伤寒二日。阳明受病。阳明者。胃中寒是也。宜桂枝汤。
太阳病而发汗。汗虽出复不解。不解者转属阳明也。宜麻黄汤。
阳明病外证身热汗出。而不恶寒。但恶热。宜柴胡汤。
阳明中风。头痛口苦。腹满微喘。发热恶寒。脉浮而紧。下之即小便难。宜桂枝麻黄汤
阳明中寒不能食。小便不利。手足 然汗出。欲作坚症也。所以然者。胃中水谷不化故
也。宜桃仁承气汤。
阳明病能食。下之不解。其人不能食。攻其热必哕者。胃中虚冷也。宜半夏汤。
阳明病脉迟发热。头眩。小便难。此欲作谷疸。下之必腹满。宜柴胡汤。
阳明病当多汗而反无汗。身如虫行皮中之状。此为久虚故也。宜术附汤。
冬阳明病反无汗。但小便利。呕而咳。手足厥。其头必痛。宜建中汤。
冬阳明病脉浮而紧。必发潮热。其脉浮者。宜黄芩汤。
阳明病无汗。小便不利。心中热壅。必发黄也。宜茵陈汤。
阳明病被火灸。其额上微有汗出。小便不利者。必发黄也。宜茵陈汤。
阳明病口干。但漱水不欲咽者。必鼻衄也。宜黄芩汤。
阳明病若小便少者。津液当还入胃中故也。凡发汗太过。故令大小便难。宜茯苓汤。
阳明病当心下坚满。不可下之。宜半夏汤。
阳明病不吐下而烦者。可与承气汤。
阳明病其脉迟。虽汗出不恶寒。其体必重腹满而喘。有潮热。可攻其里。手足 然汗出。
为大便已坚。宜承气汤。
阳明病若汗出多。而微恶寒。为外未解。无潮热。不可与承气汤也。若腹大。便难。可
与小
徐徐
胀。
阳明病其人多汗。津液外出。胃中干燥。大便必坚。坚者则谵语。宜与大承气汤。
阳明病谵语妄言。发潮热。其脉滑疾者。宜承气汤。
阳明病脉浮。咽干口苦腹满。汗出而喘。不恶寒反恶热。心躁。谵语不得眠。胃虚。客
热舌燥。宜栀子汤。
阳明病若脉浮发热。渴而欲饮水。小便不利。宜猪苓汤。
阳明病若脉浮迟。表热里寒。下痢水谷。宜四逆汤。
阳明病若胃中虚冷。其人能食。饮水即哕。脉浮发热。口鼻中燥能食者。必衄。宜黄芩
汤。
阳明病汗出而多渴者。不可与猪苓汤。汗多者胃中燥也。汗少者宜与猪苓汤。利其小便
阳明病固下之。其外有热。手足温者。心中烦壅。饥而不能食。头有汗出。宜栀子汤。
阳明病发潮热。大便溏。小便自利。胸胁烦满不止。宜小柴胡汤。
阳明病胁下坚满。大便秘而呕。口燥。宜柴胡汤。
阳明病中风。其脉浮大。短气心痛。鼻干嗜卧。不得汗。一身悉黄。小便难。有潮热而
哕。耳前后肿。刺之虽小差。外若不解。宜柴胡汤。
阳明病其脉迟。汗出多而微恶寒。为表未解。宜桂枝汤。
阳明病脉浮无汗。其人必喘。当须发汗。宜麻黄汤。
阳明病发热而汗出。此为热退。不能发黄也。但头汗出。身体无汗。小便不利。渴引水
浆。此为瘀热在里。必发黄也。宜茵陈汤。
阳明病其人喜妄。必有蓄血。为本有瘀热。大便必秘。宜抵当汤。
阳明病脉实者当下。脉浮虚者当汗。下者宜承气汤。汗者宜桂枝汤。
阳明病发作有时。汗不解。腹满痛。宜承气汤。
阳明与少阴合病。而自痢脉浮者。为顺也。滑而数者。有宿食。宜承气汤。
阳明病脉浮。发热无汗。表不解。渴欲饮水。宜白虎汤。
After two days of cold damage (Shanghan), the disease enters the Yangming channel. The so-called Yangming disease refers to cold pathogen in the stomach. Guizhi Tang (Cinnamon Twig Decoction) is indicated.
