生,植物为多,故五味皆从木化。)道生智,(按∶道者万理之总称,无所不包,非独智也。其云生智,亦象
木之发生为言而已。)玄生神。(玄冥之内,神处其中。)神在天为风,(发而周远,无所不通,信乎神化
而能尔。)在地为木,在体为筋,(束络连缀而为力也。)在脏为肝,在色为苍,在音为角,(角谓木音,调
而直也。)在声为呼,(谓叫呼。)在交动为握,(按∶敛掌拳指曰握,肝主筋,筋之为用也,人怒则握拳
以击是矣。)在窍为目,在味为酸,在志为怒。(按∶木发于春,勃然莫
遏,故有怒生之号焉。)怒伤肝,(虽志为怒,甚则自伤。)悲胜怒;(按∶精气并于肺则悲,悲则金气盛而
木气消。)风伤筋,(风胜则筋络拘急。)燥胜风;(燥为金气,故胜木气。)酸伤筋,(过节也。)辛胜
酸。(金味胜木味也。)南方生热,热生火,火生苦,(洪范曰∶“炎上作苦。”)苦生心,心生血,(按∶
血生于心,故心为血脏。)血生脾,(按∶火生土也。太素血作脉。)心主舌。(心别是非,舌以言事,故主舌。)
其在天为热,在地为火,在体为脉,(通行荣卫而养血也。)在脏为心,在色为赤,(象火色。)在音为征,(
征为火音,和而美也。)在声为笑,(笑,喜声也。)在变动为忧,(按∶忧者,肺之志也,心亦何以忧?杨
上善云∶“肺主秋,忧为正也;心主夏,乃变而生忧也。”盖善别苦乐者心也,心有所苦,忧从中生矣。)在窍
为舌,(按∶舌之职有二,一司辨五味,一司协音声,而实内根于心,舌为心之苗是也。故火旺于心,则舌为
之赤;火炽之极,则舌为之焦;若无病之人,火降水升,则舌自津润而滑泽。苟非有窍焉,则内之何能通心液,
外之何能辨五味、别音声乎。乃王氏一则曰舌用非窍,再则曰寻其为窍则舌义便乖,乃曲为之解,亦何不察
之甚也。夫窍之为言孔也,原王氏之意,或以诸窍皆有孔,而舌似无孔。今试取舌而观之,细若针毫津出若泉
者非孔乎,孔之大者窍也,孔之小者亦窍也,谁谓舌非通窍哉。抑又有说焉,金匮真言论曰∶“南方赤色,
入通于心,开窍于耳。”而此又言在窍为舌,是心有二窍也。虽然,肾亦有二窍焉,肾在窍为耳,又金匮真言
论曰∶“北方黑色,入通于肾,开窍于二阴。”五脏之中,一窍者三,而心肾独各二窍者,何也?夫心者,火
也,牡脏也;肾者,水也,牝脏也。水火者,天地之正气,阴阳之妙用,气血之本源,生死之关键也,所系至重,
故二脏独有牝牡之名,为用至博,故心肾更有兼通之窍。火性炎上,其气上通,是以正窍在舌,而旁窍在耳;
水性润下,其气由上而达下,是以上窍在耳,而下窍在二阴。然分之有水火升降之形,合之乃阴阳互根之妙,
故肾在窍为耳,而心亦开窍于耳,是耳者心肾之
所交通,水火之所际会,学人不可不察也。注谓舌非通窍,固非,而心肾各有二窍,与夫心与肾共窍于耳之义,
俱不拈出,真缺陷也,因为臆解于此。)在味为苦,(按∶苦本于焦,焦生于火。)在志为喜。(喜,和乐也。)
喜伤心,(按∶喜者,得其所乐也,乐极则生悲,乐亦病患,况其他乎。)恐胜喜;(按∶心有所怖,则惕然
不宁。)热伤气,(按∶热胜则气浮动而外泄,注单指喘急,偏矣。)寒胜热;(寒为水气,故胜火热。)
苦伤气,(以火生也。按∶新校正云∶详此篇论所伤之旨,其例有三∶东方云风伤筋,酸伤筋,中央云湿伤肉,
甘伤肉,是自伤者也;南方云热伤气,苦伤气,北方云寒伤血,咸伤血,是伤已所胜;西方云热伤皮毛,是
被胜伤已。辛伤皮毛,亦自伤者也。五方所伤不同若此,太素俱云自伤,殊欠分晓。)咸胜苦。(咸,水味,
故胜火苦。)中央生湿,(易义曰∶“阳上薄阴,阴能固之,然后蒸而为雨。”明湿生于固阴之气也。)湿生
土,(杨上善云∶“六月四阳二阴,合而为湿,蒸腐万物成土也。”土生甘,洪范曰∶“稼穑作甘。”)甘生脾,
(按∶生犹益也,脾喜甘,故甘能益脾。)脾生肉,(按∶脾主运化,脾强则能消化饮食而益人肌肉,善食之人,
肉多肥浓是也。)肉生肺,(按∶阴阳书曰“土生金”也。)脾主口。(按∶水谷入于口,化于脾,内外实
相应也。)其在天为湿,(按∶地之湿气,由天而降。)在地为土,在体为肉,(按∶体之有肉,犹地之有土。)
在脏为脾,在色为黄,(土色也。)在音为宫,(宫为土音,大而和也。)在声为歌,(按∶歌生于喜,故人
乐则歌,愁则叹。注以歌为叹声,误矣。)在变动为哕,(按∶杨上善云∶“哕,气忤也。”丹溪所谓吃忒
是矣。哕音一决切。)在窍为口,在味为甘,在志为思。(按∶思则上下四方无所不到,脾位中宫故也。)思
伤脾,怒胜思;(怒则不思。)湿伤肉,(脾主肉而恶湿,故湿胜则肉伤。)风胜湿;(风为木气,故
胜土湿。)甘伤肉,酸胜甘。(酸,木味,故胜土之甘。)西方生燥,(天气急切故生燥。)燥生金,金生辛,
(按∶洪范曰∶“从革作辛。”)辛生肺,肺生皮毛,(按∶皮毛捍卫一身,得金坚劲之气。)皮毛生肾,(按∶
阴阳书曰“金生水”也。)肺主鼻。(肺藏气,鼻通息。)其在天为燥,(按∶秋风劲强。)在地为金,在体
为皮毛,(包藏肤腠,捍其邪也。)在脏为肺,在色为白,在音为商,(按∶商为金声,轻而劲也。)在声
为哭,(按∶悲哀则哭,象肃杀也。)在变动为咳,(按∶肺为邪伤则咳嗽。)在窍为鼻,在味为辛,在志为
忧。(按∶宣明五气篇言精气并于肺则悲,而此言忧。忧者,愁虑也,情之迫;悲者,哀苦也,情之惨。然悲
极则忧,忧极则悲,悲忧同情,故皆为肺志。)忧伤肺,(按∶多忧伤人,害尤在肺。)喜胜忧;(按∶悲忧
之情,得喜则解)热伤皮毛,(按∶热久则肤燥而毛槁,亦火克金故。)寒胜热;(按∶火畏水也。)辛伤
皮毛,(过而招损。)苦胜辛。(苦,火味,故胜金辛。)北方生寒,(阴气凝冽,故生寒也。)寒生水,水
生咸,(按∶洪范曰∶“润下作咸。”)咸生肾,(按∶肾喜咸,故能益人。)肾生骨髓,(按∶肾主骨,髓者
骨之充。)髓生肝,(阴阳书曰∶“水生木。”)肾主耳。其在天为寒,在地为水,在体为骨,(端直贞干,
以立身也。)在脏为肾,在色为黑,(象水色。)在音为羽,(羽为水音,沉而深也。)在声为呻,(按∶呻
吟,痛楚声也。)在变动为栗,(栗谓战栗,甚寒大恐悉有之。)在窍为耳,在味为咸,在志为恐。(恐所以
惧恶也。)恐伤肾,(恐而不已,则内感于肾,故伤。)思胜恐;(思深虑远,则见事源。)寒伤血,(寒则血凝。)
