温病是冬时严寒,人有触冒之,寒气入肌肉,当时不即发,至春得暖气而发,则头痛壮
热,谓之温病。又冬时应寒而反温,其气伤人,即发成病,谓之冬温病,并皆头痛壮热。凡
温热之病,四五日之后,热入里,内热腹满者,宜下之。若热未入里,而下之早者,里虚气
逆,热结胸上,则胸痞满短气,谓之结胸也。
斑毒之病,是热气入胃,而胃主肌肉,其热挟毒,蕴积于胃,毒瓦斯熏发于肌肉。状如蚊
蚤所啮,赤斑起,周匝遍体。此病或者伤寒,或时气,或温病,皆由热不时歇,故热入胃,
变成毒,乃发斑也。凡发赤斑者,十生一死,黑者,十死一生。
黄病者,是热入脾胃,热气蕴积,与谷气相搏,蒸发于外,故皮肤悉黄,眼亦黄。脾与
胃合,俱象土,候肌肉,其色黄,故脾胃内热积蒸发,令肌肤黄。此或者伤寒,或时行,或
温病,皆由热不时解,所以入胃也。
凡发黄而下利、心腹满者,死。诊其脉沉细者,死。
又有百日半岁小儿,非关伤寒、温病,而身微黄者,亦是胃热,慎不可灸也。灸之则热
甚。此是将息过度所为,微薄其衣,数与除热粉散,粉之自歇,不得妄与汤药及灸也。
黄胆之病,由脾胃气实,而外有温气乘之,变生热。脾与胃合,候肌肉,俱象土,其色
黄。胃为水谷之海,热搏水谷气,蕴积成黄。蒸发于外,身疼膊背强,大小便涩,皮肤
、面目、齿爪皆黄,小便如屋尘色,着物皆黄是也。小便宣利者,易治;若心腹满,小便涩
者,多难治也。不渴者易治,渴者难治。脉沉细而腹满者,死也。
Warm disease (Wen Bing) arises when, during the winter season of severe cold, a person is exposed to and contracts cold pathogenic factors. The cold qi enters the muscles but does not manifest immediately. When spring arrives and warmth prevails, the disease erupts, presenting with headache and high fever; this is termed Warm disease. Additionally, if winter should be cold but instead becomes warm, this abnormal climate injures the human body, causing immediate onset of illness, known as Winter-warm disease (Dong Wen). Both conditions present with headache and high fever. Generally, for warm-heat diseases, after four or five days, if the heat penetrates inward, resulting in internal heat and abdominal fullness, purgation (Xia Fa) is indicated. If the heat has not yet entered the interior and purgation is applied prematurely, it causes deficiency in the interior and rebellious Qi. The heat then knots in the chest region, leading to chest oppression, fullness, and shortness of breath; this is termed Jie Xiong (Chest Binding).
Ban Du (Plague-toxin disease) occurs when heat enters the Stomach. Since the Stomach governs the muscles, the heat carries toxin, which accumulates and stagnates within the Stomach. The toxic vapors fumigate and erupt into the muscles. The presentation resembles bites from mosquitoes or fleas, with red macules rising and covering the entire body circumference. This disease may originate from Cold Damage (Shang Han), seasonal epidemic Qi, or Warm disease. All result from persistent heat that does not cease, allowing heat to enter the Stomach, transform into toxin, and subsequently manifest as macules. For those developing red macules, nine out of ten survive and one dies; for black macules, one out of ten survives and nine die.
Huang Bing (Jaundice/Yellow Disease) occurs when heat enters the Spleen and Stomach. The heat qi accumulates and stagnates, battling with the Qi of food and grain, evaporating outward. Consequently, the skin becomes entirely yellow, and the eyes also turn yellow. The Spleen and Stomach are exterior-interior paired, both symbolizing Earth, governing the muscles, and corresponding to the color yellow. Thus, internal heat accumulation and evaporation in the Spleen and Stomach cause the skin and muscles to become yellow. This condition may stem from Cold Damage, seasonal epidemics, or Warm disease, all due to heat failing to resolve over time, thereby entering the Stomach.
If yellowing is accompanied by diarrhea and abdominal fullness, the prognosis is fatal. If the pulse is deep and fine, the prognosis is fatal.
Infants aged between 100 days and half a year who exhibit slight yellowing of the body, unrelated to Cold Damage or Warm disease, also suffer from Stomach heat. Moxibustion must strictly be avoided. Applying moxibustion will exacerbate the heat. This condition results from improper nursing care. One should reduce clothing layers and frequently apply cooling powder dispersants. Once the powder is applied, the heat will subside naturally. Do not arbitrarily administer decoctions or perform moxibustion.
Huang Dan (Jaundice) arises from excess Qi in the Spleen and Stomach, compounded by external warm pathogens invading and transforming into heat. The Spleen and Stomach are exterior-interior paired, governing the muscles, symbolizing Earth, and corresponding to the color yellow. The Stomach is the sea of water and grain. Heat battles with the Qi of water and grain, accumulating and stagnating to form jaundice. Evaporating outward, it causes body pain, stiffness in the shoulders and back, and difficulty in urination and defecation. The skin, face, eyes, teeth, and nails all turn yellow. The urine resembles the color of house dust, staining clothes yellow. If urination is smooth and free, the disease is easy to treat; if there is abdominal fullness and difficult urination, it is difficult to treat. If there is no thirst, it is easy to treat; if there is thirst, it is difficult to treat. A deep, fine pulse accompanied by abdominal fullness indicates a fatal prognosis.