大病者,中风、伤寒、热劳、温疟之类是也。此病之后,血气减耗,脏腑未和,使之虚
乏不足。虚乏不足,则经络受邪,随其所犯,变成诸病。
大病之后,复为风邪所乘,则阳气发泄,故令虚汗。汗多亡阳,则津液竭,令人枯瘦也
夫人 肉不牢,而无分理,理粗而皮不致者,腠理疏也。此则易生于风,风入于阳
若少气口干而渴,近衣则身热如火,临食则流汗如雨,骨节懈惰,不欲自营,此为漏风
,由醉酒当风所致也。
虚劳损伤,血气皆虚,复为寒邪所乘,腑脏之气不宣发于外,停积在里,故令心腹痞满
虚劳者,脏气不足,复为风邪所乘,邪正相干,冷热击搏,故心腹俱痛。
劳伤之人,五脏不安,六腑不调。胃为水谷之海,今既虚弱,为寒冷所侵,不胜于水谷
,故气逆而呕也。
虚劳而咳嗽者,腑脏气衰,邪伤于肺故也。久不已,令人胸背微痛,或惊悸烦满,或喘
息上气,或咳逆唾血,此皆脏腑之咳也。然肺主于气,气之所行,通荣脏腑,故咳嗽俱入肺
也。
劳伤之人,阴阳俱虚,经络脉涩,血气不利。若遇风邪与正气相搏,逢寒则身体痛,值
热则皮肤痒。
诊其脉,紧濡相搏,主体节痛。其汤熨针石,别有正方。补养宣导,今附于后。
《养生方·导引法》云∶双手舒指向上,手掌从面向南,四方回之,屈肘上下尽势四七
,始放手向下垂之,向后双振,轻散气二七,上下动两膊二七。去身内、臂、肋疼闷。
渐用之,则永除。
又云∶大 坐,以两手捉足五指,自极,低头不息九通。治颈、脊、腰、脚痛,劳
疾。
又云∶偃卧,展两足指右向,直两手身旁,鼻纳气七息。除骨痛。
又云∶端坐,伸腰,举右手,仰其掌,却左臂,覆左手。以鼻纳气自极七息,息间,稍
顿左手。除两臂背痛。
又云∶胡跪,身向下,头去地五寸,始举头,面向上,将两手一时抽出,先左手向身前
长舒,一手向身后长舒,前后极势二七。左右亦然。去臂骨脊筋阴阳不和、痛闷 痛。
又云∶坐一足上,一足横铺安膝下押之;一手捺上膝向下,急;一手反向取势长舒,头
仰向前,共两手一时取势,捺摇二七。左右迭互亦然。去髀、胸、项、掖脉血迟涩、挛痛闷
疼。双足互跪安稳,始抽一足向前,极势,头面过前两足指,上下来去三七。左右换足亦然
。去臂、腰、背、髀、膝内疼闷不和,五脏六腑气津调适。一足屈如向前,使膀胱着膝上,
一足舒向后,尽势,足指急势,两手向后,形状欲似飞仙虚空,头昂,一时取势二七,足左
右换易一寸,去遍身不和。
又云∶长舒两足,足指努向上;两手长舒,手掌相向,手指直舒;仰头努脊,一时极势
;满三通。动足相去一尺,手不移处,手掌向外七通。须臾,动足二尺,手向下拓席,极势
,三通。去遍身内筋节劳虚、骨髓疼闷。长舒两足,向身角上,两手捉两足指急搦心,不用
力,心气并在足下,手足一时努纵,极势,三七。去 臂腰疼。解溪蹙气、日日渐损。
Great illnesses refer to conditions such as wind-stroke (Zhongfeng), cold damage (Shanghan), heat-labor (Relao), and warm malaria (Wenmalaria). After these illnesses, blood and qi are depleted, and the zang-fu organs are not yet harmonized, leading to deficiency and insufficiency. Due to this deficiency and insufficiency, the meridians become susceptible to pathogenic factors; depending on where they invade, various diseases may develop.
After a great illness, if one is again attacked by wind pathogens, yang qi dissipates, resulting in spontaneous sweating due to deficiency. Excessive sweating leads to loss of yang (Yang Wang), causing exhaustion of body fluids (Jinye) and making the person emaciated.
If a person's flesh is not firm, with coarse texture and loose skin, it indicates that the couli (pores and interstitial spaces) are sparse. Such individuals are prone to wind invasion. When wind enters the yang aspect, and accompanied by shortness of breath, dry mouth and thirst, feeling hot like fire when near clothing, profuse sweating like rain during meals, flaccidity of bone joints, and reluctance to care for oneself, this is called "Leakage Wind" (Loufeng), caused by drinking alcohol while exposed to wind.
