(烦为烦扰心病也故烦字从火躁为愤躁肾病也故躁字从足有在表在里之分有火劫
阳虚之异)
太阳发热。恶寒。身痛。无汗。脉浮急。(大青龙汤)太阳 下后。胃干。烦躁不眠。欲
饮水
利。屎硬。乃可攻。(大承气汤)下后复汗。烦躁不眠。夜则安静。不呕。不渴。无表症。脉
沉微。身无大热。(干姜附子汤)汗下后不解。烦躁不渴。脉沉微。(茯苓四逆汤)阳明病。五
六日不大便。绕脐痛。烦躁。有燥屎。(承气汤)少阴吐利厥冷。烦躁者死。(吴茱萸汤)厥阴
脉沉而厥。肤冷而躁。无时暂安。为脏结。死。
( 即恼字古人通用郁郁不舒愦愦无奈比之烦躁殆有甚焉因误下故表邪乘虚内陷
伏于胸间故懊 也)
太阳脉浮动数。头痛发热。微汗出。恶寒。表未解也。短气懊 。(栀子柏皮汤)汗吐下
后。不眠懊 。
(栀子豉汤)阳明下后。外有热。手足温。懊 。头汗出。(栀子豉汤))阳病下之
懊。尚有燥屎。(大承气汤)阳明无汗。小便不利。懊 。必发黄。(茵陈汤)
(巅顶脑后痛者太阳也头额痛者阳明也头角痛者少阳也三阴脉至颈而还故无头痛
惟厥阴脉会于巅故亦有
头痛然风温病在少阴经温病在太阴而头反痛至于阴毒亦然此痰与气逆壅而上气不得降故头痛
是又不可拘拘为也)
太阳头顶痛。有汗。恶风。(桂枝汤)无汗。恶寒。(麻黄汤)阳明头额痛。目痛。鼻干。
不
不恶寒。反恶热。大便实。(调胃承气汤)潮热。谵闭。渴而头痛。脉沉数有力。(小承气汤)少
阳头角痛。脉弦数。(小柴胡汤加川芎)厥阴头痛。吐涎沫。(吴茱萸汤)太阴头痛。气逆有痰
也。(二陈汤加枳实川芎细辛)少阴头痛。足寒而气逆也。(麻黄附子细辛汤)
(Fan [irritability] refers to the disturbance of the Heart spirit, hence the character Fan contains the radical Fire; Zao [restlessness] refers to the agitation of Kidney Qi, hence the character Zao contains the radical Foot. There is a distinction between exterior and interior presentations, as well as differences caused by heat-fire coercion or Yang deficiency.)
Taiyang disease (disease pattern resulting from pathogenic invasion of the Taiyang channel) presents with fever, aversion to cold, body pain, absence of sweating, and a floating and rapid pulse. (Da Qing Long Tang [Major Blue Green Dragon Decoction] is indicated.) Following purgation in Taiyang disease, if the Stomach becomes dry, presenting with irritability, insomnia, desire for water but difficulty in urination, and hard stools, purgation may be applied. (Da Cheng Qi Tang [Major Order the Qi Decoction] is indicated.) After both purgation and diaphoresis, if irritability and insomnia occur, but the patient is quiet at night, without vomiting, thirst, or exterior signs, and with a deep and faint pulse and no significant heat on the body, Gan Jiang Fu Zi Tang [Dried Ginger and Aconite Decoction] is indicated. If the condition remains unresolved after diaphoresis and purgation, presenting with irritability but no thirst, and a deep and faint pulse, Fu Ling Si Ni Tang [Poria and Reversing Cold Decoction] is indicated. In Yangming disease (disease pattern resulting from pathogenic invasion of the Yangming channel), if there has been no bowel movement for five or six days, accompanied by periumbilical pain, irritability, and dry feces, Cheng Qi Tang [Order the Qi Decoction] is indicated. In Shaoyin disease (disease pattern resulting from pathogenic invasion of the Shaoyin channel), if vomiting, diarrhea, and cold extremities are accompanied by irritability, the prognosis is fatal. (Wu Zhu Yu Tang [Evodia Decoction] is indicated.) In Jueyin disease (disease pattern resulting from pathogenic invasion of the Jueyin channel), if the pulse is deep with cold extremities, the skin is cold and restless with no temporary relief, this constitutes Zang Jie [Organ Binding], which is fatal.