燥胜寒,(按∶燥为热化,寒从水生,水本胜火,燥何以胜寒?然寒多则气不温而血为病,必用辛温之味以炅燮
沉寒,于是
阴凝之气化为阳和矣。)咸伤血,(食咸而渴,伤血可知。)甘胜咸。(甘,土味,故胜水咸。)
故曰∶天地者,万物之上下也;(按,以复载言也。)阴阳者,血气之男女也;(按∶以配偶言也。分
之则血为阴,气为阳;合之则血非阳不行,气无阴则散,正如男之不可以无女,女之不可以无男也。若但以阴阳
分发为言,殊失意旨。)左右者,阴阳之道路也;(按∶杨上善云∶“阴气右行,阳气左行。”以分位言也。
若天元纪论中,方可作左右间气言。)水火者,阴阳之征兆也;(按∶水者阴之征,火者阳之征,兆先而征后,
以发见言也。)阴阳者,万物之能始也。(按∶号物有万,皆本阴阳,万物之始也,阴阳之能也,故云能始,
以终始言也。按天元纪大论与此略同,但彼无“阴阳者血气之男女”一句,又以“金木者生成之终始”代“阴阳
者万物之能始”一句。)
故曰∶阴在内,阳之守也;阳在外,阴之使也。(阴静,故为阳之镇守;阳动,故为阴之役使。)帝曰∶
法阴阳奈何?岐伯曰∶阳胜则身热,腠理闭,喘粗,为之俯仰,汗不出而热,齿干以烦冤,腹满死,能冬不能
夏。(阳胜故能冬,热甚故不能夏。)阴胜则身寒汗出,身常清,数栗而寒,寒则厥,厥则腹满死,能夏不能
冬。(阴胜故能夏,寒甚故不能冬。按∶此统论阴阳偏胜之大凡也。至于腹满则均死者何故?盖阳胜则宜汗,
既腠理闭而汗不出,若至腹满,则火烈于内,阳极而亢矣;阴胜则宜温,既身寒而手足逆冷,若至腹满,则阴
寒凝结而气不化矣,安得不死。能,注读作耐,通,犹言遇相济之时,尚犹可为也。喘粗者,热盛于内,气不
得泄而喘急也。俯仰者,坐卧不宁之状。烦冤者,热极则烦,若有所冤抑而叫呼也。清,凉也。栗,战栗也。
厥,手足逆冷而气欲绝也,注以厥为气逆,误矣。)此阴阳更胜之变,病之
形能也。(按∶形能,犹言情状。)帝曰∶调此二者奈何?(按∶二者指阴阳偏胜言,言若遇此类,当如何治之,
问意平常,注太凿矣。)岐伯曰∶能知七损八益,则二者可调,不知用此。则早衰之节也。(按∶男女交媾,
必行于天癸既至之后。然女子天癸始于二七,若即纵情恣欲,终将耗竭真精,是谓七损。男子天癸始于二八,
若能保守真元,自然精神强固,是谓八益。苟能去损就益,则阴阳和调,必无偏胜之患矣。用,犹行也,注作
房色解,误矣。言不知行此道,则有夭折之患也。)年四十而阴气自半也,起居衰矣。年五十,体重,耳目不
聪明矣。年六十,阴痿,气大衰,九窍不利,下虚上实,涕泣俱出矣。(按∶甲子六十一周,人寿不同,强者
过之,弱者不及,然至六十为得其常矣。四十以后,渐就衰老,是此六十年中,强壮之日仅居其半,且更有未
四十而即衰惫者,真可畏也。)故曰知之则强,不知则老,故同出而名异耳。(……按∶人不可不知,而或不
能尽知,所以同其体而异其形也。)是以圣人为无为之事,乐恬 之能,从欲快志于虚无之守,故寿命无穷,
与天地终,此圣人之治身也。(圣人不为无益害有益,不为害性而顺性,故寿命长远,与天地终。)
天不足西北,故西北方阴也,而入右耳目不如左明也。地不满东南,故东南方阳也,而人左手足不如右强
也。帝曰∶何以然?岐伯曰∶东方阳也,阳者其精并于上,并于上则上明而下虚,故使耳目聪明而手足不便也。
西方阴也,阴者其精并于下,并于下则下盛而上虚,故其耳目不聪明而手足便也。故俱感于邪,其在上则右甚,
在下则左甚,此天地阴阳所不能全
也,故邪居之。(……夫阴阳之应天地,犹水之在器也,器圆则水圆,器曲则水曲。人之气血亦如是,故随不
足则邪气留居之。按∶天地阴阳犹不能全,人身脏腑岂能周密,邪之所凑,其气必虚,自然之理也。唯善养生
者,防患未然,邪不易入,如下之所言是矣。)惟贤人上配天以养头,下象地以养足,中傍人事以养五脏。
(按∶邪虽乘虚,无间可入矣。)
天气通于肺,(居高故。按∶天气轻清而上浮,然肺为五脏之盖,主气而分布于五脏,亦如天之居高以临
下,故与天气相通。)地气通于嗌,(按∶地阴而主味,然嗌者饮食之道路也,是以阴血不足,则嗌为之哽涩
而难下。注云次下,混矣。)风气通于肝,(风生木故。)雷气通于心,(象火之有声故。按∶天热郁则发而
为雷,心藏火则散而为热。)谷气通于脾,(谷空虚,脾受纳故。按∶注是矣,然主受纳者胃也,而脾实主运
化,此不可以不辨。夫脾与胃相连,脾不能运化,则受纳者必满而溢矣。是胃不可以兼运化之职,而脾实可以
兼受纳之名也。)雨气通于肾。(肾主水故。按∶此以上言五脏之所通,分属也。以下则总论六脏九窍之
形似,比类也注俱混论无别。)六经为川,(按∶六经,六腑也。流而不息之为川。六腑之职,化糟粕转味而
入出,主泻而不藏,如川之流而不息也。注但云流注不息,不知六经为脏为腑也。)肠胃为海,(按∶人之饮食,
由胃转肠,凡有所入,无不归焉,亦如海之广大,无所不容。)九窍为水注之气。(按∶七窍主纳,二阴主出,
然总为五脏津液流通之门户,则气字疑为器字之讹也。然即以气解,亦通。盖脏腑之气必由九窍而外达,气不
通则水不得出,九窍之气通,而后脏腑之水液因之而注矣。)以天地为之阴阳,阳之汗,以天地之雨名之;(夫人
汗泄于皮肤者,是阳气之发泄尔,然其取类于天地之间,则云腾雨降而相似也,故云。)阳之气,以天地之疾
风名之。(阳气散发,疾风飞
扬,故以应之。旧经无名之二字,寻前类例故加之。)暴气象雷,(按∶雷出地奋,郁极而通也。无病之人,
气宿丹田,及其有病,或抽掣,或眩仆,或狂叫喘促,卒暴非常,正如雷之发于地。)逆气象阳。(……按∶
(生发之气,植物居多,所以五味都随着木气转化。)道产生智慧,(按:道是万理的总称,无所不包,不仅仅是智慧。说它产生智慧,也是取象于树木的生发之意罢了。)玄冥产生精神。(在幽深玄冥之中,精神居于其中。)神在天表现为风,(风气发动而周遍远方,无所不通,确实体现了神妙的变化能如此。)在地表现为木,在人体表现为筋,(筋脉束络连接肢体从而产生力量。)在脏腑归属于肝,在五色中对应青色,在五音中对应角音,(角音属于木音,音调调和而直畅。)在五声中对应呼,(指呼叫。)在变动中表现为握,(按:收敛手掌、弯曲手指称为握,肝主管筋,筋的作用在于此,人发怒时就会握拳攻击,就是这个道理。)在孔窍对应目,在五味中对应酸,在五志中对应怒。(按:木气发于春季,蓬勃旺盛不可遏制,所以有“怒”这个名称。)
