人者上禀天。下委地。阳以辅之。阴以佐之。天地顺则人气泰。天地逆则人气痞。是以天地有四时五行。寒
暄动静。其变也喜为雨。怒为风。结为霜。张为虹,此天地之常也。人有四肢五脏。呼吸寤寐。精气流散。行为
荣。张为气。发为声。此人之常也。阳施于形。阴慎于精。天地之同也。失其守。则蒸而热发。痞而寒生。结作瘿
瘤。陷作痈疽。盛而为喘。减而为枯。彰于面部。见于形体。天地通塞。一如此矣。故五纬盈亏。星辰差忒。日月
交蚀。彗孛飞走。乃天地之灾怪也。寒暄不时。则天地之蒸否也。土起石立。则天地之痈疽也。暴风疾雨。则
天地之喘乏也。江河竭耗。则天地之枯焦也。鉴者决之以药。济之以针。化之以道。佐之以事。故形体有可
救之病。天地有可去之灾。人之危厄死生。禀于天地。阴之病也。来亦缓而去亦缓。阳之病也。来亦速而去
亦速。阳生于热。热而舒缓。阴生于寒。寒则拳急。寒邪中于下。热邪中于上。饮食之邪中于中。人之动止本
乎天地。知人者有验于天。知天者必有验于人。天合于人。人法于天。见天地逆从。则知人衰盛。人有百病。
病有百候。候有百变。皆天地阴阳逆从而生。苟能穷究乎此。如其神耳。
天者阳之宗。地者阴之属。阳者生之本。阴者死之基。天地之间。阴阳辅佐者人也。得其阳者生。得其阴者
死。阳中之阳为高真。阴中之阴为幽鬼。故钟于阳者长。钟于阴者短。多热者阳之主。多寒者阴之根。阳务
其上。阴务其下。阳行也速。阴行也缓。阳之体轻。阴之体重。阴阳平。则天地和而人气宁。阴阳逆。则天地否
而人气厥。故天地得其阳则炎炽。得其阴则寒凛。阳始于子前。末于午后。阴始于午后。末于子前。阴阳盛
衰。各在其时更始更末。无有休息。人能从之亦智也。金匮曰。秋首养阳。春首养阴。阳勿外闭。阴勿外侵火
出于木。水生于金。水火通济。上下相寻。人能循此。永不湮沉。此之谓也。呜呼凡愚。岂知是理。举止失宜。自
致其罹。外以风寒暑湿。内以饥饱劳役为败。欺残正体。消亡正神。缚绊其身死生告陈。殊不知脉有五死。
气有五生。阴家脉重。阳家脉轻。阳病阴脉则不永。阴病阳脉则不成。阳候多语。阴症无声。多语者易济。无
声者难荣。阳病则旦静。阴病则夜宁。阴阳运动。得时而行阳虚则暮乱。阴虚则朝争。朝暮交错。其气厥横。
死生致理。阴阳中明。阴气下而不上曰断络。阳气上而不下曰绝经。阴中之邪曰浊。阳中之邪曰清。火来
坎户。水到离扃阴阳相应。方乃和平。阴不足则济之以水母。阳不足则助之以火精。阴阳济等。各有攀陵。
上通三寸。曰阳之神路。下通三寸。曰阴之鬼程。阴常宜损。阳常宜盈。居之中者阴阳匀停。是以阳中之阳。
天仙赐号。阴中之阴。下鬼持名顺阴者多消灭。顺阳者多长生。逢斯妙趣。无所不灵。
人禀受于天,依托于地。阳气辅助它,阴气佐助它。天地顺遂则人体气息通畅,天地逆乱则人体气息阻滞。因此,天地有四季和五行,有寒冷与温暖、运动与静止的变化。天的喜悦表现为降雨,愤怒表现为狂风,凝结为霜,张开为彩虹,这是天地的常态。人有四肢和五脏,有呼吸和睡醒,精气流动散布,行为表现为荣卫之气,扩张表现为气机,发泄表现为声音,这是人的常态。阳气施布于形体,阴气谨慎守护精微物质,这与天地是相同的。如果失去了这种守持,就会蒸腾而发热,阻滞而生寒,凝结成为瘿瘤(甲状腺肿大或颈部肿块),下陷成为痈疽(化脓性感染)。气盛则导致气喘,气虚则导致枯瘦。这些变化显现在面部,见于形体,天地之气的通塞情况,完全与此相同。所以五星的盈亏,星辰的错位,日食月食,彗星孛星及流星飞走,是天地的灾异现象。冷暖失调,是天地的郁结不通;土石隆起,是天地的痈疽;暴风疾雨,是天地的喘促乏力;江河枯竭,是天地的枯焦。明察者用药物决断病情,用针灸救济身体,用道法转化病势,用事务辅助调理。所以形体有可救治的疾病,天地有可消除的灾难。人的危急厄运和生死,由天地所禀赋。阴类的疾病,发作缓慢,消退也缓慢;阳类的疾病,发作迅速,消退也迅速。阳生于热,热则舒缓;阴生于寒,寒则蜷缩拘急。寒邪中伤下部,热邪中伤上部,饮食不当的邪气中伤中部。人的动静举止根本在于天地,了解人可以从天象中得到验证,了解天必须从人体中得到验证。天与人相合,人效法天。看到天地的顺逆,就能知道人体的衰盛。人有百种病,病有百种候象,候象有百种变化,都是由于天地阴阳的逆乱而产生的。如果能穷尽探究其中的道理,那就如同神妙一般了。
天是阳的宗主,地是阴的归属。阳是生命的根本,阴是死亡的基础。在天地之间,能够辅佐阴阳的是人。得到阳气的就生存,得到阴气的就死亡。阳中的阳称为高真,阴中的阴称为幽鬼。所以钟聚于阳的寿命长,钟聚于阴的寿命短。多热的属于阳的主范畴,多寒的属于阴的根本范畴。阳趋向于上,阴趋向于下。阳的运行速度快,阴的运行速度慢。阳的体质轻清,阴的体质重浊。阴阳平衡,则天地和谐而人气安宁;阴阳逆乱,则天地闭塞而人气厥逆。所以天地得到阳气则炎热炽盛,得到阴气则寒冷凛冽。阳气始于子时之前,结束于午后;阴气始于午后,结束于子时之前。阴阳的盛衰,各自在其特定的时间开始和结束,没有休息的时候。人若能顺应这一点,也是明智的。《金匮》说:秋季初起要养护阳气,春季初起要养护阴气。不要让阳气外闭,不要让阴气被外火侵扰。火出于木,水生于金,水火相互济助,上下相互寻应。人能遵循这个道理,就不会沉沦湮灭。这就是所说的道理。唉!凡夫愚者,哪里懂得这个原理?举止失当,自己招致灾祸。外在受到风寒暑湿的侵害,内在因为饥饱劳役而败坏。欺残正气之体,消亡正神之灵,束缚羁绊自身,生死之事告陈显现。却不知道脉象有五死之征,气机有五生之机。阴家脉象沉重,阳家脉象轻浮。阳病出现阴脉则寿命不长久,阴病出现阳脉则病症难成。阳证患者多言语,阴证患者无声息。多言语的容易救治,无声息的难以康复。阳病则在清晨安静,阴病则在夜间安宁。阴阳的运动,顺应时令而行。阳虚则在傍晚混乱,阴虚则在早晨争竞。早晚交错,气机厥逆横逆。生死的道理,在阴阳中变得明晰。阴气下行不上升叫做断络,阳气上行不下降叫做绝经。阴中的邪气叫做浊,阳中的邪气叫做清。火来到坎户(肾),水到达离扃(心),阴阳相应,才是和平状态。阴不足则用水母来济助,阳不足则用火精来补助。阴阳济助均衡,各有攀附上升的路径。向上通达三寸,叫做阳的神路;向下通达三寸,叫做阴的鬼程。阴常宜受损(制约),阳常宜充盈。居于中间的阴阳均匀停当。所以阳中之阳,天仙赐予称号;阴中之阴,下鬼持有名字。顺应阴的多消灭,顺应阳的多长生。遇到这种奥妙的情趣,无所不灵验。
