《千金》论曰∶上医医未病之病,中医医欲病之病,下医医已病之病。思以谓知病于未
病之前者,此上智之所能也。知病于欲病之初者,此中智之所及也。若夫已病而求医,则常
情同然,不必论其智不智也。孙氏曰∶圣人设教,欲家家自学,人人自晓。尊亲有疾,不能
疗之者,非忠孝也。斯言可谓切至矣。
气不调,百病自生。众病积聚,皆起于虚。又曰∶虚生百病。药石有相欺者,入人腹中,
遂相门争,力甚刀剑。言不知性气者,不可服也。凡服食药饵,须量自己性理所宜,不可见
彼得力我便服之。
人患疮痍未瘳,不得合阴阳。
妇人妊娠,食羊肝,令子多厄。食山羊肉,令子多病。食驴肉,延月。食兔、犬肉,令
子无音声并缺唇。食骡肉,产难。食鸡子及干鲤鱼,令子多疮。食椹并鸭子,令子倒出。食
雀肉并豆酱,令子面多 黑子。食雀肉饮酒,令子心淫情乱,不畏廉耻。食鳖,令子短项。
食冰酱,绝胎。多经大惊者,生子患癫。向非常地大小便,必半产杀人。秽污、死丧家人来
看视产妇,则难产伤儿。不根据产图,令子母多妨。产乳若在反支月者,浣濯水以器盛,出此
忌月方覆之。产妇人众看则难产,临产忧悒则难产。儿已生,不得自视秽污。便利干悬厕之
上,成十二痼疾。产后百日内勿行房。大忌上厕,只室中上盆佳。暑月产卧,忌取凉。百日
忌服转泻药。月经不去,大忌合阴阳,生十二疾。卧湿冷地,大忌合阴阳,生十二疾。大忌
以冷水洗浴,合阴阳生十二疾。
小儿初生,不以绵裹指拭口中青泥恶血,则入腹生百病。初生举之迟则中寒。脐带隔衣
咬断之,不得以刀子截。脐带留至足趺,短则中寒下痢。断脐后浴者,水入脐令儿腹痛。脐
带中多有虫,不去之,则入腹成疾。脐留六寸,长则伤肌,短则伤脏。脐不以时截及 汁不
尽,则寒生脐风。儿生,男以父、女以母故衣裹之,过浓伤皮肤,害血脉,发杂疮而黄。新
生儿衣暖太浓,令筋骨缓弱。解脱儿脐及换衣,如冬月须闭户生火。三日,朱蜜食多则脾胃
冷,腹胀,喜阴痫,气急变噤而乖。脐带疮未愈,数洗浴,令儿患阴颓。儿太饱则吐及风中
脐。夏不去热乳,令儿呕逆;冬不去寒乳,令儿咳痢。母新房以乳儿,令儿羸瘦,交胫不能
行。母有热以乳儿,令变黄,不能食。母怒以乳儿,令喜惊,发气疝,又令上气癫狂。母新
吐下以乳儿,令儿虚羸。母醉以乳儿,令儿身热腹满。乳儿当极 ,散其热气,勿令奔出。
乳儿不得用宿乳。母欲寐,则不得乳儿,恐失饥饱及填儿口鼻也。
浴儿水不冷热得所,则令儿惊,亦致五脏病。儿冬不可久浴,久浴则伤寒;夏不可久浴,
久浴则伤热。数浴背冷则发痫。小儿不浴,又令儿毛落。
风痫者,衣暖至汗出,却外风入腹为病因。惊痫者,惊怖大啼,多为病因。先不哺乳,
吐而变热者为食痫。
新生无病,惧不可逆针灸。
衣甚薄,则乳食不消,大便醋臭,此欲为癖也,乳哺食即作疾。
新生一岁儿,外人来气息忤之,则为客忤病。虽是家人,或别房异户从外还者,不避之
为客忤。虽是乳母及父母从外来,亦能令儿为客忤。一应亲戚及外来人,有衣服经履鬼神粗
恶暴气或牛马之气,并能令儿为客忤。一应人执作喘息及乳母乳气未定者,并能为客忤。乳
母遇醉及房劳喘后,乳儿最剧,能杀儿。凡诸乘马行,得马汗气息,未盥洗易衣装而便向儿
边者,令儿中马客忤。一岁儿勿见马来及闻马鸣惊,能令小儿作客忤。儿衣布帛绵中及履中
不得有头发。白衣不得用青带,青衣不得用白带,皆能为客忤。凡非常人及诸物从外来,亦
惊小儿致病,欲防之法,当将儿避之。若不避者,当烧牛屎,令常有烟气置户前则善。
秋初夏末,晨夕暴冷,不避之,多患壮热下痢。小儿解着伤风,亦作伤寒病。寻常晚夜
及阴雨夜,小儿衣物不得在露地,有钓星鬼禽,喜落毛羽于人中庭,置儿衣中,便令儿作痫
病,必死,七八月尤忌。儿生未能行,而母再有娠,使儿饮此乳,作 病。小儿饮食过度,
不知自止,作疾。小儿夏月积冷,洗浴过度,及乳母亦将冷水洗浴,以冷乳饮儿,儿壮热,
忽值豪雨凉,即令儿病痢等。夏月暴寒,小儿不避之,入胃则暴病。中客忤,心腹胀满刺痛,
口
人失明之本,有十六件事∶生食五辛,接热饮食,热食面食,饮酒不已,房室无节,极
目远视,数看日月,夜视星火,夜读细书,月下看书,抄写多年,雕镂细作,博奕不休,久
处烟火,泣泪过多,刺头出血过多。又由驰骋田猎,冒涉风霜,迎风追兽,日夜不息之所致
也。地因寒暑风湿,皆作蒸气,人足履之,谓之风毒,名为香港脚。妇人产后尤宜慎此。四时
之中,不得久立、久坐湿冷之地,令人作香港脚病。酒醉汗出,脱衣靴袜,当风取凉,皆成脚
气。患香港脚人忌大怒,忌房室,忌牛羊肉、蒜、蕺菜、菘菜、蔓菁、瓠子、酒、面、酥油、
乳糜、猪、鸡、鹅、鸭,不得犯之。一方用鲤鱼外,鱼亦忌。又忌生果酸酢之食。宜食生牛
乳与生栗子,及粳、粱、粟、米、酱、豉、葱、韭、薤、椒、姜、橘皮。
病有三患∶一患觉之晚,二患骄狠恣傲,三患狐疑不决。犯之多枉伤性命。故曰∶法为
信者施,不为疑者设。
欲临近亡人,宜将少金牙散涂鼻孔、耳门,及视疾者亦然。亦宜带绛囊一方寸匕,男左
女右。
新食毕取风者,令人患胃风。因醉取风者,令人患漏风。新沐浴毕取风者,令人首风。
新房室毕取风者,令人患内风。尊贵人骨弱肌肤盛,因疲劳汗出,偃卧不时动摇,被微风所
及,得血痹疾。凡常之日,忽然暴热,顿取凉快意,生病亦然,暴寒亦然。
冬时严寒,最宜周密,若触冒之者,为伤寒。四时之气,皆能为病,其伤寒尤重,以其
杀厉
时行之气,犯之多病。所谓时行之气者,春时应暖而反大寒,夏时应热而反大冷,秋时
应凉而反大热,冬时应寒而反大温。
凡热病、大病新瘥之后,食猪肉及羊血、肥鱼、油腻等物,必大下痢,医所不能治。
