{"resource_id":14851,"title":"《古今图书集成》医部全录卷283至卷285-哮喘门","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二百八十三","paragraphs":[]},{"id":"chapter-1-section-2","title":"哮喘門","paragraphs":["黃帝素問"]},{"id":"chapter-1-section-3","title":"髒氣法時論","paragraphs":["肺病者，喘咳逆氣，肩背痛，汗出。腎病者，腹大脛腫，喘咳身重。","【注　肺主周身之氣，腎為生氣之原也。】"]},{"id":"chapter-1-section-4","title":"調經論","paragraphs":["氣有餘則喘咳上氣。","【注　肺主氣而司呼吸，故有餘則喘咳上逆。】"]},{"id":"chapter-1-section-5","title":"陰陽別論","paragraphs":["陰爭於內，陽擾於外，魄汗未藏，四逆而起，起則燻肺，使人喘鳴。","【注　魄汗，肺之汗也。經氣歸於肺，肺朝百脈，輸精於皮毛，皮毛汗出，而精血仍藏於陰，如魄汗未藏，是奪汗而傷其精血矣。肺臟之陰液外洩，則四髒之陰並逆而起，上燻於肺，使人喘急喉鳴。】","二陽之病發心脾，有不得隱曲，女子不月，其傳為風消。其傳為息賁者，死不治。","【注　二陽，陽明胃也。病本於精血兩虛，風熱交熾，津液愈竭。火鑠金而傳為喘急息肩，死不治也。】"]},{"id":"chapter-1-section-6","title":"平人氣象論","paragraphs":["頸脈動，喘疾咳曰水。","【注　此視而知其病也。】"]},{"id":"chapter-1-section-7","title":"大奇論","paragraphs":["肺之雍，喘而兩胠滿。","【注　肺主呼吸，故喘而胠滿。】"]},{"id":"chapter-1-section-8","title":"脈解篇","paragraphs":["陽明所謂上喘而為水者，陰氣下而覆上，上則邪客於臟腑間，故為水也。","【注　陰氣下而覆上者，謂冬至一陽初生，陰氣下降，至五月而陰氣覆上也。陰氣下歸於水髒，至陰氣從上而漸盛，則水邪隨氣而升，上客於臟腑之間，故喘而為水也。】","少陰所謂嘔咳上氣喘者，陰氣在下，陽氣在上，諸陽氣浮，無所依從，故嘔咳上氣喘也。","【注　少陰寒水在下，君火之氣在上，上下水火不交，則諸陽之氣上浮，而無所依從矣，是以陽熱上逆，而為嘔咳氣喘之病。】"]},{"id":"chapter-1-section-9","title":"厥論","paragraphs":["陽明厥逆，喘咳，身熱，善驚，衄，嘔血。","【注　陽明氣厥則喘，上逆則咳也。】"]},{"id":"chapter-1-section-10","title":"示從容論","paragraphs":["喘咳者，是水氣並陽明也。","【注　喘咳者，是下焦之水氣，並於陽明之經也。】"]},{"id":"chapter-1-section-11","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　邪熱甚則迫及所生，心主脈，故心煩。肺乃心之蓋，故煩則喘喝也。如不煩而靜，此邪仍在氣分，而氣傷神，氣虛故多言。天之陽邪，傷人陽氣，兩陽相搏，故體若燔炭。陽熱之邪，得吾身之陰液而解，故汗出乃散也。】","味過於甘，心氣喘滿，色黑，腎氣不衡。","【注　味過於甘則土氣實矣，土實則心氣不能傳之於子，故喘滿也。腎主水，其色黑，土亢則傷腎，故色黑而腎氣不平。】"]},{"id":"chapter-1-section-12","title":"陰陽應象大論","paragraphs":["陽勝則身熱，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。","【注　陽勝乃火熱用事，故身熱。熱在表則腠理閉，熱在裡則喘粗。陰勝在腹則為之俯，陽勝在背則為之仰，陽勝於周身，則汗不出而熱也。