阴阳俱紧鼻出涕。舌上苔滑勿妄治。蜷卧恶寒多呕痰。腹内痛者须成利。（仲景云。脉阴阳俱紧。口中气出。唇口干
燥。蜷卧足冷。鼻中涕出。舌上苔滑。勿妄治也。至七八日以来。其人微发热。手足温者。此为欲解。或到七八日以上。
反大热者。此为难治。设使恶寒者。必欲呕也。腹内痛者。必欲利也。）阳明湿痹并脏结。色白苔滑多在舌。（二证见下
文。）脏结无阳不可攻。（仲景云。脏结者无阳证。不往来寒热。其人反静。舌上滑苔者。不可攻。）湿痹丹田应有热。（仲
景云。湿痹之候。舌上有苔者。以丹田有热。胸中有寒。湿痹中湿也。）阳明懊 胁下坚。栀子柴胡不徒设。（阳明有二
证。仲景云。阳明。心中懊 舌上苔者。栀子汤主之。又云。阳明病。胁下坚满。不大便而呕。舌上苔者。可与柴胡汤。
上焦得通。津液得下。胃气因和。身 然汗出则解。）
伤寒表实里还虚。热气乘虚肠里居。下利脓血赤黄汁。或如鱼脑状难拘。（病源。伤寒病。苦表实里虚。热气乘虚入
于肠胃。则下赤黄汁。若湿毒瓦斯盛。则腹痛壮热。下脓血如鱼脑或如烂肉汁。）太阳下之脉浮滑。定知便血色殷（于闲切。）
如。（仲景云。太阳下之。其脉浮而滑者。必下血。）阳明下血而谵语。热入血室病难除。（仲景云。阳明病下血而谵语者。
必为热入血室。头汗出者。当刺期门。随其实而泻之。 然汗出则愈。）少阴脓血桃花证。不尔刺之邪可祛。（仲景云。
少阴下利。便脓血者。桃花汤主之。又云。少阴病下利。便脓血者可刺。）下利脉浮尺中涩。或者发厥热如初。二证皆圊
脓血利。悉见长沙仲景书。（仲景云。一证伤寒发热四日厥。反三四日复热。四日厥少热多。其病当愈。四日至六日热不
除。必清脓血。又一证云。下利脉又浮数。尺中自涩。其人必圊脓血。）
Yin and Yang pulses are both tight, accompanied by nasal discharge. When the tongue coating is slippery, do not treat rashly. Curling up in bed, aversion to cold, and frequent vomiting of phlegm indicate that abdominal pain will inevitably lead to diarrhea. (Zhang Zhongjing stated: When the Yin and Yang pulses are all tight, breath exits the mouth, lips and mouth are dry, the body curls up with cold feet, nasal discharge occurs, and the tongue has a slippery coating, do not treat rashly. After seven or eight days, if the person has slight fever and warm hands and feet, this indicates the disease is about to resolve. Or, after seven or eight days, if there is sudden high fever, this is difficult to treat. If the person has aversion to cold, they will likely vomit; if there is abdominal pain, they will likely have diarrhea.) Yangming damp-bi and Zang-Jie syndromes present with white, slippery tongue coatings mostly on the tongue. (These two syndromes are described below.) Zang-Jie lacks Yang manifestations and cannot be treated with purgation. (Zhang Zhongjing stated: In Zang-Jie, there are no Yang signs, no alternating chills and fever, the person appears quiet, and with a slippery tongue coating, purgation is contraindicated.) In damp-bi, heat should be present in the Dantian. (Zhang Zhongjing stated: The manifestation of damp-bi includes a tongue coating, caused by heat in the Dantian and cold in the chest, which characterizes dampness obstructing the interior.) Yangming restlessness with hardness under the hypochondrium: Zhizi Tang and Chaihu Tang are not set in vain. (There are two Yangming syndromes. Zhang Zhongjing stated: In Yangming, with mental restlessness and a tongue coating, Zhizi Tang is the primary treatment. Also: In Yangming disease, with hardness and fullness under the hypochondrium, constipation, vomiting, and a tongue coating, Chaihu Tang may be given. Once the Upper Jiao is unblocked and fluids descend, Stomach Qi harmonizes, and mild sweating resolves the condition.)
Taiyang exterior excess with interior deficiency allows heat qi to invade the intestines vacuously. Diarrhea presents with pus, blood, and yellow-red fluid, or resembling fish brains, defying fixed forms. (The *Bing Yuan* states: In Taiyang disease, suffering from exterior excess and interior deficiency, heat qi invades the stomach and intestines vacuously, resulting in the discharge of yellow-red fluid. If damp-toxic qi is vigorous, there is abdominal pain and high fever, discharging pus and blood resembling fish brains or rotten meat juice.) Following incorrect purgation in Taiyang, a floating and slippery pulse indicates bright red blood in the stool. (Zhang Zhongjing stated: After incorrect purgation in Taiyang, if the pulse is floating and slippery, blood in the stool is certain.) Yangming bleeding with delirium indicates Heat Entering the Blood Chamber, a difficult condition to eradicate. (Zhang Zhongjing stated: In Yangming disease, bleeding with delirium indicates Heat Entering the Blood Chamber. With head sweating, puncture Qimen (LR14) to drain the excess; generalized sweating leads to recovery.) Shaoyin pus and blood stool belongs to Taohua Tang syndrome; otherwise, acupuncture can dispel the pathogen. (Zhang Zhongjing stated: In Shaoyin disease with diarrhea and pus/blood in stool, Taohua Tang is the primary treatment. Also: In Shaoyin disease with diarrhea and pus/blood in stool, acupuncture may be used.) Diarrhea with a floating pulse and a choppy Chi position, or recurrent cold limbs and fever, involve these two syndromes of purging pus and blood, all recorded in Changsha Zhang Zhongjing's medical texts. (Zhang Zhongjing stated: One case involves Taiyang fever for four days followed by cold limbs, then returning to fever for three to four days; four days of less cold and more heat suggests recovery. If heat persists from day four to six, pus and blood in stool will occur. Another case states: Diarrhea with a floating and rapid pulse, where the Chi position is naturally choppy, indicates the person will purge pus and blood.)