上三味。以水一斗。先煮茵陈减六升。内二味。煮取三升。去滓。分。温三服。小盒饭利。
尿如皂角汁状。色正赤。一宿腹减。黄从小便去也。
越。散也。头汗。瘀热。发黄。皆见太阳篇。茵陈逐湿郁之黄。栀子除胃家之热。大黄推壅
塞之瘀。三物者苦以泄热。热泄则黄散也。
（六十三）阳明病。面合赤色。不可攻之。必发热色黄。小便不利也。
合。应也。赤。热色也。阳明之脉起于鼻。胃热上行。面应赤色。攻则亡津液。故发热色黄。
小便不利。
（六十四）阳明病。无汗。小便不利。心中懊 者。身必发黄。
无汗。小便不利。则湿停。懊 。湿停热郁也。所以知黄必发也。
（六十五）阳明病。被火。额上微汗出。小便不利者。必发黄。
阳明之脉。循发际。至额颅。故被火热甚。汗出额上也。黄。火迫土也。
（六十六）阳明病。下血谵语者。此为热入血室。但头汗出者。刺期门。随其实而泻之。
然汗出。则愈。
血室。头汗。期门。皆见太阳篇。阳明之脉。其直者从缺盆下乳内廉。下挟脐。入气街中。
血室之脉。起于气街。上行至胃中而散。所以妇人热入血室。则似结胸而谵语。阳明热入血室。
则亦谵语下血。男顺女逆。道则同也。故亦刺期门。
（六十七）阳明病证。其人喜忘者。必有蓄血。所以然者。本有久瘀血。故令喜忘。屎虽硬。
大便反易。其色必黑。宜抵当汤下之。
喜忘。好忘前言往事也。志伤则好忘。然心之所之谓志。志伤则心昏。心昏则血滞。所以知
必有蓄血也。大便反易。血主滑利也。黑血色也。方见太阳上编。
（六十八）病患无表里证。发热七八日。虽脉浮数者。可下之。假令已下。脉数不解。合热。
则消谷善饥。至六七日不大便者。有瘀血。宜抵当汤。
表谓无太阳。里谓胃不实。虽脉浮数。可下者久也。合热。谓数阳不退。热亦应未除也。
善饥。犹言快饥也。不大便有瘀血。大意与血证反复略同。此疑太阳篇错简。
若脉数不解而下不止。必协热而便脓血也。
抵当下之。数仍不退。热未除也。利不止。所以知协热必便脓血也。
（六十九）阳明病。发潮热。大便溏。小便自可。胸胁满不去者。小柴胡汤主之。
潮热。少阳阳明之涉疑也。大便溏。小便自可。胃不实也。胸胁满不去。则潮热仍属少阳。
明矣。故须仍从小柴胡。方见太阳上。
（七十）阳明病。胁下硬满。不大便而呕。舌上白苔者。可与小柴胡汤。上焦得通。津液得
下。胃气因和。身 然而汗出解也。
此承上条而言。即使不大便。而胁下硬满在。若有呕与舌苔。则少阳为多。亦当从小柴胡。上
焦通。硬满开也。津液下。大便行也。百体皆受气于胃。故胃和则身和。汗出而病解。方见太阳上。
（七十一）二阳并病。太阳证罢。但发潮热。手足 汗出。大便难而谵语者。下之则愈。宜大
承气汤。
此以太阳阳明言。谓须太阳罢。方可治阳明之意。
（七十二）阳明少阳合病。必下利。其脉不负者。顺也。负者。失也。互相克贼。名为负也。
脉滑而数者。有宿食也。当下之。宜大承气汤。
阳明属土。其主水谷。少阳属木。其主风。风主飧泄。故知下利可必也。阳明脉大。少阳脉
弦。不负。谓大而不弦。无相胜负而相得也。失。得之反也。谓弦则木克土。不大则土受木贼。少
阳胜而阳明负。为不相得。犹言不宜也。滑主食。数主热。宿食可知也。大承气汤者。陈宜推。
所以通因通用也。
（七十三）三阳合病。腹满身重。难以转侧。口不仁而面垢。谵语。遗尿。发汗则谵语甚。
下之则额上生汗。手足逆冷。若自汗出者。白虎汤主之。
阳明主胃。胃主肌肉而通窍于口。不仁。胃不正而饮食不利便。无口之知觉也。然则腹满身重。
不仁谵语。阳明也。灵枢曰。足少阳之正。上肝贯心以上。挟咽出颐颔中。散于面。故又曰。是
动则病口苦。善太息。心胁痛。不能转侧。甚则面微有
尘。垢亦尘也。遗尿。太阳膀胱不约也。故曰三阳合病。五合之表里俱伤也。发汗则偏攻太阳。
