1
問曰：病有結胸，有藏結，其狀何如？答曰：按之痛，寸脉浮，關脉沉，名曰結胸也。“何謂藏結？”答曰：如結胸狀，飲食如故，時時下利，寸脉浮，關脉小細、沉、緊，名曰藏結。舌上白胎滑者，難治。
问曰：病有结胸，有藏结，其状何如？答曰：按之痛，寸脉浮，关脉沉，名曰结胸也。“何谓藏结？”答曰：如结胸状，饮食如故，时时下利，寸脉浮，关脉小细、沉、紧，名曰藏结。舌上白胎滑者，难治。 wèn yuē bìng yǒu jié xiōng yǒu zàng jié qí zhuàng hé rú dá yuē àn zhī tòng cùn mài fú guān mài chén míng yuē jié xiōng yě hé wèi zàng jié dá yuē rú jié xiōng zhuàng yǐn shí rú gù shí shí xià lì cùn mài fú guān mài xiǎo xì chén jǐn míng yuē zàng jié shé shàng bái tāi huá zhě nán zhì
問：病有結胸，有藏結，形狀怎樣？答：按之疼痛，寸脉浮，關脉沉，名叫結胸。又問：甚麼叫藏結？答：像結胸的形狀，飲食照常，時時下利，寸脉浮，關脉小細而沉緊，名叫藏結。舌上白苔滑的，難治。
A question: the disease has chest binding and visceral binding; what is each like? The answer: pain on pressure, a floating pulse at the inch and a deep pulse at the bar, is called chest binding. What is called visceral binding? The answer: like chest binding, with food and drink as usual, frequent diarrhoea, a floating pulse at the inch, and a small, fine, deep, tense pulse at the bar, is called visceral binding. When the tongue coating is white and slippery, it is hard to cure.
2
藏結無陽證，不徃來寒熱，其人反靜，舌上胎滑者，不可攻也。
藏结无阳证，不往来寒热，其人反静，舌上胎滑者，不可攻也。 zàng jié wú yáng zhèng bù wǎng lái hán rè qí rén fǎn jìng shé shàng tāi huá zhě bù kě gōng yě
藏結沒有陽證，不往來寒熱，病人反而安靜，舌上苔滑的，不可攻下。
Visceral binding has no yang signs: no alternating cold and heat, and the patient is instead quiet. When the tongue coating is slippery, it must not be attacked.
3
病發於陽而反下之，熱入因作結胸；病發於陰而反下之，因作痞。所以成結胸者，以下之太早故也。
病发于阳而反下之，热入因作结胸；病发于阴而反下之，因作痞。所以成结胸者，以下之太早故也。 bìng fā yú yáng ér fǎn xià zhī rè rù yīn zuò jié xiōng bìng fā yú yīn ér fǎn xià zhī yīn zuò pǐ suǒ yǐ chéng jié xiōng zhě yǐ xià zhī tài zǎo gù yě
病發於陽而反用下法，熱邪内陷就成結胸；病發於陰而反用下法，就成痞。之所以成結胸，是因為下得太早的緣故。
When a disease arising from yang is wrongly purged, the heat sinks in and makes chest binding; when one arising from yin is wrongly purged, it makes fullness. Chest binding forms because the purgation was given too early.
4
結胸者，項亦強，如柔痓狀，下之則和，宜大陷胸丸方。
结胸者，项亦强，如柔痓状，下之则和，宜大陷胸丸方。 jié xiōng zhě xiàng yì qiáng rú róu chì zhuàng xià zhī zé hé yí dà xiàn xiōng wán fāng
結胸的，項部也強硬，像柔痓的樣子，攻下就會平和，宜用大陷胸丸。
In chest binding the neck is also stiff, as in the soft spasm; purgation restores harmony. Major Chest-Binding Pill is suitable.
5
大陷胸丸方：大黄半斤。葶藶半升，熬。芒硝半升。杏人半升，去皮尖，熬黑。
大陷胸丸方：大黄半斤。葶苈半升，熬。芒硝半升。杏人半升，去皮尖，熬黑。
dà xiàn xiōng wán fāng dà huáng bàn jīn tíng lì bàn shēng áo máng xiāo bàn shēng xìng rén bàn shēng qù pí jiān áo hēi
大陷胸丸方：大黄半斤；葶藶半升，熬過；芒硝半升；杏人半升，去皮尖，熬到發黑。
Major Chest-Binding Pill: rhubarb half a jin; tingli seed half a sheng, dry-roasted; mirabilite half a sheng; apricot kernel half a sheng, tip removed, roasted until black.
6
右四味，搗篩，二味，内杏人、芒硝，合研如脂，和散，取如彈丸一枚，别搗甘遂末壹錢匕，白蜜二合，水二升，煮取一升，温頓服之，一宿乃下。如不下，更服，取下爲效，禁如藥法。
右四味，捣筛，二味，内杏人、芒硝，合研如脂，和散，取如弹丸一枚，别捣甘遂末壹钱匕，白蜜二合，水二升，煮取一升，温顿服之，一宿乃下。如不下，更服，取下为效，禁如药法。
yòu sì wèi dǎo shāi èr wèi nà xìng rén máng xiāo hé yán rú zhī hé sàn qǔ rú dàn wán yī méi bié dǎo gān suì mò yī qián bǐ bái mì èr gě shuǐ èr shēng zhǔ qǔ yī shēng wēn dùn fú zhī yī sù nǎi xià rú bù xià gèng fú qǔ xià wéi xiào jìn rú yào fǎ
以上四味，搗篩；另將杏仁、芒硝二味放入，合研如脂，和入散中，取如彈丸大一枚，另搗甘遂末一錢匕，白蜜二合，水二升，煮取一升，温熱一次服下，過一夜才瀉下。如不瀉，再服，以瀉下為效，禁忌依藥法。
The four ingredients are pounded and sieved. Apricot kernel and mirabilite are added and ground with them to a paste, then mixed into the powder. Take one pill the size of a crossbow pellet, add one qian-spoon of pounded knoxia root and two ge of white honey, boil in two sheng of water down to one sheng, and take it warm at a single draught. It moves the bowels only after a night. If it does not, take it again; free purgation is the sign of success. The prohibitions are as for the drug.
7
結胸證，其脉浮大者，不可下，下之則死。
结胸证，其脉浮大者，不可下，下之则死。 jié xiōng zhèng qí mài fú dà zhě bù kě xià xià zhī zé sǐ
結胸證，脉浮大的，不可攻下，攻下就會死。
In chest binding, when the pulse is floating and large, purgation must not be used; to purge it kills.
8
結胸證悉具，煩燥者亦死。
结胸证悉具，烦燥者亦死。 jié xiōng zhèng xī jù fán zào zhě yì sǐ
結胸的證候全都具備，而又煩躁的，也是死證。
When every sign of chest binding is present and the patient is restless, it is also fatal.
9
太陽病，脉浮而動數，浮則爲風，數則爲熱，動則爲痛，數則爲虚。頭痛發熱，微盗汗出，而反惡寒者，表未解也。醫反下之，動數變遲，膈内拒痛，胃中空虚，客氣動膈，短氣躁煩，心中懊憹，陽氣内陷，心下因鞕，則爲結胸，大陷胸湯主之。
太阳病，脉浮而动数，浮则为风，数则为热，动则为痛，数则为虚。头痛发热，微盗汗出，而反恶寒者，表未解也。医反下之，动数变迟，膈内拒痛，胃中空虚，客气动膈，短气躁烦，心中懊𢙐，阳气内陷，心下因硬，则为结胸，大陷胸汤主之。 tài yáng bìng mài fú ér dòng shuò fú zé wéi fēng shuò zé wéi rè dòng zé wéi tòng shuò zé wéi xū tóu tòng fā rè wēi dào hàn chū ér fǎn wù hán zhě biǎo wèi jiě yě yī fǎn xià zhī dòng shuò biàn chí gé nèi jù tòng wèi zhōng kōng xū kè qì dòng gé duǎn qì zào fán xīn zhōng ào náo yáng qì nèi xiàn xīn xià yīn yìng zé wéi jié xiōng dà xiàn xiōng tāng zhǔ zhī
太陽病，脉浮而動數，浮是風，數是熱，動是痛，數是虚。頭痛發熱，微微盗汗出，卻反而怕冷的，是表未解。醫生反用下法，動數之脉變成遲，胸膈内拒按疼痛，胃中空虚，客氣衝動胸膈，短氣煩躁，心中懊憹，陽氣内陷，心下因而鞕滿，就成了結胸，用大陷胸湯主治。
In taiyang disease with a floating, stirring, rapid pulse: floating means wind, rapid means heat, stirring means pain, and rapid means deficiency. With headache, fever, slight night sweating, and yet aversion to cold, the exterior is not yet resolved. The physician wrongly purges; the stirring, rapid pulse turns slow; there is pain on pressure within the diaphragm, the stomach is empty, alien qi stirs the diaphragm, with shortness of breath, restlessness, and a stifled, troubled feeling in the chest; yang qi sinks inward and the epigastrium becomes hard, making chest binding. Major Chest-Binding Decoction governs it.
ruò bù jié xiōng dàn tóu hàn chū yú wú hàn jì jǐng ér huán xiǎo biàn bù lì shēn bì fā huáng yě
若不結胸，只是頭部出汗，其餘無汗，汗到頸部就回，小便不利的，身體一定發黄。
If there is no chest binding, but sweat appears only on the head, nowhere else, turning back at the neck, and urination is blocked, the body will surely turn yellow.
11
大陷胸湯方：大黄六兩，去皮。芒硝一升。甘遂一錢。
大陷胸汤方：大黄六两，去皮。芒硝一升。甘遂一钱。
dà xiàn xiōng tāng fāng dà huáng liù liǎng qù pí máng xiāo yī shēng gān suì yī qián
大陷胸湯方：大黄六兩，去皮；芒硝一升；甘遂一錢。
Major Chest-Binding Decoction: rhubarb six liang, peeled; mirabilite one sheng; kansui root one qian.
12
右三味，以水六升，先煮大黄，取二升，去滓，内芒消，煮一兩沸，内甘遂末，温服一升，得快利，止後服。
右三味，以水六升，先煮大黄，取二升，去滓，内芒消，煮一两沸，内甘遂末，温服一升，得快利，止后服。
yòu sān wèi yǐ shuǐ liù shēng xiān zhǔ dà huáng qǔ èr shēng qù zǐ nà máng xiāo zhǔ yī liǎng fèi nèi gān suì mò wēn fú yī shēng dé kuài lì zhǐ hòu fú
以上三味，用水六升，先煮大黄，取二升，去渣，放入芒硝，煮一兩沸，再放入甘遂末，温服一升，得暢利後就停止後服。
The three ingredients: boil rhubarb first in six sheng of water down to two sheng, strain, add mirabilite, bring to one or two boils, then stir in the pounded knoxia root. Take one sheng warm. When free purgation comes, stop the remaining doses.
