伤寒发颐耳下肿，失于汗下此毒生，高肿 红痛为顺，反此神昏命必倾。毒伏未发
脉亦隐，冷汗淋漓肢若冰，烦渴不便指甲紫，颇似三阴了了轻。
【注】伤寒颐毒，皆因汗下失宜，毒热挟少阳相火上攻而成也。若其人阳气素盛，则
高肿 红疼痛，易于成脓，故为顺也，宜连翘败毒散散之。或其人阳气素虚，或服冷药
过多，遏郁毒热伏藏在里，内攻神昏，外毒漫肿，肉色不变，不疼木硬，则命必危也。毒
伏未发之前，往往似三阴亡阳之证，脉隐不见，冷汗淋漓，肢冷若冰，但身轻目睛了了，
烦渴不大便，指甲红紫为异，此毒发始，临治不可忽也。
古名狐惑近名疳，狐蚀肛阴惑唇咽，病后余毒斑疹后，癖疾利后也同然，面 赤白
黑不一，目不能闭喜贪眠，潮热声哑腐秽气，能食堪药治多全。
【注】狐惑，牙疳、下疳等疮之古名也，近时惟以疳呼之。下疳即狐也，蚀烂肛阴；牙
疳即惑也，蚀咽腐龈，脱牙穿腮破唇。毒因伤寒病后，余毒与湿 之为害也，或生斑疹
之后，或生癖疾下利之后，其为患亦同也。其证则面色目 或赤或白或黑，时时不一，喜
睡目不能闭，潮热声哑，腐烂之处，秽气熏人。若胃壮能食，堪受攻病重药，或病之势
缓，治多全也。
百合百脉合一病，如寒似热药无灵，饮食起居皆忽忽，如神若鬼附其形。脉数尿时
辄头痛，尿时不痛淅淅风，尿时快然但头眩，六四二十病方宁。
【注】百合病者，谓伤寒过期，留连不解，不分经络百脉，悉合为一病也。如寒似热，诸
药无灵。欲饮不能饮，欲食不能食，欲卧不能卧，欲行不能行，精神忽忽，如神若鬼附
其形体，而莫知所适从也。如脉数、尿尿时辄头痛者，六十日乃愈。若尿尿时头不痛，惟
淅淅然恶风寒者，四十日乃愈。若尿时快然，
但头眩者，二十日乃愈。故曰∶六四二十日病方宁也。
伤寒发颐耳下肿，失于汗下此毒生，高肿焮红痛为顺，反此神昏命必倾。
伤寒发颐（伤寒病后腮腺部位发生的肿毒）是耳下部位肿胀，这是由于治疗时未能正确使用发汗或攻下方法，导致毒邪产生。如果肿胀高起、颜色红、疼痛明显，这是顺证；反之，如果出现神志昏迷，则性命必然危险。
毒伏未发脉亦隐，冷汗淋漓肢若冰，烦渴不便指甲紫，颇似三阴了了轻。
毒邪潜伏尚未发作时，脉象也隐匿不见，病人冷汗淋漓，四肢冰冷如冰，烦躁口渴，大便不通，指甲呈紫色，这些症状很像三阴病（太阴、少阴、厥阴病）的亡阳证，但病人身体轻快、眼睛明亮清楚，这是不同之处。
【注】伤寒颐毒，皆因汗下失宜，毒热挟少阳相火上攻而成也。
【注释】伤寒颐毒，都是因为发汗和攻下的治疗方法使用不当，导致毒热之邪挟带少阳经的相火上攻而形成的。
若其人阳气素盛，则高肿焮红疼痛，易于成脓，故为顺也，宜连翘败毒散散之。
如果病人平素阳气旺盛，那么就会肿胀高起、颜色红、疼痛明显，容易化脓，所以是顺证，适宜用连翘败毒散来消散它。
或其人阳气素虚，或服冷药过多，遏郁毒热伏藏在里，内攻神昏，外毒漫肿，肉色不变，不疼木硬，则命必危也。
或者病人平素阳气虚弱，或者服用寒凉药物过多，导致毒热之邪被郁遏，潜伏在体内，向内攻犯则神志昏迷，外部毒邪则表现为弥漫性肿胀，皮肉颜色不变，不疼痛，质地木硬，那么性命必然危险。
毒伏未发之前，往往似三阴亡阳之证，脉隐不见，冷汗淋漓，肢冷若冰，但身轻目睛了了，烦渴不大便，指甲红紫为异，此毒发始，临治不可忽也。
毒邪潜伏尚未发作之前，往往类似于三阴病的亡阳证，脉象隐匿不见，冷汗淋漓，四肢冰冷如冰，但是病人身体轻快、眼睛明亮清楚，烦躁口渴，大便不通，指甲红紫，这些是与亡阳证不同的地方。这是毒邪开始发作的征兆，临证治疗时不可忽视。
古名狐惑近名疳，狐蚀肛阴惑唇咽，病后余毒斑疹后，癖疾利后也同然，面眦赤白黑不一，目不能闭喜贪眠，潮热声哑腐秽气，能食堪药治多全。
