齐褚澄彦通遗书一秩,才二千六百二十言,发挥人身中造化之秘,明白要约,殆无余蕴。盖
沉酣于《内经》、《素问》、《灵枢》之旨者也,其司马季主、扁鹊、仓公之流乎。彦通在当时,连姻宗
室,贵富鲜俪,而能造诣如此,则超出尘表之姿,又可想见之也。方虚谷选诗,谓孙思邈《千金
方》三十六卷。每卷藏一仟方,在人自求之耳。予观此书,亦寓思邈之意渊乎微哉,叙其出处,
显晦甚详,奚俟予之置啄邪,但若临席啖脔,使人自不忍下咽,遂僭参量语于篇首,亦珍爱之癖云。
正德丙寅清明日舒城秦民悦邦约书。
男女之合,二情交畅,阴血先至,阳精后冲,血开裹精,精人为骨,而男形成矣;阳精先
人,阴血后参,精开裹血,血入居本,而女形成矣。阳气聚面,故男子面重,溺死者必伏;阴
气聚背,故女子背重,溺死者必仰。走兽溺死者,伏仰皆然,阴阳均至,非男非女之身,精
血散分骈胎、品胎之兆,父少母老,产女必羸;母壮父衰,生男必弱。古之良工,首察乎此,
补羸女先养血壮脾;补弱男则壮脾节色;羸女宜及时而嫁,弱男宜待壮而婚,此疾外所务之
本,不可不察也。
天地之气,周于一年,人身之气,周于一日。人身阳气以子中自左足而上,循左股、左
手指、左肩、左脑、横过右脑、右肩、右臂手指、胁、足,则又子中矣;阴气以午中自右手心通
右臂、右肩、横过左肩、左臂、左胁、左足外肾、右足、右胁,则又午中矣,阳气所历,充满周
流,阴气上不过脑,下遗指趾,二气之行,昼夜不息,中外必偏,一为痰积壅塞,则痰疾生焉,
疾证医候,统纪浩繁,详其本源。痰积虚耳,或痰聚上,或积恶中,遏气之流,艰于流转,则
上气逆上,下气郁下,脏腑失常,形骸受害。暨乎!气本衰弱,运转艰迟,或有不周,血亦
偏滞,风湿寒暑乘间袭之,所生痰疾,与痰积同。凡人之主,热而汗,产而易,二便顺利,则
气之通也。阳虚不能运阴气,无阴气以清其阳,则易独治,而为热;阴虚不能运阳气,无阳
气以和其阴,则阴独治,而为厥。脾以养气。肺以通气,肾以泄气,心以役气,凡脏有五,肝
独不与,在时为春,在常为仁,不养不通,不泄不役,而气常生,心虚则气入而为荡,肺虚则
气入而为喘,肝虚则气人而目昏,肾虚则气人而腰疼,四虚气人,脾独不与,受食不化,气
将日微,安能有余以入其虚,乌乎?兹谓气之名理与。
The遗书 (Remnant Book) of Chu Cheng (Courtesy Name Yantong) from the Southern Qi dynasty consists of one volume, totaling 2,620 characters. It elucidates the mysteries of creation within the human body, being clear and concise, leaving almost nothing unsaid. He must have been deeply immersed in the principles of Huangdi Neijing (Yellow Emperor's Inner Canon), Suwen (Basic Questions), and Lingshu (Spiritual Pivot). He likely belongs to the lineage of Sima Jizhu, Bian Que, and Cang Gong. In his time, Yantong married into the imperial clan, possessing wealth and nobility unmatched by others, yet he achieved such profound knowledge; thus, his demeanor transcending the mundane world can be imagined. Fang Xugu, when selecting poetry, mentioned that Sun Simiao's Qianjin Yaofang (Essential Prescriptions Worth a Thousand Gold) comprises thirty-six volumes, each containing one thousand prescriptions, relying on individuals to seek them out. Observing this book, I also perceive Sun Simiao's intent; it is profound and subtle. The narrative of its origin and obscurity is very detailed, so why should I add my trivial comments? However, reading it is like eating meat at a banquet, making one reluctant to swallow easily. Thus, I presumptuously added some introductory remarks, driven by a passion for cherishing valuable texts. Written by Qin Minyue (Style Name Bangyue) of Shucheng on Qingming Festival, Bingyin Year of Zhengde.
