(《素问·奇病篇》)
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。(瘅,热病也。五气,五味之所化也。)
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。(脾主为胃行其津液者也,故五味入胃,则津液在脾。
脾属土,其味甘,脾气通于口,故令人口甘也。)此肥美之所发也。(肥甘太过,故发为病。)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。(肥者,味浓助阳,故能生热。甘者,性缓不散,故能留中。热
留不去,久必伤阴,其气上溢,故转变为消渴之病。)治之以兰,除陈气也。(兰草性味甘寒,能利水道,辟不祥,除胸
中痰癖,其气清香,能生津止渴,润肌肉,故可除陈积蓄热之气。)
帝曰∶有病口苦,取阳陵泉,口苦者病名为何?何以得之?岐伯曰∶病名曰胆瘅。(阳陵泉,足少阳胆经穴,口苦者
病在胆,故病名胆瘅。)夫肝者,中之将也,取决于胆,咽为之使。(肝者将军之官,谋虑出焉。胆者中正之官,决断出
焉。夫谋虑在肝,无胆不断,故肝为中之将而取决于胆也。又足少阳之脉上挟咽,足厥阴之脉循喉咙之后上入颃颡,是
肝胆之脉皆会于咽,故咽为之使。使,上声。)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,(数谋
虑不决则肝胆俱劳,劳则必虚,虚则气不固,故胆气上溢而口为之苦。胆募在肋,本经之日月也,胆俞在背,足太阳之
穴也,并前阳陵泉者共六穴,皆可以治之。)治在阴阳十二官相使中。(治当作论,即《灵兰秘典论》也。详藏象类一。)
The Yellow Emperor asked: There is a disease where the patient has a sweet taste in the mouth. What is this disease called? How does it arise? Qibo replied: This is an overflow of the essence of the five Zang organs, named Pi Dan (Spleen Heat Disease). (Dan refers to heat diseases. The five Qi refers to the essence transformed from the five flavors.)
When various flavors enter the mouth, they are stored in the Stomach, and the Spleen distributes their essential Qi. If fluids remain in the Spleen, it causes a sweet taste in the mouth. (The Spleen's function is to transport fluids for the Stomach; thus, when flavors enter the Stomach, fluids accumulate in the Spleen. The Spleen belongs to Earth, its flavor is Sweet, and its Qi connects to the mouth, hence causing a sweet taste.) This arises from excessive consumption of rich and sweet foods. (Excessive intake of rich and sweet flavors leads to pathology.) Such individuals must frequently consume sweet and fatty foods. Fatty foods generate internal heat, while sweet foods cause fullness in the middle Jiao. Consequently, the Qi overflows upward, transforming into Xiao Ke (Wasting-Thirst Disease). (Fatty substances have strong flavors that assist Yang, thereby generating heat. Sweet substances have a slow nature that does not disperse easily, thus tending to remain in the Middle Jiao. When heat remains stagnant for a long time, it inevitably damages Yin. With Qi overflowing upward, it transforms into Wasting-Thirst Disease.) Treatment involves using Lan Cao (Lantana Herb) to eliminate stale accumulated heat. (Lan Cao has a sweet and cold nature, can promote urination, dispel turbidity, remove phlegm and fluid retention in the chest, possesses a fresh fragrance, generates fluids, relieves thirst, moistens muscles, and thus can eliminate stale, accumulated heat.)
The Yellow Emperor asked: There is a disease with a bitter taste in the mouth, treated by needling Yanglingquan (GB34). What is this disease called? How does it arise? Qibo replied: This disease is named Dan Dan (Gallbladder Heat Disease). (Yanglingquan is an acupoint of the Foot-Shaoyang Gallbladder Meridian. A bitter taste indicates the disease is in the Gallbladder, hence named Dan Dan.) The Liver is the General within, relying on the Gallbladder for decision-making, and the Pharynx serves as its conduit. (The Liver is the organ of the General, where strategy originates. The Gallbladder is the organ of uprightness, where judgment originates. Strategy lies in the Liver, but without the Gallbladder's judgment, it cannot be executed; thus, the Liver acts as the General within and depends on the Gallbladder. Furthermore, the Foot-Shaoyang Gallbladder Meridian ascends along both sides of the pharynx, and the Foot-Jueyin Liver Meridian follows behind the throat and enters the nasopharynx; since both Liver and Gallbladder meridians converge at the pharynx, the pharynx serves as their conduit. 'Shi' is pronounced with the falling tone.) Such individuals often deliberate without making decisions, leading to Gallbladder deficiency and upward overflow of Qi, causing a bitter taste. Treatment should target the Front-Mu and Back-Shu points of the Gallbladder. (Frequent deliberation without decision exhausts both the Liver and Gallbladder. Exhaustion leads to deficiency. Deficiency results in insecure Qi, causing Gallbladder Qi to overflow upward and create a bitter taste. The Gallbladder's Front-Mu point is located in the hypochondrium, specifically Riyue (LR24); the Gallbladder's Back-Shu point is on the back, belonging to the Foot-Taiyang Bladder Meridian. Together with Yanglingquan (GB34) mentioned previously, these six points can all be used for treatment.) The therapeutic principle is discussed within the context of the mutual interaction of the twelve Zang-Fu organs. ('Zhi' [treatment] should be read as 'Lun' [discussion], referring to the Linglan Midian Lun [Treatise on the Secret Canon of Spiritual Orchids]. See detailed discussion in Zangxiang Category I.)