In cases of deficiency-labor injury, both blood and qi are deficient. If additionally attacked by cold pathogens, the qi of the zang-fu organs fails to circulate outward, stagnating internally, thus causing epigastric and abdominal fullness and obstruction.
Deficiency-labor refers to insufficient organ qi, which, when combined with wind pathogen invasion, leads to conflict between evil and righteous qi, and clashing of cold and heat, resulting in pain in both the heart and abdomen. In persons injured by labor, the five zang organs are unsettled, and the six fu organs are unregulated. The stomach is the sea of water and grain; now being weak and invaded by cold, it cannot process food and drink, causing rebellious qi and vomiting.
Coughing in deficiency-labor occurs because the qi of the zang-fu organs is declining, and pathogens have damaged the lungs. If prolonged, it causes slight pain in the chest and back, or palpitations and irritability, or wheezing and upward rushing of qi, or coughing with hemoptysis. These are all coughs originating from the zang-fu organs. However, the lungs govern qi, and the movement of qi nourishes the zang-fu organs; therefore, coughing pathogens ultimately converge in the lungs.
In persons injured by labor, both yin and yang are deficient, the meridians and vessels are obstructed, and blood and qi circulation is impaired. If wind pathogens clash with righteous qi, cold causes body pain, and heat causes skin itching.
Upon pulse diagnosis, if the tight pulse (Jin) and soggy pulse (Ru) interact, it primarily indicates joint pain. Treatments involving decoctions, moxibustion/heat application, acupuncture, and stone therapy have separate specific formulas. Nourishing and guiding methods are attached below.
The *Regimen Manual · Guiding Methods* states: Extend both hands' fingers upward, palms facing south, rotating towards the four directions. Bend elbows and move up and down to the limit, performing seven sets of four repetitions. Then release hands to hang downward, shake twice backwards, and gently disperse qi for two sets of seven repetitions. This removes internal body, arm, and rib pain and stuffiness. Gradual practice can permanently eliminate it.
It also states: Sit upright, grasp the five toes of both feet with both hands, stretch to the extreme, lower the head, and hold for nine breath cycles. This treats neck, spine, waist, and leg pain, as well as labor diseases.
It also states: Lie supine, extend both big toes to the right, straighten both arms beside the body, inhale through the nose for seven breath cycles. This removes bone pain.
It also states: Sit upright, extend the waist, raise the right hand, palm facing up, retract the left arm, covering the left hand. Inhale through the nose to the limit for seven breath cycles, pausing slightly with the left hand between breaths. This removes bilateral arm and back pain.
It also states: Kneel in the "Hu" style, bend body downward, head five inches from the ground, then lift head, face upward, simultaneously withdraw both hands. First, extend the left hand long forward in front of the body, and one hand long backward behind the body, exerting force to the limit for two sets of seven repetitions. Do the same for the other side. This removes disharmony of yin and yang in arm bones, spine, and tendons, and painful stuffiness.
It also states: Sit on one foot, place the other foot horizontally under the knee to press; press one hand on the upper knee downward urgently; extend the other hand backward into position, tilt head forward, coordinate both hands to take position, press and shake for two sets of seven repetitions. Alternate sides. This removes sluggish blood flow in thighs, chest, neck, and armpits, and cramping pain/stuffiness. Kneel stably with both feet, then draw one foot forward to the extreme, head and face passing the tips of the two front toes, moving up and down for three sets of seven repetitions. Alternate feet. This removes pain/stuffiness/disharmony in arms, waist, back, thighs, and inner knees, regulating qi and fluids of the five zang and six fu organs. Bend one foot forward so the bladder area rests on the knee, extend the other foot backward to the limit, tense toes, extend both hands backward, shape resembling a flying immortal in void, head raised, take position simultaneously for two sets of seven repetitions, shift feet left/right by one cun, removing whole-body disharmony.
It also states: Stretch both legs long, toes pointing up; stretch both hands long, palms facing each other, fingers straight; arch head and stiffen spine, exerting force to the limit simultaneously; complete three sets of three repetitions. Move feet apart one chi, keep hands in place, palms outward for seven repetitions. After a moment, move feet two chi, press hands down to the mat, exerting force to the limit, three sets of three repetitions. This removes internal tendon/joint labor-deficiency and bone marrow pain/stuffiness throughout the body. Stretch both legs toward body corners, grasp both big toes with both hands, squeeze tightly without force, directing heart qi to the feet, exerting force/stretching hands and feet simultaneously to the limit, three sets of seven repetitions. This removes arm and waist pain. [Note: The final phrase regarding Jiexi acupoint and qi depletion seems to be a cautionary note or fragment].