黄帝问曰∶人年半百而动作皆衰者,人将失之耶?岐伯对曰∶今时之人,以酒为浆,以
妄为常,醉以入房,以欲竭其精,以耗散其真,不知持满,不时御神,务快其心,逆于生乐
,起居无节,故半百而衰矣。夫圣人之教也,形劳而不倦,神气从以顺,色欲不能劳其目,
淫邪不能惑其心,智愚贤不肖,不惧于物,故合于道数,年度百岁而动作不衰者,以其德全
不危故也。久视伤血,久卧伤气,久坐伤肉,久立伤骨,久行伤筋。曰∶有病胸胁
满,妨于食,食至则先闻腥臊臭,出清涕,先唾血,四肢清,目眩,时时前后血,何以得之
?曰∶病名曰血枯,此得之少年时,有所大夺血。若醉以入房,中气竭,肝伤,故使月事衰
少不来也。治之以乌贼鱼骨、 茹二物,并合丸以雀卵,大如小豆,以五丸为后饭
,饮以鲍鱼汁,以饮利肠中,及伤肝也。曰∶劳风为病何如?曰∶劳风发在肺下,其为病也
,使人强上而瞑视,唾出若涕,恶风而振寒,此为劳风之病也。曰∶治之奈何?曰∶以救俯
仰,太阳引精者三日,中年者五日,不精者七日(《千金》云∶候之三日及五日中不精明者
是也),咳出青黄涕,状如脓,大如弹丸,从口中若鼻空出;不出则伤肺,伤肺则死矣
。少气,身漯漯也,言吸吸也,骨酸体重,懈惰不能动,补足少阴。短气,息短不属
,动作气索,补足少阴,去血络。
男子阴端寒,上冲心中 ,会阴主之。男子脊急目赤,支沟主之。脊内廉痛,溺难,
阴痿不用,少腹急引阴,及脚内廉,阴谷主之。善
厌梦者,商丘主之。丈夫失精,中极主之。男子精溢,阴上缩,大赫主之。男子精不足,太
冲主之。崩中,腹上下痛,中 主之。胸中瘀血,胸胁 满,鬲痛不能久立,膝痿
寒,三里主之。心下有鬲,呕血,上脘主之。呕血有息,胁下痛,口干,心痛与背相引,不
可咳,咳则肾痛,不容主之。唾血振寒嗌干,太渊主之。咳血,大陵及 门主之。呕血
上气,神门主之。内伤不足,三阳络主之。内伤唾血不足,外无膏泽,刺地五会。凡唾血,
泻鱼际,补尺泽。
黄帝问道:人到了五十岁,动作就都衰退了,这是人的精气将耗尽了吗?岐伯回答说:现在的人,把酒当作浆液一样随意饮用,把妄作乱为当作常态,醉酒后行房事,纵欲以耗竭精气,散失真气,不知道保持精气的充盈,不按时调摄精神,只求一时的心意快乐,违背了养生的乐趣,起居没有节制,所以不到五十岁身体就衰败了。圣人教导人们,形体劳作但不疲倦,神气随之顺遂,美色不能劳损眼睛,淫邪不能迷惑内心,无论智愚贤不肖,都不被外物所惊扰,所以符合养生之道,能活到百岁而动作不衰败,是因为他们道德完备而不受危害的缘故。长时间用眼伤血,长时间躺卧伤气,长时间坐着伤肉,长时间站立伤骨,长时间行走伤筋。有人问:有病证表现为胸胁部胀满,妨碍进食,食物入口前先闻到腥臊气味,流出清涕,先吐出带血的唾液,四肢发冷,头晕目眩,时常大小便出血,这是什么原因导致的?回答说:这种病名叫血枯,这是由于年轻时曾经大量失血所致。如果是醉酒后行房事,导致中气衰竭,肝脏受损,所以使月经量少或闭经。治疗用乌贼鱼骨和茹草两味药,混合制成丸剂,用雀卵做粘合剂,大小如小豆,每次服五丸,饭前服用,用鲍鱼汁送服,以通利肠道,并补益受伤的肝脏。有人问:劳风病怎么样?回答说:劳风病发作在肺下,它的病症使人项背强直、视物模糊,咳出像鼻涕一样的痰,怕风且战栗发冷,这就是劳风病。问:如何治疗?回答说:以缓解俯仰困难为主,精气充足者三天见效,中年者五天见效,精气不足者七天见效(《千金方》说:观察三天及五天中精气未恢复明亮的是这种情况),咳出青黄色的痰,状如脓液,大如弹丸,从口中或鼻腔排出;如果不排出则会损伤肺部,损伤肺部就会死亡。少气,身体湿冷,呼吸急促,骨骼酸痛,身体沉重,懈怠懒惰不能活动,应补足少阴经穴位。短气,呼吸短促不相连续,活动时气息微弱,应补足少阴经穴位,并刺破瘀血络脉放血。
男子阴茎末端寒冷,气上冲心中,取会阴穴主治。男子脊背拘急、眼睛发红,取支沟穴主治。脊背内侧疼痛,小便困难,阳痿不用,小腹拘急牵引阴部及脚内侧,取阴谷穴主治。多噩梦者,取商丘穴主治。男子遗精,取中极穴主治。男子精液外溢,阴部收缩,取大赫穴主治。男子精气不足,取太冲穴主治。崩中漏下,腹部上下疼痛,取中脘穴主治。胸中有瘀血,胸胁胀满,膈部疼痛不能久立,膝部痿软发冷,取足三里穴主治。心下有膈感,呕血,取上脘穴主治。呕血伴有喘息,胁下疼痛,口干,心痛牵引背部,不可咳嗽,咳嗽则肾痛,取不容穴主治。唾血伴战栗、咽喉干燥,取太渊穴主治。咳血,取大陵穴及郄门穴主治。呕血伴气逆,取神门穴主治。内伤不足,取三阳络穴主治。内伤唾血兼有不足,体表无光泽,刺地五会穴。凡是唾血,泻鱼际穴,补尺泽穴。
Yellow Emperor asked: When people reach the age of fifty, their movements and actions all decline. Is it because their essence is about to be exhausted? Qibo replied: People nowadays treat wine as if it were a thick drink, regard reckless behavior as normal, engage in sexual intercourse while drunk, exhaust their essence through lust, and dissipate their true qi. They do not know how to maintain fullness, fail to regulate their spirit at appropriate times, seek only momentary pleasure, go against the joy of life, and have irregular daily routines. Therefore, they decline before reaching fifty. The teachings of the sages are that the body may labor without becoming fatigued, and the spirit and qi will follow in harmony. Beautiful colors do not strain the eyes, and licentious desires do not confuse the mind. Whether wise or foolish, virtuous or unworthy, one is not disturbed by external things, thus conforming to the Dao. Such individuals can live to a hundred years old without decline in movement and action because their virtue is complete and they remain unharmed. Prolonged viewing damages blood; prolonged lying down damages qi; prolonged sitting damages flesh; prolonged standing damages bones; prolonged walking damages sinews. Someone asked: There is a disease characterized by fullness and distension in the chest and hypochondrium, which hinders eating. Before food enters the mouth, one smells a fishy and foul odor, clear nasal discharge occurs, bloody saliva is expectorated first, the four limbs are cold, dizziness occurs, and there is frequent bleeding from both