治伤寒瘟疫等症。服诸药不效者。名曰坏症。
炙鳖甲（三钱） 升麻（四分） 前胡（一钱五分） 乌梅（一枚） 黄芩（一钱） 犀
角（镑八分）
水煎服。
总治疫症。不拘轻重。
薄荷 柴胡 前胡 丹参 丹皮 川贝母 知母 橘红 黄芩（炒） 白芍 连翘心 桔
梗（
许。冲入而服。
脉候 瘟病之脉势如虹。浮沉迟数似蒙蒙。紧革弦牢邪热盛。涩小微虚正气空。洪兼滑
大昏沉候。疾促结散命多穷。 糊脉象多寒湿。虚细应知病气通。紧革疾促。药饵难攻。沉
微濡伏。昏蒙耳聋。脉形涣散。须待神工。缓和为吉。短代将
厥者。上逆之症也。世人咸以手足厥冷者指为厥症。非也。讵不知手足冷如冰者曰厥逆。
厥
逆
有先厥而后手足逆冷者。是气郁而不达于四体也。木盛则土必衰。当补其土以泄其木。气郁
者四体失和。当温煦其气以分布四肢。其厥乃愈也。仲景伤寒书。有四逆散以治三阳厥逆。
四逆汤以治三阴厥逆。此皆治四肢逆冷之道也。又有凡阴阳不相顺接谓之厥。厥者手足必逆
冷也。其阳虚故温之。阳陷而不与阴相顺者。则下之。邪热入阴而未深者。则散之。以上之
辨。显系厥症。手足逆冷。与三阴三阳之厥逆有异也。经云。热深厥亦深。热微厥亦微。此
浑指厥字而不言厥逆。可知厥逆非厥脱之厥明矣。厥者。下行极而上也。盖足三阳之脉。起
于足指之间。足三阴之脉。聚于足心之下。凡阳胜阴虚。阳乘于阴。曰热厥。阴虚之症。足
心
之
其
竭
而
矣。
阴。
度。
恶。
成痰
骨枯
吐
出长
气闭
暴厥
血
阳
夫
不
上
暴
心
香
厥
者
治疗伤寒、瘟疫等病症，服用各种药物无效的情况，称为“坏症”。
炙鳖甲（三钱） 升麻（四分） 前胡（一钱五分） 乌梅（一枚） 黄芩（一钱） 犀角（镑八分）
用水煎服。
总治疫病症状，不论病情轻重。
薄荷 柴胡 前胡 丹参 丹皮 川贝母 知母 橘红 黄芩（炒） 白芍 连翘心 桔梗（适量，冲入药汁后服用）。
脉象诊断：瘟病的脉势如同彩虹般宏大，浮、沉、迟、数脉象显得模糊不清。紧、革、弦、牢脉表示邪热炽盛；涩、微、小、虚脉表示正气空虚。洪大兼滑大的脉象见于昏沉之候；疾、促、结、散脉多预示生命垂危。糊脉象多主寒湿，虚细脉应知病气相通。紧、革、疾、促脉，药物难以攻治；沉、微、濡、伏脉，伴有昏蒙耳聋；脉形涣散，须待神医救治；缓和为吉兆，短脉或代脉则预后不良。
厥证，是气机上逆的病症。世人常将手足厥冷者指认为厥证，这是不对的。岂不知手足冷如冰者才叫“厥逆”。厥逆中有先出现厥感而后手足逆冷的，这是气机郁滞不能通达四肢所致。肝木旺盛则脾土必然衰弱，应当补益脾土以制约肝木。气机郁滞导致四肢失和，应当温煦其气以分布至四肢，这样厥逆才能痊愈。张仲景的《伤寒论》中，有四逆散用于治疗三阳经的厥逆，有四逆汤用于治疗三阴经的厥逆，这些都是治疗四肢逆冷的方法。又有说法称凡阴阳之气不相顺接称为厥，厥证必然伴随手足逆冷。阳气虚弱所以用温法；阳气下陷而不与阴气相顺接的，则用下法；邪热侵入阴分但未深入的，则用发散法。以上辨析，明显属于厥证范畴，表现为手足逆冷，这与三阴三阳经的厥逆有所不同。经典云：“热深厥亦深，热微厥亦微”，这里笼统地指“厥”字而不说“厥逆”，可知“厥逆”并非“厥脱”之厥。所谓“厥”，是下行至极点而向上反作。足三阳经脉起于足趾之间，足三阴经脉聚于足心之下。凡是阳胜阴虚，阳气乘袭阴分，称为热厥。阴虚之症……（原文此处文字错乱，似有脱漏或排版错误，仅翻译可见部分）……恶寒……成痰……骨枯……吐出长气闭……暴厥血……阳……夫不……上……暴……心……香……厥……者。
Treat conditions such as Shanghan (Cold Damage) and plague where various medications have proven ineffective. This condition is termed "Huai Zheng" (Ruined Syndrome).
