脾移寒于肝。（薄其胜己。）痈肿筋挛。（肝主血。寒则凝而为痈肿。肝主筋。寒则挛缩。）肝移寒于心。（传于所生。）狂
隔中。（神为寒薄。水火相扇。故狂。寒结于中。故隔塞不通。）心移寒于肺。（乘其所胜。）肺消。肺消者。饮一溲二。
死不治。（此为上消。心火铄金。肺不能主气。有降无升。故饮一溲二。未至此甚。犹有可治者。昂按。痈肿狂隔。肺消
之症。多属火热。而经文俱云移寒。若作热解。则下文又有移热一段。诸注随症训释。或言热或言寒。语虽不一。义实
难移。窃谓移寒寒字。当作受病之始言。如隔塞多属热结。若云膈症间有寒隔。痈肿间有寒疡。然属热者多。与狂巅肺
消。均当作寒久变热解。于义始通。若下文移肾涌水。则始终均属阴寒也。）肺移寒于肾。（传于所生。）为涌水。涌水者。
按腹不坚。水气客于大肠。疾行则鸣。濯濯如囊裹浆。水之病也。（肺生水。大肠为肺之腑。肾至阴。为水脏。肾本肺标。
故聚水为病。）脾移热于肝。（薄其胜己。）则为惊衄。（肝藏血而主惊。肝脉与督脉会于巅。血随火溢。上脑而出于鼻。
则衄。）肝移热于心（传于所生。）则死。（心为君主。不易受邪。况肝气燥烈。木火相燔。故死。）心移热于肺。（乘其所
胜。）传为膈消。（此与上文移寒意同。但膈消为中消。且未至饮一溲二之甚耳。或曰膈症消中。为二病。）肺移热于肾。
（传于所生。）传为柔 。（气骨皆热。则髓不生。故骨强而为 。筋痿而为弛也。）肾移热于脾。（薄其胜己。）传为虚肠
死。（水反制土。脾肾俱虚。下痢不禁。故死。）胞移热于膀胱。（以下六腑相移。）则癃溺血。（膀胱者。胞之室。热则
癃闭。正理论曰。热在下焦。则溺血。）膀胱移热于小肠。膈肠不便。上为口麋。（膀胱上口连于小肠。小肠脉循咽下膈。
热结膈肠。故下不得便。逆上而为口疮。）小肠移热于大肠。为 （伏。）瘕为沉。（津血结而为瘕。沉深意。一云疝字之
误。）大肠移热于胃。善食而瘦。又谓之食亦。（虽食亦瘦。中消之类。）胃移热于胆。亦曰食亦。胆移热于脑。则辛 （山
根为 。鼻 辛辣。）鼻渊。鼻渊者。浊涕下不止也。（解精微论。脑渗为涕。）传为衄（鼻血。）蔑（汗血。）瞑目。（目
昏。）故得之气厥也。（皆为气逆而然。）（气厥论）
【灵】真头痛。头痛甚。脑尽痛。手足寒至节。死不治。头半寒痛。先取手少阳阳明。后取足少阳阳明。（此言刺法。
偏头痛属少阳病。以脉行头侧也。）厥心痛。与背相控。善 。（ 。）如从后触其心。伛偻者。肾心痛也。腹胀胸满。
心尤痛甚。胃心痛也。痛如以锥针刺其心。心痛甚者。脾心痛也。色苍苍如死状。终日不得太息。肝心痛也。卧若徒居。
心痛间动作痛益甚。色不变。肺心痛也。真心痛。手足清（冷也。一作青。）至节。心痛甚。旦发夕死。夕发旦死。（心
君不易受邪。）（厥病）
【素】颈脉动。（结喉旁人迎脉。）喘疾咳曰水。（水溢于肺。故颈脉上鼓而喘咳。）目裹（眼胞属脾。）微肿。如卧蚕
起之状曰水。（评热病论。水者阴也。目下亦阴也。腹者。至阴之所居。故水在腹者。目下必肿也。）溺黄赤。安卧者。
（嗜
卧。）黄胆。已食如饥者。胃疸。（谷疸。）面肿曰风。（面为诸阳之会。风属阳。上先受之。故肿。不专于水也。）足胫肿
曰水。目黄者曰黄胆。（湿热上蒸。）（平人气象论）
【素】人身非常温也。非常热也。为之热而烦满者何也。阴气少而阳气胜也。人身非衣寒也。中非有寒气也。寒从
中生者何。是人多痹气也。（气不流通。）阳气少阴气多。故身寒如从水中出。人有四肢热。逢风寒如炙如火者何也。是
人者。阴气虚阳气盛。四肢者阳也。两阳相得。而阴气虚少。少水不能灭盛火。而阳独治。独治者。不能生长也。独胜
而止耳。（孤阳不长。反能为病。）逢风而如炙如火者。是人当肉烁也。（风火相扇。能消烁肌肉。）人有身寒。汤火不能
热。浓衣不能温。然不冻栗。是为何病。是人者。素肾气胜。以水为事。（欲盛房劳。）太阳（膀胱。）气衰。肾脂枯不长。
一水不能胜两火。肾者水也。而生于骨。肾不生则髓不能满。故寒甚至骨也。所以不能冻栗者。肝一阳也。心二阳也。
（肝
木生火。心为君火。）肾孤脏也。一水不能胜二火。故不能冻栗。病名曰骨痹。（冻栗为外寒。此为骨痹。）是人当挛节也。
（髓枯则筋缩。故挛节。）人之肉苛者。（麻木不仁。）虽近衣絮。犹尚苛也。荣气虚卫气实也。（实为偏胜。过犹不及。）
荣气虚则不仁。（不知痛痒。）卫气虚则不用。（手足不随人用。）荣卫俱虚则不仁且不用。肉如故也。人身与志不相有。
曰死。人有逆气不得卧而息有音者。是阳明之逆也。足三阳者下行。（足三阳从头走足。）今逆而上行。故息有音也。阳
明者胃脉也。胃者六腑之海。其气亦下行。阳明逆。不得从其道。故不得卧也。下经曰。胃不和则卧不安。此之谓也。
夫起居如故而息有音者。此肺之络脉逆也。（肺主气。司呼吸。）络脉不得随经上下。故留经而不行。（络逆不能行于别经。）
络脉之病患也微。故起居如故而息有音也。夫不得卧。卧而喘者。是水气之客也。夫水者。循津液而流也。肾者水脏。
主津液。主卧与喘也。（肺主气。肾纳气。肾脉入肺中。故主喘。夜卧则气行于阴。然必自少阴始。故主卧。）（逆调论）
【灵】人目不瞑。不卧出者。何气使然。曰。五谷入于胃也。其糟粕津液宗气分为三隧。（糟粕入大小肠为一隧。）
故宗气积于胸中。（膻中气海。）出于喉咙。以贯心脉而行呼吸焉。营气者。泌其津液。注之于脉。化以为血。以荣四末。
内注五脏六腑。以应刻数焉。（宗气合荣气行脉中。为一隧。应漏水百刻。）卫气者。出其悍气之 疾。而先行于四末。
分肉皮肤之间。而不休者也。（卫行脉外为一隧。）昼日行于阳。夜行于阴。常从足少阴之分。（其行阴也。必自足少阴始。）
间行于五脏六腑。今厥气（邪逆。）客于五脏六腑。则卫气独卫其外。行于阳不得入于阴。行于阳则阳气盛。阳气盛则阳
跷陷。（阳跷之脉。）不得入于阴。阴虚故目不瞑。（大惑论。作阳气满则阳跷盛。盛字是。又曰。卫气留于阴。不得行于
阳。则阴气盛。阴气盛则阴跷满。阳气虚故目闭也。）治之奈何。饮以半夏汤一剂。阴阳已通。其卧立至。（以千里长流
水扬万遍。取五升。以秫米一升。半夏五合。煮为升半。饮一小杯。稍益。以知为度。覆杯则卧。汗出则已矣。按半夏
能和胃而通阴阳。今人率以为燥而不敢用。误矣。）（邪客）
【素】有病温者。汗出辄复热。而脉躁疾。不为汗衰。狂言不能食。病名阴阳交。（王注。阴阳之气不分别。张注。
汗乃阴液。外出之阳。阳热不从汗解。复入之阴。名阴阳交。又按五营运大论。尺寸反者死。阴阳交者死。盖言脉也。）
交者死也。人所以汗出者。皆生于谷。谷生于精。今邪气交争于骨肉。而得汗者。是邪却而精胜也。精胜则当能食。而
不复热。复热者。邪气也。汗者精气也。今汗出而辄复热者。是邪胜也。不能食者。精无俾也。（无所俾倚。）病而留者。
（留邪不退。）其寿可立而倾也。且夫热论曰。汗出而脉尚躁盛者死。（灵枢热病论。热病已得汗。而脉尚躁盛。此阴脉
