《病源论》云∶夫散脉，或洪实，或断绝不足欲似死脉，或细数，或弦快，坐所犯，非
一故也。脉无常度，拙医不能识，然热多则弦快，有 则洪实，急痛则断绝，沉数者难发，
浮大者易发，难发令人不觉药势（热）行已，药但于内发，才不出形于外，欲候知其得力，
人进食多是一候，气下颜色和悦是二候，头面身痒是三候，策策恶风是四候，厌厌欲寝是五
候也。
皇甫谧薛侍郎寒食药发动证候四十二变并消息救解法。（今检有五十一变。）
皇甫谧云∶寒食药得节度者，一月辄解，或二十日解，堪温不堪寒，即已解之候也。
其失节度者，或头痛欲裂，坐服药，食温作 急宜下之。
或两目欲脱，坐犯热在肝，速下之，将冷自止。
或腰痛欲折，坐衣浓体温，以冷水洗，冷石熨之。
或眩冒欲蹶，坐衣温，犯热宜KT 头，冷洗之。
薛公云∶常须单床，行役，并以冷水洗浴即愈。
或目痛如刺，坐热气冒次，上奔两眼故也。勤于冷食，清旦以温小便洗之。
或目冥无所见，坐饮食居处温故也。脱衣自劳，洗，促冷冻饮料食，须臾自明了。
或四肢面目皆浮肿，坐食饮温，又不自劳，药与正气隔并故也，饮热酒，冷食，自劳，
冷洗之则瘥。
或耳鸣如风声，汁出坐自劳，出力过瘥，房室不节，气并奔耳故也。勤好饮食，稍稍行
步，数食节情即止。
或鼻中作KT 鸡子臭，坐着衣温故也。脱衣冷洗即止。（或本云∶冷洗薄衣即瘥）
或口复伤，舌强烂燥，不得食，坐食少，谷气不足，药积胃管中故也。急作栀子豉汤，
服三剂瘥。〔（或本云二剂瘥矣）今按∶栀子汤在第二十卷"口干方"。〕
或龈肿，唇烂齿牙摇痛，颊车噤，坐犯热不时救故也。当风张口使冷气入咽，嗽寒水即
瘥。
或咽中痛，鼻塞，清涕出，坐温衣近火故也。促脱衣，冷水洗、当风、以冷石熨咽颊五
六过自瘥。或本云∶脱衣取冷，当风立，以冷物熨咽须臾愈，不须洗。
或咳逆，咽中伤，清血出，坐卧温故也。或食温故也。饮冷水，冷石熨咽外。
或偏臂脚急痛，坐久藉卧席，温不自转，热气入肌附骨故也。勤以布冷水淹迫之，温复
易之。
或两腋下烂辛痛，坐臂胁相亲故也。以物悬手离胁，冷石熨之。
或胸胁满，气逆，干呕，坐饥而不食，药气熏膈故也。促冷食、冷冻饮料、冷洗即瘥。
或手足偏痛，诸节欲解，身体发痈疮坚结坐寝处久不自移徙，暴热并聚在一处，或坚结
核痛，甚者发痈始觉，便以冷水洗，冷石熨之；微者食顷消散，剧者日用水不绝乃瘥。洗之
无限，要瘥为期。薛公云∶若体上生疮，结气肿痛，不得动者，为自劳大过也。
或腹胀欲决，甚者断衣带，坐寝处久，下热，又衣温失食、失洗、不起行。促起行，饮
热酒，冷食、冷洗，当风栉梳而立。
或腰痛欲折，坐衣浓体温，以冷水洗冷石熨之。薛公曰∶若腰痛欲折、两目欲脱者，为
热上肝膈腰肾，冷极故也。
或脚疼如折，坐久坐下温，宜常坐寒床，以冷水洗起行。或本云常须单床上坐善也。
或脚趾间生疮，坐着履温故也。脱履着屐以冷水洗足则瘥。薛公云∶当以脚践冷地，以
冷水洗足则瘥。
或肌皮坚如木石枯，不可得屈，坐食热卧温，作癖久不下，五脏隔闭，血脉不周通故也。
促下之，冷食，饮热酒，自劳行即瘥。
或身皮或本云身内楚痛，转移不在一处，如风状，或本云如似游风，坐犯热所为，非真
风也。冷洗冷熨即了矣。
或百节酸痛，坐卧下太浓，又入温被中，又衣温不脱故也。卧下当极薄，大要也，被当
单布不着绵衣，亦当薄且垢，故勿着新衣，宜着故絮也。虽冬寒，当常KT 头受风，以冷
石
熨衣带，初不得系也。若犯此酸闷者，促入冷水浴，勿忍病而畏浴也。
或关节强直不可屈伸，坐久停息不自烦劳，药气胜，正气结而不散越，沉滞于血脉中故
也。任力自温便冷洗即瘥。任力自温者，令行动出力足劳则发温也。非浓衣近火之温也。
或脉洪实，或断绝不足似欲死脉，或细数强快，坐所犯非一故也。脉无常，投医不能识
别也。热多则弦快，有癖则洪实，急痛则断绝。凡寒食药热率常如此，唯勤从节度耳。
或人已困而脉不绝，坐药气盛行于百脉之中，人实气已尽，唯有药两犹独行，故不绝非
生气也。已死之后体故温如人肌，腹中雷鸣，颜色不变，一再宿乃似死人耳。或灸之，寻死
或不死，坐药气有轻重，重故有死者，轻故有生者。虽灸得生，非已疾之法，遂当作祸，必
宜慎之，大有此比故也。
或心痛如锥刺，坐当食而不食，当洗而不洗，寒热相绞，气结不通，结在心中，口噤不
