夫邪气之客于人也,或令人目不瞑,不卧者何气使然?伯高曰∶五谷入于胃也,其糟粕
津液
宗气,分为三隧,故宗气积于胸中,出于喉咙,以贯心脉,而行呼吸焉;荣气者泌其津液,
注之于脉,化以为血,以荣四末,内注五脏六腑,以应刻数焉;卫气者出其悍气之 疾,而
先行于四未分肉皮肤之间,而不休者也,昼日行于阳,夜日行于阴,常从足少阴之分间,行
于五脏六腑。今厥气客于五脏六腑,则卫气独卫其外,行于阳,不得入于阴,行于阳则阳气
盛,阳气盛则阳跷陷,不得入于阴,阴虚故目不瞑。曰∶治之奈何?曰∶补其不足,泻其有
余,调其虚实,以通其道,而去其邪。
帝曰∶升降不前,气交有变,即成暴郁,余已知之。如何预救生灵,何得却乎?岐伯曰
∶昭
乎哉问,臣闻夫子言,既明天真,须穷法刺,可以折郁扶运,补弱全真,泻成蠲余,令除斯
苦。帝曰∶愿卒闻之。曰∶壬之不前,即有甚凶也。木欲升而天柱窒抑之,木欲发郁,亦须
待
时,当刺足厥阴之井。火欲升而天蓬窒抑之,土欲发郁,亦须待时,君火相火同,刺包络之
荥。土欲升而天卫窒抑之,土欲发郁,亦须待时,当刺足太阴之俞。金欲升而天英窒抑之,
金欲发郁,亦须待时,当刺手太阴之经。水欲升而天芮窒抑之,水欲发郁,亦烦待时,当刺
足少阴之合。帝曰∶升之不前,可以预备,愿闻其降,可以先防。曰∶既明其升,必达其
降也。升降之道,皆可先治也。木欲降而地晶窒抑之,降而不入,抑之郁发,散而可得位,
降而郁发暴,如天间之待时也,降而不下,郁可速矣,降可折其所胜也,当刺手太阴之所出
,刺手阳明之所入。火欲降而地玄窒抑之,降而不入,抑之郁发,散而可矣。当折其所胜,
可散其郁,当刺足少阴之所出,刺足太阳之所入。土欲降而地苍窒抑之,降而不下,抑之郁
发,散而可入。当折其胜,可散其郁,当刺足厥阴之所出,刺足少阳之所入。金欲降而地彤
窒抑之,降面不下,抑之郁发,散而可入。当折其胜,可散其郁,当刺心包络所出,刺手少
阳所入也。水欲降而地阜窒抑之,降而不下,抑之郁发,散而可入。当折其土,可散其郁,
当刺足太阴之所出,刺足阳明之所入。帝曰∶五运之至,有前后与升降往来,有所承抑之,
可得闻乎刺法?岐伯曰∶当取其化源也。是故太过取之不及,资之太过取之,次抑其郁,取
其运之化源,令折郁气,不及扶资,以扶运气,以避虚邪也。资取之法,令出密语。
问:邪气侵犯人体,有时会导致人眼睛无法闭合、不能安卧,这是什么原因造成的呢?伯高回答说:“五谷进入胃中后,其糟粕、津液和宗气分为三条通道。所以宗气积聚在胸中,出于喉咙,贯通心脉,以推动呼吸;营气分泌津液,注入脉中,转化为血液,以滋养四肢末端,向内灌注五脏六腑,以应合刻漏的时间节律;卫气是由水谷精微中剽悍滑疾的部分构成的,它先行于四肢、分肉和皮肤之间,运行不息。白天行于阳分,夜晚行于阴分,通常从足少阴肾经的分野间,运行于五脏六腑之中。如今厥逆之气客居于五脏六腑,导致卫气只能独自护卫于体表阳分,行于阳分而不能进入阴分。行于阳分则阳气偏盛,阳气偏盛则阳跷脉充盈,卫气因此无法进入阴分,阴分虚损,所以导致眼睛无法闭合(目不瞑)。
问:治疗的方法是怎样的?答:补益其不足,泻除其有余,调和虚实,疏通其道,祛除邪气。
黄帝说:“气机升降不前,气交发生变异,就会形成暴郁之证,我已经知道了。如何预先拯救百姓,避免这种灾害呢?”岐伯说:“您的问话非常明察啊!我听说老师说过,既然通晓了自然天真之理,就必须穷究刺法,这样可以折服郁滞、扶持运化,补益虚弱、保全真气,泻除亢盛、清除余邪,从而消除这些痛苦。”
黄帝说:“我希望详尽地听您讲讲。”岐伯说:“壬年气运不前,就会有严重的凶险。如果木气想要上升但被天柱星所窒抑,木气想要发越郁结,也必须等待时机,此时应当针刺足厥阴肝经的井穴。火气想要上升但被天蓬星所窒抑,土气想要发越郁结,也必须等待时机,君火与相火的情况相同,应当针刺手厥阴心包络的荥穴。土气想要上升但被天卫星所窒抑,土气想要发越郁结,也必须等待时机,此时应当针刺足太阴脾经的俞穴。金气想要上升但被天英星所窒抑,金气想要发越郁结,也必须等待时机,此时应当针刺手太阴肺经的经穴。水气想要上升但被天芮星所窒抑,水气想要发越郁结,也必须等待时机,此时应当针刺足少阴肾经的合穴。
黄帝说:“气运上升不前,可以预先防备;我想听听气运下降的情况,是否可以预先防范?”岐伯说:“既然明白了上升的道理,就一定能通达下降的道理。升降的规律,都可以预先治疗。木气想要下降但被地晶星所窒抑,欲降而不能入,受抑制而郁结爆发,散开后才能得位。若降而不下来,郁结会迅速形成。若要折服其郁,可采取克制其所胜的方法,此时应当针刺手太阴肺经的所出穴(井穴),再针刺手阳明大肠经的所入穴(合穴)。火气想要下降但被地玄星所窒抑,欲降而不能入,受抑制而郁结爆发,散开后就可以了。应当折服其所胜,以疏散其郁结,此时应当针刺足少阴肾经的所出穴,再针刺足太阳膀胱经的所入穴。土气想要下降但被地苍星所窒抑,欲降而不能下,受抑制而郁结爆发,散开后就可以进入。应当折服其所胜,以疏散其郁结,此时应当针刺足厥阴肝经的所出穴,再针刺足少阳胆经的所入穴。金气想要下降但被地彤星所窒抑,欲降而不能下,受抑制而郁结爆发,散开后就可以进入。应当折服其所胜,以疏散其郁结,此时应当针刺手厥阴心包络的所出穴,再针刺手少阳三焦经的所入穴。水气想要下降但被地阜星所窒抑,欲降而不能下,受抑制而郁结爆发,散开后就可以进入。应当折服土气(土克水,故折土),以疏散其郁结,此时应当针刺足太阴脾经的所出穴,再针刺足阳明胃经的所入穴。