13
傷寒六七日，結胸熱實，脉沉而緊，心下痛，按之石鞕者，大陷胸湯主之。
伤寒六七日，结胸热实，脉沉而紧，心下痛，按之石硬者，大陷胸汤主之。 shāng hán liù qī rì jié xiōng rè shí mài chén ér jǐn xīn xià tòng àn zhī shí yìng zhě dà xiàn xiōng tāng zhǔ zhī
傷寒六七日，結胸屬熱屬實，脉沉而緊，心下疼痛，按之像石頭一樣鞕的，用大陷胸湯主治。
After six or seven days of cold damage, with chest binding that is hot and replete, a deep, tense pulse, and pain below the heart that feels hard as stone on pressure, Major Chest-Binding Decoction governs it.
14
傷寒十餘日，熱結在裏，復往來寒熱者，與大柴胡湯。
伤寒十余日，热结在里，复往来寒热者，与大柴胡汤。 shāng hán shí yú rì rè jié zài lǐ fù wǎng lái hán rè zhě yǔ dà chái hú tāng
傷寒十多天，熱結在裏，又往來寒熱的，給與大柴胡湯。
After more than ten days of cold damage, with heat bound inside and alternating cold and heat returning, give Major Bupleurum Decoction.
15
但結胸無大熱者，此爲水結在胸脅也。但頭微汗出者，大陷胸湯主之。
但结胸无大热者，此为水结在胸胁也。但头微汗出者，大陷胸汤主之。 dàn jié xiōng wú dà rè zhě cǐ wéi shuǐ jié zài xiōng xié yě dàn tóu wēi hàn chū zhě dà xiàn xiōng tāng zhǔ zhī
只是結胸而沒有大熱的，這是水結在胸脅。只是頭部微微出汗的，用大陷胸湯主治。
Chest binding without great heat is water bound in the chest and flank. When only the head sweats slightly, Major Chest-Binding Decoction governs it.
16
太陽病，重發汗，而復下之，不大便五六日，舌上燥而渴，日晡所，小有潮熱，從心下至少腹，鞕滿而痛不可近者，大陷胸湯主之。
太阳病，重发汗，而复下之，不大便五六日，舌上燥而渴，日晡所，小有潮热，从心下至少腹，硬满而痛不可近者，大陷胸汤主之。 tài yáng bìng chóng fā hàn ér fù xià zhī bù dà biàn wǔ liù rì shé shàng zào ér kě rì bū suǒ xiǎo yǒu cháo rè cóng xīn xià zhì shào fù yìng mǎn ér tòng bù kě jìn zhě dà xiàn xiōng tāng zhǔ zhī
太陽病，反復發汗，又用下法，五六日不大便，舌上乾燥而渴，傍晚時分稍有潮熱，從心下到少腹鞕滿疼痛，不能觸近的，用大陷胸湯主治。
In taiyang disease, after repeated sweating and then purgation, with no stool for five or six days, a dry tongue and thirst, slight tidal fever toward evening, and hardness and fullness from the epigastrium to the lower abdomen so painful that it cannot be touched, Major Chest-Binding Decoction governs it.
17
小結胸病，正在心下，按之則痛，脉浮滑者，小陷胸湯主之。
小结胸病，正在心下，按之则痛，脉浮滑者，小陷胸汤主之。 xiǎo jié xiōng bìng zhèng zài xīn xià àn zhī zé tòng mài fú huá zhě xiǎo xiàn xiōng tāng zhǔ zhī
小結胸病，正在心下，按了就痛，脉浮滑的，用小陷胸湯主治。
Minor chest binding sits exactly below the heart, hurts on pressure, and has a floating, slippery pulse; Minor Chest-Binding Decoction governs it.
18
小陷胸湯方：黄連一兩。半夏半升，洗。括蔞實大者一枚。
小陷胸汤方：黄连一两。半夏半升，洗。括蒌实大者一枚。
xiǎo xiàn xiōng tāng fāng huáng lián yī liǎng bàn xià bàn shēng xǐ guā lóu shí dà zhě yī méi
小陷胸湯方：黄連一兩；半夏半升，洗淨；括蔞實大者一枚。
Minor Chest-Binding Decoction: coptis one liang; pinellia half a sheng, washed; trichosanthes fruit one large piece.
19
右三味，以水六升，先煮括蔞，取三升，去滓，内諸藥，煮取二升，去滓，分温三服。
右三味，以水六升，先煮括蒌，取三升，去滓，内诸药，煮取二升，去滓，分温三服。
yòu sān wèi yǐ shuǐ liù shēng xiān zhǔ guā lóu qǔ sān shēng qù zǐ nà zhū yào zhǔ qǔ èr shēng qù zǐ fēn wēn sān fú
以上三味，用水六升，先煮括蔞，取三升，去渣，放入其余藥味，煮取二升，去渣，分三次温服。
Boil trichosanthes first in six sheng of water down to three sheng, strain, add the other ingredients, boil down to two sheng, strain, and take warm in three doses.
20
太陽病二三日，不能卧，但欲起，心下必結，脉微弱者，此本有寒分也，反下之，若利止，必作結胸。未止者，四日復下之，此作恊熱利也。
太阳病二三日，不能卧，但欲起，心下必结，脉微弱者，此本有寒分也，反下之，若利止，必作结胸。未止者，四日复下之，此作协热利也。 tài yáng bìng èr sān rì bù néng wò dàn yù qǐ xīn xià bì jié mài wēi ruò zhě cǐ běn yǒu hán fèn yě fǎn xià zhī ruò lì zhǐ bì zuò jié xiōng wèi zhǐ zhě sì rì fù xià zhī cǐ zuò xié rè lì yě
太陽病二三天，不能躺卧，只想起身，心下一定結滯，脉微弱的，這是本來有寒分，反用下法，若下利停止，一定成結胸。若下利不止，第四天再下，這就成了協熱利。
In taiyang disease of two or three days, the patient cannot lie down and wants to sit up; there must be binding below the heart. With a faint, weak pulse, he had cold in him from the start. If he is wrongly purged and the diarrhoea stops, chest binding will follow; if it does not stop, and he is purged again on the fourth day, this makes heat-assisted diarrhoea.
21
太陽病，下之，其脉促，不結胸者，此爲欲解也。脉浮者，必結胸也；脉緊者，必咽痛；脉弦者，必兩脅拘急；脉細數者，頭痛未止；脉沉緊者，必欲嘔；脉沉滑者，恊熱利；脉浮滑者，必下血。
太阳病，下之，其脉促，不结胸者，此为欲解也。脉浮者，必结胸也；脉紧者，必咽痛；脉弦者，必两胁拘急；脉细数者，头痛未止；脉沉紧者，必欲呕；脉沉滑者，协热利；脉浮滑者，必下血。 tài yáng bìng xià zhī qí mài cù bù jié xiōng zhě cǐ wéi yù jiě yě mài fú zhě bì jié xiōng yě mài jǐn zhě bì yàn tòng mài xián zhě bì liǎng xié jū jí mài xì shuò zhě tóu tòng wèi zhǐ mài chén jǐn zhě bì yù ǒu mài chén huá zhě xié rè lì mài fú huá zhě bì xià xuè
太陽病，攻下之後，脉促而不結胸的，這是將要解。脉浮的，一定結胸；脉緊的，一定咽痛；脉弦的，一定兩脅拘急；脉細數的，頭痛不會停止；脉沉緊的，一定想嘔；脉沉滑的，是協熱利；脉浮滑的，一定下血。
In taiyang disease after purgation, a hurried pulse without chest binding means the disease is about to resolve. A floating pulse means chest binding; a tense pulse, sore throat; a string-like pulse, cramping of both flanks; a fine, rapid pulse, headache that does not stop; a deep, tense pulse, a wish to vomit; a deep, slippery pulse, heat-assisted diarrhoea; a floating, slippery pulse, bleeding.
22
病在陽，應以汗解之，反以冷水潠之，若灌之，其熱被卻不得去，彌更益煩，肉上粟起，意欲飲水，反不渴者，服文蛤散。
病在阳，应以汗解之，反以冷水潠之，若灌之，其热被却不得去，弥更益烦，肉上粟起，意欲饮水，反不渴者，服文蛤散。
bìng zài yáng yìng yǐ hàn jiě zhī fǎn yǐ lěng shuǐ sùn zhī ruò guàn zhī qí rè bèi què bù dé qù mí gèng yì fán ròu shàng sù qǐ yì yù yǐn shuǐ fǎn bù kě zhě fú wén gé sǎn
病在表，應當用汗法解，反用冷水噴灑，或用水澆灌，熱被遏卻不能散去，更加煩躁，皮膚上起粟粒，心裏想喝水，反而口不渴的，服文蛤散。
When the disease is in the exterior it should be resolved by sweating. If cold water is instead sprayed or poured over him, the heat is driven back and cannot leave, the restlessness grows worse, gooseflesh rises on the skin, and though he thinks of drinking, he is not thirsty: give Clam Shell Powder.
23
若不差者，與五苓散。
若不差者，与五苓散。
ruò bù chài zhě yǔ wǔ líng sǎn
若不愈的，給與五苓散。
If he does not recover, give Five-Ingredient Poria Powder.
24
寒實結胸，無熱證者，與三物小陷胸湯，白散亦可服。
寒实结胸，无热证者，与三物小陷胸汤，白散亦可服。 hán shí jié xiōng wú rè zhèng zhě yǔ sān wù xiǎo xiàn xiōng tāng bái sǎn yì kě fú
寒實結胸，沒有熱證的，給與三物小陷胸湯，白散也可服。
Cold-replete chest binding without heat signs: give the three-drug Minor Chest-Binding Decoction; White Powder may also be taken.
25
文蛤散方：文蛤五兩。
文蛤散方：文蛤五两。
wén gé sǎn fāng wén gé wǔ liǎng
文蛤散方：文蛤五兩。
Clam Shell Powder: clam shell five liang.
26
右一味，爲散，以沸湯和一錢匕服。湯用五合。
右一味，为散，以沸汤和一钱匕服。汤用五合。
yòu yī wèi wéi sàn yǐ fèi tāng hé yī qián bǐ fú tāng yòng wǔ gě
以上一味，研為散，用沸湯調和一錢匕服下。用水五合。
The single ingredient is powdered. Mix one qian-spoon with boiling water and take it; use five ge of water.
27
白散方：桔梗三分。芭豆一分，去皮心，熬黑，研如脂。貝母三分。
白散方：桔梗三分。巴豆一分，去皮心，熬黑，研如脂。贝母三分。
bái sǎn fāng jié gěng sān fēn bā dòu yī fēn qù pí xīn áo hēi yán rú zhī bèi mǔ sān fēn
白散方：桔梗三分；芭豆一分，去皮心，熬到發黑，研成脂膏；貝母三分。
White Powder: platycodon three fen; croton seed one fen, skin and core removed, roasted until black, ground to a paste; fritillaria three fen.