怒伤肝,(虽然五志为怒,但过度则会自我损伤。)悲可以胜怒;(按:精气合并于肺则产生悲,悲则金气盛而木气消。)风伤筋,(风邪偏胜则筋脉拘急。)燥可以胜风;(燥属于金气,所以能克制木气。)酸伤筋,(过食酸味会伤害筋脉。)辛可以胜酸。(辛味属金,能克制酸味属木。)
南方产生热,热产生火,火产生苦,(《洪范》说:“炎上作苦。”)苦产生心,心产生血,(按:血由心生,所以心是血的脏器。)血产生脾,(按:这是火生土的道理。《太素》中“血”写作“脉”。)心主宰舌。(心辨别是非,舌用来言语办事,所以主宰舌。)
它在天表现为热,在地表现为火,在人体表现为脉,(血脉通行营卫并滋养血液。)在脏腑归属于心,在五色中对应红色,(象征火的色泽。)在五音中对应徵音,(徵音属于火音,和谐而美好。)在五声中对应笑,(笑是喜悦的声音。)在变动中表现为忧,(按:忧是肺的志,心怎么会忧呢?杨上善说:“肺主秋,忧是正常的;心主夏,却变生出忧来。”大概善于分辨苦乐的是心,心中感到痛苦,忧就从中产生了。)在孔窍对应舌,(按:舌的功能有两个,一是主管辨别五味,二是主管协调音声,其实内根于心,舌是心的苗窍。所以心火旺,舌就会发红;火极炽盛,舌就会焦枯;如果没有病的人,水火既济,降火升水,舌自然津润滑泽。如果不是因为有孔窍,内在怎么能通心液,外在怎么能辨五味、别音声呢?王冰一会儿说舌不是孔窍,一会儿又说寻找它的孔窍则意义乖谬,这是强行解释,也太不考察了。所谓窍就是孔的意思,原本王冰的意思,或许因为其他孔窍都有明显的孔洞,而舌似乎没有孔。现在试着观察舌头,细微如针毫,津液流出如泉水,这不是孔吗?大的孔叫窍,小的孔也是窍,谁说舌不是通窍呢?另外还有说法,《金匮真言论》说:“南方赤色,入通于心,开窍于耳。”而这里又说在窍为舌,这是心有二个孔窍。虽然如此,肾也有二个孔窍,肾在窍为耳,又《金匮真言论》说:“北方黑色,入通于肾,开窍于二阴。”五脏之中,只有一个孔窍的有三脏,而心和肾各有二个孔窍,为什么呢?心属火,是阳脏(牡脏);肾属水,是阴脏(牝脏)。水火是天地正气,阴阳妙用,气血本源,生死关键,关系极其重大,所以这两脏独有牡牖之名,作用极其广博,所以心肾更有兼通的孔窍。火性炎上,其气向上通达,所以正窍在舌,旁窍在耳;水性润下,其气由上达下,所以上窍在耳,下窍在二阴。然而分开看有水火升降的形态,合起来看则是阴阳互根的妙理,所以肾在窍为耳,而心也开窍于耳,耳朵是心肾交通、水火交汇的地方,学习的人不能不仔细考察。注解说舌不是通窍,固然不对,而心肾各有二窍,以及心与肾共窍于耳的意义,都没有指出,真是缺陷,因此我在此提出我的见解。)在五味中对应苦,(按:苦本源于焦,焦生于火。)在五志中对应喜。(喜,是和乐的意思。)
喜伤心,(按:喜是得到快乐,快乐到了极点就会产生悲伤,快乐也是致病因素,何况其他情绪呢?)恐可以胜喜;(按:心中有所恐惧,就会惕然不安。)热伤气,(按:热邪偏胜则气浮动而外泄,注家只指喘急,片面了。)寒可以胜热;(寒是水气,所以能克制火热。)
苦伤气,(因为火生土的关系。按:新校正说:详细考察本篇论述受伤的宗旨,有三种体例:东方说风伤筋,酸伤筋,中央说湿伤肉,甘伤肉,这是自伤;南方说热伤气,苦伤气,北方说寒伤血,咸伤血,这是伤其所胜;西方说热伤皮毛,是被克者伤己。辛伤皮毛,也是自伤。五方受伤不同如此,《太素》都说自伤,很不清楚。)咸可以胜苦。(咸是水味,所以能克制火苦。)
中央产生湿,(《易经》义理说:“阳气上迫阴气,阴气能固守它,然后蒸腾成为雨。”说明湿产生于固守阴气之中。)湿产生土,(杨上善说:“六月四阳二阴,合而为湿,蒸腐万物成土。”)土产生甘,(《洪范》说:“稼穑作甘。”)甘产生脾,(按:生还是益的意思,脾喜欢甘味,所以甘能补益脾。)脾产生肉,(按:脾主运化,脾强就能消化饮食而增加人的肌肉,爱吃的人,肌肉多肥浓就是这个道理。)肉产生肺,(按:阴阳书说“土生金”。)脾主宰口。(按:水谷进入口中,在脾消化,内外实相应。)
它在天表现为湿,(按:地的湿气,由天而降。)在地表现为土,在人体表现为肉,(按:人体有肉,就像地有土。)在脏腑归属于脾,在五色中对应黄色,(土的颜色。)在五音中对应宫音,(宫音属于土音,宏大而和谐。)在五声中对应歌,(按:歌产生于喜,所以人快乐就唱歌,忧愁就叹息。注家把歌当作叹声,错了。)在变动中表现为哕,(按:杨上善说:“哕,是气逆。”就是丹溪所说的打嗝。哕音读作一决切。)在孔窍对应口,在五味中对应甘,在五志中对应思。(按:思虑上下四方无所不到,因为脾位居中宫的缘故。)
思伤脾,怒可以胜思;(怒则不思。)湿伤肉,(脾主肉而厌恶湿,所以湿邪偏胜则伤肉。)风可以胜湿;(风属木气,所以能克制土湿。)甘伤肉,酸可以胜甘。(酸属木味,所以能克制土之甘。)
西方产生燥,(天气急切所以产生燥。)燥产生金,金产生辛,(按:《洪范》说:“从革作辛。”)辛产生肺,肺产生皮毛,(按:皮毛捍卫全身,得到金坚劲的气。)皮毛产生肾,(按:阴阳书说“金生水”。)肺主宰鼻。(肺藏气,鼻通气息。)
它在天表现为燥,(按:秋风强劲。)在地表现为金,在人体表现为皮毛,(包裹隐藏肤腠,抵御邪气。)在脏腑归属于肺,在五色中对应白色,在五音中对应商音,(按:商音属于金声,轻劲有力。)在五声中对应哭,(按:悲哀则哭,象征肃杀。)在变动中表现为咳,(按:肺被邪气伤害则咳嗽。)在孔窍对应鼻,在五味中对应辛,在五志中对应忧。(按:《宣明五气篇》说精气合并于肺则悲,而这里说忧。忧是愁虑,情感紧迫;悲是哀苦,情感凄惨。然而悲极了就忧,忧极了就悲,悲忧同属一种情感,所以都是肺的志。)
忧伤肺,(按:多忧伤的人,危害尤其在肺。)喜可以胜忧;(按:悲忧的情感,得到喜就能化解。)热伤皮毛,(按:热久则皮肤干燥而毛发枯槁,也是火克金的缘故。)寒可以胜热;(按:火畏惧水。)辛伤皮毛,(过度而招致损害。)苦可以胜辛。(苦属火味,所以能克制金辛。)
北方产生寒,(阴气凝冽,所以产生寒。)寒产生水,水产生咸,(按:《洪范》说:“润下作咸。”)咸产生肾,(按:肾喜欢咸味,所以能补益人。)肾产生骨髓,(按:肾主骨,髓是骨的充实物。)髓产生肝,(阴阳书说:“水生木。”)肾主宰耳。
