力役劳 之人。动彻劳其筋骨。脉之重浊。势所必然。至于市井之徒。拱手曳裾。脉之重浊者。此非天性使然欤。
若平素不甚重浊。因病鼓盛者。急宜攻发以开泄其邪。若平昔重浊。因病而得蹇涩之脉。此气血凝滞。痰涎胶
固之兆。不当以平时涩浊论也。
门人问曰。读师传诸义。发智能光。如大火聚。扫却胸中无限阴霾矣。但某等根器疏陋。
尚有积疑未泮。如三焦命门。各有歧说。未获定鉴。愿师垂诲真铨。以破学人之惑。答曰。夫所谓命门者。即
三焦真火之别名也。以其职司腐熟之令。故谓之焦。经谓中精之府。言其所主精气也。又云。上焦如雾。中焦如
沤。下焦如渎者。言其气化之象也。岐伯曰。寸以射上焦。关以射中焦。尺以射下焦。此言三焦之脉位也。射
者。自下而射于上。其脉即分属寸关尺。凡鼓动之机。靡不本诸三焦。则知六部之中。部部不离三焦之气也。
三焦为真火之源。故有命门之号。难经独以右尺当之。而脉诀复有男女左右之分。男以精气为主。故右尺为命
门。女以精血为主。故左尺为命门。是命门之诊。尤重在乎尺内也,三焦鼎峙两肾之间。为水中之火。既济阴
阳。赵氏所谓天非此火不能生物。人非此火不能有生。为性命之主宰。故曰命门。越人谓其有名无形者。以火
即气。气本无形。非若精津血液之各有其质也。然以气化为无形则可。以三焦为无形则不可。灵枢本藏云。肾
应骨。密理浓皮
者。三焦膀胱浓。粗理薄皮者。三焦膀胱薄。疏腠理者。三焦膀胱急。毫毛美而粗者。三焦膀胱直。稀毫毛者
。三焦膀胱结也。详此明言浓薄急结之状。讵可谓之无形乎。
For those engaged in manual labor, who constantly strain their sinews and bones, a heavy and turbid pulse is naturally inevitable. As for the commoners who sit with hands clasped and drag their robes, avoiding physical exertion, if their pulses are also heavy and turbid, is this not due to their innate constitution?
If a person's pulse is normally neither heavy nor turbid, but becomes so due to vigorous pathogenic factors, urgent attack and dispersal should be employed to open and drain the pathogens. If a person's pulse is habitually heavy and turbid, and subsequently becomes choppy and obstructed due to illness, this indicates stagnation of Qi and Blood, and tenacious phlegm-fluids; it should not be diagnosed merely as habitual choppy and turbid pulse.
A disciple asked: "Reading your master's teachings illuminates my wisdom like a great fire, sweeping away the infinite gloom in my chest. However, our capacities are sparse and crude, and we still harbor unresolved doubts. For instance, regarding the Sanjiao (Triple Burner) and Mingmen (Gate of Life), there are divergent theories, and we lack definitive criteria. We hope you will bestow true knowledge to dispel the confusion of learners."
The Master replied: "What is called Mingmen is actually another name for the True Fire of the Sanjiao. Because its function governs rotting and ripening, it is termed 'Jiao' (Burner). The Classics state it is the 'House of Central Essence,' referring to the essence and Qi it governs. It is also said: 'The Upper Jiao is like mist, the Middle Jiao like foam, and the Lower Jiao like a ditch.' These phrases describe the phenomena of Qi transformation. Qibo stated: 'The Cun position reflects the Upper Jiao, the Guan position reflects the Middle Jiao, and the Chi position reflects the Lower Jiao.' This describes the pulse positions of the Sanjiao. 'Reflecting' means projecting from below upwards; thus, the pulses are respectively attributed to the Cun, Guan, and Chi positions. All mechanisms of pulsation originate from the Sanjiao. Therefore, it can be known that within all six pulse positions, none is devoid of Sanjiao Qi. Since the Sanjiao is the source of True Fire, it bears the title of Mingmen. *Nan Jing* uniquely assigns the Right Chi position to Mingmen, while *Mai Jue* distinguishes between left and right for males and females. In males, who prioritize Essence and Qi, the Right Chi is Mingmen; in females, who prioritize Essence and Blood, the Left Chi is Mingmen. Thus, the diagnosis of Mingmen particularly emphasizes the inner Chi pulse. The Sanjiao stands tripartite between the two Kidneys; it is Fire within Water, harmonizing Yin and Yang. As Zhao Xike said: 'Heaven cannot generate things without this Fire; humans cannot sustain life without this Fire.' It is the master of life and nature, hence called Mingmen. Yue Ren (Bian Que) claimed it has a name but no form because Fire is Qi, and Qi is inherently formless, unlike Essence, Fluids, or Blood which have substance. However, while it is acceptable to say Qi transformation is formless, it is incorrect to say the Sanjiao itself is formless. *Ling Shu: Ben Cang* states: 'The Kidney corresponds to bone. Those with dense texture and thick skin have thick Sanjiao and Bladder; those with coarse texture and thin skin have thin Sanjiao and Bladder; those with loose interstices have tense Sanjiao and Bladder; those with beautiful and coarse hair have straight Sanjiao and Bladder; those with sparse hair have knotted Sanjiao and Bladder.' Examining these explicit descriptions of thickness, thinness, tension, and knotting, how can one claim it is formless?"