冷尸者,由是身内尸虫与外邪相接引为病。发动亦心腹胀满刺痛,气急,但因触冷即发
,故谓之冷尸。
寒尸者,由身内尸虫与外邪相引接所成。发动亦令人心腹胀满刺痛。但以其至冬月感于
寒气则发,故谓之寒尸。
人有年命衰弱,至于丧死之处,而心意忽有所畏恶,其身内尸虫,性既忌恶,便更接引
外邪,共为疹病。其发亦心腹刺痛,胀满气急。但逢丧处,其病则发,故谓之丧尸。
人有触值死尸,或临尸,其尸气入腹内,与尸虫相接成病。其发亦心腹刺痛,胀满气急
。但闻尸气则发,故谓之尸气。
凡注之言住也,谓邪气居住人身内,故名为注。此由阴阳失守,经络空虚,风寒暑湿、
饮食劳倦之所致也。其伤寒不时发汗,或发汗不得真汗,三阳传于诸阴,入于五脏,不时除
瘥,留滞宿食;或冷热不调,邪气流注;或乍感生死之气;或卒犯鬼物之精,皆能成此病。
其变状多端,乃至三十六种,九十九种,而方不皆显其名也。
又有九种注∶一曰风注。皮肉掣振,或游易不定,一年之后,头发堕落,颈项掣痛,骨
立解鸣,两目疼,鼻中酸切,牙齿虫蚀。又云∶其病患欲得解头却巾,头痛,此名温风。病
人体热头痛,骨节厥强,此名汗风。或游肿在腹,或在手脚,此名柔风。或啖食眠卧汗出,
此名水风。或脑转肉裂,目中系痛,不欲闻人语声,此名大风。或不觉绝倒,口有白沫,此
名绝风。或被发狂走,打破人物,此名颠风。或叫呼骂詈,独语谈笑,此名狂风。或口噤面
戾,四肢不随,此名寄风。或体上生疮,眉毛堕落,此名纠风。或顽痹如蚝螫,或疮
或痒或痛,此名蚝风。或举身战动,或鼻塞,此名罩风。又云∶人死三年之外,魂神因作风
尘,着人成病,则名风注。
二曰寒注。心腹懊痛呕沫,二年之后,大便便血,吐逆青沫,心懊痛硬,腹满,腰
脊疼强痛。
三曰气注。走入神机,妄言,百日之后,体皮肿起,乍来乍去,一年之后,体满失颜色
,三年之后,变吐作虫,难治。
四曰生注。心胁痛,转移无常,三日之后,体中痛,移易牵掣,冲绞心胁,一年之后,
颜目赤,精泽青黑,二年之后,咳逆下痢,变作虫,难治。
五曰凉注。心下乍热乍寒,一年之后,四肢重,喜卧噫酢,体常浮肿,往来不时,皮肉
黑,羸瘦,生 ,目黄,爪甲及口唇青。
六曰酒注。体气动,热气从胸中上下,无处不痛,一年之后,四肢重,喜卧,喜哕噫酸
,体面浮肿,往来不时。
七曰食注。心下硬痛懊 彻背,一年之后,令人羸瘦虚肿,先从脚起,体肉变黑,
脐内时绞痛。
八曰水注。手脚起肿,百日之后,体肉变黄,发落,目失明,一年之后难治。三年身体
肿,水转盛,体生虫,死不可治。
九曰尸注。体痛牵掣非常,七日之后,体肉变白驳,咽喉内吞如有物,两胁里硬,
时痛。
凡欲知是注非注,取纸覆痛处,烧头发令焦,以簇纸上,若是注,发粘着纸,此注气引
之也。若非注,发即不着纸。
诊其注病,脉浮大可治,细而数难治。
《养生方》云∶诸湿食不见影,食之成卒注。
冷尸病,是由于体内的尸虫与外界邪气相互感应而引发的疾病。发作时也会引起心腹胀满、刺痛,呼吸急促,只要接触寒冷就会发病,所以称为冷尸。
寒尸病,是由于体内的尸虫与外界邪气相互感应结合而成的。发作时同样会导致人心腹胀满、刺痛。只是因为它在冬季感受寒气时才发病,所以称为寒尸。
有些人年寿运势衰弱,到了有人丧死的地方,心里忽然产生畏惧和厌恶之情,他们体内的尸虫本性就忌讳厌恶这种气息,于是便进一步感应外邪,共同导致疹病(此处指一种病症)。其发作也是心腹刺痛、胀满、呼吸急促。只要遇到丧葬场所,病情就会发作,所以称为丧尸。
有些人接触到死尸,或者靠近尸体,尸体的秽气进入腹内,与体内的尸虫结合而致病。其发作也是心腹刺痛、胀满、呼吸急促。只要闻到尸体的气味就会发病,所以称为尸气。
凡是“注”字,意思是停留、驻留,指邪气停留在人体内部,所以称为注病。这主要是由于阴阳失调,经络空虚,由风寒暑湿、饮食不节、劳倦过度等原因所致。比如伤寒病不及时发汗,或者发汗未能出透真汗,三阳经的病邪传入诸阴经,深入五脏,不能及时痊愈,遗留宿食;或者冷热不调,邪气流注体内;或者突然感染生死之气;或者突然触犯鬼物之精,都能造成这种病。其变化症状多种多样,甚至有三十六种、九十九种,但医方中并不都明确列出它们的名称。
又有九种注病:第一种叫风注。皮肉抽搐震颤,或者游走不定,一年之后,头发脱落,颈项抽搐疼痛,骨骼消瘦如柴且关节鸣响,两眼疼痛,鼻腔酸楚刺痛,牙齿被虫蚀坏。又说:患者想要解开头巾,头痛,这叫温风。病人身体发热头痛,骨节僵硬强直,这叫汗风。或者腹部出现游走性肿胀,或者在手脚部位,这叫柔风。或者进食睡眠时出汗,这叫水风。或者头脑旋转、肌肉撕裂感,眼中筋脉疼痛,不喜欢听人说话,这叫大风。或者不知不觉突然跌倒,口吐白沫,这叫绝风。或者披头散发疯狂奔跑,打碎器物,这叫颠风。或者叫骂詈辱,自言自语谈笑,这叫狂风。或者牙关紧闭、面部歪斜,四肢不能随意活动,这叫寄风。或者身上生疮,眉毛脱落,这叫纠风。或者顽固麻木如同被蚝螫伤,或者生疮、或者瘙痒、或者疼痛,这叫蚝风。或者全身颤抖,或者鼻塞,这叫罩风。又说:人死后三年以外,魂神化为风尘,附着于人致病,则名为风注。
