天有五行御五位,以生寒暑燥湿风,人有五脏化五气,以生喜怒忧思恐。故五运之气,内应人之五脏。诸
风掉眩,皆属于肝;诸寒收引,皆属于肾;诸湿肿满,皆属于脾;诸气 郁,皆属于肺;诸痛痒疮,皆属于心
是也。诸厥固泄,皆属于下,谓下焦肾肝之疾也。诸痿喘满,皆属于上,谓上焦心肺之疾也。此皆五脏之疾,
病机由于内动者也。天之三阴三阳化六气,以生寒暑燥湿风火,内应人之六腑,外引十二经络。诸热瞀 ,皆
属于火,手少阳三焦经也;诸禁鼓栗,如丧神守,皆属于火,手少阴心经也;诸逆冲上,皆属于火,手厥阴心
包经也;诸痉项强,皆属于湿,足太阳膀胱经也;诸腹胀大,皆属于热,足太阴脾经也;诸躁狂越,皆属于火,
足阳明胃经也;诸暴强直,皆属于风,足厥阴肝经也;诸病有声,鼓之如鼓,皆属于热,手太阴肺经也;诸病
肿,疼酸惊骇,皆属于火,手阳明大肠经也;诸转反戾,水液混浊,皆属于热,手太阳小肠经也;诸病水液,
澄澈清冷,皆属于寒,足少阴肾经也;诸呕吐酸,暴注下迫,皆属于热,足少阳胆经也。此皆十二经络之邪,
病机由于外入者也。刘河间以此着书,漫然不分所属,殊不深考,何也?楼氏但纠其治法之偏,而未及乎此,
故并为正之云尔。
天有五行(金、木、水、火、土)统御五个方位,从而产生寒、暑、燥、湿、风五种气候;人有五脏(心、肝、脾、肺、肾)化生五气,从而产生喜、怒、忧、思、恐五种情志。因此,五运之气在内部对应人的五脏。凡是各种风邪引起的肢体摇动、眩晕症状,都归属于肝;凡是各种寒邪引起的筋脉收缩牵引症状,都归属于肾;凡是各种湿邪引起的水肿、胀满症状,都归属于脾;凡是各种气机郁滞症状,都归属于肺;凡是各种疼痛、瘙痒、疮疡症状,都归属于心。这就是上述情况。凡是各种厥逆、二便不通或失禁的症状,都归属于下焦,指的是下焦肾和肝的疾病。凡是各种痿证、气喘、胀满的症状,都归属于上焦,指的是上焦心和肺的疾病。这些都是五脏的疾病,病机是由于内部因素变动引起的。天的三阴三阳化生六气(风、寒、暑、湿、燥、火),从而产生寒、暑、燥、湿、风、火六种气候,在内部对应人的六腑,在外部牵引十二经络。凡是各种热邪引起的昏闷神志不清症状,都归属于火,对应手少阳三焦经;凡是各种口噤不开、鼓栗颤抖,如同丧失神志控制的症状,都归属于火,对应手少阴心经;凡是各种气逆冲上的症状,都归属于火,对应手厥阴心包经;凡是各种痉挛、项部强直的症状,都归属于湿,对应足太阳膀胱经;凡是各种腹部胀大的症状,都归属于热,对应足太阴脾经;凡是各种烦躁、狂乱越常的症状,都归属于火,对应足阳明胃经;凡是突然发生的身体强直症状,都归属于风,对应足厥阴肝经;凡是各种疾病伴有声响,叩击腹部如鼓声般的症状,都归属于热,对应手太阴肺经;凡是各种肿胀、疼痛酸楚、惊恐骇怕的症状,都归属于火,对应手阳明大肠经;凡是各种筋脉扭转、反折拘挛,排泄物浑浊的症状,都归属于热,对应手太阳小肠经;凡是各种排泄物清澈清冷的症状,都归属于寒,对应足少阴肾经;凡是各种呕吐酸水、突然腹泻且里急后重的症状,都归属于热,对应足少阳胆经。这些都是十二经络受邪,病机是由于外部因素侵入引起的。刘河间据此著书,却随意而不区分所属经络,缺乏深入考证,这是为什么呢?楼氏只是纠正其治疗方法的偏颇,而未涉及对此的辨析,所以我在此一并加以纠正说明。
Heaven possesses the Five Phases (Wood, Fire, Earth, Metal, Water) that govern the five directions, thereby generating Cold, Heat, Dryness, Dampness, and Wind. The human body possesses the Zang Organs (Heart, Liver, Spleen, Lung, Kidney) that transform the Five Qi, thereby generating Joy, Anger, Worry, Thought, and Fear. Thus, the Qi of the Five Movements internally corresponds to the human Zang Organs. All wind-related tremors and dizziness belong to the Liver; all cold-related contraction and pulling belong to the Kidney; all dampness-related edema and fullness belong to the Spleen; all qi-related stagnation belongs to the Lung; all pain, itching, and sores belong to the Heart. This is the case. All jue (cold extremities/reversal) and retention or incontinence belong to the Lower Jiao (Lower Burner), referring to diseases of the Kidney and Liver in the Lower Jiao. All wei (flaccidity syndromes), panting, and fullness belong to the Upper Jiao (Upper Burner), referring to diseases of the Heart and Lung in the Upper Jiao. These are all diseases of the Zang Organs, where the pathogenesis arises from internal movement. Heaven's Three Yin and Three Yang generate the Six Qi (Wind, Cold, Summer-Heat, Dampness, Dryness, Fire), thereby producing Cold, Summer-Heat, Dryness, Dampness, Wind, and Fire, which internally correspond to the human Fu Organs (Hollow Organs) and externally influence the Twelve Meridians. All heat-related mao (dizziness/mental confusion) belong to Fire, corresponding to the Hand-Shaoyang Sanjiao (Triple Energizer) Meridian; all jin (stiff mouth/jaw clenching), drumming shivers, and loss of spiritual control belong to Fire, corresponding to the Hand-Shaoyin Heart Meridian; all counterflow rushing upward belong to Fire, corresponding to the Hand-Jueyin Pericardium Meridian; all spasm and neck stiffness belong to Dampness, corresponding to the Foot-Taiyang Bladder Meridian; all abdominal distension and enlargement belong to Heat, corresponding to the Foot-Taiyin Spleen Meridian; all restlessness, mania, and unruliness belong to Fire, corresponding to the Foot-Yangming Stomach Meridian; all sudden rigidity belong to Wind, corresponding to the Foot-Jueyin Liver Meridian; all diseases with sounds, where percussion yields a drum-like sound, belong to Heat, corresponding to the Hand-Taiyin Lung Meridian; all swelling, painful soreness, fright, and alarm belong to Fire, corresponding to the Hand-Yangming Large Intestine Meridian; all twisting, reverse flexion, and turbid fluids belong to Heat, corresponding to the Hand-Taiyang Small Intestine Meridian; all clear and cold fluids belong to Cold, corresponding to the Foot-Shaoyin Kidney Meridian; all vomiting of sour fluid, sudden diarrhea with tenesmus, belong to Heat, corresponding to the Foot-Shaoyang Gallbladder Meridian. These are all pathogens affecting the Twelve Meridians, where the pathogenesis arises from external invasion. Liu Hejian wrote books based on this but indiscriminately failed to distinguish their respective meridians, lacking deep investigation. Why? Lou Ying only corrected the bias in treatment methods but did not address this issue, so I hereby correct it accordingly.