丹溪《格致余论》曰∶《生气通天论》病因四章,第一章“因于寒”之下“欲如运枢”三句,与上文意不相属,皆衍
文也,当以第二章“因于暑”之下,“体若燔炭,汗出而散”二句,移于因寒之下云云。尤在泾先生深通《经》义者也,
独于此论未甚研求,乃于《读书记》云∶因于寒、因于暑二节,丹溪重定章句为是。烈谓“因于寒”之下“欲如运枢”
句,不必谓之衍文,惟“起居如惊,神气乃浮”二句,与下文“体若燔炭,汗出而散”二句彼此舛错,仅以此四句互为
移掇,读作“因于寒,欲如运枢,体若燔炭,汗出而散。因子暑汗,烦则喘喝,静则多言,起居如惊,神气乃浮。”意即
贯串。盖谓因子寒者,如枢运动,寒气自散,如《内经》洗熨、按摩等法是也。若寒郁为热,有似燔炭,必须汗出而散,
如仲景麻黄汤之类是也。因于暑者,乃君火为病,故自汗、喘喝而多言,以及起居卒暴,神气浮越也。丹溪、在泾皆相
承而误。
本集第二卷,薛一瓢先生《日讲杂记》中有此一则,而语焉未详,书出之后,诸同学迭有来问此说者,爰为之详说
于左。
此本诸《素问遗篇·刺法论》,虽经张景岳类释于刚柔失守之条(甲、丙、戊、庚、壬,五年为阳,于气刚;乙、丁、
辛、已、癸,五年为阴,于气柔。应交而不布政者,谓之失守),而尚未甚晰,窃参鄙臆,详以明之。假如甲子年,上半
岁多风少暖,为上年司天之厥阴不退位,本年司天之少阴不迁正;若下半岁多凉,为在泉之阳明得位,甲子之在泉,阳
明已卯也(在泉之干,即以司天之干相合者推之,如甲与巳合,乙与庚合也。在泉之支,以司天之支各就四正、四偏、
四维中阴阳相配者推之,如子与卯为四正中之一阴一阳,寅与巳为四偏中之一阴一阳,辰与未为四维中之一阴一阳也,
余仿此)。以上年之司天,临本年之在泉,则上癸下巳,为不和。甲失其位,谓之木胜土虚(甲己化土),木胜必金复(指
下年乙庚化金之岁言),金既复,木必稍退,而子年司天之少阴至矣。木反助火克金,其复必微。而甲己之土皆失守,土
郁之久,后化为疫,早则丙寅,晚则丁卯,土疫至也(丙辛化水之年,久郁之士方得胜之而为病,再次年丁壬化木,木
又克土,亢则害而为病也。土疫即湿疫,今所谓湿温之类是也)。疫之微甚,详其年之司天在泉或盛或衰为定。又若上半
岁气暖,为少阴司天布政,而下半岁多温少凉,为上年在泉之少阳不退位,本年在泉之阳明不迁正,夫己卯之柔,不至
于下(本年在泉属阳明,己卯解见上),则甲子之刚,孤立于上,亦为土虚,后化为疠(凡司天失守化为疫,在泉失守化
为疠。疫、瘟疫也,疠、杀疠也)。土疫将至,恐伤肾脏,当先补肾俞,次泄土气以去其郁,戒夜行远行(经本论刺法,
故以俞言,用药者,亦仿其意可也)。其余详载《类经》,不必复赘,余年皆仿此。
疫疠每发于阳年,除天刑六年,其余二十四年是也(庚子、庚午君火刑金运,庚寅、庚申相火刑金运,戊辰、戊戌
寒水刑火运,此六年本非有余,故不发疫,余皆阳刚太过,故作疫也)。然此指阳运自胜而无邪伤者也,若刚柔迭失其位,
四时不节,谓之失之迭位,即生大疫(应司天而不司天,应在泉而不在泉,虽属阳年,亦为不及,不必郁至三年始发疫
疠也)。
Danxi stated in *Gezhi Yulun* (Treatise on Cultivating Understanding): In the four chapters regarding etiology in *Shengqi Tongtian Lun* (Treatise on the Connection between Vital Qi and Heaven), the three sentences "yu ru yun shu" (desire like a rotating pivot) under the first chapter's "yin yu han" (due to cold) do not connect with the preceding context and are all interpolations (superfluous text). The two sentences "ti ruo fan tan, han chu er san" (body hot as burning charcoal, scattered by sweating) from the second chapter under "yin yu shu" (due to heat) should be moved below "yin yu han". Mr. You Zaijing, who deeply comprehends the meaning of the Classics, did not study this treatise thoroughly. In *Dushu Ji* (Records of Reading), he claimed that Danxi's reordering of the chapters for "due to cold" and "due to heat" was correct. I hold that the sentence "yu ru yun shu" under "yin yu han" need not be called an interpolation. Rather, the two sentences "qiju ru jing, shen qi nai fu" (daily life startled, spirit qi floats) and the following two sentences "ti ruo fan tan, han chu er san" are mutually misplaced. By simply swapping these four sentences, reading them as "yin yu han, yu ru yun shu, ti ruo fan tan, han chu er san. Yin yu shu han, fan ze chuan he, jing ze duo yan, qiju ru jing, shen qi nai fu," the meaning becomes coherent. This implies that for those affected by cold, like a pivot turning, the cold qi dissipates naturally, similar to methods such as washing, warming, and massage mentioned in *Neijing*. If cold stagnates and transforms into heat, resembling burning charcoal, it must be dispersed through sweating, similar to formulas like Mahuang Tang (Ephedra Decoction) by Zhang Zhongjing. For those affected by heat, it is a disease caused by Ministerial Fire, hence presenting with spontaneous sweating, panting and shouting, excessive talking, and sudden startling in daily life leading to floating spirit qi. Both Danxi and Zaijing inherited this error.
