平按∶此篇见《素问》卷九第三十四《逆调论》篇,又见《甲乙经》卷七第一上编。
问曰∶人身非常温也,非常热也,为之热而烦满者何也?曰∶阴气少而阳气胜,故
热而烦满也。(身体发热,而苦热而烦,是为阳胜故也。平按∶《甲乙》无为之热三字,
《素问》新校正云∶《甲乙》无此三字。)
平按∶此篇见《素问》卷九第三十四《逆调论》篇,又见《甲乙经》卷十第一下编。
问曰∶人身非衣寒也,中非有寒也,寒从中出者何也?曰∶是人多痹气,而阳气少,
而阴气多,故身寒如从水中出焉。(外衣不单,内不觉寒,而身冷如从水中出,内多寒
气故也。平按∶《素问》、《甲乙》中非有寒也作中非有寒气也,出者作生者。)
平按∶此篇见《素问》卷九第三十四《逆调论》篇,又见《甲乙经》卷七第一上编。
问曰∶人有四肢热,逢风寒如灸于火者何也?(平按∶于火《素问》、《甲乙》作
如火,《素问》新校正云∶“全元起本无如火二字,《太素》云如灸于火,当从《太素》
之文。”)答曰∶此人者阴气虚,阳气盛,四肢者阳也,两阳相得也,阴气虚少,水不
能减盛火而阳独治,独治者不能生长也,独胜而止耳,逢风如灸火者,是人当肉烁。
(人有四肢先热,若逢风寒,更如火灸。是人阴虚阳盛,以其四肢是阳,阳气更盛四肢,
二阳合而独盛,消烁肌肉,不能生长,故曰肉烁。平按∶《素问》、《甲乙》少下重一
少字,减作灭,如灸火作如灸如火,《素问》新校正云∶当从《太素》作如灸于火。)
平按:此篇见于《素问》卷九第三十四《逆调论》篇,又见于《甲乙经》卷七第一上编。
问:人身并非处于常态的温暖状态,也并非处于常态的热状态,却出现发热且烦闷的症状,这是什么原因?答:这是因为阴气少而阳气胜,所以出现发热且烦闷的症状。(身体发热,且因热而感到烦苦,这是阳气偏胜的缘故。平按:《甲乙经》中没有“为之热”这三个字,《素问》新校正说:《甲乙经》没有这三个字。)
平按:此篇见于《素问》卷九第三十四《逆调论》篇,又见于《甲乙经》卷十第一下编。
问:人身并非因为衣服穿得少而受寒,体内也没有寒气,为什么寒气会从体内发出?答:这是因为此人多有痹气(经络气血运行不畅),且阳气少,阴气多,所以身体寒冷,好像从水中出来一样。(外衣并不单薄,内部也不觉得寒冷,但身体发冷好像从水中出来,是因为体内有多余的寒气。平按:《素问》、《甲乙经》中“中非有寒也”写作“中非有寒气也”,“出者”写作“生者”。)
平按:此篇见于《素问》卷九第三十四《逆调论》篇,又见于《甲乙经》卷七第一上编。
问:有人四肢发热,遇到风寒时感觉像被火灸一样,这是什么原因?(平按:“于火”在《素问》、《甲乙经》中作“如火”,《素问》新校正说:“全元起本没有‘如火’这两个字,《太素》说是‘如灸于火’,应当遵从《太素》的文字。”)答:这个人阴气虚,阳气盛,四肢属于阳,两阳相结合,阴气虚少,水不能制约盛火而阳气独治,独治则不能生长,只是独胜罢了,遇到风就像被火灸一样,这个人将会发生肉烁(肌肉消损消瘦)。(人有四肢先热,如果遇到风寒,更加像火灸一样。这是阴虚阳盛,因为四肢是阳,阳气在四肢更盛,二阳合而独盛,消烁肌肉,不能生长,所以叫肉烁。平按:《素问》、《甲乙经》在“少”字下重出一个“少”字,“减”写作“灭”,“如灸火”写作“如灸如火”,《素问》新校正说:应当遵从《太素》作“如灸于火”。)
Ping An: This chapter appears in Volume 9, Chapter 34 "Ni Tiao Lun" (Discussion on Reversed Regulation) of the *Suwen* (Plain Questions), and also in Volume 7, Part 1 Upper of the *Jiayi Jing* (Systematic Classic of Acupuncture and Moxibustion).
Question: The human body is not in a state of constant warmth, nor in a state of constant heat, yet there is fever accompanied by vexation and fullness. What is the cause? Answer: This is due to a deficiency of Yin Qi (Yin Energy) and an excess of Yang Qi (Yang Energy); therefore, there is fever and vexation/fullness. (The body feels hot, and one suffers from heat-induced vexation; this is because Yang is in excess. Ping An: The *Jiayi Jing* lacks the three characters "wei zhi re". The Xin Zheng Xiao (New Corrections) of the *Suwen* states: "The *Jiayi Jing* does not have these three characters.")
Ping An: This chapter appears in Volume 9, Chapter 34 "Ni Tiao Lun" of the *Suwen*, and also in Volume 10, Part 1 Lower of the *Jiayi Jing*.
Question: The human body is not cold due to insufficient clothing, nor is there cold within the interior, yet cold emanates from within. What is the cause? Answer: This person has much Bi Qi (Obstruction Qi, referring to impaired circulation of Qi and Blood in meridians), little Yang Qi, and much Yin Qi; therefore, the body feels cold as if emerging from water. (The outer garments are not thin, and internally one does not feel cold, but the body is cold as if coming out of water, due to an abundance of internal cold Qi. Ping An: In the *Suwen* and *Jiayi Jing*, "zhong fei you han ye" is written as "zhong fei you han qi ye", and "chu zhe" is written as "sheng zhe".)
Ping An: This chapter appears in Volume 9, Chapter 34 "Ni Tiao Lun" of the *Suwen*, and also in Volume 7, Part 1 Upper of the *Jiayi Jing*.
Question: Some people have hot limbs, and when encountering wind and cold, they feel as if being moxa-burned by fire. What is the cause? (Ping An: "yu huo" in the *Suwen* and *Jiayi Jing* is written as "ru huo". The Xin Zheng Xiao of the *Suwen* states: "The Quan Yuanqi edition lacks the two characters 'ru huo'. The *Taisu* says 'ru jiu yu huo' [like being moxa-burned by fire]; one should follow the text of the *Taisu*.") Answer: This person has deficient Yin Qi and abundant Yang Qi. The limbs belong to Yang; thus, two Yangs combine. With deficient and scant Yin Qi, Water (Kidney Yin) cannot subdue the blazing Fire (Excess Yang), so Yang acts alone. When Yang acts alone, it cannot promote growth; it merely prevails exclusively. Encountering wind feels like being moxa-burned by fire; this person will suffer from Rou Shuo (Muscle Emaciation/Atrophy). (A person has initially hot limbs; upon encountering wind and cold, it feels even more like fire moxibustion. This is Yin deficiency and Yang excess. Since the limbs are Yang, Yang Qi becomes excessively strong in the limbs. The combination of two Yangs leads to exclusive excess, consuming and emaciating the muscles, preventing growth; hence it is called Rou Shuo. Ping An: The *Suwen* and *Jiayi Jing* repeat the character "shao" after "shao"; "jian" is written as "mie"; "ru jiu huo" is written as "ru jiu ru huo". The Xin Zheng Xiao of the *Suwen* states: One should follow the *Taisu* reading "ru jiu yu huo".)