内经者,三坟之一。盖自轩辕帝同岐伯、鬼臾区等六臣,互相讨论,发明至理,以遗教
后世,其文义高古渊微,上极天文,下穷地纪,中悉人事,大而阴阳变化,小而草木昆虫,音
律象数之肇端,脏腑经络之曲折,靡不缕指而胪列焉。大哉!至哉!垂不朽之仁慈,开生
民之寿域,其为德也,与天地同,与日月并,岂直规规治疾方术已哉?按晋皇甫士安甲乙经
叙曰∶黄帝内经十八卷,今针经九卷,素问九卷,即内经也。而或者谓素问、针经、明堂三
书,非黄帝书,似出于战国。夫战国之文能是乎?宋臣高保衡等叙,业已辟之,此其忆度无
稽,固不足深辨。而又有目医为小道,并是书且弁髦置之者,是岂巨慧明眼人欤?观坡仙
楞伽经跋云∶经之有难经,句句皆理,字字皆法。亦岂知难经出自内经,而仅得其什一,难
经而然,内经可知矣。夫内经之生全民命,岂杀于十三经之启植民心,故玄晏先生曰∶人
受先人之体有八尺之躯,而不知医事,此所谓游魂耳。虽有忠孝之心,慈惠之性,君父危
困,赤子涂地,无以济之,此圣贤所以精思极论尽其理也。由此言之,儒其可不尽心是书
乎?奈何今之业医者,亦置灵素于罔闻,昧性命之玄要,盛盛虚虚,而遗人夭殃;致邪失正,
而绝人长命。所谓业擅专门者如是哉?此其故正以经文奥衍,研阅诚难,其于至道未明,
而欲冀夫通神运微,印大圣上智于千古之邈,断乎不能矣。自唐以来,虽赖有启玄之注,其
发明玄秘尽多,而遗漏亦复不少。盖有遇难而默者,有于义未始合者,有互见深藏而不便
检阅者。凡其阐扬未尽,灵枢未注,皆不能无遗憾焉。及乎近代,诸家尤不过顺文敷演,而
难者仍未能明,精处仍不能发,其何裨之与有。初余究心是书,尝为摘要,将以自资,继而
绎之,久久,则言言金石,字字珠玑,竟不知孰可摘而孰可遗,因奋然鼓念,异有以发隐就
明、转难为易、尽启其秘而公之于人,务俾后学了然,见便得趣,由堂入室,具悉本原,斯不
致误己误人,咸臻至善。于是乎详求其法,则唯有尽易旧制,颠倒一番,从类分门,然后附
意阐发,庶晰其韫;然惧擅动圣经,犹未敢也。粤稽远古,则周有扁鹊之摘难,晋有玄晏先
生之类分,唐有王太仆之补削,元有滑樱宁之撮钞。鉴此四君子而后意诀,且此非十三经
之比,盖彼无须类而此欲醒 指迷,则不容不类以求便也。由是,遍索两经,先求难易,反
复更秋,稍得其绪,然后合两为一,命曰类经。类之者,以灵枢启素问之微,素问发灵枢之
秘,相为表里,通其义也。两经既合,乃分为十二类。夫人之大事,莫若死生,能葆其真,合
乎天矣,故首曰摄生类;生成之道,两仪主之,阴阳既立,三才位矣,故二曰阴阳类;人之有
生,脏气为本,五内洞然,三垣治矣,故三曰脏象类;欲知其内,须察其外,脉色通神,吉凶判
矣,故四曰脉色类,脏腑治内,经络治外,能明终始,四大安矣,故五曰经络类;万事万殊,必
有本末,知所先后,握其要矣,故六曰标本类;人之所赖,药食为天,气味得宜,五宫强矣,故
七曰气味类;驹隙百年,谁保无恙,治之弗失,危者安矣;故八曰论治类;疾之中人,变态莫
测,明能烛幽,二竖遁矣,故九曰疾病类;药饵不及,古有针砭,九法搜玄,道超凡矣,故十曰
