《内经》之论形体,头足腹背,经络脏腑,详矣,而独未总论夫形体之大纲,不揣鄙陋补之。
人之形体,顶天立地,端直以长,不偏不倚,木之象也。在天为元,在五常为仁,是天以仁付之人
也,故使其体直,而麟凤龟龙之属莫与焉。孔子曰∶人之生也直,罔之生也幸而免,蘧筱戚施,
直之对也。程子谓生理本直,味本字之义。盖言天以本直之理,生此端直之形,人自当行公直之行
也,人之形体,无鳞介毛羽,谓之 虫。 者,土也。土主信,是地以信付之人也。人之受天之仁,
受地之信,备健顺五常之德,而有精、神、魂、魄、心,意、志、思、智、虑,以行孝、悌、忠、信,以期不负
天地付畀之重,自别麟凤龟龙之属。故孟子曰∶万物皆备于我矣。又曰∶惟圣人然后可以践形。
《孝经》曰∶天地之道,人为贵。人可不识人之形体以为生哉!医可不识人之形体以为治哉!
天地化生万物,人为至贵,四海之大,林林总总,孰非母产。然则母之产子也,得天地、四时、日
月、水火自然之气化,而亦有难云乎哉?曰∶人为之也。产后偶有疾病,不能不有赖于医。无如医
者不识病,亦不识药;而又相沿故习,伪立病名;或有成法可守者而不守,或无成法可守者,而妄生议
论;或固执古人一偏之论,而不知所变通;种种遗患,不可以更仆数。夫以不识之药,处于不识之
病,有不死之理乎?其死也,病家不知其所以然,死者更不知其所以然,而医者亦复不知其所以然,
呜呼冤哉!瑭目击神伤,作解产难。
The *Neijing* (Yellow Emperor's Inner Classic) discusses the human form, detailing the head, feet, abdomen, back, meridians, and zang-fu organs, which is quite comprehensive. However, it lacks a general overview of the main outline of the human form. Presuming my own limitations, I attempt to supplement this.
The human form stands with its head reaching the sky and feet on the earth, upright, straight, and long, neither biased nor leaning; this is the image of Wood (Mu). In heaven, it corresponds to Yuan (Primal Qi); in the Five Constant Virtues (Ren, Yi, Li, Zhi, Xin), it corresponds to Ren (Benevolence). This signifies that Heaven has endowed humans with Benevolence, thus making their bodies upright, unlike creatures such as qilin, fenghuang, turtles, or dragons. Confucius said: "Humans live because of uprightness; those who are not upright survive only by luck." Qu Yuan and Qishi (terms for physical deformities like hunchbacks) represent the opposite of uprightness. Master Cheng stated that the principle of life is inherently upright; one should ponder the meaning of this character. It implies that Heaven generates this upright form through the principle of inherent uprightness, and thus humans ought to practice fair and upright conduct.
The human form lacks scales, shells, fur, or feathers, and is therefore called "chong" (insect/worm). The character "chong" belongs to Earth (Tu). Earth governs "Xin" (Trustworthiness/Integrity), signifying that Earth has endowed humans with Trustworthiness. Humans receive Ren (Benevolence) from Heaven and Xin (Trustworthiness) from Earth, possessing the virtues of the Five Constants (Benevolence, Righteousness, Propriety, Wisdom, Trustworthiness) characterized by strength and compliance. They possess Jing (Essence), Shen (Spirit), Hun (Ethereal Soul), Po (Corporeal Soul), Xin (Heart/Mind), Yi (Intent), Zhi (Will), Si (Thought), Zhi (Wisdom), and Lv (Deliberation), to practice Xiao (Filial Piety), Ti (Fraternal Duty), Zhong (Loyalty), and Xin (Trustworthiness), thereby fulfilling the heavy responsibility entrusted by Heaven and Earth, distinguishing themselves from qilin, fenghuang, turtles, and dragons. Thus, Mencius said: "All things are complete within me." He also said: "Only then can a sage fully realize the potential of the human form." The *Classic of Filial Piety* states: "Among all things created by Heaven and Earth, humans are the most precious." How can humans fail to understand the human form to sustain life? How can physicians fail to understand the human form to provide treatment?
Heaven and Earth transform and generate all things, and humans are the most precious. Within the four seas, countless beings exist, yet none are not born of mothers. Therefore, when a mother gives birth, she utilizes the natural qi transformation of Heaven, Earth, the Four Seasons, Sun, Moon, Water, and Fire. Is there any difficulty? The answer is: No, the difficulties arise from human actions. Occasionally, diseases occur postpartum, necessitating reliance on physicians. Regrettably, physicians often do not understand the disease nor the herbs; furthermore, they follow outdated customs and fabricate disease names. Some ignore established methods that should be followed, while others make baseless arguments where no established method exists. Some rigidly adhere to partial theories of ancient masters without knowing how to adapt them. These various causes of harm are too numerous to count. Using unfamiliar herbs to treat unfamiliar diseases, how could death not occur? When patients die, the families do not know why, the deceased certainly do not know why, and the physicians also do not know why. Alas, what an injustice! Wu Tang (Jutong), witnessing this with a sorrowful heart, wrote this *Explanation of Difficulties in Childbirth*.