第一韵
咳嗽恶风。恶寒身疼。咽痛肉 筋惕。无汗口燥咽干。寒热往来似疟。发狂喘渴。霍乱
吐泄
第二韵
至如痞满结胸。躁烦呕哕。头汗出。饮水漱水。背恶寒。吐血衄血。多眠不眠固有差殊。
潮
百脉一宗。腹胀小便难。脏结。
第三韵
观夫伤寒脉紧。伤风脉迟。既有伤寒见风之候也。又立伤风见寒以别之。风湿中湿兮。
大小
夏病
第四韵
因知两感病曰双传。类伤寒有四证。三阴无头疼身热。三阳有合病并病。四肢逆冷谓之
厥。
为物
第五韵
岂不闻无求子真一世之雄。长沙公乃百川之宗。喜壮热止其利。曰断下。厥而利反能食。
曰
黄
。狐惑便成湿唇。饥不能食。蛔厥即吐长虫。
第六韵
大抵医有贤愚。疾无今古。阴受之则入于五脏。阳受之则入于六腑。无汗而烦躁者。可
服青
者。
请
第七韵
抑又闻脾受贼邪者。大势已去。脉见离经者。其风莫当。阳堕发狂。则逾垣上屋。日晡
潮热
大黄
寒。
第八韵
断之曰协热而利者。其肠必垢。协寒而利者。其肠似鸭。误服汤丸者。食不及新。触犯
禁戒
凡论伤寒者。先须有定名。阳经多体热。阴证少头疼。了了心中印。摇摇指下明。补汤
须是
活人证治赋云。风缓寒紧。暑虚热洪。风温湿温。或汗多或汗少。风湿中湿。有便秘与
便通
原夫阳虚则阴从内出而寒。阴虚则阳自外入而热。恶寒者为表。汗则必愈。结热者为里。
下
意曰脉以证别。证因脉寻。阳脉浮长弦而盛。阴脉细微缓而沉。治证据阳盛。即下胃腑。
初
中
岂不以恶寒一也。有热属阳。无热属阴。结热一也。不渴为表。见渴为里。有先温乃汗
之证
而胸
恶衣
大抵无身热无头疼。则温以阴经之剂。有痰妨有胸满。则吐其膈上之忪。三阳明俱可下。
惟
阴盛多承气之凶。当下而汗。为无阳。为厥竭。为谵语。当汗而下。为痞气。为懊 。为结
胸。失下则血凝气滞而热厥。失汗则热闭狂妄而蓄脓。下汗脉数久便坚。当解瘀红之毒。少
阴热壮与断下。转加热闷之凶。
当思无汗烦躁而脉浮紧者。可服青龙。无汗喜渴而脉单浮者。勿投白虎。用热远热之为
当。
取。
桂心
又当知阴病阳脉。与汗后而平静者活。阳病阴脉。兼汗已而疾洪者亡。厥而烦加吐泄。
肾
土
经
断之曰阳明无汗。少阴反热。取表以温。少阴口燥。阳明汗多。急攻其内。下腹满。下
囊
证
警省云。伤寒证候。顷刻传变。伤寒治法。绳尺谨严。非可以轻心视之也。其间种类不
一。
中
尤当审思而明辨之。若疑似未别。体认未明。姑且试探。切不可妄投决病之剂。方药虽微。
生死之系也。可不谨哉。
第一韵
咳嗽，怕风。怕冷，身体疼痛。咽喉痛，肌肉跳动，筋脉抽搐。无汗，口燥，咽干。寒热往来，像疟疾一样。发狂，气喘，口渴。霍乱，呕吐，泄泻。
第二韵
至于痞满，结胸。烦躁，呕吐，呃逆。头出汗。想喝水但只在口中漱而不咽下。背部怕冷。吐血，鼻出血。多眠与不眠确实有差异。潮热。百脉同出一源。腹胀，小便困难。脏结。
第三韵
观察伤寒的脉象紧，伤风的脉象迟。这既有伤寒兼见风邪的症状，又设立伤风兼见寒邪以作区别。风湿、中湿啊。大小……夏病……
第四韵
因此知道两感病称为双传。类伤寒有四证。三阴经病没有头疼身热，三阳经病有合病和并病。四肢逆冷称为厥。为物……
第五韵
岂不听说无求子是当世英雄，长沙公（张仲景）是百川宗师。喜欢壮热而止其利，称为断下。四肢厥冷且反而能进食，称为……黄……。狐惑病变成湿唇。饥饿但不能进食。蛔厥即吐出长虫。
第六韵
大抵医生有贤愚之分，疾病没有古今之别。阴经受邪则病入五脏，阳经受邪则病入六腑。无汗而烦躁的，可服青……者。请……
第七韵
又听说脾受贼邪的，大势已去。脉象出现离经的，其风势不可挡。阳气下陷导致发狂，则会翻墙爬屋。日晡时潮热。大黄。寒。
第八韵
判断说：协热而利的，肠道必有污垢。协寒而利的，大便像鸭粪一样。误服汤药丸剂的，食物来不及消化。触犯禁忌戒律。
凡是论述伤寒的，先必须有确定的病名。阳经病多见身体发热，阴证少头疼。心中要有清晰的印像，手指下脉象要明了。补汤须是……活人证治赋云：风缓寒紧，暑虚热洪。风温湿温，或汗多或汗少。风湿中湿，有便秘与便通……
原本阳虚则阴从内出而生寒，阴虚则阳自外入而生热。恶寒的是表证，发汗则必愈。结热的是里证，攻下……意曰：脉以证别，证因脉寻。阳脉浮长弦而盛，阴脉细微缓而沉。治证据阳盛，即下胃腑。初……中……
难道不是恶寒这一症状，有热属阳，无热属阴吗？结热这一症状，不渴为表，见渴为里。有先温后乃汗之证……而胸……恶衣……
大抵无身热无头疼的，则用阴经的方剂温之。有痰妨碍且有胸满的，则吐其膈上的痞闷。三阳明经都可攻下。惟……阴盛多用承气汤有凶险。当下而误汗，为无阳，为厥竭，为谵语。当汗而误下，为痞气，为懊憹，为结胸。失于攻下则血凝气滞而致热厥，失于发汗则热闭狂妄而蓄脓。下法与汗法之后，脉数日久大便坚硬，应当解瘀红之毒。少阴热壮与断下，转加发热闷窒之凶。
应当思考无汗烦躁而脉浮紧的，可服青龙汤。无汗喜渴而脉单浮的，不要投白虎汤。用热远热的原则是恰当的。桂心。