邪并于阳明。而谵语益甚。下则偏攻阳明。不惟阴虚。而阳亦损。故手足逆冷。而额上生汗。生。
不流也。是则汗下皆不可也。自汗者邪遍三阳。热搏五合。卫疏而表不固。荣弱而里不守也。夫
汗下既皆不可。和之于少阳。则亦偏于一而非所宜。是故白虎者。能解秋而彻表里之热。所以又
得为三阳通该之一解也。然病属三阳。治又不从阳明。而类阳明篇者。一则阳明居多。二则阳明
属土。土者万物之所归。而病之吉凶生死机焉。所以归重于阳明而入其类例。此又叔和之深意也。
方见太阳下。
（七十四）伤寒发汗已。身目为黄。所以然者。以寒湿在里不解故也。以为不可下也。于寒
湿中求之。
上为。去声。此揭下文三条之总。湿以汗发不对言。详见痉湿 篇中。里以黄言。不可下者。
里非表里之里也。寒湿中求之。以下文三条言也。
（七十五）伤寒瘀热在里。身必发黄。麻黄连轺赤小豆汤方
麻黄（二两） 赤小豆（一升） 杏仁（四十枚去皮尖） 连轺（二两连翘根也） 大枣
（十二枚劈） 生姜（一两切） 甘草（一两炙） 生梓白皮（一升切）
以上八味。以潦水一斗。先煮麻黄再沸。去上沫。内诸药。煮取三升。分。温三服。半日服尽。
此条互上条之文以出治。并下二条乃三目也。麻黄甘草杏仁。利气以散寒。麻黄汤中之选要
也。连轺小豆梓皮。行湿以退热。去瘀散黄之领袖也。姜枣益土为克制。潦水无力不助湿 轺。
本草作翘。翘本鸟尾。以草子析开。其间片片相
比如翘得名。轺本使者小车乘马者。无义。疑误。
（七十六）伤寒七八日。身黄如橘子色。小便不利。腹微满者。茵陈蒿汤主之。
此与上略同而较重。橘子色。言黄之鲜明也。腹微满。湿不行也。方见前。
（七十七）伤寒身黄发热者。栀子柏皮汤主之。
栀子柏皮汤方
栀子（十五枚擘） 甘草（一两炙） 黄柏（一两）
上三味。以水四升。煮取一升半。去滓。分。温再服。
此承上三条而以发热出治。然热既发于外。则里证较轻可知。故解之以栀子柏皮。而和之以
甘草。以为退之之轻剂。所谓于寒湿中求之者。盖亦参酌乎上三条而近取云也。以上四条疑太阳
中篇错简。当移。
以上三味药，用水一斗，先煮茵陈，水量减少六升后，加入另外两味药，煮取三升药液，滤去药渣，分三次温服。小便应当通畅，尿液颜色像皂角汁一样深红，一夜之后腹部胀满减轻，黄疸从小便排出。
越，即散的意思。头汗、瘀热、发黄等症状，在太阳病篇中已有记载。茵陈能驱除湿郁引起的黄疸，栀子能清除胃中的热邪，大黄能推荡壅塞的瘀血。这三味药皆味苦以泄热，热邪泄除则黄疸消散。
（六十三）阳明病患者，面色整体发红，不可使用攻下法。否则必然导致发热、面色发黄、小便不利。
合，意为应验或呈现。赤，是热象的颜色。阳明经脉起于鼻旁，胃热上行，面部应当呈现红色。若误用攻下法，会耗伤津液，从而导致发热、面色发黄、小便不利。
（六十四）阳明病患者，无汗，小便不利，心中烦闷懊恼的，身体必然发黄。
无汗、小便不利，说明湿气停聚。懊恼，是湿停热郁的表现。因此知道黄疸必然发生。
（六十五）阳明病患者，被火疗所伤，额头微微出汗，小便不利的，必然发黄。
阳明经脉，循行发际，到达前额颅部。所以遭受火热之邪严重侵袭时，只有额头出汗。发黄，是因为火邪逼迫土气（脾胃）。
（六十六）阳明病患者，出现下血和谵语（胡言乱语），这是热邪陷入血室。仅头部出汗的，针刺期门穴，根据实证情况泻其实邪。随后周身汗出，病即可愈。
血室、头汗、期门穴，在太阳病篇中已有记载。阳明经脉，直行者从缺盆下行至乳内廉，向下挟脐，进入气街中。血室的脉气，起于气街，上行至胃中而散布。所以妇女热入血室，症状类似结胸且伴有谵语；阳明热入血室，也会出现谵语和下血。男子顺行，女子逆行，但病理机制相同。因此也针刺期门穴。
（六十七）阳明病的证候中，如果患者容易健忘，必定有蓄血。之所以这样，是因为原本就有久瘀的血积，所以导致健忘。大便虽然坚硬，排便反而容易，颜色必定发黑。适宜用抵当汤攻下。
