伤寒脉濡而弱。阳气不足。不可下之。下之则心下痞。津液内竭。咽燥鼻干也。
伤寒脉浮而紧。浮则为风。紧则为寒。风则伤荣。寒则伤卫。荣卫俱病。骨节烦疼。当
发其汗。而不可下也。
伤寒脉浮濡弱。不得发汗。无阳故也。阳亡虚尽中弱涩者。不可下。
伤寒结胸证。其脉浮大不可下。下之即死矣。
太阳与阳明合病。喘促胸满。不可下。
太阳与少阳合病。心下坚。颈项强而眩。不可下也。
夫四逆病厥者。不可下也。
夫病欲吐者。不可下也。
夫病有外证未解。不可下之。下之为逆也。
夫病发于阳而反下之。热入于咽。作结胸也。
太阴病其人腹满吐食。不可下。下之益甚。
少阳病当心下坚满。不可下。下之。后利不止者死。
少阴病其人虽里和。其病恶寒者。宜灸之。
少阴病吐利。手足逆而发热。脉不足者。灸其少阴。
夫吐下手足厥无脉者。当其厥阴灸之。不温及微喘者死。
伤寒六七日。脉数。手足厥。烦躁不已。灸厥阴。不顺者死。
凡微数之脉不可灸。因热为邪。必致烦逆。内有损骨伤筋血枯之患。脉当以汗解。反以
灸之。邪无所去。因火而盛。病当必重。此为逆治。若欲解者。当发其汗而解也。
伤寒病脉象濡软而微弱。这是阳气不足的表现。不可使用泻下法。如果误用泻下法，会导致心下部痞塞胀满，体内津液枯竭，出现咽喉干燥、鼻孔干涩等症状。
伤寒病脉象浮而紧。浮脉主风邪，紧脉主寒邪。风邪损伤营气，寒邪损伤卫气。营气和卫气都受到侵害，导致骨节烦扰疼痛。应当使用发汗法治疗，而不可使用泻下法。
伤寒病脉象浮、濡、弱。此时不能发汗，因为体内没有足够的阳气（无阳）。如果阳气耗散，虚损严重，脉象中弱且涩，也不可泻下。
伤寒结胸证，脉象浮大，不可泻下。如果误用泻下法，患者就会死亡。
太阳经与阳明经合病，出现气喘急促、胸部胀满的症状，不可泻下。
太阳经与少阳经合病，出现心下部坚硬、颈项强直且头晕目眩的症状，不可泻下。
凡是病人想要呕吐的，不可泻下。
凡是疾病仍有表证未解除的，不可泻下。误用泻下法属于逆治（违背治疗原则）。
凡是病发于阳经，反而误用泻下法，热邪内陷进入咽喉，形成结胸证。
太阴病患者腹部胀满、呕吐食物，不可泻下。误用泻下法会使病情加重。
少阳病患者心下部坚硬胀满，不可泻下。误用泻下法后，如果出现腹泻不止的情况，将会死亡。
少阴病患者虽然里气平和，但患有恶寒症状的，适宜采用灸法治疗。
少阴病出现呕吐、腹泻，手足逆冷且发热，脉象微弱的，应灸治少阴经穴位。
凡是呕吐后出现手足厥冷、无脉象的，应当灸治厥阴经穴位。如果灸后手脚仍不温暖或出现轻微喘息的，将会死亡。
伤寒病程六七天，脉象数急，手足厥冷，烦躁不安不止，灸治厥阴经穴位。如果病情不顺（无效或恶化），将会死亡。
凡是脉象微细而数的，不可灸治。因为这是热邪为患，如果误用灸法，必然导致烦乱逆乱。内部会有损伤骨骼、伤害筋脉、血液枯竭的祸患。脉象微数之病应当通过发汗来解表，如果反用灸法，邪气无法去除，反而因火邪而亢盛，病情必然加重。这属于逆治。如果想要治愈，应当通过发汗来解除病邪。
凡是腹泻停止后，下部（肛门或小腹）仍然疼痛的，应当温补。适宜用炒枳实，或者用炒热的盐等物熨烫患处。
In Shaoyang disease, the pulse is soft and weak. This indicates insufficiency of Yang Qi. Purging methods must not be used. If purging is mistakenly applied, it will result in epigastric fullness (pi), exhaustion of body fluids internally, dry throat, and dry nose.
In Shanghan (Cold Damage) disease, the pulse is floating and tight. Floating indicates Wind pathogen; tight indicates Cold pathogen. Wind damages Ying Qi (Nutritive Qi), and Cold damages Wei Qi (Defensive Qi). When both Ying and Wei are diseased, there is vexing pain in the bone joints. Sweating methods should be employed to release the exterior, but purging methods must not be used.
In Shanghan disease, if the pulse is floating, soft, and weak, sweating methods cannot be used because there is a lack of Yang Qi. If Yang Qi is lost and deficiency is extreme, with a middle-weak and choppy pulse, purging must not be used.
In the Jie Xiong syndrome (Chest Binding) of Shanghan, where the pulse is floating and large, purging must not be used. If purging is applied, death will ensue.
When Taiyang and Yangming meridians have combined disease, presenting with panting and chest fullness, purging must not be used.
When Taiyang and Shaoyang meridians have combined disease, presenting with hardness below the heart, stiffness of the neck and nape, and dizziness, purging must not be used.
In Si Ni disease (Four Coldness) presenting with Jue (extremity coldness), purging must not be used.
If a patient desires to vomit, purging must not be used.
If external signs of disease have not yet resolved, purging must not be used. Applying purging in this context is contrary to treatment principles (Ni).
If disease originates in Yang stages and purging is mistakenly applied, heat enters the throat, forming Jie Xiong (Chest Binding).
In Taiyin disease, where the patient has abdominal fullness and vomiting of food, purging must not be used. Purging will exacerbate the condition.
In Shaoyang disease, where there is hardness and fullness at the center below the heart, purging must not be used. If purging is applied and followed by unceasing diarrhea, death will occur.
In Shaoyin disease, although the interior is harmonious, if the patient suffers from aversion to cold, moxibustion is appropriate.
In Shaoyin disease presenting with vomiting and diarrhea, cold extremities, fever, and an insufficient pulse, moxibustion should be applied to the Shaoyin channels.
If vomiting is followed by cold extremities and absence of pulse, moxibustion should be applied to the Jueyin channels. If the extremities do not warm up or slight panting occurs, death will ensue.
In Shanghan disease lasting six or seven days, if the pulse is rapid, extremities are cold, and restlessness persists, moxibustion should be applied to the Jueyin channels. If the condition does not improve or worsens, death will ensue.
Moxibustion must not be used when the pulse is fine and rapid. Since heat is the pathogenic factor, applying moxibustion will inevitably cause vexation and rebellion. It may lead to internal damage to bones and sinews, and depletion of blood. Such conditions should be resolved through sweating. If moxibustion is mistakenly applied instead, the pathogen has no exit, and becomes exacerbated by fire, causing the disease to become severe. This is contrary treatment. To resolve such cases, sweating methods should be used.
After diarrhea ceases, if there is pain in the lower part (lower abdomen/anus), warming methods should be employed. Fried Zhi Shi (Immature Bitter Orange) or heated salt for hot compresses are suitable.