{"resource_id":14855,"title":"《古今图书集成》医部全录卷295至卷297-癫狂门","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二百九十五","paragraphs":[]},{"id":"chapter-1-section-2","title":"癲狂門","paragraphs":["黃帝素問"]},{"id":"chapter-1-section-3","title":"通評虛實論","paragraphs":["帝曰：癲疾何如？岐伯曰：脈搏大滑，久自己；脈小堅急，死不治。帝曰：癲疾之脈，虛實何如？岐伯曰：虛則可治，實則死。","【注　脈搏大者，氣盛於外；小堅急者，氣洩於下。】"]},{"id":"chapter-1-section-4","title":"奇病論","paragraphs":["帝曰：人生而有病癲疾者，病名曰何？安所得之？岐伯曰：病名為胎病。此得之在母腹中時，其母有所大驚，氣上而不下，精氣並居，故令子發為癲疾也。","【注　有所大驚，則氣暴上而不下。夫精以養胎而精氣並居，母受驚而氣上，則子之精氣亦逆，故令子發為癲疾也。】"]},{"id":"chapter-1-section-5","title":"脈要精微論","paragraphs":["衣被不斂，言語善惡不避親疏者，此神明之亂也。","【注　語言善惡不避親疏者，神亂而譫語也。】"]},{"id":"chapter-1-section-6","title":"陽明脈解篇","paragraphs":["帝曰：陽明病甚，則棄衣而走，登高而歌，或至不食數日，逾垣上屋，所上之處，皆非其素所能也，病反能者何也？","岐伯曰：四肢者諸陽之本也，陽盛則四肢實，實則能登高也。","【注　四肢為諸陽之木，陽盛則四肢實，實則能登高矣。蓋陽盛則升，四旁俱盛，故能升高。】","帝曰：其棄衣而走者，何也？岐伯曰：熱盛於身，故棄衣欲走也。","【注　陽明之氣主肌肉，故熱盛於身，身熱故棄衣而走也。蓋熱在外，故不欲衣。】","帝曰：其妄言罵詈，不避親疏而歌者，何也？岐伯曰：陽盛則使人妄言罵詈，不避親疏，而不欲食，不欲食，故妄走也。","【注　胃絡上通於心，陽盛則心神昏亂，故使人妄言罵詈，不避親疏。如熱盛於胃，則不欲食，不欲食，故妄走。蓋四肢稟氣於胃故也。】"]},{"id":"chapter-1-section-7","title":"厥論","paragraphs":["陽明之厥，則癲疾欲走呼，腹滿不得臥，面赤而熱，妄見而妄言。","【注　癲狂走呼，妄言妄見，陽明之脈病也。經氣厥逆，故腹滿。胃不和，故不得臥。陽明乃燥熱之經，其經氣上出於面，故面赤而熱。】"]},{"id":"chapter-1-section-8","title":"氣交變大論","paragraphs":["歲火太過，上臨少陰少陽，病反譫妄狂越。","【注　上臨少陰少陽，火氣更甚，譫妄狂越，熱極也。】","腎脈急甚為骨癲疾。","【注　腎為陰髒而主骨，陰寒太甚，故為骨癲疾。】"]},{"id":"chapter-1-section-9","title":"五常政大論","paragraphs":["赫曦之紀，其病笑狂妄。","【注　心氣實則笑不休狂妄，皆火熱之為病也】"]},{"id":"chapter-1-section-10","title":"宣明五氣論","paragraphs":["邪入於陽則狂，搏陽則為癲疾。"]},{"id":"chapter-1-section-11","title":"陰陽類論","paragraphs":["二陰二陽皆交至，病在腎，罵詈妄行，癲疾為狂。","【注　皆交至者，二陰二陽之經氣交併而上至於陽明。病在腎者，謂腎氣病而精液少，其虛氣反上奔也。病氣傳於陽明，是以罵詈妄行，癲疾為狂。】"]},{"id":"chapter-1-section-12","title":"生氣通天論","paragraphs":["陰者藏精而起亟也，陽者衛外而為固也。陰不勝其陽則脈流薄疾，並乃狂。","【注　陽盛則狂。陽盛而自為病，故曰並乃狂。】"]