夫人禀天地阴阳而生者,盖天有六气,人以三阴三阳而上奉之;地有五行,人以五脏五
腑而下应之。于是资生皮肉筋骨、精髓血脉、四肢九窍、毛发齿牙唇舌,总而成体,外则气
血循环,流注经络,喜伤六淫;内则精神魂魄志意思,喜伤七情。六淫者,寒暑燥湿风热是
;七情者,喜怒忧思悲恐惊是。若将护得宜,怡然安泰,役冒非理,百 生焉。病诊既成,
须寻所自,故前哲示教,谓之病源。《经》不云乎,治之极于二者因得之,闭户塞牖,系之
病者,数问其经,以从其意。是欲知致病之本也。然六淫,天之常气,冒之则先自经络流入
,内合于脏腑,为外所因;七情,人之常性,动之则先自脏腑郁发,外形于肢体,为内所因
;其如饮食饥饱,叫呼伤气,尽神度量,疲极筋力,阴阳违逆,乃至虎野狼毒虫,金疮
折,疰忤附着,畏压溺等,有背常理,为不内外因。《金匮》有言∶千般 难,不越三条,
以此详之,病源都尽。如欲救疗,就中寻其类例,别其三因,或内外兼并,淫情交错;推其
深浅,断其所因为病源,然后配合诸证,随因施治,药石针艾,无施不可。
夫六淫者,寒暑燥湿风热是也。以暑热一气,燥湿同源,故《上经》收而为四,即冬伤
寒,春温病;春伤风,夏飧泄;夏伤暑,秋 疟;秋伤湿,冬咳嗽。此乃因四时而序者,若
其触冒,则四气皆能交结以病患。且如温病,憎寒发热,不特拘伤寒也,冒风暑湿,皆有是
证。但风散气,故有汗;暑消气,故倦怠;湿溢血,故重着。虽折伤诸证不同,经络传变咸
尔,不可不知。飧泄亦然。《经》曰∶寒甚为肠癖。又热湿久客肠胃,滑而下利,亦不止于
伤风; 疟诸证,亦以寒暑风湿互络而为病因,初不偏胜于暑也。咳论以微寒为咳,热在上
焦咳为肺痿,厉风所吹,声嘶发咳,岂独拘于湿也。由是观之,则知四气本乎六化,六化本
乎一气,以运变而分阴阳,反则为六淫。故《经》曰∶阴为之主,阳与之正。逆之则为病,
乃乱生化之常矣,常则天地四塞矣。治之必求其本,当随交络互织而推之。所谓风寒、风
温、风湿、寒湿、湿温,五者为并;风湿寒、风湿温,二者为合;乘前四单,共十一变,倘
有所伤,当如是而推之。又兼三阳经络亦有并合,能所简辨,甄别脉证,毫厘不滥,乃可论
治。非通明淫化邪正之精微,其孰能与于此。
Human beings are born by inheriting the Yin and Yang of Heaven and Earth. Heaven possesses Six Qi (Wind, Cold, Summer Heat, Dampness, Dryness, Fire), to which humans correspond through the Three Yin and Three Yang meridians; Earth possesses Five Elements (Wood, Fire, Earth, Metal, Water), to which humans correspond internally through the Zang-Fu organs. Thus, the body is formed comprising skin, flesh, sinews, bones, marrow, essence, blood, vessels, four limbs, nine orifices, hair, teeth, lips, and tongue. Externally, Qi and Blood circulate and flow into the meridians, making them susceptible to injury by the Six Excesses (Liuyin, pathogenic factors of Wind, Cold, Summer Heat, Dampness, Dryness, and Fire); internally, the Spirit, Soul, Ethereal Soul, Corporeal Soul, Will, and Intent are susceptible to injury by the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright). The Six Excesses refer to Cold, Summer Heat, Dryness, Dampness, Wind, and Heat; the Seven Emotions refer to Joy, Anger, Worry, Pensiveness, Sorrow, Fear, and Fright. If one protects oneself appropriately, one remains peaceful and tranquil; if one acts against reason, myriad diseases arise. Once a disease pattern is diagnosed, one must trace its origin; thus, ancient sages taught that this is called the "Source of Disease." Does not the *Classic* say: "The ultimate treatment lies in identifying the two causes"; close the doors and windows, focus on the patient, ask repeatedly about their condition to follow their intent. This is intended to know the root cause of illness. However, the Six Excesses are the normal atmospheric changes of Heaven; violating them allows pathogens to first enter via the meridians and then combine internally with the Zang-Fu organs, constituting the External Cause; the Seven Emotions are the normal nature of humans; stirring them causes internal stagnation within the Zang-Fu organs first, manifesting externally on the limbs, constituting the Internal Cause; as for dietary irregularities (hunger and fullness), shouting damaging Qi, exhausting mental capacity, extreme physical fatigue, reversal of Yin and Yang, as well as injuries from tigers, wolves, poisonous insects, metal wounds, fractures, Zhuyu (a type of infectious or spiritual affliction), attachment of evil spirits, fear, compression, drowning, etc., which go against common sense, constitute the Neither-Internal-Nor-External Cause. The *Jin Gui Yao Lue* states: "A thousand kinds of difficulties