Taiyang Disease, Part Two

辨太陽病脉證并治中第六

Biàn tài yáng bìng mài zhèng bìng zhì zhōng dì liù

The second of the three Taiyang chapters, and by far the longest: a hundred and seventy-one passages, most of them a presentation followed at once by its prescription.It takes up the neck and back where the first chapter left it. Kudzu Decoction for the stiffness that does not sweat; Kudzu plus Pinellia where the same pattern vomits; Kudzu, Scutellaria and Coptis where a purgation has driven heat inward and the bowels run. Then Ephedra Decoction for the headache, the bodily ache and the breathlessness of cold proper; Major Green Dragon where the exterior is shut and heat is held inside and the man is restless; Minor Green Dragon where wind-cold holds the exterior and water gathers below the heart, with its five modifications spelled out one by one.The middle of the chapter is a long sequence on the aftermath of wrong treatment: the man who cannot lie down after being sweated, the ache that will not leave, the breathlessness with sweat, the hands pressed over the heart, the throbbing below the navel, the full belly, the dizziness with a rising rush, the cramped leg, the thirst with a floating rapid pulse. Each has its formula. Then the five-drug powder for water that will not pass, and the Gardenia and Fermented Soybean group for the empty restlessness that follows a purge or a vomit, with its two companions, Gardenia with Magnolia and Gardenia with Dried Ginger.The last third belongs to Minor Bupleurum and to blood: the seven modifications of Minor Bupleurum, Major Bupleurum, Peach Kernel Qi-Guiding Decoction, and the two Didang formulas for blood settled in the lower abdomen. The chapter closes with the formulas for fire damage and for the running piglet, and with short passages on water and on the pulse.In the base text the prescriptions stand as lists of drugs in the large graphs, the measures and the decoction directions following on the next line; Cheng Wuyi's commentary stands between them and is quoted selectively here, marked 成注（節）.

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太陽病，項背強几几，無汗惡風，葛根湯主之。太阳病，项背强几几，无汗恶风，葛根汤主之。

tài yáng bìng xiàng bèi qiáng jǐn jǐn wú hàn wù fēng gé gēn tāng zhǔ zhī

太陽病，項部和背部拘緊不舒，沒有汗而怕風的，用葛根湯主治。

In taiyang disease, with stiffness and tightness of the neck and back, no sweating, and aversion to wind, Kudzu Decoction governs it.

葛根湯方：葛根四兩。麻黄三兩，去節。桂二兩，去皮。芍藥二兩。甘草二兩，炙。生薑三兩，切。大棗十二枚，擘。葛根汤方：葛根四两。麻黄三两，去节。桂二两，去皮。芍药二两。甘草二两，炙。生姜三两，切。大枣十二枚，擘。

gé gēn tāng fāng gé gēn sì liǎng má huáng sān liǎng qù jié guì èr liǎng qù pí sháo yào èr liǎng gān cǎo èr liǎng zhì shēng jiāng sān liǎng qiē dà zǎo shí èr méi bò

葛根湯方：葛根四兩；麻黄三兩，去節；桂二兩，去皮；芍藥二兩；甘草二兩，炙過；生薑三兩，切片；大棗十二枚，掰開。

Kudzu Decoction: kudzu root four liang; ephedra three liang, nodes removed; cinnamon twig two liang, peeled; peony root two liang; liquorice two liang, honey-fried; fresh ginger three liang, sliced; jujube twelve pieces, split.

右柒味，㕮咀，以水一斗，先煮麻黄、葛根，減二升，去沫，内諸藥，煮取三升，去滓，温服一升，覆取微似汗，不須啜粥。餘如桂枝法將息及禁忌。右柒味，㕮咀，以水一斗，先煮麻黄、葛根，减二升，去沫，内诸药，煮取三升，去滓，温服一升，覆取微似汗，不须啜粥。余如桂枝法将息及禁忌。

yòu qī wèi fǔ jǔ yǐ shuǐ yī dòu xiān zhǔ má huáng gé gēn jiǎn èr shēng qù mò nà zhū yào zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng fù qǔ wēi sì hàn bù xū chuò zhōu yú rú guì zhī fǎ jiāng xī jí jìn jì

以上七味，㕮咀碎，用水一斗，先煮麻黄和葛根，减去二升，去掉浮沫，再放入其余藥味，煮取三升，去渣，温服一升，蓋被取微似汗，不必喝粥。其餘依桂枝湯的將息與禁忌。

The seven ingredients are chopped and boiled in one dou of water. Ephedra and kudzu are boiled first until the water is reduced by two sheng; the froth is skimmed off and the remaining ingredients added. Boil down to three sheng, strain, and take one sheng warm. Cover up for a faint sweat; no rice gruel is required. The rest follows the after-care and prohibitions of Cinnamon Twig Decoction.

太陽與陽明合病者，必自下利，葛根湯主之。太阳与阳明合病者，必自下利，葛根汤主之。

tài yáng yǔ yáng míng hé bìng zhě bì zì xià lì gé gēn tāng zhǔ zhī

太陽和陽明同時受邪而發病，一定自行下利，用葛根湯主治。

When taiyang and yangming are diseased together, spontaneous diarrhoea necessarily follows; Kudzu Decoction governs it.

太陽與陽明合病，不下利，但嘔者，葛根加半夏湯主之。太阳与阳明合病，不下利，但呕者，葛根加半夏汤主之。

tài yáng yǔ yáng míng hé bìng bù xià lì dàn ǒu zhě gé gēn jiā bàn xià tāng zhǔ zhī

太陽與陽明合病，不下利，只是嘔的，用葛根加半夏湯主治。

When taiyang and yangming are diseased together without diarrhoea, but with vomiting, Kudzu plus Pinellia Decoction governs it.

葛根加半夏湯方：葛根四兩。麻黄三兩，去節，湯泡，去黄汁，焙乾稱。生薑三兩。甘草二兩，炙。芍藥二兩。桂枝二兩，去皮。大棗十二枚，擘。半夏半升，洗。葛根加半夏汤方：葛根四两。麻黄三两，去节，汤泡，去黄汁，焙干称。生姜三两。甘草二两，炙。芍药二两。桂枝二两，去皮。大枣十二枚，擘。半夏半升，洗。

gé gēn jiā bàn xià tāng fāng gé gēn sì liǎng má huáng sān liǎng qù jié tāng pào qù huáng zhī bèi gān chēng shēng jiāng sān liǎng gān cǎo èr liǎng zhì sháo yào èr liǎng guì zhī èr liǎng qù pí dà zǎo shí èr méi bò bàn xià bàn shēng xǐ

葛根加半夏湯方：葛根四兩；麻黄三兩，去節，沸湯泡，去黄汁，焙乾稱準；生薑三兩；甘草二兩，炙過；芍藥二兩；桂枝二兩，去皮；大棗十二枚，掰開；半夏半升，洗淨。

Kudzu plus Pinellia Decoction: kudzu root four liang; ephedra three liang, nodes removed, scalded in boiling water, bitter juice drained, dried by fire and weighed; fresh ginger three liang; liquorice two liang, honey-fried; peony root two liang; cinnamon twig two liang, peeled; jujube twelve pieces, split; pinellia half a sheng, washed.

右八味，以水一斗，先煮葛根、麻黄，減二升，去白沫，内諸藥，煮取三升，去滓，温服一升，覆取微似汗。右八味，以水一斗，先煮葛根、麻黄，减二升，去白沫，内诸药，煮取三升，去滓，温服一升，覆取微似汗。

yòu bā wèi yǐ shuǐ yī dòu xiān zhǔ gé gēn má huáng jiǎn èr shēng qù bái mò nà zhū yào zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng fù qǔ wēi sì hàn

以上八味，用水一斗，先煮葛根和麻黄，减去二升，去掉白沫，再放入其餘藥味，煮取三升，去渣，温服一升，蓋被取微似汗。

The eight ingredients are boiled in one dou of water. Kudzu and ephedra go in first until the water is reduced by two sheng; the white froth is skimmed off, the rest added, and the liquor boiled down to three sheng. Strain and take one sheng warm, covering up for a faint sweat.

太陽病，桂枝證，醫反下之，利遂不止，脉促者，表未解也。喘而汗出者，葛根黄連黄芩湯主之。太阳病，桂枝证，医反下之，利遂不止，脉促者，表未解也。喘而汗出者，葛根黄连黄芩汤主之。

tài yáng bìng guì zhī zhèng yī fǎn xià zhī lì suì bù zhǐ mài cù zhě biǎo wèi jiě yě chuǎn ér hàn chū zhě gé gēn huáng lián huáng qín tāng zhǔ zhī

太陽病，本來是桂枝湯證，醫生反而用下法，下利於是止不住。脉促的，是表證還沒有解。喘而且汗出的，用葛根黄連黄芩湯主治。

In taiyang disease with the signs of Cinnamon Twig Decoction, if the physician mistakenly purges, the diarrhoea does not stop. A hurried pulse shows that the exterior is not yet resolved. Where there is panting with sweating, Kudzu, Coptis and Scutellaria Decoction governs it.

葛根黄芩黄連湯方：葛根半斤。甘草二兩，炙。黄芩二兩。黄連三兩。葛根黄芩黄连汤方：葛根半斤。甘草二两，炙。黄芩二两。黄连三两。

gé gēn huáng qín huáng lián tāng fāng gé gēn bàn jīn gān cǎo èr liǎng zhì huáng qín èr liǎng huáng lián sān liǎng

葛根黄芩黄連湯方：葛根半斤；甘草二兩，炙過；黄芩二兩；黄連三兩。

Kudzu, Scutellaria and Coptis Decoction: kudzu root half a jin; liquorice two liang, honey-fried; scutellaria two liang; coptis three liang.

右四味，以水八升，先煮葛根，減二升，内諸藥，煮取二升，去滓，分温再服。右四味，以水八升，先煮葛根，减二升，内诸药，煮取二升，去滓，分温再服。

yòu sì wèi yǐ shuǐ bā shēng xiān zhǔ gé gēn jiǎn èr shēng nà zhū yào zhǔ qǔ èr shēng qù zǐ fēn wēn zài fú

以上四味，用水八升，先煮葛根，减去二升，再放入其餘藥味，煮取二升，去渣，分兩次温服。

The four ingredients are boiled in eight sheng of water. Kudzu is boiled first until reduced by two sheng, the rest are added, and the liquor is boiled down to two sheng. Strain and take warm in two divided doses.

太陽病，頭痛發熱，身疼腰痛，骨節疼痛，惡風無汗而喘者，麻黄湯主之。太阳病，头痛发热，身疼腰痛，骨节疼痛，恶风无汗而喘者，麻黄汤主之。

tài yáng bìng tóu tòng fā rè shēn téng yāo tòng gǔ jié téng tòng wù fēng wú hàn ér chuǎn zhě má huáng tāng zhǔ zhī

太陽病，頭痛，發熱，身體和腰部疼痛，骨節疼痛，怕風，沒有汗而喘的，用麻黄湯主治。

In taiyang disease, with headache, fever, pain of the body and lower back, pain in the joints, aversion to wind, absence of sweat and panting, Ephedra Decoction governs it.

麻黄湯方：麻黄三兩，去節。桂枝二兩，去皮。甘草一兩，炙。杏仁七十箇，去皮尖。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。

má huáng tāng fāng má huáng sān liǎng qù jié guì zhī èr liǎng qù pí gān cǎo yī liǎng zhì xìng rén qī shí gè qù pí jiān

麻黄湯方：麻黄三兩，去節；桂枝二兩，去皮；甘草一兩，炙過；杏仁七十箇，去皮尖。

Ephedra Decoction: ephedra three liang, nodes removed; cinnamon twig two liang, peeled; liquorice one liang, honey-fried; apricot kernel seventy pieces, tip removed.

右四味，以水九升，先煮麻黄減二升，去上沫，内諸藥，煮取二升半，去滓，温服八合。覆取微似汗，不須啜粥，餘如桂枝法將息。右四味，以水九升，先煮麻黄减二升，去上沫，内诸药，煮取二升半，去滓，温服八合。覆取微似汗，不须啜粥，余如桂枝法将息。

yòu sì wèi yǐ shuǐ jiǔ shēng xiān zhǔ má huáng jiǎn èr shēng qù shàng mò nà zhū yào zhǔ qǔ èr shēng bàn qù zǐ wēn fú bā hé fù qǔ wēi sì hàn bù xū chuò zhōu yú rú guì zhī fǎ jiāng xī

以上四味，用水九升，先煮麻黄，减去二升，去掉上面的浮沫，再放入其餘藥味，煮取二升半，去渣，温服八合。蓋被取微似汗，不必喝粥，其餘依桂枝湯的將息。

The four ingredients are boiled in nine sheng of water. Ephedra is boiled first until reduced by two sheng and the upper froth removed; the rest are added and the liquor boiled down to two and a half sheng. Strain and take eight ge warm. Cover up for a faint sweat; no gruel is needed, and the rest follows the after-care of Cinnamon Twig Decoction.

太陽與陽明合病，喘而胸滿者，不可下，宜麻黄湯主之。太阳与阳明合病，喘而胸满者，不可下，宜麻黄汤主之。

tài yáng yǔ yáng míng hé bìng chuǎn ér xiōng mǎn zhě bù kě xià yí má huáng tāng zhǔ zhī

太陽與陽明合病，喘而胸部脹滿的，不可以攻下，宜用麻黄湯主治。

When taiyang and yangming are diseased together with panting and fullness of the chest, purgation is forbidden; Ephedra Decoction is appropriate.

太陽病，十日以去，脉浮細而嗜卧者，外已解也。設胸滿脅痛者，與小柴胡湯。脉但浮者，與麻黄湯。太阳病，十日以去，脉浮细而嗜卧者，外已解也。设胸满胁痛者，与小柴胡汤。脉但浮者，与麻黄汤。

tài yáng bìng shí rì yǐ qù mài fú xì ér shì wò zhě wài yǐ jiě yě shè xiōng mǎn xié tòng zhě yǔ xiǎo chái hú tāng mài dàn fú zhě yǔ má huáng tāng

太陽病，十天以上，脉浮細而嗜睡的，是外邪已經解除。假使胸部脹滿而脇部疼痛，給小柴胡湯。脉只是浮的，給麻黄湯。

In taiyang disease of more than ten days, a floating, fine pulse with drowsiness means the exterior is already resolved. If there is fullness of the chest with pain in the flank, give Minor Bupleurum Decoction. If the pulse is merely floating, give Ephedra Decoction.

太陽中風，脉浮緊，發熱惡寒，身疼痛，不汗出而煩躁者，大青龍湯主之。若脉微弱，汗出惡風者，不可服，服之則厥逆，筋惕肉瞤，此爲逆也。太阳中风，脉浮紧，发热恶寒，身疼痛，不汗出而烦躁者，大青龙汤主之。若脉微弱，汗出恶风者，不可服，服之则厥逆，筋惕肉𥆧，此为逆也。

tài yáng zhòng fēng mài fú jǐn fā rè wù hán shēn téng tòng bù hàn chū ér fán zào zhě dà qīng lóng tāng zhǔ zhī ruò mài wēi ruò hàn chū wù fēng zhě bù kě fú fú zhī zé jué nì jīn tì ròu shùn cǐ wéi nì yě

太陽中風，脉浮緊，發熱怕冷，身體疼痛，不出汗而煩躁的，用大青龍湯主治。如果脉微弱，汗出而怕風，不可以服；服了就會四肢厥冷，筋脉抽動，肌肉跳動，這是誤治。

In taiyang wind-strike, with a floating, tight pulse, fever, aversion to cold, bodily pain, absence of sweat and restlessness, Major Green Dragon Decoction governs it. If the pulse is faint and weak, with sweating and aversion to wind, it must not be given; to give it brings reversal of the limbs, twitching of the sinews and leaping of the flesh, and this is a mistreatment.

大青龍湯方：麻黄六兩，去節。桂枝二兩，去皮。甘草二兩，炙。杏人四十箇，去皮尖。生薑三兩，切。大棗十二枚，擘。石膏如鷄子大，碎。大青龙汤方：麻黄六两，去节。桂枝二两，去皮。甘草二两，炙。杏人四十个，去皮尖。生姜三两，切。大枣十二枚，擘。石膏如鸡子大，碎。

dà qīng lóng tāng fāng má huáng liù liǎng qù jié guì zhī èr liǎng qù pí gān cǎo èr liǎng zhì xìng rén sì shí gè qù pí jiān shēng jiāng sān liǎng qiē dà zǎo shí èr méi bò shí gāo rú jī zǐ dà suì

大青龍湯方：麻黄六兩，去節；桂枝二兩，去皮；甘草二兩，炙過；杏人四十箇，去皮尖；生薑三兩，切片；大棗十二枚，掰開；石膏如鷄子大，打碎。

Major Green Dragon Decoction: ephedra six liang, nodes removed; cinnamon twig two liang, peeled; liquorice two liang, honey-fried; apricot kernel forty pieces, tip removed; fresh ginger three liang, sliced; jujube twelve pieces, split; gypsum a piece the size of a chicken egg, crushed.

右七味，以水九升，先煮麻黄，減二升，去上沫，内諸藥，煮取三升，去滓，温服一升，取微似汗，汗出多者，温粉撲之。一服汗者，停後服。汗多，亡陽遂虚，惡風煩躁，不得眠也。右七味，以水九升，先煮麻黄，减二升，去上沫，内诸药，煮取三升，去滓，温服一升，取微似汗，汗出多者，温粉扑之。一服汗者，停后服。汗多，亡阳遂虚，恶风烦躁，不得眠也。

yòu qī wèi yǐ shuǐ jiǔ shēng xiān zhǔ má huáng jiǎn èr shēng qù shàng mò nà zhū yào zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng qǔ wēi sì hàn hàn chū duō zhě wēn fěn pū zhī yī fú hàn zhě tíng hòu fú hàn duō wáng yáng suì xū wù fēng fán zào bù dé mián yě

以上七味，用水九升，先煮麻黄，减去二升，去掉上面的浮沫，再放入其餘藥味，煮取三升，去渣，温服一升，取微似汗。汗出太多的，用温粉撲身。服一次就出汗的，停後服。汗多會亡陽而虚，怕風煩躁，不能入睡。

The seven ingredients are boiled in nine sheng of water. Ephedra is boiled first until reduced by two sheng and the froth removed; the rest are added and the liquor boiled down to three sheng. Strain and take one sheng warm for a faint sweat. If sweating is excessive, dust the body with warm powder. Once one dose has brought sweat, the next is withheld. Profuse sweating drains the yang and leaves weakness, aversion to wind, restlessness and sleeplessness.

傷寒脉浮緩，身不疼，但重，乍有輕時，無少陰證者，大青龍湯發之。伤寒脉浮缓，身不疼，但重，乍有轻时，无少阴证者，大青龙汤发之。

shāng hán mài fú huǎn shēn bù téng dàn zhòng zhà yǒu qīng shí wú shào yīn zhèng zhě dà qīng lóng tāng fā zhī

傷寒脉浮緩，身體不疼，只是沉重，忽然又有輕鬆的時候，沒有少陰證的，用大青龍湯發汗。

In cold damage with a floating, relaxed pulse, no bodily pain but heaviness that now and then eases, and no shaoyin signs, Major Green Dragon Decoction induces sweating.