bowels and urine. How does this arise? It was answered: This disease is named "Blood Withering" (Xue Ku). It arises from massive blood loss during youth. If sexual intercourse is engaged in while drunk, the middle qi is exhausted and the liver is injured, causing menstrual flow to become scanty or cease entirely. Treatment involves using Cutula Sepiae (Cuttlefish Bone) and Ru Ye (Euphorbia Root), combined into pills with Quque Egg (Quque's Egg) as a binder, sized like small beans. Take five pills before meals, washed down with Bouyu Juice (Abalone Juice) to promote intestinal lubrication and nourish the injured liver. Someone asked: What is the nature of Labor Wind (Lao Feng)? It was answered: Labor Wind manifests below the lungs. Its symptoms include stiffness of the neck and back, blurred vision, expectoration of phlegm resembling mucus, aversion to wind, and chills. This constitutes the disease of Labor Wind. Asked: How should it be treated? It was answered: The treatment aims to relieve difficulty in bending and extending. For those with abundant essence, improvement occurs in three days; for middle-aged persons, in five days; for those with deficient essence, in seven days (The *Qianjin Fang* states: Observe whether clarity returns within three to five days). The patient coughs up green-yellow phlegm, resembling pus, large as a bean, expelled from the mouth or nose. If not expelled, it injures the lung; injury to the lung leads to death. Symptoms include shortness of breath, a damp and cold sensation on the body, rapid breathing, soreness and heaviness of the bones, lethargy, and inability to move. Tonify the Shaoyin (Kidney) meridian. Shortness of breath with discontinuous respiration, and weak qi upon movement, indicate tonifying the Shaoyin meridian and draining blood stasis from collateral vessels. Coldness at the tip of the penis in men, with qi rushing upward to the heart, is treated by Huixuan (Huiyin, CV1). Stiffness of the spine and red eyes in men are treated by Zhigou (SJ6). Pain along the medial aspect of the spine, difficult urination, impotence, acute pulling pain in the lower abdomen radiating to the genitals and medial foot, is treated by Yin Gu (KI10). Frequent nightmares are treated by Shangqiu (SP5). Spermatorrhea in men is treated by Zhongji (CV3). Seminal emission with retraction of the genitals in men is treated by Dahu (KI45). Deficiency of essence in men is treated by Taichong (LR3). Metrorrhagia (Bengzhong) with pain above and below the abdomen is treated by Zhongwan (CV12). Blood stasis in the chest, fullness in the chest and hypochondrium, pain in the diaphragm preventing prolonged standing, and flaccidity with coldness in the knees, are treated by Zusanli (ST36). A feeling of obstruction under the heart with hematemesis is treated by Shangwan (CV13). Hematemesis accompanied by panting, hypochondriac pain, dry mouth, heart pain radiating to the back, and aggravation by coughing (which causes kidney pain), is treated by Burong (ST17). Expectoration of blood with chills and dry throat is treated by Taiyuan (LU9). Hemoptysis is treated by Daling (PC7) and Ximen (PC4). Hematemesis with rebellious qi is treated by Shenmen (HT7). Internal injury with deficiency is treated by Sanyangluo (TE7). Internal injury with expectoration of blood and deficiency, manifesting as lack of luster on the skin, is treated by piercing Diwuhui (CV13). For all cases of expectoration of blood, drain Yuji (LU10) and tonify Chize (LU5).