夫以为疾病至急,仓卒寻按,要者难得,故重集诸可与不可方治,比之三阴三阳篇中,此易见也。又时有
不止是三阴三阳,出在诸可与不可中也。
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,于此以后经注备见。(医统本作“于此已
后,复注备见”)
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。阳微发汗,躁不得眠。
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,浮为在上以候卫;微反在上,是阳气不足;荣行脉中,沉为在下以候荣;涩反在下,
是无血也。阳微不能固外,腠理开疏,风因客之,故令汗出而躁烦;无血则阴虚,不与阳相顺接,故厥而
且寒;阳微无津液,则不能作汗,若发汗则必亡阳而躁。经曰∶汗多亡阳,遂虚,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,按之牢若痛。肺气
不治,正气内虚,气动于脐之右也。发汗则动肺气,肺主气,开窍于鼻,气虚则不能卫血,血溢妄行,随气出
于鼻为衄。亡津液,胃燥,则烦渴而心苦烦。肺恶寒,饮冷则伤肺,故饮即吐水。
动气在左,不可发汗,发汗则头眩,汗不止,筋惕肉 。
《难经》曰∶肝内证,脐左有动气,按之牢若痛。肝气不治,正气内虚,气动于脐之左也。肝为阴之主,
发汗,汗不止,则亡阳外虚,故头眩、筋惕肉 。《针经》曰∶上虚则眩。
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
为阳,发汗亡阳,则愈损心
气,肾乘心虚,欲上凌心,故气上冲,正在心端。
动气在下,不可发汗,发汗则无汗,心中大烦,骨节苦疼,目晕,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
者主水,发汗则无汗者,水不足也;心中大烦者,肾虚不能制心火也;骨节苦疼者,肾主
骨也;目晕者,肾病则目KT KT 如无所见;恶寒者,肾主寒也;食则反吐,谷不得前者,肾水干也。
王冰曰∶病呕而吐,食久反出,是无水也。
咽中闭塞,不可发汗,发汗则吐血,气欲(赵本作“微”)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。胃经不和而反攻表,
则阳虚于外,故气欲绝,手足冷,欲蜷而不能自温。
诸脉得数动微弱者,不可发汗,发汗则大便难,腹中干,(赵本注∶“一云小便难,胞中干”)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,故大便难,腹中干,
胃燥而烦。根本虽有表里之异,逆治之后,热传之则一,是以病形相象也。
脉微(赵本作“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。外气拂郁为上实,
里有阴寒为下虚。表热里寒,意欲得温,若反发汗,亡阳阴独,故寒栗不能自还。
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,虚
而寒栗,咳而发汗,蜷而苦满,腹中复坚。
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。一日一夜,
气大会于肺,邪正相击, 时而发,形如寒疟,但寒无热,虚而寒栗。发汗攻阳,则
阳气愈虚,阴寒愈甚,故蜷而苦满,腹中复坚。
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,循喉咙,挟舌本。
肾为之本,肺为之标,本虚则标弱,故声乱、咽嘶、舌萎、声不得前。
诸逆发汗,病微者难瘥;剧者言乱、目眩者死,(赵本注∶“一云∶谵言目眩睛乱者死”)命将难全。
不可发汗而强发之,轻者因发汗重而难瘥;重者脱其阴阳之气,言乱目眩而死。《难经》曰∶脱阳者,见
鬼,是此言乱也;脱阴者,目盲,是此目眩也。眩非玄而见玄,是近于盲也。
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,诸阳之本,
阳虚则不与阴相接,故四肢厥逆冷。
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(赵本无“中”字)懊 如饥;发
汗则致 ,身强,难以屈伸;(赵本作“伸屈”)熏之则发黄,不得小便;灸
则发咳唾。
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;若反下之,邪
热乘虚流于胸中为虚烦,心懊 如饥;若发汗,则虚表,热归经络,热甚生风,故身强直
而成 ;若熏之,则火热相合,消烁津液,故小便不利而发黄;肺恶火,灸则火热伤肺,必发咳嗽而唾脓。
认为疾病发生得急迫,仓促之间寻找并依据脉证进行诊治,关键的法则难以立刻找到,因此重新汇编各种可用与不可用的方治方法,比起《三阴三阳篇》中的内容,这里更容易查阅。另外,有时情况不止局限于三阴三阳,而出现在各种“可用”与“不可用”的条目中。
凡是关于不可发汗、不可攻下等的病证和药方,如果在前面的三阴三阳篇及其注解中已经具备的,这里就不再重复列出;其余没有列出的,在此之后的经文和注解中会详细见到。(医统本作“在此以后,又注详细见到”)
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(浮取),涩脉反而出现在下部(沉取)。阳气不足则见微脉,无血则见涩脉。阳气微弱,中风后出汗反而出现躁动烦乱。无血导致四肢厥冷且寒冷。阳气微弱而误用发汗法,会导致躁动无法入睡。
