咽喉闭燥莫发汗。淋家若治同斯断。疮家发汗疮即愈。犹畏表虚作痉变。汗多又发必恍
惚。亡
血发之自寒栗。荣气微或衄吐人。不可汗此夺血证。阴阳俱虚本不宜。阳盛阴虚汗之忌。心
之悸者汗不须。津液和时形自渍。太阳少阳病合作。头项强痛或眩闷。时又结胸心下痞。法
刺大椎汗却未。脉弦而细虽头疼。发热只属少阳经。法当下之不可汗。汗则谵烦悸
不宁。上
下左右有动气。如若发之他病至。诸脉得数微弱动。濡弱弦微上下易。嗽极烦吐似疟形。有
寒无热虚而栗。厥而脉紧本少阴。不可汗此诸病势。咳而遗溲诸厥逆。又有病之微汗出。类
中风热更头疼。汗药施之恐增剧。心中懊 自宜吐。太阳脉细吐之误。寸脉微浮胸痞硬。气
上冲咽吐可用。少阳中风耳自聋。目赤心烦吐不中。胸中实则可越之。膈上有寒越又禁。食
留上脘支厥冷。吐法施之气自顺。中风痰实犹可施。呕吐咯血吐还忌。此其大法春所宜。中
病则止不尽剂。
阳虚阴盛下勿用。外证未罢犹为禁。太阳阳明喘而满。只可汗而逆自定。下于汗后脉浮
者。
此为施早转逆甚。结胸脏结实可攻。脏结无热未可同。结胸烦躁脉浮大。此其危殆难所通。
病先解表后攻痞。攻之早者协热利。呕多心满合面红。诸病阳明下不中。溏而不满勿大推。
微和胃者小承气。汗出溲行下非闭。可下宜行蜜道剂。里证赤涩脉弦迟。勿以下之为可治。
诸虚脉弱反寸关。四肢厥逆攻亦难。动气咽塞下虚极。慎勿下攻诚定式。
咽喉部闭塞干燥者，不可使用发汗法。患有淋证（小便频数短涩、滴沥刺痛）的人，治疗原则与此相同，也不可用发汗法。患有疮疡的人若误用发汗法，疮疡虽可能暂时看似好转，但仍需警惕因表虚导致发生痉病（肌肉痉挛、项背强直）的变证。出汗过多之人，若再强行发汗，必然导致神志恍惚、意识不清。亡血（失血）之人若误用发汗法，自会引发寒战栗动。营气虚弱或出现鼻衄、吐血的人，不可发汗，因为这是夺血之证。阴阳俱虚的本就不宜发汗。阳盛阴虚者，发汗是禁忌。心中悸动不安者，不需发汗，待津液调和，身体自然润泽。太阳病与少阳病合并发生时，出现头项强痛或眩晕闷乱，有时又伴有结胸（邪热与水饮互结于胸膈）、心下痞满的症状，此时应当针刺大椎穴，而不应发汗。脉象弦细，虽然头痛发热，但只属于少阳经病，治法应当攻下（此处原文语境可能有误，少阳通常禁下，但依原文翻译），不可发汗；若发汗则会导致谵语、烦躁、心悸不宁。身体上下左右有动气（脐周或腹部跳动不安）者，如果发汗，其他病症就会随之而来。各种脉象呈现数而微弱、动、濡弱、弦微且上下变化不定者，咳嗽剧烈伴烦闷呕吐，症状类似疟疾，只有寒战而无发热，身体虚弱而颤抖，四肢厥冷且脉紧，这原本属于少阴病，不可发汗，这些都是诸病势态中禁止发汗的情况。咳嗽并伴有遗尿的各种厥逆证，以及病情轻微而有汗出者，类似于中风热证且头痛加重者，若施用发汗药恐怕会使病情加剧。心中懊憹（烦闷不适）者，适宜采用吐法。太阳病脉细者，误用吐法是错误的。寸脉微浮，胸部痞塞坚硬，气上冲至咽喉者，可以使用吐法。少阳中风导致耳聋，目赤心烦，吐法不适用。胸中实邪壅滞者，可以用瓜蒂散等涌吐剂治疗。膈上有寒饮者，禁用涌吐法。食物停滞在上脘导致四肢厥冷者，施用吐法可使气机顺行。中风痰实壅盛者，还可以施用吐法。呕吐、咯血者，禁用吐法。这是吐法的大致原则，春季尤为适宜。中病即止，不必服完全部剂量。
阳气虚弱、阴寒内盛者，不可使用泻下法。表证未解者，也是泻下的禁忌。太阳阳明合病，气喘且腹部胀满，只可发汗，逆气自定。在发汗之后，脉象仍浮者，说明泻下过早，转为逆证，后果严重。结胸证且脏腑结实者，可以攻下。脏结证无热象者，不可与结胸证同论。结胸证见烦躁、脉浮大者，此为危重难治之证。疾病应先解表，后攻痞满。攻下过早者，会导致协热利（表邪入里化热导致的腹泻）。呕吐多、心下痞满且面色红赤者，属于阳明病，不宜使用泻下法。大便溏薄且不胀满者，不可峻下，仅用小承气汤轻微调和胃气。出汗且小便通畅者，并非便秘闭结，可使用蜜导等润下通便的方法。里证见小便赤涩、脉象弦迟者，不可轻易使用泻下法，否则可治之病将变得难治。各种虚证脉象微弱，反见于寸关部，四肢厥逆者，攻下也难奏效。动气明显、咽喉堵塞、下焦虚极者，务必谨慎，切勿攻下，这是确定的法则。
When the throat is obstructed and dry, sweating therapy should not be employed. For patients with Lin syndrome (a condition characterized by frequent, urgent, painful, and scanty urination), the treatment principle is the same; sweating therapy is also contraindicated. If a patient with sores or ulcers undergoes sweating therapy, although the sores may appear to heal temporarily, one must still fear complications such as Jing disease (spasms and stiffness of the neck and back) due to deficiency of the exterior. In cases of excessive sweating, forcing further sweating will inevitably lead to mental confusion and disorientation. For patients who have lost blood, inducing sweating will cause chills and trembling. Individuals with weak Ying Qi (Nutritive Qi) or those suffering from epistaxis (nosebleed) or hematemesis (vomiting blood) should not undergo sweating therapy, as this constitutes a depletion of blood. When both Yin and Yang are deficient, sweating is inappropriate. For patterns of Excess Yang and Deficiency Yin, sweating is contraindicated. If the heart palpitations are present, sweating is unnecessary; when the body fluids harmonize, the body will naturally become moist. When Taiyang disease and Shaoyang disease occur together, presenting with stiffness and pain in the head and neck, or dizziness and oppression, sometimes accompanied by Jie Xiong (Chest Binding, accumulation of heat and fluid/phlegm in the chest) or fullness below the heart, Da Zhui (GV14) acupoint should be needled instead of inducing sweating. If the pulse is wiry and fine, despite headache and fever, it belongs solely to the Shaoyang channel; the method should be purgation (Note: Standard TCM theory often advises against purgation for Shaoyang, but translating strictly per source text context implying specific severe conditions or textual variants), and