厥論篇/Jue Lun

(On Jue-syndrome)

黃帝問(wèn)日:厥之寒熱者何也!岐伯對(duì)日:陽(yáng)氣衰于下，則為寒厥;陰氣衰于下，則為熱厥。

Yellow Emperor asked:"Why are there the cold-type jue-syndromes and the heat-type jue-syndrome?" Qibo answered: "When the Yang energy begins to decline in the feet, it is the cold-type jue-syndrome, when the Yin energy begins to decline in the feet, it is heat-type jue-synarome."

帝曰:熱厥之為熱也[《甲乙》、《千金》“熱厥”下并無(wú)“之為熱也”四字]，必起于足下者何也?岐伯日:陽(yáng)氣起于[林校引《甲乙》“起”作“走”]足五指之表，陰脈者[《太素》、《病沅》、《千金》“集于”上并無(wú)“陰脈者”三字]集于足下，而聚于足心，故陽(yáng)氣[《太素》、《甲乙》“陽(yáng)”下并無(wú)“氣”字]勝則足下熱也。

Yellow Emperor asked:"The heat-type jue-syndrome is certain to emerges from the foot, and why is it?" Qibo said:"The Yang energy passes through the outer flank of the five toes, concentrates under the foot and assembles on the sole, When Yang is abundant under the foot, it will produce heat."

帝日:寒厥之為寒[《甲乙》《千金》并無(wú)“之為寒也”四字]也，必從[《甲乙》《千金》“從”并作“起”，《太素》《病沅》“而上于膝者”并作“始上于膝下”]五指而上于膝者何也?岐伯日:陰氣起于五指之里，集于膝下[《千金》無(wú)“下”字]而聚于膝上，故陰氣勝，則從五指至膝上寒，其寒也，不從外，皆從內(nèi)也[《太素》、《病沅》并作“內(nèi)寒”]。

Yellow Emperor asked:"The cold-type jue-syndrome initiates regularly from the five toes and then go up to the location under the knee, and what is the reason?" Qibo said:"The Yin energy emerges from the inside of the five toes, and accumulates on the knee. When the Yin energy is abundant, it can cause the cold to emerge from the toes and then goes up to the knee; the cold is not the kind of cold which invades the body from outside, but is the cold due to the asthenic Yang from inside."

帝日:寒厥何失[“失”字誤，疑應(yīng)作“如”]而然也?岐伯日:前陰者，宗[《甲乙》“宗”作“眾”]筋之所聚，太陰陽(yáng)明之所合也。春夏則陽(yáng)氣多而陰氣少，秋冬則陰氣盛而陽(yáng)氣衰。此人者質(zhì)壯，以秋冬奪于所用，下氣上爭(zhēng)不能復(fù)，精氣溢下，邪氣因從之而上也;氣因[《太素》“因”作“居”]于中，陽(yáng)氣衰，不能滲營(yíng)其經(jīng)絡(luò)，陽(yáng)氣日損，陰氣獨(dú)在，故手足為之寒也。

Yellow Emperor asked:"How does the cold-type jue-syndrome come about?" Qibo said:"The anterior yin (external genitals) is the place where the various tendons assemble and it is also the juncture of the Taiyang Channel of spleen and the Yangming Channel of stomach. Generally, in spring and summer, the Yang energy is plenty and the Yin energy is little, in autumn and winter, the Yin energy is prosperous and the Yang energy is deficient. Mostly, the patient of the cold-type jue-syndrome is self-assured that he is having a strong body, neglects to practise temperance to the sexual activities in autumn and winter when the Yang energy is declined, it causes the Yin energy below to float up and contend with the Yang energy, As the Yang energy can not be stored inside, the Yin energy which is cold will be reversed up to become the cold-type jue-syndrome. Since the cold-evil is harbouring inside, the Yang energy will decline in the wake of it, and it will not be able to permeat and operate in the channels and collaterals. In this way, the Yang energy is injured every day, and finally, the Yin energy will be existing solely, and as a result, the patient will have cold extremities."