。故曰微阴。开乙木之微阳。收庚金微阴之气。则木不燥而乐矣。又云。金又行阴道多,故令肝
得水而沉也。言庚虽阳金。而其所居之位。在十干中之阴道。故肝亦随阴道而沉。如妇之有夫也。
又云。肺非纯金。辛商也。丙之柔。言肺乃辛商之阴金也。然又非纯金。丙与辛合。其中寓丙火
。丙属阳。而辛属阴。故辛金乃丙火之柔也。大而言之。即阴与阳。小而言之。
如夫与妇也。又云。释其微阴。婚而就火。其意乐。言辛金八月之金也。八月阴气尚微。故
曰微阴。开辛金之微阴。婚而就火。如就婚于丙火也。辛金之阴。得丙火之阳。则不寒而乐矣。
又云。火又行阳道多。故肺得水而浮也。言丙火所居之位。在十干中之阳道。故肺亦随阳道而
浮。亦如妇之随夫也。举肺肝二脏而推。则五脏六腑之阴阳交合。无不可以会悟矣。
肺熟而复沉。肝熟而复浮者。何也。故知辛当归庚。乙当归甲也。
此言阴阳之离也。熟犹纯也。辛归庚。则纯金。丙与辛不合而离矣。甲归乙。则纯木。乙与庚不合
而离矣。离则亢。亢则死矣。中峰云。此章历来注释不明。皆因点读多讹。如张注点庚之柔大言
。阴与阳小言。马注点
其意乐金。其意乐火。使一篇精义。处处茫然。今则首明阴阳互根。五行交合之理。便觉通
篇一贯。不解自明。千古难明之义。一旦恍然。不亦快哉。
三十四难(误列三十八难)曰。脏惟有五。腑独有六者。何也。然。所以腑有六者。谓三焦也
。有原气之别焉。
主持诸气。有名而无形。其经属手少阳。此外腑也。故言腑有六焉。
此言三焦与诸腑不同。有原气之别。所以能主持诸气也。有名而无形。所以能统摄乎外。故
曰外腑也。二十五难予注三焦乃护于诸脏腑之一大囊。与此章之义合之。可以恍然矣。奈后之人谓
三焦有形。而云难经之非。盖亦未会难经之全体。
三十五难(误列三十九难)曰。经言腑有五。脏有六者。何也。然。六腑者。止有五腑也。
五脏亦六脏者。肾有两脏也。其左为肾。右为命门。命门者。谓精神之所舍也。男子以藏精。女
子以系胞。其气与肾通。故言脏有六也。
前章发明六腑。此章复发明六脏之义。谓前云六腑者。有外腑在内。今经言六脏者。谓肾有
两枚。其左为肾。右为命门。又曰。命门者。谓精神之所舍。男子藏精。女子系胞。其气与肾通
。乃见越人以命门之名。配于右肾。而命门之处。实指两肾中间。不尔。何以言藏精系胞。何以言气与
肾通。然又恐命门之名。混于手心
主胞络之脏。故有下文言三焦一腑。不属于五脏者。是即指明属于胞络之脏也。其气与肾通。
是指命门与右肾一气相通。玩读自见。
腑有五者何也。然。五脏各一腑。三焦亦是一腑。然不属于五脏。故言腑有五焉。
此言三焦不属于五脏者。乃属于心胞络也。举三焦亦是一腑。以见不配五脏。而配亦是一
脏之心胞络。
最为切当者也。二十五难三焦论中。余谓似腑外腑之大囊。配似脏另脏之小囊。与此节义同。
三十六难(三十六难次节误列三十七难末节)曰。脏各有一耳。肾独有两者何也。然。肾两者
非皆肾也。其左者为肾。右者为命门。命门者。谓精神之所舍。原气之所系也。故男子以藏精。女子以系胞
。故知肾有两(两诸本作一)也。
此章承上章。复发明命门在于两肾中间之义。所以又补出原气之所系也。盖所谓原者。即三焦
之原。六十六难云。脐下肾间动气者。人之生命也。故名曰原。观此亦可以无疑矣。但后人不明
此义。将谓三焦与胞络为表里。出自内经。一阴一阳之定耦。初无命门三焦表里之说。惟灵枢根结
及素问阴阳离合等篇。有太阳根于至阴。结于命门。命门者。目也。此指太阳经穴终于睛明。睛明所夹之处。是脑心乃
至命之处。故曰命门。此外并无命门之说。而右肾为命门。实见于此。但难经皆出于内经。必有确据。诚如滑氏之注
七难云。篇首有经言二字。考之灵素并无。或越人时别有上古之本。是未可知也。惟是右肾
为命门。男子藏精。女子系胞。则肾将藏何物。此又无怪乎其疑也。观经脉篇。有左为肾。右为子
户。夫所谓子户者。即子宫也。即俗名子肠也。子肠居直肠之前。膀胱之后。当关元气海穴之
间。男精女血。皆存乎此。曰丹田。曰气海。实则一子宫耳。子宫之下有一门。女子曰产门。男子
即泄精之道。男之施由此门而出。女之摄由此门而入。胎元既足。复由此而出。即如四十四难。
七冲门者。皆指出入之处。乃见凡出凡入皆谓之门。而此系先天立命之本。焉得不谓之命门乎。
是即男子藏精。女子系胞。皆有归着。正合六十六难脐下肾间动气之说。而千古之疑可顿释矣。至