傷寒表不解，心下有水氣，乾嘔，發熱而欬，或渴、或利、或噎、或小便不利，少腹滿，或喘者，小青龍湯主之。伤寒表不解，心下有水汽，干呕，发热而咳，或渴、或利、或噎、或小便不利，少腹满，或喘者，小青龙汤主之。

shāng hán biǎo bù jiě xīn xià yǒu shuǐ qì gān ǒu fā rè ér kài huò kě huò lì huò yē huò xiǎo biàn bù lì shào fù mǎn huò chuǎn zhě xiǎo qīng lóng tāng zhǔ zhī

傷寒表證不解，心下有水氣，乾嘔，發熱而咳嗽，或者口渴，或者下利，或者噎，或者小便不利、少腹脹滿，或者喘的，用小青龍湯主治。

In cold damage with the exterior unresolved and water qi below the heart, there is dry retching, fever and cough; or thirst, or diarrhoea, or choking, or difficult urination with fullness of the lower abdomen, or panting. Minor Green Dragon Decoction governs it.

小青龍湯方：麻黄三兩，去節。芍藥三兩。五味子半升。乾薑三兩。甘草三兩，炙。桂枝三兩，去皮。半夏半升，湯洗。細辛三兩。小青龙汤方：麻黄三两，去节。芍药三两。五味子半升。干姜三两。甘草三两，炙。桂枝三两，去皮。半夏半升，汤洗。细辛三两。

xiǎo qīng lóng tāng fāng má huáng sān liǎng qù jié sháo yào sān liǎng wǔ wèi zǐ bàn shēng gān jiāng sān liǎng gān cǎo sān liǎng zhì guì zhī sān liǎng qù pí bàn xià bàn shēng tāng xǐ xì xīn sān liǎng

小青龍湯方：麻黄三兩，去節；芍藥三兩；五味子半升；乾薑三兩；甘草三兩，炙過；桂枝三兩，去皮；半夏半升，熱湯洗淨；細辛三兩。

Minor Green Dragon Decoction: ephedra three liang, nodes removed; peony root three liang; schisandra half a sheng; dried ginger three liang; liquorice three liang, honey-fried; cinnamon twig three liang, peeled; pinellia half a sheng, washed in hot water; asarum three liang.

右八味，以水一斗，先煮麻黄，減二升，去上沫，内諸藥，煮取三升，去滓，溫服一升。右八味，以水一斗，先煮麻黄，减二升，去上沫，内诸药，煮取三升，去滓，温服一升。

yòu bā wèi yǐ shuǐ yī dòu xiān zhǔ má huáng jiǎn èr shēng qù shàng mò nà zhū yào zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng

以上八味，用水一斗，先煮麻黄，减去二升，去掉上面的浮沫，再放入其餘藥味，煮取三升，去渣，温服一升。

The eight ingredients are boiled in one dou of water. Ephedra is boiled first until reduced by two sheng and the froth removed; the rest are added and the liquor boiled down to three sheng. Strain and take one sheng warm.

加減法：若微利者，去麻黄，加蕘花如鷄子大，熬令赤色。加减法：若微利者，去麻黄，加荛花如鸡子大，熬令赤色。

jiā jiǎn fǎ ruò wēi lì zhě qù má huáng jiā ráo huā rú jī zi dà áo lìng chì sè

加減法：如果微微下利，去掉麻黄，加蕘花如鷄子大，熬到赤色。

Modifications: for slight diarrhoea, remove ephedra and add yuanhua the size of a hen’s egg, roasted until red.

若渴者，去半夏，加括蔞根三兩。若渴者，去半夏，加括蒌根三两。

ruò kě zhě qù bàn xià jiā guā lóu gēn sān liǎng

如果口渴，去掉半夏，加括蔞根三兩。

For thirst, remove pinellia and add trichosanthes root, three liang.

若噎者，去麻黄，加附子一枚。炮。若噎者，去麻黄，加附子一枚。炮。

ruò yē zhě qù má huáng jiā fù zǐ yī méi pào

如果噎，去掉麻黄，加附子一枚，炮。

For choking, remove ephedra and add one prepared aconite.

若小便不利，少腹滿，去麻黄，加茯苓四兩。若小便不利，少腹满，去麻黄，加茯苓四两。

ruò xiǎo biàn bù lì shào fù mǎn qù má huáng jiā fú líng sì liǎng

如果小便不利、少腹脹滿，去掉麻黄，加茯苓四兩。

For difficult urination with fullness of the lower abdomen, remove ephedra and add poria, four liang.

若喘者，去麻黄，加杏人半升，去皮尖。若喘者，去麻黄，加杏人半升，去皮尖。

ruò chuǎn zhě qù má huáng jiā xìng rén bàn shēng qù pí jiān

如果喘，去掉麻黄，加杏仁半升，去皮尖。

For panting, remove ephedra and add apricot kernel, half a sheng, peeled and tipped.

傷寒心下有水氣，欬而微喘，發熱不渴，服湯已渴者，此寒去欲解也，小青龍湯主之。伤寒心下有水汽，咳而微喘，发热不渴，服汤已渴者，此寒去欲解也，小青龙汤主之。

shāng hán xīn xià yǒu shuǐ qì kài ér wēi chuǎn fā rè bù kě fú tāng yǐ kě zhě cǐ hán qù yù jiě yě xiǎo qīng lóng tāng zhǔ zhī

傷寒心下有水氣，咳嗽而微微氣喘，發熱不渴，服湯之後反而口渴的，這是寒邪已去、病將要解，用小青龍湯主治。

In cold damage with water qi below the heart, cough with slight panting, fever and no thirst, if thirst appears after the decoction has been taken, the cold is going and the illness is about to resolve; Minor Green Dragon Decoction governs it.

太陽病，外證未解，脉浮弱者，當以汗解，宜桂枝湯。太阳病，外证未解，脉浮弱者，当以汗解，宜桂枝汤。

tài yáng bìng wài zhèng wèi jiě mài fú ruò zhě dāng yǐ hàn jiě yí guì zhī tāng

太陽病，外證還沒有解，脉浮弱的，應當用發汗解表，宜用桂枝湯。

In taiyang disease with the exterior signs unresolved and a floating, weak pulse, resolution should come by sweating; Cinnamon Twig Decoction is appropriate.

太陽病，下之微喘者，表未解故也，桂枝加厚朴杏人湯主之。太阳病，下之微喘者，表未解故也，桂枝加厚朴杏人汤主之。

tài yáng bìng xià zhī wēi chuǎn zhě biǎo wèi jiě gù yě guì zhī jiā hòu pò xìng rén tāng zhǔ zhī

太陽病，攻下之後微微氣喘的，是表證還沒有解的緣故，用桂枝加厚朴杏仁湯主治。

In taiyang disease, slight panting after purgation means the exterior is not yet resolved; Cinnamon Twig plus Magnolia and Apricot Kernel Decoction governs it.

太陽病，外證未解者，不可下也，下之爲逆。欲解外者，宜桂枝湯主之。太阳病，外证未解者，不可下也，下之为逆。欲解外者，宜桂枝汤主之。

tài yáng bìng wài zhèng wèi jiě zhě bù kě xià yě xià zhī wéi nì yù jiě wài zhě yí guì zhī tāng zhǔ zhī

太陽病，外證沒有解的，不可以攻下；攻下就是誤治。想要解外，宜用桂枝湯主治。

In taiyang disease with the exterior unresolved, purgation must not be used; to purge is a mistreatment. To resolve the exterior, Cinnamon Twig Decoction is appropriate.

太陽病，先發汗不解，而復下之，脉浮者不愈。浮爲在外，而反下之，故令不愈。今脉浮，故知在外，當須解外則愈，宜桂枝湯主之。太阳病，先发汗不解，而复下之，脉浮者不愈。浮为在外，而反下之，故令不愈。今脉浮，故知在外，当须解外则愈，宜桂枝汤主之。

tài yáng bìng xiān fā hàn bù jiě ér fù xià zhī mài fú zhě bù yù fú wéi zài wài ér fǎn xià zhī gù lìng bù yù jīn mài fú gù zhī zài wài dāng xū jiě wài zé yù yí guì zhī tāng zhǔ zhī

太陽病，先發汗而病不解，又用下法，脉浮的不會痊愈。浮是邪在外面，反而攻下，所以使病不愈。現在脉浮，知道邪在外面，必須解外才會好，宜用桂枝湯主治。

In taiyang disease, when sweating has failed to resolve the illness and purgation is then used, a floating pulse means it will not heal. Floating shows the evil is outside; to purge against it is why it does not heal. Since the pulse is now floating, the evil is known to be outside, and the exterior must be resolved before recovery comes; Cinnamon Twig Decoction is appropriate.

太陽病，脉浮緊，無汗，發熱，身疼痛，八九日不解，表證仍在，此當發其汗，服藥已微除，其人發煩目瞑，劇者必衄，衄乃解。所以然者，陽氣重故也，麻黄湯主之。太阳病，脉浮紧，无汗，发热，身疼痛，八九日不解，表证仍在，此当发其汗，服药已微除，其人发烦目瞑，剧者必衄，衄乃解。所以然者，阳气重故也，麻黄汤主之。

tài yáng bìng mài fú jǐn wú hàn fā rè shēn téng tòng bā jiǔ rì bù jiě biǎo zhèng réng zài cǐ dāng fā qí hàn fú yào yǐ wēi chú qí rén fā fán mù míng jù zhě bì nǜ nǜ nǎi jiě suǒ yǐ rán zhě yáng qì zhòng gù yě má huáng tāng zhǔ zhī

太陽病，脉浮緊，沒有汗，發熱，身體疼痛，八九天不解，表證仍在，這應當發汗。服藥之後病已稍減，病人卻發煩、閉目不想睜開，厲害的一定衄血，衄血之後才解。所以這樣，是陽氣壅重的緣故，用麻黄湯主治。

In taiyang disease with a floating, tight pulse, no sweat, fever and bodily pain lasting eight or nine days without resolution, the exterior signs are still present and sweating should be induced. After the draught the illness eases somewhat, yet the patient becomes restless and keeps the eyes closed; in severe cases there is sure to be nosebleed, and with the bleeding the illness resolves. The reason is that the yang qi is heavily congested; Ephedra Decoction governs it.

太陽病，脉浮緊，發熱，身無汗，自衄者愈。太阳病，脉浮紧，发热，身无汗，自衄者愈。

tài yáng bìng mài fú jǐn fā rè shēn wú hàn zì nǜ zhě yù

太陽病，脉浮緊，發熱，身上沒有汗，自行衄血的會痊愈。

In taiyang disease with a floating, tight pulse, fever and no sweat, spontaneous nosebleed brings recovery.

二陽併病太陽初得病時，發其汗，汗先出不徹，因轉屬陽明。續自微汗出，不惡寒。若太陽病證不罷者，不可下，下之爲逆，如此可小發汗。設面色緣緣正赤者，陽氣怫鬱在表，當解之、熏之。若發汗不徹，不足言陽氣怫鬱不得越，當汗不汗，其人躁煩，不知痛處，乍在腹中，乍在四肢，按之不可得，其人短氣但坐，以汗出不徹故也。更發汗則愈。何以知汗出不徹，以脉濇故知也。二阳并病太阳初得病时，发其汗，汗先出不彻，因转属阳明。续自微汗出，不恶寒。若太阳病证不罢者，不可下，下之为逆，如此可小发汗。设面色缘缘正赤者，阳气怫郁在表，当解之、熏之。若发汗不彻，不足言阳气怫郁不得越，当汗不汗，其人躁烦，不知痛处，乍在腹中，乍在四肢，按之不可得，其人短气但坐，以汗出不彻故也。更发汗则愈。何以知汗出不彻，以脉涩故知也。

èr yáng bìng bìng tài yáng chū dé bìng shí fā qí hàn hàn xiān chū bù chè yīn zhuǎn shǔ yáng míng xù zì wēi hàn chū bù wù hán ruò tài yáng bìng zhèng bù bà zhě bù kě xià xià zhī wéi nì rú cǐ kě xiǎo fā hàn shè miàn sè yuán yuán zhèng chì zhě yáng qì fú yù zài biǎo dāng jiě zhī xūn zhī ruò fā hàn bù chè bù zú yán yáng qì fú yù bù dé yuè dāng hàn bù hàn qí rén zào fán bù zhī tòng chù zhà zài fù zhōng zhà zài sì zhī àn zhī bù kě dé qí rén duǎn qì dàn zuò yǐ hàn chū bù chè gù yě gèng fā hàn zé yù hé yǐ zhī hàn chū bù chè yǐ mài sè gù zhī yě

二陽併病，太陽初得病的時候，發其汗，汗先出而不透徹，於是轉屬陽明。接着自行微微汗出，不怕冷。如果太陽病證不罷，不可以攻下，攻下就是誤治，這樣可以稍稍發汗。假使面色緣緣正赤，是陽氣怫鬱在表，應當用藥解之、用熏法。如果發汗不透徹，談不上陽氣怫鬱不得外越，而是當汗不汗，病人躁煩，不知道痛在何處，忽然在腹中，忽然在四肢，按之又找不到，病人短氣，只是坐着，這是汗出不徹的緣故。再發汗就會好。怎麼知道汗出不徹，憑脉濇就可以知道。

In a combined disease of the two yang, when taiyang first fell ill and sweating was induced but the sweat did not come through, the illness turned to belong to yangming. There is then a continuous faint sweat and no aversion to cold. If the taiyang signs are not yet finished, purgation is forbidden and is a mistreatment; in such a case sweating may be induced lightly. If the face is uniformly and persistently red, the yang qi is pent up in the exterior and should be resolved by medicine and by fumigation. If sweating was incomplete, one cannot speak of yang qi pent up and unable to escape; it is a case of failing to sweat when sweating was due. The patient is restless and agitated, cannot tell where the pain is, now in the abdomen, now in the limbs, and it cannot be found on pressure; there is shortness of breath and the patient can only sit. This is because the sweat did not come through. Inducing sweat again brings recovery. How is it known that the sweat did not come through? From the rough pulse.

脉浮數者，法當汗出而愈。若下之，身重心悸者，不可發汗，當自汗出乃解。所以然者，尺中脉微，此裏虚，須表裏實，津液自和，便自汗出愈。脉浮数者，法当汗出而愈。若下之，身重心悸者，不可发汗，当自汗出乃解。所以然者，尺中脉微，此里虚，须表里实，津液自和，便自汗出愈。

mài fú shuò zhě fǎ dāng hàn chū ér yù ruò xià zhī shēn zhòng xīn jì zhě bù kě fā hàn dāng zì hàn chū nǎi jiě suǒ yǐ rán zhě chǐ zhōng mài wēi cǐ lǐ xū xū biǎo lǐ shí jīn yè zì hé biàn zì hàn chū yù

脉浮數的，按理應當汗出而愈。如果攻下，身體沉重、心下悸動的，不可以發汗，應當等它自行汗出才解。所以這樣，是尺中脉微，這是裏虚，必須表裏都實，津液自和，便會自行汗出而愈。

With a floating, rapid pulse, recovery should come by sweating. If purgation is used and the body becomes heavy with palpitation below the heart, sweating must not be induced; one should wait for spontaneous sweat. The reason is that the pulse at the cubit is faint: this is interior deficiency. Only when both exterior and interior are replete and the fluids are in harmony will sweat come of itself and the illness resolve.

脉浮緊者，法當身疼痛，宜以汗解之。假令尺中遲者，不可發汗，何以知之？然以榮氣不足，血少故也。脉浮紧者，法当身疼痛，宜以汗解之。假令尺中迟者，不可发汗，何以知之？然以荣气不足，血少故也。

mài fú jǐn zhě fǎ dāng shēn téng tòng yí yǐ hàn jiě zhī jiǎ lìng chǐ zhōng chí zhě bù kě fā hàn hé yǐ zhī zhī rán yǐ róng qì bù zú xuè shào gù yě

脉浮緊的，按理應當身體疼痛，宜用發汗解表。假使尺中脉遲，不可以發汗，怎麼知道呢？因為營氣不足、血少的緣故。

With a floating, tight pulse, bodily pain is expected and sweating should resolve the exterior. If the pulse at the cubit is slow, sweating must not be induced. How is this known? Because the constructive qi is insufficient and the blood is scanty.

脉浮者，病在表，可發汗，宜麻黄湯。脉浮者，病在表，可发汗，宜麻黄汤。

mài fú zhě bìng zài biǎo kě fā hàn yí má huáng tāng

脉浮的，病在表，可以發汗，宜用麻黄湯。

With a floating pulse the illness is in the exterior; sweating may be induced, and Ephedra Decoction is appropriate.

脉浮而數者，可發汗，宜麻黄湯。脉浮而数者，可发汗，宜麻黄汤。

mài fú ér shuò zhě kě fā hàn yí má huáng tāng

脉浮而數的，可以發汗，宜用麻黄湯。

With a floating, rapid pulse, sweating may be induced; Ephedra Decoction is appropriate.

病常自汗出者，此爲榮氣和。榮氣和者，外不諧，以衛氣不共，榮氣和諧故爾。以榮行脉中，衛行脉外，復發其汗，榮衛和則愈，宜桂枝湯。病常自汗出者，此为荣气和。荣气和者，外不谐，以卫气不共，荣气和谐故尔。以荣行脉中，卫行脉外，复发其汗，荣卫和则愈，宜桂枝汤。

bìng cháng zì hàn chū zhě cǐ wéi róng qì hé róng qì hé zhě wài bù xié yǐ wèi qì bù gòng róng qì hé xié gù ěr yǐ róng xíng mài zhōng wèi xíng mài wài fù fā qí hàn róng wèi hé zé yù yí guì zhī tāng

病人常常自行汗出，這是營氣和。營氣雖和，外部卻不諧，因為衛氣不能與營氣協調的緣故。營行脉中，衛行脉外，再發其汗，營衛調和就會好，宜用桂枝湯。

A patient who sweats spontaneously and constantly has a harmonious constructive qi. Though the constructive qi is harmonious, the exterior is not in accord, because the defensive qi does not share in that harmony. The constructive moves within the vessels and the defensive outside them; induce sweat once more, and when constructive and defensive are reconciled the illness resolves. Cinnamon Twig Decoction is appropriate.

病人藏無他病，時發熱，自汗出而不愈者，此衛氣不和也，先其時發汗則愈，宜桂枝湯主之。病人藏无他病，时发热，自汗出而不愈者，此卫气不和也，先其时发汗则愈，宜桂枝汤主之。

bìng rén zàng wú tā bìng shí fā rè zì hàn chū ér bù yù zhě cǐ wèi qì bù hé yě xiān qí shí fā hàn zé yù yí guì zhī tāng zhǔ zhī

病人五藏沒有別的病，時時發熱，自行汗出而不愈的，這是衛氣不和，在發作之前發汗就會好，宜用桂枝湯主治。

When the viscera have no other illness, yet there is periodic fever with spontaneous sweat that does not resolve, the defensive qi is not in harmony. Inducing sweat before the attack brings recovery; Cinnamon Twig Decoction is appropriate.

