五劳者∶一曰肺劳,短气面浮,鼻不闻香臭;二曰肝劳,面目干黑,口苦精神不守,
能独卧,目视不明;三曰心劳,忽忽喜忘,大便苦难,或时鸭溏,口内生疮;四曰脾劳,舌
本苦直,不得咽唾;五曰肾劳,背难俯仰,小便不利,色赤黄而有余沥,茎内痛,阴囊湿生
疮,小腹满急。六极者∶一曰气极,令人内虚,五脏不足,邪气多,正气少,不欲言;二曰
血极,令人无颜色,眉发落,忽忽喜忘;三曰筋极,令人数转筋,十指爪甲皆痛苦,倦不能
久立;四曰骨极,令人瘦削,齿苦痛,手足烦疼,不可以立,不欲行动;五曰肌极,令人羸
瘦无润泽,饮食不生肌肉;六曰精极,令人少气,吸吸然内虚,五脏气不足,毛发落,悲伤
喜忘。七伤者∶一曰大饱伤脾,善噫欲卧,面黄;二曰大怒逆气伤肝,少气目暗;三曰强力
举重,久坐湿地,伤肾少精,腰背痛,厥逆下冷;四曰形寒寒饮伤肺,少气咳嗽,鼻塞,五
曰忧愁思虑伤心,苦惊喜忘喜怒;六曰风雨寒暑伤形,发肤枯夭;七曰恐惧不节伤志,恍惚
不乐。又有志劳、思劳、心劳、忧劳、瘦劳,亦名五劳。阴寒、阴痿、里急精寒精少、阴下
湿、精清、小便苦数、临事不举,亦名七伤。种种区别,愈繁愈乱,按图索骥,贻误实多,
皆非求本之论也。要之,五脏不可不分,轻重不可不辨,气血阴阳水火,不可不知,虚症之
治,无余蕴矣。若其强作解人,硬派名目,几何而不至杀人于反掌间也哉?
The Five Labors (Wu Lao) include: First is Lung Labor, characterized by shortness of breath, facial edema, and anosmia; second is Liver Labor, characterized with dry and dark complexion, bitter taste in the mouth, mental restlessness, ability to lie alone, and blurred vision; third is Heart Labor, characterized by mental confusion, forgetfulness, difficult or constipated stools, occasionally loose stools resembling duck feces, and oral ulcers; fourth is Spleen Labor, characterized by a stiff and bitter tongue root, and inability to swallow saliva; fifth is Kidney Labor, characterized by difficulty in bending and extending the back, dysuria, reddish-yellow urine with dribbling, pain within the penis, damp sores on the scrotum, and fullness and urgency in the lower abdomen.
The Six Extremities (Liu Ji) include: First is Qi Extremity, causing internal deficiency, insufficiency of the Zang organs, an excess of pathogenic factors, a deficiency of healthy Qi, and reluctance to speak; second is Blood Extremity, causing pallor, loss of eyebrows and hair, mental confusion, and forgetfulness; third is Tendon Extremity, causing frequent muscle spasms, pain in the fingernails, fatigue preventing prolonged standing; fourth is Bone Extremity, causing emaciation, toothache, vexing heat and pain in the hands and feet, inability to stand, and reluctance to move; fifth is Muscle Extremity, causing emaciation without luster, and food failing to transform into muscle tissue; sixth is Essence Extremity, causing shortness of breath, a sensation of internal emptiness with shallow breathing, insufficiency of Qi in the five Zang organs, hair loss, sadness, and forgetfulness.
The Seven Injuries (Qi Shang) include: First, overeating injures the Spleen, leading to belching, drowsiness, and sallow complexion; second, great anger causes Qi rebellion injuring the Liver, leading to shortness of breath and dim vision; third, strenuous lifting or sitting long on wet ground injures the Kidneys, reducing Essence, causing lower back pain, cold limbs, and coldness in the lower Jiao; fourth, external cold exposure or drinking cold beverages injures the Lungs, causing shortness of breath, cough, and nasal congestion; fifth, worry and overthinking injure the Heart, causing distress from sudden fright, forgetfulness, and emotional instability; sixth, wind, rain, cold, and heat injure the body form, causing withered skin and premature aging; seventh, unregulated fear injures the Will (Zhi), causing mental恍惚 (absent-mindedness) and unhappiness.
There are also Will Labor, Thought Labor, Heart Labor, Worry Labor, and Emaciation Labor, collectively referred to as the Five Labors. Yin-cold, impotence, interior tension with cold and scanty essence, dampness in the genital region, clear semen, painful frequency of urination, and erectile dysfunction during intercourse are collectively referred to as the Seven Injuries. Various classifications and distinctions become increasingly complex and chaotic; mechanically applying these categories leads to significant diagnostic errors, representing theories that fail to seek the root cause. Ultimately, the five Zang organs must be distinguished, the severity of conditions must be identified, and the relationships among Qi, Blood, Yin, Yang, Water, and Fire must be understood, leaving no gaps in the treatment of deficiency syndromes. If one forcibly imposes labels while pretending to understand, how could it not result in fatal consequences at a moment's notice?