厥阴有余,病阴痹;(厥阴者,风木之气也。风木有余,则邪并于肝。肝经之脉,结于诸阴之分,故病
为阴痹。此下皆提脉象以明之也。善诊者无泥于文。)不足,病生热痹。(厥阴之气不足,则阳邪胜之,
故病生热痹。)滑则病狐疝风,(滑为阳邪有余,而病风者,热则生风也,疝者,前阴少腹之病,男女五脏皆
有之,狐之昼伏夜出,阴兽也。疝在厥阴,其出入上下不常,与狐相类,故曰狐疝风。此非外之入风,乃以
肝邪为言也。)涩则病少腹积气。(涩为气虚,为血滞,故邪气留止而病为积聚。)少阴有余,病皮痹,隐轸。
(少阴者,君火之气也。火盛则克金,皮者肺之合,故为皮痹。隐轸,即瘾疹也。)不足病肺痹。(火不
足则金无所畏,燥邪独胜,故病为肺痹。)滑则病肺风疝,(滑实则君火为邪,故乘于肺,病在气也。)涩则
病积、溲血。(涩为心血不足,故经滞而为积聚,血乱而为溲血也。)太阴有余,病肉痹、寒中;(太阴
者,湿土之气也。湿邪有余,故为肉痹;寒湿在脾,故为寒中。)不足病脾痹。(上弱则脾气不行也。)
滑则病脾风疝,(太阴脉滑,则土邪有余。脾风疝者,即 肿重坠之属,病在湿也。)涩则病积,心腹时满。(
脾脉入腹,上注心中,涩因脾弱,故病脾积及心腹时满。)阳明有余,病脉痹,身时热;(阳明者,燥金之
气也;其合大肠与胃。燥气有余,则血脉虚而阴水弱,故病脉痹及身为时热。)不足,病心痹。(燥气不足。则
火胜为邪,故病为心痹。)滑则病心风疝,(滑则燥热生风,热则主于心也,故为心风疝。)涩则病积,
时善惊。(涩则胃虚而滞,故病胃积,虚
者风木乘之,故善惊。)太阳有余,病骨痹,身重;(太阳者,寒水也之气。其合肾,其主骨。故太阳寒邪
有余者主为骨痹,为身重。)不足,病肾痹。(不足则肾气弱,故病为肾痹。)滑则病肾风疝,(太阳滑实
者,风寒挟邪,故病肾风疝。)涩则病积、善时巅疾。(太阳之脉,交巅上,络肾,属膀胱,故其脉涩气滞,
当为肾积及顶巅之病。)少阳有余,病筋痹、胁满;(少阳者,相火之气也,其合肝胆,其主筋,其
脉行于胁肋,故少阳之邪有余者病筋痹、胁满。)不足,病肝痹。(少阳不足,则肝脏气虚,故病为肝痹。)
滑则病肝风疝,(滑实则风热合邪而为肝风疝,病在筋也。)涩则病积,时筋急、目痛。(涩以血滞,故病肝
积。肝主筋,开窍于目,故为筋急、目痛。疝症不一,狐疝出入不常,又从下而上也; 疝顽肿不仁,又
从上而下也;冲疝自少腹上冲心而痛也;厥疝积气在腹中,气逆为疝也;有瘕者,以少腹冤热而痛出白,一
名曰蛊也;有六经风疝者,如上所云也;有小肠疝者,小腹痛,腰脊控睾而痛,时窘之后者,亦疝之属也。
任脉为病,男子内结七疝,女子带下瘕聚。盖任脉者,起于中极之下,以上毛际,循腹里,上关元,总诸
阴之会;故诸疝之在小腹者,无不由任脉为之原而诸经为之派耳,云七疝者,乃总诸疝
为言,不过六七耳。后世俗工所立谬名,又独以厥阴经为言者,皆未当也,大都此症寒则多痛,热则多纵,
湿则多肿坠,虚者亦然,若重在血分者不移,在气分者多动,分察六者于诸经,各因其多少虚实而兼治之,自
无不效也。)
When the Jueyin (Jueyin Liver and Pericardium) channel qi is in excess, Yin Bi (Yin Obstruction Syndrome) occurs. (Jueyin corresponds to the wind-wood qi. When wind-wood qi is excessive, pathogenic factors merge into the Liver. The Liver channel meridians knot at the areas distributed among the Yin channels, thus the disease manifests as Yin Bi. The following points all cite pulse images to clarify this. A skilled diagnostician should not be bound by the text.) When Jueyin channel qi is deficient, Re Bi (Heat Obstruction Syndrome) occurs. (When Jueyin qi is deficient, Yang pathogens overcome it, thus Heat Bi arises.) A slippery pulse indicates Hu Dan Feng (Fox Hernia Wind). (A slippery pulse represents excess Yang pathogens; contracting wind diseases implies that heat generates wind. 'Dan' refers to diseases of the anterior yin and lower abdomen, occurring in both men and women across the five zang organs. Foxes hide by day and emerge by night, being yin beasts. Hernias in the Jueyin channel vary in their ascent and descent frequently, resembling foxes, hence called Hu Dan Feng. This does not refer to external wind invasion, but rather speaks of Liver channel pathogens.) A choppy pulse indicates Ji Qi (Accumulated Qi) in the lower abdomen. (A choppy pulse signifies qi deficiency and blood stasis, so pathogens remain and stagnate, causing accumulation syndromes.)
