伤，身战脉掉捉所不禁。若脏实则为阳毒所侵，肉热口开舌破咽塞声嘶，故曰赤脉KT 病
（方
见《伤寒》卷中）。
扁鹊云∶灸肾肝心三俞主治丹（一作痹）毒病，当根据源为治，表治阴阳，调和脏腑，疾
不生
（脉四条 方十一首 灸法一首）
心实热
左手寸口人迎以前脉阴实者，手少阴经也，病苦闭大便不利，腹满，四肢重，身热，名
曰心实热也。
治心热实或欲吐，吐而不出，烦闷，喘急，头痛方。
石膏（一斤） 淡竹叶 香豉（各一升） 小麦（三升） 地骨皮（五两） 茯苓（三
两） 栀子
仁（三十枚）
上七味 咀，先以水一斗五升煮小麦、竹叶、取八升澄清，下诸药，煮取三升去滓，分
三服。（《外台》名泻心汤）
治老小下痢水谷不消，肠中雷鸣，心下痞满，干呕不安方。
人参 黄芩 甘草（各一两） 干姜（一两半） 黄连（二两） 半夏（三两） 大枣
（十二枚）
上七味 咀，以水八升，煮取二升半，分三服。并治霍乱。若寒加附子一枚，渴加栝
蒌根二两，呕加橘皮一两，痛加当归一两。客热以生姜代干姜。
治心气不足，吐血衄血方。
大黄（二两） 黄连 黄芩（各一两）
上三味 咀，以水三升煮取一升，顿服。亦治霍乱。
心小肠俱实
左手寸口人迎以前脉阴阳俱实者，手少阴与巨阳经俱实也，病苦头痛身热，大便难，心
腹烦满不得卧，以胃气不转水谷实也，名曰心小肠俱实。
损伤，身体颤抖，脉搏跳动不稳且无法自控。如果脏腑邪气盛实，则为阳毒所侵袭，表现为肌肉发热、口张、舌体破损、咽喉阻塞、声音嘶哑，因此称为赤脉KT病（方剂见《伤寒论》卷中）。
扁鹊说：灸治肾俞、肝俞、心俞这三个穴位，主治丹毒病（一作痹毒），应当根据病因进行治疗，表里兼顾以调和阴阳，调和脏腑功能，疾病便不会发生。
（脉诊条文四条，方剂十一首，灸法一首）
心经实热证
左手寸口脉在人迎穴之前的部位，若阴脉呈现实象，这是手少阴心经的病证。患者痛苦于大便闭塞不通，腹部胀满，四肢沉重，身体发热，这叫做心经实热证。
治疗心经热实证，或者想要呕吐却吐不出来，心烦闷乱，气喘急促，头痛的方剂。
石膏（一斤） 淡竹叶 香豉（各一升） 小麦（三升） 地骨皮（五两） 茯苓（三两） 栀子仁（三十枚）
以上七味药，切碎，先用水一斗五升煮小麦、淡竹叶，取汁八升并澄清，再加入其他药物，煮取三升药液，去渣，分三次服用。（《外台秘要》称之为泻心汤）
治疗老人和小孩下痢，水谷不消化，肠中雷鸣作响，心下痞塞胀满，干呕不安的方剂。
人参 黄芩 甘草（各一两） 干姜（一两半） 黄连（二两） 半夏（三两） 大枣（十二枚）
以上七味药，切碎，用水八升，煮取二升半药液，分三次服用。此方也治疗霍乱。如果有寒象加附子一枚，口渴加栝楼根二两，呕吐加橘皮一两，疼痛加当归一两。若有客热，用生姜代替干姜。
治疗心气不足，吐血、鼻出血的方剂。
大黄（二两） 黄连 黄芩（各一两）
以上三味药，切碎，用水三升煮取一升药液，一次性服下。此方也治疗霍乱。
左手寸口脉在人迎穴之前的部位，若阴脉和阳脉都呈现实象，这是手少阴心经与巨阳膀胱经都呈实象。患者痛苦于头痛、身体发热，大便困难，心胸腹部烦闷胀满不能卧睡，这是因为胃气不运转，水谷停滞成实所致，这叫做心与小肠俱实证。
Injury, with trembling of the body, pulsation that is erratic and uncontrollable. If the Zang organs are full of excess pathogenic factors, it is invaded by Yang toxicity, manifesting as hot flesh, open mouth, broken tongue, blocked throat, and hoarse voice; thus it is called Chi Mai KT disease (Formula see in *Shanghan Lun*, Volume Middle).
