妇人有胃热。善食瘦而津液不生。血海竭而名血枯。或脾胃久虚。或形羸气血俱衰。而
致经水不行者。非以上之病。经成孕乃不行也。
或漏不止。
湿热太迫。则经漏不止。或心气不足。火热大炽。旺于血脉中。或身体困热。心烦不得
眠卧。而致经水漏下。阴虚阳搏为崩。
经过作痛。虚中有热。
经水行过而腹中作痛者。血虚有热也。
行而痛者。血实之设。
将行而作痛乃血实。
如不及期。血热乃结。过期血少。闭或血枯。淡者痰多。紫者热故。热极则黑。调荣降
火。
妇人经水。如行不根据期。非有妊娠。皆以上之病。治须调血养血。清阳降火。有寒者温
之。
调理妊娠。清热养血。
妊娠有正气不足。寒热不调。阴阳不得升降。故病有发风痹。忽闷不识人而眩倒者。为
子痫证。有胎气上逼而胀满或疼者为子悬。身忽如水肿多于足肿者为子肿。小便涩者为子淋
。烦闷者为子烦。腹大甚者胎有水气。或发寒热。或胎漏下血。或动为转胞及不能言语之类
。皆胎气不足。治须顺气清热养血也。
一当产后。如无恶阻。大补气血。
恶阻者。如恶露不尽。血上抢心腹痛之类。治可下去其败血。如虚汗不止。遍身疼痛。
或虚烦。小便不禁。玉门不闭。蓐劳血虚而晕之类。皆虚甚也。皆当大补血益气。
虽有杂证。以末治之。
产后如中风伤寒六气为病之类。虽正治。亦须兼补其气血。经言切不可犯禁。谓汗下利
小便也。
大凡小儿。过暖生热。热极生风。风痰积热。随病为治。生有胎恶。月里生惊。生赤生
呕。生黄不便。脐风撮口。
受胎毒甚者。则发惊搐。生赤则如丹涂肌肉。邪气上而呕吐。母受湿热。传胎而发黄。
有生下日久不得大便者。脐风多在生下半月内有此证。盖受胎恶之甚也。
变蒸发热。
小儿变蒸。乃长经脉及腑脏智意也。
风痫癫痫。
钱氏分五痫。有犬痫。羊痫。牛痫。鸡痫。猪痫。其状各不同。
急慢惊风。
如身热面赤。即发搐搦。目睛上视。牙关紧急者。阳证为有余。如因吐利。或吐不泻。
日渐困而色黄。脾虚冷发惊。不甚搐搦。目微上视。手足动者。阴证为不足也。
螈 惊愕。
惊风热甚。则手足战掉。挛 惊恐愕然也。
惊悸昏冒。
惊则心悸不宁。热甚则昏昧。
暴喘吐 。
有喘甚者。俗言马脾风。吐乳食为 。
腹胀鼻 嗽。
胀有寒胀。热胀。脾胀之类。伤风寒为嗽者多。或为乳食盐物所伤而发 喘。
中恶天吊。
有中恶气卒然而病。如目直上视。搦身直强宫瞪之类为天吊。
鹅口重舌。
白屑满舌为鹅口。舌下附肿如舌而短为重舌。心脾热甚也。
木舌弄舌。舌胀大为木舌。脾热甚。舌络紧。乃弄舌也。
客忤夜啼。
心气不足。遇人客或物。则忤而惊。脾脏冷而痛。多夜啼。
脓耳鼻疳。
耳内生疮。脓耳汁出。三焦气热病也。鼻内有疮生疳。
眉炼丹流。
眉骨上生疮。太阳经风热也。丹流者。俗云火焰丹。肌肉上若涂丹。血热甚也。
阴肿便浊。
睾丸发肿。肝经热胜也。小便或白浊亦浊。
舌烂口臭。
心热下陷。风自盛也。胃热则口臭。
龈蚀牙疳。
风热所胜。蚀牙龈至快。俗言走马牙疳。
虫痛吐蛔。
小儿哭而坐卧不安。自按心腹。时大叫。或青或黄。唇慢。目无精光。虫痛也。
疳瘦解颅。
钱氏分五脏疳。筋疳骨疳之类。肾虚解颅也。
便青颊赤。
惊气内感。脾气不和。故泻。色青。心热上攻。故颊赤。
食土饮水。
食土者。胃气不足也。身热饮水。病在内。不饮水。热在外也。
吐泻青白。
