硫黄 水银（各一两） 青皮 陈皮（各半两，为末）
上将硫黄铫子内熔，次下水银，用铁杖打匀，令无星，倾入黑茶盏内，研细，入末二味
匀研，用浓面糊丸桐子大。每服三十丸。如烦躁，冷盐汤下；阴证，冷艾汤下。
此一条与杨氏五神丹相若。
此证六脉沉不见，深按至骨则弱紧有力，头痛身温，烦躁，指不皆冷，中满恶心，医多
不识
。学士脉曰∶此阴中伏阳也，脉之当矣。学士却云仲景无此证，非无此证也。用热药则阴邪
隔绝，反生客热；用寒药则阳气销铄，愈益毒瓦斯。必须散阴导火之剂，使火出水准，上下升
降，大汗而解，或躁扰不宁，勿惊可也。《活人》例后，举前贤诸去格拒之寒，大热药中，佐以
人溺、胆汁、茶、蜜、盐之类，虽各随经，大抵与学士破阴导阳之意同。吾是以知仲景有此
证也，但言简而意有余矣。明者当识！
有人初得病，四肢逆冷，脐下筑痛，身疼如被杖，盖阴证也。急服金液、破阴等丹。其
脉遂
沉而滑，沉者阴也，滑者阳也，病虽阴而见阳脉，有可生之理，仲景所谓阴病见阳脉者生也
。仍灸气海、丹田百壮，手足温，阳回得汗而解。或问滑脉之状，如何便有生理？予曰∶仲
景云翕奄沉？曰何谓也？沉为纯阴，翕为正阳，阴阳和合，故名曰滑。古人论滑脉，虽云往来
前却流利，展转替替，然与数相似，仲景三语而尽也。此三字极难晓会。然翕合也，言张
而复合也，故曰翕为正阳；沉言忽降而下也，故曰沉为正阴；方翕而合，俄降而下，奄谓奄
忽之间。仲景论滑脉，可谓谛当矣。其言皆有法，故读者极难晓会。
浮大数动滑阳脉，阴病见阳生可得。
沉涩弦微弱属阴，阳病见阴终死厄。
阴阳交互最难明，轻重斟量当别白。
轻手脉微为在表，表实浮而兼有力。
但浮无力表中虚，自汗恶风常淅淅。
重手脉沉为在里，里实脉沉为亦实。
重手无力大而虚，此是里虚理审的。
风则虚浮寒牢坚，水停水蓄必沉潜。
动则为痛数为热，支饮应须脉急弦。
太过之脉为可见，不及之脉亦如然。
荣卫太甚名高章，高章相搏名曰纲。
荣卫微时名卑 ，卑 相搏名捐阳。
荣卫既和名缓迟，缓迟名沉此最良。
九种脉中辨疾证，长沙之脉妙难量。
阳结蔼蔼如车盖，阴结循竿亦象之。
阳盛则促来一止，阴盛则结缓而迟。
纵横逆顺宜审察，残贼灾怪要须知。
右手气口当主气，主血人迎在其位。
气口紧盛伤于食，人迎紧盛风邪炽。
数为在腑迟为脏，浮为在表沉为里。
脉浮而缓风伤荣，浮坚涩坚寒伤卫。
脉微大忌令人吐，欲下须防虚且细。
沉为气弱汗为难，三者须要当审记。
阳加于阴有汗证，左手沉微却应未。
趺阳胃脉定死生，太溪肾脉为根蒂。
脉来六至或七至，邪气渐深须用意。
浮大昼加病属阳，沉细夜加分阴位。
九至以上来短促，状若涌泉无入气。
更加悬绝渐无根，命绝天真当死矣。
病患三部脉调匀，大小浮沉迟速类。
此是阴阳气已和，勿药自然应有喜。
学士脉歌一篇，即仲景评辨二章也，要当识之。
硫黄、水银（各一两）、青皮、陈皮（各半两，研为细末）。
先将硫黄放入铫子中熔化，接着加入水银，用铁棒搅拌打匀，直到看不见水银星点为止，倒入黑茶盏内，研磨细腻，再加入上述两种药末，均匀研磨。用浓面糊制成梧桐子大小的丸剂。每次服用三十丸。如果出现烦躁症状，用冷盐汤送服；如果是阴证，用冷艾叶汤送服。
这一条方剂与杨氏的五神丹相似。
这种病症表现为六脉沉伏不见，深按至骨时感觉弱紧有力，头痛，身体温热，烦躁，手指并非全部冰冷，胸中胀满恶心，医生多不能识别。
学士指出：这是阴中伏阳之证，对脉象的判断是正确的。学士又说张仲景没有记载此证，其实并非没有此证。如果使用热性药物，阴邪会隔绝阳气，反而产生客热；如果使用寒性药物，则会销蚀阳气，使毒瓦斯更加严重。必须使用散阴导火的方剂，使火气出离水平状态，上下升降，通过大汗而解，或者出现躁扰不宁的症状，也不必惊慌。《活人书》举例之后，列举了前贤治疗格拒之寒的方法，在大热药中加入人尿、胆汁、茶、蜜、盐等作为佐使，虽然各自随经引经，但大体上与学士破阴导阳的意图相同。我因此知道张仲景有此证，只是言辞简略而意蕴丰富罢了。明智的人应当认识这一点！
有人初得病时，四肢逆冷，脐下疼痛如捣击感，身体疼痛如同被棍棒打过一样，这属于阴证。急忙服用金液丹、破阴丹等。其脉象随即变得沉而滑，沉属阴，滑属阳，病虽为阴证却见到阳脉，有可生的道理，正如张仲景所说“阴病见阳脉者生”。仍然灸气海穴、丹田穴各一百壮，手足变暖，阳气回复并出汗而痊愈。有人问滑脉的形态，为何便有生机？我说：张仲景说“翕奄沉”？这是什么意思呢？沉代表纯阴，翕代表正阳，阴阳和合，所以称为滑脉。古人论述滑脉，虽然说往来流利，辗转替替，然而与数脉相似，张仲景三句话就概括尽了。这三个字极难理解领会。然而“翕”是合的意思，言张开而后复合，所以说“翕为正阳”；“沉”言忽然降而下，所以说“沉为正阴”；方才翕合，随即降下，奄指奄忽之间。张仲景论滑脉，可谓恰当极了。他的言语皆有法度，所以读者极难理解领会。
浮、大、数、动、滑为阳脉，阴病见到阳脉则生可得。
沉、涩、弦、微、弱属阴脉，阳病见到阴脉终归死厄。
阴阳交互最难明白，轻重斟酌衡量应当辨别清楚。
轻手取脉微弱为在表，表实证脉浮且兼有力。
