厥阴有余,病阴痹;(厥阴者,风木之气也。风木有余,则邪并于肝。肝经之脉,结于诸阴之分,故病
为阴痹。此下皆提脉象以明之也。善诊者无泥于文。)不足,病生热痹。(厥阴之气不足,则阳邪胜之,
故病生热痹。)滑则病狐疝风,(滑为阳邪有余,而病风者,热则生风也,疝者,前阴少腹之病,男女五脏皆
有之,狐之昼伏夜出,阴兽也。疝在厥阴,其出入上下不常,与狐相类,故曰狐疝风。此非外之入风,乃以
肝邪为言也。)涩则病少腹积气。(涩为气虚,为血滞,故邪气留止而病为积聚。)少阴有余,病皮痹,隐轸。
(少阴者,君火之气也。火盛则克金,皮者肺之合,故为皮痹。隐轸,即瘾疹也。)不足病肺痹。(火不
足则金无所畏,燥邪独胜,故病为肺痹。)滑则病肺风疝,(滑实则君火为邪,故乘于肺,病在气也。)涩则
病积、溲血。(涩为心血不足,故经滞而为积聚,血乱而为溲血也。)太阴有余,病肉痹、寒中;(太阴
者,湿土之气也。湿邪有余,故为肉痹;寒湿在脾,故为寒中。)不足病脾痹。(上弱则脾气不行也。)
滑则病脾风疝,(太阴脉滑,则土邪有余。脾风疝者,即 肿重坠之属,病在湿也。)涩则病积,心腹时满。(
脾脉入腹,上注心中,涩因脾弱,故病脾积及心腹时满。)阳明有余,病脉痹,身时热;(阳明者,燥金之
气也;其合大肠与胃。燥气有余,则血脉虚而阴水弱,故病脉痹及身为时热。)不足,病心痹。(燥气不足。则
火胜为邪,故病为心痹。)滑则病心风疝,(滑则燥热生风,热则主于心也,故为心风疝。)涩则病积,
时善惊。(涩则胃虚而滞,故病胃积,虚
者风木乘之,故善惊。)太阳有余,病骨痹,身重;(太阳者,寒水也之气。其合肾,其主骨。故太阳寒邪
有余者主为骨痹,为身重。)不足,病肾痹。(不足则肾气弱,故病为肾痹。)滑则病肾风疝,(太阳滑实
者,风寒挟邪,故病肾风疝。)涩则病积、善时巅疾。(太阳之脉,交巅上,络肾,属膀胱,故其脉涩气滞,
当为肾积及顶巅之病。)少阳有余,病筋痹、胁满;(少阳者,相火之气也,其合肝胆,其主筋,其
脉行于胁肋,故少阳之邪有余者病筋痹、胁满。)不足,病肝痹。(少阳不足,则肝脏气虚,故病为肝痹。)
滑则病肝风疝,(滑实则风热合邪而为肝风疝,病在筋也。)涩则病积,时筋急、目痛。(涩以血滞,故病肝
积。肝主筋,开窍于目,故为筋急、目痛。疝症不一,狐疝出入不常,又从下而上也; 疝顽肿不仁,又
从上而下也;冲疝自少腹上冲心而痛也;厥疝积气在腹中,气逆为疝也;有瘕者,以少腹冤热而痛出白,一
名曰蛊也;有六经风疝者,如上所云也;有小肠疝者,小腹痛,腰脊控睾而痛,时窘之后者,亦疝之属也。
任脉为病,男子内结七疝,女子带下瘕聚。盖任脉者,起于中极之下,以上毛际,循腹里,上关元,总诸
阴之会;故诸疝之在小腹者,无不由任脉为之原而诸经为之派耳,云七疝者,乃总诸疝
为言,不过六七耳。后世俗工所立谬名,又独以厥阴经为言者,皆未当也,大都此症寒则多痛,热则多纵,
湿则多肿坠,虚者亦然,若重在血分者不移,在气分者多动,分察六者于诸经,各因其多少虚实而兼治之,自
无不效也。)
厥阴经气有余,会患阴痹;(厥阴对应风木之气。风木之气过盛,则邪气并入肝脏。肝经的脉络,结聚于诸阴经分布的区域,所以病表现为阴痹。以下各条都是提出脉象来阐明这一点的。善于诊察的人不要拘泥于文字。)厥阴经气不足,会患热痹。(厥阴之气虚弱,则阳邪胜过它,所以病生热痹。)脉滑则患狐疝风,(滑脉代表阳邪有余,而患风病的,是因为热极生风。疝,是指前阴和少腹部的疾病,男女五脏都可能出现。狐狸白天潜伏夜晚出来,是阴兽。疝气在厥阴经,其出入上下变化无常,与狐狸相似,所以叫狐疝风。这里说的不是外来的风邪,而是指肝经邪气。)脉涩则患少腹积气。(涩脉代表气虚、血滞,所以邪气停留止聚而病为积聚。)
少阴经气有余,患皮痹,隐轸。(少阴对应君火之气。火气旺盛则克制肺金,皮肤是肺的外合,所以为皮痹。隐轸,就是瘾疹。)少阴经气不足患肺痹。(火气不足则肺金无所畏惧,燥邪独胜,所以病为肺痹。)脉滑则患肺风疝,(滑实则是君火为邪,所以乘袭于肺,病在气分。)脉涩则患积聚、尿血。(涩脉代表心血不足,所以经脉阻滞而为积聚,血液紊乱而为尿血。)
太阴经气有余,患肉痹、寒中;(太阴对应湿土之气。湿邪有余,所以为肉痹;寒湿在脾,所以为寒中。)太阴经气不足患脾痹。(上焦虚弱则脾气不能运行。)脉滑则患脾风疝,(太阴脉滑,则土邪有余。脾风疝,即肿胀重坠类的疾病,病在湿邪。)脉涩则患积聚,心腹部时常胀满。(脾脉入腹,上注心中,涩脉因脾弱,所以病脾积及心腹部时常胀满。)
阳明经气有余,患脉痹,身体时常发热;(阳明对应燥金之气;其配合大肠与胃。燥气有余,则血脉虚而阴水弱,所以病脉痹及身体时常发热。)阳明经气不足,患心痹。(燥气不足,则火胜成为邪气,所以病为心痹。)脉滑则患心风疝,(滑脉则燥热生风,热邪主于心,所以为心风疝。)脉涩则患积聚,时常容易受惊。(涩脉则胃虚而气滞,所以病胃积,虚者风木乘袭之,所以容易受惊。)
