黄帝问曰∶人有重身,九月而喑,此为何也?岐伯对曰∶胞之络脉绝也。帝曰∶何以言之?岐伯曰∶胞
络者系于肾,少阴之脉,贯肾系舌本,故不能言。帝曰∶治之奈何?岐伯曰∶无治也,当十月复。《刺法》
曰∶无损不足,益有余,以成其疹,然后调之。所谓无损不足者,身羸瘦,无用 石
也。无益其有余者,腹中有形而泄之,泄之则精出而病独擅中,故曰疹成也。帝曰∶病胁下满气逆,二三岁
不已,是为何病?岐伯曰∶病名曰息积,此不妨于食,不可灸刺,积为导引服药,药不能独治也。帝曰∶人有
身体髀股 皆肿,环脐而痛,是为何病?岐伯曰∶病名曰伏梁,此风根也。其气溢于大肠而着于肓,肓之原在
脐下,故环脐而痛也。不可动之,动之为水溺涩之病也。帝曰∶人有尺脉数甚,筋急
而见,此为何病?岐伯曰∶此所谓疹筋,是人腹必急,白色黑色见,则病甚。帝曰∶人有病头痛以数岁不
已,此安得之,名为何病?岐伯曰∶当有所犯大寒,内至骨髓,髓者以脑为主,脑逆故令头痛,齿亦痛,病
名曰厥逆。帝曰∶善。
帝曰∶有病口甘者,病名为何?何以得之?岐伯曰∶此五气之溢也,名曰脾瘅。夫五味入口,藏于胃,脾
为之行其精气,津液在脾,故令人口甘也,此肥美之所发也,此人必数食甘美而多肥也,肥者令人内热,甘者
令人中满,故其气上溢,转为消
渴。治之以兰,除陈气也。帝曰∶有病口苦,取阳陵泉,口苦者病名为何?何以得之?岐伯曰∶病名曰胆瘅。
夫肝者,中之将也,取决于胆,咽为之使。此人者,数谋虑不决,故胆虚气上溢而口为之苦,治之以胆募俞,
治在《阴阳十二官相使》中。帝曰∶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。太阴脉微细如发
者,此不足也。其病安在?名为何病?岐伯曰∶病在太阴,其盛在胃,颇在肺,病名曰厥,死不治,此所
谓得五有余二不足也。帝曰∶何谓五有余二不足?岐伯曰∶所谓五有余者,五病之气有余也,二不足者,
亦病气之不足也。今外得五有余,内得二不足,此其身不表不里,亦正死明矣。帝曰∶人生而有病颠疾者,病
名曰何?安所得之?岐伯曰∶病名为胎病,此得之在母腹中时,其母有所大惊,气上而不下,精气并居,故
令子发为颠疾也。帝曰∶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
为何病?岐伯曰∶病生在肾,名为肾风。肾风而不能食善惊,惊已心气痿者死。帝曰∶善。
黄帝问道:有人怀胎九月,声音嘶哑不能说话,这是什么原因?岐伯回答说:这是胞宫的络脉阻滞不通所致。黄帝问:为什么这样说?岐伯说:胞宫的络脉系连于肾,足少阴肾经贯穿肾脏并联系舌根,所以导致不能言语。黄帝问:如何治疗?岐伯说:不需要治疗,等到第十个月分娩后自然恢复。《刺法》说:不要损伤正气不足的人,也不要补益邪气有余的人,否则会加重病情形成疹病(此处指因误治而形成的严重病症),然后再进行调理。所谓不损伤正气不足的人,是指身体消瘦虚弱的人,不要用砭石等峻烈疗法。不补益邪气有余的人,是指腹中有形积块而用泻法,泻之则精气外泄而病邪独留于体内,所以说会形成疹病。
黄帝问:有人胁下胀满,气机上逆,两三年不好,这是什么病?岐伯说:这种病名叫息积,此病不影响饮食,不可用灸法和针刺治疗,积滞需要通过导引术配合服药来治疗,单靠药物不能单独治愈。
黄帝问:有人身体大腿和小腿都肿胀,环绕肚脐疼痛,这是什么病?岐伯说:这种病名叫伏梁,这是风邪留下的病根。邪气溢于大肠并附着于肓膜,肓膜的根源在脐下,所以环绕肚脐疼痛。不可轻易触动它,触动它就会造成小便涩滞的病症。
黄帝问:有人尺部脉搏跳动非常快,筋脉拘急且显现出来,这是什么病?岐伯说:这叫做疹筋,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。
黄帝问:有人患头痛,持续数年不愈,这是怎么得的?叫什么病?岐伯说:应当是遭受了大寒之气,寒气深入骨髓,骨髓以脑为主,脑气上逆所以导致头痛,牙齿也痛,这种病名叫厥逆。
黄帝说:好。
黄帝问:有人口甜,这叫什么病?是怎么得的?岐伯说:这是五脏之气外溢,名叫脾瘅。各种味道进入口中,储藏于胃,脾为胃输送精气,津液停留在脾,所以使人感到口甜,这是由于吃了过多肥甘厚味引起的,这种人一定经常食用甘甜美味且多油脂的食物。肥腻的食物使人产生内热,甘甜的食物使人中焦痞满,所以脾气上溢,进而转化为消渴病。治疗用兰草,以去除陈久的郁热之气。
黄帝问:有人口苦,取阳陵泉穴治疗,口苦叫什么病?是怎么得的?岐伯说:这种病名叫胆瘅。肝是将军之官,取决于胆的决断,咽喉是胆气通行的通道。这种人常常谋虑不决,导致胆气虚弱,气机上溢而口苦,治疗应选取胆的募穴和俞穴,具体治法在《阴阳十二官相使》篇中论述。
