肝恶风。诸风掉眩。其本在肝。心恶热。诸热暴螈。疮疡血疾。其本在心。脾恶湿。诸湿肿满。其本
在脾。肺恶寒。诸气 郁。其本在肺。肾恶燥。诸寒收引。其本在肾。
诸厥痼泄。其本在下。诸痿喘呕。其本在上。
疟病。腰脊强急螈 者不可治。
肌瘦脱肛。形热不去者死。
尸厥体无所知。耳内有声如啸。汗出身温者当自愈。唇青身冷者必死。
内外俱虚。身体冷汗出。微呕而烦扰。手足厥逆。体不安静者死。
形羸不能服药。谷气绝也。一病才已。一病复生。五行胜复相乘也。其人必死。
肝实则目赤。胁疼多怒。颊肿头旋耳聋。宜泻之。虚则目暗。筋挛胁拘。多悲恐。爪甲枯。不得大息。宜补之。
心实则胸胁背臂尽痛。喜笑不休。口舌干燥。宜泻之。虚则少颜色。惊悸忧悲。舌根强。腰背痛。宜补之。
脾实则腹胀。大便不利。足痿不收。行善螈。脚下痛。身重苦饥。宜泻之。虚则吐逆。腹胀肠鸣。饮
食不化。泄利无时。宜补之。
肺实则肩背股胫皆痛。喘嗽上气。宜泻之。虚则少气咳血。耳聋嗌干。宜补之。
肾实则腹胀体肿。汗出憎风。面目黧黑。少气飧泄。小便黄色。宜泻之。虚则 中冷。(乃胁下
挟脊两旁空软处也)脊疼耳聋。厥逆无时。小便色变。宜鹿茸巴戟补之。
肝脏厌恶风邪。凡是风邪引起的肢体震颤、头晕目眩,其根本原因在于肝脏。心脏厌恶热邪。凡是热邪引起的突发抽搐、疮疡及血分疾病,其根本原因在于心脏。脾脏厌恶湿邪。凡是湿邪引起的水肿和胀满,其根本原因在于脾脏。肺脏厌恶寒邪。凡是气机郁滞不畅,其根本原因在于肺脏。肾脏厌恶燥邪。凡是寒邪引起的筋脉收缩牵引,其根本原因在于肾脏。
凡是厥证(气机逆乱导致的昏厥或四肢逆冷)、顽固性疾病以及泄泻,其病本在下焦。凡是痿证(肢体萎软无力)、气喘和呕吐,其病本在上焦。
疟疾患者若出现腰脊僵硬强直并伴有抽搐,属于不可治愈的危重证候。
肌肉消瘦、肛门脱出,且身体发热不退的,预后不良,将会死亡。
尸厥(一种深度昏迷状态)患者身体失去知觉,耳内有如呼啸的声音,若出汗后体温转温,应当自行痊愈;若嘴唇发青、身体冰冷的,必定死亡。
内外气血俱虚,身体出冷汗,轻微呕吐且心烦不安,手足冰冷逆冷,身体躁动不宁的,将会死亡。
形体极度消瘦虚弱,无法服药,说明胃气已绝。一种病刚愈,另一种病又生,这是五行相克乘侮的表现,此人必定死亡。
肝实证表现为眼睛发红,胁肋疼痛,容易发怒,面颊肿胀,头晕,耳聋。适宜采用泻法治疗。肝虚证表现为视力昏暗,筋脉拘挛,胁部拘急,多悲伤恐惧,指甲干枯,不能深长呼吸。适宜采用补法治疗。
心实证表现为胸、胁、背、臂全部疼痛,喜笑不止,口舌干燥。适宜采用泻法治疗。心虚证表现为面色无华,惊悸忧愁悲伤,舌根强硬,腰背疼痛。适宜采用补法治疗。
脾实证表现为腹部胀满,大便不通畅,足部痿软无力不能收持,行走时容易发生抽搐,脚底疼痛,身体沉重且苦于饥饿感。适宜采用泻法治疗。脾虚证表现为呕吐逆气,腹部胀满,肠鸣,饮食不消化,泄泻没有定时。适宜采用补法治疗。
肺实证表现为肩、背、大腿、小腿皆痛,气喘咳嗽,气机上逆。适宜采用泻法治疗。肺虚证表现为气短,咳血,耳聋,咽喉干燥。适宜采用补法治疗。
肾实证表现为腹部胀满,身体浮肿,出汗且怕风,面目颜色黑晦,气短,完谷不化的泄泻,小便黄色。适宜采用泻法治疗。肾虚证表现为腹中寒冷。(指的是胁下夹着脊柱两旁空虚柔软的部位),脊背疼痛,耳聋,四肢厥冷无常,小便颜色异常。适宜用鹿茸、巴戟天进行补益治疗。
The Liver dislikes wind. All cases of tremors and vertigo caused by wind have their root in the Liver. The Heart dislikes heat. All cases of sudden convulsions, sores, ulcers, and blood diseases have their root in the Heart. The Spleen dislikes dampness. All cases of edema and fullness caused by dampness have their root in the Spleen. The Lung dislikes cold. All cases of Qi stagnation and depression have their root in the Lung. The Kidney dislikes dryness. All cases of contraction and pulling caused by cold have their root in the Kidney.
