少阴病，脉细沉数，病为在里，不可发其汗。
脉浮而紧，法当身体疼痛，当以汗解。假令尺中脉迟者，不可发其汗。何以知然？此为荣气不足，血微少故也。
少阴病，脉微（一作濡而微弱）。不可发其汗，无阳故也。
脉濡而弱，弱反在关，濡反在巅。微反在上，涩反在下。微则阳气不足，涩则无血。阳气反微，中风汗出而反躁烦，
涩则无血，厥而且寒，阳微发汗，躁不得眠。
动气在右，不可发汗。发汗则衄而渴，心苦烦，饮即吐水。
动气在左，不可发汗。发汗则头眩，汗不止，筋惕肉 。
动气在上，不可发汗。发汗则气上冲，正在心端。
动气在下，不可发汗。发汗则无汗，心中大烦，骨节苦疼，目运恶寒，食即反吐，谷不得前（一云谷不消化）。
咽中闭塞，不可发汗。发汗则吐血，气微绝，手足逆冷，欲得蜷卧，不能自温。
诸脉数，动微弱，并不可发汗。发汗则大便难，腹中干（一云小便难，胞中干）胃燥而烦。其形相象根本异源。脉
濡而弱，弱反在关，濡反在巅，弦反在上，微反在下。弦为阳运，微为阴寒，上实下虚，意欲得温。微弦为虚，不可发
汗，发汗则寒栗，不能自还。
咳者则剧，数吐涎沫，咽中必干，小便不利，心中饥烦， 时而发，其形似疟，有寒无热，虚而寒栗。咳而发汗，
蜷而苦满（满，一作心痛），腹中复坚。厥，不可发汗，发汗则声乱，咽嘶，舌萎，谷不得前。
诸逆发汗，微者难愈，剧者言乱，睛眩者死，命将难全。
太阳病，得之八、九日，如疟状，发热而恶寒，热多寒少，其人不呕，清便续自可，一日再三发，其脉微而恶寒，
此为阴阳俱虚，不可复发汗也。
太阳病，发热恶寒，热多寒少，脉微弱，则无阳也，不可复发其汗。咽干燥者，不可发汗。
亡血家，不可攻其表，汗出则寒栗而振。
衄家，不可攻其表，汗出必额陷，脉上促急而紧，直视而不能 ，不得眠。
汗家，重发其汗，必恍惚心乱，小便已阴疼，可与禹余粮丸。
淋家，不可发汗，发其汗，必便血。
疮家，虽身疼痛，不可攻其表，汗出则 （一作痉，下同）
冬时发其汗，必吐利，口中烂，生疮。
下利清谷，不可攻其表，汗出必胀满。咳而小便利，若失小便，不可攻其表，汗出则厥逆冷。汗出多极，发其汗，
亦坚。
伤寒一、二日至四、五日，厥者必发热，前厥者后必热，厥深者热亦深，厥微者热亦微。厥应下之，而反发其汗，
必口伤烂赤。病患脉数，数为有热，当消谷引食。反吐者，医发其汗，阳微，膈气虚，脉则为数，数为客阳，不能消谷，
胃中虚冷，故令吐也。
伤寒四、五日，其脉沉，烦而喘满，脉沉者，病为在里，反发其汗，津液越出，大便为难，表虚里实，久则谵语。
伤寒头痛，翕翕发热，形象中风，常微汗出。又自呕者，下之益烦心，懊 如饥，发汗则致 ，身强难以屈伸，熏
之则发黄，不得小便，久则发咳唾。
太阳病，发其汗，因致 。
伤寒脉弦细，头痛而反发热，此属少阳，少阳不可发其汗。
太阳与少阳并病，头项强痛，或眩冒，时如结胸，心下痞坚者，不可发其汗。
少阴病，咳而下利，谵语者，此被火气劫故也。小便必难，以强责少阴汗也。
少阴病，但厥无汗，而强发之，必动其血，未知从何道出，或从口鼻，或从目出，（一本作耳目）者是为下厥上竭，
为难治。
伤寒有五，皆热病之类也。同病异名，同脉异经。病虽俱伤于风，其人自有痼疾，则不得同法，其人素伤于风，因
复伤于热，风热相薄，则发风温，四肢不收，头痛身热，常汗出不解，治在少阴、厥阴，不可发汗。汗出谵言独语，内
烦，躁扰不得卧，善惊，目乱无精，治之复发其汗，如此者医杀之也。伤寒湿温，其人常伤于湿，因而中 ，湿热相薄，
则发湿温。病苦两胫逆冷，腹满叉胸，头目痛苦，妄言，治在足太阴，不可发汗。汗出必不能言，耳聋，不知痛所在，
身青，面色变，名曰重 ，如此者死医杀之也。（上二首出《医律》）
脉象浮而紧，按照常规应当出现身体疼痛，应该用发汗法解除表邪。假如尺部脉搏迟缓，就不可发汗。为什么这样判断？这是因为营气不足，血液微少的缘故。
少阴病，脉象微弱（另一种说法是濡软且微弱），不可发汗，这是因为阳气虚弱的缘故。
脉象濡软而弱，弱脉反而出现在关部，濡脉反而出现在寸部（巅指寸口）。微脉反而出现在上部，涩脉反而出现在下部。微脉表示阳气不足，涩脉表示无血。阳气反而微弱，中风后出汗却反而出现躁动烦乱；涩脉表示无血，四肢厥冷而且寒战，阳气微弱而误用发汗法，会导致躁动不安无法入睡。
脐周或腹部有搏动感（动气）在右侧，不可发汗。发汗则会导致鼻出血且口渴，心中苦闷烦热，喝水后立即呕吐。
脐周或腹部有搏动感在左侧，不可发汗。发汗则导致头晕目眩，汗出不止，筋肉跳动。
脐周或腹部有搏动感在上方，不可发汗。发汗则导致气上冲，直冲心窝部位。
脐周或腹部有搏动感在下方，不可发汗。发汗则导致无汗，心中极度烦乱，骨节剧烈疼痛，眼花眩晕且恶寒，进食后即反吐，食物无法下行消化。
咽喉部闭塞不通，不可发汗。发汗则导致吐血，气息微弱近乎断绝，手足逆冷，想要蜷缩卧倒，不能自我温暖。
各种脉象数急，但跳动微弱，都不可发汗。发汗则导致大便困难，腹中干燥（另一种说法是小便困难，膀胱内干燥），胃燥而烦乱。这些症状表象相似，但根本病因不同。脉象濡软而弱，弱脉反而出现在关部，濡脉反而出现在寸部，弦脉反而出现在上部，微脉反而出现在下部。弦脉代表阳气运行异常，微脉代表阴寒，上实下虚，意念想要温补。微弦脉属于虚证，不可发汗，发汗则会导致寒战栗抖，无法恢复常态。
咳嗽严重的，频繁吐出涎沫，咽喉必然干燥，小便不利，心中饥饿烦乱，症状时而发作，外形类似疟疾，只有寒战没有发热，这是虚证导致的寒战。咳嗽而误用发汗法，会导致蜷缩卧倒且苦于胸满（另一种说法是心痛），腹中又变得坚硬。四肢厥冷者，不可发汗，发汗则导致声音混乱，咽喉嘶哑，舌体萎软无力，食物无法下行。