仅浮而无力的为表中虚，自汗恶风常觉淅淅怕冷。
重手取脉沉为在里，里实证脉沉亦实。
重手无力且脉大而虚，这是里虚，道理确凿无疑。
风邪则脉虚浮，寒邪则脉牢坚，水饮停蓄必见沉潜之脉。
动脉主痛，数脉主热，支饮应当脉急弦。
太过之脉可以看见，不及之脉也是如此。
营卫太盛名为高章，高章相搏名为纲。
营卫微弱名为卑 ，卑 相搏名为捐阳。
营卫既和缓名为缓迟，缓迟名沉这是最好的脉象。
九种脉中辨别疾病证候，长沙太守（张仲景）的脉学奥妙难以估量。
阳结脉蔼蔼如车盖，阴结脉循竿亦像之。
阳盛则促脉来一止，阴盛则结脉缓而迟。
纵横逆顺应当审慎观察，残贼灾怪之脉要知道。
右手气口当主气，主血的人迎穴在其位。
气口紧盛伤于饮食，人迎紧盛风邪炽盛。
数为在腑，迟为在脏，浮为在表，沉为在里。
脉浮而缓为风伤营，浮坚涩坚为寒伤卫。
脉微大忌让人吐，欲下须防虚且细。
沉脉为气弱汗难出，这三者必须审慎牢记。
阳加于阴有汗证，左手沉微却应未（此处原文可能有误或特指，暂译：左手沉微脉象对应未定之局/或未至之期，结合上下文意指需仔细辨别）。
趺阳胃脉决定生死，太溪肾脉为根本。
脉来一至六次或七次，邪气渐深须用心意。
浮大昼间加重病属阳，沉细夜间加重分属阴位。
九至以上来势短促，状若涌泉无入气。
更加悬绝逐渐无根，命绝天真当死矣。
病患三部脉调匀，大小浮沉迟速类似。
这是阴阳之气已和，不用药自然应有喜兆。
学士的脉歌一篇，即是张仲景评辨二章的内容，应当识记。
Sulfur (Lithung, 硫黄) and Mercury (Shuiyin, 水银), each one tael; Qingpi (Aurantii Fructus Perfricatus, 青皮) and Chenpi (Citri Reticulatae Pericarpium, 陈皮), each half tael, ground into powder.
First, melt the Sulfur in a dingzi (a type of crucible or pot). Then add the Mercury, stir evenly with an iron rod until no mercury stars are visible. Pour into a black tea bowl, grind finely, then add the two powdered herbs mentioned above and grind uniformly. Use thick wheat paste to make pills the size of paulownia seeds. Take thirty pills per dose. If irritability occurs, take with cold salt water; for Yin syndromes, take with cold mugwort water.
This prescription is similar to Yang's Wushen Dan (Five Deities Pill).
In this syndrome, all six pulses are deep and invisible; pressing deeply to the bone reveals a weak, tight, yet forceful pulse. Symptoms include headache, warm body, irritability, fingers not entirely cold, epigastric fullness, and nausea. Physicians often fail to recognize it.
The Scholar states: This is "Yang hidden within Yin" (Yin Zhong Fu Yang). The pulse diagnosis is correct. The Scholar further claims Zhang Zhongjing did not record this syndrome, but rather, he did not lack this syndrome. Using hot medicines causes Yin pathogens to isolate Yang, generating exogenous heat; using cold medicines destroys Yang Qi, exacerbating toxic factors. One must use agents that disperse Yin and guide Fire, allowing Fire to exit equilibrium, ascending and descending, resolving through