All cases of Jue syndrome (syncope or cold extremities due to rebellious Qi), chronic stubborn diseases, and diarrhea have their root in the Lower Jiao. All cases of Wei syndrome (flaccidity syndrome with limb weakness), asthma, and vomiting have their root in the Upper Jiao.
In malaria, if there is stiffness and rigidity of the waist and spine accompanied by convulsions, it is incurable.
If muscles are emaciated, the rectum prolapses, and body heat does not subside, death will ensue.
In Shi Jue (corpse syncope, a state of deep coma) where the body loses sensation and there is a whistling sound in the ears, if sweating occurs and the body temperature becomes warm, it should heal spontaneously. If the lips turn blue and the body is cold, death is certain.
If both interior and exterior are deficient, with cold sweat on the body, slight vomiting, restlessness, cold extremities, and bodily agitation, death will ensue.
If the form is extremely emaciated and unable to take medicine, it indicates the exhaustion of Gu Qi (Grain Qi/Stomach Qi). If one disease ends and another immediately arises, this is due to the mutual overcoming and attacking among the Five Elements; death is certain for such a person.
When the Liver is Excess, symptoms include red eyes, hypochondriac pain, irritability, swollen cheeks, dizziness, and deafness. It is suitable to use the Draining method. When the Liver is Deficient, symptoms include dim vision, tendon cramping, hypochondriac constraint, frequent sadness and fear, withered nails, and inability to take deep breaths. It is suitable to use the Tonifying method.
When the Heart is Excess, symptoms include pain throughout the chest, hypochondrium, back, and arms, incessant laughter, and dry mouth and tongue. It is suitable to use the Draining method. When the Heart is Deficient, symptoms include lackluster complexion, palpitations, sorrow, and grief, stiff tongue root, and lower back pain. It is suitable to use the Tonifying method.
When the Spleen is Excess, symptoms include abdominal distension, difficulty in defecation, flaccidity and weakness of the legs that cannot support walking, frequent convulsions while walking, pain in the soles of the feet, heavy body, and suffering from hunger. It is suitable to use the Draining method. When the Spleen is Deficient, symptoms include vomiting and regurgitation, abdominal distension, borborygmus, undigested food in stool, and unregulated diarrhea. It is suitable to use the Tonifying method.
When the Lung is Excess, symptoms include pain in the shoulders, back, thighs, and calves, asthma, cough, and rebellious Qi. It is suitable to use the Draining method. When the Lung is Deficient, symptoms include shortness of breath, hemoptysis, deafness, and dry throat. It is suitable to use the Tonifying method.
When the Kidney is Excess, symptoms include abdominal distension, body edema, sweating with aversion to wind, dark and sallow complexion, shortness of breath, undigested diarrhea (Suncie), and yellow urine. It is suitable to use the Draining method. When the Kidney is Deficient, symptoms include coldness in the middle jiao (referring to the empty and soft areas beside the spine under the hypochondrium), spinal pain, deafness, intermittent cold extremities, and abnormal urine color. It is suitable to tonify using Lurong (Cervus Nippon Cornu, Deer Antler) and Bajiji (Morinda Officinalis Radix, Morinda Root).