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。
虽甚
口
俱
腑。
是
伤寒三部脉。阴阳脉俱盛。大汗出。不解者。不可治。
伤寒阴阳俱热。虚不止者。不可治。
伤寒脉至。乍数乍疏者。不可治。
伤寒谵言妄语妄诞身热。脉浮大。手足温者。生。脉沉细。手足遂冷者。不可治。
伤寒咳而上气。其脉散者。不可治。
伤寒热盛。脉浮大者。生。沉小者。不可治。
伤寒已得汗。脉沉小者。生。浮大者。不可治。
伤寒谵语。直视而喘者。不可治。
伤寒下利厥逆。躁不能卧者。不可治。
伤寒发热下利。至厥不反者。不可治。
伤寒病。恶寒。蜷而利。手足逆者。不可治。
伤寒五六日。脉微细沉。但欲卧。汗出不烦。时自吐利。复烦躁。
不得卧寐者。不可治。
伤寒六七日。喘息高者。不可治。
伤寒发汗不出。若大灌发者。不可治。
伤寒泄而腹满甚者。不可治。
伤寒目不明。热不已者。不可治。
伤寒老人婴儿。热而腹满者。不可治。
伤寒汗不出。呕血者。不可治。
伤寒舌本烂。热不已者。不可治。
伤寒咳血而衄。汗不出。出不至足者。不可治。
伤寒髓热者。不可治。
伤寒热而痉者。不可治。
伤寒热病。腰折螈 。齿噤者。不可治。
伤寒下利后。脉绝。手足厥冷。脉不还。不可治。
伤寒四逆。恶寒。脉不至。其人不热而躁者。不可治。
热病脉代者。一日死。
热病二三日。身体热。腹痛。头痛。食饮如故。脉直而疾者。至八日。不可治。
热病三四日。腰以下不得汗。脉大疾者。生。脉细小难得者。不可治。
热病四五日。头不热。腹不痛而吐。脉来微细。至十二日。不可治。
热病七八日。其脉微。小便如墨。口干。脉代。舌焦干黑者。不可治。
热病七八日。脉微小。病患便血。口中干。一日半而死。
热病七八日。脉不躁不数。后三日中有汗。三日不汗者。死。
热病八九日。头不疼。身不痛。目不赤。色不变而反利。脉来累累。按不弹手。时大。
心下
热病已得汗。而脉尚躁盛。此阴脉之极也。死。
热病脉常盛躁。而不得汗者。此阳脉之极也。死。脉盛躁。得汗者。生也。
热病已得汗。体热不去者。不可治。
热病。其人滚滚大热。脉细小者。不可治。
热病下利不止。腹中痛甚者。不可治。
热病，都属于伤寒的范畴。有的痊愈，有的死亡，其死亡的，大多在发病后六七天之间；其痊愈的，大多在十日以上。这是为什么呢？
伤寒病的三部脉（寸、关、尺）及阴阳脉都盛大，大汗出而病不解的，不可治。
伤寒病全身阴阳俱热，虚损不止的，不可治。
伤寒病脉象忽快忽慢、忽疏忽密的，不可治。
伤寒病胡言乱语、妄诞荒谬、身体发热，脉象浮大，手足温暖的，预后良好；若脉象沉细，手足随即冰冷的，不可治。
伤寒病咳嗽且气逆上冲，脉象散乱的，不可治。
伤寒病热势炽盛，脉象浮大的，预后良好；脉象沉小的，不可治。
伤寒病已经出汗，脉象沉小的，预后良好；脉象浮大的，不可治。
伤寒病胡言乱语，眼睛直视且喘息的，不可治。
伤寒病下利（腹泻）且四肢厥冷，烦躁不能安卧的，不可治。
伤寒病发热并下利，发展到四肢厥冷且不再回温的，不可治。
伤寒病，恶寒，身体蜷缩且下利，手足逆冷的，不可治。
伤寒病经过五六天，脉象微细沉弱，只想睡觉，出汗但不烦躁，偶尔自行吐利，随后又出现烦躁，不能安卧睡眠的，不可治。
伤寒病经过六七天，喘息声高亢急促的，不可治。
伤寒病发汗不出，或者大汗淋漓如水流灌注的，不可治。
伤寒病泄泻且腹部胀满严重的，不可治。
伤寒病视力模糊不清，热势不退的，不可治。
伤寒病患者若是老人或婴儿，发热且腹部胀满的，不可治。
伤寒病无汗且呕血的，不可治。
伤寒病舌根溃烂，热势不退的，不可治。
伤寒病咳血且鼻衄（流鼻血），无汗，或者出汗但不到足部的，不可治。
伤寒病骨髓热的，不可治。
伤寒病发热且出现痉挛（抽搐）的，不可治。
伤寒热病，腰部僵硬折强，肢体抽搐，牙齿紧闭咬合的，不可治。
伤寒病下利之后，脉搏消失，手足厥冷，脉搏不恢复的，不可治。
伤寒病出现四逆汤证（四肢厥逆），恶寒，脉搏摸不到，患者身体不热却烦躁的，不可治。
热病脉象代（间歇止跳）的，一天内死亡。
热病二三天，身体发热，腹痛，头痛，饮食如常，脉象直而疾速的，到了第八天，不可治。
热病三四天，腰以下不得汗，脉象大且疾速的，预后良好；脉象细小难以触及的，不可治。
热病四五天，头部不热，腹部不痛却呕吐，脉象来势微细，到了第十二天，不可治。
热病七八天，脉象微弱，小便颜色如墨汁般黑，口干，脉象代，舌苔焦干枯黑的，不可治。
热病七八天，脉象微小，病人便血，口中干燥，一天半后死亡。
