夫百病昼则增剧。夜则安静。是阳病有余。乃气病而血不病也。百病夜则增剧。昼则安
静。
象天
主
濡
安
病
安
太
病
论曰∶察病机之要理。施品味之性用。然后明病之本焉。故治病不求其本。无以去深藏
之大
火。
必行
可
黄帝曰∶愿闻病机何如？岐伯对曰∶诸风掉眩。皆属于肝。少虑无怒。风胜则动。肝者。
罢
虑
状
掉摇
上支
两胁。膈咽不通。食饮不下。甚则耳鸣眩转。目不识人。善暴僵仆。里急 戾。胁痛呕泄。
甚则掉眩癫疾。两胁下痛引少腹。令人怒也。虚则目视KT KT 无所见。善恐如人将捕之。
凡病肝木风疾者。以热为本。以风为标。故火本不燔。遇风烈乃焰。肝本不甚热。因金衰而王
。肺金不胜心火。木来接于金。故诸病作矣。其为治也。燥胜风。王注曰∶风自木生。燥为金
治
辛
化
中
则卒暴僵仆。凡治消瘅仆击。偏枯痿厥。气满发逆肥贵人则膏粱之疾也。故五内气平则敷和
太过则发生。不及则委和。
诸痛痒疮疡。皆属于心。静则神明。热胜则肿。心者生之本。神之象变也。其华在面。
其充
此
也
山川。
旋及屋宇。火之灾眚也。故火非同水。水智而火愚。其性暴速。其为病也。当胸中热。嗌干
。右胁满。皮肤疼痛。寒热咳嗽。唾血。血泄。鼽衄。嚏呕。溺色变。甚则疮痒 肿。肩背
痛。缺盆中痛。疡疼身热。惊惑恶寒。战栗谵妄。悲忘衄蔑。语笑。疮疡。血流狂妄。目
赤。胸中痛。胁支满。胁下痛。胸膺肩胛间痛。背痛。虚则胸腹大。胁下与腰背相引而痛。
其为治也。以寒胜热。王注曰∶小热之气。凉以和之。大热之气。寒以取之。甚热之气。汗
以发之。发之不尽制之。制之不尽求其属以衰之。又曰∶壮水之主。以制阳光。经曰∶气有
多少。病有盛衰。治有缓急。方有大小。此之谓也。是以热淫于内。治以咸寒。佐以甘苦。
以酸收之。以苦发之。心欲 。急食咸以 之。君火之下。阴精承之。木气之下。是故火
炎威也。故燥万物者。莫 乎火。夏月火热极。甚则先失气熏味。而万物反润以水。出液林
木。津流及体。热极而反汗液出。是火极而反兼水化。俗以难辨。认是作非。不治巳极。反
攻王气。是不明标本。但随兼化之虚象。妄为其治。反助其病。而害于生命多矣。故此藏平
则升明。太过则赫曦。不及则伏明。王注曰∶百端之起。皆自心生。
诸湿肿满。皆属于脾。味知气化。湿胜则濡泄。脾者仓禀之官。本营之居也。名曰器。
能化
出焉
腕。
经
腰
下
飧
属
为木化。土余则制之以风。脾盛治之以燥。
湿为水。水盛则肿。水不行。肉色已消。
若湿气在上。以酸吐之。湿气在下。以
故湿淫所胜。平以苦热。佐以酸辛。
甘辛。以汗为散而止。湿淫于内。治
食苦以燥之。又曰∶土气之下。木气
半身以上。湿气有余。火气复郁。所
中。火游行其间。是以热为用矣。故
兼风木制其土也。若脾湿土自壅。燥
积饮痞膈满肿湿热干涸消渴。慎不可
新而恶陈。常令滋泽。无使干涸。故
诸气 郁。皆属于肺。肺气常清利。燥胜则干。肺者。气之本。魄之处也。其华在毛。
其充
王
谓
变候咳。腹中鸣。注泄 溏。咳逆。心胁满。引小腹。善暴痛不可反侧。嗌干面尘。色恶腰
痛。丈夫 疝。妇人少腹痛。浮虚鼽。尻阴股髀 皆病皴揭。实则喘咳逆气、肩背痛。
出尻阴股膝髀。虚则少气不能报息。耳聋嗌干。其为治也。热胜燥。燥自金生。热为火化。
金余则制之以火。肺胜则制之以苦。又曰∶金气之下。火气承之。燥淫于内。治以苦温。佐
以苦辛。以苦下之。若肺气上逆。急食苦以泄之。王注曰∶制燥之胜。必以苦温。故受干
生焉。是以金主于秋而属阴。其气凉。凉极。天气清明。而万物反燥若火。
是金极而反兼火化也。故病血液衰也。燥金之化。极甚则烦热气郁。痿弱而手足无力。
不能收持也。凡有声之痛。应金之气。故此脏气平则审平。太过则坚成。不及则从革也。
