用心省真,谓用心太过,省其真气也。省,即损字,犹邪即斜字。思虑不节,则心之真
阴为
其所耗。心为十二官之主,而脾者孤脏,以灌四旁者也。主不明则十二官危,脾有病则五脏
不安。《脉经》有曰∶忧愁思虑伤于心者,其脉必弦。故太阴脏搏者,因用心以省其真,脾
不能输精于五脏,而五脉气少,不能为胃行其津液,而胃气不平也。气少与不平,即气不冲
和,而脉弦之义也。旧说未妥。
阴阳结,为句,谓尺寸皆紧也。斜字,为句,谓脉形低昂,即多阴少阳,关前浮少,关
后沉
多也。《大奇论》所谓肝肾并沉,为石水是也。此阳虚阴结,后世所谓单腹胀者,故曰
少腹肿也。前人每论单腹胀,未尝指为即石水。注∶石水者,亦未尝言即单腹胀。盖因不知
是石水,故立单腹胀之名耳!石者,坚也,冷也。
《脉经》有脉深伏不见,反仰其手乃得之之文。前人不知反仰之义,竟有解作覆手者,
殊不
可通。窍思此所谓伏,非真伏也,乃沉之极也。凡诊脉,皆仰置其手;反仰,谓将腕高枕,
而手掌反折垂下,于是筋脉为之牵引绷急而挺起矣,故沉者亦外见而可诊也。
此数语,旧解皆未甚明晰,其实乃极浅之语。所谓应者,主三阴三阳之六气言也。天地
以干
支言,非司天司地之谓也。应天者,谓六气之合于天干也。如甲年起太阳,行至五年,必右
迁一步,而始复起太阳,甲与太阳,不复相值也,故曰动;应地者,如子年起太阳,行至六
年临午,再六年而复临子矣,其数有定,而无所参差也,故曰静。天以六为节,地以五为制
,周天气者,六期为一备,终地纪者,五岁为一周。此谓天以地之六为节,地以天之五为制
,互相节制,而不得相值。地周于天,六期乃备,天终于地,五岁已周。二语乃明其不相值
也。不相值而相生相制,变化其中矣。故五六相合,而七百二十气为一纪,凡三十岁;千四
百四十气,凡六十岁,而为一周,不及太过,斯皆见矣。君火以明,相火以位,张景岳解得
最好。二句亦无深义,只以明六气所以有二火之义也。
"Yongxin Shengzhen" (Attentively Examining the True Qi) refers to excessive mental exertion, which damages the body's true qi. The character "Sheng" (省) means "Sun" (损, damage), just as "Xie" (邪) is synonymous with "Xie" (斜, oblique). If thinking and worrying are not regulated, it will consume the true yin of the Heart. The Heart is the master of the twelve organs, while the Spleen is an isolated organ that irrigates the four directions. If the ruler (Heart) is unclear, the twelve organs face danger; if the Spleen is diseased, the five zang organs become unsettled. *Mai Jing* (Pulse Classic) states: "Those whose hearts are injured by worry and anxiety will have a Xian pulse (String-taut pulse)." Therefore, the phenomenon of "Taiyin Zang Bo" (Tibetan Pulse Striking) occurs because excessive mental effort has damaged the true qi. The Spleen cannot distribute essence to the five zang organs, resulting in deficient qi in the five pulses. It fails to transport fluids for the Stomach, leading to disharmony of Stomach qi. "Qi deficiency" and "disharmony" refer to the lack of harmonious flow of qi, which is the meaning behind the String-taut pulse. Old interpretations are not appropriate.
"Yin Yang Jie" (Binding of Yin and Yang) is one phrase, meaning both the Cun (Inch) and Chi (Cubit) positions exhibit Jin pulses (Tight pulse). "Xie" (Oblique) is another phrase, referring to the undulating shape of the pulse, indicating abundant yin and scarce yang, with fewer floating pulses anterior to the Guan (Bar) position and more sunken pulses posterior to it. This corresponds to what *Suwen: Daqi Lun* describes as simultaneous sunken pulses of the Liver and Kidney, which indicates Shishui disease (Stone Water accumulation). This pathology involves yang deficiency and yin binding, known in later generations as Dan Zhang Fu (Single Abdominal Distension). Hence, it is said that the lower abdomen swells. Previous authors discussing Single Abdominal Distension never explicitly identified it as Stone Water. Annotations also state that Stone Water was never described as Single Abdominal Distension. This is likely because they did not realize it was Stone Water, thus establishing the name "Single Abdominal Distension." The term "Shi" (Stone) implies hardness and coldness.
*Mai Jing* contains text stating: "The pulse is deeply hidden and invisible; only by reversing the hand position can it be felt." Previous scholars did not understand the meaning of "Fan Yang" (Reverse Elevation) and interpreted it as "Fu Shou" (Hand turned palm down), which makes no sense. I ponder that the "Fu" (Deep-hidden pulse) mentioned here is not a true Fu pulse, but rather the extreme degree of Chen (Sunken pulse). In all pulse diagnoses, the hand is placed palm up. "Fan Yang" means elevating the wrist high on a pillow while folding the palm backward and letting it hang down. This traction tightens the tendons and vessels, causing them to stand out, so that even deep pulses become visible externally and palpable.
These few sentences were not clearly explained by old interpretations, yet they are actually very simple. The term "Ying" (Correspondence) refers to the correspondence with the six qi of the Three Yin and Three Yang. Heaven and Earth are expressed through Heavenly Stems and Earthly Branches, not referring to Si Tian (Chief of Heaven) or Si Di (Chief of Earth). "Ying Tian" (Corresponding to Heaven) refers to the combination of the six qi with the Heavenly Stems. For example, in a Jia year, the cycle begins with Taiyang Cold-Water qi. After five years, it must shift right by one step to restart the Taiyang cycle, meaning the Jia stem no longer corresponds with Taiyang qi; hence it is called "Dong" (Moving). "Ying Di" (Corresponding to Earth) is like starting with Taiyang in a Zi year; after six years it reaches the Wu position, and after another six years it returns to Zi. The numbers are fixed without discrepancy; hence it is called "Jing" (Static). Heaven uses six as its rhythm, Earth uses five as its system. Circulating the qi of Heaven, six periods constitute one complete cycle; terminating the register of Earth, five years constitute one revolution. This means Heaven uses Earth's six as its limit, and Earth uses Heaven's five as its system, mutually restricting each other so they do not coincide. Earth circulates within Heaven, completing its cycle in six periods; Heaven terminates within Earth, completing its cycle in five years. These two phrases clarify their non-coincidence. Non-coincidence leads to mutual generation and restriction, creating change within. Thus, when five and six combine, seven hundred and twenty qi cycles form one Ji (period), totaling thirty years; one thousand four hundred and forty qi cycles form one Zhou (revolution), totaling sixty years. Deficiencies and excesses are all observable. "Jun Huo Yi Ming, Xiang Huo Yi Wei" (Ministerial Fire illuminates, Ministerial Fire takes its place) is best explained by Zhang Jingyue. These two sentences have no profound meaning; they merely clarify why there are two types of fire within the six qi.