(无分经络百脉一宗悉致其病也欲食不能食欲卧不能卧欲行不能行如寒无寒如热
口苦小便赤时常嘿嘿药不能治得药则吐如有神灵其形如和其脉微数每溺时头痛者六十日愈溺
时头不痛淅然者四十日愈若溺时快然但头眩者二十日愈)
百合病。汗后者(百合知母汤)下后者。(滑石代赭汤)吐后者。(百合鸡子汤)。不经汗吐
下者
热者。(百合滑石汤)
(状如伤寒嘿嘿欲眠目不得闭卧起不安蚀于喉为惑蚀于阴为狐不欲饮食恶闻食臭
蚀于上部。则声喝。(甘草泻心汤)蚀于下部。则咽干。(苦参汤洗之)蚀于肛。(雄黄一
味为末取艾肭拌匀以二瓦合之烧向肛门熏之)
(此症后贤遗而不论及或混杂于狐惑症中尤为可笑也)
脉数无热。微烦。嘿嘿欲卧。汗出。初得之三四日。目赤如鸠眼。七八日目四
黑。若能食者。脓已成也。(赤豆当归散)
按此症。乃目疡也。当其未成脓时。毒瓦斯未出。故腹满不能食。及脓成毒出。则腹舒故
能食也。
面赤斑斑如锦纹。咽喉痛。吐脓血。五日可治。七日不可治。(升麻鳖甲汤)
面目青。身痛如被杖。咽喉痛。五日可治。七日不可治。(升麻鳖甲汤去雄黄蜀椒)
按后贤所论阴毒。皆阴症之重者。阳毒乃阳症之甚者。并非仲景的旨。故悉删去。
(厥阴危恶之症扁鹊孙真人皆断为死症仲景无治法今采南阳海藏治法有阴阳
之殊至于女人乳头缩者即同此症)
厥阴病。尺寸俱沉短者。必舌卷囊缩。毒瓦斯入腹。(大承气汤)烦满囊缩。二便不通。发
热引饮。邪在里也。(大承气汤)厥逆爪青。二便不通。地道塞也。(正阳散或回阳丹)
(没有分属哪一经络,百脉同宗,都会导致疾病。想吃饭却吃不下,想睡觉却睡不安稳,想行走却无法行走,像怕冷其实并不冷,像发热其实并不热,口苦,小便色黄,神情默默沉默不语,药物难以奏效,服药后反而呕吐,好像有神灵作祟,外表看起来和常人无异,脉象微数。每次排尿时头痛的,六十天痊愈;排尿时不头痛但感到畏寒战栗的,四十天痊愈;如果排尿时感觉畅快只是头晕目眩的,二十天痊愈。)
百合病(一种以精神恍惚、饮食行为失调为主要表现的疾病)。发汗之后的(用百合知母汤)。泻下之后的(用滑石代赭汤)。催吐之后的(用百合鸡子汤)。未经过发汗、催吐、泻下治疗的:
如果有热的(用百合滑石汤)。
(症状像伤寒,神情默默想睡觉,眼睛不能闭合,躺下坐起都不安宁。腐蚀于咽喉称为惑,腐蚀于阴部称为狐。不想吃东西,厌恶食物的气味。
腐蚀在上部的,声音嘶哑。(用甘草泻心汤)。腐蚀在下部的,咽干。(用苦参汤清洗)。腐蚀在肛门的,(将雄黄一味药研成末,取艾叶揉碎拌匀,用两片瓦合拢,烧向肛门熏蒸)。
(这种病症后世贤者遗漏而未讨论,或者混杂在狐惑病中,尤其可笑。)
脉数但没有发热,轻微烦躁,神情默默想睡觉,出汗。刚得病的三四天,眼睛发红像斑鸠的眼睛。七八天后,眼珠四周发黑。如果能吃东西的,说明脓已经形成了。(用赤豆当归散)
按语:此症乃是眼部溃疡。当脓未形成时,毒气未排出,所以腹部胀满不能进食;等到脓成毒出,腹部舒缓所以能进食。
面部红赤斑驳如锦缎花纹,咽喉痛,吐脓血。五天可以治疗,七天不可治疗。(用升麻鳖甲汤)
面目青暗,身体疼痛如同被棍棒打过,咽喉痛。五天可以治疗,七天不可治疗。(用升麻鳖甲汤去掉雄黄、蜀椒)
按语:后世贤者所论述的阴毒,都是阴证的重症,阳毒则是阳证的极重者,这并非张仲景的本意,所以全部删去。
(厥阴病危重恶性的症状,扁鹊、孙思邈都断定为死症,张仲景没有治法,现在采用南阳海藏的治疗方法,因为存在阴阳的区别。至于女性乳头内缩的,即同于此症。)
厥阴病。尺寸两部脉象都沉短的,必定出现舌体卷曲、阴囊收缩。毒气进入腹部。(用大承气汤)。烦闷胀满、阴囊收缩,大小便不通,发热且引水自饮,邪气在里。(用大承气汤)。四肢厥冷、指甲青紫,大小便不通,地道闭塞。(用正阳散或回阳丹)
(Without distinguishing which meridian is affected, since the hundred vessels share one origin, all are liable to be diseased. The patient desires to eat but cannot, desires to sleep but cannot, desires to walk but cannot; appears cold but is not actually cold, appears hot but is not actually hot; bitter taste in the mouth, dark yellow urine, silent and withdrawn (Heihei), medicines fail to work, and vomiting occurs after taking them as if possessed by spirits. The physical appearance resembles that of a healthy person, while the pulse is slightly rapid. If headache occurs during urination, recovery takes sixty days; if there is no headache but shivering chills occur, recovery takes forty days; if urination is comfortable but accompanied only by dizziness, recovery takes twenty days.)
