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終始第九 <neijing>

已有 923 次阅读2014-7-10 10:37 |个人分类:中医

Zhong Shi

      If you want understand acupuncture theory, you must understand the content of "Zhong Shi" chapter. To understand the meaning of "Zhong Shi", must know the five Zang rules, and then clear the relationship of Yin Yang meridians. Hand and foot three yin meridians control five Zang, hand and foot three yang meridians control six Fu, Yang control external, receive Qi from limbs; Yin control internal, receive Qi from five Zang. So during sedate way, should counter the meridian Qi's direction to turn the needle. During tonify way, should follow the meridian Qi's direction to turn the needle, control the tonify and sedate, counter and follow ways to balance harmony Yin Qi and Yang Qi. But to harmony Qi and blood, must know the  yin and yang rules, five Zang are yin, six Fu are yang, and transfer these theory to next generation. The later generation people must study this theory seriously carefully, and swear never rebel this theory, only on this way can develop the acupuncture theory, if treat this theory lightly, without pay attention, the acupuncture theory will lost and end, if you don't follow the acupuncture theory to do acupuncture, and be opinionated, you will have trouble and fail, lead to disaster consequence.        Based on sky and earth yin yang energy law to talk about Zhong Shi. About Zhong Shi, the meridian is outline. The doctor check the pulse of Lu8 and St9, will know the body yin and yang Qi excess or deficiency, the pulse is normal or not normal, and the body yin yang energy coordinate to sky and earth energy law will show in here. The normal people without sick, the pulse of Lu8 and St9 will coordinate with seasons energy changing, come and go will harmony with the yin yang energy, the six meridian pulse without hesitant. Five Zang and limbs cold and warm will balanced, body Qi and blood, body shape and muscles are coordinated as one, this is normal people without sick.         If a patient is Qi deficiency, his/her Lu8 and St9 will very weak, and both hands pulse are imbalance. This is yin and yang both deficiency syndrome, if the doctor tonify yang, the yin energy will dry, if the doctor sedate yin, the yang energy will run out. For this condition, only use sweet herb to tonify his/her energy to slowly cure the disease, if can not cure, should use herb formula to the treatment and cure it. But should not use moxa to dry the yin energy, and should not do fast treatment use sedate ways. If use sedate way, the five Zang Jing Qi will be damaged.          If the St9 pulse one times power more than Lu8 pulse, the sick is in foot Shao Yang meridian; if the patient St9 pulse one times power more than Lu8 pulse with restless and rashness, the sick is in hand Shao Yang meridian; if St9 pulse two times power more than Lu8 pulse, the sick is in foot Tai Yang meridian; if the patient St9 pulse two times power more than Lu8 pulse with restless and rashness, the sick is in hand Tai Yang meridian; if the St9 pulse three times power more than Lu8 pulse, the sick is in foot Yang Ming meridian; if the patient St9 pulse three times power more than Lu8 pulse with restless and rashness, the sick is in hand Yang Ming meridian; if the St9 pulse 4 times power more than Lu8 and the pulse is very rapid, this is six yang meridian Qi very excess,  and lead to six Fu yang Qi excess too, called Yi Yang, because yang Qi very excess, obstruct the Yin energy can not go out, yin and yang can not communicate, so it called "Wai Ge".           If the patient pulse of Lu8 one times power bigger than St9, the sick is in foot Jue Yin meridian; if the patient pulse of Lu8 one times power bigger than St9 with restless and rashness, the sick is in hand Jue Yin meridian; if the patient Lu8 pulse power two times bigger than St9 pulse, the sick is in foot Shao Yin meridian; if the patient pulse of Lu8 power two times bigger than St9 with restless and rashness, the sick is in hand Shao Yin meridian; if the patient pulse Lu8 power three times bigger than St9, the sick is in foot Tai Yin meridian; if the patient pulse Lu8 power three times bigger than St9 with restless and rashness, the sick is in hand Tai Yin meridian; if the patient pulse Lu8 power four times bigger than St9 with rapid, this is six Yin meridian Qi very excess, lead to five Zang Yin Qi excess, called Yi Yin. Yi Yin means Yin Qi excess inside and can not communicate with Yang Qi, also called internal close, internal close is yin and yang, external and internal separate each other, means dead pattern. If the St9 and Lu8 pulse power both bigger four times than normal time, this is yin and yang both excess, also yin and yang both refuse each other, called Guan Ge, means yin and yang no connect each other, the patient will dead soon.         