28
右件三味爲末，内芭豆，更於臼中杵之，以白飲和服。強人半錢，羸者減之。病在膈上必吐，在膈下必利。不利，進熱粥一杯；利過不止，進冷粥一杯。身熱皮粟不解，欲引衣自覆者，若水以潠之，洗之，益令熱卻不得出。當汗而不汗則煩，假令汗出，已腹中痛，與芍藥三兩，如上法。
右件三味为末，内芭豆，更于臼中杵之，以白饮和服。强人半钱，羸者减之。病在膈上必吐，在膈下必利。不利，进热粥一杯；利过不止，进冷粥一杯。身热皮粟不解，欲引衣自覆者，若水以潠之，洗之，益令热却不得出。当汗而不汗则烦，假令汗出，已腹中痛，与芍药三两，如上法。
yòu jiàn sān wèi wéi mò nà bā dòu gèng yú jiù zhōng chǔ zhī yǐ bái yǐn hé fú qiáng rén bàn qián léi zhě jiǎn zhī bìng zài gé shàng bì tǔ zài gé xià bì lì bù lì jìn rè zhōu yī bēi lì guò bù zhǐ jìn lěng zhōu yī bēi shēn rè pí sù bù jiě yù yǐn yī zì fù zhě ruò shuǐ yǐ sùn zhī xǐ zhī yì lìng rè què bù dé chū dāng hàn ér bù hàn zé fán jiǎ lìng hàn chū yǐ fù zhōng tòng yǔ sháo yào sān liǎng rú shàng fǎ
以上三味研為末，放入巴豆，再在臼中搗，用白飲調和服下。強壯的人半錢，瘦弱的人減量。病在膈上的必定吐，在膈下的必定利。不利的，喝熱粥一杯；利太過不止的，喝冷粥一杯。身熱皮膚起粟不解，想拉衣自蓋的，若用水噴它、洗它，更使熱遏住不得出。當汗而不汗就煩，假使汗已出，腹中疼痛，給芍藥三兩，依上法。
The three ingredients are ground to a powder; croton is added and pounded again in a mortar, and the powder is taken mixed in white rice water. Half a qian for a strong man, less for a weak one. If the disease is above the diaphragm it will make him vomit; if below, it will purge. If it does not purge, take a cup of hot gruel; if the purging goes too far, a cup of cold gruel. If fever and gooseflesh do not resolve and he wants to draw his clothes over himself, spraying or washing him with water will only drive the heat back so that it cannot escape. When sweating is due and does not come, there is restlessness. If sweating has already occurred and the abdomen hurts, give three liang of peony root as above.
29
太陽與少陽併病，頭項強痛，或眩冒，時如結胸，心下痞鞕者，當刺大椎第一間，肺俞、肝俞。慎不可發汗，發汗則讝語，脉弦，五六日讝語不止，當刺期門。
太阳与少阳并病，头项强痛，或眩冒，时如结胸，心下痞硬者，当刺大椎第一间，肺俞、肝俞。慎不可发汗，发汗则讝语，脉弦，五六日讝语不止，当刺期门。 tài yáng yǔ shào yáng bìng bìng tóu xiàng qiáng tòng huò xuàn mào shí rú jié xiōng xīn xià pǐ yìng zhě dāng cì dà chuí dì yī jiān fèi yú gān yú shèn bù kě fā hàn fā hàn zé zhān yǔ mài xián wǔ liù rì zhān yǔ bù zhǐ dāng cì qī mén
太陽與少陽併病，頭項強痛，或眩冒，時時像結胸，心下痞鞕的，當刺大椎第一間、肺俞、肝俞。慎不可發汗，發汗就讝語，脉弦，五六日讝語不止，當刺期門。
When taiyang and shaoyang are diseased together, with stiffness and pain of the head and nape, dizziness, occasional feelings like chest binding, and hardness and fullness below the heart, needle the first space below the great vertebra, and the lung and liver transport points. Sweating must be carefully avoided: it brings delirious speech. If the pulse is string-like and the delirious speech does not stop after five or six days, needle the liver meeting point.
30
婦人中風，發熱惡寒，經水適來，得之七八日，熱除，而脉遲身凉，胸脅下滿，如結胸狀，讝語者，此爲熱入血室也。當刺期門，隨其實而瀉之。
妇人中风，发热恶寒，经水适来，得之七八日，热除，而脉迟身凉，胸胁下满，如结胸状，讝语者，此为热入血室也。当刺期门，随其实而泻之。 fù rén zhòng fēng fā rè wù hán jīng shuǐ shì lái dé zhī qī bā rì rè chú ér mài chí shēn liáng xiōng xié xià mǎn rú jié xiōng zhuàng zhān yǔ zhě cǐ wéi rè rù xuè shì yě dāng cì qī mén suí qí shí ér xiè zhī
婦人中風，發熱怕冷，月經恰來，得病七八天，熱退，脉遲身凉，胸脅下滿，像結胸的形狀，讝語的，這是熱入血室。當刺期門，隨其實而瀉之。
A woman with wind-strike, fever and aversion to cold, whose menses come just then: seven or eight days later the fever clears, the pulse slows, the body cools, but the chest and flank are full as in chest binding and she speaks deliriously. This is heat entering the blood chamber. Needle the liver meeting point and drain it according to what is replete.
31
婦人中風七八日，續得寒熱，發作有時，經水適斷者，此爲熱入血室，其血必結，故使如瘧狀，發作有時，小柴胡湯主之。
妇人中风七八日，续得寒热，发作有时，经水适断者，此为热入血室，其血必结，故使如疟状，发作有时，小柴胡汤主之。 fù rén zhòng fēng qī bā rì xù dé hán rè fā zuò yǒu shí jīng shuǐ shì duàn zhě cǐ wéi rè rù xuè shì qí xuè bì jié gù shǐ rú nüè zhuàng fā zuò yǒu shí xiǎo chái hú tāng zhǔ zhī
婦人中風七八天，繼而寒熱，發作有時，月經恰斷的，這是熱入血室，其血必結，所以使她像瘧疾一樣發作有時，用小柴胡湯主治。
A woman with wind-strike of seven or eight days who then has chills and fever at fixed times, her menses just stopping: this is heat entering the blood chamber, and the blood will bind. That is why she has attacks at fixed times like malaria. Minor Bupleurum Decoction governs it.
32
婦人傷寒發熱，經水適來，晝日明了，暮則讝語，如見鬼狀者，此爲熱入血室，無犯胃氣及上二焦，必自愈。
妇人伤寒发热，经水适来，昼日明了，暮则讝语，如见鬼状者，此为热入血室，无犯胃气及上二焦，必自愈。 fù rén shāng hán fā rè jīng shuǐ shì lái zhòu rì míng liǎo mù zé zhān yǔ rú jiàn guǐ zhuàng zhě cǐ wéi rè rù xuè shì wú fàn wèi qì jí shàng èr jiāo bì zì yù
婦人傷寒發熱，月經恰來，白天神志清楚，傍晚就讝語，像見鬼一樣的，這是熱入血室，不要傷胃氣與上中二焦，一定自愈。
A woman with cold damage and fever whose menses come just then: clear-headed by day, delirious at dusk as if seeing ghosts. This is heat entering the blood chamber. Do not injure the stomach qi or the upper two burners; she will recover of herself.
33
傷寒六七日，發熱微惡寒，支節煩疼，微嘔，心下支結，外證未去者，柴胡加桂枝湯主之。
伤寒六七日，发热微恶寒，支节烦疼，微呕，心下支结，外证未去者，柴胡加桂枝汤主之。
shāng hán liù qī rì fā rè wēi wù hán zhī jié fán téng wēi ǒu xīn xià zhī jié wài zhèng wèi qù zhě chái hú jiā guì zhī tāng zhǔ zhī
傷寒六七天，發熱微怕冷，肢節煩疼，微嘔，心下支結，外證未去的，用柴胡加桂枝湯主治。
After six or seven days of cold damage, with fever, slight aversion to cold, aching irritation of the limbs and joints, slight vomiting, and a feeling of support and binding below the heart while exterior signs remain, Bupleurum plus Cinnamon Twig Decoction governs it.
34
傷寒五六日，已發汗而復下之，胸脅滿微結，小便不利，渴而不嘔，但頭汗出，往來寒熱，心煩者，此爲未解也，柴胡桂枝乾薑湯主之。
伤寒五六日，已发汗而复下之，胸胁满微结，小便不利，渴而不呕，但头汗出，往来寒热，心烦者，此为未解也，柴胡桂枝干姜汤主之。 shāng hán wǔ liù rì yǐ fā hàn ér fù xià zhī xiōng xié mǎn wēi jié xiǎo biàn bù lì kě ér bù ǒu dàn tóu hàn chū wǎng lái hán rè xīn fán zhě cǐ wéi wèi jiě yě chái hú guì zhī gān jiāng tāng zhǔ zhī
傷寒五六天，已經發汗又用下法，胸脅滿而微結，小便不利，口渴而不嘔，只是頭部出汗，往來寒熱，心煩的，這是未解，用柴胡桂枝乾薑湯主治。
After five or six days of cold damage, having been sweated and then purged, with fullness and slight binding of the chest and flank, blocked urination, thirst without vomiting, sweat on the head only, alternating cold and heat, and restlessness, this is unresolved; Bupleurum, Cinnamon Twig and Dried Ginger Decoction governs it.
35
柴胡桂枝乾薑湯方：柴胡半斤。桂枝三兩，去皮。乾薑二兩。括蔞根四兩。黄芩三兩。牡蠣二兩，熬。甘草二兩，炙。
柴胡桂枝干姜汤方：柴胡半斤。桂枝三两，去皮。干姜二两。括蒌根四两。黄芩三两。牡蛎二两，熬。甘草二两，炙。
chái hú guì zhī gān jiāng tāng fāng chái hú bàn jīn guì zhī sān liǎng qù pí gān jiāng èr liǎng guā lóu gēn sì liǎng huáng qín sān liǎng mǔ lì èr liǎng áo gān cǎo èr liǎng zhì
柴胡桂枝乾薑湯方：柴胡半斤；桂枝三兩，去皮；乾薑二兩；括蔞根四兩；黄芩三兩；牡蠣二兩，熬過；甘草二兩，炙過。
Bupleurum, Cinnamon Twig and Dried Ginger Decoction: bupleurum half a jin; cinnamon twig three liang, peeled; dried ginger two liang; trichosanthes root four liang; scutellaria three liang; oyster shell two liang, dry-roasted; liquorice two liang, honey-fried.
