黄帝燕坐,召雷公而问之曰∶汝受术诵书者,若能览观杂学,及于比类,通合道理,为余言子所长,五脏六
腑,胆胃大小肠脾胞膀胱,脑髓涕唾,哭泣悲哀,
水所从行,此皆人之所生,治之过失,子务明之,可以十全,即不能知,为世所怨。雷公曰∶臣请诵《脉
经·上下编》甚众多矣,别异比类,犹未能以十全,又安足以明之。帝曰∶子别试通五脏之过,六腑之所不和,
针石之败,毒药所宜,汤液滋味,具言其状,悉言以对,请问不知。雷公曰∶肝虚肾虚脾虚,皆令人体重烦冤,
当投毒药刺灸砭石汤液,或已或不已,愿闻其解。帝曰∶公何年之长而问之少,余真问以自谬也。吾问子窈
冥,子言上下编以对,何也?夫脾
虚浮似肺,肾小浮似脾,肝急沉散似肾,此皆工之所时乱也,然从容得之。若夫三脏土木水参居,此童子之所
知,问之何也?雷公曰∶于此有人,头痛筋挛骨重,怯然少气,哕噫腹满,时惊不嗜卧,此何脏之发也?脉
浮而弦,切之石坚,不知其解,复问所以三脏者,以知其比类也。帝曰∶夫从容之谓也。夫年长则求之于腑,
年少则求之于经,年壮则求之于脏。今子所言皆失,八风菀熟,五脏消烁,传邪相受。夫浮而弦者,是肾不足
也。沉而石者,是肾气内着也。怯然少气者,是水道不行,形气消索也。咳嗽烦冤者,是肾气之逆也。
一人之气,病在一脏也。若言三脏俱行,不在法也。雷公曰∶于此有人,四
肢解惰,喘咳血泄,而愚诊之,以为伤肺,切脉浮大而紧,愚不敢治,粗工下砭石,病愈多出血,血止身轻,
此何物也?帝曰∶子所能治,知亦众多,与此病失矣。譬以鸿飞,亦冲于天。夫圣人之治病,循法守度,援
物比类,化之冥冥,循上及下,何必守经今夫脉浮大虚者,是脾气之外绝,去胃外归阳明也。夫二火不胜三水,
是以脉乱而无常也。四肢解惰,此脾精之不行也。喘咳者,是水气并阳明也。血泄者,脉急血无所行也。若
夫以为伤肺者,由失以狂也。不引比类,是知不明也。夫伤肺者,脾气不守,胃气不清,经气不为使,真脏坏
决,经脉旁绝,五脏漏泄,不衄则呕,此二者不相类也。譬如天之无形,地之无理,
白与黑相去远矣。是失吾过矣,以子知之,故不告子,明引比类《从容》,是以名曰诊轻,是谓至道也。
Huangdi sat in a relaxed posture and summoned Leigong, asking him: "You have studied the arts of medicine and recited medical texts. If you can browse diverse learning, apply analogical reasoning (Bilei), and comprehend the underlying principles, please tell me your strengths. Regarding the Zang-Fu organs (Gallbladder, Stomach, Large Intestine, Small Intestine, Spleen, Bladder/Uterus), as well as brain marrow, nasal discharge, saliva, crying, grief, and the pathways of water metabolism—all these are fundamental to human life. If errors occur in treatment, you must clarify these matters; only then can you achieve perfect success. If you do not understand them, you will incur the resentment of the world."
Leigong replied: "I request to recite the *Mai Jing* (Pulse Classic) · Upper and Lower Chapters. Although there is much content, and I can distinguish differences and apply analogical reasoning, I am still unable to achieve perfection. How could I possibly elucidate everything?"
Huangdi said: "Try again to explain the disorders of the Five Zang organs, the disharmony of the Six Fu organs, the failures of acupuncture and stone therapy, the appropriate use of medicinal substances, and the flavors and effects of decoctions. State their conditions in detail and answer all my questions regarding what you do not know."
