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1. When the Lung is affected by Wind, symptoms include dry mouth and wheezing, dizziness with a sensation of heaviness in the body, vertigo, and swelling.
2. When the Lung is affected by Cold, turbid nasal mucus is expectorated.
3. In the case of terminal Lung Qi, the pulse is empty and floating on light pressure, weak like an onion leaf on heavy pressure, and lacking a root at the bottom; this indicates death.
4. When the Liver is affected by Wind, there is pain in the head, eyes, and hypochondriac regions, habitual stooping during walking, and a craving for sweet flavors.
5. When the Liver is affected by Cold, both arms cannot be raised, the root of the tongue feels dry, frequent sighing occurs, chest pain prevents turning over, and vomiting accompanied by sweating happens after eating. (The *Mai Jing* and *Qian Jin Fang* state: occasional night sweats and coughing, vomiting undigested food juice after meals.)
6. In the case of terminal Liver Qi, the pulse is weak on light pressure, hard like a cord without flow on heavy pressure, or curved like a snake moving; this indicates death.
7. In Gan Zhuo (Liver Fixation), the patient constantly desires someone to tread on their upper chest. Initially, when not yet painful, they only desire hot drinks. Xuan Fu Hua Tang (Inula Flower Decoction) is indicated. (Chen Yi et al. verified that all versions of Xuan Fu Hua Tang are identical.)
Xuan Fu Hua Tang Formula
Xuan Fu Hua (Inulae Flos, 3 liang), Cong Bai (Allii Fistulosi Bulbus, 14 stems), Xin Jiang (Safflower Stamen, a small amount).
These three ingredients are boiled in 3 sheng of water to obtain 1 sheng, taken in one dose.
8. When the Heart is affected by Wind, there is mild fever (as if covered by feathers), inability to rise from bed, a sensation of hunger in the heart region, and vomiting immediately after eating.
9. When the Heart is affected by Cold, the patient suffers as if having eaten garlic. In severe cases, heart pain radiates to the back, and back pain radiates to the heart, resembling Gu Zhu (Gu Poison Injection). If the pulse is floating, spontaneous vomiting leads to recovery.
10. When the Heart is injured, the patient experiences fatigue and lassitude, leading to redness of the face and head and heaviness of the lower body. There is heart pain with internal restlessness, fever, pulsation around the umbilicus, and a wiry pulse. This is caused by Heart injury.
11. In the case of terminal Heart Qi, the pulse is solid like pills or beans on light pressure, and becomes increasingly restless and rapid on heavy pressure; this indicates death.
12. Abnormal weeping causing insecurity of the Hun and Po is due to deficiency of Blood and Qi. Deficiency of Blood and Qi belongs to the Heart. When Heart Qi is deficient, the person is fearful, wishes to sleep with eyes closed, dreams of traveling far, and has scattered spirit and soul. Deficiency of Yin Qi leads to Dian syndrome (epilepsy-like depression); deficiency of Yang Qi leads to Kuang syndrome (mania).
13. When the Spleen is affected by Wind, there is mild fever, a demeanor resembling drunkenness, abdominal fullness and heaviness, twitching of the eyelids, and shortness of breath. (Chen Yi et al. note that while other Zang organs have records for Wind and Cold afflictions, the Spleen only records Wind, and the Kidney records neither, because ancient texts were extremely concise and chaotic, and no texts remain to supplement them.)
14. In the case of terminal Spleen Qi, the pulse is large and firm on light pressure, hard like an inverted cup on heavy pressure, and shaking cleanly; this indicates death.
15. The Duyang pulse is floating and choppy. Floating indicates strong Stomach Qi; choppy indicates frequent urination. The interaction of floating and choppy pulses leads to hard stool. The Spleen is constrained (Pi Yue); Ma Zi Ren Wan (Hemp Seed Pill) is indicated.
Ma Zi Ren Wan Formula
Ma Zi Ren (Cannabis Fructus, 2 sheng), Shao Yao (Paeoniae Radix Alba, 0.5 jin), Zhi Shi (Aurantii Fructus Immaturus, 1 jin), Da Huang (Rhei Radix et Rhizoma, 1 jin), Hou Po (Magnoliae Officinalis Cortex, 1 chi), Xing Ren (Armeniacae Semen Amarum, 1 sheng).
These six ingredients are powdered, mixed with refined honey to form pills the size of wutou seeds. Take 10 pills with water, three times daily, adjusting dosage until efficacy is achieved.
16. In Shen Zhuo (Kidney Fixation) disease, the body feels heavy, the waist feels cold as if sitting in water, though the appearance resembles edema, there is no thirst, urination is normal, and appetite is unchanged. The pathology is in the Lower Jiao. It results from long-term exposure to cold dampness in clothing after labor-induced sweating. Cold pain below the waist and heaviness in the abdomen as if carrying 5,000 coins are present. Gan Jiang Ling Zhu Tang (Glycyrrhiza, Dried Ginger, Poria, and Atractylodes Macrocephala Decoction) is indicated.
Gan Jiang Ling Zhu Tang Formula
Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 2 liang), Gan Jiang (Zingiberis Rhizoma Recens dried), Fu Ling (Poria, each 4 liang).
These four ingredients are boiled in 5 sheng of water to obtain 3 sheng, taken warm in three doses. The waist will become warm.
17. In the case of terminal Kidney Qi, the pulse is firm on light pressure, chaotic like rolling balls on heavy pressure, extending downwards into the Chi position; this indicates death.
18. Question: What does it mean when the San Jiao functions fail in specific areas, such as the Upper Jiao failing leading to belching? Master says: The Upper Jiao receives Qi from the Middle Jiao. If unharmonized, it cannot digest grains, hence belching occurs. If the Lower Jiao fails, urinary incontinence and fecal incontinence occur due to unharmonized Qi unable to self-restrain. No treatment is needed; it will resolve spontaneously over time.
19. Master says: Heat in the Upper Jiao causes Fei Wei (Lung萎/Flaccidity) due to coughing; heat in the Middle Jiao causes hardness (constipation); heat in the Lower Jiao causes hematuria and also leads to Lin syndrome (dysuria) and retention of urine. Cold in the Large Intestine causes loose stools; heat causes foul-smelling mucoid stools. Cold in the Small Intestine causes tenesmus and bloody stools; heat causes hemorrhoids.
20. Question: What are Ji (Accumulation), Ju (Gathering), and Xin Qi (Fragrant Qi)?
Master says: Ji is a disease of the Zang organs, fixed in place and not moving. Ju is a disease of the Fu organs, occurring at intervals, with migrating pain, and is treatable. Xin Qi involves pain in the hypochondrium that relieves upon pressure but recurs upon release. The general rule for Ji is a fine pulse adhering to the bone. At the Cun Kou position, accumulation is in the chest; slightly beyond Cun Kou, in the throat; at Guan, beside the umbilicus; above Guan, below the heart; slightly below Guan, in the lower abdomen; at Chi, at Qichong. If the pulse appears on the left, accumulation is on the left; on the right, on the right; on both sides, in the center. Treat according to the location indicated by the pulse.