钱乙曰。小儿睡而自汗出者。肌肉虚也。止汗散。遍身汗出者。香瓜丸。
薛己曰。自汗属阳虚。盗汗属阴虚。盖阳为卫气。阴为营血。血之所主。心也。所藏。肝也。热搏于心。故液不能
内敛。而外泄于皮肤。人卧则静而为阴。觉则动而为阳。故曰自汗属阳。盗汗属阴也。多因心肾不交。水火不能既济。
肾虚则闭藏之令失守。故有是症。因血虚内热。当归六黄汤。心经有热。导赤散。肝经虚热。六味丸。血脱盗汗。当归
补血汤。肝胆风热。柴胡清肝汤。
人身九窍。取象于泰。眼耳与鼻。各两窍对。阴数为偶。三偶坤外。口及二便。各一窍系。阳数为奇。三奇干内。
外坤内干。是为泰卦。天地生人。精微广大。然皆中正。非为诞怪。按卦核形。病从兹逮。耳窍属肾。其病聋聩。或火
或虚。肝邪同害。目为肝窍。病最难制。多半属火。兼由风戾。亦或内虚。间因寒滞。肿痛为轻。甚则障翳。泪出羞明。
隐涩多蔽。鼻之发窍。 主于肺。肺金受邪。鼻塞而闷。清涕常流。时或发嚏。鼻衄鼻疮。肺热莫泄。(叶去声)鼻渊鼻
。
病兼脑治。唇口属脾。热甚则碎。口疮口糜。相连为害。齿本骨余。病来则 。疳溃烂龈。肾脾肝惫。舌乃心苗。掉弄
舌碍。湿食胎生。火热黑缀。重舌木舌。皆属危殆。至若咽喉。呼吸气会。喉癣喉痹。喉鹅喉闭。种种恶症。最宜审谛。
伤人性命。瞬息之际。泻火逐痰。乃其要剂。或渴或燥。肿痛相继。犹为轻候。清之便解。诸症在上。汇为一派。凡有
病者。急治无怠。分经析症。勿俾败坏。若前后阴。下部是隶。别为疏论。聿分疆界。
钱乙说:小儿睡觉时自然出汗的,是肌肉虚弱所致。用止汗散治疗;如果是全身出汗的,用香瓜丸治疗。
薛己说:自汗属于阳虚,盗汗属于阴虚。因为阳气是卫气,阴气是营血。血液由心所主,肝脏所藏。热邪搏结于心,导致津液不能内敛,而外泄于皮肤。人卧睡时静止属阴,觉醒时活动属阳。所以说自汗属于阳证,盗汗属于阴证。这多因心肾不交,水火不能既济(即心火下降、肾水上升的生理平衡被打破)。肾虚则闭藏的功能失守,所以出现这种症状。如果是因血虚内热引起的,用当归六黄汤;心经有热的,用导赤散;肝经虚热的,用六味丸;血脱导致的盗汗,用当归补血汤;肝胆风热的,用柴胡清肝汤。
人体的九窍,取象于泰卦。眼、耳、鼻各有两个孔窍相对,阴数为偶数,三个偶数在外构成坤卦的外层;口及大小便各有一个孔窍相连,阳数为奇数,三个奇数在内构成乾卦的内层。外坤内乾,这就是泰卦。天地生成人类,精气微妙广大,但都是中正的,并非荒诞怪异。按照卦象和形体来推核,疾病由此产生。耳窍属于肾,其病症为耳聋或听力丧失,病因或是火邪或是虚损,肝邪也会共同侵害。眼睛是肝的窍,病情最难控制,多半属于火邪,兼由风邪侵袭,也有因内部虚损,偶尔因寒邪停滞。肿痛较轻,严重时会出现障翳(角膜混浊),流泪畏光,眼睑隐涩多遮蔽感。鼻子发窍,主宰于肺。肺金受邪,鼻塞且闷,清涕常流,有时打喷嚏,还有鼻衄(鼻出血)、鼻疮等症,这是肺热无法宣泄。(叶去声)鼻渊(鼻窦炎)和鼻息肉。这些病需要兼治脑部。嘴唇和口属于脾,热盛则嘴唇破裂,出现口疮、口糜(口腔黏膜溃烂),相互牵连为害。牙齿是骨骼的余气,发病时牙龈腐烂溃烂,涉及肾、脾、肝三脏疲惫。舌头是心的苗窍,出现弄舌(舌头伸缩不定)障碍,湿气和食积生苔,火热则舌色黑紫。重舌(舌下肿胀如再长一舌)、木舌(舌体僵硬麻木)都属于危重病症。至于咽喉,是呼吸之气交汇之处。喉癣、喉痹、喉鹅(扁桃体化脓)、喉闭等种种恶症,最宜仔细审察。这些病在瞬息之间即可伤人性命,泻火逐痰是关键的治疗药物。如果有口渴或干燥,肿痛相继出现,还算轻症,清热即可缓解。所有上部病症,汇聚为一类。凡有病者,应紧急治疗不可懈怠,分经析症,不要让病情败坏。至于前后阴,下部所属,另作疏论,以此划分疆界。
Qian Yi stated: When children sweat naturally during sleep, it is due to deficiency of the muscles. Treat with Zhihan San (Stop Sweat Powder); if sweating occurs all over the body, treat with Xianggua Wan (Melon Pill).
