凡牙肿之人，察其非胃火风热，各部有阴象足征。此是元气浮于上而不潜藏，急宜回阳收纳封固为要。若以养阴清火治之，是速其亡也。
耳 肿 不 痛
凡耳肿之人，其皮色必定如常，即或微红，多含青色，各部定有阴象足征，急宜大剂回阳。切勿谓肝胆风热，照常法外感治之，是速其死也。
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喉 痛 饮 滚
凡喉痛饮滚之人，必非风热上攻，定见脉息、声音一切无神，阴象毕露，急宜回阳之药冷服以救之，其效甚速。此是阳浮于上，不安其宅，今得同气之物以引之，必返其舍。若照风热法治之，是速其危矣。
咳 嗽 不 已
久病与素秉不足之人，或过服清凉发散之人，忽然咳嗽异常，无时休息，阴象全具。此是阴邪上干清道，元阳有从肺脱之势［1］，急宜回阳祛阴，阳旺阴消，咳嗽自止。切不可仍照滋阴与通套治咳嗽之上方治之。若畏而不回阳，是自寻其意也。
气 喘 唇 青
久病与素秉不足之人，忽见气喘唇青，乃是元气上浮，脱绝之征，法在难治。急宜回阳降逆收纳。俟气喘不作，唇色转红，方有生机。苟信任不专，听之而已。
心 痛 欲 死
凡忽然心痛欲死之人，或面赤，或唇青，察定阴阳，不或苟且。如心痛面赤，饮冷，稍安一刻者，此是邪热犯于心也，急宜清火。若面赤而饮滚，兼见唇舌青光，此是寒邪犯于心也，急宜扶阳。
[1] 势原本作"热"，据文义改。
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腹 痛 欲 绝
凡腹痛欲死之人，细察各部情形，如唇舌青黑，此是阴寒凝滞，阳不运行也，急宜回阳。如舌黄气粗，二便不利，周身冰冷，此是热邪内攻，闭其清道，急宜宣散通滞，如今之万应灵通丸，又名兑金丸，又名灵宝如意丸，又名川督普济丸，又名玉枢万灵丹。一半吹鼻，一半服，立刻见效，不可不知也。
肠 鸣 泻 泄
凡久病与素秉不足之人，有肠鸣如雷，泄泻不止者，此乃命门火衰，脏寒之极，急宜大剂回阳，若以利水之药治这，必不见效。予曾经验多人。
大 便 下 血
凡久病与素秉不足之人，忽然大便下血不止，此是下焦无火，不能统摄，有下脱之势，急宜大剂回阳，如附子理中、回阳饮之类。
小 便 下 血
此条与上大便下血同。予曾经验多人，皆是重在回阳，其妙莫测，由其无邪热足征也。
精 滴 不 已
大凡好色之人，与素秉不足之人，精常自出，此是元阳大耗，封锁不密，急宜大剂回阳，交通水火为主。予尝以白通汤治此病，百发百中。
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午 后 面 赤
凡午后面赤，或发烧，举世皆谓阴虚，不知久病与素秉不足之人，阳气日衰，不能镇纳其阴，阴邪日盛，上浮于外，况午后正阴盛时，阳气欲下潜藏于阴中，而阴盛不纳，逼阳于外，元气升多降少，故或现面赤，或现夜烧。此皆阴盛之候。若按阴虚治之，其病必剧。予常以回阳收纳，交通上下之法治之，百发百中。
身 痒 欲 死
久病与素秉不足之人，身忽痒极，或通身发红点，形似风疹，其实非风疹。风疹之为病，必不痒极欲死，多见发热身疼，恶寒恶风。若久病、素不足之人，其来者骤，多不发热身疼，即或大热，而小便必清，口渴饮滚，各部必有阴象足征，脉亦有浮空、劲急如绳可据，此病急宜大剂回阳收纳为要。若作风疹治之，速其亡也。
大 汗 如 雨
久病与素秉不足之人，忽然大汗如雨，此亡阳之候也。然亦有非亡阳者。夫大汗如雨，骤然而出，片刻即汗止者，此非亡阳，乃阴邪从窍而出，则为解病之兆。若其人气息奄奄，旋出而身冷者，真亡阳也，法则不治。若欲救之，亦只回阳一法。然阳明热极，热蒸于外，亦有大汗如雨一条，须有阳症病情足征。此则阴象全具，一一可考。
大 汗 呃 逆
久病与素秉不足之人，与过服克伐清凉之人，忽然大汗
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呃逆，此阳亡于外，脾肾之气绝于内，旦夕死亡之征也。急宜回阳降逆。服药后，如汗止呃逆不作，即有生机。若仍用时派止汗之麻黄根、浮小麦，止呃之丁香、杮蒂，未有不立见其死者也。
身 热 无 神
久病与素秉不足之人，或偶劳心，忽见身大热而不疼，并无所苦，只是人困无神，不渴不食。此是元气发外，宜回阳收纳，一剂可愈。若以为发热，即照外感之法治之，是速其危也，世多不识。
吐 血 身 热
凡吐血之人，多属气衰，不能摄血。吐则气机向外，元气亦与之向外，故身热，急宜回阳收纳为主。以不可见吐血而即谓之火，以凉剂施之。
大 吐 身 热
《经》云：吐则亡阳。吐属太阴，大吐之人，多缘中宫或寒或热，或食阻滞。若既吐已，而见周身大热，并无三阳表证足征。此属脾胃之元气发外，急宜收纳中宫元气为主。切不可仍照藿香正气散之法治之。予于此证，每以甘草干姜汤加砂仁，十治十效。
大 泄 身 热
久病与素秉不足之人，忽然大泄，渐而身大热者，此属阳脱之候。大热者，阳竭于上。大泄者，阴脱于下。急宜温中收纳为主。切不可一见身热，便云外感，一见大泄，便云
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饮食。若用解表、消导、利水，其祸立至，不可不知。
午 后 身 热
《经》云：阴虚生内热。是指邪气旺而血衰，并非专指午后、夜间发热为阴虚也。今人全不在阴阳至理处探取盈缩消息，一见午后、夜间发热，便云阴虚，便云滋水。推其意，以为午后属阴，即为阴虚，就不知午后、夜间正阴盛之时，并非阴虚之候。即有发热，多属阴盛隔阳于外，阳气不得潜藏、阳浮于外，故见身热。何也？人身真气从子时一阳发动，历丑寅卯辰已，阳气旺极，至午未申酉戌亥，阳衰而下潜藏。今为阴隔拒，不得下降，故多发热。此乃阴阳盛衰，元气出入消息，不可不知也。
予于此证，无论夜间、午后发烧热，或面赤，或唇赤，脉空，饮滚，无神，即以白通汤治之，屡治屡效。
皮 毛 出 血
久病与素秉不足之人，忽见皮毛出血，此乃卫外之阳不足，急宜回阳收纳，不可迟延。
阴 囊 缩 入
久病与素秉不足之人，忽然囊缩腹痛，此厥阴阴寒太甚，阳气虚极也，急宜回阳。或用艾火烧丹田，或脐中；或以胡椒末裹塞脐中，用有力人口气吹入腹中，痛止即止，亦是救急妙法。
两 脚 大 烧
久病与素秉不足之人，或夜卧，或午后两脚大烧，欲踏
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石上，人困无神。此元气发腾，有亡阳之势，急宜加阳收纳为主。切不可妄云阴虚，而用滋阴之药。
两 手 肿 热
凡素秉不足之人，忽然两手肿大如盂，微痛微红，夜间、午后便烧热难忍。此阴盛逼阳，从手脱也，急宜回阳收纳为主。
两 乳 忽 肿
凡素秉不足之人，忽然两乳肿大，皮色如常，此是元气从两乳脱出，切勿当作疮治，当以回阳收纳为主。
疮 口 不 敛
凡疮口久而不敛，多属元气大伤，不能化毒生肌，只宜大剂回阳。阳回气旺，其毒自消，其口自敛。切忌养阴清凉，见疮治疮。
痘 疮 平 塌
凡痘疮平塌，总原无火，只宜大剂回阳，切不可兼用滋阴。
