仲景曰。脉尺寸俱微缓者。厥阴受病也。当六七日发。以其脉循
阴器。络于肝。故烦满而囊缩。庞氏曰。脉微缓者。囊不缩。若外证发
热恶寒似疟。为欲愈。宜桂枝麻黄各半汤。若尺寸俱沉短者。囊必
缩。宜承气汤下之。雍曰。厥阴见沉短。短。命脉。下证未具。更宜详
下证中。下证全则可下。
又曰。三阴皆受病。已入于府。可下而已。雍曰。三阴可下。三阳
可汗。此言其大略也。阳之中自有可汗不可汗证。阴之中自有可下
不可下证。故阴阳之中。又当各详其可汗可下而施行之。
又曰。厥阴之为病。消渴。气上撞心。心中疼热。饥而不欲食。食
则吐蛔。下之。利不止。庞氏云。可乌梅丸。常氏以有余证。故曰可乌
梅丸、四逆汤。雍曰。无厥证者。不用四逆。消渴下利。饥不欲食。宜
理中汤。下利甚者。去白术。加附子。气上如奔豚者。茯苓桂枝甘草
大枣汤。吐蛔。服乌梅丸。兼理中丸。
又曰。厥阴中风。脉微浮为欲愈。不浮为未愈。
又曰。厥阴病欲解时。从丑至卯上。
又曰。厥阴病。渴欲饮水者。少少与之愈。
又曰。诸四逆厥者。不可下之。虚家亦然。常氏曰。可当归四逆
汤。
又曰。伤寒先厥。后发热而利者。必自止。见厥复利。常氏云。可
白头翁汤。雍曰。白头翁治热利。此当更审证冷热用之。
又曰。伤寒。始发热六日。厥反九日而利。凡厥利者。当不能食。
今反能食者。恐为除中。（一云消中）食以索饼。不发热者。知胃气尚
在。必愈。恐暴热来出而复去也。后三日脉之。其热续在者。期之旦
日夜半愈。所以然者。本发热六日。厥反九日。复发热三日。并前六
日。亦为九日。与厥相应。故期之旦日夜半愈。后三日脉之而脉数。
其热不罢者。此为热气有余。必发痈脓也。常氏曰。可服千金漏芦汤。
又曰。伤寒脉迟。六七日。而反与黄芩汤彻其热。脉迟为寒。今
与黄芩汤。复除其热。腹中应冷。当不能食。今反能食。此名除中。必
死。
又曰。伤寒先厥后发热。下利必自止。而反汗出。咽中痛者。其
喉为痹。发热无汗。而利必自止。若不止。必便脓血。便脓血者。其喉
不痹。常氏云。喉痹。可桔梗汤。便脓血。可桃花汤。
又曰。伤寒一二日。至四五日而厥者。必发热。前热者后必厥。
厥深者热亦深。厥微者热亦微。厥应下之。而反发汗者。必口伤烂
赤。雍曰。仲景言厥应下之者。谓有当下之厥而误汗也。非谓皆可下
也。故仲景又曰。诸四逆厥者。不可下。然厥病至于发痈疽。便脓血。
应下者。不必拘此。
又曰。伤寒病厥五日。热亦五日。设六日当复厥。不厥者自愈。
厥终不过五日。以热五日。故知自愈。庞氏续云。若六日厥者。必发
热愈甚。仍下利也。雍曰。此恐论中语。而诸书皆不见。若六日厥。则
知阳气有余。故知热愈甚也。
又曰。凡厥者。阴阳气不相顺接。便为厥。厥者。手足逆冷者是
也。庞氏曰。凡厥。通用四逆汤。谓其脉浮迟。或微。或细。或沉。皆属
里有寒也。雍曰。世之论厥者。皆不达其源。厥者。逆也。凡逆皆为
厥。伤寒所论。盖手足厥逆之一证也。凡阴阳正气偏胜而厥者。一寒
不复可热。一热不复可寒。伤寒之厥。非本阴阳偏胜。暂为毒瓦斯所苦
而然。毒瓦斯并于阴。则阴盛而阳衰。阴经不能容其毒。必溢于阳。故
为寒厥。毒瓦斯并于阳。则阳盛而阴衰。阳经不能容其毒。必溢于阴。
故为热厥。其手足逆冷。或有温时。手足虽逆冷。而手足掌心必暖。
庞氏谓非正厥。皆寒气之轻者也。故可消息汗下。或者以此便为热
厥。非也。热厥之热。与寒厥之寒一也。伤寒厥阴。止论寒厥。唯有轻
重之异。无热厥也。其谓寒热相胜复五日六日之言。谓发热五日复
寒。厥深重者。后发热亦深重。其寒厥轻微者。其后发热亦轻微。此
仲景论文本意。误读者谓手足寒厥深者。其内蓄热亦深。寒厥微者。
其内蓄热亦微。大非也。然则热厥之证何如。曰。手足如炭火炮烙。
或如入汤中是也。曰。伤寒有此证乎。曰。虽未之见。以理推之。阳毒
恐有此证。人见之。未悟其为热厥也。曰。寒热二厥之论。始于何时。
曰。始于素问。岐伯曰。阳气衰于下。则为寒厥。阴气衰于下。则为热
厥。故阳气胜。则足下热。阴气胜。则从五指至膝上寒也。曰。经又言
足如履冰。时如入汤中一证。岂寒热并厥乎。曰。此为风痹淫烁。阴
阳二经俱不足。邪气乘虚而入。舍于二经之间。往来寒热。正气不能
与之争。邪气日进。正气日衰。所以不出三年死。非厥也。
又问曰。厥病发痈脓。便脓血。何也。雍曰。毒瓦斯随三阴经走下。
不复可止。非发脓痈便脓血。则无自而出。故其毒下于表者。则发痈
脓。下于里者。则便脓血。以是知厥亦有可下逐之理。免发痈脓便脓
血也。便脓血则喉不痹者。以毒下也。应下之而反汗。则口伤烂赤
者。以毒下而复上也。曰。厥阴论寒厥。而此皆热厥。何也。素问曰。
人之伤于寒者。则为病热。寒极则生热。是为热厥也。
庞氏曰。手足厥冷。皆属厥阴。不可下。亦不可汗。有须下证者。
谓手足虽厥冷。或有温时。手足虽逆冷。而手足掌心必暖。非正厥
也。故可消息汗下。
庞氏又曰。寒热而厥。面色不泽。冒昧者。当用绵衣包手足令
暖温。必大汗而解。
庞氏曰。有不因大汗下。而两手忽无脉。谓之双伏。或一手无
脉。谓之单伏。或利止。如此必有正汗。急用四逆辈温之。得有汗便
安。脉终不出者死。
仲景曰。伤寒脉微而厥。至七八日。肤冷。其人躁无暂安时者。
此为脏厥。非蛔厥也。庞氏曰。四逆辈冷服之。常氏云。可当归四逆汤。
又曰。蛔厥者。其人当吐蛔。今病者静而复时烦。此为脏寒。蛔
上入膈。故烦。须臾复止。得食而呕又烦者。蛔闻食臭出。其人当自
吐蛔。蛔厥者。乌梅丸主之。又主久利。
又曰。伤寒热少厥微。指头寒。默默不欲食。烦躁数日。小便利色
白者。此热除也。（庞氏曰宜干姜甘草汤）欲得食。其病为愈。若厥而
呕。胸胁烦满者。其后必便血。雍曰。热不除而便血。可犀角地黄汤。
