夫五脏者。有邪各有身热。其状各异。以手扪摸有三法。以轻手扪之则热。重按之则不
热。
间也
之下
肺热者。轻手乃得。但微按全无。是瞥瞥然见于皮毛之上。日西尤甚。乃皮毛之热。其
证必
心热者。心主血脉。微按至皮肤之下。肌肉之上。轻手乃得。微按至皮毛之下则热。少
加力
以
脾热者。轻手扪之不热。重按至筋骨。又不热。不轻不重。在轻手重手之间。热在肌肉。
遇
黄
肝热者。重按至肌肉之下。至骨之上。乃肝之热。寅卯间尤甚。其脉弦。四肢满闷。便
难。
肾热者。轻手重手俱不热。如重手按至骨分。其热蒸手如火。其人骨苏苏如虫蚀。其骨
困热
肝主魂。为郎官。随神往来谓之魂。魂者肝之藏也。目者肝之官。肝气通于目。目和则
能辨
左三
故曰
其时
凡人寝卧血归于肝。肝受血而能视。足受血而能步。掌受血而能握。指受血而能摄。
凡肝藏众木。与胆合为腑。其经足厥阴。与少阳为表里。其脉弦。相于冬。旺于春。春
时万
者通
春脉弦。春脉肝也。东方木也。万物之所以始生也。故其气来。濡弱轻虚而滑。端直以
长。
此谓
肝
肝
色青白不泽。手折乃死。春胃微弦曰平。弦多胃少曰肝病。但弦无胃曰死。胃而有毛者秋病
。毛甚曰今病。
肝藏血。血舍魂。悲哀动中则伤魂。魂伤则狂妄。其精不守。令人阴缩而筋挛。两胁肋
骨不
足厥阴气绝。则筋缩引卵与舌。厥阴者肝脉也。肝者筋之合也。筋者聚于阴器。而脉络
于舌
木也
肝死脏。浮弱之脉。按之中如索。不来或曲。如蛇行者死。春肝木旺。其脉弦细而长。
曰平
心之
邪。
必吐
善吐
阴。
尽。
大
疝
因血在胁下。令人喘逆。其喘而散色泽者。当病溢饮。溢饮者。
暴渴饮多。而溢入肌肤肠胃之外也。青脉之至也。长而左右弹。有积气在心下支 。名
曰肝
扁鹊云。肝有病则目夺精。虚则寒。寒则阴气壮。壮则梦山树等。实则阳气壮。壮则梦
怒。
不已
色主春。病变于色者。取之荣。
病先发于肝者。头目眩。胁痛支满。一日之脾。闭塞不通。身痛体重。二日之胃。而腹
胀。三日之肾。小腹腰脊痛。颈酸。十日不已。死。冬日入夏早食。
病在肝。平旦慧。下晡甚。夜半静。
假令肝病西行。若食鸡肉得之。当以秋时发病。以庚申日也。家有血腥死。女子见之。
以明
凡肝病之状。必两胁下痛引小腹。令人善怒。虚则目KT KT 无所见。耳无所闻。善
恐。如
人将
肝脉沉之而急。浮之亦然。若胁痛。有气支满。引小腹痛。时小便难。苦目眩头痛。腰脊痛
。足为寒。时癃。女人月事不来。时无时有。得之少年。有所坠堕。
肝病其色青。手足拘急。胁下苦满。或时眩冒。脉弦长为可治。宜服防风竹沥汤。秦艽
散。
百壮
邪在肝。则两胁痛。中寒中恶。血在内。行善螈 。时肿。取之行间。以引胁下。补三
里以
凡有所堕坠。恶血留内。若有大怒。气上而不能下。积于左胁下。则伤肝。
肝中风者。头目 。两胁痛。行常伛。令人嗜甘。如阻妇状。
肝中寒者。其人洗洗恶寒。翕翕发热。面翕然赤。 有汗。胸中烦热。
肝中寒者。其人两臂不举。舌本燥。善太息。胸中痛。不得转侧。时盗汗。咳。食已吐
其汁
肝伤。其人脱肉。又卧口欲得张。时时手足青。目瞑瞳仁痛。为肝藏伤所致也。
肝水者。其病腹大不能自转侧。而胁下腹中痛。时时津液微生。小便续通。肝胀者。胁
下满
肝着。其病患常欲蹈其胸上。先未苦时。且欲饮热。
诊得肝积。脉弦而细。两胁下痛。邪气走心下。足胫寒。胁痛引小腹。男子积疝。女子
瘕淋
