夫人生天地之间。命有遭逢。时有否泰。吉凶安危。喜怒爱憎。存亡忧畏。关心之虑日
有千
瘟疫病
而不能
有斯瘴
病。多
汤食竞
当摩
者。至
愈。
下者
微者
效相
五苓
愈。
可
烂
汗
及大
里病。下之则愈。汗之则死。里和表病。汗之则愈。下之则死。夫如是。则神丹不可以误发。
甘遂何可以妄攻。然则桂枝下咽表和则愈。承气入胃里平则痊。明当消息病之证候。不可乱
投汤药虚其胃气也。经言脉微不可吐。虚细不可下。此医之大禁也。凡脉有浮沉转能变化。
或人
随时
当风
失节
不如
不和
日乃
夫气寒者。百病之始也。是四时八节不正疫疠之气。经云。春气温和。夏气暑热。秋气
清凉
寒者
经。
应
始
类
气
下
左
有
之
胃
肝
大
手
天
身
有手足
不通。
治伤寒须辨阴阳。人身手足各有三阴三阳。合为十二经。在手背者为阳。属表为腑。在
手掌
也。
阴肝
土传少阳胆。为微邪。阴主杀。故少阳木传太阴土。土传少阴水。水传厥阴木。至六七日当
传
人
至
来
甲乙经云。邪生于阳者。得之风雨寒暑。邪中于阴者。得之饮食起处。阴阳喜怒。又曰。
贼
六
也
又加少焉。凡病一日至十三日。太阳证不罢。但治太阳。有初得病便见少阴。直攻少阴。此
最变活法也。寒邪或首尾只在一经。又云。六气之邪乘虚之经。自背得之则入太阳。
阴。自面感之则入阳明之类。不必皆始于太阳。次第传于诸经。或寒邪首尾只在一经
以一理推。但据脉与外证验之。假令病患脉浮紧。头项强痛。发热恶寒已至过经。
只是太阳受病更不传诸经。余皆仿此。
大凡阳病当投酸苦之药。微则用苦。甚则兼用之。阴病当投辛甘之药。微则用辛甘。甚
则专
谓
太阳伤寒一日二日。发热恶寒。头疼腰脊强。尺寸脉俱浮。病在太阳经也。阳明伤寒二
三日
聋。或
咽干。
口燥舌
病在厥
经言伤寒。形寒伤皮毛。寒伤血。寒伤营卫。寒主闭藏而腠理秘密。阳气怫郁不能通畅。
怫
经
之
受寒
秋
及
肤
内
变
不
治
之
者
各
寒病固有矣。非汗病之谓也。且造化为汗液之气者。乃阳热之气所为。非阴寒之所能也。以
观万物热极而出液。明可知矣。经曰。热病者。皆伤寒之类也。又曰。人之伤于寒也。则为
热病。然既身内有阴寒者。止为杂病。终莫能为汗病也。况病法曰。身热在表。饮水为
里。此伤寒汗病本末。身凉不渴。小便不黄。脉不数者未之有也。虽仲景用四逆姜附之
药。是以治其本里和。误以寒药下之太早。表热未入里而寒。下利不止。及或表热里寒
利者。急以四逆汤攻里。利止里和。急以解于表也。故仲景四逆汤证后。复有承气下热
也。由是观之。伤寒汗病。经直言热病。而不言其有寒凝也。经言三阴证者。为邪热在
里。以脏与里为阴也。宜不热者也。夫伤寒阴阳之别者。非但表热当汗。而下之则死。
当下。而汗之亦死。故仲景曰。桂枝下咽阳盛则毙。承气入胃阴实即亡。死生之要在乎
视身之尽不暇计日。此阴阳虚实之交错。其候至微。发汗吐下之相反。其祸至速。而
短者。懵然不知病为治。乃误使病者殒殁。然则止为邪热在表则汗之。邪热在里则
热在上则吐之
病之证耶。况
至八至以上。
造化验之。皆
言五行之道
而反似水。
多涎。肺热
热气蒸蒸而
天反凉。人凉则病愈。热在则病在。故病寒者自是寒病。非此汗病之气也。虽寒属阴水。而
天地阴阳气液相生之道。则寒之化不能更生阴水也。故古圣曰。阳中生阴。阴中生阳。气中
生液。液中生气。又曰。积液生气。积气生液。又经曰。气和而生精液。然气为阳物。故万
物之水液皆生于阳热之气。如天气阳热极甚。则万物湿润。而冬寒则万物干燥。由是言之。
既为作汗之病气本热。非寒明矣。故经又曰。凡伤寒而成温病者。先夏至为温病。后夏至为
暑病。暑与汗皆出。正言邪热随汗。皆出尽而愈也。又经曰。饮食饱甚汗出于胃。惊而夺精
汗出于心。负重远行汗出于肾。疾走恐惧汗出于肝。摇体劳苦汗出于脾。此皆动乱劳苦。而
致阳热以为汗出。岂可反言作汗之病以为阴寒耶。今之俗医不明阴阳变化之道。而妄取阳主
于生。阴主于死。而欲养于阳热者。殊不知此言自生之后。以显为阳。阳中生阴。故生者死
之道也。既死之后。以隐为阴。阴中生阳。故死者生之道也。此古人之论道。乃死生有无动
静隐显之阴阳。非言寒热之阴阳也。俗人妄言仙经云。纯阳升而为仙。纯阴死而为鬼。阴以
养阳气。恐亦不如此。以阳主虚无。而言神为阳。阴主形体。而言形为阴。言善养生者。调
顺阴阳。炼就阳神超升。弃其阴体。即纯阳之神乃为仙也。不明道者。寒热不调。以致阴阳
胜负。耗绝阳神。惟存阴壳。则游神冥冥。非鬼何哉。此则修养家言形神之阴阳。而非医之
阴阳也。俗又妄谓周易以阳为尊为美为善为刚为清为正。而阴邪反之。但欲养于阳热者。此
又不知易象言阴阳体用之道以为教。非言一身之寒热阴阳也。故阳健唱命而阴顺和之。阴顺
和之。则阴阳和平而同归善道。非以干阳特为热也。且夫子云。干为天为圜。为君为父。为
玉为金。为寒为冰。然则干之纯阳岂为热耶。此亦非特取寒冰为阳。是取冰之劲健整整肃刚。
为干健之
也。坎离水火为夫妇。而易以阳刚坎水寒者为夫。而以阴柔离火热者为妇。亦非以热为阳刚。
而寒为
者。本非取干阳之劲栗清整像干之道也。俗有妄言人生则身温。而死则身冷。及病虽身热未
至于死。将死者。必热反变寒而后死也。阳则生。阴则死。以此专欲养于阳热。殊不知一身
之内。寒水燥湿风火六气浑为一。两停则和平。一兴一衰病以生也。夫和平之常者。温凉得
所。适当其和阳之气。如俗云人体温和是也。然冬寒而人腠理 密。则身当温和。夏热则腠
理开通而多汗出。则身当微凉。相反者病。过与不及亦病。其中脏腑阴分以为根本。则固守
阳和之气。但当温和乃为和平。唯脏腑之气各随五行休囚旺相死之时位。而微有虚实不一也。
此之
固守于内则适当其平。而以能内外之寒。夏心火阳旺而热。复以天气热则肤腠开泄。而阳热
散越于外。适当其平而以能内外之热。万物皆然。此阴阳否泰。天道造化之理。盖莫大乎此
也。然虽秋冬否闭。此以其肺肾阴旺而得其所。故康强省病。而病亦轻微。春夏开泰。以其
