说这个并不是说就没有热，没有火邪，没有热病。有。但是你不能把寒症说成是热 ，不能指鹿为马，不能张冠李戴，不能把所有的病都说成是热。当然，也不能把所 有的病说成是寒，该是什么就是什么。但是从真实情况统计结果来看，阳虚者十常 八九，确实是这样。阳盛者百无二三，真正盛的人有几个？如果说现在伤阴了，真 的是伤阴了，就得滋阴，六味地黄丸就可以用。今天我还给我妈用了六味地黄丸呢 ，前两天吃附子理中丸，吃过了，吃得浑身发软，躺下了。一看脉呢，大。这是明 显阴有点不足了，腹痛。这个腹痛不是附子理中丸的腹痛，是桂枝加芍药大黄汤之 类的痛，甚至得去桂。脉整个都是向外散，你再往外散的话，往外弄的话，这不神 昏了吗？但是以前脉紧的时候，寒气很盛的时候，不得就要破这个阴吗？那你还得 扶这个阳。我们也不是说这个（滋阴）是错。为什么说现在温病派的东西是不对的 呢？就是说他这个祖师级的人物治病，就治得不对。比如叶天士，大家也看过他的 医案，别人分析他那个医案，怎么回事？看柴中元的《热病衡正》，这里面把这方 面的资料收集得很全面了。不要迷信，不要信那些民间的传说，医案写得清清楚楚 。最后什么结果，不了了之了，有多少个是这样的？有几个是治上就好的？用上药 就见效的？有几个治好了的？明眼人一看就知道。
寒热这个东西，确实一年的运气和这个大的六十年的运气都会有一个不同。如果是 偏于阳明燥金之气主令主时的时候，可能会出现众多的阳明证。所以58年温疫，蒲 辅周先生不是用的白虎汤吗？也有这种温病，温病的性质偏于阳明，阳明燥火之气 太盛了。
三七先生：气啊，实际上我们每天都在接触，历历在目。有时候你看窗户，比如春 天夏天窗户打开的时候，我们向外看能看到，有一种波动，象云雾状的，有的时候 前面如果有楼房，有具体的东西的时候。你透过这个看，有一些波动的感觉，象海 市蜃楼似的，其实这个就是气的影响。
阳化气，阴成形。任何东西在火的推动之下都可以化成气。金能变成液体，木可以 把它烧焦，木还可以直接烧成火。气实际上就是物质转化成能量释放，有形的东西 最后变成无形的东西，变成能量的一个过程。所以说，阳化气，阴成形。阴主凝， 凝了之后就变成一个有形的固体。而阳呢，阳会把有形的东西给散开，转化成能量 。这个能量，这个推动的能量就是气。最直接的表象就是水，水没有阳气的时候， 它就会结成冰。到零度的时候结成冰，零度到100度之间它是水，它变成液态，它 会流动。如果水里面没有阳气的话，它就会变成一个固态，固体是冰。而它得到热 量，然后温度升高，它就会变成液体，液体这时可以流动。再升高到100度以上， 就化成了气态，这时候就是名符其实的气了。但是它在零度到100度的时候它里面 也有气，没有阳气的话它就会凝。阳化气，化到极点的时候他就变成真正的气。人 身上的气也是一样的，这个气与血是同一体的，如果这个血没有气了，就会凝，变 成瘀血。这个气，在人身上的不同部位名称也不同。在胸中，是胸中大气；在脾胃 ，是中气；在肾，是肾气；在血中，是营气；在表，是卫气。气，西医为什么不了 解这个东西？因为他完全是从形上找东西，他用解剖来看，解剖是一个死人，气已 经不在了，所以看不到气。就象是到水中去找气一样，其实气就在水中，但如果你 想把气给它提出来，提不着。如果没有气的话，就变成冰了，就凝了。人之所以能 动，活的就是这口气，这口气一散，血马上就凝，人就僵。所以这是生命与无生命 具体的区别，差的就是这口气，你要是不懂这个气，不知道大气这个阶段。你就没 法治病，你只能在形上找病，去化验，去透视，如果形上没病，就说一切正常。但 那个症状从哪儿来呢？实际上它是在气化的层次上。气化的层次出现问题，就表现 为功能性的障碍，人就会有种种不适。但是它未必成形，成形的时候就已经晚了， 它已经是由阳入阴了，由表入里，由浅入深，由化气已成形了。这时候它就变成一 个肿瘤了，就是这个意思。对气啊，不要觉得很迷惑，很虚无。其实这个气是个最 具体的东西，离开这个气，所有的现象都要发生变化。
网友：谢谢三七先生的解答，我听了觉得似乎懂了一点，但还不是十分清楚。这可 能和我所受的教育有关系，所谓的所知障吧。因为我们从小到大一直受现代所谓科 学的教育，思考很多问题时总沿着西方教育的思维方式，我也知道这是个很不好的 现象。但也很难一下子破除这种思维方式。我接触到中医以后，我觉得东西方文化 这是两个不同的思维体系。但是一直还找不着北。怎么能真正以中国人的思维中医 的思维来思考宇宙中的万事万物，这个也是我以后希望得到各位先生指导的地方。
网友：寒假过度劳累后，加上饮酒、受寒，一直咳嗽，我自己给自己看，拿不定主 意。希望各位先生能够指点一下。是心肺阳衰还是脾胃阳衰？我从医书上看，好象 是不一样的，如果是心肺阳衰，可能用姜桂附甘汤就可以了，脾胃的阳衰，用半夏 生姜汤一类的应该就行了，不知如何判断？
三七先生：心肺和脾胃它俩的关系实际上很密切，一个是中气，一个是宗气。中间 这个气是土，上面这个气是金，它们俩的关系是土生金。如果中气不足的话，上焦 气肯定也会不足。上焦受损了的话，也可以损及中气。气不足，邪气就可以乘虚而 入。就咳嗽来说，一般先都是感冒的误治，或者是寒邪从上入，入到肺。