If the patient St9 pulse power one times bigger than Lu8, should sedate foot Shao Yang meridian Qi and tonify the foot Jue Yin meridian Qi, two points sedate on yang meridian, one point tonify on yin meridian, one times treatment daily, during the treatment, the doctor must check the St9 and Lu8 pulse condition, if restless and rashness, should needling the hand Shao Yao meridian and hand Jue Yin meridian, until harmony the pulse Qi. If the patient St9 pulse power two times bigger than Lu8, should sedate the foot Tai Yang meridian Qi and tonify foot Shao Yin meridian Qi, two points sedate on yang meridian, one point tonify on yin meridian, one times treatment every two days, during treatment the doctor should check the patient's St9 and Lu8 pulse, if restless and rashness, should needling hand Tai Yang meridian and hand Shao Yin meridian, until the pulse Qi harmony. If the St9 pulse power 3 times bigger than Lu8, should sedate the foot Yang Ming meridian Qi and tonify foot Tai Yin meridian Qi, two points sedate on yang meridian, one point tonify on yin meridian, two times treatment daily, during the treatment, the doctor should check the St9 and Lu8 pulse, if restless and rashness, should needling hand Yang Ming meridian and hand Tai Yin meridian, until pulse Qi harmony.            If the patient pulse Lu8 power one times bigger than St9, should sedate foot Jue Yin meridian Qi and tonify foot Shao Yang meridian Qi, two points tonify on yang meridian, one point sedate on yin meridian, one times treatment daily, during the treatment, doctor must check the St9 and Lu8 pulse condition, if restless and rashness, should needling hand Jue Yin meridian and hand Shao Yang meridian, until the pulse Qi harmony. If the patient pulse Lu8 power two times bigger than St9, should sedate foot Shao Yin meridian Qi and tonify foot Tai Yang meridian Qi, two points tonify on yang meridian, one point sedate on yin meridian, one times treatment every two days, during the treatment, doctor must check St9 and Lu8 pulse condition, if restless and rashness, should needling the hand Shao Yin meridian and hand Tai Yang meridian, until the pulse Qi harmony. If the patient pulse Lu8 power three times bigger than St9, should sedate foot Tai Yin meridian Qi and tonify foot Yang Ming meridian Qi, two points tonify on yang meridian, one point sedate on yin meridian, two times treatment daily, during the treatment, doctor should check the St9 and Lu8 pulse condition, if restless and rashness, should needling the hand Tai Yin meridian and hand Yang Ming meridian, until the pulse Qi harmony, why two times treatment daily? because Tai Yin control spleen stomach, stomach rich in Qi and blood, so it can treat two times daily. If the Lu8 and St9 pulse both 3 times power bigger than normal time, this is yin and yang both very excess condition, called Yin Yang both excess, this illness is because external yang close and internal yin close lead to Qi and blood channels obstruct and not go smoothly, body energy closed inside, and hurt five Zang, if mistake use moxa to treat it, must cause yin Qi run out, and the condition will be changed to other illness.          The acupuncture treatment goal is to harmony yin and yang Qi. Tonify yin sedate yang goal is to tonify five Zang deficiency Qi and sedate the sick Qi which is attacking the five Zang, So, use this way can harmony yin and yang, and make body health Qi sufficient, also patient speak vice will clear, ear and eyes smart clear. If mistake opposite way to do the treatment, sedate body Qi to outside, tonify sick Qi to inside, it will cause Qi and blood not pass smoothly. Treat the excess pattern should use sedate way will make the excess condition turn to deficiency condition, this deficiency pulse condition even same as original excess pulse, but it become soft without power, this means the illness treatment get affection; if already sedate the excess condition, but the pulse condition still hard and powerful, even the patient mention feel little better, but it means the illness still not get away. Treat the deficiency should use tonify way, the condition will from deficiency turn to excess condition, this excess condition pulse even same as original deficiency pulse, but it will more hard and powerful; if after needling, the pulse same as original pulse, but soft without power, even the patient mention little better, it means the illness still not get away. So the doctor should correct use tonify and sedate way to do acupuncture, to tonify body health Qi sufficient and sedate sick Qi away, the illness pain even can not be cure at once, but the illness must relieve away. So doctor must understand and clear the twelve meridians theory and illness pathology, and then will know the deep meaning of Zhong Shi chapter. So, yin meridians and yang meridians are certainly located on human body,  and Doctor should not mistake use the sedate and tonify way to do acupuncture treatment, also should pay attention to choice the points by meridians to treat the meridian illness.  For acupuncture treatment, the needling ways should from shallow to deep such as skin to muscle and to deeper muscle three step ways, during needling, wait to food Qi come is De Qi feeling, only De Qi can get the treatment affection. Because sick Qi attack to meridian mixed with body Qi, disturb the yin and yang Qi locations, cause Qi and blood opposite move direction, pulses depth locations also out of order, pulse condition not coordinate with season changing condition, the sick Qi flow everywhere inside the body, above six pattern conditions all can be treated by acupuncture. During needling treatment, first needling skin level, it can lead yang level sick Qi come out of body, second needling to muscle level, it can lead yin level sick Qi come out of body, third needling deeper muscle level, wait till De Qi feeling, this means the food Qi is coming, then can pull out needle. About food Qi coming means in above treatment, if use tonify ways, the body Qi sufficient and pulse become forceful, if use sedate ways, the sick Qi be disperse away, the pulse become peaceful, the pain even not relieve by the needling, but the illness must be disperse away.        