肝
寒热温凉。安危寿夭并同。故经曰。阴精所奉人多寿。阳精所奉人多夭。又仙经西山记言。
平人四时当有唏。谓三焦相火无不足。八节不得吹。谓肾脏阴难得实。然则岂可不明阴阳虚
实。但欲养于阳热耶。凡病致死者。阳和气既不存。则止为阴湿形体而已。非冷何哉。俗未
知热甚则热蓄于内。而阳气不能营运于四肢身表。故四肢逆冷。以至身冷脉细而绝则死。蓄
热甚
亦深
反曰
阳气
以深
热于
厥者
外急
结。向
救之以
者。早以温之。无用寒凉。恐成阴毒阴证而死。俗医治伤寒误人多者。无过于此。后学之士
。但以素问运气自然造化之理。原其标本则明可见焉。且以根据法救人。慎勿惑于众人之言。
故经曰。谨熟阴阳。无与众谋。又曰。知逆与从。正行无问。此其道也。
又云伤寒传染论。夫伤寒传染之由者。因闻大汗秽毒。以致神狂气乱。邪热暴甚于内。
作发
婴儿。若
于婴儿。
黄之疾。
世以艾
何以
自
而与伤寒之法皆无异也。
大凡治病。必先明此寒暑燥湿风火六气最为恶也。故曰。其治病之法。以寒治热。以热
治寒
当如
治热
而服
故用寒
发。由
甚治之
其终则
之。顺
而折
以湿攻
光扑灭
逆者正治。从者反治。从少从多。观其是也。若夫实实虚虚。以寒攻寒。以热攻热。则于逆
从之道
知
治
伤
不
虚
夫人禀五常。因风气而生长。风气虽能生万物。亦能害万物。如水能浮舟。亦能覆舟。
若五
内所
以此
四肢
令竭
之处
曰。
色
微
咳
在
因
有未至而至。有至而不至。有至而不去。有至而太过。何谓也。师曰。冬至之后。甲子夜半
少阳起。少阳之时。阳始生。天得温和。以未得甲子天因温和。此为未至而至也。以得甲子
而
温
在
阴
腑
问
口起流
十八。
胀满心
劳七伤
饪之邪
上。风
病有急
后身
病也。
而反暴
此。
歌曰伤寒无汗恶寒攻。紧涩浮兮惨有容。自汗恶风浮缓脉。面光不惨是伤风。
又论云。伤风脉浮而缓。自汗恶风。头疼面光。发热躁烦。手足不寒热甚。不得谓伤寒
耳。
若项
散。
散、参
寒脉浮
汗。法
少。
汤。
紧无
目眩
寒。
卫俱
简者
二阳合病。太阳合病脉浮长。若是浮弦合少阳。胆合胃时弦下短。更将外证互推详。
太阳、阳明本太阳病。若汗若利小便。无津液胃中燥。转属阳明。故大便坚。小便利。
是为
少与
黄汤
少阳
大柴
汤。
恶寒
过经
太阳阳明并病歌曰。太阳已汗病阳明。不恶寒兮里未宁。全入阳明烦下剂。汗之犹在太
阳明
并病乃太阳初病发汗而未彻。转属阳明。续遂自汗出。不恶寒。是并归阳明也。若太阳
证尚
春温夏热歌曰。春温浮紧易经安。发热头疼咳嗽干。夏月伤寒为热病。脉来洪盛疗应难。
温
热
夏
小
如桂枝、麻黄、青龙汤之属。须以黄芩、升麻佐之。热病三日外脉仍数。邪犹在经络。未入
脏腑者。桂枝石膏汤。三月至夏至谓晚发。栀子升麻汤。
风温湿歌曰。风湿热汗脉多浮。喘渴螈 体不收。腹满脚寒头目疼。湿温谵热汗频流。
风湿尺寸俱浮紧。伤于风因而伤热。风与热搏即发风湿。惟其有风。则四肢缓纵而不收
也。
睛。
痫。
甚
治论
湿
热
身
则
中
用
风湿歌曰。风湿浮兮额汗为。肿疼发热喜重衣。身黄热疼沉而缓。中湿用疏小腑稀。
又论云。风湿脉浮。先伤湿而后伤风故也。外证肢体重痛不能转侧。额上微汗。怯寒而
不欲
无益
脉
外不热。内不渴。小便自利。术附汤。若昏沉腹满。身重自汗。失音。下利不禁。白通汤。
多加白术。少用甘草。身肿疼。微喘恶风。杏仁汤。通用人参败毒散。热而烦渴者。加栝蒌
根。若设下之。小便必不利。可与五苓散。中湿脉沉而缓。风雨袭虚。霜雾乘隙。人多为湿
所伤也。一身尽痛重着。发黄。关节烦痛。发热鼻塞。时或胀满。大便利。小便难。外证耳
。湿家不可汗。汗之则发 。热而 者死。亦不可下。下之则额汗胸满。微喘而哕。小便不
利。全济亦难。经云。治湿之法。不利小便非其治也。中湿小便不利。大便自利。甘草附子
汤、五苓散。或除湿汤加茯苓主之。大小便皆利则与术附汤。身体痛。鼻塞。黄 建中汤、
小建中汤。寒湿交攻。疼痛重着。易简渗湿汤。甚者参料理中汤加熟附子。风寒湿三气合而
为痹。其何以为治。曰。寒多则为疼痛。当用官桂、干姜、附子。风多则为走注。当用麻黄
、薏苡、乌头。中气则为坚满。紫苏、陈皮、枳壳，所不可阙。中湿则为重着。能以茯苓、
苍术、干姜主之。应手而愈。
温毒中暑歌曰。温毒春间斑发苍。呕而咳闷透心伤。背寒面垢虚来脉。自汗焦烦是暑伤。
温毒者。冬间感受寒毒。乖气至春而发也。表证未退。毒瓦斯不散。所以发斑。肌肉绞疼。
心
玄
治
而
为
热
散温服。信效方。中暑用小柴胡汤。脉沉迟。腠理开。洒然毛耸。口前开而板齿燥。用白虎
加人参汤。伤暑发大热。头疼自汗。咽疼烦躁。腹中热结。诸药不效者。小柴胡汤最良。小
便不利
感寒至
病
湿
胫逆冷是也。以上三证。夏月病多有之。须别其名。庶无毫厘千里之谬。凡夏月伤暑。虽则
热毒为害。皆因脾胃虚怯而得之。胃虚然后伏暑。然后烦躁。其有饮水过多。及用解暑冷药
太过。动伤其中。真气
如阴盛格阳之类。不可
不利。断不可以为热也
不内。可与小半夏加茯
月病多伤暑。暑家脉虚。
薪救火。不发黄则发斑。
止。胃脘闭隔。饮食不进
暑丸。心腹刺痛者。香薷
腹中觉痛。小便不利。是
此呕证。为脾胃寒呕则误
病温疟疫疠歌曰。 甚风痫强体肢。柔刚二证必须推。后寒先热名温疟。疫疠之邪责
四时
者先伤于风。又感寒温所致。发热腹疼。口噤头摇。痴呆不语。项强背直。腰身反张。
人生在天地之间，命运各有遭遇，时运有顺逆之分。吉凶安危、喜怒爱憎、存亡忧畏，这些令人关切的忧虑，每天都有千般变化。
瘟疫病的发生，多与瘴气有关。饮食汤药竞相使用，按摩等方法也都在尝试，有的轻微者效验相仿，有的重症者用五苓散等方剂才能痊愈。
