问曰：恶寒何故自罢?答曰：阳明居中，主土也，万物所归，无所复传，始虽恶寒，二日自止，此为阳明病也。
伤寒，脉浮而缓，手足自温者，是为系在太阴；太阴者，身当发黄，若小便自利者，不能发黄；至七八日，大便鞕者，为阳明病也。
阳明中风，口苦，咽干，腹满，微喘，发热，恶风，脉浮而缓，若下之，则腹满，小便难也。
阳明病，若中寒者，不能食，小便不利，手足濈然汗出，此欲作固瘕，必大便初鞕后溏。所以然者，以胃中冷，水谷不别故也。
阳明病，初欲食，小便不利，犬便自调，其人骨节疼，翕翕然如有热状，奄然发狂，濈然汗出而解者，此水不胜谷气，与汗共并，脉小则愈。
阳明病，欲解时，从申至戌上。
阳明病，不能食，攻其热必哕，所以然者，其人本虚，胃中冷故也。
阳明病，脉迟，食难用饱，饱则微烦，头眩，必小便难，此欲作谷疸，虽下之，腹满如故。所以然者，脉迟故也。
阳明病，反无汗，而小便利，二三日呕而咳，手足厥者，必苦头痛；若不咳，不呕，手足不厥者，头不痛。
阳明病，但头眩，不恶寒，故能食；若咳者，其人必咽痛；不咳者，咽不痛。
阳明病，本自汗出，医更重发汗，病已差，尚微烦不了了者，此必大便鞕故也。以亡津液，胃中干燥，故令大便鞕。当问其小便日几行，若本小便日三四行，今日再行，则知大便不久必出。所以然者，以小便数少，津液当还入胃中，故知不久必大便也。
阳明证，心下鞕满者，不可攻之，攻之，利遂不止者死，利止者愈。
阳明证，眼合色赤，不可攻之，攻之必发热，色黄者，小便不利也。
右三味，以水三升，煮二物至一升，去滓，纳芒硝，更上微火一二沸，温顿服之。
阳明病，脉实，虽汗出，而不恶热者，其身必重，短气，腹满而喘，有潮热者，此外欲解可攻里也，手足濈然汗出者，此大便已鞕也，大承气汤主之；若汗多，微发热恶寒者，外未解也，其热不潮者，未可与承气汤；若腹大满不通者，可与小承气汤，微和胃气，勿令大泄下。
大承气汤方
右四昧，以水一斗，先煮二物，取五升，去滓，纳大黄，更煮取二升，去滓，纳芒硝，更上微火一两沸，分温再服，得下余勿服。
小承气汤方
大黄四两(酒洗)厚朴二两(炙去皮)枳实三枚(炙)
右三味，以水四升，煮取一升二合，去滓分温再服，初服更衣者，停后服，不尔者，尽饮之。
阳明病潮热，大便微鞕者，可以大承气汤；不鞕者不可与之。若不大便六七日，恐有燥屎，欲知之法，少与小承气汤；汤入腹中，转失气者，此有燥屎也，乃可攻之；若不转失气者，此但初头鞕，后必溏，不可攻之，攻之必胀满，不能食也，欲饮水者，与水则哕；其后发热者，必大便复鞕而少也，以小承气汤和之；不转失气者，慎不可攻也。(方见前)
阳明病，实则（言严）语，虚则郑声，郑声者重语也，直视，俨浯，喘满者，死；下利者，亦死。
阳明病，发汗多，若重发汗，以亡其阳，（言严）语，脉短者，死；脉自和者，不死。
伤寒，若吐，若下后，不解，不大便五六日，上至十余日，日晡所发潮热，不恶寒，独语如见鬼状；若剧者，发则不识人，循衣摸床，惕而不安，微喘，直视；脉弦者生，涩者死；微者，但发热，（言严）语者，大承气汤主之。(方见前)
阳明病，其人多汗，以津夜外出，胃中燥，大便必鞕，鞕则讝（zhán说梦话）语，小承气汤主之。(方见前)
阳明病，（言严）语，发热潮，脉滑而疾者，小承气汤主之。(方见前)
阳明病，服承气汤后，不转失气，明日又不大便，脉反微涩者，里虚也，为难治，不可更与承气汤也。
阳明病，（言严）语，有潮热，反不能食者，胃中必有燥屎五六枚也，若能食者，但鞕尔，宜大承气汤下之。(方见前)
阳明病，下血，（言严）语者，此为热入血室，但头汗出者，刺期门，随其实而泻之，濈然汗出则愈。
阳明病，汗出，（言严）语者，以有燥屎在胃中，此为实也，须过经乃可下之；下之若早，语言必乱，以表虚里实故也，下之宜大承气汤。(方见前)
伤寒四五日，脉沉而喘满，沉为在里，而反发其汗，津液越出，大便为难，表虚里实，久则（言严）语。
三阳合病，腹满，身重，难以转侧，口不仁面垢，若发汗则讝语，遗尿，下之，则手足逆冷，额上出汗，若自汗者，宜白虎汤。自利者，宜葛根黄连黄芩甘草汤。
白虎汤方
右四味，以水一斗，煮米熟，汤成去滓，温服一升，日三服。
右四味，以水八升，先煮葛根减二升，纳诸药，煮取二升，去滓，分温再服。
二阳并病，太阳证罢，但发潮热，手足絷絷汗出，大便难而讝语者，下之则愈，宜大承气汤。(方见前)
阳明病，脉浮而大，咽燥口苦，腹满而喘，发热汗出，不恶寒，反恶热，身重；若发汗，则躁，心愦愦反（言严）语；若加温针，必怵惕，烦躁，不得眠；若下之，则胃中空虚，客气动膈，心中懊憹（忄农），舌上苔者，栀子豉汤主之。
栀子豉汤方
右二味，以水四升，先煮栀子取二升半，去滓，纳香豉，更煮，取一升半，去滓，分二服，温进一服，得快吐者止后服。
右五味，以水一斗，煮米熟，汤成去滓，温服一升，日三服。
猪苓汤方
右五味，以水四升，先煮四味，取二升，去滓，纳阿胶烊消，温服七合，日三服。
阳明病，汗出多而渴者，不可与猪苓汤，以汗多胃中燥，猪苓汤复利其小便故也。
四逆汤方
右四味，以水三升，煮取一升二合，去滓，分温二服。
阳明病，下之，其外有热，手足温，不结胸，心中懊（忄农），饥不能食，但头汗出者，栀子豉汤主之。(方见前)
阳明病，发潮热，大便溏，小便自可，胸胁满不去者，与小柴胡汤。
小柴胡汤方
柴胡半斤黄芩三两人参三两半夏半升甘草二两(炙)生姜三两(切)大枣十二枚(劈)
右七味，以水一斗二升，煮取六升，去滓，再煎取三升，温服一升，日三服。
阳明病，胁下鞕满，不大便而呕，舌上白苔者，可与小柴胡汤，上焦得通，津液得下，胃气因和，身濈然汗出而解也。(方见上)
阳明中风，脉弦浮大，而短气，腹都满，胁下及心痛，久按之气不通，鼻干不得涕，嗜卧，一身及目悉黄，小便难，有潮热，时时哕，耳前后肿，刺之小差，外不解，病过十日，脉续浮者，与小柴胡汤；脉但浮，无余证者，与麻黄汤；若不尿，腹满加哕者，不治。(小柴胡汤见上)
