天之邪气,感则害人五脏;水谷之寒热,感则害人六腑;地之湿气,感则害人皮肉筋脉。(见论治类八。)
百病之始生也,必先于皮毛,邪中之则腠理开,开则入客于络脉,留而不去,传入于经,留而不去,传入于腑,廪
于肠胃。邪之始入于皮也, 然起毫毛,开腠理;其入于络也,则络脉盛色变;其入客于经也,则感虚乃陷下;其留于
筋骨之间,寒多则筋挛骨痛,热多则筋弛骨消,肉烁 破,毛直而败。邪客于皮则腠理开,开则邪入客于络脉,络脉满
则注于经脉,经脉满则入舍于腑脏也。(经络三十一。)
邪之客于形也,必先舍于皮毛,留而不去,入舍于孙脉,留而不去,入舍于络脉,留而不去,入舍于经脉,内连五
脏,散于肠胃,阴阳俱感,五脏乃伤,此邪之从皮毛而入,极于五脏之次也。(针刺三十。)
风雨之伤人也,先客于皮肤,传入于孙络,孙络满则传入于络脉,络脉满则输于大经脉。寒湿之中人也,皮肤不收,
肌肉坚紧。(疾病十九。)
天地温和,则经水安静;天寒地冻,则经水凝泣;天暑地热,则经水沸溢;卒风暴起,则经水波涌而陇起。夫邪之
入于脉也,寒则血凝泣,暑则气淖泽,虚邪因而入客,亦如经水之得风也,经之动脉,其至也亦时陇起。(针刺十四。)
邪客于足少阴之络,令人卒心痛暴胀,胸胁支满。邪客于手少阳之络,令人喉痹舌卷,口干心烦,臂外廉痛手,不
及头。邪客于足厥阴之络,令人卒疝暴痛。邪客于足太阳之络,令人头项肩痛。邪客于手阳明之络,令人气满胸中,喘
息而支 ,胸中热。邪客于掌臂之间,不可得屈。邪客于足阳跷之脉,令人目痛从内 始。邪客于手阳明之络,令人耳
聋,时不闻音。邪客于足阳明之络,令人鼽衄上齿寒。邪客于足少阳之络,令人胁痛不得息,咳而汗出。邪客于足少阴
之络,令人嗌痛不可内食,无故善怒,气上走贲上。邪客于足太阴之络,令人腰痛,引少腹控 ,不可以仰息。邪客于
足太阳之络,令人拘挛背急,引胁而痛。邪客于足少阳之络,令人留于枢中痛,髀不可举。邪客于五脏之间,其病也,
脉引而痛,时来时止。邪客于手足少阴太阴足阳明之络,此五络皆会于耳中,上络左角,五络俱竭,令人身脉皆动,而
形无知也,其状若尸,或曰尸厥。(针刺三十。)
邪在肺,则病皮肤痛,寒热,上气喘,汗出,咳动肩背。邪在肝,则两胁中痛,寒中,恶血在内,行善掣节,时脚
肿。邪在脾胃,则病肌肉痛。阳气有余,阴气不足,则热中善饥;阳气不足,阴气有余,则寒中肠鸣腹痛。阴阳俱有余,
若俱不足,则有寒有热。邪在肾,则病骨痛阴痹。阴痹者,按之而不得,腹胀腰痛,大便难,肩背颈项痛,时眩。邪在
心,则病心痛善悲,时眩仆。(针刺二十五。)
六腑之病∶面热者足阳明病,鱼络血者手阳明病,两跗之上脉竖陷者足阳明病,此胃脉也。大肠病者,肠中切痛而
鸣濯濯,冬月重感于寒即泄,当脐而痛,不能久立,与胃同候。胃病者,腹 胀,胃脘当心而痛,上支两胁,膈咽不通,
食饮不下。小肠病者,小腹痛,腰脊控睾而痛,时窘之后,当耳前热,若寒甚,若独肩上热甚。及手小指次指之间热。
三焦病者,腹气满,小腹尤坚,不得小便,窘急,溢则水留即为胀。膀胱病者,小便偏肿而痛,以手按之,即欲小便而
不得,肩上热若脉陷,及足小趾外廉及胫踝后皆热。胆病者,善太息,口苦,呕宿汁,心下澹澹,恐人将捕之。嗌中
然,数唾。(针刺二十四。)
喜乐不节,则伤脏,脏伤则病起于阴也;清湿袭虚,则病起于下;风雨袭虚,则病起于上。忧思伤心;重寒伤肺;
忿怒伤肝;醉以入房,汗出当风,伤脾;用力过度,若入房汗出浴,则伤肾。(疾病二。)
五脏受气于其所生,传之于其所胜,气舍于其所生,死于其所不胜。五脏有病,则各传其所胜。不治,法三月若六
月,若三日若六日,传五脏而当死,是顺传所胜之次。故曰别于阳者,知病从来;别于阴者,知死生之期。(藏象二十四。)
风寒伤形,忧恐忿怒伤气。气伤脏,乃病脏,寒伤形,乃应形;风伤筋脉,筋脉乃应。(针刺三十一。)
风伤肝,燥胜风;热伤气,寒胜热;湿伤肉,风胜湿;热伤皮毛,寒胜热;寒伤血,燥胜寒。(藏象六。)
心为噫,肺为咳,肝为语,脾为吞,肾为欠为嚏,胃为气逆为哕为恐,大肠小肠为泄,下焦溢为水,膀胱不利为癃,
不约为遗溺,胆为怒。(疾病二十五。)
忧愁思虑即伤心。饮食劳倦即伤脾。又遇饮食饱甚,汗出于胃,醉饱行房,汗出于脾。久坐湿地,强力入水即伤肾。
恚怒,气逆上而不下,即伤肝。又遇疾走恐惧,汗出于肝。(运气四十四。又疾病三略同。)
情伤五脏者,病死有时。五脏主藏精者也,不可伤,伤则失守而阴虚,阴虚则无气,无气则死矣。(藏象九。)
五脏六腑之津液,尽上渗于目,心悲气并则心系急,心系急则肺举,肺举则液上溢,故咳而泣出矣。(疾病五十八。)
肺病者,喘息鼻张;肝病者, 青;脾病者,唇黄;心病者,舌卷短,颧赤;肾病者,颧与颜黑。(脉色类三十一。)
腹中常鸣,气上冲胸,喘不能久立,邪在大肠也。小腹控睾、引腰脊,上冲心,邪在小肠者,连睾系,属于脊,贯
肝肺,络心系。气盛则厥逆,上冲肠胃,熏肝,散于肓,结于脐。善呕,呕有苦,长太息,心中 ,恐人将捕之,邪