食饼饵、粢黍、饴脯、 炙、枣栗诸果物,脯修及坚实难消之物,胃气尚虚弱,不能消化,
必更结热,下之则大痢难禁,不下之必死。下之复危,皆难治也,不可不慎。但得食糜粥,
宁少食令饥勿饱,不得他有所食。引日转久,可渐食羊肉、白糜,若羹汁、雉、兔、鹿肉。
不可食猪、狗肉。当静卧,勿早起梳头洗面。非但不可体劳,虽言语亦不得多,亦不得生心
用意烦劳。凡上气事并令人劳复,女劳当舌吐数寸而死。凡瘥未满百日,气力未平复而以房
室者,略无不死。未满五日,食一切肉面,病更发,大困。食生鱼 ,下痢必不止。食生菜,
令人颜色终身不平复。病新汗解,饮冷水者,损心胞,令人虚,补不复。食生枣及羊肉者,
必膈上作热蒸。食犬羊等肉者,骨中蒸热。食鱼肉与瓜、生菜,令人身热。食 者,病发必
大困。早起劳多及美饮食过多,致发欲死。
谷疸者,由失饥大食,胃气冲熏所致。酒疸者,由大醉当风入水所致。女劳疸者,由大
劳大热而交接毕入水所致。黄胆,有人以竹筒使人极吹病患鼻中者,无不死,大慎之。
夏伤暑,至秋作 疟。冬中于风,寒气藏于骨髓中,至暑有所用力,腠理开,又中邪气,
能
交接损,令人卵缩筋挛。
食生物,令虫卵生。入腹者,成虫蛇及鱼鳖。
劳倦或饮食过常,作吐血。
服药吐利后,常须闭口少语,于无风处温床暖食将息。
凡人执作汗出当风,因以房室过度,醉饮饱满行事,令心气逼迫,短气脉悸,得风癫病。
热沐发而湿结之脑,汗未止,得湿癫病。
因大惊及当风从高坠下,致喜悲善恐怖,如有鬼物患。
有所击仆,若醉饱入房,汗出当风,则必伤脾。
凡患痢服止药,初服痢须转剧,愚人不解,便不服其药,此误也。但服不过,再三服之。
痢
大熟烂为佳。亦不得伤饱。
凡疳,盐、酱、酢、酥、油、枣皆忌,惟白饭、豉、苜蓿、苦苣、芜菁不在禁限。
凡日月蚀时忌食饮,腹中生 虫,及房室生子不具足,必患月蚀疮。日月蚀不得与儿乳,
(
饮酒当风入肺,胆气妄泄,即令人目青气喘。酒客劳倦当风,喜怒气舍于肺,面目黄肿,
起
七气者,寒气,热气,怒气,恚气,喜气,忧气,愁气。此七种气积聚,坚大如杯,若拌在
心腹中,疾痛不能饮食,时来时去,每发欲死,如有祸祟。
尸疰鬼疰者,即五尸之中尸疰也。又挟诸鬼邪为害者也。其大略令人寒热、淋沥、沉沉
嘿嘿不的知其所苦,而无处不恶。累年积月,渐就顿滞,以至于死。死后复注易傍人,乃至
灭门。觉如此候,宜急疗之。
人有九虫,其虫凶恶,人之极患也。常以白筵草沐浴佳。根叶皆可用,既是香草,又尸
虫所恶也。
凡服补药及治诸病,皆须先去诸虫,并痰饮宿 ,醒醒除尽。不尔,必不得药力。
脾劳热,有虫在脾中,令人好呕。肺劳热,生虫在肺。肾劳热,四肢肿急,有虫曰蛲虫,
如
人得伤寒及天行热病,腹中有热,及人食少肠胃空虚,若齿断无色,舌上尽白甚者,唇
里有疮。四肢沉重,忽忽喜眠,当数看其上唇,内有疮唾血,唇内如粟疮者,心内懊 痛闷
者,此有三虫在上,蚀其五脏。下唇内生疮者,其人喜眠,此虫在下,蚀其下部,人不能知,
可
热病蛄毒,令人喜寐,不知痛处而面赤如醉,下利脓血,当数视其人下部大小之孔,稷
稷然赤,则是 虫也,剧能杀人。
若有所用力举重,若入房过度,汗出如浴水,则伤肾。人因身劳汗出,衣里冷湿,久而
得肾着之病,身体重,腰以下如带五千钱,腰中冷如水。又其人本来不吃,忽然謇吃而好嗔
恚,反常性,此肾之伤也。取寒眠地卧,冷湿地气所伤,则腰痛。坠堕伤腰则腰痛,房室后
用则
肝伤善梦,心伤善忘,脾伤善饮,肺伤善痿,肾伤善唾,骨伤善饥,肺伤善嗽。
远思强虑伤人,忧恚悲哀伤人,喜乐过度伤人,忿怒不解伤人,汲汲所愿伤人,戚戚所
患伤
五劳七伤,有小腹急痛,膀胱虚满,手足逆冷,食饮苦吐,酸痰呕逆,泄下少气,目眩
耳聋,口焦,小便自利者。
虚损少气,腹胀,内急拘引,少腹至冷,不得屈伸,不能饮食,寒热头痛,手足逆冷,
大小便难,或腹下痢,口干,梦中泄精,或时吐逆恍惚,面色枯瘁,又复微肿,百节酸疼者。
五劳七伤,虚羸不足,面色黧黑,手足疼痛,久立腰疼,起则目眩,腹中悬急而有绝伤外引
四肢者。
虚劳寒 ,饮在胁下,决决有声,饮已如从一边下,决决然也。有头并冲皮起引两乳,
内痛
五劳七伤,小腹急,脐下膨亨,两胁胀满,腰脊相引,鼻口干燥,目暗 ,愦愦不乐,
胸中气急逆,不下饮食,茎中策痛,小便黄赤,尿有余沥,梦与鬼神交通去精,惊恐虚乏者。
凡男女有因积劳损,或大病后不复,常苦四体沉滞,骨肉酸疼,吸吸少气,行动喘 ;
或少腹拘急,腰背强痛,心中虚悸,咽干唇燥,面体少色;或饮食无味,阴阳废弱,悲忧惨
戚,多卧少起者。
有大劳虚劣,寒热呕逆,下焦虚热,小便赤痛,客热上熏,头痛目疼,骨肉痛,口干者。
有虚劳不足,四肢烦疼,不欲食,食则胀,汗出者。
有虚劳少气,胸心淡冷,时时惊惕,心中悸动,手脚逆冷,体常自汗,肠鸣风湿者。
有虚劳损羸乏,咳逆短气,四肢烦疼,腰背引痛,耳鸣,面黧黑,骨间热,小便赤黄,
心悸
有大虚不足,小便数,嘘吸焦 引饮,膀胱满急者。
有左胁气冲,膈上满,头上有风如虫行,手足顽痹,鼻塞,脚转筋,两目时肿痛者。
有虚损短气,咽喉凝唾不出,如胶塞咽喉者。
有五劳六绝,其心伤者,令人善惊,妄怒无常者。
有五劳六绝,其脾伤者,令人腹满喜噫,食竟欲卧,面目痿黄者。
有五劳六绝,其肺伤者,令人少精,腰背疼,四肢厥逆者。
有五劳六绝,其肝伤者,令人少血面黑者。
有五劳六绝,其肾伤者,有积聚,少腹腰背满痹,咳唾,小便难者。
六绝之为病,皆起于大劳脉虚,外受风邪,内受寒热,令人手足疼痛,膝以下冷者。
有五劳六绝,腹中雷鸣,时时泄痢者。
