必且調之,乃治其他病。先病而後先中滿者治其標,先中滿而後煩心者治其本。
必且调之,乃治其他病。先病而后先中满者治其标,先中满而后烦心者治其本。
Bì qiě tiáo zhī, nǎi zhì qí tā bìng. Xiān bìng ér hòu xiān zhōng mǎn zhě zhì qí biāo, xiān zhōng mǎn ér hòu fán xīn zhě zhì qí běn.
One must first bring this into order, and only then treat the other illness. When illness comes first and fullness in the centre follows, treat the branch; when fullness in the centre comes first and vexation of the heart follows, treat the root.
**「中滿」本篇3見:第八段「先熱而後生中滿者治其標」,第九段「先病而後先中滿者治其標」與「先中滿而後煩心者治其本」**;**「中」讀 zhōng,本篇4見而一讀;「滿」讀 mǎn,本篇6見**;**本篇治其本者12見,治其標者5見,五見治標之中滿居其二**;**「煩心」讀 fán xīn,本篇1見**;**第九段「先病而後先中滿者治其標」之「先」字疑衍,通行本作「生」,用戶裁定照錄不改,已入校勘**
歲土太過,雨濕流行,腎水受邪。民病腹痛,清厥意不樂,體重煩冤。上應鎮星。甚則肌肉萎,足痿不收,行善瘈,腳下痛,飲發,中滿食減,四支不舉。變生得位,藏氣伏,化氣獨治之,泉涌河衍,涸澤生魚,風雨大至,土崩潰,鱗見于陸。病腹滿溏泄,腸鳴,反下甚而太谿絶者,死不治。上應歲星。
岁土太过,雨湿流行,肾水受邪。民病腹痛,清厥意不乐,体重烦冤。上应镇星。甚则肌肉萎,足痿不收,行善瘈,脚下痛,饮发,中满食减,四支不举。变生得位,藏气伏,化气独治之,泉涌河衍,涸泽生鱼,风雨大至,土崩溃,鳞见于陆。病腹满溏泄,肠鸣,反下甚而太溪绝者,死不治。上应岁星。
Suì tǔ tài guò, yǔ shī liú xíng, shèn shuǐ shòu xié. Mín bìng fù tòng, qīng jué yì bù lè, tǐ zhòng fán yuān. Shàng yìng zhèn xīng. Shèn zé jī ròu wěi, zú wěi bù shōu, xíng shàn chì, jiǎo xià tòng, yǐn fā, zhōng mǎn shí jiǎn, sì zhī bù jǔ. Biàn shēng dé wèi, zàng qì fú, huà qì dú zhì zhī, quán yǒng hé yǎn, hé zé shēng yú, fēng yǔ dà zhì, tǔ bēng kuì, lín xiàn yú lù. Bìng fù mǎn táng xiè, cháng míng, fǎn xià shèn ér tài xī jué zhě, sǐ bù zhì. Shàng yìng suì xīng.
In a year of earth in surplus, rain and dampness spread and move and the water of the kidney receives evil. The people are ill with pain in the abdomen, clear counterflow and a mind that takes no pleasure, a heavy body and freting oppression; it answers above to Saturn. If it is severe, the flesh wastes, the feet are limp and cannot be drawn up, walking brings twitching, there is pain under the foot, rheum breaks out, the centre is full and eating diminishes, and the four limbs cannot be lifted. Change arises when it holds its place: the qi of storage lies hidden and the qi of transformation governs alone, springs gush and rivers overflow, dried-up marshes bring forth fish, wind and rain arrive in force, the earth crumbles and collapses, and scaled creatures are seen on land. The illness is fullness of the abdomen, sloppy diarrhoea and rumbling in the bowels; if it turns worse below and Taixi is cut off, there is death and no cure; it answers above to Jupiter.
