伤寒一日在太阳。头颈项痛腰脊强。
太阳传阳明。为巡经传。少阳名曰越经传。传太阴名误下传。传少阴名表传里。传厥阴
名巡经得度传。
二日阳明传已受。身热目疼鼻干候。三日少阳胸胁疼耳聋俱病在表经。三阳经络或一病
。未入于脏实汗证。
经大略言之。三阳亦有入腑者。入腑则宜下。
四日阳极传太阴。腹满嗌干脉近沉。五日少阴传向里。口燥舌干渴不已。六日病经循厥阴
。烦满囊缩热剧深。三阴已病即当下。
三阴亦有在经者。在经则宜汗之温之。
若重感之未易泻。何知病为两感寒。太阳病与少阴连。头痛口干烦满渴。荣卫不通腑脏
热。
阳明即与太阴病。腹满身热食不进。谵语传见二日中。三日少阳与厥阴。耳聋囊缩更乃厥。
水浆不入不知人。五脏已伤六腑闭。荣卫不行委和滞。
凡此之际宜切思。温吐汗下须仔细。其不两感病传者。七日太阳病且愈。以下一日退一经
。
六经病愈藏脉通。至十二日大邪尽。病患神爽血气平。若感异气变他病。大法当如治坏证。
表之表者大发汗。表之里者下且缓。里之里者下即通。里之表者润渍同。适当尽脉阴阳理。
表里因之勿妄攻。
伤寒之候。悉须审别。证传唯六。
足三阴三阳为六经证。
经常有九。
六经外有太阳阳明。正阳阳明。少阳阳明三证也。
阳表阴里。
表为阳。里为阴也。
传变两感。
传为次第传经。变为不传经而成异证者。阴阳俱病曰两感又曰双传。
谓表里证俱也。
病有坏异。
有失于治之误为坏证者。有形证相应。服药间病忽变异。是灾怪也。
合病并病
二阳俱病为合病。若二阳先俱病。后一阳自病曰并病也。
一病百合。
病有首尾。只有一经者。如百脉一宗俱病曰百合病。
辨风与暑湿温痉
六证与伤寒不同。
寒本阴邪。郁而变热。怫结转盛。手经冤热。
伤寒只病足经。如不大便。烦躁发喘。斑证衄血之类。皆手经之冤热病也。又守真云。
阳邪为病传手经。阴邪为病传足经。
表里虚实。
谓表虚里实。表实里虚。
表里寒热。
有外寒内热。外热内寒者。
表里停水。
表有水则多热。或咳或利。里有水则胁下痞。或硬。身凉汗出胁痛。
寒热发厥。
有寒厥热厥证。
阳证阳毒。
三阳独盛。阴虚暴绝也。
阴证阴毒。
三阴病深。陷而阳绝也。
阳证似阴。
阴证见而脉沉滑有力。
阴证似阳。
阳证见而脉沉微。
阳盛拒阴。阴盛格阳。阴阳偏盛。阳结阴结。
阳热之邪。偏结于内。阴气不能相杂。故其证能食。不大便。此为内实。名曰阳结。阴
寒之邪。偏结于内。阳气不能相杂。故其证不能食。身体重大便反硬。名曰阴结
阴易阳易。
男子病新瘥。而妇人与之交。病曰阳易。妇人新病瘥。而男子与之交。病曰阴易也。
发热潮热。
热动复止。而热不常。或日晡发热。皆为潮热。
恶风恶寒。
伤风则恶风。如恶寒发热者。病在阳。只恶寒。病在阴。如汗后恶寒者。表虚也。
往来寒热。
或寒或热。休作有时也。
汗后热在。
汗后复热。多内实。或他经热在。
下之仍热。
有表证未尽。或阴微而复热。
结胸与痞。
按之心下痛为小结胸。不按自痛为大结胸。按之不痛。胸中气结。或满为痞也。
脏结蛔厥。
大便闭为脏结。胃中虚冷。因成蛔厥。吐长虫也。
发黄发狂。
有蓄血发黄。太阳传本也。有结胸发黄。下之早。太阳阳明本也。有湿热发黄。阳明与
太阴也。有寒湿发黄。少阳与太阴也。肝热者狂。心热者颠。
发 瘾疹。
有下早。有失下。或胃热极而发。皆阳明热甚入于手太阴。斑则红点晕。瘾疹起疙瘩也
。
发喘咳逆。
气逆则喘。难布息也。里病失于下。则咳逆。
衄血证谛。
鼻出血曰衄。热结下焦为蓄血失血证谛。
唾脓咯血。
重亡津液。热在上焦。肺痿而吐脓血也。
谵语郑声。
实则谵语。虚则郑声。
烦躁发渴。
火入于肺成烦。火入于肾成躁。少阴证多渴咳水也。六经皆有渴证。
心中懊 。
反复颠倒不安。心乱如有所失也。
心下悸动。
振寒而动曰悸。亦曰怔忪。
气上冲胸。
若吐若下后而里虚。心下逆满。气冲上也。
外气怫郁。
汗吐或下后。虚极腹热。则外邪郁于表。
惊惕冒闷。
忽身体振动曰惊惕。昏冒如闷。
霍乱头疼。
吐利并作曰霍乱。三阳与厥阴伤寒俱有头疼多。
干呕吐逆。
曰干呕。食入即吐曰吐逆。
腹胁咽疼。
有腹内时发痛者。有胁下痛者。咽嗌干痛者。
膈内拒痛。
表未解。更胃中虚邪乘入结于内。故痛。
身疼身重。
荣血不利为疼。湿胜也。汗后疼者。邪未尽也。
咳嗽涎盛。
火乘肺为嗽。停水伤风寒湿气。皆为嗽。脾热则涎盛。
头汗自汗。
里虚表实。阳气上行。故头上汗出。或际颈而还。病发黄也。凡伤风。风温。风湿。中
暑。柔 。霍乱。下利。四肢逆冷。及阳明证。皆自汗。
漏汗不止。
阳气不足。因发汗而益虚。皮腠不固而汗不止。
阳躁无汗。
阳极而躁热无汗。
腹满遗尿。
气涩不通。壅而为腹满。下焦不禁。遗溺出也。
舌上滑胎。
丹田有热。胃中有寒也。
下利便血。
泄泻曰下利。曰飧泄。下焦不约。热甚而便血也。
昼夜偏剧。
阴虚则夜不宁。阳虚则昼不安。
口燥咽干。
