蛎散（杂方二），次服建中汤。（正三十七）
（七十一）问喘
伤寒喘，只有太阳、阳明二证。太阳病头疼发热，身疼恶风，无汗而喘者，宜
汗，
属麻黄汤（正方二十）桂枝证，医反下之，利遂不止，脉促者，表未解也；喘而
汗出者，葛根黄芩黄连汤也（正二十八）。太阳病下之微喘者，表未解故也，桂枝加浓朴杏子
汤也（正方十九）。发汗后，不可更行桂枝汤，汗出而喘，无大热者，可与麻黄杏子甘草石膏汤也
。阳明病，汗出不恶寒，腹满而喘，有潮热者宜下，属承气汤（正四十二）然
阳明病脉浮无汗而喘，发汗则愈，宜麻黄汤。（正方二十）
太阳与阳明合病，喘而胸满者，不可下，宜麻黄汤。又发汗后饮水多，咳而微喘者，水
停心下，肾气乘心故也，小青龙去麻黄加杏仁（正三十六）。小腹满者
，去麻黄加茯苓也（正二十六）又问∶麻黄主喘，何故去之？此治心下有水而喘，
不留汗也，小便不利，小腹满，故去麻黄加茯苓也。
（七十二）问渴
脉浮而渴，属太阳。伤寒表不解，心下有水气而渴者，小青龙去半夏加
栝蒌根。（正三十六）太阳病，服桂枝，大汗出后，大烦渴者，白虎加人参。（正六十五）脉浮，
小便不利，微热消渴者，五苓散（正六十六）。伤寒四五日，身热恶风，胁下满，手足温而渴
者，小柴胡去半夏加人参栝蒌根主之。（正二十九）太阳证身体灼热而渴者，为风温，栝蒌根
汤
及春秋月可与竹叶石膏汤。（正九十三）。阳明病，但头汗出，小便不利，渴引水浆，身必发
黄，宜茵陈汤（正九十五）、小柴胡去半夏加人参栝蒌根。（正二十九）伤风寒热
，或发热恶风而渴，属少阳。少阳胁下硬，
不大便而呕，舌上白苔而渴，小柴胡去半夏加人参栝蒌汤。（正二十九）自利而渴
，属少阴。伤寒热入于脏，流于少阴，之经少阴主肾，肾恶燥，故渴而引饮，少阴下
利，咳而呕渴，猪苓汤主之（正六十七）。下利欲饮水者，以有热也，白头翁汤主之。（正方一百八）
切戒，太阳证无汗而渴者，不可与白虎汤。仲景云∶渴欲饮水，无表证者，白虎加
人参汤。脉浮发热无汗，是表未解也，不可与白虎汤，薏苡、小青龙去
半夏加栝蒌也。（正方三十六）伤寒四五日，身热恶风，胁下满，手足温而渴者，小柴胡去半夏加
人参栝蒌也。（正二十九）阳明证汗多而渴者，不可与五苓散。汗多
中燥，猪苓复利其小便故也，薏苡竹叶汤可与之。仲景云∶阳明病发作有
时，汗出多者，急
下也。太阳病渴，终不可与白虎耶？太阳证得汗后，脉洪大而渴者，方可与之也
。阳明病渴，终不可与五苓耶？阴明证小便不利，汗少脉浮而渴者，方可与之。此皆仲景之
妙法也（仲景猪苓汤证，亦云脉浮发热，渴欲饮水，小便不利者，猪苓汤主之）。（正六十七）凡病，非大渴不可与水，
若
小渴咽干者，只小呷滋润之，令胃中和。
若大渴烦躁甚，能饮一斗者，与五升饮之；若全不与，则干燥无由作汗。发喘而死，常人见因
渴饮水得汗，小渴遂剧饮之，致停饮心下，满结喘死者甚众，当以五苓散（正六十六）。或陷胸丸（正三十九）
与之。《金匮要略》云∶得时气
至五六日而渴欲饮水不能多，不当与也。何者？以腹中热尚少，不能消之，便更为人作病矣
。
至七八日大渴欲饮水，犹当根据证与之，常令不足，勿极意也。凡人但见仲景云∶得病反能饮
水，此为欲愈，遂小渴者，乃强饮之，因成其祸，不可胜数。大抵伤寒水气，皆因饮水过多
所
致。水停心下，气上乘心，则为悸为喘；结于胸胁，则为水结胸；胃中虚冷，则为呕为哕；
冷气相搏，则为噎；上迫于肺则为咳；渍入肠中，则为利；邪热所薄，蓄于下焦，则为小
便不利
，小腹满，或里急；溢于皮肤，则为肿。若阳毒倍常躁盛，大渴者，黑奴丸主
之（杂方二十）。中暑伏热深，累取不瘥，其人发渴不已，酒蒸黄连丸
主之。（杂七十九）
（七十三）问鼻衄
伤寒太阳证，衄血者乃解，盖阳气重故也。仲景所谓阳盛则衄。若脉浮紧无汗，
服麻黄汤（正方二十）不中病，其人发烦目瞑，剧者必衄，小衄而脉尚
浮紧者，宜再与麻黄汤也；衄后脉已微者，不可行麻黄汤也。若脉浮自汗，服桂枝汤
不中病，桂枝证尚在，必头疼甚而致衄，小衄而脉尚浮者，宜再与桂枝也；衄后脉已微者，
不可行桂枝汤也。大抵伤寒衄血不可发汗者，为脉微故也。治法，衄家不可发汗
，汗出额上陷，脉紧急，直视不能瞬，不得眠。然而无汗而衄，脉尚浮紧者，须再与麻黄汤
；有汗而衄，脉尚浮缓者，须再与桂枝汤。脉已微者，黄芩芍药汤（杂七十八）、犀角地黄汤
