(《灵枢·官能篇》连前章)
雷公问于黄帝曰∶针论曰∶得其人乃传,非其人勿言。何以知其可传?(针论,即指前章也。)黄帝曰∶各得其人,
任之其能,故能明其事。(任之其能,因才而器使也。)雷公曰∶愿闻官能奈何?黄帝曰∶明目者,可使视色。(俱视独见,
明目者也。)聪耳者,可使听音。(俱听独闻,聪耳者也。)捷疾辞语者,可使传论。(如开导劝戒解疑辩正之属,皆所谓
传论也。)语徐而安静,手巧而心审谛者,可使行针艾,理血气而调诸逆顺,察阴阳而兼诸方。(语徐者不苟,安静者不
乱,手巧者轻重疾徐有妙,心审谛者精思详察无遗,故可胜是任。谛音帝。)缓节柔筋而心和调者,可使导引行气。(导
引者,但欲营运血气而不欲有所伤也,故惟缓节柔筋而心和调者乃胜是任,其义可知。今见按摩之流,不知利害,专用
刚强手法,极力困人,开人关节,走人元气,莫此为甚。病者亦以谓法所当然,即有不堪,勉强忍受,多见强者致弱,
弱者不起,非惟不能去病,而适以增害,用若辈者,不可不为知慎。)疾毒言语轻人者,可使唾痈咒病。(人之恶口毒舌
者,亦由禀赋,诸无所利而独利于唾咒疾病。)爪苦手毒,为事善伤者,可使按积抑痹。(按∶积抑痹,亦上文导引行气
之属。然积坚痹固,非爪苦手毒者不能破,术若相类而用有轻重也。)各得其能,方可乃行,其名乃彰。不得其人,其功
不成,其师无名。故曰得其人乃言,非其人勿传,此之谓也。(《气交变大论》曰∶得其人不教,是谓失道,传非其人,
慢泄天宝。详运气类十。)手毒者,可使试按龟,置龟于器下而按其上,五十日而死矣;手甘者,复生如故也。(龟能运
任脉,其息以耳而导引伏气,所以灵而多寿,不易于死,故可用此以验人之手毒与否。手甘者非以味言,即不毒之谓。)
(《灵枢·官能篇》承接前一章节)
雷公向黄帝问道:关于针刺的论述中说:遇到合适的人才传授医术,不是合适的人就不要告诉他。如何知道谁是可以传授的呢?黄帝说:根据每个人的特点任用其才能,因此能够精通其事。(所谓“任之其能”,就是根据才能来使用人才。)雷公说:希望听听关于根据才能分工的道理是怎样的?黄帝说:视力敏锐的人,可以让他观察面色。(指那些在众人中视力独佳、看得清楚的人。)听力灵敏的人,可以让他听取音律。(指那些在众人中听力独佳、听得真切的人。)动作敏捷、言辞流利的人,可以让他传播医理。(如开导、劝诫、解答疑惑、辨明正误等,都称为传播医理。)说话缓慢而安静,手巧且心思周密细致的人,可以让他施行针法和艾灸,调理气血并调和各种逆顺证候,观察阴阳变化并综合运用各方治法。(说话缓慢是不轻率,安静是不慌乱,手巧是指轻重快慢有妙处,心思周密是指精思详察没有遗漏,所以能胜任这个职责。谛,读音为帝。)关节舒缓、筋脉柔和且心境平和协调的人,可以让他从事导引行气疗法。(导引,旨在营运血气而不造成损伤,所以只有关节舒缓、筋脉柔和且心境平和协调的人才能胜任此职,其中的道理显而易见。现在看到的按摩一类人,不知利害,专门使用刚强狠辣的手法,极力使病人困乏,强行打开病人的关节,耗散病人的元气,没有比这更严重的了。病人也认为这是理所当然的方法,即使难以忍受,也只能勉强忍耐,结果多见强壮者变虚弱,虚弱者起不来,不仅不能去除疾病,反而增加危害,使用这类人,不可不谨慎知晓。)言语恶毒、轻视他人的人,可以让他用唾痈咒病的方法治病。(人口出恶言、舌带毒刺,也是由禀赋决定的,对其它事情无所利益,唯独适合治疗唾痈咒病。)指甲尖硬、手法狠毒,做事善于伤害人的,可以让他按压积聚、抑制痹症。(按:按压积聚和抑制痹症,也属于上文导引行气的范畴。然而积聚坚硬、痹症固结,不是指甲尖硬、手法狠毒的人不能攻破,技术虽然相似但应用有轻重之分。)只有得到合适的人才,方法才能推行,名声才能显扬。得不到合适的人,功业就不能成功,师名也就无法确立。所以说,遇到合适的人才传授,不是合适的人就不传,说的就是这个意思。(《素问·气交变大论》说:得到合适的人却不教导他,这叫违背道义;传授给不合适的人,是轻慢泄露上天宝藏。详见运气类第十。)手劲狠毒的人,可以用来试按乌龟,把乌龟放在容器下而在上面按压,五十天后乌龟就会死亡;手劲温和甘柔的人,乌龟则像往常一样复活。(乌龟能运化任脉,它通过耳朵呼吸并引导伏气,所以灵性长寿,不易死亡,因此可以用这个方法来验证一个人的手劲是否狠毒。手甘并不是指味道,而是指不狠毒的意思。)
(Ling Shu, Chapter "Guan Neng" continues from the previous chapter)
Lei Gong asked Huang Di: The treatises on acupuncture state: "Pass on the knowledge only to those who are worthy; do not speak of it to those who are not." How can one know who is worthy of receiving instruction? Huang Di replied: "By assigning each person tasks according to their abilities, they can thus master their respective duties." (Assigning them according to their abilities means utilizing people based on their talents.) Lei Gong said: "I wish to hear how these functions and abilities are allocated." Huang Di said: "Those with keen vision may be employed to observe colors. (These are individuals whose visual acuity stands out among others.) Those with acute hearing may be employed to discern sounds. (These are individuals whose auditory perception stands out among others.) Those who are agile in movement and fluent in speech may be employed to transmit medical theories. (This includes guiding, admonishing, resolving doubts, and clarifying truths, all of which constitute transmitting medical theories.) Those who speak slowly and calmly, possess dexterous hands, and have a careful and meticulous mind may be employed to perform acupuncture and moxibustion, regulate Qi and Blood, harmonize various patterns of rebellion and顺 (normalcy), inspect Yin and Yang, and integrate various prescriptions. (Speaking slowly implies not being rash; calmness implies not being chaotic; dexterity implies mastery over the lightness, heaviness, speed, and slowness of manipulation; a careful mind implies thorough reflection and observation without omission. Thus, they are capable of this responsibility. 