病有身重不能转侧者,有身疼不能转侧
者,何也?身重不能转侧者,下后血虚,津液不荣于外也。身疼不能转侧者,风湿相搏
于经也。二者颇类,虚实不同,治则各异。若症恶而觉身重倍常者,死。以阴阳气离,
形骸独留,无气升举,故身倍重也。其肉苛者,虽着衣絮,犹尚苛也。由发汗过多,损
伤荣卫,肉失所养,故顽痹不仁,痛痒不知也。用羌活冲和汤类加桂枝、当归、木香主之。
头者,诸阳之会,阳脉有乖,则头为之摇动。《经》曰∶诸风掉眩,皆属肝木。多
因气血虚弱,而风火上乘,鼓动以致之,然有心绝而摇头者,有风盛而摇头者,盖阴根
于阳,阳根于阴,阴阳互根,气血周流无间。若心绝则神去而阴竭,阳独无根,不能
自主,所以头摇。《经》云∶阳毒留形,体如烟熏,直视摇头是也。至于太阳发 ,
则风盛于上,风主乎动,是以头摇。《经》所谓∶独摇头,卒口噤,而背反张者是也。
言摇头中有痛也。言者为虚,不言为实,均是摇头,析而分之,曰虚邪、曰实邪、曰真
邪,当随症施治,外灸百会、风府等穴,其摇即定。
鼻为肺窍,肺为脏首,寒欲客肺,肺则与邪相搏,是以肺液为涕,气壅而塞,此为
寒也。久则郁而为热,火烁金燥,津液不濡,荣卫凝滞,清气不升,是以肺窍为之不
通,此之热也。寒者温之,热者清之。
疾病中有身体沉重、无法翻转身体的,有身体疼痛、无法翻身转侧的,这是为什么呢?身体沉重且无法翻身的,是因为误用下法后导致血虚,津液不能濡养体表所致。身体疼痛且无法翻身的,是风湿之邪相互搏结于经络所致。这两种情况颇为相似,但虚实不同,治疗方法也各异。如果症状凶险且感觉身体比平时更沉重的,预后不良(死证)。这是因为阴阳之气分离,形骸独存,没有阳气升举支撑,所以身体格外沉重。至于肌肉麻木不仁(肉苛),即使穿着棉絮衣物,仍然感到麻木不适。这是由于发汗过多,损伤了营卫之气,肌肉失去滋养,所以出现顽痹、不知痛痒的症状。治疗可用羌活冲和汤类方剂,加入桂枝、当归、木香来主治。
头部是诸阳经汇聚之处,如果阳脉失调,头部就会发生摇动。《内经》说:各种风病引起的震颤眩晕,都归属于肝木。这多因气血虚弱,风火之邪上乘,鼓动头部所致。但也有心气绝导致的摇头,有风邪盛导致的摇头。因为阴根于阳,阳根于阴,阴阳互根,气血周流无间断。如果心气衰竭,则神志离去而阴液枯竭,阳气独自失去根基,不能自主控制,所以头部摇动。《内经》说:阳毒留滞形体,身体像烟熏一样黑,眼睛直视且头部摇动,就是这种情况。至于太阳病发汗不当,则风邪盛于上部,风性主动,所以头部摇动。这就是《内经》所说的:单独头部摇动,突然口噤,背部反张的情况。这里说的摇头中伴有疼痛。言语清晰的是虚证,言语不清的是实证。同样是摇头,分析区分开来,分为虚邪、实邪、真邪,应当根据症状施治,外部可灸百会、风府等穴位,头部摇动即可停止。
鼻子是肺的外窍,肺为五脏之首,寒邪欲侵犯肺脏,肺脏与邪气相搏结,因此肺液化为鼻涕,气机壅塞而鼻塞,这是寒证。时间久了则郁而化热,火热灼伤肺金导致干燥,津液不能濡润,营卫凝滞,清气不能上升,因此肺窍不通畅,这是热证。寒证用温法治疗,热证用清法治疗。
There are cases of disease where the body feels heavy and cannot turn over, and cases where the body aches and cannot turn over. What is the reason? When the body is heavy and unable to turn over, it is due to blood deficiency following inappropriate purgation (downward-draining methods), causing body fluids to fail to nourish the exterior. When the body aches and cannot turn over, it is due to wind-dampness pathogens battling each other within the meridians. These two conditions are quite similar but differ in excess and deficiency, thus requiring different treatment principles. If the symptoms are ominous and the heaviness of the body is doubled compared to usual, it indicates a critical condition (death). This is because yin and yang qi have separated, leaving only the physical form; without qi to lift and support, the body feels exceptionally heavy. Regarding "muscular numbness" (Rou Ke, a sensation of numbness and stiffness in the muscles even with clothing), even when wearing cotton wadding, the patient still feels this numbness. This arises from excessive sweating damaging the Ying (Nutritive) and Wei (Defensive) qi, causing the muscles to lose their nourishment, resulting in stubborn bi-syndrome (obstruction syndrome) with insensitivity to pain and itching. Treatment should employ formulas such as Qianghuo Chonghe Tang (Notopterygium Decoction for Harmonizing the Middle), modified with Guizhi (Cinnamon Twig), Danggui (Angelica Sinensis), and Muxiang (Aucklandia Root).
The head is the convergence point of all Yang meridians. If the Yang meridians are disordered, the head will tremble or shake. The Classic states: "All wind diseases involving tremors and dizziness belong to Liver Wood." This is often caused by Qi and Blood deficiency, allowing Wind-Fire pathogens to ascend and agitate the head. However, there are cases of head shaking due to Heart Qi exhaustion and cases due to excessive Wind. Since Yin is rooted in Yang, and Yang is rooted in Yin, they are mutually dependent, and Qi and Blood flow continuously without interruption. If Heart Qi fails, the Spirit departs and Yin fluids are exhausted; Yang remains alone without a root and loses autonomous control, hence the head shakes. The Classic says: "When Yang-toxin lingers in the form, the body appears smoked, with fixed gaze and head shaking," which describes this condition. In cases of Taiyang disease where improper sweating leads to excessive Wind at the upper part, and since Wind governs movement, the head shakes. This corresponds to what the Classic says: "Isolated head shaking, sudden jaw lock, and opisthotonos (backward arching of the back)." Here, head shaking accompanied by pain is mentioned. Clear speech indicates a Deficiency pattern, while unclear speech indicates an Excess pattern. Although both involve head shaking, analyzing them separately reveals patterns of Deficient Pathogen, Excess Pathogen, and True Pathogen; treatment must be tailored to the specific symptoms. External moxibustion on acupoints such as Baihui (GV20) and Fengfu (GV16) can stabilize the shaking.
The nose is the external opening of the Lung. The Lung is the chief of the Zang organs. When Cold pathogen attempts to invade the Lung, the Lung battles the pathogen, causing Lung fluids to transform into nasal discharge. Qi becomes obstructed and blocked, constituting a Cold pattern. Over time, stagnation transforms into Heat; Fire scorches Metal (Lung), causing dryness, body fluids fail to moisten, Ying and Wei become stagnant, and Clear Qi fails to ascend, leading to blockage of the nasal orifice, constituting a Heat pattern. Cold patterns are treated with warming methods, and Heat patterns are treated with clearing methods.