于十二经之阴阳表里。固已天然配就。若以命门再配一经。是肾脏唯一。而经居其二。必无是理
。且内经有督脉十椎中是命门原。属于肾之句。当以原字读断。则知命门在原。并知两肾俱非
藏精系胞之所。其天一之真阴。藏于两肾中间。命门之原。而气通于左。坎中之真阳。藏于两
肾中间。命门之原。而气通于右。故左肾为水。右肾为火。越人以命门之真阳。分发右尺臣火之
位。理宜然也。予亦悉揣经义而评之。以俟将来之裁正焉。
中峰云。论命门之原。十二经之根。呼吸之门。三焦之原。岂非指此命门乎。
经云气独行于五脏。不荣于六腑者。何也。然。气之行如水之流。不得息也。故阴脉荣于五脏。
阳脉荣于六腑。如环无端。莫知其纪。终而复始。而不覆溢。人气内温于脏腑。外濡于腠理。
此节言人身命门之气。无不流通。但阴脉独荣五脏。阳脉独荣六腑耳。阴脉者。三阴脉也。
阳脉者。三阳脉也。循环无已。行于五脏六腑。而不覆溢者。谓不倾而不满也。又曰。人气内温
于脏腑。外濡于腠理者。言人命门一阳之气。内则温养脏腑。外则濡润腠理。无微不到。无处不周
。而所问之不荣于六腑者。惟阴脉耳。非气也。故下文详言阴脉阳脉之病。覆溢二字。并非寸口
脉之覆溢。旧注指十八难之覆溢脉。大误。
三十七难曰。五脏之气。于何发起。通于何许。可晓以不。然。五脏者。当上关于九窍也。
故肺气通于鼻。鼻和则知香臭矣。肝气通于目。目和则知黑白矣。脾气通于口。口和则知谷味矣
。心气通于舌。舌和则知五味矣。肾气通于耳。耳和则知五音矣。三焦之气通于喉。喉和则声鸣
矣。
此章承上而言阴脉荣于五脏之义。九窍者。目二耳二鼻二口一舌一喉一也。
五脏不和。则九窍不通。六腑不和。则留结为聚。
此亦承上章阳脉荣于六腑之义。言六腑属阳。邪在阳。则六腑不和。不和则气滞。而为
聚为痈矣。下文又以脏腑并言之。以明其所以不和之故也。(聚字灵枢作痈字)
邪在六腑。则阳脉不和。阳脉不和。则气留之。气留之。则阳脉盛矣。邪在五脏。则阴脉不和。阴
脉不和。则血留之。血留之。则阴脉盛矣。阴气太盛。则阳气不得相荣也。故曰关。(向误格字)阳
气太盛。则阴气不得相荣也。故曰格。(向误关字)阴阳俱盛。不得相荣也。故曰关格。关格不
得尽其命而死矣。
阳邪中于六腑。则阳脉不和。不和则气壅而邪实。邪实则不和之脉转而盛矣。阴邪中于五脏。则
阴脉不和。阴脉不和。则血滞而邪实。邪实则不和之脉转而盛矣。阴阳之脉俱盛。则必至于关格
而死矣。此章即灵枢脉度篇所载。但灵枢云。五脏当内关于上七窍。此云当内关于九窍。灵枢鼻为一
窍而无喉。此则鼻为二窍而添喉。要知越人补内经之缺。因三焦系统五脏六腑之大府。喉系统出
纳之大窍。况得此则声色臭味全矣。至于邪在六腑一节。与内经无异,但其中关格二字。与内经
相反。今阅古本与内经相同。乃知错简。今录正。故记之。关格之脉。从来议论最多。或云脉。
。或云病。使后学难凭。今录素问及仲景之文。并存参考。盖关阴格阳之脉。专论脉理
阴阳。并非论病。如内经之帝问脏象如何。岐伯曰。心者生之本云云。凡十一脏取决于胆也。
故人迎一盛病在少阳。二盛病在太阳。三盛病在阳明。四盛已上为格阳。张介宾指喉间动脉为人迎。
两手之脉俱为寸口。恐未合经旨。观十一脏取决于胆。故人迎一盛病在少阳句。知胆经正在左关。
当以左人迎右寸口为是。人迎一盛二盛三盛。则三阳俱盛矣。然阳极必阴。四盛已上者。左人迎之阳
位。势必越于右寸口之阴位也。故曰格阳。即十八难阳乘阴也。又曰。寸口一盛。病在厥
阴。二盛病在少阴。三盛病在太阴。四盛已上为关阴。夫寸口一盛二盛三盛。则三阴俱盛矣。
然阴极必阳。
四盛已上者。右寸口之阴位。势必越于左人迎之阳位也。故曰关阴。即十八难阴乘阳也。又曰。
人迎与寸口俱盛四倍以上为关格。关格之脉。不能极于天地之精气则死矣。人迎与寸口俱盛。即
两手之脉俱盛四倍已上也。方可合称关格之死脉也。若一手或格阳或关阴。则未必列于死脉明矣。曰盛者。即仲景所谓
浮而大也。此以左右脉主
阴阳之论也。帝曰。脉反四时。阴阳不相应。奈何。岐伯曰。反四时者。有余为精。
不足为消。应太过不足为精。应不足有余为消。阴阳不相应。病名为关格。精者。夺精也。消者。形
消也。四时以春夏为阳。秋冬为阴。言春夏阳当太过之时。得不足之阴脉。则精夺矣。秋冬阳当
不足之时。得有余之阳脉。则形消矣。此之谓阴阳不相应。病名为关格。此又以四时之阴阳。合