(Ao Nao [profound vexation] is synonymous with Nao [annoyance], commonly used in ancient texts. It describes a state of depression, discomfort, and helpless inner turmoil, more severe than simple irritability. This occurs because improper purgation allows exterior pathogens to penetrate the deficiency and lodge in the chest and diaphragm, causing Ao Nao.)
In Taiyang disease, if the pulse is floating and rapid, accompanied by headache, fever, slight sweating, and aversion to cold, the exterior syndrome remains unresolved. Shortness of breath and Ao Nao are present. (Zhi Zi Bai Pi Tang [Gardenia and Phellodendron Bark Decoction] is indicated.) After diaphoresis, emesis, or purgation, if insomnia and Ao Nao occur, Zhi Zi Chi Tang [Gardenia and Fermented Soybean Decoction] is indicated. In Yangming disease, after purgation, if there is external heat, warm hands and feet, Ao Nao, and sweating only on the head, Zhi Zi Chi Tang [Gardenia and Fermented Soybean Decoction] is indicated. In Yangming disease, if purgation leads to Ao Nao and dry feces remain in the intestines, Da Cheng Qi Tang [Major Order the Qi Decoction] is indicated. In Yangming disease, if there is no sweating, difficult urination, and Ao Nao, jaundice will inevitably develop. (Yin Chen Tang [Artemisia Capillaris Decoction] is indicated.)
(Pain at the vertex and back of the head belongs to the Taiyang channel; pain in the forehead belongs to the Yangming channel; pain at the temporal angle belongs to the Shaoyang channel. The meridians of the Three Yin channels return at the neck, so they typically do not cause headache. Only the Jueyin channel connects to the vertex, so it can also cause headache. However, in Feng Wen [Wind-Warmth] disease affecting the Shaoyin channel, or Wen Bing [Warm Diseases] affecting the Taiyin channel, headache may paradoxically occur. Similarly, in Yin Du [Yin Toxin] conditions, headache occurs due to phlegm and rebellious Qi obstructing upward, preventing Qi from descending. Such cases cannot be rigidly confined to meridian differentiation.)
For Taiyang disease, if there is vertex headache, sweating, and aversion to wind, Gui Zhi Tang [Cinnamon Twig Decoction] is indicated. If there is no sweating and aversion to cold, Ma Huang Tang [Ephedra Decoction] is indicated. For Yangming disease, if there is frontal headache, eye pain, nasal dryness, no aversion to cold but aversion to heat, and solid stools, Tiao Wei Cheng Qi Tang [Regulate the Stomach Order the Qi Decoction] is indicated. If there is tidal fever, delirium, confusion, thirst, headache, and a deep, rapid, and forceful pulse, Xiao Cheng Qi Tang [Minor Order the Qi Decoction] is indicated. For Shaoyang disease, if there is temporal headache and a wiry, rapid pulse, Xiao Chai Hu Tang [Minor Bupleurum Decoction] added with Chuan Xiong [Ligusticum Rhizome] is indicated. For Jueyin disease headache accompanied by vomiting of saliva and froth, Wu Zhu Yu Tang [Evodia Decoction] is indicated. For Taiyin disease headache caused by rebellious Qi and phlegm, Er Chen Tang [Two-Cured Decoction] added with Zhi Shi [Immature Bitter Orange], Chuan Xiong [Ligusticum Rhizome], and Xi Xin [Asarum] is indicated. For Shaoyin disease headache caused by cold feet and rebellious Qi, Ma Huang Fu Zi Xi Xin Tang [Ephedra, Aconite, and Asarum Decoction] is indicated.