尺寸脉微缓者，厥阴受病也，当六七日发，其症少腹烦满而囊缩。（论见大法。《活人》云∶脉沉短囊缩者，承
气汤下之。）病者手足厥冷，言我不结胸，小腹满，按之痛者，此冷结在膀胱关元也。
少腹硬满，小便利者，为蓄血。若兼身黄发狂者，抵当汤主之。不身黄发狂者，抵当丸。但少腹急结者，
宜桃仁承气汤。（详见蓄血门。）伤寒表不解，干呕，发热而咳，或小便不利，少腹满者，小青龙去麻黄加
茯苓汤主之。（论见咳。）
不大便，日晡潮热，从心至少腹硬满而痛者，宜大陷胸汤。
〔《活》〕伤寒六七日，烦满囊缩，其脉尺寸俱微缓者，足厥阴肝经受病也。厥阴病，其脉微浮为欲愈，不
浮为未愈，宜小建中汤。脉浮缓者，必囊不缩，外症必发热恶寒似疟，为欲愈，宜桂枝麻黄各半汤。若尺寸俱
沉短者，必是囊缩，毒瓦斯入腹，宜承气汤下之。大抵伤寒病脏腑传变，阳经先受病，故次传入阴经，以阳主生，
故太阳水传足阳明土，土传足少阳木，为微邪也。阴主杀，故木传足太阴土，土传足少阴水，水传足厥阴木，
至六七日当传厥阴肝木，必移气克于脾土，脾再受邪，则五脏六腑，皆因而危殆，荣卫不通，耳聋囊缩，不知
人而死矣。速用承气汤下之，可保五生一死。古人云∶脾热病则五脏危。又，土为木贼则死。若第六七日传
厥阴，脉得微缓微浮，为脾胃脉也，故知脾气全不受克，邪无所容，否极泰来，荣卫将复，水升火降，则寒
热作而大汗解矣。
〔海〕厥阴症者，烦满囊缩，大小便不通，发热引饮，腹满，尺寸脉微缓。烦者火也，满者木也，虽不吐
蛔，囊缩但急者，亦木也。火与木相合，四肢厥逆而爪甲青，大小便不通，地道塞也。发热引饮，邪气在里，
宜温之下之。
以上诸症，大小便俱通，地道不塞，不发渴，不引饮，邪不在里，则宜温之灸之，则里外相接，以复阳
气。宜服正阳散
麝香（一钱。细研，性辛温，治腹急满痞风毒） 干姜（炮） 甘草（炙。各二钱半） 附子（一两。
炮，去皮脐，味辛咸温，治风利窍，疗腹满囊缩） 皂角（二两，酥炙，去皮弦，味咸温）
上为细末，每服二钱，白汤下，温服。
回阳丹
硫黄（半两，味酸温大热，治心腹肿聚邪气，冷癖左胁气咳上气，脚冷无力） 附子（炮，半两） 干
姜（炮，二钱半） 木香（半两，味辛温，疗肌中偏寒、主
气不足乏精） 全蝎（半两，味甘辛，治一切风） 荜澄茄（半两，味辛温，治皮风心腹气胀） 吴茱萸（半两
洗炒，味辛温大热，治中风逐邪，诸食不消，气逆，利五脏顺气。）
上为末，酒糊丸，如桐子大。生姜汤下三五十丸，并二三服，以热投之，衣被取汗。
If the pulse at both the cun (distal) and chi (proximal) positions is slightly slow and moderate, it indicates that the Jueyin meridian has been affected by disease. This typically manifests on the sixth or seventh day of illness, with symptoms including irritability and fullness in the lower abdomen, along with retraction of the scrotum. (For related discussions, see "General Principles." *Liu Ren Shu* states: If the pulse is deep and short accompanied by scrotal retraction, treat with Chengqi Tang to purge.) The patient experiences cold extremities, denies having chest binding (Jie Xiong), but presents with fullness in the lower abdomen that is painful upon palpation; this is due to cold congealing at the Guanyuan acupoint of the Bladder meridian.
If the lower abdomen is hard and full, yet urination is free, this is Blood Stasis (Xu Xue). If accompanied by jaundice and mania, Dandang Tang should be administered. If there is no jaundice or mania, Dandang Wan is indicated. If only there is a sensation of urgency and knotting in the lower abdomen, Tao Ren Chengqi Tang is appropriate. (See "Blood Stasis Section" for details.) In cases where Shaoyang exterior syndrome remains unresolved, accompanied by dry retching, fever, and cough, or if there is difficulty in urination and fullness in the lower abdomen, Xiao Qinglong Tang without Ephedrae Herba (Mahuang) plus Poria (Fuling) is the primary treatment. (See "Cough Section" for discussion.)
When constipation occurs, tidal fever arises around the Shen hour (3-5 PM), and the abdomen from the heart region down to the lower abdomen is hard, full, and painful, Da Xianxiong Tang is indicated.
