右四味，以水一斗，煮米熟，汤成去滓，温服一升，日三服。
大承气汤方
右四味，以水一斗，先煮二物，取五升，去滓，纳大黄更煮取二升，去滓，纳芒硝，更上微火，一两沸，分温再服，得下，余勿服。
小承气汤方
右三味，以水四升，煮取一升二合，去滓，分温二服，初服当更衣，不尔者尽饮之，若更衣者，勿服之。
右三味，以水三升，煮二物至一升，取去滓，纳芒硝，更上微火一两沸，温顿服之，以调胃气。
传少阳，脉弦而急，口苦，咽干，头晕，目眩，往来寒热，热多寒少，宜小柴胡汤，不差与大柴胡汤。
小柴胡汤方
柴胡半斤 黄芩三两 人参三两 甘草三两（炙） 大枣十二枚 半夏半升
右七味，以水一斗二升，煮取六升，去滓，再煎取三升，温服一升，日三服。
大柴胡汤方
柴胡半斤 黄芩三两 芍药三两 半夏半升（洗） 生姜五两（切） 枳实四枚（炙） 大枣十二枚（劈） 大黄二两
右八味，以水一斗二升，煮取六升，去滓，再煎，温服二升，日三服。
传太阴，脉濡而大，发热，下利，口渴，腹中急痛，宜茯苓白术厚朴石膏黄芩甘草汤。
茯苓四两 白术三两 厚朴四两 石膏半斤 黄芩三两 甘草二两（炙）
右六味，以水一斗，煮取五升，每服一升五合余，日三服。
传少阴，脉沉细而数，手足时厥时热，咽中痛，小便难，宜附子细辛黄连黄芩汤。
右四味，以水六升，煮取三升，温服一升，日三服。
传厥阴，脉沉弦而急，发热时悚，心烦呕逆，宜桂枝当归汤，吐蛔者，宜乌梅丸。
桂枝二两 当归三两 半夏一升 芍药三两 黄柏二两 甘草二两（炙）
右六味，以水七升，煮取四升，去滓，分温三服。
乌梅丸方
乌梅三百枚 细辛六两 干姜十两 黄连十六两 当归四两 附子六两（炮去皮） 蜀椒四两（出汗） 桂枝六两（去皮） 人参六两 黄柏六两
右十味，异捣筛，合治之，以苦酒渍乌梅一宿，去核蒸之五斗米下，饭熟，捣成泥，和药令相得，纳臼中与蜜杵二千下，丸如梧子大，先食饮服十丸，日三服。稍加至二十丸，禁生冷滑物臭食等。
以上皆传经脉证并治之正法也。若入腑及脏为传经变病，治列后条。
若两感于寒者，一日太阳受之，即与少阴俱病，则头痛、口干、烦满而渴，脉时浮时沉，时数时细，大青龙汤加附子主之。
麻黄六两（去节） 桂枝二两（去皮） 甘草二两（炙） 杏仁四十枚（去皮尖） 生姜三两（切） 大枣十枚（劈） 石膏如鸡子大 附子一枚（炮去皮破八片）
右八味，以水九升，先煮麻黄减二升，去上沫，纳诸药，煮取三升，去滓，温服一升，取微似汗，汗出多者温粉粉之，一服汗者，停后服；若复服汗多亡阳，遂虚，恶风烦躁不得眠也。
二日阳明受之，即与太阴俱病，则腹满身热、不欲食、谵语，脉时高时卑，时强时弱，宜大黄石膏茯苓白术枳实甘草汤
大黄四两 石膏一斤 茯苓三两 白术四两 枳实三两 甘草三两（炙）
右六味，以水八升，煮取五升，温分三服。
三日少阳受之，即与厥阴俱病，则耳聋，囊缩而厥，水浆不入，脉乍弦乍急，乍细乍散，宜当归附子汤主之。
当归四两 附子大者一枚（炮去皮破八片） 人参三两 黄连三两 黄柏三两
右五味，以水六升，煮取三升，温服一升，日三服。
以上皆传经变病，多不可治，不知人者，六日死。若三阴三阳、五脏六腑皆受病，则荣卫不行，脏腑不通而死矣。所谓两感于寒不免于死者，其在斯乎!其在斯乎!
若不加异气者，至七日太阳病衰，头痛少愈也；八日阳明病衰，身热少歇也；九日少阳病衰，耳聋微闻也；十日太阴病衰，腹减如故，则思饮食；十一日少阴病衰，渴止舌干，已而嚏；十二日厥阴病衰，囊纵，少腹微下，大气皆去，病人精神爽慧也。若过十三日以上不间，尺寸陷者，大危。若更感异气，变为他病者，当依坏病证法而治之。若脉阴阳俱盛，重感于寒者，变成温疟。阳脉浮滑，阴脉濡弱，更伤于风者，变为风温。阳脉洪数，阴脉实大，更遇温热者，变为温毒。温毒，病之最重者也。阳脉濡弱，阴脉弦紧，更遇温气者，变为温疫。以此冬伤于寒，发为温病，脉之变证，方治如说。
凡人有疾，不时即治，隐忍冀差，以成痼疾。小儿女子，益以滋甚。时气不和，便当早言，寻其邪由，及在腠理，以时治之，罕有不愈者。患人忍之，数日乃说，邪气入脏，则难为制。
凡作汤药，不可避晨夕，觉病须臾，即宜便治，不等早晚，则易愈矣。如或差迟，病即传变，虽欲除治，必难为力。服药不如方法，纵意违师，不须治之。
凡伤寒之病，多从风寒得之。始表中风寒，入里则不消矣。未有温覆当而不消散者。不在证治，拟欲攻之，犹当先解表，乃可下之。若表未解，而内不消，必非大满，犹有寒热，则不可下。若表已解，而内不消，大满大实，腹坚，中有燥屎，自可除下之。虽四五日，数下之，不能为祸也。若不宜下，而便攻之，则内虚热入，协热遂利，烦躁诸变，不可胜数，轻者困笃，重者必死矣。
夫阳盛阴虚，汗之则死，下之则愈；阳虚阴盛，汗之则愈，下之则死。如是，则神丹安可以误发，甘遂何可以妄攻？虚盛之治，相背千里，吉凶之机，应若影响，岂容易哉!况桂枝下咽，阳盛即毙；承气入胃，阴盛以亡，死生之要，在乎须臾，视身之尽，不暇计日。此阴阳虚实之交错，其候至微；发汗吐下之相反，其祸至速，而医术浅狭，懵然不知病源，为治乃误，使病者殒殁，自谓其分，至令冤魂塞于冥路，死尸盈于旷野，仁者鉴此，岂不痛欤！
凡两感病俱作，治有先后，发表攻里，本自不同，而执迷用意者，乃云神丹甘遂合而饮之，且解其表，又除其里，言巧似是，其理实违。夫智者之举错也，常审以慎；愚者之动作也，必果而速。安危之变，岂可诡哉！世上之士，但务彼翕习之荣，而莫见此倾危之败，惟明者居然，能护其本，近取诸身，夫何远焉。
凡发汗，温暖汤药，其方虽言日三服，若病剧不解，当促其间，可半日中尽三服。若与病相阻，即使有所觉，病重病者一日一夜，当晬时观之，如服一剂，病证犹在，故当复作本汤服之。至有不能汗出，服三剂乃解；若汗不出者，死病也。
凡得时气病，至五六日，而渴欲饮水，饮不能多，不当与也，何者？以腹中热尚少，不能消之，便更与人作病也。至七八日，大渴欲饮水者，犹当依证而与之。与之时常令不足，勿极意也。言能饮一斗，与五升。若饮而腹满，小便不利，若喘若哕。不可与之也。忽然大汗出，是为自愈也。
