少阴病，下利清谷，里寒外热，手足厥逆，脉微欲绝，身反不恶寒，其人面色赤，或腹痛，或干呕，或咽痛，或利止脉不出者，通脉四逆汤主之。

通脉四逆汤方

甘草   二两，炙

附子   大者一枚，生用，去皮，破八片

干姜   三两，强人可四两

上三味，以水三升，煮取一升二合，去滓，分温再服，其脉即出者愈。面色赤者，加葱九茎；腹中痛者，去葱加芍药二两；呕者加生姜二两；咽痛者去芍药加桔梗一两；利止脉不出者，去桔梗加人参二两。病皆与方相应者，乃服之。

Lesser Yin syndrome: Decoction of Tongmai Sini suits the following symptoms and signs: diarrhea containing undigested cereals, Cold at the Interior and Heat at the Exterior, coldness on the hands and feet, and a pulse too feeble to be sensed. But the patient does not feel chilled and has a flushed face. There may also be symptoms and signs of abdominal pain, nausea, or sore throat, or the pulse is not restored when diarrhea stops.

Decoction of Tongmai Sini

(Tongmai Sini Tang):

Radix Glycyrhizae Praeparata              2 liang

Radix Aconiti (cut into eight pieces)   1 pc.

Rhizoma Zingiberis                              3 liang

Stew the above three drugs in three sheng of water till one sheng and two ge are left. Filter the decoction and take it in two doses. When the pulse is restored, it indicates a curable case.

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