281．少阴之为病，脉微细，但欲寐也。
282．少阴病，欲吐不吐，心烦但欲寐，五六日自利而渴者，属少阴也。虚故引水自救；若小便色白者，少
阴病形悉具；小便白者，以下焦虚有寒，不能制水，故令色白也。
283．病患脉阴阳俱紧，反汗出者，亡阳也。此属少阴，法当咽痛而复吐利。
284．少阴病，咳而下利、谵语者，被火气劫故也。小便必难，以强责少阴汗也。
285．少阴病，脉细沉数，病为在里，不可发汗。
286．少阴病，脉微，不可发汗，亡阳故也。阳已虚，尺脉弱涩者，复不可下之。
287．少阴病，脉紧，至七八日自下利，脉暴微，手足反温，脉紧反去者，为欲解也，虽烦、下利，必自愈。
288．少阴病，下利，若利自止，恶寒而 卧，手足温者，可治。
289．少阴病，恶寒而 ，时自烦，欲去衣被者，可治。
290．少阴中风，脉阳微阴浮者，为欲愈。
291．少阴病欲解时，从子至寅上。
292．少阴病，吐、利，手足不逆冷，反发热者，不死。脉不至者，(至一作足)灸少阴七壮。
293．少阴病，八九日，一身手足尽热者，以热在膀胱，必便血也。
294．少阴病，但厥，无汗，而强发之，必动其血。未知从何道出，或从口鼻，或从目出者，是名下厥上
竭，为难治。
295．少阴病，恶寒、身 而利、手足逆冷者，不治。
296．少阴病，吐、利、躁烦、四逆者，死。
297．少阴病，下利止而头眩，时时自冒者，死。
298．少阴病，四逆、恶寒而身 、脉不至、不烦而躁者，死。（一作吐利而躁逆者死）
299．少阴病六七日，息高者，死。
300．少阴病，脉微细沉、但欲卧、汗出不烦、自欲吐，至五六日自利，复烦躁不得卧寐者，死。
301．少阴病始得之，反发热，脉沉者，麻黄细辛附子汤主之。方一。
麻黄（去节，二两） 细辛（二两） 附子（炮，去皮，破八片，一枚）
上三味，以水一斗，先煮麻黄，减二升，去上沫；内诸药，煮取三升，去滓，温服一升，日三服。
302．少阴病，得之二三日，麻黄附子甘草汤微发汗。以二三日无证，故微发汗也。方二。
麻黄（去节，二两） 甘草（炙，二两） 附子（炮，去皮，破八片，一枚）
上三味，以水七升，先煮麻黄一两沸，去上沫∶内诸药，煮取三升，去滓，温服一升，日三服。
303．少阴病，得之二三日以上，心中烦、不得卧，黄连阿胶汤主之。方三。
黄连（四两） 黄芩（二两） 芍药（二两） 鸡子黄（二枚） 阿胶（一云三挺，三两）
上五味，以水六升，先煮三物，取二升，去滓；内胶烊尽，小冷；内鸡子黄，搅令相得。温服七合，日三服。
304．少阴病，得之一二日，口中和，其背恶寒者，当灸之，附子汤主之。方四。
附子（炮，去皮，破八片，二枚） 茯苓（三两） 人参（二两） 白术（四两） 芍药（三两）
上五味，以水八升。煮取三升，去滓，温服一升，日三服。
305．少阴病，身体痛，手足寒，骨节痛，脉沉者，附子汤主之。方五。（用前第四方。）
306．少阴病，下利便脓血者，桃花汤主之。方六。
赤石脂（一斤，一半全用，一半筛末） 干姜（一两） 粳米（一升）
上三味，以水七升，煮米令熟，去滓。温服七合，内赤石脂末方寸匕，日三服。若一服愈，余勿服。
307．少阴病，二三日至四五日，腹痛，小便不利，下利不止，便脓血者，桃花汤主之。方七。（用前第六方。）
308．少阴病，下利便脓血者，可刺。
309．少阴病，吐利，手足逆冷，烦躁欲死者，吴茱萸汤主之。方八。
吴茱萸（一升） 人参（二两） 生姜（切，六两） 大枣（擘，十二枚）
上四味，以水七升，煮取二升。去滓，温服七合，日三服。
310．少阴病，下利、咽痛、胸满、心烦，猪肤汤主之。方九。
猪肤（一斤）
上一味，以水一斗，煮取五升，去滓，加白蜜一升，白粉五合，熬香，和令相得，温，分六服。
311．少阴病二三日，咽痛者，可与甘草汤；不瘥，与桔梗汤。方十。
甘草汤方∶
甘草（二两）
上一味，以水三升，煮取一升半，去滓，温服七合，日二服。
桔梗汤方∶
桔梗（一两） 甘草（二两）
上二味，以水三升，煮取一升，去滓，温分再服。
312．少阴病，咽中伤、生疮、不能语言、声不出者。苦酒汤主之。方十一。
半夏（洗，破如枣核，十四枚） 鸡子（去黄，内上苦酒，着鸡子壳中，一枚）
上二味，内半夏，着苦酒中，以鸡子壳置刀环中，安火上，令三沸，去滓。少少含咽之；不瘥，更作三剂。
313．少阴病，咽中痛，半夏散及汤主之。方十二。
半夏（洗） 桂枝（去皮） 甘草（炙）
上三味，等分，各别捣筛已，合治之。白饮和服方寸匕，日三服。若不能散服者，以水一升，煎
七沸，内散两方寸匕，更煮三沸，下火令小冷，少少咽之。半夏有毒，不当散服。
314．少阴病，下利，白通汤主之，方十三。
葱白（四茎） 干姜（一两） 附子（生，去皮，破八片，一枚）
上三味，以水三升，煮取一升，去滓，分温再服。
315．少阴病，下利，脉微者，与白通汤；利不止，厥逆无脉，干呕，烦者，白通加猪胆汁汤主之。服汤，
脉暴出者死；微续者生。白通加猪胆汁汤方十四。（白通汤，用上方。）
葱白（四茎） 干姜（一两） 附子（生，去皮，破八片，一枚） 人尿（五合） 猪胆汁（一合）
上五味，以水三升，煮取一升，去滓，内胆汁、人尿，和令相得，分温再服。若无胆，亦可用。
316．少阴病，二三日不已，至四五日，腹痛、小便不利，四肢沉重疼痛，自下利者，此为有水气。其人
或咳，或小便利，或下利，或呕者，真武汤主之。方十五。
