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-> -> 痿论篇第四十四

《痿论篇第四十四》[View] [Edit] [History]

1 黄帝问曰:五脏使人痿何也?
2 岐伯对曰:肺主身之皮毛,心主身之血脉,肝主身之筋膜,脾主身之肌肉,肾主身之骨髓。
3 故肺热叶焦,则皮毛虚弱,急薄,著则生痿躄也。
4 心气热,则下脉厥而上,上则下脉虚,虚则生脉痿,枢析挈,胫纵而不任地也。
5 肝气热,则胆泄口苦,筋膜乾,筋膜乾则筋急而挛,发为筋痿。
6 脾气热,则胃乾而渴,肌肉不仁,发为肉痿。
7 肾气热,则腰脊不举,骨枯而髓减,发为骨痿。
8 帝曰:何以得之?岐伯曰:肺者脏之长也,为心之盖也,有所失亡,所求不得,则发肺呜,呜则肺热叶焦,故曰:五脏因肺热叶焦,发为痿躄,此之谓也。
9 悲哀太甚,则胞络绝,胞络绝,则阳气内动,发则心下崩数溲血也。故本病曰:大经空虚,发为肌痹,传为脉痿。
10 思想无穷,所愿不得,意淫于外,入房太甚,宗筋弛纵,发为筋痿,及为白淫。故下经曰:筋痿者生于肝使内也。
11 有渐于湿,以水为事,若有所留,居处相湿,肌肉濡渍,痹而不仁,发为肉痿。故下经曰:肉痿者,得之湿地也。
12 有所远行劳倦,逢大热而渴,渴则阳气内伐,内伐则热合于肾,肾者水脏也;今水不胜火,则骨枯而髓虚。故足不任身,发为骨痿。故下经曰:骨痿者,生于大热也。
13 帝曰:何以别之?岐伯曰:肺热者色白而毛败;心热者色赤而络脉溢;肝热者色苍而爪枯;脾热者色黄而肉蠕动;肾热者色黑而齿槁。
14 帝曰:如夫子言可矣。论言治痿者,独取阳明何也?
15 岐伯曰:阳明者五脏六腑之海,主润宗筋,宗筋主束骨而利机关也。冲脉者,经脉之海也,主渗灌溪谷,与阳明合于宗筋,阴阳?宗筋之会,合于气街,而阳明为之长,皆属于带脉,而络于督脉。故阳明虚,则宗筋纵,带脉不引,故足痿不用也。
16 帝曰:治之奈何?岐伯曰:各补其荥而通其俞,调其虚实,和其逆顺,筋脉骨肉,各以其时受月,则病已矣。帝曰:善。
URN: ctp:ws292781

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