太阳病，桂枝证，医反下之，利遂不止，脉促者，表未解也，喘而汗出者，葛根黄连黄芩汤主之。
按此证脉促，外有表热；喘汗，内有里热；故以表里俱热证属之。
葛根黄连黄芩汤
葛根（四钱） 甘草（一钱炙） 黄连（一钱） 黄芩（一钱五分） 先煮葛根去
沫，后入诸药同煎服。按脉促表邪未解，内而喘汗，是胸膈有热，故用葛根之辛凉以达阳明之郁，用芩连之苦
寒，以清君相之火也。
伤寒脉结代、心动悸者，炙甘草汤主之。少阴病，身体疼，手足寒，骨节痛，脉沉者，附子汤主之。
少阴病得之一二日，口中和，其背恶寒者，当灸之，附子汤主之。
按以上诸证，或脉结代而气血两虚，或脉沉恶寒而真阳已败，故以表里俱虚证统之。
炙甘草汤
甘草（二钱） 桂枝（一钱五分） 生姜（一钱五分） 人参（一钱） 阿胶（二钱）
大枣（二枚） 麻仁（一钱五分） 麦冬（一钱五分） 生地（六钱） 水二杯，清酒一杯，煎八分，入胶
烊，温服。按此证相火上燔，辛金受刑，甲木上郁，戊土被克，土金俱败，则病传阳明，而中气伤矣。故用
参甘大枣益胃气而补脾精，胶地麻仁滋经脉而泽枯槁，姜桂行营血之瘀涩，麦冬清肺金之燥热也。
附子汤
附子（二钱） 茯苓（三钱） 人参（二钱） 白术（四钱） 芍药（三钱） 水二杯，煎
八分，温服。按水寒木陷，生气欲绝，故用附子温癸水之寒，芍药清乙木之风，参术茯苓培土而泄水也。
太阳病，具备桂枝汤证的特征，医生反而使用攻下法治疗，导致腹泻不止。若脉象急促，说明表证尚未解除；若伴有气喘且出汗，应使用葛根黄连黄芩汤主治。
按语：此证脉象急促，表明体表有热邪；气喘和出汗，表明体内有里热；因此将此证归类为表里俱热证。
葛根黄连黄芩汤
葛根（四钱） 甘草（一钱，炙烤） 黄连（一钱） 黄芩（一钱五分） 先煮葛根，去除浮沫，然后加入其他药物共同煎煮服用。按语：脉象急促表示表邪未解，内部出现气喘和出汗，这是胸膈部位有热邪的表现，所以使用葛根的辛凉之性来通达阳明经的郁滞，使用黄芩、黄连的苦寒之性，来清泻君火与相火。
伤寒病中，脉象结代（脉搏跳动不规则，时有间歇）、心中悸动不安的，使用炙甘草汤主治。少阴病，身体疼痛，手脚发冷，骨节疼痛，脉象沉细的，使用附子汤主治。
少阴病发病一二日，口中平和不苦不燥，背部感觉恶寒的，应当进行艾灸治疗，并内服附子汤主治。
按语：以上诸种证候，有的脉象结代而气血两虚，有的脉象沉细且恶寒而真阳已经衰败，因此将这些证候统称为表里俱虚证。
炙甘草汤
甘草（二钱） 桂枝（一钱五分） 生姜（一钱五分） 人参（一钱） 阿胶（二钱）
大枣（两枚） 麻仁（一钱五分） 麦冬（一钱五分） 生地（六钱） 用水两杯，清酒一杯，煎煮至八分满，加入阿胶使其溶化，温服。按语：此证相火上炎焚烧，辛金（肺）受到刑克，甲木（胆/肝气）上部郁结，戊土（胃）被克制，土和金都受损，则病势传入阳明经，而中气受伤了。所以用人参、甘草、大枣来补益胃气并滋养脾精，用阿胶、地黄、麻仁来滋润经脉并润泽干枯，用生姜、桂枝来运行营血中的瘀滞涩阻，用麦冬来清泻肺金的燥热。
附子汤
附子（二钱） 茯苓（三钱） 人参（二钱） 白术（四钱） 芍药（三钱） 用水两杯，煎煮至八分满，温服。按语：水寒导致木气下陷，生气即将断绝，所以使用附子来温煦癸水（肾水）的寒冷，使用芍药来清泄乙木（肝木）的风邪，用人参、白术、茯苓来培补脾土并渗泄水湿。
Taiyang disease (Disease of the Taiyang channel), presenting with Guizhi Tang syndrome (Syndrome suitable for Cinnamon Twig Decoction), the physician inappropriately applied purgation therapy, resulting in persistent diarrhea. If the pulse is rapid and forceful (Cu Mai), it indicates that the exterior pathogen has not yet been resolved; if accompanied by wheezing and sweating, Gegen Huanglian Huangqin Tang (Kudzu Root, Coptis, and Scutellaria Decoction) should be administered as the primary treatment.
