{"resource_id":14859,"title":"《古今图书集成》医部全录卷303至卷307-虚劳门","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三百三","paragraphs":[]},{"id":"chapter-1-section-2","title":"虛勞門","paragraphs":["黃帝素問"]},{"id":"chapter-1-section-3","title":"上古天真論","paragraphs":["今時之人，以酒為漿，以妄為常，醉以入房，以欲竭其精，以耗散其真，不知持滿，不時御神，務快其心逆於生樂，起居無節，故半百而衰也。","【注　酒能傷脾，脾氣傷則不能宣五穀味而生氣傷，醉以入房則傷精矣，故半百而衰也。】"]},{"id":"chapter-1-section-4","title":"陰陽應象大論","paragraphs":["味傷形，氣傷精，寒傷形，熱傷氣，氣傷痛，形傷腫。","【注　飲食之氣味太過，反能傷其精形。陰寒甚故傷形，陽熱盛故傷氣，氣無形故痛，陰有形故腫。】","喜怒傷氣，寒暑傷形。暴怒傷陰，暴喜傷陽。","【注　情由內發，故傷氣，邪由外入，故傷形。喜屬陽而怒屬陰，故卒暴則傷其陰陽也。】","年四十而陰氣自半也，起居衰矣。","【注　男子以八為期，至四十而居半，腎陰漸虛，故起居自倦。】"]},{"id":"chapter-1-section-5","title":"脈要精微論","paragraphs":["言而微，終日乃復言者，此奪氣也。","【注　氣虛而不接續也。】"]},{"id":"chapter-1-section-6","title":"玉機真髒論","paragraphs":["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　此心病傳肺也。】","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。真髒見，乃予之期日。","【注　此肝病至肺而死也。】","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)。真髒見，十日之內死。","【注　此肺病至心而死也。】","大骨枯槁，大肉陷下，肩髓內消，動作益衰，真髒來見，期一歲死。見其真髒，乃予之期日。","【注　此脾病而終一歲也。】","大骨枯槁，大肉陷下，胸中氣滿，腹內痛，心中不便，肩項身熱，破(月囷)脫肉，目眶陷，真髒見，目不見人，立死。其見人者，至其所不勝之時則死。","【注　此腎病而死於脾也。】","五虛死。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；皮寒，肺氣虛；氣少，肝氣虛；洩利前後，腎氣虛；飲食不入，脾氣虛，故死。若漿粥入胃，洩注止，胃氣復也，故生。】"]},{"id":"chapter-1-section-7","title":"經脈別論","paragraphs":["勇者氣行則已，怯者則著而為病也。","【注　勇者逆氣已過，正氣復順，怯者則留著為病。】"]},{"id":"chapter-1-section-8","title":"宣明五氣篇","paragraphs":["五勞所傷，久視傷血，久臥傷氣，久坐傷肉，久立傷骨，久行傷筋，是謂五勞所傷。","【注　此五勞而傷五臟所主之血氣筋骨也。】"]},{"id":"chapter-1-section-9","title":"通評虛實論","paragraphs":["邪氣盛則實，精氣奪則虛。","【注　邪氣乃風寒暑溼，精氣乃榮衛之氣也。】"]},{"id":"chapter-1-section-10","title":"評熱病論","paragraphs":["邪之所湊，其氣必虛。陰虛者，陽必湊之。"]},{"id":"chapter-1-section-11","title":"逆調論","paragraphs":["榮氣虛則不仁，衛氣虛則不用，榮衛俱虛則不仁且不用，肉如故也。人身與志不相有者死。","【注　榮衛不和則兩者皆虛，不仁且不用而肉苛如故者，不和而致虛也。】"]},{"id":"chapter-1-section-12","title":"奇病論","paragraphs":["有癃者一日數十溲，太陰脈細如髮者，此不足也。","【注　地氣不能上升而為下洩，此太陰之不足也。】"]},{"id":"chapter-1-section-13","title":"脈解篇","paragraphs":["內奪而厥，則為喑俳，此腎虛矣。","【注　陽盛於外，內奪其所藏之氣，則腎虛也。】"]