9.五色休息皆伤脏, 涩早滞热蕴于中, 补之不应脉有力, 日久仍攻
余法同.
【注】五色, 休息二痢, 皆因用止涩药早, 或因滞热下之未尽, 蕴于
肠胃伤脏气也. 用一切补养之药不应, 则可知初病非止涩太早, 即下
之未尽也. 诊其脉若有力, 虽日久仍当攻也. 其余治法, 与诸痢同.
1.面目身黄欲安卧, 小便浑黄疸病成, 已食如饥饱烦眩, 胃疸谷疸
酒疸名, 女劳额黑少腹急, 小便自利审瘀生, 黄汗微肿皆湿热, 阴黄
重痛厥如冰.
【注】面目身黄, 但欲安卧, 小便黄浑, 此黄疸病已成也. 如已食如
饥,食难用饱, 饱则心烦头眩, 此欲作胃疸. 胃疸者, 即谷疸也. 若
已见黄色, 疸已成矣. 得之于胃有湿热, 大饥过食也. 酒疸者, 得之
于饮酒无度, 而发是病也. 女劳疸者, 疸而额黑, 少腹急, 小便自利
,得之于大劳大热与女交接也. 瘀血发黄, 亦少腹急, 小便自利, 但
不额黑耳. 详在伤寒门. 黄汗者, 汗出黄色染衣, 面目微肿, 得之于
素有湿热, 汗出入水浴之也. 此皆湿热而成, 惟阴黄则属湿寒. 阴黄
者,身重而痛, 身重而痛, 厥冷如冰, 详在伤寒门.
9. 五色痢和休息痢都损伤了脏腑,(病因是)过早使用收敛止涩药,或者湿热积滞通过泻下法未能清除干净,蕴结在体内。如果采用补益疗法无效且脉象有力,即使病程日久,仍然应当采用攻下法。其他治疗方法与各种痢疾相同。
【注】五色痢和休息痢,都是因为过早使用了止涩药物,或者因为湿热积滞通过泻下法未能彻底清除,蕴结在肠胃中从而损伤了脏气。如果使用一切补养药物均无效,就可以知道初起时要么是因为止涩太早,要么是泻下未尽。诊察其脉象如果有力,虽然病程长久,仍然应当采用攻下法。其余的治疗方法,与其他痢疾相同。
1. 面目身体发黄且想要安静躺卧,小便浑浊,这是黄疸病已经形成。进食后感觉像饥饿一样,或者饱胀时感到心烦、头晕目眩,这被称为胃疸或谷疸、酒疸。女劳疸表现为额头发黑、少腹部拘急,小便通畅自利,需仔细审查是否为瘀血所致。黄汗症表现为轻微浮肿,皆由湿热引起;阴黄则表现为身体沉重疼痛,四肢厥冷如冰。
【注】面目身体发黄,只想安静躺卧,小便黄而浑浊,这是黄疸病已经形成。如果进食后感觉像饥饿,难以吃饱,吃饱后则心烦头晕,这是将要发作胃疸。胃疸,就是谷疸。如果已经出现黄色,说明疸病已经形成。这是由于胃中有湿热,或因极度饥饿后过度饮食所致。酒疸,是由于饮酒无度而引发此病。女劳疸,表现为疸病且额头发黑,少腹部拘急,小便通畅,是由于过度劳累、高热以及与女性房事所致。瘀血导致的发黄,也表现为少腹部拘急,小便通畅,只是额头不发黑罢了。详细情况参见《伤寒论》篇。黄汗症,汗出黄色染衣,面目轻微浮肿,是由于素有湿热,出汗时进入水中沐浴所致。这些病症都是由湿热引起的,只有阴黄属于湿寒。阴黄,表现为身体沉重而疼痛,四肢厥冷如冰,详细情况参见《伤寒论》篇。
9. Wuse dysentery (Dysentery with five-colored stools) and Xiuxi dysentery (Intermittent dysentery) both injure the Zang organs. This is due to the premature use of astringent drugs, or because damp-heat and stagnation were not fully cleared by purgation, leading to accumulation within the body. If tonification yields no response and the pulse is forceful, even if the disease has persisted for a long time, purgation should still be employed. Other treatment methods are the same as those for various types of dysentery.
[Annotation] Wuse dysentery and Xiuxi dysentery are caused either by the premature use of astringent medicines or by incomplete clearance of damp-heat and stagnation via purgation, which then accumulate in the intestines and stomach, injuring the Qi of the Zang organs. If all tonifying and nourishing medicines prove ineffective, it can be deduced that initially, either astringents were used too early or purgation was incomplete. If the pulse is found to be forceful upon diagnosis, purgation should still be applied despite the prolonged duration of the disease. The remaining treatment methods are identical to those for other dysenteries.
1. Yellowing of the face, eyes, and body accompanied by a desire to lie quietly, along with turbid urine, indicates that Jaundice (Huangdan) has already formed. A sensation of hunger after eating, difficulty in reaching fullness, and irritability or dizziness when full suggest the impending onset of Weijian (Stomach Jaundice), also known as Gujian (Grain Jaundice) or Jiujian (Wine Jaundice). Nülaodian (Jaundice from Sexual Exhaustion) presents with blackening of the forehead and urgency in the lower abdomen, with free urination; one must carefully examine whether this is generated by Blood Stasis (Yuxue). Huanghan (Yellow Sweat) presents with slight edema and is caused by Damp-Heat. Yinhuang (Yin-type Jaundice) is characterized by heavy pain in the body and cold extremities like ice.
[Annotation] Yellowing of the face, eyes, and body, a preference for lying still, and yellow, turbid urine indicate that Jaundice has already formed. If there is a sensation of hunger after eating, an inability to eat until full, and irritability or dizziness upon fullness, this suggests the impending onset of Weijian. Weijian is synonymous with Gujian. If yellow discoloration is already present, the Jian disease has manifested. This arises from Damp-Heat in the stomach, often due to overeating after extreme hunger. Jiujian arises from excessive alcohol consumption. Nülaodian manifests as jaundice with blackening of the forehead and urgency in the lower abdomen, with free urination; it results from severe fatigue, high heat, and sexual intercourse. Jaundice caused by Blood Stasis also presents with urgency in the lower abdomen and free urination, but without blackening of the forehead. Details are found in the Shanghan Lun section. Huanghan involves yellow sweat that stains clothing and slight swelling of the face and eyes; it results from pre-existing Damp-Heat combined with bathing in water while sweating. All these conditions are caused by Damp-Heat, except for Yinhuang, which belongs to Cold-Damp. Yinhuang is characterized by heaviness and pain in the body, and cold extremities like ice; details are found in the Shanghan Lun section.