手太阴病肺胀满膨膨而喘咳缺盆中痛甚则交两手而瞀此为臂厥是主肺所生病者咳上气喘
渴烦
心胸满 臂内前廉痛厥掌中热气盛有余则肩背痛风寒汗出中风小便数而欠气虚则肩背痛寒少
气不足以息溺色变手阳明大肠病则齿痛颈肿是主津液所生病者目黄口干鼽衄喉痹肩前 痛大
指次指痛不用气有余则当脉所过者热肿虚则寒栗不复
足阳明胃病则洒洒振寒善呻数欠颜黑病至则恶人与火闻木声则惕然而惊心欲动独闭户塞
牖
而处甚则欲上高而歌弃衣而走贲响腹胀是为 厥是主血所生病者狂疟温淫汗出鼽衄口 唇胗
颈肿喉痹大腹水肿膝膑肿痛循膺乳气街股伏兔 外廉足跗上皆痛中指不用气盛则身以前皆
热其有余于胃则消谷善饥溺色黄气不足则身以前皆寒栗胃中寒则胀满
足太阴脾病舌本强食则呕胃脘痛腹胀善噫得后与气则快然如衰身体皆重是主脾所生病者
舌
本痛体不能动摇食不下烦心心下急痛溏瘕泄水闭黄胆不能卧强立股膝内肿厥足大指不用
手少阴心病嗌干心痛渴而欲饮是为臂厥是主心所生病者目黄胁痛 臂内后廉痛厥掌中热
痛
手太阳小肠病嗌痛颔肿不可以顾肩似拔 似折是主液所生病者耳聋目黄颊肿颈项肩 肘臂外
后廉痛
足太阳膀胱病则冲头痛目似脱项如拔脊痛腰似折髀不可以曲 如结 如裂是为踝厥是主
筋
所生病者痔疟狂颠疾头囟项痛目黄泪出鼽衄项背腰尻 脚皆痛小指不用 足少阴肾病饥不欲
食面如漆柴咳唾则有血喝喝而喘坐而欲起目KT KT 如无所见心如悬若饥状气不足则善恐心
惕惕如人将捕之
是为骨厥是主肾所生(病者)口热舌干咽肿上气嗌干及痛烦心心痛黄胆肠癖脊股内后廉痛痿厥
嗜卧足下热而痛
手厥阴心包络病手心热臂肘挛急腋肿甚则胸胁支满
阴跷主病越人曰阳缓而阴急王叔和注云当从内踝以上急外踝以上缓又曰寸口脉后部左右
弹者阴跷也苦颠痫寒热皮肤淫痹少腹痛里急腰及髋 下连阴痛男子阴疝女人漏下
带脉主病越人曰腹满腰溶溶如坐水中明堂曰女人少腹痛里急螈 月事不调赤白带下
阴维脉主病王叔和云苦颠痫僵仆失音肌肉皮痒汗出恶风身洗洗然也又曰阴维脉沉大而实
主胸中痛胁下满心痛脉如贯珠者男子胁下实腰中痛女阴中痛或有疮
阳维脉主病王叔和曰苦肌肉痹痒皮肤痛下部不仁汗出而寒颠仆羊鸣手足相引甚者不能言
张洁
古曰卫为阳主表阳维受邪为病在表故作寒热营为阴主里阴维受邪为病在里故苦心痛阴阳相维
则营卫和谐营卫不谐则怅然失志不能自收持矣
手太阴肺经发生病变,表现为肺部胀满,气息壅盛而喘息咳嗽,缺盆(锁骨上窝)部位疼痛;病情严重时,会出现双手交叉按于胸前、视物模糊的症状,这称为“臂厥”。本经主要主管肺所生的疾病:包括咳嗽、气逆喘息、口渴、心烦、心胸部胀满、手臂内侧前缘疼痛、手掌心发热。若邪气有余,则见肩背疼痛、怕风、出汗、中风、小便频数且频繁打哈欠;若正气不足,则见肩背部疼痛、畏寒、气短不足以呼吸、小便颜色改变。
手阳明大肠经发生病变,表现为牙齿疼痛、颈部肿胀。本经主要主管津液所生的疾病:包括目黄、口干、鼻塞流涕或鼻出血、咽喉肿痛、肩前部疼痛、食指与拇指之间疼痛且功能丧失。若邪气有余,则经脉循行部位出现热肿;若正气不足,则出现寒冷战栗且难以恢复。
足阳明胃经发生病变,表现为身体瑟瑟发冷、颤抖,喜欢呻吟,频繁打哈欠,面色发黑。发病时厌恶人与火光,听到木器敲击的声音就会惊恐心动,想要独自行动,关闭门户、堵塞窗户独处;病情严重时,甚至想登上高处唱歌,脱掉衣服奔跑。腹部肠鸣响动、腹胀,这称为“厥”。本经主要主管血所生的疾病:狂证、疟疾、温热病、出汗、鼻塞流涕或鼻出血、口唇生疮、颈部肿胀、咽喉肿痛、大腹水肿、膝盖髌骨肿痛,沿胸部、乳房、气街、大腿前外侧、伏兔穴外侧、足背等部位均疼痛,中指功能丧失。若邪气盛,则身体前面全部发热,若胃中邪气有余则消谷善饥、小便颜色发黄;若正气不足,则身体前面全部寒冷战栗,若胃中有寒则腹部胀满。
足太阴脾经发生病变,表现为舌根强硬,进食后呕吐,胃脘疼痛,腹部胀满,喜欢嗳气,大小便通畅或排气后感觉轻松舒缓,身体沉重。本经主要主管脾所生的疾病:舌根疼痛,身体不能动摇,饮食不下,心烦,心下部急痛,大便溏泄、瘕积、泄泻、水闭、黄疸,不能平卧,勉强站立时大腿和膝盖内侧肿胀,足大趾功能丧失。
手少阴心经发生病变,表现为咽喉干燥、心痛、口渴想饮水,这称为“臂厥”。本经主要主管心所生的疾病:目黄、胁痛、手臂内侧后缘疼痛、手掌心发热疼痛。
手太阳小肠经发生病变,表现为咽喉疼痛、下颌肿胀、头部不能回顾,肩部感觉像被拔起一样,肘部感觉像折断一样。本经主要主管液所生的疾病:耳聋、目黄、脸颊肿胀、颈项、肩、肘、臂外侧后缘疼痛。