太阳经气有余,患骨痹,身体沉重;(太阳对应寒水之气。其配合肾,主管骨骼。所以太阳寒邪有余者主要导致骨痹,身体沉重。)太阳经气不足,患肾痹。(不足则肾气虚弱,所以病为肾痹。)脉滑则患肾风疝,(太阳脉滑实者,是风寒挟带邪气,所以病肾风疝。)脉涩则患积聚,时常发生巅顶部位的疾病。(太阳的脉络,交会于巅顶,络属肾脏,属于膀胱,所以其脉涩气滞,应当出现肾积及头顶巅部的疾病。)
少阳经气有余,患筋痹、胁肋胀满;(少阳对应相火之气,其配合肝胆,主管筋脉,其脉行于胁肋,所以少阳之邪气有余者患筋痹、胁肋胀满。)少阳经气不足,患肝痹。(少阳不足,则肝脏气虚,所以病为肝痹。)脉滑则患肝风疝,(滑实则风热合邪而为肝风疝,病在筋脉。)脉涩则患积聚,时常筋脉拘急、眼睛疼痛。(涩脉因血滞,所以病肝积。肝主管筋脉,开窍于目,所以出现筋脉拘急、眼睛疼痛。)
疝症有多种,狐疝出入无常,又从下向上;顽疝肿胀麻木不仁,又从上向下;冲疝从小腹上冲至心部而疼痛;厥疝积气在腹中,气逆形成疝;有瘕症,因为小腹冤热而痛并流出白色分泌物,一名叫做蛊;有六经风疝,如上面所说;有小肠疝,小腹痛,腰脊牵引睾丸而痛,时常窘迫后重,也属于疝症一类。任脉发病,男子内部结聚七疝,女子带下瘕聚。大概任脉,起于中极穴之下,向上经过阴毛际,沿腹部内侧,上行至关元穴,总汇诸阴经;所以所有在小腹部的疝症,无不由任脉作为本源而各经作为分支。所谓七疝,是总括各种疝症而言,不过六七种罢了。后世庸医所立的谬误名称,又唯独以厥阴经来论述的,都不恰当。大抵这类病症,寒则多疼痛,热则多弛纵,湿则多肿胀重坠,虚证也是如此,如果重在血分的就不移动,在气分的就多活动,分别考察六经中的这几种情况,根据虚实多少兼治,自然没有不有效的。)
When the Jueyin (Jueyin Liver and Pericardium) channel qi is in excess, Yin Bi (Yin Obstruction Syndrome) occurs. (Jueyin corresponds to the wind-wood qi. When wind-wood qi is excessive, pathogenic factors merge into the Liver. The Liver channel meridians knot at the areas distributed among the Yin channels, thus the disease manifests as Yin Bi. The following points all cite pulse images to clarify this. A skilled diagnostician should not be bound by the text.) When Jueyin channel qi is deficient, Re Bi (Heat Obstruction Syndrome) occurs. (When Jueyin qi is deficient, Yang pathogens overcome it, thus Heat Bi arises.) A slippery pulse indicates Hu Dan Feng (Fox Hernia Wind). (A slippery pulse represents excess Yang pathogens; contracting wind diseases implies that heat generates wind. 'Dan' refers to diseases of the anterior yin and lower abdomen, occurring in both men and women across the five zang organs. Foxes hide by day and emerge by night, being yin beasts. Hernias in the Jueyin channel vary in their ascent and descent frequently, resembling foxes, hence called Hu Dan Feng. This does not refer to external wind invasion, but rather speaks of Liver channel pathogens.) A choppy pulse indicates Ji Qi (Accumulated Qi) in the lower abdomen. (A choppy pulse signifies qi deficiency and blood stasis, so pathogens remain and stagnate, causing accumulation syndromes.)
