（为风木之脏。从热化者多。从寒化者少。以木中有火故也。）
何谓厥阴症。伤寒论云。厥阴之为病。消渴。（火盛。）气上撞心。（气逆即火逆）心中
疼
热。
臭。
则
症
相
即
转属厥阴。为病危。厥阴病衰。转属少阳。为欲愈。
一乌梅丸。为厥阴症之总方。吐蛔久利尤隹。一病初起。手足厥冷。脉微欲绝。宜当归
四逆
后必
一脉结（脉缓时一止日结。活人云阴盛则结。）代。（一脏气败。其脉动而中止。不能自
还。
虚
生
按前言表症。而手足厥逆。此言里症。而脉结代。虽为厥阴寒化。终不用姜附大热之品。
以
厥
皆所以下无形之邪也。若以承气下之。利不止矣。
一热利下重者。白头翁汤主之。○下利欲饮水者。热也。白头翁汤主之。
以上治热化之法。
一厥者必发热。热与厥相应。热深厥亦深。热微厥亦微。此四症。是厥阴伤寒之定局。
先热
少而
一乘脾乘肺二症宜辨。一曰伤寒腹满。（经云。诸腹胀大皆属于热。此由肝火也。）谵语
（经
一曰伤寒发热。啬啬恶寒。（肺主皮毛。此症因无头痛项强。知其非太阳病。为肺虚。）
渴欲
此
其
一伤寒阳脉涩。阴脉弦。法当腹中急痛。（此亦肝乘脾也。）先与小建中汤。（平肝以补
脾。）
所
一伤寒厥而心下悸者。宜先治水。当服茯苓甘草汤。却治其厥。不尔。水清入胃。必作
利也
水在
发散
（厥阴肝为风木之脏。病多从热化，从寒化的较少。这是因为木中蕴藏有火气的原因。）
什么是厥阴病？《伤寒论》说：厥阴病的症状是消渴（口渴多饮，因火热炽盛所致），气上撞心（气逆即火逆），心中疼热。如果患者出现呕吐和腹泻的症状，病情就会立即转属为厥阴病，此时病势危重。若厥阴病衰退，病邪转属少阳，则是即将痊愈的征兆。
有一方名为乌梅丸，它是治疗厥阴病的总方。对于吐蛔虫、久泻久痢尤为适宜。还有一种情况，疾病初起时，手足厥冷，脉象微弱几乎摸不到，应当使用当归四逆汤。之后必然……（原文此处似有缺漏或排版错误，结合上下文推测为后续论述）。
脉结（脉搏缓慢且时有间歇称为结脉，《活人书》说阴气盛则脉结）与脉代（某一脏气衰败，脉搏跳动中途停止，不能自行恢复接续，属于虚证生变）。按照前文所说的表证而见手足厥逆，这里说的是里证而见脉结代。虽然这属于厥阴寒化证，但终究不使用姜黄、附子等大热之品。因为……（原文此处逻辑跳跃，意指不可妄用大热药攻下无形之邪）。如果用承气汤类方剂攻下，会导致腹泻不止。
如果是热利且伴有肛门坠胀感（下重），以白头翁汤为主治方。○下利且想喝水的，属于热证，也以白头翁汤主治。以上都是治疗热化证的方法。
凡是厥证必定伴有发热，发热与厥冷的程度相应。热邪越深，厥冷也越深；热邪轻微，厥冷也轻微。这四种情况，是厥阴伤寒的固定格局。先热后……（原文此处似有缺漏）少而……（原文此处似有缺漏）。
需要辨别两种“乘脾”和“乘肺”的病症。第一种叫伤寒腹满（经文说：各种腹胀大都属于热证，此症是由肝火引起），谵语（经文……）。第二种叫伤寒发热，啬啬恶寒（肺主皮毛，此症因为没有头痛项强，可知不是太阳病，而是肺气虚）。渴欲……（原文此处似有缺漏）此……其……
第三种情况：伤寒阳脉涩，阴脉弦，法度上应当腹中急痛（这也是肝木乘脾土的表现）。先给予小建中汤（平抑肝木以补益脾土）。
第四种情况：伤寒出现厥冷且心下悸动，应当先治疗水饮，服用茯苓甘草汤，然后再治疗厥冷。如果不这样处理，水饮进入胃中，必然导致腹泻。水在……发散（原文此处语句未完，意指水饮需通过发散等方法治疗）。
(Liver, the Zang organ of Wind and Wood, is prone to transformation into Heat in pathology, while transformation into Cold is less common. This is because Fire is inherent within Wood.)
