太阳所谓肿腰 痛者,正月太阳寅,寅太阳也,正月阳气出在上而阴气盛,阳未得自次也,故肿腰
痛也。病偏虚为跛者,正月阳气冻解地气而出也,所谓偏虚者,冬寒颇有不足者,故偏虚为跛也。所谓强
上引背者,阳气大上而争,故强上也。所谓耳鸣者,阳气万物盛上而跃,故耳鸣也。所谓甚则狂颠疾者,阳
尽在上而阴气从下,下虚上实,故狂颠疾也。所谓浮为聋者,皆在气也。所谓入中为喑者,阳盛已衰,故为
喑也。内夺而厥,则为喑俳,此肾虚也,少阴不至者,厥也。少阳所谓心胁痛者,言少
阳盛也,盛者心之所表也,九月阳气尽而阴气盛,故心胁痛也。所谓不可反侧者,阴气藏物也,物藏则不
动,故不可反侧也。所谓甚则跃者,九月万物尽衰,草木毕落而堕,则气去阳而之阴,气盛而阳之下长,故谓
跃。阳明所谓洒洒振寒者,阳明者午也,五月盛阳之阴也,阳盛而阴气加之,故洒洒振寒也。所谓胫肿而股不
收者,是五月盛阳之阴也,阳者衰于五月,而一阴气上,与阳始争,故胫肿而股不收也。所谓上喘而为水者,
阴气下而复上,上则邪客于脏腑间,故为水也。所谓胸痛少气者,水气在脏腑也,水者阴气也,阴气在中,
故胸痛少气也。所谓甚则厥,恶人与火,闻木音则惕然而惊者,阳气与阴气相薄,水火相恶,故惕然而惊也。
所谓欲独闭户牖而处者,阴阳相薄也,阳尽而阴盛,故欲独闭户牖而居。所谓病至则欲乘高而歌,弃衣而走者,
阴阳复争,而外并于阳,故使之弃衣而走也。所谓客孙脉则头痛鼻鼽腹肿者,阳明并于上,上者则其孙络太阴
也,故头痛鼻鼽腹肿也。太阴所谓病胀者,太阴子也,十一月万物气皆藏于中,故曰病胀。所谓上走心为噫者,
阴盛而上走于阳明,阳明络属心,故曰上走心为噫也。所谓食则呕者,物盛满而上溢,故呕也。所谓得后与
气则快然如衰者,十二月阴气下衰,而阳气且出,故曰得后与气则快然如衰也。少阴所谓腰痛者,少阴者肾也,
十月万物阳气皆伤,故腰痛也。所谓呕咳上气喘者,阴气在下,阳气在上,诸阳气浮,无所根据从,故呕咳上气喘
也。所谓色色不能久立,久坐起则目KT KT 无所见者,万物阴阳不定未有主也,秋气始至,微霜始下,
而方杀万物,阴阳内夺,故目KT KT 无所见也。所谓少气善怒者,阳气不治,阳气不治则阳气不得出,肝气
当治而未得,故善怒,善怒者名曰煎厥。所谓恐如人将捕之者,秋气万物未有毕去,阴气少,阳气入,阴阳相
薄,故恐也。所谓恶闻食臭者,胃无气,故恶闻食臭也。所谓面黑如地色者,秋气内夺,故变于色也。所谓咳
则有血者,阳脉伤也,阳气未盛于上而脉满,满则咳,故血见于鼻也。厥阴所谓 疝,妇人少腹肿者,厥阴者
辰也,三月阳中之阴,邪在中,故曰 疝少腹肿也。所谓腰脊痛不可以俯仰者,三月一振荣华,万物一俯而不
仰也。所谓 癃疝肤胀者,曰阴亦盛而脉胀不通,故曰 癃疝也。所谓甚则嗌干热中者,阴阳相薄而热,故嗌
干也。
病能论∶解(音介)惰(徒卧切)撮(子括切)
奇病论∶ (锄衔切)疹(丑刃切) (音畜)
大奇论∶焰(弋念切)瞥(蒲灭切)揣(初委切)
脉解论∶ (音谁)
太阳经所说的腰部肿胀疼痛,是因为正月对应地支寅,寅属太阳。正月阳气开始上升而阴气仍然强盛,阳气未能按次序正常分布,所以出现腰部肿胀疼痛。
如果身体一侧虚弱导致跛行,这是因为正月阳气解冻,地气开始升发。所谓“偏虚”,是指冬季寒气有余而正气略有不足,因此一侧虚弱导致跛行。
所谓头部僵硬牵引背部疼痛,是因为阳气过度上冲并与阴气相争,所以头部僵硬。
所谓严重到发生狂乱、颠疾(精神错乱),是因为阳气全部郁结在上部,而阴气从下部跟随,造成下虚上实的局面,所以发生狂乱颠疾。
所谓邪气入内导致失音,是因为阳气过盛之后衰退,所以导致失音。
内部精气被夺且发生厥逆,就会导致失音和瘫痪,这是肾虚的表现;少阴经气不能到达,就会发生厥逆。
少阳经所说的胁肋疼痛,是说少阳经气旺盛。少阳是心的表里关系,九月阳气耗尽而阴气强盛,所以导致心胁疼痛。
所谓身体不能翻转侧卧,是因为阴气主收藏,事物被收藏则不动,所以身体不能翻转侧卧。
所谓严重时会出现跳跃躁动,是因为九月万物衰败,草木凋谢坠落,气由阳转阴,阳气向下生长而阴气旺盛,所以称为“跃”(躁动)。
阳明经所说的洒洒然恶寒战栗,是因为阳明对应地支午,五月是盛阳中的阴气初生之时,阳气极盛而有阴气加之,所以出现洒洒然恶寒战栗。
所谓小腿肿胀而大腿收缩无力,是因为五月是盛阳中的阴气初生之时,阳气在五月开始衰退,一股阴气上升,与阳气开始相争,所以小腿肿胀而大腿收缩无力。
所谓上部气喘并伴有水肿,是因为阴气下降后又复返上升,上升的邪气客居于脏腑之间,所以形成水肿。
所谓胸痛且呼吸短促,是因为水气停留在脏腑中。水是阴气,阴气在中焦停滞,所以导致胸痛和呼吸短促。
所谓严重时出现厥逆,厌恶人和火光,听到木器敲击的声音就惊恐不安,是因为阳气与阴气相互搏击,水火不相容,所以惊恐不安。
