大法。春夏宜发汗。
凡发汗。欲令手足周遍。汗出 益佳。不欲流离。病若不解。当复发汗。汗多则无阳
虚则不得重发汗也。
凡欲发汗。中病便止。不必须尽意也。
太阳病脉浮数者。宜发汗也。
太阳病脉浮大数者。宜发汗也。
阳明病脉迟。汗多而微恶寒者。外未解。宜发汗。
阳明病脉浮数者。宜发汗。太阳病常自微微汗出。更宜发汗。
凡脉浮而紧者。浮则为风。紧则为寒。宜发汗。
太阳病下之微喘者。外未解也。宜发汗。
太阳病发热汗出而恶寒。宜发汗。
凡脉沉数病在里。不可发汗。无阳故也。
凡脉尺中迟。不可发汗。荣卫不足。血少故也。
凡脉微软弱者。不可发汗。
凡咽中闭塞。不可发汗。
凡腹中有动气在左右者。不可发汗。
凡有动气在上。不可发汗。发汗则气冲于上。在心端也。
凡有动气在下者。不可发汗。发汗则心中大烦。目眩恶寒。饮食则吐。
凡诸动气脉微弱者。皆不可发汗。汗则小便难。脬中干烦躁也。
凡咽燥者。不可发汗。
凡失血者。不可发汗。发汗必恍惚心乱。
凡积热在脏。不宜发汗。汗则必吐。口中烂生疮。
凡下痢水谷。忌攻其表。汗出必胀满咳嗽。小便利者不可攻其表。汗出即逆。
凡服汤吐者。中病便止。不必尽剂也。
大法。春夏宜吐。凡病头不强痛。寸口脉浮。胸中痞满。上冲喉咽。不得息。此为有痰。
当宜吐之。
夫胸心满实。胸中郁郁而痛。不能食。多涎唾。下利。其脉迟反逆。寸口脉数。此可吐
也。
病者手足冷。脉乍结。在胸心下而烦。饥不能食。病在胸中。当宜吐之。
伤寒胸满痰逆。干呕热嗽。及肺壅唾脓等。宜吐之。
夫宿食在胃管。宜吐之。
治疗的大法:春夏季节适宜使用发汗疗法。
凡是发汗,希望让手足周身遍身出汗,这样效果更佳;不希望大汗淋漓如水流淌。如果病证没有解除,应当再次发汗。但是汗出过多会导致阳气虚弱,阳气虚弱则不能再重复发汗。
凡是想要发汗,只要病邪已去(中病)就应停止,不一定要服完所有的药量。
太阳病,脉象浮而数的,适宜发汗。
太阳病,脉象浮大且数的,适宜发汗。
阳明病,脉象迟缓,汗多且轻微恶寒的,说明表证未解,适宜发汗。
阳明病,脉象浮数的,适宜发汗。(注:此处原文逻辑似有混淆,通常阳明病忌汗,但依原文翻译)太阳病常自微微汗出,更适宜发汗。
凡是脉象浮而紧的,浮脉主风邪,紧脉主寒邪,适宜发汗。
太阳病经过误下之后出现轻微喘息的,说明表证未解,适宜发汗。
太阳病,发热、汗出且恶寒的,适宜发汗。
凡是脉象沉数,病位在里的,不可发汗,因为无阳(指阴液或阳气不足,无法鼓动汗源)的缘故。
凡是尺部脉象迟滞的,不可发汗,因为营卫不足,血少的原因。
凡是脉象微软弱的,不可发汗。
凡是咽喉部闭塞不通的,不可发汗。
凡是腹部中有动气在左右两侧的,不可发汗。
凡是动气在上面的,不可发汗,发汗则气逆冲于上,停留在心尖部位。
凡是动气在下面的,不可发汗,发汗则心中极度烦乱,头晕目眩,恶寒,饮食后呕吐。
凡是各种动气且脉象微弱的,都不可发汗,发汗则小便困难,膀胱干燥烦躁。
凡是咽喉干燥的,不可发汗。
凡是失血的,不可发汗,发汗必然导致心神恍惚、心烦意乱。
凡是积热在脏腑内的,不宜发汗,发汗必然导致呕吐,口中溃烂生疮。
凡是下痢水谷的,忌讳攻伐其表,发汗必然导致腹胀满、咳嗽,小便利的不可攻伐其表,发汗即导致气逆。
凡是服用汤药引起呕吐的,只要病邪已去就应停止,不一定要服完所有药剂。
治疗的大法:春夏季节适宜使用催吐疗法。凡是疾病头部不强痛,寸口脉浮,胸中痞塞胀满,气上冲至喉咽,呼吸不畅,这是有痰饮,应当适宜用吐法。
凡是心胸痞满结实,胸中郁郁而痛,不能进食,多涎唾,下利,脉象迟缓反而逆乱,寸口脉数,这可以使用吐法。
病人手足冰冷,脉象乍然结代,在心胸下方感到烦闷,饥饿但不能进食,病位在胸中,应当适宜用吐法。
伤寒导致胸满、痰气上逆、干呕、热咳,以及肺壅盛唾脓等症,适宜用吐法。
凡是宿食停滞在胃管中的,适宜用吐法。
General principles: In spring and summer, it is appropriate to induce sweating.