之极也。死。其得汗而脉静者生。热病脉尚盛躁。而不得汗者。此阳脉之极也。死。脉盛躁得汗。静者生。）今脉不与汗
相应。此不胜其病也。（邪盛正衰。）狂言者是失志。（肾藏志。精衰故失志。）失志者死。今见三死。（汗出复热。脉躁疾。
狂言不能食。）不见一生。虽愈必死也。有病身热汗出。烦满不为汗解。此为何病。汗出而身热者风也。（风邪未退。）汗
出而烦满不解者厥也。病名曰风厥。巨阳（太阳。）主气。故先受邪。少阴与其为表里也。得热则上从之。从之则厥也。
（太阳主表。故先受邪。阳邪传入少阴之里。少阴经气。随太阳而逆上。）劳风法在肺下。（肾劳因风而得。故名劳风。
肾脉入肺。受风邪在肺下。）使人强上冥视。（头项强。好闭目。）唾出若涕。（肾为唾。肺为涕。肾热薰肺。故然。）恶风
而振寒。（阳气内伐。不能卫外。故内发热。而外恶寒。）咳出青黄涕。其状如脓。大如弹丸。（蕴热所结。）从口中若鼻
中出。不出则伤肺。伤肺则死也。有病肾风者。面 然。（头面足 。 然而肿。）壅害于言。（肾脉循喉咙。挟舌本。）
可刺不。曰。虚不当刺。不当刺而刺。后五日其气必至。至必少气时热。从胸背上至头。汗出手热。口干苦渴。小便黄。
目下肿。腹中鸣。身重难以行。月事不来。烦而不能食。不能正偃。正偃则咳。病名曰风水。邪之所凑。其气必虚。阴
虚者。阳必凑之。（少阴气虚。太阳之热凑之。）故少气时热。而汗出也。小便黄者。少腹中有热也。（热邪传入膀胱之府。）
不能正偃者。胃中不和也。（胃不和。则卧不安。）正偃则咳甚。上迫肺也。（肾中水气。上迫于肺。水热穴论。本在肾。
末在肺。示从容论。咳嗽烦冤者。是肾气之逆也。）诸有水气者。微肿先见于目下也。水者阴也。目下亦阴也。腹者至阴
之所居。（背为阳。腹为阴。）故水在腹者。必使目下肿也。真气上逆。故口苦舌干。卧不得正偃。正偃则咳。出清水也。
诸水病者。故不得卧。卧则惊。惊则咳甚也。腹中鸣者。病本于胃也。薄脾则烦。不能食。食不下者。胃脘隔也。身重
难以行者。胃脉在足也。（他脉亦有行足者。然胃主润宗筋。宗筋主束骨而利机关者也。）月事不来者。胞脉闭也。胞脉
者属心。而络于胞中。今气上逼肺。（气。即火也。）心气不得下通。（心主血。）故月事不来也。（评热病论）
【素】有病心腹满。旦食则不能暮食。名为鼓胀。（虚胀如鼓。亦名蛊胀。）治之以鸡矢醴。一剂知。（药病相知。）
二剂已。（其方用羯鸡矢。干者八合。炒香。以无灰酒三碗。煎至一半。滤汁。五更热饮则腹鸣。辰巳时行黑水二三次。
次日觉足面渐有皱纹。又饮一次。渐皱至膝上。则愈矣。吴鹤皋曰。朝宽暮急。病在营血。鸡矢秽物。从阴化。可入营
血。又气悍能杀虫。又说。羽虫无肺。故无前阴。其矢中之白者。精也。又云。醴乃熟谷之精。能补中土而行营卫。）有
病胸胁支满者。妨于食。病至则先闻腥臊臭。（肝气臊。肺气腥。臭。气也。）出清液。（鼻流清涕。肺虚。）先唾血。（肝
肾虚。）四肢清。（冷也。脾虚。）目眩。（肝血不足。）时时前后血。（二便便血。）病名血枯。此得之年少时有所大脱血。
若醉入房中。气竭肝伤。故月事衰少不来也。（肾主闭藏。肝司疏泄。酒色无节。故男为精血衰少。女为月事不来也。）
病有少腹盛。上下左右皆有根。病名曰伏梁。（此藏之阴气。诸注皆云。与心积伏梁不同。昂按。脉要精微论。以少腹有
形。为心疝。亦与此不同。）裹大脓血。居肠胃之外。（冲带二脉部分。）不可治。治之每切按之致死。此下则因阴。（前
后二阴。）必下脓血。上则迫胃脘生膈。（生当作出。）侠（太素作使。）胃脘内痈。（以本有大脓血。在肠胃之外也。）此
久病也。难治。居脐上为逆。居脐下为从。勿动亟夺。（脐下去心稍远。犹可渐攻。）人有身体髀股 皆肿。环脐而痛。
病名伏梁。（王注。谓亦冲脉为病。冲脉并少阴之经。挟脐上行。髀股 皆其经脉所过。）此风根也。其气溢于大肠。而
着于肓。肓之原在脐下。故环脐而痛也。（腔中空掖处名肓。肓之原出于脖 。一名气海。一名下肓。故曰脐下。）不可
动之。动之为水溺涩之病。（动之。以毒药攻之也。当渐施升散之法。此段与奇病论同。）（腹中论）
【素】人有重身。（怀妊。）九月而喑。（哑也。九月足少阴脉养胎。）此胞之络脉绝也。（为胎所碍。而脉阻绝。）胞
络者。系于肾。少阴之脉贯肾。系舌本。故不能言。无治也。当十月复。（十月分娩。则阻者通。）人有病头痛。以数岁
不已。此当有所犯大寒。内至骨髓。髓者以脑为主。（脑为髓海。）脑逆（寒气上逆。）故令头痛。齿亦痛。（齿为骨余。）
病名曰厥逆。有病口甘者。此五气之溢也。（五味之气。）名曰脾瘅。（热也。）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。（脾在味为甘。）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。（久则成消渴病。）治之以兰。（兰草。）除陈气也。（陈郁之气。）有病口苦者。名曰胆瘅。（胆热。）
夫肝者。中之将也。取决于胆。咽为之使。（胆脉挟咽。肝脉循喉。）此人者。数谋虑不决。故胆虚。（肝主谋虑。胆主决
Spleen transferring cold to the Liver. (Cold pathogen invades the organ that controls it.) Carbuncles and tendon spasms occur. (The Liver governs blood; cold causes stagnation leading to carbuncles. The Liver governs tendons; cold causes contraction.) Liver transferring cold to the Heart. (Transmission to the organ it generates.) Mania and chest obstruction occur. (Spirit is invaded by cold, water and fire agitate each other, hence mania. Cold knots in the middle, hence obstruction.) Heart transferring cold to the Lung. (Overcoming the organ it controls.) Lung Xiao occurs. Lung Xiao refers to drinking one unit of fluid and urinating two units. (This is Upper Xiao. Heart fire scorches Metal, the