冷热不调,饮食不节,使人阴阳清浊之气相干,而变乱于肠胃之间,则成霍乱。霍乱之
后而烦躁卧不安者,由吐下之后,腑脏虚极,阴阳未理,血虚气乱,故血气之行未复常度,
内乘于腑脏,故烦躁而不得安卧也。
冷热不调,饮食不节,使人阴阳清浊之气相干,而变乱于肠胃之间,则成霍乱。霍乱之
后而不除者,由吐胸膈宿食不尽,或不得吐而但痢,其冷气不散,因而着食入胃,胃气未和
,故犹胀痛烦满,谓之不除也。
转筋者,由荣卫气虚,风冷气搏于筋故也。手足之三阴三阳之筋,皆起于手足指,而并
络于身。若血气不足,阴阳虚者,风冷邪气中于筋,随邪所中之筋,筋则转。转者,谓其转
动也。经云∶足太阳下,血气皆少,则喜转筋,喜踵下痛者,是血气少则易虚,虚而风冷乘
之故也。
诊其左手关上,肝脉也。沉为阴,阴实者,肝实也,苦肉动转筋。左手尺中名神门以后
脉,足少阴经也,浮为阳,阳虚者,病苦转筋。其汤熨针石,别有正方,补养宣导,今附于
后。
《养生方导引法》云∶偃卧,展两胫两手,足外踵,指相向,以鼻纳气,自极七息。除两膝
寒、胫骨疼、转筋。
又法∶覆卧,傍视,立两踵,伸腰,鼻纳气。去转筋。
又云∶张胫两足指,号五息止,令人不转筋。极自用力张脚,痛挽两足指,号言宽大,
去筋节急挛 痛。久行,身开张。
又云∶覆卧,傍视,立两踵,伸腰,以鼻纳气,自极七息已。除脚中弦痛、转筋、脚酸
疼。一本云∶治脚弱。
冷热失调,饮食不规律,导致人体阴阳、清浊之气相互干扰,在肠胃之间发生紊乱,从而形成霍乱。
霍乱之后出现烦躁、卧床不安的症状,是因为呕吐和腹泻之后,脏腑极度虚弱,阴阳未能调和,血液亏虚且气机紊乱,因此气血的运行尚未恢复常态,内扰于脏腑,所以出现烦躁且无法安稳躺卧的情况。
霍乱之后症状仍未消除的,是因为胸膈间宿食未完全吐出,或者不能呕吐而仅表现为痢疾,体内的冷气未能消散,加之进食入胃后,胃气尚未调和,因此仍然感到胀痛烦闷,这种情况被称为“不除”。
转筋(肌肉痉挛),是由于营卫之气虚弱,风邪与冷气搏结于筋脉所致。手足三阴经和三阳经的筋脉,都起始于手足手指/脚趾,并联络全身。如果气血不足、阴阳虚弱,风冷邪气侵袭筋脉,被邪气侵袭的筋脉就会发生痉挛。所谓“转”,就是指筋脉的转动抽搐。医经记载:足太阳膀胱经下部气血皆少,就容易发生转筋,且常伴有脚后跟疼痛,这是因为气血少则容易虚弱,虚弱时风冷之邪乘虚而入的缘故。
诊察左手关部(对应肝脏)的脉象。脉沉属阴,阴实代表肝实,患者会痛苦于肌肉跳动和转筋。左手尺中部位(神门穴之后)的脉象,对应足少阴肾经。脉浮属阳,阳虚的患者,病症常表现为苦于转筋。关于汤药外敷、熨烫、针刺和砭石疗法,另有专门的方剂,此处附上补养和导引的方法。
《养生方导引法》记载:仰卧,伸展双腿和双手,足跟向外,脚趾相对,用鼻子吸气,尽力做到极致,共呼吸七次。可去除双膝寒冷、小腿骨疼痛及转筋。
另一种方法:俯卧,向旁侧看,竖起双脚脚跟,伸直腰部,用鼻子吸气。可治疗转筋。
又记载:张开双腿,伸展两个大脚趾,保持五个呼吸的时间停止动作,可使人不发生转筋。极力用力张开脚掌,用力拉扯两个大脚趾,口中发出“哈”的声音以扩大气息,可去除筋节紧急挛缩疼痛。长期坚持练习,身体会变得舒展开阔。
又记载:俯卧,向旁侧看,竖起双脚脚跟,伸直腰部,用鼻子吸气,尽力做到极致,共呼吸七次。可去除脚部的弦痛、转筋及脚酸疼。另一版本说:治疗脚弱无力。
Disharmony of cold and heat, along with irregular diet, causes the yin and yang, clear and turbid qi to interfere with each other, leading to chaos within the intestines and stomach, thus resulting in Huoluan (cholera-like syndrome).