得息，当校口促与热酒，任本性多少。其令酒两得行气自通，得噫，因以冷水洗淹，有布巾
着所苦处，温复易之，自解。解便速冷，食能多益善，若大恶着衣，小使温温便去衣即瘥。
于诸痛之中，心痛最为急者，救之若赴汤火，乃可济耳。
或有气断绝不知人时，撅口不可开，病者不自知，当须旁人救之，要以热酒为性命之本，
不得下者，当KT 去齿，以热酒灌含之，咽中塞逆，酒入复还出者，但与勿止也。出复纳
之，如此或半日，酒下气通乃苏，酒不下者便杀人也。
或服药心中闷乱，坐服药，温药与疾争结故也。法当大吐下，不吐下当死。若不吐下不
绝者，冷食饮自解。薛公曰∶若绝，不识人，目复不开者，亦当KT 齿以热酒灌之。入咽
吐出者，更当与之。得酒气下通，不过半日苏矣。
或淋不得小便，坐久坐下温及骑马鞍中热入膀胱故也。大冷食，以冷水洗少腹，以冷石
熨一日即止。
或小便稠数，坐热食及啖诸含热物饼黍之属故也。（或本云∶饼黍羊酪之属）以冷水洗
小腹自止，不瘥者，冷水浸阴又佳。若复不解，服栀子汤即解。
或阴囊臭烂，坐席浓，下热故也。坐冷水中即瘥。
或大行难，腹中坚固如蛇盘，坐犯温，久积腹中干粪不去故也。消苏若膏使寒服一二升，
浸润则下；不下更服下药即瘥。薛公曰∶不下服大黄朴硝等下之即瘥。
或大便稠数，坐久失节度，将死之候也。如此难治矣。为可与汤下之，倘十得一生耳。
不与汤必死，莫畏不与也。下已致死，令人不恨。
或下痢如中寒，坐行止食饮犯热，所致人多疑，是本疾又有滞癖者，皆犯热所为，慎勿
疑也。速脱衣、冷食、冷冻饮料、冷洗之。
或遗粪不自觉坐，坐久下温热气上入胃小腹（肠欤）不禁故也。冷洗即止。
或失气不可禁止，坐犯温不时洗故也。冷洗自寒即止。
或周体悉肿，不能自转从，坐久停息不饮酒，药气沉在皮肤之内而血脉不通故也。饮酒
冷洗，自劳行步即瘥。极不能行者，使健人扶曳行之，壮事违意，慎勿听从之，使肢节柔调
乃止，勿令过瘥。过则便极，更为失度，热者复洗，或本云饮热酒冷水洗。
或嗜眠不能自觉，坐久坐热闷故也。急起冷洗浴也。食饮自精了或有 也。当候所宜下
之。
或夜不得眠，坐食少、热气在内故也。当服栀子汤，数进冷食。薛公曰∶当服大黄黄芩
栀子三黄汤，数进冷食，自得睡也。（今按∶此汤在第二十卷除热解发篇。）
或梦惊悸不自制，坐热在内争，五行干错与药相犯，食足自止。
或得伤寒，或得温疟坐犯热所为也。凡尝常服寒食，虽以久解而更病痛者，要先以寒食
救之，终不中冷也。若得伤寒温疟者，亦可以常药治之，无咎也。但不当饮热药耳。伤寒药
皆除热疟药皆除癖，不与寒食相妨，故可服也。
或矜战患寒如伤寒，或发热如温疟坐失食忍饥，失洗，久坐不行，或食臭秽故也。急冷
洗起行。
或寒栗头掉不自支任，坐食少，药力行于肌肤、五脏失守、百脉摇动与正气争竟故也。
努（怒）力强饮热酒以和其脉，强冷食冷冻饮料以定其脏，强起行以调其关节，酒行食充，关机
已调，则洗了矣，云∶了者是慧然病除神明了然之状也。薛公曰∶强洗以宣其壅滞。
或脱衣便寒，着衣便热，坐脱着之间无适故也。当小寒可着、小热便脱即止，洗之则慧
矣。慎勿忍使病发也。薛公曰∶应洗勿忍则病成也。
或寒热累月，张口大呼，眼视高精，候不与人相，当日用水百余石浇洗，不解者，坐不
能自劳，又饮冷酒，复食温故也。譬如 人乃心下更寒，以冷救之愈剧者，气结成冰，得热
熨、饮热汤冰消气散 人乃心解，令药热聚心乃更寒战，亦如 之类也，速与热酒，寒解气
通，酒两行于四肢，周体悉温，然后以冷水二斗洗之KT 然了也。
或药发辄屏卧不以语人，坐热气盛、食少、谷气不充邪干正性故也。饮热酒、冷洗、食
自劳便佳。
或食下便吐，不得安住，坐有 促下之下。薛公曰∶急以甘草饮下之。
或患冷食不可下，坐久冷食，口中不知味故也。可作白酒糜，益着苏热食一两，过闷者
还冷冻饮料冷食也。
或恶食如臭物，坐温衣作 也。当急下之。若不下，万救终不瘥也。薛公曰∶以三黄汤
下之。（今按∶三黄汤方在第二十卷热除解发条。）
或饮酒不解，食不得下，乍寒乍热，不洗便热，洗复寒，甚者数十日，轻者数日，昼夜
不得寝，愁悲恚怒，自惊跳悸，恐慌惚忘误者，坐犯温积久，寝处失节，食热作 内实侠热
与药并行，寒热交争，虽以法救之，终不可解也。吾尝如此，勤对食，垂涕援刀，欲自刺，
