不治已病治未病。(见摄生类七。)
凡治病,察其形气色泽,脉之盛衰,病之新故,乃治之无后其时。形气相得,谓之可治;色泽以浮,谓之易已;脉
从四时,谓之可治;脉弱以滑,是有胃气,命曰易治,取之以时。形气相失,谓之难治;色夭不泽,谓之难治;脉实以
坚,谓之益甚;脉逆四时,为不可治。必察四难而明告之。(脉色十二。)
故治不法天之纪,不用地之理,则灾害至矣。(阴阳四。)
故治病者,必明六化分治,五味五色所生,五脏所宜,乃可以言盈虚病生之绪也。(运气二十四。)
凡治病必察其下,适其脉,观其志意,与其病也。拘于鬼神者,不可与言至德。恶于针石者,不可与言至巧。病不
许治者,病不必治,治之无功矣。(藏象十一。)
能别阴阳十二经者,知病之所生。候虚实之所在者,能得病之高下。知六腑之气街者,能知解结契绍于门户。能知
虚石之坚软者,知补泻之所在。能知六经标本者,可以无惑于天下。(经络十二。)
一曰治神,二曰知养身,三曰知毒药为真,四曰制砭石小大,五曰知腑脏血气之诊。(针刺九。)
必审问其所始病,与今之所方病,而后各切循其脉,视其经络浮沉,以上下逆从循之。(脉色二十五。)
上工救其萌芽,下工救其已成。(针刺十三。)
上工十全九,中工十全七,下工十全六。(脉色十七。)
粗工凶凶,以为可攻,故病未已,新病复起。(论治十七。)
粗工嘻嘻,以为可知,言热未已,寒病复始,同气异形,迷诊乱经,此之谓也。(标本二。)
毒药攻邪,五谷为养,五果为助,五畜为益,五菜为充,气味合而服之,以补精益气。(疾病二十四。)
标本逆从,治有先后。(标本五。)
病反其本,中标之病,治反其本,中标之方。(标本类三。)
有逆取而得者,有从取而得者。逆,正顺也。若顺,逆也。故曰知标与本,用之不殆,明知逆顺,正行无问,此之
谓也。(标本二。)
病生于内者,先治其阴,后治其阳,反者益甚;病生于阳者,先治其外,后治其内,反者益甚。(脉色三十二。)
阴盛而阳虚,先补其阳,后泻其阴而和之。阴虚而阳盛,先补其阴,后泻其阳而和之。虚而泻之,是为重虚,重虚
病益甚。(针刺八。)
病生于头者头重,生于手者臂重,生于足者足重,治病者先刺其病所从生者也。病先起阴者,先治其阴而后治其阳;
病先起阳者,先治其阳而后治其阴。(针刺五十三。)
无形而痛者,其阳完而阴伤之也,急治其阴,无攻其阳;有形而不痛者,其阴完而阳伤之也,急治其阳,无攻其阴。
(针刺三十一。)
必先度其形之肥瘦,以调其气之虚实,实则泻之,虚则补之。必先去其血脉而后调之,无问其病,以平为期。(脉色
五。)
其少长大小肥瘦,以心撩之,命曰法天之常。(经络三十三。)
有者求之,无者求之,虚者责之,实者责之。(疾病类一。)
补上下者从之,治上下者逆之,以所在寒热盛衰而调之。故曰∶上取下取,内取外取,以求其过。能毒者以浓药,
不胜毒者以薄药。此之谓也。气反者,病在上,取之下;病在下,取之上;病在中,旁取之。治热以寒,温而行之;治
寒以热,凉而行之;治温以清,冷而行之;治清以温,热而行之。故消之削之,吐之下之,补之泻之,久新同法。(运气
十四。)
诛伐无过,命曰大惑,反乱大经,真不可复,绝人长命,予人夭殃。(针刺十五。)
帝曰∶或有导引行气、乔摩灸熨、刺 饮药之一者,可独守耶?将尽行之乎?岐伯曰∶诸方者,众人之方也,非一
人之所尽行也。此乃所谓守一勿失、万物毕者也。(疾病九十四。)
帝曰∶其祝而已者,其故何也?岐伯曰∶先巫者,因知百病之胜,先知其病之所从生者,可祝而已矣。(疾病三十三。)
肝苦急,急食甘以缓之。(疾病二十四。)
夺血者无汗,夺汗者无血。(经络二十三。)
所谓经治者,饮药,亦曰灸刺。(针刺二十九。)
起所有余,知所不足。(脉色七。)
盛者泻之,虚者饮药以补之。(经络六。)
少气者,脉口人迎俱少而不称尺寸也。如是者,则阴阳俱不足,补阳则阴竭,泻阴则阳脱。如是者,可将以甘药,
不可饮以至剂。如此者弗灸,不已者因而泻之,则五脏气坏矣。(针刺二十八。)
诸小者,阴阳形气俱不足,勿取以针,而调以甘药也。(脉色十九。)
形苦志苦,病生于咽嗌,治之以甘药。(论治十。)
泻虚补实,神去其室,致邪失正,真不可定,粗之所败,谓之夭命。(疾病五十六。)
无实无虚,损不足而益有余。夺阴者死,夺阳者狂。(针刺五十九。)
五虚勿近,五实勿远。(针刺九。)
形气不足, 病气有余,是邪胜也,急泻之;形气有余,病气不足,急补之;形气不足,病气不足,此阴阳气俱不足
也,不可刺之。故曰有余者泻之,不足者补之。(针刺五十六。)
