夫寒邪中人,阳经受病,太阳为首;阴经受病,少阴为先。足少阴肾经与足太阳膀胱经相为表
里,阴阳脏腑之配合也。然寒之初感,必入膀胱阳经而作热。若肾虚或因房劳遇寒,则邪乘虚直入
少阴作寒,为阴证矣(根据中寒门)。如膀胱受邪,寒主收引,腠理闭塞其阳气,为遍身热,可即以发散
药服之。腠理开,汗出而邪解,阳气得泄,身凉而愈。若此时逡巡畏缩,或药下不中病,则邪热渐
传六经,变态百状,治疗最难。但能防之于未然,宁有深重之疾哉!盖风初感,肺先受之,必喷嚏
鼻塞,头痛脑胀、恶风等候,乃风入之渐也。此际能增益衣衾,百凡戒谨,岂有伤风之患乎?如寒
初感,腠理闭之,必足下微冷,身
上觉寒,形体拘急,臂膝频欲舒挺为快,乃寒入之渐也。此际能断谷食,绝房帏,包首裹足,浓覆
安卧,惟饮热姜、葱、茶汤,令有微汗出,过宿自然平复,岂有伤寒之患乎?若已感冒寒邪,初犹
不觉,仍前作劳,强进饮食,邪气得腥酒谷味补助,所谓邪得补而愈盛是也,寒气必然入里,多至
危怠。更犯色欲,必为阴证,为两感。皆由失于防微杜渐也。
有小愈病加者何?盖此证多日不食,必不饿死,必宜待热退,方可饮食。日数纵多,亦待热势
将平,微与粥汤,养其胃气。热除,渐与薄粥,最忌腥酒。又有因病时热渴,误饮凉酒,遂致危亡
者。经曰∶多食则复,食肉则遗,饮酒则剧,复感风寒劳复,皆难治。犯淫自病,名女劳复。无病
者病,名阴阳易,多死。
寒邪侵袭人体,若阳经受病,太阳经首当其冲;若阴经受病,少阴经最先受累。足少阴肾经与足太阳膀胱经互为表里,这是阴阳脏腑配合的规律。然而,寒邪初感时,必定先侵入膀胱阳经而化热。如果患者肾虚或因房劳过度后感受寒邪,则邪气会乘虚直接侵入少阴经导致寒证,这属于阴证(依据《中寒门》)。若是膀胱受邪,因寒性主收引,会导致腠理闭塞、阳气郁遏,从而出现全身发热,此时可以立即服用发散药。待腠理开通,汗出而邪气解散,阳气得以宣泄,身体转凉而痊愈。如果此时犹豫退缩,或者用药不对症,那么邪热就会逐渐传入六经,病情变化多端,治疗最为困难。只要能在疾病未发之前加以预防,哪里会有深重的疾病呢!
至于风邪初感,肺脏首先受邪,必然出现打喷嚏、鼻塞、头痛脑胀、怕风等症状,这是风邪入侵的征兆。此时若能增加衣被,凡事谨慎小心,怎么会有伤风的祸患呢?如果是寒邪初感,腠理闭塞,必然感到脚下微冷,身上觉得寒冷,形体拘紧急迫,手臂和膝盖频繁想要伸展挺动才舒服,这是寒邪入侵的征兆。此时若能断绝谷物饮食,禁止房事,包裹头部和双脚,厚被覆盖安静躺卧,只饮用热的姜、葱、茶汤,使身体微微出汗,过一夜自然平复,怎么会有伤寒的祸患呢?
