寒邪在半表半里。舌胎白滑或黄胎。治用小柴胡汤。（方见前）热结在里。表里俱热。舌上
或白或黑。不滑而涩。治用白虎汤加人参。（方见前）
经曰。藏结舌上。白胎滑者难治。又曰。藏结无阳证。不往来寒热。其人反静。舌上胎。滑者。
不可攻也。
（此是语言谵妄错乱也）
胃实不大便。谵语。治用大柴胡汤或调胃承气汤。（方并见前）
妇人伤寒。经水适断。发热恶寒。至夜谵言。此为热入血室。（血室者。素问所谓女子胞。即
产肠也。治用小柴胡汤。方见前）
（此是语言郑重。如说此一语。又复再说。声气无力。句不连续也）
（仲景所谓哕。盖脐下气逆。冲上退场门作声。素问所谓诸逆冲上。皆属于火）
不虚不实而呃逆者。治用小柴胡汤。（方见前）或用橘皮竹茹汤。或用丁香柿蒂汤加人参。
【活人书橘皮竹茹汤】
橘皮（一斤） 青竹茹（一升半） 甘草（炙。二两） 人参（半两）
上锉。每服五钱。水二盏。生姜五片。枣二枚。煎八分。去渣。温服。
【丁香柿蒂汤加人参】
丁香 柿蒂 青皮 陈皮
人参（各等分）
上锉。每服三钱。水一盏半。煎七分。去渣。温服。
身热。脉虽数而呃逆者。治用人参三白汤加竹茹。（方见前）○或用八物汤加竹茹。或用丁
香柿蒂汤加人参。（方见前）
【八物汤加竹茹】
人参 白术 白茯苓 甘草
当归 熟地黄 川芎 竹茹
白芍药（各等分）
上锉。每服五钱。水一盏。生姜三片。煎八分。去渣。温服。
寒邪侵袭于半表半里之间。舌苔表现为白色滑腻或黄色。治疗应使用小柴胡汤。（方剂见前文）热邪结聚在体内。表里均呈现热象。舌苔或白或黑，但不滑润而干燥涩滞。治疗应使用白虎汤加人参。（方剂见前文）
经典记载：脏结证且舌上覆盖白色滑腻苔者，难以治愈。又说：脏结证没有阳证表现，不出现往来寒热，患者反而神志安静，舌苔滑腻，则不可使用攻下法。
手足冰冷。舌苔黑色。治疗应使用四逆汤。（方剂见前文）
（此处指言语谵妄、错乱无序的症状）
胃腑实证，大便不通，伴有谵语。治疗应使用大柴胡汤或调胃承气汤。（方剂均见前文）
妇女患伤寒病，月经刚刚中断，出现发热恶寒，到了夜间说胡话。这是热邪陷入血室。（血室，即《素问》所说的女子胞，也就是子宫。治疗应使用小柴胡汤，方剂见前文）
手足冰冷，脉象细微且伴有谵语。治疗应使用四逆汤。（方剂见前文）
（此处指言语郑重其事，如同重复说同一句话，声音气息无力，语句不连贯的症状）
身体微热，脉象微弱且出现郑声（重语）症状的，治疗应使用人参三白汤。（方剂见前文）
身体发凉，手足有时冰冷且出现郑声症状的，治疗应使用四逆汤。（方剂见前文）
（张仲景所说的“哕”，是指脐下气机逆乱，冲向上方，经过肛门部位发出声音。《素问》所说各种气逆冲上的病症，都归属于火）
既非虚证也非实证而出现的呃逆，治疗应使用小柴胡汤。（方剂见前文）或者使用橘皮竹茹汤，或者使用丁香柿蒂汤加人参。
【活人书橘皮竹茹汤】
橘皮（一斤） 青竹茹（一升半） 甘草（炙用，二两） 人参（半两）
以上药材切碎，每次服用五钱，加水两盏，生姜五片，大枣二枚，煎煮至八分满，去渣滓，温服。
【丁香柿蒂汤加人参】
丁香 柿蒂 青皮 陈皮
人参（各等分）
以上药材切碎，每次服用三钱，加水一盏半，煎煮至七分满，去渣滓，温服。
身体发热，脉象虽然快速但出现呃逆症状的，治疗应使用人参三白汤加竹茹。（方剂见前文）○或者使用八物汤加竹茹，或者使用丁香柿蒂汤加人参。（方剂见前文）
【八物汤加竹茹】
人参 白术 白茯苓 甘草
当归 熟地黄 川芎 竹茹
白芍药（各等分）
以上药材切碎，每次服用五钱，加水一盏，生姜三片，煎煮至八分满，去渣滓，温服。
Cold pathogenic factors invade the half-exterior and half-interior. The tongue coating is white and slippery or yellow. Treatment utilizes Xiao Chai Hu Tang (Minor Bupleurum Decoction). (Formula see preceding text) Heat accumulation occurs internally. Both exterior and interior present heat signs. The tongue coating may be white or black, but is not slippery; rather, it is dry and rough. Treatment utilizes Bai Hu Tang (White Tiger Decoction) with added Ren Shen (Ginseng Root). (Formula see preceding text)
The Classics state: In Zang Jie (Organ Knotting), if the tongue has a white and slippery coating, it is difficult to treat. It also states: Zang Jie presents without Yang syndrome signs; there is no alternating chills and fever, and the person appears unusually calm. If the tongue coating is slippery, purgation must not be employed.
