疮毒初生，必有寒热交作，不可作伤寒治之。盖痈毒浮于肌表，脉亦浮数，经络为邪壅遏，身亦发热，
热毒居表，阳气不能卫外，故亦恶寒，其人饮食起局如常，或偏着一处痛者，此即痈毒病也。当验其
头面身体手足，若有痛处，或红肿或坚块，或疔毒者，须疡科治之。
瘀血类伤寒者，以其有寒热故也。盖因素有痰火，或胯缝，或腋下，略有动作，必肿硬疼病，脉来弦数
无力者，为异也。宜调养气、养血、活血，有热者、或滋阴、降火、清痰。
劳发有类伤寒，以其虚寒虚热故也。其人或因于劳倦，或伤于七情酒色，以致精神疲惫，营卫失司，
恶寒发热，骨节疼痛，其脉或浮芤虚数，或弦涩沈紧，或博坚，阶其候也。治当察其阴虚阳虚，上损下
损，以分藏性之阴阳喜恶而调理之，总当于虚劳门中求之。
凡幼？之儿，并长成之辈，忽然发热憎寒，头疼身痛，唇红脸赤，嚏欠呕吐，状类伤寒，不可遽施汗下，
须问其曾否出痘。如未出，当验其尻骨耳尖并足心皆冷者，再观耳后有红脉赤缕，即令专门调治
之。
凡治伤寒，须识阴阳二症。如初起之时，头疼身痛，发热恶寒，脉来浮大，即是阳经之表症也。自此以
后，烦躁作渴，或不大便，即是阳经传入阴经之热症也。脉虽沈伏，不可？作阴症治之。如初起之时，
脐腹绞痛手足，厥逆唇青指冷，脉来沈伏，即是直中阴经之寒症也。
一、或曾是阳症，其人素弱，不任转下。医者下之太过，忽然脐腹绞痛，洞泄不止，手足厥逆，此阳症而
转为阴症也。当温之。
一、或曾是阴症，其人素有内热，医者补之太过，忽然烦躁作渴，大小便不通，此阴症而转为阳症也。
当解之。
凡治伤寒，须识表里，汗下无？。如病在表而反下之，则乘虚入里，微为痞气结胸，甚为肠滑洞泄，此
皆？下之坏症也。如病在里而反汗之，则表益虚而里益实矣，或为？血斑黄，甚则亡阳，此皆？汗
之坏症也。
凡治伤寒，不论日数，但有头疼身痛，恶风恶寒，脉来浮大，即是表症。虽有便难小便不利，亦当先解
其表，后攻其里也。
凡治伤寒，不论日数，但有腹痛吐利，脉来沈弱，即是里症也。虽有恶风恶寒，亦当先救其里，后解其
表也。
凡治伤寒，先视两目。若黑白分明，内无热也。目不明者，里有热也。
凡治伤寒，须看唇舌。若唇红而鲜湿者，内无热也。唇干而燥者，热入里也。若舌白滑者，表未解也。舌
黄者，热渐深也。舌黑者，热已剧也。
凡欲发汗，须审其头真痛，项真强，风寒真恶，即当用汤药汗之，不可妄用水攻火劫之法。
凡欲攻下，须审其头不痛，风寒不恶，其便果硬，其腹果满，即当以汤药下之，亦不可妄用丸药。
凡伤寒在霜降以后、春分以前，名为正伤寒，宜用辛热之药以发之。若至春而发，名为温病。至夏而
发，名为热病。宜用辛凉之药以解之。若入里者，宜用苦寒之药以下之。若直中者，宜用辛热之药以
温之。其在四时，有辛然感冒，当视其寒暄，或用辛热，或用辛凉要在适中。
凡风寒始伤太阳，必用辛温散之，如麻黄桂枝之类。若传入阳明、少阳，必用辛凉解之，如葛根柴胡
之类。至邪传入胃府，必用苦寒下之，如承气之类。夫邪自表而入里，用药由温而渐寒。若？治而致
热入，攻之必宜苦寒。
凡服汗药，不可太过，过则反致阳虚。如服一剂无汗，再作汤与之，又复无汗，此营卫乏绝，法当养阴
辅正而再汗之，三治无汗者死。
凡服下药，燥屎已来，又得溏泄，此已解也。如服下药，但利清水一二次，又无燥屎，痞满如故，此未解
也，再当下之。如服下药二三次而不通者，此肠胃枯苦□也，当下取之，取之而不通者死。
凡治伤寒，须审胸腹若何。胸满而痛，名为结胸。胸满不痛，名为痞气。如未经下而有之，此传经之邪
也已经下而有之，此？下之坏症也。未经下，饮水多而得者，此水气也。
凡治伤寒，须按其腹痛与不痛，硬与不硬。若腹中痛与硬者。此燥屎也。脐下硬而痛者。此燥屎与蓄