。衄血不止者，茅花汤。（杂方八十）若衄而渴，心烦，饮则吐水，先服五苓
散（正方六六），次服竹叶汤（正九十五）。又问∶阴证有衄血者乎？
阴证
自无热，何缘有衄？若少阴病，但厥无汗，强发之必动血，未知从何道出，或从口鼻，或从
耳目，是谓下厥上竭，为难治。
（七十四）问腹满身重，难以转侧，口中不仁，面垢谵语遗尿。
此三阳经合病也，白虎汤主之。（正六十四）不可发汗，汗之
则谵语，下之则额上生汗，手足逆冷；若自汗者，白虎加人参也。（正六十五）又第二问论合病。
（七十一）问喘证
伤寒引起的喘证，只有太阳病和阳明病两种证型。太阳病表现为头痛、发热、身体疼痛、恶风、无汗而喘，适宜用发汗法治疗，属于麻黄汤证（正方二十）。如果是桂枝汤证，医生反而使用下法，导致腹泻不止，脉象急促的，说明表证未解；如果伴有喘息且出汗，应使用葛根黄芩黄连汤（正二十八）。太阳病经过误下后出现轻微气喘的，是因为表证未解，应使用桂枝加厚朴杏子汤（正方十九）。发汗之后，不可再使用桂枝汤，若见汗出而喘、体内没有大热的症状，可以使用麻黄杏仁甘草石膏汤。阳明病表现为出汗、不恶寒、腹部胀满而喘、有潮热症状的，适宜用攻下法，属于承气汤证（正四十二）。然而，阳明病若脉浮、无汗而喘，通过发汗治疗即可痊愈，适宜使用麻黄汤（正方二十）。
太阳病与阳明病合病，出现喘息且胸部胀满的，不可用攻下法，适宜使用麻黄汤。另外，发汗后饮水过多，导致咳嗽且轻微气喘的，是水饮停聚在心下，肾气上乘于心所致，应使用小青龙汤去掉麻黄并加入杏仁（正三十六）。如果小腹胀满，则去掉麻黄加入茯苓（正二十六）。又问：麻黄主要治疗喘证，为什么这里要去掉它？这是因为治疗心下有停水导致的喘证，目的是不让汗液过度流失，加上小便不利、小腹胀满，所以去掉麻黄加入茯苓。
（七十二）问渴证
脉象浮且口渴，属于太阳病。伤寒表证未解，心下有停水气而导致口渴的，使用小青龙汤去掉半夏加入栝蒌根（正三十六）。太阳病，服用桂枝汤后，大汗出后出现严重烦躁和口渴的，使用白虎加人参汤（正六十五）。脉象浮，小便不利，微热且消渴（极度口渴多饮）的，使用五苓散（正六十六）。伤寒四五日，身体发热、恶风、胁下胀满、手足温暖且口渴的，以小柴胡汤去掉半夏加入人参和栝蒌根为主治方剂（正二十九）。太阳证身体灼热且口渴的，属于风温，可使用栝蒌根汤，以及在春秋季可配合使用竹叶石膏汤（正九十三）。阳明病，仅头部出汗，小便不利，口渴想喝水浆，身体必然发黄，适宜使用茵陈汤（正九十五）、小柴胡汤去掉半夏加入人参和栝蒌根（正二十九）。伤风寒热，或发热恶风且口渴的，属于少阳病。少阳病胁下硬满，不大便且呕吐，舌上有白苔且口渴的，使用小柴胡汤去掉半夏加入人参和栝蒌根（正二十九）。自发性腹泻且口渴的，属于少阴病。伤寒热邪入脏，流于少阴经，少阴主肾，肾厌恶燥，所以口渴想饮水，少阴病下利、咳嗽、呕吐且口渴，以猪苓汤主治（正六十七）。下利想要饮水的，是因为有热，以白头翁汤主治（正方一百八）。
务必戒除：太阳证无汗且口渴的，不可给予白虎汤。张仲景说：口渴想喝水，且没有表证的，才用白虎加人参汤。脉浮、发热、无汗，是表证未解，不可给予白虎汤，（此时可用）薏苡仁、小青龙汤去掉半夏加入栝蒌根（正三十六）。伤寒四五日，身体发热、恶风、胁下胀满、手足温暖且口渴的，使用小柴胡汤去掉半夏加入人参和栝蒌根（正二十九）。阳明证出汗多且口渴的，不可给予五苓散。因为出汗多导致中焦干燥，猪苓汤会进一步通利小便，所以不适用，（此时可用）薏苡竹叶汤给予治疗。张仲景说：阳明病发作有时，出汗多的，应当紧急攻下。太阳病口渴，最终不可给予白虎汤吗？太阳证得汗后，脉象洪大且口渴的，才可以给予白虎汤。阳明病口渴，最终不可给予五苓散吗？阳明证小便不利、出汗少、脉浮且口渴的，才可以给予五苓散。这些都是张仲景的妙法（张仲景猪苓汤证也说：脉浮发热，口渴想喝水，小便不利的，以猪苓汤主治）（正六十七）。凡是疾病，不是大渴不可给水，如果是小渴咽干，只需小口啜饮滋润之物，使胃气调和。
如果大渴烦躁严重，能喝下一斗水的，给予五升水饮用；如果完全不给水，则身体干燥无法作汗，会导致发喘而死。常人看到因口渴饮水后出汗，就在小渴时大量饮水，导致水饮停聚心下，出现痞满结滞、喘息而死的情况非常多，这种情况应当使用五苓散（正六十六）或陷胸丸（正三十九）给予治疗。《金匮要略》说：患时气病至五六日，口渴想喝水但不能多喝，不应当给予饮水。为什么呢？因为腹中热气尚少，不能消化水分，反而会成为新的病源。
