予读《内经·六微旨论》,至于亢则害,承乃制,喟然叹曰∶至矣哉,其造化之枢纽乎!
王太仆发之于前,刘河间阐之于后,圣人之蕴殆靡遗矣。然学人尚不能释然,得不犹有未悉之旨也欤?
谨按《内经》,帝曰∶愿闻地理之应六节气位何如?岐伯曰∶显明之右,君火之位也。君火
之右,退行一步,相火治之;复行一步,土气治之;复行一步,金气治之;复行一步,水气治之;
复行一步,木气治之;复行一步,君火治之。相火之下,水气承之;水位之下,土气承之;土位
之下,风气承之;风位之下,金气承之;金位之下,火气承之;君火之下,阴精承之。帝曰∶何
也?岐伯曰∶亢则害,承乃制,制生则化。外列盛衰,害则败乱,生化大病。尝观夫阴阳五行之
在天地间也,高者抑之,下者举之;强者折之,弱者济之。盖莫或使然,而自不能不然也。不如
是,则高者愈高,下者愈下;强者愈强,弱者愈弱,而乖乱之政日以极矣,天地岂能位乎!虽然,
高也,下也,弱与强也,亦莫或使然而自不能不然也。故易也者,造化之不可常也。惟其不可常,
故神化莫能以测。莫测,故不息也;可常,则息矣。亢则害,承乃制者,其莫或使然而自不能不
然者欤?
夫太仆、河间已发挥者,兹不赘及。其未悉之旨,请推而陈之。夫自显明之右,止君火治之
十五句,言六节所治之位也。自相火之下,止阴精承之十二句,言地理之应乎岁气也。亢则害,
承乃制二句,言抑其过也。制生则化,止生化大病四句。言有制之常与无制之变也。承,犹随也。
然不言随而曰承者,以下言之,则有承奉之象,故曰承。虽谓之承,而有防之之义存焉。亢者,
过极也。害者,害物也。制者,克胜之也。然所承也,
其不亢,则随之而己,故虽承而不见;既亢,则克胜以平之,承斯见矣。然而迎之不知其所来,
迹之不知其所止,固若有不可必者。然可必者,常存杳冥恍惚之中,而莫之或欺也。
河间曰∶己亢过极,则反似胜己之化。似也者,其可以形质求哉?故后篇厥阴所至为风生,
终为湿;少阴所至为热生,终为寒之类,其为风生为热生者,亢也;其为湿为寒者,制也。又水
发而为雹雪,土发而为飘骤之类,其水发土发者,亢也;其雹雪飘骤者,制也。若然者,盖造化
之常,不能以无亢,亦不能以无制焉耳。
夫前后二篇,所主虽有岁气、运气之殊,然亢则害,承乃制之道,盖无往而不然也。惟其无
往而不然,故求之于人,则五脏更相平也,一脏不平,所不胜平之。五脏更相平,非不亢而防之
乎?一脏不平,所不胜平之,非既亢而克胜之乎?姑以心火而言,其不亢,则肾水虽心火之所畏,
亦不过防之而已;一或有亢,则起而克胜之,余脏皆然。
制生则化,当作制则生化,盖传泻之误,而释之读之者不觉,求之不通,遂并遗四句而弗取。
殊不知上二句言亢而害,害而制耳,此四句乃害与制之外之余意也。苟或遗之,则无以见经旨之
周悉矣。制则生化,正与下文害则败乱相对,辞理俱顺,不劳曲说而自通。制则生化者,言有所
制,则六气不至于亢而为平,平则万物生生而变化无穷矣。化为生之盛,故生先于化也。外列盛
衰者,言六气分布主治,迭为盛衰,昭然可见,故曰外列盛衰。害则败乱,生化大病者,言既亢
为害而无所制,则败坏乖乱之政作矣,败坏乖乱之政行,则其变极矣,其灾甚矣,万物其有不病
乎?生化,指所生所化言,谓万物也。以变极而灾甚,故曰大病。上生化,
以造化之用言;下生化,以万物言。以人论之,制则生化,犹元气周流,滋荣一身,凡五脏六腑
四肢百骸九窍,皆藉焉以为动静云为之主。生化大病,犹邪气恣横,正气耗散,凡五脏六腑四肢
百骸九窍,举不能遂其运用之常也。
或以害为自害,或以承为承袭,或以生为自无而有,化为自有而无,或以二生化为一意,或
以大病为喻或者造化之机息。此数者,皆非也。且夫人之气也,固亦有亢而自制者,苟亢而不能自制,
则汤液针石导引之法以为之助。若天地之气,其亢而自制者,固复于平;亢而不制者,其孰助哉?