如果是里证，用泻下法可以痊愈；如果用发汗法，反而会导致死亡。如果表里调和但仍有表证，用发汗法可以痊愈；如果用泻下法，则会导致死亡。像这样，就不能误用神丹（指强力发汗或攻下的药物）来发汗，也不能妄用甘遂（峻下逐水药）来攻下。然而，桂枝汤（解肌发表、调和营卫的方剂）服下后，若表气和顺就能痊愈；承气汤（泻热通便的方剂）进入胃中，若里气平和就能康复。因此，必须明察病证的候象，不可乱投汤药以损伤胃气。经典记载：脉微细者不可用吐法，脉虚细者不可用下法，这是医家的重大禁忌。
凡是脉象有浮沉转化变化的，或者因风寒失节导致的不和，应当根据日数来判断。
寒气是百病的起始。这是四时八节不正的疫疠之气。经典说：春气温和，夏气暑热，秋气清凉，冬气寒冽。
治疗伤寒必须辨别阴阳。人身手足各有三阴三阳，合为十二经脉。在手背者为阳，属表，为腑；在手掌者为阴，属里，为脏。
肝木传脾土，再传少阳胆，为微邪。阴主杀伐，所以少阳木传太阴土，土传少阴水，水传厥阴木。到了六七日应当传变。
《甲乙经》说：邪气生于阳分，是由于风雨寒暑所致；邪气中于阴分，是由于饮食起居、阴阳喜怒失调所致。又说：贼风邪气……又加重少许。凡病从一日到十三日，太阳证不罢，只治太阳经。有初得病就见到少阴证的，直接攻治少阴，这是最灵活的方法。寒邪有时从头到尾只在一经。又说：六气之邪乘虚侵入经络，从背部感受则入太阳经，从面部感受则入阳明经之类，不一定都始于太阳经，也不一定要次第传于诸经。或者寒邪从头到尾只在一经，以此理推断，只需依据脉象和外证来验证。假如病人脉浮紧，头项强痛，发热恶寒，即使已过经（超过本经病程），只是太阳经受病，不再传变到其他经，其余都依此类推。
大凡阳病应当投用酸苦性质的药物，轻症用苦味，重症兼用酸味。阴病应当投用辛甘性质的药物，轻症用辛甘，重症专用辛甘。
太阳伤寒一二日，发热恶寒，头疼腰脊强直，寸口尺部脉俱浮，病在太阳经。阳明伤寒二三日，耳聋，咽干，口燥舌干，病在阳明经。
经典说：伤寒，形寒伤皮毛，寒伤血，寒伤营卫。寒主闭藏而腠理密闭，阳气怫郁不能通畅。
寒病固然存在，但不是指作汗的病。况且造化为汗液之气，乃是阳热之气所为，不是阴寒所能产生的。观察万物，热极才会出液，这很明显了。经典说：热病，都是伤寒的一类。又说：人受寒邪侵袭，就会成为热病。既然体内有阴寒，只能算作杂病，终究不能成为作汗的病。况且病法说：身热在表，饮水为里。这是伤寒作汗病的本末。身凉不渴，小便不黄，脉不数的情况是没有的。虽然张仲景用四逆汤、干姜、附子等药，是为了治其本里的寒和。误用寒药过早泻下，表热未入里而变成寒，下利不止。以及表热里寒下利的，急用四逆汤攻里，利止里和，急用解表法。所以张仲景在四逆汤证后，又有承气汤下热的论述。由此看来，伤寒作汗病，经典直言热病，而不说有寒凝。经典说三阴证，是因为邪热在里，以脏与里为阴，应该是不热的。伤寒阴阳的区别，不仅在于表热当汗，而下之则死；当下，而汗之亦死。所以张仲景说：桂枝汤服下，阳盛则毙；承气汤入胃，阴实即亡。死生的关键在乎……视身体情况尚且来不及计算日子。这是阴阳虚实交错，其候至微，发汗吐下之法相反，其祸至速。时间短促的人，懵然不知病如何治，乃误使病人死亡。然而，如果只是邪热在表则汗之，邪热在里则……热在上则吐之……病证呢？况……至八至以上，造化验之，皆言五行之道，而反似水，多涎，肺热，热气蒸蒸而……天反凉，人凉则病愈，热在则病在。故病寒者自是寒病，非此汗病之气也。虽寒属阴水，而天地阴阳气液相生之道，则寒之化不能更生阴水也。故古圣曰：阳中生阴，阴中生阳，气中生液，液中生气。又说：积液生气，积气生液。又经典说：气和而生精液。然气为阳物，故万物之水液皆生于阳热之气。如天气阳热极甚，则万物湿润，而冬寒则万物干燥。由是言之，既为作汗之病气本热，非寒明矣。故经典又曰：凡伤寒而成温病者，先夏至为温病，后夏至为暑病。暑与汗皆出，正言邪热随汗，皆出尽而愈也。又经典说：饮食饱甚汗出于胃，惊而夺精汗出于心，负重远行汗出于肾，疾走恐惧汗出于肝，摇体劳苦汗出于脾。此皆动乱劳苦，而致阳热以为汗出，岂可反言作汗之病以为阴寒耶。今之俗医不明阴阳变化之道，而妄取阳主于生，阴主于死，而欲养于阳热者，殊不知此言自生之后，以显为阳，阳中生阴，故生者死之道也。既死之后，以隐为阴，阴中生阳，故死者生之道也。此古人之论道，乃死生有无动静隐显之阴阳，非言寒热之阴阳也。俗人妄言仙经云：纯阳升而为仙，纯阴死而为鬼。阴以养阳气，恐亦不如此。以阳主虚无，而言神为阳，阴主形体，而言形为阴。言善养生者，调顺阴阳，炼就阳神超升，弃其阴体，即纯阳之神乃为仙也。不明道者，寒热不调，以致阴阳胜负，耗绝阳神，惟存阴壳，则游神冥冥，非鬼何哉。此则修养家言形神之阴阳，而非医之阴阳也。俗又妄谓周易以阳为尊为美为善为刚为清为正，而阴邪反之。但欲养于阳热者，此又不知易象言阴阳体用之道以为教，非言一身之寒热阴阳也。故阳健唱命而阴顺和之，阴顺和之，则阴阳和平而同归善道，非以干阳特为热也。且夫子云：干为天为圜，为君为父，为玉为金，为寒为冰。然则干之纯阳岂为热耶。此亦非特取寒冰为阳，是取冰之劲健整整肃刚，为干健之……也。坎离水火为夫妇，而易以阳刚坎水寒者为夫，而以阴柔离火热者为妇，亦非以热为阳刚，而寒为……者，本非取干阳之劲栗清整像干之道也。俗有妄言人生则身温，而死则身冷，及病虽身热未至于死，将死者，必热反变寒而后死也。阳则生，阴则死，以此专欲养于阳热，殊不知一身之内，寒水燥湿风火六气浑为一，两停则和平，一兴一衰病以生也。夫和平之常者，温凉得所，适当其和阳之气，如俗云人体温和是也。然冬寒而人腠理密，则身当温和，夏热则腠理开通而多汗出，则身当微凉。相反者病，过与不及亦病。其中脏腑阴分以为根本，则固守阳和之气，但当温和乃为和平。唯脏腑之气各随五行休囚旺相死之时位，而微有虚实不一也。此之固守于内则适当其平，而以能内外之寒，夏心火阳旺而热，复以天气热则肤腠开泄，而阳热散越于外，适当其平而以能内外之热。万物皆然，此阴阳否泰，天道造化之理，盖莫大乎此也。然虽秋冬否闭，此以其肺肾阴旺而得其所，故康强省病，而病亦轻微。春夏开泰，以其肝……寒热温凉，安危寿夭并同。故经典说：阴精所奉人多寿，阳精所奉人多夭。又仙经西山记言：平人四时当有唏，谓三焦相火无不足，八节不得吹，谓肾脏阴难得实。然则岂可不明阴阳虚实，但欲养于阳热耶。凡病致死者，阳和气既不存，则止为阴湿形体而已，非冷何哉。俗未知热甚则热蓄于内，而阳气不能营运于四肢身表，故四肢逆冷，以至身冷脉细而绝则死。蓄热甚……亦深……反曰……阳气……以深……热于……厥者……外急……结。向……救之以……者，早以温之，无用寒凉，恐成阴毒阴证而死。俗医治伤寒误人多者，无过于此。后学之士，但以素问运气自然造化之理，原其标本则明可见焉。且以根据法救人，慎勿惑于众人之言。故经典说：谨熟阴阳，无与众谋。又说：知逆与从，正行无问。此其道也。