古代称为“狐惑”，近代称为“疳”。狐病侵蚀肛门和外阴，惑病侵蚀嘴唇和咽喉。这种病发生在伤寒病后余毒未清，或者斑疹之后，或者癖疾（积聚之类的病）、痢疾之后，情况也相同。病人面色和眼睛的眦部颜色或红或白或黑，变化不定，眼睛不能闭合，喜欢贪睡，有潮热，声音嘶哑，腐烂的地方有污秽的气味。如果病人胃气强盛能够进食，能够承受治疗重病的药物，或者病情发展缓慢，治疗大多能够痊愈。
【注】狐惑，牙疳、下疳等疮之古名也，近时惟以疳呼之。
【注释】狐惑，是牙疳、下疳等疮疡的古称，近代只用“疳”来称呼它。
下疳即狐也，蚀烂肛阴；牙疳即惑也，蚀咽腐龈，脱牙穿腮破唇。
下疳就是狐病，侵蚀溃烂肛门和外阴；牙疳就是惑病，侵蚀咽喉，腐蚀牙龈，导致牙齿脱落，穿透腮部，嘴唇溃破。
毒因伤寒病后，余毒与湿𤸷之为害也，或生斑疹之后，或生癖疾下利之后，其为患亦同也。
毒邪是因为伤寒病后，余留的毒邪与湿𤸷（湿邪郁结）共同为害，或者发生在斑疹之后，或者发生在癖疾、下利之后，其为害也是相同的。
其证则面色目眦或赤或白或黑，时时不一，喜睡目不能闭，潮热声哑，腐烂之处，秽气熏人。
它的症状是面色和眼睛的眦部颜色或红或白或黑，时常变化不定，喜欢睡觉但眼睛不能闭合，有潮热，声音嘶哑，腐烂的地方，秽臭的气味熏人。
若胃壮能食，堪受攻病重药，或病之势缓，治多全也。
如果病人胃气强壮能够进食，能够承受攻治重病的药物，或者病情发展缓慢，治疗大多能够痊愈。
百合百脉合一病，如寒似热药无灵，饮食起居皆忽忽，如神若鬼附其形。
百合病是百脉（全身经脉）合为一种病，症状像寒证又像热证，药物都没有效果。饮食起居都恍惚不定，好像有神灵或鬼怪附着了身体一样。
脉数尿时辄头痛，尿时不痛淅淅风，尿时快然但头眩，六四二十病方宁。
如果脉数，小便时就头痛，六十天才能痊愈。如果小便时不头痛，只是感觉淅淅然怕风寒，四十天才能痊愈。如果小便时感觉畅快，只是头晕，二十天才能痊愈。
【注】百合病者，谓伤寒过期，留连不解，不分经络百脉，悉合为一病也。
【注释】百合病，说的是伤寒病期过后，病邪滞留缠绵不愈，不分经络和百脉，全部合为一种病。
如寒似热，诸药无灵。欲饮不能饮，欲食不能食，欲卧不能卧，欲行不能行，精神忽忽，如神若鬼附其形体，而莫知所适从也。
症状像寒证又像热证，各种药物都没有效果。想喝水又不能喝，想吃东西又不能吃，想躺下又不能躺，想行走又不能走，精神恍惚不定，好像有神灵或鬼怪附着了身体，而不知道该怎么办。
如脉数、尿尿时辄头痛者，六十日乃愈。
如果脉数，每次小便时就头痛的，六十天才能痊愈。
若尿尿时头不痛，惟淅淅然恶风寒者，四十日乃愈。
如果小便时头不痛，只是感觉淅淅然怕风寒的，四十天才能痊愈。
若尿时快然，但头眩者，二十日乃愈。故曰∶六四二十日病方宁也。
如果小便时感觉畅快，只是头晕的，二十天才能痊愈。所以说：六十天、四十天、二十天，病才能安宁。
In cold damage (Shanghan) disease, the development of cheek toxin (Yidu) manifests as swelling below the ears. This toxin arises from improper application of sweating (fahan) or purgative (gongxia) therapies. A favorable prognosis is indicated by high, red, hot, and painful swelling; conversely, clouding of spirit (shenhun) signifies a critical condition.
