（主里。外候肌肉。内候胃中。）
何谓阳明经症。曰身热目痛。鼻干不得眠。反恶热是也。有未罢太阳已罢太阳之辨。
若兼见头痛恶寒是太阳症未罢。自汗脉缓。宜桂枝汤。项背KT KT 者。桂枝加葛根
汤主之。无
若无头痛恶寒但见壮热口渴。是已罢太阳。为阳明经之本症。宜白虎汤主之。
何谓阳明腑症。曰潮热谵语。手足腋下 然汗出。腹满大便硬是也。有太阳阳明。少阳
阳明
本太阳症。治之失法。亡其津液。致太阳之热。乘胃燥而转属阳明。其症小便数。大便
硬。
本少阳病。治之失法。亡其津液。致少阳之邪。乘胃燥而转属阳明。为大便结燥。伤寒
论谓
遂
归于
愚按阳明在经。未离太阳宜汗之。既离太阳。宜清之。在腑。审其轻重下之。若在经腑
之界
口干口
是开
出于
以为
（主半表半里）
何谓少阳经症。曰口苦咽干目眩是也。有虚火实火之辨。
寒热往来于外。胸胁苦满默默不欲食。心烦喜呕。为虚火症。宜小柴胡汤。
寒热往来于外。心中痞硬。郁郁微烦。呕不止。为实火症。宜大柴胡汤。
何谓少阳腑症。曰少阳主寒热属于半表则为经。属于半里则为腑。其症虽无寒热往来于
外。
因呕而痞不痛者。半夏泻心汤。胸中有热而欲呕胃中有邪气而腹中痛。宜黄连汤。邪已
入里。
则胆火下攻于脾而自利。宜黄芩汤。胆火上逆于胃而为呕。宜黄芩加半夏生姜汤。以上四方。
寒热攻补并用。仍不离少阳和解法。
什么是阳明经证？回答是：身体发热、眼睛疼痛、鼻子干燥、无法安睡，反而怕热，这就是阳明经证。这里需要辨别太阳病是否已解除。如果同时伴有头痛、恶寒，说明太阳表证尚未解除，出现自汗、脉象缓弱，适宜用桂枝汤治疗；如果出现项背部拘急不舒，适宜用桂枝加葛根汤主治。如果没有头痛、恶寒，只见到高热、口渴，说明太阳表证已经解除，这是阳明经的本证，适宜用白虎汤主治。
什么是阳明腑证？回答是：潮热、说胡话（谵语）、手足及腋下持续出汗、腹部胀满、大便干硬，这就是阳明腑证。这里有“太阳阳明”和“少阳阳明”的区别。原本是太阳病，治疗不当，导致津液耗伤，致使太阳的热邪趁着胃中燥热而转入阳明，症状表现为小便频数、大便干硬。原本是少阳病，治疗不当，导致津液耗伤，致使少阳的邪气趁着胃中燥热而转入阳明，表现为大便结燥难解。《伤寒论》中说……（原文此处有缺漏）……愚认为，阳明病在经阶段，尚未脱离太阳表证范围时，适宜用发汗法；既然脱离了太阳，就适宜用清热法；在腑阶段，要审察病情的轻重来决定使用下法。如果在经与腑的交界……（原文此处有缺漏）……口干口……（原文此处有缺漏）……是开……（原文此处有缺漏）……出于……（原文此处有缺漏）……以为……（原文此处有缺漏）
什么是少阳经证？回答是：口苦、咽干、目眩，这就是少阳经证。这里需要辨别是虚火还是实火。
在外表现为寒热往来，胸胁部苦于胀满，神情沉默不欲饮食，心烦喜呕，这是虚火证，适宜用小柴胡汤治疗。
在外表现为寒热往来，心中痞塞坚硬，情绪抑郁且轻微烦躁，呕吐不止，这是实火证，适宜用大柴胡汤治疗。
什么是少阳腑证？回答是：少阳主寒热，属于半表则为经证，属于半里则为腑证。其症状虽然在外没有寒热往来，但因为呕吐而导致痞塞但不痛，适宜用半夏泻心汤；胸中有热想要呕吐，胃中有邪气导致腹中疼痛，适宜用黄连汤；邪气已经入里，胆火向下攻伐脾脏导致自发性腹泻，适宜用黄芩汤；胆火向上逆犯胃脏导致呕吐，适宜用黄芩加半夏生姜汤。以上四个方剂，寒热攻补并用，仍然不离少阳和解的方法。
(Primary interior syndrome. External manifestations are on the muscles; internal examination focuses on the Stomach.)