阴证内热。津液不足也。
妇人伤寒。热入血室。
发热间。经水适来。而血室空虚。故邪气乘入也。
伤寒似疟。
忽寒忽热。休作有时。或汗已复热。
邪中二焦
清邪中于上。浊邪中于下。
有多眠证。
卫气陷于阴病。及风湿狐惑等证。皆多眠。
或不得眠。
阴躁或热甚。心烦则不能眠。
二便不通。
大便坚曰脾约。不通曰不更衣。小便不通。下焦不利也。胃中干。或热甚故尔。
耳聋喉痹。
经壅而不利为聋。清气不得上通也。热气上壅为痹。
浑身壮热。
阴微阳胜也。
食复劳复。
瘥后劳复。肉食所伤。再病曰食复也。
小腹硬满。
热气深陷。客于下焦。便小腹硬满也。甚则尿血。
大便坚黑。
热邪深陷也。
手足逆冷。
阳虚阴胜。厥逆也。
漱水不咽。
热邪在经。未传里也。
肉上粟起。
发热病。因冷水 之故也。
腹内雷鸣。
寒气相搏也。
下利溏垢。
寒则泄如鸭溏。热则垢腻。
身难转侧。
湿胜也。
或如虫行。
身痒如虫行者。久虚故也。
脐内筑动。
心气虚而肾气发动也。
项强KT KT
太阳病。表实也。
扬手掷足。循衣撮空。
肝热甚乘肺也。
狐惑声嗄。
虫食上部声嗄曰惑。蚀下部咽干曰狐。
筋惕肉 。
体惕振摇而动。 证也。
瞪目直视。
心肾气欲绝也。
汗出如油。
正气已脱。
喑哑不言。
热伤少阴之络脉也。
舌卷囊缩。
阴邪下陷也。
鼻内煤烟。
阴毒之深也。
指甲青黑。
肝气绝也。
目盲见鬼。
脱阴脱阳也。
九窍出血。
下厥上竭也。
环口黧色。
脾气绝也。
螈 口噤。
变 证也。
转筋入腹。
邪气入里。与宿积相连。引痛入阴筋也。
脚挛啮齿。
风痹甚。阴气不足也。
叉手冒心。
胸中阳气不足故也。
常须识此。伤寒坏异。观其脉证。传变复逆。
传为有常之传经也。变为不常。阳忽变阴也。复如食复劳复。逆谓若汗吐下后仍不解
。此犯逆也。若以上坏证之类。许叔微伤寒百证歌分类可见。并宜熟读。
谨熟阴阳。随证为治。各使其宜。
伤寒传变不常。宜熟辨阴阳之证。各得治法之宜。可汗可和。可不可润。可吐可火。可
灸可水。可针可温。
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可汗者。表之证也。可和者。荣卫不谐。宜和解也。可下者。里证也。可润者。
阴燥也。可吐者。食在上脘之类。可火者。阴毒证也。可灸者。阴证下陷也。可水者。
热而燥也。可针者。并病也。可温者。里寒也。
详其不可。究伤寒论。审识病机。制法之例。勉之秘之。诵之无HT 。HT 犹厌也。
伤寒病第一天，邪气在太阳经。症状表现为头颈项部疼痛，腰脊僵硬强直。
太阳经传变至阳明经，称为“循经传”。少阳经称为“越经传”。传变至太阴经称为“误下传”（因误用泻下法导致）。传变至少阴经称为“表传里”。传变至厥阴经称为“循经得度传”。
第二天，阳明经受邪已盛。症状表现为身体发热、眼睛疼痛、鼻腔干燥。第三天，少阳经受邪，胸胁疼痛，耳聋，这些病症都发生在三阳经的经络层面。三阳经的经络中，可能只有一经发病。此时邪气尚未进入脏腑形成实证，属于汗证（宜用发汗法治疗）的范围。
以上是大致的论述。三阳病也有传入腑的情况。如果传入腑，则适宜使用泻下法。
第四天，阳气极盛后传变至太阴经。症状表现为腹部胀满、咽喉干燥、脉象接近沉细。第五天，少阴经的病势向里发展。症状表现为口燥、舌干、口渴不止。第六天，病邪循行到厥阴经。症状表现为心烦、腹胀满、阴囊收缩、热势剧烈且深入。三阴经已经发病，通常应当使用泻下法。
三阴病也有停留在经络层面的情况。如果停留在经络，则适宜使用发汗法和温补法。
如果再次感受外邪，病情不易通过泻下法缓解。如何判断这是两感寒邪（同时感受风寒之邪）呢？太阳病与少阴经相连。症状表现为头痛、口干、心烦、腹胀满、口渴。这是因为营卫不通，脏腑内部产生热邪。
阳明病与太阴病同时发生。症状表现为腹部胀满、身体发热、食欲不振。谵语等症状在两天内出现。第三天，少阳病与厥阴病同时发生。症状表现为耳聋、阴囊收缩以及四肢厥冷。水浆不能入口，神志昏迷不知人。五脏已经受损，六腑闭塞。营卫运行停滞不畅。
在此种情况下，应当仔细思考。温法、吐法、汗法、下法必须谨慎使用。那些不属于两感病的传变情况，第七天太阳病将会痊愈。此后每天退去一经。
六经的病愈后，藏脉通畅。到了第十二天，大邪之气全部清除。患者精神清爽，气血平和。如果感染了其他异气而变成其他疾病，治疗大法应当如同治疗坏证一样。
对于表证的表层，需用大发汗法。对于表证的里层，泻下法需暂缓。对于里证的深层，立即使用通下法。对于里证的表层，采用滋润浸泡的方法。应当恰当地运用尽阴阳脉理。根据表里的情况，不要妄加攻伐。
伤寒的症状，都必须仔细辨别。证候传变只有六种。
足部的三阴经和三阳经构成六经证候。
经常提到的有九种证候。
除了六经之外，还有太阳阳明、正阳阳明、少阳阳明这三种证候。
阳主表，阴主里。
