武戊 伤寒不解又过经。谵语方知有热蒸。自利脉和为内实。胃间客热用调承。
武己 其人热结在膀胱。下血宜先解表凉。外已解时少腹急。更用桃仁承气汤。
武庚 下之不解胸满烦。惊而谵语小便艰。一身尽重难转侧。龙骨柴胡牡蛎安。
武辛 伤寒腹满谵语时。寸紧而浮肝乘脾。木行乘土名纵脉。当刺期门慎勿迟。
武壬 发热恶寒自汗出。大渴腹满小便通。肝来乘肺名为横。亦刺期门便见功。
武癸 脉浮火迫必惊狂。起卧不安耗损阳。去芍桂枝加蜀漆。牡蛎龙骨救逆汤。
破甲 针处被寒因起核。必发奔豚气上冲。灸其核上各一壮。桂枝加桂便能通。
破乙 火逆复下及烧针。烦躁之时不可禁。桂草龙骨牡蛎剂。火邪解散敛真阴。
破丙 太阳过经十余日。心下温温欲吐之。腹满便溏烦郁痛。此证柴胡汤亦宜。若经吐
下伤
破丁 太阳中风病不解。热结膀胱欲发狂。小便自利小腹硬。蓄血须知用抵当。
破戊 脉沉而结病身黄。小便不利茵陈汤。便利如狂血证谛。抵当汤用泻之良。
破己 伤寒有热少腹满。小便不利今反利。有血当为蓄积时。抵当丸子下之吉。
太阳脉病证治法下 三十九证
震甲 结胸之病项且强。其形亦如柔痉状。邪结胸中俯仰难。陷胸丸子除凄怆。
震乙 头疼发热恶寒时。表未解而反下之。痞硬心胸成硬痛。陷胸汤用最相宜。
震丙 结胸伤寒六七日。脉紧而沉心下坚。热实按之如石硬。陷胸汤剂更宜煎。
震丁 伤寒热结十余日。水在胸中胁下淤。头汗微微心有热。陷胸汤下悉能除。
震戊 汗出复下大便难。渴而舌燥又无眠。日晡潮热从心下。少腹坚来五六天。痛满连
脐不可近。气虚腹内更相煎。陷胸汤剂须臾进。饵下能教重病痊。
震己 脉滑而浮热尚浅。按之心下痛难禁。治宜小陷胸汤主。此证名为小结胸。
震庚 宜汗反将冷水喷。劫之其热腹中传。肉上粟起或烦渴。文蛤五苓散可煎。热先在
表旋
之犹
震辛 太少两阳并病时。头眩项强亦无期。心胸痞结非宜汗。当刺大椎肝肺俞。
震壬 妇人中风七八日。发热表邪还恶寒。经水适来传里候。脉迟胁满碍胸间。身凉谵
语结
震癸 寒热中风发有时。经水适断竟违期。热入血室浑如疟。可与柴胡汤主之。
离甲 七日发热微恶寒。却教肢节更疼烦。虽疑心下犹存结。加桂柴胡和解安。
离乙 汗下曾经五六日。小便不利渴烦强。寒热往来胸胁满。柴胡桂枝干姜汤。
离丙 头汗恶寒为在表。心胸硬满里传推。明医好辨阴阳证。识用柴胡表里宜。
离丁 呕而发热小柴胡。妄下还防热结无。心下满时成硬痛。陷胸汤剂与之苏。
离戊 蒸蒸发热辨阴阳。不与柴胡可较量。但是满而不痛者。宜煎半夏泻心汤。
离己 汗出作有时。心中痞满更如斯。干呕不寒表方解。十枣汤煎治里宜。
离庚 痞拘心下按之濡。脉在关浮热反虚。实热虚邪须识别。大黄黄连泻心除。
离辛 心下痞而复恶寒。应从内热表虚看。泻心汤中加附子。因阳攻痞自能安。
离壬 下之成痞泻心汤。不解其人渴饮浆。口燥烦加溲不利。五苓之药效非常。
离癸 汗解之后胃不和。心胸痞硬噫难磨。腹中下利雷鸣响。益胃泻心姜疗瘥。
兑甲 反下之人利数行。水谷不化腹中鸣。满胸痞硬加干呕。胃弱心烦痞转增。下之益
甚非为热。胃中硬是气虚膨。正宜甘草泻心疗。内补阴虚表亦清。
兑乙 心下硬时利不止。理中复与证犹添。石脂余粮汤最妙。后利须从小便参。
兑丙 汗吐下后犹不解。噫气不除心下坚。痞硬而虚和胃气。旋复代赭石汤煎。
兑丁 下后不可桂枝汤。汗出而喘亦同方。麻杏甘膏偏主疗。除邪有法用之良。
兑戊 外证未除数下之。热而遂利里虚为。痞硬表里俱不解。桂枝人参汤最宜。
兑己 汗下恶寒痞膈间。桂枝解表最宜先。大黄攻痞黄连佐。加入泻心汤内安。
兑庚 汗出伤寒热弗瘳。心中痞硬里当求。呕而下利犹兼吐。须用柴胡大者投。
兑辛 项头不痛脉微浮。气上攻心痞硬忧。当吐胸寒宜瓜蒂。能除喘息利咽喉。病患胁
下素有痞。连在脐傍痛引腹。腹痛因引入阴筋。此名脏结邪相触。
兑壬 吐下之时表里烦。恶风燥热口舌干。数升水饮犹然渴。白虎加参疗可安。
兑癸 伤寒大热若无多。口燥心烦渴奈何。背上恶寒犹有表。人参白虎自当和。
坎甲 脉浮发热身无汗。麻黄汤疗颇能除。汤而欲饮无他证。白虎五苓亦可祛。
坎乙 太少阳传项强时。心中痞硬自难舒。慎无妄下详其证。当刺大椎肝肺俞。
坎丙 太阳少阳来合病。自利黄芩汤主之。呕者黄芩加半夏。生姜汤下治偏宜。
坎丁 伤寒有热在胸中。腹痛都缘邪气攻。呕吐黄连汤可用。阴阳升降始能通。
坎戊 伤寒八九日来深。风湿头烦痛怎禁。体重不能自转侧。桂枝附子饮宜斟。
坎己 大便硬时小便利。渗津发汗两非宜。桂枝附子汤去桂。更加白术效尤奇。
坎庚 风湿相搏骨节烦。屈伸频掣苦艰酸。甘草附子汤煎下。固卫风邪即便宽。
坎辛 伤寒之脉浮而滑。表热热传在里寒。白虎汤煎除内外。益气散热自能安。
坎壬 伤寒脉结代而还。悸动心中不自宽。真气内虚邪更甚。炙甘草下便平安。
阳明脉病证治法 四十四证
木甲 不吐不下心烦忧。胃中郁热如蒸油。阴阳之气无偏胜。调胃承气汤可投。