未及得施，赖升亲见迫夺，故事不行，退而自惟，乃却刀强食，饮冷水，遂止，祸不得成，
若丝发矣。
《庞氏论》云∶凡药欲发之候，先欲频伸，或苦头痛目疼、身体、螈 ，或惊恐悸动，
周身而强，或耳中气满如 车之声，或体热剧于火烧，或如针刺，噤澡恶寒，昧昧愦愦，不
知病处，或腹中燠热如烧锻 怀之也。此皆欲发之候也。其发甚者，腹满坚于材石，绕口青
黑，大小便血而多无脉也。唯气息才通，心下温耳。如此之病，归于大浇，以瘥为期也。
又药盛发使人悲愁恚怒、角弓反倒，其状若风，有面色青黑，身体斑磷，尔时当极大浇
用水无数，如此辈率多用水二三千石，尔乃解耳。得解之后亦当速下。凡浴之初，皆多恶冷，
但得水数解，渐遂便之，心意KT 然则止，若腹中懊闷、陶热吸吸者，若渴人精神默默但
欲眠卧者，此药发在内、攻守五脏也。急服七物栀子汤，外以新汲冷水浴之。
（今按∶在第二十卷除热解发篇。出《短剧方》，号黄芩汤。）
若噤澡振KT 极目劳动，病患不能自劳者，车载或牵挽掣顿之。
若噤战者，复如上牵挽之。若大行通利，无他结塞，又周体无有热温之证而猝气悸，须
臾口不能言者，速温好酒三升，稍饮之。热闷者，饮水则解。
若大行小难，腹微满气，兼复苦渴，患此之后，寻复舌大不得语者，速饮栀子汤。
若药发不时解而久苦渴，是多 饮所为也。若下而故瘥耳。
葛稚川云∶凡服五石护命更生及钟乳寒食诸散，失将和节度，皆致发动，其病无所不为。
若发起仓猝，不渐而至者，此皆是散热也。宜时救解。
若四肢身外有诸一切疾痛违常者，皆以冷水洗数百过。热有所衡，水渍布巾随以拓之。
又水渍冷石以熨之，行饮暖酒，逍遥起行。
若心腹内有诸一切疾痛违常烦闷 恍者，急解衣取冷热温酒饮一二升，渐稍进觉小宽便
冷餐，其心痛者最急。
若肉冷口已噤，但折齿下热酒便开。
若腹内有结坚热 便生众疾者，急下之。热甚口发疮者下之。癖实犹不消，恶食畏冷者
更下之。
《夏侯氏论》云∶其察体中有不常，皆是药气。服药一时须察所患，或小瘥。或心中温
温欲吐，或寒或热，或痛或痒，或缓或急，或眩或痹，或理或乱，其有所觉，皆是药也。心
中温温，小饮冷水不解，渐益才解便止。又诸所觉未必周体，或发头面手足胸背，随所觉处
以湿手巾熨之，不解小洗之，洗之则解即止。
《曹歙救解法》云∶有药 而苦头痛目瞑恶食、食下便吐、不得安者，为是 实也。
当促下之。若头痛目疾而不恶食者，自是寒食散疾，未必纯是 实也。宜常兼以将冷为
治。若有 实也，不下终不瘥也。寒食药热，率杀药热，服下药要当以能否下为度，不得病
可重下也。
期以得病为断，服药未下，慎勿饮酒也，令人闷吐。下后食少里空，热便乘虚在处，则
吐逆下利腹满，如此者宜以冷食渐渐解，服栀子汤是其治也。（今按∶此汤在第二十卷号增
损。皇甫栀子豉汤出《短剧方》。）
药发，头面苦眩冒者，则解头结散发扇之，若虽觉瘥犹不KT KT 者沐头。其热甚头
痛面赤者，以寒水淋头，暑热时以冰水淋头，不瘥以油囊盛冰着头结中，觉瘥下水。
药发，耳目口齿苦，耳鸣汁出，数数冷食，稍稍步行，鼻口臭，冷冻饮料冷洗。口中生疮，
舌强，服栀子汤。
药发心腹苦心腹痛者，当与热酒。口噤者，撅口促与用冷水淹手巾，着苦处，温复易。
According to the *Treatise on Pathogenesis and Symptoms of Various Diseases* (Bingyuan Lun): The San pulse (Scattered Pulse) may appear surging and solid, or interrupted and insufficient resembling a dying pulse, or fine and rapid, or wiry and fast. This is because the pathogenic factors involved are not uniform. Since pulses have no fixed pattern, incompetent physicians cannot recognize them. However, when heat is excessive, the pulse becomes wiry and fast; when