素问生气通天论阴之所生本在五味阴之五宫伤在五味
王冰曰所谓阴者五神藏也宫者五神之舍也言五藏所生本资于五味五味宣化各凑于本宫阴虽因五味以生亦因五味以损
正为好而过节乃见伤也故下文曰吴昆曰言五味固足以养五藏亦足以伤五藏张志聪曰神气生于阴精五藏之精生于五味是以
首论气而末论味藏象论五味入口藏于肠胃味有所藏以养五气气和而生津液相成神乃自生本神篇五藏主藏精者也不可伤伤
则失守而阴虚阴虚则无气无气则死是以谨和五味长有天命盖精神气血皆由五味之所资生而资养者也五宫五藏神之所舍伤
在五味者味有所偏胜也马莳曰此言五味能伤五藏而善养者慎之也阴阳应象大论酸生肝苦生心甘生脾辛生肺咸生肾则阴之
所本五味阴者五藏皆属阴也手太阴肺手少阴心足太阴脾足少阴肾足厥阴肝然阴之五宫所伤亦在五味阴阳应象大论酸伤筋
苦伤气甘伤肉辛伤皮毛咸伤血盖五味过节则五藏亦伤于五味也其曰伤气血者夫诸气皆属于肺而苦本入心何乃伤之正以水
来乘火亦伤己之所胜也则五味信能伤五宫矣张介宾曰五宫五藏也六节藏象论地食人以五味夫味得地气故能生五藏之阴若
五味不节则各有所克反伤其阴矣义如下文骥案阳为气阴为味故阴之伤在味五宫五神之舍王注是也黄庭经肝部之宫翠重里
下有青童神公子心部之宫莲含华下有童子丹元家脾部之宫属戊己中有明童黄裳里肺部之宫似华盖下有童子坐玉阙肾部之
宫玄阙元中有童子冥上玄又百谷之实土地精五味外美邪魔腥臭乱神明胎气零那能返老得还婴此五味伤五宫之明证
是故味过于酸肝气以津脾气乃绝
王冰曰酸多食之令人癃小便不利则肝多津液津液内溢则肝叶举肝叶举则脾经之气绝而不行何者木制土也吴昆曰木实
则克土故脾绝马莳曰酸所以生肝木胜土亏脾气从兹而绝张介宾曰津液也酸从木化骥案过犹失也素问疏五过论谓医治病有
过失又过谓过度灵枢五禁篇刺有五过故过有二义不当用而用之谓之过当用而用过度亦谓之过西山记秋肺旺肝弱则养肝食
酸物五谷中豆五果中李子五畜中犬肉五菜中藿菜与医经同不可过也
味过于咸大骨气劳短肌心气抑
王冰曰咸多食之令人肌肤缩短又令心气抑滞而不行咸走血也大骨气劳咸归肾也吴昆曰咸入肾入骨能软缩诸物又咸从
水化而走血水胜则火灭故心气抑张志聪曰大骨腰高之骨肾之府也马莳曰大骨者高骨也玉机真藏论亦谓之大骨肾气反伤大
骨气劳水邪克火令人肌肉短缩心气抑滞张介宾曰咸入肾肾主骨骥案西山记四季脾旺肾弱养肾食咸物五谷中粟米五果中山
药五畜中猪肉五菜中韭菜与医经同不可过也
味过于甘心气喘满色黑肾气不衡
王冰曰甘多食之令人心闷甘性滞缓故令气喘满而肾不平何者土抑水也衡平也吴昆曰甘性滞缓甘从土化土亢则害乎水
张介宾曰土实则心气不能传之于子故喘满肾主水其色黑土亢则伤肾故色黑而肾气不平马莳曰甘所以生肉脾邪有余子来乘
母从前来者为实邪而心气喘满且土往克水传其所胜黑色外见肾气不得其平张介宾曰甘入脾甘从土化土胜则水病骥案西山
记春肝旺脾弱则养脾食甘物五谷中粳米五果中枣肉五畜中牛肉五菜中葵菜与医经同不可过也
味过于苦脾气不濡胃气乃浓
王冰曰苦性坚燥又能养脾胃故脾气不濡则胃气强浓吴昆曰苦性坚燥故脾气不濡胃喜燥故胃气强浓张志聪曰阳明络属
心子母之气相通苦则母气盛而胃气强胃强则与脾阴相绝脾不为胃转输其津液而脾气不濡脾不转输故胃气乃浓马莳曰人之
肠胃必有二层心气太过土气亦有余故胃乃作胀而反浓不能纳受水谷宜用清火收敛如芩连乌梅等今人不识此证以为饮食不
进者多是胃气已弱仍用参术等类则胃邪益增饮食反减愈补愈胀病终不愈脉要精微论胃脉实则胀虚则泄所谓胀者正胃气乃
浓之谓须于胃脉之实者验之若真虚则宜补耳张介宾曰濡者润也脾气不濡则胃气留滞故曰乃浓浓者胀满之谓五味论苦入于
胃五谷之气皆不能胜苦苦入下脘三焦之道皆闭而不通故变呕者其义亦此骥案西山记冬肾旺心弱则养心食苦物五谷中小麦
五果中橘子五畜中羊肉五菜中薤大致与医经同不可过也
味过于辛筋脉沮弛精神乃央
王冰曰沮润也弛缓也央久也辛性润散养于筋故令筋缓脉润精神长久何者辛补肝也藏气法是论肝欲散急时辛以散之用
辛补之新校正云按此论味过所伤难作精神长久之解央乃殃也古文通用字多假借用者也吴昆曰央殃同张志聪曰沮遏抑也弛
懈弛也辛甚则燥津液不能相成而精神乃受其殃也马莳曰辛所以生肺也味过于辛金邪克木筋脉阻弛精神至半而废央者中央
也半之谓也四气调神论有未央绝灭则至半而绝此云精神乃央言精神仅可至半也诗小雅夜未央张介宾曰沮坏也弛纵也央殃
同辛散气则精神耗伤故曰乃央骥案西山记夏心旺肺弱则养肺食辛物五谷中黄黍五果中桃子五畜中鸡肉五菜中葱菜与医经
同不可过也黄庭篇四海者何也气血精髓也其要在乎戒五伤焉多乎咸则心伤矣多乎苦则肺伤矣多乎酸则脾伤矣多乎辛则肝
伤矣多乎甘则肾伤矣
是故谨和五味骨正筋柔气血以流腠理以密如是则骨气以精谨道如法长有天命
王冰曰是所谓修养天真之至道也张志聪曰肾主藏精而主骨肝主藏血而主筋夫风客淫气则邪伤肝而精及之谨和五味则
骨正筋柔而腠理以密是阳气生于阴精而为阴之外卫故曰阴者藏精而起亟也阳者卫外而为固也知阴阳内外之道无烦劳以伤
其阳节五味以养其精谨能养调和法则阴阳和平长有天命张介宾曰在内者皆阴气为之主也然阴气在里腠理在外若不相及而
此曰腠理以密者缘阴阳表里原自相根据不惟阳密足以固阴而阴强乃能壮阳也故如上文之邪因于外而为喘喝为痿厥为精亡为
洞泄咳嗽等证此阳病之及于阴也又如烦劳大怒饮食起居之不节而为煎厥为形气绝为筋脉肠痔气逆骨坏等证是伤于阴者亦
能病及外体阳分此阴之所以不可忽也
素问五藏生成篇多食咸则脉凝泣而变色
王冰曰心合脉其荣色咸益肾胜于心心不胜故脉凝泣而颜色变阳也吴昆曰泣与涩同张志聪曰此承上文而言太过之为害
也五行有相生相制不可偏废如制之太过又有相贼之害马莳曰此以所主之所伤者言之心之所主者惟肾肾之味主咸张介宾曰
咸从水化水能克火
多食苦则皮槁而毛拔
王冰曰肺合皮其荣毛苦益心胜于肺肺不胜故皮枯槁而毛拔去吴昆曰苦从火化皮毛为金张志聪曰多食苦是火味太过而
伤肺马莳曰肺之所主者唯心故心之味主苦张介宾曰苦从火化火能克金
多食辛则筋急而爪枯
王冰曰肝合筋其荣爪辛益肺胜于肝肝不胜故筋急而爪干枯吴昆曰辛从金化筋与爪为木张志聪曰多食辛是金味太过而
伤肝马莳曰肝之所主者惟肺故肺之味主辛多食辛肝为肺伤张介宾曰辛从金化金能克木
多食酸则肉胝KT 而唇揭
王冰曰脾合肉其荣唇酸益肝胜于脾脾不胜故肉胝KT 而唇皮揭举吴昆曰
酸从木化肉与唇为土张志聪曰多食酸是木味太
过而伤脾马莳曰脾之所主者惟肝故肝之味主酸多食酸则脾为肝伤张介宾曰胝皮浓也手足骈胝之谓
多食甘则骨痛而发落
王冰曰肾合骨其荣发甘益脾胜于肾肾不胜故骨痛而发堕落吴昆曰甘从土化骨发属肾水张志聪曰多食甘是土味太过而
伤肾马莳曰肾之所主者惟脾故脾之味主甘多食甘则肾为脾伤张介宾曰甘从土化土能克水
此五味之所伤也
王冰曰五味入口输于肠胃而内养五藏各有所养有所欲欲则互有所伤吴昆曰五味各有所伤所谓阴之五宫伤在五味是张
