金匮、古帝王藏书之器。此篇论经脉之道。乃上帝之所贵。藏之心意。非其人弗教。非其真弗授。乃金匮中之真言。
不知道者。不易得也。
黄帝问曰。天有八风。经有五风。何谓。(八风、八方之风。经、谓五脏之经俞。五风、五经之风也。上章论阳气。
此章论经脉。故首提曰经有五风。末结曰善为脉者。)岐伯对曰。八风发邪。以为经风。触五脏邪气发病。(八风发邪。
谓八方不正之邪风。发而为五经之风。触人五脏。则邪气在内而发病也。盖言在天则为八方之风。在人则为五经五脏之
风矣。)所谓得四时之胜者。春胜长夏。长夏胜冬。冬胜夏。夏胜秋。秋胜春。所谓四时之胜也。(所谓得四时之胜者。
如春时之西南风。长夏之北风。冬之南风。夏之西风。秋之东风。此得四时所胜之气。而不为风所触。盖五脏因时而旺。
能胜其所不胜也。上节言八风发邪者。发所胜之风。而克贼所不胜之时也。此言得四时之胜者。得四时所胜之气。而能
胜所不胜之邪风也。以上皆论四时不正之风气。)东风生于春。病在肝。俞在颈项。南风生于夏。病在心。俞在胸胁。西
风生于秋。病在肺。俞在肩背。北风生于冬。病在肾。俞在腰股。中央为土。病在脾。俞在脊。(此言四时之正气。而亦
能为五脏经俞作病也。五营运大论曰。东方生风。风生木。木生酸。酸生肝。盖人禀五常。因风气而生长。风气虽能生
万物。亦能害万物。如水能浮舟。亦能覆舟。是以先言风气之伤五脏。而后言五脏之气。禀于五方五气而生也。俞者。
经气之所注也。首言八风发邪。以为经风。触五脏发病者。言天之阳邪。始伤阳气。由气而经。由经而脏也。此言东风
生于春。病在肝。俞在颈项者。言脏气实则病气。脏气虚则病脏。是以下文反复以申明之。)故春气者病在头。(所谓气
者。言四时五脏之气。相为病也。肝俞在颈项。而春病在头者。春气生升。阳气在上也。故病在气者病在头。病在经者
别下项也。是以下文之有病在气者。有病在经者。有病在脏者。有病鼽衄之在上者。有病洞泄之在内者。有病风疟之在
外内出入者。分别脏气经俞之有虚实也。)夏气者病在脏。(夏时阳气发越在外。脏气内虚。故风气乘虚而内薄。)秋气者
病在肩背。(秋气降收。不能主持于皮肤肌腠之间。故风气入于俞也。)冬气者病在四肢。(四肢为诸阳之本。冬气内藏。
阳虚于外。故病在四肢也。以上论四时五脏之气。以下三故字。皆顶上文东风生于春节而言。)故春善病鼽衄。(所谓善
病者。言五脏之经俞在外。风伤肌腠。则易入于经也。鼽衄。头面之经证也。者气在头。故善病鼻衄。)仲夏善病胸胁。
(心之经俞。在胸胁也。朱济公问曰。此言胸胁。而无所见之证者。何也。曰。上下三节。反复辨论。脏气经俞之有外
内出入。故曰。有病在头者。有病在脏者。有病在肩背胸胁者。而皆不言病也。至于鼽衄洞泄诸证。言病在经而在头者。
则有鼽衄之证。在经而在腹者。则为洞泄寒中。然总不重在论病也。)长夏善病洞泄寒中。(夏时阳气在外。里气虚寒。
长者湿土主气。风入于经俞。即内薄而为洞泄。风木乘虚而胜土也。脾为阴中之至阴。不能化热而为寒中也。)秋善病风
疟。(秋时阳气内收。阴气外出。疟论云。风气留其处。疟气随经络。风入于经。即欲内薄。经脉之阴气外出。邪正相持。
故成风疟也。此言经络受邪。在外则为鼽衄痹厥。在内则为洞泄寒中。在外内之间。邪正相搏。则为风疟也。)冬善病痹
厥。(四肢为诸阳之本。冬时阳气下藏。经气外虚。风入于经。故手足痹厥也。金匮要略曰。但臂不遂者。名曰痹。厥者。
手足逆冷也。以上论经络为病。)故冬不按跷。春不鼽衄。春不病颈项。仲夏不病胸胁。长夏不病洞泄寒中。秋不病风疟。
冬不病痹厥。飧泄而汗出也。(飧音孙此覆申明阳气者。卫外而为经俞之固也。按跷者。按摩导引。引阳气之通畅于四
肢也。冬时阳气伏藏。若导引其四出。则无以奉春生夏长之气。是以有鼽衄头颈之经病矣。春病在头。邪热而迫于经者
鼽衄。别出下项。则为颈项之病矣。灵枢经曰。是主心所生病者。胸胁痛。是主脾所生病者。溏泄。是主肺所生病者。
肩背痛。所生者。经脉为病也。又曰。病在阳者名曰风。病在阴者名曰痹。痹者。风入于经俞也。此复言阳气固密者。
四时无经俞之病也。复曰飧泄而汗出者。言人能藏养元真之气。必不使邪伤经脉。病在内而为飧泄也。亦不使邪伤阳气。
病在外而汗出也。此复甚言其阳气之不可伤也。)夫精者。身之本也。故藏于精者。春不病温。夏暑汗不出者。秋成风疟。
