治发汗若下之。病仍不解。烦躁者。此方主之。
茯苓（四两 一本 六两） 人参（一两） 附子（一枚 生用。） 甘草（二两 炙。）
干
上五味。以水五升。煮取三升。去滓。温服七合。日三服。
歌曰 生附一枚两半姜。二甘六茯一参当。汗伤心液下伤肾。肾躁心烦得媾（水火交媾
则烦躁定矣。）昌。
张令韶曰。此汗下而虚其少阴水火之气也。汗下之后。心肾之精液两虚。以致病仍不解。
阴
烦。四逆补肾脏以定阴躁。
治发汗后。烦渴。欲饮水者主之。
猪苓（十八铢） 泽泻（一两六铢） 白术（十八铢） 茯苓（十八铢） 桂枝（半两
去
上五味。捣为末。以白饮和服方寸匕。日三服。多饮暖水。汗出愈。（内台。茯苓、猪
苓、
歌曰 猪术茯苓十八铢。泽宜一两六铢符。桂枝半两磨调服。暖水频吞汗出苏。（魏念
庭云
次男元犀按。苓者令也。化气而通行津液。号令之主也。猪苓、茯苓、泽泻。皆化气之
品。
解之。作散以散之。多服暖水以助之。使水精四布。上滋心肺。外达皮毛。微汗一出。而表
里之
烦热两蠲矣。白饮和服。亦即桂枝汤啜粥之义也。
治伤寒汗出而渴者。五苓散主之。不渴者。此方主之。
茯苓（三两） 桂枝（二两） 甘草（一两） 生姜（三两）
上四味。以水四升。煮取三升。去滓。分温三服。
歌曰 汗多不渴此方求。又治伤寒厥悸优。二桂一甘三姜茯。须知水汗共源流。
蔚按。此承上服五苓散多饮暖水以出汗。人知五苓之用在汗。而不知五苓之证在渴也。
五苓
为脾不转输。非关胃燥。推而言之。不输于上为渴。不输于中为水逆。不输于下为小便
不利
知中焦水谷之津发泄而伤脾。脾伤则不能输津而作渴。故取五苓散布散其水津。若不渴者。
中焦之液未伤。只用茯苓甘草汤。取茯苓之利水。俾肾水不沸腾而为汗。
治疗经过发汗或攻下治疗后，病证仍未解除，出现烦躁症状的，用本方主治。
茯苓（四两，另一版本为六两） 人参（一两） 附子（一枚，生用） 甘草（二两，炙烤） 干姜（缺具体剂量，依歌诀推断为二两半）
以上五味药，用水五升，煮取三升药液，滤去药渣，每次温服七合，每日服用三次。
歌诀说：生附子一枚、干姜二两半，甘草二两、茯苓六两、人参一两正好。发汗伤心之阴液，攻下伤肾之精气，肾躁心烦通过水火交媾（即心肾相交）则烦躁得以平息。
张令韶说：这是发汗和攻下导致少阴经中水火之气虚弱。发汗攻下之后，心和肾的精液都虚损，以致病证仍不解除，出现阴烦（阴虚内热之烦）。四逆汤类方剂补益肾脏以安定阴躁。
猪苓（十八铢） 泽泻（一两六铢） 白术（十八铢） 茯苓（十八铢） 桂枝（半两，去皮）
以上五味药，捣碎成粉末，用米汤调和，每次服用一方寸匕，每日服用三次。服药后多喝暖水，出汗即可痊愈。（《内台方议》记载：茯苓、猪苓……）
歌诀说：猪苓、白术、茯苓各十八铢，泽泻一两六铢相符。桂枝半两磨粉调服，频繁吞服暖水，出汗后身体复苏。（魏念庭说……）
其次，陈元犀按语：苓字意为“令”，指化气而通行津液，是号令的主宰。猪苓、茯苓、泽泻，都是化气的药物。解表散邪，制成散剂以发散，多服暖水以助之，使水精四布，上滋心肺，外达皮毛，微微出汗，则表里之烦热两除。用米汤调和服用，也就是桂枝汤喝粥助汗的道理。
治疗伤寒发汗后出现口渴的，用五苓散主治；如果不口渴的，用本方主治。
以上四味药，用水四升，煮取三升药液，滤去药渣，分三次温服。
歌诀说：汗多不渴求此方，又治伤寒厥逆心悸优。桂枝二两、甘草一两、生姜三两、茯苓三两，须知水与汗同源流。
蔚按：这是承接上文服用五苓散后多饮暖水以出汗。人们知道五苓散的用途在于发汗，却不知道五苓散的适应证关键在于口渴。五苓散用于脾不转输，并非关乎胃燥。推而言之，津液不输于上则为口渴，不输于中则为水逆，不输于下则为小便不利。可知中焦水谷之津液发泄而损伤脾气，脾伤则不能输布津液而导致口渴，所以取五苓散散布其水津。如果不口渴，说明中焦之液未伤，只用茯苓甘草汤，取茯苓利水之功，使肾水不沸腾而为汗。
Treat cases where the disease persists after sweating or purgation, accompanied by irritability and restlessness; this formula is indicated.