泻利青白色。谷不化者胃寒。乳不化者伤食。泻黄红赤黑者。脾胃热毒故也。
昏睡露睛。
睡而露睛者胃虚热。不露睛者胃实热。睡而嚏悸者。将发疮疹也。
呵欠面黄。
呵欠而面赤者风热。青者惊风。黄者脾虚。惊而睡者内热。呵欠气热者。
伤风也。
呷牙咬齿。
手足阳明内热为病。
泻痢脱肛。
泻痢久则肛门纵下。湿热甚而缓纵也。
痈疡瘾疹。疮痘发斑。
钱氏论。小儿受胎恶。发疮疹。初欲发时。有五脏现证。呵欠顿闷者。肝也时发惊悸。
心也
。乍凉乍热。手足冷。脾也。面赤。腮颊赤。喷嚏。肺也。惟肾在腑之下。不能食秽。胎毒
不受。无候也。毒出归一证。肝水泡。肺脓泡。心斑。脾疹也。
惊疳诸积。
如食积乳积之类。
大率为病。肝与脾经。
此二经病多。
脉治凭允。
小儿虎口色脉。如紫。伤风。红伤寒。青惊。白色疳。黑即中恶。黄脾病也。
钱氏方论。男女病情。饮食居处。暴乐暴苦。始乐后苦。皆伤精气。先富后贫。病日失
精。
先贵后贱。虽不中邪。病从内生。名曰脱营。身体日减。气虚无精。良工勿失。脉病证治。
知微可已。举腹痛经。阴证治例。海藏所云。玄机之秘。中脘痛者属脾土。脐腹痛者属少阴
。少腹小腹厥阴分。三部殊涂细酌斟。太阴中土主理中。少阴四逆真武同
。厥阴宜当归四逆。重则回阳霹雳攻。当汗不汗即生黄。当汗汗多因致 。不当汗而若汗之
。蓄血定应无改易。汗多或有变亡阳。阴证脉候须仔细。(并出此事难知)
伤寒咳逆脉散死。仲景之言不虚伪。大抵源流失下生。咳逆喉中阴不内。便 唯宜用泻
心。便硬尤宜大承气。二药神功作者谁。东垣洁古为良制。
妇女患有胃热，食欲旺盛但身体消瘦，津液无法生成，血海枯竭，称为“血枯”。或者因脾胃长期虚弱，或形体羸弱、气血俱衰，而导致月经停止。如果不是上述这些疾病，月经停止是因为怀孕所致。
或者出现经血淋漓不止的情况。
湿热邪气过于逼迫，导致经血淋漓不止；或者心气不足，火热邪气炽盛，在血脉中亢旺；或者身体困倦发热，心烦意乱无法安睡，从而导致经血漏下。阴虚而阳脉搏动有力，发为崩漏（大量出血）。
行经期间腹痛，属于虚证兼有热象。
月经结束后腹部疼痛的，是血虚兼有热邪。
月经来潮时腹痛的，属于血实证。
月经将行时出现腹痛的，乃是血实之证。
如果月经提前，多因血热凝结；月经推迟且量少，可能是闭经或血枯；经色淡白者多为痰湿重；经色紫红者因热所致；热极则经色发黑。治疗需调和营血、降火。
妇女月经，如果不按期而行，排除妊娠因素，都是上述提到的病症。治疗需要调血养血，清降阳气之火。若有寒邪则温补。
调理妊娠期疾病，以清热养血为主。
妊娠期间若正气不足，寒热不调，阴阳升降失常，因此发病。如突发风痹，突然昏厥不识人并眩晕跌倒的，称为“子痫”证。胎气上冲导致胀满或疼痛的，称为“子悬”。身体突然浮肿，多于足部肿胀的，称为“子肿”。小便涩痛的，称为“子淋”。烦闷不安的，称为“子烦”。腹部异常增大的，胎中有水气，或伴有寒热发作，或胎漏下血，或发生转胞及不能言语等情况。这些都是胎气不足所致，治疗需顺气、清热、养血。
产后一旦结束，如果没有恶阻（此处指恶露不尽等瘀血阻滞症状），应大补气血。
所谓恶阻，如恶露不尽，血液上冲心脏引起腹痛等情况。治疗可下去败血。如果出现虚汗不止，全身疼痛，或虚烦，小便失禁，阴户不闭合，产后劳损、血虚晕厥等情况，都属于极度虚弱的表现。都应当大补气血。
