可汗
脉浮大可汗（问病者设利为虚，不可汗。）浮而紧可汗。
太阳病，脉浮弱数者，可汗。
阳明脉迟，汗出多，微恶寒，表未解，可汗。
日晡发热如疟，此属阳明，脉浮虚，可汗。
下利后，身痛清便自调，可汗。
不可汗
脉沉细（为在里）不可汗。
濡弱（为血气虚）不可汗。
脉浮而紧，法当身痛，当以汗解，假令尺脉迟者，不可汗。尺迟则血少故也。
伤寒有风温、湿温二症，忌汗见后伤寒类。
伤寒头疼，形象中风，常微汗出，又自呕者，心懊 ，发汗则痊。
伤寒脉弦细，头痛而反热，此属少阳，不可汗。
太阳与少阳并病，头项强痛，或眩冒，心下痞坚，不可汗。
少阴病，咳而下利谵语者，此强汗之故也。
气动一切左右上下，不可汗。
咽中闭寒，不可汗，汗之则吐血。
亡血家不可汗，汗则虚栗。
厥不可汗，汗则声乱咽嘶。
衄不可汗，汗则耳聋目直。
口疮不可汗，汗则 。
淋不可汗，汗则便血。
冬时发汗，则吐利。汗家不可重汗，汗必恍惚，脉短者死。下利清谷，不可汗，汗必腹胀满。
咳而小便利，不可汗，汗之则厥逆。
诸逆发汗剧者，言乱睛眩者死。
可吐
寸口脉微细，胸中痞坚，气上冲咽喉不得息，此为胸有寒，可吐。
病胸上诸实，胸中郁郁而痛，不能食，欲使人按之，而反有浊唾，下利日十余行，脉反迟，
寸口微滑，可吐。
病者手足厥冷，脉乍紧，邪结在胸中，心下满烦，饥不能食，可吐。
伤寒脉浮滑，可吐。
杂病脉沉可吐。
不可吐
诸四逆厥者，不可吐。
虚家不可吐。
胸 膈上有寒饮，干呕者，不可吐，法当温之。
可下
脉滑而数者，有宿食可下。
脉双弦迟，心下坚；脉大而紧者，阳中有阴，可下。
下利，三部脉皆平，按其心下坚者，可下。
伤寒后，脉沉，为内实，可下。
病无表、里证，发热七八日，虽脉浮数，可下。
伤寒有热，而小腹满，应小便不利，今反利者，此为血蓄，可下。
伤寒六七日结胸实热，脉沉紧，心下痛，按之如石，可下。
太阳中风，下利呕逆，表解汗出，发作有时，头痛心下痞坚，可下。
太阳病不解，热结膀胱，其人如狂，其血自下，可下。
阳明证喜忘，必有瘀血，大便虽坚必黑，可下。
阳明证发热汗出则解，复如疟，日晡发热，脉实，可下。
阳明证谵语潮热，而反不能食，必有燥屎可下，脉滑实，可下。
阳明证，发热汗多者，急下之。
不吐而心烦者，可下。
二阳并病，太阳证罢，但发潮热，手足汗出，大便难，谵语，可下。
少阴病得之二三日，口燥咽干，急下之；又六七日腹满不大便，可下。
少阴病，下利清水色青者，心下必痛，口干燥者，可下。
不可下
脉濡而弱，气血虚，不可下。
脉浮而大，气血虚，不可下。
尺脉弱涩者，不可下。
趺阳脉浮而数（浮伤胃，数动脾，此非本病，医下之使然也。）诸外实，不可下，下之微发
热，亡脉则厥。
诸虚不可下，下之则渴引水者易愈，恶水者剧。动气不可下。
咽中闭塞不可下，下之上轻下重，水浆不下，体痛腹下利。结胸证，其脉浮大不可下，下之则死。
太阳与阳明合病，必喘而胸满，不可下。
太阳与少阳合病，心下痞坚，项强而眩，不可下。
太阳病，有外证未解或阳多者热，不可下。
太阴病，腹满而吐，食不下，下之则甚。
厥阴病，消渴、气上冲，心中疼热，饥不食，甚下之不肯止。
少阴病，饮食入则吐，脉弦迟，胸中寒也，不可下。
阳明证，潮热，有燥屎，可下；不坚，不可下。
阳明病，身合赤色者，不可下，必发热身黄，小便不利。阳明病，当心下坚满，不可攻，攻
之遂利不止者死，止者愈。
阳明病，自渴，若发汗，小便自利，此为内竭，虽坚不可攻，宜导之。
伤寒五六日，不结胸，脉虚，复厥者，不可下，下之亡血死。
伤寒呕多，虽有阳明症，不可攻。
藏结无阳证，寒而不热，其人反静，舌上胎滑，不可下。
诸四逆厥，不可下。
病欲吐者，不可下。
下利，脉浮大，为虚，强下之故也。设脉浮革，肠鸣，属当归四逆汤。
可温
病发热头痛，脉反沉，身更疼，宜温之。
下利，身痛腹满，宜湿之。脉迟紧，为痛未欲止，宜温之。
少阴病，脉沉者，宜温之。
少阴下利，脉微涩者，即呕，汗出，必数更衣，反小，宜温之。
自利不渴属太阴，其藏有寒，宜温之
下利欲食者，宜温之。
不可温
可水
太阳病，发汗后，若大汗出，胃中干燥，烦不得眠，欲饮水者，少与之愈。
厥阴病，渴欲饮水，少与之，宜服五苓散。
霍乱，头痛、发热、体疼、热多、欲饮水，属五苓散。
呕吐而病在膈上，后必思水，急与之，五苓散。
不可水
发汗后，饮水多者必喘，以水灌之亦然。
大吐、大下之极虚，复极汗，与水即哕，所以然者，胃中虚冷故也。
可火
不可火
太阳中风，或在表，或脉浮，皆不可火。若以火劫汗，而两热相搏，则津液枯竭。
可灸
少阴，得之一二日，口中和，背恶寒者，可灸。
少阴吐利，手足不逆反热，脉不至，可灸。
少阴伤寒六七日，脉微手足厥、烦躁，可灸。其厥阴不还者死。
伤寒脉促，手足厥逆，可灸，少阴厥阴主逆。
诸下利，手足厥，无脉，可灸，灸之不温，反微喘者死。可灸足大敦、阴凌泉、商丘。
不可灸
微数之脉不可灸，因火为邪。
浮脉当汗不可灸，因火而盛。
可刺
不可刺
May Induce Sweating
If the pulse is floating and large, sweating may be induced (if the patient reports diarrhea, it indicates deficiency, and sweating should not be induced). If the pulse is floating and tight, sweating may be induced.
In Taiyang disease, if the pulse is floating, weak, and rapid, sweating may be induced.
In Yangming disease, if the pulse is slow, there is profuse sweating, slight aversion to cold, and the exterior syndrome is unresolved, sweating may be induced.
