《素问·奇病论》帝曰∶有病口甘者,病名为何?何以得之?岐伯曰∶此五气之溢也,名曰脾瘅。夫五味
入口,藏于胃,脾为之行其精气,津液在脾,故令人口甘也。此肥美之所发也,此人必数食甘美而多肥也。肥
者令人内热,甘者令人中满,故其气上溢,转为消渴。治之以兰,除陈气也。
瘅者,湿热病也。脾为湿土,恶湿而喜香燥,主鼓运而为胃行津液者也。浓味浊阴,遏其清阳,变成湿热,
津液不得输布而壅于脾,乃上溢而口甘,甘者,脾之味也。热积久,则必转为消渴之病。急治之以兰,除其陈
腐之气,遂脾喜香之性也。兰者,俗名省头草,妇女用以渍油抹发者。
帝曰∶有病口苦,取阳陵泉。口苦者,病名为何?何以得之?岐伯曰∶病名胆瘅。夫肝者,中之将也,取
决于胆,咽为之使。此人者数谋虑不决,故胆虚气上溢,而口为之苦。治之以胆募俞,治在《阴阳十二官相
使》中。
阳陵泉胆经穴也。《灵兰秘典》、《六节脏象》等论云∶肝者将军之官,谋虑出焉。胆者中正之官,决断
出焉。又曰∶十一脏皆取决于胆也。胆附于肝,肝经之脉,上循喉后,故咽为之使,而胆气亦由之而上也。以
谋虑太劳而不决,使胆虚汁泄而气上溢,故口苦而名胆瘅也。凡劳思过虑,无不动火而致胆热,即口苦矣。取
阳陵泉,治胆募俞,皆针法也。《阴阳十二官相使》或者即《脏象》等论所云∶十二官各司其职,而十一脏皆
取决于胆,以求其中义理,而设治法者乎?或者谓《阴阳十二官》古经名,今已亡失。未知孰是,以俟明哲辨之。
黄帝问道:有人患口中有甜味的病,这叫什么病?是怎么得的呢?岐伯回答说:这是五脏精气外溢所致,名叫脾瘅(脾热病)。各种味道进入口中,储藏于胃中,由脾为胃传输其精微物质。津液在脾脏停滞,所以使人感到口甜。这种病是由于经常食用肥甘厚味引起的,这样的人必定是频繁吃甘甜美味且油腻的食物。肥腻的食物使人体内产生内热,甘甜的食物使人中焦气机壅滞胀满,因此脾气上溢,进而转化为消渴病(以多饮、多食、多尿、身体消瘦为特征的疾病)。治疗用兰草,以去除体内陈腐的湿热之气。
所谓“瘅”,是指湿热性质的疾病。脾属湿土,厌恶湿气而喜欢芳香燥湿的药物,主要功能是推动运化,为胃传输津液。浓浊厚重的阴邪之气,遏制了清阳之气的升发,从而变成湿热,导致津液不能正常输布而壅塞在脾脏,于是向上溢出而导致口甜,甜味正是脾所对应的味道。如果热邪积聚日久,就一定会转化为消渴病。应当紧急用兰草治疗,以去除陈腐之气,顺应脾脏喜好香气的特性。兰草,俗称省头草,妇女用来浸泡油涂抹头发。
黄帝问道:有人患口苦,针刺阳陵泉穴。口苦的人,这是什么病?是怎么得的呢?岐伯回答说:这种病名叫胆瘅(胆热病)。肝是体内的将军,其决策依赖于胆,咽喉是胆气运行的通道。这种人常常谋虑过多而不能决断,导致胆气虚弱,胆气上溢,从而使口中感觉苦涩。治疗应选取胆的募穴和背俞穴,具体治法记载在《阴阳十二官相使》一书中。
阳陵泉是足少阳胆经的穴位。《灵兰秘典论》、《六节脏象论》等篇章论述说:肝是将军之官,谋虑由此产生;胆是中正之官,决断由此产生。又说:十一脏腑的功能发挥都取决于胆。胆附属于肝,肝经的经脉上行沿着喉咙后方,所以咽喉成为胆气运行的通道,胆气也由此而上行。因为谋虑过度而不能决断,导致胆虚、胆汁外泄而胆气上溢,所以口苦,病名为胆瘅。凡是思虑过度,没有不引发火热而导致胆热的,这就表现为口苦。取阳陵泉穴,治疗胆的募穴和背俞穴,都是针灸疗法。《阴阳十二官相使》或许就是指《脏象论》等篇所说的:十二个脏器各司其职,而十一脏都取决于胆,据此探究其中的义理并设立治疗方法呢?或者认为《阴阳十二官》是古代医经的名称,现在已经失传了。不知道哪种说法正确,留给明哲之士去辨别。
The Yellow Emperor asked: There is a disease where the patient has a sweet taste in the mouth. What is this disease called? How is it acquired? Qibo replied: This is the overflow of the essence of the five Zang organs, named Pi Dan (Spleen Heat Disease). When flavors enter the mouth, they are stored in the Stomach, and the Spleen transports their essence. When fluids stagnate in the Spleen, it causes the sensation of sweetness in the mouth. This disease originates from rich and fatty foods; such individuals must frequently consume sweet, delicious, and fatty foods. Fatty foods cause internal heat, while sweet foods cause fullness in the middle Jiao. Therefore, the Qi overflows upward, transforming into Xiao Ke (Wasting-Thirst Disease). It should be treated with Lan Cao (Orchid Herb) to remove stale and turbid Qi.
