太阳病,发汗后,若大汗出,胃中干燥,烦不得眠,其人欲饮水,当稍饮之,令胃中和则愈。厥阴病,渴欲饮水者,
与水饮之即愈。太阳病,寸口缓,关上小浮,尺中弱,其人发热而汗出,复恶寒,不呕,但心下痞者,此为医下也。若
不下,其人复不恶寒而渴者,为转属阳明。小便数者,大便即坚,不更衣十日,无所苦也。欲饮水者,但与之,当以法
救渴,宜五苓散。
寸口脉洪而大,数而滑,洪大则荣气长,滑数则胃气实,荣长则阳盛,怫郁不得出身,胃实则坚难,大便则干燥,
三焦闭塞,津液不通,医发其汗,阳盛不周,复重下之,胃燥热畜,大便遂摈,小便不利,荣卫相搏,心烦发热,两眼
如火,鼻干面赤,舌燥齿黄焦,故大渴。过经成坏病,针药所不能制,与水灌枯槁,阳气微散,身寒温衣覆,汗出表里
通,然其病即除。形脉多不同,此愈非法治,但医所当慎,妄犯伤荣卫。霍乱而头痛发热,身体疼痛,热多欲饮水,属
五苓散。呕吐而病在膈上,后必思水者,急与猪苓散。饮之水,亦得也。
太阳中风,以火劫发其汗,邪风被火热,血气流 ,失其常度,两阳相熏灼,其身发黄。阳盛则欲衄,阴虚小便难,
阴阳俱虚竭,身体则枯燥,但头汗出,齐颈而还,腹满而微喘,口干咽烂,或不大便,久则谵语,甚者至哕,手足躁扰,
循衣摸床,小便利者,其人可治。太阳病,医发其汗,遂发热而恶寒,复下之,则心下痞,此表里俱虚。阴阳气并竭,
无阳则阴独,复加火针因而烦,面色青黄,肤 ,如此者为难治。今色微黄,手足温者愈。伤寒,加温针必惊。阳脉浮,
阴脉弱,则血虚,血虚则筋伤。其脉沉者,荣气微也。其脉浮,而汗出如流珠者,卫气衰也。荣气微,加烧针,血留不
行,更发热而躁烦也。伤寒,脉浮,而医以火迫劫之,亡阳,惊狂,卧起不安,属桂枝去芍药加蜀漆牡蛎龙骨救逆汤。
问曰∶得病十五、十六日,身体黄,下利,狂欲走。师脉之,言当下清血如豚肝,乃愈,后如师言,何以知之?师
曰∶寸口脉阳浮阴濡弱,阳浮则为风,阴濡弱为少血,浮虚受风,少血发热,恶寒洒淅,项强头眩。医加火熏,郁令汗
出,恶寒遂甚,客热因火而发,怫郁蒸肌肤,身目为黄,小便微难,短气,从鼻出血,而复下之,胃无津液,泄利遂不
止,热瘀在膀胱,畜结成积聚,状如豚肝,当下未下,心乱迷愦,狂走赴水,不能自制。畜血若去,目明心了。此皆医
所为,无他祸患,微轻得愈,极者不治。伤寒,其脉不弦紧而弱者,必渴,被火必谵言。弱者发热,脉浮,解之,当汗
出愈。
太阳病,以火熏之,不得汗,其人必躁,到经不解,必有清血。
阳明病,被火,额上微汗出,而小便不利,必发黄。
阳明病,其脉浮紧,咽干口苦,腹满而喘,发热汗出而不恶寒,反偏恶热,其身体重,发其汗则躁,心愦愦而反谵
语。加温针必怵惕,又烦躁不得眠。
少阴病,咳而下利,谵语,是为被火气劫故也,少便必难,为强责少阴汗出。
太阳病二日,而烧瓦熨其背,大汗出,火气入胃,胃中竭燥,必发谵语,十余日振而反汗出者,此为欲解。其汗从
腰以下不得汗,其人欲小便,反不得,呕欲失溲,足下恶风,大便坚者,小盒饭数,而反不数及多,便已,其头卓然而
痛,其人足心必热,谷气下流故也。
太阳病,经过发汗治疗后,如果大汗淋漓,导致胃中津液干燥,出现心烦、无法入睡的症状,病人想喝水,应当少量多次地给予饮水,使胃气调和即可痊愈。厥阴病,口渴想喝水的,给水喝后即刻痊愈。
太阳病,寸口脉缓,关脉小浮,尺脉弱,病人发热且出汗,又怕冷,没有呕吐,只是心下(胃脘部)痞塞,这是医生误用攻下法造成的。如果没有误下,病人后来不再怕冷而是口渴,说明病邪转属阳明经。小便频数的,大便就会干硬,即使十天不排便,也没有痛苦感觉。想喝水的,直接给水喝,但应当用正确的方法救治口渴,适宜使用五苓散。
寸口脉洪大且数滑,洪大表示营气充盛,滑数表示胃气实热,营气盛则阳气亢盛,郁结在体内不得发散,胃实热则大便坚硬难解,导致大便干燥,三焦闭塞,津液运行不通畅。医生若再发其汗,阳气亢盛不能周流全身,接着又重施攻下,导致胃中燥热积聚,大便排出困难,小便不利,营卫之气相互搏结,出现心烦发热,两眼如火烧,鼻干面赤,舌燥齿黄焦枯,因此极度口渴。若病程过经形成坏病,针药难以控制,此时如同向干枯之物灌水,阳气微弱散失,身体寒冷需穿衣覆盖,汗出表里通畅,然而病情才能解除。形体与脉象多不相同,这种治愈并非正常的治法,只是医生应当谨慎,妄加触犯会损伤营卫。霍乱病伴有头痛发热,身体疼痛,热多且想喝水的,属于五苓散证。呕吐且病位在膈上,之后必定想喝水的,急予猪苓散。给水喝也是可以的。
