《脉经》曰∶“上气喘急候何经,手足温暖脉滑生。若得沉涩肢逆冷,必然归死命须倾。”试申论之,人
之所赖以生者,元气、宗气,而其所以生者,则真气也。统一身而言,则为元气。元气充足,呼吸自循常度,
如涉虚怯,阴阳之气乱矣。经曰∶“阴争于内,阳扰于外,魄汗未藏,四逆而起,起则熏肺,使人喘息。”体
犹温暖,脉多虚滑,人参能回元气于无何有之乡(独参汤。经验方∶黄 一两,秦归三钱,姜枣引),喘息自
止。据中焦而言,则为宗气,宗气转运升
降,自无窒碍,如沾痰滞,阳明之气郁矣。经曰∶“邪客于阳阴之络,令人气满,胸中喘息。”体虽温暖,脉
则弦滑,法夏和胃而燥痰(四七汤∶人参、肉桂、法夏、炙草、姜枣引),喘急随除。至于先天一点真元之气,
是为真气,至无而含至有,至虚而统至实。鼓荡于太虚者,雷也;而其所以默运乎鼓荡者,非雷也,真气
也。吹嘘乎万物者,风也;而其所以驱使乎吹嘘者,非风也,真气也。外护于表,内行于里,周流一身者,气
也;而所为主宰以周流者,非气也,真气也。释氏调气以悟空,调此气也;老氏炼气以归真,炼此气也;儒者
养气以为圣为贤,养此气也。释氏谓之真如(钱起赠怀素诗∶“醉里得真如。”刘禹锡诗∶“心会真如不读经
”),老氏谓之绵绵(《道德经》∶“绵绵若存”);儒者谓之浩然。其为气也,天地得之,万古不老;生人
守之,寿算常存。人而以酒为浆,以妄为常,醉以入房,真气散矣。真气散,一身之元气、宗气,以致营气、
卫气、中气、胃气,一齐奔上,为喘为急,肢之所以逆冷,脉之所以沉涩也,而命有不倾焉者乎?彼水肿之喘,
以水肿论;风寒之喘,以风寒论;哮症之喘,以哮症论。热病之喘,以热病论。经中言喘,层见迭出,各有其
本,单言喘者,止有数条。撇开各症方言喘,寻到源头始见医。
The *Mai Jing* (Pulse Classic) states: "Regarding the symptom of upper body asthma and rapid breathing, which meridian does it belong to? If the hands and feet are warm and the pulse is slippery, life is sustained. If the pulse is deep and choppy and the limbs are cold, death is inevitable." Let us elaborate on this. What humans rely on for survival is Yuan Qi (Original Qi) and Zong Qi (Chest Qi), but what truly sustains life is Zhen Qi (True Qi). Speaking of the whole body in unity, it is called Yuan Qi. When Yuan Qi is sufficient, respiration naturally follows its normal rhythm; however, if deficiency and timidity arise, the Yin and Yang Qi become chaotic. The Classics state: "Yin contends within, Yang disturbs without, Pore Sweat fails to be stored, and Four Reversals begin to rise; rising, they smoke the Lungs, causing people to pant." At this stage, the body remains warm, and the pulse is mostly deficient and slippery. Ren Shen (Ginseng Root) can restore Yuan Qi from the realm of nothingness (Du Shen Tang [Single Ginseng Decoction]. Empirical Formula: Ren Shen 1 liang, Dang Gui 3 qian, with Sheng Jiang and Da Zao as guides), and the panting will cease spontaneously. Speaking from the Middle Jiao, it is called Zong Qi. Zong Qi transports and ascends/descends, naturally without obstruction; if it becomes encumbered by phlegm stagnation, the Qi of the Yangming becomes depressed. The Classics state: "Evil lodges in the collaterals of Yangyin, causing Qi fullness and panting in the chest." Although the body is warm, the pulse is wiry and slippery. The method should use Fa Xia (Prepared Pinellia Rhizome) to harmonize the Stomach and dry phlegm (Si Qi Tang [Four Seven Decoction]: Ren Shen, Rou Gui, Fa Xia, Zhi Gan Cao, with Sheng Jiang and Da Zao as guides), and the asthma and urgency will be eliminated immediately. As for the single point of True Primal Qi from the congenital origin, this is Zhen Qi. It is supremely empty yet contains supreme existence, supremely void yet governs supreme reality. What drums and surges in the Great Void is Thunder; but what silently operates the drumming is not Thunder, but Zhen Qi. What blows upon all things is Wind; but what drives the blowing is not Wind, but Zhen Qi. Protecting the exterior, traveling within, circulating through the entire body is Qi; but that which acts as the master to circulate it is not Qi itself, but Zhen Qi. Buddhists regulate Qi to realize emptiness, regulating this Qi; Daoists refine Qi to return to truth, refining this Qi; Confucians cultivate Qi to become sages and worthies, cultivating this Qi. Buddhists call it "Zhen Ru" (True Suchness) (Qian Qi's poem to Huaisu: "In drunkenness, one attains Zhen Ru." Liu Yuxi's poem: "The mind grasps Zhen Ru without reading scriptures"); Daoists call it "Mian Mian" (Continuous/Unbroken) (*Daodejing*: "Continuous as if it exists"); Confucians call it "Hao Ran" (Noble Spirit). This Qi, Heaven and Earth obtain it and remain ageless for ten thousand ages; humans guard it and their lifespan often endures. If humans treat wine as water, treat recklessness as routine, and engage in sexual intercourse while drunk, Zhen Qi scatters. Once Zhen Qi scatters, the Yuan Qi, Zong Qi, Ying Qi (Nutritive Qi), Wei Qi (Defensive Qi), Zhong Qi (Middle Qi), and Wei Qi (Stomach Qi) of the entire body rush upward together, causing asthma and urgency. This is why the limbs become cold and the pulse becomes deep and choppy. Can life possibly not collapse? Those asthmatic cases caused by edema should be discussed according to edema; those caused by wind-cold should be discussed according to wind-cold; those caused by asthma syndrome should be discussed according to asthma syndrome; those caused by heat diseases should be discussed according to heat diseases. The Classics mention asthma in layers and repetitions, each having its own root cause. There are only a few passages that speak solely of asthma. To discuss asthma alone while setting aside various syndromes, one must trace back to the source to see true medicine.