麻黄汤方
麻黄三两(去节)桂枝二两(去皮)甘草一两(炙)杏仁七十个(去皮尖)
右四味，以水九升，煮麻黄，减二升，去上沫，纳诸药，煮取二升半，去滓，温服八合，覆取微似汗，不须啜粥，余如桂枝汤法将息。
白蜜煎方
右四味，以水一斗，先煎三味，取五升，去滓，纳蜜，再煎一二沸，每服一升，日三夜二。
阳明病，自汗出，若发汗，小便自利者，此为津液内竭，便虽鞕不可攻之，当须自欲大便，宜蜜煎导而通之，若王瓜根，及大猪胆汁，皆可为导。
蜜煎导方
食蜜七合
右一味，纳铜器中，微火煎之，稍凝如饴状，搅之勿令焦著，可丸时，并手捻作挺，令头锐，大如指，长二寸许，当热时急作，冷则鞕，纳谷道中，以手紧抱，欲大便时乃去之。
大猪胆一枚
右一味，泄汁，和醋少许，灌谷道中，如一食顷，当大便出宿食甚多。
阳明病，脉迟，汗出多，微恶寒者，表未解也，可发汗，宜桂枝汤。
桂枝汤方
桂枝三两(去皮)芍药三两生姜三两甘草二两(炙)大枣十二枚(劈)
右五昧，以水七升，煮取三升，去滓，温服一升，须臾啜热粥一升，以取药力，覆取微似汗。
阳明病，发热汗出者，此为热越，不能发黄也，但头汗出，身无汗，剂颈而还，小便不利，渴引水浆者，此为瘀热在里，身必发黄，茵陈蒿汤主之。
茵陈蒿汤方
右三味，以水一斗二升，先煮茵陈，减六升，纳二味，煮取三升，去滓，分温三服，小便当利，尿如皂荚汁状，色正赤，一宿病减，黄从小便去也。
阳明病，其人善忘者，必有蓄血，所以然者，本有久瘀血，故令善忘，屎虽鞕，大便反易，其色必黑，宜抵当汤下之。
抵当汤方
水蛭三十个虻虫三十个(去翅足)大黄三两(酒洗)桃仁二十个(去皮尖)
右四味，以水五升，煮取三升，去滓，温服一升，不下更服。
阳明病，下之，心中懊（忄农）而烦，胃中有燥屎者，可攻；腹微满，大便初鞕后溏者，不可攻之，若有燥屎者宜大承气汤。(方见前)
病人不大便五六日，绕脐痛，烦躁，发作有时者，此有燥屎，故使不大便也。
病人烦热，汗出则解，又如疟状，丑晡所发热者，属阳明也；脉实者，宜下之；脉浮大者，宜发汗。下之与大承气汤；发汗宜桂枝汤。(方见前)
大下后，六七日不大便，烦不解，腹满痛者，此有燥屎也，所以然者，本有宿食故也，宜大承气汤。(方见前)
病人小便不和，大便乍难乍易，时有微热，喘息不能卧者，有燥屎也，宜大承气汤。(方见前)
食谷欲呕者，属阳明也，吴茱萸汤主之。得汤反剧者，属上焦也，小半夏汤主之。
吴茱萸汤方
右四味，以水七升，煮取二升，去滓，温服七合，日三服。
小半夏汤方
右二味，以水七升，煮取一升半，去滓，分温再服。
太阳病，寸缓，关浮，尺弱，其人发热汗出，复恶寒，不呕，但心下痞者，此以医下之。如其未下，病人不恶寒而渴者，此转属阳明也。小便数者，大便必鞕，不更衣十日，无所苦也，渴欲饮水者，少少与之，以法救之。渴而饮水多小便不利者，宜五苓散。
五苓散方
右五味为散，白饮和服方寸匙，日三服，发黄者，加茵陈蒿十分。
脉阳微而汗出少者，为自和；汗出多者，为太过；阳脉实，因发其汗，出多者，亦为太过，太过者，为阳绝于里，亡津液，大便因鞕也。
趺阳脉浮而涩，浮则胃气强，涩则小便数，浮数相搏，大便则鞕，其脾为约，麻子仁丸主之。
麻子仁丸方
麻子仁二升芍药半斤枳实半斤(炙)大黄一斤(去皮)厚朴一只(炙)杏仁一升(去皮尖)
右六味，蜜为丸，如梧桐子大，饮服十丸，日三服，渐加，
以知为度。
问：恶寒为什么会自动消失？答：阳明经位于中焦，五行属土，是万物归聚之所，病邪进入后不再传变他经。起初虽然有恶寒症状，但到第二天就会自动停止，这就是阳明病。
原本患有太阳病，在刚发病时使用了发汗法治疗，但汗出得不透彻，因此病邪转属到阳明经。
患伤寒病出现发热、无汗、呕吐且不能进食，反而持续不断地出汗的，这是病邪转属阳明的表现。
患伤寒病三天后，如果脉象变大，说明病邪没有传变（仍停留在原处或已入里化热但未传少阳等）。
患伤寒病，脉象浮而缓，手脚自然温暖的，这是病邪关联太阴经；太阴病通常会出现身体发黄，但如果小便通畅自利，就不会发黄；到了七八天，如果大便变硬，就转为阳明病了。
阳明中风，出现口苦、咽干、腹部胀满、轻微气喘、发热、怕风、脉象浮而缓的症状，如果使用泻下法，会导致腹部胀满加重、小便困难。
阳明病中，如果能吃东西，称为“中风”；如果不能吃东西，称为“中寒”。
阳明病中，如果是中寒证，表现为不能进食、小便不利、手脚持续出汗，这想要形成“固瘕”（一种慢性积聚病），必定是大便开头硬后面稀溏。之所以这样，是因为胃中寒冷，水谷无法分离消化的缘故。
阳明病初期想进食，小便不利，大便正常，病人骨节疼痛，像有发热感的样子，突然发狂，随后持续出汗而病愈的，这是因为水气不胜谷气，随着汗液排出体外，脉象变小则是痊愈的表现。
阳明病缓解的时间，从申时到戌时（下午3点到晚上7点）。
阳明病中，不能进食的，如果攻伐其热邪一定会导致呃逆，之所以这样，是因为病人本身正气虚弱，胃中寒冷的缘故。
阳明病，脉象迟缓，吃饭难以吃饱，吃饱了就轻微心烦、头晕目眩，必定小便困难，这想要形成“谷疸”，即使使用泻下法，腹部胀满也不会消除。之所以这样，是因为脉迟（主寒）的缘故。
阳明病，按照常理应该多汗，反而无汗，身体感觉像虫子在皮肤里爬行一样的，这是因为久病体虚的缘故。
阳明病，反而无汗，但小便通利，过了两三天出现呕吐和咳嗽，手脚冰冷的，必定会头痛剧烈；如果不咳嗽、不呕吐、手脚不冰冷，头就不痛。
阳明病，只有头晕目眩，不怕冷，所以能进食；如果咳嗽，病人必定咽喉痛；不咳嗽，咽喉就不痛。
阳明病，被火疗法治疗后，额头微微出汗，但小便不通利的，必定发黄。
阳明病，脉象浮大的，必定有潮热，发作有定时，如果脉只浮而不大，必定自汗出。
阳明病，口干燥，只想含水漱口，不想吞咽的，这必定会发生鼻衄（流鼻血）。