傷寒脉浮緊，不發汗，因致衄者，麻黄湯主之。伤寒脉浮紧，不发汗，因致衄者，麻黄汤主之。

shāng hán mài fú jǐn bù fā hàn yīn zhì nǜ zhě má huáng tāng zhǔ zhī

傷寒脉浮緊，沒有發汗，因而導致衄血的，用麻黄湯主治。

In cold damage with a floating, tight pulse, where no sweat was induced and nosebleed followed, Ephedra Decoction governs it.

傷寒不大便六七日，頭痛有熱者，與承氣湯。其小便清者，知不在裏，仍在表也，當須發汗。若頭痛者必衄，宜桂枝湯。伤寒不大便六七日，头痛有热者，与承气汤。其小便清者，知不在里，仍在表也，当须发汗。若头痛者必衄，宜桂枝汤。

shāng hán bù dà biàn liù qī rì tóu tòng yǒu rè zhě yǔ chéng qì tāng qí xiǎo biàn qīng zhě zhī bù zài lǐ réng zài biǎo yě dāng xū fā hàn ruò tóu tòng zhě bì nǜ yí guì zhī tāng

傷寒六七天不大便，頭痛而有熱的，給承氣湯。如果小便清，知道病不在裏，仍在外表，應當發汗。如果頭痛，一定會衄血，宜用桂枝湯。

In cold damage with no bowel movement for six or seven days, headache and heat, give Chengqi Decoction. If the urine is clear, the illness is known not to be in the interior but still in the exterior, and sweating should be induced. If there is headache, nosebleed will surely follow; Cinnamon Twig Decoction is appropriate.

傷寒發汗，解半日許，復煩，脉浮數者，可更發汗，宜桂枝湯主之。伤寒发汗，解半日许，复烦，脉浮数者，可更发汗，宜桂枝汤主之。

shāng hán fā hàn jiě bàn rì xǔ fù fán mài fú shuò zhě kě gèng fā hàn yí guì zhī tāng zhǔ zhī

傷寒發汗，病解了半天左右，又發煩，脉浮數的，可以再次發汗，宜用桂枝湯主治。

In cold damage, when sweating has resolved the illness for about half a day and restlessness returns with a floating, rapid pulse, sweat may be induced again; Cinnamon Twig Decoction is appropriate.

凡病若發汗，若吐、若下，若亡津液，陰陽自和者，必自愈。凡病若发汗，若吐、若下，若亡津液，阴阳自和者，必自愈。

fán bìng ruò fā hàn ruò tǔ ruò xià ruò wáng jīn yè yīn yáng zì hé zhě bì zì yù

凡是病，或者發汗，或者吐，或者下，或者亡失津液，只要陰陽自行調和，就一定自愈。

In any illness, whether by sweating, by emesis, by purgation, or by loss of fluids, so long as yin and yang come into harmony of themselves, recovery is certain.

大下之後，復發汗，小便不利者，亡津液故也，勿治之，得小便利，必自愈。大下之后，复发汗，小便不利者，亡津液故也，勿治之，得小便利，必自愈。

dà xià zhī hòu fù fā hàn xiǎo biàn bù lì zhě wáng jīn yè gù yě wù zhì zhī dé xiǎo biàn lì bì zì yù

大下之後，又發汗，小便不利的，是津液耗失的緣故，不要用藥去利它；等到小便通利，一定自愈。

After severe purgation, sweating is induced again and urination becomes difficult: this is due to loss of fluids. Do not treat it with diuretics; when urination becomes free, recovery follows of itself.

下之後，復發汗，必振寒，脉微細，所以然者，以内外俱虚故也。下之后，复发汗，必振寒，脉微细，所以然者，以内外俱虚故也。

xià zhī hòu fù fā hàn bì zhèn hán mài wēi xì suǒ yǐ rán zhě yǐ nèi wài jù xū gù yě

攻下之後，又發汗，一定振寒，脉微細，所以這樣，是内外都虚的緣故。

After purgation, sweating is induced again, and there is sure to be shivering with a faint, fine pulse. The reason is that both inside and outside are empty.

下之後，復發汗，晝日煩躁，不得眠，夜而安靜，不嘔不渴，無表證，脉沉微，身無大熱者，乾薑附子湯主之。下之后，复发汗，昼日烦躁，不得眠，夜而安静，不呕不渴，无表证，脉沉微，身无大热者，干姜附子汤主之。

xià zhī hòu fù fā hàn zhòu rì fán zào bù dé mián yè ér ān jìng bù ǒu bù kě wú biǎo zhèng mài chén wēi shēn wú dà rè zhě gān jiāng fù zǐ tāng zhǔ zhī

攻下之後，又發汗，白天煩躁，不能入睡，夜裏卻安靜，不嘔不渴，沒有表證，脉沉微，身上沒有大熱的，用乾薑附子湯主治。

After purgation, sweating is induced again, and the patient is restless by day and cannot sleep, yet is quiet at night; there is no vomiting, no thirst, no exterior signs, the pulse is deep and faint, and the body has no great heat. Dried Ginger and Aconite Decoction governs it.

乾薑附子湯方：乾薑、附子一枚。干姜附子汤方：干姜、附子一枚。

gān jiāng fù zǐ tāng fāng gān jiāng fù zǐ yī méi

乾薑附子湯方：乾薑、附子一枚。

Dried Ginger and Aconite Decoction: dried ginger, and one aconite.

右二味，以水三升，煮取一升，去滓，頓服。右二味，以水三升，煮取一升，去滓，顿服。

yòu èr wèi yǐ shuǐ sān shēng zhǔ qǔ yī shēng qù zǐ dùn fú

以上二味，用水三升，煮取一升，去渣，一次服下。

The two ingredients are boiled in three sheng of water down to one sheng, strained, and taken at a single draught.

發汗後，身疼痛，脉沉遲者，桂枝加芍藥、生薑各一兩、人參三兩，新加湯主之。发汗后，身疼痛，脉沉迟者，桂枝加芍药、生姜各一两、人参三两，新加汤主之。

fā hàn hòu shēn téng tòng mài chén chí zhě guì zhī jiā sháo yào shēng jiāng gè yī liǎng rén shēn sān liǎng xīn jiā tāng zhǔ zhī

發汗之後，身體疼痛，脉沉遲的，用桂枝加芍藥、生薑各一兩、人參三兩，即新加湯主治。

After sweating, with bodily pain and a deep, slow pulse, Cinnamon Twig Decoction with peony root and fresh ginger one liang each, and ginseng three liang, known as the Newly Added Decoction, governs it.

發汗後，不可更行桂枝湯。汗出而喘，無大熱者，可與麻黄杏仁甘草石膏湯主之。发汗后，不可更行桂枝汤。汗出而喘，无大热者，可与麻黄杏仁甘草石膏汤主之。

fā hàn hòu bù kě gèng xíng guì zhī tāng hàn chū ér chuǎn wú dà rè zhě kě yǔ má huáng xìng rén gān cǎo shí gāo tāng zhǔ zhī

發汗之後，不可以再用桂枝湯。汗出而喘，沒有大熱的，可以給麻黄杏仁甘草石膏湯主治。

After sweating, Cinnamon Twig Decoction must not be used again. Where there is sweating with panting and no great heat, Ephedra, Apricot Kernel, Liquorice and Gypsum Decoction may be given.

麻黄杏人甘草石膏湯方：麻黄四兩，去節。杏人五十箇，去皮尖。甘草二兩，炙。石膏半斤，碎，綿裹。麻黄杏人甘草石膏汤方：麻黄四两，去节。杏人五十个，去皮尖。甘草二两，炙。石膏半斤，碎，绵裹。

má huáng xìng rén gān cǎo shí gāo tāng fāng má huáng sì liǎng qù jié xìng rén wǔ shí gè qù pí jiān gān cǎo èr liǎng zhì shí gāo bàn jīn suì mián guǒ

麻黄杏人甘草石膏湯方：麻黄四兩，去節；杏人五十箇，去皮尖；甘草二兩，炙過；石膏半斤，打碎，用綿裹。

Ephedra, Apricot Kernel, Liquorice and Gypsum Decoction: ephedra four liang, nodes removed; apricot kernel fifty pieces, tip removed; liquorice two liang, honey-fried; gypsum half a jin, crushed, wrapped in silk.

右四味，以水七升，先煮麻黄，減二升，去上沫，内諸藥，煮取二升，去滓，温服一升。本云黄耳杯。右四味，以水七升，先煮麻黄，减二升，去上沫，内诸药，煮取二升，去滓，温服一升。本云黄耳杯。

yòu sì wèi yǐ shuǐ qī shēng xiān zhǔ má huáng jiǎn èr shēng qù shàng mò nà zhū yào zhǔ qǔ èr shēng qù zǐ wēn fú yī shēng běn yún huáng ěr bēi

以上四味，用水七升，先煮麻黄，减去二升，去掉上面的浮沫，再放入其餘藥味，煮取二升，去渣，温服一升。底本原注説，本云黄耳柸。

The four ingredients are boiled in seven sheng of water. Ephedra is boiled first until reduced by two sheng and the froth removed; the rest are added, the liquor boiled down to two sheng, strained, and one sheng taken warm. The original text adds that it was formerly called the yellow-ear cup.

發汗過多，其人叉手自冒心，心下悸，欲得按者，桂枝甘草湯主之。发汗过多，其人叉手自冒心，心下悸，欲得按者，桂枝甘草汤主之。

fā hàn guò duō qí rén chā shǒu zì mào xīn xīn xià jì yù dé àn zhě guì zhī gān cǎo tāng zhǔ zhī

發汗過多，病人兩手交叉按住心口，心下悸動，想要按壓的，用桂枝甘草湯主治。

When sweating has been excessive and the patient crosses the hands over the heart, with palpitation below the heart and a wish to press upon it, Cinnamon Twig and Liquorice Decoction governs it.

桂枝甘草湯方：桂枝四兩，去皮。甘草二兩，炙。桂枝甘草汤方：桂枝四两，去皮。甘草二两，炙。

guì zhī gān cǎo tāng fāng guì zhī sì liǎng qù pí gān cǎo èr liǎng zhì

桂枝甘草湯方：桂枝四兩，去皮；甘草二兩，炙過。

Cinnamon Twig and Liquorice Decoction: cinnamon twig four liang, peeled; liquorice two liang, honey-fried.

右二味，以水三升，煮取一升，去滓，頓服。右二味，以水三升，煮取一升，去滓，顿服。

yòu èr wèi yǐ shuǐ sān shēng zhǔ qǔ yī shēng qù zǐ dùn fú

以上二味，用水三升，煮取一升，去渣，一次服下。

The two ingredients are boiled in three sheng of water down to one sheng, strained, and taken at a single draught.

發汗後，其人臍下悸者，欲作奔豚，茯苓桂枝甘草大棗湯主之。发汗后，其人脐下悸者，欲作奔豚，茯苓桂枝甘草大枣汤主之。

fā hàn hòu qí rén qí xià jì zhě yù zuò bēn tún fú líng guì zhī gān cǎo dà zǎo tāng zhǔ zhī

發汗之後，病人臍下悸動的，將要發作奔豚，用茯苓桂枝甘草大棗湯主治。

After sweating, when there is throbbing below the navel, a running piglet seizure is about to come; Poria, Cinnamon Twig, Liquorice and Jujube Decoction governs it.

茯苓桂枝甘草大棗湯方：茯苓半斤。甘草二兩，炙。大棗十五枚，擘。桂枝四兩，去皮。茯苓桂枝甘草大枣汤方：茯苓半斤。甘草二两，炙。大枣十五枚，擘。桂枝四两，去皮。

fú líng guì zhī gān cǎo dà zǎo tāng fāng fú líng bàn jīn gān cǎo èr liǎng zhì dà zǎo shí wǔ méi bò guì zhī sì liǎng qù pí

茯苓桂枝甘草大棗湯方：茯苓半斤；甘草二兩，炙過；大棗十五枚，掰開；桂枝四兩，去皮。

Poria, Cinnamon Twig, Liquorice and Jujube Decoction: poria half a jin; liquorice two liang, honey-fried; jujube fifteen pieces, split; cinnamon twig four liang, peeled.

右四味，以甘爛水一斗，先煮茯苓減二升，内諸藥，煮取三升，去滓，温服一升，日三服。作甘爛水法，取水二斗，置大盆内，以杓揚之。水上有珠子五六千顆相逐，取用之。右四味，以甘烂水一斗，先煮茯苓减二升，内诸药，煮取三升，去滓，温服一升，日三服。作甘烂水法，取水二斗，置大盆内，以杓扬之。水上有珠子五六千颗相逐，取用之。

yòu sì wèi yǐ gān làn shuǐ yī dòu xiān zhǔ fú líng jiǎn èr shēng nà zhū yào zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng rì sān fú zuò gān làn shuǐ fǎ qǔ shuǐ èr dòu zhì dà pén nèi yǐ biāo yáng zhī shuǐ shàng yǒu zhū zi wǔ liù qiān kē xiāng zhú qǔ yòng zhī

以上四味，用甘爛水一斗，先煮茯苓，减去二升，再放入其餘藥味，煮取三升，去渣，温服一升，一日三次。作甘爛水的方法，取水二斗，放在大盆裏，用杓揚起來，水面上有珠子五六千顆互相追逐，取來用。

The four ingredients are boiled in one dou of sweetened, beaten water. Poria is boiled first until reduced by two sheng, the rest are added, and the liquor is boiled down to three sheng. Strain and take one sheng warm, three times a day. To make the water, take two dou in a large basin and ladle it up and pour it back until five or six thousand pearls chase one another on the surface; this is the water to use.

發汗後，腹脹滿者，厚朴生薑甘草半夏人參湯主之。发汗后，腹胀满者，厚朴生姜甘草半夏人参汤主之。

fā hàn hòu fù zhàng mǎn zhě hòu pò shēng jiāng gān cǎo bàn xià rén shēn tāng zhǔ zhī

發汗之後，腹部脹滿的，用厚朴生薑甘草半夏人參湯主治。

After sweating, with abdominal distension and fullness, Magnolia, Fresh Ginger, Liquorice, Pinellia and Ginseng Decoction governs it.

厚朴生薑甘草半夏人參湯方：厚朴半斤，炙，去皮。生薑半斤，切。半夏半升，洗。人參一兩。甘草二兩，炙。厚朴生姜甘草半夏人参汤方：厚朴半斤，炙，去皮。生姜半斤，切。半夏半升，洗。人参一两。甘草二两，炙。

hòu pò shēng jiāng gān cǎo bàn xià rén shēn tāng fāng hòu pò bàn jīn zhì qù pí shēng jiāng bàn jīn qiē bàn xià bàn shēng xǐ rén shēn yī liǎng gān cǎo èr liǎng zhì

厚朴生薑甘草半夏人參湯方：厚朴半斤，炙過，去皮；生薑半斤，切片；半夏半升，洗淨；人參一兩；甘草二兩，炙過。

Magnolia Bark, Fresh Ginger, Liquorice, Pinellia and Ginseng Decoction: magnolia bark half a jin, honey-fried, peeled; fresh ginger half a jin, sliced; pinellia half a sheng, washed; ginseng one liang; liquorice two liang, honey-fried.

右五味，以水一斗，煮取三升，去滓，温服一升，日三服。右五味，以水一斗，煮取三升，去滓，温服一升，日三服。

yòu wǔ wèi yǐ shuǐ yī dòu zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng rì sān fú

以上五味，用水一斗，煮取三升，去渣，温服一升，一日三次。

The five ingredients are boiled in one dou of water down to three sheng, strained, and one sheng taken warm three times a day.

傷寒若吐若下後，心下逆滿，氣上衝胸，起則頭眩，脉沉緊，發汗則動經，身爲振振揺者，茯苓桂枝白術甘草湯主之。伤寒若吐若下后，心下逆满，气上冲胸，起则头眩，脉沉紧，发汗则动经，身为振振摇者，茯苓桂枝白术甘草汤主之。

shāng hán ruò tǔ ruò xià hòu xīn xià nì mǎn qì shàng chōng xiōng qǐ zé tóu xuàn mài chén jǐn fā hàn zé dòng jīng shēn wéi zhèn zhèn yáo zhě fú líng guì zhī bái zhú gān cǎo tāng zhǔ zhī

傷寒，或者吐，或者下之後，心下逆滿，氣向上衝胸，起身就頭眩，脉沉緊，再發汗就會動經，身體振振摇動的，用茯苓桂枝白術甘草湯主治。

In cold damage, after emesis or purgation, there is counterflow fullness below the heart, qi rushing up into the chest, dizziness on rising, and a deep, tight pulse. To induce sweat further would stir the channels, and the body would shake and sway; Poria, Cinnamon Twig, Atractylodes and Liquorice Decoction governs it.

茯苓桂枝白術甘草湯方：茯苓四兩。桂枝三兩，去皮。白術二兩。甘草二兩，炙。茯苓桂枝白术甘草汤方：茯苓四两。桂枝三两，去皮。白术二两。甘草二两，炙。

fú líng guì zhī bái zhú gān cǎo tāng fāng fú líng sì liǎng guì zhī sān liǎng qù pí bái zhú èr liǎng gān cǎo èr liǎng zhì

茯苓桂枝白術甘草湯方：茯苓四兩；桂枝三兩，去皮；白術二兩；甘草二兩，炙過。

Poria, Cinnamon Twig, Atractylodes and Liquorice Decoction: poria four liang; cinnamon twig three liang, peeled; atractylodes two liang; liquorice two liang, honey-fried.

右四味，以水六升，煮取三升，去滓，分溫參服。右四味，以水六升，煮取三升，去滓，分温参服。

yòu sì wèi yǐ shuǐ liù shēng zhǔ qǔ sān shēng qù zǐ fēn wēn cān fú

以上四味，用水六升，煮取三升，去渣，分三次温服。

The four ingredients are boiled in six sheng of water down to three sheng, strained, and taken warm in three doses.

發汗病不解，反惡寒者，虚故也，芍藥甘草附子湯主之。发汗病不解，反恶寒者，虚故也，芍药甘草附子汤主之。

fā hàn bìng bù jiě fǎn wù hán zhě xū gù yě sháo yào gān cǎo fù zǐ tāng zhǔ zhī

發汗而病不解，反而怕冷的，是虚的緣故，用芍藥甘草附子湯主治。

When sweating fails to resolve the illness and aversion to cold appears instead, this is due to deficiency; Peony, Liquorice and Aconite Decoction governs it.

芍藥甘草附子湯方：芍藥三兩。甘草三兩，炙。附子一枚，炮，去皮，破八片。芍药甘草附子汤方：芍药三两。甘草三两，炙。附子一枚，炮，去皮，破八片。

sháo yào gān cǎo fù zǐ tāng fāng sháo yào sān liǎng gān cǎo sān liǎng zhì fù zǐ yī méi páo qù pí pò bā piàn

芍藥甘草附子湯方：芍藥三兩；甘草三兩，炙過；附子一枚，炮過，去皮，破成八片。

Peony Root, Liquorice and Aconite Decoction: peony root three liang; liquorice three liang, honey-fried; aconite one piece, roasted, peeled, broken into eight pieces.

