诸痉强直。积饮痞隔中满。吐下霍乱。体重 肿。肉如泥按之不起。皆属于湿。太阴湿土。
乃脾胃之气也。
痉。 也。强直。谓项强也。太阳经中湿。则令人项强。有汗者曰阴痉。仲景所谓柔痉
是也
无汗者曰阳痉。仲景所谓刚痉是也。积饮。谓留饮也。痞。否也。谓气不升降也。如否卦
阳在上。阴在下。则天地闭塞矣。隔。阻滞也。肠胃湿甚。则传化失常也。中满。土位中央
湿则令人中焦满也。吐下霍乱。谓肠胃湿饮相兼故也。体重。清阳为火。浊阴为地。湿土
为病。体重宜也。 肿。湿胜于下也。肉如泥按之不起。湿胜于身也。
诸热瞀 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 。暴病暴死。皆属于火。少阳
相火。乃心包络三焦之气也。
瞀。昏也。君火化同。 。热令肌肉跳动也。暴喑。卒哑也。心火热盛。上克肺金。不
能发
声也。冒昧。昏愦也。躁扰。谓热盛于外。手足不宁也。狂越。谓乖越礼法而失常也。经曰
登高而歌。弃衣而走。骂詈不避亲疏。热极故也。骂詈。言之恶也。水数一道近而善。火
数二道远而恶。心火热极。则发恶言也。惊骇。君火化同。 肿。热胜于内也。疼酸酸疼者
由火胜制金。不能平木故也。气逆冲上。火气热。炎上也。禁栗如丧神守。栗战栗也
禁。冷也。丧神守。火极而似水化也。嚏鼻中因痒而气喷作于声也。呕。疮疡。君火化同
喉痹。热客上焦而咽嗌肿也。耳鸣。热冲听户。耳中作声也。聋。水衰火盛。气道闭塞。
耳不闻声也。微则可治。久则难通。呕涌溢。食不下。胃膈热盛。火气炎上之象也。目昧不
明。五脏热极。则目昏不能视物也。暴注。卒泻也。君火化同。 。惕跳而肉动也。暴病
暴死。火性疾速故也。由其平日饮食衣服。性情好恶。不循其宜。而失其常。久则气变兴衰
而为病也。盖因肾水衰虚。心火暴盛。水不能制之。热气怫郁。心神昏冒。则筋不用。卒倒
而无所知也。若热甚至极则死。微则发过如故。俗云暗风。若血气郁结。不得宣通。郁极乃
发。若一侧得通利。则痞者痹而瘫痪也。
Various spasms and stiffness, accumulation of retained fluids causing chest and epigastric stuffiness, qi obstruction, and middle-jiao fullness; vomiting and diarrhea characterized by Huoluan (cholera-like syndrome); heavy sensation in the body; edema; muscles soft as mud with pitting upon pressure—all these belong to Dampness (Shi). Taiyin Damp-Earth corresponds to the Qi of the Spleen and Stomach.
Spasm refers to tendon contraction. Stiffness refers to neck rigidity. When the Bladder Meridian of Foot-Taiyang is invaded by Dampness, it causes neck rigidity. Those with sweating are termed Yin Spasm, which Zhang Zhongjing refers to as Rouspasm (Soft Spasm). Those without sweating are termed Yang Spasm, which Zhang Zhongjing refers to as Gangspasm (Stiff Spasm). Accumulated fluid refers to retained drinking-water (Liuyin). Pi (stuffiness) implies blockage, referring to the dysfunction of ascending and descending of Qi. It is like the hexagram Pi in the I Ching: when Yang is above and Yin below, Heaven and Earth are blocked. Ge (obstruction) refers to stagnation. Excessive dampness in the intestines and stomach leads to abnormal transmission and transformation. Zhongman (middle-fullness) refers to distension in the middle jiao. Earth resides in the center; when Dampness causes disease, it leads to middle-jiao fullness. Vomiting and diarrhea of Huoluan occur due to the combination of Dampness and retained fluids in the intestines and stomach. Heavy body sensation: Clear Yang is like Fire, Turbid Yin is like Earth; when Damp-Earth causes disease, a heavy body is expected. Edema indicates Dampness prevailing in the lower part. Muscles soft as mud with no rebound after pressure indicate Dampness prevailing throughout the body.