又云伤寒传染论。夫伤寒传染的原因，是因为闻到大汗秽毒，以致神狂气乱，邪热暴甚于内，发作……婴儿，若……于婴儿，黄之疾，世以艾……何以……自……而与伤寒之法皆无异也。
大凡治病，必先明此寒暑燥湿风火六气最为恶也。故曰：其治病之法，以寒治热，以热治寒……当如……治热……而服……故用寒……发，由……甚治之……其终则……之，顺……而折……以湿攻……光扑灭……逆者正治，从者反治，从少从多，观其是也。若夫实实虚虚，以寒攻寒，以热攻热，则于逆从之道……知……治……伤……不……虚……
夫人禀五常，因风气而生长。风气虽能生万物，亦能害万物，如水能浮舟，亦能覆舟。若五……内所……以此……四肢……令竭……之处……曰……色……微……咳……在……因……
有未至而至，有至而不至，有至而不去，有至而太过。何谓也。师曰：冬至之后，甲子夜半少阳起。少阳之时，阳始生，天得温和。以未得甲子天因温和，此为未至而至也。以得甲子……而……温……在……阴……腑……问……口起流……十八，胀满心……劳七伤……饪之邪……上，风……病有急……后身……病也……而反暴……此。
歌曰：伤寒无汗恶寒攻，紧涩浮兮惨有容。自汗恶风浮缓脉，面光不惨是伤风。
又论云：伤风脉浮而缓，自汗恶风，头疼面光，发热躁烦，手足不寒热甚，不得谓伤寒耳。
若项……散……散、参……寒脉浮……汗，法……少……汤……紧无……目眩……寒……卫俱……简者……
二阳合病，太阳合病脉浮长。若是浮弦合少阳，胆合胃时弦下短。更将外证互推详。
太阳、阳明本太阳病，若汗若利小便，无津液胃中燥，转属阳明，故大便坚，小便利，是为……少与……黄汤……少阳……大柴……汤……恶寒……过经……
太阳阳明并病歌曰：太阳已汗病阳明，不恶寒兮里未宁。全入阳明烦下剂，汗之犹在太……阳明……并病乃太阳初病发汗而未彻，转属阳明，续遂自汗出，不恶寒，是并归阳明也。若太阳证尚……
春温夏热歌曰：春温浮紧易经安，发热头疼咳嗽干。夏月伤寒为热病，脉来洪盛疗应难。
温……热……夏……小……如桂枝、麻黄、青龙汤之属，须以黄芩、升麻佐之。热病三日外脉仍数，邪犹在经络，未入脏腑者，桂枝石膏汤。三月至夏至谓晚发，栀子升麻汤。
风温湿歌曰：风湿热汗脉多浮，喘渴螈 体不收。腹满脚寒头目疼，湿温谵热汗频流。
风湿尺寸俱浮紧，伤于风因而伤热，风与热搏即发风湿，惟其有风，则四肢缓纵而不收也。
睛……痫……甚……治论……湿……热……身……则……中……用……
风湿歌曰：风湿浮兮额汗为，肿疼发热喜重衣。身黄热疼沉而缓，中湿用疏小腑稀。
又论云：风湿脉浮，先伤湿而后伤风故也。外证肢体重痛不能转侧，额上微汗，怯寒而……不欲……无益……脉……外不热，内不渴，小便自利，术附汤。若昏沉腹满，身重自汗，失音，下利不禁，白通汤。多加白术，少用甘草。身肿疼，微喘恶风，杏仁汤。通用人参败毒散。热而烦渴者，加栝蒌根。若设下之，小便必不利，可与五苓散。中湿脉沉而缓，风雨袭虚，霜雾乘隙，人多为湿所伤也。一身尽痛重着，发黄，关节烦痛，发热鼻塞，时或胀满，大便利，小便难，外证耳……湿家不可汗，汗之则发……热而……者死，亦不可下，下之则额汗胸满，微喘而哕，小便不利，全济亦难。经典说：治湿之法，不利小便非其治也。中湿小便不利，大便自利，甘草附子汤、五苓散，或除湿汤加茯苓主之。大小便皆利则与术附汤。身体痛，鼻塞，黄……建中汤、小建中汤。寒湿交攻，疼痛重着，易简渗湿汤。甚者参料理中汤加熟附子。风寒湿三气合而为痹，其何以为治。曰：寒多则为疼痛，当用官桂、干姜、附子。风多则为走注，当用麻黄、薏苡、乌头。中气则为坚满，紫苏、陈皮、枳壳，所不可阙。中湿则为重着，能以茯苓、苍术、干姜主之，应手而愈。
温毒中暑歌曰：温毒春间斑发苍，呕而咳闷透心伤。背寒面垢虚来脉，自汗焦烦是暑伤。
温毒者，冬间感受寒毒，乖气至春而发也。表证未退，毒瓦斯不散，所以发斑，肌肉绞疼，心……玄……治……而……为……热……散温服，信效方。中暑用小柴胡汤。脉沉迟，腠理开，洒然毛耸，口前开而板齿燥，用白虎加人参汤。伤暑发大热，头疼自汗，咽疼烦躁，腹中热结，诸药不效者，小柴胡汤最良。小便不利……感寒至……病……湿……胫逆冷是也。以上三证，夏月病多有之，须别其名，庶无毫厘千里之谬。凡夏月伤暑，虽则热毒为害，皆因脾胃虚怯而得之。胃虚然后伏暑，然后烦躁。其有饮水过多，及用解暑冷药太过，动伤其中，真气……如阴盛格阳之类，不可……不利，断不可以为热也……不内，可与小半夏加茯……月病多伤暑，暑家脉虚……薪救火，不发黄则发斑……止，胃脘闭隔，饮食不进……暑丸，心腹刺痛者，香薷……腹中觉痛，小便不利，是……此呕证，为脾胃寒呕则误……
病温疟疫疠歌曰：……甚风痫强体肢，柔刚二证必须推。后寒先热名温疟，疫疠之邪责……四时……者先伤于风，又感寒温所致，发热腹疼，口噤头摇，痴呆不语，项强背直，腰身反张。