有五劳六绝,或闭或痢,面目肿,心下愦愦不欲语,憎闻人声者。
有五劳七伤,八风十二痹,无有冬夏,悲忧憔悴者,凡是病皆须服之者。
有虚劳百损者。
有五劳六极七伤虚损者。
男子女人虚损伤绝,头目眩,骨节烦痛,饮食微少,羸瘦百病者。
有虚劳,肾气不足,腰痛阴寒,小便数,囊冷湿,尿有余沥,精自出,阴痿不起,忽忽
悲喜者。
有五劳七伤六极,强力行事举重,重病后骨髓未满而行房室,所食不消,胃气不平者。
有五劳七伤,每事不如意者。
有阴下湿痒汗出或生疮,茎中痛者。
有溺血者。
有膀胱冷,咳唾有血,喉鸣喘息者。
《千金方》论述说:上等的医生治疗尚未发生的疾病,中等的医生治疗即将发生的疾病,下等的医生治疗已经发生的疾病。我认为,在疾病发生之前就能知晓并预防的人,这是只有极高智慧的人才能做到的;在疾病刚刚萌芽时就能察觉的人,这是中等智慧的人所能达到的境界。至于等到疾病已经发生才去求医,这是常人的普遍做法,就不必讨论其智慧高低了。孙氏说:圣人设立教化,希望家家户户都能自学,人人都能明白。如果尊长亲人患病,却不能治疗,这就不是忠孝的表现。这些话可以说是非常恳切到位的。
气机不调和,各种疾病就会自然产生。众多疾病的积聚,都起源于虚损。又说:虚损会产生百病。药物之间也有相互克制的作用,进入人体腹中后,便相互争斗,力量甚至超过刀剑。不懂药性脾气的人,不可随意服用。凡是服用药物或食物,必须衡量自己体质性情所适宜的,不能看到别人服用有效,自己也跟着服用。
人患有疮疡溃烂尚未痊愈时,不得进行房事。
妇女妊娠期间,吃羊肝,会使孩子多灾多难;吃山羊肉,会使孩子多病;吃驴肉,会延长产期;吃兔肉、狗肉,会使孩子没有声音且唇裂;吃骡肉,会导致难产;吃鸡蛋和干鲤鱼,会使孩子多生疮疡;吃桑葚和鸭子,会使胎儿倒产(横位);吃雀肉和豆酱,会使孩子脸上黑痣多;吃雀肉并饮酒,会使孩子心神淫乱、情志错乱,不知廉耻;吃鳖,会使孩子脖子短;吃冰镇酱菜,会导致流产;经常受到大惊吓的人,生下的孩子易患癫痫;在非正常地点大小便,必然导致半产(流产)甚至杀人;污秽之物及丧事家属来看望产妇,会导致难产伤儿;不按照产育禁忌图行事,会使母子多有妨碍。如果在“反支日”(农历每月初一、十四、二十三为反支日,忌动土等)生产,洗涤的水要用容器盛好,过了这个忌讳月份再覆盖使用。产妇周围人多围观会导致难产,临产时忧愁抑郁也会导致难产。婴儿出生后,不得自行查看污秽之物。在大便干燥时悬挂于厕所之上,会形成十二种顽固疾病。产后一百天内禁止行房。最忌讳上厕所,最好在室内放置便盆。暑天生产卧床,忌讳贪凉。产后一百天内忌讳服用泻药。月经未净,大忌房事,会生出十二种疾病。睡在湿冷之地,大忌房事,会生出十二种疾病。大忌用冷水洗浴,若此时房事会生出十二种疾病。
小儿刚出生,不用绵絮包裹手指擦拭口中青泥恶血,血液入腹会生出百病。初生抱起太迟则受寒。脐带隔着衣服咬断,不能用刀截断。脐带留至足背,太短则受寒下痢。断脐后洗澡,水进入脐部令儿腹痛。脐带中多有虫,不去除则入腹成疾。脐带留六寸,太长则伤肌肉,太短则伤内脏。脐带不及时剪断及汁液不尽,则会寒气内生引发脐风。婴儿出生,男孩用父亲旧衣包裹,女孩用母亲旧衣包裹,过厚会损伤皮肤,伤害血脉,引发杂疮发黄。新生儿衣物保暖太厚,会使筋骨软弱松弛。解开婴儿脐带及换衣,如在冬季必须关好门窗并生火取暖。三天大的婴儿,朱砂蜜食用过多则脾胃寒冷,腹胀,喜欢阴痫,气急变为噤口症而乖僻。脐带疮未愈,频繁洗浴,令婴儿患阴颓(阴囊肿大)。婴儿太饱则呕吐及风中脐。夏季不除去热乳(指乳汁过热或母亲体内有热),令婴儿呕逆;冬季不除去寒乳,令婴儿咳嗽下痢。母亲新近行房后给婴儿哺乳,令婴儿羸瘦,双腿交叉不能行走。母亲有热病给婴儿哺乳,令婴儿变黄,不能进食。母亲愤怒时给婴儿哺乳,令婴儿易惊,发气疝,又令上气癫狂。母亲新近吐泻后给婴儿哺乳,令婴儿虚弱羸瘦。母亲醉酒给婴儿哺乳,令婴儿身热腹满。哺乳时应极力散热,散其热气,勿令热气奔出。哺乳不得使用隔宿之奶。母亲想睡觉时,不得给婴儿哺乳,恐怕失去饥饱规律及堵塞婴儿口鼻。
给婴儿洗澡的水温如果不冷热适宜,则令婴儿受惊,也会致五脏生病。婴儿冬天不可久浴,久浴则伤寒;夏天不可久浴,久浴则伤热。频繁洗澡背部受凉则发癫痫。小儿不洗澡,又令婴儿毛发脱落。
风痫,是因为穿衣太暖直到出汗,随后外风侵入腹部成为病因。惊痫,是因为惊恐大哭,多为此因。先前未哺乳,呕吐后变热的为食痫。
新生儿无病,切忌逆针灸(逆向施针)。
衣服太薄,则乳食不消化,大便酸臭,这是将要形成癖积的症状,哺乳饮食即致病。
新生一岁以内的婴儿,外人气息冲犯他,则为客忤病。即使是家人,或是从别处异室从外面回来的人,不回避也视为客忤。即使是乳母及父母从外面回来,也能令婴儿得客忤病。一应亲戚及外来人,若有衣服经过鬼神处沾染粗恶暴气,或有牛马之气,都能令婴儿得客忤病。一应从事劳作喘息之人及乳母乳气未定者,都能造成客忤。乳母遇到醉酒及房劳喘息之后,给婴儿哺乳最为严重,能杀死婴儿。凡各种骑马出行,沾上马汗气息,未盥洗更换衣装就靠近婴儿的,令婴儿中马客忤。一岁婴儿不要见马来及听到马鸣惊吓,能令小儿得客忤病。婴儿衣服布帛棉絮中及鞋履中不得有头发。白衣不得用青色带子,青衣不得用白色带子,都能造成客忤。凡非正常人员及诸物从外来,也会惊吓小儿致病,想要预防的方法,应当让婴儿避开他们。若不避开,应当烧牛屎,使常有烟气置于门前则好。
