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帝曰，何以得之？歧伯曰，肺者臟之長也。爲心之蓋也。有所失亡，所求不得，則發肺鳴，鳴則肺熱葉焦。故曰，五臟因肺熱葉焦，發爲痿躄，此之謂也。悲哀太甚，則胞絡絕。胞絡絕，則陽氣内動。發則心下崩，數溲血也。故《本病》曰，大經空虛，發爲肌痺，傳爲脈痿。思想無窮，所願不得。意淫於外，入房太甚，宗筋弛縱，發爲筋痿，及爲白淫。故《下經》曰，筋痿者，生於肝使内也。有漸於濕，以水爲事。若有所留，居處相濕。肌肉濡漬，痺而不仁，發爲肉痿。故《下經》曰，肉痿者，得之濕地也。有所遠行勞倦，逢大熱而渴，渴則陽氣内伐，内伐則熱舍於腎，腎者水臟也。今水不勝火，則骨枯而髓虛。故足不任身，發爲骨痿。故《下經》曰，骨痿者，生於大熱也。
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