此陽熱偏勝之死證，故能苟延於冬，而不能倖免於夏。】"]},{"id":"chapter-1-section-13","title":"脈要精微論","paragraphs":["肝脈搏堅而長，色不青，當病墜若搏，因血在脅下，令人喘逆。","【注　肝脈盛而色不見者，血蓄於下也，當病墜傷，或為手搏所傷。因血凝脅下，則經氣上逆而為喘也。】"]},{"id":"chapter-1-section-14","title":"玉機真髒論","paragraphs":["秋脈不及，則令人喘，呼吸少氣而咳，上氣見血，下聞病音。","【注　經曰：氣並於肺則憂，其不及則令人氣虛而喘，呼吸少氣而欬。虛氣上逆，則血隨而上行，虛氣下逆，則聞呻吟之病音。】","大骨枯槁，大肉陷下，胸中氣滿，喘息不便，其氣動形，期六月死。真髒脈見，乃予之期日。","【注　陽明氣厥，故喘息不便。其氣動形者，心病而欲傳之於肺。肺主氣，故氣盛而呼吸動形也。真髒脈見，堅而搏，如循薏苡子累累然。予之期日者，當死於壬癸日之中夜也。】大骨枯槁，大肉陷下，胸中氣滿，喘息不便，內痛引肩項，期一月死。","【注　內痛者，肺受其傷。肺之俞在肩背，故痛引肩項也。其髒脈見，如循刀刃責責然，如按琴瑟弦。予之期日，當死於庚辛日之薄暮也。】","大骨枯槁，大肉陷下，胸中氣滿，喘息不便，內痛引肩項，身熱，脫肉破(月囷)，真髒脈見，十日[十日　《素問》玉機真髒論作「十月」。]之內死。","【注　真髒脈見大而虛，如羽毛中人膚，病傳於心，故期以十日之內死。蓋心不受邪，故死之速也。】"]},{"id":"chapter-1-section-15","title":"經脈別論","paragraphs":["夜行則喘出於腎，淫氣病肺。","【注　腎屬亥子而氣主閉藏，夜行則腎氣外洩，故喘出於腎。腎為本，肺為末，腎氣上逆，故淫傷於肺也。】","有所墮恐，喘出於肝，淫氣害脾。","【注　墮則傷筋，筋即為肝，故喘出於肝。木勝土，故淫氣害脾。】","有所驚恐，喘出於肺，淫氣傷心。","【注　驚則氣亂，故喘出肺。肺者心之蓋，故淫氣傷心。】","度水跌僕，喘出於腎與骨。","【注　跌則傷骨，骨即為腎，故喘出焉。】"]},{"id":"chapter-1-section-16","title":"太陰陽明篇","paragraphs":["犯賊風虛邪者，陽受之。陽受之則入六腑，入六腑則身熱不時臥，上為喘呼。","【注　陽明氣厥，則上為喘呼。】"]},{"id":"chapter-1-section-17","title":"陽明脈解篇","paragraphs":["陽明厥則喘而惋，惋則惡人。","【注　陽明之熱，上逆於少陰，陰陽相薄，則恐而惡人。】","厥逆連髒則死，連經則生。","【注　如熱邪厥逆於上，幹於心肺之經而為喘惋者生，幹於心肺之髒則死矣。】"]},{"id":"chapter-1-section-18","title":"逆調論","paragraphs":["夫不得臥，臥則喘者，是水氣之客也。夫水者循津液而流也，腎者水髒，主津液，主臥與喘也。","【注　胃之水液，從關而下入於腎者順也。如陽明逆，不得從其道而下入於腎，則腎之水氣，反循津液之道路而上乘於胃，是以胃不和而臥不安也。故曰：腎者水髒，主藏津液，又主臥與喘也。】"]},{"id":"chapter-1-section-19","title":"舉痛論","paragraphs":["勞則喘息汗出，外內皆越，故氣耗矣。","【注　勞則腎氣傷而喘息於內，陽氣張而汗出於外，外內皆越，故氣耗散矣。】"]},{"id":"chapter-1-section-20","title":"痺論","paragraphs":["肺痺者，煩滿，喘而嘔。","【注　肺痺則煩喘而嘔。】","心痺者，脈不通，煩則心下鼓，暴上氣而喘。","【注　心主脈，故痺閉而令脈不通。邪薄心下鼓動，而上幹心臟則煩，煩則心下鼓也。肺者心之蓋，而心脈上通於肺，故逆氣暴上則喘。】","腸痺者，數飲而出不得，中氣喘爭，時發飧洩。","【注　腸痺，兼大小腸而言。