喜忘，即喜欢忘记前言往事。志受伤则容易遗忘。然而心之所向称为志，志受伤则心神昏乱，心神昏乱则血液停滞。因此知道必有蓄血。大便反易，是因为血性主滑利。黑色是血的颜色。方剂见太阳病上编。
（六十八）病患没有表证也没有里实证的典型表现，发热七八天，即使脉象浮数，也可以攻下。假如已经攻下，脉数仍未解除，热邪相合，就会消谷善饥（吃得多饿得快）。到了六七天不大便的，是有瘀血，适宜用抵当汤。
表，指没有太阳表证；里，指胃中没有燥屎结实。即使脉象浮数，可以攻下的原因是病程已久。合热，指数阳不退，热邪也未消除。善饥，犹言快饥。不大便有瘀血，大意与血证反复论述大致相同。此处怀疑是太阳病篇的错简。
如果脉数未解且腹泻不止，必然协热而便脓血。
抵当汤攻下后，脉数仍不退，说明热未除。腹泻不止，因此知道协热必然导致便脓血。
（六十九）阳明病患者，出现潮热，大便溏薄，小便正常，胸胁满闷不消退的，用小柴胡汤主治。
潮热，涉及少阳和阳明的疑似鉴别。大便溏薄，小便正常，说明胃中不实。胸胁满闷不消退，那么潮热仍属于少阳，这是明确的。所以仍需使用小柴胡汤。方剂见太阳病上编。
（七十）阳明病患者，胁下硬满，不大便且呕吐，舌上有白苔的，可以给予小柴胡汤。上焦得通，津液得以输布下行，胃气因而调和，身体濈然汗出而病解。
此条承接上一条而言。即使不大便，但如果胁下硬满仍在，若有呕吐和舌苔白，则少阳证居多，也应当使用小柴胡汤。上焦通，则硬满开解；津液下，则大便通行。全身都受气于胃，所以胃和则身和，汗出而病解。方剂见太阳病上编。
（七十一）二阳并病，太阳证已罢，只出现潮热，手足濈然汗出，大便困难且谵语的，攻下则痊愈，适宜用大承气汤。
这是从太阳阳明并病的角度说的，意思是必须等太阳证罢除后，方可治疗阳明病。
（七十二）阳明少阳合病，必然出现下利。脉象不负（不失其常度）的，为顺证；负的，为逆证。互相克贼，称为负。脉滑而数的，是有宿食，当下之，适宜用大承气汤。
阳明属土，主司水谷；少阳属木，主司风。风主飧泄，所以知道必然下利。阳明脉大，少阳脉弦。不负，指脉大而不弦，无相胜负而相得。失，是得之相反。指脉弦则是木克土，脉不大则是土受木贼。少阳胜而阳明负，为不相得，犹言不宜。滑主食积，数主热，可知有宿食。大承气汤的作用在于推陈出新，所以是通因通用的治法。
（七十三）三阳合病，腹部胀满，身体沉重，难以翻身转侧，口不知味且面垢，谵语，遗尿。发汗则谵语加重，攻下则额头生汗，手足逆冷。如果自汗出的，用白虎汤主治。
阳明主胃，胃主肌肉且通窍于口。不仁，指胃气不正而饮食不利，口无知觉。然而腹满身重、不仁谵语，属于阳明病。《灵枢》说：足少阳的正经，上肝贯心以上，挟咽出颐颔中，散布于面部。所以说，少阳经气变动则病口苦，善太息，心胁痛，不能转侧，甚则面微有尘。垢也是尘的意思。遗尿，是太阳膀胱约束无力。所以说三阳合病，是五脏表里俱伤。发汗则偏攻太阳，邪气并入阳明，谵语更甚。攻下则偏攻阳明，不仅阴虚，阳气也受损，所以手足逆冷，额头生汗。生，指汗出不流。这样看来，汗法和下法都不可用。自汗，是邪气遍布三阳，热搏结于五脏，卫气疏泄而表不固，营血虚弱而里不守。既然汗下都不可用，和解于少阳则也偏于一方而非所宜。因此白虎汤，能解秋燥之气而彻透表里之热，所以又成为三阳通该的一种解法。然而病属三阳，治疗却不从阳明入手，而归类于阳明篇的原因：一是阳明证居多；二是阳明属土，土是万物所归之处，疾病的吉凶生死之机在此。所以归于重视阳明而列入其类例。这又是王叔和的深意所在。方剂见太阳病下编。
（七十四）伤寒发汗后，身体面目发黄，之所以这样，是因为寒湿在里不解的缘故。认为不可攻下，应在寒湿中寻求治法。