profuse sweating. Or, if restlessness and agitation occur, do not be alarmed. In the *Liu Ren Shu* (Book of Vitality), examples follow, citing former sages' treatments for rejection-type cold. In large hot medicines, they added human urine, bile, tea, honey, salt, etc., as adjuvants. Although each follows the meridian, generally, this aligns with the Scholar's intention of breaking Yin and guiding Yang. Thus, I know Zhang Zhongjing had this syndrome, but his words were concise while the meaning was abundant. Wise ones should recognize this!
A person initially contracted illness with cold limbs, stabbing pain below the umbilicus, and body pain as if beaten by a club; this is a Yin syndrome. Urgently administer Jin Ye Dan (Golden Liquid Pill) and Po Yin Dan (Break Yin Pill). The pulse subsequently becomes deep and slippery. Deep indicates Yin, slippery indicates Yang. Although the disease is Yin, seeing a Yang pulse suggests a possibility of survival, as Zhang Zhongjing said: "When Yin disease presents with Yang pulses, there is life." Continue moxibustion on Qihai (CV6) and Dantian (CV8) points, one hundred moxa cones each. When hands and feet become warm, Yang returns, sweat appears, and the condition resolves. Someone asked: What is the appearance of a slippery pulse, and why does it indicate life? I replied: Zhang Zhongjing said "Xi Yan Chen"? What does this mean? Chen (Deep) represents pure Yin; Xi (Closing/Combining) represents proper Yang. Yin and Yang harmonize, hence named Slippery. Ancients discussed the slippery pulse, saying it flows smoothly back and forth, rolling continuously, resembling the rapid pulse. Zhang Zhongjing summarized it in three phrases. These three characters are extremely difficult to comprehend. "Xi" means combining; speaking of opening and then closing, thus "Xi is proper Yang"; "Chen" means suddenly descending, thus "Chen is pure Yin". Just as Xi combines, it suddenly descends; "Yan" refers to the instant. Zhang Zhongjing's discussion of the slippery pulse was indeed appropriate. His words have method, so readers find them hard to understand.