肛 脱 不 收
凡素秉不足之人，或因大泄，或因过痢，以致肛脱不收。此是下元无火，不能收束，法宜回阳，收纳肾气。或灸百会穴，亦是良法。
小 便 不 止
久病与素秉不足之人，忽见小便日数十次，每来清长而
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多。此是下元无火也，急宜回阳，收纳肾气，切不可妄行利水。
腹 痛 即 泄
久病与素秉不足之人，多有小腹一痛，立即泄泻，或溏粪，日十余次。此属下焦火衰，阴寒气滞，急宜回阳。切不可专以理气分利为事。
身 疼 无 热
久病与素秉不足之人，忽见身疼，而却不发热者，是里有寒也，法宜温里。但服温里之药，多有见大热身疼甚者，此是阴邪渍散，即愈之征，切不可妄用清凉以止之。
身 热 无 疼
久病与素秉不足之人，与服克代宣散太过之人，忽见身热，而却无痛苦，并见各部阴象足征。此是阳越于外也，急宜回阳收纳，不可妄用滋阴、升散。
身 冷 内 热
久病与素秉不足之人，身外冷而觉内热难当，欲得清凉方快。清凉入口，却又不受，舌青滑而人无神，二便自利。此是阴气发潮，切不可妄用滋阴清凉之品，急宜大剂回阳，阳回则阴潮自灭。若果系时疫外冷内热之候，其人必烦燥，口渴饮冷，二便不利，人必有神，又当攻下，回阳则危。
身 热 内 冷
久病之人，忽见身大热而内冷亦甚，叠褥数重。此是阳
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越于外，寒隔于内，急宜回阳，阳气复藏，外自不热，内自不冷。切不可认作表邪，若与之解表，则元气立亡。此等证多无外感足征，即或有太阳表证，仍宜大剂回阳药中加桂、麻几分，即可无虞。
身 重 畏 冷
久病与素秉不足之人，忽见身重畏冷者，此是阴盛而阳微也，急宜回阳。
身 强 不 用
久病与素秉不足之人，与过服克伐宣散之人，忽然身强不用。此是真阳衰极，阳气不充，君令不行，阴气旺甚，阻滞经脉，宜大剂回阳，阳旺阴消，正气复充，君令复行，其病自己。世人不识，多以中风目之，其用多以祛风，每每酿成坏证，不可不知也。
脚 轻 头 重
久病与素秉不足之人，人忽见脚轻头重。此是阴乘于上，阳衰于内也。急宜回阳，收纳真气，阳旺阴消，头重不作，便是生机。
脚 麻 身 软
久病与素秉不足之人，多有脚麻身软者。此是阳气虚甚，不能充周，急宜甘温扶阳。阳气充足，其病自己。
气 喘 脉 劲
久病之人，忽见气喘脉劲，此阳竭于上，旦夕死亡之候，
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急急回阳，十中可救一二。但非至亲，切切不可主方，即主方亦必须批明，以免生怨。切不可见脉劲而云火大，便去滋阴降火。
吐 血 脉 大
凡吐血之人，忽见脉来洪大［1］。此阳竭于上，危亡之候也。今人动云：吐血属火，脉大属火，皆是认不明阴阳之过也。［眉批］人能知得血是水，气是火，便知得滋阴之误，姜、附之效也。
虚 劳 脉 动
凡虚损已极之人，脉象只宜沉细。若见洪大细数，或弦，或紧，或劲，或如击石，或如粗绳，或如雀啄、釜沸，皆死亡之候。切切不可出方。果系至亲至友，情迫不已，只宜大甘大温以扶之。苟能脉气和平，即有生机。切切不可妄用滋阴。要知虚损之人，多属气虚，所现证形，多有近似阴虚，其实非阴虚也。
予尝见虚损之人，每每少气懒言，身重嗜卧，潮热而口不渴，饮食减少，起居动静，一切无神，明明阳虚，并未见一分火旺阴虚的面目。
近阅市习，一见此等病情，每称为阴虚，所用药品，多半甘寒养阴。并未见几个胆大用辛温者，故一成虚劳，十个九死。非死于病，实死于药，非死于药，实死于医。皆由医家不明阴阳至理，病家深畏辛温，故罕有几个得生，真大憾也。
以上数十条，揭出元气离根，阳虚将脱危候，情状虽异，病源则一。学者苟能细心体会，胸中即有定据，一见便知，
[1] 大原本作"太"，据文义改。
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用药自不错乱。虽不能十救十全，亦不致误人性命。但病有万端，亦非数十条可尽，学者即在这点元气上探求盈虚出入消息，虽千万病情，亦不能出其范围。予更一言奉告，夫人身三百六十骨节，节节皆有神，节节皆有鬼，神者，阳之灵，气之主也。此言节节，皆正气布护。鬼者，阴之灵，血之主也。此言节节，皆真阴布护。故前贤云。鬼神塞满宇宙。宇宙指天地，指人身也。无论何节出现鬼象，即阴邪也。即以神治之。神，阳也，火也，气也。以阳治阴，即益火之源，以消阴翳。即扶南泻北之意，即补火治水义。用药即桂、附、姜、砂，一承是也。无论何节现出邪神为殃，言邪神者，明非即正气之盛，指邪气之盛，邪气即邪火也。乾坤以正气充塞，正气不能害人，气始能害人，故曰邪神。又可以鬼伏之。鬼，阴也，血也，水也。邪神，邪火也。鬼伏神，即以水治火，滋阴降火。用药即三黄石膏、大小承气一派是也。今人动云滋阴降火，皆是为邪火伤阴立说，并未有真正阴虚。即谓阴虚，皆阳虚也。何则？阴阳本是一气，不可分也。故《经》云：气旺则血旺。气衰则血衰，气升则血升，气降则血降，气在则血在，气亡则血亡。明得此理，便知天一生水之旨归，甘温、辛温回阳之妙谛。学者不必他处猜想，即于鬼神一语，领会通身阴阳，用药从阴从阳法度，认得邪正关键，识得诸家错误，便可超人［1］上乘，臻于神化。
辩 脉 切 要
浮脉主风、洪脉主火、实脉主热、数脉主热、紧脉主寒、滑脉主痰、沉脉属阴、迟脉属寒、细脉不足、微脉不足、虚脉不足、弱脉不足。
以上脉象，诸书言：浮主风也，洪与实、数、紧、滑主火、主热、主寒、主痰也。予谓浮脉未可遽为风。洪、大、实、数、紧、滑未可遽慨为火、为热、为寒、为痰也。沉、迟、细、微与虚、弱，亦未
[1] 人原本作"入"，据文义改。
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凡出现牙肿的人，观察其症状并非由胃火或风热引起，而是各部位表现出阴寒征象，这足以作为确证。这是元气浮越于上而不能潜藏所致，急需采用回阳、收纳、封固的方法治疗。如果采用养阴清火的方法治疗，会加速病人的死亡。
耳 肿 不 痛
凡是耳朵肿胀的人，皮肤颜色必定正常，即使略微发红，也多带有青色，各部位定有阴寒征象足以证明，急需大剂量使用回阳药物。千万不要认为是肝胆风热，按照常规的外感方法治疗，这会加速病人的死亡。
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喉 痛 饮 滚
凡是喉咙疼痛且想喝热水的人，必定不是风热上攻，一定见到脉象和声音都毫无神采，阴寒征象完全显露，急需将回阳药物冷服来救治，效果非常迅速。这是因为阳气浮越于上，不能安居其宅，现在得到与阳气同类性质的药物（热药）以引导它，必然使其返回本位。如果按照风热的方法治疗，会加速病人的危险。
咳 嗽 不 已