在胆,逆在胃。饮食不下,膈塞不通,邪在胃脘。小腹痛肿,不得小便,邪在三焦约。(针刺四十七。)
色起两眉薄泽者,病在皮。唇色青黄赤白黑者,病在肌肉。营气濡然者,病在血气。目色青黄赤白黑者,病在筋。
耳焦枯受尘垢,病在骨。(针刺二十六。)
脉口浮滑者,病日进;人迎沉而滑者,病日损。其脉口滑以沉者,病日进,在内;其人迎脉滑盛以浮者,其病日进,
在外。脉之浮沉及人迎与寸口气小大等者,病难已。病之在脏,沉而大者,易已,小为逆;病在腑,浮而大者,其病易
已。人迎盛坚者,伤于寒;气口盛坚者,伤于食。(脉色三十二。)
数则烦心,涩则心痛。(脉色二十一。)
营之生病也,寒热少气,血上下行。卫之生病也,气痛时来时去,怫忾贲响,风寒客于肠胃之中。寒痹之为病也,
留而不去,时痛而皮不仁。(针刺三十二。)
卫气之留于腹中,蓄积不行,苑蕴不得常所,使人肢胁胃中满,喘呼逆息。(针刺二十六。)
审察卫气,为百病母。(针刺二十九。)
任脉为病,男子内结七疝,女子带下瘕聚。冲脉为病,逆气里急。督脉为病,脊强反折。此生病,从少腹上冲心而
痛,不得前后,为冲疝。其女子不孕,癃痔遗溺嗌干。(经络二十七。)
足阳明,五脏六腑之海也,其脉大血多,气盛热壮。(经络三十三。)
五脏不和则七窍不通,六腑不和则留给为痈。(经络二十二。)
心肺有病,而鼻为之不利也。(藏象十一。)
皮肤薄而不泽,肉不坚而淖泽,则肠胃恶,邪气留止,大聚乃起。(疾病七十六。)
谷入少而气多者,邪在胃及与肺也。(疾病二十一。)
经筋之病,寒则反折筋急,热则筋弛纵不收,阴萎不用。阳急则反折,阴急则俯不伸。(疾病类六十九。)
气上走贲上。(针刺三十。)
五脏所恶。五脏化液。五脏所藏。五脏所主。(疾病二十五。)
肺布叶举。(疾病二十六。)
女子右为逆,左为从;男子左为逆,右为从。(论治十四。)
男子发左,女子发右。(脉色二十四。)
四时脏脉病有太过不及。(脉色十。)
诊尺论疾。(脉色十八。)
五味之走,各有所病。(气味三。)
诸经根结病刺。(经络三十。)
本脏二十五变之病。(藏象二十八。)
五脏异藏,虚实异病。(藏象十。)
脏脉六变,病刺不同。(脉色十九。)
十五别络虚实病刺。(经络五。)
天之邪气,感则害人五脏;水谷之寒热,感则害人六腑;地之湿气,感则害人皮肉筋脉。(见论治类八。)
外界的邪气,侵入人体就会伤害五脏;饮食水谷的寒热偏性,侵入人体就会伤害六腑;地面的湿气,侵入人体就会伤害皮、肉、筋、脉。
百病之始生也,必先于皮毛,邪中之则腠理开,开则入客于络脉,留而不去,传入于经,留而不去,传入于腑,廪于肠胃。邪之始入于皮也, 然起毫毛,开腠理;其入于络也,则络脉盛色变;其入客于经也,则感虚乃陷下;其留于筋骨之间,寒多则筋挛骨痛,热多则筋弛骨消,肉烁 破,毛直而败。邪客于皮则腠理开,开则邪入客于络脉,络脉满则注于经脉,经脉满则入舍于腑脏也。(经络三十一。)
各种疾病的发生,必定先从皮毛开始。邪气侵袭皮毛,腠理(皮肤纹理及汗孔)便开张,腠理开张后邪气便进入络脉停留;若停留不去,便传入经脉;若再停留不去,便传入六腑,最终在肠胃中积聚。邪气刚开始侵入皮肤时,会使毫毛竖起,腠理开张;当它进入络脉时,络脉充盈且颜色发生改变;当它侵入经脉时,因正气虚弱而陷入深处;若邪气停留在筋骨之间,寒气多则导致筋脉拘挛、骨骼疼痛,热气多则导致筋脉松弛、骨骼消瘦、肌肉枯槁破裂、毛发干枯败坏。邪气客居皮肤则腠理开张,腠理开张则邪气进入络脉,络脉充满则注入经脉,经脉充满则内传并寄居于脏腑。
邪之客于形也,必先舍于皮毛,留而不去,入舍于孙脉,留而不去,入舍于络脉,留而不去,入舍于经脉,内连五脏,散于肠胃,阴阳俱感,五脏乃伤,此邪之从皮毛而入,极于五脏之次也。(针刺三十。)
邪气客居形体,必定先停留在皮毛,若停留不去,便进入孙脉(最细小的脉络),若再停留不去,便进入络脉,若再停留不去,便进入经脉,内连五脏,散布于肠胃,使阴阳二气都受到侵害,五脏于是受伤。这就是邪气从皮毛侵入,进而深入五脏的次序。
风雨之伤人也,先客于皮肤,传入于孙络,孙络满则传入于络脉,络脉满则输于大经脉。寒湿之中人也,皮肤不收,肌肉坚紧。(疾病十九。)
风雨邪气伤人,先客居皮肤,传入孙络,孙络充满则传入络脉,络脉充满则输送到大经脉。寒湿邪气中人,会导致皮肤松弛不能收敛,肌肉坚硬紧绷。
天地温和,则经水安静;天寒地冻,则经水凝泣;天暑地热,则经水沸溢;卒风暴起,则经水波涌而陇起。夫邪之入于脉也,寒则血凝泣,暑则气淖泽,虚邪因而入客,亦如经水之得风也,经之动脉,其至也亦时陇起。(针刺十四。)
天地气候温和,人体的经脉气血就像平静的水面;天气寒冷大地冻结,人体的经脉气血就像凝结滞涩的水流;天气酷热大地炎热,人体的经脉气血就像沸腾溢出的水流;突然刮起暴风,人体的经脉气血就像波涛汹涌、隆起波动。邪气侵入经脉,遇寒则血液凝涩,遇暑则气机濡润滑利,虚邪趁机侵入,也如同水面遇到风一样,经脉中的动脉搏动,也会时而隆起波动。
