此乃胃中积热未除，或服丹附而致，宜服黄连当归芍药汤，下脓者，如圣饼化积而愈。《经》云∶热虽甚
不死。若阴气盛则杀人于顷刻，戒之。（热药之过，一凉可解，凉药之误，十热难瘳。又积热易解而易治，沉
阴难愈而难明，临证之工大宜体认。）
由于脾肾虚弱，冷气上奔也，服姜附汤、来复丹。（此症当是发呃，若噫证无死人之理，观后二案可见。）
治验
一人伤寒至八日，脉大而紧，发黄，生紫斑，噫气，足指冷至脚面，此太阴证也，最重难治。为灸命关五
十壮、关元二百壮，服金液丹、钟乳粉，四日汗出而愈。
一人患伤寒至六日，脉弦紧，身发黄，自汗，亦太阴证也。先服金液丹，点命关穴。病患不肯灸，伤寒唯
太阴、少
阴二证死人最速，若不早灸，虽服药无效。不信，至九日泻血而死。（不听良言，往往至此，及至证变而下血，
俗医犹谓硫黄热迫，痛为排挤，反用寒凉，以下石，至死众口呶呶，总咎热药之害，婆心遭谤，不一而足，然
有天道，何恤人言。）
一人病伤寒至六日，微发黄，一医与茵陈汤。次日，更深黄色，遍身如栀子，此太阴证误服凉药而致肝木
侮脾。余为灸命关五十壮，服金液丹而愈。（伤寒发黄，虽有阴阳之异，然脾家阴湿而为阴黄者多，不可不知。）
一人患伤寒，初起即厥逆，脉一息八九至，诸医以为必死，余曰∶乃阴毒也，与姜附汤一盏，至半夜，汗
出而愈。若以脉数为热，下凉药，必死无疑。（俗医视此，必以为痧证，禁服官料药，专行 刺，纵饮冷水，
不致冰脱不已。）
这是胃中积热未除，或者是服用丹砂、附子等热药所致，适宜服用黄连当归芍药汤；若大便下脓，则用如圣饼化解积滞而痊愈。《内经》说：“热邪虽然严重，但不会致死。”如果阴气过盛，则会顷刻间致人死亡，务必警惕。（热药的过错，用一剂凉药即可解除；凉药的误治，用十剂热药也难以治愈。另外，积热容易解除且易治，沉寒痼冷难以痊愈且难辨明，临证医生的功夫应当仔细体会。）
这是由于脾肾虚弱，冷气上逆冲犯所致，应服用姜附汤、来复丹。（此症应当是打呃逆，如果是嗳气（噫）证，没有死亡的道理，看后面的两个医案就可以明白。）
治疗验案：
有一人患伤寒至第八日，脉象大而紧，身体发黄，出现紫斑，嗳气，脚趾冷感延伸至脚面，这是太阴病证，最为严重且难治。我为他灸命关穴五十壮、关元穴二百壮，并服用金液丹、钟乳粉，四日后出汗而痊愈。
有一人患伤寒至第六日，脉象弦紧，身体发黄，自汗，也是太阴病证。先服用金液丹，并施灸命关穴。患者不肯接受艾灸，伤寒病中唯有太阴、少阴两证死亡速度最快，如果不尽早艾灸，即使服药也无效。他不听信我的建议，到了第九日因便血而死。（不听良言，往往导致这种后果，等到证候变化而下血时，庸医还认为是硫黄的热性逼迫血液妄行，疼痛是因为药物排挤所致，反而使用寒凉药物雪上加霜，直到死后众人还在喧哗指责，总归咎于热药的危害，好心却遭诽谤，此类情况屡见不鲜，然而天道自有公道，何必顾虑世俗的闲言碎语。）
有一人患伤寒至第六日，轻微发黄，一位医生给予茵陈汤。次日，黄色加深，全身如同栀子色，这是太阴病证误服凉药导致肝木克制脾土。我为他灸命关穴五十壮，服用金液丹而痊愈。（伤寒发黄，虽然有阴阳的区别，但属于脾家阴湿导致的阴黄者居多，不可不知。）
有一人患伤寒，初起即出现四肢厥冷，脉搏一息跳动八九次，各位医生认为必定死亡，我说：“这是阴毒证”，给予一盏姜附汤，到半夜，出汗而痊愈。如果因为脉数就认为是热证，投以凉药，必定无疑会死亡。（庸医看到这种情况，一定以为是痧证，禁止服用正规药材，专门进行针刺放血，甚至纵容患者饮用冷水，不致使患者冰脱（阳气脱失）不止。）
This is due to accumulated heat in the stomach not yet eliminated, or caused by taking Cinnabar (Dan Sha) and Aconite (Fu Zi). It is suitable to take Huanglian Danggui Shaoyao Tang. If pus is passed in the stool, Rusheng Bing should be used to resolve the accumulation and achieve cure. The *Classic* states: "Even if the heat is severe, it will not cause death." However, if Yin Qi is excessive, death may occur within an instant; beware of this. (The error of hot medicines can be resolved with one dose of cold medicine; the mistake of using cold medicines is difficult to cure even with ten doses of hot medicines. Furthermore, accumulated heat is easy to resolve and treat, whereas deep-seated Yin cold is hard to heal and difficult to diagnose clearly. Clinicians must carefully comprehend this.)
This is caused by deficiency and weakness of the Spleen and Kidney, with Cold Qi rushing upward. One should take Jiang Fu Tang and Laifu Dan. (This symptom should be hiccuping; if it were belching [Yi], there would be no risk of death, as seen in the following two cases.)
Clinical Cases:
