伤寒见风者,其人初感于寒,续中于风是也。外症寒多热少,不烦躁,脉当浮而紧,今反浮而缓者,此
伤寒而见风脉,乃营?并伤之症也。
伤风见寒者,其人先中于风,而重感于寒者是也。外症恶风、发热、烦躁,脉当浮而缓,今反浮而紧者,
此伤风而见寒脉,亦营?并伤之症,俱用大青龙汤、或九味羌活汤加减治之。
病有伤湿,有中湿,有风湿。伤湿者,湿伤太阳膀胱经者是也。中湿者,湿中太阴脾经或肾经者是也。
风湿者,或先伤于湿,后伤于风,风湿相搏而为病者是也。盖东南窊下之地,水多聚焉,居其处多湿,
或中风雨雾露,是名中湿,此脾经与肾经受病也。其症一身尽疼,发热身黄,脉沈而缓,治宜燥胜可
也。或素有湿,又中于风,是为风湿。其症肢体疼痛,难以转侧,脉沈而涩,治宜微表以去其风行燥以
去其湿。大抵治湿之法,咸用羌防以胜之,二术以燥之,苓泽以渗之,或用附子以温之,看所挟风寒
湿热之有无,及上下微甚以治之,切不可大发汗,汗之则风气去而湿气存,又不可下,下之则额上
汗出微喘而死矣。
湿温者,其人素伤于湿,又中于暑者也。其症两胫逆冷,腹满多汗,头目痛,或妄言,切不可发汗,发汗
则使人不能言,耳聋,不知痛处,身青,面色变,名曰重暍,重暍宜白虎汤加苍术,去暑燥湿故也。
伤寒见风者,其人初感于寒,续中于风是也。
翻译:所谓“伤寒见风”,是指患者最初感受了寒邪,随后又遭受了风邪侵袭。
外症寒多热少,不烦躁,脉当浮而紧,今反浮而缓者,此伤寒而见风脉,乃营?并伤之症也。
翻译:外在症状表现为恶寒重而发热轻,没有烦躁不安的感觉,脉象本应当是浮而紧的,现在反而呈现浮而缓的脉象,这是伤寒病中出现了风邪的脉象,属于营气和卫气同时受邪损伤的病证。(注:原文“营?”据上下文及中医理论推测为“营卫”)
伤风见寒者,其人先中于风,而重感于寒者是也。
翻译:所谓“伤风见寒”,是指患者先遭受了风邪侵袭,随后再次严重地感受了寒邪。
外症恶风、发热、烦躁,脉当浮而缓,今反浮而紧者,此伤风而见寒脉,亦营?并伤之症,俱用大青龙汤、或九味羌活汤加减治之。
翻译:外在症状表现为怕风、发热、烦躁不安,脉象本应当是浮而缓的,现在反而呈现浮而紧的脉象,这是伤风病中出现了寒邪的脉象,同样属于营气和卫气同时受邪损伤的病证,治疗上都使用大青龙汤(Major Green Dragon Decoction),或者对九味羌活汤(Jiuwei Qianghuo Tang / Nine-Ingredient Notopterygium Decoction)进行加减化裁来治疗。
病有伤湿,有中湿,有风湿。
翻译:疾病中有因湿邪所伤的,有湿邪直中的,有风湿相搏的。
伤湿者,湿伤太阳膀胱经者是也。
翻译:所谓“伤湿”,是指湿邪伤害了足太阳膀胱经。
中湿者,湿中太阴脾经或肾经者是也。
翻译:所谓“中湿”,是指湿邪直接侵入足太阴脾经或足少阴肾经。
风湿者,或先伤于湿,后伤于风,风湿相搏而为病者是也。
翻译:所谓“风湿”,或者是先受了湿邪,后来又受了风邪,风邪与湿邪相互搏结而致病。
盖东南窊下之地,水多聚焉,居其处多湿,或中风雨雾露,是名中湿,此脾经与肾经受病也。
翻译:大概东南地势低洼的地方,雨水容易积聚,居住在那里的人多受湿气影响,如果又遭受风雨雾露的侵袭,这就叫做“中湿”,这是脾经和肾经受到病邪侵害。
其症一身尽疼,发热身黄,脉沈而缓,治宜燥胜可也。
翻译:它的症状是全身都疼痛,发热且身体发黄,脉象沉而缓,治疗适宜用燥湿胜湿的方法。
或素有湿,又中于风,是为风湿。
翻译:如果平时体内就有湿气,又遭受了风邪侵袭,这就称为“风湿”。
其症肢体疼痛,难以转侧,脉沈而涩,治宜微表以去其风行燥以去其湿。
翻译:它的症状是四肢关节疼痛,难以翻身转动,脉象沉而涩,治疗适宜用轻微的发汗方法来祛除风邪,用燥湿的方法来祛除湿气。
大抵治湿之法,咸用羌防以胜之,二术以燥之,苓泽以渗之,或用附子以温之,看所挟风寒湿热之有无,及上下微甚以治之,切不可大发汗,汗之则风气去而湿气存,又不可下,下之则额上汗出微喘而死矣。
翻译:大致治疗湿病的法则,都用羌活、防风来祛风胜湿,苍术、白术来燥湿,茯苓、泽泻来渗利湿气,或者用附子来温阳化湿,根据兼夹的风、寒、湿、热邪气的有无,以及病位的上下、病情的轻重来进行治疗,千万不可以大力发汗,如果发汗,则风邪虽去但湿气留存,也不可以使用攻下法,如果攻下,会导致额头出汗、轻微气喘而死亡。
湿温者,其人素伤于湿,又中于暑者也。
翻译:所谓“湿温”,是指患者平时就受了湿邪的伤害,又遭受了暑邪的侵袭。
其症两胫逆冷,腹满多汗,头目痛,或妄言,切不可发汗,发汗则使人不能言,耳聋,不知痛处,身青,面色变,名曰重暍,重暍宜白虎汤加苍术,去暑燥湿故也。
翻译:它的症状是两条小腿逆冷,腹部胀满,出汗多,头痛眼痛,或者胡言乱语,千万不可以发汗,如果发汗,会使人无法说话,耳聋,不知道疼痛的部位,身体发青,面色改变,这叫做“重暍”(Zhongye / Severe Heatstroke),对于重暍适宜使用白虎汤(Baihu Tang / White Tiger Decoction)加上苍术,因为这样可以祛除暑邪并燥湿。
Shanghan Jian Feng (Cold Damage with Wind Manifestation) refers to a condition where the patient is initially affected by Cold Evil, followed subsequently by invasion of Wind Evil. The external symptoms present as severe chills with mild fever, without irritability. The pulse should be floating and tight; however, if it is instead floating and moderate, this indicates that while suffering from Shanghan (Cold Damage), the pulse reflects Wind manifestation. This is a syndrome of simultaneous injury to Ying (Nutritive Qi) and Wei (Defensive Qi).
