岐伯曰∶人有重身,九月而喑,名曰胞之络脉绝也。无治,当十月复。
病胁下满,气逆,二三岁不已,名曰息积。不可灸刺,积为导引服药。
人身体髀股 皆肿,环脐而痛,
名曰伏梁。不可动之(动谓齐其毒药,而击动之),动之为水溺涩之病也。
人有尺脉数甚,筋急而见,名曰疹筋。是人腹必急,白色黑色见,则病甚。
人有病头痛,数岁不已,名曰厥逆。谓所犯大寒,内至骨髓,髓以脑为主,脑逆,故令
有病口甘者,名曰脾瘅(瘅,谓热也),谓人数食甘美而多肥,肥者令人内热
,甘者令人中满,故气上溢,转为消渴,治之以兰,除陈气也。
有病口苦,名曰胆瘅,治之以胆募俞。
有癃者,日数十溲,此不足也;身热如炭,颈膺如格,人迎躁盛,喘息气逆,此有余也
;太阴脉细微如发者,此不足也,五有余,二不足,名曰厥,死不治。
人初生病癫疾者,名曰胎痫,谓在母腹中感惊,令子发为癫也。
有病 然如有水状,切其脉大紧,身无痛者,形不瘦,不能食,食少,名曰肾风。肾风
而不能食,善惊,惊已,心气痿者死。
有病怒狂者,名曰阳厥。谓阳气因暴折而难决,故善怒也。治之当夺其食,即已。使之
服以生铁洛为饮(铁洛、铁浆)。夫生铁洛者,下气疾也。
岐伯说:孕妇怀孕到第九个月时出现失音,称为胞络之脉隔绝。不需要治疗,等到第十个月分娩后自然会恢复。
如果病人胁下胀满,气机上逆,持续两三年不愈,称为息积。这种病不能用灸法或针刺治疗,应当采用导引术配合服药来治疗。
如果病人身体大腿和胫部都肿胀,肚脐周围疼痛,称为伏梁。这种病不能触动它(“动”指的是使用峻猛的药物并敲击腹部),如果触动它,会导致小便不利涩滞的病症。
如果病人尺部脉搏跳动非常快,筋脉拘急且 visibly 显现,称为疹筋。这种人腹部必然拘急,如果面色出现白色或黑色,说明病情加重。
如果有病人头痛,持续数年不愈,称为厥逆。这是由于遭受了严重的大寒之邪,寒气深入骨髓,因为髓以脑为主,脑气上逆,所以导致疾病。
有人口中发甜,称为脾瘅(瘅,指热邪),这是因为人们经常食用甘甜美味且油腻的食物,肥腻食物使人内部生热,甘甜食物使人中焦痞满,因此气机上溢,进而转化为消渴病,治疗时使用兰草(如佩兰),以去除体内陈腐之气。
有的人小便频数,一天几十次,这是正气不足的表现;身体发热像火炭一样,颈部和胸膺部僵硬如格拒,人迎脉躁动盛大,喘息气逆,这是邪气有余的表现;太阴脉细微如发丝,这也是正气不足的表现。五有余、二不足,称为厥证,属于死证,难以治愈。
人刚出生就患有癫痫病的,称为胎痫,是因为在母腹中受到惊吓,导致胎儿发作癫痫。
有一种病,身体浮肿好像有水的样子,切按脉搏大而紧,身体没有疼痛感,形体也不消瘦,但不能进食,吃得很少,称为肾风。肾风病人如果不能进食,容易惊恐,惊恐之后心气衰竭的就会死亡。
有易怒发狂的病人,称为阳厥。这是因为阳气因突然受挫而难以疏泄,所以容易发怒。治疗时应当限制其饮食,病就会好。让他服用生铁洛制成的饮品(铁洛即铁浆)。生铁洛具有迅速降气的作用。
Qibo said: When a pregnant woman reaches the ninth month of pregnancy and loses her voice, it is called "interruption of the collateral vessels of the uterus" (Bao's Luo Mai). No treatment is required; she will recover naturally after delivery in the tenth month.
If a patient suffers from fullness under the hypochondrium and rebellious Qi for two or three years without resolution, it is called "Xi Ji" (Breath Accumulation). Moxibustion and acupuncture are contraindicated; treatment should consist of Daoyin (guided breathing and movement) combined with herbal medicine.
If a patient has swelling in the thighs and shins, along with pain around the umbilicus, it is called "Fu Liang" (Hidden Beam). This condition must not be disturbed ("disturbance" refers to using potent drugs and striking the abdomen); disturbing it will lead to difficulty and obstruction in urination.
If a patient's Chi pulse (radial artery at the wrist, representing Kidney/Yin) is extremely rapid, accompanied by visible tendon tension and spasm, it is called "Zhen Jin" (Rash Tendons). Such patients will necessarily have abdominal tightness; if white or black complexion appears, the disease is severe.
If a patient suffers from headache persisting for several years without relief, it is called "Jue Ni" (Rebellious Counterflow). This is caused by severe Cold pathogen penetrating inward to the bone marrow. Since marrow governs the brain, rebellious Qi in the brain causes this pathology.
A person whose mouth tastes sweet is diagnosed with "Pi Dan" (Spleen Heat/Dan Syndrome) (Dan refers to heat). This occurs because frequent consumption of sweet, delicious, and fatty foods leads to internal heat from fat and central fullness from sweetness. Consequently, Qi overflows upward, transforming into Xiao Ke (Wasting-Thirst Syndrome). Treatment involves using Lan Cao (Eupatorium fortunei/Ping Pei Lan) to eliminate stale Qi.
A person whose mouth tastes bitter is diagnosed with "Dan Dan" (Gallbladder Heat/Dan Syndrome). Treatment involves stimulating the Front-Mu point and Back-Shu point of the Gallbladder.
A patient with Lin syndrome (strangury/difficult urination) who urinates dozens of times a day exhibits deficiency. If the body is hot as charcoal, the neck and chest feel rigid like a barrier, the Renying pulse (carotid artery) is restless and vigorous, and there is wheezing with rebellious Qi, these indicate excess. If the Taiyin pulse is minute like a hair, this indicates deficiency. With five excess signs and two deficiency signs, it is called Jue (Counterflow), which is a fatal and untreatable condition.
An infant born with epilepsy is called "Tai Xian" (Fetal Epilepsy), caused by fright experienced by the fetus in the womb.
A patient presents with edema resembling water retention, a large and tight pulse, no body pain, normal body shape (not emaciated), inability to eat, and poor appetite. This is called "Ren Feng" (Kidney Wind). If a Ren Feng patient cannot eat, is prone to fright, and subsequently experiences collapse of Heart Qi, death ensues.
A patient prone to anger and mania is called "Yang Jue" (Yang Counterflow). This results from Yang Qi being suddenly obstructed and unable to resolve freely, leading to irritability. Treatment involves restricting food intake, which will cure the condition. The patient should drink Sheng Tie Luo (Ferri Oxidum/Iron rust solution). Sheng Tie Luo has the effect of rapidly descending Qi.