此平人脉法也。(神气血脉。皆生于精。故精乃生身之本。能藏其精。则血气内固。邪不外侵。故春不温病。夏不浮长。
则暑气伏藏。至秋成风疟。阴阳开阖。生长收藏。此乃平人之脉法也。夫血脉生于阴精。此篇论经脉之道。故曰精者身
之本。曰此平人之脉法。)故曰。阴中有阴。阳中有阳。(阴中有阴者。阴气在内也。阳中有阳者。阳气在外也。此阴阳
开阖外内之道也。)平旦至日中。天之阳。阳中之阳也。日中至黄昏。天之阳。阳中之阴也。合夜至鸡鸣。天之阴。阴中
之阴也。鸡鸣至平旦。天之阴。阴中之阳也。故人亦应之。(鸡鸣至平旦。阳气始生。应春升之气。故为阴中之阳。平旦
至日中。阳气正隆。应夏长之气。故为阳中之阳。日中至黄昏。阳气始衰。应秋收之气。故为阳中之阴。合夜至鸡鸣。
阳气在内。应冬藏之气。故为阴中之阴。故曰一日之中。亦有四时。人之阴阳出入。一日之中。而亦有四时也。故平人
之脉法亦应之。)夫言人之阴阳。则外为阳。内为阴。言人身之阴阳。则背为阳。腹为阴。言人身之脏腑中阴阳。则脏
者为阴。腑者为阳。(此篇始论经脉之道。经脉内连脏腑。外络形身。阴阳出入。外内循环。是以四时之生长收藏。以应
平人脉法。人之形身脏腑。以应天之阴阳。夫人之始生也。负阳而抱阴。是以背为阳。腹为阴。督脉循于背。总督一身
之阳。任脉循于腹。统任一身之阴也。夫外为阳。而有腹背之阴阳者。阳中有阴阳也。内为阴。而有脏腑之阴阳者。阴
中有阴阳也。)肝心脾肺肾。五脏皆为阴。胆胃大肠小肠膀胱三焦。六腑皆为阳。(经脉生于地之五行。而上应天之六气。
故凡论经脉。先配合五脏五行。而后论及于六腑。)所以欲知阴中之阴。阳中之阳者。何也。为冬病在阴。夏病在阳。春
病在阴。秋病在阳。皆视其所在。为施针石也。(冬病在肾。肾为阴中之阴。故冬病在阴。夏病在心。心为阳中之阳。故
夏病在阳。春病在肝。肝为阴中之阳。故春病在阴。秋病在肺。肺为阳中之阴。故秋病在阳。针石所以治经脉者也。故
当知阴中之阴。阳中之阳。皆视其五脏之经俞所在而施治之。)故背为阳。阳中之阳心也。背为阳。阳中之阴肺也。腹为
阴。阴中之阴肾也。腹为阴。阴中之阳肝也。腹为阴。阴中之至阴脾也。(王氏曰。心为阳脏。位处上焦。以阳居阳。故
谓阳中之阳。肺为阴脏。位处上焦。以阴居阳。故谓阳中之阴。肾为阴脏。位处下焦。以阴居阴。故谓阴中之阴。肝为
阳脏。位处下焦。以阳居阴。故谓阴中之阳。脾为阴脏。位处中焦。以太阴居阴。故谓阴中之至阴。灵枢经曰。心为牡
脏。肺为牝脏。肾为牝脏。肝为牡脏。脾为牝脏)此皆阴阳表里。内外雌雄相输应也。故以应天之阴阳也。(雌雄、脏腑
也。输应、交相授受也。盖脏腑之经脉。互相联系。表里外内。循环无端。与天之昼夜四时。出入相应。故以应天之阴
阳也。)帝曰。五脏应四时。各有收受乎。(帝言人之五脏。应天之阴阳四时。而五脏亦能收五方之气色。受四时之阴阳
乎。)岐伯曰。有。东方青色。入通于肝。开窍于目。藏精于肝。(天之五方气色。入通于脏。以养五脏之精。肝之精气。
开窍于目。而复通乎天气。是天气通乎人。而人气通乎天也。其阴精藏于本脏。本神篇曰。五脏主藏精者也。)其病发惊
骇。(春时阳气上升。故其病亦如气之震发而为惊骇也。)其味酸。其类草木。(木曰曲直。曲直作酸。肝属木。与地之草
木同类。)其畜鸡。(易曰。巽为鸡。东方木畜也。)其谷麦。(麦为五谷之长。故东方应之。)其应四时。上为岁星。(木
之精气上为岁星。十二年一周天。以地之草木谷畜。应天之四时。上而为岁星也。)是以春气在头也。(春气上升。春风
在上。春病在头者。同气相感也。与别脏之因气虚而病者不同。故曰春气在头而不言病。)其音角。(木音也。其应在春。)
其数八。(木之成数也。)是以知病之在筋也。(肝主筋。故病在筋。夫五音五数。应天之气也。皮肉筋骨。应地之有形也。
以天之应。而病有形之筋骨者。天之阳气。通乎五脏之阴也。是以东方文义。与下文少有差别者。言天地阴阳之气。互
相交感也。其下四方。言天之气色。通乎脏而病五脏之气。地之五味五行。五谷五畜。以应皮肉脉骨之有形。此皆阴阳
变换之道。)其臭臊。(臊音骚。臭、气也。气因木变则为臊。月令作 。 与臊同。)南方赤色。入通于心。开窍于耳。
藏精于心。(心属火。受南方之赤色。入通于心。而养精于内也。邪气脏腑篇曰。十二经脉。三百六十五络。其气血皆上