热病七八天，脉象不躁动也不数急，后三天中有汗出的，若三天仍无汗出的，死亡。
热病八九天，头不疼，身不痛，眼睛不红，面色不变反而出现下利，脉象来势累累连续，按之不弹手，时而变大，心下（胃脘部）[此处原文有缺漏，依语境推测为痞硬或不适]……
热病已经出汗，但脉象仍然躁动旺盛的，这是阴脉的极衰表现，死亡。
热病脉象始终盛大躁动，却不得汗出的，这是阳脉的极盛表现，死亡。脉象盛大躁动，若能出汗的，预后良好。
热病已经出汗，但身体热度不退的，不可治。
热病患者浑身滚滚大热，但脉象细小的，不可治。
热病下利不止，腹部疼痛严重的，不可治。
Heat diseases all belong to the category of Shanghan (Cold Damage). Some recover, while some die. Those who die usually do so between the sixth and seventh days after onset, whereas those who recover typically do so after ten days or more. Why is this?
In Shanghan disease, if the three positions of the pulse (Cun, Guan, Chi) and both Yin and Yang pulses are full and vigorous, accompanied by profuse sweating that fails to resolve the condition, it is untreatable.
In Shanghan disease, if there is generalized heat in both Yin and Yang with unremitting deficiency, it is untreatable.
In Shanghan disease, if the pulse alternates between rapid and slow, or sparse and frequent, it is untreatable.
In Shanghan disease, if the patient speaks deliriously and absurdly, has a fever, the pulse is floating and large, and the hands and feet are warm, the prognosis is good; however, if the pulse is deep and fine, and the hands and feet become cold subsequently, it is untreatable.
In Shanghan disease, if there is coughing with rebellious Qi ascending, and the pulse is scattered, it is untreatable.
In Shanghan disease, if the heat is intense and the pulse is floating and large, the prognosis is good; if the pulse is deep and small, it is untreatable.
In Shanghan disease, if sweating has occurred and the pulse is deep and small, the prognosis is good; if the pulse is floating and large, it is untreatable.
In Shanghan disease, if there is delirium, staring eyes, and panting, it is untreatable.
In Shanghan disease, if there is diarrhea (Li), cold extremities (Jue Ni), restlessness, and inability to lie down, it is untreatable.
