伤寒寸口脉浮而弱。即血气虚。卫气微。其脉浮则汗出如流珠。卫气微。荣气虚。故脉
浮汗
盛即
或
治
伤寒脉浮。而以火逼劫。汗即亡阳。必惊狂。卧起不安。
太阳病以火蒸之。不得汗者。其人必燥结。若不结。必下清血。其脉躁者。必发黄也。
太阳病而熨其背。大汗必出。火气入胃。胃中干渴。必发谵语。
太阳病瘥后。胃中干燥。不得眠睡。渴欲饮水。当稍稍饮之即愈也。
若呕吐。热在膈上思水者。与五苓散。即可饮水也。
伤寒七八日大渴。欲饮水。然当与之。常令不足。勿极意也。
凡伤寒病能饮水者。为欲愈也。若不渴而强与之。因此成祸者。其数多矣。
凡发汗后饮水。水灌之。其人必喘。水药不得入口。入则为逆。伤寒结胸无热证者。宜
与平
和气
寸口脉浮大。医反下之。此为大逆。浮则无血。大则为寒。寒气相搏。即为腹鸣。医不
知而反饮其水。令汗大出。水得寒气。冷必相搏。其病必甚也。
大法。冬宜热药。
凡病发热头痛。脉浮数。身有疼痛。宜温其表。
太阳病下利不渴。其脏有寒。当宜温之。其人欲食。入则吐。手足寒。脉弦迟。此为中
寒。不可吐下也。当宜温之。
少阴病其脉沉者。急当温之。下利不食者。当宜温之。下利脉迟紧。为痛未止。下利脉
浮大者。此皆为虚。宜温之。
凡脉浮革者自腹鸣。若渴之与水者。必哕。宜温之。
夫病下之后。续得下利。水谷不止。身体疼痛。急当救里。宜温之。与治中四逆附子汤
诸温药之辈。
伤寒病中,寸口脉象浮而弱。这表示血气虚弱,卫气微弱。脉象浮则汗出如流珠般滴落;因卫气微弱、营气虚,所以脉浮且汗出盛大。
若患伤寒脉浮,却用火法逼迫劫取汗液,会导致阳气亡失,必然出现惊悸狂乱,卧起不安的症状。
太阳病用火蒸法治疗,若不能出汗,患者必然出现燥结症状;若不燥结,必然出现下利清血(便下鲜血)。若脉象躁动不宁,必然发黄。
太阳病用熨背法治疗,大汗必定流出。火气侵入胃中,导致胃中干燥口渴,必然发生谵语(神志不清,胡言乱语)。
太阳病痊愈后,若胃中干燥,导致无法睡眠,口渴想喝水,应当少量多次给予饮水,即可痊愈。
若有呕吐症状,热邪在膈上,思虑饮水者,给予五苓散服用,之后即可饮水。
伤寒七八日,大渴欲饮水,此时应当给予饮水。但常令其保持轻微不足的状态,不要让其喝得过量。
凡是伤寒病患者若能饮水,是病情将要痊愈的表现。如果不渴却强行给水,因此造成祸害的情况,为数不少。
凡是发汗后饮水,或用水浇灌身体,患者必然气喘,水药不得入口,入则为逆证。伤寒结胸无热证者,适宜与平和之气……(原文此处有缺漏/错简,依文意推测为调理气机之意,但根据“只提取原文明确出现”原则,此处仅翻译可见部分)
寸口脉浮大,医生反而使用下法,这是大逆之误。脉浮表示无血,脉大表示有寒。寒气相互搏结,即为腹鸣。医生不知此理反而给其饮水,令其大汗出。水遇到寒气,冷必相互搏结,病情必然加重。
一般法则:冬季适宜使用热性药物。
太阳病下利而不渴,说明内脏有寒,应当适宜温补。患者想吃东西,吃进去则呕吐,手足寒冷,脉象弦迟,这是中寒证,不可使用吐法和下法。应当适宜温补。
少阴病脉沉者,急当温补。下利且不进食者,应当适宜温补。下利脉迟紧,说明疼痛未止;下利脉浮大者,这都是虚证,适宜温补。
In Taiyang disease, the pulse at the Cun Kou (radial artery) is floating and weak. This indicates deficiency of Blood and Qi, and weakness of Wei Qi (Defensive Qi). A floating pulse implies sweating profusely like beads; due to weak Wei Qi and deficient Ying Qi (Nutritive Qi), the pulse floats and sweating is excessive.
If a patient with Taiyang disease has a floating pulse, but fire therapy is used to force sweating, Yang Qi will be lost, inevitably leading to palpitations, mania, restlessness in lying down and sitting up.
If Taiyang disease is treated with fire steaming and no sweat is produced, the patient will inevitably suffer from dryness and accumulation; if not dry, they will inevitably have bloody diarrhea. If the pulse is restless, jaundice will inevitably develop.
If Taiyang disease is treated with back moxibustion (ironing the back), profuse sweating will occur. Fire Qi enters the Stomach, causing dryness and thirst in the Stomach, inevitably leading to delirious speech.
After Taiyang disease resolves, if the Stomach is dry, causing insomnia and thirst for water, one should give small amounts of water frequently, which will lead to recovery.
If there is vomiting, heat is above the Diaphragm, and the patient desires water, administer Wuling San (Five-Ingredient Powder with Poria). Afterward, water may be drunk.
In Taiyang disease lasting seven or eight days, with severe thirst desiring water, water should be given. However, it should be given such that the patient remains slightly unsatisfied, avoiding overconsumption.
Generally, if a Taiyang disease patient can drink water, it indicates the disease is about to resolve. If the patient is not thirsty but water is forced upon them, disasters resulting from this are numerous.
After inducing sweating, if water is drunk or poured on the body, the patient will inevitably pant. Water and medicine cannot enter the mouth; entering constitutes a counter-indication. In Taiyang Jie Xiong (Chest Binding) without heat signs... [Text fragment missing/obscured in source].
The pulse at Cun Kou is floating and large. The physician erroneously uses purgation, which is a major contraindication. Floating indicates lack of Blood; large indicates Cold. When Cold Qi combats, it causes abdominal borborygmus. The physician, unaware, gives water, causing profuse sweating. Water encountering Cold Qi creates a cold combat, and the illness will surely worsen.
General principle: In winter, warm/hot herbs are suitable.
For diseases presenting with fever, headache, floating and rapid pulse, and body pain, warming the exterior is appropriate.
In Taiyang disease with diarrhea but no thirst, there is Cold in the Zang organs, and warming is appropriate. If the patient desires food but vomits after eating, has cold hands and feet, and a wiry, slow pulse, this is Middle Cold. Vomiting and purging methods are contraindicated. Warming is appropriate.
In Shaoyin disease, if the pulse is deep, urgent warming is required. For diarrhea with anorexia, warming is appropriate. For diarrhea with a slow, tight pulse, pain persists; for diarrhea with a floating, large pulse, this indicates deficiency, and warming is appropriate.
For those with a floating,革 (leather-like) pulse and abdominal borborygmus, if water is given when thirsty, hiccups (Yue) will inevitably occur. Warming is appropriate.
After a major illness and purgation, if diarrhea continues, with undigested food and water passing through, and body pain, urgent rescue of the Interior is needed. Warming is appropriate. Administer Zhongzhi Tang (Regulate the Middle Decoction), Sini Tang (Frigid Extremities Decoction), Fuzi Tang (Aconite Decoction), and other warming formulas.