天时∶阳气乃避,阴气暴举,大寒乃至,川泽严凝,寒 结为霜雪。甚则黄黑昏翳,流行气
交,乃为霜杀,水乃见祥,阳光不治,空积沉阴,白埃昏暝,而乃发也。其气二火前后。君火二之
气,相火三之气,自春分二月中而尽于小暑六月节,凡一百廿日,皆二火之所主。水本旺于冬,
其气郁,故发于火令之时,阴乘阳也。
民病∶寒客心痛,(心火畏水。)腰 痛,(寒入肾。关节不利,屈伸不便,寒则气血
滞,筋脉急。)善厥逆,痞坚腹满。(阴气盛,阳不得行。)
治法∶水郁折之。折者,调制也。凡水郁之病,为寒为水之属也。水之本在肾,水之标在肺,
其伤在阳分,其反克在脾胃,水性善流,宜防泛溢。凡折之法,如养气可以化水,治在肺也;实
土可以制水,治在脾也;壮火可以胜水,治在命门也;自强可以帅水,治在肾也;分水可泄水,
治在膀胱也。凡此皆谓之折,岂独折之而已哉。
天时∶太虚埃昏,云物以扰,大风乃至,发屋折木,太虚苍埃,天山一色,或为浊气黄黑郁
若,横云不起雨,(云虽横而不致雨。)其气无常,(变动不定。)长川草偃,柔叶呈阴,松吟
高山,虎啸岩岫,怫之先兆也。
民病∶胃脘当心而痛,(厥阴之脉,挟胃贯膈。)上支两胁,(肝气逆。)咽膈不通,饮食
不下,甚则耳鸣眩转,目不识人,善暴僵仆。(皆风木肝邪之病。)
治法∶木郁达之。达者,畅达也。凡木郁之病,风之属也。其脏应肝胆,其经
在胁肋,其主在筋爪,其伤在脾胃、在血分。然木喜调畅,故在表者,当疏其经,在里者,当疏
其脏,但使气得通行,皆谓之达。诸家以吐为达者,又安足以尽之。
天时:阳气退避,阴气突然亢盛,大寒随之而来,河流与沼泽冻结凝固,寒气凝结成霜雪。严重时天空黄黑昏暗遮蔽,流行之气交争,导致草木被霜冻杀伤,水气显现异常征兆,阳光无法发挥作用,空中积聚沉重的阴气,白色尘雾昏暗不明,于是病气发作。这种气出现在君火和相火主令的前后时段。君火对应二之气,相火对应三之气,从春分(二月)开始直到小暑(六月)结束,共一百二十天,都是这两股火热之气所主掌。水本应在冬季旺盛,但因气机郁结,所以发作于火热当令的时节,这是阴气乘袭阳气的表现。
民众患病:寒气客居导致心痛,(因为心火畏惧水邪。)腰痛,(寒邪侵入肾脏。)关节活动不利,屈伸困难,(寒冷导致气血停滞,筋脉拘急。)容易四肢厥冷逆乱,胸中痞塞坚硬且腹部胀满。(阴气过盛,阳气不能运行。)
治疗方法:对于水郁之证,应当采用“折”的方法。“折”,意为调制、制约。凡是水郁引起的疾病,都属于寒和水类的范畴。水的根本在肾,水的标象在肺,其损伤部位在阳分,其反克关系涉及脾胃。水性善于流动,应当防止泛滥溢出。凡是“折”的方法,如养气可以化水,治疗重点在肺;充实土气可以制约水,治疗重点在脾;增强命门之火可以战胜水,治疗重点在命门;自身强健可以统帅水,治疗重点在肾;分利水道可以排泄水,治疗重点在膀胱。以上这些方法都称为“折”,难道仅仅是简单的压制吗?
