《中风论》一书,安义熊叔陵先生着,闻向无刊本也。戊寅夏间,余从里中世医郭君秋
泉借阅其家藏抄本,喜是书明于内景,不独为中风立论,即中风一症,灼有见地,全卷无一
模棱语,因手录之。嗣询此书所由来,秋泉云∶嘉庆季年,吾闽陈修园先生治疗出,一时名
医右熊君耳其名,不远千里来证所学,修园下榻钦其绪论,即知熊有撰述,奈深自谦,秘不
肯示人。一日熊外出,修园门下士私发其簏,得此书传钞之,欲再检他本,诘朝熊束装归矣
。余
论》相表里,欲合刻而公诸世,未逮也。今夏,家端植兄拟刊医书,余以此论告,即欣然出资付梓
,并自任校雠之役,一字之疑,必来参酌。剞劂竣事,属叙缘起,余思熊氏书出,当有目
共赏,固无待余之表彰,而端植隐于市廛,能不《医案一隅录》两种,肆中遍访无此书,端
植能──搜罗,襄刻《熊氏全集》,尤余之浓望也夫。
时光绪甲申八月子庄林庆祺谨序
肝藏魂,属足厥阴经,有正络入肝络胆,主春木风令,旺于春,以胆为腑,属足少阳经
,有正络入胆络肝,七情主怒,声主呼,液为泪,五官目(凡脏腑之相表里者,因诸经相属
相络也。后世用五行干支相配,亦属凿空腐谈)。
心藏神,属手少阴经,有正络入心络小肠,主夏君火热令,旺于夏,以小肠为腑,属手
太阳经,有正络入小肠络心,心君无为,五官舌。
心主无形,代心君行事,属手厥阴经,有正络历膻中,遍历三焦,主长夏相火暑令,旺
于夏,以三焦为腑,亦无形,属手少阳经,有正络历三焦络膻中,七情主喜,声主笑,液为
汗。
脾藏意,属足太阴经,有正络入脾络胃,主四季湿土令,寄旺于四季,以胃为腑,属足
阳明经,有正络入胃络脾,七情主忧思,声主歌,液为涎,五官口。
肺藏魄,属手太阴经,有正络入肺络大肠,主秋金燥令,旺于秋,以大肠为腑,属手阳
明经,有正络入大肠络肺,七情主悲,声主哭,液为涕,五官鼻。
肾藏精与智,左藏智,右藏精,属足少阴经,有正络入肾络膀胱,主冬水寒令,旺于
冬,
五脏以心为君、为主,心君无为,寂然不动,其脏坚固,邪不能侵,侵之则神去而死。
凡心之用,皆手厥阴心主代为用事也。
心主即膻中宗气也,但有气而无形,专代心君用事,故名之相火,譬如宰相代人君施政
也。后世错认右肾为相火,考之《灵》、《素》、《难经》及仲景书,皆无此说。此因叔和脉法
将三焦配入右尺,三焦本属相火,故遂错认右肾为相火耳。心主是本名,因心主无形可指,
故《素问》借任脉之膻中穴名之曰膻中,是从其外而名之也。《灵枢》借护心之脂膜名之曰
心包络,是从其内而名之也。二者皆是借名,非本名也。唯心主二字,乃是本名,因其代心
君行事,为性情之主,故曰心主。
三焦亦有气而无形,即卫气之间行于腑者也。扁鹊名为原气,乃肠胃中行津化液之气也
。盖心主是宗气,《内经》所谓大气积于胸中,命曰气海者是也。凡肝之怒、肺之悲、肾之智、
脾之思,皆秉此气为用。三焦是卫气,《内经》所谓卫出下焦,间行于六腑者是也。凡上焦
之饮食主纳、中焦之主腐化、下焦之二便主出,皆秉此气为用,此二者皆有气而无形。马
元台谓三焦有形如脂者,妄也。
肾有两枚,其左者为肾,右者为命门。男子以右肾藏精,女子以右肾系胞。此言出于《
难经》,不见于《内经》,然《内经》谓冲脉为血海,循腹右系于肾。又谓男子二八太冲脉盛,
精始至,女子二七太冲脉盛,月事以时下。又谓男子无月事,冲脉不泄,则上荣而生髭须;
女子有月事,冲脉下泄,则髭须不生。宦者损其冲脉,则须亦不生。观《难经》男以藏精,
女以系胞之语,则右肾为命门者,即《内经》之冲脉循腹右下行系于右肾,谓男女之天癸所
以传生者也,犹曰此生生受命之门耳。则命门乃水也,非火也。后世沿叔和之谬,谓左肾为
水,右肾为相火,已属大谬,李时珍反用此法诋毁《难经》,可知后世医家于内景脏象全然
不识,而犹妄意著作其书,尚可信乎?
