1. In the case of lung stroke, the mouth is dry and asthmatic, the body is heavy and swollen.
2. The lung is cold and spits turbid mucus.
3. If the lung is dead and dirty, and the lung is empty, it will be as weak as a scallion leaf. If there is no root under it, it will die.
4. Liver apoplexy, head leap, two flank pain, often run ④, sweet.
5. If the liver is cold, the two arms will not be raised, the tongue will be dry, happy with too much rest, and the chest will be painful. If you eat, you will vomit and sweat.
6. The liver is dead, dirty and weak. If you can't get it, or if you bend like a snake, you will die.
7. Liver, he often wants to walk on his chest, first not bitter, but to drink hot, spin and cover the flower soup. Chen Yi and other schools all have the same prescriptions.
Decoction of xuanfuhua
Three liang of whirling flowers, fourteen stems of green onion, a little crimson
Three flavors, three liters of water, one liter of boiled water, serving.
[comment] this section discusses the syndrome and treatment of hepatopathy. There are many controversies about the etiology, pathogenesis and location of liver infection among doctors of all ages. Generally speaking, they have the following opinions.
1. Deficiency of liver Yang and cold, stagnation of cold Qi, Gao Xueshan's outline of Gao Zhu Jinkui said: "liver is valued for Yang Qi The meaning of staying. The Qi of yin and cold can not be melted and relaxed, and the Liver Collaterals run through the chest from the flank of Shaoyang, then the chest is often as tight as a plate.
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① Body movement: refers to physical activity and rotation.
② Mao: refers to faint, if there is something covering the head.
③ Leader: at noon, move. The muscle of the head, fingerskin and eyelid is painful and uncomfortable.
④ Dan: hunchback. Walking often, describes walking with bent back.
2. According to Tang Rongchuan's "jinguiyaolue slightly shallow injection and correction", covering the liver and dominating the blood, the liver adheres to the blood without dispersing. Blood is born in the heart and belongs to the liver. It enters the cell from the diaphragm in the front of the chest, and now lies in the diaphragm in the front of the chest. Therefore, people want to pass it on the chest. "
3. According to Zhou Yangjun's "two notes of Jinkui Yuhan Sutra", the liver Qi is depressed. If the liver Qi is depressed, the liver Qi will be released. If the liver Qi is depressed, the liver Qi will be released. If the liver Qi is depressed, the liver Qi will be released, the liver Qi will be released. Therefore, the liver Qi will be released
4. According to the heart code of synopsis of the golden chamber, the liver qi and blood are stagnant, so it is called liver. However, although the liver is on, and Qi is injected into the lung, the so-called transverse disease is also
5. According to the original meaning of the synopsis of the Golden Chamber written by Wei Litong, the combination of wind, cold and dampness is the essence of Bi disease It coagulates its blood with Qi evil. If it's in the liver, it's in the liver. "
Based on the above discussion, in the etiology, some think that there is external evil for disease, some think that it is purely internal injury; in the disease location, most doctors think that it is related to the liver, but there are different channels, liver collaterals, liver spleen, liver lung and diaphragm of the liver; in the pathogenesis, some think it is Yang deficiency and cold coagulation, some think it is stagnation of liver qi, some think it is blood stasis. Each of the above points has its own side
Heavy, but not contradictory, if combined with participation, it is more comprehensive.
First of all, from the analysis of the word "zhe", Cihai means "Zhu", and "Zhu" means "storage and accumulation". "Shuowen ningbu" said: "Xuan, discern the plot." Liver disease and kidney disease in this article are of the same kind, all of them are "diseases". The original text points out: "the disease of kidney is heavy, cold in the waist, like sitting in the water, like water, not thirsty, urinating for self-interest, eating as it is, and the disease belongs to the lower Jiao. The body is tired and sweaty. The clothes are cold and wet. It's got a long time. It's cold and painful below the waist. The weight of the abdomen is like 5000 yuan. It's the master of Ganjiang Lingshu soup. " The cause of nephrosis is "sweating, cold and wet clothes, long-term", resulting in cold and wet left in the waist. In the ancient Guilin Book treatise on Febrile Diseases and miscellaneous diseases and treatment of cold disease and pulse syndrome, the treatise on "kidney binding" is: "cold is a disease, the kidney receives it first, and its guest is between the five viscera, and the pulse causes pain; if guest is in the room of eight deficiency, then the evil blood stays, stays for a long time, and becomes. "It can be seen that the cause of nephrosis is stagnation of cold and dampness in the kidney meridian. In the same way, liver infection is caused by stagnation of liver meridian caused by wind cold. The evil of wind cold can be caused by the external factors, the internal factors and the internal factors. It can also be confirmed from the discussion of medical experts and clinical records. For example, in the treatment of wind chill in the liver of the liver meridian by Shengji Zonglu, the decoction of tiaoxu is used; in the medical case of Clinical Guide - hypochondriac pain by Ye Tianshi, the disease has entered the blood vessels, and the cases of whirling flower soup plus peach kernel, angelica root and Baizi kernel are all the pathogenic evidences of wind chill.
