(灵枢天年篇 全)
黄帝问于岐伯曰∶愿闻人之始生,何气筑为基?何立而为 ?何失而死?何得而生?(基,址也。 ,材具也。
音巡。)岐伯曰∶以母为基,以父为 ,失神者死,得神者生也。(人之生也,合父母之精而有其身。父得干之阳,母得
坤之阴,阳一而施,阴两而承,故以母为基,以父为 。譬之稼穑者,必得其地,乃施以种。种劣地优,肖由乎父;种
优地劣,变成乎母;地种皆得而阴阳失序者,虽育无成也。故三者相合,而象变斯无穷矣。夫地者基也,种者 也,阴
阳精气者神也,知乎此则知人生之所以然矣。)黄帝曰∶何者为神?岐伯曰∶血气已和,荣卫已通,五脏已成,神气舍心,
魂魄毕具,乃成为人。(神者,阴阳合德之灵也。二气合而生人,则血气荣卫五脏,以次相成,神明从而见矣。惟是神之
为义有二∶分言之,则阳神曰魂,阴神曰魄,以及意志思虑之类皆神也。合言之,则神藏于心,而凡情志之属,惟心所
统,是为吾身之全神也。夫精全则气全,气全则神全,未有形气衰而神能王者,亦未有神既散而形独存者,故曰失神者
死,得神者生。至于魂魄之义,如前本神篇曰∶随神往来者谓之魂,并精而出入者谓之魄。及诸家得理之论,再附于左
以详其义。唐。孔氏曰∶人之生也,始变化为形,形之灵曰魄,魄内自有阳气,气之神曰魂。魂魄,神灵之名,初生时
耳目心识手足运动,此魄之灵也;又其精神性识渐有知觉,此则气之神也。乐祁曰∶心之精爽是谓魂魄,魄属形体,魂
属精神。精又是魄,魄是精之神;神又是魂,魂是气之神。邵子曰∶气形盛则魂魄盛,气形衰则魂魄亦从而衰。魂随气
而变,魄随形而化,故形存则魄存,形化则魄散。朱子曰∶魂神而魄灵,魂阳而魄阴,魂动而魄静。生则魂载于魄,而
魄检其魂;死则魂游散而归于天,魄沦坠而归于地。运用动作底是魂,不运用动作底是魄。魄盛则耳目聪明,能记忆,
老人目昏耳 记事不得者,魄衰也。又曰∶人生则魂魄相交,死则各相离去。月之黑晕是魄,其光是魂,魂是魄之光焰,
魄是魂之根柢。火是魂,镜是魄,灯有光焰,物来便烧,镜虽照见,却在里面。火日外景,金水内景,火日是魂,金水
是魄。阴主藏受,故魄能记忆在内;阳主运用,故魂能发用出来。二物本不相离,精聚则魄聚,气聚则魂聚,是为人物
之体;至于精竭魄降,则气散魂游而无所知矣。)黄帝曰∶人之寿夭各不同,或夭寿,或卒死,或病久,愿闻其道。岐伯
曰∶五脏坚固,血脉和调,肌肉解利,皮肤致密,营卫之行,不失其常,呼吸微徐,气以度行,六腑化谷,津液布扬,
各如其常,故能长久。(坚固者不易损,和调者不易乱,解利者可无留滞,致密者可免中伤。营卫之行不失其常者,经脉
和也。呼吸微徐气以度行者,三焦治也。六腑化谷,津液布扬,则脏腑和平,精神充畅,故能长久而多寿也。)黄帝曰∶
人之寿百岁而死,何以致之?岐伯曰∶使道隧以长,基墙高以方,通调营卫,三部三里,起骨高肉满,百岁乃得终。(礼
记∶百岁谓之期颐。使道指七窍而言,谓五脏所使之道路,如肺气通于鼻,肝气通于目,脾气通于口,心气通于舌,肾
气通于耳,是即五官之道路也。隧,深邃貌。基墙,指面部而言。骨胳为基,蕃蔽为墙,义见脉色类三十一、二等篇。
凡营卫部里及骨高肉满若此者,即致寿之道,故得百岁而终。)黄帝曰∶其气之盛衰,以至其死,可得闻乎?岐伯曰∶人
生十岁,五脏始定,血气已通,其气在下,故好走。(天地之气,阳主乎升,升则向生;阴主乎降,降则向死。故幼年之
气在下者,亦自下而升也。)二十岁,血气始盛,肌肉方长,故好趋。三十岁,五脏大定,肌肉坚固,血脉盛满,故好步。
(盛满则不轻捷,故好步矣。)四十岁,五脏六腑十二经脉,皆大盛以平定,腠理始疏,荣华颓落,发颇斑白,平盛不摇,
故好坐。(天地消长之道,物极必变,盛极必衰,日中则昃,月盈则亏,人当四十,阴气已半,故发颇斑白而平盛不摇好
坐者,衰之渐也。)五十岁,肝气始衰,肝叶始薄,胆汁始减,目始不明。六十岁,心气始衰,苦忧悲,血气懈惰,故好
卧。七十岁,脾气虚,皮肤枯。八十岁,肺气衰,魄离,故言善误。九十岁,肾气焦,四脏经脉空虚。百岁,五脏皆虚,
神气皆去,形骸独居而终矣。(魄离者,形体衰败也。肾气焦者,真阴亏竭也。此与前篇上古天真论女尽七七男尽八八互
相发明。彼以七八言者,言阴阳之限数;此以十言者,言人生之全数。然则人之气数,固有定期;而长短不齐者,有出
于禀受,有因于人为。故惟智者不以人欲害其天真,以自然之道,养自然之寿,而善终其天年,此圣智之所同也。今之
人非惟不能守其所有,而且欲出尘逃数,解脱飞升,因人惑己,因己惑人,是焉知无则无极,有则有尽,而固窃窃然自
以为觉,亦何异梦中占梦,其不觉也亦甚矣。)黄帝曰∶其不能终寿而死者,何如?(谓不及天数而早殁者也。)岐伯曰∶