},{"id":"chapter-1-section-14","title":"刺志論","paragraphs":["氣實形實，氣虛形虛，此其常也，反此者病。谷盛氣盛，谷虛氣虛，此其常也，反此者病。脈實血實，脈虛血虛，此其常也，反此者病。氣虛身熱，此謂反也；谷入多而氣少，此謂反也；谷不入而氣多，此謂反也；脈盛血少，此謂反也；脈少血多，此謂反也。","【注　如形氣谷氣之相反，血脈虛實之變常，皆緣志意不和，以致邪氣從之。】","夫實者氣入也，虛者氣出也，氣實者熱也，氣虛者寒也。","【注　虛者須其實，氣入則實矣；實者須其虛，氣出則虛矣。此言氣之開闔也。】"]},{"id":"chapter-1-section-15","title":"調經論","paragraphs":["心藏神，神有餘則笑不休，神不足則悲。","【注　心在志為喜，在聲為笑，故有餘則笑不休，不足則金氣反勝而為悲。】","肺藏氣氣有餘則喘咳上氣，不足則息利少氣。","【注　肺主氣而司呼吸，故有餘則喘咳上逆，不足則呼吸不利而少氣也。】","肝藏血，血有餘則怒，不足則恐。","【注　肝志怒，腎志恐，故血有餘則肝氣盛而主怒，不足則母氣衰而並於脾，故恐。】","脾藏肉，形有餘則腹脹涇溲不利，不足則四肢不用。","【注　腹乃脾土之郛郭，故有餘則脹，土氣實則制水不流。脾主四肢，故虛則不用。】","腎藏志，志有餘則腹脹飧洩，不足則厥。","【注　腎者胃之關，關門不利，則聚水而為腹脹飧洩。腎為生氣之原，故不足則厥逆也。】","氣之所併為血虛，血之所併為氣虛。","【注　氣並則無血，血並則無氣也。】","有者為實，無者為虛。故氣並則無血，血並則無氣。今血與氣相失，故為虛焉。","【注　如血並於陰，則陰寒盛，而血中之氣亦無。氣並於陽，則陽熱盛，而氣分之血亦消。血與氣相失而不能相和，故皆為虛焉。】","帝曰：陰之生實奈何？岐伯曰：喜怒不節則陰氣上逆，上逆則下虛，下虛則陽氣走之，故曰實矣。帝曰：陰之生虛奈何？岐伯曰：喜則氣下，悲則氣消，消則脈虛空，因寒飲食，寒氣燻滿，則血泣氣去，故曰虛矣。","【注　喜怒不節，則陰氣上逆，逆則下虛，虛則陽氣相乘而下走之，故為實。喜則神氣散而下，悲則傷肺而氣消，神氣消而脈空虛者，脈隨氣而消長也：兼之寒飲食致寒氣滿胸中，則血泣而氣去，故曰虛。】","陽虛則外寒，陰虛則內熱。","【注　表陽之氣，有虛之寒。裡陰之氣，有虛之熱。】","靈樞經"]},{"id":"chapter-1-section-16","title":"決氣篇","paragraphs":["精脫者耳聾。氣脫者目不明。津脫者腠理開，汗大洩。液脫者，骨屬屈伸不利，色夭，腦髓消，脛酸，耳數鳴。血脫者，色白夭然不澤，其脈空虛，此其候也。"]},{"id":"chapter-1-section-17","title":"海論","paragraphs":["氣海不足，則氣少不足以言。","【注　氣海不足則氣少，故不足於言。】","血海不足，亦常想其身小，狹然不知其所病。","【注　衝脈之血，充實於周身，故不足則覺其身小，狹然不知其為何病。】","水穀之海不足，則飢不受穀食。","【注　胃氣不足，故飢而不受穀食。】","髓海不足，則腦轉耳鳴，脛酸眩冒，目無所見，懈怠安臥。","【注　髓海不足則精液竭。精液者，所以濡空竅者也。故耳為之鳴，目無所見。液脫者，骨屬屈伸不利，故脛酸而懈怠安臥。】"]},{"id":"chapter-1-section-18","title":"五癃津液別篇","paragraphs":["陰陽不和，則使液溢而下流於陰，髓液皆減而下，下過度則虛，虛故腰背痛而脛酸。","【注　陰陽之氣不和，則液與精不合，使液溢於骨外，而下流於陰矣。液溢於外，則髓液皆減而下，是不能為高矣。下流過度，則骨虛而腰痛脛酸矣。】","扁鵲難經","虛損"]},{"id":"chapter-1-section-19","title":"六難曰：脈有陰盛陽虛，陽盛陰虛，何謂也？然。浮之損小，沉之實大，故曰陰盛陽虛。沉之損小，浮之實大，故曰陽盛陰虛。是陰陽虛實之意也。","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三百三","is_available":true},{"id":"chapter-1-section-2","chapter_title":"古今圖書整合","section_title":"虛勞門","is_available":true},{"id":"chapter-1-section-3","chapter_title":"古今圖書整合","section_title":"上古天真論","is_available":true},{"id":"chapter-1-section-4","chapter_title":"古今圖書整合","section_title":"陰陽應象大論","