久病以及先天体质不足的人，或者过度服用清凉发散药物的人，忽然出现异常剧烈的咳嗽，无时休息，具备全部的阴寒征象。这是阴邪上犯清道，元阳有从肺部脱失的趋势［1］，急需回阳祛阴，阳气旺盛则阴邪消退，咳嗽自然停止。切不可仍然按照滋阴或通用的治咳嗽上方来治疗。如果因为畏惧而不敢回阳，是自寻死路。
气 喘 唇 青
久病以及先天体质不足的人，忽然出现气喘、嘴唇发青，这是元气上浮、即将脱绝的征象，属于难治之症。急需回阳、降逆、收纳。等到气喘停止，嘴唇颜色转红，才有生机。如果对治疗方案犹豫不决、信任不专，听之任之，病人就会死亡。
心 痛 欲 死
凡是忽然心痛欲死的人，有的面赤，有的唇青，必须仔细辨别阴阳，不可马虎。如果心痛且面赤，想喝冷饮，稍安片刻的，这是邪热侵犯心脏，急需清火。如果面赤却想喝热水，兼见嘴唇和舌头有青光，这是寒邪侵犯心脏，急需扶阳。
[1] “势”字原文作“热”，根据文义改正。
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腹 痛 欲 绝
凡是腹痛欲死的人，仔细检查各部位情况，如嘴唇和舌头青黑，这是阴寒凝滞，阳气不能运行，急需回阳。如果舌苔黄、呼吸粗重，大小便不通畅，全身冰冷，这是热邪内攻，闭塞了清道，急需宣散通滞，如现在的万应灵通丸，又名兑金丸，又名灵宝如意丸，又名川督普济丸，又名玉枢万灵丹。一半吹入鼻中，一半服用，立刻见效，不可不知道。
肠 鸣 泻 泄
凡是久病以及先天体质不足的人，有肠鸣如雷、泄泻不止的，这是命门火衰，脏腑寒冷到了极点，急需大剂量回阳，如果用利水药物治疗，必定不见效。我曾亲自验证过多人。
大 便 下 血
凡是久病以及先天体质不足的人，忽然大便下血不止，这是下焦无火，不能统摄血液，有下脱的趋势，急需大剂量回阳，如附子理中汤、回阳饮之类。
小 便 下 血
这一条与上面的大便下血相同。我曾亲自验证过多人，都是重在回阳，其妙处难以测度，因为没有邪热的确证。
精 滴 不 已
大凡好色之人，以及先天体质不足的人，精液常常自行流出，这是元阳大耗，封锁不严密，急需大剂量回阳，以交通水火为主。我曾使用白通汤治疗此病，百发百中。
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午 后 面 赤
凡是午后两颊发红，或发烧，举世的人都认为是阴虚，却不知道久病以及先天体质不足的人，阳气日渐衰弱，不能镇纳阴气，阴邪日渐强盛，浮越于外，况且午后正是阴气旺盛的时候，阳气想要下潜藏于阴中，但阴盛而不接纳，逼迫阳气于外，元气升多降少，所以有时出现面赤，有时出现夜间发烧。这都是阴盛的征候。如果按照阴虚治疗，病情必定加重。我常用回阳收纳、交通上下法治之，百发百中。
身 痒 欲 死
久病以及先天体质不足的人，身体忽然极度瘙痒，或全身发出红点，形状似风疹，其实并非风疹。风疹这种病，必定不会痒到欲死，多见发热身疼、恶寒恶风。如果是久病、素体不足的人发病，来得突然，多不发热身疼，即使有大热，小便必定清长，口渴想喝热水，各部位必有阴寒征象足以证明，脉象也有浮空、劲急如绳的特征可依据，此病急需大剂量回阳收纳为要。如果当作风疹治疗，会加速死亡。
大 汗 如 雨
久病以及先天体质不足的人，忽然大汗如雨，这是亡阳的征候。但也有不是亡阳的情况。大汗如雨，骤然而出，片刻即止的，这不是亡阳，而是阴邪从毛孔排出，是疾病解除的征兆。如果其人气息奄奄，汗出后身体变冷的，才是真亡阳，法则上属于不治之症。如果想救他，也只有一法：回阳。然而阳明热极，热气蒸腾于外，也有大汗如雨的情况，必须有阳证病情的确证。这里则是阴寒征象全部具备，一一可以考证。
大 汗 呃 逆
久病以及先天体质不足的人，以及过度服用克伐清凉药物的人，忽然出现大汗、呃逆，这是阳气亡于外，脾肾之气绝于内，旦夕之间死亡的征象。急需回阳降逆。服药后，如果汗止呃逆不再发作，就有生机。如果仍然使用平时止汗的麻黄根、浮小麦，止呃的丁香、柿蒂，没有不立即看到死亡的。
身 热 无 神
久病以及先天体质不足的人，或者偶尔劳心，忽然出现身体大热但不疼，并无痛苦，只是人困倦无神，不渴不食。这是元气发散于外，宜用回阳收纳法，一剂即可痊愈。如果以为是发热，就按照外感的方法治疗，会加速危险，世人大多不认识这一点。
吐 血 身 热
凡是吐血的人，多属于气衰，不能摄血。吐血则气机向外，元气也随之外出，所以身体发热，急需以回阳收纳为主。不可以一见吐血就认为是火，而施用凉剂。
大 吐 身 热
《内经》说：呕吐会亡阳。呕吐属于太阴病，大吐的人，多因为中焦脾胃或寒或热，或有食物阻滞。如果已经吐完，却见到周身大热，并没有三阳表证的的确确证据。这属于脾胃的元气发散于外，急需以收纳中焦元气为主。切不可仍然按照藿香正气散的方法治疗。我对此证，常用甘草干姜汤加砂仁，十次治疗十次有效。
大 泄 身 热
久病以及先天体质不足的人，忽然大泄，逐渐出现身体大热的，这属于阳脱的征候。大热，是阳气竭于上；大泄，是阴气脱于下。急需以温中收纳为主。切不可一见身热，就说外感，一见大泄，就说
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饮食积滞。如果使用解表、消导、利水的方法，灾祸立刻到来，不可不知道。
午 后 身 热
《内经》说：阴虚生内热。是指邪气旺盛而血衰，并不是专指午后、夜间发热就是阴虚。现在的人完全不在阴阳至理处探求盈虚消息，一见午后、夜间发热，就说阴虚，就说滋水。推究其意，认为午后属阴，就是阴虚，却不知道午后、夜间正是阴气旺盛的时候，并非阴虚的征候。即使有发热，多属于阴盛格阳于外，阳气不得潜藏、阳气浮越于外，所以见到身热。为什么呢？人身真气从子时一阳发动，经过丑、寅、卯、辰、巳，阳气旺盛至极，到了午、未、申、酉、戌、亥，阳气衰退而下潜藏。现在被阴气阻隔拒绝，不得下降，所以多发热。这是阴阳盛衰、元气出入的消息，不可不知道。
我对此证，无论夜间、午后发烧热，或面赤，或唇赤，脉空，想喝热水，无神，就用白通汤治疗，屡治屡效。
皮 毛 出 血
久病以及先天体质不足的人，忽然见到皮毛出血，这是卫外之阳不足，急需回阳收纳，不可迟延。
阴 囊 缩 入
久病以及先天体质不足的人，忽然睾丸收缩、腹痛，这是厥阴经阴寒太甚，阳气虚极，急需回阳。或者用艾火烧丹田，或脐中；或用胡椒末包裹塞入脐中，用有力之人的口气吹入腹中，痛止即停，这也是救急的妙法。
两 脚 大 烧
久病以及先天体质不足的人，或者夜间睡觉，或者午后两脚大烧，想踏在石头上，人困倦无神。这是元气发腾，有亡阳的趋势，急需回阳收纳为主。切不可妄说是阴虚，而用滋阴的药物。
两 手 肿 热
凡是先天体质不足的人，忽然两手肿大如盆，微痛微红，夜间、午后便烧热难忍。这是阴盛逼阳，阳气从手部脱失，急需回阳收纳为主。
两 乳 忽 肿
凡是先天体质不足的人，忽然两乳肿大，皮肤颜色正常，这是元气从两乳脱出，切勿当作疮疡治疗，应当以回阳收纳为主。
疮 口 不 敛
凡是疮口久而不愈合，多属于元气大伤，不能化毒生肌，只宜大剂量回阳。阳气回复，气血旺盛，毒素自然消除，疮口自然愈合。切忌养阴清凉，见疮治疮。
痘 疮 平 塌
凡是痘疮平塌，总原因是无火，只宜大剂量回阳，切不可兼用滋阴。