又曰。病者手足厥冷。言我不结胸。小腹满。按之痛者。此冷结
在膀胱关元也。庞云。宜灸关元。
又曰。伤寒发热四日。厥反三日。复热四日。厥少热多。其病当
愈。四日至七日。热不除者。必便脓血。常氏云。可桃花汤。
又曰。伤寒厥四日。热反三日。复厥五日。其病为进。寒多热少。
阳气退。故为进也。常氏云。可四逆汤。待其热退寒存。厥不复热。始
可用之。雍曰。寒多热少。便宜四逆汤少与之。
又曰。伤寒六七日。脉微。手足厥冷。烦躁。灸厥阴。厥不还者
死。常氏云。可灸太冲穴。
又曰。伤寒发热下利。厥逆。躁不得卧者死。
又曰。伤寒发热下利至甚。厥不止者死。
又曰。伤寒六七日。不利。便发热而利。其人汗出不止者死。有
阴无阳故也。雍曰。汗出不止者死。先服防风牡蛎汤以止汗。次服甘
草干姜汤以复其阳。得厥愈足温。更作芍药甘草汤以和之。
又曰。伤寒五六日。不结胸。腹濡。脉虚。复厥者。不可下。此亡
血。下之死。常氏云。可当归四逆汤、四逆加人参汤。
又曰。发热而厥。七日下利者。为难治。常氏云。四逆散。
又曰。伤寒脉促。手足厥逆。可灸之。常氏云。灸太冲穴。
又曰。伤寒脉滑而厥者。里有热也。白虎汤主之。
又曰。手足厥寒。脉细欲绝者。当归四逆汤主之。若其人内有久
寒者。宜当归四逆加吴茱萸生姜汤。
又曰。大汗出。热不去。内拘急。四肢疼。又下利厥逆而恶寒者。四逆汤主之。
又曰。大汗。若大下利而厥冷者。四逆汤主之。
又曰。病患手足厥冷。脉乍紧者。邪结在胸中。心下满而烦。饥
不能食者。病在胸中。当须吐之。宜瓜蒂散。
又曰。伤寒厥而心下悸者。宜先治水。当服茯苓甘草汤。却治其
厥。不尔。水渍入胃。必作利也。雍曰。治厥。四逆汤。
又曰。伤寒六七日。大下后。寸脉沉而迟。手足厥逆。下部脉不
至。咽喉不利。唾脓血。泄利不止者。为难治。麻黄升麻汤主之。雍
曰。服汤已。脉终不至。泄利不止。宜服通脉四逆汤。
又曰。伤寒四五日。腹中痛。若转气下趋少腹者。此欲自利也。
常氏云。可四逆汤散。
又曰。伤寒本自寒下。医复吐下之。寒格。更逆吐下。若食入口
即吐。干姜黄芩黄连人参汤主之。雍曰。窃疑此汤性寒。又干姜黄连
相反。若更呕吐者。当服当归四逆加茱萸生姜汤。及吴茱萸汤。
又曰。下利有微热而渴。脉弱者。令自愈。
又曰。下利脉数。有微热汗出。令自愈。设复紧。为未解。雍曰。
紧为有寒。须温之。宜四逆汤。
又曰。下利手足厥冷。无脉者。灸之不温。若脉不还。反微喘者
死。少阴负趺阳者。为顺也。常氏云。当灸气海关元二穴。庞氏云。凡
厥通用四逆汤。谓其脉浮迟。或微。或细。或沉。皆里有寒也。
又曰。下利。寸脉反浮数。尺中自涩者。必圊脓血。常氏云。可桃
花汤。
又曰。下利清谷。不可攻表。汗出必胀满。雍曰。宜通脉四逆汤。
又曰。下利。脉沉弦者。下重也。脉大者。为未止。脉微弱数者。
为欲自止。虽发热。不死。
又曰。下利脉沉而迟。其人面少赤。身有微热。下利清谷者。必
郁冒。汗出而解。病患必微厥。所以然者。其面戴阳。下虚故也。雍
曰。不解。宜通脉四逆汤少与之。其人下利清谷。里寒外热。正通脉
四逆证也。
又曰。下利。脉数而渴者。令自愈。设不瘥。必圊脓血。以有热故
也。常氏云。可黄芩汤。
又曰。下利后脉绝。手足厥冷。 时脉还。手足温者生。脉不还
者死。雍曰。宜通脉四逆汤。
又曰。伤寒下利。日十余行。脉反实者死。
又曰。下利清谷。里寒外热。汗出而厥者。通脉四逆汤主之。
又曰。热利下重者。白头翁汤主之。
又曰。下利欲饮水者。以有热故也。白头翁汤主之。
又曰。下利腹胀满。身体疼痛者。先温其里。乃攻其表。温里宜
四逆汤。攻表宜桂枝汤。
又曰。下利谵语者。有燥屎也。宜小承气汤。
又曰。下利后更烦。按之心下濡者。为虚烦也。宜栀子豉汤。
又曰。呕家有痈脓者。不可治呕。脓尽自愈。
又曰。呕而脉弱。小便复利。身有微热。见厥者难治。四逆汤主之。
又曰。干呕。吐涎沫。头痛者。吴茱萸汤主之。
又曰。呕而发热者。小柴胡汤主之。
又曰。伤寒大吐大下之。极虚。复极汗出者。以其人外气怫郁。
复与之水。以发其汗。因得哕。所以然者。胃中寒冷故也。常氏云。可
吴茱萸汤。
又曰。伤寒哕而腹满。视其前后。知何部不利。利之则愈。常氏
云。前部不利。猪苓汤。后部不利。调胃承气汤。雍曰。哕者胃中有
寒。不宜更服调胃承气汤。先宜服半夏生姜汤。腹满如故。后部不利
者。小承气汤微和之。
庞氏曰。三阳皆有合病。凡十四证。唯三阴无合病。
张仲景说：寸脉和尺脉都呈现微缓之象，这是厥阴经受邪所致。通常在发病后的第六或第七天出现症状。因为厥阴经脉循行经过生殖器，并联络肝脏，所以会出现心烦、胸胁胀满以及睾丸收缩的症状。庞安时认为：如果脉象微缓，则睾丸不会收缩；若伴有发热、恶寒等类似疟疾的外证，说明病情即将痊愈，适宜使用桂枝麻黄各半汤。如果寸脉和尺脉都呈现沉短之象，则睾丸必然收缩，适宜用承气汤攻下。郭雍认为：厥阴病见到沉短脉，短脉是生命元气衰微的征象，且下方的实证证据尚不充分，应当进一步详细审查下方的实证指征。只有当下方实证的证据完全具备时，才可以采用攻下法。
又说：三阴经都已受邪，且病邪已传入腑，可以采用攻下法治愈。郭雍认为：三阴病可用下法，三阳病可用汗法，这只是大概的原则。在三阳病中自有可以用汗法和不可以用汗法的证候，在三阴病中自有可以用下法和不可以用下法的证候。因此，在阴阳辨证之中，又应当详细辨别哪些情况适用汗法、哪些适用下法，然后施行治疗。
又说：厥阴病的典型症状包括：口渴多饮（消渴），气向上冲撞心脏，心中疼痛且有灼热感，感觉饥饿却不想进食，进食后则会吐出蛔虫。如果误用攻下法，会导致腹泻不止。庞安时说：可以使用乌梅丸。常器之以此为有余之证，所以说可以使用乌梅丸、四逆汤。郭雍认为：如果没有四肢厥冷的症状，就不使用四逆汤。对于消渴、腹泻、饥饿但不想吃的症状，适宜使用理中汤。如果腹泻严重，去掉白术，加入附子。如果感觉气上冲如奔豚状，使用茯苓桂枝甘草大枣汤。如果呕吐蛔虫，服用乌梅丸，同时配合理中丸。
