（此方自原论中第十卷采附于此）
于桂枝汤方内去桂枝。加茯苓白术（各三两）余根据前法煎服。小便利。则愈。
琥按上汤后云。小便利。则愈。乃知其为停饮之证无疑。
伤寒脉浮。自汗出小便数。心烦微恶寒。脚挛急。反与桂枝汤。欲攻其表。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。若重发汗复加烧针者。四逆汤主之。（此条系真寒证。误与桂枝汤。攻其表而损其阳。阴阳气血俱虚。故作甘草
干姜汤。以复其阳气。更作芍药甘草汤。以益其阴血。少与调胃承气汤者。此反治法也。以四逆汤主之。此为正治之法。
正文与注见中寒论中。）
甘草干姜汤方 芍药甘草汤方（俱见中寒论中）
调胃承气方（见后第六卷阳明篇中）
四逆汤方（见中寒论中）
问曰。证象阳旦。按法治之。而增剧厥逆。咽中干。两胫拘急而谵语。师曰言夜半。手足当温。两脚当伸。后如师
言。何以知此。答曰。寸口脉浮而大。浮则为风。大则为虚。风则生微热。虚则两胫挛。病证象桂枝。因加附子参其间。
增桂。令汗出。附子温经。亡阳故也。厥逆。咽中干。烦躁。阳明内结。谵语烦乱。更饮甘草干姜汤。夜半。阳气还。
两足当热。胫尚微拘急。重与芍药甘草汤。尔乃胫伸。以承气汤微溏。则止其谵语。故知病可愈。（此条亦系真寒证。以
其证。似阳旦。故误与桂枝汤。阳旦者。即桂枝汤之别名也。咽中干。烦躁谵语烦乱。乃阴极似阳之证。故以附子干姜
等汤剂治之。正文与注俱见中寒论中。）
（此方从原论第十卷摘录附于此）
在桂枝汤的配方中去掉桂枝，加入茯苓和白术（各三两），其余按照之前的方法煎煮服用。小便通畅，病就好了。
琥按：上述汤剂后说“小便通畅，病就好了”，由此可知这无疑是水饮停滞的病证。
伤寒脉浮，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，想要攻解表邪，这是误治。导致出现四肢厥冷，咽喉干燥，烦躁，呕吐逆气等症状时，制作甘草干姜汤给予患者，以恢复其阳气。如果四肢厥冷痊愈、足部变温，再制作芍药甘草汤给予患者，其脚部即可伸展。如果出现胃气不和导致谵语的情况，少量给予调胃承气汤。如果再次发汗并加上烧针治疗，应以四逆汤为主治。（这一条属于真寒证，误用桂枝汤攻表而损伤阳气，导致阴阳气血俱虚，所以制作甘草干姜汤以恢复阳气，再制作芍药甘草汤以补益阴血。少量给予调胃承气汤，这是反治法。以四逆汤主治，这是正治法。正文与注释见《中寒论》中。）
甘草干姜汤方 芍药甘草汤方（均见《中寒论》中）
调胃承气汤方（见后第六卷阳明篇中）
四逆汤方（见《中寒论》中）
问曰：病症表现像阳旦证，按照常规法治疗，病情却加重，出现四肢厥冷，咽喉干燥，两小腿拘挛急迫且伴有谵语。老师说：“到了半夜，手足应当转温，双脚应当伸展。”后来果然如老师所说。为什么能知道这一点？回答是：寸口脉浮而大，浮主风邪，大主虚证。风邪则产生微热，虚证则两小腿拘挛。病症表现像桂枝汤证，因此加入附子在其中，增加桂枝，令其出汗。附子温通经脉，是因为亡阳的缘故。出现四肢厥冷，咽喉干燥，烦躁，阳明内结，谵语烦乱。再饮用甘草干姜汤，半夜时分，阳气回复，两足应当发热，小腿尚且轻微拘挛急迫，再次给予芍药甘草汤，然后小腿才能伸展。再用承气汤使其轻微腹泻，则停止谵语。所以知道病可以痊愈。（这一条也属于真寒证，因为其症状类似阳旦证，所以误用桂枝汤。阳旦，即桂枝汤的别名。咽喉干燥，烦躁谵语烦乱，是阴极似阳的症状，所以用附子、干姜等汤剂治疗。正文与注释均见《中寒论》中。）
(This prescription is extracted from Volume 10 of the original treatise and attached here.)