When the Shaoyin (Shaoyin Heart and Kidney) channel qi is in excess, Pi Bi (Skin Obstruction Syndrome) and Yin Zhen (Urticaria) occur. (Shaoyin corresponds to the Ministerial Fire qi. Excessive fire overacts on Metal; skin is the exterior correspondence of the Lung, thus Pi Bi occurs. Yin Zhen is identical to Urticaria.) When Shaoyin channel qi is deficient, Fei Bi (Lung Obstruction Syndrome) occurs. (Insufficient fire means Metal has nothing to fear, so Dryness pathogens prevail alone, causing Fei Bi.) A slippery pulse indicates Fei Feng Dan (Lung Wind Hernia). (Slippery and excess indicate Ministerial Fire acting as a pathogen, thus attacking the Lung, with the disease located in the Qi level.) A choppy pulse indicates Accumulation and Zhou Xue (Blood in Urine). (A choppy pulse reflects deficiency of Heart Blood, causing meridian stagnation leading to accumulation, and chaotic blood flow leading to hematuria.)
When the Taiyin (Taiyin Spleen) channel qi is in excess, Rou Bi (Flesh Obstruction Syndrome) and Han Zhong (Cold in the Middle) occur. (Taiyin corresponds to the Damp-Earth qi. Excess Dampness causes Rou Bi; Cold-Dampness in the Spleen causes Han Zhong.) When Taiyin channel qi is deficient, Pi Bi (Spleen Obstruction Syndrome) occurs. (Upper jiao weakness leads to failure of Spleen Qi to circulate.) A slippery pulse indicates Pi Feng Dan (Spleen Wind Hernia). (A slippery Taiyin pulse indicates excess Earth pathogens. Pi Feng Dan belongs to swelling and heaviness/dropping sensations, with the pathology rooted in Dampness.) A choppy pulse indicates Accumulation and occasional fullness in the heart and abdomen. (The Spleen channel enters the abdomen and ascends to pour into the Heart. A choppy pulse due to Spleen weakness results in Spleen Accumulation and intermittent abdominal fullness.)
