此证由忧思恼怒，饮食生冷，醉饱入房，损其脾气，又伤肝气，故两胁作痛。庸医再用寒凉药，重伤其脾，
致变大病，成中满、番胃而死。或因恼怒伤肝，又加青陈皮、枳壳实等重削其肝，致令四肢羸瘦，不进饮食而
死。治之正法，若重者，六脉微弱，羸瘦，少饮食，此脾气将脱，急灸左命关二百壮，固住脾气则不死，后服
金液、全真、来复等丹及荜澄茄散随证用之，自愈。（此证古法，在左为肝木为病，瘀血不消，恼怒所伤；在
右则为痰，为饮，为食积气滞，此皆标病易于治疗。若宗气有乖，虚里作楚，荣气失调，脾络作痛，此非积渐
温养不愈。至若两胁连心，痛如刀刺，此三阴受殒，逆于膈肓之间，非重用温补不可。又肥气、息贲，此积在
藏之募原，若泥古方，专于剥削，未有不死者也。）
此病由心肺气虚，多食生冷，冰脱肺气，或色欲过度，重伤于肾，致津不得上荣而成消渴。盖肾脉贯咽喉，
系舌本，若肾水枯涸，不能上荣于口，令人多饮而小便反少，方书作热治之，损其肾元，误人甚多。正书，春
灸气海三百壮，秋灸关元二百壮，日服延寿丹十丸，二月之后，肾气复生。若服降火药，临时有效，日久肺气
渐损，肾气渐衰，变成虚劳而死矣。此证大忌酒色，生冷硬物。若脾气有余，肾气不足，则成消中病，脾实有
火，故善食而消，肾气不足，故下部少力，或小便如疳。孙思邈作三焦积热而用凉药，损人不少。盖脾虽有热，
而凉药泻之，热未去而脾先伤败。正法先灸关元二百壮，服金液丹一斤而愈。（消渴虽有上中下之
分，总由于损耗津液所致，盖肾为津液之原，脾为津液之本，本原亏而消渴之证从此致矣。上消者，《素问》
谓之鬲消，渴而多饮，小便频数。中消者《索问》谓之消中，消谷善饥，身体消瘦。下消者，《素问》谓之肺
消，渴而便数有膏。饮一溲二；后人又谓之肾消，肾消之证则已重矣。若脉微而涩或细小，身体瘦瘁，溺出味
甘者，皆不治之证也，大法以救津液，壮水火为生。）
治验
一人频饮水而渴不止，余曰∶君病是消渴也，乃脾肺气虚，非内热也。其人曰，前服凉药六剂，热虽退而
渴不止，觉胸胁气痞而喘。余曰∶前证止伤脾肺，因凉药复损元气，故不能健运而水停心下也。急灸关元、气
海各三百壮，服四神丹，六十日津液复生。方书皆作三焦猛热，下以凉药，杀人甚于刀剑，慎之。（津液受伤，
不惟消渴，亦兼杂病，而误用寒凉者不少，时医以此杀人，而人不悟奈何。）
这种病证是由于忧思恼怒、饮食生冷、醉酒后行房，损伤了脾气，又伤害了肝气，所以两胁部位疼痛。庸医再用寒凉药物，严重损伤了脾脏，导致病情加重，演变成中满（腹部胀满）、翻胃（呕吐反食）而死亡。或者因为恼怒伤肝，医生又加入青皮、陈皮、枳壳等具有强烈破气作用的药物，进一步削弱肝脏功能，导致四肢消瘦，无法进食而死。正确的治疗方法是：如果病情较重，表现为六脉微弱、身体消瘦、食欲减退，这是脾气即将衰竭的征兆，急需艾灸左命关穴二百壮，固护住脾气就不会死亡，之后服用金液丹、全真丹、来复丹以及荜澄茄散，根据具体症状选用，疾病自然痊愈。（此证的古法认为：在左侧发病，多为肝木病变，瘀血不消，由恼怒所伤；在右侧发病，则多为痰饮、食积气滞，这些都属于标病，容易治疗。如果宗气失调，虚里穴处疼痛，营气不调，脾络作痛，这非长期温养不能治愈。至于两胁连心，疼痛如刀刺，这是三阴经受到致命损伤，邪气逆乱于膈肓之间，非重用温补不可。另外肥气、息贲，这些积聚在脏腑募原的病证，如果拘泥于古方，专门使用攻伐削弱的药物，没有不死人的。）
这种病是由心肺气虚，多食生冷，冰伏肺气，或者色欲过度，严重损伤肾脏，导致津液不能上承滋润口腔而形成消渴病。肾经脉贯咽喉，系舌本，如果肾水枯竭，不能上荣于口，使人多饮但小便反而减少。方书将其作为热证治疗，损伤了肾元，误人甚多。正确的方法是：春季灸气海穴三百壮，秋季灸关元穴二百壮，每日服用延寿丹十丸，两个月后，肾气恢复。如果服用降火药，暂时有效，日久肺气逐渐受损，肾气逐渐衰弱，最终变成虚劳而死。此病大忌酒色和生冷硬物。如果脾气有余，肾气不足，则形成消中病，脾实有火，所以善于进食但身体消瘦，肾气不足，所以下肢无力，或者小便像疳积病一样浑浊。孙思邈将其归为三焦积热而使用凉药，损害的人不少。因为脾虽然有热，用凉药泻之，热未去除而脾先受伤败坏。正法是先灸关元穴二百壮，服用一斤金液丹即可痊愈。（消渴病虽然分为上、中、下三消，总归是由于损耗津液所致。肾为津液之源，脾为津液之本，本源亏损而导致消渴病。上消者，《素问》称为鬲消，口渴多饮，小便频数。中消者，《素问》称为消中，消谷善饥，身体消瘦。下消者，《素问》称为肺消，口渴且小便频数且有膏脂状物质排出，饮一溲二；后人又称之为肾消，肾消的病证已经相当严重了。如果脉象微而涩或细小，身体瘦弱憔悴，尿液味道甘甜，都是不治之证，大法以救津液，壮水火为生。）
治验案例：
有一人频繁饮水但口渴不止，我说：“您的病是消渴病，乃脾肺气虚，并非内热。”那人说：“之前服用了六剂凉药，热虽退但口渴不止，感觉胸胁气痞且气喘。”我说：“之前的病证只伤了脾肺，因为凉药再次损伤了元气，所以不能健运而水停心下。”急忙艾灸关元、气海各三百壮，服用四神丹，六十日后津液恢复。方书都将此证视为三焦猛热，用凉药攻下，杀人甚于刀剑，务必谨慎。（津液受伤，不仅导致消渴，也兼杂其他疾病，而误用寒凉药的不少，时医因此杀人，而人们却不醒悟，无可奈何。）