到了七八天大渴想喝水，仍应根据证候给予饮水，常令其不足，不要刻意让其喝至极饱。凡人只看到张仲景说：患病后反而能饮水，这是将要痊愈的迹象，于是对于小渴的人强行喂水，因此造成的祸害，数不胜数。大抵伤寒的水气病，都是因为饮水过多所致。水停聚在心下，气机上乘于心，就会变成心悸或气喘；结聚在胸胁，就会变成水结胸；胃中虚冷，就会变成呕吐或呃逆；冷气相互搏结，就会变成噎膈；上迫于肺就会变成咳嗽；渗入肠中就会变成泄利；邪热逼迫，蓄积在下焦，就会变成小便不利、小腹胀满，或里急后重；溢于皮肤，就会变成水肿。如果是阳毒异常躁盛，大渴的，以黑奴丸主治（杂方二十）。中暑伏热深重，多次取效不愈，其人发渴不已，以酒蒸黄连丸主治（杂七十九）。
（七十三）问鼻衄
伤寒太阳证，出现鼻衄（出血）往往是病情解除的表现，这是因为阳气盛重的缘故。张仲景所谓“阳盛则衄”。如果脉象浮紧、无汗，服用麻黄汤（正方二十）不对证，病人出现心烦、眼睛昏花，严重的必定鼻衄，轻微鼻衄且脉象仍然浮紧的，适宜再次给予麻黄汤；鼻衄后脉象已微弱的，不可再使用麻黄汤。如果脉象浮、自汗，服用桂枝汤不对证，桂枝证仍在，必定头痛严重而导致鼻衄，轻微鼻衄且脉象仍然浮的，适宜再次给予桂枝汤；鼻衄后脉象已微弱的，不可再使用桂枝汤。大抵伤寒鼻衄不可发汗的，是因为脉微的缘故。治疗方法：衄血家不可发汗，否则会出现额头凹陷、脉象紧急、直视不能眨眼、无法入睡的症状。然而，无汗而鼻衄，脉象仍然浮紧的，必须再次给予麻黄汤；有汗而鼻衄，脉象仍然浮缓的，必须再次给予桂枝汤。脉象已微弱的，使用黄芩芍药汤（杂七十八）、犀角地黄汤。鼻衄不止的，使用茅花汤（杂方八十）。如果鼻衄且口渴、心烦，饮水则吐水，先服用五苓散（正方六六），随后服用竹叶汤（正九十五）。又问：阴证有鼻衄的吗？
阴证本身没有热，怎么会发生鼻衄？如果是少阴病，只是四肢厥冷无汗，强行发汗必定动血，不知道从哪个通道流出，有的从口鼻，有的从耳目，这叫做“下厥上竭”，属于难治之症。
（七十四）问腹满身重，难以转侧，口中不仁，面垢谵语遗尿。
这是三阳经合病，以白虎汤主治（正六十四）。不可发汗，发汗则会导致谵语；攻下则会导致额上出汗、手足逆冷；如果自汗出的，使用白虎加人参汤（正六十五）。又第二个问题讨论合病。
Moli San (Oyster Shell Powder, Miscellaneous Formula 2), followed by Jianzhong Tang (Establish the Middle Decoction) (Zheng 37).
(71) Inquiry into Panting (Chuan)
Panting caused by Shanghan (Cold Damage) involves only two syndromes: Taiyang (Greater Yang) syndrome and Yangming (Bright Yang) syndrome. In Taiyang syndrome, characterized by headache, fever, body pain, aversion to wind, absence of sweating, and panting, diaphoresis (sweating therapy) is indicated; this belongs to Mahuang Tang (Ephedra Decoction) syndrome (Zheng 20). If it is a Guizhi Tang (Cinnamon Twig Decoction) syndrome, but the physician erroneously applies purgation, resulting in persistent diarrhea and a rapid pulse, the exterior syndrome remains unresolved; if accompanied by panting and sweating, Gegen Huangqin Huanglian Tang (Kudzu, Scutellaria, and Coptis Decoction) should be used (Zheng 28). If mild panting occurs after erroneous purgation in Taiyang syndrome, it is because the exterior syndrome has not resolved; Guizhi Jia Houpo Xingzi Tang (Cinnamon Twig Decoction with Added Magnolia Bark and Apricot Seed) should be used (Zheng 19). After diaphoresis, Guizhi Tang must not be administered again; if sweating and panting occur without significant internal heat, Mahuang Xingzicao Ganshi Tang (Ephedra, Apricot Seed, Licorice, and Gypsum Decoction) may be given. In Yangming syndrome, characterized by sweating, aversion to cold absent, abdominal fullness, panting, and tidal fever, purgation is indicated; this belongs to Chengqi Tang (Assist the Qi Decoction) syndrome (Zheng 42). However, in Yangming syndrome, if the pulse is floating, there is no sweating, and panting occurs, diaphoresis will lead to recovery; Mahuang Tang (Zheng 20) is appropriate.
When Taiyang and Yangming syndromes combine, presenting with panting and chest fullness, purgation is contraindicated; Mahuang Tang is appropriate. Additionally, after diaphoresis, excessive water intake leading to coughing and mild panting indicates water retention in the epigastrium, where Kidney Qi attacks the Heart; Xiaolongqing Tang (Minor Green Dragon Decoction) with Mahuang removed and Xingren (Apricot Seed) added should be used (Zheng 36). If there is lower abdominal fullness, remove Mahuang and add Fuling (Poria) (Zheng 26). Another question arises: Since Mahuang primarily treats panting, why is it removed here? This is because the treatment targets panting caused by water retention in the epigastrium, aiming to prevent excessive sweating; combined with difficulty in urination and lower abdominal fullness, Mahuang is removed and Fuling is added.
