甘草反诸药类∶大戟 芫花 甘遂 海藻
乌头反诸药类∶半夏 栝蒌 贝母 白蔹 白芨
藜芦反诸药类∶人参 玄参 丹参 沙参 苦参 细辛 芍药
八、或问、七节之傍、中有小心或指下第七节命门穴为小心者有以小心为志心者、有以小心为少火、以少火为相火者、
何纷纷之不一耶、请为悉之
生生子曰∶此出《内经·刺禁论》,启玄子注曰∶“小心者,真心神灵之宫室也。”又注《阴阳类论
篇》。有曰新校正云∶按《太素》小心作志心,杨上善以志心为肾神,故乃倒数脊骨下七节认为小心,顾命
门穴乃十四椎间,即以下逆数之,亦在第八节矣,非第七节也。又不思《经》曰∶“伏鼓不浮,上空志心”
(此阴脉盛而阳气弱,故上控于心,如奔豚积气瘕疝之类是也)。启玄子注曰∶“脉伏鼓击,而不上浮,是
心气不足,故上控引于心而为病也。”此注良是。设为肾而言,则当无“上空”二字
矣。此杨上善之误,故后人即以命门为小心,认小心为少火,认少火为相火,颠倒无限,皆由此一
误也。或曰∶然则小心果为何物?余曰∶滑伯仁经度篇心经注下有云∶心系有二∶其一上与肺相连
,入肺两大叶间;其一由肺系而下,曲折向后,并脊膂细络相连,贯脊髓,正当七节之间,下与肾
相通。盖五脏系皆通于心,心通五脏系也。又按五内图,心系果如所云。据此观之,小心即心包络
也。何一阳亦谓手厥阴心包络发原正在心五椎下二节,七节之傍,正与膻中平对,井不可紊。设如
彼逆数之,则心当在十五椎,肺在十九椎下,自《素问》以来,未尝闻此倒数法也。《灵枢经》曰∶
“膻中者,心主之宫城也。”此与启玄子注真心神灵之宫室相孚,以心系并脊膂贯脊髓,正当七节之
间也。彼倒数下七节,始于杨上善,继而何一阳《医学统宗》已辩其非,余不复赘。
Gancao (Licorice Root) is incompatible with the following herbs: Daji (Euphorbiae Pekinensis Radix), Yuanhua (Genkwa Flos), Gansui (Kansui Radix), Haizao (Sargassum).
Wutou (Aconiti Lateralis Radix Praeparata) is incompatible with the following herbs: Banxia (Pinelliae Rhizoma), Gualou (Trichosanthis Fructus), Beimu (Fritillariae Cirrhosae Bulbus), Bailian (Pleurospermii Radix), Baiji (Bletillae Rhizoma).
Lilu (Veratri Radix) is incompatible with the following herbs: Renshen (Ginseng Radix et Rhizoma), Xuanshen (Scrophulariae Radix), Danshen (Salviae Miltiorrhizae Radix), Shashen (Glehniae Radix), Kushen (Sophorae Flavescentis Radix), Xixin (Asari Radix et Rhizoma), Shaoyao (Paeoniae Radix).
8. A question was asked: "Beside the seventh vertebra, there is the 'Xiaoxin' (Lesser Mind)." Some point to the Mingmen (Gate of Life) acupoint at the lower seventh vertebra as the "Xiaoxin"; some interpret "Xiaoxin" as "Zhixin" (Will Mind); some interpret "Xiaoxin" as "Shaohuo" (Ministerial Fire), and further interpret "Shaohuo" as "Xianghuo" (Ministerial Fire). Why are these interpretations so disparate? Please explain in detail.
Shengshengzi said: This statement originates from the *Stinging Forbidden Points* chapter of the *Neijing* (Classic of Internal Medicine). Qixuanzi (Wang Bing) annotated: "'Xiaoxin' refers to the palace where the true heart spirit resides." In his annotation of the *Yin Yang Lei Lun* chapter, he mentioned that the New Corrections state: According to the *Taisu*, "Xiaoxin" is written as "Zhixin". Yang Shangshan considered "Zhixin" to be the kidney spirit, thus counting backwards from the lower end of the spine to the seventh vertebra to identify it as "Xiaoxin". However, the Mingmen acupoint is located between the fourteenth thoracic vertebrae; if counted backwards from below, it would also be at the eighth vertebra, not the seventh. Moreover, he failed to consider that the *Jing* (Classic) states: "If the pulse is deep, thumping, and does not float, it affects the upper part, reaching the Zhixin" (This indicates excessive yin pulses and weak yang qi, causing upward traction to the heart, similar to conditions like Ben Tun [running piglet], accumulated gas, or hernias). Qixuanzi annotated: "When the pulse is deep and thumping but does not float upwards, it signifies insufficient heart qi, leading to upward traction and disease in the heart." This annotation is correct. If this were referring to the kidney, the words "affects the upper part" would not exist. This is an error by Yang Shangshan; consequently, later scholars equated Mingmen with "Xiaoxin", "Xiaoxin" with "Shaohuo", and "Shaohuo" with "Xianghuo", creating infinite confusion and inversion, all stemming from this single error.
Someone asked: Then what exactly is "Xiaoxin"? I replied: Hu Bo Ren, in his annotations on the Heart Meridian in the *Jing Du Pian*, stated: "The Xin Xi (Heart Connections) has two parts: one connects upwards to the lungs, entering between the two large lobes of the lungs; the other descends from the lung connections, curves backward, connects via fine networks along the spine and back, penetrates the spinal cord, lying exactly between the seventh vertebrae, and communicates downward with the kidneys. Generally, the connections of the five zang organs all connect to the heart, and the heart connects to the connections of the five zang organs." Furthermore, according to the diagrams of the internal organs, the shape of the Xin Xi is indeed as described. Based on this, "Xiaoxin" is the Xin Bao Luo (Pericardium). He Yiyang also stated that the origin of the Hand Jueyin Pericardium Meridian is precisely two segments below the fifth thoracic vertebra of the heart, beside the seventh segment, level with the Tanzhong (Conception Vessel 17) acupoint; they must not be confused. If one were to count backwards as they did, the heart would be at the fifteenth vertebra, and the lungs below the nineteenth vertebra. Since the *Suwen* (Basic Questions), no such method of backward counting has ever been heard of. The *Ling Shu Jing* (Spiritual Pivot) states: "Tanzhong is the palace city of the Heart Master." This aligns with Qixuanzi's annotation of the "palace where the true heart spirit resides," because the Xin Xi connects to the spine and back, penetrating the spinal cord, lying exactly between the seventh vertebrae. The method of counting seven segments downwards from the bottom originated with Yang Shangshan, and He Yiyang had already refuted its errors in his *Yi Xue Tong Zong*; I will not add further details.