痰饮者,由气脉闭塞,津液不通,水饮气停在胸腑,结而成痰。又其人素盛今瘦,水走
肠间,漉漉有声,谓之痰饮。其为病也,胸胁胀满,水谷不消,结在腹内两肋,水入肠胃,
动作有声,体重多唾,短气好眠,胸背痛,甚则上气咳逆,倚息,短气不能卧,其形如肿是
也。
脉偏弦为痰,浮而滑为饮。其汤熨针石,别有正方,补养宣导,今附于后。
《养生方·导引法》云∶左右侧卧,不息十二通,治痰饮不消。右有饮病,右侧卧;左
有饮病,左侧卧。又有不消,以气排之,左右各十有二息。治痰饮也。
此由痰水结聚在胸腑、膀胱之间,久而不散,流行于脾胃。脾恶湿,得水则胀,胀则不
能消食也。或今腹里虚满,或水谷不消化,或时呕逆,皆其候也。
热痰者,谓饮水浆结积所生也。言阴阳痞隔,上焦生热,热气与痰水相搏,聚而不散,
故令身体虚热,逆害饮食,头面吸吸而热,故云热痰也。
冷痰者,言胃气虚弱,不能宣行水谷,故使痰水结聚,停于胸膈之间,时令人吞酸气逆
,四肢变青,不能食饮也。
此由痰水积聚,在于胸腑,遇冷热之气相搏,结实不消,故令人心腹痞满,气息不安,
头眩目暗,常欲呕逆,故言痰结实。
膈痰者,谓痰水在于胸膈之上,又犯大寒,使阳气不行,令痰水结聚不散,而阴气逆上
,上与风痰相结,上冲于头,即令头痛。或数岁不已,久连脑痛,故云膈痰风厥头痛。若手
足寒冷至节即死。
痰饮,是由于气脉闭塞,津液运行不畅,水饮之气停滞在胸腑,凝结而成痰。另外,有些人原本身体壮实如今却消瘦,水湿流注于肠间,发出漉漉的声音,这称为痰饮。它引发的病症包括:胸胁部胀满,水谷不能消化,结聚在腹部两侧肋下;水进入肠胃后,活动时发出声响;身体沉重,多唾沫,气短且嗜睡,胸背疼痛,严重时出现气逆咳嗽,需要倚靠物体呼吸,气短无法平卧,形体看起来像浮肿一样。
脉象偏弦主痰病,脉象浮而滑主饮病。治疗痰饮的汤药、熨法、针刺和砭石疗法,另有专门的方剂,补益调养和导引宣通的方法,现在附在后面。
《养生方·导引法》说:向左右侧卧,闭气不通十二次,可以治疗痰饮不消。右侧有饮病,就向右侧卧;左侧有饮病,就向左侧卧。如果仍然不消退,用气息排出,左右各做十二次呼吸。这是治疗痰饮的方法。
这是由于痰水结聚在胸腑与膀胱之间,日久不散,流行波及脾胃。脾脏厌恶湿气,遇到水湿就会胀满,胀满则不能消化食物。或者表现为腹部虚胀,或者水谷不消化,或者时常呕吐逆气,这些都是其征候。
热痰,是指饮水浆液结积所生成的。所谓阴阳痞塞阻隔,上焦产生热邪,热气与痰水相互搏结,聚积而不消散,因此导致身体虚热,妨碍饮食,头面部感到灼热,所以称为热痰。
冷痰,是指胃气虚弱,不能宣发运行水谷,从而导致痰水结聚,停滞在胸膈之间,时常使人吞酸气逆,四肢变青,不能进食饮水。
这是由于痰水积聚在胸腑,遇到冷热之气相互搏结,结实不消,因此导致心腹痞满,气息不安,头晕目眩视力昏暗,经常想要呕吐逆气,所以称为痰结实。
膈痰,是指痰水停留在胸膈之上,又遭受大寒侵袭,使阳气不能通行,导致痰水结聚不散,阴气逆向上行,与风痰相结,上冲头部,立即引起头痛。或者数年不愈,长久牵连脑部疼痛,所以称为膈痰风厥头痛。如果手足寒冷达到关节部位,则预后不良致死。
Tan Yin (Phlegm-Fluid Retention) arises from the obstruction of Qi and meridians, leading to the failure of Jin Ye (Body Fluids) to circulate. Water and fluid Qi stagnate in the chest and fu organs, condensing to form Tan (Phlegm). Furthermore, individuals who were previously robust but have now emaciated, with water flowing between the intestines producing a gurgling sound, are diagnosed with Tan Yin. The manifestations of this condition include distension and fullness in the chest and hypochondrium, indigestion of food and fluids, accumulation within the abdomen and bilateral costal regions, audible sounds when water enters the stomach and intestines, heaviness of the body, excessive salivation, shortness of breath, somnolence, pain in the chest and back. In severe cases, there is rebellious Qi with coughing and wheezing, orthopnea (relying on objects to breathe), inability to lie flat due to shortness of breath, and a swollen appearance of the body.