于面而走空窍。其别气走于耳而为听。别气者。心主之气也。此篇以心气开窍于耳。肾气开窍于二阴者。谓五脏之气通
于九窍。九窍五脏。皆通乎天气也。)故病在五脏。(五脏者。病五脏之气也。上文曰。夏气者。病在脏。五脏六腑。心
为之主。故心气病而及于五脏之气也。曰故者。言天之气色通于脏。而为病亦在气也。)其味苦。其类火。(炎上作苦。
火之味也。心气通于南方。故与五行之火同类。)其畜羊。(五常政大论曰。其畜马。盖以午未皆属火也。)其谷黍。(黍、
糯小米也。性温而赤色。故为心之谷。)其应四时。上为荧惑星。(其应天之四时。而上为荧惑。荧惑、火之精也。七百
四十日一周天。)是以知病之在脉也。(心主脉。故病在脉。脉以应地。曰是以者。以地之五味五行。羊畜黍谷。以应病
之在脉也。)其音征。(火音也。其应在忧。)其数七。(火之成数也。)其臭焦。(气因火变则为焦)中央黄色。入通于脾。
开窍于口。藏精于脾。(土旺四季。位居中央。脾为土脏。其气相通。黄者土之色。口者脾之窍。)故病在舌本。(灵枢经
曰。脾者。主为卫使之迎粮。视唇舌好恶以知吉凶。是脾气之通于舌也。)其味甘。其类土。(土受稼 。稼 作甘。脾
属土。故与五行之土同类。)其畜牛。(牛色黄而属土。故为脾畜。)其谷稷。(色黄而味甘。)其应四时。上为镇星。(土
之精气。上为镇星。二十八年一周天。)是以知病之在肉也。(脾主肌肉。故知病在肉。)其音宫。(土音也。五音以宫为
主。)其数五。(五、土之生数也。土居五位之中。故独主于生数。六元正纪大论曰。土常以生也。盖土主化生万物。)其
臭香。(气因土变则为香。)西方白色。入通于肺。开窍于鼻。藏精于肺。(肺属金。故受西方之白色。入通于肺。鼻者肺
之窍。)故病在肩。(秋气者病在肩背。)其味辛。其类金。(金曰从革。从革作辛。)其畜马。(干为马。肺属干金而主天。)
其谷稻。(稻色白而秋成。故为肺之谷。)其应四时。上为太白星。(金之精气。上为太白。三百六十五日一周天。)是以
知病之在皮毛也。(肺主皮毛。故知病在皮毛。)其音商。(商主西方之音。)其数九。(金之成数也。)其臭腥。(气因金变
则为腥。)北方黑色。入通于肾。开窍于二阴。藏精于肾。(肾属水。故受北方之黑色。肾在下。故开窍于二阴。夫脏真
藏于内。而五脏之气发于外。见于色。是以五方之色。入通于脏。以养五脏之精。而脏气复外通于九窍。其真精藏于内
也。)故病在溪(肉之大会曰谷。肉之小会曰溪。下经云。溪谷属骨。皆有所起。溪乃小分之肉。连于筋骨之间。是肾主
骨。而溪乃骨气所生之分肉也。张兆璜曰。溪者四肢之八溪也。冬气伏藏。故溪为之病。)其味咸。其类水。(水曰润下。
润下作咸。)其畜彘。(彘、豕也。色黑而属亥。)其谷豆。(豆色黑而性沉。故为水之谷。)其应四时。上为辰星。(水之
精气。上为辰星。百六十五日一周天。)是以知病之在骨也。(肾主骨。故知病在骨。下经云。肝生筋。心生血。脾生肉。
肺生皮毛。肾生骨。是筋骨皮肉。五脏之所生而为病也。上经云。春气者。病在头。夏气者。病在脏。秋气者。病在肩
背。冬气者。病在四肢。是头脏肩背溪骨。乃脏气之为病也。)其音羽。(水之音也。)其数六。(水之成数也。)其臭腐。
(气因水变则为腐。)
The "Jin Gui" (Golden Casket) refers to the vessels used by ancient emperors to store books. This chapter discusses the principles of meridians, which are highly valued by Heaven. They are kept in the mind and heart; they are not taught to those who are not suitable, nor are they bestowed upon those who do not truly possess the Way. These are the precious words within the Golden Casket.
Those who do not understand these principles will find them difficult to obtain.
