This article is to predict whether typhoid fever will spread. "A day of typhoid fever makes the sun suffer from it" means that the human body is injured by cold pathogens and begins to get sick in the meridians of the sun. "One day" means just suffering from evil. "The pulse is still but not transmitted" is to judge whether the pulse is transmitted. If the pulse is quiet, it means that evil is not abundant, healthy qi is not empty, and evil is not scattered in other meridians. "Vein" means that the pulse is calm and calm. "I want to vomit, if I am impatient, my pulse is fast, which is also a kind of spread", "I want to vomit" is a sign that evil forces commit shaoyang meridian; "If you are impatient", if you feel agitated, it means that evil spirits have signs of spreading Yangming Meridian; "A person with a fast pulse" is compared with "a person with a quiet pulse". A quiet pulse indicates that menstruation is not transmitted, while a fast pulse indicates that evil is strong and invincible, which is the performance of menstruation.
Original: On the second or third day of typhoid fever, those who can't see Yangming shaoyang syndrome will not be infected. (5)
This article follows the previous article to discuss the witness that typhoid fever does not pass through the classics. "typhoid fever for two or three days" shows that typhoid fever is the second in time and cannot last for two or three days. Typhoid fever starts from the Sun Meridian and then spreads to Yangming Meridian or Shaoyang Meridian. Clinically, Yangming syndrome and shaoyang syndrome disappeared for two or three days. Zhongjing judged that the meridians were impassable and the pathogenic factors were still in the Taiyang meridian.
Sun sickness, fever and thirst, is not aversion to cold, but fever. If you are sweating and have a fever, it is called wind temperature. Wind and temperature are diseases, full pulse of yin and yang, spontaneous sweating, heavy body, excessive sleep, snoring, and difficulty in speaking. If the victim is caught, urination is unfavorable and he loses his direct vision; If the victim is burned, it will turn yellow slightly, like a seizure, and it will be embarrassing to be smoked by fire. A reversal still leads to the sun, and then the growth promotion period is reversed. (6)
As an article in Treatise on Febrile Diseases, this paper puts forward that the key point of syndrome differentiation with febrile diseases is "fever and thirst, not aversion to cold". It can be seen from this article that "typhoid fever" in Treatise on Febrile Diseases is in a narrow sense. In addition to the main points of distinguishing febrile diseases from typhoid fever, the clinical manifestations and adverse consequences caused by improper treatment of febrile diseases are described in detail with examples, suggesting the treatment taboos of febrile diseases. This is the only article on febrile diseases in the book, and it is also a clue for future generations to guess whether Zhang Zhongjing has a monograph on febrile diseases.
Taiyang disease is a kind of superficial disease, which can cause fever, aversion to cold and strong head pain. This article highlights fever and thirst, and does not hate cold. It can be seen that the exterior syndromes of epidemic febrile diseases are headache, fever, thirst and floating pulse. It is wrong to treat fever as typhoid fever by sweating. The wind is warm and sweaty, and the wind is hot, so the body is burning.
Because the disease of wind and temperature in this paper appears after sweating, some commentators think that wind and temperature is a malignant disease caused by warm disease and sweating by mistake. Cheng Yingcheng in Qing Dynasty said: "Wind temperature is the evil disease of epidemic febrile disease." In fact, Zhong Jing said in this article that doctors mistook febrile diseases for typhoid fever and sweating, and listed the consequences of wind removing heat, and then put forward the syndrome of wind-temperature pulse. Because wind evil and temperature first appear in the table, the pulse size fluctuates, and the "yin and yang" of "pulse yin and yang floating" here refers to the size. This is written in contrast to the third article "Tight pulse of Yin and Yang" in Treatise on Febrile Diseases, which means that the pulse is cold and urgent, and the pulse of Yin and Yang is tight, indicating ups and downs. This is a febrile disease in the exterior, so the pulse of yin and yang is floating, and yin and yang here refers to the size. It is also a yin-yang pulse with different meanings. This pulse of yin and yang is in line with the pulse of the sun, and the specific pulse of febrile diseases is not involved in this book. Because it's windy and windy, it's sweaty and heavy; Excessive heat is harmful to the mind, uneasy, causing drowsiness, heavy breathing and snoring; If the heart dominates the text, it will be difficult for the text to come out if it is hot and sad. If the lower method is used for treatment, it will inevitably damage the gasification function of body fluid and bladder, so urination is unfavorable, direct vision and loss of urine. Adverse urination is a misuse of purgation, which hurts the gasification function of bladder. Direct vision is that the eyes are not sensitive or motionless, which is caused by misuse of the lower method and damage to the yin of liver and kidney. Urinary incontinence refers to urinary incontinence, but there are different opinions in the note: Xu thinks it is urinary incontinence; The second edition of the textbook (the second edition of the national Chinese medicine industry planning textbook) considers incontinence, including fecal incontinence, on the grounds that the kidney is responsible for defecation. I think it should be urinary incontinence, because it is not suitable to urinate in front and not in the back, indicating that there are two situations of urinary incontinence and non-urination. Inasmuch of body fluid leads to anuria; Or due to accidental injury to the gasification function of kidney and bladder, kidney failure and incontinence.
If fire attack is misused (referring to moxibustion, fire needle and other ancient treatments), heat is used to treat heat, and the second yang is smoked, but the blood color is light and the skin is yellowish. In severe cases, the heat hurts the blood and the wind hurts the spirit. Now it is convulsion. With fire, a mistake can delay a day, a mistake is repeated, and the patient dies.
This paper can be divided into three parts. The first paragraph is "sun disease, fever and thirst, those who do not hate cold are febrile diseases", which are distinguished from typhoid fever by clinical manifestations. The second paragraph "If you are sweating, you will feel hot, which is called wind temperature", citing the consequences caused by wind temperature sweating. In the third paragraph, "Wind-temperature is a disease ... and then reverses the life period", which supplements the pulse condition of wind-temperature and puts forward the consequences of mistreatment and contraindications for treatment, warning everyone to study in the future.