五脏六腑皆令人咳。寒邪的凝滞可导致咳，还有一种木气上冲也可以导致咳，春天 这种咳和秋天的咳性质有时就不一样，不一定都是小青龙汤证，有的时候需要收敛 。冲的太过了，你看他那右寸脉就可以分别得出来。一种脉是紧，收敛象。一种是 大，上冲象。收敛太过，你就要把它散开。如果冲得太过，你就要把它收回去。这 两种性质不一样，同是一个咳，脉象舌象都是不一样。
刚才那位先生还说到思维方式的问题――所谓的什么科学。实际上科学呢，你在运 用它的时候，在研究它的时候，你首先要意识到科学的局限。因为科学是一种用来 探索世界的工具，它本身必然要受到这种工具的局限。伽利略不是说科学就是测量 吗？测量的话，他必然要有种工具。如果这个工具是量长度的，它必然是直的，这 是矩。如果说是规，是测圆的，没有规矩，无以成方圆，你不能拿这两个东西互相 代替。一把尺也有一个限度，不能什么都用它量，所以说工具它本身必然有自己的 界限。科学研究是以物质为基础，现在研究的范围，多数还是在形这个层次之内， 也就是物质。物质之外的，具体成形的物质之外的，在形上的东西，现在科学的认 知能力还很有限，连经络都还测不到。测不到，并不是不存在。很多现象用肉眼能 看得到的东西，你想用一个工具测度他，记录他，都不太可能，何况肉眼看不到的 存在，所以不要把工具放到至上主义的地位。这种工具至上主义也就是所谓的科学 主义，这是认识的一种错误倾向。所以首先要知道它的局限，不要什么东西都要拿 它量一量，测一测，试图把这个局限的东西当成判断一切是非的标准，因为有些东 西不在它的测量范围之内。将来可不可以测呢？也许在不断发展的过程中，将来有 可能会测到这个东西，但现在还是必然有它的局限。而且无论将来发展到什么程度 ，测量本身都会有它本身的局限，这是工具本身必然存在的局限性决定的。
漫谈之二：奇恒之府
根据民间中医网中医讲堂录音整理
脑、髓、骨、脉、胆、女子胞，这是六个部位。有的是脏器，有的是体。脑，本来 就是髓，脑为髓海，髓是肾之所主，骨之所藏，骨与髓实际上是一体的。脉，也就 是血脉。胆，十一脏皆取决于胆，分泌胆汁，内藏相火。女子胞，胞就是子宫，一 个可以生育之所，地气之所生。地，能生养万物，它为什么能生养万物呢？因为地 中有气。地中所藏的气，皆藏于阴而象于地。地在卦为坤，坤中有阳，这时候就变 成了坎。实际上这几个部位都和坎有关，也就是坎中一阳啊，天一生水，地六成之 。人始生，先成精。这些东西也都与水有关，精成之后脑髓生。骨，脑，髓，这都 是水的部位，脉和胆这是到了木的部位。这是水和木之间的关系，这是主生发之地 ，生发的一个根本，一个最初的部位。冬至之后，一阳初动，就是这样的一个地位 。它是至阴之地，藏于阴而象于地。在至阴之处，并不是在明处，所以它藏而不泻 。它应该是藏而不泻，但你未必能守得住，所以你有时藏不住了，泻出来了。其实 也就是相火，相火外泄了，就出问题了。如果这些地方没有相火了，没有坎阳了， 没有震下一阳了，就变成了至阴，纯阴的东西。纯阴无阳了，就变成了死地、盐碱 地，它没有生气，里面是凉的。
奇恒之府。奇呢？和偶是相对的。偶，有两个；奇，只有一个。只有一个可见它很 重要，它不可偶，它没有对待，它只有一个，所以它应该藏。应该藏于本位，不能 随便动。坎中有一阳，离外有二阳。二阳还有一个偶，这个阳还可以稍微用一用。 而坎中这个阳，一定要密藏，要藏好，藏好才能相火以位。相火在位，才能起到这 个动力之源的作用。恒呢？恒常不变，不能让它乱变。要有守，神守，能守于内。 所以说这几个地方，奇恒之府，脑、髓、骨、脉、胆、女子胞，这些地方一出现问 题，就不能恒了，不能常了，所以就变。种种变态就出现，就是病变。如果这几个 地方能守，必然寿命很长。道家修炼，实际上修什么呢？就是修这个东西。它不外 泄，藏而不泄。顺则为人，逆则为仙。仙是什么？仙实际上就是藏这些东西不泄， 还精补脑，炼精化气，气化神。这时候就能起神用，神用无方谓之圣。
漫谈之三：从祝徐之辩看寒温之争
根据民间中医网中医讲堂录音整理
This discussion does not imply that there is no heat, no fire pathogen (Fire Pathogen), or no heat disease. There is. However, one cannot misidentify cold syndromes (Cold Syndromes) as heat, nor can one confuse things by calling a deer a horse, mixing up unrelated matters, or labeling all diseases as heat. Of course, one also cannot label all diseases as cold; each condition should be identified according to its true nature. However, statistical data from real-world cases shows that eight or nine