{"resource_id":14843,"title":"《古今图书集成》医部全录卷252至卷256-泄泻门","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"古今圖書整合","sections":[{"id":"chapter-1-section-1","title":"古今圖書整合醫部全錄卷二百五十二","paragraphs":[]},{"id":"chapter-1-section-2","title":"洩瀉門","paragraphs":["黃帝素問"]},{"id":"chapter-1-section-3","title":"四氣調神大論","paragraphs":["秋三月，此為容平。天氣以急，地氣以明。早臥早起，與雞俱興。使志安寧，以緩秋刑。收斂神氣，使秋氣平。無外其志，使肺氣清。此秋氣之應，養收之道也。逆之則傷肺，冬為飧洩，奉藏者少。","【注　肺屬金，王於秋。逆秋收之氣則傷肺，肺傷至冬為飧洩之病，因奉藏者少故也。蓋秋收而後冬藏，陽藏於陰，而為中焦釜底之然，以腐化水谷。秋失其收，則奉藏者少，至冬寒水用事，陽氣下虛，則水谷不化，而為飧洩矣。】"]},{"id":"chapter-1-section-4","title":"生氣通天論","paragraphs":["凡陰陽之要，陽密乃固。兩者不和，若春無秋，若冬無夏。因而和之，是為聖度。故陽強不能密，陰氣乃絕。陰平陽秘，精神乃治。陰陽離決，精氣乃絕。因於露風，乃生寒熱。是以春傷於風，邪氣留連，乃為洞洩。","【注　傷於風者，上先受之。傷於溼者，下先受之。陽病者，上行極而下，是以春傷於風，乃為洞洩。】"]},{"id":"chapter-1-section-5","title":"金匱真言論","paragraphs":["長夏善病洞洩寒中。","【注　夏時陽氣在外，裡氣虛寒。長夏溼土主氣，風入於經俞，即內薄而為洞洩，風木乘虛而勝土也。脾為陰中之至陰，不能化熱而為寒中也。】","故冬不按蹺，長夏不病洞洩寒中。飧洩而汗出也飧洩而汗出也　此句《素問》金匱真言論作「冬不病痺厥飧洩而汗出也」。。","【注　按蹺者，按摩導引，引陽氣之通暢於四肢也。冬時陽氣伏藏，若導引其四出，則無以奉春生夏長之氣，是以有洞洩寒中之病。人能藏養元真之氣，必不使邪傷經脈，病在內而為飧洩也。亦不使邪傷陽氣，病在外而汗出也。】"]},{"id":"chapter-1-section-6","title":"陰陽應象大論","paragraphs":["寒氣生濁，熱氣生清。清氣在下則生飧洩，濁氣在上則生(月真)脹。此陰陽反作，病之從逆也。","【注　寒氣下凝，故生濁陰；熱氣上散，故生清陽。如清氣在下，是上而下降，故飧洩。濁氣在上，是下而上凝，故(月真)脹。此身中陰陽反作，氣之逆從為病也。】","溼勝則濡瀉。","【注　溼淫所勝，則脾土受傷，而為濡瀉之病。】","故重陰必陽，重陽必陰。春傷於風，夏生飧洩。","【注　春傷風而夏傷暑，謂之重陽。春傷風而飧洩，乃重陽而變陰病也。】"]},{"id":"chapter-1-section-7","title":"脈要精微論","paragraphs":["胃脈實則脹，虛則洩。","【注　經曰：脾氣實則腹脹，不足則為溏洩。蓋脾與胃以膜相連耳。胃為陽，脾為陰。陽病者，上行極而下，是以脈見於胃，而病見於脾也。】","久風為飧洩。","【注　風乃木邪，久則內幹脾土，而成飧洩。故曰春傷於風，邪氣留連，乃為洞洩。】"]},{"id":"chapter-1-section-8","title":"平人氣象論","paragraphs":["尺寒脈細，謂之後洩。","【注　夫陽氣生於陰中，尺膚寒生陽之氣少矣。陽氣衰於下，故主虛洩。洩則亡陰，故脈細也。】","洩而脫血，脈實者，皆難治，命曰反四時也。","【注　洩脫之病，氣應虛散而脈反實，此脈證之不相應，正氣亂也，故難治。】"]},{"id":"chapter-1-section-9","title":"玉機真髒論","paragraphs":["脈細，皮寒，氣少，洩利前後，飲食不入，此謂五虛。漿粥入胃，洩注止，則虛者活。","【注　脈細，心氣虛也。皮寒，肺氣虛也。