wèn yuē bìng yǒu tài yáng yáng míng yǒu zhèng yáng yáng míng yǒu shào yáng yáng míng hé wèi yě dá yuē tài yáng yáng míng zhě pí yuē shì yě
問：病有太陽陽明，有正陽陽明，有少陽陽明，這是甚麼意思？答：太陽陽明，就是脾約。
A question: the disease has Taiyang-yangming, true yangming-yangming, and Shaoyang-yangming; what does that mean? The answer: Taiyang-yangming is the splenic constraint.
zhèng yáng yáng míng zhě wèi jiā shí shì yě
正陽陽明，說的就是胃家實這一類。
True yangming-yangming is excess of the stomach household.
3
少陽陽明者，發汗，利小便已，胃中燥、煩、實，大便難是也。
少阳阳明者，发汗，利小便已，胃中燥、烦、实，大便难是也。 shào yáng yáng míng zhě fā hàn lì xiǎo biàn yǐ wèi zhōng zào fán shí dà biàn nán shì yě
少陽陽明，是發汗、利小便之後，胃中乾燥、煩熱、結實，大便困難。
Shaoyang-yangming is dryness, heat, and stagnation in the stomach with difficult stool, after sweating and promoting urine.
yáng míng zhī wéi bìng wèi jiā shí yě
陽明之爲病，是胃家實。
The disease of yangming is excess of the stomach household.
5
問曰：“何緣得陽明病？”答曰：“太陽病，發汗，若下，若利小便，此亡津液，胃中乾燥，因轉屬陽明。不更衣，内實，大便難者，此名陽明也。”
问曰：“何缘得阳明病？”答曰：“太阳病，发汗，若下，若利小便，此亡津液，胃中干燥，因转属阳明。不更衣，内实，大便难者，此名阳明也。” wèn yuē hé yuán dé yáng míng bìng dá yuē tài yáng bìng fā hàn ruò xià ruò lì xiǎo biàn cǐ wáng jīn yè wèi zhōng gān zào yīn zhuǎn shǔ yáng míng bù gēng yī nèi shí dà biàn nán zhě cǐ míng yáng míng yě
問：陽明病是怎麼得的？答：太陽病發汗，或攻下，或利小便，津液耗亡，胃中乾燥，於是轉屬陽明。不更衣、内實、大便難的，這就叫陽明。
A question: how does one contract yangming disease? The answer: in Taiyang disease, sweating, purging, or promoting urine drains the fluids, the stomach dries, and the disease turns to belong to yangming. Not changing clothes, internal excess, and difficult stool, this is called yangming.
6
問曰：“陽明病，外證云何？”答曰：“身熱，汗自出，不惡寒，反惡熱也。”
问曰：“阳明病，外证云何？”答曰：“身热，汗自出，不恶寒，反恶热也。” wèn yuē yáng míng bìng wài zhèng yún hé dá yuē shēn rè hàn zì chū bù wù hán fǎn wù rè yě
問：陽明病的外證怎樣？答：身上發熱，汗自己出來，不怕冷，反而怕熱。
A question: what are the external signs of yangming disease? The answer: heat of the body, spontaneous sweating, no aversion to cold, and instead aversion to heat.
7
問曰：“病有得之一日，不發熱而惡寒者，何也？”答曰：“雖得之一日，惡寒將自罷，即自汗出而惡熱也。”
问曰：“病有得之一日，不发热而恶寒者，何也？”答曰：“虽得之一日，恶寒将自罢，即自汗出而恶热也。”
wèn yuē bìng yǒu dé zhī yī rì bù fā rè ér wù hán zhě hé yě dá yuē suī dé zhī yī rì wù hán jiāng zì bà jí zì hàn chū ér wù rè yě
問：病有得病一日，不發熱而惡寒的，為甚麼？答：雖然只得一日，惡寒將自己停止，随即自汗出而惡熱。
A question: some fall ill for one day with no fever but with aversion to cold; why? The answer: though it is only one day, the aversion to cold will stop of itself, and then there is spontaneous sweating with aversion to heat.
8
問曰：“惡寒何故自罷？”答曰：“陽明居中土也，萬物所歸，無所復傳，始雖惡寒，二日自止，此爲陽明病也。”
问曰：“恶寒何故自罢？”答曰：“阳明居中土也，万物所归，无所复传，始虽恶寒，二日自止，此为阳明病也。” wèn yuē wù hán hé gù zì bà dá yuē yáng míng jū zhōng tǔ yě wàn wù suǒ guī wú suǒ fù chuán shǐ suī wù hán èr rì zì zhǐ cǐ wéi yáng míng bìng yě
問：惡寒為甚麼自己停止？答：陽明居於中土，萬物所歸，不再傳變，起初雖然惡寒，第二日自然止住，這就是陽明病。
A question: why does the aversion to cold stop of itself? The answer: yangming dwells in the central earth, where all things return and are no longer transmitted. Though there is aversion to cold at first, it stops by the second day, and this is yangming disease.
9
本太陽初得病時，發其汗，汗先出不徹，因轉屬陽明也。
本太阳初得病时，发其汗，汗先出不彻，因转属阳明也。 běn tài yáng chū dé bìng shí fā qí hàn hàn xiān chū bù chè yīn zhuǎn shǔ yáng míng yě
本來太陽初得病時，發其汗，汗先出而不透徹，於是轉屬陽明。
When Taiyang first falls ill and sweat is induced, if the sweat comes out but does not go through, the disease turns to belong to yangming.
10
傷寒發熱無汗，嘔不能食，而反汗出濈濈然者，是轉屬陽明也。
伤寒发热无汗，呕不能食，而反汗出濈濈然者，是转属阳明也。 shāng hán fā rè wú hàn ǒu bù néng shí ér fǎn hàn chū jí jí rán zhě shì zhuǎn shǔ yáng míng yě
傷寒發熱無汗，嘔而不能食，反而汗出連綿不斷的，這是轉屬陽明。
In cold damage with fever, no sweat, vomiting and inability to eat, if instead sweat pours out continuously, this is a turn to belong to yangming.
shāng hán sān rì yáng míng mài dà
傷寒到了第三日，陽明的脉象變大。
By the third day of cold damage, the yangming pulse becomes large.
12
傷寒脉浮而緩，手足自温者，是爲繫在太陰。太陰者，身當發黄。若小便自利者，不能發黄。至七八月大便鞕者，爲陽明病也。
伤寒脉浮而缓，手足自温者，是为系在太阴。太阴者，身当发黄。若小便自利者，不能发黄。至七八月大便硬者，为阳明病也。 shāng hán mài fú ér huǎn shǒu zú zì wēn zhě shì wéi xì zài tài yīn tài yīn zhě shēn dāng fā huáng ruò xiǎo biàn zì lì zhě bù néng fā huáng zhì qī bā yuè dà biàn yìng zhě wéi yáng míng bìng yě
傷寒脉浮而緩，手足自己温暖，這是繫在太陰。太陰病，身體應當發黄。若小便自利，就不能發黄。到了七八日大便硬，就是陽明病。
In cold damage with a floating, moderate pulse and warm hands and feet of themselves, the disease is tied to taiyin. In taiyin the body should turn yellow; if urine flows freely of itself, it cannot turn yellow. When the stool is hard by the seventh or eighth day, it is yangming disease.
13
傷寒轉繫陽明者，其人濈然微汗出也。
伤寒转系阳明者，其人濈然微汗出也。 shāng hán zhuǎn xì yáng míng zhě qí rén jí rán wēi hàn chū yě
傷寒轉繫陽明的，其人身上連連微微汗出。
When cold damage turns and ties to yangming, the person has a continuous slight sweat.
14
陽明中風，口苦咽乾，腹滿微喘，發熱惡寒，脉浮而緊。若下之，則腹滿小便難也。
阳明中风，口苦咽干，腹满微喘，发热恶寒，脉浮而紧。若下之，则腹满小便难也。 yáng míng zhòng fēng kǒu kǔ yān gān fù mǎn wēi chuǎn fā rè wù hán mài fú ér jǐn ruò xià zhī zé fù mǎn xiǎo biàn nán yě
陽明中風，口苦咽乾，腹滿微喘，發熱惡寒，脉浮而緊。若攻下，就會腹滿而小便難。
Yangming struck by wind gives a bitter mouth, dry throat, full abdomen, slight panting, fever, aversion to cold, and a floating, tense pulse. If it is purged, there will be abdominal fullness and difficult urine.
15
陽明病，若能食，名“中風”；不能食，名“中寒”。
阳明病，若能食，名“中风”；不能食，名“中寒”。 yáng míng bìng ruò néng shí míng zhòng fēng bù néng shí míng zhòng hán
陽明病，若能食，名叫中風；不能食，名叫中寒。
In yangming disease, if the patient can eat, it is called struck by wind; if he cannot eat, it is called struck by cold.
16
陽明病，若中寒不能食，小便不利，手足濈然汗出，此欲作固瘕，必大便初鞕後溏。所以然者，以胃中冷，水榖不别故也。
阳明病，若中寒不能食，小便不利，手足濈然汗出，此欲作固瘕，必大便初硬后溏。所以然者，以胃中冷，水谷不别故也。 yáng míng bìng ruò zhòng hán bù néng shí xiǎo biàn bù lì shǒu zú jí rán hàn chū cǐ yù zuò gù jiǎ bì dà biàn chū yìng hòu táng suǒ yǐ rán zhě yǐ wèi zhōng lěng shuǐ gǔ bù bié gù yě
陽明病，若中寒不能食，小便不利，手足連綿汗出，這是要作固瘕，大便必先硬後溏。所以這樣，是因為胃中寒冷，水榖不能分別的緣故。
In yangming disease struck by cold, with inability to eat, difficult urine, and continuous sweating of hands and feet, a fixed mass is about to form, and the stool must be hard at first and then loose. The reason is that the stomach is cold and water and grain are not separated.
17
陽明病，欲食，小便反不利，大便自調，其人骨節疼，翕翕如有熱狀，奄然發狂，濈然汗出而解者，此水不勝榖氣，與汗共併，脉緊則愈。
阳明病，欲食，小便反不利，大便自调，其人骨节疼，翕翕如有热状，奄然发狂，濈然汗出而解者，此水不胜谷气，与汗共并，脉紧则愈。 yáng míng bìng yù shí xiǎo biàn fǎn bù lì dà biàn zì diào qí rén gǔ jié téng xī xī rú yǒu rè zhuàng yǎn rán fā kuáng jí rán hàn chū ér jiě zhě cǐ shuǐ bù shèng gǔ qì yǔ hàn gòng bìng mài jǐn zé yù
陽明病，想食，小便反而不利，大便自調，其人骨節疼痛，翕翕像有熱的樣子，忽然發狂，連綿汗出而解的，這是水不勝榖氣，與汗共併，脉緊就會痊愈。
In yangming disease the patient wants food, yet urine is difficult and the stool is normal; the joints ache, there is a warm, gathering heat, then sudden madness, and the case resolves with a continuous sweat. This is water failing to overcome the qi of grain, going out together with the sweat; when the pulse is tense, the patient recovers.
yáng míng bìng yù jiě shí cóng shēn zhì xū shàng
陽明病將要解除的時辰，是從申時到戌時。
The hour when yangming disease tends to resolve is from the hour of shen to the hour of xu.
