凡男子阳易,妇人阴易者,病新瘥而动淫欲也。其候身重气乏,小腹绞痛,头不能举,足不能
行,四肢拘急,百节解散,眼中生花,手足拳挛,其脉离经,皆不可治。或荣卫精髓竭,翕翕少气,
手足不能举者而死。吁,外伤六气,内伤七情,其为害若是耶。烧 散、 鼠屎汤、竹皮汤、干姜
汤、青竹茹汤、当归白术汤宜选用之。
阴阳交者,温病不得发汗,汗之复生大热,狂言不食,其脉燥疾是也,皆不治。若脉浮数,表
证尤在,可再汗之。若脉沉实,则为胃实,又从汗下之。后复热者,同此法。再汗用桂枝汤,再下
用承气汤。
怫郁者,阳气蒸越,形于头面体肤之间,聚赤而不散。其证则有异焉∶大便硬
而气短者,实也;汗下后而得哕者,虚也。当详究之。
太阳初得病,发汗不彻,并于阳明,续自微汗出,面色赤者,阳气怫郁也,解肌汤;或汗久不
彻,其脉浮紧,与麻黄汤。
小便不利,时有微热,大便乍难,怫郁不得卧,此燥屎里实也,承气汤主之。
汗下后虚热,又复下之,其人怫郁,复与之水,因而成哕。此胃中寒也,桂枝人参汤加茯苓。
螈 者, 则急而缩, 则缓而伸。热则生风,风主动,故筋脉相引而伸缩。伤寒至于螈 ,
可谓危矣,能以祛风荡热之剂减其大势,间有可治者。治法与 同。
凡是男子患阳易、妇人患阴易的情况,都是因为在病刚刚痊愈时就进行房事所致。其症状表现为身体沉重、气息微弱,小腹剧烈绞痛,头部无法抬起,双腿无法行走,四肢拘挛紧急,全身关节松弛无力,眼前发黑视物模糊,手足拳曲痉挛,脉象偏离常度(离经之脉),这些情况大多属于不可治愈的危重症。如果营卫之气与精髓枯竭,出现发热且气短,手足不能抬举,最终会导致死亡。唉,外感六淫邪气,内伤七情因素,造成的危害竟然如此严重啊。烧裈散、鼠矢汤、竹皮汤、干姜汤、青竹茹汤、当归白术汤等方剂宜酌情选用。
阴阳交这种病证,是指温病患者本不应发汗,若误用发汗法后反而产生高热,胡言乱语且不能进食,脉象躁动疾速,这都属于不治之症。如果脉象浮数,表证依然存在,可以再次使用发汗法。如果脉象沉实,说明是胃家实热,则应改用攻下法。之后如果再次发热,处理方法与此相同。再次发汗可用桂枝汤,再次攻下可用承气汤。
怫郁是指阳气蒸腾外越,表现于头面及体表皮肤之间,聚集成红色而不得消散。其具体证候有所不同:大便干燥坚硬且气短的是实证;经过发汗或攻下治疗后出现呃逆的是虚证。应当详细审察辨别。
太阳病初起时,发汗不彻底,邪气并入阳明经,随后自然有微汗出,面色发红,这是阳气怫郁的表现,可用解肌汤;或者如果发汗时间过长仍不彻底,脉象浮紧,则给予麻黄汤。
小便不利,偶尔有轻微发热,大便时而困难,因怫郁烦躁而无法安卧,这是燥屎内结、里实热证,由承气汤主治。
发汗或攻下后出现虚热,又再次误用攻下法,导致患者出现怫郁烦躁,此时再给水饮,因而引发呃逆。这是胃中寒盛所致,可用桂枝人参汤加茯苓治疗。
瘛疭(chì zòng)是指筋脉急缩为“瘛”,舒缓伸展为“疭”。热极生风,风性主动,所以导致筋脉相互牵引而出现伸缩抽搐。伤寒病发展到出现瘛疭,可以说是非常危险了,如果能使用祛风清热泻火的药物减轻其猛烈之势,偶尔还有可治的希望。治疗方法与惊痫类似。
In cases where men suffer from Yang Yi (Yang Exchange) or women from Yin Yi (Yin Exchange), it is due to engaging in sexual intercourse shortly after the illness has newly resolved. The manifestations include heavy body, deficient Qi, severe colic in the lower abdomen, inability to lift the head, inability to walk with the legs, spasm and tightness of the four limbs, relaxation of all joints, visual disturbances (seeing flowers before eyes), curling and spasms of hands and feet, and a pulse deviating from the normal course (Li Jing Mai). These conditions are generally considered incurable. If Ying Wei (Defensive and Nutritive Qi) and essence and marrow are exhausted, accompanied by feverish sensation and shortness of breath, and inability to raise the hands and feet, death will ensue. Alas, harm caused by external invasion of the Six Qi (Six Exogenous Pathogens) and internal injury from the Seven Emotions can be so severe. Formulas such as Shao Kun San (Burnt Underwear Powder), Shu Shi Tang (Rat Feces Decoction), Zhu Pi Tang (Bamboo Bark Decoction), Gan Jiang Tang (Dried Ginger Decoction), Qing Zhu Ru Tang (Green Bamboo Slivers Decoction), and Dang Gui Bai Zhu Tang (Angelica Sinensis and Atractylodes Macrocephala Decoction) should be selected for use.
