干己 内外虽分汗下余。阳虚阴胜总无殊。因而厥冷无津液。四逆回阳病可除。
干庚 胸中实结满而烦。厥冷虽饥不可餐。脉乍紧时邪内陷。须当瓜蒂吐之安。
干辛 厥而心悸水犹停。入胃还教下利并。欲治厥时先治水。茯苓甘草剂偏灵。
干壬 咽喉不利吐脓血。寸脉沉迟手足寒。麻黄升麻汤主治。里虚便泄治尤难。
干癸 伤寒本自寒下者。复因吐下更增寒。寒格之时食即吐。芩连姜参等分煎。
坤甲 下利清谷内有寒。身热不解外增烦。汗出而厥阳虚甚。通脉四逆汤可餐。
坤乙 利无津液热伤气。气虚后重转难通。坚肾浓肠难散热。苦寒主治白头翁。
坤丙 下利腹满身疼痛。里有寒邪表未通。四逆汤煎利可止。身疼更与桂枝攻。
坤丁 下利而渴欲饮浆。有热在内要参详。白头翁汤服之愈。散郁凉中作主张。
坤戊 下利还将谵语并。就中燥粪辨分明。此为胃实肠虚证。良剂之中选小承。
坤己 下利之后却更烦。按而心下亦非坚。乘虚客热胸中满。栀子豉汤吐即安。
坤庚 呕而脉弱邪传里。里若虚时小便多。身热微微还见厥。急煎四逆救沉 。
坤辛 干呕之时吐沫涎。更兼头痛上攻煎。散寒温里茱萸剂。治得其方亦可痊。
干己：虽然表里不同，但汗法与下法之外的情况总体没有太大差异。如果是阳虚阴盛导致的四肢厥冷且无津液，使用四逆汤回阳救逆，疾病即可消除。
干庚：胸中实邪结聚，感到胀满且烦躁。虽然四肢厥冷且感到饥饿，但不能进食。如果脉象突然变紧，说明邪气内陷，应当用瓜蒂散催吐以安顿病情。
干辛：出现厥逆并伴随心悸，体内仍有水饮停留。水饮入胃还会导致腹泻。想要治疗厥逆，必须先治疗水饮，茯苓甘草汤对此尤为灵验。
干壬：咽喉不利，吐出脓血，寸脉沉迟，手足寒冷。主治方剂为麻黄升麻汤。若伴有里虚和便泄，治疗尤为困难。
干癸：伤寒原本就有寒性下利，又因误用吐法或下法而加重了寒象。在寒格（寒热格拒）之时，进食即呕吐，需用黄芩、黄连、干姜、人参等分煎煮服用。
坤甲：下利排出未消化的食物，说明体内有寒。身体发热不退，外部增加烦躁感。出汗且四肢厥冷，表明阳虚严重，可用通脉四逆汤治疗。
坤乙：下利导致津液亏损，热邪损伤正气。气虚导致肛门坠胀感重，排便困难。此时难以通过温补肾阳、固涩肠道来散热，应用苦寒性质的白头翁汤主治。
坤丙：下利且腹部胀满，身体疼痛。这是里有寒邪，表证未解。煎服四逆汤可使下利停止，身体疼痛则需配合桂枝汤攻解表邪。
坤丁：下利且口渴想喝浆水，说明内有热邪，需要仔细辨别。服用白头翁汤可愈，其作用在于疏散郁热，清凉中焦。
坤戊：下利同时伴有谵语（胡言乱语）。其中需仔细分辨是否有燥屎。这属于胃实肠虚的证候，在良剂中选择小承气汤。
坤己：下利之后反而更加烦躁，按压心下部也不坚硬。这是乘虚而入的热邪导致胸中满闷，服用栀子豉汤催吐即可安宁。
Gan Ji: Although the exterior and interior are distinct, beyond sweating and purging methods, there is generally little difference. If cold limbs occur due to Yang deficiency and Yin excess, accompanied by a lack of fluids, Sini Decoction (Four Reversal Decoction) can restore Yang and eliminate the disease.
Gan Geng: Solid pathogenic factors are knotted in the chest, causing fullness and irritability. Despite cold limbs and hunger, food cannot be consumed. When the pulse suddenly becomes tight, it indicates the internal entrapment of pathogens; one must use Citrulli Fructus (Melon Seed) decoction to induce vomiting for relief.
Gan Xin: Cold limbs occur with palpitations, yet water retention remains. Once water enters the stomach, it leads to diarrhea. To treat cold limbs, one must first address the water retention; Lingcao Ganjiang Tang (Poria, Licorice, and Ginger Decoction) is particularly effective.
Gan Ren: The throat is obstructed, pus and blood are expectorated, the Cun position pulse is deep and slow, and hands and feet are cold. Mahuang Shengma Tang (Ephedra and Decumbent Corydalis Decoction) is the primary treatment. If there is interior deficiency with loose stools, treatment is especially difficult.
Gan Gui: Typhoid fever originally involving cold-type diarrhea, worsened by subsequent emesis or purging, increases the cold condition. During cold-gridlock (cold-heat rejection), eating induces vomiting; Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Zingiberis Rhizoma (Ganjiang), and Ginseng Radix et Rhizoma (Renshen) should be decocted in equal parts.
Kun Jia: Diarrhea with undigested food indicates interior cold. Fever persists externally, adding to irritability. Sweating combined with cold limbs indicates severe Yang deficiency; Tongmai Sini Tang (Pulse-Recovering Four Reversal Decoction) may be administered.
Kun Yi: Diarrhea depletes fluids, and heat damages Qi. Qi deficiency causes tenesmus and difficulty in defecation. It is difficult to dissipate heat by tonifying Kidney and thickening the intestines; bitter-cold herbs like Paeoniae Radix Rubra (Baitouweng) are indicated as the main treatment.
Kun Bing: Diarrhea with abdominal fullness and body pain. Interior cold pathogens exist while the exterior is not yet resolved. Sini Decoction (Four Reversal Decoction) can stop diarrhea; Guizhi Tang (Cinnamon Twig Decoction) should be added to address body aches.
Kun Ding: Diarrhea accompanied by thirst for drinking liquids indicates internal heat, which requires careful analysis. Baitouweng Tang (Paeonia Root Red Decoction) cures this by dispersing depression and cooling the middle jiao.
Kun Wu: Diarrhea is accompanied by delirium. One must clearly distinguish the presence of dry feces. This is a syndrome of Stomach excess and Intestine deficiency; Xiaochengqi Tang (Minor Order the Qi Decoction) should be selected among effective formulas.
Kun Ji: After diarrhea, irritability increases. Pressing the epigastrium reveals no hardness. This is fullness in the chest caused by heat invading due to deficiency; Zhizi Chidao Tang (Gardenia and Fermented Soybean Decoction) induces vomiting for relief.
Kun Geng: Vomiting with a weak pulse indicates pathogen transmission to the interior. If the interior is deficient, urination is frequent. Slight fever with cold limbs requires urgent administration of Sini Decoction (Four Reversal Decoction) to rescue sinking Yang.
Kun Xin: Dry retching with expulsion of saliva and phlegm, accompanied by headache radiating upward. Sanhan Wenli Zhuyu Tang (Dispel Cold and Warm Interior Evodia Decoction) dispels cold and warms the interior; if the prescription is correct, recovery is possible.