Before the toxin erupts, the pulse may be hidden, with profuse cold sweating and icy limbs. Symptoms include vexing thirst, constipation, and purple fingernails. This presentation closely resembles yang collapse (wangyang) patterns of the three yin diseases (sanyin bing), but is distinguished by a light body and clear, bright eyes.
[Annotation] Cheek toxin in cold damage disease is all caused by improper sweating or purgation, leading to toxic heat (dure) carrying ministerial fire (xianghuo) of the Shaoyang channel to attack upward. If the patient's yang qi is inherently robust, the swelling will be high, red, hot, and painful, easily suppurating, which is a favorable sign. Lianqiao Baidu San (Forsythia Toxin-Resolving Powder) is appropriate to dissipate it. If the patient's yang qi is inherently deficient, or if excessive cold medicinals have been taken, the toxic heat may be depressed and hidden internally. Internal attack leads to clouding of spirit; externally, the toxin causes diffuse swelling with unchanged skin color, absence of pain, and wooden hardness, indicating a critical condition. Before the latent toxin erupts, it often resembles yang collapse patterns of the three yin diseases: hidden pulse, profuse cold sweating, icy limbs. However, it differs by a light body, clear and bright eyes, vexing thirst, constipation, and red-purple fingernails. This marks the onset of toxin eruption and must not be overlooked in clinical treatment.
The ancient name is "fox-corroding disorder" (Huhuo), recently called "gan" (malnutrition/erosion). Fox (Hu) corrodes the anus and genitals; corroding (Huo) affects the lips and throat. It occurs from residual toxin after cold damage disease, after macules and papules (banzhen), or similarly after accumulations (piji) and dysentery (li). The complexion and canthi vary between red, white, and black. The eyes cannot close, and there is a tendency to excessive sleep, tidal fever (chaore), hoarse voice, and foul odor from putrefaction. If the stomach is strong and the patient can eat, tolerating potent medicinals to attack the disease, or if the disease progression is slow, treatment is often successful.
[Annotation] Fox-corroding disorder is the ancient name for conditions like ulcerative gingivitis (Yagan) and chancre (Xiagan), recently referred to simply as "gan". Chancre corresponds to fox, eroding the anus and genitals. Ulcerative gingivitis corresponds to corroding, eroding the throat, putrefying the gums, causing tooth loss, perforating the cheeks, and ulcerating the lips. The toxin results from residual pathogen after cold damage disease, combined with the harm of dampness and depression (shiyu), or occurs after macules and papules, or after accumulations and dysentery, with similar manifestations. The signs are a complexion and eye canthi that are sometimes red, sometimes white, sometimes black, constantly varying. There is a desire to sleep but an inability to close the eyes, tidal fever, hoarse voice, and a foul, offensive odor from putrefied areas. If the stomach is strong and the patient can eat, able to tolerate potent medicinals to attack the disease, or if the disease progression is slow, treatment is often successful.
Lily disease (Baihe Bing) is a condition where the hundred vessels unite into one illness. It resembles cold or heat, but medicinals are ineffective. Eating, drinking, living, and resting are all done in a dazed manner, as if a spirit or ghost has attached to the body. With a rapid pulse (shuomai), urination is accompanied by headache; recovery takes sixty days. If urination occurs without headache but with an aversion to wind and cold, recovery takes forty days. If urination brings a sense of relief but with dizziness only, recovery takes twenty days.
[Annotation] Lily disease refers to a condition where, after the period of cold damage disease has passed, the pathogen lingers unresolved, not distinguishing among channels, collaterals, or the hundred vessels, but uniting them all into one illness. It resembles cold or heat, yet all medicinals are ineffective. The patient wants to drink but cannot, wants to eat but cannot, wants to lie down but cannot, wants to walk but cannot. The spirit is dazed and confused, as if a spirit or ghost has attached to the body, leaving one at a loss. For example, with a rapid pulse and headache occurring during each urination, recovery takes sixty days. If urination occurs without headache, but only with an aversion to wind and cold, recovery takes forty days. If urination brings a sense of relief but with dizziness only, recovery takes twenty days. Hence it is said: sixty, forty, twenty days until the illness subsides.