日、九日、十四日，暑虽纵横殆甚，久则势必稍逊，以汗以热，亦即所以泄暑也。未现之风
至此始露，方寒来而热往，热往而寒来，始从两治法也。以上独暑气偏胜，与瘅疟之但热者
不同类。瘅则独见瘅疟之形证，此则惟暑气胜于风寒者也。又甚至有风气独盛，惟显风证、
绝无暑象者，治惟从风，不必兼暑，此种世人目为伤寒，或为中风，或久之风暑俱现、转语
云风寒转而成疟者亦谬矣。盖寒与风，惟冬中伤，即时为病，各显标本之化；其不即病者，
至春始变为温，至夏始变为暑。暑病者，热极重于温也，始现证时，便不恶寒、一惟恶热，
且烦且渴而无汗；若风之至夏，亦变暑病者，更加自汗出，鼻息鼾，语难出，脉浮而身重也。
故此温此暑，惟春惟夏、随时变迁，亦即随时现证，是以随时命名。至夏则人身出机已尽，
无复伏藏，故不得不随夏出之机，发露殆尽。未闻犹可伏匿至秋，反见冬时即病之寒化，而
无标证之阳象者。经云∶夏惟伤暑，秋成 疟。亦如寒风至春变温，至夏变暑，同一机衡。
繇此观之，夏月寒风，从何而至，更可云寒风转而成疟乎。此不知夏虽伤暑，不若秋风之独
厉，是以惟见寒风，绝无暑象。亦如暑热独炽，时间时甚，或刻期增剧，或七日、九日、十
四日，风虽摧拉，至此势亦稍逊，作热作汗，亦即所以泄风也。其伏匿之暑，与风始无偏胜，
方得均平，互为显现，亦始从两治法也。以上惟风气专令，与牝疟之但寒者不同类。牝则独
现牝疟之形证。此则惟风气胜于暑热者也。若 之内薄于阴者，治固同法；但暑舍深邃，与
浅近者方有异同。先须度二气之胜负，但偏于向营，即从主方随证损益；次后治暑，如石膏、
粳
定阴阳之且移。常即恒久不变，山即艮止不迁之意也。若间二日、或数日发者可类推矣。设
兼见足太阳形证者，即为舍属足太阳，宜桂枝茈胡各半汤。太阳为开，但寒热交互，似乎从
枢。故即从枢转开，甚则大青龙汤主之。又太阳从本从标，故可从本气之风暑，标见之寒化
阳象者也。兼见足阳明形证者，即为舍属足阳明，宜桂枝一白虎二汤。固阳明为阖，止须治
开，开开则邪去，邪去则旋阖矣。倍白虎一分者，阳明不从标本，从乎中治之湿化故也。甚
则鳖甲煎丸主之，阳明多血多气故也。设胃家实大便难者，调胃承气汤主之。兼见足少阳形
证者，即为舍属足少阳，宜小茈胡汤，少阳从本，少阳为枢故也。兼见足太阴形证者，即为
舍属足太阴，宜小建中汤，太阴为开，太阴从本故也。设自利便脓血，时腹自痛者，桂枝倍
芍药加大黄汤主之，此脾家实，腐秽当去故也。兼见足少阴形证者，即为舍属足少阴，宜茈
胡加细辛汤，少阴为枢，少阴从本从标故也。兼见足厥阴形证者，即为舍属足厥阴，宜四物
加苦楝附子黄芩汤，厥阴为阖，不从标本，从乎中治之火化故也。设厥甚者宜下之，厥深热
亦深故也。设消渴，气上撞心，心中疼热，饥不能食，食即吐蛔者，乌梅丸主之。兼见肺家
形证者，即为舍属肺募也，先宜桂枝黄 白薇款冬花散，次宜秫米、甘草、常山之属。兼见
心家形证者，即为舍属心募也，先宜桂枝黄芩汤，次宜甘草、蜀漆、常山、鳖甲、石膏、香
豉、栀子、乌梅、淡竹叶之属。兼见脾家形证者，即为舍属脾募也，先宜小建中汤，次宜粳
米、常山、甘草、知母、鳖甲之属。兼见肝家形证者，即为舍属肝募也，先宜通脉四逆汤，
次宜乌梅、蜀漆、鳖甲、女萎、知母、苦参、常山、石膏、甘草、细辛、白薇、香豉之属。
兼见肾家形证者，即为舍属肾募也，先宜桂枝加当归芍药汤，次宜 竹叶、常山、乌梅、香
豉、葱白之属。兼见胃家形证者，即为舍属胃募也，先宜桂枝二白虎一加芍药黄芩牡桂汤，
次宜藜芦、常山、皂荚、牛膝、巴豆之属。若先热后寒之温疟，其一，宜桂枝二麻黄一汤；
其二，宜款冬白薇茹 圆。若先寒后热之寒疟，宜麻黄二桂枝一小青龙一汤。若但热不寒之
瘅疟，其一，宜女萎石膏汤，或葛根猪苓汤；其二，宜香豉栀子栝蒌汤。若但寒不热之牝疟，
宜蜀漆汤，或牡蛎汤；若秋病者寒甚，先宜从风以扶阳，次宜主方两治法也。若冬病者寒不
甚，先宜藿香正气散，次投主方亦可。但当重于从风，轻于从暑，此必先岁气，无伐天和故
也。若春病者恶风，先宜茈朴汤，次投主方亦可。若夏病者多汗，主方主之，虽时值暑气流
行，亦须偏于从风，俟暑风平等，本标互显，乃可从两治法也。设病反其本而已转标阳，然
于主方重于从暑，甚则惟中标方，一惟治暑，宜白虎汤，或竹叶石膏汤；更当视其内外证，
如寒已罢，而作热之时，必大烦喝，大汗出，面垢齿垢，消渴饮冷而未能解者，乃可投之；
设暑证虽具，面齿虽垢，而作热之时，纵冰水不能寒，仍觉淅淅恶风者，还从主方重于从风。
更有一种，虽淅淅恶风，或啬啬恶寒，非若怯寒风之表虚，反若遇寒风而身热愈炽者，此属
阴微阳亢，又当重于从暑。更有一种，寒极而热，热极而汗，汗极而热不解者，表未去也，
又当重于从风；设脉反躁疾，或迟伏，或狂言迷乱，或嘿嘿不欲言，不为汗解者，病名阴阳
交，交者死不治。更有一种，热极而汗，汗极而热愈炽，或渴，或不渴，肢体痛烦，筋脉挛
急，汗仍蒸蒸不已者，此属寒薄营气，转作燎炎；设偏于从风，必口烂舌龈，立见殂毙矣，
法当宣摄营气以润筋膜；若兼身重木强，筋肉壅肿者，此又属风湿相搏，法当宣摄卫气以充
肌腠；更有一种，外证汗出恶热，内证胃家实大便难者，此属阳明内结。更有一种，汗烦喘
喝，消渴饮冷水，舌苔白涩，随饮随涸者，此属胸中热，若舌苔白滑者，此又属胸上寒；更
有一种，汗烦喘喝，消渴饮冷水，胸中满闷，心下悸冲，或呕或哕或咳或噎者，此属水郁；
若水药入口即吐者，此又属水逆。更有一种，大汗出后，胃中干、烦躁不得眠，欲得饮水者，
少少与饮之，令胃气和则愈，若脉浮、微热消渴者、此属胸中水涸；若虚烦不得眠，反复颠
倒，心中懊 者，此又属胸中客热。更有一种，汗烦喘喝，消渴饮沸汤，舌苔白滑者，此属
胃中寒；若舌苔灰白，频饮频涸者，此又属胃中热。更有一种，舌苔白滑，垢腻涎浊者，此
有宿食未化也，在上脘者当吐之；在胃中者，当下之；若时下利，食饮不进，恶闻食臭，嗳
气难舒者，亦属有宿食；设偏于从风，必续自汗出，手足寒，胃中干，纵转行承气辈、亦难
下达肠胃矣。更有一种，齿舌燥涸，或渴饮冷水，或渴饮沸汤，而中藏阴寒者，不可概作热
论；或食宿饮留，则唾液罔周，致齿舌燥涸者有之；或鼻窒唇揭，则吸呼从口，致唇舌燥涸
者亦有之。更有一种，舌苔青黑，亦不可概作热论，或少啖甘酸，便令青黑，实非本有之色
也。
更有一种，舌本无苔而舌皮光薄，且红白柔嫩、宛如新生，望之若有津唾，抹之燥涸殆
甚者，此属妄汗吐下，走亡血液所致，死不治也。以上皆寒热虚实之变，附录以备料简。至
若病久不愈者，此病结为症瘕，急治之宜鳖甲煎圆；虚劳者宜蜀漆圆，或牛膝汤，或丁香酒。
如或暑风淫并而经隧废弛；或寒热迁变而升降失序；或虚实更作而上下交持；或表阳散懈而
里阴独沉；或营卫亏竭而血气损伤；或故病未攘而新邪再袭；或食饮过饕而饮留食宿；或以
欲竭精而形藏化薄；或烦劳则张精绝；或大怒则形气绝；或忧愁思虑复伤脾；或形寒饮冷复
伤肺；或强有用力；或劳汗当风；或夙疾反显而新疾似隐；或新疾方痊而夙疾转炽；或有似
是而非；或有似非而是，种种证因，亦令病久不愈者，更当度情志之苦欲补泻，及后先轻重
而
之本性耳。固称必郁肺金之燥化，与痹营血之流行，而无肺金营血之标证者，正所谓在天成
气，气惟郁化，亦所谓先为是动，未所生也。设不亟正治，或早加禁截，则在天之暑气，转
而成在地之火行，乘刑金脏，及后为所生病矣。如火乘金脏，则少气喘咳，血溢血泄，鼽嚏
嗌干，耳聋目赤，肩背热，瘾疹痤痱，身热肤痛为浸淫；甚则肺气焦满，胸中隐隐刺痛，口
中辟辟燥咳，唾涎沫秽浊者肺痿；唾脓血腐臭者肺痈；此皆火乘金脏所致也。如后所生，则
痹血成劳，血脉虚少，不能营于五脏六腑，身体不仁，肌肉甲错，两眸黑暗，目瞑目眩，须
眉落，毛发折，四肢酸痛热烦，行动则喘喝，手足厥寒，衄血咯血，卒喘悸忡，咽干舌涸，
里急，少腹坚，小便癃，腰吕痛，阴头寒，精气清冷，梦交失精，魂魄飞堕，飧泄溏泄，食
谷不消，肠鸣幽幽，胪腹都满，善盗汗，虚烦不得眠，马刀挟瘿，此皆痹血成劳所致也。盖
风并卫居，而为寒栗鼓颔，及善行数变，正风气摧拉之本性也。固称必动脾土之湿化，与痹
卫气之外卫，而无脾土卫气之标证者，亦所谓在天成气，气惟郁化，亦所谓先为是动，未所
生也。设不亟正治，或早加禁截，则在天之风气，转而成在地之木行，乘克土脏，及后为所
生病矣。如木乘土脏，则黄胆肠 ，肌肉消瘦，饮食不能为肌肤，体重烦冤，肠鸣腹支满，
身愤、舌难言，口吐沫；甚则三焦无所御，四维断绝，肢体 羸，独足肿大，此皆木乘土
藏所致也。如后所生，则痹气成劳，内闭九窍，外壅肌肉，卫气散懈，少气不足言，皮聚毛
落，血菀于上；阴不胜其阳，则脉流薄疾，并，乃狂；阳不胜其阴，则五脏气争，九窍不通，
甚则目盲不可以视，耳闭不可以听，溃溃乎若坏都，汨汨乎不可止，此皆痹气成劳所致也。
