陈紫山曰∶伤寒之病有多般，一概推详便觉难。面目俱红时喷嚏，气粗身热是伤寒。又曰∶伤寒一日，遍身发
热，头疼脑痛，人事昏沉，甚则胡言乱语。
治法∶推三关，六腑，打马过天河，水底捞明月，分阴阳，运八卦，五指尖，斗肘。无汗掐心经，内劳宫，肩
井。（有汗不用。）
涂蔚生曰∶伤寒是寒郁于表，治宜惟用温解，而寒凉在其所忌。本节有水底捞明月一法，用者必须审慎。盖必
寒从热化，热邪入里而后可用，此大寒之治法也。
陈紫山曰∶伤寒二日，结胸腹胀，减食沉迷，内热外寒，遍体骨节疼痛。
治法∶推三关，六腑，心经，分阴阳，运八卦。开胸膈疼，
加肺经。饮食不进，加脾土，曲池，阳池。
陈紫山曰∶伤寒三日，遍身骨节疼痛，大小便不通，肚腹作胀。
治法∶推三关，肺经，和阴阳，运八卦，开胸，运斗肘，天门入虎口，四横纹，水底捞明月，赤凤摇头，揉
太阳，揉五指节。攒竹，曲池，肩井。
陈紫山曰∶伤寒四日，脚疼腰痛，眼红，饮食不进，人事颠乱。
治法∶推三关，六腑，曲池，虎口，二人上马，掐五指节，水底捞明月，飞经走气，打马过天河。
陈紫山曰∶伤寒五日，传遍经络，或大便不通，小便自利，或噎气霍乱。
治法∶推三关，清天河水，脾土，八卦，清肾水，肺经，打马过天河。
陈紫山曰∶伤寒六日，血气虚弱，饮食不进，腰痛气喘，心疼头痛。
治法∶推三关，肺经，四横纹，运八卦，清天心水，水底捞明月，赤凤摇头，按弦搓摩，飞经走气，曲池，
肩井，合谷，分阴阳。
陈紫山曰∶伤寒七日，传变六经，发散四肢，各传经络，或痢或疟，加减推之。
治法∶推三关，六腑，清天河水，肺经，四横纹，补肾水，和阴阳，天门入虎口，揉斗肘，曲池，肩井，太阳，
推脾土。若瘅疟，揉五指中节与节根。凡推疟疾，必宜常用不易者推之，而后用此法最效。
涂蔚生曰∶紫山此节症治，是拘于伤寒传变，每日传一经者，亦是拘于先贤之叫人着眼伤寒日数者。岂知伤寒
传变，虽是由浅入深，由表入里，亦是全凭某经气血之强弱，以为转移，故
有递次日传一经而至六经者，亦有递次传至一二经而终止者，有始终数十日不离其一经，并不传变者，有起首
并不在于太阳，而直病阳明少阳或三阴者。传遍既殊，病状亦异。吾人治病，只可见其发见某经之症，而以为
某经之治，万不可因其日数之多寡，以为治阴治阳之歧异。若徒拘于日数，则五六日之病，犹在太阳者，岂可
为少阴厥阴之治乎？故治病之法，只宜采用权变，因时制宜，又常用不易一语颇会解。
陈紫山说：伤寒病有多种类型，如果一概而论地进行推拿分析就会觉得困难。当面部和眼睛都发红且伴有打喷嚏，呼吸粗重、身体发热时，这是伤寒。他又说：伤寒第一天，全身发热，头痛脑痛，神志昏沉，严重时胡言乱语。
治疗方法：推三关（前臂桡侧缘自腕至肘），退六腑（前臂尺侧缘自肘至腕），打马过天河（从总筋推向曲池），水底捞明月（在掌根小指侧揉掐），分阴阳（推两手腕横纹两侧），运八卦（在掌心顺时针或逆时针运推），五指尖（掐十指尖），斗肘（屈肘旋转）。无汗者掐心经（中指末节）、内劳宫（掌心正中）、肩井（肩上大椎与肩峰连线中点）。（若有汗则不用此法。）
涂蔚生说：伤寒是寒邪郁结于体表，治疗应当只用温散解表的方法，而寒凉之法在所禁忌。本节提到的“水底捞明月”一法，使用者必须审慎。因为只有当寒邪转化为热邪，热邪入里之后才可使用，这是针对大寒之邪的治疗方法。
陈紫山说：伤寒第二天，出现结胸（胸膈痞满疼痛）、腹胀，食欲减退，精神沉迷，内热外寒，全身骨节疼痛。
治疗方法：推三关，退六腑，清心经，分阴阳，运八卦。若胸部膈膜疼痛，加推肺经（无名指末节）。饮食不进，加补脾土（拇指桡侧缘或旋推拇指端），按揉曲池（肘横纹外侧端），按揉阳池（腕背横纹中点）。