19
陽明病，不能食，攻其熱必噦，所以然者，胃中虚冷故也。以其人本虚，故攻其熱必噦。
阳明病，不能食，攻其热必哕，所以然者，胃中虚冷故也。以其人本虚，故攻其热必哕。 yáng míng bìng bù néng shí gōng qí rè bì yuě suǒ yǐ rán zhě wèi zhōng xū lěng gù yě yǐ qí rén běn xū gù gōng qí rè bì yuě
陽明病，不能食，攻其熱必噦，所以這樣，是因為胃中虚冷的緣故。因為其人本虚，所以攻其熱必噦。
In yangming disease with inability to eat, attacking the heat will surely cause retching, because the stomach is empty and cold. Since the person is originally empty, attacking the heat will surely cause retching.
20
陽明病，脉遲，食難用飽，飽則微煩，頭眩，必小便難，此欲作榖疸，雖下之，腹滿如故。所以然者，脉遲故也。
阳明病，脉迟，食难用饱，饱则微烦，头眩，必小便难，此欲作谷疸，虽下之，腹满如故。所以然者，脉迟故也。 yáng míng bìng mài chí shí nán yòng bǎo bǎo zé wēi fán tóu xuàn bì xiǎo biàn nán cǐ yù zuò gǔ dǎn suī xià zhī fù mǎn rú gù suǒ yǐ rán zhě mài chí gù yě
陽明病，脉遲，飲食難以吃飽，吃飽就微煩，頭眩，必小便難，這是要作榖疸，雖然攻下，腹滿照舊。所以這樣，是因為脉遲的緣故。
In yangming disease with a slow pulse, food is hard to take to fullness; on fullness there is slight irritation, dizziness, and surely difficult urine. A grain jaundice is about to form; even if it is purged, the abdominal fullness remains as before. The reason is the slow pulse.
21
陽明病，法多汗，反無汗，其身如蟲行皮中狀者，此以久虚故也。
阳明病，法多汗，反无汗，其身如虫行皮中状者，此以久虚故也。 yáng míng bìng fǎ duō hàn fǎn wú hàn qí shēn rú chóng xíng pí zhōng zhuàng zhě cǐ yǐ jiǔ xū gù yě
陽明病，依法多汗，反而無汗，其身像蟲行皮中的樣子，這是因為久虚的緣故。
In yangming disease there should be much sweat, yet there is none, and the body feels as if worms were moving in the skin. This is because of long-standing emptiness.
22
陽明病，反無汗，而小便利，二三日嘔而欬，手足厥者，必苦頭痛；若不欬不嘔，手足不厥者，頭不痛。
阳明病，反无汗，而小便利，二三日呕而咳，手足厥者，必苦头痛；若不咳不呕，手足不厥者，头不痛。 yáng míng bìng fǎn wú hàn ér xiǎo biàn lì èr sān rì ǒu ér kài shǒu zú jué zhě bì kǔ tóu tòng ruò bù kài bù ǒu shǒu zú bù jué zhě tóu bù tòng
陽明病，反而無汗，而小便利，二三日嘔而欬，手足厥冷的，必苦頭痛；若不欬不嘔，手足不厥的，頭不痛。
In yangming disease with no sweat but free urine, if after two or three days there is vomiting, cough, and cold hands and feet, there will surely be severe headache; if there is no cough, no vomiting, and no cold hands and feet, the head does not ache.
23
陽明病，但頭眩，不惡寒，故能食而欬，其人必咽痛；若不欬者，咽不痛。
阳明病，但头眩，不恶寒，故能食而咳，其人必咽痛；若不咳者，咽不痛。 yáng míng bìng dàn tóu xuàn bù wù hán gù néng shí ér kài qí rén bì yān tòng ruò bù kài zhě yàn bù tòng
陽明病，但頭眩，不惡寒，所以能食而欬，其人必咽痛；若不欬的，咽不痛。
In yangming disease with dizziness of the head alone, no aversion to cold, and therefore ability to eat, if there is cough, the person will surely have a sore throat; if there is no cough, the throat does not hurt.
yáng míng bìng wú hàn xiǎo biàn bù lì xīn zhōng ào náo zhě shēn bì fā huáng
陽明病，無汗，小便不利，心中懊憹的，身體必發黄。
In yangming disease with no sweat, difficult urine, and a troubled, burning heart, the body will surely turn yellow.
yáng míng bìng bèi huǒ é shàng wēi hàn chū xiǎo biàn bù lì zhě bì fā huáng
陽明病，被火，額上微汗出，小便不利的，必發黄。
In yangming disease treated with fire, with slight sweat on the forehead and difficult urine, the patient will surely turn yellow.
26
陽明病，脉浮而緊者，必潮熱，發作有時。但浮者，必盗汗出。
阳明病，脉浮而紧者，必潮热，发作有时。但浮者，必盗汗出。 yáng míng bìng mài fú ér jǐn zhě bì cháo rè fā zuò yǒu shí dàn fú zhě bì dào hàn chū
陽明病，脉浮而緊的，必潮熱，發作有時。但浮而不緊的，必盗汗出。
In yangming disease with a floating, tense pulse, there will surely be tidal fever coming at fixed times. If the pulse is floating but not tense, there will surely be night sweat.
27
陽明病，口燥，但欲漱水，不欲嚥者，此必衄。
阳明病，口燥，但欲漱水，不欲咽者，此必衄。 yáng míng bìng kǒu zào dàn yù shù shuǐ bù yù yàn zhě cǐ bì nǜ
陽明病，口燥，只想漱水，不想嚥下的，這必衄血。
In yangming disease with a dry mouth, wanting only to rinse the mouth and not to swallow, there will surely be nosebleed.
28
陽明病，本自汗出，醫更重發汗，病已差，尚微煩不了了者，此大便必鞕故也。以亡津液，胃中乾燥，故令大便鞕。當問其“小便日幾行”，若本小便日三四行，今日再行，故知大便不久出。今爲小便數少，以津液當還入胃中，故知不久必大便也。
阳明病，本自汗出，医更重发汗，病已差，尚微烦不了了者，此大便必硬故也。以亡津液，胃中干燥，故令大便硬。当问其“小便日几行”，若本小便日三四行，今日再行，故知大便不久出。今为小便数少，以津液当还入胃中，故知不久必大便也。 yáng míng bìng běn zì hàn chū yī gèng chóng fā hàn bìng yǐ chài shàng wēi fán bù liǎo liǎo zhě cǐ dà biàn bì yìng gù yě yǐ wáng jīn yè wèi zhōng gān zào gù lìng dà biàn yìng dāng wèn qí xiǎo biàn rì jǐ xíng ruò běn xiǎo biàn rì sān sì xíng jīn rì zài xíng gù zhī dà biàn bù jiǔ chū jīn wéi xiǎo biàn shuò shào yǐ jīn yè dāng huán rù wèi zhōng gù zhī bù jiǔ bì dà biàn yě
陽明病，本來自汗出，醫生又重複發汗，病已減輕，還有微煩不清爽的，這是大便必硬的緣故。因為津液耗亡，胃中乾燥，所以使大便硬。應當問他小便一日幾次，若本來小便一日三四次，今日只二次，就知道大便不久要出。現在因為小便次數少，津液當還入胃中，所以知道不久必大便。
In yangming disease there was spontaneous sweat to begin with, and the physician induced sweat again; the illness has eased, yet there is slight irritation and a lack of clarity, because the stool must be hard. The fluids are drained and the stomach dry, so the stool is hard. One should ask how many times a day the patient urines: if it was three or four times and is now twice, the stool will soon come. Now that the urine is less frequent, the fluids are returning to the stomach, and so the stool will soon pass.
29
傷寒嘔多，雖有陽明證，不可攻之。
伤寒呕多，虽有阳明证，不可攻之。 shāng hán ǒu duō suī yǒu yáng míng zhèng bù kě gōng zhī
傷寒嘔多，雖然有陽明證，不可攻下。
In cold damage with much vomiting, even though there are yangming signs, it must not be attacked.
30
陽明病，心下鞕滿者，不可攻之，攻之，利遂不止者死，利止者愈。
阳明病，心下硬满者，不可攻之，攻之，利遂不止者死，利止者愈。 yáng míng bìng xīn xià yìng mǎn zhě bù kě gōng zhī gōng zhī lì suì bù zhǐ zhě sǐ lì zhǐ zhě yù
陽明病，心下硬滿的，不可攻下，攻下後，下利遂不止的死，利止的痊愈。
In yangming disease with hardness and fullness below the heart, it must not be attacked. If after the attack the diarrhoea does not stop, the patient dies; if it stops, he recovers.
yáng míng bìng miàn hé chì sè bù kě gōng zhī bì fā rè sè huáng xiǎo biàn bù lì yě
陽明病，面色通紅，不可攻下，攻下必發熱，色黄，小便不利。
In yangming disease with a uniformly red face, it must not be attacked; attacking it brings fever, yellow colour, and difficult urine.
32
陽明病，不吐不下，心煩者，可與調胃承氣湯。
阳明病，不吐不下，心烦者，可与调胃承气汤。 yáng míng bìng bù tǔ bù xià xīn fán zhě kě yǔ tiáo wèi chéng qì tāng
陽明病，不吐不下，心煩的，可與調胃承氣湯。
In yangming disease with no vomiting and no purging, and with irritation of the heart, Regulate-the-Stomach Qi-Ordering Decoction may be given.
33
陽明病，脉遲，雖汗出，不惡寒者，其身必重，短氣，腹滿而喘，有潮熱者，此外欲解，可攻裏也。手足濈然而汗出者，此大便已鞕也，大承氣湯主之。若汗多，微發熱惡寒者，外未解也，其熱不潮，未可與承氣湯。若腹大滿不通者，可與小承氣湯，微和胃氣，勿令大泄下。
阳明病，脉迟，虽汗出，不恶寒者，其身必重，短气，腹满而喘，有潮热者，此外欲解，可攻里也。手足濈然而汗出者，此大便已硬也，大承气汤主之。若汗多，微发热恶寒者，外未解也，其热不潮，未可与承气汤。若腹大满不通者，可与小承气汤，微和胃气，勿令大泄下。 yáng míng bìng mài chí suī hàn chū bù wù hán zhě qí shēn bì zhòng duǎn qì fù mǎn ér chuǎn yǒu cháo rè zhě cǐ wài yù jiě kě gōng lǐ yě shǒu zú jí rán ér hàn chū zhě cǐ dà biàn yǐ yìng yě dà chéng qì tāng zhǔ zhī ruò hàn duō wēi fā rè wù hán zhě wài wèi jiě yě qí rè bù cháo wèi kě yǔ chéng qì tāng ruò fù dà mǎn bù tōng zhě kě yǔ xiǎo chéng qì tāng wēi hé wèi qì wù lìng dà xiè xià
陽明病，脉遲，雖然汗出，不惡寒的，其身必重，短氣，腹滿而喘，有潮熱的，這是外證將解，可以攻裏。手足連綿汗出的，這是大便已硬，大承氣湯主治。若汗多，微發熱惡寒的，外證未解，其熱不潮，不可與承氣湯。若腹大滿不通的，可與小承氣湯，微和胃氣，不要使他大泄下。
In yangming disease with a slow pulse, sweating, and no aversion to cold, the body must be heavy, the breath short, the abdomen full and panting, with tidal fever; the exterior is about to resolve and the interior may be attacked. With continuous sweat of hands and feet the stool is already hard, and Major Qi-Ordering Decoction governs it. If the sweat is much and there is slight fever with aversion to cold, the exterior is not resolved and the heat is not tidal, so Qi-Ordering Decoction must not be given. If the abdomen is greatly full and blocked, Minor Qi-Ordering Decoction may be given to gently harmonise the stomach qi, without causing a great purgation.
