太阳汗后不得眠。少与水饮当自全。(仲景云。太阳病发汗后。若大汗出。胃中干燥。烦而不能眠。其人欲饮。当时
饮之。胃中和则愈矣。)厥阴烦渴思得水。斟量多寡亦如然。(仲景云。厥阴病渴。欲饮水者。与水饮之。则愈也。)霍乱
思水五苓妙。呕吐思水猪苓痊。(仲景云。霍乱头痛发热。身体疼痛。热多饮水。五苓散主之。又云。呕吐而病在膈上。
后必思水者。急与猪苓散饮之也。)过多反病成喘咳。(小青龙证云。水停心下。成喘咳。)胃冷应知呕哕愆。(仲景云。
胃中虚冷。其人不能食。饮水则哕。)小 皮上有粟起。(仲景云。病在阳。当以汗解。而反以水 之。若灌之。其人热
却不得去。益烦。皮上粟起者是也。)水洗结胸热可怜。(仲景玉函云。结胸身热。以水洗之灌之。则益热。)寒气得水即
成KT 。(KT 音噎。食不下也。仲景云。寸口脉浮大。医乃不知。而反饮冷水。令汗大出。以得寒气。冷必相搏。其
人即KT 。)可否医工要达权。
少阴吐利时加呕。手足不冷是其候。口中虽和背恶寒。脉来微涩皆须灸。(仲景云。少阴病。其人吐利。手足不逆。
反发热者不死。脉不足者灸。厥少阴七壮。又云。少阴一二日。口中和。背恶寒者。当灸之。又云。下利脉微涩者。灸
厥阴可五十壮。)阴毒阳虚汗不止。腹胀肠鸣若雷吼。面黑更兼指甲青。速灸关元应不谬。(宋迪阴证诀云。阴毒。汗不
止。腹胀肠鸣。面黧黑色。指甲青者。速灸关元一百壮。至三百壮。)微数之脉却慎之。因火为邪恐难救。(仲景云。微
数之脉。慎不可灸。因火为邪。则为烦逆。焦骨伤筋血。难复也。)脉浮热甚灸为难。唾血咽干诚戾缪。(仲景云。脉浮
热甚。而灸之则为实。实以虚治。因火而动咽躁。必吐血。自微数之脉以下。皆不可灸也。)
太阳病发汗后出现不得安眠的症状。此时若给予少量饮水,病情应当自然痊愈。(张仲景说:太阳病经过发汗治疗后,如果大汗淋漓导致胃中干燥,心烦无法入睡,病人想要喝水,当时就应让他喝。胃气调和则病愈。)厥阴病出现心烦口渴想喝水的情况。斟酌给水的多少,也是同样的道理。(张仲景说:厥阴病口渴,想喝水的,给水喝就会痊愈。)霍乱病想喝水,用五苓散效果奇妙;呕吐且想喝水,用猪苓散可治愈。(张仲景说:霍乱病头痛发热,身体疼痛,热多欲饮水者,主用五苓散。又说:呕吐而病位在膈上,后来必定想喝水的,急忙给予猪苓散饮用。)饮水过多反而会导致喘咳病症。(小青龙汤证中说:水饮停聚在心下,形成喘咳。)胃中虚冷应当知道会引起呃逆等过失。(张仲景说:胃中虚冷,病人不能进食,喝水就会发生呃逆。)皮肤上起像粟米一样的颗粒。(张仲景说:病在阳分,本应以汗法解表,却反而用水浇洗或灌浴病人。如果这样浇灌,病人的热气退去但邪气不去,更加烦躁,皮肤上起粟粒状颗粒就是这种情况。)用水清洗治疗结胸证的热象真是可怜可悲。(张仲景《玉函经》说:结胸证身热,用水浇洗或灌浴,会使热势更盛。)寒气遇到冷水就会形成噎膈。(“KT”音同“噎”,指食物难以下咽。张仲景说:寸口脉浮大,医生不知道,反而让病人喝冷水,致使大汗出,寒气因此被引入,寒冷与正气相搏,病人立即出现噎膈症状。)医生是否允许使用这些方法,关键在于通达权变。
少阴病出现吐利并伴有呕吐时。手足不冷是其征候。口中感觉平和但背部恶寒。脉象微涩都应当施灸。(张仲景说:少阴病,病人吐利,手足不逆冷,反而发热的不会死。脉气不足的应当施灸,灸厥阴穴七壮。又说:少阴病一二日,口中平和,背部恶寒的,应当施灸。又说:下利脉微涩的,灸厥阴穴可达五十壮。)阴毒证阳气虚衰出汗不止。腹胀肠鸣如雷吼叫。面色发黑兼指甲青紫。迅速灸关元穴不应有误。(宋代迪《阴证诀》说:阴毒证,汗出不止,腹胀肠鸣,面色黧黑,指甲青紫的,迅速灸关元穴一百壮,直至三百壮。)脉象微数却要谨慎施灸。因为火邪为患恐怕难以救治。(张仲景说:脉象微数,千万不可施灸。因火邪致病,就会产生烦逆,焦骨伤筋,血液枯竭,难以恢复。)脉浮且热势严重施灸很难。唾血咽干确实违背医理谬误。(张仲景说:脉浮热势严重,如果施灸就会变成实证。以治虚的方法治实,因火邪扰动咽喉躁动,必然吐血。从脉微数以下,都是不可施灸的情况。)
After sweating in Taiyang disease, insomnia occurs. If a small amount of water is given, the condition should recover on its own. (Zhang Zhongjing stated: After treating Taiyang disease with sweating, if profuse sweating causes dryness in the stomach, leading to irritability and inability to sleep, and the patient desires to drink, they should be allowed to drink at that time. When the stomach Qi harmonizes, the illness resolves.) In Jueyin disease, irritability and thirst desiring water occur. The quantity of water given should be measured accordingly, following the same principle. (Zhang Zhongjing stated: In Jueyin disease, if the patient is thirsty and desires water, giving them water will lead to recovery.) For Huoluan (plague-like disorder) patients desiring water, Wuling San (Five-Ling Powder) is excellent; for those vomiting and desiring water, Zhuling San (Polyporus Powder) cures. (Zhang Zhongjing stated: In Huoluan disease with headache, fever, body pain, and excessive heat desiring water, Wuling San is the primary formula. He also stated: If vomiting occurs due to pathology above the diaphragm, and the patient subsequently desires water, quickly administer Zhuling San for drinking.) Excessive intake may instead cause wheezing and coughing. (The Xiao Qing Long Tang syndrome states: Water retention below the heart leads to wheezing and coughing.) Cold stomach should be known to cause hiccups