夫尸厥者是阴阳气逆也此为阳脉卒下坠阴脉卒上升阴阳离居营卫不通真气厥乱客邪乘之
其状
啸声
腑虽
虚者
夫人作劳伤于五脏五脏之气因伤成病故谓之五劳肺劳之状短气而面肿不闻香臭肝劳之状
面目
脾劳
肝劳
顺其
夫七伤者一曰大怒逆气伤肝二曰忧愁思虑伤心三曰饮食大饱伤脾四曰形寒饮冷伤肺五曰
久
面
劳
六极者(筋极主肝脉极主心肉极主脾气极主肺) 骨极主肾精极主脏腑筋极之状令人
数
不
欲
古经惟有骨蒸病候而巢氏论说乃曰骨蒸病有五种一曰骨蒸其根在肾旦起则体凉日晚则热
躁四
变为
脉浮
之时
无时
蒸者
肝主
名之
男子平人脉大为劳极虚亦为劳男子劳之为病其脉浮大手足烦春夏极秋冬差阴寒精自出酸
削不
肾
此
夫冷劳之人气血枯竭表里俱虚阴阳不和精气散失则内生寒冷也皆由脏腑久虚积冷之气遂
令宿
瘦故
(妇人多有此疾)
此病不在外不在内不属冷不属热不是实不是虚所以药难取效此病缘忧思恚怒动气伤神气
积于
音之
用
三
自
所谓尸厥,是阴阳之气逆乱所致。这是阳脉突然下陷,阴脉突然上逆,导致阴阳分离,营卫之气不通,真气厥乱,客邪趁机侵入。
其症状表现为:
发出啸叫声;
脏腑虽然(出现病变),但(患者)体质虚弱。
人因过度劳累而损伤五脏,五脏之气因此受伤而生病,所以称为“五劳”。肺劳的症状是气短且面部浮肿,闻不到香味和臭味;肝劳的症状是(涉及)面目(方面的病变);脾劳的症状(原文缺失);肝劳的症状(原文重复提及);顺应其(病机)。
所谓七伤,第一种是大怒导致气逆伤肝;第二种是忧愁思虑伤心;第三种是饮食过饱伤脾;第四种是形体受寒、饮用冷水伤肺;第五种是(久视/久坐等,原文缺失)……面(部症状,原文缺失)……劳(损,原文缺失)。
六极是指:筋极主要对应肝,脉极主要对应心,肉极主要对应脾,气极主要对应肺,骨极主要对应肾,精极主要对应脏腑。筋极的症状使人(频繁抽搐或痉挛,原文缺失)……不(欲食/不欲动,原文缺失)。
古代经典中只有骨蒸病的记载,而巢元方在《诸病源候论》中论述说骨蒸病有五种:第一种是骨蒸,其根源在肾,早晨起床时身体凉爽,傍晚则发热烦躁……四(肢症状,原文缺失)……变为(某种状态,原文缺失)……脉浮(象,原文缺失)……之时(发作,原文缺失)……无时(间歇,原文缺失)……蒸热者……肝主(导,原文缺失)……名为(某种名称,原文缺失)。
男子平时脉象大,这是劳损;脉象极虚,也是劳损。男子患劳损病的脉象浮大,手足烦热,春夏季节加重,秋冬季节减轻,阴寒导致精气自行滑出,身体消瘦酸楚……肾(脏受损,原文缺失)……此(为劳损之证,原文缺失)。
所谓冷劳,人气血枯竭,表里都虚弱,阴阳不和,精气散失,从而内生寒冷。这都是因为脏腑长期虚弱,积存了寒冷之气,于是导致宿疾……瘦(弱,原文缺失)。
(妇女多有这种疾病)
这种病不在体表,也不在体内,不属于寒,也不属于热,不是实证,也不是虚证,所以药物难以见效。此病源于忧思、愤怒导致气机紊乱,损伤精神,气……积于(某处,原文缺失)……音(声变化,原文缺失)……用(药方法,原文缺失)……三(焦或其他,原文缺失)……自(然恢复或恶化,原文缺失)。
这个证的起源在于脾胃虚弱,营卫不足。胃是水谷之海,脾气磨碎并消化水谷,水谷的精微转化为营卫之气以滋养四肢。如果(起居失常,原文缺失)……舌本(根部病变,原文缺失)……久(病不愈,原文缺失)。
这是由于肝肾之气风邪客滞于营卫之间,使气血不能周流滋养四肢,所以有此证候。肝主项背与臂膊,肾主腰……胯(部,原文缺失)……黄(疸或其他,原文缺失)。
The so-called "Shi Jue" (Corpse-like Fainting) is caused by the reversal of Yin and Yang Qi. This refers to the sudden sinking of Yang meridians and the sudden rising of Yin meridians, leading to the separation of Yin and Yang, the obstruction of Ying (Nutritive) and Wei (Defensive) Qi, the disorder of True Qi, and the invasion of pathogenic factors taking advantage of this state.