诸病寒热。皆属于肾。水静养动耗。寒胜则坚。肾者主蛰。封藏之本。精之处也。其华在发
。其充在骨。其味咸。其色黑。为作强之官。伎巧出焉。为阴中之阴。通于冬气。其脉石
。王注曰∶肾脏有二。形如二豆相并。而曲附于膂筋。外脂里白表黑。主藏精。故仙经曰∶
心为君火。肾为相火。是言在肾属火。而不属水也。经所谓膻中者臣使之官。喜乐出焉。故
膻中者在乳之间。下令在于肾。是火居水位。得升则喜乐出焉。虽君有二火之气。论其五行
造化之理。同为热也。故左肾属水。男子以藏精。女子以系胞。右肾属火。游行三焦。兴
之道。由于此故。七节之旁。中有小心。是言命门相火也。经所谓其变凝冽。其清冰雹。其
为病也。寒客心疼。腰腿痛。大关节不利。屈伸不便。苦厥逆痞坚。腹满寝汗。实则腹胫肿
。喘咳身重。汗出憎风。虚则胸中痛∶大小腹痛。清厥意不乐。王注曰。大小腹。大小肠也
。此所谓左肾水发痛也。若夫右肾命门相火之为病。少气。疮疡疥癣。痈肿胁满。胸背首面
四肢浮肿。腹胀呕逆。螈 骨节痛引动注下。温疟腹中暴痛。血溢流注精液。目赤心热。
则瞀昧暴痛。瞀闷懊 。KT 呕疮疡。惊躁喉痹耳鸣。呕涌暴注。 螈暴死。瘤气结核丹
。皆相火热之胜也。其为治也。寒胜热。热胜寒。若热淫于内。治以咸寒。火所胜。平以
咸冷。故相火之下。水气承之。如寒淫于内。治以甘热。佐以甘辛。寒淫所胜。平以辛热。
又曰∶肾苦燥。急食辛以润之。肾欲坚。食苦以坚之。故水本寒。寒极则冰。水如地而能载
物。冰发而雹雪。是水寒亢极。反似克水之土化。是谓兼化也。所谓寒病极者。反肾满也。
左肾不足。济之以水。右肾不足。济之以火。故此脏水准则静顺。不及则涸流。太过则流衍。
诸厥固泄。皆属于下。厥谓气逆。固谓禁固。气逆则肝肾失守。失守则不能禁固。出入
无时
诸痿喘呕。皆属于上。肺者脏之长也。为心之华盖。故肺热叶焦发痿 。是气郁不利。
病喘
利
呕
无
谓
火
饮
诸禁鼓栗如丧神守。皆属于火。禁栗惊惑。如丧神守。悸动怔忡。皆热之内作。故治当
以制
诸痉项强。皆属于湿。寒湿同性。水火同居。故足太阳膀胱经属水。而下所以湿可伤也。
其
中
详
诸逆冲上。皆属于火。冲攻也。火气炎上。故热甚则郁于内也。诸胀腹大。皆属于热。
肺主
升明
诸躁狂越。皆属于火。胃实则四肢实而能登高也。故四肢者诸阳之本。经所谓阳胜阴则
脉流
若火
诸暴强直。皆属于风。炎威而害也。强劲有力、而不能和柔也。乃厥阴风木势甚而成此。
王
诸病有声。鼓之如鼓。皆属于热。腹胀大。而敲之有声如鼓者。热气甚则然也。经所谓
热胜
何以明
承气汤
诸病 肿。疼酸惊骇。皆属于火。 肿。热胜于内。则伤气滞故也。疼酸。由火实制金。
不
原
诸转反戾。水液混浊。皆属于热。热气燥烁于筋。故筋转而痛应风。属于肝也。甚则吐
不止
热之气。加之以泄。湿胜也。若三气杂。乃为霍乱。故仲景曰∶呕吐而利。名为霍乱。
故
撩
相
井
诸病水液。澄澈清冷。皆属于寒。水液为病寒也。故水清净。其气寒冷。水谷不化而吐
利。
黄而
酸。
不化
经
云
诸涩枯。涸干。劲皴揭。皆属于燥。涩枯者水液气衰少。血不荣于皮肉。气不通利。故
皮
热
故法曰。寒能收敛。收敛则燥涩皴揭。热能纵缓。则滋荣润泽。此皆属燥金之化也。王注曰
∶物之生滑利。物之死枯涩。其为治也。宜开通道路。养阴退阳。凉药治之。荣血通流。麻
木不仁。涩涸。干劲。皴揭。皆得其所。慎勿服乌附之药。经所谓金木水火土营运之数。寒
暑燥湿火风临御之化。则天道可见。民病可调。凡受诸病者。皆归于五行六气胜复盛衰之道
矣。
各
而
凡是疾病在白天加重，夜间安静，这是阳病有余，属于气分病变而血分无病。凡是疾病在夜间加重，白天安静，（原文此处有缺漏或错简，依上下文逻辑应为阴病/血病）。
