曰∶北政之岁,三阴在下,则寸不应;三阴在上,则尺不应。南政之岁,三阴在天,则寸不应,
三阴在泉,则尺不应。左右同。故曰∶知其要者,一言而终;不知其要,流散无穷。此之谓也。
帝曰∶主岁何如?岐伯对曰∶气有余,则制己所胜而侮所不胜;其不及,则己所不胜侮而乘
之,己所胜轻而侮之,侮反受邪,寡于畏也。
六微旨篇 帝曰∶愿闻天道六六之节盛衰何也?岐伯对曰∶上下有位,左右有纪。
故少阳之右,阳明治之;阳明之右,太阳治之;太阳之右,厥阴治之;厥阴之右,少阴治之;少
阴之右,太阴治之;太阴之右,少阳治之。此所谓气之标,盖南面而待之也。少阳之上,火气治
之,中见厥阴;阳明之上,燥气治之,中见太阴;太阳之上,寒气治之,中见少阴;厥阴之上,
风气治之,中见少阳;少阴之上,火气治之,中见太阳;太阴之上,湿气治之,中见阳明。所谓
本也,本之下,中之见也。见之下,气之标也。标本不同,气应异象。
曰∶其有至而至,有至而不至,有至而太过何也?曰∶至而至者和;至而不至,来气不及也;
未至而至,来气有余也。曰∶至而不至,未至而至何如?曰∶应则顺,否则逆,逆则变生,变生则病。
至真要论 帝曰∶胜复之动,时有常乎?气有必乎?岐伯曰∶时有常位,而气无必
也。曰∶愿闻其道。曰∶初气终三气,天气主之,胜之常也。四气尽终气,地气主之,复之常也。
有胜则复,无胜则否。帝曰∶复已而胜何如?曰∶胜至则复,无常数也,衰乃止耳。复已而胜,
不复则害,此伤生也。曰∶复而反病何也?曰∶居非其位,不相得也。大复其胜则主胜之,故反
病也,所谓火燥热也。帝曰∶治之奈何?曰∶夫气之胜也,微者随之,甚者制之;气之复也,和
者平之,暴者夺之。皆随胜气,安其屈伏,无问其数,以平为期,此其道也。
帝曰∶气之上下何谓也?曰∶身半以上,其气三矣,天之分也,天气主之;身半以下,其气
三矣,地之分也,地气主之。以名命气,以气命处,而言其病。半则所谓天枢也。
身半,谓脐中也,所谓天枢也。天枢穴当脐两旁同身寸之二寸。其气三者,假如少阴司天,
则上有热,中有太阳,兼之三也。六气皆然。司天者其气三,
司地者其气三,故身半以上三气,身半以下三气也。以名言其气,以气言其处,以气处寒热而言
其病之形证也。
故上胜而下俱病者,以地名之。下胜而上俱病者,以天名之。
上胜下病,地气郁也,故从地郁以名地病;下胜上病,天气塞也,故从天塞以名天病。夫以
天名者,方顺天气为制,逆地气而攻之,以地名者,方从天气为制则可。假如阳明司天,少阴在
泉,上胜而下俱病者,是拂于下而生也。天气正胜天可逆之,故顺天之气方同清也。少阴等司天
上下胜,同法。
所谓胜至,报气屈伏而未发也。复至则不以天地异名,皆如复气为法。
胜至未复而病生,以天地异名为式,复气以发,则所生无问上胜下胜,悉皆根据复气为病,
寒热之主也。
(黄帝)问道:在北政之年,如果三阴之气位于下方,则寸口脉不应指;如果三阴之气位于上方,则尺部脉不应指。在南政之年,如果三阴之气主司天位,则寸口脉不应指;如果三阴之气主在泉位,则尺部脉不应指。左右手的脉象表现与此相同。所以说:懂得关键要点的人,一句话就能概括始终;不懂得关键要点的人,就会思绪散乱,无穷无尽。说的就是这种情况。
黄帝问道:主管岁运的运气情况是怎样的?岐伯回答说:气有余,就会克制自己所能胜的气,并反侮自己不能胜的气;气不足,则是自己不能胜的气来欺侮并乘袭它,而自己所能胜的气则会轻视并欺侮它。反被欺侮是因为缺乏敬畏之心。
《六微旨大论》篇中,黄帝问道:我希望了解天道六六之节气的盛衰规律是怎样的?岐伯回答说:上下各有定位,左右各有纲纪。所以少阳的右边,由阳明主持;阳明的右边,由太阳主持;太阳的右边,由厥阴主持;厥阴的右边,由少阴主持;少阴的右边,由太阴主持;太阴的右边,由少阳主持。这所说的就是气的标象,面向南方等待观察即可。少阳之上,由火气主持,中间见厥阴;阳明之上,由燥气主持,中间见太阴;太阳之上,由寒气主持,中间见少阴;厥阴之上,由风气主持,中间见少阳;少阴之上,由火气主持,中间见太阳;太阴之上,由湿气主持,中间见阳明。这所说的就是本气,本气之下,是中间的见气。见气之下,是气的标象。本和标不同,气应的征象也就各异。
(黄帝)问道:有的节气按时到来且气候也相应到来,有的节气到了但气候没相应到来,有的节气到了但气候过于亢盛,这是为什么呢?(岐伯)说:按时到来且气候相应到来,称为平和;节气到了而气候没相应到来,说明来气不足;节气未到而气候先至,说明来气有余。(黄帝)问道:节气到了而气候没到,或者节气未到而气候先到,会怎样呢?(岐伯)说:相应的就顺,不相应的就逆,逆则病变发生,病变发生则生病。