sweating is forbidden. Sweating would lead to delirium, irritability, and restless palpitations. If there is "Dong Qi" (throbbing or moving sensation) above and below, left and right, inducing sweating will cause other diseases to arise. Various pulses that are rapid yet weak, thready, damp-weak, wiry, or minute, changing unpredictably, combined with extreme coughing, irritability, vomiting resembling malaria, only chills without fever, weakness with trembling, cold limbs with a tight pulse—these originally belong to Shaoyin disease and should not be treated with sweating; these are all conditions where sweating is contraindicated. Coughing accompanied by urinary incontinence and various types of Jue Ni (cold extremities/reversal), as well as mild sweating in minor illnesses, resembling Wind-Stroke with Heat and worsening headache, may aggravate if sweating agents are applied. For internal restlessness and discomfort (Ao Nao), emesis therapy is suitable. However, for Taiyang disease with a fine pulse, using emesis is an error. If the Cun position pulse is slightly floating with chest oppression and hardness, and Qi rushes up to the throat, emesis can be used. For Shaoyang Wind-Stroke causing deafness, red eyes, and irritability, emesis is not appropriate. If there is excess in the chest, an emetic like Geng Ti San (Melon Seed Powder) can be used. However, if there is cold-fluid retention above the diaphragm, emesis is prohibited. For food stagnation in the upper epigastrium causing cold limbs, applying emesis will restore the smooth flow of Qi. For Wind-Stroke with phlegm-excess, emesis may still be applied. However, for vomiting and hemoptysis, emesis is contraindicated. These are the general principles for emesis, particularly suitable in spring. Stop when the disease is addressed; do not necessarily complete the full dose.
For patterns of Yang deficiency and Yin excess, purgation should not be used. If the exterior syndrome has not resolved, purgation is also prohibited. In Taiyang-Yangming combined disease with wheezing and abdominal fullness, only sweating should be used, and the rebellious Qi will settle. If purgation is administered after sweating and the pulse remains floating, it indicates premature purgation leading to adverse changes, which is serious. For Jie Xiong with solid organ involvement, attack/purgation is permissible. For Zang Jie (Zang Knotting) without heat, it cannot be treated similarly to Jie Xiong. For Jie Xiong with irritability and a large, floating pulse, this is critical and difficult to treat. Diseases should first resolve the exterior before attacking fullness. Premature purgation leads to Xie Re Li (diarrhea with accompanying heat). For frequent vomiting, fullness below the heart, and a red face, these are Yangming diseases where purgation is not appropriate. For loose stools without fullness, strong purgation is forbidden; Xiao Cheng Qi Tang (Minor Order the Qi Decoction) should be used to mildly harmonize the stomach. If there is sweating and normal urination, it is not constipation; honey suppositories or similar moistening laxatives can be used. For interior syndromes with dark/scanty urine and wiry-slow pulses, purgation should not be lightly employed, or a treatable condition may become difficult. For various deficiency patterns with weak pulses, especially at the Cun and Guan positions, with cold limbs, purgation is difficult to effect. With prominent Dong Qi, throat obstruction, and extreme lower Jiao deficiency, one must be cautious and absolutely avoid purgation; this is a fixed rule.