(72) Inquiry into Thirst
A floating pulse with thirst belongs to Taiyang syndrome. In Shanghan, if the exterior is unresolved and there is water qi in the epigastrium causing thirst, Xiaolongqing Tang with Banxia (Pinellia) removed and Gualougen (Trichosanthes Root) added should be used (Zheng 36). In Taiyang syndrome, if after taking Guizhi Tang, profuse sweating leads to severe irritability and thirst, Baihu Jia Renshen Tang (White Tiger Plus Ginseng Decoction) should be used (Zheng 65). A floating pulse, difficulty in urination, slight fever, and extreme thirst (Xiaoke) indicate Wuling San (Five-Ingredient Powder with Poria) (Zheng 66). In Shanghan lasting four or five days, if there is body heat, aversion to wind, fullness under the hypochondrium, warm hands and feet, and thirst, Xiao Chaihu Tang (Minor Bupleurum Decoction) with Banxia removed and Renshen (Ginseng) plus Gualougen added is the primary formula (Zheng 29). If Taiyang syndrome presents with burning body heat and thirst, it is Fengwen (Wind-Warmth); Gualougen Tang (Trichosanthes Root Decoction) can be used, and Zhuyeshigu Tang (Bamboo Leaf and Gypsum Decoction) may be given in spring and autumn (Zheng 93). In Yangming syndrome, if there is sweating only on the head, difficulty in urination, thirst with desire for fluids, and impending jaundice, Yinchen Tang (Artemisia Capillaris Decoction) and Xiao Chaihu Tang with Banxia removed and Renshen plus Gualougen added are appropriate (Zheng 29). Injury from wind-cold and heat, or fever with aversion to wind and thirst, belongs to Shaoyang (Lesser Yang) syndrome. In Shaoyang syndrome, with hardness under the hypochondrium, constipation, vomiting, white tongue coating, and thirst, Xiao Chaihu Tang with Banxia removed and Renshen plus Gualougen added is indicated (Zheng 29). Spontaneous diarrhea with thirst belongs to Shaoyin (Lesser Yin) syndrome. When Shanghan heat enters the zang organs and flows into the Shaoyin meridian, which governs the Kidneys, and since the Kidneys detest dryness, thirst with desire to drink occurs; for Shaoyin diarrhea, cough, vomiting, and thirst, Zhuling Tang (Polyporus Decoction) is the primary treatment (Zheng 67). For diarrhea with desire to drink water due to heat, Baitouweng Tang (Pulsatilla Decoction) is indicated (Zheng 108).
Strictly avoid: In Taiyang syndrome with no sweating and thirst, Baihu Tang (White Tiger Decoction) must not be given. Zhang Zhongjing stated: For thirst with desire to drink water, if there is no exterior syndrome, Baihu Jia Renshen Tang is used. A floating pulse, fever, and no sweating indicate an unresolved exterior; Baihu Tang is contraindicated. Instead, Yiyi (Coix Seed) or Xiaolongqing Tang with Banxia removed and Gualougen added (Zheng 36) may be used. In Shanghan lasting four or five days, with body heat, aversion to wind, fullness under the hypochondrium, warm hands and feet, and thirst, Xiao Chaihu Tang with Banxia removed and Renshen plus Gualougen added is appropriate (Zheng 29). In Yangming syndrome with profuse sweating and thirst, Wuling San is contraindicated. Because profuse sweating causes dryness in the middle jiao, and Zhuling Tang further promotes urination, it is unsuitable; Yiyi Zhuye Tang (Coix Seed and Bamboo Leaf Decoction) may be given. Zhang Zhongjing said: In Yangming syndrome with periodic onset and profuse sweating, urgent purgation is required. Is Baihu Tang never suitable for thirst in Taiyang syndrome? Only after sweating in Taiyang syndrome, if the pulse becomes large and forceful with thirst, can Baihu Tang be given. Is Wuling San never suitable for thirst in Yangming syndrome? Only in Yangming syndrome with difficulty in urination, scant sweating, floating pulse, and thirst, can Wuling San be given. These are all subtle methods of Zhang Zhongjing (Zhang Zhongjing’s Zhuling Tang indication also states: For floating pulse, fever, thirst with desire to drink, and difficulty in urination, Zhuling Tang is the primary treatment) (Zheng 67). In any disease, water should not be given unless there is extreme thirst. For mild thirst with dry throat, only small sips of moistening liquids should be taken to harmonize the Stomach Qi.
