(素问阴阳应象大论)
黄帝曰∶阴阳者,天地之道也,万物之纲纪,变化之父母,生杀之本始,神明之府也,(凡天地万物变化生杀神明之
道,总不外乎阴阳之理,故阴阳为万事之本。)治病必求于本。(万事万变既皆本于阴阳,而病机药性脉息论治则最切于
此,故凡治病者在必求于本,或本于阴,或本于阳,求得其本,然后可以施治。此篇上下详义已见阴阳类第一章,本类
复列首篇者,盖以治病之道,所重在本,故特表而冠之,观者当彼此互阅。愚按∶本者,原也,始也,万事万物之所以
然也。世未有无源之流,无根之木,澄其源而流自清,灌其根而枝乃茂,无非求本之道。故黄帝曰∶治病必求于本。孔
子曰∶其本乱而末治者否矣。此神圣心传出乎一贯,可见随几应变,必不可忽于根本,而于疾病尤所当先,察得其本,
无余义矣。惟是本之一字,合之则唯一,分之则无穷。所谓合之唯一者,即本篇所谓阴阳也,未有不明阴阳而能知事理
者,亦未有不明阴阳而能知疾病者,此天地万物之大本,必不可不知也。所谓分之无穷者,有变必有象,有象必有本,
凡事有必不可罔顾者,即本之所在也。姑举其略曰,死以生为本,欲救其死,勿伤其生。邪以正为本,欲攻其邪,必顾
其正。阴以阳为本,阳存则生,阳尽则死。静以动为本,有动则活,无动则止。血以气为本,气来则行,气去则凝。证
以脉为本,脉吉则吉,脉凶则凶。先者后之本,从此来者,须从此去。急者缓之本,孰急可忧,孰缓无虑。内者外之本,
外实者何伤,中败者堪畏。下者上之本,滋苗者先固其根,伐下者必枯其上。虚者实之本,有余者拔之无难,不足者攻
之何忍。真者假之本,浅陋者只知见在,精妙者疑似独明。至若医家之本在学力,学力不到,安能格物致知?而尤忌者,
不畏难而自足。病家之本在知医,遇士无礼,不可以得贤,而尤忌者,好杂用而自专。凡此者。虽未足以尽求本之妙,
而一隅三反,从可类推。总之求本之道无他也,求勿伤其生而已。列子曰∶圣人不察存亡,而察其所以然。淮南子曰∶
所以贵扁鹊者,知病之所从生也。所以贵圣人者,知乱之所由起也。王应震曰∶见痰休治痰,见血休治血,无汗不发汗,
有热莫攻热,喘生休耗气,精遗不涩泄,明得个中趣,方是医中杰。行医不识气,治法从何据,堪笑道中人,未到知音
处。此真知本之言也,学人当知省之。标本类第五章义有所关,当与此篇互阅。)
*Suwen: Yin Yang Yingxiang Dalun* (The Great Treatise on the Correspondence of Yin and Yang in the Basic Questions)
Huangdi said: Yin and Yang are the Dao (Way/Law) of Heaven and Earth, the general principles of all things, the parents of change, the origin of life and death, and the residence of spiritual clarity. (All matters regarding the change, generation, destruction, and spiritual clarity of Heaven, Earth, and all things ultimately do not exceed the principle of Yin and Yang; thus, Yin and Yang are the root of all affairs.) In treating disease, one must seek the root. (Since all myriad changes originate from Yin and Yang, and pathogenesis, drug properties, pulse diagnosis, and therapeutic discussions are most closely related to this, therefore, whoever treats disease must necessarily seek the root, whether rooting in Yin or rooting in Yang. Only by finding the root can treatment be applied. The detailed meanings throughout this chapter have been seen in Chapter 1 of the "Yin Yang Category"; listing it as the first chapter in this category again is because the way of treating disease emphasizes the root, so it is specially highlighted and placed at the beginning. Readers should cross-reference them. I observe: The "root" means the source, the beginning, that which explains why all things are as they are. There is no flowing water without a source, nor a tree without roots. Clearing the source makes the water clear naturally; watering the roots makes the branches flourish. This is none other than the way of seeking the root. Thus, Huangdi said: In treating disease, one must seek the root. Confucius said: If the root is chaotic but the branches are to be governed, this is impossible. This sacred heart-mind transmission originates from a consistent principle. It can be seen that adapting to changing circumstances must never neglect the root, especially in diseases, where one must prioritize examining and obtaining the root. Once the root is known, there are no remaining ambiguities. However, the character "root," when combined, is singular; when divided, it is infinite. What is meant by "singular when combined" is precisely the Yin and Yang mentioned in this chapter. There is no one who does not understand Yin and Yang yet can comprehend affairs, nor one who does not understand Yin and Yang yet can comprehend diseases. This is the great root of Heaven, Earth, and all things, which must not be unknown. What is meant by "infinite when divided" is that with change, there must be phenomena; with phenomena, there must be a root. In all matters, there are aspects that cannot be ignored, which is where the root lies. Let us briefly list some examples: Death takes Life as its root; to save from death, do not injure Life. Pathogenic factors take Healthy Qi (Zheng Qi) as their root; to attack pathogens, one must protect Healthy Qi. Yin takes Yang as its root; if Yang exists, there is life; if Yang exhausts, there is death. Stillness takes Movement as its root; with movement, there is vitality; without movement, there is stagnation. Blood takes Qi as its root; when Qi arrives, it moves; when Qi departs, it coagulates. Symptoms take the Pulse as their root; an auspicious pulse indicates an auspicious outcome, while an ominous pulse indicates an ominous outcome. The earlier condition is the root of the later condition; what comes from here must go back through here. Urgency takes Slowness as its root; who is urgent and worrisome, who is slow and carefree? The interior is the root of the exterior; what harm is there if the exterior is solid, but internal collapse is terrifying? The lower part is the root of the upper part; to nourish the seedlings, one must first consolidate the roots; cutting the lower parts will inevitably cause the upper parts to wither. Deficiency takes Excess as its root (Note: Context implies the interdependence or therapeutic focus); removing excess pathogens is not difficult, but how can one bear to attack deficiencies? Truth takes Falsehood as its root; the shallow only know the immediate appearance, while the profound discern clearly amidst ambiguity. As for physicians, their root lies in scholarly effort; if scholarly effort is insufficient, how can one investigate things to extend knowledge? Particularly taboo is being unwilling to face difficulties and becoming self-satisfied. For patients, their root lies in understanding medicine; encountering practitioners with rudeness prevents obtaining wise doctors, and particularly taboo is preferring miscellaneous remedies and acting arbitrarily. All these, although insufficient to exhaust the subtleties of seeking the root, allow for inferring three instances from one, enabling classification by analogy. In short, the way of seeking the root is nothing else but ensuring no injury to Life. Liezi said: The sage does not examine survival or death, but examines the reason why. Huainanzi said: The reason Bian Que is valued is that he knows where the disease arises. The reason Sages are valued is that they know where chaos originates. Wang Yingzhen said: When seeing phlegm, do not merely treat phlegm; when seeing blood, do not merely treat blood; when there is no sweat, do not forcibly induce sweating; when there is heat, do not aggressively clear heat; when wheezing arises, do not deplete Qi; when essence leaks, do not astringe excessively. Understanding the interest within allows one to become a hero among physicians. Practicing medicine without recognizing Qi, from where do therapeutic methods derive? It is laughable to see laymen reach this point before attaining true understanding. These are truly words about knowing the root; learners should reflect upon them. The meaning in Chapter 5 of the "Root and Branch Category" is relevant and should be cross-referenced with this chapter.)