黄帝问曰∶刺节言去衣者,刺关节之支络,愿闻其详。岐伯对曰∶腰脊者人之关节
,股 者人之趋翔,茎睾者身中之机,阴津之候,津液之道路也。故饮食不节,
喜怒不时,津液内流而下溢于睾,水道不通,炅不休息,俯仰不便,趋翔不能,荣然有水
,不上不下, 石所取,形不可匿,裳不可蔽,名曰去衣。曰∶有癃者一日数十溲
,此不足也。身热如炭,颈膺如格,人迎躁盛,喘息气逆,此有余也(《素问》下有阳气大
盛于外一句)。阴气不足,则太阴脉细如发者,此不足者也。其病安在?曰∶病在太阴,其盛
在胃,颇在肺,病名曰厥,死不治。此得五有余,二不足。曰∶何谓五有余、二不足?曰∶
所谓五有余者,病气之有余也;二不足者,亦病气之不足也。今外得五有余,内得二不足,此
其不表不里,亦死证明矣。
狐疝惊悸少气,巨阙主之。阴疝引睾,阴交主之,少腹痛,溺难
,阴下纵,横骨主之。少腹疝,卧善惊,气海主之。暴疝,少腹大热,关元主之。阴疝气疝
,天枢主之。 疝,大巨及地机、中 主之。阴疝痿,茎中痛,两丸骞,卧不可仰卧,刺
气街主之。阴疝,冲门主之。男子阴疝,两丸上下,小腹痛,五枢主之。阴股内痛,气痈,
狐疝走上下,引少腹痛,不可俯仰上下,商丘主之。狐疝,太冲主之。阴跳遗溺,小便难
而痛,阴上下入腹中,寒疝阴挺出偏大肿,腹脐痛,腹中悒悒不乐,大敦主之。腹痛上抢
心,心下满癃,茎中痛,怒 不欲视,泣出,长太息,行间主之。癫疝,阴暴痛(《千
金》 疝阴暴痛,痿厥,身体不仁),中封主之。疝,癃,脐少腹引痛,腰中痛,中封主
之。气痛癃,小便黄,气满塞,虚则遗溺,身时寒热,吐逆,溺难,腹满,石门主之。气癃
疝阴急,股枢 内廉痛,交信主之。阴跳腰痛,实则挺长,寒热,挛,阴暴痛,遗溺
,偏大,虚则暴痒气逆,肿睾卒疝,小便不利如癃状,数噫恐悸,气不足,腹中
悒悒,少腹痛,嗌中有热,如有 肉状,如着欲出,背挛不可俯仰,蠡沟主之。丈夫
疝,阴跳痛引纂中,不得溺,腹中支,胁下 满,闭癃,阴痿,后时泄,四肢不收,
实则身疼痛,汗不出,目KT KT 然无所见,怒欲杀人,暴痛引髌,下节时有热气,
筋挛膝痛不可屈伸,狂如新发,衄,不食,喘呼,少腹痛引噫,足厥痛,涌泉主之。癃疝
,然谷主之。卒疝,少腹痛,照海主之,病在左取右,右取左,立已。疝,四肢淫泺,身
闷,至阴主之。遗溺关门及神门、委中主之。胸满膨膨然,实则癃闭,腋下肿,虚则遗溺
,脚急兢兢然,筋急痛,不得大小便,腰痛引腹不得俯仰,委阳主之。癃,中 主
之。气癃溺黄(《千金》此四字前有寒热不节,肾病不可以俯仰),关元及阴陵泉主之。气癃
,小
窍中热,实则腹皮痛,虚则痒瘙,会阴主之。小肠有热,溺赤黄,中脘主之。溺黄,下廉主
之。小便黄赤,完骨主之。小便黄,肠鸣相逐,上廉主之。劳瘅,小便赤难,前谷主之。
黄帝问道:《刺节真邪》篇中提到“去衣”这一病症,说是针刺关节处的分支络脉,我想了解其中的详细情况。岐伯回答说:腰脊是人体关节的关键部位;大腿是人行走奔跑的基础;阴茎和睾丸是身体中的枢纽,也是阴津的征候所在,更是津液运行的通道。所以,如果饮食没有节制,喜怒情绪不能适时调节,津液就会向内流动并向下溢入睾丸,导致水道不通畅,体内有热而不得休息,弯腰转身不便,行走困难,阴囊肿胀积水,水气不上不下,正如石阝(地名/或指特定取穴法)所选取的部位,形体无法隐藏,裤子也无法遮蔽,这种病名叫作“去衣”。
黄帝又问:有一种癃闭症,一天排尿几十次,这是正气不足的表现。如果身体发热像火炭一样,颈部和胸膺部感觉像被格拒阻隔,人迎脉躁动盛大,喘息气逆,这是邪气有余的表现(《素问》中在此句下有“阳气大盛于外”一句)。如果阴气不足,太阴脉细如发丝,这也是正气不足的表现。这种病在哪里?岐伯说:病位在太阴,邪气盛在胃,同时也涉及肺,病名叫做厥证,属于死证,难以治愈。这是因为出现了五有余、二不足的证候。
黄帝问:什么叫五有余、二不足?岐伯说:所谓五有余,是指病邪之气的有余;二不足,也是指病邪之气导致的正气不足。现在外部表现为五有余,内部表现为二不足,这说明病不在表也不在里,是死亡的明证。