又说：厥阴病中风，脉象微浮表示病情将要痊愈，脉不浮则表示尚未痊愈。
又说：厥阴病欲解的时间，是从丑时到卯时这段时间。
又说：厥阴病患者，如果感到口渴想喝水，少量给予饮水即可痊愈。
又说：凡是出现四逆厥冷的症状，不可使用攻下法。体质虚弱的人也是如此。常器之说：可以使用当归四逆汤。
又说：伤寒病先出现四肢厥冷，后来发热并且腹泻的，腹泻必然会自行停止。如果再次出现四肢厥冷，腹泻也会再次发作。常器之说：可以使用白头翁汤。郭雍认为：白头翁汤用于治疗热性腹泻，这里应当更仔细地审察证候的寒热性质后再使用。
又说：伤寒病，起初发热六天，四肢厥冷反而持续九天并伴有腹泻。凡是厥冷伴腹泻的患者，通常不能进食。现在反而能进食，恐怕是“除中”证（一种假象，即胃气将绝前的回光返照）。（另一种说法称为“消中”）。给患者吃面条（索饼），如果不发热，说明胃气尚存，疾病将会痊愈。但要担心突然出现的热象随即消失。三天后再诊察脉象，如果热度持续存在，预计第二天半夜会痊愈。之所以这样判断，是因为原本发热六天，厥冷九天，后来又发热三天，加上之前的六天，总共也是九天，与厥冷的天数相应，所以预计在第二天半夜痊愈。如果三天后再诊脉，脉象数而有力，热度不退，这是热气有余，必然会引发痈脓。常器之说：可以服用千金漏芦汤。
又说：伤寒脉迟，病程六七天，反而给予黄芩汤来清除其热。脉迟属于寒证，现在给予黄芩汤，又会去除体内的热量，腹中应该变冷，应当不能进食。现在反而能进食，这叫做“除中”，必定死亡。
又说：伤寒先出现四肢厥冷，后来发热，腹泻必会自行停止。但如果反而出现出汗，咽喉疼痛的，喉部会发生痹阻。如果发热无汗，腹泻必会自行停止。如果腹泻不停止，必然会排出脓血。排出脓血的人，喉部不会发生痹阻。常器之说：喉痹，可以使用桔梗汤。排出脓血，可以使用桃花汤。
又说：伤寒一二天，到了四五天才出现四肢厥冷的，必定会有发热。先前有发热的，后来必定会出现厥冷。厥冷严重的，内热也深重；厥冷轻微的，内热也轻微。厥冷证应当使用攻下法，如果反而使用发汗法，必定会导致口腔损伤、红肿溃烂。郭雍认为：张仲景说厥冷证应当攻下，是指那些本应攻下的厥冷证被误用了发汗法的情况。并不是说所有的厥冷证都可以攻下。所以张仲景又说：凡是四逆厥冷的症状，不可攻下。然而厥冷病发展到引发痈疽、排出脓血，本应攻下的情况，不必拘泥于这一条。
又说：伤寒病厥冷五天，发热也五天，如果第六天应当再次出现厥冷，而没有出现厥冷的，疾病会自愈。厥冷的时间不超过五天，以发热五天相抵，所以知道疾病会自愈。庞安时补充说：如果第六天出现厥冷，必定会发热更加严重，仍然伴有腹泻。郭雍认为：这恐怕是原文中的话语，但在其他书籍中未见记载。如果第六天出现厥冷，就知道阳气有余，所以知道发热会更加严重。
又说：凡是厥冷，都是由于阴阳之气不能顺利交接所致。所谓厥，就是手足逆冷的症状。庞安时说：凡是厥冷，通用四逆汤，认为其脉象浮迟，或微细，或沉，都属于里有寒证。郭雍认为：世上的医家论述厥冷，都没有通达其本源。厥，就是逆乱的意思。凡是气机逆乱都称为厥。张仲景在《伤寒论》中所论述的，不过是手足厥逆这一种证候罢了。凡是阴阳正气偏胜而导致的厥冷，一旦偏寒就不再可热，一旦偏热就不再可寒。伤寒所论述的厥冷，并非本源于阴阳偏胜，而是暂时被毒邪所困扰所致。毒邪并入阴经，则阴盛阳衰，阴经不能容纳毒邪，必然溢出到阳经，所以表现为寒厥。毒邪并入阳经，则阳盛阴衰，阳经不能容纳毒邪，必然溢出到阴经，所以表现为热厥。其手足逆冷，有时会有温暖的时候。虽然手足逆冷，但手心脚心必然是温暖的。庞安时认为这不是真正的厥冷，都是寒气较轻的表现。所以可以根据情况斟酌使用汗法或下法。有人因此就认为是热厥，这是不对的。热厥的热，与寒厥的寒是一样的。伤寒厥阴篇，只论述寒厥，只有轻重之分，没有热厥。其中关于寒热交替胜负五天的说法，是指发热五天后又变寒，厥冷深重的，后来发热也深重；寒厥轻微的，后来发热也轻微。这才是张仲景论文的本意。误读者认为手足寒厥深的，体内蓄积的热也深；寒厥轻微的，体内蓄积的热也轻微，这是大错特错的。那么热厥的证候是什么样的呢？回答说：手足像炭火烧烤一样，或者像进入汤水中一样烫手。问：伤寒有这样的证候吗？回答说：虽然没有见过，但从道理上推断，阳毒可能会有这样的证候。人们见到这种证候，未必能意识到它是热厥。问：寒厥和热厥的论述，始于何时？回答说：始于《素问》。岐伯说：阳气衰于下部，就会发生寒厥；阴气衰于下部，就会发生热厥。所以阳气胜，则足底发热；阴气胜，则从脚趾到膝盖以上寒冷。问：经文又说脚像踩在冰上，时而像进入汤水中一样的证候，难道是寒热两种厥冷并存吗？回答说：这是风痹淫邪烁伤，阴阳二经都不足，邪气乘虚而入，停留在两经之间，往来寒热，正气不能与之抗争，邪气日益进犯，正气日益衰弱，所以不出三年就会死亡。这并不是厥冷。
又问：厥冷病为什么会引发痈脓、排出脓血？郭雍回答：毒邪随着三阴经下行，无法停止。如果不通过发痈脓或排出脓血的方式排出，就没有出路。所以毒邪向下出于体表，就会引发痈脓；向下出于体内，就会排出脓血。由此可知，厥冷也有通过攻下法驱逐毒邪的道理，以免引发痈脓和排出脓血。排出脓血而喉部不发生痹阻的，是因为毒邪向下排出。本应攻下却反而发汗，导致口腔损伤红肿溃烂的，是因为毒邪向下后又向上逆行。问：厥阴篇论述的是寒厥，而这里说的都是热厥，为什么呢？《素问》说：人受到寒邪侵袭，就会生病发热。寒极则生热，这就叫做热厥。