凡得病反能饮水，此为欲愈之病。其不晓病者，但闻病饮水者自愈，小渴者乃强与饮之，因成其祸，不可复数也。
凡得病厥，脉动数，服汤更迟；脉浮大减小；初躁后静，此皆愈证也。
凡治温病，可刺五十九穴。又身之穴，三百六十有五，其三十穴灸之有害；七十九穴刺之为灾，并中髓也。
脉四损，三日死。平人一息，病人脉一至，名曰四损。脉五损，一日死。平人二息，病人脉一至，名曰五损。脉六损，一时死。平人三息，病人脉一至，名曰六损。
四损，经气绝；五损，腑气绝；六损，脏气绝。真气不行于经曰经气绝；不行于腑，曰腑气绝；不行于脏，曰脏气绝；经气绝，则四肢不举；腑气绝，则不省人事；脏气绝，则一身尽冷。
脉盛身寒，得之伤寒；脉虚身热，得之伤暑。脉阴阳俱盛，大汗出，下之不解者死。脉阴阳俱虚，热不止者死。脉至乍数乍疏者死。脉至如转索，按之不易者其日死。谵言妄语，身微热，脉浮大，手足温者生。逆冷，脉沉细者，不过一日死矣。此以前是伤寒热病证候也。
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。阳气反微，中风汗出而反躁烦。涩则无血，厥而且寒。阳厥发汗，躁不得眠。阳微则不可下，下之则心下痞鞕。
动气在下，不可发汗，发汗则无汗可发，心中大烦，骨节疼痛，目眩恶寒，食则吐谷，气不得前。
咽中闭塞，不可发汗，发汗则吐血，气欲欲绝，手足厥冷，欲得蜷卧，不能自温。
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
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。咳而发汗，其咳必剧，数吐涎沫，咽中必干，小便不利，心中饥烦，晬时而发，其形似疟，有寒无热，虚而寒栗，蜷而苦满，腹中复坚，命将难全。
诸逆发汗，病微者难差，剧者必死。
凡发汗，欲令遍身漐漐微似汗，不可令如水流漓。若病不解，当重发汗；若汗多者，不得重发汗，亡阳故也。 。
凡服汤发汗，中病便止，不必尽剂。
凡用吐汤，中病便止，不必尽剂。。
诸四逆厥者，不可吐之；虚家亦然。
凡病胸上诸实，胸中郁郁而痛，不能食，欲使人按之，而反有涎唾，下利十余行，其脉反涩，寸口脉微滑，此可吐之，吐之利则止。
宿食在上脘者，当吐之。
动气在右，不可下之，下之则津液内竭，咽燥、鼻干、头眩、心悸也。
动气在左，不可下之。下之则腹内拘急，食饮不下，动气更剧。虽有身热，卧则欲蜷。
动气在上，不可下之。下之则掌中热烦，身上浮冷，热汗自泄，欲得水自灌。
动气在下，不可下之。下之则腹胀满，卒起头眩，食则下利清谷，心下痞。
咽中闭寒，不可下之。下之则上轻下重，水浆不下，卧则欲蜷，身急痛，下利日数十行。
诸外实者，不可下之。下之则发微热，若亡脉厥者，当脐握热。
诸虚者，不可下之。下之则大渴，求水者易愈，恶水者剧。
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，虚者不可下也。微弦为咳，咳则吐涎，下之则咳止，而利因不休，利不休则胸中如虫啮，粥入则出，小便不利，两胁拘急，喘息为难，颈背相引，臂则不仁，极寒反汗出，身冷若冰，眼睛不慧，语言不休，而谷气多入，此为除中，口虽欲言，舌不得前。
脉濡而弱，弱反在关，濡反在巅，浮反在上，数反在下。浮为阳虚，数为无血，浮为虚，数生热。浮为虚，自汗出而恶寒，振而寒栗；微弱在关，胸下为急，喘汗而不得呼吸，数为痛，呼吸之中痛在于胁，振寒相搏，形如疟状，医反下之，故令脉数，发热，狂走，见鬼，心下为痞，小便淋漓，小腹甚鞕，小便尿血也。
脉濡而紧，濡则卫气微，紧则荣中寒。阳微卫中风，发热而恶寒；荣紧胃气冷，微呕心内烦。医谓有大热，解肌而发汗，亡阳虚烦躁，心下苦痞坚。表里俱虚竭，卒起而头眩。客热在皮肤，怅怏不得眠。不知胃气冷，紧寒在关元。技巧无所施，汲水灌其身。客热应时罢，栗栗而振寒。重被而复之，汗出而冒巅。体惕而又振，小便为微难。寒气因水发，清谷不容闲。呕变反肠出，颠倒不得安。手足为微逆，身冷而内烦。迟欲从后救，安可复追还。
脉浮而紧，浮则为风，紧则为寒；风则伤卫，寒则伤荣；荣卫俱病，骨节烦疼；当发其汗，而不可下也。。
脉浮而大，心下反鞕，有热，属脏者，攻之，不令发汗；属腑者，不令溲数。溲数则大便鞕，汗多则越甚，脉迟者，尚未可攻也。。
伤寒，脉阴阳俱紧，恶寒发热，则脉欲厥。厥者，脉初来大，渐渐小，更来渐大，是其候也。如此者恶寒，甚者，翕翕汗出，喉中痛；若热多者，目赤脉多，睛不慧，医复发之，咽中则伤；若复下之，则两目闭，寒多便清谷，热多便脓血；若熏之，则身发黄；若熨之，则咽燥。若小便利者，可救之；小便难者，危殆也。
（以上）这四味药，用水一斗，煮至米熟，汤剂制成后滤去药渣，每次温服一升，每日服用三次。
大承气汤方
大黄四两（用酒洗） 厚朴半斤（炙烤后去皮） 枳实五枚 芒硝三合
这四味药，用水一斗，先煮厚朴和枳实两味药，取汁五升，滤去药渣，加入大黄继续煎煮，取汁二升，滤去药渣，加入芒硝，再用微火加热煮沸一两次，分两次温服，若大便通畅，停服剩余药液。
小承气汤方
大黄四两（用酒洗） 厚朴二两（炙烤后去皮） 枳实三枚（大的，炙烤）
这三味药，用水四升，煮取一升二合，滤去药渣，分两次温服。初次服药后应当排便，若不排便，则将药液全部喝完；若已排便，则停止服用。
这三味药，用水三升，先煮甘草和大黄至一升，滤去药渣，加入芒硝，再用微火加热煮沸一两次，温服一次顿服，以调和胃气。
病邪传入少阳经，脉象弦而急促，口苦，咽干，头晕，目眩，寒热往来，热多寒少，宜用小柴胡汤治疗，若无效，再给予大柴胡汤。
小柴胡汤方
柴胡半斤 黄芩三两 人参三两 甘草三两（炙烤） 大枣十二枚 半夏半升
这七味药，用水一斗二升，煮取六升，滤去药渣，再次煎煮浓缩至三升，每次温服一升，每日服用三次。
大柴胡汤方
柴胡半斤 黄芩三两 芍药三两 半夏半升（洗净） 生姜五两（切片） 枳实四枚（炙烤） 大枣十二枚（劈开） 大黄二两