阳明病，本来就有自汗出的症状，医生又再次强力发汗，病虽然好了，但还有轻微心烦不适的情况，这必定是大便硬的缘故。因为津液耗损，胃中干燥，所以导致大便硬。应当询问病人每天小便几次，如果原来每天小便三四次，今天只小便两次，就知道大便不久就会排出。之所以这样，是因为小便次数减少，津液应当回流到胃中，所以知道不久大便就会排出。
阳明病证，心下部硬满的，不可使用攻下法，如果攻下，腹泻不止的会死亡，腹泻停止的会痊愈。
阳明病证，眼睛闭合且面色发红（原文“眼合色赤”疑为误植或特定体征，此处直译），不可使用攻下法，如果攻下必定发热，面色黄的，是小便不利的表现。
阳明病，没有经过催吐或泻下，却出现心烦的，可以给予调胃承气汤。
以上三味药，用水三升，煮前两种药至一升，去渣，加入芒硝，再放在小火上煮一二沸，温服一次顿服。
阳明病，脉象实，虽然有汗出，但不怕热的，身体必定沉重，气短，腹部胀满且喘，有潮热的，这是表证已解可以攻里的标志，手脚持续出汗的，说明大便已经硬结，用大承气汤主治；如果汗多，轻微发热恶寒的，说明表证未解，热势不是潮热的，不可给予承气汤；如果腹部显著胀满不通的，可以给予小承气汤，轻微调和胃气，不要让它剧烈泻下。
大承气汤方
大黄四两（酒洗） 厚朴半斤（炙去皮） 枳实五枚（炙） 芒硝三合
以上四味药，用水一斗，先煮厚朴和枳实，取五升药液，去渣，加入大黄，再煮取二升药液，去渣，加入芒硝，再在小火上煮一二沸，分两次温服，如果大便通了，剩下的药不要喝。
小承气汤方
大黄四两（酒洗） 厚朴二两（炙去皮） 枳实三枚（炙）
以上三味药，用水四升，煮取一升二合药液，去渣，分两次温服，第一次服药后大便通畅的，停服第二次，否则，将药全部喝完。
阳明病有潮热，大便轻微发硬的，可以用大承气汤；如果不硬则不可使用。如果六七天不大便，担心有燥屎，想知道是否有燥屎的方法，是少量给予小承气汤；汤药进入腹中，如果放屁的，说明有燥屎，才可以攻下；如果不放屁的，这只是大便开头硬，后面一定稀溏，不可攻下，如果攻下必定腹胀满，不能进食，想喝水的，给水就会呃逆；之后发热的，必定大便再次变硬且量少，用小承气汤调和；不放屁的，千万不可攻下。（方剂见前文）
阳明病，实证表现为谵语（胡言乱语），虚证表现为郑声（语言重复低微），郑声就是重复说话，如果伴有两眼直视、言语不清、气喘胸满的，会死亡；如果伴有腹泻的，也会死亡。
阳明病，发汗过多，或者再次发汗，导致阳气亡失，出现谵语，脉象短的，会死亡；脉象平和的，不会死亡。
伤寒病，如果用吐法或下法后，病仍未解除，五六天甚至十多天不大便，傍晚时分出现潮热，不怕冷，独自说话好像看见鬼怪一样；如果病情严重的，发作时不认识人，抓摸衣被床沿，惊恐不安，轻微气喘，两眼直视；脉象弦的能生，脉象涩的会死；病情轻微的，只是发热、谵语的，用大承气汤主治。（方剂见前文）
阳明病，病人多汗，导致津液外泄，胃中干燥，大便必定硬结，硬结则出现谵语，用小承气汤主治。（方剂见前文）
阳明病，谵语，发热如潮，脉象滑而快的，用小承气汤主治。（方剂见前文）
阳明病，服用承气汤后，不放屁，第二天又不大便，脉象反而微弱涩滞的，这是里虚，属于难治之症，不可再给予承气汤。
阳明病，谵语，有潮热，反而不能进食的，胃中一定有五六枚燥屎，如果能进食的，只是大便硬罢了，适宜用大承气汤攻下。（方剂见前文）
阳明病，便血，谵语的，这是热邪陷入血室，只有头部出汗的，针刺期门穴，根据其实证情况泻之，持续出汗就会痊愈。
阳明病，出汗，谵语的，因为胃中有燥屎，这是实证，必须等待经过一经（病程进展）才可以攻下；如果攻下过早，语言必定错乱，因为表虚里实的缘故，攻下适宜用大承气汤。（方剂见前文）
伤寒病四五天后，脉沉而气喘胸满，沉脉表示病在里，反而发汗，导致津液外越，大便困难，表虚里实，时间久了会出现谵语。
三阳合病，腹部胀满，身体沉重，难以翻身侧卧，口中味觉失灵面部污垢，如果发汗则谵语、遗尿，如果攻下，则手足逆冷，额头出汗，如果自汗出的，适宜用白虎汤。如果自利（腹泻）的，适宜用葛根黄连黄芩甘草汤。
白虎汤方
知母六两 石膏一斤（碎，用棉布包裹） 甘草二两（炙） 粳米六合
以上四味药，用水一斗，煮米熟透，药成去渣，温服一升，每日三次。
以上四味药，用水八升，先煮葛根减去二升，加入其他药物，煮取二升药液，去渣，分两次温服。
二阳并病，太阳证已罢，只出现潮热，手脚持续出汗，大便困难且谵语的，攻下则痊愈，适宜用大承气汤。（方剂见前文）
阳明病，脉象浮大，咽干口苦，腹部胀满且喘，发热汗出，不怕冷反怕热，身体沉重；如果发汗，则会烦躁，心中昏乱反而谵语；如果加用温针，必定惊恐不安，烦躁，无法入睡；如果攻下，则胃中空虚，客气扰动膈部，心中烦闷懊恼，舌上有苔的，用栀子豉汤主治。
栀子豉汤方
以上两味药，用水四升，先煮栀子取二升半药液，去渣，加入香豉，再煮取一升半药液，去渣，分两次服用，温服一次，如果引起快速呕吐的，停服第二次。
知母六两 石膏一斤（碎） 甘草二两（炙） 粳米六合 人参三两
以上五味药，用水一斗，煮米熟透，药成去渣，温服一升，每日三次。
猪苓汤方
猪苓一两（去皮） 茯苓一两 泽泻一两 阿胶一两 滑石一两（碎）
以上五味药，用水四升，先煮前四味药，取二升药液，去渣，加入阿胶使其溶化，温服七合，每日三次。
阳明病，出汗多且口渴的，不可给予猪苓汤，因为汗多导致胃中干燥，猪苓汤又会利尿的缘故。
阳明病，脉象浮而迟，表热里寒，腹泻完谷不化的，用四逆汤主治。
四逆汤方
甘草二两（炙） 干姜一两半 附子一枚（生用，去皮破成八片） 人参二两
以上四味药，用水三升，煮取一升二合药液，去渣，分两次温服。
阳明病，经过攻下后，体表有热，手脚温暖，没有结胸，心中烦闷懊恼，饥饿但不能进食，只有头部出汗的，用栀子豉汤主治。（方剂见前文）
阳明病，发潮热，大便稀溏，小便正常，胸胁胀满不去的，给予小柴胡汤。
小柴胡汤方