Lung cannot govern Qi, there is descent without ascent, hence drinking one and urinating two. If not yet severe, it is still treatable. Note: Carbuncles, mania, chest obstruction, and Lung Xiao are mostly heat syndromes, but the text says "transferring cold". If interpreted as heat, the following section on "transferring heat" would be redundant. Commentaries vary between heat and cold. I suggest "cold" refers to the initial stage of disease. For example, chest obstruction is mostly heat knotting, but cold obstruction exists; carbuncles are mostly heat, but cold ulcers exist. Similarly, mania, epilepsy, and Lung Xiao should be interpreted as cold transforming into heat after a long duration, which makes sense. In contrast, Kidney transferring cold causing Yong Water involves pure yin-cold throughout.) Lung transferring cold to the Kidney. (Transmission to the organ it generates.) Yong Water (Surging Water) occurs. Yong Water is characterized by a soft abdomen upon pressure, water qi lodging in the Large Intestine, making gurgling sounds when walking quickly, like a bag containing liquid. This is a water pathology. (Lung generates water, Large Intestine is its Fu organ. Kidney is the extreme Yin organ and the water reservoir. Kidney is the root, Lung is the branch, hence water accumulation.) Spleen transferring heat to the Liver. (Heat invades the organ that controls it.) Fright and epistaxis occur. (Liver stores blood and governs fright. Liver channel meets Du vessel at the vertex. Blood follows fire upward to the brain and exits the nose, causing epistaxis.) Liver transferring heat to the Heart. (Transmission to the organ it generates.) Death ensues. (Heart is the Sovereign, difficult to invade. Moreover, Liver Qi is dry and fierce, Wood and Fire burn together, hence death.) Heart transferring heat to the Lung. (Overcoming the organ it controls.) Ge Xiao (Diaphragm Xiao) develops. (Same meaning as "transferring cold" above, but Ge Xiao is Middle Xiao, less severe than drinking one and urinating two. Some say Ge syndrome and Xiao Zhong are two different diseases.) Lung transferring heat to the Kidney. (Transmission to the organ it generates.) Rou Jing (Soft Spasm) develops. (Qi and Bone are both hot, Marrow fails to generate, hence stiff bones causing spasm, and flaccid tendons causing relaxation.) Kidney transferring heat to the Spleen. (Heat invades the organ that controls it.) Deficiency and Chang Pi (Dysentery) develop, leading to death. (Water counter-controls Earth, Spleen and Kidney are both deficient, uncontrollable dysentery leads to death.) Bao Gong (Uterus) transferring heat to the Bladder. (Six Fu organs transfer among themselves.) Long (Difficulty in urination) and hematuria occur. (Bladder is the chamber of the Uterus. Heat causes urinary