或问∶子以命门为天癸,然则肾中无火矣,无火则肾
中真阳又是何物也?曰∶肾中真阳即是卫气之根,《内经》谓卫出下焦,《难经》谓肾间动气
,又谓生气之原者是也。此两肾皆有之,且膀胱亦有之,奈何专属之右肾耶?
《内经》曰∶初生之来谓之精(男女媾精,万物化生。即右肾藏精也)。两精相抟谓之神
(阴阳合而神明生,即心藏神也)。随神往来谓之魂(神明动而知识生,即肝藏魂也)。并精出
入谓之魄(精血充而运动生,即肺藏魄也)。心有所忆谓之意(脾主思,故藏意)。虑善而动谓
之智(肾为技巧之官,故藏智)。此五脏之所藏,谓之五神,所谓性也。
凡五脏皆不可病,而心脏为最。然《内经》、《难经》论病,多以五脏为言者,乃指五
脏所主之病,非谓五脏为受病之地也。譬如怒为肝之所主,其受病之地乃在卫气、宗气之上僭,
《内经》所谓气有余善怒也。又如恐为肾之所主,其受病之地乃在卫气、宗气之下陷,《内
经》所谓气不足善恐也。俗书不知从受病之气分施治,而辄从五脏用药,则误矣。
五脏为藏神最密之所,而名为阴者,以其为阴经所属也。六腑为传受渣滓之所,而名为
阳者,以其为阳经所属也。唯胆为清净之地,不受秽浊,而亦名腑者,亦以其为阳经所属也。《
内经》谓脏腑皆取决于胆,故胆为决断之官。
The book *Zhongfeng Lun* (Treatise on Wind Stroke) was written by Mr. Xiong Shuling of Anyi. It is heard that there has never been a printed edition. In the summer of the Wuyin year, I borrowed a handwritten manuscript from his family collection from my fellow townsman and hereditary physician, Mr. Guo Qiuquan. Delighted that this book clearly elucidates Neijing (internal physiology and pathology), not only establishing theories for wind stroke but also offering unique insights into the syndrome itself, with no ambiguous statements throughout the volume, I copied it by hand. Subsequently, I inquired about the origin of this book. Qiuquan said: "In the late years of the Jiaqing reign, our Fujian scholar Chen Xiuyuan, renowned for his medical skills, was highly regarded by contemporary famous physicians who traveled thousands of miles to verify their learning with him. When staying at his residence, Chen admired Xiong's introductory remarks and knew that Xiong had written works. However, Xiong was deeply humble and kept them secret, refusing to show them to anyone. One day, while Xiong was out, a disciple of Chen privately opened his chest and obtained this book, copying it. He wanted to check other versions, but the next morning Xiong returned with his luggage." I once intended to combine this treatise with *Yi An Yi Yu Lu* (Records of Medical Cases from a Corner) and publish them together for the world, but failed to do so. This summer, my elder brother Duanzhi planned to print medical books. I informed him of this treatise, and he gladly provided funds for printing and took charge of proofreading himself, consulting me on every doubtful character. After the carving was completed, he asked me to write a preface explaining the origin. I thought that when the Xiong family's book is published, it will be appreciated by all eyes; it certainly does not need my commendation. However, Duanzhi lives hidden in the marketplace. Is it not possible for him to collect and assist in printing the *Complete Works of the Xiong Family*, which would be my deep hope?
Written respectfully by Lin Qingqi, Zizhuang, in the eighth month of Jiashen year of the Guangxu era.
The Liver stores Hun (Ethereal Soul). It belongs to the Foot-Jueyin Meridian. Its regular collaterals enter the Liver and connect with the Gallbladder. It governs the Wind command of Wood in Spring and is prosperous in Spring. The Gallbladder is its Fu organ, belonging to the Foot-Shaoyang Meridian, whose regular collaterals enter the Gallbladder and connect with the Liver. Among the Seven Emotions, it governs Anger; among sounds, it governs Shouting; among fluids, it produces Tears; and among the five sense organs, it corresponds to the Eyes. (Generally, the exterior-interior relationship between Zang and Fu organs exists because the meridians are mutually affiliated and connected. Later generations' use of Five Elements and Heavenly Stems and Earthly Branches for matching belongs to forced and empty talk.)