秋初夏末,早晚突然变冷,不躲避它,多患壮热下痢。小儿解衣感受伤风,也作伤寒病。寻常夜晚及阴雨夜,小儿衣物不得放在露天地,有钓星鬼禽,喜欢将羽毛落在人家庭院中,放入婴儿衣物里,便令婴儿患癫痫病,必死,七八月尤其忌讳。婴儿尚不能行走,而母亲再次怀孕,使婴儿饮用此乳,作瘕病。小儿饮食过度,不知自我停止,从而致病。小儿夏季积冷,洗浴过度,及乳母也用冷水洗浴,以冷乳喂婴儿,婴儿壮热,忽遇豪雨凉意,即令婴儿患痢疾等。夏月暴寒,小儿不躲避它,入胃则暴病。中客忤,心腹胀满刺痛,口……(原文此处似有缺漏,依上下文推测可能涉及口眼歪斜或言语不利,但严格按原文只译可见部分)……失明之本,有十六件事:生食五辛,接热饮食,热食面食,饮酒不已,房室无节,极目远视,数看日月,夜视星火,夜读细书,月下看书,抄写多年,雕镂细作,博奕不休,久处烟火,泣泪过多,刺头出血过多。又由驰骋田猎,冒涉风霜,迎风追兽,日夜不息之所致也。地因寒暑风湿,皆作蒸气,人足履之,谓之风毒,名为香港脚(脚气病)。妇人产后尤宜慎此。四时之中,不得久立、久坐湿冷之地,令人作香港脚病。酒醉汗出,脱衣靴袜,当风取凉,皆成脚气。患香港脚人忌大怒,忌房室,忌牛羊肉、蒜、蕺菜、菘菜、蔓菁、瓠子、酒、面、酥油、乳糜、猪、鸡、鹅、鸭,不得犯之。一方用鲤鱼外,鱼亦忌。又忌生果酸酢之食。宜食生牛乳与生栗子,及粳、粱、粟、米、酱、豉、葱、韭、薤、椒、姜、橘皮。
病有三患:一患发觉太晚,二患骄狠恣傲,三患狐疑不决。犯这些错误多枉伤性命。所以说:法度是为守信者施行,不为怀疑者设立。
欲接近亡人,宜将少金牙散涂鼻孔、耳门,以及探视病人亦然。也宜佩戴绛囊一方寸匕,男左女右。
新食毕取风者,令人患胃风。因醉取风者,令人患漏风。新沐浴毕取风者,令人首风。新房室毕取风者,令人患内风。尊贵之人骨弱肌肤盛,因疲劳汗出,偃卧不时动摇,被微风所及,得血痹疾。凡常之日,忽然暴热,顿取凉快意,生病亦然,暴寒亦然。
冬时严寒,最宜周密,若触冒之者,为伤寒。四时之气,皆能为病,其伤寒尤重,以其杀厉……(原文此处似有缺漏,通常指杀气厉害)时行之气,犯之多病。所谓时行之气者,春时应暖而反大寒,夏时应热而反大冷,秋时应凉而反大热,冬时应寒而反大温。
凡热病、大病新瘥之后,食猪肉及羊血、肥鱼、油腻等物,必大下痢,医所不能治。食饼饵、粢黍、饴脯、炙、枣栗诸果物,脯修及坚实难消之物,胃气尚虚弱,不能消化,必更结热,下之则大痢难禁,不下之必死。下之复危,皆难治也,不可不慎。但得食糜粥,宁少食令饥勿饱,不得他有所食。引日转久,可渐食羊肉、白糜,若羹汁、雉、兔、鹿肉。不可食猪、狗肉。当静卧,勿早起梳头洗面。非但不可体劳,虽言语亦不得多,亦不得生心用意烦劳。凡上气事并令人劳复,女劳当舌吐数寸而死。凡瘥未满百日,气力未平复而以房室者,略无不死。未满五日,食一切肉面,病更发,大困。食生鱼,下痢必不止。食生菜,令人颜色终身不平复。病新汗解,饮冷水者,损心胞,令人虚,补不复。食生枣及羊肉者,必膈上作热蒸。食犬羊等肉者,骨中蒸热。食鱼肉与瓜、生菜,令人身热。食……(原文此处似有缺漏,可能指某种特定食物)者,病发必大困。早起劳多及美饮食过多,致发欲死。
谷疸者,由失饥大食,胃气冲熏所致。酒疸者,由大醉当风入水所致。女劳疸者,由大劳大热而交接毕入水所致。黄胆,有人以竹筒使人极吹病患鼻中者,无不死,大慎之。
夏伤暑,至秋作疟。冬中于风,寒气藏于骨髓中,至暑有所用力,腠理开,又中邪气,能……(原文此处似有缺漏,可能指导致某种病症)交接损,令人卵缩筋挛。
食生物,令虫卵生。入腹者,成虫蛇及鱼鳖。
劳倦或饮食过常,作吐血。
服药吐利后,常须闭口少语,于无风处温床暖食将息。
凡人执作汗出当风,因以房室过度,醉饮饱满行事,令心气逼迫,短气脉悸,得风癫病。
热沐发而湿结之脑,汗未止,得湿癫病。
因大惊及当风从高坠下,致喜悲善恐怖,如有鬼物患。
有所击仆,若醉饱入房,汗出当风,则必伤脾。
凡患痢服止药,初服痢须转剧,愚人不解,便不服其药,此误也。但服不过,再三服之。痢……(原文此处似有缺漏,可能指饮食要求)大熟烂为佳。亦不得伤饱。
凡疳,盐、酱、酢、酥、油、枣皆忌,惟白饭、豉、苜蓿、苦苣、芜菁不在禁限。
凡日月蚀时忌食饮,腹中生……(原文此处似有缺漏,可能指寄生虫)虫,及房室生子不具足,必患月蚀疮。日月蚀不得与儿乳,(……)饮酒当风入肺,胆气妄泄,即令人目青气喘。酒客劳倦当风,喜怒气舍于肺,面目黄肿,起……(原文此处似有缺漏)七气者,寒气,热气,怒气,恚气,喜气,忧气,愁气。此七种气积聚,坚大如杯,若拌在心腹中,疾痛不能饮食,时来时去,每发欲死,如有祸祟。
尸疰鬼疰者,即五尸之中尸疰也。又挟诸鬼邪为害者也。其大略令人寒热、淋沥、沉沉嘿嘿不的知其所苦,而无处不恶。累年积月,渐就顿滞,以至于死。死后复注易傍人,乃至灭门。觉如此候,宜急疗之。
人有九虫,其虫凶恶,人之极患也。常以白筵草沐浴佳。根叶皆可用,既是香草,又尸虫所恶也。
凡服补药及治诸病,皆须先去诸虫,并痰饮宿……(原文此处似有缺漏,可能指瘀血或积滞),醒醒除尽。不尔,必不得药力。
脾劳热,有虫在脾中,令人好呕。肺劳热,生虫在肺。肾劳热,四肢肿急,有虫曰蛲虫,如……(原文此处似有缺漏,可能形容形状)人得伤寒及天行热病,腹中有热,及人食少肠胃空虚,若齿断无色,舌上尽白甚者,唇里有疮。四肢沉重,忽忽喜眠,当数看其上唇,内有疮唾血,唇内如粟疮者,心内懊……(原文此处似有缺漏,可能指懊恼疼痛)痛闷者,此有三虫在上,蚀其五脏。下唇内生疮者,其人喜眠,此虫在下,蚀其下部,人不能知,可……(原文此处似有缺漏,可能指治疗方法)热病蛄毒,令人喜寐,不知痛处而面赤如醉,下利脓血,当数视其人下部大小之孔,稷稷然赤,则是……(原文此处似有缺漏,可能指某种虫)虫也,剧能杀人。
