(详标本类第一章。)
至真要大论曰∶少阳太阴从本,少阴太阳从本从标,阳明厥阴不从标本,从乎中也。启
玄子注曰∶少阳之本火,太阴之本湿,本末同,故从本也。少阴之本热,其标阴,太阳之本寒,
其标阳,本末异,故从本从标。阳明之中太阴,厥阴之中少阳,本末与中不同,故不从标本
从手中也。从本从标从中,皆以其为化生之用也。此注殊欠明显,即汪石山图注,亦隐
晦难解。愚按少阳太阴从本者,以少阳本火而标阳,太阴本湿而标阴,标本同气,故当从
本。然少阳太阴亦有中气而不言从中者,以少阳之中,厥阴木也,木火同气,木从火化矣,
故不从中也;太阴之中,阳明金也,土金相生,燥从湿化矣,故不从中也。少阴太阳从本从
标者,以少阴本热而标阴,太阳本寒而标阳,标本异气,故或从本,或从标,而治之有先后
也。然少阴太阳亦有中气,以少阴之中,太阳水也,太阳之中,少阴火也,同于本则异于标,
同于标则异于本,故皆不从中气也。至若阳明厥阴不从标本从乎中者,以阳明之中,太阴
湿土也,亦以燥从湿化矣;厥阴之中,少阳火也,亦以木从火化矣。故阳明厥阴不从标本,
而从中气也。要之五行之气,以木遇火,则从火化,以金遇土,则从湿化,总不离于水流湿,
火就燥,同气相求之义耳。故本篇曰从本者化生于本,从标本者有标本之化,从中者以中
气为化也。必详明标本化生之所自,则知所以调治之矣。故张子和标本运气歌曰∶少阳从
本为相火,太阴从本湿土坐,厥阴从中火是家,阳明从中湿是我,太阳少阴标本从,阴阳二
气相包裹,风从火断汗之宜,燥与湿兼下之可,万病能将火湿分,彻开轩岐无缝锁。又其十
二经水火分治歌,其义大同,皆本诸此,详载儒门事亲第十四卷中。
愚按六经从本从标从中者,盖以同类相从,归六气于水火,总万病于阴阳,二者而已。
此诚造化自然之道,然而经旨深邃,未易推测,自启玄子以来,注皆未得。及戴人张子和始
发明火湿二字之义,甚得其要,意谓标本相从之理,止于是矣。继自刘宗浓而下,莫不宗之。
愚亦深以为然,独惜其治法之有未尽善者,谓风从火断汗之宜,燥与湿兼下之可也。此概
指六气从化,皆为有余,而欲以汗下二法尽之。若然,则诸病之化,岂尽属有余而必无不及
者耶?殊失圣经本意矣。在内经之言,盖特举阴阳所化之理,本非谓其有余;而子和之意,
则但见其有余之为病,而不知其不及之难化也。夫六经之气,时有盛衰,气有余则化生太
过,气不及则化生不前。从其化者化之常,得其常则化生不息;逆其化者化之变,值其变则
强弱为灾。如木从火化也,火盛则木从其化,此化之太过也;阳衰则木失其化,此化之不前
也。燥从湿化也,湿盛则燥从其化,此化之太过也;土衰则金失其化,亦化之不前也。五
行之气,正对俱然,此本标化生之理所必然者。化而太过者宜抑,化而不及者不宜培耶?
治失其当,又安得谓之善哉?知乎此,则可与言化生之妙用矣。
\r面部图\pt13a102.bmp\r
五色篇曰∶明堂者鼻也,阙者眉间也,庭者颜也,蕃者颊侧也,蔽者耳门也,其间欲方大,去
之十步,皆见于外,如是者寿必中百岁。
明堂骨高以起,平以直,五脏次于中央,六腑挟其两侧,首面上于阙庭,王宫在于
下极,五脏安于胸中,真色以致,病色不见,明堂润泽以清,五官恶得无辨乎?
