青,脉之至也,長而左右彈,有積氣在心下支胠,名曰肝痺,得之寒濕,與疝同法,腰痛足清頭痛。
青,脉之至也,长而左右弹,有积气在心下支胠,名曰肝痹,得之寒湿,与疝同法,腰痛足清头痛。
qīng, mài zhī zhì yě, cháng ér zuǒ yòu tán, yǒu jī qì zài xīn xià zhī qū, míng yuē gān bì, dé zhī hán shī, yǔ shàn tóng fǎ, yāo tòng zú qīng tóu tòng.
Green: the pulse arrives long and knocks to left and right. There is accumulated qi below the heart, propping the flank. It is called liver obstruction, contracted from cold damp, and it is treated by the same rule as shan. There is low back pain, cold feet and head pain.
青色一條,為五痺中唯一兼言症狀(腰痛、足清、頭痛)與治則(與疝同法)者。「清」通「凊」,讀 qìng。
弗治,肺即傳而行之肝,病名曰肝痺,一名曰厥,脅痛出食,當是之時,可按若刺耳。
弗治,肺即传而行之肝,病名曰肝痹,一名曰厥,胁痛出食,当是之时,可按若刺耳。
Fú zhì, fèi jí chuán ér xíng zhī gān, bìng míng yuē gān bì, yī míng yuē jué, xié tòng chū shí, dāng shì zhī shí, kě àn ruò cì ěr.
Left untreated, the lung transmits the disease on to the liver; it is called liver impediment, also named reversal. There is pain in the flanks and the bringing up of food; at that point one may press, or needle.
「肺即傳而行之肝,病名曰肝痺,一名曰厥,脅痛出食」:本篇肝痺為傳變之第三站,一名曰厥,其證脅痛而嘔出食物。與第十篇「肝痺」(肝痺者,夜卧則驚,多飲數小便,上為引如懷)同條而義別:第十篇論肝痺之證與其得之之由(數飲水而小便不利,上為引如懷),本篇則以之為肺痺不治之所傳,而以脅痛出食為候;「一名曰厥」者,肝氣逆而上衝故也。
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.
「肝痺者,夜卧則驚,多飲數小便,上爲引如懷」——**本篇「肝」3見**;「數」讀 shuò,**本篇「數」2見,皆讀 shuò**(多飲數小便、數飲而出不得);「懷」讀 huái,**「上爲引如懷」——腹上牽引急迫,如懷妊之狀**;**筋合於肝,故筋痺不已則内舍於肝**。
少陽有餘,病筋痺脅滿;不足,病肝痺。
少阳有余,病筋痹胁满;不足,病肝痹。
Shào yáng yǒu yú, bìng jīn bì xié mǎn; bù zú, bìng gān bì.
When lesser yang is in surplus the disease is sinew obstruction and fullness in the flanks; when it is insufficient, liver obstruction.
「不足,病肝痺」——**少陽不足則肝氣亦滯,故病肝痺**;**與第四十三篇「肝痺者,夜臥則驚,多飲數小便」互見**