(《素问·病能论》)
帝曰∶有病厥者,诊右脉沉而紧,左脉浮而迟,不然病主安在?(此言厥逆而为腰痛者,其病在肾也。右脉左脉,
皆以两尺为言。不然,《甲乙经》作不知,于义为妥,当从之。)岐伯曰∶冬诊之,右脉固当沉紧,此应四时;左脉浮而
迟,此逆四时。(冬气伏藏,故沉紧者为应时,浮迟者为逆,逆则为厥矣。)在左当主病在肾,颇关在肺,当腰痛也。(在
左者当主病在肾,此正以尺为言也。然浮者为肺脉,故云颇关在肺。)帝曰∶何以言之?岐伯曰∶少阴脉贯肾络肺,今得
肺脉,肾为之病,故肾为腰痛之病也。(肾脉本络于肺,今以冬月而肺脉见于肾位,乃肾气不足,故脉不能沉而见浮迟,
此非肺病,病在肾也。腰为肾之府,故肾气逆者,当病为腰痛。)
(《素问·腹中论》)
帝曰∶有病膺肿颈痛,胸满腹胀,此为何病?何以得之?(膺,胸之两旁高处也。颈,项前也。)岐伯曰∶名厥逆。
(膺肿颈痛,胸满腹胀,皆在上中二焦,此以阴并于阳,下逆于上,故病名厥逆。)帝曰∶治之奈何?岐伯曰∶灸之则喑,
石之则狂,须其气并,乃可治也。(喑,失音也。石,总针石而言。)帝曰∶何以然?岐伯曰∶阳气重上,有余于上,灸
之则阳气入阴,入则喑;(阳气有余于上而复灸之,是以火济火也。阳极乘阴,则阴不能支,故失声为喑。)石之则阳气
虚,虚则狂;(阳并于上,其下必虚,以石泄之,则阳气随刺而去,气去则上下俱虚,而神失其守,故为狂也。)须其气
并而治之,可使全也。(气并者,谓阴阳既逆之后,必渐通也。盖上下不交,因而厥逆,当其乖离而强治之,恐致偏绝。
故必须其气并,则或阴或阳,随其盛衰,察而调之,可使保全也。)
The Yellow Emperor asked: In cases of Jue-ni (Jue syndrome characterized by cold extremities and Qi rebellion), if the pulse on the right side is deep and tight, while the pulse on the left side is floating and slow, where is the disease primarily located? (This passage discusses lumbar pain caused by Jue-ni, indicating that the pathology lies in the Kidney. The terms "right pulse" and "left pulse" here refer specifically to the Chi position of both wrists. The phrase "Bu Ran" [Otherwise] is written as "Bu Zhi" [Do not know] in the *Jia Yi Jing*, which makes more logical sense and should be adopted.)
Qibo replied: If diagnosed in winter, the right pulse being naturally deep and tight corresponds to the seasonal changes; however, a left pulse that is floating and slow goes against the seasonal rhythm. (Winter energy is hidden and stored, so a deep and tight pulse is in accordance with the season, whereas a floating and slow pulse is contrary to it. Contrary to the season leads to Jue.) An abnormality in the left pulse indicates that the disease primarily resides in the Kidney, but also involves the Lung, manifesting as lumbar pain. (An abnormality in the left pulse points to the Kidney as the primary site, referring here to the Chi position. However, a floating pulse is characteristic of the Lung, hence it is said to involve the Lung.)
The Yellow Emperor asked: Why do you say so? Qibo replied: The Shaoyin (Kidney) meridian passes through the Kidney and connects with the Lung. Now, seeing the Lung pulse at the Kidney's position indicates that the Kidney is diseased, thus causing lumbar pain. (The Kidney meridian originally connects with the Lung. In winter, if the Lung pulse appears at the Kidney's position, it signifies insufficient Kidney Qi, preventing the pulse from sinking and resulting in a floating and slow presentation. This is not a Lung disease, but a Kidney disease. The waist is the mansion of the Kidney; therefore, when Kidney Qi rebels, it causes lumbar pain.)
The Yellow Emperor asked: A patient presents with swelling of the chest wall (Ying), neck pain, chest fullness, and abdominal distension. What disease is this, and how did it arise? (Ying refers to the high areas on both sides of the chest. Neck refers to the front of the nape.)
Qibo replied: This disease is named Jue-ni. (Swelling of the Ying, neck pain, chest fullness, and abdominal distension all occur in the Upper and Middle Jiao. This results from Yin merging into Yang, with lower Qi rebelling upward, hence the name Jue-ni.)
The Yellow Emperor asked: How should it be treated? Qibo replied: Moxibustion will cause aphonia (loss of voice); stone therapy (Bian shi) will cause mania. One must wait until the Qi harmonizes and merges before treatment can proceed. (Aphonia means loss of voice. Stone refers generally to Bian stones or acupuncture tools.)
The Yellow Emperor asked: Why is this so? Qibo replied: Yang Qi is heavy and ascends, becoming excessive in the upper body. If moxibustion is applied, Yang Qi enters the Yin, leading to aphonia. (Since Yang Qi is already excessive above, applying fire is like adding fuel to the fire. Extreme Yang attacks Yin, causing Yin to fail to support, resulting in loss of voice.) If stone therapy is used, Yang Qi becomes deficient; deficiency leads to mania. (Yang Qi has merged in the upper part, implying deficiency below. Using stone therapy to drain will cause Yang Qi to dissipate with the needle. When Qi dissipates, both upper and lower become deficient, and the Shen loses its residence, causing mania.) Treatment should only commence after the Qi has merged and harmonized, ensuring complete recovery. (Merging of Qi refers to the gradual restoration of flow after Yin and Yang have rebelled. Since the upper and lower do not communicate, Jue-ni occurs. Forcing treatment during this state of separation may lead to paralysis or severance. Therefore, one must wait for the Qi to merge, then observe the excess or deficiency of Yin or Yang, and regulate accordingly to ensure preservation of health.)