若有所用力举重,若入房过度,汗出如浴水,则伤肾。人因身劳汗出,衣里冷湿,久而得肾着之病,身体重,腰以下如带五千钱,腰中冷如水。又其人本来不吃,忽然謇吃而好嗔恚,反常性,此肾之伤也。取寒眠地卧,冷湿地气所伤,则腰痛。坠堕伤腰则腰痛,房室后用则……(原文此处似有缺漏,可能指其他症状)肝伤善梦,心伤善忘,脾伤善饮,肺伤善痿,肾伤善唾,骨伤善饥,肺伤善嗽。
远思强虑伤人,忧恚悲哀伤人,喜乐过度伤人,忿怒不解伤人,汲汲所愿伤人,戚戚所患伤……(原文此处似有缺漏,可能指五脏之一)五劳七伤,有小腹急痛,膀胱虚满,手足逆冷,食饮苦吐,酸痰呕逆,泄下少气,目眩耳聋,口焦,小便自利者。
虚损少气,腹胀,内急拘引,少腹至冷,不得屈伸,不能饮食,寒热头痛,手足逆冷,大小便难,或腹下痢,口干,梦中泄精,或时吐逆恍惚,面色枯瘁,又复微肿,百节酸疼者。
五劳七伤,虚羸不足,面色黧黑,手足疼痛,久立腰疼,起则目眩,腹中悬急而有绝伤外引四肢者。
虚劳寒……(原文此处似有缺漏,可能指水饮),饮在胁下,决决有声,饮已如从一边下,决决然也。有头并冲皮起引两乳,内痛……(原文此处似有缺漏)五劳七伤,小腹急,脐下膨亨,两胁胀满,腰脊相引,鼻口干燥,目暗……(原文此处似有缺漏,可能指不明),愦愦不乐,胸中气急逆,不下饮食,茎中策痛,小便黄赤,尿有余沥,梦与鬼神交通去精,惊恐虚乏者。
凡男女有因积劳损,或大病后不复,常苦四体沉滞,骨肉酸疼,吸吸少气,行动喘……(原文此处似有缺漏,可能指促);或少腹拘急,腰背强痛,心中虚悸,咽干唇燥,面体少色;或饮食无味,阴阳废弱,悲忧惨戚,多卧少起者。
有大劳虚劣,寒热呕逆,下焦虚热,小便赤痛,客热上熏,头痛目疼,骨肉痛,口干者。
有虚劳不足,四肢烦疼,不欲食,食则胀,汗出者。
有虚劳少气,胸心淡冷,时时惊惕,心中悸动,手脚逆冷,体常自汗,肠鸣风湿者。
有虚劳损羸乏,咳逆短气,四肢烦疼,腰背引痛,耳鸣,面黧黑,骨间热,小便赤黄,心悸……(原文此处似有缺漏)有大虚不足,小便数,嘘吸焦……(原文此处似有缺漏,可能指渴)引饮,膀胱满急者。
有左胁气冲,膈上满,头上有风如虫行,手足顽痹,鼻塞,脚转筋,两目时肿痛者。
有虚损短气,咽喉凝唾不出,如胶塞咽喉者。
有五劳六绝,其心伤者,令人善惊,妄怒无常者。
有五劳六绝,其脾伤者,令人腹满喜噫,食竟欲卧,面目痿黄者。
有五劳六绝,其肺伤者,令人少精,腰背疼,四肢厥逆者。
有五劳六绝,其肝伤者,令人少血面黑者。
有五劳六绝,其肾伤者,有积聚,少腹腰背满痹,咳唾,小便难者。
六绝之为病,皆起于大劳脉虚,外受风邪,内受寒热,令人手足疼痛,膝以下冷者。
有五劳六绝,腹中雷鸣,时时泄痢者。
有五劳六绝,或闭或痢,面目肿,心下愦愦不欲语,憎闻人声者。
有五劳七伤,八风十二痹,无有冬夏,悲忧憔悴者,凡是病皆须服之者。
有虚劳百损者。
有五劳六极七伤虚损者。
男子女人虚损伤绝,头目眩,骨节烦痛,饮食微少,羸瘦百病者。
有虚劳,肾气不足,腰痛阴寒,小便数,囊冷湿,尿有余沥,精自出,阴痿不起,忽忽悲喜者。
有五劳七伤六极,强力行事举重,重病后骨髓未满而行房室,所食不消,胃气不平者。
有五劳七伤,每事不如意者。
有阴下湿痒汗出或生疮,茎中痛者。
有溺血者。
有膀胱冷,咳唾有血,喉鸣喘息者。
The *Qianjin* treatise states: The superior physician treats disease before it arises; the average physician treats disease that is about to arise; the inferior physician treats disease that has already arisen. I believe that knowing disease before it occurs is achievable only by those of supreme wisdom. Knowing disease at its initial stage is within the reach of those of average wisdom. As for seeking medical treatment after disease has already occurred, this is the common practice of ordinary people, and there is no need to discuss their level of wisdom. Sun stated: The sages established teachings so that every family could learn independently and every person could understand. If elders or relatives fall ill and cannot be treated, this is not loyalty or filial piety. These words can be considered extremely earnest and appropriate.
