少陰之厥,則口乾溺赤,腹滿心痛。
少阴之厥,则口干溺赤,腹满心痛。
Shào yīn zhī jué, zé kǒu gān niào chì, fù mǎn xīn tòng.
In inversion of lesser yin the mouth is dry and the urine red, the belly is full and the heart aches.
**「腹滿心痛」——**「心」讀 xīn、**本篇5見**;「痛」讀 tòng、**本篇6見**;**本篇「心痛」三見,此其一;下文「心痛引腹」「心痛引喉」並同此痛**;**惟引喉者為不治**。
刺肉無傷脉,脉傷則内動心,心動則夏病心痛。
刺肉无伤脉,脉伤则内动心,心动则夏病心痛。
Cì ròu wú shāng mài, mài shāng zé nèi dòng xīn, xīn dòng zé xià bìng xīn tòng.
When needling the flesh do not wound the vessel. If the vessel is wounded the heart is stirred within, and once the heart is stirred there is heart pain in summer.
「心動則夏病「心」讀 xīn「痛」讀 tòng」——**本篇「心痛」1見**;「心」讀 xīn、**本篇3見**;「夏」讀 xià、**本篇1見**;「脉」讀 mài、**本篇4見**;**脉傷則内動心,心動則夏病心痛——本篇五傷中配夏者**。
歧伯曰:邪客於足少陰之絡,令人卒心痛,暴脹,胸脅支滿,無積者,刺然骨之前出血,如食頃而已。
歧伯曰:邪客于足少阴之络,令人卒心痛,暴胀,胸胁支满,无积者,刺然骨之前出血,如食顷而已。
Qí bó yuē: xié kè yú zú shào yīn zhī luò, lìng rén cù xīn tòng, bào zhàng, xiōng xié zhī mǎn, wú jī zhě, cì rán gǔ zhī qián chū xuè, rú shí qǐng ér yǐ.
When evil lodges in the network of the foot lesser yin it causes sudden heart pain, abrupt distension and a propping fullness of the chest and flanks. Where there is no accumulation, bleed the front of the projecting bone, and the patient is well within the time of a meal.
「邪客於足少陰之絡,令人卒心痛,暴脹,胸脅支滿」——**「心痛」本篇1見,在足少陰之絡一證中**:**卒心痛而暴脹、胸脅支滿;無積者刺然骨之前出血,如食頃而已**;**「無積者」謂腹中無有形之積,故可刺絡出血而立已**;**「卒」讀 cù,本篇「卒」2見,皆讀 cù**;**「心」讀 xīn、「痛」讀 tòng**
夫病傳者,心病,先心痛,一日而欬,三日脅支痛,五日閉塞不通,身痛體重,三日不已,死。冬夜半,夏日中。
夫病传者,心病,先心痛,一日而咳,三日胁支痛,五日闭塞不通,身痛体重,三日不已,死。冬夜半,夏日中。
Fú bìng chuán zhě, xīn bìng, xiān xīn tòng, yī rì ér kài, sān rì xié zhī tòng, wǔ rì bì sè bù tōng, shēn tòng tǐ zhòng, sān rì bù yǐ, sǐ. Dōng yè bàn, xià rì zhōng.
As for the transmission of illness: in illness of the heart there is first pain in the heart; after one day, coughing; after three days, propping pain in the flank; after five days, blockage and no passage; the body aches and feels heavy. Should it not abate after three days more, the person dies. In winter, at midnight; in summer, at midday.
「夫病傳者,心病,先心痛」——**本篇病傳之目凡七,心病為之首**;**「心痛」讀 xīn tòng,本篇1見**;**「心」讀 xīn,本篇3見**;**心病之傳:先心痛,一日而欬,三日脅支痛,五日閉塞不通,身痛體重,三日不已,死**
歲水太過,寒氣流行,邪害心火。民病身熱煩心,躁悸,陰厥,上下中寒,譫妄心痛。寒氣早至。上應辰星。甚則腹大脛腫,喘欬,寖汗出,憎風。大雨至,埃霧朦鬱,上應鎮星。上臨太陽,雨冰雪,霜不時降,濕氣變物。病反腹滿腸鳴,溏泄食不化,渴而妄冒。神門絶者,死不治,上應熒惑、辰星。
岁水太过,寒气流行,邪害心火。民病身热烦心,躁悸,阴厥,上下中寒,谵妄心痛。寒气早至。上应辰星。甚则腹大胫肿,喘欬,寖汗出,憎风。大雨至,埃雾朦郁,上应镇星。上临太阳,雨冰雪,霜不时降,湿气变物。病反腹满肠鸣,溏泄食不化,渴而妄冒。神门绝者,死不治,上应荧惑、辰星。
Suì shuǐ tài guò, hán qì liú xíng, xié hài xīn huǒ. Mín bìng shēn rè fán xīn, zào jì, yīn jué, shàng xià zhòng hán, zhān wàng xīn tòng. Hán qì zǎo zhì. Shàng yìng chén xīng. Shèn zé fù dà jìng zhǒng, chuǎn kài, qǐn hàn chū, zēng fēng. Dà yǔ zhì, āi wù méng yù, shàng yìng zhèn xīng. Shàng lín tài yáng, yǔ bīng xuě, shuāng bù shí jiàng, shī qì biàn wù. Bìng fǎn fù mǎn cháng míng, táng xiè shí bù huà, kě ér wàng mào. Shén mén jué zhě, sǐ bù zhì, shàng yìng yíng huò, chén xīng.