寸部和关部属阳,脉象应当浮盛,弱脉反而在关部,说明里气不足;濡脉反而在寸部,说明表气不逮。卫气行于脉外,浮脉在上以候卫气;微脉反而在上,这是阳气不足;营气行于脉中,沉脉在下以候营气;涩脉反而在下,这是无血的表现。阳气微弱不能固护体表,腠理疏松,风邪乘虚侵入,所以导致出汗且躁烦;无血则阴虚,阴阳之气不能顺接,所以四肢厥冷且寒;阳气微弱且津液不足,就不能化生汗液,如果强行发汗,必然导致亡阳而出现躁动。经书说:汗出过多会亡阳,导致身体虚弱,怕风、烦躁、无法入睡。
脐右有搏动感,不可发汗,发汗则会出现鼻出血且口渴,心中苦闷烦热,喝水即吐水。
所谓动气,是指腹部筑筑然跳动的感觉。在右边,是指肚脐右侧。《难经》说:肺的内证,脐右有动气,按压时坚硬或疼痛。肺气失调,正气内虚,气机变动于脐之右侧。发汗会扰动肺气,肺主气,开窍于鼻,气虚则不能固摄血液,血液溢出妄行,随气从鼻而出成为衄血。津液耗亡,胃燥,则烦渴且心中苦闷。肺恶寒,喝冷水会伤肺,所以喝水即吐水。
脐左有搏动感,不可发汗,发汗则头晕目眩,汗出不止,筋肉跳动。
《难经》说:肝的内证,脐左有动气,按压时坚硬或疼痛。肝气失调,正气内虚,气机变动于脐之左侧。肝为阴血之主,发汗导致汗出不止,则亡阳致外虚,所以出现头晕、筋肉跳动。《针经》说:上焦虚则眩晕。
《难经》说:心的内证,脐上有动气,按压时坚硬或疼痛。心气失调,正气内虚,气机变动于脐之上部。心属阳,发汗亡阳,则进一步损伤心气,肾水乘心气虚弱,欲上凌于心,所以气向上冲逆,正当心窝处。
脐下有搏动感,不可发汗,发汗则无汗,心中极度烦乱,骨节痛苦疼痛,眼睛昏花视物不清,怕冷,进食反而呕吐,食物无法下行。
《难经》说:肾的内证,脐下有动气,按压时坚硬或疼痛。肾气失调,正气内虚,动气发于脐之下。肾主水,发汗后无汗,是因为水液不足;心中极度烦乱,是因为肾虚不能制约心火;骨节痛苦疼痛,是因为肾主骨;眼睛昏花视物不清,是因为肾病导致眼睛KT KT(视物模糊)如无所见;怕冷,是因为肾主寒;进食反而呕吐,食物无法下行,是因为肾水枯竭。王冰说:病见呕吐,食物久留后反出,这是无水(肾水枯竭)的表现。
咽喉闭塞不通,不可发汗,发汗则吐血,气息微弱欲绝,手足冰冷,想要蜷缩卧倒,无法自我温暖。
咽门是胃的系连。胃经不和,则咽内不利。发汗攻伐阳气,血液随发散之力而上逆,必然吐血。胃经不和却反而攻表,则阳气虚于外,所以气息欲绝,手足冷,想蜷缩却无法自我温暖。
各种脉象见数动而微弱者,不可发汗,发汗则大便困难,腹中干燥,(赵本注:“一说小便困难,胞中干燥”)胃燥而烦。其症状表现相似,但根本病因不同。
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,所以大便困难,腹中干燥,胃燥而烦。根本虽有表里之异,但误治之后,热邪传变的结果是一样的,所以病形相似。
脉微(赵本作“濡”)而弱,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。弦脉代表阳气运行,微脉代表阴寒。上实下虚,意欲得到温补。微弦为虚证,不可发汗,发汗则寒战栗抖,无法恢复常态。
弦脉在上,则是风伤气,风胜则阳气为之运动;微脉在下,则是寒伤血,血伤者则里气为之阴寒。外气拂郁为上实,里有阴寒为下虚。表热里寒,意欲得温,如果反而发汗,亡阳而阴独存,所以寒战栗抖无法恢复。
咳嗽剧烈,频繁吐出涎沫,咽喉必定干燥,小便不利,心中饥饿烦乱,疟疾样症状时而发作,外形似疟疾,只有寒战没有发热,因虚而寒战栗抖,若此时咳嗽而发汗,会导致身体蜷缩且苦闷胀满,腹中再次变得坚硬。
肺寒气逆,咳嗽则剧烈;吐涎沫,亡失津液,咽喉必定干燥,小便不利;膈中阳气虚,心中饥饿而烦。一日一夜,气大会于肺,邪正相击,疟疾样症状时而发作,外形像寒疟,但只有寒没有热,因虚而寒战栗抖。发汗攻伐阳气,则阳气愈虚,阴寒愈甚,所以身体蜷缩且苦闷胀满,腹中再次坚硬。
四肢厥冷,脉紧,不可发汗,发汗则声音混乱、咽喉嘶哑、舌体萎软无力、声音无法发出。
厥冷而脉紧,则是少阴伤寒,依法应当温里,却反而发汗,则损伤少阴之气。少阴经脉,入肺中,循喉咙,挟舌根。肾为本,肺为标,本虚则标弱,所以声音混乱、咽喉嘶哑、舌萎、声音无法发出。
凡逆证误用发汗,病情轻的难以痊愈;病情重的出现言语错乱、目眩的会死亡,(赵本注:“一说谵语目眩睛乱的会死亡”),生命将难以保全。
不可发汗而强行发汗,轻的因发汗而加重且难愈;重的脱失阴阳之气,出现言语错乱、目眩而死。《难经》说:脱阳者,见鬼怪,这就是言语错乱;脱阴者,目盲,这就是目眩。眩不是玄妙而是看见虚幻,这接近于目盲。
肺经虚冷,上虚不能治下者,表现为咳嗽且小便利,或小便失禁。上虚而发汗,则阳气外亡。四肢是诸阳之本,阳虚则不与阴相接,所以四肢厥逆冷。
伤寒头痛,翕翕发热,形象像中风,常微汗出自呕的,如果用下法会更增加烦乱,心中懊恼如饥;如果发汗则导致痉病,身体强直,难以屈伸;(赵本作“伸屈”)如果用熏法则会发黄,小便不通;如果用灸法则会引发咳嗽吐脓。
伤寒本当无汗、恶寒,如今头痛、发热、微汗出,自呕,则是伤寒之邪传变为热,欲行于里;如果反而用下法,邪热乘虚流于胸中形成虚烦,心中懊恼如饥;如果发汗,则使表虚,热归经络,热甚生风,所以身体强直而成痉病;如果熏蒸,则火热相合,消烁津液,所以小便不利而发黄;肺恶火,灸法则火热伤肺,必然引发咳嗽而唾脓。