36
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。初服微煩，復服汗出便愈。
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。初服微烦，复服汗出便愈。
yòu qī wèi yǐ shuǐ yī dǒu èr shēng zhǔ qǔ liù shēng qù zǐ zài jiān qǔ sān shēng wēn fú yī shēng rì sān fú chū fú wēi fán fù fú hàn chū biàn yù
以上七味，用水一斗二升，煮取六升，去渣，再煎取三升，温服一升，日服三次。初服微煩，再服汗出就愈。
The seven ingredients are boiled in one dou and two sheng of water down to six sheng, strained, boiled again down to three sheng, and one sheng taken warm three times a day. The first dose brings slight restlessness; with the next, sweating brings recovery.
37
傷寒五六日，頭汗出，微惡寒，手足冷，心下滿，口不欲食，大便鞕，脉細者，此爲陽微結，必有表復有裏也。脉沉亦在裏也。汗出爲陽微，假令純陰結，不得復有外證，悉入在裏，此爲半在裏半在外也。脉雖沉緊，不得爲少陰病。所以然者，陰不得有汗，今頭汗出，故知非少陰也，可與小柴胡湯。設不了了者，得屎而解。
伤寒五六日，头汗出，微恶寒，手足冷，心下满，口不欲食，大便硬，脉细者，此为阳微结，必有表复有里也。脉沉亦在里也。汗出为阳微，假令纯阴结，不得复有外证，悉入在里，此为半在里半在外也。脉虽沉紧，不得为少阴病。所以然者，阴不得有汗，今头汗出，故知非少阴也，可与小柴胡汤。设不了了者，得屎而解。 shāng hán wǔ liù rì tóu hàn chū wēi wù hán shǒu zú lěng xīn xià mǎn kǒu bù yù shí dà biàn yìng mài xì zhě cǐ wéi yáng wēi jié bì yǒu biǎo fù yǒu lǐ yě mài chén yì zài lǐ yě hàn chū wéi yáng wēi jiǎ lìng chún yīn jié bù dé fù yǒu wài zhèng xī rù zài lǐ cǐ wéi bàn zài lǐ bàn zài wài yě mài suī chén jǐn bù dé wéi shào yīn bìng suǒ yǐ rán zhě yīn bù dé yǒu hàn jīn tóu hàn chū gù zhī fēi shào yīn yě kě yǔ xiǎo chái hú tāng shè bù liǎo liǎo zhě dé shǐ ér jiě
傷寒五六天，頭部出汗，微怕冷，手足冷，心下滿，不想吃東西，大便鞕，脉細的，這是陽微結，一定有表又有裏。脉沉也是在裏。汗出是陽微，假使純屬陰結，不該再有外證，全都入裏，這是半在裏半在外。脉雖沉緊，不能算少陰病。所以這樣，是因為陰病不該有汗，現在頭部出汗，就知道不是少陰，可以給小柴胡湯。假使仍不清爽，得大便就解。
After five or six days of cold damage, with sweat on the head, slight aversion to cold, cold hands and feet, fullness below the heart, no wish for food, a hard stool, and a fine pulse, this is a slight yang binding, and there must be both exterior and interior. A deep pulse also means interior. Sweat means the yang is slight; if it were pure yin binding there could be no exterior signs, all would be inside, whereas this is half inside and half outside. Though the pulse is deep and tense, it cannot be a shaoyin disease, for yin should not sweat; since the head sweats, it is not shaoyin. Minor Bupleurum Decoction may be given. If he is still not clear, a stool will resolve it.
38
傷寒五六日，嘔而發熱者，柴胡湯證具，而以他藥下之，柴胡證仍在者，復與柴胡湯，此雖已下之，不爲逆，必蒸蒸而振，卻發熱汗出而解。若心下滿而鞕痛者，此爲結胸也，大陷胸湯主之。但滿而不痛者，此爲痞，柴胡不中與之，宜半夏瀉心湯。
伤寒五六日，呕而发热者，柴胡汤证具，而以他药下之，柴胡证仍在者，复与柴胡汤，此虽已下之，不为逆，必蒸蒸而振，却发热汗出而解。若心下满而硬痛者，此为结胸也，大陷胸汤主之。但满而不痛者，此为痞，柴胡不中与之，宜半夏泻心汤。 shāng hán wǔ liù rì ǒu ér fā rè zhě chái hú tāng zhèng jù ér yǐ tā yào xià zhī chái hú zhèng réng zài zhě fù yǔ chái hú tāng cǐ suī yǐ xià zhī bù wéi nì bì zhēng zhēng ér zhèn què fā rè hàn chū ér jiě ruò xīn xià mǎn ér yìng tòng zhě cǐ wéi jié xiōng yě dà xiàn xiōng tāng zhǔ zhī dàn mǎn ér bù tòng zhě cǐ wéi pǐ chái hú bù zhòng yǔ zhī yí bàn xià xiè xīn tāng
傷寒五六天，嘔而發熱，柴胡湯的證候具備，卻用別的藥攻下，柴胡證仍在的，再給柴胡湯，這雖然已經下過，不算誤治，一定蒸蒸而振，接著發熱汗出而解。若心下滿而鞕痛的，這是結胸，用大陷胸湯主治。只是滿而不痛的，這是痞，柴胡湯不宜給，宜用半夏瀉心湯。
After five or six days of cold damage with vomiting and fever, the signs of Bupleurum Decoction are complete; if another drug is used to purge and the Bupleurum signs remain, give Bupleurum Decoction again. Though purged, this is not a mistreatment: he will shake and steam, then break into fever and sweat and be resolved. If the epigastrium is full and hard with pain, this is chest binding, and Major Chest-Binding Decoction governs it. If it is full without pain, this is fullness, and Bupleurum is not to be given; Pinellia Heart-Draining Decoction is suitable.
39
半夏瀉心湯方：半夏半升，洗。黄芩三兩。乾薑三兩。人参三兩。甘草二兩，炙。黄連一兩。大棗十二枚，擘。
半夏泻心汤方：半夏半升，洗。黄芩三两。干姜三两。人参三两。甘草二两，炙。黄连一两。大枣十二枚，擘。
bàn xià xiè xīn tāng fāng bàn xià bàn shēng xǐ huáng qín sān liǎng gān jiāng sān liǎng rén shēn sān liǎng gān cǎo èr liǎng zhì huáng lián yī liǎng dà zǎo shí èr méi bò
半夏瀉心湯方：半夏半升，洗淨；黄芩三兩；乾薑三兩；人参三兩；甘草二兩，炙過；黄連一兩；大棗十二枚，掰開。
Pinellia Heart-Draining Decoction: pinellia half a sheng, washed; scutellaria three liang; dried ginger three liang; ginseng three liang; liquorice two liang, honey-fried; coptis one liang; jujube twelve pieces, split.
40
右七味，以水一斗，煮取六升，去滓，再煮取三升。温服一升，日三服。
右七味，以水一斗，煮取六升，去滓，再煮取三升。温服一升，日三服。
yòu qī wèi yǐ shuǐ yī dǒu zhǔ qǔ liù shēng qù zǐ zài zhǔ qǔ sān shēng wēn fú yī shēng rì sān fú
以上七味，用水一斗，煮取六升，去渣，再煮取三升。温服一升，日服三次。
The seven ingredients are boiled in one dou of water down to six sheng, strained, and boiled again down to three sheng. Take one sheng warm three times a day.
41
太陽少陽併病，而反下之，成結胸，心下鞕，下利不止，水漿不下，其人心煩。
太阳少阳并病，而反下之，成结胸，心下硬，下利不止，水浆不下，其人心烦。 tài yáng shào yáng bìng bìng ér fǎn xià zhī chéng jié xiōng xīn xià yìng xià lì bù zhǐ shuǐ jiāng bù xià qí rén xīn fán
太陽少陽併病，反而攻下，成了結胸，心下鞕，下利不止，水漿不下，病人心煩。
When taiyang and shaoyang are diseased together and are wrongly purged, chest binding forms: the epigastrium is hard, diarrhoea does not stop, water and gruel will not go down, and the patient is restless.
42
脉浮而緊，而復下之，緊反入裏，則作痞，按之自濡，但氣痞耳。
脉浮而紧，而复下之，紧反入里，则作痞，按之自濡，但气痞耳。
mài fú ér jǐn ér fù xià zhī jǐn fǎn rù lǐ zé zuò pǐ àn zhī zì rú dàn qì pǐ ěr
脉浮而緊，又用下法，緊反而入裏，就成痞，按之自然柔軟，只是氣痞罷了。
A floating, tense pulse, purged again: the tension turns inward and makes fullness. It is soft on pressure; it is only a fullness of qi.
43
太陽中風，下利嘔逆，表解者，乃可攻之。其人漐漐汗出，發作有時，頭痛，心下痞鞕，滿引脅下痛，乾嘔短氣，汗出不惡寒者，此表解裏未和也，十棗湯主之。
太阳中风，下利呕逆，表解者，乃可攻之。其人漐漐汗出，发作有时，头痛，心下痞硬，满引胁下痛，干呕短气，汗出不恶寒者，此表解里未和也，十枣汤主之。
tài yáng zhòng fēng xià lì ǒu nì biǎo jiě zhě nǎi kě gōng zhī qí rén zhí zhí hàn chū fā zuò yǒu shí tóu tòng xīn xià pǐ yìng mǎn yǐn xié xià tòng gān ǒu duǎn qì hàn chū bù wù hán zhě cǐ biǎo jiě lǐ wèi hé yě shí zǎo tāng zhǔ zhī
太陽中風，下利嘔逆，表解之後，才可以攻裏。病人微微出汗，發作有時，頭痛，心下痞鞕，脹滿牽引脅下疼痛，乾嘔短氣，汗出而不怕冷的，這是表已解而裏未和，用十棗湯主治。
In taiyang wind-strike with diarrhoea and vomiting, the interior may be attacked only after the exterior is resolved. When the patient sweats faintly at fixed times, has headache, hardness and fullness below the heart with fullness drawing pain in the flank, dry retching and shortness of breath, and sweats without aversion to cold, the exterior is resolved but the interior is not harmonised; Ten Jujube Decoction governs it.
44
十棗湯方：芫花，熬。大戟。甘遂。大棗十枚，擘。
十枣汤方：芫花，熬。大戟。甘遂。大枣十枚，擘。
shí zǎo tāng fāng yuán huā áo dà jǐ gān suì dà zǎo shí méi bò
十棗湯方：芫花，熬過；大戟；甘遂；大棗十枚，掰開。
Ten Jujube Decoction: genkwa flower, dry-roasted; euphorbia root; kansui root; jujube ten pieces, split.