血也。脐下筑筑然痛，上冲于心者，此奔豚气也。腹中响，气下趋者，欲作泻也。燥屎者，小便不利，而脐
下如疙瘩状。蓄血者，小便利，而脐下如怀孕状。
凡治伤寒，须问其渴与不渴。渴而不饮水者，邪在表也。渴而饮水多者，内热甚也。含水不欲吞者，欲
作？也。
凡伤寒得死症，其脉尚可治者，则当弃症从脉，虚补之，实泻之。
凡伤寒得死脉，其症有可治者，则当弃脉从症，表急解之，里、急攻之，热则清之，寒则温之。
凡伤寒脉洪大浮数动滑，此阳脉也，阳症宜见此脉，若阴症得此者凶。脉来沈涩弱弦微，此阴脉也，
阴症宜见此脉，若阳症得此者凶。
凡伤寒头疼身热，忽然无脉而昏冒，此欲汗之候，如天将明，六合皆晦之象，不须服药。
凡伤寒头疼身热，便是阳症，不可服热药。
太阴，头不痛，身不热。少阴，有反发热而无头疼。厥阴，有头疼而无身热。
凡伤寒之症，不可骤用补益。
凡伤寒不思饮食，不可就用温补脾胃药。
凡伤寒腹痛，亦有热症，不可概用温暖药，当参脉症治之。
凡伤寒自利者，当看阴阳，不可便用止泻温补。
凡伤寒手足厥冷，当分热厥、冷厥。
凡伤寒若见吐蛔虫者，虽有大热，忌用寒凉。
凡服下药，另用盐炒麸皮于病人腹上款款熨之，使得热，则行而易通。
凡服药吐出不纳，须用姜汁半钟热饮，其吐即止。
凡伤寒发黄，用生姜周身擦之。若心胸□下结实、满闷、硬痛，用姜渣炒热，于患处熨之。若加□水，更
妙。
凡伤寒吐血不止，用韭汁磨京墨呷下。如无韭汁，鸡子清亦可。
凡伤寒热病，亢极不解，用黄连煎汤一盏，井中顿冷，浸于青布上，搭在胸中，徐徐易之，候热稍退即
除。
凡伤寒腹中痛甚，将河水一钟饮之，其痛稍可，属热，当用凉药清之，清之不已急用寒药下之。若饮
水愈加作痛，属寒，当用温药和之，和之不已，急用热药救之。
凡直中真寒阴症，或痛甚无脉，或吐泻脱元无脉，须用酒酿姜汁各半钟服之，脉来可治，脉不来者，
死。
凡直中阴经之直寒症，或腹中绞痛，或呕逆厥冷，或不省人事，或药不得入口，或六脉暴绝，将□白
三寸捣成饼，先用麝半分填于脐中，后放□饼在上，以火熨之，连易二三饼，稍醒，灌入姜汁，然后煎
服回阳急救汤，如不醒，再灸关元、气海，若得手足温和汗出者，生。
凡伤寒阴病，不论热与不热，不分脉之浮沈大小，但指下无力，或重按全无，便是阴病也。最为良法。
疮毒刚刚产生时，必定会出现寒热交替发作的症状，不能当作伤寒来治疗。因为痈毒浮于肌表，脉象也呈现浮数之象，经络被邪气壅塞阻滞，身体也会发热；热毒居于体表，阳气不能卫护于外，所以也会出现恶寒。此时患者的饮食起居如常，或者疼痛集中在某一处，这就是痈毒病。应当检查其头面、身体、手足，如果有疼痛之处，或红肿、或坚硬的肿块、或疔毒，必须交由外科医生治疗。
瘀血证类似伤寒，是因为也有寒热症状的缘故。大概因为素有痰火，或者在胯缝、腋下等处，稍微有些动作，就会肿胀坚硬疼痛，脉象弦数而无力，这是异常的表现。适宜调养气机、养血、活血，如果有热象的，或者滋阴、降火、清化痰热。
劳损引发的病症有类似伤寒的情况，是因为有虚寒和虚热的缘故。其人可能因为劳累疲倦，或者因七情、酒色损伤，导致精神疲惫，营卫功能失调，出现恶寒发热、骨节疼痛，其脉象或浮芤虚数，或弦涩沉紧，或搏动坚实，这都是其征候。治疗应当观察是阴虚还是阳虚，上损还是下损，根据脏腑阴阳的喜好厌恶来进行调理，总归应当在虚劳门中寻求治法。
凡是年幼的孩子，以及长成的人，忽然发热憎寒，头疼身痛，嘴唇红脸赤，打喷嚏、哈欠、呕吐，症状类似伤寒，不可立即施以发汗或攻下的治法，必须询问是否出过痘疹。如果未出痘，应当检查其尾骨、耳尖和足心是否都冷，再观察耳后是否有红色脉络赤缕，即刻令专科医生调治。