Human life exists between heaven and earth. Fate encounters vary, and times have their ups and downs (Pi Tai). Auspiciousness or misfortune, safety or danger, joy or anger, love or hate, survival or death, worry or fear—these concerns occupy the mind with thousands of worries daily.
The occurrence of plague diseases (Wenyi Bing) is often related to miasma (Zhangqi). Competing use of herbal decoctions and foods, as well as massage methods, are all attempted; mild cases may respond similarly, while severe cases require formulas like Wuling San (Five-Ingredient Powder with Poria) to recover.
If it is a interior syndrome (Li Bing), purgation leads to recovery; sweating leads to death. If the interior is harmonious but exterior symptoms persist, sweating leads to recovery; purgation leads to death. Thus, one must not mistakenly induce sweating with Shen Dan (a term for potent emetic/purgative herbs), nor recklessly attack with Kansui (Radix Euphorbiae Lathyri). However, when Guizhi Tang (Cinnamon Twig Decoction) is taken, if the exterior qi harmonizes, recovery ensues; when Chengqi Tang (Stomach-Regulating Decoction) enters the stomach, if the interior qi levels out, convalescence follows. One must clearly observe the signs and symptoms of the disease and not indiscriminately administer herbal decoctions to deplete stomach qi. The Classics state: if the pulse is faint, vomiting is contraindicated; if the pulse is deficient and fine, purgation is contraindicated. This is a major prohibition for physicians.
Whenever pulses change from floating to sinking or vice versa, or due to wind-cold irregularities causing disharmony, one should judge according to the number of days.
Cold qi is the beginning of all diseases. It refers to the pathogenic qi of epidemics arising from improper conditions during the four seasons and eight solar terms. The Classics say: Spring qi is gentle and warm, Summer qi is hot and sultry, Autumn qi is cool and clear, Winter qi is cold.
Treating Cold Damage (Shanghan) requires distinguishing Yin and Yang. The human body has three Yin and three Yang meridians in the hands and feet, totaling twelve meridians. Those on the back of the hand are Yang, belonging to the Exterior and Fu organs; those on the palm are Yin, belonging to the Interior and Zang organs.
Liver Wood transmits to Spleen Earth, then to Shaoyang Gallbladder, which is a minor evil. Yin governs killing, so Shaoyang Wood transmits to Taiyin Earth, Earth transmits to Shaoyin Water, and Water transmits to Jueyin Wood. By the sixth or seventh day, transmission should occur.