Dan refers to damp-heat diseases. The Spleen belongs to wet Earth, dislikes dampness, and prefers aromatic and drying properties. Its main function is to promote transportation and transformation, assisting the Stomach in distributing fluids. Thick and turbid Yin pathogens obstruct the ascending of clear Yang, turning into damp-heat. Consequently, fluids cannot be distributed normally but instead stagnate in the Spleen, overflowing upward to cause sweetness in the mouth. Sweetness is the flavor associated with the Spleen. If heat accumulates for a long time, it will inevitably transform into Xiao Ke disease. Urgent treatment with Lan Cao is required to remove stale Qi, thereby accommodating the Spleen's preference for aromatic substances. Lan Cao, commonly known as Sheng Tou Cao (Head-Clearing Grass), is used by women to soak oil for hair application.
The Yellow Emperor asked: There is a disease involving bitterness in the mouth, treated by needling Yang Ling Quan (GB34). For those with a bitter taste in the mouth, what is this disease called? How is it acquired? Qibo replied: This disease is named Dan Dan (Gallbladder Heat Disease). The Liver is the General within the body, whose decisions depend on the Gallbladder, and the pharynx serves as its conduit. Such individuals often engage in excessive deliberation without making decisions, leading to Gallbladder deficiency and the upward overflow of Qi, causing bitterness in the mouth. Treatment involves selecting the Front-Mu and Back-Shu points of the Gallbladder. The specific methods are recorded in the *Yin Yang Twelve Officials Mutual Assistance* text.
Yang Ling Quan is an acupoint of the Foot-Shaoyang Gallbladder Meridian. Texts such as the *Ling Lan Mi Dian Lun* and *Liu Jie Zang Xiang Lun* state: The Liver is the organ of the General, from which strategy and deliberation arise. The Gallbladder is the organ of uprightness, from which decision-making arises. It is also said: The functions of the eleven Zang and Fu organs depend on the Gallbladder. The Gallbladder is attached to the Liver. The Liver meridian ascends along the posterior aspect of the pharynx; thus, the pharynx serves as the conduit, and Gallbladder Qi ascends through it. Due to excessive mental labor and indecision, Gallbladder deficiency occurs, bile leaks, and Qi overflows upward, resulting in bitterness in the mouth and the diagnosis of Dan Dan. Any excessive thinking and over-deliberation can generate fire and lead to Gallbladder heat, manifesting as bitterness in the mouth. Needling Yang Ling Quan and treating the Gallbladder’s Front-Mu and Back-Shu points are both acupuncture methods. Regarding *Yin Yang Twelve Officials Mutual Assistance*, it might refer to the theory in the *Zang Xiang* discussions that the twelve officials each have their duties, yet the eleven organs depend on the Gallbladder, implying that treatment methods were established based on these principles. Alternatively, it may refer to an ancient classic titled *Yin Yang Twelve Officials*, which is now lost. It is uncertain which interpretation is correct, leaving it for wise scholars to discern.