服桂枝汤,大汗出,脉浮大者,与桂枝汤如前法。若形如疟,日再发者,汗出必解,
桂枝二麻黄一汤主之。
脉浮紧者,病在表,可发汗,宜麻黄汤。脉浮而数者,可发汗,宜麻杏甘石汤。
伤寒脉浮缓,身不疼,但重,乍有轻时,无少阴里证者,越婢汤主之。
伤寒脉浮滑,此表有热,里有寒,白虎加桂枝汤主之。
寒实结胸,无热证者,与三物白散,小陷胸汤亦可用。
伤寒身黄发热者,麻黄连翘赤小豆汤主之。伤寒瘀热在里,身必发黄,栀子柏皮汤
主之。
伤寒心下有水气,咳而微喘,发热不渴,小青龙汤主之。服汤已渴者,此寒去欲解也。
伤寒脉浮紧无汗,发热身疼痛,八九日不解,表证仍在,此当发其汗,麻黄汤主之。
服药已微除,其人发汗,目瞑剧者,必衄,衄乃解。所以然者,阳气重故也。
伤寒不大便六七日,头痛有热者,与承气汤。小便清者,知不在里,当须发汗,宜
桂枝汤。苦头痛者必衄。
太阳病寸缓,关浮,尺弱,其人发热汗出,复恶寒,不呕,但心下痞者,此以医下
之故也。病患不恶寒而但渴者,此转属阳明也。其不可下者,小便数者,大便必硬,不
更衣十日,无所苦也。渴者宜五苓散,渴欲饮水者,少少与之。
病发于阳,而反下之,热入,因作结胸。病发于阴,而反下之,因作痞。所以成结胸者,以
下之太早故也。所以成痞者,误下故也。
金匮云∶阳毒咽痛吐脓血,面赤斑如锦纹,升麻鳖甲汤主之,阴毒面青如蓝靛,身
痛如被杖,升麻鳖甲去雄黄蜀椒主之。
金匮云∶病微饮,短气,苓桂术甘汤主之。肾气丸亦主之。
服用桂枝汤后,大汗出,脉象浮大的,仍按前法给予桂枝汤。如果症状像疟疾一样,一天发作两次,出汗后必然痊愈,用桂枝二麻黄一汤主治。
脉象浮紧的,病在表,可以发汗,适宜用麻黄汤。脉象浮而数的,可以发汗,适宜用麻杏甘石汤。
伤寒脉象浮缓,身体不疼痛,只是沉重,偶尔有减轻的时候,没有少阴病的里证表现,用越婢汤主治。
寒实结胸,没有热证表现的,给予三物白散,小陷胸汤也可以使用。
伤寒身体发黄且发热的,用麻黄连翘赤小豆汤主治。伤寒瘀热郁结在体内,身体必定发黄,用栀子柏皮汤主治。
伤寒心下有停饮(水气),咳嗽且轻微气喘,发热但不口渴,用小青龙汤主治。服药后感到口渴的,这是寒气去除、病情将要解除的表现。
伤寒脉象浮紧无汗,发热且身体疼痛,经过八九天仍未解除,表证依然存在,这应当发汗,用麻黄汤主治。
服药后症状稍微缓解,其人因发汗导致眼睛闭涩昏花严重的,必定会出现鼻衄(流鼻血),鼻衄后病邪才能解除。之所以这样,是因为阳气郁积过重的缘故。
伤寒六七天不大便,头痛且有发热的,给予承气汤。如果小便清长,知道病不在里,应当需要发汗,适宜用桂枝汤。如果是剧烈的头痛,必定会出现鼻衄。
太阳病寸脉缓,关脉浮,尺脉弱,其人发热汗出,又恶寒,不呕吐,只是心下痞满,这是因为医生误用攻下法导致的。病人如果不恶寒但只口渴的,这是转属阳明病。其中不可攻下的,是小便频数的人,大便必定干硬,即使十天不上厕所,也没有什么痛苦。口渴的适宜用五苓散,想喝水的人,少量多次地给予饮水。
病发于阳证,反而被误用攻下法,热邪内陷,因此形成结胸。病发于阴证,反而被误用攻下法,因此形成痞证。之所以形成结胸,是因为攻下太早的缘故。之所以形成痞证,是因为误用攻下法的缘故。
《金匮要略》说:阳毒表现为咽喉疼痛、吐脓血,面色红赤如锦纹,用升麻鳖甲汤主治;阴毒表现为面色青黑如蓝靛,身体疼痛如同被棍棒打过,用升麻鳖甲汤去掉雄黄和蜀椒主治。
After taking Guizhi Tang (Cinnamon Twig Decoction), if there is profuse sweating and a floating, large pulse, administer Guizhi Tang (Cinnamon Twig Decoction) according to the previous method. If the condition resembles malaria, occurring twice a day, it will resolve upon sweating; Guizhi Er Mahuang Yi Tang (Two Parts Cinnamon Twig and One Part Ephedra Decoction) is the principal formula.
