Classica Sinica Medica

Shaoyang Disease

辨少陽病脉證并治第九

Biàn shào yáng bìng mài zhèng bìng zhì dì jiǔ

The shaoyang chapter, ten passages only, and the shortest of the six.It is a chapter of boundaries. It opens with the one line that fixes the channel: the disease of shaoyang is a bitter mouth, a dry throat, and dimness of the eyes. Then come the two prohibitions that govern everything after — no vomiting and no purging where the ears are deaf and the chest full, and no sweating where the pulse is string-like and fine, since sweat dries the stomach and the wood of shaoyang turns against it, bringing delirious speech. The middle of the chapter gives the one formula: hardness below the ribs, dry vomiting, inability to eat, alternating cold and heat, and a deep, tense pulse, answered by Minor Bupleurum. What follows is the spoiled disease — the case that has already been vomited, purged, sweated and needled, where the Bupleurum signs have gone and one must ask which wrong treatment was committed.The chapter closes on three signs of return: the three yang exhausted and the three yin refusing the evil, the sleep with sweat when the eyes close, and the small pulse on the third day. Cheng Wuyi's commentary is quoted selectively, marked 成注（節）.

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10 paragraphs
少陽之病，口苦、咽乾、目眩也。 少阳之病，口苦、咽干、目眩也。
shào yáng zhī bìng kǒu kǔ yān gān mù xuàn yě
少陽之病，是口裏發苦、咽喉乾燥、眼睛昏眩。
The disease of shaoyang is a bitter mouth, a dry throat, and dimness of the eyes.
少陽中風，兩耳無所聞，目赤，胸中滿而煩者，不可吐下，吐下則悸而驚。 少阳中风，两耳无所闻，目赤，胸中满而烦者，不可吐下，吐下则悸而惊。
shào yáng zhòng fēng liǎng ěr wú suǒ wén mù chì xiōng zhōng mǎn ér fán zhě bù kě tǔ xià tǔ xià zé jì ér jīng
少陽中風，兩耳聽不見聲音，眼睛發紅，胸中滿而心煩的，不可吐下，吐下就會心悸而驚恐。
Shaoyang struck by wind gives deafness of both ears, red eyes, and fullness and irritation in the chest; it must not be treated by vomiting or purging, for these bring palpitation and fright.
傷寒脉弦細，頭痛，發熱者，屬少陽。少陽不可，發汗，發汗，則讝語，此屬胃，胃和則愈，胃不和則煩而悸。 伤寒脉弦细，头痛，发热者，属少阳。少阳不可，发汗，发汗，则讝语，此属胃，胃和则愈，胃不和则烦而悸。
shāng hán mài xián xì tóu tòng fā rè zhě shǔ shào yáng shào yáng bù kě fā hàn fā hàn zé zhān yǔ cǐ shǔ wèi wèi hé zé yù wèi bù hé zé fán ér jì
傷寒脉弦細，頭痛，發熱的，這是屬少陽。少陽不可發汗，發汗就讝語，這是邪已屬胃，胃和就痊愈，胃不和就心煩而悸。
In cold damage with a string-like, fine pulse, headache, and fever, it belongs to shaoyang. Shaoyang must not be made to sweat; sweating brings delirious speech, for the disease then belongs to the stomach. When the stomach is harmonised the patient recovers; when it is not, there is irritation with palpitation.
本太陽病不解，轉入少陽者，脅下鞕滿，乾嘔不能食，往來寒熱，尚未吐下，脉沉緊者，與小柴胡湯。 本太阳病不解，转入少阳者，胁下硬满，干呕不能食，往来寒热，尚未吐下，脉沉紧者，与小柴胡汤。
běn tài yáng bìng bù jiě zhuǎn rù shào yáng zhě xié xià yìng mǎn gān ǒu bù néng shí wǎng lái hán rè shàng wèi tǔ xià mài chén jǐn zhě yǔ xiǎo chái hú tāng
本太陽病不解，轉入少陽的，脅下硬滿，乾嘔不能食，往來寒熱，尚未吐下，脉沉緊的，與小柴胡湯。
When Taiyang disease is unresolved and turns into shaoyang, with hardness and fullness below the ribs, dry vomiting, inability to eat, alternating cold and heat, and no vomiting or purging yet given, if the pulse is deep and tense, give Minor Bupleurum Decoction.
若已吐、下、發汗，温鍼，讝語，柴胡湯證罷，此爲壞病。知犯何逆，以法治之。 若已吐、下、发汗，温针，讝语，柴胡汤证罢，此为坏病。知犯何逆，以法治之。
ruò yǐ tǔ xià fā hàn wēn zhēn zhān yǔ chái hú tāng zhèng bà cǐ wéi huài bìng zhī fàn hé nì yǐ fǎ zhì zhī
若已吐、下、發汗、温針，而讝語，柴胡湯證已罷的，這是壞病。要知道犯了何種誤治，依法救治。
If vomiting, purging, sweating, or warm needling has already been used and there is delirious speech, and the Bupleurum signs have gone, this is a spoiled disease. One must know which wrong treatment was committed and treat by the proper method.
三陽合病，脉浮大，上關上，但欲眠睡，目合則汗。 三阳合病，脉浮大，上关上，但欲眠睡，目合则汗。
sān yáng hé bìng mài fú dà shàng guān shàng dàn yù mián shuì mù hé zé hàn
三陽合病，脉浮大，上於關上，只想睡眠，眼睛一合就出汗。
When the three yang are diseased together, with a floating, large pulse rising above the bar, the patient wants only to sleep, and sweats as soon as the eyes close.
傷寒六七日，無大熱，其人燥煩者，此爲陽去入陰故也。 伤寒六七日，无大热，其人燥烦者，此为阳去入阴故也。
shāng hán liù qī rì wú dà rè qí rén zào fán zhě cǐ wéi yáng qù rù yīn gù yě
傷寒六七日，沒有大熱，其人燥煩的，這是陽去入陰的緣故。
In cold damage of six or seven days without great heat, if the patient is dry and irritable, this is because the yang has gone and entered the yin.
傷寒三日，三陽爲盡，三陰當受邪，其人反能食而不嘔，此爲三陰不受邪也。 伤寒三日，三阳为尽，三阴当受邪，其人反能食而不呕，此为三阴不受邪也。
shāng hán sān rì sān yáng wéi jǐn sān yīn dāng shòu xié qí rén fǎn néng shí ér bù ǒu cǐ wéi sān yīn bù shòu xié yě
傷寒三日，三陽將盡，三陰當受邪，其人反而能食而不嘔，這是三陰不受邪。
By the third day of cold damage the three yang are exhausted and the three yin should receive the evil; if the patient can instead eat and does not vomit, the three yin have not received it.
傷寒三日，少陽脉小者，欲已也。 伤寒三日，少阳脉小者，欲已也。
shāng hán sān rì shào yáng mài xiǎo zhě yù yǐ yě
傷寒三日，少陽脉小的，是將要痊愈。
In cold damage of three days, a small shaoyang pulse means the disease is about to end.
少陽病，欲解時，從寅至辰上。 少阳病，欲解时，从寅至辰上。
shào yáng bìng yù jiě shí cóng yín zhì chén shàng
少陽病將要解除的時辰，是從寅時到辰時。
The hour when shaoyang disease tends to resolve is from the hour of yin to the hour of chen.