retention. Zheng Li Lun states: Heat in the Lower Jiao causes hematuria.) Bladder transferring heat to the Small Intestine. Obstruction of the diaphragm and intestines, leading to Kou Mi (Mouth Ulcers) upwards. (Bladder connects to Small Intestine above; Small Intestine channel passes through throat and diaphragm. Heat knots in diaphragm and intestines, preventing downward flow, rising upward to cause mouth sores.) Small Intestine transferring heat to the Large Intestine. Forms Fu Xia (Hidden Masses) and Chen (Deep-seated masses). (Jin-Ye and Blood knot to form masses; Chen implies depth. Some say "Chen" is a typo for "Shan/Hernia".) Large Intestine transferring heat to the Stomach. Polyphagia with emaciation, also called Shi Yi (Eating Without Gaining Weight). (Eating yet remaining thin, similar to Middle Xiao.) Stomach transferring heat to the Gallbladder, also called Shi Yi. Gallbladder transferring heat to the Brain. Causes Xin (Pungency at the nasal root), Bi Yuan (Nasal Sinusitis). Bi Yuan is continuous discharge of turbid mucus. (Jie Jing Wei Lun states: Brain seeps into mucus.) Further develops into Nu (Epistaxis), Mie (Hemohidrosis/Sweating Blood), and Ming Mu (Blurred Vision). (All caused by Qi Jue/Qi Reversal.) (From Qi Jue Lun)
[Ling Shu] Zhen Tou Tong (True Headache). Severe headache, pain throughout the brain, cold hands and feet extending to joints, untreatable. Half-head cold pain. First needle Hand Shaoyang and Hand Yangming, then Foot Shaoyang and Foot Yangming. (Acupuncture method. Hemiplegic headache belongs to Shaoyang, as channels run along the side of the head.) Jue Xin Tong (Jue Heartache). Pain pulling to the back, frequent sighing. Feeling as if touched from behind, stooping posture indicates Shen Xin Tong (Kidney Heartache). Abdominal distension, chest fullness, severe heart pain indicates Wei Xin Tong (Stomach Heartache). Pain like needle/prick, severe heart pain indicates Pi Xin Tong (Spleen Heartache). Pale/greenish face like a corpse, unable to take deep breaths all day indicates Gan Xin Tong (Liver Heartache). Pain relieves when lying/still, worsens with movement, unchanged complexion indicates Fei Xin Tong (Lung Heartache). Zhen Xin Tong (True Heartache), cold hands/feet (or cyanosis) to joints, severe heart pain, morning onset dies evening, evening onset dies morning. (Heart is Sovereign, hard to invade.) (From Jue Bing)
[Su Wen] Neck pulse throbs. (Renying pulse near Adam's apple.) Wheezing and coughing indicate Water Disease. (Water overflows Lung, neck pulse bulges, wheezing/coughing.) Eyelids slightly swollen, like silkworms, indicate Water Disease. (Ping Re Bing Lun: Water is Yin, under eyes is Yin. Abdomen is residence of Extreme Yin, so abdominal water causes under-eye swelling.) Yellow urine, lethargy indicates Huang Dan (Jaundice). Hunger after eating indicates Wei Dan (Stomach Jaundice/Grain Jaundice). Facial swelling indicates Wind. (Face is meeting of Yang channels, Wind is Yang, attacks upper body first, swelling not just water.) Leg/shin swelling indicates Water Disease. Yellow eyes indicate Jaundice. (Damp-heat steaming upward.) (From Ping Ren Qi Xiang Lun)
