冬温初起，头痛无汗，恶寒发热，口渴鼻干
脉数，此温邪在表。宜用薄荷、大力、荆芥，连翘
桑叶、淡豉、蒌皮、杏仁、葛根、枇杷叶等味，辛
凉汗解也。
无汗头痛，恶寒发热，原与伤寒无异。但口渴鼻干，脉
数气燥，则有不同。盖伤寒邪在于表，理宜温散;东温邪伏
于内，理宜清泄。非用薄荷、荆芥、桑叶，淡豉，葛根苦辛
泄表，连翘，蒌皮、杏仁、枇杷叶辛凉清内。则不能表里两
清，必致传变无穷矣。
冬温汗出，头虽不痛，热仍未解，而咳嗽口渴
舌燥，此邪不汗解，渐传气分。宜用桑叶、沙参、甜
杏、象贝、连翘、桔梗、蒌皮、甘草、大力、枇杷
叶等味，清气透邪也。
上条无汗头痛，邪尚在表，理宜开泄，此条汗出热不
解，是表邪以散，而犹口渴舌燥咳嗽，乃邪不汗解，渐传气
分，故用桑叶、沙参、杏仁、象贝、连翘、蒌皮、桔梗，轻
苦微辛，但清气分，仍从表解也。
冬温汗后，不恶寒反恶热，烦闷口渴，舌赤苔
黄，呛咳胁痛，此邪传在肺。宜用沙参，甜杏，花
粉、连翘、桑皮、黑栀、郁金、枇杷叶等味，清肺
化邪也。
汗后不恶寒，是表邪已解矣。而反恶热，烦闷口渴，舌
赤苔黄 乃里热已甚。尚见呛咳，邪犹在肺。故用沙参、杏
仁，连翘、花粉，黑栀、桑皮、枇杷叶，一派清凉之味，以 清肺气也。
冬温病初起时，出现头痛、无汗、怕冷发热、口渴、鼻干、脉搏快等症状，这是温热邪气停留在体表。适宜使用薄荷、牛大力、荆芥、连翘、桑叶、淡豆豉、瓜蒌皮、杏仁、葛根、枇杷叶等药物，采用辛凉发汗的方法解表。
无汗、头痛、怕冷发热，原本与伤寒没有区别。但如果有口渴、鼻干、脉搏快、气息燥热等情况，则有所不同。因为伤寒的邪气在体表，按理应该用温性药物发散；而冬温的邪气潜伏在体内，理应清泄。如果不使用薄荷、荆芥、桑叶、淡豆豉、葛根等苦辛药物宣泄表邪，以及连翘、瓜蒌皮、杏仁、枇杷叶等辛凉药物清除内热，就不能实现表里双清，必然导致病情传变无穷无尽。
冬温病出汗后，头部虽然不痛，但发热仍未解除，并伴有咳嗽、口渴、舌燥，这是邪气未能通过汗法解除，逐渐传入气分。适宜使用桑叶、沙参、甜杏仁、象贝母、连翘、桔梗、瓜蒌皮、甘草、牛大力、枇杷叶等药物，采用清气透邪的方法治疗。
上一条提到的无汗头痛，邪气尚在体表，按理应当开泄解表；这一条提到出汗后热势不解，且仍有口渴、舌燥、咳嗽，说明邪气未因汗出而解，逐渐传入气分，因此使用桑叶、沙参、杏仁、象贝母、连翘、瓜蒌皮、桔梗等药，性质轻苦微辛，主要清透气分邪热，仍从体表解除。
冬温病出汗后，不再怕冷反而怕热，心烦闷乱、口渴，舌质红、苔黄，呛咳、胁肋疼痛，这是邪气传入肺脏。适宜使用沙参、甜杏仁、天花粉、连翘、桑白皮、黑栀子、郁金、枇杷叶等药物，采用清肺化邪的方法治疗。
出汗后不再怕冷，说明表邪已经解除。但如果反而怕热、心烦闷乱、口渴、舌质红、苔黄，说明里热已经很严重。如果还见到呛咳，说明邪气仍在肺脏。因此使用沙参、杏仁、连翘、天花粉、黑栀子、桑白皮、枇杷叶等一系列清凉性质的药物，以清肃肺气。
At the initial stage of Winter-Warmth (Dongwen), symptoms such as headache, absence of sweating, aversion to cold with fever, thirst, dryness of the nose, and a rapid pulse indicate that Warmth pathogen is at the Exterior. It is appropriate to use herbs such as Bohe (Menthae Haplocalycis Herba), Dali (Niuqili/Fructus Arctii), Jingjie (Schizonepetae Spica), Lianqiao (Forsythiae Fructus), Sangye (Mori Folium), Danshi (Fermented Soybean), Loupi (Trichosanthis Pericarpium), Xingren (Armeniacae Semen Amarum), Gegen (Puerariae Radix), and Pipaye (Eriobotryae Folium) to resolve the exterior through Acrid-Cool diaphoresis.