肝主春生之氣，氣少，肝氣虛也。洩利前後，腎氣虛也。飲食不入，脾氣虛也。蓋邪之所湊，其正必虛。是以邪氣盛者死，正氣虛者亦死也。五臟之氣，皆由胃氣之所資生，漿粥入腎，洩注止，腎氣復也。】"]},{"id":"chapter-1-section-10","title":"太陰陽明論","paragraphs":["食飲不節，起居不時，則陰受之。陰受之則入五臟，入五臟則(月真)滿閉塞，下為飧洩，久為腸澼。","【注　入五臟，謂太陰為之行氣於三陰，太陰病則五臟之氣皆為之病矣。脾氣逆則脹滿，太陰為開，開折則倉廩無所輸而為飧洩，久則為腸澼矣。】"]},{"id":"chapter-1-section-11","title":"咳論","paragraphs":["人與天地相參，故五臟各以治。時感於寒則受病，微則為咳，甚則為洩為痛。","【注　五臟之氣，與四時五行之氣相合，故五臟各以所主治之。時而感於寒則受病，微則上乘於肺而為咳，甚則上行極而下為洩痛矣。】"]},{"id":"chapter-1-section-12","title":"舉痛論","paragraphs":["寒氣客於小腸，小腸不得成聚，故後洩腹痛矣。","【注　寒氣客於小腸之間，轉入於腸內，故不成積聚，而為後洩腹痛也。】","怒則氣逆，甚則嘔血及飧洩。","【注　肝主怒而藏血，怒則肝氣上逆，故甚則嘔血，木氣乘脾，故為飧洩。】"]},{"id":"chapter-1-section-13","title":"痺論","paragraphs":["腸痺者，數飲而出不得，中氣喘爭，時發飧洩。","【注　腸痺者，兼大小腸而言。小腸為心之腑而主小便，邪痺於小腸，則火熱鬱於上而為數飲，下為小便不得出也。大腸為肺之腑，而主大便，邪痺於大腸，故上則為中氣喘爭，而下為飧洩也。】"]},{"id":"chapter-1-section-14","title":"標本病傳論","paragraphs":["先病而後洩者，治其本。先洩而後生他病者，治其本。必且調之，乃治其他病。","【注　洩乃溼土之病，他病如溼邪所勝，民病心痛耳聾之類，故當先治其虛洩，以調脾土，而後治他病。】"]},{"id":"chapter-1-section-15","title":"髒氣法時論","paragraphs":["脾病者，虛則腹滿腸鳴，飧洩食不化。","【注　脾主通會五臟元真之氣，脾氣傷則不能化水谷，而有飧洩之病。】"]},{"id":"chapter-1-section-16","title":"宣明五氣論","paragraphs":["五氣所病，大腸小腸為洩。","【注　大腸小腸受盛水谷，變化糟粕，病則不能化物而為洩矣。】"]},{"id":"chapter-1-section-17","title":"調經論","paragraphs":["志有餘則腹脹飧洩。","【注　腎者胃之關，關門不利，則聚水而為腹脹飧洩。】"]},{"id":"chapter-1-section-18","title":"陰陽別論","paragraphs":["一陽發病，少氣善咳善洩。","【注　一陽者，少陽之氣病也。少陽主初生之氣，病則生氣少矣。足少陽相火主氣，氣少則火壯矣。火鑠金故善咳，木火之邪賊傷中故土善洩也。】"]},{"id":"chapter-1-section-19","title":"風論","paragraphs":["久風入中，則為腸風飧洩。","【注　風邪久在肌腠，而入於中，則脾胃之氣受傷，而為腸風飧洩。】","胃風之狀，頸多汗，惡風，食飲不下，膈塞不通，腹善滿，失衣則(月真)脹，食寒則洩，診形瘦而腹大。","【注　頸有風池、風府，乃經脈之要會，故頸多汗。胃腑受邪，故飲食不下。膈塞不通，腹善滿也。胃氣不足，則身以前皆寒。","腹脹滿，是以形寒則(月真)脹。飲冷則洩者，胃氣虛傷也。胃者肉其應，腹者胃之郛，故主形瘦而腹大。】"]},{"id":"chapter-1-section-20","title":"厥論","paragraphs":["少陰厥逆，虛滿嘔變，下洩清，治主病者。","【注　少陰之氣，上與陽明相合而主化水谷，少陰氣厥，以致中焦虛滿，而變為嘔逆。上下水火之氣不交，故下洩清冷也。】"]