若兩感於寒者,一日太陽受之,即與少陰俱病,則頭痛口乾,煩滿而渴;二日陽明受之,即與太陰俱病,則腹滿身熱、不欲食、讝語;三日少陽受之,即與厥陰俱病,則耳聾囊縮而厥,水漿不入,不知人者,六日死。若三陰三陽、五藏六府皆受病,則榮衛不行,府藏不通,則死矣。
若两感于寒者,一日太阳受之,即与少阴俱病,则头痛口干,烦满而渴;二日阳明受之,即与太阴俱病,则腹满身热、不欲食、谵语;三日少阳受之,即与厥阴俱病,则耳聋囊缩而厥,水浆不入,不知人者,六日死。若三阴三阳、五藏六府皆受病,则荣卫不行,府藏不通,则死矣。
ruò liǎng gǎn yú hán zhě yī rì tài yáng shòu zhī jí yǔ shào yīn jù bìng zé tóu tòng kǒu gān fán mǎn ér kě èr rì yáng míng shòu zhī jí yǔ tài yīn jù bìng zé fù mǎn shēn rè bù yù shí zhān yǔ sān rì shào yáng shòu zhī jí yǔ jué yīn jù bìng zé ěr lóng náng suō ér jué shuǐ jiāng bù rù bù zhī rén zhě liù rì sǐ ruò sān yīn sān yáng wǔ zàng liù fǔ jiē shòu bìng zé róng wèi bù xíng fǔ zàng bù tōng zé sǐ yǐ
If cold strikes both channels at once: on the first day the greater yang takes it and is diseased together with the lesser yin, giving headache, dry mouth, restlessness with fullness and thirst. On the second day the yang brightness takes it and is diseased together with the greater yin, giving belly fullness, body heat, no wish for food, and delirious speech. On the third day the lesser yang takes it and is diseased together with the terminal yin, giving deafness, drawn-up scrotum and cold limbs, with food and drink unable to enter and no recognition of people; such a one dies on the sixth day. If the three yin and three yang, the five viscera and six bowels are all diseased, then the ying and wei no longer move and the viscera and bowels are blocked, and death follows.
**「讝語」五篇共5見**(經文,不含成注),本文引第3篇第31段、第5篇第34段、第5篇第43段。
傷寒脉浮,自汗出,小便數,心煩,微惡寒,脚攣急,反與桂枝湯,欲攻其表,此誤也。得之便厥,咽中乾,煩燥吐逆者,作甘草乾薑湯與之,以復其陽。若厥愈足温者,更作芍藥甘草湯與之,其脚即伸。若胃氣不和,讝語者,少與調胃承氣湯。若重發汗,復加燒鍼者,四逆湯主之。
伤寒脉浮,自汗出,小便数,心烦,微恶寒,脚挛急,反与桂枝汤,欲攻其表,此误也。得之便厥,咽中干,烦燥吐逆者,作甘草干姜汤与之,以复其阳。若厥愈足温者,更作芍药甘草汤与之,其脚即伸。若胃气不和,谵语者,少与调胃承气汤。若重发汗,复加烧针者,四逆汤主之。
shāng hán mài fú zì hàn chū xiǎo biàn shuò xīn fán wēi wù hán jiǎo luán jí fǎn yǔ guì zhī tāng yù gōng qí biǎo cǐ wù yě dé zhī biàn jué yān zhōng gān fán zào tǔ nì zhě zuò gān cǎo gān jiāng tāng yǔ zhī yǐ fù qí yáng ruò jué yù zú wēn zhě gèng zuò sháo yào gān cǎo tāng yǔ zhī qí jiǎo jí shēn ruò wèi qì bù hé zhān yǔ zhě shǎo yǔ tiáo wèi chéng qì tāng ruò chóng fā hàn fù jiā shāo zhēn zhě sì nì tāng zhǔ zhī
In cold damage with a floating pulse, spontaneous sweating, frequent urine, restlessness, slight aversion to cold and cramping of the legs, to give Cinnamon Twig Decoction in order to attack the exterior is a mistake. Once given, the limbs turn cold, the throat is dry, and there is restlessness with vomiting: make Liquorice and Dried Ginger Decoction and give it to restore the yang. If the cold limbs recover and the feet warm, make Peony and Liquorice Decoction and give it, and the legs will straighten. If the stomach qi is disharmonious with delirious speech, give a little Stomach-Regulating Qi-Settling Decoction. If sweating is repeated and burning needling added, Four-Rebellion Decoction governs.