虽然,造化之道,苟变至于极,则亦终必自反而复其常矣。学人能本之太仆、河间,而参之此论,
则造化枢纽之详亦庶矣乎。
然张戴人《治法心要》曰∶假令水为母,木为子,当春旺之时,冬令犹在,即水亢也。水亢
极则木令不至矣。木者,继冬而承水也。水既亢则害其所承矣,所以木无权也。木无权则无以制
土,土既旺则水乃受制也。土者,继长夏之令也。水受土制,热克其寒也。变而为湿,此其权也。
又如火为母,土为子,当长夏之时,暄令犹在,即火亢也。火既亢极,则湿令不至矣。湿者,继
夏而承火也。火既亢则害其所承矣,所以湿无权也。湿无权则无以制水,水既旺则火乃受制也。
水者,严冬之令也,火受水制,寒克其热也,变而为土湿,土斯得其权也。斯言也,推之愈详而
违经愈远矣。或曰∶《心要》者,他人成之,盖得于所闻之讹耳。(《溯洄集》)
支秉中曰∶昔孔子谓诗三百,以思无邪一言足以蔽之。愚读亢则害承乃制之论,亦欲以一
平字蔽之。夫天之六气以平为主。平则生生化化将无穷矣。故岐伯曰∶制则生化,害则败乱。其
意谓亢则过而至于害,必承之乃可以制之。盖承之一字,如承继相承,又承上之意。谓以所可胜
者承之于后,乃能制之,使归于平也。以下文相火之下水气承之一语推之,则其义自明矣。
I read the *Neijing* (Classic of Internal Medicine) · *Liu Weizhi Lun* (Treatise on the Six Subtle Principles), and upon reaching the phrase "Kang Ze Hai, Cheng Nai Zhi" (Excess leads to harm, reception brings about control), I sighed deeply, saying: How profound! This is indeed the pivotal hub of creation (the generation and transformation of nature)!
Wang Bing (styled Taipu) expounded upon it previously, and Liu Wansu (styled Hejian) elucidated it subsequently. The profound meaning of the sages has hardly been left unexplored. Yet, students of medicine still cannot feel fully satisfied; must there not be some aspects of its purport that remain unexplained?
Respectfully consulting the *Neijing*, the Yellow Emperor said: "I wish to hear how geography corresponds to the positions of the six qi phases." Qibo replied: "To the right of Xianming (Spring Equinox) is the position of Jun Huo (Ministerial Fire). To the right of Jun Huo, moving backward one step, Xiang Huo (Ministerial Fire/San Jiao) governs; moving another step, Earth Qi governs; moving another step, Metal Qi governs; moving another step, Water Qi governs; moving another step, Wood Qi governs; moving another step, Jun Huo governs again. Below Xiang Huo, Water Qi receives and controls it; below the position of Water, Earth Qi receives and controls it; below the position of Earth, Wind Qi (Wood Qi) receives and controls it; below the position of Wind, Metal Qi receives and controls it; below the position of Metal, Fire Qi receives and controls it; below Jun Huo, Yin Jing (Kidney Water/Essence) receives and controls it." The Yellow Emperor asked: "Why is this?" Qibo answered: "When things reach an extreme, they cause harm; when there is reception and control, balance is maintained, and through control, transformation and generation occur. Externally, prosperity and decline are displayed. If harm occurs due to lack of control, disorder ensues, leading to severe disease. I have observed the Yin-Yang and Five Elements in heaven and earth: what is high is suppressed, what is low is lifted; what is strong is broken down, what is weak is assisted. This is not because someone forces it, but because it naturally cannot be otherwise. If it were not so, what is high would become higher, what is low lower; what is strong stronger, what is weaker weaker, and the chaotic and disordered state would increase daily to its extreme. How could Heaven and Earth maintain their proper positions? Nevertheless, high and low, weakness and strength, also occur without external force, naturally unable to be otherwise. Thus, as stated in the *Yijing* (Book of Changes), the nature of creation is constant change. Because it is not constant, divine transformations cannot be measured. Because they cannot be measured, movement does not cease; if it were constant, it would stop. 'Excess leads to harm, reception brings about control'—this is precisely that which happens naturally without external coercion."
