温湿风毒,从脚而上,故令四肢懈惰,缓弱疼痹,甚则上攻,名香港脚。而津液为风湿所
折,则津液痞涩,而蓄积成水,内则浸渍脏腑,外则流溢皮肤,故令腠理胀密。水气积不散
淋者,肾虚而膀胱热也。膀胱与肾为表里,俱主水。行于胞者,为小便也。腑脏不调,
为邪所乘,肾虚则小便数,膀胱热则小便涩。其状∶小便痛疼涩数,淋沥不宣,故谓之淋也
淋而出石,谓之石淋。肾主水,水结则化为石,故肾客沙石。肾为热所乘,则成淋,肾
虚则不能制石,故淋而出石。细者如麻如豆,大者亦有结如皂荚核状者,发则塞痛闷绝,石
胞转之病,由胞为热所迫,或忍小便,俱令水气还迫于胞,屈辟不得充张,外水应入不
得入,内溲应出不得出,内外壅胀不通,故为胞转。其状∶小腹急痛,不得小便,甚者至死。
张仲景云∶妇人本肥盛,头举身满,今反羸瘦,头举空减,胞系了戾,亦致胞转。
肾与膀胱为表里,俱主水。水行小肠,入胞为小便。热搏其脏,热气蕴积,水行则涩,
故小便不利也。
水行于小肠,入胞为小便。肾与膀胱俱主水,此二经为脏腑,若内生大热,热气入小肠
及胞,胞内热,故小便不通,令小腹胀满,气喘息也。
Warm-dampness and wind-toxicity ascend from the feet, causing flaccidity and weakness of the four limbs, with soreness and bi-syndrome (painful obstruction), and in severe cases, attacking upwards; this condition is named Hongxiangjiao (Foot Qi disease). When body fluids are obstructed by wind-dampness, they become stagnant and astringent, accumulating into water. Internally, it infiltrates the zang-fu organs; externally, it overflows into the skin, causing the couli (skin pores and texture) to become swollen and dense. The accumulation of water qi does not dissipate...
Lin syndrome (a syndrome characterized by frequent, urgent, and painful urination) results from Kidney deficiency combined with Bladder heat. The Bladder and Kidney are exterior-interiorly related and both govern water metabolism. Fluids flowing through the Bao (uterus/lower jiao area) form urine. When the zang-fu organs are disharmonious and attacked by pathogenic factors, Kidney deficiency leads to frequent urination, while Bladder heat leads to difficult and astringent urination. Its manifestations include: pain, astringency, frequency, and incomplete dribbling of urine during urination; hence it is called Lin syndrome.
When stones are passed during Lin syndrome, it is called Shi Lin (Stone Lin). The Kidney governs water; when water condenses, it transforms into stones, so the Kidney harbors sand and stones. If the Kidney is attacked by heat, Lin syndrome forms; if the Kidney is deficient, it cannot control stone formation, thus stones are passed during Lin syndrome. Stones may be fine like hemp seeds or beans, or large and knotted like soap pod kernels. Upon onset, it causes blockage, severe pain, and syncope due to obstruction...
Bao Zhuan (Displacement of the Uterus/Bladder) is caused by heat forcing upon the Bao, or by holding urine, both of which cause water qi to press back against the Bao, leading to torsion and inability to expand. External water should enter but cannot, and internal urine should exit but cannot, resulting in internal and external stagnation and distension; hence it is called Bao Zhuan. Its manifestations include: acute pain in the lower abdomen and inability to urinate, which in severe cases can lead to death. Zhang Zhongjing stated: "Women who were originally obese and felt fullness throughout the body when lifting their heads, but now are emaciated and feel emptiness when lifting their heads, suffer from torsion of the Bao ligaments, which also causes Bao Zhuan."
The Kidney and Bladder are exterior-interiorly related and both govern water. Water flows through the Small Intestine and enters the Bao to form urine. If heat combats the viscera, heat qi accumulates, making water flow astringent, thus causing dysuria.
Water flows through the Small Intestine and enters the Bao to form urine. The Kidney and Bladder both govern water. These two meridians correspond to the zang-fu organs; if excessive internal heat arises, heat qi enters the Small Intestine and the Bao. Heat within the Bao causes urinary retention, leading to lower abdominal distension and panting.
Disharmony among the San Jiao (Triple Burner) and Five Zang organs causes cold and heat qi to knot in the intestines and stomach. Body fluids become exhausted and dry, causing the Large Intestine to become congested and astringent, thus leading to constipation. Zhang Zhongjing stated: "Women with excessive menstrual bleeding who lose body fluids will also experience difficulty in defecation."