热病,肺气绝,喘逆,咳唾血,手足腹肿,面黄,振栗不能言语,死。魄与皮毛俱去,故肺先死,丙日笃,丁日死。
热病,脾气绝,头痛,呕宿汁,不得食,呕逆吐血,水浆不得入,狂言谵语,腹大满,四肢不收,意不乐,死。脉
与肉气俱去,故脾先死,甲日笃,乙日死。
热病,心主气绝,烦满,骨痛(一作螈),嗌肿,不可咽,欲咳不能咳,歌哭而笑,死。神与荣脉俱去,故心先死。
壬日笃,癸日死。
热病,肝气绝,僵仆,足不安地,呕血,恐惧,洒淅恶寒,血妄出,遗屎溺,死。魂与筋血俱去,故肝先死。庚日
笃,辛日死。
热病,肾气绝,喘悸,吐逆,肿疽,尻痈,目视不明,骨痛,短气,喘满,汗出如珠,死。精与骨髓俱去,故肾先
死。戊日笃,巳日死。故外见瞳子青小,爪甲枯,发堕,身涩,齿挺而垢,人皮面浓尘黑,咳而唾血,渴欲数饮,大满,
此五脏绝,表病也。
热病,脉四至,三日死,脉四至者,平人一至,病患脉四至也。
热病,脉五至,一日死。时一大至,半日死,忽忽闷乱者,死。
热病,脉六至,半日死。忽急疾大至,有顷死。
热病脉,四损,三日死。所谓四损者,平人四至,病患脉一至,名曰四损。
热病脉,五损,一日死。所谓五损者,平人五至,病患脉一至,名曰五损。
热病脉,六损,一时死,所谓六损者,平人六至,病患脉一至,名曰六损。若绝不至,或久乃至,立死。治伤寒形
证所宜进退晋王叔和集仲景评脉要论。
热病,肺气衰竭,出现气喘上逆、咳嗽吐血的症狀,手足及腹部肿胀,面色发黄,身体颤抖寒栗且不能言语,预后不良,将会死亡。魄与皮毛一同离去,所以肺脏最先衰竭而死,在丙日病情加重,丁日死亡。
热病,脾气衰竭,出现头痛、呕吐隔夜宿汁、无法进食、呕逆吐血、水浆无法入口、胡言乱语神志不清、腹部胀满、四肢无力收持、心情不悦等症状,预后不良,将会死亡。脉气与肌肉之气一同离去,所以脾脏最先衰竭而死,在甲日病情加重,乙日死亡。
热病,心主之气衰竭,出现心烦胸满、骨痛(另一种说法为抽搐)、咽喉肿痛、吞咽困难、想咳却咳不出、哭笑无常等症状,预后不良,将会死亡。神志与营血经脉一同离去,所以心脏最先衰竭而死。在壬日病情加重,癸日死亡。
热病,肝气衰竭,出现突然僵倒、双脚无法着地、呕血、恐惧、战栗恶寒、血液妄行外溢、大小便失禁等症状,预后不良,将会死亡。魂与筋血一同离去,所以肝脏最先衰竭而死。在庚日病情加重,辛日死亡。
热病,肾气衰竭,出现气喘心悸、呕吐逆气、肿疽、尾骶部痈肿、视物不明、骨痛、呼吸短促、气喘胸满、汗出如珠等症状,预后不良,将会死亡。精气与骨髓一同离去,所以肾脏最先衰竭而死。在戊日病情加重,巳日死亡。如果外表见到瞳孔缩小色青、指甲干枯、头发脱落、身体干涩、牙齿挺露且有污垢、人皮表面覆盖浓重尘黑色泽、咳嗽吐血、口渴想要多次饮水、腹部胀满,这是五脏气绝的表现,属于表证危候。
热病,脉搏跳动四次(指一呼一吸间脉动次数异常),三日死亡。所谓“脉四至”,是指正常人的脉搏一息一至,而病患脉搏达到四至。
热病,脉搏跳动五次,一日死亡。如果偶尔出现一次大幅度的脉动,半日死亡;如果患者感到恍惚闷乱,将会死亡。
热病,脉搏跳动六次,半日死亡。如果脉搏忽然急促疾速且幅度极大,不久后死亡。
热病,脉象呈现“四损”(指脉搏极度微弱缓慢),三日死亡。所谓“四损”,是指正常人脉搏一息四至,而病患脉搏仅一息一至,称为“四损”。
热病,脉象呈现“五损”,一日死亡。所谓“五损”,是指正常人脉搏一息五至,而病患脉搏仅一息一至,称为“五损”。
热病,脉象呈现“六损”,一时辰内死亡。所谓“六损”,是指正常人脉搏一息六至,而病患脉搏仅一息一至,称为“六损”。如果脉搏完全停止跳动,或者很久才跳动一次,将会立即死亡。以上论述适用于治疗伤寒时形证所宜采取的进退策略,出自晋代王叔和集录的仲景评脉要论。
In heat diseases, when Lung Qi is exhausted, symptoms include panting and counterflow qi (rebellious qi), coughing up blood, swelling of the hands, feet, and abdomen, yellowish complexion, tremors and chills with inability to speak; death ensues. The Po (Corporeal Soul) departs together with the skin and hair; thus, the Lung fails first. The condition worsens on Bing days and death occurs on Ding days.
