属者所统属也。知其所属。则纲领既得。而其条目可例求矣。
诸风掉眩皆属于肝。
肝为风脏。凡风病皆属于肝。诸风。谓中风伤风惊风疠风之类。所该之证多矣。掉谓转动。凡猝倒痉痫抽掣摇战之
类皆是。肝主筋此皆筋之为病也。眩是昏晕。凡昏花妄见。头目旋转。皆是肝开窍于目。故有此病也。西医谓目眩惑昏
花。痉痫抽掣。皆脑髓筋为病谓目系通脑故昏眩。脑气用力太过。则肉缩伸抽掣。究问脑气何故病。此则西医茫然。岂
知肝脉通于脑。开窍于目而土筋。凡西医所谓脑气。皆肝脉所司。而脉筋所以致病。则又肝风为政也。故凡掉眩皆属于。
风而诸风为病。总属之肝。
诸寒收引皆属于肾。
肾司寒气。故凡寒证。皆属之肾。肾又主骨。肾阳四达。则骨体舒展举动轻便。若肢骨拘急而收曲。或 缓而引长。
皆骨不为用也。须知拘收引 。与抽掣缩短者不同。一是寒症一是风症当辨。
诸气 郁。皆属于肺。
五脏六腑之气。无不总统于肺。以肺为气之总管也。故凡治气。皆当治肺。肺立皮毛。 是气之乖于皮毛者。
也说文谓形恶。如紫癜斑瘤。黑痣 鼻之类西医言毛孔下有油核。其管直通皮肤。若面生黑刺。即管塞。之故此即内经
之说也。郁是气遏于内。不得舒发也。见病。如气逆痰滞。血结便闭之类。是气之乖于腹内者。郁与畅反肺气不畅
故郁。宜散降之。
诸湿肿满皆属于脾。
肿在皮肤四肢。满在腹内胀塞。皆湿气壅滞。水不下行。停走于膈膜中也。然湿证尚不止此。故曰诸湿或头目晕沉。
或疟暑泄痢。或周身痹痛。或痰饮 癖。皆属脾土。不制水所致盖脾生油膜之。上膜是三焦主水道油是脾之物油不沾水。
此脾所以利水也。若脾之油失其令则湿气乃。得藏匿。故治湿责之于脾。
诸痛疮痒。皆属于心。
此言诸疮。或血分凝结阻滞其。气气与血争则痛。或血虚生热。兼动风气。风火相扇。则痒。皆属心经血分为病。
治宜和血。又凡病不干血分皆不发痛。故痞臌肿等。均不痛凡是腹痛肢体痛。盖无不关于血分故皆属心。
诸热瞀 皆属于火。
诸热谓发热恶热瘟暑等症。瞀谓眼目昏花。黑暗见鬼等症。 谓筋不得伸。抽掣等证。皆属于火者。盖诸热是火伤
气分。火克肺金也。瞀是心神扰惑。视物昏乱。火属心。心脏火。扰其神故瞀。 是肝筋为火所灼。无血养筋。故缩扯。
与 缓不收有异。当辨之。
诸厥固泄。皆属于下。
厥谓四肢逆冷。固谓腹中瘕积。如寒疝之类。泻谓下利不止。皆属于下。谓属于下焦肾经也。肾阳不能四达。则厥。
肾阳不能上升则泻肾阳不能化气则固结。故皆属于下。宜温之也。
诸痿喘呕。皆属于上。
痿有两证。一是肺痿。肺叶焦。举不能通调津液。则为虚劳咳嗽。一是足痿。胫枯不能行走。则为足痿。然未有足
痿而不发于肺者。盖肺主行津液。由阳明而下润宗筋。足乃能行。肺之津液。不行则宗筋失养故足痿。虽见于下。而亦
属之上焦也。喘属肺之呼不利。呕属胃之饮食。气逆肺胃。均属上焦。上焦属阳。多病火逆宜清之也。
诸禁鼓栗。如丧神守。皆属于火。
禁谓口齿禁切。噤口痢。痉病口禁之类。鼓栗。谓鼓战栗。如疟疾手足摇战之类。如丧神守。谓谵语百合病。恍惚
不安之类盖热极反寒之象。火扰心神之征。皆宜治其火也。
诸痉项强。皆属于湿。
寒湿则筋脉凝热湿则筋脉胀。故皆能发痉与项强之证。
诸逆冲上。皆属于火。
诸逆谓吐咳呛呕等。凡是冲脉气逆头目咽喉胸中受病。均系心肝之火。挟冲脉上行也。宜抑之。
诸胀腹大。皆属于热。
诸胀谓腹内胀满。腹大谓单腹胀。此证是肝不疏泄。脾不运化。肝不疏泄。则小便不利。水停为胀。脾不运化。则