茯苓（三两） 芍药（三两） 白术（二两） 生姜（切，三两） 附子（炮，去皮，破八片，一枚）
上五味，以水八升，煮取三升，去滓。温服七合，日三服。若咳者，加五味子半升，细辛一两，干
姜一两；若小便利者，去茯苓；若下利者，去芍药，加干姜二两；若呕者，去附子，加生姜，足前为半斤。
317．少阴病，下利清谷，里寒外热，手足厥逆，脉微欲绝，身反不恶寒，其人面色赤；或腹痛，或干呕，
或咽痛，或利止脉不出者，通脉四逆汤主之。方十六。
甘草（炙，二两） 附子（生用，去皮，破八片，大者一枚） 干姜（三两，强人可四两）
上三味，以水三升，煮取一升二合，去滓，分温再服，其脉即出者愈。面色赤者，加葱九茎；腹中
痛者，去葱，加芍药二两；呕者，加生姜二两；咽痛者，去芍药，加桔梗一两；利止脉不出者，去桔梗，
加人参二两。病皆与方相应者，乃服之。
318．少阴病，四逆，其人或咳、或悸、或小便不利、或腹中痛、或泄利下重者，四逆散主之。方十七。
甘草（炙） 枳实（破，水渍，炙干） 柴胡 芍药
上四味，各十分，捣筛，白饮和服方寸匕，日三服。咳者，加五味子、干姜各五分，并主下利；悸
者，加桂枝五分；小便不利者，加茯苓五分；腹中痛者，加附子一枚，炮令坼；泄利下重者，先以水五
升，煮薤白三升，煮取三升，去滓，以散三方寸匕，内汤中，煮取一升半，分温再服。
319．少阴病，下利六七日，咳而呕、渴，心烦、不得眠者，猪苓汤主之。方十八。
猪苓（去皮） 茯苓 阿胶 泽泻 滑石（各一两）
上五味，以水四升，先煮四物，取二升，去滓，内阿胶烊尽。温服七合，日三服。
320．少阴病，得之二三日，口燥咽干者，急下之，宜大承气汤。方十九。
枳实（炙，五枚） 浓朴（去皮，炙，半斤） 大黄（酒洗，四两） 芒硝（三合）
上四味，以水一斗，先煮二味，取五升，去滓；内大黄；更煮取二升，去滓；内芒硝，更上火，令一
两沸，分温再服。一服得利，止后服。
321．少阴病，自利清水，色纯青，心下必痛，口干燥者，可下之，宜大承气汤。方二十。
（用前第十九方，一法用
大柴胡。）
322．少阴病，六七日，腹胀、不大便者，急下之，宜大承气汤。方二十一。（用前第十九方。）
323．少阴病，脉沉者，急温之，宜四逆汤。方二十二。
甘草（炙，二两） 干姜（一两半） 附子（生用，去皮，破八片，一枚）
上三味，以水三升，煮取一升二合，去滓，分温再服。强人可大附子一枚、干姜三两。
324．少阴病，饮食入口则吐；心中温温欲吐，复不能吐。始得之，手足寒、脉弦迟者，此胸中实，不可下
也，当吐之；若膈上有寒饮，干呕者，不可吐也，当温之，宜四逆汤。方二十三。（方根据上法。）
325．少阴病，下利，脉微涩，呕而汗出，必数更衣，反少者，当温其上，灸之。（脉经云，灸厥阴可五十壮。）
281．少阴病（少阴经受邪所致的病证）的脉象是微细，精神萎靡只想睡觉。
282．患少阴病，想吐又吐不出来，心中烦躁但只想睡觉，过了五六天出现自发性腹泻且口渴的，属于少阴病。这是因为虚损所以喝水来自救；如果小便颜色清白，说明少阴病的症状完全具备；小便清白，是因为下焦（人体下部，包括肾、膀胱等）虚寒，不能制约水液，所以使小便颜色清白。
283．病人寸关尺三部脉都紧，反而出汗的，这是阳气亡失。这属于少阴病，按理应当出现咽痛并且又呕吐腹泻。
284．患少阴病，咳嗽并且腹泻、胡言乱语的，是被火疗强行发汗所致。小便一定困难，因为强行逼迫少阴经出汗的缘故。
285．患少阴病，脉象细沉而数，病位在里，不可使用发汗法。
286．患少阴病，脉象微，不可使用发汗法，因为会导致阳气亡失。阳气已经虚弱，如果尺脉弱涩，也不可使用泻下法。
287．患少阴病，脉紧，到了七八天出现自发性腹泻，脉象突然变微，手足反而温暖，脉紧的现象反而消失的，这是病情将要解除的表现，虽然有心烦、腹泻，一定会自行痊愈。
288．患少阴病，腹泻，如果腹泻自然停止，怕冷而蜷卧，手足温暖的，可以治疗。
289．患少阴病，怕冷而蜷卧，时常自觉心烦，想要去掉衣被的，可以治疗。
290．少阴中风（风邪侵袭少阴经），寸脉微、尺脉浮的，是病情将要痊愈的迹象。
291．少阴病将要解除的时间，是从子时到寅时这段时间。
292．患少阴病，呕吐、腹泻，手足不逆冷，反而发热的，不会死亡。如果脉搏摸不到，（“至”字有的版本作“足”），灸少阴经穴位七壮。
293．患少阴病，八九天，全身及手足都发热的，因为热邪在膀胱，一定会出现便血。
294．患少阴病，只有四肢厥冷，没有汗，却强行发汗，一定会扰动血液。不知道血从哪条通道流出，或者从口鼻流出，或者从眼睛流出，这叫下厥上竭，是难治之证。
295．患少阴病，怕冷、身体蜷缩并且腹泻、手足逆冷的，是不治之症。
296．患少阴病，呕吐、腹泻、躁动不安、四肢厥逆的，是死证。
297．患少阴病，腹泻停止但出现头晕，时常自觉头目昏蒙的，是死证。
298．患少阴病，四肢厥逆、怕冷而身体蜷缩、脉搏摸不到、不心烦但躁动不安的，是死证。（另一种说法是：呕吐腹泻且躁动逆乱的，是死证。）
299．患少阴病六七天，呼吸浅表急促（息高）的，是死证。
300．患少阴病，脉象微细沉、只想躺卧、出汗但不心烦、自己想呕吐，到了五六天出现自发性腹泻，又出现烦躁不得卧睡的，是死证。
301．患少阴病刚开始得病，反而发热，脉象沉的，用麻黄细辛附子汤主治。方一。
麻黄（去节，二两） 细辛（二两） 附子（炮制，去皮，破成八片，一枚）