其五脏皆不坚,使道不长,(使道如上文。不长,短促也。)空外以张,(九窍张露也。)喘息暴疾,(喘息者气促,暴疾者
易伤,皆非延寿之征也。)又卑基墙,薄脉少血,其肉不石,(石,坚也。)数中风寒,血气虚,脉不通,真邪相攻,乱而
相引,(数中风寒,表易犯也。血气虚,中不足也。脉不通,经络多滞也。故致真邪易于相攻。然正本拒邪,正气不足,
邪反随之而入,故曰相引。数音朔。)故中寿而尽也。(凡此形体血气,既已异于上寿,则其中寿而尽,固有所由,此先
天之禀受然也。夫人生器局,既禀于有生之初,则其一定之数,似不可以人力强者。第禀得其全而养能合道,必将更寿;
禀失其全而养复违和,能无更夭。故知之者下可以希中,中可以希上;不知者上仅得其次,次仅得其下矣。所谓天定则
能胜人,人定亦能胜天也。夫禀受者,先天也,修养者,后天也,先天责在父母,后天责在吾心。
*Ling Shu: Tian Nian Chapter* (Full Text)
Huang Di asked Qi Bo, saying: I wish to hear about the beginning of human life. What constitutes the foundation? What establishes the form? What is lost leading to death? What is gained leading to life? ("Ji" refers to the foundation or base. "Zhi", pronounced like "xun", refers to materials for vessels, such as clay.)
Qi Bo replied: The mother's essence serves as the foundation, and the father's essence serves as the building material. One dies when "Shen" (Spirit) is lost, and one lives when "Shen" is obtained. (Human birth results from the union of parental essences to form the body. The father provides the Yang energy of Qian, and the mother provides the Yin substance of Kun. Yang is singular in its bestowal, while Yin is dual in its reception; thus, the mother is the foundation, and the father is the building material. This is akin to farming: one must have fertile land before sowing seeds. If the seed is poor but the land excellent, the offspring resembles the father; if the seed is excellent but the land poor, the offspring resembles the mother. If both land and seed are good but Yin and Yang are disordered, even nurturing will not lead to success. Therefore, when these three combine, the transformation of forms is infinite. The earth is the "foundation," the seed is the "building material," and the essence of Yin and Yang is "Shen." Understanding this allows one to understand the rationale of human generation.)
Huang Di asked: What is "Shen"?
