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
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.
潮熱之「潮」,以時至爲義;此條最明。
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
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.
一節之内,可攻與不可攻並見,判詞只在「潮」與「不潮」。
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
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.
日晡所發,陽明之潮有其時;循衣摸牀、直視,則熱之極也。
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
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.
潮熱而大便溏,裏未實也,故仍與小柴胡——同一潮熱,虛實異治。