黄帝说:“五运的到来,有先后以及升降往来的情况,有所承受和窒抑,能否讲讲刺法?”岐伯说:“应当取其化源。所以对于太过之气,要取治其本;对于不及之气,要资助其本。太过之气要先抑制其郁结,取治其运气的化源,令其折服郁气;不及之气要扶资助运,以扶助运气,从而避开虚邪。资助取治的方法,详见密语之中。”
When pathogenic factors invade the human body, they sometimes cause insomnia (inability to close the eyes and lie down). What qi causes this? Bo Gao said: "When grains enter the stomach, their dregs, fluids, and Zong Qi (Gathering Qi) are divided into three pathways. Thus, Zong Qi accumulates in the chest, emerges from the throat, penetrates the heart vessels, and governs respiration; Ying Qi (Nutrient Qi) secretes its fluids, injects them into the vessels, transforms them into blood, nourishes the four extremities, and internally irrigates the five zang and six fu organs, corresponding to the time of the clepsydra; Wei Qi (Defensive Qi) consists of the fierce and rapid qi derived from food essence, which moves swiftly among the muscles and skin of the four extremities without rest. During the day, it travels through the Yang aspects; at night, it travels through the Yin aspects. It usually proceeds from the interspaces of the Foot Shaoyin (Kidney) meridian, circulating through the five zang and six fu organs. Now, if Jue Qi (Rebellious Qi) lodges in the five zang and six fu organs, Wei Qi can only guard the exterior, traveling in the Yang aspect and unable to enter the Yin aspect. Traveling in the Yang aspect leads to an excess of Yang qi; an excess of Yang qi causes the Yang Qiao vessel to become deficient/stagnant, preventing entry into the Yin aspect. Due to Yin deficiency, one suffers from insomnia."
Asked: "How should it be treated?" Answered: "Tonify what is deficient, drain what is excessive, regulate deficiency and excess, unblock the pathways, and eliminate the pathogen."
