江东江南诸溪，源间有虫，名短狐溪毒，亦名射工，其虫无目，而利耳能听，在山源
溪水中闻人声，便以口中毒射人，故谓射工也。其虫小毒轻者及相逐者，射着人影者，皆不
即作疮，先病寒热，身不喜冷，体强筋急，头痛目疼，张口欠咳嗽，呼吸闷乱，朝旦少苏醒，
晡夕辄复寒热。或似伤寒发石散动，亦如中尸便不能语，病候如此，自非其土地人不常数行
山水中，不知其证，便谓是伤寒发石散动，作治乖僻毒盛发疮，复疑是瘭疽，乃至吐下去血。
复恐
论曰∶夫人禀天地而生，故内有五脏六腑、精气骨髓、筋脉；外有四肢九窍、皮毛爪齿、
咽喉唇舌、肛门胞囊。以此总而成躯。故将息得理，则百脉安和；役用非宜，即为五劳、七
伤、六极之患。有方可救，虽病无他；无法可凭，奄然永往。所以此之中帙卷。卷皆备述五
脏六腑等血脉根源，循环流注，与九窍应会处所。并论五脏六腑等轻重、大小、长短、阔狭、
受盛多少。仍列对治方法，丸散酒煎汤膏摩熨及灸针孔穴并穷于此矣。其能留心于医术者，
可考而行之。其冷热、虚实、风气、准药性而用之，则内外百 无所逃矣。凡五脏在天为五
星，在地为五岳，约时为五行，在人为五藏，五藏者，精神魂魄意也。论阴阳，察虚实，知
病源，用补泻，应禀三百六十五节，终会通十二经焉。
论曰∶肝主魂，为郎官，随神往来，谓之魂，魂者，肝之藏也。目者，肝之官，肝气通
于目，目和则能辨五色矣；左目甲，右目乙，循环紫宫，荣华于爪；外主筋，内主血；肝重
四斤四两，左三叶，右四叶，凡七叶；有六童子、三玉女守之；神名蓝蓝，主藏魂，号为魂
脏，随节应会。故云肝藏血，血舍魂，在气为语，在液为泪；肝气虚则恐，实则怒；肝气虚
则梦见园苑生草得其时，梦伏树下不敢起；肝气盛则梦怒，厥气客于肝则梦山林树木。
凡人卧，血归于肝，肝受血而能视，足受血而能步，掌受血而能握，指受血而能摄。
凡肝脏象木，与胆合为腑，其经足厥阴，与少阳为表里，其脉弦。相于冬，旺于春。春
时万物始生，其气来濡而弱，宽而虚，故脉为弦，濡即不可发汗，弱则不可下，宽者开，开
者通，通者利，故名曰宽而虚。
春脉如弦，春脉肝也，东方木也，万物之所以始生也。故其气来濡弱，轻虚而滑，端直
以长，故曰弦，反此者病。何如而反？其气来实而弦，此谓太过，病在外；其气来不实而微，
此
两胁 满。肝脉来濡弱，招招如揭竿末梢曰平（《巢源》作绰绰如按琴瑟之弦，如揭长竿）。
春以胃
真肝脉至内外急，如循刀刃责责然（《巢源》作赜赜然），如按琴瑟弦（《巢源》作如新
张弓弦），色青白不泽，毛折乃死。
春胃微弦曰平，弦多胃少曰肝病，但弦无胃曰死，胃而有毛曰秋病，毛甚曰今病。
肝藏血，血舍魂，悲哀动中则伤魂，魂伤则狂妄，其精不守（一作狂妄不精，不敢正当
人），令人阴缩而挛筋，两胁肋骨举（一作不举），毛悴色夭死于秋。
足厥阴气绝，则筋缩引卵与舌。厥阴者，肝脉也，肝者，筋之合也，筋者，聚于阴器，
而脉络于舌本，故脉弗营则筋缩急，筋缩急则引卵与舌，故唇青舌卷，卵缩则筋先死，庚笃
辛死，金胜木也。
肝死脏，浮之弱，按之中如索不来，或曲如蛇行者死。
春肝木旺，其脉弦细而长曰平，反得沉濡而滑者，是肾之乘肝母之归，子为虚邪，虽病
易治。反得浮大而洪者，是心之乘肝，子之乘母为实邪，虽病自愈；反得微涩而短（《千金
翼》云微浮而短涩）者，是肺之乘肝，金之克木为贼邪，大逆，十死不治；反得大而缓者，
是脾之乘肝，土
左手关上阴绝者，无肝脉也，若癃遗溺难言，胁下有邪气，善吐，刺足少阳，治阳。
左手关上阴实者，肝实也。苦肉中痛，动善转筋，吐，刺足厥阴治阴。
肝脉来濯濯如倚竿，如琴瑟弦，再至曰平，三至曰离经病，四至脱精，五至死，六至命
尽，足厥阴脉也。
肝脉急甚为恶言（一作妄言），微急为肥气，在胁下如覆杯，缓甚为呕，微缓为水瘕痹，
大甚为内痈，善呕衄，微大为肝痹缩，咳引少腹；小甚为多饮，微小为消瘅，滑甚为颓疝，
微滑为遗溺，涩甚为淡饮，微涩为螈 筋挛。
肝脉搏坚而长，色不青，当病坠，若搏因血在胁下，令人喘逆，其濡而散色泽者，当病
溢饮，溢饮者，渴暴多饮而溢入肌肤肠胃之外也（《素问》溢入作易入）。
青脉之至也，长而左右弹，有积气在心下支 ，名曰肝痹。得之寒湿，与疝同法，腰痛
足清、头痛。
扁鹊云∶肝有病则目夺精，虚则寒，寒则阴气壮，壮则梦山树等，实则热，热则阳气壮
，壮则梦怒。
肝在声为呼，在变动为握，在志为怒，怒伤肝，精气并于肝则忧，肝虚则恐，实则怒，
怒而不已，亦生忧矣。
色主春，病变于色者，取之荥。
病先发于肝者，头目眩，胁痛支满；一日至脾，闭塞不通，身痛体重；二日至胃而腹胀
；三日至肾，少腹腰脊痛，胫酸；十日不已死，冬日入夏早食。
病在肝，平旦慧，下晡甚，夜半静。
假令肝病，西行若食鸡肉得之，当以秋时发病，以庚辛日也。
家有血腥死，女子见之以明要为灾，不者，若感金银物得之。
凡肝病之状，必两胁下痛引少腹，令人善怒，虚则目 无所见，耳无所闻，善恐，如
人将捕之，若欲治之，当取其经足厥阴与少阳，气逆则头目痛、耳聋不聪、颊肿取血者。
肝脉沉之而急，浮之亦然，苦胁痛有气支满引少腹而痛，时小便难，苦目眩头痛，腰背
痛，足为寒时癃，女人月事不来，时亡时有，得之少时有所堕坠。
肝病其色青，手足拘急，胁下苦满，或时眩冒，其脉弦长，此为可治，宜服防风竹沥汤
、秦艽散。春当刺大敦，夏刺行间，冬刺曲泉，皆补之；季夏刺太冲，秋刺中 ，皆泻之。
又当灸期门百壮，背第九椎五十壮。
邪在肝，则两胁中痛，寒中，恶血在内， 善 ，节时肿，取之行间以引胁下，补三里
以温胃中，取血脉以散恶血，取耳间青脉以去其 。
凡有所堕坠，恶血留内，若有所大怒，气上而不能下，积于左胁下，则伤肝。
肝中风者，头目 ，两胁痛，行常伛，令人嗜甘如阻妇状。
肝中寒者，其人洗洗恶寒，翕翕发热，面翕然赤，涔涔有汗，胸中烦热。
肝中寒者，其人两臂不举，舌本（又作大）燥，善太息，胸中痛，不得转侧，时盗汗、
