伤寒病，其人或未发汗吐下，或经服药以后，而脉洪大实数，腹内胀满，小便赤黄，大
便难，或烦或渴，面色变赤，此为腑脏有结热故也。
伤寒病，其人先苦身热，嗌干而渴，饮水即心下满，洒淅身热，不得汗，恶风，时咳逆
者，此肺热也。若其人先苦身热嗌干，而小腹绕脐痛，腹下满，狂言默默，恶风欲呕者，此
肝热也。若其人行若手掌心热，烦心欲呕，身热心下满，口干不能多饮，目黄，汗不出，欲
得寒水，时妄笑者，此心热也。若其人先苦身热，四肢不举，足胫寒，腹满欲呕而泄，恶闻
食臭者，此脾热也。若其人先苦嗌干，内热连足胫，腹满大便难，小便赤黄，腰脊痛者，此
肾热也。
阳明病，无汗，小便不利，心中懊 ，必发黄。若被火，额上微汗出，而但小便不
利，亦发黄。其人状，变黄如橘色，或如桃枝色，腹微满，此由寒湿气不散，瘀热在于脾胃
故也。
此由其人先患冷癖，因发热病，服冷药及饮冷水，结在心下，此为脏虚动于旧癖故也。
或吐下以后，病不解，内外有热，故心腹胀满痛，此为有实也。
此谓被下后，六七日不大便，烦热不解，腹满而痛，此为胃内有干粪，挟宿食故也。或
先患寒癖，因有宿食，又感于伤寒，热气相搏，故宿食不消。
伤寒，阳脉微，而汗出少，为自和，汗出多为太过。阳明脉实，因发其汗，汗出多者，
亦为太过。太过者，阳气绝于里，阳气绝于里则津液竭，热结在内，故大便牢而不通也。
伤寒病，患者有的尚未进行发汗、催吐或泻下治疗，有的经过服药之后，出现脉象洪大、坚实且快速，腹部胀满，小便颜色深黄，大便困难，或者心烦口渴，面色发红，这是因为脏腑内有郁结的热邪所致。
伤寒病，患者先前苦于身体发热，咽喉干燥而口渴，喝水后立刻感到胃脘部胀满，身体感觉忽冷忽热（洒淅），无法出汗，怕风，偶尔咳嗽气逆，这是肺热的表现。如果患者先前苦于身体发热、咽喉干燥，同时小腹部绕脐疼痛，腹部下方胀满，胡言乱语又沉默寡言，怕风想要呕吐，这是肝热的表现。如果患者行走时手心发热，心中烦闷想要呕吐，身体发热且胃脘部胀满，口干但不能多饮水，眼睛发黄，无汗，渴望喝冷水，偶尔无故发笑，这是心热的表现。如果患者先前苦于身体发热，四肢无力抬举，小腿寒冷，腹部胀满想要呕吐并伴有腹泻，厌恶食物的气味，这是脾热的表现。如果患者先前苦于咽喉干燥，内热延伸至小腿，腹部胀满，大便困难，小便深黄，腰部和脊柱疼痛，这是肾热的表现。
阳明病，无汗，小便不通畅，心中烦闷懊恼，必定会出现黄疸。如果被火疗误治，仅额头微微出汗，但小便依然不通畅，也会出现黄疸。患者皮肤呈现黄色，像橘子色，或者像桃枝的颜色，腹部轻微胀满，这是由于寒湿之气不能消散，瘀滞的热邪位于脾胃所致。
这是由于患者先前患有冷积癖块，因患发热性疾病，服用寒凉药物及饮用冷水，导致寒凝结在胃脘部，这是因为内脏虚弱触动旧有的癖块所致。或者是经过催吐、泻下治疗后，病情未解，体内内外都有热邪，所以心腹胀满疼痛，这是属于实证。
这指的是被误用泻下法后，六七天不大便，烦热不解，腹部胀满且疼痛，这是因为胃内有干结的粪便，夹杂宿食所致。或者先前患有寒性癖块，又有宿食停滞，又感受了伤寒邪气，热气相互搏结，所以宿食无法消化。
伤寒病，阳脉微弱，且出汗较少，这是正气自我调和的表现；如果出汗过多，则为太过。阳明病脉象实，因发汗治疗，出汗过多的，也属于太过。所谓“太过”，是指阳气在内耗竭，阳气在内耗竭则津液枯竭，热邪结聚在体内，所以大便坚硬而不通。
In Shaoyang disease (Taiyang disease), some patients have not yet undergone sweating, vomiting, or purging therapies, while others have already taken medicine. They present with a pulse that is surging, firm, and rapid; abdominal distension and fullness; dark yellow urine; difficult defecation; irritability and thirst; and a reddish complexion. This is due to the accumulation of heat in the fu and zang organs.
In Shaoyang disease (Taiyang disease), if a patient previously suffered from fever, dry throat, and thirst, but drinking water immediately causes fullness below the heart, chills and fever (shivering), inability to sweat, aversion to wind, and occasional coughing with rebellious qi, this indicates Lung Heat. If a patient previously suffered from fever and dry throat, accompanied by pain around the umbilicus in the lower abdomen, lower abdominal fullness, delirium alternating with silence, aversion to wind, and nausea, this indicates Liver Heat. If a patient has hot palms when walking, mental restlessness and nausea, fever with epigastric fullness, dry mouth unable to tolerate large amounts of water, yellow eyes, absence of sweat, desire for cold water, and occasional inappropriate laughter, this indicates Heart Heat. If a patient previously suffered from fever, inability to move the four limbs, cold calves, abdominal fullness with nausea and diarrhea, and aversion to the smell of food, this indicates Spleen Heat. If a patient previously suffered from dry throat, internal heat extending to the calves, abdominal fullness, difficult defecation, dark yellow urine, and pain in the waist and spine, this indicates Kidney Heat.
In Yangming disease, with no sweat and inadequate urination, mental restlessness and vexation will inevitably lead to jaundice. If treated with fire therapy, resulting in slight sweating only on the forehead but still inadequate urination, jaundice will also occur. The patient's skin turns yellow like an orange or peach branch color, with slight abdominal fullness. This is caused by the failure of cold-dampness to dissipate and stagnant heat residing in the Spleen and Stomach.
This occurs because the patient previously suffered from cold accumulations (cold pi). Due to a febrile disease, they took cold medicines and drank cold water, causing stagnation below the heart. This is because the deficiency of the zang organs agitates the old accumulation. Alternatively, after vomiting or purging, if the disease does not resolve, and there is heat inside and outside, it results in abdominal distension, fullness, and pain, indicating an excess condition.
This refers to the situation where, after being subjected to purging, there is no bowel movement for six or seven days, unresolved irritability and fever, and abdominal distension with pain. This is due to dry feces in the Stomach/intestines mixed with retained food. Or, if the patient previously had cold accumulations and retained food, and then contracted Shaoyang disease (Taiyang disease), the heat qi battles with the retention, causing the retained food to fail to digest.
In Shaoyang disease (Taiyang disease), if the yang pulse is slightly weak and sweating is scanty, it indicates self-harmonization; however, excessive sweating indicates excessiveness. In Yangming disease, if the pulse is excess and sweating is induced, excessive sweating also indicates excessiveness. "Excessiveness" means the destruction of yang qi internally. When yang qi is destroyed internally, body fluids are exhausted, and heat becomes bound within, leading to hard and unpassable stools.