（仲景） 治伤寒脉浮滑，表有热，里有寒。（浮为在表，滑为在里，里寒指伤寒，即
病热之本因也。）及三阳合病。脉浮大，腹满身重，难以转侧，口不仁而面垢，谵语遗尿。
发汗则谵语，下之则头上生汗，手足逆冷，自汗出者。（腹满身重，口不仁， 语，阳明证
也。面垢，少阳证也。遗尿，太阳证也。三证之中，阳明为多，属表里有邪。发表则燥热益
甚，故谵语。攻里则阴气下竭，而虚阳上脱，必额汗出手足逆冷。若自汗出者，三阳热甚也，
与此汤以解内外之热。）通治阳明病脉洪大而长，不恶寒反恶热，头痛自汗，口渴舌苔，目
痛鼻干，不得卧，心烦躁乱，日晡潮热，或阳毒发斑，胃热诸病。（邪热盛，故脉洪大。外
无寒邪，故不恶寒反恶热。中风有汗，伤寒无汗。传入阳明则有汗，谓之热越，故阳明病
法多汗。里热故作渴，阳明主肌肉，故肌热。脉交 中，故目痛。脉挟鼻，金燥故鼻干。胃
不和故卧不安。人之阳气，昼日行阳二十五度。平旦属少阳，日中属太阳，日晡属阳明。伤
寒证中，日晡潮热，为胃实无虚证，胃热失下则发斑。）
石膏（一斤） 知母（六两） 甘草（二两） 粳米（六合） 先煮石膏数十沸。（味
淡难出。）再投
热淫于内，以苦发之，故以知母苦寒为君。热则伤气，必以甘寒为助，故以石膏甘草为
臣。
泻胃
专治阳
脾虚发
力。类
而格阳
重寒则
冷，而
邪入里
深，则
深而病
垣曰∶
皋曰∶
病则投
渴，忌
加人参三两，名人参白虎汤。（仲景）治伤寒渴欲饮水，无表证者。（白虎解热，人参生
津。
俱无
癃秘
和者
已
亦
伤
发
寒
其表不解，全是麻黄与葛根证，安可行白虎也。）亦治太阳中 ，身热汗出，恶寒足冷，脉
微而渴。（身热恶寒为在表，足冷脉微，又不可表。）亦治火伤肺胃，传为膈消。（喻嘉言曰∶
肺消以地黄丸治其血分，肾消以白虎汤治其气分。病不能除，医之罪也。）加苍术名曰虎加
苍术汤，治湿温脉沉细者，沉细属湿，先受暑，后受湿，暑湿相搏名湿温。其证胫冷腹满，
头痛身痛多汗，渴而谵语。李东垣曰∶动而伤暑，火热伤气，辛苦之人多得之，宜人参白
虎汤。静而伤暑，湿胜身重，安药之人多得之，宜苍术白虎汤。加桂枝名桂枝白虎汤，（金
匮）治温疟，但热不寒，骨节疼痛，时呕。除粳米加人参，名化斑汤，治胃热发斑脉虚者。
加柴胡黄芩半夏，名柴胡石膏汤，治暑嗽喘渴。
（张仲景）治疗伤寒脉象浮滑，表有热，里有寒。（浮脉表示病在表，滑脉表示病在里，这里的“里寒”指的是伤寒这一病因，即产生内热的根本原因。）以及三阳合病。脉象浮大，腹部胀满，身体沉重，难以翻身转侧，口舌麻木不知五味且面色垢浊，说胡话（谵语），小便失禁。如果误用发汗法，会导致说胡话；误用泻下法，则会导致额头出汗，手足逆冷，自汗出的人。（腹部胀满、身体沉重、口舌麻木、说胡话，是阳明证的表现。面色垢浊，是少阳证的表现。小便失禁，是太阳证的表现。在这三种证候中，阳明证居多，属于表里都有邪气。发表则燥热更加严重，所以导致说胡话。攻里则阴气在下枯竭，虚阳向上脱逸，必然出现额头出汗、手足逆冷。如果有自汗出的情况，说明三阳热势很盛，此时给予此汤以解除内外的热邪。）通用治疗阳明病脉象洪大而长，不恶寒反而恶热，头痛自汗，口渴舌苔干燥，眼睛疼痛鼻干，无法安卧，心中烦躁混乱，下午申时左右定时发热（日晡潮热），或者阳毒发斑，胃热引起的各种疾病。（邪热炽盛，所以脉象洪大。外部没有寒邪，所以不恶寒反而恶热。中风有汗，伤寒无汗。传入阳明经则有汗，称为热越，所以阳明病通常多汗。内部热盛故口渴，阳明经主肌肉，所以肌肉发热。脉气交于目中，所以眼睛疼痛。脉气挟持鼻部，肺金燥热所以鼻干。胃气不和所以睡眠不安。人的阳气，白天行于阳分二十五度。平旦时分属少阳，日中时分属太阳，日晡时分属阳明。在伤寒证中，日晡潮热，是胃实而无虚证的标志，胃热未及时通下就会发斑。）
石膏（一斤） 知母（六两） 甘草（二两） 粳米（六合） 先煮石膏数十沸。（味道淡，药性难析出。）再投入其他药物同煮。
热邪淫溢于内，用苦味药发散它，所以用苦寒的知母作为君药。热邪会损伤正气，必须用甘寒的药来辅助，所以用石膏和甘草作为臣药。
专门治疗阳热亢盛。脾虚引发的……（原文此处有残缺/乱码：力。类而格阳重寒则冷，而邪入里深，则深而病垣曰∶皋曰∶病则投渴，忌）。
加人参三两，称为人参白虎汤。（张仲景）治疗伤寒想喝水，但没有表证的人。（白虎汤解热，人参生津液。）俱无癃秘和者已亦伤发寒其表不解，全是麻黄与葛根证，怎么能用白虎汤呢？）也治疗太阳中暑，身体发热汗出，恶寒脚冷，脉微而口渴。（身体发热恶寒是在表，脚冷脉微，又不宜用解表法。）也治疗火邪损伤肺胃，传变为膈消。（喻嘉言说：肺消用地黄丸治疗血分，肾消用白虎汤治疗气分。病不能去除，是医生的过错。）加苍术称为虎加苍术汤，治疗湿温脉象沉细的人，沉细脉属于湿，先受暑邪，后受湿邪，暑湿相搏结称为湿温。其症状小腿冷、腹部胀满，头痛身痛多汗，口渴说胡话。李东垣说：活动后伤暑，火热伤气，辛苦劳作的人多得此病，宜用人参白虎汤。静坐休息时伤暑，湿气胜则身体沉重，安逸服药的人多得此病，宜用苍术白虎汤。加桂枝称为桂枝白虎汤，《金匮要略》治疗温疟，只有热没有寒，骨节疼痛，时常呕吐。去掉粳米加入人参，称为化斑汤，治疗胃热发斑且脉虚的人。加柴胡、黄芩、半夏，称为柴胡石膏汤，治疗暑天咳嗽气喘口渴。
(Zhang Zhongjing) Treats Taiyang disease (Taiyang disease) with a floating and slippery pulse, heat on the exterior and cold on the interior. (A floating pulse indicates the pathogen is on the exterior; a slippery pulse indicates it is on the interior. "Cold on the interior" here refers to the etiology of Taiyang disease, which is the root cause of generating internal heat.) Also treats San Yang combined disease (San Yang combined disease). The pulse