伤寒病,其人或未发汗吐下,或经服药以后,而脉洪大实数,腹内胀满,小便赤黄,大
便难,或烦或渴,面色变赤,此为腑脏有结热故也。
伤寒病,其人先苦身热,嗌干而渴,饮水即心下满,洒淅身热,不得汗,恶风,时咳逆
者,此肺热也。若其人先苦身热嗌干,而小腹绕脐痛,腹下满,狂言默默,恶风欲呕者,此
肝热也。若其人行若手掌心热,烦心欲呕,身热心下满,口干不能多饮,目黄,汗不出,欲
得寒水,时妄笑者,此心热也。若其人先苦身热,四肢不举,足胫寒,腹满欲呕而泄,恶闻
食臭者,此脾热也。若其人先苦嗌干,内热连足胫,腹满大便难,小便赤黄,腰脊痛者,此
肾热也。
阳明病,无汗,小便不利,心中懊 ,必发黄。若被火,额上微汗出,而但小便不
利,亦发黄。其人状,变黄如橘色,或如桃枝色,腹微满,此由寒湿气不散,瘀热在于脾胃
故也。
此由其人先患冷癖,因发热病,服冷药及饮冷水,结在心下,此为脏虚动于旧癖故也。
或吐下以后,病不解,内外有热,故心腹胀满痛,此为有实也。
此谓被下后,六七日不大便,烦热不解,腹满而痛,此为胃内有干粪,挟宿食故也。或
先患寒癖,因有宿食,又感于伤寒,热气相搏,故宿食不消。
伤寒,阳脉微,而汗出少,为自和,汗出多为太过。阳明脉实,因发其汗,汗出多者,
亦为太过。太过者,阳气绝于里,阳气绝于里则津液竭,热结在内,故大便牢而不通也。
In Shaoyang disease (Taiyang disease), some patients have not yet undergone sweating, vomiting, or purging therapies, while others have already taken medicine. They present with a pulse that is surging, firm, and rapid; abdominal distension and fullness; dark yellow urine; difficult defecation; irritability and thirst; and a reddish complexion. This is due to the accumulation of heat in the fu and zang organs.
In Shaoyang disease (Taiyang disease), if a patient previously suffered from fever, dry throat, and thirst, but drinking water immediately causes fullness below the heart, chills and fever (shivering), inability to sweat, aversion to wind, and occasional coughing with rebellious qi, this indicates Lung Heat. If a patient previously suffered from fever and dry throat, accompanied by pain around the umbilicus in the lower abdomen, lower abdominal fullness, delirium alternating with silence, aversion to wind, and nausea, this indicates Liver Heat. If a patient has hot palms when walking, mental restlessness and nausea, fever with epigastric fullness, dry mouth unable to tolerate large amounts of water, yellow eyes, absence of sweat, desire for cold water, and occasional inappropriate laughter, this indicates Heart Heat. If a patient previously suffered from fever, inability to move the four limbs, cold calves, abdominal fullness with nausea and diarrhea, and aversion to the smell of food, this indicates Spleen Heat. If a patient previously suffered from dry throat, internal heat extending to the calves, abdominal fullness, difficult defecation, dark yellow urine, and pain in the waist and spine, this indicates Kidney Heat.
In Yangming disease, with no sweat and inadequate urination, mental restlessness and vexation will inevitably lead to jaundice. If treated with fire therapy, resulting in slight sweating only on the forehead but still inadequate urination, jaundice will also occur. The patient's skin turns yellow like an orange or peach branch color, with slight abdominal fullness. This is caused by the failure of cold-dampness to dissipate and stagnant heat residing in the Spleen and Stomach.
This occurs because the patient previously suffered from cold accumulations (cold pi). Due to a febrile disease, they took cold medicines and drank cold water, causing stagnation below the heart. This is because the deficiency of the zang organs agitates the old accumulation. Alternatively, after vomiting or purging, if the disease does not resolve, and there is heat inside and outside, it results in abdominal distension, fullness, and pain, indicating an excess condition.
This refers to the situation where, after being subjected to purging, there is no bowel movement for six or seven days, unresolved irritability and fever, and abdominal distension with pain. This is due to dry feces in the Stomach/intestines mixed with retained food. Or, if the patient previously had cold accumulations and retained food, and then contracted Shaoyang disease (Taiyang disease), the heat qi battles with the retention, causing the retained food to fail to digest.
In Shaoyang disease (Taiyang disease), if the yang pulse is slightly weak and sweating is scanty, it indicates self-harmonization; however, excessive sweating indicates excessiveness. In Yangming disease, if the pulse is excess and sweating is induced, excessive sweating also indicates excessiveness. "Excessiveness" means the destruction of yang qi internally. When yang qi is destroyed internally, body fluids are exhausted, and heat becomes bound within, leading to hard and unpassable stools.