263.少阳之为病,口苦、咽干、目眩也。
264.少阳中风,两耳无所闻、目赤、胸中满而烦者,不可吐下,吐下则悸而惊。
265.伤寒,脉弦细、头痛发热者,属少阳。少阳不可发汗,发汗则谵语。此属胃,胃和则愈;胃不和,烦
而悸。(一云躁。)
266.本太阳病不解,转入少阳者,胁下硬满,干呕不能食,往来寒热,尚未吐下,脉沉紧者,与小柴胡汤。
方一。
柴胡(八两) 人参(三两) 黄芩(三两) 甘草(炙,三两) 半夏(洗,半升) 生姜(切,三两)
大枣(擘,十二枚)
上七味,以水一斗二升,煮取六升,去滓,再煎取三升,温服一升,日三服。
267.若已吐、下、发汗、温针,谵语,柴胡汤证罢,此为坏病。知犯何逆,以法治之。
268.三阳合病,脉浮大,上关上,但欲眠睡,目合则汗。
269.伤寒六七日,无大热,其人躁烦者,此为阳去入阴故也。
270.伤寒三日,三阳为尽,三阴当受邪。其人反能食而不呕,此为三阴不受邪也。
271.伤寒三日,少阳脉小者,欲已也。
272.少阳病欲解时,从寅至辰上。
273.太阴之为病,腹满而吐,食不下,自利益甚,时腹自痛。若下之,必胸下结硬。
274.太阴中风,四肢烦疼,阳微阴涩而长者,为欲愈。
275.太阴病欲解时,从亥至丑上。
276.太阴病,脉浮者,可发汗,宜桂枝汤。方一。
桂枝(去皮,三两) 芍药(三两) 甘草(炙,二两) 生姜(切,三两) 大枣(擘,十二枚)
上五味,以水七升,煮取三升,去滓,温服一升。须臾啜热稀粥一升,以助药力,温覆取汗。
277.自利、不渴者,属太阴,以其脏有寒故也,当温之。宜服四逆辈。方二。
278.伤寒脉浮而缓,手足自温者,系在太阴。太阴当发身黄;若小便自利者,不能发黄。至七八日,虽
暴烦下利,日十余行,必自止。以脾家实,腐秽当去故也。
279.本太阳病,医反下之,因尔腹满时痛者,属太阴也,桂枝加芍药汤主之;大实痛者,桂枝加大黄汤主
之。方三。
桂枝加芍药汤方∶
桂枝(去皮,三两) 芍药(六两) 甘草(炙,二两) 大枣(擘,十二枚) 生姜(切,三两)
上五味,以水七升,煮取三升,去滓,温分三服。本云桂枝汤,今加芍药。
桂枝加大黄汤方∶
桂枝(去皮,三两) 大黄(二两) 芍药(六两) 生姜(切,三两) 甘草(炙,二两) 大枣
(擘,十二枚)
上六味,以水七升,煮取三升,去滓,温服一升,日三服。
280.太阴为病,脉弱,其人续自便利,设当行大黄、芍药者,宜减之,以其人胃气弱,易动故也。
(下利者先煎芍药三沸。)
263. The pattern of Shaoyang disease (Shaoyang stage disease) is characterized by bitter taste in the mouth, dry throat, and dizziness.
264. In Shaoyang wind-stroke (wind pathogen attacking the Shaoyang channel), if there is deafness in both ears, red eyes, fullness in the chest, and vexation, vomiting or purgation methods must not be used. If vomiting or purgation is mistakenly applied, it will lead to palpitations and fright.
265. In cold damage (Shanghan), if the pulse is wiry and thin, accompanied by headache and fever, it belongs to Shaoyang disease. Sweating method must not be used for Shaoyang disease; if sweating is mistakenly induced, it will cause delirium. This condition pertains to the Stomach; if the Stomach qi is harmonized, the patient will recover; if the Stomach qi is not harmonized, there will be vexation and palpitations. (Another version states "agitation".)
266. If the original Taiyang disease (Taiyang stage disease) is not resolved and transfers into Shaoyang, presenting with hardness and fullness below the ribs, dry retching with inability to eat, alternating chills and fever, and if vomiting or purgation has not yet been administered, and the pulse is deep and tight, administer Xiao Chai Hu Tang (Minor Bupleurum Decoction).
Formula 1:
Chai Hu (Bupleuri Radix, 8 liang), Ren Shen (Ginseng Radix et Rhizoma, 3 liang), Huang Qin (Scutellariae Radix, 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared, 3 liang), Ban Xia (Pinelliae Rhizoma, washed, 0.5 sheng), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, 3 liang), Da Zao (Jujubae Fructus, broken, 12 pieces).
Decoct the above seven ingredients in 1 dou 2 sheng of water to obtain 6 sheng of liquid. Remove the dregs and decoct again to reduce to 3 sheng. Take 1 sheng warm, three times a day.