out of ten patients suffer from Yang deficiency (Deficiency of Yang Qi), which is indeed the case. Only two or three out of a hundred have Yang excess (Excess of Yang Qi); how many truly have an abundance? If it is said that Yin (Yin Fluids) is now damaged, and if Yin is truly damaged, then nourishing Yin (Nourishing Yin Fluids) is required, and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) can be used. Today, I even administered Liuwei Dihuang Wan to my mother. Two days ago, she took Fuzi Lizhong Wan (Aconite and Immature Ginger Decoction for Warming the Middle and Regulating the Spleen), after which her whole body felt weak, and she had to lie down. Upon examining her pulse, it was large (Huge). This clearly indicates a slight insufficiency of Yin, accompanied by abdominal pain. This abdominal pain is not caused by Fuzi Lizhong Wan, but rather resembles the pain treated by Guizhi Jia Shaoyao Dahuang Tang (Cinnamon Twig Decoction with Added Peony Root and Rhubarb), and in some cases, Cinnamon Twig (Guizhi) might need to be removed. The entire pulse is scattering outward; if you further disperse it outward, wouldn't this lead to mental confusion (Shen Hun)? However, when the pulse was previously tight (Tight Pulse) and Cold pathogen (Cold Pathogen) was abundant, didn't we need to break through this Yin stagnation? In that case, we still needed to support Yang (Supporting Yang Qi). We are not saying that nourishing Yin is wrong. Why do we say that the approaches of the Warm Disease School (Warm Disease School) are incorrect? It is because their founding figures treated illnesses incorrectly. For example, Ye Tianshi (Ye Tianshi), whose medical cases everyone has read. When others analyze his cases, what is the situation? Refer to Chai Zhongyuan's "Re Bing Heng Zheng" (Standardizing Heat Diseases), which collects comprehensive materials on this aspect. Do not be superstitious, and do not believe in folk legends; the medical cases are written clearly. What were the final results? How many ended without resolution? How many were cured immediately upon treatment? How many actually recovered? Anyone with clear insight can see this.
