寒气 炅气 喜气 怒气 劳气 思气 悲气 恐气 惊气
一气触为九寒炅，喜怒劳思悲恐惊。寒收外束腠理闭，炅泄内蒸腠理通，喜则气缓
虚极散，劳耗思结气难行，怒气逆上甚呕血，下乘脾虚飧泻成，恐则气下伤精志，惊心无
倚乱怔忡，悲消荣卫不散布，壮行弱着病丛生。
【注】一气流行不为邪触，何病之有？若为寒触，外束皮肤，腠理闭、其气收矣，即
寒病也。炅火也。若为火触，热蒸汗出，腠理开，其气泄矣，即暑病也。若为喜触，喜
则气和志达，其气缓矣。素中虚极者，缓则气散，即暴脱也。若为劳触，劳则喘息，且
汗出，其气耗矣，即劳倦也。若为思触，心有所存，气留不行，其气结矣，即郁气也。若
为怒触，怒则气逆甚呕血，其气上矣。上极而下乘脾之虚，则为飧泄也。若为恐触，恐
则精却伤精志，其气下矣。若为惊触，心无所根据，神无所归，虑无所定，其气乱矣。怔
忡心动，不安之病也。若为悲触，心肺气戚，荣卫不散，其气消矣。凡此九气丛生之病，壮
者得之气行而愈，弱者得之气着为病也。
短气气短不能续，少气气少不足言，气痛走注内外痛，气郁失志怫情间，上气气逆
苏子降，下气气陷补中宣，臭甚伤食肠胃郁，减食消导自然安。
【注】短气者，气短而不能续息也；少气者，气少而不能称形也，皆为不足之证。气
痛者，气为邪阻，气道不通，或在经络，或在脏腑，攻冲走注疼痛也。上气乃浊气上逆，
下气为清气下陷。气郁者，或得于名利失志，或得于公私怫情，二者之间也。浊气上逆，苏
子降气汤。清气下陷，补中益气汤，甚者加诃子、五味子。然清气下陷，下气不甚臭秽，
惟伤食下气，其臭甚秽，乃肠胃郁结，谷气内发，而不宣通于肠胃之外。郁在胃者，上
噫气也；郁在肠者，下矢气也。补中益气汤，方见内伤门。
寒气、热（炅）气、喜气、怒气、劳气、思气、悲气、恐气、惊气。
一气受到触动可转化为九种病气：寒、热、喜、怒、劳、思、悲、恐、惊。
寒气使腠理收缩，导致体表毛孔闭塞；热气使腠理开泄，导致汗出通畅。
喜悦过度则气机舒缓，若极度虚弱则气散而暴脱；
劳累过度则耗伤正气，思虑过度则气机郁结难行；
愤怒过度则气机上逆，严重时可致呕血，或下陷损伤脾气导致完谷不化的腹泻；
恐惧过度则气机下陷，损伤肾精与意志；
惊恐过度则心神无依，导致神志慌乱、心悸怔忡；
悲伤过度则消耗荣卫之气，使其不能正常布散。
身体强壮者，气机运行顺畅即可痊愈；身体虚弱者，气机停滞则疾病丛生。
【注释】
一气正常运行而不受邪气触动，怎么会生病呢？
如果受到寒气触动，寒气束缚皮肤，腠理闭塞，气机收敛，这就是寒病。
“炅”即火。如果受到火热触动，热气蒸腾导致出汗，腠理开泄，气机外泄，这就是暑病。
如果受到喜乐触动，喜乐使气和顺、志意通达，气机舒缓。原本极度虚弱的人，气机舒缓后会导致气散，这就是暴脱证。
如果受到劳累触动，劳累导致喘息且出汗，气机耗损，这就是劳倦证。
如果受到思虑触动，心意执着于某事，气机停留不行，气机郁结，这就是郁气证。
如果受到愤怒触动，愤怒导致气机上逆，严重时呕血，气机向上。极盛之后向下乘袭脾土之虚，就会形成飧泄证。
如果受到恐惧触动，恐惧导致精气退缩、损伤肾精与意志，气机下沉。
如果受到惊吓触动，心无所依托，神无所归附，思虑无所定夺，气机紊乱。怔忡是心动不安的病证。
如果受到悲伤触动，心肺之气抑郁，荣卫之气不能布散，气机消减。
以上九种气机失调引发的疾病，身体强壮者得之，因气机运行而痊愈；身体虚弱者得之，因气机停滞而成病。
短气是指呼吸短促、气息不能接续；少气是指气息微弱、不足以言语，二者都属于虚证。
气痛是指气被邪气阻滞，气道不通，疼痛在经络或脏腑间攻冲走注。
上气是指浊气上逆，可用苏子降气汤治疗；
下气是指清气下陷，可用补中益气汤升提宣通；
排气气味恶臭多因饮食停滞、肠胃郁结所致，通过消食导滞自然能安和。
【注释】
短气，是呼吸短促而不能接续呼吸；少气，是气息微弱不足以形容身形状态，两者都是不足（虚）的证候。
气痛，是气被邪气阻滞，气道不通畅，或在经络，或在脏腑，出现攻冲走注性质的疼痛。
上气是浊气上逆，下气是清气下陷。
气郁证，有的是因为追求名利不得志引起，有的是因为公私事务导致情绪抑郁，介于这两者之间。
浊气上逆，用苏子降气汤。清气下陷，用补中益气汤，严重的加诃子、五味子。
然而清气下陷导致的排气，气味不甚臭秽；只有伤食导致的下气，气味非常臭秽，这是肠胃郁结，谷气内发，但不能宣通于肠胃之外。
郁结在胃的，表现为打嗝（噫气）；郁结在肠的，表现为放屁（矢气）。补中益气汤，方剂见内伤门。
Cold Qi, Hot Qi (Jing Qi), Joyful Qi, Angry Qi, Laborious Qi, Pensive Qi, Grieving Qi, Fearful Qi, Startled Qi.