即使有其他杂病，也应作为次要问题处理。
产后如患中风、伤寒或因六淫邪气致病的情况，虽然进行正治，也必须兼顾补益气血。医经所言切不可触犯禁忌，指的是不可滥用发汗、攻下、利小便等方法。
大凡小儿，穿衣过暖易生内热，热极生风，风痰积热，需随病情进行治疗。新生儿可能有胎毒引发的惊搐，满月内生惊风，出生即见赤疹或呕吐，出生即发黄且大便不通，脐风撮口等症。
受胎毒严重的，会引发惊厥抽搐。出生即见赤疹，如同丹涂肌肉。邪气上逆导致呕吐。母亲感受湿热，传给胎儿导致发黄。有的婴儿出生后很久不大便，脐风多在出生后半月内出现此证，这是受胎毒较重的表现。
变蒸发热。
小儿的“变蒸”，是指生长经脉以及脏腑智慧和意识的过程。
风痫与癫痫。
钱乙将痫证分为五类：犬痫、羊痫、牛痫、鸡痫、猪痫，其症状各不相同。
急惊风与慢惊风。
如身体发热、面色红润，随即发生抽搐，眼球上翻，牙关紧闭的，属阳证，为有余之证。如因吐泻，或只吐不泻，日渐困倦且面色萎黄，脾虚冷致惊，抽搐不甚，眼球微上翻，手足抖动的，属阴证，为不足之证。
抽搐与惊愕。
惊风热势严重，则手足颤抖抖动，挛缩。惊恐愕然的状态。
惊悸与昏冒。
受惊则心悸不宁，热势严重则神志昏昧。
暴喘与吐乳。
喘息严重的，俗称为“马脾风”。吐乳食称为“吐”。
腹胀、鼻塞、咳嗽。
腹胀有寒胀、热胀、脾胀等类型。伤风寒导致的咳嗽较多。或因吃奶、食盐物所伤而引发气喘。
中恶与天吊。
有中恶之气突然发病，如眼睛直视上翻，身体强直痉挛瞪眼等，称为“天吊”。
鹅口疮与重舌。
白屑满舌为鹅口疮。舌下附生肿胀如小舌状且短的为重舌，这是心脾热盛所致。
木舌与弄舌。
舌头肿大僵硬为木舌，因脾热甚，舌络紧绷。伸缩舌头为弄舌。
客忤与夜啼。
心气不足，遇到外人或异物，则受惊忤逆。脾脏寒冷而痛，多夜间啼哭。
脓耳与鼻疳。
耳内生疮，流脓汁，是三焦气热病。鼻内有疮生疳。
眉炼丹流。
眉骨上生疮，是太阳经风热所致。“丹流”俗称火焰丹，肌肉上像涂了丹砂，是血热甚所致。
阴肿与便浊。
睾丸肿胀，是肝经热盛所致。小便白浊也是浊症。
舌烂与口臭。
心热下陷，风邪自盛。胃热则口臭。
龈蚀与牙疳。
风热所胜，侵蚀牙龈很快，俗言“走马牙疳”。
虫痛与吐蛔。
小儿哭闹，坐卧不安，自己按压心腹，时常大叫，唇色或青或黄，眼神无光，是虫痛。
疳瘦与解颅。
钱乙将五脏疳分类，如筋疳、骨疳等。肾虚导致解颅（囟门迟闭）。
便青与颊赤。
惊气内感，脾气不和，故腹泻，粪便色青。心热上攻，故脸颊发红。
食土与饮水。
吃土的，是胃气不足。身体发热想喝水的，病在内；不想喝水的，热在外。
吐泻青白。
泻痢呈青白色，食物不消化的，是胃寒；乳汁不消化的，是伤食。泻出黄、红、赤、黑色的，是脾胃热毒所致。
昏睡与露睛。
睡觉露眼的，是胃虚热；不露眼的，是胃实热。睡觉打喷嚏心悸的，将要发疮疹。
呵欠与面黄。
打呵欠且面红的，是风热；面青的是惊风；面黄的是脾虚。受惊而睡的，是内热。打呵欠且气热的，是伤风。
呷牙与咬齿。
手足阳明经内热致病。
泻痢与脱肛。
泻痢日久则肛门松弛下垂，是湿热甚而弛缓所致。
痈疡、瘾疹、疮痘、发斑。
钱乙论述，小儿受胎毒，发疮疹。初欲发时，有五脏现证：打呵欠、顿闷的是肝；时常发惊悸的是心；乍凉乍热，手足冷的是脾；面赤，腮颊赤，打喷嚏的是肺。只有肾在腑之下，不能食秽，胎毒不受，没有特定候征。毒出归于一证：肝生水疱，肺生脓疱，心生斑，脾生疹。