木乙 汗后脉迟不恶寒。身重气短潮热还。大便已硬腹中满。大承气饮下之宽。
木丙 恶寒多汗体微烧。外未解来热不潮。可与小承调胃气。通时腹满病须消。
木丁 不转失气未可攻。腹中燥粪热难容。大便硬少饮水哕。小承气饮服之通。
木戊 伤寒不便十余日。日晡潮热发邪言。独语真如见鬼状。直睛更觉识人难。怵惕寻
衣微
木己 阳明之病汗何多。津液焦枯外泄过。谵语汤用小承气。胃中燥硬即能和。
木庚 阳明谵语热而潮。食反不能燥屎焦。便硬有时能食者。亦宜逐结大承条。
木辛 燥屎难容在胃中。谵语汗出此为风。表虚里实证昏乱。承气汤方大者通。
木壬 三阳合病要厘清。汗下还须仔细寻。腹满身重难转侧。不仁谵语属阳明。微尘面
垢少
木癸 二阳并病发潮热。手足汗流大便难。太阳证罢下之愈。承气汤宜大者飧。
火甲 脉浮而紧口中干。腹满喘热不恶寒。发汗反教生谵语。烧针烦躁更无眠。下之又
恐虚
火乙 渴欲饮水口舌干。中焦客热燥烦添。人参白虎汤宜治。润燥除邪病始痊。
火丙 脉浮发热渴饮浆。小便不利客膀胱。猪苓汤利下焦热。用下之时必得康。
火丁 脉若浮来更带迟。里寒表热更何疑。下利清谷知寒甚。四逆汤温用却宜。
火戊 阳明下后外有热。手足温而不结胸。心下懊 饥不食。好将栀子豉汤攻。
火己 病在阳明发热潮。大便溏泄小便调。胸胁硬满邪犹在。服了柴胡病自消。
火庚 胁满而呕大便难。更看吞上白苔瘢。柴胡汤主通津液。胃气因和汗 然。
火辛 脉弦浮大辨阴阳。短气不通胁满张。嗜卧鼻干不得汗。一身面目悉皆黄。溲难潮
热时
火壬 脉但浮时无里证。表邪犹合用麻黄。不尿腹满犹加哕。关格之病入膏肓。
火癸 发汗小便自利者。津液内竭不可攻。自欲大便犹有硬。土瓜猪胆蜜导通。
土甲 阳明病若得迟脉。汗出多而微恶寒。未解之时宜发汗。桂枝汤下表和安。
土乙 脉浮无汗属阳明。表实还教喘不停。发汗麻黄汤可用。热邪解散病安宁。
土丙 阳明头汗身无汗。剂颈而还渴饮浆。瘀热发黄溲不利。定当速饵茵陈汤。
土丁 喜忘阳明蓄血间。虽然屎硬便非难。若教黑色邪传里。抵当速下自然痊。
土戊 阳明下后觉心烦。初硬后溏仔细看。若果胃中有燥屎。大承气法下之安。
土己 日晡发热如疟状。审看内外更详之。脉实大承气汤下。脉浮发汗桂枝宜。
土庚 下后不便六七日。烦热腹满痛相缠。是知燥屎宿食故。可与大承汤剂煎。
土辛 小便不利大便难。微热时时喘不眠。宿食胃中犹燥结。大承气剂下之宽。
土壬 食谷不受呕更饶。茱萸汤剂始能调。服汤愈其缘何故。当易别方理上焦。
土癸 恶寒汗出太阳经。渴而发热属阳明。渴如不止邪传里。津液调和用五苓。
金甲 趺阳脉涩更兼浮。脾约胃强津液留。大便难时小便数。麻仁润燥最相投。
金乙 三朝发汗犹不解。发热蒸蒸入胃间。调胃承气汤煎服。胃中邪热下之安。
金丙 伤寒腹胀热邪招。吐后缘知在上焦。此是热邪传入胃。调胃承气亦能消。
金丁 若吐若下若发汗。小便因数大便坚。微烦为热入里候。用小承气病即痊。
金戊 伤寒得病六七日。大便硬时小便利。里实胸满可攻之。大承气汤为要剂。
金己 目不了了睛不和。微热便难实更多。此是内邪危恶证。大承气剂急消磨。
金庚 阳明发热汗尤多。津液将枯可奈何。入腑之邪攻宜急。大承气剂下之瘥。
金辛 发汗不解腹满痛。邪传入脏急须攻。大承气剂下腑热。润燥除邪有大功。
金壬 腹满不减实热坚。虽有稍减不足言。大满大实当除下。承气汤宜大者煎。
金癸 少阳合病与阳明。脉滑而数宿食症。少阳脉胜阳明负。下剂还宜用大承。
水甲 脉数下后为合热。六七日来大便难。喜饥消谷因瘀血。抵当汤下即能痊。
水乙 七八日后身色变。其色浑如橘子黄。小便不利腹微满。便宜速服茵陈汤。
水丙 伤寒发热要消详。瘀在胃中身必黄。栀子柏皮汤可疗。除邪散热效非常。
水丁 伤寒发热瘀在里。表湿身黄甚法消。赤小豆汤除湿热。麻黄加入与连翘。
少阳脉病证治法 一证
纪甲 未经吐下脉沉紧。胁满往来寒热时。干呕邪传半表里。柴胡汤剂正相宜。
太阴脉病证治法 三证
母甲 太阴之病脉浮时。发汗还当用桂枝。在表之邪随汗散。四肢烦痛颇相宜。
母乙 自利不渴太阴病。中焦寒在里当温。脏中须识因寒故。用药之时四逆纯。
母丙 误下因成腹痛时。桂枝加芍最相宜。若教大实当除下。桂枝大黄汤主之。
少阴脉病证治法 二十三证
天甲 少阴发热脉犹沉。其病应于表部寻。邪气未深微发汗。麻黄附子细辛斟。
天乙 少阴得病二三日。附子麻黄甘草汤。邪未深时无里证。和营益卫散之良。
天丙 心烦之候更无眠。寒极须从变热看。黄连阿胶汤与服。扶阴散热便能安。
天丁 少阴得病口中和。其背恶寒问灸科。附子汤煎寒可散。阴消阳助起沉 。
天戊 身体疼痛手足寒。浮沉细向脉中看。脉浮可汗沉寒甚。便与温经附子煎。
天己 病利频多血与脓。桃花汤用有神功。下焦不约里寒甚。扶气散寒益胃中。
天庚 少阴腹痛四五日。小便不通内结深。下利频频便脓血。桃花汤效莫沉吟。