and other deficiencies. (Zhang Zhongjing stated: With deficiency-cold in the stomach, the patient cannot eat; drinking water induces hiccups.) Grain-like eruptions appear on the skin. (Zhang Zhongjing stated: When the disease is in the Yang aspect, it should be resolved via sweating, but instead, the patient is washed or bathed with water. If irrigated this way, the heat retreats but the pathogen remains, increasing irritability; grain-like eruptions on the skin are the result.) Washing with water to treat the heat of Jie Xiong (chest binding) is pitiful. (Zhang Zhongjing's *Yufan Jing* states: In Jie Xiong with body heat, washing or irrigating with water increases the heat.) Cold Qi encountering water forms Ye (choking/obstruction). ("Ye" sounds like "ye", meaning difficulty swallowing food. Zhang Zhongjing stated: The Cun Kou pulse is floating and large. The physician does not realize this and instead gives cold water, causing profuse sweating. The cold pathogen enters and clashes with the healthy Qi, resulting in immediate Ye.) Whether these methods are permissible depends on the physician's ability to adapt to circumstances.
In Shaoyin disease, when vomiting and diarrhea occur accompanied by further vomiting, non-cold extremities are the sign. Although the mouth feels normal, aversion to cold in the back indicates the need for moxibustion. A micro-choppy pulse also requires moxibustion. (Zhang Zhongjing stated: In Shaoyin disease, if the patient has vomiting and diarrhea, non-reversed cold extremities, and fever, death is avoided. If the pulse is deficient, moxibustion should be applied; seven moxa cones on Jueyin. He also stated: In early Shaoyin disease, if the mouth is normal and there is aversion to cold in the back, moxibustion is indicated. He also stated: In diarrhea with a micro-choppy pulse, fifty moxa cones on Jueyin can be applied.) In Yin Du (poisonous cold) syndrome with Yang deficiency and incessant sweating, abdominal distension and borborygmus sounding like thunder roar. Black complexion combined with cyanotic fingernails require urgent moxibustion at Guanyuan acupoint without error. (Song Di's *Yin Zheng Jue* states: In Yin Du syndrome, with incessant sweating, abdominal distension, borborygmus, dark complexion, and cyanotic nails, urgently moxa Guanyuan from one hundred to three hundred cones.) However, a micro-rapid pulse requires caution against moxibustion. Fire pathogen complications may be difficult to save. (Zhang Zhongjing stated: With a micro-rapid pulse, moxibustion must be strictly avoided. Fire as a pathogen causes irritability and rebellion, scorching bones and injuring sinews, exhausting blood, making recovery difficult.) Floating pulse with severe heat makes moxibustion difficult. Hemoptysis and dry throat are indeed contrary to medical principles. (Zhang Zhongjing stated: With a floating pulse and severe heat, applying moxibustion creates excess. Treating excess as deficiency with fire agitates the throat, inevitably causing hemoptysis. From the micro-rapid pulse onwards, all cases are unsuitable for moxibustion.)