足太阳膀胱经发生病变,表现为冲头痛(头顶剧烈疼痛),眼睛感觉像要脱出,项部感觉像被拔起,脊柱疼痛,腰部感觉像折断,大腿不能弯曲,腘窝拘急像被捆绑,又像撕裂一样,这称为“踝厥”。本经主要主管筋所生的疾病:痔疾、疟疾、狂证、癫疾、头囟及项部疼痛、目黄、流泪、鼻塞流涕或鼻出血、项背腰尻部及脚部疼痛,小指功能丧失。
足少阴肾经发生病变,表现为饥饿但不想进食,面色像漆柴一样枯黑,咳嗽唾血,呼吸有声而气喘,坐着想站起,眼睛昏花看不清东西,心中悬空感如同饥饿一般。若正气不足,则容易恐惧,心中惕惕不安,好像有人将要捕捉自己。这称为“骨厥”。本经主要主管肾所生的疾病:口热、舌干、咽喉肿痛、气逆上冲、咽喉干燥及疼痛、心烦、心痛、黄疸、痢疾、脊股内侧后缘疼痛、痿证、厥证、嗜睡、足底发热疼痛。
手厥阴心包络发生病变,表现为手心发热、手臂肘部挛急、腋窝肿胀,严重时胸胁部支撑胀满。
阴跷脉主病:越人(扁鹊)说,阳缓而阴急。王叔和注解认为应当是内踝以上拘急,外踝以上松弛。又说寸口脉后部左右跳动的是阴跷脉。症状包括癫痫、寒热、皮肤麻木痹痛、小腹痛、里急、腰及髋部下方连及阴部疼痛,男子患阴疝,女子漏下带下。
带脉主病:越人说,腹部胀满,腰部松软无力像坐在水中。明堂说,女子少腹痛、里急、抽搐、月经不调、赤白带下。
阴维脉主病:王叔和说,症状为癫痫、僵仆失音、肌肉皮肤瘙痒、出汗、怕风、身体瑟瑟发抖。又说阴维脉沉大而实,主治胸中痛、胁下满、心痛;脉象如贯珠者,男子胁下实、腰中痛、女阴中痛或有疮疡。
阳维脉主病:王叔和说,症状为肌肉痹痛瘙痒、皮肤痛、下部麻木不知痛痒、出汗而寒、颠仆、羊鸣、手足牵引,严重者不能言语。张洁古说,卫气属阳主表,阳维受邪致病在表,所以出现寒热;营气属阴主里,阴维受邪致病在里,所以心中痛苦。阴阳相互维系,则营卫和谐;营卫不和谐,则怅然失志,不能自我控制。
When the Hand-Taiyin Lung Meridian is diseased, it manifests as lung distension and fullness, with a sensation of qi stagnation leading to wheezing and coughing. There is pain in the supraclavicular fossa (Quepen). In severe cases, the patient may cross their hands over the chest and experience visual blurring; this is termed "Arm Jue" (Arm Reversal). This meridian primarily governs diseases generated by the Lung: cough, rebellious qi and wheezing, thirst, mental restlessness, chest and heart fullness, pain along the anterior medial aspect of the arm, and heat in the palm. If there is excess pathogen, symptoms include shoulder and back pain, aversion to wind, sweating, stroke, frequent urination, and yawning. If there is deficiency of healthy qi, symptoms include shoulder and back pain, aversion to cold, shortness of breath, and changes in urine color.
When the Hand-Yangming Large Intestine Meridian is diseased, it manifests as toothache and neck swelling. This meridian primarily governs diseases generated by body fluids: yellow eyes, dry mouth, nasal congestion or epistaxis, throat obstruction, pain in the anterior shoulder, and pain or dysfunction of the index finger. If there is excess pathogen, heat and swelling occur along the course of the meridian. If there is deficiency, chills and rigors occur that are difficult to recover from.