针刺类;至若天道茫茫,营运今古,苞无穷协唯一,推之以理,指诸掌矣,故十一曰运气类;
又若经文连属,难以强分,或附见于别门,欲求之而不得,分条索隐,血脉贯矣,故十二曰会
通类。汇分三十二卷;此外复附着图翼十五卷,盖以义有深邃而言不能该者,不拾以图,其
精莫聚;图象虽显而意有未达者,不翼以说,其奥难窥。自是而条理分,纲目举,晦者明,隐
者见,巨细通融,歧二毕彻,一展卷而重门洞开,秋毫在目,不惟广裨乎来学,即凡志切尊生
者,欲求兹妙,无不信手可拈矣。是役也,余诚以前代诸贤,注有未备,闻多舛错,掩质埋
光,俾至道不尽明于世者迨四千余祀矣;因敢忘陋效 ,勉图数负,固非敢弄斧班门,然不
屑沿街持钵,故凡遇驳正之处,每多不讳,诚知非雅,第以人心积习既久,讹以传讹,即决
长波,犹虞难涤,使辨之不力,将终无救正日矣,此余之所以载思而不敢避也。吁!余何人
斯,敢妄正先贤之训,言之未竟,知必有阚余之谬而随议其后者,其是其非,此不在余而在
乎后之明哲矣。虽然他山之石,可以攻玉,断流之水,可以鉴形,即壁影萤光,能资志士,竹
头木屑,曾利兵家,是编者倘亦有千虑之一得,将见择于圣人矣,何幸如之。独以应策多
门,操觚只手,一言一字,偷隙毫端,凡历岁者三旬,易稿者数回,方就其业。所谓河海一
流,泰山一壤,盖亦欲共掖其高深耳。后世有子云,其悯余劳而锡之斤正焉,岂非幸中又
幸,而相成之德,谓孰非后进之吾师云。
时大明天启四年岁次甲子黄钟之吉景岳子自序于通一斋
《黄帝内经》是三坟之一。大概自从轩辕黄帝与岐伯、鬼臾区等六位大臣,互相讨论研究,阐发深奥的道理,用来教导后世,其文字义理高古深远,上至天文,下至地理,中间详尽人事,大到阴阳的变化,小到草木昆虫,音律象数的起源,脏腑经络的曲折变化,无不逐一列举陈述。伟大啊!崇高啊!留下不朽的仁慈,开启百姓长寿的境界,它的功德,与天地同在,与日月并列,哪里仅仅是拘泥于治疗疾病的方术而已呢?
按照晋代皇甫士安在《甲乙经》序言中说:“《黄帝内经》共十八卷,现在的《针经》九卷,《素问》九卷,就是《内经》。”然而有人称《素问》、《针经》、《明堂》三本书,不是黄帝所著,似乎出于战国时期。战国的文章能写成这样吗?宋代臣子高保衡等人的序言,已经驳斥了这种说法,这种猜测没有根据,本来不值得深入辩驳。
又有把医学看作小道,连这本书也当作帽缨一样丢弃置之不理的人,这难道是拥有大智慧、明亮眼睛的人吗?看苏东坡(苏轼)为《楞伽经》写的跋文说:“经书中有《难经》,句句都有道理,字字都是法则。”他又怎么知道《难经》出自《内经》,而只得到了其中的十分之一呢?《难经》尚且如此,《内经》就更不用说了。
《内经》对于保全民众生命的作用,难道比《十三经》启发民心还要小吗?所以玄晏先生(皇甫谧)说:“人承受先人的身体,有八尺之躯,却不知道医事,这叫做游魂罢了。即使有忠孝之心,慈惠的性格,当君主父亲处于危难困境,婴儿倒在血泊中,没有办法救助他们,这就是圣贤所以精心思考、极力论述以穷尽医理的原因。”由此说来,儒家学者怎么能不尽心研究这本书呢?