When male and female unite, with mutual emotional harmony, if Yin blood arrives first and Yang essence follows later, the blood opens to envelop the sperm, which transforms into bone, resulting in the formation of a male; if Yang essence enters first and Yin blood participates later, the sperm opens to envelop the blood, which resides in the root, resulting in the formation of a female. Yang qi gathers in the face, hence men have heavier faces, and those who drown will lie prone; Yin qi gathers in the back, hence women have heavier backs, and those who drown will lie supine. For quadrupeds drowning, both prone and supine positions occur, indicating an equal arrival of Yin and Yang, leading to a non-male, non-female constitution. The scattered distribution of sperm and blood are signs of conjoined twins (Piantai) or multiple births (Pintai). If the father is young and the mother old, the daughter born will inevitably be frail; if the mother is strong and the father weak, the son born will inevitably be weak. Ancient skilled physicians prioritized observing this: to tonify a frail girl, one must first nourish blood and strengthen the Spleen; to tonify a weak boy, one must strengthen the Spleen and regulate sexual activity. Frail girls should marry promptly, while weak boys should wait until they are robust before marriage. This is the fundamental concern outside of treating diseases, which cannot be overlooked.
The Qi of Heaven and Earth circulates once a year; the Qi of the human body circulates once a day. The Yang Qi of the human body begins at Zi hour (11 PM - 1 AM) ascending from the left foot, following the left thigh, left hand fingers, left shoulder, left brain, crossing over to the right brain, right shoulder, right arm fingers, hypochondrium, and foot, returning to Zi hour; Yin Qi begins at Wu hour (11 AM - 1 PM) flowing from the center of the right palm through the right arm, right shoulder, crossing over to the left shoulder, left arm, left hypochondrium, left external genitalia, right foot, and right hypochondrium, returning to Wu hour. Where Yang Qi passes, it is full and circulating continuously; Yin Qi does not go above the head nor below the fingers and toes. The movement of these two Qi flows ceaselessly day and night. There must be bias inside and out; if Phlegm accumulation causes blockage, Phlegm diseases arise. Disease syndromes and medical indications are numerous and complex, requiring detailed investigation of their origins. Phlegm accumulation stems from deficiency. Whether Phlegm gathers in the upper part or evil accumulates in the middle, it obstructs the flow of Qi, making circulation difficult. Consequently, Upper Qi rebels upward, Lower Qi stagnates downward, Zang-Fu organs lose normal function, and the physical body suffers damage. When Qi is originally weak, its movement is slow and difficult, or incomplete, Blood also becomes stagnant. Wind, Dampness, Cold, and Summer-heat take advantage of these gaps to attack. The resulting Phlegm diseases are similar to those caused by Phlegm accumulation. Generally, heat leads to sweating, childbirth is easy, and urination and defecation are smooth, indicating the unobstructed flow of Qi. Yang Deficiency cannot transport Yin Qi; without Yin Qi to clear Yang, Yang may dominate independently, manifesting as Heat. Yin Deficiency cannot transport Yang Qi; without Yang Qi to harmonize Yin, Yin may dominate independently, manifesting as Jue (Cold Extremities). The Spleen nourishes Qi, the Lung ventilates Qi, the Kidney drains Qi, and the Heart commands Qi. Among the five Zang organs, the Liver alone does not participate in these specific functions. In seasons, it corresponds to Spring; in virtues, to Benevolence. It neither nourishes nor unblocks, neither drains nor commands, yet Qi naturally generates. If the Heart is deficient, Qi enters causing agitation; if the Lung is deficient, Qi enters causing panting; if the Liver is deficient, Qi enters causing blurred vision; if the Kidney is deficient, Qi enters causing lower back pain. With the four Zang organs deficient and Qi entering, only the Spleen does not participate in receiving [Qi], but receives food without digesting it. Qi will gradually diminish daily. How can there be surplus Qi to fill these deficiencies? Is this not the principle behind the name 'Qi'?