五福饮(新补六) 养中煎(新热四) 八珍汤(补十九) 理中汤(热一) 理阴煎(新热三)
大营煎(新补十四) 小营煎(新补十五) 四君子汤(补一) 五君子煎(新热六) 大温中饮
(新散八) 一柴胡饮(新散一) 二柴胡饮(新散二) 三柴胡饮(新散三) 正柴胡饮(新散六)
十全大补汤(补二十) 补中益气汤(补三十) 补阴益气煎(新补十六) 三阴煎(新补十一)
五阴煎(新补十三)
《六节藏象论》曰∶人迎一盛病在少阳,二盛病在太阳,三盛病在阳明,四盛以上为格
阳。寸口一盛病在厥阴,二盛病在少阴,三盛病在太阴,四盛以上为关阴。人迎与寸口俱盛
四倍以上为关格。关格之脉羸,不能极于天地之精气,则死矣。
《终始篇》曰∶人迎一盛,病在足少阳;一盛而躁,病在手少阳。人迎二盛,病在足太
阳;二盛而躁,病在手太阳。人迎三盛,病在足阳明;三盛而躁,病在手阳明。人迎四盛,
且大且数,名曰溢阳,溢阳为外格。脉口一盛,病在足厥阴,一盛而躁,在手心主。脉口二
盛,病在足少阴,二盛而躁,在手少阴。脉口三盛,病在足太阴,三盛而躁,在手太阴。脉
口四盛,且大且数者,名曰溢阴,溢阴为内关,内关不通,死不治。人迎与太阴脉口俱盛四
倍以上,命曰关格,关格者,与之短期。以上俱有刺法,详载《类经·针刺类》。
《禁服篇》曰∶寸口主中,人迎主外,两者相应,俱往俱来,若引绳大小齐等。春夏人
迎微大,秋冬寸口微大,如是者,名曰平人。人迎四倍者,且大且数,名曰溢阳,溢阳为外
格,死不治。必审按其寒热,以验其脏腑之病。寸口四倍者,名曰内关,内关者,且大且数
,死不治。必审察其本末之寒温,以验其脏腑之病。
《脉度篇》曰∶五脏不和则七窍不通,六腑不和则留结为痈。故邪在腑则阳脉不和,阳
脉不和则气留之,气留之则阳气盛矣。阳气太盛则阴不利,阴脉不利则血留之,血留之则阴
气盛矣。阴气太盛,则阳气不能荣也,故曰关。阳气太甚,则阴气弗能荣也,故曰格。阴阳
俱盛,不得相荣,故曰关格。关格者,不得尽期而死也。
五福饮(新补六) 养中煎(新热四) 八珍汤(补十九) 理中汤(热一) 理阴煎(新热三)
大营煎(新补十四) 小营煎(新补十五) 四君子汤(补一) 五君子煎(新热六) 大温中饮
(新散八) 一柴胡饮(新散一) 二柴胡饮(新散二) 三柴胡饮(新散三) 正柴胡饮(新散六)
十全大补汤(补二十) 补中益气汤(补三十) 补阴益气煎(新补十六) 三阴煎(新补十一)
五阴煎(新补十三)
人参养营汤(补二一) 当归黄 [芪] 汤(补九七 热渴脉虚)
《素问·六节藏象论》说:人迎脉(颈部动脉,候阳经之气)比寸口脉大一倍,病在少阳经;大两倍,病在太阳经;大三倍,病在阳明经;大四倍以上为格阳证。寸口脉(手腕桡动脉,候阴经之气)比人迎脉大一倍,病在厥阴经;大两倍,病在少阴经;大三倍,病在太阴经;大四倍以上为关阴证。人迎脉与寸口脉都大四倍以上,称为关格证。关格证的脉象羸弱,不能承受天地精气的滋养,就会死亡。
《灵枢·终始篇》说:人迎脉大一倍,病在足少阳经;一倍且躁动不安,病在手少阳经。人迎脉大两倍,病在足太阳经;两倍且躁动不安,病在手太阳经。人迎脉大三倍,病在足阳明经;三倍且躁动不安,病在手阳明经。人迎脉大四倍,而且盛大且数急,名叫溢阳,溢阳属于外格证。脉口(即寸口脉)大一倍,病在足厥阴经,一倍且躁动不安,病在手厥阴心包经。脉口大两倍,病在足少阴经,两倍且躁动不安,病在手少阴经。脉口大三倍,病在足太阴经,三倍且躁动不安,病在手太阴经。脉口大四倍,而且盛大且数急的,名叫溢阴,溢阴属于内关证,内关不通,无法治疗,会死亡。人迎脉与太阴脉口(寸口脉)都大四倍以上,命名为关格,关格证的人,寿命不长。以上都有针刺治疗方法,详细记载在《类经·针刺类》中。
《灵枢·禁服篇》说:寸口脉主要反映内脏病变,人迎脉主要反映体表病变,两者相应,往来协调,像拉紧的绳子一样大小均衡。春夏季节人迎脉略微偏大,秋冬季节寸口脉略微偏大,像这样的人,叫做平人(健康人)。人迎脉大四倍,而且盛大且数急,名叫溢阳,溢阳属于外格证,无法治疗,会死亡。必须仔细诊察其寒热症状,以验证脏腑的病变。寸口脉大四倍,名叫内关,内关证,而且盛大且数急,无法治疗,会死亡。必须仔细考察其本末的寒温变化,以验证脏腑的病变。
《灵枢·脉度篇》说:五脏功能不和则七窍不通畅,六腑功能不和则气机留滞结聚形成痈肿。所以邪气在腑则阳脉不和,阳脉不和则气机停留,气机停留则阳气亢盛。阳气太盛则阴气不利,阴脉不利则血行留滞,血行留滞则阴气亢盛。阴气太盛,则阳气不能荣养,所以叫关。阳气太甚,则阴气不能荣养,所以叫格。阴阳俱盛,不能相互荣养,所以叫关格。关格证的人,不能享尽天年而死。
Wufu Yin (New Supplement Six) Yangzhong Jian (New Heat Four) Bazhen Tang (Supplement Nineteen) Lizhong Tang (Heat One) Liyin Jian (New Heat Three) Daying Jian (New Supplement Fourteen) Xiaoying Jian (New Supplement Fifteen) Sijunzi Tang (Supplement One) Wujunzi Jian (New Heat Six) Dawenzhong Yin (New Disperse Eight) Yichaihu Yin (New Disperse One) Erchaohu Yin (New Disperse Two) Sanchaohu Yin (New Disperse Three) Zhengchaihu Yin (New Disperse Six) Shiquan Dabu Tang (Supplement Twenty) Buzhong Yiqi Tang (Supplement Thirty) Buyin Yiqi Jian (New Supplement Sixteen) Sanyin Jian (New Supplement Eleven) Wuyin Jian (New Supplement Thirteen)
Renshen Yangying Tang (Supplement Twenty-One) Danggui Huangqi Tang (Supplement Ninety-Seven, for heat, thirst, and deficient pulse)
The *Suwen: Liu Jie Zang Xiang Lun* states: When the Renying pulse (neck artery, reflecting yang meridians) is one-fold larger than the Cunkou pulse (wrist radial artery, reflecting yin meridians), the disease is in the Shaoyang meridian; two-folds larger, it is in the Taiyang meridian; three-folds larger, it is in the Yangming meridian; four-folds or more larger indicates Ge Yang syndrome. When the Cunkou pulse is one-fold larger than the Renying pulse, the disease is in the Jueyin meridian; two-folds larger, it is in the Shaoyin meridian; three-folds larger, it is in the Taiyin meridian; four-folds or more larger indicates Guan Yin syndrome. When both the Renying and Cunkou pulses are four-folds or more larger, it is called Guan Ge syndrome. The pulse of Guan Ge syndrome is emaciated; unable to sustain the essence and qi of heaven and earth, death ensues.
