三阳合病,腹满身重,难转侧,汗出者,白虎汤。(论见身重。)下后胸满烦惊,小便不利,谵语身重,
不可转侧者,柴胡牡蛎汤。(论见惊。)风湿相搏,身体烦疼,不能自转侧,不呕不渴,脉浮虚而涩者,
桂枝附子汤。(论见身疼。)
三阳合病,腹满身重,难转侧,谵语遗尿,汗出者,白虎汤。(论见身重。)
风温病,脉浮汗出者,身重多眠,若下之,则小便不利,直视失溲。(论见风温。)
寸口脉微而涩,微者卫气不行,涩者荣气不逮。荣卫不能相将,三焦无所仰,身体痹不仁。荣气不足则烦
疼,口难言;卫气虚则恶寒数欠,三焦不归其部。上焦不归者,噫而吞酢;中焦不归者,不能消谷引食;下焦
不归者,则遗溲。
咳而小便利,若失小便者,不可发汗,汗出则四肢厥冷。太阳病,火熨其背,大汗出,谵语十余日,振栗
下利,欲小便不得,反呕而失溲者,此为欲解也。(论见谵语。)遗溲狂言,目反直视者,此为肾绝。(论见大法。)
三阳合病,脉浮大见关上,但欲眠睡,目合则汗。阳明病,脉但浮者,必盗汗出。(论见胃实。成无己云∶
阳明病当作里实而脉浮者,云必盗汗是犹有表邪故也。)太阳病,脉浮而动数,头痛发热,微盗汗出,而反恶
寒者,表未解也。(论见结胸。)
〔成〕伤寒盗汗者,非若杂病之虚,是由邪气在半表半里使然也。何者?若邪气一切在表干于卫,则自然
汗出也。此则邪气浸行于里,外连表邪,及睡则卫气行于里,乘表中阳气不致,津液得泄,故但睡而汗出,觉
则气散于表而汗止矣,其证悉当和表而已。
In a combined disease of the three Yang meridians, characterized by abdominal fullness, heaviness of the body, difficulty in turning over, and sweating, Baihu Tang (White Tiger Decoction) is used. (See discussion under "Heaviness of Body".) After purgation, if there is chest fullness, irritability, fright, dysuria, delirium, heaviness of the body, and inability to turn over, Chaihu Muli Tang (Bupleurum and Oyster Shell Decoction) is used. (See discussion under "Fright".) When wind-dampness combats each other, causing severe bodily pain, inability to turn over independently, no vomiting, no thirst, and a floating, deficient, and choppy pulse, Guizhi Fuzi Tang (Cinnamon Twig and Aconite Root Decoction) is used. (See discussion under "Body Pain".)
In a combined disease of the three Yang meridians, characterized by abdominal fullness, heaviness of the body, difficulty in turning over, delirium, enuresis, and sweating, Baihu Tang (White Tiger Decoction) is used. (See discussion under "Heaviness of Body".) In Fengwen Bing (Wind-Warmth Disease), with a floating pulse and sweating, heaviness of the body, and somnolence; if purgation is mistakenly applied, it leads to dysuria, fixed gaze, and loss of bowel and bladder control. (See discussion under "Wind-Warmth".) If the Cun Kou (Radial Pulse at the wrist) is micro and choppy: micro indicates that Wei Qi (Defensive Qi) does not circulate; choppy indicates that Ying Qi (Nutritive Qi) fails to reach. When Ying and Wei cannot support each other, the San Jiao (Triple Burner) loses its reliance, resulting in numbness and bi-syndrome of the body. Deficiency of Ying Qi causes restlessness and pain, and difficulty in speaking; deficiency of Wei Qi causes aversion to cold and frequent yawning, and the San Jiao qi fails to return to its proper region. If the Upper Jiao fails to return, belching and acid regurgitation occur; if the Middle Jiao fails to return, inability to digest grains and food occurs; if the Lower Jiao fails to return, loss of bowel and bladder control occurs.
If coughing is accompanied by free urination, or symptoms resembling loss of urine control, diaphoresis (sweating therapy) is contraindicated; applying it will lead to cold limbs. In Taiyang Bing (Taiyang Disease), if the back is scalded with fire, leading to profuse sweating, delirium for more than ten days, shivering, diarrhea, inability to urinate, and conversely vomiting with loss of bowel and bladder control, this indicates the disease is about to resolve. (See discussion under "Delirium".) Enuresis, wild talking, and eyes staring straight upward indicate the extinction of Kidney Qi. (See discussion under "General Principles".)
In a combined disease of the three Yang meridians, with a pulse that is large and floating at the Guan position, drowsiness, and sweating when closing the eyes. In Yangming Bing (Yangming Disease), if the pulse is merely floating, spontaneous night sweats (Dao Han) will definitely occur. (See discussion under "Stomach Excess." Cheng Wuji stated: Yangming disease should be understood as an interior excess pattern with a floating pulse; stating that night sweats definitely occur implies the presence of exterior pathogenic factors.) In Taiyang Bing, with a floating, moving, and rapid pulse, headache, fever, slight night sweats, and conversely aversion to cold, the exterior has not yet resolved. (See discussion under "Jie Xiong" / Chest Binding.)
[Cheng Wuji's Commentary] Night sweats caused by Shanghan (Cold Damage) are not like the deficiency-type sweats in miscellaneous diseases; they result from pathogenic factors residing in the half-exterior and half-interior. Why? If pathogenic factors were entirely on the exterior interfering with Wei Qi, sweating would naturally occur. Here, pathogenic factors gradually penetrate inward while externally connecting with exterior pathogens. During sleep, Wei Qi moves inward; taking advantage of the insufficient Yang qi in the exterior-interior interface, body fluids are released. Thus, sweating occurs only during sleep, and stops upon waking when Qi disperses to the exterior. These symptoms should all be treated by harmonizing the exterior and interior.