夫气之胜也,微者随之,甚者制之。气之复也,和者平之,暴者夺之。皆随胜气,安其屈伏,无问其数,以平为期。
(运气二十九。)
木郁达之,火郁发之,土郁夺之,金郁泄之,水郁折之,然调其气,过者折之,以其畏也,所谓泻之。帝曰∶假者
何如?岐伯曰∶有假其气,则无禁也。所谓主气不足,客气胜也。(运气二十三。)
司岁备物,则无遗主矣。上淫于下,所胜平之;外淫于内,所胜治之。谨察阴阳所在而调之,以平为期,正者正治,
反者反治。(运气二十四。)
治诸胜复,寒者热之,热者寒之,温者清之,清者温之,散者收之,抑者散之,燥者润之,急者缓之,坚者软之,
脆者坚之,衰者补之,强者泻之,各安其气,必清必静,则病气衰去,归其所宗,此治之大体也。(运气二十八。)
帝曰∶客主之胜复,治之奈何?岐伯曰∶高者抑之,下者举之,有余者折之,不足者补之,佐以所利,和以所宜,
必安其主客,适其寒温,同者逆之,异者从之。帝曰∶治寒以热,治热以寒,气相得者逆之,不相得者从之,余已知之
矣;其于正味何如?岐伯曰∶木位之主,其泻以酸,其补以辛。火位之主,其泻以甘,其补以咸。土位之主,其泻以苦,
其补以甘。金位之主,其泻以辛,其补以酸。水位之主,其泻以咸,其补以苦。厥阴之客,以辛补之,以酸泻之,以甘
缓之。少阴之客,以咸补之,以甘泻之,以咸收之。太阴之客,以甘补之,以苦泻之,以甘缓之。少阳之客,以咸补之,
以甘泻之,以咸软之。阳明之客,以酸补之,以辛泻之,以苦泄之。太阳之客,以苦补之,以咸泻之,以苦坚之,以辛
润之,开发腠理,致津液,通气也。(运气三十。)
上下所主,随其攸利,正其味,则其要也,左右同法。少阳之主,先甘后咸;阳明之主,先辛后酸;太阳之主,先
咸后苦,厥阴之主,先酸后辛;少阴之主,先甘后咸;太阴之主,先苦后甘。佐以所利,资以所生,是谓得气。(运气三
十四。)
故岁宜苦以燥之温之,必折其郁气,先资其化源,抑其运气,扶其不胜,无使暴过而生其疾。食岁谷以全其真,避
虚邪以安其正。适气同异,多少制之,同寒湿者燥热化,异寒湿者燥湿化,故同者多之,异者少之。用寒远寒,用凉远
凉,用温远温,用热远热,食宜同法。有假者反常,反是者病,所谓时也。(运气十七。此在太阳司天条下,余俱当考。)
适寒凉者胀,之温热者疮,下之则胀已,汗之则疮已。西北之气,散而寒之,东南之气,收而温之,所谓同病异治
也。故曰气寒气凉,治以寒凉,行水渍之。气温气热,治以温热,强其内守。必同其气,可使平也,假者反之。故治病
者,必明天道地理,阴阳更胜,气之先后,人之寿夭,生化之期,乃可以知人之形气矣。(运气十六。)
冬则闭塞。闭塞者,用药而少针石也。(针刺五十五。)
不治,法三月若六月,若三日若六日,传五脏而当死。(藏象二十四。)
热中消中,不可服高粱芳草石药。(疾病六十。)
用寒远寒,用热远热。热无犯热,寒无犯寒。发表不远热,攻里不远寒。(运气二十。)大热遍身,狂而妄见妄闻妄
言,视足阳明及大络取之。因其偃卧,居其头前,以两手四指挟按颈动脉,久持之,卷而切推,下至缺盆中,而复止如
前,热去乃止,此所谓推而散之也。(针刺三十五。)
治厥者,必先熨调和其经,掌与腋、肘与脚、项与脊以调之,火气已通,血脉乃行,然后视其病,脉淖泽者,刺而
平之,坚紧者,破而散之,气下乃止。(针刺三十五。)
厥逆之治,灸石有忌。(疾病三十八。)
夫疟之未发也,阴未并阳,阳未并阴,因而调之,真气得安,邪气乃亡,故工不能治其已发,为其气逆也。(疾病四
十八。)
人有此三者,是谓坏腑,毒药无治,短针无取,此皆绝皮伤肉,血气争黑。(针刺九。)
天地淫胜病治。(运气二十五。)
邪气反胜之治。(运气二十六。)
六气相胜病治。(运气二十七。)
六气之复病治。(运气二十八。)
本经十二方∶小金丹治五疫。(论治二十。)鸡矢醴治鼓胀。(疾病五十五。)治之以兰,除陈气也。治脾瘅。(疾病六
十一。)以千里水煮秫米半夏汤,治目不瞑。(疾病八十三。)以四乌 骨、一 茹,二物并合,丸以雀卵,饮以鲍鱼汁,
治血枯。(疾病六十三。)以生铁洛为饮,治阳厥。(疾病六十四。)治之以马膏,膏其急者,以白酒和桂,以涂其缓者,
以桑钩钩之,治季春痹。(疾病六十九。)以泽泻、术各十分,麋衔五分,合以三指撮,为后饭,治酒风。(疾病三十二。)
用醇酒二十升,蜀椒一升,干姜一斤,桂心一斤,渍酒中,浸以绵絮布,用生桑炭炙巾,以熨寒痹所刺之处。(针刺三十