黄帝问:有人小便不利,一天几十次排尿,这是正气不足的表现。身体发热像炭火一样,颈部和胸膺部感觉格拒不通,人迎脉躁动盛大,喘息气逆,这是邪气有余的表现。太阴脉微细如发丝,这是正气不足的表现。病在哪里?叫什么病?岐伯说:病在太阴,盛实在胃,波及于肺,这种病名叫厥,属于死证,难以治愈,这就是所说的五有余二不足。
黄帝问:什么叫五有余二不足?岐伯说:所谓五有余,是指五种病气有余;二不足,也是指病气的不足。现在外面表现出五有余,里面表现出二不足,这种人身处表里之间,也是明显的死证。
黄帝问:人生下来就患有癫疾的,叫什么病?是怎么得的?岐伯说:这种病名叫胎病,这是在母腹中时获得的,当时母亲受到大惊吓,气机上逆而不能下行,精气并聚,所以导致孩子出生后发生癫疾。
黄帝问:有人腹胀隆起好像有水状,切其脉象大而紧,身体没有疼痛,形体不消瘦,但不能进食,吃得很少,叫什么病?岐伯说:这种病生在肾,名叫肾风。肾风病患者如果不能进食且容易惊恐,惊恐之后心气衰败的就会死亡。
黄帝说:好。
Huangdi asked: "There is a person who is pregnant for nine months and becomes aphonic (aphonia, loss of voice). What is the cause of this?" Qibo replied: "The collateral vessels of the uterus (Baogong) are obstructed." The Emperor asked: "Why do you say so?" Qibo said: "The collateral vessels of the uterus are connected to the Kidney. The Shaoyin (Lesser Yin) meridian passes through the Kidney and connects to the root of the tongue; therefore, speech is impaired." The Emperor asked: "How should it be treated?" Qibo said: "No treatment is needed; it will recover naturally in the tenth month." The *Stimulation Method* (Cifa) states: "Do not damage what is deficient, nor tonify what is excessive, lest you create a severe disease (Zhen), and then proceed with regulation." By 'do not damage what is deficient,' it means that for a person who is emaciated and weak, one should not use Bian stones (sharp stone tools for surgery/therapy). By 'do not tonify what is excessive,' it means that if there is a palpable mass in the abdomen and purgation is used, purging will cause the essence to leak out while the pathogen remains dominant in the interior; thus, it is said that a severe disease (Zhen) is formed.
Huangdi asked: "A person has fullness under the hypochondrium and rebellious Qi, lasting for two or three years without resolution. What disease is this?" Qibo said: "This disease is named Xiji (Breathing Accumulation). It does not interfere with eating. Moxibustion and acupuncture are contraindicated. Accumulations require Daoyin (guided breathing and movement exercises) combined with herbal medicine; herbs alone cannot cure it independently."