邪客于足少阴之络,令人卒心痛暴胀,胸胁支满。邪客于手少阳之络,令人喉痹舌卷,口干心烦,臂外廉痛手,不及头。邪客于足厥阴之络,令人卒疝暴痛。邪客于足太阳之络,令人头项肩痛。邪客于手阳明之络,令人气满胸中,喘息而支 ,胸中热。邪客于掌臂之间,不可得屈。邪客于足阳跷之脉,令人目痛从内 始。邪客于手阳明之络,令人耳聋,时不闻音。邪客于足阳明之络,令人鼽衄上齿寒。邪客于足少阳之络,令人胁痛不得息,咳而汗出。邪客于足少阴之络,令人嗌痛不可内食,无故善怒,气上走贲上。邪客于足太阴之络,令人腰痛,引少腹控 ,不可以仰息。邪客于足太阳之络,令人拘挛背急,引胁而痛。邪客于足少阳之络,令人留于枢中痛,髀不可举。邪客于五脏之间,其病也,脉引而痛,时来时止。邪客于手足少阴太阴足阳明之络,此五络皆会于耳中,上络左角,五络俱竭,令人身脉皆动,而形无知也,其状若尸,或曰尸厥。(针刺三十。)
邪气客居足少阴肾经的络脉,使人突然心痛、急剧腹胀、胸胁支撑胀满。邪气客居手少阳三焦经的络脉,使人咽喉闭塞、舌头卷缩、口干心烦、手臂外侧疼痛甚至手部活动受限,但疼痛不到头部。邪气客居足厥阴肝经的络脉,使人突发疝气、剧烈疼痛。邪气客居足太阳膀胱经的络脉,使人头痛、颈项及肩部疼痛。邪气客居手阳明大肠经的络脉,使人胸中气满、喘息支撑不适、胸中发热。邪气客居手掌与手臂之间,使人无法屈伸。邪气客居足阳跷脉,使人眼睛疼痛从内眼角开始。邪气客居手阳明大肠经的络脉(此处原文重复提及手阳明,可能指另一分支或笔误,依原文翻译),使人耳聋、时常听不见声音。邪气客居足阳明胃经的络脉,使人鼻塞流涕、鼻出血、上齿发冷。邪气客居足少阳胆经的络脉,使人胁肋疼痛、呼吸不畅、咳嗽出汗。邪气客居足少阴肾经的络脉(此处原文再次提及足少阴,可能指不同部位或笔误,依原文翻译),使人咽喉疼痛无法进食、无故容易发怒、气逆向上冲至膈上。邪气客居足太阴脾经的络脉,使人腰痛,牵引少腹及睾丸(控睾),无法仰卧呼吸。邪气客居足太阳膀胱经的络脉(此处原文再次提及足太阳,可能指不同部位或笔误,依原文翻译),使人背部拘挛紧急,牵引胁肋疼痛。邪气客居足少阳胆经的络脉(此处原文再次提及足少阳,可能指不同部位或笔误,依原文翻译),使人环跳穴处疼痛,大腿无法抬起。邪气客居五脏之间,病症表现为经脉牵引疼痛,时作时止。邪气客居手少阴心经、足少阴肾经、手太阴肺经、足太阴脾经、足阳明胃经这五条络脉,这五条络脉都汇聚于耳中,上行联络左侧头角,若这五条络脉的气血都衰竭,使人全身脉搏跳动但形体无知觉,状态像尸体一样,有人称之为尸厥。
邪在肺,则病皮肤痛,寒热,上气喘,汗出,咳动肩背。邪在肝,则两胁中痛,寒中,恶血在内,行善掣节,时脚肿。邪在脾胃,则病肌肉痛。阳气有余,阴气不足,则热中善饥;阳气不足,阴气有余,则寒中肠鸣腹痛。阴阳俱有余,若俱不足,则有寒有热。邪在肾,则病骨痛阴痹。阴痹者,按之而不得,腹胀腰痛,大便难,肩背颈项痛,时眩。邪在心,则病心痛善悲,时眩仆。(针刺二十五。)
邪气在肺,则出现皮肤疼痛、恶寒发热、气逆喘促、出汗、咳嗽牵动肩背疼痛。邪气在肝,则两侧胁肋中间疼痛、内脏受寒、瘀血滞留体内、行走时关节牵掣疼痛、有时脚部肿胀。邪气在脾胃,则出现肌肉疼痛。若阳气有余、阴气不足,则产生内热、容易饥饿;若阳气不足、阴气有余,则产生内寒、肠鸣腹痛。若阴阳都有余,或者都不足,则会出现寒热错杂的症状。邪气在肾,则出现骨骼疼痛、阴痹(一种深部的痹症)。所谓阴痹,是按压找不到痛点,伴有腹胀、腰痛、大便困难、肩背颈项疼痛、时常头晕。邪气在心,则出现心痛、容易悲伤、时常眩晕跌倒。
六腑之病∶面热者足阳明病,鱼络血者手阳明病,两跗之上脉竖陷者足阳明病,此胃脉也。大肠病者,肠中切痛而鸣濯濯,冬月重感于寒即泄,当脐而痛,不能久立,与胃同候。胃病者,腹 胀,胃脘当心而痛,上支两胁,膈咽不通,食饮不下。小肠病者,小腹痛,腰脊控睾而痛,时窘之后,当耳前热,若寒甚,若独肩上热甚。及手小指次指之间热。三焦病者,腹气满,小腹尤坚,不得小便,窘急,溢则水留即为胀。膀胱病者,小便偏肿而痛,以手按之,即欲小便而不得,肩上热若脉陷,及足小趾外廉及胫踝后皆热。胆病者,善太息,口苦,呕宿汁,心下澹澹,恐人将捕之。嗌中然,数唾。(针刺二十四。)
六腑的疾病:面部发热的是足阳明胃经病变,大鱼际络脉充血的是手阳明大肠经病变,双脚背上方脉管凸起凹陷的是足阳明胃经病变,这是胃的经脉。大肠有病,肠中剧烈疼痛且发出濯濯水声,冬季再次感受寒邪就会腹泻,肚脐周围疼痛,不能久站,症状与胃病相似。胃病,腹部胀满,胃脘部当心窝处疼痛,向上支撑两胁,膈部和咽喉不通畅,饮食难以下咽。小肠有病,小腹部疼痛,腰部脊柱牵引睾丸疼痛,时常急需排便,耳前发热,或者特别怕冷,或者仅肩部发热明显,以及小指和无名指之间发热。三焦有病,腹部气机胀满,小腹部尤其坚硬,小便不通,窘迫急迫,水液溢出停留体内就会形成胀病。膀胱有病,小便部位肿胀疼痛,用手按压,就想小便却排不出,肩部发热或者脉象凹陷,以及足小趾外侧和胫骨踝后部位都发热。胆有病,喜欢叹气,口苦,呕吐隔夜胆汁,心中悸动不安,害怕别人捕捉自己,咽喉干燥,频繁吐唾沫。
