另解厥阴二阴藏精血（卦象震），一阳鼓动四肢健，厥阴如若伤一阴（变成病态离卦精津受伤，消渴气上要撞心，心中痛热饥不食（卦象兑，震卦中爻被邪热填实），如若一阳再有伤（病态坤卦），下利不止胃肠伤。
总之，六经辨证不越阴阳二字，就在阴阳上下功夫。辨清阴阳治疗就会易如反掌，当今的大多数疑难病参合六经辨证就会迎刃而解。
第四章 阴阳辩证法则
第一节 阴阳辩证1
阴阳辩证金口诀
阴证
唇口青白目无神，声低息短但欲寐，身重懒言体畏寒，饮食无味吐清水，舌质青滑或黑润，苔白浅黄润滑色，津液满口不思饮，口渴思饮不欲咽，或者口渴喜热饮，小便清长大便溏， 口气腥臭寒热杂，寒多热少食不下，脉息无神是阴证。舌虽无苔但口润，二便自利口不渴，专注回阳无差错
阳证
阴虚面目唇口红，精神不倦不知眠，口臭气粗声音亮，恶热身轻大便干，溲赤黄短多艰难，口渴饮冷饮不休，六脉长大有力气，舌苔干黄或黑黄，全无津液满口刺，烦躁潮热或盗汗，干咳多痰或少痰，脉息有神是阳证。口渴饮冷身发热，二便不利烦谵语，身冷如冰形如死，此是热极内潜伏，阳不达外似纯阴，此时还需验口气，口气虽微热气蒸，舌根虽红但不青，急宜攻下存津液，莫认阴证误性命。
第二节 阴阳辩证真假杂病决2
阴寒阳热是阴阳，只在真假作文章，真热口渴小便黄，有神烦躁不安宁。真寒溲频面色苍，无神倦怠但欲寐。真热口渴喜冷饮，假热漱水不欲咽，真热便干面红赤。假热面赤溲清长，真热息热气粗长，真寒息冷气短微。真热舌焦苔干黄，真寒舌青苔水滑。阴极似阳属戴阳，阳极似阴肢冰霜。真假寒热来斟酌，阴证阳证明显了，真热阳证苦甘寒，真寒阴证温热汤。识得阴阳造化机，疑难杂病有处医。先天立极是水火，水火既济无沉疴。脾阳虚衰大便溏，肝脏因此遭了殃，乙肝病毒逞威风，附子干姜作文章。肾阳虚衰小便频，精微下泻眸不润，头昏腰痛也是因，回阳救逆四逆汤。白血病是阴寒邪，寒彻骨髓白C增， 西医只知杀白C，徒将阳气杀戮尽。此病中医少阴病，太少两感麻附辛，少阴虚寒四逆汤，简便廉验神功显。艾滋病是阴阳离，西医验血便可知，常人验血一条线，艾滋血液两分离。阴平阳秘精神治，阴阳离绝精神绝，和合阴阳中医药，简、便、廉、验最神奇。
八卦涵盖天和地，解说物理很容易，三爻成卦八纯卦，三爻组成一个卦。
一阴阴少为少阴（卦象离），二阳抱阴是为心（离），二阴抱阳这是肾（坎）。少阴阴中藏精津，少阴伤阳肢不伸（阳气减），恶寒、踡卧但欲寐，虚阳外越舌头根，扁桃体大要发热，头昏、头胀高血压，四肢逆冷成之因，坎阳被伤变成坤，死气沉沉谁知因？四逆汤来扶坎阳，少阴寒化无处藏。少阴阴伤精津损，烦躁口渴饮冷饮，溲赤短少是其因，黄连阿胶来煎尝。
太阳阳多三个阳（卦象乾，健也），在人体表护卫强，太阳病则阳被困，郁而发热是其因，脾阳充足不出汗，麻黄汤药急急煎，汗出寒散表自健。脾阳不足肌腠疏，恶风汗出营卫虚，桂枝汤煎可解除，如若少阴阳气虚，寒邪直入少阴病，太阳少阳病合成。
阳明阳多两个阳（卦象离），再加一阳（郁热）阳明伤（病态乾卦），阳明经证烦躁渴，新病大便未结实，白虎汤方就好使，阳明久病胃家实，燥实痞满可兼出，三承气汤因证施。
少阳阳少一个阳（卦象坎），精汁内藏泻则祥，为病湿困和郁热（卦象艮），但藏不泻胆遭殃，三焦不通水道闭，决瀆失职病少阳。往来寒热小柴胡，太阴湿困要燥湿，半夏苍术苡仁使。
太阴阴多三个阴（卦象坤），阴中藏有精气神，脾为运化之官职，五谷精微靠其运，湿多困脾太阴病，腹满咳嗽是其因。太阴腹满便不下，大黄附子细辛下，阳黄就用茵陈蒿，阴黄再把术附加。太阴阴伤大便结，麦味理中重用术。
厥阴二阴藏精血（卦象震），一阳鼓动四肢健，厥阴如若伤一阴，消渴气上要撞心，心中痛热饥不食，如若一阳再有伤，下利不止胃肠伤。厥阴之病寒热杂，权衡寒热阴阳施。
厥阴另解，厥阴一阳托二阴（卦象震）寒入厥阴伤一阳，厥阴太阴为邻乡，阳伤脾职失健运，湿困太阴脾阳陷，消渴引饮溲长清。热入厥阴伤一阴，口渴烦躁谵语因。病（或寒或热）入厥阴寒热杂，姜附椒柏乌梅下。
第五章 澄空阴阳辩证用药金口诀1
第一节
澄空治病辨阴阳，用药参合阴阳伤。大便稀溏脾阳伤，干姜温中健脾阳。口渴引饮溲清长，此是坎中一阳伤，津不上承口和咽，回阳化气四逆汤。四逆汤中用附姜，生炙甘草来帮忙。生姜多汁入脾脏，辛热醒脾祛湿忙。饥不欲食胃阴伤，一贯煎汤来煎尝。燥实痞满四证现，急下存阴莫迟缓。舌体胖大有齿痕，此是湿伤脾太阴，苍术薏苡和半夏，燥湿健脾功堪夸。肺为娇脏不耐寒，寒邪伤肺咳嗽连，宣肺散寒是关键，麻黄汤可急急煎。肺为娇脏不耐热，热邪伤肺痰黄结，宣泄肺热方法可，麻杏石膏汤煎喝。发热无寒病太阳，宣肺散寒麻黄汤，汗出恶风营卫虚，桂枝汤方煎来嘘。无热恶寒病少阴，附子姜草四逆汤，若兼咳嗽麻附辛，或者麻辛四逆汤。