Floating, Large, Rapid, Agitated, and Slippery are Yang pulses; when Yin disease presents these, life can be obtained.
Deep, Choppy, String-taut, Fine, and Weak belong to Yin; when Yang disease presents these, death is the final outcome.
The interaction of Yin and Yang is hardest to clarify; weighing light and heavy pressure must distinguish clearly.
Light pressure revealing a fine pulse indicates the exterior; Excess in the exterior presents as floating and forceful.
Only floating without force indicates deficiency in the interior/exterior boundary; spontaneous sweating and aversion to wind often feel chilly.
Heavy pressure revealing a deep pulse indicates the interior; Excess in the interior presents as deep and excess.
Heavy pressure without force, large and deficient, indicates interior deficiency, a certain truth.
Wind manifests as deficient and floating; Cold manifests as firm and hard; Water retention/stagnation must be deep and sunken.
Agitated pulse indicates pain; Rapid pulse indicates heat; Branching fluid retention requires a string-taut and urgent pulse.
Excessive pulses are visible; Deficient pulses are likewise so.
Excess of Ying and Wei is called Gao Zhang; Gao Zhang clashing is called Gang.
Deficiency of Ying and Wei is called Bei ; Bei clashing is called Juan Yang.
Harmonized Ying and Wei is called Huan Chi; Huan Chi named Shen is the best.
Distinguishing diseases among nine types of pulses, Changsha's [Zhang Zhongjing's] pulse wisdom is immeasurable.
Yang Jie (Yang Knot) resembles a chariot canopy; Yin Jie (Yin Knot) resembles a bamboo stalk.
Yang excess leads to Cu (Hesitant) pulse with occasional stops; Yin excess leads to Jie (Knotted) pulse, slow and delayed.
Longitudinal and transverse, reverse and smooth, must be examined carefully; Zaire (Damaging) and Zaiguai (Disastrous/Monstrous) pulses must be known.
Right hand Qikou (Cun Kou) governs Qi; Renying (ST9) governs Blood.
Qikou tight and excess indicates food injury; Renying tight and excess indicates fierce Wind pathogen.
Rapid indicates Fu organs; Delayed indicates Zang organs; Floating indicates Exterior; Deep indicates Interior.
Floating and slow indicates Wind injuring Ying; Floating, firm, choppy, and hard indicates Cold injuring Wei.
Pulse slightly large forbids inducing vomiting; if purging is desired, guard against deficiency and thinness.
Deep indicates weak Qi and difficulty sweating; these three must be carefully remembered.
Yang adding to Yin presents sweating syndrome; Left hand deep and fine corresponds to... [contextual nuance].
Fuyang Stomach pulse determines life and death; Taixi Kidney pulse is the root.
Six to seven beats per breath indicates deepening pathogen, requiring attention.
Floating and Large worsening during day belongs to Yang; Deep and Fine worsening at night belongs to Yin position.
Nine beats or more, coming short and abrupt, like a gushing spring without return.
Further suspension and isolation gradually losing root, life ends, Tianzhen [natural vitality] dies.
If the patient's three positions' pulses are uniform, similar in size, floating/deep, slow/rapid.
This indicates Yin and Yang Qi are harmonized; without medicine, natural joy/recovery is expected.
The Scholar's Pulse Song is one chapter, equivalent to Zhang Zhongjing's evaluation chapters; it must be recognized.