盖或兼得之以沐浴，水气舍于皮肤之内，与卫气并居者湿化也；设湿化不攘，则一身尽疼，
饮发中满，头汗出，首如裹，身黄背强，欲得被覆向火；甚则肌肉萎，行善螈，四肢不举，
历节黄汗，腹满食减，溏泄肠鸣，反下甚；设更早加禁截，则湿化转而成土，乘侮水藏矣；
当病腹痛，清厥，意不乐，体重烦冤，胸中不利，阴痿不用，腰 痛，少腹痛，心下痞痛，
动转不便，时害于食、足胫寒而逆，此皆湿化乘胜所致也。盖或兼遇夏气凄沧之水寒，藏于
腠理皮肤之中者寒化也。设寒化不折，则水失体用而心气抑，心下悸，寝汗憎风，甚则奔气
咳喘，水饮支饮，眼下浮起如蚕蛊，胫肿腹大若蛊状；设更早加禁截，则寒化转而成水，乘
传火脏矣；当病身热躁悸，骨肉不相着，足痿不收持，濡泄血溢，阴厥奔豚，上下中寒，
语心痛，热中瞀闷，渴而妄冒，此皆寒化乘胜所致也。如或暑藏营舍，舍属足太阳经脉之界
分，兼见头重腰痛，寒从背起，先寒后热， 然，热止汗难已之经化证者，不亟正治，
或早加禁截，必注之经而溜之府，当病冲头痛，挟脊痛，目似脱，项似拔，腰似折，髀不可
以屈， 如结， 如裂，尻吕脚皆痛，小指不用，甚则癫狂，头KT 项强痛，目黄泪出，
鼽衄
癃闭，戴眼直视而遗溺；如或暑藏营舍，舍属足阳明经脉之界分兼见洒淅寒，寒甚，久乃热，
热去，汗出时，喜见日月光。得火气乃快然之经化证者，不亟正治，或早加禁截，必注之经
而溜之府，当病颜黑，善呻数欠，恶人与火，闻木声则惕然而惊；心欲动，独闭户塞牖而处，
甚则欲上高而歌，弃衣而走，贲响腹胀，狂乱温淫，汗出鼽衄，口 唇胗，颈肿喉痹，大腹
水肿，膝膑间肿痛，循膺乳气街，股伏兔， 外廉足跗上皆痛；中指不用，胃中热，则消谷，
身以前皆热，胃中寒则胀满，身以前皆寒，有不得隐曲，女子不月，其传风消而息贲；如或
暑藏营舍，舍属足少阳经脉之界分，兼见身体解 ，寒不甚，热不甚，恶见人，心惕惕。热
久汗出甚之经化证者，不亟正治，或早加禁截，必注之经而溜之府，当病口苦，善太息，心
痛胁痛，不可转侧，面有微尘，体无膏泽，足外热，小指次指不用，甚则头颔痛，目锐 痛，
缺盆中肿痛，胸胁肋髀膝外外踝，胫绝骨前诸节痛，时寒热，马力挟瘿，狐惑，智失而黄出；
如或暑藏营舍，舍属足太阴经脉之界分，兼见意不悦，好太息，不嗜食，多寒热，汗出多，
病至则喜呕，呕已乃衰之经化证者，不亟正治，或早加禁截，必注之经而溜之藏，当病舌本
强，胃脘痛，腹胀，善噫而呕甚，得后与气乃快然如衰，身体重，大指不用，甚则舌本痛，
体难动摇，食不下，烦心，心下急痛，溏瘕，飧泄，水闭黄胆，不能卧而强立，或怠惰嗜卧，
股膝内肿，厥，四肢痿易而不收；如或暑藏营舍，舍属足少阴经脉之界分，兼见呕吐甚，多
寒热，热多寒少，欲闭户自处。其病难已之经化证者，不亟正治，或早加禁截，必注之经而
溜之藏，当病嗌痛颔肿，不可以顾，肩似拔， 似折，甚则耳聋，目黄，两颊间肿，颈颔肩
肘臂外后廉皆痛，小腹急痛，泄如下重，足胫寒逆而骨痿；如或暑藏营舍，舍属足厥阴经
日、九日、十四日，暑邪虽然纵横肆虐极为严重，但时间久了势必会稍微减弱，通过出汗和发热，也就是在宣泄暑邪。尚未显现的风邪到这时才显露出来，正是寒热交替发作（先冷后热，热退后又发冷），才开始采用同时治疗风与暑的方法。以上情况是暑气偏盛，与瘅疟（只表现为发热的疟疾）那种只有热象的情况不同类。瘅疟只表现出瘅疟特有的症状和体征，而这里只是暑气胜过风寒罢了。甚至有的风气独盛，只显现风证，完全没有暑象的，治疗只需从风论治，不必兼顾暑邪，这种病世人称为伤寒，或称为中风，或者时间久了风邪与暑邪都出现，传言说“风寒转变成疟疾”也是错误的。因为寒邪和风邪，只有在冬季感受才会立即发病，各自显现本标转化的变化；那些当时不发病的，到了春天才转变为温病，到了夏天才转变为暑病。暑病，是热势极重超过温病，刚开始出现症状时，就不怕冷，只怕热，并且心烦口渴且无汗；如果风邪到了夏天也转变为暑病，就会加上自汗出，呼吸鼾声，言语困难，脉浮且身体沉重。所以这些温病和暑病，只在春季和夏季，随着时节变迁而变化，也就随着时节显现症状，因此随季节命名。到了夏天，人体内的伏邪已经全部发出，不再有潜伏收藏，所以不得不随着夏季发出的机枢，完全暴露出来。没听说过还能潜伏到秋天，反而见到冬天即病的寒化表现，而没有标证阳象的。《内经》说：夏天只伤于暑，秋天形成疟疾。就像寒风到了春天变为温，到了夏天变为暑，机理是一样的。由此看来，夏天的寒风从哪里来，更可以说寒风转变成疟疾吗？这是不知道夏天虽然伤于暑，但不如秋风那样猛烈，所以只见寒风，绝无暑象。也像暑热独炽，有时轻有时重，或者每隔七日、九日、十四日加重，风邪虽然摧残拉折，到这时势头也稍减，产生热和汗，也就是在宣泄风邪。潜伏的暑邪与风邪开始没有偏胜，才能平衡，互相显现，才开始采用两治法。以上只是风气专令，与牝疟（只表现为发冷的疟疾）那种只有寒象的情况不同类。牝疟只表现出牝疟特有的症状和体征。这里只是风气胜过暑热罢了。如果暑邪内迫于阴分，治疗固然用同样的方法；但暑邪藏舍深邃，与浅近的病位才有异同。必须先衡量两种邪气的胜负，如果偏于营分，就根据主方随证加减；之后治疗暑邪，如石膏、粳米等以定阴阳之推移。常指恒久不变，山指艮止不迁之意。如果是间二日或数日发作的可以类推。如果兼见足太阳经的症状，就是病邪舍于足太阳经，宜用桂枝柴胡各半汤。太阳为开，但寒热交互，似乎从枢机转开。所以就从枢转开，严重时大青龙汤主治。又太阳从本从标，所以可以从本气之风暑，标见之寒化阳象者。兼见足阳明经症状的，就是病邪舍于足阳明经，宜用桂枝一白虎二汤。固守阳明为阖，只需治疗开，开则邪去，邪去则恢复阖了。倍用白虎一分的原因，是因为阳明不从标本，而从乎中治之湿化的缘故。严重时鳖甲煎丸主治，因为阳明多血多气。如果胃家实大便难的，调胃承气汤主治。兼见足少阳经症状的，就是病邪舍于足少阳经，宜用小柴胡汤，少阳从本，少阳为枢的缘故。兼见足太阴经症状的，就是病邪舍于足太阴经，宜用小建中汤，太阴为开，太阴从本的缘故。如果出现自利便脓血，腹部时时疼痛的，桂枝倍芍药加大黄汤主治，这是脾家实，腐秽当去的缘故。兼见足少阴经症状的，就是病邪舍于足少阴经，宜用柴胡加细辛汤，少阴为枢，少阴从本从标的缘故。兼见足厥阴经症状的，就是病邪舍于足厥阴经，宜用四物加苦楝附子黄芩汤，厥阴为阖，不从标本，从乎中治之火化的缘故。如果出现四肢厥逆严重的宜用下法，因为厥深热亦深的缘故。如果出现消渴，气上撞心，心中疼热，饥饿但不能进食，吃了就吐蛔虫的，乌梅丸主治。兼见肺家症状的，就是病邪舍于肺募，先宜用桂枝黄芩白薇款冬花散，次宜用秫米、甘草、常山之类。兼见心家症状的，就是病邪舍于心募，先宜用桂枝黄芩汤，次宜用甘草、蜀漆、常山、鳖甲、石膏、香豉、栀子、乌梅、淡竹叶之类。兼见脾家症状的，就是病邪舍于脾募，先宜用小建中汤，次宜用粳米、常山、甘草、知母、鳖甲之类。兼见肝家症状的，就是病邪舍于肝募，先宜用通脉四逆汤，次宜用乌梅、蜀漆、鳖甲、女萎、知母、苦参、常山、石膏、甘草、细辛、白薇、香豉之类。兼见肾家症状的，就是病邪舍于肾募，先宜用桂枝加当归芍药汤，次宜用淡竹叶、常山、乌梅、香豉、葱白之类。兼见胃家症状的，就是病邪舍于胃募，先宜用桂枝二白虎一加芍药黄芩牡桂汤，次宜用藜芦、常山、皂荚、牛膝、巴豆之类。如果是先热后寒的温疟，其一，宜用桂枝二麻黄一汤；其二，宜用款冬白薇茹圆。如果是先寒后热的寒疟，宜用麻黄二桂枝一小青龙一汤。如果是但热不寒的瘅疟，其一，宜用女萎石膏汤，或葛根猪苓汤；其二，宜用香豉栀子栝蒌汤。如果是但寒不热的牝疟，宜用蜀漆汤，或牡蛎汤；如果是秋天发病的寒甚，先宜从风以扶阳，次宜主方两治法。如果是冬天发病的寒不甚，先宜用藿香正气散，次投主方也可以。但应当重于从风，轻于从暑，这是因为必须预先考虑岁气，不要破坏天和的缘故。如果是春天发病的恶风，先宜用茈朴汤，次投主方也可以。如果是夏天发病的多汗，主方主治，虽然正值暑气流行，也必须偏于从风，等到暑风平等，本标互显，才可以从两治法。如果病反其本已经转标阳，然而在主方中重于从暑，严重时只取中标方，一味治暑，宜用白虎汤，或竹叶石膏汤；更应当视其内外证，如寒已罢，而在发热之时，必定大烦渴，大汗出，面垢齿垢，消渴饮冷而不能解的，才可投用；如果暑证虽具备，面齿虽垢，但在发热之时，纵有冰水也不能使其寒冷，仍觉得淅淅恶风的，还从主方重于从风。更有一种，虽然淅淅恶风，或啬啬恶寒，不像怯寒风那样的表虚，反而像遇到寒风而身热更炽盛的，这属于阴微阳亢，又应当重于从暑。更有一种，寒极而热，热极而汗，汗极而热不解的，表邪未去，又应当重于从风；如果脉反躁疾，或迟伏，或狂言迷乱，或沉默不欲言，不为汗解的，病名阴阳交，交的预后不良死不治。