腹满「身」〔舌〕痿黄,躁不得睡,属黄家。
【按】
舌痿黄之「舌」字,当是「身」字,当改之。
黄疸病,「小便不利者,」茵陈五苓散主之。
【按】
黄疸病之下,当有「小便不利者」五字,茵陈五苓散方有着落,当补之。
吐后渴欲得水而贪饮者,〔文蛤汤主之,〕兼〔主〕微风,脉紧头痛「,文蛤汤主之
」。
【按】
「文蛤汤主之」五字,当在头痛之下,文义始属,当移之。兼主之「主」字,衍文也
。
〔问曰:病人脉数,数为热,当消谷引食,而反吐者,何也?师曰:以发其汗,令阳
气微,膈气虚,脉乃数,数为客热,不能消谷,胃中虚冷故也。〕脉弦者虚也,胃气
无余,朝食暮吐,变为胃反,寒在于上,医反下之,今脉反弦,故名曰虚。
【按】
「问曰:病人脉数」,至「胃中虚冷故也」等句,已详『伤寒论·阳明篇』内,错简
在此,且与脉弦者虚也,文义不属。
趺阳脉浮而涩,浮则为虚,「涩」〔虚〕则伤脾,脾伤则不磨,朝食暮吐,暮食朝吐
,宿谷不化,名曰胃反,脉紧而涩,其病难治。
【按】
虚则伤脾之「虚」字,应是「涩」字,当改之。
下利,手足厥冷,无脉者,灸之不温,若脉不还,反微喘者,死。〔少阴负趺阳者,
为顺也。〕
【按】
此条反微喘者死之下,有「少阴负趺阳者为顺也」一句,文义不属,其注已详见『伤
寒论辨脉篇』内,不复释。
下利清谷,不可攻其表,汗出必胀满。
【按】
此条注详见『伤寒论·太阴篇』内,故不复释。
下利脉沉而迟,其人面少赤,身有微热,下利清谷者,必郁冒,汗出而解,病人必微
厥,所以然者,其面戴阳,下虚故也。
【按】
此条注详见『伤寒论·厥阴篇』内,故不复释。
下利腹胀满,身体疼痛者,先温其里,乃攻其表,温里宜四逆汤,攻表宜桂枝汤。
【按】
此条注详见『伤寒论·太阴篇』内,故不复释。
下利后更烦,按之心下濡者,为虚烦也,栀子豉汤主之。
【按】
此条注详见『伤寒论·太阳中篇』,故不复释。
Abdominal fullness, withering yellow of the body, restlessness and inability to sleep, belong to the category of Huang Jia (Jaundice Disease).
[Commentary]
The character "tongue" in "withering yellow tongue" should be "body", and it ought to be corrected.
In Jaundice Disease, for those with difficult urination, Yinchen Wuling San (Artemisiae Scopariae Decoction) is the primary treatment.
[Commentary]
Below "Jaundice Disease", the five characters "those with difficult urination" should be added, so that the prescription of Yinchen Wuling San has a basis; this should be supplemented.
After vomiting, if there is thirst and a desire to drink water greedily, (Wenge Tang [Clam Shell Decoction] is the treatment,) which also treats mild wind, tight pulse, and headache. (Wenge Tang [Clam Shell Decoction] is the treatment.)
[Commentary]
The five characters "Wenge Tang [Clam Shell Decoction] is the treatment" should be moved below "headache" for the text to make sense; this should be relocated. The character "treats" in "also treats" is a superfluous character (interpolation).
[Question: The patient's pulse is rapid. Rapid pulse indicates heat, which should lead to digestion of food and increased appetite, yet vomiting occurs instead. Why?] Master said: This is due to sweating, which caused Yang Qi to become weak and Diaphragm Qi to become deficient, resulting in a rapid pulse. This rapidness represents guest heat, which cannot digest food; it is because of cold deficiency in the Stomach.] A string-like pulse indicates deficiency. There is no surplus of Stomach Qi. Food eaten in the morning is vomited in the evening, transforming into Wei Fan (Stomantic Reversal). Cold is located in the upper part, but the physician incorrectly used purgation. Now the pulse is string-like, hence it is named deficiency.
[Commentary]
From "Question: The patient's pulse is rapid" to "it is because of cold deficiency in the Stomach," these sentences have already been detailed in the *Shanghan Lun* (Treatise on Cold Damage) · Yangming Chapter. This is a misplaced slip (cuojian), and it does not connect logically with "A string-like pulse indicates deficiency."
The Fuyang pulse is floating and choppy. Floating indicates deficiency; choppy [deficiency] injures the Spleen. When the Spleen is injured, it fails to grind and transform. Food eaten in the morning is vomited in the evening, and food eaten in the evening is vomited in the morning; undigested grain remains, named Wei Fan (Stomantic Reversal). If the pulse is tight and choppy, the disease is difficult to treat.
[Commentary]
The character "deficiency" in "deficiency injures the Spleen" should be "choppy"; this should be corrected.
Diarrhea with cold extremities and absent pulse: if moxibustion does not warm the body, and if the pulse does not return, accompanied by slight panting, death ensues. [If Shaoyin pulse is weaker than Fuyang pulse, it is a favorable sign.]
[Commentary]
Below "accompanied by slight panting, death ensues" in this clause, the sentence "If Shaoyin pulse is weaker than Fuyang pulse, it is a favorable sign" appears, but the meaning does not fit here. Its commentary is already detailed in the *Shanghan Lun Bianmai Pian* (Pulse Differentiation Chapter), so it will not be explained again.
Diarrhea with undigested food: do not attack the exterior. Sweating will inevitably cause abdominal fullness.
[Commentary]
The commentary for this clause is detailed in the *Shanghan Lun* · Taiyin Chapter, so it will not be explained again.
Diarrhea with deep and slow pulse, the person has a slightly red face and slight body heat. With diarrhea of undigested food, there must be Yu Mao (depressive dizziness/heaviness); sweating will lead to resolution. The patient will likely have slightly cold extremities. The reason for this is Dai Yang (floating yang on the face) due to lower jiao deficiency.
[Commentary]
The commentary for this clause is detailed in the *Shanghan Lun* · Jueyin Chapter, so it will not be explained again.
Diarrhea with abdominal fullness and body pain: first warm the interior, then attack the exterior. For warming the interior, Si Ni Tang (Frigid Extremities Decoction) is suitable; for attacking the exterior, Guizhi Tang (Cinnamon Twig Decoction) is suitable.
[Commentary]
The commentary for this clause is detailed in the *Shanghan Lun* · Taiyin Chapter, so it will not be explained again.
After diarrhea, if irritability increases, and pressing the epigastrium feels soft, it is empty irritability (Xu Fan). Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) is the treatment.
[Commentary]
The commentary for this clause is detailed in the *Shanghan Lun* · Taiyang Middle Chapter, so it will not be explained again.