肝病。胸满胁胀。善恚怒叫呼。身体有热而复寒。四肢不举。面白。身体滑。其脉当弦
长而
角音人者。主肝声也。肝声呼其音琴。其志怒。其经足厥阴。厥逆少阳。则荣卫不通。
阴阳
汤主
桂枝
热。
甚
青为肝。肝合筋。青如翠羽者吉。肝主目。目是肝之余。其人木形。相比于上角。苍色。
小头长面。大肩背。直身。小手足。有才。好劳心。少力。多忧。劳于事。耐春夏。不耐秋
冬。秋冬感而生病。足厥阴佗佗然。胁广合。坚脆倾正。则肝应之。正青也。小理者。则肝
小。小则藏安。无胁下之病。粗理者。则肝大。大则虚。虚则寒逼胃迫咽。苦膈中且胁下痛
。广胸反 者。则肝高。高则实。实则肝热。上支贲切胁 。为息贲。合胁兔 者。则肝下
。下则逼胃。胁下空。空则受邪易。胁骨坚者。则肝坚。坚则藏安难伤。胁骨弱则肝脆。脆
则善病消瘅易伤。膺腹好相得者。则肝端正。端正则和利难伤。胁骨偏举者。则肝偏倾。偏
倾则胁下偏痛。凡人分部陷起者。必有病生。胆少阳为肝之部。而藏气通于内。外亦从而应
之。沉浊为内。浮清为外。若色从外走内者。病从外生。部处起。若色从内出外者。病从内
生。部处陷。内病前治阴。后治阳。外病前治阳。后治阴。阳主外。阴主内。生死休否。则
藏神先变形于外。人肝前病。目则为之无色。若前死。目则为之脱精。若天中等分。墓色应
之。必死不治。看应增损。斟酌赊促。赊则不出四百日内。促则不延旬月之间。肝病少愈而
卒死。何以知之。曰。青白色如拇指大。靥点见颜颊上。此必卒死。肝绝八日死。何以知之
。面青目赤。但欲伏眠。视而不见人。汗出如水不止。一日二日死。面黑目青者。不死。青
如草滋死。吉凶之色在于分部顺。顺而见。青白入目。必病不出其年。若年上不应。三年之
中。祸必应也。春木肝。脉色青。主足少阳脉也。春取络脉分肉。春者木始治。肝气始生。
肝气急。其风疾
其气少不能深入。故取络脉分肉之气。其脉根本并在窍阴之间。应在窗笼者。
以手按之动者是也。
春三月者。主肝胆青筋牵病也。其源从少阴。而涉足少阳之气始发。少阴之气始衰。阴
阳怫
病相
为阳毒所损。涩涩前寒而后热。颈外双筋牵。不能屈伸。颈直背强。眼
赤黄
扁鹊曰。灸肝肺二 。主治丹毒牵病。当根据源处治。调其阳。理其阴。脏腑之疾不生矣。
When the Five Zang Organs are invaded by pathogens, each manifests as body heat, but the presentations vary. There are three methods for palpation: if heat is felt with light touch but not with heavy pressure, it indicates Lung Heat (Fei Re).
Lung Heat is detected by light palpation; slight pressure makes the heat disappear. The heat appears superficially on the skin and hair, worsening in the late afternoon (Ri Xi), representing heat at the level of the skin and hair.
