动静未分,一气而已,既分之后,阴阳判焉。是故静而阴,动而阳,万物之所以赋形,阳必动,阴必静,
变化之所以妙用。动静各出于自然,其阴阳离合之谓乎。篇中所言,俱就阴阳分位解,尚未说到疾病上。
黄帝问曰∶余闻天为阳,地为阴,日为阳,月为阴,大小月三百六十日成一岁,人亦应之。今三阴三阳不
应阴阳,其故何也?(按,不应谓不与天地之阴阳尽相合也。)岐伯对曰∶阴阳者,数之可十,推之可百,数
之可千,推之可万,万之大不可胜数,然其要一也。(一谓离合也。按∶合而不离,则阴阳之气闭;离而不合,
则阴阳之理乖。有离有合,千变万化,其至道之宗乎。数以见在言,推以充广言。)
天复地载,万物方生。未出地者命曰阴处,名曰阴中之阴;(形未动出,亦是为阴。)则出地者命曰阴中
之阳。(形动出者,是则为阳。)阳予之正,阴为之主。(阳施正气,万物方生;阴为主持,群形乃立。按∶注
是矣,然正兼内外而言,主则专乎内也。)故生因春,长因夏,收因秋,藏因冬,失常则天地四塞。(春夏
为阳,故生长也;秋冬为阴,故收藏他。若失其常道,则四时之气闭塞,阴阳之气无所营运矣。按∶天地且然,
而况于人乎。故下云∶)阴阳之变,其在人者,亦数之可数。(按∶天地之道失其常,可以数而知。人乖阴阳之
道,亦可指数,若数目之列于前而指数之也。)
帝曰∶愿闻三阴三阳之离合也。岐伯曰∶圣人南面而立,前曰广明,后曰太冲,(向明治物,故圣人南面而
立。然在人身中,心脏在南,故谓前曰广明;冲脉在北,故谓后曰太冲。然太冲脉者,肾脉与冲脉合而盛大,
故云太冲。按∶凡经中穴名,各有取义,然亦有无义可考者,不必拘泥也。)太冲之地,名曰少阴,少阴之上,
名曰太阳,(正明两脉相合而为表里也。肾脏阴,膀胱腑为阳,阴气在下,阳气在上,此为一合之经气也。)
太阳根起于至阴,结于命门,名曰阴中之阳。(至阴,穴名,在足小趾外侧。命门者,脏精光照之所,则两目
也。太阳之脉,起于目而下至于足,故根于指端,结于目也。灵枢经曰∶“命门者,目也。”以太阳居少阴之
地,故曰阴中之阳。)中身而上,名曰广明,广明之下,名曰太阴,(心广明脏,下则太阴脾脏也。)太阴之
前,名曰阳明,(胃为阳明脉,行脾脉之前;脾为太阴脉,行于胃脉之后。)阳明根起于厉兑,名曰阴中之阳。
(厉兑,穴名,在足大趾次趾之端。以阳明居太阴之前,故曰阴中之阳。)厥阴之表,名曰少阳,(胆少阳脉,
行肝脉之分外;肝厥阴脉,行胆脉之位内。)少阴根起于窍阴,名曰阴中之少阳。(窍阴穴,在足小趾次趾之
端。以少阳居厥阴之表,故曰阴中之少阳。按∶人身之脉循环上下,周流一身,各有所起之处,起于下者行于
上,起于上者行于下,苟非有根焉,何能或离或合如是哉。然篇中止言足经三阴三阳,而不及手之六经,不知
何故。热论篇所言伤寒,亦止足六经。后张仲景作伤寒论,更无增益。岂人身十二经脉,偏重在足欤?抑足之
六经,果足以概手,而手之六经,无离合之用,故可略而不言欤?后之君子,必有能知而言之者。按卢廉夫纂
丹溪书,其言传足不传手之说,谓伤寒所传六经∶太阳膀胱,水也;阳明胃,土也;少阳胆,木也;太阴脾,
土也;少阴肾,水也;厥阴肝,木也。水得寒则冰,土得寒则坼,木得寒则枯。足之所主六经,性本畏寒,
故邪得入而传之也。若夫手之六经∶太阳小肠,火也;阳明大肠,金也;少阳三焦,火也;太阴肺,金也;少
阴心,火也,厥阴心包络,火也。火热金坚,性不畏寒,故手之六经,邪不能入而传之也。
其义本之刘草窗。即其义而合观之,则知此篇所载,止有足之六经,乃外邪出入之门户,故有开合枢之义,
而以阴阳离合命篇焉。比类寻义,将无是欤?!)是故三阳之离合也,太阳为开,阳明为阖,少阳为枢。(离
谓离别应用,合谓配合于阴,离别则正位于三阳,配合则表里而为脏腑矣。开合枢者,言三阳之气多少不等,
动用殊也。夫开者所以司动静之基,合者所以执禁固之权,枢者所以主动转之微,由斯殊气之用,故三变之也。
按∶注颇确,但云三阳之气多少不等,多少二字未是,宜云三阳之气所主不同,动用殊也,于义较通。)三经
者,不得相失也,搏而勿浮,命曰一阳。(三经之至,搏击于手,而无轻重之异,则正可谓一阳之气,无复有
三阳差降之为用也。按∶开合枢者,阴阳之妙用,三阴三阳之所以为离合也。动失其宜,疾病于是乎生矣。)
帝曰∶愿闻三阴。岐伯曰∶外者为阳,内者为阴,然则中为阴,(按∶注言三阳为外运之离合,三阴为内运
之离合,太凿。此盖承上起下由阳入阴之转语耳,不必说到离合上。中者外之内也,内为阴,故中亦为阴。)
其冲在下,名曰太阴,(冲脉在脾之下,故云。)太阴根起于隐白,名曰阴中之阴。(隐白穴,在足大趾端。
以太阴居阴,故曰阴中之阴。)太阴之后,名曰少阴,(脏位及经脉之次也。太阴,脾也。少阴,胃也。脾
脏之下近后,则肾之位。)少阴根起于涌泉,名曰阴中之少阴。(涌泉穴,在足心 指宛宛中。)少阴之前,
名曰厥阴,(少阴,肾也。厥阴,肝也。肾脏之前近上,则肝之位。)厥阴根起于大敦,阴之绝阳,名曰阴之