Human beings receive their endowment from Heaven and rely on Earth. Yang Qi (Yang Energy) assists them, and Yin Qi (Yin Energy) supports them. When Heaven and Earth are in harmony, the human Qi flows smoothly; when Heaven and Earth are disordered, the human Qi becomes obstructed. Therefore, Heaven and Earth have the Four Seasons (Spring, Summer, Autumn, Winter) and the Five Elements (Wood, Fire, Earth, Metal, Water), with changes of cold and warmth, movement and stillness. The joy of Heaven manifests as rain, its anger as wind, its condensation as frost, and its expansion as a rainbow; this is the constant state of Heaven. Humans have four limbs and five Zang organs (Heart, Liver, Spleen, Lung, Kidney), respiration, wakefulness and sleep, the flow and dispersion of Jing (Essence) and Qi. Behavior manifests as Ying-Wei (Defensive and Nutritive Qi), expansion manifests as Qi mechanism, and emission manifests as voice; this is the constant state of humans. Yang Qi is applied to the form, while Yin Qi carefully guards the Essence. This is the same as Heaven and Earth. If this guardianship is lost, steaming heat will erupt, obstruction will generate cold, condensation will form goiters (thyroid swellings or neck masses), sinking will create carbuncles and sores (purulent infections). Excess leads to panting, deficiency leads to emaciation. These changes appear on the face and are seen in the body. The blockage or patency of Heaven and Earth is exactly like this. Thus, the waxing and waning of the Five Planets (Jupiter, Mars, Saturn, Mercury, Venus), the displacement of stars, solar and lunar eclipses, comets, bo-stars, and flying meteors are disasters and anomalies of Heaven and Earth. Irregular cold and warmth indicate stagnation and blockage of Heaven and Earth; rising earth and standing stones are the carbuncles and sores of Heaven and Earth; violent winds and heavy rains are the panting and exhaustion of Heaven and Earth; the drying up of rivers and lakes is the withering and scorching of Heaven and Earth. The wise resolve illness with herbs, rescue the body with acupuncture, transform pathological conditions with Daoist methods, and assist regulation with daily affairs. Thus, there are diseases of the form that can be saved, and disasters of Heaven and Earth that can be removed. Human crises, misfortunes, death, and life are endowed by Heaven and Earth. Diseases of the Yin type come slowly and depart slowly; diseases of the Yang type come quickly and depart quickly. Yang arises from heat, and heat is soothing; Yin arises from cold, and cold causes curling and stiffness. Cold pathogens strike the lower part, heat pathogens strike the upper part, and pathogens from improper diet strike the middle part. Human movement and stillness are rooted in Heaven and Earth. To understand humans, one finds verification in Heaven; to understand Heaven, one must find verification in humans. Heaven combines with humans, and humans model themselves after Heaven. Observing the compliance or rebellion of Heaven and Earth allows one to know the decline or prosperity of humans. Humans have a hundred diseases, diseases have a hundred prognoses, and prognoses have a hundred variations; all arise from the rebellion and compliance of Heaven and Earth Yin and Yang. If one can thoroughly investigate this principle, it would be as if divine.
