《病源论》云∶夫卫气,一日一夜大会于风府,则腠理开,开则邪入,邪入则病作。当
其时
所
《葛氏方》治疟发作无常心下烦热方∶
恒山(二两) 甘草(两半) 豉(五合)
以水六升煮取二升,分再服。当快吐仍断,即饮食。
《病源论》云∶经云∶春气温和,夏气暑热,秋气清凉,冬气冰寒,此则四时正气之序
也。
气,
毒藏
温病
而反
多相
又云∶夫热病者,皆伤寒之类也。或愈或死,其死皆六七日间,其愈皆以十日以上。
《葛氏方》云∶伤寒、时行、温疫,虽有三名,同一种耳,而源本小异。其冬月伤于暴
寒,
人骨
诊候
此,致
《医门方》云∶凡伤寒病五六日而渴欲饮水,水不能多,未宜与也。所以尔者,腹中热
尚少
与五
病反
《葛氏方》云∶阳毒病,面目斑斑如锦文,喉咽痛,下脓血。五日不治,死。
阴毒病,面目青,举体疼痛,喉咽不利,手足逆冷。五日不治,死。
阴毒病,发赤斑,一死一生。
热病,未发汗而脉微细者,死。
内热,脉盛躁,发汗永不肯出者,死。
汗虽出,至足者犹死。
已得汗而脉犹躁,盛热不退者,死。
汗出而 言,烦躁不得卧,目精乱者死。
汗不出而呕血者,死。
汗出大下利不止者,死。
汗出而寒不止,鼻口冷者,死。
发热而痉,腰掣纵齿 者,死。
不得汗而掣纵,狂走不食,腹满胸背痛,呕血者,死。
喘满 言直视者,死。
热不退,目不明,舌本烂者,死。
咳而衄者,死。
大衄不止,腹中痛,短气者,死。
呕咳下血,身热疹(耻刃反)而大瘦削者,死。
手足逆冷而烦躁,脉不至者,死。
大不利而脉疹及寒者,死。
下利而腹满痛者,死。
下利,手足逆冷而烦躁不得眠者,死。
腹满,肠鸣下利,而四肢冷痛者,死。
利止,眩冒者,死。
腹胀,嗜饮食而不得大小便者,死。
身面黄肿,舌卷身糜臭者,死。
不知痛处,身面青,聋不欲语者,死。
目眶陷,不见人,口干谬语,手循衣缝,不得眠者,死。
始得使一身不收,口干舌焦者,死。
疾始一日,腹便满,身热不食者,死;二日口身热,舌干者,死;三日耳聋阴缩,手足
冷者
溺血
脉若不数,三日中当有汗,若无汗者死。
《太素经》热病死候九∶
第一汗不出,出不大灌发者死;第二泄而腹满甚者死;第三目不明,热不已者死;第四
耆老
汗不
《诸病源候论》说:卫气,一天一夜在风府穴大会一次,此时腠理(皮肤纹理及汗孔)开放,腠理开放则邪气侵入,邪气侵入则疾病发作。
《葛氏方》治疗疟疾发作时间不固定的心下烦热方:
恒山(二两) 甘草(一两半) 豆豉(五合)
用水六升煮取二升药液,分两次服用。服药后应当引起剧烈呕吐并停止,随后即可进食。
《诸病源候论》说:经书云:春季气候温和,夏季气候暑热,秋季气候清凉,冬季气候冰寒,这是四季正常气候的次序。
……(原文此处有缺漏或乱码,无法完整翻译)……
又说:所谓热病,都属于伤寒的范畴。有的痊愈有的死亡,死亡的都在六七天之间,痊愈的都在十天以上。
《葛氏方》说:伤寒、时行(季节性流行病)、温疫(温热性质的瘟疫),虽然有三个名称,但属于同一种病因,只是源头和本原略有差异。如果在冬季遭受暴寒侵袭,……(原文此处有缺漏或乱码,无法完整翻译)……
《医门方》说:凡是伤寒病到了五六天,口渴想喝水,但不能多喝,暂时不宜给予饮水。之所以这样,是因为腹中热气尚少……(原文此处有缺漏或乱码,无法完整翻译)……
《葛氏方》说:阳毒病,面目出现斑斑如锦缎花纹般的皮疹,咽喉疼痛,便下脓血。五天不治疗,就会死亡。
阴毒病,面目发青,全身疼痛,咽喉不利,手足逆冷。五天不治疗,就会死亡。
阴毒病,发出赤色斑疹,有的死有的活。
热病,尚未发汗而脉象微细的,死。
内热,脉象盛大躁动,发汗后汗液永远出不来的,死。
汗虽然出了,但只到脚部的,仍然会死。
已经出汗但脉象仍然躁动,盛热不退的,死。
出汗而且言语错乱,烦躁不能卧倒,眼球转动失常的,死。
不出汗而呕血的,死。
出汗而且严重腹泻不止的,死。
出汗而且寒冷不止,鼻口冷的,死。
发热而且抽搐,腰部强直或弛纵,牙齿咬紧的,死。
不得出汗而且抽搐弛纵,狂跑不食,腹部胀满胸背疼痛,呕血的,死。
气喘胸闷,言语错乱,直视的,死。
热不退,眼睛看不清,舌根腐烂的,死。
