〔《摘》〕伤寒在表，发热恶寒，头项痛，腰脊强，无汗，尺寸脉俱浮∶合谷（五分，候遍身汗出即出针，
此穴发汗大妙） 复溜（泻。）
〔云〕又法∶手阳明商丘、合谷，手太阳腕骨、阳谷、足少阳侠溪，足阳明厉兑，手厥阴劳宫，皆随经辨
脉刺之。又，十二经荥皆可刺。
〔《摘》〕伤寒发汗不出∶风池 侠溪 鱼际（散脉中二分，留三呼） 经渠（二分） 内庭（应时出汗）
太阳病如疟状，一日二三度发，其人若脉微缓，不呕清便者，欲愈也。若脉微恶寒，面有热色，身痒者，
桂枝麻黄各半也。（方论见发热。）
服桂枝汤大汗出，脉洪大者，与桂枝汤，如前法。若形如疟，日再发者，汗出必解，宜桂枝二麻黄一汤。
桂枝（八钱半） 芍药（五钱半） 麻黄（三钱二字 大枣（二个） 生姜（五钱半） 杏仁（去皮尖，八枚）
甘草（半两）
上 咀，每服五钱，水一盏半，煎至八分，去渣温服。
病患烦热，汗出解，又如疟状，日晡所发者，属阳明也。脉实者，宜下之；脉浮虚者，宜发汗。下之，与
大承气汤；发汗，宜桂枝汤。妇人寒热，经水适断者，为热入血室，其血必结，故使如疟状，发作有时，小柴
胡汤主之。（论见妇人伤寒。）
头汗，小便不利，其人若胸胁满，往来寒热者，柴胡桂姜也。（方论见往来寒热。）若发黄渴饮水浆者，
宜茵陈汤。（方论见发黄。）
阳明胃实头汗，其人若下血谵语者，为热入血室，宜刺期门。（论见谵语。）
若下后手足温，不结胸，心中懊 ，饥不欲食者，宜栀子豉汤。（方论见烦。）
若被火额上汗出，小便不利者，必发黄也。（方见胃实。）
头汗，心下满，其人若脉沉细，微恶寒，手足冷，口不欲食，大便硬者，小柴胡汤。（论见厥往来寒热。）
若水结胸，无大热者，大陷胸汤，孙兆改用半夏茯苓汤。
太阳病中风，以火劫发汗，邪风被火热，血气流溢，失其常度，两阳相熏灼，其身发黄，阳盛则欲衄，阴
虚则小便难，阴阳俱虚竭，身体则枯燥，但头汗出，剂颈而还，腹满微喘，口干咽烂，或不大便，久则谵语，
甚者至哕，手足躁扰，捻衣摸床，小便利者可治。关格不通，不得尿，头无汗者，可治，有汗者死。湿家关节
疼痛，下之额上汗出，微喘，小便利者死，下利不止者亦死。湿家头汗出，欲被覆向火者，若下之早则哕，胸
满，小便不利，舌上白胎也。（论见身痛。）
【摘自《摘玄方论》】伤寒病邪在体表，出现发热、怕冷、头项疼痛、腰脊僵硬、无汗，寸脉和尺脉都呈现浮象：针刺合谷穴（进针五分，待全身出汗后即出针，此穴发汗效果极佳）；复溜穴（用泻法）。
【云岐子说】另一种方法：手阳明经的商丘穴、合谷穴，手太阳经的腕骨穴、阳谷穴，足少阳经的侠溪穴，足阳明经的厉兑穴，手厥阴经的劳宫穴，都要根据经络辨证和脉象来针刺。另外，十二经脉的荥穴都可以针刺。
【摘自《摘玄方论》】伤寒发汗不出：针刺风池穴、侠溪穴、鱼际穴（散开脉中二分，留针三呼的时间）、经渠穴（进针二分）、内庭穴（按时出汗）。
太阳病症状像疟疾一样，一天发作两三次，如果患者脉象微缓，没有呕吐、大小便正常，这是将要痊愈的表现。如果脉象微弱且怕冷，面部发红，身体瘙痒，应使用桂枝麻黄各半汤。（方剂论述见“发热”条。）
服用桂枝汤后大汗出，脉象洪大的，仍给予桂枝汤，按之前的方法服用。如果病情像疟疾，一天发作两次，出汗后必然解除，适宜使用桂枝二麻黄一汤。
桂枝（八钱半） 芍药（五钱半） 麻黄（三钱） 大枣（二个） 生姜（五钱半） 杏仁（去皮尖，八枚） 甘草（半两）
以上药材切碎，每次服用五钱，加水一盏半，煎至八分，去渣温服。
病人烦热，出汗后缓解，但又像疟疾一样，在傍晚时分发作的，属于阳明病。脉实者，适宜用攻下法；脉浮虚者，适宜用发汗法。攻下法，使用大承气汤；发汗法，使用桂枝汤。妇女寒热往来，月经突然中断的，是热邪进入血室，血液必然凝结，所以导致像疟疾一样的症状，发作有定时，以小柴胡汤为主治。（论述见“妇人伤寒”条。）
头汗出，小便不利，如果患者胸胁胀满，寒热往来，应使用柴胡桂枝干姜汤。（方剂论述见“往来寒热”条。）如果出现发黄、口渴想喝水浆的情况，适宜使用茵陈汤。（方剂论述见“发黄”条。）
阳明胃实导致的头汗，如果患者出现下血、谵语，是热邪进入血室，适宜针刺期门穴。（论述见“谵语”条。）
如果在攻下之后，手足温暖，没有结胸，心中懊恼，饥饿但不想吃东西，适宜使用栀子豉汤。（方剂论述见“烦”条。）
如果被火疗强迫发汗，额头出汗，小便不利的，一定会发黄。（方剂见“胃实”条。）
头汗出，心下胀满，如果患者脉象沉细，轻微怕冷，手脚冰凉，口不想吃东西，大便干硬，使用小柴胡汤。（论述见“厥、往来寒热”条。）
如果是水饮结聚于胸膈，没有大热的情况，使用大陷胸汤，孙兆改用半夏茯苓汤。
太阳病中风，用火劫迫发汗，邪风被火热所伤，气血流溢失常，两阳相互熏灼，身体发黄，阳气盛则想要鼻衄，阴虚则小便困难，阴阳俱虚竭，身体就会干枯燥热，只有头部出汗，仅到颈部而止，腹部胀满轻微气喘，口干咽烂，或者不大便，时间久了会出现谵语，严重的甚至发生呃逆，手足躁动不安，捻衣摸床，如果小便通利的是可治之症。关格不通，不能排尿，头部无汗的，可治，如果有汗的则死。湿病患者关节疼痛，误用攻下法导致额头出汗，轻微气喘，小便通利的会死，腹泻不止的也会死。湿病患者头汗出，想要盖被子靠近火源取暖的，如果过早攻下则会呃逆，胸满，小便不利，舌上有白苔。（论述见“身痛”条。）