},{"id":"chapter-1-section-21","title":"刺熱論","paragraphs":["脾熱病者，熱爭則腰痛不可用俯仰，腹滿洩。","【注　經雲：陽病者腰反折不能俯，陰病者不能仰，故腰痛不可用俯仰。腹者脾土之郛郭，故腹滿洩。】"]},{"id":"chapter-1-section-22","title":"五常政大論","paragraphs":["土不及，曰卑監。卑監之紀，是謂減化。其病飧洩，邪傷脾也。","【注　土運不及，則化氣乃減，木反勝之，是以脾氣傷而病飧洩也。】"]},{"id":"chapter-1-section-23","title":"氣交變大論","paragraphs":["歲土太過，髒氣伏，化氣獨治之，病腹滿溏洩腸鳴。","【注　髒氣，水氣；化氣，土氣也。歲土太過則制水，是以髒氣伏，腹滿溏洩腸鳴，脾土之虛證也。】","歲水太過，溼氣變物，病反腹滿腸鳴溏洩，食不化。","【注"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"古今圖書整合","section_title":"古今圖書整合醫部全錄卷二百五十二","is_available":true},{"id":"chapter-1-section-2","chapter_title":"古今圖書整合","section_title":"洩瀉門","is_available":true},{"id":"chapter-1-section-3","chapter_title":"古今圖書整合","section_title":"四氣調神大論","is_available":true},{"id":"chapter-1-section-4","chapter_title":"古今圖書整合","section_title":"生氣通天論","is_available":true},{"id":"chapter-1-section-5","chapter_title":"古今圖書整合","section_title":"金匱真言論","is_available":true},{"id":"chapter-1-section-6","chapter_title":"古今圖書整合","section_title":"陰陽應象大論","is_available":true},{"id":"chapter-1-section-7","chapter_title":"古今圖書整合","section_title":"脈要精微論","is_available":true},{"id":"chapter-1-section-8","chapter_title":"古今圖書整合","section_title":"平人氣象論","is_available":true},{"id":"chapter-1-section-9","chapter_title":"古今圖書整合","section_title":"玉機真髒論","is_available":true},{"id":"chapter-1-section-10","chapter_title":"古今圖書整合","section_title":"太陰陽明論","is_available":true},{"id":"chapter-1-section-11","chapter_title":"古今圖書整合","section_title":"咳論","is_available":true},{"id":"chapter-1-section-12","chapter_title":"古今圖書整合","section_title":"舉痛論","is_available":true},{"id":"chapter-1-section-13","chapter_title":"古今圖書整合","section_title":"痺論","is_available":true},{"id":"chapter-1-section-14","chapter_title":"古今圖書整合","section_title":"標本病傳論","is_available":true},{"id