Its manifestations include:
Producing whistling or screaming sounds;
Although the Fu organs (hollow organs) are involved, the constitution is deficient.
When a person overexerts themselves, they injure the Zang organs (solid organs). The Qi of the five Zang organs becomes damaged due to this injury, giving rise to illness, hence it is called "Wu Lao" (Five Exhaustions). The signs of Lung Lao include shortness of breath and facial swelling, with an inability to perceive odors. The signs of Liver Lao involve the face and eyes. The signs of Spleen Lao are [text missing]. Liver Lao is mentioned again. One must follow its [pathogenesis].
The so-called "Qi Shang" (Seven Injuries) are: First, great anger causes Qi to reverse and injure the Liver; second, sorrow and excessive thinking injure the Heart; third, overeating damages the Spleen; fourth, exposure to cold and drinking cold water injures the Lungs; fifth, [prolonged sitting/standing]... [facial symptoms]... exhaustion.
The "Liu Ji" (Six Extremes) refer to: Sinew Extreme primarily corresponds to the Liver; Pulse Extreme primarily corresponds to the Heart; Flesh Extreme primarily corresponds to the Spleen; Qi Extreme primarily corresponds to the Lungs; Bone Extreme primarily corresponds to the Kidney; Essence Extreme primarily corresponds to the Zang-Fu organs. The signs of Sinew Extreme cause people to [frequent spasms]... [unwillingness to eat/move].
Ancient classics only recorded the syndrome of "Gu Zheng" (Bone Steaming Fever), but Chao Yuanfang in *Zhu Bing Yuan Hou Lun* stated that there are five types of Gu Zheng: The first is Bone Steaming, whose root lies in the Kidney. In the morning, the body feels cool, but in the evening, there is heat and restlessness... [limb symptoms]... transforming into [a certain state]... floating pulse... at certain times... without fixed timing... steaming fever... Liver governs [guidance]... named as such.
In men, a normal large pulse indicates exhaustion; an extremely deficient pulse also indicates exhaustion. For men suffering from exhaustion, the pulse is floating and large, with vexation and heat in the hands and feet. Symptoms worsen in spring and summer and improve in autumn and winter. Yin-cold causes essence to leak spontaneously, and the body becomes emaciated and sore... Kidney [damage]... this [is the syndrome of exhaustion].
The so-called "Cold Lao" (Cold Exhaustion) occurs when Qi and Blood are depleted, both interior and exterior are deficient, Yin and Yang are disharmonious, and Essence and Qi dissipate, leading to internal generation of cold. This is all due to long-term deficiency of the Zang-Fu organs and the accumulation of cold Qi, thereby causing chronic conditions... emaciation.
(Women often suffer from this disease.)
This disease is neither external nor internal, neither cold nor hot, neither excess nor deficiency; therefore, medicinal treatment is difficult to achieve efficacy. This disease arises from worry, thought, and anger disturbing Qi and damaging Spirit. Qi... accumulates in [a certain location]... voice changes... use [of medicine]... San Jiao [or other]... naturally [recover or deteriorate].
The origin of this syndrome lies in Spleen and Stomach deficiency, with insufficient Ying and Wei Qi. The Stomach is the sea of water and grain; the Spleen grinds and digests food; the essence of food transforms into Ying and Wei Qi to nourish the four limbs. If [daily routine is irregular]... tongue root [lesions]... prolonged [illness not healing].
This is because Wind Pathogens lodge between Ying and Wei Qi due to dysfunction of Liver and Kidney Qi, preventing Qi and Blood from circulating and nourishing the four limbs, thus resulting in these syndromes. The Liver governs the nape, back, and arms; the Kidney governs the waist... hips... jaundice [or other].