凡是治疗伤寒，必须识别阴阳两种证型。如果在初起之时，头疼身痛，发热恶寒，脉象浮大，就是阳经的表证。从此以后，烦躁口渴，或者不大便，就是阳经传入阴经的热证。脉象虽然沉伏，不可一概当作阴证治疗。如果在初起之时，脐腹绞痛，手足厥逆，嘴唇青紫，手指冰冷，脉象沉伏，就是直中阴经的寒证。
其一，或者是曾是阳证，其人素体虚弱，不能承受攻下。医者攻下太过，忽然脐腹绞痛，腹泻不止，手足厥逆，这是阳证转为阴证。应当用温法治疗。
其二，或者是曾是阴证，其人素有内热，医者补益太过，忽然烦躁口渴，大小便不通，这是阴证转为阳证。应当用解法治疗。
凡是治疗伤寒，必须识别表里，发汗和攻下没有差错。如果病在表而反而攻下，则邪气乘虚入里，轻微的形成痞气结胸，严重的形成肠滑洞泄，这都是误下导致的坏证。如果病在里而反而发汗，则表更虚而里更实，或者出现斑黄，严重时亡阳，这都是误汗导致的坏证。
凡是治疗伤寒，不论经过多少天，只要有头疼身痛，恶风恶寒，脉象浮大，就是表证。虽然有排便困难、小便不利，也应当先解表，后攻里。
凡是治疗伤寒，不论经过多少天，只要有腹痛吐利，脉象沉弱，就是里证。虽然有恶风恶寒，也应当先救里，后解表。
凡是治疗伤寒，先看两目。如果黑白分明，说明体内无热。眼睛昏蒙不明，说明里有热。
凡是治疗伤寒，必须看唇舌。如果嘴唇红润而鲜湿，说明体内无热。嘴唇干燥而燥，说明热已入里。如果舌苔白滑，说明表证未解。舌苔黄，说明热势渐深。舌苔黑，说明热势已剧。
凡是想要发汗，必须审察是否真的头痛、项强，风寒真的严重，才应当用汤药发汗，不可妄用水攻火劫的方法。
凡是想要攻下，必须审察是否头不痛，风寒不重，大便确实硬结，腹部确实胀满，才应当用汤药攻下，也不可妄用丸药。
凡是伤寒在霜降以后、春分以前发生的，名为正伤寒，适宜用辛热药物发散。如果到春季发生，名为温病。到夏季发生，名为热病。适宜用辛凉药物解除。如果邪气入里，适宜用苦寒药物攻下。如果直中脏腑，适宜用辛热药物温里。如果在四季之中，偶然感冒，应当视其寒暖情况，或用辛热，或用辛凉，关键在于适中。
凡是风寒最初伤及太阳经，必须用辛温药物发散，如麻黄、桂枝之类。如果传入阳明、少阳经，必须用辛凉药物解除，如葛根、柴胡之类。如果邪气传入胃腑，必须用苦寒药物攻下，如承气汤之类。邪气自表入里，用药由温逐渐变寒。如果误治导致热邪入里，攻下必然适宜用苦寒药物。
凡是服用发汗药，不可太过，过了反而导致阳虚。如果服一剂无汗，再作汤药给予，又无汗，这是营卫乏绝，法当养阴辅正然后再发汗，三次治疗仍无汗者死。
凡是服用攻下药，燥屎排出，又得到溏泄，这已经解除了。如果服用攻下药，只利清水一两次，又没有燥屎，痞满依旧，这未解除，再次攻下。如果服用攻下药二三次而不通者，这是肠胃枯枯燥结，当下取之，取之而不通者死。
凡是治疗伤寒，必须审察胸腹情况。胸部满闷而痛，名为结胸。胸部满闷不痛，名为痞气。如果未经攻下而有此症，这是传经之邪。已经攻下而有此症，这是误下导致的坏证。未经攻下，饮水多而得此症，这是水气。
凡是治疗伤寒，必须按压腹痛与不痛，硬与不硬。如果腹中痛且硬，这是燥屎。脐下硬而痛，这是燥屎与蓄血。脐下筑筑然痛，向上冲至心胸，这是奔豚气。腹中响，气向下趋，欲作泻。燥屎者，小便不利，脐下如疙瘩状。蓄血者，小便利，脐下如怀孕状。
凡是治疗伤寒，必须问其渴与不渴。渴但不饮水，邪在表。渴且饮水多，内热甚。含水不欲吞咽，欲作呕吐。
凡是伤寒遇到死症，其脉尚可治者，则当弃症从脉，虚则补之，实则泻之。
凡是伤寒遇到死脉，其症有可治者，则当弃脉从症，表急则解之，里急则攻之，热则清之，寒则温之。