论述说：观察病机的关键原理，运用药物的性味功效，然后才能明白疾病的根本。所以治病如果不探求根本，就无法清除深藏的大火。
黄帝说：我想听听关于病机是怎样的？岐伯回答说：各种风病引起的摇动、眩晕，都归属于肝。少虑无怒，风气偏胜则导致动摇。肝脏……两胁部位，膈膜咽喉不通畅，饮食难以下咽，严重时耳鸣眩晕，眼睛看不清人，容易突然僵硬仆倒，腹内急迫拘挛，胁痛呕吐泄泻。严重时出现摇动眩晕、癫疾，两胁下疼痛牵引至小腹，使人易怒。虚证时视物模糊不清，容易恐惧，好像有人要抓捕自己一样。
凡是患有肝木风疾的疾病，以热为本，以风为标。所以火本来不燃烧，遇到烈风才猛烈燃烧；肝本来不是特别热，因为肺金衰弱而肝木亢盛（王注：肺金不能克制心火，木气来乘侮肺金），所以各种疾病就发生了。治疗方面，燥能胜风。王冰注解说：风自木生，燥属金化，所以能制风。如果突然僵硬仆倒。凡是治疗消瘅、仆击、偏枯、痿厥等病，对于富贵之人，多是膏粱厚味之疾。所以五脏之气平和则敷和，太过则发生，不及则委和。
各种疼痛、瘙痒、疮疡，都归属于心。静则神明，热胜则肿胀。心是生命的根本，神的表现变化所在。其荣华表现在面部，其充养在血脉……山川（原文此处可能有误，通常指其充在脉）。旋转及屋宇，火的灾祸。所以火不同于水，水智而火愚，火的性质暴烈迅速。它致病时，表现为胸中热，咽喉干燥，右胁胀满，皮肤疼痛，寒热咳嗽，唾血，便血，鼻渊鼻衄，打喷嚏呕吐，小便颜色改变，严重时疮痒肿胀，肩背痛，缺盆中痛，溃疡身热，惊骇迷惑，恶寒战栗，胡言乱语，悲伤健忘，鼻出血，言语笑闹，疮疡，血流狂妄，目赤，胸中痛，胁部支撑胀满，胁下痛，胸膺肩胛间痛，背痛。虚证时胸腹大，胁下与腰背相互牵引而痛。治疗方面，用寒胜热。王冰注解说：小热之气，用凉药调和；大热之气，用寒药祛除；甚热之气，用发汗法发散。发散不尽则制约它，制约不尽则寻求其所属脏腑以衰退它。又说：壮水之主，以制阳光。经书说：气有多少，病有盛衰，治有缓急，方有大小，说的就是这个道理。所以热气淫于内，用咸寒药治疗，佐以甘苦药，用酸药收敛，用苦药发散。心欲软，急食咸药以软之。君火之下，阴精承之。木气之下……所以火炎威势盛大。所以使万物干燥的，没有比火更厉害的了。夏月火热极盛，严重时先失去气味，而万物反而润泽出水，流出液汁到林木，津液流布身体，热极反而出汗，这是火极而反兼水化。世俗难以辨别，认非作是，不及时治疗已至极点，反而攻击王气，这是不明白标本，只跟随兼化的虚象妄加治疗，反而助长病情，危害生命很多了。所以此脏平和则升明，太过则赫曦，不及则伏明。王冰注解说：百端之起，皆自心生。
各种湿病引起的肿胀、痞满，都归属于脾。味道知气化，湿胜则濡泄。脾是仓廪之官，营气的居所。名叫器，能化……出焉腕（原文此处可能有误，通常指五味入口，藏于肠胃）。经……腰……下飧属为木化，土余则制之以风。脾盛治之以燥。湿为水，水盛则肿，水不行，肉色已消。若湿气在上，用酸药吐之；湿气在下，用……故湿淫所胜，平以苦热，佐以酸辛。甘辛，以汗为散而止。湿淫于内，治……食苦以燥之。又说：土气之下，木气……半身以上，湿气有余，火气复郁，所……中，火游行其间，是以热为用矣。故……兼风木制其土也。若脾湿土自壅，燥……积饮痞膈满肿湿热干涸消渴，慎不可……新而恶陈，常令滋泽，无使干涸。所以……