各种逆证误用发汗法，病情轻的难以痊愈，病情重的会出现言语错乱，眼睛昏花眩晕的会死亡，生命难以保全。
太阳病，患病八、九日，症状像疟疾一样，发热而恶寒，热多寒少，病人不呕吐，大小便基本正常，一天发作两三次，如果脉象微弱且恶寒，这是阴阳俱虚，不可再次发汗。
太阳病，发热恶寒，热多寒少，脉象微弱，说明无阳（阳气虚），不可再次发汗。咽喉干燥者，不可发汗。
经常鼻出血的人，不可攻表发汗，发汗必然导致额部凹陷，脉搏急促而紧，两眼直视而不能转动，无法入睡。
多汗之人，如果再强行发汗，必然导致心神恍惚、心烦意乱，小便结束后阴部疼痛，可给予禹余粮丸治疗。
患有疮疡的人，虽然身体疼痛，不可攻表发汗，发汗则会导致痉病（另一种说法是痉挛，下同）。
下利清谷（排出未消化的食物），不可攻表发汗，发汗必然导致腹胀满。咳嗽且小便通畅，或者小便失禁者，不可攻表发汗，发汗则会导致四肢厥冷逆寒。出汗过多至极，再发汗，也会导致大便坚硬。
伤寒一、二日至四、五日，出现四肢厥冷的必然随后发热，先前厥冷的随后必发热，厥冷越深重，发热也越深重；厥冷轻微，发热也轻微。厥冷证应当用泻下法，如果反而发汗，必然导致口腔损伤溃烂发红。病人脉象数，数脉主热，应当能消化谷物并食欲旺盛。如果反而呕吐，是因为医生误用发汗法，导致阳气微弱，膈间气虚，脉象虽为数脉，但这数是客阳（假热），不能消化谷物，胃中虚冷，所以导致呕吐。
伤寒四、五日，脉象沉，烦躁且喘促胀满，脉沉说明病在里，如果反而发汗，津液外泄，大便就会困难，表虚里实，时间久了会出现谵语。
伤寒头痛，发热如蒙被状，形象像中风，常有微汗出。如果又自呕，用泻下法会使心烦加重，懊恼如饥，发汗则导致痉病，身体僵硬难以屈伸，用火熏法则发黄，小便不通，时间久了会引发咳嗽吐痰。
伤寒脉象弦细，头痛且反而发热，这属于少阳病，少阳病不可发汗。
太阳与少阳并病，头项强痛，有时头晕目眩，有时像结胸证，心下痞塞坚硬的，不可发汗。
少阴病，咳嗽且下利，出现谵语的，这是被火疗法劫夺津液的缘故。小便必然困难，因为强行责取少阴经的发汗所致。
少阴病，仅见四肢厥冷而无汗，如果强行发汗，必然扰动血液，不知道血液从哪个通道流出，有的从口鼻出，有的从眼睛出（另一版本说是耳目），这称为下厥上竭，属于难治之症。
伤寒有五类，都属于热病范畴。同一种病有不同的名称，同一种脉象可能对应不同的经络病变。病虽然都伤于风，但病人自身原有宿疾，就不能用同样的方法治疗。如果病人素来伤于风，又再次伤于热，风热相互搏结，就会发生风温，表现为四肢不收摄，头痛身热，常汗出而病不解，治疗应在少阴、厥阴经进行，不可发汗。如果发汗后出现胡言独语，内心烦乱，躁扰不得卧，容易惊恐，目光散乱无神，此时医生如果再次发汗，这样的医生就是杀人之医。伤寒中的湿温病，病人常伤于湿，进而中焦郁滞，湿热相互搏结，就会发生湿温。病人苦于两小腿逆冷，腹部胀满叉手护胸，头目痛苦，胡言乱语，治疗应在足太阴脾经进行，不可发汗。如果发汗，必然导致不能说话，耳聋，不知疼痛所在，身体发青，面色改变，名叫重暝（zhòng míng，指神识昏迷），这样的病人会死，也是医生杀之。（以上两条出自《医律》）
Shaoyin disease, with a fine, deep, and rapid pulse, indicates the pathology is in the interior; sweating therapy is contraindicated.
A floating and tight pulse typically presents with body pain and should be resolved by sweating. However, if the chi (cun kou) position pulse is slow, sweating is contraindicated. Why is this so? This is due to insufficiency of Ying Qi (Nutritive Qi) and slight deficiency of blood.
In Shaoyin disease, if the pulse is faint (alternatively described as soft and weak), sweating is contraindicated due to Yang Qi deficiency.
A pulse that is soft and weak: the weak quality is found at the guan (middle) position, while the soft quality is found at the cun (superficial/distal) position. The faint quality is found superiorly, and the choppy quality inferiorly. Faintness indicates insufficient Yang Qi; choppy indicates lack of blood. If Yang Qi is faint, wind-stroke with sweating may paradoxically cause restlessness and vexation. Choppy indicates lack of blood, leading to cold limbs and chills. Applying sweating to faint Yang Qi causes restlessness and insomnia.