惊疳与诸积。
如食积、乳积之类。
大率为病，多在肝与脾经。
这两经的病较多。
脉治凭允。
小儿虎口色脉：紫色为伤风，红色为伤寒，青色为惊，白色为疳，黑色即中恶，黄色为脾病。
钱乙方论。男女病情，饮食居处，突然喜乐或突然痛苦，始乐后苦，都会损伤精气。先富后贫，病日耗精气。先贵后贱，虽未中邪，病从内生，名为“脱营”。身体日渐减退，气虚无精。良工勿失，脉病证治，知微可已。举腹痛经，阴证治例，海藏所说，玄机之秘。中脘痛者属脾土，脐腹痛者属少阴，少腹小腹属厥阴分。三部殊途细酌斟。太阴中土主理中汤，少阴四逆真武同用。厥阴宜用当归四逆汤，重则回阳霹雳攻。当汗不汗即生黄，当汗汗多因致... 不当汗而若汗之，蓄血定应无改易。汗多或有变亡阳。阴证脉候须仔细。（均出自《此事难知》）
伤寒咳逆脉散死，仲景之言不虚伪。大抵源流失下生，咳逆喉中阴不内。便溏唯宜用泻心汤，便硬尤宜大承气汤。二药神功作者谁？东垣洁古为良制。
Women suffering from stomach heat may have a robust appetite yet become emaciated, with failure to generate body fluids. When the Sea of Blood (Xuehai) is exhausted, it is named "Blood Depletion" (Xueku). Alternatively, due to long-term deficiency of the Spleen and Stomach, or a frail physique with depletion of both Qi and Blood, menstruation may cease. If these conditions are not present, cessation of menstruation indicates pregnancy.
Or there may be continuous dripping of menstrual blood.
When Damp-Heat pathogenic factors press excessively, menstrual bleeding continues incessantly. Or when Heart Qi is insufficient and Fire-Heat blazes fiercely, flourishing within the blood vessels, accompanied by bodily heaviness and fever, mental restlessness, and inability to sleep, this leads to leaking menstrual blood. Yin deficiency with Yang pulse palpitation results in Bing (sudden heavy bleeding).
