（见消渴。） 治厥而为皮水者。此主之。
按。皮水久而致溃。为逆而不顺之证。以此散外敷之。此厥字言证之逆。非四肢厥逆之
谓也
治黄汗病身体肿。发热汗出而渴。状如风水。汗沾衣。色正黄如柏汁
之。以汗出入水中浴。水从汗孔入得之。此汤主之。
黄 （五两。） 芍药 桂枝（各三两。）
上三味。以苦酒一升、水七升相合。煮取三升。温服一升。当心烦。服至六七日乃解。
若心
歌曰 黄汗脉沉出汗黄。水伤心火郁成殃。（师云。汗出入水中浴。水气从汗孔入而伤
其心
太
男元犀按。桂枝行阳。芍药益阴。黄 气味轻清。外皮最浓。故其达于皮肤最捷。今煮
以苦
烦
又按。凡看书宜活看。此证亦有从酒后汗出当风所致者。虽无外水。而所出之汗。是亦
水也
黄汗之病。两胫自冷。假令发热。此属历节。食已汗出。又身常暮盗汗出者
若汗出已反发热者。久久其身必甲错。发热不止者。必生恶疮。若身重。汗出
久必身 。 即胸中痛。又从腰以上汗出。下无汗。腰 弛痛。如有物在皮中
食。身疼重。烦躁。小便不利。此为黄汗。此汤主之。
桂枝 芍药 生姜（各三两。） 甘草 黄 （各二两。） 大枣（十二枚。）
上六味。以水八升。煮取三升。温服一升。须臾。啜热稀粥一升余以助药力。温覆。取
微汗
歌曰 黄汗都由郁热来。历详变态费心裁。桂枝原剂 加二。啜粥重温令郁（久郁变证。
从
男元犀按。黄本于郁热。得汗不能透彻。则郁热不能外达。桂枝汤虽调和营卫。啜粥可
令作
此方
证法
（此方见消渴病篇。）治疗因阳气郁厥而导致的皮水证。以此方主治。
按语：皮水日久导致皮肤溃烂，属于逆证而非顺证。用此散剂外敷。这里的“厥”字指的是病证的逆乱，并非指四肢厥冷。
治疗黄汗病，身体浮肿，发热，出汗且口渴，症状类似风水病，汗水沾湿衣物，颜色正黄如柏树汁液。这是因为出汗时进入水中沐浴，水气从汗孔侵入所致。以此汤剂主治。
以上三味药，用苦酒一升、水七升混合，煮取三升。温服一升。服药后应当感到心烦，服用至六七天病情才会解除。
歌诀曰：黄汗脉象沉细，汗出色黄。水气伤心火，郁结而成灾殃。（经师云：出汗时入水沐浴，水气从汗孔侵入而损伤心阳。）
男子元犀按语：桂枝通行阳气，芍药滋养阴血，黄耆气味轻清，其外皮药效最浓，因此能迅速达于皮肤。现在用苦酒煎煮……（原文此处有缺漏或错简，意指苦酒收敛，配合黄耆固表）……烦闷。
又按语：凡是读书应当灵活理解。此证也有因酒后出汗当风受邪所致的。虽然没有外部的水侵入，但所出的汗液，本身也是水湿之邪。
黄汗病，双小腿自然发冷。假如发热，则属于历节病。饭后出汗，并且身体常在傍晚盗汗。
如果出汗后反而发热，久而久之身体必然出现肌肤甲错（干燥粗糙如鳞甲）。发热不止的人，必定生恶疮。如果身体沉重，出汗……（原文此处有缺漏）……久了身体必……（原文此处有缺漏）。即胸中痛，又从腰部以上出汗，腰部以下无汗，腰部弛缓疼痛，如有物在皮中。
饮食，身体疼痛沉重，烦躁，小便不利。此为黄汗病，以此汤剂主治。
桂枝，芍药，生姜（各三两），甘草，黄耆（各二两），大枣（十二枚）。
以上六味药，用水八升，煮取三升。温服一升。片刻之后，喝热稀粥一升多以助药力。覆盖衣被，使微微出汗。
歌诀曰：黄汗都由郁热引起，详细辨析其变化费尽心裁。桂枝原方剂量加黄耆二两，喝粥温热令郁热得解（久郁变证，从……）。
男子元犀按语：黄汗本源于郁热，得汗而不能透彻，则郁热不能外达。桂枝汤虽然调和营卫，喝粥可以令……（原文此处有缺漏）……此方……证法。
(See the chapter on Xiao Ke [Wasting and Thirsting Syndrome].) It treats Pi Shui [Edema of the Skin] caused by Jue [reversal/circulatory failure] syndrome. This formula is indicated.
