另解厥阴二阴藏精血（卦象震），一阳鼓动四肢健，厥阴如若伤一阴（变成病态离卦精津受伤，消渴气上要撞心，心中痛热饥不食（卦象兑，震卦中爻被邪热填实），如若一阳再有伤（病态坤卦），下利不止胃肠伤。
总之，六经辨证不越阴阳二字，就在阴阳上下功夫。辨清阴阳治疗就会易如反掌，当今的大多数疑难病参合六经辨证就会迎刃而解。
第四章 阴阳辩证法则
第一节 阴阳辩证1
阴阳辩证金口诀
阴证
唇口青白目无神，声低息短但欲寐，身重懒言体畏寒，饮食无味吐清水，舌质青滑或黑润，苔白浅黄润滑色，津液满口不思饮，口渴思饮不欲咽，或者口渴喜热饮，小便清长大便溏， 口气腥臭寒热杂，寒多热少食不下，脉息无神是阴证。舌虽无苔但口润，二便自利口不渴，专注回阳无差错
阳证
阴虚面目唇口红，精神不倦不知眠，口臭气粗声音亮，恶热身轻大便干，溲赤黄短多艰难，口渴饮冷饮不休，六脉长大有力气，舌苔干黄或黑黄，全无津液满口刺，烦躁潮热或盗汗，干咳多痰或少痰，脉息有神是阳证。口渴饮冷身发热，二便不利烦谵语，身冷如冰形如死，此是热极内潜伏，阳不达外似纯阴，此时还需验口气，口气虽微热气蒸，舌根虽红但不青，急宜攻下存津液，莫认阴证误性命。
第二节 阴阳辩证真假杂病决2
阴寒阳热是阴阳，只在真假作文章，真热口渴小便黄，有神烦躁不安宁。真寒溲频面色苍，无神倦怠但欲寐。真热口渴喜冷饮，假热漱水不欲咽，真热便干面红赤。假热面赤溲清长，真热息热气粗长，真寒息冷气短微。真热舌焦苔干黄，真寒舌青苔水滑。阴极似阳属戴阳，阳极似阴肢冰霜。真假寒热来斟酌，阴证阳证明显了，真热阳证苦甘寒，真寒阴证温热汤。识得阴阳造化机，疑难杂病有处医。先天立极是水火，水火既济无沉疴。脾阳虚衰大便溏，肝脏因此遭了殃，乙肝病毒逞威风，附子干姜作文章。肾阳虚衰小便频，精微下泻眸不润，头昏腰痛也是因，回阳救逆四逆汤。白血病是阴寒邪，寒彻骨髓白C增， 西医只知杀白C，徒将阳气杀戮尽。此病中医少阴病，太少两感麻附辛，少阴虚寒四逆汤，简便廉验神功显。艾滋病是阴阳离，西医验血便可知，常人验血一条线，艾滋血液两分离。阴平阳秘精神治，阴阳离绝精神绝，和合阴阳中医药，简、便、廉、验最神奇。
八卦涵盖天和地，解说物理很容易，三爻成卦八纯卦，三爻组成一个卦。
一阴阴少为少阴（卦象离），二阳抱阴是为心（离），二阴抱阳这是肾（坎）。少阴阴中藏精津，少阴伤阳肢不伸（阳气减），恶寒、踡卧但欲寐，虚阳外越舌头根，扁桃体大要发热，头昏、头胀高血压，四肢逆冷成之因，坎阳被伤变成坤，死气沉沉谁知因？四逆汤来扶坎阳，少阴寒化无处藏。少阴阴伤精津损，烦躁口渴饮冷饮，溲赤短少是其因，黄连阿胶来煎尝。
太阳阳多三个阳（卦象乾，健也），在人体表护卫强，太阳病则阳被困，郁而发热是其因，脾阳充足不出汗，麻黄汤药急急煎，汗出寒散表自健。脾阳不足肌腠疏，恶风汗出营卫虚，桂枝汤煎可解除，如若少阴阳气虚，寒邪直入少阴病，太阳少阳病合成。
阳明阳多两个阳（卦象离），再加一阳（郁热）阳明伤（病态乾卦），阳明经证烦躁渴，新病大便未结实，白虎汤方就好使，阳明久病胃家实，燥实痞满可兼出，三承气汤因证施。
少阳阳少一个阳（卦象坎），精汁内藏泻则祥，为病湿困和郁热（卦象艮），但藏不泻胆遭殃，三焦不通水道闭，决瀆失职病少阳。往来寒热小柴胡，太阴湿困要燥湿，半夏苍术苡仁使。
太阴阴多三个阴（卦象坤），阴中藏有精气神，脾为运化之官职，五谷精微靠其运，湿多困脾太阴病，腹满咳嗽是其因。太阴腹满便不下，大黄附子细辛下，阳黄就用茵陈蒿，阴黄再把术附加。太阴阴伤大便结，麦味理中重用术。
厥阴二阴藏精血（卦象震），一阳鼓动四肢健，厥阴如若伤一阴，消渴气上要撞心，心中痛热饥不食，如若一阳再有伤，下利不止胃肠伤。厥阴之病寒热杂，权衡寒热阴阳施。
厥阴另解，厥阴一阳托二阴（卦象震）寒入厥阴伤一阳，厥阴太阴为邻乡，阳伤脾职失健运，湿困太阴脾阳陷，消渴引饮溲长清。热入厥阴伤一阴，口渴烦躁谵语因。病（或寒或热）入厥阴寒热杂，姜附椒柏乌梅下。
第五章 澄空阴阳辩证用药金口诀1
第一节
澄空治病辨阴阳，用药参合阴阳伤。大便稀溏脾阳伤，干姜温中健脾阳。口渴引饮溲清长，此是坎中一阳伤，津不上承口和咽，回阳化气四逆汤。四逆汤中用附姜，生炙甘草来帮忙。生姜多汁入脾脏，辛热醒脾祛湿忙。饥不欲食胃阴伤，一贯煎汤来煎尝。燥实痞满四证现，急下存阴莫迟缓。舌体胖大有齿痕，此是湿伤脾太阴，苍术薏苡和半夏，燥湿健脾功堪夸。肺为娇脏不耐寒，寒邪伤肺咳嗽连，宣肺散寒是关键，麻黄汤可急急煎。肺为娇脏不耐热，热邪伤肺痰黄结，宣泄肺热方法可，麻杏石膏汤煎喝。发热无寒病太阳，宣肺散寒麻黄汤，汗出恶风营卫虚，桂枝汤方煎来嘘。无热恶寒病少阴，附子姜草四逆汤，若兼咳嗽麻附辛，或者麻辛四逆汤。
第二节
澄空药性论阴阳，辛甘发散热性阳，苦甘酸寒阴药商。阴证就用阳性药，阳证苦甘寒药商。太阴之病食不下，咳嗽腹满也是他。太阴湿土需燥化，苍术苡仁和半夏。 湿重热轻用附姜，湿去热将无处藏。热重于湿四妙散，祛湿清热功来现。茵陈汤祛阳黄，阴黄再加术附汤。少阴之病但欲寐，畏寒蜷卧脉微细。
少阴虚寒用附姜，生炙甘草来帮忙。太（阳）少两感麻附辛，少阴虚寒四逆汤。从阳化热渴燥烦，黄连阿胶汤来煎。厥阴寒热药错杂，附子姜椒连柏下。太阳寒水需温化，桂枝麻黄姜枣加。发热无汗太阳病，无热恶寒病少阴。恶风有汗桂枝汤，发热无汗麻黄汤。太阳蓄水五苓散，蓄血就用桃核承气汤。太阳寒水为何因，少阴虚寒气化亏。少阳寒热要往来，小柴胡汤用应该。 或者当归四逆汤，鼓足阳气邪祛外。 阳明之病胃家实，三承气汤因证施。阳明经证便未结，白虎汤方去实热。
第六章 中医杂论
中医“气化论”、“识证论”、“治疗论”、“百病概论”
人身水火一团气，内营脏腑外卫体，通达九窍温肢体，奈何世人不自知，贪凉饮冷损元气。一日二日无大碍，久而久之气息低，寒凉上干太阴肺，咳嗽呼吸不流利，下干太阴脾失运，清浊不分飧泄起，脾阳损伤大便溏，肝脏因此要遭殃，精微不摄要硬化，胃肠寒热粘膜伤，久而久之要溃疡。清窍不营多病变，目失光明耳失聪。远离五谷食鱼肉，罪孽深重日日积，脂垢堵塞清窍道，不遂肢体蹒跚起，更有青年贪淫欲，少阴虚寒精髓虚，脾阳郁陷精微泄，消渴之病要发作，精伤百病因而起。内伤之后要外感，百病皆因风而起，六经病证内经有，伤寒杂病论仔细。七情伤人气紊乱，情病还需情来医。自然六气来养人，太过不及成淫理。 澄空中医从气论，百病心中了了的。用药就分阴和阳，识证也不阴阳离，阴阳辩证仔细详，次分六经与腑脏，以证类病无处藏，阴阳体质是根本，疾病是标记心上，颠倒阴阳祸患藏，阴证就用温热药，阳证苦甘寒药商， 阴阳错杂寒热药，湿盛还需热药上。先天立极是水火，水火既济无沉疴。水火既济气化成，天天夜里香甜梦，火水未济要失眠，神魂颠倒不堪言。易经经传传阴阳，一阴一阳书中藏，万病不离阴和阳，离开阴阳无文章。圣贤真传一句话，愚者万卷藏书箱。不明阴阳莫谈医，误人害命应要知。人若识得此种妙，贵躯岂用托庸医？
一总论：
五脏皆因气化生，六腑功能气化成。心肾气化记性好，二便开合百脉通。六经气化五脏藏，六腑通泄浊气通。
二：分论
太阳气化寒不入，分清泌浊是其功，膀胱气化尿液出，气化不成溲不通。
阳明气化气血生，胃腑腐熟五谷行，大肠气化液化生，糟粕排泄病不生。气化不利要发热，便闭腹胀口渴重。
少阳气化精汁生，入腑脂垢分解功，气化不利胆汁阻，胆囊结石要发生。三焦气化脏腑和。气化不利杂病生。
太阴（ 肺脾）气化呼吸好，脾土气化运微精，血在脉中不失营。气化不利血外溢，肌衄、齿衄、月事多。肺金气化呼吸畅，咳嗽之病不能生，鼻塞多因寒阻肺，气化不利出涕清，温肺散寒实脾经。寒郁化热鼻涕黄，久而久之鼻渊生，治疗之法散郁热，宣肺化痰鼻窍通。
心肾相交气化成，少阴气化百脉通，津液上承咽喉润，心主血脉肾水充，肾司二便阳之功。心肾不交要失眠，气化不成百脉蹇。
厥阴气化肝血藏，日充五脏夜藏魂，心包之经气温煦，心血源源循环行，失化血溢脉不藏。心包受寒血失温，心血难以周流行。
临床病证各论（随兴起笔）
诊病治病标准
中医本身就是一个阴阳问题，谁离开了阴阳谈标准，谁的标准就不标准，就像我在中国中医研究院听一个中医博士生导师讲课时他说要制定中风的用药标准，马上就有人说：“用你的标准，疗效有多少？ ”，的确中医讲究疗效，尤其是长期疗效，能否在治此病时，间接治疗尚未发生的病？ 答案是肯定的。因为出色的中医就是一个阴阳家，能看到疾病的“过去”，“现在”和“未来”。这三者就是《易经》讲的三才，有人说中医不用学《易经》，不学《易经》行吗？连阴阳都不懂，还谈什么中医？ 三才都不知道？怎么谈人体？ 不要忘记“人”头顶天，脚踏地，人立天地之间，上为天、中为人、下为地。这天人地就是三才。不懂五运六气行吗？不懂五运六气怎么因时制宜？ 不懂风水行吗？风水讲：“山环水抱必有气”，这气就是阳气也就是生气。我们选择聚居条件时首先要考虑太阳光线的多少，太阳是阳，加于某一地才能化气产生阳气，这样其能否留住就看是否背靠大山。饮食也是如此，多食寒凉就伤阳气，阳气一伤，百病丛生。因此中医的标准就是能够彻晓阴阳，因此要通晓《易经》，知道简易（用简单的方子治病）、不易(千古不变的真理：破阴寒回阳气，存阴精），变异（随时、随地方，因人的体质用药知常达变）的道理，熟读《内经》、《伤寒杂病论》、《神农本草经》。具体操作上，治病先分阴阳二证，次分六经（十二经络尽在其中）属何经，然后分经用药（阴证要用温热药，阳证用苦甘寒药）施治。这是我用的方法，疗效大家可以看医案，我不多说，许多临床大家也都是这么用。大家看这个标准行吗？
中医的规律：
中医的规律就是阴阳的消长，阳气消则阴寒（邪）长，病增；阳气长则阴寒（邪）消，病退。阴精足则阳气足，阳气足则阴精得以固摄，阴精为阳气之根，不可亏，亏则冬伤于寒，春生温病。
简单说脉诊
脉诊在中医诊病中只能算巧，下工之法。古人说：望而知之谓之神，闻而知之谓之圣，问而知之谓之工，切而知之谓之巧。既然很多人这么神秘切脉。我就简单说一说脉诊。切脉是根据脉的位、数、形、势来断病的。