咳
，食已吐其汁。
肝主胸中，喘，怒骂，其脉沉，胸中又窒，欲令人推按之，有热鼻窒。肝伤，其人脱肉
又卧口欲得张，时时手足青，目瞑，瞳仁痛，此为肝脏伤所致也。
肝水者，其人腹大不能自转侧，而胁下腹中痛，时时津液微生，小便续通。
肝胀者，胁下满而痛引少腹。
肝着，其病患常欲蹈其胸上，先未苦时但欲饮热。
诊得肝积，脉弦而细，两胁下痛，邪气走心下，足胫寒，胁痛引少腹，男子积疝，女子
瘕淋，身无膏泽，善转筋，爪甲枯黑，春瘥秋剧，色青也。
肝之积名曰肥气，在左胁下如覆杯，有头足如龟鳖状，久久不愈，发咳逆 疟连岁月不
已，以季夏戊己日得之，何也？肺病传肝，肝当传脾，脾适以季夏旺，旺者不受邪，肝复欲
还肺，肺不肯受，因留结为积，故知肥气以季夏得之。
肝病胸满胁胀，善恚怒叫呼，身体有热而复恶寒，四肢不举，面白，身体滑，其脉当弦
长而急，今反短涩，其色当青而反白者，此是金之克木，
襄公问扁鹊曰∶吾欲不诊脉，察其音，观其色，知其病生死，可得闻乎？答曰∶乃圣道
之大要，师所不传，黄帝贵之，过于金玉。入门见病，观其色、闻其呼吸，则知往来出入，
吉凶之相。角音人者，主肝声也，肝声呼，其音琴，其志怒，其经足厥阴。厥逆少阳则营卫
不通，阴阳交杂，阴气外伤，阳气内击，击则寒，寒则虚，虚则猝然喑哑不声，此为厉风入
肝，续命汤主之（方在第八卷中）。但踞坐不得低头，面目青黑，四肢缓弱，遗矢便利，甚
则
不可治，赊则旬月之内，桂枝酒主之（方在第八卷中）。又呼而哭，哭而反吟，此为金克木，
阴击阳，阴气起而阳气伏，伏则实，实则热，热则喘，喘则逆，逆则闷，闷则恐畏，目视不
明，语声切急，谬说有人，此为邪热伤肝，甚则不可治。若唇色虽青，向眼不应可治，地黄
煎主之（方在
肝病为疟者，令人色苍苍然，太息，其状若死者，乌梅丸主之（方在第十卷中）。若其
人
本来少于悲恚，忽尔嗔怒，出言反常、乍宽乍急，言未竟以手向眼，如有所畏，若不即病，
祸必至矣，此肝病声之候也。若其人虚，则为寒风所伤；若实，则为热气所损。阳则泻之，
阴则补之。
青为肝，肝合筋，青如翠羽者吉。肝主目，目是肝之余，其人木形相比，于上角苍色，
小头长面大肩，平背直身，小手足，有材好劳，心小力多，忧劳于事，耐春夏不耐秋冬，秋
冬感而生病，足厥阴。佗佗然胁广合坚脆倾正，则肝应之。正青色小理者，则肝小，小则脏
安，无胁下之病；粗理者则肝大，大则虚，虚则寒，逼胃迫咽，善膈中，且胁下痛。广胁反
者则肝高，高则实，实则肝热，上支贲加胁下急为息贲，合胁危（一作兔）。 者则肝下，
下则逼胃，胁下空，空则易受邪。胁骨坚者，则肝坚，坚则脏安难伤；胁骨弱者，则肝脆，
脆则善病消瘅易伤；胁腹好相者，则肝端正，端正则和利难伤；胁骨偏举者则肝偏倾，偏倾
则胁下偏痛。
凡人分部陷起者，必有病生。胆少阳为肝之部，而肝气通于内外，部亦随而应之。沉浊
为内，浮清为外，若色从外走内者，病从外生，部处起；若色从内出外者，病从内生，部处
陷。纳病前治阴后治阳，外病前治阳后治阴。阳主外，阴主内，凡人死生休否，则脏神前变
形于外，人肝前病，目则为之无色，若肝前死，目则为之脱精，若天中等分，墓色应之，必
死不治。看应增损斟酌赊促，赊则不出四百日内，促则不延旬月之间，肝病少愈而猝死。何
以知之？曰∶青白色如拇指大， 点见颜颊上，此必猝死。肝绝八日死，何以知之？面青目
赤，但欲伏眠，视而不见人，汗出如水不止，（一日二日死。）面黑目青者不死，青如草滋死，
吉凶之色在于分部。顺顺而见，青白入目必病，不出其年，若年上不应，三年之中，祸必应
春、木、肝、脉、色青，主足少阳脉也，春取络脉分肉，春者木始治，肝气始生，肝气
急，其风疾，经脉常深，其气少不能深入，故取络脉分肉之间，其脉根本并在窍阴之间，应
在窗笼之
其筋，起于小趾次趾之上，结外踝，上循 外廉；结于膝外廉，其支者别起于外辅骨，
上走髀，前者结伏兔之上；后者结于尻，其直者上 乘季胁，上走腋前廉，挟于膺乳，结于
缺盆；直者上出腋，贯缺盆，出太阳之前，循耳后，上额角，交巅上，下走颔上结于鼽，其
支者结于目外 为外维。
其脉起于目锐 ，上抵头角，下耳后，循颈行手少阳之前，至肩上却交出手少阳之后，
入缺盆。其支者从耳后入耳中，出走耳前至锐 后。其支者别锐 ，下大迎，合手少阳于
下。加颊车，下颈合缺盆以下胸中，贯膈、络肝、属胆、循胁里，出气街，绕毛际，横入髀
厌中；其直者从缺盆下腋循胸，过季胁，下合髀厌中，以下循髀阳，出膝外廉，下外辅骨之
前，直下抵绝骨之端，下出外踝之前，循足跗上，出小趾次趾之端。其支者，别跗上，入大
趾之间，循大趾歧内出其端，还贯入爪甲，出三毛，合足厥阴为表里。厥
寸，应在背俞，同会于手太阴。
其足少阳之别名曰光明，去踝五寸是也，别走厥阴，下络足趺。主肝生病，病实则胆热
，热则厥，厥则阳病，阳脉反逆大于寸口一倍，病则胸中有热，心胁头颔痛，缺盆腋下肿，
虚则胆寒，寒则痿 ， 则阴病，阴脉反小于寸口，病则胸中有寒，少气口苦，身体无膏泽，
外至 绝骨外踝前及诸节皆痛，若阴阳俱静与其俱动，如引绳俱顿者病也（此尽是足少阳胆
经筋脉支别为病，今取足厥阴肝经附于后）。
足厥阴之脉起于大趾聚毛之际，上循足趺上廉，去内踝一寸，上踝八寸交出太阴之后
上内廉，循股阴入毛中，环阴器抵少腹，挟胃属肝络胆，上贯膈，布胁肋，循喉咙之后，
上入颃颡，连目系，上出额与督脉会于巅（一本云其支者从少腹与太阴少阳结于腰髁下第三
第四骨空中）；其支者从目系下颊里，环唇内，其支者复从肝别贯膈，上注肺中。是动则病
腰痛不可以俯仰，丈夫 疝，妇人少腹肿，甚则嗌干，面尘脱色。是主肝所生病者，胸满呕
逆，洞泄狐疝，遗溺闭癃。盛者则寸口大一倍于人迎，虚者则寸口反小于人迎也。
足厥阴之别，名曰蠡沟，去内踝上五寸，别走少阳，其别者循经上睾结于茎。其病气逆