What constitutes Jueyin disease? The *Shanghan Lun* (Treatise on Cold Damage) states: The manifestations of Jueyin disease include Xiao Ke (excessive thirst due to hyperactive fire), Qi rising to strike the heart (Qi rebellion implies Fire rebellion), and pain with heat sensation in the chest/epigastrium. If vomiting and diarrhea occur, the condition immediately shifts to Jueyin, indicating a critical state. When Jueyin disease wanes and the pathogen shifts to Shaoyang, it indicates impending recovery.
Wumei Wan (Mume Pill) is the general formula for treating Jueyin syndrome, particularly effective for cases involving vomiting of roundworms and chronic dysentery. In another scenario, where the disease begins with cold extremities and a faint pulse nearly imperceptible, Danggui Sini Tang (Angelica Sinensis Decoction for Extremity Cold) should be used. Subsequently... [Text appears fragmented here].
Jie pulse (a slow pulse with intermittent pauses; *Huoren Shu* states that excess Yin causes Jie pulse) and Dai pulse (indicating failure of a Zang organ's Qi, where the pulse stops mid-beat and cannot resume spontaneously, signifying deficiency). According to previous discussions on exterior syndromes presenting with cold extremities, this passage refers to interior syndromes presenting with Jie or Dai pulses. Although this belongs to the cold-transformation type of Jueyin, large hot herbs like Ganjiang (Dried Ginger) and Fuzi (Prepared Aconite Root) are ultimately not used. Because... [Logical jump in source text, implying one should not attack formless pathogens with harsh purgatives]. If Chengqi Tang formulas are used to purge, diarrhea will persist.
For hot dysentery accompanied by tenesmus (heaviness in the lower rectum), Baitouweng Tang (Pulsatilla Decoction) is the primary treatment. ○ For dysentery accompanied by desire to drink water, it indicates Heat, and Baitouweng Tang is also indicated. These above are methods for treating heat-transformation syndromes.
Any Jue syndrome must be accompanied by fever; the degree of fever corresponds to the degree of cold extremities. The deeper the heat, the deeper the cold extremities; the slighter the heat, the slighter the cold extremities. These four patterns constitute the fixed framework of Jueyin cold damage. First heat... [Text fragmented] ...few and... [Text fragmented].
Two conditions involving "overacting on Spleen" and "overacting on Lung" require differentiation. One is cold damage with abdominal fullness (The Classic states: all types of abdominal distension belong to Heat; this case arises from Liver Fire), accompanied by delirious speech (The Classic...). The other is cold damage with fever and aversion to cold (Lung governs skin and hair; since there is no headache or stiffness of the neck, it is known not to be a Taiyang disease but rather Lung deficiency). Desire for thirst... [Text fragmented] ...this... its...
Another case: In cold damage, if the Yang pulse is choppy (Se) and the Yin pulse is wiry (Xian), the law dictates abdominal acute pain (this is also Liver overacting on Spleen). Initially administer Xiaojianzhong Tang (Minor Construct the Middle Decoction) to soothe the Liver and tonify the Spleen.
Another case: In cold damage, if there is Jue (cold extremities) accompanied by palpitations in the epigastrium, one should first treat the Water retention by administering Fuling Gancao Jiangtang (Poria, Licorice, and Ginger Decoction), and only then treat the Jue. Otherwise, water entering the stomach will inevitably cause diarrhea. Water in... dispersing [Sentence incomplete in source, implying water requires dispersal methods].