上四味，以水七升，煮取二升，去滓，温服七合。日三服。
244．太阳病，寸缓、关浮、尺弱，其人发热汗出，复恶寒，不呕，但心下痞者，此以医下之也。如其不下
者，病患不恶寒而渴者，此转属阳明也。小便数者，大便必硬，不更衣十日，无所苦也。渴欲饮水，少少与之，但以
法救之。渴者，宜五苓散。方三十。
猪苓（去皮） 白术 茯苓（各十八铢） 泽泻（一两六铢） 桂枝（去皮，半两）
上五味，为散，白饮和服方寸匕，日三服。
245．脉阳微而汗出少者，为自和（一作如）也；汗出多者，为太过；阳脉实，因发其汗，出多者，亦为太
过。太过者，为阳绝于里，亡津液，大便因硬也。
246．脉浮而芤，浮为阳，芤为阴；浮芤相搏，胃气生热，其阳则绝。
247．趺阳脉浮而涩，浮则胃气强，涩则小便数；浮涩相搏，大便则硬，其脾为约，麻子仁丸主之。方三
十一。
麻子仁（二升） 芍药（半斤） 枳实（炙，半斤） 大黄（去皮，一斤） 浓朴（炙，去皮，一尺）
杏仁（去皮尖，熬，别作脂，一升）
上六味，蜜和丸如梧桐子大。饮服十丸，日三服，渐加，以知为度。
248．太阳病三日，发汗不解，蒸蒸发热者，属胃也，调胃承气汤主之。方三十二。（用前第一方。）
249．伤寒吐后，腹胀满者，与调胃承气汤。方三十
三。（用前第一方。）
250．太阳病，若吐、若下、若发汗后，微烦，小便数、大便因硬者，与小承气汤，和之愈。方三十四。
（用前第二方。）
251．得病二三日，脉弱，无太阳柴胡证，烦躁、心下硬；至四五日，虽能食，以小承气汤，少少与，微
和之，令小安；至六日，与承气汤一升。若不大便六七日，小便少者，虽不受食，（一云不大便）但初头硬，
后必溏，未定成硬，攻之必溏；须小便利，屎定硬，乃可攻之，宜大承气汤。方三十五。（用前第二方。）
252．伤寒六七日，目中不了了，睛不和，无表里证，大便难，身微热者，此为实也。急下之，宜大承气
汤。方三十六。（用前第二方。）
253．阳明病，发热、汗多者，急下之，宜大承气汤。方三十七。（用前第二方，一云大柴胡汤。）
254．发汗不解，腹满痛者，急下之，宜大承气汤。方三十八。（用前第二方。）
255．腹满不减，减不足言，当下之，宜大承气汤。方三十九。（用前第二方。）
256．阳明少阳合病，必下利。其脉不负者，为顺
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。方四十。（用前第二方。）
257．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，合热则消谷喜饥，至六
七日，不大便者，有瘀血，宜抵当汤。方四十一。（用前第二十四方。）
258．若脉数不解，而下不止，必协热便脓血也。
259．伤寒发汗已，身目为黄，所以然者，以寒湿（一作温）在里不解故也。以为不可下也，于寒湿中求之。
260．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。方四十二。（用前第二十三方。）
261．伤寒身黄发热，栀子柏皮汤主之。方四十三。
肥栀子（擘，十五个） 甘草（炙，一两） 黄柏（二两）
上三味，以水四升，煮取一升半，去滓，分温再服。
262．伤寒瘀热在里，身必黄，麻黄连轺赤小豆汤主之。方四十四。
麻黄（去节，二两） 连轺（连翘根是，二两） 杏仁（去皮尖，四十个） 赤小豆（一升） 大枣
（擘，十二枚） 生梓白皮（切，一升） 生姜（切，二两） 甘草（炙，二两）
上八味，以潦水一斗，先煮麻黄再沸，去上沫，内诸药，煮取三升，去滓。分温三服，半日服尽。
（接上文）以上四味药，用水七升，煮取二升药液，去掉药渣，温服七合。每天服用三次。
244．太阳病（太阳经受邪所致的病证），寸口脉缓、关脉浮、尺脉弱，病人发热、出汗，又怕冷，不呕吐，只是心下（胃脘部）痞塞胀满的，这是因为医生误用了泻下法所致。如果没有使用泻下法，病人不怕冷而口渴的，这是病邪转属阳明病（阳明经受邪或胃肠燥热所致的病证）。如果小便次数多，大便必然干硬，即使十天不大便，也没有痛苦。口渴想喝水时，少量给予饮水，只需按照法则救治即可。对于口渴者，适宜用五苓散。第三十方。
猪苓（去皮）、白术、茯苓（各十八铢）、泽泻（一两六铢）、桂枝（去皮，半两）。
以上五味药，研成散剂，用米汤调和，每次服用方寸匕（古代量器，约等于现代一茶匙的量），每天服用三次。