In the streams of Jiangdong and Jiangnan, there are insects at the sources named Duanhu Xidu (Short Fox Stream Poison), also known as Shegong (Arrow Worker). These insects have no eyes but sensitive ears that can hear. Hearing human voices in mountain streams, they shoot poison from their mouths at people, hence the name Shegong. Those with minor or light toxicity, or those chasing each other, if they shoot a person's shadow, will not immediately cause sores. Instead, the patient first experiences chills and fever, dislikes cold, has a stiff body and tight sinews, headache, and eye pain, opens mouth for yawning and coughing, feels stifled and chaotic breathing, is slightly refreshed in the morning, and suffers chills and fever again in the late afternoon. Some cases resemble the reaction after taking Shisan Powder for Taiyang disease (Taiyang disease: a syndrome caused by pathogenic factors affecting the Taiyang channel), similar to Zhongshi (Pianic Disease) where one cannot speak. Given these symptoms, unless one is a local who frequently walks in mountains and streams, one would not know this condition and might mistake it for a reaction to Shisan Powder. If treated incorrectly, severe toxicity may cause sores, leading to suspicion of Biaoju (Acute Carbuncle), resulting in vomiting blood or bloody stools.
It is stated: Humans are born endowing heaven and earth, thus internally possessing five zang organs, six fu organs, essence, qi, bone marrow, and sinews; externally having four limbs, nine orifices, skin, hair, nails, teeth, throat, lips, tongue, anus, and bladder. This constitutes the body. Therefore, if nourished properly, all pulses remain harmonious; if overworked improperly, it leads to the afflictions of Wu Lao (Five Excesses), Qi Shang (Seven Injuries), and Liu Ji (Six Extremes). With prescriptions, even if ill, there is no other harm; without methods to rely on, one suddenly departs forever. Thus, this middle volume details the roots of blood and vessels of the five zang and six fu organs, their circulation and flow, and their correspondence with the nine orifices. It discusses the weight, size, length, width, and capacity of these organs. It lists counter-treatment methods, including pills, powders, wines, decoctions, soups, pastes, massages, moxibustion, acupuncture, and acupoints. Those attentive to medicine can study and practice them. Regarding