七疝者,厥疝、症疝、寒疝、气疝、盘疝、 疝、野狼疝,此名七疝也。
厥逆心痛,
食即胁下腹中尽痛,名曰寒疝也。腹中乍满乍减而痛,名曰气疝也。腹中痛在脐旁,名曰盘
疝也。腹中脐下有积聚,名曰 疝也。小腹与阴相引而痛,大行难,名曰野狼疝也。凡七
疝,皆由血气虚弱,饮食寒温不调之所生。
一曰石疝,二曰血疝,三曰阴疝,四曰妒疝,五曰气疝,是为五疝也。而范汪所录华佗
太一决疑双丸,方云治八痞、五疝、积聚、伏热、留饮、往来寒热,而不的显五疝之状。寻
此皆由腑脏虚弱,饮食不节,血气不和,寒温不调之所生也。
疝者,痛也。由阴气积于内,寒气不散,上冲于心,故使心痛,谓之心疝也。其痛也,
或如锥刀所刺,或阴阴而疼,或四肢逆冷,或唇口变青,皆其候也。
阴气在内,寒气客于足阳明、手少阴之络,令食竟必饥,心为之痛,故谓之饥疝。
疝者,痛也;瘕者,假也。其病虽有结瘕,而虚假可推移,故谓之疝瘕也。由寒邪与脏
腑相搏所成。其病,腹内急痛,腰背相引痛,亦引小腹痛。
脉沉细而滑者,曰疝瘕;紧急而滑者,曰疝瘕。方云∶干脯曝之不燥者,食之成疝瘕。
其汤熨针石,别有正方,补养宣导,今附于后。
《养生方·导引法》云∶挽两足指,五息止,引腹中气。去疝瘕,利孔窍。
又云∶坐,舒两脚,以两手捉大拇指,使足上头下,极挽,五息止,引腹中气遍行身体
。去疝瘕病,利诸孔窍,往来易行。久行精爽,聪明修长。
七疝,包括厥疝、症疝、寒疝、气疝、盘疝、[缺字]疝、野狼疝,这被称为七疝。
厥逆心痛(四肢厥冷伴随心胸疼痛),
进食后胁下及腹中全部疼痛,称为寒疝。腹中时而胀满时而减少并伴有疼痛,称为气疝。腹中疼痛位于肚脐旁边,称为盘疝。腹中肚脐下方有积聚包块,称为[缺字]疝。小腹与阴部相互牵引而痛,大便困难,称为野狼疝。凡是七疝,都是由血气虚弱,饮食寒温不调所导致的。
第一种是石疝,第二种是血疝,第三种是阴疝,第四种是妒疝,第五种是气疝,这被称为五疝。而范汪所记录的华佗太一决疑双丸的方书中说,此方能治疗八痞、五疝、积聚、伏热、留饮、往来寒热,但没有明确显示五疝的具体症状。推究这些病症,都是由于腑脏虚弱,饮食不节制,血气不和,寒温不调所导致的。
疝,就是痛的意思。由阴气积聚在体内,寒气不散,向上冲撞心脏,所以导致心痛,这就叫做心疝。它的疼痛,有的像被锥子或刀子刺扎一样,有的隐隐作痛,有的四肢厥冷,有的嘴唇和口角变青,这些都是其征候。
阴气在内,寒气客居于足阳明经和手少阴经的络脉,导致吃完饭后必定感到饥饿,心脏因此疼痛,所以叫做饥疝。
疝,就是痛;瘕,就是假。虽然病中有结聚成块的瘕,但它是虚假的、可以推移的,所以叫做疝瘕。这是由寒邪与脏腑相互搏结所形成的。其病症表现为腹内拘急疼痛,腰背相互牵引疼痛,也牵引小腹痛。
脉象沉细而滑的,称为疝瘕;脉象紧急而滑的,也称为疝瘕。方书说:肉干晒得不干燥的,吃了会形成疝瘕。
对于汤药熨贴、针刺砭石的治疗,另有专门的方剂,补养宣导的方法,现在附在后面。
《养生方·导引法》说:扳动两个脚趾,呼吸五次后停止,以引导腹中的气运行。可以去除疝瘕,通畅孔窍。
又说:坐着,舒展双脚,用两手握住大拇指,使脚在上头在下,极力拉伸,呼吸五次后停止,引导腹中的气遍布全身。可以去除疝瘕病,通畅各种孔窍,气血往来容易通行。长期练习精神清爽,耳聪目明,身材修长。
The Seven Hernias (Qi Shan) include Jue Shan (Jue Hernia), Zheng Shan (Zheng Hernia), Han Shan (Cold Hernia), Qi Shan (Qi Hernia), Pan Shan (Pan Hernia), [Missing Character] Shan, and Ye Lang Shan (Wild Wolf Hernia); these are referred to as the Seven Hernias.
