肝 胃脘当心而痛,上支两胁(肝经也),鬲咽不通,饮食不下(土衰病也),甚则耳鸣眩转,目
不识人,善暴僵仆,里急 戾,胁痛呕泄,令人善怒也。虚则目无所见,耳无所闻,善恐,如人
将捕之。
心 胸中热,嗌干右 满,皮肤痛,寒热咳喘,惊惑狂妄,一切血症,胸中痛,膺背肩甲间痛,
两臂痛,虚则胸腹大,胁下与腰背相引而痛。
脾 肿,骨节腰脊头顶痛,大便难,积饮痞鬲,霍乱吐下,飧泄肠鸣,脾
热生虚。
肺 骨节内变,左 胁肋痛,寒积于中,咳逆 溏,心胁满引小腹,不可反侧,嗌干面尘脱色,
丈夫 疝,妇人小腹痛,实则咳逆肩背痛,虚则少气不能报息,耳聋咽干。
肾 腿腰痛,大关节不利,屈身不便,腹满痞坚寐汗,实则股胫肿身重,虚则胸中痛,大小腹痛清厥。
怒 为呕血飧泄,胸满胁痛,食则气逆而不下,为喘渴烦心,为消瘅肥气,目盲,耳闭,筋
缓。怒伤肝,为气逆,悲治怒。
喜 为笑不休,毛革焦,阳气不收,甚则狂,喜伤心,为气缓,恐治喜。
悲 为阴缩筋挛,肌痹脉痿,男为数溲,女为血崩,酸鼻辛额,汗则臂麻,悲伤肺,为气消,喜治悲。
惊 为潮涎,目HT 吐,痴痫不省人事,惊伤心,为气乱,习治惊。
劳 为咽噎,喘促嗽血唾血,腰痛骨痿阴痿,男小精,女不月,劳伤筋,为气耗,逸治劳。
思 为不眠好卧,昏瞀,三焦痞塞,咽喉不利,呕苦,筋痿目淫,不嗜饮食,思伤脾,为气结,怒治思。
恐 为破 脱肉,为骨酸痿厥,为暴下渌水,为面热肤急,为阴痿,为惧而脱颐,恐伤肾,
为气不行,思治恐。
治血用行气;治气用行血。
肝:胃脘部当心而痛,向上支撑两胁(这是肝经病变),膈咽部不通畅,饮食难以下咽(这是脾土衰弱的病证),严重时出现耳鸣、眩晕,眼睛看不清人,容易突然僵直仆倒,腹中拘急挛缩,胁痛、呕吐、泄泻,使人容易发怒。肝虚时,眼睛看不见,耳朵听不到,容易恐惧,好像有人要抓捕自己一样。
心:胸中发热,咽喉干燥,右侧胸部胀满,皮肤疼痛,寒热往来,咳嗽气喘,惊恐迷惑,狂妄失常,一切血症,胸中疼痛,胸前、背部及肩胛间疼痛,双臂疼痛;心虚时,胸腹部胀大,胁下与腰背相互牵引而痛。
脾:身体肿胀,骨节、腰脊、头顶疼痛,大便困难,水饮停聚导致痞塞阻隔,霍乱吐泻,完谷不化的泄泻且肠鸣,脾热产生虚证。
肺:骨节内部发生病变,左侧胁肋疼痛,寒气积聚于中焦,咳嗽气逆、大便溏薄,心胁部胀满牵引至小腹,不能翻身侧卧,咽喉干燥,面色如蒙灰尘且色泽脱落,男子患疝气,妇女小腹痛;肺实则咳嗽气逆、肩背痛,肺虚则少气不足以息,耳聋、咽喉干燥。
肾:腿部腰痛,大关节活动不利,弯腰转身不便,腹部胀满痞硬且睡眠出汗;肾实则大腿和小腿肿胀、身体沉重,肾虚则胸中痛,大小腹痛且四肢厥冷清冷。
怒:怒气导致呕血、完谷不化的泄泻,胸胁胀满,进食后气逆不下,出现喘促、口渴、心烦,形成消瘅和肥气,目盲,耳闭,筋脉弛缓。怒气损伤肝脏,导致气机逆乱,用悲情来治疗怒气。
喜:喜乐过度导致笑个不停,毛发干枯焦黄,阳气不能收敛,严重时狂乱,喜乐损伤心脏,导致气机涣散,用恐惧来治疗喜乐。
悲:悲伤导致阴部收缩、筋脉拘挛,肌肉痹阻、脉管萎弱,男子尿频,女子血崩,鼻子闻酸味、额头遇辛味不适,出汗时手臂麻木,悲伤损伤肺脏,导致肺气消耗,用喜乐来治疗悲伤。
惊:惊恐导致唾液如潮涌出,眼睛上翻吐涎,痴痫不省人事,惊恐损伤心脏,导致气机紊乱,通过习惯脱敏来治疗惊恐。
劳:劳累过度导致咽喉噎塞,喘促、咳血、唾血,腰痛、骨痿、阳痿,男子精少,女子月经不行,劳累损伤筋脉,导致气机耗损,通过安逸来治疗劳累。
思:思虑过度导致失眠或嗜睡,头昏眼花,三焦痞塞不通,咽喉不利,呕吐苦水,筋痿、目视不明,不想吃东西,思虑损伤脾脏,导致气机郁结,用愤怒来治疗思虑。
恐:恐惧导致牙齿松动、肌肉消瘦,骨骼酸痛、痿软厥冷,突然腹泻如水,面部发热、皮肤紧绷,阳痿,因恐惧而下颌脱臼,恐惧损伤肾脏,导致气机运行不畅,用思虑来治疗恐惧。
Liver: Pain in the epigastrium centered at the heart region, extending upward to support both hypochondriac regions (this is a disease of the Liver Meridian); obstruction in the diaphragm and pharynx with difficulty in swallowing food (this is a disease of declining Spleen Earth); in severe cases, tinnitus, vertigo, blindness where one cannot recognize people, sudden stiffness and collapse, abdominal urgency and spasms, hypochondriac pain, vomiting, and diarrhea, causing irritability. When deficient, vision is impaired, hearing is lost, fearfulness prevails, as if being hunted by someone.
Heart: Heat in the chest, dryness of the throat, fullness on the right side, skin pain, alternating chills and fever, coughing and wheezing, fright, confusion, and mania; all blood disorders; pain in the chest; pain between the anterior chest, back, and scapulae; pain in both arms. When deficient, the chest and abdomen become distended, and there is pulling pain from the hypochondriac region to the lower back.
Spleen: Edema, pain in the bone joints, waist, spine, and crown of the head; difficult defecation; accumulation of fluid causing stagnation and obstruction; cholera with vomiting and diarrhea; undigested stool in diarrhea with borborygmus; spleen heat generating deficiency patterns.