The *Jia Yi Jing* states: Pathogens generated in the Yang aspect arise from wind, rain, cold, and heat; pathogens striking the Yin aspect arise from diet,起居 (daily routine), and emotional excesses. It also says: ...further aggravated slightly. For any illness from day one to thirteen, if Taiyang syndrome persists, treat only the Taiyang meridian. If Shaoyin syndrome appears immediately upon onset, directly attack Shaoyin. This is the most flexible method. Cold pathogens may remain in a single meridian from start to finish. It is also said: Pathogens of the six Qi invade meridians via deficiency. Entering from the back leads to the Taiyang meridian; entering from the face leads to the Yangming meridian, etc. It does not always begin in Taiyang, nor must it transmit sequentially through all meridians. Or the cold pathogen remains in one meridian throughout. Inferring from this principle, one should verify based on the pulse and external signs. For example, if a patient has a floating-tight pulse, stiffness and pain in the head and neck, fever, and aversion to cold, even if the disease has passed its designated period (Guojing), it is merely a Taiyang disease that will not transmit to other meridians. The rest follow this pattern.
Generally, Yang diseases should be treated with sour and bitter medicines. For mild cases, use bitter; for severe cases, combine them. Yin diseases should be treated with acrid and sweet medicines. For mild cases, use acrid and sweet; for severe cases, use them exclusively.
Taiyang Cold Damage on the first or second day presents with fever, aversion to cold, headache, stiffness of the waist and spine, and floating pulses at both cun and chi positions; the disease is in the Taiyang meridian. Yangming Cold Damage on the second or third day presents with deafness, dry throat, dry mouth and tongue; the disease is in the Yangming meridian.
The Classics state: In Cold Damage, form-cold injures the skin and hair; cold injures blood; cold injains Ying and Wei. Cold governs closure and condensation, making the couli (pores) tight. Yang qi becomes stifled and cannot flow freely.
Although cold diseases exist, they do not refer to diseases producing sweat. Furthermore, the qi that creates sweat is generated by Yang-heat, not by Yin-cold. Observing all things, fluid secretion occurs only when heat reaches its extreme; this is clear. The Classics say: Heat diseases are all a category of Cold Damage. It also says: When humans are injured by cold, they develop heat diseases. If there is Yin-cold inside the body, it is merely a miscellaneous disease and cannot become a disease producing sweat. Moreover, medical laws state: Body heat at the exterior indicates drinking water relates to the interior. This is the essence and details of Cold Damage diseases producing sweat. Cases where the body is cool, not thirsty, urine is not yellow, and the pulse is not rapid do not exist. Although Zhang Zhongjing used Sini Tang (Frigid Extremities Decoction), Ginger (Shengjiang), and Aconite (Fuzi), these were to treat the root interior cold. Mistakenly using cold medicines to purge too early causes the exterior heat to turn into cold before entering the interior, resulting in persistent diarrhea. In cases of exterior heat and interior cold with diarrhea, urgently use Sini Tang to attack the interior. Once diarrhea stops and the interior harmonizes, urgently use exterior-releasing methods. Therefore, after the Sini Tang syndromes, Zhang Zhongjing discusses Chengqi Tang for purging heat. From this, we see that Cold Damage diseases producing sweat are explicitly called heat diseases in the Classics, without mentioning cold coagulation. The Classics mention Three Yin syndromes because the pathogenic heat is in the interior; since Zang organs and the interior are Yin, they should not be hot. The distinction between Yin and Yang in Cold Damage is not just that exterior heat requires sweating (purging would cause death); nor that interior excess requires purging (sweating would cause death). Thus, Zhang Zhongjing said: When Guizhi Tang is swallowed, if Yang is excessive, death ensues; when Chengqi Tang enters the stomach, if Yin is solidified, death follows. The key to life and death lies in... observing the body leaves no time to count days. This is the interlacing of Yin-Yang and Deficiency-Excess, where signs are subtle, yet opposite treatments (sweating, vomiting, purging) bring swift disaster. For those with short lifespans, ignorance of treatment leads to mistaken deaths. However, if pathogenic heat is only at the exterior, sweat it; if in the interior, ... heat above, vomit it... What are the signs? Even if the pulse is rapid (eight beats or more)... verifying through creation and transformation, all speak of the Way of Five Phases, yet resembling water, with much saliva, lung heat, steaming hot qi... Heaven turns cool; humans cool down and recover; heat remains and disease persists. Thus, those with cold diseases have true cold diseases, not the qi of sweating diseases. Although cold belongs to Yin-Water, the way heaven and earth generate Yin-Yang and Qi-Fluid means cold transformation cannot regenerate Yin-Water. Thus, ancient sages said: Yang generates Yin within itself; Yin generates Yang within itself; Qi generates Fluid; Fluid generates Qi. It is also said: Accumulated Fluid generates Qi; accumulated Qi generates Fluid. The Classics also say: Harmonized Qi generates Essence and Fluid. Since Qi is Yang, all fluids in all things are generated by Yang-heat. When heavenly Yang-heat is extreme, all things are moist; in winter cold, all things are dry. Therefore, the qi causing sweat is fundamentally heat, not cold, which is clear. The Classics further say: All Cold Damage becoming Warm Diseases occur before the Summer Solstice as Warm Diseases; after the Summer Solstice as Summerheat Diseases. Summerheat and sweat both exit; this correctly states that pathogenic heat exits with sweat and recovers when exhausted. The Classics also say: After eating until full, sweat comes from the Stomach; startled and losing essence, sweat comes from the Heart; carrying heavy loads and walking far, sweat comes from the Kidney; running fast and fearing, sweat comes from the Liver; shaking the body and working hard, sweat comes from the Spleen. These are all caused by turmoil and labor generating Yang-heat to produce sweat. How can one wrongly claim the disease causing sweat is Yin-cold? Modern vulgar doctors do not understand the Way of Yin-Yang transformation and rashly take "Yang governs life, Yin governs death" to mean one should nourish Yang-heat. They do not realize this statement refers to post-birth manifestation: Yang is manifest, and Yang generates Yin, so life contains the path to death. After death, Yin is hidden, and Yin generates Yang, so death contains the path to life. This ancient discussion of the Dao refers to the Yin-Yang of existence/non-existence, movement/stillness, hidden/manifest—not the Yin-Yang of cold/heat. Vulgar people rashly quote immortal scriptures saying: Pure Yang ascends to become an immortal; pure Yin dies to become a ghost. Nourishing Yang-qi with Yin might not be so. Since Yang governs emptiness and non-being, spirit is Yang; Yin governs