二。) 其左角之发方一寸,燔治,饮以美酒,治尸厥。(针刺三十。)合豕膏冷食,治猛疽。锉 翘草根各一升煮饮,治
败疵。(俱疾病八十六。)
Treat diseases before they occur, rather than after they have manifested. (See Section 7 of Preservation.)
In treating any disease, one must observe the patient's physical constitution, Qi dynamics, facial complexion, and luster; examine the flourishing or declining state of the pulse; and determine whether the disease is recent or chronic. Treatment should be initiated without delay. If the physical constitution and Qi dynamics are harmonious, it is termed "treatable"; if the complexion is bright and lustrous, it is termed "easy to cure"; if the pulse conforms to the four seasons, it is termed "treatable"; if the pulse is weak and slippery, indicating the presence of Stomach Qi (Wei Qi, the digestive vitality), it is named "easy to treat," provided treatment is timed correctly. If the physical constitution and Qi dynamics are discordant, it is termed "difficult to treat"; if the complexion is dull and lacks luster, it is termed "difficult to treat"; if the pulse is excess and firm, the condition will worsen; if the pulse contradicts the four seasons, it is considered "incurable." One must carefully examine these four difficult conditions and clearly inform the patient. (See Section 12 of Pulse and Color.)
Therefore, if treatment does not follow the laws of Heaven and Earth, disasters will ensue. (See Section 4 of Yin and Yang.)
Thus, a healer must understand the differentiation of treatments based on the Six Transformations (Liu Hua, referring to the six climatic factors), the generation of Five Flavors (Wu Wei) and Five Colors (Wu Se) corresponding to the Zang organs, and the dietary suitability for the Five Zang organs. Only then can one discuss the threads of Qi and Blood fullness/deficiency and the origins of disease. (See Section 24 of Yunqi/Five Movements and Six Qi.)
