肺主于气,肺为邪所乘,则上气。此为膈内有热,胃间有寒,寒从胃上乘于肺,与膈内
热相搏,故乍寒乍热而上气。上气动于胃,胃气逆,故呕吐也。
肺主于气,候身之皮毛。而气之行,循环脏腑,流通经络,若外为邪所乘,则肤腠闭密
,使气内壅,与津液相并,不得泄越,故上气而身肿也。
结气病者,忧思所生也。心有所存,神有所止,气留而不行,故结于内。其汤熨针石,
别有正方,补养宣导,今附于后。
《养生方》云∶哭泣悲来,新哭讫,不用即食,久成气病。
《养生方·导引法》云∶坐,伸腰,举左手,仰其掌,却右臂,覆右手,以鼻纳气,自
极七息。息间,稍顿右手。除两臂背痛、结气。
又云∶端坐,伸腰,举左手,仰掌,以右手承右胁,以鼻纳气,自极七息。除结气。
又云∶两手拓肘头,拄席,努肚上极势,待大闷始下,来去上下五七。去脊背体内疼、
骨节急强、肚肠宿气。行忌太饱,不得用肚编也。
夫脏气虚,则内生寒也。气常行腑脏,腑脏受寒冷,即气为寒冷所并,故为冷气。其状
或腹胀,或腹痛,甚则气逆上而面青、手足冷。
七气者,寒气、热气、怒气、恚气、忧气、喜气、愁气。凡七气积聚,牢大如杯若
,在心下、腹中,疾痛欲死,饮食不能,时来时去,每发欲死,如有祸状,此皆七气所
生。
寒气则呕吐、恶心;热气则说物不章,言而遑;怒气则上气不可忍,热痛上抢心,短气
欲死,不得气息也;恚气则积聚在心下,心满不得饮食;忧气则不可极作,暮卧不安席;喜
气即不可疾行,不能久立;愁气则喜忘,不识人语,置物四方,还取不得去处,若闻急,即
手足筋挛不举。
肺主司气,若肺被邪气侵袭,就会出现上气(气逆上冲)的症状。这是因为膈间有热,胃中有寒,寒气从胃中向上侵犯肺部,与膈间的热气相互搏结,所以时而发冷、时而发热,并出现气逆上冲。气逆动及胃,导致胃气上逆,因此发生呕吐。
肺主司气,外候于身体的皮毛。气的运行,在脏腑之间循环,在经络中流通。如果外部被邪气侵袭,就会导致皮肤腠理闭塞紧密,使气在内壅滞,与津液相搏结,无法向外宣泄,因此出现上气和身体浮肿。
结气病,是由忧思情绪产生的。心中有所执着,神志有所停驻,导致气机停留而不能运行,所以郁结在体内。对于此类病症的汤药、熨贴、针刺和砭石治疗,另有专门的方剂,补养和导引方法,现附在后面。
《养生方》说:哭泣悲伤时,刚哭完,不要立即进食,时间久了会形成气病。
《养生方·导引法》说:坐位,伸直腰,举起左手,手掌向上,向后伸展右臂,右手覆盖其上,用鼻子吸气,尽力吸七次呼吸。在呼吸间歇,稍微停顿右手。可以消除两臂背痛和结气。
又说:端正坐姿,伸直腰,举起左手,手掌向上,用右手托住右侧胁部,用鼻子吸气,尽力吸七次呼吸。可以消除结气。
又说:两手肘部向后拓开,手撑在席子上,用力挺腹向上极势,等到感到极度憋闷时才放下,这样上下往复五到七次。可以去除脊背体内疼痛、骨节拘急强直、肠腑宿积之气。行走时要避免过饱,不能用腹部去挤压编织物。
脏气虚弱,就会产生内寒。气常在脏腑中运行,脏腑受到寒冷侵袭,气就会被寒气所迫,所以称为冷气。其症状表现为腹部胀满,或腹痛,严重时气逆上冲而面色发青、手脚冰冷。
七气,指寒气、热气、怒气、恚气(愤恨之气)、忧气、喜气、愁气。凡是这七种气积聚,结块坚硬大如杯状,位于心下或腹中,剧烈疼痛甚至让人想死,饮食不能进,病情时来时去,每次发作都痛苦欲死,好像有灾祸临头一样,这都是由七气所引起。
寒气会导致呕吐、恶心;热气会导致言语错乱不清,说话慌张;怒气会导致气逆上冲难以忍受,热痛上冲心胸,短气几乎要死,气息不畅;恚气会导致结块积聚在心下,心胸满闷不能饮食;忧气会导致不能过度劳作,晚上睡觉不安稳;喜气会导致不能快步行走,不能久站;愁气会导致容易遗忘,不认识人说的话,东西放在四处,回头去找却找不到地方,如果听到紧急消息,就会手足筋脉挛缩不能抬起。
The Lung governs Qi. When the Lung is invaded by pathogenic factors, it results in ascending Qi (rebellious Qi flowing upward). This condition arises because there is heat within the diaphragm and cold in the stomach. The cold rises from the stomach to invade the Lung, where it contends with the heat in the diaphragm. Consequently, the patient experiences alternating chills and fever along with rebellious Qi. When this rebellious Qi agitates the Stomach, causing Stomach Qi to rebel upward, vomiting occurs.