第二节
澄空药性论阴阳，辛甘发散热性阳，苦甘酸寒阴药商。阴证就用阳性药，阳证苦甘寒药商。太阴之病食不下，咳嗽腹满也是他。太阴湿土需燥化，苍术苡仁和半夏。 湿重热轻用附姜，湿去热将无处藏。热重于湿四妙散，祛湿清热功来现。茵陈汤祛阳黄，阴黄再加术附汤。少阴之病但欲寐，畏寒蜷卧脉微细。
少阴虚寒用附姜，生炙甘草来帮忙。太（阳）少两感麻附辛，少阴虚寒四逆汤。从阳化热渴燥烦，黄连阿胶汤来煎。厥阴寒热药错杂，附子姜椒连柏下。太阳寒水需温化，桂枝麻黄姜枣加。发热无汗太阳病，无热恶寒病少阴。恶风有汗桂枝汤，发热无汗麻黄汤。太阳蓄水五苓散，蓄血就用桃核承气汤。太阳寒水为何因，少阴虚寒气化亏。少阳寒热要往来，小柴胡汤用应该。 或者当归四逆汤，鼓足阳气邪祛外。 阳明之病胃家实，三承气汤因证施。阳明经证便未结，白虎汤方去实热。
第六章 中医杂论
中医“气化论”、“识证论”、“治疗论”、“百病概论”
人身水火一团气，内营脏腑外卫体，通达九窍温肢体，奈何世人不自知，贪凉饮冷损元气。一日二日无大碍，久而久之气息低，寒凉上干太阴肺，咳嗽呼吸不流利，下干太阴脾失运，清浊不分飧泄起，脾阳损伤大便溏，肝脏因此要遭殃，精微不摄要硬化，胃肠寒热粘膜伤，久而久之要溃疡。清窍不营多病变，目失光明耳失聪。远离五谷食鱼肉，罪孽深重日日积，脂垢堵塞清窍道，不遂肢体蹒跚起，更有青年贪淫欲，少阴虚寒精髓虚，脾阳郁陷精微泄，消渴之病要发作，精伤百病因而起。内伤之后要外感，百病皆因风而起，六经病证内经有，伤寒杂病论仔细。七情伤人气紊乱，情病还需情来医。自然六气来养人，太过不及成淫理。 澄空中医从气论，百病心中了了的。用药就分阴和阳，识证也不阴阳离，阴阳辩证仔细详，次分六经与腑脏，以证类病无处藏，阴阳体质是根本，疾病是标记心上，颠倒阴阳祸患藏，阴证就用温热药，阳证苦甘寒药商， 阴阳错杂寒热药，湿盛还需热药上。先天立极是水火，水火既济无沉疴。水火既济气化成，天天夜里香甜梦，火水未济要失眠，神魂颠倒不堪言。易经经传传阴阳，一阴一阳书中藏，万病不离阴和阳，离开阴阳无文章。圣贤真传一句话，愚者万卷藏书箱。不明阴阳莫谈医，误人害命应要知。人若识得此种妙，贵躯岂用托庸医？
一总论：
五脏皆因气化生，六腑功能气化成。心肾气化记性好，二便开合百脉通。六经气化五脏藏，六腑通泄浊气通。
二：分论
太阳气化寒不入，分清泌浊是其功，膀胱气化尿液出，气化不成溲不通。
阳明气化气血生，胃腑腐熟五谷行，大肠气化液化生，糟粕排泄病不生。气化不利要发热，便闭腹胀口渴重。
少阳气化精汁生，入腑脂垢分解功，气化不利胆汁阻，胆囊结石要发生。三焦气化脏腑和。气化不利杂病生。
太阴（ 肺脾）气化呼吸好，脾土气化运微精，血在脉中不失营。气化不利血外溢，肌衄、齿衄、月事多。肺金气化呼吸畅，咳嗽之病不能生，鼻塞多因寒阻肺，气化不利出涕清，温肺散寒实脾经。寒郁化热鼻涕黄，久而久之鼻渊生，治疗之法散郁热，宣肺化痰鼻窍通。
心肾相交气化成，少阴气化百脉通，津液上承咽喉润，心主血脉肾水充，肾司二便阳之功。心肾不交要失眠，气化不成百脉蹇。
厥阴气化肝血藏，日充五脏夜藏魂，心包之经气温煦，心血源源循环行，失化血溢脉不藏。心包受寒血失温，心血难以周流行。
临床病证各论（随兴起笔）
诊病治病标准
中医本身就是一个阴阳问题，谁离开了阴阳谈标准，谁的标准就不标准，就像我在中国中医研究院听一个中医博士生导师讲课时他说要制定中风的用药标准，马上就有人说：“用你的标准，疗效有多少？ ”，的确中医讲究疗效，尤其是长期疗效，能否在治此病时，间接治疗尚未发生的病？ 答案是肯定的。因为出色的中医就是一个阴阳家，能看到疾病的“过去”，“现在”和“未来”。这三者就是《易经》讲的三才，有人说中医不用学《易经》，不学《易经》行吗？连阴阳都不懂，还谈什么中医？ 三才都不知道？怎么谈人体？ 不要忘记“人”头顶天，脚踏地，人立天地之间，上为天、中为人、下为地。这天人地就是三才。不懂五运六气行吗？不懂五运六气怎么因时制宜？ 不懂风水行吗？风水讲：“山环水抱必有气”，这气就是阳气也就是生气。我们选择聚居条件时首先要考虑太阳光线的多少，太阳是阳，加于某一地才能化气产生阳气，这样其能否留住就看是否背靠大山。饮食也是如此，多食寒凉就伤阳气，阳气一伤，百病丛生。因此中医的标准就是能够彻晓阴阳，因此要通晓《易经》，知道简易（用简单的方子治病）、不易(千古不变的真理：破阴寒回阳气，存阴精），变异（随时、随地方，因人的体质用药知常达变）的道理，熟读《内经》、《伤寒杂病论》、《神农本草经》。具体操作上，治病先分阴阳二证，次分六经（十二经络尽在其中）属何经，然后分经用药（阴证要用温热药，阳证用苦甘寒药）施治。这是我用的方法，疗效大家可以看医案，我不多说，许多临床大家也都是这么用。大家看这个标准行吗？
