内伤水中 (Edema from internal injury)
By admin • Jun 6th, 2007 • Category: Uncategorized, Water Generation & Elimination帝曰：其有不从毫毛而生，五脏阳以竭也，津液充郭，其魄独居，孤精于内，气耗于外，形不可与衣相保，此四极急而动中，是气拒于内而形施于外，治之奈何？
岐伯曰：平治于权衡，去宛陈莝，微动四极，温衣缪剌其处，以复其形。开鬼门，洁净府，精以时服；五阳已布，疏涤五脏，故精自生，形自盛，骨肉相保，巨气乃平。
Here, an inquiry is made into how to to treat a certain type of edema. This type of edema is not produced at the surface, but is borne of weakening yang in the internal organs. Because of a weakining yang, which easily disperses, fluids do not flow as they should and congregate at the surface of the body. The body mass increases and you will not fit your clothes. There will be uncontrlled spasms in the limbs as well as heart palpitation and difficulty breathing. Qi is stuck inside, while form resides on the outside.
Laid out in the classic piece are the principles for treatment:
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balance yin and yang
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get rid of old and bad blood
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mildly move your limbs
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keep warm
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use acupuncture on cross-over points of the luo meridians
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use perspiration, and urination to rid of excess fluids
According to the olden text, your essence will begin to revitalize if all goes well.The five yang will slowly build up and spread. The five yang will cleanse the five organs, and essence will begin to grow on its own. Form is vitalized. Bones and meat nourish one another. And your system is normalized.
Later methods of treatment gain inspiration from this piece. For example, 张仲景, who gained inspiration from 内经 had this to say in 《金匮要略》: “诸有水者，腰以下肿当利小便，腰以上肿当发汗乃愈。” Nowadays, the 活血化瘀 principle is used to treat 慢性肾炎 and 尿毒症.