1. Important Passages from the Treatise on Cold Damage
1. In the case of Taiyang disease, the pulse is floating, with stiffness and pain in the head and neck, accompanied by aversion to cold. 2. In Taiyang disease, if there is fever, sweating, aversion to wind, and a slow pulse, it is termed a wind stroke. 3. In Taiyang disease, whether there is fever or not, there must be aversion to cold, body aches, nausea, and a tight pulse indicating both Yin and Yang; this is termed Cold Damage. 6. In Taiyang disease, if there is fever and thirst but no aversion to cold, it is classified as a warm disease. 7. If the disease presents with fever and aversion to cold, it arises from Yang. If there is no fever and no aversion to cold, it arises from Yin. Yang conditions recover in seven days, while Yin conditions recover in six days, hence the numbers. 12. In Taiyang wind stroke, Yang is floating and Yin is weak. The floating Yang indicates heat is self-releasing; the weak Yin indicates sweating is self-occurring. If there is aversion to cold, aversion to wind, fever, nasal congestion, and dry vomiting, use Gui Zhi Tang (Cinnamon Twig Decoction). 13. In Taiyang disease, with headache, fever, sweating, and aversion to wind, use Gui Zhi Tang. 20. In Taiyang disease, if sweating occurs and does not stop, and the person has aversion to wind, difficulty urinating, and slight urgency in the limbs, making it hard to bend or stretch, use Gui Zhi Jia Fu Zi Tang (Cinnamon Twig Decoction with Aconite). 26. If after taking Gui Zhi Tang, there is profuse sweating, great thirst that does not resolve, and a flooding pulse, use Bai Hu Jia Ren Shen Tang (White Tiger Decoction with Ginseng). 31. In Taiyang disease, if there is stiffness in the neck and back, no sweating, and aversion to wind, use Ge Gen Tang (Kudzu Decoction). 34. In Taiyang disease, if the Gui Zhi syndrome is treated with purgatives and diarrhea does not stop, and the pulse is rapid, it indicates the exterior has not resolved; if there is wheezing and sweating, use Ge Gen Huang Qin Huang Lian Tang (Kudzu, Scutellaria, and Coptis Decoction). 35. In Taiyang disease, if there is headache, fever, body aches, low back pain, joint pain, aversion to wind, and no sweating but wheezing, use Ma Huang Tang (Ephedra Decoction). 38. In Taiyang wind stroke, if the pulse is floating and tight, with fever, aversion to cold, body aches, and no sweating but restlessness, use Da Qing Long Tang (Major Blue Dragon Decoction). If the pulse is weak and sweating occurs with aversion to wind, it should not be taken; if taken, it will cause reversal and muscle spasms, which is a reversal condition. 64. If sweating is excessive, and the person has their hands crossed over their heart, with palpitations, and desires pressure on the heart, use Gui Zhi Gan Cao Tang (Cinnamon and Licorice Decoction). 71. In Taiyang disease, after sweating, if there is profuse sweating, dryness in the stomach, restlessness, inability to sleep, and a desire for water, give small amounts to drink to harmonize the stomach qi for recovery. If the pulse is floating, urination is not smooth, and there is slight heat with thirst, use Wu Ling San (Five-Ingredient Powder with Poria). 82. In Taiyang disease, if sweating occurs but does not resolve, and the person still has fever, palpitations in the heart, dizziness, body tremors, and a desire to collapse, use Zhen Wu Tang (True Warrior Decoction). 91. In Cold Damage, if the physician purges and there is continued diarrhea of clear fluids, with body aches, urgent treatment is needed for the interior. If body aches resolve and the stool normalizes, urgent treatment is needed for the exterior. For interior treatment, use Si Ni Tang (Frigid Extremities Decoction); for exterior treatment, use Gui Zhi Tang. 96. In Cold Damage, after five or six days, if there is wind stroke with alternating chills and fever, fullness in the chest and flanks, aversion to food, irritability, nausea, or abdominal pain, or hardness in the flanks, or palpitations in the heart, or difficulty urinating, or no thirst, with slight heat in the body, or cough, use Xiao Chai Hu Tang (Minor Bupleurum Decoction). 