Regarding Heart Heat (Xin Re), since the Heart governs blood vessels, slight pressure to the area below the skin and above the muscle allows detection with light touch; pressing slightly below the skin reveals heat, which intensifies with added force.
Spleen Heat (Pi Re) is not felt with light touch nor with deep pressure to the bones and sinews; the heat lies between light and heavy pressure, located in the muscle layer.
Liver Heat (Gan Re) is felt only when pressing deeply below the muscle and above the bone, worsening during the Yin and Mao hours (3:00-7:00 AM). The pulse is Wiry (Xian), accompanied by fullness and stuffiness in the four limbs and difficult defecation.
Kidney Heat (Shen Re) is not felt with light or heavy touch; only when pressing deeply to the bone level is a steaming heat like fire felt. The patient experiences bone soreness as if bitten by insects, with a sense of bone fatigue and heat.
The Liver stores Hun (Ethereal Soul), referred to as the "Minister Official." Hun refers to the spiritual activity that accompanies the Shen (Spirit); it is the essence stored in the Liver. The eyes are the opening of the Liver; Liver Qi connects to the eyes, and when harmonized, vision is clear... [Text missing].
Therefore, it is said... [Text missing].
When people sleep, blood returns to the Liver. When the Liver receives blood, one can see; when the feet receive blood, one can walk; when the palms receive blood, one can grasp; when the fingers receive blood, one can hold.
The Liver belongs to Wood and pairs with the Gallbladder as its Fu organ. Its meridian is the Foot Jueyin, exterior-interior related to the Foot Shaoyang. Its pulse is Wiry, corresponding to the storage energy of Winter, and flourishing in Spring. In Spring, all things... [Text missing].
The Spring pulse is Wiry because Spring corresponds to the Liver, the East belongs to Wood, and it is the time when all things begin to grow. Thus, the Qi of Spring arrives soft, weak, light, void, smooth, straight, and long. This is called... [Text missing].
A complexion that is cyan-white and lusterless, with broken fingers, indicates death. A Spring pulse with a slight Wiry quality containing Stomach Qi is considered Normal (Ping); excessive Wiry with insufficient Stomach Qi indicates Liver Disease; a Wiry pulse without Stomach Qi indicates Death. If the pulse carries Hair-like qualities (Autumn pulse), disease will manifest in Autumn; if Hair qualities are severe, disease manifests immediately.
The Liver stores Blood, and Blood houses Hun. Sorrow moving within harms Hun. If Hun is harmed, madness occurs, essence fails to guard, leading to genital retraction and tendon contraction, with pain in the two hypochondriac regions... [Text missing].
When the Foot Jueyin meridian Qi perishes, tendons contract pulling the testicles and tongue. Jueyin is the Liver meridian; the Liver is the convergence of tendons, which gather at the genitalia and connect to the tongue... [Text missing].
The dead organ pulse of the Liver is floating and weak, feeling hard like a cord upon pressing, with irregular or curved flow, resembling a snake crawling; this indicates death. In Spring, when Liver Wood flourishes, a Wiry, thin, and long pulse is Normal.
Heart's... [Text missing].
Pathogen... [Text missing].
Must vomit... [Text missing].
Prone to vomiting... [Text missing].
Yin... [Text missing].
Exhausted... [Text missing].
Great... [Text missing].
Hernia... [Text missing].
Due to blood stasis remaining under the hypochondrium, causing wheezing and counterflow qi. If wheezing is accompanied by a scattered and lusterless complexion, it should be treated as Overflowing Drink (Yi Yin). Overflowing Drink refers to... [Text missing].
Sudden excessive drinking causes fluid to overflow into the space outside the skin, muscles, and intestines/stomach. When the Cyan pulse arrives, it is long and flicks left and right, indicating accumulated Qi under the heart, named Liver... [Text missing].