绝阴。(大敦穴,在足大趾端三毛中。厥,尽也。阴气至此而尽,故曰绝阴。按∶绝阳者,阳至此而绝,绝
阴者,阴至此而极,惟绝阳故绝阴也。)是故三阴之离合也,太阴为开,厥阴为阖,少阴为枢。三经者,不得
相失也,搏而勿沉,名曰一阴。(沉,言殊见也,阳浮亦然。若经
气应至,无浮沉之异,则悉可谓一阴之气,非复有三阴差降之殊用也。)
阴阳HT HT ,积传为一周,气里形表而为相成也。(HT HT 言气之往来也,积谓积脉之动也,传谓阴阳之气
流
传也。夫脉气往来,动而不止,积其所动,血气循环,应水下二刻而一周于身,故曰积传为一周也。然荣卫之气,
因息游布,周流形表,拒捍虚邪,中外主司,互相成立,故言气里形表而为相成也。HT HT 一本作冲冲。按∶
易曰“冲冲往来”,是矣。)
When movement and stillness have not yet differentiated, it is merely one Qi (vital energy). Once differentiated, Yin and Yang are distinguished. Therefore, stillness belongs to Yin, and movement belongs to Yang; this is the reason why all things acquire form. Yang must be active, and Yin must be still; this is how changes produce their wondrous functions. Movement and stillness arise naturally from themselves; this is what is meant by the separation and union of Yin and Yang. The discussions in this chapter explain everything based on the positional distribution of Yin and Yang, without yet addressing diseases.
The Yellow Emperor asked: I have heard that Heaven is Yang and Earth is Yin, the Sun is Yang and the Moon is Yin. Large and small months total three hundred and sixty days to form a year, and the human body corresponds to this. Now, the Three Yin and Three Yang do not seem to fully correspond with the Yin and Yang of Heaven and Earth. What is the reason for this? (Note: "Not corresponding" means not completely aligning with the Yin and Yang of Heaven and Earth.)
Qibo replied: Yin and Yang, when counted, can extend to ten; when deduced, to a hundred; when counted further, to a thousand; and when deduced further, to ten thousand. Even up to the vastness of myriad myriads, which cannot be numbered, their essence remains one. (This "one" refers to separation and union. Note: If there is union without separation, the Qi of Yin and Yang becomes blocked; if there is separation without union, the principles of Yin and Yang become discordant. With both separation and union, myriad transformations occur; this is likely the root of the Great Dao. "Counting" refers to existing phenomena, while "deducing" refers to expansion and extension.)