34
大承氣湯方：大黄四兩，酒洗。厚朴半斤，炙，去皮。枳實五枚，炙。芒硝三合。
大承气汤方：大黄四两，酒洗。厚朴半斤，炙，去皮。枳实五枚，炙。芒硝三合。
dà chéng qì tāng fāng dà huáng sì liǎng jiǔ xǐ hòu pò bàn jīn zhì qù pí zhǐ shí wǔ méi zhì máng xiāo sān gě
大承氣湯方：大黄四兩，用酒洗過；厚朴半斤，炙過，去皮；枳實五枚，炙過；芒硝三合。
Major Qi-Coordinating Decoction: rhubarb four liang, washed with wine; magnolia bark half a jin, honey-fried, peeled; immature bitter orange five pieces, honey-fried; mirabilite three ge.
35
右四味，以水一斗，先煮二物，取五升，去滓，内大黄，煮取二升，去滓，内芒硝，更上火微一兩沸，分温再服。得下，餘勿服。
右四味，以水一斗，先煮二物，取五升，去滓，内大黄，煮取二升，去滓，内芒硝，更上火微一两沸，分温再服。得下，余勿服。
yòu sì wèi yǐ shuǐ yī dǒu xiān zhǔ èr wù qǔ wǔ shēng qù zǐ nà dà huáng zhǔ qǔ èr shēng qù zǐ nà máng xiāo gèng shàng huǒ wēi yī liǎng fèi fēn wēn zài fú dé xià yú wù fú
以上四味，用水一斗，先煮二味，取五升，去滓，放入大黄，煮取二升，去滓，放入芒硝，再上火微沸一兩次，分温再服。得下，餘藥勿服。
The four drugs: with one dou of water first boil two of them, take five sheng, strain, add rhubarb, boil down to two sheng, strain, add mirabilite, and heat once or twice more to a slight boil; divide and take warm in two doses. When purging occurs, the rest is not taken.
36
小承氣湯方：大黄四兩。厚朴二兩，炙，去皮。枳實三枚大者，炙。
小承气汤方：大黄四两。厚朴二两，炙，去皮。枳实三枚大者，炙。
xiǎo chéng qì tāng fāng dà huáng sì liǎng hòu pò èr liǎng zhì qù pí zhǐ shí sān méi dà zhě zhì
小承氣湯方：大黄四兩；厚朴二兩，炙過，去皮；枳實三枚大者，炙過。
Minor Qi-Coordinating Decoction: rhubarb four liang; magnolia bark two liang, honey-fried, peeled; immature bitter orange three large pieces, honey-fried.
37
已上三味，以水四升，煮取一升二合，去滓，分温二服。初服湯，當更衣，不爾者，盡飲之。若更衣者，勿服之。
已上三味，以水四升，煮取一升二合，去滓，分温二服。初服汤，当更衣，不尔者，尽饮之。若更衣者，勿服之。
yǐ shàng sān wèi yǐ shuǐ sì shēng zhǔ qǔ yī shēng èr gě qù zǐ fēn wēn èr fú chū fú tāng dāng gèng yī bù ěr zhě jǐn yǐn zhī ruò gèng yī zhě wù fú zhī
以上三味，用水四升，煮取一升二合，去滓，分温二服。初服湯，當更衣，不這樣的，把藥飲盡。若更衣的，勿服之。
The three drugs: with four sheng of water boil down to one sheng and two ge, strain, and divide warm in two doses. After the first dose the bowels should move; if not, drink the rest. If the bowels move, do not take more.
38
陽明病，潮熱，大便微鞕者，可與大承氣湯，不鞕者，不與之。若不大便六七日，恐有燥屎，欲知之法，少與小承氣湯。湯入腹中，轉失氣者，此有燥屎，乃可攻之。若不轉失氣者，此但初頭鞕，後必溏，不可攻之，攻之必脹滿不能食也。欲飲水者，與水則噦，其後發熱者，必大便復鞕而少也，以小承氣湯和之。不轉失氣者，慎不可攻也。
阳明病，潮热，大便微硬者，可与大承气汤，不硬者，不与之。若不大便六七日，恐有燥屎，欲知之法，少与小承气汤。汤入腹中，转失气者，此有燥屎，乃可攻之。若不转失气者，此但初头硬，后必溏，不可攻之，攻之必胀满不能食也。欲饮水者，与水则哕，其后发热者，必大便复硬而少也，以小承气汤和之。不转失气者，慎不可攻也。 yáng míng bìng cháo rè dà biàn wēi yìng zhě kě yǔ dà chéng qì tāng bù yìng zhě bù yǔ zhī ruò bù dà biàn liù qī rì kǒng yǒu zào shǐ yù zhī zhī fǎ shǎo yǔ xiǎo chéng qì tāng tāng rù fù zhōng zhuǎn shī qì zhě cǐ yǒu zào shǐ nǎi kě gōng zhī ruò bù zhuǎn shī qì zhě cǐ dàn chū tóu yìng hòu bì táng bù kě gōng zhī gōng zhī bì zhàng mǎn bù néng shí yě yù yǐn shuǐ zhě yǔ shuǐ zé yuě qí hòu fā rè zhě bì dà biàn fù yìng ér shào yě yǐ xiǎo chéng qì tāng hé zhī bù zhuǎn shī qì zhě shèn bù kě gōng yě
陽明病，潮熱，大便微硬的，可與大承氣湯，不硬的，不與之。若不大便六七日，恐怕有燥屎，想知道的方法，少少與小承氣湯。湯入腹中，轉失氣的，這有燥屎，才可以攻。若不轉失氣的，這只是初頭硬，後必溏，不可攻，攻之必脹滿不能食。想飲水的，與水就噦，其後發熱的，必大便再硬而少，用小承氣湯和之。不轉失氣的，千萬不可攻。
In yangming disease with tidal fever and slightly hard stool, Major Qi-Ordering Decoction may be given; if the stool is not hard, it is not given. If there has been no stool for six or seven days and dry dung is feared, the way to find out is to give a little Minor Qi-Ordering Decoction. If after it enters the abdomen gas passes down, there is dry dung and it may be attacked. If no gas passes, only the first part is hard and the rest will be loose; it must not be attacked, for attacking brings fullness and inability to eat. If the patient wants water, giving it causes retching; if fever comes afterwards, the stool will be hard again and scanty, and Minor Qi-Ordering Decoction harmonises it. When no gas passes, it must by no means be attacked.
fū shí zé zhān yǔ xū zé zhèng shēng zhèng shēng chóng yǔ yě
實則讝語，虚則鄭聲。鄭聲，是重複的話。
In excess there is delirious speech; in emptiness there is the Zheng sound. The Zheng sound is repeated speech.
40
直視讝語，喘滿者死，下利者亦死。
直视讝语，喘满者死，下利者亦死。 zhí shì zhān yǔ chuǎn mǎn zhě sǐ xià lì zhě yì sǐ
直視讝語，喘滿的死，下利的也死。
With fixed staring and delirious speech, panting fullness means death, and so does diarrhoea.
41
發汗多，若重發汗者，亡其陽。讝語脉短者死，脉自和者不死。
发汗多，若重发汗者，亡其阳。讝语脉短者死，脉自和者不死。 fā hàn duō ruò chóng fā hàn zhě wáng qí yáng zhān yǔ mài duǎn zhě sǐ mài zì hé zhě bù sǐ
發汗多，若重複發汗的，亡其陽。讝語脉短的死，脉自和的不死。
Much sweating, or sweating repeated, drains the yang. Delirious speech with a short pulse means death; if the pulse is harmonious of itself, the patient does not die.
42
傷寒若吐若下後不解，不大便五六日，上至十餘日，日晡所發潮熱，不惡寒，獨語如見鬼狀。若劇者，發則不識人，循衣摸牀，惕而不安，微喘直視，脉弦者生，濇者死，微者但發熱。讝語者，大承氣湯主之。若一服利，止後服。
伤寒若吐若下后不解，不大便五六日，上至十余日，日晡所发潮热，不恶寒，独语如见鬼状。若剧者，发则不识人，循衣摸床，惕而不安，微喘直视，脉弦者生，涩者死，微者但发热。讝语者，大承气汤主之。若一服利，止后服。 shāng hán ruò tǔ ruò xià hòu bù jiě bù dà biàn wǔ liù rì shàng zhì shí yú rì rì bū suǒ fā cháo rè bù wù hán dú yǔ rú jiàn guǐ zhuàng ruò jù zhě fā zé bù shí rén xún yī mō chuáng tì ér bù ān wēi chuǎn zhí shì mài xián zhě shēng sè zhě sǐ wēi zhě dàn fā rè zhān yǔ zhě dà chéng qì tāng zhǔ zhī ruò yī fú lì zhǐ hòu fú
傷寒若吐若下後不解，不大便五六日，甚至十餘日，日晡時發潮熱，不惡寒，獨自說話像見了鬼的樣子。若病重的，發作就不識人，循衣摸牀，惕惕不安，微喘直視，脉弦的生，脉濇的死，病輕的但發熱。讝語的，大承氣湯主治。若一服就利，止後服。
When cold damage is not resolved after vomiting or purging, with no stool for five or six days up to more than ten, tidal fever at the hour of the late afternoon, no aversion to cold, and soliloquy as if seeing ghosts: in severe cases the attack brings loss of recognition, picking at clothes and feeling the bed, restless fear, slight panting, and fixed staring. A string-like pulse means life, a rough pulse death; in mild cases there is fever alone. With delirious speech, Major Qi-Ordering Decoction governs it; if one dose purges, the next is stopped.
