病者，身热足寒，颈项强急，恶寒，时头热，面赤，目赤，独头动摇，卒口噤，背
反张者，痉病也。若发其汗者，寒湿相抟，其表益虚，即恶寒甚。发其汗已，其脉如
蛇。
【按】“痉病也”之下诸句，与上文义不属。与后条之“为欲解，脉如故”诸句，文
义相属，宜分于彼。
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。玩痉病之条自知，当恶寒也。宜删之。
（若发其汗者，寒湿相抟，其表益虚，即恶寒甚，发其汗已，其脉如蛇）。暴腹胀大
者，为欲解；脉如故，反伏弦者，痉。
【按】“暴腹胀大者”五字，衍文也，当删之。
师曰∶疟脉自弦，弦数者多热，弦迟者多寒。弦小〔沉〕紧者下之瘥，弦迟者可温
之，弦（浮）紧者，可发汗针灸也，弦浮〔滑〕大者，可吐之，弦数者，风发也，以饮
食消息止之。
【按】“弦小紧者”之“小”字，当是“沉”字，则有可下之理。弦紧者，当是“弦
浮紧”，则有可发汗之理。弦浮大者，当是“弦滑大”，则有可吐之理。且不遗本文疟脉
自弦之意，当改之补之。
师曰∶阴气孤绝，阳气独发，则热而少气、烦冤，手足热而欲呕，名曰瘅疟；若但
热不寒者，邪气内藏于心，外舍分肉之间，令人消铄肌肉。
【按】此言瘅疟，其文脱简，《内经》已详，不复释。
温疟者，其脉如平，身无寒，但热，骨节疼烦，时呕，白虎加桂枝汤主之。
【按】此言温疟，其文脱筒，《内经》已详，不复释。
疟多寒者，名曰牝疟，蜀漆散主之。
【按】此言牝疟，其文脱简，《内经》已详，不复释。
患者出现身体发热、双脚发冷，颈项僵硬拘急，怕冷，有时头部发热，面色发红，眼睛发红，只有头部摇动，突然牙关紧闭，背部向后反张的，这是痉病。如果对此使用发汗法治疗，寒湿之气相互搏结，体表更加虚弱，就会非常怕冷。发汗之后，患者的脉象像蛇行一样蜿蜒曲折。
【按语】“是痉病”以下的句子，与上面的文义不连贯。它与后面一条中“是想要解除，脉象如故”等句子的文义相连贯，应该将其划分到那一条中去。
【按语】“反而怕冷”中的“反”字，是衍文（多余的字）。研读关于痉病的条文自然就知道，应该是怕冷。应当删除这个字。（如果对此使用发汗法治疗，寒湿之气相互搏结，体表更加虚弱，就会非常怕冷，发汗之后，脉象像蛇行一样蜿蜒曲折。）腹部突然胀大的，说明病情想要解除；脉象如旧，反而呈现伏而弦的脉象，则是痉病。
【按语】“腹部突然胀大者”这五个字，是衍文，应当删除。
老师说：疟疾的脉象自然呈弦脉。弦数脉的多为热证，弦迟脉的多为寒证。脉象弦小紧的，可以使用下法治疗而痊愈；脉象弦迟的，可以使用温法治疗；脉象浮紧的，可以使用发汗法和针灸治疗；脉象浮滑大的，可以使用吐法治疗；脉象弦数的，属于风热发作，可以通过调整饮食来平息它。
【按语】“脉象弦小紧”中的“小”字，应当是“沉”字，这样就有可以使用下法的道理。脉象弦紧的，应当是“脉象浮紧”，这样就有可以使用发汗法的道理。脉象浮大的，应当是“脉象滑大”，这样就有可以使用吐法的道理。而且不违背原文中“疟疾脉象自然呈弦脉”的意思，应当修改并补充。
老师说：阴气孤立无援而绝离，阳气独自发散，就会出现发热、气短、心中烦闷郁结，手足发热并且想呕吐的症状，称为瘅疟；如果只是发热而不怕冷的，邪气内藏于心，外留于肌肉纹理之间，使人肌肉消瘦。
【按语】这里所说的瘅疟，其文字有脱漏和简牍错乱，《黄帝内经》中已经详细记载，不再解释。
温疟，其脉象如同正常人的脉象，身体没有寒冷感，只是发热，骨节疼痛烦扰，时常呕吐，用白虎加桂枝汤主治。
【按语】这里所说的温疟，其文字有脱漏和简牍错乱，《黄帝内经》中已经详细记载，不再解释。
【按语】这里所说的牝疟，其文字有脱漏和简牍错乱，《黄帝内经》中已经详细记载，不再解释。
The patient presents with fever in the body and coldness in the feet, stiffness and tension in the neck and nape, aversion to cold, occasional heat in the head, redness of the face and eyes, isolated shaking of the head, sudden lockjaw (trismus), and opisthotonos (backward arching of the back). This is Jing disease (Spasm disorder). If diaphoresis (sweating therapy) is applied, cold and dampness contend with each other, the exterior becomes more deficient, resulting in severe aversion to cold. After diaphoresis, the pulse resembles the movement of a snake.