Xue Ji stated: Spontaneous sweating belongs to Yang deficiency, while night sweats belong to Yin deficiency. This is because Yang constitutes Wei Qi (Defensive Qi), and Yin constitutes Ying Blood (Nutritive Blood). The Heart governs blood, and the Liver stores blood. Heat pathogens congregate in the Heart, causing fluids to fail to remain internalized and instead leaking out through the skin. When a person lies down, stillness corresponds to Yin; when awake, movement corresponds to Yang. Therefore, spontaneous sweating is attributed to Yang [imbalance], and night sweats to Yin [imbalance]. This often arises from the failure of communication between the Heart and Kidney, where Water and Fire fail to interact harmoniously (i.e., the physiological balance of Heart Fire descending and Kidney Water ascending is disrupted). Kidney deficiency leads to the loss of the storing and closing function, resulting in this symptom. If caused by blood deficiency with internal heat, use Danggui Liuhuang Tang (Angelica Hexang Decoction); if there is heat in the Heart Meridian, use Daochi San (Guide Out Red Powder); if there is deficient heat in the Liver Meridian, use Liuwei Wan (Six-Ingredient Pill); for night sweats due to blood depletion, use Danggui Buxue Tang (Angelica Tonifying Blood Decoction); for Wind-Heat in the Liver and Gallbladder, use Chaihu Qinggan Tang (Bupleurum Clearing Liver Decoction).
The nine orifices of the human body take their imagery from the Tai hexagram (Hexagram 11, Peace). The eyes, ears, and nose each have two orifices facing each other; the Yin number is even, forming the outer layer of the Kun hexagram (Earth) with three evens. The mouth and the two excretions (urine and feces) each have one orifice connected; the Yang number is odd, forming the inner layer of the Qian hexagram (Heaven) with three odds. Outer Kun and Inner Qian constitute the Tai hexagram. Heaven and Earth generate humans; although the essence is subtle and vast, it is always upright and not absurd. By correlating hexagrams with physical forms, diseases arise from here. The ear orifice belongs to the Kidney; its diseases include deafness or hearing loss, caused by either Fire pathogens or deficiency, with Liver pathogens also causing harm. The eye is the orifice of the Liver; its diseases are difficult to control, mostly belonging to Fire, combined with pathogenic Wind, sometimes due to internal deficiency, and occasionally due to Cold stagnation. Swelling and pain are mild, but severe cases present with nebulae (corneal opacity), tearing, photophobia, and a sensation of heaviness and obstruction. The nose opens into the Lung; when Metal of the Lung is invaded by pathogens, nasal congestion and stuffiness occur, with constant clear rhinorrhea, occasional sneezing, epistaxis (nosebleed), and nasal sores, indicating Lung Heat that cannot be vented. Nasopharyngitis (Bi Yuan) and nasal polyps require treatment involving the brain. The lips and mouth belong to the Spleen; excessive heat causes cracking, aphthous ulcers, and oral candidiasis (mouth rot), harming each other mutually. Teeth are the surplus of bone; disease manifests as gingival ulceration and rot, involving exhaustion of the Kidney, Spleen, and Liver. The tongue is the sprout of the Heart; symptoms include tongue protrusion disorders, coating generated by Dampness and Food Stagnation, and blackish-purple discoloration from Fire. Double tongue (swelling of the sublingual vein resembling a second tongue) and wooden tongue (stiffness and numbness of the tongue) are critical conditions. As for the throat and pharynx, they are the convergence points for respiratory Qi. Various malignant conditions such as laryngeal herpes (Hou Xuan), pharyngolaryngeal obstruction (Hou Bi), tonsillar suppuration (Hou E), and glottic closure (Hou Bi) must be carefully examined. These diseases can endanger life in an instant; clearing Fire and expelling Phlegm are the essential treatments. If accompanied by thirst or dryness with successive swelling and pain, it remains a mild condition, resolvable by clearing heat. All upper-orifice diseases gather into one category. For any illness, urgent treatment without negligence is required; analyze by meridian and syndrome to prevent deterioration. As for the anterior and posterior yin openings, belonging to the lower part, they are discussed separately to define distinct boundaries.