志聪曰五味所以养五藏者也藏有所胜则所不胜之藏受伤骥案五欲五苦详见五宜篇中然味各有偏不宜太过不宜太多用气不
可稍乖用味尤当详审洪范水曰润下润下作咸火曰炎上炎上作苦木曰曲直曲直作酸金曰从革从革作辛土爰稼穑稼穑作甘苦
者直行而泄辛者横行而散酸者束而收敛咸者止而软坚甘之一味可上可下土位居中而兼五行五藏无归专入太阳而通小便然
草木乃有形无情之药各逞一性以为功人禀五行有神有情之体全以阴阳变化制伏相成相长以为之用能补偏救弊剂调得宜无
过不及恰合乎中斯无增气偏胜之害而得和平长养之宜令无情以至有情皆用药者神明化裁之妙斯无过伤之足虑也
素问宣明五气篇五味所禁辛走气气病无多食辛
王冰曰病谓力少不自胜也吴昆曰辛阳也气亦阳也同气相求故辛走气辛主发散气弱者食之则气益虚耗矣故在所禁张志
聪曰阴之所生本在五味阴之五宫伤在五味故禁多食肺主气辛入肺故走气张介宾曰辛能散气骥案五味篇辛入于胃其气走上
焦上焦受气营诸阳故辛入而汗俱出
咸走血血病无多食咸苦走骨骨病无多食苦
新校正云按皇甫士安云咸先走肾此云走血者肾合三焦血脉虽属肝心而为中焦之道故咸入而走血也苦走心此云走骨者
火水相济骨气通于心也吴昆曰咸阴也血亦阴也同气相求故咸走血血得咸则凝结而不流故血病禁咸苦阴也骨亦阴也气同则
入故苦走骨骨得苦则阴益甚骨重而难举矣故骨病禁苦张志聪曰心主血润下作咸咸走血者水气上交心也肾主骨炎上作苦苦
走骨者火气下交于肾也此与并于心则喜并于肾则恐之义相同盖心肾水火之气时相既济故所走互更其余三藏是本藏之味而
走本藏所主之筋肉也马莳曰此言五藏之病各有禁食之味也灵枢五味篇酸走筋多食之令人癃咸走血多食之令人渴辛走气多
食之令人洞心苦走骨多食之令人变呕甘走肉多食之令人愧心少俞之所答尤为详悉宜参看之张介宾曰血得咸则凝结不流也
五味论咸与血相得则凝苦性沉降阴也骨属肾亦阴也骨得苦则沉阴益肾骨重难举矣故骨病禁苦九针论苦走血水化咸故走骨
义亦当然骥案五味论咸入于胃其气上走中焦注于脉则血气走之血脉者中焦之道也苦入于胃五谷之气皆不能胜苦苦入下脘
三焦之道皆闭而不通苦入而走骨故入而复出知其走骨也
甘走肉肉病无多食甘酸走筋筋病无多食酸
王冰曰是皆为行其气速故不欲多食多食则病甚故病者无食也吴昆曰甘土也肉亦土也相从以类故甘走肉肉得甘则病肤
肿肉胀者滋甚矣故肉病禁甘酸木也筋亦木也以类相从故酸走筋筋得酸则病拘挛收引者益加矣故筋病无多食酸张志聪曰脾
主肌肉甘为土味脾病而多食之则反伤其脾气肝合筋酸走肝筋病而多食之则反伤其肝气张介宾曰甘能缓中善生胀满故肉病
者无多食甘五味论甘走肉多食之令人 心酸能收缩故在筋者无多食酸五味论酸走筋多食之令人癃骥案五味篇甘入于胃其
气弱小不能上至于上焦而与谷留于胃中者令人柔润其气外通于肉故甘走肉酸入于胃其气涩以收上之两焦弗能出入也下注
膀胱得酸则缩 约而不通水道不行阴者积筋之所终故走筋
是谓五禁无令多食
新校正云按太素五禁云肝病禁辛心病禁咸脾病禁酸肺病禁苦肾病禁甘名为五裁杨上善云口嗜而欲食之不可多也必自
裁之命曰五裁张志聪曰五味所以养五藏之气者也病则气虚故无令多食盖少则补多则反伤其气骥案经云五味入胃各归所喜
故久而增气物化之常也气增而久夭之由也与禁无多食义同
灵枢五味篇五禁肝病禁辛心病禁咸脾病禁酸肾病禁甘肺病禁苦
余氏曰五味五气有生有克有补有泻故五藏有病禁服胜克之味马莳曰此言五藏之味有五禁皆五行之相克者也金克木故
肝病禁辛水克火故心病禁咸木克土故脾病禁酸土克水故肾病禁甘火克金故肺病禁苦此节当与素问宣明五气论之五禁灵枢
九针论之五裁参看宣明五气篇辛走气气病无多食辛咸走血血病无多食咸苦走骨骨病无多食苦甘走肉肉病无多食甘酸走筋
筋病无多食酸是谓五禁九针论病在筋无食酸病在气无食辛病在骨无食咸病在血无食苦病在肉无食甘张介宾曰辛味属金能
克肝木咸味属水能克心火酸味属木能克脾土甘味属土能克肾水苦味属火能克肺金
黄帝问于少俞曰五味入于口也各有所走各有所病酸走筋多食之令人癃咸走血多食之令人渴辛走气多食之令人洞心苦
走骨多食之令人变呕甘走肉多食之令人 心余知其然也不知其何由愿闻其故
任谷 曰五营运大论东方生风风生木木生酸酸生肝肝生筋南方生热热生火火生苦苦生心心生血是五藏本于五
味之所生而
生外合之筋骨血肉也是以五味入口而各有所走心主血肾主骨苦乃火之味咸乃水之味苦走骨而咸走血者阴阳水火之交济也
肺主气故辛走散马莳曰癃小便不通洞心者心内空也 心者心内闷也
少俞答曰酸入于胃其气涩以收上之两焦弗能出入也不出即留于胃中胃中和温则下注膀胱膀胱之胞薄以懦得酸则缩绻
约而不通水道不行故癃阴者积筋之所终故酸入而走筋矣
任氏曰五味阴阳之用辛甘发散为阳酸苦涌泄为阴咸味涌泄为阴淡味渗泄为阳六者或收或散或缓或急或燥或润或软或
坚是发散涌泄之中而又有收散缓急之性矣上焦开发宣五谷味中焦出气如露以行水谷之精酸气收涩故弗能出于上之两焦不
出则留于胃而溜于下焦注于膀胱矣膀胱为脬之室脬居于中故膀胱之体质脆薄以懦得酸则易于缩绻缩则纳而不通水道不行
《素问·生气通天论》指出:阴精的化生,根本在于五味;而阴精的五脏居所,损伤也源于五味。
王冰注释说:所谓的“阴”,是指五神所藏的五脏;所谓的“宫”,是五神居住的房舍。意思是说,五脏所化生的物质,原本依赖于五味;五味宣通转化,各自汇聚于相应的脏腑。阴精虽然因五味而生,但也因五味而受损。
如果喜好某种味道而失去节制,就会造成损伤,所以下文说道……吴昆注释说:五味固然足以滋养五脏,也足以损伤五脏。张志聪注释说:神气生于阴精,五脏之精生于五味,所以……首先论述气,最后论述味。《灵枢·本神篇》提到:五脏主藏精,不可损伤。一旦损伤,则失守而导致阴虚;阴虚则无气;无气则会死亡。因此要谨慎调和五味,才能享有天年。大概精神气血都依靠五味来资生和滋养。五宫即五脏,是神的居所。所谓“伤在五味”,是指饮食口味有所偏嗜。马莳注释说:这段话说明五味能损伤五脏,善于养生的人对此应加以警惕。《阴阳应象大论》说:酸生肝,苦生心,甘生脾,辛生肺,咸生肾。那么阴的根本在于五味,阴指五脏皆属阴。手太阴肺、手少阴心、足太阴脾、足少阴肾、足厥阴肝。然而阴之五宫的损伤也在五味。《阴阳应象大论》说:酸伤筋,苦伤气,甘伤肉,辛伤皮毛,咸伤血。大概五味过度,则五脏也会受五味的伤害。文中说“伤气血”,因为诸气皆属于肺,而苦本入心,为何会伤气?这是因为水来乘火(肾水克心火),也是伤害自己所能胜过的行(此处指反侮或相克关系)。那么五味确实能损伤五宫了。张介宾注释说:五宫即五脏。《六节藏象论》说:地食人以五味。味道得地气,所以能生五脏之阴。如果五味不节制,则各有所克,反而损伤其阴。含义如下文所述。张骥按语:阳为气,阴为味,所以阴的损伤在于味。五宫是五神的居所,王注是正确的。《黄庭经》肝部之宫翠重里,下有青童神公子;心部之宫莲含华,下有童子丹元家;脾部之宫属戊己,中有明童黄裳里;肺部之宫似华盖,下有童子坐玉阙;肾部之宫玄阙元,中有童子冥上玄。又云:百谷之实土地精,五味外美邪魔腥臭乱神明,胎气零那能返老得还婴?这是五味损伤五宫的明确证据。
