What is the main exposition of Taiyin Yangming in Huangdi Neijing?

1. Discusses the different changes of Taiyin and Yangming meridians in the aspects of heterotopia of yin and yang, excess and deficiency, and so on, and then generalizes to the pathogenesis law of Yin San Liuyang three meridians and their subordinate viscera; Exogenous pathogens and six evils cause diseases, mostly in the six fu organs; Improper diet and daily life cause diseases, and most of them are caused by five internal organs.

Second, when the spleen is not dominant, it is because the spleen belongs to the soil and is in the middle, and it grows four dirty at four seasons.

Third, the spleen governs the limbs, because the spleen circulates body fluid in the stomach to nourish the limbs, and the viscera are also influenced by Yangming because of the spleen meridian, while the limbs are not used for spleen diseases.

The original Huangdi asked: Taiyin Yangming is the exterior and interior, and the spleen and stomach are also pulse. What's the difference between being sick and being sick? Qi Bo said: Yin-Yang heterotopia, more deficiency and more excess, more adverse and more smooth, or from the inside, or from the outside, so the disease name is different.

The emperor said: I want to smell it. Qi Bo said: The weather is fine, and the sky is also the Lord; Yin, earth and qi, inside the main body. So, Taoist Yang, vaginal deficiency. Therefore, those who commit thieves and evils are from Yang; Those who eat and drink improperly and live from time to time will suffer greatly. Yang receives it, enters the six internal organs, and Yin receives it, entering the five internal organs. Into the five internal organs, the body is hot, lying down from time to time, and the upper body is panting; When people have internal organs, the moon is really full and occluded, diarrhea and long intestines. Therefore, the throat governs the weather and the pharynx governs the local qi. Therefore, Yang is influenced by the atmosphere, while Yin is influenced by moisture. Therefore, Yin Qi from the foot up to the head, from the arm down to the finger end; Yang goes from hand to head to foot. Therefore, mortar: yang patients, rising to the pole and falling, yin patients, falling to the pole and rising to the pole. Therefore, those who are injured by the wind must suffer first; People who are hurt by moisture suffer first.

Emperor said: four spleen diseases are not needed? Zeebe said: the four branches are all due to stomach qi, not meridians. They must be due to spleen, they are due to qi. Today, spleen disease can't regulate body fluids for the stomach, and the four branches can't contribute to Shui Gu's qi. The qi is declining, the pulse channels are unfavorable, and the bones and muscles are lifeless, so there is no need to worry.

The emperor said: What if the spleen is not in charge? Qi Bo is objective: the spleen is the soil and governs the political center. Generally, it lasts for four days with four dirty organs, and was sent to the hospital for treatment on 18. It is not allowed to manage the time alone. Spleen is always full of the essence of stomach soil, which produces everything and creates heaven and earth. So going up and down to the head and feet is not the main time.

The emperor said: the spleen and stomach are connected by a membrane, so what can we do for it? Zibozh; Foot Taiyin is also related to Sanyin, whose pulse leads to the stomach and belongs to spleen collateral, so Taiyin acts as qi in Sanyin. Yangming, the table is also. The sea of internal organs is also the circulation of qi of three yang. Zang-fu organs are affected by Yangming qi due to meridians, so they move body fluids for the stomach. Four can't resist Shui Gu's qi, which is getting worse, the vagina is unfavorable, and the bones and muscles are lifeless, so it's not necessary.

Huangdi asked: Taiyin and Yangming meridians belong to the spleen and stomach, but they suffer from different diseases. What is the reason? Qi Bo answered: Taiyin belongs to the Yin meridian and Yangming belongs to the Yang meridian. The positions of the two meridians are different, so are the four seasons. Diseases are endogenous and exogenous, and the causes are different, so the names of diseases are different. The Yellow Emperor said, I want to know their different situations. Qi Bo said: the yang of the human body is like the weather, and the main guard is outside; Yin Qi, like rustic, is in charge of nutrition. Therefore, masculinity is too strong and femininity is weak. Thieves are all evil people, and the appearance of yang must be violated first; Eating and living disorders, internal Yin Qi first damaged. Yang divides evil, often entering six fu organs; Yin qi affects the five internal organs every time. When evil enters the six fu-organs, it can be seen that fever is not allowed to lie down, and qi goes against it; Pathogens enter the five internal organs, see abdominal distension and obstruction, diarrhea in the lower abdomen, and dysentery after a long illness. Therefore, the throat breathes to get through the weather and swallows food and gas. Therefore, the yang meridian is prone to wind evil, and the yin meridian is prone to dampness evil. Qi of three yin meridians in hands and feet, self-sufficient ascending to the head, and then along the arm to the fingertips; The qi of the three yang meridians of the hands and feet flows from the hands to the head and then downwards to the feet. Therefore, the pathogenic factors of yang meridian first go to the extreme and then go down; The pathogenic factors of yin meridian first decrease and then increase. Therefore, wind evil is a disease, and the first thing you feel is the upper part; Dampness causes disease, and the lower body invades first.

Huangdi said: Spleen pain can make limbs lose function. What is the reason? Qi Bo said: All limbs should be nourished by the essence in the stomach, but the essence in the stomach can't directly reach the meridians of the limbs, and the limbs must be nourished by regulating the temper. Now that the spleen is sick, Shui Gu's essence can't be sent to the stomach, the limbs lose nutrition, the menstrual qi gradually decays, the meridians can't be unblocked, the bones and muscles can't be nourished, and the limbs lose their normal functions.

The yellow emperor said, what is the reason that the spleen can't dominate a season? Qi Bo said: Spleen belongs to the earth in the five elements and occupies the position of the main center. The spleen was born at four seasons to nourish the four viscera, and was born at the end of four seasons for eighteen days, so the spleen was not born alone in one season. Because the spleen often transfers the essence of water to the stomach, such as heaven and earth nourishing everything, it is indispensable all the time. Therefore, it can transmit the essence of Shui Gu to all parts of the body from top to bottom, from head to toe, instead of focusing on one season.

The Yellow Emperor said: The spleen and stomach are connected only by a membrane, but the spleen can transmit body fluid to the stomach. What is the reason? Qi Bo said: The spleen meridian of Foot Taiyin belongs to Yin San, and its meridians run through the stomach, even belong to the spleen and surround the throat, so the spleen can transport the essence of the water valley in the stomach to the Yin San meridian of the hands and feet; Foot Yangming stomach meridian is the exterior and interior of spleen meridian, which provides nutrition for five internal organs, so the stomach can also transport Taiyin qi to the three Yang meridians of hands and feet. The five internal organs receive the essence in the stomach through the spleen meridian, so the spleen can run body fluids for the stomach. If the limbs are not nourished by Shui Gu's essence, the qi of meridians will gradually decay, the meridians will be blocked, and the bones and muscles will lose their nutrition, thus losing their normal functions.