脏腑内景各有区别。咽、喉二窍同出一腕,喉在前主出,咽在后主吞。喉系坚空,接肺本,为气息之门。咽
系柔空,接胃本,为饮食之路。二者并行,各不相犯。盖饮食必历气口而下,气口有一会厌,每物将咽,会厌即
垂,气口乃闭。言语呼吸则会厌开张,故当食答话,触着喉腕,遂呛而咳矣。喉下为肺,两叶白莹,虚如蜂窠,
下无透窍,吸则满,呼则虚,经谓之华盖,取上覆而下能灌注之义。肺下为心,尖长而圆,色赤,内孔数多寡不
等,上通于舌,下无透窍。心下有包络,即膻中也,象如仰盂,心处其中,寂然不动。脾、胃、肝胆、两肾、膀
胱各有系系于旁,听其臣使。如外邪乘侮,只干包络,心不能犯,犯心死不治。此下有膜膈,与脊胁周回相着,
遮闭浊气,使不得上熏心肺。膈膜之下为肝,肝为血海,有独叶者,有二三叶者,短叶中则胆附焉,胆有绿汁,
藏而不泻,上通于目,下亦无窦,书谓肝窍通目,实胆也。此喉之一窍以成脉络,以奉生身者如此;咽下为胃,
水谷等物一居其所,粮运之关津也。胃左则脾附其上,色元黄,形类刀镰,动则磨胃,食乃消化。胃之左右则小
大肠环回周叠,充满少腹。大肠左侧为膀胱,乃津液之腑,上无入窍,止有下口,全假气化施行,气不能化,则
溲溺不通而病矣。凡胃中腐熟水谷,其精气自胃之上口(曰贲门)传于肺,肺播于诸脉。其渣滓自胃之下口(曰
幽门)传于小肠,至小肠下口(曰阑门)泌别其汁,清者渗出小肠,而渗入膀胱,渣秽之物转入大肠,再停广肠,
始直下。此咽之一窍资培气血、传送糟粕者如此。三焦,据经曰∶上焦如雾,中焦如沤,下焦如渎。又曰∶三焦
者,决渎之官,水道出焉。不轨而荒,惑人探讨,素心人阅愚辨自见。肾有二,精所舍也,生脊膂十四柱下,而
曲附脊旁,形如豇豆相并,色黑,外裹黄膜,内各具白带二条,上条系于心胞,下条过屏翳穴,趋脊骨而通髓海。
两肾俱属水,左为阴水,右为阳水。命门即在两肾曲并中间,主持诸气,陶养真火。男女交媾,先有火会而后情
聚,可见天地生物,火在水之先。第生在先,灭亦在先耳。是故赵养葵全部医书,以真火为宗旨,而加意于命门,
盖欲世之爱身者,毋日夜残贱此火,治病者毋苦寒直泄此火。即使火似有余,缘真水之不足也,毫不敢去火,只
补水以配火。火之不足,亦未必水定有余也,更不须泻水,就于水中补火。明此水火枢要,其脏腑内景可类推矣。
经曰∶纪于水火,余气可知。
The internal structures of the zang-fu organs are distinct from one another. The pharynx (throat for swallowing) and larynx (windpipe) share a common origin but differ in function: the larynx is anterior and governs exhalation, while the pharynx is posterior and governs ingestion. The larynx is firm and hollow, connecting to the root of the Lung, serving as the gate for breath. The pharynx is soft and hollow, connecting to the root of the Stomach, serving as the pathway for food and drink. They operate in parallel without interfering with each other. Since food and drink must pass down the airway, there is an epiglottis at the entrance of the airway. When swallowing, the epiglottis descends to close the airway. During speech or breathing, the epiglottis opens; thus, speaking while eating may cause food to touch the laryngeal opening, resulting in choking and coughing.