Commentary: When Pi Shui persists for a long time and leads to ulceration, it is considered a Ni [adverse/rebellious] pattern rather than a smooth one. Applying this powder externally is the treatment. The character "Jue" here refers to the rebellious nature of the syndrome, not to Si Zhi Jue Ni [cold extremities].
It treats Huang Han [Yellow Sweat Disease], characterized by body swelling, fever, sweating with thirst, resembling Feng Shui [Wind Water edema]. The sweat stains the clothing yellow like cypress juice. This condition arises from bathing in water while sweating, allowing water qi to enter through the sweat pores. This decoction is indicated.
Huang Qi (Astragali Radix, 5 liang), Shao Yao (Paeoniae Radix Alba, 3 liang), Gui Zhi (Cinnamomi Ramulus, 3 liang).
The above three herbs are combined with one sheng [approx. 200ml] of Ku Jiu [bitter wine/vinegar] and seven sheng of water, boiled until three sheng remain. Take one sheng warm. One should experience mental restlessness (Xin Fan); after six or seven days, the condition will resolve.
Song says: Huang Han presents with a deep pulse and yellow sweat. Water damages the Heart Fire, causing disaster due to stagnation. (The Master said: Bathing in water while sweating allows water qi to enter via sweat pores and injure the Heart Yang.)
Mr. Yuan Xi notes: Gui Zhi circulates Yang Qi; Shao Yao nourishes Yin Blood; Huang Qi has a light and clear aroma, with its outer bark being the most potent, thus reaching the skin rapidly. Now, boiling with Ku Jiu... [text fragment] ...restlessness.
Another commentary: One should read texts flexibly. This syndrome can also be caused by sweating after drinking alcohol and exposing oneself to wind. Although there is no external water invasion, the sweat itself is also a pathogenic water-dampness factor.
In Huang Han disease, the calves are naturally cold. If fever occurs, it belongs to Li Jie [Bi Syndrome affecting joints]. Sweating after eating, along with frequent night sweats in the evening, indicates... [text fragment].
If fever persists after sweating, over time the body will develop Jia Cuo [rough, scaly skin]. Persistent fever will inevitably lead to malignant sores. If the body feels heavy and sweating... [text fragment] ...over time the body will... [text fragment]. There may be chest pain, sweating above the waist but none below, flaccid pain in the lower back, and a sensation of an object in the skin.
Regarding diet, body pain and heaviness, irritability, and difficult urination indicate Huang Han. This decoction is indicated.
Gui Zhi (Cinnamomi Ramulus), Shao Yao (Paeoniae Radix Alba), Sheng Jiang (Zingiberis Rhizoma Recens) (each 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma), Huang Qi (Astragali Radix) (each 2 liang), Da Zao (Ziziphi Jujubae Fructus) (12 pieces).
The above six herbs are boiled in eight sheng of water until three sheng remain. Take one sheng warm. Shortly after, drink more than one sheng of hot thin porridge to assist the medicinal power. Cover with blankets to induce slight sweating.
Song says: Huang Han all stems from stagnant heat; detailed analysis of its variations requires careful consideration. The original Gui Zhi Tang dosage plus two liang of Huang Qi; drinking hot porridge warms and resolves the stagnation (long-term stagnation transforms into complications...).
Mr. Yuan Xi notes: Huang Han originates from stagnant heat. If sweating does not penetrate thoroughly, the stagnant heat cannot reach the exterior. Although Gui Zhi Tang harmonizes Ying and Wei, drinking porridge can promote... [text fragment] ...this formula... diagnostic methods.