脉之有余不足而论也。又仲景曰。寸口脉浮而大。浮为虚。大为实。虚指正虚。实指邪实。又
曰。在尺曰关。在寸曰格。申明在尺沉至寸为关。在寸浮至尺为格。此又以尺寸脉主关阴格阳而论也。又曰。关则不得
小便。格则吐逆。此无非
注明关阴之脉病在下。格阳之脉病在上。乃见关与格分而言之。不过病耳。非死脉也。今难经以
五脏为阴。六腑为阳。血为阴。气为阳。尺为阴。寸为阳。沉为阴。浮为阳。阴阳之义。无所不
包。关格之义。无微不显。后人云。关格是病。又以霍乱症强名关格。不过偶见仲景有吐逆不得
小便二语。不悟全文。隔靴搔痒。殊不知仲景以二病申明关阴格阳之义。未尝以二症立关格之名也。
三十八难(误列三十四难)曰。五脏各有声色臭味。皆可晓之以不。然。十变言。肝色青。其
臭臊。其味酸。其声呼。其液泣。心色赤。其臭焦。其味苦。其声言。其液汗。脾色黄。其臭香
。其味甘。其声歌。其液涎。肺色白。其臭腥。其味辛。其声哭。其液涕。肾色黑。其臭腐。其
味咸。其声呻。其液唾。是五脏声色臭味也。
此以声色臭味。起下章之意。本文义自明。
三十九难(三十九难前节误列四十难三十九难次节误列三十四难末节。)曰。经言肝主色。
心主臭。脾主味。肺主声。肾主液。鼻者肺之候。而反知香臭。耳者肾之候。而反闻声。其意何也。
然。肺者。西方金也。金生于巳。巳者南方火。火者心。心主臭。故令鼻知香臭。肾者。北方水
也。水生于申。申者西方金。金者肺。肺主声。故令耳闻声。
此发明五行长生之义。比生克之生不同。如金生于巳者。金长生在巳也。水生于申者。水长
生在申也。此言神气相应之理。以起下文七神舍藏之义。
五脏有七神。各有所藏耶。然。脏者人之神气所舍藏也。故肝藏魂。肺藏魄。心藏神。脾藏
意与智。
肾藏精与志也。
(其义本文自明。)
四十难(误列三十五难)曰。五脏各有所腑。皆相近。而心肺独去大肠小肠远者。何谓也。
然。经言心荣肺卫。通行阳气。故居在上。大肠小肠传阴气而下。故居在下。所以相去而远也。
后人议大小肠与心肺高下相殊。不应配两寸。与此章之问词同。而越人引经早已晰其所以远之之
理。言心主荣而肺主卫。皆有通行清阳之职。理当在上。大小肠皆有传泻浊阴之职。故在下。其
相去虽远。而脏腑阴阳之气。无分远近也。故下文复明小肠者心之腑。大肠者肺之腑。而又明脏
腑同色之理。以足其义也。
又诸腑者。皆阳也。清净之处。今大肠小肠。胃与膀胱。皆受不净。其意何也。然。诸腑者
谓是名非也。经言小肠者。受盛之腑也。大肠者。传泻行道之腑也。胆者。清净之腑也。胃者。水谷之腑
也。膀胱者。精液之腑也。一腑犹无两名。故知非也。小肠者。心之腑。大肠者。肺之腑。胆者。肝之腑。
胃者。脾之腑。膀胱者。肾之腑。小肠谓赤肠。大肠谓白肠。胆者谓青肠。胃者谓黄肠。膀胱谓黑肠
。下焦所治也。
后人议大小肠不洁之腑。不应配心肺清高之脏。与此节问词同。而越人亦早已晰其义矣。
谓诸腑皆阳是也。谓诸腑名清净非也。故内经惟言胆者清净之腑也。其四腑亦各有名。犹无两名
之可混。乃知清净独指胆。且四腑俱下焦所属。各有受盛传道之职。乌可以清净名之哉。然腑脏
Therefore, it is said to be "slight Yin." It opens the slight Yang of Yi Wood (Yi Wood) and gathers the slight Yin of Geng Metal (Geng Metal), so that Liver Wood does not become dry and feels joyful. It is also stated: "Metal moves mostly along the Yin path, thus causing the Liver to sink when receiving Water." This means that although Geng is Yang Metal, its position lies in the Yin path among the Ten Heavenly Stems; therefore, the Liver also sinks following the Yin path, just as a wife follows her husband.