The phenomena of cold and heat indeed vary according to the annual climate luck and the broader sixty-year climate cycles. When the Qi of Yangming Dryness Metal (Yangming Dryness Metal Qi) dominates the season, numerous Yangming syndromes (Yangming Syndromes) may appear. Therefore, during the 1958 warm plague (Warm Plague), Mr. Pu Fuzhou (Pu Fuzhou) did not use Baihu Tang (White Tiger Decoction)? There are such warm diseases; the nature of warm diseases tends toward Yangming, where Yangming Dryness-Fire Qi (Yangming Dryness-Fire Qi) is excessively strong.
Netizen: What is Qi? For example, pathogenic Qi (Pathogenic Qi) or Yuan Qi (Original Qi). How should one understand Qi?
Mr. Sanqi: Qi is something we actually encounter every day, vividly present. Sometimes when you look out a window, especially when opening windows in spring or summer, looking outward, you can see a fluctuation, cloud-like. Sometimes, if there are buildings or specific objects in front, looking through them creates a sense of fluctuation, like a mirage. Actually, this is the influence of Qi.
Yang transforms into Qi, and Yin forms shape. Anything can be transformed into Qi under the driving force of Fire. Metal can become liquid; wood can be burned until charred, or wood can be directly burned into fire. Qi is essentially the process of matter transforming into energy release, where tangible things finally become intangible things, becoming a process of energy transformation. Thus, Yang transforms into Qi, and Yin forms shape. Yin governs coagulation; once coagulated, it becomes a tangible solid. Yang, however, disperses tangible things, transforming them into energy. This energy, this driving energy, is Qi. The most direct manifestation is water. When water lacks Yang Qi (Yang Qi), it freezes into ice. At zero degrees, it becomes ice; between zero and 100 degrees, it is water, becoming liquid and flowing. If water lacks Yang Qi, it becomes a solid state, ice. When it receives heat, the temperature rises, and it becomes liquid, which can flow. When raised above 100 degrees, it transforms into a gaseous state, which is truly Qi. However, even between zero and 100 degrees, there is Qi within it; without Yang Qi, it would coagulate. Yang transforms into Qi; when transformed to the extreme, it becomes true Qi. The Qi in the human body is the same; this Qi and Blood (Blood) are of the same substance. If this Blood lacks Qi, it will coagulate, becoming Stasis Blood (Stasis Blood). This Qi has different names in different parts of the body. In the chest, it is the Great Qi of the Chest (Great Qi of the Chest); in the Spleen and Stomach, it is Middle Qi (Middle Qi); in the Kidney, it is Kidney Qi (Kidney Qi); in the Blood, it is Ying Qi (Nutritive Qi); at the exterior, it is Wei Qi (Defensive Qi). Why does Western medicine not understand this thing? Because it completely looks for things in form; it uses anatomy to observe. Anatomy involves a dead person, where Qi has already departed, so Qi cannot be seen. It is like looking for Qi in water; actually, Qi is in the water, but if you try to extract it, you cannot catch it. Without Qi, it becomes ice, it coagulates. The reason humans can move is due to this breath/Qi. Once this Qi scatters, Blood immediately coagulates, and the body stiffens. Thus, this is the concrete difference between life and non-life; the difference lies in this Qi. If you do not understand this Qi, and do not know the stage of Great Qi, you cannot treat diseases. You can only look for disease in form, conducting tests and radiography. If there is no disease in form, everything is declared normal. But where do those symptoms come from? Actually, they exist at the level of Qi transformation (Qi Transformation). Problems at the level of Qi transformation manifest as functional obstacles, causing various discomforts in people. However, they may not necessarily take form; by the time they take form, it is already too late. It has already transitioned from Yang to Yin, from exterior to interior, from shallow to deep, from transforming Qi to taking form. At this point, it becomes a tumor, which is the meaning here. Regarding Qi, do not feel confused or think it is illusory. Actually, this Qi is the most concrete thing; leaving this Qi, all phenomena would change.
