汪按∶此条为温证不可妄表之训，梦隐一语，可谓要言不烦。盖温病误表，纵不成死候，亦必不易愈矣。麻黄、桂
枝，人犹胆馁，最误人者，陶节庵之柴葛解肌汤也。
《阳明脉解篇》曰∶足阳明之脉病，恶人与火，闻木音则惕然而惊，钟鼓不为动。闻木音而惊，何也？岐伯曰∶阳
明者，胃脉也。胃者，土也。故闻木音而惊者，土恶木也。帝曰∶其恶火何也？岐伯曰∶阳明主肉，其脉血气盛，邪客
之则热，热甚则恶火。帝曰∶其恶人何也？岐伯曰∶阳明厥则喘而惋，惋则恶人。
章虚谷曰∶土被邪困，更畏木克，故闻木音而惊也。钟鼓之音属金，土故不为动也。热甚故恶火，仲景所云∶不恶
寒，反恶热也。邪结而气厥逆，则喘而惋。惋者，懊 ，故恶人也。
帝曰∶或喘而死者，或喘而生者，何也？岐伯曰∶厥逆连脏则死，连经则生。
章虚谷曰∶邪结在腑，则气阻而喘，不能循经达于四肢，而又厥逆，盖四肢禀气于脾胃也。邪内入则连脏，故死。
外出则连经，故生。
帝曰∶病甚则弃衣而走，登高而歌，或至不食数日，逾垣上屋，所上之处，皆非其素所能也，而病反能者何也？岐
汪氏按语：这一条是温病不可妄用发汗解表法的训诫，梦隐先生的一句话，可谓简明扼要。大概温病误用发汗解表法，纵然不导致死亡，也必定难以痊愈。麻黄汤、桂枝汤，人们尚且心存畏惧不敢轻用，最误导人的，是陶节庵的柴葛解肌汤。
《黄帝内经·阳明脉解篇》说：足阳明经脉发病时，患者厌恶见人及火光，听到木器的声音就会惊恐不安，但听到钟鼓的声音却不会惊动。为什么听到木器的声音会惊恐呢？岐伯回答说：阳明经，是胃的经脉。胃，在五行中属土。所以听到木器的声音就惊恐，是因为土厌恶木（木克土）的缘故。黄帝问：他为什么厌恶火光呢？岐伯回答说：阳明经主司肌肉，其经脉中血气旺盛，邪气侵犯它就会产生热象，热势炽盛就会厌恶火光。黄帝问：他为什么厌恶见人呢？岐伯回答说：阳明经气厥逆，就会导致气喘和心中烦闷懊恼，心中烦闷懊恼就会厌恶见人。
章虚谷说：土被邪气困阻，更加畏惧木气的克制，所以听到木器的声音就惊恐。钟鼓的声音属于金音，土并不畏惧金，所以不为所动。热势炽盛所以厌恶火光，这就是张仲景所说的“不恶寒，反恶热”。邪气结聚导致气机厥逆，就会出现气喘和心中烦闷懊恼。“惋”就是懊恼的意思，所以厌恶见人。
黄帝问：有的病人气喘而死亡，有的病人气喘而存活，这是什么原因呢？岐伯回答说：厥逆之气连及五脏则死，连及六腑经络则生。
章虚谷说：邪气结聚在腑，则气机阻滞而气喘，不能顺着经脉达于四肢，而又出现厥逆，这是因为四肢的气血禀受于脾胃。邪气向内深入则连及五脏，所以死亡。向外透发则连及经络，所以存活。
黄帝问：病情严重时，病人脱掉衣服乱跑，登上高处唱歌，或者几天不吃东西，翻越墙垣、爬上屋顶，所去的地方都是他平时做不到的，但患病后反而能做到，这是什么原因呢？岐
Wang's commentary: This clause serves as a cautionary instruction against the reckless use of diaphoretic (sweating) methods for treating warm diseases. Mengyin's remark is concise and to the point. Generally, if warm diseases are mistakenly treated with diaphoresis, even if it does not result in a fatal outcome, recovery will certainly be difficult. While people still hesitate to use Mahuang Tang (Ephedra Decoction) or Guizhi Tang (Cinnamon Twig Decoction), the most misleading formula is Tao Jie'an's Chai Ge Jie Ji Tang (Bupleurum and Kudzu Decoction to Resolve the Muscles).
The *Yangming Maijie Pian* (Chapter on Explaining the Yangming Pulse) states: When the Foot-Yangming meridian is diseased, the patient dislikes seeing people and fire; hearing the sound of wood causes them to startle in fear, but the sound of bells and drums does not disturb them. Why does hearing the sound of wood cause fear? Qibo answered: The Yangming meridian is the stomach meridian. The stomach belongs to Earth in the Five Elements. Therefore, hearing the sound of wood causes fear because Earth fears Wood (Wood overacts on Earth). The Yellow Emperor asked: Why does he dislike fire? Qibo answered: The Yangming meridian governs the flesh, and its vessels are abundant in blood and qi. When pathogenic factors invade, heat is generated; when heat is severe, the patient dislikes fire. The Yellow Emperor asked: Why does he dislike seeing people? Qibo answered: When Yangming qi rebels upward, it leads to panting and mental restlessness (ao nao); due to this mental restlessness, the patient dislikes seeing people.
Zhang Xugu stated: Earth is constrained by pathogenic factors and further fears the controlling influence of Wood, hence the startle upon hearing the sound of wood. The sound of bells and drums belongs to Metal, and since Earth does not fear Metal, it remains undisturbed. Due to severe heat, the patient dislikes fire; this corresponds to Zhang Zhongjing's statement: "dislikes cold no longer, but instead dislikes heat." When pathogens bind and qi rebels upward, panting and mental restlessness occur. "Wan" refers to mental restlessness (ao nao), hence the dislike for seeing people.
The Yellow Emperor asked: Some patients die from panting, while others survive despite panting. What is the reason? Qibo answered: If the rebellion of qi connects to the Zang organs, death ensues; if it connects to the meridians, survival is possible.
Zhang Xugu stated: When pathogens bind in the Fu organs, qi becomes obstructed leading to panting, and cannot flow through the meridians to reach the four limbs, resulting in cold extremities (jue ni). This is because the four limbs derive their qi from the Spleen and Stomach. If pathogens enter inwardly and connect to the Zang organs, death occurs. If they move outwardly and connect to the meridians, survival occurs.
The Yellow Emperor asked: When the disease is severe, the patient discards clothes and runs about, climbs high places and sings, or goes without food for several days, climbs over walls and roofs. These places are beyond what they could normally do, yet the sick person can do so. What is the reason? Qi