陈紫山说：伤寒第三天，全身骨节疼痛，大小便不通畅，肚腹胀气。
治疗方法：推三关，清肺经，和阴阳（推两手腕横纹两侧及中间），运八卦，开胸（推两胁肋部），运斗肘，天门入虎口（从眉心推至虎口），推四横纹（掌面食、中、无名、小指第一指间横纹），水底捞明月，赤凤摇头（摇动中指），揉太阳（眉梢与目外眦之间向后约一横指的凹陷处），揉五指节（手指各指间关节）。按揉攒竹（眉头凹陷处），按揉曲池，按揉肩井。
陈紫山说：伤寒第四天，脚疼腰痛，眼睛发红，饮食不进，神志颠乱。
治疗方法：推三关，退六腑，按揉曲池，掐虎口（合谷穴区域），二人上马（手背第4、5掌骨间凹陷处），掐五指节，水底捞明月，飞经走气（推动经气运行），打马过天河。
陈紫山说：伤寒第五天，病邪传遍经络，或者大便不通，小便自利（正常或频数），或者噎气霍乱（呕吐腹泻交作）。
治疗方法：推三关，清天河水（前臂正中自腕推向肘），补脾土，运八卦，清肾水（小指末节），清肺经，打马过天河。
陈紫山说：伤寒第六天，气血虚弱，饮食不进，腰痛气喘，心痛头痛。
治疗方法：推三关，清肺经，推四横纹，运八卦，清天心水（中指指尖），水底捞明月，赤凤摇头，按弦搓摩（推两胁肋如抚琴弦），飞经走气，按揉曲池，按揉肩井，按揉合谷，分阴阳。
陈紫山说：伤寒第七天，病邪传变六经，发散至四肢，各传经络，或者患痢疾或者患疟疾，根据情况加减推拿。
治疗方法：推三关，退六腑，清天河水，清肺经，推四横纹，补肾水（小指末节），和阴阳，天门入虎口，揉斗肘，按揉曲池，按揉肩井，按揉太阳，推脾土。若是瘅疟（热疟），揉五指中节与节根。凡推拿治疗疟疾，必须先常用固定不变的手法推拿，然后再用此法最为有效。
涂蔚生说：紫山这一节的症状和治疗，是拘泥于伤寒每日传一经的说法，这也是拘泥于先贤让人关注伤寒日数的做法。哪里知道伤寒的传变，虽然是由浅入深、由表入里，但也是完全凭借某条经络气血的强弱来决定转移的。所以有依次每日传一经而至六经的，也有依次传至一二经而终止的，有始终数十日不离一经并不传变的，有起首并不在太阳经，而直接病发于阳明、少阳或三阴经的。传变既然不同，病症表现也各异。我们治病，只能看到显现出哪条经络的症状，就按照哪条经络来治疗，万不可因为日数的多少，而在治疗阴经或阳经上产生歧异。如果仅仅拘泥于日数，那么五六天的病，如果还在太阳经，难道可以当作少阴、厥阴经来治吗？所以治病的方法，只宜采用权变，因时制宜，“常用不易”这句话颇能领会其中的道理。
Chen Zishan stated: There are various types of Shanghan (Cold Damage disease), and it is difficult to analyze them comprehensively with a single general approach. When the face and eyes are both red accompanied by sneezing, along with coarse breathing and body heat, this indicates Shanghan. He further stated: On the first day of Shanghan, there is generalized body heat, headache and brain pain, mental confusion, and in severe cases, delirious speech.
