326．厥阴之为病，消渴，气上撞心，心中疼热，饥而不欲食，食则吐蛔，下之利不止。
327．厥阴中风，脉微浮为欲愈；不浮为未愈。
328．厥阴病欲解时，从丑至卯上。
329．厥阴病，渴欲饮水者，少少与之愈。
330．诸四逆厥者，不可下之；虚家亦然。
331．伤寒先厥后发热而利者，必自止；见厥复利。
332．伤寒，始发热六日，厥反九日而利。凡厥利者，当不能食；今反能食者，恐为除中，（一云消中）
食以索饼。不发热者，知胃气尚在，必愈。恐暴热来出而复去也。后日脉之，其热续在者，期之旦日夜半愈。
所以然者，本发热六日，厥反九日，复发热三日，并前六日，亦为九日，与厥相应，故期之旦日夜半愈。后三
日脉之，而脉数，其热不罢者，此为热气有余，必发痈脓也。
333．伤寒脉迟六七日，而反与黄芩汤彻其热。脉迟为寒，今与黄芩汤复除其热，腹中应冷，当不能食；今
反能食，此名除中，必死。
334．伤寒，先厥后发热，下利必自止。而反汗出，咽中痛者，其喉为痹。发热无汗，而利必自止；若不止，
必便脓血。便脓血者，其喉为痹。
335．伤寒一二日至四五日厥者，必发热；前热者，后必厥。厥深者热亦深，厥微者热亦微。厥应下之，
而反发汗者，必口伤烂赤。
336．伤寒病，厥五日，热亦五日，设六日当复厥；不厥者自愈。厥终不过五日，以热五日，故知自愈。
337．凡厥者，阴阳气不相顺接，便为厥。厥者，手足逆冷者是也。
338．伤寒脉微而厥，至七八日肤冷，其人躁，无暂安时者，此为脏厥，非蛔厥也。蛔厥者，其人
当吐蛔。今病者静，而复时烦者，此为脏寒。蛔上入其膈，故烦，须臾复止；得食而呕，又烦者，蛔闻食臭
出，其人常自吐蛔。蛔厥者，乌梅丸主之。又主久利。方一。
乌梅（三百枚） 细辛（六两） 干姜（十两） 黄连（十六两）
当归（四两） 附子（炮，去皮，六两） 蜀椒（出汗，四两） 桂枝（去皮，六两） 人参（六两） 黄柏（六两）
上十味，异捣筛，合治之。以苦酒渍乌梅一宿，去核，蒸之五斗米下，饭熟捣成泥，和药令相
得。内臼中，与蜜杵二千下，丸如梧桐子大。先食饮服十丸，日三服，稍加至二十丸。禁生冷、滑物、
臭食等。
339．伤寒热少微厥，指（一作稍）头寒，嘿嘿不欲食，烦躁，数日，小便利，色白者，此热除也，欲得食，
其病为愈；若厥而呕，胸胁烦满者，其后必便血。
340．病者手足厥冷，言我不结胸，小腹满，按之痛者，此冷结在膀胱关元也。
341．伤寒发热四日，厥反三日，复热四日。厥少热多者，其病当愈；四日至七日热不除者，必便脓血。
342．伤寒厥四日，热反三日，复厥五日，其病为进。寒多热少，阳气退，故为进也。
343．伤寒六七日，脉微、手足厥冷、烦躁，灸厥阴。厥不还者，死。
344．伤寒发热，下利、厥逆、躁不得卧者，死。
345．伤寒发热，下利至甚，厥不止者，死。
346．伤寒六七日不利，便发热而利，其人汗出不止者，死，有阴无阳故也。
347．伤寒五六日，不结胸，腹濡，脉虚，复厥者，不可下；此亡血，下之死。
348．发热而厥，七日下利者，为难治。
349．伤寒脉促，手足厥逆，可灸之。（促，一作纵。）
350．伤寒脉滑而厥者，里有热，白虎汤主之。方二。
知母（六两） 石膏（碎，绵裹，一斤） 甘草（炙，二两） 粳米（六合）
上四味，以水一斗，煮米熟，汤成去滓，温服一升，日三服。
351．手足厥寒，脉细欲绝者，当归四逆汤主之。方三。
当归（三两） 桂枝（去皮，三两） 芍药（三两） 细辛（三两） 甘草（炙，二两） 通草（二两）
大枣（擘，二十五枚。一法，十二枚）
上七味，以水八升，煮取三升，去滓，温服一升，日三服。
352．若其人内有久寒者，宜当归四逆加吴茱萸生姜汤。方四。
当归（三两） 芍药（三两） 甘草（炙，二两） 通草（二两）
桂枝（去皮，三两） 细辛（三两） 生姜（切，半斤） 吴茱萸（二升） 大枣（擘，二十五枚）
上九味，以水六升，清酒六升和，煮取五升，去滓，温分五服。（一方，酒水各四升。）
353．大汗出，热不去，内拘急，四肢疼，又下利厥逆而恶寒者，四逆汤主之。方五。
甘草（炙，二两） 干姜（一两半） 附子（生用，去皮，破八片，一枚）
上三味，以水三升，煮取一升二合，去滓，分温再服。若强人，可用大附子一枚，干姜三两。
354．大汗，若大下利而厥冷者，四逆汤主之。方六。（用前第五方。）
355．病患手足厥冷，脉乍紧者，邪结在胸中，心下满而烦，饥不能食者，病在胸中，当须吐之，宜瓜蒂散。
方七。
瓜蒂 赤小豆
上二味，各等分，异捣筛，合内臼中，更治之。
别以香豉一合，用热汤七合，煮作稀糜；去滓，取汁和散一钱匕，温顿服之。不吐者，少少加，得快吐
乃止；诸亡血、虚家，不可与瓜蒂散。
356．伤寒厥而心下悸，宜先治水，当服茯苓甘草汤，却治其厥，不尔，水渍入胃，必作利也。茯苓甘草
汤。方八。
茯苓（二两） 甘草（炙，一两） 生姜（切，三两） 桂枝（去皮，二两）
上四味，以水四升，煮取二升，去滓，分温三服。
357．伤寒六七日，大下后，寸脉沉而迟，手足厥逆，下部脉不至，喉咽不利，唾脓血，泄利不止者，为难
治。麻黄升麻汤主之。方九。
麻黄（去节，二两半） 升麻（一两一分） 当归（一两一分） 知母（十八铢） 黄芩（十八铢）
葳蕤（一作菖蒲，十八铢） 芍药（六铢） 天门冬（去心，六铢） 桂枝（去皮，六铢） 茯苓（六铢）
甘草（炙，六铢） 石膏（碎，绵裹，六铢） 白术（六铢） 干姜（六铢）
上十四味，以水一斗，先煮麻黄一两沸，去上沫，内诸药，煮取三升，去滓，分温三服。相去如炊
三斗米顷，令尽，汗出愈。
358．伤寒四五日，腹中痛，若转气下趣少腹者。此欲自利也。
359．伤寒本自寒下，医复吐下之，寒格，更逆吐下；若食入口即吐，干姜黄芩黄连人参汤主之。方十。