When the Shaoyin (Shaoyin Heart and Kidney) channel qi is in excess, Pi Bi (Skin Obstruction Syndrome) and Yin Zhen (Urticaria) occur. (Shaoyin corresponds to the Ministerial Fire qi. Excessive fire overacts on Metal; skin is the exterior correspondence of the Lung, thus Pi Bi occurs. Yin Zhen is identical to Urticaria.) When Shaoyin channel qi is deficient, Fei Bi (Lung Obstruction Syndrome) occurs. (Insufficient fire means Metal has nothing to fear, so Dryness pathogens prevail alone, causing Fei Bi.) A slippery pulse indicates Fei Feng Dan (Lung Wind Hernia). (Slippery and excess indicate Ministerial Fire acting as a pathogen, thus attacking the Lung, with the disease located in the Qi level.) A choppy pulse indicates Accumulation and Zhou Xue (Blood in Urine). (A choppy pulse reflects deficiency of Heart Blood, causing meridian stagnation leading to accumulation, and chaotic blood flow leading to hematuria.)
When the Taiyin (Taiyin Spleen) channel qi is in excess, Rou Bi (Flesh Obstruction Syndrome) and Han Zhong (Cold in the Middle) occur. (Taiyin corresponds to the Damp-Earth qi. Excess Dampness causes Rou Bi; Cold-Dampness in the Spleen causes Han Zhong.) When Taiyin channel qi is deficient, Pi Bi (Spleen Obstruction Syndrome) occurs. (Upper jiao weakness leads to failure of Spleen Qi to circulate.) A slippery pulse indicates Pi Feng Dan (Spleen Wind Hernia). (A slippery Taiyin pulse indicates excess Earth pathogens. Pi Feng Dan belongs to swelling and heaviness/dropping sensations, with the pathology rooted in Dampness.) A choppy pulse indicates Accumulation and occasional fullness in the heart and abdomen. (The Spleen channel enters the abdomen and ascends to pour into the Heart. A choppy pulse due to Spleen weakness results in Spleen Accumulation and intermittent abdominal fullness.)
When the Yangming (Yangming Stomach and Large Intestine) channel qi is in excess, Mai Bi (Vessel Obstruction Syndrome) and periodic body heat occur. (Yangming corresponds to the Dry-Metal qi; its interior-exterior pairing involves the Large Intestine and Stomach. Excess Dryness leads to deficiency in blood vessels and weakness of Yin Water, thus causing Mai Bi and periodic bodily heat.) When Yangming channel qi is deficient, Xin Bi (Heart Obstruction Syndrome) occurs. (Insufficient Dryness allows Fire to become excessive and act as a pathogen, causing Heart Bi.) A slippery pulse indicates Xin Feng Dan (Heart Wind Hernia). (Slipperiness implies Dryness-Heat generating wind; Heat governs the Heart, thus Heart Wind Hernia occurs.) A choppy pulse indicates Accumulation and frequent fright. (Choppy pulses indicate Stomach deficiency and stagnation, leading to Stomach Accumulation; deficiency allows Wind-Wood to invade, causing frequent fright.)
