人有重身(怀孕)九月而喑。(失音)胞之络脉绝也(为胎阻绝)胞络者系于肾少阴之脉贯肾
系舌本。故不能言。(系。根系也)无治也当十月复(十月子生少阴之脉通则言复矣。)
病胁下满。气逆。二三岁不已。名曰息积(喘粗息难也)此不妨于食不可灸刺(喘者忌灸
。恐
助火邪。病不在经。故不可刺)积(累也)为导引服药药不能独治也(导引以开其滞。药饵以利
其气。所以然者治之不易)
人有病头痛。以数岁不已。当有所犯。大寒内至骨髓(凡身之骨髓皆是)髓者以脑为主脑
逆故令头痛。齿亦痛。病名曰厥逆(寒气逆于上。)
有病口甘者。此五气之溢也(五味之气上溢)名曰脾瘅(热也)夫五味入口。藏于胃。脾为
之行
其精气。津液在脾。故令人口甘也。此肥美之所发也此人必数食甘美而多肥也肥者令人内热
。甘者令人中满。故其气上溢传为消渴(饮水善消。而渴不已)治之以兰。(香草)除陈气也。
有病口苦者。名为胆瘅。夫肝者中之将也。取决于胆咽为之使(胆脉挟咽)此人者。数谋
虑不决
。故胆虚气上溢而口为之苦。治之以胆募俞。(日月。胆俞左右各两穴○吴注作胆嘘气上溢
凡谋虑不决者必嘘出其气之意。)
有癃者。一日数十溲。此不足也身热如炭颈膺如格(拒也)人迎躁盛。喘息。气逆。此有
余也
。太阴脉细如发者。此不足也病在太阴(日数十溲脉细。是脾气不足)其盛在胃(人迎三盛病
在阳明也)颇在肺(喘息气逆)病名曰厥。(逆也)死不治。此所谓得五有余。二不足也(如上文
)外得五有余。内得二不足。此其身不表不里(表里相为违逆)亦正死明矣。
人生而有病癫疾者。病名为胎病。此得之在母腹时。其母有所大惊。气上而不下。精气
并居。故令子发为癫疾也(旧作巅。吴注改癫。)
A pregnant woman who is nine months along may experience aphonia (loss of voice). This occurs because the collateral vessels of the uterus are obstructed. The uterine collaterals are connected to the Kidney, and the Foot-Shaoyin Kidney Meridian passes through the Kidney and connects to the root of the tongue. Therefore, she cannot speak. No treatment is required; after delivery in the tenth month, as the fetus is born, the Shaoyin meridian becomes unobstructed, and speech function will naturally recover.
There are cases where the hypochondrium is full and Qi rebels upward, persisting for two or three years without relief. This condition is called Xi Ji (accumulation causing difficult breathing). It does not interfere with eating, but moxibustion and acupuncture are contraindicated (asthma patients should avoid moxibustion as it may aggravate fire pathogens; since the disease is not on the meridians, needling is also inappropriate). "Ji" refers to the accumulation of pathogenic factors. Treatment requires a combination of Daoyin (an ancient therapeutic practice involving guided breathing and physical exercises) and herbal medicine, as herbs alone cannot cure it (Daoyin opens stagnation, while herbs regulate Qi; this combined approach is necessary because the treatment is complex).
Some individuals suffer from headache that persists for several years. This is likely due to an invasion by severe Cold pathogen penetrating into the bone marrow (all bone marrow in the body is affected). Since the brain is the master of the marrow, the rebellion of Cold Qi to the brain causes headache, and the teeth may also hurt. This disease is named Jue Ni (rebellious Qi due to cold ascending).
Some individuals have a sweet taste in their mouth. This is caused by the overflow of the essence of the five flavors, known as Pi Dan (spleen heat/damp-heat). When the five flavors enter the mouth, they are stored in the Stomach, and the Spleen transports their essence. If fluids accumulate in the Spleen, it causes a sweet taste in the mouth. This arises from excessive consumption of rich and sweet foods. Such individuals must frequently eat sweet, delicious, and fatty foods. Fatty foods generate internal heat, and sweet foods cause fullness in the middle jiao. Consequently, the Qi overflows upward, transmitting into Xiao Ke (wasting-thirst syndrome characterized by excessive thirst and fluid consumption). Treatment involves using Lan Cao (Orchid Rhizome/Perfume Herb) to eliminate stale, accumulated heat.
Some individuals have a bitter taste in their mouth, a condition named Dan Dan (gallbladder heat). The Liver is the general officer, and decision-making depends on the Gallbladder. The pharynx serves as the pathway for the Gallbladder (the Gallbladder meridian flanks the pharynx). These individuals often engage in excessive deliberation without resolution, leading to Gallbladder deficiency and rebellious Qi overflowing upward, resulting in a bitter taste. Treatment involves the Front-Mu and Back-Shu points of the Gallbladder (Riyue [GB24] as the Front-Mu point, and Danshu [BL19] as the Back-Shu point, one on each side).
Patients with Long Bi (difficulty urinating) may urinate dozens of times a day, indicating a deficiency pattern. They present with body heat like charcoal, a sensation of obstruction in the neck and chest, a surging and vigorous Renying (Stomach artery) pulse, wheezing, and rebellious Qi. These are signs of excess. However, if the Taiyin pulse is fine as a hair, this indicates deficiency. The disease location is in the Taiyin (frequent urination and fine pulse indicate Spleen Qi deficiency); the excess is in the Stomach (surging Renying pulse indicates Yangming Stomach excess); and it significantly involves the Lung (wheezing and rebellious Qi). This disease is named Jue (rebellious Qi). It is a fatal condition and untreatable. This is referred to as "Five Excesses and Two Deficiencies." Having five excess symptoms externally and two deficiency symptoms internally means the exterior and interior are in conflict, clearly indicating death.
Some people are born with Dian Ji (epilepsy/severe mental disorder), named Tai Bing (prenatal disease). This is acquired in the womb when the mother suffers a great fright. The Qi rebels upward and fails to descend, causing essence and Qi to congregate, which causes the child to develop epilepsy after birth. (Old texts used "Dian" [vertex], corrected by Wu Zhi to "Dian" [mania/epilepsy].)