If the patient yin meridian Qi more excess than yang meridian Qi, and yang meridian Qi more deficiency than yin meridian Qi, doctor should first tonify yang meridian Qi, and then sedate yin meridian Qi to harmony yin and yang meridian Qi. If the patient yin meridian Qi more deficiency than yang meridian Qi, and yang meridian Qi more excess than yin meridian Qi, doctor should first tonfiy yin meridian Qi, and then sedate the yang meridian Qi to harmony yin and yang meridian Qi.          Foot Yang Ming, Jue Yin and Shao Yin three meridians' pulse are between the big toe and second toe. During needling, must check the pulse excess or deficiency conditions to decide the tonify or sedate treatment way. If deficiency condition mistake use sedate treatment way, will cause the body Qi more deficiency, this called double deficiency, double deficiency will cause the condition more serious. To needling these conditions, must use finger feel the pulse, if pulse hard and rapid, this is excess pattern, should sedate the excess sick Qi immediately. If pulse is weak and slow, this is deficiency pattern, should tonify body Qi, if mistake use opposite way to do treatment, will make the illness more serious. The three pulses location are: foot Yang Ming at St42 area, foot Jue Yin at Lv2,3 area, foot Shao Yin at Kd1 area.          The chest points are for yin meridians illness on the chest; the back points are for yang meridian illness on the back; the shoulder and arm stiffness illness is deficiency pattern, should tonify the local and ashi points; the tongue swelling illness, should use pi Zhen to sedate the stasis blood of the blood vessel under the tongue; if the hand fingers only bend can not straight, this is tendon illness, should treat tendon; if the hand fingers only straight can not bend, this is bone illness, should treat bone.           During use tonify or sedate way to needling, must based on the pulse deficiency or excess condition to decide the needling way, if the pulse is forceful, should deep needling, should not press the needle hole after pull out the needle, for let the sick Qi all come out. If the pulse is soft and weak, should shallow needling, to protect the meridian Qi, and should press the needle hole after pull out the needle, to avoid exterior sick Qi attack in the body. During needling, if sick Qi attack in, there is hard and tight feeling under the needle; if the food Qi come, there is peaceful and soft feeling under the needle. If the pulse excess, the sick Qi is also excess, should deep needling, to sedate out the sick Qi; if the pulse deficiency, the body Qi also deficiency, should shallow needling, to protect the Jing Qi not let come out, and tonify the meridian Qi, only let the sick Qi come out. For needling the pain illnesses, mostly use sedate way, because the pain illnesses pulse usually are excess and forceful.           If the sick Qi above the waist, should needling the hand Tai Yin and hand Yang Ming meridians points; if the sick Qi below the waist, should needling the foot Tai Yin and foot Yang Ming meridians points; if sick Qi on above part of body, should needling the relate meridian points on lower part of body; if sick Qi on lower part of body, should needling the relate meridian points on upper part of body; if sick Qi on head, should needling the relate meridians points on feet; if sick Qi on lower back, should needling the popliteal points; sick Qi on head, head feel heavy; sick Qi on arm, arm feel heavy; sick Qi on feet, feet feel heavy. Acupuncture treatment must treat the sick root location first.          During spring season the sick Qi stay in hair level, during summer season the sick Qi stay in skin level, during fall season the sick Qi stay in muscle level, during winter season the sick Qi stay in tendon and bone level, so acupuncture should follow the seasons to needling different level depth on the body. Needling fat patient should use fall and winter season deep level. Needling the skinny patient should use spring and summer season the shallow level.  Patient has pain illness is yin pattern, if use hand press it and can not reach the pain location, this is yin pattern, should deep needling. Patient feel itch, this is yang pattern, should shallow needling. Sick Qi on upper part of body is yang pattern, sick Qi on lower part body is yin pattern.         