（见和解门） 加芒硝（六两）
表证误下，邪热乘虚入胃，以致下痢。而满呕潮热之证犹在，故仍先与小柴胡汤以解外，
随
（仲景） 治太阳病桂枝证，（发热，头痛，恶风，自汗。）医反下之，利逐不
在表而反下之，虚其肠胃，表邪乘虚入里，遂协热而利不止也。）脉促者，表未解也
而止曰促，促为阳盛。虽下利而脉促，知表未解，前证仍在也。）喘而汗出者，（汗
为邪气外盛所致。喘而汗出，为里实气逆所致。与此汤散表邪，清里热。）此汤主
葛根（半斤） 甘草（炙） 黄芩（二两） 黄连（三两） 先煮葛根，内诸药煎，或
加姜枣。
表证尚在，医反误下，邪入阳明之腑，其汗外越，气上奔则喘，下陷则利。故舍桂枝而
用葛
胃气
（仲景） 治太阳误下，转属太阴，腹满大实痛者。
桂枝汤（见表散门） 加大黄（一两） 芍药（三两）
误下而成结胸，则邪在上，仍属太阳。今腹满而大实痛，则邪已入太阴。经曰∶诸痛为
实，
枝加
以太
之邪
经直
人续
温而
（河间） 治一切风寒湿暑，饥饱劳役，内外诸邪所伤，气血怫郁，表里三焦俱实
寒壮热，（邪在表。）头目昏晕，目赤睛痛。风热上攻，耳鸣鼻塞，口苦舌干，咽喉不利
涕稠粘，咳嗽上气，大便秘结，（热结大腑。）小便赤涩。（热蓄膀胱。）疮疡肿毒。（气
郁。）折跌损伤，瘀血便血，肠风痔漏。手足螈 ，惊狂谵妄。（肝风胃火。）丹斑瘾
热在胃也。）
防风 荆芥 连翘 麻黄 薄荷 川芎 当归 白芍（炒） 白术 山栀（炒黑） 大
黄（酒蒸）
生姜葱白煎。自利
防风荆芥薄荷麻黄，轻浮解表，使风寒从汗出，而散之于上。大黄芒硝，破结通幽，栀
子滑
胃。
缓峻
交治
除大黄芒硝。名双解散。（麻黄防风荆芥薄荷川芎以解表，黄芩栀子连翘石膏滑石以解
里。
再加人参补气，熟地益血，黄柏黄连除热，羌活独活天麻细辛全蝎祛风。蜜丸，弹子大。
每
表证误用下法，邪热乘虚入胃，导致下痢。而满闷、呕吐、潮热等症状仍在，所以仍先给予小柴胡汤以解除表邪，随后……
（仲景）治疗太阳病桂枝证，（表现为发热、头痛、恶风、自汗。）医生反而使用下法，导致腹泻不止。（这是因为病本不在里而反用下法，损伤了肠胃正气，表邪乘虚入里，于是出现协热下利不止的情况。）脉象急促的，说明表邪未解。（“促”指脉来数而时一止，止无定数，为阳盛之象。虽然下利但脉促，可知表邪未解，前面的症状仍然存在。）气喘且出汗的，（汗出是因为邪气外盛所致。气喘且出汗，是因为里实气逆所致。此方主治散除表邪，清泄里热。）此方主药为葛根（半斤）、甘草（炙）、黄芩（二两）、黄连（三两）。先煮葛根，再加入其他药物煎煮，或加入生姜、大枣。
表证尚在，医生反而误用下法，邪气传入阳明之腑，其汗向外越出，气机上逆则喘，气机下陷则利。所以舍弃桂枝而用葛根……（此处原文有缺漏，推测涉及胃气受损等论述）。
（仲景）治疗太阳病误用下法后，转属太阴，出现腹部胀满、大实疼痛的症状。
误用下法而成结胸，则邪气在上，仍属于太阳经。如今腹部胀满且大实疼痛，则邪气已入太阴经。医经说：各种疼痛多属实证，……（此处原文有缺漏，推测涉及桂枝加大黄汤的配伍原理及温通之法）。
（河间）治疗一切风寒湿暑、饥饱劳役以及内外诸邪所伤，导致气血郁滞，表里三焦俱实的病症。包括寒壮热，（邪在表。）头目昏晕，眼睛红赤疼痛。风热上攻，耳鸣鼻塞，口苦舌干，咽喉不利，鼻涕稠粘，咳嗽气逆，大便秘结，（热结大肠。）小便赤涩。（热蓄膀胱。）疮疡肿毒，（气郁。）跌打损伤，瘀血便血，肠风痔漏。手足抽搐，惊狂谵妄，（肝风胃火。）丹斑瘾疹，（热在胃也。）
防风、荆芥、连翘、麻黄、薄荷、川芎、当归、白芍（炒）、白术、山栀（炒黑）、大黄（酒蒸）。用生姜、葱白煎服。若自行下利者……
防风、荆芥、薄荷、麻黄，药性轻浮能解表，使风寒从汗而出，从上焦发散。大黄、芒硝，破结通便，栀子、滑石……（此处原文有缺漏，推测涉及清热利湿、调和脾胃之意）。
缓峻……交治……（此处原文有缺漏，推测涉及攻补兼施或表里双解的治疗原则）。
除去大黄、芒硝，名为双解散。（麻黄、防风、荆芥、薄荷、川芎以解表，黄芩、栀子、连翘、石膏、滑石以解里。）再加人参补气，熟地益血，黄柏、黄连除热，羌活、独活、天麻、细辛、全蝎祛风。制成蜜丸，如弹子大小。每……
(See the Harmonizing Section) Add Mangxiao (Natrii Sulfas, 6 liang).
