{"resource_id":14849,"title":"《古今图书集成》医部全录卷278至卷279-汗门","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二百七十八","paragraphs":[]},{"id":"chapter-1-section-2","title":"汗門","paragraphs":["黃帝素問"]},{"id":"chapter-1-section-3","title":"經脈別論","paragraphs":["飲食飽甚，汗出於胃。驚而奪精，汗出於心。持重遠行，汗出於腎。疾走恐懼，汗出於肝。搖體勞苦，汗出於脾。","【注　汗者水谷之津液，飽甚則胃滿，故汗出於胃。血乃心之精，汗乃血之液，驚傷心氣，汗出於心，故曰奪精。腎主骨，持重遠行則傷骨，故汗出於腎。肝主筋，疲勞傷筋，故汗出於肝。勞傷四體，故汗出於脾。】"]},{"id":"chapter-1-section-4","title":"陰陽別論","paragraphs":["陽加於陰謂之汗。","【注　汗乃陰液，由陽氣之宣發，而後能充身澤毛。若動數之陽脈，加於尺部，是謂之汗。】"]},{"id":"chapter-1-section-5","title":"髒氣法時論","paragraphs":["肺病者，喘咳逆氣，肩背痛，汗出。","【注　肺主氣而發源於腎，母子之經氣相通也。故氣逆則喘咳肩背痛而汗出。】","腎病者，寢汗出，憎風。","【注　太陽之氣司表，而下出膀胱經，氣逆則表氣虛，故寢汗出而惡風。】"]},{"id":"chapter-1-section-6","title":"痺論","paragraphs":["風寒溼三氣雜至，合而為痺。其多汗而濡者，此其逢溼甚也。陽氣少，陰氣盛，兩氣相感，故汗出而濡也。","【注　夫感天地之陰寒，而吾身之陰氣又盛，兩氣相感，故汗出而濡也。】"]},{"id":"chapter-1-section-7","title":"評熱病論","paragraphs":["人所以汗出者，皆生於谷，谷生於精。","【注　汗生於水谷之精，水谷之精，由精氣之所化也。】","今邪氣交爭於骨肉而得汗者，是邪卻而精勝也。","【注　交爭於骨肉者，邪氣伏匿於骨肉之間，至春時與正氣交爭，而發為溫病。得汗，是精氣勝而邪當共並而出矣。】","復熱者，邪氣也。汗者，精氣也。今汗出而輒復熱者，是邪勝也。汗出而脈尚躁盛者死。今脈不與汗相應，此不勝其病也，其死明矣。","【注　今汗出而邪留不去，則熱邪復傷其陰精矣。熱病已得汗而脈尚躁盛，此陰脈之極也，死。】","陰虛者陽必湊之，故少氣時熱而汗出也。","【注　陰虛則陽往乘之，故汗出。】","汗出而身熱者風也，汗出而煩滿不解者厥也，病名曰風厥。","【注　風為陽邪，開發肌腠，津液外洩，風熱留之，故身熱。風熱不去則傷動其腎，氣逆於上則心煩，乘於脾土則中滿，病名曰風厥，謂因風邪而使腎氣之厥逆也。】"]},{"id":"chapter-1-section-8","title":"脈要精微論","paragraphs":["肺脈軟而散者，當病灌汗，至令不復散發也。","【注　灌汗者，脾土灌溉之汗。肺氣虛而不能輸布水液，脾氣自灌於肌膚，至令肺氣不復通調散發也。】","陽氣有餘，為身熱無汗；陰氣有餘，為多汗身寒；陰陽有餘，則無汗而寒。","【注　邪在陽分，故身熱無汗。邪在陰分，故多汗身寒。陰陽並受其邪，則無汗而寒也。】"]},{"id":"chapter-1-section-9","title":"生氣通天論","paragraphs":["因於暑，汗，煩則喘喝，靜則多言。體若燔炭，汗出而散。","【注　天之陽邪，傷人陽氣，氣傷外弛，故汗出。】","汗出偏沮，使人偏枯。汗出見溼，乃生痤痱。勞汗當風，寒薄為皶，鬱乃痤。魄汗未盡，形弱而氣爍，穴俞以閉，發為風瘧。","【注　汗出而半身沮溼，是陽氣虛不能充身遍澤，必有偏枯之患。汗出見溼，則溼熱鬱之於皮膚，則生痤痱。勞汗當風，則寒溼鬱於皮膚而為皶痤矣。魄汗未盡，表邪未去也。表陽邪氣，同陷其間，寒邪隨陽化熱，故氣爍，表氣不入於經，故穴俞以閉，但熱不寒為風瘧。】"]