脉位就是寸、关、尺、浮、中、沉。寸看心肺头，关看脾胃，尺看肝肾腿足膀胱。浮取看心、 肺、头，中取看脾胃，沉取看肝肾。看脉之上工，并不必分严格左右手。
数（数率）： 就是脉跳的频率。用医生的呼吸算，一呼一吸四至（跳四下闰一下为五）为缓脉。脉和缓沉取有力就是正常脉。一息六至为数脉，七至以上为疾脉。
形：就是脉的形状。
势：就是脉的力度。
然后以六脉统领二十八脉。
六脉：浮、沉、迟、数、虚、实。
浮脉类：浮濡洪芤革散
沉脉类：沉伏牢弱。
迟脉类：迟缓涩结
数脉类：数促疾动豆
虚脉类：虚微细代短。
实脉类：实滑紧长弦。
具体规则：浮沉以求表里，迟数以求寒热真假以求属于阳证或者阴证。有力无力以求虚实。我在临床中主要是据内经理论：“阴平阳秘精神乃治”，看寸关尺之太过与不及，太过是实证，不及是虚证。但求和缓有根。有根就是尺脉有力。数而有力有根是阳证实热，数而无力是阴精不足的虚证，迟而无力无根是虚寒阴证。再看尺肤之寒热，参见二便辨清阴阳之证。
举一例来说明：临床上来一患者，坐诊医师都必须试脉，否则医术再高，患者也不相信你，首先的第一感觉是尺肤的寒温，如果尺肤寒，接下来，看寸脉数而且力度大于关尺，这时就可以断患者：头昏、头胀、心慌、乏力、腿沉重甚至腰痛。病人一般会说断得不错。为什么呢？ 寸脉数上有热，热则头胀，因为寸脉管头、心肺。而关尺力度少，就可以断患者脾胃运化无力、 肝血不足，肾阳亏虚。此例寸脉数也是假的，那是因为肾阳亏虚，虚阳外越。其他脉以此类推。
怎么体会脉的来、去呢？
另解厥阴二阴藏精血（卦象震），一阳鼓动四肢健，厥阴如若伤一阴（变成病态离卦精津受伤，消渴气上要撞心，心中痛热饥不食（卦象兑，震卦中爻被邪热填实），如若一阳再有伤（病态坤卦），下利不止胃肠伤。
另一种解释：厥阴经包含两个阴爻，主藏精血（其卦象为震卦）。只要有一个阳爻鼓动，四肢就能保持健康。如果厥阴损伤了其中的一个阴爻（这就变成了病态的离卦，意味着精液和津液受损，出现消渴症，气机上冲撞击心脏，心中疼痛发热却不想吃东西，其卦象为兑卦，这是因为震卦中间的阳爻被邪热填塞充实），如果那个阳爻再受到损伤（这就变成了病态的坤卦），就会导致腹泻不止，损伤胃肠。
总之，六经辨证不越阴阳二字，就在阴阳上下功夫。辨清阴阳治疗就会易如反掌，当今的大多数疑难病参合六经辨证就会迎刃而解。
总而言之，六经辨证离不开“阴阳”这两个字，关键在于在阴阳上用心思。只要辨清了阴阳，治疗就会变得易如反掌。当今大多数疑难杂病，如果能结合六经辨证的方法，就能轻松解决。
第四章 阴阳辩证法则
第一节 阴阳辩证1
阴阳辩证金口诀
阴证
唇口青白目无神，声低息短但欲寐，身重懒言体畏寒，饮食无味吐清水，舌质青滑或黑润，苔白浅黄润滑色，津液满口不思饮，口渴思饮不欲咽，或者口渴喜热饮，小便清长大便溏， 口气腥臭寒热杂，寒多热少食不下，脉息无神是阴证。舌虽无苔但口润，二便自利口不渴，专注回阳无差错
阴证的表现：嘴唇和口腔呈青白色，眼神无光彩，声音低微，呼吸短促，只想睡觉，身体沉重，懒得说话，怕冷，饮食没有味道，呕吐清水，舌质青滑或黑而润泽，舌苔白、浅黄且润滑，口中津液多但不想喝水，虽然口渴想喝水却不打算咽下，或者口渴喜欢喝热水，小便清长，大便稀溏，口气有腥味，寒热症状混杂，寒多热少，吃不下东西，脉搏气息无神，这就是阴证。如果舌头上虽然没有舌苔但口腔湿润，大小便正常通畅且不口渴，治疗时专注于回阳救逆就不会出错。
阳证
阴虚面目唇口红，精神不倦不知眠，口臭气粗声音亮，恶热身轻大便干，溲赤黄短多艰难，口渴饮冷饮不休，六脉长大有力气，舌苔干黄或黑黄，全无津液满口刺，烦躁潮热或盗汗，干咳多痰或少痰，脉息有神是阳证。口渴饮冷身发热，二便不利烦谵语，身冷如冰形如死，此是热极内潜伏，阳不达外似纯阴，此时还需验口气，口气虽微热气蒸，舌根虽红但不青，急宜攻下存津液，莫认阴证误性命。
阳证的表现：由于阴虚，面部、眼睛和嘴唇发红，精神亢奋不知疲倦，无法入睡，口臭，呼吸粗重，声音洪亮，怕热，身体感觉轻浮，大便秘结，小便颜色深黄且量少，排尿困难，口渴喜欢喝冷饮不停歇，六部脉象都大而有力，舌苔干燥发黄或黑黄，口中完全没有津液且感到刺痛，烦躁不安，午后潮热或夜间盗汗，干咳或有痰（多痰或少痰），脉搏气息有神，这就是阳证。如果口渴喜欢喝冷水，身体发热，大小便不通畅，出现烦躁和胡言乱语，身体冷得像冰一样，形态像死人一样，这是热邪极盛潜伏在体内，阳气不能通达体表，看起来像纯粹的阴证。这时候还需要检验患者的口气，如果口气虽然微弱但热气腾腾，舌根虽然红但不发青，应当紧急使用攻下法以保存津液，千万不要误认为是阴证而耽误性命。
第二节 阴阳辩证真假杂病决2
阴寒阳热是阴阳，只在真假作文章，真热口渴小便黄，有神烦躁不安宁。真寒溲频面色苍，无神倦怠但欲寐。真热口渴喜冷饮，假热漱水不欲咽，真热便干面红赤。假热面赤溲清长，真热息热气粗长，真寒息冷气短微。真热舌焦苔干黄，真寒舌青苔水滑。阴极似阳属戴阳，阳极似阴肢冰霜。真假寒热来斟酌，阴证阳证明显了，真热阳证苦甘寒，真寒阴证温热汤。识得阴阳造化机，疑难杂病有处医。先天立极是水火，水火既济无沉疴。脾阳虚衰大便溏，肝脏因此遭了殃，乙肝病毒逞威风，附子干姜作文章。肾阳虚衰小便频，精微下泻眸不润，头昏腰痛也是因，回阳救逆四逆汤。白血病是阴寒邪，寒彻骨髓白C增， 西医只知杀白C，徒将阳气杀戮尽。此病中医少阴病，太少两感麻附辛，少阴虚寒四逆汤，简便廉验神功显。艾滋病是阴阳离，西医验血便可知，常人验血一条线，艾滋血液两分离。阴平阳秘精神治，阴阳离绝精神绝，和合阴阳中医药，简、便、廉、验最神奇。
阴证表现为寒，阳证表现为热，这是阴阳的基本属性，难点在于辨别真假。真正的热证会口渴、小便黄，脉象有神，烦躁不安。真正的寒证小便频繁，面色苍白，脉象无神，倦怠只想睡觉。真正的热证口渴喜欢喝冷饮，假热证只是漱口而不想咽下；真热证大便秘结、面色红赤；假热证面色虽红但小便清长。真热证呼吸气粗且长，真寒证呼吸气冷且短弱。真热证舌苔焦枯干燥发黄，真寒证舌质青紫、舌苔水滑。阴寒至极会出现类似阳证的“戴阳”现象，阳热至极会出现类似阴证的四肢冰冷如霜。需要仔细斟酌真假寒热，一旦阴证和阳证明显区分开来，真热阳证就用苦甘寒的药物，真寒阴证就用温热的汤药。认识了阴阳变化的奥秘，疑难杂病就有医治的地方。人体先天确立的根本是水和火，只有水火既济（协调平衡）才不会患有重病。如果脾阳虚弱衰退导致大便稀溏，肝脏也会因此遭受殃及，乙肝病毒趁机猖獗，这时要用附子和干姜来治疗。如果肾阳虚弱衰退导致小便频繁，精微物质向下流失导致眼睛干涩，头晕和腰痛也是由此引起，需要用回阳救逆的四逆汤。白血病属于阴寒邪气，寒气深入骨髓导致白细胞增多，西医只知道杀灭白细胞，却白白地耗尽了人体的阳气。这种病在中医里属于少阴病，如果是太阳和少阴同时受邪用麻黄附子细辛汤，如果是少阴虚寒则用四逆汤，这种方法简单、方便、廉价且疗效显著，功效神奇。艾滋病是阴阳分离的疾病，西医通过验血就可以知道，正常人的验血结果是一条直线，而艾滋病人的血液则是两相分离。当阴平（平静）阳秘（固密）时，精神就正常；当阴阳离绝时，精神就死亡。运用中医药调和阴阳，具有简单、方便、廉价、疗效神奇的优点。
八卦涵盖天和地，解说物理很容易，三爻成卦八纯卦，三爻组成一个卦。
澄空对六经八卦的另一种解释：八卦涵盖了天与地，用来解释自然物理规律非常容易。三个爻组成一个卦，共有八个纯卦，每个卦都由三个爻组成。
一阴阴少为少阴（卦象离），二阳抱阴是为心（离），二阴抱阳这是肾（坎）。少阴阴中藏精津，少阴伤阳肢不伸（阳气减），恶寒、踡卧但欲寐，虚阳外越舌头根，扁桃体大要发热，头昏、头胀高血压，四肢逆冷成之因，坎阳被伤变成坤，死气沉沉谁知因？四逆汤来扶坎阳，少阴寒化无处藏。少阴阴伤精津损，烦躁口渴饮冷饮，溲赤短少是其因，黄连阿胶来煎尝。
少阴经阴多阳少（卦象为离卦，注：此处原文逻辑可能有误，通常少阴为坎卦，但作者依其理论称离，需按原文翻译），两个阳爻包裹一个阴爻的是心脏（卦象离），两个阴爻包裹一个阳爻的是肾脏（卦象坎）。少阴经在阴中储藏精液和津液。如果少阴损伤了阳气，肢体就不能伸展（因为阳气减少），出现怕冷、蜷缩而卧、只想睡觉的症状；虚阳外越会导致舌根部病变，扁桃体肿大发热，头晕、头胀、高血压，四肢逆冷也是由此原因造成。如果坎中阳气受损变成坤卦（纯阴），死气沉沉，谁知道原因呢？需要用四逆汤来扶持坎中阳气，这样少阴寒化证就无处藏身。如果少阴损伤了阴液，导致精津亏损，就会出现烦躁、口渴喜欢喝冷饮，小便深黄短少，这是其原因，可以用黄连阿胶汤来煎服。
太阳阳多三个阳（卦象乾，健也），在人体表护卫强，太阳病则阳被困，郁而发热是其因，脾阳充足不出汗，麻黄汤药急急煎，汗出寒散表自健。脾阳不足肌腠疏，恶风汗出营卫虚，桂枝汤煎可解除，如若少阴阳气虚，寒邪直入少阴病，太阳少阳病合成。
太阳经阳气最多，有三个阳爻（卦象为乾卦，代表刚健），在人体体表护卫能力强。如果发生太阳病，阳气就会被困住，郁积而发热就是其原因。如果脾阳充足，就不会出汗，此时应急忙煎服麻黄汤，汗出之后寒气消散，体表自然强健。如果脾阳不足，肌理毛孔疏松，就会怕风、出汗，导致营卫虚弱，煎服桂枝汤可以解除。如果少阴阳气虚弱，寒邪就会直接侵入少阴病，形成太阳和少阳合病。
阳明阳多两个阳（卦象离），再加一阳（郁热）阳明伤（病态乾卦），阳明经证烦躁渴，新病大便未结实，白虎汤方就好使，阳明久病胃家实，燥实痞满可兼出，三承气汤因证施。
阳明经阳气较多，有两个阳爻（卦象离），再加上一个阳爻（代表郁热）导致阳明受伤（病态时为乾卦，注：此处原文逻辑混乱，通常阳明为二阳，若全阳则为乾，作者意指热盛）。阳明经证表现为烦躁、口渴，如果是新病，大便尚未结实，使用白虎汤方剂就很有效。如果是阳明久病，导致胃家实（胃肠实热积滞），燥、实、痞、满等症状可能会同时出现，应根据证候施用三承气汤。