上为，去声。这是揭示下文三条的总纲。湿邪用汗法发散不对症，详见痉湿暍篇中。里，指发黄。不可下，这里的里不是表里相对的里。于寒湿中求之，是指下文三条的内容。
麻黄（二两） 赤小豆（一升） 杏仁（四十枚去皮尖） 连轺（二两，连翘根也） 大枣（十二枚劈开） 生姜（一两切） 甘草（一两炙） 生梓白皮（一升切）
以上八味药，用潦水一斗，先煮麻黄至再沸，去掉上面的沫，加入其他药物，煮取三升，分三次温服，半天内服完。
此条互文见义，承接上条以出治法，并与下两条构成三个条目。麻黄、甘草、杏仁，利气以散寒，是麻黄汤中的选要之品。连轺、赤小豆、梓白皮，行湿以退热，是去瘀散黄的领袖药物。姜、枣益土以制克，潦水无力不助湿。轺，本草作翘。翘本指鸟尾，因为草子析开后，其间片片相比如翘而得名。轺本指使者乘坐的小车，乘马者所用，无实际意义，疑为误字。
（七十六）伤寒七八天，身体黄如橘子色，小便不利，腹部微满的，茵陈蒿汤主治。
这与上条大致相同但病情较重。橘子色，形容黄色鲜明。腹部微满，说明湿气不行。方剂见前文。
以上三味药，用水四升，煮取一升半，滤去药渣，分两次温服。
此条承接上三条而以发热作为辨证要点。既然热发于外，则里证较轻可知。所以用栀子柏皮来解热，并用甘草调和，作为退热的轻剂。所谓“于寒湿中求之”，大概是参酌上面三条而就近取法。以上四条怀疑是太阳病中篇的错简，应当移置。
The above three herbs are decocted with one *dou* (approx. 10 liters) of water. First, boil Yinchen (Artemisiae Scopariae Herba) until the volume reduces by six *sheng* (approx. 6 liters). Then add the remaining two herbs and boil to obtain three *sheng* (approx. 3 liters) of liquid. Strain out the dregs. Divide into three doses and take warm. Urination should become smooth, and the urine will resemble the dark red juice of a gourd (*Gleditsia sinensis*), appearing bright red. After one night, abdominal distension will decrease, and the jaundice will be expelled through urination.
"Yue" means dispersion. Head sweating, stasis-heat, and jaundice have been discussed in the Taiyang chapter. Yinchen (Artemisiae Scopariae Herba) expels dampness-induced jaundice; Zhizi (Gardeniae Fructus) clears heat from the Stomach; Dahuang (Rhei Radix et Rhizoma) pushes out obstructive blood stasis. These three herbs are bitter in flavor and drain heat. Once heat is drained, the jaundice dissipates.