(详《类经》脉色类)
\r脏腑色见面部图\pt13a103.bmp\r
庭者首面也,阙上者咽喉也,阙中者肺也,下极者心也,直下者肝也,肝左者胆也,下者脾也,
方上者胃也,中央者大肠也,挟大肠者肾也,当肾者脐也,面王以上者小肠也,面王以下者膀胱子处也。
男子色在于面王,为小腹痛,下为卵痛,其圜直为茎痛。在女子为膀胱子处之病,散为痛,搏为聚。
\r肢节色见面部图\pt13a104.bmp\r
颧者肩也,颧后者臂也,臂下者手也,目内 上者膺乳也,挟绳而上者背也,循牙
车以下者股也,中央者膝也,膝以下者胫也,当胫以下者足也,巨分者股里也,巨
屈者膝膑也,此五脏六腑肢节之部也。
\r手十指应十日图\pt13a105.bmp\r
出灵枢阴阳系日月篇
\r手足阴阳应十二月图\pt13a106.bmp\r
\r十二经脉合十二经水图\pt13a107.bmp\r
出经水篇
\r身形应九野太乙所在天忌图\pt13a108.bmp\r
九宫八风篇以八节分八宫而称为太一所居者,正合月建之序。盖月建所在之方,
实时令所王之位,人身之气,无不应之。故凡针灸家当知避忌者,恐伤其王气耳。
(详见《类经》标本类第一章。)
《素问·至真要大论》说:少阳病和太阴病从本化,少阴病和太阳病既可从本化也可从标化,阳明病和厥阴病不依从本或标,而是依从中气。启玄子(王冰)注释说:少阳的本是火,太阴的本是湿,本与末(标)相同,所以从本化。少阴的本是热,其标是阴;太阳的本是寒,其标是阳,本与末不同,所以既可从本化也可从标化。阳明的中气是太阴,厥阴的中气是少阳,本、末与中气都不同,所以不依从本标而依从中气。无论是从本、从标还是从中,都是利用它们作为气化生成的作用。这个注释非常不够清晰,即使是汪石山的图解注释,也晦涩难懂。我认为,少阳和太阴从本化的原因,是因为少阳本为火而标为阳,太阴本为湿而标为阴,标本之气相同,所以应当从本。然而少阳和太阴也有中气却不提从中气的原因,是因为少阳的中气是厥阴木,木与火同气,木随火而化,所以不从其中气;太阴的中气是阳明金,土与金相生,燥随湿而化,所以也不从其中气。少阴和太阳从本或从标的原因,是因为少阴本为热而标为阴,太阳本为寒而标为阳,标本之气不同,所以或者从本,或者从标,治疗上有先后之分。然而少阴和太阳也有中气,因为少阴的中气是太阳水,太阳的中气是少阴火,若同于本则异于标,若同于标则异于本,所以都不依从中气。至于阳明和厥阴不依从本标而依从中气,是因为阳明的中气是太阴湿土,也是燥随湿而化;厥阴的中气是少阳火,也是木随火而化。所以阳明和厥阴不依从本标,而依从中气。总之,五行之气,以木遇火,则随火化;以金遇土,则随湿化,总不离乎“水流湿,火就燥,同气相求”的道理。所以本篇说:从本的,气化生于本;从本标的,有本和标的变化;从中的,以中气为气化。必须详细阐明标本气化生成的来源,就知道如何调治了。所以张子和的《标本运气歌》说:“少阳从本为相火,太阴从本湿土坐,厥阴从中火是家,阳明从中湿是我,太阳少阴标本从,阴阳二气相包裹,风从火断汗之宜,燥与湿兼下之可,万病能将火湿分,彻开轩岐无缝锁。”还有他的《十二经水火分治歌》,意义大体相同,都基于此理,详细记载在《儒门事亲》第十四卷中。
我认为六经从本、从标、从中的道理,大概是以同类相从,将六气归结于水火,将万病归结于阴阳,不过是这两者罢了。这确实是造化自然的规律,然而经文旨意深邃,不易推测,自启玄子以来,注家都没有领会透彻。直到戴人张子和才阐明了“火”和“湿”两个字的含义,很得其要领,意思是标本相从的道理,只在于此了。此后刘宗浓等人,无不尊崇这一观点。我也深以为然,只是可惜他们的治疗方法还不够完善,说“风从火断汗之宜,燥与湿兼下之可”。这大概是指六气从化,都属于有余(实证),而想用汗法和下法来概括全部。如果这样,那么各种病的气化,难道全属有余而绝对没有不足(虚证)吗?这就大大违背了经典的本意了。《内经》的话,大概是特别列举阴阳所化的原理,本来不是说其有余;而张子和的意思,只是看到有余导致的疾病,却不知道不足难以化生的情况。六经之气,有时盛衰,气有余则化生太过,气不足则化生不前。顺从其化生的,是化生的常态,得到常态则化生不息;逆反其化生的,是化生的变异,遇到变异则强弱成为灾害。比如木随火化,火盛则木随其化,这是化生太过;阳气衰则木失去其化,这是化生不前。燥随湿化,湿盛则燥随其化,这是化生太过;土衰则金失去其化,也是化生不前。五行的气,正对的情况都是如此,这是本标化生原理的必然结果。化生太过的应当抑制,化生不足的难道不应该培补吗?治疗不得当,又怎么能称为好呢?懂得这个道理,就可以谈论化生的妙用了。
[面部图]
《灵枢·五色篇》说:明堂就是鼻子,阙就是两眉之间,庭就是额部,蕃就是脸颊侧面,蔽就是耳门,这些部位想要方正宽大,距离十步之外都能看见,像这样的人寿命必定能活到百岁。
明堂骨高起且平直,五脏依次排列在中央,六腑夹在两侧,首面反映在阙庭,王宫(心)位于下极(鼻准头),五脏安守于胸中,真气之色显现,病色不见,明堂色泽润泽清明,五官怎能分辨不清呢?
(详见《类经》脉色类)
[脏腑色见面部图]
庭部对应首面,阙上部对应咽喉,阙中部对应肺,下极对应心,直下对应肝,肝左侧对应胆,下方对应脾,方上部对应胃,中央对应大肠,夹在大肠两侧的对应肾,正当肾脏对应的脐部,面王(鼻尖)以上对应小肠,面王以下对应膀胱和子宫。
男子面色出现在面王,是小腹痛,向下延伸是睾丸痛,呈圆形挺直的是阴茎痛。在女子则是膀胱和子宫的疾病,散漫的是疼痛,结聚的是积聚。
[肢节色见面部图]
颧部对应肩,颧后对应臂,臂下对应手,目内眦上方对应胸乳,沿耳前向上对应背,循牙车(下颌角)以下对应大腿,中央对应膝,膝以下对应小腿,正当小腿以下对应足,巨分对应大腿内侧,巨屈对应膝盖骨,这是五脏六腑及肢节的分部。
[手十指应十日图]
出自《灵枢·阴阳系日月篇》
[手足阴阳应十二月图]
[十二经脉合十二经水图]
出自《灵枢·经水篇》
[身形应九野太乙所在天忌图]
《灵枢·九宫八风篇》以八节分为八宫,称为太一所在的地方,正好符合月建(月亮运行的方位)的顺序。大概月建所在的方位,就是当时时令所旺的位置,人身之气,没有不应和它的。所以凡是针灸医生应当知道的避忌,是恐怕损伤当时的旺气罢了。
(Details are in Chapter 1 of the "Biao Ben" category in *Lei Jing*.)
The *Zhi Zhen Yao Da Lun* (Treatise on the Most Essential and Important Principles) states: Shaoyang (Lesser Yang) and Taiyin (Greater Yin) follow the Ben (Root); Shaoyin (Lesser Yin) and Taiyang (Greater Yang) follow both the Ben (Root) and the Biao (Branch); Yangming (Bright Yang) and Jueyin (Terminal Yin) do not follow the Ben or Biao, but follow the Zhong Qi (Middle Qi). Qixuanzi (Wang Bing) commented: The Ben of Shaoyang is Fire, and the Ben of Taiyin is Dampness; since the Root and Branch are