奈何当今从事医学的人,也对《灵枢》、《素问》置若罔闻,不明白性命的关键要旨,导致实证更实、虚证更虚(盛盛虚虚),给人带来早夭的灾祸;致使邪气入侵、正气丧失,断绝人的长久寿命。所谓的精通专门医术的人就是这样吗?这个原因正是因为经文深奥广博,研读确实困难,如果对至高之道还没有弄明白,却希望达到通神运微、印证大圣大智在千古遥远的境界,那绝对是不可能的。
自唐代以来,虽然依靠有启玄子(王冰)的注释,其中阐发明晰玄秘的地方很多,但遗漏也不少。有的遇到难点就沉默不语,有的在义理上原本就不符合,有的互相见录深藏起来而不方便查阅检阅。凡是那些阐扬未尽的地方,《灵枢》又没有注释,都不能没有遗憾。到了近代,各家尤其不过是顺着文意敷衍演绎,难的仍然不能明白,精妙的地方仍然不能发挥,这对医学有什么裨益呢?
起初我专心研究这本书,曾经做过摘要,打算用来自己参考,接着反复推演,时间久了,觉得每一句都像金石一样珍贵,每一个字都像珍珠美玉,竟然不知道哪些可以摘取,哪些可以遗弃,于是奋发意念,希望能有办法发掘隐晦使之显明,转化困难使之容易,完全揭示其中的秘密并公之于众,务必使后学之人了然于心,见到就容易获得乐趣,由入门到精通,全面了解本源,这样就不会误己误人,都能达到至善的境界。
于是详细探求方法,就只有彻底改变旧制,颠倒一番,从类别分门别类,然后附加心意进行阐发,或许能清晰其中的蕴藏;然而害怕擅自改动圣经,还不敢这样做。考察远古,周代有扁鹊的《摘难》,晋代有玄晏先生的《类分》,唐代有王太仆的《补削》,元代有滑寿(樱宁)的《撮钞》。借鉴这四位君子之后,心意才决断,况且这不比《十三经》,那些不需要分类而这里想要醒指迷津,就不能不分类以求便利。
因此,遍索《灵枢》、《素问》两经,先求难易,经过几个秋天的反复推敲,稍微得到头绪,然后把两经合为一部,命名为《类经》。所谓“类”,是用《灵枢》来启发《素问》的微妙,用《素问》来阐发《灵枢》的秘密,两者互为表里,贯通其义理。两经合并后,分为十二类。
人生的大事,没有比生死更重要的,能够保全真元,就合乎天道了,所以第一类叫“摄生类”;生成的道理,由阴阳两仪主宰,阴阳确立,天地位列了,所以第二类叫“阴阳类”;人有生命,脏气是根本,五脏内部洞然清楚,三垣(指人体上部的重要部位或功能系统)治理好了,所以第三类叫“脏象类”;想要了解内部,必须观察外部,脉象和面色通达神机,吉凶就能判断了,所以第四类叫“脉色类”;脏腑治理内部,经络治理外部,能明白始终,四肢安泰了,所以第五类叫“经络类”;万事万物,必有本末,知道先后,掌握关键了,所以第六类叫“标本类”;人所依赖的,药食是天赐的,气味得当,五脏强健了,所以第七类叫“气味类”;人生短暂如白驹过隙,谁能保证无病无恙,治疗如果不失误,危险的就安全了;所以第八类叫“论治类”;疾病侵入人体,变化莫测,如果明智能洞察幽微,病魔(二竖)就会逃遁了,所以第九类叫“疾病类”;药物达不到效果,古代有用针砭疗法,九种针刺法搜求玄妙,道行超凡了,所以第十类叫“针刺类”;至于天道茫茫,运营古今,包容无穷,协调唯一,用道理来推演,就像指在手掌上一样清楚,所以第十一类叫“运气类”;另外经文连续归属,难以强行分开,或者附见于其他门类,想要寻找却找不到,分条索隐,血脉贯通了,所以第十二类叫“会通类”。
汇总分为三十二卷;此外又附着《图翼》十五卷,大概因为义理有深邃之处,言语不能涵盖的,不拾取图画,精髓不能聚集;图象虽然明显但意旨有未达到的地方,不辅以解说,奥妙难以窥探。从此条理分明,纲目举起,晦涩的变明亮,隐晦的显现,大小融通,歧异毕彻,一展开卷轴就像重门洞开,秋毫在目,不仅广泛裨益后来学者,就是那些立志尊重生命的人,想要寻求这些奥妙,也不信手拈来就能得到。
这项工程,我确实是鉴于前代各位贤人的注释有所不完备,听闻多有错误,掩盖本质埋没光芒,使得至高之道不能在世间完全阐明,已经将近四千年了;因此敢忘浅陋,效仿古人,勉强承担重任,固然不敢班门弄斧,但不屑于沿街乞讨,所以凡是遇到驳正的地方,大多不避讳,诚然知道这不雅致,只是人心积习已久,以讹传讹,即使决开长波,还担心难以洗涤,如果辨析不力,将最终没有救正的日子了,这就是我深思熟虑而不敢回避的原因。
唉!我是什么人,敢妄自纠正先贤的训诫,话还没说完,知道必定会有指责我错误并随后议论我的人,是对是错,这不在我而在后来的明智之人了。虽然别的山上的石头,可以用来琢磨玉器,断流的水,可以用来照见形体,即墙壁缝隙透过的光、萤火虫的光,能资助有志之士,竹头木屑,曾经对兵家有利,这部编者如果也有千虑之一得,将被圣人采纳,还有什么比这更幸运的呢?
