【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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在古代神话中，道行高的妖魔、仙佛都有自己的独门法宝，如果没有几件像样的法宝傍身，都不好意思跟别人打招呼。 一般来说，实力越强，他的法宝也就越强，比如太上老君的太极图、金刚镯、紫金葫…
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易经的来源与知识
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1、《易经》产生的年代： 关于《易经》的产生年代，目前说法不一，据学者们考证，应该是五千年前，也有人说是七千年前，而成书的年代则是在商末周初。 2、《易经》的起源： 文王周易是最早…
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湫是什么意思~（湫的含义是什么）
湫是一个古老而又神秘的词汇，它来源于古汉语，并且在现代汉语中并不常见。然而，正是这种稀有的词汇承载了丰富的文化内涵，让人们产生了对它的好奇和探究。那么，湫到底是什么意思？它的含义又是什么？在这篇文章中，我们将一探究竟。首先，湫这个词在汉语中的确较为生僻，而现代语境中并不常见。然而，根据古代文献的记载和研究，湫往
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云南勐腊跑出招商引资“加速度”
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云南省勐腊县深化作风革命、效能革命工作，开展“四破四立四提”行动，围绕“三区”和“五大产业”建设目标，主动思考、积极谋划，进一步转变招商理念，拓宽招商方式，聚焦“新、严、准、实”四…
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中国连锁企业百强榜：物美科技第九，华润万家第八，永辉超市第六
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2022年6月14日，中国连锁经营协会《2021年中国连锁百强榜》出炉。入围百强企业主要有百货、超市、便利店、专业店等零售业四个业态，销售规模达到近2.3万亿元，门店总数近19万个…
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茹字五行属什么——揭开茹字的五行属性之谜
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茹字，作为汉字中的一个古老字体，源远流长，有着丰富的文化内涵。茹字的五行属性一直是一个备受关注的话题，人们希望通过茹字的五行属性，来了解更多关于五行学说的知识。那么，让我们揭开茹字…
