【本篇是：彭博士讲《黄帝内经》系列-精华篇-之五百零五。（更多精彩内容持续更新中……）】
“黃，脈之至也，大而虛，有積氣在腹中，有厥氣，名曰厥疝，女子同法，得之疾使四支汗出當風。”——《黃帝內經·五藏生成篇》
听众朋友们大家好，我是中医彭鑫博士，今天我们继续讲解《黄帝内经·素问·五脏生成篇第十》，我们先来看原文∶“黄，脉之至也，大而虚，有积气在腹中，有厥气，名曰厥疝，女子同法，得之疾使四支汗出当风。”这段话我先带大家捋一遍。“黄，脉之至也”，这是什么意思呢？如果脸色呈现黄色，同时脉搏大而虚，就是大而虚。“有积气在腹中”，讲的就是有病气积聚在腹中。“有厥气，名曰厥疝”，会感觉到有一股逆气往上撑，而且还痛，这种情况叫做“厥疝”。疝大概就指的就是一种撑，往上逆或者是往下坠，有一股气在里边的感觉。“女子同法”，就是女子也容易得这样的病。
“得之疾使四支汗出当风”，得病的原因是因为四肢剧烈活动之后出了汗，汗出的同时风吹过来，风邪进入之后，如果是剧烈劳动就伤脾，风又跟肝相同通，风气通于肝，土气通于脾，寒气通于肾，金气通于肺，火气通于心，这就是外五行跟身体的对应。风气通于肝，肝木又克脾土。在这种情况下，腹中就有厥气，厥气就是我刚才讲的往上撑着那种疼的感觉，这种病就叫做厥疝。这个地方就不叫脾痹，前面是心痹、肺痹、肝痹，后面还有肾痹，但到脾这里就不是脾痹，叫做厥疝。为什么叫厥疝？我们一会儿会讲。这一段我就带大家解释了一遍。
接下来我们再一个一个的讲。我们先解释第一个词叫做“大而虚”，就是脉特别宽大，但是实际往里一摁又松松软软的，特别虚，这就叫大而虚。脉大代表邪实，脉虚代表中气不足。中气我之前讲过，就是脾胃之气，在《黄帝内经》这个阶段，中气指的是脾胃之气，同时还引藏着中焦斡旋升降之气，这个地方中气指的是脾胃的气，就是脾胃气虚了。
我们再往后看，“有积气在腹中”，患者感觉在腹中有病气集聚在这里。表现是什么，叫有厥气，厥气指的就是一种逆气，往上撑着疼。（今日头条@中医彭鑫博士）我们正常的饮食物都是往下走，胃气以降为顺。厥是什么意思呢？厥通常都跟逆连在一起，厥就是逆，厥就是不顺，同时厥还有一个意思就是冷，在这个地方还有疼的感觉，既是凉的感觉，然后又不往下顺，这三个合在一起都叫做厥气，名曰厥疝。
关键词出来了，“厥疝”是什么意思呢？张介宾在《类经·脉色类》里边注解：“中虚则脾不能运，故有积气在腹中。脾虚则木乘其弱，木无所畏，而肝肾之气上逆，是谓厥气。且脾肝肾三经皆结于阴器，故名曰厥疝”。张介宾这句话是从病因、病机的思路来进行注解，同时结合着经络学说，这里有几个关键的地方跟大家说一遍。第一个就是“中虚则脾不能运”，他一开始就先点名了这段话讲的就是脾的事。脉大而虚，这个虚就代表中气不足，所以说叫做“中虚则脾不能运”，先给它定义的一个基本名词。因为脾不能运，所以有积气在腹中。
脾虚的人有一个比较重要的表现是肚子时常觉得胀，这说明脾胃的运化能力不行，脾胃要是运化能力好，就把这些食物、水饮就运化了，就顺下去了。就是因为运化能力不足，就堵那儿了。所以看到临床上这些脾胃不和的，尤其是肚子那块胀，有的人说是小腹胀，有的人说是心头窝往下，肚脐往上那里胀，每个人胀的地方不一样。表面上的病机是气滞，实际背后的病因全是脾虚，这就是张介宾所分析的，因为脾虚了之后水谷精微就没法运化，所以气就积在腹中。
《黄帝内经》当中的腹中不仅仅指的是小腹，它把整个胸以下，肝肾以上。从我们的感觉上来讲，就是心口窝儿往下，耻骨联合往上这一段儿都叫做腹。肚脐以上叫上腹，肚脐以下叫小腹或者是少腹。总而言之，这一块区域都叫腹中。脾因为虚了，积气还在腹中，脾代表土，土不足了之后木就强，所以这时候木就乘其弱，木无所畏，趁着它所克的土行弱的话，它就更加的无所畏惧。这个时候木气无所畏惧，木代表肝，肝主升，所以肝就往上升，肝往上升就带着肾气一块儿往上走。（未完待续）
本篇是：彭博士讲《黄帝内经》系列-精华篇-之五百零五。（更多精彩内容持续更新中……）
免责声明：本文为健康知识分享。文中所涉及的药物、药方、针灸以及其他各种治疗和养生方法，请在专业医师指导下应用，切勿自行应用。如因不当使用所产生的问题，概不负责。
版权声明：本文作者彭鑫，本文为原创文章，未经许可，不得转载或引用。
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诸子工夫愈进，火候愈老，满腔之中，无非真意。盖先天神火既长，则后天凡火自盛，倘念不自持，或生怒心，或生恚念，或起淫心，或生贪念，种种嫉妒嗔恨，要无非后天凡火之起。此火一起，即有邪火…
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最美人间四月天，不负春光不负卿，这个月即将出生的女宝宝，就选一个好听顺口，清新淡雅的好名字吧。今天就推荐几个这样的名字。 清蓉 清水出芙蓉，天然去雕饰。诗文本义是用来形容女孩的气质…
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廖老师说出黄埔军校招生的消息，洪戈文并没有立刻表态，他头脑中想到了师父，他想师父教了自己三年半的功夫，难道自己说离开就离开了？旋即又感觉师父和廖老师虽然是两种不同的人，却又有很多共…
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封这个字，《说文》讲：爵诸侯之土也。从之从土从寸。徐曰：各之其土也，寸守其法度也。古人培土植树以为疆域，所谓封土建国，封建就这么来的。另外还有封禅之说，帝王大功成，封于泰山，禅于梁…
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岐字五行属什么？探究岐字的寓意和象征 岐字，由山和人两个部分组成，山代表地势，人代表人的形象。岐字在古代被赋予了深刻的寓意和象征，与五行之间也有密切的关系。在本文中，我们将探究岐字…
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快要接房了，我们首先想到的事情就是找一个合适的装修公司，所以哪些天津装修公司靠谱，天津装修公司哪些口碑好就成了我们关注的问题。 那到底我们在准备装修的时候，怎么找到靠谱的天津装修公…
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1、拼多多——拼夕夕、shi厂、砍一刀 拼夕夕源于公司产品多多拆分得名，shi厂源于拼多多厕所不够，员工在小便池里面拉shi得名，砍一刀源于拼多多产品一直都是差一刀得名。 2、百度…
