诸风掉眩,皆属肝木。
诸痛痒疮疡,皆属心火。
诸湿肿满,皆属脾土。
诸气 郁、病痿,皆属肺金。
诸寒收引,皆属肾水。
诸暴强直,〔支〕痛软戾,里急筋缩,皆属于风。
诸病喘呕吐酸,暴注下迫,转筋,小便混浊,腹胀大而鼓之有声如鼓,痈疽
〔疡〕疹,瘤气结核,吐下霍乱,瞀郁肿胀,鼻〔窒〕鼽衄,血溢血泄,淋〔 〕
身热,恶寒〔战〕栗,惊惑悲笑,谵妄,衄蔑血污,皆属于热。
诸〔痉〕强直,积饮痞隔中满,霍乱吐下,体重〔 〕肿,肉如泥,按之不起,皆属于湿。
诸热瞀〔 〕,暴喑冒昧,躁扰狂越,骂詈惊骇,〔 〕肿疼酸,气逆冲上,
禁栗如丧神守,嚏呕,疮疡喉痹,耳鸣或聋,呕涌溢,食不下,目昧不明,暴注〔 〕
,暴病〔卒〕死,是〔皆〕属于火。
诸涩枯涸,干劲皴揭,皆属于燥。
诸病上下所出水液,澄澈清冷, 瘕 疝,痞坚,腹满急痛,下痢清白,食已不
饥,吐〔利〕腥秽,屈伸不便,厥逆〔禁〕固,皆属于寒。
五运主病,木、火、土、金、水,顺则皆静,逆则变乱,四时失常,阴阳偏胜,病
之源也。
诸风掉眩,皆属肝木。
注云∶掉,摇也。眩,昏乱眩运也。风主动故也。所谓风气甚则头目眩者,由风木
旺,则必是金衰不能制木,〔而〕木生火,木火者皆阳也,故风火多兼化也。风热相
抟,则头目眩运而转也。火性本动,火得风〔则〕成焰而旋转也。风势甚,则曲直动
摇,更加呕吐也。
诸痛痒疮疡,皆属心火。
注云∶痛痒而为疮,火之用也。五常之道,过极则胜己〔者〕反来制之,故火热
过极,而反兼于水化也.所谓盐能固物,而令不腐者,咸寒水化,制其火热,使无
热之过极,乃水化制之,而久固也。热极即是木来生火也,甚则皮肉肌肤之间,
不得宣通,故生疮疡而痛痒也。
诸湿肿满,皆属脾土。
注云∶湿,地之体也。湿极甚则痞塞肿满,物湿亦然。故长夏暑湿之甚,〔则〕
庶物隆盛也。
诸气 郁、病痿,皆属肺金。
注云∶肺主气,〔气〕为阳,阳主轻清而升,故肺居上部,而为病则气郁。〔至
于〕痿弱,手足无力,不能收持,乃血液衰少,故病然也。秋金〔旺〕,则雾气
蒙郁,而草木〔萎〕落,病之象也。
诸寒收引,皆属肾水。
注云∶收敛引急,寒之用也,故冬寒则物拘缩也。
凡是风邪引起的肢体震颤、头晕目眩,都归属于肝木系统。
凡是疼痛、瘙痒、疮疡肿毒,都归属于心火系统。
凡是湿邪引起的浮肿、胀满,都归属于脾土系统。
凡是气机郁滞、痿证,都归属于肺金系统。
凡是寒邪引起的筋脉收缩牵引,都归属于肾水系统。
凡是突然发生的身体强直、支节疼痛、肌肉拘挛、腹部里急、筋脉短缩,都属于风邪致病。
凡是气喘、呕吐、反酸、急性腹泻伴肛门重坠感、小腿抽筋、小便浑浊、腹部胀大且叩击有声如鼓、痈疽、疹子、瘿瘤气块、痰核结聚、霍乱吐泻、神志昏蒙郁闷肿胀、鼻塞、鼻渊流清涕或鼻出血、各种出血、淋证、身体发热、怕冷战栗、惊恐迷惑、悲笑无常、胡言乱语、鼻血及眼部出血污浊,都属于热邪致病。
凡是痉挛强直、体内停饮、胸膈痞塞、中焦胀满、霍乱吐泻、身体沉重、浮肿、肌肉松软如泥、按压后凹陷不起,都属于湿邪致病。
凡是热邪导致的头目昏蒙、突然失音、意识模糊、烦躁狂乱、骂人惊骇、全身肿胀疼痛酸楚、气逆冲上、寒战颤抖如同失去神明主宰、打喷嚏呕吐、疮疡喉痹、耳鸣或耳聋、呕吐涌溢、饮食难下、视物不明、急性腹泻、突发疾病猝死,都属于火邪致病。
凡是涩滞、干枯、皮肤干燥皲裂,都属于燥邪致病。
凡是上下排泄出的水液清澈寒冷、癥瘕、疝气、痞块坚硬、腹部胀满急痛、下痢白沫清水、进食后不觉饥饿、呕吐物带有腥秽气味、屈伸不便、四肢厥冷、筋脉拘急固着,都属于寒邪致病。
五运主病,即木、火、土、金、水五行之气主导的疾病规律。顺则安静平和,逆则混乱失常,导致四季气候异常,阴阳偏盛,这是疾病的根源。
凡是风邪引起的肢体震颤、头晕目眩,都归属于肝木系统。
注释说:掉,指摇动。眩,指昏乱眩晕。风性主动的缘故。所谓风气太盛则出现头目眩晕,是因为风木旺盛,必然导致金气衰弱而不能制约木气,木生火,木和火都属于阳,所以风邪和火邪多兼化。风热相互搏结,就会导致头目眩晕旋转。火性本动,火遇到风则成火焰而旋转。风势猛烈,则导致肢体曲直动摇,再加上呕吐。
凡是疼痛、瘙痒、疮疡,都归属于心火系统。
注释说:疼痛瘙痒而形成疮疡,是火的作用。五常之道,事物发展到极端则会反过来被克己者所制约,所以火热过极,反而兼有水化的性质。所谓盐能固定物体使其不腐烂,是因为咸寒的水化性质,制约了火热,使热不过极,这是水化在制约它,从而长久保持稳固。热极即是木来生火,严重时皮肉肌肤之间不得宣通,所以产生疮疡并伴有疼痛瘙痒。
凡是湿邪引起的浮肿、胀满,都归属于脾土系统。
注释说:湿,是地的形体。湿气极甚则导致痞塞肿满,物品受潮也是如此。所以长夏季节暑湿极盛时,万物生长隆盛。
凡是气机郁滞、痿证,都归属于肺金系统。
注释说:肺主气,气属阳,阳主轻清上升,所以肺居于上部,生病则气机郁滞。至于痿弱,手足无力,不能收持,是由于血液衰少,所以患病如此。秋季金气旺盛,雾气蒙郁,草木枯萎凋落,这是病的征象。
凡是寒邪引起的收缩牵引,都归属于肾水系统。
注释说:收敛引急,是寒的作用,所以冬季寒冷时万物拘谨收缩。
All wind-induced tremors and dizziness belong to Liver Wood.
