妇人数失子者,或由乖阴阳之理,或由触犯禁忌,既产之后,而数失儿,乃非腑脏生病
,故可以方术防断之也。
腹满少气者,由脏虚而触风冷,风冷搏于血气,故腹满。腹满则气壅在内,而呼吸不足
,常如少气之状,故云少气腹满也。
胸胁胀满者,由劳伤体虚,而风冷之气乘之,客于脏腑肠胃之间,搏于血气,血气壅之
不宣。气得冷则逆,与血饮相搏,上抢胸胁,所以令胸胁胀满也。
人血气有阴阳,脏腑有虚实。实则生热,虚则受寒,互相乘加,此人身内阴阳冷热自相
乘也。此云客热者,是体虚而将温过度,外热加之,非腑脏自生,故云客热也。其状,上焦
胸膈之间虚热,口燥,或手足烦热,肠胃之内无实热也。
烦满者,由体虚受邪,使气血相搏而气逆,上乘于心胸,气痞不宣,故令烦满。烦满者
,心烦、胸间气满急也。
身体卒痛者,由劳动血气而体虚,受于风冷,客其经络。邪气与正气交击于肌肉之间,
故身体卒痛也。
左胁偏痛者,由经络偏虚,受风邪故也。人之经络,循环于身,左右表里皆周遍。若气
血调和,不生虚实,邪不能伤;偏虚者,偏受风邪。今此左胁痛者,左边偏受病也。但风邪
在于经络,与血气相乘,交争冲击,故痛发如刀刺。
妇女多次流产(数失子),有的是因为违背了阴阳调和的道理,有的则是触犯了禁忌。既然在分娩之后多次失去胎儿,这就不是脏腑本身生了病,因此可以通过方术来预防和控制。
腹部胀满且气息短少,是因为脏腑虚弱而受到风冷侵袭,风冷与血气相互搏结,所以导致腹部胀满。腹部胀满则气机壅塞在内,呼吸不足,常常呈现出气息短少的状态,所以称为“少气腹满”。
胸胁部胀满,是因为劳累损伤导致身体虚弱,风冷之气趁机侵入,客居于脏腑肠胃之间,与血气相互搏结,导致血气壅滞而不能宣通。气遇到寒冷就会上逆,与体内的血和饮邪相互搏结,向上冲撞胸胁,从而导致胸胁胀满。
人的血气有阴有阳,脏腑有虚有实。实证会产生热,虚证容易受寒,虚实寒热互相乘袭,这是人体内部阴阳冷热自相侵扰的结果。这里所说的“客热”,是指体质虚弱时过度保暖,外来的热气加之于身,并非脏腑自身产生的热,所以称为“客热”。其症状表现为上焦胸膈之间有虚热,口干燥,或者手足烦热,但肠胃内部并没有实热。
烦闷,是因为体质虚弱感受邪气,导致气血相互搏结而气机上逆,上乘于心胸部位,造成气机痞塞不能宣通,从而引起烦闷。所谓“烦满”,就是指心烦、胸间气机壅滞急迫。
身体突然疼痛,是因为劳动耗伤血气导致身体虚弱,受到风冷侵袭,风冷客居于经络之中。邪气与正气在肌肉之间交击,所以导致身体突然疼痛。
左侧胁肋偏侧疼痛,是因为经络偏于虚弱,受到风邪侵袭所致。人的经络在全身循环,左右表里都周遍分布。如果气血调和,不产生虚实偏颇,邪气就不能伤害人体;如果某处偏虚,就会偏侧地受到风邪侵袭。现在这个左侧胁痛的患者,就是左边偏侧受了病邪。只是风邪在于经络,与血气相互乘袭,交争冲击,所以疼痛发作时像刀刺一样。
痰,是由于水饮停积在胸膈所形成的。人都有痰,量少的时候不能为害,量多则会成为祸患。如果胸膈的水饮浸渍五脏,就会导致眼睛疼痛,也会引起目眩和头痛。
Women who experience multiple miscarriages may do so either by violating the principles of Yin and Yang harmony, or by触犯 (offending) taboos. Since they lose fetuses repeatedly after childbirth, this is not a disease originating from the Zang-Fu organs themselves; therefore, it can be prevented and controlled through medical techniques.
Abdominal fullness accompanied by shortness of breath occurs due to Zang-Fu deficiency leading to exposure to wind-cold. Wind-cold clashes with Qi and Blood, resulting in abdominal fullness. When the abdomen is full, Qi becomes stagnant internally, causing insufficient respiration and often presenting as shortness of breath; thus, it is termed "shortness of breath with abdominal fullness."
Fullness and distension in the chest and hypochondrium result from labor-induced injury and bodily weakness, allowing wind-cold pathogens to invade. These pathogens lodge between the Zang-Fu organs and intestines/stomach, clashing with Qi and Blood, causing stagnation and failure of circulation. Qi turns rebellious upon encountering cold, and clashes with Blood and fluid retention, rushing upward to the chest and hypochondrium, thereby causing fullness and distension.
Human Qi and Blood possess Yin and Yang attributes, while Zang-Fu organs exhibit Deficiency (Xu) and Excess (Shi). Excess generates Heat, while Deficiency invites Cold. They mutually exacerbate each other, representing an internal conflict of Yin/Yang and Cold/Heat within the body. The term "Guest Heat" refers to external heat imposed on a weak constitution due to excessive warming measures, rather than Heat generated spontaneously by the Zang-Fu organs. Its manifestations include deficient Heat in the Upper Jiao (chest and diaphragm), dry mouth, or vexing heat in the hands and feet, without actual Heat in the intestines and stomach.
Vexation and fullness arise when a weak constitution is invaded by pathogens, causing Qi and Blood to clash and Qi to rebel upward. This pathogenic Qi ascends to the heart and chest, creating stagnation and failure of circulation, leading to vexation and fullness. "Vexation and fullness" specifically denotes mental restlessness (vexation) and urgent Qi stagnation in the chest.
Sudden body pain results from physical exertion damaging Qi and Blood, leading to bodily weakness and subsequent invasion by wind-cold into the meridians. Pathogenic factors clash with Healthy Qi (Zheng Qi) between the muscles, causing sudden body pain.
Pain on the left side of the hypochondrium occurs because the meridians are locally deficient and have been invaded by wind pathogens. Human meridians circulate throughout the body, encompassing left/right and interior/exterior aspects. If Qi and Blood are harmonious, without Deficiency or Excess biases, pathogens cannot harm the body; however, if there is local deficiency, that specific area becomes susceptible to wind pathogens. In this case of left-sided hypochondriac pain, the left side has suffered pathological invasion. The wind pathogen resides in the meridians, clashing with Qi and Blood, engaging in contention and impact, causing pain that feels like knife-like stabbing.
Phlegm (Tan) is formed by the accumulation and stagnation of fluid retention in the chest and diaphragm. Everyone possesses some phlegm; small amounts cause no harm, but large amounts become detrimental. If fluid retention in the chest and diaphragm infiltrates the Five Zang organs, it can cause eye pain, dizziness, and headache.