太阴之为病。腹满而吐。食不下。自利益甚。时腹自痛。若下之。必胸下结硬。
(太阴为病。阳邪传里也。太阴之脉布胃中。邪气壅而为腹满。上不得降者。呕吐而食
不下
虽痛而
反下之
太阴中风。四肢烦疼。阳微阴涩而长者。为欲愈。
(太阴。脾也。主营四末。太阴中风。四肢烦疼者。风淫末疾也。表邪少则微。里向和
则涩
太阴病欲解时。从亥至丑上。
(脾为阴主旺于丑亥子。向旺。故云解时。)
太阴病。脉浮者。可发汗。宜桂枝汤。
(经曰。浮为在表。沉为在里。太阴病。脉浮者。邪在经也。故当汗散之。)
自利不渴者。属太阴。以其脏有寒故也。当温之。宜服四逆辈。
(自利而渴者。属少阴。为寒在下焦。自利不渴者。属太阴。为寒在中焦。与四逆等汤。
以
伤寒脉浮而缓。手足自温者。系在太阴。太阴当发身黄。若小便自利者。不能发黄。至
七八
(太阴病。至七八日。大便硬者。为太阴入腑。传于阳明也。今至七八日暴烦。下利十
余行
余行
本太阳病。医反下之。因尔腹满时痛者。属太阴也。桂枝加芍药汤主之。
(表邪未罢。医下之。邪因乘虚。传于太阴。里气不和。故腹满时痛。与桂枝汤。以解
表。
大实痛者。桂枝加大黄汤主之。
(大实大满。自可除下之。故加大黄。以下大实。)
太阴为病。脉弱。其人续自便利。设当行大黄芍药者。宜减之。以其人胃气弱。易动故
也。
(腹满痛者。太阴病也。脉弱。其人续自便利。则邪虽在里。未成大实。欲与大黄芍药
攻满
Taiyin disease is characterized by abdominal fullness, vomiting, inability to eat, worsening spontaneous diarrhea, and occasional spontaneous abdominal pain. If purgatives are incorrectly administered, it will inevitably result in hardness and binding below the chest.
Taiyin wind-strike presents with vexatious pain in the four limbs. If the pulse is slightly weak at the Yang position, choppy at the Yin position, yet long, this indicates that recovery is impending.
The time when Taiyin disease tends to resolve is from Hai hour to Chou hour.
In Taiyin disease, if the pulse is floating, sweating therapy may be employed; Guizhi Tang (Cinnamon Twig Decoction) is appropriate.
Spontaneous diarrhea without thirst belongs to Taiyin, due to cold in the zang organs. Warming therapy should be applied; Si Ni Tang (Frigid Extremities Decoction) or similar formulas are suitable.
In Shanghan (Cold Damage), if the pulse is floating and slow, and the hands and feet are naturally warm, the disease is associated with Taiyin. Taiyin disease typically manifests as jaundice; however, if urination is free and unimpeded, jaundice will not develop. By the seventh or eighth day... (text missing here)
(When Taiyin disease reaches the seventh or eighth day, if stool becomes hard, it signifies transmission from the Zang to the Fu, transforming into Yangming disease. Now, reaching the seventh or eighth day, sudden irritability occurs with more than ten episodes of diarrhea...)
Originally suffering from Taiyang disease, the physician erroneously used purgation, resulting in abdominal fullness and intermittent pain. This belongs to Taiyin and is primarily treated with Guizhi Jia Shaoyao Tang (Cinnamon Twig Decoction plus Paeonia Root).
(The exterior pathogen has not resolved; the physician's use of purgation allowed the pathogen to enter Taiyin due to deficiency, causing disharmony in the interior Qi, leading to abdominal fullness and intermittent pain. Guizhi Tang is given to release the exterior...)
In cases of severe excess pain, Guizhi Jia Dahuang Tang (Cinnamon Twig Decoction plus Rheum Palmatum) is indicated.
(In cases of severe excess and fullness, purgation can naturally eliminate the pathogen; therefore, Dahuang (Rhei Radix et Rhizoma) is added to purge severe excess.)
In Taiyin disease, if the pulse is weak and the patient continues to have normal bowel movements, if Da Huang (Rhei Radix et Rhizoma) or Shao Yao (Paeoniae Radix Alba) are to be used, their dosages should be reduced. This is because the patient's Stomach Qi is weak and easily disturbed.
(Abdominal fullness and pain are manifestations of Taiyin disease. A weak pulse and continued normal bowel movements indicate that although the pathogen is in the interior, it has not formed a severe excess syndrome. The intention to use Da Huang (Rhei Radix et Rhizoma) and Shao Yao (Paeoniae Radix Alba) to attack fullness...)