It is further stated: "The Lungs are not pure Metal, but Xin Shang (Xin Metal of the West)." The phrase "Bing's softness" implies that the Lungs are the Yin Metal of Xin Shang. However, they are not pure Metal because Bing combines with Xin, containing Bing Fire within. Bing belongs to Yang, while Xin belongs to Yin; thus, Xin Metal is the soft expression of Bing Fire. On a grand scale, this refers to the relationship between Yin and Yang; on a small scale, it is like the relationship between husband and wife.
It is also stated: "Releasing its slight Yin, marrying and moving towards Fire, its state is joyful." This means that Xin Metal represents the metal of the eighth month. In the eighth month, Yin Qi is still slight, hence called "slight Yin." By opening the slight Yin of Xin Metal and having it marry and move towards Fire, akin to marrying Bing Fire, the Yin of Xin Metal receives the Yang of Bing Fire, thus avoiding coldness and feeling joyful.
It is also stated: "Fire moves mostly along the Yang path, thus causing the Lungs to float when receiving Water." This means that Bing Fire's position lies in the Yang path among the Ten Heavenly Stems; therefore, the Lungs also float following the Yang path, just as a wife follows her husband. By extrapolating from the two organs, the Lungs and the Liver, one can comprehend the principles of Yin-Yang interaction among the Zang-Fu organs.
Why do the Lungs sink after reaching maturity (purity), while the Liver floats after reaching maturity? From this, we know that Xin should belong to Geng, and Yi should belong to Jia.
This discusses the separation of Yin and Yang. "Mature" here implies "pure." When Xin belongs to Geng, it becomes pure Metal, and Bing no longer combines with Xin, leading to separation. When Jia belongs to Yi, it becomes pure Wood, and Yi no longer combines with Geng, leading to separation. Separation leads to hyperactivity, and hyperactivity leads to death. Zhongfeng stated: Commentaries on this chapter have historically been unclear due to frequent errors in punctuation. For instance, Zhang punctuated "the softness of Geng speaks largely" and "Yin and Yang speak slightly"; Ma punctuated "its joy lies in Metal" and "its joy lies in Fire," rendering the profound meaning obscure everywhere. Now, by first clarifying the principle of mutual root of Yin and Yang and the intersection of the Five Elements, the entire text becomes coherent and self-evident. The mystery that has baffled scholars for millennia is suddenly illuminated—is this not delightful?
Difficulty 34 (mislisted as Difficulty 38) states: "There are only five Zang organs, yet there are six Fu organs. Why?" The answer is: The reason there are six Fu organs is due to the Sanjiao (Triple Burner). The Sanjiao has a distinct Yuan Qi (Source Qi), governs all Qi, has a name but no form, and its meridian belongs to the Hand-Shaoyang channel. It is an external Fu organ; hence, it is said there are six Fu organs.
This explains that the Sanjiao differs from other Fu organs by having a distinct Yuan Qi, enabling it to govern all Qi. Having a name but no form allows it to regulate externally, thus termed an external Fu organ. In my commentary on Difficulty 25, I described the Sanjiao as a large sac protecting the Zang-Fu organs, which aligns with this chapter’s meaning and brings clarity. However, later scholars claimed the Sanjiao has form and criticized the *Nan Jing*, failing to grasp its holistic view.
Difficulty 35 (mislisted as Difficulty 39) states: "The classics say there are five Fu organs but six Zang organs. Why?" The answer is: There are actually only five Fu organs. The reason the Zang are called six is because the Kidneys consist of two organs. The left is the Kidney, and the right is the Mingmen (Gate of Life). The Mingmen is where the Spirit resides. In men, it stores Essence; in women, it anchors the Bao (uterus). Its Qi connects with the Kidney, hence there are six Zang organs.