Bian Que said: Moxibustion on Shenshu (BL23), Ganshu (BL18), and Xinshu (BL15) acupoints treats Dan Du disease (alternatively Bi Du). One should treat according to the root cause, address both exterior and interior to harmonize Yin and Yang, and harmonize the Zang-Fu organs, so that diseases will not arise.
(Four pulse texts, eleven formulas, one moxibustion method)
Heart Excess-Heat Syndrome
At the Cun Kou position on the left hand, prior to the Ren Ying (ST9) point, if the Yin pulse presents as Excess, this is a disease of the Hand-Shaoyin Meridian. The patient suffers from constipation, abdominal fullness, heaviness of the four limbs, and fever. This is named Heart Excess-Heat.
Formula for treating Heart Heat-Excess, or when there is an urge to vomit but nothing comes out, accompanied by vexation and oppression, rapid breathing, and headache.
Shigao (Gypsum Fibrosum, 石膏) (one jin)
Danzhuye (Lophatheri Herba, 淡竹叶)
Xiangchi (Fermented Soybean, 香豉) (each one sheng)
Xiaomai (Tritici Fructus, 小麦) (three sheng)
Digupi (Phellodendri Cortex, 地骨皮) (five liang)
Fuling (Poria, 茯苓) (three liang)
Zhiziren (Gardeniae Semen, 栀子仁) (thirty seeds)
The above seven ingredients are cut into small pieces. First, boil Xiaomai and Danzhuye in ten dou five sheng of water until reduced to eight sheng, then clarify. Add the remaining herbs and boil until three sheng remains. Remove the dregs and divide into three doses. (Known as Xiexin Tang in *Waitai Miyao*)
Formula for treating elderly and children with dysentery where food and water are not digested, borborygmus in the intestines, epigastric stuffiness and fullness, dry heaving, and restlessness.
Renshen (Panacis Ginseng Radix, 人参)
Huangqin (Scutellariae Radix, 黄芩)
Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (each one liang)
Ganjiang (Zingiberis Rhizoma, 干姜) (one and a half liang)
Huanglian (Coptidis Rhizoma, 黄连) (two liang)
Banxia (Pinelliae Rhizoma, 半夏) (three liang)
Dazao (Jujubae Fructus, 大枣) (twelve fruits)
The above seven ingredients are cut into small pieces. Boil in eight sheng of water until two and a half sheng remains. Divide into three doses. It also treats Huoluan. If there is cold, add Fuzi (Aconiti Lateralis Radix Praeparata, 附子) one piece; if thirsty, add Gualougen (Trichosanthis Radix, 栝楼根) two liang; if vomiting, add Jupi (Citri Reticulatae Pericarpium, 橘皮) one liang; if painful, add Danggui (Angelicae Sinensis Radix, 当归) one liang. For external heat, replace Ganjiang with Shengjiang (Zingiberis Rhizoma Recens, 生姜).
Formula for treating Heart Qi deficiency, hematemesis, and epistaxis.
Dahuang (Rhei Radix et Rhizoma, 大黄) (two liang)
Huanglian (Coptidis Rhizoma, 黄连)
Huangqin (Scutellariae Radix, 黄芩) (each one liang)
The above three ingredients are cut into small pieces. Boil in three sheng of water until one sheng remains. Take in one dose. It also treats Huoluan.
Heart and Small Intestine Both Excess
At the Cun Kou position on the left hand, prior to the Ren Ying (ST9) point, if both Yin and Yang pulses present as Excess, this indicates that both the Hand-Shaoyin and Ju-Yang (Taiyang) meridians are in an Excess state. The patient suffers from headache, fever, difficult defecation, and vexation and fullness in the heart and abdomen preventing sleep. This is because Stomach Qi fails to transform and transport, leading to accumulation of food and water. This is named Heart and Small Intestine Both Excess.