单腹胀。皆属于热者。属于肝木乘脾也。然此与上节火字有别。火属血分热属气分热则气分之水多壅。故主胀大。
诸躁狂越。皆属于火。
躁谓烦躁。狂谓癫狂。越谓升高。 垣。凡此皆三焦与胃火太甚。而血气勃发也。
诸暴强直。皆属于风。
强直僵仆倒地。暴者猝然发作。风性迅速。故能暴发。凡风均属之肝。肝属筋胀。风中筋脉。不能引动。则强直矣。
风者阳动而阴应之也。故风俱阴阳两性中风之阴。则为寒风中风之阳。则为热风无论寒热。均有强直之证。宜细辨之。
诸病有声按之如鼓。皆属于热。
此与肠鸣不同。肠鸣则转气切痛下泄。属水渍入肠。发为洞泻是寒非热也。此有声。乃在人皮里膜内。连网油膜之
中。凡人身连网油膜。均是三焦。乃相火之府。行水之道路也水火相激。往往发声。但其声绵绵。与雷鸣切痛者有异按
之亦能作声。又拒手。如按鼓皮。以其在皮膜间。故按之如鼓。是三焦之火。与水为仇也。故曰皆属于热。盖三焦为行
气之府。气多则能鼓吹其膜中之管使之有声如西洋象皮人搦之则出声是矣。
诸病跗肿疼酸惊骇。皆属于火。
跗足背。凡足肿皆发于厥阴阳明两经。阳明之脉行足背。厥阴之脉。起足大指丛毛内联踝。肝木生热。壅遏胃经之
湿。则循经下注而发足肿。极酸疼也。酸字颇有实义。西医云。凡香港脚必胃中先酿酸水。继而尿中有蛋白形。尿味亦酸
乃发脚肿痛但西医未言所以致酸。与因酸致肿之故。惟内经理可互证。经云肝木在味为酸盖木能生火木能克土土不化水
火又蒸之。则变酸味是酸者湿与热合之味也。羹汤夏月。过夜则酸湿遇热也。冬月则否有湿而无热也。知酸所以致疼肿
而香港脚可治矣。又凡乍惊乍骇。皆是肝经。木郁火发。魂不藏之故。是以皆属于火。
诸转反戾。水液混浊。皆属于热。
转者。左右扭掉也。反者角弓反张也。戾如犬出户下。其身曲戾。即阳明痉病头。曲至膝也。水液混浊。小便不清
也。转在侧属少阳经。反在后属太阳经戾在前属阳明经。水道在膈膜中。属三焦经皆属于热。是水液混浊。固属三焦之
热。而诸转反戾。亦当同属三焦矣。三焦。网膜西人谓之连网。由内达外。包裹赤肉两头生筋以贯赤肉筋连于骨节。故
利曲伸。观此则知转反戾是筋所牵引。实则网膜伸缩使然。故内经与水液同论。以见皆属三焦网膜中之热也。西医乃谓
抽掣痉等。发于脑筋。不免求深反浅。故西人无治之之术也。
诸病水液。澄澈清泠。皆属于寒。
下为小便上为涎唾。其道路总在三焦膜膈之中。无论何证。但据水液。有澄澈清泠之状。即是三焦大虚之候。故曰
皆属于寒。
诸呕吐酸。暴注下迫。皆属于热。
呕谓干呕。是火逆也。吐有寒证。吐酸则无寒证。暴注下。迫里急后重。逼塞不得畅。俗名痢证。皆属于热者。属
于肝经之热也。肝火上逆则呕吐酸。肝火下注则痢。下迫因肝欲疏泄。肺欲收敛。金木不和故欲泻不得。且痢多发于秋。
金克木也。
病机百出。未能尽录但举其凡。以例其余。
"Shu" (belonging/subordination) refers to the relationship of subordination. Understanding which organ or meridian a disease belongs to allows one to grasp the general principles, from which specific symptom categories can be deduced.
