脉浮而数浮为风数为虚风为热虚为寒风虚相搏则洒淅恶寒也
脉浮而数浮为风之在表数为阳虚而阴乘也风则阳郁而为热虚则阴束而为寒风虚相合阳内闭而为热则阴外束而为寒是
洒淅恶寒之故也
师曰病患脉微而涩者此为医所病也大发其汗又数大下之其人亡血病当恶寒后乃发热无休止时夏月盛热欲着复衣冬月
盛寒欲裸其身所以然者阳微则恶寒阴弱则发热此医发其汗令阳气微又大下之令阴气弱五月之时阳气在表胃中虚冷以阳气
内微不能胜冷故欲着复衣十一月之时阳气在里胃中烦热以阴气内弱不能胜热故欲裸其身又阴脉迟涩故知亡血也
病患寸脉微而尺脉涩者此为医所病也大发其汗又数大下之其人不但脱气而又亡血病当先见恶寒后乃发热无休止时其
恶寒也反甚于夏夏月盛热欲着复衣其发热也反甚于冬冬月甚寒欲裸其身所以然者阳气内微则恶寒阴气内弱则发热此医发
其汗使阳气内微又数下之令阴气内弱五月之时夏令正旺而阳气在表胃中虚冷以阳气之内微不能胜冷故欲着复衣十一月之
时冬令正旺而阳气在里胃中烦热以阴气之内弱不能胜热故欲裸其身又诊其脉迟涩故知其亡血也
诸脉浮数当发热而洒淅恶寒若有痛处饮食如常者此内热蓄积而有痈脓也
诸脉浮数应当发热而洒淅恶寒若有痛处饮食如常者此内热蓄积而有痈脓也盖郁热在内不得外发故内腐为脓而阳遏不
达故见恶寒也
脉象浮而数，浮主风邪在表，数主正气虚弱。风邪属热，虚则生寒，风与虚相互搏结，就会出现战栗恶寒的症状。
脉象浮而数，浮表示风邪在体表，数表示阳气虚弱而阴气乘虚侵袭。风邪导致阳气郁滞而产生热，虚损导致阴气束缚而产生寒，风与虚相结合，阳气在内闭阻而生热，阴气在外束缚而生寒，这就是出现战栗恶寒的原因。
老师说：病人脉象微而涩，这是医生治疗失误造成的。因为医生大发其汗，又多次使用峻下法，导致病人失血。病人应当先感到恶寒，随后发热，且寒热无休止之时。夏季天气炎热，病人却想穿厚衣；冬季天气寒冷，病人却想裸露身体。之所以这样，是因为阳气微弱则恶寒，阴气虚弱则发热。这是因为医生发汗使阳气微弱，又多次攻下使阴气虚弱。五月时节，阳气在体表，胃中虚冷，因为阳气内里微弱不能抵御寒冷，所以想穿厚衣；十一月时节，阳气在体内，胃中烦热，因为阴气内里虚弱不能抵御热邪，所以想裸露身体。再加上阴脉迟涩，所以知道是失血所致。
病人寸口脉微而尺部脉涩，这是医生治疗失误造成的。因为医生大发其汗，又多次使用峻下法，病人不仅耗脱了气，而且失去了血。病人应当先见恶寒，随后发热，且无休止之时。这种恶寒比夏季还要严重，夏季天气炎热，病人却想穿厚衣；这种发热比冬季还要严重，冬季天气寒冷，病人却想裸露身体。之所以这样，是因为阳气内里微弱则恶寒，阴气内里虚弱则发热。这是因为医生发汗使阳气内里微弱，又多次攻下使阴气内里虚弱。五月时节，夏令正当旺盛，阳气在体表，胃中虚冷，因为阳气内里微弱不能抵御寒冷，所以想穿厚衣；十一月时节，冬令正当旺盛，阳气在体内，胃中烦热，因为阴气内里虚弱不能抵御热邪，所以想裸露身体。再诊察其脉象迟涩，所以知道是失血所致。
各种脉象浮数，应当出现发热并伴有战栗恶寒，如果有疼痛部位而饮食如常的，这是内部热邪蓄积而形成痈脓。
各种脉象浮数，应当出现发热并伴有战栗恶寒，如果有疼痛部位而饮食如常的，这是内部热邪蓄积而形成痈脓。这是因为郁热在内部无法向外发散，所以内部腐败化为脓液，而阳气被遏制不能通达，所以出现恶寒的症状。
The pulse is floating and rapid. Floating indicates wind pathogen in the exterior; rapid indicates deficiency. Wind is associated with heat, while deficiency generates cold. The interplay of wind and deficiency leads to shivering and aversion to cold.
A floating and rapid pulse: floating signifies wind pathogen in the exterior, while rapid indicates yang deficiency allowing yin to invade. Wind causes yang to be constrained, generating heat; deficiency causes yin to bind, generating cold. When wind and deficiency combine, yang is internally closed leading to heat, and yin is externally bound leading to cold. This is the cause of shivering and aversion to cold.
The Master said: If a patient's pulse is faint (Wei) and choppy (Se), this is iatrogenic injury caused by the physician. Excessive sweating was induced, followed repeatedly by severe purgation, resulting in blood loss. The patient should experience aversion to cold first, followed by fever, with no cessation. In midsummer when it is intensely hot, the patient desires to wear heavy clothing; in midwinter when it is intensely cold, the patient desires to expose their body. The reason for this is that faint yang causes aversion to cold, and weak yin causes fever. The physician's excessive sweating weakened the yang qi, and repeated purgation weakened the yin qi. In the fifth month, yang qi is in the exterior, and the stomach is cold due to deficiency; because internal yang is faint and cannot overcome the cold, the patient desires heavy clothing. In the eleventh month, yang qi is in the interior, and there is vexing heat in the stomach; because internal yin is weak and cannot overcome the heat, the patient desires to expose their body. Furthermore, the yin pulse is slow and choppy, indicating blood loss.
If the cun position pulse is faint and the chi position pulse is choppy, this is also iatrogenic injury. Excessive sweating and repeated severe purgation have not only depleted qi but also caused blood loss. The patient should initially present with aversion to cold, followed by fever without cessation. The aversion to cold is more severe than in summer; despite the intense heat of midsummer, the patient desires heavy clothing. The fever is more severe than in winter; despite the intense cold of midwinter, the patient desires to expose their body. The reason is that internally faint yang causes aversion to cold, and internally weak yin causes fever. The physician's sweating made internal yang faint, and repeated purgation made internal yin weak. In the fifth month, summer yang is at its peak, yet yang is in the exterior and the stomach is cold due to deficiency; internal yang being faint cannot overcome the cold, hence the desire for heavy clothing. In the eleventh month, winter yang is at its peak, yet yang is in the interior and there is vexing heat in the stomach; internal yin being weak cannot overcome the heat, hence the desire to expose the body. Additionally, the pulse is slow and choppy, confirming blood loss.
When various pulses are floating and rapid, fever accompanied by shivering and aversion to cold should occur. If there is a painful area but appetite remains normal, this indicates internal accumulation of heat leading to carbuncle and pus formation.
When various pulses are floating and rapid, fever accompanied by shivering and aversion to cold should occur. If there is a painful area but appetite remains normal, this indicates internal accumulation of heat leading to carbuncle and pus formation. This is because stagnant heat within cannot diffuse outward, causing internal corruption into pus, while yang is obstructed and fails to reach the exterior, resulting in aversion to cold.