少阳阳少一个阳（卦象坎），精汁内藏泻则祥，为病湿困和郁热（卦象艮），但藏不泻胆遭殃，三焦不通水道闭，决瀆失职病少阳。往来寒热小柴胡，太阴湿困要燥湿，半夏苍术苡仁使。
少阳经阳气较少，只有一个阳爻（卦象坎），胆汁（精汁）在内储藏，能正常排泄则吉祥。如果生病是由于湿邪困阻和郁热（卦象艮），如果只储藏不排泄，胆囊就会遭殃。三焦不通导致水道闭塞，决渎（疏通水道）功能失职就会引发少阳病。对于往来寒热的症状，用小柴胡汤治疗。对于太阴湿邪困阻，需要燥湿，使用半夏、苍术、薏苡仁等药物。
太阴阴多三个阴（卦象坤），阴中藏有精气神，脾为运化之官职，五谷精微靠其运，湿多困脾太阴病，腹满咳嗽是其因。太阴腹满便不下，大黄附子细辛下，阳黄就用茵陈蒿，阴黄再把术附加。太阴阴伤大便结，麦味理中重用术。
太阴经阴气最多，有三个阴爻（卦象坤），阴中储藏精气神。脾作为运化的器官，依靠它来运输五谷的精微物质。湿气过多困阻脾脏导致太阴病，腹部胀满是其主要原因之一。对于太阴病出现的腹部胀满和大便不通，可用大黄、附子、细辛来攻下。阳黄证使用茵陈蒿汤，阴黄证则加上白术。如果太阴阴液受损导致大便秘结，应在理中丸中重用白术，并加入麦冬、五味子。
厥阴二阴藏精血（卦象震），一阳鼓动四肢健，厥阴如若伤一阴，消渴气上要撞心，心中痛热饥不食，如若一阳再有伤，下利不止胃肠伤。厥阴之病寒热杂，权衡寒热阴阳施。
厥阴经包含两个阴爻，主藏精血（卦象震），只要有一个阳爻鼓动，四肢就能保持健康。如果厥阴损伤了其中的一个阴爻，就会出现消渴症，气机上冲撞击心脏，心中疼痛发热却不想吃东西。如果那个阳爻再受到损伤，就会导致腹泻不止，损伤胃肠。厥阴的病证特点是寒热混杂，治疗时要权衡寒热，根据阴阳情况进行施治。
厥阴另解，厥阴一阳托二阴（卦象震）寒入厥阴伤一阳，厥阴太阴为邻乡，阳伤脾职失健运，湿困太阴脾阳陷，消渴引饮溲长清。热入厥阴伤一阴，口渴烦躁谵语因。病（或寒或热）入厥阴寒热杂，姜附椒柏乌梅下。
关于厥阴的另一种解释：厥阴是一个阳爻支撑两个阴爻（卦象震）。寒邪侵入厥阴损伤了一个阳爻，厥阴与太阴相邻，阳气受损导致脾脏功能失去健运，湿邪困阻太阴，脾阳下陷，出现消渴、饮水多、小便清长的症状。热邪侵入厥阴损伤了一个阴爻，导致口渴、烦躁、胡言乱语。无论是寒邪还是热邪侵入厥阴，都会导致寒热混杂，治疗时使用干姜、附子、花椒、黄柏、乌梅等药物。
第五章 澄空阴阳辩证用药金口诀1
第一节
澄空治病辨阴阳，用药参合阴阳伤。大便稀溏脾阳伤，干姜温中健脾阳。口渴引饮溲清长，此是坎中一阳伤，津不上承口和咽，回阳化气四逆汤。四逆汤中用附姜，生炙甘草来帮忙。生姜多汁入脾脏，辛热醒脾祛湿忙。饥不欲食胃阴伤，一贯煎汤来煎尝。燥实痞满四证现，急下存阴莫迟缓。舌体胖大有齿痕，此是湿伤脾太阴，苍术薏苡和半夏，燥湿健脾功堪夸。肺为娇脏不耐寒，寒邪伤肺咳嗽连，宣肺散寒是关键，麻黄汤可急急煎。肺为娇脏不耐热，热邪伤肺痰黄结，宣泄肺热方法可，麻杏石膏汤煎喝。发热无寒病太阳，宣肺散寒麻黄汤，汗出恶风营卫虚，桂枝汤方煎来嘘。无热恶寒病少阴，附子姜草四逆汤，若兼咳嗽麻附辛，或者麻辛四逆汤。
澄空在治疗疾病时辨别阴阳，用药要结合阴阳受损的情况。如果大便稀溏，说明脾阳受损，应用干姜温中健脾阳。如果口渴引饮且小便清长，这是坎中（肾中）一个阳爻受损，津液不能上承滋润口腔和咽喉，应用回阳化气的四逆汤。四逆汤中使用附子和干姜，配合生甘草和炙甘草来辅助。生姜多汁入脾脏，其辛热之性能唤醒脾阳并祛除湿气。如果饥饿但不想吃东西，说明胃阴受损，应煎服一贯汤。如果出现燥、实、痞、满四种证候，应紧急使用攻下法以保存阴液，不要迟缓。如果舌体胖大且有齿痕，这是湿邪损伤脾脏（太阴），使用苍术、薏苡仁和半夏，燥湿健脾的功效值得称赞。肺是娇嫩的脏器，不耐寒冷，寒邪伤肺会导致连续咳嗽，宣肺散寒是关键，应急忙煎服麻黄汤。肺是娇嫩的脏器，也不耐热邪，热邪伤肺会导致痰液黄稠，宣泄肺热的方法是煎服麻杏石甘汤。如果发热但没有恶寒，是太阳病，宣肺散寒用麻黄汤；如果出汗且怕风，是营卫虚弱，应煎服桂枝汤。如果没有发热但怕冷，是少阴病，用附子、干姜、甘草组成的四逆汤；如果兼有咳嗽，用麻黄附子细辛汤，或者麻黄细辛四逆汤。
第二节
澄空药性论阴阳，辛甘发散热性阳，苦甘酸寒阴药商。阴证就用阳性药，阳证苦甘寒药商。太阴之病食不下，咳嗽腹满也是他。太阴湿土需燥化，苍术苡仁和半夏。 湿重热轻用附姜，湿去热将无处藏。热重于湿四妙散，祛湿清热功来现。茵陈汤祛阳黄，阴黄再加术附汤。少阴之病但欲寐，畏寒蜷卧脉微细。
少阴虚寒用附姜，生炙甘草来帮忙。太（阳）少两感麻附辛，少阴虚寒四逆汤。从阳化热渴燥烦，黄连阿胶汤来煎。厥阴寒热药错杂，附子姜椒连柏下。太阳寒水需温化，桂枝麻黄姜枣加。发热无汗太阳病，无热恶寒病少阴。恶风有汗桂枝汤，发热无汗麻黄汤。太阳蓄水五苓散，蓄血就用桃核承气汤。太阳寒水为何因，少阴虚寒气化亏。少阳寒热要往来，小柴胡汤用应该。 或者当归四逆汤，鼓足阳气邪祛外。 阳明之病胃家实，三承气汤因证施。阳明经证便未结，白虎汤方去实热。
澄空从药性角度论述阴阳：辛味和甘味发散，性质属阳；苦味、甘味和酸味寒凉，性质属阴。阴证就用阳性药物，阳证就用苦甘寒的药物。太阴病的表现包括吃不下东西，咳嗽和腹部胀满也是其症状。太阴属湿土，需要燥湿化浊，使用苍术、薏苡仁和半夏。如果湿重热轻，使用附子和干姜，湿气去除后热邪就无处藏身。如果热重于湿，使用四妙散，发挥祛湿清热的功效。茵陈汤用于祛除阳黄，阴黄证则再加上白术附子汤。少阴病的表现是只想睡觉，怕冷、蜷缩而卧、脉象微细。
少阴虚寒证使用附子和干姜，配合生甘草和炙甘草来辅助。太阳和少阴两感证使用麻黄附子细辛汤，少阴虚寒证使用四逆汤。如果病邪从阳化热，出现口渴、干燥、烦躁，应煎服黄连阿胶汤。厥阴病寒热错杂，药物配伍复杂，使用附子、干姜、花椒、黄连、黄柏等。太阳经寒水之气需要温化，可使用桂枝、麻黄、干姜、大枣等。发热无汗是太阳病，无发热但怕冷是少阴病。怕风且有汗用桂枝汤，发热无汗用麻黄汤。太阳蓄水证用五苓散，蓄血证用桃核承气汤。太阳寒水之所以产生，是因为少阴虚寒导致气化功能亏损。少阳病寒热往来，应该使用小柴胡汤。或者使用当归四逆汤，鼓舞阳气以驱除外邪。阳明病胃家实，应根据证候施用三承气汤。阳明经证大便未结实，使用白虎汤方剂来清除实热。
第六章 中医杂论
中医“气化论”、“识证论”、“治疗论”、“百病概论”
人身水火一团气，内营脏腑外卫体，通达九窍温肢体，奈何世人不自知，贪凉饮冷损元气。一日二日无大碍，久而久之气息低，寒凉上干太阴肺，咳嗽呼吸不流利，下干太阴脾失运，清浊不分飧泄起，脾阳损伤大便溏，肝脏因此要遭殃，精微不摄要硬化，胃肠寒热粘膜伤，久而久之要溃疡。清窍不营多病变，目失光明耳失聪。远离五谷食鱼肉，罪孽深重日日积，脂垢堵塞清窍道，不遂肢体蹒跚起，更有青年贪淫欲，少阴虚寒精髓虚，脾阳郁陷精微泄，消渴之病要发作，精伤百病因而起。内伤之后要外感，百病皆因风而起，六经病证内经有，伤寒杂病论仔细。七情伤人气紊乱，情病还需情来医。自然六气来养人，太过不及成淫理。 澄空中医从气论，百病心中了了的。用药就分阴和阳，识证也不阴阳离，阴阳辩证仔细详，次分六经与腑脏，以证类病无处藏，阴阳体质是根本，疾病是标记心上，颠倒阴阳祸患藏，阴证就用温热药，阳证苦甘寒药商， 阴阳错杂寒热药，湿盛还需热药上。先天立极是水火，水火既济无沉疴。水火既济气化成，天天夜里香甜梦，火水未济要失眠，神魂颠倒不堪言。易经经传传阴阳，一阴一阳书中藏，万病不离阴和阳，离开阴阳无文章。圣贤真传一句话，愚者万卷藏书箱。不明阴阳莫谈医，误人害命应要知。人若识得此种妙，贵躯岂用托庸医？
人体内水火构成一团气，内部滋养脏腑，外部护卫体表，通达九窍并温暖肢体。无奈世人不知道这一点，贪图凉爽饮用冷饮从而损伤元气。一天两天可能没什么大碍，但久而久之气息就会衰弱。寒凉之气向上侵犯太阴肺，导致咳嗽、呼吸不顺畅；向下侵犯太阴脾，导致脾失运化，清浊不分，出现完谷不化的泄泻。脾阳损伤导致大便稀溏，肝脏因此遭受殃及，精微物质不能固摄导致肝硬化，胃肠黏膜因寒热交替而受伤，久而久之形成溃疡。清窍得不到滋养会产生多种病变，导致视力下降、听力减退。远离五谷杂粮而食用鱼肉，罪孽日益积累，脂垢堵塞清窍通道，导致肢体行动不便、步履蹒跚。更有年轻人贪图淫欲，导致少阴虚寒、精髓空虚，脾阳郁陷导致精微物质泄漏，消渴病就要发作，精液损伤是百病产生的根源。内伤之后容易感受外邪，百病皆因风邪而起，《黄帝内经》中有六经病证的记载，《伤寒杂病论》中也有详细论述。七情（喜怒忧思悲恐惊）伤害人气机导致紊乱，情志疾病还需要用情志疗法来医治。自然的六气（风寒暑湿燥火）养育人类，但太过或不及就会成为致病因素。澄空中医从气化理论出发，对百病了然于胸。用药就要区分阴和阳，识证也不能脱离阴阳。阴阳辨证要仔细详尽，其次分为六经和腑脏，以证候归类疾病，疾病无处隐藏。阴阳体质是根本，疾病只是标记在心上的现象，如果颠倒阴阳就会隐藏祸患。阴证就用温热药，阳证用苦甘寒药，阴阳错杂用寒热药并用，湿气盛还需用热药。先天确立的根本是水火，水火既济就不会有重病。水火既济则气化成功，每晚都能做香甜的梦；如果火水未济（失调）就会失眠，神魂颠倒难以言喻。《易经》经传阐述阴阳，书中隐藏着阴与阳的道理，万病都离不开阴和阳，离开阴阳就无法著书立说。圣贤的真传只有一句话，愚者即使收藏万卷书也无用。不明白阴阳就不要谈论医学，要知道这会误人害命。人如果认识到这种奥妙，宝贵的身体哪里需要托付给平庸的医生呢？
一总论：
五脏皆因气化生，六腑功能气化成。心肾气化记性好，二便开合百脉通。六经气化五脏藏，六腑通泄浊气通。
一、总论：
五脏的功能都因气化而生，六腑的功能也由气化完成。心和肾的气化功能好，记忆力就好，大小便的开合正常，百脉通畅。六经的气化功能由五脏储藏，六腑负责通泄，使浊气得以畅通。