Pain during menstruation belongs to deficiency with internal heat.
Abdominal pain occurring after menstruation has ended is due to Blood deficiency with heat.
Pain occurring during menstruation flow indicates a Blood Excess syndrome.
Pain arising just before menstruation begins is due to Blood excess.
If menstruation occurs ahead of schedule, it is often due to Blood Heat coagulation; if delayed with scanty flow, it may be Amenorrhea (Bijing) or Blood Depletion. Pale color indicates excessive Phlegm-Dampness; purple color indicates Heat; extreme Heat turns the blood black. Treatment requires regulating Ying (Nutritive) Qi and descending Fire.
For women's menstruation, if it does not follow the regular cycle, excluding pregnancy, all are diseases mentioned above. Treatment must regulate and nourish Blood, clear Yang and descend Fire. If Cold is present, warm it.
Regulating pregnancy-related diseases focuses on clearing Heat and nourishing Blood.
During pregnancy, if Righteous Qi is insufficient, leading to disharmony of Cold and Heat, and obstruction of Yin-Yang ascending and descending, various diseases arise. For example, sudden onset of Wind-Bi, followed by sudden fainting, loss of consciousness, and dizziness/collapse, is called Zi Xian (Eclampsia of Pregnancy). Fetal Qi rushing upward causing distension or pain is called Zi Xuan (Floating Fetus). Sudden bodily edema, more pronounced in the feet, is called Zi Zhong (Edema of Pregnancy). Astringent urination is called Zi Lin (Dysuria of Pregnancy). Restlessness and oppression is called Zi Fan (Fretfulness of Pregnancy). Abnormal abdominal enlargement with fluid retention in the fetus, or accompanied by chills and fever, fetal leakage of blood, or occurrence of Zhuo Bao (bladder displacement) and inability to speak, are all due to insufficiency of Fetal Qi. Treatment requires smoothing Qi, clearing Heat, and nourishing Blood.
After childbirth, if there is no E Zu (nausea/vomiting due to retained lochia), one should greatly tonify Qi and Blood.
"E Zu" here refers to symptoms like incomplete expulsion of lochia, blood rushing up to the heart causing abdominal pain. Treatment can involve removing the stale blood. If there is endless sweating from deficiency, generalized body pain, or empty irritability, urinary incontinence, or the vaginal opening failing to close, postpartum labor exhaustion, blood deficiency leading to vertigo, etc., these indicate extreme deficiency. All require great tonification of Blood and Qi.
Even if there are miscellaneous diseases, they should be treated as secondary concerns.
Postpartum conditions such as Wind-Stroke, Shang Han (Cold Damage), or illnesses caused by the Six Qi (pathogenic factors), although requiring standard treatment, must also concurrently tonify Qi and Blood. The medical classics state that one must strictly avoid contraindications, specifically referring to the misuse of diaphoresis (sweating), purgation, and promoting urination.
Generally speaking, infants who are overdressed develop internal heat; extreme heat generates Wind; Wind-Phlegm and accumulated Heat require treatment according to the specific disease. Newborns may suffer from convulsions due to fetal toxins, fright at one month old, neonatal erythema or vomiting, neonatal jaundice with constipation, Umbilical Wind (Qifeng) with mouth contraction.
Severe reception of fetal toxins leads to convulsions. Neonatal erythema resembles cinnabar painted on the skin. Pathogenic qi rising causes vomiting. If the mother receives Damp-Heat, it transmits to the fetus causing jaundice. Some infants do not pass stool for days after birth; Umbilical Wind often appears within half a month after birth, indicating severe reception of fetal impurities.
Transformation Fever (Bian Zheng Fa Re).
Pediatric "Bian Zheng" refers to the growth of meridians and the development of wisdom and consciousness of the Zang-Fu organs.