(63) In Yangming disease, if the face appears entirely red, purgation must not be used. Doing so will inevitably cause fever, yellowing of the skin, and difficulty in urination.
"He" means corresponding or manifesting. "Chi" refers to the color of heat. The Yangming meridian originates at the side of the nose; when Stomach heat ascends, the face should appear red. Purgation consumes body fluids, leading to fever, yellowing, and urinary difficulty.
(64) In Yangming disease, if there is no sweating, difficulty in urination, and mental restlessness with inner vexation (*Ao Nao*), the body will inevitably develop jaundice.
No sweating and difficulty in urination indicate stagnation of dampness. *Ao Nao* indicates dampness stagnation with heat constraint. Therefore, it is known that jaundice will occur.
(65) In Yangming disease, if subjected to fire therapy, with only slight sweating on the forehead and difficulty in urination, jaundice will inevitably develop.
The Yangming meridian follows the hairline to the forehead. Thus, when severely affected by fire-heat, sweating occurs only on the forehead. Jaundice results from fire forcing the Earth element (Spleen/Stomach).
(66) In Yangming disease, if there is bleeding from the lower orifice accompanied by delirium, this is heat entering the Blood Chamber. If there is only head sweating, puncture Qimen (LR14). Drain the excess according to the pattern. Subsequent generalized sweating will lead to recovery.
Blood Chamber, head sweating, and Qimen (Liver 14) are discussed in the Taiyang chapter. The straight branch of the Yangming meridian descends from the Clavicle region to the medial aspect of the breast, passes down flanking the navel, and enters the Qi Street. The vessels of the Blood Chamber originate at the Qi Street and ascend to the Stomach where they disperse. Therefore, in women, heat entering the Blood Chamber presents similarly to Chest Bind with delirium; in Yangming disease, heat entering the Blood Chamber also causes delirium and bleeding. Men follow the smooth flow, women follow the reverse, but the pathological mechanism is the same. Hence, Qimen is also punctured.
(67) In Yangming disease patterns, if the patient suffers from forgetfulness, there must be accumulated blood. This is because pre-existing long-standing blood stasis causes forgetfulness. Although the stool is hard, defecation is surprisingly easy, and the stool color must be black. Digang Tang (Digang Decoction) should be used for purgation.
Forgetfulness refers to forgetting past words and events. Injury to Zhi (Will/Memory) leads to forgetfulness. What the heart directs is called Zhi; injury to Zhi causes heart confusion, which leads to blood stasis. Thus, accumulated blood is inferred. Defecation is easier because blood has a slippery nature. Black is the color of blood. The formula is found in the Upper Bian of the Taiyang chapter.
(68) A patient presents with neither exterior nor interior typical signs, with fever for seven to eight days. Even if the pulse is floating and rapid, purgation may be indicated. If purgation has already been performed and the rapid pulse persists, heat combines internally, leading to excessive hunger and rapid digestion. By the sixth or seventh day, if there is no bowel movement, blood stasis is present, and Digang Tang (Digang Decoction) is appropriate.
"Exterior" refers to the absence of Taiyang syndrome; "Interior" refers to the lack of fullness/hardness in the Stomach/intestines. Purgation is indicated here due to the prolonged duration. "Combined heat" means the Yang pulse remains rapid, indicating heat has not cleared. "Excessive hunger" implies rapid onset of hunger. No bowel movement with blood stasis shares similarities with previous discussions on blood syndromes. This section is suspected to be a misplaced text from the Taiyang chapter.
If the rapid pulse persists and diarrhea continues, heat combined with pathology will cause pus and blood in the stool.
After Digang Tang (Digang Decoction) purges, if the rapid pulse remains, heat is unremoved. Continuous diarrhea indicates combined heat causing pus and blood in the stool.
(69) In Yangming disease, if tidal fever occurs, the stool is loose, urination is normal, and chest/flank fullness persists, Xiaochaihu Tang (Minor Bupleurum Decoction) is the primary treatment.
