灵枢经·五邪 The Five Evils

第 20 篇 / 共 81 篇

邪在肺,则病皮肤痛,寒热,上气喘,汗出,咳动肩背。取之膺中外喻,背三节五藏之傍,以手疾按之,快然,乃刺之。取之缺盆中以越之。

邪在肝,则两胁中痛,寒中,恶血在内,行善掣节,时脚肿。取之行间,以引胁下,补三里以温胃中,取血脉以散恶血;取耳间青脉,以去其掣。

邪在脾胃,则病肌肉痛,阳气有馀,阴气不足,则热中善饥;阳气不足,阴气有馀,则寒中肠鸣、腹痛;阴阳俱有馀,若俱不足,则有寒有热,皆调于三里。

邪在肾,则病骨痛,阴痹。阴痹者,按之而不得,腹胀,腰痛,大便难,肩背颈项痛,时眩。取之涌泉、昆仑。视有血者,尽取之。

邪在心,则病心痛,喜悲时眩仆;视有馀不足而调之其输也。

When evil qi resides in the lung, the disease manifests as pain in the skin, alternating cold and heat, qi rising with panting, sweating, and coughing that moves the shoulders and back. Select the outer transport points of the chest, and the points beside the third vertebra [associated with] the five viscera on the back; press quickly with the hand, and where the patient feels relief, then needle there. Also select the point within the Empty Basin (quepen) to disperse the evil qi outward.

When evil qi resides in the liver, there is pain within both rib-sides, cold in the middle, malign blood lodged within, a tendency for the joints to twitch and pull during movement, and the feet sometimes swell. Select Xingjian (Moving Between) to draw the qi down from beneath the rib-side; supplement Zusanli to warm the middle of the stomach; select the blood vessels to disperse the malign blood; and select the green-blue vessel between the ears to relieve the twitching.

When evil qi resides in the spleen and stomach, the disease manifests as pain in the flesh and muscles. If yang qi is in excess and yin qi is insufficient, there is heat in the middle and a tendency toward hunger; if yang qi is insufficient and yin qi is in excess, there is cold in the middle, intestinal rumbling, and abdominal pain; if yin and yang are both in excess, or both insufficient, there will be both cold and heat — in every case, regulate at Zusanli.

When evil qi resides in the kidney, the disease manifests as pain in the bones, and yin impediment. In yin impediment, pressing on the affected area yields nothing definite; there is abdominal distension, lower back pain, difficulty with bowel movement, pain in the shoulders, back, neck, and nape, and periodic dizziness. Select Yongquan (Bubbling Spring) and Kunlun. Wherever blood appears, remove it entirely.

When evil qi resides in the heart, the disease manifests as heart pain, a tendency toward sorrow, and periodic dizziness and collapse. Observe whether there is excess or deficiency, and regulate accordingly at its transport points.