所谓想要独自关闭门窗居住,是因为阴阳相互搏击,阳气耗尽而阴气强盛,所以想要独自关闭门窗居住。
所谓发病时想要登上高处唱歌,脱掉衣服奔跑,是因为阴阳再次相争,阳气外并于体表阳分,所以使人脱衣奔跑。
所谓邪气客于孙络导致头痛、鼻塞流涕、腹部肿胀,是因为阳明经气并聚于上部,上部涉及孙络和太阴经,所以导致头痛、鼻塞流涕和腹部肿胀。
太阴经所说的腹胀病,是因为太阴对应地支子,十一月万物之气都藏于体内,所以说会生病胀。
所谓气向上走到心脏导致嗳气,是因为阴气过盛向上走至阳明,阳明的络脉连接心脏,所以说气上走于心导致嗳气。
所谓大小便通畅或排气后感觉轻松如病情减轻,是因为十二月阴气向下衰退,而阳气即将外出,所以说得后(大便)与气(放屁)后感觉轻松如衰。
少阴经所说的腰痛,是因为少阴对应肾脏,十月万物阳气皆受损伤,所以腰痛。
所谓呕吐、咳嗽、上气喘急,是因为阴气在下,阳气在上,各种阳气浮越,无所依附跟随,所以出现呕吐、咳嗽和上气喘急。
所谓面色晦暗,不能久站,久坐起立则眼前昏花看不清东西,是因为万物阴阳不定,没有主宰。秋气刚开始,微霜初降,正在肃杀万物,阴阳在内被掠夺,所以眼前昏花看不清。
所谓气短且容易发怒,是因为阳气治理失常。阳气治理失常则阳气不能外出,肝气应当疏泄而未得疏泄,所以容易发怒,这种病名叫作“煎厥”。
所谓恐惧得像有人要抓捕自己,是因为秋气尚未完全离去,阴气尚少,阳气内入,阴阳相互搏击,所以产生恐惧。
所谓厌恶食物的气味,是因为胃中没有气,所以厌恶闻食物的气味。
所谓面色黑得像泥土的颜色,是因为秋气在内掠夺正气,所以面色发生改变。
所谓咳嗽带血,是因为阳脉受伤。阳气未能在上部盛大而脉象满实,满实则咳嗽,所以血液从鼻窍流出。
厥阴经所说的疝气,妇女小腹肿胀,是因为厥阴对应地支辰,三月是阳中之阴,邪气在中焦,所以称为疝气和少腹肿胀。
所谓腰脊疼痛不能俯仰,是因为三月万物振作荣华,万物一俯而不仰(指植物生长姿态)。
所谓癃闭、疝气、皮肤肿胀,是因为阴气也旺盛而经脉胀满不通,所以称为癃疝。
所谓严重时咽喉干燥、心中烦热,是因为阴阳相互搏击而产生热邪,所以咽喉干燥。
《病能论》:解惰(音介,懈怠之意)、撮(徒卧切,拘挛之意)
《奇病论》: (锄衔切,病名)、疹(丑刃切,皮疹之意) (音畜,病名)
《大奇论》:焰(弋念切,火气之意)、瞥(蒲灭切,视物不清之意)、揣(初委切,诊察之意)
《脉解论》: (音谁,疑问语气词)
The swelling and pain in the lower back mentioned by the Taiyang (Greater Yang) channel occurs because the first lunar month corresponds to Yin (Tiger), which belongs to Taiyang. In the first month, Yang Qi begins to ascend while Yin Qi remains strong; since Yang Qi has not yet been able to distribute according to its proper sequence, swelling and pain in the lower back occur.
If weakness on one side of the body leads to limping, it is because in the first month, Yang Qi thaws and Earth Qi begins to rise. The term "partial deficiency" refers to a slight insufficiency of righteous Qi due to excessive cold during winter, resulting in weakness on one side and limping.
The sensation of stiffness in the head pulling on the back is caused by Yang Qi surging excessively upward and contending with Yin Qi, leading to head stiffness.
Tinnitus occurs because Yang Qi, like all things, becomes abundant and leaps upward, causing tinnitus.