Zhi Bie Jia (Prepared Turtle Shell, 3 qian) Sheng Ma (Cimicifugae Rhizoma, 4 fen) Qian Hu (Peucedani Radix, 1.5 qian) Wu Mei (Mume Fructus, 1 piece) Huang Qin (Scutellariae Radix, 1 qian) Xi Jiao (Rhinocerotis Cornu, shaved 8 fen)
Decoct in water and take orally.
Generally treat epidemic syndromes, regardless of severity.
Bo He (Menthae Haplocalycis Herba) Chai Hu (Bupleuri Radix) Qian Hu (Peucedani Radix) Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) Dan Pi (Moutan Cortex) Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) Zhi Mu (Anemarrhenae Rhizoma) Ju Hong (Citri Reticulatae Pericarpium) Huang Qin (Scutellariae Radix, stir-fried) Bai Shao (Paeoniae Radix Alba) Lian Qiao Xin (Lonicerae Flos Cor) Jie Geng (Platycodonis Radix, appropriate amount, mix into the decoction and take).
Pulse Diagnosis: The pulse momentum of epidemic diseases is grand like a rainbow; floating, sinking, slow, and rapid pulses appear hazy. Tight,革 (leather), wiry, and firm pulses indicate flourishing pathogenic heat; choppy, thready, small, and deficient pulses indicate emptiness of righteous qi. Surging combined with slippery and large pulses are seen in comatose states; rapid, intermittent, knotted, and scattered pulses often portend death. A muddy pulse image mostly indicates cold-dampness; a deficient and thin pulse should be known as disease qi communicating. Tight, leather, rapid, and intermittent pulses are difficult to treat with medication; sinking, minute, soggy, and hidden pulses accompany dizziness and deafness; a scattered pulse form requires divine medical skill; a harmonious and moderate pulse is auspicious, while a short or intermittent pulse indicates poor prognosis.
Jue syndrome is a condition of rebellious qi ascending. People generally identify those with cold hands and feet as having Jue syndrome, which is incorrect. Is it not known that only those whose hands and feet are cold as ice are called "Jue Ni" (Rebellious Cold)? Among Jue Ni cases, there are those who first experience Jue sensations followed by cold extremities; this is due to stagnant qi failing to reach the four limbs. When Liver Wood is excessive, Spleen Earth must decline; one should tonify Earth to drain Wood. When qi stagnation causes disharmony in the four limbs, one should warm and nourish the qi to distribute it to the limbs, so that Jue Ni may heal. Zhang Zhongjing's *Shanghan Lun* contains Si Ni San (Frigid Extremities Powder) to treat Yangming/Jueyin Shaoyang Jue Ni, and Si Ni Tang (Frigid Extremities Decoction) to treat Yin Jue Ni. These are all methods for treating cold extremities. Another view states that whenever Yin and Yang qi fail to connect smoothly, it is called Jue, and Jue syndrome necessarily involves cold extremities. If Yang deficiency exists, use warming methods; if Yang sinks and fails to connect smoothly with Yin, use purgative methods; if pathogenic heat enters Yin but is not deep, use dispersing methods. The above differentiation clearly falls under Jue syndrome, manifesting as cold extremities, which differs from the Jue Ni of the Three Yin and Three Yang meridians. The classics state: "The deeper the heat, the deeper the Jue; the slighter the heat, the slighter the Jue." Here, the term "Jue" is used generally without specifying "Jue Ni," indicating that "Jue Ni" is distinct from "Jue Tuo" (Collapse of Jue). "Jue" means descending to the extreme and then reversing upward. The Foot Triple Burner, Stomach, and Bladder meridians (Foot Yang Ming/Yang Shao/Yang Ming) originate between the toes; the Foot Liver, Kidney, and Spleen meridians (Foot Yin Jue/Yin Shao/Yin Tai) gather below the sole. Whenever Yang exceeds and Yin is deficient, and Yang invades Yin, it is called Rebellious Heat Jue. In Yin deficiency syndromes... [Text becomes garbled/corrupted here] ...aversion to cold... formation of phlegm... bone withering... vomiting long breath closure... sudden syncope blood... Yang... man does not... up... sudden... heart... aromatic... Jue... person.