〔《素》〕阳明所谓欲独闭户牖而处者,阴阳相搏也,阳尽而阴盛,故欲独闭户牖而居。帝曰∶阳明恶人者,
何也?岐伯曰∶阳明厥则喘而惋,惋则恶人。(阳明脉解篇)
针灸 独闭户牖而处有二法∶
其一取胃。经云∶胃足阳明之脉是动,则病恶人与火,独闭户牖而处,视盛虚热寒陷下取之也。
其二取少阴。经云∶少阴之虚,独闭户牖而处。(注云∶取大钟、太溪二穴。)
〔《甲》〕热病汗不出,鼽衄,眩,时仆而浮肿,足胫寒,不得卧,振寒恶人与木音,喉痹啮齿,恶风,
鼻不利多卧善惊,厉兑主之。四厥手足闷者使人久持之,厥热胫痛,腹胀皮痛,善伸数欠,恶人与木音,
振寒,嗌中引外肾痛,热病汗不出,下齿痛,恶寒目急,喘满寒栗,啮齿口噤,懈惰不嗜食,内庭主之。
〔《难》〕病若闭目不欲见人者,脉当得肝脉弦急而长,而反得肺脉短而涩者,死也。
口者脾之所主,胃大肠脉之所挟。经云∶中央黄色,入通于脾,开窍于口,藏精于脾。又云∶脾主口,在
藏为脾,在窍为口。又云∶脾气通于口,脾和则口能知五味矣。此脾之所主于口也。
又经云∶胃足阳明之脉,挟口,下交承浆。又云∶大肠手阳明之脉,挟口,交人中。此胃大肠之脉所挟于
口也。
肝气热则胆泄口苦。(全文见痿。)
〔《内经》曰∶有病口苦,名曰胆瘅。乃肝主谋虑,胆主决断,盛汁七合,是清净之府,取决于胆。胆或不决,为
之恚怒,则气上逆,胆汁上溢,故口苦,或热甚而使然也。以龙胆泻肝汤主之。
柴胡(一钱) 黄芩(七分) 生甘草 人参 天门冬(去心) 黄连 草龙胆 山栀 麦门冬 知母(各五分)
五味子(七粒)
上件 咀,都作一服,水二盏,煎至一盏,去渣,温服食远。忌辛热物,大效。
真气上逆,故口苦舌干。(全文见水肿。)
〔《素》〕帝曰∶有病口苦者,病名为何?何以得之?岐伯曰∶病名曰胆瘅。夫肝者,中之将也,取决于胆,
咽为之使。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。(奇病论 胆募穴在腹部期门
下五分,胆俞穴在背部第十一椎下两旁相去各二寸半。)
针灸 口苦,独取于胆。此篇经文是其一法也。又经云∶胆病者,善太息,口苦呕汁,当取阳陵泉。又云∶
胆足少阳之脉是动,则病口苦,善太息,视盛虚热寒陷下取之也。
【《黄帝内经·素问》】阳明经所说的“想要独自关上门窗居住”,是因为阴阳相互搏结,阳气耗尽而阴气偏盛,所以想要独自关上门窗居住。黄帝问道:阳明病厌恶人的原因是什么呢?岐伯回答说:阳明经气逆乱则出现喘息和心中烦闷,心中烦闷就会厌恶人。(出自《素问·阳明脉解篇》)
针灸治疗“想要独自关上门窗居住”有两种方法:
第一种取胃经穴位。经文说:足阳明胃经发生病变,会出现厌恶人和火光、想要独自关上门窗居住的症状,治疗时应根据脉象的盛虚、寒热或下陷等情况进行针刺。
第二种取少阴经穴位。经文说:少阴经气虚弱,会出现想要独自关上门窗居住的症状。(注释说明:取大钟穴、太溪穴两个穴位。)
【《黄帝甲乙经》】热病汗不出,鼻塞流涕或鼻出血,头晕目眩,时而昏倒并伴有浮肿,小腿发冷,无法安卧,战栗恶寒,厌恶人和木器撞击的声音,喉痹伴咬牙,怕风,鼻窍不通多睡且容易受惊,以厉兑穴为主治穴位。四肢厥冷且手足沉重的人,让人长时间扶持;厥热交替伴小腿疼痛,腹胀且皮肤疼痛,喜欢伸展身体且频繁打哈欠,厌恶人和木器撞击的声音,战栗恶寒,咽喉牵引外肾疼痛,热病汗不出,下牙痛,恶寒且眼睛拘急,气喘胸闷伴寒战,咬牙口噤,懈怠懒惰不想吃东西,以内庭穴为主治穴位。
【《难经》】如果病人闭着眼睛不愿见人,脉象应当出现肝脉的弦急而长,反而出现肺脉的短涩,这是死证。
口是脾所主管的部位,也是胃和大肠经脉所挟持经过的地方。经文说:中央对应的黄色,内通于脾,开窍于口,精气藏于脾。又说:脾主管口,在脏腑中对应脾,在官窍中对应口。又说:脾气通达于口,脾功能调和则口能辨别五味。这就是脾对口的管辖作用。
另外经文说:足阳明胃经,挟行于口旁,向下交会于承浆穴。又说:手阳明大肠经,挟行于口旁,交会在人中穴。这就是胃和大肠经脉对口部的挟持作用。