中医的规律：
中医的规律就是阴阳的消长，阳气消则阴寒（邪）长，病增；阳气长则阴寒（邪）消，病退。阴精足则阳气足，阳气足则阴精得以固摄，阴精为阳气之根，不可亏，亏则冬伤于寒，春生温病。
简单说脉诊
脉诊在中医诊病中只能算巧，下工之法。古人说：望而知之谓之神，闻而知之谓之圣，问而知之谓之工，切而知之谓之巧。既然很多人这么神秘切脉。我就简单说一说脉诊。切脉是根据脉的位、数、形、势来断病的。
脉位就是寸、关、尺、浮、中、沉。寸看心肺头，关看脾胃，尺看肝肾腿足膀胱。浮取看心、 肺、头，中取看脾胃，沉取看肝肾。看脉之上工，并不必分严格左右手。
数（数率）： 就是脉跳的频率。用医生的呼吸算，一呼一吸四至（跳四下闰一下为五）为缓脉。脉和缓沉取有力就是正常脉。一息六至为数脉，七至以上为疾脉。
形：就是脉的形状。
势：就是脉的力度。
然后以六脉统领二十八脉。
六脉：浮、沉、迟、数、虚、实。
浮脉类：浮濡洪芤革散
沉脉类：沉伏牢弱。
迟脉类：迟缓涩结
数脉类：数促疾动豆
虚脉类：虚微细代短。
实脉类：实滑紧长弦。
具体规则：浮沉以求表里，迟数以求寒热真假以求属于阳证或者阴证。有力无力以求虚实。我在临床中主要是据内经理论：“阴平阳秘精神乃治”，看寸关尺之太过与不及，太过是实证，不及是虚证。但求和缓有根。有根就是尺脉有力。数而有力有根是阳证实热，数而无力是阴精不足的虚证，迟而无力无根是虚寒阴证。再看尺肤之寒热，参见二便辨清阴阳之证。
举一例来说明：临床上来一患者，坐诊医师都必须试脉，否则医术再高，患者也不相信你，首先的第一感觉是尺肤的寒温，如果尺肤寒，接下来，看寸脉数而且力度大于关尺，这时就可以断患者：头昏、头胀、心慌、乏力、腿沉重甚至腰痛。病人一般会说断得不错。为什么呢？ 寸脉数上有热，热则头胀，因为寸脉管头、心肺。而关尺力度少，就可以断患者脾胃运化无力、 肝血不足，肾阳亏虚。此例寸脉数也是假的，那是因为肾阳亏虚，虚阳外越。其他脉以此类推。
怎么体会脉的来、去呢？
Another interpretation: The Jueyin meridian contains two Yin lines and is responsible for storing essence and blood (its trigram image is Zhen). As long as one Yang line stirs, the four limbs remain healthy. If Jueyin damages one of its Yin lines (this transforms into a pathological Li trigram, indicating injury to essence and fluids, resulting in Xiao Ke [wasting-thirst syndrome], with Qi rushing upward to strike the heart, causing pain and heat in the chest, yet an inability or unwillingness to eat; its trigram image is Dui, because the middle Yang line of the Zhen trigram is filled with pathogenic heat), if that Yang line is further injured (transforming into a pathological Kun trigram), it will lead to incessant diarrhea and injury to the stomach and intestines.