When inducing sweating, it is desirable for the sweat to be evenly distributed over the hands and feet; profuse sweating throughout the body is better, but excessive dripping sweat should be avoided. If the disease does not resolve, sweating may be induced again. However, excessive sweating leads to Yang deficiency; if Yang is deficient, repeated sweating must not be performed.
When inducing sweating, stop once the pathogen is addressed (Zhongbing); there is no need to consume the entire dose.
In Taiyang disease (Disease of the Taiyang Channel), if the pulse is floating and rapid, inducing sweating is appropriate.
In Taiyang disease, if the pulse is floating, large, and rapid, inducing sweating is appropriate.
In Yangming disease (Disease of the Yangming Channel), if the pulse is slow, there is abundant sweating, and slight aversion to cold, indicating that the exterior syndrome has not resolved, inducing sweating is appropriate.
In Yangming disease, if the pulse is floating and rapid, inducing sweating is appropriate. [Note: Textual anomaly in source]. In Taiyang disease, where there is constant slight sweating, inducing sweating is more appropriate.
Generally, if the pulse is floating and tight, floating indicates Wind, and tight indicates Cold; inducing sweating is appropriate.
In Taiyang disease, if mild wheezing occurs after purgation, the exterior syndrome has not resolved, and inducing sweating is appropriate.
In Taiyang disease, if there is fever, sweating, and aversion to cold, inducing sweating is appropriate.
Generally, if the pulse is deep and rapid, indicating an interior disease, sweating must not be induced due to the lack of Yang (insufficient Yang energy/fluids to generate sweat).
Generally, if the Chi position (cun-kou pulse at the wrist) pulse is slow, sweating must not be induced due to insufficiency of Ying and Wei (Nutritive and Defensive Qi) and blood deficiency.
Generally, if the pulse is soft and weak, sweating must not be induced.
Generally, if there is obstruction in the throat, sweating must not be induced.
Generally, if there is "Qi movement" (abdominal pulsation/mass) on the left or right sides of the abdomen, sweating must not be induced.
Generally, if there is Qi movement above, sweating must not be induced; inducing sweating causes Qi to rush upward and lodge at the heart tip.
Generally, if there is Qi movement below, sweating must not be induced; inducing sweating causes severe mental restlessness, dizziness, aversion to cold, and vomiting after eating.
Generally, if there is any Qi movement with a weak pulse, sweating must not be induced; inducing sweating leads to difficult urination, dryness of the bladder, and restlessness.
Generally, if the throat is dry, sweating must not be induced.
Generally, if there has been blood loss, sweating must not be induced; inducing sweating will inevitably lead to mental confusion and restlessness.
Generally, if accumulated heat resides in the Zang organs, sweating is not suitable; inducing sweating will inevitably cause vomiting, mouth ulcers, and sores.
Generally, in cases of dysentery with undigested food and water, attacking the exterior is contraindicated; inducing sweating will inevitably cause abdominal distension and coughing. If urination is free, attacking the exterior is contraindicated; inducing sweating will lead to rebellious Qi.
For those who vomit after taking decoctions, stop once the pathogen is addressed; there is no need to finish the entire dose.
General principle: In spring and summer, it is appropriate to induce vomiting. For diseases where the head does not have severe pain, the Cun Kou (radial artery) pulse is floating, there is chest fullness and oppression, Qi rushes up to the throat, and breathing is obstructed, this indicates Phlegm-Fluid retention, and emesis is appropriate.
If there is chest and epigastric fullness and solidity,郁 (depression) and pain in the chest, inability to eat, excessive saliva, diarrhea, a slow pulse that is paradoxically reversed, and a rapid Cun Kou pulse, emesis is appropriate.
If the patient has cold hands and feet, a knotted pulse (Jie Mai), irritability in the lower chest/epigastrium, hunger but inability to eat, and the disease is located in the chest, emesis is appropriate.
For Shanghan (Cold Damage) presenting with chest fullness, rebellious Phlegm-Qi, dry retching, hot cough, and Lung congestion with purulent sputum, emesis is appropriate.
For retained food stagnating in the stomach tube, emesis is appropriate.