The Heart stores Shen (Spirit). It belongs to the Hand-Shaoyin Meridian. Its regular collaterals enter the Heart and connect with the Small Intestine. It governs the Jun Fire-Heat command of Summer and is prosperous in Summer. The Small Intestine is its Fu organ, belonging to the Hand-Taiyang Meridian, whose regular collaterals enter the Small Intestine and connect with the Heart. The Heart Monarch acts without action (Wuwei). Among the five sense organs, it corresponds to the Tongue.
The Xin Zhu (Heart Master/Pericardium) is formless and acts on behalf of the Heart Monarch. It belongs to the Hand-Jueyin Meridian. Its regular collaterals pass through Danzhong (CV17) and traverse the Sanjiao (Triple Burner). It governs the Xiang Fire-Heat-Dampness command of Late Summer and is prosperous in Summer. The Sanjiao is its Fu organ, which is also formless, belonging to the Hand-Shaoyang Meridian. Its regular collaterals traverse the Sanjiao and connect with Danzhong. Among the Seven Emotions, it governs Joy; among sounds, it governs Laughter; and among fluids, it produces Sweat.
The Spleen stores Yi (Intellect/Thought). It belongs to the Foot-Taiyin Meridian. Its regular collaterals enter the Spleen and connect with the Stomach. It governs the Dampness command of Earth across the Four Seasons and is prosperously attached to the Four Seasons. The Stomach is its Fu organ, belonging to the Foot-Yangming Meridian, whose regular collaterals enter the Stomach and connect with the Spleen. Among the Seven Emotions, it governs Worry and Overthinking; among sounds, it governs Singing; among fluids, it produces Saliva (Xian); and among the five sense organs, it corresponds to the Mouth.
The Lung stores Po (Corporeal Soul). It belongs to the Hand-Taiyin Meridian. Its regular collaterals enter the Lung and connect with the Large Intestine. It governs the Dryness command of Metal in Autumn and is prosperous in Autumn. The Large Intestine is its Fu organ, belonging to the Hand-Yangming Meridian, whose regular collaterals enter the Large Intestine and connect with the Lung. Among the Seven Emotions, it governs Sorrow; among sounds, it governs Crying; among fluids, it produces Nasal Mucus (Ti); and among the five sense organs, it corresponds to the Nose.
The Kidney stores Jing (Essence) and Zhi (Willpower/Intelligence). The left stores Zhi, and the right stores Jing. It belongs to the Foot-Shaoyin Meridian. Its regular collaterals enter the Kidney and connect with the Bladder. It governs the Cold command of Water in Winter and is prosperous in Winter.
Among the Five Zang organs, the Heart is the Monarch and Lord. The Heart Monarch acts without action, remaining still and silent. Its organ is solid and firm, so pathogenic factors cannot invade it. If they invade, the Shen departs, leading to death. All functions of the Heart are performed by the Hand-Jueyin Xin Zhu (Heart Master) on its behalf.
The Xin Zhu is the Zong Qi (Gathering Qi) at Danzhong. It possesses Qi but lacks form, exclusively acting on behalf of the Heart Monarch, hence named Xiang Huo (Ministerial Fire), similar to how a Prime Minister administers state affairs on behalf of the Emperor. Later generations mistakenly identified the Right Kidney as Xiang Huo. Examining the *Ling Shu*, *Su Wen*, *Nan Jing*, and the works of Zhang Zhongjing, none contain this theory. This error arose because Wang Shuhe's pulse methodology associated the Sanjiao with the Right Chi position. Since the Sanjiao originally belongs to Xiang Huo, people mistakenly identified the Right Kidney as Xiang Huo. "Xin Zhu" is the original name. Because the Xin Zhu is formless, the *Su Wen* borrowed the name of the Ren Mai acupoint Danzhong to call it Danzhong, naming it from the outside. The *Ling Shu* borrowed the name of the fatty membrane protecting the heart, calling it Xin Bao Luo (Pericardium Collateral), naming it from the inside. Both are borrowed names, not original names. Only the term "Xin Zhu" is the original name, because it acts on behalf of the Heart Monarch and is the master of temperament, thus called Xin Zhu.
The Sanjiao also possesses Qi but lacks form; it is the Wei Qi (Defensive Qi) circulating among the Fu organs. Bian Que called it Yuan Qi (Source Qi), which is the Qi transforming and transporting fluids within the intestines and stomach. Essentially, Xin Zhu is Zong Qi, what the *Nei Jing* refers to as the Great Qi accumulating in the chest, named Qi Hai (Sea of Qi). The Anger of the Liver, Sorrow of the Lung, Intelligence of the Kidney, and Thought of the Spleen all rely on this Qi for function. The Sanjiao is Wei Qi, what the *Nei Jing* states originates from the Lower Jiao and circulates intermittently among the Six Fu organs. The intake of food and drink by the Upper Jiao, the rotting and ripening by the Middle Jiao, and the excretion of urine and feces by the Lower Jiao all rely on this Qi for function. Both have Qi but no form. Ma Yuantai's claim that the Sanjiao has a form like fat is wrong.