以上三味药，用水一斗，先煮麻黄，减少二升，去掉上面的泡沫；放入其他药，煮取三升，去掉药渣，温服一升，每天服三次。
302．患少阴病，得病两三天，用麻黄附子甘草汤微微发汗。因为两三天没有里证，所以微微发汗。方二。
麻黄（去节，二两） 甘草（炙，二两） 附子（炮制，去皮，破成八片，一枚）
以上三味药，用水七升，先煮麻黄一两沸，去掉上面的泡沫；放入其他药，煮取三升，去掉药渣，温服一升，每天服三次。
303．患少阴病，得病两三天以上，心中烦躁、不能躺卧的，用黄连阿胶汤主治。方三。
黄连（四两） 黄芩（二两） 芍药（二两） 鸡子黄（二枚） 阿胶（一说三挺，三两）
以上五味药，用水六升，先煮前三味药，取二升，去掉药渣；放入阿胶烊化尽，稍冷；放入鸡子黄，搅拌使之混合均匀。温服七合，每天服三次。
304．患少阴病，得病一两天，口中平和，背部怕冷的，应当施灸，用附子汤主治。方四。
附子（炮制，去皮，破成八片，二枚） 茯苓（三两） 人参（二两） 白术（四两） 芍药（三两）
以上五味药，用水八升。煮取三升，去掉药渣，温服一升，每天服三次。
305．患少阴病，身体疼痛，手足寒冷，骨节疼痛，脉象沉的，用附子汤主治。方五。（使用前第四方。）
306．患少阴病，腹泻且大便带脓血的，用桃花汤主治。方六。
赤石脂（一斤，一半整用，一半筛成粉末） 干姜（一两） 粳米（一升）
以上三味药，用水七升，煮米至熟，去掉药渣。温服七合，放入赤石脂末一方寸匕，每天服三次。如果服一次就好了，剩下的不要服。
307．患少阴病，两三天到四五天，腹痛，小便不利，腹泻不止，大便带脓血的，用桃花汤主治。方七。（使用前第六方。）
308．患少阴病，腹泻且大便带脓血的，可以用针刺治疗。
309．患少阴病，呕吐腹泻，手足逆冷，烦躁得要死的，用吴茱萸汤主治。方八。
吴茱萸（一升） 人参（二两） 生姜（切，六两） 大枣（掰开，十二枚）
以上四味药，用水七升，煮取二升。去掉药渣，温服七合，每天服三次。
310．患少阴病，腹泻、咽痛、胸满、心烦，用猪肤汤主治。方九。
猪肤（一斤）
以上一味药，用水一斗，煮取五升，去掉药渣，加入白蜜一升，白粉五合，熬出香味，调和均匀，温热，分六次服用。
311．患少阴病两三天，咽痛的，可以给甘草汤；如果不愈，给桔梗汤。方十。
甘草汤方：
甘草（二两）
以上一味药，用水三升，煮取一升半，去掉药渣，温服七合，每天服两次。
桔梗汤方：
桔梗（一两） 甘草（二两）
以上两味药，用水三升，煮取一升，去掉药渣，温分两次服用。
312．患少阴病，咽喉受伤、生疮、不能说话、声音发不出来的。用苦酒汤主治。方十一。
半夏（洗，破开如枣核大小，十四枚） 鸡蛋（去掉蛋黄，放入苦酒，放在鸡蛋壳中，一枚）
以上两味药，放入半夏，浸在苦酒中，把鸡蛋壳放在刀环中，安在火上，让它沸腾三次，去掉药渣。少量含咽；如果不愈，再制作三剂。
313．患少阴病，咽喉疼痛，用半夏散及汤主治。方十二。
半夏（洗） 桂枝（去皮） 甘草（炙）
以上三味药，等分，分别捣碎过筛，混合治疗。用白饮调和服用一方寸匕，每天服三次。如果不能散服，用水一升，煎七沸，放入散剂两方寸匕，再煮三沸，离火令稍冷，少量咽下。半夏有毒，不应当散服。
314．患少阴病，腹泻，用白通汤主治，方十三。
葱白（四茎） 干姜（一两） 附子（生用，去皮，破成八片，一枚）
以上三味药，用水三升，煮取一升，去掉药渣，分温两次服用。
315．患少阴病，腹泻，脉微的，给白通汤；腹泻不止，四肢厥逆无脉，干呕，心烦的，用白通加猪胆汁汤主治。服药后，脉象突然出现的死；脉象微微连续的生。白通加猪胆汁汤方十四。（白通汤，用上方。）
葱白（四茎） 干姜（一两） 附子（生用，去皮，破成八片，一枚） 人尿（五合） 猪胆汁（一合）
以上五味药，用水三升，煮取一升，去掉药渣，放入胆汁、人尿，调和均匀，分温两次服用。如果没有胆汁，也可以用。
316．患少阴病，两三天不好，到了四五天，腹痛、小便不利，四肢沉重疼痛，自发性腹泻的，这是有水气。病人或者咳嗽，或者小便利，或者腹泻，或者呕吐的，用真武汤主治。方十五。
茯苓（三两） 芍药（三两） 白术（二两） 生姜（切，三两） 附子（炮制，去皮，破成八片，一枚）
以上五味药，用水八升，煮取三升，去掉药渣。温服七合，每天服三次。如果咳嗽，加五味子半升，细辛一两，干姜一两；如果小便利，去茯苓；如果腹泻，去芍药，加干姜二两；如果呕吐，去附子，加生姜，补足前量为半斤。
317．患少阴病，腹泻完谷不化，内寒外热，手足厥逆，脉微欲绝，身体反而不怕冷，病人面色红；或者腹痛，或者干呕，或者咽痛，或者腹泻停止脉搏不出的，用通脉四逆汤主治。方十六。
甘草（炙，二两） 附子（生用，去皮，破成八片，大者一枚） 干姜（三两，强壮的人可用四两）
以上三味药，用水三升，煮取一升二合，去掉药渣，分温两次服用，脉搏随即出现的痊愈。面色红的，加葱九茎；腹中痛的，去葱，加芍药二两；呕吐的，加生姜二两；咽痛的，去芍药，加桔梗一两；腹泻停止脉搏不出的，去桔梗，加人参二两。病症都与方剂相应的，才服用它。
318．患少阴病，四肢厥逆，病人或者咳嗽、或者心悸、或者小便不利、或者腹中痛、或者泄利下重的，用四逆散主治。方十七。
甘草（炙） 枳实（破开，水泡，炙干） 柴胡 芍药
