心藏身之〔精〕(君)。小肠为〔弟兄〕(受盛)。
心者。君主之官。一身之主宰也。经曰。主明则下安。曰身之精。不见心为尊矣。精有两义。有与生俱来之
精。经曰。两神相搏。合而成形。常先身生。是谓精。非心之专主也。有五脏六腑之精。经曰。
肾受而藏之。肾为精之处。非心之所主也。心脏。小肠腑。大言阴与阳。小言夫与妇。不可以兄弟言。小
肠为受盛之官。(盛平声)
象离随夏旺。属火向南〔生〕(明)。
任物无纤巨。多谋最有灵。内行于血海。
冲脉为十二经之海。灵枢曰。血海者冲脉也。又手太阳少阴二经为表里。心主血。上为乳汁。
下为月水。经曰。二阳之病发心脾。女子不月。心歌云。内行血海。以此。李 范以肝为血海。而牵合之。
非也。
外应舌将荣。七孔多聪慧。三毛上智英。反时忧不解。顺候脉洪〔惊〕(平)。
洪脉见于夏。为顺候。平脉。何惊之有。
液汗通皮润。声言爽气清。伏梁秋得积。如臂在脐萦。
心之积。名伏梁。出难经。若内经腹中论所载。伏梁。乃风根也。非心积也。
顺视鸡冠色。凶看瘀血凝。诊时须审委。细察要叮咛。实梦忧惊怪。虚翻烟火明。
灵枢曰。正邪从外袭内。而未有定舍。与营卫俱行。而与魂魄飞扬。使人卧不安而喜梦云云。
秤之十二两。小大与常平。
心脏贮藏身体的【精】(君主之官)。小肠作为其【弟兄】(受盛之官,指接受和容纳胃中初步消化的食物)。
心脏,是君主之官,是一身的主宰。医经说:“主明则下安”(君主清明,则下属安定)。提到“身之精”,并没有体现心脏的尊贵地位。“精”有两层含义:一是与生俱来的【精】,医经说:“两神相搏,合而成形,常先身生,是谓精。”这不是心脏专门主管的;二是五脏六腑之【精】,医经说:“肾受而藏之”,肾脏是储藏【精】的地方,也不是心脏所主管的。心脏与小肠互为表里,如同大言中的阴与阳,小言中的夫与妇,不能称为兄弟关系。小肠是受盛之官。(“盛”读平声)
心脏象卦为离卦,随夏季旺盛,属火,向南【生】(光明)。
处理事物无论大小,多谋略且最有灵性。内部运行于【血海】(冲脉为十二经之海,《灵枢》说:血海就是冲脉。又手太阳小肠经与手少阴心经互为表里,心主血,上化为乳汁,下化为月经。医经说:“二阳之病发心脾,女子不月”。心歌中说:“内行血海”,即是此意。李范将肝脏称为血海,并强行牵合解释,这是不对的。)
外部对应舌头,主宰荣华,七窍通利则多聪慧,耳后三毛显露则智力超群。若违背时令则忧愁不解,顺应时令则脉象洪大而无惊恐(洪脉见于夏季,为顺候,平脉何来惊恐?)。
津液通过汗孔排出,使皮肤润泽;声音清亮,气息清爽。若在秋季出现积证,名为伏梁,如手臂般环绕在脐部。
心脏的积证,名为伏梁,出自《难经》。若《内经·腹中论》所载的伏梁,乃是风根,并非心脏的积证。
顺证时看鸡冠色(红润),凶证看瘀血凝结。诊察时必须审慎,仔细检查要叮嘱清楚。实证多梦忧惊怪异,虚证反见烟火明亮之幻象。
《灵枢》说:“正邪从外袭内,而未有定舍,与营卫俱行,而与魂魄飞扬,使人卧不安而喜梦云云。”
称量心脏重十二两,大小与常人持平。
(Heart, Liver, Spleen, Lung, Kidney)
The Heart stores the [Jing] (Essence) of the body (ruler). The Small Intestine acts as its [brother] (Official of Reception and Containment).
The Heart is the Official of the Ruler, the master of the entire body. The Classics state: "If the Ruler is clear, the subordinates are at peace." Mentioning the "Jing of the body" does not reflect the supremacy of the Heart. "Jing" has two meanings: one is the innate [Jing], which the Classics describe as: "When two spirits interact, they combine to form a shape, often existing before the body; this is called Jing." This is not exclusively governed by the Heart. The other is the Jing of the five zang and six fu organs. The Classics state: "The Kidney receives and stores it." The Kidney is the residence of Jing, not what the Heart governs. The Heart and Small Intestine are exterior-interior pairs, analogous to Yin and Yang in broad terms, or husband and wife in narrow terms, and cannot be referred to as brothers. The Small Intestine is the Official of Reception and Containment. ("Sheng" is pronounced with the level tone.)
The Heart corresponds to the Li trigram, prospers in summer, belongs to Fire, and generates brightness towards the South.
It handles matters regardless of size, is most resourceful, and possesses great spiritual intelligence. Internally, it circulates within the [Sea of Blood] (The Chong Mai is the Sea of the Twelve Meridians. *Ling Shu* states: "The Sea of Blood is the Chong Mai." Furthermore, the Hand-Taiyang Small Intestine Meridian and the Hand-Shaoyin Heart Meridian are exterior-interior pairs. The Heart governs blood; upwards it transforms into breast milk, downwards into menstrual water. The Classics state: "Diseases of the Two Yangs originate in the Heart and Spleen, leading to amenorrhea in women." The Heart Song says: "Internally circulating in the Sea of Blood," referring to this. Li Fan incorrectly identified the Liver as the Sea of Blood and forced a connection.)
Externally, it manifests in the tongue, governing prosperity. If the seven orifices are open, there is wisdom; if the three hairs behind the ears are visible, there is superior intelligence. If contrary to the season, sorrow remains unresolved; if compliant with the season, the pulse is洪 (Hong/Full) without alarm (A Hong pulse appearing in summer is a compliant sign, a normal pulse, so why alarm?).
Body fluids exit through sweat pores, moistening the skin; voice is clear, breath is fresh. If an accumulation occurs in autumn, it is named Fuliang (Fuliang Accumulation), resembling an arm winding around the navel.
The accumulation of the Heart is named Fuliang, originating from *Nan Jing*. However, the Fuliang described in *Nei Jing · Fuzhong Lun* refers to Wind Root, not a Heart accumulation.
In compliant conditions, observe the color of a rooster's comb (ruddy); in ominous conditions, look for congealed blood. During diagnosis, one must be prudent and carefully inspect. Excess patterns manifest as dreams of worry, fear, and strangeness; deficiency patterns manifest as illusions of fire and light.
*Ling Shu* states: "Correct pathogens invade internally from outside without a fixed abode, traveling together with Ying and Wei Qi, and flying with Hun and Po, causing restless sleep and frequent dreaming, etc."
Weighing twelve liang, its size is average and consistent with normal standards.