Heaven covers above, and Earth bears below, and all things begin to grow. Those that have not yet emerged from the earth are called the place of Yin, named Yin within Yin. (Since the form has not moved out, it is also considered Yin.) Those that have emerged from the earth are called Yang within Yin. (Since the form has moved out, it is considered Yang.) Yang provides the correct Qi, and Yin acts as the master. (Yang imparts righteous Qi, allowing all things to begin growing; Yin acts as the host, allowing various forms to stand. Note: The annotation is correct, but "correct" encompasses both interior and exterior, whereas "master" specifically pertains to the interior.) Thus, life arises due to Spring, grows due to Summer, harvests due to Autumn, and stores due to Winter. If these norms are violated, the Qi of the four seasons and Heaven and Earth will become blocked. (Spring and Summer belong to Yang, hence governing growth; Autumn and Winter belong to Yin, hence governing harvesting and storing. If the constant Way is lost, the Qi of the four seasons will close up, and the Qi of Yin and Yang will fail to circulate. Note: This applies even to Heaven and Earth, let alone humans. Hence it is said below:) The variations of Yin and Yang in humans can also be enumerated. (Note: If the Way of Heaven and Earth loses its norm, it can be known through numbers; if humans deviate from the Way of Yin and Yang, it can be pointed out item by item like counting numbers.)
The Emperor said: I wish to hear about the separation and union of the Three Yin and Three Yang. Qibo said: When a sage stands facing South, the front is called Guangming (Broad Brightness), and the back is called Taichong (Great Surge). (Facing brightness to govern things, sages stand facing South. However, in the human body, the Heart is located anteriorly (South), so the front is called Guangming; the Chong Mai (Penetrating Vessel) is located posteriorly (North), so the back is called Taichong. The Taichong Mai is formed by the convergence of the Kidney Mai and Chong Mai, becoming vigorous, hence named Taichong. Note: Acupoint names in the classics each have specific meanings, but some cannot be traced; one should not be rigid.) In the region of Taichong is named Shaoyin (Lesser Yin); above Shaoyin is named Taiyang (Greater Yang). (This clarifies that these two meridians combine to form an interior-exterior relationship. The Kidney Zang is Yin, and the Bladder Fu is Yang; Yin Qi is below, Yang Qi is above. This constitutes one combined meridian Qi.) The Taiyang Meridian originates at Zhiyin (BL67) and terminates at Mingmen (Gate of Life), named Yang within Yin. (Zhiyin is an acupoint name located on the lateral side of the fifth toe. Mingmen is where the essence of the Zang shines forth, referring to the eyes. The Taiyang meridian qi starts at the eyes and descends to the feet; thus, it roots at the toes and terminates at the eyes. The *Ling Shu* states: "Mingmen refers to the eyes." Because Taiyang resides in the region of Shaoyin, it is called Yang within Yin.) Above the middle of the body is named Guangming; below Guangming is named Taiyin (Greater Yin). (The Heart is the organ of Guangming; below is the Taiyin Spleen.) Anterior to Taiyin is named Yangming (Bright Yang). (The Stomach is the Yangming meridian, running anterior to the Spleen meridian; the Spleen is the Taiyin meridian, running posterior to the Stomach meridian.) The Yangming Meridian originates at Lidui (ST45), named Yang within Yin. (Lidui is an acupoint located at the tip of the second toe. Because Yangming resides anterior to Taiyin, it is called Yang within Yin.) Exterior to Jueyin (Terminal Yin) is named Shaoyang (Lesser Yang). (The Gallbladder is the Shaoyang meridian, running outside the Liver meridian; the Liver is the Jueyin meridian, running inside the Gallbladder meridian.) The Shaoyin Meridian originates at Xiaoyin (GB44), named Lesser Yang within Yin. (Xiaoyin is an acupoint located at the tip of the fourth toe. Because Shaoyang resides exterior to Jueyin, it is called Lesser Yang within Yin. Note: Human meridians circulate up and down, flowing throughout the body, each having a starting point. Those starting below flow above; those starting above flow below. Without a root, how could they separate and unite in such a manner? However, this chapter only discusses the foot meridians of the Three Yin and Three Yang, omitting the hand six meridians. Why? The *Re Lun* chapter on Cold Damage also only mentions the foot six meridians. Later, Zhang Zhongjing wrote the *Shang Han Lun*, adding nothing. Is it that the twelve meridians of the body particularly emphasize the foot? Or do the foot six meridians suffice to generalize the hand, while the hand six meridians lack separation/union functions and can be omitted? Future scholars will surely know and explain this. Note: Lu Lianfu, compiling Danxi's works, recorded the theory of "transmission via foot, not hand," stating that the six meridians transmitted in cold damage are: Taiyang Bladder (Water); Yangming Stomach (Earth); Shaoyang Gallbladder (Wood); Taiyin Spleen (Earth); Shaoyin Kidney (Water); Jueyin Liver (Wood). Water freezes in cold, Earth cracks in cold, Wood withers in cold. The six meridians governed by