大黄（四两，去皮清酒洗） 甘草（二两，炙） 芒硝（半升） 上三味，以水三升，先煮大黄、甘草，取一升，
去渣，纳芒硝，更上火微煮，令沸，少少温服之。按∶芒硝善解结热之邪。大承气用之，解已结之热邪。此方
用之，以解将结之热邪。其能调胃，则全赖甘草也。
伤寒脉浮，自汗出，小便数，心烦，微恶寒，脚挛急，反与桂枝汤攻其表，此误也。得之便厥，咽中
干，烦躁吐逆者，作甘草干姜汤与之，以复其阳。若厥愈足温者，更作芍药甘草汤与之，其脚即伸；若胃
气不和，谵语者，少与调胃承气汤。阴阳错杂之症，多方以救之，必有余邪在胃，故少与以和之。全详杂方
条。
发汗后恶寒者，虚故也，不恶寒，但热者，实也。当和胃气，与调胃承气汤。此必发汗后无他症，但现
微寒、微热，故止作虚实观，否则安知非更有余邪，将复变他症耶？
太阳病未解，脉阴阳俱停，脉法无停字，疑似沉滞不起，即下微字之义。寸为阳，尺为阴。先振栗汗
出而解。阴阳争而复和。但阳脉微者，先汗出而解；当发其阳。但阴脉微者，下之而解，当和其阴。若欲
下之，宜调胃承气汤。按∶此微字，即上停字之意，与微弱不同，微弱则不当复汗下也。
伤寒十三日不解，二候。过经谵语者，以有热也，当以汤下之。如大、小承气之类。若小便利者，大便
当硬，而反下利，脉调和者，此言下后之症。知医以丸药下之，非其治也。下非误，下之法误。若自下利
者，脉当微厥，今反和者，知为内实也，调胃承气汤主之。当下而下非其法，余邪未尽，仍宜更下。
太阳病，过经十余日，心下温温欲吐，而胸中痛，大便反溏，腹微满，郁郁微烦，以上皆类少阳症。先
其时自极吐下者，邪气乘虚陷入。与调胃承气汤。以涤胃邪。若不尔者，不可与。未经吐下，则邪在半表
半里，不得用下法。但欲呕，胸中痛，微溏者，此非柴胡证，以呕，故知极吐下也。此段疑有误字。调胃
承气汤。
阳明病，不吐不下、心烦者，未经吐下，而心烦中气实也。可与调胃承气汤。
太阳病三日，发汗不解，蒸蒸发热者，属胃也，外邪已解，内热未清。调胃承气汤主之。
伤寒吐后，腹胀满者，已吐而胃中仍满，则非上越所能愈，复当下行矣。与调胃承气汤。
大黄（四两，去皮后用清酒清洗） 甘草（二两，炙烤） 芒硝（半升） 以上三味药，用水三升，先煎煮大黄和甘草，取汁一升，
去掉药渣，加入芒硝，再放在火上微煮至沸腾，少量多次温服。按语：芒硝善于解除郁结的热邪。大承气汤使用它，是为了解除已经结聚的热邪。此方
使用它，是为了解除即将结聚的热邪。其能调和胃气，则完全依赖于甘草的作用。
伤寒病脉象浮，自汗出，小便频数，心烦，轻微恶寒，脚部拘挛急迫，反而给予桂枝汤攻表，这是误治。服药后出现四肢厥冷，咽喉干燥，烦躁呕吐逆乱的症状，应给予甘草干姜汤，以恢复阳气。如果四肢厥冷痊愈、足部转暖，再给予芍药甘草汤，脚部即可舒展；如果胃气不和，出现谵语，则少量给予调胃承气汤。阴阳错杂的病症，用多种方法救治，必然有余邪留在胃中，所以少量给予以调和胃气。详细参见杂方条文。
发汗后出现恶寒症状，是因为正气虚弱；不恶寒只发热，是因为邪气实盛。应当调和胃气，给予调胃承气汤。这一定是发汗后没有其他症状，仅表现为轻微恶寒、轻微发热，所以只从虚实角度判断，否则怎么知道不是还有余邪，将要再次引发其他病症呢？
太阳病未解，脉象寸关尺三部皆隐伏不动，脉法中没有“停”字，疑似沉滞不起，即含有“微”字的含义。寸脉属阳，尺脉属阴。先出现战栗出汗而病解。阴阳之气争斗后重新调和。如果仅是阳脉微，先出汗而病解；应当发散阳气。如果仅是阴脉微，通过泻下而病解，应当调和阴气。如果想要泻下，适宜使用调胃承气汤。按语：这里的“微”字，就是上面“停”字的意思，与微弱不同，如果是微弱则不应当再发汗或泻下了。
伤寒十三日未愈，经过两个七天周期。病情传经出现谵语，是因为有热邪，应当用汤剂泻下。如大承气汤、小承气汤之类。如果小便通利，大便应当硬结，反而出现腹泻，脉象调和，这是指泻下后的症状。得知医生使用了丸药泻下，这不是正确的治法。泻下本身没有错误，是泻下的方法有误。如果是自行腹泻，脉象应当微弱厥冷，现在反而调和，可知是内有实邪，由调胃承气汤主治。本应泻下却用了非正确的方法，余邪未尽，仍然适宜再次泻下。
太阳病，病程超过十余日，心下温温欲吐，胸中疼痛，大便反而稀溏，腹部轻微胀满，郁郁轻微烦闷，以上症状都类似少阳病证。此前曾经过剧烈的吐下治疗，邪气乘虚陷入。给予调胃承气汤。以涤荡胃中邪气。如果不是这种情况，不可给予。未经过吐下，则邪气在半表半里，不得使用泻下法。只是想要呕吐，胸中痛，大便微溏，这不是柴胡汤证，因为呕吐，所以知道是剧烈吐下所致。这段文字怀疑有错字。调胃承气汤。
阳明病，未经过吐下，心烦的，是未经吐下而中气实盛。可以给予调胃承气汤。
太阳病三天，发汗后病未解，身体蒸蒸发热的，属于胃家实，外邪已解，内热未清。由调胃承气汤主治。
伤寒呕吐后，出现腹胀满的，已经呕吐但胃中仍然胀满，则不能通过向上涌吐治愈，必须向下泻下。给予调胃承气汤。
Rhubarb (4 liang, peeled and washed with clear wine) Licorice (2 liang, honey-fried) Mirabilite (0.5 sheng) The above three ingredients are decocted in 3 sheng of water. First, decoct Rhubarb and Licorice to obtain 1 sheng of liquid. Remove the dregs, add Mirabilite, and boil gently over fire until boiling. Take warm in small amounts frequently. Note: Mirabilite is good at resolving constrained heat pathogens. Da Cheng Qi Tang uses it to resolve already constrained heat pathogens. This formula uses it to resolve heat pathogens that are about to become constrained. Its ability to harmonize the Stomach qi relies entirely on Licorice.