干姜 黄芩 黄连 人参（各三两）
上四味，以水六升，煮取二升，去滓，分温再服。
360．下利有微热而渴，脉弱者，今自愈。
361．下利脉数，有微热汗出，今自愈；设复紧，为未解。（一云设脉浮复紧）
362．下利、手足厥冷、无脉者，灸之不温，若脉不
还，反微喘者，死；少阴负趺阳者，为顺也。
363．下利，寸脉反浮数，尺中自涩者，必清脓血。
364．下利清谷，不可攻表；汗出必胀满。
365．下利，脉沉弦者，下重也；脉大者，为未止；脉微弱数者，为欲自止，虽发热不死。
366．下利脉沉而迟，其人面少赤、身有微热、下利清谷者，必郁冒汗出而解，病患必微厥，所以然者，其
面戴阳，下虚故也。
367．下利脉数而渴者，今自愈；设不瘥，必清脓血，以有热故也。
368．下利后，脉绝，手足厥冷， 时脉还，手足温者生；脉不还者死。
369．伤寒下利日十余行，脉反实者，死。
370．下利清谷，里寒外热，汗出而厥者，通脉四逆汤主之。方十一。
甘草（炙，二两） 附子（生，去皮，破八片，大者一枚） 干姜（三两，强人可四两）
上三味，以水三升，煮取一升二合，去滓，分温再服，其脉即出者愈。
371．热利下重者，白头翁汤主之。方十二。
白头翁（二两） 黄柏（三两） 黄连（三两） 秦皮（三两）
上四味，以水七升，煮取二升，去滓，温服一升；不愈，更服一升。
372．下利腹胀满，身体疼痛者，先温其里，乃攻其表；温里宜四逆汤，攻表宜桂枝汤。方十三。
（四逆汤用前第五方。）
桂枝汤方∶
桂枝（去皮，三两） 芍药（三两） 甘草（炙，二两） 生姜（切，三两） 大枣（擘，十二枚）
上五味，以水七升，煮取三升，去滓，温服一升；须臾啜热稀粥一升，以助药力。
373．下利欲饮水者，以有热故也，白头翁汤主之。方十四。（用前第十二方。）
374．下利谵语者，有燥屎也，宜小承气汤。方十五。
大黄（酒洗，四两） 枳实（炙，三枚） 浓朴（去皮，炙，二两）
上三味，以水四升，煮取一升二合，去滓，分二服。初一服谵语止，若更衣者，停后服；不尔，尽服之。
375．下利后更烦，按之心下濡者，为虚烦也，宜栀子豉汤。方十六。
肥栀子（擘，十四个） 香豉（绵裹，四合）
上二味，以水四升，先煮栀子，取二升半；内豉，更煮取一升半，去滓，分再服。一服得吐，止后服。
376．呕家有痈脓者，不可治呕；脓尽自愈。
377．呕而脉弱，小便复利，身有微热，见厥者，难治，四逆汤主之。方十七。（用前第五方。）
378．干呕吐涎沫，头痛者，吴茱萸汤主之。方十八。
吴茱萸（汤洗七遍，一升） 人参（三两） 大枣（擘，十二枚） 生姜（切，六两）
上四味，以水七升，煮取二升，去滓，温服七合，日三服。
379．呕而发热者，小柴胡汤主之。方十九。
柴胡（八两） 黄芩（三两） 人参（三两） 甘草（炙，三两） 生姜（切，三两） 半夏（洗，半升）
大枣（擘，十二枚）
上七味，以水一斗二升，煮取六升，去滓，更煎取三升，温服一升，日三服。
380．伤寒，大吐、大下之，极虚，复极汗者，其人外气怫郁，复与之水以发其汗，因得哕。所以然者，
胃中寒冷故也。
381．伤寒哕而腹满，视其前后，知何部不利，利之即愈。
326．厥阴病（厥阴经受邪所致的病证）的证候表现为：消渴（口渴多饮），气向上冲撞心胸，心中疼痛且有灼热感，虽然饥饿但不想进食，进食后就会吐出蛔虫。如果误用泻下法，会导致腹泻不止。
327．厥阴中风（厥阴经感受风邪），脉象微浮是疾病将要痊愈的征象；脉象不浮则是疾病尚未痊愈。
328．厥阴病想要解除的时间，是从丑时（凌晨1-3点）到卯时（早晨5-7点）。
329．患厥阴病，口渴想喝水的人，少量给予饮水即可痊愈。
330．各种四肢逆冷（手足冰冷）的证候，不可使用泻下法；身体虚弱的人也是如此。
331．伤寒病，先出现四肢厥冷，随后发热并伴有腹泻的，腹泻一定会自然停止；如果再次出现四肢厥冷，腹泻又会复发。
332．伤寒病，起初发热六天，随后四肢厥冷反而持续九天并伴有腹泻。凡是有四肢厥冷和腹泻的患者，应当不能进食；现在反而能进食，恐怕是“除中”（胃气败绝前的假性食欲，又称消中）。让患者吃索饼（面条类食物）。如果不发热，说明胃气尚存，一定会痊愈。担心的是突然出现的暴热，出来后又迅速消退。过两天诊察脉搏，如果热度持续存在，预计第二天半夜会痊愈。之所以这样判断，是因为原本发热六天，厥冷九天，又发热三天，加上前面的六天，也是九天，与厥冷的天数相应，所以预计第二天半夜痊愈。如果再过三天诊察脉搏，脉象数（快），且热度不退，这是热气有余，必定会发生痈肿化脓。
333．伤寒病，脉象迟（慢）已六七天，医生反而给予黄芩汤来清除其热。脉迟属于寒证，现在又用黄芩汤再次清除其热，腹中应当寒冷，应当不能进食；现在反而能进食，这叫做“除中”，必死无疑。
334．伤寒病，先四肢厥冷后发热，腹泻一定会自然停止。如果反而出汗，咽喉疼痛，这是喉痹（咽喉闭塞不通）。如果发热无汗，腹泻一定会自然停止；如果不停止，必定大便带脓血。大便带脓血的，也会并发喉痹。
335．伤寒病一两天到四五天出现四肢厥冷的，必定会发热；先前发热的，随后必定会出现四肢厥冷。厥冷严重的，内热也深重；厥冷轻微的，内热也轻微。厥冷证本应使用泻下法（针对热厥），如果反而使用发汗法，必定导致口腔损伤、糜烂、红肿。
336．伤寒病，四肢厥冷五天，发热也五天，假设第六天应当再次厥冷；如果不厥冷，就会自然痊愈。厥冷最终不超过五天，因为发热也是五天，所以知道会自然痊愈。
337．凡是四肢厥冷，都是阴阳之气不能相互顺接，便成为厥证。厥证，就是手足逆冷（手脚冰冷）的症状。
