乍凉乍热,睡多气粗,大便黄白色,呕吐,乳食不消,时咳嗽,更有五脏兼见证,当煎
入脏君臣药,化大青膏,后服益黄散。如先曾下,或无下证,慎不可下也。此乃脾肺受寒,不能
入食也。
多睡,能食乳,饮水不止,吐痰,大便黄水,此为胃虚热渴吐泻也。当生胃中津液,
以止其渴,止后用发散药。止渴多服白术散。发散大青膏主之。
吐沫,泻青白色,闷乱不渴,哽气,长出气,睡露睛,此伤风荏苒轻怯,因成吐泻。当
补脾后发散。补脾,益黄散;发散,大青膏主之。此二证,多病于春冬也。
潮热者,时间发热,过时即退,来日根据时发热,此欲发惊也。壮热者,一向热而不已,
甚则发惊痫也。风热者,身热而口中气热,有风证。温壮者,但温而不热也。
病吐泻及大病后,虽有声而不能言,又能咽药,此非失音,为肾怯,不能上接于阳故也
。当补肾,地黄丸主之。失音乃猝病耳。
身皮、目皆黄者,黄病也。身痛,膊背强,大小便涩,一身尽黄,面目指爪皆黄,
如屋尘色,看物皆黄,渴者难治,此黄胆也。二证多病于大病后。别有一证,不因病后,身
微黄者,胃热也。大人亦同。又有面黄,腹大,食土,渴者,脾疳也。又有自生而身黄者,
胎疸也。古书云∶诸疸皆热,色深黄者是也;若淡黄兼白者,胃怯、胃不和也。
Alternating cold and heat, excessive sleepiness with coarse breathing, yellowish-white stools, vomiting, indigestion of milk and food, occasional coughing, along with syndromes involving the five zang organs. One should decoct the Jun-Chen herbs for entering the zang organs, dissolve Daqing Gao (Great Blue Paste), and subsequently administer Yihuang San (Yellow-Enhancing Powder). If purgatives have been used previously, or if there are no indications for purgation, one must strictly avoid using purgative methods. This is due to Cold invading the Spleen and Lung, leading to an inability to transform and transport food.
Excessive sleepiness, ability to suckle, incessant drinking, expectoration of phlegm, and yellow watery stools indicate a syndrome of Stomach Deficiency Heat, thirst, vomiting, and diarrhea. One should generate fluids in the Stomach to quench thirst, and after thirst is quenched, use diaphoretic herbs to release the exterior. For quenching thirst, Baizhu San (Atractylodes Macrocephala Powder) is taken frequently. For releasing the exterior, Daqing Gao (Great Blue Paste) is the primary treatment.
Vomiting froth, passing green or white loose stools, chest oppression with restlessness but no thirst, hiccupping (Geng Qi), frequent sighing, and sleeping with eyes partially open indicate Wind-Cold that has lingered, causing physical weakness and resulting in vomiting and diarrhea. One should tonify the Spleen first, then release the exterior. To tonify the Spleen, use Yihuang San (Yellow-Enhancing Powder); to release the exterior, use Daqing Gao (Great Blue Paste). These two syndromes commonly occur in spring and winter.
Tidal fever refers to intermittent fever that subsides after a period and recurs at the same time the next day; this suggests impending convulsions (Jing Feng). Vigorous fever refers to continuous high fever without cessation, which may severe enough to trigger epilepsy (Jing Xian). Wind-Heat is characterized by body heat, hot breath from the mouth, and signs of Wind. Warm-Vigorous (Wen Zhuang) refers to a sensation of warmth without high fever.
After suffering from vomiting and diarrhea or a major illness, if the child can make sounds but cannot speak, yet can still swallow medicine, this is not aphonia (Shi Yin). It is due to Kidney Qi deficiency, failing to connect upwards with Yang Qi. One should tonify the Kidney using Dihuang Wan (Rehmannia Pill). Aphonia is caused by sudden onset of disease.
Jaundice (Huang Bing) is indicated when the skin and eyes are yellow. Body pain, stiffness in the shoulders and back, difficult urination and defecation, generalized yellowing of the body, face, fingers, and nails, with a color resembling house dust, and visual disturbances where everything appears yellow, accompanied by thirst, indicates a difficult-to-treat case of Jaundice (Huang Dan). These two conditions often follow major illnesses. Another condition, not following an illness, involves slight yellowing of the body, indicating Stomach Heat, which also applies to adults. Yellow complexion, abdominal distension, geophagia (eating earth), and thirst indicate Pi Gan (Spleen Malnutrition). Yellowing present since birth indicates Tai Dan (Fetal Jaundice). Ancient texts state: all types of jaundice are Heat syndromes, characterized by deep yellow color; if the color is pale yellow mixed with white, it indicates Stomach Qi deficiency and disharmony.