已上三味，以水伍升，煮取一升伍合，去滓，分温服。已上三味，以水伍升，煮取一升伍合，去滓，分温服。

yǐ shàng sān wèi yǐ shuǐ wǔ shēng zhǔ qǔ yī shēng wǔ hé qù zǐ fēn wēn fú

以上三味，用水五升，煮取一升五合，去渣，分次温服。

The three ingredients are boiled in five sheng of water down to one sheng and five ge, strained, and taken warm in divided doses.

發汗若下之，病仍不解，煩躁者，茯苓四逆湯主之。发汗若下之，病仍不解，烦躁者，茯苓四逆汤主之。

fā hàn ruò xià zhī bìng réng bù jiě fán zào zhě fú líng sì nì tāng zhǔ zhī

發汗或者攻下之後，病仍不解，煩躁的，用茯苓四逆湯主治。

When sweating or purgation has failed to resolve the illness and restlessness with agitation appears, Poria Four-Reversal Decoction governs it.

茯苓四逆湯方：茯苓六兩。人參一兩。甘草二兩，炙。乾薑一兩半。附子一枚，生用，去皮，破八片。茯苓四逆汤方：茯苓六两。人参一两。甘草二两，炙。干姜一两半。附子一枚，生用，去皮，破八片。

fú líng sì nì tāng fāng fú líng liù liǎng rén shēn yī liǎng gān cǎo èr liǎng zhì gān jiāng yī liǎng bàn fù zǐ yī méi shēng yòng qù pí pò bā piàn

茯苓四逆湯方：茯苓六兩；人參一兩；甘草二兩，炙過；乾薑一兩半；附子一枚，生用，去皮，破成八片。

Poria Four-Counterflow Decoction: poria six liang; ginseng one liang; liquorice two liang, honey-fried; dried ginger one and a half liang; aconite one piece, used raw, peeled, broken into eight pieces.

右伍味，以水伍升，煮取三升，去滓，温服七合，日三服。右伍味，以水伍升，煮取三升，去滓，温服七合，日三服。

yòu wǔ wèi yǐ shuǐ wǔ shēng zhǔ qǔ sān shēng qù zǐ wēn fú qī hé rì sān fú

以上五味，用水五升，煮取三升，去渣，温服七合，一日三次。

The five ingredients are boiled in five sheng of water down to three sheng, strained, and seven ge taken warm three times a day.

發汗後，惡寒者，虚故也。不惡寒但熱者，實也，當和胃氣，與調胃承氣湯。发汗后，恶寒者，虚故也。不恶寒但热者，实也，当和胃气，与调胃承气汤。

fā hàn hòu wù hán zhě xū gù yě bù wù hán dàn rè zhě shí yě dāng hé wèi qì yǔ tiáo wèi chéng qì tāng

發汗之後，怕冷的，是虚的緣故。不怕冷只是發熱的，是實，應當調和胃氣，給調胃承氣湯。

After sweating, aversion to cold means deficiency. Where there is no aversion to cold but only heat, this is repletion; the stomach qi should be harmonised with Stomach-Regulating Chengqi Decoction.

太陽病，發汗後，大汗出，胃中乾，煩燥不得眠，欲得飲水者，少少與飲之，令胃氣和則愈。若脉浮，小便不利，微熱消渴者，與五苓散主之。太阳病，发汗后，大汗出，胃中干，烦燥不得眠，欲得饮水者，少少与饮之，令胃气和则愈。若脉浮，小便不利，微热消渴者，与五苓散主之。

tài yáng bìng fā hàn hòu dà hàn chū wèi zhōng gān fán zào bù dé mián yù dé yǐn shuǐ zhě shào shào yǔ yǐn zhī lìng wèi qì hé zé yù ruò mài fú xiǎo biàn bù lì wēi rè xiāo kě zhě yǔ wǔ líng sǎn zhǔ zhī

太陽病，發汗之後，大汗出，胃中乾燥，煩躁不能入睡，想要喝水的，稍稍給他水喝，使胃氣調和就會好。如果脉浮，小便不利，微微發熱而消渴的，給五苓散主治。

In taiyang disease, after sweating with profuse sweat, the stomach is dry, and there is restlessness with sleeplessness and a wish to drink. Give a little water to drink, and when the stomach qi is harmonised the illness resolves. If the pulse is floating, urination is difficult, and there is slight fever with wasting thirst, give Five-Ingredient Poria Powder.

五苓散方：猪苓十八銖，去皮。澤瀉一兩六銖。茯苓十八銖。桂半兩，去皮。白術十八銖。五苓散方：猪苓十八铢，去皮。泽泻一两六铢。茯苓十八铢。桂半两，去皮。白术十八铢。

wǔ líng sǎn fāng zhū líng shí bā zhū qù pí zé xiè yī liǎng liù zhū fú líng shí bā zhū guì bàn liǎng qù pí bái zhú shí bā zhū

五苓散方：猪苓十八銖，去皮；澤瀉一兩六銖；茯苓十八銖；桂半兩，去皮；白術十八銖。

Five Ling Powder: polyporus eighteen zhu, peeled; alisma one liang six zhu; poria eighteen zhu; cinnamon twig half a liang, peeled; atractylodes eighteen zhu.

右伍味爲末，以白飮和服方寸匕，日三服。多飮暖水，汗出愈。右伍味为末，以白飮和服方寸匕，日三服。多飮暖水，汗出愈。

yòu wǔ wèi wéi mò yǐ bái yǐn hé fú fāng cùn bǐ rì sān fú duō yǐn nuǎn shuǐ hàn chū yù

以上五味，研成末，用白飲調和，服方寸匕，一日三次。多喝暖水，汗出就會好。

The five ingredients are ground to powder and taken with white rice water, a square-inch spoonful three times a day. Drink plenty of warm water; when sweat comes, the illness resolves.

發汗已，脉浮數，煩渴者，五苓散主之。发汗已，脉浮数，烦渴者，五苓散主之。

fā hàn yǐ mài fú shuò fán kě zhě wǔ líng sǎn zhǔ zhī

發汗之後，脉浮數，煩渴的，用五苓散主治。

After sweating, with a floating, rapid pulse and restless thirst, Five-Ingredient Poria Powder governs it.

傷寒汗出而渴者，五苓散主之，不渴者，茯苓甘草湯主之。伤寒汗出而渴者，五苓散主之，不渴者，茯苓甘草汤主之。

shāng hán hàn chū ér kě zhě wǔ líng sǎn zhǔ zhī bù kě zhě fú líng gān cǎo tāng zhǔ zhī

傷寒汗出而口渴的，用五苓散主治；不渴的，用茯苓甘草湯主治。

In cold damage with sweating and thirst, Five-Ingredient Poria Powder governs it; where there is no thirst, Poria and Liquorice Decoction governs it.

茯苓甘草湯方：茯苓二兩。桂枝二兩，去皮。生薑三兩，切。甘草一兩，炙。茯苓甘草汤方：茯苓二两。桂枝二两，去皮。生姜三两，切。甘草一两，炙。

fú líng gān cǎo tāng fāng fú líng èr liǎng guì zhī èr liǎng qù pí shēng jiāng sān liǎng qiē gān cǎo yī liǎng zhì

茯苓甘草湯方：茯苓二兩；桂枝二兩，去皮；生薑三兩，切片；甘草一兩，炙過。

Poria and Liquorice Decoction: poria two liang; cinnamon twig two liang, peeled; fresh ginger three liang, sliced; liquorice one liang, honey-fried.

右四味，以水四升，煮取二升，去滓，分温三服。右四味，以水四升，煮取二升，去滓，分温三服。

yòu sì wèi yǐ shuǐ sì shēng zhǔ qǔ èr shēng qù zǐ fēn wēn sān fú

以上四味，用水四升，煮取二升，去渣，分三次温服。

The four ingredients are boiled in four sheng of water down to two sheng, strained, and taken warm in three doses.

中風發熱，六七日不解而煩，有表裏證，渴欲飲水，水入則吐者，名曰水逆，五苓散主之。中风发热，六七日不解而烦，有表里证，渴欲饮水，水入则吐者，名曰水逆，五苓散主之。

zhòng fēng fā rè liù qī rì bù jiě ér fán yǒu biǎo lǐ zhèng kě yù yǐn shuǐ shuǐ rù zé tù zhě míng yuē shuǐ nì wǔ líng sǎn zhǔ zhī

中風發熱，六七天不解而煩，有表裏證，口渴想要喝水，水喝下去就吐的，名叫水逆，用五苓散主治。

In wind-strike with fever unresolved for six or seven days, restlessness, signs of both exterior and interior, thirst with a wish to drink, and vomiting as soon as water is swallowed, the condition is called water counterflow; Five-Ingredient Poria Powder governs it.

未持脉時，病人手叉自冒心，師因教試令欬，而不欬者，此必兩耳聾無聞也。所以然者，以重發汗，虚故如此。未持脉时，病人手叉自冒心，师因教试令咳，而不咳者，此必两耳聋无闻也。所以然者，以重发汗，虚故如此。

wèi chí mài shí bìng rén shǒu chā zì mào xīn shī yīn jiào shì lìng kài ér bù kài zhě cǐ bì liǎng ěr lóng wú wén yě suǒ yǐ rán zhě yǐ chóng fā hàn xū gù rú cǐ

還沒有診脉的時候，病人兩手交叉按住心口，醫生於是試着叫他咳，卻不咳的，這一定是兩耳聾而聽不見。所以這樣，是因為反覆發汗，虚的緣故。

Before taking the pulse, the physician notices the patient crossing the hands over the heart and tries to make him cough, but he does not: the ears must be deaf and he hears nothing. The reason is repeated sweating and the weakness it leaves.

發汗後，飲水多，必喘，以水灌之，亦喘。发汗后，饮水多，必喘，以水灌之，亦喘。

fā hàn hòu yǐn shuǐ duō bì chuǎn yǐ shuǐ guàn zhī yì chuǎn

發汗之後，喝水太多，一定喘；用水澆灌身體，也會喘。

After sweating, drinking too much water is sure to cause panting; pouring water over the body also causes panting.

發汗後，水藥不得入口，爲逆。若更發汗，必吐下不止。发汗后，水药不得入口，为逆。若更发汗，必吐下不止。

fā hàn hòu shuǐ yào bù dé rù kǒu wéi nì ruò gèng fā hàn bì tù xià bù zhǐ

發汗之後，水和藥都嚥不下去，這是逆。如果再發汗，一定吐下不止。

When after sweating neither water nor medicine can be swallowed, this is a reversal. If sweating is induced again, vomiting and diarrhoea will not stop.

發汗吐下後，虚煩不得眠，若劇者，必反覆顛倒，心中懊憹，梔子豉湯主之。发汗吐下后，虚烦不得眠，若剧者，必反复颠倒，心中懊𢙐，栀子豉汤主之。

fā hàn tǔ xià hòu xū fán bù dé mián ruò jù zhě bì fǎn fù diān dào xīn zhōng ào náo zhī zǐ shì tāng zhǔ zhī

發汗、吐、下之後，虚煩不能入睡，嚴重的必定反覆顛倒，心中懊憹，用梔子豉湯主治。

After sweating, emesis and purgation, there is empty restlessness with sleeplessness; in severe cases the patient tosses and turns and is tormented at heart. Gardenia and Fermented Soybean Decoction governs it.

梔子豉湯方：梔子十四枚，擘。香豉四合，綿裹。栀子豉汤方：栀子十四枚，擘。香豉四合，绵裹。

zhī zǐ shì tāng fāng zhī zǐ shí sì méi bò xiāng chǐ sì gě mián guǒ

梔子豉湯方：梔子十四枚，掰開；香豉四合，用綿裹。

Gardenia and Fermented Soybean Decoction: gardenia fourteen pieces, split; fermented soybean four ge, wrapped in silk.

右二味，以水四升，先煮梔子，得二升半，内豉煮取一升半，去滓，分爲二服，溫進一服，得吐者，止後服。右二味，以水四升，先煮栀子，得二升半，内豉煮取一升半，去滓，分为二服，温进一服，得吐者，止后服。

yòu èr wèi yǐ shuǐ sì shēng xiān zhǔ zhī zǐ dé èr shēng bàn nà chǐ zhǔ qǔ yī shēng bàn qù zǐ fēn wéi èr fú wēn jìn yī fú dé tǔ zhě zhǐ hòu fú

以上二味，用水四升，先煮梔子，得二升半，再放入香豉，煮取一升半，去渣，分作兩服，温服一服。得吐的，停後服。

The two ingredients are boiled in four sheng of water. Gardenia is boiled first to two and a half sheng, then the fermented soybean is added and the liquor boiled down to one and a half sheng. Strain and take warm in two doses. If vomiting occurs, the second dose is withheld.

若少氣者，梔子甘草豉湯主之，若嘔者，梔子生薑豉湯主之。若少气者，栀子甘草豉汤主之，若呕者，栀子生姜豉汤主之。

ruò shǎo qì zhě zhī zǐ gān cǎo shì tāng zhǔ zhī ruò ǒu zhě zhī zǐ shēng jiāng shì tāng zhǔ zhī

如果少氣，用梔子甘草豉湯主治；如果嘔，用梔子生薑豉湯主治。

For shortness of qi, Gardenia, Liquorice and Fermented Soybean Decoction governs; for vomiting, Gardenia, Fresh Ginger and Fermented Soybean Decoction governs.

發汗若下之，而煩熱，胸中窒者，梔子豉湯主之。发汗若下之，而烦热，胸中窒者，栀子豉汤主之。

fā hàn ruò xià zhī ér fán rè xiōng zhōng zhì zhě zhī zǐ shì tāng zhǔ zhī

發汗或者攻下之後，煩熱，胸中窒塞的，用梔子豉湯主治。

After sweating or purgation, with restless heat and a sense of obstruction in the chest, Gardenia and Fermented Soybean Decoction governs it.

傷寒五六日，大下之後，身熱不去，心中結痛者，未欲解也，梔子豉湯主之。伤寒五六日，大下之后，身热不去，心中结痛者，未欲解也，栀子豉汤主之。

shāng hán wǔ liù rì dà xià zhī hòu shēn rè bù qù xīn zhōng jié tòng zhě wèi yù jiě yě zhī zǐ shì tāng zhǔ zhī

傷寒五六天，大下之後，身熱不退，心中結痛的，是病還沒有要解，用梔子豉湯主治。

In cold damage of five or six days, after severe purgation, when the body heat does not recede and there is binding pain at the heart, the illness is not about to resolve; Gardenia and Fermented Soybean Decoction governs it.

傷寒下後，心煩、腹滿，卧起不安者，梔子厚朴湯主之。伤寒下后，心烦、腹满，卧起不安者，栀子厚朴汤主之。

shāng hán xià hòu xīn fán fù mǎn wò qǐ bù ān zhě zhī zǐ hòu pò tāng zhǔ zhī

傷寒攻下之後，心煩，腹部脹滿，卧起不安的，用梔子厚朴湯主治。

In cold damage after purgation, with restlessness at heart, abdominal fullness, and unease whether lying or rising, Gardenia and Magnolia Decoction governs it.

梔子厚朴湯方：梔子十四枚，擘。厚朴四兩，炙，去皮。枳實四枚，水浸，炙令黄。栀子厚朴汤方：栀子十四枚，擘。厚朴四两，炙，去皮。枳实四枚，水浸，炙令黄。

zhī zǐ hòu pò tāng fāng zhī zǐ shí sì méi bò hòu pò sì liǎng zhì qù pí zhǐ shí sì méi shuǐ jìn zhì lìng huáng

梔子厚朴湯方：梔子十四枚，掰開；厚朴四兩，炙過，去皮；枳實四枚，水浸，炙到發黄。

Gardenia and Magnolia Bark Decoction: gardenia fourteen pieces, split; magnolia bark four liang, honey-fried, peeled; immature bitter orange four pieces, soaked in water, fried until yellow.

已上三味，以水三升半，煮取一升半，去滓，分二服，温進一服，得吐者，止後服。已上三味，以水三升半，煮取一升半，去滓，分二服，温进一服，得吐者，止后服。

yǐ shàng sān wèi yǐ shuǐ sān shēng bàn zhǔ qǔ yī shēng bàn qù zǐ fēn èr fú wēn jìn yī fú dé tǔ zhě zhǐ hòu fú

以上三味，用水三升半，煮取一升半，去渣，分作兩服，温服一服。得吐的，停後服。

The three ingredients are boiled in three and a half sheng of water down to one and a half sheng, strained, and taken warm in two doses. If vomiting occurs, the second dose is withheld.

傷寒醫以丸藥大下之，身熱不去，微煩者，梔子乾薑湯主之。伤寒医以丸药大下之，身热不去，微烦者，栀子干姜汤主之。

shāng hán yī yǐ wán yào dà xià zhī shēn rè bù qù wēi fán zhě zhī zǐ gān jiāng tāng zhǔ zhī

傷寒，醫生用丸藥大下，身熱不退，微微心煩的，用梔子乾薑湯主治。

In cold damage, when a physician has purged severely with pills and the body heat does not recede, with slight restlessness, Gardenia and Dried Ginger Decoction governs it.

梔子乾薑湯方：梔子十四枚，擘。乾薑二兩。栀子干姜汤方：栀子十四枚，擘。干姜二两。

zhī zǐ gān jiāng tāng fāng zhī zǐ shí sì méi bò gān jiāng èr liǎng

梔子乾薑湯方：梔子十四枚，掰開；乾薑二兩。

Gardenia and Dried Ginger Decoction: gardenia fourteen pieces, split; dried ginger two liang.

右貳味，以水三升半，煮取一升半，去滓，分二服，温進一服，得吐者，止後服。右贰味，以水三升半，煮取一升半，去滓，分二服，温进一服，得吐者，止后服。

yòu èr wèi yǐ shuǐ sān shēng bàn zhǔ qǔ yī shēng bàn qù zǐ fēn èr fú wēn jìn yī fú dé tǔ zhě zhǐ hòu fú

以上二味，用水三升半，煮取一升半，去渣，分作兩服，温服一服。得吐的，停後服。

The two ingredients are boiled in three and a half sheng of water down to one and a half sheng, strained, and taken warm in two doses. If vomiting occurs, the second dose is withheld.

凡用梔子湯，病人舊微溏者，不可與服之。凡用栀子汤，病人旧微溏者，不可与服之。

fán yòng zhī zǐ tāng bìng rén jiù wēi táng zhě bù kě yǔ fú zhī

凡是用梔子湯，病人平素大便微溏的，不可以給他服。

Whenever a gardenia decoction is used, if the patient has long had slightly loose stools, it must not be given.

太陽病發汗，汗出不解，其人仍發熱，心下悸，頭眩，身瞤動，振振欲擗地者，真武湯主之。太阳病发汗，汗出不解，其人仍发热，心下悸，头眩，身𥆧动，振振欲擗地者，真武汤主之。

tài yáng bìng fā hàn hàn chū bù jiě qí rén réng fā rè xīn xià jì tóu xuàn shēn shùn dòng zhèn zhèn yù pǐ dì zhě zhēn wǔ tāng zhǔ zhī

太陽病發汗，汗出而病不解，病人仍然發熱，心下悸動，頭眩，身體肌肉跳動，振振摇摇將要倒地的，用真武湯主治。

In taiyang disease, sweating is induced and the sweat comes but the illness is not resolved. The patient still has fever, palpitation below the heart, dizziness, leaping of the flesh, and shakes as though about to fall to the ground; True Warrior Decoction governs it.

