诸痉强直。积饮痞隔中满。吐下霍乱。体重 肿。肉如泥按之不起。皆属于湿。太阴湿土。
乃脾胃之气也。
痉。 也。强直。谓项强也。太阳经中湿。则令人项强。有汗者曰阴痉。仲景所谓柔痉
是也
无汗者曰阳痉。仲景所谓刚痉是也。积饮。谓留饮也。痞。否也。谓气不升降也。如否卦
阳在上。阴在下。则天地闭塞矣。隔。阻滞也。肠胃湿甚。则传化失常也。中满。土位中央
湿则令人中焦满也。吐下霍乱。谓肠胃湿饮相兼故也。体重。清阳为火。浊阴为地。湿土
为病。体重宜也。 肿。湿胜于下也。肉如泥按之不起。湿胜于身也。
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。耳鸣及聋。呕涌溢。食不下。目昧不明。暴注 。暴病暴死。皆属于火。少阳
相火。乃心包络三焦之气也。
瞀。昏也。君火化同。 。热令肌肉跳动也。暴喑。卒哑也。心火热盛。上克肺金。不
能发
声也。冒昧。昏愦也。躁扰。谓热盛于外。手足不宁也。狂越。谓乖越礼法而失常也。经曰
登高而歌。弃衣而走。骂詈不避亲疏。热极故也。骂詈。言之恶也。水数一道近而善。火
数二道远而恶。心火热极。则发恶言也。惊骇。君火化同。 肿。热胜于内也。疼酸酸疼者
由火胜制金。不能平木故也。气逆冲上。火气热。炎上也。禁栗如丧神守。栗战栗也
禁。冷也。丧神守。火极而似水化也。嚏鼻中因痒而气喷作于声也。呕。疮疡。君火化同
喉痹。热客上焦而咽嗌肿也。耳鸣。热冲听户。耳中作声也。聋。水衰火盛。气道闭塞。
耳不闻声也。微则可治。久则难通。呕涌溢。食不下。胃膈热盛。火气炎上之象也。目昧不
明。五脏热极。则目昏不能视物也。暴注。卒泻也。君火化同。 。惕跳而肉动也。暴病
暴死。火性疾速故也。由其平日饮食衣服。性情好恶。不循其宜。而失其常。久则气变兴衰
而为病也。盖因肾水衰虚。心火暴盛。水不能制之。热气怫郁。心神昏冒。则筋不用。卒倒
而无所知也。若热甚至极则死。微则发过如故。俗云暗风。若血气郁结。不得宣通。郁极乃
发。若一侧得通利。则痞者痹而瘫痪也。
各种痉挛、身体强直，体内积聚水饮导致胸脘痞塞、气机阻隔、中焦胀满，呕吐腹泻的霍乱，身体沉重、浮肿，肌肉松软如泥、按压后凹陷不起，这些症状都归属于湿邪。太阴湿土，对应的是脾胃之气。
痉，指筋脉拘急。强直，指颈项僵硬。太阳经受湿邪侵袭，会导致人颈项僵硬。有汗出的称为阴痉，即张仲景所说的柔痉。无汗出的称为阳痉，即张仲景所说的刚痉。积饮，指留滞体内的水饮。痞，即否塞不通，指气机升降失常。就像《易经》中的否卦，阳气在上，阴气在下，天地闭塞不通一样。隔，指阻滞。肠胃湿气过重，就会导致传化功能失常。中满，指中焦胀满。土居中央，湿气致病，会导致人中焦胀满。吐下霍乱，是因为肠胃中湿邪与水饮兼杂所致。体重，清阳如火，浊阴如地，湿土为病，身体沉重是适宜的表现。肿，是湿气偏盛于下部。肉如泥、按之不起，是湿气偏盛于周身。
各种热证引起的昏厥、突然失音，头昏目眩、烦躁不安，狂乱越礼、骂詈不避亲疏，惊恐骇怕，肿胀疼痛酸楚，气逆冲上，战栗发抖如同神志丧失，打喷嚏，呕吐，疮疡，喉痹，耳鸣及耳聋，呕吐涌溢，饮食不下，视物模糊不清，急性泄泻，突发疾病甚至突然死亡，这些症状都归属于火邪。少阳相火，对应的是心包络和三焦之气。
瞀，指昏沉。君火的化生与之相同。 ，指热邪导致肌肉跳动。暴喑，指突然失音。心火亢盛，向上克制肺金，导致不能发声。冒昧，指头昏脑涨。躁扰，指热盛于外，手足不宁。狂越，指违背礼法而行为失常。经书说：登高而歌，脱衣奔走，骂人不避亲疏，这是热极所致。骂詈，指说恶毒的话。水数一道近且善，火数二道远且恶，心火极盛，就会发出恶言。惊骇，君火的化生与之相同。 ，指肿胀。热胜于内。疼酸，酸痛是由火胜克制肺金，不能平抑肝木所致。气逆冲上，因为火性炎热，炎上所致。禁栗如丧神守，栗指战栗，禁指冷，丧神守指火极而似水化（真寒假热或神气涣散）。嚏，指鼻中因痒而气喷出声。呕，与疮疡同属君火化生。喉痹，指热邪客居上焦导致咽喉肿痛。耳鸣，指热气冲击听户，耳中作响。聋，指肾水衰少、火气旺盛，气道闭塞，耳朵听不到声音。轻微的可治，久了则难通。呕涌溢，饮食不下，是胃膈热盛，火气炎上的表现。目昧不明，五脏热极，导致眼睛昏花不能视物。暴注，指急性泄泻，君火的化生与之相同。 ，指惕跳而肌肉抽动。暴病暴死，因为火性疾速所致。这是由于平日饮食、衣着、性情好恶，不合宜度，失去常态，久而久之气机变化兴衰而致病。大概是因为肾水衰虚，心火暴盛，水不能制约火，热气郁结，心神昏蒙，导致筋脉不用，突然倒下而不省人事。如果热势至极则会死亡，轻微则发作后如常。俗称为暗风。如果血气郁结，不得宣通，郁积到极点才发作，如果一侧得以通畅，则另一侧会因痞塞痹阻而瘫痪。
Various spasms and stiffness, accumulation of retained fluids causing chest and epigastric stuffiness, qi obstruction, and middle-jiao fullness; vomiting and diarrhea characterized by Huoluan (cholera-like syndrome); heavy sensation in the body; edema; muscles soft as mud with pitting upon pressure—all these belong to Dampness (Shi). Taiyin Damp-Earth corresponds to the Qi of the Spleen and Stomach.