},{"id":"chapter-1-section-10","title":"金匱真言論","paragraphs":["夏暑汗不出者，秋成風瘧。","【注　夏不汗出，則暑氣伏藏，至秋乃成風瘧。】"]},{"id":"chapter-1-section-11","title":"熱論","paragraphs":["暑當與汗皆出，勿止。","【注　伏匿之邪，與汗共出，故不可止之。】"]},{"id":"chapter-1-section-12","title":"宣明五氣論","paragraphs":["心為汗。","【注　心主血，汗乃心之液也。】"]},{"id":"chapter-1-section-13","title":"骨空論","paragraphs":["風從外入，令人振寒汗出，頭痛身重，惡寒。","【注　風為陽邪，傷人陽氣，故病如此。】"]},{"id":"chapter-1-section-14","title":"平人氣象論","paragraphs":["尺濇脈滑，謂之多汗。","【注　尺膚濇者，風痺也。邪迫於經，其脈則滑，以風之陽邪，閉於皮膚之間，而迫於經脈，故主多汗。】"]},{"id":"chapter-1-section-15","title":"水熱穴論","paragraphs":["勇而勞甚則腎汗出，腎汗出逢於風，內不得入於臟腑，外不得越於皮膚，客於元府，行於皮裡，傳為胕腫，本之於腎，名曰風水。所謂元府者，汗空也。","【注　勇而勞甚，則傷骨而腎氣動，則水液上升而為汗矣。因風而致水腫於皮膚間也。】"]},{"id":"chapter-1-section-16","title":"診要經終論","paragraphs":["太陽之脈，其終也，戴眼反折瘈瘲，其色白，絕汗乃出，出則死矣。","【注　太陽之經氣已絕，故瘈瘲戴眼反折。手太陽主液，足太陽藏液。絕汗者，津液外亡也。】"]},{"id":"chapter-1-section-17","title":"舉痛論","paragraphs":["熱則腠理開，榮衛通，汗大洩，故氣洩矣。勞則喘息汗出，外內皆越，故氣耗矣。","【注　夫氣為陰之固，陰為陽之守，熱則腠理開，汗大洩，則陽氣從而外洩矣。勞則腎氣傷而喘息於內，陽氣張而汗出於外，外內皆越，故氣耗矣。】"]},{"id":"chapter-1-section-18","title":"陰陽應象大論","paragraphs":["陽之汗，以天地之雨名之。","【注　汗出於陰液，由陽氣之宣發，雨乃地之陰溼，由天氣之所發，故方之。】","陽盛則身熱，腠理閉，喘粗，為之俯仰，汗不出而熱，齒幹，以煩冤腹滿死，能冬不能夏。陰盛則身寒汗出，身常清，數慄而寒，寒則厥，厥則腹滿死，能夏不能冬。","【注　陽乃火熱用事，熱在表，則腠理閉而喘，粗汗不出。腎主精液，心主血液，齒幹，精液竭，煩冤，血液枯也。中焦之生氣絕則腹滿，此陽熱偏勝之死證，雖苟延於冬而不能倖免於夏也。若陰盛則陽虛，故汗出。陰寒在表，故身常清，在裡則數慄而寒；表裡俱寒，故四肢厥冷腹脹滿也。此陰寒偏盛之死證，得夏月之陽熱，尚可救其陰寒也。】"]},{"id":"chapter-1-section-19","title":"六元正紀大論","paragraphs":["太陽所至，為寢汗，痙。","【注　此秋病之常也。】"]},{"id":"chapter-1-section-20","title":"氣交變大論","paragraphs":["歲水太過，甚則寢汗出，憎風。","【注　歲水太過，諸丙歲也。水泛則源竭，太陽之氣無從資生，表陽虛，故汗出憎風也。】"]},{"id":"chapter-1-section-21","title":"至真要大論","paragraphs":["少陰在泉，主勝則魄汗不藏，四逆而起。","【注　四之主氣，乃太陰溼土，客氣乃太陽寒水。以土勝水，是以津液不藏而汗出於表也。】","靈樞經"]},{"id":"chapter-1-section-22","title":"邪氣臟腑病形篇","paragraphs":["肺脈緩甚為多汗。","【注　緩則肺熱甚，故多汗。】","微緩，頭以下汗出不可止。","【注　肺主周身之氣而朝百脈，腠理開，故頭以下汗出不可止，是頸項胸背之間，肺之外部也。】"]