这八味药，用水一斗二升，煮取六升，滤去药渣，再次煎煮，每次温服二升，每日服用三次。
病邪传入太阴经，脉象濡而大，发热，腹泻，口渴，腹中拘急疼痛，宜用茯苓白术厚朴石膏黄芩甘草汤治疗。
茯苓四两 白术三两 厚朴四两 石膏半斤 黄芩三两 甘草二两（炙烤）
这六味药，用水一斗，煮取五升，每次服用一升五合余，每日服用三次。
病邪传入少阴经，脉象沉细而数，手足时而厥冷时而发热，咽喉疼痛，小便困难，宜用附子细辛黄连黄芩汤治疗。
附子大者一枚（炮制后去皮，破成八片） 细辛二两 黄连四两 黄芩二两
这四味药，用水六升，煮取三升，每次温服一升，每日服用三次。
病邪传入厥阴经，脉象沉弦而急促，发热时战栗，心烦呕逆，宜用桂枝当归汤治疗，若呕吐蛔虫者，宜用乌梅丸治疗。
桂枝二两 当归三两 半夏一升 芍药三两 黄柏二两 甘草二两（炙烤）
这六味药，用水七升，煮取四升，滤去药渣，分三次温服。
乌梅丸方
乌梅三百枚 细辛六两 干姜十两 黄连十六两 当归四两 附子六两（炮制后去皮） 蜀椒四两（炒出油） 桂枝六两（去皮） 人参六两 黄柏六两
这十味药，分别捣碎过筛，混合处理。用醋浸泡乌梅一夜，去核后放在五斗米上蒸熟，捣成泥状，与药物混合均匀，放入臼中与蜂蜜一起杵捣两千下，制成梧桐子大小的丸药。饭前饮服十丸，每日三次。逐渐增加至二十丸。禁忌生冷、滑腻食物及腐臭食物等。
以上都是传变经脉证候及其治疗的正规方法。若病邪传入腑及脏，则为传经变病，治疗方法列在后文条款中。
若感受寒邪两经同时发病（两感于寒），第一天太阳经受邪，随即与少阴经同时发病，则出现头痛、口干、烦闷而渴，脉象有时浮有时沉，有时数有时细，以大青龙汤加附子为主治。
麻黄六两（去节） 桂枝二两（去皮） 甘草二两（炙烤） 杏仁四十枚（去皮尖） 生姜三两（切片） 大枣十枚（劈开） 石膏如鸡蛋大小 附子一枚（炮制后去皮，破成八片）
这八味药，用水九升，先煮麻黄减少二升，去掉水面上的浮沫，加入其他药物，煮取三升，滤去药渣，每次温服一升，取微微似汗出的效果。若出汗过多，用温粉扑身止汗。若服用一次即出汗，则停止后续服用；若再次服用导致出汗过多而亡阳，遂致虚损，出现怕风、烦躁、不得睡眠等症状。
第二天阳明经受邪，随即与太阴经同时发病，则出现腹部胀满、身体发热、不想进食、说胡话，脉象有时高有时低，有时强有时弱，宜用大黄石膏茯苓白术枳实甘草汤治疗。
大黄四两 石膏一斤 茯苓三两 白术四两 枳实三两 甘草三两（炙烤）
这六味药，用水八升，煮取五升，分三次温服。
第三天少阳经受邪，随即与厥阴经同时发病，则出现耳聋，阴囊收缩且四肢厥冷，水浆不能入口，脉象乍弦乍急，乍细乍散，宜用当归附子汤主治。
当归四两 附子大者一枚（炮制后去皮，破成八片） 人参三两 黄连三两 黄柏三两
这五味药，用水六升，煮取三升，每次温服一升，每日服用三次。
以上都是传经变病，大多难以治愈，若神志不清者，六天死亡。若三阴三阳、五脏六腑都受病邪侵袭，则营卫运行停滞，脏腑不通而死。所谓两感于寒而不免于一死的，大概就在这里吧！大概就在这里吧！
若不夹杂其他邪气，到第七天太阳病衰退，头痛稍减轻；第八天阳明病衰退，身体热度稍减退；第九天少阳病衰退，耳聋轻微能听到声音；第十天太阴病衰退，腹部减缩恢复正常，开始想吃饭；第十一天少阴病衰退，口渴停止舌干缓解，随后打喷嚏；第十二天厥阴病衰退，阴囊松弛，小腹微软，大气邪气皆去，病人精神清爽聪慧。若超过十三日以上病情未缓解，寸关尺脉陷下不起的，情况非常危险。若再次感受异气，变为其他疾病的，应当依据坏病证法来治疗。若脉象阴阳俱盛，再次感受寒邪，变成温疟。阳脉浮滑，阴脉濡弱，再次伤于风邪，变成风温。阳脉洪数，阴脉实大，再次遇到温热之气，变成温毒。温毒，是疾病中最严重的。阳脉濡弱，阴脉弦紧，再次遇到温气，变成温疫。因此冬天感受寒邪，发为温病，脉象变化证候及方治如上述所说。
大凡人患有疾病，不及时治疗，隐忍希望痊愈，从而形成顽固性疾病。小儿女子，更加严重。时气不和，应当尽早告知医生，寻找病邪来源，趁其在腠理之间时及时治疗，很少有不痊愈的。患者忍耐不说，过了几天才说，邪气进入内脏，就难以控制了。
凡是制作汤药，不可避开早晚，感觉患病片刻，就应当立即治疗，不等早晚，则容易痊愈。如果延误时机，病情就会传变，虽然想要去除治疗，也一定难以奏效。服药如果不按照方法，随意违背医嘱，就不必再治疗了。
凡是伤寒之病，多从风寒得来。开始是表中风寒，入里就不能消散了。没有覆盖保暖而不能消散的情况。不在解表证治范围内，打算攻里的，还应当先解表，然后才可攻下。若表证未解，而内部不消，必定不是大满实证，还有寒热症状，则不可攻下。若表证已解，而内部不消，大满大实，腹部坚硬，中有燥屎，自然可以攻下。即使四五日，多次攻下，也不会造成祸害。若不宜攻下，却便去攻伐，则内部虚弱热邪内入，协热遂利，烦躁等各种变证，不可胜数，轻者困顿加重，重者必然死亡。
阳气盛阴虚，发汗则死，攻下则愈；阳气虚阴气盛，发汗则愈，攻下则死。像这样，那么神丹怎么可以误用发汗，甘遂怎么可以妄用攻下？虚实的治法，相差千里，吉凶的关键，应验如同影随形响，岂是容易之事！何况桂枝汤喝下去，阳盛即毙命；承气汤进入胃中，阴盛即灭亡，生死的关键，在于顷刻之间，看顾生命尚且来不及计算日子。这是阴阳虚实的交错，其征候极其细微；发汗吐下的相反作用，其祸害极快，而医术浅薄狭隘，糊里糊涂不知病源，治疗乃误，使病患者死亡，自认为是命运，致使冤魂塞满冥路，死尸充满旷野，仁人君子鉴察此情，难道不痛心吗！
凡是两感病同时发作，治疗有先后顺序，发表攻里，本来不同，而执迷不悟的人，却说将神丹甘遂混合饮用，既解其表，又除其里，言辞巧妙似是而非，其理实际违背常理。明智之人举动，常常审慎谨慎；愚昧之人动作，必定果断迅速。安危的变化，岂可欺诈！世上的士人，只追求那些迎合世俗的荣耀，而看不到这种倾危的败局，只有明智者超然独立，能护持根本，近取诸身，何须远求。
