辨认一切阳虚证法
Diagnosis of Yang deficiency
凡阳虚之人，阴气自然必盛（阴气二字，指水旺，水即血也。血盛则气衰，此阳虚之所由来也）。外虽现一切火症（此火名虚火，与实火有别。实火本客气入阳经，抑郁所致。虚火即阴气上僭，阴指水，气即水中先天之阳，故曰虚火。水气以下流为顺，上行为逆，实由君火太弱，不能镇纳，以致上僭而为病）,
近似实火，俱当以此法辨之，万无一失。
Whenever the Yang is in deficiency, the
Yin Qi must be in an overwhelming condition (The meaning of
the Yin Qi refers to too much of water. The Water means the
Blood. When the Blood is too much, the Qi will be in a
declined condition. This is the reason for the Yang
deficiency). Looked from the body surface, it all appears as
a Fire condition (Here the Fire is termed no-shape Fire, Xu
Fire. It is deferent from the true Fire. The true Fire is
due to the invasion of outside disease-causing Qi into the
Yang meridians and suppressed in that meridian. The Xu Fire
means the floating of the Yin Qi from the lower part of the
body – kidney. The Yin refers to the Water and the Qi here
refers to the True Yang in the Kidney. So the Fire is called
the Xu Fire. Usually it is normal that the Water Qi (the Yin
Qi) flows downwards. It is against the normal rule if it
floats up. The real reason for its floating up is the weak
of the King Fire in the Heart, which cannot suppress the
True Fire (the Yin Qi, e.g. the Minister Fire) floating up,
so that the Yin Qi floats up to cause a disease. ), appears
as a real Fire, but should be identified by the rules
introduced here, to avoid any mistake.
阳虚病，其人必面色唇口青白无神，目瞑倦卧，声低息短，少气懒言，身重畏寒，口吐清水，饮食无味，舌青滑，或黑润青白色，淡黄润滑色，满口津液，不思水饮，即饮亦喜热汤，二便自利，脉浮空，细微无力，自汗肢冷，爪甲青，腹痛囊缩，种种病形，皆是阳虚的真面目，用药即当扶阳抑阴（扶阳二字，包括上中下，如桂枝、参、芪，扶上之阳；姜、蔻、西砂，扶中之阳；天雄、附子、硫黄，扶下之阳）。
Patient with the Yang deficiency must
have blue-white color on the face, mouth lips, have
no-desire expression on the face, feel dizzy and tend to lie
down, have low voice and short of breath, hesitate and
dislike to talk, feel heavy in the body and fear cold, have
clear saliva flowing in the mouth, no taste for food, have
blue color tongue, The tongue cover is slippery, or slight
yellowish and slippery. The mouth is full of saliva. No
desire to drink water. If drink, want to drink hot water
(soup). There are frequent bowel movement and frequent urine
(even leak). The pulse is floating and feels hollow on the
pulse, or the pulse feels very thin and not strong. The
patient’s extreme feels cold. Patient has self-sweat. The
nails are blue-purple, the stomach feels pain and the
scrotum is shrunken. All conditions suggest the truth for
the Yang deficiency. In the treatment, the herbs should work
to support Yang and suppress the Yin (To support Yang
include to support the Yang Qi in the upper, the middle and
the lower Jao. The herbs are such as Guizhi, Renshen,
Huangqi to support the Upper Yang Qi; the Shenjiang,
Ganjiang, Roudouku, Sharen for the middle Yang Qi; and the
Wutou, Fuzi, Liuhuang for the lower Yang Qi.
然又有近似实火处，又当指陈。阳虚症，有面赤如硃而似实火者（元阳外越也，定有以上病情可凭），有脉极大劲如石者（元阳暴脱也，定有以上病情可凭），However,
there are conditions in the clinic similar to the real Fire
condition, which need to be pointed out too. For some people
with the Yang deficiency condition, however, his face looks
very red in color similar to have high fever (this condition
indicates the floating of the Yuan Yang – the Truth Yang
from the kidney. Though the face is highly red in color, the
patient must have some other evidences above to suggest the
real Yang deficiency condition). Some patient’s pulse feels
very strong, big, as toughing a stone (this condition
suggests a sudden escape of the Yuan Yang).
