夫治病之要切在精详虚实冷热寒温阴阳计踵脉息时候并在前文细述然虑有于本病中别生
滞碍
起五
或
方并
古方论膈气乃有五种谓忧膈恚膈气膈寒膈热膈也夫胸中气结烦闷饮食不下羸瘦无力此名
忧膈
腹满
夫噎病亦有五种谓气噎忧噎食噎劳噎思噎噎者乃噎塞不通心胸不利饮食不下也治法各随
其证
古之论痰饮有五种有痰饮有悬饮有溢饮有支饮有留饮又有痰痹有痰冷有痰热有痰厥有痰
实候
眠
溢行
寒手
结聚
散热
实之
凡妇人虚羸血气不足肾气弱或当风取凉太过心下有痰水者欲有胎喜病阻何谓欲有胎其人
月水
日后
卧少
服茯
夫难产者由先因漏胞去血脏燥或子脏宿挟疾疹或触犯禁忌或胎腹觉痛产时来到便即惊动
秽露
出者
若坐
忌坐
凡母子才获分解不得问是男是女须速与产母童子小便一盏不得与酒缘酒引血迸入四肢兼
脏腑
分解
卧立
便
所伤
(宜入血脉风药随冷热用之)
妇人冲任之脉起胞中为候之海手太阳小肠之经也手少阴心之经也二经为表里主下月水月
水来
入室
通
也其
妇人冲任二脉为十二经之海二经气虚复为劳伤则不能制其血故非时即下淋沥不断谓之漏
下其
柳子浓骂尸虫文云人皆有三尺虫处人腹中伺隐微失误辄籍记日庚申幸其人之昏睡出谗于
帝以
沉默
大同
The key to treating diseases lies in the precise differentiation of deficiency and excess, cold and heat, chill and warmth, as well as Yin and Yang, while comprehensively considering the pulse, respiration, and timing of onset. These aspects have been detailed in the preceding text. However, anticipating that other obstructions may arise from the primary disease, five categories are listed below:
First, ancient texts discuss five types of Ge Qi (Diaphragmatic Qi Stagnation), namely You Ge (Worry Ge), Hui Ge (Resentment Ge), Qi Ge (Qi Ge), Han Ge (Cold Ge), and Re Ge (Heat Ge). "Ge" refers to the stagnation of Qi in the chest, causing irritability and fullness, difficulty in swallowing food, emaciation, and weakness. This is called You Ge; if accompanied by abdominal distension...
Second, Ye Bing (Dysphagia Disease) also has five types: Qi Ye (Qi Ye), You Ye (Worry Ye), Shi Ye (Food Ye), Lao Ye (Fatigue Ye), and Si Ye (Pensive Ye). "Ye" refers to obstruction in the throat, discomfort in the chest and heart, and difficulty in swallowing food. Treatment methods should vary according to the specific syndrome.
Third, ancient discussions on Tan Yin (Phlegm-Fluid Retention) identify five types: Tan Yin, Xuan Yin, Yi Yin, Zhi Yin, and Liu Yin. Additionally, there are conditions such as Tan Bi (Phlegm Bi), Tan Leng (Cold Phlegm), Tan Re (Heat Phlegm), Tan Jue (Phlegm Jue), and Tan Shi (Excess Phlegm)... (Original text is fragmented, involving descriptions of sleep, walking, cold sensations, hand symptoms, accumulation, heat dissipation, and excess patterns).
Fourth, regarding women who are physically weak and emaciated, with insufficient Qi and Blood, weak Kidney Qi, or excessive exposure to wind and coolness leading to Phlegm-Fluid retention in the epigastrium, if they are pregnant but obstructed by illness, what is the cause? To determine pregnancy, one must observe the number of days since menstruation ceased, monitor sleeping positions, and administer Fu Ling (Poria)... (Original text is fragmented).
Fifth, difficult labor often arises from prior leakage of the amniotic sac and blood loss, leading to a dry uterus; or pre-existing uterine diseases/rashes; or violation of taboos; or pain in the fetal abdomen causing panic and agitation when labor begins, resulting in the discharge of lochia... If sitting... Taboo sitting... (Original text is fragmented).
Sixth, immediately after the separation of mother and child, regardless of gender, the mother must be given a cup of urine from an uncircumcised boy. Alcohol must not be given, as it draws blood into the four limbs and internal organs... (Original text is fragmented, involving descriptions of separation, lying/standing, urination, and injury).
(It is appropriate to add Wind-dispelling herbs that enter the blood vessels, used according to cold or heat patterns.)
Seventh, the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) originate in the Bao Zhong (Uterus) and serve as the source of menstruation. The Hand-Taiyang Small Intestine Meridian and the Hand-Shaoyin Heart Meridian are exterior-interior pairs, governing menstruation. When menstruation arrives... entering the room... unblocking... (Original text is fragmented).
Eighth, the Chong and Ren meridians are the seas of the twelve meridians. If Qi in these two meridians is deficient and further damaged by overwork, it fails to control the blood, resulting in non-menstrual bleeding that drips continuously, known as Lou Xia (Leaking Downward).
Ninth, Liu Zongyuan wrote in his "Essay Scolding the Corpse Worm": "Every person has a three-foot-long worm residing in the abdomen, watching for hidden mistakes. On Gengshen days, while the person sleeps deeply, it ascends to report slander to the Emperor." With... silence... great harmony... (Original text is fragmented).