When Qi (vital energy) is not harmonious, various diseases arise spontaneously. The accumulation of many diseases all originates from deficiency. It is also said: Deficiency generates a hundred diseases. Medicinal herbs may have mutual antagonism; once entering the human abdomen, they contend with each other, their force surpassing swords and knives. Those who do not understand the nature and temperament of medicines should not take them. When taking any medicinal herbs or food, one must measure what is suitable for one's own constitution and nature, and should not take them simply because others find them effective.
When a person suffers from sores and ulcers that have not yet healed, sexual intercourse must be avoided.
During pregnancy, women eating sheep liver will cause their children to suffer many misfortunes. Eating goat meat will make children prone to illness. Eating donkey meat will prolong the delivery period. Eating rabbit or dog meat will cause children to be mute and cleft-lipped. Eating mule meat will lead to difficult labor. Eating chicken eggs and dried carp will cause children to have many sores. Eating mulberries and ducks will cause breech presentation. Eating sparrow meat with bean paste will cause many black spots on the child's face. Eating sparrow meat while drinking alcohol will cause the child's mind to be lustful and emotions chaotic, lacking a sense of shame. Eating soft-shelled turtle will cause the child to have a short neck. Eating iced sauce will induce abortion. Women who suffer frequent great frights will give birth to children prone to epilepsy. Urinating or defecating in inappropriate places will certainly lead to miscarriage or even death. If relatives involved in filth or mourning visit the postpartum woman, it will cause difficult labor and harm the infant. Not following the obstetric charts will cause much harm to mother and child. If childbirth occurs during "Fan Zhi" days (inauspicious days), wash water should be stored in vessels and covered only after the taboo month has passed. Too many visitors during labor causes difficult labor; anxiety and depression at the time of delivery also cause difficult labor. After the baby is born, one must not look at filth oneself. Hanging over a dry toilet when constipated leads to twelve chronic diseases. Sexual intercourse should be avoided within one hundred days postpartum. Using the toilet is strictly taboo; using a basin in the room is better. During summer childbirth, avoiding cooling off is prohibited. Within one hundred days, purgatives are taboo. If menstruation has not ceased, sexual intercourse is strictly taboo, leading to twelve diseases. Sleeping on wet, cold ground and engaging in sexual intercourse is strictly taboo, leading to twelve diseases. Washing with cold water is strictly taboo; engaging in sexual intercourse under these conditions leads to twelve diseases.
For newborn infants, if blue mud and evil blood in the mouth are not wiped with cotton-wrapped fingers, it enters the abdomen and generates a hundred diseases. Lifting the newborn too late causes cold invasion. The umbilical cord should be bitten through with clothing between teeth, not cut with a knife. Leaving the umbilical cord stump extending to the instep: if too short, it causes cold invasion and dysentery. Bathing after cutting the cord allows water into the navel, causing abdominal pain. The umbilical cord often contains worms; if not removed, they enter the abdomen and cause disease. Leaving the cord six inches long: if too long, it damages muscles; if too short, it damages internal organs. Failure to cut the cord promptly and incomplete drainage of fluids causes cold to generate "Umbilical Wind" (tetanus neonatorum). Newborn boys should be wrapped in their father's old clothes, girls in their mother's; wrapping too thickly damages the skin, harms blood vessels, and causes miscellaneous sores and jaundice. Keeping newborns too warm makes bones and sinews weak and flaccid. Changing the umbilical dressing and clothes in winter requires closing doors and windows and lighting fires. For three-day-old infants, excessive consumption of Cinnabar Honey (Zhu Mi) causes cold spleen and stomach, abdominal distension, preference for Yin Epilepsy, rapid breathing turning into lockjaw, and aberrant behavior. Frequent bathing while the umbilical sore is unhealed causes infant阴颓 (scrotal swelling). Overfeeding infants causes vomiting and wind attacking the navel. In summer, failing to remove "hot milk" (milk from a mother with heat) causes infant regurgitation; in winter, failing to remove "cold milk" causes coughing and dysentery. Breastfeeding immediately after sexual intercourse causes infant emaciation and inability to walk due to crossed legs. Breastfeeding while the mother has heat causes jaundice and anorexia. Breastfeeding while angry causes infant fright, Qi hernia, and upward Qi mania/epilepsy. Breastfeeding after recent vomiting/diarrhea causes infant weakness. Breastfeeding while intoxicated causes infant fever and abdominal fullness. Milk should be cooled thoroughly to dissipate heat; do not let heat rush out. Do not use leftover milk. Do not breastfeed when the mother is sleepy, fearing loss of rhythm and blocking the infant's nose/mouth.
Water temperature for bathing infants must be neither too hot nor too cold; otherwise, it causes fright and five-zang diseases. Infants should not bathe for long periods in winter (causes cold damage) or summer (causes heat damage). Frequent bathing with cold backs induces epilepsy. Lack of bathing causes hair loss in children.
Wind Epilepsy is caused by overdressing until sweating, then exposure to external wind entering the abdomen. Fright Epilepsy is caused by fright and loud crying. Food Epilepsy is caused by prior fasting followed by vomiting and heat transformation.
For healthy newborns, reverse acupuncture (Ni Zhen Jiu) is forbidden.
Thin clothing leads to indigestion of milk/food and sour-smelling stool, indicating impending Pi accumulation (masses); feeding exacerbates the disease.