Netizen: Thank you, Mr. Sanqi, for your explanation. I feel I understand a little, but not very clearly. This may be related to my education, the so-called "obstruction of knowledge." Because from childhood, we have been educated in modern science, and when thinking about many issues, we always follow Western educational ways of thinking. I know this is a very bad phenomenon, but it is hard to break through this way of thinking all at once. After encountering Traditional Chinese Medicine (TCM), I feel that Eastern and Western cultures are two different thinking systems. But I still haven't found my way. How can I truly use Chinese thinking, TCM thinking, to contemplate all things in the universe? This is also what I hope to get guidance from you gentlemen in the future.
Netizen: After excessive fatigue during winter vacation, combined with drinking alcohol and catching cold, I have been coughing continuously. I am trying to treat myself but am unsure. I hope you gentlemen can give some advice. Is it Heart-Lung Yang decline (Decline of Heart-Lung Yang) or Spleen-Stomach Yang decline (Decline of Spleen-Stomach Yang)? From reading medical books, it seems they are different. If it is Heart-Lung Yang decline, perhaps Jiang Gui Fu Gan Tang (Ginger, Cinnamon, Aconite, and Licorice Decoction) would suffice. For Spleen-Stomach Yang decline, Banxia Shengjiang Tang (Pinellia and Fresh Ginger Decoction) type formulas should work. I don't know how to distinguish?
Mr. Sanqi: The relationship between Heart-Lung and Spleen-Stomach is actually very close. One is Middle Qi (Middle Qi), and the other is Zong Qi (Pectoral Qi/Gathering Qi). The Qi in the middle is Earth, and the Qi above is Metal; their relationship is Earth generating Metal. If Middle Qi is insufficient, the Qi of the Upper Jiao (Upper Burner) will definitely be insufficient. If the Upper Jiao is damaged, it can also damage Middle Qi. When Qi is insufficient, pathogenic factors (Pathogenic Factors) can enter through the void. Regarding cough, it generally starts from misdiagnosis/mistreatment of a common cold, or Cold pathogen entering from above into the Lung.
All five Zang organs and six Fu organs can cause cough. The stagnation of Cold pathogen can lead to cough; another type is Wood Qi rushing upward, which can also cause cough. The nature of cough in spring sometimes differs from that in autumn. It is not necessarily always Xiao Qing Long Tang (Minor Blue Dragon Decoction) syndrome; sometimes astringency (Astringent Method) is needed. If the rushing is too excessive, you can distinguish it by observing the Right Cun (Right Cun Pulse) pulse. One type of pulse is Tight (Tight Pulse), indicating a constricting image. Another type is Large (Large Pulse), indicating a rushing image. If constriction is too excessive, you must disperse it. If rushing is too excessive, you must restrain it. These two natures are different; although it is the same cough, the pulse and tongue images are different.
The gentleman just mentioned the issue of thinking style—the so-called "science." Actually, when using science, when researching it, you must first realize the limitations of science. Because science is a tool for exploring the world, it inevitably suffers from the limitations of this tool. Didn't Galileo say that science is measurement? Measurement requires a tool. If this tool measures length, it must be straight, which is the Ju (Square/Ruler). If it is the Gui (Compass), measuring circles, without square and compass, nothing can be made square or circular; you cannot substitute one for the other. A ruler also has limits; it cannot measure everything. Thus, the tool itself inevitably has its own boundaries. Scientific research is based on matter. Currently, the scope of research mostly remains within the level of form, i.e., matter. Beyond matter, beyond specifically formed matter, regarding things in form, current scientific cognitive ability is still very limited; even meridians (Meridians) cannot be measured. Not being measurable does not mean non-existent. Many phenomena visible to the naked eye are difficult to measure and record with a tool, let alone invisible existences. Therefore, do not place tools in a position of suprematism. This tool suprematism is the so-called scientism, which is an erroneous tendency in cognition. So, first, one must know its limitations. Do not try to measure everything with it, attempting to make this limited thing the standard for judging all right and wrong, because some things are outside its measurement scope. Can it be measured in the future? Perhaps in the process of continuous development, it might be measurable in the future, but currently, it inevitably has limitations. And no matter how far it develops in the future, measurement itself will always have its own limitations, determined by the inherent limitations of the tool itself.
