讀書随記(釋解(亻亦)症)

解(亻亦)一症,屡見于素問,灵樞,而后世医書,对于解(亻亦)二字的含义,解釋尚未明确。根据素問平人气象論:“尺脈緩濇,謂之解(亻亦),”这是凭脈以决定其病名。四时剌逆从論:“夏剌經脈,血气乃竭,令人解(亻亦),”这是說明引起解(亻亦)的病因。玉机真藏論于各脈条下曰:“太过則令人解(亻亦),脊脈痛而少气,不欲言。”灵樞謂“髓伤則消爍胻痠,体解(亻亦)然不去矣,”太素尺診篇:“尺肉弱者,解(亻亦)安臥,”三者皆指出解(亻亦)的症狀。王冰对解(亻亦)症注文,皆云:“寒不寒,热不热,弱不弱,壮不壮,佇不可名,谓之解(亻亦)也。”李梃謂“解者,肌肉解散,(亻亦)者筋不束骨,其症似寒非寒,似热非热,四肢骨节解散怠惰煩疼,飲食不美,或因洒伤,或中湿,或感冒风寒,或房事过多,或妇人月水不調,以此得病。”其說本于王氏而較具体,张志聪亦谓解(亻亦)为“懈惰。”沈金鳌謂解(亻亦)是肝腎虛病,并說内經之言解(亻亦)本症也,李梃之言解(亻亦)兼症也,由本症論为虛痨已极,由兼症論为虛痨派别,固不可一