肛 脱 不 收
凡是先天体质不足的人，或者因为大泄，或者因为过痢，导致肛门脱出不能收回。这是下元无火，不能收束，治法宜回阳，收纳肾气。或者灸百会穴，也是良法。
小 便 不 止
久病以及先天体质不足的人，忽然见到小便每天数十次，每次来尿清长而多。这是下元无火，急需回阳，收纳肾气，切不可妄行利水。
腹 痛 即 泄
久病以及先天体质不足的人，多有小腹一痛，立即泄泻，或溏粪，一天十多次。这是下焦火衰，阴寒气滞，急需回阳。切不可专门以理气分利为事。
身 疼 无 热
久病以及先天体质不足的人，忽然见到身疼，却不发热的，是里有寒，治法宜温里。但服用温里药物，多有出现大热身疼加重的，这是阴邪溃散，即将痊愈的征象，切不可妄用清凉药来制止。
身 热 无 疼
久病以及先天体质不足的人，以及服用克伐宣散太过的人，忽然见到身热，却没有痛苦，并见到各部位阴寒征象的确切证据。这是阳气越于外，急需回阳收纳，不可妄用滋阴、升散。
身 冷 内 热
久病以及先天体质不足的人，身体外部冷而感觉内部热得难受，想要清凉才舒服。清凉入口，却又受不了，舌青滑而人无神，大小便自利。这是阴气发潮，切不可妄用滋阴清凉之品，急需大剂量回阳，阳气回复则阴潮自然熄灭。如果确实是时疫外冷内热的征候，其人必定烦躁，口渴想喝冷水，大小便不利，人必有神，又当攻下，用回阳法则危险。
身 热 内 冷
久病的人，忽然见到身体大热而内部也很冷，叠盖数层被子。这是阳气
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越于外，寒隔于内，急需回阳，阳气复藏，外部自然不热，内部自然不冷。切不可认作表邪，如果给予解表药，则元气立刻亡失。这类证候多没有外感的的确确证据，即使有太阳表证，仍宜在大剂量回阳药中加入桂枝、麻黄几分，就可以无忧虑。
身 重 畏 冷
久病以及先天体质不足的人，忽然见到身重畏冷，这是阴盛而阳微，急需回阳。
身 强 不 用
久病以及先天体质不足的人，以及过度服用克伐宣散药物的人，忽然身体僵硬不能使用。这是真阳衰极，阳气不充，君令不行，阴气旺甚，阻滞经脉，宜大剂量回阳，阳气旺盛阴邪消退，正气恢复充盈，君令重新行使，病自然痊愈。世人不认识这一点，多以中风目之，其用药多以祛风，每每酿成坏证，不可不知道。
脚 轻 头 重
久病以及先天体质不足的人，人忽然见到脚轻头重。这是阴乘于上，阳衰于内。急需回阳，收纳真气，阳气旺盛阴邪消退，头重不再出现，便是生机。
脚 麻 身 软
久病以及先天体质不足的人，多有脚麻身软的。这是阳气虚甚，不能充周，急需甘温扶阳。阳气充足，病自然痊愈。
气 喘 脉 劲
久病的人，忽然见到气喘脉劲，这是阳气竭于上，旦夕死亡的征候，急急回阳，十次可救一二。但不是至亲，切切不可主方，即使主方也必须批明，以免产生怨恨。切不可见脉劲就说火大，就去滋阴降火。
吐 血 脉 大
凡是吐血的人，忽然见到脉来洪大［1］。这是阳气竭于上，危亡的征候。现在的人动不动就说：吐血属火，脉大属火，都是认不明阴阳的过错。［眉批］人能知道血是水，气是火，就知道滋阴的错误，姜、附的功效了。
虚 劳 脉 动
凡是虚损已到极点的人，脉象只宜沉细。如果见到洪大细数，或弦，或紧，或劲，或如击石，或如粗绳，或如雀啄、釜沸，都是死亡的征候。切切不可出方。果系至亲至友，情势紧迫不已，只宜大甘大温来扶持。如果能脉气和平，就有生机。切切不可妄用滋阴。要知道虚损的人，多属于气虚，所现证形，多有近似阴虚，其实并非阴虚。
我曾见过虚损的人，每每少气懒言，身重嗜卧，潮热而口不渴，饮食减少，起居动静，一切无神，明明是阳虚，并未见一分火旺阴虚的面目。
近看市井习俗，一见这等病情，每称为阴虚，所用药品，多半甘寒养阴。并未见几个胆大用辛温者，所以一旦成为虚劳，十个九个死亡。不是死于病，实在于死于药，不是死于药，实在于死于医。皆由医家不明阴阳至理，病家深畏辛温，所以很少有能得生的，真是大遗憾啊。
以上数十条，揭出元气离根，阳虚将脱的危候，情状虽异，病源则一。学者如果能细心体会，胸中就有定据，一见便知，
[1] “大”字原文作“太”，根据文义改正。
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用药自然不会错乱。虽然不能十救十全，也不致误人性命。但病有万端，也并非数十条可以穷尽，学者就在这点元气上探求盈虚出入的消息，即使是千万种病情，也不能超出这个范围。我再奉告一句话，人身三百六十骨节，节节皆有神，节节皆有鬼，神，是阳的灵，气的主宰。说节节，都是正气布护。鬼，是阴的灵，血的主宰。说节节，都是真阴布护。所以前贤说：鬼神塞满宇宙。宇宙指天地，也指人身。无论何节出现鬼象，即是阴邪。即以神治之。神，是阳，是火，是气。以阳治阴，即益火之源，以消阴翳。即扶南泻北的意思，即补火治水之义。用药即桂枝、附子、干姜、砂仁，一脉相承。无论何节现出邪神为殃，说邪神，明确指非即正气的盛，指邪气的盛，邪气即邪火。乾坤以正气充塞，正气不能害人，气始能害人，所以说邪神。又可以鬼伏之。鬼，是阴，是血，是水。邪神，是邪火。鬼伏神，即以水治火，滋阴降火。用药即三黄石膏、大小承气一派是也。现在的人动不动就说滋阴降火，都是为邪火伤阴立说，并未有真正阴虚。即使说是阴虚，也都是阳虚。为什么呢？阴阳本是一气，不可分开。所以《内经》说：气旺则血旺。气衰则血衰，气升则血升，气降则血降，气在则血在，气亡则血亡。明白这个道理，就知道天一生水的旨归，甘温、辛温回阳的妙谛。学者不必他处猜想，即于鬼神一语，领会通身阴阳，用药从阴从阳的法度，认得邪正关键，识得诸家错误，便可超人［1］上乘，臻于神化。
辩 脉 切 要
浮脉主风、洪脉主火、实脉主热、数脉主热、紧脉主寒、滑脉主痰、沉脉属阴、迟脉属寒、细脉不足、微脉不足、虚脉不足、弱脉不足。
以上脉象，诸书说：浮主风，洪与实、数、紧、滑主火、主热、主寒、主痰。我认为浮脉不可遽然定为风。洪、大、实、数、紧、滑不可遽然慨叹为火、为热、为寒、为痰。沉、迟、细、微与虚、弱，也未
[1] “人”字原文作“入”，根据文义改正。
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In all cases of tooth swelling, if it is observed that the condition is not caused by stomach fire or wind-heat, but rather presents yin manifestations in various parts, this serves as sufficient evidence. This indicates that the Yuan Qi (Original Qi) is floating upward and failing to submerge; the urgent priority is to restore Yang, collect Qi, and seal and secure. If treated with methods that nourish Yin and clear fire, death will be hastened.
