伤寒三日。少阳受病。口苦干燥目眩。宜柴胡汤。
少阳病。胁下坚满。干呕不能饮食。往来寒热。若未吐下。其脉沉紧。可与柴胡汤。
少阳病若已吐下。发汗谵语。服柴胡汤。若不解。此欲为狂病。随其证而治之。
少阳中风。两耳生所闻。目赤。胸中满而烦。不可吐下。吐下则悸而惊。宜柴胡汤。
伤寒病脉弦细。头痛而发热。此为属少阳。少阳不可发汗。发汗则谵语。为属胃。胃和
即愈。不和即烦而悸。宜柴胡汤。
伤寒三日无大热。其人烦躁。此为阳去入阴故也。宜茯苓汤。
伤寒四日。太阴受病。腹满吐食。下之益甚。时时腹痛。心胸坚满。若脉浮者。可发其
汗。沉者宜攻其里也。发汗者宜桂枝汤。攻里者宜承气汤。
太阴中风。四肢烦痛。其脉阳微阴涩而长。为欲愈也。宜青龙汤。太阴病痢而不渴者。
其脏有寒。当温之以四逆汤。
伤寒脉浮而缓。手足自温。是为系在太阴。小便不利。其人当发黄。宜茵陈汤。
太阴病不解。虽暴烦下利。十余行而自止。所以自止者。脾家实。腐秽已去故也。宜橘
皮汤。
太阴病下之后。腹满时痛。宜桂心芍药汤。若太实腹痛者。宜承气汤下之。
伤寒五日。少阴受病。其脉微细。但欲寐。其人欲吐而不烦。五日自利而渴者。属阴虚
故引水以自救。小便白而利者。下焦有虚寒。故不能制水而小便白也。宜龙骨牡蛎汤。
少阴病咳而下利谵语。是为心脏有积热故也。小便必难。宜服猪苓汤。
少阴病脉细沉数。病在里。不可发其汗。宜承气汤。
少阴病下利止。恶寒而蜷。手足温者可治也。宜建中汤。
少阴病恶寒而蜷。时时自烦。不欲浓衣。宜大柴胡汤。
少阴病而一身手足尽热。热在膀胱。必便血也。宜黄芩汤。
少阴病其人吐利。手足不逆。反发热者。宜葛根半夏汤。
少阴病始得之其人发热。脉反沉者。宜麻黄附子汤。
少阴病身体痛。手足寒。脉沉者宜四逆汤。
少阴病下利便脓血者。桃花汤。
少阴病其人吐利。手足逆。烦躁者。宜吴茱萸汤。
少阴病下利咽痛。胸满心烦。宜猪苓汤。
少阴病咽痛者。宜甘草桔梗汤。
少阴病下利。宜白通汤。
少阴病下利服白通汤止后。厥逆无脉烦躁者。宜白通猪苓汤。其脉暴出者死。微微续出
者生。
少阴病四肢心腹痛。小便不利。或咳或呕。此为有水气。宜玄武汤。
少阴病下利水谷。里寒外热。手足厥逆。脉微欲绝。身反恶寒。其人面赤。或腹痛。或
干呕。或咽痛。或时利止。而脉不出者。宜四逆汤。
少阴病下利。咳而呕。烦渴不得眠卧。宜猪苓汤。
少阴病口燥咽干。急下之。宜承气汤。
少阴病利清水色青者。胸心下必痛。口干燥者。宜大柴胡汤。
少阴病其人腹满。不大便者。急下之。宜承气汤。
少阴病其脉沉者。急当温之。宜四逆汤。
少阴病其人饮食则吐。心中温温。欲吐复不能吐。手足寒。脉弦迟。此胸中实。不可下
也。当宜吐之。宜瓜蒂散。
少阴病若膈上有寒欲干呕者。不可吐。当温之。以四逆汤。
After three days of cold damage (Shanghan), the Shaoyang channel is affected. Symptoms include bitter taste in the mouth, dryness, and dizziness. Chaihu Tang (Bupleurum Decoction) is indicated.
Shaoyang disease presents with hardness and fullness below the hypochondrium, dry retching, inability to eat, and alternating chills and fever. If emesis or purgation has not yet been used, and the pulse is deep and tight, Chaihu Tang may be administered.
If Shaoyang disease has already undergone emesis or purgation, followed by sweating leading to delirious speech, and symptoms persist after taking Chaihu Tang, this indicates an impending manic disorder. Treatment should follow the specific syndrome.
Shaoyang wind-strike involves abnormal hearing in both ears, red eyes, chest fullness with irritability. Emesis and purgation are contraindicated; if mistakenly used, palpitations and fright will occur. Chaihu Tang is indicated.
In cold damage, a wiry and fine pulse with headache and fever indicates involvement of the Shaoyang channel. Sweating is contraindicated in Shaoyang disease; if induced, it leads to delirium and transmission to the Stomach. If the Stomach harmonizes, recovery ensues; if not, irritability and palpitations arise. Chaihu Tang is indicated.
Three days into cold damage, absence of significant heat accompanied by restlessness indicates the withdrawal of Yang and entry of pathogenic factors into the Yin. Fuling Tang (Poria Decoction) is indicated.
