膀胱象水。旺于冬。足太阳其经也。肾之腑也。五谷五味之津液。悉归于膀胱。气化。
分入血脉。以成骨髓也。而津液之余者入胞。则为小便。其气
盛为有余。则病热。胞涩小便不通。小腹偏肿痛。是为膀胱气之实也。则宜泻之膀胱气不足
则寒气客之。胞滑。小便数而多也。面色黑。是膀胱之气虚也。则宜补之。
三焦者。上焦中焦下焦是也。上焦之气。出于胃上口。并咽以贯鬲。布胸内。走腋。循
太阴
之分而行。上至舌。下至足阳明。常与营卫俱行。主纳而不出也。中焦之气。亦并于胃口。
出上焦之后。此受气者。泌糟粕。承津液。化为精微。上注于肺脉。乃化而为血。主不上不
下也。下焦之气。别回肠。注于膀胱而渗入焉。主出而不纳。故水谷常并居于胃。成糟
粕而俱下于大肠也。谓此三气。焦干水谷。分别清浊。故名三焦。三焦为水谷之道路。气之
所终始也。三焦气盛为有余。则胀。气满于皮肤内。轻轻然而不牢。或小便涩。或大便难。
是为三焦之实也。则宜泻之。三焦之气不足。则寒气客之。病遗尿。或泻利。或胸满。或食
不消。是三焦之气虚也。则宜补之。诊其寸口脉迟。上焦有寒。尺脉迟。下焦有寒。尺脉浮
者。客阳在下焦。
肝虚者。陈皮、生姜之类补之。虚则补其母。肾者肝之母也。以熟地、黄柏补之。如无
他
症。六味地黄丸主之。实则白芍泻之。如无他症。泻青丸主之。实则泻其子。以甘草泻心汤
主之。心者肝之子也。
心虚者。炒盐补之。虚则补其母。肝者心之母。生姜补之。如无他症。以安神丸主之。
实则甘草泻之。如无他症。重则泻心汤。轻则导赤散主之。
脾虚者。甘草、大枣之类补之。虚则补其母。心乃脾之母。以炒盐补之。实则泻其子。
肺乃脾之子。以桑白皮主之。又云。实则黄连、枳实泻之。如无他症。益黄散主之。
肺虚者。五味子补之。实则桑白皮泻之。如无他症。阿胶散。虚则补其母。脾乃肺之母
以甘草、大枣补脾。实则泻其子。肾乃肺之子。以泽泻泻肾。
肾虚者。熟地、黄柏补之。肾无实不可泻。钱仲阳止有补肾地黄丸。无泻肾药。虚则补
其母。肺乃肾之母。以五味子补肺。
Bladder is analogous to water. It flourishes in winter. The Foot-Taiyang Bladder Meridian (Zú Tàiyáng Pángguāng Jīng) is its meridian, and it is the Fu organ of the Kidney. The fluids from the five grains and five flavors all converge into the Bladder. Through Qi transformation (Qì Huà), they are divided and enter the blood vessels to form bone marrow. The surplus fluids enter the bladder (referred to as "bao" here), becoming urine. If the Qi of the Bladder is excessive, it constitutes a Fullness syndrome, leading to heat diseases. The bladder becomes obstructed, causing urinary retention, and swelling and pain on one side of the lower abdomen; this is the Excess syndrome of Bladder Qi, which should be treated with draining methods. If the Qi of the Bladder is deficient, cold pathogenic factors invade it. The bladder becomes lax, resulting in frequent and profuse urination, and a dark complexion; this is the Deficiency syndrome of Bladder Qi, which should be treated with tonifying methods.
