肺主于气。若肺气虚实不调,或暴为风邪所乘,则腑脏不利,经络痞涩,气不宣和,则
卒上气也。又因有所怒,则气卒逆上,甚则变呕血,气血俱伤。其汤熨针石,别有正方,补
养宣导,今附于后。
《养生方·导引法》云∶两手交叉颐下,自极,致补气;治暴气咳。
以两手交颐下,各把两颐脉,以颐句交中,急牵来着喉骨,自极三通,致补气充足,治
暴气上气,写喉等病,令气调长,音声弘亮。
肺主于气,邪乘于肺则肺胀,胀则肺管不利,不利则气道涩,故气上喘逆,鸣息不通。
诊其肺脉滑甚,为息奔上气。脉出鱼际者,主喘息。其脉滑者生,快者死也。
肺病令人上气,兼胸膈痰满,气行壅滞,喘息不调,致咽喉有声如水鸡之鸣也。
夫气血循行经络,周而复始,皆有常度。肺为五脏上盖,主通行于腑脏之气。若肺受邪
,则气道不利;气道不利,则诸脏气壅;则失度,故气奔急也。
夫贲豚气者,肾之积气。起于惊恐、忧思所生。若惊恐,则伤神,心藏神也。忧思则伤
志,肾藏志也。神志伤动,气积于肾,而气下上游走,如豚之奔,故曰贲豚。其气乘心,若
心中踊踊如事所惊,如人所恐,五脏不定,食饮辄呕,气满胸中,狂痴不定,妄言妄见,此
惊恐贲豚之状。若气满支心,心下闷乱,不欲闻人声,休作有时,乍瘥乍极,吸吸短气,手
足厥逆,内烦结痛,温温欲呕,此忧思贲豚之状。
诊其脉来触祝触祝者,病贲豚也。肾脉微急,沉厥,贲豚,其足不收,不得前后。
肺主司气。如果肺气虚实不调,或者突然被风邪侵袭,就会导致脏腑功能不利,经络阻滞涩滞,气机不能宣通调和,从而引发突然的气逆上冲(卒上气)。另外,如果因为发怒,气就会突然逆乱上行,严重时会导致呕血,使气血都受到损伤。对于这种情况的汤药外熨、针刺砭石等治疗,另有专门的方剂,补益调养和导引功法,现在附在后面。
《养生方·导引法》说:双手交叉置于下巴下方,尽力伸展,以补充正气;治疗突发的气逆咳嗽。
用双手交叉放在下巴下方,分别握住两侧下颌部的脉动处,以下巴弯曲朝向交叉点,用力牵拉使其贴近喉骨,如此尽力伸展三次,以使正气充足,治疗突发的气逆上冲,泻除咽喉等疾病,使气息调匀绵长,声音洪亮清晰。
肺主司气,邪气侵犯肺部则肺脏胀满,胀满则肺管不利,肺管不利则气道涩滞,所以气向上喘息逆乱,呼吸有声且不通畅。
诊察肺脉滑而急甚者,为奔豚样气逆上冲的病证。脉象出现在鱼际部位的,主喘息。脉象滑利的预后良好,脉象急促有力的预后不良(死证)。
肺病使人气逆上冲,兼有胸膈间痰湿壅满,气机运行壅滞不畅,喘息失调,导致咽喉发出像水鸡鸣叫一样的声音。
气血在经络中循行,周而复始,都有正常的规律。肺是五脏的上盖,主司通行于脏腑之气。如果肺受邪气侵犯,则气道不利;气道不利,则各脏腑之气壅滞;这就失去了正常规律,所以气奔急而上逆。
所谓贲豚气,是肾的积气。起于惊恐、忧思所产生。如果惊恐,则损伤神志,因为心藏神。忧思则损伤意志,因为肾藏志。神志受伤动摇,气积聚于肾,而气在下部上游走,像小猪奔跑一样,所以称为贲豚。这种气上乘于心,如果心中悸动不安,好像遇到了令人惊骇的事,好像被人恐吓,五脏功能紊乱不定,饮食即呕吐,气满胸中,狂躁痴呆不定,胡言乱语,幻视幻听,这是惊恐所致贲豚的症状。如果气满支撑心胸,心下闷乱,不想听到人声,发作与休止有一定时间,时而好转时而加重,呼吸短促,手足厥冷,内部烦热结痛,恶心欲呕,这是忧思所致贲豚的症状。
诊察其脉来触祝触祝者,是患贲豚病。肾脉微急,沉而厥逆,伴有贲豚,足部不能收持,大小便不通。
The Lung governs Qi. If the deficiency and excess of Lung Qi are unbalanced, or if it is suddenly attacked by Wind pathogen, the functional activities of the Zang-Fu organs will be impaired, the meridians and collaterals will become obstructed and stagnant, and the Qi mechanism will fail to circulate smoothly and harmoniously, resulting in sudden upward reversal of Qi (Su Shangqi). Furthermore, due to anger, Qi may suddenly reverse and ascend; in severe cases, this can change into vomiting blood, injuring both Qi and Blood. For treatments involving decoctions, hot compresses, acupuncture, and stone therapy, there are separate specific formulas. Methods for tonification, nourishment, and Daoyin (guiding and pulling) are appended hereafter.