identical, they follow the Root. The Ben of Shaoyin is Heat, and its Biao is Yin; the Ben of Taiyang is Cold, and its Biao is Yang; since the Root and Branch differ, they may follow either the Root or the Branch. The Zhong Qi of Yangming is Taiyin, and the Zhong Qi of Jueyin is Shaoyang; since the Root, Branch, and Middle Qi are all different, they do not follow the Root or Branch but follow the Middle Qi. Whether following the Root, Branch, or Middle Qi, all utilize them for the function of Qi transformation. This commentary is notably unclear; even Wang Shishan's diagrammatic annotations remain obscure and difficult to understand. I reason that Shaoyang and Taiyin follow the Root because Shaoyang’s Root is Fire with a Branch of Yang, and Taiyin’s Root is Dampness with a Branch of Yin; since their Root and Branch share the same Qi, they should follow the Root. However, although Shaoyang and Taiyin have Zhong Qi, it is not mentioned as the basis for transformation because the Zhong Qi of Shaoyang is Jueyin Wood; Wood and Fire share the same nature, so Wood transforms according to Fire, thus not following the Middle Qi. The Zhong Qi of Taiyin is Yangming Metal; Earth and Metal generate each other, so Dryness transforms according to Dampness, thus also not following the Middle Qi. Shaoyin and Taiyang follow the Root or Branch because Shaoyin’s Root is Heat with a Branch of Yin, and Taiyang’s Root is Cold with a Branch of Yang; since their Root and Branch differ in Qi, they may follow either the Root or the Branch, leading to differences in the timing of treatment. However, Shaoyin and Taiyang also possess Zhong Qi: the Zhong Qi of Shaoyin is Taiyang Water, and the Zhong Qi of Taiyang is Shaoyin Fire. If one aligns with the Root, it differs from the Branch; if one aligns with the Branch, it differs from the Root; therefore, neither follows the Zhong Qi. As for Yangming and Jueyin not following the Root or Branch but following the Middle Qi, it is because the Zhong Qi of Yangming is Taiyin Wet Earth, where Dryness transforms according to Dampness; and the Zhong Qi of Jueyin is Shaoyang Fire, where Wood transforms according to Fire. Thus, Yangming and Jueyin do not follow the Root or Branch but follow the Zhong Qi. In summary, among the Five Elements' Qi, when Wood meets Fire, it transforms according to Fire; when Metal meets Earth, it transforms according to Dampness. This always adheres to the principle that "water flows to dampness, fire moves toward dryness, and similar Qi seeks each other." Therefore, this chapter states: Those following the Root derive their transformation from the Root; those following the Root and Branch undergo transformations of both; those following the Middle Qi derive transformation from the Zhong Qi. One must clearly understand the origin of these Root/Branch/Middle Qi transformations to know how to regulate and treat them. Hence, Zhang Zihe’s *Song of Biao Ben and Yun Qi* states: "Shaoyang follows the Root as Ministerial Fire, Taiyin sits at the Root as Wet Earth, Jueyin follows the Middle with Fire as its home, Yangming follows the Middle with Wetness as itself, Taiyang and Shaoyin follow the Root and Branch, with Yin and Yang Qi wrapping each other. Wind is cut by Fire, indicating the suitability of sweating; Dryness and Dampness combined suggest the use of purgation. If one can distinguish diseases by Fire and Wetness, the seamless lock of Xuanqi [Huangdi and Qibo] is fully opened." His *Song of Differentiating Water and Fire in the Twelve Meridians* shares similar meaning, all based on this principle, and is detailed in Volume 14 of *Ru Men Shi Qin*.