因此,味道过于酸,肝气就会津液过剩,脾气就会断绝。
王冰注释说:酸多食之令人小便不利(癃),则肝多津液。津液内溢则肝叶举(胀大),肝叶举则脾经之气绝而不行。为什么呢?因为木克土。吴昆注释说:木实则克土,所以脾绝。马莳注释说:酸所以生肝,木胜土亏,脾气从此而绝。张介宾注释说:津液也,酸从木化。张骥按语:过犹失也。《素问·疏五过论》谓医治病有“过失”;又《灵枢·五禁篇》刺有五“过”。故“过”有二义:不当用而用之谓之过;当用而用过度亦谓之过。《西山记》载:秋肺旺肝弱则养肝,食酸物。五谷中豆,五果中李子,五畜中犬肉,五菜中藿菜,与医经同,不可过也。
味道过于咸,大骨气劳损,肌肉短缩,心气抑郁。
王冰注释说:咸多食之令人肌肤缩短,又令心气抑滞而不行。咸走血。大骨气劳,咸归肾。吴昆注释说:咸入肾,入骨能软缩诸物。又咸从水化而走血,水胜则火灭,故心气抑。张志聪注释说:大骨即腰高之骨,肾之府。马莳注释说:大骨者高骨也。《玉机真藏论》亦谓之大骨。肾气反伤,大骨气劳,水邪克火,令人肌肉短缩,心气抑滞。张介宾注释说:咸入肾,肾主骨。张骥按语:《西山记》载:四季脾旺肾弱养肾,食咸物。五谷中粟米,五果中山药,五畜中猪肉,五菜中韭菜,与医经同,不可过也。
味道过于甘,心气喘满,面色黑,肾气不平。
王冰注释说:甘多食之令人心闷。甘性滞缓,故令气喘满而肾不平。何者?土抑水也。衡即平。吴昆注释说:甘性滞缓,甘从土化,土亢则害乎水。张介宾注释说:土实则心气不能传之于子,故喘满。肾主水,其色黑。土亢则伤肾,故色黑而肾气不平。马莳注释说:甘所以生肉。脾邪有余,子来乘母,从前来者为实邪,而心气喘满,且土往克水,传其所胜,黑色外见,肾气不得其平。张介宾注释说:甘入脾,甘从土化,土胜则水病。张骥按语:《西山记》载:春肝旺脾弱则养脾,食甘物。五谷中粳米,五果中枣肉,五畜中牛肉,五菜中葵菜,与医经同,不可过也。
味道过于苦,脾气不濡润,胃气乃强盛(浓)。
王冰注释说:苦性坚燥,又能养脾胃,故脾气不濡则胃气强浓。吴昆注释说:苦性坚燥,故脾气不濡。胃喜燥,故胃气强浓。张志聪注释说:阳明络属心,子母之气相通。苦则母气盛而胃气强。胃强则与脾阴相绝,脾不为胃转输其津液,而脾气不濡。脾不转输,故胃气乃浓。马莳注释说:人之肠胃必有二层。心气太过,土气亦有余,故胃乃作胀而反浓,不能纳受水谷。宜用清火收敛如芩连乌梅等。今人不识此证,以为饮食不进者多是胃气已弱,仍用参术等类,则胃邪益增,饮食反减,愈补愈胀,病终不愈。《脉要精微论》曰:胃脉实则胀,虚则泄。所谓胀者,正胃气乃浓之谓。须于胃脉之实者验之,若真虚则宜补耳。张介宾注释说:濡者润也。脾气不濡则胃气留滞,故曰乃浓。浓者胀满之谓。《五味论》曰:苦入于胃,五谷之气皆不能胜苦。苦入下脘,三焦之道皆闭而不通,故变呕者,其义亦此。张骥按语:《西山记》载:冬肾旺心弱则养心,食苦物。五谷中小麦,五果中橘子,五畜中羊肉,五菜中薤,大致与医经同,不可过也。
味道过于辛,筋脉沮坏弛缓,精神乃受损(央/殃)。
王冰注释说:沮即润,弛即缓,央即久。辛性润散,养于筋,故令筋缓脉润,精神长久。何者?辛补肝也。《藏气法时论》曰:肝欲散,急食辛以散之,用辛补之。新校正云:按此论味过所伤,难作精神长久之解。“央”乃“殃”也,古文通用字,多假借用者也。吴昆注释说:央、殃同。张志聪注释说:沮遏抑也,弛懈弛也。辛甚则燥津液,不能相成,而精神乃受其殃也。马莳注释说:辛所以生肺也。味过于辛,金邪克木,筋脉阻弛,精神至半而废。“央”者中央也,半之谓也。《四气调神论》有“未央绝灭”,则至半而绝。此云“精神乃央”,言精神仅可至半也。《诗·小雅·夜未央》,张介宾注释说:沮坏也,弛纵也,央、殃同。辛散气则精神耗伤,故曰乃央。张骥按语:《西山记》载:夏心旺肺弱则养肺,食辛物。五谷中黄黍,五果中桃子,五畜中鸡肉,五菜中葱菜,与医经同,不可过也。《黄庭篇》曰:四海者何也?气血精髓也。其要在乎戒五伤焉:多乎咸则心伤矣,多乎苦则肺伤矣,多乎酸则脾伤矣,多乎辛则肝伤矣,多乎甘则肾伤矣。
因此,谨慎调和五味,则骨正筋柔,气血以流,腠理以密。如是则骨气以精,谨道如法,长有天命。
王冰注释说:是所谓修养天真之至道也。张志聪注释说:肾主藏精而主骨,肝主藏血而主筋。夫风客淫气则邪伤肝而精及之。谨和五味则骨正筋柔而腠理以密。是阳气生于阴精而为阴之外卫,故曰“阴者藏精而起亟也,阳者卫外而为固也”。知阴阳内外之道,无烦劳以伤其阳,节五味以养其精,谨能养调和法则,阴阳和平,长有天命。张介宾注释说:在内者皆阴气为之主也。然阴气在里,腠理在外,若不相及,而此曰“腠理以密”者,缘阴阳表里原自相根据。不惟阳密足以固阴,而阴强乃能壮阳也。故如上文之邪因于外而为喘喝、为痿厥、为精亡、为洞泄、咳嗽等证,此阳病之及于阴也。又如烦劳大怒、饮食起居之不节而为煎厥、为形气绝、为筋脉肠痔、气逆骨坏等证,是伤于阴者亦能病及外体阳分。此阴之所以不可忽也。
《素问·五脏生成篇》说:多食咸,则脉凝泣而变色。
王冰注释说:心合脉,其荣色。咸益肾,胜于心。心不胜,故脉凝泣而颜色变。阳也。吴昆注释说:泣与涩同。张志聪注释说:此承上文而言太过之为害也。五行有相生相制,不可偏废。如制之太过,又有相贼之害。马莳注释说:此以所主之所伤者言之。心之所主者惟肾,肾之味主咸。张介宾注释说:咸从水化,水能克火。
多食苦,则皮槁而毛拔。
王冰注释说:肺合皮,其荣毛。苦益心,胜于肺。肺不胜,故皮枯槁而毛拔去。吴昆注释说:苦从火化,皮毛为金。张志聪注释说:多食苦是火味太过而伤肺。马莳注释说:肺之所主者唯心,故心之味主苦。张介宾注释说:苦从火化,火能克金。
多食辛,则筋急而爪枯。
王冰注释说:肝合筋,其荣爪。辛益肺,胜于肝。肝不胜,故筋急而爪干枯。吴昆注释说:辛从金化,筋与爪为木。张志聪注释说:多食辛是金味太过而伤肝。马莳注释说:肝之所主者惟肺,故肺之味主辛。多食辛,肝为肺伤。张介宾注释说:辛从金化,金能克木。
多食酸,则肉胝胼而唇揭。
王冰注释说:脾合肉,其荣唇。酸益肝,胜于脾。脾不胜,故肉胝胼而唇皮揭举。吴昆注释说:酸从木化,肉与唇为土。张志聪注释说:多食酸是木味太过而伤脾。马莳注释说:脾之所主者惟肝,故肝之味主酸。多食酸,脾为肝伤。张介宾注释说:胝,皮厚也。手足骈胝之谓。
多食甘,则骨痛而发落。
王冰注释说:肾合骨,其荣发。甘益脾,胜于肾。肾不胜,故骨痛而发堕落。吴昆注释说:甘从土化,骨发属肾水。张志聪注释说:多食甘是土味太过而伤肾。马莳注释说:肾之所主者惟脾,故脾之味主甘。多食甘,肾为脾伤。张介宾注释说:甘从土化,土能克水。
这就是五味所造成的损伤。