The sick come from yin meridian, should needling yin meridian points first, and then needling yang meridian points; the sick come from yang meridian, should needling yang meridian points first, and then needling yin meridian points. Needling the heat extremity illness, should retaining needle until the patient feel cool feeling under the needle. Needling the cold extremity illness, should retaining the needle until the patient feel hot feeling under the needle. Needling heat extremity illness should tonify needling yin meridian two times, sedate needling yang meridian one times. Needling cold extremity illness should tonify needling yang meridian two times, sedate needling yin meridian meridian one times. "Two yin" means needling yin meridian two times, "one yang" means needling yang meridian one times. If it is a long time illness, the sick Qi must deep inside body, should deep needling body locations and long time retaining needles, also need one times treatment every two days, till the illness be cured. Before the acupuncture treatment, doctor must check the meridians condition, if the sick Qi on the Jing meridian, should directly needling the Jing meridian, if the sick Qi on the Luo meridian, should contralateral collateral needling the Luo meridian, left side sick, needling right side points, right side sick, needling left side points, if there is blood stasis, should sedate the blood out, familiar above principles, you will know the mainly acupuncture theory.           The principle of acupuncture, must diagnosis the patient's body strong or weak, yuan Qi excess or deficiency condition. If the patient body muscle not skinny, only the yuan Qi deficiency and pulse shows restless, this is Qi deficiency and pulse restless extremity illness,must use contralateral collateral needling way to do the treatment, which is sick on left side needling the right side, sick on right side needling the left side, to make the Jing Qi be gathered, and disperse away the sick Qi. During needling, the doctor should be very quiet and highly concentrate the patient's emotion condition, and be quiet focus on the needle without outside disturb, shallow needling and retaining needle, or slightly needling to lead the patient's attention, until de Qi. After needling, the yang Qi can go inside, yin Qi can come outside, yin Qi and yang Qi can communicate and coordinate each other, to make body Qi be sufficient and be protected, sick Qi can not go inside, this is the meaning of de Qi.          Acupuncture treatment must have below contraindication: just have sex life should not needling, just have needling should not have sex life; just drunk should not have needling, just have needling should not drunk; just angry should not needling, just needling should not angry; just feel tired should not needling, just needling should not be tired; just eaten full of food should not needling, just needling should not eat too much food; Hungry should not needling, just needling should not be hungry; feel very thirsty should not needling, just needling should not be thirsty; Scared person should calm down Shen to needling. Vehicle patient come to needling should lie down have a rest after a lunch time, and then can needling. Walking patient come to needling should sit down have a rest after 5 miles walking time, and then can needling. The above 12 kind of contraindication for acupuncture is because of meridian Qi upset, ying Qi and wei Qi not harmony, meridian Qi not go in order, so can not needling, if the doctor ignore these conditions, and careless to do the acupuncture, lead the yang sick Qi go inside body, yin sick Qi go surface body, cause body exterior and interior both sick, sick Qi become excess, body Qi become deficiency, careless doctor ignore these conditions, careless do acupuncture, this is damage patient's body, cause patient whole body sore and pain without power, run out brain marrow energy, Jing liquid can not be built, lost Shen Qi which is supported by food five tastes nutrition energy, this is called shi Qi.          If the patient's foot and hand Tai Yang meridians Qi run out,  the patient's eyes will look up can not turn, cramp on spine muscle and cramp on feet and hands, face color pale white, skin condition very bad and sweating like pearls on body without flow, this called death sweating, if the death sweat come out, the person will die. If patient's foot and hand Shao Yang meridians Qi run out, the patient will deaf, whole body joints bones stiff weak without power, eyes area meridians Qi run out, eye balls can not turn etc. syndromes. If the patient eyes area meridians Qi run out, patient will die in one and half day, during death, face color is blue white. If the patient's foot and hand Yang Ming meridians Qi run out, the patient will cramp on mouth and eyes, scared, rave, face color is yellow and foot hand Yang Ming meridians' pulse restless etc. syndromes, because meridian Qi not flow, the patient will die.           If the patient's foot and hand Shao Yin meridians Qi run out, patient's face color will be black, teeth roots shrink looks like the teeth become longer and teeth are very dirty with filth, patient's abdomen will swell big, body Qi move function be closed and blocked, Qi can not go up and down movement etc., so patient will die. If the patient's foot and hand Jue Yin meridians Qi run out, the patient will heat inside chest, thirsty throat, frequently urination, anxiety by heart and even tongue rolled with genital shrink up etc. and die. If patient foot and hand Tai Yin meridians Qi run out, patient will abdomen swelling Qi function closed, breath difficulty, belching and vomit, vomit and Qi go reverse flow way, Qi reversed the face become red, if Qi not go reversed then Qi will be blocked can not go up and down, Qi not go up and down the face color will become black, hair and skin will haggard and black etc. and then die.  