庞安时说：手足厥冷，都属于厥阴经病变，不可攻下，也不可发汗。如果有必须攻下的证候，是指虽然手足厥冷，但有时会有温暖的时候；虽然手足逆冷，但手心脚心必然是温暖的。这不是真正的厥冷。所以可以根据情况斟酌使用汗法或下法。
庞安时又说：既有寒热症状又出现厥冷，面色无光泽，头昏目眩的，应当用绵衣包裹手足使其温暖，必定会大汗出而痊愈。
庞安时说：有不因大汗或大下，而两手突然摸不到脉搏的，叫做双伏脉；或者一手摸不到脉搏的，叫做单伏脉；或者腹泻停止。这种情况必定会有正汗（正常的汗出），急用四逆汤类方剂温补。得到汗出便平安。如果脉搏始终不出，就会死亡。
张仲景说：伤寒脉微而四肢厥冷，到了七八天，皮肤冰冷，其人烦躁没有片刻安宁的时候，这叫脏厥，不是蛔厥。庞安时说：四逆汤类方剂要冷服。常器之说：可以使用当归四逆汤。
又说：蛔厥病患者，通常会吐蛔虫。现在病人安静下来却又时不时心烦，这是因为内脏寒冷，蛔虫上行进入膈部，所以心烦。过了一会儿又停止。吃东西后呕吐又心烦的，是因为蛔虫闻到食物的气味而出动，这个人自然会吐出蛔虫。蛔厥病，用乌梅丸主治。乌梅丸也主治久泻久痢。
又说：伤寒热少厥微，仅手指头寒冷，沉默不想说话，不想吃东西，烦躁几天，小便通畅颜色白的，这是热邪已除。（庞安时说：适宜干姜甘草汤）想要吃东西，疾病就会痊愈。如果出现厥冷并呕吐，胸胁烦闷胀满的，其后必定会便血。郭雍认为：热邪未除而便血，可以使用犀角地黄汤。
又说：病人手足厥冷，说自己没有结胸证，小腹胀满，按压疼痛的，这是冷结在膀胱关元穴部位。庞安时说：适宜灸关元穴。
又说：伤寒发热四天，厥冷反而三天，后来又发热四天。厥冷少而发热多，疾病应当痊愈。从第四天到第七天，如果热度不退，必定会便脓血。常器之说：可以使用桃花汤。
又说：伤寒厥冷四天，发热反而三天，后来又厥冷五天。病情为进展。寒多热少，阳气衰退，所以病情进展。常器之说：可以使用四逆汤。等待其热退寒存，厥冷不再转热时，才开始可以使用。郭雍认为：寒多热少，适宜少量给予四逆汤。
又说：伤寒六七天，脉微，手足厥冷，烦躁，灸厥阴经穴位。如果厥冷不还复，就会死亡。常器之说：可以灸太冲穴。
又说：伤寒发热，腹泻，厥逆，躁动不得卧倒的，死亡。
又说：伤寒发热，腹泻非常严重，厥冷不止的，死亡。
又说：伤寒六七天，原本没有腹泻，突然发热并腹泻，其人汗出不止的，死亡。这是因为有阴无阳的缘故。郭雍认为：汗出不止的会死亡。先服用防风牡蛎汤以止汗，接着服用甘草干姜汤以恢复阳气。等到四肢厥冷痊愈、足部温暖后，再制作芍药甘草汤以调和阴阳。
又说：伤寒五六天，没有结胸证，腹部柔软，脉虚，再次出现厥冷的，不可攻下。这是亡血证，攻下会导致死亡。常器之说：可以使用当归四逆汤、四逆加人参汤。
又说：发热而厥冷，七天后出现腹泻的，为难治。常器之说：四逆散。
又说：伤寒脉促，手足厥逆，可以施灸。常器之说：灸太冲穴。
又说：伤寒脉滑而厥冷的，是里有热证。白虎汤主治。
又说：手足厥寒，脉细欲绝的，当归四逆汤主治。如果其人内有久寒的，适宜当归四逆加吴茱萸生姜汤。
又说：大汗出，热势不退，内部拘急，四肢疼痛，又伴有腹泻、厥冷且恶寒的，四逆汤主治。
又说：大汗，或者大腹泻而厥冷的，四逆汤主治。
又说：病患手足厥冷，脉象突然紧实的，邪气结聚在胸中，心下胀满而心烦，饥饿却不能进食的，病位在胸中，应当使用涌吐法。适宜瓜蒂散。
又说：伤寒厥冷且心下悸动的，适宜先治疗水饮。应当服用茯苓甘草汤，然后再治疗厥冷。否则，水气浸渍入胃，必定会引起腹泻。郭雍认为：治疗厥冷，用四逆汤。
又说：伤寒六七天，大下之后，寸脉沉而迟，手足厥逆，下部脉搏摸不到，咽喉不利，唾脓血，泄利不止的，为难治。麻黄升麻汤主治。郭雍认为：服药后，脉搏始终不出，泄利不止，适宜服用通脉四逆汤。
又说：伤寒四五天，腹中痛，如果有气向下走到小腹的，这是将要自发性腹泻。常器之说：可以使用四逆汤散。
又说：伤寒本来就有寒性腹泻，医生又误用吐下法。寒邪格拒，反而加重吐下。如果食物入口即吐，干姜黄芩黄连人参汤主治。郭雍认为：私下怀疑此汤药性寒凉，且干姜与黄连相反。如果再次呕吐，应当服用当归四逆加茱萸生姜汤，以及吴茱萸汤。
又说：腹泻伴有轻微发热且口渴，脉弱的，会让疾病自愈。
又说：腹泻脉数，有轻微发热出汗的，会让疾病自愈。如果脉再次变紧，为病未解。郭雍认为：紧脉表示有寒，需要温补。适宜四逆汤。
又说：腹泻手足厥冷，无脉的，施灸后不温暖。如果脉搏不还复，反而轻微喘息的，死亡。少阴脉弱于趺阳脉的，为顺证。常器之说：应当灸气海、关元二穴。庞安时说：凡是厥冷通用四逆汤，认为其脉象浮迟，或微细，或沉，都属于里有寒证。
又说：腹泻，寸脉反浮数，尺中自涩的，必定会排脓血。常器之说：可以使用桃花汤。
又说：腹泻完谷不化，不可攻表。发汗必定导致胀满。郭雍认为：适宜通脉四逆汤。
又说：腹泻，脉沉弦的，是里急后重。脉大的，为病未停止。脉微弱数的，为病将要自行停止。即使发热，也不会死亡。
又说：腹泻脉沉而迟，其人面部微微发红，身体有轻微发热，腹泻完谷不化的，必定会出现郁冒（头晕目眩如物蒙蔽），出汗后痊愈。病人必定会有轻微厥冷。之所以这样，是因为其人面戴阳（虚阳上浮），下焦虚寒的缘故。郭雍认为：如果不愈，适宜少量给予通脉四逆汤。其人腹泻完谷不化，里寒外热，正是通脉四逆汤的适应证。
又说：腹泻，脉数而口渴的，会让疾病自愈。如果不好转，必定会排脓血。因为有热邪的缘故。常器之说：可以使用黄芩汤。
又说：腹泻后脉绝，手足厥冷。偶尔脉搏还复，手足温暖的，生存。脉搏不还复的，死亡。郭雍认为：适宜通脉四逆汤。