又应当知道阴病见阳脉，与汗后而平静的预后良好。阳病见阴脉，兼汗后而脉疾洪的预后不良。四肢厥冷而烦加吐泄的，肾……土……经……
判断说：阳明无汗，少阴反热，取表以温；少阴口燥，阳明汗多，急攻其内。下腹满，下囊……证……
警省说：伤寒证候，顷刻间就会传变。伤寒治法，绳尺严谨。不可以轻心对待。其间种类不一。中……尤当审思而明辨之。若疑似未别，体认未明，姑且试探，切不可妄投决病之剂。方药虽微，系乎生死。可不谨慎吗？
First Rhyme
Cough, aversion to wind. Aversion to cold, body pain. Sore throat, muscle twitching, tendon tremors. Anhidrosis, dry mouth, dry throat. Alternating chills and fever resembling malaria. Mania, wheezing, thirst. Cholera, vomiting, diarrhea.
Second Rhyme
As for fullness and obstruction (Pi), chest binding (Jie Xiong). Restlessness, vomiting, hiccups. Sweating on the head. Desire to drink water but only rinsing the mouth without swallowing. Aversion to cold in the back. Hematemesis, epistaxis. Hypersomnia and insomnia indeed differ significantly. Tidal fever. All vessels share one origin. Abdominal distension, difficult urination. Zang-Jie (Visceral Knotting).
Third Rhyme
Observing that the pulse of Shanghan (Cold Damage) is tight, while the pulse of Shangfeng (Wind Strike) is slow. This presents symptoms where Shanghan sees wind signs. Furthermore, Shangfeng seeing cold signs is established to distinguish them. Wind-dampness and dampness-encounter... Summer diseases...
Fourth Rhyme
Thus knowing that Lianggan disease is called Shuangchuan (Double Transmission). There are four types of Leishanghan (Shanghan-like diseases). San Yin (Three Yin) meridians lack headache and fever; San Yang (Three Yang) meridians have Hebing (Combined Disease) and Bingbing (Concurrent Disease). Cold extremities are called Jue (Reversal/Cold Extremity). For objects...
Fifth Rhyme
Have you not heard that Wuqiuzi was a hero of his generation, and the Duke of Changsha (Zhang Zhongjing) was the ancestor of all rivers. Praising high fever to stop diarrhea is called Duania (Stopping Dysentery/Diarrhea). Cold extremities with contrary ability to eat is called... Huang... Huhu (Fox Infection) becomes wet lips. Hunger but inability to eat. Huijue (Roundworm Reversal) involves vomiting long worms.