凡是伤寒脉象洪大浮数动滑，这是阳脉，阳证宜见此脉，若阴证得此脉者凶。脉象沉涩弱弦微，这是阴脉，阴证宜见此脉，若阳证得此脉者凶。
凡是伤寒头疼身热，忽然无脉而昏冒，这是欲汗出的征候，像天将明，六合皆晦暗的景象，不需要服药。
凡是伤寒头疼身热，便是阳证，不可服热药。
太阴病，头不痛，身不热。少阴病，有反发热而无头疼。厥阴病，有头疼而无身热。
凡是伤寒的病症，不可骤用补益。
凡是伤寒腹痛，也有热证，不可概用温暖药，应当参合脉症治疗。
凡是伤寒手足厥冷，应当分热厥、冷厥。
凡是服用攻下药，另用盐炒麸皮放在病人腹部缓缓熨烫，使其发热，则气行而易通。
凡是服药吐出不纳，须用姜汁半钟热饮，其吐即止。
凡是伤寒发黄，用生姜周身擦之。如果心胸下部结实、满闷、硬痛，用姜渣炒热，在患处熨烫。如果加水，更妙。
凡是伤寒吐血不止，用韭汁磨京墨呷下。如果没有韭汁，鸡子清也可以。
凡是伤寒热病，亢极不解，用黄连煎汤一盏，井中顿冷，浸于青布上，搭在胸中，徐徐更换，等热稍退即除去。
凡是伤寒腹中痛甚，将河水一钟饮之，其痛稍减，属热，当用凉药清之，清之不已急用寒药下之。如果饮水愈加作痛，属寒，当用温药和之，和之不已，急用热药救之。
凡是直中真寒阴证，或者痛甚无脉，或者吐泻脱元无脉，须用酒酿姜汁各半钟服之，脉来可治，脉不来者，死。
凡是直中阴经的直寒证，或者腹中绞痛，或者呕逆厥冷，或者不省人事，或者药不得入口，或者六脉暴绝，将白附子三寸捣成饼，先用麝香半分填于脐中，后放白附子饼在上，以火熨之，连换二三饼，稍醒，灌入姜汁，然后煎服回阳急救汤，如果不醒，再灸关元、气海，如果得手足温和汗出者，生。
凡是伤寒阴病，不论热与不热，不分脉之浮沉大小，但指下无力，或重按全无，便是阴病也。这是最为良法。
When sores and toxins first appear, there must be alternating chills and fever; they should not be treated as Shanghan (Cold Damage). This is because the carbuncle toxin floats on the muscle surface, the pulse is also floating and rapid, the meridians are blocked by pathogenic factors, and the body also has fever. The heat-toxin resides on the exterior, and Yang Qi cannot defend the exterior, hence there is aversion to cold. The patient's diet and daily activities remain normal, or the pain is localized in one area; this is a disease of carbuncle and toxin. One must examine the head, face, body, hands, and feet; if there are painful areas, whether red and swollen, hard masses, or Ding poison (hardened carbuncles), they must be treated by surgeons.