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":"玉機真髒論","is_available":true},{"id":"chapter-1-section-7","chapter_title":"古今圖書整合","section_title":"經脈別論","is_available":true},{"id":"chapter-1-section-8","chapter_title":"古今圖書整合","section_title":"宣明五氣篇","is_available":true},{"id":"chapter-1-section-9","chapter_title":"古今圖書整合","section_title":"通評虛實論","is_available":true},{"id":"chapter-1-section-10","chapter_title":"古今圖書整合","section_title":"評熱病論","is_available":true},{"id":"chapter-1-section-11","chapter_title":"古今圖書整合","section_title":"逆調論","is_available":true},{"id":"chapter-1-section-12","chapter_title":"古今圖書整合","section_title":"奇病論","is_available":true},{"id":"chapter-1-section-13","chapter_title":"古今圖書整合","section_title":"脈解篇","is_available":true},{"id":"chapter-1-section-14","chapter_title":"古今圖書整合","section_title":"刺志論","is_available":true},{"id":"chapter-1-section-15","chapter_title":"古今圖書整合","section_title":"調經論","is_available":true},{"id":"chapter-1-section-16","chapter_title":"古今圖書整合","section_title":"決氣篇","is_available":true},{"id":"chapter-1-section-17","chapter_title":"古今圖書整合","section_title":"海論","is_available":true},{"id":"chapter-1-section-18","chapter_title":"古今圖書整合","section_title":"五癃津液別篇","is_available":true},{"id":"chapter-1-section-19","chapter_title":"古今圖書整合","section_title":"六難曰：脈有陰盛陽虛，陽盛陰虛，何謂也？然。浮之損小，沉之實大，故曰陰盛陽虛。沉之損小，浮之實大，故曰陽盛陰虛。是陰陽虛實之意也。","is_available":true}],"plain_text":"# 古今圖書整合\n## 古今圖書整合醫部全錄卷三百三\n## 虛勞門\n黃帝素問\n## 上古天真論\n今時之人，以酒為漿，以妄為常，醉以入房，以欲竭其精，以耗散其真，不知持滿，不時御神，務快其心逆於生樂，起居無節，故半百而衰也。\n【注　酒能傷脾，脾氣傷則不能宣五穀味而生氣傷，醉以入房則傷精矣，故半百而衰也。】\n## 陰陽應象大論\n味傷形，氣傷精，寒傷形，熱傷氣，氣傷痛，形傷腫。\n【注　飲食之氣味太過，反能傷其精形。陰寒甚故傷形，陽熱盛故傷氣，氣無形故痛，陰有形故腫。】\n喜怒傷氣，寒暑傷形。暴怒傷陰，暴喜傷陽。\n【注　情由內發，故傷氣，邪由外入，故傷形。喜屬陽而怒屬陰，故卒暴則傷其陰陽也。】\n年四十而陰氣自半也，起居衰矣。\n【注　男子以八為期，至四十而居半，腎陰漸虛，故起居自倦。】\n## 脈要精微論\n言而微，終日乃復言者，此奪氣也。\n【注　氣虛而不接續也。】\n## 玉機真髒論\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　此心病傳肺也。】\n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。真髒見，乃予之期日。\n【注　此肝病至肺而死也。】\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)。真髒見，十日之內死。\n【注　此肺病至心而死也。】\n大骨枯槁，大肉陷下，肩髓內消，動作益衰，真髒來見，期一歲死。