Leigong said: "Liver deficiency, Kidney deficiency, and Spleen deficiency all cause the body to feel heavy and the mind to feel vexed and oppressed. One should administer medicinal substances, acupuncture, moxibustion, Bian stones, or decoctions. Some recover, some do not. I wish to hear your explanation."
Huangdi said: "How old are you to ask such superficial questions? My inquiry was about profound and subtle principles, yet you answered with the *Mai Jing*. Why? The pulse of Spleen deficiency is floating and weak, resembling the Lung pulse; the Kidney pulse is small and floating, resembling the Spleen pulse; the Liver pulse is rapid, deep, and scattered, resembling the Kidney pulse. These are areas where physicians often become confused, but they can be clarified through calm and thorough analysis (Congrong). As for the interplay of these three Zang organs with Wood, Earth, and Water elements, this is knowledge known even to children. Why ask me?"
Leigong said: "There is a patient here suffering from headache, tendon spasm, heaviness in the bones, timidity with shortness of breath, hiccups and belching, abdominal fullness, frequent fright, and aversion to lying down. Which Zang organ's disorder is this? The pulse is floating and wiry (Xian); upon palpation, it is hard like a stone. I do not understand the explanation. I ask again about the distinctions among the three Zang organs to understand via analogy."
Huangdi said: "This is what 'Congrong' (Calm and Thorough Analysis) means. For the elderly, seek the pathology in the Fu organs; for the young, seek it in the meridians; for the vigorous adults, seek it in the Zang organs. What you said is incorrect. The Eight Winds stagnate and transform into heat, causing the Five Zang organs to waste away, with pathogens transmitting from one to another. A floating and wiry pulse indicates insufficiency of Kidney Qi. A deep and stone-hard pulse indicates Kidney Qi adhering internally. Timidity and shortness of breath indicate that the water pathways are blocked and the formative Qi is exhausted. Coughing and vexation indicate rebellion of Kidney Qi. The pathogenic qi of one person resides in one Zang organ. To say that three Zang organs are simultaneously affected violates the laws of diagnosis."
Leigong said: "There is a patient here with flaccidity and weakness in the four limbs, wheezing, coughing, and bleeding from the bowels or urine. I diagnosed this as an injury to the Lung. Palpating the pulse, I found it floating, large, and tight. I dared not treat. A crude physician applied Bian stones (bloodletting), and after the bleeding stopped, the body felt light. What disease is this?"
Huangdi said: "The diseases you can treat are numerous, but your judgment on this case is wrong. It is like a wild goose flying and accidentally striking the sky. The sage treats disease by following laws and standards, drawing analogies from objects, and transforming insights in the unseen realm, tracing from above to below, without rigidly adhering to a single meridian. Now, a pulse that is floating, large, and empty indicates the external severance of Spleen Qi, leaving the Stomach and returning externally to the Yangming channel. When the Two Fires (Heart Fire and Ministerial Fire) cannot overcome the Three Waters (Kidney Water, etc.), the pulse becomes chaotic and irregular. Flaccidity in the four limbs indicates that Spleen Essence fails to circulate. Wheezing and coughing indicate Water Qi merging with the Yangming channel. Bleeding indicates that due to the urgent pulse, blood has no pathway to flow. If you consider this an injury to the Lung, it is a result of error and madness. Failing to employ analogical reasoning shows unclear wisdom. An actual injury to the Lung presents with Spleen Qi failing to maintain control, Stomach Qi lacking clarity, Meridian Qi failing to serve, the collapse of True Zang pulses, the severance of collateral meridians, and leakage of the Five Zang essences, manifesting as either epistaxis or vomiting. This is completely unlike the symptoms described above. It is like Heaven having no shape and Earth having no texture; white and black are far apart. This is my fault. Because I knew you were intelligent, I did not tell you. Understanding how to cite analogies and practice Congrong diagnosis is called 'Zhen Qing' (Light Diagnosis/Misjudgment), which constitutes the Supreme Dao."