The liver passes through the meridians and stomach. It belongs to the liver, collaterals and gall bladder. It passes through the diaphragm and up through the diaphragm and distributes in the costal area A branch is separated from the liver, passes through the diaphragm, and is injected into the lung to fight with Taiyin lung meridian. If the evil of wind and cold lingers in the liver meridian, it will cause Yang Qi arthralgia, and then affect the movement of Qi, blood and water, resulting in Qi stagnation, blood stasis, phlegm and other pathological changes. Therefore, there will be stuffiness, suffocation, or even fullness and tingling in the chest and flank where the liver passes. Therefore, "people often want to walk on them", that is, they try to extend the air in the chest and unblock the Qi and blood after percussion and rubbing, so as to reduce the feeling of stuffiness or discomfort of pain and swelling in the chest and flank. The syndrome of "not bitter at first, but to drink hot" is that the liver meridian is initially affected by the evil of wind cold, the evil Qi solidifies and the Qi is divided, and only the ruffian knot at the chest and flank is slight. Therefore, it is necessary to drink hot, so as to make the Qi circulate, the Yang Qi propagate, and temporarily relieve the symptoms. In addition to the above symptoms described in the original text, the evil is in the liver channel, and the stomach cavity, chest and flank, lung and other parts can be trapped by pathogenic diseases. There may also be symptoms such as distention of the flank, fullness of the abdomen, less distention of the abdomen, suffocation and channeling pain, cough, vomiting, dizziness, pain at the top, etc. women may have symptoms such as half birth leakage.
When it comes to xuanfuhua decoction, the doctor written by he Mengyao in Qing Dynasty said: "Jinjian means that (xuanfuhua Decoction) is not in harmony with syndrome (liver damage), which is doubted. It is said that this is a stop to drink, and Yang Qi is not declared, so use this to drink to pass Yang, and add crimson and blood. " He put forward that "liver dampness" is the same disease of phlegm (drink) and blood stasis. According to the pathogenesis, the evil of cold wind lingers in the liver meridian, which is suitable for the stagnation of Yang Qi and stagnation of liver qi. It can not only affect the operation of blood, but also affect the metabolism of water and cause internal obstruction of phlegm. From the words of medicine, the main medicine of xuanfuhua decoction is xuanfuhua. According to Shennong's classic of Materia Medica, "it tastes salty and warm. It's full of Qi and threats. It's palpitation. It can remove water, cool and heat the five viscera, and replenish the middle and lower Qi. In the famous doctor's records, Liang and Tao Hongjing recorded the "sweet taste" of Xuan Fu Hua ... eliminate phlegm knot on chest, spit like glue paint, phlegm water on heart flank, retention of bladder, wind dampness, dead flesh between skin It is beneficial to large intestine, blood vessels and color. " "Compendium of Materia Medica" written by Li Shizhen of Ming Dynasty briefly sums up that "the functions of rotating and covering all diseases are only in promoting water, Qi and blood circulation." All these show that xuanfuhua is the medicine for Qi, water and blood circulation, and xuanfuhua decoction is the prescription for phlegm and blood stasis.