Various heat syndromes causing Mao (dizziness/fainting), sudden aphonia (Baoyin); dizziness and confusion (Maomei), restlessness and agitation (Zaorao); mania and transgression (Kuangyue), cursing and scolding (Mali); fright and horror (Jinghai); swelling, pain, and soreness (Zhongtengsuan); rebellious Qi rushing upward (Qini chongshang); trembling and shivering as if losing spiritual control (Jinli rusang shenshou); sneezing (Ti); vomiting; sores and ulcers (Chuangyang); throat obstruction (Houbi); tinnitus and deafness (Erming ji long); violent vomiting and overflow; inability to eat; blurred vision (Muwei buming); acute diarrhea (Baozhu); sudden illness and sudden death—all these belong to Fire (Huo). Shaoyang Ministerial Fire corresponds to the Qi of the Pericardium (Xinbaoluo) and Sanjiao (Triple Burner).
Mao refers to dizziness or fainting. Its transformation is consistent with Ministerial Fire. , refers to muscle twitching caused by Heat. Baoyin (sudden aphonia) refers to sudden loss of voice. Excessive Heart Fire attacks Metal (Lungs), preventing voice production. Maomei refers to mental confusion and dizziness. Zaorao refers to external heat causing restlessness of hands and feet. Kuangyue refers to behavior violating propriety and norms. The classics state: singing while climbing high, running naked, cursing without distinguishing kin—this is due to extreme Heat. Mali refers to speaking malicious words. Water’s number is one, close and good; Fire’s number is two, distant and bad. Extreme Heart Fire leads to evil speech. Jinghai (fright) shares the same transformation as Ministerial Fire. , refers to internal Heat predominance. Tengsuan (pain and soreness) occurs because Fire controls Metal, failing to subdue Wood, leading to soreness. Qi rebelling upward is due to the flaming nature of Fire. Jinli rusang shenshou: Li means trembling, Jin means cold, Sangshenshou means losing spiritual control (Fire extreme resembling Water transformation). Ti (sneezing) is gas spraying from the nose due to itching. Ou (vomiting) and Chuangyang (sores/ulcers) share the transformation of Ministerial Fire. Houbi (throat obstruction) is heat lodging in the Upper Jiao causing throat swelling. Erming (tinnitus) is heat impacting the auditory orifice causing noise. Long (deafness) is due to deficient Kidney Water and excessive Fire blocking the Qi pathway, preventing hearing. Mild cases are treatable; chronic cases are difficult. Violent vomiting and inability to eat are signs of excessive Heat in the Stomach and Diaphragm, with Fire flaming upward. Muwei buming (blurred vision) results from extreme Heat in the Five Zang organs, causing blindness. Baozhu (acute diarrhea) shares the transformation of Ministerial Fire. , refers to palpitations and muscle movement. Baobing baosi (sudden illness and death) is due to the rapid nature of Fire. This arises from improper diet, clothing, and emotional habits over time, disrupting normal Qi dynamics. Generally, it stems from deficient Kidney Water and sudden excess Heart Fire, where Water fails to control Fire. Heat becomes stagnant, confusing the Shen (Spirit), rendering tendons useless, leading to sudden collapse and unconsciousness. If Heat reaches extremity, death ensues; if mild, recovery follows. Commonly called An Feng (Hidden Wind). If Blood and Qi stagnate and cannot circulate, extreme stagnation triggers an outbreak. If one side unblocks, the other may become paralyzed due to Bi syndrome.