咽喉乾燥者，不可發汗，咽喉干燥者，不可发汗，

yàn hóu qián zào zhě bù kě fā hàn

咽喉乾燥的，不可以發汗。

When the throat is dry, sweating must not be induced.

淋家不可發汗，發汗必便血。淋家不可发汗，发汗必便血。

lìn jiā bù kě fā hàn fā hàn bì biàn xuè

患淋病的人不可以發汗，發汗一定尿血。

One who suffers from strangury must not be made to sweat; sweating will surely bring blood in the urine.

瘡家雖身疼痛，不可發汗，發汗則痓，疮家虽身疼痛，不可发汗，发汗则痓，

chuāng jiā suī shēn téng tòng bù kě fā hàn fā hàn zé chì

患瘡瘍的人雖然身體疼痛，不可以發汗，發汗就會變成痓。

One who suffers from sores, though the body aches, must not be made to sweat; sweating will bring on spasms.

衄家不可發汗，汗出必額上陷脉急緊，直視不能眴，不得眠。衄家不可发汗，汗出必额上陷脉急紧，直视不能眴，不得眠。

nǜ jiā bù kě fā hàn hàn chū bì é shàng xiàn mài jí jǐn zhí shì bù néng shùn bù dé mián

常衄血的人不可以發汗，汗出一定額上陷脉急緊，眼睛直視不能開合，不能入睡。

One who bleeds from the nose must not be made to sweat; sweating will surely leave the sunken vessels at the forehead tense and tight, the eyes staring and unable to close, and sleep impossible.

亡血家不可發汗，發汗則寒慄而振。亡血家不可发汗，发汗则寒栗而振。

wáng xuè jiā bù kě fā hàn fā hàn zé hán lì ér zhèn

失血的人不可以發汗，發汗就會寒冷戰慄而振動。

One who has lost blood must not be made to sweat; sweating will bring chill, shivering and trembling.

汗家重發汗，必恍惚心亂，小便已，陰疼，與禹餘糧丸闕。汗家重发汗，必恍惚心乱，小便已，阴疼，与禹余粮丸阙。

hàn jiā chóng fā hàn bì huǎng hū xīn luàn xiǎo biàn yǐ yīn téng yǔ yǔ yú liáng wán què

平素多汗的人反覆發汗，一定心神恍惚昏亂，小便完了，陰部疼痛，給禹餘糧丸，方缺。

One who sweats habitually, if made to sweat again and again, will surely become confused and disordered in mind, and after passing urine will have pain in the genitals. Give Limonite Pill; the formula is missing.

病人有寒，復發汗，胃中冷，必吐蛔。病人有寒，复发汗，胃中冷，必吐蛔。

bìng rén yǒu hán fù fā hàn wèi zhōng lěng bì tù huí

病人本來有寒，又發汗，胃中寒冷，一定吐出蛔蟲。

When a patient already has cold and is made to sweat again, the stomach grows cold and roundworms will be vomited.

本發汗而復下之，此爲逆也。若先發汗，治不爲逆。本先下之，而反汗之，爲逆，若先下之，治不爲逆。本发汗而复下之，此为逆也。若先发汗，治不为逆。本先下之，而反汗之，为逆，若先下之，治不为逆。

běn fā hàn ér fù xià zhī cǐ wéi nì yě ruò xiān fā hàn zhì bù wéi nì běn xiān xià zhī ér fǎn hàn zhī wéi nì ruò xiān xià zhī zhì bù wéi nì

本來應當發汗反而攻下，這是逆。如果先發汗，治療不算逆。本來應當先攻下，反而發汗，是逆；如果先攻下，治療不算逆。

To purge when sweating was due is a reversal; to sweat first is no reversal. To sweat when purgation was due is a reversal; to purge first is no reversal.

傷寒醫下之，續得下利，清榖不止，身疼痛者，急當救裏。後身疼痛，清便自調者，急當救表。救裏宜四逆湯，救表宜桂枝湯。伤寒医下之，续得下利，清谷不止，身疼痛者，急当救里。后身疼痛，清便自调者，急当救表。救里宜四逆汤，救表宜桂枝汤。

shāng hán yī xià zhī xù dé xià lì qīng gǔ bù zhǐ shēn téng tòng zhě jí dāng jiù lǐ hòu shēn téng tòng qīng biàn zì tiáo zhě jí dāng jiù biǎo jiù lǐ yí sì nì tāng jiù biǎo yí guì zhī tāng

傷寒，醫生攻下，接着下利，完穀不化而不止，身體疼痛的，應當急着救裏。之後身疼痛而大便自行調順的，急着救表。救裏宜用四逆湯，救表宜用桂枝湯。

In cold damage, when a physician purges and diarrhoea follows with undigested food and does not stop, while the body aches, the interior must be rescued first. If afterwards the body still aches but the stool has become regular of itself, the exterior must be rescued urgently. Four-Reversal Decoction is right for the interior, Cinnamon Twig Decoction for the exterior.

病發熱頭痛，脉反沉，若不差，身體疼痛，當救其裏，宜四逆湯。病发热头痛，脉反沉，若不差，身体疼痛，当救其里，宜四逆汤。

bìng fā rè tóu tòng mài fǎn chén ruò bù chài shēn tǐ téng tòng dāng jiù qí lǐ yí sì nì tāng

病發熱頭痛，脉反而沉，如果不愈，身體疼痛，應當救其裏，宜用四逆湯。

In illness with fever and headache, if the pulse is deep instead, and the illness does not heal but the body aches, the interior should be rescued; Four-Reversal Decoction is appropriate.

太陽病，先下之而不愈，因復發汗，以此表裏俱虚，其人因致冒，冒家汗出自愈。所以然者，汗出表和故也。得裏未和，然後復下之。太阳病，先下之而不愈，因复发汗，以此表里俱虚，其人因致冒，冒家汗出自愈。所以然者，汗出表和故也。得里未和，然后复下之。

tài yáng bìng xiān xià zhī ér bù yù yīn fù fā hàn yǐ cǐ biǎo lǐ jù xū qí rén yīn zhì mào mào jiā hàn chū zì yù suǒ yǐ rán zhě hàn chū biǎo hé gù yě dé lǐ wèi hé rán hòu fù xià zhī

太陽病，先攻下而不愈，於是又發汗，因此表裏都虚，病人因而致冒，冒家汗出就會自愈。所以這樣，是汗出表和緣故。如果裏還沒有和，然後再攻下。

In taiyang disease, purgation was used first and failed; sweating was then induced, so that both exterior and interior became empty, and the patient’s head grew clouded. One whose head is clouded recovers when sweat comes, because sweating harmonises the exterior. If the interior is still not harmonised, purgation may be used afterwards.

太陽病未解，脉陰陽俱停，必先振慄，汗出而解。但陽脉微者，先汗出而解，但陰脉微者，下之而解。若欲下之，宜調胃承氣湯主之。太阳病未解，脉阴阳俱停，必先振栗，汗出而解。但阳脉微者，先汗出而解，但阴脉微者，下之而解。若欲下之，宜调胃承气汤主之。

tài yáng bìng wèi jiě mài yīn yáng jù tíng bì xiān zhèn lì hàn chū ér jiě dàn yáng mài wēi zhě xiān hàn chū ér jiě dàn yīn mài wēi zhě xià zhī ér jiě ruò yù xià zhī yí tiáo wèi chéng qì tāng zhǔ zhī

太陽病未解，脉陰陽俱停，一定先戰慄，然後汗出而解。只是陽脉微的，先汗出而解；只是陰脉微的，攻下而解。如果想要攻下，宜用調胃承氣湯主治。

In unresolved taiyang disease, when both the yin and the yang pulses are at rest, there is sure to be shivering first, then sweat and resolution. If only the yang pulse is faint, resolution comes by sweating first; if only the yin pulse is faint, it comes by purgation. If purgation is to be used, Stomach-Regulating Chengqi Decoction is appropriate.

太陽病，發熱汗出者，此爲榮弱衛強，故使汗出。欲救邪風者，宜桂枝湯。太阳病，发热汗出者，此为荣弱卫强，故使汗出。欲救邪风者，宜桂枝汤。

tài yáng bìng fā rè hàn chū zhě cǐ wéi róng ruò wèi qiáng gù shǐ hàn chū yù jiù xié fēng zhě yí guì zhī tāng

太陽病，發熱汗出的，這是營弱衛強，所以使人汗出。想要救治邪風，宜用桂枝湯。

In taiyang disease with fever and sweating, this is weakness of the constructive and strength of the defensive, which is why sweat comes out. To rescue the pathogenic wind, Cinnamon Twig Decoction is appropriate.

傷寒五六日，中風，徃來寒熱，胸脅苦滿，默默不欲飲食，心煩喜嘔，或胸中煩而不嘔，或渴，或腹中痛，或脅下痞鞕，或心下悸，小便不利，或不渴，身有微熱，或欬者，與小柴胡湯主之。伤寒五六日，中风，往来寒热，胸胁苦满，默默不欲饮食，心烦喜呕，或胸中烦而不呕，或渴，或腹中痛，或胁下痞硬，或心下悸，小便不利，或不渴，身有微热，或咳者，与小柴胡汤主之。

shāng hán wǔ liù rì zhòng fēng wǎng lái hán rè xiōng xié kǔ mǎn mò mò bù yù yǐn shí xīn fán xǐ ǒu huò xiōng zhōng fán ér bù ǒu huò kě huò fù zhōng tòng huò xié xià pǐ yìng huò xīn xià jì xiǎo biàn bù lì huò bù kě shēn yǒu wēi rè huò kài zhě yǔ xiǎo chái hú tāng zhǔ zhī

傷寒五六天，中風，往來寒熱，胸脇苦滿，默默不想飲食，心煩而喜嘔，或者胸中煩而不嘔，或者口渴，或者腹中痛，或者脇下痞鞕，或者心下悸、小便不利，或者不渴、身有微熱，或者咳嗽的，給小柴胡湯主治。

In cold damage of five or six days, or in wind-strike, with alternating chills and fever, bitter fullness of the chest and flank, silence and no wish for food, restlessness at heart and readiness to vomit; or fullness and restlessness in the chest without vomiting; or thirst; or pain in the abdomen; or hardness and fullness below the flank; or palpitation below the heart with difficult urination; or no thirst but slight fever of the body; or cough: give Minor Bupleurum Decoction.

小柴胡湯方：柴胡半斤。黄芩三兩。人參三兩。甘草三兩，炙。半夏半升，洗。生薑三兩，切。大棗十二枚，擘。小柴胡汤方：柴胡半斤。黄芩三两。人参三两。甘草三两，炙。半夏半升，洗。生姜三两，切。大枣十二枚，擘。

xiǎo chái hú tāng fāng chái hú bàn jīn huáng qín sān liǎng rén shēn sān liǎng gān cǎo sān liǎng zhì bàn xià bàn shēng xǐ shēng jiāng sān liǎng qiē dà zǎo shí èr méi bò

小柴胡湯方：柴胡半斤；黄芩三兩；人參三兩；甘草三兩，炙過；半夏半升，洗淨；生薑三兩，切片；大棗十二枚，掰開。

Minor Bupleurum Decoction: bupleurum half a jin; scutellaria three liang; ginseng three liang; liquorice three liang, honey-fried; pinellia half a sheng, washed; fresh ginger three liang, sliced; jujube twelve pieces, split.

右柒味，以水一斗二升，煮取六升，去滓，再煎取三升。温服一升，日三服。右柒味，以水一斗二升，煮取六升，去滓，再煎取三升。温服一升，日三服。

yòu qī wèi yǐ shuǐ yī dòu èr shēng zhǔ qǔ liù shēng qù zǐ zài jiān qǔ sān shēng wēn fú yī shēng rì sān fú

以上七味，用水一斗二升，煮取六升，去渣，再煎取三升。温服一升，一日三次。

The seven ingredients are boiled in one dou and two sheng of water down to six sheng, strained, and boiled again down to three sheng. Take one sheng warm three times a day.

後加減法：若胸中煩而不嘔，去半夏、人參，加括蔞實一枚。后加减法：若胸中烦而不呕，去半夏、人参，加括蒌实一枚。

hòu jiā jiǎn fǎ ruò xiōng zhōng fán ér bù ǒu qù bàn xià rén shēn jiā guā lóu shí yī méi

後加減法：如果胸中煩而不嘔，去掉半夏、人參，加括蔞實一枚。

Later modifications: for restlessness in the chest without vomiting, remove pinellia and ginseng, and add one trichosanthes fruit.

若渴者，去半夏，加人參合前成肆兩半，括蔞根肆兩。若渴者，去半夏，加人参合前成肆两半，括蒌根肆两。

ruò kě zhě qù bàn xià jiā rén shēn hé qián chéng sì liǎng bàn guā lóu gēn sì liǎng

如果口渴，去掉半夏，加人參合前成四兩半，再加括蔞根四兩。

For thirst, remove pinellia, increase ginseng to four and a half liang in all, and add trichosanthes root four liang.

若腹中痛者，去黄苓，加芍藥三兩。若腹中痛者，去黄苓，加芍药三两。

ruò fù zhōng tòng zhě qù huáng líng jiā sháo yào sān liǎng

如果腹中痛，去掉黄芩，加芍藥三兩。

For pain in the abdomen, remove scutellaria and add peony root three liang.

若脅下痞鞕，去大棗，加牡蠣肆兩。若胁下痞硬，去大枣，加牡蛎肆两。

ruò xié xià pǐ yìng qù dà zǎo jiā mǔ lì sì liǎng

如果脇下痞鞕，去掉大棗，加牡蠣四兩。

For hardness and fullness below the flank, remove jujube and add oyster shell four liang.

若心下悸，小便不利者，去黄苓，加茯苓肆兩。若心下悸，小便不利者，去黄苓，加茯苓肆两。

ruò xīn xià jì xiǎo biàn bù lì zhě qù huáng líng jiā fú líng sì liǎng

如果心下悸、小便不利，去掉黄芩，加茯苓四兩。

For palpitation below the heart with difficult urination, remove scutellaria and add poria four liang.

若不渴，外有微熱者，去人參，加桂三兩，温覆取微汗愈。若不渴，外有微热者，去人参，加桂三两，温覆取微汗愈。

ruò bù kě wài yǒu wēi rè zhě qù rén shēn jiā guì sān liǎng wēn fù qǔ wēi hàn yù

如果不渴，外有微熱，去掉人參，加桂三兩，温覆取微汗而愈。

If there is no thirst but slight fever outside, remove ginseng, add cinnamon twig three liang, cover up warmly for a faint sweat, and the illness resolves.

若欬者，去人參、大棗、生薑，加五味子半升，乾薑二兩。若咳者，去人参、大枣、生姜，加五味子半升，干姜二两。

ruò kài zhě qù rén shēn dà zǎo shēng jiāng jiā wǔ wèi zǐ bàn shēng gān jiāng èr liǎng

如果咳嗽，去掉人參、大棗、生薑，加五味子半升，乾薑二兩。

For cough, remove ginseng, jujube and fresh ginger, and add schisandra half a sheng with dried ginger two liang.

血弱氣盡，腠理開，邪氣因入，與正氣相搏，結於脅下，正邪分爭，往來寒熱，休作有時，默默不欲飲食，藏府相連，其痛必下，邪高痛下，故使嘔也，小柴胡湯主之。血弱气尽，腠理开，邪气因入，与正气相搏，结于胁下，正邪分争，往来寒热，休作有时，默默不欲饮食，藏府相连，其痛必下，邪高痛下，故使呕也，小柴胡汤主之。

xuè ruò qì jǐn còu lǐ kāi xié qì yīn rù yǔ zhèng qì xiāng bó jié yú xié xià zhèng xié fēn zhēng wǎng lái hán rè xiū zuò yǒu shí mò mò bù yù yǐn shí zàng fǔ xiāng lián qí tòng bì xià xié gāo tòng xià gù shǐ ǒu yě xiǎo chái hú tāng zhǔ zhī

血弱氣盡，腠理開疏，邪氣因而侵入，與正氣相搏，結在脇下，正邪分爭，往來寒熱，休作有時，默默不想飲食，藏府相連，疼痛一定向下，邪高而痛下，所以使人嘔，用小柴胡湯主治。

When the blood is weak and the qi exhausted, the interstices open and the pathogenic qi enters. It wrestles with the upright qi and binds below the flank; upright and evil contend, so chills and fever alternate and the attacks come and go at fixed times. The patient is silent and does not wish for food. Viscera and bowels are linked together, so the pain must move downward: the evil is above and the pain below, which is why vomiting occurs. Minor Bupleurum Decoction governs it.

服柴胡湯已，渴者，屬陽明也，以法治之。服柴胡汤已，渴者，属阳明也，以法治之。

fú chái hú tāng yǐ kě zhě shǔ yáng míng yě yǐ fǎ zhì zhī

服柴胡湯之後，口渴的，屬於陽明，依法論治。

When thirst appears after taking Bupleurum Decoction, the illness belongs to yangming; treat it by that law.

得病六七日，脉遲浮弱，惡風寒，手足温，醫二三下之，不能食，而脅下滿痛，面目及身黄，頸項強，小便難者，與柴胡湯，後必下重。本渴而飲水，嘔者，柴胡湯不中與也。食榖者噦。得病六七日，脉迟浮弱，恶风寒，手足温，医二三下之，不能食，而胁下满痛，面目及身黄，颈项强，小便难者，与柴胡汤，后必下重。本渴而饮水，呕者，柴胡汤不中与也。食谷者哕。

dé bìng liù qī rì mài chí fú ruò wù fēng hán shǒu zú wēn yī èr sān xià zhī bù néng shí ér xié xià mǎn tòng miàn mù jí shēn huáng jǐng xiàng qiáng xiǎo biàn nán zhě yǔ chái hú tāng hòu bì xià zhòng běn kě ér yǐn shuǐ ǒu zhě chái hú tāng bù zhòng yǔ yě shí gǔ zhě yuě

得病六七天，脉遲浮弱，怕風寒，手足温，醫生再三攻下，不能進食，而脇下脹滿疼痛，面目和全身發黄，頸項強，小便困難的，給柴胡湯，之後一定下重。本來口渴而喝水，飲水就嘔的，柴胡湯不適宜給。吃東西就噦的，也是如此。

Six or seven days after the illness began, the pulse is slow, floating and weak, with aversion to wind and cold, yet the hands and feet are warm. A physician purges two or three times, after which there is no appetite, with fullness and pain below the flank, yellowing of the face, eyes and body, stiffness of the neck and nape, and difficult urination. If Bupleurum Decoction is given, tenesmus will surely follow. Where thirst leads to drinking and drinking to vomiting, Bupleurum Decoction is not fitting. The same holds where eating brings retching.