Blood stasis syndromes resembling Shanghan occur because there are chills and fever. Generally, due to pre-existing phlegm-fire, or slight movements in the groin creases or axillae causing swelling, hardness, and pain, with a wiry, rapid, and forceless pulse, this is an abnormality. It is appropriate to regulate Qi, nourish blood, and invigorate blood circulation. If there is heat, one may nourish Yin, descend fire, or clear phlegm-heat.
Exhaustion-induced illnesses resemble Shanghan due to deficiency-cold and deficiency-heat. The person may suffer from fatigue due to overwork, or injury from the Seven Emotions, alcohol, or sexual excess, leading to mental exhaustion and dysfunction of Ying (Nutritive) and Wei (Defensive) Qi, resulting in aversion to cold, fever, and bone-joint pain. The pulse may be floating, knotted, deficient, and rapid; or wiry, choppy, deep, and tight; or bounding and firm; these are its manifestations. Treatment should observe whether it is Yin deficiency or Yang deficiency, upper damage or lower damage, and regulate according to the preferences of Zang-Fu organ Yin and Yang, generally seeking treatment within the category of Deficiency Consumption (Xu Lao).
For young children and adults who suddenly develop fever, aversion to cold, headache, body pain, red lips and face, sneezing, yawning, and vomiting, resembling Shanghan, one must not hastily apply sweating or purging methods. One must ask if they have had smallpox. If not, check if the sacrum, ear tips, and soles of the feet are all cold, and observe if there are red vascular threads behind the ears; then immediately refer to a specialist for treatment.
In treating Shanghan, one must distinguish between Yin and Yang syndromes. At the onset, if there is headache, body pain, fever, aversion to cold, and a floating, large pulse, it is a Exterior syndrome of the Yang meridians. Thereafter, if there is irritability, thirst, or constipation, it is a Heat syndrome transmitted from Yang meridians to Yin meridians. Even if the pulse is deep and hidden, it should not be indiscriminately treated as a Yin syndrome. At the onset, if there is colicky abdominal pain, cold extremities, cyanotic lips, and cold fingers, with a deep and hidden pulse, it is a Cold syndrome directly invading the Yin meridians.
First, if it was previously a Yang syndrome, but the person is constitutionally weak and cannot tolerate purgation, and the physician purges too heavily, causing sudden colicky abdominal pain, profuse diarrhea, and cold extremities, this is a Yang syndrome transforming into a Yin syndrome. It should be treated with warming methods.
Second, if it was previously a Yin syndrome, but the person has internal heat, and the physician tonifies too heavily, causing sudden irritability, thirst, and obstruction of urination and defecation, this is a Yin syndrome transforming into a Yang syndrome. It should be treated with resolving methods.
