呕病,诸经皆有,因何属少阳也。因表邪入来,里气拒格,上逆作呕,故属少阳也,宜小柴胡汤。心下硬
而烦,或不大便,宜大柴胡汤。如表不解之呕,属太阳也,宜柴桂汤。食谷欲呕,属阳明也,主中寒,宜吴
茱萸汤。得汤更呕,主表热,宜葛根加半夏汤。呕吐涎沫,或呕吐蛔,属厥阴也。吐涎沫者,宜吴茱萸汤。吐
蛔者,宜乌梅丸。呕而下利,是有水气,属少阴也,宜真武汤。饮而呕,呕而饮,饮呕相因不已,是停水也,
宜五苓散。
寒而热,热而寒,寒热相因不已,故名往来寒热,为少阳主证,宜小柴胡汤。寒热而有作止之常,一日
一次,或隔日一次,谓之疟,属杂病也。寒热而无作止之常,日三五发,谓之如疟,属太阳经未尽之表邪
也,宜麻桂各半汤。若热多寒少,宜桂枝二越婢一汤。若有汗,宜桂枝二麻黄一汤。若无汗,亦宜麻桂
各半汤。此皆治太阳未尽之微邪法也。
目眩者,目黑不明也,耳聋者,耳无所闻也,皆少阳经主证,非死候也。若因汗吐下失宜,致诸变逆坏
证,目眩而神昏,言乱乃神散,气脱之候,故不能生也。若因误发湿温家汗,而不能言语,耳聋无闻,身青面
色变者,名曰重 ,亦死证也。
腹满时痛为不足,宜桂枝加芍药汤,不愈用理中汤。腹满大痛为有余,宜桂枝加大黄汤。此为误下,邪陷
太阴之里证也。若潮热自汗,大便难,则为太阴之邪,转属阳明也,宜大承气汤。
Vomiting (Ou Bing) can occur in all meridians; why is it attributed to the Shaoyang (Lesser Yang) meridian? This is because exterior pathogens enter the interior, and the interior Qi resists and blocks them, causing Qi to rebel upward and induce vomiting; thus, it is attributed to the Shaoyang meridian. The appropriate formula is Xiaochaihu Tang (Minor Bupleurum Decoction). If there is hardness and irritability below the heart, or constipation, Dachaihu Tang (Major Bupleurum Decoction) is appropriate. If vomiting occurs due to unresolved exterior syndrome, it belongs to the Taiyang (Greater Yang) meridian, and Chaigui Tang (Bupleurum and Cinnamon Twig Decoction) is appropriate. Desire to vomit after eating food indicates Yangming (Yang Brightness) meridian involvement, primarily due to middle Jiao cold (Zhong Han), and Wuzhuyu Tang (Evodia Decoction) is appropriate. If vomiting worsens after taking this decoction, it indicates exterior heat, and Gegen Banxia Tang (Kudzu and Pinellia Decoction) is appropriate. Vomiting saliva or phlegm, or vomiting roundworms, indicates Jueyin (Terminal Yin) meridian involvement. For those vomiting saliva or phlegm, Wuzhuyu Tang (Evodia Decoction) is appropriate. For those vomiting roundworms, Wumei Wan (Mume Pill) is appropriate. Vomiting accompanied by diarrhea indicates the presence of fluid retention (Shui Qi), belonging to the Shaoyin (Lesser Yin) meridian, and Zhenwu Tang (True Warrior Decoction) is appropriate. Drinking water leads to vomiting, and vomiting leads to a desire to drink; when drinking and vomiting cycle incessantly, this indicates stagnant water (Ting Shui), and Wuling San (Five-Ingredient Powder with Poria) is appropriate.
Chills alternating with fever, where chills and fever follow each other incessantly, are named "alternating chills and fever" (Wang Lai Han Re), which is the principal syndrome of the Shaoyang meridian; Xiaochaihu Tang (Minor Bupleurum Decoction) is appropriate. Chills and fever that have a regular pattern of onset and cessation, occurring once a day or every other day, are called malaria (Nüe), which belongs to miscellaneous diseases. Chills and fever without a regular pattern of onset and cessation, occurring three to five times a day, are called "like malaria" (Ru Nüe), indicating residual exterior pathogens from the Taiyang meridian; Mahuang Guizhi Ge Ban Tang (Half-Dose Combination of Ephedra and Cinnamon Twig Decoction) is appropriate. If heat predominates over chills, Guizhi Er Yuebi Yi Tang (Two Parts Cinnamon Twig and One Part Minor Bupleurum and Gypsum Decoction) is appropriate. If there is sweating, Guizhi Er Mahuang Yi Tang (Two Parts Cinnamon Twig and One Part Ephedra Decoction) is appropriate. If there is no sweating, Mahuang Guizhi Ge Ban Tang (Half-Dose Combination of Ephedra and Cinnamon Twig Decoction) is also appropriate. These are all methods for treating residual mild pathogens of the Taiyang meridian.
Dizziness (Mu Xuan), characterized by blurred vision, and deafness (Er Long), characterized by inability to hear, are both principal syndromes of the Shaoyang meridian and are not fatal signs. However, if improper use of sweating, purging, or emesis methods leads to various transformation syndromes and deteriorated conditions, resulting in dizziness with unconsciousness, or speech disorder indicating dispersion of Shen (Spirit) and collapse of Qi, death is inevitable. If sweating is mistakenly induced in patients with damp-warmth disease, leading to inability to speak, deafness, cyanosis of the body, and discoloration of the face, it is called "chong ming" (severe coma/darkness), which is also a fatal sign.
Abdominal fullness with intermittent pain indicates deficiency (Bu Zu); Guizhi Ji Shaoyao Tang (Cinnamon Twig Decoction Augmented with Peony Root) is appropriate. If ineffective, Lizhong Tang (Regulate the Middle Decoction) should be used. Abdominal fullness with severe pain indicates excess (You Yu); Guizhi Jia Dahuang Tang (Cinnamon Twig Decoction Augmented with Rhubarb) is appropriate. This results from mistaken purgation, causing pathogens to sink into the interior of the Taiyin (Tai Yin) meridian. If tidal fever, spontaneous sweating, and difficulty in defecation occur, it indicates that Taiyin pathogens have transferred to the Yangming meridian; Dachengqi Tang (Major Order the Qi Decoction) is appropriate.