45
右上三味，等分，各别搗爲散，以水一升半，先煮大棗肥者十枚，取八合，去滓，内藥末，強人服一錢匕，羸人服半錢，温服之，平旦服。若下少病不除者，明日更服，加半錢，得快下利後，糜粥自養。
右上三味，等分，各别捣为散，以水一升半，先煮大枣肥者十枚，取八合，去滓，内药末，强人服一钱匕，羸人服半钱，温服之，平旦服。若下少病不除者，明日更服，加半钱，得快下利后，糜粥自养。
yòu shàng sān wèi děng fēn gè bié dǎo wéi sàn yǐ shuǐ yī shēng bàn xiān zhǔ dà zǎo féi zhě shí méi qǔ bā gě qù zǐ nà yào mò qiáng rén fú yī qián bǐ léi rén fú bàn qián wēn fú zhī píng dàn fú ruò xià shào bìng bù chú zhě míng rì gèng fú jiā bàn qián dé kuài xià lì hòu mí zhōu zì yǎng
以上三味，等分，各自搗為散，用水一升半，先煮肥大的大棗十枚，取八合，去渣，放入藥末，強壯的人服一錢匕，瘦弱的人服半錢，温服，清晨服。若瀉下少而病不除的，明天再服，加半錢，得暢快瀉下之後，用糜粥調養。
The first three ingredients are taken in equal parts, pounded separately into powders, and mixed. Boil ten fat jujubes in one and a half sheng of water down to eight ge, strain, and stir in the powder: one qian-spoon for a strong man, half a qian for a weak one, taken warm at dawn. If the purgation is scanty and the disease persists, take it again the next day with an extra half qian. After a free purgation, nourish him with thin gruel.
46
太陽病，醫發汗，遂發熱惡寒，因復下之，心下痞，表裏俱虚，陰陽氣並竭，無陽則陰獨。復加燒針，因胸煩，面色青黄，膚瞤者，難治。今色微黄，手足温者，易愈。
太阳病，医发汗，遂发热恶寒，因复下之，心下痞，表里俱虚，阴阳气并竭，无阳则阴独。复加烧针，因胸烦，面色青黄，肤𥆧者，难治。今色微黄，手足温者，易愈。
tài yáng bìng yī fā hàn suì fā rè wù hán yīn fù xià zhī xīn xià pǐ biǎo lǐ jù xū yīn yáng qì bìng jié wú yáng zé yīn dú fù jiā shāo zhēn yīn xiōng fán miàn sè qīng huáng fū shùn zhě nán zhì jīn sè wēi huáng shǒu zú wēn zhě yì yù
太陽病，醫生發汗，於是發熱怕冷，又再攻下，心下痞，表裏都虚，陰陽之氣都竭，無陽就陰獨。又加燒針，因而胸煩，面色青黄，肌膚瞤動的，難治。現在面色微黄，手足温的，容易愈。
In taiyang disease the physician induces sweating, and fever and aversion to cold follow; then he purges, and there is fullness below the heart, with both exterior and interior empty and the qi of yin and yang exhausted. Without yang, yin stands alone. Warming needles are added, and the chest becomes restless; a blue-green or yellow complexion with twitching flesh is hard to treat. If the complexion is now slightly yellow and the hands and feet warm, recovery is easy.
47
心下痞，按之濡，其脉關上浮者，大黄黄連瀉心湯主之。
心下痞，按之濡，其脉关上浮者，大黄黄连泻心汤主之。
xīn xià pǐ àn zhī rú qí mài guān shàng fú zhě dà huáng huáng lián xiè xīn tāng zhǔ zhī
心下痞，按之柔軟，脉關上浮的，用大黄黄連瀉心湯主治。
Fullness below the heart, soft on pressure, with a floating pulse at the bar: Rhubarb and Coptis Heart-Draining Decoction governs it.
48
大黄黄連瀉心湯方：大黄二兩。黄連一兩。
大黄黄连泻心汤方：大黄二两。黄连一两。
dà huáng huáng lián xiè xīn tāng fāng dà huáng èr liǎng huáng lián yī liǎng
大黄黄連瀉心湯方：大黄二兩；黄連一兩。
Rhubarb and Coptis Heart-Draining Decoction: rhubarb two liang; coptis one liang.
49
右二味，以麻沸湯二升漬之，須臾絞去滓，分温再服。
右二味，以麻沸汤二升渍之，须臾绞去滓，分温再服。
yòu èr wèi yǐ má fèi tāng èr shēng zì zhī xū yú jiǎo qù zǐ fēn wēn zài fú
以上二味，用麻沸湯二升浸泡，片刻後絞去渣，分兩次温服。
The two ingredients are steeped in two sheng of boiling water; after a moment the liquid is wrung out and taken warm in two doses.
50
心下痞，而復惡寒汗出者，附子瀉心湯主之。
心下痞，而复恶寒汗出者，附子泻心汤主之。
xīn xià pǐ ér fù wù hán hàn chū zhě fù zǐ xiè xīn tāng zhǔ zhī
心下痞，而又怕冷出汗的，用附子瀉心湯主治。
Fullness below the heart with aversion to cold and sweating: Aconite Heart-Draining Decoction governs it.
51
本以下之，故心下痞，與瀉心湯。痞不解，其人渴而口燥煩，小便不利者，五苓散主之。
本以下之，故心下痞，与泻心汤。痞不解，其人渴而口燥烦，小便不利者，五苓散主之。 běn yǐ xià zhī gù xīn xià pǐ yǔ xiè xīn tāng pǐ bù jiě qí rén kě ér kǒu zào fán xiǎo biàn bù lì zhě wǔ líng sǎn zhǔ zhī
本來因為攻下，所以心下痞，給與瀉心湯。痞不解，病人口渴而口燥心煩，小便不利的，用五苓散主治。
Purgation is the original cause of the fullness below the heart, and Heart-Draining Decoction was given. If the fullness does not resolve, and the patient is thirsty with a dry mouth, restless, and unable to urinate, Five-Ingredient Poria Powder governs it.
52
傷寒汗出解之後，胃中不和，心下痞鞕，乾噫食臭，脅下有水氣，腹中雷鳴下利者，生薑瀉心湯主之。
伤寒汗出解之后，胃中不和，心下痞硬，干噫食臭，胁下有水汽，腹中雷鸣下利者，生姜泻心汤主之。
shāng hán hàn chū jiě zhī hòu wèi zhōng bù hé xīn xià pǐ yìng gān ài shí chòu xié xià yǒu shuǐ qì fù zhōng léi míng xià lì zhě shēng jiāng xiè xīn tāng zhǔ zhī
傷寒汗出而解之後，胃中不和，心下痞鞕，噯氣帶食物氣味，脅下有水氣，腹中雷鳴下利的，用生薑瀉心湯主治。
After cold damage has resolved with sweating, if the stomach is not harmonious, with hardness and fullness below the heart, dry belching that smells of food, water qi in the flank, rumbling in the abdomen, and diarrhoea, Fresh Ginger Heart-Draining Decoction governs it.
53
傷寒中風，醫反下之，其人下利日數十行，榖不化，腹中雷鳴，心下痞鞕而滿，乾嘔，心煩不得安。醫見心下痞，謂病不盡，復下之，其痞益甚。此非結熱，但以胃中虚，客氣上逆，故使鞕也。甘草瀉心湯主之。
伤寒中风，医反下之，其人下利日数十行，谷不化，腹中雷鸣，心下痞硬而满，干呕，心烦不得安。医见心下痞，谓病不尽，复下之，其痞益甚。此非结热，但以胃中虚，客气上逆，故使硬也。甘草泻心汤主之。 shāng hán zhòng fēng yī fǎn xià zhī qí rén xià lì rì shù shí háng gǔ bù huà fù zhōng léi míng xīn xià pǐ yìng ér mǎn gān ǒu xīn fán bù dé ān yī jiàn xīn xià pǐ wèi bìng bù jǐn fù xià zhī qí pǐ yì shèn cǐ fēi jié rè dàn yǐ wèi zhōng xū kè qì shàng nì gù shǐ yìng yě gān cǎo xiè xīn tāng zhǔ zhī
傷寒或中風，醫生反用下法，病人一天下利幾十次，穀不消化，腹中雷鳴，心下痞鞕而滿，乾嘔，心煩不得安寧。醫生見心下痞，說病未盡，又再攻下，痞更加厲害。這不是結熱，只是胃中虚，客氣上逆，所以使他鞕。用甘草瀉心湯主治。
In cold damage or wind-strike the physician wrongly purges, and the patient has dozens of stools a day, undigested grain, rumbling in the abdomen, hardness and fullness below the heart, dry retching, and restlessness that gives no peace. Seeing the fullness, the physician says the disease is not exhausted and purges again, and the fullness grows worse. This is not bound heat, but only emptiness of the stomach with alien qi rising, which makes it hard. Liquorice Heart-Draining Decoction governs it.
54
傷寒服湯藥，下利不止，心下痞鞕，服瀉心湯已，復以他藥下之，利不止，醫以理中與之，利益甚。理中者，理中焦，此利在下焦，赤石脂禹餘糧湯主之。復利不止者，當利其小便。
伤寒服汤药，下利不止，心下痞硬，服泻心汤已，复以他药下之，利不止，医以理中与之，利益甚。理中者，理中焦，此利在下焦，赤石脂禹余粮汤主之。复利不止者，当利其小便。 shāng hán fú tāng yào xià lì bù zhǐ xīn xià pǐ yìng fú xiè xīn tāng yǐ fù yǐ tā yào xià zhī lì bù zhǐ yī yǐ lǐ zhōng yǔ zhī lì yì shèn lǐ zhōng zhě lǐ zhōng jiāo cǐ lì zài xià jiāo chì shí zhī yǔ yú liáng tāng zhǔ zhī fù lì bù zhǐ zhě dāng lì qí xiǎo biàn
傷寒服湯藥，下利不止，心下痞鞕，服瀉心湯之後，又用別的藥攻下，利不止，醫生用理中湯給他，利更加厲害。理中是調理中焦的，這個利在下焦，用赤石脂禹餘糧湯主治。若再利不止，應當通利小便。
In cold damage, after taking a decoction the diarrhoea does not stop and the epigastrium is hard and full. Heart-Draining Decoction has been given, then another drug purges him, and the diarrhoea continues. The physician gives Center-Regulating Decoction and the diarrhoea worsens. That formula governs the middle burner; this diarrhoea is in the lower burner. Halloysite and Limonite Decoction governs it. If it still does not stop, urination should be promoted.
55
赤石脂禹餘糧湯方：赤石脂一斤，碎。禹餘糧一斤，碎。
赤石脂禹余粮汤方：赤石脂一斤，碎。禹余粮一斤，碎。
chì shí zhī yǔ yú liáng tāng fāng chì shí zhī yī jīn suì yǔ yú liáng yī jīn suì
赤石脂禹餘糧湯方：赤石脂一斤，打碎；禹餘糧一斤，打碎。
Halloysite and Limonite Decoction: halloysite one jin, crushed; limonite one jin, crushed.
56
已上二味，以水六升，煮取二升，去滓，三服。
已上二味，以水六升，煮取二升，去滓，三服。
yǐ shàng èr wèi yǐ shuǐ liù shēng zhǔ qǔ èr shēng qù zǐ sān fú
以上二味，用水六升，煮取二升，去渣，分三次服。
The two ingredients are boiled in six sheng of water down to two sheng, strained, and taken in three doses.