In all cases of treatment, one must inspect bowel and bladder function, adjust to the pulse, observe the patient's mental state and intentions, and assess the disease itself. One cannot discuss profound Virtue (De) with those bound by ghosts and spirits; one cannot discuss exquisite techniques with those who abhor needles and stones; if a patient refuses treatment, it need not be forced, as forced treatment yields no merit. (See Section 11 of Zang-Xiang/Organ Manifestations.)
One who can distinguish the Twelve Meridians of Yin and Yang knows the origin of disease. One who can palpate the location of deficiency and excess knows the depth and level of the pathology. One who understands the pathways of Qi in the Fu organs knows how to untie knots and connect severed meridians at their gates. One who discerns the hardness and softness of deficiency and excess patterns knows where to apply tonification and sedation. One who understands the Root and Branch (Biao Ben) of the Six Channels can remain unconfused by global complexities. (See Section 12 of Meridians.)
First is regulating Shen (Spirit/Mind); second is knowing how to nourish the body; third is understanding the true nature of medicinal drugs; fourth is determining the size of bi-shi (stone needles); fifth is diagnosing the Qi and Blood of the Zang-Fu organs. (See Section 9 of Acupuncture.)
One must thoroughly inquire about the onset of the initial illness and the current symptoms, then palpate the pulses individually, observing the floating and sinking of the meridians to trace the upward, downward, reverse, and compliant flows. (See Section 25 of Pulse and Color.)
The superior physician intervenes at the budding stage of disease; the inferior physician intervenes only after the disease has fully formed. (See Section 13 of Acupuncture.)
The superior physician achieves nine successes out of ten; the average physician seven out of ten; the inferior physician six out of ten. (See Section 17 of Pulse and Color.)
The crude physician acts recklessly, assuming aggressive attack is always appropriate, resulting in the old disease persisting and new diseases arising. (See Section 17 of Treatment Principles.)
The crude physician acts frivolously, presuming knowledge, claiming heat diseases are unresolved while cold diseases recur; confusing similar etiologies with different manifestations, leading to chaotic diagnosis and meridian disorder. This is what is meant. (See Section 2 of Root and Branch.)
Toxic medicines attack pathogenic factors; grains nourish; fruits assist; meats benefit; vegetables fill. Consuming them in harmony of flavor and aroma supplements essence and boosts Qi. (See Section 24 of Diseases.)
Root and Branch, Reverse and Compliant: treatment has a sequence. (See Section 5 of Root and Branch.)
Seek the Root when symptoms appear contrary to the Root; prescribe for the Branch when treating contrary to the Root. (See Section 3 of Root and Branch Category.)
Some are cured by Reverse treatment (Ni Zhi), some by Compliant treatment (Cong Zhi). Reverse treatment appears non-compliant but is actually correct compliance. Apparent compliance may be reverse deviation. Thus, knowing Root and Branch ensures safety; clearly distinguishing Reverse and Compliant methods allows correct action without doubt. (See Section 2 of Root and Branch.)
Diseases originating internally (Yin) should first treat Yin, then Yang; reversing this worsens the condition. Diseases originating externally (Yang) should first treat the exterior, then the interior; reversing this worsens the condition. (See Section 32 of Pulse and Color.)
When Yin is excess and Yang is deficient, first tonify Yang, then drain Yin to harmonize. When Yin is deficient and Yang is excess, first tonify Yin, then drain Yang to harmonize. Draining a deficiency constitutes a "double deficiency," which severely exacerbates the disease. (See Section 8 of Acupuncture.)
Disease manifesting in the head causes heaviness in the head; in the hands, arm heaviness; in the feet, foot heaviness. Treaters must first needle the source of the disease. If disease originates in Yin meridians, treat Yin first, then Yang; if in Yang meridians, treat Yang first, then Yin. (See Section 53 of Acupuncture.)
If there is pain without visible form, Yang is intact but Yin is injured; urgently treat Yin, do not attack Yang. If there is visible form without pain, Yin is intact but Yang is injured; urgently treat Yang, do not attack Yin. (See Section 31 of Acupuncture.)
First, assess body fatness or thinness to regulate Qi deficiency or excess. Excess is drained; deficiency is tonified. First remove blood stasis, then regulate the whole; regardless of the specific disease, aim for balance. (See Section 5 of Pulse and Color.)