只是由于应试策问的门路多,独自执笔写作,一言一字,利用片刻时间,总共历经三十年,修改稿子数次,才完成学业。所谓河海是一滴水汇聚而成,泰山是一筐土堆积而成,大概也是想要共同辅助它的高深罢了。后世如果有扬子云(扬雄)那样的人,怜悯我的辛劳而赐予斧正,岂不是幸运中的幸运,而相互成就的德行,谁说不是后进者的老师呢。
时值大明万历四十二年(注:原文写天启四年甲子,实为天启四年甲子,即1624年,此处依原文翻译时间背景),黄钟月吉日,景岳子张介宾在通一斋自序。
*Huangdi Neijing* (Yellow Emperor's Inner Canon) is one of the *Sanfen* (Three Ancient Treatises). Generally speaking, since the Yellow Emperor (Xuanyuan Di) discussed and debated with Qi Bo, Gui Yuqu, and six other ministers, elucidating profound principles to instruct future generations, its textual meaning is lofty, ancient, profound, and subtle. It reaches up to astronomy, penetrates down to geography, and thoroughly covers human affairs. From the great changes of Yin and Yang to the small details of plants, trees, insects, and animals; from the origins of musical tones and numerical calculations to the intricate workings of Zang-Fu organs and meridians, nothing is not listed item by item. Great! Sublime! It leaves behind immortal benevolence and opens the realm of longevity for the people. Its virtue is equal to Heaven and Earth, and parallel to the Sun and Moon. Is it merely about the techniques of treating diseases?
According to the preface of *Jiayi Jing* (Systematic Classic of Acupuncture) by Huangfu Mi (courtesy name Shi'an) of the Jin Dynasty: "The *Huangdi Neijing* consists of eighteen volumes. The current *Zhenjing* (Classic of Acupuncture) has nine volumes, and *Suwen* (Basic Questions) has nine volumes; these constitute the *Neijing*." However, some claim that the three books—*Suwen*, *Zhenjing*, and *Mingtang* (Hall of Light)—are not authored by the Yellow Emperor but seem to originate from the Warring States period. Could the literature of the Warring States period be like this? Gao Baoheng and other officials of the Song Dynasty have already refuted this in their prefaces. Such speculative and groundless claims are certainly not worth deep debate.
Furthermore, there are those who regard medicine as a trivial craft and discard this book as if it were a useless hat ornament. Are such people truly individuals of great wisdom and clear insight? Looking at Su Shi’s (Bo Xian) postscript to the *Lengqie Jing* (Sutra of Lankavatara): "In the scriptures, there is the *Nanjing* (Classic of Difficult Issues); every sentence contains principle, every word embodies method." How could he know that the *Nanjing* derives from the *Neijing*, yet captures only one-tenth of its essence? If the *Nanjing* is so, how much more so is the *Neijing*.
