伤寒大法春宜吐。（仲景云。大法春宜吐。）宿食不消胸满疰。（玉函云。宿食在下管。当吐之。）胸中郁郁兼有涎。
寸口微数知其故。（玉函云。胸上结实。胸中郁郁而痛。不能食。使人按之。而反有涎唾。下利日十余行。其脉反迟。寸
口微滑。此可吐之。以上皆可吐之证也。）脉微若吐大为逆。（仲景云。脉微不可吐。虚细不可下。）少阴寒饮无增剧。（仲
景云。少阴病。其人饮食入则吐。心温温然欲吐。复不得吐。始得之。手足寒。脉弦迟。此胸中实可下也。若膈上有寒
饮者。干呕不可吐，当温之矣。）四逆虚家止可温。误吐内烦谁受责。（玉函金匮云。四逆病厥不可吐。虚家亦然。又云。
太阳病强吐之。则内烦。论此皆不可吐者也。）
中风忽然被火劫。咽烂发黄津液竭。（仲景云。太阳中风。以火劫。发其汗。邪风被火劫。血气流 。其身则发黄。
至于咽烂矣。）荣微血弱与烧针。烦躁昏迷并发热。（仲景云。其脉沉者。荣气微也。加烧针。则血留不行。更发热而烦
躁也。）阳明被火必怵惕。（玉函云。阳明脉浮紧。加烧针者必怵惕。）太阳被火必清血。（仲景云。太阳以火薰之。不得
汗。其人必躁。到经不解。必清血。）少阴火劫小便难。强责汗时翻作孽。（仲景云。少阴病。咳而下利谵语。是为被火
劫故也。小便必难。为强责少阴汗。故也。）或致虚烦不得眠。或致发黄中郁结。或致下血如豚肝。或致谵言语无节。（仲
景云。阳明病加温针。则烦躁不得眠。阳明病。被火劫。额上汗出。必发黄。瘀热在膀胱。蓄结成积。则下血。如豚肝。
太阳阳明被火劫。必谵语。）此皆误火之为病。切须仔细加分别。张苗欲汗外迎之。却取烧蒸布桃叶。（陈廪丘问张苗。
连发汗不出如何。苗云亦可烧地布桃叶。蒸湿之气于外迎之。可得汗也。）
伤寒治疗的大法，春季适宜使用吐法。（张仲景说：大法春季适宜使用吐法。）宿食不消化导致胸中胀满及疰病。（《金匮玉函经》说：宿食在胃脘下部，应当使用吐法。）胸中郁闷不适且伴有涎沫。
通过寸口脉象微数可以知晓其中的缘故。（《金匮玉函经》说：胸上部结实，胸中郁闷疼痛，不能进食，让人按压时反而有涎唾流出，每日腹泻十多次，脉象反而迟缓，寸口脉微滑，这是可以使用吐法的证候。以上都是可以使用吐法的证候。）如果脉象微弱则不可吐，否则大为逆乱。（张仲景说：脉象微弱不可用吐法，虚细脉象不可用下法。）少阴寒饮证若无加重，也不宜吐。（张仲景说：少阴病，患者饮食入口即吐，心中温温然想吐又吐不出来，初起时手足寒冷，脉象弦迟，这是胸中有实邪，应当用下法。如果是膈上有寒饮，干呕不可用吐法，应当用温法。）四逆汤证及体质虚弱者只可温补。误用吐法导致内热烦躁，由谁来承担责任？（《金匮玉函经》与《金匮要略》说：四逆病厥逆不可用吐法，体质虚弱者亦然。又说：太阳病强行吐之，会导致内热烦躁，论述这些都属于不可用吐法的情况。）
中风患者突然被火法劫迫，会导致咽喉溃烂、发黄、津液枯竭。（张仲景说：太阳中风，用火法劫迫发汗，邪风被火法所迫，气血运行涩滞，身体就会发黄，甚至导致咽喉溃烂。）营气微弱、血虚加上烧针，会并发烦躁、昏迷和发热。（张仲景说：脉象沉的，说明营气微弱。如果加用烧针，血液就会留滞不行，更加发热并出现烦躁。）阳明病被火法劫迫必然导致惊恐不安。（《金匮玉函经》说：阳明病脉浮紧，如果加用烧针，必然导致惊恐不安。）太阳病被火法劫迫必然导致便血。（张仲景说：太阳病用火熏蒸，不得汗出，患者必然躁扰，到了病程期限仍未解除，必然导致便血。）少阴病被火法劫迫会导致小便困难，强行发汗反而酿成祸患。（张仲景说：少阴病，咳嗽兼腹泻并说胡话，这是因为被火法劫迫的缘故。小便必然困难，是因为强行索取少阴病的汗所致。）或者导致虚烦不得安眠，或者导致发黄、胸中郁结，或者导致下血如豚肝状，或者导致说胡话言语无节制。（张仲景说：阳明病加用温针，则烦躁不得安眠。阳明病被火法劫迫，额头出汗，必然发黄。瘀热在膀胱，蓄积结成瘀块，则导致下血，颜色如豚肝。太阳病或阳明病被火法劫迫，必然导致说胡话。）这些都是误用火法造成的疾病，必须仔细加以辨别。张苗想要发汗，采用外部迎引的方法，却取来烧热铺上桃叶进行蒸浴。（陈廪丘问张苗：连续发汗不出汗怎么办？张苗说：也可以烧地铺上桃叶，利用湿润的热气从外部迎引，可以得到汗出。）
The general principle for treating Cold Damage in spring is to use emesis. (Zhang Zhongjing states: The general principle is that emesis is suitable in spring.) When retained food fails to digest, causing chest fullness and Zhu disease (a condition characterized by wandering pain or infectious symptoms), [the patient] should be treated with emesis. (The *Jin Gui Yu Han Jing* states: If retained food is located below the epigastrium, emesis should be used.) There is a sense of oppression in the chest accompanied by saliva and phlegm.