From the later generations, ye Tianshi of Qing Dynasty is famous for the treatment of collaterals by the addition and subtraction of xuanfuhua decoction. There are two main rules of addition and subtraction: one is to use xuanfuhua Decoction with Guixu, Taoren and baiziren to connect collaterals; the other is to use xuanfuhua Decoction with Pinellia, etc. Such as "clinical guide medical case · asthma" contains Wang case: pulse Xian Jian. Be angry and gasp for breath
Recumbent, this liver rises too much, lung falls to derelict duty. Cold feet, into the evening play. Discuss using the method of Yue maid. According to his left flank, he would be asthmatic, with a cold line on his back, running straight through his feet. It was obviously caused by the liver's adverse clamping branch drink. Discussion on the method of "Jinkui" xuanfuhua decoction. Spin cover flower, green onion tube, Xinjiang, stir fry Pinellia. On the basis of inheriting Zhang Zhongjing's and ye Tianshi's prescriptions of collaterals disease, Wu Jutong of the Qing Dynasty gave full play to it. According to Article 41 of "differentiation of febrile diseases and Xiajiao's" hot summer and hot summer ", it is said:" hot summer, wet temperature and flank pain, or cough, or no cough, no cold, but hot tide, or cold and hot like malaria, can't be mistaken for Chaihu syndrome, and Xiangfu xuanfuhua decoction is the main one. If you don't understand for a long time, you can use controlled saliva pill. " In Xiangfu xuanfuhua decoction, Xiangfu is compatible with xuanfuhua. Wu Jutong believes that the two drugs are "good at promoting the liver and collaterals, and at the same time reducing lung qi with Suzi, and at the same time reducing phlegm with Pinellia ternate, tangerine peel and stomach, and at the same time, Poria cocos and coix seed can strengthen the spleen and regulate dampness.". The combination of various drugs, such as regulating liver qi, activating Liver Collaterals and resolving phlegm drink, is used for the syndrome of stagnation of liver qi, stagnation of Liver Collaterals and accumulation of water in the chest.
To sum up, the retention of pathogenic wind and cold in the liver meridian is the cause of liver infection, and its pathogenesis is Yang Qi Bi Jie, qi stagnation and blood stasis, phlegm and Yin internal obstruction. The location of the disease is mainly in the meridians of the liver, the lung, the spleen and the stomach. Therefore, it is mainly treated with xuanfuhua decoction, which can promote qi to open the knot and dredge the collaterals.
Xuanfuhua decoction is composed of xuanfuhua, onion and Xinjiang. As for the medicine of "green onion", some doctors in later generations use the green onion, some use the green onion tube (or scallion leaf). Cover the scallion white longer than sweating, the scallion tube is good at promoting qi and blood circulation. If the prescription is mainly used to treat the liver disease with stagnation of meridians and Qi, or it is used for the woman who has blood stasis due to half delivery leakage, it is advisable to use the onion tube to dredge the collaterals. If the disease of liver is due to the evil of wind and cold, it is better to use scallion and white to clear the Yang. Combined with the etiology and pathogenesis of liver infection, the medicine of "onion" in the prescription should be understood as the same use of scallion and onion tube. There is a difference between the "cong" used in guanzhongjing's treatise on Febrile Diseases and synopsis of the golden chamber. The "Cong Bai" used in Shaoyin chapter of treatise on febrile diseases is "Cong Bai", which is "cong".
As for Xinjiang, because there are no records in all the texts, the doctors of all dynasties have different understandings about it. One is to regard the scarlet silk, that is, the dyed scarlet silk, as a new crimson, but there are certain requirements for the dyes used in dyeing, some of which advocate the use of red flowers, such as Li Bi and Zou Shu; some propose the use of madder, such as Mo Mei and Tang Rongchuan; Qin Bowei's "qianzhai medical Lecture Notes" thinks that "it is a hat curtain dyed with gorilla blood". The second is that the crimson is madder, such as Tao Hongjing. Rubia cordifolia bitter cold, into the liver, blood stasis. There are different opinions of the above doctors, but it needs further research to determine what kind of "Xinjiang" Zhongjing used at that time. According to the pathogenesis of this syndrome, the clinical syndrome can be replaced by madder, safflower, Sumu, Yujin, etc., in order to obtain the effect of promoting blood circulation and removing blood stasis.
8. Weng Weng is feverish and unable to rise. He is hungry and vomits when he eats.
9. If the heart is cold, the person's bitter and sick heart is like eating garlic ①, the dramatist's heart is full of pain, and his back is full of pain, such as Gu Zhu. Those whose pulse is floating will be healed by vomiting.
10. The person with heart injury is fatigued, that is, the head is red and heavy, the heart is painful and self irritated, the heart is hot, when the navel jumps, the pulse strings, which is also caused by heart injury.
