发汗后,饮水多者,必喘。以水灌之,亦喘。伤寒,大吐、大下之,极虚,复极汗者,其人外气怫郁,复与之水,
以发其汗,因得哕,所以然者,胃中寒冷故也。阳明病,潮热,微坚,可与承气汤。不坚,勿与之。若不大便六、七日,
恐有燥屎,欲知之法,可与小承气汤。若腹中不转失气者,此为但头坚后溏,不可攻之,攻之必腹满,不能食,欲饮水
者,即哕。阳明病,若胃中虚冷,其人不能食,饮水即哕。下利,其脉浮大,此为虚,以强下之故也。设脉浮革,因尔
肠鸣,当温之,与水即哕。病在阳,当以汗解,而反以水 之,若灌之,其热却不得去,益烦,皮上粟起,意欲饮水,
反不渴,宜文蛤散。若不瘥,与五苓散。若寒实结胸,无热证者,与三物小陷胸汤,白散亦可。身热皮粟不解,欲引衣
自覆,若以水 之洗之,益令热却不得出。当汗而不汗,即烦。假令汗出已,腹中痛,与芍药三两,如上法。
寸口脉浮大,医反下之,此为大逆。浮即无血,大即为寒,寒气相搏,即为肠鸣,医乃不知,而反饮水,令汗大出,
水得寒气,冷必相搏,其人即KT 。
寸口脉濡而弱,濡即恶寒,弱即发热,濡弱相搏,脏气衰微,胸中苦烦,此非结热,而反薄居,水渍布冷,铫贴之,
阳气遂微,诸腑无所根据,阴脉凝聚,结在心下,而不肯移,胃中虚冷,水谷不化,小便纵通,复不能多,微则可救,聚
寒心下,当奈何也。
发汗治疗后,如果饮水过多,必然导致气喘。用冷水浇洗身体,也会引起气喘。患伤寒病,经过剧烈的呕吐和泻下后,正气极度虚弱,此时又强行发大汗,患者体表气机郁滞不畅,如果再给他喝水企图通过出汗来解表,就会因此发生呃逆(打嗝),之所以这样,是因为胃中寒冷所致。阳明病,出现定时发热(潮热),大便轻微干硬,可以给予承气汤。如果大便不硬,不要给予。如果六七天不大便,担心有燥屎内结,想要确认的方法,可以先给予小承气汤试探。如果服药后腹中没有排气(放屁),这说明只是头部大便干硬而后面稀溏,不可攻下,攻下必然导致腹部胀满,不能进食,想喝水的人,随即会出现呃逆。阳明病,如果胃中虚冷,患者不能进食,喝水就会引发呃逆。出现腹泻,脉象浮大,这是虚证,是因为强行攻下所致。假如脉象浮而革(外坚中空),因此出现肠鸣音,应当温补,给水喝就会引发呃逆。病在阳分,应当用发汗法解除,却反而用水浇洗或浸泡,体内的热邪因此被遏制而不能散去,更加烦躁,皮肤起鸡皮疙瘩,心里想喝水,但实际上并不觉得口渴,适宜使用文蛤散。如果病不好转,给予五苓散。如果是寒实结胸证,没有热象的,给予三物小陷胸汤,白散也可以使用。身体发热、皮肤起鸡皮疙瘩的症状不解,想要穿衣覆盖身体,如果再用冷水浇洗,只会让热邪更无法散发。应当发汗却没有发出来,就会烦躁。假如已经出汗了,但腹部疼痛,给予芍药三两,按照上述方法处理。
寸口脉象浮大,医生反而使用攻下法,这是严重的错误。脉浮表示血虚,脉大表示有寒,寒气相互搏结,就会导致肠鸣,医生不知道这一点,反而给病人喝水,令其大汗出,水遇到寒气,冷与寒相互搏结,病人就会出现噎塞不通的症状。
寸口脉象濡弱,濡脉主恶寒,弱脉主发热,濡弱相兼,说明脏腑之气衰微,心中苦闷烦扰,这不是实热结聚,反而用薄衣覆盖,用浸湿的布包裹冷物,或用铁器贴敷,导致阳气进一步微弱,各腑失去依托,阴脉凝聚,结聚在心下部,不肯移动,胃中虚冷,水谷不能消化,小便虽然通畅但不能多,病情轻微还可以救治,若寒气聚积在心下,该怎么办呢?
After sweating therapy, if the patient drinks a large amount of water, wheezing (asthma) will inevitably occur. Washing the body with cold water also causes wheezing. In Shaoyang disease (Taiyang disease), after severe vomiting and purging, when the vital energy is extremely deficient, forcing excessive sweating again causes external Qi stagnation. If water is then given to induce sweating, hiccups (Yue) result. The reason for this is coldness in the Stomach. In Yangming disease, with tidal fever (Chao Re) and slightly hard stool, Chengqi Tang (Cathartic Decoction) may be administered. If the stool is not hard, do not administer it. If there has been no bowel movement for six or seven days, suspecting dry feces, the method to verify is to administer Xiao Chengqi Tang (Minor Cathartic Decoction). If there is no passage of flatus in the abdomen, this indicates only hard stool at the head and loose stool at the tail; attacking (purging) is contraindicated. Attacking will inevitably cause abdominal fullness, inability to eat, and if the patient desires water, hiccups will follow. In Yangming disease, if the Stomach is deficient and cold, the patient cannot eat, and drinking water induces hiccups. With diarrhea, if the pulse is floating and large, this is deficiency caused by forced purging. If the pulse is floating and革 (Ge, tense like a drum skin), accompanied by borborygmus (intestinal rumbling), warming treatment is indicated; giving water will induce hiccups. When the pathogen is in the Yang level, it should be resolved by sweating, but instead, washing or immersing with water is used. The heat is thereby suppressed and cannot escape, causing increased irritability, prurigo cutis (goosebumps), a desire to drink water, yet actually feeling no thirst. Wen Ge San (Clam Shell Powder) is appropriate. If not cured, Wu Ling San (Five-Ingredient Powder with Poria) is given. For Cold-Excess Jie Xiong (Chest Binding) without heat signs, San Wu Xiao Xian Xiong Tang (Three-Ingredient Minor Trap Chest Decoction) is given; Bai San (White Powder) may also be used. If body heat and prurigo cutis persist, and the patient desires to cover themselves with clothes, washing or bathing with cold water will further prevent the release of heat. When sweating is indicated but does not occur, irritability follows. If sweating has occurred but abdominal pain persists, give 3 liang of Shaoyao (Radix Paeoniae Alba), following the above method.
If the Cun Kou (Inch Port) pulse is floating and large, and the physician incorrectly uses purging, this is a major error. Floating indicates blood deficiency; large indicates cold. When cold Qi combats, borborygmus occurs. The physician fails to recognize this and instead gives water to induce profuse sweating. Water encountering cold Qi leads to cold-cold combat, resulting in dysphagia (obstruction/choking sensation) in the patient.
If the Cun Kou pulse is Ru (Soft/Deficient) and Ruo (Weak), Ru indicates aversion to cold, and Ruo indicates fever. The combination of Ru and Ruo indicates衰微 (decline and weakness) of Zang-Fu Qi, causing bitter annoyance in the chest. This is not excess heat binding. Instead, using thin clothing, wet cold cloths, or hot iron patches further depletes Yang Qi. The Fu organs lose their foundation, Yin pulses condense, and stagnation forms below the heart, refusing to move. The Stomach becomes deficient and cold, failing to transform food and fluids. Although urination flows freely, volume is low. If mild, it can be saved; if cold accumulates below the heart, what should be done?