大结胸兮小结胸,水兼寒热不雷同,阳经下早留为毒,用药无非直达攻。
证同前证应无痛,病在阴经下早虚,邪毒结留心下满,此名痞气膈中居。
此病初传不识机,致令汗下失其宜,邪乘虚入伤荣卫,知犯何经急疗之。
小儿下痢细寻推,不独成于积所为,冷热数般虽各异,宽肠调胃在明医。
痢成五色岂堪闻,日久传来神气昏,干痛烦啼为最苦,更防儿小命难存。
风毒乘脾黄褐色,看来其痢与惊同,但闻不臭斯为异,独泻脾经自有功。
古今议肿是脾虚,大抵多从湿热为,十种根因各调治,详分补泻在临机。
五疳五脏五般看,治法详推事不难,若见面黄肌肉瘦,齿焦发竖即为疳。
伤寒热毒上熏蒸,面色光浮气喘生,口臭齿焦腮有穴,马疳如此是真形。
肛门出露久难收,再感风伤事可忧,况自先传脾胃弱,更详冷热易为廖。
惊传三搐后成痫,嚼沫牙关目上翻,明辨阴阳参色脉,不拘轻重总风痰。
夏伤于暑秋成疟,间日连朝不少差,解表去邪须次第,再宜养胃固脾家。
本因积久成顽结,男左女右居腹胁,俗云龟痨不须听,化癖调脾自安帖。
诸疝元来各有名,盖因寒湿气侵成,治分芍药乌梅散,匀气金铃与五苓。
Da Jie Xiong (Major Chest Binding) and Xiao Jie Xiong (Minor Chest Binding) differ because water retention is combined with cold or heat; medication aims solely at direct attack to expel pathogens.
Symptoms resemble previous descriptions but should lack pain; if the disease is in Yin meridians and purgatives are used prematurely, deficiency results. Pathogenic toxins bind causing fullness below the heart, named Pi Qi (Stagnant Gas), residing in the diaphragm.
When this illness first transmits, failure to recognize the mechanism leads to improper use of sweating and purging methods. Pathogens enter through deficiency damaging Ying Wei (Nutritive and Defensive Qi); knowing which meridian is involved requires urgent treatment.
Pediatric dysentery requires careful deduction; it does not arise solely from food accumulation. Although cold and heat types vary, broadening the intestines and regulating the stomach depends on the physician's clarity.
Dysentery presenting five colors is alarming; prolonged duration causes mental fatigue and confusion. Dry mouth, pain, irritability, and crying are most distressing, and one must fear for the life of a young child.
Wind-toxin attacking the spleen presents as yellow-brown; the dysentery resembles Jing Feng (Convulsion). The distinct feature is the lack of foul odor; purging the Spleen meridian alone yields efficacy.
Since ancient times, edema has been discussed as Spleen deficiency, largely arising from damp-heat. Ten root causes require separate regulation; detailed differentiation between tonification and draining depends on clinical flexibility.
Wu Gan (Five Childhood Malnutrition Syndromes) correspond to the five Zang organs and are viewed in five aspects; treatment derivation is not difficult. If the face is yellow, muscles are emaciated, teeth are scorched, and hair stands erect, it is confirmed as Gan syndrome.
Shang Han (Cold Damage) heat-toxin steams upward, causing a shiny, puffy complexion and asthma. Bad breath, scorched teeth, and sunken cheeks indicate Ma Gan (Horse Malnutrition), which is its true form.
Prolapse of the anus that is difficult to retract for a long time, compounded by wind injury, is worrying. Moreover, prior transmission indicates Spleen-Stomach weakness; detailing cold and heat patterns facilitates recovery.
Jing Feng (Convulsion) transmitting through three convulsions forms Xian Bing (Epilepsy), characterized by chewing foam, locked jaw, and upward-turned eyes. Clearly distinguishing Yin and Yang, consulting color and pulse, regardless of severity, attributes it generally to Wind-Phlegm.
Summer damage from heat leads to Nue Bing (Malaria) in autumn, occurring every other day without significant improvement. Expelling the exterior and removing pathogens must be sequential, followed by nourishing the Stomach and consolidating the Spleen.
Originally due to long-standing accumulation forming stubborn knots, located on the left abdomen for males and right for females. Do not heed the folk term Gui Lao (Tortoise Consumption); resolving biomas and regulating the Spleen ensures peace.
Various Shan Qi (Hernia Syndromes) originally have specific names, caused by invasion of cold-damp qi. Treatments include Shao Yao Wu Mei San (Peony and Mume Powder), Yun Qi Jin Ling Zi San (Qi-Regulating Golden Bell Seed Powder), and Wu Ling San (Five Ingredient Powder with Poria).
Unprovoked sudden redness of lips and mouth occurs because Phlegm-fluids accumulate in the Middle Jiao. Wind-heat attacks adding asthma urgency; the shape resembling an inverted palm is called Gui Xiong (Tortoise Chest).
While in the womb, maternal fright transmits pathogenic heat injuring the fetus's Shen (Spirit). Suddenly appearing faint red rashes, cooling and resolving the skin brings tranquility.