夫以为疾病至急。仓猝寻按。要者难得。故重集诸可与不可方治。比之三阴三阳篇中。
此易
（诸不可汗不可下病证药方。前三阴三阳篇中。经注已具者。更不复出。其余无者。于
此以
脉濡而弱。弱反在关。濡反在巅。微反在上。涩反在下。微则阳气不足。涩则无血。阳
气反
（寸关为阳。脉当浮盛。弱反在关。则里气不及。濡反在巅。则表气不逮。卫行脉外。
浮为
无血
接。
虚恶风烦躁。不得眠也。）
动气在右。不可发汗。发汗则衄。而渴。心苦烦。饮即吐水。
（动气者。筑筑然气动也。在右者。在脐之右也。难经曰。肺内证。脐右有动气。按之
牢若
则不
伤肺
动气在左。不可发汗。发汗则头眩。汗不止。筋伤肉 。
（难经曰。肝内证。脐之左有动气。按之牢若痛。肝气不治。正气内虚。气动于脐之左
也。
动气在上。不可发汗。发汗则气上冲。正在心端。
（难经曰。心内证。脐上有动气。按之牢若痛。心气不治。正气内虚。气动于脐之上也。
心
动气在下。不可发汗。发汗则无汗。心中大烦。骨节苦疼。目运恶寒。食则反吐。谷不
得前
（难经曰。肾内证。脐下有动气。按之牢若痛。肾气不治。正气内虚。动气发于脐之下
也。
肾
前者。肾水
咽中闭塞。不可发汗。发汗则吐血。气欲绝。手足厥冷。欲得蜷卧。不能自温。
（咽门者。胃之系。胃经不和。则咽内不利。发汗攻阳。血随发散而上。必吐血也。胃
经不
诸脉得数动微弱者。不可发汗。发汗则大便难。腹中干。胃燥而烦。其形相象。根本异
源。
（动数之脉。为热在表。微弱之脉。为热在里。发汗亡津液。则热气愈甚。胃中干燥。
则大
也。
脉濡而弱。弱反在关。濡反在巅。弦反在上。微反在下。弦为阳运。微为阴寒。上实下
虚。意欲得温。微弦为虚。不可发汗。发汗则寒栗。不能自还。
（弦在上。则风伤气。风胜者。阳为之运动。微在下。则寒伤血。血伤者。里为之阴寒。
外
栗
咳者则剧。数吐涎沫。咽中必干。小便不利。心中饥烦。 时而发。其形似疟。有寒无
热。
（肺寒气逆。咳者则剧。吐涎沫。亡津液。咽中必干。小便不利。膈中阳气虚。心中饥
而烦
汗攻
厥脉紧。不可发汗。发汗。则声乱咽嘶。舌萎声不得前。
（厥而脉紧。则少阴伤寒也。法当温里。而反发汗。则损少阴之气。少阴之脉。入肺中。
循
诸逆发汗。病微者难瘥。剧者言乱。目眩者死。命将难全。
（不可发汗而强发之。轻者因发而重而难瘥。重者脱其阴阳之气。言乱目眩而死。难经
曰。
咳而小便利。若失小便者。不可发汗。汗出。则四肢厥逆冷。
（肺经虚冷。上虚不能治下者。咳而小便利。或失小便。上虚发汗。则阳气外亡。四肢
者。
伤寒头痛。翕翕发热。形象中风。常微汗出。自呕者。下之益烦。心中懊 如饥。发汗
则致
（伤寒当无汗。恶寒。今头痛。发热。微汗出。自呕。则伤寒之邪传而为热。欲行于里。
若
风
火热伤肺。必发咳而唾脓。）
夫脉沉数。病在里。不可发汗。无阳故也。
凡脉尺中迟。不可发汗。营气不足。血少故也。
凡脉微软弱者。不可发汗。
凡腹中有动气在左右。不可发汗。
凡诸动脉微弱者。不可发汗。汗则小便难。腹中干。烦躁也。
凡失血者。不可发汗。发汗。必恍惚心乱。
凡咽燥者。不可发汗。
凡积热在脏。不宜发汗。汗则必吐。口中烂生疮。
凡下利水谷。忌攻其表。汗出必胀满。咳嗽。小便利者。不可攻其表。汗出即逆不堪者。
脉
表
全
可
此救兵也。谨之谨之。
（表中风寒。里则不消。里病表热者。虽无阳证。可以小辛之剂。微汗而温散之。）
微脉弱。为亡阳。不可汗。桂枝二越婢一汤。尺脉迟。为血少。营气不足。不可发汗。
先以
本条。
坏病者。吐汗下温不解。知犯何逆。以法治之。并不可汗。小柴胡汤。
衄血下血。虽脉浮紧。无汗。然衄欲愈。下者亦欲愈。不愈。用桂枝汤。不可发汗。腹
中左
筋惕
烦。
大烦
下利清谷。用理中汤。或大便不通者。皆不可汗。
恶寒脉浮。此为表证。若渴则邪欲入里。不可汗。
夫咽干喉塞。亡血。淋家。衄家。疮家。动气。并不可汗。证治论。皆用小柴胡汤。厥
逆不
认为疾病发生得非常紧急，仓促之间想要查阅相关脉证和治疗方法，重要的内容很难找到。因此重新汇编了各种可以发汗和不可以发汗的方治方法，与《伤寒论》三阴三阳篇中的内容相比，这里更容易查找。
（关于各种不可发汗、不可攻下的病证和药方，如果在前面的三阴三阳篇中，经过经文和注释已经详细具备的，就不再重复列出。其余没有列出的，在此处补充。）
