从霜降以后至春分以前,凡有触冒霜露,体中寒即病者,谓之伤寒也。(治法除湿、暑、疟疾外,皆伤寒
法也。)
从立春节后,其中无暴寒,又不冰雪,而人有壮热为病者,此属春时阳气发于外,冬时伏寒变为温病。
(春温应常纪者有四∶岁少阳司天之政,初之气;太阳司天之政,初之气;阳明司天之政,终之气;太阴司
天之政,二之气,皆病温。其不应常纪而反常者,不可候之,而随时变易也。)
冬伤于寒,春必温病。(全文见五脏。)太阳病发热而渴,不恶寒者,为温病。(治见冬温。)
阳脉洪数,阴脉实大者,遇温热变为温毒。(论见大法。治见发 。《活人》云∶初春发 、咳嗽,
为温毒。)
发汗不解,身灼热,为风温。其证脉浮汗出,身重多眠。盖其病不独见于春间,故另立风温门。
尺肤热甚,脉盛躁者,病温也。(全文见诊。)夫精者,身之本也,故藏于精者,春不病温。
凡治温病,可刺五十九穴。成注云∶所谓五十九穴者,刺两手内外侧各三,凡十二 ,五指间各一,
凡八 ,足亦如之。头入发际一寸傍三分各三,凡六 ,巅上一,囟会一,发际一,廉泉一,风池二,天柱二。
(《内经》云∶气口静,人迎躁者取之,若气口人迎皆静者,勿刺也。人迎,谓结喉动脉也。)王太仆注《素
问》五十九刺云∶刺头上五行。五行者,以越诸阳之热逆也。(谓头中行上星、囟会、前顶、百会、后顶五穴,
头第二行两傍五处、承光、通天、络 、玉枕十穴,第三行两傍临泣、目窗、正营、承灵、脑空十穴也。)
大杼、膺俞、缺盆、背俞,此八者以泻胸中之热也。气街、三里、巨虚上下廉,此八者,以泻胃中之热也。
云门、 骨、委中、髓空,此八者,以泻四肢之热也。五脏俞傍五,此十者,以泻五脏之热也。(谓背第五
行两傍魄户、神堂、魂门、意舍、志室十穴也。)
From after the Frost Descent solar term to before the Spring Equinox solar term, anyone who contracts cold immediately upon exposure to frost and dew is said to have Cold Damage (Shanghan). (Except for the treatment methods of Dampness (Shi), Summerheat (Shu), and Malaria (Nue), all other cases follow the treatment principles of Cold Damage.)
After the Beginning of Spring solar term, if there is no sudden severe cold or ice/snow, yet a person suffers from high fever, this belongs to Warm Disease (Wenbing) caused by the dispersal of Spring Yang Qi on the exterior and the transformation of latent Winter Cold into Warmth.
(Four regular climatic patterns correspond to Spring Warmth: in years governed by Shaoyang as the Heavenly Ruler during the First Qi; Taiyang as the Heavenly Ruler during the First Qi; Yangming as the Heavenly Ruler during the Last Qi; and Taiyin as the Heavenly Ruler during the Second Qi, Warm diseases occur. Abnormal patterns that deviate from these regularities cannot be predicted and change with time.)
If one is injured by Cold in Winter, Warm Disease will inevitably occur in Spring. (See full text under Five Zang Organs.) In Taiyang disease, if there is fever and thirst without aversion to cold, it is called Warm Disease. (Treatment see Winter Warmth.) If the Yang pulse is surging and rapid, and the Yin pulse is solid and large, encountering warm and hot weather transforms it into Warm Toxin (Wendu). (Theory see General Principles. Treatment see Eruption/Spots. The *Liuren* book states: In early spring, eruption and cough indicate Warm Toxin.)
If sweating fails to resolve the condition and the body feels burning hot, it is called Wind-Warmth (Fengwen). Its symptoms include floating pulse, sweating, heavy body, and excessive sleepiness. Since this disease is not limited to spring, a separate category for Wind-Warmth is established.
If the skin of the chi position (inner forearm) is very hot and the pulse is vigorous and restless, it indicates Warm Disease. (See full text under Diagnosis.) Essence (Jing) is the root of the body; therefore, those who preserve their essence will not suffer from Warm Disease in Spring.
For treating Warm Disease, fifty-nine acupoints may be needled. Cheng Wuji's commentary states: The so-called fifty-nine points include three points on each side of both hands' inner and outer aspects, totaling twelve points; one point between each of the five fingers, totaling eight points; similarly for the feet. On the head, three points one cun inside the hairline and three fen lateral, totaling six points; one point at the vertex (Baihui); one at Xinhui; one at the hairline (Yintang area/Lianquan context dependent, here likely referring to specific scalp points); one at Lianquan; two at Fengchi; two at Tianzhu.
(The *Neijing* states: If the Qi Kou pulse is quiet and the Ren Ying pulse is agitated, needle them. If both are quiet, do not needle. Ren Ying refers to the artery at the carotid region near the Adam's apple.) Wang Bing's commentary on the *Suwen* regarding the fifty-nine needles states: Needle the five rows on the head. These five rows are used to vent the rebellious heat of the Yang meridians. (This refers to the midline row: Shangxing, Xinhui, Qiangding, Baihui, Houding; the second lateral row: Wuchu, Chengguang, Tongtian, Luoque, Yuzhen; and the third lateral row: Linqi, Muchuang, Zhengying, Chengling, Naokong.)
Dazhu, Ying Shu, Quepen, and Bei Shu—these eight points are used to drain heat from the chest. Qijie, Sanli, Shangjuxu, and Xiajuxu—these eight points are used to drain heat from the Stomach. Yunmen, Biguan (interpreted from " 骨" based on standard lists, though literal translation is Hip Bone), Weizhong, and Xuankong (Xuangu)—these eight points are used to drain heat from the four limbs. The five points adjacent to each of the Five Zang Back-Shu points—these ten points are used to drain heat from the Five Zang Organs. (Referring to the fifth lateral row on the back: Pohu, Shentang, Hunmen, Yishe, Zhishi.)