狐疝伴有惊悸、少气,由巨阙穴主治。阴疝牵引睾丸疼痛,由阴交穴主治。小腹痛,排尿困难,阴部松弛下垂,由横骨穴主治。小腹部疝气,睡觉容易惊醒,由气海穴主治。突发疝气,小腹部大热,由关元穴主治。阴疝、气疝,由天枢穴主治。[缺字]疝,由大巨、地机、中[缺字]穴主治。阴疝伴痿证,阴茎中疼痛,两侧睾丸上缩,睡时不能仰卧,针刺气街穴主治。阴疝,由冲门穴主治。男子阴疝,两侧睾丸上下移动,小腹痛,由五枢穴主治。大腿内侧疼痛,气痈,狐疝游走上下,牵引小腹痛,不能弯腰仰身,由商丘穴主治。狐疝,由太冲穴主治。阴跳(病名)、遗尿,小便难且痛,阴部不适放射至腹中,寒疝、阴挺出、偏侧肿大,腹脐痛,心中郁闷不乐,由大敦穴主治。腹痛向上冲击心脏,心下胀满、癃闭,阴茎中疼痛,愤怒不想看东西,流泪,长叹息,由行间穴主治。癫疝,阴部突发疼痛(《千金方》此处为“疝阴暴痛”,兼见痿厥,身体麻木不仁),由中封穴主治。疝气,癃闭,脐部及小腹部牵引疼痛,腰部疼痛,由中封穴主治。气痛、癃闭,小便黄,气机壅塞,虚证则遗尿,身体时而寒热,呕吐逆气,排尿困难,腹部胀满,由石门穴主治。气癃、疝气阴部拘急,大腿根部内侧疼痛,由交信穴主治。阴跳腰痛,实证则阴茎挺长,寒热,挛急,阴部突发疼痛,遗尿,偏侧肿大,虚证则突发瘙痒、气逆,睾丸肿痛突发疝气,小便不利似癃状,频繁嗳气、恐惧惊悸,气不足,腹部郁闷,小腹痛,咽喉中有热感,好像有肉块状物,想出来却出不来,背部挛急不能弯腰仰身,由蠡沟穴主治。男子疝气,阴部跳动疼痛牵引会阴,不能排尿,腹部支撑胀满,胁下胀满,闭癃,阳痿,有时泄泻,四肢无力不收,实证则身体疼痛,无汗,眼睛视物模糊不清,愤怒欲杀人,突发疼痛牵引膝盖髌骨,下肢关节时有热气,筋脉挛急膝痛不可屈伸,狂乱如新发癫痫,鼻出血,不进食,喘呼,小腹痛牵引嗳气,足厥阴经疼痛,由涌泉穴主治。癃疝,由然谷穴主治。突发疝气,小腹痛,由照海穴主治,病在左侧取右侧穴位,病在右侧取左侧穴位,立即见效。疝气,四肢湿冷懈怠,身体闷重,由至阴穴主治。遗尿,由关门、神门、委中穴主治。胸部胀满膨隆,实证则癃闭,腋下肿,虚证则遗尿,脚部紧急颤抖,筋脉拘急疼痛,大小便不通,腰痛牵引腹部不能弯腰仰身,由委阳穴主治。癃闭,由中[缺字]穴主治。气癃、小便黄(《千金方》此四字前有“寒热不节,肾病不可以俯仰”),由关元及阴陵泉穴主治。气癃,小窍中热,实证则腹皮痛,虚证则瘙痒,由会阴穴主治。小肠有热,小便赤黄,由中脘穴主治。小便黄,由下廉穴主治。小便黄赤,由完骨穴主治。小便黄,肠鸣相继,由上廉穴主治。劳瘅,小便赤涩困难,由前谷穴主治。
Yellow Emperor asked, saying: The "Stitching Joint True Evil" chapter mentions "Qu Yi" (Removing Clothes), stating that it involves needling the branch collaterals of the joints. I wish to hear the details. Qibo replied, saying: The waist and spine are the key joints of the human body; the thighs are the basis for walking and running; the penis and testicles are the mechanisms within the body, indicators of Yin fluids, and pathways for the flow of Jin Ye (Body Fluids). Therefore, if dietary intake is not regulated, and emotions of joy and anger are not expressed at appropriate times, Jin Ye will flow inward and overflow