In treating Shanghan, one must distinguish Exterior and Interior; sweating and purging must not be erroneous. If the disease is in the Exterior but purged instead, pathogens enter the Interior exploiting the deficiency, causing mild epigastric fullness and chest binding, or severe intestinal sliding and profuse diarrhea; these are all bad outcomes from erroneous purging. If the disease is in the Interior but sweated instead, the Exterior becomes more deficient and the Interior more excessive, potentially causing macules and jaundice, or even Yang collapse; these are all bad outcomes from erroneous sweating.
In treating Shanghan, regardless of the number of days, if there is headache, body pain, aversion to wind and cold, and a floating, large pulse, it is an Exterior syndrome. Even if there is difficulty defecating and dysuria, one must first resolve the Exterior, then attack the Interior.
In treating Shanghan, regardless of the number of days, if there is abdominal pain, vomiting, and diarrhea, with a deep and weak pulse, it is an Interior syndrome. Even if there is aversion to wind and cold, one must first rescue the Interior, then resolve the Exterior.
In treating Shanghan, first inspect the eyes. If black and white are distinct, there is no heat inside. If vision is unclear, there is heat inside.
In treating Shanghan, inspect the lips and tongue. If lips are red, fresh, and moist, there is no heat inside. If lips are dry and parched, heat has entered the Interior. If the tongue coating is white and slippery, the Exterior has not resolved. If yellow, heat is gradually deepening. If black, heat is severe.
To induce sweating, verify true headache, true neck stiffness, and true wind-cold aversion before using decoctions to sweat; do not recklessly use water attacks or fire coercion methods.
To purge, verify no headache, no wind-cold aversion, truly hard stool, and truly full abdomen before using decoctions to purge; do not recklessly use pills.
Shanghan occurring after Frost Descent and before Spring Equinox is called True Shanghan, suitable for acrid-hot herbs to disperse. If occurring in Spring, it is called Warm Disease. If occurring in Summer, it is called Heat Disease, suitable for acrid-cool herbs to resolve. If entering the Interior, bitter-cold herbs are suitable to purge. If directly invading, acrid-hot herbs are suitable to warm. In other seasons, if casually contracted, observe the temperature changes, using either acrid-hot or acrid-cool, ensuring moderation.
When wind-cold initially injures the Taiyang meridian, acrid-warm dispersants like Mahuang Tang (Ephedra Decoction) or Guizhi Tang (Cinnamon Twig Decoction) must be used. If transmitting to Yangming or Shaoyang, acrid-cool resolvers like Gegen Qinpi Tang (Kudzu and Bark Decoction) or Chaihu Tang (Bupleurum Decoction) must be used. If evil enters the Stomach fu, bitter-cold purgatives like Chengqi Tang (Order the Qi Decoction) must be used. As evil moves from Exterior to Interior, medication shifts from warm to cool. If mismanagement causes heat to enter, purging must suitably use bitter-cold herbs.
When taking sweating medicines, do not overdo it; excess leads to Yang deficiency. If one dose produces no sweat, prepare another decoction; if still no sweat, this indicates exhaustion of Ying and Wei Qi. The method is to nourish Yin and support Righteous Qi, then sweat again. Three treatments without sweat indicate death.
When taking purgative medicines, if dry feces pass followed by loose stools, the condition is resolved. If only clear water passes once or twice without dry feces, and epigastric fullness remains, it is unresolved; purge again. If two or three doses fail to produce passage, this indicates dried-up intestines and stomach; purge to extract. If extraction fails to produce passage, death ensues.
In treating Shanghan, examine the chest and abdomen. Chest fullness with pain is Jie Xiong (Chest Binding). Chest fullness without pain is Pi Qi (Epigastric Fullness). If present without prior purging, it is transmitted pathogen. If present after purging, it is a bad outcome from erroneous purging. If caused by excessive drinking without prior purging, it is Water Qi.
In treating Shanghan, palpate abdominal pain and hardness. Pain and hardness in the abdomen indicate dry feces. Hardness and pain below the umbilicus indicate dry feces and Blood Stasis. Beating pain below the umbilicus rushing up to the heart is Ben Tun Qi (Running Piglet Qi). Bowel sounds with gas moving downward indicate impending diarrhea. Dry feces: difficult urination, lumps below umbilicus. Blood Stasis: free urination, pregnancy-like swelling below umbilicus.
