小雪至大寒,太阳寒水之位。阴极而尽,天气所收,故曰∶厥阴旺。厥者,尽也
与胆为表里,东方木也,色青,外应目,主治血。芍药味酸微寒,泽泻咸平,乌梅酸热。
诸风掉眩,皆属于肝。木主动。治法曰∶达者,吐也。其高者,因而越之。可刺大敦,灸亦同。
与小肠为表里,南方火色,外应舌,主血运诸经。大黄苦寒,木香苦温,黄连苦凉,没药苦热。
诸痛痒疮疡,皆属于心火。治法曰∶热者汗之,令其疏散也。可刺少冲,灸之亦同。
与胃为表里,中央土也,色黄应唇,主肌肉,应四时。蜜甘凉,甘草甘平。
诸湿肿满,皆属于脾土。治法曰∶夺者,泻也。分阴阳,利水道。可刺隐白,灸亦同。
与大肠为表里,西方金也,色白,外应皮毛、鼻,亦行气。干姜辛热,生姜辛温,薄荷辛凉。
诸气 郁,皆属于肺金。治法曰∶清者,清膈、利小便、解表。可刺少商,灸亦同。
与膀胱为表里,北方水也,色黑,外应耳,主骨髓。牡蛎咸寒,水蛭咸寒。
诸寒收引,皆属于肾水。治法曰∶折之,谓抑之,制其冲逆。可刺涌泉,灸亦同。
初之气为病,多发咳嗽、风痰、风厥、涎潮痹塞、口 、半身不遂、失音、风癫
、风中、妇人胸中留饮、两脐腹微痛、呕逆恶心、旋运惊悸、狂惕、心风、搐搦、颤掉。初之气
病,宜以瓜蒂散吐之,在下泄之。
从小雪到大寒,是太阳寒水当令的时段。阴气达到极点而穷尽,天气处于收敛状态,所以说:厥阴木气旺盛。“厥”的意思是穷尽、终了。
(肝)与胆互为表里,对应东方木行,颜色为青,外在表现为眼睛,主要主管血液。芍药味道酸、性微寒;泽泻味道咸、性平;乌梅味道酸、性热。
各种风病引起的肢体震颤和眩晕,都归属于肝脏。木行主生发、主动。治疗方法说:对于郁结在上的邪气,用涌吐法治疗。病位在高处的,顺势使其向上发散。可以针刺大敦穴,艾灸也可以同样使用。
(心)与小肠互为表里,对应南方火行,颜色为赤,外在表现为舌头,主管血液在各经脉中的运行。大黄味道苦、性寒;木香味道苦、性温;黄连味道苦、性凉;没药味道苦、性热。
各种疼痛、瘙痒、疮疡,都归属于心火。治疗方法说:对于热证,用发汗法治疗,使邪气疏散。可以针刺少冲穴,艾灸也可以同样使用。
(脾)与胃互为表里,对应中央土行,颜色为黄,外在表现为嘴唇,主管肌肉,顺应四季变化。蜂蜜味道甘、性凉;甘草味道甘、性平。
各种湿邪引起的肿胀和腹满,都归属于脾土。治疗方法说:对于壅滞严重的,用泻下法治疗。分清阴阳,通利水道。可以针刺隐白穴,艾灸也可以同样使用。
(肺)与大肠互为表里,对应西方金行,颜色为白,外在表现为皮肤和毛发、鼻子,也主管气的运行。干姜味道辛、性热;生姜味道辛、性温;薄荷味道辛、性凉。
各种气机郁滞,都归属于肺金。治疗方法说:对于清肃之邪,采用清膈、利小便、解表的方法。可以针刺少商穴,艾灸也可以同样使用。
(肾)与膀胱互为表里,对应北方水行,颜色为黑,外在表现为耳朵,主管骨髓。牡蛎味道咸、性寒;水蛭味道咸、性寒。
各种寒邪引起的收缩和牵引症状,都归属于肾水。治疗方法说:折抑它,意思是抑制它,制约其冲逆之气。可以针刺涌泉穴,艾灸也可以同样使用。
初之气阶段发生的疾病,多表现为咳嗽、风痰、风厥、涎潮痹塞、口眼歪斜、半身不遂、失音、风癫、中风、妇女胸中留饮、脐腹部微痛、呕吐恶心、眩晕惊悸、狂躁恐惧、心风、抽搐、颤抖。初之气阶段的疾病,适宜用瓜蒂散进行涌吐治疗,病邪在下部的则用泻下法治疗。
From Minor Snow to Major Cold, this is the period when Taiyang (Greater Yang) Cold Water dominates. Yin energy reaches its extreme and exhaustion, and the heavenly Qi is in a state of收 (gathering/storing), hence it is said: Jueyin (Terminal Yin) Wood Qi is prosperous. "Jue" means exhaustion or end.