Talk Two: The Extraordinary Fu Organs
Organized based on recordings from the Folk TCM Network TCM Lecture Hall
Speaker: Sanqi Sheng
Date: February 1, 2006
Editor: Guan Zi Zai
Brain, Marrow, Bone, Vessels, Gallbladder, and Uterus (Zi Nu Bao) are these six locations. Some are Zang organs, some are tissues. The Brain is originally Marrow; the Brain is the Sea of Marrow. Marrow is governed by the Kidney and stored in the Bone. Bone and Marrow are actually one entity. Vessels refer to Blood Vessels. The Gallbladder: All eleven Zang and Fu organs depend on the Gallbladder; it secretes bile and internally houses Xiang Huo (Ministerial Fire). The Uterus (Zi Nu Bao): Bao refers to the uterus, a place capable of reproduction, generated by Earth Qi. Earth can nurture all things. Why can it nurture all things? Because there is Qi in the Earth. The Qi stored in the Earth is all stored in Yin and corresponds to Earth. In the Bagua, Earth is Kun. Kun contains Yang, which transforms into Kan. Actually, these locations are all related to Kan, which is the single Yang line in Kan. Heaven generates Water (One), Earth completes it (Six). Human life begins with the formation of Essence (Jing). These things are also related to Water; after Essence forms, Brain and Marrow generate. Bone, Brain, and Marrow are all Water locations; Vessels and Gallbladder are Wood locations. This is the relationship between Water and Wood, which is the location governing growth and generation, the root and initial location of generation. After Winter Solstice, the initial movement of Yang occurs, representing such a status. It is a location of Extreme Yin, stored in Yin and corresponding to Earth. In the place of Extreme Yin, it is not in the bright light, so it stores without draining. It should store without draining, but you may not be able to maintain it, so sometimes it leaks out. Actually, this is Ministerial Fire (Xiang Huo); if Ministerial Fire leaks externally, problems arise. If these places lack Ministerial Fire, lack Kan Yang, or lack the Yang line of Zhen (Thunder), they become Extreme Yin, pure Yin things. Pure Yin without Yang becomes dead land, saline-alkali land; it lacks vitality and is cold inside.
Extraordinary Fu Organs. What is "Qi" (Odd/Single)? It is relative to "Ou" (Even/Pair). Ou means two; Qi means only one. Having only one shows its importance; it cannot be paired, it has no counterpart, it is unique, so it should be stored. It should be stored in its original position and not moved casually. Kan contains one Yang, while Li (Fire) has two Yang lines externally. The two Yang lines still have a pair; this Yang can be used slightly. But the Yang in Kan must be tightly stored, kept well. Only by storing it well can Ministerial Fire remain in its proper position. Only when Ministerial Fire is in position can it play the role of the source of动力 (dynamic power). What is "Heng" (Constant)? Constant and unchanging, do not let it change randomly. There must be preservation, Shen (Spirit) preservation, being able to guard internally. Therefore, for these locations, the Extraordinary Fu Organs—Brain, Marrow, Bone, Vessels, Gallbladder, Uterus—if problems arise in these places, they cannot remain constant, so they change. Various abnormalities appear, which are pathological changes. If these places can be preserved, lifespan will surely be long. Daoist cultivation actually cultivates what? It cultivates this thing. It does not leak externally, storing without leaking. Following the natural order makes one human; reversing it makes one an Immortal. What is an Immortal? An Immortal is actually someone who stores these things without leaking, returning Essence to nourish the Brain, refining Essence into Qi, and transforming Qi into Shen (Spirit). At this time, Shen function arises; Shen function without fixed methods is called Sagehood.
Talk Three: Viewing the Cold-Warm Debate through the Zhu-Xu Controversy
Organized based on recordings from the Folk TCM Network TCM Lecture Hall
Speaker: Sanqi Sheng
Date: February 16, 2006
Editor: Guan Zi Zai