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《卷第三》
43  | 腎者北方水万物之所藏冬則北方用亊王在三時之後腎在四藏之下故王北方也万物春生夏長秋收冬藏百蟲伏蟄冬伏蛰不食之虫言有百種也陽氣下䧟隂氣上升陽氣中出隂氣烈為霜遂不上昇化為雪霜猛獸伏蟄蜾蟲匿藏陽氣下䧟者謂降於上中也其氣猶越而昇出隂氣在上寒盛陽氣虽昇出而不能自致因而化作霜雪或謂陽氣中出是十月則霜降猛獸伏蛰者盖謂龍蛇冬時而潜処蜾䖝无毛甲者得寒皆伏蛰逐陽氣所在如此避氷霜自温養也其脉為沈沈為隂在裏不可發汗發則蜾蟲出見其霜雪陽氣在下故冬脉沈温飬於藏府此為裏实而表虚復從外發其汗此為逆治非其法也猶百䖝伏蛰之時而反出土見於氷霜必死不疑逆治者死此之謂也隂氣在表陽氣在藏慎不可下下之者傷脾脾土弱即水氣妄行陽氣在下温飬諸藏故不可下也下之旣損於陽氣而脾胃復傷土以防水而今反傷之故令水得盈溢而妄行也下之者如魚出水蛾入湯言治病逆則殺人如魚出水蛾入湯火之中立死重客在裏慎不可熏熏之逆客其息則喘重客者猶陽氣也重者尊重之皃也陽位尊処於上今一時在下非其常所故言客也熏謂燒鍼及以偒火之軰熏發其汗如此則客熱從外入与陽氣相薄是為逆也氣上熏𦙄中故令喘息無持客熱令口爛瘡无持者无以湯火發熏其汗也熏之則火氣入裏為客熱故令其口生瘡隂脈且解血散不通正陽遂厥隂不往從血行脉中氣行脉外五十周而復㑹如環之无端也血為隂氣為陽相須而行發其汗使隂陽離别脉為觧散血不得通厥者逆也謂陽氣逆而不復相朝使治病失所故隂陽錯逆可不慎也客熱狂入內為結𦙄隂陽錯乱外熱狂入留結𦙄中也脾氣遂弱清溲利通脾主水榖其氣微弱水榖不化下痢不息清者厠也溲從水道出而反清溲者是謂下利至廁也右四時經 |
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