它在天表现为寒,在地表现为水,在人体表现为骨,(端直贞洁的树干,用来立身。)在脏腑归属于肾,在五色中对应黑色,(象征水的颜色。)在五音中对应羽音,(羽音属于水音,深沉而深远。)在五声中对应呻,(按:呻吟是痛楚的声音。)在变动中表现为栗,(栗指战栗,极寒和大恐怖都有。)在孔窍对应耳,在五味中对应咸,在五志中对应恐。(恐是用来表示惧怕厌恶的。)
恐伤肾,(恐惧不停止,就会内感于肾,所以受伤。)思可以胜恐;(思虑深远,就能看到事物的根源。)寒伤血,(寒则血液凝滞。)燥可以胜寒,(按:燥属于热化,寒从水生,水本来胜火,燥为什么能胜寒?然而寒多则气不温暖而血生病,必须用辛温的味道以温热沉寒,于是阴凝之气化为阳和了。)咸伤血,(吃咸而口渴,伤血就可以知道了。)甘可以胜咸。(甘属土味,所以能克制水咸。)
所以说:天和地,是万物的上下位置;(按:用覆载来言说。)阴阳,是血气的男女配偶;(按:用配偶关系言说。分开看,血为阴,气为阳;合起来看,血没有阳就不能运行,气没有阴就会散失,正如男人不可以没有女人,女人不可以没有男人一样。如果仅仅把阴阳分发来说,特别不合原意。)左右,是阴阳运行的道路;(按:杨上善说:“阴气右行,阳气左行。”用分位来说。如果在《天元纪大论》中,才可以作为左右间气来说。)水火,是阴阳的征兆;(按:水是阴的征象,火是阳的征象,兆在先而征在后,用发见来说。)阴阳,是万物生成的始基。(按:事物号称有万种,都本源于阴阳,是万物的开始,是阴阳的能力,所以叫能始,用终始来说。按:《天元纪大论》与此大致相同,只是那里没有“阴阳者血气之男女”一句,而是用“金木者生成之终始”代替“阴阳者万物之能始”一句。)
所以说:阴在内,是阳的镇守;阳在外,是阴的役使。(阴静,所以是阳的镇守;阳动,所以是阴的役使。)黄帝说:效法阴阳该怎么做?岐伯说:阳偏胜则身体发热,腠理闭塞,呼吸粗重,坐卧不安,汗不出而身热,牙齿干燥且心烦冤屈,腹部胀满就会死,能耐受冬天而不能耐受夏天。(阳胜所以能耐受冬天,热甚所以不能耐受夏天。)阴偏胜则身体寒冷出汗,身体经常清冷,多次战栗发冷,冷则四肢厥逆,厥逆则腹部胀满就会死,能耐受夏天而不能耐受冬天。(阴胜所以能耐受夏天,寒甚所以不能耐受冬天。按:这是统论阴阳偏胜的大概情况。至于腹满都会死是什么原因?大概阳胜应该发汗,既然腠理闭塞汗不出,如果到腹满,则火烈于内,阳极而亢盛了;阴胜应该温补,既然身体寒冷而手足逆冷,如果到腹满,则阴寒凝结而气不化了,怎么能不死。能,注家读作耐,通,犹言遇到相济的时候,还可以挽救。喘粗,是热盛于内,气不得宣泄而喘急。俯仰,是坐卧不宁的状态。烦冤,是热极则烦,好像有所冤抑而叫呼。清,是凉。栗,是战栗。厥,是手足逆冷而气欲绝,注家把厥当作气逆,错了。)这是阴阳更替胜复的变化,病的形貌和状态。(按:形能,犹言情状。)
黄帝说:调治这两方面该怎么做?(按:二者指阴阳偏胜,言如果遇到这类情况,应当如何治疗,问意平常,注家太穿凿了。)岐伯说:能懂得七损八益,那么这两方面就可以调治,不懂得运用这个,就是早衰的节律。(按:男女交媾,必须在天癸到来之后进行。然而女子天癸始于十四岁,如果立即纵情恣欲,终将耗竭真精,这叫七损。男子天癸始于十六岁,如果能保守真元,自然精神强固,这叫八益。如果能去损就益,那么阴阳和调,必然没有偏胜的祸患了。用,犹行也,注家解释为房事,错了。言不懂得实行这个道理,就有夭折的祸患。)
四十岁,阴气自己减半,起居能力衰退了。五十岁,身体沉重,耳目不聪明了。六十岁,阳痿,气大大衰退,九窍不利,下虚上实,鼻涕眼泪一起流出。(按:甲子六十一周,人寿不同,强者超过,弱者不及,然而到六十岁算是得其常态了。四十以后,逐渐衰老,这六十年中,强壮的日子仅占一半,而且更有不到四十岁就衰弱疲惫的,真可怕啊。)所以说:懂得这些就强壮,不懂就衰老,所以体质相同而表现不同罢了。(……按:人不可不知道,或者不能完全知道,所以形体相同而表现各异。)
因此圣人从事无为的事业,乐于恬淡的能力,在虚无的持守中顺从欲望、快适意志,所以寿命无穷,与天地同始终,这是圣人的修身之道。(圣人不为无益害有益,不为损害本性而顺应本性,所以寿命长远,与天地同始终。)
天不足于西北方,所以西北方属阴,而人的右耳目不如左耳聪明。地不满于东南方,所以东南方属阳,而人的左手足不如右手足强壮。黄帝说:为什么这样?岐伯说:东方属阳,阳的精气并聚于上部,并聚于上部则上部明亮而下部虚弱,所以使耳目聪明而手足不便。西方属阴,阴的精气并聚于下部,并聚于下部则下部盛而上部虚,所以耳目不聪明而手足便利。所以都感受邪气,在上部则右侧严重,在下部则左侧严重,这是天地阴阳不能完备的地方,所以邪气居留在那里。(……夫阴阳应合天地,就像水在容器中,容器圆则水圆,容器曲则水曲。人的气血也是这样,所以随着不足之处邪气就留居。按:天地阴阳尚且不能完备,人身脏腑岂能周密,邪气聚集的地方,正气必然虚弱,这是自然的道理。只有善于养生的人,防患于未然,邪气不易侵入,如下面所说的那样。)
只有贤人上配天以养头,下象地以养足,中傍人事以养五脏。(按:邪气虽乘虚而入,也没有空隙可入了。)
天气通于肺,(居高处。按:天气轻清而上浮,然而肺是五脏的华盖,主气而分布于五脏,也像天居高临下,所以与天气相通。)地气通于咽喉,(按:地阴而主味,然而咽喉是饮食的道路,所以阴血不足,咽喉就会哽涩难下。注家说是次下,混淆了。)风气通于肝,(风生木的缘故。)雷气通于心,(像火有声的缘故。按:天热郁结则发为雷,心藏火则散发为热。)谷气通于脾,(谷空虚,脾受纳的缘故。按:注家是对的,然而主受纳的是胃,而脾实在主运化,这里不可以不辨析。脾与胃相连,脾不能运化,则受纳者必然满溢。所以胃不可以兼运化之职,而脾实在可以兼受纳之名。)雨气通于肾。(肾主水的缘故。按:以上言五脏之所通,分属关系。以下则总论六脏九窍的形似,比类。注家都混论无区别。)