「飲發,中滿食減,四支不舉」——**「中滿」本篇1見,止此一見**;**本篇中滿與飲發、食減、四支不舉並見,是土濕太過而中焦不運**;**「中」此讀 zhōng;本篇「中」11見而二讀,惟「上下中寒」讀 zhòng**;**「中滿」讀 zhōng mǎn**
形不足者,温之以氣。精不足者,補之以味。其高者,因而越之。其下者,引而竭之;中滿者,冩之於内;其有邪者,漬形以爲汗;其在皮者,汗而發之;其慓悍者,按而收之;其實者,散而冩之。
形不足者,温之以气。精不足者,补之以味。其高者,因而越之。其下者,引而竭之;中满者,泻之于内;其有邪者,渍形以为汗;其在皮者,汗而发之;其慓悍者,按而收之;其实者,散而泻之。
xíng bù zú zhě, wēn zhī yǐ qì. jīng bù zú zhě, bǔ zhī yǐ wèi. qí gāo zhě, yīn ér yuè zhī. qí xià zhě, yǐn ér jié zhī; zhōng mǎn zhě, xiè zhī yú nèi; qí yǒu xié zhě, zì xíng yǐ wéi hàn; qí zài pí zhě, hàn ér fā zhī; qí piāo hàn zhě, àn ér shōu zhī; qí shí zhě, sàn ér xiè zhī.
For insufficiency of form, warm it with qi. For insufficiency of essence, supplement it with flavour. What is high, follow it and let it out above. What is low, draw it out and drain it. For fullness in the centre, drain it from within. Where there is evil, steep the body to produce sweat. Where it is in the skin, sweat it and vent it. Where it is fierce and violent, press it and contain it. Where it is replete, scatter it and drain it.
「中滿者,冩之於内」——中滿者當瀉之於内,與其高者越之、其下者竭之並列;**「中滿」本篇1見**
太陽司天,寒氣下臨,心氣上從,而火且明,丹起金乃眚,寒清時舉,勝則水冰,火氣高明。心熱煩,嗌乾善渴,鼽嚏,喜悲數欠。熱氣妄行,寒乃復,霜不時降,善忘,甚則心痛。土乃潤,水豐衍,寒客至,沈陰化,濕氣變物,水飲内蓄,中滿不食,皮𤸷肉苛,筋脉不利,甚則胕腫,身後癰。
太阳司天,寒气下临,心气上从,而火且明,丹起金乃眚,寒清时举,胜则水冰,火气高明。心热烦,嗌干善渴,鼽嚏,喜悲数欠。热气妄行,寒乃复,霜不时降,善忘,甚则心痛。土乃润,水丰衍,寒客至,沉阴化,湿气变物,水饮内蓄,中满不食,皮𤸷肉苛,筋脉不利,甚则胕肿,身后痈。
Tài yáng sī tiān, hán qì xià lín, xīn qì shàng cóng, ér huǒ qiě míng, dān qǐ jīn nǎi shěng, hán qīng shí jǔ, shèng zé shuǐ bīng, huǒ qì gāo míng. Xīn rè fán, yì gān shàn kě, qiú tì, xǐ bēi shuò qiàn. Rè qì wàng xíng, hán nǎi fù, shuāng bù shí jiàng, shàn wàng, shèn zé xīn tòng. Tǔ nǎi rùn, shuǐ fēng yǎn, hán kè zhì, chén yīn huà, shī qì biàn wù, shuǐ yǐn nèi xù, zhōng mǎn bù shí, pí rún ròu kē, jīn mài bù lì, shèn zé fū zhǒng, shēn hòu yōng.
When greater yang governs the heaven the qi of cold descends upon it and the qi of the heart follows upward; fire then is bright and vermilion arises, and metal suffers calamity; cold and clear rise again and again, and where cold prevails the water freezes, so that the qi of fire is bright and high. The illness is heat and oppression in the heart, a dry throat and much thirst, snivelling and sneezing, a tendency to grief and many yawns. The hot qi moves recklessly and cold returns; frost falls out of season; there is much forgetting, and in the extreme pain in the heart. Earth then is moist, water abundant and spreading, cold comes as a guest, heavy cloud transforms, damp qi alters beings, water and drink store within, there is fullness in the middle and no eating, the skin is numb and the flesh callous, the sinews and vessels are not free, and in the extreme water swelling and a boil behind the body.
**「中滿」本篇1見,止在太陽司天「中滿不食」**;**此段水飲内蓄,故中滿不食,與「皮𤸷肉苛」相接**