伤湿身热，烦躁，舌绎而黑，神昏谵妄，斑疹隐
隐，脉数而促，此热陷入血。宜用犀角地黄汤加元参
心、连翘心、鲜石斛、鲜菖蒲、人中黄、青竹叶、至
宝丹等味，凉血化斑也。
上条气血两燔，此条热陷入血，致舌绎而黑。心主血，
心热则谵妄，血热则斑现，热极则脉促。凡脉见数促,其热
已极。《脉经》谓渐退则生，渐进则死。非藉犀角地黄汤凉
血，合连翘、元参清热，石斛、人中黄化斑，菖蒲、竹叶渍清
心，兼至宝丹芳香逐秽，恐难速效，然亦已险焉。
伤湿恶寒发热，肢体重痛，胸膈满闷，或呕或
泻，脉浮而缓，此湿伤表里。宜用杏仁、厚朴、橘
红、香薷、薄荷、藿香、豆卷、泽泻、通草等味，
两清表里也。
凡湿伤于表，则恶寒发热，身重而痛，伤于内，则呕恶
泄泻，腕满而闷，脉见浮缓者，表里俱病也。故宜香薷，薄
荷透表，橘红、厚朴温中，杏仁、藿香宜上焦，豆卷，泽泻
泄下焦，使三焦表里之邪，一齐分清，则湿邪不攻自走矣。
伤湿恶寒微热，舌白不渴，肢(1)节酸楚，胸腕满
闷，脉缓而小，此阴湿伤内。宜用藿香正气散加豆
卷、通草等味，温脾利湿也。
此条阴湿伤阳，必由烦冗过度，气弱阳衰，时令之湿，
得以乘之。初起虽恶寒而不甚发热，舌白不渴。湿壅中焦，
则弥漫上下，所以胸腕不舒，肢节酸楚并见矣。故用正气散
中之藿、朴、陈、苓温脾阳，术、曲、苏、夏宣脾气，加豆
卷、通草理湿气，俾脾阳得运，三焦宜畅，则重浊之邪，由
此俱化矣。
伤湿导致身体发热，烦躁不安，舌面干燥且发黑，神志昏迷并胡言乱语，皮肤出现隐隐约约的斑疹，脉搏快速且时有间歇，这是热邪陷入血分。适宜使用犀角地黄汤加入元参心、连翘心、鲜石斛、鲜菖蒲、人中黄、青竹叶、至宝丹等药物，以凉血化斑。
上一条论述的是气血两燔（气分和血分同时受热邪炽盛），这一条是热邪陷入血分，导致舌面干燥且发黑。心主血脉，心热则导致胡言乱语，血热则导致斑疹显现，热极则脉搏急促。凡是脉搏出现数而促的现象，说明热邪已经极盛。《脉经》说，如果脉象逐渐减退则生，如果脉象逐渐加剧则死。如果不借助犀角地黄汤来凉血，配合连翘、元参清热，石斛、人中黄化解斑疹，菖蒲、竹叶清心除烦，兼用至宝丹芳香辟秽，恐怕难以迅速见效，但这病情也已经非常危险了。
伤湿导致恶寒发热，肢体沉重疼痛，胸膈部胀满闷塞，或者呕吐或者腹泻，脉搏浮而缓，这是湿邪伤了表里。适宜使用杏仁、厚朴、橘红、香薷、薄荷、藿香、豆卷、泽泻、通草等药物，以表里双清。
凡是湿邪伤于体表，就会恶寒发热，身体沉重而疼痛；伤于体内，就会呕吐恶心、泄泻，脘腹满闷。脉搏出现浮缓的，说明表里都生病了。所以适宜用香薷、薄荷透散表邪，橘红、厚朴温中理气，杏仁、藿香宣通上焦，豆卷、泽泻渗利下焦，使三焦表里的邪气，一齐分清排出，那么湿邪不攻自退。
伤湿导致恶寒微热，舌苔白而不口渴，肢体关节酸痛，胸脘部胀满闷塞，脉搏缓而小，这是阴湿伤及内脏。适宜使用藿香正气散加入豆卷、通草等药物，以温脾利湿。
这一条是阴湿损伤阳气，必定是因为烦劳过度，导致气弱阳衰，时令的湿邪得以乘虚而入。初起虽然恶寒但不怎么发热，舌苔白且不渴。湿邪壅滞在中焦，就会弥漫上下，所以胸脘不适，肢体关节酸痛同时出现。所以使用正气散中的藿香、厚朴、陈皮、茯苓温补脾阳，白术、神曲、紫苏、半夏宣畅脾气，加入豆卷、通草调理湿气，使得脾阳得以运化，三焦通畅，那么重浊的邪气，由此就能全部化解。
Wind-dampness injury causing body heat, restlessness, a dry and black tongue coating, coma with delirium, faint macules and rashes, a rapid and intermittent pulse; this indicates heat sinking into the Blood level. It is appropriate to use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) added with Yuan Shen Xin (Heart of Scrophulariae Radix), Lian Qiao Xin (Heart of Forsythiae Fructus), Xian Shi Hu (Fresh Dendrobii Officinalis Herba), Xian Chang Pu (Fresh Acori Tatarinowii Rhizoma), Ren Zhong Huang (Human Feces Powder), Qing Zhu Ye (Green Bamboo Leaf), and Zhibao Dan (Precious Treasure Pill) and other ingredients, to cool the blood and resolve macules.
