三焦者,上、中、下少阳之气所主也。五脏合五腑,三焦一腑无脏与合,故曰是孤之腑也。不但无脏与合,
而三焦之腑,且将两脏;将,犹偕也,是以腑而并脏也。不但将两脏,而六腑之气,俱合三焦,故又曰是六腑之
所与合者。是三焦之气,合脏合腑,彻上彻下,彻外彻内,人身莫大之腑也。证之经论,其理自明。《灵枢·
本俞》论云∶肺合大肠,大肠者传道之腑;心合小肠,小肠者受盛之腑;肝合胆,胆者中精之腑;脾合胃,
胃者五谷之腑;肾合膀胱,膀胱者津液之腑。以明五脏合五腑。其三焦一腑,下属肾,上连肺,将乎两脏。经
云∶少阳属肾,肾上连肺,故将两脏。谓少阳主三焦,下焦将肾脏,上焦将肺脏也。虽将两脏,职不离腑,
故又云∶三焦者,中渎之腑也,水道出焉,属膀胱,是孤之腑也,是六腑之所与合者。由此推之,则三焦为中
渎腑,属膀胱而出水道,无脏与合,是孤之腑也。孤者,独也,谓独任其上、中,下之化机也。既曰将乎两
脏,又曰六腑与合,是三焦一腑,则较之诸腑而独尊,岂如一腑合一脏而已耶!仲师云∶肌腠者,是三焦通
会元真之处,荣卫不相将,则三焦无所仰,形冷恶寒者,三焦伤也。又云∶三焦各归其部,上焦不归者,噫
而酢吞;中焦不归者,不能消谷引食;下焦不归者,则遗溲。仲师之言,即《灵枢经》所云上焦出胃上口,
中焦并胃中,下焦别回肠、注于膀胱而渗入者是也。经又云∶上焦如雾,中焦如沤,下焦如渎。合观经论,
则上脘、中脘、下脘,即上焦、中焦、下焦也;三焦所出之部,即三焦所归之部也。三焦虽无有形之腑,实有
所出所归之部,抑且彻上彻下,彻外彻内,较诸腑而尤尊也。昔人不体经论,有谓三焦无脏空有名者,
有谓三焦属命门,有脏有名者,各执臆说,聚论不休。观诸经论,其义自明,有形无形,可以悟矣。
三焦,是由上、中、下三部分少阳之气所主管的。五脏各合五腑,而三焦这一腑没有脏与之相合,所以称它为“孤腑”。不仅没有脏与之相合,而且三焦这一腑,还兼带统领两脏;“将”,就是偕同的意思,这是以腑的身份来并统脏腑。不仅兼带统领两脏,而且六腑的气机,都汇聚于三焦,所以又称它是“六腑之所与合者”。三焦之气,既合于脏又合于腑,贯通上下,通达内外,是人体中最大的腑。验证于经典论述,其中的道理自然明了。《灵枢·本俞》篇论述说:肺合大肠,大肠是传导之腑;心合小肠,小肠是受盛之腑;肝合胆,胆是中精之腑;脾合胃,胃是五谷之腑;肾合膀胱,膀胱是津液之腑。以此来阐明五脏合五腑的道理。至于那一个三焦之腑,下属肾脏,上连肺脏,兼带统领这两脏。经书说:少阳隶属于肾,肾向上连接肺,所以兼带统领两脏。意思是说少阳主管三焦,下焦兼带肾脏,上焦兼带肺脏。虽然兼带统领两脏,但其职能仍不离腑的功能,所以又说:三焦是中渎之腑,水道由此而出,隶属于膀胱,是孤腑,也是六腑所汇聚的地方。由此推断,三焦作为中渎之腑,隶属于膀胱而排出水道,没有脏与之相合,是孤腑。“孤”就是独的意思,指它独自承担上、中、下三部的化生机能。既然说它兼带统领两脏,又说它与六腑相合,那么三焦这一腑,比起其他诸腑来说地位尤为尊贵,难道仅仅是一腑合一脏那样简单吗!张仲景说:肌腠(肌肉纹理间的空隙),是三焦通会元气真气的地方,如果营卫之气不能相互偕行,那么三焦就无所仰赖,出现形体寒冷、恶寒的症状,这就是三焦受损的表现。又说:三焦各自归其部位,上焦不归位的,会出现嗳气且吞酸;中焦不归位的,不能消化谷物、引导饮食;下焦不归位的,则会出现遗尿或小便失禁。张仲景的话,就是《灵枢经》所说的上焦出于胃的上口,中焦并合于胃中,下焦分别于回肠、注入膀胱并渗入其中的意思。经书又说:上焦如雾,中焦如沤,下焦如渎。综合观察经典论述,那么上脘、中脘、下脘,就是上焦、中焦、下焦;三焦所出的部位,也就是三焦所归的部位。三焦虽然没有有形的腑体,但确实有所出和所归的部位,况且贯通上下,通达内外,比起其他诸腑来说更为尊贵。过去的人未能体会经典论述的真意,有的说三焦没有对应的脏,只是空有名号;有的说三焦属于命门,既有脏又有名号,各自坚持主观臆测的说法,争论不休。观察各种经典论述,其中的含义自然明了,有形还是无形,是可以领悟到的。
Sanjiao (Triple Burner) is governed by the Shaoyang Qi (Lesser Yang Qi) of the upper, middle, and lower sections. The Five Zang Organs correspond to the Five Fu Organs, but Sanjiao, as a single Fu Organ, has no corresponding Zang Organ to pair with it; therefore, it is called the "Lonely Fu Organ" (Gu Zhi Fu). Not only does it lack a paired Zang Organ, but Sanjiao also jointly governs two Zang Organs; "jiang" (to lead/govern together) implies accompaniment, thus it governs both Zang and Fu through its status as a Fu Organ. Furthermore, not only does it govern two Zang Organs, but the Qi of all Six Fu Organs converges with Sanjiao; hence, it is also referred to as that which "combines with the Six Fu Organs." The Qi of Sanjiao combines with both Zang and Fu organs, penetrating from top to bottom and from outside to inside, making it the greatest Fu Organ in the human body. This reasoning is clarified when verified against classical treatises. *Ling Shu: Ben Shu* states: "The Lung pairs with the Large Intestine, which is the Fu Organ of transmission; the Heart pairs with the Small Intestine, which is the Fu Organ of reception and transformation; the Liver pairs with the Gallbladder, which is the Fu Organ storing essence; the Spleen pairs with the Stomach, which is the Fu Organ of the five grains; the Kidney pairs with the Bladder, which is the Fu Organ of fluids." This illustrates how the Five Zang Organs pair with the Five Fu Organs. As for the single Fu Organ of Sanjiao, it connects inferiorly to the Kidney and superiorly to