Severe cases manifesting as mania or epilepsy occur because Yang Qi accumulates entirely in the upper part, while Yin Qi follows from below, creating a condition of deficiency below and excess above, thus leading to mania and epilepsy.
Deafness associated with a floating pulse is due to pathological changes occurring within the movement of Qi.
Loss of voice caused by pathogenic factors entering internally results from the decline of Yang Qi after it has become excessive.
Internal depletion of essence combined with Jue (reversal/cold extremities) leads to loss of voice and paralysis; this is a manifestation of Kidney Deficiency. When Shaoyin (Lesser Yin) Qi fails to reach its destination, Jue occurs.
Pain in the heart and hypochondrium mentioned by the Shaoyang (Lesser Yang) channel indicates that Shaoyang Qi is abundant. Shaoyang is exteriorly-related to the Heart. In the ninth month, Yang Qi is exhausted and Yin Qi becomes strong, causing pain in the heart and hypochondrium.
Inability to turn or lie on one's side is because Yin Qi governs storage; when things are stored, they do not move, hence the inability to turn.
Restlessness or jumping movements in severe cases occur because in the ninth month, all things decline, and grasses and trees fall. Qi shifts from Yang to Yin, Yang grows downward while Yin becomes abundant, hence termed "Yue" (jumping/restlessness).
The shivering chills described by the Yangming (Bright Yang) channel occur because Yangming corresponds to Wu (Horse). The fifth month represents Yin within abundant Yang. When Yang is at its peak and Yin Qi acts upon it, shivering chills occur.
Swelling of the calves and retraction/weakness of the thighs occur because the fifth month is Yin within abundant Yang. Yang declines in the fifth month, and a strand of Yin Qi ascends to contend with Yang, causing calf swelling and thigh weakness.
Upper-body wheezing accompanied by edema occurs because Yin Qi descends but then rises again; the rising pathogenic factor lodges between the Zang-Fu organs, resulting in edema.