57
傷寒吐下後，發汗，虚煩，脉甚微，八九日，心下痞鞕，脅下痛，氣上衝咽喉，眩冒，經脉動惕者，久而成痿。
伤寒吐下后，发汗，虚烦，脉甚微，八九日，心下痞硬，胁下痛，气上冲咽喉，眩冒，经脉动惕者，久而成痿。 shāng hán tǔ xià hòu fā hàn xū fán mài shèn wēi bā jiǔ rì xīn xià pǐ yìng xié xià tòng qì shàng chōng yàn hóu xuàn mào jīng mài dòng tì zhě jiǔ ér chéng wěi
傷寒吐下之後，又發汗，虚煩，脉很微，八九天，心下痞鞕，脅下痛，氣上衝咽喉，眩冒，經脉動惕的，久而成痿。
After vomiting and purging in cold damage, and then sweating, with empty restlessness and a very faint pulse, after eight or nine days there is hardness and fullness below the heart, pain in the flank, qi rushing up to the throat, dizziness, and throbbing and twitching along the channels. In time this becomes flaccidity.
58
傷寒發汗，若吐、若下，解後，心下痞鞕，噫氣不除者，旋復代赭石湯主之。
伤寒发汗，若吐、若下，解后，心下痞硬，噫气不除者，旋复代赭石汤主之。
shāng hán fā hàn ruò tǔ ruò xià jiě hòu xīn xià pǐ yìng ài qì bù chú zhě xuán fù dài zhě shí tāng zhǔ zhī
傷寒發汗，或吐、或下，病解之後，心下痞鞕，噯氣不停的，用旋復代赭石湯主治。
After cold damage has been resolved by sweating, vomiting, or purging, if the epigastrium remains hard and full and belching does not stop, Inula and Hematite Decoction governs it.
59
旋復代赭石湯方：旋復花三兩。人参二兩。生薑五兩，切。半夏半升，洗。代赭石一兩。大棗十二枚，擘。甘草三兩，炙。
旋复代赭石汤方：旋复花三两。人参二两。生姜五两，切。半夏半升，洗。代赭石一两。大枣十二枚，擘。甘草三两，炙。
xuán fù dài zhě shí tāng fāng xuán fù huā sān liǎng rén shēn èr liǎng shēng jiāng wǔ liǎng qiē bàn xià bàn shēng xǐ dài zhě shí yī liǎng dà zǎo shí èr méi bò gān cǎo sān liǎng zhì
旋復代赭石湯方：旋復花三兩；人参二兩；生薑五兩，切片；半夏半升，洗淨；代赭石一兩；大棗十二枚，掰開；甘草三兩，炙過。
Inula and Hematite Decoction: inula flower three liang; ginseng two liang; fresh ginger five liang, sliced; pinellia half a sheng, washed; hematite one liang; jujube twelve pieces, split; liquorice three liang, honey-fried.
60
右件七味，以水一斗，煮取六升，去滓，再煎取三升，温服一升，日三服。
右件七味，以水一斗，煮取六升，去滓，再煎取三升，温服一升，日三服。
yòu jiàn qī wèi yǐ shuǐ yī dǒu zhǔ qǔ liù shēng qù zǐ zài jiān qǔ sān shēng wēn fú yī shēng rì sān fú
以上七味，用水一斗，煮取六升，去渣，再煎取三升，温服一升，日服三次。
The seven ingredients are boiled in one dou of water down to six sheng, strained, boiled again down to three sheng, and one sheng taken warm three times a day.
61
下後不可更行桂枝湯，若汗出而喘，無大熱者，可與麻黄杏子甘草石膏湯。
下后不可更行桂枝汤，若汗出而喘，无大热者，可与麻黄杏子甘草石膏汤。
xià hòu bù kě gèng xíng guì zhī tāng ruò hàn chū ér chuǎn wú dà rè zhě kě yǔ má huáng xìng zǐ gān cǎo shí gāo tāng
攻下之後不可再用桂枝湯，若汗出而喘，沒有大熱的，可以給麻黄杏子甘草石膏湯。
After purgation, Cinnamon Twig Decoction must not be used again. If there is sweating and breathlessness without great heat, Ephedra, Apricot Kernel, Liquorice and Gypsum Decoction may be given.
62
太陽病，外證未除，而數下之，遂恊熱而利，利下不止，心下痞鞕，表裏不解者，桂枝人參湯主之。
太阳病，外证未除，而数下之，遂协热而利，利下不止，心下痞硬，表里不解者，桂枝人参汤主之。
tài yáng bìng wài zhèng wèi chú ér shuò xià zhī suì xié rè ér lì lì xià bù zhǐ xīn xià pǐ yìng biǎo lǐ bù jiě zhě guì zhī rén shēn tāng zhǔ zhī
太陽病，外證未除，卻屢次攻下，於是協熱而利，下利不止，心下痞鞕，表裏都不解的，用桂枝人參湯主治。
In taiyang disease with exterior signs unresolved, repeated purgation brings heat-assisted diarrhoea that does not stop, with hardness and fullness below the heart and no resolution of either exterior or interior; Cinnamon Twig and Ginseng Decoction governs it.
63
桂枝人參湯方：桂枝四兩，去皮。甘草四兩，炙。白術三兩。人参三兩。乾薑三兩。
桂枝人参汤方：桂枝四两，去皮。甘草四两，炙。白术三两。人参三两。干姜三两。
guì zhī rén shēn tāng fāng guì zhī sì liǎng qù pí gān cǎo sì liǎng zhì bái zhú sān liǎng rén shēn sān liǎng gān jiāng sān liǎng
桂枝人參湯方：桂枝四兩，去皮；甘草四兩，炙過；白術三兩；人参三兩；乾薑三兩。
Cinnamon Twig and Ginseng Decoction: cinnamon twig four liang, peeled; liquorice four liang, honey-fried; atractylodes three liang; ginseng three liang; dried ginger three liang.
64
右伍味，以水九升，先煮四味，取五升，内桂，更煮取三升。温服一升，日再，夜一服。
右伍味，以水九升，先煮四味，取五升，内桂，更煮取三升。温服一升，日再，夜一服。
yòu wǔ wèi yǐ shuǐ jiǔ shēng xiān zhǔ sì wèi qǔ wǔ shēng nà guì gèng zhǔ qǔ sān shēng wēn fú yī shēng rì zài yè yī fú
以上五味，用水九升，先煮四味，取五升，放入桂枝，再煮取三升。温服一升，白天兩次，夜間一次。
The five ingredients: boil four of them first in nine sheng of water down to five sheng, add cinnamon twig, and boil again down to three sheng. Take one sheng warm twice by day and once at night.
65
傷寒大下後，復發汗，心下痞，惡寒者，表未解也，不可攻痞，當先解表，表解乃可攻痞。解表宜桂枝湯，攻痞宜大黄黄連瀉心湯。
伤寒大下后，复发汗，心下痞，恶寒者，表未解也，不可攻痞，当先解表，表解乃可攻痞。解表宜桂枝汤，攻痞宜大黄黄连泻心汤。
shāng hán dà xià hòu fù fā hàn xīn xià pǐ wù hán zhě biǎo wèi jiě yě bù kě gōng pǐ dāng xiān jiě biǎo biǎo jiě nǎi kě gōng pǐ jiě biǎo yí guì zhī tāng gōng pǐ yí dà huáng huáng lián xiè xīn tāng
傷寒大下之後，又發汗，心下痞，怕冷的，是表未解，不可攻痞，當先解表，表解之後才可攻痞。解表宜用桂枝湯，攻痞宜用大黄黄連瀉心湯。
After a severe purgation in cold damage, and then sweating, with fullness below the heart and aversion to cold, the exterior is unresolved and the fullness must not be attacked. First resolve the exterior; only then may the fullness be attacked. Cinnamon Twig Decoction is suitable for the exterior, Rhubarb and Coptis Heart-Draining Decoction for the fullness.
66
傷寒發熱，汗出不解，心中痞鞕，嘔吐而下利者，大柴胡湯主之。
伤寒发热，汗出不解，心中痞硬，呕吐而下利者，大柴胡汤主之。
shāng hán fā rè hàn chū bù jiě xīn zhōng pǐ yìng ǒu tǔ ér xià lì zhě dà chái hú tāng zhǔ zhī
傷寒發熱，汗出而病不解，心中痞鞕，嘔吐而又下利的，用大柴胡湯主治。
Cold damage with fever that sweating does not resolve, hardness and fullness in the chest, vomiting and diarrhoea: Major Bupleurum Decoction governs it.
67
病如桂枝證，頭不痛，項不強，寸脉微浮，胸中痞鞕，氣上衝咽喉，不得息者，此爲胸有寒也，當吐之，宜瓜蔕散。
病如桂枝证，头不痛，项不强，寸脉微浮，胸中痞硬，气上冲咽喉，不得息者，此为胸有寒也，当吐之，宜瓜蒂散。
bìng rú guì zhī zhèng tóu bù tòng xiàng bù qiáng cùn mài wēi fú xiōng zhōng pǐ yìng qì shàng chōng yàn hóu bù dé xī zhě cǐ wéi xiōng yǒu hán yě dāng tǔ zhī yí guā dì sàn
病像桂枝證，頭不痛，項不強，寸脉微浮，胸中痞鞕，氣上衝咽喉，呼吸不得的，這是胸中有寒，應當吐，宜用瓜蒂散。
The disease resembles the cinnamon twig pattern, but there is no headache and no stiffness of the neck; the pulse at the inch is slightly floating, the chest is hard and full, qi rushes up to the throat so that he cannot breathe. This is cold in the chest; it should be vomited out, and Melon Stalk Powder is suitable.
68
瓜蔕散方：瓜蔕一分，熬。赤小豆一分。
瓜蒂散方：瓜蒂一分，熬。赤小豆一分。
guā dì sàn fāng guā dì yī fēn áo chì xiǎo dòu yī fēn
瓜蔕散方：瓜蔕一分，熬過；赤小豆一分。
Melon Peduncle Powder: melon peduncle one fen, dry-roasted; adzuki bean one fen.