Ear Swelling Without Pain
In cases of ear swelling, the skin color must remain normal; even if slightly red, it often contains a bluish hue, and yin manifestations are definitely present throughout, providing sufficient proof. Large doses of Yang-restoring formulas should be used urgently. Do not mistakenly attribute this to wind-heat in the Liver and Gallbladder and treat it according to standard external contraction protocols, as this will hasten death.
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Throat Pain Craving Hot Drinks
In cases of throat pain where the patient craves hot drinks, it is certainly not due to wind-heat attacking upward. The pulse and voice will invariably lack spirit, and yin manifestations will be fully exposed. Yang-restoring herbs should be administered cold to save the patient, yielding very rapid results. This occurs because Yang floats upward and cannot reside peacefully in its home; receiving substances of similar nature (hot herbs) guides it back to its residence. Treating it according to wind-heat protocols will hasten danger.
Persistent Coughing
In patients with chronic illness or innate insufficiency, or those who have overused cooling and dispersing herbs, sudden abnormal coughing without respite, accompanied by complete yin manifestations, indicates that Yin pathogens are interfering with the Clear Orifices above, and the Yuan Yang faces the risk of escaping from the Lungs [1]. Urgent restoration of Yang and expulsion of Yin are required; as Yang becomes robust and Yin diminishes, the cough will cease naturally. One must not continue to use Yin-nourishing or generic cough-prescribing formulas. Failing to restore Yang out of fear is seeking one's own demise.
Asthma and Blue Lips
In patients with chronic illness or innate insufficiency, sudden onset of asthma and blue lips signifies floating Yuan Qi and impending collapse, a difficult-to-treat condition. Urgent restoration of Yang, descending of rebellious Qi, and collection are necessary. Only when the asthma subsides and the lip color turns red is there hope for life. Indecision and lack of trust in the treatment plan will lead to death.
Heart Pain Desiring Death
In cases of sudden heart pain desiring death, whether the face is red or lips are blue, Yin and Yang must be carefully distinguished without negligence. If heart pain is accompanied by a red face and a desire for cold drinks, with temporary relief, this is pathogenic heat invading the Heart; urgent clearing of fire is needed. If the face is red but the patient desires hot drinks, accompanied by blue-green signs on the lips and tongue, this is cold pathogen invading the Heart; urgent support of Yang is needed.
[1] "Shi" (trend/situation) was originally written as "Re" (heat), corrected here based on context.