When the Foot-Yangming Stomach Meridian is diseased, it manifests as shivering and tremors, a tendency to groan, frequent yawning, and a darkened complexion. Upon onset, the patient fears people and fire, startles at the sound of wood, desires to act alone, closes doors and windows, and stays indoors. In severe cases, they may climb high places to sing, strip naked, and run. Abdominal rumbling and distension occur; this is termed "Jue". This meridian primarily governs diseases generated by blood: mania, malaria, warm pathogens, sweating, nasal congestion or epistaxis, sores on lips, neck swelling, throat obstruction, massive abdominal edema, and painful swelling of the knee patella. Pain extends along the chest, breast, Qichong area, anterior thigh, lateral to Futu, and dorsum of the foot, with dysfunction of the middle toe. If qi is excessive, the anterior body becomes hot; if stomach qi is excessive, food is digested quickly with hunger, and urine is yellow. If qi is deficient, the anterior body becomes cold and shivering; if stomach cold exists, abdominal distension occurs.
When the Foot-Taiyin Spleen Meridian is disease, it manifests as stiffness of the tongue root, vomiting after eating, epigastric pain, abdominal distension, frequent belching, and a feeling of relief after defecation or passage of gas. The body feels heavy. This meridian primarily governs diseases generated by the Spleen: pain at the tongue root, inability to move the body, difficulty swallowing, mental restlessness, urgent pain in the epigastrium, loose stools, masses, diarrhea, water retention, jaundice, inability to lie flat, swelling of the inner thighs and knees when standing forcibly, and dysfunction of the big toe.