All wind diseases characterized by tremors and dizziness belong to the Liver.
The Liver is the zang-organ governing Wind; therefore, all Wind diseases belong to the Liver. "Zhufeng" (various winds) includes conditions such as Zhongfeng (wind-stroke), Shangfeng (wind-cold injury), Jingfeng (wind-induced convulsions in children), and Lifeng (leprosy-like diseases), encompassing a vast array of symptoms. "Diao" refers to rotational movement or trembling; this includes sudden collapse, spasms, epilepsy with convulsions, and shaking. The Liver governs the sinews (tendons); thus, these are pathologies of the sinews. "Xuan" refers to vertigo or blurred vision; conditions such as visual hallucinations, spinning sensations of the head and eyes, occur because the Liver opens into the eyes. Western medicine attributes vertigo, blurred vision, spasms, and convulsions to disorders of the brain marrow and sinews, positing that the optic nerve connects to the brain, causing dizziness, and excessive effort of "brain qi" leads to muscle contraction and convulsive extension. However, Western medicine remains puzzled regarding the etiology of "brain qi" disorders. It is unknown that the Liver meridian connects to the brain, opens into the eyes, and links to the sinews. Whatever Western medicine describes as "brain qi" function is actually governed by the Liver meridian. Pathologies of the meridians and sinews are ultimately driven by Liver Wind. Therefore, all tremors and dizziness belong to Wind, and all Wind diseases ultimately belong to the Liver.
All cold syndromes characterized by contraction and pulling belong to the Kidney.
The Kidney governs Cold Qi; thus, all Cold syndromes belong to the Kidney. The Kidney also governs the bones. When Kidney Yang reaches all parts of the body, the skeletal structure is flexible and movement is light. If the limbs and bones are cramped, contracted, or flaccidly elongated, it indicates the bones are not functioning properly. One must distinguish between cramping/contraction/pulling and convulsive shortening; the former is a Cold syndrome, while the latter is a Wind syndrome.
All qi stagnation and constraint belong to the Lung.
The qi of the five zang and six fu organs is universally commanded by the Lung, as the Lung is the master of qi. Therefore, treating qi disorders should focus on the Lung. The Lung corresponds to the skin and hair. "Zhi" refers to rough, ugly skin texture, such as purpura, tumors, black moles, and rhinophyma. Western medicine notes oil glands under the pores with ducts extending to the skin surface; blackheads indicate blocked ducts. This aligns with the *Neijing*. "Yu" (stagnation) refers to qi constrained internally, unable to disperse. Conditions like "Bi" (obstruction), including qi rebellion with phlegm stasis, blood coagulation, and constipation, represent qi deviation within the abdomen. Yu is the opposite of smooth flow; when Lung qi is not free-flowing, it becomes stagnant, requiring dispersing and descending methods.
All dampness syndromes characterized by edema and fullness belong to the Spleen.
Edema affects the skin and limbs; fullness involves abdominal distension. These result from dampness obstruction and water failing to descend, accumulating in the diaphragmatic membranes. However, dampness syndromes include more: dizziness/heaviness of the head and eyes, malaria, summerheat dysentery, generalized bi-syndrome pain, and phlegm-fluid accumulations. All belong to Spleen Earth failing to control Water. The Spleen generates oily membranes; the upper membrane constitutes the Sanjiao (Triple Burner), governing water pathways. Oil is a product of the Spleen; since oil repels water, this is how the Spleen promotes water metabolism. If the Spleen's oily membranes lose their function, dampness hides within. Thus, treating dampness requires addressing the Spleen.
All pain, sores, ulcers, and itching belong to the Heart.
Regarding various sores and ulcers: if blood stasis obstructs, qi and blood contend, causing pain; if blood deficiency generates heat and agitates Wind, Wind and Fire scorch each other, causing itching. All these belong to pathologies of the Heart meridian and Blood aspect. Treatment should harmonize the blood. Generally, diseases not involving the Blood aspect do not cause pain; thus, masses, distension, and swelling are typically painless. Conversely, abdominal or limb pain invariably relates to the Blood aspect and thus belongs to the Heart.
