凡人生十岁。五脏始定。血气已通。其气在下。故好走。二十岁。血气始盛。肌骨方长
是
其盛已平。腠理始薄。荣华渐落。发鬓斑白。气血平减。而不摇动。故好坐。五十岁。肝气
衰。肝叶始薄。胆汁减少。目则不明。六十岁。心气衰。喜多悲忧。血气懈惰。故多卧。七
十岁。脾气衰。肤肉枯槁。饮食减少。八十岁。肺气衰。魄魂始离。其言多误。九十岁。肾
气焦竭。根本萎枯。经脉空虚。是以不听。百岁五脏俱绝。神气不守。魂魄皆去。形骸独居
而终矣。又有不尽天寿。未满百年而终者。皆由脏腑不坚。肌肉不实。数中风邪。气血不通
。真邪相攻。根叶相乱。是以不寿而终矣。
凡女子七岁肾气盛。更齿发长。二七而天癸至。任脉通。冲脉盛。月事以时下。故有子
三
发
坏而无子也。
凡丈夫八岁肾气实。发长齿更。二八肾气盛。天癸至。精气溢泻。阴阳和。故有子。三
八肾
槁。
形体皆
精髓
夫处方疗疾。当先诊知病源。察其盈虚。而行补泻。辨土地寒暑。观男女盛衰。深明草
石甘
候各
治阴
损益
在
用
此
人
风气湿痹。表里移走。居无常处。散当平之。次当用丸。丸药者。能逐风冷。破积聚。消诸
坚症。进饮食。调和荣卫。能参合而行之者。可谓上工。故曰医者意也。大抵养命之药则多
君。养性之药则多臣。疗病之药则多使。审而用之。则百不失一矣。
夫疗寒以热药。疗热以寒药。饮食不消以吐下药。鬼疰蛊毒以蛊毒药。痈肿疮瘤以疮瘤
药。
有新
药草
其大
When a person reaches ten years of age, the functions of the five Zang organs (Five Viscera) begin to stabilize, and the flow of Xueqi (Blood and Qi) is already smooth. At this stage, Zhengqi (Upright Qi) operates primarily in the lower part of the body; therefore, they enjoy running. At twenty years of age, Xueqi begins to flourish, and muscles and bones are growing. This represents the peak period of human vitality. However, at this time, the Couli (interstitial spaces and pores) begin to become loose, the complexion gradually declines, and gray hair appears on the temples. Compared with the peak state, Xueqi has diminished, and vigorous activity ceases; thus, they prefer sitting. At fifty years of age, Liver Qi begins to decline, the liver lobes become thinner, bile secretion decreases, and vision becomes blurred. At sixty years of age, Heart Qi begins to decline, leading to frequent sadness and melancholy; Xueqi becomes sluggish and lazy, resulting in a preference for lying down. At seventy years of age, Spleen Qi begins to decline, causing the skin and flesh to wither and dry up, and food intake to decrease. At eighty years of age, Lung Qi begins to decline, the Po (Corporeal Soul) and Hun (Ethereal Soul) begin to scatter, and speech becomes erroneous. At ninety years of age, Kidney Qi dries up and exhausts, the root becomes withered and枯 (dry), and the meridians become empty, leading to deafness or loss of hearing. Upon reaching one hundred years of age, the functions of all five Zang organs fail completely, Shenqi (Spiritual Qi) cannot remain within, and both Hun and Po depart, leaving only the physical form to perish. Some individuals do not live out their natural lifespan and die before the age of one hundred. This is due to the lack of solidity in the Zang-Fu organs and the lack of firmness in the muscles. Frequent exposure to Wind pathogens leads to obstruction of Xueqi, where True Qi and Evil Qi attack each other, and the roots and branches become chaotic, resulting in premature death.
For women, at seven years of age, Kidney Qi becomes abundant, teeth are replaced, and hair grows. At fourteen years of age (two sevens), Tian Gui (the substance that promotes reproductive maturity) arrives, the Ren Mai (Conception Vessel) becomes unobstructed, and the Chong Mai (Penetrating Vessel) becomes flourishing. Menstruation occurs regularly, enabling reproduction.
For men, at eight years of age, Kidney Qi is solid, hair grows, and teeth are replaced. At sixteen years of age (two eights), Kidney Qi is abundant, Tian Gui arrives, Jing Qi (Essential Qi) overflows and is discharged, Yin and Yang harmonize, enabling reproduction. At twenty-four years of age (three eights), Kidney Qi is balanced, sinews and bones are strong, wisdom teeth grow, and physical development reaches its peak. At thirty-two years of age (four eights), sinews and bones are robust, and muscles are full and strong. At forty years of age (five eights), Kidney Qi declines, hair begins to fall out, and teeth become dry. At forty-eight years of age (six eights), Yang Qi in the upper body declines, the face becomes darkened and withered, and hair on the temples turns gray. At fifty-six years of age (seven eights), Liver Qi declines, sinews move poorly, Tian Gui is exhausted, Jing Qi is scant, Kidney function weakens, the body becomes extremely fatigued, and hair and teeth fall out. At sixty-four years of age (eight eights), teeth and hair further deteriorate.
Regarding the formulation of prescriptions to treat diseases, one must first diagnose and understand the source of the disease, observe its excess or deficiency states, and then apply tonifying or reducing methods. One must distinguish the climatic differences of cold and heat in different regions, observe the vitality changes between men and women, and deeply understand the sweet, bitter, sour, pungent, and salty properties of herbs and minerals. Adjustments should be made based on seasonal climates. For conditions involving Wind, Dampness, and Bi syndrome (painful obstruction), where pathogens migrate between the interior and exterior without fixed locations, powder preparations should be used first to pacify the condition, followed by pill preparations. Pills can expel Wind and Cold, break up accumulations, dissolve various hard masses, promote appetite, and harmonize Ying (Nutritive) and Wei (Defensive) Qi. Those who can integrate and apply these methods comprehensively can be called Shang Gong (Superior Physicians). Hence it is said, "The physician's art lies in intent." Generally speaking, medicines for nourishing life contain more Jun (Monarch) herbs; medicines for nurturing nature contain more Chen (Minister) herbs; and medicines for treating diseases contain more Shi (Envoy/Assistant) herbs. If selected judiciously, errors will be rare.
To treat Cold syndromes, use Hot-natured drugs; to treat Heat syndromes, use Cold-natured drugs; for indigestion, use emetic or purgative drugs; for Gui Zhu (Ghost Attachment) and Gu Du (Poisonous Toxins), use antitoxic drugs; for abscesses, sores, and tumors, use specific dermatological drugs... [Text ends abruptly]