In Shanghan disease, if there is fever and diarrhea progressing to cold extremities that do not return to warmth, it is untreatable.
In Shanghan disease, if there is aversion to cold, curling up of the body, diarrhea, and inverted coldness of the hands and feet, it is untreatable.
After five or six days of Shanghan disease, if the pulse is faint, fine, and deep, the patient only wishes to sleep, sweats without feeling irritable, occasionally experiences spontaneous vomiting and diarrhea, and then becomes restless and unable to sleep, it is untreatable.
After six or seven days of Shanghan disease, if the breathing is loud and rapid, it is untreatable.
In Shanghan disease, if sweating does not occur upon treatment, or if there is excessive sweating like pouring water, it is untreatable.
In Shanghan disease, if there is diarrhea with severe abdominal fullness, it is untreatable.
In Shanghan disease, if vision is unclear and the heat persists, it is untreatable.
For elderly people or infants with Shanghan disease, if there is fever and abdominal fullness, it is untreatable.
In Shanghan disease, if there is no sweating accompanied by hematemesis (vomiting blood), it is untreatable.
In Shanghan disease, if the root of the tongue is ulcerated and the heat persists, it is untreatable.
In Shanghan disease, if there is hemoptysis (coughing blood) and epistaxis (nosebleed), no sweating, or sweating that does not reach the feet, it is untreatable.
In Shanghan disease, if there is bone marrow heat, it is untreatable.
In Shanghan disease, if there is fever accompanied by spasms (convulsions), it is untreatable.
In Shanghan heat disease, if there is stiffness and bending of the waist, twitching of the limbs, and locked jaw (Jin Ke), it is untreatable.
After diarrhea in Shanghan disease, if the pulse vanishes, the hands and feet are cold, and the pulse does not return, it is untreatable.
In Shanghan disease presenting with Si Ni (cold extremities), aversion to cold, absent pulse, where the patient is not hot but is restless, it is untreatable.
In heat disease, if the pulse is Dai (intermittent), death occurs within one day.
In heat disease, on the second or third day, if there is body heat, abdominal pain, headache, normal appetite, and a straight and rapid pulse, by the eighth day, it is untreatable.
In heat disease, on the third or fourth day, if there is no sweating below the waist and the pulse is large and rapid, the prognosis is good; if the pulse is fine and small and difficult to feel, it is untreatable.
In heat disease, on the fourth or fifth day, if the head is not hot, the abdomen is not painful but there is vomiting, and the pulse comes faint and fine, by the twelfth day, it is untreatable.
In heat disease, on the seventh or eighth day, if the pulse is faint, urine is black like ink, the mouth is dry, the pulse is Dai, and the tongue is scorched, dry, and black, it is untreatable.
In heat disease, on the seventh or eighth day, if the pulse is minute, the patient passes blood, and the mouth is dry, death occurs in one and a half days.
In heat disease, on the seventh or eighth day, if the pulse is neither restless nor rapid, and there is sweating within the next three days, but no sweating after three days, death ensues.
In heat disease, on the ninth or tenth day, if there is no headache, no body pain, redness of the eyes, or change in complexion, but instead there is diarrhea, and the pulse comes continuously (Lei Lei), feels non-elastic upon pressure, and occasionally becomes large, [the text is incomplete here regarding the chest/epigastric region]...
In heat disease, if sweating has occurred but the pulse remains restless and vigorous, this indicates the extreme depletion of Yin pulses, leading to death.
If the pulse in heat disease is constantly full, vigorous, and sweating cannot be induced, this indicates the extreme excess of Yang pulses, leading to death. If the pulse is full and vigorous and sweating occurs, the prognosis is good.
In heat disease, if sweating has occurred but the body heat does not subside, it is untreatable.
In heat disease, if the patient has intense, rolling heat but the pulse is fine and small, it is untreatable.
In heat disease, if there is unremitting diarrhea with severe abdominal pain, it is untreatable.