(《素问·奇病论》)
帝曰∶病胁下满气逆,二三岁不已,是为何病?岐伯曰∶病名曰息积。(积不在中而在胁之下者,初起微小,久而至
大,则胁满气逆,喘促息难,故名息积。今人有积在左胁之下,俗名为痞者,其即此证,惟小儿为尤多。盖以胃之大络,
名曰虚里,贯膈络肺,出于左乳下,其动应衣,为阳明宗气所出之道也。若饮食过伤,脾不及化,则余气留滞而结聚于
此,其根正在胁间,阳明病剧则上连于肺,此其所以为息积也。)此不妨于食,不可灸刺,积为导引服药,药不能独治也。
(积不在胃,故不妨于食。治此者舍灸不可,惟喘者忌灸,恐助火邪,羸者忌刺,恐泻胃气,故必渐次积为导引,久久
行之以开其滞,仍用药饵以和其气,二者并行,斯病可愈。若专恃于药而不积为导引,则药亦不能独治之,可见治此者
之有不易也。)
(《素问·奇病篇》)
帝曰∶人有尺脉数甚,筋急而见,此为何病?(尺脉数甚,阴邪有余而水不足也。筋急而见,筋脉拘急而形色外见
也。筋者肝之合,阴气不足则肝失所养,故筋急而见。)岐伯曰∶此所谓疹筋,是人腹必急,白色黑色见,则病甚。(疹
筋者,病在筋也。《脉要精微论》曰∶尺外以候肾,尺里以候腹。故尺脉数甚,则候当在腹。腹者太阴阳明之所布,今其
肝邪外见而腹为胀急,乃木贼伤脾之病也。若其色见白黑,则阳气内亏,病为尤甚。)
黄帝问道:有人胁下胀满,气机上逆,持续两三年不愈,这是什么病?岐伯回答说:这种病名叫息积。(所谓息积,是指积聚不在中焦而在胁下。初起时肿块微小,日久逐渐增大,导致胁部胀满、气机上逆、气喘急促、呼吸困难,因此称为息积。现在有些人左胁下有积聚,俗称“痞”,指的就是这种病症,其中小儿更为多见。这是因为胃的大络叫做虚里,贯穿膈肌,联络肺脏,出于左侧乳下,搏动可见于衣物,这是阳明宗气运行的通道。如果饮食过度损伤脾胃,脾的运化功能不及,导致余气留滞并结聚于此,其病根在胁间,若阳明病加重则向上连及肺脏,这就是形成息积的原因。)此病不影响进食,但不可使用灸法和针刺治疗,必须通过导引疗法配合服药来治疗,单靠药物无法单独治愈。(因为积聚不在胃腑,所以不影响进食。治疗此病除了导引之外别无他法,但喘息严重者忌用灸法,恐助长火邪;身体虚弱者忌用针刺,恐泻伤胃气。因此必须循序渐进地坚持导引练习,长久施行以疏通阻滞,同时用药饵调和气机,两者并行,疾病才能痊愈。如果只依赖药物而不坚持导引,那么药物也无法单独治愈,由此可见治疗此病的难度。)
(出自《素问·奇病篇》)
黄帝问道:有人尺部脉搏跳动极快,筋脉拘急且形态显露,这是什么病?(尺脉数甚,说明阴邪有余而肾水不足。筋脉拘急且外形显露,是指筋脉拘挛紧急,其形态表现于外。筋是肝所合的脏腑组织,阴气不足则肝失滋养,所以出现筋脉拘急且形态显露的症状。)岐伯回答说:这叫做疹筋,患者腹部必然拘急,如果面色出现白色或黑色,则病情严重。(所谓疹筋,是指病位在筋。《脉要精微论》说:尺部外侧候肾,尺部内侧候腹。所以尺脉数甚,病变应当反映在腹部。腹部是太阴和阳明经气分布的地方,如今肝邪外现导致腹部胀满拘急,这是木气过盛克制脾土的病症。如果面色出现白或黑,说明阳气内亏,病情更加严重。)
The Yellow Emperor asked: There is a condition where the hypochondrium is full and qi rebels, persisting for two or three years without resolution. What disease is this? Qibo replied: The disease is named Xi Ji (Xi Accumulation). (Xi Accumulation refers to an accumulation located not in the middle jiao but below the hypochondrium. Initially small, it grows large over time, causing hypochondriac fullness, qi rebellion, panting, and difficulty in breathing, hence the name Xi Accumulation. Currently, some people have accumulations under the left hypochondrium, commonly known as Pi (Stagnation), which corresponds to this syndrome, particularly common in children. This is because the great collateral of the Stomach is named Xuli (Empty Li), piercing through the diaphragm and connecting with the Lung, emerging below the left nipple. Its pulsation is visible through clothing, representing the pathway of Yangming Zongqi (Gathering Qi). If dietary excess damages the Spleen's transformation and transportation, residual qi stagnates and accumulates here. The root lies in the intercostal region; if Yangming pathology worsens, it connects upward to the Lung, thus forming Xi Accumulation.) This condition does not interfere with eating, but moxibustion and acupuncture are contraindicated. Treatment requires accumulated practice of Daoyin (Guiding and Pulling exercises) combined with herbal medicine, as herbs alone cannot cure it independently. (Since the accumulation is not in the Stomach, eating is unaffected. For treating this, Daoyin is essential. However, those with panting must avoid moxibustion to prevent aiding fire pathogenic factors; those who are emaciated must avoid acupuncture to prevent draining Stomach Qi. Therefore, one must gradually and persistently practice Daoyin to open stagnation over time, while using herbal decoctions to harmonize Qi. Both methods must proceed together for recovery. Relying solely on herbs without Daoyin renders them ineffective, demonstrating the difficulty of treatment.)
(From *Suwen: Chapter on Rare Diseases*)
The Yellow Emperor asked: Some individuals have a very rapid pulse at the Chi position (Cun-Kuan-Chi pulse location at the wrist), with tendons becoming tense and visible. What disease is this? (A rapid Chi pulse indicates excess Yin pathogens and deficiency of Kidney Water. Tense and visible tendons indicate spasm and tension of the sinews manifesting externally. Sinews are associated with the Liver; when Yin Qi is deficient, the Liver loses nourishment, resulting in tense and visible sinews.) Qibo replied: This is called Zhen Jin (Rash Sinews/Sinus Disease). In such cases, the abdomen must be tight. If white or black colors appear on the face, the disease is severe. (Zhen Jin means the pathology resides in the sinews. As stated in *Maiyao Jingwei Lun*: "The outer part of the Chi position reflects the Kidney, and the inner part reflects the Abdomen." Thus, a rapid Chi pulse suggests pathology in the Abdomen. The Abdomen is the distribution area of Taiyin and Yangming channels. Now, Liver pathogenic factors manifest externally, causing abdominal distension and tightness, which is a case of Wood overacting on Earth (Spleen). If white or black complexions appear, it indicates internal deficiency of Yang Qi, making the condition even more severe.)