there are accumulations, it is surging and solid; in acute pain, it is interrupted. When the pulse is deep and rapid, the medicinal effect is difficult to manifest; when it is floating and large, the effect is easy to manifest. When the effect is difficult to manifest, one often does not perceive the movement of the medicinal power (heat). The medicine acts internally but has not yet manifested externally. To observe whether the medicine is effective: eating more is the first sign; breath sinking down with a harmonious and pleasant complexion is the second sign; itching of the head, face, and body is the third sign; slight aversion to wind is the fourth sign; drowsiness is the fifth sign.
Huangfu Mi and Vice Minister Xue described forty-two variations of symptoms triggered by Cold Food Powder (Han Shi San) along with methods for regulation and rescue. (Current examination reveals fifty-one variations.)
Huangfu Mi stated: Those who take Cold Food Powder with proper regulation will resolve within one month, or twenty days. Being able to tolerate warmth but not cold indicates resolution.
Those who lose regulation may suffer from splitting headaches due to consuming warm food after taking the medicine; purgation should be applied immediately.
Eyes may feel as if they will protrude due to heat invading the Liver; rapid purgation using cold properties will stop this.
Lower back pain feeling as if breaking occurs due to heavy clothing causing high body temperature; wash with cold water and apply cold stones.
Dizziness, vertigo, and fainting occur due to warm clothing and heat invasion; strike the head and wash with cold water.
Vice Minister Xue said: One must sleep alone; for travel and labor, washing with cold water leads to recovery.