},{"id":"chapter-1-section-13","title":"至真要大論","paragraphs":["諸躁狂越，皆屬於火。","【注　火者，少陽包絡之相火也。】"]},{"id":"chapter-1-section-14","title":"脈解篇","paragraphs":["太陽所謂甚則狂巔疾者，陽盡在上，而陰氣　下，下虛上實，故狂巔疾也。","【注　狂巔疾者，乃陽氣盡甚於上，而陰氣從之於下，不得與陽氣相和，下虛上實，故使狂巔疾也。】","陽明所謂病至則欲乘高而歌，棄衣而走者，陰陽復爭而外並於陽，故使之棄衣而走也。","【注　陰陽復爭者，謂陰陽之氣上下相薄，而復交爭於外內也。陰陽之氣外並於陽，則陽盛而為病矣。陽盛，故使之乘高而歌，棄衣而走也。】"]},{"id":"chapter-1-section-15","title":"氣厥論","paragraphs":["肝移寒於心，狂鬲中。","【注　肝為陽髒而木火主氣，陽並於陽，故狂。心居膈上，肝處膈下，母子之氣上下相通，肝邪上移於心，留於心下，故為鬲中。】"]},{"id":"chapter-1-section-16","title":"調經論","paragraphs":["血並於陰，氣並於陽，故為驚狂。","【注　血並於陰則陰盛而血實，心主血脈，故陰盛則驚。氣並於陽，則陽盛而氣實，陽盛則發狂也。】"]},{"id":"chapter-1-section-17","title":"病能論","paragraphs":["帝曰：有病怒狂者，此病安生？岐伯曰：生於陽也。帝曰：陽何以使人狂？岐伯曰：陽氣者，因暴折而難決，故善怒也，病名曰陽厥。帝曰：何以治之？岐伯曰：陽明者常動，巨陽少陽不動，不動而動大疾，此其候也。帝曰：治之奈何？岐伯曰：奪其食即已。夫食入於陰，長氣於陽，故奪其食則已。使之服以生鐵落為飲。生鐵落者，下氣疾也。","【注　巨陽者心之標陽，少陽者肝之表氣，皆不動者也。夫陽明乃胃之悍氣，故獨動而不休。今不動之氣反動而大疾，故使人怒狂。食氣入胃，散精於肝，濁氣歸心，淫精於脈，毛脈合精，行氣於腑，是食入於陰而長氣於陽也。今肝心之氣上逆，以致巨陽少陽之動大疾，故奪其食，則陰氣衰而陽動息矣。】","靈樞經"]},{"id":"chapter-1-section-18","title":"邪氣臟腑病形篇","paragraphs":["肺脈急甚為癲疾。","【注　肺主清金而畏寒，寒甚則為癲疾，所謂重陰則癲也。】"]},{"id":"chapter-1-section-19","title":"本神篇","paragraphs":["肺喜樂無極則傷魄，魄傷則狂，狂者意不存人，皮革焦，毛悴色夭，死於夏。","【注　喜樂，心之情也。如喜樂無極則傷肺臟之魄，魄傷則狂。意者心之發，蓋喜樂無極，則神亦憚散而不存矣。肺主皮毛，故人皮革焦。】"]},{"id":"chapter-1-section-20","title":"經脈篇","paragraphs":["胃足陽明之脈，是動則病灑灑振寒，善呻數欠，顏黑，病至則惡人與火，聞木聲則惕然而驚，心欲動，獨閉戶塞牖而處，甚則欲上高而歌，棄衣而走，賁響腹脹，是為骭厥。","【注　陽明者午也，陰氣加之，故灑灑振寒。善呻者，陽氣鬱而欲伸出之。數欠者，陽欲引而上也。顏黑者，陰氣加於上也。病至者，病氣而至於經脈也。陽明之脈病，則惡人與火，聞木音則惕然而驚。胃絡上通於心，故心欲動，陰陽相薄，故欲獨閉戶牖而居。陽盛則四肢實，實則登高而歌。熱盛於身，故棄衣而走。陽明之脈下膈屬胃絡脾，故賁響腹脹。】","膀胱足太陽之脈，是主筋所生病者，痔瘧狂癇疾。","【注　陽氣者柔則養筋，故是主筋所生之病，則為痔。經絡沉以內薄，則為瘧。厥逆於下，則為癲為狂。】"]},{"id":"chapter-1-section-21","title":"癲狂篇","paragraphs":["目眥外決於面者為銳眥，在內近鼻者為內眥。上為外眥，下為內眥。","【注　太陰之氣主約束，目外角為銳眥，內角為內眥者，乃太陰之氣主乎外內之目眥也。