天辛 少阴吐利病难任。手足寒邪厥冷侵。烦躁阳争将欲死。茱萸汤可散沉阴。
天壬 少阴下利咽喉痛。胸满心烦邪内传。可与猪肤汤散热。调阴益胃自能痊。
天癸 二三日病少阴传。咽痛时将甘草煎。不愈更寻何法治。选将桔梗妙汤痊。
人甲 少阴之病入咽中。言语声难疮在咙。苦酒煎汤频漱咽。解烦除热有神功。
人乙 病来相搏少阴中。咽痛寒邪客气冲。半夏汤煎频咽服。可将此法再旁通。
人丙 少阴主水自调和。寒不能禁下利多。惟有白通汤可用。散寒温里病当瘥。
人丁 干呕而烦下利并。厥逆无脉要医明。白通汤内加猪胆。暴出脉死微续生。
人戊 真武汤煎制水气。少阴证治问元因。四肢沉重兼腹痛。小便不通自利频。呕加生
姜除
苓恐
人己 手足厥逆利清谷。面赤身热不恶寒。阴盛格阳脉微绝。通脉四逆治之安。面时赤
色加
参亦
人庚 少阴四逆肢不温。有时泄下还腹痛。小便不通或咳悸。四逆散煎即可用。再加干
姜五
汤疗
人辛 少阴下利六七日。咳而干呕更无眠。心烦口渴知其热。渗泄猪苓汤治痊。
人壬 少阴得病二三日。口燥咽干急下之。邪未深时热已甚。大承气剂用之宜。
人癸 少阴自利色纯青。口燥咽干蕴热蒸。心下邪盛犹自痛。大承气剂疗之平。
地甲 少阴之病六七日。腹满不便速下宜。壅甚阳明胜肾水。大承气剂效偏奇。
地乙 少阴之病脉沉沉。外证未形何处寻。四逆汤煎宜急疗。温中即可散邪阴。
地丙 欲吐不能手足寒。胸中实者吐之宽。膈间痰饮成干呕。四逆汤温始得安。
厥阴脉病证治法 十九证
干甲 蛔厥其人静复烦。此为胃弱脏中寒。蛔闻食臭时当吐。温脏乌梅丸下安。
干乙 脉滑而厥可消详。有热之时在里藏。白虎汤煎除内热。手足厥逆灸之良。
干丙 手足厥寒脉细微。除非四逆入当归。阳虚阴弱须生助。愿得良医辨病机。
干丁 厥逆其人内久寒。散寒始得助阳还。当归四逆辛温味。加入姜萸病即安。
干戊 大汗出时热不去。四肢拘急痛难当。恶寒下利厥而逆。散寒复阳四逆汤。
Wu Wu: The pathogenic factor of Cold Damage has not resolved and has passed to another meridian. Delirium indicates the presence of steaming heat. Spontaneous diarrhea with a harmonious pulse suggests internal excess. For guest heat in the stomach, Tiaowei Chengqi Tang (Regulate the Stomach Order Qi Decoction) should be used.
Wu Ji: Heat accumulation occurs in the Bladder region. If there is bleeding from the lower orifice, the exterior should first be released and blood cooled. Once the exterior is resolved but the lower abdomen is tense and painful, Taoren Chengqi Tang (Peach Kernel Order Qi Decoction) should be applied.
Wu Geng: After purgation, the disease remains unresolved, presenting with chest fullness and irritability. Palpitations, delirium, and difficult urination occur. The whole body feels heavy and turning over is difficult. Longgu (Fossilized Bones), Chaihu (Bupleurum Root), and Muli (Oyster Shell) can calm the spirit.
Wu Xin: Cold Damage causes abdominal fullness and intermittent delirium. The Cun position pulse is tight and floating, indicating Liver Wood overacting on Spleen Earth. This longitudinal pulse pattern requires acupuncture at Qimen (LR14); do not delay.