245．脉象阳部微弱且出汗少的，是身体自行调和的表现（一作“如”）；出汗多的，则是太过；阳脉实，因而发汗，出汗过多的，也是太过。太过的情况，会导致阳气隔绝于体内，津液亡失，大便因此干硬。
246．脉象浮而芤（中空如葱管），浮代表阳，芤代表阴；浮脉与芤脉相搏结，胃气产生热邪，其阳气就会隔绝。
247．趺阳脉（足背动脉，候脾胃之气）浮而涩，浮表示胃气强盛，涩表示小便频数；浮脉与涩脉相搏结，大便就会干硬，这是脾约证（脾受约束，不能为胃行其津液），用麻子仁丸主治。第三十一方。
麻子仁（二升）、芍药（半斤）、枳实（炙，半斤）、大黄（去皮，一斤）、厚朴（炙，去皮，一尺）、杏仁（去皮尖，熬制，另制成脂，一升）。
以上六味药，用蜂蜜调和做成梧桐子大小的丸药。用饮水送服十丸，每天服用三次，逐渐增加剂量，以见效为度。
248．太阳病三天，发汗后病未解，出现蒸蒸发热（热气从内向外蒸腾）的症状，属于胃病，用调胃承气汤主治。第三十二方。（使用前文第一方。）
249．伤寒病呕吐后，腹部胀满的，给予调胃承气汤。第三十三方。（使用前文第一方。）
250．太阳病，如果经过呕吐、泻下或发汗治疗后，出现轻微烦躁、小便频数、大便因此干硬的，给予小承气汤，调和后即可痊愈。第三十四方。（使用前文第二方。）
251．得病两三天，脉象弱，没有太阳病和柴胡证（少阳病）的表现，烦躁、心下硬满；到了四五天，虽然能进食，用小承气汤，少量给予，微微调和，使其稍安；到了第六天，给予承气汤一升。如果六七天不大便，小便少的，虽然不能进食（一说为不大便），但起初大便头硬，后面必然稀溏，尚未完全形成硬便，若用攻下法必然导致腹泻；必须等到小便通利，大便确定干硬，才可以攻下，适宜用大承气汤。第三十五方。（使用前文第二方。）
252．伤寒病六七天，视物不清，眼球转动不灵活，没有表证和里证的典型表现，大便困难，身体微热的，这是实证。应当急下，适宜用大承气汤。第三十六方。（使用前文第二方。）
253．阳明病，发热、出汗多的，应当急下，适宜用大承气汤。第三十七方。（使用前文第二方，一说为大柴胡汤。）
254．发汗后病未解，腹部胀满疼痛的，应当急下，适宜用大承气汤。第三十八方。（使用前文第二方。）
255．腹部胀满不减，或者减轻的程度微不足道，应当攻下，适宜用大承气汤。第三十九方。（使用前文第二方。）
256．阳明病与少阳病合病，必然出现下利（腹泻）。如果脉象没有出现相克的现象，为顺证；如果出现相克，为逆证。互相克制伤害，称为负。脉象滑而数的，是有宿食，应当攻下，适宜用大承气汤。第四十方。（使用前文第二方。）
257．病人没有表证和里证，发热七八天，虽然脉象浮数，也可以攻下。假如已经攻下，脉数不解，合并热邪则消谷善饥，到了六七天，不大便的，是有瘀血，适宜用抵当汤。第四十一方。（使用前文第二十四方。）
258．如果脉数不解，且下利不止，必然协热便脓血（伴随热邪排出脓血便）。
259．伤寒发汗后，身体和眼睛发黄，之所以这样，是因为寒湿（一作温）在体内未解的缘故。认为不可攻下，应从寒湿中寻求治疗方法。
260．伤寒病七八天，身体黄如橘子色，小便不利，腹部微满的，用茵陈蒿汤主治。第四十二方。（使用前文第二十三方。）
261．伤寒病身体发黄、发热的，用栀子柏皮汤主治。第四十三方。
肥栀子（剖开，十五个）、甘草（炙，一两）、黄柏（二两）。
以上三味药，用水四升，煮取一升半药液，去掉药渣，分两次温服。
262．伤寒病瘀热在体内，身体必然发黄，用麻黄连轺赤小豆汤主治。第四十四方。
麻黄（去节，二两）、连轺（即连翘根，二两）、杏仁（去皮尖，四十个）、赤小豆（一升）、大枣（剖开，十二枚）、生梓白皮（切，一升）、生姜（切，二两）、甘草（炙，二两）。
以上八味药，用雨水一斗，先煮麻黄煮沸两次，去掉上面的泡沫，加入其他药物，煮取三升药液，去掉药渣。分三次温服，半天内服完。
(Continued from above) Decoct the above four ingredients in seven sheng of water to obtain two sheng of liquid. Remove the dregs and take seven he warm. Administer three times a day.