Commentary: In this syndrome, a rapid and forceful pulse indicates heat at the exterior; wheezing and sweating indicate heat within the interior. Therefore, this condition is classified as an Exterior-Interior Heat Syndrome.
Gegen Huanglian Huangqin Tang (Kudzu Root, Coptis, and Scutellaria Decoction)
Gegen (Puerariae Lobatae Radix, 4 qian) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 qian) Huanglian (Coptidis Rhizoma, 1 qian) Huangqin (Scutellariae Radix, 1.5 qian). First decoct Gegen to remove the foam, then add the remaining herbs and decoct together for administration. Commentary: A rapid and forceful pulse signifies that the exterior pathogen remains unresolved. Internal wheezing and sweating indicate heat in the chest and diaphragm. Therefore, the acrid-cool nature of Gegen is used to unblock the stagnation of the Yangming channel, while the bitter-cold properties of Huangqin and Huanglian are employed to clear the Ministerial Fire and Sovereign Fire.
In Shanghan (Cold Damage) disease, if the pulse is knotted and intermittent (Jie Dai Mai) accompanied by palpitations (Xin Dong Ji), Zhigancao Tang (Honey-Fried Licorice Decoction) is the primary treatment. In Shaoyin disease, if there is body pain, coldness in the hands and feet, bone and joint pain, and a deep pulse (Chen Mai), Fuzi Tang (Aconite Decoction) is the primary treatment.
If Shaoyin disease presents after one or two days, with a normal sensation in the mouth (no bitterness or dryness) and aversion to cold specifically in the back, moxibustion should be applied, and Fuzi Tang (Aconite Decoction) should be administered internally.
Commentary: Among the aforementioned syndromes, some present with a knotted and intermittent pulse indicating deficiency of both Qi and Blood; others present with a deep pulse and aversion to cold indicating failure of True Yang. Thus, these conditions are collectively categorized as Exterior-Interior Deficiency Syndromes.
Zhigancao Tang (Honey-Fried Licorice Decoction)
Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian) Guizhi (Cinnamomi Ramulus, 1.5 qian) Shengjiang (Zingiberis Rhizoma Recens, 1.5 qian) Renshen (Ginseng Radix, 1 qian) Ejiao (Asini Corii Colla, 2 qian) Dazao (Ziziphi Jujubae Fructus, 2 pieces) Mahuang (Ephedrae Herba - *Note: Text says Mahren/Huomaren contextually usually Semen Cannabis, but text says Mahren which likely refers to Huomaren/Cannabis Seed in some editions or typo for Mahuang? Context "Ma Ren" usually means Hemp Seed. WHO term: Cannabis Sativae Semen*), Maidong (Ophiopogonis Radix, 1.5 qian) Shengdi (Rehmanniae Radix, 6 qian). Decoct with two cups of water and one cup of clear wine until reduced to eight-tenths. Add Ejiao and melt it; take warm. Commentary: In this syndrome, Ministerial Fire flares upward, damaging Xin Metal (Lung); Jia Wood (Liver/Gallbladder Qi) becomes stagnant upward, and Wu Earth (Stomach) is suppressed. With both Earth and Metal compromised, the disease transmits to the Yangming channel, injuring Middle Qi. Therefore, Renshen, Gancao, and Dazao are used to benefit Stomach Qi and nourish Spleen Essence; Ejiao, Shengdi, and Mahren (Cannabis Sativae Semen) are used to moisten the meridians and hydrate dryness; Shengjiang and Guizhi are used to promote the circulation of Ying Blood and resolve stasis; Maidong is used to clear the dryness-heat of Lung Metal.
Fuzi Tang (Aconite Decoction)
Fuzi (Aconiti Lateralis Radix Praeparata, 2 qian) Fuling (Poria, 3 qian) Renshen (Ginseng Radix, 2 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 4 qian) Shaoyao (Paeoniae Radix, 3 qian). Decoct with two cups of water until reduced to eight-tenths; take warm. Commentary: Cold water causes Wood to sink, threatening the extinction of Sheng Qi (Vital Energy). Therefore, Fuzi is used to warm the cold of Gui Water (Kidney Water); Shaoyao is used to clear Wind from Yi Wood (Liver Wood); Renshen, Baizhu, and Fuling are used to fortify Earth and drain dampness.