六经如同河流,(按:六经,即六腑。流而不息的叫做川。六腑的职责,化糟粕转味道而入出,主泻而不藏,像河流流而不息。注家只说流注不息,不知道六经是脏还是腑。)肠胃如同大海,(按:人的饮食,由胃转肠,凡是有进入的,无不归于此,也像大海广大,无所不容。)九窍是水液注出的通道。(按:七窍主纳,二阴主出,然而总为五脏津液流通的门户,则“气”字疑为“器”字的讹误。然而即以气解释,也通。盖脏腑之气必由九窍而外达,气不通则水不得出,九窍之气通,而后脏腑之水液因之而注出了。)
用天地来比喻阴阳,阳的汗,用天地的雨来命名;(人汗泄于皮肤,是阳气的发泄,然而取类比象于天地之间,云腾雨降而相似,所以这么说。)阳的气,用天地的疾风来命名。(阳气散发,疾风飞扬,所以相应。旧经没有“之二”二字,寻前文体例故加上。)暴气象雷,(按:雷出地奋,郁极而通。无病之人,气宿丹田,及其有病,或抽掣,或眩仆,或狂叫喘促,卒暴非常,正如雷发于地。)逆气象阳。(……按:
(Generation is abundant in plants, therefore the five flavors all transform according to Wood.) Dao generates Wisdom. (Note: Dao is the general term for all principles, encompassing everything, not just wisdom. Saying it generates wisdom is merely using the image of Wood's sprouting and growth as a metaphor.) Xuan generates Spirit. (Within the profound obscurity, Spirit resides.) Spirit manifests as Wind in Heaven, (Wind moves outward and far, penetrating everywhere, truly demonstrating that spiritual transformation can achieve such effects.) as Wood on Earth, as Tendons in the body, (Tendons bind and connect to generate strength.) as the Liver among the Zang organs, as Green in color, as Jue (Wood) in pitch, (Jue refers to the sound of Wood, harmonious and straight.) as Shu (Calling out) in vocalization, (Referring to shouting.) as Grasping in movement, (Note: Gathering the palm and curling the fingers is called grasping. The Liver governs tendons; their function is utilized here. When people are angry, they clench their fists to strike, which is exactly this.) as the Eyes in orifices, as Sour in flavor, as Anger in emotion. (Note: Wood qi emerges in Spring, vigorous and unstoppable, hence the name "Anger".)
Anger injures the Liver, (Although Anger is the emotion, excessive anger causes self-injury.) Grief overcomes Anger; (Note: When essence and qi merge into the Lung, Grief arises. Grief makes Metal qi strong and Wood qi diminish.) Wind injures Tendons, (Excessive Wind causes tendon spasms.) Dryness overcomes Wind; (Dryness belongs to Metal qi, thus overcoming Wood qi.) Sour injures Tendons, (Overconsumption damages them.) Pungent overcomes Sour. (Pungent [Metal] flavor overcomes Sour [Wood] flavor.)
The South generates Heat, Heat generates Fire, Fire generates Bitter, (The *Hongfan* states: "Flaming upward produces Bitter.") Bitter generates the Heart, the Heart generates Blood, (Note: Blood is produced by the Heart, so the Heart is the organ of Blood.) Blood generates the Spleen, (Note: This follows the principle of Fire generating Earth. In *Tai Su*, "Blood" is written as "Mai/Vessels".) The Heart governs the Tongue. (The Heart distinguishes right from wrong, and the Tongue is used for speech, thus governing the Tongue.)
