经曰∶出入废,则神机化灭;升降息,则气立孤危。又曰∶一息不运则机缄穷,一毫不续则霄
壤判。
故人身一动一止,至理寓焉;一升一降,存亡系焉。经曰∶心出血,肝纳血;肺出气,肾纳气。盖
足少阴肾经,为元气之主司。其经设有亏损,不能藏其气,则气无所根据,由别道而出,如泄气(即今
出屁,)古书转屎气是也。因过食,或气滞,得气出即宽,及小儿、老人皆勿论。然有少年因所斫丧
过度所致,泄不自知,不能自禁其征也。其人必面容青惨,形色憔悴,诚虚损之渐,患此者,当自
警之。有男、妇久病之后,肾经虚乏,真水涸竭,气不归元,而变成喘满气急,痰实壅嗽,呼吸短
促,不能安卧,甚至抬肩撷肚等状。若多服降气利膈、定喘宽胸之药,强下其气,致气无所归,反
增大便下坠,后重里急,频至圊而不解。有用补肾药而愈者,其始必因多欲伤精,失意伤志,则肾
不得养,不能藏摄其气,犹器败不能藏物也。其有男遗精、女下带而不可止,及大小便频多、易出
而不自禁者,皆可例推入。能寡欲节食,起居有常,则脾肾强固,精能通运,无气之可漏,力能完
摄,不使气之妄行,何病之有?
按《本草》有茶、茗二名。茶味甘苦,微寒无毒,早采细者,气清上升。主 疮,清头目,去
痰、热、渴,令人少睡。茗味同,晚采粗者,重浊下降。主下气、消宿食、利小便、通大肠,宜热
饮。如多饮少睡,令人瘦,去人脂。《茶茗赋》云∶释滞消壅,一日之利暂佳;瘠气侵精,终身之
累斯大。盖十二经补泻、温凉之药,茶为肾经泻品。《难经》曰∶泻南方,补北方。东垣云∶肾无
实,不可泻。生民以来,七火常有余,一水常不足。七藏神云∶肾藏精与志,尤为元气所藏,泻肾则精气日损。古无茶,
茶始于唐,盛于宋,然亦惟饱后乃饮,空心但饮百沸白汤耳。酒大热有毒,主杀百邪恶毒瓦斯,通血脉,浓
肠胃,御风寒雾瘴,养脾,行药力。味辛者能散,通导周身,至极高之分;味苦者能下,甘者和中
,淡者利小便。然大寒凝海,惟酒不冰,能炽心火、伤肺金、腐肠胃、成癖积,甚至成劳。伤寒饮
酒者,死。其在火酒,及过于辛劲者,为害尤甚。况又为肝经补品,豪饮则肝横胆浮。肝者,将军
之官,勇敢出焉,故怒发无惧。胆者,中正之官,故直许无隐,取祸招尤,职酒之故。噫!能养人
亦能害人,善葆者慎之哉。
《黄帝内经》说:如果出入的功能废弛,那么神机的变化就会灭绝;如果升降的作用停止,那么气立的根基就会孤立危险。又说:一次呼吸如果不运转,生命的机关就穷尽;一丝一毫的延续如果中断,天地般的差距就判然分开。
所以人身体的每一次动与静,蕴含着至深的道理;每一次升与降,关系着生存与死亡。经书说:心排出血液,肝脏收纳血液;肺呼出气体,肾脏收纳气体。大概足少阴肾经,是元气的总主管。如果这条经脉有亏损,不能藏纳其气,那么气就没有依托,从别的途径排出,就像放屁(就是现在的排气),古书中称为“转屎气”的情况一样。这是因为饮食过量,或者气机阻滞,得到气体排出后就感到舒畅,至于小儿和老人都不在此例讨论。然而有些年轻人因为房事过度损耗所致,泄气自己不知道,无法自我控制这种征象。这种人必定面容青暗惨淡,神色憔悴,这确实是虚损的开始,患此病的人,应当自我警惕。还有男女久病之后,肾经虚弱匮乏,真水枯竭,气不归元,从而变成气喘胸闷气急,痰实壅塞咳嗽,呼吸短促,不能安卧,甚至出现耸肩挺肚等状况。如果多服用降气利膈、定喘宽胸的药物,强行下压其气,导致气没有归宿,反而增大便下坠,后重里急,频繁去厕所却解不出来。有用补肾药而痊愈的,起初必定是因为多欲伤精,失意伤志,那么肾得不到滋养,不能藏摄其气,就像容器破损不能盛物一样。那些男子遗精、女子带下不止,以及大小便频繁增多、容易排出而无法自禁的,都可以以此类推。如果能寡欲节食,起居有常度,那么脾肾强固,精能通运,没有气可漏,力量能完全摄纳,不让气妄行,有什么疾病呢?