有身大热者（此条有三：一者元阳外越，身必不痛不渴，无外感可凭；一者产妇血骤虚，阳无所附；一者吐血伤阴，元气无依，吐则气机发外，元气亦因而发外也），
Some patients have high fever (under
this condition, there are three different situations: first,
the patient’s Yuan Yang is floating. The patient has no
pain, no thirsty. No any other evidence of common cold can
be found. Second situation: the women has huge bleeding
during birth delivery. The Yang is floating because there is
no Yin (the blood) to attach. In the third condition, the
patient has vomiting of blood. The Yuan Yang has no Yin (the
blood) to attach. Vomiting triggers the Qi escaping out of
the body, so the Yuan Yang out too.)
有满口齿缝流血者（阳气虚不能统血，血盛故外越也），有气喘促、咳嗽痰涌者（肺为清虚之脏，着不得一毫阴气，今心肺之阳不足，故不能制僭上之阴气也。阴气指肾水肾火，此条言内伤），
Some patients with the Yang deficiency
have bleeding in the teeth (it is due to the weakness of the
Yang Qi, so the blood is overwhelming and spills out of the
blood vessels). Some patients have short of the breath and
asthma, with huge amount of phlegm (The lung is clear organ,
cannot endure any Yin Qi in it. Now, the Yang Qi in the
heart and in the lung is deficient, cannot suppress the
floating Yin Qi. The Yin Qi here means the Kidney Water and
Kidney Fire. This paragraph discusses the damage inside of
the body).
有大、小便不利者（阳不足以化阴也，定有以上病情可凭）。此处略具一二，再玩阳虚门问答便知。
Some patients have difficult in the
bowel movement and urination (because the Yang fails to
govern the Yin). Here are just some examples. More
information is listed under the Chapter for the Yang
deficiency.
【阐释】郑氏谓：天雄、附子、硫黄扶下之阳，是有特点的。李时珍《本草纲目》谓乌、附、天雄皆是补下焦命门阳虚之药，以其皆同种而异名，同具辛、热气味而有毒，须制熟始可用，确为治下焦阳虚的要药。至硫黄亦大热纯阳，能补命门真火不足，龙绘堂《蠢子医》并谓："硫黄原是火之精，一切湿热它能清。"但因其味酸有毒，一般少用以内服，惟张钖纯善用之，其所著《医学衷中参西录》云："十馀年间，用生硫黄治愈沉寒痼冷之病不胜计。盖硫黄原无毒，其毒即其热也，使少服不会觉热，即于人分毫无损，故不用制熟即可服，更可常服也。且自古论硫黄者，莫不谓其功胜桂、附，惟径用生者系愚之创见，而实由自家徐徐尝验，确知其功效甚奇，又甚稳妥，然后敢以之治病。今邑中日服生硫黄者数百人，莫不饮食加多，身体强壮，皆愚为之引导也。"笔者亦常用硫黄为人治病，凡命门火衰，沉寒痼冷之症，用之特效，惟不用生者，需制熟而后用于汤药或丸药。其法以萝卜剜空，入硫黄在内，合定，放锅内煮二小时，去其臭气；或用豆腐同煮二小时亦可。患者刘××，食不下，饮水都吐，经检查为贲门癌，必须手术切除。笔者诊断为哽噎病，阳虚症状明显，命门火衰，即用附子理中汤加味，入硫黄20
克至30
克，服药三月而全愈，今已五年未复发，足证硫黄功用，尚可推广。至于郑氏提到满口齿缝流血，系阳虚不能统血，血盛因而外越，亦属确见。笔者常本"齿属肾"之义，用四逆汤加上桂以治此等症候，而取得显著效果。有气喘促、咳嗽痰涌者，郑氏指为心肺之阳不足，故不能制僭上之肾水肾火，确属经验有得之言。笔者对治此种病症，只要所吐系白泡沫痰或涎痰，略带咸味，气喘促，恶寒，投以附子理中汤加砂仁，无不应手辄效。至大便不利，有如羊矢，一般都认为火大，郑氏指出有阳不化阴，亦即阴结。笔者师其意，而用附子理中汤合半硫丸加肉苁蓉、麻仁、杏仁取效。硫黄性大热，能补命门真火，推动阳气以疏利大肠，又佐半夏之降浊。故半硫丸向为治阴结之良剂。
(This paragraph does not belong to the
original book, so not translate)