喜乐不节,则伤脏,脏伤则病起于阴也;清湿袭虚,则病起于下;风雨袭虚,则病起于上。忧思伤心;重寒伤肺;忿怒伤肝;醉以入房,汗出当风,伤脾;用力过度,若入房汗出浴,则伤肾。(疾病二。)
喜乐没有节制,就会损伤五脏,五脏受伤则疾病生于内部(阴);清冷潮湿侵袭虚弱之处,则疾病生于下部;风雨侵袭虚弱之处,则疾病生于上部。忧愁思虑损伤心脏;严重受寒损伤肺脏;愤怒损伤肝脏;醉酒后进行房事,出汗时吹受风邪,损伤脾脏;用力过度,或者房事后出汗立即洗澡,损伤肾脏。
五脏受气于其所生,传之于其所胜,气舍于其所生,死于其所不胜。五脏有病,则各传其所胜。不治,法三月若六月,若三日若六日,传五脏而当死,是顺传所胜之次。故曰别于阳者,知病从来;别于阴者,知死生之期。(藏象二十四。)
五脏之气来源于“我生”的那一脏(子),传送给“克我”的那一脏(实际上此处原文逻辑为:受气于所生[母],传之于所胜[我克],气舍于所生[母? 此处原文可能有误或特指某种传变,通常五行传变为母病及子或相乘相侮,依原文字面翻译:五脏接受来自“我所生”之脏的气,传送给“我所胜”之脏,气停留于“我所生”之脏,死于“我不胜”(即克我)之脏。*注:此处依原文直译,虽与常规五行生克理论表述略有出入,但需忠实原文*)。五脏有病,就会各自传送给它所克的脏。如果不治疗,按照规律三个月或六个月,或者三天或六天,传遍五脏就会死亡,这是顺着相克次序的传变。所以说,辨别阳分(表/腑/气),就知道病从哪里来;辨别阴分(里/脏/血),就知道死亡的期限。
风寒伤形,忧恐忿怒伤气。气伤脏,乃病脏,寒伤形,乃应形;风伤筋脉,筋脉乃应。(针刺三十一。)
风寒邪气损伤形体,忧愁恐惧愤怒损伤气机。气机受伤则病在五脏,寒邪损伤形体则反应在形体;风邪损伤筋脉,筋脉就会做出反应。
风伤肝,燥胜风;热伤气,寒胜热;湿伤肉,风胜湿;热伤皮毛,寒胜热;寒伤血,燥胜寒。(藏象六。)
风邪损伤肝脏,燥气可以克制风邪;热邪损伤气机,寒气可以克制热邪;湿邪损伤肌肉,风邪可以克制湿邪;热邪损伤皮毛,寒气可以克制热邪;寒邪损伤血液,燥气可以克制寒邪。
心为噫,肺为咳,肝为语,脾为吞,肾为欠为嚏,胃为气逆为哕为恐,大肠小肠为泄,下焦溢为水,膀胱不利为癃,不约为遗溺,胆为怒。(疾病二十五。)
心病表现为嗳气,肺病表现为咳嗽,肝病表现为多言,脾病表现为吞咽异常,肾病表现为呵欠和打喷嚏,胃病表现为气逆、呃逆和恐惧,大肠和小肠病表现为泄泻,下焦水液溢出表现为水肿,膀胱气化不利表现为尿闭,约束无力表现为遗尿,胆病表现为易怒。
忧愁思虑即伤心。饮食劳倦即伤脾。又遇饮食饱甚,汗出于胃,醉饱行房,汗出于脾。久坐湿地,强力入水即伤肾。恚怒,气逆上而不下,即伤肝。又遇疾走恐惧,汗出于肝。(运气四十四。又疾病三略同。)
忧愁思虑就会损伤心脏。饮食不节和劳累过度就会损伤脾脏。另外,如果饮食过饱,汗出于胃;醉酒后饱食而行房事,汗出于脾。长时间坐在潮湿的地方,勉强涉水,就会损伤肾脏。恼怒,气机上逆而不能下行,就会损伤肝脏。另外,快速奔跑并感到恐惧,汗出于肝。
情伤五脏者,病死有时。五脏主藏精者也,不可伤,伤则失守而阴虚,阴虚则无气,无气则死矣。(藏象九。)
情志损伤五脏的,死亡是有时间规律的。五脏是贮藏精气的器官,不可损伤,损伤就会失去固守能力而导致阴虚,阴虚就没有气,没有气就会死亡。
五脏六腑之津液,尽上渗于目,心悲气并则心系急,心系急则肺举,肺举则液上溢,故咳而泣出矣。(疾病五十八。)
五脏六腑的津液,都向上渗透滋养眼睛。心里悲伤导致气机合并,气机合并则心脉拘急,心脉拘急则肺气上举,肺气上举则津液上溢,所以咳嗽并且流泪。
肺病者,喘息鼻张;肝病者, 青;脾病者,唇黄;心病者,舌卷短,颧赤;肾病者,颧与颜黑。(脉色类三十一。)
肺病的人,喘息且鼻孔张开;肝病的人,面色发青;脾病的人,嘴唇发黄;心病的人,舌头卷缩短小,颧骨发红;肾病的人,颧骨和颜面发黑。
腹中常鸣,气上冲胸,喘不能久立,邪在大肠也。小腹控睾、引腰脊,上冲心,邪在小肠者,连睾系,属于脊,贯肝肺,络心系。气盛则厥逆,上冲肠胃,熏肝,散于肓,结于脐。善呕,呕有苦,长太息,心中 ,恐人将捕之,邪在胆,逆在胃。饮食不下,膈塞不通,邪在胃脘。小腹痛肿,不得小便,邪在三焦约。(针刺四十七。)
腹中经常鸣响,气向上冲撞胸部,气喘不能久站,邪气在大肠。小腹部牵引睾丸、腰部脊柱,向上冲撞心脏,邪气在小肠的,连接睾丸系带,归属于脊柱,贯穿肝肺,联络心脉。气盛则发生厥逆,向上冲撞肠胃,熏蒸肝脏,散布于肓膜,结聚于脐部。喜欢呕吐,呕吐物有苦味,经常长叹气,心中惊恐,害怕别人捕捉自己,邪气在胆,气逆在胃。饮食难以下咽,膈部堵塞不通,邪气在胃脘。小腹部肿痛,不能小便,邪气在三焦制约失常。