Eye pain like needle pricks occurs because hot qi rushes to both eyes; diligently eat cold food and wash with warm urine in the early morning.
Blindness occurs due to warm diet and living conditions; remove clothes, exert oneself, wash, and consume frozen drinks and food; clarity returns shortly.
Edema of limbs, face, and eyes occurs due to warm diet and lack of exertion, causing medicinal qi to separate and gather with healthy qi; drink hot wine, eat cold food, exert oneself, and wash with cold water for improvement.
Tinnitus like wind sound and sweating occur due to over-exertion leading to improvement, irregular sexual activity, and qi rushing to the ears; maintain good diet, walk slowly, and regulate emotions to stop it.
A rotten egg smell from the nose occurs due to warm clothing; remove clothes and wash with cold water to stop it. (Some versions say: wash with cold water and wear thin clothes for recovery.)
Oral injury, stiff tongue, ulceration, dryness, and inability to eat occur due to insufficient food intake, deficiency of grain qi, and medicine accumulating in the stomach tube; urgently prepare Gardenia and Fermented Soybean Decoction (Zhizi Chi Tang), take three doses for recovery. (Some versions say two doses. Note: Zhizi Tang is in Volume 20 "Formulas for Dry Mouth".)
Swollen gums, ulcerated lips, loose painful teeth, and locked jaw (Jiache acupoint) occur due to unrescued heat invasion; open mouth facing the wind to let cold air enter the throat and gargle cold water for recovery.
Sore throat, nasal congestion, and clear runny nose occur due to warm clothing near fire; urge to remove clothes, wash with cold water, face the wind, and apply cold stones to throat and cheeks five or six times for recovery. Some versions say: remove clothes to get cold, stand facing wind, apply cold objects to throat for a moment to heal, no need to wash.
Cough, reverse flow of qi, throat injury, and clear blood discharge occur due to warm resting or eating warm food; drink cold water and apply cold stones to the outside of the throat.
Acute pain in one arm or leg occurs due to long sitting/lying on mats, stationary body temperature, and heat entering muscles attaching to bones; frequently press with cloth soaked in cold water, replace when warm.
Ulcerating stinging pain in both armpits occurs due to arms pressing against ribs; suspend hands away from ribs with an object and apply cold stones.
Chest and hypochondriac fullness, reverse qi, and dry retching occur due to hunger without eating, with medicinal qi steaming the diaphragm; urge cold food, frozen drinks, and cold wash for recovery.
Pain in limbs and joints wanting to relax, body sores and hard nodules occur due to long immobility in sleeping/living areas, sudden heat gathering in one place, or hard nodular pain. Severe cases develop abscesses; wash with cold water and apply cold stones. Mild cases dissipate in a meal time; severe cases require continuous daily washing until recovery. Washing has no limit, stopping only when recovered. Vice Minister Xue said: Sores, qi stagnation, swelling, and pain preventing movement indicate excessive self-exertion.
Abdominal distension feeling like bursting, severe cases breaking belts, occurs due to long immobility, lower heat, warm clothing, loss of diet/washing/exercise; urge walking, drink hot wine, eat cold food, wash with cold water, comb hair standing facing the wind.
Lower back pain feeling like breaking occurs due to heavy clothing and high body temperature; wash with cold water and apply cold stones. Vice Minister Xue said: Lower back pain breaking and eyes protruding indicate heat rushing to Liver, Diaphragm, Waist, and Kidneys, caused by extreme cold.
Foot pain like breaking occurs due to long sitting in warm areas; sit on cold beds, wash with cold water, and walk. Some versions say: sitting on a single bed is best.
Sores between toes occur due to warm shoes; remove shoes, wear wooden clogs, and wash feet with cold water for recovery. Vice Minister Xue said: Walk on cold ground and wash feet with cold water for recovery.
Skin and flesh hard as wood/stone, dry, and unable to bend occur due to hot diet and warm sleeping, long-standing accumulations not resolved, obstruction of Five Viscera, and blocked blood vessels; urge purgation, eat cold food, drink hot wine, and walk/exert oneself for recovery.
Body skin pain (or internal pain in some versions), shifting locations, resembling wind (or wandering wind in some versions), is caused by heat invasion, not true wind. Cold wash and cold application resolve it.