柴胡半斤 黄芩三两 人参三两 半夏半升 甘草二两（炙） 生姜三两（切） 大枣十二枚（劈开）
以上七味药，用水一斗二升，煮取六升药液，去渣，再煎取三升药液，温服一升，每日三次。
阳明病，胁下硬满，不大便且呕吐，舌上有白苔的，可以给予小柴胡汤，上焦气机通畅，津液得以下行，胃气因而调和，身体持续出汗而病愈。（方剂见前文）
阳明中风，脉象弦浮大，气短，腹部全面胀满，胁下及心痛，长时间按压气机不通，鼻干无法流泪，嗜睡，全身及眼睛都发黄，小便困难，有潮热，时时呃逆，耳前后肿胀，针刺后稍好转，表证未解，病过十天，脉象继续浮的，给予小柴胡汤；脉象只浮，没有其他证候的，给予麻黄汤；如果不排尿，腹部胀满加重且呃逆的，属于不治之症。（小柴胡汤见前文）
麻黄汤方
麻黄三两（去节） 桂枝二两（去皮） 甘草一两（炙） 杏仁七十个（去皮尖）
以上四味药，用水九升，煮麻黄，减去二升，去掉上面的泡沫，加入其他药物，煮取二升半药液，去渣，温服八合，覆盖衣被取轻微似汗的效果，不需要喝热粥，其余调养方法如桂枝汤法。
白蜜煎方
以上四味药，用水一斗，先煎前三味药，取五升药液，去渣，加入蜂蜜，再煮一二沸，每次服一升，每日三次夜间二次。
阳明病，自汗出，如果发汗，小便自利，这是津液内部枯竭，大便虽然硬也不可攻下，应当等待病人自己想排便时，适宜用蜜煎导法通便，也可以用王瓜根，以及大猪胆汁，都可以作为导引。
蜜煎导方
食蜜七合
以上一味药，放入铜器中，用微火煎煮，稍微凝固像饴糖状，搅拌不要让它焦糊粘底，可以做成丸剂时，用手捻成条状，让头部尖锐，粗如手指，长约二寸左右，趁热赶紧制作，冷了就会变硬，纳入肛门中，用手紧紧抱住，想大便时再去掉它。
大猪胆一枚
以上一味药，挤出汁液，混合少许醋，灌入肛门中，大约一顿饭功夫，大便就会排出宿食，效果很多。
阳明病，脉迟，出汗多，轻微怕冷的，说明表证未解，可以发汗，适宜用桂枝汤。
桂枝汤方
桂枝三两（去皮） 芍药三两 生姜三两 甘草二两（炙） 大枣十二枚（劈开）
以上五味药，用水七升，煮取三升药液，去渣，温服一升，一会儿喝热粥一升，以助药力，覆盖衣被取轻微似汗的效果。
阳明病，脉浮，无汗且喘的，发汗则痊愈，适宜用麻黄汤。（方剂见前文）
阳明病，发热汗出的，这是热邪向外发散，不会发黄；只有头部出汗，身上无汗，汗止于颈部，小便不利，口渴想喝水浆的，这是瘀热在体内，身体必定发黄，用茵陈蒿汤主治。
茵陈蒿汤方
以上三味药，用水一斗二升，先煮茵陈，减去六升，加入另外两味药，煮取三升药液，去渣，分三次温服，小便应当通利，尿液像皂荚汁一样，颜色正红，过一夜病减，黄色从小便去除。
阳明病，这个人容易健忘的，必定有蓄血，之所以这样，是因为本来就有久瘀血，所以导致容易健忘，大便虽然硬，排便反而容易，颜色必定黑，适宜用抵当汤攻下。
抵当汤方
水蛭三十个 虻虫三十个（去翅足） 大黄三两（酒洗） 桃仁二十个（去皮尖）
以上四味药，用水五升，煮取三升药液，去渣，温服一升，如果不通，再服。
阳明病，攻下后，心中烦闷懊恼且有燥屎的，可以攻下；腹部轻微胀满，大便开头硬后面稀溏的，不可攻下，如果有燥屎的适宜用大承气汤。（方剂见前文）
病人五六天不大便，绕脐疼痛，烦躁，发作有定时的，这是有燥屎，所以导致不大便。
病人烦热，出汗则缓解，又像疟疾一样，傍晚时分发热的，属于阳明病；脉实的，适宜攻下；脉浮大的，适宜发汗。攻下给予大承气汤；发汗适宜用桂枝汤。（方剂见前文）
大泻下后，六七天不大便，烦躁不解，腹部胀满疼痛的，这是有燥屎，之所以这样，是因为本来有宿食的缘故，适宜用大承气汤。（方剂见前文）
病人小便不调和，大便时而困难时而容易，有时轻微发热，喘息不能躺卧的，是有燥屎，适宜用大承气汤。（方剂见前文）
吃食物就想呕吐的，属于阳明病，用吴茱萸汤主治。喝了汤药反而加重的，属于上焦病，用小半夏汤主治。
吴茱萸汤方
以上四味药，用水七升，煮取二升药液，去渣，温服七合，每日三次。
小半夏汤方
以上两味药，用水七升，煮取一升半药液，去渣，分两次温服。
太阳病，寸脉缓，关脉浮，尺脉弱，病人发热汗出，又恶寒，不呕吐，只是心下部痞塞的，这是因为医生误用下法。如果没有用下法，病人不怕冷且口渴的，这是转属阳明病。小便频数的，大便必定硬，十天不排便，也没有痛苦，想喝水的，少量给予饮水，按法治之。口渴且喝水多但小便不利的，适宜用五苓散。
五苓散方
猪苓八十铢 白术八十铢 茯苓八十铢 泽泻一两六铢 桂枝半两（去皮）
以上五味药研为散，用米汤送服一方寸匕，每日三次，发黄的，加茵陈蒿十分之一量。
脉象阳部微弱且出汗少的，是自和；出汗多的，是太过；阳脉实，因发汗，出汗多的，也是太过，太过的，导致阳气绝于里，津液亡失，大便因此变硬。
脉象浮而芤，浮为阳，芤为阴，浮芤相搏，胃气生热，其阳则绝。
趺阳脉浮而涩，浮则胃气强，涩则小便数，浮数相搏，大便则硬，脾被约束，用麻子仁丸主治。
麻子仁丸方
麻子仁二升 芍药半斤 枳实半斤（炙） 大黄一斤（去皮） 厚朴一只（炙） 杏仁一升（去皮尖）
以上六味药，用蜜制成丸，如梧桐子大小，饮服十丸，每日三次，逐渐增加，以见效为度。
Question: Why does aversion to cold cease spontaneously? Answer: The Yangming channel resides in the center and governs Earth; it is where all things return, with no further transmission. Although there may be initial aversion to cold, it ceases spontaneously on the second day. This constitutes Yangming disease.
