此由手少阳之络脉虚,为风邪所乘故也。手少阳之脉,起小指次指之端,上循入缺盆,
布中,散络心包。风邪在其经,邪气迫于心络,心气不得宣畅,故烦满;乍上攻于胸,或
下引于胁,故烦满而叉胸胁痛也。若经久,邪气留连,搏于脏则成积,搏于腑则成聚也。
水谷痢者,由体虚腠理开,血气虚,春伤于风,邪气留连在肌肉之内,后遇脾胃大肠虚
弱,而邪气乘之,故为水谷痢也。
脾与胃为表里,胃者,脾之腑也,为水谷之海;脾者,胃之脏也,其候身之肌肉。而脾
气主消水谷,水谷消,其精化为荣卫,中养脏腑,充实肌肤。大肠,肺之腑也,为传导之官
,变化出焉。水谷之精,化为血气,行于经脉,其糟粕行于大肠也。肺与大肠为表里,而肺
主气,其候身之皮毛。春阳气虽在表,而血气尚弱,其饮食居处,运动劳役,血气虚者,则
为风邪所伤,客在肌肉之间,后因脾胃气虚,风邪又乘虚而进入于肠胃,其脾气弱,则不能
克制水谷,故糟粕不结聚而变为痢也。
又新食竟取风,名为胃风。其状,恶风,头多汗,膈下塞不通,食饮不下,腹满,形瘦
腹大,失衣则 满,食寒则洞泄。其洞泄者,痢无度也,若胃气竭者,痢绝则死。
诊其脉微,手足寒,难治也;脉大,手足温,易治。下白沫,脉沉则生,浮则死。身不
热,脉不悬绝,滑大者生,悬涩者死,以脏期之也。脉绝而手足寒者死,脉还手足温者生,
脉不还者死。脉缓时小结生,洪大数者死。悬绝而涩者死,细微而涩者、紧大而滑者死,
得代绝脉者亦死。
《养生方》云∶秋三月,此谓容平。天气以急,地气以明,早卧早起,与鸡俱兴。使志
安宁,以缓秋刑。收敛神气,使秋气平。无外其志,使肺气精。此秋气之应也,养收之道也
。逆之则伤肺,冬为飧泄。
又云∶五月勿食未成核果及桃枣,发痈疖。不尔,发寒热,变黄胆,又为泄痢。
This condition arises from the deficiency of the collateral vessels of the Hand-Shaoyang (Triple Burner) meridian, which are invaded by Wind pathogen. The Hand-Shaoyang meridian originates at the tip between the little and ring fingers, ascends along to the Keyhole (Quepen, LI15) acupoint, distributes in the chest center, and scatters to connect with the Pericardium. When Wind pathogen resides in this meridian, the pathogenic qi presses upon the collateral vessels of the Heart, preventing the Heart qi from flowing freely and smoothly; thus, vexation and fullness occur. If the pathogen attacks upward to the chest or pulls downward to the hypochondrium, it causes vexation, fullness, and pain in the chest and hypochondrium that leads the patient to cross their arms over the chest. If the disease persists for a long time, the pathogen lingers and knots with the Zang organs to form "Ji" (accumulation masses), or knots with the Fu organs to form "Ju" (gathering masses).
Shuigu Di (Dysentery with undigested food) occurs due to physical weakness, open interstices (Couli), and deficiency of Blood and Qi. After being injured by Wind in spring, the pathogen remains lingering within the muscles. Later, when the Spleen, Stomach, and Large Intestine become weak, the pathogen takes advantage of this deficiency to invade, resulting in Shuigu Di.
The Spleen and Stomach are exterior-interior paired; the Stomach is the Fu organ of the Spleen and serves as the sea of water and grain; the Spleen is the Zang organ of the Stomach, and its manifestation reflects on the muscles of the body. The Spleen governs the digestion of water and grain. Once digested, the essence transforms into Ying (Nutritive) and Wei (Defensive) Qi, which nourish the Zang-Fu organs in the middle jiao and fill the muscles. The Large Intestine is the Fu organ of the Lung, serving as the official of transmission, where changes and excretion occur. The essence of water and grain transforms into Blood and Qi, circulating through the meridians, while the dregs travel through the Large Intestine. The Lung and Large Intestine are exterior-interior paired; the Lung governs Qi, and its manifestation reflects on the skin and hair. In spring, although Yang Qi floats to the exterior, the internal Blood and Qi are still weak. Improper diet, lifestyle, or excessive labor can lead to Blood and Qi deficiency, making one susceptible to Wind pathogen, which lodges in the muscles. Subsequently, due to Spleen-Stomach Qi deficiency, Wind pathogen invades the intestines and stomach. With weak Spleen Qi, the transformation and transportation of water and grain cannot be controlled, causing the dregs to fail to consolidate and instead becoming dysentery.
Furthermore, contracting Wind immediately after eating is called "Wei Feng" (Stomach Wind). Its symptoms include aversion to wind, profuse sweating on the head, blockage below the diaphragm, inability to swallow food and drink, abdominal fullness, emaciation of the body with a distended abdomen, worsening blooding when clothing is insufficient, and severe watery diarrhea (Dongxie) after consuming cold foods. Dongxie refers to uncontrolled dysentery/diarrhea; if Stomach Qi is exhausted and the dysentery stops (indicating the cessation of Zheng Qi), death ensues.
Diagnostically, a faint pulse with cold hands and feet indicates a difficult-to-treat case; a large pulse with warm hands and feet indicates an easy-to-treat case. Passage of white mucus/froth: a deep pulse suggests survival, while a floating pulse suggests death. Absence of fever and non-hanging-extreme pulse: a slippery and large pulse suggests survival, while a hanging and choppy pulse suggests death, based on the timing of Zang organ decline. Pulse extinction with cold hands and feet indicates death; pulse recovery with warm hands and feet indicates survival; failure of pulse recovery indicates death. A slow pulse with occasional small knotted beats suggests survival; a surging, large, and rapid pulse indicates death. A hanging and choppy pulse indicates death; a fine, minute, and choppy pulse, or a tight, large, and slippery pulse, indicates death. Appearance of Dai Mai (intermittent pulse) with extinction also indicates death.
The *Yangsheng Fang* states: The three months of autumn are called "Rong Ping" (Container and Level/Convergence). The heavenly Qi becomes urgent, and the earthly Qi becomes clear. One should sleep early and rise early, waking with the chickens. Keep the mind peaceful to mitigate the harshness of Autumn Qi. Converge the Shen (Spirit) to maintain balance with Autumn Qi. Do not let desires scatter outward, so that Lung Qi remains pure and refined. This is the response to Autumn Qi and the way of nurturing "Gathering." Violating this injures the Lungs, leading to Sun Xie (undigested stool diarrhea) in winter.
It also states: In the fifth month, do not consume unripe fruits, peaches, or dates, as they may trigger carbuncles and furuncles. Otherwise, they may cause alternating chills and fever, transform into Jaundice, or induce diarrhea and dysentery.