又说：伤寒腹泻，一天十多次，脉反而实大的，死亡。
又说：腹泻完谷不化，里寒外热，出汗而厥冷的，通脉四逆汤主治。
又说：热性腹泻伴有里急后重的，白头翁汤主治。
又说：腹泻想喝水的，是因为有热邪的缘故。白头翁汤主治。
又说：腹泻腹胀满，身体疼痛的，先温补其里，再攻解其表。温里适宜四逆汤，攻表适宜桂枝汤。
又说：腹泻伴有谵语的，是有燥屎。适宜小承气汤。
又说：腹泻后更加心烦，按压心下柔软的，是虚烦。适宜栀子豉汤。
又说：呕吐家有痈脓的，不可治疗呕吐。脓尽后自愈。
又说：呕吐而脉弱，小便清长，身体有轻微发热，出现厥冷的难治。四逆汤主治。
又说：干呕，吐涎沫，头痛的，吴茱萸汤主治。
又说：呕吐而发热的，小柴胡汤主治。
又说：伤寒大吐大下之后，极度虚弱，又极度出汗的。因为此人外部气机怫郁，又给他喝水以发其汗，因而导致呃逆。之所以这样，是因为胃中寒冷的缘故。常器之说：可以使用吴茱萸汤。
又说：伤寒呃逆且腹部胀满，观察前后二便，知道哪一部分不通利，通利它就能痊愈。常器之说：前部（小便）不利，猪苓汤。后部（大便）不利，调胃承气汤。郭雍认为：呃逆是胃中有寒，不宜再服用调胃承气汤。先适宜服用半夏生姜汤。如果腹部胀满依旧，后部（大便）不利的，用小承气汤轻微调和。
庞安时说：三阳经都有合病，共十四种证候。唯独三阴经没有合病。
Zhang Zhongjing said: When both the Cun (inch) and Chi (cubit) pulses are faint and slow, it indicates that the Jueyin meridian is affected. Symptoms typically manifest on the sixth or seventh day of illness. Since the Jueyin meridian circulates through the genitalia and connects with the Liver, symptoms such as irritability, chest and hypochondriac fullness, and retraction of the scrotum occur. Pang Anshi stated: If the pulse is faint and slow, the scrotum will not retract. If external signs such as fever and aversion to cold resembling malaria appear, it indicates that the disease is about to resolve; Guizhi Mahuang Ge Ban Tang (Cinnamon Twig and Ephedra Half-Half Decoction) is appropriate. If both the Cun and Chi pulses are deep and short, the scrotum will definitely retract; Chengqi Tang (Gut-Draining Decoction) should be used to purge. Guo Yong stated: In Jueyin disease, a deep and short pulse indicates a decline in vital Qi, and the signs of excess below are not yet fully established. One must carefully examine the signs of excess below. Only when the signs for purging below are completely present should the purging method be employed.
It is also said: When all three Yin meridians are affected and the pathogen has entered the Fu organs, purging can cure the disease. Guo Yong stated: Purging is applicable to Three Yin diseases, and sweating is applicable to Three Yang diseases; this is a general principle. Within Three Yang diseases, there are conditions suitable and unsuitable for sweating; within Three Yin diseases, there are conditions suitable and unsuitable for purging. Therefore, in the differentiation of Yin and Yang, one must carefully determine which cases require sweating and which require purging before applying treatment.