更有一种，热极而汗，汗极而热愈炽，或渴，或不渴，肢体痛烦，筋脉挛急，汗仍蒸蒸不已的，这属于寒薄营气，转作燎炎；如果偏于从风，必然口烂舌龈，立刻死亡，法当宣摄营气以润筋膜；如果兼见身重木强，筋肉壅肿的，这又属于风湿相搏，法当宣摄卫气以充肌腠；更有一种，外证汗出恶热，内证胃家实大便难的，这属于阳明内结。更有一种，汗烦喘喝，消渴饮冷水，舌苔白涩，随饮随干的，这属于胸中热，如果舌苔白滑的，这又属于胸上寒；更有一种，汗烦喘喝，消渴饮冷水，胸中满闷，心下悸冲，或呕或哕或咳或噎的，这属于水郁；如果水药入口即吐的，这又属于水逆。更有一种，大汗出后，胃中干、烦躁不得眠，想喝水的，少量给予饮水，令胃气和则愈，如果脉浮、微热消渴的，这属于胸中水涸；如果虚烦不得眠，反复颠倒，心中懊恼的，这又属于胸中客热。更有一种，汗烦喘喝，消渴饮沸汤，舌苔白滑的，这属于胃中寒；如果舌苔灰白，频饮频干的，这又属于胃中热。更有一种，舌苔白滑，垢腻涎浊的，这是有宿食未化，在上脘的应当吐之；在胃中的，应当下之；如果时下利，饮食不进，恶闻食臭，嗳气难舒的，也属于有宿食；如果偏于从风，必然继续自汗出，手足寒，胃中干，纵然转行承气辈，也难下达肠胃矣。更有一种，齿舌燥涸，或渴饮冷水，或渴饮沸汤，而中藏阴寒的，不可概作热论；或者食宿饮留，则唾液不能周润，导致齿舌燥涸的有这种情况；或者鼻窒唇揭，则吸呼从口，导致唇舌燥涸的也有这种情况。更有一种，舌苔青黑，也不可概作热论，或者少啖甘酸，便令青黑，其实不是本来的颜色。
更有一种，舌本无苔而舌皮光薄，且红白柔嫩、宛如新生，望之若有津唾，抹之干燥至极的，这属于妄汗吐下，走亡血液所致，死不治。以上都是寒热虚实的变化，附录以备料简。至于病久不愈的，这是病结为症瘕，急治之宜用鳖甲煎圆；虚劳者宜用蜀漆圆，或牛膝汤，或丁香酒。如果暑风淫并而经隧废弛；或者寒热迁变而升降失序；或者虚实更作而上下交持；或者表阳散懈而里阴独沉；或者营卫亏竭而血气损伤；或者故病未攘而新邪再袭；或者食饮过饕而饮留食宿；或者以欲竭精而形藏化薄；或者烦劳则张精绝；或者大怒则形气绝；或者忧愁思虑复伤脾；或者形寒饮冷复伤肺；或者强有用力；或者劳汗当风；或者夙疾反显而新疾似隐；或者新疾方痊而夙疾转炽；或者有似是而非；或者有似非而是，种种证因，也令病久不愈的，更应当度情志之苦欲补泻，及后先轻重而究之本性耳。固称必郁肺金之燥化，与痹营血之流行，而无肺金营血之标证的，正所谓在天成气，气惟郁化，亦所谓先为是动，未所生也。如果不亟正治，或者早加禁截，则在天之暑气，转而成在地之火行，乘刑金脏，及后为所生病矣。如火乘金脏，则少气喘咳，血溢血泄，鼽嚏嗌干，耳聋目赤，肩背热，瘾疹痤痱，身热肤痛为浸淫；甚则肺气焦满，胸中隐隐刺痛，口中辟辟燥咳，唾涎沫秽浊者肺痿；唾脓血腐臭者肺痈；这都是火乘金脏所致。如后所生，则痹血成劳，血脉虚少，不能营于五脏六腑，身体不仁，肌肉甲错，两眸黑暗，目瞑目眩，须眉落，毛发折，四肢酸痛热烦，行动则喘喝，手足厥寒，衄血咯血，卒喘悸忡，咽干舌涸，里急，少腹坚，小便癃，腰吕痛，阴头寒，精气清冷，梦交失精，魂魄飞堕，飧泄溏泄，食谷不消，肠鸣幽幽，胪腹都满，善盗汗，虚烦不得眠，马刀挟瘿，这都是痹血成劳所致。盖风并卫居，而为寒栗鼓颔，及善行数变，正风气摧拉之本性也。固称必动脾土之湿化，与痹卫气之外卫，而无脾土卫气之标证的，亦所谓在天成气，气惟郁化，亦所谓先为是动，未所生也。如果不亟正治，或者早加禁截，则在天之风气，转而成在地之木行，乘克土脏，及后为所生病矣。如木乘土脏，则黄疸肠澼，肌肉消瘦，饮食不能为肌肤，体重烦冤，肠鸣腹支满，身愤、舌难言，口吐沫；甚则三焦无所御，四维断绝，肢体羸瘦，独足肿大，这都是木乘土藏所致。如后所生，则痹气成劳，内闭九窍，外壅肌肉，卫气散懈，少气不足言，皮聚毛落，血菀于上；阴不胜其阳，则脉流薄疾，并，乃狂；阳不胜其阴，则五脏气争，九窍不通，甚则目盲不可以视，耳闭不可以听，溃溃乎若坏都，汨汨乎不可止，这都是痹气成劳所致。盖或兼得之以沐浴，水气舍于皮肤之内，与卫气并居者湿化也；如果湿化不攘，则一身尽疼，饮发中满，头汗出，首如裹，身黄背强，欲得被覆向火；甚则肌肉萎，行善螈，四肢不举，历节黄汗，腹满食减，溏泄肠鸣，反下甚；如果更早加禁截，则湿化转而成土，乘侮水藏矣；当病腹痛，清厥，意不乐，体重烦冤，胸中不利，阴痿不用，腰痛，少腹痛，心下痞痛，动转不便，时害于食、足胫寒而逆，这都是湿化乘胜所致。盖或兼遇夏气凄沧之水寒，藏于腠理皮肤之中者寒化也。如果寒化不折，则水失体用而心气抑，心下悸，寝汗憎风，甚则奔气咳喘，水饮支饮，眼下浮起如蚕蛊，胫肿腹大若蛊状；如果更早加禁截，则寒化转而成水，乘传火脏矣；当病身热躁悸，骨肉不相着，足痿不收持，濡泄血溢，阴厥奔豚，上下中寒，语心痛，热中瞀闷，渴而妄冒，这都是寒化乘胜所致。如果暑藏营舍，舍属足太阳经脉之界分，兼见头重腰痛，寒从背起，先寒后热，翛然，热止汗难已之经化证者，不亟正治，或者早加禁截，必注之经而溜之府，当病冲头痛，挟脊痛，目似脱，项似拔，腰似折，髀不可以屈，腘如结，踹如裂，尻吕脚皆痛，小指不用，甚则癫狂，头KT 项强痛，目黄泪出，鼽衄癃闭，戴眼直视而遗溺；如果暑藏营舍，舍属足阳明经脉之界分兼见洒淅寒，寒甚，久乃热，热去，汗出时，喜见日月光。得火气乃快然之经化证者，不亟正治，或者早加禁截，必注之经而溜之府，当病颜黑，善呻数欠，恶人与火，闻木声则惕然而惊；心欲动，独闭户塞牖而处，甚则欲上高而歌，弃衣而走，贲响腹胀，狂乱温淫，汗出鼽衄，口唇胗，颈肿喉痹，大腹水肿，膝膑间肿痛，循膺乳气街，股伏兔，腓外廉足跗上皆痛；中指不用，胃中热，则消谷，身以前皆热，胃中寒则胀满，身以前皆寒，有不得隐曲，女子不月，其传风消而息贲；如果暑藏营舍，舍属足少阳经脉之界分，兼见身体解㖞，寒不甚，热不甚，恶见人，心惕惕。热久汗出甚之经化证者，不亟正治，或者早加禁截，必注之经而溜之府，当病口苦，善太息，心痛胁痛，不可转侧，面有微尘，体无膏泽，足外热，小指次指不用，甚则头颔痛，目锐眦痛，缺盆中肿痛，胸胁肋髀膝外外踝，胫绝骨前诸节痛，时寒热，马力挟瘿，狐惑，智失而黄出；如果暑藏营舍，舍属足太阴经脉之界分，兼见意不悦，好太息，不嗜食，多寒热，汗出多，病至则喜呕，呕已乃衰之经化证者，不亟正治，或者早加禁截，必注之经而溜之藏，当病舌本强，胃脘痛，腹胀，善噫而呕甚，得后与气乃快然如衰，身体重，大指不用，甚则舌本痛，体难动摇，食不下，烦心，心下急痛，溏瘕，飧泄，水闭黄疸，不能卧而强立，或怠惰嗜卧，股膝内肿，厥，四肢痿易而不收；如果暑藏营舍，舍属足少阴经脉之界分，兼见呕吐甚，多寒热，热多寒少，欲闭户自处。其病难已之经化证者，不亟正治，或者早加禁截，必注之经而溜之藏，当病嗌痛颔肿，不可以顾，肩似拔，踹似折，甚则耳聋，目黄，两颊间肿，颈颔肩肘臂外后廉皆痛，小腹急痛，泄如下重，足胫寒逆而骨痿；如果暑藏营舍，舍属足厥阴经
Day, nine days, fourteen days: although the summer-heat pathogen is rampant and extremely severe, over time its force will inevitably weaken slightly. Sweating and fever are precisely the means to vent the summer-heat. The wind pathogen, which had not yet manifested, reveals itself at this point. With cold coming and heat going, and heat going and cold coming, treatment begins with a dual approach addressing both factors. The above cases involve an excess of summer-heat, differing from Dan Malaria (a type of malaria characterized solely by fever) which presents only with heat symptoms. Dan Malaria exclusively shows the specific signs and symptoms of Dan Malaria, whereas here it is merely that summer-heat exceeds wind and cold. Furthermore, there are cases where wind is dominant