凡是发汗，用温暖汤药，处方虽言每日三次，若病情剧烈不解，应当缩短间隔时间，可在半天内服完三剂。若与病情相抵触，即使有所察觉，重病者一日一夜，当完整观察一个周期，如服用一剂，病证仍在，故应当继续服用本汤。甚至有不能出汗，服用三剂才解；若不出汗的，是死病。
凡是得时气病，到五六天，而口渴想喝水，饮水不能多，不应当给予，为什么呢？因为腹中热气尚少，不能消化它，便更给人带来病患。到七八天，大渴想喝水的，仍应当依照证候给予。给予时经常让水量不足，不要刻意满足。说能喝一斗，给五升。若喝了之后腹部胀满，小便不利，若喘促若呃逆，不应当给予。忽然大量出汗，这是自愈的表现。
凡是得病反而能喝水，这是将要痊愈的病。那些不懂病的人，只听说病人口渴喝水者自愈，小渴者强行给水喝，因而造成祸患，不可胜数。
凡是得病出现厥逆，脉动数，服药后脉更迟；脉浮大减小；初躁后静，这些都是痊愈的征象。
凡是治疗温病，可针刺五十九穴。另外身上的穴位，共有三百六十五个，其中三十穴灸之有害；七十九穴刺之招灾，并中伤髓液。
脉四损，三天死亡。平人一息，病人脉一至，名叫四损。脉五损，一天死亡。平人两息，病人脉一至，名叫五损。脉六损，一时辰死亡。平人三息，病人脉一至，名叫六损。
四损，经气绝；五损，腑气绝；六损，脏气绝。真气不行于经叫经气绝；不行于腑，叫腑气绝；不行于脏，叫脏气绝；经气绝，则四肢不能抬起；腑气绝，则不省人事；脏气绝，则全身冰冷。
脉盛身寒，得之伤寒；脉虚身热，得之伤暑。脉阴阳俱盛，大汗出，攻下不解的死亡。脉阴阳俱虚，热不止的死亡。脉至乍数乍疏的死亡。脉至如转索，按之不易的当天死亡。谵言妄语，身体微热，脉浮大，手足温的生存。逆冷，脉沉细的，不超过一天死亡。这些以上是伤寒热病的证候。
脉濡而弱，弱反在关部，濡反在巅部（寸部），微反在上部，涩反在下部。微则阳气不足，涩则无血。阳气反微，中风汗出而反躁烦。涩则无血，厥而且寒。阳厥发汗，躁不得眠。阳微则不可下，下之则心下痞硬。
动气在下，不可发汗，发汗则无汗可发，心中大烦，骨节疼痛，目眩恶寒，食则吐谷，气不得前。
咽中闭塞，不可发汗，发汗则吐血，气欲绝，手足厥冷，想蜷卧，不能自温。
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。
脉濡而弱，弱反在关部，濡反在巅部，弦反在上部，微反在下部。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。咳而发汗，其咳必剧，数吐涎沫，咽中必干，小便不利，心中饥烦，昼夜发作，其形似疟，有寒无热，虚而寒栗，蜷而苦满，腹中复坚，命将难全。
诸逆发汗，病微者难差，剧者必死。
凡是发汗，欲令遍身漐漐微似汗，不可令如水流漓。若病不解，应当重新发汗；若汗多的，不得重新发汗，因亡阳的缘故。
凡是服汤发汗，中病便止，不必尽剂。
凡是用吐汤，中病便止，不必尽剂。
诸四逆厥者，不可吐之；虚家亦然。
凡是病胸上诸实，胸中郁郁而痛，不能食，欲使人按之，而反有涎唾，下利十余行，其脉反涩，寸口脉微滑，此可吐之，吐之利则止。
宿食在上脘者，当吐之。
动气在右，不可下之，下之则津液内竭，咽燥、鼻干、头眩、心悸也。
动气在左，不可下之。下之则腹内拘急，食饮不下，动气更剧。虽有身热，卧则欲蜷。
动气在上，不可下之。下之则掌中热烦，身上浮冷，热汗自泄，欲得水自灌。
动气在下，不可下之。下之则腹胀满，卒起头眩，食则下利清谷，心下痞。
咽中闭寒，不可下之。下之则上轻下重，水浆不下，卧则欲蜷，身急痛，下利日数十行。
诸外实者，不可下之。下之则发微热，若亡脉厥者，当脐握热。
诸虚者，不可下之。下之则大渴，求水者易愈，恶水者剧。
脉濡而弱，弱反在关部，濡反在巅部，弦反在上部，微反在下部。弦为阳运，微为阴寒。上实下虚，意欲得温。微弦为虚，虚者不可下也。微弦为咳，咳则吐涎，下之则咳止，而利因不休，利不休则胸中如虫啮，粥入则出，小便不利，两胁拘急，喘息为难，颈背相引，臂则不仁，极寒反汗出，身冷若冰，眼睛不慧，语言不休，而谷气多入，此为除中，口虽欲言，舌不得前。
脉濡而弱，弱反在关部，濡反在巅部，浮反在上部，数反在下部。浮为阳虚，数为无血，浮为虚，数生热。浮为虚，自汗出而恶寒，振而寒栗；微弱在关，胸下为急，喘汗而不得呼吸，数为痛，呼吸之中痛在于胁，振寒相搏，形如疟状，医反下之，故令脉数，发热，狂走，见鬼，心下为痞，小便淋漓，小腹甚鞕，小便尿血也。
脉濡而紧，濡则卫气微，紧则荣中寒。阳微卫中风，发热而恶寒；荣紧胃气冷，微呕心内烦。医谓有大热，解肌而发汗，亡阳虚烦躁，心下苦痞坚。表里俱虚竭，卒起而头眩。客热在皮肤，怅怏不得眠。不知胃气冷，紧寒在关元。技巧无所施，汲水灌其身。客热应时罢，栗栗而振寒。重被而复之，汗出而冒巅。体惕而又振，小便为微难。寒气因水发，清谷不容闲。呕变反肠出，颠倒不得安。手足为微逆，身冷而内烦。迟欲从后救，安可复追还。
脉浮而紧，浮则为风，紧则为寒；风则伤卫，寒则伤荣；荣卫俱病，骨节烦疼；当发其汗，而不可下也。
脉浮而大，心下反硬，有热，属脏者，攻之，不令发汗；属腑者，不令溲数。溲数则大便硬，汗多则越甚，脉迟者，尚未可攻也。
伤寒，脉阴阳俱紧，恶寒发热，则脉欲厥。厥者，脉初来大，渐渐小，更来渐大，是其候也。如此者恶寒，甚者，翕翕汗出，喉中痛；若热多者，目赤脉多，睛不慧，医复发之，咽中则伤；若复下之，则两目闭，寒多便清谷，热多便脓血；若熏之，则身发黄；若熨之，则咽燥。若小便利者，可救之；小便难者，危殆也。
(These) four ingredients, use one dou of water, boil until the rice is cooked, the decoction is ready, remove the dregs, take one sheng warm each time, three times a day.
