(有邪在表者有邪行里者有水饮内蓄者有阳虚者捣生姜绵裹周身擦汗自出)
太阳无汗而喘。(麻黄汤)太阳无汗。烦躁。(大青龙汤)阳明无汗。渴欲饮水。无表症者
。(白虎加人参汤)少阴脉沉。发热无汗。(麻黄附子细辛汤)少阴但厥无汗。强发之必动其血。或从
口鼻。或从目出。名下厥上竭者死。投麻黄汤三大剂。而不得汗者死。汗虽出。不至足者死。
热病脉躁盛而不得汗者死。
(不因发散自然汗出也伤风则发热自汗中 则汗出恶风风湿则汗多而濡惟伤寒无
汗及传
者皆表虚也宜温之汗出不恶风寒里症也宜下之阳明发热汗多宜急下汗出如油如贯珠凝而不流
皆死 将发披水盆中足露于外用糯米粉龙骨牡蛎为细末周身扑之)
太阳风伤卫。脉浮缓自汗。(桂枝汤)表虚。汗不止。(黄 建中汤)太阳过汗。遂漏不止
。恶风者。(桂枝附子汤)阳明自汗。不恶风寒。反恶热。谵渴。便秘。(调胃承气汤)阳明自汗。
小便不利。津液竭也。急下之。(大承气汤)肢冷。额上手背汗出。脉沉细。(四逆汤)自汗。
小便难身不热。足冷。脉沉。(四逆汤加桂枝苓术)吐逆。厥冷。脉沉。身痛。大汗。(人参
四逆汤加桂枝 术)
(睡而汗出觉即汗止故名盗汗睡则胃气行里而表中阳气不致故津液泄也觉即气行
于表而止矣杂病盗汗主于阴虚伤寒盗汗邪在半表半里也)
阳明潮热。脉浮盗汗。(黄芩汤)三阳合病。目合则汗。胆有热也。(小柴胡汤)
(有邪气在表证的,有邪气传入里证的,有水饮内停蓄积的,有阳气虚弱的。用生姜捣烂,用绵布包裹,擦拭全身,汗液自然流出。)
太阳病无汗且伴有气喘。(适用麻黄汤)太阳病无汗,伴有烦躁不安。(适用大青龙汤)阳明病无汗,口渴想喝水,没有表证者。(适用白虎加人参汤)少阴病脉象沉,发热无汗。(适用麻黄附子细辛汤)少阴病仅见四肢厥冷而无汗,若强行发汗必定导致动血出血,血液或从口鼻出,或从眼睛出,这种病症名为“下厥上竭”,属于死证。服用麻黄汤三大剂后仍不能出汗的,属死证;汗虽已出,但不到达足部的,属死证;热病脉象躁盛而不得汗出的,属死证。
(不因发散治疗而自然汗出的,是伤风则发热自汗,中湿则汗出恶风,风湿则汗多而湿润。只有伤寒病无汗,以及传变入里的,都属于表虚,适宜温补。汗出不恶风寒,是里证,适宜攻下。阳明病发热汗多,宜急下。汗出如油、如贯珠凝滞不流,都是死证。即将发作时,让人披衣坐在水盆中,脚露在外面,用糯米粉、龙骨、牡蛎研成细末,扑擦全身。)
太阳中风伤及卫气,脉象浮缓,自汗。(适用桂枝汤)表虚,汗出不止。(适用黄芪建中汤)太阳病过汗,导致汗漏不止,恶风者。(适用桂枝附子汤)阳明病自汗,不恶风寒,反而恶热,谵语口渴,便秘。(适用调胃承气汤)阳明病自汗,小便不利,津液枯竭,宜急下。(适用大承气汤)四肢冰冷,额头和手背出汗,脉象沉细。(适用四逆汤)自汗,小便困难,身体不热,脚冷,脉沉。(适用四逆汤加桂枝、茯苓、白术)呕吐逆气,四肢厥冷,脉沉,身体疼痛,大汗淋漓。(适用人参四逆汤加桂枝、白术)
(睡着时出汗,醒来后汗即停止,所以称为盗汗。睡觉时胃气行于里,而体表的阳气不固,所以津液外泄;醒来后气行于表,汗就停止了。杂病中的盗汗主要责之于阴虚,伤寒中的盗汗则是邪气在半表半里之间。)
(There are cases where pathogenic factors are in the exterior, cases where they have moved to the interior, cases where there is internal accumulation of water-fluids, and cases of Yang deficiency. Crush fresh ginger root, wrap it in cotton cloth, and rub it over the whole body to induce spontaneous sweating.)