Spasm refers to tendon contraction. Stiffness refers to neck rigidity. When the Bladder Meridian of Foot-Taiyang is invaded by Dampness, it causes neck rigidity. Those with sweating are termed Yin Spasm, which Zhang Zhongjing refers to as Rouspasm (Soft Spasm). Those without sweating are termed Yang Spasm, which Zhang Zhongjing refers to as Gangspasm (Stiff Spasm). Accumulated fluid refers to retained drinking-water (Liuyin). Pi (stuffiness) implies blockage, referring to the dysfunction of ascending and descending of Qi. It is like the hexagram Pi in the I Ching: when Yang is above and Yin below, Heaven and Earth are blocked. Ge (obstruction) refers to stagnation. Excessive dampness in the intestines and stomach leads to abnormal transmission and transformation. Zhongman (middle-fullness) refers to distension in the middle jiao. Earth resides in the center; when Dampness causes disease, it leads to middle-jiao fullness. Vomiting and diarrhea of Huoluan occur due to the combination of Dampness and retained fluids in the intestines and stomach. Heavy body sensation: Clear Yang is like Fire, Turbid Yin is like Earth; when Damp-Earth causes disease, a heavy body is expected. Edema indicates Dampness prevailing in the lower part. Muscles soft as mud with no rebound after pressure indicate Dampness prevailing throughout the body.
Various heat syndromes causing Mao (dizziness/fainting), sudden aphonia (Baoyin); dizziness and confusion (Maomei), restlessness and agitation (Zaorao); mania and transgression (Kuangyue), cursing and scolding (Mali); fright and horror (Jinghai); swelling, pain, and soreness (Zhongtengsuan); rebellious Qi rushing upward (Qini chongshang); trembling and shivering as if losing spiritual control (Jinli rusang shenshou); sneezing (Ti); vomiting; sores and ulcers (Chuangyang); throat obstruction (Houbi); tinnitus and deafness (Erming ji long); violent vomiting and overflow; inability to eat; blurred vision (Muwei buming); acute diarrhea (Baozhu); sudden illness and sudden death—all these belong to Fire (Huo). Shaoyang Ministerial Fire corresponds to the Qi of the Pericardium (Xinbaoluo) and Sanjiao (Triple Burner).
Mao refers to dizziness or fainting. Its transformation is consistent with Ministerial Fire. , refers to muscle twitching caused by Heat. Baoyin (sudden aphonia) refers to sudden loss of voice. Excessive Heart Fire attacks Metal (Lungs), preventing voice production. Maomei refers to mental confusion and dizziness. Zaorao refers to external heat causing restlessness of hands and feet. Kuangyue refers to behavior violating propriety and norms. The classics state: singing while climbing high, running naked, cursing without distinguishing kin—this is due to extreme Heat. Mali refers to speaking malicious words. Water’s number is one, close and good; Fire’s number is two, distant and bad. Extreme Heart Fire leads to evil speech. Jinghai (fright) shares the same transformation as Ministerial Fire. , refers to internal Heat predominance. Tengsuan (pain and soreness) occurs because Fire controls Metal, failing to subdue Wood, leading to soreness. Qi rebelling upward is due to the flaming nature of Fire. Jinli rusang shenshou: Li means trembling, Jin means cold, Sangshenshou means losing spiritual control (Fire extreme resembling Water transformation). Ti (sneezing) is gas spraying from the nose due to itching. Ou (vomiting) and Chuangyang (sores/ulcers) share the transformation of Ministerial Fire. Houbi (throat obstruction) is heat lodging in the Upper Jiao causing throat swelling. Erming (tinnitus) is heat impacting the auditory orifice causing noise. Long (deafness) is due to deficient Kidney Water and excessive Fire blocking the Qi pathway, preventing hearing. Mild cases are treatable; chronic cases are difficult. Violent vomiting and inability to eat are signs of excessive Heat in the Stomach and Diaphragm, with Fire flaming upward. Muwei buming (blurred vision) results from extreme Heat in the Five Zang organs, causing blindness. Baozhu (acute diarrhea) shares the transformation of Ministerial Fire. , refers to palpitations and muscle movement. Baobing baosi (sudden illness and death) is due to the rapid nature of Fire. This arises from improper diet, clothing, and emotional habits over time, disrupting normal Qi dynamics. Generally, it stems from deficient Kidney Water and sudden excess Heart Fire, where Water fails to control Fire. Heat becomes stagnant, confusing the Shen (Spirit), rendering tendons useless, leading to sudden collapse and unconsciousness. If Heat reaches extremity, death ensues; if mild, recovery follows. Commonly called An Feng (Hidden Wind). If Blood and Qi stagnate and cannot circulate, extreme stagnation triggers an outbreak. If one side unblocks, the other may become paralyzed due to Bi syndrome.