手逆胪者,经脉受风邪,血气痞涩也。十二经筋脉,有起手指者,其经虚,风邪客之,
使血气痞涩,皮胪枯剥逆起,谓之逆胪。
头疮有虫,痂白而发秃落,谓之白秃。云是人腹内九虫内蛲虫,值血气虚发动所作也。
附骨痈,是风寒搏血脉入深,近附于骨也。十二经之筋脉,有络耳后完骨者,虚则风寒
客之,寒气折血,血痞涩不通,深附于骨而成痈也。其状,无头但肿痛。
水病,由体虚受风湿,入皮肤,搏津液,津液痞涩,壅滞在内不消,而流溢皮肤。所以
然者,肾主水,与膀胱合,膀胱为津液之府,津液不消,则水停蓄。其外候,目下如卧蚕,
颈边人迎脉动甚也。脾为土,主克水,而脾候肌肉。肾水停积,脾土衰微,不能消,令水
气流溢,浸渍皮肤而肿满。
血分病者,是经血先断,而后成水病。以其月水壅涩不通,经血分而为水,故曰血分。
妇人月经通流,流则水血消化,若风寒搏于经脉,血结不通,血水而蓄积,成水肿病。
夫肿,或风冷,或水气,或热毒。此卒肿,由腠理虚而风冷搏于血气,壅结不宣,故卒
然而肿。其状,但结肿而不热是也。
赤流肿者,由体虚腠理开,而风热之气客之,风热与血气相搏,挟热毒。其状,肿起色
赤,随气流冲移易,故云流肿。
此或月经痞涩不通,或产后余秽未尽,因而乘风取凉,为风冷所乘,血得冷则结成瘀也
。血瘀在内,则时时体热面黄,瘀久不消,则变成积聚 瘕也。
手逆胪,是指经脉受到风邪侵袭,导致血气运行阻滞不畅。十二经的筋脉中,有从手指起始的经脉,若这些经脉虚弱,风邪乘虚而入,致使血气痞塞涩滞,皮肤干枯剥落、逆起,这种情况被称为“逆胪”。
头部长疮且生虫,结白色痂皮并伴有头发脱落,称为“白秃”。这被认为是人体腹内的九种寄生虫中的蛲虫,在血气虚弱时发作所致。
附骨痈,是风寒之邪搏结于血脉并深入体内,贴近骨骼所致。十二经的筋脉中,有联络耳后完骨的经脉,若此处虚弱,风寒之邪客居其中,寒气使血液凝折,血行痞塞不通,深附于骨而形成痈肿。其症状表现为:没有脓头,仅有肿胀和疼痛。
水病,是由于身体虚弱感受风湿之邪,邪气侵入皮肤,与津液搏结,导致津液运行痞塞涩滞,壅滞在内无法消散,从而流溢于皮肤表面。之所以如此,是因为肾主水,与膀胱相表里,膀胱是津液汇聚之所,若津液不能正常代谢,则水液停蓄。其外部征象为:眼下浮肿如卧蚕,颈部人迎脉搏动明显。脾属土,主克制水,且脾反映于肌肉。若肾水停积,脾土功能衰微,无法运化水湿,导致水气流溢,浸渍皮肤而引起肿胀满闷。
血分病,是指月经先停止,随后发生水肿病。因为月经壅塞涩滞不通,经血转化为水,所以称为“血分”。妇女月经通畅流动时,水血得以消化流通;若风寒搏结于经脉,导致血结不通,血与水相互蓄积,便形成水肿病。
所谓的“肿”,可能由风冷、水气或热毒引起。这种突然发生的肿胀(卒肿),是由于腠理虚弱,风冷之邪搏结于血气,壅结而不能宣散,故而突然肿胀。其症状特点是:只有结块肿胀而没有发热。
赤流肿,是由于身体虚弱、腠理开泄,风热之气乘虚客入,风热与血气相搏,挟带热毒。其症状表现为:肿胀部位颜色发红,且随气流冲击而移动变化,因此称为“流肿”。
此类情况,或是月经阻滞不通,或是产后余秽未尽,此时若乘风取凉,被风冷之邪所侵,血液遇冷则凝结成瘀。瘀血停留在体内,会导致时常身体发热、面色发黄;若瘀久不消,则会转变为积聚、瘕等症。
Hand Ni Lu (Reverse Scaling) refers to a condition where the meridians are invaded by Wind pathogenic factors, resulting in stagnation and obstruction of Blood and Qi. Among the sinews and vessels of the twelve meridians, some originate from the fingers; if these meridians are deficient, Wind pathogens may lodge therein, causing Blood and Qi to become stagnant and obstructed. This leads to dryness, peeling, and reverse scaling of the skin, a condition termed "Ni Lu" (Reverse Scaling).