Wu Ren: Fever, aversion to cold, and spontaneous sweating occur. There is intense thirst, abdominal fullness, and unobstructed urination. Liver Qi invading Lung Metal is called "transverse". Acupuncture at Qimen (LR14) will be effective.
Wu Gui: A floating pulse with fire forcing pathogens leads to fright and mania. Restlessness consumes Yang Qi. Remove Shaoyao (Peony Root), add Shujie (Coeliae Mycelium) to Guizhi Tang (Cinnamon Twig Decoction), along with Muli (Oyster Shell) and Longgu (Fossilized Bones), to form Niujie Tang (Rescue the Perverted Decoction).
Po Jia: Cold invading the acupuncture site causes nodules. Ben Tun (Rushing Pig Gas) ascending may result. Moxibustion on each nodule (one moxa cone) and Guizhi Jia Guizhi Tang (Cinnamon Twig Decoction with Added Cinnamon Twig) will resolve it.
Po Yi: Fire therapy reversal, followed by purgation and burning needles, causes uncontrollable irritability. A formula containing Guizhi (Cinnamon Twig), Gancao (Licorice Root), Longgu (Fossilized Bones), and Muli (Oyster Shell) disperses fire pathogens and consolidates True Yin.
Po Bing: Taiyang disease passes the meridian for more than ten days, causing a warm sensation in the epigastrium and urge to vomit. Abdominal fullness, loose stools, and郁 pain suggest Chaihu Tang (Bupleurum Decoction) is suitable. If vomiting or purgation injures... [Text incomplete]
Po Ding: Taiyang Wind Strike remains unresolved; heat accumulates in the Bladder, leading to manic behavior. Unobstructed urination and hard lower abdomen indicate Blood Accumulation; Didang Tang (Definitely Purge Decoction) is indicated.
Po Wu: Deep and knotted pulse with jaundice. Obstructed urination calls for Yinchin Tang (Artemisia Capillaris Decoction). If stool is free and mania persists, confirming a blood syndrome, Didang Tang (Definitely Purge Decoction) purges effectively.
Po Ji: Cold Damage with heat and lower abdominal fullness. Urination is unexpectedly clear. Blood stasis accumulation is present. Didang Wan (Definitely Purge Pill) gently purges.
Taiyang Meridian Disease Diagnosis and Treatment - 39 Syndromes
Zhen Jia: Jie Xiong (Chest Binding) presents with neck stiffness, resembling Rou Jing (Soft Spasm). Pathogens bind in the chest, making flexion and extension difficult. Xianxiong Wan (Trap the Chest Pill) removes distress.
Zhen Yi: Headache, fever, and aversion to cold with unresolved exterior treated incorrectly with purgation lead to Pi (Stagnation) and hardness/pain in the heart/chest. Xianxiong Tang (Trap the Chest Decoction) is most appropriate.
Zhen Bing: Jie Xiong after six to seven days of Cold Damage shows a tight, deep pulse and hard epigastrium. Heat-excess pressing like stone requires Xianxiong Tang (Trap the Chest Decoction).
Zhen Ding: Heat binding for ten-plus days with water retention in the chest/hypochondrium, slight head sweat, and heart heat are all cleared by Xianxiong Tang (Trap the Chest Decoction).
Zhen Wu: Sweating followed by purgation causes difficult stool, dry tongue, thirst, and insomnia. Afternoon tidal fever starts from the epigastrium. Lower abdomen hardness for five-six days, pain extending to the umbilicus, intolerable to touch. Qi deficiency exacerbates internal suffering. Administer Xianxiong Tang (Trap the Chest Decoction) promptly to cure severe illness.
Zhen Ji: Slippery and floating pulse indicates shallow heat. Pain upon pressing the epigastrium requires Xiaoxianxiong Tang (Small Trap the Chest Decoction). This is Xiao Jie Xiong (Minor Chest Binding).
Zhen Geng: Cooling spray instead of sweating traps heat in the abdomen, causing gooseflesh or thirst/water deprivation. Wenli San (Clam Powder) combined with Wuling San (Five-Ingredient Poria Powder) can be decocted. [Text incomplete regarding heat initially in the exterior...]
Zhen Xin: Shaoyang-Taiyang concurrent disease causes dizziness, neck stiffness without fixed timing. Chest/pi stagnation contraindicates sweating. Acupuncture at Dazhui (GV14), Ganshu (BL18), and Feishu (BL13) is indicated.
Zhen Ren: Women with Wind Strike for seven-eight days have fever and chills as exterior pathogens remain. Menstruation begins, signaling interior transmission. Slow pulse, hypochondriac fullness obstructing the chest. Body cool with delirium... [Text incomplete]
Zhen Gui: Alternating chills and fever in Wind Strike occur at intervals. Menstruation stops prematurely. Heat entering the Blood Chamber resembles malaria. Chaihu Tang (Bupleurum Decoction) is indicated.
Li Jia: Seven days of fever with slight aversion to cold and limb/joint pain. Suspected epigastric binding. Add Guizhi (Cinnamon Twig) and Chaihu (Bupleurum Root) to harmonize and calm.
Li Yi: After five-six days of sweating and purging, difficult urination, intense thirst/irritability, alternating chills/fever, and chest/hypochondriac fullness require Chaihu Guizhi Jiangxin Tang (Bupleurum, Cinnamon Twig, and Ginger Decoction).
Li Bing: Head sweat and aversion to cold indicate exterior location. Chest/epigastric hardness suggests interior transmission. Wise physicians distinguish Yin/Yang syndromes; Chaihu Tang (Bupleurum Decoction) treats both exterior and interior appropriately.