244. In Taiyang Disease (Taiyang Channel Syndrome), if the Cun pulse is slow, the Guan pulse is floating, and the Chi pulse is weak, and the patient presents with fever, sweating, aversion to cold, no vomiting, but only fullness and stuffiness in the epigastrium (Xin Xia), this is due to the physician’s erroneous use of purgation. If purgation was not used, and the patient has no aversion to cold but experiences thirst, the disease has transferred to Yangming Disease (Yangming Channel Syndrome or Gastrointestinal Dryness-Heat). If urination is frequent, the stool will inevitably be hard; even if there is no bowel movement for ten days, there is no distress. When thirsty and desiring water, give small amounts. Treat according to the proper method. For thirst, Wuling San (Five-Ingredient Powder with Poria) is appropriate. Formula 30.
Zhu Ling (Polyporus, peeled), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria) (each eighteen zhu), Ze Xie (Alismatis Rhizoma) (one liang six zhu), Gui Zhi (Cinnamomi Ramulus, peeled, half liang).
Grind the above five ingredients into a powder. Mix with rice gruel and take one fangcunbi (a square-inch spoonful) each time. Administer three times a day.
245. If the Yang portion of the pulse is faint and sweating is scanty, it indicates spontaneous harmony (some texts say "as if"); if sweating is profuse, it is excessive. If the Yang pulse is excess, and sweating is induced resulting in profuse output, this is also excessive. Excessiveness leads to the isolation of Yang within the interior, loss of body fluids (Jin Ye), and consequent hardening of the stool.
246. If the pulse is floating and Kou (hollow like a scallion stalk), floating represents Yang, and Kou represents Yin. The combination of floating and Kou pulses generates heat in the Stomach Qi, leading to the isolation of Yang.
247. If the Fuyang pulse (dorsalis pedis pulse, reflecting Spleen and Stomach status) is floating and Choppy (Se), floating indicates strong Stomach Qi, and choppiness indicates frequent urination. The combination of floating and choppy pulses results in hard stool. This is Pi Yue (Spleen Constraint Syndrome), treated with Maziren Wan (Hemp Seed Pill). Formula 31.
Maziren (Cannabis Semen) (two sheng), Shaoyao (Paeoniae Radix Alba) (half jin), Zhishi (Aurantii Fructus Immaturus, stir-fried) (half jin), Dahuang (Rhei Radix et Rhizoma, peeled) (one jin), Houpo (Magnoliae Officinalis Cortex, stir-fried, peeled) (one chi), Xingren (Armeniacae Semen Amarum, peeled and tips removed, decocted separately into fat) (one sheng).
Mix the above six ingredients with honey to form pills the size of wutong seeds. Take ten pills with water, three times a day. Gradually increase the dosage until efficacy is observed.
248. In Taiyang Disease, if after three days of diaphoresis the condition is not resolved, and steaming fever (heat steaming from inside out) occurs, it belongs to the Stomach. Treat with Tiaowei Chengqi Tang (Stomach-Regulating Order-the-Qi Decoction). Formula 32. (Use the first formula mentioned previously.)
249. After vomiting in Shanghan (Cold Damage), if there is abdominal distension and fullness, administer Tiaowei Chengqi Tang. Formula 33. (Use the first formula mentioned previously.)
250. In Taiyang Disease, if after vomiting, purgation, or diaphoresis, there is slight irritability, frequent urination, and consequent hard stool, administer Xiao Chengqi Tang (Minor Order-the-Qi Decoction) to harmonize and cure. Formula 34. (Use the second formula mentioned previously.)