11. When the heart is dead and dirty, it floats like a hemp bean. Those who benefit from impetuosity will die.
- Evil cry ② the one who makes the soul uneasy has little blood; the one who has little blood belongs to the heart, the one who is weak in heart and spirit, he is afraid, he wants to sleep with his eyes closed, he goes far in his dreams, but his spirit is separated, and the soul goes astray. People with Yin Qi failure are mad, and those with Yang Qi failure are mad.
[comments] this section discusses the syndromes of mental disorders with less deficiency of heart blood and Qi. If the mind is the master of mind and the heart is weak in blood and Qi, the mind will be restless, often crying for no reason and suffering from madness. Fear, close your eyes to sleep and dream, etc. If further development can form madness.
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① The heart is like eating garlic: eating means eating. Refers to the heart is hard, like eating garlic in the heart noisy and spicy.
② Evil cry: refers to the patient's mental disorder, crying without cause, just like the evil ghost.
Based on the discussion of "Yang is madness, Yin is madness" in the twenty difficulties of the classic of dysmenorrhea, doctors of all dynasties have different opinions on this section, such as "madness is madness when Yin Qi declines, and madness is madness when Yang Qi declines", as Wu Qian's "the golden mirror of the emperor of medicine" said: "madness cannot be followed when madness is mistaken for each other.".
The interpretation of this sentence in Huang Shuzeng's "synopsis of the Golden Chamber" is quite enlightening for understanding the original text and guiding the clinical practice: there are two kinds of names for all kinds of mania. The first is the peak of Yin Sheng. Its origin is also that it is not happy. It looks directly at the stiff servant. It is the one with three yin channels. When everything is heavy and light, it will be a servant. This disease is named after the evil Qi gathered on the top of the mountain and caused the servant. The so-called "heavy Yin" in the "Nan Jing" refers to this. It is better to add and subtract Fengyin decoction. The first is the depression of heart Yin and Qi. The first is not happy, the head is heavy, the eyes are red, the heart is upset, the language is confused, the mind is restless, and the pulse is weak. The climax of this festival belongs to it. It is suitable to cure, nourish, and calm the mind, such as sour jujube kernel, raw rehmannia, angelica body, red jujube meat, wheat, tuckahen, liquorice, Yuanzhi, calamus, oyster, chrysanthemum
Flower, lotus seed, lantern, bamboo and so on. The first is Yang Sheng's mania, the so-called rage mania in the theory of common question and disease energy, the so-called self-improvement in the 59th difficult book of difficult classics, self identification of wisdom, self valuing, ridicule, good music, and incessant actions (such as building houses, running and swearing, beating people, not avoiding relatives and strangers), all of which have three Yang channels. The so-called "double Yang Mania" in "the 20th difficulty of the difficult classics" refers to this. It is suitable to treat and reuse pig iron drop, Hu Huanglian, aloe vera, lingci stone, gentian grass, etc., which are bitter and cold, and can break the power of its prosperity. One is crazy about the decline of Yang and Qi. One is blind to the eyes, blind to the ears, good at shouting, or eating more, good at seeing ghosts and gods, good at laughing but not out. The mania of this festival belongs to the latter. It is suitable to use Guizhi, liquorice, ginseng, Schisandra, white Poria cocos, longan meat, keel, oyster and other flavors to invigorate the heart and Yang.
13. In the case of spleen apoplexy, Weng Weng is feverish and intoxicating, with a heavy stomach and short breath.
14. The spleen is dead and dirty. It floats as strong as a cup. If it is clean and clean as a shaker, it will die. According to Chen Yi and others, each of the five viscera has a cold stroke. Today, the spleen only carries a cold stroke, while the kidney does not. There are many ancient texts in disorder. It is far away from the ancient times, and there is no way to mend them.
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① Clean: clean, clean. It's clean. It's hollow.
[comments] 14 notes: according to Chen Yi and others, each of the five viscera has a cold stroke. Today, the spleen only carries a cold stroke, but the kidney doesn't carry a cold stroke. There are many simple and disordered ancient texts. It's far away from the ancient times, and there's no way to mend them. Because of this, there are many scholars in the future who think that this article is "fragmentary and disorderly, with many oversimplifications".