The Yellow Emperor said: "When the ascending and descending motions do not proceed as expected, and the interaction of qi undergoes changes, violent stagnation (Bao Yu) results. I understand this. How can we preemptively protect living beings and prevent such disasters?" Qibo said: "Your question is remarkably insightful. I have heard my master say that having understood the natural truth, one must thoroughly master acupuncture methods. This can break stagnation and support the movement of qi, tonify weakness and preserve true qi, drain excess and remove surplus, thereby eliminating these sufferings."
The Yellow Emperor said: "I wish to hear this in detail." Qibo said: "If the qi of Ren does not advance, there will be severe misfortune. If Wood qi desires to ascend but is obstructed by Tian Zhu, and Wood qi desires to release its stagnation, one must wait for the appropriate time. At this point, one should puncture the Jing-Well point of the Foot Jueyin Liver Meridian. If Fire qi desires to ascend but is obstructed by Tian Peng, and Earth qi desires to release its stagnation, one must wait for the appropriate time. The situation for Ministerial Fire and Sovereign Fire is the same; one should puncture the Ying-Spring point of the Pericardium (Hand Jueyin). If Earth qi desires to ascend but is obstructed by Tian Wei, and Earth qi desires to release its stagnation, one must wait for the appropriate time. One should puncture the Shu-Stream point of the Foot Taiyin Spleen Meridian. If Metal qi desires to ascend but is obstructed by Tian Ying, and Metal qi desires to release its stagnation, one must wait for the appropriate time. One should puncture the Jing-River point of the Hand Taiyin Lung Meridian. If Water qi desires to ascend but is obstructed by Tian Rui, and Water qi desires to release its stagnation, one must wait for the appropriate time. One should puncture the He-Sea point of the Foot Shaoyin Kidney Meridian.
The Yellow Emperor said: "Ascending obstruction can be prepared for in advance. I wish to hear about descending obstruction and whether it can be prevented beforehand." Qibo said: "Having understood ascending, one must also comprehend descending. The principles of ascending and descending can both be treated preemptively. If Wood qi desires to descend but is obstructed by Di Jing, and cannot enter, suppression leads to stagnation and eruption. Only after dispersal can it take its position. If descent fails and stagnation erupts violently, it is like waiting in the space between heaven and earth. If it descends but does not go down, stagnation forms quickly. To break the stagnation, one may attack what it overcomes (Metal overcomes Wood). One should puncture the Jing-Well (Exit) point of the Hand Taiyin Lung Meridian and the He-Sea (Enter) point of the Hand Yangming Large Intestine Meridian. If Fire qi desires to descend but is obstructed by Di Xuan, and cannot enter, suppression leads to stagnation and eruption. After dispersal, it is resolved. One should attack what it overcomes (Water overcomes Fire) to disperse the stagnation. One should puncture the Jing-Well (Exit) point of the Foot Shaoyin Kidney Meridian and the He-Sea (Enter) point of the Foot Taiyang Bladder Meridian. If Earth qi desires to descend but is obstructed by Di Cang, and cannot go down, suppression leads to stagnation and eruption. After dispersal, it can enter. One should attack what it overcomes (Wood overcomes Earth) to disperse the stagnation. One should puncture the Jing-Well (Exit) point of the Foot Jueyin Liver Meridian and the He-Sea (Enter) point of the Foot Shaoyang Gallbladder Meridian. If Metal qi desires to descend but is obstructed by Di Tong, and cannot go down, suppression leads to stagnation and eruption. After dispersal, it can enter. One should attack what it overcomes (Fire overcomes Metal) to disperse the stagnation. One should puncture the Jing-Well (Exit) point of the Pericardium and the He-Sea (Enter) point of the Hand Shaoyang Sanjiao Meridian. If Water qi desires to descend but is obstructed by Di Fu, and cannot go down, suppression leads to stagnation and eruption. After dispersal, it can enter. One should attack Earth (Earth overcomes Water) to disperse the stagnation. One should puncture the Jing-Well (Exit) point of the Foot Taiyin Spleen Meridian and the He-Sea (Enter) point of the Foot Yangming Stomach Meridian.
The Yellow Emperor said: "The arrival of the Five Movements has early and late timings, with ascending and descending movements, subject to bearing and obstruction. May I ask about the acupuncture methods?" Qibo said: "One should target the source of transformation. Therefore, for Excess conditions, treat the root; for Deficiency conditions, supplement the root. For Excess, first suppress the stagnation, target the source of the movement's transformation, to break the stagnant qi. For Deficiency, supplement and support to aid the movement of qi, thereby avoiding empty pathogens. The methods for supplementation and targeting are detailed in the secret teachings."