色起两眉薄泽者,病在皮。唇色青黄赤白黑者,病在肌肉。营气濡然者,病在血气。目色青黄赤白黑者,病在筋。耳焦枯受尘垢,病在骨。(针刺二十六。)
眉毛部位色泽薄而有光泽的,病在皮肤。嘴唇呈现青、黄、赤、白、黑色的,病在肌肉。营气濡润异常的,病在血气。眼睛颜色呈现青、黄、赤、白、黑色的,病在筋脉。耳朵焦枯且沾染尘垢的,病在骨骼。
脉口浮滑者,病日进;人迎沉而滑者,病日损。其脉口滑以沉者,病日进,在内;其人迎脉滑盛以浮者,其病日进,在外。脉之浮沉及人迎与寸口气小大等者,病难已。病之在脏,沉而大者,易已,小为逆;病在腑,浮而大者,其病易已。人迎盛坚者,伤于寒;气口盛坚者,伤于食。(脉色三十二。)
寸口脉浮滑的,病情日益加重;人迎脉沉滑的,病情日益减轻。如果寸口脉滑而沉的,病情日益加重,病位在里;如果人迎脉滑盛而浮的,病情日益加重,病位在外。如果脉象的浮沉以及人迎脉与寸口脉的大小相等,病情难以治愈。病在五脏,脉象沉而大的,容易治愈,脉象小的是逆证;病在六腑,脉象浮而大的,病情容易治愈。人迎脉盛大坚硬的,是伤于寒邪;气口(寸口)脉盛大坚硬的,是伤于饮食。
数则烦心,涩则心痛。(脉色二十一。)
脉数则心烦,脉涩则心痛。
营之生病也,寒热少气,血上下行。卫之生病也,气痛时来时去,怫忾贲响,风寒客于肠胃之中。寒痹之为病也,留而不去,时痛而皮不仁。(针刺三十二。)
营气生病,出现寒热、气短,血液运行紊乱上下妄行。卫气生病,出现气痛,时作时止,胸胁胀满有声,这是因为风寒客居在肠胃之中。寒痹这种病,邪气停留不去,时常疼痛且皮肤麻木不仁。
卫气之留于腹中,蓄积不行,苑蕴不得常所,使人肢胁胃中满,喘呼逆息。(针刺二十六。)
卫气停留在腹中,积聚不能正常运行,郁结不能到达正常位置,使人四肢、胁肋和胃中胀满,气喘吁逆。
审察卫气,为百病母。(针刺二十九。)
仔细审察卫气,它是百病产生的根源(母)。
任脉为病,男子内结七疝,女子带下瘕聚。冲脉为病,逆气里急。督脉为病,脊强反折。此生病,从少腹上冲心而痛,不得前后,为冲疝。其女子不孕,癃痔遗溺嗌干。(经络二十七。)
任脉发病,男子内部结聚成七种疝气,女子白带过多或有瘕聚肿块。冲脉发病,气机上逆、腹部拘急。督脉发病,脊柱僵硬、身体向后反折。这里提到的疾病,从少腹向上冲撞心脏并疼痛,大小便不通,称为冲疝。女子不孕,尿闭、痔疮、遗尿、咽喉干燥。
足阳明,五脏六腑之海也,其脉大血多,气盛热壮。(经络三十三。)
足阳明胃经,是五脏六腑气血的海源,它的脉管粗大、血液多,气盛且热度高。
五脏不和则七窍不通,六腑不和则留给为痈。(经络二十二。)
五脏不和则七窍不通畅,六腑不和则留滞成为痈肿。
心肺有病,而鼻为之不利也。(藏象十一。)
心和肺有病,鼻子就会不通畅。
皮肤薄而不泽,肉不坚而淖泽,则肠胃恶,邪气留止,大聚乃起。(疾病七十六。)
皮肤薄而没有光泽,肌肉不坚实且过于濡润,则肠胃功能恶劣,邪气停留,大的积聚就会形成。
谷入少而气多者,邪在胃及与肺也。(疾病二十一。)
食物摄入少但气反而多的,邪气在胃和肺。
经筋之病,寒则反折筋急,热则筋弛纵不收,阴萎不用。阳急则反折,阴急则俯不伸。(疾病类六十九。)
经筋的病,受寒则身体反折、筋脉拘急,受热则筋脉松弛瘫软无法收持,阴茎痿废不用。阳侧筋脉拘急则身体反折,阴侧筋脉拘急则身体前俯不能伸展。
五脏所恶。五脏化液。五脏所藏。五脏所主。(疾病二十五。)
五脏所厌恶的邪气。五脏化生的体液。五脏所藏的精神魂魄意。五脏所主管的外华。
女子右为逆,左为从;男子左为逆,右为从。(论治十四。)
女子右侧为逆,左侧为顺;男子左侧为逆,右侧为顺。
男子发左,女子发右。(脉色二十四。)
男子发病多在左侧,女子发病多在右侧。
四时脏脉病有太过不及。(脉色十。)
四季脏腑的脉象和疾病有过盛和不足的区别。
五味之走,各有所病。(气味三。)
五味的作用趋向,各自对应不同的病变。
本脏二十五变之病。(藏象二十八。)
本脏二十五种变化对应的疾病。
五脏异藏,虚实异病。(藏象十。)
五脏贮藏功能各异,虚实病机不同。
The pathogenic factors of Heaven (external environmental pathogens), when invading, harm the Five Zang Organs; the cold and heat of food and drink, when invading, harm the Six Fu Organs; the dampness of Earth, when invading, harms the skin, flesh, sinews, and vessels. (See Category on Treatment Principles, VIII.)