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Abdominal Pain Desiring Death
In cases of abdominal pain desiring death, careful examination of various parts is essential. If the lips and tongue are blue-black, this indicates stagnation of Yin-cold and failure of Yang to circulate; urgent restoration of Yang is needed. If the tongue coating is yellow, breathing is coarse, urination and defecation are obstructed, and the whole body is ice-cold, this indicates internal attack by heat pathogen blocking the Clear Orifices; urgent dispersion and unblocking of stagnation are needed, such as using Wanying Lingtong Wan (Universal Efficacy Pill), also known as Duijin Wan, Lingbao Ruyi Wan, Chuandu Puji Wan, or Yushu Wanling Dan. Half blown into the nose, half taken orally, immediate effects are seen; this must not be ignored.
Bowel Sounds and Diarrhea
In patients with chronic illness or innate insufficiency presenting with bowel sounds like thunder and incessant diarrhea, this is due to decline of Mingmen Fire (Gate of Life Fire) and extreme cold of the Zang organs. Large doses of Yang-restoring formulas are urgently needed; treating with diuretics will certainly be ineffective. I have personally verified this in many cases.
Hematochezia (Blood in Stool)
In patients with chronic illness or innate insufficiency, sudden incessant hematochezia indicates lack of fire in the Lower Jiao (Lower Burner) failing to control blood, with a trend of downward collapse. Large doses of Yang-restoring formulas are urgently needed, such as Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) or Huiyang Yin (Restore Yang Drink).
Hematuria (Blood in Urine)
This section is identical to the preceding one on hematochezia. I have personally verified this in many cases; the focus is always on restoring Yang, the efficacy of which is unfathomable, as there are no sufficient signs of pathogenic heat.
Continuous Sperm Leakage
Generally, individuals prone to sexual indulgence or with innate insufficiency suffer from spontaneous sperm leakage. This indicates severe depletion of Yuan Yang and loose sealing mechanisms. Large doses of Yang-restoring formulas are urgently needed, focusing on communicating Water and Fire. I have used Baitong Tang (White Tongue Decoction) to treat this disease with hundred percent success.
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Red Face After Noon
In cases of red face after noon or fever, the world generally attributes this to Yin deficiency. However, they do not know that in patients with chronic illness or innate insufficiency, Yang Qi declines daily, failing to suppress and collect Yin, while Yin pathogens grow stronger and float outward. Moreover, the afternoon is precisely when Yin is abundant; Yang attempts to submerge into Yin, but strong Yin does not accept it, forcing Yang outward. With Yuan Qi rising more than descending, a red face or night fever appears. These are all signs of Yin abundance. Treating as Yin deficiency will surely worsen the disease. I commonly treat this with methods of restoring Yang, collecting Qi, and communicating Upper and Lower, achieving hundred percent success.
Body Itching Desiring Death
In patients with chronic illness or innate insufficiency, sudden extreme body itching, or red spots covering the body resembling wind-rash, is actually not wind-rash. Wind-rash typically does not cause itching desiring death; it usually presents with fever, body ache, aversion to cold, and aversion to wind. In contrast, in chronic or constitutionally deficient patients, the onset is sudden, often without fever or body ache. Even if high fever is present, urine must be clear, thirst involves craving hot drinks, and yin manifestations are evident throughout. The pulse may show floating emptiness or tension like a rope. This condition urgently requires large doses of Yang-restoring and collecting methods. Treating as wind-rash will hasten death.
Profuse Sweating Like Rain
In patients with chronic illness or innate insufficiency, sudden profuse sweating like rain is a sign of Yang collapse. However, there are cases not involving Yang collapse. Profuse sweating that appears suddenly and stops within moments is not Yang collapse, but rather Yin pathogens exiting through the pores, indicating disease resolution. If the patient has faint breath and becomes cold immediately after sweating, it is true Yang collapse, considered untreatable. To save them, only the method of restoring Yang remains. Nevertheless, extreme Heat in the Yangming channel steaming outward can also cause profuse sweating like rain, provided there are sufficient signs of Yang syndrome symptoms. Here, however, all Yin manifestations are present and verifiable.
Profuse Sweating and Hiccups
In patients with chronic illness or innate insufficiency, or those who have overused harsh cooling herbs, sudden profuse sweating and hiccups indicate Yang collapsing externally and Qi of the Spleen and Kidneys terminating internally, a sign of death within days. Urgent restoration of Yang and descending of rebellious Qi are needed. After taking medicine, if sweating stops and hiccups cease, there is hope for life. If one still uses common anti-sweat herbs like Mahuanggen (Ephedrae Radix et Rhizoma) and Xiaomai (Tritici Fructus), or anti-hiccup herbs like Dingxiang (Caryophylli Flos) and Shidi (Diospyri Exocarpium), death will occur immediately.
Body Heat Without Spirit
In patients with chronic illness or innate insufficiency, or those who occasionally strain their mind, sudden high body heat without pain or discomfort, merely presenting as lethargy and lack of spirit, with no thirst or appetite, indicates Yuan Qi emitting outward. Restoration of Yang and collection is appropriate, curable in one dose. Mistaking this for fever and treating as external contraction will hasten danger; most people fail to recognize this.
Hemoptysis with Body Heat
Patients with hemoptysis mostly suffer from Qi deficiency failing to control blood. Vomiting blood causes Qi mechanism to move outward, and Yuan Qi follows outward, resulting in body heat. Urgent restoration of Yang and collection is primary. One must not see hemoptysis and immediately assume Fire, applying cooling agents.
Vomiting with Body Heat
The Classics state: Vomiting leads to loss of Yang. Vomiting belongs to Taiyin. Patients with severe vomiting often have middle jiao Cold or Heat, or food obstruction. If, after vomiting, the whole body becomes extremely hot without sufficient signs of Taiyang, Shaoyang, or Yangming exterior syndromes, this belongs to Yuan Qi of the Spleen and Stomach emitting outward. Urgent collection of Middle Jiao Yuan Qi is primary. One must not continue to treat with Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi). For this syndrome, I often use Gancao Ganjiang Tang (Licorice and Ginger Decoction) added with Sharen (Amomi Fructus Rotundus), achieving ten cures out of ten.
Diarrhea with Body Heat
In patients with chronic illness or innate insufficiency, sudden severe diarrhea followed gradually by high body heat belongs to Yang collapse. High heat indicates Yang exhaustion above; severe diarrhea indicates Yin collapse below. Urgent warming of the Middle and collection is primary. One must not see body heat and claim external contraction, nor see severe diarrhea and claim
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food stagnation. Using exterior-resolving, digestion-promoting, or diuretic methods will bring disaster immediately; this must not be ignored.