各种气机郁结，都归属于肺。肺气常清利，燥胜则干。肺是气的根本，魄的处所。其荣华在毛发，其充养在……王谓变候咳，腹中鸣，注泄溏，咳逆，心胁满，引小腹，善暴痛不可反侧，咽喉干燥面尘，面色恶，腰痛，丈夫疝，妇人少腹痛，浮虚鼽，尻阴股髀皆病皴揭。实证时喘咳逆气、肩背痛。出尻阴股膝髀，虚证时少气不能报息，耳聋咽喉干燥。治疗方面，热胜燥，燥自金生，热为火化。金余则制之以火，肺胜则制之以苦。又说：金气之下，火气承之。燥淫于内，治以苦温，佐以苦辛，用苦药下之。若肺气上逆，急食苦药以泄之。王冰注解说：制燥之胜，必以苦温。所以受干……生焉。是以金主于秋而属阴，其气凉。凉极，天气清明，而万物反燥若火。这是金极而反兼火化也。所以病血液衰也，燥金之化，极甚则烦热气郁，痿弱而手足无力，不能收持也。凡有声之痛，应金之气。所以此脏气平则审平，太过则坚成，不及则从革也。
各种寒热病，都归属于肾。水静养动耗，寒胜则坚。肾主蛰，封藏之本，精的处所。其荣华在头发，其充养在骨骼，其味咸，其色黑。为作强之官，伎巧出焉。为阴中之阴，通于冬气。其脉石。王冰注解说：肾脏有二，形如二豆相并，而曲附于膂筋，外脂里白表黑，主藏精。所以仙经说：心为君火，肾为相火，这是说在肾属火，而不属水也。经所谓膻中者臣使之官，喜乐出焉。所以膻中者在乳之间，下令在于肾，是火居水位，得升则喜乐出焉。虽君有二火之气，论其五行造化之理，同为热也。所以左肾属水，男子以藏精，女子以系胞。右肾属火，游行三焦。兴之道，由于此故。七节之旁，中有小心，这是说命门相火也。经所谓其变凝冽，其清冰雹。其为病也，寒客心疼，腰腿痛，大关节不利，屈伸不便，苦厥逆痞坚，腹满寝汗。实证时腹胫肿，喘咳身重，汗出憎风。虚证时胸中痛，大小腹痛，清厥意不乐。王冰注解说：大小腹，大小肠也。此所谓左肾水发痛也。若夫右肾命门相火之为病，少气，疮疡疥癣，痈肿胁满，胸背首面四肢浮肿，腹胀呕逆，螈骨节痛引动注下，温疟腹中暴痛，血溢流注精液，目赤心热，则瞀昧暴痛，瞀闷懊，KT呕疮疡，惊躁喉痹耳鸣，呕涌暴注，螈暴死，瘤气结核丹，皆相火热之胜也。治疗方面，寒胜热，热胜寒。若热淫于内，治以咸寒，火所胜，平以咸冷。所以相火之下，水气承之。如寒淫于内，治以甘热，佐以甘辛。寒淫所胜，平以辛热。又说：肾苦燥，急食辛以润之。肾欲坚，食苦以坚之。所以水本寒，寒极则冰。水如地而能载物，冰发而雹雪，是水寒亢极，反似克水之土化，是谓兼化也。所谓寒病极者，反肾满也。左肾不足，济之以水，右肾不足，济之以火。所以此脏水准则静顺，不及则涸流，太过则流衍。
各种厥证、便秘、泄泻，都归属于下焦。厥谓气逆，固谓禁固。气逆则肝肾失守，失守则不能禁固，出入无时。
各种痿证、喘证、呕吐，都归属于上焦。肺是脏之长，为心之华盖。所以肺热叶焦发痿，是气郁不利。病喘……利……呕……无……谓……火……饮……
各种禁闭、鼓栗如丧神守，都归属于火。禁栗惊惑，如丧神守，悸动怔忡，皆热之内作。所以治疗应当以制……
各种痉病、项强，都归属于湿。寒湿同性，水火同居。所以足太阳膀胱经属水，而下所以湿可伤也。其……中……详……
各种逆冲向上，都归属于火。冲攻也，火气炎上，所以热甚则郁于内也。
各种躁狂越，都归属于火。胃实则四肢实而能登高也。所以四肢者诸阳之本，经所谓阳胜阴则……脉流……若火……
各种暴强直，都归属于风。炎威而害也。强劲有力、而不能和柔也。乃厥阴风木势甚而成此。王……
各种病有声，鼓之如鼓，都归属于热。腹胀大，而敲之有声如鼓者，热气甚则然也。经所谓……热胜……何以明……承气汤……
各种病肿，疼酸惊骇，都归属于火。肿，热胜于内，则伤气滞故也。疼酸，由火实制金，不……原……
各种转反戾，水液混浊，都归属于热。热气燥烁于筋，故筋转而痛应风，属于肝也。甚则吐……不止……热之气，加之以泄，湿胜也。若三气杂，乃为霍乱。所以仲景说：呕吐而利，名为霍乱。故……撩……相……井……
各种病水液，澄澈清冷，都归属于寒。水液为病寒也。所以水清净，其气寒冷，水谷不化而吐利。黄而……酸。……不化……经……云……