[Su Wen] Body feels cold not due to lack of clothes or internal cold, why? Is it Yin deficiency and Yang excess? No. Body feels cold internally without external cold, why? Due to Bi Qi (Obstructed Qi). Yang deficiency and Yin excess cause body cold like emerging from water. Limbs hot, feeling like burning when encountering wind/cold, why? Yin deficiency, Yang excess. Limbs are Yang, two Yangs combine, Yin is weak, little water cannot extinguish strong fire, Yang dominates alone. Alone Yang cannot grow, only dominates. Encountering wind/cold feels like burning, muscles will waste away. (Wind-fire scorch muscles.) Body cold, hot drinks/fire/clothes don't warm, but no shivering, why? Original Kidney Qi excess, excessive sexual activity. Taiyang (Bladder) Qi declines, Kidney essence dries up. One water cannot overcome two fires. Kidney is Water, generates bone. If Kidney fails, Marrow doesn't fill, cold reaches bone. No shivering because Liver is one Yang, Heart is two Yangs. Kidney is solitary organ, one water cannot overcome two fires, hence no shivering. Disease name: Gu Bi (Bone Bi). (Shivering is external cold, this is Bone Bi.) Tendons will contract. (Marrow dry, tendons shrink.) Muscle numbness/heaviness, even with cotton, remains numb. Ying Qi deficient, Wei Qi excess. (Excess means hyperactivity). Ying deficiency causes numbness. Wei deficiency causes immobility. Both deficient causes numbness and immobility. Body disconnected from Will is death. Qi reversal, inability to lie down, noisy breathing, is Yangming reversal. Foot Three Yang descend. Now reverses upward, hence noisy breathing. Yangming is Stomach channel, Sea of Six Fu, Qi descends. Reversal prevents lying down. Xia Jing says: Stomach disharmony leads to restless sleep. Resting normally but noisy breathing is Lung collateral reversal. (Lung governs Qi/breathing). Collaterals don't follow main channels, stay in meridians. Collateral disease is mild, hence normal rest but noisy breathing. Inability to lie down, panting when lying, is Water Qi invasion. Water flows with Jin-Ye. Kidney is Water organ, governs Jin-Ye, sleep, and panting. (Lung governs Qi, Kidney grasps Qi. Kidney channel enters Lung, governs panting. Night lying moves Qi to Yin, starts from Shaoyin, hence governs sleep.) (From Ni Diao Lun)