《至真要大论》篇中,黄帝问道:胜气和复气的变动,时间有固定规律吗?气有必然性吗?岐伯说:时间有固定的位次,但气没有必然的定数。(黄帝)说:我希望了解其中的道理。(岐伯)说:初气到三气,由天气主司,这是胜气的常态。四气到终气,由地气主司,这是复气的常态。有胜气就会有复气,没有胜气就没有复气。黄帝问道:复气结束后又出现胜气,怎么样?(岐伯)说:胜气到来就有复气,次数没有固定,等到气衰退才停止。复气结束又出现胜气,如果不复气就会造成危害,这会损伤生命。(黄帝)问道:复气反而导致疾病是怎么回事?(岐伯)说:因为居位不当,不相协调。如果过度复其胜气,则主气会反过来克制它,所以反而生病,这就是所谓火、燥、热的病机。黄帝问道:如何治疗?(岐伯)说:对于胜气,轻微的顺从其性,严重的加以制约;对于复气,平和的用调和法,暴烈的用攻夺法。都要随着胜气的性质,安抚其屈伏之气,不问次数多少,以平衡为准则,这就是治疗的法则。
黄帝问道:气的上下是什么意思?(岐伯)说:身体半以上,其气分为三部分,属于天的分野,由天气主司;身体半以下,其气也分为三部分,属于地的分野,由地气主司。根据名称来确定气,根据气来确定部位,从而论述疾病。半腰处就是所谓的“天枢”。身体半腰处,指的是脐中部,也就是天枢穴。天枢穴位于脐旁同身寸二寸处。其气分为三部分,假如少阴司天,那么上面有热,中间有太阳(寒),加上司天之气共三部分。六气都是这样。司天之气的影响涉及三部分,在泉之气的影响也涉及三部分,所以身体半以上有三气,身体半以下也有三气。通过名称来论述气,通过气来论述部位,通过气与部位的寒热关系来论述疾病的形证。
所以上方胜气导致下方都生病的,用地名来命名(指病在下)。下方胜气导致上方都生病的,用天名来命名(指病在上)。上方胜而下方病,是地气郁结,所以顺着地气的郁结命名为地病;下方胜而上方病,是天气闭塞,所以顺着天气的闭塞命名为天病。如果用天名命名的,处方应顺应天气进行制约,逆着地气去攻伐;如果用地名命名的,处方顺应天气进行制约就可以了。假如阳明司天,少阴在泉,上方胜而下方都生病的,这是违背了下方的生发之气。天气正胜时可以逆治,所以顺应天气的方剂性质如同清凉一样。少阴等司天导致的上下胜气,采用同样的方法。
所谓胜气到来,是指报复之气屈伏而未发作。复气到来时就不再用天地异名区分,都按照复气的规律来处理。
胜气到来而尚未复气时就生了病,以天地异名为准则;复气发作后,无论所生的是上胜还是下胜,全都依据复气来判定疾病,这是寒热的主宰。
(Huangdi) asked: In years of Northern Governance (Bei Zheng), if the Three Yin (San Yin) are below, the Cun (Inch) pulse does not respond; if the Three Yin are above, the Chi (Cubit) pulse does not respond. In years of Southern Governance (Nan Zheng), if the Three Yin govern the Heaven position (Si Tian), the Cun pulse does not respond; if the Three Yin govern the Earth position (Zai Quan), the Chi pulse does not respond. The manifestations in the left and right hands are the same. Therefore it is said: Those who understand the key points can summarize the essence in one sentence; those who do not understand the key points will have scattered thoughts without end. This is what is meant.
Huangdi asked: How is the fortune governing the year determined? Qibo replied: When Qi (Vital Energy) is in excess, it controls what it normally overcomes and insults what it cannot overcome; when Qi is deficient, what it cannot overcome insults and exploits it, while what it normally overcomes despises and insults it. Being insulted in return is due to a lack of fear/reverence.
