{伤寒所致}太阳病，痉湿 ，此三种，宜应别论。
【按】“伤寒所致”四字，甚无所谓，当删之。
太阳病，发热无汗，{反}恶寒者，名曰刚痉。
【按】“反恶寒”之“反”字，衍文也。刚痉证应恶寒，非反也，当删之。
恶寒脉微而复利，利（不）止，亡{血}〔阳〕也，四逆加人参汤主之。
【按】“利止亡血”，如何用大热补药？利止是“利不止”，亡血应是“亡阳”，当改之。
问曰∶人病有宿食，何以别之？师曰∶寸口脉浮而大，按之反涩，尺中亦{微}〔大〕而涩，故知有宿食，
当下之，宜大承气汤。
【按】尺中“微”字，当是“大”字，若是“微”字，断无可下之理，当改之。
假令脉来微去大，故名反，病在里也；脉来{头小本大}〔大去小〕，故名覆，病在表也。上微{头}小者，
（为阴盛），则汗出；下微{本大}〔小〕者，（为阳盛），则为关格不通，不得尿。头无汗者可治，有汗者死。
【按】“脉来头小本大”，当是“脉来大去小”。“上微头小者”，当是“上微小者为阴盛”。“下微本
大者”，当是“下微小者为阳盛”。始与上下之义相属，当改之，补之。
寸口卫气盛名曰高，营气盛名曰章，高章相抟，名曰纲。卫气弱名曰 ，营气弱名曰卑， 卑相抟，名曰
损。卫气和名曰缓，营气和名曰迟，迟缓相抟，名曰{沉}〔强〕。
【按】“名曰沉”之“沉”字，应是“强”字，玩下文可知，当改之。
寸口脉缓而迟，缓则阳气长，其色鲜，其颜光，其声商，毛发长；迟则阴气盛，骨髓生，血满，肌肉紧{薄
鲜硬}。阴阳相抱，营卫俱行，刚柔相得，名曰强也。
【按】“薄鲜硬”三字，不成句，应是衍文，当删之。
北方肾脉，其形何似？师曰∶肾者水也，名曰少阴，其脉沉滑，是肾脉也。肾病自得沉滑而濡者，愈也。
【按】东南西方，皆有其文，惟缺北方，仿经文补之。
问曰∶翕奄沉，名曰滑，何谓也？师曰∶沉为纯阴，翕为正阳，阴阳和合，故令脉滑，关尺自平。阳明
脉微沉，食饮自可；少阴脉微滑，{滑者紧之浮名也，此为阴实}，其人必股内汗出，阴下湿也。
【按】“滑者紧之浮名也，此为阴实”二句，与上下之义不属，当是错简。
阳脉{浮}〔濡〕，阴脉弱者，则血虚，血虚则筋急也。其脉{沉}〔弱〕者，营气微也；其脉{浮}〔濡〕而汗
出如流珠者，卫气衰也。
【按】“阳脉浮”，“其脉浮”之二“浮”字，当是“濡”字，若是“浮”字，则与卫气衰、汗出如流珠
之义不属。“其脉沉”之“沉”字，当是“弱”字，若是“沉”字，则与血虚营气微之义不属，当改之。
师曰∶病家人来请云∶病患发热烦极。明日师到，病患向壁卧，此热已去也。设令脉{不}〔自〕和，处言
已愈。
【按】“不和”应是“自和”，若不和，如何言愈？当改之。
【伤寒所致】太阳病，痉病，湿病，这三种病证，应当分别论述。
【按语】“伤寒所致”这四个字，没有什么意义，应当删除。
太阳病，发热无汗，恶寒的，称为刚痉。
【按语】“反恶寒”中的“反”字，是衍文（多余的字）。刚痉证候本应恶寒，并非相反，应当删除。
恶寒，脉微细，并且腹泻，腹泻不止，这是亡阳，用四逆加人参汤主治。
【按语】“利止亡血”，怎么能用大热补药呢？“利止”应是“利不止”，“亡血”应是“亡阳”，应当改正。
问：人患有宿食，如何辨别它？老师说：寸口脉浮而大，重按反而涩滞，尺中脉也大而涩，所以知道有宿食，
应当用攻下法，适宜用大承气汤。
【按语】尺中脉的“微”字，应当是“大”字。如果是“微”字，绝对没有可以攻下的道理，应当改正。
假如脉象来势微弱而去势盛大，这叫做“反”，病在里；脉象来势盛大而去势微弱，这叫做“覆”，病在表。上部脉微弱细小的，
（是因为阴气盛），就会汗出；下部脉微弱细小的，（是因为阳气盛），就会导致关格不通，无法排尿。头部无汗的可以治愈，有汗的死亡。
【按语】“脉来头小本大”，应当是“脉来大去小”。“上微头小者”，应当是“上微小者为阴盛”。“下微本大者”，应当是“下微小者为阳盛”。这样才与上下之义相联系，应当改正并补充。
寸口脉卫气盛，称为“高”；营气盛，称为“章”；高和章相互搏结，称为“纲”。卫气弱，称为“低”；营气弱，称为“卑”；低和卑相互搏结，称为“损”。卫气和调，称为“缓”；营气和调，称为“迟”；缓和迟相互搏结，称为“强”。
【按语】“名曰沉”的“沉”字，应该是“强”字，玩味下文可知，应当改正。
寸口脉缓而迟，缓则阳气生长，面色鲜艳，容颜光亮，声音清亮，毛发茂盛；迟则阴气盛，骨髓生成，血液充盈，肌肉紧实。阴阳相互抱合，营卫共同运行，刚柔相互协调，称为“强”。
【按语】“薄鲜硬”这三个字，不成句子，应当是衍文，应当删除。
北方肾脉，它的形态像什么？老师说：肾属水，名为少阴，其脉沉滑，这就是肾脉。肾病如果得到沉滑而濡的脉象，就会痊愈。
【按语】东南西方都有相关文字，唯独缺少北方的描述，仿照经文进行补充。
问：脉象忽聚忽散、深沉，称为滑脉，这是什么意思？老师说：沉代表纯阴，翕（浮取时轻扬）代表正阳，阴阳和谐配合，所以使脉象滑利，关部和尺部脉象自然平和。阳明脉微沉，饮食正常；少阴脉微滑，（滑脉是紧脉的浮象表现，这属于阴实证），此人必定大腿内侧出汗，阴部潮湿。