For infants up to one year old, exposure to the breath of outsiders causes "Ke Wu" disease (alien qi invasion). Even family members returning from outside without avoidance cause Ke Wu. Wet nurses or parents returning from outside can also cause Ke Wu. Relatives or outsiders carrying coarse/bad qi from temples/shrines or animal odors cause Ke Wu. Laborers panting or wet nurses with unsettled milk qi cause Ke Wu. Breastfeeding after intoxication or sexual exhaustion is most severe and can kill the infant. Horse riders with horse sweat odor, without washing/changing, approaching infants cause "Horse Ke Wu." One-year-olds should not see horses or hear neighing, as this causes Ke Wu. Infant clothes/cotton/shoes must not contain hair. White clothes must not use green belts; green clothes must not use white belts, as these cause Ke Wu. Unusual people or objects from outside startle infants; prevention requires avoidance. If avoidance is impossible, burning cow dung to create smoke at the door is beneficial.
In late autumn/early summer, sudden cold mornings/evenings cause high fever and dysentery if not avoided. Undressing exposes infants to wind, causing Cold Damage (Shang Han). At night or rainy nights, infant clothes left outdoors attract "Diao Xing Gui Qin" (star-fishing ghost birds) that drop feathers into clothes, causing fatal epilepsy, especially in July/August. If a mother becomes pregnant again while the infant cannot walk, breastfeeding this milk causes Jia disease (masses). Overeating in children causes disease. Summer cold accumulation, excessive bathing, and mothers bathing in cold water then breastfeeding cold milk cause infant high fever; sudden rain/cooling triggers dysentery. Sudden cold in summer entering the stomach causes acute illness. Ke Wu causes abdominal distension/pain. ... [Text fragment] ... root of blindness involves sixteen factors: eating raw five pungents, hot drinks/food, wheat noodles, continuous drinking, unrestrained sex, extreme distance vision, frequent sun/moon gazing, night star gazing, night reading small print, moonlight reading, years of copying, fine carving, endless board games, long exposure to smoke/fire, excessive weeping, excessive head bleeding. Also caused by hunting, exposure to wind/frost/rain, chasing beasts against the wind day and night. Earth's cold/heat/wind/dampness create vapors; stepping on them causes "Feng Du," known as Hong Kong Foot (Gouty Arthritis/Podagra). Postpartum women must be cautious. Standing/sitting long on wet/cold ground in four seasons causes Hong Kong Foot. Sweating after wine, removing shoes/socks, and cooling in wind causes Gouty Arthritis. Patients with Hong Kong Foot must avoid anger, sex, beef/mutton, garlic, Houttuynia, Chinese cabbage, turnip, bottle gourd, wine, flour, butter, rice gruel, pork, chicken, goose, duck. Carp is allowed in one prescription, but generally fish is taboo. Raw fruits and sour foods are taboo. Recommended: raw cow milk, raw chestnuts, japonica rice, foxtail millet, broomcorn millet, soybeans, fermented beans, scallions, leeks, wild onions, pepper, ginger, tangerine peel.
Disease has three pitfalls: late detection, arrogance/laxity, and indecision. Violating these often costs life. Thus: Laws apply to the faithful, not the doubtful.
Approaching corpses: Apply Shao Jin Ya San to nostrils/ears. Visiting patients similarly. Wear a crimson pouch (one cubic inch), men on left, women on right.
Taking wind after eating causes Stomach Wind. Taking wind while drunk causes Leaking Wind. Taking wind after bathing causes Head Wind. Taking wind after sex causes Internal Wind. Nobles with weak bones/flesh, sweating from fatigue, lying down moving frequently, exposed to slight wind, develop Blood Bi disease. Sudden heat followed by cooling, or sudden cold, causes similar illnesses.
Winter cold requires utmost care; exposure causes Cold Damage. Four-season Qi can cause disease, but Cold Damage is heaviest due to its killing power. "Seasonal Qi" refers to seasonal reversals: spring cold instead of warm, summer cold instead of hot, autumn hot instead of cool, winter warm instead of cold.
After febrile/severe illness recovery, eating pork, sheep blood, fatty fish, grease causes severe dysentery, incurable. Eating cakes, sticky rice, malt candy, roasted meats, dates, chestnuts, hard-to-digest foods when stomach Qi is weak causes heat accumulation. Purging causes uncontrollable dysentery; not purging causes death. Both are dangerous and hard to treat. Eat only thin porridge; prefer hunger to fullness. Gradually introduce lamb, white gruel, soup, pheasant, rabbit, venison. Avoid pork/dog. Rest quietly; do not comb/wash early. Avoid physical exertion, excessive talking, and mental worry. "Upward Qi" causes relapse; female exhaustion causes tongue protrusion and death. Sex within 100 days of recovery without strength restoration is fatal. Eating meat/noodles within 5 days causes relapse/severe weakness. Raw fish causes persistent dysentery. Raw vegetables cause permanent complexion issues. Drinking cold water after sweating damages pericardium, causing irreparable deficiency. Raw dates/sheep meat cause upper diaphragm heat. Dog/sheep meat causes bone heat. Fish/meat/melons/raw vegetables cause body heat. [Missing text] causes severe relapse. Early rising/exertion/excess rich food causes near-death state.
Grain Jaundice is caused by starvation followed by overeating, stirring stomach Qi. Wine Jaundice is caused by drunkenness, wind exposure, and water immersion. Female Labor Jaundice is caused by heavy labor/heat followed by sex and water immersion. Yellow Jaundice: Blowing air into patient's nose via bamboo tube is fatal; beware.
Summer heat injury leads to Autumn Malaria. Winter wind cold hides in marrow; summer effort opens pores, allowing evil Qi, causing... [Missing text] sexual damage, testicular retraction, tendon spasms.
Eating raw food causes worm eggs to hatch. Entering abdomen, they become worms/snakes/fish/turtles.
Fatigue or irregular diet causes hematemesis.
After medication-induced vomiting/diarrhea, keep mouth closed, speak little, rest on warm bed with warm food in windless place.
Sweating from work in wind, excessive sex, drunkenness/fullness acting leads to constrained Heart Qi, shortness of breath, palpitations, and Wind Epilepsy.
Hot hair bath with wet brain condensation, unfinished sweating, causes Damp Epilepsy.
Great fright, wind exposure, falling from height causes joy/sorrow, fear, feeling haunted.
Blows/falls, drunken sex, sweating in wind damage Spleen.
For dysentery, stopping medicine initially worsens symptoms; ignorance leads to stopping, which is error. Continue taking it. Dysentery food should be well-cooked; avoid overeating.
For Gan disease (infant malnutrition), salt, soy sauce, vinegar, butter, oil, dates are taboo. White rice, fermented beans, alfalfa, lettuce, turnips are allowed.