Scalp sores with worms, characterized by white crusts and hair loss, are called "Bai Tu" (White Tinea Capitis). It is believed that this is caused by Ascaris lumbricoides (pinworms), one of the nine internal parasites within the abdomen, which becomes active when Blood and Qi are deficient.
Gu Ben Yong (Abscess Attached to Bone) occurs when Cold and Wind pathogens combine with the blood vessels and penetrate deeply, adhering close to the bone. Among the sinews and vessels of the twelve meridians, some connect to the Wangu (完骨) bone behind the ear. If this area is deficient, Cold and Wind pathogens may lodge there. The Cold energy fractures the blood, causing it to become stagnant and obstructed, leading to an abscess deep within the bone. Its presentation includes swelling and pain without a head (pustule).
Shui Bing (Water Disease/Edema) arises from physical deficiency combined with invasion of Damp-Wind pathogens entering the skin. These pathogens interact with Body Fluids (Jin Ye), causing their flow to become stagnant and obstructed. Consequently, they accumulate internally without being resolved and overflow into the skin. This happens because the Kidney governs Water and pairs with the Bladder; the Bladder serves as the reservoir for Body Fluids. If Body Fluids fail to metabolize properly, water accumulates. External signs include puffiness under the eyes resembling a sleeping silkworm and vigorous pulsation at the Yingchong (人迎) pulse on the neck. The Spleen belongs to Earth and controls Water, manifesting in the muscles. When Kidney Water accumulates and Spleen Earth becomes weak, it fails to transform dampness, allowing water qi to overflow and soak the skin, causing swelling and fullness.
Xue Fen Bing (Blood Division Disease) refers to a condition where menstruation ceases first, followed by the development of edema. Because menstrual flow becomes obstructed and stagnant, the menstrual blood transforms into water, hence the term "Blood Division." When a woman's menstruation flows smoothly, water and blood circulate and resolve together. However, if Cold and Wind pathogens bind to the meridians, causing blood coagulation and obstruction, blood and water accumulate mutually, resulting in edema disease.
Swelling (Zhong) may be caused by Wind-Cold, Water Qi, or Heat Toxins. Sudden swelling (Cu Zhong) occurs due to deficiency in the Cou Li (interstices/skin pores), where Wind-Cold pathogens bind with Blood and Qi, causing accumulation and knotting that cannot disperse, leading to sudden onset. Its characteristic is swelling and knotting without heat sensation.
Chi Liu Zhong (Red Flowing Swelling) results from physical deficiency and open Cou Li, allowing Wind-Heat pathogens to invade. Wind-Heat combats with Blood and Qi, carrying Heat Toxin. Its presentation features red-colored swelling that shifts and moves with the flow of pathogenic qi, thus termed "Flowing Swelling."
This condition may stem from obstructed menstruation or incomplete expulsion of lochia postpartum. If one exposes oneself to wind while seeking coolness, Wind-Cold pathogens attack. Blood congeals into Stasis upon encountering cold. Internal Blood Stasis causes intermittent body heat and sallow complexion. If the stasis persists unresolved, it transforms into Accumulations (Ji Ju) or Masses (Jia).