治热结在内，往来寒热者。
柴胡（半斤） 半夏（半斤） 黄芩（三两） 芍药（三两） 枳实（四枚） 生姜（五
两） 大枣（十
上七味，以水一斗二升，煮取六升，去滓，再煎。温服一升，日三服。
柯韵伯曰∶此热结在气分，不属有形，故十余日复能往来寒热也。若热结在胃，则蒸蒸
发热
加
心
不用大
大柴
大柴
伤寒六七日，发热，微恶寒，肢节烦疼，微呕，心下支结。此太阳、少阳并病也，柴胡
桂枝
柴胡（四两） 黄芩 人参 生姜 芍药 桂枝（各一两半） 甘草（一两） 半夏
（二合半） 大枣（六枚）
上九味，水煎服。
柯韵伯曰∶柴、桂二汤，皆是调和之剂。桂枝汤重解表，而微兼清里；柴胡汤重调里，
而微
以调
之任重
注释；
柴胡亦
本渴而
之时
微，则
表证虽
少阳微
仍用人
本太阳病，医反下之，因尔腹满时痛者，属太阴也，桂枝加芍药汤主之；大实痛者，桂
枝加
桂枝 芍药 甘草 生姜 大枣
即桂枝汤倍芍药三两；大实痛者，即原方加大黄二两。煎法如前。
柯韵伯曰∶腹满为太阴、阳明俱有之证，然位同而职异。太阴主出，太阴病则腐秽之出
不利
不
于太阴
加大黄以
转属太阴
则腹大实而
燥屎之征，故加
治疗热邪结聚于体内，出现寒热往来症状的病症。
柴胡（半斤） 半夏（半斤） 黄芩（三两） 芍药（三两） 枳实（四枚） 生姜（五两） 大枣（十枚）
以上七味药，用水一斗二升，煎煮至六升，滤去药渣，再次煎煮。每次温服一升，每日服用三次。
柯韵伯说：这是热邪结聚在气分，不属于有形的积滞，所以过了十多天仍能出现寒热往来的症状。如果热邪结聚在胃中，则会出现蒸蒸发热的症状……（原文此处有缺漏或排版错误，仅翻译可见部分）……不用大柴胡汤……大柴胡汤……
伤寒病经过六七天，出现发热，轻微恶寒，四肢关节烦扰疼痛，轻微呕吐，心下部支撑胀满感。这是太阳经和少阳经同时发病（并病），使用柴胡桂枝汤治疗。
柴胡（四两） 黄芩 人参 生姜 芍药 桂枝（各一两半） 甘草（一两） 半夏（二合半） 大枣（六枚）
以上九味药，用水煎煮后服用。
柯韵伯说：柴胡汤和桂枝汤，都是调和的方剂。桂枝汤重在解除表邪，而轻微兼清里热；柴胡汤重在调理里证，而轻微……（原文此处有缺漏或排版错误，仅翻译可见部分）……以调……之任重……注释；柴胡亦……本渴而……之时……微，则……表证虽……少阳微……仍用人……
原本的太阳病，医生反而使用了攻下法，因此导致腹部胀满、时时疼痛的症状，这属于太阴病，使用桂枝加芍药汤主治；如果是大实痛（严重的实证疼痛），使用桂枝加大黄汤主治。
桂枝 芍药 甘草 生姜 大枣
即桂枝汤将芍药加倍增加三两；大实痛的情况，即在原方基础上加大黄二两。煎煮方法如前所述。
柯韵伯说：腹部胀满是太阴病和阳明病都有的症状，然而部位相同而功能不同。太阴主运化输出，太阴病则腐秽之物排出不利……不……于太阴……加大黄以……转属太阴……则腹大实而……燥屎的迹象，所以加大黄……（原文此处有缺漏或排版错误，仅翻译可见部分）
Treats conditions where heat is knotted internally, presenting with alternating chills and fever.
Chaihu (Cini Radix) (half jin), Banxia (Pinelliae Rhizoma) (half jin), Huangqin (Scutellariae Radix) (three liang), Shaoyao (Paeoniae Radix Alba) (three liang), Zhishi (Aurantii Fructus Immaturus) (four pieces), Shengjiang (Zingiberis Rhizoma Recens) (five liang), Dazao (Jujubae Fructus) (ten pieces).
The above seven herbs are boiled in one dou two sheng of water, reduced to six sheng, the dregs are removed, and it is decocted again. Take one sheng warm each time, three times a day.
Ke Yunbo said: This is heat knotted in the qi level, not belonging to有形 (solid/organic matter), thus after more than ten days, alternating chills and fever can still occur. If heat is knotted in the stomach, then steaming fever will occur... [Text fragment] ...not using Da Chaihu Tang... Da Chaihu Tang...
In Shanghan disease, after six or seven days, there is fever, slight aversion to cold, vexatious pain in the limbs and joints, slight vomiting, and a sensation of fullness and obstruction under the heart (epigastrium). This is a concurrent disease of Taiyang and Shaoyang, treated with Chaihu Guizhi Tang.
Chaihu (four liang), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix), Shengjiang (Zingiberis Rhizoma Recens), Shaoyao (Paeoniae Radix Alba), Guizhi (Cinnamomi Ramulus) (each one liang half), Gancao (Glycyrrhizae Radix et Rhizoma) (one liang), Banxia (Pinelliae Rhizoma) (two he half), Dazao (Jujubae Fructus) (six pieces).
The above nine herbs are boiled in water and taken orally.
Ke Yunbo said: Both Chaihu Tang and Guizhi Tang are harmonizing formulas. Guizhi Tang focuses on releasing the exterior, while slightly clearing the interior; Chaihu Tang focuses on regulating the interior, while slightly... [Text fragment] ...to regulate... heavy responsibility... annotation; Chaihu also... originally thirsty but... at that time... slight, then... although exterior signs... Shaoyang slight... still use Ren...
Originally a Taiyang disease, the physician incorrectly used purgation, resulting in abdominal fullness and occasional pain, which belongs to Taiyin disease, primarily treated with Guizhi Jia Shaoyao Tang; for severe solid pain, Guizhi Jia Dahuang Tang is used.
Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus).
This is Guizhi Tang with Shaoyao increased by three liang; for severe solid pain, Dahuang (Rhei Radix et Rhizoma) is added two liang to the original formula. The decoction method is as before.
Ke Yunbo said: Abdominal fullness is a symptom present in both Taiyin and Yangming diseases, yet the location is the same while the function differs. Taiyin governs output; in Taiyin disease, the discharge of foul matter is obstructed... not... in Taiyin... adding Dahuang to... turning over to Taiyin... then the abdomen is greatly solid and... signs of dry stool, therefore add Dahuang... [Text fragment]