【按语】“滑者紧之浮名也，此为阴实”这两句，与上下文义不连贯，应当是错简（竹简顺序错乱导致的文字错误）。
阳脉（浮取）濡软，阴脉（沉取）虚弱的，则是血虚，血虚则筋脉拘急。其脉（沉取）虚弱的，是营气微弱；其脉（浮取）濡软且汗出如流珠的，是卫气衰弱。
【按语】“阳脉浮”、“其脉浮”这两个“浮”字，应当是“濡”字。如果是“浮”字，则与卫气衰弱、汗出如流珠的意义不符。“其脉沉”的“沉”字，应当是“弱”字。如果是“沉”字，则与血虚、营气微的意义不符，应当改正。
老师说：病人的家属前来请求诊治，说病人发热烦躁到了极点。第二天老师到达，见病人面向墙壁躺着，这说明热邪已经退去。假设脉象自然调和，就说病已痊愈。
【按语】“不和”应当是“自和”。如果不调和，怎么能说病愈呢？应当改正。
[Caused by Cold Damage] Taiyang disease (disease of the Taiyang channel), Jing disease (spasm syndrome), and Shi disease (dampness syndrome), these three types of diseases, should be discussed separately.
[Commentary] The four characters "caused by cold damage" have no significant meaning and should be deleted.
Taiyang disease, with fever, absence of sweating, and aversion to cold, is named Gang Jing (Yang Spasm).
[Commentary] The character "fan" (reversely/oppositely) in "fan ewan han" (reversely averse to cold) is a superfluous character. Gang Jing syndromes should inherently present with aversion to cold; it is not a reversal. It should be deleted.
Aversion to cold, faint pulse, accompanied by diarrhea, where the diarrhea does not cease, indicates loss of Yang Qi (vital energy). It is treated with Sini Jia Renshen Tang (Four Reversals Decoction plus Ginseng).
[Commentary] "Diarrhea ceases, loss of blood"—how can one use strongly hot tonifying medicines? "Diarrhea ceases" should be "diarrhea does not cease"; "loss of blood" should be "loss of Yang Qi". This should be corrected.
Question: A person suffers from retained food (Su Shi), how can it be distinguished? The Master said: The Cun Kou (inch position) pulse is floating and large; upon pressing, it feels reversely choppy; the Chi (cubit position) pulse is also large and choppy. Thus, we know there is retained food.
It should be purged downward; Dachengqi Tang (Major Order the Qi Decoction) is appropriate.
[Commentary] The character "wei" (faint/small) in the Chi position should be "da" (large). If it were "faint," there would absolutely be no rationale for purging. It should be corrected.