表属于阳，里属于阴。
传变与两感。
传是指按次序传经。变是指不传经而成为其他证候。阴阳两经同时患病称为两感，也称为双传。意思是表里证候同时存在。
病有坏证和异证。
有因为治疗失误而成为坏证的。有形体证候相应，但在服药期间病突然变异，这被称为灾怪。
合病与并病。
两阳经同时患病称为合病。如果两阳经先同时患病，后来其中一阳经单独患病，称为并病。
一病百合。
病有首尾，只涉及一经者。如百脉同宗却都患病，称为百合病。
辨别风、暑、湿、温、痉。
这六种证候与伤寒不同。
寒本是阴邪，郁结后变为热邪，怫郁结转而盛大，手经遭受冤热（指非本经之热邪侵袭）。
伤寒只病及足经。如不大便、烦躁、气喘、斑疹、衄血之类，都是手经遭受冤热的病证。又据守真（刘完素）所说：阳邪致病传入手经，阴邪致病传入手足足经。
表里虚实。
指表虚里实，或表实里虚。
表里寒热。
有外寒内热，或外热内寒的情况。
表里停水。
表有水饮则多伴有热症，或咳嗽或腹泻。里有水饮则胁下痞硬，或坚硬，身体凉，出汗，胁痛。
寒热发厥。
有寒厥和热厥的证候。
阳证阳毒。
三阳经独盛，阴虚暴绝。
阴证阴毒。
三阴经病深，阳气陷落而绝。
阳证似阴。
见到阴证表现，但脉象沉滑有力。
阴证似阳。
见到阳证表现，但脉象沉微。
阳盛拒阴，阴盛格阳，阴阳偏盛，阳结阴结。
阳热之邪，偏结于内，阴气不能与之相杂，所以症状是能进食，不大便，这称为内实，名叫阳结。阴寒之邪，偏结于内，阳气不能与之相杂，所以症状是不能进食，身体沉重，大便反而硬，名叫阴结。
阴易与阳易。
男子病刚痊愈，与妇女交合，病传给妇女，称为阳易。妇女病刚痊愈，与男子交合，病传给男子，称为阴易。
发热与潮热。
热动后又停止，热势不常，或日晡时（下午3-5点）发热，都称为潮热。
恶风与恶寒。
伤风则恶风。如恶寒发热的，病在阳经。只恶寒的，病在阴经。如发汗后恶寒的，是表虚。
往来寒热。
或寒或热，发作有定时。
汗后热在。
发汗后再次发热，多因内有实邪，或其他经仍有热邪。
下之仍热。
有表证未完全解除，或阴气微弱而再次发热。
结胸与痞。
按压心下部位疼痛为小结胸。不按自痛为大结胸。按压不痛，胸中气结，或胀满，称为痞。
脏结与蛔厥。
大便闭结为脏结。胃中虚冷，因而形成蛔厥，吐出长虫。
发黄与发狂。
有蓄血发黄，是太阳经传变至本经所致。有结胸发黄，是因泻下过早，属太阳阳明本经病。有湿热发黄，属阳明与太阴病。有寒湿发黄，属少阳与太阴病。肝热则狂，心热则颠（癫）。
发瘾疹。
有泻下过早，或有失于泻下，或胃热极盛而发，都是阳明热甚入于手太阴肺经。斑则是红点晕开，瘾疹是起疙瘩。
发喘咳逆。
气逆则喘，呼吸艰难。里病失于泻下，则咳逆。
衄血证谛。
鼻出血叫衄。热结下焦为蓄血，失血证谛。
唾脓咯血。
严重亡失津液，热在上焦，肺痿而吐出脓血。
谵语与郑声。
实证则谵语，虚证则郑声。
烦躁发渴。
火入于肺成烦，火入于肾成躁。少阴证多口渴、咳水。六经都有渴证。
心中懊憹。
反复颠倒不安，心乱如有所失。
心下悸动。
振寒而动叫悸，也叫怔忪。
气上冲胸。
如果呕吐或泻下后里虚，心下逆满，气向上冲。
外气怫郁。
汗、吐或下之后，极度虚弱腹热，则外邪郁结于表。
惊惕冒闷。
忽而身体振动叫惊惕，昏冒如闷。
霍乱头疼。
吐利并作叫霍乱。三阳与厥阴伤寒都有头疼，且较多见。
干呕吐逆。
叫干呕。食入即吐叫吐逆。
腹胁咽疼。
有腹内时常发痛的，有胁下痛的，有咽喉干痛的。
膈内拒痛。
表证未解，更兼胃中虚邪乘入结于内，所以痛。
身疼身重。
营血不利为疼，湿胜也。汗后疼，是邪未尽。
咳嗽涎盛。
火乘肺为嗽，停水伤风寒湿气，都为嗽。脾热则涎盛。
头汗自汗。
里虚表实，阳气上行，故头上汗出，或仅到颈部而还，病发黄。凡伤风、风温、风湿、中暑、柔痉、霍乱、下利、四肢逆冷，及阳明证，皆自汗。
漏汗不止。
阳气不足，因发汗而更加虚弱，皮腠不固而汗不止。
阳躁无汗。
阳极而躁热无汗。
腹满遗尿。
气涩不通，壅而为腹满。下焦不禁，遗溺而出。
舌上滑胎。
丹田有热，胃中有寒。
下利便血。
泄泻叫下利，叫飧泄。下焦不约，热甚而便血。
昼夜偏剧。
阴虚则夜不宁，阳虚则昼不安。
口燥咽干。
阴证内热，津液不足。
妇人伤寒，热入血室。
发热期间，月经适来，而血室空虚，故邪气乘入。
伤寒似疟。
忽寒忽热，发作有时。或汗后复热。
邪中二焦。
清邪中于上，浊邪中于下。
有多眠证。
卫气陷于阴病，及风湿狐惑等证，皆多眠。
或不得眠。
阴躁或热甚，心烦则不能眠。
二便不通。
大便坚叫脾约。不通叫不更衣。小便不通，下焦不利。胃中干，或热甚故尔。
耳聋喉痹。
经壅而不利为聋，清气不得上通。热气上壅为痹。
浑身壮热。
阴微阳胜。
食复劳复。
瘥后劳复，肉食所伤，再病叫食复。
小腹硬满。
热气深陷，客于下焦，便小腹硬满。甚则尿血。
大便坚黑。