[From *Zhai Xuan Fang Lun*] When pathogenic cold is in the exterior, symptoms include fever (Fa Re), aversion to cold (E Han), pain in the head and nape, stiffness of the waist and spine, anhidrosis (Wu Han), and both the Cun (Inch) and Chi (Cubit) pulses are floating: Acupuncture at Hegu (LI4) [Hegu (L.I.4)] (insertion depth five fen; remove needle immediately after general sweating occurs; this acupoint is excellent for inducing sweating); Fuliou (KI7) [Fuliou (K.I.7)] (using the reducing method).
[Yun Qizi states] Another method: Acupuncture at Shangqiu (SP9) [Shangqiu (S.P.9)], Hegu (LI4) [Hegu (L.I.4)] of the Hand-Yangming channel; Wangu (SI4) [Wangu (S.I.4)], Yanggu (SI5) [Yanggu (S.I.5)] of the Hand-Taiyang channel; Xiaxi (GB43) [Xiaxi (G.B.43)] of the Foot-Shaoyang channel; Lidui (ST45) [Lidui (S.T.45)] of the Foot-Yangming channel; Laogong (PC8) [Laogong (P.C.8)] of the Hand-Jueyin channel. These should be selected based on channel differentiation and pulse diagnosis. Additionally, the Ying-Spring points of all twelve channels may be needled.
[From *Zhai Xuan Fang Lun*] For failure to sweat after attempting diaphoresis in cold damage: Fengchi (GB20) [Fengchi (G.B.20)]; Xiaxi (GB43) [Xiaxi (G.B.43)]; Yuji (LU10) [Yuji (L.U.10)] (disperse by two fen into the pulse, retain for three breaths); Jingqu (LU7) [Jingqu (L.U.7)] (insertion depth two fen); Neiting (ST44) [Neiting (S.T.44)] (sweating occurs promptly).
Taiyang disease presenting like malaria, occurring two or three times a day: If the patient's pulse is slightly slow and relaxed, without vomiting or abnormal urination/defecation, recovery is imminent. If the pulse is slightly weak with aversion to cold, facial redness, and body itching, Guizhi Mahuang Ge Ban Tang (Half-Guizhi Half-Mahuang Decoction) [Guizhi Mahuang Ge Ban Tang (Half-Guizhi Half-Mahuang Decoction)] should be used. (Formula discussion see "Fever".)
After taking Guizhi Tang (Cinnamon Twig Decoction) [Guizhi Tang (Cinnamon Twig Decoction)], if profuse sweating occurs and the pulse becomes flooding, administer Guizhi Tang again according to previous instructions. If the condition resembles malaria, occurring twice a day, resolution will follow sweating; Guizhi Er Mahuang Yi Tang (Two-Parts Guizhi One-Part Mahuang Decoction) [Guizhi Er Mahuang Yi Tang (Two-Parts Guizhi One-Part Mahuang Decoction)] is appropriate.
