心主惊。实则叫哭发热,饮水而摇(聚珍本作搐);虚则卧而悸动不安。
肝主风。实则目直,大叫,呵欠,项急,顿闷;虚则切牙,多欠气。热则外生气;湿则
内生气。
脾主困。实则困睡,身热,饮水;虚则吐泻,生风。
肺主喘。实则闷乱喘促,有饮水者,有不饮水者;虚则哽气,长出气。
肾主虚,无实也。惟疮疹,肾实则变黑陷。
更当别虚实证。假如肺病又见肝证,切牙多呵欠者,易治,肝虚不能胜肺故也。若目直
、大
补母,实则泻子。
肝病,哭叫,目直,呵欠,顿闷,项急。
心病,多叫哭,惊悸,手足动摇,发热饮水。
脾病,困睡,泄泻,不思饮食。
肺病,闷乱哽气,长出气,气短喘息。
肾病,无精光,畏明,体骨重。
呵欠,顿闷,口中气热。当发散,大青膏主之。若能食,饮水不止,当大黄丸微下之
。余不可下。
胸满短气,气急喘嗽上气。当先散肺,后发散风冷。散肺,泻白散、大青膏主之。肺不
伤寒则不胸满。
唇白色,当补肺,阿胶散主之。若闷乱气粗,喘促哽气者,难治,肺虚损故也。
脾肺病久,则虚而唇白。脾者肺之母也,母子皆虚,不能相营,故名曰怯肺,主唇白。
白而泽者吉,白如枯骨者死。
The Heart governs fright. In excess conditions, there is crying and shouting, fever, and trembling while drinking water (the Zhenzhu edition records this as convulsions); in deficiency conditions, there is palpitations and restlessness while lying down.
The Liver governs wind. In excess conditions, there is staring eyes, loud screaming, yawning, stiffness of the neck, and dizziness with a feeling of oppression; in deficiency conditions, there is teeth grinding and frequent sighing. Heat generates wind from the exterior; dampness generates wind from the interior.
The Spleen governs lethargy. In excess conditions, there is drowsiness, body heat, and desire for water; in deficiency conditions, there is vomiting and diarrhea, and the generation of wind.
The Lung governs panting. In excess conditions, there is chest distress and confusion with rapid breathing; some patients desire water, while others do not; in deficiency conditions, there is a choking sensation of Qi and long sighing.
The Kidney governs deficiency and has no excess conditions. Only in cases of smallpox or measles, if the Kidney is in excess, it manifests as blackening and sinking of the lesions.
One must further distinguish between deficiency and excess patterns. For example, if a Lung disease presents with Liver symptoms such as teeth grinding and frequent yawning, it is easy to treat because Liver deficiency fails to control the Lung. [Note: The original text contains fragmented sentences regarding "Greatly tonify the mother" and "Excess drain the child," referring to the Five Elements theory where one should tonify the mother organ in deficiency and drain the child organ in excess.]
Liver disease symptoms: Crying and shouting, staring eyes, yawning, dizziness with oppression, and neck stiffness.
Heart disease symptoms: Frequent crying and shouting, fright and palpitations, shaking of hands and feet, fever, and desire for water.
Spleen disease symptoms: Drowsiness, diarrhea, and lack of appetite.
Lung disease symptoms: Chest distress and confusion, choking sensation of Qi, long sighing, shortness of breath, and panting.
Kidney disease symptoms: Lackluster eyes, photophobia, and heaviness of the body and bones.
When presenting with yawning, dizziness with oppression, and hot breath from the mouth, dispersing methods should be used, primarily with Daqing Gao (Big Blue Ointment). If the patient can eat but drinks incessantly, Xiaohuang Wan (Rhubarb Pill) should be used to gently purge. Other conditions should not be purged.
When presenting with picking at clothes collars and randomly twisting objects, Xieqing Wan (Drain Green Pill) is indicated. For high fever, desire for water, panting, and chest distress, Xiebai San (Drain White Powder) is indicated.
When presenting with pinching the eyebrows, eyes, nose, and face, Ganjie Tang (Licorice and Platycodon Decoction) is indicated.
When presenting with chest fullness, shortness of breath, rapid breathing, coughing with wheezing, and rebellious Qi, the Lung should first be dispersed, followed by the dispersion of wind-cold. To disperse the Lung, Xiebai San (Drain White Powder) and Daqing Gao (Big Blue Ointment) are indicated. If the Lung does not contract cold damage, chest fullness will not occur.
If the lips are deep red, treat by dispersing the Lung. For deficient heat, administer a small dose of Xiebai San (Drain White Powder).
If the lips are white, tonify the Lung, primarily with Ejiao San (Donkey-Hide Gelatin Powder). If accompanied by chest distress and confusion, coarse breathing, panting, and choking sensation of Qi, it is difficult to treat due to Lung deficiency and damage.
Chronic Spleen and Lung diseases lead to deficiency and white lips. The Spleen is the mother of the Lung; when both mother and child are deficient and cannot nourish each other, it is named "Qie Fei" (Timid Lung), primarily manifesting as white lips.
White lips with luster indicate a good prognosis; white lips like dry bone indicate death.