动息自宁，饮食知味一；大小便调二；脓溃肿消水鲜不臭三；神彩精明，语声清亮四；体气
和平五善也。大渴发热，泄泻或闭一（黄 竹叶汤。气血俱虚，八珍汤加黄 、麦冬、五味、山
药。或八味丸方， 咀煎服。）脓血既泄，肿痛尤甚，脓色败臭二（人参黄 汤，或十全大补汤
加麦冬、五味。）目视不正，黑睛紧小，白睛青赤，瞳子上视三（六味丸加山栀、麦冬、五味。
如未效，八珍汤加山栀、麦冬、五味子。）喘粗短气，恍惚嗜卧四（六君子加姜、枣。如未效，
补中益气汤加山药、山萸、五味、赤茯苓。十全大补汤加山药、山萸、五味之类。） 肩背不便
，四肢沉重五（补中益气加山萸、山药、五味。如未效，十全大补加山萸、山药、五味子。）不
能服药，饮食不下，舌不知味六（六君子加木香、砂仁。如未效，加附子。）声嘶色败，唇鼻青
赤，面目四肢浮肿，七恶也（补中益气加姜，枣。未效，六君子加炮姜。甚者加附子，或十全加
附子，炮姜。）若腹痛泄泻，咳逆昏溃，救里温中汤。后用六君子加附子、姜、桂。若溃后寒热
作渴，怔忡惊悸，寤寐不宁，牙关紧急，自汗、脉洪大，按之如无。或身热恶衣，欲投于水，或
浓衣仍寒，或手足逆冷，腰背反张，颈项劲强，急用参、苓、归、术、附子救之。五善见三则吉
，七恶见四则危。实证见恶候可治，虚证见恶候不可治。
动则呼吸平稳，饮食能知滋味，这是第一善；大小便通畅调和，这是第二善；脓液排出、肿胀消退，且脓水清鲜无臭味，这是第三善；精神光彩精明，语声清晰洪亮，这是第四善；身体气息平和，这称为五善。
大渴、发热，泄泻或小便闭塞不通，这是第一恶（治法：黄竹叶汤。若属气血俱虚，用八珍汤加黄芪、麦冬、五味子、山药。或者使用八味丸方，锉碎后煎服。）脓血已排泄，但肿痛反而更加严重，脓色败坏发臭，这是第二恶（治法：人参黄芪汤，或者十全大补汤加麦冬、五味子。）眼睛视物不正，黑睛紧缩变小，白睛呈现青红色，瞳仁向上翻视，这是第三恶（治法：六味丸加山栀、麦冬、五味子。如果无效，用八珍汤加山栀、麦冬、五味子。）气喘粗重、短气，神志恍惚、嗜睡懒卧，这是第四恶（治法：六君子汤加生姜、大枣。如果无效，用补中益气汤加山药、山萸肉、五味子、赤茯苓。或者使用十全大补汤加山药、山萸肉、五味子之类。）肩背活动不便，四肢沉重，这是第五恶（治法：补中益气汤加山萸肉、山药、五味子。如果无效，用十全大补汤加山萸肉、山药、五味子。）不能服药，饮食无法下咽，舌头不知滋味，这是第六恶（治法：六君子汤加木香、砂仁。如果无效，加附子。）声音嘶哑、面色败坏，嘴唇和鼻子呈现青赤色，面目及四肢浮肿，这是第七恶（治法：补中益气汤加生姜、大枣。如果无效，用六君子汤加炮姜。病情严重的加附子，或者十全大补汤加附子、炮姜。）
如果出现腹痛泄泻，咳嗽气逆、神志昏乱溃散，使用救里温中汤。之后再用六君子汤加附子、生姜、桂枝。如果在溃疡后出现寒热交替、口渴，心悸怔忡、惊悸不安，睡眠不宁，牙关紧急，自汗出、脉象洪大但按之空虚无力。或者身体发热却厌恶衣物，想要投入水中，或者穿着厚衣仍觉寒冷，或者手足逆冷，腰背反张，颈项僵硬强直，急需用人参、茯苓、当归、白术、附子来救治。五善证见到三种即为吉利，七恶证见到四种即为危重。实证见到恶候可以治疗，虚证见到恶候则不可治疗。
Breathing and movement are calm, and food and drink have flavor; this is the first "Good" (Shan). Bowel movements and urination are regulated; this is the second "Good". Pus discharges, swelling subsides, and the fluid is fresh without foul odor; this is the third "Good". Spirit is bright and clear, voice is crisp and resonant; this is the fourth "Good". Body qi is harmonious and peaceful; these are collectively known as the Five Goods.
