《四圣心源》精译
清·黄元御
目 录
四圣心源自叙..............................................................................................................6 阳湖张琦序..................................................................................................................6 丹徒赵克宣序..............................................................................................................7 丹徒赵克宜序..............................................................................................................7
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长沙徐树铭序..............................................................................................................8 湘潭欧阳兆熊序..........................................................................................................8 长沙黄济序..................................................................................................................9 完颜崇实序..................................................................................................................9 吴郡顾复初序..............................................................................................................10 江夏彭崧毓序..............................................................................................................10 吴县曹元恒序..............................................................................................................11
四圣心源卷一·天人解.............................................................................................11 阴阳变化......................................................................................................................11 五行生克......................................................................................................................13 脏腑生成......................................................................................................................14 气血原本......................................................................................................................16 精神化生......................................................................................................................17 形体结聚......................................................................................................................18 五官开窍......................................................................................................................19 五气分主......................................................................................................................20 五味根原......................................................................................................................21 五情缘起......................................................................................................................22 精华滋生......................................................................................................................23 糟粕传导......................................................................................................................24 经脉起止......................................................................................................................26 奇经部次......................................................................................................................28 营气运行......................................................................................................................30 卫气出入......................................................................................................................32
四圣心源卷二·六气解.............................................................................................34 六气名目......................................................................................................................34 六气从化......................................................................................................................34 六气偏见......................................................................................................................35 本气衰旺......................................................................................................................37 厥阴风木......................................................................................................................37 少阴君火......................................................................................................................40 少阳相火......................................................................................................................41 太阴湿土......................................................................................................................42 阳明燥金......................................................................................................................43 太阳寒水......................................................................................................................44 六气治法......................................................................................................................45
治厥阴风木法...............................................................................................................................45 治少阴君火法.............................................................................................................................. 45 治少阳相火法.............................................................................................................................. 45 治太阴湿土法.............................................................................................................................. 46 治阳明燥金法.............................................................................................................................. 46 治太阳寒水法.............................................................................................................................. 46
四圣心源卷三·脉法解..............................................................................................46 寸口脉法......................................................................................................................46 寸口人迎脉法..............................................................................................................48 三部九候脉法..............................................................................................................49 脏腑脉象......................................................................................................................49 四时脉体......................................................................................................................50
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真藏脉义......................................................................................................................51 浮沉大小......................................................................................................................52 二十四脉......................................................................................................................54
浮沉.............................................................................................................................................54 迟数.............................................................................................................................................54 滑涩.............................................................................................................................................55 大小.............................................................................................................................................56 长短.............................................................................................................................................56 缓紧.............................................................................................................................................57 石芤.............................................................................................................................................58 促结.............................................................................................................................................59 弦牢.............................................................................................................................................59 濡弱.............................................................................................................................................60 散伏.............................................................................................................................................61 动代.............................................................................................................................................62
四圣心源卷四·劳伤解..............................................................................................62 中气........................................................................................................................... 63 阴阳........................................................................................................................... 64 阴虚........................................................................................................................... 65 阳虚........................................................................................................................... 65 阴脱........................................................................................................................... 67 阳脱........................................................................................................................... 67 精神........................................................................................................................... 68 神惊........................................................................................................................... 68 精遗........................................................................................................................... 70 气血........................................................................................................................... 71 气滞........................................................................................................................... 72 气积........................................................................................................................... 73 血瘀........................................................................................................................... 74 血脱............................................................................................................................74 衄血............................................................................................................................75 吐血............................................................................................................................76 便血............................................................................................................................78 溺血............................................................................................................................78
四圣心源卷五·杂病解上..........................................................................................79 鼓胀根原....................................................................................................................80
气鼓............................................................................................................................................80 水胀............................................................................................................................................81
噎膈根原....................................................................................................................83 反胃根原....................................................................................................................85 消渴根原....................................................................................................................86 颠狂根原....................................................................................................................88 痰饮根原....................................................................................................................89 咳嗽根原....................................................................................................................90 肺痈根原....................................................................................................................91
四圣心源卷六·杂病解中..........................................................................................93 腹痛根原....................................................................................................................93 腰痛根原....................................................................................................................94
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奔豚根原....................................................................................................................95 瘕疝根原....................................................................................................................97 积聚根原....................................................................................................................98 蛔虫根原....................................................................................................................100 便坚根原....................................................................................................................101 泄利根原....................................................................................................................102 痢疾根原....................................................................................................................103 淋沥根原....................................................................................................................104
四圣心源卷七·杂病解下..........................................................................................107 中风根原....................................................................................................................107 历节根原....................................................................................................................109 痉病根原....................................................................................................................110 湿病根原....................................................................................................................112 黄疸根原....................................................................................................................113
谷疸............................................................................................................................................ 114 酒疸............................................................................................................................................ 114 色疸............................................................................................................................................ 114
暍病根原....................................................................................................................115 霍乱根原....................................................................................................................116 痎疟根原....................................................................................................................117
温疟............................................................................................................................................ 117 瘅疟............................................................................................................................................ 118 牝疟............................................................................................................................................ 118
伤风根原.................................................................................................................... 118 齁喘根原.................................................................................................................... 119
四圣心源卷八·七窍解..............................................................................................120 耳目根原.................................................................................................................... 121 目病根原.................................................................................................................... 121
疼痛............................................................................................................................................. 122
耳病根原.................................................................................................................... 124
疼痛............................................................................................................................................. 125
鼻口根原.................................................................................................................... 126 鼻病根原.................................................................................................................... 127 口病根原.................................................................................................................... 127 舌病........................................................................................................................... 128 牙痛........................................................................................................................... 129 咽喉........................................................................................................................... 130 声音........................................................................................................................... 131 须发........................................................................................................................... 132
四圣心源卷九·疮疡解............................................................................................132 痈疽根原.................................................................................................................. 133 瘰疬根原.................................................................................................................. 135 癞风根原.................................................................................................................. 136 痔漏根原.................................................................................................................. 137
四圣心源卷十·妇人解............................................................................................138 经脉根原.................................................................................................................. 139
闭结........................................................................................................................................... 140 崩漏........................................................................................................................................... 140
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先期后期................................................................................................................................... 141 结瘀紫黑................................................................................................................................... 142 经行腹痛................................................................................................................................... 142 热入血室................................................................................................................................... 143
杂病根原...................................................................................................................143
带下........................................................................................................................................... 143 骨蒸........................................................................................................................................... 145 胎妊解...................................................................................................................... 146 结胎........................................................................................................................................... 146 堕胎........................................................................................................................................... 147 胎漏........................................................................................................................................... 148
产后根原.................................................................................................................. 149
附录.......................................................................................................................150 五运与六气的关系................................................................................................................ 150
四圣心源自叙
医有黄帝、岐伯、越人、仲景四圣之书，争光日月。人亡代革，薪火无传，玉楸子悯后世作者不达其意，既解《伤寒》《金匮》，乃于己巳【己巳：乾隆十四年己巳，即公元1749年。下文庚午、辛未、壬申、癸酉依次对应于乾隆十五年到十八年，即公元1750-1753之间的4年。】二月，作
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