It is also said: The typical manifestations of Jueyin disease include excessive thirst (Xiao Ke), sensation of Qi rushing up to strike the heart, pain and burning heat in the heart, hunger without desire to eat, and vomiting of roundworms after eating. If purged inappropriately, diarrhea will persist uncontrollably. Pang Anshi said: Wumei Wan (Mume Pill) can be used. Chang Qizi considered this an excess condition, stating that Wumei Wan and Sini Tang (Recovery from Cold Extremities Decoction) could be used. Guo Yong stated: If there are no signs of cold extremities, Sini Tang should not be used. For symptoms of excessive thirst, diarrhea, hunger without desire to eat, Lizhong Tang (Regulate the Middle Decoction) is appropriate. If diarrhea is severe, remove Baizhu (Atractylodis Macrocephalae Rhizoma) and add Fuzi (Aconiti Lateralis Radix Praeparata). If the sensation of Qi rushing upward resembles Ben Tun (Roving Piglet), Fuling Guizhi Gancao Dazao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) should be used. For vomiting roundworms, take Wumei Wan combined with Lizhong Wan.
It is also said: In Jueyin wind-strike, a slightly floating pulse indicates impending recovery; a non-floating pulse indicates incomplete recovery.
It is also said: The time when Jueyin disease tends to resolve is from Chou hour to Mao hour (1:00 AM – 7:00 AM).
It is also said: In Jueyin disease, if the patient desires water and drinks it in small amounts, they will recover.
It is also said: In all cases of Sini cold extremities, purging is contraindicated. This also applies to patients with deficiency constitutions. Chang Qizi said: Danggui Sini Tang (Angelica Sinensis Recovery from Cold Extremities Decoction) can be used.
It is also said: In Shanghan (Cold Damage), if cold extremities appear first, followed by fever and diarrhea, the diarrhea will stop spontaneously. If cold extremities recur, diarrhea will resume. Chang Qizi said: Baitouweng Tang (Pulsatilla Decoction) can be used. Guo Yong stated: Baitouweng Tang treats heat-type diarrhea; here, one must carefully assess the cold-heat nature of the syndrome before use.
It is also said: In Shanghan, initial fever lasts six days, while cold extremities last nine days accompanied by diarrhea. Generally, those with cold extremities and diarrhea cannot eat. If the patient can now eat, it may indicate Chu Zhong (Elimination of the Middle), a false sign of recovering stomach Qi before its exhaustion. (Another term is Xiao Zhong). Feeding the patient Suobing (noodles/wheat cakes); if no fever ensues, it indicates that Stomach Qi remains, and recovery is likely. However, one must fear a sudden burst of heat that quickly disappears. After three days, if the pulse is taken and the heat persists, recovery is expected at midnight of the following day. This is because the initial six days of fever plus the subsequent three days of fever total nine days, matching the nine days of cold extremities, thus indicating balance. If the pulse is taken after three days and shows rapidity with persistent heat, this indicates excess heat, which will likely lead to carbuncles and pus. Chang Qizi said: Qianjin Loulu Tang (Thousand-Gold Rhinanthus Decoction) can be taken.
It is also said: In Shanghan with a slow pulse lasting six or seven days, if Huangqin Tang (Scutellaria Decoction) is incorrectly administered to clear heat, the abdomen should become cold and the patient unable to eat due to the cold nature of the pulse. If the patient can now eat, this is called Chu Zhong, and death is certain.
It is also said: In Shanghan, if cold extremities appear first followed by fever, diarrhea will stop. However, if sweating occurs instead, causing throat pain, Bi obstruction of the throat will result. If there is fever without sweating, diarrhea will stop; if it does not stop, pus and blood in stool will occur. Those with pus and blood in stool will not have throat Bi. Chang Qizi said: For throat Bi, Jiegeng Tang (Platycodon Decoction) can be used. For pus and blood in stool, Taohua Tang (Peach Kernel Decoction) can be used.
It is also said: In Shanghan, if cold extremities appear on the fourth or fifth day, fever will follow. Previous fever leads to subsequent cold extremities. Severe cold extremities indicate deep internal heat; mild cold extremities indicate mild internal heat. Cold extremities should be treated with purging; if sweating is mistakenly used, oral ulcers and redness will occur. Guo Yong stated: Zhang Zhongjing’s statement that cold extremities should be purged refers to cases where purging was indicated but sweating was mistakenly used. It does not mean all cold extremities can be purged. Hence, Zhang Zhongjing also said: All cases of Sini cold extremities are not suitable for purging. However, if cold extremities progress to carbuncles or pus/blood in stool requiring purging, this rule need not be rigidly adhered to.
It is also said: In Shanghan, if cold extremities last five days and fever lasts five days, and if on the sixth day cold extremities do not return, the disease will heal spontaneously. Cold extremities do not exceed five days; balanced by five days of fever, healing is known. Pang Anshi added: If cold extremities appear on the sixth day, fever will be more severe, accompanied by persistent diarrhea. Guo Yong stated: This might be an original textual remark not found in other books. If cold extremities appear on the sixth day, it indicates excess Yang, hence more severe fever.
It is also said: All cold extremities result from the failure of Yin and Yang Qi to connect smoothly. "Jue" refers to cold extremities. Pang Anshi said: For all cold extremities, Sini Tang is generally used, assuming the pulse is floating-slow, faint, fine, or deep, indicating interior cold. Guo Yong stated: Scholars discussing cold extremities often miss the root. "Jue" means reversal. Any reversal is called Jue. Zhang Zhongjing’s discussion covers only hand-foot cold extremities. When Yin-Yang righteous Qi is imbalanced leading to cold extremities, once cold, it cannot be heated; once hot, it cannot be cooled. Shanghan cold extremities are not due to inherent Yin-Yang imbalance but temporary toxicity. Toxicity merging into Yin causes Yin excess and Yang decline; Yin meridians cannot contain the toxin, spilling into Yang, causing Cold Jue. Toxicity merging into Yang causes Yang excess and Yin decline; Yang meridians cannot contain the toxin, spilling into Yin, causing Heat Jue. Hand-foot cold extremities may have warm periods; palms and soles remain warm. Pang Anshi considered this not true Jue but mild cold qi, allowing for斟酌 sweating or purging. Some mistake this for Heat Jue, which is incorrect. Heat Jue heat and Cold Jue cold are similar in nature. The Jueyin chapter discusses only Cold Jue, varying only in severity, not Heat Jue. The discussion of alternating cold/heat over five/six days refers to: after five days of fever turning cold, severe cold extremities lead to severe subsequent fever; mild cold extremities lead to mild subsequent fever. This is Zhang Zhongjing’s intent. Misreadings suggest deep cold extremities imply deep internal heat, which is wrong. What is Heat Jue? Hands and feet feel like charcoal fire or immersion in boiling water. Does Shanghan have this? Unseen, but logically, Yang Du (Yang Toxin) might cause it. People may not recognize it as Heat Jue. When did the theory of Cold/Heat Jue begin? With Suwen. Qibo said: Yang Qi deficiency below causes Cold Jue; Yin Qi deficiency below causes Heat Jue. Thus, Yang excess causes hot soles; Yin excess causes coldness from toes to knees. Regarding "feet like ice, sometimes like entering soup," is this mixed Jue? No, this is Feng Bi (Wind Bi) damaging Yin-Yang meridians, allowing evil to enter between them, causing alternating chills and fever. Righteous Qi cannot fight, evil advances, righteousness declines, leading to death within three years. This is not Jue.