Although there are different opinions on the meaning of apoplexy and moderate cold mentioned in this article, there is a relatively concentrated understanding that this apoplexy and moderate cold are not the apoplexy and typhoid of sun disease in Treatise on Febrile Diseases (belong to exogenous diseases, and the disease location is in the table). The five viscera apoplexy is not the "apoplexy" in the stroke calendar section of synopsis of the golden chamber. As for the "five viscera wind" in Suwen wind theory and the "five viscera apoplexy" in this article, the former is specialized in treating wind evils and the latter is mainly internal injuries.
So, what does the five viscera apoplexy and cold represent in this section?
Liu Duzhou's "synopsis of the Golden Chamber" points out that: wind and cold are two kinds of diseases with different natures, so-called stroke, representing Yang Syndrome and demonstration. Middle cold represents Yin Syndrome and deficiency syndrome. This paper mainly discusses the differentiation of five zang organs wind heat and Yin cold.
According to Tao baosun's "synopsis of the Golden Chamber", the words "Zhong" of apoplexy and moderate cold should be read in Pingsheng. Because of the main cause of miscellaneous diseases, it is different from the word "Zhong" of exogenous pathogenic factors. That is to say, "apoplexy" refers to wind evil in the five zang organs, and "moderate cold" refers to cold evil in the five zang organs, which is mainly explained by "wind is Yang evil" and "cold is Yin evil".
The above interpretation can be used for reference by researchers.
15. When the Yang pulse falls, it will float and be astringent. If it floats, the stomach qi will be strong. If it is astringent, the urine will be counted. Floating astringent phase fight, defecate is firm, its spleen is about, Ma Zi Ren Wan is the master.
Ma Ziren Wan Fang
Two liters of Mazi kernel, half of peony, half of Fructus aurantii, one jin of rhubarb, one foot of thick and simple skin, half of almond, half of sharp skin, boil, do not make six flavors on fat, the last one is honey refining and pill Wuzi, drink ten pills, take three times a day, gradually increase, and take knowledge as a degree.
[comment] this section discusses the syndrome and treatment of spleen contract. Because the stomach is hot and Qi is full, the spleen yin is damaged, so the spleen cannot transfer the body fluid for the stomach, the body fluid is lost in four cloth, and the bladder is infiltrated, and the intestine is not moistened, then the frequency of urination and the secret of defecation.
Mazieren pill is composed of Xiaochengqi Decoction and mazieren, almond, peony and honey. It can nourish yin, moisten intestines, relieve heat and relieve constipation. This prescription is the ancestor of moistening intestines and relieving constipation. It has certain enlightening effect on the treatment of constipation caused by the injury of Yin due to febrile diseases. For example, if the constipation caused by the injury of Yin due to febrile diseases is obvious, the decoction of increasing fluid and supporting Qi (raw rehmannia, Scrophularia, Maimendong, rhubarb, Glauber's salt, liquorice root) should be used. The decoction of nourishing glory and supporting Qi should be used (Angelica, white peony, rehmannia, rhubarb, Fructus aurantii, Magnolia officinalis).
- The disease of kidney is heavy, cold in the waist, like sitting in the water, in the shape of water, not thirsty, urinating for self-interest, eating as usual, and the disease belongs to the lower Jiao. The body is tired and sweaty. The clothes are cold and wet. It's got a long time. It's cold and painful below the waist. The stomach is as heavy as 5000 yuan. It's the owner of Ganjiang Lingzhu decoction.
Decoction of Glycyrrhiza, Ganjiang, Fuling and Baizhu
Licorice and Atractylodes rhizome, two dried ginger and poria cocos, each with four or two tastes, five liters of water, three liters of boiled water, three warm clothes, and the waist is warm.
[comment] Shenzhu is a disease name established by Zhongjing. The cause of kidney infection is "sweating, cold and wet clothes, long time." The disease of kidney is caused by cold and dampness. The disease is located outside the lower Jiao kidney. Therefore, it is suitable to disperse cold and remove dampness and warm yang qi. Zhongjing took the method of "the soil is better than the water", and used licorice, ginger, Poria and Atractylodes decoction as the main treatment. It can remove cold and dampness with Ganjiang powder, tuckahoe and Atractylodes macrocephala, while liquorice combined with Ganjiang can warm and move Spleen Yang, which can be used together to remove cold and dampness, warm yang, warm waist, and recover kidney. The analysis of "synopsis of the Golden Chamber" by you Yi is thorough, which means that "its treatment is not to warm the kidney to disperse the cold, but to win the water in the thick soil. Gan, Jiang, Ling, Shu, Xin Wen Gan light, this is not kidney medicine, the name of kidney, the original disease is also This is the change from the cause of disease to the name of disease,
It is worth further understanding.