All heat syndromes characterized by mental confusion and convulsions belong to Fire.
"Zhure" (various heats) includes fever, aversion to heat, plague, and summerheat syndromes. "Mao" refers to blurred vision, darkness, or seeing ghosts. "Chi" refers to inability to extend the sinews, i.e., convulsions. These belong to Fire because various heat syndromes involve Fire damaging the Qi aspect (Fire overcoming Metal/Lung). "Mao" indicates the Heart Spirit being disturbed, leading to visual confusion; Fire corresponds to the Heart, and Heart Fire disturbs the Spirit. "Chi" occurs when Liver sinews are scorched by Fire and lack Blood nourishment, causing retraction. This differs from "Wen" (flaccidity) and must be distinguished.
All jue (reversal cold), retention, and incontinence belong to the Lower Jiao.
"Jue" refers to cold extremities. "Gu" refers to abdominal masses, such as Hanhan (cold hernia). "Xie" refers to persistent diarrhea. All belong to the Lower Jiao, specifically the Kidney meridian. If Kidney Yang cannot circulate, Jue occurs; if it cannot ascend, Xie (diarrhea) occurs; if it cannot transform Qi, Gu (retention/constipation) occurs. Thus, they belong to the Lower Jiao and require warming treatment.
All wei (atrophy), panting, and vomiting belong to the Upper Jiao.
Wei syndromes have two types: Feiwei (Lung atrophy), where lung leaves are dry and fluid distribution fails, leading to consumptive cough; and Zuwei (foot atrophy), where calves waste away, preventing walking. Foot atrophy always originates from the Lung. The Lung governs fluid transport, sending fluids via the Stomach Meridian to moisten the Zongjin (general sinews), enabling leg movement. If Lung fluids fail, Zongjin lose nourishment, causing foot atrophy. Though manifesting in the lower body, it belongs to the Upper Jiao. Panting results from impaired Lung exhalation; vomiting results from rebellious Stomach Qi. Both Lung and Stomach belong to the Upper Jiao. The Upper Jiao is Yang and prone to Fire rebellion, requiring clearing methods.
All mouth closure, shivering, and loss of mental control belong to Fire.
"Jin" refers to locked jaws, as seen in Jin Kou Li (lockjaw dysentery) or spasm-related jaw locking. "Guli" refers to chattering teeth and shivering, as in malaria. "Ru Sang Shenshou" refers to delirium, Baihe Bing (lily disease), and agitation, indicating a loss of mental hold. This is an image of extreme heat turning to cold, a sign of Fire disturbing the Heart Spirit. Treatment should target the Fire.
All spasms and neck stiffness belong to Dampness.
Cold-Damp causes sinew constriction; Heat-Damp causes sinew swelling. Both can induce spasms and neck stiffness.
All rebellious upward rushing Qi belongs to Fire.
"Zhuni" (various rebellions) includes vomiting, coughing, and choking. Any upward rushing of Chong Mai (Penetrating Vessel) Qi affecting the head, eyes, throat, or chest is due to Heart and Liver Fire carrying the Chong Mai upward. Suppression is indicated.
All abdominal distension and enlargement belong to Heat.
"Zhuzhang" refers to internal abdominal fullness; "Fuda" refers to monolithic abdominal distension (ascites). This arises from Liver failure to soothe and Spleen failure to transform. Liver stagnation leads to difficult urination and water retention causing distension. Spleen dysfunction leads to monolithic distension. This is attributed to Heat because it involves Liver Wood overacting on Spleen Earth. Unlike the previous "Fire" (Blood aspect), this "Heat" is in the Qi aspect, causing excessive accumulation of Qi-phase fluids, leading to distension.
All restlessness, mania, and transgression belong to Fire.
"Zao" is irritability; "Kuang" is mania; "Yue" is climbing high or behaving excessively. These result from excessive Fire in the Sanjiao and Stomach, causing vigorous eruption of Qi and Blood.
All sudden rigidity belongs to Wind.
Rigidity and falling are sudden. Wind is swift, hence sudden onset. All Wind belongs to the Liver, which governs sinews. Wind invading sinews prevents normal movement, causing rigidity. Wind has both Yin (Cold Wind) and Yang (Hot Wind) aspects. Regardless of type, rigidity occurs and must be differentiated carefully.