If there is pulsation (Dong Qi) on the right, sweating is contraindicated. Sweating will cause epistaxis and thirst, severe mental distress, and vomiting immediately after drinking.
If pulsation is on the left, sweating is contraindicated. Sweating will cause dizziness, incessant sweating, and twitching of muscles and sinews.
If pulsation is above, sweating is contraindicated. Sweating will cause Qi to rush upward, striking directly at the heart region.
If pulsation is below, sweating is contraindicated. Sweating will result in anhidrosis, extreme mental distress, severe joint pain, vertigo, aversion to cold, regurgitation of food after eating, and inability of food to pass downward (alternatively stated as indigestion).
If the throat feels obstructed, sweating is contraindicated. Sweating will cause hematemesis, extremely weak or nearly absent respiration, cold limbs, a desire to curl up, and inability to self-warm.
For various pulses that are rapid but weak and faint, sweating is contraindicated. Sweating will cause difficult defecation and dry abdomen (alternatively stated as difficult urination and dry bladder), leading to gastric dryness and vexation. Although these conditions appear similar, their origins differ fundamentally. A pulse that is soft and weak: the weak quality is at the guan position, the soft at the cun position, the wiry quality superiorly, and the faint quality inferiorly. Wiry indicates abnormal Yang movement; faint indicates Yin cold. Upper excess and lower deficiency suggest a need for warming. Faint and wiry indicate deficiency; sweating is contraindicated. Sweating will cause shivering and inability to recover.
Severe coughing with frequent expectoration of saliva, dry throat, difficult urination, and mental hunger/vexation, occurring intermittently like malaria but with chills only and no fever, indicates deficiency-cold chills. Coughing combined with sweating leads to curling up and chest fullness (alternatively stated as heart pain) and abdominal hardness. In cases of Jue (cold limbs), sweating is contraindicated; it will cause voice disorder, hoarseness, tongue flaccidity, and inability of food to pass.