A pulse that is predominantly Xian (Wiry) indicates Tan (Phlegm), while a Fu (Floating) and Hua (Slippery) pulse indicates Yin (Fluid Retention). Decoctions, hot compresses, acupuncture, and stone therapy for treating these conditions have separate specific formulas. Methods for nourishment, supplementation, and Daoyin (Guiding and Pulling exercises) are appended below.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) · *Daoyin Fa* (Method of Guiding and Pulling) states: Lie on the left or right side, holding the breath for twelve cycles, to treat persistent Tan Yin. If the pathology is on the right, lie on the right side; if on the left, lie on the left side. If it does not resolve, expel the pathogenic Qi through breathing exercises, performing twelve breaths for each side. This treats Tan Yin.
This condition arises from the aggregation of Tan Shui (Phlegm-Water) between the chest/fu organs and the Bladder, which persists for a long time without dispersing and spreads to the Spleen and Stomach. The Spleen dislikes dampness; upon encountering water/dampness, it becomes distended. Distension impairs its ability to digest food. Manifestations may include empty fullness in the abdomen, indigestion of food and fluids, or occasional vomiting and rebellious Qi. These are all characteristic signs.
Re Tan (Hot Phlegm) is generated by the accumulation and结集 (condensation) of drinking water and fluids. It involves the blockage of Yin and Yang, generating heat in the Upper Jiao (Upper Burner). Heat Qi combats with Tan Shui, aggregating without dispersing. Consequently, the body experiences deficiency-heat, dietary intake is impaired, and the head and face feel burning/hot, hence termed Re Tan.
Leng Tan (Cold Phlegm) results from deficient and weak Stomach Qi, which fails to disseminate and transport food and fluids. This causes Tan Shui to aggregate and stagnate between the chest and diaphragm. It frequently causes acid regurgitation, rebellious Qi, cyanosis of the four limbs, and an inability to eat or drink.
This arises from the accumulation of Tan Shui in the chest and fu organs. When confronted by conflicting cold and heat Qi, they bind firmly and do not dissipate. This leads to epigastric and abdominal fullness and stuffiness, restless breathing, dizziness, blurred vision, and frequent urge to vomit. Hence, it is referred to as Tan Jie Shi (Solidified Phlegm).
Ge Tan (Diaphragmatic Phlegm) refers to Tan Shui located above the chest and diaphragm. When exposed to severe Cold, Yang Qi fails to circulate, causing Tan Shui to aggregate and remain undispersed. Yin Qi then rebels upward, combining with Feng Tan (Wind Phlegm), rushing upward to the head, thereby causing Tou Tong (Headache). If this persists for years, it may chronically involve brain pain, thus termed Ge Tan Feng Jue Tou Tong (Diaphragmatic Phlegm, Wind-Jue Headache). If cold extends to the joints of the hands and feet, the prognosis is fatal.