251. Two to three days after onset, if the pulse is weak, without signs of Taiyang or Chaihu (Shaoyang) syndromes, but with irritability and hardness in the epigastrium; by the fourth or fifth day, although the patient can eat, administer a small amount of Xiao Chengqi Tang to gently harmonize and provide slight relief. On the sixth day, administer one sheng of Chengqi Tang. If there is no bowel movement for six to seven days and urination is scanty, even if the patient cannot eat (some texts say "no bowel movement"), the stool may be hard initially but loose later, indicating it has not fully hardened. Purgation at this stage will cause diarrhea. One must wait until urination is free and the stool is definitely hard before attacking. Use Da Chengqi Tang (Major Order-the-Qi Decoction). Formula 35. (Use the second formula mentioned previously.)
252. In Shanghan, after six to seven days, if vision is blurred, the eyes do not move harmoniously, there are no typical exterior or interior signs, defecation is difficult, and there is slight body heat, this is an Excess syndrome. Purge urgently. Use Da Chengqi Tang. Formula 36. (Use the second formula mentioned previously.)
253. In Yangming Disease, if there is fever and profuse sweating, purge urgently. Use Da Chengqi Tang. Formula 37. (Use the second formula mentioned previously; some texts say Da Chaihu Tang.)
254. If diaphoresis fails to resolve the condition, and there is abdominal fullness and pain, purge urgently. Use Da Chengqi Tang. Formula 38. (Use the second formula mentioned previously.)
255. If abdominal fullness does not decrease, or the reduction is negligible, purge. Use Da Chengqi Tang. Formula 39. (Use the second formula mentioned previously.)
256. In combined Yangming and Shaoyang diseases, diarrhea is inevitable. If the pulse does not show signs of mutual overcoming (Ke), it is a favorable pattern; if it does, it is unfavorable. Mutual overcoming and damage is called "Fu" (negative/unfavorable). If the pulse is Slippery (Hua) and Rapid (Shu), there is retained food. Purge. Use Da Chengqi Tang. Formula 40. (Use the second formula mentioned previously.)
257. If the patient has no exterior or interior signs, but has had fever for seven to eight days, even if the pulse is floating and rapid, purgation is permissible. If purgation has already been performed but the rapid pulse persists, and combined heat causes rapid digestion and hunger, and if there is no bowel movement for six to seven days, there is blood stasis. Use Didang Tang (Resist-Preservation Decoction). Formula 41. (Use the twenty-fourth formula mentioned previously.)
258. If the rapid pulse persists and diarrhea continues, there will inevitably be discharge of pus and blood with heat.
259. After diaphoresis in Shanghan, if the body and eyes become yellow, this is because Cold-Dampness (some texts say Warmth) remains unresolved in the interior. Do not purge. Seek treatment methods for Cold-Dampness.
260. In Shanghan, after seven to eight days, if the body is yellow like the color of a tangerine, urination is inhibited, and there is slight abdominal fullness, treat with Yinchenhao Tang (Capillaris Decoction). Formula 42. (Use the twenty-third formula mentioned previously.)
261. In Shanghan, if there is yellowing of the body and fever, treat with Zhizi Baipi Tang (Gardenia and Phellodendron Bark Decoction). Formula 43.
Fei Zhizi (Large Gardenia Fruit, broken) (fifteen pieces), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) (one liang), Huangbai (Phellodendri Chinensis Cortex) (two liang).
Decoct the above three ingredients in four sheng of water to obtain one and a half sheng. Remove the dregs and divide into two warm doses.
262. In Shanghan, if stagnant heat is in the interior, the body will inevitably become yellow. Treat with Mahuang Lianqiao Chixiaodou Tang (Ephedra, Forsythia Root, and Adzuki Bean Decoction). Formula 44.
Mahuang (Ephedrae Herba, nodes removed) (two liang), Lianqiao (Forsythiae Fructus, specifically the root) (two liang), Xingren (Armeniacae Semen Amarum, peeled and tips removed) (forty pieces), Chixiaodou (Vignae Semen) (one sheng), Dazao (Jujubae Fructus, broken) (twelve pieces), Sheng Zibaipi (Fresh Catalpa Bark, cut) (one sheng), Shengjiang (Zingiberis Rhizoma Recens, cut) (two liang), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) (two liang).
Decoct the above eight ingredients in one dou of rainwater. First boil Mahuang until it boils twice, remove the upper foam, add the other ingredients, and boil to obtain three sheng. Remove the dregs. Divide into three warm doses and consume within half a day.