（仲景）
治少阴病下利脉微者，与白通汤，利不止，厥逆无脉，干呕而烦。服此汤后，脉暴出者
死，微续者生（肾者，胃之关也。前阴利水，后阴利谷，寒邪客之，则不能禁固，故下利也。
与白
服此
葱白（四茎） 干姜（一两） 附子（一枚。炮） 人尿（五合） 猪胆汁（一合）
腹痛者，真
梗一两以利咽；利止、脉
此足少阴药也。葱白之辛以通阳气，姜附之热以散阴寒，此白通汤也。服而不应者，乃
阴盛格
寒补肝
从而逆之，正者正治，反者反治，此之谓也（以热治寒，以寒治热，为正治；以热治热，以
寒治寒，为反治，亦曰从治，谓从其性而伏之也。按∶厥有阴阳二证，阴厥者身凉不渴，脉
迟细而微；阳厥者，阳热极而反厥，虽厥而烦渴谵妄，身复时温而脉数也。若阳厥极深，至
于身冷脉
若以
阴阳
附∶葱熨艾灸法∶治阴毒手足逆冷，腹痛暴绝。服白通汤或四逆汤后，用葱一大握，以
绳缠
盛火
气海（脐下一寸五分，名气海；二寸为丹田，三寸名关元）各二三十壮。内外协攻，务令一
时之内，阴散阳回，得汗而解（葱能通中，艾性温热，麝能开窍。助之以火，故有回阳之功。
或曰用酽
（仲景）
治阳明证食谷欲呕，若得汤反剧者，则属上焦（食谷欲呕，胃寒也，得汤反剧，则为太
阳热呕矣）；少阴证吐利，手足厥冷，烦躁欲死（吐则耗阳，利则损阴。厥冷者，阴寒气甚；
烦躁者，阳气内争）；厥阴证干呕吐涎头痛（厥阴之脉夹胃，干呕吐沫，里寒内格也；厥阴
之脉上巅，头痛，寒气上逆也。按∶三阳皆有头痛，太阴、少阴二经之脉不上循头，故无头
痛，惟厥阴与督脉会于巅，亦有头痛。然风温在少阴，湿温在太阴，而头反痛，是又不可拘
拘者。李东垣曰∶太阴头痛，必有痰也；少阴头痛，足寒而气逆也。盖太阴、少阴二经，虽
不上头，然痰
吴茱萸（一升。炮） 人参（三两） 大枣（十二枚） 生姜（六两）
此足厥阴、少阴、阳明药也。治阳明食谷欲呕者，吴茱、生姜之辛，以温胃散寒下气；
人参
胃寒，与太阳之恶寒呕逆原为热证者不同（火热上冲而呕），恐误以寒药治寒呕也。若服吴
茱萸汤反剧者，则仍属太阳热邪，而非胃寒明矣（宜葛根加半夏汤、小柴胡汤、栀子豉汤、
黄芩汤）。若少阴证吐利厥逆，至于烦躁欲死，肾中之阴气上逆，将成危候（肾中阴盛，上
格乎阳，而为吐逆），故用吴茱散寒下逆，人参、姜、枣助阳补土，使阴寒不得上下，温经
而兼温中也。吴
本方加附子，名吴茱萸加附子汤∶治寒疝腰痛，牵引睾丸，尺脉沉迟。
（张仲景）
治疗少阴病，出现下利且脉象微弱的情况，给予白通汤；若服药后下利不止，出现四肢厥冷、无脉搏、干呕且心烦的症状。服用此方后，如果脉搏突然显现者死，脉搏逐渐微弱恢复者生。（肾是胃的关口。前阴排泄水液，后阴排泄谷物糟粕，寒邪侵袭人体，导致不能固摄，所以下利。）
葱白（四茎） 干姜（一两） 附子（一枚，炮制） 人尿（五合） 猪胆汁（一合）
腹痛者，用真……（原文此处有缺漏或错简，通常指加芍药等，但依原文仅保留“腹痛者，真”）
梗一两以利咽；利止、脉……（原文此处有缺漏）
这是足少阴经的药方。葱白的辛味用来通达阳气，姜和附子的热性用来驱散阴寒，这就是白通汤。如果服用后病情没有反应，是因为阴寒太盛格拒了……（原文此处有缺漏，意指阴盛格阳）
寒补肝……（原文此处有缺漏或错简）
从而逆之，正者是正治，反者是反治，说的就是这个道理（用热药治寒病，用寒药治热病，称为正治；用热药治热病，用寒药治寒病，称为反治，也叫从治，意思是顺从其假象而伏制其真邪。按：厥证有阴阳两种，阴厥者身体凉而不渴，脉迟细而微；阳厥者，阳热极盛反而出现四肢厥冷，虽然厥冷但心烦口渴、胡言乱语，身体偶尔又变暖且脉数。如果阳厥极深，以至于身体冰冷、脉……（原文此处有缺漏）
若以……（原文此处有缺漏）