Wind Epilepsy and Epilepsy.
Qian Yi classified epilepsy into five types: Dog Epilepsy, Sheep Epilepsy, Ox Epilepsy, Chicken Epilepsy, and Pig Epilepsy, each with distinct manifestations.
Acute and Chronic Convulsive Disorders (Jing Feng).
If the body is hot, face red, followed by spasms, eyes rolling upward, and jaw stiffness, this is a Yang syndrome indicating Excess. If due to vomiting/diarrhea, or vomiting without diarrhea, becoming increasingly fatigued with sallow complexion, spleen deficiency-cold generating fright, with mild spasms, slight upward eye deviation, and limb tremors, this is a Yin syndrome indicating Deficiency.
Convulsions and Fright.
When Wind-Fright Heat is severe, limbs tremble and shake, leading to contracture. This describes the state of fright and astonishment.
Palpitations and Confusion.
Fright causes palpitations and unrest; severe heat causes confusion.
Sudden Asthma and Vomiting Milk.
Severe asthma is colloquially called "Horse Spleen Wind." Vomiting milk/food is termed "Tu".
Abdominal Distension, Nasal Obstruction, Cough.
Distension includes Cold Distension, Heat Distension, and Spleen Distension. Cough is mostly caused by Wind-Cold damage. It may also be triggered by injury from milk or salty foods, leading to wheezing.
Zhong E (Sudden Evil) and Tian Diao (Heavenly Suspension).
Zhong E involves sudden illness from evil qi, characterized by eyes staring upward, body stiffening, and spasm, known as Tian Diao.
Goat Mouth (E Kou) and Double Tongue (Chong She).
White patches covering the tongue constitute Goat Mouth. Swelling under the tongue resembling a small tongue constitutes Double Tongue, caused by excessive Heat in the Heart and Spleen.
Wood Tongue (Mu She) and Playing Tongue (Nong She).
Swollen and stiff tongue is Wood Tongue, due to severe Spleen Heat tightening the tongue collaterals. Protruding and retracting the tongue is Playing Tongue.
Ke Wu (Guest Intrusion) and Night Crying.
Insufficient Heart Qi leads to fright upon encountering guests or objects. Cold Pain in the Spleen causes frequent night crying.
Suppurative Ear Infection (Nong Er) and Nasal Chan (Bi Gan).
Sores inside the ear with pus discharge is a San Jiao (Triple Burner) Qi Heat disease. Sores and chan sores in the nose.
Eyebrow Dan Liu.
Sores on the eyebrow bone are caused by Wind-Heat in the Taiyang Meridian. "Dan Liu," colloquially Flame Dan, looks like cinnabar painted on the muscle, indicating severe Blood Heat.
Yin Swelling and Turbid Urine.
Swelling of the testicles is due to Heat predominance in the Liver Meridian. White turbid urine is also a turbidity disorder.
Tongue Ulcer and Bad Breath.
Heart Heat sinking down with prevailing Wind. Stomach Heat causes bad breath.
Gum Erosion and Dental Chan.
Prevailing Wind-Heat rapidly erodes gums, colloquially known as Running Horse Dental Chan.
Worm Pain and Vomiting Ascaris.
Crying children restless in sitting and lying, pressing their own abdomen, screaming occasionally, with lips turning green or yellow, and dull eyes, indicate Worm Pain.
Chan Emaciation and Fontanelle Delay (Jie Lu).
Qian Yi categorized Five Zang Chan disorders, such as Sinew Chan and Bone Chan. Kidney deficiency leads to Jie Lu (delayed closure of fontanelles).
Green Stool and Red Cheeks.
Internal reception of Fright Qi and Disharmony of Spleen Qi cause diarrhea with green stool. Heart Heat attacking upward causes red cheeks.
Eating Earth and Drinking Water.