以上四味药，各十分，捣碎过筛，用白饮调和服用一方寸匕，每天服三次。咳嗽的，加五味子、干姜各五分，并主治腹泻；心悸的，加桂枝五分；小便不利的，加茯苓五分；腹中痛的，加附子一枚，炮制令裂开；泄利下重的，先用水五升，煮薤白三升，煮取三升，去掉药渣，放入散剂三方寸匕，在汤中煮取一升半，分温两次服用。
319．患少阴病，腹泻六七天，咳嗽且呕吐、口渴，心烦、不能睡眠的，用猪苓汤主治。方十八。
猪苓（去皮） 茯苓 阿胶 泽泻 滑石（各一两）
以上五味药，用水四升，先煮四味药，取二升，去掉药渣，放入阿胶烊化尽。温服七合，每天服三次。
320．患少阴病，得病两三天，口燥咽干的，急用泻下法，宜用大承气汤。方十九。
枳实（炙，五枚） 厚朴（去皮，炙，半斤） 大黄（酒洗，四两） 芒硝（三合）
以上四味药，用水一斗，先煮前两味药，取五升，去掉药渣；放入大黄；再煮取二升，去掉药渣；放入芒硝，再上火，令沸腾一两次，分温两次服用。服一次得利，停止后服。
321．患少阴病，自利清水，颜色纯青，心下一定疼痛，口干燥的，可以泻下，宜用大承气汤。方二十。
（使用前第十九方，另一种方法用大柴胡汤。）
322．患少阴病，六七天，腹胀、不大便的，急用泻下法，宜用大承气汤。方二十一。（使用前第十九方。）
323．患少阴病，脉象沉的，急用温法，宜用四逆汤。方二十二。
甘草（炙，二两） 干姜（一两半） 附子（生用，去皮，破成八片，一枚）
以上三味药，用水三升，煮取一升二合，去掉药渣，分温两次服用。强壮的人可用大附子一枚、干姜三两。
324．患少阴病，饮食入口就吐；心中郁闷想吐，又不能吐。刚得病，手足寒冷、脉弦迟的，这是胸中实邪，不可泻下，应当催吐；如果膈上有寒饮，干呕的，不可催吐，应当温补，宜用四逆汤。方二十三。（方剂根据上述方法。）
325．患少阴病，腹泻，脉微涩，呕吐且出汗，一定频繁上厕所，但排便量反而少的，应当温补上部，施灸。（《脉经》说，灸厥阴经可五十壮。）
281. The pattern of Shaoyin disease (Shaoyin stage disease) is characterized by a faint and fine pulse, and a desire only to sleep.
282. In Shaoyin disease, there is a desire to vomit but inability to do so, vexation in the heart, and a desire only to sleep. If spontaneous diarrhea and thirst occur after five or six days, it belongs to Shaoyin disease. The thirst is due to deficiency, leading the patient to drink water for self-rescue. If the urine is clear and white, all signs of Shaoyin disease are present. The white urine is caused by deficiency and cold in the Lower Jiao (Lower Burner), which fails to control fluids, resulting in clear color.
283. If the patient's pulses at all three positions (Cun, Guan, Chi) are tight, but sweating occurs paradoxically, it indicates Yang collapse. This belongs to Shaoyin disease; according to treatment principles, there should be sore throat accompanied by vomiting and diarrhea.
284. In Shaoyin disease, if coughing, diarrhea, and delirium occur, it is due to being forced by fire therapy. Urination will necessarily be difficult because sweating was forcibly induced from the Shaoyin stage.
285. In Shaoyin disease, if the pulse is fine, deep, and rapid, the disease is in the Interior, and sweating therapy must not be used.
286. In Shaoyin disease, if the pulse is faint, sweating therapy must not be used, as it causes Yang collapse. If Yang is already deficient and the Chi pulse is weak and choppy, purging therapy must also not be used.
