素问·宣明五气 Elucidating the Five Qi

第 23 篇 / 共 81 篇

味所入;酸入肝,辛入肺,苦入心,咸入肾,甘入脾,是谓五入。

气所病:心为噫,肺为咳,肝为语,脾为吞,肾为欠为嚏,胃为气逆为哕为恐,大肠小肠为泄,下焦溢为水,膀胱不利为癃,不约为遗溺,胆为怒,是谓五病。

精所并:精气并于心则喜,并于肺则悲,并于肝则忧,并于脾则畏,并于肾则恐,是谓五并,虚而相并者也。

藏所恶:心恶热,肺恶寒,肝恶风,脾恶湿,肾恶燥,是谓五恶。

藏化液:心为汗,肺为涕,肝为泪,脾为涎,肾为唾,是谓五液。

味所禁:辛走气,气病无多食辛;咸走血,血病无多食咸;苦走骨,骨病无多食苦;甘走肉,肉病无多食甘;酸走筋,筋病无多食酸;是谓五禁,无令多食。

病所发:阴病发于骨,阳病发于血,阴病发于肉,阳病发于冬,阴病发于夏,是谓五发。

邪所乱:邪入于阳则狂,邪入于阴则痹,搏阳则为巅疾,搏阴则为喑,阳入之阴则静,阴出之阳则怒,是谓五乱。

邪所见:春得秋脉,夏得冬脉,长夏得春脉,秋得夏脉,冬得长夏脉,名曰阴出之阳,病善怒不治,是谓五邪,皆同命,死不治

藏所藏:心藏神,肺藏魄,肝藏魂,脾藏意,肾藏志,是谓五藏所藏。

藏所主:心主脉,肺主皮,肝主筋,脾主肉,肾主骨,是谓五主。

劳所伤:久视伤血,久卧伤气,久坐伤肉,久立伤骨,久行伤筋,是谓五劳所伤。

脉应象:肝脉弦,心脉钩,脾脉代,肺脉毛,肾脉石,是谓五藏之脉。

Where the flavors enter: sour enters the liver, pungent enters the lung, bitter enters the heart, salty enters the kidney, and sweet enters the spleen. This is called the five entries.

Where qi disorder causes disease: in the heart it causes belching, in the lung it causes coughing, in the liver it causes excessive talking, in the spleen it causes swallowing reflux, in the kidney it causes yawning and sneezing. In the stomach it causes rebellious qi, retching, and fear; in the large and small intestines it causes diarrhea; overflow in the lower burner causes water swelling; inhibited function of the bladder causes dribbling urinary blockage, and loss of control causes incontinence; in the gallbladder it causes anger. This is called the five diseases of qi.

Where essence-qi concentrates: when essence-qi concentrates in the heart, there is joy; when it concentrates in the lung, there is sorrow; when it concentrates in the liver, there is worry; when it concentrates in the spleen, there is apprehension; when it concentrates in the kidney, there is fear. This is called the five concentrations — they occur when an organ is deficient and qi concentrates within it.

What the viscera dislike: the heart dislikes heat, the lung dislikes cold, the liver dislikes wind, the spleen dislikes dampness, and the kidney dislikes dryness. This is called the five aversions.

What the viscera transform into fluids: the heart produces sweat, the lung produces nasal mucus, the liver produces tears, the spleen produces thin saliva, and the kidney produces thick spittle. This is called the five fluids.

Flavors to be avoided: pungent flavor moves to the qi, so in qi disease one should not eat much pungent food; salty flavor moves to the blood, so in blood disease one should not eat much salty food; bitter flavor moves to the bones, so in bone disease one should not eat much bitter food; sweet flavor moves to the flesh, so in flesh disease one should not eat much sweet food; sour flavor moves to the sinews, so in sinew disease one should not eat much sour food. This is called the five prohibitions — one must not overeat these.

Where diseases arise: yin disease arises in the bones, yang disease arises in the blood, yin disease arises in the flesh, yang disease arises in winter, yin disease arises in summer. This is called the five arisings.

Where pathogenic qi causes disorder: when pathogenic qi enters the yang, it causes mania; when it enters the yin, it causes impediment (bi-syndrome); when it clashes with the yang, it causes disease of the vertex; when it clashes with the yin, it causes muteness; when yang pathogenic qi enters the yin, the person becomes quiet; when yin pathogenic qi emerges into the yang, the person becomes angry. This is called the five disorders.

Where pathogenic pulses appear: in spring, finding the autumn pulse; in summer, finding the winter pulse; in long summer, finding the spring pulse; in autumn, finding the summer pulse; in winter, finding the long-summer pulse — these are called yin emerging into yang. The disease manifesting this way tends toward anger and is untreatable. This is called the five pathogenic pulses; all share the same fate — death, and cannot be treated.

What the viscera store: the heart stores the spirit, the lung stores the corporeal soul (po), the liver stores the ethereal soul (hun), the spleen stores intention, and the kidney stores will. This is called what the five viscera store.

What the viscera govern: the heart governs the vessels, the lung governs the skin, the liver governs the sinews, the spleen governs the flesh, and the kidney governs the bones. This is called the five governings.

What overexertion injures: prolonged looking injures the blood, prolonged lying injures the qi, prolonged sitting injures the flesh, prolonged standing injures the bones, prolonged walking injures the sinews. This is called the injuries of the five kinds of overexertion.

The pulse images corresponding to the viscera: the liver's pulse is string-like, the heart's pulse is hook-like, the spleen's pulse is intermittent, the lung's pulse is feather-like, and the kidney's pulse is stone-like. This is called the pulses of the five viscera.