The Lung governs Qi and manifests externally on the skin and hair (Hao Mao). Qi circulates among the Zang-Fu organs and flows through the meridians. If external pathogens invade, the pores and interstices become closed and tight, causing Qi to stagnate internally. This stagnant Qi combines with body fluids (Jin-Ye), preventing their outward excretion, which leads to ascending Qi and generalized edema.
The disease of Knotted Qi (Jie Qi) originates from worry and overthinking. When the mind holds onto specific thoughts and the Spirit remains fixed, Qi becomes retained and fails to circulate, thus knotting internally. For treating such conditions with decoctions, moxibustion/ironing therapy, acupuncture, and stone needles, there are separate specific formulas. Methods for nourishing and guiding Qi are appended below.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) states: After weeping or feeling sorrowful, one should not eat immediately; doing so over a long period can lead to Qi disorders.
The *Yangsheng Fang · Daoyin Fa* (Guiding and Pulling Method) states: Sit upright, straighten the waist, raise the left hand with the palm facing up, extend the right arm backward with the right hand covering it, inhale through the nose, and continue for seven full breaths. During the intervals between breaths, slightly pause the movement of the right hand. This practice eliminates pain in both arms and back, as well as Knotted Qi.
It also states: Sit upright, straighten the waist, raise the left hand with the palm facing up, and use the right hand to support the right hypochondrium. Inhale through the nose for seven full breaths. This eliminates Knotted Qi.
Furthermore: Extend both elbows backward, prop oneself on the mat with hands, strain the abdomen upward to its maximum extent, and only lower when feeling extreme suffocation. Repeat this up-and-down motion five to seven times. This removes pain inside the spine and body, stiffness and rigidity of bone joints, and accumulated Qi in the intestines. One must avoid walking while overly full and must not press the abdomen against weaving materials.
When the Qi of the Zang organs is deficient, internal cold is generated internally. Qi normally circulates through the Zang-Fu organs. When the Zang-Fu organs are affected by cold, the Qi is constrained by the cold, resulting in what is termed Cold Qi. Its manifestations include abdominal distension or abdominal pain. In severe cases, Qi rebels upward, causing cyanosis of the face and coldness of the hands and feet.
The Seven Qi refer to Cold Qi, Heat Qi, Anger Qi, Resentment Qi (Hui Qi), Worry Qi, Joy Qi, and Sorrow Qi. When these seven types of Qi accumulate, they form firm masses the size of a cup located in the epigastrium or abdomen. The patient suffers from severe pain that feels life-threatening, inability to eat or drink, and symptoms that come and go. Each attack feels as if disaster is imminent. All these conditions arise from the Seven Qi.
Cold Qi causes vomiting and nausea; Heat Qi causes incoherent speech and anxious talking; Anger Qi causes unbearable rebellious Qi, hot pain rushing to the heart, shortness of breath nearly causing death, and difficulty breathing; Resentment Qi causes accumulation in the epigastrium, chest fullness, and inability to eat; Worry Qi prevents strenuous activity and causes restless sleep at night; Joy Qi prevents fast walking and standing for long periods; Sorrow Qi causes forgetfulness, failure to recognize spoken words, misplacing objects and being unable to find them, and upon hearing urgent news, causes spasms of the tendons in the hands and feet, rendering them immobile.