张景岳《三焦胞络命门辨》云,“命门为阳气之根,故随三焦相火之脉,同见于右尺。”按命门居两肾中间,即人身
之太极,乃阴阳之根底,既为阳气之根,亦为阴气之根。景岳《真阴论》云∶“命门之火,谓之元气,命门之水,谓之元
精。”论理并无偏倚,及至论及脉位,则但将右尺以候阳气之根,将谓左尺不可以候阴气之根乎?将谓阴气之根,亦于右
尺诊之乎?将谓命门但候元气,不必候其元精乎?此景岳之偏于温补,其误即在于此,所谓差之毫厘者也。按命门原气,
禀于有生之初,得父母之两神相合而化形,如露珠之一滴升于丹鼎之上,以为生身立命之根,天地、阴阳、五行之精,
亦即妙合,于是五脏六腑、四肢百骸由此而生,不可以言水火,并不可以言精气,乃精、气、神三家会合,而始成此一
点,莫可名言,而曰命门,指人身有生之根,天之所命而名之。左氏曰∶民受天地之中以生,所谓命也,此之谓欤。命
门一点,藏于两肾中间,以营运阴阳之气,全借肾中阳气、阴精以为之养。在有生以前,则精气生长于命门,在有生以
后,则精气之生于命门者,命门反须精气以养焉。精气不足,犹可峻补以救之,至精气大伤,而命门生气之原绝,则非
补精气之所能挽回,故言至水火精气,已属肾阴、肾阳,而非命门矣。夫命门为生气之原,非特右尺不能候,即两尺亦
不能候,且六部俱不能候,是当以《难经》为断也。《八难》曰“诸十二经脉者,皆系于生气之原。所谓生气之原者,
谓十二经之根本也,谓肾间动气也。此五藏六腑之本,十二经脉之根,呼吸之门,三焦之原,一名守邪之神。故气者,
人之根本也,根绝则茎叶枯矣。寸口脉平而死者,生气独绝于内也。”独是《一难》独取寸口以决死生,而《八难》言寸
口脉平亦死,是何其自相悖谬乎?盖寸口为脉之大会,可决死生,乃谷气之变见,后天有形之可脉也;生气之原绝,则
寸口脉平犹死,乃元神之聚散,先天无形之不可脉也。然则命门之绝,将不可脉之而已乎?《经》曰∶“望而知之谓之神”,
在医者之以神照神,乃神圣之能事,诚非下士之所能窥测,而以右尺为诊,则固知其非也。
Zhang Jingyue stated in *Differentiation of the Sanjiao, Pericardium Collateral, and Mingmen*: "The Mingmen (Gate of Life) is the root of Yang Qi, thus it follows the meridians of the Minister Fire of the Sanjiao and appears together at the Right Chi pulse position." According to this view, the Mingmen resides between the two Kidneys, representing the Taiji of the human body, and serves as the foundation of Yin and Yang. Since it is the root of Yang Qi, it is also the root of Yin Qi. Zhang Jingyue wrote in *Discussion on True Yin*: "The fire of the Mingmen is called Yuan Qi (Original Qi); the water of the Mingmen is called Yuan Jing (Original Essence)." Theoretically, there is no bias; however, when discussing pulse positions, he only assigns the Right Chi to monitor the root of Yang Qi. Does this imply that the Left Chi cannot monitor the root of Yin Qi? Or does it imply that the root of Yin Qi should also be diagnosed at the Right Chi? Or does it imply that the Mingmen only monitors Yuan Qi and need not monitor its Yuan Jing? This reflects Zhang Jingyue's bias toward warm-tonifying methods, and his error lies precisely here, which is what is meant by "a miss is as good as a mile."
According to analysis: The Original Qi of the Mingmen is endowed at the beginning of life, formed through the union of the essence and spirit of both parents. It is like a drop of dew rising above the cinnabar furnace, serving as the root for establishing life. The essence of Heaven and Earth, Yin and Yang, and the Five Elements also miraculously combine here, giving rise to the Zang-Fu organs of the five zang and six fu, and the four limbs and hundred bones. Here, one cannot simply speak of Water and Fire, nor merely of Essence and Qi; rather, it is the convergence of Essence, Qi, and Spirit that forms this single point, which is ineffable and thus named Mingmen, referring to the root of human life, bestowed by Heaven. Zuo Qiuming said: "People are born receiving the central energy of Heaven and Earth, which is called 'Ming' (Life/Fate)," referring to this concept. This single point of the Mingmen is hidden between the two Kidneys, operating the Qi of Yin and Yang, relying entirely on the Yang Qi and Yin Essence within the Kidneys for nourishment. Before birth, Essence and Qi grow within the Mingmen; after birth, the Essence and Qi generated by the Mingmen require the Mingmen itself to be nourished by Essence and Qi. If Essence and Qi are insufficient, they can still be rescued with potent tonification; but if Essence and Qi are severely damaged, leading to the severance of the source of vital Qi in the Mingmen, it cannot be reversed by merely supplementing Essence and Qi. Therefore, speaking of Water, Fire, Essence, and Qi belongs to the realm of Kidney Yin and Kidney Yang, not the Mingmen.
Since the Mingmen is the source of vital Qi, it cannot be monitored by the Right Chi alone, nor by both Chi positions, nor even by any of the six pulse positions. Thus, judgment should be based on the *Nan Jing* (Classic of Difficult Issues). *Nan Jing, Chapter 8* states: "All twelve primary meridians are connected to the source of vital Qi. This source of vital Qi is the root of the twelve meridians, known as the Moving Qi between the Kidneys. This is the root of the five zang and six fu organs, the root of the twelve meridians, the gate of respiration, and the source of the Sanjiao, also called the Deity that guards against pathogenic factors. Therefore, Qi is the root of human life; if the root is severed, the stems and leaves will wither. In cases where the Cun Kou pulse is peaceful yet death occurs, it is because the vital Qi has been uniquely severed internally." Yet, *Nan Jing, Chapter 1* advocates taking only the Cun Kou pulse to determine life and death, while *Chapter 8* states that even a peaceful Cun Kou pulse leads to death. Is this not self-contradictory? The reason is that the Cun Kou is the gathering place of pulses and can determine life and death based on the manifestation of Grain Qi (Gu Qi), which is a tangible, postnatal pulse. However, when the source of vital Qi is severed, even a peaceful Cun Kou pulse results in death, reflecting the aggregation and dispersion of the Primordial Spirit, which is intangible and pre-natal, and thus beyond the scope of pulse diagnosis.
Then, does the severance of the Mingmen mean it is completely undiagnosable by pulse? The *Jing* (Classics) state: "To know [the disease] through observation is called Divine." This relies on the physician using their spirit to illuminate the patient's spirit, which is a divine capability, certainly not something inferior physicians can fathom. To diagnose solely via the Right Chi is undoubtedly incorrect.