The previous chapter elucidated the six Fu organs; this chapter reiterates the meaning of six Zang organs. Previously mentioned six Fu included the external Fu. Now, regarding six Zang, it refers to the two Kidneys: left as Kidney, right as Mingmen. It is also stated: The Mingmen is where the Spirit resides; men store Essence, women anchor the Bao. Its Qi connects with the Kidney. This shows Bian Que assigned the name Mingmen to the right Kidney, but the actual location of the Mingmen is indeed between the two Kidneys. Otherwise, how could it store Essence and anchor the Bao? How could its Qi connect with the Kidney? Furthermore, to avoid confusion with the Pericardium Meridian of the Hand-Jueyin, the text later states that the Sanjiao, a Fu organ, does not belong to the five Zang, thereby indicating it belongs to the Pericardium. "Its Qi connects with the Kidney" refers to the continuous Qi between the Mingmen and the right Kidney, which becomes clear upon careful reading.
Why are there said to be five Fu organs? The answer is: Each of the five Zang corresponds to one Fu. The Sanjiao is also a Fu organ, but it does not belong to the five Zang; hence, it is said there are five Fu organs.
This explains that the Sanjiao does not belong to the five Zang but to the Pericardium. Citing the Sanjiao as a Fu organ demonstrates that it pairs not with the five Zang, but with the Pericardium. This is the most appropriate interpretation. In the discussion of the Sanjiao in Difficulty 25, I likened it to a large outer sac for Fu organs, paired with a small inner sac for Zang organs (the Pericardium), consistent with this section.
Difficulty 36 (partially mislisted) states: "Each Zang organ is singular, yet the Kidneys are dual. Why?" The answer is: The two Kidneys are not both Kidneys. The left is the Kidney, and the right is the Mingmen. The Mingmen is where the Spirit resides and where the Yuan Qi is rooted. Thus, men use it to store Essence, and women use it to anchor the Bao. Hence, it is known that there are two Kidneys (ancient texts often erroneously read 'one').
This chapter continues from the previous one, re-emphasizing that the Mingmen lies between the two Kidneys. It supplements that it is the root of Yuan Qi. The term "Yuan" refers to the origin of the Sanjiao. Difficulty 66 states: "The vital Qi moving between the umbilicus and the Kidneys is the life of humans," hence named Yuan. Observing this removes doubt. However, later scholars misunderstood this, believing the Sanjiao and Pericardium are exterior-interior partners based on the *Nei Jing*, forming a fixed Yin-Yang pair without mention of Mingmen-Sanjiao pairing. Only in *Ling Shu: Gen Jie* and *Su Wen: Yin Yang Li He* is "Mingmen" mentioned as the eye (Jingming acupoint), referring to the termination of the Taiyang meridian. There is no other concept of Mingmen there. The identification of the right Kidney as Mingmen appears specifically here in the *Nan Jing*. Since the *Nan Jing* derives from the *Nei Jing*, there must be solid evidence. As Hua Tuo noted in his commentary on Difficulty 7: "The phrase 'The Classics say' at the beginning is not found in *Ling Shu* or *Su Wen*. Perhaps Bian Que had access to an ancient version unknown to us." If the right Kidney is Mingmen, storing Essence and anchoring the Bao, what does the left Kidney store? This naturally raises doubts. Examining the *Meridians Chapter*, it mentions "Left is Kidney, Right is Zi Hu (Child Chamber)." Zi Hu is the uterus, commonly called Zi Chang. Located anterior to the rectum and posterior to the bladder, between the Guanyuan and Qihai acupoints, it stores male Essence and female Blood. Also called Dantian or Qihai, it is essentially the uterus. Below the uterus is a gate: the Chanmen (birth gate) in women, and the seminal duct in men. Male essence exits through this gate; female essence enters through it; after gestation, the fetus exits through it. As stated in Difficulty 44 regarding the Seven Choke Gates, all gates refer to passages of entry and exit. Since this is the foundation of innate life, why not call it Mingmen? This resolves the purpose of storing Essence and anchoring the Bao, aligning with Difficulty 66’s "vital Qi between umbilicus and Kidneys," dispelling ancient doubts. Regarding the twelve meridians' Yin-Yang and exterior-interior relationships, they are naturally paired. Adding another meridian to the Mingmen would imply the Kidney is singular while meridians are dual, which is illogical. Moreover, the *Nei Jing* states: "At the tenth thoracic vertebra of the Du Meridian is the Mingmen Yuan, belonging to the Kidney." Reading "Yuan" as a pause indicates the Mingmen is in the Yuan Qi, proving neither Kidney alone stores Essence or anchors the Bao. The True Yin of Tianyi resides in the Mingmen Yuan between the two Kidneys, its Qi connecting to the left; the True Yang of Kan resides in the Mingmen Yuan between the two Kidneys, its Qi connecting to the right. Thus, the left Kidney is Water, and the right Kidney is Fire. Bian Que distributed the True Yang of the Mingmen to the position of Minister Fire at the right Chi pulse, which is logical. I have analyzed the scriptural meaning and offer these comments for future correction.