Da Cheng Qi Tang (Major Order the Qi Decoction) Formula
Da Huang (Rhei Radix et Rhizoma) four liang (washed with wine), Hou Po (Magnoliae Officinalis Cortex) half jin (roasted and peeled), Zhi Shi (Immaturam Trifoliatae Fructus) five pieces, Mang Xiao (Natrii Sulfas) three he.
These four ingredients, use one dou of water, first boil the two items (Hou Po and Zhi Shi), obtain five sheng, remove the dregs, add Da Huang and boil again to obtain two sheng, remove the dregs, add Mang Xiao, heat slightly on low fire for one or two boils, divide into two warm doses. If bowel movement occurs, stop taking the remainder.
Xiao Cheng Qi Tang (Minor Order the Qi Decoction) Formula
Da Huang (Rhei Radix et Rhizoma) four liang (washed with wine), Hou Po (Magnoliae Officinalis Cortex) two liang (roasted and peeled), Zhi Shi (Immaturam Trifoliatae Fructus) three large pieces (roasted).
These three ingredients, use four sheng of water, boil to obtain one sheng and two he, remove the dregs, divide into two warm doses. After the first dose, there should be a bowel movement; if not, drink the rest. If a bowel movement has occurred, do not take it.
Tiao Wei Cheng Qi Tang (Regulate the Stomach Order the Qi Decoction) Formula
Gan Cao (Glycyrrhizae Radix et Rhizoma) two liang (roasted), Mang Xiao (Natrii Sulfas) half jin, Da Huang (Rhei Radix et Rhizoma) four liang (washed with wine).
These three ingredients, use three sheng of water, boil the two items (Gan Cao and Da Huang) to one sheng, remove the dregs, add Mang Xiao, heat slightly on low fire for one or two boils, take warm in one dose to regulate Stomach Qi.
Transmission to Shaoyang (Lesser Yang), pulse is wiry and urgent, bitter taste in mouth, dry throat, dizziness, blurred vision, alternating chills and fever, more heat than cold, suitable for Xiao Chai Hu Tang (Minor Order the Qi Decoction); if ineffective, give Da Chai Hu Tang (Major Order the Qi Decoction).
Xiao Chai Hu Tang (Minor Order the Qi Decoction) Formula
Chai Hu (Bupleuri Radix) half jin, Huang Qin (Scutellariae Radix) three liang, Ren Shen (Ginseng Radix) three liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) three liang (roasted), Da Zao (Jujubae Fructus) twelve pieces, Ban Xia (Pinelliae Tuber) half sheng.
These seven ingredients, use one dou and two sheng of water, boil to obtain six sheng, remove the dregs, decoct again to obtain three sheng, take one sheng warm each time, three times a day.
Da Chai Hu Tang (Major Order the Qi Decoction) Formula
Chai Hu (Bupleuri Radix) half jin, Huang Qin (Scutellariae Radix) three liang, Shao Yao (Paeoniae Radix Alba) three liang, Ban Xia (Pinelliae Tuber) half sheng (washed), Sheng Jiang (Zingiberis Rhizoma Recens) five liang (sliced), Zhi Shi (Immaturam Trifoliatae Fructus) four pieces (roasted), Da Zao (Jujubae Fructus) twelve pieces (split), Da Huang (Rhei Radix et Rhizoma) two liang.
These eight ingredients, use one dou and two sheng of water, boil to obtain six sheng, remove the dregs, decoct again, take two sheng warm each time, three times a day.
Transmission to Taiyin (Greater Yin), pulse is soggy and large, fever, diarrhea, thirst, abdominal urgency and pain, suitable for Fu Ling Bai Zhu Hou Po Shi Gao Huang Qin Gan Cao Tang (Poria, Atractylodes, Magnolia, Gypsum, Scutellaria, Licorice Decoction).
Fu Ling Bai Zhu Hou Po Shi Gao Huang Qin Gan Cao Tang (Poria, Atractylodes, Magnolia, Gypsum, Scutellaria, Licorice Decoction) Formula
Fu Ling (Poria) four liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) three liang, Hou Po (Magnoliae Officinalis Cortex) four liang, Shi Gao (Gypsum Fibrosum) half jin, Huang Qin (Scutellariae Radix) three liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) two liang (roasted).
These six ingredients, use one dou of water, boil to obtain five sheng, take one sheng and five he plus per dose, three times a day.
Transmission to Shaoyin (Lesser Yin), pulse is deep, fine, and rapid, hands and feet alternate between cold and hot, sore throat, difficult urination, suitable for Fu Zi Xi Xin Lian Huang Huang Qin Tang (Aconite, Asarum, Coptis, Scutellaria Decoction).
Fu Zi Xi Xin Lian Huang Huang Qin Tang (Aconite, Asarum, Coptis, Scutellaria Decoction) Formula
Fu Zi (Aconiti Lateralis Radix Praeparata) one large piece (processed, peeled, broken into eight pieces), Xi Xin (Asari Radix et Rhizoma) two liang, Lian Huang (Coptidis Rhizoma) four liang, Huang Qin (Scutellariae Radix) two liang.