267. If vomiting, purgation, sweating, or warm needle therapy has already been administered, resulting in delirium, and the patterns indicating Xiao Chai Hu Tang have disappeared, this is a deteriorated disease (Huai Bing, disease worsened by mistreatment). Determine the specific error committed and treat according to the appropriate method.
268. In combined disease of the three Yang channels (Taiyang, Yangming, and Shaoyang), the pulse is floating and large, extending above the Guan position. The patient desires only to sleep and sweats when closing the eyes.
269. In cold damage, after six or seven days, if there is no high fever but the patient is agitated and vexed, this is because the Yang qi has departed and the pathogen has entered the Yin.
270. In cold damage, after three days, the pathogens in the three Yang channels are exhausted, and the three Yin channels should receive the pathogen. If the patient can instead eat without vomiting, this indicates that the three Yin channels have not received the pathogen.
271. In cold damage, after three days, if the Shaoyang pulse becomes small, the disease is about to resolve.
272. The time when Shaoyang disease tends to resolve is from Yin hour to Chen hour (3:00 AM to 9:00 AM).
273. The pattern of Taiyin disease (Taiyin stage disease) is characterized by abdominal distension and vomiting, inability to ingest food, spontaneous diarrhea that worsens, and occasional spontaneous abdominal pain. If purgation is used, it will inevitably cause binding and hardness below the chest.
274. In Taiyin wind-stroke, if there is vexing pain in the four limbs, and the pulse is faint in the Yang position, choppy in the Yin position, and long, it indicates impending recovery.
275. The time when Taiyin disease tends to resolve is from Hai hour to Chou hour (9:00 PM to 3:00 AM).
276. In Taiyin disease, if the pulse is floating, the sweating method may be used; Gui Zhi Tang (Cinnamon Twig Decoction) is appropriate.
Formula 1:
Gui Zhi (Cinnamomi Ramulus, peeled, 3 liang), Shao Yao (Paeoniae Radix Alba, 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared, 2 liang), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, 3 liang), Da Zao (Jujubae Fructus, broken, 12 pieces).
Decoct the above five ingredients in 7 sheng of water to obtain 3 sheng of liquid. Remove the dregs and take 1 sheng warm. Shortly after, consume 1 sheng of hot thin porridge to assist the medicinal effect, and cover with warm clothing to induce sweating.
277. Spontaneous diarrhea without thirst belongs to Taiyin disease, because there is cold in the Zang organs; it should be warmed. Si Ni Tang class formulas (Frigid Extremities Decoction category) are appropriate.
Formula 2.
278. In cold damage, if the pulse is floating and moderate, and the hands and feet are naturally warm, the disease is located in Taiyin. Taiyin disease should manifest as body yellowing (jaundice); if urination is free and profuse, yellowing will not occur. By the seventh or eighth day, although there may be sudden vexation and severe diarrhea, more than ten times a day, it will inevitably stop on its own. This is because the Spleen qi has become substantial (Pi Jia Shi), and the rotten turbidity should be expelled.
279. In original Taiyang disease, if the physician mistakenly uses purgation, resulting in abdominal distension and occasional pain, it belongs to Taiyin disease; Gui Zhi Jia Shao Yao Tang (Cinnamon Twig Decoction plus Peony Root) governs it. If there is severe excess pain, Gui Zhi Jia Da Huang Tang (Cinnamon Twig Decoction plus Rhubarb) governs it.
Formula 3.
Gui Zhi Jia Shao Yao Tang Formula:
Gui Zhi (Cinnamomi Ramulus, peeled, 3 liang), Shao Yao (Paeoniae Radix Alba, 6 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared, 2 liang), Da Zao (Jujubae Fructus, broken, 12 pieces), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, 3 liang).
Decoct the above five ingredients in 7 sheng of water to obtain 3 sheng of liquid. Remove the dregs and divide into three warm doses. The original text refers to Gui Zhi Tang, now adding Shao Yao.
Gui Zhi Jia Da Huang Tang Formula:
Gui Zhi (Cinnamomi Ramulus, peeled, 3 liang), Da Huang (Rhei Radix et Rhizoma, 2 liang), Shao Yao (Paeoniae Radix Alba, 6 liang), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, 3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared, 2 liang), Da Zao (Jujubae Fructus, broken, 12 pieces).
Decoct the above six ingredients in 7 sheng of water to obtain 3 sheng of liquid. Remove the dregs and take 1 sheng warm, three times a day.
280. In Taiyin disease, if the pulse is weak and the patient continues to have free spontaneous diarrhea, if Da Huang (Rhei Radix et Rhizoma) and Shao Yao (Paeoniae Radix Alba) are indicated, their dosages should be reduced, because the patient's Stomach qi is weak and easily disturbed. (If there is diarrhea, decoct Shao Yao first until it boils three times.)