見其真髒，乃予之期日。\n【注　此脾病而終一歲也。】\n大骨枯槁，大肉陷下，胸中氣滿，腹內痛，心中不便，肩項身熱，破(月囷)脫肉，目眶陷，真髒見，目不見人，立死。其見人者，至其所不勝之時則死。\n【注　此腎病而死於脾也。】\n五虛死。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；皮寒，肺氣虛；氣少，肝氣虛；洩利前後，腎氣虛；飲食不入，脾氣虛，故死。若漿粥入胃，洩注止，胃氣復也，故生。】\n## 經脈別論\n勇者氣行則已，怯者則著而為病也。\n【注　勇者逆氣已過，正氣復順，怯者則留著為病。】\n## 宣明五氣篇\n五勞所傷，久視傷血，久臥傷氣，久坐傷肉，久立傷骨，久行傷筋，是謂五勞所傷。\n【注　此五勞而傷五臟所主之血氣筋骨也。】\n## 通評虛實論\n邪氣盛則實，精氣奪則虛。\n【注　邪氣乃風寒暑溼，精氣乃榮衛之氣也。】\n## 評熱病論\n邪之所湊，其氣必虛。陰虛者，陽必湊之。\n## 逆調論\n榮氣虛則不仁，衛氣虛則不用，榮衛俱虛則不仁且不用，肉如故也。人身與志不相有者死。\n【注　榮衛不和則兩者皆虛，不仁且不用而肉苛如故者，不和而致虛也。】\n## 奇病論\n有癃者一日數十溲，太陰脈細如髮者，此不足也。\n【注　地氣不能上升而為下洩，此太陰之不足也。】\n## 脈解篇\n內奪而厥，則為喑俳，此腎虛矣。\n【注　陽盛於外，內奪其所藏之氣，則腎虛也。】\n## 刺志論\n氣實形實，氣虛形虛，此其常也，反此者病。谷盛氣盛，谷虛氣虛，此其常也，反此者病。脈實血實，脈虛血虛，此其常也，反此者病。氣虛身熱，此謂反也；谷入多而氣少，此謂反也；谷不入而氣多，此謂反也；脈盛血少，此謂反也；脈少血多，此謂反也。\n【注　如形氣谷氣之相反，血脈虛實之變常，皆緣志意不和，以致邪氣從之。】\n夫實者氣入也，虛者氣出也，氣實者熱也，氣虛者寒也。\n【注　虛者須其實，氣入則實矣；實者須其虛，氣出則虛矣。此言氣之開闔也。】\n## 調經論\n心藏神，神有餘則笑不休，神不足則悲。\n【注　心在志為喜，在聲為笑，故有餘則笑不休，不足則金氣反勝而為悲。】\n肺藏氣氣有餘則喘咳上氣，不足則息利少氣。\n【注　肺主氣而司呼吸，故有餘則喘咳上逆，不足則呼吸不利而少氣也。】\n肝藏血，血有餘則怒，不足則恐。\n【注　肝志怒，腎志恐，故血有餘則肝氣盛而主怒，不足則母氣衰而並於脾，故恐。】\n脾藏肉，形有餘則腹脹涇溲不利，不足則四肢不用。\n【注　腹乃脾土之郛郭，故有餘則脹，土氣實則制水不流。脾主四肢，故虛則不用。】\n腎藏志，志有餘則腹脹飧洩，不足則厥。\n【注　腎者胃之關，關門不利，則聚水而為腹脹飧洩。腎為生氣之原，故不足則厥逆也。】\n氣之所併為血虛，血之所併為氣虛。\n【注　氣並則無血，血並則無氣也。】\n有者為實，無者為虛。故氣並則無血，血並則無氣。今血與氣相失，故為虛焉。\n【注　如血並於陰，則陰寒盛，而血中之氣亦無。氣並於陽，則陽熱盛，而氣分之血亦消。血與氣相失而不能相和，故皆為虛焉。】\n帝曰：陰之生實奈何？岐伯曰：喜怒不節則陰氣上逆，上逆則下虛，下虛則陽氣走之，故曰實矣。帝曰：陰之生虛奈何？岐伯曰：喜則氣下，悲則氣消，消則脈虛空，因寒飲食，寒氣燻滿，則血泣氣去，故曰虛矣。\n【注　喜怒不節，則陰氣上逆，逆則下虛，虛則陽氣相乘而下走之，故為實。喜則神氣散而下，悲則傷肺而氣消，神氣消而脈空虛者，脈隨氣而消長也：兼之寒飲食致寒氣滿胸中，則血泣而氣去，故曰虛。】\n陽虛則外寒，陰虛則內熱。\n【注　表陽之氣，有虛之寒。裡陰之氣，有虛之熱。】\n靈樞經\n## 決氣篇\n精脫者耳聾。氣脫者目不明。津脫者腠理開，汗大洩。液脫者，骨屬屈伸不利，色夭，腦髓消，脛酸，耳數鳴。血脫者，色白夭然不澤，其脈空虛，此其候也。\n## 海論\n氣海不足，則氣少不足以言。\n【注　氣海不足則氣少，故不足於言。】\n血海不足，亦常想其身小，狹然不知其所病。\n【注　衝脈之血，充實於周身，故不足則覺其身小，狹然不知其為何病。】\n水穀之海不足，則飢不受穀食。\n【注　胃氣不足，故飢而不受穀食。】\n髓海不足，則腦轉耳鳴，脛酸眩冒，目無所見，懈怠安臥。\n【注　髓海不足則精液竭。精液者，所以濡空竅者也。故耳為之鳴，目無所見。液脫者，骨屬屈伸不利，故脛酸而懈怠安臥。】\n## 五癃津液別篇\n陰陽不和，則使液溢而下流於陰，髓液皆減而下，下過度則虛，虛故腰背痛而脛酸。\n【注　陰陽之氣不和，則液與精不合，使液溢於骨外，而下流於陰矣。液溢於外，則髓液皆減而下，是不能為高矣。下流過度，則骨虛而腰痛脛酸矣。】\n扁鵲難經\n虛損\n## 六難曰：脈有陰盛陽虛，陽盛陰虛，何謂也？然。浮之損小，沉之實大，故曰陰盛陽虛。沉之損小，浮之實大，故曰陽盛陰虛。是陰陽虛實之意也。","is_preview":true,"preview_page_limit":10}