287. In Shaoyin disease, if the pulse is tight, and spontaneous diarrhea occurs on the seventh or eighth day, with the pulse suddenly becoming faint, hands and feet becoming warm paradoxically, and the tight pulse disappearing, it indicates impending resolution. Although there may be vexation and diarrhea, spontaneous recovery will occur.
288. In Shaoyin disease with diarrhea, if the diarrhea stops spontaneously, and there is aversion to cold with curled-up posture, but hands and feet are warm, the condition is treatable.
289. In Shaoyin disease, if there is aversion to cold with curled-up posture, occasional spontaneous vexation, and a desire to remove clothing and bedding, the condition is treatable.
290. In Shaoyin Wind-Strike (Wind evil attacking Shaoyin channel), if the Yang pulse (Cun) is faint and the Yin pulse (Chi) is floating, it indicates impending recovery.
291. The time when Shaoyin disease tends to resolve is from Zi hour to Yin hour.
292. In Shaoyin disease, if there is vomiting and diarrhea, but hands and feet are not cold inversely, and fever occurs paradoxically, it is not fatal. If the pulse is imperceptible, moxibustion on Shaoyin points for seven cones is indicated.
293. In Shaoyin disease, if after eight or nine days, the whole body including hands and feet becomes hot, it is because heat is in the Bladder, and hematochezia (blood in stool) will necessarily occur.
294. In Shaoyin disease, if there is only reversal cold of limbs without sweating, but sweating is forcibly induced, it will inevitably disturb the blood. It is unknown from which orifice the blood will exit; it may come from the mouth and nose, or from the eyes. This is called Lower Reversal and Upper Exhaustion, which is difficult to treat.
295. In Shaoyin disease, if there is aversion to cold, curled-up body posture, diarrhea, and inverse cold of hands and feet, it is incurable.
296. In Shaoyin disease, if there is vomiting, diarrhea, agitation and vexation, and reversal cold of the four limbs, it is a fatal pattern.
297. In Shaoyin disease, if diarrhea stops but dizziness occurs, with frequent spontaneous sensation of clouded vision, it is a fatal pattern.