do not exceed three categories." Analyzing this thoroughly, the sources of all diseases are exhausted. To seek cure, one must categorize them, distinguish the three causes, whether they involve both internal and external factors or an intermingling of excesses and emotions; deduce the depth of the pathology, determine the cause as the source of disease, then match various symptoms and treat according to the cause. Medicines, Bian stones, acupuncture, and moxibustion can all be applied without exception.
The so-called Six Excesses are Cold, Summer Heat, Dryness, Dampness, Wind, and Heat. Since Summer Heat and Heat belong to one Qi, and Dryness and Dampness share the same source, the *Shang Jing* consolidates them into four. These are: Winter injury by Cold leads to Spring Warmth disease; Spring injury by Wind leads to Summer Sundown diarrhea (inspissated stool/diarrhea with undigested food); Summer injury by Summer Heat leads to Autumn Malaria; Autumn injury by Dampness leads to Winter Cough. This follows the sequence of the four seasons. If violated, these four Qi can intertwine to cause illness. For instance, Warmth disease involves aversion to cold and fever; it is not restricted solely to Cold damage. Exposure to Wind, Summer Heat, or Dampness also presents such symptoms. However, Wind disperses Qi, hence sweating occurs; Summer Heat consumes Qi, hence fatigue ensues; Dampness overflows into the blood vessels, hence heaviness and stiffness occur. Although various trauma syndromes differ, their meridian transmission is identical, which must be known. Sundown diarrhea is similar. The *Classic* says: "Severe Cold leads to intestinal dysentery." Furthermore, prolonged Heat and Dampness lodging in the intestines and stomach causes slippery downward discharge, which is not limited to Wind injury; Malaria syndromes are also caused by the mutual entanglement of Cold, Summer Heat, Wind, and Dampness, initially not biased towards Summer Heat alone. The Treatise on Cough states that slight Cold causes cough; Heat in the Upper Jiao causing cough results in Lung萎 (Lung Atrophy); blowing of severe Wind causes hoarseness and cough. Is this solely restricted to Dampness? From this, we know that the Four Qi originate from the Six Transformations, and the Six Transformations originate from One Qi. Through movement and transformation, they divide into Yin and Yang; reversing this process creates the Six Excesses. Thus, the *Classic* says: "Yin serves as the master, Yang provides the rectitude." Violating them causes disease, disrupting the normal generation and transformation. When normalcy is lost, the four directions of Heaven and Earth become blocked. Treatment must seek the root, deducing based on the interwoven meridians. The so-called Wind-Cold, Wind-Warmth, Wind-Dampness, Cold-Dampness, and Damp-Warmth are five combined patterns; Wind-Damp-Cold and Wind-Damp-Warmth are two combined patterns; adding the previous four single patterns makes eleven variations. If injured, one should deduce accordingly. Additionally, the Three Yang meridians also have combinations. By distinguishing the affected and affecting factors, carefully differentiating pulse and symptoms without error, one can discuss treatment. Without thorough understanding of the subtleties of Excess transformations, pathogenic and righteous Qi, who could participate in this discussion?