In the Chapter on Six Micro Principles (Liu Wei Zhi Da Lun), Huangdi asked: I wish to hear about the waxing and waning of the Heavenly Dao's six-six seasonal segments. Qibo replied: Up and down have their positions, left and right have their disciplines. Thus, to the right of Shao Yang (Lesser Yang), Yang Ming (Bright Yang) governs; to the right of Yang Ming, Tai Yang (Greater Yang) governs; to the right of Tai Yang, Jue Yin (Terminal Yin) governs; to the right of Jue Yin, Shao Yin (Lesser Yin) governs; to the right of Shao Yin, Tai Yin (Greater Yin) governs; to the right of Tai Yin, Shao Yang governs. This is referred to as the Biao (Mark/Manifestation) of Qi, facing south to observe it. Above Shao Yang, Fire Qi governs, with Jue Yin seen in the middle; above Yang Ming, Dryness Qi governs, with Tai Yin seen in the middle; above Tai Yang, Cold Qi governs, with Shao Yin seen in the middle; above Jue Yin, Wind Qi governs, with Shao Yang seen in the middle; above Shao Yin, Fire Qi governs, with Tai Yang seen in the middle; above Tai Yin, Dampness Qi governs, with Yang Ming seen in the middle. This is referred to as the Ben (Root). Below the Root is the Zhong Jian (Middle Manifestation). Below the Middle Manifestation is the Biao (Mark) of Qi. Since Ben and Biao differ, the corresponding phenomena of Qi vary.
(Asked): Why are there cases where the season arrives and the climate corresponds, cases where the season arrives but the climate does not correspond, and cases where the season arrives but the climate is excessive? (Answered): When the season arrives and the climate corresponds, it is called Harmonious (He); when the season arrives but the climate does not correspond, the incoming Qi is deficient; when the climate arrives before the season, the incoming Qi is in excess. (Asked): What happens when the season arrives but the climate does not, or the climate arrives before the season? (Answered): Correspondence leads to Smoothness (Shun); non-correspondence leads to Reversal (Ni). Reversal generates pathology, and pathology generates disease.