":"chapter-1-section-15","chapter_title":"古今圖書整合","section_title":"髒氣法時論","is_available":true},{"id":"chapter-1-section-16","chapter_title":"古今圖書整合","section_title":"宣明五氣論","is_available":true},{"id":"chapter-1-section-17","chapter_title":"古今圖書整合","section_title":"調經論","is_available":true},{"id":"chapter-1-section-18","chapter_title":"古今圖書整合","section_title":"陰陽別論","is_available":true},{"id":"chapter-1-section-19","chapter_title":"古今圖書整合","section_title":"風論","is_available":true},{"id":"chapter-1-section-20","chapter_title":"古今圖書整合","section_title":"厥論","is_available":true},{"id":"chapter-1-section-21","chapter_title":"古今圖書整合","section_title":"刺熱論","is_available":true},{"id":"chapter-1-section-22","chapter_title":"古今圖書整合","section_title":"五常政大論","is_available":true},{"id":"chapter-1-section-23","chapter_title":"古今圖書整合","section_title":"氣交變大論","is_available":true}],"plain_text":"# 古今圖書整合\n## 古今圖書整合醫部全錄卷二百五十二\n## 洩瀉門\n黃帝素問\n## 四氣調神大論\n秋三月，此為容平。天氣以急，地氣以明。早臥早起，與雞俱興。使志安寧，以緩秋刑。收斂神氣，使秋氣平。無外其志，使肺氣清。此秋氣之應，養收之道也。逆之則傷肺，冬為飧洩，奉藏者少。\n【注　肺屬金，王於秋。逆秋收之氣則傷肺，肺傷至冬為飧洩之病，因奉藏者少故也。蓋秋收而後冬藏，陽藏於陰，而為中焦釜底之然，以腐化水谷。秋失其收，則奉藏者少，至冬寒水用事，陽氣下虛，則水谷不化，而為飧洩矣。】\n## 生氣通天論\n凡陰陽之要，陽密乃固。兩者不和，若春無秋，若冬無夏。因而和之，是為聖度。故陽強不能密，陰氣乃絕。陰平陽秘，精神乃治。陰陽離決，精氣乃絕。因於露風，乃生寒熱。是以春傷於風，邪氣留連，乃為洞洩。\n【注　傷於風者，上先受之。傷於溼者，下先受之。陽病者，上行極而下，是以春傷於風，乃為洞洩。】\n## 金匱真言論\n長夏善病洞洩寒中。\n【注　夏時陽氣在外，裡氣虛寒。長夏溼土主氣，風入於經俞，即內薄而為洞洩，風木乘虛而勝土也。脾為陰中之至陰，不能化熱而為寒中也。】\n故冬不按蹺，長夏不病洞洩寒中。飧洩而汗出也飧洩而汗出也　此句《素問》金匱真言論作「冬不病痺厥飧洩而汗出也」。。\n【注　按蹺者，按摩導引，引陽氣之通暢於四肢也。冬時陽氣伏藏，若導引其四出，則無以奉春生夏長之氣，是以有洞洩寒中之病。人能藏養元真之氣，必不使邪傷經脈，病在內而為飧洩也。亦不使邪傷陽氣，病在外而汗出也。】\n## 陰陽應象大論\n寒氣生濁，熱氣生清。清氣在下則生飧洩，濁氣在上則生(月真)脹。此陰陽反作，病之從逆也。\n【注　寒氣下凝，故生濁陰；熱氣上散，故生清陽。如清氣在下，是上而下降，故飧洩。濁氣在上，是下而上凝，故(月真)脹。此身中陰陽反作，氣之逆從為病也。】\n溼勝則濡瀉。\n【注　溼淫所勝，則脾土受傷，而為濡瀉之病。】\n故重陰必陽，重陽必陰。春傷於風，夏生飧洩。\n【注　春傷風而夏傷暑，謂之重陽。春傷風而飧洩，乃重陽而變陰病也。】\n## 脈要精微論\n胃脈實則脹，虛則洩。\n【注　經曰：脾氣實則腹脹，不足則為溏洩。