太阳病,发汗后,若大汗出,胃中干燥,烦不得眠,其人欲饮水,当稍饮之,令胃中和则愈。厥阴病,渴欲饮水者,
与水饮之即愈。太阳病,寸口缓,关上小浮,尺中弱,其人发热而汗出,复恶寒,不呕,但心下痞者,此为医下也。若
不下,其人复不恶寒而渴者,为转属阳明。小便数者,大便即坚,不更衣十日,无所苦也。欲饮水者,但与之,当以法
救渴,宜五苓散。
寸口脉洪而大,数而滑,洪大则荣气长,滑数则胃气实,荣长则阳盛,怫郁不得出身,胃实则坚难,大便则干燥,
三焦闭塞,津液不通,医发其汗,阳盛不周,复重下之,胃燥热畜,大便遂摈,小便不利,荣卫相搏,心烦发热,两眼
如火,鼻干面赤,舌燥齿黄焦,故大渴。过经成坏病,针药所不能制,与水灌枯槁,阳气微散,身寒温衣覆,汗出表里
通,然其病即除。形脉多不同,此愈非法治,但医所当慎,妄犯伤荣卫。霍乱而头痛发热,身体疼痛,热多欲饮水,属
五苓散。呕吐而病在膈上,后必思水者,急与猪苓散。饮之水,亦得也。
太阳中风,以火劫发其汗,邪风被火热,血气流 ,失其常度,两阳相熏灼,其身发黄。阳盛则欲衄,阴虚小便难,
阴阳俱虚竭,身体则枯燥,但头汗出,齐颈而还,腹满而微喘,口干咽烂,或不大便,久则谵语,甚者至哕,手足躁扰,
循衣摸床,小便利者,其人可治。太阳病,医发其汗,遂发热而恶寒,复下之,则心下痞,此表里俱虚。阴阳气并竭,
无阳则阴独,复加火针因而烦,面色青黄,肤 ,如此者为难治。今色微黄,手足温者愈。伤寒,加温针必惊。阳脉浮,
阴脉弱,则血虚,血虚则筋伤。其脉沉者,荣气微也。其脉浮,而汗出如流珠者,卫气衰也。荣气微,加烧针,血留不
行,更发热而躁烦也。伤寒,脉浮,而医以火迫劫之,亡阳,惊狂,卧起不安,属桂枝去芍药加蜀漆牡蛎龙骨救逆汤。
问曰∶得病十五、十六日,身体黄,下利,狂欲走。师脉之,言当下清血如豚肝,乃愈,后如师言,何以知之?师
曰∶寸口脉阳浮阴濡弱,阳浮则为风,阴濡弱为少血,浮虚受风,少血发热,恶寒洒淅,项强头眩。医加火熏,郁令汗
出,恶寒遂甚,客热因火而发,怫郁蒸肌肤,身目为黄,小便微难,短气,从鼻出血,而复下之,胃无津液,泄利遂不
止,热瘀在膀胱,畜结成积聚,状如豚肝,当下未下,心乱迷愦,狂走赴水,不能自制。畜血若去,目明心了。此皆医
所为,无他祸患,微轻得愈,极者不治。伤寒,其脉不弦紧而弱者,必渴,被火必谵言。弱者发热,脉浮,解之,当汗
出愈。
太阳病,以火熏之,不得汗,其人必躁,到经不解,必有清血。
阳明病,被火,额上微汗出,而小便不利,必发黄。
阳明病,其脉浮紧,咽干口苦,腹满而喘,发热汗出而不恶寒,反偏恶热,其身体重,发其汗则躁,心愦愦而反谵
语。加温针必怵惕,又烦躁不得眠。
少阴病,咳而下利,谵语,是为被火气劫故也,少便必难,为强责少阴汗出。
太阳病二日,而烧瓦熨其背,大汗出,火气入胃,胃中竭燥,必发谵语,十余日振而反汗出者,此为欲解。其汗从
腰以下不得汗,其人欲小便,反不得,呕欲失溲,足下恶风,大便坚者,小盒饭数,而反不数及多,便已,其头卓然而
痛,其人足心必热,谷气下流故也。
Taiyang disease, after sweating therapy, if profuse sweating occurs, causing dryness in the Stomach, restlessness and inability to sleep, and the patient desires to drink water, one should allow them to drink slightly and frequently until the Stomach Qi harmonizes and the condition resolves. Jueyin disease, where there is thirst desiring water, drinking water will lead to immediate resolution.
In Taiyang disease, if the Cun (inch) pulse is slow, the Guan (bar) pulse is slightly floating, and the Chi (cubit) pulse is weak, with symptoms of fever, sweating, aversion to cold, no vomiting, but only epigastric fullness (Xin Xia Pi), this is due to the physician's erroneous use of purgation. If not purged, and the patient later becomes averse to cold no longer but instead thirsty, the pathogen has transferred to the Yangming channel. Frequent urination leads to hard stool; even if no bowel movement for ten days, there is no distress. For those desiring water, give water directly, but rescue thirst according to proper methods, suitable for Wuling San (Five-Ling Powder).