各种涩枯，涸干，劲皴揭，都归属于燥。涩枯者水液气衰少，血不荣于皮肉，气不通利，故皮……热……所以法说：寒能收敛，收敛则燥涩皴揭。热能纵缓，则滋荣润泽。此皆属燥金之化也。王冰注解说：物之生滑利，物之死枯涩。治疗方面，宜开通道路，养阴退阳，凉药治之。荣血通流，麻木不仁，涩涸，干劲，皴揭，皆得其所。慎勿服乌附之药。经所谓金木水火土营运之数，寒暑燥湿火风临御之化，则天道可见，民病可调。凡受诸病者，皆归于五行六气胜复盛衰之道矣。
All diseases worsen during the day and remain quiet at night; this indicates excess in Yang pathology, signifying a Qi disorder without Blood involvement. All diseases worsen at night and remain quiet during the day; (Text implies Yin/Blood pathology).
The treatise states: To observe the key principles of pathogenesis and apply the nature and function of medicinal flavors, one can then understand the root of the disease. Therefore, if treating a disease without seeking its root, one cannot eliminate the great fire hidden deep within.
The Yellow Emperor said: I wish to hear about the pathogenesis. Qibo replied: All wind diseases causing tremors and dizziness belong to the Liver. Minimizing worry and anger prevents wind from prevailing and causing movement. The Liver... [text fragment] ...the hypochondriac region, obstruction of the diaphragm and throat, difficulty in swallowing food and drink. In severe cases, tinnitus, vertigo, blindness, sudden stiff collapse, abdominal urgency and twisting pain, hypochondriac pain, vomiting, and diarrhea occur. In extreme cases, tremors, dizziness, and epilepsy manifest, with pain under both hypochondria radiating to the lower abdomen, inducing anger. In deficiency patterns, vision is blurred, and there is excessive fear, as if being pursued.