Remove Cinnamon Twig (Guizhi) from the Guizhi Tang (Cinnamon Twig Decoction) formula. Add Poria (Fuling) and Atractylodes Macrocephala Rhizome (Baizhu) (each three liang). Prepare and administer the remaining ingredients according to the previous method. When urination becomes smooth, the patient will recover.
Hu notes: The text following the above decoction states, "When urination becomes smooth, the patient will recover." From this, it is known that this is undoubtedly a syndrome of retained fluid retention (Ting Yin).
In Shaoyin Cold Damage (Shanghan), the pulse is floating, there is spontaneous sweating, frequent urination, vexation in the heart, slight aversion to cold, and cramping/tightness in the legs. Instead, Guizhi Tang (Cinnamon Twig Decoction) was administered to attack the exterior; this is an error. This leads to cold extremities (Jue), dryness in the throat, restlessness, and vomiting/reversal of qi. At this point, prepare Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction) to administer to the patient to restore their Yang Qi. If the cold extremities resolve and the feet become warm, then prepare Shaoyao Gancao Tang (Peony and Licorice Decoction) to administer to the patient, and the legs will extend. If there is disharmony of Stomach Qi leading to delirious speech (Chanyu), administer a small amount of Tiaowei Chengqi Tang (Harmonizing the Stomach and Directing Downward Decoction). If excessive sweating is induced again and moxibustion with heated needles (Shaozhen) is added, Sini Tang (Four Reversal Decoction) should be the primary treatment. (This clause pertains to a True Cold syndrome. Misusing Guizhi Tang (Cinnamon Twig Decoction) to attack the exterior damages Yang Qi, resulting in deficiency of both Yin and Yang, as well as Qi and Blood. Therefore, Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction) is prepared to restore Yang Qi, and subsequently, Shaoyao Gancao Tang (Peony and Licorice Decoction) is prepared to nourish Yin and Blood. Administering a small amount of Tiaowei Chengqi Tang (Harmonizing the Stomach and Directing Downward Decoction) constitutes the contrary treatment method. Using Sini Tang (Four Reversal Decoction) as the primary treatment constitutes the direct treatment method. The main text and annotations are found in *Zhonghan Lun*.)
Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction) Formula [See *Zhonghan Lun*]
Shaoyao Gancao Tang (Peony and Licorice Decoction) Formula [See *Zhonghan Lun*]
Tiaowei Chengqi Tang (Harmonizing the Stomach and Directing Downward Decoction) Formula [See Volume 6, Yangming Chapter, below]
Sini Tang (Four Reversal Decoction) Formula [See *Zhonghan Lun*]
Question: The symptoms resemble Yangdan Syndrome. After treating according to standard methods, the condition worsened, presenting with cold extremities, dryness in the throat, cramping/tightness in both calves, and delirious speech. The Master said, "By midnight, the hands and feet should become warm, and the feet should extend." Later, this indeed happened as the Master predicted. How did you know this?
Answer: The Cun Kou (inch position) pulse is floating and large. Floating indicates Wind, and large indicates Deficiency. Wind generates slight heat, and Deficiency causes cramping/tightness in both calves. The clinical presentation resembles Guizhi Tang (Cinnamon Twig Decoction) syndrome, so Fuzi (Aconite Lateral Root) was added to the formula, and the dosage of Guizhi (Cinnamon Twig) was increased to induce sweating. Fuzi (Aconite Lateral Root) warms the meridians because of Yang Collapse (Wang Yang). The presentation of cold extremities, dryness in the throat, restlessness, internal binding in the Yangming channel, delirious speech, and confusion requires administering Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction). By midnight, Yang Qi returns, the two feet should become warm, and although the calves may still be slightly cramped, administering Shaoyao Gancao Tang (Peony and Licorice Decoction) again allows the calves to extend. Using Chengqi Tang (Directing Downward Decoction) to induce mild loose stools stops the delirious speech. Thus, it is known that the disease can be cured. (This clause also pertains to a True Cold syndrome. Because the symptoms resemble Yangdan Syndrome, Guizhi Tang (Cinnamon Twig Decoction) was mistakenly administered. Yangdan is another name for Guizhi Tang (Cinnamon Twig Decoction). Dryness in the throat, restlessness, delirious speech, and confusion are signs of Extreme Yin resembling Yang. Therefore, formulas containing Fuzi (Aconite Lateral Root) and Ganjiang (Dried Ginger) were used for treatment. The main text and annotations are all found in *Zhonghan Lun*.)