热邪深陷。
手足逆冷。
阳虚阴胜，厥逆。
漱水不咽。
热邪在经，未传里。
肉上粟起。
发热病，因冷水激之故。
腹内雷鸣。
寒气相搏。
下利溏垢。
寒则泄如鸭溏，热则垢腻。
身难转侧。
湿胜。
或如虫行。
身痒如虫行者，久虚故也。
脐内筑动。
心气虚而肾气发动。
项强KT KT（注：原文此处可能有缺字或异体字，通常指项背强几几）
太阳病，表实。
扬手掷足，循衣撮空。
肝热甚乘肺。
狐惑声嗄。
虫食上部声嗄叫惑，蚀下部咽干叫狐。
筋惕肉 。（注：原文此处可能有缺字，通常指筋肉跳动）
体惕振摇而动， 证也。
瞪目直视。
心肾气欲绝。
汗出如油。
正气已脱。
喑哑不言。
热伤少阴之络脉。
舌卷囊缩。
阴邪下陷。
鼻内煤烟。
阴毒之深。
指甲青黑。
肝气绝。
目盲见鬼。
脱阴脱阳。
九窍出血。
下厥上竭。
环口黧色。
脾气绝。
螈 口噤。（注：原文可能有缺字，通常指抽搐口噤）
变 证也。
转筋入腹。
邪气入里，与宿积相连，引痛入阴筋。
脚挛啮齿。
风痹甚，阴气不足。
叉手冒心。
胸中阳气不足。
常须识此，伤寒坏异。观其脉证，传变复逆。
传是有常的传经。变是不常，阳忽变阴。复如食复劳复。逆谓若汗吐下后仍不解，此犯逆也。若以上坏证之类，许叔微《伤寒百证歌》分类可见，并宜熟读。
谨熟阴阳，随证为治，各使其宜。
伤寒传变不常，宜熟辨阴阳之证，各得治法之宜。可汗可和，可不可润，可吐可火，可灸可水，可针可温。
图 ps16a5.bmp
可汗者，表之证也。可和者，荣卫不谐，宜和解也。可下者，里证也。可润者，阴燥也。可吐者，食在上脘之类。可火者，阴毒证也。可灸者，阴证下陷也。可水者，热而燥也。可针者，并病也。可温者，里寒也。
详其不可，究伤寒论，审识病机，制法之例。勉之秘之，诵之无HT HT犹厌也。
On the first day of Shaoyang (Taiyang) disease, the pathogen is in the Taiyang channel. Symptoms include pain in the head, neck, and occiput, as well as stiffness and rigidity in the lower back and spine.
Transmission from Taiyang to Yangming is called "sequential transmission" (Xunjing Zhuan). Transmission to Shaoyang is called "cross-channel transmission" (Yuejing Zhuan). Transmission to Taiyin is called "transmission due to erroneous purgation" (Wuxia Zhuan). Transmission to Shaoyin is called "exterior-to-interior transmission" (Biao Chuan Li). Transmission to Jueyin is called "sequential transmission reaching its limit" (Xunjing Dedu Zhuan).
On the second day, Yangming channel pathogens are fully established. Symptoms include body heat, eye pain, and nasal dryness. On the third day, Shaoyang channel pathogens cause chest and hypochondriac pain and deafness; these diseases reside in the exterior channels. Among the three Yang channels' meridians, only one may be affected. The pathogen has not yet entered the Zang organs to form excess patterns; this belongs to sweating indications (suitable for diaphoresis).
This is a general overview. Three-Yang diseases can also transmit to the Fu organs. If transmitted to the Fu organs, purgation is appropriate.