298. In Shaoyin disease, if there is reversal cold of the four limbs, aversion to cold, curled-up body posture, imperceptible pulse, no vexation but agitation, it is a fatal pattern. (Another version states: vomiting, diarrhea, and agitated reversal constitute a fatal pattern.)
299. In Shaoyin disease, if after six or seven days, breathing becomes shallow and rapid (Xi Gao), it is a fatal pattern.
300. In Shaoyin disease, if the pulse is faint, fine, and deep, with a desire only to lie down, sweating without vexation, and spontaneous desire to vomit, and if spontaneous diarrhea occurs on the fifth or sixth day, followed by vexation and agitation preventing sleep, it is a fatal pattern.
301. At the onset of Shaoyin disease, if fever occurs paradoxically and the pulse is deep, Mahuang Xixin Fuzi Tang (Ephedra, Asarum, and Aconite Decoction) governs. Formula 1.
Mahuang (Ephedrae Herba, nodes removed, 2 liang), Xixin (Asari Radix et Rhizoma, 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin removed, broken into 8 pieces, 1 piece).
Decoct the above three ingredients in 1 dou of water. First decoct Mahang until reduced by 2 sheng, skim off the foam. Add the other ingredients, decoct to obtain 3 sheng, remove the dregs. Take 1 sheng warm, three times a day.
302. In Shaoyin disease, if two or three days have passed, Mahuang Fuzi Gancao Tang (Ephedra, Aconite, and Licorice Decoction) is used to induce mild sweating. Since there are no Interior patterns after two or three days, mild sweating is appropriate. Formula 2.
Mahuang (Ephedrae Herba, nodes removed, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin removed, broken into 8 pieces, 1 piece).
Decoct the above three ingredients in 7 sheng of water. First boil Mahang for one or two boils, skim off the foam. Add the other ingredients, decoct to obtain 3 sheng, remove the dregs. Take 1 sheng warm, three times a day.
303. In Shaoyin disease, if more than two or three days have passed, with vexation in the heart and inability to lie down, Huanglian Ejiao Tang (Coptis and Ass-Hide Gelatin Decoction) governs. Formula 3.
Huanglian (Coptidis Rhizoma, 4 liang), Huangqin (Scutellariae Radix, 2 liang), Shaoyao (Paeoniae Radix Alba, 2 liang), Jizi Huang (Gallus Gallus Domesticus, egg yolk, 2 pieces), Ejiao (Asini Corii Colla, 3 liang).
Decoct the first three ingredients in 6 sheng of water to obtain 2 sheng, remove the dregs. Add Ejiao to melt completely, allow to cool slightly. Add Jizi Huang and stir to mix well. Take 7 he warm, three times a day.
304. In Shaoyin disease, if one or two days have passed, the mouth is neutral, and there is aversion to cold in the back, moxibustion should be applied, and Fuzi Tang (Aconite Decoction) governs. Formula 4.
Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin removed, broken into 8 pieces, 2 pieces), Fuling (Poria, 3 liang), Renshen (Ginseng Radix et Rhizoma, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 4 liang), Shaoyao (Paeoniae Radix Alba, 3 liang).
Decoct the above five ingredients in 8 sheng of water to obtain 3 sheng, remove the dregs. Take 1 sheng warm, three times a day.
305. In Shaoyin disease, if there is body pain, cold hands and feet, joint pain, and a deep pulse, Fuzi Tang (Aconite Decoction) governs. Formula 5. (Use Formula 4 above.)
306. In Shaoyin disease, if there is diarrhea with pus and blood in the stool, Taohua Tang (Peach Blossom Decoction) governs. Formula 6.
Chishizhi (Halloysitum Rubrum, 1 jin, half used whole, half sifted into powder), Ganjiang (Zingiberis Rhizoma, 1 liang), Jingmi (Oryzae Semen, 1 sheng).
Decoct the above three ingredients in 7 sheng of water until the rice is cooked, remove the dregs. Take 7 he warm, add 1 fangcunbi of Chishizhi powder, three times a day. If cured after one dose, do not take the remaining doses.
307. In Shaoyin disease, if two to five days have passed, with abdominal pain, difficult urination, incessant diarrhea, and pus and blood in the stool, Taohua Tang (Peach Blossom Decoction) governs. Formula 7. (Use Formula 6 above.)
308. In Shaoyin disease, if there is diarrhea with pus and blood in the stool, acupuncture may be used.
309. In Shaoyin disease, if there is vomiting and diarrhea, inverse cold of hands and feet, and severe agitation and vexation, Wuzhuyu Tang (Evodia Decoction) governs. Formula 8.
Wuzhuyu (Evodiae Fructus, 1 sheng), Renshen (Ginseng Radix et Rhizoma, 2 liang), Shengjiang (Zingiberis Rhizoma Recens, sliced, 6 liang), Dazao (Jujubae Fructus, broken, 12 pieces).
Decoct the above four ingredients in 7 sheng of water to obtain 2 sheng. Remove the dregs. Take 7 he warm, three times a day.
310. In Shaoyin disease, if there is diarrhea, sore throat, chest fullness, and vexation in the heart, Zhufu Tang (Pig Skin Decoction) governs. Formula 9.
