以上下言之有若立轮外焉。天道左旋。而西中焉。地道右旋。而东似不相侔。大抵血随
气行
。夫唱妇随是也。血虽从气。其体静而不动。故气血如磨之形。上转而之西。下安而不动。
虽云不动。自有东行之意。以其上动而下静。不得不尔也。天地之道如故。 守所言。从乎
天也。自艮而之巽。晋令所言从乎地也。自干而之坤。是以乾坤之用备矣。言天道者。从外
而之内也。言地道者。从内而之外也。从外之内者。伤寒也。从内之外者杂（病也）
假令少阳证。头痛往来寒热。脉浮弦。此三证但有一者。是为表也。口失滋味。腹中不
和。
大小便或闭而不通。或泄而不调。但有一者。是为里也。如无上下表里证。余者皆虚热也。
是在其中矣。
阴证身静。重语无声气难布息。目睛不了了。鼻中呼不出吸不入。往来口与鼻中气冷。
水浆不入大小便不禁。面上恶寒有如刀刮。
阴证身动。轻语有声。目睛了了。鼻中呼吸出入能往而能来。口与鼻中气皆然。
身表凉。知在阴经也。名曰阴证。
身表热。知在阳经也。名曰阳证。
伤风鼻中气出粗。合口不开。肺气通于天也。伤食口无味。涎不纳。鼻息气匀。脾气通
外伤一身尽热。先太阳也。从外而之内者。先无形也。
内伤手足不和。两胁俱热。知先少阳也。从内之外者。先有形也。
内外俱伤。人迎气口俱盛。或举按皆实大。表发热而恶寒。腹不和而口液。此内外两伤也。
凡诊。则必扪手心手背。手心热则内伤手背热则
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伤寒言足经 手经皆有余
不言手经图 足经皆不足
冬伤于寒者。春必温病。夏为热病。长夏为大热。病盖因房室劳伤与辛苦之人得之。水
亏无以
旺之
为热病也。长夏为大热病者。火之方与秋之分。皆手经居之。木之方与春之分。皆足经居之。
所伤者皆足经不足。及夏火旺。客气助于手经。则不足者愈不足矣。故所用之药。皆泄有余
而非足经药。何以然。泄有余则不足者补矣。此伤寒本足经。只言足经而不言手经也。大意
如此。至于传手经者。亦有之当作别论。与夫奇经之病亦在其中矣。
以上下关系来论述，就像车轮的运转一样。天道（天体运行）向左旋转，而太阳位于西方之中；地道（大地承载）向右旋转，而东方似乎与之不相匹配。大抵血液随着气运行，正如丈夫歌唱、妻子跟随一样。血虽然跟随气，但其本体是静止而不动的。所以气血的关系就像磨盘的形状：上部转动向西，下部安稳不动。虽然下部不动，但自然有向东运行的意向。因为上部动而下部静，不得不如此。天地运行的道理依然如故。王守所言，顺应于天。从艮卦走向巽卦，晋令所言顺应于地。从乾卦走向坤卦。因此乾坤的作用就完备了。谈论天道，是从外部进入内部。谈论地道，是从内部通向外部。从外入内的，是伤寒。从内出外的，是杂病。
假如出现少阳证，头痛，寒热往来，脉象浮弦。这三个症状中只要有一个，就是表证。口中失去滋味，腹中不和，大小便或者闭塞不通，或者泄泻不调。只要有一个，就是里证。如果没有上下表里的症状，其余的都是虚热。这其中的道理就在这里了。
阴证患者身体安静，说话声音低微甚至无声，气息难以布散，眼睛视物模糊不清，鼻子呼气吸进困难，口鼻间的气感觉寒冷，水浆不能入口，大小便失禁，面部怕冷好像被刀刮一样。
阴证患者身体躁动，说话声音轻且有声，眼睛视物清晰，鼻子呼吸出入顺畅，口鼻间的气都正常。
身体表面发凉，知道病在阴经。名叫阴证。
身体表面发热，知道病在阳经。名叫阳证。
伤风的人鼻子出气粗重，闭口不开，因为肺气通于天。伤食的人口中无味，唾液不纳，鼻息均匀。脾气通于...
外伤导致全身发热，先涉及太阳经。从外入内的，先是无形的邪气。
内伤导致手足不和，两胁都发热，知道先涉及少阳经。从内出外的，先是实邪有形。
内外俱伤，人迎穴和气口脉都盛大，或者举按都实大，体表发热且恶寒，腹部不和且口水多。这是内外两伤。
凡是诊察，必须摸手心手背。手心热则是内伤，手背热则...