In Volume 2 of this collection, Mrue Xue Yupiao's *Rijiang Zajiji* contains this note but lacks detail. After the book was published, many students asked about this theory, so I elaborate here.
This originates from *Suwen Yipian · Cifalun* (Supplementary Chapters of Suwen · Treatise on Needling Methods). Although Zhang Jingyue classified explanations under the section on rigidity and softness losing their positions (Jia, Bing, Wu, Geng, Ren are five years of Yang, characterized by rigid qi; Yi, Ding, Xin, Ji, Gui are five years of Yin, characterized by soft qi. When they should exchange but fail to administer governance, it is called losing position), it remains unclear. Combining my own insights, I clarify it in detail. Suppose it is the Jiazi year: if the first half of the year has much wind and little warmth, it is because the previous year's Si Tian (Heavenly Governance) Qi, Jueyin Wind Wood, did not withdraw its position, and the current year's Si Tian Qi, Shaoyin Ministerial Fire, did not advance to its position. If the second half of the year is cool, it is because the Zai Quan (Earthly Governance) Qi, Yangming Dryness Metal, holds its position. The Zai Quan of Jiazi is Yangming Dryness Metal (The Heavenly Stem of Zai Quan is deduced by combining with the Heavenly Stem of Si Tian, e.g., Jia combines with Ji, Yi combines with Geng. The Earthly Branch of Zai Quan is deduced by matching Yin-Yang among Si Zheng, Si Pian, and Si Wei relative to Si Tian's branch, e.g., Zi and Mao are one Yin and one Yang in Si Zheng, Yin and Si are one Yin and one Yang in Si Pian, Chen and Wei are one Yin and one Yang in Si Wei, etc.). With the previous year's Si Tian overseeing the current year's Zai Quan, it results in Upper Gui and Lower Ji, indicating disharmony. Jia loses its position, termed Wood Excess and Earth Deficiency (Jia-Ji transform to Earth). Wood excess inevitably triggers Metal retaliation (referring to the next year Yi-Geng transforming to Metal). Once Metal retaliates, Wood recedes slightly, allowing Shaoyin Ministerial Fire of the Zi year's Si Tian to arrive. Wood assists Fire to overcome Metal, making the retaliation weak. Consequently, both Jia-Ji Earth loses its position. Long-standing Earth stagnation eventually transforms into epidemic diseases (Yi). Early in Bingyin year, late in Dingmao year, Earth Epidemic arrives (In Bing-Xin years transforming to Water, stagnant Earth finally overcomes and causes disease; in the subsequent Ding-Ren years transforming to Wood, Wood overcomes Earth, causing disease due to hyperactivity. Earth epidemic is damp epidemic, akin to modern Shiwarmth). The severity of the epidemic depends on the prosperity or decline of the year's Si Tian and Zai Quan. Furthermore, if the first half is warm, indicating Shaoyin Ministerial Fire governing, and the second half is warm with little coolness, indicating the previous year's Zai Quan ShaoYang Ministerial Fire did not withdraw and the current year's Zai Quan Yangming Dryness Metal did not advance, then the soft Qi of Jimao does not descend (Current Zai Quan belongs to Yangming, explanation of Jimao above). Thus, the rigid Qi of Jiazi stands isolated above, also constituting Earth deficiency, later transforming into Li Qi (Plague/Killing Pestilence). Whenever Si Tian loses position, it transforms into Yi (Epidemic); whenever Zai Quan loses position, it transforms into Li (Plague). Yi refers to plague; Li refers to killing pestilence. As Earth Epidemic approaches, fearing damage to the Kidney, one should first tonify Shenshu (Kidney Transport) acupoint, then drain Earth Qi to remove stagnation, and avoid night walking or long journeys (The classic discusses needling methods, hence mentioning transport points; physicians using herbs can follow this principle). Details are recorded in *Leijing*, no need to repeat. Other years follow this pattern.
Epidemics typically occur in Yang years, except for the six Tianxing (Heavenly Punishment) years, totaling twenty-four years (Gengzi, Gengwu: Ministerial Fire punishes Metal transport; Gengyin, Gengshen: Ministerial Fire punishes Metal transport; Wuchen, Wuxu: Cold Water punishes Fire transport. These six years are not excessive, hence no epidemic; others are overly rigid Yang, thus causing epidemics). However, this refers to Yang transport overcoming without external pathogen injury. If rigidity and softness alternate in losing their positions, and the four seasons are irregular, it is called "losing alternating positions," generating major epidemics (Si Tian fails to govern when it should, Zai Quan fails to govern when it should; even in Yang years, this constitutes insufficiency, not requiring three years of stagnation to trigger epidemics).