第二种叫寒注。心腹烦闷疼痛、呕吐涎沫,两年之后,大便带血,呕吐青色涎沫,心腹烦闷疼痛且坚硬,腹部胀满,腰脊疼痛强直。
第三种叫气注。邪气侵入神机,胡言乱语,一百天之后,皮肤浮肿隆起,时来时去,一年之后,全身面色晦暗无光泽,三年之后,变为呕吐出虫状物,难以治疗。
第四种叫生注。心胁部疼痛,位置转移无常,三天之后,身体内部疼痛,移动牵引牵扯,冲撞绞勒心胁,一年之后,颜面眼睛发红,精气润泽呈现青黑色,两年之后,咳嗽气逆、下痢,变为生出虫子,难以治疗。
第五种叫凉注。心下部忽冷忽热,一年之后,四肢沉重,喜欢躺卧、嗳气且有酸腐味,身体经常浮肿,往来不时,皮肤肌肉变黑,消瘦,生癞疾(或指皮肤病),眼睛发黄,指甲及口唇发青。
第六种叫酒注。身体气息躁动,热气从胸中上下窜行,无处不痛,一年之后,四肢沉重,喜欢躺卧,喜欢呃逆、嗳气有酸味,身体面部浮肿,往来不时。
第七种叫食注。心下部硬痛、烦闷彻背,一年之后,使人消瘦虚肿,先从脚部开始,身体肌肉变黑,脐内时常绞痛。
第八种叫水注。手脚发起肿胀,一百天之后,身体肌肉变黄,头发脱落,眼睛失明,一年之后难以治疗。三年后身体肿胀,水气转盛,身体生虫,死亡不可治愈。
第九种叫尸注。身体疼痛牵引异常,七天之后,身体肌肉出现白色斑块,咽喉内吞咽时有异物感,两胁内部坚硬,时常疼痛。
凡是要判断是注病还是非注病,取一张纸覆盖在疼痛处,烧头发使其焦糊,用簇状物按在纸上,如果是注病,头发会粘在纸上,这是注气吸引它的缘故。如果不是注病,头发就不会粘在纸上。
诊察注病,脉象浮大者易治,脉象细数者难治。
《养生方》说:各种湿气食物看不见影子,吃了会形成卒注病。
Cold Corpse Disease (Leng Shi) arises from the interaction between internal corpse worms (Shi Chong, parasitic entities associated with decay or miasma) and external pathogenic factors. Upon onset, it also causes abdominal distension, fullness, stabbing pain, and rapid breathing. Since it is triggered merely by contact with cold, it is termed Cold Corpse.
Cold Corpse Disease (Han Shi) is formed by the connection between internal corpse worms and external pathogens. Onset similarly induces abdominal distension, fullness, and stabbing pain in the heart region. However, because it manifests upon contracting cold qi during winter months, it is called Cold Corpse.
When a person’s life force is weak and they enter places of death and mourning, their mind may suddenly feel fear and aversion. The internal corpse worms, whose nature is inherently averse to such conditions, further attract external pathogens, jointly causing a rash-like disease (Zhen Bing). Its onset involves stabbing pain in the heart and abdomen, distension, and rapid breathing. The illness flares up whenever one encounters a funeral site, hence it is called Corpse of Mourning (Sang Shi).