[Ling Shu] Eyes open, unable to sleep, what Qi causes this? Five grains enter Stomach, dregs, Jin-Ye, Zong Qi divide into three paths. (Dregs to Intestines is one path.) Zong Qi accumulates in Chest (Dan Zhong), exits throat, penetrates Heart channel, governs breathing. Ying Qi secretes Jin-Ye, injects into vessels, transforms to Blood, nourishes four extremities, enters Zang-Fu, corresponds to time. (Zong and Ying Qi move in vessels, one path, 100 ke). Wei Qi, fierce/fast Qi, moves first in extremities, muscle/skin,不休 (unceasing). (Wei moves outside vessels, one path). Day moves Yang, Night moves Yin, always starts from Foot Shaoyin division. Moves among Zang-Fu. Now Jue Qi (Evil Reversal) lodges in Zang-Fu, Wei Qi guards outside, moves Yang, cannot enter Yin. Yang moves, Yang Qi excess, Yang Qiao vessel sinks. Cannot enter Yin, Yin deficiency, eyes open. (Da Huo Lun: Yang full, Yang Qiao full, eyes closed due to Yang deficiency. Or: Wei stays Yin, Yin excess, Yin Qiao full, Yang deficiency, eyes close). Treatment: Ban Xia Tang (Pinellia Decoction). Yin-Yang connected, sleep immediate. (Use 1000-li flowing water, stirred 10,000 times, 5 sheng. Sorghum 1 sheng, Ban Xia 5 he. Boil to 1.5 sheng. Drink small cup, increase gradually. Sleep immediately after drinking, sweating cures it. Note: Ban Xia harmonizes Stomach, connects Yin-Yang. People fear it's drying, mistaken.) (From Xie Ke)
[Su Wen] Warm disease, sweat then fever returns, pulse rapid/restless, not reduced by sweat, mania, anorexia, named Yin Yang Jiao. (Wang Bing: Yin-Yang Qi not distinct. Zhang Jingyue: Sweat is Yin fluid, outward Yang. Yang heat doesn't resolve with sweat, re-enters Yin, named Yin Yang Jiao. Also Wu Yun Da Lun: Chi Cun reverse die, Yin Yang Jiao die, referring to pulse.) Jiao means death. Sweat comes from Grain, Grain produces Essence. Evil fights Essence in flesh/bone. Sweat means Evil retreats, Essence wins. Essence wins means appetite returns, no fever. Fever return means Evil wins. Sweat is Essence. Anorexia means Essence has no support. Disease lingers, life ends quickly. Re Bing Lun: Sweat but pulse still rapid/dead. Pulse quiet after sweat, live. No sweat, pulse rapid/dead. Pulse rapid gets sweat, quiet/live. Now pulse doesn't match sweat, can't defeat disease. (Evil excess, Zheng deficiency). Mania is loss of Zhi (Will/Kidney). Loss of Zhi is death. Three signs of death (sweat-fever, rapid pulse, mania/anorexia), no sign of life, will die even if temporarily better. Body heat, sweat, irritability not resolved by sweat, what disease? Sweat-heat is Wind. Sweat-irritability is Jue. Named Feng Jue. Ju Yang (Taiyang) governs Qi, attacked first. Shaoyin exterior-interior, receives heat, follows upward, becomes Jue. (Taiyang exterior attacked first. Yang evil enters Shaoyin interior, Shaoyin Qi reverses upward). Lao Feng (Labor Wind) located below Lung. (Kidney labor due to wind. Kidney channel enters Lung, wind evil below