Ingredients: Guizhi (Ramulus Cinnamomi) [Guizhi (Ramulus Cinnamomi)] (8 qian half), Shaoyao (Radix Paeoniae Alba) [Shaoyao (Radix Paeoniae Alba)] (5 qian half), Mahuang (Herba Ephedrae) [Mahuang (Herba Ephedrae)] (3 qian), Dazao (Fructus Jujubae) [Dazao (Fructus Jujubae)] (2 pieces), Shengjiang (Rhizoma Zingiberis Recens) [Shengjiang (Rhizoma Zingiberis Recens)] (5 qian half), Xingren (Semen Armeniacae Amarum) [Xingren (Semen Armeniacae Amarum)] (8 seeds, skin and tips removed), Gancao (Radix Glycyrrhizae) [Gancao (Radix Glycyrrhizae)] (half liang).
Process the herbs into coarse powder. Take 5 qian per dose, add 1.5 cups of water, decoct until 0.8 cup remains, strain, and take warm.
If the patient experiences irritability and heat, which resolve with sweating, but then recur like malaria in the late afternoon, this belongs to the Yangming stage. If the pulse is excess, purgation is indicated; if the pulse is floating and deficient, diaphoresis is indicated. For purgation, use Dachengqi Tang (Major Order the Qi Decoction) [Dachengqi Tang (Major Order the Qi Decoction)]; for diaphoresis, use Guizhi Tang (Cinnamon Twig Decoction) [Guizhi Tang (Cinnamon Twig Decoction)]. In women, if chills and fever alternate and menstruation suddenly stops, it is Heat Entering the Blood Chamber (Re Ru Xue Shi) [Heat Entering the Blood Chamber], where blood coagulation causes malaria-like symptoms with regular timing; Xiao Chaihu Tang (Minor Bupleurum Decoction) [Xiao Chaihu Tang (Minor Bupleurum Decoction)] is the primary treatment. (Discussion see "Cold Damage in Women".)
Head sweating (Tou Han) [Head Sweating], with difficulty in urination: If the patient has fullness in the chest and hypochondrium with alternating chills and fever, Chaihu Guizhi Ganjiang Tang (Bupleurum, Cinnamon Twig, and Dried Ginger Decoction) [Chaihu Guizhi Ganjiang Tang (Bupleurum, Cinnamon Twig, and Dried Ginger Decoction)] should be used. (Formula discussion see "Alternating Chills and Fever"). If jaundice (Huang) [Jaundice] and thirst for fluids occur, Yinchen Tang (Artemisia Capillaris Decoction) [Yinchen Tang (Artemisia Capillaris Decoction)] is appropriate. (Formula discussion see "Jaundice").
For Yangming stomach excess causing head sweating, if bleeding from the lower orifices and delirium (Chan Yu) [Delirium] occur, it indicates Heat Entering the Blood Chamber; puncture Qimen (LR14) [Qimen (L.R.14)] is indicated. (Discussion see "Delirium").
After purgation, if hands and feet are warm, without Chest Binding (Jie Xiong) [Chest Binding], but with inner restlessness (Ao Nan) [Inner Restlessness], hunger without desire to eat, Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) [Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction)] is suitable. (Formula discussion see "Irritability").
If forced sweating via fire therapy results in forehead sweating and difficulty urinating, jaundice will definitely develop. (Formula see "Stomach Excess").
With head sweating and epigastric fullness, if the pulse is deep and fine, with slight aversion to cold, cold hands and feet, no desire to eat, and hard stools, Xiao Chaihu Tang (Minor Bupleurum Decoction) [Xiao Chaihu Tang (Minor Bupleurum Decoction)] is used. (Discussion see "Jue, Alternating Chills and Fever").
For Water Binding in the Chest without significant heat, Da Xiexiong Tang (Major Breaking the Chest Binding Decoction) [Da Xiexiong Tang (Major Breaking the Chest Binding Decoction)] is used; Sun Zhao modified this to Banxia Fuling Tang (Pinellia and Poria Decoction) [Banxia Fuling Tang (Pinellia and Poria Decoction)].
In Taiyang Wind Strike, if fire therapy is used to force sweating, wind pathogens combined with fire cause qi and blood to overflow abnormally. The interaction of two yangs scorches the body, leading to jaundice. Excess yang leads to epistaxis; yin deficiency leads to difficult urination. If both yin and yang are depleted, the body becomes dry. Only the head sweats, stopping at the neck. Abdominal distension, slight wheezing, dry mouth, rotting throat, constipation, prolonged delirium, severe cases may involve hiccups, restless limbs, and picking at clothes/bedding. If urine flows freely, it is treatable. If Guan Ge obstruction prevents urination and there is no head sweat, it is treatable; if there is head sweat, it is fatal. In dampness patients with joint pain, if purgation causes forehead sweating, slight wheezing, and free urination, death ensues; persistent diarrhea also leads to death. In dampness patients with head sweating who desire covering and warmth near fire, premature purgation causes hiccups, chest fullness, difficulty urinating, and a white tongue coating. (Discussion see "Body Pain".)