'Di' is pronounced as 'Di'.) Those whose joints are relaxed, sinews are supple, and heart-mind is harmonious may be employed to practice Daoyin and Qi circulation therapy. (Daoyin aims to circulate Qi and Blood without causing injury. Therefore, only those with relaxed joints, supple sinews, and a harmonious heart-mind can undertake this task, the logic of which is clear. Nowadays, some massage practitioners, unaware of the pros and cons, exclusively use forceful and harsh techniques, exhausting patients, forcibly manipulating joints, and depleting Yuan Qi. Nothing is more harmful than this. Patients often consider this method inevitable; even if unbearable, they endure it reluctantly. Consequently, strong individuals become weak, and weak individuals fail to recover. This not only fails to cure diseases but exacerbates harm. One must exercise caution when employing such practitioners.) Those who speak maliciously and despise others may be employed to treat abscesses by spitting or to curse illnesses. (Those with foul mouths and poisonous tongues are so due to their innate constitution. They may find no utility in other matters but are suited for treating diseases through spitting and cursing.) Those with hard nails and cruel methods, who are adept at harming others in their work, may be employed to press upon accumulations and suppress bi-syndrome. (Note: Pressing accumulations and suppressing bi-syndrome also fall under the category of Daoyin and Qi circulation mentioned above. However, since accumulations are firm and bi-syndrome is entrenched, only those with hard nails and cruel methods can break them. Although the techniques are similar, their application varies in intensity.) Only by obtaining suitable personnel can methods be implemented and reputations be established. Without suitable personnel, achievements cannot be realized, and the teacher's name will not be known. Hence it is said: "Pass on the knowledge only to those who are worthy; do not transmit it to those who are not." This is what is meant. (The Treatise on the Great Transformation of Qi Interactions states: "To obtain a worthy person but not teach them is to lose the Way; to transmit to the unworthy is to recklessly leak Heavenly treasures." See Category 10 on Yunqi.) Those with cruel hands can be used to test pressing on turtles. Place a turtle under a vessel and press down on it from above; after fifty days, the turtle will die. Those with gentle and mild hands will see the turtle revive as before. (Turtles can circulate Ren Mai [Conception Vessel]; they breathe through their ears and guide hidden Qi, making them spiritual, long-lived, and resistant to death. Thus, this method can be used to verify whether a person's hands are cruel. 'Hand gentle/mild' does not refer to taste, but rather to being non-cruel.)