Eating earth indicates insufficient Stomach Qi. Body heat with desire to drink water indicates internal disease; lack of desire to drink indicates external Heat.
Vomit/Diarrhea Green and White.
Green/white diarrhea with undigested food indicates Stomach Cold. Undigested milk indicates Food Injury. Yellow/red/black/brown diarrhea indicates Heat-Toxin in the Spleen and Stomach.
Deep Sleep with Exposed Eyes.
Sleeping with exposed eyes indicates Stomach Deficiency Heat; sleeping with closed eyes indicates Stomach Excess Heat. Sneezing and palpitations during sleep suggest impending eruption of sores/rashes.
Yawning and Sallow Face.
Yawning with red face indicates Wind-Heat; blue face indicates Wind-Fright; yellow face indicates Spleen Deficiency. Sleeping while frightened indicates Internal Heat. Yawning with hot breath indicates Wind-Strike.
Gnashing Teeth.
Illness caused by Internal Heat in the Hand and Foot Yangming Meridians.
Diarrhea/Dysentery and Rectal Prolapse.
Long-term diarrhea/dysentery causes the anus to relax and prolapse due to severe Damp-Heat causing laxity.
Abscesses, Urticaria, Smallpox/Rubella, Macules.
Qian Yi discussed that fetal toxins cause sores/rashes. At initial eruption, Five Zang signs appear: yawning and lethargy indicate Liver; frequent palpitations/fright indicate Heart; alternating cold/heat with cold hands/feet indicate Spleen; red face/cheeks and sneezing indicate Lung. The Kidney, being lower, does not consume filth and is unaffected by fetal toxin, showing no specific sign. When toxin exits, it manifests uniformly: Liver produces water blisters, Lungs produce pus blisters, Heart produces macules, Spleen produces rashes.
Fright Chan and Various Accumulations.
Such as Food Accumulation and Milk Accumulation.
Most diseases primarily affect the Liver and Spleen Meridians.
These two meridians are prone to disease.
Pulse Diagnosis Relies on Accuracy.
Infant Tiger Mouth (radial artery) colors/pulses: Purple indicates Wind-Strike; Red indicates Shang Han; Blue indicates Fright; White indicates Chan; Black indicates Zhong E; Yellow indicates Spleen Disease.
Qian Yi's Formulas and Theory.
Men and women's conditions, diet, residence, sudden joy or sorrow, starting with joy then sorrow, all injure Essence and Qi. From wealth to poverty, disease depletes essence day by day. From nobility to low status, even without external evil, disease arises internally, named Tuo Ying (Depleted Camp). The body diminishes daily, Qi becomes deficient lacking essence. Skilled physicians must not miss opportunities in pulse, disease, and symptom treatment; knowing subtle changes allows early cure. Regarding Abdominal Pain chapter, Yin Syndrome treatment examples, Haizang's sayings reveal profound secrets: Pain in Zhongwan belongs to Spleen Earth; Pain in navel belongs to Shaoyin; Lower abdomen/Xiaofu belongs to Jueyin. These three regions differ in approach. Taizhong Earth governs Lizhong Tang; Shaoyin uses Si Ni and Zhen Wu together. Jueyin suits Danggui Sini Tang; severe cases use Hu Yang Pi Li Gong. Failure to sweat when indicated leads to Jaundice; excessive sweating when indicated causes... [text missing/garbled]. Sweating when not indicated leads to fixed Blood Stasis. Excessive sweating may transform into Yang Collapse. Yin Syndrome pulse signs must be examined carefully. (All from *Ci Nan Zhi*)
Shang Han with cough/reversal flow and scattered pulse indicates death; Zhang Zhongjing's words are not false. Generally, source loss follows purgation errors. Cough/reversal in throat indicates Yin cannot contain. Loose stools suit Xi Xin Tang; hard stools suit Da Cheng Qi Tang. Who created the divine merit of these two medicines? Dong Yuan and Jie Gu provided good formulations.