If there is fever in the late afternoon resembling malaria, this belongs to Yangming; if the pulse is floating and deficient, sweating may be induced.
After diarrhea, if there is body pain but bowel movements are normal, sweating may be induced.
May Not Induce Sweating
If the pulse is deep and fine (indicating interior pathology), sweating may not be induced.
If the pulse is soft and weak (indicating Qi and Blood deficiency), sweating may not be induced.
If the pulse is floating and tight, body pain is expected, and sweating should theoretically resolve it; however, if the Chi position pulse is slow, sweating may not be induced. A slow Chi pulse indicates blood deficiency.
In Shanghan (Cold Damage) with Wind-Warmth or Damp-Warmth syndromes, sweating is contraindicated; see the Shanghan category for details.
In Shanghan, if there is headache resembling Zhongfeng (Wind Strike), frequent slight sweating, and spontaneous vomiting with mental restlessness, inducing sweating will lead to spasms.
In Shanghan, if the pulse is wiry and thin, with headache and contrary fever, this belongs to Shaoyang; sweating may not be induced.
In concurrent Taiyang and Shaoyang diseases, with stiffness and pain of the head and neck, or dizziness, and fullness/hardness below the heart, sweating may not be induced.
In Shaoyin disease, if there is cough, diarrhea, and delirium, this is due to forced sweating.
If Qi movement is chaotic affecting all directions, sweating may not be induced.
If there is a sensation of cold obstruction in the throat, sweating may not be induced; inducing sweating will cause hematemesis.
Patients who have lost blood may not induce sweating; doing so leads to deficiency and tremors.
In Jue (Cold Extremities) conditions, sweating may not be induced; doing so causes voice disorder and hoarseness.
In cases of epistaxis (nosebleed), sweating may not be induced; doing so causes deafness and fixed gaze.
In mouth ulcers, sweating may not be induced; doing so leads to [text missing].
In Lin syndrome (dysuria), sweating may not be induced; doing so causes hematochezia.
Inducing sweating in winter leads to vomiting and diarrhea. Patients prone to sweating should not be heavily sweated again; doing so leads to mental confusion, and a short pulse indicates death. In cases of diarrhea with undigested food, sweating may not be induced; doing so leads to abdominal distension.