alone, showing only wind symptoms with absolutely no signs of summer-heat; treatment should follow wind alone, without needing to address summer-heat. Such cases are termed by people as Cold Damage (Shanghan) or Wind Strike (Zhongfeng), or after a long time when both wind and summer-heat appear, rumors claim "wind-cold transforms into malaria," which is also erroneous. This is because cold and wind pathogens, if contracted in winter, cause immediate illness, each manifesting transformations of their root and branch; those that do not cause immediate illness transform into Warmth diseases in spring and Summer-heat diseases in summer. Summer-heat disease involves extreme heat heavier than warmth disease; upon initial manifestation, there is no aversion to cold, only aversion to heat, accompanied by irritability, thirst, and absence of sweating. If wind transforms into summer-heat disease by summer, it adds spontaneous sweating, snoring respiration, difficulty speaking, floating pulse, and heavy body. Thus, these warmth and summer-heat diseases occur only in spring and summer, changing with the times, and manifesting symptoms accordingly, hence named according to the season. By summer, the body's mechanism for releasing pathogens is fully active, leaving no room for hidden storage; thus, pathogens must emerge completely following the summer release mechanism. It is unheard of for them to remain hidden until autumn, only to show winter-onset cold transformation without any branch-related yang manifestations. The Classics state: "In summer, one is injured by summer-heat; in autumn, malaria forms." This is like cold wind transforming into warmth in spring and summer-heat in summer—the mechanism is the same. From this, we see where summer's cold wind comes from; how can one say cold wind transforms into malaria? This ignorance arises because although summer injuries involve summer-heat, they are not as fierce as autumn winds; thus, only cold wind is seen, with no summer-heat signs. Similarly, when summer-heat burns fiercely, fluctuating in intensity or worsening every seven, nine, or fourteen days, wind虽有摧拉 (though destructive), its force weakens by then; generating heat and sweat serves to vent the wind. The hidden summer-heat and wind begin without dominance, achieving balance and mutual manifestation, allowing for dual treatment. These cases involve exclusive wind command, differing from Pin Malaria (a type of malaria characterized solely by chills) which presents only with cold symptoms. Pin Malaria exclusively shows Pin Malaria signs; here, wind exceeds summer-heat. If summer-heat invades the yin level, treatment methods are similar; however, summer-heat resides deeply, differing from superficial conditions. One must first assess the victory/defeat of the two pathogens. If biased toward the Ying (Nutritive) level, adjust the main formula based on symptoms; subsequently treat summer-heat using herbs like Shi Gao (Gypsum Fibrosum) and Jing Mi (Oryzae Semen) to stabilize the shifting yin-yang. "Chang" implies constancy/unchanging; "Shan" implies Gen trigram stillness/non-migration. Cases occurring every two days or several days can be inferred analogously. If accompanied by Foot-Taiyang meridian signs, the pathogen resides in the Foot-Taiyang; use Guizhi Chaihu Ge Ban Tang (Cinnamon Twig and Bupleurum Half-Half Decoction). Taiyang governs opening; alternating chills and fever seem pivot-like. Thus, treat via pivot-to-opening; if severe, Da Qing Long Tang (Major Green Dragon Decoction) is indicated. Taiyang follows both root and branch, so it can follow the root qi