These four ingredients, use six sheng of water, boil to obtain three sheng, take one sheng warm each time, three times a day.
Transmission to Jueyin (Terminal Yin), pulse is deep, wiry, and urgent, fever with trembling, irritability, vomiting, suitable for Gui Zhi Dang Gui Tang (Cinnamon Twig and Angelica Decoction); if vomiting roundworms, suitable for Wu Mei Wan (Mume Pill).
Gui Zhi Dang Gui Tang (Cinnamon Twig and Angelica Decoction) Formula
Gui Zhi (Cinnamomi Ramulus) two liang, Dang Gui (Angelicae Sinensis Radix) three liang, Ban Xia (Pinelliae Tuber) one sheng, Shao Yao (Paeoniae Radix Alba) three liang, Huang Bo (Phellodendri Cortex) two liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) two liang (roasted).
These six ingredients, use seven sheng of water, boil to obtain four sheng, remove the dregs, divide into three warm doses.
Wu Mei Wan (Mume Pill) Formula
Wu Mei (Mume Fructus) three hundred pieces, Xi Xin (Asari Radix et Rhizoma) six liang, Gan Jiang (Zingiberis Rhizoma) ten liang, Lian Huang (Coptidis Rhizoma) sixteen liang, Dang Gui (Angelicae Sinensis Radix) four liang, Fu Zi (Aconiti Lateralis Radix Praeparata) six liang (processed, peeled), Shu Jiao (Zanthoxyli Pericarpium) four liang (sweated/oil expressed), Gui Zhi (Cinnamomi Ramulus) six liang (peeled), Ren Shen (Ginseng Radix) six liang, Huang Bo (Phellodendri Cortex) six liang.
These ten ingredients, crush and sieve separately, mix them. Soak Wu Mei (Mume Fructus) in vinegar overnight, remove pits, steam over five dou of rice until cooked, pound into paste, mix with medicines evenly, put in mortar with honey and pound two thousand times, make pills the size of wu zi (wu tou seeds). Take ten pills before meals with water, three times a day. Gradually increase to twenty pills. Avoid raw/cold, slippery, and foul foods.
The above are all the standard methods for treating transmission meridians syndromes. If entering fu organs and zang organs, it is transmission variable disease, treatment listed in subsequent clauses.
If suffering from "Liang Gan" (simultaneous infection of exterior and interior/Two Meridians), on the first day Taiyang (Greater Yang) receives the pathogen, immediately coinciding with Shaoyin (Lesser Yin) disease, then headache, dry mouth, irritability and fullness with thirst, pulse sometimes floating sometimes deep, sometimes rapid sometimes fine, Da Qing Long Tang (Major Blue Green Dragon Decoction) added with Fu Zi (Aconite) is the main treatment.
Da Qing Long Jia Fu Zi Tang (Major Blue Green Dragon Decoction Added with Aconite) Formula
Ma Huang (Ephedrae Herba) six liang (remove joints), Gui Zhi (Cinnamomi Ramulus) two liang (peel), Gan Cao (Glycyrrhizae Radix et Rhizoma) two liang (roast), Xing Ren (Armeniacae Semen Amarum) forty pieces (remove skin and tip), Sheng Jiang (Zingiberis Rhizoma Recens) three liang (slice), Da Zao (Jujubae Fructus) ten pieces (split), Shi Gao (Gypsum Fibrosum) size of a chicken egg, Fu Zi (Aconiti Lateralis Radix Praeparata) one piece (process, peel, break into eight pieces).
These eight ingredients, use nine sheng of water, first boil Ma Huang reducing by two sheng, remove foam on surface, add other herbs, boil to obtain three sheng, remove dregs, take one sheng warm each time, induce slight sweat. If sweat is excessive, apply warm powder. If one dose causes sweating, stop subsequent doses; if re-dosing causes excessive sweating leading to Yang collapse, resulting in deficiency, aversion to wind, irritability, and inability to sleep.
On the second day, Yangming (Bright Yang) receives the pathogen, immediately coinciding with Taiyin (Greater Yin) disease, then abdominal fullness, body heat, desire not to eat, delirious speech, pulse sometimes high sometimes low, sometimes strong sometimes weak, Da Huang Shi Gao Fu Ling Bai Zhu Zhi Shi Gan Cao Tang (Rhubarb, Gypsum, Poria, Atractylodes, Immature Bitter Orange, Licorice Decoction) is suitable.
Da Huang Shi Gao Fu Ling Bai Zhu Zhi Shi Gan Cao Tang (Rhubarb, Gypsum, Poria, Atractylodes, Immature Bitter Orange, Licorice Decoction) Formula
Da Huang (Rhei Radix et Rhizoma) four liang, Shi Gao (Gypsum Fibrosum) one jin, Fu Ling (Poria) three liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) four liang, Zhi Shi (Immaturam Trifoliatae Fructus) three liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) three liang (roast).
These six ingredients, use eight sheng of water, boil to obtain five sheng, divide into three warm doses.
On the third day, Shaoyang (Lesser Yang) receives the pathogen, immediately coinciding with Jueyin (Terminal Yin) disease, then deafness, scrotal retraction with cold limbs, inability to ingest fluids, pulse suddenly wiry suddenly urgent, suddenly fine suddenly scattered, Dang Gui Fu Zi Tang (Angelica and Aconite Decoction) is the main treatment.
Dang Gui Fu Zi Tang (Angelica and Aconite Decoction) Formula
Dang Gui (Angelicae Sinensis Radix) four liang, Fu Zi (Aconiti Lateralis Radix Praeparata) one large piece (process, peel, break into eight pieces), Ren Shen (Ginseng Radix) three liang, Lian Huang (Coptidis Rhizoma) three liang, Huang Bo (Phellodendri Cortex) three liang.
These five ingredients, use six sheng of water, boil to obtain three sheng, take one sheng warm each time, three times a day.
The above are all transmission variable diseases, mostly untreatable; those who lose consciousness die in six days. If Three Yin and Three Yang, Five Zang and Six Fu organs are all affected, then Ying and Wei circulation stops, Zang and Fu blockage leads to death. The so-called "Liang Gan" (simultaneous infection) inevitably leading to death lies here! Lies here!
