白,脉之至也,喘而浮,上虚下實,驚。有積氣在胸中,喘而虚,名曰肺痺,寒熱,得之醉而使内也。
白,脉之至也,喘而浮,上虚下实,惊。有积气在胸中,喘而虚,名曰肺痹,寒热,得之醉而使内也。
bái, mài zhī zhì yě, chuǎn ér fú, shàng xū xià shí, jīng. yǒu jī qì zài xiōng zhōng, chuǎn ér xū, míng yuē fèi bì, hán rè, dé zhī zuì ér shǐ nèi yě.
White: the pulse arrives racing and floating, empty above and full below, with fright. There is accumulated qi in the chest; the breathing is laboured and the qi is empty. It is called lung obstruction, with cold and heat; it is contracted by drunkenness and going in.
白色一條。「使内」諸家並以為房事;「喘而虚」謂氣喘而脉虚,與「上虚下實」相應。
弗治,病入舍於肺,名曰肺痺,發欬上氣。
弗治,病入舍于肺,名曰肺痹,发欬上气。
Fú zhì, bìng rù shè yú fèi, míng yuē fèi bì, fā kài shàng qì.
Left untreated, the disease enters and lodges in the lung; it is called lung impediment, and brings on coughing and upward-rushing qi.
「弗治,病入舍於肺,名曰肺痺,發欬上氣」:本篇肺痺為風寒傳變之第二站。與第十篇「肺痺」(肺痺者,煩滿喘而嘔)、第十九篇上文「肺即傳而行之肝,病名曰肝痺」同條而義別:第十篇列肺痺之證(發欬上氣、煩滿喘嘔)而論其得之之由,本篇則以之為傳變之一節——風寒不治,由皮毛入舍於肺而為肺痺,再不治則傳肝而為肝痺。下文「可按若刺耳」,即其時之治。
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.
「肺痺者,煩滿喘而嘔」——**本篇「肺」3見**;「滿」讀 mǎn,**煩滿,煩悶而脹滿**;「嘔」讀 ǒu。**皮合於肺,故皮痺不已則内舍於肺**——**本篇五藏痺之序:肺、心、肝、腎、脾**,**與下文「内舍」之序(腎、肝、心、脾、肺)互見**。
少陰有餘,病皮痺隱軫;不足,病肺痺;滑則病肺風疝,濇則病積溲血。
少阴有余,病皮痹隐轸;不足,病肺痹;滑则病肺风疝,涩则病积溲血。
Shào yīn yǒu yú, bìng pí bì yǐn zhěn; bù zú, bìng fèi bì; huá zé bìng fèi fēng shàn, sè zé bìng jī sōu xuè.
When lesser yin is in surplus the disease is skin obstruction with hidden rash; when it is insufficient, lung obstruction. A slippery pulse brings lung wind mounting; a rough pulse brings accumulation and blood in the urine.
「不足,病肺痺」——**少陰不足則病肺痺**;**本篇以少陰配肺,馬蒔謂腎為肺之子、其水上逆於肺母,故其病在肺**;**與第四十三篇「肺痺者,煩滿喘而嘔」互見**