〔伤寒所致〕太阳病,痉湿暍,此三种,宜应别论。
【按】
「伤寒所致」四字,甚无所谓,当删之。
太阳病,发热无汗,〔反〕恶寒者,名曰刚痉。
【按】
反恶寒之「反」字,衍文也,刚痉证应恶寒,非反也,当删之。
恶寒脉微而复利,「利不止亡阳」〔利止亡血〕也,四逆加人参汤主之 。
【按】
利止亡血,如何用大热补药?利止应是「利不止」,亡血应是「亡阳」,当改之。
问曰:人病有宿食,何以别之?师曰:寸口脉浮而大,按之反涩,尺中亦「大」〔微
〕而涩,故知有宿食,当下之,宜大承气汤。
【按】
尺中「微」字,当是「大」字,若是「微」字,断无可下之理,当改之。
假令脉来微去大,故名反,病在里也;「脉来大去小」〔脉来头小本大〕,故名覆,
病在表也。「上微小者为阴盛」〔上微头小者〕,则汗出;「下微小者为阳盛」〔下
微本大者〕,则为关格不通,不得尿;头无汗者可治,有汗者死。
【按】
脉来头小本大,当是「脉来大去小」。上微头小者,当是「上微小者为阴盛」。下微
本大者,当是「下微小者为阳盛」。始与上下之义相属,当改之,补之。
寸口卫气盛名曰高,荣气盛名曰章,高章相抟,名曰纲。卫气弱名曰惵,荣气弱名曰
卑,惵卑相抟,名曰损。卫气和名曰缓,荣气和名曰迟,迟缓相抟,名曰「强」。〔
沉〕
【按】
名曰沉之「沉」字,应是「强」字,玩下文可知,当改之。
寸口脉缓而迟,缓则阳气长,其色鲜,其颜光,其声商,毛发长;迟则阴气盛,骨髓
生,血满,肌肉紧〔薄鲜□〕,阴阳相抱,荣卫俱行,刚柔相得,名曰强也。
【按】
「薄鲜□」三字,不成句,应是衍文,当删之。
北方肾脉,其形何似?师曰:肾者水也,名曰少阴,其脉沉滑,是肾脉也。肾病自得
沉滑而濡者,愈也。
【按】
东南西方,皆有其文,惟缺北方,仿经文补之 。
问曰:翕奄沉,名曰滑,何谓也?师曰:沉为纯阴,翕为正阳,阴阳和合,故令脉滑
,关尺自平。阳明脉微沉,食饮自可;少阴脉微滑,〔滑者紧之浮名也,此为阴实〕
其人必股内汗出,阴下湿也。
【按】
「滑者紧之浮名也,此为阴实」二句,与上下之义不属,当是错简。
阳脉「濡」〔浮〕,阴脉弱者,则血虚,血虚则筋急也。其脉「弱」〔沉〕者,荣气
微也;其脉「濡」〔浮〕而汗出如流珠者,卫气衰也。
【按】
阳脉浮,其脉浮之二「浮」字,当是「濡」字,若是「浮」字,则与卫气衰,汗出如
流珠之义不属。其脉沉之「沉」字,当是「弱」字,若是「沉」字,则与血虚荣气微
之义不属,当改之。
师曰:病家人来请,云,病人发热烦极,明日师到,病人向壁卧,此热已去也,设令
脉「自」〔不〕和,处言已愈。
【按】
不和应是「自和」,若不和 ,如何言愈?当改之。
[Caused by Cold Damage] Taiyang disease (disease of the Taiyang channel), Jing (spasm), Shi (dampness), and Ye (heatstroke) are these three types; they should be discussed separately.
[Commentary]
The four characters "caused by cold damage" have no significant meaning and should be deleted.
Taiyang disease, with fever, absence of sweating, and aversion to cold, is named Gang-Jing (rigid spasm).
[Commentary]
The character "fan" (reverse/contrary) before "aversion to cold" is a superfluous character (derivative text). The syndrome of rigid spasm naturally involves aversion to cold; it is not contrary. It should be deleted.
Aversion to cold, faint pulse, and recurrent diarrhea indicate that "unremitting diarrhea leads to collapse of Yang" (the original text erroneously states "stopping diarrhea leads to loss of blood"). Si Ni Jia Ren Shen Tang (Four Reversals plus Ginseng Decoction) should be administered.
[Commentary]
How can large, hot, tonifying medicines be used for "stopping diarrhea leading to loss of blood"? "Stopping diarrhea" should be "unremitting diarrhea," and "loss of blood" should be "collapse of Yang." This should be corrected.
Question: If a person suffers from retained food, how can it be distinguished? The Master said: The Cun Kou (radial artery at the wrist) pulse is floating and large; upon pressing, it feels reverse-choppy (se); the Chi position (distal part of the pulse) is also [erroneously "large" in the text, should be] faint and choppy. Thus, one knows there is retained food. One should use purgation, and Da Cheng Qi Tang (Major Order the Qi Decoction) is appropriate.