In a case originally presenting as Taiyang disease, if sweating therapy is applied at the onset but the sweat is not thorough, the pathogen may shift to the Yangming channel.
In cold damage presenting with fever, absence of sweat, vomiting, inability to eat, yet accompanied by continuous profuse sweating, this indicates a shift to Yangming disease.
In cold damage, if three days have passed and the pulse is large, this indicates that the disease has not transmitted (to other channels).
In cold damage, if the pulse is floating and moderate, and the hands and feet are naturally warm, this indicates involvement of the Taiyin channel. In Taiyin disease, jaundice typically occurs; however, if urination is spontaneous and free, jaundice will not develop. By the seventh or eighth day, if the stool becomes hard, it transforms into Yangming disease.
When cold damage shifts to Yangming, the patient exhibits continuous slight sweating.
Yangming wind-strike presents with bitter taste in the mouth, dry throat, abdominal fullness, slight asthma, fever, aversion to wind, and a floating, moderate pulse. If purgatives are used, abdominal fullness will worsen, and urination will become difficult.
In Yangming disease, if the patient can eat, it is termed "wind-strike"; if they cannot eat, it is termed "cold-strike."
In Yangming disease, if it is a cold-strike pattern, symptoms include inability to eat, difficulty in urination, and continuous sweating of the hands and feet. This suggests the impending formation of a "fixed accumulation" (Gu Jia), characterized by stools that are initially hard and later loose. This occurs because of cold in the stomach, leading to the failure to separate water and grain.
In Yangming disease, if the patient initially desires food, has difficulty urinating, normal bowel movements, joint pain, feels slightly hot, suddenly becomes delirious, and then sweats continuously to resolve the condition, this is due to water qi failing to overcome grain qi, which exits with the sweat. A small pulse indicates recovery.
The time for resolution of Yangming disease is from Shen hour to Xu hour (15:00–19:00).
In Yangming disease, if the patient cannot eat and heat is attacked, hiccups will inevitably occur. This is because the patient is fundamentally deficient and the stomach is cold.
In Yangming disease, if the pulse is slow, the patient finds it difficult to eat until full; upon eating too much, mild vexation and dizziness occur, and urination becomes difficult. This suggests the impending formation of Grain Jaundice. Even if purgatives are used, abdominal fullness remains unchanged. This is due to the slow pulse (indicating cold).
In Yangming disease, excessive sweating is the norm. If there is no sweating, and the body feels like insects crawling under the skin, this is due to long-standing deficiency.
In Yangming disease, if there is no sweating but urination is free, and after two or three days vomiting and coughing occur with cold extremities, severe headache must ensue. If there is no coughing, no vomiting, and extremities are not cold, the head will not hurt.
In Yangming disease, if there is only dizziness, no aversion to cold, and the patient can eat; if there is coughing, the throat will surely hurt; if there is no coughing, the throat will not hurt.
In Yangming disease, if there is no sweating and urination is obstructed, with mental restlessness (Ao Nong), jaundice will definitely develop.
If Yangming disease is treated with fire therapy, resulting in slight sweating on the forehead but obstructed urination, jaundice will definitely develop.
In Yangming disease, if the pulse is floating and large, tidal fever will occur at regular intervals. If the pulse is only floating, spontaneous sweating will occur.
In Yangming disease, if the mouth is dry and the patient only wants to rinse their mouth with water without swallowing, epistaxis (nosebleed) will likely occur.
In Yangming disease, if there was already spontaneous sweating, and the physician induced heavy sweating again, even if the illness has improved, mild vexation may persist. This is due to hardened stool caused by fluid depletion and dryness in the stomach. One should ask about the frequency of urination. If the patient previously urinated three or four times a day but now only twice, it indicates that the stool will soon pass. This is because reduced urination allows fluids to return to the stomach, predicting imminent defecation.
In cold damage, if vomiting is frequent, even if Yangming symptoms are present, purgative therapy is contraindicated.
In Yangming syndrome, if there is hardness and fullness below the heart, purgatives are contraindicated. If purged and diarrhea persists uncontrollably, death ensues; if diarrhea stops, recovery occurs.
In Yangming syndrome, if the eyes are closed and the face is red, purgatives are contraindicated. Purging will cause fever and yellowing of the complexion, indicating obstructed urination.
In Yangming disease, if there has been no vomiting or purging, yet vexation is present, Tiao Wei Cheng Qi Tang (Modified Cathartic Decoction) may be administered.
**Tiao Wei Cheng Qi Tang Formula**
Gan Cao (Prepared Licorice Root) 2 liang, Mang Xiao (Mirabilite) 0.5 jin, Da Huang (Rhubarb Root and Rhizome) 4 liang (washed with wine).
These three ingredients are boiled in 3 sheng of water until reduced to 1 sheng. Strain the dregs, add Mang Xiao, and boil briefly over low heat. Take warm in one dose.
In Yangming disease, if the pulse is solid, sweating occurs, but there is no aversion to heat, the body feels heavy, breath is short, abdomen is full and asthmatic, and tidal fever is present, the exterior is resolved and interior purging is indicated. Continuous sweating of the hands and feet indicates hardened stool; Da Cheng Qi Tang (Major Cathartic Decoction) is the primary treatment. If sweating is profuse with slight fever and aversion to cold, the exterior is unresolved; if there is no tidal fever, Cheng Qi Tang formulas are contraindicated. If abdominal distension and obstruction are severe, Xiao Cheng Qi Tang (Minor Cathartic Decoction) may be used to gently harmonize the stomach qi, avoiding drastic purgation.
**Da Cheng Qi Tang Formula**
Da Huang (Rhubarb Root and Rhizome) 4 liang (washed with wine), Hou Po (Magnolia Bark) 0.5 jin (roasted, peeled), Zhi Shi (Immature Bitter Orange) 5 pieces (roasted), Mang Xiao (Mirabilite) 3 he.
Boil these four ingredients in 1 dou of water. First boil Hou Po and Zhi Shi to obtain 5 sheng, strain, add Da Huang, boil to obtain 2 sheng, strain, add Mang Xiao, and boil briefly. Divide into two warm doses. Stop taking if bowels move.