肝气发热则胆汁外泄导致口苦。(全文见痿证章节。)
【《黄帝内经》说】有一种病叫口苦,名为胆瘅。这是因为肝主谋虑,胆主决断,储存精汁七合,属于清净之府,事情取决于胆。如果胆不能决断,人就会产生愤怒情绪,导致气机上逆,胆汁上溢,所以口苦,或者是热邪过盛导致的。用龙胆泻肝汤主治。
柴胡(一钱) 黄芩(七分) 生甘草 人参 天门冬(去心) 黄连 草龙胆 山栀 麦门冬 知母(各五分)
五味子(七粒)
以上药材切碎,共为一服,用水两盏,煎煮至一盏,去渣,饭后温服。忌食辛辣热性食物,效果显著。
真气上逆,所以口苦舌干。(全文见水肿章节。)
【《黄帝内经·素问》】黄帝问道:有人患口苦的病,病名是什么?是怎么得的?岐伯回答说:病名叫胆瘅。肝是中焦的将帅,取决于胆,咽喉是它的使者。这种人经常谋虑而不能决断,导致胆气虚弱,气机上溢,所以口苦,治疗应取胆的募穴和俞穴。(出自《奇病论》,胆募穴在腹部期门穴下五分,胆俞穴在背部第十一椎下两旁,距离中线各二寸半。)
针灸治疗口苦,单独取胆经穴位。这篇经文提到的就是其中一种方法。另外经文说:胆病患者,喜欢叹气,口苦呕吐苦水,应当取阳陵泉穴。又说:足少阳胆经发生病变,会出现口苦、喜欢叹气的症状,治疗时应根据脉象的盛虚、寒热或下陷等情况进行针刺。
[Su Wen] The Yangming channel's statement regarding "desiring to close doors and windows alone to reside" refers to the struggle between Yin and Yang. When Yang is exhausted and Yin becomes excessive, one desires to live alone with closed doors and windows. The Yellow Emperor asked: Why does Yangming disease cause aversion to people? Qibo replied: When Yangming Qi rebels, it causes panting and distress; due to this distress, there is an aversion to people. (From *Su Wen: Yangming Channel Resolution Chapter*)
Acupuncture treatment for "desiring to close doors and windows alone" has two methods:
The first involves selecting Stomach channel points. The classic states: When the Foot-Yangming Stomach channel is affected, diseases include aversion to people and fire, and desiring to close doors and windows alone to reside. Treatment should be based on observing excess or deficiency, heat or cold, and sinking or depression.
The second involves selecting Shaoyin channel points. The classic states: Deficiency of the Shaoyin channel leads to desiring to close doors and windows alone to reside. (Note: Select Dazhong [KI4] and Taixi [KI3] points.)