Zhufu (Sus Scrofa, pig skin, 1 jin).
Decoct the single ingredient in 1 dou of water to obtain 5 sheng, remove the dregs. Add 1 sheng of Bai Mi (white honey) and 5 he of Bai Fen (rice powder), boil until fragrant, mix well. Take warm, divided into six doses.
311. In Shaoyin disease, if two or three days have passed and there is sore throat, Gancao Tang (Licorice Decoction) may be given; if not healed, give Jiegeng Tang (Platycodon Decoction). Formula 10.
Gancao Tang Formula:
Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang).
Decoct the single ingredient in 3 sheng of water to obtain 1.5 sheng, remove the dregs. Take 7 he warm, twice a day.
Jiegeng Tang Formula:
Jiegeng (Platycodonis Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang).
Decoct the above two ingredients in 3 sheng of water to obtain 1 sheng, remove the dregs. Take warm, divided into two doses.
312. In Shaoyin disease, if the throat is injured, sores develop, speech is impossible, and voice is lost, Kujiu Tang (Vinegar Decoction) governs. Formula 11.
Banxia (Pinelliae Rhizoma, washed, broken to size of jujube pit, 14 pieces), Jizi (Gallus Gallus Domesticus, egg, yolk removed, fill with Kujiu [vinegar], place in eggshell, 1 piece).
Place Banxia in Kujiu inside the eggshell. Place the eggshell in a knife ring over fire, bring to boil three times, remove dregs. Swallow small amounts frequently. If not healed, prepare three more doses.
313. In Shaoyin disease, if there is sore throat, Banxia San Ji Tang (Pinellia Powder and Decoction) governs. Formula 12.
Banxia (Pinelliae Rhizoma, washed), Guizhi (Cinnamomi Ramulus, skin removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried).
The above three ingredients in equal parts, separately pounded and sifted, then mixed. Take 1 fangcunbi mixed with Bai Yin (rice water), three times a day. If powder cannot be taken, decoct 2 fangcunbi of powder in 1 sheng of water for seven boils, then boil three more times. Remove from heat, let cool slightly, and swallow small amounts frequently. Banxia is toxic and should not be taken as powder.
314. In Shaoyin disease, if there is diarrhea, Baitong Tang (White Penetrating Decoction) governs. Formula 13.
Congbai (Allii Fistulosi Bulbus, 4 stalks), Ganjiang (Zingiberis Rhizoma, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, raw, skin removed, broken into 8 pieces, 1 piece).
Decoct the above three ingredients in 3 sheng of water to obtain 1 sheng, remove the dregs. Take warm, divided into two doses.
315. In Shaoyin disease, if there is diarrhea and a faint pulse, give Baitong Tang. If diarrhea does not stop, with reversal cold, imperceptible pulse, dry retching, and vexation, Baitong Jia Zhu Danzhi Tang (White Penetrating Decoction plus Pig Bile) governs. If the pulse appears abruptly after taking the decoction, it is fatal; if it continues faintly, it is survivable. Baitong Jia Zhu Danzhi Tang Formula 14. (Baitong Tang uses the formula above.)
Congbai (Allii Fistulosi Bulbus, 4 stalks), Ganjiang (Zingiberis Rhizoma, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, raw, skin removed, broken into 8 pieces, 1 piece), Renniao (Urina Hominis, human urine, 5 he), Zhu Danzhi (Sus Scrofa, pig bile, 1 he).
Decoct the first three ingredients in 3 sheng of water to obtain 1 sheng, remove the dregs. Add Zhu Danzhi and Renniao, mix well. Take warm, divided into two doses. If bile is unavailable, it can still be used.
316. In Shaoyin disease, if it persists for two or three days and extends to four or five days, with abdominal pain, difficult urination, heavy and painful limbs, and spontaneous diarrhea, this indicates Water Qi. If the patient has coughing, frequent urination, diarrhea, or vomiting, Zhenwu Tang (True Warrior Decoction) governs. Formula 15.
Fuling (Poria, 3 liang), Shaoyao (Paeoniae Radix Alba, 3 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Shengjiang (Zingiberis Rhizoma Recens, sliced, 3 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin removed, broken into 8 pieces, 1 piece).
Decoct the above five ingredients in 8 sheng of water to obtain 3 sheng, remove the dregs. Take 7 he warm, three times a day. If coughing, add Wuweizi (Schisandrae Chinensis Fructus, 0.5 sheng), Xixin (Asari Radix et Rhizoma, 1 liang), and Ganjiang (Zingiberis Rhizoma, 1 liang). If urination is frequent, remove Fuling. If diarrhea, remove Shaoyao and add Ganjiang (2 liang). If vomiting, remove Fuzi and add Shengjiang to make up to 0.5 jin.
317. In Shaoyin disease, if there is diarrhea with undigested food, Interior Cold and Exterior Heat, reversal cold of hands and feet, faint pulse nearing exhaustion, and paradoxical absence of aversion to cold with red facial complexion; or abdominal pain, dry retching, sore throat, or cessation of diarrhea with imperceptible pulse, Tongmai Sini Tang (Channel-Unblocking Four Counterflow Decoction) governs. Formula 16.