Textual notes

Readings follow the base edition; significant variants are recorded here.

  1. 少陽不可，發汗通行本作「少陽不可發汗」

    底本於不可下着逗號，讀作兩截，語氣似可而實不可。少陽為半表半裏，汗之則津液外亡，木邪干胃而讝語，故戒之。今照錄逗號，說解連讀，不以斷句為異文。

  2. 脉沉緊者底本作「𦂳」

    𦂳為緊之訛形，從糸從臣又，與緊一字。沉緊者，邪已傳裏而未全入府，外證猶在，故仍與小柴胡和解，不因沉緊而遽下。今回改作緊，讀 jǐn，本篇此字三見。

  3. 其人燥煩者通行本作「其人躁煩者」

    燥與躁通，躁煩謂煩而身不安，非乾燥之燥。此條無大熱而躁煩，是陽去入陰之徵，與陽明府實之煩躁不同。本篇燥、躁二字並見，皆讀 zào，今照錄燥。

  4. 温鍼通行本作「温針」

    鍼即針之古字，從金從咸。温針謂以火煮針而刺，與燒針同類，皆助熱傷陰。少陽本不可汗吐下，温針尤犯其禁，故柴胡證罷而為壞病。今照錄鍼，讀 zhēn。

  5. 上關上通行本同

    上字作動詞，讀 shàng，謂脉氣上出於關上。關脉候少陽，浮大之脉上於關上，是三陽之氣並湊。若讀上聲則文義不通，故特記其讀。

  6. 少陽脉小者通行本同

    小與大對，大則邪至，小則邪退。傷寒三日邪傳少陽，脉當弦緊，今反小者，是邪氣已微，故曰欲已。此與陽明脉大之條正相對，一大一小，而進退之機見矣。

Cite this page

APA

Shanghan Lun 傷寒論 (Zhang Zhongjing, early 3rd century CE; the received text was reconstituted in the Song.). Biàn shào yáng bìng mài zhèng bìng zhì dì jiǔ 辨少陽病脉證并治第九 [Shaoyang Disease], Chapter 9. In Classica Sinica Medica. Base text: 《注解傷寒論》十卷二十二篇，漢·張機撰，金·成無己注。據上海涵芬樓《四部叢刊》子部影印明嘉靖汪濟眀刊本錄入。底本經文用大字、成注用雙行小字，二者版面上截然可分；本站錄經文，成注擇要節引，標「成注（節）」，不入正文。卷末附釋音，逐字注反切或直音，為定音之第一手。底本與影印本均屬公有領域。 Retrieved 31 October 2026, from https://classicstcm.com/classics/shanghan-lun/shaoyang-disease/

MLA

"Biàn shào yáng bìng mài zhèng bìng zhì dì jiǔ 辨少陽病脉證并治第九 [Shaoyang Disease]." Shanghan Lun 傷寒論, chapter 9, Classica Sinica Medica, 2026, https://classicstcm.com/classics/shanghan-lun/shaoyang-disease/. Accessed 31 Oct. 2026. Base text: 《注解傷寒論》十卷二十二篇，漢·張機撰，金·成無己注。據上海涵芬樓《四部叢刊》子部影印明嘉靖汪濟眀刊本錄入。底本經文用大字、成注用雙行小字，二者版面上截然可分；本站錄經文，成注擇要節引，標「成注（節）」，不入正文。卷末附釋音，逐字注反切或直音，為定音之第一手。底本與影印本均屬公有領域。

Chinese scholarly

《傷寒論·辨少陽病脉證并治第九》（Shānghán lùn）。《注解傷寒論》十卷二十二篇，漢·張機撰，金·成無己注。據上海涵芬樓《四部叢刊》子部影印明嘉靖汪濟眀刊本錄入。底本經文用大字、成注用雙行小字，二者版面上截然可分；本站錄經文，成注擇要節引，標「成注（節）」，不入正文。卷末附釋音，逐字注反切或直音，為定音之第一手。底本與影印本均屬公有領域。Classica Sinica Medica，2026 年 10 月 31 日 存取，https://classicstcm.com/classics/shanghan-lun/shaoyang-disease/。

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