The Sanjiao (Triple Burner) consists of the Upper, Middle, and Lower Burners. The Qi of the Upper Burner originates from the upper opening of the stomach, travels along the pharynx through the diaphragm, spreads within the chest, moves to the axilla, follows the distribution of the Hand-Taiyin Lung Meridian, ascends to the tongue, and descends to connect with the Foot-Yangming Stomach Meridian. It often moves together with Ying-Qi (Nutritive Qi) and Wei-Qi (Defensive Qi), primarily responsible for receiving and retaining without excreting externally. The Qi of the Middle Burner also converges at the stomach region, emerging after the Upper Burner. This is where food qi is received; it separates dregs, receives fluids, transforms them into fine essences, and directs them upward to the lung vessels, where they transform into blood. Its function is neither ascending nor descending but intermediate. The Qi of the Lower Burner diverges from the ileum, pours into the bladder, and permeates it. Its function is excretion without reception. Thus, food and drink usually reside together in the stomach, become dregs, and descend together into the large intestine. These three types of Qi "scorch" or process food and drink, separating the clear from the turbid, hence named Sanjiao. The Sanjiao is the pathway for food and drink, and the beginning and end of Qi. If the Qi of the Sanjiao is excessive, distension occurs. Qi fills the interior of the skin, feeling light and unstable, or there may be difficult urination or constipation; this is the Excess syndrome of Sanjiao, which should be treated with draining methods. If the Qi of the Sanjiao is deficient, cold pathogenic factors invade it, leading to enuresis, diarrhea or dysentery, chest fullness, or indigestion; this is the Deficiency syndrome of Sanjiao Qi, which should be treated with tonifying methods. Palpating the Cun Kou pulse: if slow, there is cold in the Upper Burner; if the Chi pulse is slow, there is cold in the Lower Burner; if the Chi pulse is floating, there is wandering Yang residing in the Lower Burner.
When the Liver is deficient, use drugs such as Chenpi (Citri Reticulatae Pericarpium) and Shengjiang (Zingiberis Rhizoma Recens) to tonify. According to the principle "tonify the mother when deficient," since the Kidney is the mother of the Liver, use Shudi (Rehmanniae Radix Praeparata) and Huangbai (Phellodendri Cortex) to tonify. If there are no other symptoms, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) is the primary formula. When the Liver is excess, use Baishao (Paeoniae Radix Alba) to drain. If there are no other symptoms, Xieqing Wan (Drain-Green Pill) is the primary formula. According to the principle "drain the child when excess," use Gancao Xiexin Tang (Licorice Decoction for Draining the Heart) as the primary treatment, because the Heart is the child of the Liver.
When the Heart is deficient, use fried salt to tonify. According to the principle "tonify the mother when deficient," since the Liver is the mother of the Heart, use Shengjiang (Zingiberis Rhizoma Recens) to tonify. If there are no other symptoms, Anshen Wan (Calming Spirit Pill) is the primary formula. When the Heart is excess, use Gancao (Glycyrrhizae Radix et Rhizoma) to drain. If there are no other symptoms, for severe cases use Xiexin Tang (Drain-the-Heart Decoction); for mild cases, use Daochi San (Guide Out Red Powder).
When the Spleen is deficient, use drugs such as Gancao (Glycyrrhizae Radix et Rhizoma) and Dazao (Jujubae Fructus) to tonify. According to the principle "tonify the mother when deficient," since the Heart is the mother of the Spleen, use fried salt to tonify. When the Spleen is excess, drain its child. The Lung is the child of the Spleen, so use Sangbaipi (Mori Cortex) as the primary treatment. It is also said that for Spleen excess, use Huanglian (Coptidis Rhizoma) and Zhishi (Aurantii Fructus Immaturus) to drain. If there are no other symptoms, Yihuang San (Benefit-Yellow Powder) is the primary formula.
When the Lung is deficient, use Wuweizi (Schisandrae Chinensis Fructus) to tonify. When the Lung is excess, use Sangbaipi (Mori Cortex) to drain. If there are no other symptoms, use Ejiao San (Donkey-Hide Gelatin Powder). According to the principle "tonify the mother when deficient," since the Spleen is the mother of the Lung, tonify the Spleen with Gancao (Glycyrrhizae Radix et Rhizoma) and Dazao (Jujubae Fructus). When the Lung is excess, drain its child. The Kidney is the child of the Lung, so use Zexie (Alismatis Rhizoma) to drain the Kidney.
When the Kidney is deficient, use Shudi (Rehmanniae Radix Praeparata) and Huangbai (Phellodendri Cortex) to tonify. The Kidney has no excess conditions and cannot be drained. Qian Zhongyang (Qian Yi) only had Bushen Dihuang Wan (Tonify-Kidney Rehmannia Pill) and no drugs for draining the Kidney. According to the principle "tonify the mother when deficient," since the Lung is the mother of the Kidney, use Wuweizi (Schisandrae Chinensis Fructus) to tonify the Lung.