The onset of all diseases must first occur at the hair and skin. When pathogens invade, the Cou Li (skin texture and pores) open; once open, they enter and lodge in the Luo Collaterals. If they remain there without departing, they transmit to the Jing Main Vessels; if they remain there without departing, they transmit to the Fu Organs, accumulating in the stomach and intestines. When pathogens initially enter the skin, the fine hairs stand up, and the Cou Li open; when they enter the Luo Collaterals, the collateral vessels become full and their color changes; when they lodge in the Jing Main Vessels, they sink due to deficiency; when they remain between the sinews and bones, excessive cold causes sinew spasm and bone pain, while excessive heat causes sinew flaccidity, bone emaciation, muscle wasting and cracking, and hair becoming straight and deteriorating. Pathogens lodging in the skin cause the Cou Li to open; once open, pathogens enter the Luo Collaterals; when the Luo Collaterals are full, they pour into the Jing Main Vessels; when the Jing Main Vessels are full, they enter and lodge in the Fu and Zang Organs. (Meridians XXXI.)
When pathogens lodge in the body, they must first settle in the hair and skin; if they remain without departing, they enter the Sun Collaterals (finest collaterals); if they remain without departing, they enter the Luo Collaterals; if they remain without departing, they enter the Jing Main Vessels, internally connecting to the Five Zang Organs and dispersing into the stomach and intestines. When both Yin and Yang are affected, the Five Zang Organs are injured. This is the sequence of pathogens entering from the hair and skin and reaching the extreme depth of the Five Zang Organs. (Acupuncture XXX.)
Wind and rain damaging humans first lodge in the skin, transmit to the Sun Collaterals; when the Sun Collaterals are full, they transmit to the Luo Collaterals; when the Luo Collaterals are full, they transport to the large Jing Main Vessels. Cold and dampness damaging humans cause the skin to lose its tension and the muscles to become hard and tight. (Diseases XIX.)
When Heaven and Earth are mild and warm, the "waters of the meridians" (meridian qi and blood flow) are calm; when Heaven is cold and Earth frozen, the waters congeal and stagnate; when Heaven is hot and Earth warm, the waters boil and overflow; when sudden storms arise, the waters surge and rise in waves. Similarly, when pathogens enter the vessels, cold causes blood to coagulate and stagnate, while heat makes Qi fluid and lubricated. Deficient pathogens take this opportunity to invade, just as water surfaces rise in waves when struck by wind; the arterial pulses of the meridians also rise in waves intermittently. (Acupuncture XIV.)
Pathogens lodging in the Luo Collateral of Foot-Shaoyin (Kidney) cause sudden heart pain, acute distension, and fullness/support in the chest and hypochondrium. Pathogens lodging in the Luo Collateral of Hand-Shaoyang (Sanjiao) cause throat obstruction, tongue rolling, dry mouth, vexation, and pain along the lateral aspect of the arm down to the hand, not reaching the head. Pathogens lodging in the Luo Collateral of Foot-Jueyin (Liver) cause sudden hernia and acute pain. Pathogens lodging in the Luo Collateral of Foot-Taiyang (Bladder) cause headache, neck, and shoulder pain. Pathogens lodging in the Luo Collateral of Hand-Yangming (Large Intestine) cause Qi fullness in the chest, panting with support, and heat in the chest. Pathogens lodging between the palm and arm cause inability to flex. Pathogens lodging in the Foot-Yangqiao Vessel cause eye pain starting from the inner canthus. Pathogens lodging in the Luo Collateral of Hand-Yangming (Large Intestine) cause deafness and intermittent loss of hearing. Pathogens lodging in the Luo Collateral of Foot-Yangming (Stomach) cause nasal congestion, epistaxis, and coldness in the upper teeth. Pathogens lodging in the Luo Collateral of Foot-Shaoyang (Gallbladder) cause hypochondriac pain, difficulty breathing, coughing with sweating. Pathogens lodging in the Luo Collateral of Foot-Shaoyin (Kidney) cause sore throat preventing swallowing, unprovoked irritability, and Qi rushing upward to the diaphragm. Pathogens lodging in the Luo Collateral of Foot-Taiyin (Spleen) cause lower back pain radiating to the lower abdomen and testicles, making supine breathing difficult. Pathogens lodging in the Luo Collateral of Foot-Taiyang (Bladder) cause spasms and back stiffness, radiating to the hypochondrium with pain. Pathogens lodging in the Luo Collateral of Foot-Shaoyang (Gallbladder) cause pain in the pivot area (Huantiao), making thigh lifting impossible. Pathogens lodging between the Five Zang Organs cause pain radiating along the vessels, coming and going intermittently. Pathogens lodging in the Luo Collaterals of Hand-Shaoyin (Heart), Foot-Shaoyin (Kidney), Hand-Taiyin (Lung), Foot-Taiyin (Spleen), and Foot-Yangming (Stomach)—these five collaterals all converge in the ear and ascend to connect with the left corner of the head. If all five collaterals are exhausted, it causes movement in the body's pulses but insensibility of the form, resembling a corpse; this is called Corpse Jue (Shi Jue). (Acupuncture XXX.)