When the Yangming (Yangming Stomach and Large Intestine) channel qi is in excess, Mai Bi (Vessel Obstruction Syndrome) and periodic body heat occur. (Yangming corresponds to the Dry-Metal qi; its interior-exterior pairing involves the Large Intestine and Stomach. Excess Dryness leads to deficiency in blood vessels and weakness of Yin Water, thus causing Mai Bi and periodic bodily heat.) When Yangming channel qi is deficient, Xin Bi (Heart Obstruction Syndrome) occurs. (Insufficient Dryness allows Fire to become excessive and act as a pathogen, causing Heart Bi.) A slippery pulse indicates Xin Feng Dan (Heart Wind Hernia). (Slipperiness implies Dryness-Heat generating wind; Heat governs the Heart, thus Heart Wind Hernia occurs.) A choppy pulse indicates Accumulation and frequent fright. (Choppy pulses indicate Stomach deficiency and stagnation, leading to Stomach Accumulation; deficiency allows Wind-Wood to invade, causing frequent fright.)
When the Taiyang (Taiyang Bladder) channel qi is in excess, Gu Bi (Bone Obstruction Syndrome) and heavy body sensation occur. (Taiyang corresponds to Cold-Water qi. Its pairing is with the Kidney, which governs bones. Thus, excess Taiyang Cold pathogens primarily cause Bone Obstruction and heavy body sensation.) When Taiyang channel qi is deficient, Shen Bi (Kidney Obstruction Syndrome) occurs. (Deficiency leads to weak Kidney Qi, resulting in Kidney Bi.) A slippery pulse indicates Shen Feng Dan (Kidney Wind Hernia). (A slippery and excess Taiyang pulse indicates Wind-Cold carrying pathogens, causing Kidney Wind Hernia.) A choppy pulse indicates Accumulation and periodic disorders at the vertex. (The Taiyang meridian intersects at the vertex, connects to the Kidney, and belongs to the Bladder. Thus, a choppy pulse with qi stagnation indicates Kidney Accumulation and diseases of the crown/vertex.)
When the Shaoyang (Shaoyang Sanjiao and Gallbladder) channel qi is in excess, Jin Bi (Tendon Obstruction Syndrome) and hypochondriac fullness occur. (Shaoyang corresponds to the Ministerial Fire qi; its pairing is with the Liver and Gallbladder; it governs tendons; its course runs through the hypochondrium. Thus, excess Shaoyang pathogens cause Tendon Obstruction and hypochondriac fullness.) When Shaoyang channel qi is deficient, Gan Bi (Liver Obstruction Syndrome) occurs. (Shaoyang deficiency leads to Liver Qi deficiency, causing Liver Bi.) A slippery pulse indicates Gan Feng Dan (Liver Wind Hernia). (Slippery and excess indicate Wind-Heat combining as pathogens to form Liver Wind Hernia, with pathology in the tendons.) A choppy pulse indicates Accumulation, periodic tendon stiffness, and eye pain. (Choppy pulses reflect blood stasis, leading to Liver Accumulation. The Liver governs tendons and opens into the eyes, thus causing tendon stiffness and eye pain.)
There are various types of hernias: Hu Dan varies in entry and exit, ascending from below; Wan Dan presents with swelling and numbness, descending from above; Chong Dan rises from the lower abdomen to the heart with pain; Jue Dan involves accumulated qi in the abdomen with rebellious qi forming the hernia; Xia syndromes involve lower abdominal heat and pain with discharge of white matter, also known as Gu; there are Six Channels Wind Hernias as described above; there are Small Intestine Hernias characterized by lower abdominal pain, lumbar spine pulling to the testicles with pain, and frequent urgency/heaviness after defecation, which also belong to hernia categories. Disease of the Ren Mai (Conception Vessel) causes Seven Hernias internally in men and Dai Xia (Leukorrhea) and Xia Ju (Masses) in women. Generally, the Ren Mai originates below the Zhongji point, ascends past the pubic hairline, follows the interior of the abdomen, reaches Guanyuan, and gathers all Yin channels; therefore, all hernias in the lower abdomen originate from the Ren Mai with other channels serving as branches. The term 'Seven Hernias' summarizes various hernias, amounting to no more than six or seven types. Later popular erroneous names that focus solely on the Jueyin channel are inappropriate. Generally, these conditions present with pain when cold, flaccidity when hot, and swelling/heaviness when damp; deficiency patterns are similar. If the pathology is primarily in the Blood level, it is fixed; if in the Qi level, it moves. By distinguishing these aspects across the six channels and treating according to excess, deficiency, and degree, efficacy is assured.