In heat diseases, when Spleen Qi is exhausted, symptoms include headache, vomiting of old fluids, inability to eat, retching and vomiting of blood, inability to take in water or gruel, delirious speech, abdominal fullness, limbs unable to be controlled, and mental distress; death ensues. Pulse Qi departs together with Muscle Qi; thus, the Spleen fails first. The condition worsens on Jia days and death occurs on Yi days.
In heat diseases, when the Qi of the Heart Master is exhausted, symptoms include vexation and chest fullness, bone pain (alternatively described as convulsions/tetany), throat swelling with difficulty swallowing, desire to cough but inability to do so, inappropriate laughter and crying; death ensues. Shen (Spirit) departs together with Ying Blood and vessels; thus, the Heart fails first. The condition worsens on Ren days and death occurs on Gui days.
In heat diseases, when Liver Qi is exhausted, symptoms include sudden stiff collapse, feet unable to touch the ground, vomiting of blood, fearfulness, shivering aversion to cold, spontaneous bleeding, and incontinence of urine and feces; death ensues. Hun (Ethereal Soul) departs together with Sinew and Blood; thus, the Liver fails first. The condition worsens on Geng days and death occurs on Xin days.
In heat diseases, when Kidney Qi is exhausted, symptoms include panting and palpitations, vomiting and counterflow qi, swellings and carbuncles, sores at the sacrum, blurred vision, bone pain, shortness of breath, panting and chest fullness, and sweat like pearls; death ensues. Jing (Essence) departs together with Bone Marrow; thus, the Kidney fails first. The condition worsens on Wu days and death occurs on Si days. If externally one observes small blue pupils, withered nails, falling hair, rough body texture, protruding teeth with dirt accumulation, skin covered in thick dusty blackness, coughing up blood, thirst with frequent drinking desires, and severe abdominal fullness, this indicates exhaustion of the Five Zang organs, representing a critical exterior disease pattern.
In heat diseases, if the pulse beats four times per respiration cycle, death occurs in three days. "Four beats" refers to the normal person having one beat per respiration cycle, whereas the patient has four beats.
In heat diseases, if the pulse beats five times per respiration cycle, death occurs in one day. If occasionally there is a single large surge, death occurs in half a day. If the patient feels suddenly confused and disordered, death ensues.
In heat diseases, if the pulse beats six times per respiration cycle, death occurs in half a day. If the pulse becomes suddenly rapid and forceful, death occurs shortly after.
In heat diseases, if the pulse shows "Four Damages" (Si Sun), death occurs in three days. "Four Damages" means that while a normal person's pulse beats four times per respiration cycle, the patient's pulse beats only once, termed "Four Damages."
In heat diseases, if the pulse shows "Five Damages," death occurs in one day. "Five Damages" means that while a normal person's pulse beats five times per respiration cycle, the patient's pulse beats only once, termed "Five Damages."
In heat diseases, if the pulse shows "Six Damages," death occurs within one Shichen (two-hour period). "Six Damages" means that while a normal person's pulse beats six times per respiration cycle, the patient's pulse beats only once, termed "Six Damages." If the pulse ceases completely or beats very slowly after a long interval, immediate death occurs. These principles guide the advancement and retreat of treatment strategies for Taiyang Cold Damage patterns, compiled by Wang Shuhe of the Jin Dynasty from Zhang Zhongjing's evaluation of pulse essential theories.