少陽藏獨至,是厥氣也。蹻前卒大,取之下俞。少陽獨至者,一陽之過也。
少阳脏独至,是厥气也。蹻前卒大,取之下俞。少阳独至者,一阳之过也。
Shào yáng zàng dú zhì, shì jué qì yě. Qiāo qián cù dà, qǔ zhī xià shù. Shào yáng dú zhì zhě, yī yáng zhī guò yě.
When the lesser yang viscus arrives alone, this is counterflow qi. If the region before the heel vessel swells suddenly, take the lower transport points. For the lesser yang arriving alone: it is the excess of the one yang.
本篇「厥氣」二見,皆指上行逆亂之氣而不成名:一見於少陽——「少陽藏獨至,是厥氣也;蹻前卒大,取之下俞」;一見於厥陰——「真虚㾓心,厥氣留薄,發爲白汗」。又太陽之「厥喘虚氣逆」,亦同此厥;三者皆獨至之臟氣上逆,惟所出之臟各異。《說文》「厥,發石也」,段注謂凡撅發者皆曰厥,故上逆之氣亦得厥名——其所重在「向上發越」之動勢,不在已成之病。第三篇之「煎厥」「薄厥」則由是動勢而成之病名:彼定其名,此敘其勢,先後有別。
歧伯曰:厥逆連藏則死。
歧伯曰:厥逆连脏则死。
Qí bó yuē: jué nì lián zàng zé sǐ.
Qibo says: when the counterflow reaches the depots, the patient dies.
「厥氣」之目於本站已立,本篇言厥者二,此為其一:「厥逆連藏則死」——**「厥」讀 jué**;**「逆」讀 nì,不順也**;二字同義連用,與本站「厥氣」條之名物者別:彼言其氣(逆上之氣),此言其勢(逆上之勢)。「歧」讀 qí;「伯」讀 bó;「曰」讀 yuē;**「連」讀 lián,本篇二見,牽連、及於也**;**「藏」讀 zàng,本篇惟此一見**,指五藏,底本作「藏」,不作「臟」,亦不作「脏」;「則」讀 zé;「死」讀 sǐ。**此句是全篇最深之處**:邪在經為淺,入藏為深;厥逆之氣僅連於經,則邪猶在外,可汗可刺,故生;若連及五藏,則氣機已敗,故死。與《素問》他篇「邪入於府則生,入於藏則死」義可互發,亦與本站「厥氣」條他篇諸義可互注。
肺熱病者,先淅然厥,起毫毛,惡風寒,舌上黃,身熱。
肺热病者,先淅然厥,起毫毛,恶风寒,舌上黄,身热。
Fèi rè bìng zhě, xiān xī rán jué, qǐ háo máo, wù fēng hán, shé shàng huáng, shēn rè.
In lung heat disease there is first a shivering chill with reversal, the fine body hair stands up, there is aversion to wind and cold, the tongue is yellow on top, and the body is hot.
「厥氣」之目於本站已立(id 694),本篇「厥」字三見而此其一,指手足逆冷:「肺熱病者,先淅然厥,起毫毛,惡風寒,舌上黃,身熱」——「肺」讀 fèi;「熱」讀 rè;「病」讀 bìng;「者」讀 zhě;「先」讀 xiān;**「淅」讀 xī,本篇一見**,淅然者寒慄灑淅之貌;「然」讀 rán;**「厥」讀 jué,本篇三見**——此指手足逆冷,與「足厥陰」之「厥」為經名之詞素者同名而異用;「起」讀 qǐ;「毫」讀 háo;「毛」讀 máo;**「惡」讀 wù,本篇一見**,惡風寒即畏惡風寒;「風」讀 fēng;「寒」讀 hán,本篇七見;「舌」讀 shé;「上」讀 shàng;**「黃」讀 huáng,本篇二見**,底本不作「黄」;「身」讀 shēn。**「起毫毛」三字最見筆力**:肺主皮毛,邪客於肺則毫毛先為之動,**五藏熱病之先證,惟此最為表淺**,宜其為五藏中主表之藏。與本站「厥氣」條所收他篇之義可互注:彼言氣之逆亂,此言四肢之逆冷,同為「厥」而所指有別。
厥氣客於陰股,寒氣上及少腹,血泣在下相引,故腹痛引陰股。
厥气客于阴股,寒气上及少腹,血涩在下相引,故腹痛引阴股。
Jué qì kè yú yīn gǔ, hán qì shàng jí shào fù, xuè sè zài xià xiāng yǐn, gù fù tòng yǐn yīn gǔ.
Rebellious qi lodging in the inner thigh carries the cold up into the lower abdomen; the rough blood below pulls upon it, so belly pain runs down into the inner thigh.