Soreness and pain in all joints occur due to thick bedding, warm quilts, and warm clothing not removed; bedding should be very thin (major principle), use single cloth without cotton, keep clothes thin and dirty (do not wear new clothes, use old wadding). Even in winter cold, frequently expose head to wind, apply cold stones to belt, do not tie tightly initially. If suffering from soreness/stuffiness, urge into cold bath; do not endure illness fearing bathing.
Joint stiffness preventing flexion/extension occurs due to long rest without exertion, medicinal qi prevailing, healthy qi knotting and not dispersing, stagnating in blood vessels; allow self-warming then cold wash for recovery. Self-warming means moving and exerting enough to generate heat, not wearing thick clothes near fire.
Surging pulse, interrupted/dying-like pulse, or fine/rapid/strong/fast pulse occur due to various causes. Pulses vary; doctors cannot identify them uniformly. Heat excess makes it wiry/fast; accumulations make it surging/solid; acute pain makes it interrupted. Cold Food Powder heat usually manifests thus; diligence in regulation is key.
When a person is exhausted but pulse continues, it is because medicinal qi prevails in all vessels while human qi is exhausted; only medicinal qi remains active, so the pulse continues but is not vital qi. After death, body remains warm like living muscle, abdomen roars, complexion unchanged, resembling a corpse after one or two nights. Moxibustion may lead to immediate death or survival depending on the weight of medicinal qi (heavy leads to death, light to life). Although moxibustion may save life, it is not the correct method for curing the disease and may cause disaster; caution is needed as many such cases exist.
Heart pain like cone stabbing occurs due to not eating when should, not washing when should, interlocking cold and heat, qi knotting and blocking, knotting in heart, lockjaw preventing breathing; pry mouth open and urgently give hot wine according to tolerance. Let wine circulate qi, belch, then soak in cold water, apply cloth towel to painful area, replace when warm, naturally resolves. Resolve quickly with cold; diet helps. If hating clothes, slightly warm then remove for recovery. Among pains, heart pain is most urgent; rescue is like rushing to fire/water.
Qi interruption and unconsciousness with locked jaw requiring others' help: hot wine is essential. If swallowing fails, pry teeth open and pour hot wine. If wine regurgitates, continue giving it. Over half a day, if wine goes down and qi flows, consciousness returns; if not, it kills.
Mental confusion after taking medicine occurs because warm medicine fights accumulated disease; major vomiting/purging is required, otherwise death. If not vomiting/purging but continuing, cold food/drinks resolve it. Vice Minister Xue said: If unconscious and eyes closed, pry teeth and pour hot wine. If vomited out, give again. Once wine qi flows down, recovery within half a day.
Dysuria occurs due to long sitting in warm areas or heat from horse saddles entering Bladder; large amounts of cold food, wash lower abdomen with cold water, apply cold stones for one day to stop.
Thick/frequent urination occurs due to hot food and items like wheat cakes/millet (or sheep cheese in some versions); wash lower abdomen with cold water to stop. If ineffective, cold immersion of genitals is better. If still unresolved, take Zhizi Tang.
Foul-smelling ulcerated scrotum occurs due to thick mats and lower heat; sit in cold water for recovery.
Difficulty defecating with abdomen hard like coiled snake occurs due to warm invasion and long accumulation of dry feces; take cold Xiao Su Ruo paste (one to two sheng) to moisten and purge; if not, take purgatives. Vice Minister Xue said: Take Da Huang (Rhubarb) and Po Xiao (Mirabilite) to purge for recovery.
Thick/frequent stools indicate loss of regulation and impending death; difficult to treat. Purgation might save one in ten; without it, death is certain. Do not fear purgation even if it leads to death, as regret would follow.
Diarrhea resembling cold invasion occurs due to movement/eating/drinking violating heat rules. People doubt this, but it is caused by underlying stagnation/accumulation and heat violation; do not doubt. Urgently remove clothes, eat cold food, frozen drinks, and wash with cold water.
Involuntary defecation occurs due to long lower warmth and rising hot qi to Stomach/Lower Abdomen (Intestines?) causing incontinence; cold wash stops it.
Involuntary flatulence occurs due to warm invasion and untimely washing; cold wash inducing cold stops it.
Generalized edema preventing turning occurs due to long rest, no alcohol, medicinal qi sinking in skin, and blocked blood vessels; drink alcohol, cold wash, exert self, and walk for recovery. For those unable to walk, have strong people drag them; do not obey stubborn refusal; ensure joints soften before stopping. Do not over-recover. Over-recovery leads to extremity exhaustion and further disorder. If hot, wash again; some versions say drink hot wine and wash with cold water.