of wind-summer-heat or the branch manifestation of cold-transformation yang images. If accompanied by Foot-Yangming meridian signs, the pathogen resides in Foot-Yangming; use Guizhi Yi Baihu Er Tang (One Part Cinnamon Twig, Two Parts White Tiger Decoction). Yangming governs closing; treating the opening allows evil to depart, restoring closure. Doubling Baihu Tang is because Yangming does not follow root/branch but treats the middle damp-transformation. If severe, Biejia Jian Wan (Turtle Shell Pill for Reducing Masses) is used due to Yangming's abundance of blood and qi. If Stomach Fullness (Wei Jia Shi) with difficult defecation occurs, Tiaowei Chengqi Tang (Regulate the Stomach and Purge the Bowels Decoction) is indicated. If accompanied by Foot-Shaoyang meridian signs, the pathogen resides in Foot-Shaoyang; use Xiao Chaihu Tang (Minor Bupleurum Decoction) because Shaoyang follows the root and governs the pivot. If accompanied by Foot-Taiyin meridian signs, the pathogen resides in Foot-Taiyin; use Xiao Jianzhong Tang (Minor Construct the Middle Decoction) because Taiyin governs opening and follows the root. If spontaneous diarrhea with pus/blood and abdominal pain occurs, Guizhi Bei Shaoyao Jia Dahuang Tang (Cinnamon Twig with Doubled Peony and Added Rhubarb Decoction) is used because Spleen Fullness requires expelling putrid filth. If accompanied by Foot-Shaoyin meridian signs, the pathogen resides in Foot-Shaoyin; use Chaihu Jia Xixin Tang (Bupleurum with Asarum Decoction) because Shaoyin is the pivot and follows root/branch. If accompanied by Foot-Jueyin meridian signs, the pathogen resides in Foot-Jueyin; use Siwu Jia Kulian Fuzi Huangqin Tang (Four Substances with Melia, Aconite, and Scutellaria Decoction) because Jueyin governs closing, does not follow root/branch, but treats the middle fire-transformation. If severe cold limbs occur, purgation is needed because deep cold implies deep heat. If thirst, Qi rushing to the heart, burning pain in the heart, hunger but inability to eat, vomiting roundworms after eating occur, Wu Mei Wan (Mume Pill) is indicated. If accompanied by Lung signs, the pathogen resides in the Lung Shu-Mu point; initially use Guizhi Huangqin Baiwei Kuandonghua San (Cinnamon Twig, Scutellaria, Anemarrhena, and Coltsfoot Powder); subsequently use Shumi, Gancao, Changshan (Polygoni Multiflori Caulis). If accompanied by Heart signs, the pathogen resides in the Heart Shu-Mu point; initially use Guizhi Huangqin Tang (Cinnamon Twig and Scutellaria Decoction); subsequently use Gancao, Shuqi, Changshan, Biejia, Shi Gao, Jiangcan (Fermented Soybean), Zhizi, Wumei, Dan Zhuye (Lophatherum Leaf). If accompanied by Spleen signs, the pathogen resides in the Spleen Shu-Mu point; initially use Xiao Jianzhong Tang; subsequently use Jingmi, Changshan, Gancao, Zhimu, Biejia. If accompanied by Liver signs, the pathogen resides in the Liver Shu-Mu point; initially use Tongmai Sini Tang (Pulse-Unblocking Reversal-Cold Decoction); subsequently use Wumei, Shuqi, Biejia, Nuwei, Zhimu, Kushen, Changshan, Shi Gao, Gancao, Xixin, Baiwei, Jiangcan. If accompanied by Kidney signs, the pathogen resides in the Kidney Shu-Mu point; initially use Guizhi Jia Danggui Shaoyao Tang (Cinnamon Twig with Added Angelica and Peony Decoction); subsequently use Zhuye, Changshan, Wumei, Jiangcan, Congbai. If accompanied by Stomach signs, the pathogen resides in the Stomach Shu-Mu point; initially use Guizhi Er Baihu Jia Shaoyao Huangqin Mugui Tang (Two Parts Cinnamon Twig, One Part White Tiger plus Peony, Scutellaria, and Oak Twig Decoction); subsequently use