Sixth Rhyme
Generally, physicians vary in wisdom, but diseases do not distinguish between ancient and modern times. Yin meridians receiving pathogenic factors lead to illness entering the Five Zang organs; Yang meridians receiving pathogens lead to illness entering the Six Fu organs. Those with anhidrosis and restlessness may take Qing... agents. Please...
Seventh Rhyme
It is also heard that when the Spleen receives thief-pathogens, the major trend is lost. When the pulse shows Lijing (Departure from Normal Channel), the wind cannot be resisted. Yang sinking leads to mania, causing one to climb walls and roofs. Afternoon tidal fever. Dahuang (Rhubarb Root). Cold.
Eighth Rhyme
Judging that Xiere Erli (Accompanying Heat with Diarrhea) implies intestinal filth; Xiehan Erli (Accompanying Cold with Diarrhea) implies duck-like stool. Misusing decoctions or pills means food is not digested in time. Violating dietary restrictions.
In discussing Shanghan, one must first have a definite diagnosis. Yang meridians mostly present with body heat; Yin syndromes rarely present with headache. The mind must have a clear imprint, and the fingers under the pulse must be clear. Tonifying decoctions must be... Huoren Zhengzhi Fu says: Wind is slack, Cold is tight; Summerheat deficiency, Heat is surging. Wind-warmth and Damp-warmth, either much sweat or little sweat. Wind-dampness and dampness-encounter, there is constipation or unobstructed bowel movement.
Originally, Yang deficiency causes Yin to emerge from within resulting in cold; Yin deficiency causes Yang to enter from outside resulting in heat. Aversion to cold indicates Exterior syndrome; sweating will surely cure it. Accumulated heat indicates Interior syndrome; purgation... Yi said: Pulse is distinguished by symptoms; symptoms are sought through pulse. Yang pulses are floating, long, wiry, and vigorous; Yin pulses are fine, minute, slow, and deep. Treating based on Yang excess involves purging the Stomach Fu organ. Chu... Zhong...
Is it not so that regarding aversion to cold, presence of heat belongs to Yang, absence of heat belongs to Yin? Regarding accumulated heat, absence of thirst indicates Exterior, presence of thirst indicates Interior. There are syndromes requiring warming before inducing sweat... And chest... Disliking clothes...
Generally, those without body heat and headache should be treated with Yin meridian formulas for warming. If phlegm obstructs and there is chest fullness, induce vomiting to remove stagnation above the diaphragm. The three Yangming meridians can all be purged. Only... Yin excess often carries the danger of Chengqi Tang. Purging when sweating is indicated leads to Yang exhaustion, Jue exhaustion, and delirium. Sweating when purging is indicated leads to Pi Qi (Fullness Syndrome), Aonao (Regret/Restlessness), and Jie Xiong (Chest Binding). Failure to purge leads to blood stasis and Qi stagnation causing Heat Jue; failure to sweat leads to heat closure, madness, and pus accumulation. After purging or sweating, if the pulse remains rapid and stool hardens for a long time, one should resolve blood stasis and red toxicity. Shaoyin high heat and stopping diarrhea, turning into added fever and stifling sensation danger.
One should consider that anhidrosis, restlessness, and floating-tight pulse indicate taking Qinglong Decoction. Anhidrosis, preference for thirst, and single floating pulse indicate avoiding Baihu Decoction. The principle of using hot herbs far from heat conditions is appropriate. Guixin (Cinnamon Bark).
One should also know that Yin disease with Yang pulse, and calmness after sweating, indicates survival. Yang disease with Yin pulse, accompanied by rapid and surging pulse after sweating, indicates death. Cold extremities with vexation plus vomiting and diarrhea involve Kidney... Earth... Meridian...
Judging that Yangming anhidrosis and Shaoyin contrary heat require exterior warming; Shaoyin dry mouth and Yangming excessive sweat require urgent internal attack. Lower abdominal fullness, lower scrotum... Syndrome...
Warning says: Shanghan syndromes change in an instant. Shanghan treatment methods are strictly regulated. One cannot treat them lightly. The types among them are not uniform. Middle... One must carefully ponder and clearly distinguish. If doubt remains unresolved and understanding is unclear, tentative probing may be done, but one must absolutely not recklessly administer decisive medicines. Although prescriptions are subtle, they determine life and death. How can one not be cautious?