Treatment method: Push San Guan (Three Passages, located on the radial border of the forearm from wrist to elbow), Retreat Liu Fu (Six Palaces, located on the ulnar border of the forearm from elbow to wrist), Da Ma Guo Tian He (Horse Beating Across the River of Heaven, pushing from Zong Jin to Qu Chi), Shui Di Lao Ming Yue (Fishing for the Bright Moon at the Bottom of the Water, kneading and pinching the hypothenar eminence on the ulnar side of the palm), Fen Yin Yang (Dividing Yin and Yang, pushing the lateral sides of both wrist creases), Yun Ba Gua (Moving the Eight Trigrams, circular pushing on the palm), Wu Zhi Jian (Five Finger Tips, pinching the tips of all ten fingers), Dou Zhou (Elbow Rotation, rotating the flexed elbow). For those without sweat, pinch Xin Jing (Heart Meridian, distal segment of the middle finger), Nei Lao Gong (Inner Laogong, center of the palm), and Jian Jing (Shoulder Well). (This is not used if there is sweating.)
Tu Weisheng stated: Shanghan is cold pathogen stagnating at the exterior; treatment should exclusively use warm dispersal methods, while cold-cooling methods are contraindicated. The method "Shui Di Lao Ming Yue" mentioned in this section requires careful application by the practitioner. It can only be used after the cold pathogen has transformed into heat and the heat pathogen has entered the interior; this is a treatment method for severe cold pathogen.
Chen Zishan stated: On the second day of Shanghan, Jie Xiong (Chest Binding, characterized by fullness and pain in the chest and diaphragm) and abdominal distension occur, appetite decreases, spirit becomes lethargic, there is internal heat and external cold, and pain throughout the bone joints.
Treatment method: Push San Guan, Retreat Liu Fu, Clear Xin Jing, Fen Yin Yang, Yun Ba Gua. If there is pain in the chest and diaphragm, add Tui Fei Jing (Push Lung Meridian, distal segment of the ring finger). If food intake is poor, add Bu Pi Tu (Tonify Earth/Spleen, radial border or rotary push of the thumb tip), press Quchi (Pool at the Crook, lateral end of elbow crease), and press Yangchi (Sunken Pool, midpoint of dorsal wrist crease).
Chen Zishan stated: On the third day of Shanghan, pain throughout the bone joints occurs, urination and defecation are obstructed, and the abdomen is distended.
Treatment method: Push San Guan, Clear Fei Jing, He Yin Yang (Harmonizing Yin and Yang, pushing the central and lateral aspects of both wrist creases), Yun Ba Gua, Kai Xiong (Opening the Chest, pushing the bilateral costal regions), Yun Dou Zhou, Tian Men Ru Hu Kou (Heaven's Gate Entering Tiger's Mouth, pushing from Yintang to Hegu), Tui Si Heng Wen (Pushing Four Horizontal Lines, transverse creases of the proximal interphalangeal joints of the index, middle, ring, and little fingers), Shui Di Lao Ming Yue, Chi Feng Yao Tou (Red Phoenix Shaking Head, shaking the middle finger), Rou Tai Yang (Kneading Taiyang, depression one finger-width posterior to the outer canthus), Rou Wu Zhi Jie (Kneading Five Finger Joints, interphalangeal joints of the fingers). Press Zan Zhu (Gathering Bamboo, depression at the medial end of the eyebrow), press Quchi, press Jian Jing.
