人有重身(怀孕)九月而喑。(失音)胞之络脉绝也(为胎阻绝)胞络者系于肾少阴之脉贯肾
系舌本。故不能言。(系。根系也)无治也当十月复(十月子生少阴之脉通则言复矣。)
病胁下满。气逆。二三岁不已。名曰息积(喘粗息难也)此不妨于食不可灸刺(喘者忌灸
。恐
助火邪。病不在经。故不可刺)积(累也)为导引服药药不能独治也(导引以开其滞。药饵以利
其气。所以然者治之不易)
人有病头痛。以数岁不已。当有所犯。大寒内至骨髓(凡身之骨髓皆是)髓者以脑为主脑
逆故令头痛。齿亦痛。病名曰厥逆(寒气逆于上。)
有病口甘者。此五气之溢也(五味之气上溢)名曰脾瘅(热也)夫五味入口。藏于胃。脾为
之行
其精气。津液在脾。故令人口甘也。此肥美之所发也此人必数食甘美而多肥也肥者令人内热
。甘者令人中满。故其气上溢传为消渴(饮水善消。而渴不已)治之以兰。(香草)除陈气也。
有病口苦者。名为胆瘅。夫肝者中之将也。取决于胆咽为之使(胆脉挟咽)此人者。数谋
虑不决
。故胆虚气上溢而口为之苦。治之以胆募俞。(日月。胆俞左右各两穴○吴注作胆嘘气上溢
凡谋虑不决者必嘘出其气之意。)
有癃者。一日数十溲。此不足也身热如炭颈膺如格(拒也)人迎躁盛。喘息。气逆。此有
余也
。太阴脉细如发者。此不足也病在太阴(日数十溲脉细。是脾气不足)其盛在胃(人迎三盛病
在阳明也)颇在肺(喘息气逆)病名曰厥。(逆也)死不治。此所谓得五有余。二不足也(如上文
)外得五有余。内得二不足。此其身不表不里(表里相为违逆)亦正死明矣。
人生而有病癫疾者。病名为胎病。此得之在母腹时。其母有所大惊。气上而不下。精气
并居。故令子发为癫疾也(旧作巅。吴注改癫。)
孕妇怀孕九个月时出现失音(声音嘶哑或不能说话)。这是因为胞宫的络脉受阻所致。胞络与肾相连,足少阴肾经贯穿肾脏并联系舌根。因此导致不能言语。这种情况不需要治疗,等到第十个月分娩后,随着胎儿娩出,少阴经脉通畅,语言功能自然恢复。
有人胁下胀满,气机上逆,持续两三年不愈,这种病称为息积(呼吸急促、气息困难)。此病不影响进食,但不可使用艾灸和针刺治疗(因为喘证患者忌讳艾灸,恐怕助长火邪;且病不在经络表面,所以不可针刺)。所谓“积”,是指病邪累积。治疗需要配合导引术(古代一种呼吸吐纳和肢体运动相结合的养生治病方法)和服药,药物不能单独起效(导引用来疏通阻滞,药物用来调理气机,之所以这样是因为治疗比较困难)。
有人患头痛,持续数年不愈,这一定是受到了某种邪气的侵袭,大寒之气深入骨髓(全身骨髓皆受其害)。髓以脑为主,寒气上逆于脑,所以引起头痛,牙齿也会疼痛,这种病名叫厥逆(寒气逆乱于上)。
有人口中发甜,这是五味的精气上溢所致,病名叫做脾瘅(指脾胃湿热)。五味入口后,藏于胃中,由脾运化其精微物质。津液滞留于脾,所以使人感到口甜。这是由于过多食用肥甘厚味引起的。这种人一定经常食用甘甜美味且油腻的食物。肥腻的食物使人内生内热,甘甜的食物使人中焦痞满。因此,热气上溢,进而发展为消渴病(多饮、多食、多尿、身体消瘦的疾病)。治疗用兰草(香草),以消除体内陈旧的郁热之气。
有人口中发苦,病名叫胆瘅。肝是将军之官,决断取决于胆,咽部是胆的通道(胆经脉络挟持咽喉)。这类人往往谋虑过多而犹豫不决,导致胆气虚弱,气机上溢,所以口中发苦。治疗取胆的募穴和俞穴(日月穴为胆募,胆俞穴为胆俞,左右各一穴)。
有癃闭患者,一天排尿几十次,这是正气不足的表现。身体发热像炭火一样,颈部和胸膺部感觉像被格拒阻隔一样不适,人迎脉躁动盛大,喘息,气机上逆,这是邪气有余的表现。太阴脉细如发丝,这是正气不足的表现。病位在太阴(一天排尿几十次、脉象细微,说明脾气不足);邪盛在胃(人迎脉盛大三倍,病在阳明胃经);同时也涉及肺(喘息气逆)。这种病名叫厥(气机逆乱)。属于死症,难以治愈。这就是所说的“五有余、二不足”(如上所述)。体表有五种邪气有余的症状,体内有两种正气不足的症状,这说明表里之气相互违背冲突,也是明确的死证。
人生下来就患有癫疾的,病名叫胎病。这是在母腹中时获得的。当时母亲受到巨大的惊吓,导致气机上逆而不能下行,精气并聚在一起,所以使孩子出生后患上癫疾。(旧版作“巅”,吴注改为“癫”。)
A pregnant woman who is nine months along may experience aphonia (loss of voice). This occurs because the collateral vessels of the uterus are obstructed. The uterine collaterals are connected to the Kidney, and the Foot-Shaoyin Kidney Meridian passes through the Kidney and connects to the root of the tongue. Therefore, she cannot speak. No treatment is required; after delivery in the tenth month, as the fetus is born, the Shaoyin meridian becomes unobstructed, and speech function will naturally recover.