338．伤寒病，脉象微弱且四肢厥冷，到了七八天皮肤冰冷，病人躁动不安，没有片刻安宁，这是脏厥（内脏阳气衰微导致的厥冷），不是蛔厥（蛔虫扰动导致的厥冷）。蛔厥的患者，应当会吐出蛔虫。现在病人安静，但时而烦躁，这是内脏有寒。蛔虫向上进入膈膜，所以烦躁，一会儿又停止；进食后呕吐，又感到烦躁，是因为蛔虫闻到食物气味出来，病人常会自动吐出蛔虫。蛔厥证，用乌梅丸主治。此方也主治久利（长期腹泻）。方一。
乌梅（三百枚） 细辛（六两） 干姜（十两） 黄连（十六两）
当归（四两） 附子（炮制，去皮，六两） 蜀椒（炒至出汗，四两） 桂枝（去皮，六两） 人参（六两） 黄柏（六两）
以上十味药，分别捣碎过筛，混合均匀。用苦酒（醋）浸泡乌梅一夜，去核，在五斗米下蒸熟，饭熟后捣成泥，与药粉混合均匀。放入臼中，加入蜂蜜捣两千下，制成梧桐子大小的药丸。饭前饮用送服十丸，每日三次，逐渐增加到二十丸。禁食生冷、滑腻、臭腐等食物。
339．伤寒病，热势轻微，四肢微厥，指尖寒冷，神情沉默不欲饮食，烦躁，经过几天，小便通利，颜色清白，这是热邪已除，想要进食，病就会痊愈；如果四肢厥冷且呕吐，胸胁烦闷胀满，其后必定大便出血。
340．病人手足厥冷，说自己没有结胸（胸膈部硬满疼痛），小腹胀满，按压时疼痛，这是寒邪凝结在膀胱关元部位。
341．伤寒病，发热四天，四肢厥冷反而三天，又发热四天。厥冷少而发热多，病应当痊愈；如果从第四天到第七天热势不退，必定大便带脓血。
342．伤寒病，四肢厥冷四天，发热反而三天，又四肢厥冷五天，这是病情加重。寒多热少，阳气衰退，所以病情进展。
343．伤寒病六七天，脉象微弱、手足厥冷、烦躁，灸治厥阴经穴位。如果厥冷不回温，则死。
344．伤寒病发热，腹泻、四肢厥逆、躁动不得卧，则死。
345．伤寒病发热，腹泻非常严重，四肢厥冷不止，则死。
346．伤寒病六七天没有腹泻，随后发热并腹泻，病人汗出不止，则死，这是因为有阴无阳（阴盛阳脱）的缘故。
347．伤寒病五六天，没有结胸，腹部柔软，脉象虚，又出现四肢厥冷，不可使用泻下法；这是亡血（血液亏虚），泻下会导致死亡。
348．发热且四肢厥冷，七天还伴有腹泻，属于难治之证。
349．伤寒病，脉象促（急促或纵缓），手足厥逆，可以施灸。（促，有的版本作“纵”。）
350．伤寒病，脉象滑且四肢厥冷，是里有热，用白虎汤主治。方二。
知母（六两） 石膏（打碎，棉布包裹，一斤） 甘草（炙，二两） 粳米（六合）
以上四味药，用水一斗，煮至米熟，汤成后去渣，温服一升，每日三次。
351．手足厥冷，脉象细弱欲绝，用当归四逆汤主治。方三。
当归（三两） 桂枝（去皮，三两） 芍药（三两） 细辛（三两） 甘草（炙，二两） 通草（二两）
大枣（剖开，二十五枚。另一种说法，十二枚）
以上七味药，用水八升，煮取三升，去渣，温服一升，每日三次。
352．如果病人内部有久寒，宜用当归四逆加吴茱萸生姜汤。方四。
当归（三两） 芍药（三两） 甘草（炙，二两） 通草（二两）
桂枝（去皮，三两） 细辛（三两） 生姜（切，半斤） 吴茱萸（二升） 大枣（剖开，二十五枚）
以上九味药，用水六升，清酒六升混合，煮取五升，去渣，分五次温服。（另一种配方，水和酒各四升。）
353．大汗出，热不退，腹内拘急疼痛，四肢疼痛，又腹泻、四肢厥逆且恶寒，用四逆汤主治。方五。
甘草（炙，二两） 干姜（一两半） 附子（生用，去皮，破成八片，一枚）
以上三味药，用水三升，煮取一升二合，去渣，分两次温服。如果是强壮的人，可用大附子一枚，干姜三两。
354．大汗出，或者严重腹泻且四肢厥冷，用四逆汤主治。方六。（使用前第五方。）
355．病人手足厥冷，脉象忽然紧，是邪气结在胸中，心下胀满且烦躁，饥饿但不能进食，病位在胸中，应当使用吐法，宜用瓜蒂散。方七。
瓜蒂 赤小豆
以上两味药，各等分，分别捣碎过筛，混合放入臼中，再加工均匀。
另外用香豉一合，用热汤七合，煮成稀粥；去渣，取汁液调和药散一钱匕，温顿服。如果不吐，少量增加，直到快速呕吐为止；各种失血、体虚的人，不可给予瓜蒂散。
356．伤寒病四肢厥冷且心下悸动，宜先治疗水饮，应当服用茯苓甘草汤，然后再治疗厥冷，否则，水饮渗入胃中，必定引起腹泻。茯苓甘草汤。方八。
茯苓（二两） 甘草（炙，一两） 生姜（切，三两） 桂枝（去皮，二两）
以上四味药，用水四升，煮取二升，去渣，分三次温服。
357．伤寒病六七天，大泻之后，寸脉沉而迟，手足厥逆，下部脉摸不到，咽喉不利，唾吐脓血，腹泻不止，属于难治之证。用麻黄升麻汤主治。方九。
麻黄（去节，二两半） 升麻（一两一分） 当归（一两一分） 知母（十八铢） 黄芩（十八铢）
葳蕤（一作菖蒲，十八铢） 芍药（六铢） 天门冬（去心，六铢） 桂枝（去皮，六铢） 茯苓（六铢）
甘草（炙，六铢） 石膏（打碎，棉布包裹，六铢） 白术（六铢） 干姜（六铢）
以上十四味药，用水一斗，先煮麻黄一两沸，去掉上面的泡沫，加入其他药物，煮取三升，去渣，分三次温服。间隔时间大约相当于煮三斗米的时间，让药液服完，出汗即愈。
358．伤寒病四五天，腹中疼痛，如果感觉气流向下趋向少腹，这是将要自行腹泻的征象。
359．伤寒病原本是寒性腹泻，医生又使用吐法和下法，导致寒格（寒邪格拒），更加违背了吐下的原则；如果食物入口即吐，用干姜黄芩黄连人参汤主治。方十。
干姜 黄芩 黄连 人参（各三两）
以上四味药，用水六升，煮取二升，去渣，分两次温服。
360．腹泻伴有微热且口渴，脉象弱，现在会自然痊愈。
361．腹泻脉象数（快），有微热且出汗，现在会自然痊愈；如果脉象又变紧，则是未解。（另一种说法：如果脉象浮且又变紧）
362．腹泻、手足厥冷、无脉，施灸后肢体不温，如果脉搏不恢复，反而出现微喘，则死；如果少阴脉（太溪脉）弱于趺阳脉（冲阳脉），则是顺证。
