人之病,不外乎三因∶外因六淫,内因七情,与饥饱劳倦、跌扑为不内不外因。凡单感
六淫
,虽其人素弱,无甚大病。若兼伤七情,脏腑先虚复感外邪,为病必重。故七情之伤,过于
外感。夫七情之伤,各有所属。心为喜,肝为怒,脾为思,肺为忧,肾为恐,此为五志。尚
有悲属肺,惊属心,共为七情。七情者,人不能免,惟不可过耳,过则伤矣。其伤虽分五脏
,其实止一心耳。夫心为君主,其余各脏为臣,皆听命于君。惟君所使,臣下奉行而已。故
善养生者,心常有主,如岳家军,撼之不动,主师既能镇定,各营孰敢轻动耶?又如张魏公
在
军,夜闻营中喧扰,魏公安卧不动,俄顷寂然,明日廉得首乱者一人斩之。一见主不动而孰
敢动,一见众虽动而主为不动。心之于四脏亦然,在军则无乱,在人则无伤。至于不为饥饱
劳役所困,人自易为,非比七情之难伏,若跌扑何待言?
昔如谢傅之折屐,景文之敛棋,虽属矫情,终为雅量。一遇喜而若无喜,一逢悲恐而若
无悲
恐,心有所持也。古人以非理相加,横逆之来,在庸夫必勃然怒发矣。而贤者乃曰可以理遣
,可
以情恕,必不似庸人之勃然怒发焉。此无他,在明理。管幼安泛海值飓风,舟欲覆溺,众人
不胜恐惧,幼安面无忧容,语不改常。此无他,在知命。夫明理与知命,惟心能然。我故曰
∶七情虽分五脏,其实止一心而已。观此更觉晓畅。
Human diseases are not beyond three categories of etiology: external causes include the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, and Fire), internal causes involve the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, and Fright), while factors such as improper diet, overwork, and trauma belong to neither purely internal nor external causes. When one is solely affected by the Six Excesses, even if the individual has a constitutionally weak physique, severe illness will not necessarily occur. However, if there is concurrent injury from the Seven Emotions, leading to prior deficiency of the Zang organs followed by the contraction of external pathogens, the resulting disease will inevitably be severe. Therefore, the damage caused by the Seven Emotions exceeds that of external contractive diseases.
The injuries caused by the Seven Emotions each have their specific organ associations. Joy is associated with the Heart, Anger with the Liver, Pensiveness with the Spleen, Worry with the Lung, and Fear with the Kidney; these constitute the Five Willful Emotions (Wu Zhi). Additionally, Sorrow is associated with the Lung, and Fright with the Heart, together forming the Seven Emotions. The Seven Emotions are unavoidable in human life, but they must not be excessive; excess leads to injury. Although this injury is distributed among the five Zang organs, it essentially pertains only to the Heart. The Heart serves as the Sovereign Monarch, while the other organs act as ministers, all obeying the commands of the monarch. They merely execute the orders issued by the sovereign. Thus, those skilled in health preservation maintain a firm mind, akin to Yue Fei’s army, which was unshakable. If the commander remains composed, who would dare to move rashly? Similarly, when Zhang Weigong was in the military camp, he heard noise and disturbance at night but lay still and calm. Soon, silence prevailed. The next day, upon investigating, he identified the instigator and executed him. Seeing the leader remain unmoved, no one dared to act; seeing the crowd move, yet the leader remained steadfast. The relationship between the Heart and the other four organs is analogous: in an army, order is maintained; in a person, harm is avoided. As for avoiding being troubled by hunger, fullness, or labor, people can generally manage this easily; it is not comparable to the difficulty of controlling the Seven Emotions, let alone physical trauma.
In ancient times, Xie An’s breaking of his wooden clogs and Jing Wen’s gathering of chess pieces, though involving emotional restraint, ultimately reflected elegant magnanimity. Encountering joy as if there were none, and meeting sorrow or fright as if there were none, indicates a mind that holds its ground. When faced with unreasonable treatment or sudden adversity, ordinary men would surely burst into anger. Yet the virtuous declare that such matters can be resolved through reason and forgiven through empathy, never reacting with the explosive anger of the common folk. This is due to understanding principles. When Guan You’an crossed the sea during a hurricane, with the boat threatening to capsize, the passengers were overwhelmed with fear, yet Guan displayed no look of worry and spoke in his usual tone. This too is because he understood destiny. Understanding principles and knowing destiny are capabilities unique to the Heart. Hence I say: although the Seven Emotions are distributed among the five Zang organs, they essentially pertain only to the Heart. Observing this makes the concept clear and lucid.