"浆粥入胃,泄注止,则虚者活"之应用心悟

"If the porridge is put into the stomach,and if it is discharged and stopped,it will live if it is deficient"Understanding of its application

《素问·玉机真脏论》所述五实死,五虚死:"脉盛、皮热、腹胀、前后不通、闷瞀,此谓五实;脉细、皮寒、气少、泄利前后、饮食不入,此谓五虚""浆粥入胃,泄注止,则虚者活;身汗得后利,则实者活."说明胃气未绝,元气有来复之机则虚者可活;胃津未竭,邪气有泄化之机则实者可活,皆以胃气之存亡为枢机,由此可见,审察胃气之存亡,不仅可以预料预后,更为重要的是在治疗上必须时刻顾护胃气,以救垂绝之气津.

Yuji Zhenzang Lunpian:Discussion on Genuine-Zang Pulses The five solid death and five virtual death are described as follows:"the five solid are characterized by abundant pulse,hot skin,abdominal distension,blocked front and back,and stuffy,which is called five solid;the five weak are characterized by fine pulse,cold spleen,little Qi,lack of catharsis,and lack of diet."."If the porridge is put into the stomach,if it is discharged and stopped,it will live if it is empty;if the body is sweating,it will live if it is profitable."It shows that if the stomach qi is not exhausted,if the vital energy has the opportunity to recover,then it will be empty;if the stomach qi is not exhausted,if the evil Qi has the opportunity to release,then it will be real,and the survival and death of the stomach qi is the key factor.Therefore,it can not only predict the prognosis,but also be more important to protect the stomach qi at all times in the treatment,so as to save the Qi and blood.