小腸為心之腑而主小便，邪痺幹小腸，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，邪痺幹大腸，放上則為中氣喘爭，而下為飧洩也。】","淫氣喘息，痺聚在肺。","【注　淫氣而致於喘息，則肺氣不藏而痺聚在肺。】"]},{"id":"chapter-1-section-21","title":"刺禁論","paragraphs":["刺缺盆中，內陷氣洩，令人喘咳逆。","【注　刺之要，氣至而有效。若脈內陷而氣反下洩，則為咳喘之逆證矣。經雲：氣上衝胸，喘不能久立，病在大腸。蓋大腸為肺之腑也。】","刺膺中陷中肺，為喘逆仰息。","【注　足陽明之俞在膺中，肺經之脈亦循膺中之雲門、中府而出。若刺膺中之脈，陷而入深，悞中肺脈，令人喘逆仰息，蓋因無故而傷之也。】"]},{"id":"chapter-1-section-22","title":"水熱穴論","paragraphs":["水病，下為胕腫大腹，上為喘呼不得臥者，標本俱病。故"]}]}],"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二百八十三","is_available":true},{"id":"chapter-1-section-2","chapter_title":"古今圖書整合","section_title":"哮喘門","is_available":true},{"id":"chapter-1-section-3","chapter_title":"古今圖書整合","section_title":"髒氣法時論","is_available":true},{"id":"chapter-1-section-4","chapter_title":"古今圖書整合","section_title":"調經論","is_available":true},{"id":"chapter-1-section-5","chapter_title":"古今圖書整合","section_title":"陰陽別論","is_available":true},{"id":"chapter-1-section-6","chapter_title":"古今圖書整合","section_title":"平人氣象論","is_available":true},{"id":"chapter-1-section-7","chapter_title":"古今圖書整合","section_title":"大奇論","is_available":true},{"id":"chapter-1-section-8","chapter_title":"古今圖書整合","section_title":"脈解篇","is_available":true},{"id":"chapter-1-section-9","chapter_title":"古今圖書整合","section_title":"厥論","is_available":true},{"id":"chapter-1-section-10","chapter_title":"古今圖書整合","section_title":"示從容論","is_available":true},{"id":"chapter-1-section-11","chapter_title":"古今圖書整合","section_title":"生氣通天論","is_available":true},{"id":"chapter-1-section-12","chapter_title":"古今圖書整合","section_title":"陰陽應象大論","is_available":true},{"id":"chapter-1-section-13","chapter_title":"古今圖書整合","section_title":"脈要精微論","is_available":true},{"id":"chapter-1-section-14","chapter_title":"古今圖書整合","section_title":"玉機真髒論","is_available":true},{"id":"chapter-1-section