蓋脾與胃以膜相連耳。胃為陽，脾為陰。陽病者，上行極而下，是以脈見於胃，而病見於脾也。】\n久風為飧洩。\n【注　風乃木邪，久則內幹脾土，而成飧洩。故曰春傷於風，邪氣留連，乃為洞洩。】\n## 平人氣象論\n尺寒脈細，謂之後洩。\n【注　夫陽氣生於陰中，尺膚寒生陽之氣少矣。陽氣衰於下，故主虛洩。洩則亡陰，故脈細也。】\n洩而脫血，脈實者，皆難治，命曰反四時也。\n【注　洩脫之病，氣應虛散而脈反實，此脈證之不相應，正氣亂也，故難治。】\n## 玉機真髒論\n脈細，皮寒，氣少，洩利前後，飲食不入，此謂五虛。漿粥入胃，洩注止，則虛者活。\n【注　脈細，心氣虛也。皮寒，肺氣虛也。肝主春生之氣，氣少，肝氣虛也。洩利前後，腎氣虛也。飲食不入，脾氣虛也。蓋邪之所湊，其正必虛。是以邪氣盛者死，正氣虛者亦死也。五臟之氣，皆由胃氣之所資生，漿粥入腎，洩注止，腎氣復也。】\n## 太陰陽明論\n食飲不節，起居不時，則陰受之。陰受之則入五臟，入五臟則(月真)滿閉塞，下為飧洩，久為腸澼。\n【注　入五臟，謂太陰為之行氣於三陰，太陰病則五臟之氣皆為之病矣。脾氣逆則脹滿，太陰為開，開折則倉廩無所輸而為飧洩，久則為腸澼矣。】\n## 咳論\n人與天地相參，故五臟各以治。時感於寒則受病，微則為咳，甚則為洩為痛。\n【注　五臟之氣，與四時五行之氣相合，故五臟各以所主治之。時而感於寒則受病，微則上乘於肺而為咳，甚則上行極而下為洩痛矣。】\n## 舉痛論\n寒氣客於小腸，小腸不得成聚，故後洩腹痛矣。\n【注　寒氣客於小腸之間，轉入於腸內，故不成積聚，而為後洩腹痛也。】\n怒則氣逆，甚則嘔血及飧洩。\n【注　肝主怒而藏血，怒則肝氣上逆，故甚則嘔血，木氣乘脾，故為飧洩。】\n## 痺論\n腸痺者，數飲而出不得，中氣喘爭，時發飧洩。\n【注　腸痺者，兼大小腸而言。小腸為心之腑而主小便，邪痺於小腸，則火熱鬱於上而為數飲，下為小便不得出也。大腸為肺之腑，而主大便，邪痺於大腸，故上則為中氣喘爭，而下為飧洩也。】\n## 標本病傳論\n先病而後洩者，治其本。先洩而後生他病者，治其本。必且調之，乃治其他病。\n【注　洩乃溼土之病，他病如溼邪所勝，民病心痛耳聾之類，故當先治其虛洩，以調脾土，而後治他病。】\n## 髒氣法時論\n脾病者，虛則腹滿腸鳴，飧洩食不化。\n【注　脾主通會五臟元真之氣，脾氣傷則不能化水谷，而有飧洩之病。】\n## 宣明五氣論\n五氣所病，大腸小腸為洩。\n【注　大腸小腸受盛水谷，變化糟粕，病則不能化物而為洩矣。】\n## 調經論\n志有餘則腹脹飧洩。\n【注　腎者胃之關，關門不利，則聚水而為腹脹飧洩。】\n## 陰陽別論\n一陽發病，少氣善咳善洩。\n【注　一陽者，少陽之氣病也。少陽主初生之氣，病則生氣少矣。足少陽相火主氣，氣少則火壯矣。火鑠金故善咳，木火之邪賊傷中故土善洩也。】\n## 風論\n久風入中，則為腸風飧洩。\n【注　風邪久在肌腠，而入於中，則脾胃之氣受傷，而為腸風飧洩。】\n胃風之狀，頸多汗，惡風，食飲不下，膈塞不通，腹善滿，失衣則(月真)脹，食寒則洩，診形瘦而腹大。\n【注　頸有風池、風府，乃經脈之要會，故頸多汗。胃腑受邪，故飲食不下。膈塞不通，腹善滿也。胃氣不足，則身以前皆寒。\n腹脹滿，是以形寒則(月真)脹。飲冷則洩者，胃氣虛傷也。胃者肉其應，腹者胃之郛，故主形瘦而腹大。】\n## 厥論\n少陰厥逆，虛滿嘔變，下洩清，治主病者。\n【注　少陰之氣，上與陽明相合而主化水谷，少陰氣厥，以致中焦虛滿，而變為嘔逆。上下水火之氣不交，故下洩清冷也。】\n## 刺熱論\n脾熱病者，熱爭則腰痛不可用俯仰，腹滿洩。\n【注　經雲：陽病者腰反折不能俯，陰病者不能仰，故腰痛不可用俯仰。腹者脾土之郛郭，故腹滿洩。】\n## 五常政大論\n土不及，曰卑監。卑監之紀，是謂減化。其病飧洩，邪傷脾也。\n【注　土運不及，則化氣乃減，木反勝之，是以脾氣傷而病飧洩也。】\n## 氣交變大論\n歲土太過，髒氣伏，化氣獨治之，病腹滿溏洩腸鳴。\n【注　髒氣，水氣；化氣，土氣也。歲土太過則制水，是以髒氣伏，腹滿溏洩腸鳴，脾土之虛證也。】\n歲水太過，溼氣變物，病反腹滿腸鳴溏洩，食不化。\n【注　","is_preview":true,"preview_page_limit":10}