Huangdi asked: "A person has swelling in the thighs and calves, and pain circling the navel. What disease is this?" Qibo said: "This disease is named Fuliang (Hidden Liang Beam). This is rooted in Wind pathogens. The pathogenic Qi overflows into the Large Intestine and adheres to the Huang (Ming/Meng) membrane. The source of the Huang is below the navel; therefore, there is pain circling the navel. Do not manipulate it aggressively; manipulation will lead to difficulty in urination (strangury)."
Huangdi asked: "A person has a very rapid pulse at the Chi position, with spasmodic tendons visible. What disease is this?" Qibo said: "This is called Zhenjin (Spasmodic Tendons). Such a person must have abdominal tightness. If white or black color appears on the face, the disease is severe."
Huangdi asked: "A person suffers from headache that persists for several years without cessation. How did they acquire it? What is the name of this disease?" Qibo said: "It should be due to exposure to severe Cold, which penetrated inward to the Marrow. Since the Brain is the master of the Marrow, the rebellious Qi of the Brain causes headache, and the teeth also hurt. This disease is named Nue Ni (Rebellious Reversal)."
The Emperor said: "Excellent."
Huangdi asked: "There is a person with a sweet taste in the mouth. What is the name of this disease? How was it acquired?" Qibo said: "This is the overflow of the Qi of the Five Zang organs, named Pi Dan (Spleen Heat/Dysfunction). When flavors enter the mouth, they are stored in the Stomach, and the Spleen transports their essence. If fluids remain in the Spleen, it causes a sweet taste in the mouth. This arises from rich and fatty foods. Such people must frequently eat sweet, delicious, and fatty foods. Fatty foods generate internal heat, and sweet foods cause fullness in the middle Jiao. Therefore, the Qi overflows upward, transforming into Xiao Ke (Wasting and Thirsting syndrome). Treatment uses Lantcao (Orchid stem/Acorus), to eliminate stale and accumulated heat."
Huangdi asked: "There is a person with a bitter taste in the mouth. Acupoint Yanglingquan is selected for treatment. What is the name of this disease? How was it acquired?" Qibo said: "This disease is named Dan Dan (Gallbladder Heat/Dysfunction). The Liver is the General, whose decisions depend on the Gallbladder. The pharynx serves as its conduit. Such people often deliberate but cannot decide, leading to Gallbladder deficiency and rebellious Qi overflowing, causing bitterness in the mouth. Treatment involves the Front-Mu and Back-Shu points of the Gallbladder. The treatment details are found in the chapter *Yin Yang Twelve Officials Mutual Assistance*."
Huangdi asked: "There is a person with Lin (Strangury/Difficulty in urination), urinating dozens of times a day. This indicates Deficiency. The body is hot like a charcoal fire, the neck and chest feel blocked/rejected, the Renying (Carotid artery) pulse is restless and vigorous, and there is wheezing and rebellious Qi. This indicates Excess. The Taiyin pulse is fine as a hair, indicating Deficiency. Where is the disease located? What is its name?" Qibo said: "The disease is in the Taiyin, the excess is in the Stomach, and it significantly affects the Lung. This disease is named Nue (Rebellious Reversal). It is a fatal condition and untreatable. This is what is referred to as 'Five Excesses and Two Deficiencies.'"
Huangdi asked: "What are the Five Excesses and Two Deficiencies?" Qibo said: "The so-called Five Excesses refer to the excess of five pathogenic Qi factors. The two deficiencies also refer to the deficiency of pathogenic Qi. Now, externally there are five excesses, and internally there are two deficiencies. This person is neither purely exterior nor purely interior, which clearly indicates death."
Huangdi asked: "There are people born with Dianji (Epilepsy/Mental disorder). What is the name of this disease? How was it acquired?" Qibo said: "This disease is named Taibing (Fetal Disease). It is acquired during fetal development in the womb. At that time, the mother suffered a great fright. The Qi rushed upward and did not descend, and the essence and Qi co-resided, causing the child to develop Dianji after birth."
Huangdi asked: "There is a person with abdominal distension resembling water retention. Their pulse is large and tight. The body has no pain, the form is not emaciated, but they cannot eat and eat little. What is the name of this disease?" Qibo said: "The disease originates in the Kidney and is named Feng (Wind) affecting the Kidney (Shen Feng). In Shen Feng, if the patient cannot eat and is prone to fright, and after fright the Heart Qi withers, death ensues."
The Emperor said: "Excellent."