太阳中风证,用火劫法强行发汗,邪风被火热所迫,气血运行紊乱,失去正常规律,两阳(风邪与火热)相互熏灼,导致身体发黄。阳气盛则欲流鼻血,阴虚则小便困难,阴阳俱虚竭,身体枯燥,仅头部出汗,至颈部而止,腹部胀满且微喘,口干咽喉溃烂,或者不大便,久则出现谵语,严重的甚至发生呃逆,手足躁动不安,循衣摸床,若小便通利的,其人尚可治疗。
太阳病,医生发汗后,遂致发热恶寒,又误用攻下法,导致心下痞塞,这是表里俱虚。阴阳之气都衰竭,无阳则阴独存,再加上火针治疗因而烦躁,面色青黄,皮肤出现某种病变(原文缺失字,指肤色异常或皮疹),像这样的情况为难治。如果面色微黄,手足温暖的,则会痊愈。伤寒病,加上温针必定引起惊悸。阳脉浮,阴脉弱,则是血虚,血虚则筋脉受伤。脉象沉的,是营气微弱。脉象浮,且出汗如流珠状的,是卫气衰败。营气微弱,再加烧针,血液留滞不行,更加发热而躁烦。
伤寒,脉浮,医生用火法强迫发汗,导致亡阳,出现惊狂,卧起不安,属于桂枝去芍药加蜀漆牡蛎龙骨救逆汤证。
问:得病十五、十六天,身体发黄,下利,狂躁欲奔走。老师诊脉后说,应当排出像猪肝颜色的清血,才会痊愈,后来果然如老师所说,为什么知道会这样?老师说:寸口脉阳浮阴濡弱,阳浮则为风邪,阴濡弱为血少,浮虚受风,血少发热,恶寒战栗,项强头晕。医生用火熏法,迫使汗出,恶寒加重,客热因火而发,郁蒸肌肤,身目发黄,小便微难,短气,从鼻出血,医生又误用攻下法,导致胃中无津液,泄利不止,热瘀在膀胱,蓄积结成积聚,状如猪肝,应当下血而未下,心中混乱迷闷,狂走赴水,不能自制。蓄血若去除,眼睛明亮心神安定。这都是医生造成的,没有其他祸患,轻的得以痊愈,重的不治。
伤寒,脉不弦紧而弱的,必定口渴,被火攻必发谵语。弱脉发热,脉浮,解表当汗出而愈。
太阳病,用火熏法,不得汗出,病人必定烦躁,到期满不解,必定会有便血。
阳明病,脉浮紧,咽干口苦,腹满而喘,发热汗出而不恶寒,反而偏恶热,身体沉重,发汗则躁动,心中烦闷而反见谵语。加温针必定惊恐惕惧,又烦躁不得睡眠。
少阴病,咳嗽而下利,谵语,这是被火气劫夺的缘故,小便必定困难,这是强行逼迫少阴经发汗所致。
太阳病第二天,用烧热的瓦片熨背,大汗出,火气入胃,胃中枯竭燥热,必定发谵语,十余日后振栗而反汗出的,这是欲解之兆。其汗从腰以下不得汗,病人想小便,反而不得,呕吐欲失禁,足下恶风,大便坚硬的,小便利数,反而不利及多,便已,头突然剧烈疼痛,病人足心必定发热,这是谷气下流的原因。
Taiyang disease, after sweating therapy, if profuse sweating occurs, causing dryness in the Stomach, restlessness and inability to sleep, and the patient desires to drink water, one should allow them to drink slightly and frequently until the Stomach Qi harmonizes and the condition resolves. Jueyin disease, where there is thirst desiring water, drinking water will lead to immediate resolution.
In Taiyang disease, if the Cun (inch) pulse is slow, the Guan (bar) pulse is slightly floating, and the Chi (cubit) pulse is weak, with symptoms of fever, sweating, aversion to cold, no vomiting, but only epigastric fullness (Xin Xia Pi), this is due to the physician's erroneous use of purgation. If not purged, and the patient later becomes averse to cold no longer but instead thirsty, the