Heaven is the patriarch of Yang, and Earth is the category of Yin. Yang is the root of life, and Yin is the foundation of death. Among Heaven and Earth, humans are those who assist Yin and Yang. Those who obtain Yang live; those who obtain Yin die. Yang within Yang is called the High True One, and Yin within Yin is called the Nether Ghost. Therefore, those concentrated in Yang have long lives, and those concentrated in Yin have short lives. Those with much heat belong to the main category of Yang, and those with much cold belong to the root of Yin. Yang seeks the upper, and Yin seeks the lower. Yang moves quickly, and Yin moves slowly. Yang's nature is light and clear, and Yin's nature is heavy and turbid. When Yin and Yang are balanced, Heaven and Earth are harmonious, and human Qi is peaceful. When Yin and Yang rebel, Heaven and Earth are blocked, and human Qi becomes reversed. Thus, when Heaven and Earth obtain Yang, they become hot and blazing; when they obtain Yin, they become cold and biting. Yang begins before the Zi hour (11 PM - 1 AM) and ends after midday; Yin begins after midday and ends before the Zi hour. The rise and fall of Yin and Yang each occur at their respective times, starting and ending without rest. If humans can follow this, it is wisdom. The *Jinkui* (Golden Cabinet) states: At the beginning of Autumn, nourish Yang; at the beginning of Spring, nourish Yin. Do not let Yang close externally, do not let Yin be invaded by external fire. Fire emerges from Wood, and Water is born from Metal. Water and Fire mutually assist, seeking each other above and below. If humans follow this, they will never sink or perish. This is what is meant. Alas! How do the foolish understand this principle? Improper conduct leads to self-inflicted disaster. External invasion by Wind, Cold, Summer-heat, and Dampness, and internal damage from hunger, fullness, and labor, ruin the righteous body and consume the righteous spirit, binding the body and announcing death and life. They do not know that there are five signs of death in pulse diagnosis and five signs of life in Qi. The Yin family's pulse is heavy, and the Yang family's pulse is light. Yang disease with a Yin pulse means a short life; Yin disease with a Yang pulse means the disease cannot develop. Yang syndromes involve much speech, while Yin syndromes involve no sound. Much speech is easy to treat; no sound is difficult to recover from. Yang disease is quiet in the morning, and Yin disease is calm at night. The movement of Yin and Yang follows the seasons. Yang deficiency leads to confusion in the evening, and Yin deficiency leads to contention in the morning. Morning and evening intermingle, and Qi becomes reversed and horizontal. The principles of life and death become clear within Yin and Yang. Yin Qi descending but not ascending is called "Severed Collaterals"; Yang Qi ascending but not descending is called "Cut Meridians." Evil in Yin is called Turbid, and evil in Yang is called Clear. Fire arrives at the Kan Door (Kidney), and Water reaches the Li Gate (Heart); when Yin and Yang correspond, peace is achieved. If Yin is insufficient, aid it with the Mother of Water; if Yang is insufficient, assist it with the Essence of Fire. When Yin and Yang are equally assisted, each has its path of ascent. Ascending three cun is called the Divine Path of Yang; descending three cun is called the Ghost Journey of Yin. Yin should often be reduced, and Yang should often be filled. Those in the middle maintain a balance of Yin and Yang. Therefore, Yang within Yang receives titles from Immortals, and Yin within Yin holds names among Underworld Ghosts. Following Yin leads mostly to destruction, while following Yang leads mostly to longevity. Encountering such profound interest, nothing fails to work.