363．腹泻，寸脉反而浮数，尺脉涩，必定大便带脓血。
364．腹泻完谷不化（大便中有未消化食物），不可攻表（发汗）；如果发汗，必定导致腹胀满。
365．腹泻，脉象沉弦，是里急后重；脉象大，是腹泻未止；脉象微弱且数，是腹泻将要自止，虽然发热也不会死。
366．腹泻脉象沉而迟，病人面色微红、身体有微热、腹泻完谷不化，必定会通过郁冒（头昏蒙）出汗而解，病人必定有轻微厥冷，之所以这样，是因为其面戴阳（虚阳上浮），下焦虚弱的缘故。
367．腹泻脉象数且口渴，现在会自然痊愈；如果不愈，必定大便带脓血，因为有热的缘故。
368．腹泻后，脉搏消失，手足厥冷，如果一段时间后脉搏恢复，手足温暖则生；脉搏不恢复则死。
369．伤寒腹泻每天十多次，脉象反而实，则死。
370．腹泻完谷不化，里寒外热，出汗且四肢厥冷，用通脉四逆汤主治。方十一。
甘草（炙，二两） 附子（生，去皮，破成八片，大者一枚） 干姜（三两，强壮人可用四两）
以上三味药，用水三升，煮取一升二合，去渣，分两次温服，脉搏随即出现则愈。
371．热性腹泻且里急后重，用白头翁汤主治。方十二。
白头翁（二两） 黄柏（三两） 黄连（三两） 秦皮（三两）
以上四味药，用水七升，煮取二升，去渣，温服一升；如果不愈，再服一升。
372．腹泻腹胀满，身体疼痛，先温补其里，再攻解其表；温里宜用四逆汤，攻表宜用桂枝汤。方十三。
（四逆汤使用前第五方。）
桂枝汤方：
桂枝（去皮，三两） 芍药（三两） 甘草（炙，二两） 生姜（切，三两） 大枣（剖开，十二枚）
以上五味药，用水七升，煮取三升，去渣，温服一升；过了一会儿喝热稀粥一升，以助药力。
373．腹泻想喝水，是因为有热，用白头翁汤主治。方十四。（使用前第十二方。）
374．腹泻且谵语（胡言乱语），是有燥屎，宜用小承气汤。方十五。
大黄（酒洗，四两） 枳实（炙，三枚） 厚朴（去皮，炙，二两）
以上三味药，用水四升，煮取一升二合，去渣，分两次服。第一次服后谵语停止，如果排便，停服后续药物；否则，全部服完。
375．腹泻后更加烦躁，按压心下柔软，是虚烦，宜用栀子豉汤。方十六。
肥栀子（剖开，十四个） 香豉（棉布包裹，四合）
以上两味药，用水四升，先煮栀子，取二升半；加入香豉，再煮取一升半，去渣，分两次服。如果服一次后呕吐，停止后续服用。
377．呕吐且脉象弱，小便又通利，身体有微热，出现四肢厥冷，难治，用四逆汤主治。方十七。（使用前第五方。）
378．干呕吐涎沫，头痛，用吴茱萸汤主治。方十八。
吴茱萸（汤洗七遍，一升） 人参（三两） 大枣（剖开，十二枚） 生姜（切，六两）
以上四味药，用水七升，煮取二升，去渣，温服七合，每日三次。
379．呕吐且发热，用小柴胡汤主治。方十九。
柴胡（八两） 黄芩（三两） 人参（三两） 甘草（炙，三两） 生姜（切，三两） 半夏（洗，半升）
大枣（剖开，十二枚）
以上七味药，用水一斗二升，煮取六升，去渣，再煎取三升，温服一升，每日三次。
380．伤寒病，大吐、大下之后，极度虚弱，又大量出汗，病人外气怫郁（体表气机郁滞），又给水喝以发汗，因而发生呃逆。之所以这样，是因为胃中寒冷的缘故。
326. The syndrome of Jueyin disease (disease caused by pathogenic factors in the Jueyin meridian) manifests as Xiao Ke (excessive thirst and drinking), Qi rushing upward to strike the heart, pain and burning sensation in the heart region, hunger but no desire to eat, and vomiting of roundworms after eating. If purgation is mistakenly used, diarrhea will not cease.
327. In Jueyin Zhong Feng (Wind Strike in Jueyin), a slightly floating pulse indicates impending recovery; a non-floating pulse indicates that the disease has not yet healed.
328. The time when Jueyin disease tends to resolve is from Chou hour (1:00-3:00 AM) to Mao hour (5:00-7:00 AM).
329. For patients with Jueyin disease who are thirsty and desire water, giving a small amount of water will lead to recovery.
330. For all cases of Si Ni Jue (reversal coldness of the four limbs), purgation methods must not be used; this also applies to patients with deficiency.