pathogen has transferred to the Yangming channel. Frequent urination leads to hard stool; even if no bowel movement for ten days, there is no distress. For those desiring water, give water directly, but rescue thirst according to proper methods, suitable for Wuling San (Five-Ling Powder).
The Cun Kou pulse is surging, large, rapid, and slippery. Surging and large indicate abundant Ying (Nutrient) Qi; slippery and rapid indicate excess Wei (Defensive) Qi in the Stomach. Abundant Ying Qi leads to Yang excess, stagnation preventing outward release; Stomach excess leads to hardness and difficulty in defecation, resulting in dry stool. The Triple Burner becomes blocked, and body fluids fail to circulate. If the physician induces sweating again, Yang excess fails to circulate fully, followed by heavy purgation, leading to accumulation of dry heat in the Stomach, difficult defecation, and dysuria. Ying and Wei Qi contend, causing mental restlessness, fever, eyes burning like fire, dry nose, red face, dry tongue, yellow and scorched teeth, hence extreme thirst. If the disease passes its stage and becomes a "bad disease" (complication), acupuncture and herbs cannot control it. Giving water to the withered body dissipates the slight Yang Qi; the body feels cold requiring clothing and covers; sweating allows interior and exterior to communicate, and thus the disease removes. The form and pulse often differ; this cure is not standard treatment, but physicians must be cautious, as reckless violation damages Ying and Wei. In Huoluan (Huo-lo syndrome) with headache, fever, and body pain, where heat is predominant and thirst exists, it belongs to Wuling San. For vomiting with pathology above the diaphragm, where the patient subsequently desires water, urgently administer Zhuling San. Giving water is also acceptable.