In summary, the differentiation of the Six Meridians does not go beyond the two characters of Yin and Yang; the key lies in working upon Yin and Yang. Once Yin and Yang are clearly differentiated, treatment becomes easy as turning over a hand. Most difficult and chronic diseases today can be resolved effortlessly by combining them with the differentiation of the Six Meridians.
Chapter 4: Principles of Yin-Yang Differentiation
Section 1: Yin-Yang Differentiation 1
Golden Mantra of Yin-Yang Differentiation
Yin Syndrome
The lips and mouth are cyan and pale, the eyes lack spirit, the voice is low, breathing is short, and there is only a desire to sleep. The body feels heavy, speech is reluctant, and the body fears cold. Food has no taste, and clear fluid is vomited. The tongue body is cyan and slippery or black and moist. The coating is white, light yellow, and smooth. There is abundant saliva in the mouth, but no desire to drink. Although thirsty and desiring to drink, there is no desire to swallow, or perhaps a preference for hot drinks. Urine is clear and copious, and stool is loose. The breath has a fishy odor, and cold and heat symptoms are mixed, with more cold than heat and an inability to eat. The pulse lacks spirit; this is a Yin syndrome. Even if the tongue has no coating but the mouth is moist, and urination and defecation are normal without thirst, focusing on restoring Yang will ensure no errors.
Yang Syndrome
Due to Yin deficiency, the face, eyes, and lips are red. Spirit is unwearying, and there is insomnia. There is bad breath, coarse breathing, and a loud voice. There is aversion to heat, a light sensation in the body, and dry stool. Urine is dark yellow and scanty, with difficulty in urination. Thirst drives the patient to drink cold liquids continuously. All six pulse positions are large and forceful. The tongue coating is dry yellow or black-yellow, with no saliva in the mouth and a prickling sensation. There is irritability, tidal fever, or night sweats. There is dry cough with much or little phlegm. The pulse has spirit; this is a Yang syndrome. If there is thirst for cold drinks, body heat, and obstruction of urination and defecation accompanied by irritability and delirium, and the body is cold as ice resembling death, this indicates extreme heat lurking internally. Yang fails to reach the exterior, appearing as pure Yin. At this time, one must check the breath. Although the breath may be slight, it emits heat. The root of the tongue is red but not cyan. One should urgently use purgative methods to preserve Yin fluids. Do not mistake this for a Yin syndrome and endanger life.
Section 2: Decision on True and False Mixed Diseases of Yin-Cold and Yang-Heat
Yin manifests as cold, and Yang manifests as heat; this is Yin and Yang. The complexity lies in distinguishing true from false. True heat presents with thirst, yellow urine, spirit in the pulse, and irritability/restlessness. True cold presents with frequent urination, pale complexion, lack of spirit in the pulse, fatigue, and only a desire to sleep. True heat involves thirst and a preference for cold drinks; false heat involves rinsing the mouth without swallowing. True heat involves dry stool and a red face; false heat involves a red face but clear, copious urine. True heat involves coarse and long breathing; true cold involves cold, short, and weak breathing. True heat presents with a scorched tongue and dry yellow coating; true cold presents with a cyan tongue and watery slippery coating. Extreme Yin resembles Yang, known as Dai Yang (floating Yang); extreme Yang resembles Yin, with limbs icy cold. One must carefully weigh true and false cold and heat. Once Yin and Yang syndromes are clearly distinguished, true heat Yang syndromes are treated with bitter, sweet, and cold herbs, while true cold Yin syndromes are treated with warm decoctions. Understanding the mechanism of creation in Yin and Yang provides a way to treat difficult and miscellaneous diseases. The primordial establishment is Water and Fire; when Water and Fire are harmonized (Ji Ji), there are no chronic illnesses. Spleen Yang deficiency leads to loose stool, which subsequently harms the Liver. Hepatitis B virus takes advantage of this, and Fuzi (Aconite Lateralis Radix Praeparata) and Ganjiang (Zingiberis Rhizoma) are used. Kidney Yang deficiency leads to frequent urination, leakage of essence leading to dry eyes, dizziness, and lower back pain; Hu Yang Jiu Ni Si Ni Tang (Decoction for Restoring Yang and Saving from Collapse) is used. Leukemia is caused by Yin-cold pathogens penetrating the bone marrow, increasing white blood cells. Western medicine only knows how to kill white blood cells, thereby destroying Yang Qi. In TCM, this disease belongs to Shaoyin. For Taiyang-Shaoyin simultaneous infection, Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction) is used; for Shaoyin deficiency-cold, Si Ni Tang (Frigid Extremities Decoction) is used. This method is simple, convenient, inexpensive, and effective, showing miraculous power. AIDS is a separation of Yin and Yang. Western medicine detects this through blood tests: normal blood shows one line, while AIDS blood shows two separated phases. When Yin is calm and Yang is secure, spirit is regulated; when Yin and Yang separate, spirit perishes. Chinese and Western medicine harmonize Yin and Yang, being simple, convenient, inexpensive, and highly effective.
Chengkong's Alternative Interpretation of Six Meridians and Eight Trigrams
The Eight Trigrams cover Heaven and Earth, making it easy to explain physical laws. Three Yao lines form a trigram, and there are eight pure trigrams, each composed of three lines.