王冰注释说:五味入口,输于肠胃而内养五脏,各有所养,有所欲,欲则互有所伤。吴昆注释说:五味各有所伤,所谓“阴之五宫,伤在五味”是也。张志聪注释说:五味所以养五脏者也。脏有所胜,则所不胜之脏受伤。张骥按语:五欲五苦详见《五宜篇》中。然味各有偏,不宜太过,不宜太多。用气不可稍乖,用味尤当详审。《洪范》曰:水曰润下,润下作咸;火曰炎上,炎上作苦;木曰曲直,曲直作酸;金曰从革,从革作辛;土爰稼穑,稼穑作甘。苦者直行而泄,辛者横行而散,酸者束而收敛,咸者止而软坚。甘之一味,可上可下,土位居中而兼五行。五脏无归,专入太阳而通小便。然草木乃有形无情之药,各逞一性以为功。人禀五行,有神有情之体,全以阴阳变化制伏相成相长以为之用。能补偏救弊,剂调得宜,无过不及,恰合乎中,斯无增气偏胜之害,而得和平长养之宜。令无情以至有情,皆用药者神明化裁之妙,斯无过伤之足虑也。
《素问·宣明五气篇》说:五味所禁:辛走气,气病无多食辛。
王冰注释说:病谓力少不自胜也。吴昆注释说:辛阳也,气亦阳也,同气相求,故辛走气。辛主发散,气弱者食之则气益虚耗矣,故在所禁。张志聪注释说:“阴之所生本在五味,阴之五宫伤在五味”,故禁多食。肺主气,辛入肺,故走气。张介宾注释说:辛能散气。张骥按语:《五味篇》曰:辛入于胃,其气走上焦。上焦受气营诸阳,故辛入而汗俱出。
咸走血,血病无多食咸。苦走骨,骨病无多食苦。
新校正云:按皇甫士安云咸先走肾。此云走血者,肾合三焦血脉,虽属肝心而为中焦之道,故咸入而走血也。苦走心,此云走骨者,火水相济,骨气通于心也。吴昆注释说:咸阴也,血亦阴也,同气相求,故咸走血。血得咸则凝结而不流,故血病禁咸。苦阴也,骨亦阴也,气同则入,故苦走骨。骨得苦则阴益甚,骨重而难举矣,故骨病禁苦。张志聪注释说:心主血,润下作咸,咸走血者,水气上交心也。肾主骨,炎上作苦,苦走骨者,火气下交于肾也。此与“并于心则喜,并于肾则恐”之义相同。盖心肾水火之气时相既济,故所走互更。其余三脏是本脏之味而走本脏所主之筋肉也。马莳注释说:此言五脏之病各有禁食之味也。《灵枢·五味篇》曰:酸走筋,多食之令人癃;咸走血,多食之令人渴;辛走气,多食之令人洞心;苦走骨,多食之令人变呕;甘走肉,多食之令人愧心。少俞之所答尤为详悉,宜参看之。张介宾注释说:血得咸则凝结不流也。《五味论》曰:咸与血相得则凝。苦性沉降阴也,骨属肾亦阴也,骨得苦则沉阴益肾,骨重难举矣,故骨病禁苦。《九针论》曰:苦走血,水化咸故走骨,义亦当然。张骥按语:《五味论》曰:咸入于胃,其气上走中焦,注于脉,则血气走之。血脉者,中焦之道也。苦入于胃,五谷之气皆不能胜苦。苦入下脘,三焦之道皆闭而不通。苦入而走骨,故入而复出,知其走骨也。
甘走肉,肉病无多食甘。酸走筋,筋病无多食酸。
王冰注释说:是皆为行其气速,故不欲多食。多食则病甚,故病者无食也。吴昆注释说:甘土也,肉亦土也,相从以类,故甘走肉。肉得甘则病浮肿肉胀者滋甚矣,故肉病禁甘。酸木也,筋亦木也,以类相从,故酸走筋。筋得酸则病拘挛收引者益加矣,故筋病无多食酸。张志聪注释说:脾主肌肉,甘为土味,脾病而多食之则反伤其脾气。肝合筋,酸走肝,筋病而多食之则反伤其肝气。张介宾注释说:甘能缓中,善生胀满,故肉病者无多食甘。《五味论》曰:甘走肉,多食之令人……心酸。酸能收缩,故在筋者无多食酸。《五味论》曰:酸走筋,多食之令人癃。张骥按语:《五味篇》曰:甘入于胃,其气弱小,不能上至于上焦,而与谷留于胃中者,令人柔润,其气外通于肉,故甘走肉。酸入于胃,其气涩以收,上之两焦弗能出入也,下注膀胱,得酸则缩约而不通,水道不行。阴者,积筋之所终,故走筋。
这叫做五禁,不要令其多食。
新校正云:按《太素·五禁》云:肝病禁辛,心病禁咸,脾病禁酸,肺病禁苦,肾病禁甘,名为五裁。杨上善云:口嗜而欲食之,不可多也,必自裁之,命曰五裁。张志聪注释说:五味所以养五脏之气者也。病则气虚,故无令多食。盖少则补,多则反伤其气。张骥按语:经云:五味入胃,各归所喜,故久而增气,物化之常也。气增而久,夭之由也。与禁无多食义同。
《灵枢·五味篇》说:五禁:肝病禁辛,心病禁咸,脾病禁酸,肾病禁甘,肺病禁苦。
余氏注释说:五味五气,有生有克,有补有泻,故五脏有病,禁服胜克之味。马莳注释说:此言五脏之味有五禁,皆五行之相克者也。金克木,故肝病禁辛;水克火,故心病禁咸;木克土,故脾病禁酸;土克水,故肾病禁甘;火克金,故肺病禁苦。此节当与《素问·宣明五气论》之五禁、《灵枢·九针论》之五裁参看。《宣明五气篇》曰:辛走气,气病无多食辛;咸走血,血病无多食咸;苦走骨,骨病无多食苦;甘走肉,肉病无多食甘;酸走筋,筋病无多食酸。是谓五禁。《九针论》曰:病在筋无食酸,病在气无食辛,病在骨无食咸,病在血无食苦,病在肉无食甘。张介宾注释说:辛味属金,能克肝木;咸味属水,能克心火;酸味属木,能克脾土;甘味属土,能克肾水;苦味属火,能克肺金。
黄帝问于少俞曰:五味入于口也,各有所走,各有所病。酸走筋,多食之令人癃;咸走血,多食之令人渴;辛走气,多食之令人洞心;苦走骨,多食之令人变呕;甘走肉,多食之令人……心。余知其然也,不知其何由,愿闻其故。
任谷注曰:《五营运大论》曰:东方生风,风生木,木生酸,酸生肝,肝生筋。南方生热,热生火,火生苦,苦生心,心生血。是五脏本于五味之所生而生,外合之筋骨血肉也。是以五味入口而各有所走。心主血,肾主骨,苦乃火之味,咸乃水之味,苦走骨而咸走血者,阴阳水火之交济也。肺主气,故辛走散。马莳注释说:癃,小便不通;洞心者,心内空也;……心者,心内闷也。
少俞回答曰:酸入于胃,其气涩以收,上之两焦弗能出入也。不出即留于胃中,胃中和温则下注膀胱。膀胱之胞薄以懦,得酸则缩绻约而不通,水道不行,故癃。阴者,积筋之所终,故酸入而走筋矣。
任氏注释说:五味阴阳之用:辛甘发散为阳,酸苦涌泄为阴,咸味涌泄为阴,淡味渗泄为阳。六者或收或散,或缓或急,或燥或润,或软或坚,是发散涌泄之中而又有收散缓急之性矣。上焦开发,宣五谷味;中焦出气如露,以行水谷之精。酸气收涩,故弗能出于上之两焦。不出则留于胃而溜于下焦,注于膀胱矣。膀胱为脬之室,脬居于中,故膀胱之体质脆薄以懦,得酸则易于缩绻,缩则纳而不通,水道不行。
The *Suwen* (Basic Questions) chapter "Shengqi Tongtian Lun" (Treatise on the Connection between Vital Qi and Heaven) states: The generation of Yin essence fundamentally lies in the five flavors; however, the injury to the five palaces (organs) of Yin also stems from the five flavors.