-15","chapter_title":"古今圖書整合","section_title":"經脈別論","is_available":true},{"id":"chapter-1-section-16","chapter_title":"古今圖書整合","section_title":"太陰陽明篇","is_available":true},{"id":"chapter-1-section-17","chapter_title":"古今圖書整合","section_title":"陽明脈解篇","is_available":true},{"id":"chapter-1-section-18","chapter_title":"古今圖書整合","section_title":"逆調論","is_available":true},{"id":"chapter-1-section-19","chapter_title":"古今圖書整合","section_title":"舉痛論","is_available":true},{"id":"chapter-1-section-20","chapter_title":"古今圖書整合","section_title":"痺論","is_available":true},{"id":"chapter-1-section-21","chapter_title":"古今圖書整合","section_title":"刺禁論","is_available":true},{"id":"chapter-1-section-22","chapter_title":"古今圖書整合","section_title":"水熱穴論","is_available":true}],"plain_text":"# 古今圖書整合\n## 古今圖書整合醫部全錄卷二百八十三\n## 哮喘門\n黃帝素問\n## 髒氣法時論\n肺病者，喘咳逆氣，肩背痛，汗出。腎病者，腹大脛腫，喘咳身重。\n【注　肺主周身之氣，腎為生氣之原也。】\n## 調經論\n氣有餘則喘咳上氣。\n【注　肺主氣而司呼吸，故有餘則喘咳上逆。】\n## 陰陽別論\n陰爭於內，陽擾於外，魄汗未藏，四逆而起，起則燻肺，使人喘鳴。\n【注　魄汗，肺之汗也。經氣歸於肺，肺朝百脈，輸精於皮毛，皮毛汗出，而精血仍藏於陰，如魄汗未藏，是奪汗而傷其精血矣。肺臟之陰液外洩，則四髒之陰並逆而起，上燻於肺，使人喘急喉鳴。】\n二陽之病發心脾，有不得隱曲，女子不月，其傳為風消。其傳為息賁者，死不治。\n【注　二陽，陽明胃也。病本於精血兩虛，風熱交熾，津液愈竭。火鑠金而傳為喘急息肩，死不治也。】\n## 平人氣象論\n頸脈動，喘疾咳曰水。\n【注　此視而知其病也。】\n## 大奇論\n肺之雍，喘而兩胠滿。\n【注　肺主呼吸，故喘而胠滿。】\n## 脈解篇\n陽明所謂上喘而為水者，陰氣下而覆上，上則邪客於臟腑間，故為水也。\n【注　陰氣下而覆上者，謂冬至一陽初生，陰氣下降，至五月而陰氣覆上也。陰氣下歸於水髒，至陰氣從上而漸盛，則水邪隨氣而升，上客於臟腑之間，故喘而為水也。】\n少陰所謂嘔咳上氣喘者，陰氣在下，陽氣在上，諸陽氣浮，無所依從，故嘔咳上氣喘也。\n【注　少陰寒水在下，君火之氣在上，上下水火不交，則諸陽之氣上浮，而無所依從矣，是以陽熱上逆，而為嘔咳氣喘之病。】\n## 厥論\n陽明厥逆，喘咳，身熱，善驚，衄，嘔血。\n【注　陽明氣厥則喘，上逆則咳也。】\n## 示從容論\n喘咳者，是水氣並陽明也。\n【注　喘咳者，是下焦之水氣，並於陽明之經也。】\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　邪熱甚則迫及所生，心主脈，故心煩。肺乃心之蓋，故煩則喘喝也。如不煩而靜，此邪仍在氣分，而氣傷神，氣虛故多言。天之陽邪，傷人陽氣，兩陽相搏，故體若燔炭。陽熱之邪，得吾身之陰液而解，故汗出乃散也。】\n味過於甘，心氣喘滿，色黑，腎氣不衡。\n【注　味過於甘則土氣實矣，土實則心氣不能傳之於子，故喘滿也。腎主水，其色黑，土亢則傷腎，故色黑而腎氣不平。】