里有张姓者。病伤寒。医汗之。汗虽出。身热如旧。予诊之曰。得汗。宜身凉脉静喜食。今
脉躁。身热。不食。狂言。病名阴阳交。不可治也。素问黄帝问有温病。汗出辄复热。而脉躁。
病不为汗衰。狂言不能食。名何疾。岐伯曰病名阴阳交。交者死也。人所以汗出者。皆生于谷。
谷生于精。今邪气交争于骨肉而得汗者。是邪却而精胜也。精胜则能食而不复热矣。汗者精气。
今汗出而复热者。是邪胜也。不能食者精无俾也。其寿可立而倾也。果半日死。
己巳。邻人王友生以贩京为业。蓄一婢。患伤寒。热八九日。予为治之。得汗而愈。未数日
生自病。身热头重不欲举。目中生花。召予视之。予曰。是必伤寒初愈。妇人交接得之。即令阴
头上必肿。小腹绞痛。然是阴阳易也。生曰前患者婢子、意谓已安。遂与之交。翌日得此疾。良苦。予曰。失所治。必
吐舌数寸而死。予作 鼠粪。烧 散等。以利其毒瓦斯。旬日安。
乙巳六月。吉水谭商人寓城南。得伤寒。八九日。心下惕惕然。以两手扪心。身体振振动摇。
他医以心痛治之。不效。予曰。此汗过多之所致也。仲景云持脉时。病患叉手自冒心。心下悸。
所以然者以重获汗。虚。故如此。又云发汗过多。其人叉手自冒心。心下悸。欲得按者。桂枝甘
草汤证。予投黄 建中真武。及甘草桂枝。渐得平复。
里有一位姓张的人。患了伤寒病。医生给他使用发汗法治疗。虽然汗出了，但身体发热像以前一样。我诊察后说：得了汗，应当身体凉爽、脉搏平静、喜欢进食。现在脉搏躁动，身体发热，不能进食，胡言乱语，这个病名叫阴阳交，是不可治愈的。《素问》中黄帝询问有关温病的情况，出汗后立即又发热，而且脉搏躁动，病势不因出汗而减弱，胡言乱语且不能进食，这叫什么病？岐伯回答说：这病名叫阴阳交，交争意味着死亡。人之所以出汗，都是源于水谷精微，水谷精微又化生于精气。现在邪气与正气在骨肉之间交争，此时出汗，是邪气退却而精气胜利的表现。精气胜利就能进食且不再发热了。汗是由精气化生的，现在出汗后又发热，这是邪气占上风。不能进食说明精气得不到补充。他的寿命也就顷刻间终结了。果然半天后就死了。
己巳年，邻居王友生以经商去京城为业。他养着一个婢女，患伤寒病，发热持续了八九天。我为她治疗，让她出汗后痊愈。没过几天，她自己生病了，身体发热，头重得抬不起来，眼前冒金星。请我去看，我说：这一定是伤寒刚愈，因房事感染所致，阴部必定肿胀，小腹剧烈绞痛，这就是阴阳易证。王友生说：之前生病的婢女，我以为她已经好了，于是与她发生了性关系。第二天就得了这种病，非常痛苦。我说：如果失治，一定会吐出舌头数寸长而死。我用了鼠粪散等方药，来通利体内的毒瓦斯。十天后康复。
乙巳年六月，吉水的谭商人住在城南，得了伤寒病。过了八九天，心中惊恐不安，用双手捂住心口，身体颤抖摇晃。其他医生按心痛治疗，没有效果。我说：这是由于发汗过多导致的。张仲景说：诊脉时，病人双手交叉捂住心口，心下悸动。之所以这样，是因为反复发汗，导致虚损，所以出现这种情况。又说：发汗过多，病人双手交叉捂住心口，心下悸动，喜欢按压的，是桂枝甘草汤证。我投予黄芪建中汤、真武汤以及甘草桂枝汤，逐渐得以平复。
There was a man surnamed Zhang in the neighborhood. He contracted Shanghan (Cold Damage). The physician treated him with diaphoresis (sweating method). Although sweat was produced, his body heat remained as before. Upon examination, I said: After sweating, one should expect the body to cool, the pulse to become calm, and an appetite to return. Now, the pulse is rapid and restless, the body is hot, and he cannot eat or speak coherently. This disease is named Yin-Yang Jiao (Yin-Yang Intertwining), which is incurable. In the *Suwen* (Basic Questions), the Yellow Emperor asked about warm diseases where fever recurs immediately after sweating, accompanied by a rapid pulse that does not subside with sweating, delirium, and anorexia. What is this disease called? Qibo replied: This disease is named Yin-Yang Jiao; "Jiao" implies death. The reason humans sweat is that it originates from grain (food essence), which in turn generates Jing (Essence). When pathogenic factors contend with healthy Qi in the muscles and bones, and sweat is produced, it indicates that the pathogen is retreating and the Essence is victorious. If the Essence is victorious, the patient will be able to eat and fever will not recur. Sweat is transformed from Essence. Now, if sweating is followed by recurrent fever, it means the pathogen is prevailing. An inability to eat means there is no assistance for the Essence. His lifespan will end abruptly. Indeed, he died half a day later.
In the year Jisi, my neighbor Wang Yousheng, whose profession was trading in the capital, kept a maid who suffered from Shanghan. She had been feverish for eight or nine days. I treated her, and she recovered after sweating. Not long after, she fell ill herself. Her body was hot, her head felt heavy and she did not wish to lift it, and she saw sparks in her eyes. I summoned me to examine her. I said: This must have been contracted through sexual intercourse shortly after recovering from Shanghan. It is definitely the syndrome of Yin-Yang Yi (Yin-Yang Transmission). The external genitalia must be swollen, and there must be severe colic pain in the lower abdomen. Wang Yousheng said: Regarding the previously ill maid, I thought she was cured, so I engaged in intercourse with her. The next day, she developed this illness, suffering greatly. I said: If left untreated, she will die with her tongue protruding several inches. I prescribed formulas such as Shufen Powder (Mouse Feces Powder) to promote the discharge of toxic vapors. She recovered within ten days.
In the sixth month of the year Yisi, Merchant Tan from Jishui, residing in the south of the city, contracted Shanghan. After eight or nine days, he felt palpitations and anxiety in the chest, holding his heart with both hands, while his body trembled and shook. Other physicians treated him for Heart Pain without effect. I said: This is caused by excessive sweating. Zhang Zhongjing stated: When taking the pulse, if the patient crosses their hands over their heart, experiencing palpitations in the epigastrium, it is because repeated sweating has led to deficiency. Furthermore, it is stated: Excessive sweating leading to the patient crossing hands over the heart, experiencing palpitations in the epigastrium, and desiring pressure, constitutes the Guizhi Gancao Tang (Cinnamon Twig and Licorice Decoction) syndrome. I administered Huangqi Jianzhong Tang (Astragalus Middle-Jian Replenishing Decoction), Zhenwu Tang (True Warrior Decoction), and a combination of Gancao (Licorice) and Guizhi (Cinnamon Twig). Gradually, he recovered.