Wang Bing commented: By "Yin," it refers to the five Zang organs where the five spirits reside; by "palace," it refers to the dwelling place of the five spirits. This means that the substances generated by the five Zang organs originally rely on the five flavors. The five flavors circulate and transform, each gathering into its corresponding organ. Although Yin essence is born due to the five flavors, it is also damaged by them.
If one indulges in a specific flavor without moderation, injury will occur, as stated in the following text... Wu Kun commented: The five flavors are sufficient to nourish the five Zang organs, but they are also sufficient to damage them. Zhang Zhicong commented: Shen qi (spiritual energy) is born from Yin essence, and the essence of the five Zang organs is born from the five flavors; therefore... First, Qi is discussed, and finally, flavors are discussed. The *Lingshu* chapter "Benshen Pian" (Treatise on the Original Spirit) mentions: The five Zang organs govern the storage of essence and must not be injured. Once injured, they lose their hold, leading to Yin deficiency; Yin deficiency leads to a lack of Qi; a lack of Qi leads to death. Therefore, one must carefully harmonize the five flavors to enjoy a natural lifespan. Generally, spirit, essence, Qi, and blood all depend on the five flavors for their generation and nourishment. The five palaces are the five Zang organs, the dwellings of the spirit. What is meant by "injury in the five flavors" is an imbalance or preference in dietary tastes. Ma Shi commented: This passage explains that the five flavors can damage the five Zang organs, and those who are good at preserving health should be cautious about this. The *Yinyang Yingxiang Dalun* (Great Treatise on Yinyang and Correspondences) says: Sour generates Liver, Bitter generates Heart, Sweet generates Spleen, Pungent generates Lung, Salty generates Kidney. Thus, the root of Yin lies in the five flavors. Yin refers to the five Zang organs, all of which belong to Yin. Hand-Taiyin Lung, Hand-Shaoyin Heart, Foot-Taiyin Spleen, Foot-Shaoyin Kidney, Foot-Jueyin Liver. However, the injury to the five palaces of Yin also lies in the five flavors. The *Yinyang Yingxiang Dalun* says: Sour injures sinews, Bitter injures Qi, Sweet injures flesh, Pungent injures skin and hair, Salty injures blood. Generally, if the five flavors are excessive, the five Zang organs will also be injured by them. The text mentions "injuring Qi and Blood"; since all Qi belongs to the Lung, and Bitter enters the Heart, why does it injure Qi? This is because Water overcomes Fire (Kidney Water overcoming Heart Fire), which is also harming what one normally controls (referring to reverse restriction). Thus, the five flavors can indeed injure the five palaces. Zhang Jiebin commented: The five palaces are the five Zang organs. The *Liujie Zangxiang Lun* (Treatise on Six Sections and Viscera Images) says: Earth feeds humans with the five flavors. Flavors receive the Qi of Earth, so they can generate the Yin of the five Zang organs. If the five flavors are not moderated, they will mutually overcome each other and instead damage their Yin. The meaning is as described in the following text. Ji's note: Yang is Qi, Yin is Flavor; thus, the injury of Yin lies in Flavor. The five palaces are the dwellings of the five spirits; Wang's commentary is correct. The *Huangting Jing* (Yellow Court Classic) states: In the palace of the Liver section, green layers within, below resides the Green Child, Lord Gongzi; in the palace of the Heart section, lotus containing splendor, below resides the Red Infant, Dan Yuanjia; in the palace of the Spleen section, belonging to Wu and Ji, within resides the Bright Infant, Huangshangli; in the palace of the Lung section, like a canopy, below resides the Infant sitting at the Jade Gate; in the palace of the Kidney section, Xuanque Yuan, within resides the Infant Ming Shangxuan. It also says: The fruits of grains are the essence of the earth, the five flavors are externally beautiful but internally evil, foul odors confuse the spirit and mind, how can fetal energy return to infancy? This is clear evidence that the five flavors injure the five palaces.
Therefore, if the taste is excessively sour, Liver Qi will have excess fluids, and Spleen Qi will cease.
Wang Bing commented: Excessive consumption of sour causes urinary difficulty (long); thus, the Liver has excess fluids. When fluids overflow internally, the Liver lobes distend. When Liver lobes distend, the Qi of the Spleen meridian ceases to flow. Why? Because Wood overcomes Earth. Wu Kun commented: When Wood is excessive, it overcomes Earth, so the Spleen ceases. Ma Shi commented: Sour generates Liver Wood; when Wood is superior and Earth is deficient, Spleen Qi consequently ceases. Zhang Jiebin commented: Fluids; Sour transforms according to Wood. Ji's note: "Guo" (excess) is equivalent to loss. The *Suwen* chapter "Shuwuguo Lun" (Treatise on Five Medical Errors) states that physicians make errors in treating diseases; again, the *Lingshu* chapter "Wujin Pian" (Treatise on Five Prohibitions) mentions five "guo" in acupuncture. Thus, "guo" has two meanings: using something when it should not be used is called "guo"; using something excessively when it should be used is also called "guo". The *Xishan Ji* records: In autumn, Lung Qi is vigorous and Liver Qi is weak, so nourish the Liver by eating sour foods. Among grains, beans; among fruits, plums; among animals, dog meat; among vegetables, huocai (broad bean leaves), consistent with medical classics, but do not exceed moderation.
If the taste is excessively salty, the Qi of the large bones becomes labored, muscles shorten, and Heart Qi is depressed.
Wang Bing commented: Excessive consumption of salty food causes skin and muscles to shorten and depresses Heart Qi, causing stagnation. Salty enters Blood. Labor of the large bones relates to Salty entering the Kidney. Wu Kun commented: Salty enters the Kidney and bones, softening and shrinking various substances. Also, Salty transforms according to Water and moves in Blood; when Water is superior, Fire extinguishes, so Heart Qi is depressed. Zhang Zhicong commented: The large bones refer to the high bones of the waist, the mansion of the Kidney. Ma Shi commented: The large bones are the prominent bones. The *Yuji Zhenzang Lun* (True Image of Jade Mechanism) also refers to them as large bones. When Kidney Qi is inversely injured, the large bones become labored; Water pathogen overcomes Fire, causing muscle shortening and depression of Heart Qi. Zhang Jiebin commented: Salty enters the Kidney, and the Kidney governs bones. Ji's note: The *Xishan Ji* records: When Spleen is strong and Kidney is weak in all seasons, nourish the Kidney by eating salty foods. Among grains, millet; among fruits, yam; among animals, pork; among vegetables, leek, consistent with medical classics, but do not exceed moderation.