331. In Shang Han (Cold Damage), if Jue (reversal coldness) appears first, followed by fever and diarrhea, the diarrhea will inevitably stop spontaneously; if Jue reappears, diarrhea will recur.
332. In Shang Han, there was initially fever for six days, followed by Jue for nine days with diarrhea. Generally, patients with Jue and diarrhea should be unable to eat; if they can eat, it may be Chu Zhong (false appetite due to exhaustion of Stomach Qi, also known as Xiao Zhong). Let the patient eat Suo Bing (noodle-like food). If there is no fever, it indicates that Stomach Qi is still present, and recovery is certain. One should fear sudden violent heat that appears and quickly disappears. If the pulse is checked two days later and the heat persists, recovery is expected at midnight the next day. The reason is that the initial fever lasted six days, Jue lasted nine days, and fever returned for three days; adding the previous six days makes nine days, corresponding to the duration of Jue, hence recovery is expected at midnight the next day. If the pulse is checked three days later and is rapid (Shu), and the heat does not subside, this indicates excess Heat Qi, which will inevitably lead to abscesses and suppuration.
333. In Shang Han, if the pulse is Chi (slow) for six or seven days, and Huang Qin Tang (Scutellaria Decoction) is mistakenly given to clear heat. A Chi pulse indicates Cold pattern; administering Huang Qin Tang again to clear heat should cause coldness in the abdomen and inability to eat; if the patient can eat instead, this is called Chu Zhong, and death is inevitable.
334. In Shang Han, if Jue occurs first followed by fever, diarrhea will inevitably stop spontaneously. If sweating occurs instead, with sore throat, this is Hou Bi (throat obstruction). If there is fever without sweating, diarrhea will inevitably stop; if it does not stop, there will inevitably be pus and blood in the stool. Those with pus and blood in the stool will also suffer from Hou Bi.
335. In Shang Han, if Jue occurs from one or two days to four or five days, fever will inevitably follow; if there was fever previously, Jue will inevitably follow later. Severe Jue corresponds to deep internal Heat; mild Jue corresponds to mild internal Heat. Jue syndromes (specifically Heat Jue) should be treated with purgation; if diaphoresis (sweating method) is mistakenly used, it will inevitably cause oral injury, erosion, and redness.