Zhongfeng stated: Discussing the Yuan Qi of the Mingmen, the root of the twelve meridians, the gate of respiration, and the origin of the Sanjiao—does this not refer to this Mingmen?
The classic states: "Qi circulates exclusively in the five Zang organs and does not nourish the six Fu organs. Why?" The answer is: Qi flows like water and cannot cease. Therefore, Yin meridians nourish the five Zang organs, and Yang meridians nourish the six Fu organs. Like a circle without end, unknown in chronology, ending and restarting without overflow. Human Qi internally warms the Zang-Fu and externally moistens the Couli (skin and hair follicles).
This section explains that the Qi of the human body's Mingmen flows everywhere, but Yin meridians exclusively nourish the Zang, and Yang meridians exclusively nourish the Fu. Yin meridians refer to the Three Yin meridians; Yang meridians refer to the Three Yang meridians. They cycle endlessly through the Zang-Fu without overflowing, meaning neither tilting nor filling excessively. It also states: "Human Qi internally warms the Zang-Fu and externally moistens the Couli," meaning the single Yang Qi of the Mingmen internally warms and nourishes the Zang-Fu and externally moistens the Couli, penetrating every detail and reaching every place. The question about not nourishing the Fu organs refers only to Yin meridians, not Qi itself. Hence, the following text details diseases of Yin and Yang meridians. The terms "Fu" (overflow/reverse) and "Yi" (excess) do not refer to the Fu-Yi pulses at the Cun Kou (radial artery); old commentaries linking them to Difficulty 18 are major errors.
Difficulty 37 states: "From where do the Qi of the five Zang organs originate, and where do they connect? Can this be explained?" The answer is: The Qi of the five Zang organs connects upward to the nine orifices. Thus, Lung Qi connects to the nose; when harmonious, it distinguishes odors. Liver Qi connects to the eyes; when harmonious, it distinguishes black and white. Spleen Qi connects to the mouth; when harmonious, it distinguishes grain flavors. Heart Qi connects to the tongue; when harmonious, it distinguishes the five tastes. Kidney Qi connects to the ears; when harmonious, it distinguishes the five tones. Sanjiao Qi connects to the throat; when harmonious, it produces sound.
This chapter continues the meaning of Yin meridians nourishing the Zang. The nine orifices are two eyes, two ears, two nostrils, one mouth, one tongue, and one throat.
If the five Zang are disharmonious, the nine orifices will be blocked. If the six Fu are disharmonious, stagnation will form accumulations.
This continues the meaning of Yang meridians nourishing the Fu. The Fu belong to Yang; pathogenic factors in Yang lead to Fu disharmony, causing Qi stagnation, resulting in accumulations or abscesses. The following text discusses Zang and Fu together to explain the causes of disharmony. ("Ju" [accumulation] is written as "Yong" [abscess] in *Ling Shu*.)
Pathogenic factors in the Fu cause Yang meridian disharmony. Yang meridian disharmony leads to Qi stagnation. Qi stagnation causes Yang meridians to become excessive. Pathogenic factors in the Zang cause Yin meridian disharmony. Yin meridian disharmony leads to Blood stagnation. Blood stagnation causes Yin meridians to become excessive. If Yin Qi is too excessive, Yang Qi cannot mutually nourish it, termed "Guan" (Obstruction) (formerly mistaken as "Ge"). If Yang Qi is too excessive, Yin Qi cannot mutually nourish it, termed "Ge" (Rebellion) (formerly mistaken as "Guan"). If both Yin and Yang are excessive and cannot mutually nourish each other, it is termed "Guan Ge" (Obstruction and Rebellion). Guan Ge prevents one from fulfilling their natural lifespan, leading to death.