I consider that the principle of the Six Meridians following the Root, Branch, or Middle Qi is essentially about similar Qi associating with similar Qi, reducing the Six Qi to Water and Fire, and categorizing all diseases into Yin and Yang—merely these two aspects. This is indeed the natural way of creation. However, the scriptural intent is profound and not easily deduced; since Qixuanzi, commentators have failed to grasp it correctly. It was not until Dai Ren Zhang Zihe that the meanings of "Fire" and "Dampness" were elucidated, hitting the essence. He meant that the logic of Root/Branch association lies only here. Since then, Liu Zongnong and others have all revered this view. I deeply agree, but regret that their therapeutic methods are not entirely perfect. They stated, "Wind is cut by Fire, indicating the suitability of sweating; Dryness and Dampness combined suggest the use of purgation." This generally refers to the transformations of the Six Qi as Excess conditions, attempting to cover everything with sweating and purging methods. If so, does the transformation of all diseases belong solely to Excess, absolutely lacking Deficiency? This greatly deviates from the original intent of the Classics. The words of the *Neijing* specifically illustrate the principles of Yin-Yang transformation, not necessarily implying Excess. Zhang Zihe’s perspective only saw diseases caused by Excess, failing to recognize the difficulty of transformation in cases of Deficiency. The Qi of the Six Meridians fluctuates between prosperity and decline. When Qi is excessive, transformation is overactive; when Qi is deficient, transformation stagnates. Following the transformation represents the normal state; attaining this normality ensures continuous transformation. Opposing the transformation represents the abnormal state; encountering this abnormality leads to disaster due to weakness or strength. For example, when Wood transforms according to Fire: if Fire is prosperous, Wood follows this transformation, which is over-transformation; if Yang Qi declines, Wood loses its transformation, which is under-transformation. When Dryness transforms according to Dampness: if Dampness is prosperous, Dryness follows this transformation, which is over-transformation; if Earth declines, Metal loses its transformation, which is also under-transformation. The Qi of the Five Elements behaves similarly in opposite pairs; this is inevitable in the principles of Root/Branch transformation. Should over-transformation be suppressed, and should under-transformation not be tonified? If treatment is inappropriate, how can it be called good? Understanding this allows one to discuss the wondrous functions of transformation.