If no mixed pathogens, on the seventh day Taiyang disease declines, headache slightly improves; on the eighth day Yangming disease declines, body heat slightly rests; on the ninth day Shaoyang disease declines, deafness slightly hears; on the tenth day Taiyin disease declines, abdomen reduces to normal, desires food; on the eleventh day Shaoyin disease declines, thirst stops, tongue dryness resolves, then sneezes; on the twelfth day Jueyin disease declines, scrotum relaxes, lower abdomen slightly soft, major qi/pathogen departs, patient spirit becomes clear and bright. If after thirteen days still unresolved, cun and guan pulses sunken, major danger. If contracting another pathogen, changing into other diseases, treat according to damaged disease syndrome methods. If pulse Yin and Yang both excess, contracting cold again, changes into Wen Nue (Warm Malaria). Yang pulse floating slippery, Yin pulse soggy weak, contracting wind again, changes into Feng Wen (Wind Warmth). Yang pulse surging rapid, Yin pulse solid large, encountering warm heat again, changes into Wen Du (Warm Toxin). Wen Du is the most severe disease. Yang pulse soggy weak, Yin pulse wiry tight, encountering warm qi again, changes into Wen Yi (Warm Epidemic). Thus winter injury by cold, manifesting as Wen Bing (Warm Disease), pulse change syndromes and formulas as said.
Generally, when people have illness, if not treated promptly, enduring hoping for recovery, it becomes chronic. Children and women are even more severely affected. When seasonal qi is discordant, speak early, find the pathogen source, while it is in the cou li (interstices), treat in time, rarely unhealed. Patient endures, speaks after several days, pathogen enters zang, hard to control.
When making decoctions, do not avoid morning or evening, feeling illness momentary, treat immediately, do not wait for morning or evening, then easy to heal. If delayed, disease transmits, although wanting to cure, difficult to exert effort. Taking medicine not according to method, willfully disobeying doctor, no need to treat.
Generally, Shang Han (Cold Damage) disease mostly comes from Wind-Cold. Initially exterior Wind-Cold, entering interior does not dissipate. There is none that covers with warmth and does not dissipate. Not in syndrome treatment, intending to attack interior, still must first release exterior, then can purge. If exterior not resolved, and interior not dissipated, certainly not major fullness, still has cold and heat, then cannot purge. If exterior resolved, and interior not dissipated, major fullness major solidity, abdomen hard, middle has dry stool, naturally can purge. Even if four or five days, purging multiple times, cannot cause disaster. If not suitable to purge, but attacks, then interior deficiency heat enters,協热 (collaborating heat) leads to diarrhea, irritability various changes, countless, light ones become critical, heavy ones surely die.
Yang excess Yin deficiency, sweating causes death, purging causes healing; Yang deficiency Yin excess, sweating causes healing, purging causes death. Like this, how can Shen Dan (Divine Pill) be mistakenly used to induce sweat, how can Gan Sui (Kansui Root) be recklessly used to attack? Treatment of deficiency and excess, opposite by a thousand li, mechanism of auspicious and ominous, responding like shadow and echo, how easy is it! Moreover, Gui Zhi Tang drinking down, Yang excess immediately kills; Cheng Qi Tang entering stomach, Yin excess perishes, life and death key, in an instant, watching life finish, no time to count days. This is the interlacing of Yin-Yang deficiency-excess, its signs extremely subtle; sweating, vomiting, purging opposite effects, disaster extremely fast, and medical skill shallow narrow, ignorant of disease source, treatment errs, causing patient death, believing it is fate, letting vengeful souls fill netherworld, dead bodies fill wilderness, benevolent ones seeing this, is it not painful!
Whenever Liang Gan disease acts together, treatment has sequence, releasing exterior attacking interior, originally different, but obsessed practitioners say mixing Shen Dan and Gan Sui to drink, resolving exterior and removing interior, words clever seeming correct, principle actually violates. Wise person's action, always prudent and cautious; foolish person's movement, must decisive and fast. Changes of safety and danger, how can be deceptive! Scholars of the world, only pursue that conforming glory, and do not see this perilous defeat, only the enlightened naturally, can protect the root, taking from nearby body, how far is it.
Whenever inducing sweat, using warm decoctions, formula says three doses a day, if disease severe not resolving, should accelerate interval, can finish three doses in half a day. If conflicting with disease, even if having feelings, severe disease one day one night, observe fully, if taking one dose, disease syndrome still there, thus should continue taking original decoction. Up to unable to sweat, taking three doses then resolving; if no sweat, is death disease.
Whenever getting seasonal qi disease, reaching five or six days, and thirsty desiring water, drinking cannot be much, should not give, why? Because abdominal heat still little, cannot digest it, then further gives person disease. Reaching seven or eight days, greatly thirsty desiring water, still should follow syndrome giving it. Giving time always let insufficient, do not intentionally satisfy. Say can drink one dou, give five sheng. If drinking and abdomen full, urination difficult, if panting if hiccups, should not give it. Suddenly large sweat out, this is self-healing.
Whenever getting disease but able to drink water, this is disease desiring to heal. Those not understanding disease, only hearing disease drinking water self-heals, small thirsty then forcibly give drink, thereby becoming disaster, cannot count.
Whenever getting disease Jue (cold limbs), pulse moving rapid, taking medicine pulse slower; pulse floating large decreasing small; initially restless later quiet, these all are healing syndromes.
Whenever treating Wen Bing (Warm Disease), can prick fifty-nine acupoints. Also body acupoints, three hundred sixty-five, thirty acupoints moxibustion harmful; seventy-nine acupoints pricking disaster, piercing marrow.
Pulse Si Sun (Four Damages), dies in three days. Normal person one breath, patient pulse one beat, named Si Sun. Pulse Wu Sun (Five Damages), dies in one day. Normal person two breaths, patient pulse one beat, named Wu Sun. Pulse Liu Sun (Six Damages), dies in one shichen (two hours). Normal person three breaths, patient pulse one beat, named Liu Sun.
Si Sun, Jing Qi (Meridian Qi) exhausted; Wu Sun, Fu Qi (Fu Organ Qi) exhausted; Liu Sun, Zang Qi (Zang Organ Qi) exhausted. True Qi not flowing in Jing called Jing Qi exhausted; not flowing in Fu, called Fu Qi exhausted; not flowing in Zang, called Zang Qi exhausted; Jing Qi exhausted, then four limbs cannot lift; Fu Qi exhausted, then unconscious; Zang Qi exhausted, then whole body completely cold.
Pulse excess body cold, obtained from Shang Han; pulse deficiency body heat, obtained from Shang Shu (Summerheat Injury). Pulse Yin Yang both excess, large sweat out, purging not resolving dies. Pulse Yin Yang both deficiency, heat not stopping dies. Pulse coming suddenly rapid suddenly sparse dies. Pulse coming like turning rope, pressing not easy dies that day. Delirious speech妄语, body slight heat, pulse floating large, hands and feet warm lives. Cold reversal, pulse deep fine, not exceeding one day dies. These previous are Shang Han Re Bing (Cold Damage Heat Disease) syndromes.
Pulse soggy and weak, weak reversely at Guan (middle position), soggy reversely at Dian (cun/head position), micro reversely at upper, choppy reversely at lower. Micro then Yang Qi insufficient, choppy then no blood. Yang Qi reversely micro, Wind Stroke sweating out but reversely restless irritable. Choppy then no blood, Jue and cold. Yang Jue inducing sweat, restless cannot sleep. Yang micro then cannot purge, purging then epigastric fullness hardness.