Excessive sleepiness without awareness occurs due to long sitting in heat/stuffiness; urgently rise and cold bath. Diet refines itself; wait for appropriate time to purge.
Insomnia at night occurs due to low food intake and internal heat; take Zhizi Tang and frequently consume cold food. Vice Minister Xue said: Take San Huang Tang (Da Huang, Huang Qin, Zhizi) and frequently consume cold food for natural sleep. (Note: This formula is in Volume 20 "Clearing Heat and Resolving Powder Activation".)
Nightmares, palpitations, and lack of control occur due to internal heat struggle, Five Elements conflict clashing with medicine; sufficient food stops it.
Contracting Cold Damage (Shang Han) or Warm Malaria (Wen Nüe) is caused by heat violation. For those who habitually take Cold Food Powder, even if long resolved, if pain recurs, rescue with Cold Food methods, never using cold. If contracting Shang Han or Wen Nüe, treat with usual medicines without fault, but do not drink hot medicines. Shang Han medicines clear heat; Malaria medicines clear accumulations; they do not conflict with Cold Food Powder, so they can be taken.
Trembling/chills like Shang Han or fever like Wen Nüe occurs due to fasting/hunger, lack of washing, long sitting/inactivity, or eating foul food; urgently cold wash and walk.
Chills, head shaking, and inability to support oneself occur due to low food intake, medicinal qi moving in skin/muscles, Five Viscera losing control, hundred vessels shaking and fighting healthy qi; force drinking hot wine to harmonize pulse, force cold food/drinks to settle viscera, force walking to adjust joints. Once wine circulates and food fills, joints adjust, then wash completely. "Complete" means clear mind and resolved illness. Vice Minister Xue said: Forceful washing dispels stagnation.
Feeling cold when removing clothes and hot when wearing them occurs due to lack of adaptation in dressing/undressing; wear slightly when cool, remove slightly when hot to stop. Washing brings clarity. Do not endure letting illness flare. Vice Minister Xue said: Not enduring washing leads to established illness.
Months of alternating chills/fever, shouting with open mouth, staring blankly, failing to recognize people: wash with over one hundred shi of water that day. If unresolved, it is due to inability to exert self, drinking cold wine, and eating warm food. Like a freezing person whose chest feels colder with cold rescue, worsening because qi freezes like ice; applying heat and drinking hot soup melts ice and dissipates qi, relieving the freezing person. Similarly, if medicinal heat gathers in heart causing chills, give hot wine urgently. Once cold resolves and qi flows, wine circulates to limbs, whole body warms, then wash with two dou of cold water to complete recovery.
Withdrawing to lie silently when medicine activates occurs due to abundant heat, low food, insufficient grain qi, and evil attacking nature; drink hot wine, cold wash, and self-exertion with food is good.
Vomiting immediately after eating, unable to stay settled, occurs due to accumulation urging purgation. Vice Minister Xue said: Urgently give Gan Cao (Licorice) drink.
Inability to digest cold food after long consumption occurs due to loss of taste; make white wine porridge, add one liang of hot Su (Perilla) food. If too stuffy, return to frozen drinks/cold food.
Aversion to food smelling like rot occurs due to warm clothing causing [internal heat]; urge purgation. If not purged, ten thousand rescues will fail. Vice Minister Xue said: Purge with San Huang Tang. (Note: San Huang Tang formula is in Volume 20 "Clearing Heat and Resolving Powder Activation".)
Alcohol not resolving, food not going down, alternating chills/fever, heating without washing and chilling after washing, lasting dozens of days (severe) or several days (mild), insomnia day/night, sorrow/anger, self-startled palpitations, panic/confusion/memory loss occurs due to long warm invasion, improper sleeping/living, eating warm food causing internal fullness with heat running with medicine, cold/heat struggling. Even with rescue methods, it cannot be resolved. I experienced this: diligently facing food, weeping, holding knife to stab myself, stopped by Shengqin forcing me away. Reflecting, I put down knife, forced food, drank cold water, and stopped; disaster was avoided by a hair's breadth.