One patient suffered from Cold Damage (Shanghan) for eight days. The pulse was large and tight, the body was yellow, purple spots appeared, he had belching, and his toes felt cold extending to the instep. This is a Taiyin syndrome, which is the most severe and difficult to treat. I moxaed Mingguan (50 moxa cones) and Guanyuan (200 moxa cones), and administered Jinye Dan and Zhongru Fen. After four days, he sweated and recovered.
Another patient suffered from Cold Damage for six days. The pulse was wiry and tight, the body was yellow, and he had spontaneous sweating. This was also a Taiyin syndrome. He first took Jinye Dan and received moxibustion at Mingguan. The patient refused moxibustion. In Cold Damage, only Taiyin and Shaoyin syndromes cause death most rapidly. If moxibustion is not performed early, medication will be ineffective. He did not believe me, and on the ninth day, he died from bloody diarrhea. (Ignoring good advice often leads to such outcomes. When symptoms change and bleeding occurs, quack doctors still attribute it to the heat of sulfur forcing blood to move recklessly, or pain caused by drug expulsion. They instead use cold medicines, adding insult to injury. Even after death, people clamor, blaming the harm of hot medicines. Good intentions are often slandered, and this happens frequently. However, there is the Way of Heaven; why worry about human gossip?)
A third patient suffered from Cold Damage for six days with slight jaundice. A doctor prescribed Yinyin Tang. The next day, the yellow color deepened, and his whole body turned like gardenia yellow. This was caused by the misadministration of cold medicines in a Taiyin syndrome, leading to Liver Wood insulting Spleen Earth. I moxaed Mingguan (50 cones) and administered Jinye Dan, resulting in recovery. (Jaundice in Cold Damage has Yin and Yang distinctions, but those caused by Spleen Yin-dampness, known as Yin Jaundice, are more common. This must be known.)
A fourth patient suffered from Cold Damage. From the onset, he had cold limbs, and his pulse beat 8-9 times per breath. Various physicians believed he would certainly die. I said, "This is Yin Poison," and gave him one cup of Jiang Fu Tang. By midnight, he sweated and recovered. If one considers the rapid pulse as Heat and administers cold medicines, death is inevitable. (Quack doctors seeing this would likely assume it is Sha disease, forbid the use of official medicinal ingredients, specialize in needle pricking, and even allow the patient to drink cold water until ice-cold collapse occurs.)