Chest pain and shortness of breath occur because Water Qi resides within the Zang-Fu. Water is Yin Qi; when Yin Qi stagnates in the middle, chest pain and shortness of breath result.
Severe cases involving Jue (reversal), aversion to people and fire, and startle upon hearing the sound of wood occur because Yang Qi and Yin Qi contend with each other, and Water and Fire are antagonistic, leading to startle.
The desire to close doors and windows and stay alone arises because Yin and Yang contend; when Yang is exhausted and Yin is abundant, one desires to stay enclosed.
Behaviors such as climbing high to sing and discarding clothes to run during illness occur because Yin and Yang contend again, and Yang merges outwardly into the Yang aspect, causing the patient to discard clothes and run.
Pathogenic factors lodging in the Sun Luo (Branch Collaterals) causing headache, nasal congestion with rhinorrhea, and abdominal swelling occur because Yangming Qi merges upward; the upper region involves the Sun Luo and Taiyin (Greater Yin), leading to these symptoms.
Abdominal distension mentioned by the Taiyin channel occurs because Taiyin corresponds to Zi (Rat). In the eleventh month, the Qi of all things is stored internally, hence the occurrence of distension.
Belching caused by Qi moving upward to the Heart occurs because excessive Yin Qi moves upward to Yangming; the collaterals of Yangming connect to the Heart, hence belching.
Vomiting after eating occurs because food accumulates and overflows upward, causing vomiting.
Feeling relieved after defecation or passing gas occurs because in the twelfth month, Yin Qi declines downward while Yang Qi is about to emerge externally; thus, relief is felt after bowel movements or flatulence.
Lower back pain mentioned by the Shaoyin (Lesser Yin) channel occurs because Shaoyin corresponds to the Kidney. In the tenth month, the Yang Qi of all things is injured, leading to lower back pain.
Vomiting, coughing, and upper-body wheezing occur because Yin Qi is below and Yang Qi is above; various Yang Qi floats without foundation or guidance, resulting in vomiting, coughing, and wheezing.
A sallow complexion, inability to stand for long periods, and blurred vision upon rising from sitting occur because Yin and Yang of all things are unstable without a master. As Autumn Qi arrives and light frost falls, the killing energy affects all things, depleting Yin and Yang internally, leading to blurred vision.
Shortness of breath and irritability occur because the governance of Yang Qi is disordered. When Yang Qi cannot be governed, it cannot exit; Liver Qi should regulate but fails to do so, leading to irritability. This condition is named Jian Jue (Frying Reversal).
Fear resembling being hunted occurs because Autumn Qi has not fully departed, Yin Qi is scant, and Yang Qi enters internally; the contention between Yin and Yang generates fear.
Aversion to the smell of food occurs because the Stomach lacks Qi.
A dark complexion resembling earth color occurs because Autumn Qi depletes the interior, altering the complexion.
Coughing up blood occurs because the Yang Mai (Yang Vessels) are injured. When Yang Qi is not yet abundant in the upper part but the vessels are full, coughing ensues, and blood appears from the nose.
Sanction (hernia) and lower abdominal swelling in women mentioned by the Jueyin (Terminal Yin) channel occur because Jueyin corresponds to Chen (Dragon). The third month is Yin within Yang; pathogenic factors reside in the middle, hence sanction and lower abdominal swelling.
Lower back and spine pain preventing bending or stretching occurs because in the third month, all things flourish; plants bend down but do not look up.
Lung Bi (difficulty urinating), Sanction, and skin swelling occur because Yin Qi is also abundant, causing vessel distension and blockage, hence Lung Bi and Sanction.
Severe cases manifesting as dry throat and internal heat occur because contention between Yin and Yang generates heat, leading to a dry throat.
*On Disease Capacity*: Xie Duo (sluggishness/laziness), Cuo (contracture).
*On Strange Diseases*: [Character], Zhen (rash), [Character].
*On Extraordinary Pulse*: Yan (flame/fire qi), Pie (glance/blurred vision), Chuai (palpate/examine).
*On Pulse Resolution*: [Character] (interrogative particle).