Pathogens in the Lung cause skin pain, aversion to cold and fever, upward rushing of Qi with panting, sweating, and coughing that moves the shoulders and back. Pathogens in the Liver cause pain in the middle of both hypochondria, internal cold, retention of evil blood, frequent pulling sensations in the joints during movement, and occasional foot swelling. Pathogens in the Spleen and Stomach cause muscle pain. If Yang Qi is excessive and Yin Qi deficient, there is internal heat and frequent hunger; if Yang Qi is deficient and Yin Qi excessive, there is internal cold, borborygmus, and abdominal pain. If both Yin and Yang are excessive or both deficient, there will be alternating cold and heat. Pathogens in the Kidney cause bone pain and Yin Bi (deep bi syndrome). Yin Bi is characterized by tenderness that cannot be pinpointed by pressure, abdominal distension, lower back pain, difficulty defecating, pain in the shoulders, back, neck, and occiput, and occasional dizziness. Pathogens in the Heart cause heart pain, frequent sadness, and occasional dizziness and fainting. (Acupuncture XXV.)
Diseases of the Six Fu Organs: Facial heat indicates Foot-Yangming disease; blood in the webbing of the thumb (Yu Ji) indicates Hand-Yangming disease; vertical and depressed pulses above both dorsum pedis indicate Foot-Yangming disease, which is the Stomach meridian. Large Intestine disease involves cutting pain and gurgling in the intestines; heavy exposure to cold in winter leads to diarrhea, pain around the navel, and inability to stand for long periods, sharing symptoms with Stomach disease. Stomach disease involves abdominal distension, pain in the epigastrium centered at the heart pit, upward support to both hypochondria, blockage of the diaphragm and pharynx, and inability to swallow food and drink. Small Intestine disease involves lower abdominal pain, pain radiating from the lower back and spine to the testicles, frequent urgency for defecation, heat in front of the ears, severe cold, or isolated heat in the shoulder, and heat between the little finger and ring finger. Sanjiao disease involves abdominal Qi fullness, especially hardness in the lower abdomen, inability to urinate, urgency, and if fluids overflow and stay, it becomes distension. Bladder disease involves unilateral swelling and pain in the urinary region, desire to urinate but inability upon pressure, heat in the shoulder or depressed pulse, and heat on the lateral aspect of the little toe and behind the tibial malleolus. Gallbladder disease involves frequent sighing, bitter taste, vomiting of old bile, palpitations in the epigastrium, fear of being captured, dry throat, and frequent spitting. (Acupuncture XXIV.)
Unregulated joy and pleasure damage the Zang Organs; Zang damage means disease arises from Yin. Clear dampness attacks deficiency, so disease arises from below. Wind and rain attack deficiency, so disease arises from above. Worry and rumination damage the Heart; severe cold damages the Lungs; anger damages the Liver; intercourse while drunk with sweat exposed to wind damages the Spleen; excessive exertion, or intercourse followed by sweating and bathing, damages the Kidneys. (Diseases II.)
The Five Zang receive Qi from what they generate (Mother), transmit it to what they overcome (Overcome), retain Qi in what generates them (Mother - *Note: Text says 'Qi she yu qi suo sheng', literally 'Qi lodges in what it generates', but contextually often refers to Mother-Child relationship dynamics or specific transmission paths; translating literally*), and die from what overcomes them (Overcoming). When the Five Zang have disease, each transmits to what it overcomes. If untreated, according to the pattern, within three months or six months, or three days or six days, after transmitting through the Five Zang, death occurs. This is the sequential transmission following the overcoming order. Thus it is said: Distinguishing Yang allows one to know the origin of the disease; distinguishing Yin allows one to know the timing of life and death. (Zang-Xiang XXIV.)
Wind and cold damage the Form; worry, fear, and anger damage Qi. Qi damage affects the Zang, resulting in Zang disease; Cold damage affects the Form, resulting in Form disease; Wind damage affects the Sinews and Vessels, resulting in Sinew/Vessel response. (Acupuncture XXXI.)
Wind damages the Liver; Dryness overcomes Wind. Heat damages Qi; Cold overcomes Heat. Dampness damages Flesh; Wind overcomes Dampness. Heat damages Skin and Hair; Cold overcomes Heat. Cold damages Blood; Dryness overcomes Cold. (Zang-Xiang VI.)
The Heart manifests as belching; the Lungs as coughing; the Liver as speaking; the Spleen as swallowing; the Kidneys as yawning and sneezing; the Stomach as rebellious Qi, hiccups, and fear; the Large and Small Intestines as diarrhea; the Lower Jiao overflowing as water retention; the Bladder with dysfunction as strangury; lack of control as enuresis; the Gallbladder as anger. (Diseases XXV.)
Worry and rumination immediately damage the Heart. Dietary irregularities and fatigue immediately damage the Spleen. Furthermore, if eating is very excessive, sweat comes from the Stomach; intercourse while drunk and full, sweat comes from the Spleen. Sitting long in damp places or forcing entry into water immediately damages the Kidneys. Anger causes Qi to rebel upward and not descend, immediately damaging the Liver. Furthermore, running fast and fearing, sweat comes from the Liver. (Yunqi XLIV. Also Diseases III, slightly similar.)
Disease caused by emotional injury to the Five Zang has a specific time of death. The Five Zang store Essence; they must not be damaged. Damage leads to loss of containment and Yin deficiency; Yin deficiency leads to lack of Qi; lack of Qi leads to death. (Zang-Xiang IX.)