                               終始第九                      

凡刺之道,畢于終始。明知終始,五藏爲紀,陰陽定矣。陰者主藏,陽者主府。陽受氣于四末,陰受氣于五藏。故瀉者迎之,補者随之,知迎知随,氣可令和。和氣之方,必通陰陽,五藏爲陰,六府爲陽。傳之後世,以血爲盟。敬之者昌,慢之者亡。無道行私,必得夭殃。謹奉天道,請言終始。終始者,經脈爲紀,持其脈口、人迎,以知陰陽有餘不足,平與不平,天道畢矣。所謂平人者,不病。不病者,脈口、人迎應四時也,上下相應而俱往來也,六經之脈不結動也,本末之寒溫之相守司也,形肉血氣必相稱也,是謂平人。少氣者,脈口、人迎俱少而不稱尺寸也。如是者,則陰陽俱不足,補陽則陰竭,瀉陰則陽脫。如是者,可将以甘藥,不可飲以至劑。如此者,弗灸。不已者,因而瀉之,則五藏氣壞矣。

       人迎一盛,病在足少陽;一盛而躁,病在手少陽。人迎二盛,病在足太陽;二盛而躁,病在手太陽。人迎三盛,病在足陽明;三盛而躁,病在手陽明。人迎四盛,且大且數,名曰溢陽,溢陽爲外格。脈口一盛,病在足厥陰;厥陰一盛而躁,在手心主。脈口二盛,病在足少陰;二盛而躁,在手少陰。脈口三盛,病在足太陰;三盛而躁,在手太陰。脈口四盛,且大且數者,名曰溢陰,溢陰爲内關。内關不通,死不治。人迎與太陰脈口俱盛四倍以上,命名關格。關槍者,與之短期。人迎一盛,瀉足少陽而補足厥陽,二瀉一補,日一取之,必切而驗之,疏取之上,氣和乃止。人迎二盛,瀉足太陽,補足少陰,二瀉一補,二日一取之,必切而驗之,疏取之上,氣和乃止。人迎三盛,瀉足陽明而補足太陰,二瀉一補,日二取之,必切而驗之,疏取之上,氣和乃止。脈口一盛,瀉足厥陰而補足少陽,二補一瀉,日一取之,必切而驗之,疏而取上,氣和乃止。脈口二盛,瀉足少陰而補足太陽,二補一瀉,二日一取之,必切而驗之,疏取之上,氣和乃止。脈口三盛,瀉足太陰而補足陽明,二補一瀉,日二取之,必切而驗之,疏而取之上,氣和乃止。所以日二取之者,太陽主胃,大富于谷氣,故可日二取之也。人迎與脈口俱盛三倍以上,命日陰陽俱溢,如是者不開,則血脈閉塞,氣無所行,流淫于中,五藏内傷。如此者,因而灸之,則變易而爲他病矣。

       凡刺之道,氣調而止。補陰瀉陽,音氣益彰,耳目聰明。反此者,血氣不行。所謂氣至而有效者,瀉則益虛,虛者,脈大如其故而不堅也。堅如其故者,适雖言故,病未去也。補則益實,實者,脈大如其故而益堅也。夫如其故而不堅者,适雖言快,病未去也。故補則實,瀉則虛。痛雖不随針,病必衰去。必先通十二經脈之所生病,而後可得傳于終始矣。故陰陽不相移,虛實不相傾,取之其經。