},{"id":"chapter-1-section-23","title":"經脈篇","paragraphs":["肺手太陰之脈，是主肺所生病者，氣盛有餘則肩背痛，風寒汗出中風。","【注　肺俞在肩背，肺氣盛故痛。風寒汗出中風，乃三陰三陽之氣在表，而合於天之六氣也。】","胃足陽明之脈，是主血所生病者，狂，瘧溫淫汗出。","【注　胃主榮血，故主血所生病者，為狂為溫瘧汗出者，胃氣熱而蒸發水液之汗也。】","三焦手少陽之脈，是主氣所生病者，汗出。","【注　少陽乃一陽初生之氣，汗出者陽加於陰也。】","膽足少陽之脈，是主骨所生病者，汗出。","六陽氣絕，則陰與陽相離，離則腠理髮洩，絕汗乃出，故旦佔夕死，夕佔旦死。","【注　陽氣根於陰而出於陽，是以六陽將絕，則陰與陽相離，離則陽氣外脫，腠理髮洩，絕汗乃出而陽氣終，故旦佔"]}]}],"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二百七十八","is_available":true},{"id":"chapter-1-section-2","chapter_title":"古今圖書整合","section_title":"汗門","is_available":true},{"id":"chapter-1-section-3","chapter_title":"古今圖書整合","section_title":"經脈別論","is_available":true},{"id":"chapter-1-section-4","chapter_title":"古今圖書整合","section_title":"陰陽別論","is_available":true},{"id":"chapter-1-section-5","chapter_title":"古今圖書整合","section_title":"髒氣法時論","is_available":true},{"id":"chapter-1-section-6","chapter_title":"古今圖書整合","section_title":"痺論","is_available":true},{"id":"chapter-1-section-7","chapter_title":"古今圖書整合","section_title":"評熱病論","is_available":true},{"id":"chapter-1-section-8","chapter_title":"古今圖書整合","section_title":"脈要精微論","is_available":true},{"id":"chapter-1-section-9","chapter_title":"古今圖書整合","section_title":"生氣通天論","is_available":true},{"id":"chapter-1-section-10","chapter_title":"古今圖書整合","section_title":"金匱真言論","is_available":true},{"id":"chapter-1-section-11","chapter_title":"古今圖書整合","section_title":"熱論","is_available":true},{"id":"chapter-1-section-12","chapter_title":"古今圖書整合","section_title":"宣明五氣論","is_available":true},{"id":"chapter-1-section-13","chapter_title":"古今圖書整合","section_title":"骨空論","is_available":true},{"id":"chapter-1-section-14","chapter_title":"古今圖書整合","section_title":"平人氣象論","is_available":true},{"id":"chapter-1-section-15","chapter_title":"古今圖書整