cold, heat, deficiency, excess, wind, and qi, using them according to medicinal properties ensures no internal or external hundred diseases escape. The five zang correspond to five stars in heaven, five great mountains on earth, five elements by season, and five zang organs in humans. The zang organs house spirit, soul, hun, po, and yi. Discussing yin and yang, examining deficiency and excess, knowing disease origins, using tonification and purging, one should align with the 365 joints and ultimately connect the twelve meridians.
It is stated: The Liver governs Hun (Ethereal Soul), acting as an official, coming and going with the Shen (Spirit), called Hun. Hun is stored in the Liver. The eyes are the opening of the Liver; Liver Qi connects to the eyes, and when harmonious, one can distinguish five colors. The left eye corresponds to Jia (Wood Yang), the right to Yi (Wood Yin), circulating through the Purple Palace, flourishing in the nails. Externally governing sinews, internally governing blood. The Liver weighs four jin and four liang, with three lobes on the left and four on the right, totaling seven lobes. It is guarded by six boys and three jade girls. Its spirit is named Lanlan, governing the storage of Hun, known as the Hun Organ, responding to solar terms. Thus, it is said the Liver stores blood, blood houses Hun, manifests as speech in Qi, and tears in fluids. Liver Qi deficiency causes fear; excess causes anger. Liver Qi deficiency leads to dreaming of grass growing in gardens at the proper time, or hiding under trees afraid to rise. Liver Qi excess leads to dreaming of anger. When Jue Qi invades the Liver, one dreams of forests and trees.
When humans sleep, blood returns to the Liver. The Liver receiving blood enables vision; feet receiving blood enable walking; palms receiving blood enable grasping; fingers receiving blood enable holding.
The Liver corresponds to Wood, combining with the Gallbladder as a Fu organ. Its meridian is Foot Jueyin, exterior-interior related to Shaoyang. Its pulse is Xian (Wiry). It associates with Winter and flourishes in Spring. In Spring, when all things begin to grow, its Qi comes soft and weak, broad and empty, so the pulse is Xian. Ruo (Soft) means sweating is contraindicated; Ruo (Weak) means purging is contraindicated. Kuan (Broad) means opening; opening means unblocking; unblocking means benefiting. Hence, it is called broad and empty.