When individuals come into contact with dead bodies or stand near corpses, the miasma of the corpse enters the abdomen and connects with corpse worms to cause disease. Onset similarly presents with stabbing pain in the heart and abdomen, distension, and rapid breathing. It flares up upon smelling the odor of a corpse, thus it is named Corpse Qi (Shi Qi).
The term "Zhù" (Infectious Disease/Stationing Disease) implies staying or lodging, referring to pathogenic qi residing within the human body. This condition results from the loss of yin-yang balance and emptiness of the meridians, caused by wind, cold, summer-heat, dampness, improper diet, and overexertion. For instance, if exterior syndrome due to cold damage is not properly induced to sweat, or if sweating fails to produce genuine perspiration, the pathogen may transmit from the Three Yang channels to the Yin channels, entering the Five Zang organs. If not cured promptly, residual food stagnation remains; or if cold and heat are unbalanced, pathogenic qi flows and lodges; or if one suddenly contracts the qi of life and death; or if one abruptly offends the essence of ghosts and spirits, all can result in this disease. The variations are numerous, ranging from thirty-six to ninety-nine types, though medical texts do not always explicitly name them.
There are nine types of Zhù:
1. Wind Zhù (Fēng Zhù): Muscle twitching and trembling, or wandering unpredictably. After one year, hair falls out, neck and nape suffer pulling pain, bones become emaciated with joint sounds, eyes ache, nose feels sour and cutting, and teeth are eaten by worms. Also stated: Patients desire to remove head coverings due to headache, named Warm Wind (Wēn Fēng). Patients with body heat and headache, stiff and rigid joints, named Sweat Wind (Hàn Fēng). Wandering swelling in the abdomen or limbs, named Soft Wind (Róu Fēng). Sweating during eating and sleeping, named Water Wind (Shuǐ Fēng). Dizziness and sensation of muscle tearing, pain in eye connections, aversion to hearing voices, named Great Wind (Dà Fēng). Sudden collapse without awareness, foaming at the mouth, named Severed Wind (Jué Fēng). Disheveled hair, manic running, breaking objects, named Topple Wind (Diān Fēng). Shouting, cursing, talking and laughing alone, named Wild Wind (Kuáng Fēng). Jaw locked, face distorted, limbs immobile, named Entrusted Wind (Jì Fēng). Sores on the body, eyebrows falling out, named Twisted Wind (Jiū Fēng). Stubborn numbness like a mussel sting, or sores, itching, or pain, named Mussel Wind (Háo Fēng). Whole-body trembling or nasal congestion, named Covered Wind (Zhào Fēng). Also stated: Three years after death, the soul transforms into wind and dust, attaching to people to cause disease, named Wind Zhù.
2. Cold Zhù (Hán Zhù): Abdominal discomfort and pain, vomiting froth. After two years, blood in stool, vomiting green froth, abdominal hardness and pain, distension, and stiff backache.
3. Qi Zhù (Qì Zhù): Pathogen enters the spirit mechanism, causing delirium. After 100 days, skin swells, symptoms come and go. After one year, complexion loses luster. After three years, vomiting produces worm-like substances, difficult to treat.
4. Living Zhù (Shēng Zhù): Pain in the heart and hypochondrium, shifting location. After three days, internal body pain, migrating and pulling, piercing the heart and hypochondrium. After one year, face and eyes turn red, essence luster turns dark blue-black. After two years, cough, regurgitation, and dysentery occur, transforming into worms, difficult to treat.
5. Cool Zhù (Liáng Zhù): Alternating hot and cold sensations below the heart. After one year, heavy limbs, preference for lying down and belching with sour taste, frequent edema, dark skin and muscles, emaciation, development of skin lesions, yellow eyes, and cyanosis of nails and lips.
6. Wine Zhù (Jiǔ Zhù): Restless body qi, hot qi moving up and down from the chest, pain everywhere. After one year, heavy limbs, preference for lying down, hiccups, and sour belching, facial and bodily edema, intermittent symptoms.
7. Food Zhù (Shí Zhù): Hard and painful epigastrium with distress radiating to the back. After one year, emaciation and vacuous swelling starting from the feet, blackening of flesh, and colicky pain inside the umbilicus.
8. Water Zhù (Shuǐ Zhù): Swelling of hands and feet. After 100 days, flesh turns yellow, hair falls, blindness occurs. Difficult to treat after one year. After three years, severe whole-body edema, excessive water accumulation, generation of worms in the body, leading to untreatable death.
9. Corpse Zhù (Shī Zhù): Unusual pulling pain in the body. After seven days, white patches appear on the flesh, sensation of a foreign object in swallowing within the throat, hardness in the hypochondrium with intermittent pain.
To distinguish Zhù disease from others, place paper over the painful area, burn hair until charred, and press it onto the paper. If it is Zhù, the hair will stick to the paper due to the attraction of Zhù qi. If not, it will not stick.
Diagnosing Zhù disease: A floating and large pulse indicates ease of treatment; a fine and rapid pulse indicates difficulty.
The *Yangsheng Fang* states: Foods affected by dampness that cast no shadow, if consumed, cause sudden Zhù disease.