[*Liu Ren Shu*] In typhoid febrile diseases lasting six to seven days, presenting with irritability, fullness, and scrotal retraction, with pulses at both cun and chi positions being slightly slow and moderate, the Foot Jueyin Liver Meridian is affected. In Jueyin disease, a slightly floating pulse indicates impending recovery; if not floating, recovery has not yet occurred, and Xiao Jianzhong Tang is suitable. If the pulse is floating and moderate, scrotal retraction will not occur; external symptoms will likely include fever and aversion to cold resembling malaria, indicating impending recovery, and Guizhi Mahuang Ge Ban Tang is suitable. If the pulses at both cun and chi are deep and short, scrotal retraction will definitely occur, and toxic pathogens have entered the abdomen; Chengqi Tang should be used to purge.
Generally, in the transmission of typhoid febrile diseases among zang-fu organs, Yang meridians are affected first, subsequently transmitting to Yin meridians. Since Yang governs generation, the Taiyang Water meridian transmits to the Foot Yangming Earth meridian, which then transmits to the Foot Shaoyang Wood meridian; this constitutes a mild pathogenic factor. Yin governs destruction; thus, Wood transmits to the Foot Taiyin Earth meridian, Earth to the Foot Shaoyin Water meridian, and Water to the Foot Jueyin Wood meridian. By the sixth or seventh day, transmission reaches the Jueyin Liver Wood meridian. At this stage, Qi inevitably overacts upon Spleen Earth. If the Spleen suffers further pathogenic invasion, all five zang and six fu organs will become critical. With Ying and Wei qi circulation blocked, leading to deafness, scrotal retraction, and loss of consciousness, death ensues. Rapid purgation with Chengqi Tang can save one life out of ten risks. Ancients stated: "Spleen heat disease endangers the five zang organs." Also, "Earth destroyed by Wood leads to death." However, if on the sixth or seventh day, when transmitting to Jueyin, the pulse becomes slightly slow or slightly floating—indicating Spleen-Stomach pulses—it shows that Spleen Qi is not being overacted upon. Pathogens have no place to reside. As adversity turns to prosperity, Ying and Wei qi will recover, Water ascends and Fire descends, resulting in alternating chills and fever followed by profuse sweating and resolution of the disease.
[Hai Zang] Symptoms of Jueyin syndrome include irritability, fullness, scrotal retraction, obstruction of both stool and urine, fever with thirst, abdominal distension, and slightly slow/moderate pulses at cun and chi. Irritability stems from Fire; fullness stems from Wood. Even without vomiting roundworms, if the scrotum is retracted and tense, it also indicates Wood pathology. When Fire and Wood combine, it causes cold reversal of the four limbs and cyanosis of the fingernails, along with obstruction of stool and urine, blocking the "earthly pathway" (bowels/genitals). Fever with thirst indicates pathogens residing internally; warm methods combined with purgation are appropriate.
In the above syndromes, if both stool and urine pass freely, the earthly pathway is unblocked, there is no thirst or desire for fluids, and pathogens are not internal, then warming and moxibustion are indicated to connect interior and exterior qi and restore Yang Qi. Zhengyang San is suitable:
Moschus (She Xiang, 1 qian, finely ground; pungent and warm; treats abdominal urgency, fullness, stagnation, wind-toxin); Gingerum Zingiberis Recens Preparatum (Pao Gan Jiang, prepared); Glycyrrhizae Radix et Rhizoma Praeparatum cum Melle (Zhi Gan Cao, honey-fried; each 2.5 qian); Aconiti Lateralis Radix Preparata (Pao Fu Zi, prepared, skin and rootlet removed; pungent, salty, and warm; treats wind facilitating orifices, abdominal fullness, and scrotal retraction); Gleditsiae Sinensis Fructus cum Spina (Zao Jiao, 2 liang, fried with butter, skin and string removed; salty and warm).
Grind all into fine powder. Take 2 qian per dose, washed down with white water, taken warm.
Huiyang Dan:
Realgar? No, Sulfur (Liu Huang, 0.5 liang; sour, warm, and extremely hot; treats heart/abdominal swelling, masses, evil qi, cold accumulation, left hypochondriac qi cough, upper-rebellious qi, cold feet with weakness); Aconiti Lateralis Radix Preparata (Pao Fu Zi, prepared, 0.5 liang); Gingerum Zingiberis Recens Preparatum (Pao Gan Jiang, prepared, 2.5 qian); Aucklandiae Radix (Mu Xiang, 0.5 liang; pungent and warm; treats localized cold in muscles, qi deficiency, lack of essence); Scorpio (Quan Xie, 0.5 liang; sweet and pungent; treats all wind disorders); Galangali Fructus (Bi Cheng Qie, 0.5 liang; pungent and warm; treats skin wind, heart/abdominal qi distension); Evodiae Fructus (Wu Zhu Yu, 0.5 liang, washed and stir-fried; pungent, warm, and extremely hot; treats wind-stroke expelling pathogens, indigestion, rebellious qi, benefiting the five zang organs and smoothing qi).
Grind all into powder. Make pills using wine paste, sized like wisteria seeds. Take 30-50 pills per dose with ginger decoction. Administer two or three doses. Keep warm after administration to induce sweating.