Below the larynx lies the Lung, consisting of two lobes that are white and translucent, internally hollow like a honeycomb, with no perforations below. It fills upon inhalation and empties upon exhalation. The classics refer to it as the "Canopy" (Hua Gai), implying its role in covering above and irrigating below. Below the Lung is the Heart, which is pointed, long, round, and red, with varying numbers of internal openings. It connects superiorly to the tongue and has no perforations inferiorly. Surrounding the Heart is the Pericardium (Bao Luo), also known as Dan Zhong, shaped like an inverted bowl, housing the Heart within, remaining still and motionless. The Spleen, Stomach, Liver, Gallbladder, Kidneys, and Bladder are all attached laterally by their respective ligaments/connections, acting as ministers under command. If external pathogens invade, they only affect the Pericardium; the Heart itself cannot be directly invaded. If the Heart is invaded, death ensues and is incurable.
Below this lies the diaphragm membrane, adhering to the spine and ribs circumferentially, blocking turbid qi from ascending to smoke the Heart and Lungs. Below the diaphragm is the Liver, the Sea of Blood. It may have a single lobe or two to three lobes. The Gallbladder attaches within the shorter lobes, containing green bile, storing but not excreting it. It connects superiorly to the eyes and has no openings inferiorly. Although texts state that the Liver orifice connects to the eyes, it is actually the Gallbladder's function. This describes how the larynx forms meridians and nourishes the body.
Below the pharynx is the Stomach, where water and grain reside, serving as the critical checkpoint for nutrient transport. Attached superiorly on the left of the Stomach is the Spleen, yellowish-white in color and sickle-shaped. Its movement grinds the stomach contents, facilitating digestion. To the left and right of the Stomach, the Small Intestine and Large Intestine coil and overlap, filling the lower abdomen. To the left of the Large Intestine is the Bladder, the Fu organ of Jin-Ye (body fluids). It has no superior inlet, only an inferior outlet, relying entirely on Qi transformation for function. If Qi fails to transform, urine flow stops, leading to disease.
Regarding digestion: the essence extracted from cooked food and drink in the Stomach travels from the upper opening (Jie Gate/Bi Men) to the Lung, which distributes it through the vessels. The dregs travel from the lower opening (You Men/Hui Men) to the Small Intestine. At the lower opening of the Small Intestine (Lan Men/Lan Gate), fluids are separated. The clear portion渗 (seeps) from the Small Intestine into the Bladder, while the turbid waste turns into the Large Intestine, rests in the Chang Chang (Large Intestine/Rectum), and is finally expelled downward. This describes how the pharynx aids in nourishing Qi and Blood and transmitting waste.
As for the San Jiao (Triple Burner), the classics state: "The Upper Burner is like mist, the Middle Burner like fermentation, and the Lower Burner like a ditch." It is also said: "The San Jiao is the official of irrigation, through which water passages flow." Deviating from these norms leads to confusion; those with pure minds will understand upon reading my analysis.
There are two Kidneys, the residence of Jing (Essence). They are located below the 14th thoracic vertebra of the spine, curving along the sides of the spine, resembling kidney beans joined together. They are black in color, wrapped in a yellow membrane, and internally possess two white bands. The superior band connects to the Xin Bao (Pericardium), and the inferior band passes through the Ping Yi acupoint, heading toward the spinal bone to connect with the Sea of Marrow. Both Kidneys belong to Water; the left is Yin Water, and the right is Yang Water. The Ming Men (Gate of Life) lies between the curved junction of the two Kidneys, governing all Qi and cultivating the True Fire. In sexual intercourse, fire meets first before emotions gather, indicating that in the generation of all things by Heaven and Earth, Fire precedes Water. However, since it is born first, it also perishes first. Therefore, Zhao Yangkui’s medical works focus on True Fire and emphasize the Ming Men, hoping that those who cherish their bodies do not damage this fire day and night, and healers do not use bitter-cold herbs to drain this fire. Even if Fire appears excessive, it is due to insufficient True Water; one should never drain Fire but instead tonify Water to harmonize with Fire. If Fire is deficient, Water is not necessarily excessive; one need not drain Water but rather tonify Fire within the Water. Understanding this pivot of Water and Fire allows one to deduce the internal structures of the other zang-fu organs. The classics say: "Recorded are Water and Fire; the rest of the Qi can be inferred."