Consider age, size, and body type mentally; this is called following the constant laws of Heaven. (See Section 33 of Meridians.)
Investigate what exists; investigate what does not exist. Blame deficiency for deficiency patterns; blame excess for excess patterns. (See Section 1 of Disease Category.)
For upper/lower disorders, use Compliant method (treating lower for upper, etc.); for treating upper/lower, use Reverse method. Adjust based on local cold/heat excess/deficiency. Thus: Upper disease take from Lower; Lower disease take from Upper; Internal disease take from External; External disease take from Internal, to find the fault. Those who can tolerate strong medicine use concentrated formulas; those who cannot use mild formulas. This is the principle. For Qi reversal: Disease above, treat below; Disease below, treat above; Disease in middle, treat sides. Treat heat with cold, but administer warm; treat cold with hot, but administer cool; treat warmth with clearing, but administer cold; treat chill with warming, but administer hot. Methods like reducing, dispersing, vomiting, purging, tonifying, and draining apply equally to acute and chronic cases. (See Section 14 of Yunqi.)
Punishing the innocent (damaging healthy Qi) is called great confusion, disrupting major meridians, making true Qi irrecoverable, shortening life, and bringing premature disaster. (See Section 15 of Acupuncture.)
The Yellow Emperor asked: Can one rely solely on Dao Yin (guiding and pulling exercises), Qi regulation, massage, moxibustion, acupuncture, or herbal decoctions? Or must all be practiced? Qibo replied: These methods are general prescriptions for the masses, not mandatory for every individual. This is called holding fast to the One (fundamental principle) without losing it, thereby encompassing all things. (See Section 94 of Diseases.)
The Yellow Emperor asked: Why are some diseases cured by Zhu You (spiritual incantation)? Qibo replied: Ancient shamans knew the mutual overcoming of hundred diseases and the origins of pathology, so Zhu You could cure them. (See Section 33 of Diseases.)
Liver suffers from urgency; eat Sweet flavor to relax it. (See Section 24 of Diseases.)
Those who have lost blood should not sweat; those who have sweated excessively should not lose blood. (See Section 23 of Meridians.)
"Jing Zhi" (Meridian treatment) refers to taking herbs, but also includes moxibustion and acupuncture. (See Section 29 of Acupuncture.)
Remove excess; know deficiency. (See Section 7 of Pulse and Color.)
Excess is drained; deficiency is tonified with herbal drinks. (See Section 6 of Meridians.)
In cases of Qi deficiency, both the Cun Kou (radial artery) and Ren Ying (carotid artery) pulses are weak and disproportionate to the Chi position. Such patients have both Yin and Yang deficiency. Tonifying Yang exhausts Yin; draining Yin causes Yang collapse. Such patients should be treated with Sweet herbs (mild tonics), not potent/decocted strong medicines. Moxibustion is contraindicated; if ineffective, subsequent draining would damage the Five Zang Qi. (See Section 28 of Acupuncture.)
For fine/small pulses, indicating overall Yin-Yang, Form, and Qi deficiency, do not use needles; regulate with Sweet herbs. (See Section 19 of Pulse and Color.)
Form suffering hardship and Mind suffering hardship lead to disease in the throat/pharynx; treat with Sweet herbs. (See Section 10 of Treatment Principles.)
Draining deficiency and tonifying excess causes Shen (Spirit) to leave its chamber, inviting pathogens and losing righteousness; true Qi becomes unstable. Ruin by crude physicians is called premature death. (See Section 56 of Diseases.)
Do not tonify excess or drain deficiency; do not harm the insufficient and benefit the excessive. Depriving Yin leads to death; depriving Yang leads to mania. (See Section 59 of Acupuncture.)
Approach patients with Wu Xu (Five Deficiencies) cautiously; stay close to patients with Wu Shi (Five Excesses). (See Section 9 of Acupuncture.)
If physical Qi is deficient but Pathogenic Qi is excess, this is pathogen dominance; urgently drain. If physical Qi is excess but Pathogenic Qi is deficient, urgently tonify. If both Physical Qi and Pathogenic Qi are deficient, both Yin and Yang Qi are depleted; do not needle. Thus: Excess is drained; deficiency is tonified. (See Section 56 of Acupuncture.)