Cold hands and feet. Black tongue coating. Treatment utilizes Si Ni Tang (Frigid Extremities Decoction). (Formula see preceding text)
(This refers to delirious and confused speech.)
Stomach excess condition with constipation, accompanied by delirium. Treatment utilizes Da Chai Hu Tang (Major Bupleurum Decoction) or Tiao Wei Cheng Qi Tang (Regulate the Stomach and Direct Downward Decoction). (Formulas see preceding text)
A woman suffering from Shang Han (Cold Damage) whose menstruation has just ceased, presenting with fever and aversion to cold, who speaks incoherently at night. This is Re Ru Xue Shi (Heat Entering the Blood Chamber). (The Blood Chamber refers to the Nü Zi Bao [Female Uterus] mentioned in Su Wen, i.e., the uterus. Treatment utilizes Xiao Chai Hu Tang. Formula see preceding text)
Cold hands and feet, fine and minute pulse, accompanied by delirium. Treatment utilizes Si Ni Tang. (Formula see preceding text)
(This refers to solemn speech, such as repeating the same phrase, with weak voice and breath, and disjointed sentences.)
Slight body heat, weak pulse, and Zheng Sheng (repetitive speech). Treatment utilizes Ren Shen San Bai Tang (Ginseng Three Whites Decoction). (Formula see preceding text)
Cool body temperature, cold hands and feet occasionally, and Zheng Sheng. Treatment utilizes Si Ni Tang. (Formula see preceding text)
(What Zhang Zhong Jing referred to as Yue [hiccup], implies qi rebellion originating below the navel, rushing upward and exiting through the anus making sound. As stated in Su Wen: All rebellious qi rushing upward belongs to Fire.)
Hiccups that are neither deficiency nor excess conditions. Treatment utilizes Xiao Chai Hu Tang. (Formula see preceding text) Alternatively, use Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Sheath Decoction), or Ding Xiang Shi Di Tang (Clove and Persimmon Calyx Decoction) with added Ren Shen.
[Ju Pi Zhu Ru Tang from Huo Ren Shu]
Ju Pi (Tangerine Peel, 1 jin) Qing Zhu Ru (Green Bamboo Sheath, 1.5 sheng) Gan Cao (Licorice Root, roasted, 2 liang) Ren Shen (Ginseng Root, 0.5 liang)
Chop the above ingredients. Take 5 qian per dose. Add 2 zhan of water, 5 slices of Sheng Jiang (Fresh Ginger), and 2 Zao (Jujube Dates). Decoct until 8 fen remains. Strain and take warm.
[Ding Xiang Shi Di Tang with Added Ren Shen]
Ding Xiang (Clove) Shi Di (Persimmon Calyx) Qing Pi (Green Tangerine Peel) Chen Pi (Aged Tangerine Peel) Ren Shen (Ginseng Root) (Equal parts)
Chop the above ingredients. Take 3 qian per dose. Add 1.5 zhan of water. Decoct until 7 fen remains. Strain and take warm.
Body heat, rapid pulse despite hiccups. Treatment utilizes Ren Shen San Bai Tang with added Zhu Ru (Bamboo Sheath). (Formula see preceding text) ○ Alternatively, use Ba Wu Tang (Eight Substance Decoction) with added Zhu Ru, or Ding Xiang Shi Di Tang with added Ren Shen. (Formula see preceding text)
[Ba Wu Tang with Added Zhu Ru]
Ren Shen (Ginseng Root) Bai Zhu (Atractylodes Macrocephala Rhizome) Bai Fu Ling (Poria) Gan Cao (Licorice Root) Dang Gui (Angelica Sinensis Root) Shu Di Huang (Prepared Rehmannia Root) Chuan Xiong (Ligusticum Chuanxiong Rhizome) Zhu Ru (Bamboo Sheath) Bai Shao Yao (White Peony Root) (Equal parts)
Chop the above ingredients. Take 5 qian per dose. Add 1 zhan of water and 3 slices of Sheng Jiang (Fresh Ginger). Decoct until 8 fen remains. Strain and take warm.