二：分论
太阳气化寒不入，分清泌浊是其功，膀胱气化尿液出，气化不成溲不通。
1. 太阳经（包括小肠和膀胱）：
太阳经的气化功能使得寒邪不能侵入，其功能是分清泌浊。膀胱的气化功能使尿液排出，如果气化不成，小便就会不通畅。
阳明气化气血生，胃腑腐熟五谷行，大肠气化液化生，糟粕排泄病不生。气化不利要发热，便闭腹胀口渴重。
2. 阳明经（包括胃和大肠）：
阳明经的气化功能生成气血，胃腑腐熟消化五谷，大肠的气化功能生成津液，排泄糟粕从而不生疾病。如果气化不利，就会发热，出现便秘、腹胀和严重口渴。
少阳气化精汁生，入腑脂垢分解功，气化不利胆汁阻，胆囊结石要发生。三焦气化脏腑和。气化不利杂病生。
3. 少阳经（包括胆和三焦经）：
少阳经的气化功能生成胆汁，进入腑中以分解脂垢。如果气化不利，胆汁受阻，就会发生胆囊结石。三焦的气化功能使脏腑和谐。如果气化不利，就会产生各种杂病。
太阴（ 肺脾）气化呼吸好，脾土气化运微精，血在脉中不失营。气化不利血外溢，肌衄、齿衄、月事多。肺金气化呼吸畅，咳嗽之病不能生，鼻塞多因寒阻肺，气化不利出涕清，温肺散寒实脾经。寒郁化热鼻涕黄，久而久之鼻渊生，治疗之法散郁热，宣肺化痰鼻窍通。
4. 太阴经（包括肺和脾）：
太阴经的气化功能使呼吸良好，脾土的气化功能运输精微物质，血液在脉管中运行而不失营养。如果气化不利，血液就会外溢，出现皮下出血、牙龈出血和月经量多。肺金的气化功能使呼吸顺畅，就不会产生咳嗽疾病。鼻塞多因寒邪阻滞肺部，气化不利会导致流清鼻涕，治疗应温肺散寒并补益脾经。如果寒邪郁结化热，鼻涕变黄，久而久之形成鼻渊（鼻窦炎），治疗方法是疏散郁热，宣肺化痰以通鼻窍。
心肾相交气化成，少阴气化百脉通，津液上承咽喉润，心主血脉肾水充，肾司二便阳之功。心肾不交要失眠，气化不成百脉蹇。
5. 少阴经（包括心和肾）：
心和肾相交，通过气化完成协调。少阴经的气化功能使百脉通畅，津液上承滋润咽喉。心主管血脉，肾水充盈，肾主管大小便依靠阳气的功能。如果心肾不交，就会失眠；如果气化不成，百脉就会阻滞不畅。
厥阴气化肝血藏，日充五脏夜藏魂，心包之经气温煦，心血源源循环行，失化血溢脉不藏。心包受寒血失温，心血难以周流行。
6. 厥阴经（包括肝和心包）：
厥阴经的气化功能使肝血得以储藏，白天滋养五脏，夜晚潜藏魂。心包经的气温煦作用，使心血源源不断地循环运行。如果失去气化功能，血液就会溢出，脉管不能藏血。如果心包受寒，血液失去温煦，心血就难以周流全身。
临床病证各论（随兴起笔）
诊病治病标准
中医本身就是一个阴阳问题，谁离开了阴阳谈标准，谁的标准就不标准，就像我在中国中医研究院听一个中医博士生导师讲课时他说要制定中风的用药标准，马上就有人说：“用你的标准，疗效有多少？ ”，的确中医讲究疗效，尤其是长期疗效，能否在治此病时，间接治疗尚未发生的病？ 答案是肯定的。因为出色的中医就是一个阴阳家，能看到疾病的“过去”，“现在”和“未来”。这三者就是《易经》讲的三才，有人说中医不用学《易经》，不学《易经》行吗？连阴阳都不懂，还谈什么中医？ 三才都不知道？怎么谈人体？ 不要忘记“人”头顶天，脚踏地，人立天地之间，上为天、中为人、下为地。这天人地就是三才。不懂五运六气行吗？不懂五运六气怎么因时制宜？ 不懂风水行吗？风水讲：“山环水抱必有气”，这气就是阳气也就是生气。我们选择聚居条件时首先要考虑太阳光线的多少，太阳是阳，加于某一地才能化气产生阳气，这样其能否留住就看是否背靠大山。饮食也是如此，多食寒凉就伤阳气，阳气一伤，百病丛生。因此中医的标准就是能够彻晓阴阳，因此要通晓《易经》，知道简易（用简单的方子治病）、不易(千古不变的真理：破阴寒回阳气，存阴精），变异（随时、随地方，因人的体质用药知常达变）的道理，熟读《内经》、《伤寒杂病论》、《神农本草经》。具体操作上，治病先分阴阳二证，次分六经（十二经络尽在其中）属何经，然后分经用药（阴证要用温热药，阳证用苦甘寒药）施治。这是我用的方法，疗效大家可以看医案，我不多说，许多临床大家也都是这么用。大家看这个标准行吗？
中医本身就是关于阴阳的问题，谁离开了阴阳谈标准，谁的标准就不标准。就像我在中国中医研究院听一位中医博士生导师讲课，他说要制定中风的用药标准，马上就有人问：“用你的标准，疗效有多少？”的确，中医讲究疗效，尤其是长期疗效。能否在治疗当前疾病的同时，间接治疗尚未发生的疾病？答案是肯定的。因为出色的中医就是一个阴阳家，能看到疾病的“过去”、“现在”和“未来”。这三者就是《易经》所说的“三才”。有人说中医不用学《易经》，不学《易经》行吗？连阴阳都不懂，还谈什么中医？连三才都不知道？怎么谈人体？不要忘记“人”头顶天，脚踏地，人站立在天地之间，上是天、中是人、下是地。这天、人、地就是三才。不懂五运六气行吗？不懂五运六气怎么能因时制宜？不懂风水行吗？风水讲：“山环水抱必有气”，这气就是阳气，也就是生气。我们选择居住条件时首先要考虑太阳光线的多少，太阳是阳，作用于某地才能化气产生阳气，这样阳气能否留住就看是否背靠大山。饮食也是如此，多吃寒凉食物就会损伤阳气，阳气一旦受损，百病丛生。因此，中医的标准就是能够透彻理解阴阳，所以要通晓《易经》，懂得简易（用简单的方子治病）、不易（千古不变的真理：破除阴寒，回复阳气，保存阴精）、变易（随时、随地、因人之体质用药，知常达变）的道理，熟读《黄帝内经》、《伤寒杂病论》、《神农本草经》。在具体操作上，治病先区分阴阳两种证候，其次区分六经（十二经络尽在其中）属于哪一经，然后根据经脉用药（阴证要用温热药，阳证用苦甘寒药）进行治疗。这是我使用的方法，疗效大家可以看医案，我不多说了，许多临床大家也都是这么用的。大家觉得这个标准行吗？
中医的规律：
中医的规律就是阴阳的消长，阳气消则阴寒（邪）长，病增；阳气长则阴寒（邪）消，病退。阴精足则阳气足，阳气足则阴精得以固摄，阴精为阳气之根，不可亏，亏则冬伤于寒，春生温病。
中医的规律就是阴阳的消长变化。阳气消退，阴寒（邪气）就会增长，疾病加重；阳气增长，阴寒（邪气）就会消退，疾病好转。阴精充足则阳气充足，阳气充足则阴精得以固摄。阴精是阳气的根本，不可亏损，如果亏损，冬天就会受到伤害，春天就会发生温病。
简单说脉诊
脉诊在中医诊病中只能算巧，下工之法。古人说：望而知之谓之神，闻而知之谓之圣，问而知之谓之工，切而知之谓之巧。既然很多人这么神秘切脉。我就简单说一说脉诊。切脉是根据脉的位、数、形、势来断病的。
简单说一下脉诊。脉诊在中医诊断疾病中只能算是技巧性的，属于较低层次的方法。古人说：通过观察神色就知道病情叫神，通过听声音就知道病情叫圣，通过询问病史就知道病情叫工，通过切脉就知道病情叫巧。既然很多人觉得切脉很神秘，我就简单说一说脉诊。切脉是根据脉的位置、频率、形状和力度来判断疾病的。
脉位就是寸、关、尺、浮、中、沉。寸看心肺头，关看脾胃，尺看肝肾腿足膀胱。浮取看心、 肺、头，中取看脾胃，沉取看肝肾。看脉之上工，并不必分严格左右手。
脉的位置包括寸、关、尺以及浮、中、沉三种取脉力度。寸部主要看心、肺和头部，关部主要看脾和胃，尺部主要看肝、肾、腿足和膀胱。浮取（轻按）主要看心、肺和头部，中取（中等力度）主要看脾和胃，沉取（重按）主要看肝和肾。高明的医生看脉，并不一定非要严格区分左手和右手。
数（数率）： 就是脉跳的频率。用医生的呼吸算，一呼一吸四至（跳四下闰一下为五）为缓脉。脉和缓沉取有力就是正常脉。一息六至为数脉，七至以上为疾脉。
数（频率）：就是脉搏跳动的频率。用医生的呼吸来计算，一呼一吸之间脉搏跳动四次（偶尔多跳一次算五次）为缓脉。脉搏和缓且沉取有力就是正常的脉象。一息跳动六次为数脉，七次以上为疾脉。
形：就是脉的形状。
势：就是脉的力度。
形状：就是脉管的形状。
力度：就是脉搏的力度。
然后以六脉统领二十八脉。
六脉：浮、沉、迟、数、虚、实。
浮脉类：浮濡洪芤革散
沉脉类：沉伏牢弱。
迟脉类：迟缓涩结
数脉类：数促疾动豆
虚脉类：虚微细代短。
实脉类：实滑紧长弦。
然后用六种基本脉象统领二十八种脉象。
六种基本脉象：浮、沉、迟、数、虚、实。
浮脉类：浮、濡、洪、芤、革、散。
沉脉类：沉、伏、牢、弱。
迟脉类：迟、缓、涩、结。
数脉类：数、促、疾、动、豆。
虚脉类：虚、微、细、代、短。
实脉类：实、滑、紧、长、弦。
具体规则：浮沉以求表里，迟数以求寒热真假以求属于阳证或者阴证。有力无力以求虚实。我在临床中主要是据内经理论：“阴平阳秘精神乃治”，看寸关尺之太过与不及，太过是实证，不及是虚证。但求和缓有根。有根就是尺脉有力。数而有力有根是阳证实热，数而无力是阴精不足的虚证，迟而无力无根是虚寒阴证。再看尺肤之寒热，参见二便辨清阴阳之证。
具体规则：通过浮沉来辨别表里，通过迟数来辨别寒热，通过真假来辨别属于阳证还是阴证。通过有力无力来辨别虚实。我在临床上主要依据《内经》的理论：“阴平阳秘，精神乃治”，观察寸、关、尺三部脉的太过与不及，太过是实证，不及是虚证。但要求脉象和缓且有根。有根就是指尺脉有力。数脉且有力有根是阳证实热，数脉且无力是阴精不足的虚证，迟脉且无力无根是虚寒阴证。还要观察尺肤（手腕内侧皮肤）的寒热，参考大小便情况来辨清阴阳证候。
举一例来说明：临床上来一患者，坐诊医师都必须试脉，否则医术再高，患者也不相信你，首先的第一感觉是尺肤的寒温，如果尺肤寒，接下来，看寸脉数而且力度大于关尺，这时就可以断患者：头昏、头胀、心慌、乏力、腿沉重甚至腰痛。病人一般会说断得不错。为什么呢？ 寸脉数上有热，热则头胀，因为寸脉管头、心肺。而关尺力度少，就可以断患者脾胃运化无力、 肝血不足，肾阳亏虚。此例寸脉数也是假的，那是因为肾阳亏虚，虚阳外越。其他脉以此类推。