If there is cough and free urination, sweating may not be induced; doing so leads to cold extremities.
In severe reversal conditions where sweating has been induced excessively, leading to disordered speech and vertigo, death ensues.
May Induce Vomiting
If the Cun position pulse is micro and fine, with chest oppression and hardness, and Qi rushing up to the throat causing breathing difficulty, this indicates Cold-Phlegm in the chest; vomiting may be induced.
If pathogenic excess is in the upper chest, with郁 (stagnant) pain, inability to eat, desire for pressure on the chest, yet spitting turbid saliva, accompanied by diarrhea more than ten times a day, with a contrary slow pulse and slightly slippery Cun pulse, vomiting may be induced.
If the patient has cold extremities, sudden tight pulse, pathogenic factor knotting in the chest, fullness and irritability below the heart, hunger but inability to eat, vomiting may be induced.
In Shanghan, if the pulse is floating and slippery, vomiting may be induced.
In miscellaneous diseases, if the pulse is deep, vomiting may be induced.
May Not Induce Vomiting
In all cases of Si Ni (Four Reversals/Cold Extremities), vomiting may not be induced.
In deficient constitutions, vomiting may not be induced.
If there is Cold-Fluid retention above the chest and diaphragm with dry retching, vomiting may not be induced; the treatment method should be warming.
May Purge
If the pulse is slippery and rapid, indicating retained food, purging may be induced.
If the pulse is double-wiry and slow, with hardness below the heart; or if the pulse is large and tight, indicating Yin within Yang, purging may be induced.
In diarrhea, if the three positions of the pulse are level, but pressing below the heart reveals hardness, purging may be induced.
After Shanghan, if the pulse is deep indicating interior excess, purging may be induced.
If there are no exterior or interior signs, but fever persists for seven to eight days, even if the pulse is floating and rapid, purging may be induced.
In Shanghan with heat and lower abdominal fullness, urination should be difficult; if it is actually free, this indicates Blood Stasis, and purging may be induced.
In Shanghan after six or seven days, if there is real Heat in Jie Xiong (Chest Binding) with a deep-tight pulse, pain below the heart, and hardness like stone upon pressure, purging may be induced.
In Taiyang Wind Strike with diarrhea and vomiting/reversal, if the exterior is resolved with sweating, attacks occur at specific times, with headache and fullness/hardness below the heart, purging may be induced.
If Taiyang disease is unresolved, Heat knots in the Bladder, the patient appears manic, and blood passes spontaneously, purging may be induced.
In Yangming syndrome, forgetfulness indicates Blood Stasis; although stool is hard, it will be black, and purging may be induced.
In Yangming syndrome, fever and sweating usually resolve it; if it recurs like malaria with afternoon fever and a solid pulse, purging may be induced.
In Yangming syndrome, if there is delirium and tidal fever, yet inability to eat, indicating Dry Feces, purging may be induced; if the pulse is slippery and solid, purging may be induced.
In Yangming syndrome, if there is fever and profuse sweating, urgent purging is required.
If there is no urge to vomit but mental irritation, purging may be induced.
In concurrent Er Yang (Taiyang and Yangming) diseases, if Taiyang symptoms cease, only tidal fever remains, with sweating on hands and feet, difficult defecation, and delirium, purging may be induced.
In Shaoyin disease, if after two or three days there is dry mouth and throat, urgent purging is required; if after six or seven days there is abdominal fullness and constipation, purging may be induced.
In Shaoyin disease, if there is diarrhea with clear green water, pain below the heart, and dry mouth, purging may be induced.
May Not Purge
If the pulse is soft and weak, indicating Qi and Blood deficiency, purging may not be induced.
If the pulse is floating and large, indicating Qi and Blood deficiency, purging may not be induced.
If the Chi pulse is weak and choppy, purging may not be induced.
If the Duyang pulse is floating and rapid (floating injures Stomach, rapid agitates Spleen; this is iatrogenic from previous purging), in all exterior excess conditions, purging may not be induced; purging leads to slight fever, and pulse disappearance leads to cold extremities.
In all deficiency conditions, purging may not be induced; if purged and the patient thirsts for water, recovery is likely; if they hate water, the condition worsens. Abdominal pulsations (Dong Qi) contraindicate purging.
Throat obstruction contraindicates purging; purging leads to upper lightness/lower heaviness, inability to swallow fluids, body pain, and abdominal diarrhea. In Jie Xiong (Chest Binding) with a floating-large pulse, purging is contraindicated; purging leads to death.
In concurrent Taiyang and Yangming diseases with wheezing and chest fullness, purging is contraindicated.