傷寒四五日，身熱惡風，頸項強，脅下滿，手足溫而渴者，小柴胡湯主之。伤寒四五日，身热恶风，颈项强，胁下满，手足温而渴者，小柴胡汤主之。

shāng hán sì wǔ rì shēn rè wù fēng jǐng xiàng qiáng xié xià mǎn shǒu zú wēn ér kě zhě xiǎo chái hú tāng zhǔ zhī

傷寒四五天，身熱怕風，頸項強，脇下脹滿，手足温而口渴的，用小柴胡湯主治。

In cold damage of four or five days, with fever, aversion to wind, stiffness of the neck and nape, fullness below the flank, and warm hands and feet with thirst, Minor Bupleurum Decoction governs it.

傷寒陽脉澀，陰脉弦，法當腹中急痛者，先與小建中湯，不差者，與小柴胡湯主之。伤寒阳脉涩，阴脉弦，法当腹中急痛者，先与小建中汤，不差者，与小柴胡汤主之。

shāng hán yáng mài sè yīn mài xián fǎ dāng fù zhōng jí tòng zhě xiān yǔ xiǎo jiàn zhōng tāng bù chài zhě yǔ xiǎo chái hú tāng zhǔ zhī

傷寒陽脉澀，陰脉弦，按理應當腹中急痛，先給小建中湯；不愈的，給小柴胡湯主治。

In cold damage with a rough yang pulse and a wiry yin pulse, acute pain in the abdomen is to be expected. Give Minor Constructing the Middle Decoction first; if it does not heal, give Minor Bupleurum Decoction.

小建中湯方：桂枝三兩，去皮。甘草二兩，炙。大棗十二枚，擘。芍藥六兩。生薑三兩，切。膠飴一升。小建中汤方：桂枝三两，去皮。甘草二两，炙。大枣十二枚，擘。芍药六两。生姜三两，切。胶饴一升。

xiǎo jiàn zhōng tāng fāng guì zhī sān liǎng qù pí gān cǎo èr liǎng zhì dà zǎo shí èr méi bò sháo yào liù liǎng shēng jiāng sān liǎng qiē jiāo yí yī shēng

小建中湯方：桂枝三兩，去皮；甘草二兩，炙過；大棗十二枚，掰開；芍藥六兩；生薑三兩，切片；膠飴一升。

Minor Center-Fortifying Decoction: cinnamon twig three liang, peeled; liquorice two liang, honey-fried; jujube twelve pieces, split; peony root six liang; fresh ginger three liang, sliced; maltose one sheng.

右六味，以水七升，煮取三升，去滓，内膠飴，更上微火消解，温服一升，日三服。嘔家不可用建中湯，以甜故也。右六味，以水七升，煮取三升，去滓，内胶饴，更上微火消解，温服一升，日三服。呕家不可用建中汤，以甜故也。

yòu liù wèi yǐ shuǐ qī shēng zhǔ qǔ sān shēng qù zǐ nà jiāo yí gèng shàng wēi huǒ xiāo jiě wēn fú yī shēng rì sān fú ǒu jiā bù kě yòng jiàn zhōng tāng yǐ tián gù yě

以上六味，用水七升，煮取三升，去渣，放入膠飴，再用微火消解，温服一升，一日三次。常嘔的人不可以用建中湯，因為味甜的緣故。

The six ingredients are boiled in seven sheng of water down to three sheng and strained; the maltose is added and dissolved over a gentle fire. Take one sheng warm three times a day. One who vomits habitually must not use Constructing the Middle Decoction, because it is sweet.

傷寒中風有柴胡證，但見一證便是，不必悉具柴胡證。伤寒中风有柴胡证，但见一证便是，不必悉具柴胡证。

shāng hán zhòng fēng yǒu chái hú zhèng dàn jiàn yī zhèng biàn shì bù bì xī jù chái hú zhèng

傷寒或中風而有柴胡證，只要見到一證便是，不必柴胡證全部具備。

In cold damage or wind-strike, when the Bupleurum signs are present, one sign alone is enough; the full set need not be complete.

凡柴胡湯病證而下之，若柴胡證不罷者，復與柴胡湯，必蒸蒸而振，却發熱汗出而解。凡柴胡汤病证而下之，若柴胡证不罢者，复与柴胡汤，必蒸蒸而振，却发热汗出而解。

fán chái hú tāng bìng zhèng ér xià zhī ruò chái hú zhèng bù bà zhě fù yǔ chái hú tāng bì zhēng zhēng ér zhèn què fā rè hàn chū ér jiě

凡是柴胡湯病證而攻下，如果柴胡證不罷的，再給柴胡湯，一定蒸蒸而振，接着發熱汗出而解。

In any illness of the Bupleurum type, when purgation has been used and the Bupleurum signs are not finished, give Bupleurum Decoction again. There will surely be a steaming warmth with shivering, then fever, sweat, and resolution.

傷寒二、三日，心中悸而煩者，小建中湯主之。伤寒二、三日，心中悸而烦者，小建中汤主之。

shāng hán èr sān rì xīn zhōng jì ér fán zhě xiǎo jiàn zhōng tāng zhǔ zhī

傷寒兩三天，心中悸動而煩的，用小建中湯主治。

In cold damage of two or three days, with palpitation at the heart and restlessness, Minor Constructing the Middle Decoction governs it.

太陽病過經十餘日，反二三下之，後四、五日，柴胡證仍在者，先與小柴胡湯。嘔不止，心下急，鬱鬱微煩者，爲未解也，與大柴胡湯下之則愈。太阳病过经十余日，反二三下之，后四、五日，柴胡证仍在者，先与小柴胡汤。呕不止，心下急，郁郁微烦者，为未解也，与大柴胡汤下之则愈。

tài yáng bìng guò jīng shí yú rì fǎn èr sān xià zhī hòu sì wǔ rì chái hú zhèng réng zài zhě xiān yǔ xiǎo chái hú tāng ǒu bù zhǐ xīn xià jí yù yù wēi fán zhě wéi wèi jiě yě yǔ dà chái hú tāng xià zhī zé yù

太陽病過了十幾天，反而再三攻下，之後四五天，柴胡證仍在的，先給小柴胡湯。嘔不止，心下急，鬱鬱微煩的，是病還沒有解，給大柴胡湯攻下就會好。

In taiyang disease passing beyond its course for more than ten days, purged two or three times in spite of that, if after four or five more days the Bupleurum signs remain, give Minor Bupleurum Decoction first. If vomiting does not stop, with tightness below the heart and a gloomy, slight restlessness, the illness is not resolved; give Major Bupleurum Decoction to purge, and it will heal.

大柴胡湯方：柴胡半斤。黄芩三兩。芍藥三兩。半夏半升，洗。生薑五兩，切。枳實四枚，炙。大棗十二枚，擘。大黄二兩。大柴胡汤方：柴胡半斤。黄芩三两。芍药三两。半夏半升，洗。生姜五两，切。枳实四枚，炙。大枣十二枚，擘。大黄二两。

dà chái hú tāng fāng chái hú bàn jīn huáng qín sān liǎng sháo yào sān liǎng bàn xià bàn shēng xǐ shēng jiāng wǔ liǎng qiē zhǐ shí sì méi zhì dà zǎo shí èr méi bò dà huáng èr liǎng

大柴胡湯方：柴胡半斤；黄芩三兩；芍藥三兩；半夏半升，洗淨；生薑五兩，切片；枳實四枚，炙過；大棗十二枚，掰開；大黄二兩。

Major Bupleurum Decoction: bupleurum half a jin; scutellaria three liang; peony root three liang; pinellia half a sheng, washed; fresh ginger five liang, sliced; immature bitter orange four pieces, honey-fried; jujube twelve pieces, split; rhubarb two liang.

右七味，以水一斗二升，煮取六升，去滓，再煎，温服一升，日三服。一方用大黄二兩，若不加大黄，恐不爲大柴胡湯也。右七味，以水一斗二升，煮取六升，去滓，再煎，温服一升，日三服。一方用大黄二两，若不加大黄，恐不为大柴胡汤也。

yòu qī wèi yǐ shuǐ yī dòu èr shēng zhǔ qǔ liù shēng qù zǐ zài jiān wēn fú yī shēng rì sān fú yī fāng yòng dà huáng èr liǎng ruò bù jiā dà huáng kǒng bù wéi dà chái hú tāng yě

以上七味，用水一斗二升，煮取六升，去渣，再煎，温服一升，一日三次。另一方用大黄二兩，如果不加大黄，恐怕不算大柴胡湯。

The seven ingredients are boiled in one dou and two sheng of water down to six sheng, strained, boiled again, and taken warm one sheng three times a day. Another version uses rhubarb two liang; without rhubarb it would hardly be Major Bupleurum Decoction.

傷寒十三日不解，胸脅滿而嘔，日晡所發潮熱，已而微利。此本柴胡證，下之而不得利，今反利者，知醫以丸藥下之，非其治也。潮熱者實也，先宜小柴胡湯以解外，後以柴胡加芒消湯主之。伤寒十三日不解，胸胁满而呕，日晡所发潮热，已而微利。此本柴胡证，下之而不得利，今反利者，知医以丸药下之，非其治也。潮热者实也，先宜小柴胡汤以解外，后以柴胡加芒消汤主之。

shāng hán shí sān rì bù jiě xiōng xié mǎn ér ǒu rì bū suǒ fā cháo rè yǐ ér wēi lì cǐ běn chái hú zhèng xià zhī ér bù dé lì jīn fǎn lì zhě zhī yī yǐ wán yào xià zhī fēi qí zhì yě cháo rè zhě shí yě xiān yí xiǎo chái hú tāng yǐ jiě wài hòu yǐ chái hú jiā máng xiāo tāng zhǔ zhī

傷寒十三天不解，胸脇脹滿而嘔，日晡時發潮熱，隨後微微下利。這本來是柴胡證，攻下不會下利，現在反而下利，知道醫生用丸藥攻下，不是正確的治法。潮熱是實，先宜用小柴胡湯解外，之後用柴胡加芒消湯主治。

In cold damage of thirteen days without resolution, there is fullness of the chest and flank with vomiting, tidal fever in the late afternoon, and afterwards slight diarrhoea. This was originally a Bupleurum case; purgation should not have produced diarrhoea, and since it has, the physician is known to have purged with pills, which is not the right treatment. Tidal fever means repletion: first use Minor Bupleurum Decoction to resolve the exterior, then Bupleurum plus Mirabilite Decoction.

傷寒十三日不解，過經讝語者，以有熱也，當以湯下之。若小便利者，大便當鞕，而反下利，脉調和者，知醫以丸藥下之，非其治也。若自下利者，脉當微厥，今反和者，此爲内實也，調胃承氣湯主之。伤寒十三日不解，过经讝语者，以有热也，当以汤下之。若小便利者，大便当硬，而反下利，脉调和者，知医以丸药下之，非其治也。若自下利者，脉当微厥，今反和者，此为内实也，调胃承气汤主之。

shāng hán shí sān rì bù jiě guò jīng zhān yǔ zhě yǐ yǒu rè yě dāng yǐ tāng xià zhī ruò xiǎo biàn lì zhě dà biàn dāng yìng ér fǎn xià lì mài tiáo hé zhě zhī yī yǐ wán yào xià zhī fēi qí zhì yě ruò zì xià lì zhě mài dāng wēi jué jīn fǎn hé zhě cǐ wéi nèi shí yě tiáo wèi chéng qì tāng zhǔ zhī

傷寒十三天不解，過了傳經而讝語，是因為有熱，應當用湯藥攻下。如果小便通利，大便應當鞕，卻反而下利，脉調和的，知道醫生用丸藥攻下，不是正確的治法。如果自行下利，脉應當微而厥，現在反而調和，這是内實，用調胃承氣湯主治。

In cold damage of thirteen days without resolution, when the illness has passed its course and there is delirious speech, heat is present and a decoction should purge it. If urination is free, the stool should be hard; that it is instead loose, with a harmonious pulse, shows the physician purged with pills, which is not the right treatment. If the diarrhoea were spontaneous, the pulse should be faint with reversal; that it is harmonious instead means interior repletion. Stomach-Regulating Chengqi Decoction governs it.

太陽病不解，熱結膀胱，其人如狂，血自下，下者愈。其外不解者，尚未可攻，當先解外，外解已，但少腹急結者，乃可攻之，宜桃核承氣湯方。太阳病不解，热结膀胱，其人如狂，血自下，下者愈。其外不解者，尚未可攻，当先解外，外解已，但少腹急结者，乃可攻之，宜桃核承气汤方。

tài yáng bìng bù jiě rè jié páng guāng qí rén rú kuáng xuè zì xià xià zhě yù qí wài bù jiě zhě shàng wèi kě gōng dāng xiān jiě wài wài jiě yǐ dàn shào fù jí jié zhě nǎi kě gōng zhī yí táo hé chéng qì tāng fāng

太陽病不解，熱結在膀胱，病人如狂，血自行下來，血下就會好。如果外證不解，還不可以攻，應當先解外；外解之後，只是少腹急結，才可以攻，宜用桃核承氣湯方。

In unresolved taiyang disease, when heat binds in the bladder the patient is as if mad. If blood comes away of itself, the descent of blood brings recovery. If the exterior is not yet resolved, attack is not yet permitted; the exterior must be resolved first. Once the exterior is resolved and only urgent binding remains in the lower abdomen, attack is permitted; Peach Kernel Chengqi Decoction is appropriate.

桃核承氣湯方：桃人五十箇，去皮尖。桂枝二兩，去皮。大黄四兩。芒硝二兩。甘草二兩，炙。桃核承气汤方：桃人五十个，去皮尖。桂枝二两，去皮。大黄四两。芒硝二两。甘草二两，炙。

táo hé chéng qì tāng fāng táo rén wǔ shí gè qù pí jiān guì zhī èr liǎng qù pí dà huáng sì liǎng máng xiāo èr liǎng gān cǎo èr liǎng zhì

桃核承氣湯方：桃人五十箇，去皮尖；桂枝二兩，去皮；大黄四兩；芒硝二兩；甘草二兩，炙過。

Peach Kernel Qi-Guiding Decoction: peach kernel fifty pieces, tip removed; cinnamon twig two liang, peeled; rhubarb four liang; mirabilite two liang; liquorice two liang, honey-fried.

右伍味，以水七升，煮取二升半，去滓，内芒硝，更上火微沸，下火，先食温服伍合，日三服，當微利。右伍味，以水七升，煮取二升半，去滓，内芒硝，更上火微沸，下火，先食温服伍合，日三服，当微利。

yòu wǔ wèi yǐ shuǐ qī shēng zhǔ qǔ èr shēng bàn qù zǐ nà máng xiāo gèng shàng huǒ wēi fèi xià huǒ xiān shí wēn fú wǔ hé rì sān fú dāng wēi lì

以上五味，用水七升，煮取二升半，去渣，放入芒硝，再上火微微煮沸，然後下火，飯前温服五合，一日三次，應當微微下利。

The five ingredients are boiled in seven sheng of water down to two and a half sheng and strained; mirabilite is added and the liquor brought to a brief boil once more, then taken off the fire. Take five ge warm before food, three times a day; slight diarrhoea should follow.

傷寒八九日下之，胸滿煩驚，小便不利，讝語，一身盡重，不可轉側者，柴胡加龍骨牡蠣湯主之。伤寒八九日下之，胸满烦惊，小便不利，讝语，一身尽重，不可转侧者，柴胡加龙骨牡蛎汤主之。

shāng hán bā jiǔ rì xià zhī xiōng mǎn fán jīng xiǎo biàn bù lì zhān yǔ yī shēn jǐn zhòng bù kě zhuǎn cè zhě chái hú jiā lóng gǔ mǔ lì tāng zhǔ zhī

傷寒八九天，攻下之後，胸滿，煩躁驚惕，小便不利，讝語，一身都沉重，不能轉側的，用柴胡加龍骨牡蠣湯主治。

In cold damage of eight or nine days, after purgation, with fullness of the chest, restlessness and fright, difficult urination, delirious speech, and heaviness of the whole body so that it cannot be turned, Bupleurum with Dragon Bone and Oyster Shell Decoction governs it.

柴胡加龍骨牡蠣湯方：半夏二合，洗。大棗六枚。柴胡四兩。生薑一兩半。人參一兩半。龍骨一兩半。鈆丹一兩半。桂枝一兩半，去皮。茯苓一兩半。大黄二兩。牡蠣一兩半。柴胡加龙骨牡蛎汤方：半夏二合，洗。大枣六枚。柴胡四两。生姜一两半。人参一两半。龙骨一两半。铅丹一两半。桂枝一两半，去皮。茯苓一两半。大黄二两。牡蛎一两半。

chái hú jiā lóng gǔ mǔ lì tāng fāng bàn xià èr gě xǐ dà zǎo liù méi chái hú sì liǎng shēng jiāng yī liǎng bàn rén shēn yī liǎng bàn lóng gǔ yī liǎng bàn qiān dān yī liǎng bàn guì zhī yī liǎng bàn qù pí fú líng yī liǎng bàn dà huáng èr liǎng mǔ lì yī liǎng bàn

柴胡加龍骨牡蠣湯方：半夏二合，洗淨；大棗六枚；柴胡四兩；生薑一兩半；人參一兩半；龍骨一兩半；鈆丹一兩半；桂枝一兩半，去皮；茯苓一兩半；大黄二兩；牡蠣一兩半。

Bupleurum plus Dragon Bone and Oyster Shell Decoction: pinellia two ge, washed; jujube six pieces; bupleurum four liang; fresh ginger one and a half liang; ginseng one and a half liang; dragon bone one and a half liang; lead oxide one and a half liang; cinnamon twig one and a half liang, peeled; poria one and a half liang; rhubarb two liang; oyster shell one and a half liang.

右十一味，以水八升，煮取四升，内大黄，切如棋子，更煮一二沸，去滓，温服一升。右十一味，以水八升，煮取四升，内大黄，切如棋子，更煮一二沸，去滓，温服一升。

yòu shí yī wèi yǐ shuǐ bā shēng zhǔ qǔ sì shēng nà dà huáng qiè rú qí zi gèng zhǔ yī èr fèi qù zǐ wēn fú yī shēng

以上十一味，用水八升，煮取四升，放入大黄，切成棋子大小，再煮一兩沸，去渣，温服一升。

The eleven ingredients are boiled in eight sheng of water down to four sheng; rhubarb, cut the size of a chess piece, is added and the liquor given one or two boils more. Strain and take one sheng warm.

傷寒腹滿讝語，寸口脉浮而緊，此肝乘脾也，名曰縱。刺期門。伤寒腹满讝语，寸口脉浮而紧，此肝乘脾也，名曰纵。刺期门。

shāng hán fù mǎn zhān yǔ cùn kǒu mài fú ér jǐn cǐ gān chéng pí yě míng yuē zòng cì qī mén

傷寒腹滿讝語，寸口脉浮而緊，這是肝乘脾，名叫縱。刺期門。

In cold damage with abdominal fullness and delirious speech, when the pulse at the inch is floating and tight, this is the liver overbearing on the spleen, called the vertical. Needle Qimen.