All diseases with sounds, where pressing feels like a drum, belong to Heat.
This differs from intestinal borborygmi (rumbling), which involves gas, cutting pain, and watery diarrhea due to water entering the intestines (Cold syndrome). Here, the sound arises within the subcutaneous membranes and omental networks. These networks constitute the Sanjiao, the residence of Ministerial Fire and pathway for water. Interaction between Water and Fire generates sound. The sound is continuous, unlike the loud rumbling of Cold. Pressing elicits sound and tenderness, feeling like a drum skin, because it lies between membranes. This indicates Sanjiao Fire opposing Water. Thus, it belongs to Heat. The Sanjiao is the residence of moving Qi; excess Qi blows through the membranous tubes, creating sound, similar to squeezing a rubber figure.
All diseases with dorsal foot swelling, pain, soreness, fright, and terror belong to Fire.
"Fu" refers to the dorsum of the foot. Foot swelling originates in the Jueyin and Yangming meridians. Yangming runs along the dorsum; Jueyin starts at the big toe and connects to the ankle. Liver Wood generating Heat obstructs Stomach Meridian Dampness, which flows downward, causing foot swelling and severe soreness. "Suan" (sour/sore) has significant meaning. Western medicine notes that in podagra (gout), acidic fluid forms in the stomach, protein appears in urine, and urine smells sour, leading to foot swelling and pain. However, Western medicine lacks the etiological explanation for acidity and swelling, which TCM clarifies. The *Neijing* states Liver Wood tastes sour. Wood generates Fire and controls Earth. If Earth fails to transform Water and Fire steams it, the taste becomes sour. Sourness is the flavor of combined Dampness and Heat. Soup turns sour in summer due to Damp-Heat interaction, but not in winter (Damp without Heat). Understanding that acidity causes pain and swelling aids in treating podagra. Additionally, sudden fright and terror stem from Liver Wood stagnation and Fire eruption, causing the Hun (Ethereal Soul) to fail to reside. Thus, they belong to Fire.
All twisting, opisthotonos, and curvature, with turbid fluids, belong to Heat.
"Zhuan" is lateral twisting; "Fan" is opisthotonos; "Li" is curvature, such as in Yangming spasm where the head bends to the knees. Turbid fluids refer to cloudy urine. Twisting involves the Shaoyang meridian; opisthotonos involves the Taiyang meridian; curvature involves the Yangming meridian. The water pathways are in the diaphragmatic membranes, belonging to the Sanjiao. Turbid urine indicates Sanjiao Heat. Similarly, twisting, opisthotonos, and curvature also relate to the Sanjiao. The Sanjiao's net-membranes (omentum), called "lianwang" by Westerners, extend inward and outward, enveloping muscles, with tendons connecting to bones for flexion and extension. Thus, twisting and curvature are caused by tendon traction driven by membrane contraction. The *Neijing* groups these with turbid fluids to show they all stem from Heat in the Sanjiao omentum. Western medicine attributes convulsions to nerves, seeking depth but finding shallowness, leaving them without effective treatment.
All diseases with clear, cold fluids belong to Cold.
Lower fluids are urine; upper fluids are saliva. Their pathways lie within the Sanjiao membranes. Regardless of the disease, if fluids are clear and cold, it indicates severe deficiency of the Sanjiao. Thus, they belong to Cold.
All vomiting of acid, sudden diarrhea, and tenesmus belong to Heat.
"Ou" is dry heaving, caused by Fire rebellion. "Tu" (vomiting) can be Cold, but vomiting acid is never Cold. "Baozhu Xia Po" refers to sudden diarrhea with tenesmus (urgency and straining), commonly known as dysentery. This belongs to Heat, specifically Liver Heat. Liver Fire rebelling upward causes vomiting of acid; Liver Fire sinking downward causes dysentery. Tenesmus arises because the Liver desires dispersion while the Lung desires convergence; Metal-Wood disharmony leads to the desire to defecate without relief. Dysentery often occurs in autumn, reflecting Metal controlling Wood.
The mechanisms of disease are myriad and cannot be fully recorded. Only the general principles are listed here to illustrate the rest.