东垣曰∶“相火者,元气之贼也。”丹溪述之,景岳非之。论曰“情欲之火,邪念也,邪念之火为邪气,非相火之所
为也。”二家之说俱有词障。夫相火者,肾中之真阳,禀自先天,为人生之根本,云为动作赖之以立,衰则病,息则死。
老子曰∶“一”生二。”周子曰∶“无极而太极,太极动静而生阴阳。”是相火一人身之太极也,太极不能无动,然动而有
节,即是少火以生气,动而无制,则为壮火以害气,如水能浮舟,亦能覆舟,实一相火之所为,岂得另有邪火也?故人
之喜怒爱惧,不过五藏之本志,男女大欲,则又万物之化醇,是皆天地间经常之理,原不至于伤生,惟狂荡无节,斯为
害耳。然相火既定位于下焦,蒸腾发育,夫能使之理胜而安,欲胜而危者,则唯一心,故心为君火。《经》曰∶“君火以
明,相火以位。”又曰∶“主不明则十二官危。”此其尤大彰明较着者也。《大学》正心,释氏降伏其心,养生者善治其心。
则推而极之,为圣贤,为仙佛,守而持之,康宁寿考。若舍君而言相,无怪乎或为元气之贼,或为生气之本,意旨岐趋,
则泻火补阳,争门角立,党同伐异,欲为阐发前贤,恐先与《经》旨相谬。
“五方风土异宜,古今元气不同”,医林每奉此二语为治病立方之要旨。以为西北高燥多寒,东南卑湿多热,高燥则
筋骨劲强,卑湿则肌肉柔弱,此分情势之刚柔,非以判本原之强弱,故《内经·异法方宜论》、《五常政大论》,圣人早为
详言之。至古今元气不同,则愚窃有说焉。皇古之世,寿称千百,荐绅先生难言之,或者书缺有间,未足征信欤?《尚
书》载自帝尧以来,则皆彰彰可考,所谓元气之浓薄,必征诸寿数之短长,故古人之元气不可见,而古人之寿数有可稽。
唐虞三代,已不闻有数百岁之人,观之孔颜,尤明验也。仲师诞生于汉,为制方之祖,其用药也,不啻数倍于今,由其
察脉真,审证确,任使精专,一汤日作数服,病愈或不终剂,盖有是病,必用是药,去疾务尽,断断然也,然非谓汉时
气浓则可也。古者以百岁为上寿,七八九十者为老,递降而夭殇,自汉迄今,果有异欤?盖至诚无息,天地之体未有久
而渐薄之理,惟天地无心于造物,人禀天地之气以生者,原各得此百年之用,而修短不齐者,人自有其浓薄耳,今古一
辙也。不然,轩岐垂教,长沙祖述,岂专为一方一代而言哉?若谓今之人禀气日薄,则善乎徐洄溪有草木之性随之亦薄
之论,此又不移至理也。自元气不同之说行,群以古法不宜于今,麻、桂虑其亡阳,姜、附畏其劫阴,柴、葛以升而代
之,硝、黄以厉而制之,即偶然一用,不过数分,病则犹是也,药则不及矣,安能奏效乎?因是邪不去,正立亡,始之
以谨慎爱之者,终之以因循害之也。故愚以为学人,当专务审证辨脉,既得证因之本,幸勿拘元气不同之见,当宗古人
用药而稍减之,矫今人立方而增重之,庶几病气速除,生机不息矣。鼎也学识浅陋,有志未逮,书此以俟之。
Li Dongyuan stated: "Xianghuo (Ministerial Fire) is the thief of Yuanqi (Original Qi)." Zhu Danxi elaborated on this, while Zhang Jingyue refuted it. Zhang argued: "Fire arising from emotions and desires belongs to evil thoughts; fire generated by evil thoughts constitutes pathogenic factors, which is not the function of Xianghuo." The arguments of both schools have their limitations. Xianghuo refers to the True Yang within the Kidney, inherited from the congenital state, serving as the root of life. Human speech and movement rely on it for establishment; when it declines, disease occurs, and when it ceases, death follows.
Laozi said: "One generates Two." Zhou Dunyi stated: "Wuji gives rise to Taiji; the movement and stillness of Taiji generate Yin and Yang." Thus, Xianghuo is the Taiji of the human body. Taiji cannot be without movement or stillness. However, if movement is regulated, it constitutes Shaohuo (Lesser Fire), which generates Qi; if movement lacks control, it becomes Zhuanghuo (Greater Fire), which damages Qi. This is like water that can float a boat but also capsize it; in reality, all are functions of Xianghuo. How could there be another type of pathogenic fire? Therefore, human emotions such as joy, anger, love, and fear are merely the inherent aspirations of the Five Zang Organs. The great desire between men and women represents the醇厚 (richness/essence) of the transformation of all things. These are normal principles in heaven and earth, originally not harmful to life. Only when they become wild and unregulated do they cause harm.