\n## 陰陽應象大論\n陽勝則身熱，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。\n【注　陽勝乃火熱用事，故身熱。熱在表則腠理閉，熱在裡則喘粗。陰勝在腹則為之俯，陽勝在背則為之仰，陽勝於周身，則汗不出而熱也。此陽熱偏勝之死證，故能苟延於冬，而不能倖免於夏。】\n## 脈要精微論\n肝脈搏堅而長，色不青，當病墜若搏，因血在脅下，令人喘逆。\n【注　肝脈盛而色不見者，血蓄於下也，當病墜傷，或為手搏所傷。因血凝脅下，則經氣上逆而為喘也。】\n## 玉機真髒論\n秋脈不及，則令人喘，呼吸少氣而咳，上氣見血，下聞病音。\n【注　經曰：氣並於肺則憂，其不及則令人氣虛而喘，呼吸少氣而欬。虛氣上逆，則血隨而上行，虛氣下逆，則聞呻吟之病音。】\n大骨枯槁，大肉陷下，胸中氣滿，喘息不便，其氣動形，期六月死。真髒脈見，乃予之期日。\n【注　陽明氣厥，故喘息不便。其氣動形者，心病而欲傳之於肺。肺主氣，故氣盛而呼吸動形也。真髒脈見，堅而搏，如循薏苡子累累然。予之期日者，當死於壬癸日之中夜也。】大骨枯槁，大肉陷下，胸中氣滿，喘息不便，內痛引肩項，期一月死。\n【注　內痛者，肺受其傷。肺之俞在肩背，故痛引肩項也。其髒脈見，如循刀刃責責然，如按琴瑟弦。予之期日，當死於庚辛日之薄暮也。】\n大骨枯槁，大肉陷下，胸中氣滿，喘息不便，內痛引肩項，身熱，脫肉破(月囷)，真髒脈見，十日[十日　《素問》玉機真髒論作「十月」。]之內死。\n【注　真髒脈見大而虛，如羽毛中人膚，病傳於心，故期以十日之內死。蓋心不受邪，故死之速也。】\n## 經脈別論\n夜行則喘出於腎，淫氣病肺。\n【注　腎屬亥子而氣主閉藏，夜行則腎氣外洩，故喘出於腎。腎為本，肺為末，腎氣上逆，故淫傷於肺也。】\n有所墮恐，喘出於肝，淫氣害脾。\n【注　墮則傷筋，筋即為肝，故喘出於肝。木勝土，故淫氣害脾。】\n有所驚恐，喘出於肺，淫氣傷心。\n【注　驚則氣亂，故喘出肺。肺者心之蓋，故淫氣傷心。】\n度水跌僕，喘出於腎與骨。\n【注　跌則傷骨，骨即為腎，故喘出焉。】\n## 太陰陽明篇\n犯賊風虛邪者，陽受之。陽受之則入六腑，入六腑則身熱不時臥，上為喘呼。\n【注　陽明氣厥，則上為喘呼。】\n## 陽明脈解篇\n陽明厥則喘而惋，惋則惡人。\n【注　陽明之熱，上逆於少陰，陰陽相薄，則恐而惡人。】\n厥逆連髒則死，連經則生。\n【注　如熱邪厥逆於上，幹於心肺之經而為喘惋者生，幹於心肺之髒則死矣。】\n## 逆調論\n夫不得臥，臥則喘者，是水氣之客也。夫水者循津液而流也，腎者水髒，主津液，主臥與喘也。\n【注　胃之水液，從關而下入於腎者順也。如陽明逆，不得從其道而下入於腎，則腎之水氣，反循津液之道路而上乘於胃，是以胃不和而臥不安也。故曰：腎者水髒，主藏津液，又主臥與喘也。】\n## 舉痛論\n勞則喘息汗出，外內皆越，故氣耗矣。\n【注　勞則腎氣傷而喘息於內，陽氣張而汗出於外，外內皆越，故氣耗散矣。】\n## 痺論\n肺痺者，煩滿，喘而嘔。\n【注　肺痺則煩喘而嘔。】\n心痺者，脈不通，煩則心下鼓，暴上氣而喘。\n【注　心主脈，故痺閉而令脈不通。邪薄心下鼓動，而上幹心臟則煩，煩則心下鼓也。肺者心之蓋，而心脈上通於肺，故逆氣暴上則喘。】\n腸痺者，數飲而出不得，中氣喘爭，時發飧洩。\n【注　腸痺，兼大小腸而言。小腸為心之腑而主小便，邪痺幹小腸，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，邪痺幹大腸，放上則為中氣喘爭，而下為飧洩也。】\n淫氣喘息，痺聚在肺。\n【注　淫氣而致於喘息，則肺氣不藏而痺聚在肺。】\n## 刺禁論\n刺缺盆中，內陷氣洩，令人喘咳逆。\n【注　刺之要，氣至而有效。若脈內陷而氣反下洩，則為咳喘之逆證矣。經雲：氣上衝胸，喘不能久立，病在大腸。蓋大腸為肺之腑也。】\n刺膺中陷中肺，為喘逆仰息。\n【注　足陽明之俞在膺中，肺經之脈亦循膺中之雲門、中府而出。若刺膺中之脈，陷而入深，悞中肺脈，令人喘逆仰息，蓋因無故而傷之也。】\n## 水熱穴論\n水病，下為胕腫大腹，上為喘呼不得臥者，標本俱病。故","is_preview":true,"preview_page_limit":10}