Spring pulse like Xian; Spring pulse belongs to Liver, Eastern Wood, the reason for the beginning of all things. Thus, its Qi comes soft, weak, light, empty, slippery, straight, and long, hence called Xian. Opposite to this indicates disease. How is it opposite? If its Qi comes solid and wiry, this is Taiguo (Excess), disease in the Exterior; if its Qi comes insubstantial and slight, this is Buji (Deficiency), disease in the Interior. Liver pulse coming soft and weak, waving like the tip of a raised pole is Ping (Normal) (*Chao Yuan* writes: graceful like pressing lute strings, like raising a long pole). Spring relies on Stomach Qi. Zhen Gan Mai (True Liver Pulse) arriving, interior and exterior tense, like touching knife edges raspingly (*Chao Yuan*: mysterious), like pressing lute strings (*Chao Yuan*: like a newly strung bowstring), color cyan-white without luster, hair breaking indicates death.
Spring with Stomach Qi slightly Xian is Ping; Xian much, Stomach Qi little is Gan Bing (Liver Disease); only Xian, no Stomach Qi is Si (Death); Stomach Qi with Mao (Hair-like/Float) pulse indicates Autumn disease; Mao excessive indicates current disease.
Liver stores blood, blood houses Hun. Sorrow moving within injures Hun. Hun injured leads to madness, essence not guarding (one version: madness not precise, dare not face people directly), causing genital retraction and tendon cramping, two hypochondriac ribs lifting (one version: not lifting), hair withered, color faded, dying in Autumn.
Foot Jueyin Qi exhaustion leads to tendon contraction pulling testicles and tongue. Jueyin is Liver Meridian; Liver is the meeting of sinews; sinews gather at the genitalia and connect to the root of the tongue. Thus, if meridians do not nourish, sinews contract and tighten, pulling testicles and tongue, causing blue lips, curled tongue, and retracted testicles. Sinews die first; Geng day worsens, Xin day dies, because Metal overcomes Wood.
Dead Liver Zang pulse: Floating weak, pressing middle like a cord that does not return, or curved like a snake moving, indicates death.
Spring Liver Wood flourishes; pulse Xian, thin, and long is Ping. Receiving Chen Ru Hua (Deep, Soft, Slippery) instead is Kidney overcoming Liver, Mother returning to Son, Son is Xu Xie (Deficient Evil), though ill, easy to treat. Receiving Fu Da Hong (Floating, Large, Surging) instead is Heart overcoming Liver, Son overcoming Mother is Shi Xie (Excessive Evil), though ill, self-heals; receiving Wei Se Duan (Slight, Choppy, Short) (*Qianjin Yi* says: slight floating and short choppy) instead is Lung overcoming Liver, Metal overcoming Wood is Zei Xie (Thieving Evil), major reversal, ten deaths untreatable; receiving Da Huan (Large and Slow) instead is Spleen overcoming Liver, Earth...
Left hand Guan position Yin exhausted means no Liver pulse. If there is strangury, involuntary urination, difficulty speaking, evil qi in hypochondrium, frequent vomiting, puncture Foot Shaoyang, treat Yang.
Left hand Guan position Yin excess is Liver Excess. Suffering pain in flesh, movement causes tendon twisting, vomiting, puncture Foot Jueyin, treat Yin.
Liver pulse coming zhuozhuo like leaning pole, like lute strings. Two beats per respiration is Ping; three beats is Li Jing Bing (Disease leaving the channels); four beats is Tuo Jing (Essence depletion); five beats is death; six beats is life ending. This is Foot Jueyin pulse.
Liver pulse Ji (Tense) extreme is evil speech (one version: delirious speech); slight Ji is Feiqi (Fat Qi), under hypochondrium like an inverted cup. Huan (Slow) extreme is vomiting; slight Huan is Shui Jia Bi (Water Mass Obstruction). Da (Large) extreme is Nei Yong (Internal Abscess), prone to vomiting and epistaxis. Wei Da is Gan Bi Suo (Liver Obstruction Contraction), cough pulling lower abdomen. Xiao (Small) extreme is polydipsia; Wei Xiao is Xiao Dao (Consumption Fever). Hua (Slippery) extreme is Tui Shan (Descending Hernia); Wei Hua is enuresis. Se (Choppy) extreme is Dan Yin (Pale Fluid); Wei Se is convulsions and tendon cramping.
Liver pulse Bo Jian Er Chang (Beats firm and long), color not cyan, should be fall injury. If beating due to blood under hypochondrium, causes wheezing and reverse Qi. If Ruo and San (Scattered) with lustrous color, should be Yi Yin (Overflowing Drink) disease. Yi Yin is sudden thirst from drinking excessively, water overflowing into muscles, skin, and outside intestines/stomach (*Suwen*: Yi Ru makes Yi Ru).
