夫热病者。皆伤寒之类也。或愈。或死。其死皆以六七日间。其愈皆以十日以上者。何
也。
虽甚
口
俱
腑。
是
伤寒三部脉。阴阳脉俱盛。大汗出。不解者。不可治。
伤寒阴阳俱热。虚不止者。不可治。
伤寒脉至。乍数乍疏者。不可治。
伤寒谵言妄语妄诞身热。脉浮大。手足温者。生。脉沉细。手足遂冷者。不可治。
伤寒咳而上气。其脉散者。不可治。
伤寒热盛。脉浮大者。生。沉小者。不可治。
伤寒已得汗。脉沉小者。生。浮大者。不可治。
伤寒谵语。直视而喘者。不可治。
伤寒下利厥逆。躁不能卧者。不可治。
伤寒发热下利。至厥不反者。不可治。
伤寒病。恶寒。蜷而利。手足逆者。不可治。
伤寒五六日。脉微细沉。但欲卧。汗出不烦。时自吐利。复烦躁。
不得卧寐者。不可治。
伤寒六七日。喘息高者。不可治。
伤寒发汗不出。若大灌发者。不可治。
伤寒泄而腹满甚者。不可治。
伤寒目不明。热不已者。不可治。
伤寒老人婴儿。热而腹满者。不可治。
伤寒汗不出。呕血者。不可治。
伤寒舌本烂。热不已者。不可治。
伤寒咳血而衄。汗不出。出不至足者。不可治。
伤寒髓热者。不可治。
伤寒热而痉者。不可治。
伤寒热病。腰折螈 。齿噤者。不可治。
伤寒下利后。脉绝。手足厥冷。脉不还。不可治。
伤寒四逆。恶寒。脉不至。其人不热而躁者。不可治。
热病脉代者。一日死。
热病二三日。身体热。腹痛。头痛。食饮如故。脉直而疾者。至八日。不可治。
热病三四日。腰以下不得汗。脉大疾者。生。脉细小难得者。不可治。
热病四五日。头不热。腹不痛而吐。脉来微细。至十二日。不可治。
热病七八日。其脉微。小便如墨。口干。脉代。舌焦干黑者。不可治。
热病七八日。脉微小。病患便血。口中干。一日半而死。
热病七八日。脉不躁不数。后三日中有汗。三日不汗者。死。
热病八九日。头不疼。身不痛。目不赤。色不变而反利。脉来累累。按不弹手。时大。
心下
热病已得汗。而脉尚躁盛。此阴脉之极也。死。
热病脉常盛躁。而不得汗者。此阳脉之极也。死。脉盛躁。得汗者。生也。
热病已得汗。体热不去者。不可治。
热病。其人滚滚大热。脉细小者。不可治。
热病下利不止。腹中痛甚者。不可治。
Heat diseases all belong to the category of Shanghan (Cold Damage). Some recover, while some die. Those who die usually do so between the sixth and seventh days after onset, whereas those who recover typically do so after ten days or more. Why is this?
In Shanghan disease, if the three positions of the pulse (Cun, Guan, Chi) and both Yin and Yang pulses are full and vigorous, accompanied by profuse sweating that fails to resolve the condition, it is untreatable.
In Shanghan disease, if there is generalized heat in both Yin and Yang with unremitting deficiency, it is untreatable.
In Shanghan disease, if the pulse alternates between rapid and slow, or sparse and frequent, it is untreatable.
In Shanghan disease, if the patient speaks deliriously and absurdly, has a fever, the pulse is floating and large, and the hands and feet are warm, the prognosis is good; however, if the pulse is deep and fine, and the hands and feet become cold subsequently, it is untreatable.
In Shanghan disease, if there is coughing with rebellious Qi ascending, and the pulse is scattered, it is untreatable.
In Shanghan disease, if the heat is intense and the pulse is floating and large, the prognosis is good; if the pulse is deep and small, it is untreatable.
In Shanghan disease, if sweating has occurred and the pulse is deep and small, the prognosis is good; if the pulse is floating and large, it is untreatable.
In Shanghan disease, if there is delirium, staring eyes, and panting, it is untreatable.