Tidal fever involves differential diagnosis between Shaoyang and Yangming. Loose stool and normal urination indicate the Stomach is not full/hard. Persistent chest/flank fullness confirms the tidal fever belongs to Shaoyang. Thus, Xiaochaihu Tang (Minor Bupleurum Decoction) is still required. The formula is in the Upper Bian of the Taiyang chapter.
(70) In Yangming disease, if there is hardness/fullness under the hypochondrium, constipation, vomiting, and a white coating on the tongue, Xiaochaihu Tang (Minor Bupleurum Decoction) may be administered. As the Upper Jiao becomes unobstructed, body fluids descend, Stomach Qi harmonizes, and the patient sweats mildly (*Ji Ran*) for resolution.
This follows the previous clause. Even with constipation, if hypochondriac hardness persists, along with vomiting and a white tongue coating, Shaoyang syndrome predominates, warranting Xiaochaihu Tang (Minor Bupleurum Decoction). Unblocking the Upper Jiao resolves hardness; descending fluids facilitate bowel movement. The whole body receives Qi from the Stomach; thus, Stomach harmony brings bodily harmony, and sweating resolves the disease. The formula is in the Upper Bian of the Taiyang chapter.
(71) In Er Yang Bing (Concurrent Disease of Two Yang channels), once Taiyang symptoms cease, presenting only with tidal fever, continuous sweating on the hands and feet, difficult defecation, and delirium, purgation will cure it. Dachengqi Tang (Major Order the Qi Decoction) is appropriate.
This discusses concurrent Taiyang-Yangming disease, implying that Yangming treatment should only begin after Taiyang symptoms have resolved.
(72) In Yangming-Shaoyang Combined Disease, diarrhea will inevitably occur. If the pulse does not show "Fu" (defeat/loss), it is a favorable condition ("Shun"). "Fu" represents loss. Mutual overacting is called "Fu". A slippery and rapid pulse indicates retained food. Purge it with Dachengqi Tang (Major Order the Qi Decoction).
Yangming belongs to Earth, governing water and grain; Shaoyang belongs to Wood, governing wind. Wind governs incomplete digestion diarrhea, hence diarrhea is expected. Yangming pulse is large; Shaoyang pulse is wiry. "Not Fu" means large but not wiry, indicating harmony without dominance. "Loss" is the opposite of gain. Wiry pulse implies Wood overacting on Earth; if not large, Earth is weakened by Wood. Shaoyang dominance and Yangming defeat indicate disharmony, i.e., unfavorable. Slippery indicates food retention; rapid indicates heat, confirming retained food. Dachengqi Tang (Major Order the Qi Decoction) promotes elimination of the old to generate the new, employing the method of treating obstruction with unblocking agents (Tong Yin Yong Tong).
(73) In San Yang Bing (Combined Disease of Three Yang channels), there is abdominal fullness, heaviness of the body, difficulty turning over, insensitivity in the mouth, greasy facial complexion, delirium, and urinary incontinence. Sweating will worsen delirium; purgation will cause sweating on the forehead and cold extremities. If there is spontaneous sweating, Baihu Tang (White Tiger Decoction) is the primary treatment.
Yangming governs the Stomach, which governs muscles and opens into the mouth. Insensitivity means improper Stomach Qi affecting taste and oral sensation. Abdominal fullness, heaviness, insensitivity, and delirium belong to Yangming. *Ling Shu* states: The regular channel of Foot-Shaoyang ascends through the Liver and Heart, runs alongside the throat, emerges at the jaw, and disperses on the face. Thus, Shaoyang disorders cause bitter taste, sighing, chest/hypochondriac pain, inability to turn, and a dusty facial appearance. "Grease" is dust. Urinary incontinence reflects Taiyang Bladder failure to constrain. Thus, San Yang Bing represents damage to the interior and exterior of the five systems. Sweating attacks Taiyang exclusively, allowing pathogenic factors to merge with Yangming, worsening delirium. Purgation attacks Yangming exclusively, damaging both Yin and Yang, causing cold extremities and forehead sweating. "Sheng" means non-flowing. Thus, both sweating and purgation are contraindicated. Spontaneous sweating indicates pathogens pervading the Three Yang channels and heat binding the Five Systems, with deficient Wei Qi failing to secure the exterior and weak Ying Blood failing to guard the interior. Since sweating and purgation are unsuitable, harmonizing via Shaoyang is also biased. Therefore, Baihu Tang (White Tiger Decoction) clears autumn-like dryness and penetrates interior/exterior heat, serving as a comprehensive solution for the Three Yang channels. However, although the disease involves the Three Yang channels, treatment does not start from Yangming but is classified under the Yangming chapter for two reasons: first, Yangming symptoms predominate; second, Yangming belongs to Earth, the gathering place of all things, where the prognosis of life and death lies. Thus, it is emphasized under Yangming. This is Wang Shuhe's profound intent. The formula is in the Lower Bian of the Taiyang chapter.