Li Ding: Vomiting with fever uses Xiaochaihu Tang (Minor Bupleurum Decoction). Incorrect purgation risks heat binding. Epigastric fullness turning hard/painful requires Xianxiong Tang (Trap the Chest Decoction).
Li Wu: Steaming fever distinguishes Yin/Yang. If full but not painful, Banxia Xiexin Tang (Pinellia Drain the Epigastrium Decoction) is decocted.
Li Ji: Intermittent sweating with epigastric stagnation/fullness. Dry retching without aversion to cold indicates exterior resolution. Shizao Tang (Ten Jujube Decoction) treats the interior.
Li Geng: Epigastric Pi (stagnation) feels soft on palpation. Guan position pulse floats, indicating false heat. Differentiate excess heat from deficiency evil. Dahuang Huanglian Xiexin Tang (Rhubarb and Coptis Drain the Epigastrium Decoction) clears it.
Li Xin: Epigastric Pi with aversion to cold indicates interior heat and exterior deficiency. Xiexin Tang (Drain the Epigastrium Decoction) with Fuzi (Aconite Root) calms due to Yang support.
Li Ren: Pi formed after purgation treated with Xiexin Tang. If thirst/drinking persists, mouth dryness, irritability, and difficult urination occur. Wuling San (Five-Ingredient Poria Powder) is highly effective.
Li Gui: Post-sweating stomach disharmony causes epigastric Pi/hardness and belching. Borborygmus and diarrhea require Yiwei Xiexin Tang (Benefit the Stomach Drain the Epigastrium Decoction) with Ginger.
Dui Jia: Incorrect purgation causes frequent diarrhea, undigested food, borborygmus, chest fullness/Pi, dry retching, and irritability. Further purgation worsens it; this is not heat but Qi deficiency causing hardness/bloating. Gancao Xiexin Tang (Licorice Drain the Epigastrium Decoction) tonifies interior Yin and clears the exterior.
Dui Yi: Hard epigastrium with persistent diarrhea. Lizhong Tang (Regulate the Middle Decoction) adds symptoms. Shizhi Yuliang Tang (Halloysite and Illite Decoction) is excellent. Monitor urination for subsequent diarrhea.
Dui Bing: Unresolved after sweating/vomiting/purgation, with persistent belching and hard epigastrium. Pi/hardness with deficiency harmonizes Stomach Qi. Xuanshu Zheishi Tang (Inula and Hematite Decoction) is decocted.
Dui Ding: Do not use Guizhi Tang (Cinnamon Twig Decoction) after purgation. Sweating with wheezing uses the same formula. Maxing Gan Shi Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) is preferred to expel pathogens.
Dui Wu: Exterior signs persist despite multiple purgations. Heat with diarrhea indicates interior deficiency. Pi/hardness with unresolved exterior/interior requires Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction).
Dui Ji: Sweating/purgation causes aversion to cold and Pi in the diaphragm. Release the exterior first with Guizhi Tang (Cinnamon Twig Decoction). Dahuang (Rhubarb) attacks Pi, Huanglian (Coptis) assists. Add to Xiexin Tang (Drain the Epigastrium Decoction).
Dui Geng: Sweating in Cold Damage fails to resolve heat. Seek interior causes for epigastric Pi/hardness. Vomiting, diarrhea, and retching require Da Chaihu Tang (Major Bupleurum Decoction).
Dui Xin: No headache, slightly floating pulse. Qi attacking the heart causes Pi/hardness anxiety. Chest cold requiring emesis is treated with Goudi San (Melon Seed Powder) to relieve wheezing and benefit the throat. Pre-existing Pi under the ribs connecting to the umbilicus, radiating pain to the abdomen/genitals, is named Zang Jie (Organ Binding) caused by touching pathogens.
Dui Ren: Irritation inside/outside during vomiting/purgation, wind aversion, dry mouth/tongue. Drinking large amounts of water yet still thirsty. Baihu Jiaren Tang (White Tiger plus Ginseng Decoction) calms.
Dui Gui: Severe Cold Damage heat with little output. Mouth dry, heart irritated, thirsty. Back aversion to cold indicates remaining exterior. Renshen Baihu Tang (Ginseng White Tiger Decoction) harmonizes.
Kan Jia: Floating pulse, fever, no sweating. Mahuang Tang (Ephedra Decoction) resolves well. Thirst for water without other signs allows Baihu Tang (White Tiger Decoction) or Wuling San (Five-Ingredient Poria Powder).
Kan Yi: Shaoyang-Taiyang transmission with neck stiffness, epigastric Pi/hardness. Avoid blind purgation; examine carefully. Acupuncture at Dazhui (GV14), Ganshu (BL18), Feishu (BL13).
Kan Bing: Taiyang-Shaoyang concurrent disease with diarrhea uses Huangqin Tang (Scutellaria Decoction). Vomiting adds Banxia (Pinellia) and Shengjiang (Fresh Ginger) to the decoction.
Kan Ding: Heat in the chest from Cold Damage causes abdominal pain due to pathogen attack. Vomiting is treated with Huanglian Tang (Coptis Decoction) to regulate Yin/Yang ascent/descent.
Kan Wu: Cold Damage lasting eight-nine days with wind-damp headache/irritation/pain, body heaviness preventing turning. Guizhi Fuzi Yin (Cinnamon Twig and Aconite Drink) is appropriate.
Kan Ji: Hard stool with clear urination prohibits fluid-leaching sweating. Remove Guizhi (Cinnamon Twig) from Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction), add Baizhu (Atractylodes Macrocephala Rhizome) for superior effect.
Kan Geng: Wind-damp binding causes joint irritation, frequent spasms, soreness. Gancao Fuzi Tang (Licorice and Aconite Decoction) secures Wei Qi and relaxes wind pathogens.