101. In Cold Damage with wind stroke, if there is a Chai Hu syndrome, only one symptom needs to be present; it is not necessary to have all symptoms. If the Chai Hu syndrome persists after purging, give Chai Hu Tang (Bupleurum Decoction) again, and it will cause a steaming sensation and fever with sweating to resolve. 106. If Taiyang disease does not resolve, and there is heat binding in the bladder, causing the person to act madly, blood flows downward, and if it resolves, the exterior has not yet resolved; it should not be attacked yet. First, resolve the exterior. Once the exterior is resolved, if there is still urgency in the lower abdomen, it can be attacked; use Tao Ren Cheng Qi Tang (Peach Kernel Decoction). 135. In Cold Damage after six or seven days, if there is heat binding in the chest, with a tight and deep pulse, and pain in the heart, with hardness upon palpation, use Da Xian Xiong Tang (Major Sinking in the Chest Decoction). 138. In minor chest binding disease, if it is located under the heart, and palpation causes pain, with a floating and slippery pulse, use Xiao Xian Xiong Tang (Minor Sinking in the Chest Decoction). 146. In Cold Damage after six or seven days, if there is fever, slight aversion to cold, joint pain, slight nausea, and hardness under the heart, with the exterior symptoms not yet resolved, use Chai Hu Gui Zhi Tang (Bupleurum and Cinnamon Decoction). 154. If there is fullness under the heart, with palpation being soft, and the pulse is floating at the guan position, use Da Huang Huang Lian Xie Xin Tang (Rhubarb and Coptis Heart-Draining Decoction). 161. In Cold Damage, if there is vomiting or purging, and after resolution, if there is fullness under the heart, with belching that does not resolve, use Xuan Fu Dai Zhe Tang (Inula and Hematite Decoction). 163. In Taiyang disease, if the exterior symptoms have not resolved, and there are multiple purges, leading to heat and diarrhea that does not stop, with fullness under the heart, and the exterior and interior not resolved, use Gui Zhi Ren Shen Tang (Cinnamon and Ginseng Decoction). 177. In Cold Damage, if the pulse is bound and intermittent, with palpitations, use Zhi Gan Cao Tang (Honey-Fried Licorice Decoction). 180. In Yangming disease, the stomach is full. 182. The question is: What are the exterior symptoms of Yangming disease? The answer is: body heat, spontaneous sweating, and aversion to heat rather than cold. 236. In Yangming disease, if there is fever and sweating, this indicates heat excess, and it cannot turn yellow; if only sweating occurs on the head, with no sweating on the body, and if there is difficulty urinating and thirst for water, this indicates heat accumulation in the interior, and the body will turn yellow; use Yin Chen Hao Tang (Artemisia Yinchenhao Decoction). 263. In Shaoyang disease, there is bitter taste in the mouth, dry throat, and dizziness. 273. In Taiyin disease, there is abdominal fullness and vomiting, inability to eat, and diarrhea; if purged, there will be hardness under the chest. 277. If there is diarrhea without thirst, it belongs to Taiyin, due to the storage of cold. It should be warmed; use Si Ni Tang (Frigid Extremities Decoction) and similar formulas. 303. In Shaoyin disease, if it lasts for two to three days, with restlessness in the heart and inability to sleep, use Huang Lian A Jiao Tang (Coptis and Donkey-Hide Gelatin Decoction). 305. In Shaoyin disease, if there is body pain, cold hands and feet, joint pain, and a deep pulse, use Fu Zi Tang (Aconite Decoction). 319. In Shaoyin disease, if there is diarrhea for six or seven days, with cough and thirst, and restlessness preventing sleep, use Zhu Ling Tang (Polyporus Decoction). 326. In Jueyin disease, there is thirst, qi rising to the heart, heat and pain in the heart, hunger without desire to eat, and vomiting if food is ingested. If purged, diarrhea does not stop. 337. In general, if there is reversal, it indicates that Yin and Yang qi are not in harmony, leading to reversal. Reversal is indicated by cold hands and feet. 351. If there is cold in the hands and feet, with a thin pulse that is about to disappear, use Dang Gui Si Ni Tang (Tangkuei Decoction for Frigid Extremities). 378. If there is dry vomiting, with foamy saliva, and headache, use Wu Zhu Yu Tang (Evodia Decoction).
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