**Xiao Cheng Qi Tang Formula**
Da Huang (Rhubarb Root and Rhizome) 4 liang (washed with wine), Hou Po (Magnolia Bark) 2 liang (roasted, peeled), Zhi Shi (Immature Bitter Orange) 3 pieces (roasted).
Boil these three ingredients in 4 sheng of water to obtain 1.2 sheng. Strain and divide into two warm doses. If bowel movement occurs after the first dose, stop the second dose; otherwise, consume the remainder.
In Yangming disease with tidal fever and slightly hardened stool, Da Cheng Qi Tang may be used. If the stool is not hard, it is contraindicated. If there has been no bowel movement for six or seven days and dry feces are suspected, administer a small amount of Xiao Cheng Qi Tang to test. If gas passes after ingestion, dry feces are present, and purging is permissible. If no gas passes, the stool is only hard at the beginning and loose later; do not purge, as this will cause abdominal fullness and anorexia. If the patient desires water and receives it, hiccups may occur. Subsequent fever indicates recurrent hardening of small amounts of stool; use Xiao Cheng Qi Tang to harmonize. If no gas passes, absolutely do not purge. (Formula see above)
In Yangming disease, excess patterns manifest as delirious speech (Chan Yu), while deficiency patterns manifest as repetitive speech (Zheng Sheng). Zheng Sheng refers to repeated utterances. If accompanied by staring straight ahead, unclear speech, asthma, and chest fullness, death ensues. If accompanied by diarrhea, death also ensues.
In Yangming disease, if excessive sweating or repeated sweating leads to loss of Yang qi, resulting in delirious speech and a short pulse, death ensues. If the pulse is harmonious, survival is possible.
In cold damage, if vomiting or purging fails to resolve the condition, and there is no bowel movement for five to six days, or up to ten days, with evening tidal fever, no aversion to cold, and solitary speech resembling seeing ghosts: in severe cases, the patient may lose recognition of others, grasp at clothing and bedrails, feel terrified and uneasy, breathe slightly with difficulty, and stare straight ahead. A string-like pulse indicates life; a choppy pulse indicates death. In milder cases, with only fever and delirious speech, Da Cheng Qi Tang is the primary treatment. (Formula see above)
In Yangming disease, if the patient sweats excessively, causing fluid exhaustion and stomach dryness, the stool becomes hard, leading to delirious speech. Xiao Cheng Qi Tang is the primary treatment. (Formula see above)
In Yangming disease, with delirious speech, tidal fever, and a slippery and rapid pulse, Xiao Cheng Qi Tang is the primary treatment. (Formula see above)
After administering Cheng Qi Tang in Yangming disease, if there is no passage of gas, no bowel movement the next day, and the pulse becomes faint and choppy, this indicates interior deficiency. It is difficult to treat, and Cheng Qi Tang should not be administered again.
In Yangming disease, with delirious speech and tidal fever, if the patient cannot eat, there are likely five or six pieces of dry feces in the stomach. If the patient can eat, the stool is merely hard; Da Cheng Qi Tang is suitable for purging. (Formula see above)
In Yangming disease, if there is bleeding from the anus and delirious speech, this is heat entering the Blood Chamber. If only the head sweats, puncture the Qimen acupoint to drain excess. Continuous sweating indicates recovery.
In Yangming disease, if there is sweating and delirious speech, it is due to dry feces in the stomach, constituting an excess pattern. Purging should wait until the disease has passed through a meridian cycle. Premature purging causes confused speech due to exterior deficiency and interior excess. Da Cheng Qi Tang is suitable for purging. (Formula see above)
In cold damage, four or five days in, if the pulse is deep with asthma and fullness, the deep pulse indicates interior pathology. If sweating is induced erroneously, fluids escape, making defecation difficult. Exterior deficiency and interior excess lead to delirious speech over time.
In combined disease of the Three Yang, with abdominal fullness, body heaviness, difficulty turning, impaired taste, and facial grease: if sweating is induced, delirium and urinary incontinence occur; if purging is induced, cold extremities and sweating on the forehead occur. If there is spontaneous sweating, Bai Hu Tang (White Tiger Decoction) is suitable. If there is spontaneous diarrhea, Ge Gen Huang Lian Huang Qin Gan Cao Tang (Kudzu, Coptis, Scutellaria, and Licorice Decoction) is suitable.
**Bai Hu Tang Formula**
Zhi Mu (Anemarrhena Rhizome) 6 liang, Shi Gao (Gypsum Fibrosum) 1 jin (crushed, wrapped in cotton), Gan Cao (Prepared Licorice Root) 2 liang, Geng Mi (Oryza Sativa Germ) 6 he.
Boil these four ingredients in 1 dou of water until the rice is cooked. Strain and take 1 sheng warm, three times daily.
**Ge Gen Huang Lian Huang Qin Gan Cao Tang Formula**
Ge Gen (Puerariae Lobatae Radix) 0.5 jin, Gan Cao (Prepared Licorice Root) 2 liang, Huang Lian (Coptidis Rhizoma) 3 liang, Huang Qin (Scutellariae Radix) 3 liang.
Boil these four ingredients in 8 sheng of water. First boil Ge Gen to reduce by 2 sheng, then add the remaining herbs. Boil to obtain 2 sheng, strain, and divide into two warm doses.
In combined disease of the Two Yang, if Taiyang symptoms have ceased, leaving only tidal fever, continuous sweating of the hands and feet, difficulty in defecation, and delirious speech, purging leads to recovery. Da Cheng Qi Tang is suitable. (Formula see above)
In Yangming disease, with a floating and large pulse, dry throat, bitter taste, abdominal fullness, asthma, fever, sweating, no aversion to cold but aversion to heat, and body heaviness: if sweating is induced, irritability, mental confusion, and delirious speech occur. If moxibustion is added, terror, restlessness, and insomnia result. If purging is induced, the stomach becomes empty, pathogenic qi disturbs the diaphragm, causing mental restlessness (Ao Nong) and tongue coating. Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the primary treatment.
**Zhi Zi Chi Tang Formula**
Zhi Zi (Gardeniae Fructus) 14 pieces (split), Chi Xiao Dou (Fermented Soybean) 4 he (wrapped in cotton).
Boil these two ingredients in 4 sheng of water. First boil Zhi Zi to obtain 2.5 sheng, strain, add Chi Xiao Dou, and boil to obtain 1.5 sheng. Strain and divide into two doses. Take one dose warm. If rapid vomiting occurs, stop the second dose.
In Yangming disease, if there is thirst desire for water and dry mouth/tongue, Bai Hu Jia Ren Shen Tang (White Tiger Decoction plus Ginseng) is the primary treatment.
**Bai Hu Jia Ren Shen Tang Formula**
Zhi Mu (Anemarrhena Rhizome) 6 liang, Shi Gao (Gypsum Fibrosum) 1 jin (crushed), Gan Cao (Prepared Licorice Root) 2 liang, Geng Mi (Oryza Sativa Germ) 6 he, Ren Shen (Ginseng Radix et Rhizoma) 3 liang.