There are cases where the hypochondrium is full and Qi rebels upward, persisting for two or three years without relief. This condition is called Xi Ji (accumulation causing difficult breathing). It does not interfere with eating, but moxibustion and acupuncture are contraindicated (asthma patients should avoid moxibustion as it may aggravate fire pathogens; since the disease is not on the meridians, needling is also inappropriate). "Ji" refers to the accumulation of pathogenic factors. Treatment requires a combination of Daoyin (an ancient therapeutic practice involving guided breathing and physical exercises) and herbal medicine, as herbs alone cannot cure it (Daoyin opens stagnation, while herbs regulate Qi; this combined approach is necessary because the treatment is complex).
Some individuals suffer from headache that persists for several years. This is likely due to an invasion by severe Cold pathogen penetrating into the bone marrow (all bone marrow in the body is affected). Since the brain is the master of the marrow, the rebellion of Cold Qi to the brain causes headache, and the teeth may also hurt. This disease is named Jue Ni (rebellious Qi due to cold ascending).
Some individuals have a sweet taste in their mouth. This is caused by the overflow of the essence of the five flavors, known as Pi Dan (spleen heat/damp-heat). When the five flavors enter the mouth, they are stored in the Stomach, and the Spleen transports their essence. If fluids accumulate in the Spleen, it causes a sweet taste in the mouth. This arises from excessive consumption of rich and sweet foods. Such individuals must frequently eat sweet, delicious, and fatty foods. Fatty foods generate internal heat, and sweet foods cause fullness in the middle jiao. Consequently, the Qi overflows upward, transmitting into Xiao Ke (wasting-thirst syndrome characterized by excessive thirst and fluid consumption). Treatment involves using Lan Cao (Orchid Rhizome/Perfume Herb) to eliminate stale, accumulated heat.
Some individuals have a bitter taste in their mouth, a condition named Dan Dan (gallbladder heat). The Liver is the general officer, and decision-making depends on the Gallbladder. The pharynx serves as the pathway for the Gallbladder (the Gallbladder meridian flanks the pharynx). These individuals often engage in excessive deliberation without resolution, leading to Gallbladder deficiency and rebellious Qi overflowing upward, resulting in a bitter taste. Treatment involves the Front-Mu and Back-Shu points of the Gallbladder (Riyue [GB24] as the Front-Mu point, and Danshu [BL19] as the Back-Shu point, one on each side).
Patients with Long Bi (difficulty urinating) may urinate dozens of times a day, indicating a deficiency pattern. They present with body heat like charcoal, a sensation of obstruction in the neck and chest, a surging and vigorous Renying (Stomach artery) pulse, wheezing, and rebellious Qi. These are signs of excess. However, if the Taiyin pulse is fine as a hair, this indicates deficiency. The disease location is in the Taiyin (frequent urination and fine pulse indicate Spleen Qi deficiency); the excess is in the Stomach (surging Renying pulse indicates Yangming Stomach excess); and it significantly involves the Lung (wheezing and rebellious Qi). This disease is named Jue (rebellious Qi). It is a fatal condition and untreatable. This is referred to as "Five Excesses and Two Deficiencies." Having five excess symptoms externally and two deficiency symptoms internally means the exterior and interior are in conflict, clearly indicating death.
Some people are born with Dian Ji (epilepsy/severe mental disorder), named Tai Bing (prenatal disease). This is acquired in the womb when the mother suffers a great fright. The Qi rebels upward and fails to descend, causing essence and Qi to congregate, which causes the child to develop epilepsy after birth. (Old texts used "Dian" [vertex], corrected by Wu Zhi to "Dian" [mania/epilepsy].)