One Qi, when triggered, manifests as nine pathogenic factors: Cold, Heat, Joy, Anger, Labor, Thought, Grief, Fear, and Fright.
Cold causes contraction and external binding, closing the interstices (Cou Li); Heat causes leakage and internal steaming, opening the interstices.
Joy relaxes the Qi; if deficiency is extreme, the Qi scatters, leading to sudden collapse.
Labor consumes the Qi; Thought knots the Qi, making it difficult to circulate.
Anger causes Qi to rebel upward, potentially leading to vomiting blood; if it descends to attack the Spleen's deficiency, it results in undigested stool diarrhea (Sun Xie).
Fear causes Qi to sink downward, damaging Essence and will.
Fright leaves the Heart without support, causing chaotic Spirit and palpitations (Zheng Chong).
Grief dissipates Ying and Wei Qi, preventing their distribution.
In robust individuals, the Qi flows and recovers; in weak individuals, the Qi stagnates and disease arises.
[Annotation]
If One Qi circulates normally without being touched by pathogens, how could disease occur?
If touched by Cold, it binds externally on the skin, closing the interstices and causing Qi to contract; this is a Cold disease.
"Jing" refers to Fire. If touched by Fire, heat steams internally causing sweating, opening the interstices and causing Qi to leak; this is a Summerheat disease.
If touched by Joy, Joy harmonizes Qi and reaches the will, relaxing the Qi. For those with extreme underlying deficiency, relaxation leads to Qi scattering, known as sudden collapse.
If touched by Labor, labor causes panting and sweating, consuming the Qi; this is Fatigue/Labor exhaustion.
If touched by Thought, the mind retains focus, Qi stays and does not move, knotting the Qi; this is Stagnant Qi.
If touched by Anger, anger causes Qi to rebel upward, severely leading to vomiting blood, with Qi moving up. When it reaches its peak and descends to attack the Spleen's deficiency, it becomes Sun Xie (undigested stool diarrhea).
If touched by Fear, fear causes Essence to retreat and damage Essence and will, with Qi sinking downward.
If touched by Fright, the Heart has no foundation, the Spirit has no return, and thoughts have no fixation, causing Chaotic Qi. Zheng Chong (palpitations) is a disease of restless Heart movement.
If touched by Grief, Lung and Heart Qi become depressed, Ying and Wei do not disperse, and Qi diminishes.
For these nine diseases arising from Qi disturbances, the robust recover through Qi circulation, while the weak suffer from Qi stagnation.
Shortness of Qi (Duan Qi) refers to short breaths that cannot continue; Deficiency of Qi (Shao Qi) refers to insufficient breath that cannot be spoken. Both are deficiency syndromes.
Qi Pain refers to pain caused by Qi obstruction by pathogens, where the Qi pathway is blocked, either in the meridians or zang-fu organs, presenting as migrating and attacking pain.
Upper Qi refers to turbid Qi rebelling upward, treated with Su Zi Jiang Qi Tang (Perilla Fruit Decoction to Direct Qi Downward).
Lower Qi refers to clear Qi sinking downward, treated with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) to raise and diffuse.
Foul-smelling flatulence indicates food retention and gastrointestinal stagnation; digestive promotion brings natural relief.
[Annotation]
Shortness of Qi means short breaths unable to continue respiration; Deficiency of Qi means breath too weak to describe the body's state; both are insufficiency syndromes.
Qi Pain occurs when Qi is obstructed by pathogens, blocking the Qi pathway, located in meridians or zang-fu organs, manifesting as migrating and attacking pain.
Upper Qi is turbid Qi rebelling upward; Lower Qi is clear Qi sinking downward.
Qi Stagnation may arise from frustration over fame and profit, or from suppressed emotions regarding public and private matters.
Turbid Qi rebelling upward is treated with Su Zi Jiang Qi Tang. Clear Qi sinking downward is treated with Bu Zhong Yi Qi Tang; severe cases add He Zi (Chebulae Fructus) and Wu Wei Zi (Schisandrae Chinensis Fructus).
However, flatulence from sinking clear Qi is not very foul-smelling; only flatulence from food retention is extremely foul-smelling. This is due to gastrointestinal stagnation where Grain Qi emerges internally but fails to diffuse outside the intestines.
Stagnation in the Stomach manifests as belching (Yi Qi); stagnation in the Intestines manifests as flatus (Shi Qi). Bu Zhong Yi Qi Tang is found in the Internal Injury chapter.