It manifests as Heat in Heaven, as Fire on Earth, as Vessels in the body, (Vessels circulate Ying and Wei Qi and nourish Blood.) as the Heart among the Zang organs, as Red in color, (Symbolizing the color of Fire.) as Zhi (Fire) in pitch, (Zhi is the sound of Fire, harmonious and beautiful.) as Xiao (Laughter) in vocalization, (Laughter is the sound of joy.) as You (Worry) in variation, (Note: Worry is the emotion of the Lung. Why would the Heart worry? Yang Shangshan said: "The Lung governs Autumn, so Worry is proper; the Heart governs Summer, yet it variably generates Worry." Essentially, the Heart is good at distinguishing bitterness and joy. If the Heart feels bitter, Worry arises from within.) as the Tongue in orifices, (Note: The Tongue has two functions: one is to distinguish the five flavors, the other is to coordinate sounds. Internally, its root connects to the Heart; the Tongue is the sprout of the Heart. Thus, when Heart Fire is prosperous, the Tongue becomes red; when Fire is extremely intense, the Tongue becomes scorched. In a healthy person, with Fire descending and Water ascending, the Tongue is naturally moist and slippery. If there were no orifice, how could it internally communicate Heart fluids and externally distinguish flavors and sounds? Wang Bing first said the Tongue is not an orifice, then said searching for its orifice contradicts the meaning. This is a forced explanation and shows a lack of investigation. The word "Qiao" means hole. Originally, Wang Bing might have thought that since other orifices have visible holes and the Tongue seems not to, it isn't one. But observe the Tongue: fine as needle hairs, with fluid flowing like a spring—is this not a hole? Large holes are Qiao, small holes are also Qiao. Who says the Tongue is not an orifice? Furthermore, the *Jingui Zhenyan Lun* states: "Southern Red color enters through the Heart, opening at the Ears." Yet here it says the orifice is the Tongue, implying the Heart has two orifices. Although, the Kidney also has two orifices. The *Jingui Zhenyan Lun* states: "Northern Black color enters through the Kidney, opening at the two Yin orifices." Among the Five Zang, three have one orifice, but why do only the Heart and Kidney have two? The Heart is Fire, a Yang (Male/Mu) organ; the Kidney is Water, a Yin (Female/Pin) organ. Water and Fire are the righteous Qi of Heaven and Earth, the subtle use of Yin and Yang, the source of Qi and Blood, and the key to life and death. Their importance is great, hence these two organs alone bear the names Mu and Pin. Their functions are extensive, so the Heart and Kidney have additional connecting orifices. Fire nature flares upward, its Qi communicates upward, so the primary orifice is the Tongue, and the secondary orifice is the Ear. Water nature moistens downward, its Qi reaches from top to bottom, so the upper orifice is the Ear, and the lower orifices are the two Yin. Divided, they show the form of Water and Fire ascending and descending; combined, they reveal the wonder of Yin and Yang mutually rooting. Thus, the Kidney opens at the Ear, and the Heart also opens at the Ear. The Ear is where Heart and Kidney communicate, and where Water and Fire meet. Students must examine this carefully. The commentary stating the Tongue is not an orifice is incorrect, and failing to mention that Heart and Kidney each have two orifices, and that Heart and Kidney share the Ear as an orifice, is truly a defect. Therefore, I offer this speculative interpretation.) As Bitter in flavor, (Note: Bitter originates from Scorched, Scorched from Fire.) as Joy in emotion. (Joy is harmony and happiness.)
Joy injures the Heart, (Note: Joy is obtaining what one loves. Extreme joy generates sorrow; joy itself can be a pathology, let alone others.) Fear overcomes Joy; (Note: When the Heart is terrified, one feels uneasy.) Heat injures Qi, (Note: Excessive Heat causes Qi to float and leak outward. The commentary focusing only on panting is biased.) Cold overcomes Heat; (Cold is Water Qi, thus overcoming Fire/Heat.)
Bitter injures Qi, (Due to Fire generating Earth. Note: The New Correction states: Examining the principle of injury in this chapter, there are three examples: East says Wind injures Tendons, Sour injures Tendons; Central says Dampness injures Flesh, Sweet injures Flesh. These are self-injury. South says Heat injures Qi, Bitter injures Qi; North says Cold injures Blood, Salty injures Blood. These injure what they overcome. West says Heat injures Skin and Hair, which is being injured by what overcomes it. Pungent injures Skin and Hair, which is also self-injury. The injuries differ by direction thus. *Tai Su* claims all are self-injury, which is unclear.) Salty overcomes Bitter. (Salty is Water flavor, thus overcoming Fire/Bitter.)
The Center generates Dampness, (The meaning of *I Ching* says: "Yang presses upon Yin from above, Yin solidifies it, then steams to become Rain." This clarifies that Dampness is born from the solidifying Yin Qi.) Dampness generates Earth, (Yang Shangshan said: "In the sixth month, four Yang and two Yin combine to form Dampness, steaming and rotting all things to create Earth.") Earth generates Sweet, (The *Hongfan* states: "Planting and harvesting produce Sweet.") Sweet generates the Spleen, (Note: "Generate" here implies "benefit." The Spleen likes Sweet, so Sweet benefits the Spleen.) The Spleen generates Flesh, (Note: The Spleen governs transportation and transformation. A strong Spleen digests food and builds muscle. People who eat well have plump flesh.) Flesh generates the Lung, (Note: The Yin-Yang books state "Earth generates Metal.") The Spleen governs the Mouth. (Note: Food and drink enter the mouth and are transformed by the Spleen; internal and external correspond.)
It manifests as Dampness in Heaven, (Note: Earth's dampness descends from Heaven.) as Earth on the ground, as Flesh in the body, (Note: The body having flesh is like the earth having soil.) as the Spleen among the Zang organs, as Yellow in color, (The color of Earth.) as Gong (Earth) in pitch, (Gong is the sound of Earth, broad and harmonious.) as Ge (Singing) in vocalization, (Note: Singing arises from joy. People sing when happy and sigh when sad. The commentary mistaking singing for sighing is wrong.) as Yue (Hiccups/Coughing fit) in variation, (Note: Yang Shangshan said: "Yue is Qi rebellion." This is what Danxi called hiccuping. Yue is pronounced yi-jue qie.) as the Mouth in orifices, as Sweet in flavor, as Pensiveness in emotion. (Note: Pensiveness considers up, down, left, and right without limit, because the Spleen resides in the Central Palace.)
Pensiveness injures the Spleen, Anger overcomes Pensiveness; (Anger stops thinking.) Dampness injures Flesh, (The Spleen governs flesh and dislikes Dampness; thus, excess Dampness injures flesh.) Wind overcomes Dampness; (Wind is Wood Qi, thus overcoming Earth/Dampness.) Sweet injures Flesh, Sour overcomes Sweet. (Sour is Wood flavor, thus overcoming Earth/Sweet.)
