Golden Mirror of Famous Doctors Throughout History for Clinical Practice - Volume on Bi Syndrome (Volume 1 and 2)

Author: Shan Shujian / et al.
Editor-in-Chief: Wu Shaozhen
Publisher:
Publish Date: 2000-11-01
Features:
Excerpt:
However, there are three Yin and three Yang corresponding to them, resulting in excess or deficiency. It is said that excess of Ji Yin causes Yin paralysis, while deficiency causes heat paralysis. A slippery pulse indicates the presence of fox wind hernia, while a thready pulse indicates accumulation of gas in the lower abdomen. The slippery and thready pulses reflect the excess or deficiency observed in their respective regions. Ji Yin is located in the lower Jiao and governs all tendons. Excess leads to Yin paralysis because it obstructs and fails to rise, causing pathogenic factors to accumulate in the Yin aspect, thus resulting in Yin paralysis. If deficient, it leads to heat due to emptiness, hence heat paralysis. A slippery pulse indicates excess of pathogenic factors. The hernia resembles a fox and changes rapidly like the wind. It occurs in the anterior genitalia and lower abdomen, where liver qi stagnates, corresponding to the location of Yin paralysis. A thready pulse indicates qi deficiency and blood stasis, causing pathogenic factors to linger and form accumulation, which is also known as heat paralysis.
Excess of Shaoyin causes skin paralysis and urticaria, while deficiency causes lung paralysis. A slippery pulse indicates lung wind hernia, and a thready pulse indicates accumulation of urine and blood. Shaoyin represents the sovereign fire, and excess leads to the () of metal, affecting the skin (lung's corresponding organ), hence skin paralysis and urticaria. Deficiency results in inability to warm metal, causing lung paralysis. A slippery pulse indicates that heart fire cannot overcome water pathogens, leading to accumulation and () in the lungs, causing lung wind hernia. Wind causes lung movement, while hernia indicates lung accumulation. A thready pulse indicates insufficient heart blood, with fire retracting inward, affecting the uterus and small intestine, hence accumulation and blood in urine.
Excess of Taiyin causes muscle paralysis and cold accumulation, while deficiency causes spleen paralysis. A slippery pulse indicates spleen wind hernia, and a thready pulse indicates accumulation with intermittent pain in the heart and abdomen. Taiyin represents damp earth qi and is located in the middle Jiao. Excess pathogenic factors cause damp accumulation in the middle, and the spleen governs muscles. Dampness obstructs spleen function, leading to muscle paralysis. Dampness in the middle Jiao prevents Yang fire from rising, causing cold accumulation. Deficiency results in the spleen being directly affected, leading to spleen paralysis, which is fundamentally cold and stagnant. A slippery pulse indicates water dampness obstructing the earth, causing swelling and heaviness, also related to dampness. A thready pulse indicates accumulation that cannot move, causing fullness in the middle Jiao, leading to intermittent pain in the heart and abdomen.
Excess of Yangming causes pulse paralysis and intermittent fever, while deficiency causes heart paralysis. A slippery pulse indicates heart wind hernia, and a thready pulse indicates accumulation with frequent fright. Yangming represents dry metal qi, and lung qi responds to dryness. Excess dryness damages blood vessels, causing pulse paralysis. Dryness damages Yin, causing internal heat and fever. The lung governs the movement of heart qi, and deficiency leads to blockage of heart vessels, causing heart paralysis. A slippery pulse indicates wind-dryness combining with pathogens, damaging the lung and blood, causing heart qi to contract and fail to disperse, leading to heart wind hernia. A thready pulse indicates metal retracting and failing to relax, causing pulse stagnation, hence accumulation and frequent fright, which is due to wood invading metal.
Excess of Taiyang causes bone paralysis and heaviness, while deficiency causes kidney paralysis. A slippery pulse indicates kidney wind hernia, and a thready pulse indicates frequent (wind pain). Kidney qi corresponds to Taiyang, and excess Taiyang qi spreads to the bones, causing bone paralysis. Excess water pathogens cause the body's ability to move to weaken, hence heaviness. Deficiency directly affects the organ, leading to kidney paralysis, where the feet are weak, the pulse is slow, and essence is not firm. A slippery pulse indicates wind-cold combining with pathogens, causing kidney wind hernia. A thready pulse indicates pathogens obstructing Taiyang meridians, causing accumulation and frequent, as yang qi fails to reach the top of the head, leading to constant wind pain.
Excess of Shaoyang causes tendon paralysis and fullness in the flanks, while deficiency causes liver paralysis. A slippery pulse indicates liver wind hernia, and a thready pulse indicates accumulation with intermittent tendon tension and eye pain. Fire pathogens affecting Yin affect the liver. Excess pathogens cause fire-wind to damage tendons, leading to tendon paralysis. The area is the flanks, hence fullness. Deficiency indicates liver qi stagnation and blood failing to nourish tendons, causing liver paralysis. Liver paralysis is characterized by liver qi stagnation and blood deficiency. A slippery pulse indicates wind-heat combining with pathogens, causing liver wind hernia, where (pathogenic heat) accumulates in tendons, causing alternating fever and chills, and drawing pain. A thready pulse indicates blood stasis, causing accumulation. The liver governs tendons and opens into the eyes, hence tendon tension and eye pain.
The above are the paralytic syndromes caused by the six qi affecting Yin and Yang. The Yin and Yang of the human body correspond to the six qi externally, and the six qi may internally invade when they are in excess. External pathogens can linger due to the excess or deficiency of Yin and Yang in the viscera, leading to paralytic syndromes beyond the influence of the five elements. A slippery pulse indicates excess pathogens, causing lingering and forming wind hernia, where wind refers to movement and hernia to accumulation. A thready pulse indicates insufficient innate qi, unable to overcome pathogens, leading to accumulation. Hernia and accumulation refer to their aggregation, but accumulation is not limited to the anterior genitalia and lower abdomen. (From Biyi of the Inner Canon)