43
陽明病，其人多汗，以津液外出，胃中燥，大便必鞕，鞕則讝語，小承氣湯主之。若一服讝語止，更莫復服。
阳明病，其人多汗，以津液外出，胃中燥，大便必硬，硬则讝语，小承气汤主之。若一服讝语止，更莫复服。 yáng míng bìng qí rén duō hàn yǐ jīn yè wài chū wèi zhōng zào dà biàn bì yìng yìng zé zhān yǔ xiǎo chéng qì tāng zhǔ zhī ruò yī fú zhān yǔ zhǐ gèng mò fù fú
陽明病，其人多汗，因為津液外出，胃中乾燥，大便必硬，硬就讝語，小承氣湯主治。若一服讝語止，就不要再服。
In yangming disease the patient sweats much; the fluids go out, the stomach dries, the stool must be hard, and hardness brings delirious speech. Minor Qi-Ordering Decoction governs it. If one dose stops the delirium, no more is given.
44
陽明病，讝語，發潮熱，脉滑而疾者，小承氣湯主之，因與承氣湯一升。腹中轉失氣者，更服一升；若不轉失氣，勿更與之。明日不大便，脉反微澀者，裏虚也，爲難治，不可更與承氣湯也。
阳明病，讝语，发潮热，脉滑而疾者，小承气汤主之，因与承气汤一升。腹中转失气者，更服一升；若不转失气，勿更与之。明日不大便，脉反微涩者，里虚也，为难治，不可更与承气汤也。 yáng míng bìng zhān yǔ fā cháo rè mài huá ér jí zhě xiǎo chéng qì tāng zhǔ zhī yīn yǔ chéng qì tāng yī shēng fù zhōng zhuǎn shī qì zhě gèng fú yī shēng ruò bù zhuǎn shī qì wù gèng yǔ zhī míng rì bù dà biàn mài fǎn wēi sè zhě lǐ xū yě wéi nán zhì bù kě gèng yǔ chéng qì tāng yě
陽明病，讝語，發潮熱，脉滑而疾的，小承氣湯主治，於是給承氣湯一升。腹中轉失氣的，再服一升；若不轉失氣，不要再給。明日不大便，脉反而微澀的，這是裏虚，為難治，不可再給承氣湯。
In yangming disease with delirious speech, tidal fever, and a slippery, rapid pulse, Minor Qi-Ordering Decoction governs it, and one sheng of it is given. If gas passes in the abdomen, another sheng is given; if not, no more. If there is no stool the next day and the pulse turns faint and rough, the interior is empty, the case is hard to treat, and Qi-Ordering Decoction must not be given again.
yáng míng bìng zhān yǔ yǒu cháo rè fǎn bù néng shí zhě wèi zhōng bì yǒu zào shǐ wǔ liù méi yě ruò néng shí zhě dàn yìng ěr yí dà chéng qì tāng xià zhī
陽明病，讝語，有潮熱，反而不能食的，胃中必有燥屎五六枚。若能食的，只是硬罷了，宜大承氣湯下之。
In yangming disease with delirious speech and tidal fever, if the patient cannot eat, there must be five or six pieces of dry dung in the stomach. If he can eat, it is hardness only, and Major Qi-Ordering Decoction should be given to purge it.
yáng míng bìng xià xuè zhān yǔ zhě cǐ wéi rè rù xuè shì dàn tóu hàn chū zhě cì qī mén suí qí shí ér xiè zhī jí rán hàn chū zé yù
陽明病，下血讝語的，這是熱入血室，但頭汗出的。刺期門，隨其實而瀉之，連綿汗出就痊愈。
In yangming disease with bloody stool and delirious speech, this is heat entering the blood chamber, with sweat on the head alone. Needle Qimen and drain according to the excess; a continuous sweat brings recovery.
47
汗出讝語者，以有燥屎在胃中，此爲風也，須下之，過經乃可下之。下之若早，語言必亂，以表虚裏實故也。下之則愈，宜大承氣湯。
汗出讝语者，以有燥屎在胃中，此为风也，须下之，过经乃可下之。下之若早，语言必乱，以表虚里实故也。下之则愈，宜大承气汤。 hàn chū zhān yǔ zhě yǐ yǒu zào shǐ zài wèi zhōng cǐ wéi fēng yě xū xià zhī guò jīng nǎi kě xià zhī xià zhī ruò zǎo yǔ yán bì luàn yǐ biǎo xū lǐ shí gù yě xià zhī zé yù yí dà chéng qì tāng
汗出讝語的，因為有燥屎在胃中，這是風，須要攻下，過了經才可以下。下得太早，語言必亂，因為表虚裏實的緣故。下之就痊愈，宜大承氣湯。
Sweating with delirious speech means dry dung in the stomach; this is wind, and it must be purged, but only after the disease has passed through the channel. Purging too early disorders the speech, because the exterior is empty and the interior full. Purging brings recovery, and Major Qi-Ordering Decoction is suitable.
48
傷寒四五日，脉沈而喘滿，沈爲在裏，而反發其汗，津液越出，大便爲難，表虚裏實。久則讝語。
伤寒四五日，脉沈而喘满，沈为在里，而反发其汗，津液越出，大便为难，表虚里实。久则讝语。 shāng hán sì wǔ rì mài chén ér chuǎn mǎn chén wéi zài lǐ ér fǎn fā qí hàn jīn yè yuè chū dà biàn wéi nán biǎo xū lǐ shí jiǔ zé zhān yǔ
傷寒四五日，脉沉而喘滿，沉為在裏，反而發其汗，津液越出，大便為難，表虚裏實。久了就讝語。
In cold damage of four or five days with a deep pulse and panting fullness, the deep pulse means the interior; yet sweat is induced, the fluids escape, the stool becomes difficult, and the exterior is empty while the interior is full. In time there is delirious speech.
49
三陽合病，腹滿身重，難以轉側，口不仁而面垢，讝語遺尿，發汗則讝語，下之則額上生汗，手足逆冷，若自汗出者，白虎湯主之。
三阳合病，腹满身重，难以转侧，口不仁而面垢，讝语遗尿，发汗则讝语，下之则额上生汗，手足逆冷，若自汗出者，白虎汤主之。 sān yáng hé bìng fù mǎn shēn zhòng nán yǐ zhuǎn cè kǒu bù rén ér miàn gòu zhān yǔ yí niào fā hàn zé zhān yǔ xià zhī zé é shàng shēng hàn shǒu zú nì lěng ruò zì hàn chū zhě bái hǔ tāng zhǔ zhī
三陽合病，腹滿身重，難以轉側，口不仁而面垢，讝語遺尿，發汗就讝語，攻下就額上生汗，手足逆冷，若自汗出的，白虎湯主治。
When the three yang are diseased together, with full abdomen, heavy body, difficulty turning, numb mouth, dirty face, delirious speech, and incontinence of urine: sweating brings delirium, purging brings sweat on the forehead and cold hands and feet. If there is spontaneous sweat, White Tiger Decoction governs it.
50
二陽併病，太陽證罷，但發潮熱，手足漐漐汗出，大便難而讝語者，下之則愈，宜大承氣湯。
二阳并病，太阳证罢，但发潮热，手足漐漐汗出，大便难而讝语者，下之则愈，宜大承气汤。 èr yáng bìng bìng tài yáng zhèng bà dàn fā cháo rè shǒu zú zhí zhí hàn chū dà biàn nán ér zhān yǔ zhě xià zhī zé yù yí dà chéng qì tāng
二陽併病，太陽證已罷，但發潮熱，手足漐漐汗出，大便難而讝語的，下之就痊愈，宜大承氣湯。
When two yang are diseased together and the Taiyang signs have gone, with tidal fever alone, continuous sweat of hands and feet, difficult stool, and delirious speech, purging brings recovery, and Major Qi-Ordering Decoction is suitable.
51
陽明病，脉浮而緊，咽燥口苦，腹滿而喘，發熱汗出，不惡寒，反惡熱，身重。若發汗，則燥，心憒憒，反讝語，若加燒鍼，必怵惕煩燥不得眠。若下之，則胃中空虚，客氣動隔，心中懊憹，舌上胎者，梔子豉湯主之。
阳明病，脉浮而紧，咽燥口苦，腹满而喘，发热汗出，不恶寒，反恶热，身重。若发汗，则燥，心愦愦，反讝语，若加烧针，必怵惕烦燥不得眠。若下之，则胃中空虚，客气动隔，心中懊𢙐，舌上胎者，栀子豉汤主之。 yáng míng bìng mài fú ér jǐn yàn zào kǒu kǔ fù mǎn ér chuǎn fā rè hàn chū bù wù hán fǎn wù rè shēn zhòng ruò fā hàn zé zào xīn kuì kuì fǎn zhān yǔ ruò jiā shāo zhēn bì chù tì fán zào bù dé mián ruò xià zhī zé wèi zhōng kōng xū kè qì dòng gé xīn zhōng ào náo shé shàng tāi zhě zhī zǐ shì tāng zhǔ zhī
陽明病，脉浮而緊，咽燥口苦，腹滿而喘，發熱汗出，不惡寒，反而惡熱，身重。若發汗，就乾燥，心中憒憒，反而讝語，若加燒針，必怵惕煩燥不得眠。若攻下，就胃中空虚，客氣動膈，心中懊憹，舌上有苔的，梔子豉湯主治。
In yangming disease with a floating, tense pulse, dry throat, bitter mouth, full abdomen, panting, fever, sweat, no aversion to cold but aversion to heat, and a heavy body: sweating brings dryness and a confused heart with delirium; adding burning needles brings fearful restlessness, irritation, and sleeplessness. Purging empties the stomach, and guest qi stirs the diaphragm, with a troubled heart; if the tongue has a coating, Gardenia and Fermented Soy Decoction governs it.
52
若渴欲飲水，口乾舌燥者，白虎加人參湯主之。
若渴欲饮水，口干舌燥者，白虎加人参汤主之。
ruò kě yù yǐn shuǐ kǒu qián shé zào zhě bái hǔ jiā rén shēn tāng zhǔ zhī
若渴想飲水，口乾舌燥的，白虎加人參湯主治。
If there is thirst for water, a dry mouth, and a dry tongue, White Tiger plus Ginseng Decoction governs it.
53
若脉浮發熱，渴欲飲水，小便不利者，猪苓湯主之。
若脉浮发热，渴欲饮水，小便不利者，猪苓汤主之。 ruò mài fú fā rè kě yù yǐn shuǐ xiǎo biàn bù lì zhě zhū líng tāng zhǔ zhī
若脉浮發熱，渴想飲水，小便不利的，猪苓湯主治。
If the pulse is floating, with fever, thirst for water, and difficult urine, Pig Hoof Decoction governs it.
54
猪苓湯方：猪苓一兩，去皮。茯苓一兩。澤瀉一兩。滑石一兩。阿膠一兩。
猪苓汤方：猪苓一两，去皮。茯苓一两。泽泻一两。滑石一两。阿胶一两。
zhū líng tāng fāng zhū líng yī liǎng qù pí fú líng yī liǎng zé xiè yī liǎng huá shí yī liǎng ē jiāo yī liǎng
猪苓湯方：猪苓一兩，去皮；茯苓一兩；澤瀉一兩；滑石一兩；阿膠一兩。
Polyporus Decoction: polyporus one liang, peeled; poria one liang; alisma one liang; talc one liang; donkey-hide gelatin one liang.