Lilü, Changshan, Zaojiao, Niuxi, Badou. For Wen Malaria (warm malaria) with heat preceding chills: First, Guizhi Er Mahuang Yi Tang (Two Parts Cinnamon Twig, One Part Ephedra Decoction); Second, Kuandong Baiwei Ru Yuan (Coltsfoot and Anemarrhena Pill). For Han Malaria (cold malaria) with chills preceding heat: Ma Huang Er Guizhi Yi Xiao Qing Long Yi Tang (Two Parts Ephedra, One Part Cinnamon Twig, One Part Minor Green Dragon Decoction). For Dan Malaria with heat only and no chills: First, Nuwei Shi Gao Tang (Anemarrhena and Gypsum Decoction) or Gegen Zhuling Tang (Kudzu and Polyporus Decoction); Second, Jiangcan Zhizi Gualou Tang (Fermented Soybean, Gardenia, and Trichosanthes Decoction). For Pin Malaria with chills only and no heat: Shuqi Tang (Vinegar-processed Polygonum Decoction) or Muli Tang (Oyster Shell Decoction). If autumn onset with severe chills: Initially follow wind to support Yang, then use the main dual-treatment formula. If winter onset with mild chills: Initially use Huoxiang Zhengqi San (Agastache Powder for Rectifying the Qi), then the main formula may suffice. Emphasis should be on following wind rather than summer-heat, adhering to the principle of assessing annual climate and preserving Heavenly Harmony. If spring onset with aversion to wind: Initially use Zaipo Tang (Bupleurum and Magnolia Decoction), then the main formula may suffice. If summer onset with profuse sweating: The main formula is primary; even during summer-heat epidemics, emphasize following wind until wind and summer-heat are balanced and root/branch mutually manifest, then apply dual treatment. If the disease reverses its root and transforms into branch-yang, emphasize summer-heat in the main formula; if severe, use only branch formulas focusing on summer-heat, such as Baihu Tang (White Tiger Decoction) or Zhuye Shigao Tang (Lophatherum and Gypsum Decoction). Assess internal/external signs: if cold has ceased, and during fever there is great irritability/thirst, profuse sweating, facial/dental grime, unquenchable thirst for cold drinks, then administer. If summer-heat signs exist, facial/dental grime present, but during fever, ice water cannot cool, and shivering aversion to wind persists, revert to main formula emphasizing wind. Another case: shivering aversion to wind or slight aversion to cold, unlike deficiency-cold exterior weakness, but heat intensifies with cold wind exposure; this is Yin deficiency and Yang hyperactivity, emphasizing summer-heat. Another case: extreme cold turning to heat, extreme heat turning to sweat, extreme sweat failing to resolve heat; exterior remains, emphasizing wind. If pulse is rapid/deep, delirious speech, silence/unwillingness to speak, unrelieved by sweat, the disease is Yin-Yang Intersection (Yin Yang Jiao), which is fatal. Another case: extreme heat/sweat fails to resolve heat, or thirst/no thirst, limb pain/irritability, tendon spasm, continuous steaming sweat; this is cold attacking Ying Qi transforming into blazing inflammation; if treated by wind, oral/gum ulcers and sudden death ensue. Method: soothe Ying Qi to moisten sinews. If heavy body/stiffness/muscle swelling occurs, this is Wind-Damp binding; method: soothe Wei Qi to fill muscle interstices. Another case: exterior sweating/aversion to heat, interior Stomach Fullness/difficult defecation; this is Yangming internal knotting. Another case: sweating/irritability/panting/thirst for cold water, white dry tongue coating, drinking immediately drying up; this is Heat in the Chest. If white slippery coating, this is Cold in the Upper Chest. Another case: sweating/irritability/panting/thirst for cold