69
右二味，各别搗篩，爲散，已合治之，取一錢匕，以香豉一合，用熱湯七合，煮作稀糜，去滓，取汁和散，温頓服之。不吐者，少少加，得快吐乃止。諸亡血虚家，不可與瓜蔕散。
右二味，各别捣筛，为散，已合治之，取一钱匕，以香豉一合，用热汤七合，煮作稀糜，去滓，取汁和散，温顿服之。不吐者，少少加，得快吐乃止。诸亡血虚家，不可与瓜蒂散。
yòu èr wèi gè bié dǎo shāi wéi sàn yǐ hé zhì zhī qǔ yī qián bǐ yǐ xiāng chǐ yī gě yòng rè tāng qī gě zhǔ zuò xī mí qù zǐ qǔ zhī hé sàn wēn dùn fú zhī bù tǔ zhě shāo shāo jiā dé kuài tǔ nǎi zhǐ zhū wáng xuè xū jiā bù kě yǔ guā dì sàn
以上二味，各自搗篩為散，已經混合調治，取一錢匕，用香豉一合，以熱湯七合，煮成稀糜，去渣，取汁調和藥散，温熱一次服下。不吐的，稍稍加量，得暢吐就停。凡是失血與虚弱的人，不可給瓜蒂散。
The two ingredients are pounded and sieved separately into powders and then mixed. Take one qian-spoon, add one ge of fermented soybean, boil in seven ge of hot water to a thin gruel, strain, and mix the liquid with the powder; take it warm at a single draught. If it does not vomit, add a little more, and stop when free vomiting comes. It must not be given to those who have lost blood or are empty and weak.
70
病脅下素有痞，連在臍傍，痛引少腹，入陰筋者，此名“藏結”死。
病胁下素有痞，连在脐傍，痛引少腹，入阴筋者，此名“藏结”死。 bìng xié xià sù yǒu pǐ lián zài qí bàng tòng yǐn shào fù rù yīn jīn zhě cǐ míng zàng jié sǐ
病脅下平素就有痞塊，連在臍旁，疼痛牽引少腹，進入陰筋的，這名叫藏結，是死證。
When a mass has long been present in the flank, joined to the side of the navel, its pain drawing into the lower abdomen and into the genital sinews, this is called visceral binding and is fatal.
71
傷寒病，若吐若下後，七八日不解，熱結在裏，表裏俱熱，時時惡風，大渴，舌上乾燥而煩，欲飲水數升者，白虎加人參湯主之。
伤寒病，若吐若下后，七八日不解，热结在里，表里俱热，时时恶风，大渴，舌上干燥而烦，欲饮水数升者，白虎加人参汤主之。
shāng hán bìng ruò tǔ ruò xià hòu qī bā rì bù jiě rè jié zài lǐ biǎo lǐ jù rè shí shí wù fēng dà kě shé shàng qián zào ér fán yù yǐn shuǐ shù shēng zhě bái hǔ jiā rén shēn tāng zhǔ zhī
傷寒病，或吐或下之後，七八天不解，熱結在裏，表裏都熱，時時怕風，大渴，舌上乾燥而煩，想喝幾升水的，用白虎加人參湯主治。
In cold damage, after vomiting or purging, unresolved for seven or eight days, with heat bound inside and heat in both exterior and interior, frequent aversion to wind, great thirst, a dry, restless tongue, and a wish to drink several sheng of water, White Tiger plus Ginseng Decoction governs it.
72
傷寒無大熱，口燥渴，心煩，背微惡寒者，白虎加人參湯主之。
伤寒无大热，口燥渴，心烦，背微恶寒者，白虎加人参汤主之。
shāng hán wú dà rè kǒu zào kě xīn fán bèi wēi wù hán zhě bái hǔ jiā rén shēn tāng zhǔ zhī
傷寒沒有大熱，口燥渴，心煩，背部微微怕冷的，用白虎加人參湯主治。
Cold damage without great heat, with a dry mouth and thirst, restlessness, and slight aversion to cold in the back: White Tiger plus Ginseng Decoction governs it.
73
傷寒脉浮，發熱無汗，其表不解者，不可與白虎湯。
伤寒脉浮，发热无汗，其表不解者，不可与白虎汤。
shāng hán mài fú fā rè wú hàn qí biǎo bù jiě zhě bù kě yǔ bái hǔ tāng
傷寒脉浮，發熱而沒有汗，表證還沒有解除的，不可給白虎湯。
In cold damage with a floating pulse, fever and no sweating, while the exterior is unresolved, White Tiger Decoction must not be given.
74
渴欲飲水，無表證者，白虎加人參湯主之。
渴欲饮水，无表证者，白虎加人参汤主之。
kě yù yǐn shuǐ wú biǎo zhèng zhě bái hǔ jiā rén shēn tāng zhǔ zhī
口渴想喝水，沒有表證的，用白虎加人參湯主治。
When he is thirsty and wants water with no exterior signs, White Tiger plus Ginseng Decoction governs it.
75
太陽少陽併病，心下鞕，頸項強而眩者，當刺大椎、肺俞、肝俞，慎勿下之。
太阳少阳并病，心下硬，颈项强而眩者，当刺大椎、肺俞、肝俞，慎勿下之。 tài yáng shào yáng bìng bìng xīn xià yìng jǐng xiàng qiáng ér xuàn zhě dāng cì dà chuí fèi yú gān yú shèn wù xià zhī
太陽少陽併病，心下鞕，頸項強而眩的，當刺大椎、肺俞、肝俞，千萬不要攻下。
When taiyang and shaoyang are diseased together, with hardness below the heart, stiffness of the neck and nape, and dizziness, needle the great vertebra and the lung and liver transport points; on no account purge.
76
太陽與少陽合病，自下利者，與黄芩湯；
太阳与少阳合病，自下利者，与黄芩汤； tài yáng yǔ shào yáng hé bìng zì xià lì zhě yǔ huáng qín tāng
太陽與少陽合病，自行下利的，給與黄芩湯；
When taiyang and shaoyang are diseased together with spontaneous diarrhoea, give Scutellaria Decoction;
77
若嘔者，黄芩加半夏生薑湯主之。
若呕者，黄芩加半夏生姜汤主之。
ruò ǒu zhě huáng qín jiā bàn xià shēng jiāng tāng zhǔ zhī
若嘔的，用黄芩加半夏生薑湯主治。
if there is vomiting, Scutellaria plus Pinellia and Fresh Ginger Decoction governs it.
78
太陽陽明合病，自下利，爲在表，當與葛根湯發汗；
太阳阳明合病，自下利，为在表，当与葛根汤发汗；
tài yáng yáng míng hé bìng zì xià lì wéi zài biǎo dāng yǔ gé gēn tāng fā hàn
太陽陽明合病，自行下利，病在表，當給葛根湯發汗；
When taiyang and yangming are diseased together with spontaneous diarrhoea, the disease is in the exterior; give Kudzu Decoction to induce sweating;
79
陽明少陽合病，自下利，爲在裏，可與承氣湯下之。
阳明少阳合病，自下利，为在里，可与承气汤下之。 yáng míng shào yáng hé bìng zì xià lì wéi zài lǐ kě yǔ chéng qì tāng xià zhī
陽明少陽合病，自行下利，病在裏，可以給承氣湯攻下。
when yangming and shaoyang are diseased together with spontaneous diarrhoea, the disease is in the interior; Qi-Guiding Decoction may be given to purge.
80
黄芩湯方：黄芩三兩。芍藥二兩。甘草二兩，炙。大棗十二枚，擘。
黄芩汤方：黄芩三两。芍药二两。甘草二两，炙。大枣十二枚，擘。
huáng qín tāng fāng huáng qín sān liǎng sháo yào èr liǎng gān cǎo èr liǎng zhì dà zǎo shí èr méi bò
黄芩湯方：黄芩三兩；芍藥二兩；甘草二兩，炙過；大棗十二枚，掰開。
Scutellaria Decoction: scutellaria three liang; peony root two liang; liquorice two liang, honey-fried; jujube twelve pieces, split.
81
右四味，以水一斗，煮取三升，去滓，温服一升，日再，夜一服。若嘔者，加半夏半升，生薑三兩。
右四味，以水一斗，煮取三升，去滓，温服一升，日再，夜一服。若呕者，加半夏半升，生姜三两。
yòu sì wèi yǐ shuǐ yī dǒu zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng rì zài yè yī fú ruò ǒu zhě jiā bàn xià bàn shēng shēng jiāng sān liǎng
以上四味，用水一斗，煮取三升，去渣，温服一升，白天兩次，夜間一次。若嘔的，加半夏半升、生薑三兩。
The four ingredients are boiled in one dou of water down to three sheng, strained, and one sheng taken warm twice by day and once at night. If there is vomiting, add half a sheng of pinellia and three liang of fresh ginger.
82
傷寒，胸中有熱，胃中有邪氣，腹中痛，欲嘔吐者，黄連湯主之。
伤寒，胸中有热，胃中有邪气，腹中痛，欲呕吐者，黄连汤主之。
shāng hán xiōng zhōng yǒu rè wèi zhōng yǒu xié qì fù zhōng tòng yù ǒu tǔ zhě huáng lián tāng zhǔ zhī
傷寒，胸中有熱，胃中有邪氣，腹中疼痛，想嘔吐的，用黄連湯主治。
In cold damage with heat in the chest, alien qi in the stomach, pain in the abdomen, and a wish to vomit, Coptis Decoction governs it.
83
黄連湯方：黄連。甘草三兩，炙。乾薑三兩。桂枝三兩，去皮。人参二兩。半夏半升，洗。大棗十二枚，擘。
黄连汤方：黄连。甘草三两，炙。干姜三两。桂枝三两，去皮。人参二两。半夏半升，洗。大枣十二枚，擘。
huáng lián tāng fāng huáng lián gān cǎo sān liǎng zhì gān jiāng sān liǎng guì zhī sān liǎng qù pí rén shēn èr liǎng bàn xià bàn shēng xǐ dà zǎo shí èr méi bò
黄連湯方：黄連；甘草三兩，炙過；乾薑三兩；桂枝三兩，去皮；人参二兩；半夏半升，洗淨；大棗十二枚，掰開。
Coptis Decoction: coptis; liquorice three liang, honey-fried; dried ginger three liang; cinnamon twig three liang, peeled; ginseng two liang; pinellia half a sheng, washed; jujube twelve pieces, split.
84
右七味，以水一斗，煮取六升，去滓，温服一升，日三服，夜二服。
右七味，以水一斗，煮取六升，去滓，温服一升，日三服，夜二服。
yòu qī wèi yǐ shuǐ yī dǒu zhǔ qǔ liù shēng qù zǐ wēn fú yī shēng rì sān fú yè èr fú
以上七味，用水一斗，煮取六升，去渣，温服一升，白天三次，夜間兩次。
The seven ingredients are boiled in one dou of water down to six sheng, strained, and one sheng taken warm three times by day and twice at night.
85
傷寒八九日，風濕相搏，身體疼煩，不能自轉側，不嘔不渴，脉浮虚而濇者，桂枝附子湯主之。
伤寒八九日，风湿相搏，身体疼烦，不能自转侧，不呕不渴，脉浮虚而涩者，桂枝附子汤主之。
shāng hán bā jiǔ rì fēng shī xiāng bó shēn tǐ téng fán bù néng zì zhuǎn cè bù ǒu bù kě mài fú xū ér sè zhě guì zhī fù zǐ tāng zhǔ zhī
傷寒八九天，風濕相搏，身體疼痛煩擾，不能自己翻身，不嘔不渴，脉浮虚而濇的，用桂枝附子湯主治。
After eight or nine days of cold damage, when wind and dampness strike together, the body aches and is restless, he cannot turn himself, there is no vomiting and no thirst, and the pulse is floating, empty and rough, Cinnamon Twig and Aconite Decoction governs it.
