一、脉浮,表也。一、身痛,表也。一、发热,表也。一、头痛,表也。一、恶
寒,表也。一、目、舌和,表也。一、脊项强,太阳正表也。一、喘与咳嗽,表也。
一、四肢拘急,表也。一、口不渴,大小便如常,表也。一、脉不出,表也。一、面
惨洒淅,表也。上证一见,知邪在表,必待发表,方可攻里;若误下必为痞、为结胸、为懊 矣。
一、脉尺寸俱长,邪在阳明肌肉也。一、身热不恶寒,目痛鼻干,邪在肌肉也。一、
漱水不欲咽,邪在肌肉也。一、唇焦,邪在阳明肌肉也。上证一见,知邪在阳明经,
不在阳明腑也,慎勿混治。
一、脉不浮不沉,半表半里也。一、呕吐,半表半里也。一、胸中胀满,未经下
过,半表半里也。一、耳聋、胁痛,半表半里也。一、舌滑,半表半里也。一、往
来寒热,半表半里也。一、头汗盗汗,半表半里也。一、口苦目眩,半表半里也。一、
默默不欲饮食,半表半里也。上证一见,知邪在半表半里。此经有三禁,惟小柴胡汤
加减和解。误用他药,则变坏证矣。
一、脉沉滑有力,里也。一、下利清黄水,里也。一、小腹满而胀痛或硬,里
也。一、谵语或发狂,里也。一、发斑,里
也。一、转矢气,里也。一、头痛发热俱止,里也。一、自汗,里也。一、小便多,
里也。一、潮热,里也。一、下利肠垢,里也。一、恶热,里也。一、目不得明,里
也。一、腹痛,里也。一、不得眠,里也。一、手足心并腋下有汗,里也。一、嗌干
齿燥,里也。一、舌苔黄黑及津液枯涸,里也。一、大便闭,里也。上证一见,不拘
日数,迟早即知传经里证,下之无疑;若误汗为斑烂矣。
一、脉象浮,是表证。一、身体疼痛,是表证。一、发热,是表证。一、头痛,是表证。一、恶寒(怕冷),是表证。一、眼睛和舌头正常无异常,是表证。一、脊柱和颈部僵硬,是太阳经的正表证。一、气喘与咳嗽,是表证。一、四肢拘挛紧急,是表证。一、口不渴,大小便如常,是表证。一、脉象摸不到(伏脉),是表证。一、面色惨淡且战栗,是表证。上述症状只要见到一个,就知道邪气在表,必须等待使用发表法治疗后,才可以攻里;如果误用下法,必然会导致痞证、结胸证或懊憹证。
一、脉象寸部和尺部都长,是邪气在阳明经肌肉层面。一、身体发热但不恶寒,眼睛痛鼻子干,是邪气在肌肉层面。一、漱口但不想咽下水,是邪气在肌肉层面。一、嘴唇焦裂,是邪气在阳明经肌肉层面。上述症状只要见到一个,就知道邪气在阳明经,不在阳明腑,务必谨慎不要混淆治疗。
一、脉象不浮也不沉,是半表半里证。一、呕吐,是半表半里证。一、胸中胀满,且未经过泻下治疗,是半表半里证。一、耳聋、胁肋疼痛,是半表半里证。一、舌苔滑润,是半表半里证。一、寒热往来,是半表半里证。一、头部出汗或盗汗,是半表半里证。一、口苦目眩,是半表半里证。一、沉默寡言不想饮食,是半表半里证。上述症状只要见到一个,就知道邪气在半表半里。此阶段有三项禁忌,只有小柴胡汤加减进行和解治疗。误用其他药物,就会导致变坏证。
一、脉象沉滑有力,是里证。一、腹泻排出清黄色水样便,是里证。一、小腹部胀满且疼痛甚至坚硬,是里证。一、说胡话或发狂,是里证。一、出现斑疹,是里证。一、转矢气(放屁),是里证。一、头痛发热都停止,是里证。一、自汗,是里证。一、小便多,是里证。一、潮热,是里证。一、腹泻排出肠垢,是里证。一、恶热(怕热),是里证。一、眼睛看不清,是里证。一、腹痛,是里证。一、无法入睡,是里证。一、手心、脚心以及腋下出汗,是里证。一、咽喉干燥牙齿燥,是里证。一、舌苔黄黑及津液枯涸,是里证。一、大便闭塞,是里证。上述症状只要见到一个,不拘泥于患病天数,迟早即可知道是传经入里的里证,使用下法无疑;如果误用发汗法,会导致斑烂(皮肤溃烂出斑)。
1. A floating pulse indicates a Exterior Syndrome (Biao Zheng). 1. Body pain indicates an Exterior Syndrome. 1. Fever indicates an Exterior Syndrome. 1. Headache indicates an Exterior Syndrome. 1. Aversion to cold (E Han) indicates an Exterior Syndrome. 1. Normal appearance of the eyes and tongue indicates an Exterior Syndrome. 1. Stiffness of the spine and neck indicates the primary Exterior Syndrome of the Taiyang Channel (Taiyang Jing). 1. Asthma and coughing indicate an Exterior Syndrome. 1. Contracture and urgency of the four limbs indicate an Exterior Syndrome. 1. Absence of thirst, with normal urination and defecation, indicates an Exterior Syndrome. 1. An imperceptible pulse (Fu Mai) indicates an Exterior Syndrome. 1. A pale and shivering facial expression indicates an Exterior Syndrome. If any one of the above symptoms is observed, it is known that the pathogenic factor is in the Exterior; only after employing the method of releasing the Exterior (Fa Biao) can the Interior be purged. If the purgative method is mistakenly used, it will inevitably lead to Pi Syndrome (Pi Zheng), Jie Xiong Syndrome (Jie Xiong Zheng), or Ao Nao (Ao Nao).
