伤寒六日。厥阴受病。其脉微浮。为欲愈。不浮为未愈也。宜建中汤。
伤寒六日渴欲饮水者。宜猪苓汤。
伤寒六日烦满而囊缩。此则毒瓦斯在脏。可下而愈。宜小承气汤。
伤寒六日身体热。恶风。颈项强。胁下满。手足温而渴。宜小柴胡汤。
伤寒六日阳脉涩。阴脉弦。当腹中急痛。先与小建中汤。不瘥。宜大柴胡汤。
伤寒六日发汗吐下后。虚烦不得眠。剧者心神颠倒。宜栀子汤。
伤寒六日已发汗。及下之其人胸胁满。大肠微结。小肠不利。而不呕。但头汗出。往来
寒热而烦。此为未解。宜小柴胡桂枝汤。
伤寒六日发热。微恶寒。肢节顺疼。心下支满。外证未去。宜柴胡桂枝汤。
伤寒六日大下之后。身热不去。心中结痛。此为欲解。宜栀子汤。
伤寒六日下之。胸满烦惊。小便不利。谵语。一身不可转侧。宜柴胡汤。
伤寒六日不解。结热在里。但热时时恶风。大渴。舌干烦躁。宜白虎汤。
伤寒六日风寒相搏。身体疼痛。不能转侧。脉浮虚而涩。宜术附汤。
伤寒病六日后。至八日九日。如疟。热多寒少。一日再发。其脉微缓者为欲愈。脉微而
恶寒者。为阴阳俱虚。不可复吐下也。发汗面色赤有热者。为欲解。宜服桂枝麻黄汤。
夫热病者。皆伤寒之类也。或愈或死。其死皆以六七日间。其愈皆以十日以上者何也。
夫巨
甚不
烦满而渴。(足太阳膀胱之经足少阴是肾心经也)二日足阳明与足太阴俱病。则腹满体热。
不
食谵
不
入口
阳
为腑
是表
伤寒病到了第六天,厥阴经受邪。如果脉象微浮,说明病情将要痊愈;如果不浮,说明尚未痊愈。适宜使用建中汤。
伤寒病到了第六天,出现心烦胀满且阴囊收缩的症状,这是毒邪在脏腑内,可以通过泻下的方法治愈,适宜使用小承气汤。
伤寒病到了第六天,身体发热,怕风,颈项僵硬,胁下胀满,手脚温暖且口渴,适宜使用小柴胡汤。
伤寒病到了第六天,阳脉(寸脉)涩滞,阴脉(尺脉)弦紧,应当感到腹中拘急疼痛。先给予小建中汤治疗,如果未好转,适宜使用大柴胡汤。
伤寒病到了第六天,经过发汗、催吐或泻下治疗后,出现虚烦不得入睡的症状。严重的会出现心神错乱颠倒,适宜使用栀子汤。
伤寒病到了第六天,已经发汗及泻下后,患者胸胁胀满,大肠轻微结滞,小肠功能不利,但不呕吐,只是头部出汗,寒热往来且心烦。这说明病邪未解,适宜使用小柴胡桂枝汤。
伤寒病到了第六天,发热,轻微怕冷,肢体关节疼痛,心下部支撑胀满,外部证候仍未去除,适宜使用柴胡桂枝汤。
伤寒病到了第六天,经过剧烈泻下之后,身体发热不退,心中结聚疼痛。这说明病情将要解除,适宜使用栀子汤。
伤寒病到了第六天,经过泻下治疗后,出现胸满、烦躁惊悸、小便不利、说胡话(谵语)、全身无法转动侧身等症状,适宜使用柴胡汤。
伤寒病到了第六天仍未解除,热邪结聚在体内,只感觉发热时常怕风,极度口渴,舌干烦躁,适宜使用白虎汤。
伤寒病到了第六天,风寒之邪相互搏结,身体疼痛,不能转身侧卧,脉象浮虚而涩滞,适宜使用术附汤。
伤寒病到了第六天后,到了第八日或第九日,症状像疟疾一样,热多寒少,一天发作两次。如果脉象微缓,说明将要痊愈;如果脉象微弱且恶寒,说明阴阳俱虚,不可再用吐法或下法。如果发汗后面色发红且有热象,说明将要解除,适宜服用桂枝麻黄汤。
所谓热病,都属于伤寒的类别。有的痊愈,有的死亡,死亡大多发生在六七天之间,痊愈大多发生在十天以上,为什么呢?