Boil these five ingredients in 1 dou of water until the rice is cooked. Strain and take 1 sheng warm, three times daily.
In Yangming disease, with a floating pulse, fever, thirst desire for water, and obstructed urination, Zhu Ling Tang (Polyporus Decoction) is the primary treatment.
**Zhu Ling Tang Formula**
Zhu Ling (Polyporus) 1 liang (peeled), Fu Ling (Poria) 1 liang, Ze Xie (Alisma Rhizome) 1 liang, E Jiao (Donkey-Hide Gelatin) 1 liang, Hua Shi (Talcum) 1 liang (crushed).
Boil these five ingredients in 4 sheng of water. First boil the first four to obtain 2 sheng, strain, add melted E Jiao, and take 0.7 sheng warm, three times daily.
In Yangming disease, if sweating is profuse and there is thirst, Zhu Ling Tang is contraindicated because profuse sweating causes stomach dryness, and Zhu Ling Tang would further deplete fluids via diuresis.
In Yangming disease, with a floating and slow pulse, exterior heat and interior cold, and diarrhea of undigested food, Si Ni Tang (Decoction for Reversal of Cold) is the primary treatment.
**Si Ni Tang Formula**
Gan Cao (Prepared Licorice Root) 2 liang, Gan Jiang (Dried Ginger) 1.5 liang, Fu Zi (Aconiti Lateralis Radix Praeparata - Raw) 1 piece (raw, peeled, broken into eight pieces), Ren Shen (Ginseng Radix et Rhizoma) 2 liang.
Boil these four ingredients in 3 sheng of water to obtain 1.2 sheng. Strain and divide into two warm doses.
In Yangming disease, if the stomach is deficient and cold with an inability to eat, water should not be given, as it will induce hiccups.
In Yangming disease, with a floating pulse, fever, dry mouth, nasal dryness, and ability to eat, epistaxis (nosebleed) will occur.
In Yangming disease, after purging, if there is exterior heat, warm extremities, no chest binding, mental restlessness (Ao Nong), hunger but inability to eat, and only head sweating, Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the primary treatment. (Formula see above)
In Yangming disease, with tidal fever, loose stools, normal urination, and persistent chest/hypochondriac fullness, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is administered.
**Xiao Chai Hu Tang Formula**
Chai Hu (Bupleuri Radix) 0.5 jin, Huang Qin (Scutellariae Radix) 3 liang, Ren Shen (Ginseng Radix et Rhizoma) 3 liang, Ban Xia (Pinelliae Rhizoma) 0.5 sheng, Gan Cao (Prepared Licorice Root) 2 liang, Sheng Jiang (Fresh Ginger) 3 liang (sliced), Da Zao (Jujubae Fructus) 12 pieces (split).
Boil these seven ingredients in 1.2 dou of water to obtain 6 sheng. Strain, decoct again to obtain 3 sheng. Take 1 sheng warm, three times daily.
In Yangming disease, with hardness and fullness under the hypochondrium, constipation, vomiting, and white tongue coating, Xiao Chai Hu Tang may be administered. Once the Upper Jiao is unblocked and fluids descend, Stomach qi harmonizes, and continuous sweating resolves the disease. (Formula see above)
In Yangming wind-strike, with a string-like, floating, and large pulse, shortness of breath, generalized abdominal fullness, hypochondriac and cardiac pain, obstruction upon pressure, dry nose without tears, lethargy, generalized and ocular jaundice, difficult urination, tidal fever, intermittent hiccups, and swelling around the ears: if acupuncture provides slight relief but the exterior remains unresolved, and the disease lasts over ten days with a continuing floating pulse, Xiao Chai Hu Tang is given. If the pulse is only floating without other symptoms, Ma Huang Tang (Ephedra Decoction) is given. If there is no urination, worsening abdominal fullness, and hiccups, the condition is untreatable. (Xiao Chai Hu Tang see above)
**Ma Huang Tang Formula**
Ma Huang (Ephedrae Herba) 3 liang (decaliced), Gui Zhi (Cinnamomi Ramulus) 2 liang (peeled), Gan Cao (Prepared Licorice Root) 1 liang, Xing Ren (Armeniacae Semen Amarum) 70 pieces (decaliced and depulped).
Boil these four ingredients in 9 sheng of water. First boil Ma Huang to reduce by 2 sheng, remove foam, add other herbs, and boil to obtain 2.5 sheng. Strain and take 0.8 sheng warm. Cover to induce slight sweating. No hot porridge is needed. Rest care follows Gui Zhi Tang methods.
With headache upon movement, shortness of breath, and tidal fever, the condition belongs to Yangming. Bai Mi Jian (White Honey Preparation) is the primary treatment.
**Bai Mi Jian Formula**
Ren Shen (Ginseng Radix et Rhizoma) 1 liang, Di Huang (Rehmanniae Radix) 6 liang, Ma Ren (Cannabis Seed) 1 sheng, Bai Mi (White Honey) 8 he.
Boil these four ingredients in 1 dou of water. First decoct the first three to obtain 5 sheng, strain, add honey, and boil briefly. Take 1 sheng per dose, three times daily and twice at night.
In Yangming disease, with spontaneous sweating or induced sweating, and free urination, this indicates internal exhaustion of fluids. Although the stool is hard, purging is contraindicated. One should wait for the natural urge to defecate and use Mi Jian Dao (Honey Suppository) to facilitate passage. Wang Gua Gen (Trichosanthes Radix) or large pig bile can also be used as suppositories.
**Mi Jian Dao Formula**
Shi Mi (Food Honey) 7 he.
Place this single ingredient in a copper vessel and simmer over low heat until it thickens like maltose. Stir to prevent burning. When moldable, shape into suppositories by hand, sharpening the tip, about the thickness of a finger and 2 cun long. Make them while hot, as they harden when cool. Insert into the rectum and hold tightly. Remove when the urge to defecate arises.
**Zhu Dan Zhi Formula**
One large pig gallbladder.
Extract the juice, mix with a little vinegar, and enema into the rectum. After approximately one meal's time, the stool containing old food will be expelled.
In Yangming disease, with a slow pulse, profuse sweating, and slight aversion to cold, the exterior is unresolved. Sweating is indicated, and Gui Zhi Tang (Cinnamon Twig Decoction) is suitable.
**Gui Zhi Tang Formula**
Gui Zhi (Cinnamomi Ramulus) 3 liang (peeled), Shao Yao (Paeoniae Radix Alba) 3 liang, Sheng Jiang (Fresh Ginger) 3 liang, Gan Cao (Prepared Licorice Root) 2 liang, Da Zao (Jujubae Fructus) 12 pieces (split).
Boil these five ingredients in 7 sheng of water to obtain 3 sheng. Strain and take 1 sheng warm. Shortly after, drink 1 sheng of hot porridge to assist the medicinal power. Cover to induce slight sweating.