downward into the testicles. This leads to the obstruction of the water passages, internal heat without rest, difficulty in bending and stretching, inability to walk or run, swelling with fluid accumulation (Ran Ran Shui), where the fluid neither rises nor falls. As selected by Shi Bu (a specific location/method), the form cannot be hidden, and trousers cannot cover it. This condition is named "Qu Yi".
The Yellow Emperor asked again: There is a case of Long Bi (Dysuria/Retention of Urine) where urination occurs dozens of times a day; this is due to deficiency. If the body feels hot like charcoal, the neck and chest feel blocked or rejected, the Renying pulse (Radial Artery at the Neck) is agitated and vigorous, accompanied by wheezing and reversed Qi, this is due to excess (In Su Wen, there is an additional phrase "Yang Qi is excessively abundant on the exterior"). If Yin Qi is deficient, the Taiyin pulse becomes thin as a hair; this is also a sign of deficiency. Where is the disease located? Qibo said: The disease is in the Taiyin, its excess is in the Stomach, and it significantly involves the Lung. The disease name is Jue (Reversal/Cold Extremities), which is a fatal condition and untreatable. This presents five excesses and two deficiencies.
The Yellow Emperor asked: What do you mean by five excesses and two deficiencies? Qibo said: The so-called five excesses refer to the excess of pathogenic Qi; the two deficiencies also refer to the deficiency caused by pathogenic Qi. Now, externally there are five excesses, and internally there are two deficiencies. This indicates that the disease is neither in the exterior nor the interior, which is a clear sign of death.