Kan Xin: Floating/slippy pulse in Cold Damage indicates exterior heat transmitting to interior cold. Baihu Tang (White Tiger Decoction) clears interior/exterior; Tonify Qi and dissipate heat.
Kan Ren: Knotted/intermittent pulse with palpitations indicates internal Qi deficiency and strong pathogens. Zhigancao Tang (Honey-Fried Licorice Decoction) brings peace.
Yangming Meridian Disease Diagnosis and Treatment - 44 Syndromes
Mu Jia: No vomiting/purgation but heart irritability. Stomach郁 heat steams like oil. Balanced Yin/Yang allows Tiaowei Chengqi Tang (Regulate the Stomach Order Qi Decoction).
Mu Yi: Post-sweating slow pulse, no aversion to cold, body heaviness, shortness of breath, tidal fever. Hard stool and abdominal fullness require Dachengqi Tang (Major Order Qi Decoction).
Mu Bing: Aversion to cold, profuse sweating, slight fever, unresolved exterior, non-tidal heat. Xiaochengqi Tang (Minor Order Qi Decoction) regulates Stomach Qi; once moving, abdominal fullness resolves.
Mu Ding: Inability to pass gas contraindicates aggressive purgation. Dry feces and heat are intolerable. Hard stool, drinking little, hiccups: Xiaochengqi Tang (Minor Order Qi Decoction) promotes movement.
Mu Wu: Ten-plus days of constipation, afternoon tidal fever, delirium ("seeing ghosts"), staring difficulty, fearfulness, picking at clothes... [Text incomplete]
Mu Ji: Excessive sweating in Yangming depletes fluids. Delirium treated with Xiaochengqi Tang (Minor Order Qi Decoction) harmonizes dry/hard Stomach.
Mu Geng: Yangming delirium with tidal heat, inability to eat, dry feces. If able to eat with hard stool, Dachengqi Tang (Major Order Qi Decoction) clears accumulation.
Mu Xin: Dry feces in Stomach cause delirium/sweating (Wind). Exterior deficiency/Interior excess with confusion requires Dachengqi Tang (Major Order Qi Decoction).
Mu Ren: Clarify Three Yang concurrent disease. Carefully seek sweating/purgation indications. Abdominal fullness, body heaviness, numbness, delirium belong to Yangming. Dust-like facial grease... [Text incomplete]
Mu Gui: Two Yang concurrent disease with tidal fever, hand/foot sweating, difficult stool. Once Taiyang signs cease, purge with Dachengqi Tang (Major Order Qi Decoction).
Huo Jia: Floating/tight pulse, dry mouth, abdominal fullness, wheezing/heat, no aversion to cold. Sweating causes delirium; burning needles cause irritability/insomnia. Fear of deficiency with purgation... [Text incomplete]
Huo Yi: Thirst for water, dry mouth/tongue, middle Jiao guest heat/irritation. Renshen Baihu Tang (Ginseng White Tiger Decoction) moistens/dries and expels pathogens.
Huo Bing: Floating pulse, fever, thirst, obstructed urination (Guest in Bladder). Zhu Ling Tang (Polyporus Decoction) drains lower Jiao heat; administration ensures recovery.
Huo Ding: Floating/slow pulse indicates interior cold/exterior heat. Diarrhea with undigested food confirms severe cold. Sini Tang (Reverse the Extremity Decoction) warms appropriately.
Huo Wu: Post-Yangming purgation exterior heat, warm hands/feet, no chest binding. Epigastric discomfort, hunger but no appetite. Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) attacks.
Huo Ji: Yangming fever/tidal heat, loose stool, normal urination. Hard/full hypochondrium indicates lingering pathogen. Chaihu Tang (Bupleurum Decoction) resolves it.
Huo Geng: Hypochondriac fullness, vomiting, difficult stool. Check for white coating on tongue. Chaihu Tang (Bupleurum Decoction) unblocks fluids; harmonized Stomach Qi induces sweating... [Text incomplete]
Huo Xin: String-floating-large pulse distinguishes Yin/Yang. Shortness of breath, obstructed flow, hypochondriac distension, lethargy, dry nose, no sweat, general jaundice, difficult urination, tidal fever... [Text incomplete]
Huo Ren: Floating pulse without interior signs suggests exterior pathogen; Mahuang Tang (Ephedra Decoction) is suitable. Anuria, abdominal fullness, hiccups indicate Guan Ge (Gate and Pivot) disease, critical.
Huo Gui: Sweating with clear urination depletes fluids; cannot purge. Desire to defecate with hardness: Tu Gua (Trichosanthes Fruit), Zhu Dan (Pig Gallbladder), Mi Dao (Honey Suppository) promote passage.
Tu Jia: Yangming disease with slow pulse, profuse sweating, slight aversion to cold. Release exterior with Guizhi Tang (Cinnamon Twig Decoction) to harmonize.
Tu Yi: Floating pulse, no sweating in Yangming indicates exterior excess with wheezing. Mahuang Tang (Ephedra Decoction) releases heat/pathogens.
Tu Bing: Yangming head sweat, no body sweat (up to neck), thirst. Stagnant heat causing jaundice with obstructed urination requires Yinchin Tang (Artemisia Capillaris Decoction).
Tu Ding: Forgetfulness in Yangming Blood Accumulation. Stool hard but easy to pass. Black stool indicates interior transmission; Didang Tang (Definitely Purge Decoction) cures quickly.
Tu Wu: Post-Yangming purgation irritability. Check if stool was hard then loose. If dry feces exist in Stomach, Dachengqi Tang (Major Order Qi Decoction) purges safely.