1. A long pulse at both the Cun (Cun Kou) and Chi positions indicates the pathogenic factor is in the muscles of the Yangming Channel. 1. Body heat without aversion to cold, eye pain, and dry nose indicate the pathogenic factor is in the muscle layer. 1. Rinsing the mouth but not desiring to swallow water indicates the pathogenic factor is in the muscle layer. 1. Cracked lips indicate the pathogenic factor is in the muscles of the Yangming Channel. If any one of the above symptoms is observed, it is known that the pathogenic factor is in the Yangming Meridian, not in the Yangming Fu-organs; treatment must not be confused.
1. A pulse that is neither floating nor sinking indicates a Half-Exterior Half-Interior Syndrome (Ban Biao Ban Li). 1. Vomiting indicates a Half-Exterior Half-Interior Syndrome. 1. Fullness and distension in the chest, which has not undergone purgation, indicates a Half-Exterior Half-Interior Syndrome. 1. Deafness and hypochondriac pain indicate a Half-Exterior Half-Interior Syndrome. 1. A slippery tongue coating indicates a Half-Exterior Half-Interior Syndrome. 1. Alternating chills and fever indicates a Half-Exterior Half-Interior Syndrome. 1. Sweating on the head or night sweats indicate a Half-Exterior Half-Interior Syndrome. 1. Bitter taste in the mouth and vertigo indicate a Half-Exterior Half-Interior Syndrome. 1. Silence and lack of appetite indicate a Half-Exterior Half-Interior Syndrome. If any one of the above symptoms is observed, it is known that the pathogenic factor is in the Half-Exterior Half-Interior. There are three prohibitions for this stage; only Xiao Chai Hu Tang (Minor Bupleurum Decoction) modified should be used for harmonization. Mistaken use of other medicines will result in complicated syndromes (Bian Huai Zheng).
1. A deep, slippery, and forceful pulse indicates an Interior Syndrome (Li Zheng). 1. Diarrhea with clear yellow watery stool indicates an Interior Syndrome. 1. Fullness, pain, or hardness in the lower abdomen indicates an Interior Syndrome. 1. Delirium or mania indicates an Interior Syndrome. 1. Appearance of macules (Ban Zhen) indicates an Interior Syndrome. 1. Passing flatus (Zhuan Shi Qi) indicates an Interior Syndrome. 1. Cessation of headache and fever indicates an Interior Syndrome. 1. Spontaneous sweating indicates an Interior Syndrome. 1. Frequent urination indicates an Interior Syndrome. 1. Tidal fever indicates an Interior Syndrome. 1. Diarrhea with intestinal mucus indicates an Interior Syndrome. 1. Aversion to heat indicates an Interior Syndrome. 1. Blurred vision indicates an Interior Syndrome. 1. Abdominal pain indicates an Interior Syndrome. 1. Insomnia indicates an Interior Syndrome. 1. Sweating on the palms, soles, and axillae indicates an Interior Syndrome. 1. Dry throat and dry teeth indicate an Interior Syndrome. 1. Yellow or black tongue coating with dried-up body fluids indicates an Interior Syndrome. 1. Constipation indicates an Interior Syndrome. If any one of the above symptoms is observed, regardless of the number of days since onset, it can be determined as a transmitted Interior Syndrome; purgation is undoubtedly indicated. If the diaphoretic method is mistakenly used, it will lead to ulcerated macules (Ban Lan).