water, chest fullness, palpitations, vomiting/hiccup/cough/choking; this is Water Retention. If water medicine vomited immediately, this is Water Counterflow. Another case: post-profuse sweating, dry stomach, irritability/insomnia, desire for water; give small sips to harmonize Stomach Qi. If floating pulse, slight fever, thirst; this is Dryness of Chest Water. If empty irritability/insomnia/tossing-turning/regret; this is Guest Heat in the Chest. Another case: sweating/irritability/panting/thirst for boiling water, white slippery tongue coating; this is Cold in the Stomach. If gray-white coating, frequent drinking/drying; this is Heat in the Stomach. Another case: white slippery, greasy turbid tongue coating; this is undigested food retention. In Upper Jiao, induce vomiting; in Stomach, purge. If current diarrhea/anorexia/aversion to food odor/hard belching; also undigested food. If treated by wind, continuous sweating/cold limbs/dry stomach; even with Chengqi pills, hard to reach intestines. Another case: dry teeth/tongue, thirst for cold/boiling water, but internal Yin-Cold; do not assume heat. Food/drink retention causing lack of saliva leading to dryness; nasal blockage/lip peeling causing mouth breathing leading to dryness. Another case: blue-black tongue coating; do not assume heat. Sweet/sour foods may cause blackening, not natural color. Another case: no tongue coating, smooth/thin/red-white tender skin, looking moist but wiping reveals extreme dryness; caused by reckless sweating/vomiting/purging depleting blood; fatal. Above are variations of cold/heat/empty/full; appended for reference. For chronic unresolved disease forming masses (Zheng Jia): urgently treat with Biejia Jian Wan. For Consumption (Xu Lao): Shuqi Wan, Niuxi Tang, or Dingxiang Wine. If summer-wind excess paralyzes meridians; or cold/heat changes disrupt ascending/descending; or empty/full alternate disrupting upper/lower; or exterior Yang dissipates while interior Yin sinks; or Ying/Wei depletion damages blood/qi; or old disease remains while new evil attacks; or gluttony causes fluid/food retention; or lust exhausts essence thinning form; or fatigue exhausts spirit; or anger severs qi/form; or worry injures Spleen; or cold drink injures Lung; or forced effort; or sweat exposed to wind; or old disease reappears while new seems hidden; or new cures while old flares; or apparent right/wrong; all cause chronic disease. Assess emotional desires for tonification/purging and severity to determine nature. Lung Metal Dryness stagnation and Ying Blood obstruction without Lung/Blood branch signs indicate Heaven-formed Qi stagnating, becoming Earth Fire, punishing Metal organs, leading to subsequent diseases. Fire punishing Metal: shortness of breath/cough, bleeding, rhinitis/sore throat, deafness/red eyes, shoulder/back heat, urticaria/prickly heat, skin pain/oozing; severe: scorched lung/fullness, stabbing chest pain, dry cough/phlegm (Lung萎萎); pus/bloody foul sputum (Lung Abscess). Subsequent: Blood obstruction becomes Consumption, deficient vessels fail to nourish organs, numbness, rough skin, dark eyes, dizziness, hair loss, limb pain/fever, panting on movement, cold limbs, nosebleeds/hemoptysis, palpitations, dry throat/tongue, urgency, lower abdomen hardness, urinary difficulty, back pain, cold genitals, clear semen, nocturnal emission, soul loss, loose stools, indigestion, borborygmus, abdominal distension, night sweats, insomnia, scrofula/goiter. Wind combining with Wei Qi causes chills/jaw quivering and quick changes, reflecting Wind nature. Spleen Earth Dampness stagnation and Wei Qi