When the Taiyang (Taiyang Bladder) channel qi is in excess, Gu Bi (Bone Obstruction Syndrome) and heavy body sensation occur. (Taiyang corresponds to Cold-Water qi. Its pairing is with the Kidney, which governs bones. Thus, excess Taiyang Cold pathogens primarily cause Bone Obstruction and heavy body sensation.) When Taiyang channel qi is deficient, Shen Bi (Kidney Obstruction Syndrome) occurs. (Deficiency leads to weak Kidney Qi, resulting in Kidney Bi.) A slippery pulse indicates Shen Feng Dan (Kidney Wind Hernia). (A slippery and excess Taiyang pulse indicates Wind-Cold carrying pathogens, causing Kidney Wind Hernia.) A choppy pulse indicates Accumulation and periodic disorders at the vertex. (The Taiyang meridian intersects at the vertex, connects to the Kidney, and belongs to the Bladder. Thus, a choppy pulse with qi stagnation indicates Kidney Accumulation and diseases of the crown/vertex.)
When the Shaoyang (Shaoyang Sanjiao and Gallbladder) channel qi is in excess, Jin Bi (Tendon Obstruction Syndrome) and hypochondriac fullness occur. (Shaoyang corresponds to the Ministerial Fire qi; its pairing is with the Liver and Gallbladder; it governs tendons; its course runs through the hypochondrium. Thus, excess Shaoyang pathogens cause Tendon Obstruction and hypochondriac fullness.) When Shaoyang channel qi is deficient, Gan Bi (Liver Obstruction Syndrome) occurs. (Shaoyang deficiency leads to Liver Qi deficiency, causing Liver Bi.) A slippery pulse indicates Gan Feng Dan (Liver Wind Hernia). (Slippery and excess indicate Wind-Heat combining as pathogens to form Liver Wind Hernia, with pathology in the tendons.) A choppy pulse indicates Accumulation, periodic tendon stiffness, and eye pain. (Choppy pulses reflect blood stasis, leading to Liver Accumulation. The Liver governs tendons and opens into the eyes, thus causing tendon stiffness and eye pain.)
There are various types of hernias: Hu Dan varies in entry and exit, ascending from below; Wan Dan presents with swelling and numbness, descending from above; Chong Dan rises from the lower abdomen to the heart with pain; Jue Dan involves accumulated qi in the abdomen with rebellious qi forming the hernia; Xia syndromes involve lower abdominal heat and pain with discharge of white matter, also known as Gu; there are Six Channels Wind Hernias as described above; there are Small Intestine Hernias characterized by lower abdominal pain, lumbar spine pulling to the testicles with pain, and frequent urgency/heaviness after defecation, which also belong to hernia categories. Disease of the Ren Mai (Conception Vessel) causes Seven Hernias internally in men and Dai Xia (Leukorrhea) and Xia Ju (Masses) in women. Generally, the Ren Mai originates below the Zhongji point, ascends past the pubic hairline, follows the interior of the abdomen, reaches Guanyuan, and gathers all Yin channels; therefore, all hernias in the lower abdomen originate from the Ren Mai with other channels serving as branches. The term 'Seven Hernias' summarizes various hernias, amounting to no more than six or seven types. Later popular erroneous names that focus solely on the Jueyin channel are inappropriate. Generally, these conditions present with pain when cold, flaccidity when hot, and swelling/heaviness when damp; deficiency patterns are similar. If the pathology is primarily in the Blood level, it is fixed; if in the Qi level, it moves. By distinguishing these aspects across the six channels and treating according to excess, deficiency, and degree, efficacy is assured.