The Yellow Emperor asked: "Heaven has eight winds, and the meridians have five types of wind. What does this mean?" (The "eight winds" refer to winds from eight directions. "Meridians" here refers to the meridian shu points of the five zang organs. "Five winds" refers to the winds of the five meridians. The previous chapter discussed Yang Qi, while this chapter discusses meridians; hence it begins by mentioning "five winds in the meridians" and concludes by stating that "those skilled in pulse diagnosis...".) Qibo replied: "The winds from eight directions generate pathogenic factors, becoming winds of the meridians, which disturb the five zang organs, causing pathogenic qi to induce disease." (The generation of pathogenic factors by the eight winds refers to the improper winds from eight directions, which manifest as winds of the five meridians. When they disturb a person's five zang organs, pathogenic qi resides internally and induces disease. This implies that in Heaven, there are winds from eight directions, while in humans, there are winds of the five meridians and five zang organs.) The phrase "obtaining the overcoming energy of the four seasons" refers to: Spring overcomes Late Summer; Late Summer overcomes Winter; Winter overcomes Summer; Summer overcomes Autumn; Autumn overcomes Spring. This is what is meant by the overcoming relationship among the four seasons. (Obtaining the overcoming energy of the four seasons means, for example, the southwest wind in Spring, the north wind in Late Summer, the south wind in Winter, the west wind in Summer, and the east wind in Autumn. This represents obtaining the qi that overcomes during each season, thereby avoiding being disturbed by the wind. Since the five zang organs flourish according to the season, they can overcome what they cannot be overcome by. The previous section stated that the eight winds generate pathogens by releasing the wind of the overcoming element at times when it controls the non-overcoming element. Here, obtaining the overcoming energy of the four seasons means obtaining the qi that overcomes during each season, thus enabling one to overcome the pathogenic winds that would otherwise overcome them. The above all discuss the improper winds of the four seasons.) East wind arises in Spring, causing disease in the Liver, with its shu point located on the neck and nape; South wind arises in Summer, causing disease in the Heart, with its shu point located on the chest and hypochondrium; West wind arises in Autumn, causing disease in the Lungs, with its shu point located on the shoulders and back; North wind arises in Winter, causing disease in the Kidneys, with its shu point located on the lower back and thighs; The Center belongs to Earth, causing disease in the Spleen, with its shu point located on the spine. (This refers to the regular qi of the four seasons, which can also cause disease in the zang organ meridians and shu points. The *Wu Yun Xing Da Lun* states: "The East generates Wind; Wind generates Wood; Wood generates Sour; Sour generates the Liver." Humans inherit the Five Constants and grow due to wind and qi. Although wind and qi can generate all things, they can also harm them, just as water can float a boat but also capsize it. Therefore, we first discuss how wind and qi injure the five zang organs, and then explain that the qi of the five zang organs is derived from the five directions and five energies. 'Shu' refers to the location where meridian qi pours in. The initial statement that the eight winds generate pathogens, becoming winds of the meridians and disturbing the five zang organs to induce disease, indicates that heavenly Yang pathogens first injure Yang Qi, moving from Qi to Meridians, and from Meridians to Zang organs. The statement that East wind arises in Spring, causing disease in the Liver with its shu point on the neck and nape, indicates that when Zang Qi is excess, the pathogenic qi is strong; when Zang Qi is deficient, the disease affects the Zang organ itself. Hence, the following text repeatedly clarifies this point.) Therefore, diseases caused by Spring Qi often affect the head. (By "Qi," it refers to the interaction between the Qi of the four seasons and the five zang organs causing disease. The Liver's shu point is on the neck and nape, yet Spring diseases affect the head because Spring Qi generates and ascends, with Yang Qi residing superiorly. Thus, diseases affecting Qi manifest in the head, while diseases affecting meridians manifest below the neck. Hence, the subsequent text distinguishes between diseases affecting Qi, meridians, zang organs, upper manifestations like rhinorrhea and epistaxis, internal manifestations like diarrhea, and external/internal fluctuations like wind-malaria, differentiating the deficiency and excess of zang organ meridians.) Diseases caused by Summer Qi often affect the zang organs. (In Summer, Yang Qi disperses outward, leaving the interior of the zang organs relatively deficient. Consequently, wind pathogens invade internally taking advantage of this deficiency.) Diseases caused by Autumn Qi often affect the shoulders and back. (Autumn Qi descends and contracts, failing to maintain control over the skin and muscle interstices, allowing wind pathogens to enter the shu points.) Diseases caused by Winter Qi often affect the four limbs. (The four limbs are the root of all Yang meridians. In Winter, Yang Qi stores inward, leading to Yang deficiency externally, hence diseases manifest in the four limbs. The above discusses the Qi of the four seasons and five zang organs. The three instances of "Therefore" (Gu) below