夫五运六气,乃天地阴阳营运升降之常道也。五运流行,有太过不及之异;六气升降,
则有逆从胜复之差。凡不合于德化政令者,则为变眚,皆能病患。故《经》云∶六经波荡
,五气倾移。太过不及,专胜兼并。所谓治化,人应之也,或遇变眚,聿兴灾 ,因郁发以
乱其真常,不德而致折复,随人脏气虚实而为病者,谓之时气。与夫感冒中伤,天行疫
,显然不同。前哲知夫天地有余不足违戾之气,还以天地所生德味而平治之。经论昭然,
人鲜留意,恐成湮没,故叙而纪之。
凡遇六壬年,发生之纪,岁木太过,风气流行,脾土受邪,民病飧泄,食减体重,烦冤
肠鸣,胁支满;甚则忽忽善怒,眩冒癫疾。为金所复,则反胁痛而吐,甚则冲阳绝者死。
治脾胃感风,飧泄注下,肠鸣腹满,四肢重滞,忽忽善怒,眩冒颠晕,或左胁偏疼。
白茯苓 浓朴(姜汁制炒) 白术 青皮 干姜(炮) 半夏(汤泡去滑) 草果(去皮) 甘草(炙,各等分)
上锉散。每服四钱,水盏半,姜三片,枣两枚,煎七分,去滓,食前服之。
凡遇六戊年,赫曦之纪,岁火太过,炎暑流行,肺金受邪,民病疟,少气咳喘,血溢泄
泻,嗌燥耳聋,中热,肩背热甚,胸中痛,胁支满,背髀并两臂痛,身热骨痛,而为浸淫。
为水所复,则反谵妄狂越,咳喘息鸣,血溢泄泻不已;甚则大渊绝者死。
五运六气,是天地阴阳运行、升降的常规规律。五运的流行,有过盛和不及的差异;六气的升降,则有顺逆、胜复的偏差。凡是与德化政令不相符合的,就称为变异灾祸,都能导致疾病。所以《内经》说:六经波动动荡,五气倾覆移位。太过与不及,专胜与兼并。所谓治化,是人所感应的,如果遇到变异灾祸,就会兴起灾害,因为郁结而发作扰乱人的真常状态,不具德性而导致折损与复气,随着人体脏腑之气的虚实不同而产生疾病,这叫做时气。这与普通的感冒中伤、天行疫病,显然不同。前代哲人知道天地有余不足、违逆乖戾之气,便用天地所生成的具有德性的味道来平衡治疗它。经典论述清晰明白,但人们很少留意,恐怕这些知识会湮没失传,所以叙述并记录它。
凡是遇到六壬年,即发生之纪,岁木太过,风气流行,脾土受到邪气侵袭,百姓容易患飧泄(完谷不化的腹泻),食欲减退,身体沉重,心中烦闷冤屈,肠鸣,胁肋支撑胀满;严重时则情绪恍惚易怒,眩晕昏冒,甚至发癫疾。如果被金气所复(报复),反而出现胁痛和呕吐,严重时冲阳脉绝的会死亡。
治疗脾胃感受风邪,导致的飧泄注下,肠鸣腹满,四肢沉重滞涩,情绪恍惚易怒,眩晕昏冒,或者左侧胁肋偏疼。药材包括:白茯苓、浓朴(用姜汁制炒)、白术、青皮、干姜(炮制)、半夏(汤泡去滑)、草果(去皮)、甘草(炙,以上各等分)。将上述药物锉成散剂。每次服用四钱,用水一盏半,生姜三片,大枣两枚,煎至七分,去除药渣,饭前服用。
凡是遇到六戊年,即赫曦之纪,岁火太过,炎暑流行,肺金受到邪气侵袭,百姓容易患疟疾,少气咳喘,血溢(出血)泄泻,咽喉干燥耳聋,体内发热,肩背热甚,胸中痛,胁肋支撑胀满,背部、大腿及双臂疼痛,身体发热骨痛,从而形成浸淫疮。如果被水气所复,反而出现谵妄狂越,咳喘息鸣,血溢泄泻不止;严重时太渊脉绝的会死亡。
Wu Yun Liu Qi (Five Movements and Six Qi) refers to the normal laws of movement, circulation, ascending, and descending of Yin and Yang in Heaven and Earth. The circulation of Wu Yun exhibits differences in excess (Tai Guo) and deficiency (Bu Ji); the ascending and descending of Liu Qi presents deviations in compliance or rebellion (Ni Cong), dominance (Sheng), and retaliation (Fu). Anything that does not conform to virtue, transformation, governance, and order is termed a variation or disaster (Bian Sheng), all of which can cause disease. Thus, the *Classic* states: "The six channels are turbulent, the five qi shift and move." Excess and deficiency, dominance and amalgamation occur. Regarding therapeutic transformation, humans respond to it; if variations and disasters are encountered, disasters arise. Due to stagnation and eruption, one's true constancy is disturbed; lacking virtue leads to destruction and retaliation. Depending on the deficiency or excess of the internal Zang organ qi, diseases manifest, which are referred to as "Shi Qi" (Seasonal Pathogenic Qi). This is clearly different from common colds or injuries caused by weather, nor is it the same as epidemic diseases spreading through the air. Ancient sages understood that the excessive, deficient, conflicting, and aberrant Qi of Heaven and Earth could be balanced and treated using the flavors generated by Heaven and Earth that possess virtue. The classic theories are clear and evident, yet few people pay attention to them. Fearing they might be lost, I have narrated and recorded them.