讝語三處皆屬陽明:一在兩感,一在胃氣不和,一在陽明内結;輕重之别,全在煩與燥之多少。
問曰:證象陽旦,按法治之而增劇,厥逆,咽中乾,兩脛拘急而讝語。師曰:言夜半手足當温,兩脚當伸。後如師言,何以知此?答曰:寸口脉浮而大,浮則爲風,大則爲虚。風則生微熱,虚則兩脛攣。病證象桂枝,因加附子參其間,增桂令汗出,附子温經,亡陽故也。厥逆,咽中乾,煩燥,陽明内結,讝語煩亂,更飲甘草乾薑湯。夜半陽氣還,兩足當熱,脛尚微拘急,重與芍藥甘草湯,爾乃脛伸,以承氣湯微溏,則止其讝語,故知病可愈。
问曰:证象阳旦,按法治之而增剧,厥逆,咽中干,两胫拘急而谵语。师曰:言夜半手足当温,两脚当伸。后如师言,何以知此?答曰:寸口脉浮而大,浮则为风,大则为虚。风则生微热,虚则两胫挛。病证象桂枝,因加附子参其间,增桂令汗出,附子温经,亡阳故也。厥逆,咽中干,烦燥,阳明内结,谵语烦乱,更饮甘草干姜汤。夜半阳气还,两足当热,胫尚微拘急,重与芍药甘草汤,尔乃胫伸,以承气汤微溏,则止其谵语,故知病可愈。
wèn yuē zhèng xiàng yáng dàn àn fǎ zhì zhī ér zēng jù jué nì yān zhōng gān liǎng jìng jū jí ér zhān yǔ shī yuē yán yè bàn shǒu zú dāng wēn liǎng jiǎo dāng shēn hòu rú shī yán hé yǐ zhī cǐ dá yuē cùn kǒu mài fú ér dà fú zé wéi fēng dà zé wéi xū fēng zé shēng wēi rè xū zé liǎng jìng luán bìng zhèng xiàng guì zhī yīn jiā fù zǐ cān qí jiān zēng guì lìng hàn chū fù zǐ wēn jīng wáng yáng gù yě jué nì yān zhōng gān fán zào yáng míng nèi jié zhān yǔ fán luàn gèng yǐn gān cǎo gān jiāng tāng yè bàn yáng qì huán liǎng zú dāng rè jìng shàng wēi jū jí chóng yǔ sháo yào gān cǎo tāng ěr nǎi jìng shēn yǐ chéng qì tāng wēi táng zé zhǐ qí zhān yǔ gù zhī bìng kě yù
Question: the signs resemble yangdan; treating by the rule only made it worse — cold limbs, a dry throat, cramped calves and delirious speech. The master said: by midnight the hands and feet will be warm and the legs will straighten. It turned out as he said. How could he know? Answer: the cunkou pulse is floating and large; floating means wind, large means emptiness. Wind engenders faint heat, emptiness cramps the calves. The signs resemble the Cinnamon Twig pattern, but aconite was added in between and cinnamon increased to make sweat come out; aconite warms the channels, so the yang was lost. Cold limbs, dry throat, restlessness, yangming binding within, delirious and confused speech: again drink Liquorice and Dried Ginger Decoction. At midnight the yang returns, both feet grow hot, the calves are still slightly cramped; give Peony and Liquorice Decoction again and the calves straighten; with the Qi-Settling Decoction a slight looseness stops the delirium. Thus one knows the illness can be cured.
讝語三處皆屬陽明:一在兩感,一在胃氣不和,一在陽明内結;輕重之别,全在煩與燥之多少。