太陽為目上綱，陽明為目下綱，上為外眥，下為內眥者，乃太陽陽明之氣，主於上下之目眥也。】","骨癲疾者，顑齒諸腧分肉皆滿而骨居，汗出煩悗，嘔多沃沫，氣下洩，不治。","【注　齒者骨之餘，分肉屬骨，是以骨癲疾者，顑齒諸分肉皆滿。骨居者，骨肉不相親也。汗出煩悗者，病在足少陰腎而上及於手少陰心也。嘔多沃沫，太陰陽明之氣上脫也。氣下洩，少陰之氣下洩也。陰陽上下離脫，故為不治。】","癲疾者，疾發如狂者，死不治。","【注　陰盛者癲，陽盛者狂。疾發如狂者，陰陽之氣並傷，故死不治。】","扁鵲難經"]},{"id":"chapter-1-section-22","title":"辨狂癲證","paragraphs":[]},{"id":"chapter-1-section-23","title":"二十難曰：重陽者狂，重陰者癲。脫陽者見鬼，脫陰者目盲。","paragraphs":[]}]}],"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二百九十五","is_available":true},{"id":"chapter-1-section-2","chapter_title":"古今圖書整合","section_title":"癲狂門","is_available":true},{"id":"chapter-1-section-3","chapter_title":"古今圖書整合","section_title":"通評虛實論","is_available":true},{"id":"chapter-1-section-4","chapter_title":"古今圖書整合","section_title":"奇病論","is_available":true},{"id":"chapter-1-section-5","chapter_title":"古今圖書整合","section_title":"脈要精微論","is_available":true},{"id":"chapter-1-section-6","chapter_title":"古今圖書整合","section_title":"陽明脈解篇","is_available":true},{"id":"chapter-1-section-7","chapter_title":"古今圖書整合","section_title":"厥論","is_available":true},{"id":"chapter-1-section-8","chapter_title":"古今圖書整合","section_title":"氣交變大論","is_available":true},{"id":"chapter-1-section-9","chapter_title":"古今圖書整合","section_title":"五常政大論","is_available":true},{"id":"chapter-1-section-10","chapter_title":"古今圖書整合","section_title":"宣明五氣論","is_available":true},{"id":"chapter-1-section-11","chapter_title":"古今圖書整合","section_title":"陰陽類論","is_available":true},{"id":"chapter-1-section-12","chapter_title":"古今圖書整合","section_title":"生氣通天論","is_available":true},{"id":"chapter-1-section-13","chapter_title":"古今圖書整合","section_title":"至真要大論","is_available":true},{"id":"chapter-1-section-14","chapter_title":"古今圖書整合","section_title":"脈解篇","is_available":true},{"id":"chapter-1-section-15","chapter_title":"古今