太阳中风，下利、呕逆、表解者，乃可攻之。其人 汗出、发作有时、头痛、心下痞硬满、引胁下痛、
干呕短气、汗出不恶寒者，此表解里未和也，十枣汤主之。
中风下利呕逆，本葛根加半夏症。若表既解而水气淫溢。不用十枣攻之，胃气大虚，后难为力矣。然下利呕
逆，固为里症，而本于中风，不可不细审其表也。若其人 汗出，似乎表症，然发作有时，则病不在表矣。头
痛是表症，然既不恶寒，又不发热，但心下痞硬而满，胁下牵引而痛，是心下水气泛溢，上攻于脑而头痛也。与“伤
寒不大便六七日而头痛，与承气汤”同。干呕汗出为在表，然而汗出而有时、更不恶寒、干呕而短气为里症也明矣。
此可以见表之风邪已解，而里之水气不和也。然诸水气为患，或喘、或渴、或噎、或悸、或烦、或利而不吐、或吐
而不利、或吐利而无汗。此则外走皮毛而汗出，上走咽喉而呕逆，下走肠胃而下利，浩浩莫御，非得利水之峻剂以
直折之，中气不支矣。此十枣之剂，与五苓、青龙、泻心等法悬殊矣。
太阳阳明合病，太阳少阳合病，俱下利呕逆，皆是太阳中风病根。
十枣汤∶
芫花（熬赤） 甘遂 大戟（各等分）
上三味，各异捣筛，称已，合治之。以水一升半，煮大肥枣十枚，取八合，去枣，内药末。强人服一钱匕，
羸人半钱，温服之，平旦服。若下少病不愈者，明日更服加半钱。得快下利后，糜粥自养。
太阳中风证，出现下利、呕逆等症状，若表证已解，才可以采用攻里法治疗。如果患者汗出、发作有定时、头痛、胃脘部痞塞坚硬胀满、牵引胁肋部疼痛、干呕、呼吸短促、汗出且不恶寒，这是表证已解而里气不和的表现，应当用十枣汤主治。
中风引起的下利和呕逆，原本属于葛根加半夏汤的适应证。如果表证已经解除，但水气泛滥，此时若不使用十枣汤攻逐水饮，会导致胃气大虚，后续将难以救治。然而，下利和呕逆虽然属于里证，但其起因于中风，因此不可不仔细审查表证是否真正解除。如果患者汗出，看似表证，但如果发作有定时，则说明病邪不在表。头痛通常是表证，但如果既不恶寒，又不发热，只是胃脘部痞塞坚硬且胀满，胁肋部牵引疼痛，这是因为心下水气泛滥，上攻头部导致头痛。这与“伤寒不大便六七日而头痛，给予承气汤”的情况类似。干呕和汗出通常提示病在表，然而汗出有定时、更不恶寒、干呕伴随短气，明确表明这是里证。由此可见，表之风邪已解，而里的水气不和。然而，各种水气为患，有的表现为喘、有的口渴、有的噎阻、有的心悸、有的烦躁、有的下利而不呕吐、有的呕吐而下利、有的吐利而无汗。此证则是水气外走皮毛而汗出，上走咽喉而呕逆，下走肠胃而下利，水势浩大无法阻挡，必须得用峻猛的利水剂来直接折服它，否则中气将难以支撑。十枣汤这一方剂，与五苓散、小青龙汤、泻心汤等治法截然不同。
太阳阳明合病，以及太阳少阳合病，都可能出现下利和呕逆，这些情况都是基于太阳中风的病根。
以上三味药，分别捣碎过筛，称量好后，混合在一起。用水一升半，煮十枚肥大红枣，取汁八合，去掉枣渣，加入药末。体质强壮的人服用一方寸匕的量，体弱的人服用半方寸匕的量，温服。清晨空腹服用。如果服药后腹泻量少，病未痊愈，第二天再服用，增加半方寸匕的量。得到快速腹泻后，喝稀粥来自养身体。
Taiyang wind-stroke (Taiyang wind-stroke, a syndrome caused by wind pathogen invading the Taiyang channel), presenting with diarrhea and vomiting/retching, if the exterior syndrome has resolved, may then be treated with purgation. If the patient has sweating, occurring at specific times, headache, fullness and hardness in the epigastrium (epigastric region), pain radiating to the hypochondrium, dry retching, shortness of breath, sweating without aversion to cold, this indicates that the exterior is resolved but the interior is disharmonious; Shizao Tang (Ten Jujube Decoction) should be used to govern it.
Wind-stroke causing diarrhea and vomiting/retching originally belongs to the indication for Gegen Jiaban Xia Zhu Tang (Pueraria and Pinellia Decoction). If the exterior is already resolved but water qi overflows, failing to use Shizao Tang to attack the water will lead to severe deficiency of Stomach Qi, making subsequent treatment difficult. However, although diarrhea and vomiting/retching are interior syndromes, they originate from wind-stroke, so one must carefully examine whether the exterior is truly resolved. If the patient sweats, it seems like an exterior syndrome, but since it occurs at specific times, the disease is not in the exterior. Headache is typically an exterior syndrome, but if there is no aversion to cold or fever, only fullness and hardness in the epigastrium with radiating pain in the hypochondrium, this is due to water qi overflowing from the heart area, attacking upward to the head causing headache. This is similar to "Shanghan (Cold Damage) with constipation for six or seven days accompanied by headache, treated with Chengqi Tang." Dry retching and sweating suggest the pathogen is in the exterior, yet sweating occurring at specific times, combined with no aversion to cold, and dry retching with shortness of breath, clearly indicate an interior syndrome. Thus, the wind pathogen in the exterior has resolved, while the water qi in the interior is disharmonious. Various disorders caused by water qi may present as wheezing, thirst, choking sensation, palpitations, irritability, diarrhea without vomiting, vomiting without diarrhea, or vomiting and diarrhea without sweating. In this case, water qi moves outward to the skin and hair causing sweating, moves upward to the throat causing vomiting/retching, and moves downward to the intestines and stomach causing diarrhea. The momentum is vast and uncontrollable; unless a potent diuretic agent is used to directly subdue it, the Middle Qi will not withstand it. Therefore, the Shizao Tang formula is vastly different from methods such as Wuling San (Five-Ingredient Poria Pill), Xiao Qinglong Tang (Minor Blue Dragon Decoction), and Xiexin Tang (Drain the Epigastrium Decoction).
Combined diseases of Taiyang and Yangming, and combined diseases of Taiyang and Shaoyang, both present with diarrhea and vomiting/retching; these all share the root cause of Taiyang wind-stroke.
Shizao Tang (Ten Jujube Decoction):
Yuanhua (Genkwa Flos, prepared until reddish) Gansui (Kansui Radix) Daji (Euphorbiae Pekinensis Radix) (equal parts)
The above three herbs are separately pounded and sifted, weighed, and then mixed. Take one sheng and half of water, boil ten large jujubes (Ziziphi Fructus), reduce to eight ge, remove the jujubes, and add the herbal powder. For strong individuals, administer one qianbi (a measure equivalent to a square inch spoonful); for frail individuals, half a qianbi. Take warm on an empty stomach in the morning. If the purgation is slight and the disease does not resolve, take again the next day, increasing the dose by half a qianbi. After obtaining rapid purgation, nourish oneself with millet porridge.