太阳之脉,色荣颧骨,热病也。荣未夭,曰今且得汗,待时自已。与厥阴脉争见者,死期不过三日,其热病气内连
肾。少阳之脉,色荣颊前,热病也。荣未夭,曰今且得汗,待时自已。与少阴脉争见者,死期不过三日。
热病七、八日,脉微小,病者溲血,口中干,一日半而死。脉代者,一日死。
热病七、八日,脉不躁喘,不数,后三日中有汗。三日不汗,四日死。未曾汗,勿肤刺(肤,一作庸)。
热病三、四日,脉不喘,其动均者,身虽烦热,今自得汗,生。
传曰∶始腑入脏,终阴复还阳,故得汗。
热病七、八日,脉不喘,其动均者,生。微热在阳不入阴,今自汗也。
热病七、八日,脉不喘,动数均者,病当喑。期三日不得汗,四日死。
热病,身面尽黄而肿,心热,口干,舌卷,焦黄黑,身麻臭,伏毒伤肺。中脾者,死。
热病,螈 ,狂言,不得汗,螈 不止,伏毒伤肝,中胆者,死。
热病,汗不出,出不至足,呕胆,吐血,善惊不得卧,伏毒在肝。腑足少阳者,死。
热病,腹满 胀,身热者,不得大小便,脉涩小疾,一逆见,死。
热病,肠鸣腹满,四肢清,泄注,脉浮大而洪不已,二逆见,死。
热病,大衄不止,腹中痛,脉浮大绝,喘而短气,三逆见,死。
热病,呕且便血,夺形肉,身热甚,脉绝动疾,四逆见,死。
热病,咳喘,悸眩,身热,脉小疾,夺形肉,五逆见,死。
热病,腹大而胀,四肢清,夺形肉,短气,六逆见,一旬内死。
热病,腹胀便血,脉大,时时小绝,汗出而喘,口干舌焦,视不见人,七逆见,一旬死。
热病,身热甚,脉转小,咳而便血,目眶陷,妄言,手循衣缝,口干,躁扰不得卧,八逆见,一时死。
热病,螈 ,狂走,不能食,腹满,胸痛,引腰脐背,呕血,九逆见,一时死。
热病,呕血,喘咳,烦满,身黄,其腹鼓胀,泄不止,脉绝,十逆见,一时死。
太阳经的脉象,如果颧骨部位出现赤色,这是热病。如果面色尚未枯槁败坏,说明今天应当能够出汗,等到相应的时辰就会自行痊愈。如果太阳脉与厥阴脉同时显现,死亡期限不超过三天,这是因为热邪之气内连于肾。
少阳经的脉象,如果脸颊前方出现赤色,这是热病。如果面色尚未枯槁败坏,说明今天应当能够出汗,等到相应的时辰就会自行痊愈。如果少阳脉与少阴脉同时显现,死亡期限不超过三天。
患热病七八日,脉象微小,病人尿血,口中干燥,一天半后死亡。如果脉象出现代脉(脉搏节律不齐,有规律地间歇),一天后死亡。
患热病七八日,脉象不躁动急促,也不数急,预示后三日中会有汗出。如果三日没有汗出,第四天就会死亡。如果从未出汗,不要进行皮肤刺络放血(“肤”字,另一版本作“庸”)。
患热病三四日,脉象不喘促,脉搏跳动均匀,虽然身体烦热,但如果能自然出汗,则生机可保。
医籍记载:病邪起初由腑传入脏,最终阴气回复并转还于阳,所以能够出汗而愈。
患热病七八日,脉象不喘促,脉搏跳动均匀,预后良好。微热在阳分而未入阴分,所以能自然出汗。
患热病七八日,脉象不喘促,脉搏跳动数而均匀,病人应当失音。如果期限到了三日仍无汗出,第四天就会死亡。
患热病,全身和面部都发黄且浮肿,心中烦热,口干,舌体卷缩,舌苔焦黄黑,身体麻木且有臭气,这是伏毒损伤肺脏。如果病邪中伤脾脏,则死亡。
患热病,出现抽搐、胡言乱语,不能出汗,抽搐不止,这是伏毒损伤肝脏,如果病邪中伤胆腑,则死亡。
患热病,不出汗,或者汗出不到足部,呕吐胆汁,吐血,容易惊恐无法安卧,这是伏毒在肝。如果病邪传足少阳腑,则死亡。
患热病,腹部胀满,身体发热,大小便不通利,脉象涩小且疾速,出现一种逆证,死亡。
患热病,肠鸣腹胀,四肢寒冷,腹泻如水,脉象浮大洪盛而不减退,出现两种逆证,死亡。
患热病,鼻衄不止,腹中疼痛,脉象浮大至极或断绝,气喘且短气,出现三种逆证,死亡。
患热病,呕吐且大便出血,形体肌肉消瘦脱失,身体发热严重,脉象绝止、跳动疾速,出现四种逆证,死亡。
患热病,咳嗽气喘,心悸眩晕,身体发热,脉象细小疾速,形体肌肉消瘦脱失,出现五种逆证,死亡。
患热病,腹部肿大且胀满,四肢寒冷,形体肌肉消瘦脱失,短气,出现六种逆证,十日内死亡。
患热病,腹胀且大便出血,脉象大,时常出现细微欲绝之象,汗出且气喘,口干舌焦,视物不见人,出现七种逆证,十日内死亡。
患热病,身体发热严重,脉象反而变小,咳嗽且大便出血,眼眶凹陷,胡言乱语,手循摸衣缝,口干,烦躁扰乱无法安卧,出现八种逆证,一时辰内死亡。
The pulse of the Taiyang (Greater Yang) channel, if redness manifests on the cheekbones, indicates a Heat Disease. If the luster has not yet perished, it is predicted that sweat will be obtained today; awaiting the appropriate time, the condition will resolve spontaneously. If the Taiyang pulse appears simultaneously with the Jueyin (Terminal Yin) pulse, death will occur within three days, as the pathogenic heat qi internally connects to the Kidney.