举一个例子来说明：临床上遇到一位患者，坐诊医生必须把脉，否则医术再高，患者也不会相信你。首先的第一感觉是尺肤的寒温，如果尺肤寒冷，接下来看寸脉数且力度大于关部和尺部，这时就可以判断患者有：头晕、头胀、心慌、乏力、腿部沉重甚至腰痛的症状。病人通常会说判断得很准。为什么呢？寸脉数表示上部有热，热则导致头胀，因为寸脉对应头部和心肺。而关部和尺部力度较弱，就可以判断患者脾胃运化无力、肝血不足、肾阳亏虚。这个例子中寸脉数也是假象，那是因为肾阳亏虚，导致虚阳外越。其他脉象的判断也可以以此类推。
怎么体会脉的来、去呢？
Another interpretation: The Jueyin meridian contains two Yin lines and is responsible for storing essence and blood (its trigram image is Zhen). As long as one Yang line stirs, the four limbs remain healthy. If Jueyin damages one of its Yin lines (this transforms into a pathological Li trigram, indicating injury to essence and fluids, resulting in Xiao Ke [wasting-thirst syndrome], with Qi rushing upward to strike the heart, causing pain and heat in the chest, yet an inability or unwillingness to eat; its trigram image is Dui, because the middle Yang line of the Zhen trigram is filled with pathogenic heat), if that Yang line is further injured (transforming into a pathological Kun trigram), it will lead to incessant diarrhea and injury to the stomach and intestines.
In summary, the differentiation of the Six Meridians does not go beyond the two characters of Yin and Yang; the key lies in working upon Yin and Yang. Once Yin and Yang are clearly differentiated, treatment becomes easy as turning over a hand. Most difficult and chronic diseases today can be resolved effortlessly by combining them with the differentiation of the Six Meridians.
Chapter 4: Principles of Yin-Yang Differentiation
Section 1: Yin-Yang Differentiation 1
Golden Mantra of Yin-Yang Differentiation
Yin Syndrome
The lips and mouth are cyan and pale, the eyes lack spirit, the voice is low, breathing is short, and there is only a desire to sleep. The body feels heavy, speech is reluctant, and the body fears cold. Food has no taste, and clear fluid is vomited. The tongue body is cyan and slippery or black and moist. The coating is white, light yellow, and smooth. There is abundant saliva in the mouth, but no desire to drink. Although thirsty and desiring to drink, there is no desire to swallow, or perhaps a preference for hot drinks. Urine is clear and copious, and stool is loose. The breath has a fishy odor, and cold and heat symptoms are mixed, with more cold than heat and an inability to eat. The pulse lacks spirit; this is a Yin syndrome. Even if the tongue has no coating but the mouth is moist, and urination and defecation are normal without thirst, focusing on restoring Yang will ensure no errors.
Yang Syndrome
Due to Yin deficiency, the face, eyes, and lips are red. Spirit is unwearying, and there is insomnia. There is bad breath, coarse breathing, and a loud voice. There is aversion to heat, a light sensation in the body, and dry stool. Urine is dark yellow and scanty, with difficulty in urination. Thirst drives the patient to drink cold liquids continuously. All six pulse positions are large and forceful. The tongue coating is dry yellow or black-yellow, with no saliva in the mouth and a prickling sensation. There is irritability, tidal fever, or night sweats. There is dry cough with much or little phlegm. The pulse has spirit; this is a Yang syndrome. If there is thirst for cold drinks, body heat, and obstruction of urination and defecation accompanied by irritability and delirium, and the body is cold as ice resembling death, this indicates extreme heat lurking internally. Yang fails to reach the exterior, appearing as pure Yin. At this time, one must check the breath. Although the breath may be slight, it emits heat. The root of the tongue is red but not cyan. One should urgently use purgative methods to preserve Yin fluids. Do not mistake this for a Yin syndrome and endanger life.
Section 2: Decision on True and False Mixed Diseases of Yin-Cold and Yang-Heat