Body Heat After Noon
The Classics state: Yin deficiency generates internal heat. This refers to pathogenic Qi flourishing and Blood declining, not specifically referring to afternoon or night fever as Yin deficiency. Current practitioners fail to explore the principles of Yin-Yang balance and fullness/emptiness. Upon seeing afternoon or night fever, they immediately claim Yin deficiency and prescribe water-nourishing herbs. Their reasoning assumes that since afternoon belongs to Yin, it must be Yin deficiency, ignoring that afternoon and night are precisely when Yin is abundant, not a sign of Yin deficiency. Even if fever occurs, it mostly belongs to Yin abundance repelling Yang outward, preventing Yang from submerging and causing Yang to float outward, thus manifesting as body heat. Why? The True Qi of the human body begins to generate one Yang at Zi hour (11 PM–1 AM), passing through Chou, Yin, Mao, Chen, Si hours, Yang becomes extremely vigorous until Wu, Wei, Shen, You, Xu, Hai hours, when Yang declines and submerges. Now, blocked by Yin, it cannot descend, hence frequent fever. This concerns the fluctuation of Yin-Yang abundance and the entry/exit of Yuan Qi; it must not be ignored.
For this syndrome, regardless of night or afternoon fever, red face, red lips, empty pulse, craving hot drinks, or lack of spirit, I use Baitong Tang, with repeated successful treatments.
Bleeding from Skin and Hair
In patients with chronic illness or innate insufficiency, sudden bleeding from skin and hair indicates insufficiency of Defensive Yang protecting the exterior. Urgent restoration of Yang and collection is needed; delay is inadvisable.
Retraction of Scrotum
In patients with chronic illness or innate insufficiency, sudden retraction of the scrotum and abdominal pain indicates excessive Yin-cold in the Jueyin channel and extreme deficiency of Yang. Urgent restoration of Yang is needed. Alternatively, moxa can be burned on the Dantian or navel; or pepper powder wrapped and stuffed into the navel, blown into the abdomen by a strong person’s breath. Stop when pain ceases; this is also an excellent emergency method.
Extreme Burning Sensation in Both Feet
In patients with chronic illness or innate insufficiency, or during night sleep or afternoon, extreme burning sensation in both feet, desiring to step on stone, accompanied by lethargy and lack of spirit, indicates Yuan Qi surging outward with a trend of Yang collapse. Urgent restoration of Yang and collection is primary. One must not rashly claim Yin deficiency and use Yin-nourishing drugs.
Swelling and Heat in Both Hands
In constitutionally deficient individuals, sudden swelling of both hands like basins, slight pain and redness, unbearable burning heat at night or afternoon, indicates Yin abundance forcing Yang, with Yang escaping from the hands. Urgent restoration of Yang and collection is primary.
Sudden Swelling of Both Breasts
In constitutionally deficient individuals, sudden swelling of both breasts with normal skin color indicates Yuan Qi escaping from the breasts. Do not treat as sores; prioritize restoration of Yang and collection.
Non-healing Wound Sores
Wounds that fail to heal for a long time mostly belong to severe damage of Yuan Qi, unable to resolve toxins and generate flesh. Only large doses of Yang-restoring formulas are suitable. As Yang returns and Qi flourishes, toxins dissipate naturally, and wounds close. Avoid nourishing Yin and using cooling herbs; do not treat the sore locally alone.
Flat Pockmarks (Smallpox)
Flat pockmarks are fundamentally due to lack of Fire. Only large doses of Yang-restoring formulas are suitable; Yin-nourishing herbs must not be combined.
Rectal Prolapse
In constitutionally deficient individuals, rectal prolapse due to severe diarrhea or dysentery indicates lack of fire in the Lower Origin, failing to retain. The method should restore Yang and collect Kidney Qi. Moxibustion on Baihui (GV20) is also a good method.
Uncontrolled Urination
In patients with chronic illness or innate insufficiency, sudden frequent urination dozens of times a day, each time clear, long, and abundant, indicates lack of fire in the Lower Origin. Urgent restoration of Yang and collection of Kidney Qi is needed; diuretics must not be used rashly.
Abdominal Pain Immediately Followed by Diarrhea
In patients with chronic illness or innate insufficiency, lower abdominal pain immediately followed by diarrhea or loose stools, ten-plus times a day, indicates decline of fire in the Lower Jiao and stagnation of Yin-cold Qi. Urgent restoration of Yang is needed. Do not solely focus on regulating Qi and separating turbidity.
Body Ache Without Fever
In patients with chronic illness or innate insufficiency, sudden body ache without fever indicates interior Cold; the method should warm the interior. However, after taking interior-warming herbs, some may experience increased body heat and severe ache; this is Yin pathogens dispersing, a sign of imminent recovery. Do not rashly use cooling herbs to stop it.
Body Heat Without Ache
In patients with chronic illness or innate insufficiency, or those who have overused harsh dispersing herbs, sudden body heat without pain, accompanied by sufficient yin manifestations in various parts, indicates Yang floating outward. Urgent restoration of Yang and collection is needed; do not rashly use Yin-nourishing or ascending/dispersing herbs.
Cold Exterior with Internal Heat
In patients with chronic illness or innate insufficiency, the exterior feels cold while the interior feels unbearably hot, desiring coolness for comfort. However, cool substances are rejected upon ingestion; the tongue is blue and slippery, the person lacks spirit, and urination/defecation are free. This is Yin tide emerging. Do not rashly use Yin-nourishing or cooling products; urgent large-dose Yang restoration is needed. As Yang returns, Yin tide extinguishes naturally. If it were truly an epidemic pattern of cold exterior and heat interior, the person would be irritable, thirsty for cold drinks, have obstructed urination/defecation, and possess spirit; then purgatives would be indicated, and Yang restoration would be dangerous.
Heat Exterior with Cold Interior
In chronic patients, sudden high body heat with severe internal cold, requiring multiple layers of blankets, indicates Yang floating outward and Cold blocking internally. Urgent restoration of Yang is needed; as Yang returns to its storage, the exterior naturally ceases to be hot, and the interior naturally ceases to be cold. Do not mistake this for exterior pathogen; giving exterior-resolving herbs will cause immediate Yuan Qi collapse. Such syndromes mostly lack sufficient signs of external contraction. Even if Taiyang exterior signs exist, adding small amounts of Guizhi (Cinnamomi Ramulus) and Ma Huang (Ephedrae Herba) to large-dose Yang-restoring formulas ensures safety.
Heavy Body and Aversion to Cold
In patients with chronic illness or innate insufficiency, sudden heavy body and aversion to cold indicate Yin abundance and Yang weakness. Urgent restoration of Yang is needed.
Stiff Body and Inability to Move
In patients with chronic illness or innate insufficiency, or those who have overused harsh dispersing herbs, sudden stiffness and inability to move indicate extreme decline of True Yang, insufficient Yang, failure of the Sovereign Command, excessive Yin Qi blocking meridians. Large-dose Yang restoration is suitable; as Yang flourishes and Yin diminishes, Righteous Qi recovers, and the Sovereign Command resumes function, curing the disease. People fail to recognize this, often diagnosing stroke and using wind-dispelling herbs, frequently causing deteriorated syndromes; this must not be ignored.
