风温热汗脉多浮。喘渴痴眠体不收。病在二阴无发汗。人参败毒散宜投。
风温者。谓先伤于风。因而伤热。风与热搏。即发风温也。其脉尺寸俱浮。其症
则身
热自汗。头痛、喘息、发渴、昏睡。或体重不仁。其病则在少阴厥阴二经。宜以人参败毒散
治之。凡风温不可发汗。发汗则谵语烦躁。目乱无精。如此死者。医杀之耳。
人参败毒散桔梗。甘草川芎茯苓等。枳壳前胡独活羌。柴胡十味性凉冷。
湿温谵热汗流频。腹满胫寒头目疼。病在太阴无发汗。加苍白术效如神。
湿温者。谓伤于湿。因而中暑。湿与热搏。即发湿温也。其脉寸濡而弱。尺小而急。其
状胸
满。头目痛。发壮热。若妄言。身上汗多。而胫逆冷。其病则在太阴经。宜以白虎加苍术汤
治之。凡湿温不可发汗。发汗则使人不能言。耳聋不知痛处。其身青面色变。是名重 。如
此死者。医杀之耳。
风湿浮兮额汗微。肿疼发热毒重衣。桂枝附子专能治。甘附汤中悉可医。
风湿者。先伤湿而后伤风也。其脉浮虚而涩。其症肢体重痛。不能转侧。额上微汗。怯
寒而
不欲去衣。大便难。小便利。宜以桂枝附子汤及甘草附子汤治之。凡风湿不可发汗。若发汗
则风去湿在。非徒无益。而反害之。
中湿身黄热痛频。肠稀便涩缓而沉。五苓除湿专能治。甘附汤中悉可宁。
中湿者风雨袭虚。润泽蒸气。人多为湿所伤也。其脉沉而缓。其症一身尽痛。重着发
黄。
关节烦痛。发热鼻塞。时或胀满。大便利。小便难。宜以五苓散除湿汤及甘草附子汤治之
。凡中湿不可发汗。发汗则病热而痉者死亦不可下下之则额汗胸满微喘而哕。小便不利。经
曰治湿之道。不利小便。非其治也。
Wind-warmth disease is characterized by fever, spontaneous sweating, and a predominantly floating pulse. Symptoms include panting, thirst, lethargy with excessive sleepiness, and a heavy body with limited mobility. The pathogen resides in the Shaoyin (Lesser Yin) and Jueyin (Terminal Yin) meridians. Sweating-inducing methods are strictly contraindicated; instead, Renshen Baidu San (Ginseng Detoxification Powder) is appropriate for treatment.
Wind-warmth refers to a condition where one is first injured by wind pathogens, subsequently leading to heat injury. The struggle between wind and heat triggers wind-warmth. The pulse at both the Cun (inch) and Chi (cubit) positions is floating. Symptoms manifest as fever, spontaneous sweating, headache, panting, intense thirst, drowsiness, or a heavy body with numbness. The pathology lies within the Shaoyin and Jueyin meridians. Ren Shen Bai Du San (Ginseng Detoxification Powder) should be used for treatment. Wind-warmth must never be treated with sweating-inducing methods. If sweating is induced erroneously, it leads to delirium, irritability, and disordered vision with lack of spirit. Such deaths are caused by medical error.
Ren Shen Bai Du San (Ginseng Detoxification Powder) contains: Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fuling (Poria), etc.; Zhike (Aurantii Fructus Immaturus), Qianhu (Peucedani Radix), Duhuo (Angelicae Pubescentis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chaihu (Bupleuri Radix). These ten ingredients have a cool nature.
Damp-warmth is characterized by delirium, high fever, and frequent sweating. Symptoms include abdominal fullness, cold calves, and pain in the head and eyes. The pathology lies in the Taiyin (Greater Yin) meridian. Sweating-inducing methods are contraindicated; Baizhu Jia Cangzhu Tang (White Tiger Decoction plus Atractylodis Macrocephalae Rhizoma) yields miraculous effects.
Damp-warmth arises from dampness injury followed by summerheat, where dampness and heat contend. The pulse at the Cun position is soggy and weak, while the Chi position is small and rapid. Symptoms include chest fullness, head and eye pain, severe fever, delirious speech, profuse sweating on the body, and reversed coldness in the calves. The pathology is located in the Taiyin meridian. Baizhu Jia Cangzhu Tang (White Tiger Decoction plus Atractylodis Macrocephalae Rhizoma) is suitable for treatment. Damp-warmth must not be treated with sweating-inducing methods. Erroneous sweating induces aphonia, deafness, inability to locate pain, cyanosis of the skin, and altered complexion, termed "Zhong Yue" (severe damp-heat syndrome). Such deaths result from medical error.
Wind-dampness presents with a floating and deficient pulse, slight sweat on the forehead, swelling and pain, fever with heavy toxic heat, and aversion to cold causing the patient to retain clothing. Guizhi Fuzi Tang (Cinnamon Twig and Prepared Aconite Root Decoction) is specifically indicated, and Gancao Fuzi Tang (Licorice and Prepared Aconite Root Decoction) can also cure it completely.
Wind-dampness occurs when dampness is injured first, followed by wind. The pulse is floating, deficient, and choppy. Symptoms include heavy and painful limbs, inability to turn over, slight sweat on the forehead, aversion to cold without desire to remove clothes, difficulty in defecation, and free urination. Guizhi Fuzi Tang (Cinnamon Twig and Prepared Aconite Root Decoction) and Gancao Fuzi Tang (Licorice and Prepared Aconite Root Decoction) are appropriate. Sweating-inducing methods are contraindicated in wind-dampness. If sweating is induced, wind may leave but dampness remains, which is not only ineffective but harmful.
Internal dampness is characterized by jaundice, frequent fever and pain. Symptoms include loose stools with difficult passage, and a slow, deep pulse. Wuling San Chushi Tang (Five Ingredient Powder with Poria to Remove Dampness) is specifically indicated, and Gancao Fuzi Tang (Licorice and Prepared Aconite Root Decoction) can bring relief.
Internal dampness results from wind and rain invading deficiency, with dampness moistening and steaming, often injuring humans. The pulse is deep and slow. Symptoms include generalized pain, heaviness, jaundice, vexatious joint pain, fever, nasal congestion, occasional distension, free defecation, and difficult urination. Wuling San Chushi Tang (Five Ingredient Powder with Poria to Remove Dampness) and Gancao Fuzi Tang (Licorice and Prepared Aconite Root Decoction) are suitable. Sweating-inducing methods are contraindicated in internal dampness; if induced, it leads to death via heat-induced spasms. Purging methods are also contraindicated; if purged, it causes forehead sweat, chest fullness, slight panting, hiccups, and urinary difficulty. The classic states that treating dampness requires promoting diuresis; otherwise, it is incorrect treatment.