按《本草》记载有茶、茗两个名称。茶味甘苦,微寒无毒,早采细嫩的,气味清轻上升。主治疮疡,清头目,去痰、热、渴,让人少睡。茗的味道相同,晚采粗老的,沉重浑浊下降。主治下气、消宿食、利小便、通大肠,宜热饮。如果多饮少睡,让人消瘦,去除人的脂肪。《茶茗赋》说:释滞消壅,一天的利益暂时良好;瘠气侵精,终身的拖累就大了。大概十二经补泻、温凉性质的药物中,茶是肾经的泻品。《难经》说:泻南方,补北方。东垣(李杲)说:肾无实证,不可泻。自从有人类以来,七火常常有余,一水常常不足。七藏神说:肾藏精与志,尤为元气所藏,泻肾则精气日渐损耗。古代没有茶,茶始于唐代,兴盛于宋代,然而也只是饱饭后才饮用,空腹只喝百沸白开水罢了。酒大热有毒,主治杀灭各种邪恶毒瓦斯,通血脉,浓肠胃,御风寒雾瘴,养脾,行药力。味辛的能发散,通导周身,到达极高的部位;味苦的能下行,甘味的能和中,淡味的能利小便。然而大寒凝结海水,只有酒不结冰,能炽热心火、损伤肺金、腐蚀肠胃、形成癖积,甚至成劳病。伤寒病患者饮酒,会死。如果是火酒,以及过于辛辣强劲的,危害尤其严重。况且酒又是肝经的补品,豪饮则肝横胆浮。肝者,将军之官,勇敢由此产生,所以发怒时无所畏惧。胆者,中正之官,所以直率允许无隐瞒,招致祸患,都是酒的缘故。唉!酒能养人也能害人,善于保养的人要谨慎啊。
The *Classic of Medicine* (*Huangdi Neijing*) states: If the functions of entering and exiting cease, the divine mechanism (*Shenji*) of transformation will perish; if the movements of ascending and descending stop, the qi-establishment (*Qili*) will become isolated and perilous. It also says: If one breath does not circulate, the mechanisms of life are exhausted; if even a tiny continuity is interrupted, the difference becomes as vast as that between heaven and earth.