脉象濡软而微弱，弱脉反而出现在关部，濡脉反而出现在寸部（巅指寸口），微脉反而出现在上部，涩脉反而出现在下部。微脉表示阳气不足，涩脉表示无血。
（寸部和关部属阳，脉象应当浮盛。弱脉反而在关部，说明里气不及；濡脉反而在寸部，说明表气不逮。卫气行于脉外，浮脉主表。无血则津液枯竭，导致虚损、怕风、烦躁、无法入睡。）
脐右有动气，不可发汗。发汗会导致鼻出血、口渴、心中烦苦，喝水即吐水。
（动气，是指腹部筑筑然跳动的感觉。在右边，是指在肚脐的右侧。《难经》说：肺的内证，脐右有动气，按之坚硬且痛。如果发汗，就会损伤肺脏。）
脐左有动气，不可发汗。发汗会导致头晕目眩，汗出不止，筋受伤，肌肉跳动。
（《难经》说：肝的内证，脐之左有动气，按之坚硬且痛。肝气不调治，正气内虚，气动于脐之左。如果发汗，就会伤肝。）
脐上有动气，不可发汗。发汗会导致气上冲，直冲在心尖部位。
（《难经》说：心的内证，脐上有动气，按之坚硬且痛。心气不调治，正气内虚，气动于脐之上。如果发汗，就会伤心。）
脐下有动气，不可发汗。发汗会导致无汗，心中极度烦躁，骨节痛苦疼痛，眼睛昏花，怕冷，进食后反而呕吐，食物不能下行。
（《难经》说：肾的内证，脐下有动气，按之坚硬且痛。肾气不调治，正气内虚，动气发于脐之下。如果发汗，就会伤肾。肾水不能上济，导致上述症状。）
咽喉中闭塞，不可发汗。发汗会导致吐血，气息将绝，手足冰冷，想要蜷缩卧倒，不能自我温暖。
（咽门是胃的系带，胃经不和，则咽内不利。发汗攻伐阳气，血随发散之气而上逆，必然吐血。胃经不和，津液耗伤。）
各种脉象出现数、动、微弱特征的，不可发汗。发汗会导致大便困难，腹中干燥，胃燥而烦。这些症状外形相似，但根本来源不同。
（数动之脉，表示热在表；微弱之脉，表示热在里。发汗亡失津液，则热气更甚，胃中干燥，则大便难。）
脉象濡软而微弱，弱脉反而在关部，濡脉反而在寸部，弦脉反而在上部，微脉反而在下部。弦脉为阳气运行失常，微脉为阴寒。上实下虚，意念想要温补。微弦脉为虚证，不可发汗。发汗会导致寒战，身体不能自持恢复。
（弦脉在上，说明风伤气，风胜者，阳气为之运动；微脉在下，说明寒伤血，血伤者，里为之阴寒。如果发汗，就会导致寒战。）
咳嗽严重的，频繁吐涎沫，咽喉必定干燥，小便不利，心中饥烦，时而发作，外形似疟疾，只有寒战没有发热。
（肺寒气逆，咳嗽严重则吐涎沫，亡失津液，咽喉必干。小便不利，膈中阳气虚，心中饥而烦。如果误用发汗攻邪，会加重病情。）
四肢厥冷且脉紧，不可发汗。发汗会导致声音混乱、咽喉嘶哑、舌体萎软、声音发不出。
（厥冷而脉紧，是少阴伤寒。法当温里，如果反用发汗，就会损伤少阴之气。少阴之脉入肺中，循喉咙。发汗伤及少阴，故见声乱咽嘶。）
各种逆证误用发汗，病情轻的难以痊愈，重的会出现言语错乱，眼睛昏花的会死亡，生命难以保全。
（不可发汗而强行发汗，轻的因为发汗而加重且难愈，重的脱失阴阳之气，言语错乱、眼睛昏花而死。《难经》说……）
咳嗽且小便通利，或者小便失禁的，不可发汗。出汗则会导致四肢厥冷逆乱。
（肺经虚冷，上虚不能治下，所以咳嗽且小便通利或失禁。上虚误用发汗，则阳气外亡，四肢厥逆冷。）
伤寒头痛，像中风一样微微发热，经常微微出汗，自己呕吐的，如果用下法会更烦，心中懊恼如饥。如果用发汗法则会导致……
（伤寒应当无汗、恶寒。现在头痛、发热、微汗出、自呕，则是伤寒之邪传变而为热，欲行于里。如果误治，会伤及……风火火热伤肺，必然引发咳嗽并唾脓。）
脉象沉数，病在里，不可发汗，因为没有阳证（无阳）。
凡是尺中脉迟，不可发汗，因为营气不足，血少。
凡是脉微软弱的，不可发汗。
凡是腹中有动气在左右两侧的，不可发汗。
凡是各种动脉微弱表现的，不可发汗。发汗则小便困难，腹中干燥，烦躁。
凡是失血的，不可发汗。发汗必然导致心神恍惚、心烦意乱。
凡是咽喉干燥的，不可发汗。
凡是积热在脏腑的，不宜发汗。发汗必然导致呕吐，口中生疮溃烂。
凡是下利完谷不化的，忌攻其表。发汗必然导致胀满、咳嗽。小便通利的，不可攻其表。发汗即导致逆证不堪忍受。
这是救急的方法。务必谨慎，务必谨慎。
（表中风寒，里则不消。里病表热者，虽无阳证，可以用小辛之剂，微汗而温散之。）