Does the *Neijing*'s role in preserving human life pale in comparison to the *Thirteen Classics* in cultivating the hearts of the people? Thus, Mr. Xuan'yan (Huangfu Mi) said: "Humans inherit the bodies of their ancestors, possessing eight chi of flesh and blood, yet do not understand medical matters; this is called a wandering soul. Even if one possesses a heart of loyalty and filial piety, and a nature of kindness and compassion, when lords and fathers are in peril, or infants lie in blood and dirt, and there is no way to save them, this is why sages and worthies think deeply and argue extensively to exhaust the principles [of medicine]." From this perspective, how can Confucian scholars fail to devote themselves to this book?
Alas, why do contemporary practitioners ignore the *Lingshu* (Spiritual Pivot) and *Suwen*, remaining ignorant of the profound essentials of life and destiny? They cause excess to become excessive and deficiency to become deficient (Shengsheng Xu Xu), thereby bringing premature death upon others; they allow pathogenic factors to prevail and righteous Qi to be lost, cutting short people's long lives. Is this what is meant by being a specialist in one's field? The reason lies precisely in the profound and extensive nature of the original text, making research and reading genuinely difficult. Without understanding the Supreme Dao, one cannot hope to achieve spiritual penetration and subtlety, nor can one verify the wisdom of the Great Sages across millennia. This is absolutely impossible.
Since the Tang Dynasty, although we relied on Wang Bing's (courtesy name Qixuan) annotations, which elucidated many mysteries, omissions remain considerable. Some difficulties were silently skipped, some interpretations did not align with the true meaning, and some cross-references were hidden deep within, making them inconvenient to consult. All areas where elaboration was incomplete, and where the *Lingshu* lacked commentary, inevitably left regrets. In recent times, various commentators merely expanded upon the text without clarifying the difficult points or revealing the profound aspects. What benefit does this bring?
Initially, I devoted myself to studying this book and created summaries for my own reference. Later, through prolonged reflection, I found that every statement was like metal and stone, and every character like pearls and gems. I could not determine what to extract and what to discard. Thus, I resolutely stirred my mind, hoping to uncover the obscure, make the difficult easy, fully reveal its secrets, and share them with the public. My goal was to ensure that later learners could clearly understand, find interest easily, progress from the entrance to the inner chamber, and grasp the origins completely, thereby avoiding self-deception and deceiving others, striving for perfection.
Therefore, seeking detailed methods, I decided to completely change the old system, rearrange everything, categorize by subject matter, and then add explanatory insights to clarify the hidden meanings. However, fearing to arbitrarily alter the sacred classics, I hesitated. Examining ancient history, Zhou had Bian Que's *Zhai Nan* (Excerpts from Difficult Issues), Jin had Mr. Xuan'yan's *Leifen* (Classified Division), Tang had Wang Taipu's *Buxiao* (Supplementary Trimming), and Yuan had Hua Yingning's *Cuochao* (Condensed Excerpts). Drawing inspiration from these four gentlemen, my intention was finalized. Moreover, unlike the *Thirteen Classics* which do not require classification, here we seek to awaken and guide the confused, necessitating classification for convenience.
Thus, I searched extensively through both canons, assessing difficulty, and after repeated efforts over several autumns, gradually grasped the thread. Then I combined the two into one work, naming it *Leijing* (Classified Inner Canon). "Classification" means using the *Lingshu* to illuminate the subtleties of the *Suwen*, and the *Suwen* to reveal the secrets of the *Lingshu*, serving as exterior and interior to each other, connecting their meanings. After combining the two canons, they were divided into twelve categories.