[Commentary] The sentences following "this is Jing disease" do not align semantically with the preceding text. They connect semantically with the subsequent passage containing phrases like "indicating resolution, the pulse remains as before," and should be relocated there.
In Taiyang disease (Disease of the Taiyang channel), characterized by fever, absence of sweating, and paradoxical aversion to cold, it is named Gang-Jing (Yang Spasm).
[Commentary] The character "paradoxically" (fan) in "paradoxical aversion to cold" is an interpolation (redundant character). Examination of the sections on Jing disease reveals that aversion to cold is expected; this character should be deleted. (If diaphoresis is applied, cold and dampness contend, the exterior becomes more deficient, leading to severe aversion to cold; after diaphoresis, the pulse resembles a snake.) Sudden abdominal distension indicates impending resolution; if the pulse remains unchanged but becomes deep and wiry, it indicates Jing disease.
[Commentary] The five characters "Sudden abdominal distension" are interpolations and should be deleted.
The Master said: The pulse of Nue (Malaria) is naturally wiry. A wiry and rapid pulse indicates predominant heat; a wiry and slow pulse indicates predominant cold. A wiry, small, and tight pulse can be treated with purgation for recovery; a wiry and slow pulse can be treated with warming methods; a wiry and floating-tight pulse can be treated with diaphoresis and acupuncture; a wiry, floating, slippery, and large pulse can be treated with emesis; a wiry and rapid pulse indicates wind-heat onset, which can be managed by dietary regulation.
[Commentary] In "wiry, small, and tight," the character "small" (xiao) should likely be "deep" (chen), providing rationale for purgation. "Wiry and tight" should likely be "wiry, floating, and tight," providing rationale for diaphoresis. "Floating and large" should likely be "slippery and large," providing rationale for emesis. These corrections preserve the original intent that "the pulse of malaria is naturally wiry" and should be amended accordingly.
The Master said: When Yin qi is isolated and severed, and Yang qi erupts alone, symptoms include fever, shortness of breath, mental oppression and distress, heat in the hands and feet, and nausea. This is called Dan-Nue (Cancerous Malaria/Hot Malaria); if there is only heat without cold, the pathogenic factor resides internally within the Heart and externally lodges between the muscle layers, causing emaciation of the muscles.
[Commentary] Regarding Dan-Nue, the text contains lacunae and bamboo slip errors; these are detailed in the Nei Jing (Inner Canon), so no further explanation is provided.
For Wen-Nue (Warm Malaria), the pulse appears normal. There is no chills, only heat, pain and vexation in the bone joints, and occasional vomiting. Baihu Jia Guizhi Tang (White Tiger plus Cinnamon Twig Decoction) is the primary formula.
[Commentary] Regarding Wen-Nue, the text contains lacunae and bamboo slip errors; these are detailed in the Nei Jing, so no further explanation is provided.
When Nue is characterized predominantly by chills, it is called Pin-Nue (Yin Malaria/Cold Malaria). Shuqi San (Shuqi Powder) is the primary formula.
[Commentary] Regarding Pin-Nue, the text contains lacunae and bamboo slip errors; these are detailed in the Nei Jing, so no further explanation is provided.