In Shang Han disease, if the pulse is floating, there is spontaneous sweating, frequent urination, mental restlessness, slight aversion to cold, and cramping of the feet, administering Gui Zhi Tang to attack the exterior is a mistake. If this occurs, leading to cold limbs, dry throat, irritability, vomiting, and reflux, administer Gan Cao Gan Jiang Tang to restore Yang qi. If the cold limbs resolve and the feet become warm, administer Shao Yao Gan Cao Tang, and the feet will extend. If there is disharmony of Stomach qi with delirium, administer a small amount of Tiao Wei Cheng Qi Tang. For syndromes of mixed Yin and Yang, multiple methods are used to rescue the patient; since residual pathogens remain in the Stomach, a small amount is given to harmonize. Refer to the section on miscellaneous formulas for details.
After sweating, if there is aversion to cold, it is due to deficiency; if there is no aversion to cold but only heat, it is due to excess. One should harmonize Stomach qi by administering Tiao Wei Cheng Qi Tang. This applies when, after sweating, there are no other symptoms, only slight aversion to cold and slight heat, so one judges based on deficiency or excess. Otherwise, how can one know if there are still residual pathogens that might transform into other syndromes?
In Tai Yang disease unresolved, the pulse at Cun, Guan, and Chi positions appears "stopped" (hidden/stagnant). The pulse methodology does not use the character "stop"; it resembles deep stagnation without rising, implying the meaning of "slight". Cun represents Yang, Chi represents Yin. If there is first chills followed by sweating, the disease resolves. Yin and Yang contend and then harmonize. If only the Yang pulse is slight, sweating occurs first and the disease resolves; one should disperse Yang. If only the Yin pulse is slight, purgation resolves the disease; one should harmonize Yin. If purgation is desired, Tiao Wei Cheng Qi Tang is suitable. Note: Here, "slight" means the same as "stopped" above, different from "weak". If weak, neither sweating nor purgation should be repeated.
In Shang Han disease, if after thirteen days (two weeks) the disease remains unresolved and delirium occurs upon transmission of the meridian, it indicates heat, requiring purgation with a decoction, such as Da Cheng Qi Tang or Xiao Cheng Qi Tang. If urination is free, stool should be hard, but instead diarrhea occurs with a harmonious pulse, this describes post-purgation symptoms. It indicates the physician used pill-based purgatives, which was incorrect treatment. The act of purgation was not wrong, but the method was. If self-induced diarrhea occurred, the pulse should be weak and cold; now that it is harmonious, it indicates internal excess, treated with Tiao Wei Cheng Qi Tang. Since the correct purgative method was not used initially, residual pathogens remain, and further purgation is appropriate.
In Tai Yang disease, after more than ten days, if there is nausea, chest pain, loose stools, slight abdominal fullness, and mild depression/irritability, these resemble Shaoyang syndromes. If the patient previously underwent severe emesis or purgation, pathogens have sunk into deficiency. Administer Tiao Wei Cheng Qi Tang to cleanse Stomach pathogens. If not, do not administer. Without prior emesis/purgation, pathogens are in the half-exterior/half-interior stage, and purgation is contraindicated. Mere vomiting, chest pain, and loose stools do not constitute Chai Hu syndrome; vomiting indicates prior severe emesis/purgation. This passage likely contains textual errors. Tiao Wei Cheng Qi Tang.
In Yangming disease, if there is mental restlessness without prior emesis or purgation, it indicates excess in the Middle Jiao. Tiao Wei Cheng Qi Tang may be administered.
In Tai Yang disease, after three days, if sweating fails to resolve the condition and there is steaming fever, it belongs to the Stomach; external pathogens are resolved, but internal heat remains unclarified. Tiao Wei Cheng Qi Tang is indicated.
After Shang Han induces vomiting, if abdominal distension and fullness occur, the Stomach remains full despite vomiting, indicating upward expulsion is insufficient, and downward purgation is required. Administer Tiao Wei Cheng Qi Tang.