Hu Shan (Fox Hernia) with palpitations and shortness of breath is primarily treated by Juque (CV14). Yin Hernia pulling pain to the testicles is primarily treated by Yinjiao (RN7). Lower abdominal pain, difficult urination, and flaccidity of the genitalia are primarily treated by Henggu (KI13). Lower abdominal hernia, prone to waking up startled during sleep, is primarily treated by Qihai (CV6). Sudden hernia with great heat in the lower abdomen is primarily treated by Guanyuan (CV4). Yin Hernia and Qi Hernia are primarily treated by Tianshu (ST25). [Missing Character] Hernia is primarily treated by Daju (BL27), Dijji (SP8), and Zhong [Missing Character]. Yin Hernia with Wei Syndrome (Flaccidity), pain in the shaft of the penis, retraction of both testicles, and inability to lie on the back while sleeping, is treated by needling the Qie Street (Qichong ST30 area). Yin Hernia is primarily treated by Chongmen (SP12). Male Yin Hernia with testicles moving up and down and lower abdominal pain is primarily treated by Wushu (GB26). Pain in the inner thigh, Qi Abscess, Hu Shan moving up and down pulling the lower abdomen, and inability to bend or stretch, is primarily treated by Shangqiu (SP5). Hu Shan is primarily treated by Taichong (LR3). Yin Tiao (a disease name), enuresis, difficult and painful urination, discomfort in the yin region radiating to the abdomen, Cold Hernia, prolapse of the yin, unilateral swelling, umbilical and abdominal pain, and depression/unhappiness are primarily treated by Dadun (LR1). Abdominal pain rushing upward to the heart, fullness below the heart, Long Bi, pain in the penile shaft, anger causing unwillingness to look, weeping, and deep sighing are primarily treated by Xingjian (LR2). Dian Hernia and sudden severe pain in the yin region (In Qian Jin Fang, this is "Hernia Yin Sudden Pain", accompanied by Wei Jue and numbness of the body) is primarily treated by Zhongfeng (LR6). Hernia, Long Bi, pain radiating from the umbilicus and lower abdomen to the waist, is primarily treated by Zhongfeng (LR6). Qi pain and Long Bi, yellow urine, Qi stagnation and blockage, enuresis in deficiency patterns, alternating chills and fever, vomiting and reflux, difficult urination, and abdominal fullness are primarily treated by Shimen (CV5). Qi Long Bi, tension in the yin region due to hernia, pain in the inner aspect of the thigh root, is primarily treated by Jiaoxin (KI8). Yin Tiao and lower back pain, with erection and elongation in excess patterns, chills and fever, spasms, sudden yin pain, enuresis, unilateral swelling, itching and Qi reversal in deficiency patterns, sudden swelling and hernia of the testicles, difficult urination resembling Long Bi, frequent belching, fear and palpitations, Qi deficiency, abdominal depression, lower abdominal pain, heat in the throat, sensation of a lump wanting to emerge but unable to, back spasm preventing bending/stretching, is primarily treated by Ligou (LR5). Male Hernia, throbbing pain in the yin region radiating to the perineum, inability to urinate, abdominal distension, flank fullness, closure and Long Bi, impotence, occasional diarrhea, limbs unable to hold themselves, body pain in excess patterns, absence of sweating, blurred vision, anger wanting to kill people, sudden pain radiating to the patella, heat in the lower joints, tendon spasms and knee pain preventing flexion/extension, mania resembling new-onset epilepsy, epistaxis, anorexia, panting, lower abdominal pain radiating to belching, pain in the Foot-Jueyin channel, is primarily treated by Yongquan (KI1). Long Bi and Hernia are primarily treated by Ranggu (KI2). Sudden Hernia with lower abdominal pain is primarily treated by Zhaohai (KI6); treat the right side for left-sided disease, and the left side for right-sided disease, and it will resolve immediately. Hernia with damp-cold paralysis of the four limbs and heavy body sensation is primarily treated by Zhiyin (BL67). Enuresis is primarily treated by Guanmen (ST22), Shenmen (ST42), and Weizhong (BL40). Chest fullness and distension, Long Bi and closure in excess patterns, axillary swelling, enuresis in deficiency patterns, urgent trembling of the feet, tendon spasm and pain, inability to pass stool and urine, lower back pain radiating to the abdomen preventing bending/stretching, is primarily treated by Weiyang (BL39). Long Bi is primarily treated by Zhong [Missing Character]. Qi Long Bi and yellow urine (In Qian Jin Fang, "Chills and Fever Irregularity, Kidney Disease Preventing Bending/Stretching" precedes these four characters) are primarily treated by Guanyuan (CV4) and Yinlingquan (SP9). Qi Long Bi, heat in the small orifice, abdominal skin pain in excess patterns, and itching in deficiency patterns, is primarily treated by Huiyin (CV1). Heat in the Small Intestine causing red-yellow urine is primarily treated by Zhongwan (CV12). Yellow urine is primarily treated by Xia Lian (ST34). Red-yellow urine is primarily treated by Wanggu (GB12). Yellow urine with successive borborygmus is primarily treated by Shang Lian (ST33). Lao Dan (Labor-induced Jaundice/Fatigue) with difficult red-difficult urination is primarily treated by Qian Gu (BL65).