最快捷的疗法。（孙兆说：阴盛寒湿，则使用四逆汤、理中丸。）热邪侵入胃腑结成毒滞，大小承气汤适宜用于疏泄通下。（热邪入胃，时间久了会损伤胃络腐烂，宜用调胃承气汤，或者大、小承气汤。）胸脘痞满适宜使用泻心汤。（胸满证候，使用大、小泻心汤。）结胸与痞气应当加以区分，按压腹部不痛的为虚证，按压若痛的为实证结聚，浅深不同分别选用大陷胸丸或小陷胸丸，这是张仲景方剂中并非随意设立的。（孙兆说：结胸与痞气需分浅深，则对应大、小陷胸丸。）茵陈可以治疗发黄证，黄柏皮可治疗痢疾兼见便血。（发黄因胆热，则用茵陈蒿汤；下利肠毒恶痢及便血，用黄柏皮汤。）小便不利且伴有喘满、烦渴，五苓散难道可以缺少吗？（通过利小便来止烦渴，使用五苓散。）病邪一半在里、一半在表，加减运用小柴胡汤是有法度的。（小柴胡汤治疗半表半里之证，张仲景有相应的加减法。）夜间诊得脉象，日中时分即可痊愈，这是因为阴证得阳助则灾祸必脱；日中诊得脉象，半夜即安，这是因为阳证得阴助则自然相悦。阴阳调和顺遂，身体自然平和，不需要攻伐治疗反而会成为祸害。（孙尚说：凡是伤寒三日，脉象微缓且数，顺应四时变化，身体凉爽平和的，这名叫欲解。夜半得到脉象，次日日中痊愈，这是阴证得阳而解。日中得到脉象，夜半痊愈，这是阳证得阴而和。只要阴阳和谐即可。）
Typhoid (Shanghan), Wind-stroke (Zhongfeng), Warm disease (Wenbing), Dampness disease (Shibing), Heat disease (Rebing), Spasm disease (Jingbing), and Epidemic disease (Shiyi) — although the syndromes of these seven conditions share similarities in Yin and Yang attributes, their specific regulation and treatment cannot be unified. (Regarding the above seven conditions, although the general symptoms are similar, they must be treated differently.)
For the first type, Guizhi Tang (Cinnamon Twig Decoction) is used; for the second, Mahuang Tang (Ephedra Decoction); for the third, Xiao Qinglong Tang (Minor Blue Dragon Decoction). These three formulas stand firm like the legs of a tripod. If precise differentiation is made without error, recovery will occur immediately; there is no need to wait for the days of transmission between meridians. (Sun Shang said: Use Guizhi Tang for the first, Mahuang Tang for the second, and Xiao Qinglong Tang for the third. If precise differentiation is achieved without error, efficacy will be seen immediately, avoiding the need to wait five days for transformation into complicated diseases.)
Fever accompanied by aversion to cold indicates onset from Yang channels; absence of fever with only aversion to cold indicates onset from Yin channels. (Zhang Zhongjing said: Fever with aversion to cold is onset from Yang; absence of fever with aversion to cold is onset from Yin.) Excess Yang leads to abundant heat, manifesting as internal and external heat; Baihu Tang (White Tiger Decoction) or Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) are appropriate. (Baihu Tang and Zhuye Shigao Tang both treat patterns of internal and external heat.) Excess Yin leads to cold-dampness with a deep and wiry pulse; Sini Tang (Four Reversal Decoction) and Lizhong Wan (Regulate the Middle Pill) are the most expedient treatments. (Sun Zhao said: For excess Yin and cold-dampness, use Sini Tang and Lizhong Wan.) When pathogenic heat enters the Stomach and forms toxic stagnation, Da Chengqi Tang (Major Order to Send Down Decoction) or Xiao Chengqi Tang (Minor Order to Send Down Decoction) are suitable for purgation. (When pathogenic heat enters the Stomach, prolonged retention damages the stomach lining; Tiaowei Chengqi Tang (Regulate the Stomach Order to Send Down Decoction), or Da/Xiao Chengqi Tang should be used.) Chest fullness is appropriately treated with Xiexin Tang (Drain the Epigastrium Decoction). (For chest fullness patterns, Da/Xiao Xiexin Tang are used.) Jie Xiong (Chest Binding) and Pi Qi (Stagnant Qi) must be distinguished: tenderness upon palpation indicates deficiency, while pain upon palpation indicates excess accumulation. Depending on depth and severity, Da Xianxiong Wan (Major Trap the Chest Pill) or Xiao Xianxiong Wan (Minor Trap the Chest Pill) are selected; these are not arbitrarily set in Zhang Zhongjing’s formulas. (Sun Zhao said: Differentiate Jie Xiong and Pi Qi by depth to select Da or Xiao Xianxiong Wan.) Yichen (Artemisia Capillaris) treats Jaundice (Huangyan); Bopi (Phellodendron Bark) treats Dysentery (Liji) accompanied by lower bleeding. (Jaundice due to Gallbladder heat uses Yinchen Hao Tang (Artemisia Capillaris Decoction); lower bowel toxicity, severe dysentery, and rectal bleeding use Bopi Tang (Phellodendron Bark Decoction)). Urinary difficulty accompanied by wheezing, fullness, vexation, and thirst require Wuling San (Five Ingredient Powder with Poria); it cannot be omitted. (To promote urination and relieve vexation/thirst, use Wuling San.) When the pathogen is half in the interior and half in the exterior, the modification and reduction of Xiaochaihu Tang (Minor Bupleurum Decoction) follows specific methods. (Xiaochaihu Tang treats Shaoyang syndrome [half-exterior, half-interior]; Zhang Zhongjing provided modification rules.) A pulse obtained at night indicates recovery at midday; Yin obtains Yang assistance, and disaster must depart. A pulse obtained at midday indicates peace at midnight; Yang obtains Yin assistance, and harmony naturally ensues. When Yin and Yang are harmonious and smooth, the body self-regulates; unnecessary attacking treatments would instead become harmful. (Sun Shang said: In typhoid, if after three days the pulse is slightly slow and rapid, conforming to the four seasons, and the body is cool and peaceful, this is called "desire to resolve." Obtaining such a pulse at midnight leads to recovery at midday the next day—Yin resolves by obtaining Yang. Obtaining it at midday leads to recovery at midnight—Yang harmonizes by obtaining Yin. It is merely the harmony of Yin and Yang.)