如传之阳明云云。则由此而传之厥阴。当六日之时。前之邪气未尽传者。俱如太阳之尚在。自头痛
以至囊缩。诸症纷纷。甚于两感。七日之际。岂得不死。反曰病衰乎。况太阳受病。若必传遍六经。
则二日阳明。三日少阳。本经固有头痛者。至四日传太阴。太阴经不至头。当腹满嗌干之时。不
得有头痛矣。何必至七日而头痛少愈也。或曰。太阳传阳明。其未尽传者。尚在太阳。岂无是症欤。
曰。有之。是太阳阳明并病之症也。若释七日太阳病衰。而曰传之阳明。如此则非矣。由岐伯无更
不传经不加异气二句。而马氏注素问。失合仲景注耳。或曰。所谓更不传经者。谓六经传遍。七日
当再传太阳而不传也。噫。此因成氏注释之谬。后世有是说耳。已辨之详矣。或曰。子谓更不传经。
如曰。太阳更不传经者。有据乎。曰。太阳篇云。伤寒一日。太阳受之。脉若静者。为不传也。
伤寒二三日。阳阴少阳症不见者。调不传也。少阳篇云。伤寒三日。三阳为尽。三阴当受邪。其人
反能食而不呕。此为三阴不受邪也。是皆当传不传者也。要知仲景之论。本诸素问。举其大体而已。
即六经病衰之期。宁无先之者乎。后之者乎。伤寒原不可以日数拘也。况传经六日。至于囊缩。危
且急矣。得至十二日病衰囊纵者。不可为常也。学人当以圆通得之。
就像文中提到的传变至阳明等情形。那么由此再传变至厥阴。到了第六天的时候，之前没有完全传遍的邪气，都像太阳病那样还停留在体表。从头痛一直到阴囊收缩，各种症状纷纷出现，比两感伤寒（同时感受寒邪于表里两经）还要严重。到了第七天，难道不会死亡吗？反而说病情衰退呢？况且太阳经受邪发病，如果一定要传遍六经，那么第二天传阳明，第三天传少阳，本经本来就有头痛的症状，等到第四天传太阴时，太阴经不到头部，应当在出现腹部胀满、咽喉干燥的时候，不应该再有头痛了。为什么一定要到第七天才头痛稍微减轻呢？有人说：太阳病传阳明，那些没有完全传变的邪气，还留在太阳经，难道没有这种症状吗？回答说：有的。这是太阳阳明并病的症状。如果把“第七天太阳病衰退”解释为“传变到了阳明”，这样就不对了。因为岐伯没有说过“不再传经且不夹杂异气”这两句话，而马莳在注释《素问》时，误解了张仲景的注脚。有人说：所谓“不再传经”，是指六经传遍之后，第七天应当再传回太阳而不传了。唉！这是因为成无己注释的错误，导致后世有了这种说法罢了。我已经详细辨析过了。有人问：您所说的“不再传经”，比如“太阳不再传经”，有依据吗？回答说：《伤寒论·太阳篇》说：伤寒第一天，太阳经受邪，如果脉象平静，就是没有传变。伤寒第二三天，没有出现阳明和少阳的症状，就是没有传变。《伤寒论·少阳篇》说：伤寒第三天，三阳经的病邪已经尽，三阴经应当受邪。如果病人反而能吃饭且不呕吐，这就是三阴经不受邪。这些都是应当传变而没有传变的情况。要知道张仲景的论述，本源于《素问》，只是举出大概情况而已。至于六经病衰退的时期，难道没有先于此的吗？有晚于此的吗？伤寒原本不可以用日数来拘泥限制。况且传经六天，已经到了阴囊收缩的地步，危险又急迫了。能够等到第十二天病情衰退、阴囊松弛的，不能作为常规。学习的人应当灵活通达地理解。
As mentioned in the text regarding transmission to Yangming, etc., it then transmits to Jueyin. On the sixth day, the pathogenic factors that had not fully transmitted previously remain as if still in Taiyang. Symptoms such as headache down to scrotal retraction appear in succession, being more severe than Lianggan (simultaneous contraction of exterior and interior meridians). By the seventh day, would death not occur? How can one say the disease is receding? Furthermore, when Taiyang is affected, if transmission must traverse all six meridians, then on the second day it reaches Yangming, and on the third day Shaoyang. Since these meridians inherently involve headaches, by the fourth day when it transmits to Taiyin—which does not reach the head—one should expect abdominal fullness and dry throat, but no longer a headache. Why must the headache only slightly subside on the seventh day? One might ask: When Taiyang transmits to Yangming, do the pathogenic factors not yet fully transmitted remain in Taiyang? Are there no such symptoms? The answer is yes; these are symptoms of Taiyang-Yangming Bingbing (concurrent disease of Taiyang and Yangming). To interpret "Taiyang disease recedes on the seventh day" as "transmitting to Yangming" is incorrect. This error stems from Ma Shi's commentary on the *Suwen*, which misaligned with Zhang Zhongjing's annotations, given that Qibo did not state the phrases "no further meridian transmission" and "without adding heterogeneous pathogens." Another view suggests that "no further meridian transmission" means that after traversing all six meridians, the seventh day should see a return to Taiyang without further transmission. Alas, this is due to Cheng Wuji's erroneous commentary, leading to later speculations, which I have already detailed. Someone asks: You claim "no further meridian transmission," for instance, "Taiyang does not transmit further." Is there evidence? I reply: The *Taiyang Chapter* states: "In the first day of cold damage, Taiyang receives the pathogen; if the pulse remains quiet, it indicates no transmission." "On the second or third days, if Yangming and Shaoyang symptoms do not appear, it indicates no transmission." The *Shaoyang Chapter* states: "On the third day of cold damage, the three Yang meridians are exhausted, and the three Yin meridians should receive the pathogen. If the patient can eat and does not vomit, this indicates the three Yin meridians do not receive the pathogen." These are cases where transmission should occur but does not. It must be understood that Zhang Zhongjing's theories originate from the *Suwen*, presenting only the general principles. Regarding the timing of the recession of diseases in the six meridians, could there not be variations? Cold damage cannot be rigidly confined to specific days. Moreover, after six days of transmission reaching the point of scrotal retraction, the condition is critical and urgent. To wait until the twelfth day for the disease to recede and the scrotum to relax is not a standard pattern. Practitioners should understand this with flexibility and insight.