[Jia Yi Jing] For febrile diseases with no sweat, nasal congestion/epistaxis, dizziness, occasional collapse with edema, cold calves, inability to sleep, chills with aversion to people and wooden sounds, bi-syndrome in the throat with teeth grinding, aversion to wind, nasal obstruction with hypersomnia and susceptibility to fright, Lijui [ST45] is the primary point. For four reversals with heavy limbs, have someone hold them for a long time; for alternating cold-heat with calf pain, abdominal distension with skin pain, frequent stretching and yawning, aversion to people and wooden sounds, chills, throat pain radiating to the external kidneys, febrile disease with no sweat, lower toothache, aversion to cold with tight eyes, panting and fullness with shivering, teeth grinding and lockjaw, lethargy and loss of appetite, Neiting [ST44] is the primary point.
[Nan Jing] If a patient closes their eyes and does not wish to see people, the pulse should present as Liver channel string-taut, rapid, and long. If instead it presents as Lung channel short and choppy, it indicates death.
The mouth is governed by the Spleen and is flanked by the meridians of the Stomach and Large Intestine. The classic states: The central color yellow connects internally to the Spleen, opens into the mouth, and stores essence in the Spleen. It also states: The Spleen governs the mouth; in the zang organs it is the Spleen, and in the sensory orifices it is the mouth. Furthermore: Spleen Qi communicates with the mouth; when the Spleen is harmonious, the mouth can discern the five flavors. This describes the Spleen's governance over the mouth.
Additionally, the classic states: The Foot-Yangming Stomach meridian flanks the mouth and intersects below at Chengjiang [CV24]. It also states: The Hand-Yangming Large Intestine meridian flanks the mouth and intersects at Renzhong [GV26]. This describes how the Stomach and Large Intestine meridians flank the mouth.
When Liver Qi is hot, Gallbladder juice leaks out, causing bitter taste in the mouth. (Full text see Wei Syndrome.)
[Nei Jing says]: There is a disease called bitter taste in the mouth, named Dan Dan (Gallbladder Heat). This is because the Liver governs planning, and the Gallbladder governs decision-making. It stores seven he of clear fluid, belonging to the pure and clear fu organ, where decisions are made by the Gallbladder. If the Gallbladder fails to decide, resentment and anger arise, causing Qi to rebel upward, leading to bile overflowing upwards, thus causing bitter taste in the mouth, or it may be caused by excessive heat. Treat with Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver).
Chai Hu (Bupleuri Radix) (1 qian), Huang Qin (Scutellariae Radix) (7 fen), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Ren Shen (Ginseng Radix), Tian Men Dong (Asparagi Radix, de-heart), Huang Lian (Coptidis Rhizoma), Cao Long Dan (Gentianae Scabrae Radix), Shan Zhi (Gardeniae Fructus), Mai Men Dong (Ophiopogonis Radix), Zhi Mu (Anemarrhenae Rhizoma) (each 5 fen), Wu Wei Zi (Schisandrae Fructus) (7 grains).
Crush the above ingredients, combine into one dose. Add two cups of water, decoct to one cup, remove dregs, and take warm after meals. Avoid spicy and hot foods. Highly effective.
True Qi rebelling upward causes bitter taste in the mouth and dry tongue. (Full text see Edema.)
[Su Wen] The Yellow Emperor asked: A person suffers from bitter taste in the mouth. What is the disease name? How is it acquired? Qibo replied: The disease is named Dan Dan (Gallbladder Heat). The Liver is the general within, depending on the Gallbladder, with the pharynx acting as its envoy. Such individuals frequently plan but cannot decide, leading to Gallbladder deficiency and Qi rebellion upward, causing bitter taste in the mouth. Treatment should utilize the Gallbladder Mu (Alarm) and Shu (Transport) points. (From *Qi Bing Lun*: Gallbladder Mu point is located 0.5 cun below Qimen [LR14] on the abdomen; Gallbladder Shu point is located bilaterally 2.5 cun lateral to the spinous process of the 11th thoracic vertebra.)
For acupuncture treatment of bitter taste in the mouth, select only Gallbladder channel points. This passage from the classic is one such method. Additionally, the classic states: Patients with Gallbladder disease often sigh deeply, have bitter taste in the mouth, and vomit bitter fluid; they should be treated by selecting Yanglingquan [GB34]. It also states: When the Foot-Shaoyang Gallbladder channel is affected, diseases include bitter taste in the mouth and frequent sighing. Treatment should be based on observing excess or deficiency, heat or cold, and sinking or depression.