55
右伍味，以水四升，先煮四味，取二升，去滓，内下阿，膠烊消。温服七合，日三服。
右伍味，以水四升，先煮四味，取二升，去滓，内下阿，胶烊消。温服七合，日三服。
yòu wǔ wèi yǐ shuǐ sì shēng xiān zhǔ sì wèi qǔ èr shēng qù zǐ nà xià ā jiāo yáng xiāo wēn fú qī gě rì sān fú
以上五味，用水四升，先煮四味，取二升，去滓，放入阿膠烊化。温服七合，日三服。
The five drugs: with four sheng of water first boil four of them, take two sheng, strain, and add the ass-hide glue to melt. Take seven ge warm, three times a day.
56
陽明病，汗出多而渴者，不可與猪苓湯。以汗多胃中燥，猪苓湯復利其小便故也。
阳明病，汗出多而渴者，不可与猪苓汤。以汗多胃中燥，猪苓汤复利其小便故也。 yáng míng bìng hàn chū duō ér kě zhě bù kě yǔ zhū líng tāng yǐ hàn duō wèi zhōng zào zhū líng tāng fù lì qí xiǎo biàn gù yě
陽明病，汗出多而渴的，不可與猪苓湯。因為汗多胃中乾燥，猪苓湯又利小便的緣故。
In yangming disease with much sweat and thirst, Pig Hoof Decoction must not be given, because much sweat dries the stomach and the decoction further promotes urine.
57
脉浮而遲，表熱裏寒，下利清榖者，四逆湯主之。
脉浮而迟，表热里寒，下利清谷者，四逆汤主之。
mài fú ér chí biǎo rè lǐ hán xià lì qīng gǔ zhě sì nì tāng zhǔ zhī
脉浮而遲，表熱裏寒，下利清榖的，四逆湯主治。
With a floating, slow pulse, heat in the exterior and cold in the interior, and diarrhoea of undigested grain, Four-Rebellion Decoction governs it.
58
若胃中虚冷，不能食者，飲水則噦。
若胃中虚冷，不能食者，饮水则哕。 ruò wèi zhōng xū lěng bù néng shí zhě yǐn shuǐ zé yuě
若胃中虚冷，不能食的，飲水就噦。
If the stomach is empty and cold with inability to eat, drinking water causes retching.
59
脉浮發熱，口乾鼻燥，能食者，則衄。
脉浮发热，口干鼻燥，能食者，则衄。
mài fú fā rè kǒu qián bí zào néng shí zhě zé nǜ
脉浮發熱，口乾鼻燥，能食的，就會衄血。
With a floating pulse, fever, dry mouth, and dry nose, if the patient can eat, there will be nosebleed.
60
陽明病，下之，其外有熱，手足温，不結胸，心中懊憹，飢不能食，但頭汗出者，梔子豉湯主之。
阳明病，下之，其外有热，手足温，不结胸，心中懊𢙐，饥不能食，但头汗出者，栀子豉汤主之。 yáng míng bìng xià zhī qí wài yǒu rè shǒu zú wēn bù jié xiōng xīn zhōng ào náo jī bù néng shí dàn tóu hàn chū zhě zhī zǐ shì tāng zhǔ zhī
陽明病，攻下後，其外有熱，手足温，不結胸，心中懊憹，飢而不能食，但頭汗出的，梔子豉湯主治。
In yangming disease after purging, with heat outside, warm hands and feet, no chest binding, a troubled heart, hunger yet inability to eat, and sweat on the head alone, Gardenia and Fermented Soy Decoction governs it.
61
陽明病，發潮熱，大便溏，小便自可，胸脅滿不去者，小柴胡湯主之。
阳明病，发潮热，大便溏，小便自可，胸胁满不去者，小柴胡汤主之。 yáng míng bìng fā cháo rè dà biàn táng xiǎo biàn zì kě xiōng xié mǎn bù qù zhě xiǎo chái hú tāng zhǔ zhī
陽明病，發潮熱，大便溏，小便自可，胸脅滿不去的，小柴胡湯主治。
In yangming disease with tidal fever, loose stool, urine as it should be, and fullness of the chest and ribs that does not leave, Minor Bupleurum Decoction governs it.
62
陽明病，脅下鞕滿，不大便而嘔，舌上白胎者，可與小柴胡湯。上焦得通，津液得下，胃氣因和，身濈然而汗出解也。
阳明病，胁下硬满，不大便而呕，舌上白胎者，可与小柴胡汤。上焦得通，津液得下，胃气因和，身濈然而汗出解也。 yáng míng bìng xié xià yìng mǎn bù dà biàn ér ǒu shé shàng bái tāi zhě kě yǔ xiǎo chái hú tāng shàng jiāo dé tōng jīn yè dé xià wèi qì yīn hé shēn jí rán ér hàn chū jiě yě
陽明病，脅下硬滿，不大便而嘔，舌上白苔的，可與小柴胡湯。上焦得通，津液得下，胃氣因和，身上連綿汗出而解。
In yangming disease with hardness and fullness below the ribs, no stool, vomiting, and a white coating on the tongue, Minor Bupleurum Decoction may be given. The upper burner is cleared, the fluids descend, the stomach qi is harmonised, and the case resolves with a continuous sweat over the body.
63
陽明中風，脉弦浮大而短氣，腹都滿，脅下及心痛，久按之，氣不通，鼻乾，不得汗，嗜卧，一身及面目悉黄，小便難，有潮熱，時時噦，耳前後腫，刺之小差，外不解，病過十日，脉續浮者，與小柴胡湯。脉但浮，無餘證者，與麻黄湯。若不尿，腹滿加噦者，不治。
阳明中风，脉弦浮大而短气，腹都满，胁下及心痛，久按之，气不通，鼻干，不得汗，嗜卧，一身及面目悉黄，小便难，有潮热，时时哕，耳前后肿，刺之小差，外不解，病过十日，脉续浮者，与小柴胡汤。脉但浮，无余证者，与麻黄汤。若不尿，腹满加哕者，不治。 yáng míng zhòng fēng mài xián fú dà ér duǎn qì fù dōu mǎn xié xià jí xīn tòng jiǔ àn zhī qì bù tōng bí gān bù dé hàn shì wò yī shēn jí miàn mù xī huáng xiǎo biàn nán yǒu cháo rè shí shí yuě ěr qián hòu zhǒng cì zhī xiǎo chài wài bù jiě bìng guò shí rì mài xù fú zhě yǔ xiǎo chái hú tāng mài dàn fú wú yú zhèng zhě yǔ má huáng tāng ruò bù niào fù mǎn jiā yuě zhě bù zhì
陽明中風，脉弦浮大而短氣，腹部都滿，脅下及心痛，久按之，氣不通，鼻乾，不得汗，嗜卧，一身及面目全黄，小便難，有潮熱，時時噦，耳前後腫，刺之稍減，外證不解，病過十日，脉繼續浮的，與小柴胡湯。脉但浮，沒有其餘證的，與麻黄湯。若不尿，腹滿加噦的，不治。
Yangming struck by wind gives a string-like, floating, large pulse with short breath, fullness of the whole abdomen, pain below the ribs and at the heart that does not clear on long pressure, dry nose, no sweat, drowsiness, yellowing of the whole body and face, difficult urine, tidal fever, frequent retching, and swelling before and behind the ears; needling eases it slightly. If the exterior does not resolve and after ten days the pulse is still floating, give Minor Bupleurum Decoction. If the pulse is only floating with no other signs, give Ephedra Decoction. If there is no urine, with abdominal fullness and added retching, it is not treated.
64
陽明病，自汗出，若發汗，小便自利者，此爲津液内竭，雖硬不可攻之，當須自欲大便，宜蜜煎導而通之。若土瓜根及與大猪膽汁，皆可爲導。
阳明病，自汗出，若发汗，小便自利者，此为津液内竭，虽硬不可攻之，当须自欲大便，宜蜜煎导而通之。若土瓜根及与大猪胆汁，皆可为导。 yáng míng bìng zì hàn chū ruò fā hàn xiǎo biàn zì lì zhě cǐ wéi jīn yè nèi jié suī yìng bù kě gōng zhī dāng xū zì yù dà biàn yí mì jiān dǎo ér tōng zhī ruò tǔ guā gēn jí yǔ dà zhū dǎn zhī jiē kě wéi dǎo
陽明病，自汗出，若發汗，小便自利的，這是津液内竭，雖然大便硬也不可攻，應當等他自想大便，宜用蜜煎導而通之。若土瓜根及大猪膽汁，都可以作導。
In yangming disease with spontaneous sweat, or after sweating, if the urine flows freely, the fluids within are exhausted; though the stool is hard it must not be attacked. One should wait until the patient wants to pass stool, and use honey suppository to open it. Snake-gourd root and pig bile may both serve as a suppository.
65
蜜煎導方：蜜七合。
蜜煎导方：蜜七合。
mì jiān dǎo fāng mì qī gě
蜜煎導方：蜜七合。
Honey Suppository: honey seven ge.
66
蜜七合一味，内銅器中，微火煎之，稍凝似飴狀，攪之勿令焦著。欲可丸，併手捻作挺，令頭鋭，大如指，長二寸許。當熱時急作，冷則硬，以内榖道中，以手急抱，欲大便時，乃去之。
蜜七合一味，内铜器中，微火煎之，稍凝似饴状，搅之勿令焦著。欲可丸，并手捻作挺，令头锐，大如指，长二寸许。当热时急作，冷则硬，以内谷道中，以手急抱，欲大便时，乃去之。
mì qī gě yī wèi nà tóng qì zhōng wēi huǒ jiān zhī shāo níng shì yí zhuàng jiǎo zhī wù lìng jiāo zháo yù kě wán bìng shǒu niē zuò tǐng lìng tóu ruì dà rú zhǐ cháng èr cùn xǔ dāng rè shí jí zuò lěng zé yìng yǐ nà gǔ dào zhōng yǐ shǒu jí bào yù dà biàn shí nǎi qù zhī
蜜七合一味，放入銅器中，微火煎之，稍凝像飴糖的樣子，攪動不要讓它焦著。等到可以作丸，用手捻作挺，使頭尖，大如指，長二寸左右。趁熱時急作，冷了則硬，放入穀道中，用手急抱，想大便時，才去掉它。
Seven ge of honey: put it in a bronze vessel and boil over a gentle fire until it thickens like syrup, stirring so that it does not scorch. When it can be made into a pill, twist it with the hand into a suppository with a pointed head, the size of a finger and about two inches long. Make it quickly while hot, for it hardens when cold; insert it into the anus and press the buttocks together; remove it when the stool is wanted.
67
猪膽汁方：大猪膽一枚。
猪胆汁方：大猪胆一枚。
zhū dǎn zhī fāng dà zhū dǎn yī méi
猪膽汁方：大猪膽一枚。
Pig Bile Enema: pig gallbladder one piece.
