孟少,仲平,季多也。
《内经》以寅、申、巳、亥四孟为一阴一阳也,子、午、卯、酉四仲为一阴一
阳也,辰、戌、丑、未为三阴三阳也。然阳为先,故主虚无变化,轻微而少;阴
为后,故形体安静,重浊而多也。故风火动乱至阳为先,居孟,未甚为少;寒湿
肃静至阴为后,居季,已甚而为多,燥热各得乎中,故居仲而平也。注曰∶气有
多少,是言六气;形有旺衰,言五运也。
诸风掉眩皆属肝木。诸痛痒疮疡皆属心火。
诸湿肿满皆属脾土。诸寒收引皆属肾水。
诸气 郁病痿皆属肺金。
(闷乱也。)郁(结滞、壅塞也。)
诸暴强直,支痛耍戾,里急,筋缩,皆属于风(乃厥阴风木,肝胆之气也)。
诸病喘呕吐酸,暴注下迫,转筋,小便混浊,腹胀大鼓之如鼓有声,痈疽疡
疹,瘤气结核,吐下霍乱,瞀郁肿胀,鼻塞鼽衄,血溢血泄,淋闭身热,恶寒战
栗,惊惑悲笑谵妄,衄 血汗皆属于热(少阴君火,乃真心、小肠之气也)。
注(泄也。下迫后痛,里急痛也。)结核(言肌肉结硬如果中核也。)溢(上出。)泄(下出。) (音
慢,血汗也。)衄(音肉,鼻出血也。)
诸痉强直,积饮痞隔,中满,霍乱吐下,体重 肿,肉如泥而按不复起,皆
属于湿也(太阴湿土,乃脾与胃之气也)。
痉(其井切,似风狂病也,一名曰 尺至切)。积饮(水蓄不散也。)痞(否),肠胃气液血脉否
闭,不能营运,谓之痞也。水谷传化阻隔失常,则曰膈 (音附)。
诸热瞀螈,筋惕悸动,搐搦螈 ,暴喑冒昧,躁扰狂越,骂詈惊骇, 肿疼
酸,气逆冲上,禁栗如丧神守,嚏呕疮疡,喉痹,耳鸣及聋,呕涌溢,食不下,
目昧不明,暴注 螈,暴病暴死,皆主于火也(手少阳相火乃心包络、三焦之气也)。
螈(尺至切)。喑(音)。 (哑)。狂(躁乱发狂也)。禁栗(寒战如丧心神之守)。嚏(音帝。)
(音纵,儿病也)。螈(音契,小儿病也)。
诸涩枯涸,干劲皴揭,皆属于燥(阳明燥金,肺与大肠之气。)
诸病上下所出水液澄彻清冷, 瘕 疝,坚痞、腹满急痛,下利青白,食已
不饥,吐利腥秽,屈伸不便,厥逆禁固,皆属于寒(太阳寒水乃肾与膀胱之气也)。
The beginning, middle, and end stages correspond to the states of "few," "balanced," and "many," respectively.
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) posits that Yin-Shen-Si-Hai, these four "Meng" (beginning) positions, represent one Yin and one Yang; Zi-Wu-Mao-You, these four "Zhong" (middle) positions, represent one Yin and one Yang; Chen-Xu-Chou-Wei, these three "Ji" (end) positions, represent three Yin and three Yang. However, Yang Qi acts as the pioneer, thus governing voidness and transformation, being slight in nature and few in quantity; Yin Qi follows, thus possessing a quiet form, being heavy and turbid in nature, and many in quantity. Therefore, Wind and Fire, which are turbulent and chaotic, belong to the extreme Yang Qi, occupying the leading position (Meng), not yet reaching extremity, hence they are few; Cold and Dampness, which are solemn and quiet, belong to the extreme Yin Qi, occupying the terminal position (Ji), having reached extremity, hence they are many; Dryness and Heat each occupy their intermediate position, thus residing in the middle (Zhong) and remaining balanced. The annotation states: The abundance or scarcity of Qi refers to the Six Qi (Wind, Summer-Heat, Dryness, Dampness, Cold, Fire); the prosperity or decline of Form refers to the Five Movements (Wood, Fire, Earth, Metal, Water).
