支饮,谓饮水过多,停积于胸膈之间,支乘于心,故云支饮。其病,令人咳逆喘
息,身体如肿之状,谓之支饮也。
溢饮,谓因大渴而暴饮水,水气溢于肠胃之外,在于皮肤之间,故言溢饮。令人
身体疼重而多汗,是其候也。
悬饮,谓饮水过多,留注胁下,令胁间悬痛,咳唾引胁痛,故云悬饮。
夫五脏调和,则荣卫气理,荣卫气理,则津液通流,虽复多饮水浆,不能为病。若摄养
乖方,则三焦痞隔。三焦痞隔,则肠胃不能宣行,因饮水浆过多,便令停滞不散,更遇寒气
,积聚而成癖。癖者,谓僻侧在于两胁之间,有时而痛是也。其汤熨针石,别有正方,补养
宣导,今附于后。
《养生方》云∶卧觉,勿饮水更眠,令人作水癖。
又云∶饮水勿急咽,久成水癖。
《养生方·导引法》云∶举两膝,夹两颊边,两手据地蹲坐,故久行之,愈伏梁。伏梁
者,宿食不消成癖,腹中如杯如盘。宿痈者,宿水宿气癖数生痈。久行,肠化为筋,骨变为
久癖,谓因饮水过多,水气壅滞,遇寒热气相搏,便成癖。在于两肋下,经久不瘥,乃
结聚成形,弦亘而起,按之乃水鸣,积有岁年,故云久癖。
此由饮水聚停不散,复因饮食相搏,致使结积在于胁下,时有弦亘起,或胀痛,或喘息
脉紧实者,癖结也。
支饮,是指饮水过多,水液停积在胸膈之间,支撑于心,所以称为支饮。这种病,使人咳嗽气逆、喘息,身体像浮肿的样子,这就叫支饮。
溢饮,是指因为极度口渴而突然大量饮水,水气溢出肠胃之外,停留在皮肤之间,所以称为溢饮。使人身体疼痛沉重且多汗,这是它的症状表现。
悬饮,是指饮水过多,水液留注在胁下,使胁间悬挂般疼痛,咳嗽吐唾时牵引胁部疼痛,所以称为悬饮。
如果五脏调和,那么营卫之气运行有序;营卫之气运行有序,那么津液就能通畅流动,即使喝很多水浆,也不会致病。如果调养不当,就会导致三焦阻滞不通。三焦阻滞不通,肠胃就不能宣通运行,因此饮水过多,便导致水液停滞不散,如果再遇到寒气,积聚而成癖病。癖病,是指偏侧位于两胁之间,有时疼痛的情况。关于汤药外敷、针刺砭石的治疗,另有专门的方剂,补养和导引的方法,现在附在后面。
《养生方》说:睡醒后,不要立即喝水再睡觉,否则会使人患上水癖。
又说:喝水不要急于吞咽,久而久之会形成水癖。
《养生方·导引法》说:举起双膝,夹住两颊边,双手撑地蹲坐,长期练习,可以治愈伏梁病。伏梁病,是指宿食不消化形成癖块,腹中感觉像杯子或盘子一样硬满。宿痈,是指宿水宿气癖积多次发生痈肿。长期练习,可以使肠化为筋,骨变为……(原文此处中断)
久癖,是指因饮水过多,水气壅滞,遇到寒热之气相互搏结,从而形成癖病。位于两肋之下,经久不愈,于是结聚成形,呈弦状横亘而起,按压时有水鸣声,积累多年,所以称为久癖。
这是由于饮水聚集停积不散,又因饮食相互搏结,致使结积位于胁下,有时呈现弦状横亘突起,或者胀痛,或者喘息,脉象紧实的,就是癖结。
Zhi Yin (Branching Fluid Retention) refers to the condition where excessive drinking of water leads to fluid accumulation in the chest and diaphragm, supporting the heart, hence the name Zhi Yin. This disease causes cough with counterflow qi, panting, and a body appearance resembling edema; this is called Zhi Yin.
Yi Yin (Overflowing Fluid Retention) refers to the condition caused by sudden excessive drinking due to extreme thirst, where water qi overflows beyond the stomach and intestines and stays between the skin and muscles, hence the name Yi Yin. It causes body pain and heaviness with profuse sweating; these are its clinical manifestations.
Xuan Yin (Hanging Fluid Retention) refers to the condition where excessive drinking leads to fluid retention in the hypochondrium, causing hanging-like pain in the intercostal space, and pain in the hypochondrium radiating upon coughing or spitting; hence it is called Xuan Yin.
When the five zang organs are harmonious, Ying and Wei Qi (Nutritive and Defensive Qi) function orderly. When Ying and Wei Qi function orderly, Jin Ye (Body Fluids) flow freely. Even if one drinks large amounts of fluids, it will not cause disease. However, if health preservation methods are improper, the San Jiao (Triple Burner) becomes obstructed. Obstruction of the San Jiao prevents the stomach and intestines from disseminating and circulating properly. Consequently, excessive drinking leads to fluid stagnation. If exposed to cold pathogenic factors, these accumulated fluids form Pi (masses). Pi refers to masses located obliquely between the two hypochondria, which cause intermittent pain. Regarding treatments using decoctions, external heat applications, acupuncture, and stone therapy, there are separate specific formulas. Methods for tonification, nourishment, and Daoyin (guiding and pulling exercises) are attached hereafter.
The *Yangsheng Fang* (Prescriptions for Health Preservation) states: "After waking from sleep, do not drink water and then go back to sleep, as this causes Shui Pi (Water Mass)."
It also states: "Do not swallow water hastily; doing so over a long period leads to Shui Pi."
The *Daoyin Fa* (Guiding and Pulling Method) in *Yangsheng Fang* states: "Lift both knees, press them against the sides of the cheeks, place both hands on the ground, and squat-sit. Long-term practice cures Fuliang (Overlapping Beams). Fuliang refers to undigested food forming masses, feeling like a cup or plate in the abdomen. Su Yong (Old Abscess) refers to abscesses recurring due to old water and stagnant qi masses. Long-term practice transforms intestines into sinews and bones into..." (Text ends abruptly here).
Jiu Pi (Long-standing Mass) refers to the condition formed when excessive drinking causes water qi stagnation, which interacts with cold and heat pathogens, resulting in Pi. Located under the two ribs, if it persists without healing, it condenses into a shape, rising transversely like a bowstring. Pressing it produces a gurgling sound. Having accumulated over years, it is called Jiu Pi.
This results from water gathering and stagnating without dispersing, further compounded by the interaction with food, causing accumulation in the hypochondrium. Symptoms include transverse protrusion resembling a bowstring, distending pain, panting, and a tight, excess pulse; this is known as Pi Jie (Mass Concretion).