合","section_title":"水熱穴論","is_available":true},{"id":"chapter-1-section-16","chapter_title":"古今圖書整合","section_title":"診要經終論","is_available":true},{"id":"chapter-1-section-17","chapter_title":"古今圖書整合","section_title":"舉痛論","is_available":true},{"id":"chapter-1-section-18","chapter_title":"古今圖書整合","section_title":"陰陽應象大論","is_available":true},{"id":"chapter-1-section-19","chapter_title":"古今圖書整合","section_title":"六元正紀大論","is_available":true},{"id":"chapter-1-section-20","chapter_title":"古今圖書整合","section_title":"氣交變大論","is_available":true},{"id":"chapter-1-section-21","chapter_title":"古今圖書整合","section_title":"至真要大論","is_available":true},{"id":"chapter-1-section-22","chapter_title":"古今圖書整合","section_title":"邪氣臟腑病形篇","is_available":true},{"id":"chapter-1-section-23","chapter_title":"古今圖書整合","section_title":"經脈篇","is_available":true}],"plain_text":"# 古今圖書整合\n## 古今圖書整合醫部全錄卷二百七十八\n## 汗門\n黃帝素問\n## 經脈別論\n飲食飽甚，汗出於胃。驚而奪精，汗出於心。持重遠行，汗出於腎。疾走恐懼，汗出於肝。搖體勞苦，汗出於脾。\n【注　汗者水谷之津液，飽甚則胃滿，故汗出於胃。血乃心之精，汗乃血之液，驚傷心氣，汗出於心，故曰奪精。腎主骨，持重遠行則傷骨，故汗出於腎。肝主筋，疲勞傷筋，故汗出於肝。勞傷四體，故汗出於脾。】\n## 陰陽別論\n陽加於陰謂之汗。\n【注　汗乃陰液，由陽氣之宣發，而後能充身澤毛。若動數之陽脈，加於尺部，是謂之汗。】\n## 髒氣法時論\n肺病者，喘咳逆氣，肩背痛，汗出。\n【注　肺主氣而發源於腎，母子之經氣相通也。故氣逆則喘咳肩背痛而汗出。】\n腎病者，寢汗出，憎風。\n【注　太陽之氣司表，而下出膀胱經，氣逆則表氣虛，故寢汗出而惡風。】\n## 痺論\n風寒溼三氣雜至，合而為痺。其多汗而濡者，此其逢溼甚也。陽氣少，陰氣盛，兩氣相感，故汗出而濡也。\n【注　夫感天地之陰寒，而吾身之陰氣又盛，兩氣相感，故汗出而濡也。】\n## 評熱病論\n人所以汗出者，皆生於谷，谷生於精。\n【注　汗生於水谷之精，水谷之精，由精氣之所化也。】\n今邪氣交爭於骨肉而得汗者，是邪卻而精勝也。\n【注　交爭於骨肉者，邪氣伏匿於骨肉之間，至春時與正氣交爭，而發為溫病。得汗，是精氣勝而邪當共並而出矣。】\n復熱者，邪氣也。汗者，精氣也。今汗出而輒復熱者，是邪勝也。汗出而脈尚躁盛者死。今脈不與汗相應，此不勝其病也，其死明矣。\n【注　今汗出而邪留不去，則熱邪復傷其陰精矣。熱病已得汗而脈尚躁盛，此陰脈之極也，死。】\n陰虛者陽必湊之，故少氣時熱而汗出也。\n【注　陰虛則陽往乘之，故汗出。】\n汗出而身熱者風也，汗出而煩滿不解者厥也，病名曰風厥。\n【注　風為陽邪，開發肌腠，津液外洩，風熱留之，故身熱。風熱不去則傷動其腎，氣逆於上則心煩，乘於脾土則中滿，病名曰風厥，謂因風邪而使腎氣之厥逆也。】\n## 脈要精微論\n肺脈軟而散者，當病灌汗，至令不復散發也。\n【注　灌汗者，脾土灌溉之汗。肺氣虛而不能輸布水液，脾氣自灌於肌膚，至令肺氣不復通調散發也。】