\r天气六化之图\ps127a6.bmp\r
\r南北政图(一)\ps127a7.bmp\r
\r南北政图(二)\ps127a8.bmp\r
\r南北政图(三)\ps127a9.bmp\r
《灵枢·五禁篇》曰∶热病脉静,汗已出,脉盛躁,是一逆也;病泄,脉洪大,是二逆也;
着痹不移, 肉破,身热,脉偏绝,是三道也;淫而夺形,身热,色夭然白,及后下血 ,血
笃重,是四逆也;寒热夺形,脉坚搏,是谓五逆也。犯五逆者为不治。
玉版篇曰∶腹胀,身热,脉大,是一逆也;腹鸣而满,四肢清,泄,其脉大,是二逆也;衄
而不止,脉大,是三逆也;咳且溲血脱形,其脉小劲,是四逆也;咳而脱形,身热,脉小以疾,
是谓五逆。如是者,不过十五日而死矣。其腹大胀,四末清,脱形,泄甚,是一逆也;腹胀便血,
其脉大,时绝,是二逆也;咳,溲血,形肉脱,脉搏,是三逆也;呕血,胸满引背,脉小而疾,
是四逆也;咳呕腹胀,且飧泄,其脉绝,是五逆也。如是者,不及一时而死矣。工不察此者而刺
之,是谓逆治。
(其经病其脉绝者死)
冲阳绝,死不治。(足阳明胃经,脉在足大指后陷中,有动脉应指是也。)尺泽绝,死不治。
(手太阴肺经,脉在手臂曲纹陷中,有动脉应指是也。)天府绝,死不治。(手太阴肺经,脉在
手臂内肩 下,有动脉应指是也。)太冲绝,死不治。(足厥阴肝经,脉在足内大指后二寸,动
脉应指是。)神门绝,死不治。(手少阴心经,脉在手掌内侧,有动脉应指是也。)太溪绝,死
不治。(足少阴肾经,脉在足内踝骨下,有动脉应指者是也。)
The *Ling Shu: Wu Jin Chapter* states: In febrile diseases, if the pulse is quiet, but after sweating it becomes rapid and restless, this is the first adverse sign; if a patient suffers from diarrhea and the pulse is flooding (Hong), this is the second adverse sign; in fixed Bi syndrome (Bi syndrome dominated by dampness) where pain does not shift, muscles are ulcerated, the body is hot, and the pulse is absent on one side, this is the third adverse sign; due to excessive sexual indulgence leading to emaciation, with body heat, sallow and pale complexion, followed by hematochezia that is severe and heavy, this is the fourth adverse sign; alternating chills and fever leading to emaciation, with a firm and bounding pulse, this is called the fifth adverse sign. Those who present with these five adverse signs are incurable.
The *Yu Ban Chapter* states: Abdominal distension, body heat, and a large pulse constitute the first adverse sign; borborygmus with fullness, cold extremities, diarrhea, and a large pulse constitute the second adverse sign; persistent epistaxis with a large pulse constitutes the third adverse sign; coughing accompanied by hematuria and emaciation, with a fine and forceful pulse, constitutes the fourth adverse sign; coughing with emaciation, body heat, and a fine and rapid pulse constitutes the fifth adverse sign. Patients presenting thus will die within fifteen days. If there is severe abdominal distension, cold extremities, emaciation, and profuse diarrhea, this is the first adverse sign; abdominal distension with bloody stools, a large pulse that intermittently disappears, is the second adverse sign; coughing, hematuria, loss of muscle mass, and a surging pulse constitute the third adverse sign; hematemesis, chest fullness radiating to the back, and a small and rapid pulse constitute the fourth adverse sign; coughing, vomiting, abdominal distension, along with undigested stool in diarrhea (Sun Xie), and an absent pulse constitute the fifth adverse sign. Patients presenting thus will die in less than one shi (two hours). If physicians fail to observe these conditions and proceed with acupuncture, it is termed "adverse treatment" (incorrect therapy).
(If the Qi of the meridians is exhausted, death ensues.)
Exhaustion of the Chongyang pulse leads to death and is incurable. (Foot-Yangming Stomach Meridian: The pulse is located in the depression behind the big toe, where arterial pulsation is felt.) Exhaustion of the Chi Ze pulse leads to death and is incurable. (Hand-Taiyin Lung Meridian: The pulse is located in the depression at the crease of the arm, where arterial pulsation is felt.) Exhaustion of the Tian Fu pulse leads to death and is incurable. (Hand-Taiyin Lung Meridian: The pulse is located below the shoulder on the medial aspect of the arm, where arterial pulsation is felt.) Exhaustion of the Tai Chong pulse leads to death and is incurable. (Foot-Jueyin Liver Meridian: The pulse is located two cun posterior to the big toe, where arterial pulsation is felt.) Exhaustion of the Shen Men pulse leads to death and is incurable. (Hand-Shaoyin Heart Meridian: The pulse is located on the medial aspect of the palm, where arterial pulsation is felt.) Exhaustion of the Tai Xi pulse leads to death and is incurable. (Foot-Shaoyin Kidney Meridian: The pulse is located below the medial malleolus, where arterial pulsation is felt.)