all follow up on the section "East wind arises in Spring.") Therefore, in Spring, one is prone to rhinorrhea and epistaxis. (To be "prone to disease" means that since the meridians and shu points of the five zang organs are superficial, wind injuring the muscle interstices easily enters the meridians. Rhinorrhea and epistaxis are meridian syndromes of the head and face. Since Qi resides in the head, one is prone to epistaxis.) In Mid-Summer, one is prone to chest and hypochondriac diseases. (The Heart's meridian shu points are located in the chest and hypochondrium. Zhu Jigong asked: "Here it mentions the chest and hypochondrium, but no specific symptoms are described. Why?" The answer is: Across the three sections above, there is repeated discussion on the internal and external movement of zang organ meridians. It states there are diseases in the head, diseases in the zang organs, and diseases in the shoulders, back, chest, and hypochondrium, without specifying particular diseases. Regarding symptoms like rhinorrhea, epistaxis, and diarrhea, it says that when disease is in the meridians and head, there are symptoms of rhinorrhea and epistaxis; when in the meridians and abdomen, there is cold diarrhea in the center. However, the primary focus is not on discussing specific diseases.) In Late Summer, one is prone to severe diarrhea and cold in the middle jiao. (In Summer, Yang Qi is external, making the interior Qi deficient and cold. Late Summer is governed by damp Earth. When wind enters the meridians and shu points, it invades internally causing severe diarrhea. Wind-Wood takes advantage of the deficiency to overcome Earth. The Spleen is the Yin within Yin (Extreme Yin) and cannot transform heat, resulting in cold in the middle.) In Autumn, one is prone to wind-malaria. (In Autumn, Yang Qi moves inward and Yin Qi moves outward. The *Ma Lun* states: "Wind qi remains in its place; malaria qi follows the meridians." When wind enters the meridians, it seeks to invade internally. The Yin Qi of the meridians moves outward, creating a stalemate between pathogen and healthy Qi, thus forming wind-malaria. Here, it is said that when meridians receive pathogens, externally they cause rhinorrhea, bi-syndrome, and jue-syndrome; internally they cause severe diarrhea and cold in the middle; between the exterior and interior, the struggle between pathogen and healthy Qi results in wind-malaria.) In Winter, one is prone to bi-syndrome and jue-syndrome. (The four limbs are the root of all Yang meridians. In Winter, Yang Qi stores downward, and meridian Qi is deficient externally. When wind enters the meridians, it causes numbness and coldness in the hands and feet. The *Jin Gui Yao Lue* states: "If only the arm is unable to move freely, it is called Bi. Jue refers to coldness reversing in the hands and feet." The above discusses diseases of the meridians.) Therefore, if one does not practice massage and stretching (An-Qiao) in Winter, one will not suffer from rhinorrhea and epistaxis in Spring, nor neck and nape diseases in Spring; one will not suffer from chest and hypochondriac diseases in Mid-Summer; one will not suffer from severe diarrhea and cold in the middle in Late Summer; one will not suffer from wind-malaria in Autumn; and one will not suffer from bi-syndrome, jue-syndrome, undigested food diarrhea, or sweating in Winter. (Xun [sound: sun]. This reiterates that Yang Qi protects the exterior and consolidates the meridians and shu points. An-Qiao refers to massage and qigong exercises that guide Yang Qi smoothly through the four limbs. In Winter, Yang Qi is hidden and stored. If one guides it to move outward excessively, there will be insufficient Qi to support the generation in Spring and growth in Summer, leading to meridian diseases of rhinorrhea and head/neck. Spring diseases in the head involve pathogenic heat forcing into the meridians, causing rhinorrhea; diverging to the lower neck causes neck and nape diseases. The *Ling Shu Jing* states: "What the Heart meridian generates diseases include chest and hypochondriac pain; what the Spleen meridian generates includes loose stools; what the Lung meridian generates includes shoulder and back pain." 'Generated' refers to diseases arising from the meridians. It also states: "Diseases in Yang are named Feng; diseases in Yin are named Bi. Bi refers to wind entering the meridians and shu points." This again emphasizes that when Yang Qi is solid and dense, there are no meridian diseases across the four seasons. It further mentions undigested food diarrhea and sweating, indicating that if one can store and nourish the primordial Qi, one will not allow pathogens to injure the meridians, causing internal diseases like undigested food diarrhea; nor will one allow pathogens to injure Yang Qi, causing external diseases like sweating. This strongly reiterates that Yang Qi must not be injured.) Essence (Jing) is the root of the body. Therefore, those who preserve their Essence will not suffer from Warm diseases in Spring. If one does not sweat during the Summer Heat, Wind-Malaria will develop in Autumn. This is the pulse method of a healthy person. (Spirit, Qi, Blood, and Pulse all originate from Essence; thus, Essence is the root of life. Preserving Essence consolidates Blood and Qi internally, preventing external invasion, so one does not suffer Warm diseases in Spring. If Summer Heat does not expand outward, the Heat Qi remains stored, leading to Wind-Malaria in Autumn. The opening and closing of Yin and Yang, along with growth and storage, constitute the pulse method of a healthy person. Since blood vessels