If exterior syndrome is mistakenly treated with purgation, pathogenic heat enters the stomach taking advantage of the deficiency, leading to dysentery. Since symptoms such as fullness, vomiting, and tidal fever persist, Xiaochaihu Tang (Minor Bupleurum Decoction) should first be administered to resolve the exterior, followed by...
(Zhongjing) Treats Taiyang disease presenting with Guizhi Tang syndrome, (manifesting as fever, headache, aversion to wind, and spontaneous sweating.) If the physician erroneously applies purgation, diarrhea will persist incessantly. (This occurs because the pathology was not in the interior, yet purgation was used, damaging the stomach and intestines; the exterior pathogen then penetrates inward due to the deficiency, resulting in persistent diarrhea accompanied by fever.) A rapid pulse indicates that the exterior pathogen has not yet resolved. ("Cu" refers to a rapid pulse with occasional irregular pauses, indicating excessive Yang. Although there is diarrhea, the presence of a Cu pulse confirms that the exterior pathogen remains and previous symptoms persist.) Panting accompanied by sweating: (Sweating is caused by the exuberance of pathogenic factors on the exterior. Panting with sweating is caused by excess in the interior leading to rebellious Qi. This formula primarily disperses exterior pathogens and clears interior heat.) The main herbs are Gegen (Puerariae Radix, 8 lian), Gancao (Glycyrrhizae Radix et Rhizoma, prepared), Huangqin (Scutellariae Radix, 2 liang), and Huanglian (Coptidis Rhizoma, 3 liang). Boil Gegen first, then add the remaining herbs to decoct, optionally adding Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus).
When the exterior syndrome persists but the physician erroneously uses purgation, the pathogen enters the Fu organs of the Yangming channel. The sweat escapes outward, Qi rebels upward causing panting, and sinks downward causing diarrhea. Therefore, Guizhi is discarded in favor of Gegen... (Text missing here, likely discussing damage to Stomach Qi).
(Zhongjing) Treats Taiyang disease where erroneous purgation causes the condition to shift to Taiyin, characterized by abdominal fullness, severe excess, and pain.
Guizhi Tang (see Exterior-Resolving Section), plus Dahuang (Rhei Radix et Rhizoma, 1 liang) and Shaoyao (Paeoniae Radix, 3 liang).
If erroneous purgation leads to Jie Xiong (Chest Binding), the pathogen is located superiorly and still belongs to the Taiyang channel. However, if there is abdominal fullness with severe excess and pain, the pathogen has entered the Taiyin channel. The Classics state: All pain is generally due to excess... (Text missing here, likely discussing the rationale for Guizhi Jiada Huang Tang and warming methods).
(Hejian) Treats all conditions caused by external Wind-Cold-Dampness-Heat, improper diet, overwork, and various internal/external pathogens, resulting in stagnation of Qi and Blood, and excess in both the exterior and interior, involving the Triple Burner. Symptoms include severe chills and high fever (pathogen in the exterior), dizziness of head and eyes, red and painful eyes. Wind-Heat attacking upward causes tinnitus, nasal congestion, bitter taste in the mouth, dry tongue, and throat discomfort. Thick sticky nasal discharge, cough with rebellious Qi, constipation (heat binding in the Large Intestine), dark and scanty urination (heat accumulating in the Bladder). Carbuncles, sores, and toxic swellings (Qi stagnation). Traumatic injuries, blood stasis, bloody stool, intestinal wind, and hemorrhoids. Convulsions of hands and feet, fright, mania, and delirium (Liver Wind and Stomach Fire). Erythema, macules, and hives (heat in the Stomach).
Fangfeng (Saposhnikoviae Radix), Jingjie (Perillae Folium), Lianqiao (Forsythiae Fructus), Mahuang (Ephedrae Herba), Bohe (Menthae Haplocalycis Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Shanzhi (Gardeniae Fructus, stir-fried until black), Dahuang (Rhei Radix et Rhizoma, steamed with wine). Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Congbai (Allii Fistulosii Bulbus). If spontaneous diarrhea occurs...
Fangfeng, Jingjie, Bohe, and Mahuang have light and floating properties to release the exterior, allowing Wind-Cold to exit via sweat and disperse from the upper jiao. Dahuang and Mangxiao break stagnation and unblock the bowels; Zhizi and Huashi... (Text missing here, likely discussing clearing heat and promoting diuresis, harmonizing the Stomach).
Moderate and harsh treatments... combined therapy... (Text missing here, likely discussing the principle of simultaneous treatment of exterior and interior or tonification and purging).
Remove Dahuang and Mangxiao, named Shuangjie San (Double Resolution Powder). (Mahuang, Fangfeng, Jingjie, Bohe, Chuanxiong to resolve the exterior; Huangqin, Zhizi, Lianqiao, Shigao, Huashi to resolve the interior.) Further add Renshen (Ginseng Radix et Rhizoma) to tonify Qi, Shudi (Rehmanniae Radix Preparata) to nourish Blood, Huangbai (Phellodendri Cortex) and Huanglian (Coptidis Rhizoma) to clear heat, Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Tianma (Gastrodiae Rhizoma), Xixin (Asari Radix et Rhizoma), Quanxie (Scorpio) to dispel Wind. Make into honey pills, size of a bullet. Each...