86
若其人大便鞕，小便自利者，去桂枝加白術湯主之。
若其人大便硬，小便自利者，去桂枝加白术汤主之。
ruò qí rén dà biàn yìng xiǎo biàn zì lì zhě qù guì zhī jiā bái zhú tāng zhǔ zhī
若病人大便鞕，小便自利的，用去桂枝加白術湯主治。
If the stool is hard and urination free, the decoction with cinnamon twig removed and atractylodes added governs it.
87
桂枝附子湯方：桂枝四兩，去皮。附子三枚，炮，去皮，破八片。生薑三兩，切。甘草二兩，炙。大棗十二枚，擘。
桂枝附子汤方：桂枝四两，去皮。附子三枚，炮，去皮，破八片。生姜三两，切。甘草二两，炙。大枣十二枚，擘。
guì zhī fù zǐ tāng fāng guì zhī sì liǎng qù pí fù zǐ sān méi páo qù pí pò bā piàn shēng jiāng sān liǎng qiē gān cǎo èr liǎng zhì dà zǎo shí èr méi bò
桂枝附子湯方：桂枝四兩，去皮；附子三枚，炮過，去皮，破成八片；生薑三兩，切片；甘草二兩，炙過；大棗十二枚，掰開。
Cinnamon Twig and Aconite Decoction: cinnamon twig four liang, peeled; aconite three pieces, roasted, peeled, broken into eight pieces; fresh ginger three liang, sliced; liquorice two liang, honey-fried; jujube twelve pieces, split.
88
右五味，以水六升，煮取二升，去滓，分温三服。
右五味，以水六升，煮取二升，去滓，分温三服。
yòu wǔ wèi yǐ shuǐ liù shēng zhǔ qǔ èr shēng qù zǐ fēn wēn sān fú
以上五味，用水六升，煮取二升，去渣，分三次温服。
The five ingredients are boiled in six sheng of water down to two sheng, strained, and taken warm in three doses.
89
風濕相搏，骨節煩疼，掣痛不得屈伸，近之則痛劇，汗出短氣，小便不利，惡風不欲去衣，或身微腫者，甘草附子湯主之。
风湿相搏，骨节烦疼，掣痛不得屈伸，近之则痛剧，汗出短气，小便不利，恶风不欲去衣，或身微肿者，甘草附子汤主之。 fēng shī xiāng bó gǔ jié fán téng chè tòng bù dé qū shēn jìn zhī zé tòng jù hàn chū duǎn qì xiǎo biàn bù lì wù fēng bù yù qù yī huò shēn wēi zhǒng zhě gān cǎo fù zǐ tāng zhǔ zhī
風濕相搏，骨節煩疼，抽掣疼痛不能屈伸，靠近就痛得厲害，汗出短氣，小便不利，怕風不想脫衣，或身體微腫的，用甘草附子湯主治。
When wind and dampness strike together, with aching joints, pulling pain that prevents bending and stretching, agony when touched, sweating, shortness of breath, blocked urination, aversion to wind so that he will not remove his clothes, and perhaps slight swelling of the body, Liquorice and Aconite Decoction governs it.
90
甘草附子湯方：甘草二兩，炙。附子二枚，炮，去皮，破八片。白術二兩。桂枝四兩，去皮。
甘草附子汤方：甘草二两，炙。附子二枚，炮，去皮，破八片。白术二两。桂枝四两，去皮。
gān cǎo fù zǐ tāng fāng gān cǎo èr liǎng zhì fù zǐ èr méi páo qù pí pò bā piàn bái zhú èr liǎng guì zhī sì liǎng qù pí
甘草附子湯方：甘草二兩，炙過；附子二枚，炮過，去皮，破成八片；白術二兩；桂枝四兩，去皮。
Liquorice and Aconite Decoction: liquorice two liang, honey-fried; aconite two pieces, roasted, peeled, broken into eight pieces; atractylodes two liang; cinnamon twig four liang, peeled.
91
右四味，以水六升，煮取三升，去滓，温服一升，日三服。初服得微汗則解，能食，汗出復煩者，服五合。恐一升多者，宜服六七合爲妙。
右四味，以水六升，煮取三升，去滓，温服一升，日三服。初服得微汗则解，能食，汗出复烦者，服五合。恐一升多者，宜服六七合为妙。
yòu sì wèi yǐ shuǐ liù shēng zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng rì sān fú chū fú dé wēi hàn zé jiě néng shí hàn chū fù fán zhě fú wǔ gě kǒng yī shēng duō zhě yí fú liù qī gě wéi miào
以上四味，用水六升，煮取三升，去渣，温服一升，日服三次。初服得微汗就解，能進食，汗出又煩的，服五合。怕一升太多的，宜服六七合為妙。
The four ingredients are boiled in six sheng of water down to three sheng, strained, and one sheng taken warm three times a day. The first dose should bring a faint sweat and resolution. If he can eat, and sweats and grows restless again, give five ge. If one sheng seems too much, six or seven ge is best.
92
傷寒脉浮滑，此表有熱，裏有寒，白虎湯主之。
伤寒脉浮滑，此表有热，里有寒，白虎汤主之。
shāng hán mài fú huá cǐ biǎo yǒu rè lǐ yǒu hán bái hǔ tāng zhǔ zhī
傷寒脉浮滑，這是表有熱，裏有寒，用白虎湯主治。
In cold damage with a floating, slippery pulse, the exterior has heat and the interior has cold; White Tiger Decoction governs it.
93
白虎湯方：知母六兩。石膏一斤，碎。甘草二兩，炙。粳米六合。
白虎汤方：知母六两。石膏一斤，碎。甘草二两，炙。粳米六合。
bái hǔ tāng fāng zhī mǔ liù liǎng shí gāo yī jīn suì gān cǎo èr liǎng zhì jīng mǐ liù gě
白虎湯方：知母六兩；石膏一斤，打碎；甘草二兩，炙過；粳米六合。
White Tiger Decoction: anemarrhena six liang; gypsum one jin, crushed; liquorice two liang, honey-fried; rice six ge.
94
右四味，以水一斗，煮米熟湯成，去滓，温服一升，日三服。
右四味，以水一斗，煮米熟汤成，去滓，温服一升，日三服。
yòu sì wèi yǐ shuǐ yī dǒu zhǔ mǐ shú tāng chéng qù zǐ wēn fú yī shēng rì sān fú
以上四味，用水一斗，煮到米熟湯成，去渣，温服一升，日服三次。
The four ingredients are boiled in one dou of water until the rice is cooked and the decoction formed; strain, and take one sheng warm three times a day.
95
傷寒脉結代，心動悸，炙甘草湯主之。
伤寒脉结代，心动悸，炙甘草汤主之。
shāng hán mài jié dài xīn dòng jì zhì gān cǎo tāng zhǔ zhī
傷寒脉結代，心動悸，用炙甘草湯主治。
In cold damage with a knotted or intermittent pulse and a stirring, palpitating heart, Baked Liquorice Decoction governs it.
96
炙甘草湯方：甘草四兩，炙。生薑三兩，切。人参二兩。生地黄一斤。桂枝三兩，去皮。阿膠二兩。麥門冬半升，去心。麻子人半升。大棗十二枚，擘。
炙甘草汤方：甘草四两，炙。生姜三两，切。人参二两。生地黄一斤。桂枝三两，去皮。阿胶二两。麦门冬半升，去心。麻子人半升。大枣十二枚，擘。
zhì gān cǎo tāng fāng gān cǎo sì liǎng zhì shēng jiāng sān liǎng qiē rén shēn èr liǎng shēng dì huáng yī jīn guì zhī sān liǎng qù pí ē jiāo èr liǎng mài mén dōng bàn shēng qù xīn má zǐ rén bàn shēng dà zǎo shí èr méi bò
炙甘草湯方：甘草四兩，炙過；生薑三兩，切片；人参二兩；生地黄一斤；桂枝三兩，去皮；阿膠二兩；麥門冬半升，去心；麻子人半升；大棗十二枚，掰開。
Honey-Fried Liquorice Decoction: liquorice four liang, honey-fried; fresh ginger three liang, sliced; ginseng two liang; raw rehmannia one jin; cinnamon twig three liang, peeled; donkey-hide gelatin two liang; ophiopogon half a sheng, core removed; hemp seed half a sheng; jujube twelve pieces, split.
97
右九味，以清酒七升，水八升，先煮八味，取三升，去滓，内膠烊消盡。温服一升，日三服。一名復脉湯。
右九味，以清酒七升，水八升，先煮八味，取三升，去滓，内胶烊消尽。温服一升，日三服。一名复脉汤。
yòu jiǔ wèi yǐ qīng jiǔ qī shēng shuǐ bā shēng xiān zhǔ bā wèi qǔ sān shēng qù zǐ nà jiāo yáng xiāo jǐn wēn fú yī shēng rì sān fú yī míng fù mài tāng
以上九味，用清酒七升、水八升，先煮八味，取三升，去渣，放入阿膠烊化消盡。温服一升，日服三次。又名復脉湯。
The nine ingredients are boiled in seven sheng of clear wine and eight sheng of water; eight of them are boiled first down to three sheng, strained, and the glue stirred in until it melts. Take one sheng warm three times a day. It is also called Pulse-Restoring Decoction.
98
脉按之來緩，而時一止復來者，名曰結。又脉來動而中止，更來小數，中有還者反動，名曰結陰也。脉來動而中止，不能自還，因而復動，名曰代陰也。得此脉者必難治。
脉按之来缓，而时一止复来者，名曰结。又脉来动而中止，更来小数，中有还者反动，名曰结阴也。脉来动而中止，不能自还，因而复动，名曰代阴也。得此脉者必难治。 mài àn zhī lái huǎn ér shí yī zhǐ fù lái zhě míng yuē jié yòu mài lái dòng ér zhōng zhǐ gèng lái xiǎo shuò zhōng yǒu huán zhě fǎn dòng míng yuē jié yīn yě mài lái dòng ér zhōng zhǐ bù néng zì huán yīn ér fù dòng míng yuē dài yīn yě dé cǐ mài zhě bì nán zhì
脉按下去來得緩，而時時一止又來，名叫結。又有脉來動而中止，再來時稍數，中間有還而反動的，名叫結陰。脉來動而中止，不能自己回來，因而再動的，名叫代陰。得到這種脉的，一定難治。
A pulse that comes slow under the finger and now and then stops before coming again is called knotted. A pulse that stirs and stops, then returns slightly rapid, with a returning beat that stirs again, is called knotted yin. A pulse that stirs and stops, cannot return of itself, and then beats again, is called intermittent yin. Whoever has such a pulse is hard to cure.