伤寒脉浮紧表证病不解心下有水气呕而发热或嗽或渴或痢小便数或哕或微喘者小青龙汤
主之
则逆喘重者变结胸未解者且宜桂枝麻黄青龙汤细辩前证而服之
又
太阳候先曾发汗不解下之不愈其脉浮为在外故令不愈见今表证在者且宜解邪用桂枝庸医
为先
又
脉浮紧无汗而发热者疼痛八九日当发汗微除其心烦目瞑增剧者必衄血乃解所以然者阳气
重故
又
夫伤寒头不甚痛脉不紧实慎不可下下之必甚或作结胸则难愈矣
夫医方之用不可不精当在审其脉气息数辩其体候虚实莫不以寒疗热以热攻寒圣贤治病此
为绳
间捧
靳之
下气
好胜
凡喘证世为危恶之疾有病喘数十年每发至危笃而复愈者有忽因他疾才发喘而便致不救者
有利
才见
膨膨
之客
眠身
者与
自出或大
愈宜用返
肺使人喘
内经曰连
浮无汗而
黄芩汤若
停水喘而
他疾而发
诸方论泄痢止言是脾胃病不过谓风冷湿毒之所侵入及饮食伤滞遇肠虚则泄痢而不知肝肾
气虚
下焦
为胃
有曰
在下焦赤石脂禹余粮汤主之
服不止当利其小便以余见如此泄痢乃肝肾气虚之所致者矣
近世医者用药治病多出新意不用古方不知古人方意有今人所不到者甚多如诸寒食散五石
泽兰
反相
五味
物效
沸不
之妙
伤寒病脉象浮紧，表证未解，心下有水气，出现呕吐且发热，或者咳嗽、口渴、痢疾、小便频数，或者干哕、轻微气喘的，用小青龙汤主治。
如果气逆气喘严重的，可能转变为结胸；若表证未解，应当仔细辨别前证，适宜服用桂枝麻黄青龙汤（注：此处指桂枝汤、麻黄汤或小青龙汤等解表方剂，需辨证选用）。
又，太阳病候，先前曾发汗但未痊愈，误用下法也不愈，其脉象浮说明病邪仍在体表，所以导致不愈。见到现在表证依然存在，应当先用解表法祛邪，适宜使用桂枝汤。庸医往往将其视为先例而误用。
又，脉象浮紧，无汗且发热，疼痛持续八九日，应当发汗使症状轻微缓解；如果此时心烦、眼睛闭合加重，必定会流鼻血才能解除。之所以这样，是因为阳气郁闭过重的缘故。
又，伤寒头痛不严重，脉象不紧实，千万不要攻下，攻下后病情一定会加重，或者形成结胸，那就难以治愈了。
夫医方用药不可不精当，关键在于审察脉象、呼吸和至数，辨别体候的虚实。没有不用寒凉药治疗热证、用温热药攻治寒证的，这是圣贤治病的原则。
凡喘证，世人皆认为是危重恶疾。有的患喘证几十年，每次发作至极度危险却又自愈；有的忽然因其他疾病引发喘证，便导致无法救治。有利尿作用……（原文此处有脱漏/错简，语意不全）……膨膨然……身体……自出或大……愈宜用返……肺使人喘……《内经》曰……浮而无汗……黄芩汤……若停水致喘……因他疾而发……
诸方论述泄痢，只说是脾胃病，不过谓风冷湿毒侵入，以及饮食损伤停滞，遇到肠道虚弱则发生泄痢，却不知道肝肾气虚……下焦……为胃……有曰……在下焦，赤石脂禹余粮汤主治。服后不止，应当利其小便。以我的见解，如此泄痢乃是肝肾气虚所致。
近世医者用药治病，多出新意，不用古方，不知古人方意有今人所不到的地方甚多，如诸寒食散五石……泽兰……反相……五味……物效……沸不……之妙……（原文此处有脱漏/错简，语意不全）
Taiyang disease with a floating and tight pulse, where the exterior syndrome remains unresolved, accompanied by fluid retention in the epigastrium (fluid accumulation below the heart), vomiting with fever, or coughing, thirst, dysentery, frequent urination, hiccups, or slight wheezing, should be primarily treated with Xiaolongdan Decoction (Minor Dragon Decoction).
If the rebellious Qi and wheezing are severe, it may transform into Jie Xiong (Chest Binding); if the exterior syndrome is not resolved, one should carefully differentiate the preceding symptoms and appropriately administer Guizhi Tang (Cinnamon Twig Decoction), Mahuang Tang (Ephedra Decoction), or Xiaolongdan Decoction.
Furthermore, in Taiyang syndrome, if sweating was previously administered but did not resolve the condition, and purgation was mistakenly used without success, a floating pulse indicates the pathogen remains on the exterior, hence the failure to heal. If the exterior syndrome persists, the pathogenic factor should first be released via diaphoresis; Guizhi Tang (Cinnamon Twig Decoction) is appropriate. Quack doctors often misapply this precedent.
Furthermore, with a floating and tight pulse, absence of sweat, and fever, accompanied by pain persisting for eight or nine days, diaphoresis should be induced to slightly alleviate symptoms. If irritability and photophobia worsen at this stage, nasal bleeding will likely occur to resolve the condition. This occurs because Yang Qi is excessively constrained.
Furthermore, in cold damage, if headache is not severe and the pulse is not tight and solid, purgation must absolutely be avoided. Purgation will inevitably exacerbate the condition or lead to Jie Xiong (Chest Binding), which becomes difficult to cure.
The application of medical prescriptions requires precision; the key lies in examining the pulse, respiration, and rate, and differentiating the physical signs of deficiency and excess. There is no treatment that does not employ cold herbs to treat heat syndromes, or hot herbs to attack cold syndromes; this is the principle of sages in treating diseases.
Wheezing is generally regarded by the world as a critical and dreaded disease. Some suffer from wheezing for decades, reaching a critical state upon each flare-up yet recovering spontaneously; others suddenly develop wheezing due to another illness, leading to untreatable conditions. Diuretic effects... [Text corruption/omission]... distension... body... spontaneous discharge or large... recovery should utilize reversal... lungs causing wheezing... The Neijing states... floating without sweat... Huangqin Tang (Scutellaria Decoction)... if water retention causes wheezing... triggered by other illnesses...
Various formulas discussing diarrhea and dysentery only attribute it to Spleen and Stomach disorders, stating merely that wind-cold-damp-toxins invade, or dietary injury causes stagnation, leading to diarrhea when the intestines are deficient. They fail to recognize Kidney and Liver Qi deficiency... Lower Jiao (Lower Burner)... related to Stomach... It is stated... located in the Lower Jiao, Chishizhi Yuyuliang Tang (Red Stone and Hematite Decoction) is indicated. If ineffective after administration, diuresis should be promoted. In my view, such diarrhea and dysentery are caused by Kidney and Liver Qi deficiency.
In recent times, physicians prescribing medicine for diseases often innovate new ideas and do not use ancient formulas, unaware that there are many profound intentions in ancient formulas that modern people cannot reach, such as various cold food powders and Five Minerals Powder... Zelan (Agastache Herba)... contrary interaction... Wuwei Zi (Schisandra Fruit)... efficacy... boiling not... subtlety of... [Text corruption/omission]