       凡刺之屬,三刺至谷氣。邪僻妄合,陰陽易居,逆順相反,沉浮異處,四時不得,稽留淫泆,須針而去。故一刺則陽邪出,再刺則陰邪出,三刺則谷氣至,谷氣至而止。所謂谷氣至者,已補而實,已瀉而虛,故以知谷氣至也。邪氣獨去者,陰與陽未能調,而病知愈也。故曰:補則實,瀉則虛,痛雖不随針,病必衰去矣。

       陰盛而陽虛,先補其陽,後瀉其陰而和之;陰虛而陽盛,先補其陰,後瀉其陽而和之。三脈動于足大指之間,必審其實虛。虛而瀉之,是謂重虛,重虛病益甚。凡刺此者,以指按之,脈動而實且疾者,疾瀉之,虛而徐者,則補之,反此者病益甚。其動也,陽明在上,厥陰在中,少陰在下。膺腧中膺,背腧中背。肩膊虛者,取之上。重舌,刺舌柱以铍針也。手屈而不伸者,其病在筋;伸而不屈者,其病在骨。在骨守骨,在筋守筋。

       補須一方實,深取之,稀按其痏,以極出其邪氣;一方虛,淺刺之,以養其脈,疾按其痏,無使邪氣得入。邪氣來也緊而疾,谷氣來也徐而和。脈實者,深刺之,以洩其氣;脈虛者,淺刺之,使精氣無得出,以養其脈,獨出其邪氣。刺諸痛者,其脈皆實。故曰:從腰以上者,手太陰、陽明皆主之;從腰以下者,足太陰、陽明皆主之。病在上者,下取之;病在下者,高取之;病在頭者,取之足;病在腰者,取之腘。病生于頭者,頭重;生于手者,臂重;生于足者,足重。治病者,先刺其病所從生者也。

       春氣在毛,夏氣在皮膚,秋氣在分肉,冬氣在筋骨。刺此病者,各以其時爲齊。故刺肥人者,以秋冬之齊;刺瘦人者,以春夏之齊。病痛者,陰也,痛而以手按之不得者,陰也,深刺之。病在上者,陽也;病在下者,陰也。癢者,陽也,淺刺之。病先起陰者,先治其陰而後治其陽;病先起陽者,先治其陽而後治其陰。刺熱厥者,留針反爲寒;刺寒厥者,留針反爲熱。刺熱厥者,二陰一陽;刺寒厥者,二陽一陰。所謂二陰者,二刺陰也;一陽者,一刺陽也。久病者,邪氣入深。刺此病者,深内而久留之,間日而複刺之。必先調其左右,去其血脈,刺道畢矣。

       凡刺之法,必察其形氣,形肉未脫,少氣而脈又躁,躁厥者,必爲缪刺之,散氣可收,聚氣可布。深居靜處,占神往來,閉戶塞牖,魂魄不散。專意一神,精氣之分,毋聞人聲,以收其精,必一其神,令志在針。淺而留之,微而浮之,以移其神,氣至乃休。男内女外,堅拒勿出,謹守勿内,是謂得氣。

       凡刺之禁:新内勿刺,新刺勿内;已醉勿刺,已刺勿醉;新怒勿刺,已刺勿怒;新勞勿刺,已刺勿勞;已飽勿刺,已刺勿飽;已饑勿刺,已刺勿饑;已渴勿刺,已刺勿渴。大驚大恐,必定其氣,乃刺之。乘車來者,卧而休之,如食頃乃刺之。出行來者,坐而休之,如行十裏頃乃刺之。凡此十二禁者,其脈亂氣散,逆其營衛,經氣不次,因而刺之,則陽病入于陰,陰病出爲陽,則邪氣複生。粗工勿察,是謂伐身,形體淫泆,乃消腦髓,津液不化,脫其五味,是謂失氣也。

       太陽之脈,其終也,戴眼,反折,瘛疭,其色白,絕皮乃絕汗,絕汗則終矣。少陽終者,耳聾,百節盡縱,目系絕,目系絕一日半則死矣。其死也,色青白乃死。陽明終者,口目動作,喜驚,妄言,色黃,其上下之經盛而不行則終矣。少陰終者,面黑,齒長而垢,腹脹閉塞,上下不通而終矣。厥陰終者,中熱,嗌幹,喜溺,心煩,甚則舌卷,卵上縮而終矣。太陰終者,腹脹閉,不得息,氣噫,善嘔,嘔則逆,逆則面赤,不逆則上下不通,上下不通則面黑,皮毛燋而終矣。



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