The *Yangsheng Fang · Daoyin Fa* states: Cross both hands under the chin, stretch to the utmost extent, to replenish healthy Qi; treat sudden Qi reversal with cough.
By crossing both hands under the chin, grasping the pulses at both sides of the mandible, bending the chin towards the intersection, and pulling tightly against the laryngeal bone, perform this stretching three times to the utmost extent. This replenishes sufficient healthy Qi, treats sudden Qi reversal and upward rushing Qi, drains diseases of the throat, regulates the breath to be long and even, and makes the voice resonant and bright.
The Lung governs Qi. When pathogens invade the Lung, the Lung becomes distended. Distension leads to obstruction of the lung passages. Obstruction of the lung passages causes stagnation of the airway, thus causing Qi to rush upward with panting and wheezing, making breathing noisy and obstructed.
Palpating the Lung pulse, if it is slippery and extreme, indicates Ben Tun (running piglet) type upward rushing Qi. If the pulse extends to the Yuji (LU10) area, it indicates panting. A slippery pulse indicates survival, while a rapid/forceful pulse indicates death.
Lung disease causes people to experience upward rushing Qi, accompanied by phlegm-fullness in the chest and diaphragm, stagnation of Qi movement, irregular panting, leading to sounds in the throat like the croaking of water chickens.
Qi and Blood circulate through the meridians, completing cycles repeatedly, all following regular patterns. The Lung is the upper cover of the five Zang organs and governs the circulation of Qi among the Zang-Fu organs. If the Lung is affected by pathogens, the airway becomes obstructed; if the airway is obstructed, the Qi of all other organs becomes stagnant; thus losing its regularity, causing Qi to rush urgently upward.
The so-called Ben Tun Qi is an accumulation of Qi in the Kidney. It arises from fright and worry/thought. Fright injures the Shen (Spirit), as the Heart houses the Shen. Worry and excessive thought injure the Zhi (Will), as the Kidney houses the Zhi. When Shen and Zhi are injured and disturbed, Qi accumulates in the Kidney, and the Qi moves up and down like a running piglet, hence the name Ben Tun. When this Qi attacks the Heart, one feels palpitations in the heart, as if startled by events or terrified by others, with the five Zang organs becoming unstable and erratic, vomiting immediately after eating or drinking, fullness of Qi in the chest, madness and dementia with instability, delirious speech, and hallucinations. These are the manifestations of Ben Tun caused by fright. If Qi fills and supports the heart/chest, causing oppression and confusion below the heart, aversion to hearing human voices, with episodes occurring at intervals, alternating between remission and exacerbation, shortness of breath upon inhalation, coldness of the hands and feet, internal irritability and knotted pain, and nausea with desire to vomit, these are the manifestations of Ben Tun caused by worry/thought.
Palpating the pulse, if it comes feeling "Chu Zhu Chu Zhu" (a specific pulsation description), it indicates Ben Tun disease. If the Kidney pulse is slightly urgent, sinking and cold/extremities, accompanied by Ben Tun, the feet cannot hold the body, and urination and defecation are obstructed.