the Lung, thereby jointly governing these two Zang Organs. The Classics state: "Shaoyang belongs to the Kidney, and the Kidney connects upward to the Lung; thus, it jointly governs two Zang Organs." This means that Shaoyang governs Sanjiao, with the Lower Burner jointly governing the Kidney and the Upper Burner jointly governing the Lung. Although it jointly governs two Zang Organs, its function remains within the realm of a Fu Organ; therefore, it is further stated: "Sanjiao is the Fu Organ of mid-level channels (Zhong Du), where water pathways emerge, belonging to the Bladder; it is the Lonely Fu Organ, and that which combines with the Six Fu Organs." From this, we deduce that Sanjiao, as the Fu Organ of mid-level channels, belongs to the Bladder and discharges water pathways. Having no paired Zang Organ, it is the Lonely Fu Organ. "Lonely" means alone, indicating that it independently manages the transformative mechanisms of the upper, middle, and lower sections. Since it is said to jointly govern two Zang Organs and also combine with the Six Fu Organs, Sanjiao holds a uniquely honored status among the Fu Organs, far surpassing the simple pairing of one Fu with one Zang. Master Zhongjing (Zhang Zhongjing) stated: "Muscle couli (interstices of muscles) are the places where Sanjiao meets and circulates Yuanzhen Qi (Original True Qi). If Ying Wei (Nutritive and Defensive Qi) do not accompany each other, Sanjiao will have no support, leading to coldness of the form and aversion to cold; this indicates injury to Sanjiao." He also stated: "Sanjiao returns to its respective sectors. If the Upper Burner does not return properly, there will be belching and acid regurgitation; if the Middle Burner does not return properly, there will be an inability to digest grain and absorb food; if the Lower Burner does not return properly, there will be urinary incontinence or enuresis." These words of Master Zhongjing correspond to what *Ling Shu* describes: the Upper Burner emerges from the upper opening of the Stomach, the Middle Burner merges within the Stomach, and the Lower Burner separates from the ileum, pouring into the Bladder and渗 (seeping) therein. The Classics further state: "The Upper Burner is like mist, the Middle Burner like foam/fermentation, and the Lower Burner like a ditch." Observing the Classics and Treatises together, the Shangwan (Upper Epigastrium), Zhongwan (Middle Epigastrium), and Xiawan (Lower Epigastrium) correspond to the Upper, Middle, and Lower Burners; the sectors where Sanjiao originates are the same as the sectors where it resides. Although Sanjiao lacks a tangible physical form, it indeed has specific sectors of origin and residence, penetrates from top to bottom and outside to inside, and is more esteemed than other Fu Organs. Ancients who failed to comprehend the Classics held various subjective views: some claimed Sanjiao had no paired Zang and was merely a name without substance; others argued Sanjiao belonged to the Mingmen (Gate of Life) and possessed both substance and name. These各执 (each adhered to) speculative theories led to endless debate. By observing the Classics and Treatises, the meaning becomes clear; whether it is tangible or intangible can be realized.