Lung: Internal changes in bone joints; pain in the left hypochondriac and rib area; cold accumulation in the middle jiao; coughing with inverted qi and loose stools; fullness in the heart and hypochondriac region radiating to the lower abdomen, inability to turn or lie on the side; dry throat, dusty complexion, and loss of luster; hernia in men; lower abdominal pain in women. When excess, coughing with inverted qi and shoulder/back pain; when deficient, shortness of breath with inability to complete inhalation, deafness, and dry throat.
Kidney: Leg and waist pain; impairment of large joint mobility; difficulty bending and turning the body; abdominal fullness, stagnation, hardness, and night sweats. When excess, swelling of the thighs and shins, and heavy body; when deficient, chest pain, pain in the upper and lower abdomen, and cold extremities.
Anger: Anger leads to hematemesis and undigested stool in diarrhea, chest and hypochondriac fullness, postprandial qi rebellion without downward movement, panting, thirst, vexation, xiaodan (wasting-thirst) and feiqi (lump disease), blindness, deafness, and flaccid sinews. Anger injures the Liver, causing qi rebellion; grief treats anger.
Joy: Excessive joy leads to incessant laughter, dry and scorched hair, failure of yang qi to consolidate, and in severe cases, mania. Joy injures the Heart, causing qi relaxation; fear treats joy.
Grief: Grief leads to contraction of the yin organs and sinews, muscle bi and vessel wei, frequent urination in men, and metrorrhagia in women; sensitivity to sour smells at the nose and pungent smells at the forehead; arm numbness upon sweating. Grief injures the Lung, causing qi consumption; joy treats grief.
Fright: Fright leads to profuse saliva, eyes rolling upward with salivation, dementia, epilepsy, and loss of consciousness. Fright injures the Heart, causing qi disorder; habituation treats fright.
Overwork: Overwork leads to dysphagia, panting, hemoptysis, and spitting blood; waist pain, bone wei, and impotence; scanty semen in men and amenorrhea in women. Overwork injures the sinews, causing qi exhaustion; rest treats overwork.
Pensiveness: Pensiveness leads to insomnia or excessive sleeping, dizziness and blurred vision, blockage of the Triple Burner, throat discomfort, bitter vomiting, sinew wei and visual impairment, and anorexia. Pensiveness injures the Spleen, causing qi knotting; anger treats pensiveness.
Fear: Fear leads to loosening of teeth and wasting of flesh, soreness and wei-coldness of bones, sudden watery diarrhea, facial heat and tight skin, impotence, and jaw dislocation due to terror. Fear injures the Kidney, causing qi stagnation; pensiveness treats fear.
To treat blood disorders, use methods that move qi; to treat qi disorders, use methods that invigorate blood.