Fuling (Poria) (4 liang, another version says 6 liang), Renshen (Ginseng Radix et Rhizoma) (1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, here specified as raw Shengyong) (1 piece), Gancao (Licorice Root) (2 liang, honey-fried/Zhi), Ganjiang (Dried Ginger) (dosage omitted in text).
The above five herbs are decocted with 5 sheng of water until reduced to 3 sheng. Strain the dregs. Take 7 ge warm, three times a day.
Song: Raw Fuzi one piece, Ganjiang one and a half liang; Gancao two liang, Fuling six liang, Renshen one liang match. Sweating damages Heart Yin fluids, purgation damages Kidney Qi/Essence. When Kidney restlessness and Heart vexation occur, they harmonize (Water and Fire interact, thus irritability settles).
Zhanglingshao states: This is due to the deficiency of Water and Fire Qi in Shaoyin caused by sweating and purgation. After sweating and purgation, the essence and fluids of Heart and Kidney are both deficient, leading to the persistence of the disease and Yin Fan (Yin vexation). Sini Tang-type formulas tonify the Kidney to calm Yin restlessness.
Treat cases after sweating where there is vexation and thirst, desiring to drink water; this formula is indicated.
Zhuling (Polyporus) (18 zhu), Zexie (Alisma Rhizome) (1 liang 6 zhu), Baizhu (Atractylodis Macrocephalae Rhizoma) (18 zhu), Fuling (Poria) (18 zhu), Guizhi (Cinnamon Twig) (0.5 liang, bark removed).
The above five herbs are crushed into powder. Mix with rice water (Baiyin) and take one fangcunbi per dose, three times a day. Drink plenty of warm water; recovery occurs with sweating. (Neitang Fangyi records Fuling, Zhuling...)
Song: Zhuling, Baizhu, Fuling each 18 zhu; Zexie 1 liang 6 zhu fits perfectly. Guizhi 0.5 liang ground and mixed for administration; frequently swallowing warm water leads to recovery through sweating. (Wei Nianting says...)
Second son Chen Yuanxi notes: Ling means command/order; it transforms Qi and unblocks fluid metabolism, acting as the master of commands. Zhuling, Fuling, and Zexie are all agents that transform Qi. By resolving the exterior and scattering pathogens, using a powder form scatters water-dampness. Taking warm water aids Yang Qi, allowing water essence to distribute throughout the body, nourishing Heart and Lung from above, reaching skin and hair from outside. A slight sweat clears both exterior and interior heat/vexation. Mixing with rice water follows the principle of drinking hot porridge after Guizhi Tang.
Treat Shanghan (Cold Damage) where sweating is followed by thirst; Wuling San (Five-Ingredient Powder with Poria) is indicated. If there is no thirst, this formula (Fuling Jiangzhi Tang) is indicated.
Fuling (Poria) (3 liang), Guizhi (Cinnamon Twig) (2 liang), Gancao (Licorice Root) (1 liang), Shengjiang (Fresh Ginger) (3 liang).
The above four herbs are decocted with 4 sheng of water until reduced to 3 sheng. Strain the dregs. Divide into three warm doses.
Song: For excessive sweating without thirst, seek this formula; it also excellently treats Cold Damage with cold extremities and palpitations. Guizhi 2 liang, Gancao 1 liang, Shengjiang 3 liang, Fuling 3 liang; know that water and sweat share the same source.
Yu notes: This continues from the previous point about taking Wuling San and drinking warm water to induce sweating. People know the function of Wuling San is to induce sweating, but do not realize its indication lies in thirst. This is because the Spleen fails to transport and transform, not due to Stomach dryness. Extending this logic: failure to transport upwards causes thirst; failure to transport centrally causes water regurgitation; failure to transport downwards causes difficult urination. It can be known that the fluids of food and grain in the Middle Jiao are excreted, damaging Spleen Qi. When Spleen is damaged, it cannot transport fluids, causing thirst. Therefore, Wuling San is used to scatter water fluids. If there is no thirst, it indicates Middle Jiao fluids are undamaged; only Fuling Jiangzhi Tang is used. Utilizing Fuling's diuretic action prevents Kidney water from boiling over into sweat.