(Liver) has an interior-exterior relationship with the Gallbladder, corresponds to the Eastern Wood element, its color is green, externally manifests in the eyes, and primarily governs blood. Shaoyao (Paeoniae Radix, 芍药) is sour and slightly cold; Zexie (Alismatis Rhizoma, 泽泻) is salty and neutral; Wumei (Mume Fructus, 乌梅) is sour and hot.
All wind diseases characterized by tremors and dizziness belong to the Liver. Wood element is active and governs movement. The treatment principle states: For stagnation, use emesis. Where the pathogen is high, induce vomiting to disperse it upwards. One may needle Dacun (LR1, Great Dun), and moxibustion can be applied similarly.
(Heart) has an interior-exterior relationship with the Small Intestine, corresponds to the Southern Fire element, its color is red, externally manifests in the tongue, and governs the circulation of blood through the meridians. Dahuang (Rhei Radix et Rhizoma, 大黄) is bitter and cold; Muxiang (Aucklandiae Radix, 木香) is bitter and warm; Huanglian (Coptidis Rhizoma, 黄连) is bitter and cool; Moyao (Myrrha, 没药) is bitter and hot.
All pain, itching, sores, and ulcers belong to Heart Fire. The treatment principle states: For heat syndromes, use diaphoresis (sweating) to disperse the pathogen. One may needle Shaochong (HT9, Lesser Shock), and moxibustion can be applied similarly.
(Spleen) has an interior-exterior relationship with the Stomach, corresponds to the Central Earth element, its color is yellow, externally manifests in the lips, governs the muscles, and corresponds to the four seasons. Femi (Honey, 蜜) is sweet and cool; Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) is sweet and neutral.
All dampness-induced edema and fullness belong to Spleen Earth. The treatment principle states: For severe obstruction, use purgation. Differentiate yin and yang, and promote the flow of water passages. One may needle Yinbai (SP1, Hidden White), and moxibustion can be applied similarly.
(Lung) has an interior-exterior relationship with the Large Intestine, corresponds to the Western Metal element, its color is white, externally manifests in the skin, hair, and nose, and also governs the movement of Qi. Ganjiang (Zingiberis Rhizoma, 干姜) is acrid and hot; Shengjiang (Zingiberis Rhizoma Recens, 生姜) is acrid and warm; Bohe (Menthae Haplocalycis Herba, 薄荷) is acrid and cool.
All Qi stagnation belongs to Lung Metal. The treatment principle states: For clear/pathogenic factors, use methods to clear the diaphragm, promote urination, and release the exterior. One may needle Shaoshang (LU11, Lesser Shang), and moxibustion can be applied similarly.
(Kidney) has an interior-exterior relationship with the Bladder, corresponds to the Northern Water element, its color is black, externally manifests in the ears, and governs bone marrow. Muli (Ostreae Concha, 牡蛎) is salty and cold; Shuizhi (Hirudo, 水蛭) is salty and cold.
All contraction and pulling sensations caused by cold belong to Kidney Water. The treatment principle states: To subdue it, meaning to restrain it and control its rebellious upward surge. One may needle Yongquan (KI1, Gushing Spring), and moxibustion can be applied similarly.
Diseases occurring during the First Qi phase often manifest as cough, wind-phlegm, wind-jue (revulsion), tidal phlegm-fluid obstructing collaterals, deviation of the mouth and eye, hemiplegia, aphonia, wind-epilepsy, stroke, retained fluid in the chest of women, slight pain in the umbilical and abdominal regions, vomiting and nausea, vertigo and palpitations, mania and fear, heart-wind, convulsions, and tremors. For diseases of the First Qi phase, it is appropriate to use Gudi San (Melon Seed Powder, 瓜蒂散) to induce emesis for pathogens above, and purgation for pathogens below.