Suppose the pulse comes faintly and goes largely; this is called "Fan" (Reversal), indicating the disease is in the interior. The pulse comes largely and goes faintly; this is called "Fu" (Covering), indicating the disease is in the exterior. If the upper part [of the pulse/body] is faint and small,
(it is due to excess Yin), then sweating occurs; if the lower part [of the pulse/body] is faint and small, (it is due to excess Yang), then Guan Ge obstruction occurs, preventing urination. If the head has no sweat, it is treatable; if there is sweat, death ensues.
[Commentary] "Pulse comes small at the head and large at the root" should be "pulse comes large and goes small." "Upper faint small head" should be "upper faint small indicates Yin excess." "Lower faint large root" should be "lower faint small indicates Yang excess." Only thus does it align with the meaning of upper and lower. It should be corrected and supplemented.
At the Cun Kou, when Wei Qi (Defensive Qi) is excessive, it is named "Gao" (High); when Ying Qi (Nutritive Qi) is excessive, it is named "Zhang" (Chapter/Manifest). When Gao and Zhang contend together, it is named "Gang" (Cord/Binding). When Wei Qi is weak, it is named "Di" (Low); when Ying Qi is weak, it is named "Bei" (Humble/Low). When Di and Bei contend together, it is named "Sun" (Damage/Decrease). When Wei Qi is harmonious, it is named "Huan" (Slow/Relaxed); when Ying Qi is harmonious, it is named "Chi" (Slow/Delayed). When Huan and Chi contend together, it is named "Qiang" (Strong).
[Commentary] The character "Chen" (Deep) in "named Chen" should be "Qiang" (Strong). This can be inferred from the following text. It should be corrected.
The Cun Kou pulse is Huan (relaxed/slow) and Chi (slow/delayed). Huan indicates the growth of Yang Qi; the complexion is fresh, the face radiant, the voice clear (Shang), and hair long. Chi indicates the abundance of Yin Qi; marrow is generated, blood is full, and muscles are firm. Yin and Yang embrace each other, Ying and Wei circulate together, Gang (firmness) and Rou (softness) coordinate well; this is named "Qiang" (Strength).
[Commentary] The three characters "Bo Xian Ying" (thin, fresh, hard) do not form a coherent sentence and are likely superfluous characters. They should be deleted.
What does the Kidney pulse of the North resemble? The Master said: The Kidney belongs to Water and is named Shao Yin. Its pulse is Chen Hua (deep and slippery); this is the Kidney pulse. In Kidney disease, obtaining a Chen Hua and Ru (soft) pulse indicates recovery.
[Commentary] Texts exist for the Southeast and West, but only the North is missing. I have supplemented it imitating the original scripture.
Question: The pulse gathers suddenly and sinks deeply, named Hua (Slippery) pulse. What does this mean? The Master said: Shen (deep) represents pure Yin; Xi (floating/light) represents correct Yang. Yin and Yang harmonize and combine, thus causing the pulse to be slippery, and the Guan and Chi positions become balanced. The Yangming pulse is slightly deep, and digestion is normal; the Shaoyin pulse is slightly slippery, (the slippery nature is the floating name of the tight pulse, this constitutes an Excess of Yin), the person will necessarily have sweat on the inner thighs and dampness in the genital area.
[Commentary] The two sentences "the slippery nature is the floating name of the tight pulse, this constitutes an Excess of Yin" do not fit the context and are likely misplaced slips (cuojian).
The Yang pulse (superficial touch) is Ru (soft/limp), and the Yin pulse (deep touch) is weak; this indicates Blood deficiency. Blood deficiency leads to tendon tension. The pulse that is weak (deep touch) indicates deficient Ying Qi (Nutritive Qi); the pulse that is soft (superficial touch) with sweat flowing like beads indicates衰 (decline/deficiency) of Wei Qi (Defensive Qi).
[Commentary] The two instances of "Fu" (floating) in "Yang pulse floating" and "its pulse floating" should be "Ru" (soft). If they were "floating," they would not align with the meaning of Wei Qi deficiency and sweat like beads. The character "Chen" (deep) in "its pulse deep" should be "Ruo" (weak). If it were "deep," it would not align with the meaning of Blood deficiency and deficient Ying Qi. It should be corrected.
The Master said: The patient's family came requesting treatment, saying the patient was extremely feverish and irritable. The next day, when the Master arrived, the patient was lying facing the wall; this indicated the heat had subsided. Suppose the pulse is naturally harmonious; one may say the illness is cured.
[Commentary] "Bu he" (not harmonious) should be "Zi he" (naturally harmonious). If it were not harmonious, how could one say the illness is cured? It should be corrected.