It is considered that diseases arise urgently, and in a hurried search for pulse and syndrome patterns, the essential principles are difficult to find. Therefore, various applicable and non-applicable prescriptions and treatments have been re-collected; compared with the chapters on Three Yin and Three Yang (Taiyang, Shaoyang, Yangming, Taiyin, Shaoyin, Jueyin), these are easier to consult. Furthermore, sometimes situations extend beyond the scope of Three Yin and Three Yang, appearing in the sections regarding what is applicable or not applicable.
Regarding conditions, symptoms, and formulas for which sweating (Han Fa) or purging (Xia Fa) is contraindicated: if they have already been detailed in the preceding chapters on Three Yin and Three Yang along with their annotations, they are not repeated here; for those not listed previously, they will be fully explained in the subsequent text and annotations. (The Yitong edition reads "subsequently annotated in detail").
A pulse that is soft (Ru) and weak (Ruo), where the Ruo pulse appears at the Guan position, and the Ru pulse appears at the Cun position (Cun refers to the distal end of the pulse); a faint (Wei) pulse appears superficially, and a choppy (Se) pulse appears deeply. A Wei pulse indicates insufficiency of Yang Qi; a Se pulse indicates lack of Blood. With insufficient Yang Qi, wind-strike causes sweating accompanied by restlessness and irritability. Lack of Blood leads to cold limbs and coldness. If sweating is induced in cases of deficient Yang Qi, it results in restlessness and inability to sleep.
The Cun and Guan positions belong to Yang, and the pulse should be floating and vigorous. A Ruo pulse at the Guan position indicates deficiency of interior Qi; a Ru pulse at the Cun position indicates inadequacy of exterior Qi. Wei Qi circulates outside the vessels; a floating pulse at the upper position reflects Wei Qi. A Wei pulse appearing superficially indicates insufficiency of Yang Qi. Ying Qi circulates within the vessels; a deep pulse at the lower position reflects Ying Qi. A Se pulse appearing deeply indicates a lack of Blood. Insufficient Yang Qi fails to secure the exterior, causing the pores to open and relax, allowing Wind pathogen to invade, thus leading to sweating, restlessness, and irritability. Lack of Blood leads to Yin deficiency, preventing the smooth connection between Yin and Yang, resulting in cold limbs and coldness. Deficient Yang Qi and lack of body fluids prevent sweat production; forcing sweating will lead to loss of Yang Qi and restlessness. The Classics state: "Excessive sweating causes loss of Yang Qi, leading to weakness, aversion to wind, irritability, and insomnia."