Tu Ji: Afternoon fever like malaria. Examine interior/exterior. Solid/large pulse: Dachengqi Tang (Major Order Qi Decoction) purges. Floating pulse: Guizhi Tang (Cinnamon Twig Decoction) sweats.
Tu Geng: Six-seven days post-purgation constipation, irritability/heat, abdominal fullness/pain indicate dry feces/stale food. Dachengqi Tang (Major Order Qi Decoction) is decocted.
Tu Xin: Obstructed urination, difficult stool, slight fever, intermittent wheezing/insomnia. Stale food dry-binding in Stomach requires Dachengqi Tang (Major Order Qi Decoction).
Tu Ren: Inability to eat food, frequent vomiting. Zhuyu Tang (Evodia Decoction) regulates. Why does it heal? Change formula to treat Upper Jiao.
Tu Gui: Aversion to cold/sweating in Taiyang; thirst/fever in Yangming. Persistent thirst transmits pathogen to interior; Wuling San (Five-Ingredient Poria Powder) harmonizes fluids.
Jin Jia: Foot-Yangming pulse涩 (Choppy) and floating. Spleen restriction/Stomach strength retains fluids. Difficult stool with frequent urination: Mahuang Ren Wan (Ephedra and Hemp Seed Pill) moistens dryness best.
Jin Yi: Three days of sweating fail to resolve steaming heat entering Stomach. Tiaowei Chengqi Tang (Regulate the Stomach Order Qi Decoction) clears Stomach heat.
Jin Bing: Cold Damage abdominal distension招招 (attracts) heat. Post-vomit indicates Upper Jiao. Heat transmitted to Stomach: Tiaowei Chengqi Tang (Regulate the Stomach Order Qi Decoction) clears it.
Jin Ding: Vomiting/purgation/sweating cause frequent urination and hard stool. Slight irritability indicates heat entering interior. Xiaochengqi Tang (Minor Order Qi Decoction) cures.
Jin Wu: Six-seven days into Cold Damage, hard stool with clear urination. Interior excess with chest fullness can be attacked. Dachengqi Tang (Major Order Qi Decoction) is essential.
Jin Ji: Blurred vision, unfocused eyes, slight heat, difficult stool, more excess. Critical internal evil syndrome. Dachengqi Tang (Major Order Qi Decoction) urgently eliminates.
Jin Geng: Yangming fever with profuse sweating depletes fluids. Pathogens entering Fu organs require urgent attack. Dachengqi Tang (Major Order Qi Decoction) cures.
Jin Xin: Unresolved sweating with abdominal fullness/pain indicates pathogen entering Zang organs requiring urgent attack. Dachengqi Tang (Major Order Qi Decoction) clears Fu heat, moistens dryness, expels pathogens.
Jin Ren: Abdominal fullness unrelieved indicates solid heat/hardness. Slight relief is insufficient. Major fullness/excess must be purged. Dachengqi Tang (Major Order Qi Decoction) is decocted.
Jin Gui: Shaoyang-Yangming concurrent disease with slippery/rapid pulse indicates stale food. Shaoyang pulse winning/Yangming losing: Downward agent Dachengqi Tang (Major Order Qi Decoction) is suitable.
Shui Jia: Rapid pulse post-purgation indicates combined heat. Six-seven days difficult stool, hunger/consumption due to blood stasis. Didang Tang (Definitely Purge Decoction) cures.
Shui Yi: Eight-nine days later, skin color changes to orange-yellow. Obstructed urination, slight abdominal fullness. Quickly administer Yinchin Tang (Artemisia Capillaris Decoction).
Shui Bing: Carefully analyze Cold Damage fever. Stagnant heat in Stomach causes jaundice. Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction) treats; expels heat effectively.
Shui Ding: Cold Damage fever with interior stagnation, exterior dampness causing jaundice. Chixiaodou Tang (Red Bean Decoction) drains damp-heat; add Mahuang (Ephedra) and Lianqiao (Forsythia).
Shaoyang Meridian Disease Diagnosis and Treatment - 1 Syndrome
Ji Jia: Unvomited/unpurged, deep-tight pulse, hypochondriac fullness, alternating chills/fever. Dry retching, pathogen在半表里 (Half-Exterior/Half-Interior). Chaihu Tang (Bupleurum Decoction) is ideal.
Taiyin Meridian Disease Diagnosis and Treatment - 3 Syndromes
Mu Jia: Taiyin disease with floating pulse requires Guizhi Tang (Cinnamon Twig Decoction) for sweating. Exterior pathogens scatter with sweat; limb irritability/pain is suitable.
Mu Yi: Spontaneous diarrhea without thirst is Taiyin disease. Middle Jiao cold in interior requires warming. Recognize cold origin; use Sini Tang (Reverse the Extremity Decoction) purely.
Mu Bing: Abdominal pain from incorrect purgation: Guizhi Jia Shaoyao Tang (Cinnamon Twig Decoction with Added Peony Root) is suitable. If major excess requires purging, Guizhi Dahuang Tang (Cinnamon Twig and Rhubarb Decoction) governs.
Shaoyin Meridian Disease Diagnosis and Treatment - 23 Syndromes
Tian Jia: Shaoyin fever with deep pulse seeks exterior. Mild sweating for shallow pathogens: Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction) is measured.
Tian Yi: Shaoyin disease day two-three: Fuzi Mahuang Gancao Tang (Aconite, Ephedra, and Licorice Decoction). No interior signs when pathogen is shallow; harmonizes Ying/Nourishes Wei, disperses well.
Tian Bing: Heart irritability with insomnia. Extreme cold transforming to heat: Huanglian Ejiao Tang (Coptis and Chicken Egg Yolk Decoction) supports Yin and dissipates heat.