Shaoyin has less Yin (Trigram Li): Two Yang lines embracing Yin constitute the Heart (Li). Two Yin lines embracing Yang constitute the Kidney (Kan). Shaoyin stores essence and fluids within Yin. If Shaoyin injures Yang, limbs cannot extend (due to reduced Yang), presenting with aversion to cold, curling up, and only a desire to sleep. Floating deficient Yang causes lesions at the root of the tongue, enlarged tonsils with fever, dizziness, head distension, hypertension, and cold extremities. If Kan Yang is injured and transforms into Kun (pure Yin), life becomes stagnant; who knows the cause? Si Ni Tang supports Kan Yang, leaving no place for Shaoyin cold transformation to hide. If Shaoyin injures Yin, damaging essence and fluids, irritability and thirst for cold drinks occur, with dark, scanty urine as the cause. Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction) is decocted and taken.
Taiyang has much Yang (Three Yang lines, Trigram Qian, representing Strength): It strongly protects the body surface. In Taiyang disease, Yang is trapped, causing fever due to stagnation. If Spleen Yang is sufficient, there is no sweating; Majiang Tang (Ephedra Decoction) should be decocted urgently. Sweating disperses cold, and the exterior becomes healthy. If Spleen Yang is insufficient, pores are loose, causing aversion to wind, sweating, and deficiency of Ying and Wei. Guizhi Tang (Cinnamon Twig Decoction) resolves this. If Shaoyang Yang Qi is deficient, cold pathogens enter Shaoyin directly, forming a combined Taiyang-Shaoyang disease.
Yangming has two Yang lines (Trigram Li): Adding one Yang line (stagnant heat) injures Yangming (pathological Qian trigram). Yangming channel syndrome presents with irritability and thirst. In new diseases where stool is not yet solid, Baihu Tang (White Tiger Decoction) is effective. In chronic Yangming disease, "Stomach Home Excess" occurs, with dryness, excess, fullness, and oppression potentially appearing together; San Chengqi Tangs (Three Bowel-Purging Decoctions) are applied according to the syndrome.
Shaoyang has one Yang line (Trigram Kan): Essence juice is stored internally; excretion brings auspiciousness. Disease arises from dampness encumbrance and stagnant heat (Trigram Gen). If storage occurs without excretion, the Gallbladder suffers. Sanjiao blockage closes water pathways; failure of Juedu (drainage) function causes Shaoyang disease. Alternating chills and fever are treated with Xiaochaihu Tang (Minor Bupleurum Decoction). Taiyin dampness encumbrance requires drying dampness using Banxia (Pinelliae Rhizoma), Cangzhu (Atractylodis Rhizoma), and Yiyiren (Coicis Semen).
Taiyin has much Yin (Three Yin lines, Trigram Kun): Yin stores essence, Qi, and spirit. The Spleen is the official of transportation and transformation, relying on it to transport quintessence from grains. Excess dampness encumbers the Spleen, causing Taiyin disease, with abdominal fullness and cough as causes. Taiyin abdominal fullness with constipation is treated with Dahuang (Rhei Radix et Rhizoma), Fuzi (Prepared Aconite Lateralis Radix), and Xixin (Asari Radix et Rhizoma). Yang jaundice uses Yinchen Hao Tang (Artemisiae Scopariae Herba Decoction); Yin jaundice adds Baizhu (Atractylodis Macrocephalae Rhizoma). Taiyin Yin injury with constipation uses Lizhong Wan (Regulate the Middle Pill) with heavy Baizhu, plus Maidong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus).
Jueyin has two Yin lines storing essence and blood (Trigram Zhen): One Yang line stirring ensures healthy limbs. If Jueyin injures one Yin line, Xiao Ke [wasting-thirst syndrome] occurs, Qi strikes the heart, causing chest pain/heat and anorexia. If the Yang line is further injured, incessant diarrhea injures the stomach and intestines. Jueyin diseases feature mixed cold and heat; treatment balances cold and heat based on Yin and Yang.
Alternative Interpretation of Jueyin: Jueyin is one Yang supporting two Yins (Trigram Zhen). Cold entering Jueyin injures one Yang. Jueyin and Taiyin are neighbors; Yang injury causes Spleen dysfunction, dampness encumbers Taiyin, Spleen Yang sinks, leading to Xiao Ke with excessive drinking and clear urine. Heat entering Jueyin injures one Yin, causing thirst, irritability, and delirium. Whether cold or heat enters Jueyin, mixing cold and heat results; Jiang (Ginger), Fu (Aconite), Jiao (Zanthoxyli Pericarpium), Bo (Phellodendri Cortex), and Wumei (Mume Fructus) are used.