In treating Shanghan, ask about thirst. Thirst without desire to drink indicates pathogen in the Exterior. Thirst with excessive drinking indicates severe internal heat. Holding water without swallowing indicates impending vomiting.
If Shanghan presents with fatal symptoms but the pulse is treatable, discard symptoms and follow the pulse: tonify deficiency, drain excess.
If Shanghan presents with fatal pulses but symptoms are treatable, discard the pulse and follow symptoms: resolve urgent Exterior, attack urgent Interior, clear heat, warm cold.
Hong Da (Surging Large), Fu Shuo (Floating Rapid), Dong Hua (Bounding Slippery) pulses are Yang pulses; suitable for Yang syndromes. If seen in Yin syndromes, it is ominous. Shen Se Ruo Xuan Wei (Deep Choppy Weak Wiry Micro) pulses are Yin pulses; suitable for Yin syndromes. If seen in Yang syndromes, it is ominous.
Sudden loss of pulse with coma in Shanghan headache/fever indicates impending sweating, like darkness before dawn; no medicine is needed.
Headache and fever in Shanghan are Yang syndromes; hot medicines must not be taken.
Taiyin syndrome: no headache, no fever. Shaoyin syndrome: counter-fever without headache. Jueyin syndrome: headache without fever.
Syndromes of Shanghan must not be abruptly tonified.
Loss of appetite in Shanghan must not be treated immediately with warm-tonifying Spleen/Stomach medicines.
Abdominal pain in Shanghan can also be Heat syndrome; do not indiscriminately use warm medicines; consult pulse and symptoms.
Spontaneous diarrhea in Shanghan requires distinguishing Yin/Yang; do not immediately use antidiarrheal or warm-tonifying medicines.
Cold extremities in Shanghan must be distinguished as Heat Jue or Cold Jue.
Vomiting roundworms in Shanghan contraindicates cold-cool medicines, even with high fever.
After taking purgatives, apply salt-fried bran warmed on the abdomen to promote movement and ease passage.
If vomiting occurs after taking medicine, drink half a cup of hot ginger juice to stop vomiting.
For Shanghan jaundice, rub whole body with fresh ginger. For chest/abdominal fullness, hardness, and pain, apply heated ginger dregs. Adding water is better.
For unceasing hematemesis in Shanghan, swallow crushed Jingmo (Beijing Inkstick) mixed with Chinese chive juice. Egg white can substitute.
For extreme, unresolved heat in Shanghan/Warm disease, brew Huanglian Tang (Coptis Decoction), chill in well water, soak blue cloth, apply to chest, replace slowly until heat subsides.
For severe abdominal pain in Shanghan, drink a cup of river water. If pain lessens, it is Heat; clear with cool medicines, urgently purge with cold medicines if clearing fails. If pain worsens with water, it is Cold; harmonize with warm medicines, urgently rescue with hot medicines if harmonizing fails.
For True Cold Yin syndrome direct invasion, or severe pain/pulselessness, or vomiting/diarrhea with Yuan Qi depletion/pulselessness, take equal parts fermented rice wine and ginger juice. Treatable if pulse returns; fatal if not.
For direct cold invasion of Yin meridians, with colic, vomiting/cold limbs, unconsciousness, inability to take medicine, or sudden pulse disappearance, crush San Cun Bai Fu Zi (Three-inch White Aconite Root) into a cake. Fill navel with 0.5 fen Moshe (Musk), place aconite cake on top, moxa/warm iron. Replace 2-3 cakes. Once slightly conscious, pour ginger juice, then administer Hui Yang Ji Jiu Tang (Restore Yang Emergency Rescue Decoction). If unconscious, moxa Guanyuan (CV4) and Qihai (CV6). Survival if extremities warm and sweating occurs.
Yin diseases in Shanghan, regardless of heat presence or pulse depth/size, if pulse feels forceless under finger or disappears with heavy pressure, is Yin disease. This is the best method.