食躁式〔或〕躁方
【按】食躁式躁之“式”字,当是“或”字,应改之。
问曰∶阳病十八,何谓也?师曰∶头痛,项,腰、脊、臂、脚掣痛。阴病十八,何谓
也?师曰∶咳,上气,喘,哕,咽,肠鸣,胀满,心痛,拘急。五脏病各有十八,合为九
十病;人又有六微,微有十八病,合为一百八病。五劳,七伤,六极,妇人三十六病,不
在其中。清邪居上,浊邪居下。大邪中表,小邪中里, 之邪,从口入者,宿食也。五
邪中人,各有法度∶风中于前,寒中于暮,湿伤干下,雾伤于上;风令脉浮,寒令脉急,雾
伤皮腠,湿流关节,食伤脾胃。极寒伤经,极热伤络。
论曰∶百合病者,百脉一宗,悉致其病也。意欲食,复不能食,常默默然,欲卧不
能卧,欲行不能行,饮食或有美时,或有不用闻食嗅时,如寒无寒,如热无热,口苦,小
便赤;诸药不能治,得药则剧吐、利,如有神灵者,身形如和,其脉微数。每尿时头痛者,六十日
乃愈;若尿时头不痛,淅然者,四十日愈;若尿快然,但头眩者,二十日愈。其证或未病而
预见,或病四五日而出,或病二十日或一月微见者,各随证治之。
长服诃黎勒丸方。
【按语】这个方剂应当移到前一篇关于“谷气之实”的内容之下。
食躁或躁方
【按语】“食躁式躁”中的“式”字,应该是“或”字,应当改正。
问曰:阳病有十八种,是什么?老师说:头痛、项强、腰痛、脊痛、手臂掣痛、脚部掣痛。阴病有十八种,是什么?老师说:咳嗽、气逆上冲、气喘、呃逆、咽喉不利、肠鸣、胀满、心痛、拘急。五脏的病各有十八种,合起来是九十种病;人又有六种微邪,每种微邪有十八种病,合起来是一百零八种病。五劳、七伤、六极、妇人三十六病,不在这个数目之内。清邪居上位,浊邪居下位。大邪侵袭体表,小邪侵入体内,饮食之邪从口进入,是宿食。五种邪气伤人,各有规律:风邪在早晨侵袭人体,寒邪在傍晚侵袭人体,湿邪伤害下部,雾邪伤害上部;风邪使脉象浮,寒邪使脉象紧急,雾邪伤害皮肤腠理,湿邪流注关节,饮食损伤脾胃。极寒伤害经脉,极热伤害络脉。
论述说:百合病(Lily Disease),是因为百脉归于同一宗源,全部受到病变影响。想要进食,却又吃不下;常常沉默寡言;想躺卧却睡不着,想行走却不能走;饮食有时觉得美味,有时闻到食物气味就厌恶;像冷又不冷,像热又不热,口苦,小便颜色深红;各种药物都不能治愈,服药后反而剧烈呕吐、腹泻,好像有神灵作祟一样,身体外形看似正常,但脉象微数。每次排尿时头痛的,六十天后痊愈;如果排尿时头不痛,只是感到畏寒战栗的,四十天痊愈;如果排尿顺畅,只是头晕目眩的,二十天痊愈。这种病症,有的还没发病就先显现症状,有的发病四五日后出现,有的发病二十天或一个月后才轻微显现,都根据具体证候进行治疗。
Decoction of Cheqile (Terminalia chebula) for Long-term Use.
[Note] This formula should be moved to the section below "Excess of Grain Qi" in the previous chapter.
Formula for Food-induced Restlessness or Restlessness [or]
[Note] The character "Shi" (式) in "Food-induced Restlessness Shi Restlessness" should be "Huo" (或, or), and it ought to be corrected.
Question: What are the eighteen Yang diseases? The Master said: Headache, stiffness of the neck, low back pain, spine pain, pulling pain in the arms, and pulling pain in the legs. What are the eighteen Yin diseases? The Master said: Cough, upward rushing of Qi, wheezing, hiccups, throat obstruction, borborygmus, abdominal distension and fullness, heart pain, and tension/cramping. Each of the five Zang organs has eighteen diseases, totaling ninety diseases; humans also have six minor pathogens, each having eighteen diseases, totaling one hundred eight diseases. The Five Exhaustions, Seven Injuries, Six Extremes, and Thirty-six Diseases of Women are not included in this count. Clear pathogens reside in the upper part, turbid pathogens reside in the lower part. Major pathogens attack the exterior, minor pathogens penetrate the interior. Pathogens from food/drink entering through the mouth constitute retained food. The five types of pathogens attacking humans follow specific patterns: Wind attacks in the morning, Cold attacks in the evening, Dampness injures the lower part, Fog injures the upper part; Wind causes the pulse to be floating, Cold causes the pulse to be tight, Fog injures the skin and interstices, Dampness flows into the joints, Food damages the Spleen and Stomach. Extreme Cold injures the meridians, Extreme Heat injures the collaterals.
Discussion: Lily Disease is a condition where all vessels belong to one source, and thus all are affected by the disease. The patient desires to eat but cannot; often remains silent; wishes to lie down but cannot sleep, wishes to walk but cannot move; sometimes finds food palatable, sometimes loses the sense of smell for food or feels aversion to its odor; seems cold but is not actually cold, seems hot but is not actually hot, bitter taste in the mouth, dark red urine; various medicines fail to cure it, and upon taking medicine, severe vomiting and diarrhea occur, as if possessed by spirits; the body shape appears normal, but the pulse is slightly rapid. If headache occurs during urination, recovery takes sixty days; if there is no headache during urination but rather a shivering sensation, recovery takes forty days; if urination is smooth but accompanied only by dizziness, recovery takes twenty days. These symptoms may appear before the disease manifests, or emerge four to five days after onset, or appear mildly after twenty days or a month; treatment should follow the specific syndrome.
In men with a normal constitution, a weak, fine, and subtle pulse indicates a predisposition to night sweats.