夫少阴病。其人虽里和。其病恶寒者。宜灸之。
少阴病。吐利。手足逆而发热。脉不足者。灸其少阴。
夫吐下。手足厥。无脉者。当其厥阴灸之。不温。反微喘者。死。
伤寒六七日。脉数。手足厥。躁烦不已。灸厥阴。不顺者。死。
凡微数之脉。不可灸。因热为邪。必致烦逆。内有损骨伤筋。血枯之患。
脉当以汗解。反以灸之。邪无所去。因火而盛。病当必重。此为逆之治。欲解者。当发
其汗
夫凡下利后。下部中痛。当温之。宜炒枳实。若熬盐等熨之。
夫伤寒。寸口脉浮而弱。即血气虚。胃气微。其脉浮。则汗出如流珠。卫气微。营气虚。
故
阳盛即衄。阴虚即小便难。阴阳俱虚竭。身体枯燥。但头汗出。至颈而还。腹满。微喘。口
干咽烂。或不大便。其甚者哕。手足躁扰。循衣摸床。若心下满。小便利者。其人可治。小
便不利者。不可治。
夫伤寒脉浮。而以火逼劫汗。即亡阳。必惊狂。卧起不安。
太阳病。以火蒸之。不得汗者。其人必燥结。若不结。必下清血。其脉躁者。必发黄也。
夫太阳病。而熨其背。大汗必出。火气入胃。胃中干竭。必发荒语。
夫太阳病。瘥后。胃中干燥。不得眠睡。渴欲饮水。当稍稍饮之。即愈。
若呕吐。热在膈上。思水者。与五苓散。即可饮水也。
夫伤寒七八日。大渴欲饮水。然当与之。常令不足。勿极意也。
夫凡伤寒病。能饮水者。为欲愈也。若不渴而强与之。因此成祸者。其数多矣。
夫可水。除烦。使胃和。常须少与。勿令多。若还不与。无由作汗。强与。还因水致病。
非
与
曰
病
饮
水
为
为
皮肤。则为肿重。饮水过多者。五苓散主之。
Shaoyin disease, although the interior qi is harmonious, if the condition manifests as aversion to cold, moxibustion is appropriate.
In Shaoyin disease, with vomiting and diarrhea, cold extremities extending upwards (reversal), accompanied by fever, and a pulse that is insufficient/weak, moxibustion should be applied to the Shaoyin channel.
For cases of vomiting and diarrhea leading to cold extremities and absence of pulse, moxibustion should be applied to the Jueyin channel. If the extremities do not warm up and slight panting ensues, death is indicated.
In Shanghan (Cold Damage) progressing to six or seven days, with a rapid pulse, cold extremities, and incessant restlessness/agitation, if moxibustion on the Jueyin channel does not lead to improvement, death is indicated.
For any pulse that is fine and rapid, moxibustion must not be used. Since heat is the pathogenic factor, moxibustion will inevitably cause irritability and rebellion, damaging bones and tendons internally, and leading to blood depletion.
When the pulse indicates resolution via sweating, using moxibustion instead prevents the pathogen from exiting; the fire exacerbates the condition, making it severe. This is an incorrect treatment method. To resolve the disease, diaphoresis (sweating) should be induced.
After diarrhea, if there is pain in the lower part, warming therapy is required. It is suitable to use stir-fried Zhi Shi (Immature Bitter Orange) or hot salt for moxatherapy (ironing/warming).
In Shanghan, if the Cun Kou (radial artery at the wrist) pulse is floating and weak, it indicates deficiency of blood and qi, and faint stomach qi. A floating pulse implies sweating like beads, indicating weak Wei Qi (Defensive Qi) and deficient Ying Qi (Nutritive Qi).
Therefore, excess Yang leads to epistaxis (nosebleed); Yin deficiency leads to difficult urination. When both Yin and Yang are exhausted, the body becomes dry and rough, with sweat only on the head stopping at the neck, abdominal fullness, slight panting, dry mouth, and rotting throat, or constipation. Severe cases may present with hiccups, restless extremities, and picking at clothes and bedrails. If there is fullness below the heart but urination is free, the patient can be treated; if urination is obstructed, it is untreatable.
In Shanghan with a floating pulse, forcing sweat with fire methods leads to loss of Yang, inevitably causing fright, mania, and inability to lie down or sit still calmly.
In Taiyang disease, if steamed with fire and no sweat occurs, the patient will certainly develop dryness and accumulation (constipation); if not accumulated, clear blood will pass from the rectum. If the pulse is restless, jaundice will certainly develop.
In Taiyang disease, if the back is ironed/warmed, profuse sweating will occur. Fire qi enters the Stomach, drying it out, leading to delirium.
After recovery from Taiyang disease, if the Stomach is dry, preventing sleep, and thirst for water exists, water should be given in small amounts gradually, which will lead to recovery.
If vomiting occurs, with heat above the Diaphragm and desire for water, Wu Ling San (Five-Ingredient Powder with Poria) should be administered, allowing the patient to drink water.
In Shanghan lasting seven or eight days, with intense thirst for water, water should be provided, but kept slightly insufficient, avoiding excessive intake.
For any Shanghan disease, the ability to drink water indicates impending recovery. However, forcing water on those who are not thirsty often causes harm, a common occurrence.
Water is beneficial for removing irritability and harmonizing the Stomach; it must be given in small amounts, not too much. If water is not given, sweat cannot be produced; forcing large amounts of water causes pathology due to water retention.
[Note: The final sentence fragment "Fei yu yue... wei skin. Then swelling/heavy. Drinking too much water, Wu Ling San governs." appears corrupted in the source text but generally refers to: Forcing water [causes issues]. Regarding drinking water for skin conditions... leads to edema/heaviness. For excessive water intake, Wu Ling San is the primary formula.]