In volume XIX of "preparation of emergency prescriptions for thousands of gold and backache" by Sun Simiao of Tang Dynasty, Glycyrrhiza, ginger, Poria and Atractylodes macrocephala decoction was included, and it was named "kidney with Decoction" according to the disease name of kidney. In the same chapter, the prescription of "shenzhusan" is to add Guixin, Alisma, Niuxi and eucommia to treat cold and wet lumbago. Dried ginger and hanging heart are combined, and the power of Warming Yang is stronger. Cassia heart is used together with Poria cocos and Alisma. It is good at channeling Yang and benefiting water. If you are ill, you may as well use Niuxi to lead you down, and guide you according to the situation. Niuxi and eucommia also have the function of Tonifying the kidney and strengthening the waist.
17. If the kidney is dead and the internal organs are strong, it will be as chaotic as a rotating pill. If it is beneficial to enter the ruler, it will die.
[comment] dead viscera is a pulse phenomenon for the elimination of visceral Qi, which is similar to the "true visceral pulse" in Suwen. The original is called five viscera dead pulse. Its pulse cutting method is to identify the image of the pulse and judge the prognosis through "floating" (floating) and "sinking" (sinking).
18. Ask: what's the meaning of Three Jiao's exhausting part and the upper Jiao's exhausting is good at EEE? Teacher said: the upper Jiao can't eliminate the valley because the middle Jiao's Qi hasn't matched, so it can EEE the ear. Lower Jiao exhausts, that is to say, to drown and lose one's bowels. The Qi is not in harmony with each other. It cannot be self-restraint and cannot be cured for a long time.
[comment] this section is to discuss the differentiation of the three jiao disharmony. "Qi disharmony" is the key to the pathogenesis of triple energizer. Due to the different understanding of the word "exhausted" in the original text, the interpretation of the original text is not the same. One is "exhausting" for "exhausting". The exhausted part of Sanjiao refers to the decline of visceral function of each part of Sanjiao. The second is "Exhaustion" as "repression". The exhausted part of Sanjiao refers to the obstruction of the viscera function of each part of Sanjiao. The above two interpretations
All of them are available and can mutually participate.
19. The teacher said: if the heat is in the upper Jiao, it is impotence due to cough; if the heat is in the middle Jiao, it is firmness; if the heat is in the lower Jiao, it will urinate blood and make the drenching secret blocked. If there is cold in the large intestine, there will be more loose stools; if there is heat, there will be intestinal scaling. If there is cold in the small intestine, people will have bloody stools; if there is heat, there will be hemorrhoids.
[comments] this section lists the syndromes of heat in Sanjiao and the lesions of heat and cold in large and small intestine.
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① Drenching secret: drenching refers to urination and astringent pain; secret, this is for "close" solution, which refers to closed urination.
② Runny duck: duck is duck. It describes that the stool is like duck's, mixed with water and feces.
20. Ask: the disease has accumulation, accumulation and dish Qi. What is it? The teacher said: the accumulation, the internal diseases also, will not move; the accumulation, the viscera diseases also, attack sometimes, turn pain to move, it is treatable; the dish Qi, the pain under the flank, according to it, the more, the recurrence is dish Qi. It is also the accumulation of all the great dharmas that have thin veins and bones. Cunkou, accumulate in the chest; Cunkou, accumulate in the throat; close, accumulate beside the navel; close, accumulate under the heart; close, accumulate in the abdomen; ruler, accumulate in the breath. Pulse left,
Product in the left; pulse out of the right, product in the right; pulse out of the two, product in the center, each with its part.
[comments] the three diseases of accumulation, accumulation and disk Qi can all present symptoms of abdominal distention, fullness or pain, so Zhongjing will compare them. Accumulation of disease in the viscera, the disease has been in-depth blood points, its ruffian push it does not move, pain has a place. Gathering disease in the Fu organs, the disease involves Qi points. Sometimes there is no ruffian, no fixed place for pain, sometimes there is an attack, which can be moved by pushing. It is easier to treat. Disk Qi is the disease of food accumulation.
