(一日一发属阳明症如潮之有信旺于未申故日晡乃发)
阳明潮热。大便硬与。(大承气汤)不硬者不与。先与小承气。转失气者。燥粪也。可与
大承气。不转失气者。初硬后心溏。慎勿攻。攻之则胀满不食。太阳病。小有潮热。大结胸。(
大
燥屎。(大承气汤)潮热。大便溏。小便利。胸胁满。(小柴胡汤)
(邪在半表半里表多则寒甚里多则热甚或往或来日二三发非如疟疾之止作有
时也)
伤寒十余日。热结在里。往来寒热。(大柴胡汤)往来寒热。胸胁满。心烦。喜呕。或心
下悸
热。(柴胡桂枝干姜汤)
(心中热而烦扰亦有属寒者或在表或在里或半表半里或因阴虚火动或因气虚或因
心虚)
太阳汗解后。复烦脉浮数。(桂枝汤)太阳汗后。脉浮数。烦渴。(五苓散)太阳吐下后。
表里
(栀子浓朴汤)汗吐下后。微烦。小便数。大便硬。(小承气汤)悸而烦。(小建中汤)阳明下利
后。虚烦。(栀子豉汤)下后烦。尚有燥屎。(大承气汤)少阳胸满而烦。寒热。(小柴胡汤)兼
惊。小便不利。谵语。身重。(柴胡桂枝龙骨牡蛎汤)少阴欲寐而烦。自利而渴。小便白。(四
逆汤)服白通汤后。利不止。厥逆。无脉。干呕而烦。(白通汤加猪胆汁)心烦。不得卧。(黄
连阿胶汤)厥阴厥冷而烦。脉乍结乍紧。心中满。(瓜蒂散)阴虚火动而烦。(生脉散)气虚自
汗。脉虚而烦。(补中益气汤)
(每日发作一次属于阳明病,如潮水般有定时,在申时和未时旺盛,所以在傍晚时分发作。)
阳明潮热。大便坚硬者给予。(大承气汤)大便不硬者不给。先给予小承气汤。若出现转矢气(放屁),说明有燥结的粪便,可以给予大承气汤。若不转矢气,说明大便初头硬后稀溏,切勿攻下。攻下则会导致腹胀满、不能进食。太阳病。轻微潮热。大结胸证。(大承气汤)[注:此处原文可能有误或指代复杂情况,按字面翻译] 燥屎。(大承气汤)潮热。大便稀溏。小便通畅。胸胁胀满。(小柴胡汤)
(邪气在半表半里之间,表证多则恶寒重,里证多则发热重,或寒或热,一天发作两三次,不像疟疾那样有固定的发作时间。)
伤寒十余日。热邪结聚在体内,往来寒热。(大柴胡汤)往来寒热。胸胁胀满。心烦。喜欢呕吐。或者心下悸动伴有发热。(柴胡桂枝干姜汤)
(心中烦热而扰攘,也有属于寒证的,或在表、或在里、或半表半里,或因阴虚火旺扰动,或因气虚,或因心虚。)
太阳病经发汗解表后,再次出现烦躁,脉象浮数。(桂枝汤)太阳病发汗后,脉象浮数,烦躁且口渴。(五苓散)太阳病经催吐、泻下后,表里俱病(此处原文似有缺漏,依上下文推断为栀子厚朴汤证候描述的一部分,但原文仅留“表里”二字及方名,故直译)。(栀子厚朴汤)发汗、催吐、泻下后,轻微烦躁,小便频数,大便坚硬。(小承气汤)心悸且烦躁。(小建中汤)阳明病下利后,虚烦。(栀子豉汤)泻下后烦躁,体内尚有燥屎。(大承气汤)少阳病胸胁胀满且烦躁,寒热往来。(小柴胡汤)兼见惊悸,小便不利,说胡话,身体沉重。(柴胡桂枝龙骨牡蛎汤)少阴病嗜睡且烦躁,自发性腹泻且口渴,小便色白。(四逆汤)服用白通汤后,腹泻不止,四肢厥冷,无脉象,干呕且烦躁。(白通汤加猪胆汁)心烦,无法入睡。(黄连阿胶汤)厥阴病四肢厥冷且烦躁,脉象时而结滞时而紧束,心中胀满。(瓜蒂散)阴虚火旺扰动而烦躁。(生脉散)气虚自汗,脉象虚弱且烦躁。(补中益气汤)
(Once-daily occurrence belongs to Yangming syndrome, like the tide with regularity, peaking at Shen and Wei hours [3-7 PM], thus occurring in the late afternoon.)