（此处原文缺失或乱码：不言手经图\ps11a1.bmp\r）
伤寒论及足经，手经皆有余（指邪气盛），足经皆不足（指正气虚）。
冬天感受寒邪，春天必患温病，夏天患热病，长夏患大热病。这些病大概是因为房劳损伤以及辛苦劳作之人得之。肾水亏虚无法滋养，从而成为热病。长夏患大热病的，火旺之时与秋季平分秋色的时候，都是手经主事。木旺之时与春季平分春色的时候，都是足经主事。所伤的皆是足经不足，等到夏季火旺，客气帮助手经，那么不足的更加不足了。所以所用的药物，都是泻有余而非补足经的药。为什么这样？泻有余则不足者得以补益。这是因为伤寒本属足经，只言足经而言手经。大意如此。至于传变到手经的，也有这种情况，应当作为别论讨论。至于奇经的病也包含在其中了。
Discussed in terms of upper and lower, it is like the rotation of a wheel. The Heavenly Way (rotation of celestial bodies) rotates to the left, with the sun situated in the west; the Earthly Way (bearing of the earth) rotates to the right, while the east seems not to match perfectly. Generally speaking, blood follows Qi, just as a husband sings and his wife follows. Although blood follows Qi, its substance is static and unmoving. Thus, the relationship between Qi and Blood is like the shape of a millstone: the upper part turns towards the west, while the lower part remains stable and unmoving. Although the lower part does not move, it naturally has an intention to move towards the east. Because the upper moves and the lower is still, it must be so. The way of Heaven and Earth remains as before. Wang Shou's words follow Heaven. From Gen trigram to Xun trigram, Jin Ling's words follow Earth. From Qian trigram to Kun trigram. Thus, the functions of Qian and Kun are complete. Speaking of the Heavenly Way is from outside to inside. Speaking of the Earthly Way is from inside to outside. From outside entering inside is Shanghan (Cold Damage). From inside emerging outside is Zabing (Miscellaneous Diseases).
Suppose Shaoyang syndrome occurs: headache, alternating chills and fever, floating and wiry pulse. If any one of these three symptoms exists, it is a Exterior Syndrome. Loss of taste in the mouth, disharmony in the abdomen, constipation or diarrhea with irregularity. If any one of these exists, it is an Interior Syndrome. If there are no Exterior/Interior or Upper/Lower symptoms, the rest are all Deficient Heat. The principle lies here.
Yin Syndrome: The body is quiet, speech is low or silent, breath is difficult to distribute, vision is blurred, nasal breathing is obstructed (exhalation out, inhalation in), air from mouth and nose feels cold, inability to take fluids, incontinence of urine and stool, aversion to cold on the face as if scraped by a knife.
Yin Syndrome (active type): The body moves, speech is light but audible, vision is clear, nasal breathing is smooth and regular, air from mouth and nose is normal.
If the body surface is cool, the disease is in the Yin Meridians. Named Yin Syndrome.
If the body surface is hot, the disease is in the Yang Meridians. Named Yang Syndrome.
Wind Injury: Nasal exhalation is coarse, mouth closed and cannot open, because Lung Qi connects to Heaven. Food Injury: Tasteless mouth, saliva not retained, nasal respiration is even. Spleen Qi connects to...
External injury causes whole-body heat, first involving the Taiyang Meridian. From outside to inside, initially involves formless pathogens.
Internal injury causes disharmony of hands and feet, heat in both hypochondriac regions, indicating initial involvement of the Shaoyang Meridian. From inside to outside, initially involves tangible pathogens.
Both external and internal injuries: Renying and Qikou pulses are both full, or solid and large upon lifting and pressing. Exterior heat with aversion to cold, abdominal disharmony with excessive saliva. This is dual injury of exterior and interior.
In general diagnosis, one must palpate the palms and backs of hands. Heat in the palm indicates Internal Injury; heat in the back of the hand indicates...
(Text missing/corrupted: "Does not speak of Hand Meridian diagram")
Shanghan discusses Foot Meridians; Hand Meridians have excess [pathogen], Foot Meridians have deficiency [of righteous Qi].
Winter injury by Cold leads to Warm Disease in Spring, Heat Disease in Summer, and Great Heat Disease in Late Summer. These diseases arise from sexual exhaustion and hard labor. Kidney Water deficiency fails to nourish, resulting in Heat Disease. In Late Summer, when Fire is prosperous and equates with Autumn, Hand Meridians dominate. When Wood is prosperous and equates with Spring, Foot Meridians dominate. The injury affects the deficiency of Foot Meridians. When Summer Fire becomes prosperous, pathogenic Qi assists the Hand Meridians, making the deficiency worse. Therefore, the medicines used drain excess rather than tonify Foot Meridians. Why? Draining excess benefits the deficient. This is because Shanghan originally belongs to Foot Meridians, hence only discussing Foot Meridians and not Hand Meridians. The main idea is thus. Cases transmitting to Hand Meridians do exist and should be discussed separately. Diseases of the Extraordinary Vessels are also included herein.