**本篇「厥氣」1見**,**在「厥氣客於陰股」一條**,**為本篇十餘「客」之中惟一不以寒氣為客者**。**本站「厥氣」(#694)已收第二十一篇「少陽藏獨至,是厥氣也」、第三十篇「陽明厥則喘而惋」、第三十二篇「先淅然厥」**;**本篇之厥氣則直指其客於陰股,而寒氣上及少腹,血泣在下相引**——**厥氣與寒氣同在一處而分言上下,本篇之例惟此一條**。「股」讀 gǔ,**本篇3見**;「泣」讀 sè,**讀 sè,通「澀」(「澀」),本篇6見,不作澀,亦非涕泣之泣(qì)**;「相」讀 xiāng;「及」讀 jí。
凡痺之客五藏者,肺痺者,煩滿喘而嘔;心痺者,脉不通,煩則心下鼓,暴上氣而喘,嗌乾善噫,厥氣上則恐;肝痺者,夜卧則驚,多飲數小便,上爲引如懷;腎痺者,善脹,凥以代踵,脊以代頭;脾痺者,四支解墯,發欬嘔汁,上爲大塞;腸痺者,數飲而出不得,中氣喘爭,時發飱泄;胞痺者,少腹膀胱,按之内痛,若沃以湯,澀於小便,上爲清涕。
凡痹之客五脏者,肺痹者,烦满喘而呕;心痹者,脉不通,烦则心下鼓,暴上气而喘,嗌干善噫,厥气上则恐;肝痹者,夜卧则惊,多饮数小便,上为引如怀;肾痹者,善胀,凥以代踵,脊以代头;脾痹者,四肢解惰,发咳呕汁,上为大塞;肠痹者,数饮而出不得,中气喘争,时发飧泄;胞痹者,少腹膀胱,按之内痛,若沃以汤,涩于小便,上为清涕。
Fán bì zhī kè wǔ zàng zhě, fèi bì zhě, fán mǎn chuǎn ér ǒu; xīn bì zhě, mài bù tōng, fán zé xīn xià gǔ, bào shàng qì ér chuǎn, yì gān shàn ài, jué qì shàng zé kǒng; gān bì zhě, yè wò zé jīng, duō yǐn shuò xiǎo biàn, shàng wéi yǐn rú huái; shèn bì zhě, shàn zhàng, jū yǐ dài zhǒng, jǐ yǐ dài tóu; pí bì zhě, sì zhī jiě duò, fā kài ǒu zhī, shàng wéi dà sè; cháng bì zhě, shuò yǐn ér chū bù dé, zhōng qì chuǎn zhēng, shí fā sūn xiè; bāo bì zhě, shào fù páng guāng, àn zhī nèi tòng, ruò wò yǐ tāng, sè yú xiǎo biàn, shàng wéi qīng tì.
For obstruction lodging in the five stores: lung obstruction is fullness and distress, panting and vomiting; heart obstruction is the vessels not passing through — distress brings a beating below the heart, sudden rising qi and panting, a dry pharynx and frequent belching, and when the counterflow qi rises, fear; liver obstruction is starting in the night, drinking much and passing water often, with a drawing upward that feels like carrying a child; kidney obstruction is a readiness to swell, the rump taking the place of the heel and the spine taking the place of the head; spleen obstruction is slackness of the four limbs, coughing and vomiting fluid, and great stoppage above; intestinal obstruction is drinking often and yet not passing it, the central qi contending with panting, and from time to time outflow diarrhea; bladder obstruction is pain within the lower abdomen and bladder when pressed, as though hot water had been poured in, rough passage of urine, and clear snivel above.
「厥氣上則恐」——「厥」讀 jué,**本篇「厥」1見**;**心痺而厥氣上逆,故恐**——**與 ch23「五精所并……并於腎則恐」可相參**,**此則心痺致之,非藏氣相并**。
歧伯曰:厥氣上逆,寒氣積於胸中而不冩,不冩則温氣去,寒獨留,則血凝泣,凝則脉不通,其脉盛大以濇,故中寒。
歧伯曰:厥气上逆,寒气积于胸中而不写,不写则温气去,寒独留,则血凝泣,凝则脉不通,其脉盛大以涩,故中寒。
Qí bó yuē: jué qì shàng nì, hán qì jī yú xiōng zhōng ér bù xiè, bù xiè zé wēn qì qù, hán dú liú, zé xuè níng sè, níng zé mài bù tōng, qí mài shèng dà yǐ sè, gù zhōng hán.
Qi Bo says: the counterflow qi rises, and cold qi collects in the chest without being drained. Not drained, the warm qi goes away and the cold stays alone; then the blood congeals, and when it congeals the vessels do not pass through. The vessel is full, large and rough: hence cold in the interior.
「厥氣上逆,寒氣積於胸中而不冩,不冩則温氣去,寒獨留,則血凝泣」——**「厥氣」本篇1見,在陰盛生内寒一節**:**厥氣上逆則寒氣積於胸中而不寫,温氣去而寒獨留,血凝泣而脉不通,其脉盛大以濇,故中寒**;**「厥」本篇4見:不足則厥、大厥二見、厥氣一見**;**「厥」讀 jué**
故喜怒傷氣,寒暑傷形。暴怒傷陰,暴喜傷陽。厥氣上行,滿脉去形。
故喜怒伤气,寒暑伤形。暴怒伤阴,暴喜伤阳。厥气上行,满脉去形。
gù xǐ nù shāng qì, hán shǔ shāng xíng. bào nù shāng yīn, bào xǐ shāng yáng. jué qì shàng xíng, mǎn mài qù xíng.
Thus joy and anger damage qi; cold and heat damage form. Sudden rage damages yin, sudden joy damages yang. Rebellious qi rises upward, filling the vessels and driving the spirit from the form.
「厥氣上行」——暴怒傷陰、暴喜傷陽,厥氣上逆則滿脉而形去;**「厥氣」本篇1見**