the foot inherently fear cold, so pathogens enter and transmit. As for the hand six meridians: Taiyang Small Intestine (Fire); Yangming Large Intestine (Metal); Shaoyang Sanjiao (Fire); Taiyin Lung (Metal); Shaoyin Heart (Fire); Juexin Pericardium (Fire). Fire and Metal are firm and inherently fearless of cold; thus, pathogens cannot enter or transmit through the hand six meridians. This view originates from Liu Caochuang. Observing this together, we see that this chapter only records the foot six meridians, which are the portals for external pathogens, hence possessing the meanings of Kai (Open), He (Close), and Shu (Pivot), and the chapter is named after the separation and union of Yin and Yang. By analogy and seeking meaning, is this not the case?!) Therefore, regarding the separation and union of the Three Yang: Taiyang is Kai (Open), Yangming is He (Close), and Shaoyang is Shu (Pivot). (Separation refers to distinct application; Union refers to coordination with Yin. Separation positions them distinctly among the Three Yang; Union binds them as interior-exterior pairs forming Zang-Fu organs. Kai, He, and Shu indicate that the Three Yang Qi differ in quantity and mode of action. Kai serves as the foundation for managing movement and stillness; He holds the authority of consolidation; Shu facilitates subtle rotational movement. Due to these differing functions of Qi, there are three transformations. Note: The annotation is quite accurate, but saying the quantity of Three Yang Qi differs is imprecise; it should say the Three Yang Qi govern different aspects and have different modes of action, which makes more sense.) These three meridians must not deviate from each other; when pulsing, they should not float excessively; this is called One Yang. (When the Qi of the three meridians arrives, beating against the fingers without difference in weight or lightness, it can truly be said to be One Yang Qi, without the differentiated functions of the Three Yang. Note: Kai, He, and Shu are the wondrous functions of Yin and Yang, the reason for the separation and union of the Three Yin and Three Yang. If movement is improper, disease arises here.)
The Emperor said: I wish to hear about the Three Yin. Qibo said: The exterior is Yang, the interior is Yin; therefore, the middle is Yin. (Note: The annotation claiming Three Yang is exterior separation/union and Three Yin is interior separation/union is too forced. This is likely a transitional phrase moving from Yang to Yin, not necessarily requiring discussion of separation/union. The middle is the interior of the exterior; since the interior is Yin, the middle is also Yin.) The Chong Mai is below, named Taiyin. (The Chong Mai is below the Spleen, hence stated.) The Taiyin Meridian originates at Yinbai (SP1), named Yin within Yin. (Yinbai is an acupoint at the tip of the big toe. Because Taiyin resides in Yin, it is called Yin within Yin.) Posterior to Taiyin is named Shaoyin. (Order of Zang positions and meridians. Taiyin is Spleen; Shaoyin is Kidney. Below and slightly posterior to the Spleen is the position of the Kidney.) The Shaoyin Meridian originates at Yongquan (KI1), named Lesser Yin within Yin. (Yongquan is an acupoint in the depression of the sole.) Anterior to Shaoyin is named Jueyin. (Shaoyin is Kidney; Jueyin is Liver. Anterior and slightly superior to the Kidney is the position of the Liver.) The Jueyin Meridian originates at Dazhun (LR1), is the Terminal Yang of Yin, and is named Terminal Yin of Yin. (Dazhun is an acupoint in the hair tuft at the tip of the big toe. Jue means end. Yin Qi ends here, hence called Terminal Yin. Note: Terminal Yang means Yang ends here; Terminal Yin means Yin reaches its extreme here. Because Yang terminates, Yin terminates.) Therefore, regarding the separation and union of the Three Yin: Taiyin is Kai (Open), Jueyin is He (Close), and Shaoyin is Shu (Pivot). These three meridians must not deviate from each other; when pulsing, they should not sink excessively; this is called One Yin. ("Sink" refers to distinct manifestation; Yang floating is similar. If meridian Qi arrives without difference in floating or sinking, it can all be called One Yin Qi, no longer having the differentiated functions of the Three Yin.)
Yin and Yang Qi flow back and forth, accumulating and transmitting to complete one cycle. Qi is internal, Form is external, and they mutually accomplish each other. (Flowing back and forth refers to the reciprocation of Qi; Accumulation refers to the gathering of pulse movements; Transmission refers to the circulation of Yin and Yang Qi. Pulse Qi flows back and forth, moving ceaselessly. Accumulating its movement, Blood and Qi circulate, completing one cycle around the body in the time equivalent to two cun of water dripping. Hence it is called accumulation and transmission as one cycle. However, Ying (Nutritive) and Wei (Defensive) Qi, distributed via respiration, flow throughout the form and exterior, repelling empty pathogens, managing interior and exterior, mutually establishing each other. Hence it is said that Qi internally and Form externally mutually accomplish each other. A variant text reads "Chongchong". Note: The *I Ching* says "Chongchong wang lai" (flowing back and forth), which is correct.)