平按∶此篇自篇首至末,见《素问》卷十三第四十六《病能论》篇,又见《甲乙经》
卷十一第二。
黄帝曰∶有病喜怒者,此病安在?(平按∶《素问》、《甲乙》喜怒作怒狂,在作
生,新校正云∶《太素》怒狂作善怒。)岐伯曰∶生于阳。问曰∶阳何以使人狂?答曰∶
阳气者,因暴折而难决,故喜怒,病名阳厥。(平按∶喜怒《素问》、《甲乙》作善怒。)
问曰∶何以知之?答曰∶阳明者常动,巨阳、少阳不动而动太疾,此其候也。(足阳明
人迎脉常动。有病名阳厥,以阳气暴有折损不通,故狂而喜怒,以其太阳、少阳不动而大
疾,以为候也。平按∶《甲乙》巨阳作太阳。《素问》、《甲乙》不动下重不动二字。
注有病袁刻作有疾。不动而大疾,袁刻动误作通。)问曰∶治之奈何?答曰∶衰其食即
已。夫食入于阴,长气于阳,故夺之食即已。使之服之,以生铁落为饮,夫生长气,椎
铁落自下气疾。(衰其食者,少食也。谷气热,故推入腹内,阴中长盛阳,所以憎于狂
病。故夺于情少食,令服生铁落,病则愈矣。生铁落,铁浆也。平按∶衰其食《素问》
作夺其食,新校正云∶“《甲乙经》夺作衰,《太素》同。”落《素问》作洛。夫生长
气椎铁落《素问》、《甲乙》作夫生铁落者。又按“生长气椎铁”五字颇费解,当必有
误,原抄如是,故仍之。)
杨上善按语:本篇从篇首到篇末,内容见于《素问》卷十三第四十六《病能论》篇,同时也见于《甲乙经》卷十一第二。
黄帝问道:有人患有容易发怒或喜悦的病,这种病发生在什么部位?(杨上善按:《素问》和《甲乙经》中“喜怒”写作“怒狂”,“在作生”写作“生于阳”。新校正说:《太素》中“怒狂”写作“善怒”。)岐伯回答说:病生于阳分。黄帝又问:为什么阳气异常会导致人发狂?岐伯回答:人体的阳气,因为突然受到挫折而难以疏泄,所以导致情绪失控、易怒或狂喜,这种病名叫阳厥。(杨上善按:《素问》和《甲乙经》中“喜怒”写作“善怒”。)
黄帝又问:如何判断是否得了此病?岐伯回答:足阳明胃经的人迎脉通常是跳动的,足太阳膀胱经和足少阳胆经的脉象通常不跳动,但如果这两条经脉的脉象跳动得过于急促,这就是该病的征候。(足阳明胃经的人迎脉通常处于跳动状态。如果患有名为阳厥的病,是因为阳气突然遭受折损且不通畅,所以出现发狂、喜怒无常的症状;因为其太阳经和少阳经本不应跳动却跳动得非常急促,以此作为诊断依据。杨上善按:《甲乙经》中“巨阳”写作“太阳”。《素问》和《甲乙经》中“不动”之下没有“重不动”这三个字。注文中“有病”袁刻本作“有疾”。“不动而动太疾”,袁刻本将“动”误作“通”。)
黄帝又问:治疗这种方法是什么?岐伯回答:减少饮食即可痊愈。食物进入体内转化为阴精,进而助长阳气,所以通过剥夺其饮食来源即可治愈。(减少饮食,即少吃。谷气性质温热,推入腹内后,在阴分中旺盛从而助长阳气,这会导致憎恶于狂病的情绪。因此要节制情欲并减少进食,令患者服用生铁落,病就能痊愈。生铁落,即铁浆。杨上善按:《素问》中“衰其食”写作“夺其食”,新校正说:“《甲乙经》中‘夺’写作‘衰’,《太素》同。”‘落’字《素问》写作‘洛’。‘夫生长气椎铁落’一句,《素问》和《甲乙经》写作‘夫生铁落者’。另外,‘生长气椎铁’五个字很难理解,必定有误,原文抄写如此,故保留原貌。)
Yang Shangshan's Note: From the beginning to the end of this chapter, the content is found in Volume 13, Chapter 46 "Lun on the Causes of Disease" (Bing Neng Lun) of *Suwen* (Plain Questions), and also appears in Volume 11, Chapter 2 of *Jiayi Jing* (The Systematic Classic of Acupuncture and Moxibustion).
Yellow Emperor asked: There are patients who suffer from excessive anger or joy. Where does this disease originate? (Note: In *Suwen* and *Jiayi Jing*, "anger and joy" is written as "mania" (Nu Kuang), and "originates in making life" is written as "originates in Yang". The New Correction states that in *Taisu*, "nu kuang" is written as "shan nu" [frequent anger].) Qibo replied: It originates in the Yang aspect. The Yellow Emperor asked: Why does abnormal Yang energy cause mania? Qibo answered: Human Yang energy, due to sudden frustration and difficulty in resolution, leads to emotional instability, manifesting as anger or manic joy. This disease is named Yang Jue (Manic Syndrome due to Yang constraint). (Note: In *Suwen* and *Jiayi Jing*, "anger and joy" is written as "shan nu" [frequent anger].)
The Yellow Emperor asked: How can one diagnose it? Qibo answered: The Renying pulse of the Foot-Yangming Stomach Meridian usually pulsates. The pulses of the Foot-Taiyang Bladder Meridian and Foot-Shaoyang Gallbladder Meridian usually do not pulsate. However, if these two meridians' pulses beat too rapidly, this is the diagnostic sign. (The Renying pulse of the Foot-Yangming Stomach Meridian is normally active. In a disease named Yang Jue, because Yang energy suffers sudden damage and obstruction, leading to mania and erratic emotions, the fact that the Taiyang and Shaoyang meridians, which should not be active, beat excessively fast serves as the diagnostic indicator. Note: In *Jiayi Jing*, "Ju Yang" is written as "Tai Yang". In *Suwen* and *Jiayi Jing*, the characters "chong bu dong" [repeatedly do not move] do not appear after "bu dong". The annotation "you bing" [has disease] is printed as "you ji" [has illness] in the Yuan edition. "Bu dong er da ji" [do not move but move very fast], the Yuan edition mistakenly prints "dong" as "tong" [pass through].)
The Yellow Emperor asked: How should it be treated? Qibo answered: Reducing food intake will cure it. Food enters the Yin aspect and generates Qi for the Yang aspect; therefore, depriving the patient of food will cure the condition. (Reducing food intake means eating less. Grain Qi is hot; when pushed into the abdomen, it thrives in the Yin and strengthens Yang, which exacerbates the aversion associated with manic illness. Thus, by regulating emotions and reducing food intake, and having the patient take Sheng Tie Luo [Raw Iron Filings], the disease will heal. Sheng Tie Luo refers to iron slurry. Note: In *Suwen*, "Shuai Qi Shi" [reduce their food] is written as "Duo Qi Shi" [deprive their food]. The New Correction states: "In *Jiayi Jing*, 'duo' is written as 'shuai', consistent with *Taisu*. The character 'luo' is written as 'luo' [fall/loose] in *Suwen*. The phrase 'Fu Sheng Chang Qi Zhui Tie Luo' [For generating long Qi hammering iron filings] in *Suwen* and *Jiayi Jing* is written as 'Fu Sheng Tie Luo Zhe' [As for Raw Iron Filings]. Furthermore, the five characters 'Sheng Chang Qi Zhui Tie' are difficult to interpret and must contain errors; since the original copy reads thus, it is retained.)