阴阳……（原文此处有缺漏）
附注：葱熨艾灸法：治疗阴毒导致的手足逆冷，腹痛暴绝。服用白通汤或四逆汤后，用一大把葱，用绳子缠绕……（原文此处有缺漏）
盛火……（原文此处有缺漏）
气海穴（脐下一寸五分，名叫气海；二寸为丹田，三寸名叫关元）各灸二三十壮。内外协同攻击，务必在一时之内，使阴气消散、阳气回复，出汗而解（葱能通达中焦，艾性温热，麝香能开窍。借助火势，所以有回阳的功效。有人说用浓……（原文此处有缺漏）
（张仲景）
治疗阳明证，进食就想呕吐，如果喝了药汤反而加重，这就属于上焦（进食想吐，是胃寒；喝了药汤反而加重，就是太阳热呕了）；少阴证，呕吐下利，手脚冰凉，烦躁得想死（呕吐耗伤阳气，下利损伤阴液。手脚冰凉，是阴寒气很盛；烦躁，是阳气在内抗争）；厥阴证，干呕、吐涎沫、头痛（厥阴经脉夹行于胃旁，干呕吐沫，是里寒内格所致；厥阴经脉上行至头顶，头痛，是寒气上逆所致。按：三阳经都有头痛，太阴、少阴两条经脉不上循头部，所以没有头痛，只有厥阴与督脉会合于头顶，也有头痛。然而风温在少阴，湿温在太阴，头反而痛，这又是不可拘泥的。李东垣说：太阴头痛，一定伴有痰；少阴头痛，脚冷且气逆。大概太阴、少阴两条经脉，虽然不上达头部，然而痰……（原文此处有缺漏）
吴茱萸（一升，炮制） 人参（三两） 大枣（十二枚） 生姜（六两）
这是足厥阴、少阴、阳明经的药方。治疗阳明证进食就想呕吐的，用吴茱萸、生姜的辛味，来温暖胃、驱散寒气、降逆气；
人参……（原文此处有缺漏，通常指人参补益脾胃）
胃寒，与太阳证的恶寒呕逆原本为热证的情况不同（火热上冲导致的呕吐），恐怕误用寒药治疗寒性呕吐。如果服用吴茱萸汤反而加重的，那就仍然属于太阳热邪，而不是胃寒，这是明确的（宜用葛根加半夏汤、小柴胡汤、栀子豉汤、黄芩汤）。如果少阴证呕吐下利四肢厥冷，以至于烦躁得想死，这是肾中的阴气上逆，将要形成危重证候（肾中阴气过盛，向上格拒阳气，导致吐逆），所以用吴茱萸散寒降逆，人参、姜、枣帮助阳气、补益脾土，使阴寒之气不得上下窜动，温通经脉兼温暖中焦。吴……（原文此处有缺漏）
(Zhang Zhongjing)
Treating Shaoyin disease (Disease of the Lesser Yin) with diarrhea and a faint pulse, administer Baitong Decoction (White Onion Decoction). If the diarrhea does not stop after administration, and the patient presents with cold extremities, absence of pulse, dry retching, and irritability: if the pulse suddenly appears after taking this decoction, death ensues; if the pulse gradually returns slightly, life is preserved. (The Kidney is the gate of the Stomach. The anterior orifice excretes water, and the posterior orifice excretes grain residue. When Cold pathogenic factors invade, they fail to secure and control, resulting in diarrhea.)