Tian Ding: Shaoyin disease with neutral mouth, back aversion to cold (moxibustion category). Fuzi Tang (Aconite Decoction) scatters cold; Yin dissipates, Yang assists, lifting depression... [Text incomplete]
Tian Wu: Body pain, cold hands/feet. Examine deep/shallow/fine pulse. Floating allows sweating; deep/cold severe: Wanjing Fuzi Jian (Warm Meridians Aconite Decoction).
Tian Ji: Frequent diarrhea with blood/pus. Taohua Tang (Peach Flower Decoction) works miraculously. Lower Jiao incontinence/severe interior cold: Supports Qi, scatters cold, benefits Stomach.
Tian Geng: Shaoyin abdominal pain four-five days, obstructed urination, deep binding. Frequent diarrhea with pus/blood: Taohua Tang (Peach Flower Decoction) is effective.
Tian Xin: Shaoyin vomiting/diarrhea unbearable, cold hands/feet/Jue cold invasion. Irritability/Yang struggle near death: Zhuyu Tang (Evodia Decoction) scatters deep Yin.
Tian Ren: Shaoyin diarrhea with throat pain, chest fullness/heart irritability (interior transmission). Zhufu Tang (Pig Skin Decoction) dissipates heat, regulates Yin, benefits Stomach.
Tian Gui: Day two-three Shaoyin transmission. Throat pain decocts Gancao (Licorice). If unresolved, seek He Tian Zhi (Heavenly Healing)? Text says "Xuan Jiang Jiegeng Miao Tang" (Select桔梗 Scrophularia Wonderful Decoction) cures.
Ren Jia: Shaoyin disease enters throat, difficult speech, sores in larynx. Kujiu Jian Tang (Bitter Wine Decoction) frequent gargling relieves irritability/heat.
Ren Yi: Pathogen combats Shaoyin, throat pain from cold/evil Qi. Banxia Tang (Pinellia Decoction) frequent swallowing applies this method further.
Ren Bing: Shaoyin governs Water; self-harmonization. Cannot tolerate cold, frequent diarrhea. Only Baitong Tang (White Connection Decoction) scatters cold, warms interior.
Ren Ding: Dry retching, irritability, diarrhea, Jue cold, pulseless. Baitong Tang (White Connection Decoction) adds Zhudan (Pig Gallbladder Bile). Sudden pulse exit means death; slight continuation means life.
Ren Wu: Zhenwu Tang (True Warrior Decoction) controls Water Qi. Shaoyin treatment asks root cause. Heavy limbs, abdominal pain, obstructed urination or frequent leakage. Vomit adds Shengjiang (Fresh Ginger) to remove... [Text incomplete: Ling Kong?]
Ren Ji: Cold hands/feet, diarrhea with undigested food, red face, body heat, no aversion to cold. Yin excess repelling Yang, faint/extinct pulse. Tongmai Sini Tang (Unblock Pulse Reverse Extremity Decoction) cures. Red face adds Renshen (Ginseng)... [Text incomplete]
Ren Geng: Shaoyin Sini (Cold Extremities) with unwarm limbs, occasional diarrhea/abdominal pain. Obstructed urination or cough/palpitations. Sini San (Reverse the Extremity Powder) is used. Add Ganjiang (Dried Ginger), Wu... [Text incomplete: likely Wumei or similar, text cuts off].
Ren Xin: Shaoyin diarrhea six-seven days, cough, dry retching, insomnia. Heart irritability/thirst indicates heat.渗泄 (Leaking/Draining) Zhu Ling Tang (Polyporus Decoction) cures.
Ren Ren: Shaoyin disease day two-three, mouth dry/throat dry, urgent purgation. Pathogen not deep but heat severe: Dachengqi Tang (Major Order Qi Decoction) is suitable.
Ren Gui: Shaoyin spontaneous diarrhea with pure green stool, mouth/throat dry, steaming heat. Epigastric pathogen excess with pain. Dachengqi Tang (Major Order Qi Decoction) calms.
Di Jia: Shaoyin disease six-seven days, abdominal fullness/constipation requires rapid purgation. Severe congestion, Yangming overcomes Kidney Water. Dachengqi Tang (Major Order Qi Decoction) is miraculous.
Di Yi: Shaoyin disease with deep pulse, no external signs visible. Sini Tang (Reverse the Extremity Decoction) urgently warms middle, scatters Yin pathogens.
Di Bing: Desire to vomit but cannot, cold hands/feet. Chest excess requires emesis to relieve. Phlegm-fluid in diaphragm causing dry retching. Sini Tang (Reverse the Extremity Decoction) warms to achieve peace.
Jueyin Meridian Disease Diagnosis and Treatment - 19 Syndromes
Gan Jia: Hui Jue (Roundworm Jue) patient quiet then irritable. Weak Stomach, cold Zang organs. Roundworms smell food and vomit. Wenzang Wumei Wan (Warm Organs Sour Plum Pill) settles.
Gan Yi: Slippery pulse with Jue cold. Heat resides in interior organs. Baihu Tang (White Tiger Decoction) clears internal heat; moxibustion benefits Jue cold hands/feet.
Gan Bing: Cold hands/feet, fine/small pulse. Unless Sini Tang (Reverse the Extremity Decoction) adds Danggui (Angelica Sinensis). Yang deficiency/Yin weakness needs generation. Wish for good physician to differentiate mechanism.
Gan Ding: Jue cold with long-standing interior cold. Scatter cold to assist Yang return. Danggui Sini Tang (Angelica Reverse Extremity Decoction) is acrid/warm. Add Jiang (Ginger), Yu (Evodia) to cure.
Gan Wu: Profuse sweating with unremoved heat, limb spasms/pain. Aversion to cold, diarrhea, Jue cold. Sani Fuyang Sini Tang (Scatter Cold Restore Yang Reverse Extremity Decoction).