After Huoluan, irritability and restlessness in bed occur because, following vomiting and purging, the zang-fu organs are extremely deficient. Yin and yang are not yet regulated, blood is deficient, and qi is chaotic. Consequently, the circulation of qi and blood has not returned to its normal rhythm, internally disturbing the zang-fu organs, which leads to irritability and an inability to lie down peacefully.
When symptoms of Huoluan persist without resolution, it is due to undigested food remaining in the chest and diaphragm that was not fully vomited out, or when vomiting is impossible but diarrhea occurs. The cold qi fails to dissipate; subsequently, food enters the stomach, but the stomach qi remains unharmonized. Thus, distension, pain, irritability, and fullness persist, a condition referred to as "not resolved."
Jiaojue (muscle cramp/tendon contraction) arises from the deficiency of Ying (Nutritive) and Wei (Defensive) qi, where wind-cold pathogens contend with the tendons. The tendons of the three yin and three yang meridities of the hand and foot all originate from the fingers and toes and connect throughout the body. If qi and blood are insufficient and yin and yang are deficient, wind-cold pathogenic factors invade the tendons. The tendons affected by these pathogens undergo contraction. "Zhuan" refers to this twisting or convulsing motion. The Classics state: When qi and blood are scarce in the lower part of the Foot-Taiyang Bladder Meridian, one tends to suffer from muscle cramps and pain in the heels. This is because scarcity of qi and blood leads to vulnerability, allowing wind-cold to take advantage of this deficiency.
Palpating the Guan position on the left wrist corresponds to the Liver. A deep pulse indicates Yin; Yin excess signifies Liver excess, causing suffering from muscle twitching and cramps. The pulse at the Chi position on the left wrist (after Shenmen), corresponding to the Foot-Shaoyin Kidney Meridian, if floating, indicates Yang; Yang deficiency results in pathology characterized by suffering from cramps. Regarding decoctions, moxibustion, acupuncture, and stone therapy, there are separate specific formulas; here, tonification and Daoyin (guiding and pulling) methods are appended.
The *Yangsheng Fang Daoyin Fa* (Health Preservation Guide Methods) states: Lie supine, extend both legs and arms, turn the heels outward so that the toes face each other, inhale through the nose, exert oneself to the limit, for seven breaths. This eliminates coldness in the knees, pain in the shin bones, and muscle cramps.
Another method: Lie prone, look sideways, stand the heels upright, extend the waist, and inhale through the nose. This treats muscle cramps.
It also states: Spread the calves and stretch the big toes of both feet, holding for five breaths before stopping. This prevents muscle cramps. Exert maximum effort to spread the feet, forcefully pull the big toes, and vocalize "Ha" to expand the breath. This eliminates the acute pain of tendon contraction and spasms. Long-term practice makes the body flexible and open.
It further states: Lie prone, look sideways, stand the heels upright, extend the waist, inhale through the nose, and exert oneself to the limit for seven breaths. This eliminates string-tight pain in the feet, muscle cramps, and soreness/pain in the feet. Another version states it treats weakness of the feet.