Bian Que said: When the Liver has disease, the eyes lose brilliance (Mu Duo Jing); deficiency leads to cold, where Yin Qi becomes strong, dreaming of mountains and trees; excess leads to strong Yang Qi, dreaming of anger... [Text missing].
Color corresponds to Spring; diseases manifesting in color are treated using Ying (Spring) points.
Diseases originating in the Liver first cause dizziness, vertigo, hypochondriac pain, and distension; after one day, it transmits to the Spleen, causing blockage, body pain, and heaviness; after two days, to the Stomach, causing abdominal distension; after three days, to the Kidney, causing lower abdominal, lumbar, and spinal pain, and neck stiffness. If not cured in ten days, death ensues. If onset occurs before sunset in Winter or before morning meal in Summer... [Text missing].
Disease in the Liver improves at dawn (Hui), worsens in the afternoon (Shen/You hours), and calms at midnight (Jing).
If Liver disease moves westward, triggered by eating chicken, it will manifest in Autumn, specifically on Geng-Shen days. If there is a bloody death in the house, and a woman sees it... [Text missing].
Generally, Liver disease presents with pain in both hypochondria radiating to the lower abdomen, irritability, and anger. Deficiency causes blurred vision, deafness, fearfulness, as if being chased... [Text missing].
The Liver pulse is urgent on deep palpation and similarly so on superficial palpation. Symptoms include hypochondriac pain, Qi distension, radiation to lower abdomen, occasional difficulty urinating, dizziness, headache, lumbar/spinal pain, cold feet, occasional strangury, and amenorrhea or irregular menstruation in women. These often originate from falls or trauma in youth.
Liver disease presents with a cyan complexion, spasticity of hands and feet, hypochondriac fullness, occasional vertigo. A Wiry and long pulse indicates treatability. Suitable formulas include Fangfeng Zhuli Tang (Saposhnikovia and Bamboo Juice Decoction) and Qinjiao San (Gentiana Macrophylla Powder)... [Text missing].
Pathogen in the Liver causes hypochondriac pain, cold/evil invasion, internal blood stasis, spasms during walking, and intermittent swelling. Treat by needling Xingjian (LR2) to guide Qi from the hypochondrium, and tonifying Zusanli (ST36)... [Text missing].
Any fall or trauma leaving evil blood inside, combined with great anger causing Qi to rise but not descend, accumulating in the left hypochondrium, damages the Liver.
Liver Wind Invasion causes head/eye... [Text missing], hypochondriac pain, habitual stooping, craving for sweets, resembling pregnancy... [Text missing].
Liver Cold Invasion causes shivering chills, low-grade fever, facial redness... [Text missing], sweating, chest irritability.
Liver Cold Invasion causes inability to raise arms, dry tongue root, frequent sighing, chest pain, inability to turn sides, night sweats, cough, and regurgitation after eating... [Text missing].
Liver Injury causes emaciation, open-mouth sleeping, cyan hands/feet, eye dimness, and pupil pain, caused by damage to the Liver store.
Liver Water Disease presents with abdominal distension preventing turning, hypochondriac/abdominal pain, slight saliva production, and intermittent urination. Liver Distension presents with hypochondriac fullness... [Text missing].
Liver Fixation (Gan Zhuo) causes patients to desire having their chest stepped on; initially, they crave hot drinks.
Diagnosing Liver Accumulation shows a Wiry and fine pulse, hypochondriac pain, Qi moving to the epigastrium, cold calves, hypochondriac pain radiating to lower abdomen, hernia in men, and leukorrhea/dysuria in women... [Text missing].
Liver Disease presents with chest fullness, hypochondriac distension, anger/shouting, alternating fever/chills, limb paralysis, pale face, slippery body texture, and a Wiry-long pulse... [Text missing].
Individuals associated with the Jue (Ang) tone correspond to Liver sound. The Liver sound is calling, its pitch resembles the qin/zither, its emotion is anger, its meridian is Foot Jueyin. Jueyin reversing Shaoyang causes Wei and Ying obstruction... [Text missing].