Chapter 5: Chengkong's Golden Mantra for Yin-Yang Differentiation and Medication
Section 1
Chengkong distinguishes Yin and Yang in treating diseases, matching medication to Yin-Yang injury. Loose stool indicates Spleen Yang injury; Ganjiang (Dried Ginger) warms the middle and strengthens Spleen Yang. Thirst with clear, copious urine indicates injury to the single Yang in Kan (Kidney); fluids fail to ascend to the mouth and throat. Hu Yang Hua Qi Si Ni Tang (Decoction for Restoring Yang and Transforming Qi) is used. Si Ni Tang contains Fuzi (Prepared Aconite Lateralis Radix) and Ganjiang (Dried Ginger), assisted by Sheng Gancao (Raw Licorice Root) and Zhi Gancao (Honey-fried Licorice Root). Sheng Jiang (Fresh Ginger) is juicy, enters the Spleen, and its acrid-hot nature awakens the Spleen and dispels dampness. Hunger without desire to eat indicates Stomach Yin injury; Yiguan Jian (One Glance Infusion) is decocted. Appearance of dryness, excess, fullness, and oppression requires urgent purgation to preserve Yin. A fat tongue with teeth marks indicates dampness injuring the Spleen (Taiyin); Cangzhu (Atractylodis Rhizoma), Yiyiren (Coicis Semen), and Banxia (Pinelliae Rhizoma) dry dampness and strengthen the Spleen. The Lung is a delicate organ intolerant to cold; cold injuring the Lung causes continuous cough. Dispersing Lung cold is key; Majiang Tang (Ephedra Decoction) is decocted urgently. The Lung is also intolerant to heat; heat injuring the Lung causes yellow, thick phlegm. Clearing Lung heat is achieved with Maxing Shigan Tang (Ephedra, Apricot Kernel, Gypsum, and Licorice Decoction). Fever without aversion to cold is Taiyang disease; dispersing Lung cold uses Majiang Tang. Sweating with aversion to wind indicates Ying-Wei deficiency; Guizhi Tang (Cinnamon Twig Decoction) is decocted. No fever but aversion to cold is Shaoyin disease; Fuzi, Ganjiang, and Gancao form Si Ni Tang. If cough is present, Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction) or Muxing Si Ni Tang is used.
Section 2
Preliminary Discussion on Medication for Six Meridians Yin-Yang Differentiation
Chengkong discusses herb properties via Yin and Yang: Acrid and sweet promote dispersion and are Yang; bitter, sweet, and sour are cold and Yin. Yin syndromes use Yang herbs; Yang syndromes use bitter, sweet, and cold herbs. Taiyin disease involves inability to eat, cough, and abdominal fullness. Taiyin damp-earth requires drying; Cangzhu (Atractylodis Rhizoma), Yiyiren (Coicis Semen), and Banxia (Pinelliae Rhizoma) are used. Heavy dampness with light heat uses Fuzi (Prepared Aconite Lateralis Radix) and Ganjiang (Dried Ginger); once dampness is gone, heat has nowhere to hide. Heat heavier than dampness uses Simiao San (Four Marvels Powder) to dispel dampness and clear heat. Yinchen Tang (Artemisiae Scopariae Herba Decoction) treats Yang jaundice; Yin jaundice adds Zhufu Tang (Atractylodes and Aconite Decoction). Shaoyin disease presents with only a desire to sleep, aversion to cold, curling up, and faint, fine pulse.
Shaoyin deficiency-cold uses Fuzi (Prepared Aconite Lateralis Radix) and Ganjiang (Dried Ginger), assisted by Sheng Gancao (Raw Licorice Root) and Zhi Gancao (Honey-fried Licorice Root). Taiyang-Shaoyin simultaneous infection uses Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction); Shaoyin deficiency-cold uses Si Ni Tang (Frigid Extremities Decoction). Transformation to Yang heat with thirst, dryness, and irritability uses Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction). Jueyin mixed cold and heat requires complex herbs: Fuzi (Prepared Aconite Lateralis Radix), Ganjiang (Dried Ginger), Jiao (Zanthoxyli Pericarpium), Lian (Coptidis Rhizoma), and Bo (Phellodendri Cortex). Taiyang cold-water requires warming; Guizhi (Cinnamon Twig), Mahuang (Ephedra), Ganjiang (Dried Ginger), and Dazao (Jujubae Fructus) are added. Fever without sweat is Taiyang disease; no fever but aversion to cold is Shaoyin disease. Aversion to wind with sweating uses Guizhi Tang (Cinnamon Twig Decoction); fever without sweat uses Majiang Tang (Ephedra Decoction). Taiyang water accumulation uses Wuling San (Five-Ling Powder); blood accumulation uses Taohexiaochengqi Tang (Peach Kernel and Major Order the Qi Decoction). Taiyang cold-water arises from Shaoyin deficiency-cold impairing Qi transformation. Shaoyang alternating chills and fever require Xiaochaihu Tang (Minor Bupleurum Decoction). Alternatively, Danggui Sini Tang (Angelica Sinensis Decoction for Cooling Extremities) boosts Yang to expel pathogens. Yangming disease "Stomach Home Excess" uses San Chengqi Tangs (Three Bowel-Purging Decoctions) according to the syndrome. Yangming channel syndrome with un-solidified stool uses Baihu Tang (White Tiger Decoction) to remove excess heat.
