古人论五脏六腑其说有谬者而相承不察今欲以告人人谁信者古者左肾其府膀胱右肾命门
其府
三焦丈夫以藏精女子以系胞以理言之三焦当如膀胱有形质可见而王叔和三焦有藏无形不亦大
谬乎盖三焦有形如膀胱故可以有所藏有所系若其无形尚何以藏系哉且其所以谓之三焦者何也
三焦分布人体中有上中下之异方人心湛寂欲念不起则精气散在三焦荣卫百骸及其欲念一起心
火炽然翕撮三焦精气流入命门之府输泻而去故号此府为三焦耳世承叔和之谬而不悟可为长太
息也予甚异其说后为齐州从事有一举子徐遁者石守道之婿也少尝学医为卫州闻高敏之遗说疗
病有精思予为道骧之言遁喜曰齐尝大饥群丐相脔割而食有一人皮肉尽而骨脉全者遁以学医故
往视其五脏见右肾之下有脂膜如手大者正与膀胱相对有二白脉自其中出夹脊而上贯脑意此则
导引家所谓夹脊双关者而不悟脂膜如手大者之为三焦也单君之言与所见悬合可以证古人之谬
(龙川志)
孙尚药曰夫六淫之气天之常行者也盖人无樽节伤其气候暴中邪毒有疏治疗转着肢体或寒
温不
避暑湿时伤忧思喜怒疾恚便起治疗有差攻传五脏遂至转深医者苟求目前之捷效不审丸散之误
投刻意世财动邀富贵企踵权豪希图谋进病者又即吝惜资财不知其身可贵委凭庸妄一死无生
可
不哀哉凡六淫疾者切在细明治疗有中必得十全之效阳淫热疾则拒热不前看虚实以凉之阴淫寒
疾则怯寒而身拒须凭温药以治之风淫末疾必身强直(末四肢也)此乃动性不调须和冷热以平之
(在阳则热在阴则寒)故寒则筋挛骨痛热则痿缓不收两淫腹疾濡泄湿气要凭渗燥之方更看冷热
之候晦邪所淫精神荧惑当平正气而可痊明淫心疾狂邪重盛 妄多言忧愁转甚此二气同一皆引
心胸之虚邪治疗正气须用至宝之药平生经验甚多故集口诀方书以传于家孙尚药曰夫风者天地
之号令物性之动气人虽万物之贵不能樽节触冒四时乘精气虚邪而入于腠理积之微末累伤重并
满而大作或不慎味欲所伤又深虚邪实邪以干正气搏阳经则痿厥而肢体不收袭阴经则筋挛络
急
中风之名因兹而起初得小中之候渐作瘫痪之疾故风趣百窍独聚一肢言语謇涩形若痴人医者妄
令吐泻用药躁烦十无一痊致使人手足不任精神昏乱殊不知内不能通外不能泄致瞀闷形死又不
知
通泄之药亦不在大吐大下似此治疗往往五死五生虽其人禀气充实亦为所苦弥甚不幸遂至枉死
窃观自古圣贤治疗有法十有九验夫疗病之法必先准四时虚实以详中病之由根据绳墨拯济乃是解
死脱厄之路四时之病春中时风自东而来名曰温风盖时令不和而伤人也浮而轻浅可汗而解败毒
散羌活细辛之类更看发起在阴在阳随而得效若其人自虚羸从后而来名曰虚风中人烦闷肢体挛
痹不任便可服续命汤八风汤成剂顿服更加灸法三五日间势必减退渐渐调和以求生路如从前
来名曰实
风亦主人瞀闷脉紧浮大宜以茯神汤西州续命汤求效不用火劫自使势慢须缓缓治之故千金曰风
者百病之长又曰治风不以续命汤治之则不为治风所以见圣人之心矣(鸡峰方同上)
Ancient discussions on the five zang organs and six fu organs contain some erroneous theories that have been passed down without scrutiny. I now wish to inform people of these truths, but who would believe them? In ancient times, it was said that the left kidney's associated fu organ is the bladder, and the right kidney's associated fu organ is the Mingmen (Gate of Life). Men use it to store essence (Jing), and women use it to connect to the Bao Luo (uterus/womb). From a medical perspective, the Sanjiao (Triple Burner) should be a tangible organ with visible substance, similar to the bladder. However, Wang Shuhe claimed that the Sanjiao has storage functions but no form; is this not a great error? It is precisely because the Sanjiao has form, like the bladder, that it can store and connect things. If it were formless, how could it store or connect anything? Moreover, why is it called "Sanjiao"? The Sanjiao is distributed throughout the human body and is divided into upper, middle, and lower sections. When the human mind is tranquil and still, free from desires, essence scatters through the Sanjiao, nourishing Ying and Wei (nutritive and defensive qi) and all bones and muscles. Once desires arise, heart fire blazes, gathering the essence of the Sanjiao and flowing into the Fu organ of the Mingmen, where it is transported and excreted. Thus, this fu organ is named "Sanjiao." People have inherited Wang Shuhe's error without realizing it, which is truly lamentable.