Yang pathogens invading the Fu cause Yang meridian disharmony. Disharmony leads to Qi congestion and pathogenic excess, causing the disharmonious pulse to become excessive. Yin pathogens invading the Zang cause Yin meridian disharmony. Disharmony leads to Blood stasis and pathogenic excess, causing the disharmonious pulse to become excessive. If both Yin and Yang meridians are excessive, Guan Ge ensues, leading to death. This chapter corresponds to *Ling Shu: Mai Du*. However, *Ling Shu* says "Zang internally connect to the upper seven orifices," whereas here it says "nine orifices." *Ling Shu* counts the nose as one orifice and omits the throat; here, the nose is counted as two, and the throat is added. Bian Que supplemented the *Nei Jing*: the Sanjiao is the great mansion governing Zang-Fu, and the throat is the great orifice of entry and exit. With these, sound, color, smell, and taste are complete. Regarding pathogens in the Fu, it matches the *Nei Jing*, except the terms "Guan Ge" are reversed compared to the *Nei Jing*. Consulting ancient editions reveals consistency with the *Nei Jing*, indicating a misplaced slip of bamboo slips, now corrected. Discussions on Guan Ge pulses are abundant. Some say it is a pulse, others say it is a disease, confusing students. I record excerpts from *Su Wen* and Zhang Zhongjing for reference. Guan Yin Ge Yang pulses specifically discuss pulse theory and Yin-Yang, not diseases. For example, in *Nei Jing*, Huangdi asks about Zang images; Qibo replies: "The Heart is the root of life... All eleven Zang depend on the Gallbladder." Thus, if the Renying pulse is one-fold stronger, the disease is in Shaoyang; two-fold, in Taiyang; three-fold, in Yangming; four-fold or more, it is Ge Yang (Rebellion of Yang). Zhang Jiebin identified the Renying pulse as the carotid artery and both hands' pulses as Cun Kou, which likely contradicts the original intent. Observing "All eleven Zang depend on the Gallbladder, thus Renying one-fold stronger indicates Shaoyang disease," we know the Gallbladder meridian is at the left Guan position. Therefore, Left Renying and Right Cun Kou is correct. Renying one, two, or three-fold stronger indicates all Three Yang are excessive. However, extreme Yang turns to Yin; four-fold or more means the Yang position of the Left Renying inevitably crosses into the Yin position of the Right Cun Kou, termed Ge Yang (Rebellion of Yang), i.e., Yang overcoming Yin in Difficulty 18. It also states: Cun Kou one-fold stronger indicates Jueyin disease; two-fold, Shaoyin; three-fold, Taiyin; four-fold or more, Guan Yin (Obstruction of Yin). Cun Kou one, two, or three-fold stronger indicates all Three Yin are excessive. Extreme Yin turns to Yang; four-fold or more means the Yin position of the Right Cun Kou inevitably crosses into the Yang position of the Left Renying, termed Guan Yin, i.e., Yin overcoming Yang in Difficulty 18. It also states: If both Renying and Cun Kou are four times or more excessive, it is Guan Ge. Guan Ge pulses, unable to exhaust the essence of Heaven and Earth, lead to death. Both Renying and Cun Kou being excessively strong (four times or more on both hands) constitutes the fatal Guan Ge pulse. If only one hand shows Ge Yang or Guan Yin, it is clearly not a fatal pulse. "Excessive" refers to Zhang Zhongjing's description of "floating and large." This theory uses left-right pulses to govern Yin-Yang. Huangdi asked: What if pulses contradict the four seasons and Yin-Yang do not correspond? Qibo replied: Contradicting the four seasons, excess is Jing (Essence), deficiency is Xiao (Emaciation). Responding to excess with deficiency is Jing; responding to deficiency with excess is Xiao. Non-correspondence of Yin-Yang is named Guan Ge. Jing means depletion of Essence; Xiao means emaciation of form. Spring and Summer are Yang; Autumn and Winter are Yin. During Spring/Summer when Yang should be excessive, obtaining a deficient Yin pulse depletes Essence. During Autumn/Winter when Yang should be deficient, obtaining an excessive Yang pulse emaciates Form. This is non-correspondence of Yin-Yang, named Guan Ge. This discusses Yin-Yang of four seasons combined with pulse excess/deficiency. Zhang Zhongjing also said: Cun Kou pulse floating and large; floating indicates deficiency (of Zheng/Essence), large indicates excess (of Xie/Pathogen). He also said: At Chi it is Guan; at Cun it is Ge. Clarifying that sinking at Chi rising to Cun is Guan, and floating at Cun sinking to Chi is Ge. This uses Cun-Chi positions to govern Guan Yin and Ge Yang. He also said: Guan results in inability to urinate; Ge results in vomiting and reversal. This notes Guan Yin pathology is lower, Ge Yang pathology is upper. Thus, Guan and Ge discussed separately are merely diseases, not fatal pulses. The *Nan Jing* defines Zang as Yin, Fu as Yang, Blood as Yin, Qi as Yang, Chi as Yin, Cun as Yang, sinking as Yin, floating as Yang, encompassing all Yin-Yang meanings and manifesting Guan Ge subtly. Later scholars claimed Guan Ge is a disease and forcibly named Huoluan (Colic) as Guan Ge, merely citing Zhang Zhongjing's "vomiting and inability to urinate" without understanding the full context. They failed to realize Zhang used these conditions to illustrate Guan Yin and Ge Yang, never naming Guan Ge after these symptoms.