Yin manifests as cold, and Yang manifests as heat; this is Yin and Yang. The complexity lies in distinguishing true from false. True heat presents with thirst, yellow urine, spirit in the pulse, and irritability/restlessness. True cold presents with frequent urination, pale complexion, lack of spirit in the pulse, fatigue, and only a desire to sleep. True heat involves thirst and a preference for cold drinks; false heat involves rinsing the mouth without swallowing. True heat involves dry stool and a red face; false heat involves a red face but clear, copious urine. True heat involves coarse and long breathing; true cold involves cold, short, and weak breathing. True heat presents with a scorched tongue and dry yellow coating; true cold presents with a cyan tongue and watery slippery coating. Extreme Yin resembles Yang, known as Dai Yang (floating Yang); extreme Yang resembles Yin, with limbs icy cold. One must carefully weigh true and false cold and heat. Once Yin and Yang syndromes are clearly distinguished, true heat Yang syndromes are treated with bitter, sweet, and cold herbs, while true cold Yin syndromes are treated with warm decoctions. Understanding the mechanism of creation in Yin and Yang provides a way to treat difficult and miscellaneous diseases. The primordial establishment is Water and Fire; when Water and Fire are harmonized (Ji Ji), there are no chronic illnesses. Spleen Yang deficiency leads to loose stool, which subsequently harms the Liver. Hepatitis B virus takes advantage of this, and Fuzi (Aconite Lateralis Radix Praeparata) and Ganjiang (Zingiberis Rhizoma) are used. Kidney Yang deficiency leads to frequent urination, leakage of essence leading to dry eyes, dizziness, and lower back pain; Hu Yang Jiu Ni Si Ni Tang (Decoction for Restoring Yang and Saving from Collapse) is used. Leukemia is caused by Yin-cold pathogens penetrating the bone marrow, increasing white blood cells. Western medicine only knows how to kill white blood cells, thereby destroying Yang Qi. In TCM, this disease belongs to Shaoyin. For Taiyang-Shaoyin simultaneous infection, Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction) is used; for Shaoyin deficiency-cold, Si Ni Tang (Frigid Extremities Decoction) is used. This method is simple, convenient, inexpensive, and effective, showing miraculous power. AIDS is a separation of Yin and Yang. Western medicine detects this through blood tests: normal blood shows one line, while AIDS blood shows two separated phases. When Yin is calm and Yang is secure, spirit is regulated; when Yin and Yang separate, spirit perishes. Chinese and Western medicine harmonize Yin and Yang, being simple, convenient, inexpensive, and highly effective.
Chengkong's Alternative Interpretation of Six Meridians and Eight Trigrams
The Eight Trigrams cover Heaven and Earth, making it easy to explain physical laws. Three Yao lines form a trigram, and there are eight pure trigrams, each composed of three lines.
Shaoyin has less Yin (Trigram Li): Two Yang lines embracing Yin constitute the Heart (Li). Two Yin lines embracing Yang constitute the Kidney (Kan). Shaoyin stores essence and fluids within Yin. If Shaoyin injures Yang, limbs cannot extend (due to reduced Yang), presenting with aversion to cold, curling up, and only a desire to sleep. Floating deficient Yang causes lesions at the root of the tongue, enlarged tonsils with fever, dizziness, head distension, hypertension, and cold extremities. If Kan Yang is injured and transforms into Kun (pure Yin), life becomes stagnant; who knows the cause? Si Ni Tang supports Kan Yang, leaving no place for Shaoyin cold transformation to hide. If Shaoyin injures Yin, damaging essence and fluids, irritability and thirst for cold drinks occur, with dark, scanty urine as the cause. Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction) is decocted and taken.
Taiyang has much Yang (Three Yang lines, Trigram Qian, representing Strength): It strongly protects the body surface. In Taiyang disease, Yang is trapped, causing fever due to stagnation. If Spleen Yang is sufficient, there is no sweating; Majiang Tang (Ephedra Decoction) should be decocted urgently. Sweating disperses cold, and the exterior becomes healthy. If Spleen Yang is insufficient, pores are loose, causing aversion to wind, sweating, and deficiency of Ying and Wei. Guizhi Tang (Cinnamon Twig Decoction) resolves this. If Shaoyang Yang Qi is deficient, cold pathogens enter Shaoyin directly, forming a combined Taiyang-Shaoyang disease.