Moving Qi at Right, cannot induce sweat, inducing sweat then nasal bleeding and thirst, heart bitter irritable, drinking water then vomiting.
Moving Qi at Left, cannot induce sweat, inducing sweat then dizziness, sweat not stopping, then muscle twitching.
Moving Qi at Upper, cannot induce sweat, inducing sweat then Qi rushing up stopping at epigastrium.
Moving Qi at Lower, cannot induce sweat, inducing sweat then no sweat to induce, heart greatly irritable, bone joint pain, dizziness aversion to cold, eating then vomiting undigested food, Qi cannot advance.
Throat closing, cannot induce sweat, inducing sweat then vomiting blood, Qi desiring to cease, hands and feet cold reversal, desiring to curl lie, cannot self-warm.
All pulses getting rapid moving micro weak, cannot induce sweat, inducing sweat then difficult stool, abdomen dry, Stomach dry and irritable, shape similar, origin different.
Pulse soggy and weak, weak reversely at Guan, soggy reversely at Dian, wiry reversely at upper, micro reversely at lower. Wiry is Yang transport, micro is Yin cold. Upper excess lower deficiency, mind desires warmth. Micro wiry is deficiency, cannot induce sweat, inducing sweat then chills, cannot return. Cough and inducing sweat, cough surely severe, frequently spitting saliva, throat surely dry, urination difficult, heart hungry irritable, day and night occurring, shape like malaria, has cold no heat, deficiency and chills, curling and bitter fullness, abdomen again hard, life difficult to preserve.
Jue Ni (Reversal Cold) pulse tight, cannot induce sweat, inducing sweat voice chaotic, throat hoarse, tongue flaccid, voice cannot advance.
All reverse inducing sweat, disease mild difficult to heal, severe surely dies.
Whenever inducing sweat, desire whole body dripping slight like sweat, not desire like water flowing. If disease not resolving, should re-induce sweat; if sweat much, cannot re-induce sweat, due to Yang collapse.
Whenever taking decoction inducing sweat, hitting disease then stop, not necessary finishing dose.
Whenever using vomiting decoction, hitting disease then stop, not necessary finishing dose.
All Si Ni Jue (Cold Reversal) cases, cannot vomit; deficient families likewise.
Whenever disease chest upper all excess, chest middle郁郁 (oppressed) and pain, cannot eat, desires person pressing it, but reversely has saliva, diarrhea ten plus rows, pulse reversely choppy, Cun Kou pulse micro slippery, this can vomit, vomiting then diarrhea stops.
Stale food at Upper Wan (upper stomach), should vomit.
Moving Qi at Right, cannot purge, purging then Jin Ye (Body Fluids) internally exhausted, throat dry, nose dry, dizziness, palpitations.
Moving Qi at Left, cannot purge. Purging then abdomen internal binding urgency, food drink not descending, Moving Qi more severe. Although having body heat, lying then desires curling.
Moving Qi at Upper, cannot purge. Purging then palm heat irritable, body floating cold, hot sweat self-leaking, desiring water self-pouring.
Moving Qi at Lower, cannot purge. Purging then abdomen fullness, sudden rising dizziness, eating then diarrhea clear grain, epigastric fullness.
Throat closing cold, cannot purge. Purging then upper light lower heavy, fluid drink not descending, lying then desires curling, body urgent pain, diarrhea daily dozens of rows.
All exterior excess, cannot purge. Purging then emitting slight heat, if pulse loss Jue cases, umbilicus grasping heat.
All deficiency, cannot purge. Purging then great thirst, seeking water easy to heal, hating water severe.
Pulse soggy and weak, weak reversely at Guan, soggy reversely at Dian, wiry reversely at upper, micro reversely at lower. Wiry is Yang transport, micro is Yin cold. Upper excess lower deficiency, mind desires warmth. Micro wiry is deficiency, deficiency cannot purge. Micro wiry is cough, cough then spitting saliva, purging then cough stops, but diarrhea continues unceasing, diarrhea unceasing then chest like insect biting, porridge entering then exiting, urination difficult, two hypochondria binding urgency, panting difficult, neck back drawing, arm then numb, extreme cold reversely sweating out, body cold like ice, eyes not bright, language unceasing, but grain Qi much entering, this is Chu Zhong (Eliminating Middle), mouth although desiring speak, tongue cannot advance.
Pulse soggy and weak, weak reversely at Guan, soggy reversely at Dian, floating reversely at upper, rapid reversely at lower. Floating is Yang deficiency, rapid is no blood, floating is deficiency, rapid generates heat. Floating is deficiency, self-sweating out and aversion to cold, trembling and chills; micro weak at Guan, chest below urgent, panting sweating and cannot breathe, rapid is pain, breathing midst pain at hypochondrium, trembling cold colliding, shape like malaria, doctor reversely purges, thus causing pulse rapid, fever, running madly, seeing ghosts, epigastric fullness, urination dripping, lower abdomen very hard, urination bloody urine.
Pulse soggy and tight, soggy then Wei Qi (Defensive Qi) micro, tight then Ying Qi (Nutritive Qi) middle cold. Yang micro Wei Wind Stroke, fever and aversion to cold; Ying tight Stomach Qi cold, slight vomiting heart internal irritable. Doctor considers has big heat, releasing muscle and inducing sweat, Yang collapse deficiency irritability, epigastric bitter fullness hardness. Exterior interior both deficiency exhaustion, sudden rising and dizziness. Guest heat at skin, unhappy cannot sleep. Not knowing Stomach Qi cold, tight cold at Guan Yuan. Skill nothing to apply, drawing water pouring body. Guest heat timely ceases, shivering and trembling cold. Heavy quilt covering again, sweat out and head covered. Body trembling and again shaking, urination slightly difficult. Cold Qi due to water emitting, clear grain not allowing leisure. Vomiting changing reverse intestine out, upside down cannot peace. Hands and feet slight reversal, body cold and internal irritable. Late desiring from behind save, how can again chase return.
Pulse floating and tight, floating then is Wind, tight then is Cold; Wind then injures Wei, Cold then injures Ying; Ying Wei both diseased, bone joint vexing pain; should induce sweat, but cannot purge.
Pulse floating and large, epigastric reversely hard, has heat, belonging to Zang, attack it, not letting induce sweat; belonging to Fu, not letting urination frequent. Urination frequent then stool hard, sweat much then worse, pulse slow, not yet can attack.
Shang Han, pulse Yin Yang both tight, aversion to cold fever, then pulse desiring Jue. Jue means, pulse initially coming large, gradually small, coming again gradually large, is its sign. Like this aversion to cold, severe ones, gentle sweat out, throat pain; if heat more, eyes red pulse many, eyes not bright, doctor re-induces, throat then injured; if re-purges, then two eyes closed, cold more stool clear grain, heat more stool pus blood; if fumigating, then body yellowing; if ironing, then throat dry. If urination smooth, can save; urination difficult, dangerous.