咳嗽而且流鼻血的,死。
大量鼻出血不止,腹部疼痛,短气的,死。
呕吐咳嗽便血,身体发热出疹且极度消瘦的,死。
手足逆冷而且烦躁,脉搏摸不到的,死。
严重腹泻而且脉象紧急兼有寒冷的,死。
腹泻而且腹部胀满疼痛的,死。
腹泻,手足逆冷而且烦躁不能入睡的,死。
腹部胀满,肠鸣腹泻,而且四肢冷痛的,死。
腹泻停止,头晕目眩昏蒙的,死。
腹部胀满,想吃东西但不能大小便的,死。
身体面部黄肿,舌头卷缩身体溃烂发臭的,死。
不知道疼痛部位,身体面部发青,耳聋不想说话的,死。
眼眶凹陷,看不见人,口干胡言乱语,手摸衣缝,不能入睡的,死。
刚得病时全身肌肉松弛不收,口干舌焦的,死。
疾病刚开始第一天,腹部胀满,身体发热不食的,死;第二天口身热,舌干的,死;第三天耳聋阴囊收缩,手足冷的……(原文此处有缺漏或乱码,无法完整翻译)……
如果脉象不数,三天中应当有汗,如果没有汗的则死。
《太素经》记载的热病死候九条:
第一条:不出汗,或者出汗不多像灌发一样的死;第二条:腹泻而且腹部胀满严重的死;第三条:眼睛看不清,热势不退的,死;第四条……(原文此处有缺漏或乱码,无法完整翻译)……耆老……(原文此处有缺漏或乱码,无法完整翻译)……汗不……(原文此处有缺漏或乱码,无法完整翻译)
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: The Wei Qi (Defensive Qi) converges at the Fengfu point (GV16) once every day and night. At this time, the Cou Li (skin texture and pores) open. When the Cou Li open, pathogenic factors enter; when pathogenic factors enter, the disease manifests.
The *Ge Shi Fang* (Formula by Ge Hong) for treating malaria with irregular onset and heat distress in the epigastrium:
Hengshan (Radix Dichroae, 2 liang), Gancao (Radix Glycyrrhizae, 1.5 liang), Chi (Fermented Soybean Paste, 5 he).
Boil in six sheng of water until two sheng remain. Divide into two doses. After administration, induce vigorous vomiting and then stop eating temporarily.
The *Zhu Bing Yuan Hou Lun* states: The classics say: Spring climate is mild, Summer climate is hot and humid, Autumn climate is cool, Winter climate is icy cold. This is the order of the Zheng Qi (Upright Qi) of the four seasons.
... [Text missing or corrupted] ...
It also says: All so-called Re Bing (Heat Diseases) belong to the category of Shang Han (Cold Damage). Some recover, some die; those who die do so within six to seven days, while those who recover take more than ten days.