are generated from Yin Essence, and this chapter discusses the principles of meridians, it states that Essence is the root of the body and refers to this as the pulse method of a healthy person.) It is said: There is Yin within Yin, and Yang within Yang. (Yin within Yin refers to Yin Qi residing internally; Yang within Yang refers to Yang Qi residing externally. This describes the principles of Yin-Yang opening/closing and internal/external dynamics.) From dawn to noon, it is Heaven's Yang, specifically Yang within Yang; from noon to dusk, it is Heaven's Yang, specifically Yang within Yin; from nightfall to rooster crow, it is Heaven's Yin, specifically Yin within Yin; from rooster crow to dawn, it is Heaven's Yin, specifically Yin within Yang. Thus, humans correspond to this. (From rooster crow to dawn, Yang Qi begins to generate, corresponding to the ascending Qi of Spring, hence it is Yin within Yang. From dawn to noon, Yang Qi is at its peak, corresponding to the growing Qi of Summer, hence it is Yang within Yang. From noon to dusk, Yang Qi begins to decline, corresponding to the harvesting Qi of Autumn, hence it is Yang within Yin. From nightfall to rooster crow, Yang Qi is internal, corresponding to the storing Qi of Winter, hence it is Yin within Yin. Therefore, it is said that within a day, there are also four seasons. The emergence and disappearance of human Yin and Yang within a day mirror the four seasons. Thus, the pulse method of a healthy person also corresponds to this.) When speaking of human Yin and Yang, the exterior is Yang and the interior is Yin. When speaking of the Yin and Yang of the human body, the back is Yang and the abdomen is Yin. When speaking of the Yin and Yang within the zang-fu organs of the human body, the zang organs are Yin and the fu organs are Yang. (This chapter begins by discussing the principles of meridians. Meridians connect internally with zang-fu organs and externally with the physical body. Yin and Yang emerge and disappear, circulating internally and externally. Thus, the growth and storage of the four seasons correspond to the pulse method of a healthy person; the physical body and zang-fu organs of humans correspond to the Yin and Yang of Heaven. At the beginning of human formation, one carries Yang and embraces Yin; therefore, the back is Yang and the abdomen is Yin. The Du Mai (Governing Vessel) circulates along the back, commanding the Yang Qi of the whole body; the Ren Mai (Conception Vessel) circulates along the abdomen, governing the Yin Qi of the whole body. The exterior is Yang, yet contains the Yin and Yang of the abdomen and back, illustrating Yang within Yang. The interior is Yin, yet contains the Yin and Yang of the zang and fu organs, illustrating Yin within Yin.) The Liver, Heart, Spleen, Lungs, and Kidneys—the five zang organs—are all Yin. The Gallbladder, Stomach, Large Intestine, Small Intestine, Bladder, and Sanjiao—the six fu organs—are all Yang. (Meridians are generated from the Five Elements of Earth and correspond upward to the Six Qi of Heaven. Therefore, whenever discussing meridians, one first correlates the five zang organs with the Five Elements, and subsequently discusses the six fu organs.) Why is it necessary to know Yin within Yin and Yang within Yang? Because diseases in Winter occur in Yin, diseases in Summer occur in Yang, diseases in Spring occur in Yin, and diseases in Autumn occur in Yang. One must observe their locations to apply needle and stone therapy. (Winter diseases occur in the Kidneys; the Kidney is Yin within Yin, hence Winter diseases are in Yin. Summer diseases occur in the Heart; the Heart is Yang within Yang, hence Summer diseases are in Yang. Spring diseases occur in the Liver; the Liver is Yang within Yin, hence Spring diseases are in Yin. Autumn diseases occur in the Lungs; the Lung is Yin within Yang, hence Autumn diseases are in Yang. Needles and stones are used to treat meridians. Therefore, one must understand Yin within Yin and Yang within Yang, applying treatment based on the locations of the meridian shu points of the five zang organs.) Therefore, the back is Yang; the Yang within Yang of the back is the Heart. The back is Yang; the Yang within Yin of the back is the Lung. The abdomen is Yin; the Yin within Yin of the abdomen is the Kidney. The abdomen is Yin; the Yin within Yang of the abdomen is the Liver. The abdomen is Yin; the Extreme Yin within Yin of the abdomen is the Spleen. (Wang Shi said: The Heart is a Yang organ located in the Upper Jiao; occupying Yang with Yang, it is called Yang within Yang. The Lung is a Yin organ located in the Upper Jiao; occupying Yang with Yin, it is called Yang within Yin. The Kidney is a Yin organ located in the Lower Jiao; occupying Yin with Yin, it is called Yin within Yin. The Liver is a Yang organ located in the Lower Jiao; occupying Yin with Yang, it is called Yin within Yang. The Spleen is a Yin organ located in the Middle Jiao; occupying Yin with Taiyin, it is called Extreme Yin within Yin. The *Ling Shu Jing* states: The Heart is a Male (Mu) organ; the Lung, Kidney, and Spleen are Female (Pin) organs; the Liver is a Male (Mu) organ.) These are all the mutual transmission and response between Yin-Yang, interior-exterior, and male-female relationships. Thus, they correspond to the Yin and Yang of Heaven. (Male and female refer to the zang-fu organs. Mutual transmission refers to reciprocal exchange. The meridians of the zang-fu organs are interconnected, with interior-exterior and internal-external relationships cycling endlessly, corresponding to the day-night and four-season cycles of