All pain, itching, sores, and ulcers belong to Heart Fire.
All dampness-induced edema and fullness belong to Spleen Earth.
All qi stagnation and flaccidity syndromes belong to Lung Metal.
All cold-induced contraction and pulling belong to Kidney Water.
Sudden stiffness, [pain in] limbs, muscle spasms, abdominal urgency, and tendon shortening all belong to Wind.
All diseases involving wheezing, vomiting, acid regurgitation, acute diarrhea with tenesmus, muscle cramps, turbid urine, abdominal distension with tympanic sound upon percussion, carbuncles, [ulcers], rashes, goiters, phlegm nodules, cholera with vomiting and diarrhea, mental confusion and depression, swelling, nasal obstruction, rhinorrhea or epistaxis, various hemorrhages, strangury, fever, aversion to cold with shivering, fright, confusion, inappropriate laughter or crying, delirium, bloody discharge from nose or eyes, all belong to Heat.
All [spasmodic] stiffness, accumulation of fluids, chest and diaphragm obstruction, middle jiao fullness, cholera with vomiting and diarrhea, heavy body, edema, flesh soft like mud that does not rise after pressure, all belong to Dampness.
All heat-induced mental confusion, sudden aphonia, dizziness and cloudiness of mind, restlessness, mania, cursing, fright, [generalized] swelling, pain and soreness, rebellious qi rushing upward, chills and trembling as if losing spiritual control, sneezing and vomiting, sores and ulcers, throat bi, tinnitus or deafness, violent vomiting, inability to eat, blurred vision, acute diarrhea, sudden death, all belong to Fire.
All astringency, dryness, and withered skin with cracking all belong to Dryness.
All water and fluid excretions from above and below that are clear, cold, [masses], hernias, fixed masses, abdominal fullness and urgent pain, dysentery with white and clear stool, lack of hunger after eating, vomiting with fishy odor, difficulty in flexion and extension, cold extremities, [rigid] contractions, all belong to Cold.
The diseases governed by the Five Movements (Wu Yun) are Wood, Fire, Earth, Metal, and Water. When in harmony, they remain tranquil; when reversed, they become chaotic, causing abnormalities in the four seasons and excess of Yin or Yang, which is the source of disease.
All wind-induced tremors and dizziness belong to Liver Wood.
Annotation: "Diao" means shaking. "Xuan" means dizziness and vertigo. This is because Wind has the nature of movement. As stated, when Wind Qi is excessive, head and eyes become dizzy. This occurs because Liver Wood is prosperous, leading to insufficient Metal to control Wood. Wood generates Fire; both Wood and Fire are Yang, so Wind and Fire often transform together. When Wind and Heat combine, it causes dizziness and rotation. Fire's nature is movement; when Fire meets Wind, it becomes a rotating flame. Severe Wind causes bending and straightening movements, accompanied by vomiting.
All pain, itching, sores, and ulcers belong to Heart Fire.
Annotation: Pain, itching, and the formation of sores are the functions of Fire. In the way of the Five Constants, when things reach an extreme, they are controlled by what overcomes them. Thus, when Fire-Heat is excessive, it assumes the transformation of Water. Just as salt preserves objects from rotting due to its salty-cold Water nature controlling Fire-Heat to prevent excess, this is Water controlling Fire to maintain stability. Extreme heat is generated by Wood generating Fire. When severe, the skin, flesh, and muscles cannot circulate freely, leading to sores with pain and itching.
All dampness-induced edema and fullness belong to Spleen Earth.
Annotation: Dampness is the substance of Earth. When Dampness is extreme, it causes obstruction, swelling, and fullness, just as objects do when wet. Therefore, during late summer when Summer-Heat and Dampness are excessive, all things flourish.
All qi stagnation and flaccidity syndromes belong to Lung Metal.
Annotation: The Lung governs Qi. Qi is Yang, and Yang is light, clear, and ascending, so the Lung resides in the upper part. Disease manifests as qi stagnation. As for flaccidity, weakness of the hands and feet and inability to grasp are due to blood deficiency. When Autumn Metal is prosperous, mist is dense, and plants wither and fall, which is the image of disease.
All cold-induced contraction and pulling belong to Kidney Water.
Annotation: Contraction and pulling are the functions of Cold. Hence, in winter cold, all things contract.