\n陽氣有餘，為身熱無汗；陰氣有餘，為多汗身寒；陰陽有餘，則無汗而寒。\n【注　邪在陽分，故身熱無汗。邪在陰分，故多汗身寒。陰陽並受其邪，則無汗而寒也。】\n## 生氣通天論\n因於暑，汗，煩則喘喝，靜則多言。體若燔炭，汗出而散。\n【注　天之陽邪，傷人陽氣，氣傷外弛，故汗出。】\n汗出偏沮，使人偏枯。汗出見溼，乃生痤痱。勞汗當風，寒薄為皶，鬱乃痤。魄汗未盡，形弱而氣爍，穴俞以閉，發為風瘧。\n【注　汗出而半身沮溼，是陽氣虛不能充身遍澤，必有偏枯之患。汗出見溼，則溼熱鬱之於皮膚，則生痤痱。勞汗當風，則寒溼鬱於皮膚而為皶痤矣。魄汗未盡，表邪未去也。表陽邪氣，同陷其間，寒邪隨陽化熱，故氣爍，表氣不入於經，故穴俞以閉，但熱不寒為風瘧。】\n## 金匱真言論\n夏暑汗不出者，秋成風瘧。\n【注　夏不汗出，則暑氣伏藏，至秋乃成風瘧。】\n## 熱論\n暑當與汗皆出，勿止。\n【注　伏匿之邪，與汗共出，故不可止之。】\n## 宣明五氣論\n心為汗。\n【注　心主血，汗乃心之液也。】\n## 骨空論\n風從外入，令人振寒汗出，頭痛身重，惡寒。\n【注　風為陽邪，傷人陽氣，故病如此。】\n## 平人氣象論\n尺濇脈滑，謂之多汗。\n【注　尺膚濇者，風痺也。邪迫於經，其脈則滑，以風之陽邪，閉於皮膚之間，而迫於經脈，故主多汗。】\n## 水熱穴論\n勇而勞甚則腎汗出，腎汗出逢於風，內不得入於臟腑，外不得越於皮膚，客於元府，行於皮裡，傳為胕腫，本之於腎，名曰風水。所謂元府者，汗空也。\n【注　勇而勞甚，則傷骨而腎氣動，則水液上升而為汗矣。因風而致水腫於皮膚間也。】\n## 診要經終論\n太陽之脈，其終也，戴眼反折瘈瘲，其色白，絕汗乃出，出則死矣。\n【注　太陽之經氣已絕，故瘈瘲戴眼反折。手太陽主液，足太陽藏液。絕汗者，津液外亡也。】\n## 舉痛論\n熱則腠理開，榮衛通，汗大洩，故氣洩矣。勞則喘息汗出，外內皆越，故氣耗矣。\n【注　夫氣為陰之固，陰為陽之守，熱則腠理開，汗大洩，則陽氣從而外洩矣。勞則腎氣傷而喘息於內，陽氣張而汗出於外，外內皆越，故氣耗矣。】\n## 陰陽應象大論\n陽之汗，以天地之雨名之。\n【注　汗出於陰液，由陽氣之宣發，雨乃地之陰溼，由天氣之所發，故方之。】\n陽盛則身熱，腠理閉，喘粗，為之俯仰，汗不出而熱，齒幹，以煩冤腹滿死，能冬不能夏。陰盛則身寒汗出，身常清，數慄而寒，寒則厥，厥則腹滿死，能夏不能冬。\n【注　陽乃火熱用事，熱在表，則腠理閉而喘，粗汗不出。腎主精液，心主血液，齒幹，精液竭，煩冤，血液枯也。中焦之生氣絕則腹滿，此陽熱偏勝之死證，雖苟延於冬而不能倖免於夏也。若陰盛則陽虛，故汗出。陰寒在表，故身常清，在裡則數慄而寒；表裡俱寒，故四肢厥冷腹脹滿也。此陰寒偏盛之死證，得夏月之陽熱，尚可救其陰寒也。】\n## 六元正紀大論\n太陽所至，為寢汗，痙。\n【注　此秋病之常也。】\n## 氣交變大論\n歲水太過，甚則寢汗出，憎風。\n【注　歲水太過，諸丙歲也。水泛則源竭，太陽之氣無從資生，表陽虛，故汗出憎風也。】\n## 至真要大論\n少陰在泉，主勝則魄汗不藏，四逆而起。\n【注　四之主氣，乃太陰溼土，客氣乃太陽寒水。以土勝水，是以津液不藏而汗出於表也。】\n靈樞經\n## 邪氣臟腑病形篇\n肺脈緩甚為多汗。\n【注　緩則肺熱甚，故多汗。】\n微緩，頭以下汗出不可止。\n【注　肺主周身之氣而朝百脈，腠理開，故頭以下汗出不可止，是頸項胸背之間，肺之外部也。】\n## 經脈篇\n肺手太陰之脈，是主肺所生病者，氣盛有餘則肩背痛，風寒汗出中風。\n【注　肺俞在肩背，肺氣盛故痛。風寒汗出中風，乃三陰三陽之氣在表，而合於天之六氣也。】\n胃足陽明之脈，是主血所生病者，狂，瘧溫淫汗出。\n【注　胃主榮血，故主血所生病者，為狂為溫瘧汗出者，胃氣熱而蒸發水液之汗也。】\n三焦手少陽之脈，是主氣所生病者，汗出。\n【注　少陽乃一陽初生之氣，汗出者陽加於陰也。】\n膽足少陽之脈，是主骨所生病者，汗出。\n六陽氣絕，則陰與陽相離，離則腠理髮洩，絕汗乃出，故旦佔夕死，夕佔旦死。\n【注　陽氣根於陰而出於陽，是以六陽將絕，則陰與陽相離，離則陽氣外脫，腠理髮洩，絕汗乃出而陽氣終，故旦佔","is_preview":true,"preview_page_limit":10}