336. In Shang Han disease, if there is Jue for five days and fever for five days, Jue should recur on the sixth day; if Jue does not recur, the patient will recover spontaneously. Since Jue does not exceed five days and fever is also five days, spontaneous recovery is expected.
337. All cases of Jue are due to the failure of Yin and Yang Qi to connect smoothly, resulting in Jue. Jue refers to the symptom of Shou Zu Ni Leng (coldness of hands and feet).
338. In Shang Han, if the pulse is Wei (faint) and there is Jue, and by the seventh or eighth day the skin is cold, the patient is agitated with no moment of peace, this is Zang Jue (visceral Jue due to decline of visceral Yang Qi), not Hui Jue (roundworm Jue). Patients with Hui Jue should vomit roundworms. If the patient is quiet but occasionally annoyed, this indicates Cold in the viscera. Roundworms move up into the diaphragm, causing annoyance, which stops after a while; vomiting after eating and renewed annoyance occur because roundworms smell food and emerge, causing the patient to frequently vomit roundworms spontaneously. Hui Jue is treated with Wu Mei Wan (Mume Pill). This formula also treats Jiu Li (chronic diarrhea). Formula 1.
Wu Mei (300 pieces) Xi Xin (6 liang) Gan Jiang (10 liang) Huang Lian (16 liang)
Dang Gui (4 liang) Fu Zi (prepared, peeled, 6 liang) Shu Jiao (fried until oily, 4 liang) Gui Zhi (peeled, 6 liang) Ren Shen (6 liang) Huang Bai (6 liang)
The above ten ingredients are separately pounded and sifted, then mixed. Soak Wu Mei in Ku Jiu (vinegar) overnight, remove pits, steam under five dou of rice, mash the cooked rice into paste, and mix with the herbs. Place in a mortar, add honey, and pound 2,000 times. Form into pills the size of wutong seeds. Take 10 pills before meals with liquid, three times a day, gradually increasing to 20 pills. Avoid raw, cold, slippery, and foul-smelling foods.
339. In Shang Han, if Heat is slight and Jue is mild, with cold fingertips, silence, lack of desire to eat, and irritability, after several days, if urination is free and the color is white, this indicates that Heat has been eliminated. If the patient desires food, the disease will heal; if there is Jue with vomiting, and fullness and irritability in the chest and hypochondrium, there will inevitably be bloody stool later.
340. If the patient has cold hands and feet, states there is no Jie Xiong (chest binding), has lower abdominal fullness, and pain upon pressure, this indicates Cold accumulation in the Bladder and Guanyuan area.
341. In Shang Han, if there is fever for four days, Jue for three days, and fever again for four days. If Jue is less and Heat is more, the disease should heal; if heat does not subside from the fourth to the seventh day, there will inevitably be pus and blood in the stool.
342. In Shang Han, if there is Jue for four days, fever for only three days, and Jue again for five days, the disease is progressing. More Cold and less Heat indicate declining Yang Qi, hence the progression.
343. In Shang Han for six or seven days, with Wei (faint) pulse, cold hands and feet, and irritability, moxibustion on Jueyin points is indicated. If Jue does not resolve, death ensues.
344. In Shang Han, with fever, diarrhea, Jue Ni (reversal coldness), and agitation preventing sleep, death ensues.
345. In Shang Han, with fever, severe diarrhea, and unceasing Jue, death ensues.
346. In Shang Han, if there is no diarrhea for six or seven days, followed by fever and diarrhea, and incessant sweating, death ensues, due to the presence of Yin without Yang (Yin excess and Yang collapse).
347. In Shang Han for five or six days, without Jie Xiong, with a soft abdomen, Xu (deficient) pulse, and recurring Jue, purgation is contraindicated; this is Wang Xue (blood depletion), and purgation leads to death.
348. Fever with Jue, and diarrhea lasting seven days, is difficult to treat.
349. In Shang Han, with Cu (rapid or relaxed) pulse and Shou Zu Jue Ni (cold hands and feet), moxibustion is applicable. (Cu is also written as Zong in some versions.)
350. In Shang Han, with Hua (slippery) pulse and Jue, there is Internal Heat, treated with Bai Hu Tang (White Tiger Decoction). Formula 2.
Zhi Mu (6 liang) Shi Gao (crushed, wrapped in cotton, 1 jin) Gan Cao (roasted, 2 liang) Jing Mi (6 he)
The above four ingredients are boiled in 1 dou of water until the rice is cooked. Remove dregs after decoction. Take 1 sheng warm, three times a day.
351. For Shou Zu Jue Han (cold hands and feet) with Xi (fine) pulse nearing extinction, Dang Gui Si Ni Tang (Angelica Four Reversals Decoction) is indicated. Formula 3.
Dang Gui (3 liang) Gui Zhi (peeled, 3 liang) Shao Yao (3 liang) Xi Xin (3 liang) Gan Cao (roasted, 2 liang) Tong Cao (2 liang)
Da Zao (broken, 25 pieces. Another method: 12 pieces)
The above seven ingredients are boiled in 8 sheng of water to obtain 3 sheng. Remove dregs. Take 1 sheng warm, three times a day.
352. If the patient has long-standing internal Cold, Dang Gui Si Ni Jia Wu Zhu Yu Sheng Jiang Tang (Angelica Four Reversals Decoction plus Evodia and Ginger) is suitable. Formula 4.