The points already elaborated by Wang Bing and Liu Wansu will not be repeated here. Regarding the aspects not yet fully explained, let me deduce and present them. From "from the right of Xianming" to "Jun Huo governs," totaling fifteen sentences, these describe the positions governed by the six qi phases. From "Below Xiang Huo" to "Yin Jing receives," totaling twelve sentences, these describe how geography corresponds to the annual qi (climate characteristics). "Excess leads to harm, reception brings about control" consists of two sentences describing the suppression of excess. "Control generates transformation" up to "generation/transformation and severe disease" comprises four sentences describing the normal state with control versus the abnormal state without control. "Cheng" (Reception/Support) means following. However, it is called "Cheng" rather than "Sui" (Follow) because, in the context of descending, it implies a bearing or supporting image, hence "Cheng." Although termed "reception," it contains the meaning of prevention. "Kang" (Excess) means reaching an extreme. "Hai" (Harm) means damaging things. "Zhi" (Control) means overcoming or subduing. However, regarding what is received: if it is not excessive, it merely follows, so although received, it is not visible; once excessive, it is overcome and subdued to restore balance, and the function of reception becomes visible. Yet, meeting it, one does not know where it comes from; tracing it, one does not know where it stops. It seems somewhat unpredictable. However, what is predictable always exists in the profound and indistinct realm, and no one can deceive it.
Liu Wansu said: "When one side reaches excess, it reversely resembles the transformation of the side that overcomes it." Can "resembling" be sought through physical form? Therefore, in later chapters, it states: "Wherever Jueyin arrives, wind generates, ending in dampness; wherever Shaoyin arrives, heat generates, ending in cold," etc. That which manifests as wind generation or heat generation is excess; that which manifests as dampness or cold is control. Similarly, when water erupts into hail and snow, or earth erupts into gusty winds and storms: the eruption of water or earth is excess; the hail, snow, or storms are control. In this way, it is the normal law of creation that excess cannot be absent, nor can control be absent.
Although the preceding and succeeding chapters focus differently on annual qi and fortune qi, the principle of "excess leads to harm, reception brings about control" applies everywhere. Since it applies everywhere, applying it to the human body, the five zang organs balance each other. If one zang is imbalanced, the zang that overcomes it balances it. The mutual balancing of the five zang organs—is this not prevention before excess occurs? The balancing of one imbalanced zang by the overcoming zang—is this not subduing after excess has occurred? Taking Heart Fire as an example: when it is not excessive, Kidney Water, though feared by Heart Fire, only serves to prevent; if it becomes excessive, Kidney Water rises to subdue it. The same applies to other zang organs.