Yangming has two Yang lines (Trigram Li): Adding one Yang line (stagnant heat) injures Yangming (pathological Qian trigram). Yangming channel syndrome presents with irritability and thirst. In new diseases where stool is not yet solid, Baihu Tang (White Tiger Decoction) is effective. In chronic Yangming disease, "Stomach Home Excess" occurs, with dryness, excess, fullness, and oppression potentially appearing together; San Chengqi Tangs (Three Bowel-Purging Decoctions) are applied according to the syndrome.
Shaoyang has one Yang line (Trigram Kan): Essence juice is stored internally; excretion brings auspiciousness. Disease arises from dampness encumbrance and stagnant heat (Trigram Gen). If storage occurs without excretion, the Gallbladder suffers. Sanjiao blockage closes water pathways; failure of Juedu (drainage) function causes Shaoyang disease. Alternating chills and fever are treated with Xiaochaihu Tang (Minor Bupleurum Decoction). Taiyin dampness encumbrance requires drying dampness using Banxia (Pinelliae Rhizoma), Cangzhu (Atractylodis Rhizoma), and Yiyiren (Coicis Semen).
Taiyin has much Yin (Three Yin lines, Trigram Kun): Yin stores essence, Qi, and spirit. The Spleen is the official of transportation and transformation, relying on it to transport quintessence from grains. Excess dampness encumbers the Spleen, causing Taiyin disease, with abdominal fullness and cough as causes. Taiyin abdominal fullness with constipation is treated with Dahuang (Rhei Radix et Rhizoma), Fuzi (Prepared Aconite Lateralis Radix), and Xixin (Asari Radix et Rhizoma). Yang jaundice uses Yinchen Hao Tang (Artemisiae Scopariae Herba Decoction); Yin jaundice adds Baizhu (Atractylodis Macrocephalae Rhizoma). Taiyin Yin injury with constipation uses Lizhong Wan (Regulate the Middle Pill) with heavy Baizhu, plus Maidong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus).
Jueyin has two Yin lines storing essence and blood (Trigram Zhen): One Yang line stirring ensures healthy limbs. If Jueyin injures one Yin line, Xiao Ke [wasting-thirst syndrome] occurs, Qi strikes the heart, causing chest pain/heat and anorexia. If the Yang line is further injured, incessant diarrhea injures the stomach and intestines. Jueyin diseases feature mixed cold and heat; treatment balances cold and heat based on Yin and Yang.
Alternative Interpretation of Jueyin: Jueyin is one Yang supporting two Yins (Trigram Zhen). Cold entering Jueyin injures one Yang. Jueyin and Taiyin are neighbors; Yang injury causes Spleen dysfunction, dampness encumbers Taiyin, Spleen Yang sinks, leading to Xiao Ke with excessive drinking and clear urine. Heat entering Jueyin injures one Yin, causing thirst, irritability, and delirium. Whether cold or heat enters Jueyin, mixing cold and heat results; Jiang (Ginger), Fu (Aconite), Jiao (Zanthoxyli Pericarpium), Bo (Phellodendri Cortex), and Wumei (Mume Fructus) are used.
Chapter 5: Chengkong's Golden Mantra for Yin-Yang Differentiation and Medication
Section 1
Chengkong distinguishes Yin and Yang in treating diseases, matching medication to Yin-Yang injury. Loose stool indicates Spleen Yang injury; Ganjiang (Dried Ginger) warms the middle and strengthens Spleen Yang. Thirst with clear, copious urine indicates injury to the single Yang in Kan (Kidney); fluids fail to ascend to the mouth and throat. Hu Yang Hua Qi Si Ni Tang (Decoction for Restoring Yang and Transforming Qi) is used. Si Ni Tang contains Fuzi (Prepared Aconite Lateralis Radix) and Ganjiang (Dried Ginger), assisted by Sheng Gancao (Raw Licorice Root) and Zhi Gancao (Honey-fried Licorice Root). Sheng Jiang (Fresh Ginger) is juicy, enters the Spleen, and its acrid-hot nature awakens the Spleen and dispels dampness. Hunger without desire to eat indicates Stomach Yin injury; Yiguan Jian (One Glance Infusion) is decocted. Appearance of dryness, excess, fullness, and oppression requires urgent purgation to preserve Yin. A fat tongue with teeth marks indicates dampness injuring the Spleen (Taiyin); Cangzhu (Atractylodis Rhizoma), Yiyiren (Coicis Semen), and Banxia (Pinelliae Rhizoma) dry dampness and strengthen the Spleen. The Lung is a delicate organ intolerant to cold; cold injuring the Lung causes continuous cough. Dispersing Lung cold is key; Majiang Tang (Ephedra Decoction) is decocted urgently. The Lung is also intolerant to heat; heat injuring the Lung causes yellow, thick phlegm. Clearing Lung heat is achieved with Maxing Shigan Tang (Ephedra, Apricot Kernel, Gypsum, and Licorice Decoction). Fever without aversion to cold is Taiyang disease; dispersing Lung cold uses Majiang Tang. Sweating with aversion to wind indicates Ying-Wei deficiency; Guizhi Tang (Cinnamon Twig Decoction) is decocted. No fever but aversion to cold is Shaoyin disease; Fuzi, Ganjiang, and Gancao form Si Ni Tang. If cough is present, Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction) or Muxing Si Ni Tang is used.
Section 2
Preliminary Discussion on Medication for Six Meridians Yin-Yang Differentiation
Chengkong discusses herb properties via Yin and Yang: Acrid and sweet promote dispersion and are Yang; bitter, sweet, and sour are cold and Yin. Yin syndromes use Yang herbs; Yang syndromes use bitter, sweet, and cold herbs. Taiyin disease involves inability to eat, cough, and abdominal fullness. Taiyin damp-earth requires drying; Cangzhu (Atractylodis Rhizoma), Yiyiren (Coicis Semen), and Banxia (Pinelliae Rhizoma) are used. Heavy dampness with light heat uses Fuzi (Prepared Aconite Lateralis Radix) and Ganjiang (Dried Ginger); once dampness is gone, heat has nowhere to hide. Heat heavier than dampness uses Simiao San (Four Marvels Powder) to dispel dampness and clear heat. Yinchen Tang (Artemisiae Scopariae Herba Decoction) treats Yang jaundice; Yin jaundice adds Zhufu Tang (Atractylodes and Aconite Decoction). Shaoyin disease presents with only a desire to sleep, aversion to cold, curling up, and faint, fine pulse.
Shaoyin deficiency-cold uses Fuzi (Prepared Aconite Lateralis Radix) and Ganjiang (Dried Ginger), assisted by Sheng Gancao (Raw Licorice Root) and Zhi Gancao (Honey-fried Licorice Root). Taiyang-Shaoyin simultaneous infection uses Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction); Shaoyin deficiency-cold uses Si Ni Tang (Frigid Extremities Decoction). Transformation to Yang heat with thirst, dryness, and irritability uses Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction). Jueyin mixed cold and heat requires complex herbs: Fuzi (Prepared Aconite Lateralis Radix), Ganjiang (Dried Ginger), Jiao (Zanthoxyli Pericarpium), Lian (Coptidis Rhizoma), and Bo (Phellodendri Cortex). Taiyang cold-water requires warming; Guizhi (Cinnamon Twig), Mahuang (Ephedra), Ganjiang (Dried Ginger), and Dazao (Jujubae Fructus) are added. Fever without sweat is Taiyang disease; no fever but aversion to cold is Shaoyin disease. Aversion to wind with sweating uses Guizhi Tang (Cinnamon Twig Decoction); fever without sweat uses Majiang Tang (Ephedra Decoction). Taiyang water accumulation uses Wuling San (Five-Ling Powder); blood accumulation uses Taohexiaochengqi Tang (Peach Kernel and Major Order the Qi Decoction). Taiyang cold-water arises from Shaoyin deficiency-cold impairing Qi transformation. Shaoyang alternating chills and fever require Xiaochaihu Tang (Minor Bupleurum Decoction). Alternatively, Danggui Sini Tang (Angelica Sinensis Decoction for Cooling Extremities) boosts Yang to expel pathogens. Yangming disease "Stomach Home Excess" uses San Chengqi Tangs (Three Bowel-Purging Decoctions) according to the syndrome. Yangming channel syndrome with un-solidified stool uses Baihu Tang (White Tiger Decoction) to remove excess heat.
Chapter 6: Miscellaneous Discussions on TCM
TCM "Qi Transformation Theory," "Syndrome Recognition Theory," "Treatment Theory," "General Theory of Hundred Diseases"
The human body is a mass of Qi formed by Water and Fire, nourishing internal Zang organs and protecting the external body, reaching nine orifices and warming limbs. Yet people do not realize this, indulging in cold foods and drinks, damaging Yuan Qi. One or two days pose no major issue, but over time, Qi becomes weak. Cold-dampness attacks Taiyin Lung, causing cough and irregular breathing; it attacks Taiyin Spleen, causing loss of transportation, confusion of clear and turbid, and undigested diarrhea. Spleen Yang injury leads to loose stool, harming the Liver. Failure to retain essence leads to cirrhosis. Gastrointestinal mucosa is injured by cold and heat, eventually causing ulcers. Lack of nourishment to clear orifices causes various changes, including loss of vision and hearing. Avoiding grains and eating meat/fish accumulates sinews daily; lipid deposits block clear orifice pathways, leading to limb paralysis and staggering. Young men indulging in lust suffer Shaoyin deficiency-cold and essence emptiness. Spleen Yang depression causes essence leakage, triggering Xiao Ke [wasting-thirst syndrome]. Essence injury is the root of all diseases. Internal injury leads to external contraction; all diseases arise from Wind. The Nei Jing records Six Meridian syndromes; Shanghan Zabing Lun details them. Seven Emotions disrupt Qi; emotional diseases require emotional healing. Natural Six Qi nourish humans; excess or deficiency becomes pathogenic. Chengkong TCM starts from Qi theory, understanding all diseases. Medication distinguishes Yin and Yang; syndrome recognition does not depart from Yin and Yang. Yin-Yang differentiation is detailed, followed by Six Meridians and Zang-Fu. Syndromes classify diseases; Yin-Yang constitution is fundamental, disease is merely a mark. Reversing Yin and Yang hides disaster. Yin syndromes use warm-hot herbs; Yang syndromes use bitter-sweet-cold herbs. Mixed Yin-Yang uses cold-hot herbs; excess dampness requires hot herbs. Primordial establishment is Water and Fire; when harmonized, no chronic illness exists. Harmonized Water and Fire allows Qi transformation, ensuring sweet dreams. Unharmonized Water and Fire causes insomnia and chaotic spirit. Yi Jing transmits Yin and Yang; one Yin and one Yang are hidden in books. All diseases involve Yin and Yang; without Yin and Yang, there is no discourse. The sages' true transmission is one sentence; fools store ten thousand volumes. Without understanding Yin and Yang, do not discuss medicine, knowing it harms lives. If one understands this wonder, why entrust the precious body to mediocre doctors?
