肝者。罢极之本。魂之居也。其华在爪。爪者筋之余。其充在筋。筋者肝之养。开窍于
目。
心者。生之本。神之变也。其华在面。心火气腾上。使五色修明。而荣于其面也。其充在血
脉。血脉者心之养。开窍于舌。舌用非窍。寄通于耳。耳为心之官。与小肠合。小肠者心之
府。心主行血。配于礼。为阳中之太阳。通于夏气。
脾者。仓禀之本。营之居也。其华在唇四白肉际。唇者脾之外候也。其充在肌。肌者脾
之
通
鼻者肺之官
肾者。主蛰。封藏之本。精之处也。其华在发。发者血之余。脑之所养。肾主于髓。而脑为
髓海。其充在骨。骨肾之外应。开窍于二阴。二阴者。前后便也。前后便者。肾之外穴也。
与膀胱为合。膀胱者肾之府。主受五脏六腑之精而藏之。配于智。为阴中之少阴。通于冬气。
假令肝病 实邪风热相合。风性急。火摇动焰而旋转。其脉弦而紧洪。风热发狂。宜羌
活汤。
羌活 川芎 大黄(各一两) 甘草(半两) 上 咀。每服半两。水二钟。煎至六分。
去
滓温
虚邪风寒相合。多怒善恐。拘急。自汗。其脉弦紧而沉。仲景云。风感太阳。移证在太
阳经
血虚
身
长。仲景云。甚则为痫为 。宜羌活汤。本草云。羌活主 主痫。防风、黄 为佐。小儿为
痫
假令心病 实邪热湿相合。愦愦心烦。热蒸不眠。脾经络于心。心经起于脾。二经相接。
故
相
大
胆
沉濡
寒少
言畅
白虎
也。
假令脾病 实邪湿燥相合。胃中燥屎。腹满坚痛。其脉缓而长涩。是正阳阳明症也。调
胃承
湿风
湿与寒交。寒来求湿。身黄而不热。体
之。如小便不利者。加茯苓。正邪湿自病。
枝加芍药汤主之。实痛。桂枝大黄汤主之。
假令肺病 实邪燥寒相合。毛耸皮凉。溲多而清。其脉短涩而沉。此症如秋冬宜八味丸。
若
如
鼻窒
汤。
而弦
药。
假令肾病 实邪寒风相合。脏不收藏。下利纯青。其脉沉滑而弦。仲景云。少阴症。口
燥咽
肾
肾
大病差后。腰下有水气者。牡蛎泽泻汤主之。微邪寒热相合。膀胱热郁。津液枯少。其脉沉
也。猪苓汤主之。正邪寒自病。寒病分脏腑。其脉沉濡而滑。黑
痹天麻丸。如郁同脉异。微者腑病也。甚者脏病也。
The Liver is the root of endurance and fatigue resistance, and the residence of the Hun (Ethereal Soul). Its luster manifests in the nails; the nails are the surplus of the Sinews. Its nourishment fills the Sinews, which are sustained by the Liver. It opens into the Eyes.
The Heart is the root of life, and the site of transformation of the Shen (Spirit). Its luster manifests in the face. The Qi of Heart Fire ascends, making the five colors bright and lustrous, thereby nourishing the face. Its nourishment fills the Blood Vessels, which are sustained by the Heart. It opens into the Tongue. Although the Tongue is not a true orifice, it communicates via collaterals with the Ears. The Ears serve as the external manifestation of the Heart and are paired with the Small Intestine. The Small Intestine is the Fu-organ of the Heart. The Heart governs the movement of Blood, corresponds to Li (Propriety), is the Taiyang (Greater Yang) within the Yang, and connects with the Qi of Summer.
The Spleen is the root of the granaries (storage of food and fluids) and the residence of Ying (Nutritive Qi). Its luster manifests in the white flesh at the corners of the lips. The lips are the external indicator of the Spleen. Its nourishment fills the Muscles, which are sustained by the Spleen. The Nose is the external manifestation of the Lung.