如果已经感冒了寒邪,起初还不觉得严重,仍然像以前一样劳作,勉强进食,邪气得到腥膻、酒类和谷物的补助,这就是所谓的“邪气得补而愈盛”,寒气必然入里,大多发展到危重疲惫的地步。如果再犯色欲,必然成为阴证,或形成两感证。这都是因为未能防微杜渐造成的。
什么是小愈病加呢?大概这种病症多日不进食,必定不会饿死,适宜等待热退之后,才可以饮食。即使天数很多,也要等到热势将要平息时,少量给予粥汤,以养护胃气。热除之后,逐渐给予稀薄粥食,最忌讳腥膻和酒类。又有因病中发热口渴,误饮凉酒,从而导致危亡的案例。医经说:“多食则复发,吃肉则遗留病根,饮酒则病情加剧,再次感受风寒或因劳累导致复发,都难以治疗。”因纵欲自病,名叫女劳复。无病之人患病,名叫阴阳易,大多死亡。
When cold pathogenic factors invade the human body, if the Yang meridians are affected, the Taiyang (Greater Yang) meridian is the first to be involved; if the Yin meridians are affected, the Shaoyin (Lesser Yin) meridian is the primary target. The Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are exteriorly-interiorly related, which constitutes the coordination of Yin-Yang and Zang-Fu organs. However, when cold pathogenic factors are initially contracted, they must enter the Bladder Yang meridian and generate heat. If there is Kidney deficiency or if one contracts cold after sexual exertion, the pathogen will take advantage of the deficiency and directly enter the Shaoyin meridian to cause cold, resulting in a Yin syndrome (according to the "Cold Injury" chapter). If the Bladder is affected by the pathogen, since cold has the nature of contraction and restriction, it causes the pores (Couli) to close and obstructs the Yang Qi, leading to fever throughout the body. At this time, dispersing herbs can be administered immediately. Once the pores open, sweat is produced, the pathogen is resolved, Yang Qi is vented, the body cools down, and recovery ensues. If one hesitates and shrinks back at this moment, or if the medication does not hit the mark, the pathogenic heat will gradually transmit through the Six Meridians, presenting with myriad variations, making treatment extremely difficult. If one can prevent it before it happens, how could severe diseases arise?
Regarding wind pathogens, upon initial invasion, the Lung is affected first, inevitably causing sneezing, nasal congestion, headache, brain distension, and aversion to wind, which are gradual signs of wind entering. At this stage, if one adds clothing and bedding and exercises caution in all matters, how could a common cold occur? In the case of initial cold invasion, with closed pores, one inevitably feels slight coldness in the feet and coldness in the body, with stiffness and urgency in the form, and a frequent desire to stretch and extend the arms and knees for relief, which are gradual signs of cold entering. At this stage, if one abstains from grain food, avoids sexual intercourse, wraps the head and feet, lies quietly under thick covers, and only drinks hot ginger, scallion, and tea broth to induce slight sweating, natural recovery will occur overnight, and how could a cold injury occur?
If one has already caught a cold but does not feel it severely at first, continuing to work as before and forcing oneself to eat, the pathogen receives assistance from fishy/meaty foods, alcohol, and grains. This is what is meant by "the pathogen becomes stronger when aided by tonification." The cold qi will inevitably enter the interior, often leading to critical exhaustion. Furthermore, indulging in sexual desires will certainly result in a Yin syndrome or a "Lianggan" (double infection) syndrome. All these arise from a failure to prevent problems at their inception.
What is "relapse after minor recovery"? Generally, in such cases where one has not eaten for many days, one will not die of hunger, but it is appropriate to wait until the fever subsides before consuming food. Even if many days have passed, one should wait until the fever trend is nearly flat, then give a small amount of porridge soup to nourish Stomach Qi. After the heat is removed, gradually provide thin porridge. Fishy/meaty foods and alcohol are strictly taboo. There are also cases where patients, suffering from fever and thirst during illness, mistakenly drink cool wine, leading to critical danger and death. The Classics state: "Excessive eating leads to recurrence, eating meat leaves lingering pathology, drinking wine exacerbates the condition. Recurrence due to re-exposure to wind-cold or overwork are all difficult to treat." Illness caused by sexual indulgence is named "Nülaofu" (female labor relapse). Disease occurring in a person without prior illness is named "Yinyangyi" (Yin-Yang exchange), which often results in death.