Chapter 6: Miscellaneous Discussions on TCM
TCM "Qi Transformation Theory," "Syndrome Recognition Theory," "Treatment Theory," "General Theory of Hundred Diseases"
The human body is a mass of Qi formed by Water and Fire, nourishing internal Zang organs and protecting the external body, reaching nine orifices and warming limbs. Yet people do not realize this, indulging in cold foods and drinks, damaging Yuan Qi. One or two days pose no major issue, but over time, Qi becomes weak. Cold-dampness attacks Taiyin Lung, causing cough and irregular breathing; it attacks Taiyin Spleen, causing loss of transportation, confusion of clear and turbid, and undigested diarrhea. Spleen Yang injury leads to loose stool, harming the Liver. Failure to retain essence leads to cirrhosis. Gastrointestinal mucosa is injured by cold and heat, eventually causing ulcers. Lack of nourishment to clear orifices causes various changes, including loss of vision and hearing. Avoiding grains and eating meat/fish accumulates sinews daily; lipid deposits block clear orifice pathways, leading to limb paralysis and staggering. Young men indulging in lust suffer Shaoyin deficiency-cold and essence emptiness. Spleen Yang depression causes essence leakage, triggering Xiao Ke [wasting-thirst syndrome]. Essence injury is the root of all diseases. Internal injury leads to external contraction; all diseases arise from Wind. The Nei Jing records Six Meridian syndromes; Shanghan Zabing Lun details them. Seven Emotions disrupt Qi; emotional diseases require emotional healing. Natural Six Qi nourish humans; excess or deficiency becomes pathogenic. Chengkong TCM starts from Qi theory, understanding all diseases. Medication distinguishes Yin and Yang; syndrome recognition does not depart from Yin and Yang. Yin-Yang differentiation is detailed, followed by Six Meridians and Zang-Fu. Syndromes classify diseases; Yin-Yang constitution is fundamental, disease is merely a mark. Reversing Yin and Yang hides disaster. Yin syndromes use warm-hot herbs; Yang syndromes use bitter-sweet-cold herbs. Mixed Yin-Yang uses cold-hot herbs; excess dampness requires hot herbs. Primordial establishment is Water and Fire; when harmonized, no chronic illness exists. Harmonized Water and Fire allows Qi transformation, ensuring sweet dreams. Unharmonized Water and Fire causes insomnia and chaotic spirit. Yi Jing transmits Yin and Yang; one Yin and one Yang are hidden in books. All diseases involve Yin and Yang; without Yin and Yang, there is no discourse. The sages' true transmission is one sentence; fools store ten thousand volumes. Without understanding Yin and Yang, do not discuss medicine, knowing it harms lives. If one understands this wonder, why entrust the precious body to mediocre doctors?
Theory of Six Meridians Qi Transformation
I. General Discussion:
All five Zang organs are born from Qi transformation; the functions of the six Fu organs are accomplished by Qi transformation. Heart and Kidney Qi transformation improves memory; opening and closing of urination and defecation connects all vessels. Six Meridian Qi transformation is stored in the five Zang organs; the six Fu organs transmit and drain, allowing turbid Qi to flow.
II. Specific Discussion:
1. Taiyang Small Intestine and Bladder:
Taiyang Qi transformation prevents cold invasion; its function is separating clear from turbid. Bladder Qi transformation excretes urine; if Qi transformation fails, urination is obstructed.
2. Yangming Stomach and Large Intestine:
Yangming Qi transformation generates Qi and Blood. The Stomach rots and ripens grains; Large Intestine Qi transformation generates fluids and excretes waste, preventing disease. Impaired Qi transformation causes fever, constipation, abdominal distension, and severe thirst.
3. Shaoyang Gallbladder and Sanjiao:
Shaoyang Qi transformation generates bile, which enters the Fu organs to decompose lipids. Impaired Qi transformation blocks bile, causing gallstones. Sanjiao Qi transformation harmonizes Zang organs. Impaired Qi transformation generates miscellaneous diseases.
4. Taiyin Spleen and Lung:
Taiyin (Lung and Spleen) Qi transformation ensures good respiration. Spleen Earth Qi transformation transports micro-essence; blood in vessels maintains Ying. Impaired Qi transformation causes blood extravasation, subcutaneous bleeding, gum bleeding, and menorrhagia. Lung Metal Qi transformation ensures smooth respiration, preventing cough. Nasal congestion is often due to cold blocking the Lung; impaired Qi transformation causes clear runny nose. Warming the Lung and dispersing cold strengthens the Spleen meridian. Cold stagnation transforming to heat causes yellow nasal discharge; over time, Bi Yuan (nasal sinusitis) develops. Treatment disperses stagnant heat, diffuses the Lung, transforms phlegm, and opens nasal orifices.
5. Shaoyin Heart and Kidney:
Heart and Kidney interaction achieves Qi transformation. Shaoyin Qi transformation connects all vessels. Fluids ascend to moisten the throat. Heart governs blood vessels; Kidney water is abundant. Kidney controls urination and defecation via Yang function. Heart-Kidney non-interaction causes insomnia; failed Qi transformation impedes all vessels.
6. Jueyin Liver and Pericardium:
Jueyin Qi transformation stores Liver blood, nourishing five Zang organs by day and hiding Hun by night. Pericardium meridian provides warmth, allowing Heart blood to circulate continuously. Loss of Qi transformation causes blood extravasation and vessel failure to store blood. Cold injuring the Pericardium causes blood to lose warmth, hindering Heart blood circulation.