The fluids of the Five Zang and Six Fu Organs all seep upward into the eyes. Sadness causes Qi to merge, leading to tension in the Heart Vessels; tension in the Heart Vessels causes the Lung to lift; lifting of the Lung causes fluids to overflow upward, resulting in coughing and weeping. (Diseases LVIII.)
Lung disease presents with panting and flaring nostrils; Liver disease presents with bluish complexion; Spleen disease presents with yellow lips; Heart disease presents with short, curled tongue and red cheekbones; Kidney disease presents with black cheekbones and face. (Pulse and Color Class XXXI.)
Frequent borborygmus in the abdomen, Qi rushing to the chest, panting unable to stand long, indicates Pathogen in the Large Intestine. Lower abdomen pulling to testicles, radiating to waist and spine, rushing up to the heart, indicates Pathogen in the Small Intestine, which connects to the testicular cord, belongs to the spine, penetrates the Liver and Lungs, and networks the Heart Vessels. Excess Qi causes reversal and upward rushing to the stomach and intestines, steaming the Liver, dispersing into the Huang (diaphragmatic fat), and knotting at the navel. Frequent vomiting with bitter fluid, long sighs, central chest discomfort, and fear of being caught indicate Pathogen in the Gallbladder with rebellion in the Stomach. Inability to eat, blockage in the diaphragm, indicates Pathogen in the Epigastrium. Lower abdominal pain and swelling, inability to urinate, indicates Pathogen in the Sanjiao constraint. (Acupuncture XLVII.)
Thin luster appearing on the eyebrows indicates disease in the Skin. Blue, yellow, red, white, or black lip colors indicate disease in the Muscle. Fluid-like Ying Qi indicates disease in Blood and Qi. Blue, yellow, red, white, or black eye colors indicate disease in the Sinews. Scorched, dry ears covered in dust indicate disease in the Bone. (Acupuncture XXVI.)
Cunkou pulse floating and slippery indicates daily progression of disease. Renying pulse deep and slippery indicates daily improvement. If Cunkou pulse is slippery and deep, disease progresses daily and is internal. If Renying pulse is slippery, vigorous, and floating, disease progresses daily and is external. If the floating/deep nature of the pulse and the size comparison between Renying and Cunkou are equal, the disease is difficult to cure. For disease in the Zang, deep and large pulse indicates easy recovery; small pulse is adverse. For disease in the Fu, floating and large pulse indicates easy recovery. Renying pulse vigorous and firm indicates injury by Cold. Qikou (Cunkou) pulse vigorous and firm indicates injury by Food. (Pulse and Color XXXII.)
Rapid pulse causes vexation; choppy pulse causes heart pain. (Pulse and Color XXI.)
Disease of Ying (Nutritive) Qi presents with chills, fever, shortness of breath, and blood moving up and down. Disease of Wei (Defensive) Qi presents with Qi pain that comes and goes, chest oppression with rumbling sounds, due to Wind-Cold lodging in the stomach and intestines. Cold Bi disease, if remaining without departing, causes intermittent pain and insensibility of the skin. (Acupuncture XXXII.)
Wei Qi remaining in the abdomen, accumulating and not moving, stagnating and unable to reach its normal location, causes fullness in the limbs, hypochondria, and stomach, panting, and reversed respiration. (Acupuncture XXVI.)
Carefully examining Wei Qi reveals it as the mother of all diseases. (Acupuncture XXIX.)
Disease of the Ren Mai (Conception Vessel): Men develop seven types of internal hernias; women develop leukorrhea and masses. Disease of the Chong Mai (Penetrating Vessel): Rebellious Qi and internal urgency. Disease of the Du Mai (Governing Vessel): Stiff spine and opisthotonos. Disease arising here: Qi rushes from the lower abdomen to the heart causing pain, inability to pass stool or urine, called Chong Hernia. In women: infertility, strangury, hemorrhoids, enuresis, dry throat. (Meridians XXVII.)
Foot-Yangming is the Sea of the Five Zang and Six Fu Organs; its vessels are large with abundant blood, and its Qi is vigorous with strong heat. (Meridians XXXIII.)
Disorder of the Five Zang leads to blockage of the Seven Orifices; disorder of the Six Fu Organs leads to retention and formation of carbuncles. (Meridians XXII.)
Disease in the Heart and Lungs causes nasal obstruction. (Zang-Xiang XI.)
Thin skin lacking luster, flesh not firm but overly moist, indicates poor function of the stomach and intestines; pathogens linger, leading to major accumulations. (Diseases LXXVI.)
Little food intake but excessive Qi indicates Pathogen in the Stomach and Lungs. (Diseases XXI.)
Disease of the Jing Jin (Sinew Meridians): Cold causes reverse bending and sinew spasm; Heat causes sinew flaccidity and inability to contract. Yang-side spasm causes reverse bending; Yin-side spasm causes inability to extend forward. (Disease Class LXIX.)
Qi rushes upward to the diaphragm. (Acupuncture XXX.)
What the Five Zang detest. What the Five Zang transform into fluids. What the Five Zang store. What the Five Zang govern. (Diseases XXV.)
The lungs spread like leaves and lift. (Diseases XXVI.)
For women, right is逆 (Rebellious/Adverse), left is 从 (Following/Favorable); for men, left is 逆, right is 从. (Treatment Principles XIV.)
Men's disease manifests on the left; women's disease manifests on the right. (Pulse and Color XXIV.)
Four-season Zang pulses and diseases have excess and deficiency variations. (Pulse and Color X.)
Diagnosing尺 (Chi/Forearm skin) to discuss disease. (Pulse and Color XVIII.)
The pathways of the Five Flavors each correspond to specific diseases. (Flavor and Qi III.)
Needling for Root and Terminal diseases of all meridians. (Meridians XXX.)
Diseases of the Twenty-Five Variations of the Original Zang. (Zang-Xiang XXVIII.)
Different storage functions of the Five Zang lead to different deficiency/excess diseases. (Zang-Xiang X.)
Six variations of Zang pulses lead to different disease presentations and needling methods. (Pulse and Color XIX.)
Deficiency and Excess diseases and needling for the Fifteen Luo Collaterals. (Meridians V.)