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata, raw, skin removed, broken into 8 pieces, 1 large piece), Ganjiang (Zingiberis Rhizoma, 3 liang, 4 liang for strong individuals).
Decoct the above three ingredients in 3 sheng of water to obtain 1.2 sheng, remove the dregs. Take warm, divided into two doses; recovery occurs if the pulse returns immediately. If facial complexion is red, add Cong (Allii Fistulosi Bulbus, 9 stalks). If abdominal pain, remove Cong and add Shaoyao (2 liang). If vomiting, add Shengjiang (2 liang). If sore throat, remove Shaoyao and add Jiegeng (1 liang). If diarrhea stops but pulse does not return, remove Jiegeng and add Renshen (2 liang). Administer only if the pattern matches the formula.
318. In Shaoyin disease, if there is reversal cold of the four limbs, and the patient has coughing, palpitations, difficult urination, abdominal pain, or diarrhea with tenesmus, Sini San (Four Counterflow Powder) governs. Formula 17.
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhishi (Aurantii Fructus Immaturus, broken, soaked in water, dried by frying), Chaihu (Bupleuri Radix), Shaoyao (Paeoniae Radix Alba).
The above four ingredients, 1 fen each, pounded and sifted. Take 1 fangcunbi mixed with Bai Yin (rice water), three times a day. If coughing, add Wuweizi (Schisandrae Chinensis Fructus) and Ganjiang (Zingiberis Rhizoma), 0.5 fen each, which also treats diarrhea. If palpitations, add Guizhi (Cinnamomi Ramulus, 0.5 fen). If difficult urination, add Fuling (Poria, 0.5 fen). If abdominal pain, add Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, processed until cracked). If diarrhea with tenesmus, first decoct Xiebai (Allii Macrostemonis Bulbus, 3 sheng) in 5 sheng of water to obtain 3 sheng, remove dregs, add 3 fangcunbi of powder, decoct to 1.5 sheng, and take warm, divided into two doses.
319. In Shaoyin disease, if diarrhea has lasted six or seven days, with coughing, vomiting, thirst, vexation in the heart, and insomnia, Zhuling Tang (Polyporus Decoction) governs. Formula 18.
Zhuling (Polyporus, skin removed), Fuling (Poria), Ejiao (Asini Corii Colla), Zexie (Alismatis Rhizoma), Huashi (Talcum, 1 liang each).
Decoct the first four ingredients in 4 sheng of water to obtain 2 sheng, remove the dregs. Add Ejiao to melt completely. Take 7 he warm, three times a day.
320. In Shaoyin disease, if two or three days have passed, with dry mouth and throat, urgent purging is required; Dachengqi Tang (Major Order the Qi Decoction) is suitable. Formula 19.
Zhishi (Aurantii Fructus Immaturus, honey-fried, 5 pieces), Houpo (Magnoliae Officinalis Cortex, skin removed, honey-fried, 0.5 jin), Dahuang (Rhei Radix et Rhizoma, washed with wine, 4 liang), Mangxiao (Natrii Sulfas, 3 he).
Decoct the first two ingredients in 1 dou of water to obtain 5 sheng, remove the dregs. Add Dahuang, decoct to 2 sheng, remove the dregs. Add Mangxiao, bring to one or two boils. Take warm, divided into two doses. If bowel movement occurs after one dose, stop subsequent doses.
321. In Shaoyin disease, if there is spontaneous discharge of clear green water, definite pain below the heart, and dry mouth, purging is permissible; Dachengqi Tang (Major Order the Qi Decoction) is suitable. Formula 20.
(Use Formula 19 above; alternatively, Da Chaihu Tang may be used.)
322. In Shaoyin disease, if six or seven days have passed, with abdominal distension and constipation, urgent purging is required; Dachengqi Tang (Major Order the Qi Decoction) is suitable. Formula 21. (Use Formula 19 above.)
323. In Shaoyin disease, if the pulse is deep, urgent warming is required; Sini Tang (Four Counterflow Decoction) is suitable. Formula 22.
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang), Ganjiang (Zingiberis Rhizoma, 1.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, raw, skin removed, broken into 8 pieces, 1 piece).
Decoct the above three ingredients in 3 sheng of water to obtain 1.2 sheng, remove the dregs. Take warm, divided into two doses. For strong individuals, use 1 large Fuzi and 3 liang Ganjiang.
324. In Shaoyin disease, if vomiting occurs immediately upon eating; there is a sensation of warmth in the heart with desire to vomit but inability to do so; at onset, hands and feet are cold and the pulse is wiry and slow, this indicates Excess in the chest, and purging must not be used; emesis therapy should be used. If there is Cold Fluid retention above the diaphragm with dry retching, emesis must not be used; warming therapy should be used, and Sini Tang (Four Counterflow Decoction) is suitable. Formula 23. (Formula follows the method above.)
325. In Shaoyin disease, if there is diarrhea, faint and choppy pulse, vomiting and sweating, frequent defecation with scanty output, the Upper part should be warmed with moxibustion. (Mai Jing states: Moxibustion on Jueyin points for 50 cones.)