This syndrome arises from worry, excessive thought, and anger, consumption of raw and cold food, sexual intercourse after drunkenness or full meals, which damages the Spleen Qi and injures the Liver Qi, causing pain in both hypochondriac regions. Quack doctors further use cold-natured medicines, severely injuring the Spleen, leading to severe illness, resulting in death due to Zhongman (abdominal fullness) or Fanwei (vomiting undigested food). Alternatively, anger injures the Liver, and doctors add heavy Qi-breaking herbs such as Qingpi (Aurantii Fructus Pericarpium), Chenpi (Citri Reticulatae Pericarpium), and Zhiqiao (Aurantii Fructus Immaturus) to further weaken the Liver, causing emaciation of the four limbs and death due to inability to eat. The correct treatment method is: if the condition is severe, with weak pulses in all six positions, emaciation, and poor appetite, this indicates that Spleen Qi is about to collapse. Urgently moxa the Zuomiguan (Left Mingguan) acupoint 200 moxa cones to secure the Spleen Qi, then the patient will not die. Afterwards, administer Jin Ye Dan (Golden Fluid Pill), Quan Zhen Dan (Complete True Pill), Lai Fu Dan (Returning Reversal Pill), and Bichengqie San (Long Pepper Powder) according to the specific symptoms, and the disease will heal itself. (The ancient method for this syndrome states: If occurring on the left, it is a disorder of Liver Wood, with unresolved blood stasis caused by anger; if on the right, it is due to phlegm-fluid retention, food stagnation, and Qi stagnation, which are branch syndromes easy to treat. If Zong Qi (Pectoral Qi) is disordered, causing pain at Xuli (the area over the heart apex), and Ying Qi (Nutritive Qi) is unbalanced, causing pain in the Spleen collaterals, this cannot be cured without gradual warming and nourishment. As for Liangxi Lianxin Tong (pain in both hypochondria radiating to the heart like knife stabbing), this is a fatal injury to the Three Yin meridians, with rebellious Qi between the diaphragm and huang, requiring heavy warm-tonifying measures. Additionally, Feiqi (Fat Accumulation) and Xiben (Breath Retention) are accumulations located at the mu-yuan (alarm points) of the zang organs. If one sticks to ancient formulas and specializes in attacking and weakening methods, there will be no survivors.)