68
大猪膽一枚，瀉汁和醋少許，以灌榖道中，如一食頃，當大便出。
大猪胆一枚，泻汁和醋少许，以灌谷道中，如一食顷，当大便出。
dà zhū dǎn yī méi xiè zhī huò cù shào xǔ yǐ guàn gǔ dào zhōng rú yī shí qǐng dāng dà biàn chū
大猪膽一枚，瀉出汁和醋少許，灌入穀道中，約一頓飯的時間，當有大便出來。
One large pig gallbladder: pour out the bile, mix it with a little vinegar, and inject it into the anus; in about the time of one meal the stool should come.
69
陽明病，脉遲，汗出多，微惡寒者，表未解也，可發汗，宜桂枝湯。
阳明病，脉迟，汗出多，微恶寒者，表未解也，可发汗，宜桂枝汤。 yáng míng bìng mài chí hàn chū duō wēi wù hán zhě biǎo wèi jiě yě kě fā hàn yí guì zhī tāng
陽明病，脉遲，汗出多，微惡寒的，表未解，可以發汗，宜桂枝湯。
In yangming disease with a slow pulse, much sweat, and slight aversion to cold, the exterior is not resolved; sweat may be induced, and Cinnamon Twig Decoction is suitable.
70
陽明病，脉浮，無汗而喘者，發汗則愈，宜麻黄湯。
阳明病，脉浮，无汗而喘者，发汗则愈，宜麻黄汤。 yáng míng bìng mài fú wú hàn ér chuǎn zhě fā hàn zé yù yí má huáng tāng
陽明病，脉浮，無汗而喘的，發汗就痊愈，宜麻黄湯。
In yangming disease with a floating pulse, no sweat, and panting, inducing sweat brings recovery, and Ephedra Decoction is suitable.
71
陽明病，發熱汗出，此爲熱越，不能發黄也。但頭汗出，身無汗，劑頸而還，小便不利，渴引水漿者，此爲瘀熱在裏，身必發黄，茵蔯湯主之。
阳明病，发热汗出，此为热越，不能发黄也。但头汗出，身无汗，剂颈而还，小便不利，渴引水浆者，此为瘀热在里，身必发黄，茵𫈟汤主之。 yáng míng bìng fā rè hàn chū cǐ wéi rè yuè bù néng fā huáng yě dàn tóu hàn chū shēn wú hàn jì jǐng ér huán xiǎo biàn bù lì kě yǐn shuǐ jiāng zhě cǐ wéi yū rè zài lǐ shēn bì fā huáng yīn chén tāng zhǔ zhī
陽明病，發熱汗出，這是熱越，不能發黄。但頭汗出，身無汗，齊頸而止，小便不利，渴而引飲水漿的，這是瘀熱在裏，身必發黄，茵蔯湯主治。
In yangming disease with fever and sweat, the heat is escaping and cannot make yellow. If sweat appears on the head alone, the body is dry, and it stops at the neck, with difficult urine and thirst drawing on water and broth, this is stagnant heat within; the body will surely turn yellow, and Yinchen Decoction governs it.
72
“茵蔯蒿湯方”：茵蔯蒿六兩。梔子十四枚，擘。大黄二兩，去皮。
“茵𫈟蒿汤方”：茵陈蒿六两。栀子十四枚，擘。大黄二两，去皮。
yīn chén hāo tāng fāng yīn chén hāo liù liǎng zhī zǐ shí sì méi bò dà huáng èr liǎng qù pí
“茵蔯蒿湯方”：茵蔯蒿六兩；梔子十四枚，掰開；大黄二兩，去皮。
Capillary Wormwood Decoction: capillary wormwood six liang; gardenia fourteen pieces, split; rhubarb two liang, peeled.
73
右三味，以水一斗，先煮茵蔯，減六升，内二味，煮取三升，去滓，分温三服。小便當利，尿如皂角汁狀，色正赤，一宿腹減，黄從小便去也。
右三味，以水一斗，先煮茵𫈟，减六升，内二味，煮取三升，去滓，分温三服。小便当利，尿如皂角汁状，色正赤，一宿腹减，黄从小便去也。
yòu sān wèi yǐ shuǐ yī dǒu xiān zhǔ yīn chén jiǎn liù shēng nà èr wèi zhǔ qǔ sān shēng qù zǐ fēn wēn sān fú xiǎo biàn dāng lì niào rú zào jiǎo zhī zhuàng sè zhèng chì yī xiǔ fù jiǎn huáng cóng xiǎo biàn qù yě
以上三味，用水一斗，先煮茵蔯，減去六升，放入二味，煮取三升，去滓，分温三服。小便當利，尿像皂角汁的樣子，色正赤，一夜腹減，黄從小便而去。
The three drugs: with one dou of water first boil yinchen down by six sheng, add the other two, boil to three sheng, strain, and take warm in three doses. Urine should then flow freely, like the juice of the soap bean and bright red; in one night the abdomen lessens and the yellowness leaves with the urine.
74
陽明證，其人喜忘者，必有畜血。所以然者，本有久瘀血，故令喜忘。屎雖鞕，大便反易，其色必黑，宜抵當湯下之。
阳明证，其人喜忘者，必有畜血。所以然者，本有久瘀血，故令喜忘。屎虽硬，大便反易，其色必黑，宜抵当汤下之。 yáng míng zhèng qí rén xǐ wàng zhě bì yǒu xù xuè suǒ yǐ rán zhě běn yǒu jiǔ yū xuè gù lìng xǐ wàng shǐ suī yìng dà biàn fǎn yì qí sè bì hēi yí dǐ dāng tāng xià zhī
陽明證，其人喜忘的，必有蓄血。所以這樣，是因為本有久瘀血，故使他喜忘。屎雖然硬，大便反而容易，其色必黑，宜抵當湯下之。
In yangming disease, if the patient is forgetful, there must be stored blood. The reason is long-standing static blood, which makes him forgetful. Though the dung is hard, the stool passes easily, and its colour must be black; Resisting Decoction should be given to purge it.
75
陽明病，下之，心中懊憹而煩，胃中有燥屎者，可攻。腹微滿，初頭鞕，後必溏，不可攻之。若有燥屎者，宜大承氣湯。
阳明病，下之，心中懊𢙐而烦，胃中有燥屎者，可攻。腹微满，初头硬，后必溏，不可攻之。若有燥屎者，宜大承气汤。 yáng míng bìng xià zhī xīn zhōng ào náo ér fán wèi zhōng yǒu zào shǐ zhě kě gōng fù wēi mǎn chū tóu yìng hòu bì táng bù kě gōng zhī ruò yǒu zào shǐ zhě yí dà chéng qì tāng
陽明病，攻下後，心中懊憹而煩，胃中有燥屎的，可以攻。腹微滿，初頭硬，後必溏，不可攻。若有燥屎的，宜大承氣湯。
In yangming disease after purging, with a troubled, irritated heart and dry dung in the stomach, it may be attacked. If the abdomen is slightly full, hard at first and surely loose afterwards, it must not be attacked. If there is dry dung, Major Qi-Ordering Decoction is suitable.
bìng rén bù dà biàn wǔ liù rì rào qí tòng fán zào fā zuò yǒu shí zhě cǐ yǒu zào shǐ gù shǐ bù dà biàn yě
病人不大便五六日，繞臍痛，煩燥，發作有定的，這是有燥屎，所以使不大便。
When the patient has had no stool for five or six days, with pain around the navel and irritation coming at fixed times, there is dry dung, and that is why there is no stool.
77
病人煩熱，汗出則解，又如瘧狀，日晡所發熱者，屬陽明也。脉實者，宜下之，脉浮虚者，宜發汗。下之與大承氣湯，發汗宜桂枝湯。
病人烦热，汗出则解，又如疟状，日晡所发热者，属阳明也。脉实者，宜下之，脉浮虚者，宜发汗。下之与大承气汤，发汗宜桂枝汤。 bìng rén fán rè hàn chū zé jiě yòu rú nüè zhuàng rì bū suǒ fā rè zhě shǔ yáng míng yě mài shí zhě yí xià zhī mài fú xū zhě yí fā hàn xià zhī yǔ dà chéng qì tāng fā hàn yí guì zhī tāng
病人煩熱，汗出就解，又像瘧疾的模樣，日晡時發熱的，屬陽明。脉實的，宜攻下，脉浮而虚的，宜發汗。攻下與大承氣湯，發汗宜桂枝湯。
When the patient has irritable heat that resolves with sweat, and a malaria-like fever at the late afternoon, it belongs to yangming. A solid pulse calls for purging; a floating, empty pulse calls for sweating. For purging give Major Qi-Ordering Decoction; for sweating, Cinnamon Twig Decoction is suitable.
78
大下後，六七日不大便，煩不解，腹滿痛者，此有燥屎也。所以然者，本有宿食故也，宜大承氣湯。
大下后，六七日不大便，烦不解，腹满痛者，此有燥屎也。所以然者，本有宿食故也，宜大承气汤。 dà xià hòu liù qī rì bù dà biàn fán bù jiě fù mǎn tòng zhě cǐ yǒu zào shǐ yě suǒ yǐ rán zhě běn yǒu sù shí gù yě yí dà chéng qì tāng
大下後，六七日不大便，煩不解，腹滿痛的，這是有燥屎。所以這樣，是因為本有宿食的緣故，宜大承氣湯。
After a great purgation, with no stool for six or seven days, unrelieved irritation, and full, painful abdomen, there is dry dung. The reason is previous retained food, and Major Qi-Ordering Decoction is suitable.
79
病人小便不利，大便乍難乍易，時有微熱，喘冒不能卧者，有燥屎也，宜大承氣湯。
病人小便不利，大便乍难乍易，时有微热，喘冒不能卧者，有燥屎也，宜大承气汤。 bìng rén xiǎo biàn bù lì dà biàn zhà nán zhà yì shí yǒu wēi rè chuǎn mào bù néng wò zhě yǒu zào shǐ yě yí dà chéng qì tāng
病人小便不利，大便忽難忽易，時時有微熱，喘而昏冒不能卧的，這是有燥屎，宜大承氣湯。
When the patient has difficult urine, stool sometimes hard and sometimes easy, occasional slight fever, and panting dizziness that prevents lying down, there is dry dung, and Major Qi-Ordering Decoction is suitable.
80
食榖欲嘔者，屬陽明也，呉茱萸湯主之。得湯反劇者，屬上焦也。
食谷欲呕者，属阳明也，呉茱萸汤主之。得汤反剧者，属上焦也。 shí gǔ yù ǒu zhě shǔ yáng míng yě wú zhū yú tāng zhǔ zhī dé tāng fǎn jù zhě shǔ shàng jiāo yě
食榖想嘔的，屬陽明，呉茱萸湯主治。得湯反而加劇的，屬上焦。
Vomiting on eating grain belongs to yangming, and Evodia Decoction governs it. If the decoction makes it worse, it belongs to the upper burner.