Yin-Yang... [Text missing].
Decoction main treatment... [Text missing].
Guizhi (Cinnamon Twig)... [Text missing].
Heat... [Text missing].
Severe... [Text missing].
Cyan corresponds to the Liver, which governs tendons. Cyan like a kingfisher feather is auspicious. The Liver opens to the eyes, which are the surplus of the Liver. The person has a Wood constitution, compared to the Upper Horn shape, with a dark complexion, small head, long face, broad shoulders/back, straight body, small hands/feet, talent, mental labor preference, low physical strength, worry-prone, tire easily, tolerates Spring/Summer but not Autumn/Winter, getting sick from Autumn/Winter pathogens. Foot Jueyin pulse is Tuotuo Ran, wide hypochondrium, firm/crisp/upright indicates Liver correspondence, true Cyan. Fine texture indicates small Liver, stable, no hypochondriac disease; coarse texture indicates large Liver, deficient, cold pressing stomach/throat, epigastric/hypochondriac pain. Broad chest reverse... [Text missing] indicates high Liver, excess, Liver heat, supporting Feimen compressing hypochondrium, forming Xiben disease. He Xie Tu... [Text missing] indicates low Liver, pressing stomach, empty hypochondrium, susceptible to pathogen. Firm hypochondrial bones indicate firm Liver, stable/hard to injure; weak bones indicate brittle Liver, prone to Xiao Dan disease/injury. Good chest/abdomen alignment indicates upright Liver, harmonious/hard to injure; tilted hypochondrial bones indicate tilted Liver, unilateral hypochondriac pain. Depressions/elevations indicate disease. Gallbladder Shaoyang is the external department of the Liver, Qi connects internally and responds externally. Turbid/deep is internal, clear/floating is external. Color moving out-to-in means external disease arising, elevation; color moving in-to-out means internal disease arising, depression. Internal disease treats Yin first, Yang later; External disease treats Yang first, Yin later. Yang governs external, Yin governs internal. Life/death depends on Zang Shen deforming externally first. Pre-Liver disease, eyes lose color; pre-death, eyes lose essence. If Tianzhong midpoint color matches, death is certain/un-treatable. Adjust observations. Slow progression: death within 400 days; fast: within weeks/months. Liver disease slightly improving then sudden death: how to know? Cyan-white spot thumb-sized on cheeks indicates sudden death. Liver exhaustion dies in 8 days: how to know? Face cyan, eyes red, desire to lie prone, unable to see people, profuse sweating, dies in 1-2 days. Face black, eyes cyan: survival. Cyan like grass sprouts: death. Auspicious/inauspicious colors depend on sector alignment. Smooth appearance of cyan-white entering eyes indicates disease within the year. If not aligned with age, disaster in 3 years. Spring Wood/Liver, pulse/color cyan, governs Foot Shaoyang pulse. Spring takes Luo Mai and Fen Rou. Spring is Wood governing, Liver Qi generating. Liver Qi urgent, wind fast... [Text missing].
Qi is insufficient to penetrate deep, so take Luo Mai Fen Rou Qi. Pulse roots are in Qiaoyin, responding to Chuanglong (ear)... [Text missing].
Movement upon hand pressure is... [Text missing].
The three months of Spring govern Liver/Gallbladder Qing Jin Qian diseases. Origin from Shaoyin, involving Shaoyang Qi onset, Shaoyin Qi decline, Yin-Yang stagnation... [Text missing].
Disease phase... [Text missing].
Damaged by Yang Du, cold then heat, neck double tendons pulled, immobility, stiff neck/back, eye... [Text missing].
Red/Yellow... [Text missing].
Bian Que said: Moxibustion on Liver and Lung two acupoints treats Dan Du Qian Bing. Treat according to source, regulate Yang, reason Yin, Zang-Fu diseases will not arise.