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黄帝说:血并于阴,气并于阳,象这样血气各离其所的病证
怎样是实,怎样是虚呢?岐伯说:血和气都是喜温暖而恶寒冷的,因为寒冷则气血滞涩而流行不畅,温暖则可使滞涩的气血消散流行。所以气所并之处则血少而为血虚,血所并之处则气少而气虚。黄帝说:人身的重要物质是血和气。现在先生说血并的是虚,气并的也是虚,难道没有实吗?岐伯说:多余的就是实,缺乏的就是虚。 서귀포출장안마 ,为气实血虚,血并之处则气少,血和气各离其所不能相济而为虚。人身络脉和孙脉的气血均输注于经脉,如果血与气相并,就成为实了。譬如血与气并,循经上逆,就会发生“大厥”病,使人突然昏厥如同暴死,这种病如果气血能得以及时下行,则可以生,如果气血壅于上而不能下行,就要死亡。
黄帝说:实是通过什麽渠道来的?虚又是通过什麽渠道去的?形成虚和实的道理,希望能听你讲一讲。岐伯说:阴经和阳经都有俞有会,以互相沟通。如阳经的气血灌注于阴经,阴经的气血盛满则充溢于外,能这样运行不已,保持阴阳平调,形体得到充足的气血滋养,九候的脉象也表现一直,这就是正常的人。凡邪气伤人而发生病变,有发生于阴的内脏,或发生于阳的体表。病生于阳经在表的,都是感受了风雨寒暑邪气的侵袭;病生于阴经在里的,都是由于饮食不节、起居失常、房事过度、喜怒无常所致。
黄帝说:风雨之邪伤人是怎样的呢?岐伯说:风雨之邪伤人,是先侵入皮肤,有皮肤而传入于孙脉,孙脉满则传入于络脉,络脉满则输注于大经脉。血气与邪气并聚于分肉腠理之间,其脉必坚实而大,所以叫做实证。实证受邪部的表面多坚实充满,不可触按,按之则痛。黄帝说:寒湿之邪伤人是怎样的呢?岐伯说:寒湿之邪气伤人,使人皮肤失却收缩功能,肌肉坚紧,营血滞涩,卫气离去,所以叫做虚证。虚证多见皮肤松弛而有皱折,卫气不足,营血滞涩等,按摩可以致气,使气足能温煦营血,故按摩则卫气充实,营血畅行,便觉得爽快而不疼痛了。黄帝说:好。阴分所发生的实证是怎样的呢?岐伯说:人若喜怒不加节制,则使阴气上逆,阴气上逆则必虚于下,阴虚者阳必凑之,所以叫做实证。黄帝说;阴分所发生的虚证是怎样的呢?岐伯说:人若过度喜乐则气易下陷,过度悲哀则气易消散,气消散则血行迟缓,脉道空虚;若再寒凉饮食,寒气充满于内,血气滞涩而气耗,所以叫做虚证。

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