[Commentary]
The character "faint" (wei) in the Chi position should be "large" (da). If it were "faint," there would absolutely be no rationale for purgation. This should be corrected.
Suppose the pulse comes faint and goes large; this is named "Fan" (Reverse), indicating the disease is in the interior. [Erroneously "pulse comes large and goes small" in text, should be] "Pulse comes head-small and root-large" is named "Fu" (Covered), indicating the disease is in the exterior. [Erroneously "Upper faint small indicates Yin excess" in text, should be] "Upper faint head-small" causes sweating. [Erroneously "Lower faint small indicates Yang excess" in text, should be] "Lower faint root-large" results in Guan-Ge obstruction (blockage of upper and lower orifices), inability to urinate; if the head has no sweat, it is treatable; if there is sweat, it is fatal.
[Commentary]
"Pulse comes head-small and root-large" should be "pulse comes large and goes small." "Upper faint head-small" should be "upper faint small indicates Yin excess." "Lower faint root-large" should be "lower faint small indicates Yang excess." Only then does it align with the meanings of upper and lower. This should be corrected and supplemented.
At the Cun Kou, excessive Wei Qi (Defensive Qi) is called "Gao" (High); excessive Ying Qi (Nutritive Qi) is called "Zhang" (Brilliant). When Gao and Zhang contend, it is called "Gang" (Cord). Weak Wei Qi is called "Die" (Trembling); weak Ying Qi is called "Bei" (Low). When Die and Bei contend, it is called "Sun" (Damage). Harmonious Wei Qi is called "Huan" (Slow/Relaxed); harmonious Ying Qi is called "Chi" (Late/Sluggish). When Huan and Chi combine, it is called "Qiang" (Strong) [erroneously "Chen" (Deep) in the text].
[Commentary]
The character "Chen" (Deep) in "named Chen" should be "Qiang" (Strong). Examining the following text reveals this. It should be corrected.
At the Cun Kou, a slow and late pulse: Slow indicates Yang Qi growing; the complexion is fresh, the face radiant, the voice clear like metal (Shang tone), and hair grows long. Late indicates Yin Qi abundant; marrow generates, blood fills, and muscles are firm [The three characters "Bo Xian □" do not form a sentence and are derivative text; they should be deleted]. Yin and Yang embrace each other, Ying and Wei circulate together, hardness and softness obtain harmony; this is named "Qiang" (Strong).
[Commentary]
The three characters "Bo Xian □" do not constitute a sentence and are likely derivative text; they should be deleted.
What does the Kidney pulse of the North resemble? The Master said: The Kidney belongs to Water and is named Shao Yin. Its pulse is deep and slippery; this is the Kidney pulse. If Kidney disease naturally presents with a deep, slippery, and soggy pulse, recovery will occur.
[Commentary]
Texts exist for the Southeast and West, but the North is missing. This section is supplemented imitating the classic text.
Question: A pulse that gathers suddenly and sinks deeply is named "Hua" (Slippery). What does this mean? The Master said: Deep represents pure Yin; gathering (floating lightly) represents correct Yang. When Yin and Yang harmonize, the pulse becomes slippery, and the Guan and Chi positions become balanced. The Yang Ming pulse is slightly deep, and digestion is normal; the Shao Yin pulse is slightly slippery, [The inserted sentence "Slippery is the floating name of Tight, this is Yin Excess" does not fit the context and is likely a misplaced bamboo slip], the person will definitely have sweat on the inner thighs and dampness in the genital area.
[Commentary]
The two sentences "Slippery is the floating name of Tight, this is Yin Excess" do not align with the preceding and following logic and are likely errors due to misplaced bamboo slips.
Yang pulse [erroneously "Ru" (Soggy) in text, should be] Floating, Yin pulse weak, indicates Blood deficiency. Blood deficiency leads to tendon tension. The pulse [erroneously "Ruo" (Weak) in text, should be] Weak indicates slight Ying Qi. The pulse [erroneously "Ru" (Soggy) in text, should be] Floating with sweat flowing like pearls indicates Wei Qi decline.
[Commentary]
In "Yang pulse floating," both instances of "Floating" should be "Ru" (Soggy). If they were "Floating," it would not align with the meaning of Wei Qi decline and sweat like pearls. In "the pulse is Soggy," the character "Soggy" should be "Weak." If it were "Soggy," it would not align with the meaning of Blood deficiency and slight Ying Qi. This should be corrected.
The Master said: The patient's family comes to invite the doctor, saying, "The patient is extremely feverish and irritable." The next day, when the doctor arrives, the patient lies facing the wall, indicating the heat has gone. If the pulse [erroneously "Zi" (Self) in text, should be] Bu He (does not harmonize), yet one claims the patient is cured.
[Commentary]
"Bu He" (does not harmonize) should be "Zi He" (harmonizes itself). If it does not harmonize, how can one claim cure? This should be corrected.