Intense thirst with fever, diarrhea or urinary retention; this is the first "Bad" (E) (Treatment: Huang Zhu Ye Tang [Yellow Bamboo Leaf Decoction]. If due to deficiency of both Qi and Blood, use Bazhen Tang [Eight Treasure Decoction] added with Huangqi [Astragali Radix], Maidong [Ophiopogonis Radix], Wuweizi [Schisandrae Fructus], and Shanyao [Dioscoreae Rhizoma]. Alternatively, use Bawei Wan [Eight-Ingredient Pill], crushed and decocted for administration.) After pus and blood have discharged, yet pain and swelling are even more severe, and the pus color is败坏 (decayed) and foul-smelling; this is the second "Bad" (Treatment: Renshen Huangqi Tang [Ginseng and Astragalus Decoction], or Shiquan Dabu Tang [Ten Complete Tonifying Decoction] added with Maidong and Wuweizi.) Eyes gaze abnormally, the black pupil is tight and small, the white sclera is greenish-red, and the pupil looks upward; this is the third "Bad" (Treatment: Liuwei Wan [Six-Ingredient Pill] added with Shanzhi [Gardeniae Fructus], Maidong, and Wuweizi. If ineffective, use Bazhen Tang added with Shanzhi, Maidong, and Wuweizi.) Rapid and coarse breathing with shortness of breath, mental confusion and somnolence; this is the fourth "Bad" (Treatment: Liujunzi Tang [Six Gentlemen Decoction] added with Shengjiang [Zingiberis Rhizoma Recens] and Dazao [Jujubae Fructus]. If ineffective, use Buzhong Yiqi Tang [Tonify the Middle and Augment the Qi Decoction] added with Shanyao, Shanyuzhu [Corni Fructus], Wuweizi, and Chifuling [Poria cum Ligno]. Or use Shiquan Dabu Tang added with Shanyao, Shanyuzhu, and Wuweizi.) Inconvenience in shoulders and back, heaviness in the four limbs; this is the fifth "Bad" (Treatment: Buzhong Yiqi Tang added with Shanyuzhu, Shanyao, and Wuweizi. If ineffective, use Shiquan Dabu Tang added with Shanyuzhu, Shanyao, and Wuweizi.) Inability to take medicine, inability to swallow food, tongue loses sense of taste; this is the sixth "Bad" (Treatment: Liujunzi Tang added with Muxiang [Aucklandiae Radix] and Sharen [Amomi Fructus Rotundus]. If ineffective, add Fuzi [Aconiti Lateralis Radix Praeparata]). Hoarse voice and deteriorated complexion, lips and nose appear greenish-red, edema of face, eyes, and four limbs; this is the seventh "Bad" (Treatment: Buzhong Yiqi Tang added with Shengjiang and Dazao. If ineffective, use Liujunzi Tang added with Paojiang [Zingiberis Rhizoma Preparatum]. For severe cases, add Fuzi, or use Shiquan Dabu Tang added with Fuzi and Paojiang.)
If abdominal pain and diarrhea occur, along with coughing, counterflow of Qi, coma, and ulceration, use Jiuli Wenzhong Tang [Decoction to Rescue the Interior and Warm the Middle]. Subsequently, use Liujunzi Tang added with Fuzi, Shengjiang, and Guizhi [Cinnamomi Ramulus]. If after ulceration there are alternating chills and fever, thirst, palpitations, fright, restlessness in sleep and wakefulness, locked jaw, spontaneous sweating, and a flooding pulse that feels empty upon pressure; or if there is body heat with aversion to clothing, desire to plunge into water, or feeling cold despite thick clothing, cold extremities, opisthotonos, and stiff neck, urgently rescue with Renshen [Ginseng Radix et Rhizoma], Fuling [Poria], Danggui [Angelicae Sinensis Radix], Baizhu [Atractylodis Macrocephalae Rhizoma], and Fuzi. If three of the Five Goods are present, it indicates auspiciousness; if four of the Seven Bads are present, it indicates critical danger. Excess patterns presenting with bad prognostic signs are treatable; deficiency patterns presenting with bad prognostic signs are untreatable.