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《卷三十》
46  | 恶寒者不见风而怯寒身虽灼热亦不欲去衣被也此隂邪出而乗阳致之葢寒伤荣气荣行脉中居卫之下是为表邪已深法当发汗间有一二自汗则其表已虚但与解肌可也然而发热恶寒者属阳无热恶寒者属隂在阳则发汗在隂则温里常须识之大要恶寒皆为表证或里证悉具而㣲恶寒者是表犹未解当先解表俟不恶寒然后可以攻里恶寒家不可近火气及过覆衣被则寒热相抟脉道沉伏愈令寒不可遏但服和表等剂温而散之○发于阳者脉浮数桂枝汤桂枝二越婢一汤麻黄汤青龙汤酌量轻重用○太阳证发热或未发热皆恶寒有汗用桂枝汤无汗用麻黄汤○阳明证固当下之惟恶寒中寒者系与太阳合病在经属表可汗用麻黄汤若脉迟汗多㣲恶寒者表未解也虽阳明病可桂枝汤○少阳证头汗出㣲恶寒小柴胡汤加桂○发热㣲恶寒柴胡桂枝汤○汗后反恶寒者为虚芍药甘草附子汤○下后复发其汗心下痞而恶寒者表未解也当先解表用桂枝汤表解然后攻痞用三黄㵼心汤入生姜汁○发于阥者脉沉细理中汤四逆汤○少隂证脉沉细用理中汤四逆汤若下利恶寒而蜷手足温者可治用小建中汤若恶寒而蜷时时自烦不欲厚衣可大柴胡汤下之 |
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