form, so form is Yin. Those who cultivate health well harmonize Yin-Yang, refine the Yang Spirit to ascend, abandon the Yin body, and thus the pure Yang Spirit becomes an immortal. Those who do not understand the Dao have unharmonized cold and heat, leading to Yin-Yang conflict, exhausting the Yang Spirit, leaving only the Yin shell, so the wandering spirit is dark—how else but a ghost? This is the cultivation school's talk of Form-Spirit Yin-Yang, not medical Yin-Yang. Vulgar people also wrongly claim the *I Ching* regards Yang as superior, beautiful, good, firm, clear, and correct, while Yin is the opposite. Wanting to nourish Yang-heat shows ignorance that the *I Ching* teaches the substance and function of Yin-Yang, not the cold/heat Yin-Yang of the body. Thus, Qian (Heaven) promotes life and Kun (Earth) harmonizes with it; Kun harmonizes, so Yin-Yang are peaceful and return to the good path. It is not that Qian-Yang is specifically heat. Moreover, Confucius said: Qian is Heaven, Circle, Ruler, Father, Jade, Metal, Cold, Ice. Then how can Qian's pure Yang be heat? This does not specifically take cold ice as Yang, but takes the strength, order, solemnity, and firmness of ice as the vigor of Qian. Kan (Water) and Li (Fire) are husband and wife; the *I Ching* takes the Yang-firm Kan-Water-Cold as husband and the Yin-soft Li-Fire-Heat as wife. This is not taking heat as Yang-firm and cold as... originally not taking the vigorous, clear, and orderly nature of Qian-Yang to resemble the Way of Qian. Vulgar people rashly claim humans are warm when alive and cold when dead; even if sick with body heat not yet fatal, the dying must turn from heat to cold before death. Yang is life, Yin is death; thus, they exclusively want to nourish Yang-heat. They do not realize that within the body, the Six Qi of Cold, Water, Dryness, Dampness, Wind, and Fire are mixed as one. Balanced, they are peaceful; one rising and one falling causes disease. The constant of peace is appropriate warmth and coolness, fitting the harmonious Yang Qi, as commonly said "human body is warm." In winter cold, couli are tight, so the body should be warm; in summer heat, couli open and sweat much, so the body should be slightly cool. Opposite conditions are disease; excess or deficiency are also disease. The interior Zang-Fu Yin division serves as the root, guarding the Yang-harmonious Qi. Only being warm constitutes peace. The Qi of each Zang-Fu varies slightly in deficiency/excess according to the Five Phases' times of rest, imprisonment, prosperity, phase, and death. Guarding internally achieves balance, enabling handling of internal and external cold. In summer, Heart Fire is Yang-prosperous and hot; combined with hot weather causing couli to open and Yang-heat to scatter outward, it achieves balance, enabling handling of internal and external heat. All things are like this. This is the principle of Yin-Yang obstruction and smoothness, the greatest reason of Heavenly Dao and Creation. Although Autumn and Winter are obstructed, this is because Lung-Kidney Yin is prosperous and finds its place, so health is strong and illnesses are few and mild. Spring and Summer are open and smooth, because Liver... Cold, Heat, Warmth, Coolness, Safety, Danger, Longevity, and Short Life are all the same. Thus, the Classics say: Those whose Yin Essence is offered/received live long; those whose Yang Essence is offered/receive die young. The Immortal Scripture *Xishan Ji* says: Healthy people should sigh in all four seasons, indicating Triple Burner Ministerial Fire is never insufficient; in the eight solar terms, one should not blow, indicating Kidney Yin rarely attains fullness. How can one not understand Yin-Yang deficiency and excess, yet only want to nourish Yang-heat? All diseases leading to death occur because Yang-Harmonious Qi no longer exists, leaving only Yin-damp form—is this not cold? Vulgar people do not know that extreme heat accumulates internally, preventing Yang-Qi from circulating to the limbs and body surface, causing cold extremities, eventually leading to cold body, fine pulse, and death. Accumulated heat is deep... reversed to say... Yang Qi... deeply... heat in... Jue syndrome... exterior tension... knot. Toward... rescue with... earlier warm it, do not use cold-cool, lest it become Yin-Du or Yin Syndrome leading to death. Vulgar doctors make many mistakes treating Cold Damage, none greater than this. Students of later generations should rely on the principles of natural creation in *Suwen* Yunqi, tracing root and branch to see clearly. Use established methods to save people; beware of being confused by popular opinions. Thus, the Classics say: Carefully master Yin-Yang, do not consult with the crowd. Also: Knowing reversal and compliance, act rightly without doubt. This is the Way.
Also, the Treatise on Cold Damage Contagion. The cause of Cold Damage contagion is inhaling foul toxins from heavy sweating, causing spirit madness and Qi chaos, with pathogenic heat violently increasing internally, erupting... infants, if... to infants, yellow disease, world uses moxa... why... self... and the methods for Cold Damage are no different.
Generally, treating disease requires first understanding that the Six Qi of Cold, Summerheat, Dryness, Dampness, Wind, and Fire are the most harmful. Thus, it is said: The method of treatment is using cold to treat heat, using heat to treat cold... should be like... treating heat... and taking... therefore use cold... eruption, by... treat severely... its end is... comply... and break... attack dampness... extinguish light... Reversal is direct treatment; compliance is counter-treatment. Follow less or more, observing what is correct. If reinforcing excess and draining deficiency, attacking cold with cold, attacking heat with heat, then regarding the Way of reversal and compliance... know... treat... injury... not... deficiency...
Humans inherit the Five Constants and grow due to Wind-Qi. Wind-Qi can generate all things but also harm all things, like water that can float a boat but also capsize it. If five... internal... therefore... four limbs... cause exhaustion... place... say... color... slight... cough... in... due...
There is arrival before time, arrival after time, arrival without departure, arrival exceeding limit. What does this mean? The Master said: After Winter Solstice, at midnight on the Jiazi day, Shaoyang rises. At the time of Shaoyang, Yang begins to generate, and heaven becomes warm. If heaven is warm before obtaining Jiazi, this is arrival before time. If obtaining Jiazi... and... warm... in... Yin... Fu... ask... mouth starts flowing... eighteen, distended heart and fullness... seven injuries from labor... food pathogen... up, wind... disease has urgency... after body... disease... and reversely sudden... this.
Song says: Cold Damage without sweat and aversion to cold attacks; tight, choppy, floating pulses look grim. Spontaneous sweat and aversion to wind with floating-slow pulse; shiny face without grimness is Wind Injury.
Another treatise says: Wind Injury pulse is floating and slow, spontaneous sweat, aversion to wind, headache, shiny face, fever, irritability, hands and feet not cold, heat severe; this cannot be called Cold Damage.
