（《素问·热论》连前篇）
帝曰∶其病两感于寒者，其脉应与其病形何如？岐伯曰∶两感于寒者，病一日则巨阳与少阴俱病，则头痛口干而烦
满。（两感者，表里同病也。足太阳与少阴为表里，故在太阳则为头痛，在少阴则为口干烦满。）二日则阳明与太阴俱病，
则腹满身热，不欲食谵言。（阳明太阴为表里，二经同病也。谵言，妄言也。阳明病则身热谵言，太阴病则腹满不欲食。
谵音占。）三日则少阳与厥阴俱病，则耳聋囊缩而厥，水浆不入，不知人，六日死。（少阳厥阴表里同病也。少阳病则为
耳聋，厥阴病则为囊缩而厥。至是则三阴三阳俱受病，故水浆不入，昏不知人，于六日之际当死也。）帝曰∶五脏已伤，
六腑不通，荣卫不行，如是之后，三日乃死何也？（如此之后，三日乃死，谓两感传遍之后，复三日而死也。盖即六日
之义。）岐伯曰∶阳明者，十二经脉之长也，其血气盛，故不知人；三日其气乃尽，故死矣。（阳明为水谷气血之海，胃
气之所出也，故为十二经脉之长，且为多气多血之经，若感于邪，其邪必甚，故不知人。凡两感于邪者，三日之后，胃
气乃尽，故当死也。按∶门人钱祯曰∶两感者，本表里之同病，似若皆以外邪为言，而实有未必尽然者，正以内外俱伤，
便是两感。今见少阴先溃于内，而太阳继之于外者，即纵情肆欲之两感也。太阴受伤于里，而阳明重感于表者，即劳倦
竭力、饮食失调之两感也。厥阴气逆于脏，少阳复病于腑者，必七情不慎、疲筋败血之两感也。人知两感为伤寒，而不
知伤寒之两感，内外俱困，病斯剧矣。但伤有重轻，医有肾不肖，则死生系之。或谓两感之证不多见者，盖亦见之不广，
而义有未达耳。此言最切此病，诚发人之未发，深足指迷，不可不录也。）
（《素问·热论》承接前一篇）
黄帝问道：两感于寒的病证，其脉象与病症表现是怎样的？岐伯回答说：两感于寒的病证，第一天太阳病（太阳经受邪所致的病证）与少阴病（少阴经受邪所致的病证）同时发病，就会出现头痛、口干且烦闷胀满的症状。（所谓两感，是指表里两经同时受病。足太阳膀胱经与足少阴肾经互为表里，所以在太阳经表现为头痛，在少阴经表现为口干烦满。）第二天阳明病（阳明经受邪所致的病证）与太阴病（太阴经受邪所致的病证）同时发病，就会出现腹部胀满、身体发热、不想进食并说胡话的症状。（阳明经与太阴经互为表里，这两经同时受病。谵言，即胡言乱语。阳明经受邪则身体发热、说胡话，太阴经受邪则腹部胀满、不想进食。谵音同“占”。）第三天少阳病（少阳经受邪所致的病证）与厥阴病（厥阴经受邪所致的病证）同时发病，就会出现耳聋、阴囊收缩且四肢厥冷，水浆不能入口，神志昏迷不知人，到了第六天就会死亡。（少阳经与厥阴经互为表里，两经同时受病。少阳经受邪则耳聋，厥阴经受邪则阴囊收缩且四肢厥冷。至此三阴三阳六经全部受病，所以水浆不入，昏睡不知人，大约在第六天之际应当死亡。）黄帝问道：五脏已经受损，六腑不通畅，营卫之气运行停滞，像这样之后，还要过三天才死亡，这是为什么呢？（像这样之后，再过三天才死亡，是指两感之邪传遍六经之后，又过了三天才死。这也就是第六天死亡的道理。）岐伯回答说：阳明经是十二经脉的主宰，它的血气最旺盛，所以会导致神志昏迷不知人；经过三天，它的气血耗尽，所以就会死亡。（阳明经是水谷气血汇聚的海，也是胃气发出的地方，所以作为十二经脉的主宰，且是多气多血的经脉，如果感受邪气，邪气必然很盛，所以导致神志昏迷不知人。凡是两感于邪气的病证，三天之后，胃气就会耗尽，所以应当死亡。按：门人钱祯说：两感之证，本来是表里两经同时受病，似乎都是指外邪而言，但实际上未必完全如此，正因为内外都受伤，才称为两感。现在见到少阴经先在内溃败，而太阳经随后在外受邪的，就是纵情肆欲导致的两感。太阴经在里受伤，而阳明经再次在外感受邪气的，就是劳倦竭力、饮食失调导致的两感。厥阴经气逆乱于脏，少阳经又在腑发病的，一定是七情不慎、疲筋败血导致的两感。人们只知道两感属于伤寒，却不知道伤寒中的两感，内外俱困，病情就会非常严重。但是伤情有轻重，医生医术有高低，生死就取决于此。有人说两感的病证不多见，大概是因为见得不多，且对义理没有透彻理解罢了。这段话最切合这种病，确实是启发前人未曾启发的见解，足以指引迷津，不可不记录下来。）
(Continuing from the previous chapter of *Suwen: Re Lun*)
The Yellow Emperor asked, "What are the pulse and clinical manifestations of a disease caused by simultaneous contraction of cold in both exterior and interior meridians (Lianggan Yu Han)?" Qibo replied, "In cases of Lianggan Yu Han, on the first day, the Taiyang meridian (Taiyang Meridian Disease) and Shaoyin meridian (Shaoyin Meridian Disease) are affected simultaneously, resulting in headache, dry mouth, and vexation with fullness. (Lianggan refers to simultaneous disease of exterior and interior. The Foot-Taiyang Bladder Meridian and Foot-Shaoyin Kidney Meridian are exterior-interior pairs; thus, disease in Taiyang manifests as headache, while disease in Shaoyin manifests as dry mouth and vexation/fullness.) On the second day, the Yangming meridian (Yangming Meridian Disease) and Taiyin meridian (Taisin Meridian Disease) are affected simultaneously, resulting in abdominal fullness, feverish body, anorexia, and delirious speech. (Yangming and Taiyin are exterior-interior pairs, suffering simultaneous disease. Delirious speech refers to妄言 [delirium]. Yangming disease causes fever and delirium, while Taiyin disease causes abdominal fullness and anorexia. 