Yangming tidal fever. If the stool is hard, administer. (Da Cheng Qi Tang / Great Order the Qi Decoction) Do not administer if the stool is not hard. First administer Xiao Cheng Qi Tang / Small Order the Qi Decoction. If there is passage of flatus (Zhuan Shi Qi), it indicates dry feces; Da Cheng Qi Tang can be administered. If there is no passage of flatus, the stool is initially hard but later loose; do not attack with purgatives. Attacking will cause abdominal distension and inability to eat. Taiyang disease. Mild tidal fever. Da Jie Xiong / Great Knotting in the Chest syndrome. (Da Cheng Qi Tang / Great Order the Qi Decoction) Dry feces. (Da Cheng Qi Tang / Great Order the Qi Decoction) Tidal fever. Loose stool. Free urination. Fullness in the chest and hypochondrium. (Xiao Chai Hu Tang / Small Bupleurum Decoction)
(The pathogen is in the half-exterior and half-interior region. If exterior signs predominate, chills are severe; if interior signs predominate, heat is severe. The symptoms alternate or come and go, occurring two or three times a day, unlike malaria which has fixed intervals of onset and cessation.)
Shanghan / Cold Damage for more than ten days. Heat is knotted in the interior, with alternating chills and fever. (Da Chai Hu Tang / Great Bupleurum Decoction) Alternating chills and fever. Fullness in the chest and hypochondrium. Vexation (Fan). Frequent desire to vomit. Or palpitation in the epigastrium with heat. (Chai Hu Gui Zhi Gan Jiang Tang / Bupleurum, Cinnamon Twig, and Dried Ginger Decoction)
(Vexation and heat in the heart may also belong to cold syndromes, located in the exterior, interior, or half-exterior/half-interior; or caused by Yin deficiency with fire hyperactivity, Qi deficiency, or Heart deficiency.)
After Taiyang disease is resolved via sweating, vexation recurs with a floating and rapid pulse. (Gui Zhi Tang / Cinnamon Twig Decoction) After Taiyang disease sweating, the pulse is floating and rapid, with vexation and thirst. (Wu Ling San / Five-Ingredient Powder with Poria) After Taiyang disease vomiting and purging, exterior and interior [conditions persist]. (Zhi Zi Hou Po Tang / Gardenia and Magnolia Bark Decoction) After sweating, vomiting, and purging, mild vexation, frequent urination, and hard stool. (Xiao Cheng Qi Tang / Small Order the Qi Decoction) Palpitations with vexation. (Xiao Jian Zhong Tang / Small Construct the Middle Decoction) After Yangming diarrhea, empty vexation. (Zhi Zi Chi Tang / Gardenia and Fermented Soybean Decoction) After purging, vexation remains, and dry feces still exist. (Da Cheng Qi Tang / Great Order the Qi Decoction) Shaoyang syndrome with chest fullness and vexation, alternating chills and fever. (Xiao Chai Hu Tang / Small Bupleurum Decoction) Accompanied by fright, difficulty in urination, delirium, and heaviness of the body. (Chai Hu Gui Zhi Long Gu Mu Li Tang / Bupleurum, Cinnamon Twig, Dragon Bone, and Oyster Shell Decoction) Shaoyin syndrome with drowsiness and vexation, spontaneous diarrhea with thirst, and white urine. (Si Ni Tang / Four Reversal Decoction) After administering Bai Tong Tang / White Pass Through Decoction, diarrhea does not stop, limbs are cold (Jue Ni), pulse is absent, dry heaving occurs, and there is vexation. (Bai Tong Tang Plus Pig Bile) Vexation, inability to sleep. (Huang Lian E Jiao Tang / Coptis and Donkey-Hide Gelatin Decoction) Jueyin syndrome with cold limbs and vexation, pulse alternately knotted and tight, fullness in the heart. (Gua Di San / Melon Sprout Powder) Vexation due to Yin deficiency with fire hyperactivity. (Sheng Mai San / Generate the Pulse Powder) Spontaneous sweating due to Qi deficiency, weak pulse with vexation. (Bu Zhong Yi Qi Tang / Tonify the Middle and Augment the Qi Decoction)