In the Chapter on the Most Essential Truth (Zhi Yao Da Lun), Huangdi asked: Do the movements of Winning (Sheng) and Repaying (Fu) Qi follow fixed times? Is there a necessity to the Qi? Qibo said: The times have fixed positions, but the Qi has no absolute necessity. (Huangdi) said: I wish to hear the principle. (Qibo) said: From the First Qi to the Third Qi, Heaven Qi governs, which is the normal pattern for Winning. From the Fourth Qi to the Final Qi, Earth Qi governs, which is the normal pattern for Repaying. There is Repaying only if there is Winning; if there is no Winning, there is no Repaying. Huangdi asked: What happens if Winning occurs after Repaying ends? (Qibo) said: When Winning arrives, Repaying follows, with no fixed number; it stops only when the Qi declines. If Winning occurs after Repaying ends and there is no Repaying, harm results, damaging life. (Huangdi) asked: Why does Repaying Qi cause illness in return? (Qibo) said: Because it occupies an improper position and is incompatible. Excessive Repaying of the Winning Qi causes the Host Qi to overcome it, thus causing illness; this refers to Fire, Dryness, and Heat. Huangdi asked: How should it be treated? (Qibo) said: For Winning Qi, mild cases are followed (Suí), severe cases are controlled (Zhì); for Repaying Qi, harmonious cases are balanced (Píng), violent cases are deprived (Duó). All should follow the Winning Qi, pacify the subdued Qi, regardless of the number, aiming for balance. This is the method.
Huangdi asked: What is meant by the Up and Down of Qi? (Qibo) said: The upper half of the body, its Qi is divided into three parts, belonging to the domain of Heaven, governed by Heaven Qi; the lower half of the body, its Qi is also divided into three parts, belonging to the domain of Earth, governed by Earth Qi. Names determine the Qi, Qi determines the location, and from this, diseases are discussed. The midpoint is called Tianshu (Heavenly Pivot). The body's midpoint refers to the umbilicus, specifically the acupoint Tianshu (ST25). Tianshu is located two Cun (body-inch units) lateral to the umbilicus. The Qi is divided into three parts; for example, if Shao Yin governs Heaven, there is Heat above, Tai Yang (Cold) in the middle, plus the governing Qi, totaling three. This applies to all Six Qi. The influence of Si Tian (Governing Heaven) involves three parts, and the influence of Zai Quan (Governing Earth) involves three parts; thus, the upper half has three Qi, and the lower half has three Qi. By name, we discuss Qi; by Qi, we discuss location; by the cold/heat of Qi at locations, we discuss the form and signs of disease.
When superior Winning Qi causes disease in both upper and lower regions, it is named according to Earth (indicating disease originates from below). When inferior Winning Qi causes disease in both upper and lower regions, it is named according to Heaven (indicating disease originates from above). Superior winning and inferior illness result from Earth Qi stagnation, so naming follows Earth stagnation as Earth disease; inferior winning and superior illness result from Heaven Qi obstruction, so naming follows Heaven obstruction as Heaven disease. For names derived from Heaven, prescriptions should conform to Heaven Qi to restrain it, attacking contrary to Earth Qi; for names derived from Earth, prescriptions conforming to Heaven Qi are sufficient. For instance, if Yang Ming governs Heaven and Shao Yin governs Earth, and superior winning causes inferior illness, this violates the generating Qi below. When Heaven Qi is positively dominant, it can be counteracted; thus, formulas conforming to Heaven Qi are cooling. The same method applies to other Si Tian scenarios like Shao Yin.
The so-called arrival of Winning Qi refers to the state where the Repaying Qi is subdued and has not yet erupted. When Repaying Qi arrives, distinctions between Heaven and Earth names are no longer used; all methods follow the Repaying Qi.
If illness arises when Winning Qi arrives but before Repaying Qi erupts, the model uses different Heaven/Earth names. Once Repaying Qi erupts, whether caused by superior or inferior winning, all illnesses are determined based on the Repaying Qi, which governs Cold and Heat.