is floating and large, the abdomen is full and distended, the body feels heavy, turning over is difficult, the mouth is insensitive (unable to taste), the face appears dirty/dull, there is delirium (delirious speech), and urinary incontinence. If sweating therapy is misused, delirium will occur; if purgation therapy is misused, sweat will appear only on the head, the hands and feet will become cold from the extremities inward, and spontaneous sweating will occur. (Abdominal fullness, body heaviness, oral insensitivity, and delirium are signs of Yangming disease (Yangming disease). A dirty/dull face is a sign of Shaoyang disease (Shaoyang disease). Urinary incontinence is a sign of Taiyang disease (Taiyang disease). Among these three syndromes, Yangming predominates, indicating pathogens in both the interior and exterior. Releasing the exterior will exacerbate dry-heat, leading to delirium. Attacking the interior will exhaust Yin Qi at the lower part, causing deficient Yang to float upward and escape, inevitably resulting in forehead sweating and cold extremities. If spontaneous sweating occurs, it indicates intense heat in all three Yang channels; this decoction should be administered to resolve heat in both the interior and exterior.) It is generally used for Yangming disease characterized by a洪大 (Hongda/Great and Surging) and long pulse, aversion to cold being absent but aversion to heat present, headache, spontaneous sweating, thirst, dry tongue coating, eye pain, nasal dryness, inability to sleep, mental restlessness and irritability, tidal fever in the late afternoon (Ribu Chaore), or macules appearing due to Yang toxicity, and various diseases caused by Stomach heat. (Evil heat is flourishing, hence the Hongda pulse. There is no external cold pathogen, hence no aversion to cold but rather aversion to heat. Wind-stroke presents with sweating, while Cold damage presents without sweating. Once transmitted to the Yangming channel, sweating occurs, termed "Heat Venting," so Yangming disease typically involves sweating. Internal heat causes thirst. Since Yangming governs the muscles, muscle heat occurs. The pulse connects to the eyes, causing eye pain. The pulse accompanies the nose; Lung Metal dryness causes nasal dryness. Stomach disharmony leads to restless sleep. Human Yang Qi travels through the Yang aspects twenty-five times during the day. Dawn belongs to Shaoyang, midday to Taiyang, and late afternoon (Ribu) to Yangming. In Cold damage syndromes, late afternoon tidal fever indicates a Stomach excess condition without deficiency. If Stomach heat is not purged, macules will erupt.)