Taiyang disease with anhidrosis (absence of sweating) and wheezing. (Indicated: Mahuang Tang [Ephedra Decoction]). Taiyang disease with anhidrosis and irritability. (Indicated: Da Qinglong Tang [Major Blue Green Dragon Decoction]). Yangming disease with anhidrosis, thirst with desire to drink water, and absence of exterior syndrome. (Indicated: Baihu Jia Renshen Tang [White Tiger Decoction plus Ginseng Root]). Shaoyin disease with a deep pulse, fever, and anhidrosis. (Indicated: Mahuang Fuzi Xixin Tang [Ephedra, Aconite, and Asarum Decoction]). Shaoyin disease presenting only with cold extremities and anhidrosis; if forced sweating is applied, it will inevitably disturb the blood, causing bleeding either from the mouth and nose or from the eyes. This condition is named "Lower Jue and Upper Exhaustion" and is fatal. If three large doses of Mahuang Tang are administered and sweating still does not occur, it is fatal; if sweating occurs but does not reach the feet, it is fatal; if the pulse in heat disease is rapid and full yet sweating does not occur, it is fatal.
(Sweating that occurs naturally without the use of diaphoretic treatment indicates Wind-stroke leading to fever and spontaneous sweating, dampness affecting the middle jiao leading to sweating and aversion to wind, or wind-dampness leading to profuse moist sweating. Only Shanghan [Cold Damage] presents with anhidrosis, and when transmitted inward, it represents exterior deficiency, requiring warming therapy. Sweating without aversion to wind and cold indicates interior syndrome, requiring purgation. In Yangming disease, fever with profuse sweating requires urgent purgation. Sweating resembling oil or beads that coagulate and do not flow indicates death. To prevent onset, have the patient sit in a basin of water with their feet exposed, and apply a fine powder made of glutinous rice flour, Longgu [Fossilized Bones], and Muli [Oyster Shell] to the whole body.)
Taiyang Wind-stroke injuring the Wei Qi (Defensive Qi), with a floating and slow pulse and spontaneous sweating. (Indicated: Guizhi Tang [Cinnamon Twig Decoction]). Exterior deficiency with incessant sweating. (Indicated: Huangqi Jianzhong Tang [Astragalus Middle-Warming Decoction]). Taiyang disease due to excessive sweating, resulting in unceasing leakage of sweat and aversion to wind. (Indicated: Guizhi Fuzi Tang [Cinnamon Twig and Aconite Decoction]). Yangming disease with spontaneous sweating, no aversion to wind and cold, but aversion to heat, delirium, thirst, and constipation. (Indicated: Tiaowei Chengqi Tang [Regulating the Stomach and Directing Downward Decoction]). Yangming disease with spontaneous sweating and difficulty in urination, indicating exhaustion of Jin-Ye (Body Fluids); urgent purgation is required. (Indicated: Dachengqi Tang [Major Directing Downward Decoction]). Cold extremities, sweating on the forehead and back of hands, with a deep and thin pulse. (Indicated: Sini Tang [Recovery from Collapse Decoction]). Spontaneous sweating, difficulty in urination, no body heat, cold feet, and a deep pulse. (Indicated: Sini Tang plus Guizhi [Cinnamon Twig], Fuling [Poria], and Baizhu [Atractylodes Macrocephala Rhizome]). Vomiting and reflux, cold extremities, deep pulse, body pain, and profuse sweating. (Indicated: Renshen Sini Tang [Ginseng Recovery from Collapse Decoction] plus Guizhi and Baizhu).
(Sweating during sleep that stops upon waking is called Daohan [Stealing Sweat]. During sleep, Stomach Qi moves inward, and the Yang Qi of the exterior fails to secure the surface, causing Jin-Ye [Body Fluids] to leak out; upon waking, Qi moves to the exterior, and sweating ceases. In miscellaneous diseases, Daohan is primarily attributed to Yin deficiency; in Shanghan, Daohan indicates pathogenic factors located between the exterior and interior.)
Yangming disease with tidal fever, floating pulse, and Daohan. (Indicated: Huangqin Tang [Scutellaria Decoction]). Combined disease of the Three Yang channels, sweating when closing the eyes, indicating Heat in the Gallbladder. (Indicated: Xiaochaihu Tang [Minor Bupleurum Decoction])