Cyan pulse arriving, long and vibrating left and right, with accumulated Qi supporting under heart, named Gan Bi (Liver Obstruction). Caused by Cold-Damp, same method as Hernia, lower back pain, cold feet, headache.
Bian Que said: Liver with disease loses eye essence; deficiency causes cold; cold makes Yin Qi strong; strong causes dreaming of mountains and trees. Excess causes heat; heat makes Yang Qi strong; strong causes dreaming of anger.
Liver sound is Hu (Shouting); movement is Wo (Grasping); emotion is Nu (Anger). Anger injures Liver. Essence and Qi merging into Liver causes You (Worry). Liver deficiency causes Kong (Fear); excess causes Nu (Anger). Unending anger also generates You.
Color governs Spring. Disease manifesting in color, take Ying (Spring) points.
Disease starting in Liver: head and eyes dizzy, hypochondriac pain and fullness; one day reaches Spleen, blockage不通, body pain and heaviness; two days reaches Stomach, abdominal distension; three days reaches Kidney, lower abdomen, waist, spine pain, shin soreness; ten days without improvement leads to death, during winter sunset or early summer meal time.
Disease in Liver: Huì (Clear) at dawn, Shèn (Severe) in late afternoon, Jìng (Quiet) at midnight.
Suppose Liver disease, obtained by traveling west or eating chicken meat, should manifest in Autumn, on Geng/Xin days.
If there is bloody death at home, women seeing it consider Ming Yao (Bright Key?) as disaster; otherwise, if affected by gold/silver objects.
General signs of Liver disease: must have pain in both hypochondria pulling to lower abdomen, making one prone to anger. Deficiency causes blindness, deafness, fear, as if being chased. To treat, take Foot Jueyin and Shaoyang meridians. Qi rebellion causes headache, eye pain, deafness, cheek swelling; take blood.
Liver pulse Chen (Deep) and Ji (Tense), Fu (Floating) similarly. Suffering hypochondriac pain with Qi support and fullness pulling lower abdomen, occasional difficult urination, dizziness, headache, back pain, cold feet with strangury, women amenorrhea or irregular bleeding, obtained from past falls.
Liver disease color cyan, limb stiffness, hypochondriac fullness, occasional dizziness/fainting, pulse Xian Chang (Wiry Long), this is treatable. Suitable for Fangfeng Zhuli Tang (Saposhnikovia Bamboo Juice Decoction), Qinjiao San (Gentiana Powder). Spring puncture Dacun, Summer Xingjian, Winter Ququan, all Tonify; Late Summer Taichong, Autumn Zhongdu, all Purge.
Also moxa Qimen 100 cones, Back 9th Vertebra 50 cones.
Evil in Liver: pain in both hypochondria, cold in middle, evil blood inside, prone to..., joints occasionally swollen. Take Xingjian to guide hypochondriac Qi, supplement Zusanli to warm Stomach middle, take blood vessels to scatter evil blood, take green veins behind ear to remove...
Any fall leaves evil blood inside. If angry, Qi rises but cannot descend, accumulates under left hypochondrium, injuring Liver.
Liver struck by Wind: head and eyes..., two hypochondria pain, walking stooped, making one crave sweet food like a pregnant woman.
Liver struck by Cold: shivering aversion to cold, slight fever, face flushed red, profuse sweating, chest烦热 (vexing heat).
Liver struck by Cold: arms unable to lift, tongue root dry, frequent sighing, chest pain, inability to turn, occasional night sweats, cough..., vomiting juice after eating.
Liver governs chest. Wheezing, cursing, pulse Chen, chest stifling, desire for pushing/pressing. Heat causes nasal obstruction. Liver injury: emaciation, lying with mouth open, hands/feet occasionally blue, eyes closing, pupil pain. This is caused by Liver injury.
Liver Water: abdomen large, unable to turn, pain under hypochondria and abdomen, occasional slight saliva production, continuous urination.
Liver Distension: hypochondriac fullness and pain pulling lower abdomen.
Liver Zhuo: patients often want someone to tread on their chest. Initially, before suffering, only desire hot drinks.
Diagnosing Liver Ji (Accumulation): pulse Xian and Xi (Thin), pain in both hypochondria, evil Qi moving to heart region, cold calves, hypochondriac pain pulling lower abdomen. Men: Ji Han (Accumulated Hernia); Women: Jia Lin (Mass Strangury). Body lacks luster, prone to tendon cramping, nails withered and black. Better in Spring, worse in Autumn, color cyan.
Liver Ji named Feiqi (Fat Qi), under left hypochondrium like an inverted cup, with head and feet like turtle/tortoise. Long-term unresolved, causes cough, reverse Qi, malaria lasting years. Obtained on Wu/Ji days of Late Summer. Why? Lung disease transmits to Liver. Liver should transmit to Spleen. Spleen is flourishing in Late Summer. Flourishing organs do not accept evil. Liver wants to return to Lung, but Lung refuses. Thus, it stays and forms accumulation. Hence, Feiqi is obtained in Late Summer.