obstruction without Spleen/Wei branch signs indicate Heaven-formed Qi stagnating, becoming Earth Wood, overcoming Earth organs, leading to subsequent diseases. Wood punishing Earth: jaundice/dysentery, emaciation, poor nutrition, heavy body/irritability, borborygmus/distension, stiff tongue/saliva; severe: Sanjiao failure, four pillars severed, emaciated limbs/swollen feet. Subsequent: Qi obstruction becomes Consumption, nine orifices closed, muscles blocked, Wei Qi dissipates, shortness of breath, hair loss, blood pooling above; Yin failing Yang: rapid pulse/manic behavior; Yang failing Yin: organ conflict, orifice blockage, blindness/deafness, collapse. Water Qi residing in skin with Wei Qi causes Dampness. If Dampness not expelled: whole-body pain, edema/distension, head sweat/heavy head, yellow body/back stiffness, desire for warmth; severe: muscle atrophy/spasms/paralysis, joint yellow sweat, abdominal distension/anorexia/diarrhea. Early intervention turns Dampness to Earth, punishing Water organs: abdominal pain/cold limbs/depression/heavy body/chest discomfort, impotence/back/lower abdominal pain, epigastric pain/mobility issues, food intolerance/cold calves. Summer cold water stored in interstices causes Cold Transformation. If Cold not broken: Water loses function, Heart Qi suppressed, palpitations/sweating/aversion to wind; severe: asthma/wheezing, pleural effusion, eye puffiness/leg/abdominal swelling. Early intervention turns Cold to Water, transmitting to Fire organs: fever/restlessness/palpitations, bone/muscle separation, leg weakness/diarrhea/bleeding, Yin reversal/runaway gas, internal cold, chest pain/heat/confusion/thirst. If Summer-heat resides in Foot-Taiyang boundary: heavy head/back pain, cold starting from back, chills then heat, lingering sweat. Untreated: enters meridians/fu organs. Head/neck/spine pain, eye pain, tearing, rhinorrhea/epistaxis, urinary retention, upward staring/incontinence. If in Foot-Yangming boundary: chills, late heat, sweating preferring light/fire. Untreated: enters meridians/fu organs. Dark face/yawning, fear of people/fire/wood sound, restlessness, hiding, climbing/singing/naked running, abdominal rumbling/distension, mania/sweating/rhinorrhea, lip sores/neck swelling/hoarseness, ascites/knee pain, leg/foot pain, middle finger dysfunction, stomach heat/cold, menstrual issues, wind consumption/lung inflation. If in Foot-Shaoyang boundary: body relaxation, mild chills/heat, fear of people, palpitations, prolonged heat/sweat. Untreated: enters meridians/fu organs. Bitter taste/sighing, chest/flank pain, turning difficulty, dusty face/lusterless skin, foot heat, toe dysfunction, head/jaw/eye pain, clavicle/chest/flank/knee/ankle pain, alternating chills/heat, scrofula/goiter, confusion/yellow discharge. If in Foot-Taiyin boundary: depression/sighing, anorexia, chills/heat, sweating, vomiting improving after episode. Untreated: enters meridians/zang organs. Stiff tongue, epigastric pain, abdominal distension, belching/vomiting, relief after bowel movement/gas, heavy body, big toe dysfunction, tongue pain, immobility, anorexia, irritability, acute epigastric pain, loose stools/dysentery, urinary obstruction/jaundice, inability to lie down/sleepiness, thigh/knee swelling, cold limbs/weakness. If in Foot-Shaoyin boundary: severe vomiting, chills/heat (more heat), desire to hide. Untreated: enters meridians/zang organs. Throat/jaw swelling, neck turning difficulty, shoulder/heel pain, deafness/red eyes, cheek/neck/shoulder/elbow/arm pain, lower abdominal pain, heavy diarrhea, cold calves/bone weakness. If in Foot-Jueyin...