For all diseases of Liver Wood wind pathology, heat is the root, and wind is the branch. Fire does not burn by itself but flares up when encountering strong wind; the Liver is not inherently excessively hot but becomes so due to Lung Metal deficiency allowing Wood to overact. Wang Bing noted: Wind arises from Wood, and Dryness belongs to Metal transformation, thus Dryness can overcome Wind. If sudden stiff collapse occurs, treating conditions like Xiao-Dan (wasting-thirst), Pu-Ji (sudden fall), Pian-Ku (hemiplegia), and Wei-Jue (flaccidity and cold limbs) in wealthy individuals often addresses disorders caused by rich foods. When the Qi of the Five Viscera is peaceful, it manifests as Fu-He (nourishing harmony); if excessive, Fa-Sheng (growth); if deficient, Wei-He (slackening).
All pain, itching, and sores belong to the Heart. Stillness allows for divine clarity; heat excess causes swelling. The Heart is the root of life and the manifestation of Shen (Spirit). Its brilliance appears on the face, and it nourishes the vessels... [text fragment] ...rotation and houses, representing the disaster of Fire. Fire differs from Water; Water is wise, Fire is foolish. Fire's nature is violent and rapid. Pathologically, it presents as heat in the chest, dry throat, fullness in the right hypochondrium, skin pain, aversion to cold and fever, cough, spitting blood, bloody stools, epistaxis, sneezing, vomiting, changes in urine color. In severe cases, itchy sores, swelling, shoulder and back pain, pain in the supraclavicular fossa, painful ulcers with fever,惊惧 (fright/confusion), aversion to cold, trembling, delirium, sadness, forgetfulness, nasal bleeding, inappropriate laughter, sores, profuse bleeding, madness, red eyes, chest pain, hypochondriac distension and pain, pain between the chest and scapula, back pain. In deficiency, the chest and abdomen are distended, with pain radiating between the hypochondria and lower back. Treatment involves using Cold to overcome Heat. Wang Bing noted: For mild heat, use cool herbs to harmonize; for major heat, use cold herbs to remove it; for intense heat, use sweating methods. If sweating fails to resolve it, restrain it; if restraint fails, seek its belonging organ to decline it. It is also said: Strengthen the master of Water to control the sunlight. The Classic states: Qi varies in quantity, diseases vary in severity, treatments vary in urgency, and prescriptions vary in size. Thus, when Heat invades internally, treat with Salty-Cold, assist with Sweet-Bitter, astringe with Sour, and disperse with Bitter. The Heart desires softness; urgently eat Salty to soften it. Below the Ministerial Fire, Yin Essence supports it. Below the Wood Qi... therefore Fire's tyranny is great. Nothing dries things more than Fire. In summer, when Heat is extreme, things lose their scent and become moistened by Water, exuding fluids into trees and bodies. Extreme Heat leads to sweating, which is Fire extreme transforming into Water. Laypeople fail to distinguish this, mistaking non-truth for truth. If not treated at the peak, attacking the ruling Qi instead reveals ignorance of root and branch, following false images of concurrent transformation, worsening the disease and harming life. Thus, when this Zang is balanced, it shines brightly (Sheng-Ming); if excessive, it blazes (He-Xi); if deficient, it hides (Fu-Ming). Wang Bing noted: All beginnings arise from the Heart.
All dampness-induced swelling and fullness belong to the Spleen. Flavors perceive Qi transformation; Dampness excess causes loose stools. The Spleen is the official of granaries and the residence of Ying (Nutritive) Qi. It is called an vessel, capable of transforming... [text fragment] ...transformation by Wood, Earth excess is controlled by Wind. Spleen excess is treated with Dryness. Dampness is Water; Water excess causes swelling. If Water does not flow, flesh wastes away. If Dampness is above, induce vomiting with Sour herbs; if below... Thus, when Dampness prevails, balance with Bitter-Hot, assist with Sour-Acrid. Sweet-Acrid disperses through sweat. When Dampness invades internally, treat... Eat Bitter to dry it. Also: Below Earth Qi, Wood Qi... Upper half body, Dampness excess, Fire Qi stagnates... Fire circulates within, using Heat. Thus... Wind controls Earth. If Spleen Dampness obstructs Earth, Dryness... Accumulated fluid, bloating, fullness, swelling, Damp-Heat, dryness, wasting-thirst. Do not... prefer new and dislike old, always keep moist, do not let it dry out. Thus...
