问曰∶病有霍乱者何?师曰∶呕吐而利,此为霍乱。
问曰∶病者发热,头痛,身体疼,恶寒,而复吐利,当属何病?师曰∶当为霍乱。霍乱吐利止,而复发热也。伤寒,
其脉微涩,本是霍乱,今是伤寒,却四、五日,至阴经上,转入阴必吐利。转筋为病,其人臂脚直,脉上下行,微弦,
转筋入腹,鸡屎白散主之。
夫风之为病当半身不遂,或但臂不遂者,此为痹。脉微而数,中风使然。头痛脉滑者,中风,风脉虚弱也。
寸口脉浮而紧,紧则为寒,浮则为虚,虚寒相搏,邪在皮肤。浮者血虚,络脉空虚,贼邪不泻,或左或右。邪气反
缓,正气则急,正气引邪, 僻不遂。邪在于络,肌肤不仁。邪在于经,则重不胜。邪入于腑,则不识人。邪入于脏,
舌即难言,口吐于涎。
寸口脉迟而缓,迟则为寒,缓则为虚。荣缓则为亡血,卫迟则为中风。邪气中经,则身痒而瘾疹。心气不足,邪气
入中,则胸满而短气。
趺阳脉浮而滑,滑则谷气实,浮则汗自出。
少阴脉浮而弱,弱则血不足,浮则为风,风血相搏,则疼痛如掣。
盛人脉涩小,短气,自汗出,历节疼,不可屈伸,此皆饮酒汗出当风所致也。
寸口脉沉而弱,沉则主骨,弱则主筋;沉则为肾,弱则为肝。汗出入水中如水伤心历节黄汗出故曰历节也。味酸则
伤筋,筋伤则缓,名曰泄。咸则伤骨,骨伤则痿,名曰枯。枯泄相搏,名曰断泄。荣气不通,卫不独行,荣卫俱微,三
焦无所御,四属断绝,身体羸瘦,独足肿大,黄汗出,胫冷假令发热,便为历节也。病历节,疼痛不可屈伸,乌头汤主
之。诸肢节疼痛,身体魁瘰,脚肿如脱,头眩短气,温温欲吐,桂枝芍药知母汤主之。
Question: What is Huoluan (Stomach Turmoil) disease? The Master replied: Vomiting accompanied by diarrhea constitutes Huoluan.
Question: A patient presents with fever, headache, body pain, aversion to cold, and simultaneously experiences vomiting and diarrhea. To which disease does this belong? The Master replied: This should be diagnosed as Huoluan. After the vomiting and diarrhea of Huoluan cease, fever may recur. In Taiyang Cold Damage (Taiyang Shanghan), if the pulse is faint and choppy, it was originally Huoluan; now it is Taiyang Cold Damage. After four or five days, when the pathogen enters the Yin meridians and transitions into the Yin level, vomiting and diarrhea will inevitably occur. Regarding the condition of muscle cramps (Zhuanjin), the patient's arms and legs become stiff and straight, and the pulse moving up and down appears slightly wiry. If the cramps extend to the abdomen, Jishibai San (Chicken Dropping White Powder) is the primary prescription.
Diseases caused by Wind typically manifest as hemiplegia (Ban Shen Bu Sui). If only one arm is paralyzed, this belongs to Bi syndrome (Obstruction Syndrome). A pulse that is faint and rapid indicates Zhongfeng (Wind Strike). Headache with a slippery pulse indicates Zhongfeng, where the wind pathogen causes the pulse to appear weak. At the Cun Kou (Radial Artery) position, if the pulse is floating and tight, tightness indicates Cold, and floating indicates Deficiency. The interaction of Deficiency and Cold places the pathogen in the skin. Floating indicates Blood Deficiency, leading to emptiness in the collaterals. The invading pathogen cannot be expelled, affecting either the left or right side. The side affected by the pathogen becomes flaccid, while the healthy side becomes tense. The healthy Qi pulls the pathogen, resulting in facial deviation (Pi Xie) and limb immobility. If the pathogen resides in the collaterals, there is numbness of the skin and muscles. If it resides in the meridians, the body feels heavy and difficult to move. If it enters the Fu organs, consciousness is lost, and the person fails to recognize others. If it enters the Zang organs, speech becomes difficult, and saliva dribbles from the mouth.
At the Cun Kou position, if the pulse is slow and moderate, slowness indicates Cold, and moderation indicates Deficiency. A moderate Ying Qi (Nutritive Qi) indicates loss of blood, while a slow Wei Qi (Defensive Qi) predisposes one to Zhongfeng. If the pathogen strikes the meridians, the body itches and urticaria (Yin Zhen) appears. If Heart Qi is insufficient, the pathogen enters inward, causing chest fullness and shortness of breath.
At the Zu Yang (Dorsalis Pedis Artery) position, if the pulse is floating and slippery, slipperiness indicates substantial food qi, and floating indicates spontaneous sweating.
At the Shao Yin position, if the pulse is floating and weak, weakness indicates insufficient blood, and floating indicates Wind. The interaction between Wind and Blood causes pain as if being torn apart.
In obese individuals, a choppy and small pulse, accompanied by shortness of breath, spontaneous sweating, Li Jie (Joint) pain, and inability to flex or extend joints, is all caused by sweating after drinking alcohol and being exposed to wind.
At the Cun Kou position, if the pulse is deep and weak, depth governs the bones, and weakness governs the sinews; depth corresponds to the Kidney, and weakness corresponds to the Liver. Sweating followed by entering water injures the Heart. Li Jie disease presenting with yellow sweat is termed Li Jie. Sour taste injures sinews; injured sinews become lax, termed Xie (Leakage). Salty taste injures bones; injured bones become atrophic, termed Ku (Withered). The combination of Withered and Leakage is termed Duan Xie (Severance and Leakage). When Ying Qi is blocked and Wei Qi cannot circulate independently, both Ying and Wei become deficient. The San Jiao (Triple Burner) loses its control, and the nourishment of the four limbs is severed. The body becomes emaciated, while only the feet swell. With yellow sweat and cold calves, if fever occurs, it is Li Jie disease. For Li Jie disease characterized by severe pain preventing flexion and extension, Wu Tou Tang (Aconite Decoction) is the primary prescription. For various joint pains, body swelling with nodular enlargements, swollen feet feeling as if detached, dizziness, shortness of breath, and a sensation of warmth with nausea, Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction) is the primary prescription.