"Control generates transformation" should read "Control leads to generation and transformation." This was likely a transmission error involving omission. Readers and commentators did not notice, found it unintelligible, and thus omitted these four sentences. Little did they know that the previous two sentences discuss excess causing harm and harm necessitating control, while these four sentences express the residual meaning beyond harm and control. If omitted, the completeness of the classic's purport cannot be seen. "Control leads to generation and transformation" contrasts directly with the subsequent "Harm leads to ruin and chaos." The wording and logic are smooth, requiring no forced interpretation to understand. "Control leads to generation and transformation" means that with control, the six qi do not become excessive but remain peaceful. Peace allows all things to generate and transform endlessly. Transformation is the flourishing of generation, so generation precedes transformation. "Externally, prosperity and decline are displayed" means the six qi distribute and govern, alternating between prosperity and decline, clearly visible, hence "externally displayed." "Harm leads to ruin and chaos, generation/transformation and severe disease" means that once excess causes harm without control, the order of destruction and chaos arises. When this chaotic order prevails, variations reach their extreme, disasters become severe, and how can all things not fall ill? Here, "generation/transformation" refers to the generated and transformed myriad things. Because variations are extreme and disasters severe, it is called "severe disease." The first "generation/transformation" refers to the function of creation; the second refers to the myriad things. Applied to humans, "control leads to generation and transformation" is like Yuan Qi (Original Qi) circulating throughout, nourishing the whole body. All five zang, six fu, limbs, bones, and orifices rely on it as the master of movement and action. "Generation/transformation and severe disease" is like pathogenic qi running rampant and healthy qi dissipating, such that all five zang, six fu, limbs, bones, and orifices cannot function normally.
Some interpret "harm" as self-harm, "reception" as inheritance, "generation" as coming from nothing, and "transformation" as returning to nothing. Some treat the two instances of "generation/transformation" as having the same meaning, or view "severe disease" as a metaphor implying the cessation of creative mechanisms. All these views are incorrect. Moreover, human qi naturally has cases of excess that self-regulate. If excess cannot self-regulate, methods such as decoctions, acupuncture, moxibustion, and qigong are used to assist. As for heavenly and earthly qi, those that are excessive and self-regulate return to peace; those that are excessive and do not regulate, who assists them? Nevertheless, according to the Dao of creation, if changes reach their extreme, they will inevitably revert and return to normalcy. If scholars base themselves on Wang Bing and Liu Wansu and consult this treatise, the details of the creative hub will be sufficiently understood.
However, Zhang Congzheng (styled Dairen) in *Zhifa Xinyao* (Essentials of Treatment Methods) states: "Suppose Water is the mother and Wood is the son. During the prosperous time of Spring, if the Winter command still persists, this is Water excess. When Water excess reaches its extreme, the Wood command fails to arrive. Wood succeeds Winter and receives Water. Since Water is excessive, it harms what it receives, so Wood lacks authority. Without Wood's authority, it cannot control Earth. Once Earth is prosperous, Water is controlled by Earth. Earth succeeds Changxia (Late Summer). Water being controlled by Earth means Heat overcomes Cold, transforming into Dampness; this is Earth's authority. Again, suppose Fire is the mother and Earth is the son. During Changxia, if warm weather persists, this is Fire excess. When Fire excess reaches its extreme, the Damp command fails to arrive. Dampness succeeds Summer and receives Fire. Since Fire is excessive, it harms what it receives, so Dampness lacks authority. Without Dampness's authority, it cannot control Water. Once Water is prosperous, Fire is controlled by Water. Water is the command of Deep Winter. Fire being controlled by Water means Cold overcomes Heat, transforming into Earth-Dampness; Earth then gains authority." This argument, the more detailed it becomes, the further it deviates from the classic. Some say: *Xinyao* was compiled by others, likely based on erroneous hearsay. (*Suhui Ji*)
Zhi Bingzhong said: "Confucius once said that the three hundred poems of the *Shijing* (Classic of Poetry) can be summarized by the single phrase 'Si Wu Xie' (Thoughts are without depravity). Reading the treatise on 'Excess leads to harm, reception brings about control,' I also wish to summarize it with the single character 'Ping' (Peace/Balance). The six qi of Heaven prioritize peace. With peace, generation and transformation will be endless. Thus, Qibo said: 'Control leads to generation and transformation; harm leads to ruin and chaos.' His meaning is that excess, when it goes too far and causes harm, must be received and controlled to achieve balance. The character 'Cheng' (Receive/Support) implies succession and carrying forward the previous intent. By receiving with that which can overcome it subsequently, one can control it and return it to peace. Inferring from the phrase 'Below Xiang Huo, Water Qi receives,' the meaning becomes clear."