If the taste is excessively sweet, the Heart becomes asthmatic and full, the complexion turns black, and Kidney Qi is unbalanced.
Wang Bing commented: Excessive consumption of sweet food causes heart stuffiness. Sweet nature is stagnant and slow, thus causing asthma, fullness, and kidney imbalance. Why? Earth suppresses Water. Heng means balance. Wu Kun commented: Sweet nature is stagnant and slow; Sweet transforms according to Earth. When Earth is hyperactive, it harms Water. Zhang Jiebin commented: When Earth is solid, Heart Qi cannot transmit to its son, causing asthma and fullness. The Kidney governs Water, and its color is black. When Earth is hyperactive, it injures the Kidney, so the complexion is black and Kidney Qi is unbalanced. Ma Shi commented: Sweet generates flesh. When Spleen pathogen is excessive, the child overcomes the mother; coming from the front constitutes an excess pathogen, causing Heart Qi asthma and fullness. Furthermore, Earth overcomes Water, transmitting to what it conquers; black appears externally, and Kidney Qi loses its balance. Zhang Jiebin commented: Sweet enters the Spleen and transforms according to Earth; when Earth is superior, Water disease occurs. Ji's note: The *Xishan Ji* records: In spring, Liver is strong and Spleen is weak, so nourish the Spleen by eating sweet foods. Among grains, japonica rice; among fruits, dates; among animals, beef; among vegetables, hibiscus leaves, consistent with medical classics, but do not exceed moderation.
If the taste is excessively bitter, Spleen Qi fails to moisten, and Stomach Qi becomes strong (dense).
Wang Bing commented: Bitter nature is hard and dry, yet it can nourish the Spleen and Stomach; thus, when Spleen Qi fails to moisten, Stomach Qi becomes strong and dense. Wu Kun commented: Bitter nature is hard and dry, so Spleen Qi fails to moisten. The Stomach likes dryness, so Stomach Qi becomes strong and dense. Zhang Zhicong commented: Yangming connects to the Heart, and the Qi of mother and son communicates. Bitter makes the mother Qi abundant and Stomach Qi strong. When Stomach Qi is strong, it cuts off connection with Spleen Yin; the Spleen does not transport fluids for the Stomach, so Spleen Qi fails to moisten. Since the Spleen does not transport, Stomach Qi becomes dense. Ma Shi commented: The human intestines and stomach must have two layers. When Heart Qi is excessive, Earth Qi is also surplus, causing the Stomach to bloat and become dense, unable to accept water and grain. One should use clearing heat and astringing herbs such as Huangqin, Lianhua, and Wumei. Nowadays, people do not recognize this syndrome, assuming that poor appetite is due to weak Stomach Qi, and still use Ginseng and Atractylodes, which increases Stomach pathogen, reduces intake further, increases bloating with more tonification, and the disease never resolves. The *Maiyao Jingwei Lun* (Essential Meaning of Pulse Requirements) says: When Stomach pulse is excess, there is bloating; when deficient, there is diarrhea. The so-called bloating refers precisely to Stomach Qi becoming dense. One must verify this through an excess Stomach pulse; if truly deficient, tonification is appropriate. Zhang Jiebin commented: Ru means moist. When Spleen Qi fails to moisten, Stomach Qi stagnates, hence "nai nong" (becomes dense). Nong means fullness/bloating. The *Wuwei Lun* (Treatise on Five Flavors) says: Bitter enters the Stomach; the Qi of the five grains cannot overcome bitterness. When bitter enters the lower epigastrium, the pathways of the Triple Burner are closed and blocked, causing vomiting; the meaning is similar here. Ji's note: The *Xishan Ji* records: In winter, Kidney is strong and Heart is weak, so nourish the Heart by eating bitter foods. Among grains, wheat; among fruits, oranges; among animals, mutton; among vegetables, wild leeks, roughly consistent with medical classics, but do not exceed moderation.
If the taste is excessively pungent, sinews and vessels become flaccid and relaxed, and spirit is damaged (Yang/Ying).
Wang Bing commented: Ju means moist, Chi means relaxed, Yang means long-lasting. Pungent nature is moistening and dispersing, nourishing sinews, thus causing sinews to relax and vessels to moisten, allowing spirit to last long. Why? Pungent tonifies the Liver. The *Zangqi Fashi Lun* (Treatise on Organ Qi Laws) says: The Liver desires dispersion; urgently eat pungent to disperse it; use pungent to tonify it. New Correction notes: According to this treatise on harm caused by excessive flavors, it is difficult to interpret "spirit lasting long." "Yang" is actually "Yang" (disaster/misfortune); ancient texts often use interchangeable characters. Wu Kun commented: Yang and Ying are the same. Zhang Zhicong commented: Ju means suppression, Chi means laxity. When Pungent is excessive, it dries fluids, preventing mutual generation, so spirit suffers disaster. Ma Shi commented: Pungent generates the Lung. If taste is excessively pungent, Metal pathogen overcomes Wood, sinews and vessels become obstructed and relaxed, and spirit fails halfway. "Yang" refers to the center, meaning half. The *Siqi Tiaoshen Lun* (Treatise on Regulating Spirit According to Four Seasons) mentions "Wei Yang jue mie" (not yet exhausted/extinguished), implying failure at half. Here, "spirit becomes Yang" means spirit only lasts until half. *Shijing Xiaoya Ye Wei Yang*: Zhang Jiebin commented: Ju means broken, Chi means lax, Yang and Ying are the same. Pungent disperses Qi, causing spirit depletion, hence "nai Yang." Ji's note: The *Xishan Ji* records: In summer, Heart is strong and Lung is weak, so nourish the Lung by eating pungent foods. Among grains, yellow millet; among fruits, peaches; among animals, chicken; among vegetables, scallions, consistent with medical classics, but do not exceed moderation. The *Huangting Pian* says: What are the Four Seas? Qi, Blood, Essence, and Marrow. The key lies in guarding against five injuries: Excessive salty injures the Heart; excessive bitter injures the Lung; excessive sour injures the Spleen; excessive pungent injures the Liver; excessive sweet injures the Kidney.
Therefore, carefully harmonizing the five flavors results in straight bones and flexible sinews, flowing Qi and Blood, and tight interstices. In this way, bone Qi becomes refined; adhering strictly to the Dao ensures a long natural lifespan.
Wang Bing commented: This is the supreme Dao of cultivating innate truth. Zhang Zhicong commented: The Kidney stores essence and governs bones; the Liver stores blood and governs sinews. When wind pathogens invade and contaminate Qi, evil damages the Liver and affects essence. Carefully harmonizing the five flavors results in straight bones, flexible sinews, and tight interstices. Thus, Yang Qi is born from Yin essence and serves as the external guard of Yin, hence "Yin stores essence and rises urgently; Yang guards the exterior and secures." Knowing the ways of Yin-Yang and interior-exterior, avoiding excessive labor to injure Yang, moderating flavors to nourish essence, and maintaining harmony ensures balanced Yin-Yang and a long natural lifespan. Zhang Jiebin commented: Internally, Yin Qi is dominant. However, Yin Qi is inside while interstices are outside, seemingly unrelated, yet here it says "interstices are tight" because Yin and Yang, interior and exterior naturally correspond. Not only does secure Yang sufficiently consolidate Yin, but strong Yin also strengthens Yang. Thus, evils originating externally causing asthma, collapse, essence loss, dysentery, cough, etc., are Yang diseases affecting Yin. Conversely, excessive labor, anger, irregular diet and lifestyle causing burning collapse, exhaustion of form and Qi, tendon/vessel/hemorrhoid issues, Qi reversal, and bone destruction are Yin injuries affecting the exterior Yang. This is why Yin cannot be neglected.
The *Suwen* chapter "Wuzang Shengcheng Pian" (Treatise on the Generation of Five Zang Organs) states: Excessive consumption of salty causes vessels to coagulate and discolor.
