《伤寒》书有“噫气不除”句,今人以“噫”字读作“根据”字声者居多,因《四书》注∶“噫,心不平声也。”但此
噫气由中气不和,胃气上逆,与心不平声义不合。考《字典》音于介切,应读“隘”字之去声为是。
《脉诀》二十八脉内有濡脉,注云∶“与烂绵相似。”今人读作“如”字声者居多,然非濡滞之义。考《字典》“濡”
字有而、囚、如、柔、 、五音,《庄子》有“濡弱谦下为表”句,与“ ”字之义颇合,则此“濡脉”,宜读“ 脉”
为是。
痹者,闭而不通之谓也。《字典》兵糜切,音秘。今人多念作“避”字声者非。
枳壳、枳实,皆破气之品,夏月乃“热伤气”之令,二药非宜,故暑湿热三气门方中,惟阳明实满,不得不与承气
汤者间有用之,其余皆不用,此古人制方之意,若有不谋而合焉。今人未能体会,每于暑热之时任意用之,是何读古人
书而漫然未觉耶?或曰∶枳不宜于夏令,槟榔尤甚矣,余曰∶不然,夏月之邪,三焦受者居多,非槟不达,故为要药,
枳不能通三焦,故为时令之禁。
心有所乐谓之喜,何反谓其伤心哉?凡人之气,以平为期,不及者病,过者亦病。《经》曰∶“心藏神,神有余则笑
不休。”试即以“不休”二字味之,乃乐之过而失其正也。当此乐以忘忧之际,有放心而不知求其心,所藏之神不亦因之
而涣散乎?至于恐能胜喜,其义维何?盖喜为心志,恐为肾志,水能制火,既济之道也。抑更有显而易见者,人当极喜
之时,适有恐惧之事,猝然遇之,莫不反喜为忧者,惟以喜之情缓于恐,而恐之情急于喜也。是仅以水火克制之理言之,
或近傅会,而不知胜复之道本乎人情,实有没相印合者。
The *Shanghan Lun* (Treatise on Cold Damage) contains the phrase "intractable belching" (Yi Qi). Currently, most people pronounce the character "Yi" with the same sound as "Ju" in "Genju" (according to), because the commentary on the *Four Books* states: "Yi is the sound of a heart that is not at peace." However, this "belching" arises from disharmony of the Middle Qi and rebellion of Stomach Qi, which does not align with the meaning of a sound made by an unsettled mind. Consulting the *Kangxi Dictionary*, the phonetic notation for "Yi" is "Yu Jie Qie," indicating it should be pronounced with the departing tone (Qu Sheng) of the character "Ai" (narrow/pass). This is correct.
In the *Mai Jue* (Pulse Rhymes), among the twenty-eight pulse types, there is the "Ru Pulse" (Deficient/Soft Pulse), annotated as: "Resembling rotten cotton." Currently, most people pronounce it with the same sound as "Ru" (like/as), yet this does not convey the meaning of "Ru Zhi" (stagnation/dampness). Consulting the *Kangxi Dictionary*, the character "Ru" has five pronunciations: Er, Qiu, Ru, Rou, and [Missing Character]. The *Zhuangzi* contains the sentence "Ru Ruo Qian Xia Wei Biao" (Being soft, weak, humble, and yielding serves as the exterior), which aligns well with the meaning of the [Missing Character]. Therefore, regarding this "Ru Pulse," it is appropriate to pronounce it as the [Missing Character] Pulse.
Bi (Obstruction Syndrome) refers to blockage and lack of free flow. The *Kangxi Dictionary* provides the phonetic notation "Bing Mi Qie," with the sound "Mi" (secret/still). It is incorrect for most people today to pronounce it with the same sound as "Bi" (avoid).
Zhi Ke (Aurantii Fructus) and Zhi Shi (Aurantii Fructus Immaturus) are both substances that break Qi. Summer is the season where "heat injures Qi," so these two medicines are not suitable. Therefore, in formulas for門 (categories) dealing with summer-heat, dampness, and heat, they are used only occasionally when Yangming excess-fullness necessitates the use of Chengqi Tang (Gastrointestinal Releasing Decoction); in all other cases, they are not used. This reflects the intent of the ancients in formulating prescriptions, appearing almost coincidental. Modern practitioners fail to comprehend this, often using them arbitrarily during hot weather. What is the reason for this? Is it due to careless reading without realization? Some say: Zhi Shi is unsuitable for summer; Bin Lang (Areca Seed) is even more so. I reply: Not so. Pathogens in summer mostly affect the Sanjiao (Triple Burner); only Bin Lang can penetrate and reach them, making it an essential medicine. Zhi Shi cannot unblock the Sanjiao, hence it is prohibited in this season.
Joy arising from contentment is called Xi (Joy/Happiness). Why is it said to damage the Heart? Generally, human Qi aims for balance; deficiency causes disease, and excess also causes disease. The *Jing* (Classic, referring to *Huangdi Neijing*) states: "The Heart stores Shen (Spirit); if Shen is in excess, laughter will not cease." Consider the two characters "Bu Xiu" (not ceasing); this indicates joy that has exceeded moderation and lost its rectitude. At this moment of forgetting worries through joy, if one lets the mind wander without seeking to retrieve the Heart's essence, will not the stored Shen become scattered? As for why Fear (Kong) can overcome Joy (Xi), what is the rationale? Joy belongs to the Heart's emotional expression, while Fear belongs to the Kidney's emotional expression. Water controls Fire, which is the principle of Mutual Overcoming and Balance (Ji Ji). Furthermore, there is an obvious phenomenon: when a person is extremely joyful and suddenly encounters something frightening, they invariably turn from joy to worry. This is because the emotion of joy is slow/gradual, whereas the emotion of fear is urgent/immediate. If we explain this solely through the theory of Water and Fire mutual control, it might seem like forced speculation; however, one should not realize that the way of overcoming and recovering (Sheng Fu) is rooted in human nature, and there is indeed a mutual correspondence.