Therefore, every movement and stillness in the human body contains profound principles; every ascent and descent determines survival or demise. The classics state: The Heart expels blood, the Liver stores blood; the Lung exhales qi, the Kidney stores qi. Generally, the Foot Shaoyin Kidney Meridian (Foot-Shaoyin Shenshu Jing) is the master controller of Yuan Qi (Original Qi). If this meridian suffers deficiency and cannot store its qi, then qi has no foundation and exits through other pathways, similar to passing gas (i.e., flatulence), which ancient texts referred to as "transmitting stool qi." This occurs due to overeating or qi stagnation, where relief is felt upon the release of gas; this does not apply to infants and the elderly. However, some young people suffer from excessive sexual indulgence, leading to involuntary leakage of qi without awareness or control. Such individuals necessarily present with a dark, sallow complexion and emaciated appearance, indicating the onset of deficiency consumption. Those suffering from this should be vigilant. Furthermore, after prolonged illness in both men and women, the Kidney Meridian may become deficient and depleted, causing True Water (Jin Shui) to dry up. When qi fails to return to its origin (Qi Bu Gui Yuan), it transforms into wheezing, chest fullness, and急促 breathing, with phlegm-qi obstruction and coughing, shortness of breath, inability to lie flat, and even symptoms like lifting shoulders and protruding abdomen. If one takes too many medications for descending qi, clearing the diaphragm, calming asthma, and widening the chest, forcibly pushing down the qi, it causes the qi to have no abode, resulting in increased sensation of rectal heaviness, tenesmus, frequent trips to the toilet without successful defecation. Some cases are cured by using Kidney-tonifying herbs; initially, these were caused by excessive desire damaging essence and frustration damaging the will, so the Kidney could not nourish itself nor store and secure its qi, just as a broken vessel cannot hold contents. Cases of men with seminal emission and women with leukorrhea that cannot be stopped, as well as frequent urination or defecation that is easy to pass but uncontrollable, can all be inferred by analogy. If one practices moderation in desire and diet, maintains regular daily routines, then the Spleen and Kidney will become strong and solid, essence will circulate freely, there will be no qi to leak, strength will fully secure retention, preventing reckless qi movement. What disease would remain?
According to the *Materia Medica* (*Bencao*), there are two names for tea: Cha and Ming. Tea tastes sweet and bitter, is slightly cold and non-toxic. Early-harvested fine leaves have clear, ascending qi. They treat sores, clear the head and eyes, remove phlegm, heat, and thirst, and reduce sleep. Ming has the same taste; late-harvested coarse leaves have heavy, turbid, descending qi. They descend qi, digest retained food, promote urination, unblock the large intestine, and are suitable for hot drinking. Excessive drinking leads to reduced sleep, weight loss, and fat reduction. The *Ode to Tea and Ming* states: Relieving stagnation and resolving obstruction offers temporary benefit for one day; emaciating qi and invading essence brings great lifelong burden. Among the tonifying and reducing, warming and cooling herbs of the twelve meridians, tea is a draining agent for the Kidney Meridian. The *Classic of Difficult Issues* (*Nanjing*) states: Drain the South, tonify the North. Dongyuan (Li Gao) said: The Kidney has no excess conditions and should not be drained. Since the beginning of humanity, the seven fires are often in excess, while the one water is often insufficient. The *Seven Organ Spirits* (*Qizang Shen*) states: The Kidney stores essence and will, particularly housing the Original Qi; draining the Kidney causes daily depletion of essence and qi. In ancient times, there was no tea; tea began in the Tang Dynasty and flourished in the Song Dynasty, yet people only drank it after full meals, consuming only boiling plain water on an empty stomach. Alcohol is extremely hot and toxic. It treats killing various evil toxins, promotes blood circulation, thickens the stomach and intestines, wards off wind-cold and miasma, nourishes the Spleen, and enhances medicinal potency. Pungent flavors disperse, guiding throughout the body to the highest parts; bitter flavors descend; sweet flavors harmonize the middle; bland flavors promote urination. However, when the sea freezes deeply, alcohol remains liquid. It can ignite Heart fire, damage Lung metal, corrode the stomach and intestines, form accumulations, and even lead to consumptive diseases. Patients with Cold Damage (*Shanghan*) who drink alcohol may die. Fire wine and those that are overly pungent and potent cause even greater harm. Moreover, alcohol is a tonic for the Liver Meridian; excessive drinking causes Liver qi to rise recklessly and Gallbladder qi to float. The Liver is the General, from whom courage arises, thus anger knows no fear. The Gallbladder is the Official of Justice, thus it allows directness without concealment, inviting disaster and blame, all due to alcohol. Alas! It can nourish people but also harm them; those who wish to preserve health must be cautious.