Wang Bing commented: The Heart matches vessels, its luster is in the complexion. Salty benefits the Kidney, overcoming the Heart. When the Heart cannot overcome, vessels coagulate and color changes. Yang. Wu Kun commented: Qi is the same as Se (astringent/stagnant). Zhang Zhicong commented: This continues the previous discussion on the harm of excess. The Five Elements have mutual generation and restriction; neither can be neglected. If restriction is excessive, there is mutual destruction. Ma Shi commented: This discusses injury based on what is governed. What the Heart governs is solely the Kidney; the Kidney's flavor is salty. Zhang Jiebin commented: Salty transforms according to Water; Water can overcome Fire.
Excessive consumption of bitter causes skin to wither and hair to fall out.
Wang Bing commented: The Lung matches skin, its luster is in hair. Bitter benefits the Heart, overcoming the Lung. When the Lung cannot overcome, skin withers and hair falls out. Wu Kun commented: Bitter transforms according to Fire; skin and hair belong to Metal. Zhang Zhicong commented: Excessive bitter is excessive Fire flavor injuring the Lung. Ma Shi commented: What the Lung governs is solely the Heart; thus, the Heart's flavor is bitter. Zhang Jiebin commented: Bitter transforms according to Fire; Fire can overcome Metal.
Excessive consumption of pungent causes sinews to tighten and nails to wither.
Wang Bing commented: The Liver matches sinews, its luster is in nails. Pungent benefits the Lung, overcoming the Liver. When the Liver cannot overcome, sinews tighten and nails wither. Wu Kun commented: Pungent transforms according to Metal; sinews and nails belong to Wood. Zhang Zhicong commented: Excessive pungent is excessive Metal flavor injuring the Liver. Ma Shi commented: What the Liver governs is solely the Lung; thus, the Lung's flavor is pungent. Excessive pungent causes the Liver to be injured by the Lung. Zhang Jiebin commented: Pungent transforms according to Metal; Metal can overcome Wood.
Excessive consumption of sour causes calluses on flesh and lifting of lips.
Wang Bing commented: The Spleen matches flesh, its luster is in lips. Sour benefits the Liver, overcoming the Spleen. When the Spleen cannot overcome, calluses form on flesh and lips lift. Wu Kun commented: Sour transforms according to Wood; flesh and lips belong to Earth. Zhang Zhicong commented: Excessive sour is excessive Wood flavor injuring the Spleen. Ma Shi commented: What the Spleen governs is solely the Liver; thus, the Liver's flavor is sour. Excessive sour causes the Spleen to be injured by the Liver. Zhang Jiebin commented: Zhi means thick skin, referring to calluses on hands and feet.
Excessive consumption of sweet causes bone pain and hair loss.
Wang Bing commented: The Kidney matches bones, its luster is in hair. Sweet benefits the Spleen, overcoming the Kidney. When the Kidney cannot overcome, bones ache and hair falls. Wu Kun commented: Sweet transforms according to Earth; bones and hair belong to Kidney Water. Zhang Zhicong commented: Excessive sweet is excessive Earth flavor injuring the Kidney. Ma Shi commented: What the Kidney governs is solely the Spleen; thus, the Spleen's flavor is sweet. Excessive sweet causes the Kidney to be injured by the Spleen. Zhang Jiebin commented: Sweet transforms according to Earth; Earth can overcome Water.
These are the injuries caused by the five flavors.
Wang Bing commented: The five flavors enter the mouth, transport to the intestines and stomach, and internally nourish the five Zang organs. Each has its nourishment and desire; desire leads to mutual injury. Wu Kun commented: Each of the five flavors has specific injuries, as stated in "The five palaces of Yin are injured by the five flavors." Zhang Zhicong commented: The five flavors nourish the five Zang organs. When one Zang overcomes another, the conquered Zang is injured. Ji's note: The five desires and five aversions are detailed in the *Wuyi Pian* (Treatise on Five Suitabilities). However, flavors have biases and should not be excessive or too abundant. Using Qi must not deviate slightly; using flavors requires particular scrutiny. The *Hongfan* states: Water flows downward, downward salinity produces saltiness; Fire flares upward, upward bitterness produces bitterness; Wood bends and straightens, bending-straightening produces sourness; Metal yields and changes, yielding-changing produces pungency; Earth plants and harvests, planting-harvesting produces sweetness. Bitter goes straight and drains; Pungent moves horizontally and disperses; Sour binds and converges; Salty stops and softens hardness; Sweet can go up or down, Earth occupies the center and encompasses the Five Elements. The five Zang organs have no exclusive归属, specifically entering Taiyang and promoting urination. However, herbs and trees are tangible but lack spirit/emotion, acting with single natures to achieve effects. Humans inherit the Five Elements, possessing spiritual and emotional bodies, entirely relying on Yin-Yang transformation, restraint, mutual generation, and growth for function. To correct bias and save弊端, with proper formulation and balance, avoiding excess and deficiency, aligning perfectly with the mean, eliminates the harm of increasing Qi bias and achieves peaceful nourishment. Making the insubstantial become substantial is the divine adaptation of medication, eliminating concerns of excessive injury.
The *Suwen* chapter "Xuanming Wuqi Pian" (Treatise on Five Qi Manifestations) states: Prohibitions of the five flavors: Pungent travels to Qi; in Qi diseases, do not consume excessive pungent.
Wang Bing commented: Disease refers to weakness where one cannot bear oneself. Wu Kun commented: Pungent is Yang, Qi is also Yang; same Qi seeks each other, so Pungent travels to Qi. Pungent primarily disperses; those with weak Qi consuming it will further deplete Qi, hence prohibited. Zhang Zhicong commented: "The generation of Yin lies in the five flavors; the injury to the five palaces of Yin lies in the five flavors," hence prohibiting excessive consumption. The Lung governs Qi, Pungent enters the Lung, hence travels to Qi. Zhang Jiebin commented: Pungent can scatter Qi. Ji's note: The *Wuwei Pian* states: Pungent enters the Stomach, its Qi ascends to the Upper Jiao. The Upper Jiao receives Qi to nurture Yang, so upon entering Pungent, sweat emerges together.
Salty travels to Blood; in Blood diseases, do not consume excessive salty. Bitter travels to Bones; in Bone diseases, do not consume excessive bitter.
New Correction notes: According to Huangfu Mi, Salty first travels to the Kidney. Here it says travels to Blood because the Kidney combines with Sanjiao blood vessels; although belonging to Liver and Heart, it is the pathway of the Middle Jiao, so Salty enters and travels to Blood. Bitter travels to the Heart; here it says travels to Bones because Fire and Water assist each other, and Bone Qi connects to the Heart. Wu Kun commented: Salty is Yin, Blood is also Yin; same Qi seeks each other, so Salty travels to Blood. Blood receiving Salty coagulates and does not flow, hence Salt is prohibited in Blood diseases. Bitter is Yin, Bone is also Yin; same Qi enters, so Bitter travels to Bones. Bones receiving Bitter increase Yin, making bones heavy and difficult to lift, hence Bitter is prohibited in Bone diseases. Zhang Zhicong commented: The Heart governs Blood; downward moisture produces Salty; Salty traveling to Blood means Water Qi ascending to the Heart. The Kidney governs Bones; upward flare produces Bitter; Bitter traveling to Bones means Fire Qi descending to the Kidney. This is consistent with the meaning "combining with Heart brings joy, combining with Kidney brings fear." Since Heart and Kidney Fire and Water Qi mutually assist, their travel paths interchange. The other three Zang organs' flavors travel to the tendons, muscles, and flesh they govern. Ma Shi commented: This states that diseases of the five Zang organs have specific dietary prohibitions. The *Lingshu·Wuwei Pian* states: Sour travels to sinews, excessive consumption causes urinary difficulty; Salty travels to Blood, excessive consumption causes thirst; Pungent travels to Qi, excessive consumption causes hollow heart sensation; Bitter travels to Bones, excessive consumption causes vomiting; Sweet travels to flesh, excessive consumption causes heart discomfort. Shaoyu's answers are particularly detailed and should be consulted. Zhang Jiebin commented: Blood receiving Salty coagulates and does not flow. The *Wuwei Lun* states: Salty and Blood interact causing coagulation. Bitter nature sinks and is Yin; Bones belong to Kidney and are also Yin; Bones receiving Bitter sink Yin into the Kidney, making bones heavy and difficult to lift, hence Bitter is prohibited in Bone diseases. The *Jiuzhen Lun* states: Bitter travels to Blood, Water transforms Salty hence travels to Bones; the meaning is also appropriate. Ji's note: The *Wuwei Lun* states: Salty enters the Stomach, its Qi ascends to the Middle Jiao, injecting into vessels, causing Qi and Blood to follow. Blood vessels are the pathways of the Middle Jiao. Bitter enters the Stomach; the Qi of the five grains cannot overcome bitterness. Bitter enters the lower epigastrium, closing the pathways of the Triple Burner. Bitter enters and travels to Bones, so entering and exiting reveals its travel to Bones.