If a Taiyang disease (disease of the Taiyang channel) is treated with sweating, and although sweat is produced, the condition does not resolve, it indicates that the pathogen has transferred to the Yangming channel. Mahuang Tang (Ephedra Decoction) is indicated.
The external manifestations of Yangming disease include fever, sweating, aversion to cold being absent, and only aversion to heat. Chaihu Tang (Bupleurum Decoction) is indicated.
In Yangming disease complicated by wind-pathogen, symptoms such as headache, bitter taste in the mouth, abdominal fullness, slight wheezing, fever, aversion to cold, and a floating and tight pulse may occur. If purgation is mistakenly applied, difficulty in urination will result. Guizhi Mahuang Tang (Cinnamon Twig and Ephedra Decoction) is indicated.
Yangming disease due to cold pathogen leads to inability to eat, difficulty in urination, and slight sweating on the hands and feet. This suggests the impending formation of "Jian Zheng" (hard stool syndrome). This occurs because food and water in the stomach fail to digest. Taoren Chengqi Tang (Peach Kernel and Rhubarb Decoction) is indicated.
In Yangming disease, if the patient can eat but the condition does not resolve after purgation, and subsequently becomes unable to eat, applying heat-clearing methods will inevitably cause hiccups due to deficiency-cold in the stomach. Banxia Tang (Pinellia Decoction) is indicated.
In Yangming disease, if the pulse is slow, accompanied by fever, dizziness, and difficulty in urination, this indicates the impending formation of "Gu Dan" (Grain Jaundice). Mistaken purgation will lead to abdominal fullness. Chaihu Tang (Bupleurum Decoction) is indicated.
Yangming disease typically presents with profuse sweating; however, if there is no sweating and the body feels like insects are crawling under the skin, this is due to long-standing deficiency. Zhufu Tang (Aconite and Atractylodes Decoction) is indicated.
In winter, Yangming disease may present with no sweating, clear urination, vomiting, coughing, cold extremities, and head pain. Jianzhong Tang (Middle-Building Decoction) is indicated.
In winter, Yangming disease with a floating and tight pulse will likely manifest with tidal fever. If the pulse is merely floating, Huangqin Tang (Scutellaria Decoction) is indicated.
Yangming disease with no sweating, difficulty in urination, and internal heat stagnation in the heart will inevitably lead to jaundice. Yinchen Tang (Artemisia Capillaris Decoction) is indicated.
If a Yangming disease patient undergoes moxibustion/fire therapy, resulting in slight sweating on the forehead and difficulty in urination, jaundice will inevitably develop. Yinchen Tang (Artemisia Capillaris Decoction) is indicated.
In Yangming disease, dry mouth with a desire to rinse the mouth with water but no desire to swallow indicates an impending nosebleed (epistaxis). Huangqin Tang (Scutellaria Decoction) is indicated.
If a Yangming disease patient has scanty urine, it is because body fluids should return to the stomach. Excessive sweating can lead to difficulty in both urination and defecation. Fuling Tang (Poria Decoction) is indicated.
In Yangming disease, hardness and fullness below the heart indicate that purgation is contraindicated. Banxia Tang (Pinellia Decoction) is indicated.
If a Yangming disease patient experiences irritability without prior emesis or purgation, Chengqi Tang (Rhubarb Decoction) may be administered.
In Yangming disease, a slow pulse, sweating without aversion to cold, heavy body, abdominal fullness, wheezing, and tidal fever indicate that the interior excess can be attacked. Slight sweating on the hands and feet indicates hard stool. Chengqi Tang (Rhubarb Decoction) is indicated.
If a Yangming disease patient sweats profusely and has slight aversion to cold, the exterior is not yet resolved. Without tidal fever, Chengqi Tang (Rhubarb Decoction) is contraindicated. If the abdomen is distended and defecation is difficult, a mild purgative may be considered to slowly relieve distension.
