(灵枢本神篇连前章)
肝藏血,血舍魂,肝气虚则恐,实则怒。(宣明五气篇曰∶肝藏魂。五脏生成篇曰∶人卧则血归于肝。调经论曰∶肝
藏血,血有余则怒,不足则恐。)脾藏营,营舍意,脾气虚则四肢不用、五脏不安,实则腹胀经溲不利。(营出中焦,受
气取汁,变化而赤是谓血,故曰脾藏营。营舍意,即脾藏意也。脾虚则四肢不用,五脏不安,以脾主四肢,而脾为五脏
之原也。太阴脉入腹络胃,故脾实则腹胀经溲不利。调经论曰∶形有余则腹胀经溲不利。经当作泾。溲音搜。)心藏脉,
脉舍神,心气虚则悲,实则笑不休。(宣明五气篇曰∶心主脉。调经论曰∶心藏神,神有余则笑不休,神不足则悲。)肺
藏气,气舍魄,肺气虚则鼻塞不利少气,实则喘喝胸盈仰息。(喘喝者,气促声粗也。胸盈,胀满也。仰息,仰面而喘也。
宣明五气篇曰∶肺藏魄。调经论曰∶气有余则喘咳上气,不足则息利少气。)肾藏精,精舍志,肾气虚则厥,实则胀。(九
针论曰∶肾藏精、志也。调经论曰∶肾藏志,志有余则腹胀飧泄,不足则厥。)五脏不安;必审五脏之病形,以知其气之
虚实,谨而调之也。(此与前本神原属同篇,彼言情志损伤,此分五脏虚实。故凡五脏有不安者,必审其病形虚实情志所
属,乃可随其藏以调之。此总结前章而言其治法也。)
(《灵枢·本神》篇承接前一章的内容)
肝藏血,血舍魂,肝气虚则恐,实则怒。(《宣明五气》篇说:肝藏魂。《五脏生成》篇说:人卧则血归于肝。《调经论》说:肝藏血,血有余则怒,不足则恐。)脾藏营,营舍意,脾气虚则四肢不用、五脏不安,实则腹胀经溲不利。(营气出于中焦,受纳水谷之气并提取其汁液,变化而成红色,这就叫做血,所以说脾藏营。营舍意,即脾藏意。脾虚则四肢不能运用,五脏不安,因为脾主四肢,且脾为五脏的根本。太阴脉进入腹部联络胃,所以脾实则出现腹胀及大小便不通利。《调经论》说:形有余则腹胀大小便不通利。“经”字应当作“泾”。溲音搜。)心藏脉,脉舍神,心气虚则悲,实则笑不休。(《宣明五气》篇说:心主脉。《调经论》说:心藏神,神有余则笑不休,神不足则悲。)肺藏气,气舍魄,肺气虚则鼻塞不利少气,实则喘喝胸盈仰息。(喘喝,指呼吸急促声音粗重。胸盈,指胸部胀满。仰息,指仰卧面部喘息。《宣明五气》篇说:肺藏魄。《调经论》说:气有余则喘咳上气,不足则呼吸通畅但气短。)肾藏精,精舍志,肾气虚则厥,实则胀。(《九针论》说:肾藏精和志。《调经论》说:肾藏志,志有余则腹胀飧泄,不足则厥。)五脏不安;必须审察五脏的病变表现,以了解其气的虚实情况,谨慎地进行调理。(这部分与前文《本神》原属同一篇,前者论述情志损伤,此处分述五脏虚实。所以凡是五脏有不安的情况,必须审察其病形、虚实以及情志所属,然后才能根据其所藏之脏进行调理。这是对前章内容的总结并阐述治疗方法。)
(Continuing from the previous chapter in the *Lingshu: Benshen* [Spiritual Pivot: The Root Spirit] chapter)
The Liver stores Blood (Xue, blood), and the Hun [Ethereal Soul] resides in the Blood. When Liver Qi is deficient, there is fear; when excess, there is anger. (The *Xuanming Wuqi* [Manifestation of the Five Qi] chapter states: The Liver houses the Hun. The *Wuzang Shengcheng* [Generation of the Five Zang Organs] chapter states: When a person lies down, blood returns to the Liver. The *Tiaojing Lun* [Treatise on Regulating the Meridians] states: The Liver stores Blood; if Blood is in excess, there is anger; if deficient, there is fear.) The Spleen stores Ying [Nutritive Qi], and the Yi [Intellect] resides in the Ying. When Spleen Qi is deficient, the four limbs are unusable and the five Zang organs are unsettled; when excess, there is abdominal distension and difficulty with urination and defecation. (Ying Qi arises from the Middle Jiao [Middle Burner], receiving the essence of food and drink, transforming it into red fluid, which is called Blood; thus, it is said that the Spleen stores Ying. "Ying resides in Yi" means the Spleen houses the Yi. Spleen deficiency leads to the inability to use the four limbs and unrest of the five Zang organs because the Spleen governs the four limbs and serves as the root of the five Zang organs. The Taiyin meridian enters the abdomen and connects with the Stomach; therefore, Spleen excess results in abdominal distension and obstruction of Jing [urination/defecation] and Sou [urination]. In the *Tiaojing Lun*, it states: If Form is in excess, there is abdominal distension and obstruction of Jing and Sou. The character "Jing" should be read as "Jing" (channels). "Sou" is pronounced sou.) The Heart stores Mai [Vessels/Pulse], and the Shen [Spirit] resides in the Vessels. When Heart Qi is deficient, there is sorrow; when excess, there is incessant laughter. (The *Xuanming Wuqi* chapter states: The Heart governs the Vessels. The *Tiaojing Lun* states: The Heart houses the Shen; if Shen is in excess, there is incessant laughter; if deficient, there is sorrow.) The Lung stores Qi, and the Po [Corporeal Soul] resides in the Qi. When Lung Qi is deficient, there is nasal congestion, difficulty in breathing, and shortness of breath; when excess, there is panting with loud sounds, chest fullness, and仰息 [breathing while lying on the back with head extended]. (Panting with loud sounds refers to rapid and coarse respiration. Chest fullness refers to distension and fullness. Yangxi refers to panting while lying supine with the face upward. The *Xuanming Wuqi* chapter states: The Lung houses the Po. The *Tiaojing Lun* states: If Qi is in excess, there is panting, coughing, and rebellious Qi rising; if deficient, breathing is clear but there is shortness of breath.) The Kidney stores Jing [Essence], and the Zhi [Willpower] resides in the Essence. When Kidney Qi is deficient, there is cold extremities (Jue); when excess, there is distension. (The *Jiuzhen Lun* [Treatise on the Nine Needles] states: The Kidney stores Jing and Zhi. The *Tiaojing Lun* states: The Kidney houses Zhi; if Zhi is in excess, there is abdominal distension and undigested stool diarrhea; if deficient, there is cold extremities.) If the five Zang organs are unsettled, one must carefully examine the manifestations of disease in the five Zang organs to determine the deficiency or excess of their Qi, and then cautiously regulate them. (This section originally belonged to the same chapter as the preceding *Benshen*; the former discusses damage caused by emotional states, while this part distinguishes between deficiency and excess of the five Zang organs. Therefore, whenever any of the five Zang organs are unsettled, one must examine the disease manifestations, the state of deficiency or excess, and the associated emotional factors, so as to regulate according to the specific Zang organ. This concludes the previous chapter by outlining the treatment methods.)