Theory of Six Meridians Qi Transformation
I. General Discussion:
All five Zang organs are born from Qi transformation; the functions of the six Fu organs are accomplished by Qi transformation. Heart and Kidney Qi transformation improves memory; opening and closing of urination and defecation connects all vessels. Six Meridian Qi transformation is stored in the five Zang organs; the six Fu organs transmit and drain, allowing turbid Qi to flow.
II. Specific Discussion:
1. Taiyang Small Intestine and Bladder:
Taiyang Qi transformation prevents cold invasion; its function is separating clear from turbid. Bladder Qi transformation excretes urine; if Qi transformation fails, urination is obstructed.
2. Yangming Stomach and Large Intestine:
Yangming Qi transformation generates Qi and Blood. The Stomach rots and ripens grains; Large Intestine Qi transformation generates fluids and excretes waste, preventing disease. Impaired Qi transformation causes fever, constipation, abdominal distension, and severe thirst.
3. Shaoyang Gallbladder and Sanjiao:
Shaoyang Qi transformation generates bile, which enters the Fu organs to decompose lipids. Impaired Qi transformation blocks bile, causing gallstones. Sanjiao Qi transformation harmonizes Zang organs. Impaired Qi transformation generates miscellaneous diseases.
4. Taiyin Spleen and Lung:
Taiyin (Lung and Spleen) Qi transformation ensures good respiration. Spleen Earth Qi transformation transports micro-essence; blood in vessels maintains Ying. Impaired Qi transformation causes blood extravasation, subcutaneous bleeding, gum bleeding, and menorrhagia. Lung Metal Qi transformation ensures smooth respiration, preventing cough. Nasal congestion is often due to cold blocking the Lung; impaired Qi transformation causes clear runny nose. Warming the Lung and dispersing cold strengthens the Spleen meridian. Cold stagnation transforming to heat causes yellow nasal discharge; over time, Bi Yuan (nasal sinusitis) develops. Treatment disperses stagnant heat, diffuses the Lung, transforms phlegm, and opens nasal orifices.
5. Shaoyin Heart and Kidney:
Heart and Kidney interaction achieves Qi transformation. Shaoyin Qi transformation connects all vessels. Fluids ascend to moisten the throat. Heart governs blood vessels; Kidney water is abundant. Kidney controls urination and defecation via Yang function. Heart-Kidney non-interaction causes insomnia; failed Qi transformation impedes all vessels.
6. Jueyin Liver and Pericardium:
Jueyin Qi transformation stores Liver blood, nourishing five Zang organs by day and hiding Hun by night. Pericardium meridian provides warmth, allowing Heart blood to circulate continuously. Loss of Qi transformation causes blood extravasation and vessel failure to store blood. Cold injuring the Pericardium causes blood to lose warmth, hindering Heart blood circulation.
Clinical Syndrome Discussion (Written Spontaneously)
Standards for Diagnosing and Treating Diseases
TCM itself is a matter of Yin and Yang. Anyone discussing standards apart from Yin and Yang has non-standard standards. Like when I heard a TCM doctoral supervisor at the China Academy of Chinese Medical Sciences say they wanted to establish medication standards for stroke, someone immediately asked, "Using your standard, what is the efficacy?" Indeed, TCM emphasizes efficacy, especially long-term efficacy. Can one indirectly treat diseases not yet occurring while treating the current disease? The answer is yes. Because an excellent TCM practitioner is a Yin-Yang master who can see the "past," "present," and "future" of a disease. These three correspond to the "San Cai" (Heaven, Earth, Human) discussed in Yi Jing. Some say TCM does not need to study Yi Jing. Is it possible without studying Yi Jing? Without understanding Yin and Yang, how can one discuss TCM? Without knowing San Cai, how can one discuss the human body? Do not forget that "Man" has Heaven above and Earth below, standing between Heaven and Earth. Heaven, Man, and Earth are San Cai. Is it acceptable not to understand Wu Yun Liu Qi (Six Qi and Five Movements)? Without understanding Wu Yun Liu Qi, how can one adapt to times? Is it acceptable not to understand Feng Shui? Feng Shui says, "Where mountains surround and waters embrace, there must be Qi." This Qi is Yang Qi, also called Sheng Qi (Vital Qi). When choosing living conditions, we first consider sunlight. Sun is Yang; acting on a location generates Yang Qi. Whether it stays depends on backing against a mountain. Diet is similar; eating too much cold damages Yang Qi. Once Yang Qi is damaged, all diseases arise. Therefore, the TCM standard is thoroughly understanding Yin and Yang. Thus, one must understand Yi Jing, knowing Jian Yi (simplicity: using simple formulas), Bu Yi (unchanging truth: breaking Yin cold, restoring Yang Qi, preserving Yin essence), and Bian Yi (change: adapting to time, place, and constitution). One must read Nei Jing, Shanghan Zabing Lun, and Shennong Ben Cao Jing thoroughly. Specifically, treating disease first distinguishes Yin and Yang syndromes, then determines which of the Six Meridians (containing all twelve meridians) it belongs to, and finally prescribes medication according to the meridian (warm-hot herbs for Yin syndromes, bitter-sweet-cold herbs for Yang syndromes). This is my method; efficacy can be seen in medical cases. Many clinical masters use this method. Do you think this standard is acceptable?
Laws of TCM:
The law of TCM is the waxing and waning of Yin and Yang. When Yang declines, Yin-cold (pathogens) grow, and disease increases; when Yang grows, Yin-cold (pathogens) decline, and disease recedes. Abundant Yin essence leads to abundant Yang Qi; abundant Yang Qi secures Yin essence. Yin essence is the root of Yang Qi and must not be deficient. Deficiency leads to winter cold injury and spring warm diseases.
Briefly on Pulse Diagnosis:
Pulse diagnosis is merely a skill, a lower-level method in TCM diagnosis. Ancients said: Knowing by observation is Divine; knowing by listening/smelling is Sage-like; knowing by questioning is Artisan-like; knowing by palpation is Skillful. Since many find pulse taking mysterious, I will briefly discuss it. Pulse diagnosis judges disease based on position, rate, shape, and momentum.
Pulse Position includes Cun, Guan, Chi, and Fu, Zhong, Chen (superficial, middle, deep). Cun views Heart, Lung, and Head; Guan views Spleen and Stomach; Chi views Liver, Kidney, legs, feet, and Bladder. Superficial pulse views Heart, Lung, Head; middle pulse views Spleen, Stomach; deep pulse views Liver, Kidney. Expert pulse readers do not strictly distinguish left and right hands.
Rate: The frequency of pulse beats. Calculated by the doctor's breath, four beats per inhalation-exhalation cycle (five occasionally) is Huan Mai (Moderate Pulse). A moderate pulse with strength on deep pressure is normal. Six beats per cycle is Shu Mai (Rapid Pulse); seven or more is Ji Mai (Hasty Pulse).
Shape: The form of the pulse.
Momentum: The strength of the pulse.
Then, twenty-eight pulses are governed by six basic pulses.
Six Pulses: Fu (Superficial), Chen (Deep), Chi (Slow), Shu (Rapid), Xu (Deficient), Shi (Excess).
Fu Category: Fu, Ru, Hong, Kou, Ge, San.
Chen Category: Chen, Fu, Lao, Ruo.
Chi Category: Chi, Huan, Se, Jie.
Shu Category: Shu, Cu, Ji, Dong, Dou.
Xu Category: Xu, Wei, Xi, Dai, Duan.
Shi Category: Shi, Hua, Jin, Chang, Xian.
Specific Rules: Use Fu/Chen to determine Exterior/Interior; Chi/Shu to determine Cold/Heat; True/False to determine Yang/Yin syndrome. Use Force/Weakness to determine Excess/Deficiency. In clinical practice, I mainly follow Nei Jing theory: "When Yin is calm and Yang is secure, spirit is regulated." I observe whether Cun, Guan, Chi are excessive or insufficient. Excess is Excess syndrome; insufficiency is Deficiency syndrome. But I seek moderation and root. Root means strong Chi pulse. Rapid with strength and root is Yang Excess-Heat; rapid without strength is Yin Essence Deficiency Deficiency syndrome; slow without strength and root is Deficiency-Cold Yin syndrome. I also check the temperature of Chi skin (inner wrist) and refer to urination/defecation to clarify Yin/Yang syndromes.
Example: A patient arrives; the physician must take the pulse. Otherwise, no matter how skilled, the patient won't trust. First impression is Chi skin temperature. If Chi skin is cold, next check Cun pulse. If Cun is rapid and stronger than Guan/Chi, one can diagnose: dizziness, head distension, palpitations, fatigue, heavy legs, even lower back pain. Patients usually say, "Accurate." Why? Cun rapid indicates heat above; heat causes head distension because Cun governs Head, Heart, Lung. Guan/Chi weakness indicates Spleen-Stomach transportation failure, Liver blood deficiency, and Kidney Yang deficiency. Here, Cun rapid is false, caused by Kidney Yang deficiency leading to floating deficient Yang. Other pulses follow this logic.
How to perceive the coming and going of the pulse?