微脉弱，为亡阳，不可发汗。可用桂枝二越婢一汤。尺脉迟，为血少，营气不足，不可发汗。先以……（此处原文残缺，意指应先调理营血）。
本条。
坏病者，经过吐、汗、下、温等治疗未解，知道犯了什么错误，依法治疗。都不可发汗。可用小柴胡汤。
衄血、下血，虽然脉浮紧、无汗，然而衄血后欲愈，下血后亦欲愈。如果不愈，用桂枝汤。不可发汗。腹中……（此处原文残缺，结合上下文应为动气或相关禁忌）。
筋惕肉瞤，烦躁。
大烦躁。
下利清谷，用理中汤。或者大便不通的，都不可发汗。
恶寒脉浮，此为表证。如果口渴，则邪气欲入里，不可发汗。
凡是咽干喉塞、亡血、淋家（患淋病的人）、衄家（易鼻出血的人）、疮家（患疮疡的人）、动气，都不可发汗。证治论述中，都用小柴胡汤。厥逆不……（此处原文残缺）。
It is believed that diseases arise urgently. In a hurried search for guidance, important details are hard to find. Therefore, various prescriptions for conditions where sweating is indicated and where it is contraindicated have been re-collected. Compared with the chapters on the Three Yin and Three Yang meridians, this is easier [to consult].
(For all conditions and prescriptions where sweating or purgation is contraindicated: if these were already fully detailed in the preceding chapters of the Three Yin and Three Yang meridians through the classic text and annotations, they are not repeated here. The remaining ones are listed below.)
The pulse is soggy (Ru) and weak (Ruo). The weak pulse appears at the Guan position, while the soggy pulse appears at the Cun position (Dian refers to the upper part/Cun). The minute (Wei) pulse appears at the upper part, and the choppy (Se) pulse appears at the lower part. A minute pulse indicates insufficiency of Yang Qi; a choppy pulse indicates lack of blood.
(The Cun and Guan positions belong to Yang, so the pulse should be floating and vigorous. If the weak pulse is at the Guan, it indicates insufficient interior Qi. If the soggy pulse is at the Cun, it indicates deficient exterior Qi. Wei Qi circulates outside the vessels. Floating indicates exterior involvement. Lack of blood leads to deficiency, aversion to wind, irritability, and inability to sleep.)