Chen Zishan stated: On the fourth day of Shanghan, foot pain and lower back pain occur, eyes become red, food intake is poor, and mental state is chaotic.
Treatment method: Push San Guan, Retreat Liu Fu, press Quchi, pinch Hu Kou (Tiger's Mouth area, Hegu region), Er Ren Shang Ma (Two People Ascending Mount Shang, depression between the 4th and 5th metacarpal bones on the dorsum of the hand), pinch Wu Zhi Jie, Shui Di Lao Ming Yue, Fei Jing Zou Qi (Flying Meridians and Moving Qi, techniques to promote qi circulation), Da Ma Guo Tian He.
Chen Zishan stated: On the fifth day of Shanghan, the pathogen spreads through the meridians; there may be constipation, normal or frequent urination, or hiccuping and Huoluan (acute vomiting and diarrhea).
Treatment method: Push San Guan, Qing Tian He Shui (Clearing the River of Heaven, pushing from wrist to elbow along the midline of the anterior forearm), Bu Pi Tu, Yun Ba Gua, Qing Shen Shui (Clearing Kidney Water, distal segment of the little finger), Qing Fei Jing, Da Ma Guo Tian He.
Chen Zishan stated: On the sixth day of Shanghan, Qi and Blood are deficient, food intake is poor, lower back pain and asthma occur, heart pain and headache occur.
Treatment method: Push San Guan, Clear Fei Jing, Tui Si Heng Wen, Yun Ba Gua, Qing Tian Xin Shui (Clearing Heavenly Heart Water, tip of the middle finger), Shui Di Lao Ming Yue, Chi Feng Yao Tou, An Xian Cuo Mo (Pressing Strings and Rubbing, pushing the costal regions as if playing strings), Fei Jing Zou Qi, press Quchi, press Jian Jing, press Hegu, Fen Yin Yang.
Chen Zishan stated: On the seventh day of Shanghan, the pathogen transforms and spreads through the Six Meridians, disseminates to the four limbs, and affects various meridians; there may be dysentery or malaria; adjust the pushing accordingly.
Treatment method: Push San Guan, Retreat Liu Fu, Qing Tian He Shui, Clear Fei Jing, Tui Si Heng Wen, Bu Shen Shui (Tonify Kidney Water, distal segment of the little finger), He Yin Yang, Tian Men Ru Hu Kou, Rou Dou Zhou, press Quchi, press Jian Jing, press Taiyang, Tui Pi Tu. If it is Dan Nue (Hot Malaria), knead the middle joint and base of the five fingers. For treating malaria via pushing, one must commonly use fixed, unchanging techniques first, and then apply this specific method for best efficacy.
Tu Weisheng stated: Chen Zishan's symptoms and treatments in this section are constrained by the theory that Shanghan transmits one meridian per day, which is also constrained by the ancients' emphasis on counting the days of Shanghan. One should know that although Shanghan transmission proceeds from shallow to deep and from exterior to interior, it entirely depends on the strength of Qi and Blood in specific meridians for its transfer. Thus, some cases transmit daily to involve all six meridians, some stop after transmitting to one or two meridians, some remain in one meridian for dozens of days without transmission, and some begin not in the Taiyang meridian but directly affect Yangming, Shaoyang, or the Three Yin meridians. Since transmission patterns differ, symptom manifestations also vary. In treating diseases, we should only observe which meridian's symptoms appear and treat that meridian; we must never differentiate between treating Yin or Yang meridians based solely on the number of days passed. If one merely adheres to the number of days, how could a disease lasting five or six days, still in the Taiyang meridian, be treated as Shaoyin or Jueyin? Therefore, the method of treatment should employ flexibility and adapt to the circumstances. The phrase "commonly using unchanging [techniques]" is quite insightful.