Baihe Bing (Lily Disease). After sweating (use Baihe Zhi Mu Tang [Lily and Anemarrhena Decoction]). After purging (use Huashi Daizhe Tang [Talc and Hematite Decoction]). After vomiting (use Baihe Jizi Tang [Lily and Egg Yolk Decoction]). Without prior sweating, vomiting, or purging:
If heat is present (use Baihe Huashi Tang [Lily and Talc Decoction]).
(The condition resembles Taiyang disease with silent withdrawal and desire to sleep, yet eyes cannot close, restlessness when lying down or rising up. Erosion in the throat is called Huo (Confusion); erosion in the yin organs is called Hu (Fox). Desire to eat is absent, aversion to food odors.
Erosion in the upper part results in hoarseness (use Gancao Xi Xin Tang [Licorice and Heartwarming Decoction]. Erosion in the lower part results in dry throat (wash with Kushen Tang [Sophora Root Decoction]). Erosion in the anus: (grind Xionghuang [Realgar] into powder, mix with crushed Mugwort leaves, place between two tiles, burn, and fumigate towards the anus).
(This syndrome was omitted by later scholars or confused with Huoxu Syndrome, which is particularly ridiculous.)
Rapid pulse without fever, slight irritability, silent withdrawal and desire to sleep, sweating. In the first three to four days, eyes are red like those of a turtledove. By the seventh or eighth day, the area around the pupils turns black. If the patient can eat, it indicates that pus has formed (use Chidou Danggui San [Red Bean and Angelica Powder]).
Note: This condition is an ocular ulcer. Before pus formation, toxic vapors have not been expelled, causing abdominal fullness and inability to eat. Once pus forms and toxins exit, the abdomen relaxes, allowing eating.
Facial redness mottled like brocade patterns, sore throat, vomiting of pus and blood. Treatable within five days, untreatable after seven days (use Shengma Biejia Tang [Cimicifuga and Turtle Shell Decoction]).
Blue-green complexion, body pain as if beaten with a club, sore throat. Treatable within five days, untreatable after seven days (use Shengma Biejia Tang without Xionghuang [Realgar] and Shujiao [Zanthoxylum]).
Note: Later scholars' discussions on Yin Du (Yin Toxin) refer to severe Yin syndromes, while Yang Du refers to extreme Yang syndromes; this does not align with Zhang Zhongjing's original intent, so these sections are deleted.
(Critical and malignant symptoms of Jueyin disease were deemed fatal by Bian Que and Sun Simiao; Zhang Zhongjing provided no treatment method. Here, methods from Haizang of Nanyang are adopted due to differences in Yin and Yang. For women, retracted nipples correspond to this syndrome.)
Jueyin Bing (Jueyin Disease). When both Cun and Chi pulses are deep and short, tongue retraction and scrotal contraction must occur; toxic vapors have entered the abdomen (use Dachengqi Tang [Major Order the Qi Decoction]). Irritability, fullness, scrotal contraction, obstruction of both stool and urine, fever with craving for water indicate pathogenic factors in the interior (use Dachengqi Tang [Major Order the Qi Decoction]). Cold extremities, cyanotic fingernails, obstruction of both stool and urine indicate blockage of the lower pathways (use Zhengyang San [Upright Yang Powder] or Huiyang Dan [Return Yang Pill]).