In concurrent Taiyang and Shaoyang diseases with fullness/hardness below the heart, neck stiffness, and vertigo, purging is contraindicated.
In Taiyang disease, if exterior signs are unresolved or Yang heat is excessive, purging is contraindicated.
In Taiyin disease with abdominal fullness, vomiting, and inability to eat, purging worsens the condition.
In Jueyin disease with thirst, Qi rushing upward, heart pain/heat, hunger but no appetite, aggressive purging causes uncontrollable diarrhea.
In Shaoyin disease with vomiting after eating, wiry-slow pulse, and chest cold, purging is contraindicated.
In Yangming syndrome, if there is tidal fever and Dry Feces, purging is indicated; if stool is not hard, purging is contraindicated.
In Yangming disease, if the body is reddish, purging is contraindicated; it leads to fever, jaundice, and dysuria. In Yangming disease, if there is hardness/fullness below the heart, attacking with purgatives leads to death if diarrhea is uncontrolled, or recovery if it stops.
In Yangming disease, if there is spontaneous thirst, sweating, and free urination, indicating internal depletion, even if stool is hard, attacking with purgatives is contraindicated; guiding methods (suppositories/enemas) are suitable.
In Shanghan after five or six days, without Jie Xiong, with a deficient pulse and cold extremities, purging is contraindicated; purging leads to blood loss and death.
In Shanghan with frequent vomiting, even with Yangming symptoms, attacking with purgatives is contraindicated.
In Zang Jie (Organ Knotting) without Yang signs, cold without heat, quiet demeanor, and slippery tongue coating, purging is contraindicated.
In all cases of Si Ni (Cold Extremities), purging is contraindicated.
If the patient desires to vomit, purging is contraindicated.
In diarrhea with a floating-large pulse, it indicates deficiency caused by forced purging. If the pulse is floating-leather-like with borborygmus, it belongs to Danggui Sini Decoction.
May Apply Warming Methods
If there is fever, headache, contrary deep pulse, and increased body pain, warming methods are appropriate.
In diarrhea with body pain and abdominal fullness, warming methods are appropriate. If the pulse is slow-tight, indicating persistent pain, warming methods are appropriate.
In Shaoyin disease with a deep pulse, warming methods are appropriate.
In Shaoyin diarrhea with micro-choppy pulse, vomiting, sweating, frequent urination with small volume, warming methods are appropriate.
Spontaneous diarrhea without thirst belongs to Taiyin; internal cold warrants warming methods.
In diarrhea with appetite, warming methods are appropriate.
May Not Apply Warming Methods
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May Administer Water
After Taiyang disease sweating, if heavy sweating occurs, causing dry stomach, irritability, insomnia, and thirst, giving small amounts of water cures it.
In Jueyin disease, if thirsty for water, give small amounts; Wuling San is suitable.
In Huoluan (Cholera-like illness) with headache, fever, body pain, excess heat, and thirst, Wuling San is indicated.
In vomiting with pathology above the diaphragm, followed by thirst, give water urgently; Wuling San is suitable.
May Not Administer Water
After sweating, drinking too much water causes wheezing; bathing with water causes the same.
After severe vomiting/purging leading to extreme deficiency, combined with heavy sweating, giving water causes hiccups; this is due to Stomach deficiency-cold.
May Apply Fire Therapy
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May Not Apply Fire Therapy
In Taiyang Wind Strike, whether the pathogen is in the exterior or the pulse is floating, fire therapy is contraindicated. Using fire to force sweating causes two heats to clash, depleting Body Fluids.
May Apply Moxibustion
In Shaoyin disease, after one or two days, if the mouth is comfortable but the back feels cold, moxibustion is suitable.
In Shaoyin vomiting/diarrhea, if extremities are not cold but warm, and pulse is absent, moxibustion is suitable.
In Shaoyin Shanghan after six or seven days, with micro pulse, cold extremities, and irritability, moxibustion is suitable. If cold extremities do not return, death ensues.
In Shanghan with hurried pulse and cold extremities, moxibustion is suitable; Shaoyin and Jueyin govern reversal conditions.
In various diarrheas with cold extremities and absent pulse, moxibustion is suitable. If warming does not occur and slight wheezing develops, death ensues. Points: Dadun (LR1), Yinlingquan (SP9), Shangqiu (SP5).
May Not Apply Moxibustion
A micro-rapid pulse contraindicates moxibustion, as fire becomes a pathogen.
A floating pulse requires sweating; moxibustion is contraindicated as fire exacerbates the condition.
May Apply Acupuncture
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May Not Apply Acupuncture
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