On the fourth day, extreme Yang transmits to Taiyin. Symptoms include abdominal fullness, throat dryness, and a pulse approaching deepness. On the fifth day, Shaoyin disease trends inward. Symptoms include dry mouth, dry tongue, and unrelenting thirst. On the sixth day, the disease follows the Jueyin channel. Symptoms include vexation, abdominal fullness, retraction of the scrotum, and severe, deep heat. Once the Three-Yin channels are diseased, purgation is generally indicated.
However, Three-Yin diseases can also remain in the channels. If remaining in the channels, diaphoresis and warming methods are appropriate.
If re-infected, it is difficult to resolve with purgation alone. How to identify "Lianggan" (simultaneous contraction of cold)? Taiyang disease connects with Shaoyin. Symptoms include headache, dry mouth, vexation, abdominal fullness, and thirst. This results from blocked Ying and Wei, causing internal organ heat.
Yangming disease combined with Taiyin disease presents with abdominal fullness, body heat, and loss of appetite. Delirium appears within two days. On the third day, Shaoyang combines with Jueyin. Symptoms include deafness, scrotal retraction, and cold limbs. Food and drink cannot be taken, and consciousness is lost. The five Zang organs are damaged, and the six Fu organs are closed. Ying and Wei circulation stagnates.
In such situations, careful consideration is required. Warming, emetic, diaphoretic, and purgative methods must be used cautiously. For cases not involving Lianggan transmission, Taiyang disease resolves on the seventh day. Thereafter, each day sees the resolution of one channel.
After the Six Channels recover, the organ pulses connect. By the twelfth day, major pathogens are eliminated. The patient's spirit becomes clear, and Qi and Blood stabilize. If infected by other pathogens leading to different diseases, the general treatment principle should follow that for "Huaizheng" (ruined/complicated patterns).