Whenever encountering a year corresponding to Ren (Water stem) in the sexagenary cycle, known as the "Ji Fa" (Initiating Generation) phase, the Wood Movement is in excess. Wind Qi circulates widely, and the Spleen Earth is affected by pathogenic factors. The populace suffers from Sund Xie (diarrhea with undigested food), reduced appetite, heavy body, mental vexation and grievance, borborygmus (intestinal rumbling), and fullness/stiffness in the hypochondrium. In severe cases, there is irritability, sudden anger, dizziness, vertigo, and even manic-depressive disorders. If retaliated against by Metal Qi, there may be contrary hypochondriac pain and vomiting. If the Chong Yang pulse becomes imperceptible, death ensues.
This formula treats the Spleen and Stomach affected by Wind, presenting with Sund Xie and profuse diarrhea, borborygmus, abdominal fullness, heaviness and stagnation in the four limbs, irritability, dizziness, vertigo, or unilateral pain in the left hypochondrium. Ingredients include: Bai Fu Ling (Poria), Nong Po (Magnolia Bark processed with ginger juice), Bai Zhu (Atractylodes Macrocephala Rhizome), Qing Pi (Citrus Unshiu Peel), Gan Jiang (Dried Ginger processed), Ban Xia (Pinellia Tuber washed with water decoction), Cao Guo (Tsaoko Cardamom Fruit peeled), and Gan Cao (Licorice Root honey-fried). All ingredients are used in equal proportions. Grind into a powder. Take 4 qian per dose, with 1.5 cups of water, 3 slices of fresh ginger, and 2 jujubes. Decoct until reduced to 0.7 parts, strain, and take before meals.
Whenever encountering a year corresponding to Wu (Earth stem) in the sexagenary cycle, known as the "He Xi" (Blazing Heat) phase, the Fire Movement is in excess. Blazing heat circulates widely, and the Lung Metal is affected by pathogenic factors. The populace suffers from malaria, shortness of breath, coughing, and wheezing; hematemesis or epistaxis (blood overflow); diarrhea; dry throat and deafness; internal heat; severe heat in the shoulder and back; chest pain; fullness/stiffness in the hypochondrium; pain in the back, thighs, and both arms; feverish body and bone pain, leading to spreading sores (Jin Yin). If retaliated against by Water Qi, there may be contrary delirium, mania, and restlessness; coughing, wheezing, and asthma; continuous blood overflow and diarrhea. If the Tai Yuan pulse becomes imperceptible, death ensues.