All Qi stagnation belongs to the Lung. Lung Qi is usually clear and smooth; Dryness excess causes dryness. The Lung is the root of Qi and the abode of Po (Corporeal Soul). Its brilliance appears in hair, and it nourishes... [text fragment] ...cough, abdominal borborygmi, watery diarrhea, counterflow cough, chest and hypochondriac fullness radiating to the lower abdomen, sudden severe pain preventing turning, dry throat, dusty complexion, bad complexion, lower back pain, hernia in men, lower abdominal pain in women, floating deficiency epistaxis, scaling of the sacrum, yin, thigh, and leg. In excess, wheezing, cough, counterflow Qi, shoulder and back pain. From sacrum to knee and leg. In deficiency, shortness of breath, inability to complete inhalation, deafness, dry throat. Treatment: Heat overcomes Dryness; Dryness arises from Metal; Heat transforms from Fire. Metal excess is controlled by Fire; Lung excess is controlled by Bitter. Also: Below Metal Qi, Fire Qi supports it. When Dryness invades internally, treat with Bitter-Warm, assist with Bitter-Acrid, purge with Bitter. If Lung Qi rebels upward, urgently eat Bitter to drain it. Wang Bing noted: To control Dryness excess, must use Bitter-Warm. Thus Metal governs Autumn and belongs to Yin, its Qi is cool. Extreme coolness brings clear weather, yet things appear dry like Fire. This is Metal extreme transforming into Fire. Thus blood and fluid depletion occurs. Dryness transformation, if extreme, causes irritability, heat, Qi stagnation, flaccidity, and weakness in hands and feet, unable to grasp. All sounds correspond to Metal Qi. Thus, when this Zang is balanced, it is just (Shen-Ping); if excessive, it hardens (Jian-Cheng); if deficient, it transforms (Cong-Ge).
All chills and fever belong to the Kidney. Water rests and nourishes, movement consumes; Cold excess causes hardness. The Kidney governs hibernation, the root of sealing and storing, the abode of Jing (Essence). Its brilliance appears in hair, and it nourishes bones. Its flavor is Salty, color Black. It is the official of strength and ingenuity, emerging from skill. It is Yin within Yin, connecting with Winter Qi. Its pulse is Stone-like. Wang Bing noted: There are two Kidneys, shaped like two beans joined, curving along the spinal ligaments, fatty outside, white inside, black surface, governing Essence storage. The Immortal Classic says: Heart is Ministerial Fire, Kidney is Ministerial Fire, indicating Kidney belongs to Fire, not Water. The Classic states: Dan-Zhong is the official of messenger, joy emerges from it. Dan-Zhong is between the breasts, orders come from the Kidney, meaning Fire resides in Water position, rising brings joy. Although there are two Fires, in Five Elements theory, they are both Heat. Left Kidney belongs to Water, storing Essence in men, binding Bao (Uterus) in women. Right Kidney belongs to Fire, circulating through San Jiao. The way of prosperity stems from this. Beside the seventh vertebral segment lies the "Small Heart," referring to Ming-Men (Gate of Life) Ministerial Fire. The Classic says its change is freezing, clear hail/snow. Pathologically, Cold invading heart pain, lower back and leg pain, joint stiffness, difficulty bending/extending, bitter cold reversal, abdominal fullness, night sweats. In excess, abdominal and shin swelling, wheezing/cough, heavy body, sweating, aversion to wind. In deficiency, chest pain, lower abdominal pain, cold extremities, unhappiness. Wang Bing noted: Lower abdomen refers to Large and Small Intestines. This is Left Kidney Water pain. If Right Kidney Ming-Men Ministerial Fire pathology: Shortness of breath, sores, scabies, abscesses, hypochondriac fullness, edema of chest/back/head/face/limbs, abdominal distension, vomiting/reversal, twitching, joint pain radiating downward, warm malaria, sudden abdominal pain, hemorrhage, seminal emission, red eyes, heart heat, confusion, sudden pain, oppression, retching, sores, fright/restlessness, sore throat, tinnitus, vomiting/diarrhea, sudden death, tumors, nodules, erysipelas—all due to Ministerial Fire excess. Treatment: Cold overcomes Heat, Heat overcomes Cold. If Heat invades internally, treat with Salty-Cold; Fire excess, balance with Salty-Cold. Below Ministerial Fire, Water Qi supports it. If Cold invades internally, treat with Sweet-Hot, assist with Sweet-Acrid. Cold excess, balance with Acrid-Hot. Also: Kidney dislikes dryness, urgently eat Acrid to moisten it. Kidney desires firmness, eat Bitter to firm it. Water is originally Cold; extreme Cold becomes Ice. Water carries things like Earth; Ice/Hail/Snow shows Water Cold extreme transforming into Earth controlling Water, called concurrent transformation. Extreme Cold disease manifests as Kidney fullness. Left Kidney deficiency, supplement with Water; Right Kidney deficiency, supplement with Fire. Thus, this Zang balances with stillness/submission (Jing-Shun); deficiency leads to dried stream (He-Liu); excess leads to overflowing water (Liu-Yan).