The Kidney governs hibernation and storage, is the root of sealing and storing, and is the repository of Jing (Essence). Its luster manifests in the hair; the hair is the surplus of Blood, nourished by the Brain. The Kidney governs Marrow, and the Brain is the Sea of Marrow. Its nourishment fills the Bones, which are the external response of the Kidney. It opens into the Two Yin (anterior and posterior orifices). The Two Yin refer to the anterior and posterior orifices for urination and defecation. Defecation and urination are the external passages of the Kidney. It is paired with the Bladder. The Bladder is the Fu-organ of the Kidney, primarily receiving and storing the essence of the Five Zang and Six Fu organs. It corresponds to Zhi (Wisdom), is the Shaoyin (Lesser Yin) within the Yin, and connects with the Qi of Winter.
Suppose Liver Disease: Excess pathogenic factors involve Wind and Heat combining. Wind is swift, and Fire agitates the flames causing rotation. The pulse is wiry, tight, and surging. Wind-Heat causes mania; Qianghuo Tang (Notopterygium Decoction) is indicated.
Herbs: Qianghuo (Notopterygii Rhizoma et Radix), Chuanxiong (Chuanxiong Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang). The herbs are coarsely crushed. Take 0.5 liang per dose, add two zhong of water, decoct until six parts remain, remove the dregs, and take warm.
Deficient pathogenic factors involve Wind and Cold combining, manifesting as irritability, fearfulness, stiffness, spontaneous sweating, with a wiry, tight, and deep pulse. Zhang Zhongjing stated: When Wind affects the Taiyang channel, the syndrome shifts to the Taiyang channel. If Blood deficiency... body... length (text incomplete). Zhang Zhongjing stated: In severe cases, it develops into Epilepsy or convulsions. Qianghuo Tang is indicated. Materia Medica states: Qianghuo treats... treats Epilepsy. Fangfeng (Saposhnikoviae Radix) and Huang [missing character] act as assistants. For children, it is Epilepsy.
Suppose Heart Disease: Excess pathogenic factors involve Heat and Dampness combining, manifesting as mental restlessness, steaming heat, and insomnia. The Spleen meridian connects to the Heart, and the Heart meridian originates from the Spleen; the two meridians connect, therefore... (Text is garbled/corrupted: "Xiang", "Da", "Dan", "Chenru", "Han shao", "Yan chang", "Baihu"). Baihu Tang (White Tiger Decoction) may be implied due to heat symptoms.
Suppose Spleen Disease: Excess pathogenic factors involve Dampness and Dryness combining, manifesting as dry feces in the stomach, abdominal fullness, hardness, and pain, with a slow, long, and choppy pulse. This is Zhengyang Yangming Syndrome. Tiaowei Chengqi Tang (Regulate the Stomach and Order the Qi Decoction) is indicated. If Dampness and Cold interact, Cold seeks Dampness, resulting in yellowing of the body without fever... (text incomplete). If urination is difficult, add Fuling (Poria). For primary Dampness pathology, Guizhi Jia Shaoyao Tang (Cinnamon Twig Decoction with Added Peony) is the main treatment. For excess pain, Guizhi Dahuang Tang (Cinnamon Twig and Rhubarb Decoction) is the main treatment.
Suppose Lung Disease: Excess pathogenic factors involve Dryness and Cold combining, manifesting as erecting lanugo, cool skin, frequent clear urination, with a short, choppy, and deep pulse. This syndrome in autumn and winter is treated with Bawei Wan (Eight-Ingredient Pill). If... (Text is garbled: "Bi zhi" nasal obstruction, "Tang", "Er xian" pulse, "Yao").
Suppose Kidney Disease: Excess pathogenic factors involve Cold Wind combining, leading to failure of the Zang organs to store, with pure green diarrhea, and a slippery, wiry, deep pulse. Zhang Zhongjing stated: Shaoyin syndrome involves dry mouth and throat... (text incomplete). After recovery from major illness, if there is water qi below the waist, Musse Zeie Tang (Oyster and Smilax Decoction) is indicated. Mild pathogenic factors involving Cold and Heat combine, with Bladder heat stagnation and scanty body fluids, with a deep... (text incomplete) pulse. Zhuling Tang (Polyporus Decoction) is indicated. For primary Cold pathology, Cold diseases are divided by Zang and Fu organs, with a slippery, soft, deep pulse. Heibi Tianma Wan (Black Bi Tianma Pill) [Note: Text likely corrupted, possibly referring to a specific formula containing Tianma]. If pulses are similar but conditions differ, mild cases are Fu organ diseases, while severe cases are Zang organ diseases.