81
呉茱萸湯方：呉茱萸一升，洗。人参三兩。生薑六兩，切。大棗十二枚，擘。
呉茱萸汤方：吴茱萸一升，洗。人参三两。生姜六两，切。大枣十二枚，擘。
wú zhū yú tāng fāng wú zhū yú yī shēng xǐ rén shēn sān liǎng shēng jiāng liù liǎng qiē dà zǎo shí èr méi bò
呉茱萸湯方：呉茱萸一升，洗淨；人参三兩；生薑六兩，切片；大棗十二枚，掰開。
Evodia Decoction: evodia one sheng, washed; ginseng three liang; fresh ginger six liang, sliced; jujube twelve pieces, split.
82
右四味，以水七升，煮取二升，去滓，温服七合，日三服。
右四味，以水七升，煮取二升，去滓，温服七合，日三服。
yòu sì wèi yǐ shuǐ qī shēng zhǔ qǔ èr shēng qù zǐ wēn fú qī gě rì sān fú
以上四味，用水七升，煮取二升，去滓，温服七合，日三服。
The four drugs: with seven sheng of water boil down to two sheng, strain, and take seven ge warm, three times a day.
83
太陽病，寸緩關浮尺弱，其人發熱汗出，復惡寒不嘔，但心下痞者，此以醫下之也。如其不下者，病人不惡寒而渴者，此轉屬陽明也。小便數者，大便必鞕，不更衣十日，無所苦也。渴欲飲水，少少與之，但以法救之，渴者宜五苓散。
太阳病，寸缓关浮尺弱，其人发热汗出，复恶寒不呕，但心下痞者，此以医下之也。如其不下者，病人不恶寒而渴者，此转属阳明也。小便数者，大便必硬，不更衣十日，无所苦也。渴欲饮水，少少与之，但以法救之，渴者宜五苓散。 tài yáng bìng cùn huǎn guān fú chǐ ruò qí rén fā rè hàn chū fù wù hán bù ǒu dàn xīn xià pǐ zhě cǐ yǐ yī xià zhī yě rú qí bù xià zhě bìng rén bù wù hán ér kě zhě cǐ zhuǎn shǔ yáng míng yě xiǎo biàn shuò zhě dà biàn bì yìng bù gēng yī shí rì wú suǒ kǔ yě kě yù yǐn shuǐ shāo shāo yǔ zhī dàn yǐ fǎ jiù zhī kě zhě yí wǔ líng sǎn
太陽病，寸脉緩，關脉浮，尺脉弱，其人發熱汗出，又惡寒不嘔，只是心下痞的，這是因為醫生攻下。若不曾攻下，病人不惡寒而渴的，這是轉屬陽明。小便數的，大便必硬，不更衣十日，也沒有甚麼苦楚。渴想飲水，少少與他，只依法救之，渴的宜五苓散。
In Taiyang disease with a moderate pulse at the inch, floating at the bar, and weak at the cubit, fever, sweat, aversion to cold without vomiting, and fullness only below the heart, this is because the physician purged. If there was no purging, and the patient has no aversion to cold but thirst, the disease has turned to belong to yangming. With frequent urine the stool must be hard, and ten days without a movement may cause no distress. If there is thirst for water, give a little, and rescue by the proper method; for thirst, Five-Ingredient Powder with Poria is suitable.
84
脉陽微而汗出少者，爲自和也；汗出多者，爲太過。
脉阳微而汗出少者，为自和也；汗出多者，为太过。
mài yáng wēi ér hàn chū shǎo zhě wéi zì hé yě hàn chū duō zhě wéi tài guò
脉象陽微而汗出少的，是身體自己趨於和；汗出多的，就是太過。
When the yang pulse is faint and the sweat is slight, there is spontaneous harmony; when the sweat is much, there is excess.
85
陽脉實，因發其汗，出多者，亦爲太過。太過爲陽絶於裏，亡津液，大便因鞕也。
阳脉实，因发其汗，出多者，亦为太过。太过为阳绝于里，亡津液，大便因硬也。 yáng mài shí yīn fā qí hàn chū duō zhě yì wéi tài guò tài guò wéi yáng jué yú lǐ wáng jīn yè dà biàn yīn yìng yě
陽脉實，因而發其汗，出得多的，也是太過。太過就陽絶於裏，津液耗亡，大便因而硬。
When the yang pulse is solid and sweat is induced, and much comes out, this is also excess. Excess cuts off the yang within, drains the fluids, and the stool becomes hard.
86
脉浮而芤，浮爲陽，芤爲陰，浮芤相搏，胃氣生熱，其陽則絶。
脉浮而芤，浮为阳，芤为阴，浮芤相搏，胃气生热，其阳则绝。
mài fú ér kōu fú wéi yáng kōu wéi yīn fú kōu xiāng bó wèi qì shēng rè qí yáng zé jué
脉浮而芤，浮屬陽，芤屬陰，浮芤相搏，胃氣生熱，其陽就絶。
With a floating, hollow pulse, the floating is yang and the hollow is yin; the two striking together make heat in the stomach qi, and the yang is cut off.
87
趺陽脉浮而濇，浮則胃氣強，澀則小便數，浮澀相搏，大便則難，其脾爲約，麻仁丸主之。
趺阳脉浮而涩，浮则胃气强，涩则小便数，浮涩相搏，大便则难，其脾为约，麻仁丸主之。
fū yáng mài fú ér sè fú zé wèi qì qiáng sè zé xiǎo biàn shuò fú sè xiāng bó dà biàn zé nán qí pí wéi yuē má rén wán zhǔ zhī
趺陽脉浮而濇，浮則胃氣強，濇則小便數，浮濇相搏，大便就難，其脾為約，麻仁丸主治。
When the instep pulse is floating and rough, the floating means strong stomach qi and the rough means frequent urine; the two striking together make the stool difficult, and the spleen is constrained. Hemp Seed Pill governs it.
88
麻仁丸方：麻子仁二升。芍藥半斤。枳實半斤，炙。大黄一斤，去皮。厚朴一斤，炙，去皮。杏人一升，去皮尖，熬，别作脂。
麻仁丸方：麻子仁二升。芍药半斤。枳实半斤，炙。大黄一斤，去皮。厚朴一斤，炙，去皮。杏人一升，去皮尖，熬，别作脂。
má rén wán fāng má zǐ rén èr shēng sháo yào bàn jīn zhǐ shí bàn jīn zhì dà huáng yī jīn qù pí hòu pò yī jīn zhì qù pí xìng rén yī shēng qù pí jiān áo bié zuò zhī
麻仁丸方：麻子仁二升；芍藥半斤；枳實半斤，炙過；大黄一斤，去皮；厚朴一斤，炙過，去皮；杏人一升，去皮尖，熬過，另研成脂。
Hemp Seed Pill: hemp seed two sheng; peony root half a jin; immature bitter orange half a jin, honey-fried; rhubarb one jin, peeled; magnolia bark one jin, honey-fried, peeled; apricot kernel one sheng, tip removed, dry-roasted, ground separately to a paste.
89
右六味爲末，煉蜜爲丸，桐子大。飲服十丸，日三服，漸加以和爲度。
右六味为末，炼蜜为丸，桐子大。饮服十丸，日三服，渐加以和为度。
yòu liù wèi wéi mò liàn mì wéi wán tóng zǐ dà yǐn fú shí wán rì sān fú jiàn jiā yǐ hé wéi dù
以上六味，研為末，煉蜜為丸，如桐子大。飲服十丸，日三服，漸漸增加，以和為度。
The six drugs: grind to powder, knead with refined honey into pills the size of paulownia seeds. Take ten pills with drink, three times a day, increasing gradually until harmony is reached.
90
太陽病三日，發汗不解，蒸蒸發熱者，屬胃也，調胃承氣湯主之。
太阳病三日，发汗不解，蒸蒸发热者，属胃也，调胃承气汤主之。
tài yáng bìng sān rì fā hàn bù jiě zhēng zhēng fā rè zhě shǔ wèi yě tiáo wèi chéng qì tāng zhǔ zhī
太陽病三日，發汗而病不解，蒸蒸發熱的，這是屬胃，調胃承氣湯主治。
In Taiyang disease of three days, unresolved after sweating, with a steaming fever, it belongs to the stomach, and Regulate-the-Stomach Qi-Ordering Decoction governs it.
91
傷寒吐後，腹脹滿者，與調胃承氣湯。
伤寒吐后，腹胀满者，与调胃承气汤。
shāng hán tǔ hòu fù zhàng mǎn zhě yǔ tiáo wèi chéng qì tāng
傷寒吐後，腹脹滿的，與調胃承氣湯。
In cold damage after vomiting, with abdominal distension and fullness, give Regulate-the-Stomach Qi-Ordering Decoction.
92
太陽病，若吐、若下、若發汗微煩，小便數，大便因鞕者，與小承氣湯和之愈。
太阳病，若吐、若下、若发汗微烦，小便数，大便因硬者，与小承气汤和之愈。
tài yáng bìng ruò tǔ ruò xià ruò fā hàn wēi fán xiǎo biàn shuò dà biàn yīn yìng zhě yǔ xiǎo chéng qì tāng hé zhī yù
太陽病，若吐、若下、若發汗而微煩，小便數，大便因而硬的，與小承氣湯和之就痊愈。
In Taiyang disease, after vomiting, purging, or sweating, with slight irritation, frequent urine, and hard stool, give Minor Qi-Ordering Decoction to harmonise, and the patient recovers.
93
得病二三日，脉弱，無太陽、柴胡證，煩燥，心下鞕，至四五日，雖能食，以小承氣湯，少少與，微和之，令小安，至六日，與承氣湯一升。若不大便六七日，小便少者，雖不能食，但初頭鞕，後必溏，未定成鞕，攻之必溏，須小便利，屎定鞕，乃可攻之，宜大承氣湯。
得病二三日，脉弱，无太阳、柴胡证，烦燥，心下硬，至四五日，虽能食，以小承气汤，少少与，微和之，令小安，至六日，与承气汤一升。若不大便六七日，小便少者，虽不能食，但初头硬，后必溏，未定成硬，攻之必溏，须小便利，屎定硬，乃可攻之，宜大承气汤。 dé bìng èr sān rì mài ruò wú tài yáng chái hú zhèng fán zào xīn xià yìng zhì sì wǔ rì suī néng shí yǐ xiǎo chéng qì tāng shāo shāo yǔ wēi hé zhī lìng xiǎo ān zhì liù rì yǔ chéng qì tāng yī shēng ruò bù dà biàn liù qī rì xiǎo biàn shǎo zhě suī bù néng shí dàn chū tóu yìng hòu bì táng wèi dìng chéng yìng gōng zhī bì táng xū xiǎo biàn lì shǐ dìng yìng nǎi kě gōng zhī yí dà chéng qì tāng
得病二三日，脉弱，沒有太陽、柴胡證，煩燥，心下硬，到四五日，雖然能食，用小承氣湯少少與他，微和之，使他稍安，到六日，與承氣湯一升。若不大便六七日，小便少的，雖然不能食，只是初頭硬，後必溏，未必成硬，攻之必溏，須待小便利，屎確定硬，才可以攻，宜大承氣湯。
Two or three days after falling ill, with a weak pulse, no Taiyang or Bupleurum signs, irritation, and hardness below the heart, by the fourth or fifth day, though the patient can eat, give a little Minor Qi-Ordering Decoction to harmonise gently and give some ease; by the sixth day give one sheng of Qi-Ordering Decoction. If there has been no stool for six or seven days and the urine is scanty, though the patient cannot eat, only the first part is hard and the rest will be loose; it is not yet certainly hard, and attacking will make it loose. Wait until the urine flows freely and the dung is certainly hard; then it may be attacked, and Major Qi-Ordering Decoction is suitable.