The pulse of the Shaoyang (Lesser Yang) channel, if redness manifests on the front of the cheeks, indicates a Heat Disease. If the luster has not yet perished, it is predicted that sweat will be obtained today; awaiting the appropriate time, the condition will resolve spontaneously. If the Shaoyang pulse appears simultaneously with the Shaoyin (Lesser Yin) pulse, death will occur within three days.
In a Heat Disease lasting seven or eight days, if the pulse is minute and slight, and the patient experiences hematuria (blood in urine) and dry mouth, death will occur in one and a half days. If the pulse is Dai (intermittent), death will occur in one day.
In a Heat Disease lasting seven or eight days, if the pulse is not rapid/agitated nor frequent, it indicates that sweating will occur within the following three days. If there is no sweating after three days, death will occur on the fourth day. If sweating has not occurred at all, do not perform skin pricking (the character "Fu", in another version written as "Yong").
In a Heat Disease lasting three or four days, if the pulse is not panting/rapid and the movement is even, although the body feels irritable and hot, if spontaneous sweating occurs, life can be preserved.
It is recorded: When pathogens initially enter the Zang organs from the Fu organs, and finally Yin returns to Yang, sweating occurs, leading to recovery.
In a Heat Disease lasting seven or eight days, if the pulse is not panting/rapid and the movement is even, the prognosis is good. Slight heat remains in the Yang level without entering Yin, allowing for spontaneous sweating.
In a Heat Disease lasting seven or eight days, if the pulse is not panting/rapid but is frequent and even, the patient should become aphonic. If sweating does not occur by the third day, death will occur on the fourth day.
In a Heat Disease, if the entire body and face are yellow and swollen, with heart heat, dry mouth, curled tongue, scorched yellow-black coating, numbness of the body, and foul odor, this indicates latent toxin injuring the Lung. If the pathology strikes the Spleen, death ensues.
In a Heat Disease, if there are convulsions, delirious speech, inability to sweat, and unceasing convulsions, this indicates latent toxin injuring the Liver. If the pathology strikes the Gallbladder, death ensues.
In a Heat Disease, if there is no sweating, or sweating does not reach the feet, accompanied by vomiting bile, hematemesis (vomiting blood), and frequent fright preventing sleep, this indicates latent toxin in the Liver. If the pathology transmits to the Foot-Shaoyang (Gallbladder) Fu organ, death ensues.
In a Heat Disease, if there is abdominal fullness and distension, body heat, and inability to urinate or defecate, with a choppy, small, and rapid pulse, the appearance of one contrary sign indicates death.
In a Heat Disease, if there is borborygmus (bowel sounds) and abdominal fullness, cold limbs, and profuse watery diarrhea, with a floating, large, and surging pulse that does not subside, the appearance of two contrary signs indicates death.
In a Heat Disease, if there is continuous epistaxis (nosebleed), abdominal pain, a floating and large pulse that is extreme or cut off, panting, and shortness of breath, the appearance of three contrary signs indicates death.
In a Heat Disease, if there is vomiting and hematochezia (blood in stool), emaciation of flesh and form, severe body heat, and a pulse that is cut off, beating rapidly, the appearance of four contrary signs indicates death.
In a Heat Disease, if there is coughing and panting, palpitations, dizziness, body heat, a small and rapid pulse, and emaciation of flesh and form, the appearance of five contrary signs indicates death.
In a Heat Disease, if there is abdominal swelling and distension, cold limbs, emaciation of flesh and form, and shortness of breath, the appearance of six contrary signs indicates death within ten days.
In a Heat Disease, if there is abdominal distension and hematochezia, a large pulse that frequently becomes minute and nearly absent, sweating with panting, dry mouth and scorched tongue, and blindness (inability to see people), the appearance of seven contrary signs indicates death within ten days.
In a Heat Disease, if there is severe body heat, the pulse turns small, coughing with hematochezia, sunken eye sockets, delirious speech, picking at clothes seams, dry mouth, and restlessness preventing sleep, the appearance of eight contrary signs indicates death within one shichen (two-hour period).
In a Heat Disease, if there are convulsions,狂跑 (running wildly), inability to eat, abdominal fullness, chest pain radiating to the lower back and umbilicus, hematemesis, the appearance of nine contrary signs indicates death within one shichen.
In a Heat Disease, if there is hematemesis, panting and coughing, irritability and fullness, yellow body, drum-like abdominal distension, unceasing diarrhea, and a cut-off pulse, the appearance of ten contrary signs indicates death within one shichen.