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Jingui Yaolue · Essentials from the Golden Cabinet
11. Wind and Cold in the Five Viscera, Accumulations and Gatherings · Pulses, Signs and Treatment
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Wind striking Lung gives dry mouth and panting, a dizzy, heavy body, clouded sensation and swelling.
Cold striking Lung causes spitting of turbid mucus.
In the Lung death-viscus pattern, the pulse is deficient superficially, weak under pressure like a scallion leaf, with no root beneath. The text predicts death.
Wind striking Liver makes head and eyes twitch, both flanks painful, walking habitually bent, and a fondness for sweet flavors.
Cold striking Liver prevents lifting both arms, dries the tongue root, causes frequent sighing, chest pain and inability to turn. Eating brings vomiting and sweat. The Pulse Classic and Thousand Gold instead mention occasional night sweats, cough, and vomiting liquid after food.
In the Liver death-viscus pattern, the pulse is weak superficially, like a rope that does not arrive under pressure, or curved like a snake's movement. The text predicts death.
In Liver fixation the person constantly wants the chest trodden upon. Before distress develops, only hot drinks are desired. Xuanfuhua Tang governs. Editors Yi and colleagues note that the Xuanfuhua Tang formulas in all examined editions agree. No ingredients are supplied in this record.
Wind striking Heart gives gentle waves of fever, inability to rise, hunger in the Heart region and vomiting upon eating.
Cold striking Heart feels as if garlic had been eaten in the Heart region. Severe Heart pain reaches the back and back pain Heart, as in gu-transmitted affliction. A floating pulse recovers after spontaneous vomiting.
Heart injury makes exertion and fatigue redden head and face, with heaviness below, Heart pain, spontaneous vexation, fever and jumping at the navel, pulse wiry. These result from injury to the Heart viscus.
In the Heart death-viscus pattern, the pulse is replete superficially like hemp seeds or beans, more agitated and urgent under pressure. The text predicts death.
Deviant crying unsettles hun and po because blood and qi are scant. Their scarcity belongs to Heart. Deficient Heart qi makes a person afraid, closing eyes to sleep, dreaming distant travel while spirit disperses and souls wander recklessly. Declining yin qi makes dian disorder; declining yang qi kuang disorder. These are the source's historical categories.
Wind striking Spleen gives gentle waves of fever, a drunk-like appearance, vexing heaviness in the abdomen, twitching skin and eyes, and short qi.
In the Spleen death-viscus pattern, the pulse is large and firm superficially, like an overturned cup under pressure, hard and seemingly shaking. The text predicts death.
Editors Yi and colleagues note: The five viscera each should have wind-strike and cold-strike accounts, but here Spleen has only wind-strike, while Kidney has neither. Ancient text is extremely abbreviated and disordered. Antiquity is distant, and no other source permits these omissions to be supplied.
A floating, rough fuyang pulse: floating means strong Stomach qi, rough frequent urination. Together they harden stool. Spleen is constrained; Maziren Wan governs.
Kidney fixation gives a heavy body, cold waist as if sitting in water, a Water-like appearance yet no thirst, free urination and normal eating. It belongs to Lower Burner. Exertion and sweat with cold-damp within clothing cause it over time; a variant has exterior in the clothing phrase. Below the waist cold pain, abdomen heavy as if carrying five thousand coins: Gan Jiang Ling Zhu Tang governs.
In the Kidney death-viscus pattern, the pulse is firm superficially, disordered under pressure like a rolling pellet, increasingly entering chi below. The text predicts death.
Question: In exhaustion of the Triple Burner regions, why does Upper Burner exhaustion cause frequent belching?
The Master replies: Upper Burner receives unharmonized Middle Burner qi and cannot digest grain, hence belching. Lower Burner exhaustion causes involuntary urine and stool: disharmonious qi cannot control itself. It needs no treatment and recovers over time, according to the source.
The Master says: Upper Burner heat produces cough and Lung wilting; Middle Burner heat hardness; Lower Burner heat blood in urine, strangury and blocked urination. Cold in Large Bowel often gives duck-dropping-like stool; heat discharges intestinal grime. Cold in Small Bowel gives downward heaviness and bloody stool; heat must cause hemorrhoids.
Question: What are accumulation, gathering and grain qi, written with the rare grain graph?
The Master replies: Accumulation is viscus illness, never shifting. Gathering is bowel illness, attacking at intervals, turning and shifting in pain, treatable. Grain qi is pain below the ribs relieved by pressure then recurring.
The general rule for accumulations: a fine pulse close to bone means accumulation. At cunkou it lies in chest; slightly beyond cunkou throat; at guan beside navel; above guan below Heart; slightly below guan lower abdomen; at chi the Qi-Rushing region. Pulse emerging left means accumulation left, emerging right right, both sides center. Locate it by each corresponding region.
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