'Zhan' is pronounced like 'zhan'.) On the third day, the Shaoyang meridian (Shaoyang Meridian Disease) and Jueyin meridian (Jueyin Meridian Disease) are affected simultaneously, resulting in deafness, retraction of the scrotum, and cold extremities (Jue). If water and grain cannot be taken in and consciousness is lost, death will occur on the sixth day. (Shaoyang and Jueyin are exterior-interior pairs, suffering simultaneous disease. Shaoyang disease causes deafness, while Jueyin disease causes scrotal retraction and cold extremities. By this time, all three Yin and three Yang meridians are diseased; thus, inability to ingest fluids and loss of consciousness indicate that death should occur around the sixth day.) The Yellow Emperor asked, "If the five Zang organs are damaged, the six Fu organs are obstructed, and Ying and Wei Qi circulation ceases, why does death occur three days after such a state? (Death occurring three days after this state means that after the Lianggan pathogen has circulated through all meridians, death occurs three days later. This aligns with the principle of death on the sixth day.)" Qibo answered, "The Yangming meridian is the leader of the twelve meridians, possessing abundant blood and Qi; therefore, it leads to loss of consciousness. After three days, its Qi is exhausted, leading to death. (Yangming is the sea of water and grain and the source of Stomach Qi, making it the leader of the twelve meridians and a meridian rich in Qi and Blood. If affected by pathogens, the pathogenic factor is severe, causing loss of consciousness. In cases of Lianggan, after three days, Stomach Qi is exhausted, leading to death. Note: My disciple Qian Zhen stated: Lianggan is originally simultaneous disease of exterior and interior meridians. Although it seems to refer solely to external pathogens, it is not necessarily so; rather, it is called Lianggan because both internal and external aspects are injured. For instance, when Shaoyin fails internally first, followed by Taiyang externally, this is Lianggan caused by licentious desires. When Taiyin is injured internally, and Yangming is re-exposed to external pathogens, this is Lianggan caused by overexertion and dietary irregularity. When Jueyin Qi rebels within the Zang, and Shaoyang becomes diseased in the Fu, this is Lianggan caused by emotional impropriety and exhaustion of sinews and blood. People know Lianggan as part of Shanghan (Cold Damage), but do not realize that in Shanghan, Lianggan involves both internal and external distress, making the condition severe. However, the severity of injury and the skill of the physician determine survival or death. Some say Lianggan cases are rare, likely due to limited exposure and lack of deep understanding. This statement is highly relevant to this disease, truly enlightening previously unenlightened insights, sufficient to guide the confused, and must be recorded.)"