In Taiyang Wind Strike, using fire coercion to induce sweating causes evil wind to be subjected to intense heat. Blood and Qi flow chaotically, losing their normal rhythm. The two Yangs (wind and fire) scorch each other, causing jaundice. Yang excess leads to epistaxis; Yin deficiency leads to difficult urination. If both Yin and Yang are deficient and exhausted, the body becomes dry and withered. Only the head sweats, stopping at the neck. Abdominal fullness and slight panting occur. Dry mouth and rotten throat may appear. Constipation may ensue; prolonged cases lead to delirium. Severe cases result in hiccups, restless limbs, grasping at clothes and bed. If urination is free, the patient is treatable.
In Taiyang disease, if the physician induces sweating, leading to fever and aversion to cold, and then erroneously purges, epigastric fullness results, indicating deficiency in both exterior and interior. Both Yin and Yang Qi are exhausted. Without Yang, Yin stands alone. Adding fire needles causes irritability, greenish-yellow complexion, and skin lesions; such cases are difficult to treat. If the complexion is slightly yellow and hands and feet are warm, recovery is expected. In Shanghan (Cold Damage), adding warm needles inevitably causes fright. Floating Yang pulse and weak Yin pulse indicate blood deficiency; blood deficiency injures sinews. A sinking pulse indicates weak Ying Qi. A floating pulse with sweat dropping like beads indicates declining Wei Qi. Weak Ying Qi plus burning needles causes blood stasis, further fever, and irritability.
In Shanghan, with a floating pulse, if the physician uses fire to force sweating, causing Yang collapse, fright, mania, and restlessness, it belongs to Guizhi Qu Shaoyao Jia Shuqi Muli Longgu Jiuni Tang (Cinnamon Twig Decoction minus Peony plus Chinese Dodder Root, Oyster Shell, and Dragon Bone to Rescue from Collapse).
Question: After 15-16 days of illness, with jaundice, diarrhea, and manic running, the master diagnosed: "Purging blood resembling pig liver will resolve it." It happened as predicted. How was this known? Master said: The Cun Kou pulse shows floating Yang and soggy-weak Yin. Floating Yang indicates wind; soggy-weak Yin indicates blood shortage. Floating and empty indicates wind invasion; blood shortage with fever causes aversion to cold and shivering, stiff neck, and dizziness. The physician used fire moxibustion, forcing sweat, worsening aversion to cold. Guest heat arose from fire, steaming the skin, causing jaundice. Slight difficulty in urination, shortness of breath, and epistaxis occurred. The physician then purged, depleting Stomach fluids, causing persistent diarrhea. Heat stasis accumulated in the Bladder, forming masses resembling pig liver. If purging blood had not yet occurred, mental confusion and manic behavior resulted. Once blood stasis is removed, clarity returns. This is all due to medical error; mild cases recover, severe ones do not.
In Shanghan, if the pulse is not wiry-tight but weak, thirst will definitely occur; fire attack will cause delirium. Weak pulse with fever and floating pulse indicates resolution through sweating.
In Taiyang disease, fire fumigation without sweating causes irritability. If unresolved by the end of the cycle, bleeding from the rectum will occur.
In Yangming disease, fire attack with slight sweating on the forehead and dysuria leads to jaundice.
In Yangming disease, with floating-tight pulse, dry throat, bitter taste, abdominal fullness, panting, fever, sweating, aversion to cold absent but aversion to heat present, and heavy body, inducing sweating causes irritability, mental cloudiness, and delirium. Adding warm needles causes terror and restlessness preventing sleep.
In Shaoyin disease, cough with diarrhea and delirium is caused by fire coercion. Urination will be difficult due to forced sweating of Shaoyin.
On the second day of Taiyang disease, applying hot tiles to the back causes profuse sweating. Fire Qi enters the Stomach, causing dryness and delirium. After ten-plus days, chills followed by sweating indicate impending resolution. If sweating is absent below the waist, desire to urinate but inability, vomiting, urge to lose urine, aversion to wind on feet, and hard stool occur. If urination is frequent or excessive, and upon completion, sudden severe headache occurs, and soles of feet feel hot, it is due to Grain Qi flowing downward.