此皆聚於胃,關於肺,使人多涕唾,而面浮腫氣逆也。
此皆聚于胃,关于肺,使人多涕唾,而面浮肿气逆也。
Cǐ jiē jù yú wèi, guān yú fèi, shǐ rén duō tì tuò, ér miàn fú zhǒng qì nì yě.
All of these gather in the stomach and bear on the lung; they make a person produce much snivel and spittle, and the face becomes puffy with counterflowing qi.
**「此皆聚於胃,關於肺,使人多涕唾,而面浮腫氣逆也」二十二字,是全篇之歸宿**——**上文五藏六府十一目之欬,至此總歸於胃與肺二處**,**與篇首「其寒飲食入胃,從肺脉上至於肺」遙相呼應**:**篇首言欬之成,篇末言欬之所歸,皆在胃與肺**。**「聚」(「聚」讀 jù)、「關」(「關」讀 guān)、「涕」(「涕」讀 tì)、「面」(「面」讀 miàn)、「逆」(「逆」讀 nì)五字皆本篇惟此一見**。**「逆」讀 nì**——**「氣逆」與第三十七篇「氣厥」(氣逆而厥)義近而字別**。**「浮腫」之治在篇末三句中居其一**:**治藏者治其俞、治府者治其合、浮腫者治其經**——**藏取俞、府取合、腫取經,此《素問》刺法之通例**。
腎風之狀,多汗,惡風,面痝然浮腫,脊痛不能正立,其色炲,隱曲不利,診在肌上,其色黑。
肾风之状,多汗,恶风,面痝然浮肿,脊痛不能正立,其色炲,隐曲不利,诊在肌上,其色黑。
Shèn fēng zhī zhuàng, duō hàn, wù fēng, miàn máng rán fú zhǒng, jǐ tòng bù néng zhèng lì, qí sè tái, yǐn qū bù lì, zhěn zài jī shàng, qí sè hēi.
In kidney wind the patient sweats freely and loathes wind; the face is swollen and puffy; the spine hurts and he cannot stand upright; the colour is sooty black; what is private and hidden no longer works freely. It is diagnosed on the flesh, and the colour is black.
「面痝然浮腫」——**本篇「浮腫」1見,即此**;**第三十八篇之久欬浮腫在胃,本篇之浮腫在腎風**——**同為浮腫,所屬不同**。「浮」讀 fú、「腫」讀 zhǒng**「浮腫」讀 fú zhǒng**;「痝」讀 máng**「痝然」讀 máng rán**;「脊」讀 jǐ**「脊痛不能正立」讀 jǐ**。
民病寒疾於下,甚則腹滿浮腫,上應鎮星,其主黅榖。復則大風暴發,草偃木零,生長不鮮,面色時變,筋骨併辟,肉膶瘛,目視䀮䀮,物疏璺,肌肉胗發,氣并鬲中,痛於心腹,黄氣乃損,其榖不登,上應歲星。
民病寒疾于下,甚则腹满浮肿,上应镇星,其主黅谷。复则大风暴发,草偃木零,生长不鲜,面色时变,筋骨并辟,肉膶瘛,目视䀮䀮,物疏璺,肌肉胗发,气并鬲中,痛于心腹,黄气乃损,其谷不登,上应岁星。
Mín bìng hán jí yú xià, shèn zé fù mǎn fú zhǒng, shàng yìng zhèn xīng, qí zhǔ jīn gǔ. Fù zé dà fēng bào fā, cǎo yǎn mù líng, shēng zhǎng bù xiān, miàn sè shí biàn, jīn gǔ bìng bì, ròu rún chì, mù shì huāng huāng, wù shū wèn, jī ròu zhěn fā, qì bìng gé zhōng, tòng yú xīn fù, huáng qì nǎi sǔn, qí gǔ bù dēng, shàng yìng suì xīng.
The people are ill with cold disease below and, if it is severe, fullness of the abdomen and floating swelling; it answers above to Saturn, and what it governs is the yellow grain. When revenge comes, great wind breaks out violently, the grass lies down and the trees are stripped, growth is not fresh, the colour of the face changes from time to time, the sinews and bones are drawn together and awry, the flesh twitches and there is convulsion, the eyes see dimly, things are cracked and split, rashes break out on the flesh, the qi gathers in the diaphragm, there is pain in the heart and abdomen, the yellow qi is damaged, and its grain is not harvested; it answers above to Jupiter.
「民病寒疾於下,甚則腹滿浮腫,上應鎮星」——**「浮腫」本篇1見,止此一見**;**本篇浮腫因濕乃大行、寒疾於下而起,與第三十八篇欬久而面浮腫者同源**;**本篇「浮」1見,即在「浮腫」之内,不入「浮」目**;**「浮」讀 fú、「腫」讀 zhǒng**