傷寒發熱，嗇嗇惡寒，大渴欲飮水，其腹必滿，自汗出，小便利，其病欲解，此肝乘肺也，名曰横。刺期門。伤寒发热，啬啬恶寒，大渴欲飮水，其腹必满，自汗出，小便利，其病欲解，此肝乘肺也，名曰横。刺期门。

shāng hán fā rè sè sè wù hán dà kě yù yǐn shuǐ qí fù bì mǎn zì hàn chū xiǎo biàn lì qí bìng yù jiě cǐ gān chéng fèi yě míng yuē héng cì qī mén

傷寒發熱，嗇嗇惡寒，大渴想要喝水，腹部一定脹滿，自汗出，小便通利，病將要解，這是肝乘肺，名叫横。刺期門。

In cold damage with fever, a shrinking aversion to cold, great thirst with a wish to drink, and sure fullness of the abdomen, if there is spontaneous sweat and free urination the illness is about to resolve. This is the liver overbearing on the lungs, called the horizontal. Needle Qimen.

太陽病二日，反躁，反熨其背，而大汗出，大熱入胃，胃中水竭，躁煩，必發讝語十餘日，振慄自下利者，此爲欲解也。故其汗從腰已下不得汗，欲小便不得，反嘔，欲失溲，足下惡風，大便鞕，小便當數，而反不數及多，大便已，頭卓然而痛，其人足心必熱，榖氣下流故也。太阳病二日，反躁，反熨其背，而大汗出，大热入胃，胃中水竭，躁烦，必发讝语十余日，振栗自下利者，此为欲解也。故其汗从腰已下不得汗，欲小便不得，反呕，欲失溲，足下恶风，大便硬，小便当数，而反不数及多，大便已，头卓然而痛，其人足心必热，谷气下流故也。

tài yáng bìng èr rì fǎn zào fǎn yùn qí bèi ér dà hàn chū dà rè rù wèi wèi zhōng shuǐ jié zào fán bì fā zhān yǔ shí yú rì zhèn lì zì xià lì zhě cǐ wéi yù jiě yě gù qí hàn cóng yāo yǐ xià bù dé hàn yù xiǎo biàn bù dé fǎn ǒu yù shī sōu zú xià wù fēng dà biàn yìng xiǎo biàn dāng shuò ér fǎn bù shuò jí duō dà biàn yǐ tóu zhuó rán ér tòng qí rén zú xīn bì rè gǔ qì xià liú gù yě

太陽病兩天，反而躁擾，又用火熨其背，以致大汗出，大熱入胃，胃中水竭，躁煩，一定發讝語十幾天。振慄而自行下利的，這是將要解。所以汗從腰以下不得出，想小便而不得，反而嘔，想要失溲，足下怕風，大便鞕，小便應當數，卻反而不數而多，大便之後，頭部卓然疼痛，病人足心一定熱，這是穀氣下流的緣故。

In taiyang disease of two days, agitation appears and the back is cauterised, bringing profuse sweat; great heat enters the stomach, the water in the stomach is exhausted, and there is agitation with delirious speech for more than ten days. If shivering comes with spontaneous diarrhoea, the illness is about to resolve. The sweat does not come below the waist; there is a wish to urinate that cannot be satisfied, vomiting, a sense of impending incontinence, and aversion to wind at the soles. The stool is hard and urine ought to be frequent, yet it is infrequent and plentiful. After the stool passes, the head aches sharply and the soles are sure to be hot, because the qi of grain has flowed downward.

太陽病中風，以火刼發汗，邪風被火熱，血氣流溢，失其常度，兩陽相熏灼，其身發黄，陽盛則欲衄，陰虚則小便難，陰陽俱虚竭，身體則枯燥，但頭汗出，劑頸而還，腹滿微喘，口乾咽爛，或不大便，久則讝語，甚者至噦，手足躁擾，捻衣摸牀，小便利者，其人可治。太阳病中风，以火劫发汗，邪风被火热，血气流溢，失其常度，两阳相熏灼，其身发黄，阳盛则欲衄，阴虚则小便难，阴阳俱虚竭，身体则枯燥，但头汗出，剂颈而还，腹满微喘，口干咽烂，或不大便，久则讝语，甚者至哕，手足躁扰，捻衣摸床，小便利者，其人可治。

tài yáng bìng zhòng fēng yǐ huǒ jié fā hàn xié fēng bèi huǒ rè xuè qì liú yì shī qí cháng dù liǎng yáng xiāng xūn zhuó qí shēn fā huáng yáng shèng zé yù nǜ yīn xū zé xiǎo biàn nán yīn yáng jù xū jié shēn tǐ zé kū zào dàn tóu hàn chū jì jǐng ér huán fù mǎn wēi chuǎn kǒu gān yān làn huò bù dà biàn jiǔ zé zhān yǔ shèn zhě zhì yuě shǒu zú zào rǎo niǎn yī mō chuáng xiǎo biàn lì zhě qí rén kě zhì

太陽中風，用火刼發汗，邪風被火熱所迫，血氣流溢，失去常度，兩陽互相熏灼，身體發黄。陽盛就會衄血，陰虚就會小便困難；陰陽都虚竭，身體就枯燥，只有頭部汗出，到頸部就回去，腹滿微喘，口乾咽爛，或者不大便，久了就讝語，嚴重的甚至噦，手足躁擾，捻衣摸牀。小便通利的，這個人可以治。

In taiyang wind-strike, when fire is used to force sweating, the pathogenic wind is driven by the fire heat; blood and qi overflow and lose their proper measure. The two yangs scorch each other, and the body turns yellow. If yang is exuberant there is a wish to bleed from the nose; if yin is empty, urination is difficult. When both yin and yang are exhausted, the body is dry and withered, and sweat appears only at the head, returning at the neck. There is abdominal fullness with slight panting, dry mouth and rotting throat, perhaps no bowel movement, and in time delirious speech; in severe cases retching, with restless limbs plucking at clothes and feeling the bed. If urination remains free, the patient may be saved.

傷寒脉浮，醫以火迫刼之，亡陽，必驚狂，起卧不安者，桂枝去芍藥加蜀漆牡蠣龍骨救逆湯主之。伤寒脉浮，医以火迫劫之，亡阳，必惊狂，起卧不安者，桂枝去芍药加蜀漆牡蛎龙骨救逆汤主之。

shāng hán mài fú yī yǐ huǒ pò jié zhī wáng yáng bì jīng kuáng qǐ wò bù ān zhě guì zhī qù sháo yào jiā shǔ qī mǔ lì lóng gǔ jiù nì tāng zhǔ zhī

傷寒脉浮，醫生用火逼迫刼奪，以致亡陽，一定驚狂，起卧不安的，用桂枝去芍藥加蜀漆牡蠣龍骨救逆湯主治。

In cold damage with a floating pulse, when a physician uses fire to force the illness, the yang is lost and there is sure to be fright and madness with unease in lying and rising. Cinnamon Twig without Peony, with Dichroa, Oyster Shell and Dragon Bone, the Decoction for Rescuing from Reversal, governs it.

桂枝去芍藥加蜀漆龍骨牡蠣救逆湯方：桂枝三兩，去皮。甘草二兩，炙。生薑三兩，切。牡蠣五兩，熬。龍骨四兩。大棗十二枚，擘。蜀漆三兩，洗去脚。桂枝去芍药加蜀漆龙骨牡蛎救逆汤方：桂枝三两，去皮。甘草二两，炙。生姜三两，切。牡蛎五两，熬。龙骨四两。大枣十二枚，擘。蜀漆三两，洗去脚。

guì zhī qù sháo yào jiā shǔ qī lóng gǔ mǔ lì jiù nì tāng fāng guì zhī sān liǎng qù pí gān cǎo èr liǎng zhì shēng jiāng sān liǎng qiē mǔ lì wǔ liǎng áo lóng gǔ sì liǎng dà zǎo shí èr méi bò shǔ qī sān liǎng xǐ qù jiǎo

桂枝去芍藥加蜀漆龍骨牡蠣救逆湯方：桂枝三兩，去皮；甘草二兩，炙過；生薑三兩，切片；牡蠣五兩，熬過；龍骨四兩；大棗十二枚，掰開；蜀漆三兩，洗淨去莖。

Cinnamon Twig without Peony, plus Dichroa, Dragon Bone and Oyster Shell, for Rescuing the Reversal: cinnamon twig three liang, peeled; liquorice two liang, honey-fried; fresh ginger three liang, sliced; oyster shell five liang, dry-roasted; dragon bone four liang; jujube twelve pieces, split; dichroa three liang, washed, stems removed.

右爲末，以水一斗二升，先煮蜀漆減二升，内諸藥，煮取三升，去滓，温服一升。右为末，以水一斗二升，先煮蜀漆减二升，内诸药，煮取三升，去滓，温服一升。

yòu wéi mò yǐ shuǐ yī dòu èr shēng xiān zhǔ shǔ qī jiǎn èr shēng nà zhū yào zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng

以上各味研成末，用水一斗二升，先煮蜀漆，减去二升，再放入其餘藥味，煮取三升，去渣，温服一升。

The ingredients are ground and boiled in one dou and two sheng of water. Dichroa is boiled first until reduced by two sheng; the rest are added, the liquor boiled down to three sheng, strained, and one sheng taken warm.

形作傷寒，其脉不弦緊而弱，弱者必渴，被火者必讝語，弱者發熱脉浮，解之當汗出愈。形作伤寒，其脉不弦紧而弱，弱者必渴，被火者必讝语，弱者发热脉浮，解之当汗出愈。

xíng zuò shāng hán qí mài bù xián jǐn ér ruò ruò zhě bì kě bèi huǒ zhě bì zhān yǔ ruò zhě fā rè mài fú jiě zhī dāng hàn chū yù

形狀像傷寒，脉不弦緊而弱，弱的必定口渴，被火迫的必定讝語；弱而發熱脉浮的，解表應當汗出而愈。

The appearance is that of cold damage, yet the pulse is not tight and wiry but weak. The weak pulse brings sure thirst; one who is subjected to fire will surely speak deliriously. If the pulse is weak with fever and floating, resolving the exterior should bring sweat and recovery.

太陽病，以火熏之，不得汗，其人必躁，到不解，必清血，名爲火邪，太阳病，以火熏之，不得汗，其人必躁，到不解，必清血，名为火邪，

tài yáng bìng yǐ huǒ xūn zhī bù dé hàn qí rén bì zào dào bù jiě bì qīng xuè míng wéi huǒ xié

太陽病，用火熏，不得汗，病人一定躁，到日子還不解，一定清血，名叫火邪。

In taiyang disease, when fire is used to fumigate and no sweat comes, the patient is sure to be agitated; if the illness is not resolved when its day comes, blood will surely pass below. This is called fire evil.

脉浮熱甚，反灸之，此爲實。實以虚治。因火而動，必咽燥唾血，脉浮热甚，反灸之，此为实。实以虚治。因火而动，必咽燥唾血，

mài fú rè shèn fǎn jiǔ zhī cǐ wéi shí shí yǐ xū zhì yīn huǒ ér dòng bì yàn zào tuò xuè

脉浮而熱甚，反而用灸，這是實證。實證卻用治虚的方法，因火而動血，一定咽燥唾血。

With a floating pulse and marked heat, to use moxibustion is to treat a repletion as though it were a depletion. The fire stirs the blood, and there will surely be a dry throat and blood in the spittle.

微數之脉，慎不可灸。因火爲邪，則爲煩逆，追虚逐實，血散脉中，火氣雖微，内攻有力，焦骨傷筋，血難復也。微数之脉，慎不可灸。因火为邪，则为烦逆，追虚逐实，血散脉中，火气虽微，内攻有力，焦骨伤筋，血难复也。

wēi shuò zhī mài shèn bù kě jiǔ yīn huǒ wéi xié zé wéi fán nì zhuī xū zhú shí xuè sàn mài zhōng huǒ qì suī wēi nèi gōng yǒu lì jiāo gǔ shāng jīn xuè nán fù yě

微數的脉，千萬不可以灸。因火而爲邪，就會煩逆，追虚逐實，血散在脉中，火氣雖然微小，向内攻伐卻很有力，會焦骨傷筋，血難以恢復。

A faint, rapid pulse must on no account be moxaed. The fire turns to evil and brings restless reversal; it pursues the empty and drives out the full, and the blood scatters within the vessels. Though the fire qi be slight, it attacks inward with force, scorching bone and injuring sinew, and the blood is hard to restore.

脉浮宜以汗解，用火灸之，邪無從出，因火而盛，病從腰以下，必重而痺，名“火逆”也。脉浮宜以汗解，用火灸之，邪无从出，因火而盛，病从腰以下，必重而痹，名“火逆”也。

mài fú yí yǐ hàn jiě yòng huǒ jiǔ zhī xié wú cóng chū yīn huǒ ér shèng bìng cóng yāo yǐ xià bì zhòng ér bì míng huǒ nì yě

脉浮宜用發汗解表，卻用火灸，邪無從而出，因火而更盛，病從腰以下一定沉重而麻痺，名叫火逆。

A floating pulse should be resolved by sweating; to use fire moxa instead leaves the evil no way out, and the fire makes it stronger. The illness will surely bring heaviness and numbness from the waist down; this is called fire reversal.

燒針令其汗，針處被寒，核起而赤者，必發奔豚。氣從少腹上衝心者，灸其核上各一壯，與桂枝加桂湯，更加桂二兩。烧针令其汗，针处被寒，核起而赤者，必发奔豚。气从少腹上冲心者，灸其核上各一壮，与桂枝加桂汤，更加桂二两。

shāo zhēn lìng qí hàn zhēn chù bèi hán hé qǐ ér chì zhě bì fā bēn tún qì cóng shào fù shàng chōng xīn zhě jiǔ qí hé shàng gè yī zhuàng yǔ guì zhī jiā guì tāng gèng jiā guì èr liǎng

用燒針使他出汗，針處被寒所侵，核塊隆起而發紅的，一定發作奔豚。氣從少腹上衝心的，在核上各灸一壯，給桂枝加桂湯，再加桂二兩。

When a heated needle is used to make the patient sweat and cold invades the needle site, a red nodule rises there and a running piglet seizure is sure to follow. Where qi rushes from the lower abdomen up to the heart, moxa one cone on the nodule and give Cinnamon Twig plus Cinnamon Decoction, with two liang of cinnamon added.

火逆下之，因燒針煩躁者，桂枝甘草龍骨牡蠣湯主之。火逆下之，因烧针烦躁者，桂枝甘草龙骨牡蛎汤主之。

huǒ nì xià zhī yīn shāo zhēn fán zào zhě guì zhī gān cǎo lóng gǔ mǔ lì tāng zhǔ zhī

火逆又攻下，因燒針而煩躁的，用桂枝甘草龍骨牡蠣湯主治。

When fire reversal has been purged and restlessness with agitation follows the heated needle, Cinnamon Twig, Liquorice, Dragon Bone and Oyster Shell Decoction governs it.

桂枝甘草龍骨牡蠣湯方：桂枝一兩，去皮。甘草二兩。牡蠣二兩，熬。龍骨二兩。桂枝甘草龙骨牡蛎汤方：桂枝一两，去皮。甘草二两。牡蛎二两，熬。龙骨二两。

guì zhī gān cǎo lóng gǔ mǔ lì tāng fāng guì zhī yī liǎng qù pí gān cǎo èr liǎng mǔ lì èr liǎng áo lóng gǔ èr liǎng

桂枝甘草龍骨牡蠣湯方：桂枝一兩，去皮；甘草二兩；牡蠣二兩，熬過；龍骨二兩。

Cinnamon Twig, Liquorice, Dragon Bone and Oyster Shell Decoction: cinnamon twig one liang, peeled; liquorice two liang; oyster shell two liang, dry-roasted; dragon bone two liang.

右爲末，以水伍升，煮取二升半，去滓，温服八合，日三服。右为末，以水伍升，煮取二升半，去滓，温服八合，日三服。

yòu wéi mò yǐ shuǐ wǔ shēng zhǔ qǔ èr shēng bàn qù zǐ wēn fú bā hé rì sān fú

以上各味研成末，用水五升，煮取二升半，去渣，温服八合，一日三次。

The ingredients are ground and boiled in five sheng of water down to two and a half sheng, strained, and eight ge taken warm three times a day.

太陽傷寒者，加溫針必驚也。太阳伤寒者，加温针必惊也。

tài yáng shāng hán zhě jiā wēn zhēn bì jīng yě

太陽傷寒，加用温針，一定驚惕。

In taiyang cold damage, the addition of a warmed needle is sure to bring fright.

太陽病，當惡寒發熱，今自汗出，不惡寒發熱，關上脉細數者，以醫吐之過也。一二日吐之者，腹中飢，口不能食。三四日吐之者，不喜糜粥，欲食冷食，朝食暮吐，以醫吐之所致也。此爲小逆。太阳病，当恶寒发热，今自汗出，不恶寒发热，关上脉细数者，以医吐之过也。一二日吐之者，腹中饥，口不能食。三四日吐之者，不喜糜粥，欲食冷食，朝食暮吐，以医吐之所致也。此为小逆。

tài yáng bìng dāng wù hán fā rè jīn zì hàn chū bù wù hán fā rè guān shàng mài xì shuò zhě yǐ yī tù zhī guò yě yī èr rì tǔ zhī zhě fù zhōng jī kǒu bù néng shí sān sì rì tǔ zhī zhě bù xǐ mí zhōu yù shí lěng shí zhāo shí mù tù yǐ yī tù zhī suǒ zhì yě cǐ wéi xiǎo nì

太陽病，應當怕冷發熱，現在自汗出，不怕冷發熱，關上脉細數的，是醫生用吐法過了頭。一兩天吐的，腹中飢而口不能食；三四天吐的，不喜歡糜粥，想吃冷食，早晨吃下去晚上吐出來，都是醫生用吐法所致。這是小逆。

In taiyang disease there should be aversion to cold with fever; now there is spontaneous sweat without aversion to cold or fever, and the pulse at the bar is fine and rapid. This is the fault of a physician who used emesis. If emesis was used at one or two days, the patient is hungry yet cannot eat; if at three or four days, he dislikes gruel and wants cold food, and what is eaten in the morning is vomited in the evening. All this comes from the emesis. It is a minor reversal.

太陽病吐之，但太陽病當惡寒，今反不惡寒，不欲近衣，此爲吐之内煩也。太阳病吐之，但太阳病当恶寒，今反不恶寒，不欲近衣，此为吐之内烦也。

tài yáng bìng tǔ zhī dàn tài yáng bìng dāng wù hán jīn fǎn bù wù hán bù yù jìn yī cǐ wéi tǔ zhī nèi fán yě

太陽病用吐法，本來太陽病應當怕冷，現在反而不怕冷，不想靠近衣服，這是吐後内煩。

In taiyang disease treated by emesis, aversion to cold was to be expected; now there is none, and the patient does not wish to wear clothes. This is interior restlessness after emesis.