天时:天空尘埃昏暗,云气物象纷扰,大风随即到来,掀翻房屋折断树木,天空呈现苍黄的尘埃色,山天浑然一色,有时出现浊气黄黑郁结的样子,横云虽起却不降雨,(云虽然横亘但不致雨。)气候变动不定,(变化没有常规。)长川边的草随风倒伏,柔嫩的叶子显露背面,高山上的松树发出吟啸般的风声,岩穴中的老虎咆哮,这些都是风气郁结发作的先兆。
民众患病:胃脘部当心口处疼痛,(厥阴肝经的脉络,挟持胃部贯穿膈肌。)向上支撑两侧胁肋,(肝气上逆。)咽喉与膈部不通畅,饮食难以下咽,严重时出现耳鸣、头晕目眩,甚至看不清人,容易突然发生僵直仆倒。(这都是风木肝邪引起的疾病。)
治疗方法:对于木郁之证,应当采用“达”的方法。“达”,意为通畅、通达。凡是木郁引起的疾病,属于风的范畴。其对应的脏腑是肝胆,其经脉分布在胁肋,其主管的是筋爪,其损伤涉及脾胃和血分。然而木性喜欢调畅,所以在表层的,应当疏通其经络;在里层的,应当疏泄其脏腑,只要能使气机通行,都称为“达”。各家医家认为用吐法就是“达”,这又怎么能完全概括呢?
Translation:
Weather/Nature: Yang Qi retreats, Yin Qi suddenly rises to excess, severe cold arrives, rivers and marshes freeze solid, cold condenses into frost and snow. In severe cases, the sky becomes yellowish-black and dimly obscured, the circulating Qi interacts in conflict, causing frost to kill vegetation, water manifestations show omens, sunlight fails to function, heavy Yin accumulates in the void, white dust and haze obscure visibility, thus the pathogenic factor erupts. This Qi occurs before and after the periods of Ministerial Fire and Sovereign Fire. Sovereign Fire corresponds to the Second Qi, and Ministerial Fire to the Third Qi; from the Spring Equinox (February) until the Minor Heat solar term (June), totaling 120 days, these are all governed by these two fires. Water naturally prospers in winter, but due to Qi stagnation, it erupts during the time when fire commands prevail, representing Yin encroaching upon Yang.
People's Diseases: Cold invading causes heart pain, (because Heart Fire fears Water.) lower back pain, (Cold enters the Kidney.) joint stiffness and difficulty in flexion and extension, (Cold causes Qi and Blood stagnation, leading to tendon and vessel tension.) frequent cold limbs and reversal, chest fullness with hardness and abdominal distension. (Yin Qi is excessive, preventing Yang Qi from moving.)
Treatment Method: For Water Stagnation (Shui Yu), one should employ "Zhe" (Restriction/Modulation). "Zhe" means modulation or regulation. All diseases of Water Stagnation belong to the categories of Cold and Water. The root of Water lies in the Kidney, its branch manifestation in the Lung, its injury affects the Yang aspect, and its counter-acting influence involves the Spleen and Stomach. Water nature tends to flow, so one must guard against overflow. Methods of "Zhe" include: nourishing Qi to transform Water, treating the Lung; strengthening Earth to control Water, treating the Spleen; boosting Fire to overcome Water, treating the Mingmen (Gate of Life); self-strengthening to command Water, treating the Kidney; separating fluids to drain Water, treating the Bladder. All these are called "Zhe," implying more than just simple restriction.
Weather/Nature: The great void is dusty and dim, clouds and phenomena are disturbed, strong winds arrive, overturning houses and breaking trees. The sky is covered in pale yellow dust, mountains and heavens merge into one color. Sometimes turbid Qi appears yellow-black and stagnant, with horizontal clouds that do not bring rain, (although clouds are horizontal, they do not produce rain.) The Qi is unpredictable, (changing without regularity.) Grass on long rivers bends with the wind, soft leaves reveal their undersides, pines sing on high mountains, tigers roar in rocky peaks; these are precursors to the eruption of Wind Qi.
People's Diseases: Pain in the epigastrium directly behind the heart, (the Jueyin Liver meridian flanks the Stomach and pierces the Diaphragm.) upward support to both hypochondriac regions, (Liver Qi rebels upward.) obstruction in the throat and diaphragm, inability to swallow food. In severe cases, tinnitus, vertigo, blindness to people, and sudden stiff collapse. (All are diseases caused by Wind-Wood Liver pathogens.)
Treatment Method: For Wood Stagnation (Mu Yu), one should employ "Da" (Unblocking/Freeing). "Da" means smooth and unobstructed. All diseases of Wood Stagnation belong to the category of Wind. Its associated organs are the Liver and Gallbladder, its meridians traverse the hypochondrium, it governs tendons and nails, and its injury affects the Spleen, Stomach, and Blood aspect. However, Wood favors smoothness and free flow; therefore, if in the exterior, one should soothe the meridians; if in the interior, one should soothe the organs. As long as Qi circulation is restored, it is called "Da." Some schools consider emesis as "Da," but this cannot fully encompass the concept.