The Cun Kou pulse is surging, large, rapid, and slippery. Surging and large indicate abundant Ying (Nutrient) Qi; slippery and rapid indicate excess Wei (Defensive) Qi in the Stomach. Abundant Ying Qi leads to Yang excess, stagnation preventing outward release; Stomach excess leads to hardness and difficulty in defecation, resulting in dry stool. The Triple Burner becomes blocked, and body fluids fail to circulate. If the physician induces sweating again, Yang excess fails to circulate fully, followed by heavy purgation, leading to accumulation of dry heat in the Stomach, difficult defecation, and dysuria. Ying and Wei Qi contend, causing mental restlessness, fever, eyes burning like fire, dry nose, red face, dry tongue, yellow and scorched teeth, hence extreme thirst. If the disease passes its stage and becomes a "bad disease" (complication), acupuncture and herbs cannot control it. Giving water to the withered body dissipates the slight Yang Qi; the body feels cold requiring clothing and covers; sweating allows interior and exterior to communicate, and thus the disease removes. The form and pulse often differ; this cure is not standard treatment, but physicians must be cautious, as reckless violation damages Ying and Wei. In Huoluan (Huo-lo syndrome) with headache, fever, and body pain, where heat is predominant and thirst exists, it belongs to Wuling San. For vomiting with pathology above the diaphragm, where the patient subsequently desires water, urgently administer Zhuling San. Giving water is also acceptable.
In Taiyang Wind Strike, using fire coercion to induce sweating causes evil wind to be subjected to intense heat. Blood and Qi flow chaotically, losing their normal rhythm. The two Yangs (wind and fire) scorch each other, causing jaundice. Yang excess leads to epistaxis; Yin deficiency leads to difficult urination. If both Yin and Yang are deficient and exhausted, the body becomes dry and withered. Only the head sweats, stopping at the neck. Abdominal fullness and slight panting occur. Dry mouth and rotten throat may appear. Constipation may ensue; prolonged cases lead to delirium. Severe cases result in hiccups, restless limbs, grasping at clothes and bed. If urination is free, the patient is treatable.
In Taiyang disease, if the physician induces sweating, leading to fever and aversion to cold, and then erroneously purges, epigastric fullness results, indicating deficiency in both exterior and interior. Both Yin and Yang Qi are exhausted. Without Yang, Yin stands alone. Adding fire needles causes irritability, greenish-yellow complexion, and skin lesions; such cases are difficult to treat. If the complexion is slightly yellow and hands and feet are warm, recovery is expected. In Shanghan (Cold Damage), adding warm needles inevitably causes fright. Floating Yang pulse and weak Yin pulse indicate blood deficiency; blood deficiency injures sinews. A sinking pulse indicates weak Ying Qi. A floating pulse with sweat dropping like beads indicates declining Wei Qi. Weak Ying Qi plus burning needles causes blood stasis, further fever, and irritability.
In Shanghan, with a floating pulse, if the physician uses fire to force sweating, causing Yang collapse, fright, mania, and restlessness, it belongs to Guizhi Qu Shaoyao Jia Shuqi Muli Longgu Jiuni Tang (Cinnamon Twig Decoction minus Peony plus Chinese Dodder Root, Oyster Shell, and Dragon Bone to Rescue from Collapse).
Question: After 15-16 days of illness, with jaundice, diarrhea, and manic running, the master diagnosed: "Purging blood resembling pig liver will resolve it." It happened as predicted. How was this known? Master said: The Cun Kou pulse shows floating Yang and soggy-weak Yin. Floating Yang indicates wind; soggy-weak Yin indicates blood shortage. Floating and empty indicates wind invasion; blood shortage with fever causes aversion to cold and shivering, stiff neck, and dizziness. The physician used fire moxibustion, forcing sweat, worsening aversion to cold. Guest heat arose from fire, steaming the skin, causing jaundice. Slight difficulty in urination, shortness of breath, and epistaxis occurred. The physician then purged, depleting Stomach fluids, causing persistent diarrhea. Heat stasis accumulated in the Bladder, forming masses resembling pig liver. If purging blood had not yet occurred, mental confusion and manic behavior resulted. Once blood stasis is removed, clarity returns. This is all due to medical error; mild cases recover, severe ones do not.
In Shanghan, if the pulse is not wiry-tight but weak, thirst will definitely occur; fire attack will cause delirium. Weak pulse with fever and floating pulse indicates resolution through sweating.
In Taiyang disease, fire fumigation without sweating causes irritability. If unresolved by the end of the cycle, bleeding from the rectum will occur.
In Yangming disease, fire attack with slight sweating on the forehead and dysuria leads to jaundice.
In Yangming disease, with floating-tight pulse, dry throat, bitter taste, abdominal fullness, panting, fever, sweating, aversion to cold absent but aversion to heat present, and heavy body, inducing sweating causes irritability, mental cloudiness, and delirium. Adding warm needles causes terror and restlessness preventing sleep.
In Shaoyin disease, cough with diarrhea and delirium is caused by fire coercion. Urination will be difficult due to forced sweating of Shaoyin.
On the second day of Taiyang disease, applying hot tiles to the back causes profuse sweating. Fire Qi enters the Stomach, causing dryness and delirium. After ten-plus days, chills followed by sweating indicate impending resolution. If sweating is absent below the waist, desire to urinate but inability, vomiting, urge to lose urine, aversion to wind on feet, and hard stool occur. If urination is frequent or excessive, and upon completion, sudden severe headache occurs, and soles of feet feel hot, it is due to Grain Qi flowing downward.