Lung). Neck stiffness, blurred vision. Saliva like phlegm. (Kidney saliva, Lung mucus. Kidney heat steams Lung). Aversion to wind, chills. (Yang internal attack, fails to defend exterior, internal heat, external chills). Cough green/yellow pus-like sputum, size of bullet. (Heat knot). Exits mouth/nose, if not, injures Lung, death. Shen Feng (Kidney Wind), facial swelling. Speech obstructed. (Kidney channel throat/tongue). Can needle? Say: Deficiency shouldn't needle. Needle wrongly, 5 days later Qi arrives, shortness of breath, intermittent fever, chest/back to head, sweat, hot hands, dry bitter mouth, yellow urine, under-eye swelling, bowel sounds, heavy body, amenorrhea, irritability, anorexia, inability to lie flat, cough when lying flat. Named Feng Shui (Wind Edema). Evil gathers where Qi is deficient. Yin deficiency, Yang invades. (Shaoyin Qi deficient, Taiyang heat invades). Hence shortness of breath, fever, sweat. Yellow urine, Lower Jiao heat. (Heat enters Bladder Fu). Can't lie flat, Stomach disharmony. (Stomach disharmony, restless sleep). Lying flat cough worsens, presses Lung. (Kidney water Qi presses Lung. Shui Re Xue Lun: Root Kidney, End Lung. Ci Cong Rong Lun: Cough/annoyance is Kidney Qi reversal). All water diseases, edema starts under eyes. Water is Yin, under eyes Yin. Abdomen Extreme Yin. Abdominal water causes under-eye swelling. True Qi reverses upward, bitter mouth, dry tongue, can't lie flat, cough clear water. All water patients can't lie down, lie down startles, startle coughs worse. Bowel sounds, root in Stomach. Presses Spleen, irritability, anorexia. Food stuck, Stomach obstruction. Heavy body, Stomach channel in foot. (Other channels in foot too, but Stomach moistens Zong Jin, binds bones, moves joints). Amenorrhea, Bao Mai (Uterus Vessel) closed. Bao Mai belongs to Heart, connects to Bao Zhong. Now Qi presses Lung. (Qi is Fire). Heart Qi can't descend. (Heart governs Blood). Hence amenorrhea. (From Ping Re Bing Lun)
[Su Wen] Heart/abdominal fullness, eat morning can't eat evening, named Gu Zhang (Drum Distension). Treat with Ji Shi Li (Chicken Dropping Wine). One dose knows effect. Two doses cured. (Use male chicken droppings, dried 8 he, fried fragrant, non-grain wine 3 bowls, boil to half, filter juice, drink hot at dawn, bowel sounds, black stool 2-3 times at Chen/Si hours, next day foot wrinkles appear, drink again, wrinkles to knees, cured. Wu Hegao: Morning wide evening tight, disease in Ying-Blood. Chicken dropping is filth, transforms Yin, enters Ying-Blood. Qi fierce kills parasites. Wingless lungs, no anterior orifice, white part of droppings is Essence. Li is refined grain essence, tonifies Central Earth, moves Ying-Wei.) Chest/hypochondriac fullness, hinders food, smells fishy/foul at onset. (Liver foul, Lung