Clinical Syndrome Discussion (Written Spontaneously)
Standards for Diagnosing and Treating Diseases
TCM itself is a matter of Yin and Yang. Anyone discussing standards apart from Yin and Yang has non-standard standards. Like when I heard a TCM doctoral supervisor at the China Academy of Chinese Medical Sciences say they wanted to establish medication standards for stroke, someone immediately asked, "Using your standard, what is the efficacy?" Indeed, TCM emphasizes efficacy, especially long-term efficacy. Can one indirectly treat diseases not yet occurring while treating the current disease? The answer is yes. Because an excellent TCM practitioner is a Yin-Yang master who can see the "past," "present," and "future" of a disease. These three correspond to the "San Cai" (Heaven, Earth, Human) discussed in Yi Jing. Some say TCM does not need to study Yi Jing. Is it possible without studying Yi Jing? Without understanding Yin and Yang, how can one discuss TCM? Without knowing San Cai, how can one discuss the human body? Do not forget that "Man" has Heaven above and Earth below, standing between Heaven and Earth. Heaven, Man, and Earth are San Cai. Is it acceptable not to understand Wu Yun Liu Qi (Six Qi and Five Movements)? Without understanding Wu Yun Liu Qi, how can one adapt to times? Is it acceptable not to understand Feng Shui? Feng Shui says, "Where mountains surround and waters embrace, there must be Qi." This Qi is Yang Qi, also called Sheng Qi (Vital Qi). When choosing living conditions, we first consider sunlight. Sun is Yang; acting on a location generates Yang Qi. Whether it stays depends on backing against a mountain. Diet is similar; eating too much cold damages Yang Qi. Once Yang Qi is damaged, all diseases arise. Therefore, the TCM standard is thoroughly understanding Yin and Yang. Thus, one must understand Yi Jing, knowing Jian Yi (simplicity: using simple formulas), Bu Yi (unchanging truth: breaking Yin cold, restoring Yang Qi, preserving Yin essence), and Bian Yi (change: adapting to time, place, and constitution). One must read Nei Jing, Shanghan Zabing Lun, and Shennong Ben Cao Jing thoroughly. Specifically, treating disease first distinguishes Yin and Yang syndromes, then determines which of the Six Meridians (containing all twelve meridians) it belongs to, and finally prescribes medication according to the meridian (warm-hot herbs for Yin syndromes, bitter-sweet-cold herbs for Yang syndromes). This is my method; efficacy can be seen in medical cases. Many clinical masters use this method. Do you think this standard is acceptable?
Laws of TCM:
The law of TCM is the waxing and waning of Yin and Yang. When Yang declines, Yin-cold (pathogens) grow, and disease increases; when Yang grows, Yin-cold (pathogens) decline, and disease recedes. Abundant Yin essence leads to abundant Yang Qi; abundant Yang Qi secures Yin essence. Yin essence is the root of Yang Qi and must not be deficient. Deficiency leads to winter cold injury and spring warm diseases.
Briefly on Pulse Diagnosis:
Pulse diagnosis is merely a skill, a lower-level method in TCM diagnosis. Ancients said: Knowing by observation is Divine; knowing by listening/smelling is Sage-like; knowing by questioning is Artisan-like; knowing by palpation is Skillful. Since many find pulse taking mysterious, I will briefly discuss it. Pulse diagnosis judges disease based on position, rate, shape, and momentum.
Pulse Position includes Cun, Guan, Chi, and Fu, Zhong, Chen (superficial, middle, deep). Cun views Heart, Lung, and Head; Guan views Spleen and Stomach; Chi views Liver, Kidney, legs, feet, and Bladder. Superficial pulse views Heart, Lung, Head; middle pulse views Spleen, Stomach; deep pulse views Liver, Kidney. Expert pulse readers do not strictly distinguish left and right hands.
Rate: The frequency of pulse beats. Calculated by the doctor's breath, four beats per inhalation-exhalation cycle (five occasionally) is Huan Mai (Moderate Pulse). A moderate pulse with strength on deep pressure is normal. Six beats per cycle is Shu Mai (Rapid Pulse); seven or more is Ji Mai (Hasty Pulse).
Shape: The form of the pulse.
Momentum: The strength of the pulse.
Then, twenty-eight pulses are governed by six basic pulses.
Six Pulses: Fu (Superficial), Chen (Deep), Chi (Slow), Shu (Rapid), Xu (Deficient), Shi (Excess).
Fu Category: Fu, Ru, Hong, Kou, Ge, San.
Chen Category: Chen, Fu, Lao, Ruo.
Chi Category: Chi, Huan, Se, Jie.
Shu Category: Shu, Cu, Ji, Dong, Dou.
Xu Category: Xu, Wei, Xi, Dai, Duan.
Shi Category: Shi, Hua, Jin, Chang, Xian.
Specific Rules: Use Fu/Chen to determine Exterior/Interior; Chi/Shu to determine Cold/Heat; True/False to determine Yang/Yin syndrome. Use Force/Weakness to determine Excess/Deficiency. In clinical practice, I mainly follow Nei Jing theory: "When Yin is calm and Yang is secure, spirit is regulated." I observe whether Cun, Guan, Chi are excessive or insufficient. Excess is Excess syndrome; insufficiency is Deficiency syndrome. But I seek moderation and root. Root means strong Chi pulse. Rapid with strength and root is Yang Excess-Heat; rapid without strength is Yin Essence Deficiency Deficiency syndrome; slow without strength and root is Deficiency-Cold Yin syndrome. I also check the temperature of Chi skin (inner wrist) and refer to urination/defecation to clarify Yin/Yang syndromes.
Example: A patient arrives; the physician must take the pulse. Otherwise, no matter how skilled, the patient won't trust. First impression is Chi skin temperature. If Chi skin is cold, next check Cun pulse. If Cun is rapid and stronger than Guan/Chi, one can diagnose: dizziness, head distension, palpitations, fatigue, heavy legs, even lower back pain. Patients usually say, "Accurate." Why? Cun rapid indicates heat above; heat causes head distension because Cun governs Head, Heart, Lung. Guan/Chi weakness indicates Spleen-Stomach transportation failure, Liver blood deficiency, and Kidney Yang deficiency. Here, Cun rapid is false, caused by Kidney Yang deficiency leading to floating deficient Yang. Other pulses follow this logic.
How to perceive the coming and going of the pulse?