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.
**「脾痺者,四支解墯,發欬嘔汁,上爲大塞」——**「墯」讀 duò,**懈墯也,底本作「墯」,與 ch42「墯」同字**;「欬」讀 kài、**本篇1見**,**「嘔」「嘔」讀 ǒu**;「塞」讀 sè、**本篇1見,「大塞」之「塞」與下文「鬲塞」同讀 sè**;**「四支」「支」讀 zhī**,**本篇不作「四肢」**;**五藏痺之中,惟脾痺與肺心肝腎同列而先由肌痺傳入**。
不足,病脾痺,滑則病脾風疝,濇則病積,心腹時滿。
不足,病脾痹,滑则病脾风疝,涩则病积,心腹时满。
Bù zú, bìng pí bì, huá zé bìng pí fēng shàn, sè zé bìng jī, xīn fù shí mǎn.
When it is insufficient, spleen obstruction. A slippery pulse brings spleen wind mounting; a rough pulse brings accumulation, with the heart and abdomen full from time to time.
「不足,病脾痺,滑則病脾風疝,濇則病積,心腹時滿」——**太陰不足則土氣弱,故病脾痺**;**脉濇則病積而心腹時滿**;**《痺論》之「肌痺」即此「肉痺」,肌痺不已、復感於邪則內舍於脾**