Cold, Summer-Heat, Dryness, Dampness, Wind, Fire.
All cases of tremors and dizziness caused by Wind belong to Liver Wood. All cases of pain, itching, sores, and ulcers belong to Heart Fire.
All cases of swelling and fullness caused by Dampness belong to Spleen Earth. All cases of contraction and pulling caused by Cold belong to Kidney Water.
All cases of Qi stagnation and flaccidity syndromes belong to Lung Metal.
(Mental oppression and confusion.) Yu (Stagnation, obstruction.)
All sudden cases of rigidity and stiffness, limb pain and twisting, internal urgency, and tendon contraction belong to Wind (this is Jueyin Wind-Wood, the Qi of the Liver and Gallbladder).
All cases of wheezing, vomiting, and acid regurgitation, sudden diarrhea with tenesmus, muscle spasms, turbid urine, abdominal distension large and drum-like upon percussion, carbuncles, sores, rashes, tumor-Qi, and lymphatic nodules, vomiting and diarrhea Huoluan, mental confusion and swelling, nasal congestion, rhinorrhea, and epistaxis, blood extravasation or hemorrhage, strangury and retention with body heat, aversion to cold and shivering, fright, bewilderment, sadness, manic laughter, delirium, epistaxis, and sweating all belong to Heat (this is Shaoyin Sovereign Fire, the Qi of the True Heart and Small Intestine).
Annotation (Evacuation. Pain after lower pressure, internal urgency pain.) Tuhe (Refers to hard knots in muscles resembling kernels.) Yi (Emerging from above.) Xie (Exiting from below.) (Pronounced man, blood sweat.) Nu (Pronounced rou, nasal bleeding.)
All cases of spasm and rigidity, accumulation of fluid and phlegm causing obstruction, chest and abdominal fullness, Huoluan with vomiting and diarrhea, heavy body and edema, flesh like mud that does not rise when pressed, all belong to Dampness (this is Taiyin Wet-Earth, the Qi of the Spleen and Stomach).
Jing (Pronounced jing, resembling a wind-madness disease, also known as chi-zhi qie.) Ji-Yin (Water accumulating without dispersing.) Pi (Obstruction), where Qi, fluids, and blood vessels in the intestines and stomach are blocked, unable to circulate, is called Pi. When the transmission and transformation of water and grain are obstructed abnormally, it is called Ge (Pronounced fu).
All cases of heat-induced mental confusion and convulsions, twitching and palpitations, spasms and convulsions, sudden aphonia and stupor, restlessness, agitation, mania, cursing, fright, swelling, pain, and soreness, counterflow Qi rushing upward, chattering as if losing spiritual control, sneezing, vomiting, sores and ulcers, throat obstruction, tinnitus and deafness, vomiting and overflow, inability to eat, blurred vision, sudden diarrhea and convulsions, sudden illness and sudden death, are primarily attributed to Fire (this is Hand-Shaoyang Ministerial Fire, the Qi of the Pericardium and Sanjiao).
Chou (Pronounced chi-zhi qie.) Yin (Pronounced...). (Aphonic.) Kuang (Agitated and mad.) Jinli (Shivering as if losing the guard of spirit and mind.) Ti (Pronounced di.) (Pronounced zong, a pediatric disease.) Chou (Pronounced qi, a pediatric disease.)
All cases of astringency, dryness, and withering, dry skin and cracking, belong to Dryness (this is Yangming Dry-Metal, the Qi of the Lungs and Large Intestine).
All cases of clear and cold fluids excreted from above and below, jia-hernia, hard masses and fixed lumps, abdominal fullness and urgent pain, diarrhea with green and white stools, lack of hunger after eating, vomit and diarrhea with fishy and foul odors, difficulty in flexion and extension, cold limbs and rigidity, all belong to Cold (this is Taiyang Cold-Water, the Qi of the Kidneys and Bladder).