Question: Why does Jue disease lead to carbuncles/pus or pus/blood in stool? Answer: Toxins travel down the Three Yin meridians and cannot stop. They exit via carbuncles/pus or pus/blood. Toxins exiting outward cause carbuncles; toxins exiting inward cause pus/blood in stool. Thus, purging can expel toxins from Jue, preventing these outcomes. Pus/blood in stool without throat Bi indicates downward expulsion of toxins. Purging indicated but sweating used causes oral damage because toxins move down then up. Question: Why does Jueyin discuss Cold Jue but here Heat Jue? Answer: Suwen says cold injury causes heat. Extreme cold generates heat, called Heat Jue.
Pang Anshi said: Hand-foot cold extremities belong to Jueyin, not suitable for purging or sweating. If purging is necessary, it refers to cases where extremities are cold but occasionally warm, and palms/soles are warm. This is not true Jue, allowing for斟酌 sweating or purging.
Pang Anshi also said: For cold/heat with cold extremities, dull complexion, and dizziness, wrap hands/feet in cotton to warm them; profuse sweating will resolve the condition.
Pang Anshi said: Without massive sweating or purging, if both wrists lack a pulse, it is called Shuang Fu (Double Hidden); if one wrist lacks a pulse, it is Dan Fu (Single Hidden); or if diarrhea stops. In such cases, normal sweating must occur urgently; use Sini Tang category to warm. Sweating brings safety. If pulse never returns, death ensues.
Zhang Zhongjing said: In Shanghan, faint pulse with cold extremities, progressing to day seven or eight with cold skin and constant restlessness is Zang Jue (Organ Cold Extremities), not Hui Jue (Roundworm Cold Extremities). Pang Anshi said: Take Sini Tang category cold. Chang Qizi said: Danggui Sini Tang can be used.
It is also said: In Hui Jue, the patient vomits roundworms. The patient is quiet but intermittently irritable due to cold organs causing roundworms to ascend to the Diaphragm. Irritability stops briefly. Eating causes vomiting and irritability as roundworms smell food and emerge. The patient will vomit roundworms. Hui Jue is treated with Wumei Wan, which also treats chronic diarrhea.
It is also said: In Shanghan with slight heat and mild cold extremities (cold fingertips), silence, anorexia, and irritability for several days, if urination is clear and abundant, heat is removed. (Pang Anshi: Ganjiang Gancao Tang [Dried Ginger and Licorice Decoction] is appropriate). Desire to eat indicates recovery. If cold extremities with vomiting and chest/hypochondriac fullness occur, blood in stool will follow later. Guo Yong stated: If heat persists and blood in stool occurs, Xijiao Dihuang Tang [Rhino Horn and Rehmannia Decoction] can be used.
It is also said: If the patient has cold extremities, denies Jie Xiong (Chest Binding), but has lower abdominal fullness and tenderness upon pressure, this is Cold Binding at Bladder Guan Yuan point. Pang Anshi said: Moxibustion on Guan Yuan is appropriate.
It is also said: In Shanghan, fever for four days, cold extremities for three days, then fever for four days again. Less cold, more heat implies recovery. If heat persists from day four to seven, pus/blood in stool will occur. Chang Qizi said: Taohua Tang can be used.
It is also said: In Shanghan, cold extremities for four days, fever for three days, then cold extremities for five days. Disease progresses due to more cold, less heat, and declining Yang. Chang Qizi said: Sini Tang can be used. Wait until heat recedes and cold remains, and cold extremities do not turn hot, then use it. Guo Yong stated: With more cold and less heat, give Sini Tang in small doses.
It is also said: In Shanghan on day six or seven, with faint pulse, cold extremities, and irritability, moxa Jueyin points. If cold extremities do not return, death ensues. Chang Qizi said: Moxa Taichong point.
It is also said: In Shanghan with fever, diarrhea, cold extremities, and restlessness preventing lying down, death ensues.
It is also said: In Shanghan with severe fever, severe diarrhea, and unrelenting cold extremities, death ensues.
It is also said: In Shanghan on day six or seven, if previously no diarrhea, sudden fever with diarrhea and unremitting sweating indicates death due to Yin without Yang. Guo Yong stated: Unremitting sweating leads to death. First take Fangfeng Muli Tang [Saposhnikovia and Oyster Shell Decoction] to stop sweat, then Gancao Ganjiang Tang [Licorice and Dried Ginger Decoction] to restore Yang. Once extremities warm, make Shaoyao Gancao Tang [Peony and Licorice Decoction] to harmonize.
It is also said: In Shanghan on day five or six, no Jie Xiong, soft abdomen, deficient pulse, and recurrent cold extremities indicate Blood Loss; purging is contraindicated as it leads to death. Chang Qizi said: Danggui Sini Tang or Sini Jia Renshen Tang [Sini Decoction with Ginseng] can be used.
It is also said: Fever with cold extremities, followed by diarrhea on day seven, is difficult to treat. Chang Qizi said: Sini San [Recovery from Cold Extremities Powder].
It is also said: In Shanghan with rapid pulse and cold extremities, moxibustion is appropriate. Chang Qizi said: Moxa Taichong point.
It is also said: In Shanghan with slippery pulse and cold extremities, there is interior heat. Baihu Tang [White Tiger Decoction] treats it.
It is also said: Cold extremities with fine, nearly imperceptible pulse are treated with Danggui Sini Tang. If interior chronic cold exists, Danggui Sini Jia Wuzhuyu Shengjiang Tang [Angelica Sinensis Recovery from Cold Extremities Decoction with Evodia and Fresh Ginger] is appropriate.