For the exterior aspect of an exterior pattern, strong diaphoresis is needed. For the interior aspect of an exterior pattern, purgation should be delayed. For the deep interior of an interior pattern, immediate purgation is required. For the superficial interior of an interior pattern, moistening and soaking methods are used. One must appropriately apply Yin-Yang pulse theory. Based on exterior-interior distinctions, do not attack recklessly.
Shaoyang symptoms must all be carefully distinguished. Pattern transmission involves only six types.
The three Yin and three Yang channels of the foot constitute the Six Channel patterns.
There are nine common patterns.
Outside the Six Channels, there are three additional patterns: Taiyang-Yangming, Zhengyang-Yangming, and Shaoyang-Yangming.
Yang corresponds to the Exterior; Yin corresponds to the Interior.
Exterior is Yang; Interior is Yin.
Transmission and Lianggan (Double Contraction).
"Transmission" refers to sequential channel progression. "Variation" refers to non-sequential progression resulting in different patterns. When both Yin and Yang channels are diseased, it is called Lianggan or Shuangchuan, meaning simultaneous exterior and interior patterns.
Disease Ruination and Anomalies.
Some become "Huaizheng" (ruined patterns) due to treatment errors. Some have corresponding signs but suddenly change after taking medicine; this is called a "Zaiguai" (disaster anomaly).
Hebing (Combined Disease) and Bingbing (Concurrent Disease).
Two Yang channels diseased simultaneously is Hebing. If two Yang channels were initially diseased together, and later one remains diseased independently, it is Bingbing.
One Disease, Hundred Connections.
Diseases have beginnings and endings. If only one channel is involved, such as when all vessels from one source are diseased, it is called Baihebing (Lily Disease).
Differentiating Wind, Summerheat, Dampness, Warmth, and Spasm.
These six patterns differ from Shaoyang.
Cold is originally a Yin pathogen. It becomes hot through stagnation, becoming fierce and transferring heat to the Hand channels ("Yuanre").
Shaoyang affects only the Foot channels. Conditions like constipation, irritability, asthma, petechiae, and epistaxis are diseases of Yuanre affecting the Hand channels. As Shouzhen (Liu Wansu) stated: Yang pathogens affect Hand channels; Yin pathogens affect Foot channels.
Exterior-Interior Deficiency-Excess.
Refers to Exterior Deficiency with Interior Excess, or Exterior Excess with Interior Deficiency.
Exterior-Interior Cold-Heat.
Includes Exterior Cold with Interior Heat, or Exterior Heat with Interior Cold.
Water Retention in Exterior-Interior.
Water in the Exterior often causes heat, cough, or diarrhea. Water in the Interior causes hypochondriac stuffiness or hardness, cool body, sweating, and hypochondriac pain.
Cold-Heat and Jue (Reversal).
Includes Cold Jue and Heat Jue patterns.
Yang Patterns and Yang Du (Poison).
Exclusive excess of the Three Yang channels; sudden collapse of Yin deficiency.
Yin Patterns and Yin Du (Poison).
Deep disease of the Three Yin channels; sinking and collapse of Yang.
Yang Patterns Resembling Yin.
Yin-like symptoms appear, but the pulse is deep, slippery, and forceful.
Yin Patterns Resembling Yang.
Yang-like symptoms appear, but the pulse is deep and faint.
Yang Excess Rejecting Yin, Yin Excess Repelling Yang, Yin-Yang Imbalance, Yang Knotting, Yin Knotting.
Yang-heat pathogens knot internally; Yin Qi cannot mix. Symptoms include ability to eat but constipation. This is Internal Excess, named Yang Jie (Yang Knot).
Yin-cold pathogens knot internally; Yang Qi cannot mix. Symptoms include inability to eat, heavy body, and hard stool. This is named Yin Jie (Yin Knot).
Yin Yi and Yang Yi.
If a man newly recovered from illness has intercourse with a woman, the disease transfers to her, called Yang Yi. If a woman newly recovered has intercourse with a man, the disease transfers to him, called Yin Yi.
Fever and Tide Fever.
Heat comes and goes irregularly, or occurs at dusk (Shen hour), is called Tide Fever (Chao Re).
Aversion to Wind and Aversion to Cold.
Wind injury causes aversion to wind. Aversion to cold with fever indicates Yang disease. Only aversion to cold indicates Yin disease. Aversion to cold after sweating indicates Exterior Deficiency.
Alternating Chills and Fever.
Chills or fever occur at regular intervals.
Heat Remaining After Sweating.
Fever returns after sweating, usually due to Internal Excess or residual heat in other channels.
Heat Remaining After Purgation.
Due to unresolved Exterior patterns, or recurrence of heat due to weak Yin.
Jie Xiong (Chest Binding) and Pi (Glomus).