All Jue (reversal), constipation, and diarrhea belong to the Lower Jiao. Jue means Qi rebellion; Gu means restriction. Qi rebellion causes Liver/Kidney loss of control, leading to inability to restrict, with unregulated entry/exit.
All Wei (flaccidity), asthma, and vomiting belong to the Upper Jiao. Lung is the chief of Zang organs, covering the Heart like a canopy. Lung Heat scorches leaves causing Wei; this is Qi stagnation and obstruction. Asthma... Diarrhea... Vomiting... No... Meaning... Fire... Drink...
All inhibition, shivering, and loss of spiritual control belong to Fire. Inhibition, shivering, fright, confusion, loss of spiritual control, palpitations, and arrhythmia are all internal Heat production. Treatment should involve restraining...
All spasms and neck stiffness belong to Dampness. Cold and Damp share nature; Water and Fire coexist. Foot Taiyang Bladder Meridian belongs to Water, hence Dampness can injure it. Its... Middle... Detailed...
All rebellious rushing upward belong to Fire. Chong means attack; Fire Qi flares upward, so extreme Heat stagnates internally.
All distension and abdominal enlargement belong to Heat. Lung governs... Sheng-Ming...
All restlessness, mania, and transgression belong to Fire. Stomach excess makes limbs solid, enabling climbing high. Limbs are the root of all Yang meridians. The Classic states: Yang excess over Yin... Pulse flow... If Fire...
All sudden rigidity belong to Wind. Tyrannical and harmful. Strong and powerful, lacking flexibility. Caused by Jueyin Wind-Wood excess. Wang...
All diseases with sound, drumming like a drum, belong to Heat. Abdominal distension with drum-like sound upon percussion indicates extreme Heat. The Classic states... Heat excess... How to clarify... Cheng-Qi Tang...
All swelling, pain, sourness, fright, and terror belong to Fire. Swelling: Heat excess internally injures Qi causing stagnation. Pain/sourness: Fire excess controls Metal, not... Origin...
All twisting, convulsions, and turbid fluids belong to Heat. Heat dries and scorches sinews, causing twisting and pain responding to Wind, belonging to Liver. Severe cases spit... Unceasing... Heat Qi, added with purging, Dampness excess. If three pathogens mix, it becomes Huo-Luan (cholera). Thus Zhang Zhongjing said: Vomiting and diarrhea named Huo-Luan. Therefore... Liao... Xiang... Well...
All pathological fluids, clear and cold, belong to Cold. Fluid pathology is Cold. Thus water is pure and cold, undigested food/vomit/diarrhea. Yellow and... Sour. ...Undigested... Classic... Says...
All astringency, withering, dryness, hardness, and scaling belong to Dryness. Astringency/withering: Fluid Qi deficiency, Blood failing to nourish skin/flesh, Qi obstruction. Thus skin... Heat... Thus law says: Cold contracts; contraction causes dryness/astringency/scaling. Heat relaxes; relaxation nourishes/moistens. All belong to Dryness-Metal transformation. Wang Bing noted: Living things are slippery/smooth; dead things are dry/astringent. Treatment: Open pathways, nourish Yin, retreat Yang, use Cool herbs. Nutritive Blood flows, numbness/anesthesia, astringency/dryness/scaling all find their place. Carefully avoid Wu-Tou (Aconite) herbs. The Classic states: The operational numbers of Metal/Water/Fire/Wood/Earth, and the governing transformations of Cold/Summer Heat/Dryness/Dampness/Fire/Wind, reveal Heavenly Dao and allow adjustment of people's diseases. All diseases received return to the Way of Five Elements and Six Qi victory/defeat and abundance/decline.