Qi Bo said: When blood and Qi are harmonized, Ying (Nutritive) and Wei (Defensive) flow smoothly, the Five Zang organs are formed, Shen resides in the Heart, and Hun and Po are fully present, then a person is complete. (Shen is the spirituality arising from the harmony of Yin and Yang. When the two energies combine to create life, blood, Qi, Ying, Wei, and the Five Zang organs are sequentially formed, and Ming (Brightness/Spirituality) becomes apparent. However, the concept of Shen has two meanings: distinctively speaking, the Yang spirit is called Hun, and the Yin spirit is called Po; will, intention, thought, and consideration also belong to Shen. Collectively speaking, Shen resides in the Heart, and all emotions and mental activities are governed by the Heart; this is the complete Shen of our body. When Jing (Essence) is full, Qi is full; when Qi is full, Shen is full. There is no case where Xing (Form) and Qi decline yet Shen remains vigorous, nor is there a case where Shen has scattered yet the Form exists alone. Thus, it is said that losing Shen leads to death, and gaining Shen leads to life. Regarding the meaning of Hun and Po, as stated in the previous chapter *Ben Shen*: "Following Shen and coming and going is called Hun; emerging and entering with Jing is called Po." Other scholarly theories consistent with reason are attached below for detailed explanation. Kong Yingda of the Tang Dynasty said: At birth, the body begins to take shape; the spirituality of the form is called Po. Within Po lies Yang Qi, and the spirituality of Qi is called Hun. Hun and Po are names for spiritual entities. At birth, sensory functions like eyes and ears, mental awareness, and limb movements are the spirituality of Po; later, gradual spiritual awareness and perception are the spirituality of Qi. Le Qi said: The clarity of the Heart is called Hun and Po. Po belongs to the physical form, and Hun belongs to the spirit. Jing is Po, and Po is the spirit of Jing; Shen is Hun, and Hun is the spirit of Qi. Shao Yong said: When Qi and Form are vigorous, Hun and Po are vigorous; when Qi and Form decline, Hun and Po also decline. Hun changes with Qi, and Po transforms with Form. Thus, when Form exists, Po exists; when Form decays, Po scatters. Zhu Xi said: Hun is divine, Po is spiritual; Hun is Yang, Po is Yin; Hun is active, Po is static. While alive, Hun is carried by Po, and Po restrains Hun; after death, Hun wanders and returns to Heaven, while Po sinks and returns to Earth. Actions and movements are Hun; non-action is Po. When Po is strong, hearing and vision are acute, and memory is retained. In the elderly, dim vision, deafness, and forgetfulness indicate the decline of Po. He also said: When alive, Hun and Po interact; upon death, they separate. The dark halo of the moon is Po, and its light is Hun. Hun is the flame of Po, and Po is the root of Hun. Fire represents Hun, and the mirror represents Po. A lamp has a flame (Hun); when an object comes, it burns. A mirror reflects objects, but the image is inside. Fire and Sun represent external scenes (Yang/Hun), while Metal and Water represent internal scenes (Yin/Po). Yin governs storage and reception, so Po can memorize internally; Yang governs application and expression, so Hun can manifest externally. These two are inseparable; when Jing gathers, Po gathers; when Qi gathers, Hun gathers. This constitutes the substance of humans and things. When Jing exhausts and Po descends, Qi scatters and Hun wanders, resulting in ignorance.)
Huang Di asked: People have different lifespans; some die young, some live long, some die suddenly, and some suffer from chronic illness. I wish to hear the principles behind this.
Qi Bo said: When the Five Zang organs are solid, blood vessels are harmonious, muscles are supple, skin is dense, the movement of Ying and Wei follows its normal pattern, breathing is slow and gentle, Qi moves according to rhythm, the Six Fu organs digest food, and Jin Ye (Body Fluids) are distributed and spread, each functioning normally, thus longevity is achieved. ("Solid" means resistant to damage; "harmonious" means resistant to disorder; "supple" means free from stagnation; "dense" means protected from injury. Normal Ying and Wei movement indicates harmonious meridians. Slow breathing and rhythmic Qi movement indicate proper regulation by the San Jiao (Triple Burner). Digestion by the Six Fu organs and distribution of fluids result in harmony among Zang and Fu organs, abundant spirit, and vitality, hence longevity.)
Huang Di asked: How does one reach the age of one hundred and then die?
Qi Bo said: When the nasal passages are deep and long, the facial bones are high and square, Ying and Wei are unobstructed, the three facial regions and the areas around the temples show high bone structure and full flesh, one can live to a hundred years. (*Book of Rites* states: "One hundred years is called Qi Yi." "Shi Dao" refers to the seven orifices, representing the pathways through which the Five Zang organs express themselves, e.g., Lung Qi connects to the nose, Liver Qi to the eyes, Spleen Qi to the mouth, Heart Qi to the tongue, and Kidney Qi to the ears. These are the pathways of the five sense organs. "Sui" means deep. "Ji Qiang" refers to the face; bones are the "Ji" (base), and the cheekbones/facial contours are the "Qiang" (wall). See Chapters 31 and 2 of the Pulse and Color section. Such features—harmonious Ying/Wei, high bones, and full flesh—are the path to longevity, allowing one to reach a hundred years.)