If there is extreme thirst with severe irritability, capable of drinking one dou, give five sheng of water; if no water is given at all, the body will become dry, unable to sweat, leading to death from panting. Laypeople often see that drinking water leads to sweating in cases of thirst, so they encourage excessive drinking even for mild thirst, causing water retention in the epigastrium, leading to fullness, stagnation, and death from panting. In such cases, Wuling San (Zheng 66) or Xiongan Wan (Thorax-Breaking Pill) (Zheng 39) should be given. The *Jingui Yaolue* states: In seasonal diseases, if at day five or six there is thirst with desire to drink but inability to drink much, water should not be given. Why? Because the heat in the abdomen is still insufficient to transform the water, which would instead cause new pathology.
By day seven or eight, if there is extreme thirst with desire to drink, water should still be given according to the syndrome, ensuring it is not excessive, and avoiding forcing the patient to drink to capacity. Many people only note Zhang Zhongjing’s statement: “The ability to drink water after illness indicates impending recovery,” and thus force water upon patients with mild thirst, causing countless disasters. Generally, water qi disorders in Shanghan are caused by excessive water intake. Water retained in the epigastrium, with Qi attacking the Heart, causes palpitations or panting; accumulation in the chest and hypochondrium causes Water Accumulation in the Chest; cold deficiency in the Stomach causes vomiting or hiccups; collision of cold Qi causes dysphagia; pressure on the Lungs causes cough; infiltration into the intestines causes diarrhea; pathogenic heat forcing accumulation in the Lower Jiao causes difficulty in urination, lower abdominal fullness, or tenesmus; overflow into the skin causes edema. If Yang Toxin causes extreme restlessness and thirst, Heinu Wan (Black Slave Pill) is indicated (Miscellaneous Formula 20). For deep-seated latent heat from Summerheat that does not resolve after repeated treatments, causing incessant thirst, Jiuzheng Huanglian Wan (Wine-Steamed Coptis Pill) is indicated (Miscellaneous 79).
(73) Inquiry into Epistaxis (Nasal Bleeding)
In Shanghan Taiyang syndrome, epistaxis often signifies resolution because Yang Qi is heavy. Zhang Zhongjing stated, “Excess Yang leads to epistaxis.” If the pulse is floating and tight with no sweating, and Mahuang Tang (Zheng 20) is ineffective, causing irritability and blurred vision, severe cases will result in epistaxis. If minor epistaxis occurs and the pulse remains floating and tight, Mahuang Tang should be administered again; if the pulse becomes faint after epistaxis, Mahuang Tang is contraindicated. If the pulse is floating with spontaneous sweating, and Guizhi Tang is ineffective, with the Guizhi syndrome persisting, severe headache may lead to epistaxis. If minor epistaxis occurs and the pulse remains floating, Guizhi Tang should be administered again; if the pulse becomes faint after epistaxis, Guizhi Tang is contraindicated. Generally, in Shanghan, epistaxis with a faint pulse contraindicates diaphoresis. Treatment method: Patients prone to epistaxis must not undergo diaphoresis, otherwise, sunken forehead, tight pulse, fixed gaze unable to blink, and insomnia may occur. However, if there is no sweating with epistaxis and the pulse remains floating and tight, Mahuang Tang must be given again; if there is sweating with epistaxis and the pulse remains floating and relaxed, Guizhi Tang must be given again. If the pulse is faint, Huangqin Shaoyao Tang (Scutellaria and Peony Decoction) or Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) should be used. For unceasing epistaxis, Maohua Tang (Maple Flower Decoction) is indicated. If epistaxis is accompanied by thirst, irritability, and vomiting water upon drinking, first administer Wuling San (Zheng 66), then Zhuye Tang (Zheng 95). Another question: Are there cases of epistaxis in Yin syndromes?
Yin syndromes lack heat, so how can epistaxis occur? In Shaoyin syndrome, if there is only cold limbs and no sweating, forced diaphoresis will certainly disturb the blood. It is unknown which channel the blood will exit from; it may come from the mouth and nose, or from the ears and eyes. This is called “Lower Cold and Upper Exhaustion” and is difficult to treat.
(74) Inquiry into Abdominal Fullness, Body Heaviness, Difficulty Turning, Numbness in the Mouth, Greasy Face, Delirium, and Urinary Incontinence.
This is a combined syndrome of the Three Yang meridians, treated primarily with Baihu Tang (Zheng 64). Diaphoresis is contraindicated; inducing sweating leads to delirium, while purgation leads to sweating on the forehead and cold extremities. If there is spontaneous sweating, Baihu Jia Renshen Tang (Zheng 65) should be used. The second inquiry discusses combined syndromes.