伤寒手足汗出者。盖四肢为诸阳之本。而胃主四肢。手足汗出者。阳明之证也。阳经邪
热传
悉
热
汗
而手足
足然
又何以
者也。
歌曰手足如何汗不休。胃中热聚液旁流。热家燥粪为谵语。寒证难分水谷流。
又论云。手足汗出。热聚于胃而津液之旁达也。亦有寒聚于胃致之。挟寒则水谷不分。
蕴热
明中
中汤。
怫郁者。阳气蒸越。形见于头面肌肤之间。聚而不散也。其证则有异焉。大便硬而气短
者实
郁而
因
面
妄
与
歌曰。怫郁阳蒸聚体肤。便坚为实哕为虚。二阳并病容颜赤。火迫身黄惊惕余。
伤寒战栗者。形相类而实非一也。合而言之。战、栗非二也。析而分之。则有内外之别
焉。
战栗
战之
争也
人本
者何
争则为栗。栗其甚者也。经曰。阴中于邪心内栗也。表气微虚。里气不守。故使邪中于阴也。
方
欲
者
歌曰。战动于身栗动心。正邪胜负两般争。振振汗出将痊愈。鼓颔虚寒病已深。
又论云。战栗皆阴阳之争。战者身为之摇也。栗者心战而惕也。邪气外与正气争则为战
栗。
故
身
以
栗
伤寒振者。森然若寒。耸然振动者是也。伤寒振者。皆责其虚也。至于欲汗之时。其人
本虚
而战
家发
振
若吐下后。心下逆。上冲胸。起则头眩。发汗则动经。身为振振摇。茯苓桂枝白术甘草汤主
之。
二者
伤寒病出现手足出汗的，是因为四肢是诸阳经的根本。而胃主管四肢。手足出汗，是阳明经的病证。阳经的邪热传变，（导致）热汗……（原文此处有缺漏/错简，语意不全）……又怎么能……呢？
歌诀说：手足为何汗出不止？这是胃中热邪聚集，津液从旁流出。热盛之家若有燥屎内结会出现谵语；寒证则难以分辨是水谷不分导致的泄泻。
又有论述说：手足出汗，是热邪聚集于胃，致使津液旁达四肢。也有因寒邪聚集于胃所致的。挟带寒邪则水谷不分。（原文此处有缺漏，似指用理中汤等温中之剂）……明中汤（注：原文可能有误，通常指理中汤或类似方剂，此处依原文保留“明中汤”或推测为“理中汤”之误，但按规则保留原名，若无法确定则略过不明词汇，此处原文断句混乱，暂译为：蕴热……明中汤）。
怫郁（气机郁滞不畅），是指阳气蒸腾外越，表现于头面肌肤之间，聚积而不散。其症状表现有所不同。大便干硬且气短的是实证；怫郁而……（原文缺漏）……因……面……妄……与……（原文严重错简，语意不通，仅能翻译可见部分）。
歌诀说：怫郁阳气蒸腾聚于体表皮肤，大便坚硬为实症，呃逆为虚症。二阳并病时容颜发红，火邪逼迫导致身黄、惊悸惕动等其余症状。
伤寒战栗，形态相似但实质不同。合起来说，战和栗并非两回事。分开来说，则有内外之别。战栗……战……争也……人本……者何……争则为栗，栗是更严重的表现。经文说：阴分受邪，心中战栗。表气微弱虚弱，里气不能固守，所以使邪气侵入阴分。（原文此处有缺漏）……方……欲……者……
歌诀说：战动发生在身体，栗动发生在内心。正气与邪气胜负相争，有两种情况。振振汗出预示将要痊愈；鼓颔（下巴打颤）则是虚寒重症，病已深入。
又有论述说：战栗都是阴阳之争。战，是身体摇动；栗，是内心战栗而惊恐。邪气在外部与正气相争就表现为战栗。（原文此处有缺漏）……故……身……以……栗……
伤寒振（震颤），森然感觉寒冷，耸然振动就是这种情况。伤寒出现的振，都要归咎于虚证。到了想要出汗的时候，其人本来虚弱……而战……家发……振……（原文缺漏）。如果是吐下之后，心下逆气上冲胸，站起来头晕目眩；发汗则会扰动经脉，身体振振动摇。用茯苓桂枝白术甘草汤主治。二者（指战与振的区别或关联，原文未完）。
In Taiyang disease (Taiyang syndrome), sweating of the hands and feet occurs because the four limbs are the root of all Yang meridians. The Stomach governs the four limbs. Sweating of the hands and feet is a sign of Yangming disease (Yangming syndrome). When pathogenic heat from the Yang meridians transmits... [text is fragmented] ...how can it be...?
The verse states: Why do the hands and feet sweat incessantly? Heat accumulates in the Stomach, causing fluids to flow out laterally. In cases of excess heat with dry feces, delirium may occur; in cold syndromes, it is difficult to distinguish whether diarrhea results from the failure to separate clear and turbid substances of food and water.
Another discussion states: Sweating of the hands and feet results from heat accumulating in the Stomach, causing body fluids to reach the extremities laterally. It can also be caused by cold accumulating in the Stomach. If accompanied by cold, there is a failure to separate clear and turbid substances. [Text fragment: Yunre... Mingzhong Tang].
Fu Yu (Stagnation of Qi) refers to Yang Qi steaming and overflowing, manifesting between the head, face, and skin, gathering without dispersing. Its symptoms vary. Hard stool with shortness of breath indicates an Excess pattern; Fu Yu and... [text is fragmented] ...due to... face... delirium... with...
The verse states: Fu Yu and Yang steaming gather on the body surface; hard stool indicates an Excess pattern, while hiccups indicate a Deficiency pattern. When two Yang meridoids are involved simultaneously, the face appears red; fire forcing yellowing of the body and palpitations/fright are other remaining symptoms.
Chills and trembling in Taiyang disease appear similar but are essentially different. Generally speaking, "Zhan" (shivering) and "Li" (trembling) are not two separate things. Analyzed separately, they have internal and external distinctions. Zhan... struggle... Human origin... what is... Struggle leads to Li; Li is more severe. The Classic states: Evil invading Yin causes inner trembling. When exterior Qi is slightly deficient and interior Qi fails to hold fast, evil invades Yin. [Text fragments: Fang... Yu... Zhe...].
The verse states: Shivering occurs in the body, trembling in the heart. There are two types of contention between righteous Qi and pathogenic factors. Trembling with sweating indicates impending recovery; chattering teeth indicates deep-seated Deficiency-Cold and severe illness.
Another discussion states: Chills and trembling are all struggles between Yin and Yang. "Zhan" is the shaking of the body; "Li" is mental trembling and fright. When pathogenic qi contends externally with righteous qi, it manifests as Zhan or Li. [Text fragments: Gu... Shen... Yi... Li...].
Tremor (Zhen) in Taiyang disease feels cold and rigid, characterized by sudden shaking. Tremors in Taiyang disease are attributed to Deficiency. When sweating is desired, if the person is originally deficient... [text fragmented] ...after vomiting or purging, rebellious Qi rises from the epigastrium to the chest; standing up causes dizziness; administering sweating methods disturbs the meridians, causing the body to tremble and sway. Fuling Guizhi Baizhu Gancao Decoction (Poria, Cinnamon Twig, Atractylodes Macrocephala, and Licorice Decoction) is the primary treatment. These two [refer to the distinction or relationship mentioned above].