病人脉數，數爲熱，當消穀引食，而反吐者，此以發汗，令陽氣微，膈氣虚，脉乃數也。數爲客熱，不能消榖，以胃中虚冷，故吐也。病人脉数，数为热，当消谷引食，而反吐者，此以发汗，令阳气微，膈气虚，脉乃数也。数为客热，不能消谷，以胃中虚冷，故吐也。

bìng rén mài shuò shuò wéi rè dāng xiāo gǔ yǐn shí ér fǎn tǔ zhě cǐ yǐ fā hàn lìng yáng qì wēi gé qì xū mài nǎi shuò yě shuò wéi kè rè bù néng xiāo gǔ yǐ wèi zhōng xū lěng gù tǔ yě

病人脉數，數是熱，應當消穀而能食，卻反而吐，這是因為發汗，使陽氣微弱，膈氣虚，脉才數。數是客熱，不能消化水穀，因為胃中虚冷，所以吐。

The patient’s pulse is rapid, and rapid means heat: the grain should be digested and appetite good. Yet there is vomiting instead. This is because sweating has weakened the yang qi and emptied the diaphragm qi, so that the pulse becomes rapid. The rapidity is guest heat, which cannot digest grain; because the stomach is empty and cold, vomiting occurs.

太陽病，過經十餘日，心下溫温欲吐，而胸中痛，大便反溏，腹微滿，鬱鬱微煩，先此時自極吐下者，與調胃承氣湯，若不爾者，不可與。但欲嘔，胸中痛，微溏者，此非柴胡證，以嘔故知極吐下也。太阳病，过经十余日，心下温温欲吐，而胸中痛，大便反溏，腹微满，郁郁微烦，先此时自极吐下者，与调胃承气汤，若不尔者，不可与。但欲呕，胸中痛，微溏者，此非柴胡证，以呕故知极吐下也。

tài yáng bìng guò jīng shí yú rì xīn xià wēn wēn yù tǔ ér xiōng zhōng tòng dà biàn fǎn táng fù wēi mǎn yù yù wēi fán xiān cǐ shí zì jí tǔ xià zhě yǔ tiáo wèi chéng qì tāng ruò bù ěr zhě bù kě yǔ dàn yù ǒu xiōng zhōng tòng wēi táng zhě cǐ fēi chái hú zhèng yǐ ǒu gù zhī jí tǔ xià yě

太陽病，過了十幾天，心下温温想吐，而胸中痛，大便反而溏，腹微滿，鬱鬱微煩，在此以前曾經大吐大下的，給調胃承氣湯；如果不是這樣，不可以給。只是想嘔，胸中痛，大便微溏的，這不是柴胡證，因為嘔，知道曾經大吐大下。

In taiyang disease of more than ten days, with a warm, unsettled feeling below the heart and a wish to vomit, pain in the chest, loose stool instead of hard, slight abdominal fullness and a gloomy, mild restlessness: if there has been severe emesis and purgation before this, give Stomach-Regulating Chengqi Decoction; if not, it must not be given. Where there is only a wish to vomit, pain in the chest and slight looseness, this is not a Bupleurum case; the vomiting shows that severe emesis and purgation have been used.

太陽病六七日，表證仍在，脉微而沉，反不結胸，其人發狂者，以熱在下焦，少腹當鞕滿，小便自利者，下血乃愈。所以然者，以太陽隨經，瘀熱在裏故也。抵當湯主之。太阳病六七日，表证仍在，脉微而沉，反不结胸，其人发狂者，以热在下焦，少腹当硬满，小便自利者，下血乃愈。所以然者，以太阳随经，瘀热在里故也。抵当汤主之。

tài yáng bìng liù qī rì biǎo zhèng réng zài mài wēi ér chén fǎn bù jié xiōng qí rén fā kuáng zhě yǐ rè zài xià jiāo shào fù dāng yìng mǎn xiǎo biàn zì lì zhě xià xuè nǎi yù suǒ yǐ rán zhě yǐ tài yáng suí jīng yū rè zài lǐ gù yě dǐ dāng tāng zhǔ zhī

太陽病六七天，表證仍在，脉微而沉，反而不結胸，病人發狂的，是熱在下焦，少腹應當鞕滿，小便自利的，下血才會好。所以這樣，是太陽隨經，瘀熱在裏的緣故。用抵當湯主治。

In taiyang disease of six or seven days, with the exterior signs still present, the pulse faint and deep, and no binding in the chest but madness instead, the heat is in the lower burner. The lower abdomen should be hard and full, and if urination is free, the illness resolves only when blood is passed below. The reason is that the taiyang evil has followed its channel and stagnant heat is within. Resisting Decoction governs it.

抵當湯方：水蛭三十箇，熬。虻蟲三十箇，熬，去翅足。桃人二十箇，去皮尖。大黄三兩，酒浸。抵当汤方：水蛭三十个，熬。虻虫三十个，熬，去翅足。桃人二十个，去皮尖。大黄三两，酒浸。

dǐ dāng tāng fāng shuǐ zhì sān shí gè áo méng chóng sān shí gè áo qù chì zú táo rén èr shí gè qù pí jiān dà huáng sān liǎng jiǔ jìn

抵當湯方：水蛭三十箇，熬過；虻蟲三十箇，熬過，去翅足；桃人二十箇，去皮尖；大黄三兩，酒浸。

Resist-Repel Decoction: leech thirty pieces, dry-roasted; gadfly thirty pieces, dry-roasted, wings and feet removed; peach kernel twenty pieces, tip removed; rhubarb three liang, soaked in wine.

右四味，爲末，以水伍升，煮取三升，去滓，温服一升。不下，再服。右四味，为末，以水伍升，煮取三升，去滓，温服一升。不下，再服。

yòu sì wèi wéi mò yǐ shuǐ wǔ shēng zhǔ qǔ sān shēng qù zǐ wēn fú yī shēng bù xià zài fú

以上四味，研成末，用水五升，煮取三升，去渣，温服一升。不下血，再服。

The four ingredients are ground and boiled in five sheng of water down to three sheng, strained, and one sheng taken warm. If blood does not descend, take again.

太陽病，身黄，脉沉結，少腹鞕，小便不利者，爲無血也。小便自利，其人如狂者，血證諦也。抵當湯主之。太阳病，身黄，脉沉结，少腹硬，小便不利者，为无血也。小便自利，其人如狂者，血证谛也。抵当汤主之。

tài yáng bìng shēn huáng mài chén jié shào fù yìng xiǎo biàn bù lì zhě wéi wú xuè yě xiǎo biàn zì lì qí rén rú kuáng zhě xuè zhèng dì yě dǐ dāng tāng zhǔ zhī

太陽病，身黄，脉沉結，少腹鞕，小便不利的，是沒有血。小便自利，病人如狂的，是血證確鑿。用抵當湯主治。

In taiyang disease with yellowing of the body, a deep, bound pulse, hardness of the lower abdomen and difficult urination, there is no blood. Where urination is free and the patient is as if mad, the blood syndrome is certain. Resisting Decoction governs it.

傷寒有熱，少腹滿，應小便不利，今反利者，爲有血也。當下之，不可餘藥，宜抵當丸。伤寒有热，少腹满，应小便不利，今反利者，为有血也。当下之，不可余药，宜抵当丸。

shāng hán yǒu rè shào fù mǎn yìng xiǎo biàn bù lì jīn fǎn lì zhě wéi yǒu xuè yě dāng xià zhī bù kě yú yào yí dǐ dāng wán

傷寒有熱，少腹滿，應當小便不利，現在反而通利的，是有血。應當攻下，不可用其餘的藥，宜用抵當丸。

In cold damage with heat and fullness of the lower abdomen, urination should be difficult; that it is free instead means there is blood. It should be purged, and no other medicine will do; Resisting Pill is appropriate.

抵當丸方：水蛭二十箇，熬。虻蟲二十五箇，熬，去翅足。桃人二十箇，去皮尖。大黄三兩。抵当丸方：水蛭二十个，熬。虻虫二十五个，熬，去翅足。桃人二十个，去皮尖。大黄三两。

dǐ dāng wán fāng shuǐ zhì èr shí gè áo méng chóng èr shí wǔ gè áo qù chì zú táo rén èr shí gè qù pí jiān dà huáng sān liǎng

抵當丸方：水蛭二十箇，熬過；虻蟲二十五箇，熬過，去翅足；桃人二十箇，去皮尖；大黄三兩。

Resist-Repel Pill: leech twenty pieces, dry-roasted; gadfly twenty-five pieces, dry-roasted, wings and feet removed; peach kernel twenty pieces, tip removed; rhubarb three liang.

右四味，杵分爲四丸，以水一升，煮一丸，取七合服之，晬時當下血，若不下者更服。右四味，杵分为四丸，以水一升，煮一丸，取七合服之，晬时当下血，若不下者更服。

yòu sì wèi chǔ fēn wéi sì wán yǐ shuǐ yī shēng zhǔ yī wán qǔ qī hé fú zhī zuì shí dāng xià xuè ruò bù xià zhě gèng fú

以上四味，杵碎分成四丸，用水一升，煮一丸，取七合服下，一晝夜當下血；如果不下的，再服。

The four ingredients are pounded and divided into four pills. Boil one pill in one sheng of water, take seven ge of the liquor, and blood should descend within a day and night; if it does not, take another.

太陽病，小便利者，以飲水多，必心下悸，小便少者，必苦裏急也。太阳病，小便利者，以饮水多，必心下悸，小便少者，必苦里急也。

tài yáng bìng xiǎo biàn lì zhě yǐ yǐn shuǐ duō bì xīn xià jì xiǎo biàn shǎo zhě bì kǔ lǐ jí yě

太陽病，小便通利的，因為喝水多，一定心下悸；小便少的，一定苦於裏急。

In taiyang disease, if urination is free, drinking much water will surely bring palpitation below the heart; if urine is scanty, there will surely be distress from interior urgency.

Textual notes

Readings follow the base edition; significant variants are recorded here.

項背強几几通行本或作「項背強几几」，字同
几几狀項背拘緊不舒，如短羽之鳥不能飛舉，讀 jǐn jǐn，不作几案之几。此篇兩見，並與葛根湯相應，是太陽經輸不利之的證。
右柒味通行本作「右七味」
底本數目字多用大寫，柒、捌、伍、參、貳、肆並見，與卷一、卷二同一刻工之體。照錄，不改作小寫，亦不據此校他篇。
減二升底本作「减二升」
底本减字從冫，與減並見於同卷，非一處之訛。二字古通用，今依卷三之例回改為減，底本存檔仍作减，以存其舊。
内諸藥通行本作「納諸藥」
内即納，謂投入諸藥。底本通篇作「内」，與「外」相對之「内」同形，讀者當以文義別之。此篇凡十二見，一律照錄。
不須啜粥通行本同
桂枝湯啜熱稀粥以助藥力，麻黄、葛根二湯不須者，以其發汗之力本足，再助則汗多亡陽。此句是二方與桂枝湯分際所在。
㕮咀通行本作「㕮咀」，字同
㕮咀讀 fǔ jǔ，謂以口咬碎，古法也。後世改為切碎，名存而實異。底本仍存古稱，可見所據為舊本，非後世刀切之比。
蕘花通行本作「芫花」
蕘、芫一聲之轉，實即一物。本方用之以下水，與麻黄同為攻邪之品，故微利者去麻黄而加之，去其發表，存其逐水。
加附子一枚。炮通行本作「加附子一枚，炮」
底本「炮」字獨立於句末，是炮製之注，屬上讀。今標點從底本，不併入下句，以免與下句經曰相連，炮製之法古多後置。段末補句號，以收一條。
括蔞根通行本作「栝蔞根」
括、栝通用，即栝樓根，今名天花粉。本方以之生津止渴，與半夏之燥相對，故渴者去半夏而加之。此味與柴胡加減法並見，可互參。
頓服底本作「蝢服」
蝢為頓之訛形，從頁從屯，形近而誤。頓服謂一次服盡，取其力專。底本此字兩見，並在單味小方之後，義無可疑，今回改。
叉手自冒心底本作「義手自冒心」
義為叉之訛，形近而誤。叉手謂兩手交錯覆按心下，是陽虚欲得外護之象。此篇兩見，一在發汗過多，一在重發汗致耳聾之前，今並回改。
本云黄耳杯底本作「黄耳柸」
柸、杯異體，方後校語也。黄耳杯疑是古器之名，或謂即黄耳之杯，用以量藥。此五字是古本方後舊文，不刪，今從通行字形。
甘爛水通行本作「甘瀾水」
爛、瀾通用。作法是揚水至水面生珠，取其輕浮而不助腎邪。底本作「爛」，與下文「作甘爛水法」相應，照錄。
白術通行本作「白朮」
術、朮一字，底本作「術」，卷二已見。本方以術健脾制水，與茯苓、桂枝相配，為苓桂術甘之正治。二字隸變之際，術行而朮廢。
芍藥、甘草附子通行本作「芍藥、甘草、附子」
底本「甘草」下脫頓號，三味連書，易誤為一物。本方即芍藥甘草湯加附子，以救發汗後之反惡寒，三味並用，缺一不可。
已上三味通行本作「右三味」
底本此方作「已上」，與他方作「右」者不同，是刻工前後不一，非有異義。照錄，以存底本面目。全篇他方皆作右，唯此與前方異。
柴胡、黄芩、人參、甘草半夏通行本作「柴胡、黄芩、人參、甘草、半夏」
底本「甘草」下脫頓號，且全方末無句號。小柴胡湯七味，甘草、半夏各為一味，今於白話中補讀，經文仍照錄，惟末補句號以收一段，頓號不改。
柴胡湯不中與也通行本作「柴胡湯不中與之」
中讀 zhòng，不中猶言不宜。與、之二字底本作「與」，語氣較「之」為重，謂柴胡湯不宜與此人，非泛言不可與。中字當從去聲讀，注家多有誤作平聲者。
却發熱汗出而解通行本作「卻發熱汗出而解」
却、卻異體。此句承上「蒸蒸而振」，謂先振後熱，熱後汗出，邪從表解，是柴胡證下後復與之效。却字有反復之義，不可作退字解。
柴胡加芒消湯通行本作「柴胡加芒硝湯」
消、硝通用，即芒硝。本方於小柴胡湯加芒硝，以潮熱屬實，非此不能軟堅泄熱。底本通篇作「消」，照錄。
桃人通行本作「桃仁」
底本作「人」，避宋欽宗嫌名，改「仁」為「人」，宋刻舊式也。此篇桃人、杏人並見，音仍讀 rén，不以字形改讀。今仍底本作人，讀者不以避諱之字疑其物。
杏人通行本作「杏仁」
同上，避諱作「人」。麻黄湯、大青龍湯、麻杏甘石湯並作「杏人」，是底本一例之體，非各處互異。讀者不以避諱之字疑其物，音義並同。
鈆丹通行本作「鉛丹」
鈆為鉛之異體，從金從公。本方用之鎮驚，與龍骨、牡蠣同為收斂神氣之品，是柴胡加龍骨牡蠣湯之特色。
名曰横通行本作「名曰橫」
横、橫正俗字。縱橫對舉，縱謂縱其勢，橫謂橫其氣，皆以五行相乘為說，與下文刺期門同一治法。縱横二字注家多混，此注自分。
溫温欲吐通行本作「溫溫欲吐」
溫溫讀 wēn wēn，謂心中温温然不寧，非温度之温。與「鬱鬱微煩」並列，皆言胸中之象，非言熱之輕重。此温字從水，不作温熱解。
晬時通行本作「晬時」
晬讀 zuì，一晝夜也。抵當丸藥力較湯為緩，故以晬時為期，不下再服，是峻藥緩用之法。今從底本作晬，不改作周時。
筋惕肉瞤底本作「筋愓肉瞤」
愓為惕之訛，從心從易。瞤讀 shùn，肉跳也。此四字狀誤服大青龍湯之變，與厥逆並見，是亡陽之候，今回改。
恍惚底本作「恍愡」
愡為惚之訛，從心從忽。恍惚心亂，謂心神不寧、明知而若昧，是重發汗傷心液之象。底本此字一見，他篇作恍惚，今回改。
二陽併病太陽初得病時通行本作「二陽併病，太陽初得病時」
底本初作𥘉，從衣從刀，訛形也，今回改。併病下無句讀，逕接太陽，是刻工省文；文義當斷，白話中斷之，經文仍照錄不加標點。
麻黄杏人甘草石膏湯通行本作「麻黄杏仁甘草石膏湯」
方名與藥味同例，作「杏人」。此方治汗出而喘、無大熱，與麻黄湯之無汗而喘相對，是表邪入裏化熱之漸。
葛根湯方底本電子本失錄藥量
此卷藥量與炮製，電子本一概截去，方下只存藥名。今據四部叢刊影印本卷三逐方補足，凡二十七方，劑量炮製悉照影印，不以通行本羼入。
芒硝二兩影印本作「芒消」
消、硝古今字，漢人多作消，後世加石作硝。此方芒硝後下，煎法云内芒硝更上火微煮，與大承氣同例。今從電子本作硝，音 xiāo。

Cite this page

APA

Shanghan Lun 傷寒論 (Zhang Zhongjing, early 3rd century CE; the received text was reconstituted in the Song.). Biàn tài yáng bìng mài zhèng bìng zhì zhōng dì liù 辨太陽病脉證并治中第六 [Taiyang Disease, Part Two], Chapter 6. In Classica Sinica Medica. Base text: 《注解傷寒論》十卷二十二篇，漢·張機撰，金·成無己注。據上海涵芬樓《四部叢刊》子部影印明嘉靖汪濟眀刊本錄入。底本經文用大字、成注用雙行小字，二者版面上截然可分；本站錄經文，成注擇要節引，標「成注（節）」，不入正文。卷末附釋音，逐字注反切或直音，為定音之第一手。底本與影印本均屬公有領域。 Retrieved 31 October 2026, from https://classicstcm.com/classics/shanghan-lun/taiyang-disease-part-two/

MLA

"Biàn tài yáng bìng mài zhèng bìng zhì zhōng dì liù 辨太陽病脉證并治中第六 [Taiyang Disease, Part Two]." Shanghan Lun 傷寒論, chapter 6, Classica Sinica Medica, 2026, https://classicstcm.com/classics/shanghan-lun/taiyang-disease-part-two/. Accessed 31 Oct. 2026. Base text: 《注解傷寒論》十卷二十二篇，漢·張機撰，金·成無己注。據上海涵芬樓《四部叢刊》子部影印明嘉靖汪濟眀刊本錄入。底本經文用大字、成注用雙行小字，二者版面上截然可分；本站錄經文，成注擇要節引，標「成注（節）」，不入正文。卷末附釋音，逐字注反切或直音，為定音之第一手。底本與影印本均屬公有領域。

Chinese scholarly

《傷寒論·辨太陽病脉證并治中第六》（Shānghán lùn）。《注解傷寒論》十卷二十二篇，漢·張機撰，金·成無己注。據上海涵芬樓《四部叢刊》子部影印明嘉靖汪濟眀刊本錄入。底本經文用大字、成注用雙行小字，二者版面上截然可分；本站錄經文，成注擇要節引，標「成注（節）」，不入正文。卷末附釋音，逐字注反切或直音，為定音之第一手。底本與影印本均屬公有領域。Classica Sinica Medica，2026 年 10 月 31 日存取，https://classicstcm.com/classics/shanghan-lun/taiyang-disease-part-two/。

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