治厥阴病, 干呕吐涎沫, 头痛者. 少阴证, 吐痢手
足厥冷, 烦躁欲死者. 阳明食谷欲呕者.
吴茱萸一升 人参三两 生姜六两 大枣 ( 擘 ) 十二枚, 右四味,
以水七升, 煮取二升, 温服七合, 日三服.
【集注】罗谦甫曰: 仲景救阳诸法, 于少阴四逆汤必用姜附; 通脉四
逆汤倍加干姜, 其附子生用; 附子汤又加生附至二枚. 所以然者, 或
壮微阳使之外达, 或招飞阳使之内返, 此皆少阴真阳失所, 故以回阳
为亟也. 至其治厥阴, 则易以吴茱萸, 而并去前汤诸药, 独用人参,
姜, 枣者, 盖人身厥阴肝木虽为两阴交尽, 而一阳之真气实起其中,
此之生气一虚, 则三阴浊气直逼中上, 不惟本经诸证悉具, 将阳明之
健运失职, 以至少阴之真阳浮露而吐痢, 厥逆, 烦躁欲死, 食谷欲呕
,种种丛生矣. 吴茱萸得东方震气, 辛苦大热, 能达木郁, 直入厥阴
,降其盛阴之浊气, 使阴翳全消, 用以为君. 人参秉冲和之气, 甘温
大补, 能接天真, 挽回性命, 升其垂绝之生气, 令阳光普照, 用以为
臣.佐姜, 枣和胃而行四末. 斯则震坤合德, 木土不害, 一阳之妙用
成,而三焦之间无非生生之气矣, 诸证有不退者乎? 盖仲景之法, 于
少阴则重固元阳, 于厥阴则重护生气, 学者当深思而得之矣.
治疗厥阴病，出现干呕、吐出清稀涎沫，并伴有头痛症状的。
治疗少阴证，出现呕吐腹泻、手足冰冷，且烦躁不安到难以忍受程度的。
治疗阳明病，进食后想要呕吐的。
吴茱萸一升，人参三两，生姜六两，大枣（掰开）十二枚。以上四味药，
用水七升，煎煮至剩余二升，温服七合，每日服用三次。
【集注】罗谦甫说：张仲景救治阳虚的各种方法中，对于少阴病的四逆汤必须使用干姜和附子；通脉四逆汤加倍使用干姜，其中附子生用；附子汤又增加了生附子至两枚。之所以这样，是因为有的为了壮旺微弱的阳气使其向外通达，有的为了招引浮越的阳气使其向内返回，这都是因为少阴真阳失守，所以以回阳救逆为紧急首要任务。至于治疗厥阴病，则改用吴茱萸，而去掉前面方剂中的其他药物，只用人参、姜、枣，大概是因为人体厥阴肝木虽然处于两阴交尽的状态，但一阳的真气实际上产生于其中。这一生气一旦虚弱，三阴的浊气就会直接逼迫中焦和上焦，不仅本经的各种病症全部具备，还会导致阳明胃的健运功能失职，以至于少阴的真阳浮露而出现呕吐腹泻、四肢厥冷、烦躁欲死、进食后想呕吐等种种病症丛生。吴茱萸得东方震卦之气，味辛苦性大热，能够疏通肝木之郁结，直入厥阴经，降下盛盛的阴寒浊气，使阴翳完全消散，因此作为君药。人参秉承冲和之气，味甘性温，大补元气，能够接续天真之气，挽回性命，提升将绝的生气，令阳光普照，因此作为臣药。佐以姜、枣调和胃气并运行气血至四肢末端。这样就是震卦（肝木）与坤卦（脾土）和谐共处，木土不相害，一阳的妙用得以成就，而三焦之间无非是生生不息的气机了，各种病症有不消退的吗？大概张仲景的治法，在少阴病重在固护元阳，在厥阴病重在保护生气，学者应当深思而领悟其中的道理。
Treats Jueyin disease (Jueyin disorder) presenting with dry retching, vomiting of clear saliva and froth, accompanied by headache.
Treats Shaoyin syndrome (Shaoyin pattern) presenting with vomiting and diarrhea, coldness of the hands and feet, and severe restlessness to the point of desperation.
Treats Yangming disease (Yangming disorder) presenting with a desire to vomit after eating.
Wuzhuyu (Evodiae Fructus) 1 sheng, Renshen (Ginseng Radix et Rhizoma) 3 liang, Shengjiang (Zingiberis Rhizoma Recens) 6 liang, Dazao (Jujubae Fructus) 12 pieces (broken open). The above four ingredients,
with 7 sheng of water, decocted to obtain 2 sheng, taken warm at 7 ge per dose, three times daily.
[Collected Annotations] Luo Qianfu stated: Among Zhang Zhongjing's various methods for rescuing yang, in the Sini Tang (Four Counterflow Decoction) for Shaoyin, Ginger (Shengjiang/Zijiang) and Aconite (Fuzi) must be used; in Tongmai Sini Tang (Pulse-Reviving Four Counterflow Decoction), dried ginger (Ganjiang) is doubled, and Aconite (Fuzi) is used raw; in Fuzi Tang (Aconite Decoction), raw Aconite (Fuzi) is increased to two pieces. The reason for this is that either to strengthen the faint yang to allow it to reach the exterior, or to attract the floating yang to return inward, these are all cases where the True Yang of Shaoyin has lost its residence, thus making the restoration of yang an urgent priority. As for treating Jueyin, Evodia (Wuzhuyu) is substituted, and the previous herbs are removed, using only Ginseng (Renshen), Ginger (Shengjiang), and Jujube (Dazao). This is because although the Liver Wood of Jueyin represents the convergence of two yins, the true qi of one yang actually arises within it. If this generating qi becomes deficient, the turbid qi of the three yins will directly oppress the middle and upper jiao. Not only will all symptoms of the meridian itself appear, but the healthy transportation function of Yangming will also fail, leading to the exposure of True Yang in Shaoyin, resulting in vomiting and diarrhea, cold limbs, severe restlessness, and a desire to vomit after eating, with various complications arising. Evodia (Wuzhuyu) obtains the qi of the Zhen trigram from the East, is pungent, bitter, and extremely hot, capable of unblocking liver wood stagnation, entering the Jueyin channel directly, and descending the excessive yin turbid qi, causing the yin shadows to completely dissipate; therefore, it serves as the Sovereign herb. Ginseng (Renshen) embodies the balanced and harmonious qi, is sweet, warm, and greatly tonifying, capable of connecting with the primordial true qi, saving life, and raising the nearly extinct generating qi, allowing sunlight to shine universally; therefore, it serves as the Minister herb. Ginger (Shengjiang) and Jujube (Dazao) assist by harmonizing the stomach and circulating qi to the four extremities. Thus, the Zhen trigram (Liver Wood) and Kun trigram (Spleen Earth) act in harmony, wood and earth do not harm each other, the subtle function of one yang is achieved, and the Sanjiao (Triple Burner) is filled with the qi of continuous generation. Would any symptoms not recede? Generally, Zhang Zhongjing's method emphasizes consolidating Yuan Yang (Original Yang) in Shaoyin, and protecting the Generating Qi in Jueyin. Scholars should ponder deeply to understand this.