Light Feet and Heavy Head
In patients with chronic illness or innate insufficiency, sudden light feet and heavy head indicate Yin encroaching upward and Yang declining internally. Urgent restoration of Yang and collection of True Qi are needed; as Yang flourishes and Yin diminishes, head heaviness ceases, signaling hope for life.
Numb Feet and Soft Body
In patients with chronic illness or innate insufficiency, numb feet and soft body are common. This indicates severe Yang deficiency failing to permeate. Urgent sweet-warm Yang support is needed. As Yang becomes sufficient, the disease cures itself.
Asthma and Tense Pulse
In chronic patients, sudden asthma with tense pulse indicates Yang exhaustion above, a sign of imminent death. Urgent Yang restoration can save one or two out of ten. Unless it is a close relative, one must absolutely not prescribe; even if prescribing, one must clearly state the prognosis to avoid resentment. Do not see tense pulse and claim excessive Fire, then proceed to nourish Yin and descend Fire.
Hemoptysis and Large Pulse
In patients with hemoptysis, sudden洪大 (Surging-Large) pulse [1] indicates Yang exhaustion above, a critical sign of collapse. Current practitioners often claim: Hemoptysis belongs to Fire, Large pulse belongs to Fire; this is all due to failing to understand Yin and Yang clearly. [Marginal Note] If one knows that Blood is Water and Qi is Fire, one understands the error of Yin-nourishing and the efficacy of Jiang (Zingiberis Rhizoma) and Fu Zi (Aconiti Lateralis Radix Praeparata).
Deficiency Labor and Pulsation
In patients with extreme deficiency, the pulse should only be Deep-Fine. If Surging-Large, Fine-Rapid, Wiry, Tight, Tense, striking stone, like thick rope, or like sparrow pecking/cauldron boiling are seen, these are signs of death. Absolutely do not prescribe. If it is a close relative/friend with urgent circumstances, only large Sweet-Warm tonics should be used to support. If the pulse energy becomes peaceful, there is hope. Absolutely do not rashly use Yin-nourishing. Know that deficiency patients mostly belong to Qi deficiency; manifested symptoms often resemble Yin deficiency, but are actually not Yin deficiency.
I have seen deficiency patients often lacking Qi, reluctant to speak, heavy body, drowsy, tidal fever but no thirst, reduced diet, and lack of spirit in all activities. Clearly Yang deficiency, yet showing not a trace of Fire excess or Yin deficiency appearance.
Recent market habits diagnose such conditions as Yin deficiency, using mostly Sweet-Cold Yin-nourishing herbs. Few dare to use Acrid-Warm herbs. Thus, once becoming Deficiency Labor, nine out of ten die. Not dying of disease, but dying of medicine; not dying of medicine, but dying of physicians. All due to physicians not understanding Yin-Yang principles and patients fearing Acrid-Warm herbs, resulting in few survivors; truly a great regret.
The above dozens of items reveal Yuan Qi leaving its root and critical signs of Yang deficiency nearing collapse. Although symptoms differ, the source is one. If scholars carefully comprehend, they will have certainty in mind, recognizing instantly upon sight,
[1] "Da" (Large) was originally written as "Tai" (Too), corrected here based on context.
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Medication will not be confused. Although not ten cures out of ten, it will not cost lives. But diseases have myriad forms, not exhausted by dozens of items. Scholars should explore the fluctuations and entry/exit of this Yuan Qi; even thousands of conditions cannot exceed this scope. I offer one more word: The three hundred and sixty bone joints of the human body each have Shen (Spirit) and Gui (Ghost). Shen is the spirit of Yang, the master of Qi. Saying "each joint" means Righteous Qi protects each. Gui is the spirit of Yin, the master of Blood. Saying "each joint" means True Yin protects each. Hence, former sages said: Ghosts and Spirits fill the universe. Universe refers to Heaven and Earth, and also to the human body. Whenever any joint shows Gui signs, it is Yin pathogen. Treat it with Shen. Shen is Yang, Fire, Qi. Treating Yin with Yang is increasing the source of Fire to eliminate Yin shadows. It is the meaning of supporting South and draining North, supplementing Fire and managing Water. Medication includes Guizhi (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma), Sharen (Amomi Fructus Rotundus), following one lineage. Whenever any joint shows Xie Shen (Evil Spirit) causing harm, "Xie Shen" clearly means not the flourishing of Righteous Qi, but the flourishing of Pathogenic Qi; Pathogenic Qi is Evil Fire. Heaven and Earth are filled with Righteous Qi; Righteous Qi cannot harm, only Qi (when deviant) harms, hence called Xie Shen. It can be subdued by Gui. Gui is Yin, Blood, Water. Xie Shen is Evil Fire. Subduing Shen with Gui is using Water to treat Fire, nourishing Yin and descending Fire. Medication includes Sanhuang Shigao (Three Yellows Gypsum Formula), Da Chengqi Tang (Major Order the Qi Decoction), Xiao Chengqi Tang (Minor Order the Qi Decoction), etc. Current practitioners often say nourish Yin and descend Fire, establishing theories for Evil Fire injuring Yin, yet there is no true Yin deficiency. Even if claimed as Yin deficiency, it is Yang deficiency. Why? Yin and Yang are originally one Qi, inseparable. Hence, the Classics state: When Qi flourishes, Blood flourishes. When Qi declines, Blood declines. When Qi ascends, Blood ascends. When Qi descends, Blood descends. Where Qi is, Blood is. Where Qi perishes, Blood perishes. Understanding this principle reveals the purpose of "Heaven generates One Water" and the profound truth of Sweet-Warm and Acrid-Warm Yang restoration. Scholars need not speculate elsewhere; through the phrase "Ghosts and Spirits," comprehend the Yin-Yang of the whole body, follow the rules of medication from Yin or Yang, recognize the key of Righteous vs. Pathogenic, identify errors of various schools, and one can surpass ordinary levels, reaching divine transformation.
Essentials of Pulse Differentiation
Floating pulse governs Wind; Surging pulse governs Fire; Full pulse governs Heat; Rapid pulse governs Heat; Tight pulse governs Cold; Slippery pulse governs Phlegm; Deep pulse belongs to Yin; Slow pulse belongs to Cold; Fine pulse indicates insufficiency; Thready pulse indicates insufficiency; Empty pulse indicates insufficiency; Weak pulse indicates insufficiency.
Regarding the above pulse images, various books state: Floating governs Wind; Surging, Full, Rapid, Tight, Slippery govern Fire, Heat, Cold, Phlegm. I assert that Floating pulse cannot be hastily diagnosed as Wind. Surging, Large, Full, Rapid, Tight, Slippery cannot be hastily generalized as Fire, Heat, Cold, Phlegm. Deep, Slow, Fine, Thready, Empty, Weak, also cannot
[1] "Ren" (Person) was originally written as "Ru" (Enter), corrected here based on context.
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