It is also said: Massive sweating with persistent heat, internal cramping, limb pain, diarrhea, cold extremities, and aversion to cold are treated with Sini Tang.
It is also said: Massive sweating or severe diarrhea with cold extremities are treated with Sini Tang.
It is also said: If a patient has cold extremities and a suddenly tight pulse, evil is bound in the Chest. Fullness and irritability below the heart, hunger without ability to eat, indicate pathology in the Chest. Emesis is required using Gouti San [Melon Seed Powder].
It is also said: In Shanghan with cold extremities and palpitations below the heart, treat water retention first with Fuling Gancao Tang [Poria and Licorice Decoction], then treat cold extremities. Otherwise, water infiltrates the Stomach causing diarrhea. Guo Yong stated: For treating cold extremities, use Sini Tang.
It is also said: In Shanghan on day six or seven after severe purging, if Cun pulse is deep and slow, cold extremities occur, lower pulses are absent, throat is obstructed, expectoration of pus/blood occurs, and diarrhea is unceasing, it is difficult to treat. Mahuang Shengma Tang [Ephedra and Cyathula Decoction] treats it. Guo Yong stated: If after taking the decoction the pulse remains absent and diarrhea unceasing, Tongmai Sini Tang [Pulse-Recovering Sini Decoction] is appropriate.
It is also said: In Shanghan on day four or five, abdominal pain with gas moving toward the lower abdomen indicates impending spontaneous diarrhea. Chang Qizi said: Sini Tang San [Powder] can be used.
It is also said: In Shanghan with pre-existing cold diarrhea, if the doctor mistakenly uses emesis or purging, cold rejection occurs, worsening vomiting/diarrhea. If food is vomited immediately upon entry, Ganjiang Huangqin Huanglian Renshen Tang [Dried Ginger, Scutellaria, Coptis, and Ginseng Decoction] treats it. Guo Yong stated: Suspect this decoction is cold-natured and Ganjiang/Huanglian are contrary. If vomiting recurs, take Danggui Sini Jia Zhuyu Shengjiang Tang or Wuzhuyu Tang [Evodia Decoction].
It is also said: Diarrhea with slight fever and thirst, weak pulse, indicates self-healing.
It is also said: Diarrhea with rapid pulse, slight fever, and sweating indicates self-healing. If pulse becomes tight again, the disease is unresolved. Guo Yong stated: Tight pulse indicates cold, requiring warming with Sini Tang.
It is also said: Diarrhea with cold extremities and absent pulse, unresponsive to moxibustion warmth, with returning pulse but slight panting, indicates death. If Shaoyin pulse is weaker than Duyang pulse, it is favorable. Chang Qizi said: Moxa Qihai and Guan Yuan points. Pang Anshi said: All cold extremities use Sini Tang, assuming floating-slow, faint, fine, or deep pulses indicating interior cold.
It is also said: Diarrhea with Cun pulse floating-rapid and Chi pulse choppy indicates pus/blood in stool. Chang Qizi said: Taohua Tang can be used.
It is also said: Diarrhea with undigested food contraindicates exterior attack. Sweating will cause abdominal fullness. Guo Yong stated: Tongmai Sini Tang is appropriate.
It is also said: Diarrhea with deep-chord pulse indicates tenesmus. Large pulse indicates disease continues. Weak-rapid pulse indicates impending cessation. Even with fever, death is avoided.
It is also said: Diarrhea with deep-slow pulse, slight facial redness, slight body heat, and undigested food indicates Yu Mao (depression/dizziness), resolving with sweating. Patients have slight cold extremities due to Dai Yang (floating Yang) and lower deficiency. Guo Yong stated: If unresolved, give Tongmai Sini Tang in small doses. Undigested food, interior cold/exterior heat is exactly Tongmai Sini Tang indication.
It is also said: Diarrhea with rapid pulse and thirst indicates self-healing. If not healed, pus/blood in stool occurs due to heat. Chang Qizi said: Huangqin Tang can be used.
It is also said: After diarrhea, if pulse vanishes and extremities are cold, but pulse returns and extremities warm, survival is possible. If pulse does not return, death ensues. Guo Yong stated: Tongmai Sini Tang is appropriate.
It is also said: In Shanghan diarrhea occurring ten-plus times daily, if pulse becomes unexpectedly strong/excess, death ensues.
It is also said: Diarrhea with undigested food, interior cold/exterior heat, sweating, and cold extremities are treated with Tongmai Sini Tang.
It is also said: Heat diarrhea with tenesmus is treated with Baitouweng Tang.
It is also said: Diarrhea with desire to drink water indicates heat; Baitouweng Tang treats it.
It is also said: Diarrhea with abdominal fullness and body pain requires warming the interior first, then attacking the exterior. Warm interior with Sini Tang; attack exterior with Guizhi Tang [Cinnamon Twig Decoction].
It is also said: Diarrhea with delirium indicates dry feces; Xiao Chengqi Tang [Minor Gut-Draining Decoction] is appropriate.
It is also said: Increased irritability after diarrhea with soft epigastrium indicates empty irritability; Zhizi Chi Tang [Gardenia and Fermented Soybean Decoction] is appropriate.
It is also said: Vomiting with carbuncle pus should not be treated for vomiting; healing occurs when pus is exhausted.
It is also said: Vomiting with weak pulse, clear urination, slight body heat, and cold extremities is difficult to treat; Sini Tang treats it.
It is also said: Dry heaving, salivation, and headache are treated with Wuzhuyu Tang.
It is also said: Vomiting with fever is treated with Xiaochaihu Tang [Minor Bupleurum Decoction].
It is also said: After massive emesis/purging in Shanghan causing extreme deficiency and massive sweating, if water is given to induce sweating due to exterior Qi stagnation, hiccups result due to cold Stomach. Chang Qizi said: Wuzhuyu Tang can be used.
It is also said: In Shanghan with hiccups and abdominal fullness, check anterior/posterior obstructions; relieving the obstruction cures it. Chang Qizi said: Anterior (urine) obstruction uses Zhuling Tang [Polyporus Decoction]; posterior (stool) obstruction uses Tiaowei Chengqi Tang [Regulate-Stomach Gut-Draining Decoction]. Guo Yong stated: Hiccups indicate Stomach cold; Tiaowei Chengqi Tang is unsuitable. First use Banxia Shengjiang Tang [Pinellia and Fresh Ginger Decoction]. If fullness persists and posterior obstruction exists, use Xiao Chengqi Tang mildly.
Pang Anshi said: Three Yang meridians have He Bing (Combined Diseases), totaling fourteen syndromes. Three Yin meridians have no He Bing.