When Qi is victorious (excess): slight excess follows its course; severe excess controls it. When Qi recovers: peaceful recovery balances it; violent recovery drains it. Follow the victorious Qi, pacify the suppressed Qi, regardless of number, aiming for balance. (See Section 29 of Yunqi.)
Wood stagnation: disperse it. Fire stagnation: vent it. Earth stagnation: purge it. Metal stagnation: drain it. Water stagnation: restrain it. However, regulate Qi; excess is reduced by utilizing its fear (weakness), which is called draining. The Yellow Emperor asked: What about false patterns? Qibo replied: If there is a false pattern, there are no prohibitions. This refers to Primary Qi deficiency with Guest Qi excess. (See Section 23 of Yunqi.)
Prepare materials according to the annual climate to avoid missing therapeutic targets. Upper invasion subdued by the controlling element; external invasion internalized by the controlling element. Carefully observe Yin-Yang locations and regulate, aiming for balance. Correct diseases use Correct Treatment (Zheng Zhi); reverse diseases use Reverse Treatment (Fan Zhi). (See Section 24 of Yunqi.)
Treat various victory-recovery cycles: Cold with Heat; Heat with Cold; Warmth with Cooling; Chill with Warming; Scattering with Astringing; Oppression with Dispersing; Dryness with Moistening; Urgency with Relaxing; Hardness with Softening; Fragility with Firming; Decline with Tonifying; Strength with Draining. Each settles its Qi; clarity and stillness ensure pathogenic Qi declines and returns to its source. This is the general principle of treatment. (See Section 28 of Yunqi.)
The Yellow Emperor asked: How to treat Guest-Primary victory-recovery? Qibo replied: High is suppressed; low is lifted; excess is broken; deficiency is tonified. Assist with beneficial flavors, harmonize with suitable properties. Pacify Guest and Primary, adapt to cold/heat. Same nature uses Reverse treatment; different nature uses Compliant treatment. The Yellow Emperor asked: I know cold is treated with heat, heat with cold; compatible Qi uses Reverse, incompatible uses Compliant. What about the Principal Flavors (Wu Wei)? Qibo replied: Master of Wood: Drain with Sour, Tonify with Pungent. Master of Fire: Drain with Sweet, Tonify with Salty. Master of Earth: Drain with Bitter, Tonify with Sweet. Master of Metal: Drain with Pungent, Tonify with Sour. Master of Water: Drain with Salty, Tonify with Bitter. Guest Jueyin: Tonify with Pungent, Drain with Sour, Relax with Sweet. Guest Shaoyin: Tonify with Salty, Drain with Sweet, Astringe with Salty. Guest Taiyin: Tonify with Sweet, Drain with Bitter, Relax with Sweet. Guest Shaoyang: Tonify with Salty, Drain with Sweet, Soften with Salty. Guest Yangming: Tonify with Sour, Drain with Pungent, Drain with Bitter. Guest Taiyang: Tonify with Bitter, Drain with Salty, Firm with Bitter, Moisten with Pungent (to open pores, distribute fluids, move Qi). (See Section 30 of Yunqi.)
Upper and lower masters follow their benefits; correct the flavors, this is key; left and right follow the same method. Master Shaoyang: Sweet then Salty. Master Yangming: Pungent then Sour. Master Taiyang: Salty then Bitter. Master Jueyin: Sour then Pungent. Master Shaoyin: Sweet then Salty. Master Taiyin: Bitter then Sweet. Assist with beneficial, support with generative; this is obtaining Qi. (See Section 34 of Yunqi.)
Therefore, the year favors Bitter to dry and warm; break stagnation, first support the source, suppress excessive luck, support the unconquered, prevent violent overaction causing disease. Eat grain of the year to preserve True Qi; avoid empty evils to stabilize Righteous Qi. Adjust quantity based on Qi similarity/difference: Similar to cold/damp, use drying/warming transformation; different from cold/damp, use drying/damp transformation. Thus, similar uses more; different uses less. Use Cold avoiding Cold season; use Cool avoiding Cool season; use Warm avoiding Warm season; use Hot avoiding Hot season; diet follows this. False patterns reverse normality; reversing causes disease; this is timing. (See Section 17 of Yunqi. Under Taiyang Sovereign Heaven, others to be verified.)