Dang Gui (3 liang) Shao Yao (3 liang) Gan Cao (roasted, 2 liang) Tong Cao (2 liang)
Gui Zhi (peeled, 3 liang) Xi Xin (3 liang) Sheng Jiang (sliced, 0.5 jin) Wu Zhu Yu (2 sheng) Da Zao (broken, 25 pieces)
The above nine ingredients are boiled in 6 sheng of water and 6 sheng of clear wine to obtain 5 sheng. Remove dregs. Divide into five warm doses. (Another formula: 4 sheng each of water and wine.)
353. Profuse sweating, persistent heat, internal cramping pain, limb pain, accompanied by diarrhea, Jue Ni, and aversion to cold, are treated with Si Ni Tang (Four Reversals Decoction). Formula 5.
Gan Cao (roasted, 2 liang) Gan Jiang (1.5 liang) Fu Zi (raw, peeled, broken into 8 pieces, 1 piece)
The above three ingredients are boiled in 3 sheng of water to obtain 1 sheng and 2 he. Remove dregs. Divide into two warm doses. For strong individuals, one large Fu Zi and 3 liang of Gan Jiang may be used.
354. Profuse sweating, or severe diarrhea with Jue Leng (cold limbs), are treated with Si Ni Tang. Formula 6. (Use Formula 5 above.)
355. If the patient has cold hands and feet, and the pulse suddenly becomes Jin (tight), pathogenic factors are accumulated in the chest. With fullness below the heart, irritability, hunger but inability to eat, the disease is in the chest. Emesis (vomiting method) is required, suitable with Gua Di San (Melon Stem Powder). Formula 7.
Gua Di Chi Xiao Dou
The above two ingredients, in equal parts, are separately pounded and sifted, mixed in a mortar, and processed further.
Separately, take 1 he of Xiang Chi, boil with 7 he of hot water into a thin gruel; remove dregs, mix the juice with 1 qian bi of the powder, and take it warm in one dose. If vomiting does not occur, increase the dose slightly; stop when rapid vomiting is achieved. Gua Di San is contraindicated for those with blood loss or deficiency.
356. In Shang Han, with Jue and palpitations below the heart, treat Water retention first by taking Fu Ling Gan Cao Tang (Poria and Licorice Decoction), then treat Jue. Otherwise, Water will infiltrate the Stomach, inevitably causing diarrhea. Fu Ling Gan Cao Tang. Formula 8.
Fu Ling (2 liang) Gan Cao (roasted, 1 liang) Sheng Jiang (sliced, 3 liang) Gui Zhi (peeled, 2 liang)
The above four ingredients are boiled in 4 sheng of water to obtain 2 sheng. Remove dregs. Divide into three warm doses.
357. In Shang Han for six or seven days, after severe purgation, if the Cun pulse is Chen (deep) and Chi (slow), with Shou Zu Jue Ni, absence of lower body pulse, unfavorable throat, spitting pus and blood, and incessant diarrhea, it is difficult to treat. Ma Huang Sheng Ma Tang (Ephedra and Cimicifuga Decoction) is indicated. Formula 9.
Ma Huang (nodes removed, 2.5 liang) Sheng Ma (1 liang 1 fen) Dang Gui (1 liang 1 fen) Zhi Mu (18 zhu) Huang Qin (18 zhu)
Wei Rui (also known as Chang Pu, 18 zhu) Shao Yao (6 zhu) Tian Men Dong (core removed, 6 zhu) Gui Zhi (peeled, 6 zhu) Fu Ling (6 zhu)
Gan Cao (roasted, 6 zhu) Shi Gao (crushed, wrapped in cotton, 6 zhu) Bai Zhu (6 zhu) Gan Jiang (6 zhu)
The above fourteen ingredients are boiled in 1 dou of water. First boil Ma Huang for one or two boils, remove the foam, add other herbs, and boil to obtain 3 sheng. Remove dregs. Divide into three warm doses. The interval between doses should be about the time it takes to cook 3 dou of rice. Finish the medication. Recovery occurs upon sweating.
358. In Shang Han for four or five days, if there is abdominal pain and a sensation of Qi moving downward toward the lower abdomen, this indicates impending spontaneous diarrhea.
359. In Shang Han, originally with Cold diarrhea, if the physician uses emesis and purgation again, causing Han Ge (Cold rejection), further violating the treatment principles; if food is vomited immediately upon entering the mouth, Gan Jiang Huang Qin Huang Lian Ren Shen Tang (Dried Ginger, Scutellaria, Coptis, and Ginseng Decoction) is indicated. Formula 10.
Gan Jiang Huang Qin Huang Lian Ren Shen (3 liang each)
The above four ingredients are boiled in 6 sheng of water to obtain 2 sheng. Remove dregs. Divide into two warm doses.
360. Diarrhea with slight heat and thirst, and a Ruo (weak) pulse, will now heal spontaneously.
361. Diarrhea with Shu (rapid) pulse, slight heat, and sweating, will now heal spontaneously; if the pulse becomes Jin (tight) again, the disease is not resolved. (Another version: if the pulse is Floating and becomes Tight.)
362. Diarrhea, cold hands and feet, and absence of pulse: if moxibustion does not warm the limbs, and the pulse does not return, but slight panting occurs instead, death ensues; if Shaoyin pulse (Taixi) is weaker than Fuyang pulse (Chongyang), it is a favorable sign.
363. Diarrhea, with Cun pulse unexpectedly Fu (floating) and Shu (rapid), and Chi pulse naturally Se (choppy), will inevitably result in pus and blood in the stool.
364. Diarrhea with Qing Gu (undigested food in stool): releasing the Exterior (diaphoresis) is contraindicated; sweating will inevitably cause abdominal distension.
365. Diarrhea: if the pulse is Chen (deep) and Xian (wiry), there is Tenesmus (heavy sensation in the rectum); if the pulse is Da (large), diarrhea has not stopped; if the pulse is Wei (faint), Ruo (weak), and Shu (rapid), diarrhea is about to stop spontaneously; even with fever, there is no danger of death.
