尝读太素脉而知其伪也。夫脉法创自轩岐,用以测病情,决死生而已,安得征休征咎,比于
师巫,甚矣杨上善之好诞也。每求其故而不得。后见华佗拟病患于十年之后,以为病去亦
十年死。病存亦十年死,病不能为人死生,因劝其人勿治。佗固汉之异人也。此以脉论耶,抑
以脉中之数论耶?意此病所患既深,虽药无效,又非急证,可以迁延,计其短期,至久乃验,即
如《内经》所云,某病某日笃,某日死者是也。但佗决之于十年之前,故后人遂 为神,反至
略病而重数。上善特有小慧,见佗之行事,托之太素,阴祖其意而畅其说。学人喜其新奇,互
相附和,妄谓尘埃识天子,场屋决元魁。好事之流更从而和之,欺世盗名,所从来久矣。就中
亦有可录之句。如曰∶“脉形圆净,至数分明。谓之清。脉形散涩,至数模糊。谓之浊。质清脉清,
富贵而多喜。质浊脉浊,贫贱而多忧。质清脉浊,此谓清中之浊,外富贵而内贫贱。质浊脉清,
此谓浊中之清,外贫贱而内富贵。若清不甚清浊不甚浊,其得失相半,而无大得丧也。富贵
而寿,脉清而长。贫贱而夭,脉浊而促。清而促者,富贵而夭。浊而长者,贫贱而寿。”予尝以此
验人,百不失一。然考其底蕴,总不出乎风鉴,使风鉴精则太素无漏义矣。至其甚者,索隐行
怪,无所不至,并且诋呵正业,以为不能穷造化之巧,操先知之术。孔子曰∶“攻乎异端,斯害
也已。”其太素脉之谓夫!或曰。上善不足论,而佗亦有遗义耶?夫佗之技甚精,而其说又安
能无弊乎?天下而尽守佗之说也,则将使病浅者日深,病深者日殆,视岐黄为赘疣,而药饵
可尽废,临病不治,但委于命,弛慎疾之心,趋夭枉之路,岂不哀乎!故以病之不可治而勉求
治,未必无稍延之岁月;以病之或可治而不求治,势将有坐失之机宜;须善通佗之意而一
笑上善之术,斯得之矣。
I once read the *Taisu Mai* (Grand Origin Pulse Method) and knew it to be a forgery. The pulse diagnosis method was initiated by Huangdi (Yellow Emperor, Xuan) and Qibo (Qí), used solely to assess the condition of illness and determine life and death. How can it be used to predict auspiciousness or calamity, equating itself with shamans? Yang Shangshan was indeed fond of absurdity. I often sought its rationale but could not find it. Later, I saw Hua Tuo predicting a patient's fate ten years hence, stating that whether the disease was cured or not, death would occur in ten years. Since disease cannot dictate life and death, he advised the person against treatment. Hua Tuo was truly an extraordinary figure of the Han Dynasty. Was this based on pulse diagnosis, or on numerical calculations within the pulse? I surmise that since the disease was deeply entrenched, although medicine would be ineffective, and it was not an acute syndrome allowing for delay, calculating the short-term prognosis would eventually be verified, just as stated in the *Neijing* (Inner Canon): "This disease will worsen on such-and-such day and cause death on such-and-such day." However, Hua Tuo made his judgment ten years in advance, so later generations deified him, thereby neglecting the actual disease while overemphasizing numerology. Yang Shangshan possessed only minor wit; seeing Hua Tuo's deeds, he appropriated them into the *Taisu*, secretly taking Hua Tuo's intent as his ancestor and elaborating upon it. Scholars, pleased by its novelty, echoed each other, falsely claiming one could identify emperors from dust and determine top scholars from examination halls. Busybodies followed suit, deceiving the world to steal fame, a practice long established. Among them, there are sentences worth recording. For instance: "If the pulse form is round and pure, with distinct rhythm, it is called 'Clear'. If the pulse form is scattered and choppy, with blurred rhythm, it is called 'Turbid'. Clear constitution and clear pulse indicate wealth, honor, and much joy. Turbid constitution and turbid pulse indicate poverty, low status, and much worry. Clear constitution but turbid pulse is called 'Turbidity within Clarity', indicating external wealth/honor but internal poverty/low status. Turbid constitution but clear pulse is called 'Clarity within Turbidity', indicating external poverty/low status but internal wealth/honor. If neither clearly clear nor clearly turbid, gains and losses are half-and-half, with no great gain or loss. Wealthy and long-lived: pulse is clear and long. Poor and short-lived: pulse is turbid and rapid. Clear yet rapid: wealthy but short-lived. Turbid yet long: poor but long-lived." I have tested these on people and rarely failed. However, examining its essence, it does not exceed Fengjian (physiognomy). If physiognomy were refined, the Taisu Mai would have no unexplored meanings. At its worst, it delves into hidden mysteries and bizarre behaviors, going to extremes, even denigrating orthodox practices, claiming they cannot exhaust the ingenuity of creation or master the art of precognition. Confucius said, "To study heterodox doctrines is harmful." This refers precisely to the Taisu Mai! Some might say: Yang Shangshan is not worth discussing, but did Hua Tuo also leave behind flaws? Hua Tuo's skills were exquisite, yet how could his theories lack defects? If everyone in the world strictly adhered to Hua Tuo's words, those with mild diseases would become deeper, and those with severe diseases more critical. One would view Huangdi and Qibo as superfluous, discard all medicines, refuse treatment when ill, resign oneself to fate, relax vigilance regarding health preservation, and head toward premature death. Is this not tragic? Therefore, striving for treatment for incurable diseases may not fail to extend life slightly; refusing treatment for curable diseases inevitably leads to missed opportunities. One must understand Hua Tuo's intent well and dismiss Yang Shangshan's methods with a smile; this is the correct approach.