What is referred to as Yangming Meridian Syndrome? It is characterized by fever, eye pain, dry nose, insomnia, and aversion to heat. Differentiation is required to determine if the Taiyang syndrome has not yet resolved or has resolved. If accompanied by headache and aversion to cold, it indicates that the Taiyang syndrome has not resolved; with spontaneous sweating and a moderate pulse, Guizhi Tang (Cinnamon Twig Decoction) is indicated. For stiffness in the nape and back, Guizhi Jia Gegen Tang (Cinnamon Twig Decoction plus Kudzu Root Decoction) is the primary treatment. If there is no headache or aversion to cold, but only high fever and thirst, it indicates that the Taiyang syndrome has resolved; this is the fundamental syndrome of the Yangming Meridian, and Baihu Tang (White Tiger Decoction) is indicated.
What is referred to as Yangming Fu-organ Syndrome? It is characterized by tidal fever, delirium, continuous sweating on the hands, feet, and axillae, abdominal fullness, and hard stool. There is a distinction between "Taiyang-Yangming" and "Shaoyang-Yangming." Originally a Taiyang syndrome, improper treatment leads to the loss of body fluids, causing the heat of Taiyang to transfer to Yangming due to stomach dryness; symptoms include frequent urination and hard stool. Originally a Shaoyang syndrome, improper treatment leads to fluid loss, causing Shaoyang pathogens to transfer to Yangming due to stomach dryness, resulting in constipation and dry stool. The *Shanghan Lun* (Treatise on Cold Damage) states... [Text missing] ... I opine that when Yangming is in the meridian stage and has not yet separated from Taiyang, diaphoresis (sweating method) is appropriate. Once separated from Taiyang, clearing heat is appropriate. In the fu-organ stage, one must assess severity to apply purgation. If at the boundary between meridian and fu-organ... [Text missing] ... dry mouth... [Text missing] ... is open... [Text missing] ... comes from... [Text missing] ... consider... [Text missing]
(Primary half-exterior half-interior syndrome)
What is referred to as Shaoyang Meridian Syndrome? It is characterized by bitter taste in the mouth, dry throat, and vertigo/dizziness. Differentiation is required between deficient fire and excess fire.
Externally presenting with alternating chills and fever, chest and hypochondriac fullness/discomfort, silent desire not to eat, irritability, and frequent vomiting, this is a deficient fire syndrome, and Xiaochaihu Tang (Minor Bupleurum Decoction) is indicated.
Externally presenting with alternating chills and fever, epigastric痞感 (stagnant hardness), mild depression and vexation, and incessant vomiting, this is an excess fire syndrome, and Daxiaochaihu Tang (Major Bupleurum Decoction) is indicated.
What is referred to as Shaoyang Fu-organ Syndrome? Shaoyang governs chills and fever; pertaining to the half-exterior makes it a meridian syndrome, and pertaining to the half-interior makes it a fu-organ syndrome. Although there may be no external alternating chills and fever, if vomiting leads to stagnation without pain, Banxia Xiexin Tang (Pinellia Decoction for Draining the Epigastrium) is indicated. If there is heat in the chest leading to vomiting, and pathogens in the stomach causing abdominal pain, Huanglian Tang (Coptis Decoction) is indicated. If pathogens have entered the interior, and Gallbladder fire attacks the Spleen downward causing spontaneous diarrhea, Huangqin Tang (Scutellaria Decoction) is indicated. If Gallbladder fire rebels upward against the Stomach causing vomiting, Huangqin Jia Banxia Shengjiang Tang (Scutellaria Decoction plus Pinellia and Fresh Ginger Decoction) is indicated. The above four formulas combine cold and hot, attacking and tonifying methods, still adhering to the Shaoyang harmonizing method.