This disease is caused by deficiency of Heart and Lung Qi, excessive consumption of raw and cold foods freezing the Lung Qi, or excessive sexual activity severely injuring the Kidney. This results in body fluids failing to ascend and moisten the mouth, forming Xiaoke (Wasting-Thirst). The Kidney meridian passes through the throat and connects to the root of the tongue. If Kidney Water is dried up and cannot ascend to moisten the mouth, it causes polydipsia but paradoxically oliguria. Medical texts often treat this as Heat, damaging the Kidney Yuan Qi, misleading many people. The correct method is: Moxa Qihai (Sea of Qi) 300 cones in Spring, and Guanyuan (Gate of Origin) 200 cones in Autumn. Take Yanshou Dan (Longevity Pill) ten pills daily. After two months, Kidney Qi regenerates. If taking Fire-Descending medicines, there is temporary efficacy, but long-term use gradually damages Lung Qi and depletes Kidney Qi, eventually turning into Xu Lao (Deficiency Consumption) leading to death. This syndrome strictly forbids alcohol, sexual indulgence, and raw, hard foods. If Spleen Qi is excessive while Kidney Qi is insufficient, it forms Xiaozhong (Middle Wasting-Thirst). Excess Heat in the Spleen causes polyphagia and wasting; insufficient Kidney Qi causes weakness in the lower body or turbid urine resembling Ganji (childhood malnutrition). Sun Simiao attributed this to accumulated Heat in the Triple Burner and used cooling medicines, harming many people. Although the Spleen has Heat, using cold medicines to purge it destroys the Spleen before the Heat is eliminated. The correct method is first to moxa Guanyuan 200 cones, then take one jin (approx. 500g) of Jin Ye Dan to achieve cure. (Although Xiaoke is divided into Upper, Middle, and Lower types, it is fundamentally caused by the depletion of body fluids. The Kidney is the source of body fluids, and the Spleen is the root. Deficiency of the root and source leads to Xiaoke. Upper Xiaoke is called Gexiao in *Suwen*, characterized by thirst and polydipsia with frequent urination. Middle Xiaoke is called Xiaozhong in *Suwen*, characterized by rapid digestion with hunger and body emaciation. Lower Xiaoke is called Feixiao in *Suwen*, characterized by thirst, frequent urination with fatty substances in urine, drinking one part and urinating two parts; later generations also call it Shenxiao (Kidney Wasting-Thirst), which is a severe stage. If the pulse is faint and choppy or fine and small, the body is emaciated and exhausted, and the urine tastes sweet, these are incurable syndromes. The general principle is to rescue body fluids and strengthen Fire and Water to sustain life.)
Case Record:
A person drank water frequently but thirst did not cease. I said, "Your disease is Xiaoke, caused by deficiency of Spleen and Lung Qi, not internal Heat." The patient said, "I previously took six doses of cooling medicines. Although the heat subsided, the thirst persists, and I feel Qi blockage in the chest and hypochondrium with wheezing." I said, "The previous syndrome only injured the Spleen and Lung. The cooling medicines further damaged the Yuan Qi, so transportation failed, causing water retention below the Heart." Urgently moxa Guanyuan and Qihai, 300 cones each. Take Sishen Dan (Four Spirit Pill). After sixty days, body fluids regenerated. Medical texts attribute this syndrome to fierce Heat in the Triple Burner and use cooling purgatives, killing people more than swords and knives. Be cautious. (When body fluids are injured, it causes not only Xiaoke but also various mixed diseases. Many are harmed by the mistaken use of cold-natured medicines. Contemporary physicians kill with this, yet people do not realize why.)