夫尸厥者是阴阳气逆也此为阳脉卒下坠阴脉卒上升阴阳离居营卫不通真气厥乱客邪乘之
其状
啸声
腑虽
虚者
夫人作劳伤于五脏五脏之气因伤成病故谓之五劳肺劳之状短气而面肿不闻香臭肝劳之状
面目
脾劳
肝劳
顺其
夫七伤者一曰大怒逆气伤肝二曰忧愁思虑伤心三曰饮食大饱伤脾四曰形寒饮冷伤肺五曰
久
面
劳
六极者(筋极主肝脉极主心肉极主脾气极主肺) 骨极主肾精极主脏腑筋极之状令人
数
不
欲
古经惟有骨蒸病候而巢氏论说乃曰骨蒸病有五种一曰骨蒸其根在肾旦起则体凉日晚则热
躁四
变为
脉浮
之时
无时
蒸者
肝主
名之
男子平人脉大为劳极虚亦为劳男子劳之为病其脉浮大手足烦春夏极秋冬差阴寒精自出酸
削不
肾
此
夫冷劳之人气血枯竭表里俱虚阴阳不和精气散失则内生寒冷也皆由脏腑久虚积冷之气遂
令宿
瘦故
(妇人多有此疾)
此病不在外不在内不属冷不属热不是实不是虚所以药难取效此病缘忧思恚怒动气伤神气
积于
音之
用
三
自
The so-called "Shi Jue" (Corpse-like Fainting) is caused by the reversal of Yin and Yang Qi. This refers to the sudden sinking of Yang meridians and the sudden rising of Yin meridians, leading to the separation of Yin and Yang, the obstruction of Ying (Nutritive) and Wei (Defensive) Qi, the disorder of True Qi, and the invasion of pathogenic factors taking advantage of this state.
Its manifestations include:
Producing whistling or screaming sounds;
Although the Fu organs (hollow organs) are involved, the constitution is deficient.
When a person overexerts themselves, they injure the Zang organs (solid organs). The Qi of the five Zang organs becomes damaged due to this injury, giving rise to illness, hence it is called "Wu Lao" (Five Exhaustions). The signs of Lung Lao include shortness of breath and facial swelling, with an inability to perceive odors. The signs of Liver Lao involve the face and eyes. The signs of Spleen Lao are [text missing]. Liver Lao is mentioned again. One must follow its [pathogenesis].
The so-called "Qi Shang" (Seven Injuries) are: First, great anger causes Qi to reverse and injure the Liver; second, sorrow and excessive thinking injure the Heart; third, overeating damages the Spleen; fourth, exposure to cold and drinking cold water injures the Lungs; fifth, [prolonged sitting/standing]... [facial symptoms]... exhaustion.
The "Liu Ji" (Six Extremes) refer to: Sinew Extreme primarily corresponds to the Liver; Pulse Extreme primarily corresponds to the Heart; Flesh Extreme primarily corresponds to the Spleen; Qi Extreme primarily corresponds to the Lungs; Bone Extreme primarily corresponds to the Kidney; Essence Extreme primarily corresponds to the Zang-Fu organs. The signs of Sinew Extreme cause people to [frequent spasms]... [unwillingness to eat/move].
Ancient classics only recorded the syndrome of "Gu Zheng" (Bone Steaming Fever), but Chao Yuanfang in *Zhu Bing Yuan Hou Lun* stated that there are five types of Gu Zheng: The first is Bone Steaming, whose root lies in the Kidney. In the morning, the body feels cool, but in the evening, there is heat and restlessness... [limb symptoms]... transforming into [a certain state]... floating pulse... at certain times... without fixed timing... steaming fever... Liver governs [guidance]... named as such.
In men, a normal large pulse indicates exhaustion; an extremely deficient pulse also indicates exhaustion. For men suffering from exhaustion, the pulse is floating and large, with vexation and heat in the hands and feet. Symptoms worsen in spring and summer and improve in autumn and winter. Yin-cold causes essence to leak spontaneously, and the body becomes emaciated and sore... Kidney [damage]... this [is the syndrome of exhaustion].
The so-called "Cold Lao" (Cold Exhaustion) occurs when Qi and Blood are depleted, both interior and exterior are deficient, Yin and Yang are disharmonious, and Essence and Qi dissipate, leading to internal generation of cold. This is all due to long-term deficiency of the Zang-Fu organs and the accumulation of cold Qi, thereby causing chronic conditions... emaciation.
(Women often suffer from this disease.)
This disease is neither external nor internal, neither cold nor hot, neither excess nor deficiency; therefore, medicinal treatment is difficult to achieve efficacy. This disease arises from worry, thought, and anger disturbing Qi and damaging Spirit. Qi... accumulates in [a certain location]... voice changes... use [of medicine]... San Jiao [or other]... naturally [recover or deteriorate].
The origin of this syndrome lies in Spleen and Stomach deficiency, with insufficient Ying and Wei Qi. The Stomach is the sea of water and grain; the Spleen grinds and digests food; the essence of food transforms into Ying and Wei Qi to nourish the four limbs. If [daily routine is irregular]... tongue root [lesions]... prolonged [illness not healing].
This is because Wind Pathogens lodge between Ying and Wei Qi due to dysfunction of Liver and Kidney Qi, preventing Qi and Blood from circulating and nourishing the four limbs, thus resulting in these syndromes. The Liver governs the nape, back, and arms; the Kidney governs the waist... hips... jaundice [or other].