Liver disease: chest fullness, hypochondriac distension, prone to anger/shouting, body heat with aversion to cold, limbs unable to move, pale face, smooth body. Pulse should be Xian Chang Ji (Wiry, Long, Tense), but is now Duan Se (Short, Choppy). Color should be Cyan, but is White. This is Metal overcoming Wood.
Duke Xiang asked Bian Que: I wish to diagnose without pulse, observe voice, watch color, know disease survival/death. Is this possible? Answer: This is the great essence of Sage Dao, not transmitted by teachers, valued by Huangdi more than gold/jade. Entering to see disease, observing color, hearing breathing, one knows incoming/outgoing, auspicious/inauspicious signs. Jue tone people govern Liver sound. Liver sound is Hu (Shout), tone Qin (Lute), emotion Nu (Anger), meridian Foot Jueyin. Jue Ni (Reversal) in Shaoyang causes Ying-Wei blockage, Yin-Yang mixing. External Yin injury, internal Yang attack. Attack causes cold, cold causes deficiency, deficiency causes sudden aphonia. This is Li Feng (Malignant Wind) entering Liver. Xuming Tang (Continuation Life Decoction) governs it (Formula in Vol 8). But sitting upright unable to bow head, face/cyan-black, limbs slack, fecal/urinary incontinence, severe... untreatable. Delayed: within ten days/months, Guizhi Jiu (Cinnamon Twig Wine) governs it (Formula in Vol 8). Also shouting then crying, crying then groaning. This is Metal overcoming Wood, Yin attacking Yang. Yin Qi rises, Yang Qi hides. Hidden becomes Excess, Excess becomes Heat, Heat causes wheezing, wheezing causes reverse Qi, reverse Qi causes stifling, stifling causes fear, vision unclear, speech urgent, hallucinations. This is Evil Heat injuring Liver, severe... untreatable. If lip color cyan but eyes respond, treatable. Dihuang Jian (Rehmannia Paste) governs it (Formula in...).
Liver disease as Malaria: makes person look pale/grey, sighing, appearance like dead. Wumei Wan (Mume Pill) governs it (Formula in Vol 10). If person...
Originally lacking sorrow/anger, suddenly furious, abnormal speech, alternating wide/narrow urgency, gesturing to eyes while speaking, as if fearful. If not immediate disease, disaster will come. This is sign of Liver disease voice. If deficient, injured by Cold Wind; if excess, damaged by Hot Qi. Yang purge, Yin tonify.
Cyan is Liver, Liver combines with Sinews. Cyan like kingfisher feather is Auspicious. Liver governs Eyes; Eyes are surplus of Liver. Person with Wood shape: cyan upper horn, small head, long face, large shoulders, flat back, straight body, small hands/feet, capable/labor-loving, small heart/strong strength, worried about affairs, tolerates Spring/Summer, not Autumn/Winter. Autumn/Winter infection causes disease, Foot Jueyin. Tuotuo Ran (Sturdy) broad hypochondria combined firm/brittle/tilted/upright, Liver responds. Pure cyan fine texture: Liver small, small means organ safe, no hypochondriac disease. Coarse texture: Liver large, large means deficient, deficient means cold, compresses Stomach/throat, prone to diaphragm fullness and hypochondriac pain. Broad hypochondria reversed: Liver high, high means excess, excess means Liver Heat, supports up to Fen, adds hypochondriac urgency, becomes Xi Ben (Breath Accumulation), combines with hypochondriac danger (one version: Rabbit). ... means Liver low, low compresses Stomach, empty hypochondria, empty means easily accepts evil. Hypochondriac bones firm: Liver firm, firm means organ safe, hard to injure. Hypochondriac bones weak: Liver brittle, brittle means prone to Xiao Dao (Consumption Fever), easy to injure. Hypochondriac/abdomen well-matched: Liver upright, upright means harmonious/beneficial, hard to injure. Hypochondriac bones uneven: Liver tilted, tilted means unilateral hypochondriac pain.
Wherever body parts sink or rise, disease must arise. Gallbladder Shaoyang is Liver's region. Liver Qi connects interior/exterior, region responds accordingly. Chen Zhuo (Deep/Turbid) is Interior; Fu Qing (Floating/Clear) is Exterior. If color moves from outside to inside, disease arises from outside, region rises. If color moves from inside to outside, disease arises from inside, region sinks. Treat Yin before Yang for internal disease; treat Yang before Yin for external disease. Yang governs Exterior, Yin governs Interior. Human life/death/rest depends on Zang Spirit changing form externally. Before Liver disease, eyes become colorless. Before Liver death, eyes lose essence. If Heaven/Earth equal division, grave color responds, must die untreatable. Look to increase/decrease/deliberate delay/accelerate. Delay: not exceeding 400 days; Accelerate: not extending beyond 10 days/month. Liver disease slightly better then sudden death. Why know? Cyan-white like thumb size, ... dot appears on face/cheek, this must be sudden death. Liver exhaustion dies in 8 days. Why know? Face cyan, eyes red, only desires lying prone, sees but doesn't recognize people, sweat flowing like water non-stop. (One day/two days death.) Face black, eyes cyan: not dead. Cyan like grass growth: death. Auspicious/inauspicious colors lie in regions. Smoothly seen, cyan-white entering eyes must get disease, not exceeding year. If year doesn't correspond, within three years, disaster must occur.
