素问·气厥论 Treatise on Qi Reversal
黄帝问曰:五藏六府,寒热相移者何。歧伯曰:肾移寒于肝,痈肿少气。脾移寒于肝,痈肿筋挛。肝移寒于心,狂隔中。心移寒于肺,肺消,肺消者饮一溲二,死不治。肺移寒于肾,为涌水,涌水者,按腹不坚,水气客于大肠,疾行则鸣濯濯如囊裹浆,水之病也.
脾移热于肝,则为惊衂。肝移热于心,则死。心移热于肺,传为鬲消。肺移热于肾,传为柔痓。肾移热于脾,传为虚,肠澼死,不可治。
胞移热于膀胱,则癃溺血。膀胱移热于小肠,鬲肠不便,上为口麋。小肠移热于大肠,为虙瘕为沈。大肠移热于胃,善食而瘦入谓之食亦。胃移热于胆,亦曰食亦。胆移热于脑,则辛頞鼻渊,鼻渊者,浊涕下不止也,传为衂蔑瞑目,故得之气厥也。
Huangdi asked: When cold and heat transfer among the five viscera and six bowels, what results? Qibo said: When the kidney transmits cold to the liver, there is welling abscess-swelling and shortness of qi. When the spleen transmits cold to the liver, there is welling abscess-swelling and sinew spasm. When the liver transmits cold to the heart, there is manic derangement and blockage in the diaphragm region. When the heart transmits cold to the lung, there is lung wasting; in lung wasting, the patient drinks one measure and urinates two, and this is fatal and cannot be cured. When the lung transmits cold to the kidney, it becomes gushing water; in gushing water, pressing the abdomen finds it not hard, for the water qi has lodged in the large intestine — when the patient walks briskly there is a gurgling sound as of water sloshing in a pouch. This is a disease of water.
When the spleen transmits heat to the liver, there is fright and nosebleed. When the liver transmits heat to the heart, death follows. When the heart transmits heat to the lung, it is transmitted as diaphragm-wasting. When the lung transmits heat to the kidney, it is transmitted as flaccid rigidity (soft tetany). When the kidney transmits heat to the spleen, it is transmitted as deficiency and dysenteric diarrhea, which is fatal and cannot be cured.
When the uterus transmits heat to the bladder, there is dribbling urinary block and blood in the urine. When the bladder transmits heat to the small intestine, there is obstruction of the intestines and difficult bowel movement, manifesting above as ulceration of the mouth. When the small intestine transmits heat to the large intestine, there results hidden conglomeration and sinking stagnation. When the large intestine transmits heat to the stomach, the patient eats readily yet grows thin — this is called "eating and wasting." When the stomach transmits heat to the gallbladder, this too is called "eating and wasting." When the gallbladder transmits heat to the brain, there is aching pain at the bridge of the nose and deep-source nasal congestion; in deep-source nasal congestion, turbid discharge flows down without cease, which may progress to nosebleed and blurred, dim vision. All these conditions are obtained through the reversal of qi.