If the pulse is floating and tight, the disease is at the exterior, and diaphoresis (sweating) may be induced; Mahuang Tang (Ephedra Decoction) is appropriate. If the pulse is floating and rapid, diaphoresis may be induced; Maxing Gan Shi Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) is appropriate.
In Shanghan (Cold Damage), if the pulse is floating and slow, the body does not ache but feels heavy, occasionally becoming lighter, and there are no interior signs of Shaoyin disease (Lesser Yin disease), Yishui Tang (Diuretic Decoction) is the principal formula.
In Shanghan (Cold Damage), if the pulse is floating and slippery, this indicates heat at the exterior and cold at the interior; Baihu Jia Guizhi Tang (White Tiger Plus Cinnamon Twig Decoction) is the principal formula.
For Han Shi Jie Xiong (Cold-Excess Chest Binding) without heat signs, Sanwu Baisan (Three-Matter White Powder) should be given; Xiaoxianxiong Tang (Small Trap the Chest Decoction) can also be used.
In Shanghan (Cold Damage), if the body is yellow with fever, Mahuang Lianqiao Chixiaodou Tang (Ephedra, Forsythia, and Red Bean Decoction) is the principal formula. In Shanghan (Cold Damage), if stasis-heat is trapped inside, the body will certainly become yellow; Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction) is the principal formula.
In Shanghan (Cold Damage), if there is fluid retention in the epigastrium (Water Qi in the Heart), accompanied by cough and slight wheezing, fever, and no thirst, Xiao Qinglong Tang (Minor Green Dragon Decoction) is the principal formula. If thirst occurs after taking the decoction, this indicates that the cold has departed and resolution is imminent.
In Shanghan (Cold Damage), if the pulse is floating and tight, there is no sweat, fever, and body pain persisting for eight or nine days without resolution, and exterior signs remain, diaphoresis should be induced; Mahuang Tang (Ephedra Decoction) is the principal formula.
After taking the medicine, if symptoms are slightly alleviated, but the patient experiences severe dizziness and eye closure due to sweating, epistaxis (nosebleed) will likely occur, and the disease will resolve through the nosebleed. The reason for this is excessive Yang Qi accumulation.
In Shanghan (Cold Damage), if there is constipation for six or seven days, headache, and fever, Chengqi Tang (Purgative Decoction) should be given. If urination is clear, it is known that the disease is not in the interior, and diaphoresis is required; Guizhi Tang (Cinnamon Twig Decoction) is appropriate. Severe headache will likely result in epistaxis (nosebleed).
In Taiyang disease (Greater Yang Disease), if the Cun (inch) pulse is slow, the Guan (bar) pulse is floating, and the Chi (cubit) pulse is weak, and the patient has fever, sweating, aversion to cold, no vomiting, but only epigastric fullness/stuffiness, this is caused by the physician's erroneous use of purgation. If the patient has no aversion to cold but only thirst, this indicates transformation into Yangming disease (Yangming Disease). Among those who cannot be purged, those with frequent urination will have hard stools; even if they do not defecate for ten days, they will suffer no distress. For those with thirst, Wuling San (Five-Ling Powder) is appropriate; for those desiring water, give small amounts frequently.
When a disease originates from a Yang syndrome, and purgation is erroneously applied, heat enters, resulting in Jie Xiong (Chest Binding). When a disease originates from a Yin syndrome, and purgation is erroneously applied, Pi (Stagnation/Fullness) results. Jie Xiong (Chest Binding) forms because purgation was applied too early. Pi (Stagnation/Fullness) forms due to erroneous purgation.
The *Jinkui Yaolue* states: Yang Du (Yang Toxin) presents with sore throat, expectoration of pus and blood, red face with rash like brocade patterns; Shengma Biejia Tang ( Cimicifuga and Turtle Shell Decoction) is the principal formula. Yin Du (Yin Toxin) presents with a blue-black face, body pain as if beaten with a club; Shengma Biejia Tang (Cimicifuga and Turtle Shell Decoction) without Xionghuang (Realgar) and Shujiao (Sichuan Pepper) is the principal formula.
The *Jinkui Yaolue* states: For minor fluid retention causing shortness of breath, Linggui Zhugan Tang (Poria, Cinnamon Twig, Atractylodes, and Licorice Decoction) is the principal formula. Shenqi Wan (Kidney Qi Pill) can also be used.