In Shanghan disease, if there is diarrhea (Li), cold extremities (Jue Ni), restlessness, and inability to lie down, it is untreatable.
In Shanghan disease, if there is fever and diarrhea progressing to cold extremities that do not return to warmth, it is untreatable.
In Shanghan disease, if there is aversion to cold, curling up of the body, diarrhea, and inverted coldness of the hands and feet, it is untreatable.
After five or six days of Shanghan disease, if the pulse is faint, fine, and deep, the patient only wishes to sleep, sweats without feeling irritable, occasionally experiences spontaneous vomiting and diarrhea, and then becomes restless and unable to sleep, it is untreatable.
After six or seven days of Shanghan disease, if the breathing is loud and rapid, it is untreatable.
In Shanghan disease, if sweating does not occur upon treatment, or if there is excessive sweating like pouring water, it is untreatable.
In Shanghan disease, if there is diarrhea with severe abdominal fullness, it is untreatable.
In Shanghan disease, if vision is unclear and the heat persists, it is untreatable.
For elderly people or infants with Shanghan disease, if there is fever and abdominal fullness, it is untreatable.
In Shanghan disease, if there is no sweating accompanied by hematemesis (vomiting blood), it is untreatable.
In Shanghan disease, if the root of the tongue is ulcerated and the heat persists, it is untreatable.
In Shanghan disease, if there is hemoptysis (coughing blood) and epistaxis (nosebleed), no sweating, or sweating that does not reach the feet, it is untreatable.
In Shanghan disease, if there is bone marrow heat, it is untreatable.
In Shanghan disease, if there is fever accompanied by spasms (convulsions), it is untreatable.
In Shanghan heat disease, if there is stiffness and bending of the waist, twitching of the limbs, and locked jaw (Jin Ke), it is untreatable.
After diarrhea in Shanghan disease, if the pulse vanishes, the hands and feet are cold, and the pulse does not return, it is untreatable.
In Shanghan disease presenting with Si Ni (cold extremities), aversion to cold, absent pulse, where the patient is not hot but is restless, it is untreatable.
In heat disease, if the pulse is Dai (intermittent), death occurs within one day.
In heat disease, on the second or third day, if there is body heat, abdominal pain, headache, normal appetite, and a straight and rapid pulse, by the eighth day, it is untreatable.
In heat disease, on the third or fourth day, if there is no sweating below the waist and the pulse is large and rapid, the prognosis is good; if the pulse is fine and small and difficult to feel, it is untreatable.
In heat disease, on the fourth or fifth day, if the head is not hot, the abdomen is not painful but there is vomiting, and the pulse comes faint and fine, by the twelfth day, it is untreatable.
In heat disease, on the seventh or eighth day, if the pulse is faint, urine is black like ink, the mouth is dry, the pulse is Dai, and the tongue is scorched, dry, and black, it is untreatable.
In heat disease, on the seventh or eighth day, if the pulse is minute, the patient passes blood, and the mouth is dry, death occurs in one and a half days.
In heat disease, on the seventh or eighth day, if the pulse is neither restless nor rapid, and there is sweating within the next three days, but no sweating after three days, death ensues.
In heat disease, on the ninth or tenth day, if there is no headache, no body pain, redness of the eyes, or change in complexion, but instead there is diarrhea, and the pulse comes continuously (Lei Lei), feels non-elastic upon pressure, and occasionally becomes large, [the text is incomplete here regarding the chest/epigastric region]...
In heat disease, if sweating has occurred but the pulse remains restless and vigorous, this indicates the extreme depletion of Yin pulses, leading to death.
If the pulse in heat disease is constantly full, vigorous, and sweating cannot be induced, this indicates the extreme excess of Yang pulses, leading to death. If the pulse is full and vigorous and sweating occurs, the prognosis is good.
In heat disease, if sweating has occurred but the body heat does not subside, it is untreatable.
In heat disease, if the patient has intense, rolling heat but the pulse is fine and small, it is untreatable.
In heat disease, if there is unremitting diarrhea with severe abdominal pain, it is untreatable.