(74) After sweating therapy for Cold Damage, if the body and eyes turn yellow, it is because cold-dampness remains unresolved in the interior. It is considered inadvisable to use purgation; instead, seek treatment within the context of cold-dampness.
"Shang" (Above) refers to the preceding text. This serves as a general heading for the following three clauses. Sweating is incorrect for dampness; see the Jing Shi Wen Chapter. "Interior" refers to jaundice. "Inadvisable to purge" means this "interior" is not the interior relative to the exterior. "Seek in cold-dampness" refers to the subsequent three clauses.
(75) In Cold Damage, if stasis-heat resides in the interior, jaundice will inevitably develop. Mahlian Lianqiao Chixiaodou Tang (Mahuang, Forsythia Root, and Red Bean Decoction) Formula:
Mahuang (Ephedrae Herba, 2 liang), Chixiaodou (Adzuki Bean, 1 sheng), Xingren (Apricot Seed, 40 pieces, peeled and crushed), Lianqiao Gen (Forsythiae Radix, 2 liang), Dazao (Jujube, 12 pieces, split), Shengjiang (Fresh Ginger, 1 liang, sliced), Gancao (Licorice Root, 1 liang, honey-fried), Shengzibapi (Catalpae Cortex, 1 sheng, sliced).
These eight ingredients are decocted with 1 *dou* of rainwater. Boil Mahuang (Ephedrae Herba) first until boiling again, skim off the foam, then add the other herbs. Boil to obtain 3 *sheng*. Divide into three warm doses, consumed within half a day.
This clause cross-references the previous one to outline treatment, forming three items with the next two. Mahuang (Ephedrae Herba), Gancao (Licorice Root), and Xingren (Apricot Seed) promote Qi circulation to dispel cold, key components of Mahuang Tang (Mahuang Decoction). Lianqiao Gen (Forsythiae Radix), Chixiaodou (Adzuki Bean), and Shengzibapi (Catalpae Cortex) move dampness and clear heat, leading agents in resolving stasis and jaundice. Jiang (Ginger) and Zao (Jujube) benefit Earth to control overaction. Rainwater is light and does not aid dampness. "Qiao" in materia medica refers to Forsythia; "Qiao" originally meant bird tail, named for the seed pods resembling tails. "Yao" originally referred to a messenger's carriage, likely an error here.
(76) In Cold Damage lasting seven to eight days, if the body is yellow like an orange peel, urination is difficult, and the abdomen is slightly full, Yinchenshao Tang (Artemisiae Scopariae and Gardenia Decoction) is the primary treatment.
This is similar to the previous clause but more severe. "Orange peel color" describes bright yellow. Slight abdominal fullness indicates stagnant dampness. The formula is cited earlier.
(77) In Cold Damage, if the body is yellow and feverish, Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction) is the primary treatment.
Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction) Formula:
Zhizi (Gardeniae Fructus, 15 pieces, broken), Gancao (Licorice Root, 1 liang, honey-fried), Huangbai (Phellodendri Cortex, 1 liang).
These three ingredients are decocted with 4 *sheng* of water to obtain 1.5 *sheng*. Strain and divide into two warm doses.
This clause follows the previous three, using fever as the differentiating factor. Since heat manifests externally, internal symptoms are likely milder. Thus, Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction) clears heat, harmonized by Gancao (Licorice Root) as a mild agent. This aligns with "seeking treatment in cold-dampness," referencing the previous three clauses. These four clauses are suspected to be misplaced text from the Middle Bian of the Taiyang chapter and should be relocated.