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二跷为病(2/2)

巢元方云∶脾病困倦而嗜卧,胆病多烦而不眠。王叔和脉经云∶夜疾有声者,土休故也,人亦应之。人夜卧,则脾不动摇,脉为之数疾也。

又云∶壮者血气盛、肌,营卫不失其常,故昼而夜瞑。老人气血衰、气涩,卫气内伐,故昼不而夜不瞑。又云∶多卧者,胃大而肤涩,分不解,卫气行迟故也。张和云∶思气所至为不眠、为嗜卧。

又曰∶风痉反折,先取足太及 中及血络血,若中有寒邪,取跷及三上及血络血。

一云∶脾之候在睑,睑动则知脾能消化也。脾病则睑涩嗜卧矣。数说皆论目闭目不瞑,虽不言及二跷,盖亦不离乎营卫虚实之理。可互考者也。

灵枢曰∶五谷于胃也,其糟粕、津、宗气为三隧。故宗气积于中,咙,以贯心肺而行呼焉。营气者,其津,注之于脉,化而为血,以荣四末,内注五脏六腑,以应刻数焉。卫气者,其悍气之 疾,而先于四末分肤之间,而不休焉。

灵枢经曰 目中赤痛,从内 始,取之跷。(也)

又曰∶跷、跷,于目锐 。气盛则 目,气盛则瞑目,厥取足太、少

李濒湖云∶灵枢有云∶足太为目上纲,足明之为目下纲,寒则急目不合,纵目不开。

甲乙经曰∶人病目闭不得视者,卫气留于,不得行于,留于气盛,气盛则跷满,不得气虚,故目闭也。

昼日行于,夜行于,常从足少分间,行于五脏六腑。今厥气客于五脏六腑,则卫气独卫其外,行于不得,行于气盛,气盛则跷陷,不得气虚,故目不瞑也。治当补其不足,泻其有余,以通其而去其邪,饮以半夏汤一荆,已通,其卧立至。其方用千里以外者八升,扬之万遍,取其清五升煮之,炊以苇薪火,沸,置秫米一升、治半夏五合,徐炊令至一升半,去其滓,饮一小杯,日三,稍益以知为度。故其病新发者。复杯则卧,汗则已,久者三饮而已。

李濒湖曰∶足太,京骨也。在足外侧小指本节后大骨下,赤白际陷中,针三分,灸七壮。 中,委中也。在曲膝后横文中,针三分。跷取,见前。三,大敦也。在足大指外侧三中,肝脉之井也。

病目不得瞑者,卫气不得,常留于,留于气满,气满则跷盛,不得气虚,故目不瞑也。

针三分,灸三壮。血络者,视其有络脉盛满者,其血也。

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