翻刻
大満、猶生寒熱、則病不除、若表已解、而内不消、大
満大実堅、有燥屎、自可除下之、雖四五日、不能為
禍也、若不宜下、而便攻之、内虚熱入、恊熱遂利、煩
燥諸変、不可勝数、軽者困篤、重者必死矣、
由中以達表《割書:九|ウ》 劉方舟本、无由中二字、類編刪由
中以三字、《割書:按原病篇、有精気自内由膜原以達表文、則|由中二字不必刪、蓋内字句、中者指膜原而》
《割書:言也、》
下後脈浮 《割書:類編巻三《割書:廿|オ》》
脈浮而微数身微熱神気或不爽《割書:十|オ》 微字、或字、字
眼、
覆盃則汗解《割書:十|ウ》 霊枢邪客篇云、其病新発者、覆盃
則臥、汗出則已矣、久者三飲而矣已也、
下後脈浮而数《割書:十|ウ》 劉松峯云、此仍承篇首裡症二
句来、乃遥接法、非緊頂上句、
週《割書:十|ウ》 周同、
劉松峯曰、此時石膏不宜多用、因下後也、恐其寒
胃、況有他病先虧【左は虚】等虚症乎、
下後脈復沈《割書:類編巻三《割書:廿一|オ》》
邪気復聚 《割書:類編巻三作下後邪復聚《割書:廿一|オ》》
下後身反熱《割書:類編巻三《割書:廿一|ウ》》
現代語訳
大いに満ち、なお寒熱を生じるならば、病は除かれない。もし表がすでに解けているが内が消散せず、大いに満ち大いに実して堅く、燥屎があるならば、自ずから下法を行ってよい。四五日経っても、禍とはならない。もし下すべきでないのに便ちに攻めれば、内が虚して熱が入り、熱と協して利し、煩燥など諸々の変化は数え切れず、軽い者は困篤し、重い者は必ず死ぬ。
内から表に達することについて。劉方舟本には「由中」の二字がない。『類編』では「由中以」の三字を削っている。[按ずるに原病篇には「精気が内より膜原を由て表に達す」の文があり、則ち「由中」二字は削る必要がない。蓋し内の字句で、中とは膜原を指して言うものである。]
下後に脈浮(『類編』巻三所載)
脈浮にして微数、身に微熱あり、神気あるいは爽やかならず。「微」字、「或」字が字眼である。
覆盃すれば則ち汗解す。『霊枢』邪客篇に云く「その病新たに発する者は、覆盃すれば則ち臥し、汗出ずれば則ち已む。久しき者は三たび飲みて已むなり」と。
下後脈浮にして数なることについて。劉松峯云く「此れは仍お篇首の裏症二句を承けて来る、乃ち遥接法にて、上句に緊頂するにあらず」と。
週。周と同じ。
劉松峯曰く「此の時石膏を多用すべからず、下後なるが因なり。その胃を寒からしむるを恐る。況んや他病先虧等の虚症あるをや」と。
下後脈復た沈む(『類編』巻三所載)
邪気復た聚る(『類編』巻三では「下後邪復聚」と作る)
下後身反って熱す(『類編』巻三所載)
英語訳
greatly full, and still producing chills and fever, then the disease is not eliminated. If the exterior is already resolved but the interior is not dissolved, with great fullness, great excess and hardness, and dry stool, then purging can naturally be performed. Even after four or five days, it will not cause disaster. If purging is inappropriate but one attacks anyway, the interior becomes deficient and heat enters, cooperating with heat to cause diarrhea, agitation, restlessness and countless other transformations - the mild cases will become severely ill, the severe cases will surely die.
Regarding "reaching from interior to exterior": Liu Fangzhou's version lacks the two characters "youzhong" (from middle). The Leibian deletes the three characters "youzhong yi" (from middle to). [Note: In the original disease section, there is text stating "essence qi reaches from interior through the membrane source to the exterior," so the two characters "youzhong" need not be deleted. This refers to the interior phrase, where "middle" refers to the membrane source.]
Floating pulse after purging (recorded in Leibian volume 3)
Pulse floating and slightly rapid, body with slight fever, spirit qi sometimes unclear. The characters "slight" and "sometimes" are key points.
Covering with a cup results in sweating resolution. The "Spiritual Pivot," Chapter on Pathogenic Visitors states: "For those whose disease is newly manifested, covering with a cup and lying down, when sweating emerges, it stops. For chronic cases, drinking three times will stop it."
Regarding floating and rapid pulse after purging: Liu Songfeng says: "This still follows from the two phrases about interior symptoms at the beginning of the chapter, using the distant connection method, not tightly following the preceding sentence."
Zhou: Same as "zhou" (complete cycle).
Liu Songfeng said: "At this time, gypsum should not be used in large amounts because it is after purging. One fears it will make the stomach cold, moreover when there are other diseases with prior deficiency and other deficiency symptoms."
After purging, pulse becomes deep again (recorded in Leibian volume 3)
Pathogenic qi gathers again (Leibian volume 3 writes "pathogenic qi gathers again after purging")
After purging, body conversely develops fever (recorded in Leibian volume 3)