圖書整合","section_title":"氣厥論","is_available":true},{"id":"chapter-1-section-16","chapter_title":"古今圖書整合","section_title":"調經論","is_available":true},{"id":"chapter-1-section-17","chapter_title":"古今圖書整合","section_title":"病能論","is_available":true},{"id":"chapter-1-section-18","chapter_title":"古今圖書整合","section_title":"邪氣臟腑病形篇","is_available":true},{"id":"chapter-1-section-19","chapter_title":"古今圖書整合","section_title":"本神篇","is_available":true},{"id":"chapter-1-section-20","chapter_title":"古今圖書整合","section_title":"經脈篇","is_available":true},{"id":"chapter-1-section-21","chapter_title":"古今圖書整合","section_title":"癲狂篇","is_available":true},{"id":"chapter-1-section-22","chapter_title":"古今圖書整合","section_title":"辨狂癲證","is_available":true},{"id":"chapter-1-section-23","chapter_title":"古今圖書整合","section_title":"二十難曰：重陽者狂，重陰者癲。脫陽者見鬼，脫陰者目盲。","is_available":true}],"plain_text":"# 古今圖書整合\n## 古今圖書整合醫部全錄卷二百九十五\n## 癲狂門\n黃帝素問\n## 通評虛實論\n帝曰：癲疾何如？岐伯曰：脈搏大滑，久自己；脈小堅急，死不治。帝曰：癲疾之脈，虛實何如？岐伯曰：虛則可治，實則死。\n【注　脈搏大者，氣盛於外；小堅急者，氣洩於下。】\n## 奇病論\n帝曰：人生而有病癲疾者，病名曰何？安所得之？岐伯曰：病名為胎病。此得之在母腹中時，其母有所大驚，氣上而不下，精氣並居，故令子發為癲疾也。\n【注　有所大驚，則氣暴上而不下。夫精以養胎而精氣並居，母受驚而氣上，則子之精氣亦逆，故令子發為癲疾也。】\n## 脈要精微論\n衣被不斂，言語善惡不避親疏者，此神明之亂也。\n【注　語言善惡不避親疏者，神亂而譫語也。】\n## 陽明脈解篇\n帝曰：陽明病甚，則棄衣而走，登高而歌，或至不食數日，逾垣上屋，所上之處，皆非其素所能也，病反能者何也？\n岐伯曰：四肢者諸陽之本也，陽盛則四肢實，實則能登高也。\n【注　四肢為諸陽之木，陽盛則四肢實，實則能登高矣。蓋陽盛則升，四旁俱盛，故能升高。】\n帝曰：其棄衣而走者，何也？岐伯曰：熱盛於身，故棄衣欲走也。\n【注　陽明之氣主肌肉，故熱盛於身，身熱故棄衣而走也。蓋熱在外，故不欲衣。】\n帝曰：其妄言罵詈，不避親疏而歌者，何也？岐伯曰：陽盛則使人妄言罵詈，不避親疏，而不欲食，不欲食，故妄走也。\n【注　胃絡上通於心，陽盛則心神昏亂，故使人妄言罵詈，不避親疏。如熱盛於胃，則不欲食，不欲食，故妄走。蓋四肢稟氣於胃故也。】\n## 厥論\n陽明之厥，則癲疾欲走呼，腹滿不得臥，面赤而熱，妄見而妄言。\n【注　癲狂走呼，妄言妄見，陽明之脈病也。經氣厥逆，故腹滿。胃不和，故不得臥。陽明乃燥熱之經，其經氣上出於面，故面赤而熱。】\n## 氣交變大論\n歲火太過，上臨少陰少陽，病反譫妄狂越。\n【注　上臨少陰少陽，火氣更甚，譫妄狂越，熱極也。】\n腎脈急甚為骨癲疾。\n【注　腎為陰髒而主骨，陰寒太甚，故為骨癲疾。】\n## 五常政大論\n赫曦之紀，其病笑狂妄。\n【注　心氣實則笑不休狂妄，皆火熱之為病也】\n## 宣明五氣論\n邪入於陽則狂，搏陽則為癲疾。