Avoid eating/drinking during solar/lunar eclipses; causes abdominal worms, imperfect offspring, eclipse sores. Do not breastfeed during eclipses. [Missing text] Drinking in wind enters lungs, gallbladder Qi leaks, causing blue eyes, asthma. Wine drinkers fatigued in wind, anger/joy Qi lodging in lungs, causes yellow/swollen face, rises... [Missing text]. Seven Qi: Cold, Heat, Anger, Resentment, Joy, Worry, Sorrow. Accumulation hard as cup, in heart/abdomen, painful, unable to eat, comes/goes, fatal attacks, like curses.
Corpse Zhu/Ghost Zhu is Corpse Zhu among Five Corpses, aided by ghosts. Causes chills/fever, dripping, lethargy, unknown suffering, universal aversion. Years accumulate, stagnation leads to death. After death, transmits to others, wiping out families. Treat urgently if suspected.
Nine Worms are fierce, extreme afflictions. Bathing with Bai Yan Cao is good. Roots/leaves usable, aromatic, disliked by corpse worms.
Before tonics/treatments, remove worms, phlegm-fluids, old stasis completely, or medicine fails.
Spleen labor-heat, worms in spleen cause vomiting. Lung labor-heat, worms in lung. Kidney labor-heat, limb swelling/spasm, worms called Pinworms, like... [Missing text]. Catching Cold Damage/epidemic heat, abdominal heat, low intake/empty gut, colorless teeth, white tongue, lip sores. Heavy limbs, drowsy. Check upper lip: sores/blood spit, millet-like sores inside, heart vexation/pain indicates three upper worms eroding five zang. Lower lip sores indicate sleeping preference, lower worms eroding lower parts, unnoticed. Can... [Missing text]. Heat disease Gu Du causes sleepiness, unknown pain, red face like drunkenness, pus/blood diarrhea. Check lower apertures: red dots indicate... [Missing text] worms, fatal if severe.
Heavy lifting, excessive sex, profuse sweating damages Kidney. Labor sweating, cold/wet clothes long-term causes Kidney Fixation disease: heavy body, waist below feels like 5000 coins, waist cold as water. Normally eats, suddenly stammers/irritable, abnormal nature, indicates Kidney injury. Sleeping on cold ground, damp qi injury causes back pain. Falling injures waist/back. Sex afterwards causes... [Missing text]. Liver injury causes dreams; Heart injury causes forgetfulness; Spleen injury causes drinking desire; Lung injury causes flaccidity; Kidney injury causes spitting; Bone injury causes hunger; Lung injury causes cough.
Far-reaching thoughts/forced deliberation hurt people; grief/sorrow hurt people; excessive joy hurts people; unresolved anger hurts people; anxious desires hurt people; worried afflictions hurt... [Missing text]. Five Labors/Seven Injuries: lower abdominal urgency, bladder empty/full, cold extremities, bitter vomiting, acid-phlegm regurgitation, diarrhea/low Qi, vertigo/deafness, dry mouth, free urination.
Deficiency/Loss of Qi, abdominal distension, internal tension, cold lower abdomen, inability to bend/stretch/eat, chills/fever/headache, cold extremities, difficult urination/defecation, or lower abdominal dysentery, dry mouth, nocturnal emission, intermittent vomiting/confusion, withered complexion, slight swelling, joint soreness.
Five Labors/Seven Injuries, emaciation/insufficiency, dark complexion, limb pain, lower back pain standing long, vertigo rising, abdominal hanging urgency, severing injury radiating to limbs.
Deficiency Cold... [Missing text], fluid in hypochondrium, gurgling sound, fluid flowing down one side. Head bulging skin pulling breasts, internal pain... [Missing text]. Five Labors/Seven Injuries, lower abdominal urgency, umbilical distension, flank fullness, back strain, dry nose/mouth, dim vision... [Missing text], gloomy/unhappy, chest Qi rebellion, anorexia, penile pain, yellow/red urine, dribbling, dreams of spirits/loss of essence, fright/deficiency.
Men/women with accumulated labor damage or failure to recover after severe illness: heavy limbs, bone/muscle soreness, shallow breathing, wheezing walking; or lower abdominal tension, back stiffness, heart palpitations, dry throat/lips, pale face/body; or tasteless food, yin/yang weakness, sorrow, sleeping more than waking.
Great labor deficiency: chills/fever/vomiting, lower jiao deficiency heat, red/painful urine, guest heat steaming up, headache/eye pain, bone/muscle pain, dry mouth.
Deficiency insufficiency: limb pain, anorexia, post-prandial distension, sweating.
Deficiency low Qi: cold chest/heart, frequent fright, palpitations, cold extremities, spontaneous sweating, intestinal rumbling/damp-wind.
Deficiency emaciation: cough/reverse Qi, shortness of breath, limb pain, back strain, tinnitus, dark face, interosseous heat, red/yellow urine, palpitations... [Missing text]. Great deficiency: frequent urination, parched breathing/thirst, bladder fullness/urgency.
Left flank Qi rushing, chest fullness, wind sensation on head like insects, limb numbness, nasal congestion, leg cramps, eye swelling/pain.
Deficiency shortness of breath: congealed saliva in throat, stuck like glue.
Five Labors/Six Extremes, Heart injury: frequent fright, irrational anger.
Five Labors/Six Extremes, Spleen injury: abdominal fullness, belching, desire to lie down after eating, sallow face.
Five Labors/Six Extremes, Lung injury: low essence, back pain, cold extremities.
Five Labors/Six Extremes, Liver injury: low blood, dark face.
Five Labors/Six Extremes, Kidney injury: accumulations, lower abdomen/back fullness/numbness, coughing/spitting, difficult urination.
Six Extremes disease originates from great labor/pulse deficiency, external wind, internal cold/heat, limb pain, cold below knees.
Five Labors/Six Extremes, intestinal rumbling, frequent dysentery.
Five Labors/Six Extremes, constipation or dysentery, facial swelling, mental confusion/reluctance to speak, aversion to voices.
Five Labors/Seven Injuries, Eight Winds/Twelve Bi, regardless of season, sorrow/emaciation: all these diseases require taking [this formula].
Deficiency labor/hundred damages.
Five Labors/Six Extremes/Seven Injuries deficiency.
Men/women deficiency/severing: vertigo, joint pain, low appetite, emaciation/various diseases.
Deficiency, Kidney Qi insufficiency: lower back pain/yin cold, frequent urination, cold/wet scrotum, urinary dribbling, spontaneous semen, impotence, erratic joy/sorrow.
Five Labors/Seven Injuries/Six Extremes, heavy lifting, sex after severe illness before marrow fills, undigested food, uneven stomach Qi.
Five Labors/Seven Injuries, dissatisfaction in all matters.
Yin dampness/itching/sweating or sores, penile pain.
Bladder cold, bloody cough/sputum, hoarse wheezing.