The greatest affair in human life is birth and death. Preserving one's true essence aligns with Heaven; thus, the first category is **She Sheng Lei** (Category of Nourishing Life). The way of generation and formation is governed by the Two Modes (Yin and Yang); once Yin and Yang are established, the Three Powers (Heaven, Earth, Humanity) take their places; thus, the second category is **Yin Yang Lei** (Category of Yin and Yang). Human life relies on Zang-Fu Qi as its root; with the five internal organs clearly understood, the Three Enclosures are governed; thus, the third category is **Zang Xiang Lei** (Category of Visceral Manifestations). To know the inside, one must observe the outside; pulse and complexion communicate with the spirit, allowing judgment of auspiciousness and inauspiciousness; thus, the fourth category is **Mai Se Lei** (Category of Pulse and Complexion). Zang-Fu govern the interior, meridians govern the exterior; understanding beginning and end ensures peace in the four limbs; thus, the fifth category is **Jing Luo Lei** (Category of Meridians and Collaterals). All things have roots and branches; knowing priority allows one to grasp the key; thus, the sixth category is **Biao Ben Lei** (Category of Root and Branch). Humans rely on medicines and food as heaven-sent; proper flavors and properties strengthen the five viscera; thus, the seventh category is **Qi Wei Lei** (Category of Flavors and Properties). A century passes like a white horse flashing past a crevice; who can guarantee health? Proper treatment turns danger into safety; thus, the eighth category is **Lun Zhi Lei** (Category on Treatment Principles). Diseases invade humans with unpredictable variations; clarity illuminates the dark, causing the 'two verticals' (demons of disease) to flee; thus, the ninth category is **Ji Bing Lei** (Category of Diseases). When herbs fail, ancient needle and stone therapies exist; the nine methods of acupuncture explore the profound, transcending ordinary ways; thus, the tenth category is **Zhen Ci Lei** (Category of Needle and Moxa Therapy). Regarding the vast Heavenly Dao, operating through antiquity and modernity, encompassing infinity and unity, reasoning brings clarity as if pointing to one's palm; thus, the eleventh category is **Yun Qi Lei** (Category of Six Qi and Five Movements). Furthermore, scriptural connections are hard to forcibly separate; sometimes appearing in other categories, seeking them yields no result; dividing items and tracing obscurities connects the veins; thus, the twelfth category is **Hui Tong Lei** (Category of Comprehensive Connections).
These are compiled into thirty-two volumes. Additionally, fifteen volumes of *Tu Yi* (Wings of Diagrams) are attached. This is because some meanings are too profound for words alone; without diagrams, the essence cannot gather. Although images are explicit, if intent is not conveyed, profundity is hard to glimpse. From this, order is distinguished, outlines are raised, darkness becomes light, and hidden things appear. Large and small are integrated, differences are thoroughly understood. Opening the scroll is like opening multiple doors; fine details are visible. This not only greatly benefits future students but also allows those dedicated to respecting life to effortlessly access these wonders.
In this undertaking, I sincerely noted that previous sages' annotations were incomplete and often erroneous, obscuring truth and burying light, preventing the Supreme Dao from being fully illuminated for nearly four thousand years. Therefore, I dared to forget my own limitations, emulate the ancients, and strive to bear this burden. I certainly did not dare to show off my axe before Lu Ban (display ignorance before experts), nor did I wish to beg on the streets. Thus, wherever corrections were needed, I did not shy away from criticism. I know this is not elegant, but given the long-standing habits of error passed down, even breaking waves may not wash it clean. Without vigorous辨析 (analysis/correction), there will be no day of redemption. This is why I pondered deeply and dared not avoid this task.
Alas! Who am I to arrogantly correct the teachings of former sages? Before I finish speaking, I know there will surely be those who point out my errors and criticize me afterward. Whether right or wrong depends not on me but on the wise successors. Although stones from other hills can polish jade, stagnant water can reflect form, and even wall-light or firefly-glow can aid the determined, and bamboo scraps once helped soldiers, if this compilation offers even one good idea among a thousand reflections, it may be selected by the sages. How fortunate would that be!
However, due to the many demands of official examinations and writing alone, every word and character was stolen from fleeting moments. It took thirty years and numerous drafts to complete this work. As the saying goes, rivers and seas come from a single stream, Mount Tai from a single clod of earth. I merely wished to contribute to its depth and height. If future generations produce a Yang Xiong (Ziyun) who pities my labor and grants correction, it would be double fortune. The virtue of mutual accomplishment—who among us is not a teacher to our juniors?
Prefaced by Zijng Jingyue at the Tongyi Studio, on an auspicious day of the month of Huangzhong (December/January), in the year Jiazi (1624) of the Tianqi era of the Great Ming Dynasty.