If there is pulsation (Dong Qi) on the right side, sweating is contraindicated. Inducing sweating will cause epistaxis (Nu) and thirst, bitter心烦 (irritability) in the heart, and vomiting water immediately after drinking.
"Dong Qi" refers to a throbbing sensation in the abdomen. "On the right" refers to the area to the right of the umbilicus. The *Nan Jing* states: "For internal Lung conditions, there is Dong Qi to the right of the umbilicus, which feels firm or painful upon pressure." When Lung Qi is disordered and Zheng Qi (Upright Qi) is internally deficient, Qi moves at the right of the umbilicus. Sweating disturbs Lung Qi. Since the Lung governs Qi and opens into the nose, Qi deficiency fails to control blood, causing blood to overflow and exit through the nose as epistaxis. Loss of body fluids leads to stomach dryness, causing irritability, thirst, and heart discomfort. The Lung dislikes cold; drinking cold liquids injures the Lung, hence vomiting occurs immediately after drinking.
If there is Dong Qi on the left side, sweating is contraindicated. Inducing sweating will cause dizziness, continuous sweating, and twitching of muscles and sinews.
The *Nan Jing* states: "For internal Liver conditions, there is Dong Qi to the left of the umbilicus, which feels firm or painful upon pressure." When Liver Qi is disordered and Zheng Qi is internally deficient, Qi moves at the left of the umbilicus. The Liver is the master of Yin Blood. Inducing sweating leads to continuous perspiration, causing loss of Yang Qi and exterior deficiency, resulting in dizziness and muscle twitching. The *Zhen Jing* states: "Deficiency in the upper jiao causes dizziness."
If there is Dong Qi above the umbilicus, sweating is contraindicated. Inducing sweating will cause Qi to rush upward, striking directly at the epigastrium.
The *Nan Jing* states: "For internal Heart conditions, there is Dong Qi above the umbilicus, which feels firm or painful upon pressure." When Heart Qi is disordered and Zheng Qi is internally deficient, Qi moves above the umbilicus. The Heart belongs to Yang. Sweating causes loss of Yang Qi, further damaging Heart Qi. Kidney Water takes advantage of Heart Qi deficiency to ascend and overwhelm the Heart, causing Qi to rush upward, centered at the epigastrium.
If there is Dong Qi below the umbilicus, sweating is contraindicated. Inducing sweating will result in anhidrosis (lack of sweat), severe mental restlessness, painful bone joints, blurred vision, aversion to cold, vomiting after eating, and food failing to descend.
The *Nan Jing* states: "For internal Kidney conditions, there is Dong Qi below the umbilicus, which feels firm or painful upon pressure." When Kidney Qi is disordered and Zheng Qi is internally deficient, Dong Qi manifests below the umbilicus. The Kidney governs Water. Anhidrosis after sweating indicates insufficient Water. Severe mental restlessness indicates Kidney deficiency failing to control Heart Fire. Painful bone joints occur because the Kidney governs bones. Blurred vision ("KT KT" implying indistinct vision) occurs due to Kidney disease affecting the eyes. Aversion to cold occurs because the Kidney governs cold. Vomiting after eating and food failing to descend indicate depletion of Kidney Water. Wang Bing stated: "Vomiting and regurgitation of old food indicate a lack of Water."
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 inability to self-warm.
The throat is connected to the Stomach. Disharmony of the Stomach Meridian causes obstruction in the throat. Sweating attacks Yang Qi; blood follows the dispersing action and rises, inevitably causing hematemesis. Disharmony of the Stomach Meridian combined with attacking the exterior leads to exterior Yang deficiency, causing impending Qi collapse, cold extremities, and a desire to curl up without being able to warm oneself.
In cases where the pulse is rapid and moving (Shu Dong) yet weak and faint (Wei Ruo), sweating is contraindicated. Inducing sweating will cause difficulty in defecation, abdominal dryness, (Zhao's edition notes: "or difficulty in urination, dryness in the bladder"), stomach dryness, and irritability. Although the manifestations appear similar, the root causes are different.