The preceding clause discusses Qi and Blood simultaneous burning (Qi and Blood levels simultaneously affected by intense heat); this clause describes heat sinking into the Blood, causing a dry and black tongue. The Heart governs the Blood; Heart heat causes delirium, Blood heat causes macules to appear, and extreme heat causes an urgent pulse. Whenever a pulse appears rapid and intermittent, the heat is already at its peak. *Mai Jing* (Pulse Classic) states that if it gradually recedes, there is life; if it gradually advances, there is death. Without relying on Xijiao Dihuang Tang to cool the blood, combined with Lian Qiao and Yuan Shen to clear heat, Shi Hu and Ren Zhong Huang to resolve macules, Chang Pu and Zhu Ye to clear the Heart, and concurrently using Zhibao Dan for aromatic transformation of turbidity, it is feared that quick efficacy will be difficult to achieve, yet the condition is already perilous.
Wind-dampness injury causing aversion to cold and fever, heavy and painful limbs, fullness and oppression in the chest and diaphragm, or vomiting or diarrhea, a floating and moderate pulse; this indicates dampness injuring both the exterior and interior. It is appropriate to use Xing Ren (Apricot Seed), Hou Po (Magnolia Bark), Ju Hong (Tangerine Peel), Xiang Ru (Elsholtzia Herb), Bo He (Mint Herb), Huo Xiang (Patchouli Herb), Dou Juan (Soybean Sprout), Ze Xie (Alisma Rhizome), Tong Cao (Tetrapanacis Medulla) and other ingredients, to clear both the exterior and interior.
Whenever dampness injures the exterior, there is aversion to cold and fever, heaviness and pain in the body; when it injures the interior, there is nausea, vomiting, and diarrhea, and epigastric fullness and oppression. When the pulse appears floating and moderate, it indicates disease in both the exterior and interior. Therefore, it is appropriate to use Xiang Ru and Bo He to vent the exterior, Ju Hong and Hou Po to warm the middle, Xing Ren and Huo Xiang to benefit the Upper Jiao, and Dou Juan and Ze Xie to drain the Lower Jiao, so that the pathogens of the three Jiaos and both exterior and interior are separated and cleared together, then the damp pathogen will retreat without being attacked.
Wind-dampness injury causing aversion to cold and slight fever, white tongue coating without thirst, soreness and discomfort in the limbs and joints, fullness and oppression in the chest and epigastrium, a slow and small pulse; this indicates Yin-dampness injuring the interior. It is appropriate to use Huoxiang Zhengqi San (Agaricus and Magnolia Powder) added with Dou Juan and Tong Cao, to warm the Spleen and promote dampness drainage.
This clause describes Yin-dampness damaging Yang, which must occur due to excessive fatigue, leading to weak Qi and declining Yang, allowing seasonal dampness to take advantage. At the onset, although there is aversion to cold, there is not much fever, and the tongue is white without thirst. Dampness obstructing the Middle Jiao spreads up and down, hence chest and epigastric discomfort and limb joint soreness appear together. Therefore, Huo Xiang, Hou Po, Chen Pi (Aged Tangerine Peel), and Fu Ling (Poria) from Zhengqi San are used to warm Spleen Yang, Bai Zhu (Atractylodes Macrocephala Rhizome), Shen Qu (Medicated Leaven), Zi Su Ye (Perilla Leaf), and Ban Xia (Pinellia Tuber) are used to promote Spleen Qi circulation, added with Dou Juan and Tong Cao to regulate dampness, so that Spleen Yang can transform, the three Jiaos can flow smoothly, and then the heavy and turbid pathogens can all be transformed thereby.