The *Lingshu: Zhong Shi Pian* states: When the Renying pulse is one-fold larger, the disease is in the Foot Shaoyang meridian; if one-fold larger and restless, the disease is in the Hand Shaoyang meridian. When the Renying pulse is two-folds larger, the disease is in the Foot Taiyang meridian; if two-folds larger and restless, the disease is in the Hand Taiyang meridian. When the Renying pulse is three-folds larger, the disease is in the Foot Yangming meridian; if three-folds larger and restless, the disease is in the Hand Yangming meridian. When the Renying pulse is four-folds larger, and also large and rapid, it is named Yi Yang (Overflowing Yang); Yi Yang constitutes Wai Ge (External Obstruction). When the Maikou (Cunkou) pulse is one-fold larger, the disease is in the Foot Jueyin meridian; if one-fold larger and restless, it is in the Hand Jueyin (Pericardium) meridian. When the Maikou pulse is two-folds larger, the disease is in the Foot Shaoyin meridian; if two-folds larger and restless, it is in the Hand Shaoyin meridian. When the Maikou pulse is three-folds larger, the disease is in the Foot Taiyin meridian; if three-folds larger and restless, it is in the Hand Taiyin meridian. When the Maikou pulse is four-folds larger, and also large and rapid, it is named Yi Yin (Overflowing Yin); Yi Yin constitutes Nei Guan (Internal Obstruction). If Nei Guan does not unblock, death is incurable. When both the Renying and Taiyin Maikou (Cunkou) pulses are four-folds or more larger, it is named Guan Ge. Those with Guan Ge have a short life expectancy. Acupuncture methods for all the above are detailed in *Lei Jing · Ci Zhen Lei*.
The *Lingshu: Jin Fu Pian* states: The Cunkou pulse primarily reflects interior diseases, while the Renying pulse primarily reflects exterior diseases. They should correspond to each other, moving together harmoniously, like a taut rope of equal tension. In spring and summer, the Renying pulse is slightly larger; in autumn and winter, the Cunkou pulse is slightly larger. Such individuals are called Ping Ren (healthy persons). If the Renying pulse is four-folds larger, and also large and rapid, it is named Yi Yang; Yi Yang constitutes Wai Ge, which is incurable and leads to death. One must carefully examine cold and heat symptoms to verify zang-fu diseases. If the Cunkou pulse is four-folds larger, it is named Nei Guan. Nei Guan, characterized by being large and rapid, is incurable and leads to death. One must carefully investigate the cold and warmth of the root and branch to verify zang-fu diseases.
The *Lingshu: Mai Du Pian* states: When the five zang organs are not in harmony, the seven orifices become obstructed; when the six fu organs are not in harmony, qi stagnation and knotting form abscesses. Therefore, if pathogenic factors are in the fu organs, the yang pulses are disharmonious; if yang pulses are disharmonious, qi stagnates; if qi stagnates, yang qi becomes excessive. If yang qi is too excessive, yin is disadvantaged; if yin pulses are disadvantaged, blood stagnates; if blood stagnates, yin qi becomes excessive. If yin qi is too excessive, yang qi cannot nourish, hence termed Guan (Obstruction). If yang qi is too excessive, yin qi cannot nourish, hence termed Ge (Rebellion/Obstruction). When both yin and yang are excessive and cannot mutually nourish, it is termed Guan Ge. Those with Guan Ge will die before their natural lifespan ends.