94
傷寒六七日，目中不了了，睛不和，無表裏證，大便難，身微熱者，此爲實也，急下之，宜大承氣湯。
伤寒六七日，目中不了了，睛不和，无表里证，大便难，身微热者，此为实也，急下之，宜大承气汤。 shāng hán liù qī rì mù zhōng bù liǎo liǎo jīng bù hé wú biǎo lǐ zhèng dà biàn nán shēn wēi rè zhě cǐ wéi shí yě jí xià zhī yí dà chéng qì tāng
傷寒六七日，目中不了了，睛不和，沒有表裏證，大便難，身微熱的，這是實，趕快攻下，宜大承氣湯。
In cold damage of six or seven days, with blurred vision, disharmony of the eyes, no exterior or interior signs, difficult stool, and slight fever of the body, this is excess; purge at once, and Major Qi-Ordering Decoction is suitable.
95
陽明發熱汗多者，急下之，宜大承氣湯。
阳明发热汗多者，急下之，宜大承气汤。 yáng míng fā rè hàn duō zhě jí xià zhī yí dà chéng qì tāng
陽明發熱汗多的，趕快攻下，宜大承氣湯。
In yangming with fever and much sweat, purge at once, and Major Qi-Ordering Decoction is suitable.
96
發汗不解，腹滿痛者，急下之，宜大承氣湯。
发汗不解，腹满痛者，急下之，宜大承气汤。 fā hàn bù jiě fù mǎn tòng zhě jí xià zhī yí dà chéng qì tāng
發汗不解，腹滿痛的，趕快攻下，宜大承氣湯。
When sweating does not resolve the disease and the abdomen is full and painful, purge at once, and Major Qi-Ordering Decoction is suitable.
97
腹滿不減，減不足言，當下之，宜大承氣湯。
腹满不减，减不足言，当下之，宜大承气汤。 fù mǎn bù jiǎn jiǎn bù zú yán dāng xià zhī yí dà chéng qì tāng
腹滿不減，減也不足說，當攻下，宜大承氣湯。
When abdominal fullness does not lessen, and any lessening is not worth speaking of, it should be purged, and Major Qi-Ordering Decoction is suitable.
98
陽明少陽合病，必下利，其脉不負者，順也。負者失也，互相剋賊，名爲負也。脉滑而數者，有宿食也，當下之，宜大承氣湯。
阳明少阳合病，必下利，其脉不负者，顺也。负者失也，互相克贼，名为负也。脉滑而数者，有宿食也，当下之，宜大承气汤。 yáng míng shào yáng hé bìng bì xià lì qí mài bù fù zhě shùn yě fù zhě shī yě hù xiāng kè zéi míng wéi fù yě mài huá ér shuò zhě yǒu sù shí yě dāng xià zhī yí dà chéng qì tāng
陽明與少陽合病，必下利，其脉不負的，是順。負的就是失，兩經互相剋賊，名叫負。脉滑而數的，是有宿食，應當攻下，宜大承氣湯。
When yangming and shaoyang are diseased together there must be diarrhoea. If the pulse is not defeated, the case is favourable; defeated means loss, when the two overcome each other, and this is called defeat. A slippery, rapid pulse means retained food; it should be purged, and Major Qi-Ordering Decoction is suitable.
99
病人無表裏證，發熱七八日，雖脉浮數者，可下之。假令已下，脉數不解，合熱則消榖善飢，至六七日不大便者，有瘀血，宜抵當湯。
病人无表里证，发热七八日，虽脉浮数者，可下之。假令已下，脉数不解，合热则消谷善饥，至六七日不大便者，有瘀血，宜抵当汤。 bìng rén wú biǎo lǐ zhèng fā rè qī bā rì suī mài fú shuò zhě kě xià zhī jiǎ lìng yǐ xià mài shuò bù jiě hé rè zé xiāo gǔ shàn jī zhì liù qī rì bù dà biàn zhě yǒu yū xuè yí dǐ dāng tāng
病人沒有表裏證，發熱七八日，雖然脉浮數的，可以攻下。假使已經攻下，脉數不解，熱合於內就消榖善飢，到六七日不大便的，有瘀血，宜抵當湯。
When the patient has no exterior or interior signs and has had fever for seven or eight days, though the pulse is floating and rapid it may be purged. Suppose it has been purged and the rapid pulse does not clear; when the heat joins within, grain is consumed and hunger is constant; if by the sixth or seventh day there is no stool, there is static blood, and Resisting Decoction is suitable.
100
若脉數不解而下不止，必協熱而便膿血也。
若脉数不解而下不止，必协热而便脓血也。
ruò mài shuò bù jiě ér xià bù zhǐ bì xié rè ér biàn nóng xuè yě
若脉數不解而下利不止，必協熱而便膿血。
If the rapid pulse does not clear and the diarrhoea does not stop, there will surely be heat joining to produce pus and blood in the stool.
101
傷寒發汗，己身目爲黄，所以然者，以寒濕在裏不解故也。以爲不可下也。於寒濕中求之。
伤寒发汗，己身目为黄，所以然者，以寒湿在里不解故也。以为不可下也。于寒湿中求之。
shāng hán fā hàn jǐ shēn mù wéi huáng suǒ yǐ rán zhě yǐ hán shī zài lǐ bù jiě gù yě yǐ wéi bù kě xià yě yú hán shī zhōng qiú zhī
傷寒發汗，己身目為黄，所以這樣，是因為寒濕在裏不解的緣故。以為不可攻下，當於寒濕中求治法。
In cold damage after sweating, the body and eyes turn yellow; the reason is cold dampness within that is not resolved. It should not be purged; seek the treatment among cold and dampness.
102
傷寒七八日，身黄如橘子色，小便不利，腹微滿者，茵蔯蒿湯主之。
伤寒七八日，身黄如橘子色，小便不利，腹微满者，茵𫈟蒿汤主之。 shāng hán qī bā rì shēn huáng rú jú zi sè xiǎo biàn bù lì fù wēi mǎn zhě yīn chén hāo tāng zhǔ zhī
傷寒七八日，身黄像橘子色，小便不利，腹微滿的，茵蔯蒿湯主治。
In cold damage of seven or eight days, with the body yellow like an orange, difficult urine, and slight abdominal fullness, Yinchenhao Decoction governs it.
103
傷寒，身黄發熱者，梔子蘗皮湯主之。
伤寒，身黄发热者，栀子蘗皮汤主之。
shāng hán shēn huáng fā rè zhě zhī zǐ bò pí tāng zhǔ zhī
傷寒，身黄發熱的，梔子蘗皮湯主治。
In cold damage with yellowing of the body and fever, Gardenia and Corktree Bark Decoction governs it.
104
梔子蘗皮湯方：梔子十五箇。甘草一兩。黄蘗二兩。
栀子蘗皮汤方：栀子十五个。甘草一两。黄蘗二两。
zhī zǐ bò pí tāng fāng zhī zǐ shí wǔ gè gān cǎo yī liǎng huáng bò èr liǎng
梔子蘗皮湯方：梔子十五箇；甘草一兩；黄蘗二兩。
Gardenia and Phellodendron Decoction: gardenia fifteen pieces; liquorice one liang; phellodendron two liang.
105
右三味，以水四升，煮取一升半，去滓，分温再服。
右三味，以水四升，煮取一升半，去滓，分温再服。
yòu sān wèi yǐ shuǐ sì shēng zhǔ qǔ yī shēng bàn qù zǐ fēn wēn zài fú
以上三味，用水四升，煮取一升半，去滓，分温再服。
The three drugs: with four sheng of water boil down to one and a half sheng, strain, and take warm in two doses.
106
傷寒，瘀熱在裏，身必發黄，麻黄連軺赤小豆湯主之。
伤寒，瘀热在里，身必发黄，麻黄连轺赤小豆汤主之。 shāng hán yū rè zài lǐ shēn bì fā huáng má huáng lián yáo chì xiǎo dòu tāng zhǔ zhī
傷寒，瘀熱在裏，身必發黄，麻黄連軺赤小豆湯主治。
In cold damage with stagnant heat within, the body will surely turn yellow, and Ephedra, Forsythia Root, and Adzuki Decoction governs it.
107
麻黄連軺赤小豆湯方：麻黄二兩，去節。赤小豆一升。連軺二兩。杏仁四十箇，去皮尖。大棗十二枚。生梓白皮一升。生薑二兩，切。甘草二兩。
麻黄连轺赤小豆汤方：麻黄二两，去节。赤小豆一升。连轺二两。杏仁四十个，去皮尖。大枣十二枚。生梓白皮一升。生姜二两，切。甘草二两。
má huáng lián yáo chì xiǎo dòu tāng fāng má huáng èr liǎng qù jié chì xiǎo dòu yī shēng lián yáo èr liǎng xìng rén sì shí gè qù pí jiān dà zǎo shí èr méi shēng zǐ bái pí yī shēng shēng jiāng èr liǎng qiē gān cǎo èr liǎng
麻黄連軺赤小豆湯方：麻黄二兩，去節；赤小豆一升；連軺二兩；杏仁四十箇，去皮尖；大棗十二枚；生梓白皮一升；生薑二兩，切片；甘草二兩。
Ephedra, Forsythia and Adzuki Bean Decoction: ephedra two liang, nodes removed; adzuki bean one sheng; forsythia root two liang; apricot kernel forty pieces, tip removed; jujube twelve pieces; fresh catalpa bark one sheng; fresh ginger two liang, sliced; liquorice two liang.
108
已上八味，以潦水一斗，先煮麻黄，再沸，去上沫，内諸藥，煮取三升，分温三服，半日服盡。
已上八味，以潦水一斗，先煮麻黄，再沸，去上沫，内诸药，煮取三升，分温三服，半日服尽。
yǐ shàng bā wèi yǐ lǎo shuǐ yī dǒu xiān zhǔ má huáng zài fèi qù shàng mò nà zhū yào zhǔ qǔ sān shēng fēn wēn sān fú bàn rì fú jǐn
以上八味，用潦水一斗，先煮麻黄，再沸，去上沫，放入諸藥，煮取三升，分温三服，半日服盡。
The eight drugs: with one dou of rain water first boil the ephedra, let it boil twice, skim off the froth, add the other drugs, boil down to three sheng, and take warm in three doses, finishing within half a day.