[Facial Diagram]
The *Se Se Pian* (Chapter on Colors) states: Ming Tang refers to the nose, Que refers to the area between the eyebrows, Ting refers to the forehead, Fan refers to the sides of the cheeks, and Bi refers to the ear gates. These areas should be square and large; if visible from ten steps away, such a person will surely live to a hundred years.
If the Ming Tang bone is high and rising, flat and straight, the Five Zang organs are arranged in the center, and the Six Fu organs flank them on both sides, the head and face reflect in the Que and Ting, the Wang Gong [Heart] is located at the Xia Ji [tip of the nose], the Five Zang are secure in the chest, true colors manifest, pathological colors are absent, and the Ming Tang luster is clear and moist. How could the five sense organs fail to be distinguished?
(Details are in the Pulse and Color category of *Lei Jing*.)
[Viscera and Colors Facial Diagram]
The Ting area corresponds to the head and face; the upper part of Que corresponds to the throat; the middle of Que corresponds to the Lung; the Xia Ji corresponds to the Heart; the area directly below corresponds to the Liver; the left side of the Liver area corresponds to the Gallbladder; the lower area corresponds to the Spleen; the square upper area corresponds to the Stomach; the central area corresponds to the Large Intestine; the areas flanking the Large Intestine correspond to the Kidney; the area corresponding to the Kidney is the umbilicus; the area above the Mian Wang [nose tip] corresponds to the Small Intestine; the area below the Mian Wang corresponds to the Bladder and Uterus.
In men, color appearing at the Mian Wang indicates lower abdominal pain; extending downward indicates testicular pain; a circular and straight appearance indicates penile pain. In women, it indicates diseases of the Bladder and Uterus; a scattered appearance indicates pain, while a firm/clumped appearance indicates accumulation.
[Limb and Joint Colors Facial Diagram]
The Quan [cheekbone] corresponds to the shoulder; behind the Quan corresponds to the arm; below the arm corresponds to the hand; above the inner canthus corresponds to the chest and breast; along the line upward from the ear corresponds to the back; following the jawline downward corresponds to the thigh; the center corresponds to the knee; below the knee corresponds to the shin; below the shin corresponds to the foot; Ju Fen corresponds to the inner thigh; Ju Qu corresponds to the kneecap. These are the regions of the Five Zang, Six Fu, limbs, and joints.
[Ten Fingers Corresponding to Ten Days Diagram]
From the *Yin Yang Xi Ri Yue Pian* (Chapter on Yin-Yang Relating to Sun and Moon) in *Ling Shu*.
[Yin-Yang Hands and Feet Corresponding to Twelve Months Diagram]
[Twelve Meridians Corresponding to Twelve Rivers Diagram]
From the *Jing Shui Pian* (Chapter on River Waters) in *Ling Shu*.
[Body Shape Corresponding to Nine Regions, Tai Yi Location, and Heavenly Taboos Diagram]
The *Jiu Gong Ba Feng Pian* (Chapter on Nine Palaces and Eight Winds) divides the eight solar terms into eight palaces, designated as the residence of Tai Yi, which perfectly aligns with the sequence of the Monthly Building [lunar mansion positions]. The direction indicated by the Monthly Building is simultaneously the position of the reigning seasonal Qi. The Qi of the human body responds to this. Therefore, acupuncturists must know what to avoid, lest they damage the reigning Qi.