Pain upon pressing the epigastrium is Xiao Jie Xiong (Minor Chest Binding). Spontaneous pain without pressing is Da Jie Xiong (Major Chest Binding). No pain upon pressing, with qi knotting or fullness in the chest, is Pi (Glomus).
Zang Jie (Organ Binding) and Hui Jue (Roundworm Reversal).
Constipation indicates Zang Jie. Cold deficiency in the stomach leads to Hui Jue, characterized by vomiting roundworms.
Jaundice and Mania.
Jaundice from blood stasis results from Taiyang transmitting to its home. Jaundice from Jie Xiong results from premature purgation, belonging to Taiyang-Yangming. Damp-heat jaundice belongs to Yangming-Taiyin. Cold-damp jaundice belongs to Shaoyang-Taiyin. Liver heat causes mania; Heart heat causes insanity.
Erythema and Urticaria.
Caused by premature purgation, failure to purge, or extreme Stomach heat. These result from Yangming heat entering the Hand Taiyin Lung channel. Erythema presents as red spots with halos; urticaria presents as raised bumps.
Asthma and Cough with Reverse Flow.
Qi reversal causes asthma and difficulty breathing. Failure to purge interior disease causes cough with reverse flow.
Epistaxis Indications.
Nosebleed is Epistaxis. Heat knotting in the Lower Jiao causes blood stasis and hemorrhage indications.
Spitting Pus and Hemoptysis.
Severe fluid depletion with heat in the Upper Jiao causes Lung萎 (Flaccidity) with spitting of pus and blood.
Delirium and Soft Speech.
Excess patterns cause delirium; deficiency patterns cause soft speech (Zheng Sheng).
Vexation, Irritability, and Thirst.
Fire entering the Lung causes vexation; fire entering the Kidney causes irritability. Shaoyin patterns often involve thirst and coughing up water. All Six Channels can present with thirst.
Internal Vexation (Ao Nao).
Restlessness, turning over repeatedly, mental confusion as if losing something.
Palpitations in the Heart Region.
Trembling chills and movement indicate palpitations, also called Zheng Zhong.
Qi Rushing to the Chest.
After vomiting or purgation, if the Interior is deficient, there is rebellious fullness below the heart, with Qi rushing upward.
External Qi Stagnation.
After sweating, vomiting, or purgation, extreme deficiency and abdominal heat cause external pathogens to stagnate in the Exterior.
Startle, Fright, and Dizziness.
Sudden body trembling is Startle/Fright. Dizziness feels like suffocation.
Huoluan (Colic-Vomiting-Diarrhea) and Headache.
Simultaneous vomiting and diarrhea is Huoluan. Headaches are common in Taiyang, Shaoyang, Yangming, and Jueyin Shaoyang.
Dry Heaving and Vomiting.
Dry heaving is Gan Ou. Vomiting immediately after eating is Tu Ni.
Abdominal, Hypochondriac, and Throat Pain.
Includes intermittent abdominal pain, hypochondriac pain, and dry/painful throat.
Rejection Pain in the Diaphragm.
Unresolved Exterior combined with Stomach deficiency allowing pathogens to knot internally causes pain.
Body Aches and Heaviness.
Poor Ying-Blood circulation causes aches; dampness excess causes heaviness. Aches after sweating indicate residual pathogens.
Cough and Saliva Excess.
Fire attacking the Lung causes cough; retained water from wind-cold-damp causes cough. Spleen heat causes saliva excess.
Head Sweat and Spontaneous Sweat.
Interior deficiency with Exterior excess causes Yang Qi to rise, leading to sweat on the head, possibly stopping at the neck, indicating jaundice. Spontaneous sweat occurs in Wind Injury, Wind-Warmth, Wind-Damp, Summerheat, Rou Jing, Huoluan, Diarrhea, Cold Limbs, and Yangming patterns.
Leaking Sweat Unstoppable.
Insufficient Yang Qi, worsened by sweating, leads to insecure skin pores and unstoppable sweat.
Yang Restlessness with No Sweat.
Extreme Yang causes restlessness and heat without sweat.
Abdominal Fullness and Urinary Incontinence.
Qi stagnation causes abdominal fullness. Lower Jiao failure to control leads to urinary incontinence.
Slippery Tongue Coating.
Heat in the Dan Tian (Lower Jiao) with Cold in the Stomach (Middle Jiao).
Diarrhea and Hematochezia.
Diarrhea is Xia Li or Sun Xie. Lower Jiao lack of restraint with severe heat causes hematochezia.
Worse During Day or Night.
Yin deficiency causes nighttime unrest; Yang deficiency causes daytime unrest.
Dry Mouth and Throat.
Internal heat in Yin patterns with insufficient fluids.
Women's Shaoyang and Heat Entering the Blood Chamber.
During fever, if menstruation begins, the Blood Chamber is empty, allowing pathogens to enter.