Adapting to cold/cool causes distension; adapting to warm/hot causes sores. Purging stops distension; sweating cures sores. Northwest Qi is dispersing and cold; treat with dispersion and cooling. Southeast Qi is gathering and warm; treat with gathering and warming. This is "Same Disease, Different Treatment." Thus: Cold/cold climate, treat with cold/cool, use water soaking; warm/hot climate, treat with warm/hot, strengthen internal retention. Align Qi to achieve balance; false patterns reverse. Healers must understand Heavenly Dao, Earthly Geography, Yin-Yang alternation, Qi sequence, human lifespan, and biological cycles to understand human form and Qi. (See Section 16 of Yunqi.)
Winter is closed. Closed states use fewer needles/stones, more herbs. (See Section 55 of Acupuncture.)
If untreated, within three or six months, or three or six days, transmission to Five Zang leads to death. (See Section 24 of Zang-Xiang.)
Heat-center and Diabetes (Xiao Zhong) patients should not consume rich foods, fragrant herbs, or mineral drugs. (See Section 60 of Diseases.)
Use Cold avoiding Cold season; use Heat avoiding Heat season. Heat should not provoke Heat; Cold should not provoke Cold. Releasing exterior does not avoid Heat; attacking interior does not avoid Cold. (See Section 20 of Yunqi.)
Generalized high fever, mania, hallucinations, delusions: Observe Foot Yangming and major collaterals for treatment. With patient supine, head forward, press carotid arteries with four fingers of both hands, hold long, roll and push down to Quepen (ST12), repeat until heat subsides. This is "Push and Disperse." (See Section 35 of Acupuncture.)
Treating Jue (Reversal/Cold limbs): First warm and regulate meridians via moxibustion/compression on palms/armpits, elbows/feet, neck/spine. Once fire Qi connects and blood vessels flow, assess disease. If pulse is slippery/moist, needle to calm; if hard/tight, break and disperse. Stop when Qi descends. (See Section 35 of Acupuncture.)
Treatment of Jue Ni (Reversal Qi) has taboos for moxibustion and stone needles. (See Section 38 of Diseases.)
Before malaria attacks, Yin has not merged with Yang, Yang has not merged with Yin. Regulate then, True Qi rests, Evil vanishes. Thus, skilled doctors cannot treat active malaria because Qi is reversed. (See Section 48 of Diseases.)
Having these three conditions indicates ruined Fu organs; toxic drugs cannot treat, short needles cannot take effect. This results from skin/flesh injury and blackened Qi/Blood contention. (See Section 9 of Acupuncture.)
Treatment of Heaven/Earth Excessive Victory Diseases. (See Section 25 of Yunqi.)
Treatment of Pathogenic Counter-Victory. (See Section 26 of Yunqi.)
Treatment of Six Qi Mutual Victory Diseases. (See Section 27 of Yunqi.)
Treatment of Six Qi Recovery Diseases. (See Section 28 of Yunqi.)
Twelve Formulas in this Classic:
1. Xiao Jin Dan (Small Golden Pill) treats Five Plagues.
2. Ji Shi Li (Chicken Manure Brew) treats Drum Distension (Ascites).
3. Treating with Orchids removes stale Qi; treats Pi Dan (Spleen Heat).
4. Qian Li Shui (Thousand-Li Water) cooked with Sorghum and Pinellia treats Insomnia.
5. Four parts Cuttlebone, one part Ruxiang (or similar herb), pills with quail egg, taken with cuttlefish juice, treats Blood Depletion.
6. Raw Iron Filings drink treats Yang Jue (Yang Reversal).
7. Horse fat applied to spasms; white wine mixed with Cinnamon applied to flaccidity; mulberry hook traction treats Spring Bi (Arthralgia).
8. Alisma and Atractylodes (10 parts each), Elsholtzia (5 parts), taken post-meal, treats Wine Wind.
9. 20 sheng strong wine, 1 sheng Sichuan pepper, 1 jin dried ginger, 1 jin cinnamon heart, soaked in cloth, heated on mulberry charcoal, ironed on cold-bi acupoints.
10. Left corner hair (1 cun), burned, taken with fine wine, treats Corpse Jue.
11. Pig fat eaten cold treats Meng Ju (Severe Abscess).
12. Lonicera root boiled, treats Bai Ci (Ulcer). (All from Section 86 of Diseases.)