fishy, odor is Qi). Clear fluid discharge. (Runny nose, Lung deficiency). Spitting blood first. (Liver/Kidney deficiency). Cold limbs. (Cold, Spleen deficiency). Dizziness. (Liver Blood deficiency). Frequent rectal/urinary bleeding. Named Xue Ku (Blood Dryness). Caused by major blood loss in youth, or sex while drunk, Qi exhausted, Liver injured, menstruation scant/absent. (Kidney stores, Liver drains. Alcohol/sex excess, men Essence/Blood deficient, women amenorrhea). Lower abdomen full, roots everywhere, named Fu Liang (Hidden Beam). (Yin Qi of Zang. Different from Heart Accumulation Fu Liang. Mai Yao Jing Wei Lun: Lower abdomen mass is Heart Shan, different too). Contains large pus/blood, outside intestines/stomach. (Chong/Dai vessels). Untreatable. Palpation causes death. Downward passes Yin, pus/blood out. Upward presses Stomach, creates Ge. (Sheng means Chu). Flanks Stomach, internal abscess. (Large pus/blood outside intestines). Chronic, hard to treat. Above navel Reverse, Below navel Follow. Don't rush attack. (Below navel further from Heart, gradual attack ok). Body/thighs/knees swollen, periumbilical pain, named Fu Liang. (Wang Bing: Chong vessel disease. Chong follows Shaoyin, ascends flank navel, thighs/knees pass through). Wind root. Qi overflows Large Intestine, attaches to Huang (Tri-Jiao membrane). Huang origin below navel, hence periumbilical pain. (Huang is hollow space. Origin at Bo Yang, Qi Hai, Xia Huang, hence below navel). Don't disturb. Disturbance causes urinary difficulty. (Disturb means drug attack. Should use gradual ascending/dispersing. Same as Qi Bing Lun.) (From Fu Zhong Lun)
[Su Wen] Pregnant woman, mute at 9 months. (Mute. 9th month Shaoyin nourishes fetus). Bao Luo (Uterus Collaterals) severed. (Blocked by fetus, vessels obstructed). Bao Luo ties to Kidney, Shaoyin pierces Kidney, ties to tongue root, hence mute. No treatment, recovers at 10 months. (Delivery opens blockage). Headache years unrelieved. Violated Great Cold, reached Marrow. Marrow dominated by Brain. (Brain is Sea of Marrow). Brain reversal (Cold Qi upward) causes headache, teeth pain. (Teeth bone surplus). Named Jue Ni (Reversal Cold). Sweet taste, overflow of Five Qi. Named Pi Dan (Spleen Heat). Five flavors enter Stomach, Spleen distributes Jing-Qi, Jin-Ye in Spleen, hence sweet taste. (Spleen flavor Sweet). Caused by rich food. Eats sweet/fatty often. Fat causes internal heat, Sweet causes fullness. Qi overflows, turns to Xiao Ke (Wasting-Thirst). Treat with Lan Cao (Orchid Grass). Removes Chen Qi (Stagnant Qi). Bitter taste, named Dan Dan (Gallbladder Heat). Liver is General, decides by Gallbladder, throat is envoy. (Gallbladder channel flanks throat, Liver channel circles throat). Indecisive planning, Gallbladder deficient. (Liver plans, Gallbladder decides)