There are two Kidneys. The left one is the Kidney, and the right one is the Mingmen (Gate of Life). For men, the right Kidney stores Essence; for women, the right Kidney connects to the Uterus. This statement comes from the *Nan Jing* and is not found in the *Nei Jing*. However, the *Nei Jing* states that the Chong Mai (Penetrating Vessel) is the Sea of Blood, circling the abdomen on the right and connecting to the Kidney. It also states that at age sixteen, men's Tai Chong Mai becomes vigorous, and essence arrives; at age fourteen, women's Tai Chong Mai becomes vigorous, and menstruation begins regularly. It further states that men do not menstruate; if the Chong Mai does not leak, it nourishes upward to grow facial hair; women menstruate, and the Chong Mai leaks downward, so facial hair does not grow. Eunuchs damage the Chong Mai, and facial hair does not grow. Observing the words in the *Nan Jing* that men store essence in the right Kidney and women connect the uterus to the right Kidney, the concept that the right Kidney is the Mingmen corresponds to the *Nei Jing*'s description of the Chong Mai circling the abdomen on the right, descending to connect to the right Kidney. This refers to the place where Tian Gui (Heavenly Water/Sexual Essence) is transmitted for reproduction, essentially the Gate of Life and Destiny. Thus, Mingmen is Water, not Fire. Later generations followed Shuhe's error, stating the Left Kidney is Water and the Right Kidney is Xiang Huo, which is a major mistake. Li Shizhen used this method to criticize the *Nan Jing*, showing that later physicians were completely ignorant of internal physiology and organ manifestations, yet still presumptuously wrote books. Can such books be trusted?
Someone asked: "You consider Mingmen to be Tian Gui. Does this mean there is no Fire in the Kidney? If there is no Fire, what is the True Yang in the Kidney?" I replied: "The True Yang in the Kidney is the root of Wei Qi. The *Nei Jing* states Wei Qi originates from the Lower Jiao. The *Nan Jing* speaks of the Moving Qi between the Kidneys and the Source of Generating Qi. This exists in both Kidneys and even in the Bladder. How can it be exclusively attributed to the Right Kidney?"
The *Nei Jing* says: "At birth, it is called Jing (Essence) (Male and female unite in essence, and all things transform and generate. This refers to the right Kidney storing Essence). The interaction of two Essences is called Shen (Spirit) (Yin and Yang combine, and Spirit and Brightness arise. This refers to the Heart storing Shen). Following Shen back and forth is called Hun (Ethereal Soul) (When Spirit moves, knowledge arises. This refers to the Liver storing Hun). Entering and exiting with Essence is called Po (Corporeal Soul) (When Essence and Blood are full, movement arises. This refers to the Lung storing Po). Memory in the heart is called Yi (Intellect) (The Spleen governs thought, thus it stores Yi). Wise deliberation and action is called Zhi (Willpower/Intelligence) (The Kidney is the official of skill and technique, thus it stores Zhi). These are what the Five Zang organs store, called the Five Spirits, which is what is meant by Nature (Xing)."
Generally, the Five Zang organs rarely fall ill, with the Heart being the most critical. However, when the *Nei Jing* and *Nan Jing* discuss diseases using the Five Zang organs, they refer to diseases governed by the Five Zang organs, not implying that the Zang organs themselves are the sites of disease. For example, Anger is governed by the Liver, but the site of disease is actually the rebellion of Wei Qi and Zong Qi. As the *Nei Jing* states, "Excess Qi leads to anger." Similarly, Fear is governed by the Kidney, but the site of disease is actually the sinking of Wei Qi and Zong Qi. As the *Nei Jing* states, "Deficient Qi leads to fear." Popular texts fail to know how to treat based on the affected Qi and instead prescribe medication directly targeting the Zang organs, which is erroneous.
The Five Zang organs are the places where Shen is stored most densely, and they are named Yin because they belong to Yin meridians. The Six Fu organs are places for transmitting and receiving residues, and they are named Yang because they belong to Yang meridians. The Gallbladder alone is a pure and clean place that does not accept turbidity, yet it is also named a Fu organ because it belongs to a Yang meridian. The *Nei Jing* states that all Zang and Fu organs depend on the Gallbladder, therefore the Gallbladder is the Official of Decision.