The cause can be known from the Cun (inch) position of the pulse being slightly rapid. (The *Jin Gui Yu Han Jing* states: If there is solidity above the chest, oppression and pain in the chest, inability to eat, and pressing on the area elicits saliva and phlegm, along with frequent diarrhea more than ten times a day, a slow pulse generally but a slightly slippery pulse at the Cun position, this is a case where emesis is indicated. The above are all indications for emesis.) However, if the pulse is faint, emesis is contraindicated as it would be a major deviation. (Zhang Zhongjing states: A faint pulse indicates emesis is contraindicated; a deficient and fine pulse indicates purgation is contraindicated.) In Shaoyin cold-fluid retention syndromes, if the condition does not worsen, emesis is not appropriate. (Zhang Zhongjing states: In Shaoyin disease, if the patient vomits immediately after eating, feels a warm sensation of wanting to vomit but cannot, starts with cold hands and feet, and has a string-tight and slow pulse, this indicates excess in the chest which should be treated with purgation. If there is cold fluid above the diaphragm causing dry retching, emesis is contraindicated, and warming treatment should be used instead.) For patients with Sini syndrome (Cold Extremities) or those who are constitutionally deficient, only warming methods are permissible. Mistakenly using emesis leads to internal irritability; who will bear the responsibility? (The *Jin Gui Yu Han Jing* and *Jin Gui Yao Lue* state: Sini syndrome with cold extremities is contraindicated for emesis, as is the case for constitutionally deficient individuals. It also states: For Taiyang disease, forcing emesis leads to internal irritability. These discussions all indicate cases where emesis is contraindicated.)
In Wind Strike, sudden exposure to fire therapy (fire劫) causes throat ulceration, jaundice, and exhaustion of body fluids. (Zhang Zhongjing states: In Taiyang Wind Strike, using fire therapy to force sweating causes the pathogenic wind to be constrained by fire, leading to stagnant blood and qi flow, resulting in jaundice and eventually throat ulceration.) With deficient Ying Qi (Nutritive Qi) and weak blood, combined with burning needle therapy, irritability, coma, and fever may occur simultaneously. (Zhang Zhongjing states: A deep pulse indicates deficient Ying Qi. Adding burning needle therapy causes blood stagnation, leading to increased fever and irritability.) Yangming disease subjected to fire therapy inevitably leads to fear and apprehension. (The *Jin Gui Yu Han Jing* states: In Yangming disease with a floating and tight pulse, adding burning needle therapy inevitably causes fear and apprehension.) Taiyang disease subjected to fire therapy inevitably leads to defecation of blood. (Zhang Zhongjing states: If Taiyang disease is fumigated with fire without inducing sweat, the patient becomes restless. If the condition persists beyond the expected course, defecation of blood will occur.) Fire therapy on Shaoyin disease makes urination difficult; forcibly demanding sweat creates further calamity. (Zhang Zhongjing states: In Shaoyin disease, coughing with diarrhea and delirium are caused by fire therapy. Urination will necessarily be difficult because forcibly demanding sweat from Shaoyin disease was attempted.) This may result in deficiency irritability and insomnia, or jaundice with central chest oppression, or defecation of blood resembling pig liver, or delirious speech without restraint. (Zhang Zhongjing states: Adding warm needle therapy to Yangming disease causes irritability and insomnia. Fire therapy on Yangming disease causes sweat on the forehead and inevitably leads to jaundice. Stagnant heat in the Bladder accumulates into masses, leading to defecation of blood resembling pig liver. Fire therapy on Taiyang or Yangming disease inevitably causes delirium.) All these are diseases caused by mistaken fire therapy; careful differentiation is essential. Zhang Miao sought to induce sweating by welcoming it from the exterior, yet he chose to heat the ground and spread peach leaves for steaming. (Chen Linqiu asked Zhang Miao: What if sweating cannot be induced despite repeated attempts? Zhang Miao replied: One can also heat the ground, spread peach leaves, and use the moist steam to welcome sweat from the exterior, thereby inducing sweating.)