Sweet travels to Flesh; in Flesh diseases, do not consume excessive sweet. Sour travels to Sinews; in Sinew diseases, do not consume excessive sour.
Wang Bing commented: These all move Qi rapidly, hence one should not consume excessively. Excessive consumption worsens the disease, hence patients should not eat them. Wu Kun commented: Sweet is Earth, Flesh is also Earth; following similarity, Sweet travels to Flesh. Flesh receiving Sweet worsens edema and bloating, hence Sweet is prohibited in Flesh diseases. Sour is Wood, Sinews are also Wood; following similarity, Sour travels to Sinews. Sinews receiving Sour worsens contraction and drawing-in, hence Sour is prohibited in Sinew diseases. Zhang Zhicong commented: The Spleen governs muscles; Sweet is Earth flavor. In Spleen disease, excessive consumption inversely injures Spleen Qi. The Liver combines with sinews; Sour travels to the Liver. In Sinew disease, excessive consumption inversely injures Liver Qi. Zhang Jiebin commented: Sweet can relax the middle and easily cause bloating, hence those with Flesh diseases should not consume excessive sweet. The *Wuwei Lun* states: Sweet travels to flesh, excessive consumption causes... Heart discomfort. Sour can contract, hence those with Sinews should not consume excessive sour. The *Wuwei Lun* states: Sour travels to sinews, excessive consumption causes urinary difficulty. Ji's note: The *Wuwei Pian* states: Sweet enters the Stomach, its Qi is weak and small, unable to reach the Upper Jiao, remaining in the Stomach with grain, making it moist; its Qi extends externally to flesh, hence Sweet travels to flesh. Sour enters the Stomach, its Qi is astringent and contracting, unable to exit or enter the Upper and Middle Jiao, descending to the Bladder; receiving Sour causes contraction and blockage, water pathways do not flow. Yin is the termination of accumulated sinews, hence travels to sinews.
This is called the Five Prohibitions; do not allow excessive consumption.
New Correction notes: According to *Tai Su·Wujin*, Liver disease prohibits Pungent, Heart disease prohibits Salty, Spleen disease prohibits Sour, Lung disease prohibits Bitter, Kidney disease prohibits Sweet, named the Five Restraints. Yang Shangshan said: Mouth craves and desires food, but one must not consume excessively; one must self-restrain, called the Five Restraints. Zhang Zhicong commented: The five flavors nourish the Qi of the five Zang organs. In disease, Qi is deficient, hence do not allow excessive consumption. Little tonifies, excessive inversely injures Qi. Ji's note: The Classics state: Five flavors enter the Stomach, each returning to its preference; thus, long-term consumption increases Qi, which is the normal transformation of things. Long-term increase of Qi is the cause of premature death. This is consistent with the meaning of prohibiting excessive consumption.
The *Lingshu·Wuwei Pian* states: Five Prohibitions: Liver disease prohibits Pungent, Heart disease prohibits Salty, Spleen disease prohibits Sour, Kidney disease prohibits Sweet, Lung disease prohibits Bitter.
Yu Shi commented: The five flavors and five Qi have generation and restriction, tonification and purgation; thus, in diseases of the five Zang organs, prohibit flavors that overcome and restrict. Ma Shi commented: This states the five prohibitions of the five Zang organ flavors, all based on the mutual restriction of the Five Elements. Metal overcomes Wood, hence Liver disease prohibits Pungent; Water overcomes Fire, hence Heart disease prohibits Salty; Wood overcomes Earth, hence Spleen disease prohibits Sour; Earth overcomes Water, hence Kidney disease prohibits Sweet; Fire overcomes Metal, hence Lung disease prohibits Bitter. This section should be cross-referenced with the Five Prohibitions in *Suwen·Xuanming Wuqi Lun* and the Five Restraints in *Lingshu·Jiuzhen Lun*. The *Xuanming Wuqi Pian* states: Pungent travels to Qi, in Qi disease do not eat excessive Pungent; Salty travels to Blood, in Blood disease do not eat excessive Salty; Bitter travels to Bones, in Bone disease do not eat excessive Bitter; Sweet travels to Flesh, in Flesh disease do not eat excessive Sweet; Sour travels to Sinews, in Sinew disease do not eat excessive Sour. This is called the Five Prohibitions. The *Jiuzhen Lun* states: Disease in sinews do not eat Sour, disease in Qi do not eat Pungent, disease in Bones do not eat Salty, disease in Blood do not eat Bitter, disease in Flesh do not eat Sweet. Zhang Jiebin commented: Pungent flavor belongs to Metal, can overcome Liver Wood; Salty flavor belongs to Water, can overcome Heart Fire; Sour flavor belongs to Wood, can overcome Spleen Earth; Sweet flavor belongs to Earth, can overcome Kidney Water; Bitter flavor belongs to Fire, can overcome Lung Metal.
The Yellow Emperor asked Shaoyu: When the five flavors enter the mouth, each travels to a specific location and causes specific diseases. Sour travels to sinews, excessive consumption causes urinary difficulty; Salty travels to Blood, excessive consumption causes thirst; Pungent travels to Qi, excessive consumption causes hollow heart sensation; Bitter travels to Bones, excessive consumption causes vomiting; Sweet travels to flesh, excessive consumption causes... heart discomfort. I know this is so, but I do not know the reason; I wish to hear the cause.
Ren Gu's note: The *Wuyun Yunda Lun* (Great Treatise on Five Movements and Six Qi) states: The East generates Wind, Wind generates Wood, Wood generates Sour, Sour generates Liver, Liver generates Sinews. The South generates Heat, Heat generates Fire, Fire generates Bitter, Bitter generates Heart, Heart generates Blood. Thus, the five Zang organs originate from the generation of the five flavors and externally combine with sinews, bones, flesh, and blood. Therefore, when the five flavors enter the mouth, they each travel to specific locations. The Heart governs Blood, the Kidney governs Bones; Bitter is the flavor of Fire, Salty is the flavor of Water. Bitter traveling to Bones and Salty traveling to Blood represents the mutual assistance of Yin-Yang and Water-Fire. The Lung governs Qi, hence Pungent disperses. Ma Shi commented: Long means urinary obstruction; Dongxin means emptiness inside the Heart; ... Xin means stuffiness inside the Heart.
Shaoyu answered: Sour enters the Stomach, its Qi is astringent and contracting, unable to exit or enter the Upper and Middle Jiao. If it does not exit, it remains in the Stomach. The warmth of the Stomach causes it to descend to the Bladder. The bladder sac is thin and fragile; receiving Sour causes it to contract and tighten, blocking water pathways, hence urinary difficulty. Yin is the termination of accumulated sinews, hence Sour enters and travels to sinews.
Ren's note: The application of Yin-Yang in the five flavors: Pungent and Sweet disperse and spread are Yang; Sour and Bitter induce vomiting and drain are Yin; Salty induces vomiting and drains is Yin; Bland promotes permeation and drainage is Yang. The six types either converge or disperse, either relax or tense, either dry or moisten, either soften or harden; within dispersion and drainage, there are properties of convergence, dispersion, relaxation, and tension. The Upper Jiao opens and develops, distributing the Qi of grain and flavor; the Middle Jiao emits Qi like dew, circulating the essence of water and grain. Sour Qi is astringent and contracting, hence unable to exit the Upper and Middle Jiao. If it does not exit, it remains in the Stomach and slides to the Lower Jiao, injecting into the Bladder. The Bladder is the chamber of the bladder sac; the sac resides in the middle, so the Bladder's constitution is thin and fragile. Receiving Sour makes it prone to contraction; contraction leads to retention and blockage, water pathways do not flow.