I found this theory very strange. Later, while serving as an official in Qizhou, I met a scholar named Xu Dun, the son-in-law of Shi Shoudao. He had studied medicine in his youth and possessed profound insights from hearing the legacy of Gao Min in Weizhou regarding disease treatment. When I recounted the aforementioned views on the Sanjiao to him, Xu Dun rejoiced and said: "During a severe famine, I witnessed beggars cannibalizing each other. One person had their skin and flesh completely eaten away, leaving only intact bones and meridians. Because I studied medicine, I examined his internal organs. I saw a layer of fat membrane, about the size of a hand, below the right kidney, directly opposite the bladder. Two white vessels emerged from it, running along the spine upwards to penetrate the brain. At that time, I thought this was what Daoist exercise practitioners called the 'Double Passages of the Spine,' but I failed to realize that this hand-sized fat membrane was actually the Sanjiao. Your words align perfectly with my observations, proving the errors of the ancients." (From *Longchuan Zhi*)
Sun Shangyao said: The Qi of the Six Excesses (Liu Yin) is a normal movement of nature. If humans fail to regulate themselves, damaging their climate adaptation, sudden evil toxins may strike. If treatment is delayed or improper, pathogens linger in the limbs; if cold and heat are not balanced, or protection against dampness and wetness is neglected, and emotional factors like worry, thought, anger, and joy arise, leading to incorrect treatments, pathogens transmit to the five zang organs, causing the condition to deepen. Physicians who seek only immediate quick effects, without carefully considering the misuse of pills and powders, deliberately seeking wealth, frequently flattering powerful nobles to advance their careers, combined with patients who are stingy with money and do not value their own bodies, entrusting themselves to incompetent doctors, resulting in death with no hope of life—can this not be considered tragic?
For diseases caused by the Six Excesses, careful differentiation is crucial. Proper treatment must aim for complete efficacy. For heat diseases caused by Yang excess, characterized by aversion to heat, one must assess deficiency and excess and treat with cooling herbs. For cold diseases caused by Yin excess, characterized by fear of cold and bodily rejection of warmth, warming herbs must be relied upon. Wind-induced diseases affecting the extremities (extremities refer to the four limbs) inevitably cause stiff rigidity of the body. This is due to the dynamic nature of wind disrupting harmony, requiring methods to balance cold and heat. (If wind affects Yang channels, it manifests as heat; if it affects Yin channels, it manifests as cold.) Therefore, cold causes tendon spasms and bone pain; heat causes flaccidity and inability to retain posture. Abdominal diseases caused by both extremes manifest as loose, watery stools; dampness requires formulas that promote diuresis and dry dampness, adjusted according to cold or heat patterns. When obscure pathogens invade, causing spiritual confusion, restoring righteous Qi leads to recovery. Heart diseases caused by bright/clear pathogens manifest as mania, heavy evil presence, delirious speech, and worsening sorrow. These two types of Qi stem from deficiency in the chest and heart; treating the righteous Qi requires precious medicines. I have extensive personal experience with this, so I have collected mnemonics and formulas to pass down to my family.
Sun Shangyao also said: Wind is the command of heaven and earth, the dynamic energy of the nature of things. Although humans are the most noble among all things, if they fail to self-regulate and are exposed to seasonal changes, when their essential Qi is deficient, empty evil pathogens enter the Couli (pores/interstices). Initially accumulating slightly, they gradually damage, and when accumulated heavily, they cause major outbreaks. If dietary tastes are not guarded against, or desires cause deeper injury, empty and solid evils interfere with righteous Qi. If they clash with Yang channels, it leads to Wei Jue (flaccidity and cold limbs) with loss of limb control; if they attack Yin channels, it causes tendon spasms and meridian tightness. The name "Zhong Feng" (Wind Stroke) arises from this. Initially presenting with minor stroke symptoms, it gradually develops into paralysis. Thus, wind and humor gather in one limb, speech becomes slurred, and the appearance resembles that of a fool. Physicians recklessly induce vomiting and purging, using medications hastily and irritably; ten out of ten fail to recover, causing patients' hands and feet to become weak and spirits confused. They do not realize that internal blockage prevents external release, leading to coma and death. Furthermore, they do not know that resolving agents do not rely solely on drastic vomiting or purging. Such treatments often result in near-death experiences. Even if the person has strong constitution, mistreatment exacerbates suffering, unfortunately leading to premature death.
Observing since ancient times, sages and worthies had methods for treatment, achieving success nine times out of ten. The method of treating disease must first assess the deficiency and excess of the four seasons to detail the cause of illness, following strict rules to rescue and save, which is the path to escaping death and disaster. Among diseases of the four seasons, spring illnesses involve seasonal wind coming from the east, named "Wen Feng" (Warm Wind), caused by disharmony of the season injuring the person. The pulse is floating and light/shallow, resolvable by sweating; formulas like Baidu San, Qiang Huo, and Xi Xin can be used. Depending on whether the onset is in Yin or Yang channels, appropriate effects will follow. If the person is inherently weak and emaciated, and wind comes from behind, it is named "Xu Feng" (Empty Wind). After striking the person, it causes restlessness, limb spasms and bi-syndrome, unbearable discomfort. One may take Xuming Tang or Bafeng Tang, taken as a full dose at once, supplemented with moxibustion. Within three to five days, the condition will surely subside, gradually harmonizing to seek survival. If wind strikes from the front, it is named "Shi Feng" (Solid Wind). It also causes mental cloudiness and a tight, floating, large pulse. Fushen Tang or Xizhou Xuming Tang should be used for effect. Fire coercion methods should be avoided; let the momentum slow naturally, requiring gradual treatment. Thus, *Qianjin Fang* states: Wind is the leader of a hundred diseases; it also says: Treating wind without using Xuming Tang means not treating wind at all. This reveals the heart of the sages. (From *Jifeng Fang*, same source)