In a year of water in surplus, the qi of cold spreads and moves and the evil harms the fire of the heart. The people are ill with heat of the body and fretting of the heart, restlessness and palpitations, yin counterflow, cold struck through the upper and the lower, delirious speech and pain in the heart; the cold qi arrives early. It answers above to Mercury. If it is severe the abdomen is enlarged and the shins swell, there is panting and coughing, sweating in sleep and hatred of wind. Great rain comes, dust and mist are dim and pent; it answers above to Saturn. If greater yang presides above, there is rain, ice and snow, frost falls out of season, and the qi of dampness alters things. The illness turns to fullness of the abdomen and rumbling in the bowels, sloppy diarrhoea with food undigested, and thirst with a veiled and wandering mind. Where Shenmen is cut off there is death and no cure; it answers above to Mars and Mercury.
「民病身熱煩心,躁悸,陰厥,上下中寒,譫妄心痛。寒氣早至」——**「心痛」本篇3見:譫妄心痛、心痛暴喑、甚則心痛**;**本篇心痛三見皆寒氣勝火之候:歲水太過則寒氣邪害心火,歲火不及則寒乃大行,歲金不及則復氣寒雨暴至**;**「心」讀 xīn、「痛」讀 tòng**
上盛則氣高,下盛則氣脹,代則氣衰,細則氣少,濇則心痛,渾渾革至如涌泉,病進而色弊,緜緜其去如弦絶,死。
上盛则气高,下盛则气胀,代则气衰,细则气少,涩则心痛,浑浑革至如涌泉,病进而色弊,绵绵其去如弦绝,死。
shàng shèng zé qì gāo, xià shèng zé qì zhàng, dài zé qì shuāi, xì zé qì shǎo, sè zé xīn tòng, hún hún gé zhì rú yǒng quán, bìng jìn ér sè bì, mián mián qí qù rú xián jué, sǐ.
If the upper part is full, the qi rides high; if the lower part is full, the qi is distended. An intermittent pulse means the qi is failing; a thin pulse means the qi is scant; a rough pulse means pain in the heart. A pulse that comes turbulent and urgent like a gushing spring means the illness is advancing and the complexion is deteriorating; one that departs faint and faint, like a bowstring snapping, means death.
「濇則心痛」,脉濇則心痛。本篇脉之大法以濇為氣少,氣少而後心痛。
帝曰:願卒聞之。歧伯曰:少陽司天,火氣下臨,肺氣上從,白起金用,草木眚,火見燔爇,革金且耗,大暑以行,欬嚏鼽衄鼻窒曰瘍,寒熱胕腫。風行于地,塵沙飛揚。心痛胃脘痛,厥逆鬲不通,其主暴速。
帝曰:愿卒闻之。歧伯曰:少阳司天,火气下临,肺气上从,白起金用,草木眚,火见燔爇,革金且耗,大暑以行,咳嚏鼽衄鼻窒曰疡,寒热胕肿。风行于地,尘沙飞扬。心痛胃脘痛,厥逆鬲不通,其主暴速。
Dì yuē: yuàn cù wén zhī. Qí bó yuē: shào yáng sī tiān, huǒ qì xià lín, fèi qì shàng cóng, bái qǐ jīn yòng, cǎo mù shěng, huǒ xiàn fán ruò, gé jīn qiě hào, dà shǔ yǐ xíng, kài tì qiú nǜ bí zhì yuē yáng, hán rè fū zhǒng. Fēng xíng yú dì, chén shā fēi yáng. Xīn tòng wèi wǎn tòng, jué nì gé bù tōng, qí zhǔ bào sù.
Huang Di said: I wish to hear it all. Qi Bo said: when lesser yang governs the heaven the qi of fire descends upon it and the qi of the lung follows upward; white arises and metal comes into use; grass and trees suffer calamity; fire appears and blazes and burns, and metal is changed and consumed; great heat thereby moves. The illness is cough, sneezing, snivelling, nosebleed, blocked nose and sores, cold and heat and water swelling. Wind moves over the earth and dust and sand fly. The illness is pain in the heart, pain in the stomach duct, counterflow and obstruction of the diaphragm; its charge is suddenness and speed.
**「心痛」本篇3見:一在此段「心痛胃脘痛」,二在陽明司天「甚則心痛」,三在太陽司天「甚則心痛」**;**此段心痛與胃脘痛連言,次以「厥逆鬲不通」**