In Yangming disease, with a floating pulse, absence of sweating, and asthma, sweating leads to recovery. Ma Huang Tang (Ephedra Decoction) is suitable. (Formula see above)
In Yangming disease, fever with sweating indicates heat dispersing outward, preventing jaundice. However, if only the head sweats, the body has no sweat (stopping at the neck), urination is obstructed, and there is thirst for liquids, this is stasis-heat in the interior, leading to jaundice. Yin Chen Hao Tang (Artemisiae Scopariae Decoction) is the primary treatment.
**Yin Chen Hao Tang Formula**
Yin Chen Hao (Artemisiae Scopariae Herba) 6 liang, Zhi Zi (Gardeniae Fructus) 14 pieces (split), Da Huang (Rhubarb Root and Rhizome) 2 liang (depulped).
Boil these three ingredients in 1.2 dou of water. First boil Yin Chen Hao to reduce by 6 sheng, add the other two, and boil to obtain 3 sheng. Strain and divide into three warm doses. Urination should increase, urine resembling soap pod juice, bright red. The illness decreases overnight, and yellow pigment leaves via urination.
In Yangming disease, if the patient suffers from forgetfulness, there is likely blood stasis. This is due to pre-existing chronic blood stasis causing forgetfulness. Although the stool is hard, defecation is easy, and the color is black. Di Dang Tang (Di Dang Decoction) is suitable for purging.
**Di Dang Tang Formula**
Shui Zhi (Hirudo) 30 pieces, Meng Chong (Blatta Orientalis - dried whole insect) 30 pieces (wings and feet removed), Da Huang (Rhubarb Root and Rhizome) 3 liang (washed with wine), Tao Ren (Persicae Semen) 20 pieces (decaliced and depulped).
Boil these four ingredients in 5 sheng of water to obtain 3 sheng. Strain and take 1 sheng warm. If ineffective, take another dose.
In Yangming disease, after purging, if there is mental restlessness (Ao Nong) and vexation with dry feces in the stomach, purging is permissible. If the abdomen is mildly full with stools that are hard initially and loose later, purging is contraindicated. If dry feces are confirmed, Da Cheng Qi Tang is suitable. (Formula see above)
If a patient has not had a bowel movement for five or six days, experiences periumbilical pain, restlessness, and periodic exacerbations, this indicates dry feces causing constipation.
If a patient has烦热 (vexing heat), resolving with sweating, but recurring like malaria with fever in the evening (You hour), this belongs to Yangming. A solid pulse indicates suitability for purging; a floating-large pulse indicates suitability for sweating. Use Da Cheng Qi Tang for purging; Gui Zhi Tang for sweating. (Formula see above)
After severe purging, if there is no bowel movement for six or seven days, unresolved vexation, and abdominal fullness/pain, this indicates dry feces due to retained food. Da Cheng Qi Tang is suitable. (Formula see above)
If a patient has irregular urination, alternating difficulty and ease of defecation, occasional mild fever, and wheezing preventing lying down, this indicates dry feces. Da Cheng Qi Tang is suitable. (Formula see above)
If eating induces vomiting, the condition belongs to Yangming. Wu Zhu Yu Tang (Evodia Decoction) is the primary treatment. If symptoms worsen after taking the decoction, the condition belongs to the Upper Jiao. Xiao Ban Xia Tang (Minor Pinellia Decoction) is the primary treatment.
**Wu Zhu Yu Tang Formula**
Wu Zhu Yu (Evodiae Fructus) 1 sheng, Ren Shen (Ginseng Radix et Rhizoma) 3 liang, Sheng Jiang (Fresh Ginger) 6 liang (sliced), Da Zao (Jujubae Fructus) 12 pieces (split).
Boil these four ingredients in 7 sheng of water to obtain 2 sheng. Strain and take 0.7 sheng warm, three times daily.
**Xiao Ban Xia Tang Formula**
Ban Xia (Pinelliae Rhizoma) 1 sheng, Sheng Jiang (Fresh Ginger) 0.5 jin.
Boil these two ingredients in 7 sheng of water to obtain 1.5 sheng. Strain and divide into two warm doses.
In Taiyang disease, with a slow Cun pulse, floating Guan pulse, and weak Chi pulse, if the patient has fever, sweating, and aversion to cold, no vomiting, but only epigastric stuffiness, this is due to erroneous purging by the physician. If purging had not occurred, and the patient has no aversion to cold but thirst, this indicates a shift to Yangming disease. Frequent urination leads to hard stools. Ten days without defecation causes no distress. If thirsty for water, give small amounts to rescue according to method. If thirsty, drinks much, but urination is obstructed, Wu Ling San (Five-Ingredient Powder with Poria) is suitable.
**Wu Ling San Formula**
Zhu Ling (Polyporus) 80 zhu, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 80 zhu, Fu Ling (Poria) 80 zhu, Ze Xie (Alisma Rhizoma) 1 liang 6 zhu, Gui Zhi (Cinnamomi Ramulus) 0.5 liang (peeled).
Grind these five ingredients into powder. Mix with rice water and take one square-inch spoonful, three times daily. For jaundice, add Yin Chen Hao (Artemisiae Scopariae Herba) in a ratio of 1/10th.
If the Yang pulse is faint and sweating is slight, this is self-harmonization. Profuse sweating indicates excess. If the Yang pulse is solid and sweating is induced, profuse sweating is also excess. Excess leads to Yang exhaustion in the interior and fluid depletion, resulting in hard stools.
If the pulse is floating and Kou (cleft-like), floating represents Yang, and Kou represents Yin. The interaction of floating and Kou generates heat in the Stomach qi, leading to Yang exhaustion.
If the Fuyang pulse is floating and choppy, floating indicates strong Stomach qi, and choppy indicates frequent urination. The interaction leads to hard stools. The Spleen is constrained (Pi Yue). Ma Zi Ren Wan (Hemp Seed Pill) is the primary treatment.
**Ma Zi Ren Wan Formula**
Ma Zi Ren (Cannabis Seed) 2 sheng, Shao Yao (Paeoniae Radix Alba) 0.5 jin, Zhi Shi (Immature Bitter Orange) 0.5 jin (roasted), Da Huang (Rhubarb Root and Rhizome) 1 jin (depulped), Hou Po (Magnolia Bark) 1 zhi (roasted), Xing Ren (Armeniacae Semen Amarum) 1 sheng (decaliced and depulped).
Make pills with honey, size of Sophora seeds. Take 10 pills with water, three times daily. Gradually increase until effective.
In Taiyang disease, if two days of sweating fail to resolve the condition, and steaming fever occurs, it belongs to Yangming. Tiao Wei Cheng Qi Tang (Modified Cathartic Decoction) is the primary treatment. (Formula see above)
After cold damage vomiting, if abdominal fullness occurs, Tiao Wei Cheng Qi Tang (Modified Cathartic Decoction) is given. (Formula see above)
In Taiyang disease, if after vomiting, purging, or sweating, there is mild vexation, frequent urination, and consequent hard stools, Xiao Cheng Qi Tang (Minor Cathartic Decoction) harmonizes and cures. (Formula see above)