Headache with absence of sweating, aversion to cold, and fever are originally similar to Cold Damage (Shanghan). However, the presence of thirst, dryness of the nose, rapid pulse, and dry qi indicates a difference. Since the pathogen in Cold Damage resides at the Exterior, it should theoretically be dispersed using Warm methods; whereas the pathogen in Winter-Warmth lies concealed within, requiring Clearing and Draining. If one does not use Acrid-Bitter drugs like Bohe, Jingjie, Sangye, Danshi, and Gegen to vent the Exterior, nor Acrid-Cool drugs like Lianqiao, Loupi, Xingren, and Pipaye to clear the Interior, one cannot achieve simultaneous clearing of both Exterior and Interior, inevitably leading to endless transmission and transformation of the disease.
In Winter-Warmth, if sweating occurs but the headache subsides while fever persists, accompanied by cough, thirst, and dry tongue, this indicates that the pathogen has not been resolved by sweating and is gradually transmitting to the Qi Level. It is appropriate to use herbs such as Sangye, Shashen (Glehniae Radix), Tianxing (Armeniacae Semen Dulce), Xiangbei (Fritillariae Thunbergii Bulbus), Lianqiao, Jiegeng (Platycodonis Radix), Loupi, Gancao (Glycyrrhizae Radix et Rhizoma), Dali, and Pipaye to Clear the Qi and reveal the pathogen.
The previous clause described headache with absence of sweating, where the pathogen was still at the Exterior, requiring opening and draining. This clause describes fever persisting after sweating, along with thirst, dry tongue, and cough, indicating that the pathogen was not resolved by sweating and is gradually transmitting to the Qi Level. Therefore, herbs such as Sangye, Shashen, Xingren, Xiangbei, Lianqiao, Loupi, and Jiegeng are used. Their nature is light, bitter, and slightly acrid, primarily clearing the Qi Level while still allowing resolution from the Exterior.
After sweating in Winter-Warmth, if there is no longer aversion to cold but rather aversion to heat, accompanied by mental restlessness, thirst, red tongue body, yellow coating, hacking cough, and hypochondriac pain, this indicates that the pathogen has transmitted to the Lung. It is appropriate to use herbs such as Shashen, Tianxing, Huafen (Trichosanthis Radix), Lianqiao, Sangpi (Mori Cortex), Heizhi (Gardeniae Fructus), Yujin (Curcumae Radix), and Pipaye to Clear the Lung and transform the pathogen.
Absence of aversion to cold after sweating indicates that the Exterior pathogen has been resolved. However, the presence of aversion to heat, mental restlessness, thirst, red tongue body, and yellow coating indicates severe Interior Heat. The persistence of hacking cough suggests the pathogen remains in the Lung. Therefore, a combination of cooling herbs such as Shashen, Xingren, Lianqiao, Huafen, Heizhi, Sangpi, and Pipaye is used to Clear Lung Qi.