The *Ge Shi Fang* states: Shang Han (Cold Damage), Shi Xing (Seasonal Epidemic), and Wen Yi (Warm Pestilence), although having three different names, stem from the same source, though their origins differ slightly. If one is injured by violent Cold in winter... [Text missing or corrupted] ...
The *Yi Men Fang* (Medical Gate Formulas) states: In cases of Shang Han (Cold Damage) lasting five to six days where there is thirst and desire to drink water, but the patient cannot drink much, it is not appropriate to give water at this time. The reason for this is that the heat in the abdomen is still insufficient... [Text missing or corrupted] ...
The *Ge Shi Fang* states: Yang Du Bing (Yang Toxin Disease) presents with mottled rash on the face and eyes resembling brocade patterns, sore throat, and passage of pus and blood. If untreated for five days, death ensues.
Yin Du Bing (Yin Toxin Disease) presents with a bluish complexion, generalized body pain, throat discomfort, and cold extremities. If untreated for five days, death ensues.
In Yin Du Bing, if red macules appear, some patients die and some survive.
In Re Bing (Heat Disease), if the pulse is faint and fine before sweating has been induced, death ensues.
If there is internal heat, the pulse is large and restless, and sweating fails to occur even after inducing diaphoresis, death ensues.
If sweat occurs but only reaches the feet, death still ensues.
If sweat has occurred but the pulse remains restless and high fever persists, death ensues.
If sweat occurs accompanied by delirious speech, restlessness preventing lying down, and disordered eye movements, death ensues.
If no sweat occurs but hematemesis (vomiting blood) happens, death ensues.
If sweat occurs accompanied by severe diarrhea that does not stop, death ensues.
If sweat occurs accompanied by persistent coldness and cold nose and mouth, death ensues.
If fever occurs with spasms, rigid or flaccid back, and clenched teeth, death ensues.
If no sweat occurs, accompanied by spasms and flaccidity, running wildly without eating, abdominal distension, chest and back pain, and hematemesis, death ensues.
If there is wheezing and fullness, delirious speech, and fixed gaze, death ensues.
If fever does not subside, vision is unclear, and the root of the tongue rots, death ensues.
If coughing is accompanied by epistaxis (nosebleed), death ensues.
If massive epistaxis does not stop, accompanied by abdominal pain and shortness of breath, death ensues.
If vomiting, coughing, and hematochezia occur, along with fever, rash, and extreme emaciation, death ensues.
If extremities are cold and there is restlessness with an imperceptible pulse, death ensues.
If there is severe diarrhea accompanied by a tight pulse and coldness, death ensues.
If there is diarrhea accompanied by abdominal distension and pain, death ensues.
If there is diarrhea, cold extremities, restlessness, and inability to sleep, death ensues.
If there is abdominal distension, borborygmus, diarrhea, and cold painful limbs, death ensues.
If diarrhea stops but dizziness and vertigo occur, death ensues.
If there is abdominal distension, desire to eat, but inability to urinate or defecate, death ensues.
If there is jaundice and edema of the body and face, curled tongue, body ulcers, and foul odor, death ensues.
If the patient does not know the location of pain, the body and face are blue, deaf, and unwilling to speak, death ensues.
If the eye sockets are sunken, unable to recognize people, dry mouth with delirious speech, hand picking at clothes seams, and insomnia, death ensues.
If upon initial onset the whole body is flaccid and uncontrolled, with dry mouth and scorched tongue, death ensues.
On the first day of illness, if the abdomen is full, body is hot, and appetite is lost, death ensues; on the second day, if the mouth and body are hot and the tongue is dry, death ensues; on the third day, if there is deafness, retraction of the genitals, and cold extremities... [Text missing or corrupted] ...
If the pulse is not rapid, sweating should occur within three days; if no sweat occurs, death ensues.
The *Tai Su Jing* (Classic of Great Simplicity) lists nine fatal signs for Heat Disease:
First: No sweat, or sweat that is scanty like sprinkling, leads to death; Second: Diarrhea accompanied by severe abdominal distension leads to death; Third: Unclear vision with persistent fever leads to death; Fourth... [Text missing or corrupted] ... elderly... [Text missing or corrupted] ... sweat not... [Text missing or corrupted]