Heaven. Thus, they correspond to the Yin and Yang of Heaven.) The Emperor asked: "Do the five zang organs correspond to the four seasons, and does each have its own reception?" (The Emperor asks whether the five zang organs of humans correspond to the Yin-Yang and four seasons of Heaven, and whether the five zang organs can also receive the qi-colors of the five directions and the Yin-Yang of the four seasons?) Qibo replied: "Yes. The East is associated with the color Green, which enters and communicates with the Liver, opens into the eyes, and stores essence in the Liver. (The qi-colors of the five directions of Heaven enter and communicate with the zang organs to nourish the essence of the five zang organs. The essential qi of the Liver opens into the eyes and communicates with Heavenly Qi. Thus, Heavenly Qi communicates with humans, and human Qi communicates with Heaven. Its Yin essence is stored in its home organ. The *Ben Shen Pian* states: 'The five zang organs are the masters of storing essence.') Its diseases manifest as fright and alarm. (In Spring, Yang Qi rises; thus, its diseases manifest like the sudden shock of rising Qi.) Its taste is Sour, and its category is Grass and Trees. (Wood is characterized by bending and straightening; bending and straightening produces Sour. The Liver belongs to Wood and is similar to the grass and trees of the Earth.) Its animal is the Chicken. (The *I Ching* states: Xun represents the Chicken; it is the animal of Eastern Wood.) Its grain is Wheat. (Wheat is the leader of the five grains, so it corresponds to the East.) It corresponds to the four seasons, manifesting above as the Year Star (Sui Xing). (The essential qi of Wood manifests above as the Year Star, completing one orbit around the sky every twelve years, using the Earth's grass, trees, grains, and animals to correspond to the four seasons of Heaven, manifesting as the Year Star.) Therefore, Spring Qi resides in the head. (Spring Qi ascends, and spring wind is superior. Spring diseases in the head result from the resonance of similar energies. This differs from diseases in other zang organs caused by Qi deficiency. Hence, it is said that Spring Qi resides in the head without mentioning disease.) Its musical note is Jue. (Wood note; its correspondence is Spring.) Its number is Eight. (The completion number of Wood.) Therefore, one knows that disease is in the sinews. (The Liver governs the sinews, so disease is in the sinews. The five notes and five numbers correspond to Heavenly Qi. The skin, flesh, sinews, and bones correspond to the tangible forms of Earth. Using Heavenly correspondence to explain diseases in tangible sinews and bones indicates that Heavenly Yang Qi communicates with the Yin of the five zang organs. The textual meaning of the East section differs slightly from the following sections because it emphasizes the mutual interaction of Heaven and Earth Yin-Yang Qi. The subsequent sections describe how Heavenly qi-colors communicate with zang organs to cause disease in the five zang organs' Qi; and how Earth's five flavors, five elements, five grains, and five animals correspond to the tangible forms of skin, flesh, pulses, and bones. All these are the ways of Yin-Yang transformation.) Its odor is Pungent/Fishy (Sao). (Sao sounds like 'sao'. 'Chou' means odor. Qi transformed by Wood becomes Sao. The *Yue Ling* writes it as 'Dan', same as Sao.) The South is associated with the color Red, which enters and communicates with the Heart, opens into the ears, and stores essence in the Heart. (The Heart belongs to Fire, receives the Red color of the South, enters and communicates with the Heart, and nourishes essence internally. The *Xie Qi Zang Fu Pian* states: 'The twelve meridians and 365 collaterals, their Qi and Blood all ascend to the face and flow into the orifices. Their distinct Qi flows to the ears for hearing. The distinct Qi is the Qi of the Pericardium.' This chapter states that Heart Qi opens into the ears and Kidney Qi opens into the two yin orifices, implying that the Qi of the five zang organs communicates with the nine orifices, and the nine orifices and five zang organs all communicate with Heavenly Qi.) Therefore, disease is in the five zang organs. (The five zang organs refer to disease in the Qi of the five zang organs. The previous text stated: "Summer Qi diseases are in the zang organs." Among the five zang and six fu organs, the Heart is the master. Thus, Heart Qi disease extends to the Qi of the five zang organs. The term 'Therefore' (Gu) indicates that Heavenly qi-colors communicate with zang organs, and disease also occurs in Qi.) Its taste is Bitter, and its category is Fire. (Flames rise upward producing Bitter; this is the taste of Fire. Heart Qi communicates with the South, so it is similar to the Fire of the Five Elements.) Its animal is the Sheep. (The *Wu Chang Zheng Da Lun* states: Its animal is the Horse. Probably because Wu and Wei both belong to Fire.) Its grain is Millet (Shu). (Shu is glutinous millet. It is warm in nature and red in color, so it is the grain of the Heart.) It corresponds to the four seasons, manifesting above as the Mars Star (Ying Huo Xing). (It corresponds to the four seasons of Heaven and manifests above as Ying Huo. Ying Huo is the essence of Fire, completing one orbit every 740 days.) Therefore, one knows that disease is in the vessels. (The Heart governs the vessels, so disease is in the vessels. Vessels correspond to Earth. The phrase 'Therefore' (Yi Shi) uses Earth's five flavors, five elements, sheep, and millet to correspond to disease in the vessels.) Its musical