《素问·奇病论》帝曰∶有病口甘者,病名为何?何以得之?岐伯曰∶此五气之溢也,名曰脾瘅。夫五味
入口,藏于胃,脾为之行其精气,津液在脾,故令人口甘也。此肥美之所发也,此人必数食甘美而多肥也。肥
者令人内热,甘者令人中满,故其气上溢,转为消渴。治之以兰,除陈气也。
瘅者,湿热病也。脾为湿土,恶湿而喜香燥,主鼓运而为胃行津液者也。浓味浊阴,遏其清阳,变成湿热,
津液不得输布而壅于脾,乃上溢而口甘,甘者,脾之味也。热积久,则必转为消渴之病。急治之以兰,除其陈
腐之气,遂脾喜香之性也。兰者,俗名省头草,妇女用以渍油抹发者。
帝曰∶有病口苦,取阳陵泉。口苦者,病名为何?何以得之?岐伯曰∶病名胆瘅。夫肝者,中之将也,取
决于胆,咽为之使。此人者数谋虑不决,故胆虚气上溢,而口为之苦。治之以胆募俞,治在《阴阳十二官相
使》中。
阳陵泉胆经穴也。《灵兰秘典》、《六节脏象》等论云∶肝者将军之官,谋虑出焉。胆者中正之官,决断
出焉。又曰∶十一脏皆取决于胆也。胆附于肝,肝经之脉,上循喉后,故咽为之使,而胆气亦由之而上也。以
谋虑太劳而不决,使胆虚汁泄而气上溢,故口苦而名胆瘅也。凡劳思过虑,无不动火而致胆热,即口苦矣。取
阳陵泉,治胆募俞,皆针法也。《阴阳十二官相使》或者即《脏象》等论所云∶十二官各司其职,而十一脏皆
取决于胆,以求其中义理,而设治法者乎?或者谓《阴阳十二官》古经名,今已亡失。未知孰是,以俟明哲辨之。
The Yellow Emperor asked: There is a disease where the patient has a sweet taste in the mouth. What is this disease called? How is it acquired? Qibo replied: This is the overflow of the essence of the five Zang organs, named Pi Dan (Spleen Heat Disease). When flavors enter the mouth, they are stored in the Stomach, and the Spleen transports their essence. When fluids stagnate in the Spleen, it causes the sensation of sweetness in the mouth. This disease originates from rich and fatty foods; such individuals must frequently consume sweet, delicious, and fatty foods. Fatty foods cause internal heat, while sweet foods cause fullness in the middle Jiao. Therefore, the Qi overflows upward, transforming into Xiao Ke (Wasting-Thirst Disease). It should be treated with Lan Cao (Orchid Herb) to remove stale and turbid Qi.
Dan refers to damp-heat diseases. The Spleen belongs to wet Earth, dislikes dampness, and prefers aromatic and drying properties. Its main function is to promote transportation and transformation, assisting the Stomach in distributing fluids. Thick and turbid Yin pathogens obstruct the ascending of clear Yang, turning into damp-heat. Consequently, fluids cannot be distributed normally but instead stagnate in the Spleen, overflowing upward to cause sweetness in the mouth. Sweetness is the flavor associated with the Spleen. If heat accumulates for a long time, it will inevitably transform into Xiao Ke disease. Urgent treatment with Lan Cao is required to remove stale Qi, thereby accommodating the Spleen's preference for aromatic substances. Lan Cao, commonly known as Sheng Tou Cao (Head-Clearing Grass), is used by women to soak oil for hair application.
The Yellow Emperor asked: There is a disease involving bitterness in the mouth, treated by needling Yang Ling Quan (GB34). For those with a bitter taste in the mouth, what is this disease called? How is it acquired? Qibo replied: This disease is named Dan Dan (Gallbladder Heat Disease). The Liver is the General within the body, whose decisions depend on the Gallbladder, and the pharynx serves as its conduit. Such individuals often engage in excessive deliberation without making decisions, leading to Gallbladder deficiency and the upward overflow of Qi, causing bitterness in the mouth. Treatment involves selecting the Front-Mu and Back-Shu points of the Gallbladder. The specific methods are recorded in the *Yin Yang Twelve Officials Mutual Assistance* text.
Yang Ling Quan is an acupoint of the Foot-Shaoyang Gallbladder Meridian. Texts such as the *Ling Lan Mi Dian Lun* and *Liu Jie Zang Xiang Lun* state: The Liver is the organ of the General, from which strategy and deliberation arise. The Gallbladder is the organ of uprightness, from which decision-making arises. It is also said: The functions of the eleven Zang and Fu organs depend on the Gallbladder. The Gallbladder is attached to the Liver. The Liver meridian ascends along the posterior aspect of the pharynx; thus, the pharynx serves as the conduit, and Gallbladder Qi ascends through it. Due to excessive mental labor and indecision, Gallbladder deficiency occurs, bile leaks, and Qi overflows upward, resulting in bitterness in the mouth and the diagnosis of Dan Dan. Any excessive thinking and over-deliberation can generate fire and lead to Gallbladder heat, manifesting as bitterness in the mouth. Needling Yang Ling Quan and treating the Gallbladder’s Front-Mu and Back-Shu points are both acupuncture methods. Regarding *Yin Yang Twelve Officials Mutual Assistance*, it might refer to the theory in the *Zang Xiang* discussions that the twelve officials each have their duties, yet the eleven organs depend on the Gallbladder, implying that treatment methods were established based on these principles. Alternatively, it may refer to an ancient classic titled *Yin Yang Twelve Officials*, which is now lost. It is uncertain which interpretation is correct, leaving it for wise scholars to discern.