……(原文此处有残缺/乱码:夫巨甚不烦满而渴。(足太阳膀胱之经足少阴是肾心经也)二日足阳明与足太阴俱病。则腹满体热。不食谵不入口阳为腑是表)
On the sixth day of *Shanghan* (Cold Damage), the Jueyin meridian is affected. If the pulse is slightly floating, it indicates that recovery is imminent; if not floating, it indicates that recovery has not yet occurred. Jianzhong Tang (Reconstruct the Middle Decoction) should be administered.
On the sixth day of *Shanghan*, if the patient experiences thirst and desires to drink water, Zhuling Tang (Polyporus Decoction) should be administered.
On the sixth day of *Shanghan*, if the patient presents with mental restlessness, fullness, and retraction of the scrotum, this indicates that toxic pathogens are located in the zang-fu organs. It can be cured by purgation. Xiao Chengqi Tang (Minor Order the Chest and Stomach Decoction) should be administered.
On the sixth day of *Shanghan*, if the body is hot, there is aversion to wind, stiffness in the neck and nape, fullness under the hypochondrium, warmth in the hands and feet, and thirst, Xiaochaihu Tang (Minor Bupleurum Decoction) should be administered.
On the sixth day of *Shanghan*, if the yang pulse (cun position) is choppy and the yin pulse (chi position) is wiry, acute pain in the abdomen should be expected. First, administer Xiao Jianzhong Tang (Minor Reconstruct the Middle Decoction). If there is no improvement, Da Chaihu Tang (Major Bupleurum Decoction) should be administered.
On the sixth day of *Shanghan*, after having undergone sweating, emesis, or purgation therapies, the patient experiences deficiency-related vexillation and insomnia. In severe cases, there is mental confusion and disorientation. Zhizi Tang (Gardenia Decoction) should be administered.
On the sixth day of *Shanghan*, after sweating and purgation have been performed, the patient presents with fullness in the chest and hypochondrium, slight binding in the large intestine, dysfunction of the small intestine, but no vomiting. There is only sweating on the head, alternating chills and fever, and vexillation. This indicates that the pathogen has not yet resolved. Xiaochaihu Guizhi Tang (Minor Bupleurum and Cinnamon Twig Decoction) should be administered.
On the sixth day of *Shanghan*, if there is fever, slight aversion to cold, pain in the limbs and joints, support-like fullness in the epigastrium, and the exterior syndrome has not yet resolved, Chaihu Guizhi Tang (Bupleurum and Cinnamon Twig Decoction) should be administered.
On the sixth day of *Shanghan*, after severe purgation, if the body heat does not dissipate and there is a knotted pain in the heart region, this indicates that the disease is about to resolve. Zhizi Tang (Gardenia Decoction) should be administered.
On the sixth day of *Shanghan*, after purgation, if the patient presents with chest fullness, irritability, fright, difficulty in urination, delirium, and an inability to turn or roll over, Chaihu Tang (Bupleurum Decoction) should be administered.
On the sixth day, if the *Shanghan* has not resolved, and heat binds internally, with symptoms of feeling hot and occasionally aversive to wind, extreme thirst, dry tongue, and restlessness, Baihu Tang (White Tiger Decoction) should be administered.
On the sixth day of *Shanghan*, if wind and cold pathogens contend with each other, causing body pain and an inability to turn or roll over, with a pulse that is floating, deficient, and choppy, Shuzhu Fuzi Tang (Atractylodes and Prepared Aconite Decoction) should be administered.
After the sixth day of *Shanghan*, reaching the eighth or ninth day, if the symptoms resemble malaria, with more heat than cold, occurring twice a day: if the pulse is slightly slow, recovery is imminent; if the pulse is faint and there is aversion to cold, it indicates deficiency of both yin and yang, and emesis or purgation must not be repeated. If sweating results in a red face and heat, it indicates resolution. Guizhi Mahuang Tang (Cinnamon Twig and Ephedra Decoction) should be taken.
Heat diseases belong to the category of *Shanghan*. Some recover, while some die; death usually occurs between the sixth and seventh days, while recovery usually occurs after ten days. Why is this so?
... [The original text here contains fragments/corruptions: Fu ju shen bu fan man er ke. (Zu Taiyang Pangguang zhi jing Zu Shaoyin shi Shen Xin jing ye) Er ri Zu Yangming yu Zu Taiyin ju bing. Ze fu man ti re. Bu shi shan ru kou yang wei fu shi biao]