For various adverse conditions, if sweating is applied, mild cases may be difficult to cure, severe cases may present with confused speech, and those with dizzy eyes will die; life cannot be preserved.
In Taiyang disease, after eight or nine days, presenting like malaria with fever and aversion to cold, where heat predominates over cold, without vomiting, and with normal bowel/bladder function, occurring two or three times a day: if the pulse is faint and there is aversion to cold, this indicates dual deficiency of Yin and Yang, and re-sweating is contraindicated.
In Taiyang disease, with fever, aversion to cold, heat predominating over cold, and a faint pulse indicating absence of Yang, re-sweating is contraindicated. Dry throat also contraindicates sweating.
Patients who have lost blood should not undergo surface-attacking sweating; sweating will cause chills and tremors.
Patients prone to epistaxis should not undergo surface-attacking sweating; sweating will cause depression of the forehead, rapid and tense pulse, fixed staring gaze, and insomnia.
Patients prone to sweating, if subjected to heavy sweating, will suffer from mental confusion and anxiety, and pain in the genitalia after urination; Yu Yu Liang Wan (Hematite Pill) may be administered.
Patients with strangury (Lin syndrome) should not sweat; sweating will cause hematuria.
Patients with sores/ulcers, even if experiencing body pain, should not undergo surface-attacking sweating; sweating will lead to Jing (spasm/stiffness).
Sweating during winter will cause vomiting and diarrhea, oral ulcers, and sores.
Diarrhea with undigested food (Qing Gu) contraindicates surface-attacking sweating; sweating will cause abdominal distension. Cough with free urination, or urinary incontinence, contraindicates surface-attacking sweating; sweating will cause cold reversal (Jue Ni). Excessive sweating followed by further sweating will also cause hard stool.
In Shanghan (Cold Damage) from one to two days to four to five days, Jue (cold limbs) must be followed by fever; previous Jue will later become hot. Deeper Jue corresponds to deeper heat; slight Jue corresponds to slight heat. Jue should be treated with purgation; if sweating is mistakenly used, it will cause oral injury and redness. If a patient has a rapid pulse, indicating heat, they should digest food well. If they vomit instead, it is because the physician mistakenly induced sweating, causing faint Yang and deficient Qi in the diaphragm. The rapid pulse here represents "guest Yang" (false heat) which cannot digest food; the stomach is cold and deficient, causing vomiting.
In Shanghan, four to five days in, with a deep pulse, vexation, wheezing, and fullness: a deep pulse indicates interior pathology. Mistaken sweating will cause fluids to leak out, leading to difficult defecation, exterior deficiency and interior excess, and eventually delirium.
Shanghan headache, fever resembling being wrapped in cloth, mimicking wind-stroke, with slight spontaneous sweating and spontaneous vomiting: purgation will worsen mental vexation and discomfort; sweating will cause Jing (spasm), stiff body difficult to flex/extend; moxibustion/fumigation will cause jaundice, urinary retention, and eventually coughing with sputum.
Taiyang disease, after sweating, may lead to Jing (spasm).
Shanghan with wiry-thin pulse, headache, and fever belongs to Shaoyang; Shaoyang disease is contraindicated for sweating.
Combined Taiyang and Shaoyang disease, with stiffness/pain in head and neck, occasional dizziness, intermittent feeling of chest binding, and hardness/fullness below the heart: sweating is contraindicated.
Shaoyin disease with cough and diarrhea, presenting with delirium, results from fire therapy forcing fluids. Urination will be difficult due to forced sweating in Shaoyin.
Shaoyin disease with only Jue (cold limbs) and no sweat: forced sweating will disturb blood, which may exit from any orifice (mouth, nose, eyes); this is called "lower Jue and upper exhaustion," a difficult-to-treat condition.
Shanghan encompasses five types, all belonging to heat diseases. Same disease, different names; same pulse, different meridians. Although all are injured by wind, pre-existing chronic conditions dictate different treatments. If a person previously injured by wind is subsequently injured by heat, wind and heat clash, causing Feng Wen (Wind-Warmth): limbs collapse, headache, body heat, persistent sweating without resolution. Treatment focuses on Shaoyin and Jueyin meridians; sweating is contraindicated. If sweating causes isolated talking, internal vexation, restlessness preventing sleep, fright, and scattered gaze, and the physician sweats again, the physician kills the patient. Wet-Warmth (Shi Wen) in Shanghan: chronic dampness injury leads to middle-jiao stagnation; damp and heat clash, causing Shi Wen. Symptoms include cold reverse legs, abdominal fullness with hands crossing chest, head/eye pain, and delirium. Treatment focuses on Foot-Taiyin; sweating is contraindicated. Sweating causes inability to speak, deafness, unawareness of pain, cyanosis, and color change, named Zhong Ming (deep coma); such patients die, killed by the physician. (The above two sections are from *Yi Lü*).