夫百病皆生于气,故怒则气上,喜则气缓,悲则气消,恐则气下,寒则气收聚,热则腠
理开而气泄,忧则气乱,劳则气耗,思则气结,九气不同。
怒则气逆,甚则呕血,及食而气逆上也。喜则气和,荣卫行通利,故气缓焉。悲则心系
急,肺布叶举,使上焦不通,荣卫不散,热气在内,故气消也。恐则精却,精却则上焦闭,
闭则气还,还则下焦胀,故气不行。寒则经络凝涩,故气收聚也。热则腠理开,荣卫通,故
汗大泄也。忧则心无所寄,神无所归,虑无所定,故气乱矣。劳则喘且汗,外内皆越,故气
耗矣。思则身心有所止,气留不行,故气结矣。
诊寸口脉伏,胸中逆气,是诸气上冲朐中。故上气、面 肿、膊息,其脉浮大
,不治。上气,脉躁而喘者,属肺;肺胀欲作风水,发汗愈。脉洪则为气。其脉虚宁伏匿者
生,牢强者死。喘息低仰,其脉滑,手足温者,生也;涩而四末寒者,死也。上气脉数者死
,谓其形损故也。其汤烫针石,别有正方,补养宣导,今附于后。
《养生方》云∶饮水勿急咽,久成气病。
《养生方·导引法》云∶两手向后,合手拓腰向上,急势,振摇臂肘,来去七。始得手
不移,直向上向下,尽势,来去二七,去脊、心、肺气,壅闷消散。
又云∶凡学将息人,先须正坐,并膝头、足;初坐,先足指相对,足跟外扒。坐上,少
欲安稳,须两足跟向内相对。坐上,足指外扒,觉闷痛,渐渐举身似款便,坐上。待共两坐
相似,不痛,始双竖脚跟向上,坐上,足指并反向外。每坐常学。去膀胱内冷、膝风冷,足
疼、上气、腰痛,尽自消适也。
又云∶两足两指相向,五息止。引心肺,去咳逆,上气。极用力,令两足相向,意止引
肺中气出,病患行肺内外,展转屈伸,随适,无有违逆。
各种疾病都源于气的异常,因此愤怒会使气机上逆,喜悦会使气机舒缓,悲伤会使气机消减,恐惧会使气机下陷,寒冷会使气机收敛聚结,炎热会使腠理(皮肤毛孔及间隙)开放而气机外泄,忧愁会使气机紊乱,劳累会使气机耗散,思虑会使气机郁结。这九种气机变化各不相同。
愤怒会导致气机逆乱,严重时会出现呕血,以及进食时气机上逆的现象。喜悦能使气机和顺,营卫之气运行通畅流利,所以气机表现为舒缓。悲伤会使心脉拘急,肺叶张举,导致上焦不通畅,营卫之气不能布散,热气郁积在体内,所以气机被消减。恐惧会使精气退却,精气退却则上焦闭塞,闭塞则气机还返,气机还返则下焦胀满,所以气机运行不畅。寒冷会使经络凝滞涩阻,所以气机收敛聚结。炎热会使腠理开放,营卫之气通畅,所以汗液大量外泄。忧愁会使心神无所依托,精神无所归依,思虑没有定准,所以气机紊乱。劳累会导致喘息和出汗,体内的气和体表的卫气都向外越出,所以气机耗散。思虑会使身心有所专注停滞,气机停留而不运行,所以气机郁结。
诊察寸口脉象伏匿,伴有胸中气机逆乱,这是各种气机上冲至胸中的表现。所以上气病(呼吸急促、气逆),面部浮肿,抬肩呼吸,如果脉象浮大,属于难治之症。上气病,脉象躁动且伴有喘息的,病属肺脏;如果是肺胀准备发展为风水病(水肿的一种),通过发汗治疗可以痊愈。脉象洪大的主气病。脉象虚软或沉伏隐匿的预后良好,脉象牢靠强硬的预后不良。喘息时身体仰俯困难,脉象滑利,手足温暖的,预后良好;脉象涩滞且四肢寒冷的,预后不良。上气病脉象数(快)的预后不良,这是因为形体已经受损的缘故。至于汤药、烫熨、针灸等治疗方法,另有专门的方剂,补益调养和导引宣通的方法,现在附在后面。
《养生方》说:喝水不要急于吞咽,长久如此会形成气病。
《养生方·导引法》说:双手向后,合掌托住腰部向上用力,动作要急骤,振动摇晃手臂肘部,往返七次。开始时手的位置不移动,直接向上向下,用尽势态,往返十四次,可以去除脊背、心脏、肺部的邪气,使壅闷消散。
又说:凡是学习调摄养生的人,必须先端正坐姿,并拢膝盖和双脚;刚开始坐时,先让脚趾相对,脚跟贴向外侧扒开。坐稳后,稍微想要安稳舒适,需要两脚脚跟向内相对。坐好后,脚趾向外扒开,感到闷痛时,渐渐全身放松似随意舒展地坐着。等到与两次坐姿相似,不再疼痛,才开始双脚跟竖起向上,坐好,脚趾并拢反向外侧。每次坐下都要经常练习。可以去除膀胱内的寒气、膝盖的风寒,足痛、上气病、腰痛,都会自然消除舒适。
又说:两足的两个脚趾相对,保持五个呼吸的时间停止。这样可以引导心肺之气,去除咳嗽气逆、上气病。极力用力,使两足脚趾相对,意念专注于引导肺中的气排出,病患行走在肺内外,辗转屈伸,随顺舒适,没有违逆。
All diseases arise from Qi (vital energy) dysfunction. Therefore, anger causes Qi to rise upward; joy causes Qi to relax and slow down; grief causes Qi to dissipate; fear causes Qi to sink downward; cold causes Qi to contract and gather; heat causes the Cou Li (pores and interstices of the skin) to open and Qi to leak out; worry causes Qi to become disordered; fatigue causes Qi to be consumed; and contemplation causes Qi to knot and stagnate. These nine types of Qi changes are distinct.