Difficulty 38 (mislisted as Difficulty 34) states: "Can the colors, sounds, odors, and tastes of the five Zang organs be known?" The answer is: The *Shi Bian* states: Liver color is green, odor is fishy/sour, taste is sour, sound is crying/shouting, fluid is tears. Heart color is red, odor is scorched, taste is bitter, sound is speaking, fluid is sweat. Spleen color is yellow, odor is fragrant, taste is sweet, sound is singing, fluid is saliva. Lung color is white, odor is raw/fishy, taste is pungent, sound is weeping, fluid is mucus. Kidney color is black, odor is putrid, taste is salty, sound is groaning, fluid is saliva. These are the colors, sounds, odors, and tastes of the five Zang.
This uses colors, sounds, odors, and tastes to introduce the next chapter. The meaning is self-evident.
Difficulty 39 (parts mislisted) states: "The classics say the Liver governs color, Heart governs odor, Spleen governs taste, Lung governs sound, Kidney governs fluid. The nose is the manifestation of the Lung, yet it distinguishes odors. The ear is the manifestation of the Kidney, yet it hears sounds. What is the meaning?" The answer is: The Lung is Metal of the West. Metal is born in Si (Snake). Si is Fire of the South. Fire is the Heart. The Heart governs odor, thus enabling the nose to distinguish odors. The Kidney is Water of the North. Water is born in Shen (Monkey). Shen is Metal of the West. Metal is the Lung. The Lung governs sound, thus enabling the ear to hear sounds.
This elucidates the principle of the Twelve Long Sheng (Longevity stages) of the Five Elements, different from simple generation. Metal being born in Si means Metal reaches its long-life stage in Si. Water being born in Shen means Water reaches its long-life stage in Shen. This explains the correspondence of Spirit and Qi, leading to the meaning of the Seven Spirits residing in the Zang.
Do the five Zang organs house seven Spirits, each with its own storage? The answer is: The Zang organs are where the human Spirit and Qi reside and are stored. Thus, the Liver stores Hun (Ethereal Soul), the Lung stores Po (Corporeal Soul), the Heart stores Shen (Spirit), the Spleen stores Yi (Intellect) and Zhi (Will), and the Kidney stores Jing (Essence) and Zhi (Will/Fear).
(The meaning is self-evident in the text.)
Difficulty 40 (mislisted as Difficulty 35) states: "Each Zang has a corresponding Fu, and they are generally close. Why are the Heart and Lung far from the Large and Small Intestines?" The answer is: The classics state the Heart governs Ying (Nutritive) Qi and the Lung governs Wei (Defensive) Qi, circulating Yang Qi; thus, they reside superiorly. The Large and Small Intestines transmit Yin Qi downward; thus, they reside inferiorly. Hence, they are distant.
Later scholars argued that the intestines, being low, should not pair with the high Heart and Lung, mirroring this question. However, Bian Que clarified this using classics: The Heart governs Ying and Lung governs Wei, both having the duty of circulating clear Yang, rightly positioned superiorly. The intestines have the duty of transmitting turbid Yin, rightly positioned inferiorly. Though distant, the Yin-Yang Qi of Zang and Fu knows no distance. The following text reaffirms the Small Intestine is the Heart's Fu and the Large Intestine is the Lung's Fu, explaining the principle of same-color correspondence between Zang and Fu to complete the argument.
It is also stated: All Fu organs are Yang and should be pure/clean. Yet the Large Intestine, Small Intestine, Stomach, and Bladder receive impurities. What is the meaning? The answer is: Saying all Fu are clean is incorrect. The classics state: The Small Intestine is the Fu of Reception and Storage; the Large Intestine is the Fu of Transmission and Passage; the Gallbladder is the Fu of Purity/Cleanliness; the Stomach is the Fu of Water and Grain; the Bladder is the Fu of Fluids. One Fu does not have two names; thus, the claim is incorrect. The Small Intestine is the Heart's Fu, the Large Intestine is the Lung's Fu, the Gallbladder is the Liver's Fu, the Stomach is the Spleen's Fu, and the Bladder is the Kidney's Fu. The Small Intestine is called the Red Intestine, the Large Intestine the White Intestine, the Gallbladder the Green Intestine, the Stomach the Yellow Intestine, and the Bladder the Black Intestine. These are governed by the Lower Jiao.
Later scholars argued that the unclean intestines should not pair with the pure Heart and Lung, echoing this query. Bian Que clarified: Saying all Fu are Yang is correct; saying all Fu are named "clean" is incorrect. The *Nei Jing* only calls the Gallbladder the Fu of Cleanliness. The other four Fu have specific names and cannot be confused, confirming "Cleanliness" applies solely to the Gallbladder. Moreover, these four Fu belong to the Lower Jiao and have duties of reception and transmission; how can they be called "clean"? However, Zang and Fu...