\n## 陰陽類論\n二陰二陽皆交至，病在腎，罵詈妄行，癲疾為狂。\n【注　皆交至者，二陰二陽之經氣交併而上至於陽明。病在腎者，謂腎氣病而精液少，其虛氣反上奔也。病氣傳於陽明，是以罵詈妄行，癲疾為狂。】\n## 生氣通天論\n陰者藏精而起亟也，陽者衛外而為固也。陰不勝其陽則脈流薄疾，並乃狂。\n【注　陽盛則狂。陽盛而自為病，故曰並乃狂。】\n## 至真要大論\n諸躁狂越，皆屬於火。\n【注　火者，少陽包絡之相火也。】\n## 脈解篇\n太陽所謂甚則狂巔疾者，陽盡在上，而陰氣　下，下虛上實，故狂巔疾也。\n【注　狂巔疾者，乃陽氣盡甚於上，而陰氣從之於下，不得與陽氣相和，下虛上實，故使狂巔疾也。】\n陽明所謂病至則欲乘高而歌，棄衣而走者，陰陽復爭而外並於陽，故使之棄衣而走也。\n【注　陰陽復爭者，謂陰陽之氣上下相薄，而復交爭於外內也。陰陽之氣外並於陽，則陽盛而為病矣。陽盛，故使之乘高而歌，棄衣而走也。】\n## 氣厥論\n肝移寒於心，狂鬲中。\n【注　肝為陽髒而木火主氣，陽並於陽，故狂。心居膈上，肝處膈下，母子之氣上下相通，肝邪上移於心，留於心下，故為鬲中。】\n## 調經論\n血並於陰，氣並於陽，故為驚狂。\n【注　血並於陰則陰盛而血實，心主血脈，故陰盛則驚。氣並於陽，則陽盛而氣實，陽盛則發狂也。】\n## 病能論\n帝曰：有病怒狂者，此病安生？岐伯曰：生於陽也。帝曰：陽何以使人狂？岐伯曰：陽氣者，因暴折而難決，故善怒也，病名曰陽厥。帝曰：何以治之？岐伯曰：陽明者常動，巨陽少陽不動，不動而動大疾，此其候也。帝曰：治之奈何？岐伯曰：奪其食即已。夫食入於陰，長氣於陽，故奪其食則已。使之服以生鐵落為飲。生鐵落者，下氣疾也。\n【注　巨陽者心之標陽，少陽者肝之表氣，皆不動者也。夫陽明乃胃之悍氣，故獨動而不休。今不動之氣反動而大疾，故使人怒狂。食氣入胃，散精於肝，濁氣歸心，淫精於脈，毛脈合精，行氣於腑，是食入於陰而長氣於陽也。今肝心之氣上逆，以致巨陽少陽之動大疾，故奪其食，則陰氣衰而陽動息矣。】\n靈樞經\n## 邪氣臟腑病形篇\n肺脈急甚為癲疾。\n【注　肺主清金而畏寒，寒甚則為癲疾，所謂重陰則癲也。】\n## 本神篇\n肺喜樂無極則傷魄，魄傷則狂，狂者意不存人，皮革焦，毛悴色夭，死於夏。\n【注　喜樂，心之情也。如喜樂無極則傷肺臟之魄，魄傷則狂。意者心之發，蓋喜樂無極，則神亦憚散而不存矣。肺主皮毛，故人皮革焦。】\n## 經脈篇\n胃足陽明之脈，是動則病灑灑振寒，善呻數欠，顏黑，病至則惡人與火，聞木聲則惕然而驚，心欲動，獨閉戶塞牖而處，甚則欲上高而歌，棄衣而走，賁響腹脹，是為骭厥。\n【注　陽明者午也，陰氣加之，故灑灑振寒。善呻者，陽氣鬱而欲伸出之。數欠者，陽欲引而上也。顏黑者，陰氣加於上也。病至者，病氣而至於經脈也。陽明之脈病，則惡人與火，聞木音則惕然而驚。胃絡上通於心，故心欲動，陰陽相薄，故欲獨閉戶牖而居。陽盛則四肢實，實則登高而歌。熱盛於身，故棄衣而走。陽明之脈下膈屬胃絡脾，故賁響腹脹。】\n膀胱足太陽之脈，是主筋所生病者，痔瘧狂癇疾。\n【注　陽氣者柔則養筋，故是主筋所生之病，則為痔。經絡沉以內薄，則為瘧。厥逆於下，則為癲為狂。】\n## 癲狂篇\n目眥外決於面者為銳眥，在內近鼻者為內眥。上為外眥，下為內眥。\n【注　太陰之氣主約束，目外角為銳眥，內角為內眥者，乃太陰之氣主乎外內之目眥也。太陽為目上綱，陽明為目下綱，上為外眥，下為內眥者，乃太陽陽明之氣，主於上下之目眥也。】\n骨癲疾者，顑齒諸腧分肉皆滿而骨居，汗出煩悗，嘔多沃沫，氣下洩，不治。\n【注　齒者骨之餘，分肉屬骨，是以骨癲疾者，顑齒諸分肉皆滿。骨居者，骨肉不相親也。汗出煩悗者，病在足少陰腎而上及於手少陰心也。嘔多沃沫，太陰陽明之氣上脫也。氣下洩，少陰之氣下洩也。陰陽上下離脫，故為不治。】\n癲疾者，疾發如狂者，死不治。\n【注　陰盛者癲，陽盛者狂。疾發如狂者，陰陽之氣並傷，故死不治。】\n扁鵲難經\n## 辨狂癲證\n## 二十難曰：重陽者狂，重陰者癲。脫陽者見鬼，脫陰者目盲。","is_preview":true,"preview_page_limit":10}