雪按：此一条，不可无者也，浅田所未及，故为补之。外寒里热，不出二者之外矣，但以第一条为重候焉。
厥深热深，厥应下之，反发汗，必口伤烂赤，是言热厥证者也，素问诸阴之反，脉至而从，按之鼓甚而盛，是论热厥之脉者也。
假寒象：手足逆冷（即厥也）或畏寒，或战栗，此热极于内，而寒见于外，热极反为寒化也。
真热证据：（脉）沉伏而滑，头上有汗，手虽冷，时复指爪温（朱肱说），沉滑有力，或滑实有力，舌苔干燥（畑惟和说）。
证：大便秘，小便赤，或大便黑色（朱肱说），声壮气粗，形强有力，苔焦，舌黑干燥芒刺，沉香色，口渴欲冷，口臭烦躁，小便涩赤，大便秘结，或下利纯水，色青，中仍有燥粪及矢气太臭（畑惟和说）。
治：不内实，腹满身重，谵语，遗尿，口干，舌燥，大烦渴者，白虎汤。
内实燥屎，腹满而喘，谵语如见鬼状者，或下利纯清，心下满痛者，大承气汤，稍轻者，小承及调胃承气选用，或寒热者，大柴胡下之。
雪按：当云，小柴胡加大黄也。
程门雪按语：这一条论述，是不可缺少的。浅田宗伯未能涉及此点，所以我予以补充。外寒内热之证，不出这两种情况之外，但应以第一条为重证。
“厥深热深，厥应下之，反发汗，必口伤烂赤”，这是论述热厥证的；《素问》中提到的“诸阴之反，脉至而从，按之鼓甚而盛”，这是论述热厥脉象的。
假寒象表现为：手足逆冷（即厥），或畏寒，或战栗。这是因为热邪极盛于体内，而寒象显现于体表，热极反而转化为寒化之象。
真热证据包括：脉象沉伏而滑，头部有汗，手虽然冷，但时常指爪回暖（朱肱说）；脉象沉滑有力，或滑实有力；舌苔干燥（畑惟和说）。
症状表现：大便秘结，小便色赤，或大便呈黑色（朱肱说）；声音洪亮、气息粗重，形体强壮有力，舌苔焦黑，舌面干燥且有芒刺，呈沉香色，口渴想喝冷饮，口臭烦躁，小便涩痛色赤，大便秘结，或下利清水，颜色青黑，但腹中仍有燥屎且矢气极臭（畑惟和说）。
治疗原则：若体内无实邪积滞，出现腹部胀满、身体沉重、胡言乱语、遗尿、口干、舌燥、极度烦渴者，用白虎汤。
若体内有实邪燥屎积聚，腹部胀满且气喘，胡言乱语如见鬼状者，或用大承气汤；若下利纯清水，心下部胀满疼痛者，也用大承气汤；病情稍轻者，可选用小承气汤或调胃承气汤；若有寒热往来者，用大柴胡汤攻下。
Cheng Menxue's commentary: This clause is indispensable. Asasada Sohaku (Qian Tian Zongbo) did not cover this point, so I have supplemented it. Exogenous cold and endogenous heat do not go beyond these two categories, but the first clause should be regarded as the major syndrome.
"Deep jue indicates deep heat; jue should be treated with purgation. If sweating is induced in error, the mouth will surely suffer from sores and redness." This refers to the heat jue syndrome. "In all yin reversals, the pulse arrives following the trend, but upon pressing, it beats vigorously and strongly." This discusses the pulse of heat jue.
False cold signs include: cold reversal of the hands and feet (i.e., jue), aversion to cold, or shivering. This occurs because heat is extreme internally while cold manifests externally; extreme heat transforms into a cold-like appearance.
True heat evidence includes: a deep, hidden, and slippery pulse; sweat on the head; although the hands are cold, the fingernails occasionally become warm (according to Zhu Gong); a deep-slippery forceful pulse, or a slippery-solid forceful pulse; dry tongue coating (according to Hata Yuiwa).
Symptoms: Constipation, reddish urine, or black stool (according to Zhu Gong); loud voice and coarse breath, strong physical constitution, scorched tongue coating, dry tongue surface with prickles, sedge-color, thirst craving for cold drinks, foul breath, irritability, painful and reddish urination, constipation, or purging of clear water that is greenish-black, yet dry feces remain in the abdomen accompanied by extremely foul flatus (according to Hata Yuiwa).
Treatment: If there is no internal excess, presenting with abdominal fullness, heaviness of the body, delirium, urinary incontinence, dry mouth, dry tongue, and severe restlessness and thirst, use Baihu Tang (White Tiger Decoction).
If there is internal excess with dry feces, presenting with abdominal fullness and wheezing, delirium as if seeing ghosts, or purging of pure clear water with fullness and pain in the epigastrium, use Dachengqi Tang (Major Order the Qi Decoction). For milder cases, Xiaochengqi Tang (Minor Order the Qi Decoction) or Tiaoweichengqi Tang (Regulate the Stomach and Order the Qi Decoction) may be selected. If there are alternating chills and fever, use Daichaihu Tang (Major Bupleurum Decoction) to purge.
Cheng Menxue's commentary: It should be stated as Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Rhubarb.