Profuse sweating in Yangming disease depletes body fluids, causing dryness in the stomach and hard stool, which leads to delirium (adynamia). Dachengqi Tang (Major Rhubarb Decoction) is indicated.
Delirium, tidal fever, and a slippery and rapid pulse in Yangming disease indicate the use of Chengqi Tang (Rhubarb Decoction).
Yangming disease presenting with a floating pulse, dry throat, bitter taste, abdominal fullness, sweating, wheezing, aversion to heat instead of cold, mental restlessness, delirium, insomnia, weak stomach, invading heat, and dry tongue requires Zhizi Tang (Gardenia Decoction).
If Yangming disease presents with a floating pulse, fever, thirst with desire to drink water, and difficulty in urination, Zhuling Tang (Polyporus Decoction) is indicated.
If Yangming disease presents with a floating and slow pulse, indicating exterior heat and interior cold, with diarrhea containing undigested food, Sini Tang (Frigid Extremities Decoction) is indicated.
If Yangming disease involves deficiency-cold in the stomach, allowing eating but causing hiccups upon drinking water, or presents with floating pulse, fever, dryness in mouth and nose, and ability to eat leading to epistaxis, Huangqin Tang (Scutellaria Decoction) is indicated.
Yangming disease with profuse sweating and severe thirst contraindicates Zhuling Tang (Polyporus Decoction) because profuse sweating causes stomach dryness. If sweating is slight, Zhuling Tang (Polyporus Decoction) is indicated to promote urination.
If Yangming disease is mistakenly purged, resulting in exterior heat, warm extremities, mental restlessness, hunger without ability to eat, and sweating on the head, Zhizi Tang (Gardenia Decoction) is indicated.
Tidal fever, loose stools, free urination, and persistent chest/hypochondriac fullness and irritability in Yangming disease indicate Xiaochaihu Tang (Minor Bupleurum Decoction).
Hardness and fullness under the hypochondrium, constipation, vomiting, and dry mouth in Yangming disease indicate Chaihu Tang (Bupleurum Decoction).
Yangming disease complicated by wind-pathogen, with a large floating pulse, shortness of breath, heart pain, dry nose, lethargy, inability to sweat, generalized jaundice, difficulty in urination, tidal fever, hiccups, and swelling around the ears, requires acupuncture. Although symptoms may slightly improve, if the exterior condition persists, Chaihu Tang (Bupleurum Decoction) is indicated.
Yangming disease with a slow pulse, profuse sweating, and slight aversion to cold indicates unresolved exterior syndrome. Guizhi Tang (Cinnamon Twig Decoction) is indicated.
Yangming disease with a floating pulse and no sweating, accompanied by wheezing, requires diaphoresis. Mahuang Tang (Ephedra Decoction) is indicated.
Fever and sweating in Yangming disease indicate heat retreat and absence of jaundice. However, head-only sweating, body no sweating, difficulty in urination, and thirst for fluids indicate stagnant heat in the interior, leading to jaundice. Yinchen Tang (Artemisia Capillaris Decoction) is indicated.
Yangming disease with manic behavior indicates blood stasis accumulation due to pre-existing stagnant heat and constipation. Dandang Tang (Ephedra, Rhubarb, and Madder Decoction) is indicated.
Excess pulse in Yangming disease requires purgation (Chengqi Tang/Rhubarb Decoction); deficient-floating pulse requires diaphoresis (Guizhi Tang/Cinnamon Twig Decoction).
Paroxysmal Yangming disease with unresolved sweating, abdominal fullness, and pain requires Chengqi Tang (Rhubarb Decoction).
Combined Yangming and Shaoyin disease with spontaneous diarrhea and floating pulse is a favorable sign. Slippery and rapid pulse indicates retained food; Chengqi Tang (Rhubarb Decoction) is indicated.
Yangming disease with floating pulse, fever, no sweating, unresolved exterior, and thirst for water requires Baihu Tang (White Tiger Decoction).