Shangfeng Jian Han (Wind Injury with Cold Manifestation) refers to a condition where the patient is first affected by Wind Evil, and then severely re-exposed to Cold Evil. The external symptoms include aversion to wind, fever, and irritability. The pulse should be floating and moderate; however, if it is instead floating and tight, this indicates that while suffering from Shangfeng (Wind Injury), the pulse reflects Cold manifestation. This is also a syndrome of simultaneous injury to Ying (Nutritive Qi) and Wei (Defensive Qi). Both conditions are treated with Da Qing Long Tang (Major Green Dragon Decoction) or modified Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction).
Diseases involving dampness include Shang Shi (Injury by Dampness), Zhong Shi (Direct Invasion by Dampness), and Feng Shi (Wind-Dampness). Shang Shi refers to Dampness injuring the Foot-Taiyang Bladder Meridian. Zhong Shi refers to Dampness directly invading the Foot-Taiyin Spleen Meridian or Foot-Shaoyin Kidney Meridian. Feng Shi occurs when one is first injured by Dampness and later by Wind, causing Wind and Dampness to contend and cause disease. Generally, in the low-lying southeastern regions where water accumulates, residents are often exposed to dampness. If they are further struck by wind, rain, fog, or dew, it is named Zhong Shi (Direct Invasion by Dampness), affecting the Spleen and Kidney meridians. Symptoms include whole-body pain, fever, jaundice (yellowing of the body), and a deep, moderate pulse. Treatment should employ methods to dry and overcome dampness. Alternatively, if one has pre-existing dampness and is then struck by Wind, it is termed Feng Shi (Wind-Dampness). Symptoms include limb pain and difficulty in turning over, with a deep and choppy pulse. Treatment should use mild diaphoresis to dispel Wind and drying methods to remove Dampness.
Generally, the method for treating Dampness involves using Qiang Huo (Notopterygii Rhizoma et Radix) and Fang Feng (Saposhnikoviae Radix) to overcome it, Er Zhu (Atractylodis Rhizoma and Atractylodis Macrocephalae Rhizoma) to dry it, Ling Shen (Poria and Alisma) to leach it out, or Fu Zi (Aconiti Lateralis Radix Praeparata) to warm it. Treatment depends on the presence or absence of accompanying Wind, Cold, Damp, or Heat evils, and their location (upper or lower) and severity. One must absolutely avoid strong diaphoresis; sweating will expel Wind but leave Dampness behind. One must also avoid purgation; purging will lead to sweat on the forehead, slight panting, and death.
Shi Wen (Damp-Warmth) refers to a condition where the person has been chronically injured by Dampness and is then struck by Summerheat. Symptoms include coldness in both calves, abdominal fullness, excessive sweating, headache and eye pain, or delirious speech. Diaphoresis must absolutely be avoided; inducing sweating will cause muteness, deafness, inability to locate pain, cyanosis of the body, and changes in facial color. This is called Chong Ye (Severe Heatstroke). Chong Ye is suitable for treatment with Baihu Tang (White Tiger Decoction) plus Cang Zhu (Atractylodis Rhizoma), to clear Summerheat and dry Dampness.