If neck... disperse... disperse, Ginseng... cold pulse floating... sweat, method... little... decoction... tight no... dizziness... cold... Wei both... simple...
Two Yang combined disease: Taiyang combined disease pulse is floating and long. If floating-string combined with Shaoyang, Gallbladder combining with Stomach time string is lower and short. Further deduce from external signs mutually.
Taiyang and Yangming: Originally Taiyang disease. If sweating or promoting urination, lacking fluids, Stomach interior becomes dry, transforming to Yangming. Thus stool is hard, urination is free, this is... give little... Huang Tang... Shaoyang... Da Chai... Tang... aversion to cold... passed period...
Taiyang-Yangming combined disease song says: Taiyang already sweated, disease moves to Yangming; no aversion to cold, interior not pacified. Fully entering Yangming troubles purgatives; sweating still remains in Tai... Yangming... Combined disease is Taiyang initial disease sweating not thorough, transforming to Yangming, continuing spontaneous sweat, no aversion to cold, thus combining into Yangming. If Taiyang signs still...
Spring Warmth Summer Heat song says: Spring warmth floating-tight, easy Jing An; fever, headache, cough, dryness. Summer month Cold Damage is heat disease; pulse surging and full, treatment difficult.
Warm... heat... summer... small... Like Guizhi, Mahuang, Qinglong Tang categories, must assist with Huangqin and Shengma. Heat disease after three days pulse still rapid, pathogen still in meridians, not entering Zang-Fu organs: Guizhi Shigao Tang. Third month to Summer Solstice called late eruption: Zhizi Shengma Tang.
Wind-Warmth-Dampness song says: Wind-dampness heat sweat pulse mostly floating; panting, thirst, convulsions, body unrestrained. Abdominal fullness, foot cold, head-eye pain; damp-warmth delirium heat sweat frequent flow.
Wind-dampness chi-cun both floating-tight, injured by wind thereby injuring heat; wind and heat contend thus erupting wind-dampness; only having wind, then four limbs slack and unrestrained.
Eyes... epilepsy... severe... treat theory... damp... heat... body... then... middle... use...
Wind-dampness song says: Wind-dampness floating, forehead sweat is sign; swelling, pain, fever, liking heavy clothes. Body yellow, heat pain, deep and slow; mid-dampness use dispersing, small fu rare.
Another treatise says: Wind-dampness pulse floating, first injured by dampness then by wind. External signs: limbs heavy pain unable to turn; slight sweat on forehead, fearful of cold and... unwilling... useless... pulse... exterior not hot, interior not thirsty, urination free: Zhufu Tang. If coma, abdominal fullness, body heavy spontaneous sweat, loss of voice, uncontrollable diarrhea: Baitong Tang. Add much Baizhu, use little Gancao. Body swelling pain, slight panting aversion to wind: Xingren Tang. Universally use Renshen Baidu San. Heat with irritability and thirst: add Gualou Gen. If set to purge, urination will surely be obstructed; can use Wuling San. Mid-dampness pulse deep and slow, wind-rain attacks deficiency, frost-mist takes advantage, humans mostly injured by dampness. Whole body painful and heavy, yellowing, joint vexing pain, fever, nasal congestion, occasional fullness, large stool free, urination difficult, external signs ear... Dampness patients must not sweat; sweating causes eruption... heat and... death. Must not purge; purging causes forehead sweat, chest fullness, slight panting and hiccups, urination obstructed, complete salvation difficult. Classics say: Method for treating dampness, not promoting urination is not its treatment. Mid-dampness urination obstructed, large stool free: Gancao Fuzi Tang, Wuling San, or Chushi Tang plus Fuling main treatment. Large and small stools both free then give Zhufu Tang. Body pain, nasal congestion, Huang... Jianzhong Tang, Xiao Jianzhong Tang. Cold-dampness attacking together, pain heavy: Yijian Shen Shi Tang. Severe cases: Canli Lizhong Tang plus Shu Fuzi. Wind-Cold-Dampness three Qi combine to form Bi syndrome, how to treat? Say: Cold much then pain, use Guanzi Gui, Ganjiang, Fuzi. Wind much then wandering, use Mahuang, Yiyi, Wutou. Middle Qi then hardness-fullness, Zisu, Chenpi, Zhike, indispensable. Middle dampness then heaviness, able to use Fuling, Cangzhu, Ganjiang main treatment, responding hand and healing.
Warm-Toxin Summerheat song says: Warm-toxin spring eruption spots pale; vomiting, cough, chest oppression penetrating heart injury. Back cold, face dirty, empty coming pulse; spontaneous sweat, scorched irritability is Summerheat injury.
Warm-toxin: Winter season feeling cold toxin, discordant Qi erupts in Spring. Exterior signs not retreated, toxin vapors not scattered, thus erupting spots, muscle twisting pain, heart... Xuan... treat... and... for... heat... scatter warm take, Xin Xiao Fang. Summerheat use Xiaochaihu Tang. Pulse deep-slow, couli open, shivering hair erect, mouth open front and plate teeth dry, use Baihu Jia Renshen Tang. Summerheat injury erupts great heat, headache spontaneous sweat, throat pain irritability, abdominal heat knot, all medicines ineffective, Xiaochaihu Tang best. Urine obstructed... feel cold to... disease... damp... calf reverse cold is also. Above three syndromes, summer month diseases often have them, must distinguish names, otherwise hundredths error thousand miles mistake. Generally summer month Summerheat injury, although heat toxin harms, all due to Spleen-Stomach deficiency cowardice and obtained thereof. Stomach empty then latent Summerheat, then irritability. Those drinking water too much, and using resolving Summerheat cold medicines too much, moving injuring middle, True Qi... like Yin盛 Ge Yang category, cannot... obstructed, absolutely cannot be heat... not internal, can use Xiao Banxia Fu... month disease mostly Summerheat injury, Summerheat family pulse empty... firewood saving fire, not yellowing then erupting spots... stop, stomach gate closed, food intake not enter... Summerheat pill, heart-abdomen stabbing pain, Xiangru... abdomen feels pain, urination obstructed, is... this vomiting syndrome, is Spleen-Stomach cold vomiting then mistaken...
Disease Warmth Malaria Epidemic song says:... severe wind epilepsy strong body limbs, soft-hard two syndromes must deduce. Post-cold pre-heat named Warm Malaria, epidemic pestilence evil blame... four seasons... ones first injured by wind, again feeling cold-warmth caused, fever abdominal pain, jaw locked head shaking, dementia not speaking, neck stiff back straight, waist body arching back.