After four days of cold damage, the Taiyin channel is affected. Symptoms include abdominal fullness, vomiting of food, worsening upon purgation, frequent abdominal pain, and hardness/fullness in the heart and chest. If the pulse is floating, sweating is appropriate; if deep, purging the interior is appropriate. Guizhi Tang (Cinnamon Twig Decoction) is indicated for sweating; Chengqi Tang (Gut-Draining Decoction) is indicated for purging the interior.
Taiyin wind-strike involves painful heaviness in the four limbs. A pulse that is faint at the cun position, choppy at the chi position, and long indicates impending recovery. Qinglong Tang (Azure Dragon Decoction) is indicated. In Taiyin disease with dysentery but no thirst, internal cold is present; Sini Tang (Frigid Extremities Decoction) should be used to warm the interior.
Cold damage presenting with a floating and slow pulse, naturally warm hands and feet, indicates attachment to the Taiyin. Urinary difficulty suggests jaundice will develop. Yincheng Tang (Artemisia Capillaris Decoction) is indicated.
Untreated Taiyin disease may present with sudden irritability and diarrhea more than ten times daily, which then stops spontaneously. This cessation occurs because the Spleen's qi is restored and foul turbidity has been expelled. Jupi Tang (Tangerine Peel Decoction) is indicated.
Following purgation in Taiyin disease, abdominal fullness and frequent pain indicate Guixin Shaoyao Tang (Cinnamon Heart and Peony Decoction). For severe excess abdominal pain in Taiyin disease, Chengqi Tang is indicated for purgation.
After five days of cold damage, the Shaoyin channel is affected. The pulse is faint and fine, with somnolence. The patient desires to vomit but lacks irritability. Spontaneous diarrhea with thirst on the fifth day indicates Yin deficiency, prompting water intake for self-rescue. White urine with diarrhea indicates deficient-cold in the Lower Jiao, failing to control fluids. Longgu Muli Tang (Dragon Bone and Oyster Shell Decoction) is indicated.
Shaoyin disease with cough, diarrhea, and delirium indicates accumulated heat in the Heart. Urination will likely be difficult. Zhuling Tang (Polyporus Decoction) is indicated.
A fine, deep, and rapid pulse in Shaoyin disease indicates interior pathology; sweating is contraindicated. Chengqi Tang is indicated.
In Shaoyin disease, if diarrhea ceases but chills and curling up persist, warmth in the hands and feet indicates treatability. Jianzhong Tang (Middle-Building Decoction) is indicated.
Shaoyin disease with chills, curling up, frequent spontaneous irritability, and aversion to heavy clothing indicates Dachi Hu Tang (Greater Bupleurum Decoction).
Shaoyin disease with generalized heat in the body and extremities, indicating heat in the Bladder, predicts hematochezia. Huangqin Tang (Scutellaria Decoction) is indicated.
Shaoyin disease with vomiting and diarrhea, without cold extremities but with fever, indicates Gegen Banxia Tang (Kudzu and Pinellia Decoction).
Early-stage Shaoyin disease with fever and a paradoxically deep pulse indicates Mahuang Fuzi Tang (Ephedra and Aconite Decoction).
Shaoyin disease with body pain, cold extremities, and a deep pulse indicates Sini Tang.
Shaoyin disease with diarrhea and pus/blood in stool is treated with Taohua Tang (Peach Blossom Decoction).
Shaoyin disease with vomiting, diarrhea, cold extremities, and irritability indicates Wuzhuyu Tang (Evodia Decoction).
Shaoyin disease with diarrhea, sore throat, chest fullness, and irritability indicates Zhuling Tang.
Shaoyin disease with sore throat indicates Gancao Jiegeng Tang (Licorice and Platycodon Decoction).
Shaoyin disease with diarrhea indicates Baitong Tang (White Tongue Decoction).
After treating Shaoyin diarrhea with Baitong Tang, if cold extremities, absent pulse, and irritability persist, Baitong Zhu Lin Tang (White Tongue and Polyporus Decoction) is indicated. Sudden emergence of the pulse indicates death; gradual reappearance indicates life.
Shaoyin disease with limb and epigastric pain, urinary difficulty, cough, or vomiting indicates fluid retention. Xuanwu Tang (Black Tortoise Decoction, i.e., Zhenwu Tang) is indicated.
Shaoyin disease with undigested food in stool, interior cold with exterior heat, cold extremities, faint/almost imperceptible pulse, aversion to cold despite fever, facial redness, abdominal pain, dry retching, sore throat, or intermittent cessation of diarrhea with absent pulse indicates Sini Tang.
Shaoyin disease with diarrhea, cough, vomiting, irritability, thirst, and insomnia indicates Zhuling Tang.
Shaoyin disease with dry mouth and throat requires urgent purgation; Chengqi Tang is indicated.
Shaoyin disease with passage of green watery stool, epigastric pain, and dry mouth indicates Dachi Hu Tang.
Shaoyin disease with abdominal fullness and constipation requires urgent purgation; Chengqi Tang is indicated.
Shaoyin disease with a deep pulse requires urgent warming; Sini Tang is indicated.
Shaoyin disease with postprandial vomiting, epigastric discomfort, inability to vomit despite desire, cold extremities, and wiry-slow pulse indicates excess in the chest. Purgation is contraindicated; emesis is required. Gouti San (Melon Seed Powder) is indicated.
Shaoyin disease with cold above the diaphragm causing dry retching should not be treated with emesis but with warming using Sini Tang.