Huang Di asked: May I hear about the decline of Qi until death?
Qi Bo said: At ten years old, the Five Zang organs begin to stabilize, blood and Qi circulate, and Qi is located lower in the body, so the child likes to run. (Heavenly and earthly energies: Yang rises, leading toward life; Yin descends, leading toward death. Thus, the Qi in youth, being lower, rises from below.) At twenty, blood and Qi become vigorous, muscles grow, so the youth likes to walk briskly. At thirty, the Five Zang organs are firmly established, muscles are solid, and blood vessels are full, so the adult likes to walk steadily. (When full, agility decreases, hence the preference for steady walking.) At forty, the Five Zang, Six Fu, and twelve meridians reach their peak stability, pores begin to loosen, luster fades, hair turns gray, and the state of fullness becomes static, so the middle-aged person likes to sit. (The law of heaven and earth is that extremes change; prosperity declines. Just as the sun passes its zenith and wanes, and the moon waxes then wanes, at forty, Yin Qi is halved. Gray hair and a preference for sitting mark the beginning of decline.) At fifty, Liver Qi begins to decline, liver leaves thin out, bile production decreases, and vision blurs. At sixty, Heart Qi begins to decline, sorrow and grief increase, blood and Qi become sluggish, so the elder likes to lie down. At seventy, Spleen Qi becomes deficient, and skin withers. At eighty, Lung Qi declines, Po departs, and speech becomes erroneous. At ninety, Kidney Qi is exhausted, and the meridians of the Four Zang organs are empty. At one hundred, all Five Zang organs are deficient, Shen and Qi depart, leaving only the corpse to end. ("Po departs" refers to physical decay. "Kidney Qi exhausted" refers to the depletion of True Yin. This complements the *Shang Gu Tian Zhen Lun* chapter regarding women completing seven cycles and men eight cycles. That chapter uses sevens and eights to denote Yin-Yang limits; this chapter uses tens to denote the full lifespan. Human Qi has a fixed schedule, but variations arise from innate endowment and personal conduct. Only the wise avoid letting desires harm their natural innocence, nurturing natural longevity through natural ways to fulfill their heavenly years. This is the consensus of sages. Modern people not only fail to preserve what they have but seek to transcend fate and ascend, confusing others and themselves. They do not realize that without limit there is no boundary, and with existence there is an end, yet they pride themselves on enlightenment. Is this not like dreaming and interpreting dreams? Their lack of awakening is profound.)
Huang Di asked: What happens to those who do not live out their natural lifespan? (Referring to premature death before the allotted time.)
Qi Bo said: Their Five Zang organs are not solid, the nasal passages are short, (as described above; "short" means brief/stunted.) the orifices are exposed and flared, (the nine orifices are open and visible.) breathing is rapid and labored, (rapid breathing indicates shortness of breath; labored breathing indicates susceptibility to injury; neither is a sign of longevity.) the facial base is low, pulses are thin with little blood, muscles are not firm, (Stone implies hardness.) frequently attacked by wind-cold, blood and Qi are deficient, meridians are obstructed, true Qi and pathogenic factors attack each other, causing chaos and mutual entrapment, (Frequent wind-cold invasion indicates weak exterior defense. Blood/Qi deficiency indicates insufficient Zheng Qi. Meridian obstruction indicates stagnation. Thus, pathogenic factors easily invade. Although Zheng Qi should repel pathogens, insufficiency allows pathogens to enter, hence "mutual entrapment." "Shuo" is pronounced 'shuo'.) thus ending life at mid-years. (Since these physical and Qi characteristics differ from those of the long-lived, dying at mid-life has its causes, rooted in innate endowment. The human constitution is determined at conception, suggesting a fixed destiny seemingly beyond human control. However, if endowed well and nurtured according to Dao, longevity increases; if endowed poorly and nurtured contrary to harmony, lifespan shortens. Thus, the knowledgeable may elevate their status from low to medium, or medium to high; the ignorant may drop from high to medium, or medium to low. It is said that Heaven's order can overcome man, but man's effort can also overcome Heaven. Endowment is congenital (Xian Tian), responsibility lying with parents; cultivation is acquired (Hou Tian), responsibility lying with one's own mind.)