Since Xianghuo is located in the Lower Jiao and responsible for steaming and development, the only factor that can ensure its rationality leads to peace while excessive desire leads to danger is the Heart. Hence, the Heart is called Junhuo (Monarch Fire). The *Huangdi Neijing* states: "Junhuo illuminates, while Xianghuo maintains its position." It also says: "If the Ruler is not enlightened, the Twelve Officials are in peril." This is a particularly evident principle. The *Great Learning* emphasizes rectifying the mind; Buddhism advocates subduing the mind; those who practice health preservation excel at governing the mind. If pushed to the extreme, one becomes a sage or an immortal/Buddha; if maintained, one enjoys health and longevity. If one discards Junhuo and discusses only Xianghuo, it is no wonder that some view it as the thief of Original Qi while others see it as the root of generating Qi. Such divergent intentions lead to disputes between clearing fire and tonifying yang, factionalism, and attacks on differing views. In attempting to elucidate the thoughts of former sages, one might first contradict the intent of the *Classic*.
"The five regions have different climatic suitability, and the Original Qi of ancient times differs from that of modern times." Medical practitioners often regard these two statements as the essential principles for treating diseases and prescribing formulas. They believe that the northwest is high, dry, and cold, while the southeast is low, damp, and hot. High and dry conditions make bones and sinews strong, whereas low and damp conditions make muscles weak. This distinguishes the rigidity and flexibility of physical constitution, not the strength or weakness of the original source. Therefore, in the *Yi Fa Fang Yi Lun* (Treatise on Different Methods and Suitable Areas) and *Wu Chang Zheng Da Lun* (Great Treatise on the Five Regular Policies) of the *Neijing*, the sages had already detailed this. Regarding the difference in Original Qi between ancient and modern times, I have my own perspective.
In the remote antiquity, lifespans were claimed to be hundreds or thousands of years, yet scholars found this difficult to explain. Perhaps books are missing gaps, making it unreliable? The *Book of Documents* records from Emperor Yao onwards, which are clearly verifiable. The thickness or thinness of Original Qi must be verified by the length or shortness of lifespan. Thus, while ancient Original Qi is invisible, ancient lifespans are traceable. By the Tang, Yu, and Three Dynasties periods, there were no longer people living for hundreds of years, as evidenced by Confucius and Yan Hui. Zhang Zhongjing was born in the Han Dynasty and is the ancestor of formula creation. His use of herbs was several times greater than that of today because he accurately diagnosed pulses and precisely assessed syndromes, using medications with precision. One decoction was taken in multiple doses daily; if the illness was cured, the full course might not even be finished. He believed that for every disease, there is a specific medicine, and eliminating the disease must be thorough. This does not imply that the Original Qi of the Han Dynasty was thicker to justify such dosage.
In ancient times, 100 years was considered the highest longevity, and 70-90 years was old age, decreasing sequentially until premature death. Is there truly a difference from the Han Dynasty to now? Sincerity has no rest; the body of Heaven and Earth does not have a principle of gradually thinning over time. Since Heaven and Earth are unintentional in creation, humans endowed with the Qi of Heaven and Earth originally possess the capacity for a hundred years. Variations in lifespan are due to individual differences in the thickness of their Qi, which is consistent across ancient and modern times. Otherwise, would Xuanyuan (Yellow Emperor) and Qibo's teachings, and Zhang Zhongjing's succession, be intended solely for one region or era? If one claims that modern people inherit increasingly thinner Qi, then Xu Huixi's theory that the nature of herbs also becomes thinner accordingly is not an immutable truth.
Since the theory of "different Original Qi" became popular, everyone assumed ancient methods were unsuitable for modern times. They feared Mahuang (Ephedrae Herba) and Guizhi (Cinnamomi Ramulus) would cause Yang collapse, and Shengjiang (Zingiberis Rhizoma Recens) and Fuzi (Aconiti Lateralis Radix Praeparata) would劫伤 (rob/injure) Yin. They substituted Chaihu (Bupleuri Radix) and Gegen (Puerariae Lobatae Radix) for ascending actions, and restricted Xiaoshi (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma) due to their harshness. Even when used occasionally, the dosage was only a few fen. The disease remained the same, but the medicinal power was insufficient, so how could efficacy be achieved? Consequently, pathogens are not expelled, and healthy Qi perishes immediately. What began as caution and care for the patient ends up harming them through inertia. Therefore, I believe students should focus exclusively on assessing syndromes and differentiating pulses. Once the root of the syndrome and cause is identified, one should not be constrained by the view of differing Original Qi. Instead, one should follow ancient herbal usage but slightly reduce the dosage, correcting the modern tendency to increase dosages in prescriptions. This way, pathogenic Qi will be removed quickly, and vital energy will remain uninterrupted. Ding (the author referring to himself, Tang Dale) possesses shallow learning and unfulfilled ambitions, writing this to await correction from experts.