Yin Yang Jiao (Yin-Yang Intersection) refers to a condition in warm diseases where sweating is contraindicated; if sweating is mistakenly induced, it results in recurrent high fever, delirious speech, anorexia, and a dry, rapid pulse. These are all untreatable. However, if the pulse is floating and rapid, indicating that exterior signs still persist, sweating may be applied again. If the pulse is deep and solid, it indicates excess in the Stomach (Wei Shi), and purgation should be used instead. If fever recurs later, the same method applies. For repeated sweating, Guizhi Tang (Cinnamon Twig Decoction) is used; for repeated purgation, Chengqi Tang (Harmonizing the Bowels Decoction) is used.
Fu Yu (Stagnant Heat/Oppression) refers to Yang Qi steaming and overflowing, manifesting between the head, face, and skin as redness that gathers but does not dissipate. The specific presentations vary: hardness of stool with shortness of breath indicates excess (Shi); hiccups occurring after sweating or purging indicate deficiency (Xu). This requires careful investigation.
When Taiyang disease (Taiyang Disease) is first contracted, if sweating is incomplete, the pathogen merges into Yangming, followed by spontaneous slight sweating and a red facial complexion; this is Yang Qi Fu Yu, treated with Jie Ji Tang (Muscle-Relieving Decoction). Or, if sweating has been prolonged yet remains incomplete, and the pulse is floating and tight, Mahuang Tang (Ephedra Decoction) is given.
Difficulty in urination, occasional slight fever, intermittent difficulty in defecation, and inability to lie down due to Fu Yu indicate interior excess caused by dry feces; this is primarily treated with Chengqi Tang (Harmonizing the Bowels Decoction).
After sweating or purging, if deficient heat recurs and purgation is mistakenly applied again, causing Fu Yu, and water is then administered leading to hiccups, this is Cold in the Stomach (Wei Han). It is treated with Guizhi Renshen Tang (Cinnamon Twig and Ginseng Decoction) added with Fuling (Poria).
Chi Zong (Spasmodic Twitching) involves contraction (Chi) being sudden and tightening, while extension (Zong) being slow and stretching. Heat generates Wind, and Wind moves actively, thus causing the sinews and vessels to pull each other, resulting in contraction and extension. When Shaoyang disease progresses to Chi Zong, it is indeed critical. If agents that dispel Wind and purge Heat can reduce the major severity, there is a chance of cure. The treatment method is similar to that of convulsions.