*Pang Shi Lun* states: Signs of medicine activating include frequent stretching, headache/eye pain, body spasms, fright/palpitations, whole-body stiffness, ear fullness like cart noise, body heat worse than burning, needle-prick sensation, lockjaw/aversion to cold, confusion/unawareness of pain location, or abdominal heat like forging. These are activation signs. Severe cases: abdomen full/hard as stone, blue/black around mouth, blood in stool/urine, mostly pulseless. Only breath passes, chest is warm. Such diseases require massive flushing until recovery.
Medicine activation causing sadness/anger, opisthotonos (bow-like rigidity), wind-like appearance, blue/black face, mottled body requires massive water flushing (two to three thousand shi). After resolution, urgent purgation is needed. Initially, baths are disliked due to cold; once water volume resolves symptoms, adapt. When mind is calm, stop. If abdominal stuffiness, internal heat, thirst, silence, or desire to sleep occurs, medicine attacks internal Five Viscera; urgently take Qi Wu Zhizi Tang and bathe in fresh cold water externally. (Note: In Volume 20 "Clearing Heat..."; from *Duan Ju Fang*, named Huang Qin Tang.)
If lockjaw/spasms prevent self-exertion, use cart or pull/drag.
If trembling, pull/drag as above. If bowel movement is free, no other blockage, no heat signs, but sudden palpitation and speechlessness, urgently drink three sheng of warm good wine. If stuffy/hot, drinking water resolves it.
If bowel movement is difficult, slight abdominal fullness/qi, bitter thirst, and enlarged tongue preventing speech after onset, urgently drink Zhizi Tang.
If medicine activation is not resolved timely and chronic thirst persists, it is caused by excessive drinking. Purging resolves it.
Ge Zhichuan stated: Taking Wushi Huming Gengsheng and Zhongru Cold Food powders without proper regulation causes activation and diverse diseases. Sudden onset without gradual progression indicates heat dissipation; rescue promptly.
For any external limb/body pain deviating from normal, wash with cold water hundreds of times. For balanced heat, wet cloth with water and apply. Also wet cold stones and apply. Drink warm wine, walk leisurely.
For internal heart/abdomen pain, stuffiness, and confusion, urgently remove clothes, drink one to two sheng of cold/hot/warm wine. Gradually increase until slightly relieved, then eat cold meal. Heart pain is most urgent.
If flesh is cold and mouth locked, break teeth to pour hot wine to open.
If internal hard knots/heat generate various diseases, purge urgently. If heat causes oral ulcers, purge. If accumulations persist, aversion to food/cold, purge again.
*Xiahou Shi Lun* states: Any abnormal body sensations are medicinal qi. Observe ailments within one hour of taking medicine: mild relief, warm stomach wanting to vomit, cold/heat, pain/itch, slack/tight, dizziness/numbness, orderly/disordered. All sensations are from medicine. For warm stomach, small amount of cold water helps; increase gradually until resolved, then stop. Sensations may not be whole-body; may affect head/face/hands/feet/chest/back. Apply wet towel to affected areas; if unresolved, wash slightly. Washing resolves and stops.
*Cao She Rescue Method* states: Medicine activation causing headache, eye closing, aversion to food, vomiting after eating, unrest indicates excess; urge purgation. If headache/eye pain without aversion to food, it is Cold Food Powder disease, not necessarily pure excess; always combine with cold regulation. If excess, purging is necessary for recovery. Cold Food Powder heat kills medicinal heat; purgatives should be used based on ability to purge; do not over-purge if disease allows.
Judgment is based on disease onset. Before purging after taking medicine, do not drink alcohol (causes stuffiness/vomiting). After purging, low food intake and empty interior allow heat to invade vacuities, causing vomiting/diarrhea/abdominal fullness; resolve gradually with cold food; Zhizi Tang is the treatment. (Note: Formula in Volume 20 with modifications. Huangfu Zhizi Chi Tang from *Duan Ju Fang*.)
For medicine activation causing severe dizziness/head, loosen head knots, spread hair, fan. If improved but not fully calm, wash head. For severe heat/headache/red face, pour cold water on head; in summer heat, pour ice water. If unresolved, put ice in oil bag on head knot; remove water when improved.
For medicine activation affecting ears/eyes/mouth/teeth, tinnitus with discharge, frequent cold food, slow walking, bad breath, frozen drinks/cold wash. Oral sores/stiff tongue: take Zhizi Tang.
For medicine activation causing heart/abdomen pain, give hot wine. For lockjaw, pry mouth, soak hand towel in cold water, apply to painful area, replace when warm.