When the Hand-Shaoyin Heart Meridian is diseased, it manifests as dry throat, heart pain, thirst, and desire to drink; this is termed "Arm Jue". This meridian primarily governs diseases generated by the Heart: yellow eyes, flank pain, pain along the posterior medial aspect of the arm, and heat and pain in the palm.
When the Hand-Taiyang Small Intestine Meridian is diseased, it manifests as sore throat, swelling of the mandible, inability to turn the head, a sensation of the shoulder being pulled out, and a sensation of the elbow being broken. This meridian primarily governs diseases generated by fluids: deafness, yellow eyes, cheek swelling, and pain along the posterior lateral aspect of the neck, shoulder, elbow, and arm.
When the Foot-Taiyang Bladder Meridian is diseased, it manifests as headache striking upward, eyes feeling as if dislocated, neck feeling as if pulled, spinal pain, waist feeling as if broken, inability to flex the thighs, cramping in the popliteal fossa as if bound or torn; this is termed "Ankle Jue". This meridian primarily governs diseases generated by sinews: hemorrhoids, malaria, mania, epilepsy, pain in the vertex and neck, yellow eyes, tearing, nasal congestion or epistaxis, pain in the nape, back, loins, sacrum, and feet, and dysfunction of the little toe.
When the Foot-Shaoyin Kidney Meridian is diseased, it manifests as hunger without desire to eat, a sallow and dark complexion like lacquered charcoal, coughing up blood, noisy breathing, a desire to rise from sitting, blurred vision, and a sensation of the heart hanging empty as if hungry. If qi is deficient, there is easy fright, palpitations, and a sense of being hunted. This is termed "Bone Jue". This meridian primarily governs diseases generated by the Kidney: oral heat, dry tongue, swollen and painful throat, rebellious qi, dry and painful throat, mental restlessness, heart pain, jaundice, dysentery, pain along the posterior medial aspect of the spine and thigh, flaccidity syndromes, reversal syndromes, lethargy, and heat and pain in the soles of the feet.
When the Hand-Jueyin Pericardium Meridian is diseased, it manifests as heat in the palm, spasm and tightness of the arm and elbow, swelling of the axilla, and in severe cases, distending fullness in the chest and hypochondrium.
The Yin Qiao Mai governs specific conditions: Bian Que stated that yang is slack and yin is tense. Wang Shuhe noted that tension should be above the medial malleolus and relaxation above the lateral malleolus. He also stated that pulsation at the posterior part of the Cunkou pulse indicates the Yin Qiao Mai. Symptoms include epilepsy, alternating chills and fever, skin numbness and bi-syndrome, lower abdominal pain, internal urgency, pain connecting the waist and hip to the genitals, male yin hernia, and female leukorrhea or uterine bleeding.
The Dai Mai (Girdle Vessel) governs specific conditions: Bian Que stated that abdominal fullness accompanies a limp waist, as if sitting in water. Ming Tang stated that for women, it involves lower abdominal pain, internal urgency, convulsions, irregular menstruation, and red and white leukorrhea.
The Yin Wei Mai governs specific conditions: Wang Shuhe stated symptoms include epilepsy, sudden collapse with loss of speech, itching of muscles and skin, sweating, aversion to wind, and shivering. He further stated that a deep, large, and solid Yin Wei pulse governs chest pain, hypochondriac fullness, and heart pain. A bead-like pulse indicates male hypochondriac fullness, waist pain, female genital pain, or sores.
The Yang Wei Mai governs specific conditions: Wang Shuhe stated symptoms include muscle bi-syndrome with itching, skin pain, numbness in the lower body, sweating with cold, collapse, barking sounds, limb traction, and in severe cases, inability to speak. Zhang Jiegu stated that Wei Qi belongs to Yang and governs the exterior; when Yang Wei is affected, disease is in the exterior, causing chills and fever. Ying Qi belongs to Yin and governs the interior; when Yin Wei is affected, disease is in the interior, causing heart pain. When Yin and Yang mutually maintain each other, Ying and Wei harmonize; when they do not harmonize, one experiences desolation and loss of will, unable to control oneself.