If there is pulsating movement (Dong Qi) on the right side, sweating is contraindicated. Inducing sweating will cause epistaxis (nasal bleeding), thirst, severe heart vexation, and vomiting water immediately after drinking.
(Dong Qi refers to a throbbing sensation of Qi movement. "On the right" means to the right of the umbilicus. The *Nan Jing* states: For internal lung patterns, there is pulsating movement to the right of the umbilicus, which feels firm and painful upon pressure. [Sweating would] injure the Lung.)
If there is pulsating movement on the left side, sweating is contraindicated. Inducing sweating will cause dizziness, incessant sweating, injury to the sinews, and muscle twitching.
(The *Nan Jing* states: For internal liver patterns, there is pulsating movement to the left of the umbilicus, which feels firm and painful upon pressure. Liver Qi is not regulated, and healthy Qi is internally deficient, causing Qi movement at the left of the umbilicus. [Sweating would] injure the Liver.)
If there is pulsating movement above, sweating is contraindicated. Inducing sweating will cause Qi to rush upward, striking directly at the tip of the heart.
(The *Nan Jing* states: For internal heart patterns, there is pulsating movement above the umbilicus, which feels firm and painful upon pressure. Heart Qi is not regulated, and healthy Qi is internally deficient, causing Qi movement above the umbilicus. [Sweating would] injure the Heart.)
If there is pulsating movement below, sweating is contraindicated. Inducing sweating will result in anhidrosis (no sweat), extreme mental vexation, severe pain in the bone joints, vertigo, aversion to cold, regurgitation after eating, and food failing to descend.
(The *Nan Jing* states: For internal kidney patterns, there is pulsating movement below the umbilicus, which feels firm and painful upon pressure. Kidney Qi is not regulated, and healthy Qi is internally deficient, causing Qi movement below the umbilicus. [Sweating would] injure the Kidney. Kidney Water fails to ascend...)
If the throat feels obstructed, sweating is contraindicated. Inducing sweating will cause hematemesis (vomiting blood), impending collapse of Qi, cold hands and feet, a desire to curl up and lie down, and inability to self-warm.
(The pharynx is the connection of the Stomach. If Stomach Meridian Qi is disharmonious, the throat becomes obstructed. Sweating attacks Yang; blood follows the dispersing action and rises upward, inevitably causing hematemesis. Stomach Meridian disharmony...)
In any case where the pulse presents as rapid (Shu), surging/moving (Dong), or minute/weak, sweating is contraindicated. Inducing sweating will lead to difficult defecation, dryness in the abdomen, dry stomach, and vexation. Although the manifestations may appear similar, their root origins differ.
(A rapid/surging pulse indicates heat in the exterior; a minute/weak pulse indicates heat in the interior. Sweating depletes body fluids, making the heat more severe. Dryness in the stomach leads to difficult defecation.)
The pulse is soggy and weak. The weak pulse is at the Guan position, the soggy pulse at the Cun position, the wiry (Xian) pulse at the upper part, and the minute pulse at the lower part. Wiry indicates abnormal Yang movement; minute indicates Yin cold. There is excess above and deficiency below, with a desire for warmth. Minute and wiry indicate deficiency; sweating is contraindicated. Inducing sweating will cause chills and inability to recover spontaneously.
(Wiry at the upper part indicates Wind injuring Qi; when Wind is excessive, Yang moves abnormally. Minute at the lower part indicates Cold injuring Blood; when Blood is injured, the interior becomes Yin-cold. [Sweating would cause] chills.)
In cases of cough, the condition is severe. Frequent expectoration of saliva and foam occurs, the throat becomes dry, urination is difficult, there is a feeling of hunger and vexation in the heart, symptoms flare up intermittently, resembling malaria but with chills only and no fever.
(Lung Cold causes Qi rebellion; severe cough leads to expectoration of saliva and foam, depleting body fluids, causing dryness in the throat. Difficult urination indicates deficiency of Yang Qi in the diaphragm and hunger/vexation in the heart. [Misusing] sweating to attack...)
In cases of Jue (cold extremities) with a tight pulse, sweating is contraindicated. Inducing sweating will cause voice disorder, hoarseness, tongue flaccidity, and inability to speak.