Spring, Wood, Liver, Pulse, Color Cyan, governs Foot Shaoyang pulse. Spring take Luo Mai (Collateral Vessels) and Fen Rou (Interstices). Spring Wood begins governance, Liver Qi begins generation. Liver Qi urgent, wind fast, meridians usually deep, Qi scarce cannot enter deep, so take Collateral Vessels and Interstices. Pulse roots are in Qiaoyin interstices, should correspond to Chuanglong...
Its sinews start above little toe and second toe, knot at lateral malleolus, ascend along lateral margin; knot at lateral knee margin. Branch starts from lateral fibular bone, ascends to thigh. Anterior branch knots above Futu; posterior branch knots at sacrum. Straight branch ascends along lateral costal margin, ascends to anterior axillary margin,夹 (clamps) chest/breast, knots at Quepen. Straight branch exits armpit, penetrates Quepen, exits anterior Taiyang, follows behind ear, ascends to frontal angle, crosses vertex, descends to chin, knots at Jiu (Nostril). Branch knots at outer canthus as Wai Wei (Outer维系).
Its pulse starts at outer canthus, ascends to frontal angle, descends behind ear, follows neck anterior to Hand Shaoyang, reaches shoulder, crosses behind Hand Shaoyang, enters Quepen. Branch from behind ear enters ear, exits anterior ear to posterior outer canthus. Branch separates outer canthus, descends to Daying, merges with Hand Shaoyang below. Adds Jiache, descends neck, merges Quepen, descends chest, penetrates Diaphragm, connects Liver, belongs to Gallbladder, follows inside hypochondrium, exits Qiegang, surrounds pubic hair, horizontally enters Bi Yan (Hip Pit). Straight branch from Quepen descends armpit, follows chest, passes lateral costal margin, merges Bi Yan below, descends along Bi Yang, exits lateral knee margin, descends anterior to lateral fibular bone, straight down to Duogu end, exits anterior to lateral malleolus, follows foot dorsum, exits end of little toe/second toe. Branch separates dorsum, enters between big toe, follows big toe inner bifurcation, exits end, returns penetrates nail bed, exits San Mao (Three Hairs), merges Foot Jueyin as exterior-interior. Jue... Cun, should be Back Shu, meets Hand Taiyin together.
Its Foot Shaoyang alias is Guangming, five cun above ankle, separately walks Jueyin, descends connects foot dorsum. Governs Liver disease. Excess: Gallbladder Heat. Heat causes Jue (Reversal). Jue causes Yang disease. Yang pulse reverses larger than Cunkou by one fold. Disease: heat in chest, heart/hypochondriac/head/chin pain, Quepen/armpit swelling. Deficiency: Gallbladder Cold. Cold causes Wei (Atrophy). ... causes Yin disease. Yin pulse reverses smaller than Cunkou. Disease: cold in chest, shortness of breath, bitter taste, body lacks luster, externally to ... Duogu/lateral malleolus anterior and all joints painful. If Yin/Yang both quiet or both move, like pulling rope with sudden stops, is disease (This is entirely Foot Shaoyang Gallbladder meridian sinew/pulse branch diseases, now append Foot Jueyin Liver meridian after).
Foot Jueyin pulse starts at pubic hair of big toe, ascends along foot dorsum medial margin, one cun from medial malleolus, eight cun above ankle, crosses Taiyin posterior, ascends medial thigh margin, follows股阴 (inner thigh) into pubic region, circles genitalia, reaches lower abdomen, clamps Stomach, belongs to Liver, connects Gallbladder, penetrates Diaphragm, spreads hypochondriac ribs, follows posterior throat, ascends to Hangsang (Pharynx), connects Eye System, ascends forehead, meets Du Mai at Vertex (One version: branch from lower abdomen meets Taiyin/Shaoyang at third/fourth space below lumbar sacrum); branch from Eye System descends cheek interior, circles lips interior; another branch separates from Liver, penetrates Diaphragm, ascends injects Lung. Shi Dong (Moving) disease: lower back pain unable to bend/extend, men ... hernia, women lower abdomen swelling, severe throat dry, face dusty/color loss. Shi Zhu Gan Suo Sheng Bing (Governor of Liver Diseases): chest fullness, vomiting/reverse Qi, loose diarrhea, fox hernia, enuresis/strangury. Excess: Cunkou one fold larger than Renying. Deficiency: Cunkou smaller than Renying.
Foot Jueyin branch, name Ligou, five cun above medial malleolus, separately walks Shaoyang. Its branch follows meridian up scrotum, knots at penis. Disease Qi rebellion...