Jue Ni Xin Tong (Jue Reversal with Heart Pain):
Pain throughout the hypochondrium and abdomen immediately after eating is called Han Shan (Cold Hernia). Abdominal distension that fluctuates between fullness and reduction accompanied by pain is called Qi Shan (Qi Hernia). Abdominal pain located beside the umbilicus is called Pan Shan (Pan Hernia). Accumulations below the umbilicus in the abdomen are called [Missing Character] Shan. Pain radiating between the lower abdomen and the genitalia, accompanied by difficult defecation, is called Ye Lang Shan (Wild Wolf Hernia). All Seven Hernias arise from deficiency of blood and qi, and irregularity in diet regarding temperature (cold and warm).
The first is Shi Shan (Stone Hernia), the second is Xue Shan (Blood Hernia), the third is Yin Shan (Yin Hernia), the fourth is Du Shan (Jealousy Hernia), and the fifth is Qi Shan (Qi Hernia); these are referred to as the Five Hernias. Fan Wang’s record of Hua Tuo’s Tai Yi Jue Yi Shuang Wan states that this formula treats Ba Pi (Eight Stagnations), Five Hernias, Ji Ju (Accumulations and Masses), Fu Re (Hidden Heat), Liu Yin (Retained Fluids), and Wang Lai Han Re (Alternating Chills and Fever), but it does not explicitly describe the manifestations of the Five Hernias. Investigating these conditions, they all arise from weakness of the fu and zang organs, lack of dietary moderation, disharmony of blood and qi, and irregularity in exposure to cold and warmth.
Shan (Hernia) denotes pain. It results from yin qi accumulating internally, with cold qi failing to dissipate, rushing upward to strike the heart, thereby causing heart pain; this is termed Xin Shan (Heart Hernia). The pain may feel like being pierced by an awl or knife, or it may be a dull ache; other signs include cold extremities and bluish discoloration of the lips and mouth, which are all characteristic symptoms.
When yin qi resides internally and cold qi lodges in the collaterals of the Foot-Yangming and Hand-Shaoyin meridians, it causes hunger immediately after eating and pain in the heart; thus, it is called Ji Shan (Hunger Hernia).
Shan (Hernia) means pain; Jia (Mass) means false. Although the disease involves knotted masses, they are "false" in nature and can be moved or displaced; therefore, it is called Shan Jia (Hernia-Mass). This condition is formed by the struggle between cold pathogenic factors and the zang-fu organs. Symptoms include acute pain within the abdomen, pain radiating between the waist and back, and pain extending to the lower abdomen.
A pulse that is deep, fine, and slippery indicates Shan Jia; a pulse that is tense and slippery also indicates Shan Jia. Formulas state that consuming meat jerky that has not been dried thoroughly can lead to the formation of Shan Jia.
Treatments involving decoctions, moxibustion/warming applications, acupuncture, and stone therapy have separate specific formulas. Methods for nourishment and qigong guidance are attached hereafter.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) · *Daoyin Fa* (Guiding and Pulling Method) states: Pull the toes of both feet, pause after five breaths, to guide the qi in the abdomen. This removes Shan Jia and benefits the orifices.
It further states: Sit, extend both legs, grasp the big toes with both hands, positioning the feet above and the head below, pull vigorously, pause after five breaths, to circulate abdominal qi throughout the body. This removes Shan Jia disease, benefits all orifices, and facilitates the smooth flow of qi and blood. Long-term practice leads to mental clarity, keen hearing and vision, and a tall, slender physique.