Shaoyang Resembling Malaria.
Alternating chills and fever at regular intervals, or fever returning after sweating.
Pathogens Attacking the Two Jiaos.
Clear pathogens attack the Upper; Turbid pathogens attack the Lower.
Excessive Sleep Syndrome.
Wei Qi sinking into Yin disease, or Wind-Damp/Hu Huo patterns, cause excessive sleep.
Insomnia.
Yin restlessness or severe heat causing heart vexation leads to insomnia.
Obstruction of Urine and Stool.
Hard stool is Pi Yue (Spleen Restriction). Obstruction is Bu Geng Yi. Urinary obstruction is Lower Jiao dysfunction, caused by Stomach dryness or severe heat.
Deafness and Throat Bi.
Meridian blockage causing deafness prevents clear Qi from ascending. Heat rising causing Bi obstruction.
General Severe Fever.
Weak Yin and Excess Yang.
Food and Labor Relapse.
Relapse after recovery due to labor or meat consumption is Shi Fu (Food Relapse).
Hardness and Fullness in the Lower Abdomen.
Deep-seated heat in the Lower Jiao causes lower abdominal hardness/fullness, potentially leading to hematuria.
Hard Black Stool.
Indicates deep-seated heat pathogens.
Cold Hands and Feet.
Yang deficiency and Yin excess cause Jue Ni (Reversal/Cold Extremities).
Rinsing Mouth Without Swallowing.
Heat in the channels, not yet transmitted to the Interior.
Goosebumps.
Fever caused by exposure to cold water.
Borborygmus in the Abdomen.
Struggle between cold pathogens.
Loose or Greasy Diarrhea.
Cold causes duck-like loose stool; heat causes greasy stool.
Difficulty Turning the Body.
Dampness excess.
Sensation of Insects Crawling.
Itching like insects crawling indicates chronic deficiency.
Pulsation in the Umbilicus.
Heart Qi deficiency with Kidney Qi activation.
Stiff Neck (Xiang Qiang).
Taiyang disease, Exterior Excess.
Throwing Hands and Legs, Grasping at Clothes and Empty Air.
Liver heat severely attacking the Lung.
Hu Huo and Hoarseness.
Parasites eating the upper part cause hoarseness (Huo); eroding the lower part causing dry throat is Hu.
Muscle Twitching and Trembling.
Body trembling and shaking indicates [missing character] pattern.
Staring Fixedly.
Impending collapse of Heart and Kidney Qi.
Sweat Like Oil.
Collapse of Righteous Qi.
Mutism.
Heat damaging the collaterals of the Shaoyin channel.
Curled Tongue and Retracted Scrotum.
Sinking of Yin pathogens.
Coal-Soot Color in Nose.
Deep Yin Du (Poison).
Blue-Black Nails.
Collapse of Liver Qi.
Blindness and Hallucinations.
Collapse of Yin and Yang.
Bleeding from Nine Orifices.
Lower collapse and Upper exhaustion.
Dark Color Around the Mouth.
Collapse of Spleen Qi.
Convulsions and Lockjaw.
[Missing characters] variation pattern.
Tendon Pulling into the Abdomen.
Pathogens entering the Interior, connecting with old accumulations, pulling pain into the genital tendons.
Leg Cramps and Teeth Grinding.
Severe Wind-Bi with insufficient Yin Qi.
Hands Covering the Heart.
Insufficiency of Yang Qi in the Chest.
Always Remember This: Shaoyang Ruination and Anomalies. Observe Pulse and Patterns, Transmission, Variation, Relapse, and Reversal.
"Transmission" is regular channel progression. "Variation" is irregular, e.g., Yang suddenly changing to Yin. "Relapse" includes Food and Labor relapse. "Reversal" means failure to resolve after sweating, vomiting, or purgation, constituting a medical error. For such ruined patterns, refer to Xu Shumi's *Shaoyang Hundred Patterns Song* for classification; study it thoroughly.
Carefully master Yin-Yang, treat according to patterns, and apply appropriate methods.
Shaoyang transmission is irregular; carefully distinguish Yin-Yang patterns and apply suitable treatments. Methods include sweating, harmonizing, purging, moistening, emesis, fire therapy, moxibustion, water therapy, acupuncture, and warming.
[Image ps16a5.bmp]
Sweating is for Exterior patterns. Harmonizing is for disharmonious Ying-Wei. Purging is for Interior patterns. Moistening is for Yin Dryness. Emesis is for food stuck in the Upper Wan. Fire therapy is for Yin Du patterns. Moxibustion is for sinking Yin patterns. Water therapy is for Heat with Dryness. Acupuncture is for Concurrent Diseases. Warming is for Interior Cold.
Detail what is contraindicated, study the *Shaoyang Lun*, understand disease mechanisms, and learn treatment examples. Strive to keep them secret and recite them without weariness.