夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和。故曰∶喜则气缓。然缓者,固有徐
利之义,但不及太过,皆能致息愆期。而况忧思郁结,宁不滞其气乎!气既壅滞则郁而为火
,是益为烁金涸水之胎,人既病火,则身犹敝器矣。须着意护持,心当浑然无物,庶可登之
佳境。倘以世务营心,终日怏怏,是欲蹈万古之长夜,宁非昧而不觉者乎!哀哉。
愚谓痰火之病,能戒则功过药之半矣。盖攻邪去病,固藉药剂之能,而燮理调元,又非
不可。何也?夫所谓戒者,以其于病有大妨,法所当戒,不戒则死。所谓忌者,以其于病有
所不宜,法当忌之,不忌则害。二者实痰火死生之关头也,可缺一乎?然所当戒者,酒色财
气之四欲也;所当忌者,饮食起居,多言浓味之四失也。病患能守此八者,则胜于药力多矣
。如恣欲则伤精,绝之则所以存精足水以制火也。若暴怒则伤肝,戒之则所以平肝安土以养
金也。贪欲则伤肺,戒之则以清金制木无使凌脾也。嗜利劳神,戒之则所以宁火而肃金而充
水也。慎起居所以防贼风虚邪之犯正。节饮食毋使菀茁陈 以留脾。简言语所以保金以育水
。薄浓味所以息火毋伤金。若此八者,利益固非小可,而其害也,则轻可致重,重可致危,
颠沉困惫,皆胎于此。病者倘能一一遵根据,小心翼翼,则危可至泰,轻可至愈,挽回枯槁于
幽冥之谷,其可量乎。
气贵在舒展而不在郁结,舒展则全身通畅流利,郁结则百脉失调。所以说:喜悦能使气机舒缓。然而舒缓固然有从容有利的含义,但如果不及或太过,都会导致月经延期。更何况忧思郁结,难道不会使气机阻滞吗!气一旦壅滞就会郁而化火,这更是灼伤肺金、耗竭肾水的根源,人既然患上火病,身体就像破旧的器皿一样了。必须用心呵护持守,心境应当浑然无物,才可以达到良好的境界。倘若被世俗事务困扰心神,整天闷闷不乐,这是想要陷入万古长夜之中,岂不是愚昧而不觉悟的人吗?可悲啊。
我认为痰火之病,如果能戒除(相关因素),其功效胜过药物的一半。因为攻邪去病,固然依赖药物的能力,而调和元气,也不是不可以做到。为什么呢?所谓“戒”,是因为它对病情有大妨碍,是治法中应当禁止的,不禁止就会死亡。所谓“忌”,是因为它对病情有所不宜,是治法中应当忌讳的,不忌讳就会有害。这两者实际上是痰火病生死的关键关头,能缺少哪一个呢?然而所应当戒除的,是酒、色、财、气这四欲;所应当忌讳的,是饮食起居、多言、浓味这四失。病患若能遵守这八项,就比药力更大了。如果放纵欲望就会损伤精气,戒除它就是为了保存精气、充足肾水以制约心火。如果暴怒就会损伤肝脏,戒除它就是为了平抑肝木、安固脾土以滋养肺金。贪欲就会损伤肺脏,戒除它就是为了清肃肺金、制约肝木,防止其欺凌脾土。嗜好名利、劳神费心,戒除它就是为了宁息心火、肃清肺金并充养肾水。谨慎起居是为了防止贼风虚邪侵犯正气。节制饮食不要使腐败陈旧的积滞留在脾脏。简化言语是为了保全肺金以孕育肾水。清淡口味是为了平息心火而不损伤肺金。像这八项,利益固然不小,而其危害,轻的可以导致重,重的可以导致危殆,颠仆沉困疲惫,都孕育于此。病人如果能一一遵循依据,小心翼翼,那么危重可以转为平安,轻微可以痊愈,在幽冥之谷挽回枯槁的生命,其功劳怎能估量呢。
Qi values expansion and not stagnation; when expanded, the whole body flows smoothly, but when stagnant, the hundred vessels become disharmonious. Thus it is said: Joy causes Qi to relax. However, relaxation inherently implies a sense of leisure and benefit, yet if it is insufficient or excessive, both can lead to delayed menstruation (Xiqi). How much more so would sorrow, worry, and depression cause Qi stagnation! Once Qi becomes obstructed and stagnant, it transforms into Fire, thereby becoming the root that scorches Metal (Lung) and dries up Water (Kidney). Once a person suffers from Fire disease, their body is like a broken vessel. One must consciously protect and maintain this state, keeping the mind in a state of emptiness without attachments, so as to reach a favorable condition. If one allows worldly affairs to occupy the heart, remaining gloomy all day long, this is akin to treading into an eternal night for ten thousand ages; is this not being ignorant and unaware? Alas.
I believe that for diseases of Phlegm-Fire, abstinence can achieve half the efficacy of medicine. Attacking pathogens and removing disease certainly relies on the power of medicinal agents, yet regulating and harmonizing the primal Qi is also indispensable. Why? The term "abstain" (Jie) applies because certain factors greatly hinder the disease process and are strictly prohibited by therapeutic principles; failure to abstain leads to death. The term "avoid" (Ji) applies because certain factors are unsuitable for the disease and should be avoided according to principle; failure to avoid leads to harm. These two constitute the critical juncture between life and death in Phlegm-Fire diseases; can either be omitted? What must be abstained from are the four desires: alcohol, sex, wealth, and anger; what must be avoided are the four errors: diet and daily routine, excessive speech, and rich/heavy flavors. If patients observe these eight precepts, they will surpass the effect of medicine. Indulgence in desires damages Essence; abstaining preserves Essence and suffices Kidney Water to control Fire. Sudden anger damages the Liver; abstaining pacifies Liver Wood and stabilizes Spleen Earth to nourish Lung Metal. Greed damages the Lungs; abstaining clears Lung Metal and controls Liver Wood, preventing it from bullying Spleen Earth. Coveting profit and laboring the spirit damages the Heart/Shen; abstaining calms Fire,肃ifies Metal, and replenishes Water. Prudent daily routines prevent pathogenic winds and empty evils from invading healthy Qi. Restricting diet prevents damp-heat and stale accumulation from lingering in the Spleen. Simplifying speech protects Lung Metal to nurture Kidney Water. Eating bland flavors extinguishes Fire without damaging Lung Metal. Regarding these eight, the benefits are indeed significant, while the harms, if neglected, can escalate from mild to severe, and from severe to critical. Collapse, exhaustion, and debility all originate here. If patients can follow each point meticulously and with caution, critical conditions can turn to safety, and mild conditions to recovery. To salvage withered vitality from the valley of darkness—how immeasurable is this merit.