note is Zhi. (Fire note; its correspondence is Worry/Sorrow.) Its number is Seven. (The completion number of Fire.) Its odor is Scorched/Burnt. (Qi transformed by Fire becomes Scorched.) The Center is associated with the color Yellow, which enters and communicates with the Spleen, opens into the mouth, and stores essence in the Spleen. (Earth flourishes in the four seasons and occupies the Center. The Spleen is an Earth organ, and its Qi communicates. Yellow is the color of Earth; the mouth is the orifice of the Spleen.) Therefore, disease is at the root of the tongue. (The *Ling Shu Jing* states: 'The Spleen acts as the guard, welcoming food and drink, observing the condition of the lips and tongue to discern auspiciousness and misfortune. This is how Spleen Qi communicates with the tongue.') Its taste is Sweet, and its category is Earth. (Earth accepts sowing and reaping; sowing and reaping produce Sweet. The Spleen belongs to Earth, so it is similar to the Earth of the Five Elements.) Its animal is the Ox/Cow. (Oxen are yellow and belong to Earth, so they are the animal of the Spleen.) Its grain is Ji (Millet/Broomcorn Millet). (Yellow in color and sweet in taste.) It corresponds to the four seasons, manifesting above as the Saturn Star (Zhen Xing). (The essential qi of Earth manifests above as Zhen Xing, completing one orbit every 28 years.) Therefore, one knows that disease is in the flesh/muscles. (The Spleen governs muscles, so one knows disease is in the flesh.) Its musical note is Gong. (Earth note; among the five notes, Gong is primary.) Its number is Five. (Five is the generating number of Earth. Earth occupies the central position among the five directions, so it uniquely governs the generating number. The *Liu Yuan Zheng Ji Da Lun* states: 'Earth constantly uses generation.' Earth governs the transformation and generation of all things.) Its odor is Fragrant. (Qi transformed by Earth becomes Fragrant.) The West is associated with the color White, which enters and communicates with the Lungs, opens into the nose, and stores essence in the Lungs. (The Lungs belong to Metal, so they receive the White color of the West, enter and communicate with the Lungs. The nose is the orifice of the Lungs.) Therefore, disease is in the shoulders. (Autumn Qi diseases are in the shoulders and back.) Its taste is Acrid/Pungent, and its category is Metal. (Metal is characterized by submission and change; submission and change produce Acrid.) Its animal is the Horse. (Qian represents the Horse; the Lungs belong to Qian Metal and govern Heaven.) Its grain is Rice. (Rice is white and matures in Autumn, so it is the grain of the Lungs.) It corresponds to the four seasons, manifesting above as the Venus Star (Tai Bai Xing). (The essential qi of Metal manifests above as Tai Bai, completing one orbit every 365 days.) Therefore, one knows that disease is in the skin and hair. (The Lungs govern the skin and hair, so one knows disease is in the skin and hair.) Its musical note is Shang. (Shang is the note of the West.) Its number is Nine. (The completion number of Metal.) Its odor is Fishy/Raw (Xing). (Qi transformed by Metal becomes Fishy.) The North is associated with the color Black, which enters and communicates with the Kidneys, opens into the two yin orifices, and stores essence in the Kidneys. (The Kidneys belong to Water, so they receive the Black color of the North. The Kidneys are located inferiorly, so they open into the two yin orifices. The True Zang resides internally, while the Qi of the five zang organs emerges externally, manifesting in color. Thus, the colors of the five directions enter and communicate with the zang organs to nourish the essence of the five zang organs, and the zang Qi externally communicates with the nine orifices. Its true essence is stored internally.) Therefore, disease is in the streams (Xi). (Large gatherings of flesh are called Gu; small gatherings of flesh are called Xi. The *Xia Jing* states: 'Streams and valleys belong to bone, all having origins. Xi refers to small portions of flesh connected between sinews and bones. The Kidneys govern bone, and Xi is the portion of flesh generated by Bone Qi.' Zhang Zhaohuang said: 'Xi refers to the eight streams of the four limbs.' Winter Qi is hidden and stored, so the Xi become diseased.) Its taste is Salty, and its category is Water. (Water is characterized by moistening and descending; moistening and descending produce Salty.) Its animal is the Pig (Zhi). (Zhi means pig. It is black and belongs to Hai.) Its grain is Beans. (Beans are black and heavy/sinking in nature, so they are the grain of Water.) It corresponds to the four seasons, manifesting above as the Mercury Star (Chen Xing). (The essential qi of Water manifests above as Chen Xing, completing one orbit every 165 days.) Therefore, one knows that disease is in the bones. (The Kidneys govern bones, so one knows disease is in the bones. The *Xia Jing* states: 'Liver generates sinews, Heart generates blood, Spleen generates flesh, Lungs generate skin and hair, Kidneys generate bone.' Thus, sinews, bones, skin, and flesh are generated by the five zang organs and become diseased. The *Shang Jing* states: 'Spring Qi diseases are in the head; Summer Qi diseases are in the zang organs; Autumn Qi diseases are in the shoulders and back; Winter Qi diseases are in the four limbs.' Thus, the head, zang organs, shoulders, back, Xi, and bones are diseases caused by Zang Qi.) Its musical note is Yu. (Water note.) Its number is Six. (The completion number of Water.) Its odor is Putrid/Rotten. (Qi transformed by Water becomes Putrid.)