Scallion White (Congbai, Rhizoma Allii Fistulosi) (4 stalks) Dried Ginger (Ganjiang, Radix Zingiberis Preparata) (1 liang) Prepared Aconite Root (Fuzi, Radix Aconiti Lateralis Preparata) (1 piece, prepared) Human Urine (Ren Nao) (5 he) Pig Gallbladder Bile (Zhudan Zhi) (1 he)
For those with abdominal pain, Zhen... [text missing]
Geng 1 liang to benefit the throat; when diarrhea stops, pulse... [text missing]
This is a formula for the Foot-Shaoyin meridian. The pungency of Scallion White (Congbai) unblocks Yang Qi, while the heat of Ginger and Aconite disperses Yin Cold; this is Baitong Decoction. If there is no response after administration, it is due to Yin Cold being too excessive and rejecting... [text missing]
Cold tonifying Liver... [text missing]
Following contrary treatment: correct treatment addresses the root cause directly, while contrary treatment addresses the symptoms oppositely; this is what is meant. (Using hot herbs to treat cold diseases, and cold herbs to treat hot diseases, is called Correct Treatment (Zheng Zhi); using hot herbs to treat hot diseases, and cold herbs to treat cold diseases, is called Contrary Treatment (Fan Zhi), also known as Following Treatment (Cong Zhi), meaning following the apparent nature to subdue the true pathogen. Note: Jue syndrome has two types: Yin Jue involves cool body without thirst, and a slow, fine, and faint pulse; Yang Jue involves extreme internal Heat causing apparent cold extremities, accompanied by irritability, thirst, delirium, occasional warmth of the body, and a rapid pulse. If Yang Jue is extremely deep, leading to cold body and pulse... [text missing]
If using... [text missing]
Yin and Yang... [text missing]
Appendix: Scallion Moxibustion Method: Treats Yin Toxicity causing cold extremities and sudden severe abdominal pain. After administering Baitong Decoction or Sini Decoction, take a large handful of scallions, wrap them with rope... [text missing]
With fire... [text missing]
Qihai acupoint (1.5 cun below the umbilicus, named Qihai; 2 cun is Dantian, 3 cun is Guanyuan): moxibustion each 20-30 moxa cones. Internal and external attacks cooperate, ensuring that within an hour, Yin dissipates and Yang returns, resolving through sweating. (Scallions can unblock the middle, Moxa is warm and hot, Musk opens orifices. Assisted by fire, thus having the effect of restoring Yang. Some say use strong...) [text missing]
(Zhang Zhongjing)
Treating Yangming syndrome where eating induces vomiting: if taking the decoction makes it worse, it belongs to the Upper Jiao (Eating inducing vomiting indicates Stomach Cold; worsening after taking decoction indicates Taiyang Heat vomiting); Shaoyin syndrome with vomiting and diarrhea, cold extremities, and extreme irritability (Vomiting consumes Yang, diarrhea damages Yin. Cold extremities indicate severe Yin Cold; irritability indicates internal struggle of Yang Qi); Jueyin syndrome with dry retching, spitting saliva/phlegm, and headache (The Jueyin meridian runs alongside the stomach; dry retching and spitting phlegm indicate internal rejection by Cold; the Jueyin meridian ascends to the vertex; headache indicates upward reversal of Cold. Note: Headache occurs in all three Yang meridians. The Taiyin and Shaoyin meridians do not ascend to the head, so they do not cause headache. Only Jueyin meets the Du meridian at the vertex, causing headache. However, Wind-Warmth in Shaoyin and Damp-Warmth in Taiyin can also cause headache, which cannot be rigidly adhered to. Li Dongyuan said: Taiyin headache must involve Phlegm; Shaoyin headache involves cold feet and rebellious Qi. Although the Taiyin and Shaoyin meridians do not reach the head, Phlegm...) [text missing]
Evodia Fruit (Wuzhuyu, Fructus Evodiae) (1 sheng, prepared) Ginseng Root (Renshen, Radix et Rhizoma Ginseng) (3 liang) Jujube (Dazao, Fructus Jujubae) (12 pieces) Fresh Ginger (Shengjiang, Rhizoma Zingiberis Recens) (6 liang)
This is a formula for the Foot-Jueyin, Foot-Shaoyin, and Foot-Yangming meridians. For Yangming syndrome with vomiting upon eating, the pungency of Evodia and Ginger warms the Stomach, disperses Cold, and directs Qi downward;
Ginseng... [text missing]
Stomach Cold is different from Taiyang syndrome's aversion to cold and vomiting which are originally Heat syndromes (vomiting due to upward rushing of Fire-Heat), lest one mistakenly use Cold herbs to treat Cold vomiting. If taking Evodia Decoction makes it worse, it still belongs to Taiyang Heat pathogen, clearly not Stomach Cold (Suitable formulas include Ge Gen Jia Ban Xia Decoction, Xiao Chai Hu Decoction, Zhi Zi Chi Tang, Huang Qin Decoction). If Shaoyin syndrome with vomiting, diarrhea, and cold extremities leads to extreme irritability, this is Yin Qi from the Kidney reversing upward, approaching a critical state (Excessive Yin in the Kidney rejects Yang upward, causing vomiting and rebellion), hence Evodia is used to disperse Cold and direct Qi downward, while Ginseng, Ginger, and Jujube assist Yang and tonify Earth (Spleen/Stomach), preventing Yin-Cold from moving up and down, warming the meridians and simultaneously warming the Middle Jiao. Wu... [text missing]
Adding Aconite to this base formula is named Evodia and Aconite Decoction: Treats Cold Hernia with lower back pain radiating to the testicles, and a deep, slow pulse at the Chi position.