A Shu Dong pulse indicates Heat in the exterior; a Wei Ruo pulse indicates Heat in the interior. Sweating causes loss of body fluids, intensifying the Heat and drying the Stomach, leading to difficulty in defecation, abdominal dryness, and stomach dryness with irritability. Although the roots differ between exterior and interior, the transmission of Heat after incorrect treatment is the same, hence the similar appearances.
A pulse that is faint (Zhao's edition reads "soft") and weak, with the Ruo pulse at the Guan position and the Ru pulse at the Cun position; a wiry (Xian) pulse appearing superiorly and a Wei pulse appearing inferiorly. A Xian pulse represents Yang movement; a Wei pulse represents Yin Cold. Superior excess and inferior deficiency suggest a need for warming. Faint and wiry pulses indicate deficiency; sweating is contraindicated. Inducing sweating will cause chills and inability to recover.
A Xian pulse superiorly indicates Wind injuring Qi; excessive Wind causes Yang movement. A Wei pulse inferiorly indicates Cold injuring Blood; injured Blood leads to interior Yin Cold. Exterior Qi stagnation constitutes superior excess; interior Yin Cold constitutes inferior deficiency. Exterior Heat and interior Cold suggest a need for warming. Conversely, inducing sweating causes loss of Yang and isolation of Yin, resulting in chills and inability to recover.
In cases of severe cough with frequent expectoration of saliva, dry throat, difficult urination, hunger-like irritability, intermittent malaria-like episodes with chills but no fever, and deficiency-induced chills, inducing sweating during cough will lead to curling up, chest fullness, and abdominal hardness.
Cold Qi in the Lung causing rebellion leads to severe cough. Expectorating saliva causes loss of body fluids and dry throat, leading to difficult urination. Deficiency of Yang Qi in the diaphragm causes hunger-like irritability. Once a day and night, Qi converges in the Lung; when pathogenic and upright Qi clash, malaria-like symptoms occur intermittently, resembling cold malaria but with only chills and no fever, due to deficiency and cold. Sweating attacks Yang Qi, increasing Yang deficiency and Yin Cold severity, resulting in curling up, chest fullness, and abdominal hardness.
In cases of cold limbs (Jue) with a tight (Jin) pulse, sweating is contraindicated. Inducing sweating will cause voice disorder, hoarseness, tongue flaccidity, and inability to speak.
Cold limbs with a tight pulse indicate Shaoyin Cold Damage. The appropriate treatment is to warm the interior; inducing sweating damages Shaoyin Qi. The Shaoyin Meridian enters the Lung, follows the throat, and binds to the base of the tongue. The Kidney is the root, and the Lung is the branch. Root deficiency leads to branch weakness, causing voice disorder, hoarseness, tongue flaccidity, and speech impairment.
For all rebellious conditions, inducing sweating makes mild cases difficult to heal; severe cases presenting with delirious speech and dizziness will die, (Zhao's edition notes: "delirium, dizziness, and chaotic vision will result in death"), and life will be hard to save.
Forcing sweating when contraindicated makes mild cases heavier and harder to heal; severe cases suffer from exhaustion of Yin and Yang Qi, leading to delirium, dizziness, and death. The *Nan Jing* states: "Loss of Yang causes hallucinations (seeing ghosts), which corresponds to delirious speech; loss of Yin causes blindness, which corresponds to dizziness." Dizziness approaching blindness is akin to blindness.
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, with upper deficiency failing to regulate the lower, manifest as cough with free urination or incontinence. Sweating in upper deficiency causes external loss of Yang Qi. The four limbs are the root of all Yang Qi; Yang deficiency prevents connection with Yin, causing cold reversal in the limbs.
In Cold Damage with headache, slight fever resembling wind-strike, spontaneous slight sweating, and vomiting, using purgatives increases irritability and causes inner regret (Ao Nao) like hunger. Inducing sweating leads to stiffness (Jing), rigid body, and difficulty in flexion and extension. (Zhao's edition reads "extension and flexion"). Moxibustion or fumigation causes jaundice and urinary retention. Moxibustion induces cough and expectoration of pus.
Cold Damage typically presents with no sweat and aversion to cold. Current symptoms of headache, fever, slight sweating, and vomiting indicate Cold Damage pathogen transforming into Heat and moving inward. Purging allows pathogenic Heat to flow into the chest due to deficiency, causing vexation and inner regret. Sweating makes the exterior deficient; Heat returns to the meridians, generating Wind due to intense Heat, causing rigidity and spasms. Fumigation combines fire and heat, consuming body fluids, leading to urinary difficulty and jaundice. The Lung dislikes fire; moxibustion injures the Lung with fire-heat, inevitably causing cough and expectoration of pus.