Shi Gao (Gypsum Fibrosum, 石膏) [1 jin] Zhi Mu (Anemarrhenae Rhizoma, 知母) [6 liang] Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) [2 liang] Jing Mi (Oryza Sativa, 粳米) [6 he]. First boil Shi Gao for dozens of boiling cycles. (Its flavor is light and properties are hard to extract.) Then add the remaining herbs.
When Heat/Yin (Re Yin) invades internally, bitter herbs are used to disperse it; thus, Zhi Mu, being bitter and cold, serves as the Sovereign (Jun) herb. Heat damages Qi, so sweet and cold herbs are necessary as assistants; thus, Shi Gao and Gan Cao serve as the Ministers (Chen).
[Text fragment corrupted/illegible: Specifically treats Yang heat hyperactivity. Spleen deficiency induced... Force. Category... Ge Yang (False Yang). Severe cold then... Cold, and evil enters the interior deeply, then deep and illness... Yuan said: Gao said: Disease then administer thirst, contraindicated.]
Add Ren Shen (Panax Ginseng Radix, 人参) 3 liang, named Renshen Baihu Tang (Ginseng White Tiger Decoction). (Zhang Zhongjing) Treats Cold damage where the patient desires to drink water, but there is no exterior syndrome. (Baihu Tang resolves heat; Ren Shen generates fluids.) [Fragment: ...no enuresis or constipation... harmonious... already... also... injury... induce... cold... If the exterior is not resolved, it is entirely a Ma Huang Tang (Ephedra Decoction) or Ge Gen Tang (Kudzu Decoction) syndrome, how can Baihu Tang be used?] It also treats Summerheat (Zhong Shu) affecting the Taiyang channel, with body heat, sweating, aversion to cold, cold feet, a faint pulse, and thirst. (Body heat and aversion to cold indicate the pathogen is on the exterior; cold feet and faint pulse indicate that exterior-releasing therapy is inappropriate.) It also treats Fire Evil injuring the Lung and Stomach, transmitting into Ge Xiao (Diaphragm Consumption). (Yu Jiayan stated: Fei Xiao (Lung Consumption) is treated with Di Huang Wan (Rehmannia Pill) addressing the Blood aspect; Shen Xiao (Kidney Consumption) is treated with Baihu Tang addressing the Qi aspect. If the disease cannot be cured, it is the physician's fault.) Add Cang Zhu (Atractylodis Rhizoma, 苍术), named Hu Jia Cang Zhu Tang (Tiger Plus Atractylodes Decoction), treating Damp-Warmth (Shi Wen) with a sinking and fine pulse. Sinking and fine pulses belong to Dampness. One first contracts Summerheat, then Dampness; the struggle between Summerheat and Dampness is called Damp-Warmth. Symptoms include cold calves, abdominal fullness, headache, body ache, profuse sweating, thirst, and delirium. Li Dongyuan stated: Injury from Summerheat due to movement damages Qi with Fire-Heat; laborers often contract this, and Renshen Baihu Tang is suitable. Injury from Summerheat due to stillness involves Dampness prevailing with body heaviness; sedentary individuals often contract this, and Cang Zhu Baihu Tang is suitable. Add Gui Zhi (Cinnamomi Ramulus, 桂枝), named Guizhi Baihu Tang (Cinnamon Twig White Tiger Decoction), from *Jin Gui Yao Lue*, treating Warm Malaria (Wen Nue) characterized by heat without cold, joint pain, and occasional vomiting. Remove Jing Mi and add Ren Shen, named Hua Ban Tang (Macule Resolving Decoction), treating macules erupted due to Stomach heat in patients with a deficient pulse. Add Chai Hu (Bupleuri Radix, 柴胡), Huang Qin (Scutellariae Radix, 黄芩), and Ban Xia (Pinelliae Rhizoma, 半夏), named Chaihu Shigao Tang (Bupleurum Gypsum Decoction), treating summer cough with asthma/wheezing and thirst.