The West generates Dryness, (Heavenly Qi is urgent, thus generating Dryness.) Dryness generates Metal, Metal generates Pungent, (Note: The *Hongfan* states: "Changing and transforming produces Pungent.") Pungent generates the Lung, the Lung generates Skin and Hair, (Note: Skin and hair defend the whole body, receiving the firm and strong Qi of Metal.) Skin and Hair generate the Kidney, (Note: The Yin-Yang books state "Metal generates Water.") The Lung governs the Nose. (The Lung stores Qi, and the Nose breathes.)
It manifests as Dryness in Heaven, (Note: Autumn wind is strong.) as Metal on the ground, as Skin and Hair in the body, (Enclosing and hiding the skin and pores to resist evil.) as the Lung among the Zang organs, as White in color, as Shang (Metal) in pitch, (Note: Shang is the sound of Metal, light and forceful.) as Ku (Crying) in vocalization, (Note: One cries in sorrow, symbolizing肃杀/severity.) as Ke (Cough) in variation, (Note: The Lung coughs when injured by evil.) as the Nose in orifices, as Pungent in flavor, as Sorrow in emotion. (Note: The *Xuanming Wuqi Pian* states that when essence and Qi merge into the Lung, Sadness arises, whereas here it says Sorrow. Sorrow is anxiety/worry, an urgent emotion; Sadness is grief/pain, a tragic emotion. However, extreme Sadness leads to Sorrow, and extreme Sorrow leads to Sadness. They share the same emotion, so both are the emotions of the Lung.)
Sorrow injures the Lung, (Note: Those who suffer much sorrow are harmed especially in the Lung.) Joy overcomes Sorrow; (Note: The feelings of sadness and sorrow are resolved by Joy.) Heat injures Skin and Hair, (Note: Prolonged Heat dries the skin and withers hair, also due to Fire overcoming Metal.) Cold overcomes Heat; (Note: Fire fears Water.) Pungent injures Skin and Hair, (Excess causes damage.) Bitter overcomes Pungent. (Bitter is Fire flavor, thus overcoming Metal/Pungent.)
The North generates Cold, (Yin Qi condenses and chills, thus generating Cold.) Cold generates Water, Water generates Salty, (Note: The *Hongfan* states: "Moistening downward produces Salty.") Salty generates the Kidney, (Note: The Kidney likes Salty, thus benefiting the person.) The Kidney generates Marrow, (Note: The Kidney governs bones; Marrow fills the bones.) Marrow generates the Liver, (The Yin-Yang books state: "Water generates Wood.") The Kidney governs the Ears.
It manifests as Cold in Heaven, as Water on the ground, as Bones in the body, (Straight and upright trunks used to stand.) as the Kidney among the Zang organs, as Black in color, (Symbolizing the color of Water.) as Yu (Water) in pitch, (Yu is the sound of Water, deep and profound.) as Shen (Groaning) in vocalization, (Note: Groaning is the sound of pain.) as Li (Shivering) in variation, (Li refers to shivering/trembling, occurring in extreme cold and great fear.) as the Ears in orifices, as Salty in flavor, as Fear in emotion. (Fear is used to express dread and aversion.)
Fear injures the Kidney, (Unending fear internally affects the Kidney, thus causing injury.) Pensiveness overcomes Fear; (Deep and far-reaching thought allows one to see the source of events.) Cold injures Blood, (Cold causes Blood to coagulate.) Dryness overcomes Cold, (Note: Dryness belongs to Heat transformation. Cold comes from Water. Water originally overcomes Fire, so why does Dryness overcome Cold? However, if Cold is excessive, Qi is not warm and Blood becomes diseased. One must use Pungent-Warm flavors to heat the stagnant Cold, thereby transforming Yin-condensed Qi into Yang-harmonious Qi.) Salty injures Blood, (Eating Salty causes thirst, indicating Blood injury.) Sweet overcomes Salty. (Sweet is Earth flavor, thus overcoming Water/Salty.)
Therefore it is said: Heaven and Earth are the upper and lower positions of all things; (Note: Speaking of covering and bearing.) Yin and Yang are the male and female partners of Blood and Qi; (Note: Speaking of pairing. Separately, Blood is Yin, Qi is Yang; together, Blood cannot move without Yang, and Qi scatters without Yin. Just as men cannot exist without women, and women without men. If one speaks only of distributing Yin and Yang separately, it misses the intent.) Left and Right are the pathways of Yin and Yang; (Note: Yang Shangshan said: "Yin Qi moves Right, Yang Qi moves Left." Speaking of positional division. In the *Tianyuan Ji Lun*, this can be spoken of as Left and Right intermediate Qi.) Water and Fire are the omens/signs of Yin and Yang; (Note: Water is the sign of Yin, Fire is the sign of Yang. Omens precede signs, speaking of manifestation.) Yin and Yang are the capable beginnings of all things. (Note: Things are numbered in thousands, all rooted in Yin and Yang. They are the beginning of all things, the capability of Yin and Yang, hence "Capable Beginning," speaking of continuity. Note: *Tianyuan Ji Da Lun* is similar to this, but lacks the phrase "Yin and Yang are the male and female partners of Blood and Qi," and replaces "Yin and Yang are the capable beginnings of all things" with "Metal and Wood are the end and beginning of generation and completion.")
Therefore it is said: Yin inside is the guardian of Yang; Yang outside is the servant of Yin. (Yin is still, thus guarding Yang; Yang is active, thus serving Yin.) The Emperor asked: How to model oneself after Yin and Yang? Qibo answered: Yang excess leads to body heat, closed pores, rough breathing, difficulty lying flat or sitting up, no sweat but fever, dry teeth, vexation and grievance, abdominal fullness leading to death. It can endure Winter but not Summer. (Yang excess allows enduring Winter; extreme heat prevents enduring Summer.) Yin excess leads to body coldness and sweating, constant chilliness, frequent shivering and cold, cold leading to cold extremities (Jue), Jue leading to abdominal fullness and death. It can endure Summer but not Winter. (Yin excess allows enduring Summer; extreme cold prevents enduring Winter. Note: This generally discusses the major aspects of Yin/Yang excess. Why does abdominal fullness lead to death in both cases? In Yang excess, sweating is indicated. If pores are closed and no sweat occurs, reaching abdominal fullness means Fire is fierce inside, Yang is extreme and hyperactive. In Yin excess, warming is indicated. If the body is cold with cold extremities, reaching abdominal fullness means Yin-Cold congeals and Qi fails to transform. How can it not die? 'Neng' (can/endure) is read as 'Nai' (tolerate). It means encountering a time of mutual assistance, recovery is still possible. 'Chuan cu' (rough breathing) is Qi stagnating internally due to Heat, unable to vent, causing rapid breathing. 'Fu yang' (lying flat/sitting up) is restlessness in sitting or lying. 'Fan yuan' (vexation/grievance) is extreme Heat causing vexation, as if suppressed and crying out. 'Qing' is cool. 'Li' is shivering. 'Jue' is cold extremities with Qi about to fail. The commentary defining Jue as rebellious Qi is wrong.) This is the variation of Yin and Yang alternating in victory, the form and capacity of disease. (Note: Xing Neng, referring to condition/state.)