(Jue with a tight pulse indicates Shaoyin Cold Damage. The method should be to warm the interior. Counter-inducing sweating damages Shaoyin Qi. The Shaoyin Meridian enters the Lung and circles the throat. [Sweating damages...] )
In any rebellious condition, inducing sweating: if the disease is mild, it will be difficult to heal; if severe, it will cause verbal confusion. Vertigo indicates death, and life will be hard to save.
([Sweating when contraindicated:] Mild cases become heavier and harder to heal due to sweating. Severe cases lose their Yin and Yang Qi, leading to verbal confusion, vertigo, and death. The *Nan Jing* states...)
In cases of cough with free urination, or urinary incontinence, sweating is contraindicated. Sweating will cause cold reversal in the four limbs.
(Lung Meridian deficiency and cold; upper deficiency cannot control the lower. Cough with free urination or incontinence indicates upper deficiency. Inducing sweating in upper deficiency causes external loss of Yang Qi, leading to cold reversal in the four limbs.)
In Cold Damage with headache, slight fever resembling Wind Strike, frequent slight sweating, and spontaneous vomiting: using purgation increases vexation and causes inner restlessness like hunger. Inducing sweating will cause...
(Cold Damage should present without sweat and with aversion to cold. Now, with headache, fever, slight sweating, and spontaneous vomiting, the Cold Damage pathogen has transformed into heat and desires to enter the interior. If mistreated, it harms... Wind-Fire-Heat injures the Lung, inevitably causing cough and expectoration of pus.)
If the pulse is deep and rapid, the disease is in the interior; sweating is contraindicated because there is no Yang.
Generally, if the Chi position pulse is slow, sweating is contraindicated due to insufficiency of Ying Qi and little blood.
Generally, if the pulse is slightly soggy and weak, sweating is contraindicated.
Generally, if there is pulsating movement in the abdomen on the left or right, sweating is contraindicated.
Generally, if any arterial pulse appears minute and weak, sweating is contraindicated. Sweating will lead to difficult urination, abdominal dryness, and vexation.
In cases of blood loss, sweating is contraindicated. Inducing sweating will certainly cause mental恍惚 (trance/confusion) and heart disorder.
In cases of dry throat, sweating is contraindicated.
In cases of accumulated heat in the Zang organs, sweating is inappropriate. Inducing sweating will certainly cause vomiting and the formation of sores in the mouth.
In cases of diarrhea with undigested food, attacking the exterior is taboo. Sweating will certainly cause distension and cough. In cases with free urination, attacking the exterior is contraindicated. Sweating will lead to unbearable rebellious conditions.
This is a rescue measure. Be cautious, be cautious.
(If exterior Wind-Cold exists but interior stagnation remains, or if interior disease presents with exterior heat, even without Yang signs, a mild acrid agent can be used to induce slight sweating and disperse with warmth.)
Minute and weak pulses indicate loss of Yang; sweating is contraindicated. Guizhi Er Yuebi Yi Tang (Cinnamon Twig Twice, Minor Blue Ginger One Decoction) may be used. Slow Chi pulse indicates little blood and insufficient Ying Qi; sweating is contraindicated. First use... [Text incomplete].
Regarding this clause.
In Huai Bing (ruined disease) where vomiting, sweating, purgation, and warming have failed to resolve the condition, one must identify the error and treat according to the law. Sweating is contraindicated. Xiaochaihu Tang (Minor Bupleurum Decoction) may be used.
In cases of epistaxis or lower bleeding, even if the pulse is floating and tight with no sweat, epistaxis suggests resolution, and lower bleeding also suggests resolution. If not resolved, Guizhi Tang (Cinnamon Twig Decoction) is used. Sweating is contraindicated. Abdominal... [Text incomplete].
Muscle twitching (Jin Ti Rou Yun), vexation.
Extreme vexation.
In cases of diarrhea with undigested food, Lizhong Tang (Regulate the Middle Decoction) is used. Or in cases of constipation, sweating is contraindicated.
Aversion to cold with a floating pulse indicates an exterior pattern. If there is thirst, the pathogen desires to enter the interior; sweating is contraindicated.
In cases of dry throat and obstructed larynx, blood loss, Lin patients (those with strangury), Nu patients (those prone to nosebleeds), Chuang patients (those with sores), and Dong Qi (pulsating movement), sweating is contraindicated. In the discussion of patterns and treatments, Xiaochaihu Tang (Minor Bupleurum Decoction) is generally used. In Jue Ni (cold reversal)... [Text incomplete].