Anger leads to rebellious Qi; in severe cases, it may cause vomiting of blood or upward reversal of Qi during eating. Joy harmonizes Qi, allowing Ying and Wei (nutritive and defensive Qi) to circulate freely and smoothly, thus causing Qi to relax. Grief tightens the Heart vessels and elevates the Lung lobes, obstructing the Upper Jiao (Upper Burner), preventing the dispersion of Ying and Wei, leading to internal accumulation of heat, thereby consuming Qi. Fear causes Essence (Jing) to retreat; when Essence retreats, the Upper Jiao becomes closed; closure causes Qi to return; returning Qi causes distension in the Lower Jiao (Lower Burner), resulting in impaired Qi movement. Cold causes meridians to coagulate and become stagnant, causing Qi to contract and gather. Heat opens the Cou Li and unblocks Ying and Wei, leading to profuse sweating. Worry leaves the Heart Spirit (Shen) without support, the Spirit without a refuge, and thoughts without direction, causing Qi to become disordered. Fatigue induces panting and sweating, with both internal Qi and external Wei Qi escaping outward, leading to Qi consumption. Contemplation fixes the body and mind, causing Qi to remain stationary and not flow, leading to Qi stagnation.
Palpation of the Cun Kou (radial artery at the wrist) reveals a deep/floating pulse accompanied by rebellious Qi in the chest, indicating that various forms of Qi are rushing upward into the chest. Thus, for Shang Qi (asthma/dyspnea with upward rushing Qi) presenting with facial edema and orthopnea (breathing with raised shoulders), if the pulse is floating and large, it is difficult to treat. For Shang Qi with a rapid/restless pulse and wheezing, the pathology belongs to the Lung; if Lung distension is about to develop into Feng Shui (wind-water edema), treatment via diaphoresis (sweating method) will cure it. A洪 (surging) pulse indicates Qi disorders. A Xu (deficient) or hidden/deep pulse suggests survival, whereas a Lao (firm) and Qiang (strong) pulse indicates death. In cases of dyspnea with difficulty in lying flat or sitting up, a Hua (slippery) pulse and warm hands and feet indicate survival; a Se (choppy) pulse and cold extremities indicate death. Shang Qi with a Shu (rapid) pulse indicates death, due to the depletion of physical form. Regarding treatments using decoctions, moxibustion/heat therapy, and acupuncture stones, there are separate specific formulas. Methods for tonification, nourishment, and Daoyin (guiding and pulling exercises) are attached below.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) states: Do not swallow water hastily; doing so over time can lead to Qi diseases.
The *Yangsheng Fang · Daoyin Fa* (Guiding and Pulling Methods) states: Extend both hands backward, join palms to push against the lower back upwards, moving vigorously, and shake the arms and elbows, repeating this motion seven times. Initially, keep the hands stationary, moving straight up and down with full effort, repeating fourteen times. This expels pathogenic factors from the spine, heart, and lungs, dissipating stagnation and oppression.
It also states: Anyone learning self-care must first sit upright, keeping knees and feet together. When initially sitting, place toes opposite each other and heels turned outward. To feel stable and comfortable while seated, bring the two heels inward to face each other. After sitting, turn toes outward; if feeling stuffy or painful, gradually relax the whole body as if at ease. Continue until the sensation matches previous sessions and pain subsides. Then, raise both heels upward while sitting, with toes joined and facing outward. Practice this every time you sit. This practice eliminates cold in the Bladder, wind-cold in the knees, foot pain, Shang Qi, and lower back pain, bringing natural relief.
It further states: Face the big toes of both feet toward each other, holding for five breaths. This guides Qi in the Heart and Lungs, eliminating cough with rebellious Qi and Shang Qi. Exert maximum effort to keep the feet facing each other, focusing the mind on guiding Qi out of the Lungs. The patient moves within and outside the Lungs, twisting and stretching, following comfort, without resistance.