366. Diarrhea with Chen (deep) and Chi (slow) pulse, slight redness of the face, slight body heat, and Qing Gu diarrhea: resolution will occur through Yu Mao (dizziness and cloudiness) and sweating. The patient will have slight Jue. This is because of Dai Yang (floating Yang on the face) and Lower Deficiency.
367. Diarrhea with Shu (rapid) pulse and thirst will now heal spontaneously; if not, there will inevitably be pus and blood in the stool, due to the presence of Heat.
368. After diarrhea, if the pulse is absent and hands and feet are cold, life is preserved if the pulse returns and hands and feet become warm after some time; if the pulse does not return, death ensues.
369. In Shang Han, if diarrhea occurs more than ten times a day and the pulse is unexpectedly Shi (full/excess), death ensues.
370. Diarrhea with Qing Gu, Internal Cold and External Heat, sweating and Jue, are treated with Tong Mai Si Ni Tang (Channel-Unblocking Four Reversals Decoction). Formula 11.
Gan Cao (roasted, 2 liang) Fu Zi (raw, peeled, broken into 8 pieces, 1 large piece) Gan Jiang (3 liang, 4 liang for strong individuals)
The above three ingredients are boiled in 3 sheng of water to obtain 1 sheng and 2 he. Remove dregs. Divide into two warm doses. Recovery occurs if the pulse emerges immediately.
371. Heat diarrhea with Tenesmus is treated with Bai Tou Weng Tang (Pulsatilla Decoction). Formula 12.
Bai Tou Weng (2 liang) Huang Bai (3 liang) Huang Lian (3 liang) Qin Pi (3 liang)
The above four ingredients are boiled in 7 sheng of water to obtain 2 sheng. Remove dregs. Take 1 sheng warm; if not healed, take another 1 sheng.
372. Diarrhea with abdominal distension and body pain: warm the Interior first, then release the Exterior. For warming the Interior, Si Ni Tang is suitable; for releasing the Exterior, Gui Zhi Tang (Cinnamon Twig Decoction) is suitable. Formula 13.
(Si Ni Tang uses Formula 5 above.)
Gui Zhi Tang Formula:
Gui Zhi (peeled, 3 liang) Shao Yao (3 liang) Gan Cao (roasted, 2 liang) Sheng Jiang (sliced, 3 liang) Da Zao (broken, 12 pieces)
The above five ingredients are boiled in 7 sheng of water to obtain 3 sheng. Remove dregs. Take 1 sheng warm; shortly after, drink 1 sheng of hot thin porridge to assist the medicinal effect.
373. Diarrhea with desire to drink water is due to Heat, treated with Bai Tou Weng Tang. Formula 14. (Use Formula 12 above.)
374. Diarrhea with Zhan Yu (delirium) indicates Dry Stool, suitable with Xiao Cheng Qi Tang (Minor Order the Qi Decoction). Formula 15.
Da Huang (washed with wine, 4 liang) Zhi Shi (roasted, 3 pieces) Hou Po (peeled, roasted, 2 liang)
The above three ingredients are boiled in 4 sheng of water to obtain 1 sheng and 2 he. Remove dregs. Divide into two doses. If delirium stops after the first dose, and bowel movement occurs, stop the subsequent dose; otherwise, finish the medication.
375. If irritability increases after diarrhea, and the area below the heart is soft upon pressure, this is Xu Fan (deficiency irritability), suitable with Zhi Zi Chi Tang (Gardenia and Prepared Soybean Decoction). Formula 16.
Fei Zhi Zi (broken, 14 pieces) Xiang Chi (wrapped in cotton, 4 he)
The above two ingredients are boiled in 4 sheng of water. First boil Zhi Zi to obtain 2.5 sheng; add Chi, boil further to obtain 1.5 sheng. Remove dregs. Divide into two doses. If vomiting occurs after one dose, stop the subsequent dose.
376. For patients with vomiting and abscess suppuration, do not treat the vomiting; healing occurs spontaneously once the pus is exhausted.
377. Vomiting with Ruo (weak) pulse, free urination, slight body heat, and Jue, is difficult to treat, managed with Si Ni Tang. Formula 17. (Use Formula 5 above.)
378. Dry vomiting with salivary froth and headache are treated with Wu Zhu Yu Tang (Evodia Decoction). Formula 18.
Wu Zhu Yu (washed with hot water seven times, 1 sheng) Ren Shen (3 liang) Da Zao (broken, 12 pieces) Sheng Jiang (sliced, 6 liang)
The above four ingredients are boiled in 7 sheng of water to obtain 2 sheng. Remove dregs. Take 7 he warm, three times a day.
379. Vomiting with fever are treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction). Formula 19.
Chai Hu (8 liang) Huang Qin (3 liang) Ren Shen (3 liang) Gan Cao (roasted, 3 liang) Sheng Jiang (sliced, 3 liang) Ban Xia (washed, 0.5 sheng)
Da Zao (broken, 12 pieces)
The above seven ingredients are boiled in 1 dou and 2 sheng of water to obtain 6 sheng. Remove dregs, re-boil to obtain 3 sheng. Take 1 sheng warm, three times a day.
380. In Shang Han, after severe vomiting and purgation, leading to extreme deficiency, and then profuse sweating, if the patient's external Qi is depressed, and water is given to induce sweating, resulting in Yue (hiccup/retching). This is because of Cold in the Stomach.
381. In Shang Han, with Yue and abdominal fullness, observe the front (urination) and back (defecation) to determine which passage is blocked. Unblocking it will lead to recovery.