The Emperor asked: How to regulate these two? (Note: "These two" refers to Yin/Yang excess. Asking how to treat such cases. The question is ordinary; the commentary is too rigid.) Qibo answered: Knowing the Seven Damages and Eight Benefits allows regulation of these two. Not knowing how to use this leads to the stages of premature aging. (Note: Sexual intercourse between man and woman must occur after Tian Gui arrives. Women's Tian Gui begins at age 14 (2x7). If one indulges immediately, true Essence will eventually be exhausted; this is called Seven Damages. Men's Tian Gui begins at age 16 (2x8). If one conserves True Yuan, spirit and vitality naturally become strong; this is called Eight Benefits. If one removes damage and seeks benefit, Yin and Yang will harmonize, avoiding excess. 'Yong' (use) means practice. The commentary interpreting it as sexual activity is wrong. It means not practicing this Way leads to premature death.) At forty, Yin Qi naturally halves, and daily activities decline. At fifty, the body feels heavy, and ears and eyes lose clarity. At sixty, impotence occurs, Qi greatly declines, the nine orifices become obstructed, deficiency below and excess above, with tears and mucus flowing. (Note: A Jiazi cycle is 60 years. Lifespans vary; the strong exceed, the weak fall short. Reaching sixty is considered normal. After forty, aging gradually sets in. In these sixty years, days of strength occupy only half. Moreover, some weaken before forty, which is truly frightening.) Therefore it is said: Knowing this brings strength; not knowing brings old age. Thus, although originating from the same source, their names/appearances differ. (...Note: Humans must know this, but may not fully know it, hence same constitution but different forms.)
Therefore, the Sage engages in non-action, delights in tranquility, and fulfills desires and will within the preservation of emptiness. Thus, lifespan is infinite, ending with Heaven and Earth. This is the Sage's method of cultivating the body. (The Sage does not let useless harm useful, nor harm nature to follow nature. Thus, lifespan is long, ending with Heaven and Earth.)
Heaven is deficient in the Northwest, so the Northwest is Yin, and people's right ear and eye are less clear than the left. Earth is incomplete in the Southeast, so the Southeast is Yang, and people's left hand and foot are weaker than the right. The Emperor asked: Why is this so? Qibo answered: The East is Yang. Yang's essence merges upward. Merging upward makes the upper part bright and the lower part deficient, thus making ears and eyes clear but hands and feet inconvenient. The West is Yin. Yin's essence merges downward. Merging downward makes the lower part abundant and the upper part deficient, thus making ears and eyes unclear but hands and feet convenient. Therefore, if both are affected by evil, in the upper part the right side is worse; in the lower part, the left side is worse. This is where Heaven and Earth's Yin and Yang are not complete, so evil resides there. (...The correspondence of Yin and Yang to Heaven and Earth is like water in a vessel. If the vessel is round, the water is round; if curved, the water is curved. Human Qi and Blood are the same. Wherever there is deficiency, evil Qi stays. Note: Even Heaven and Earth's Yin and Yang are not complete, how can human organs be perfect? Where evil gathers, Qi is definitely deficient. This is natural law. Only those skilled in health preservation prevent trouble before it happens, making it difficult for evil to enter, as described below.)
Only the Virtuous Man matches Heaven above to nourish the head, imitates Earth below to nourish the feet, and follows human affairs in the middle to nourish the Five Zang. (Note: Although evil attacks deficiency, there is no gap for it to enter.)
Heavenly Qi connects with the Lung, (Located high. Note: Heavenly Qi is light and clear, floating upward. The Lung is the canopy of the Zang organs, governs Qi, and distributes it to the Zang. Like Heaven looking down from above, it connects with Heavenly Qi.) Earthly Qi connects with the Pharynx, (Note: Earth is Yin and governs flavors. The Pharynx is the pathway for food and drink. Thus, when Yin-Blood is insufficient, the pharynx becomes stiff and swallowing is difficult. The commentary saying "next down" is confused.) Wind Qi connects with the Liver, (Wind generates Wood.) Thunder Qi connects with the Heart, (Resembling Fire having sound. Note: When Heavenly Heat is stagnant, it erupts as Thunder. The Heart stores Fire, which dissipates as Heat.) Grain Qi connects with the Spleen, (Grain is empty, the Spleen receives it. Note: The commentary is correct, but the Stomach primarily receives, while the Spleen primarily transforms. This must be distinguished. The Spleen and Stomach are connected. If the Spleen cannot transform, the receiver [Stomach] will surely become full and overflow. Thus, the Stomach cannot take on the role of transformation, but the Spleen can indeed take on the name of reception.) Rain Qi connects with the Kidney. (The Kidney governs Water. Note: The above discusses the connections of the Five Zang, assigned separately. Below summarizes the structural similarities of the Six Fu and Nine Orifices by analogy. The commentary mixes them without distinction.)
The Six Meridians are like rivers, (Note: Six Meridians refer to the Six Fu organs. Flowing without stop is called a river. The function of the Six Fu is to transform waste and transport flavors in and out, governing drainage without storage, like rivers flowing without cease. The commentary only says flowing without stop, not knowing whether Six Meridians refer to Zang or Fu.) The Intestines and Stomach are like the sea, (Note: Human food passes from Stomach to Intestines. Whatever enters returns here, just as the sea is vast and contains everything.) The Nine Orifices are the channels where water Qi pours out. (Note: Seven orifices receive, two Yin orifices excrete. Collectively, they are the portals for the circulation of Zang-Fu Jin Ye fluids. The character "Qi" is suspected to be a typo for "Qi/Vessel". However, interpreting it as Qi also works. The Qi of Zang-Fu must reach the exterior through the nine orifices. If Qi does not flow, water cannot exit. Once the Qi of the nine orifices flows, the fluids of Zang-Fu pour out accordingly.)
Using Heaven and Earth to represent Yin and Yang: The Sweat of Yang is named after the Rain of Heaven and Earth; (Human sweat excreted on the skin is the emission of Yang Qi. Taking analogy from between Heaven and Earth, cloud rising and rain falling are similar, hence this naming.) The Qi of Yang is named after the Swift Wind of Heaven and Earth. (Yang Qi disperses, swift winds fly, thus corresponding. The old classics lacked the characters "of two", added here following previous patterns.) Sudden Qi resembles Thunder, (Note: Thunder rises from the earth, breaking through extreme stagnation. In a healthy person, Qi resides in the Dantian. When ill, there may be spasms, dizziness/fainting, or wild shouting/panting, sudden and extraordinary, just as Thunder erupts from the earth.) Rebellious Qi resembles Yang. (...Note: