南政之岁,如甲子、甲午乃少阴司天,则两寸之脉俱不应,如前所云者是也。南政之岁,如己巳、己亥乃
厥阴司天,其左间则少阴,右间则太阳,宜右寸之脉不应,如前所云者是也。南政之岁,如己丑、己未乃
太阴司天,其左间则少阳,右间则少阴,宜左寸之脉不应,如前所云者是也。若使南政三阴在泉而不
司天,则其不应者不在寸而在尺矣。故曰∶“南政之岁,三阴在天,则寸不应;若三阴在泉。则尺不应”者
此也。所谓诸不应者,即南北二政而相反以诊之,则南政主在寸者北政主在尺,而南政主在尺者北
政主在寸,则其脉自明矣。
\r南政少阴司天脉图\p01-e31a14.bmp\r
\r南政厥阴司天脉图\p01-e31a15.bmp\r
\r南政太阴司天脉图\p01-e31a16.bmp\r
\r南政少阴在泉脉图\p01-e31a17.bmp\r
\r南政厥阴在泉脉图\p01-e31a18.bmp\r
\r南政太阴在泉脉图\p01-e31a19.bmp\r
\r北政少阴司天脉图\p01-e31a20.bmp\r
\r北政厥阴司天脉图\p01-e31a21.bmp\r
\r北政太阴司天脉图\p01-e31a22.bmp\r
\r北政少阴在泉脉图\p01-e31a23.bmp\r
\r北政厥阴在泉脉图\p01-e31a24.bmp\r
\r北政太阴在泉脉图\p01-e31a25.bmp\r
《素问·五营运大论》曰∶“不当其位者病,迭移其位者病止。”南政少阴司天在泉,北政少阴司天在
泉,曰“失守其位者危。”论南北二政内行运法甲己为南政,余四运为北政。南政司天在泉,皆行土运。
其余北政,皆以在泉行运。如北政巳亥厥阴司天,则行在泉少阳火运;又如寅申,少阳司天,则行在泉
厥阴木运。余仿此。惟有北政,辰戌年太阳司天,当行在泉土运,缘北政以臣不敢行君之令,故行金运,
是土之子,以足木火金水之四运焉。
尺寸反死,阴阳交危。谓之反者,不应而应,应而不应,尺寸反也。谓之交者,隅位相交,阴当在
左,交之于右;阳当在右,交之左也。
如尺当不应而反浮大,寸当浮大而反沉细;寸当不应而反浮大,尺当浮大而反沉细;是谓尺寸反。
《素问·五营运大论》曰;“尺寸反者死。”如右当不应而反浮大,左当浮大而反沉细;左当不应而反
浮大,右当浮大而反沉细。经曰∶“左右交者死。”如其年少阴在左,当左脉不应,而反见于右;阳脉本在
右,而反互移于左;是少阴所易之位,非少阳则太阳脉也。故曰∶“阴阳交,交者死。”惟辰戌丑未寅申巳
亥八年有之。如其年少阴在尺,当尺不应,而反见于寸;阳本在寸,而反移于尺。故曰∶“尺寸反,反者死。”
惟子午卯酉年有之。然必也尺寸俱反,阴阳俱交。始为危殆。若但本位当应而不应者,乃阴气之不应
也,止疾而已,不在阴阳交、尺寸反之例,不可胶柱鼓瑟也。
\r南政少阴司天尺寸反者图\p01-e31a26.bmp\r
\r南政少阴在泉尺寸反者图\p01-e31a27.bmp\r
\r北政少阴司天尺寸反者图\p01-e31a28.bmp\r
\r北政少阴在泉尺寸反者图\p01-e31a29.bmp\r
《素问·天元纪大论》曰∶“尺寸反者死。”止以南北二政少阴司天在泉论。
\r南政厥阴司天阴阳交者图\p01-e31a30.bmp\r
\r南政厥阴在泉阴阳交者图\p01-e31a31.bmp\r
\r南政厥阴司天阴阳交者图\p01-e31a30.bmp\r
\r南政太阴司天阴阳交者图\p01-e31a32.bmp\r
\r南政太阴在泉阴阳交者图\p01-e31a33.bmp\r
\r北政厥阴司天阴阳交者图\p01-e31a34.bmp\r
\r北政厥阴在泉阴阳交者图\p01-e31a35.bmp\r
\r北政太阴司天阴阳交者图\p01-e31a36.bmp\r
\r北政太阴在泉阴阳交者图\p01-e31a37.bmp\r
《素问·五营运大论》曰∶“阴阳交者死。”除少阴司天在泉,止以厥阴、太阴司天在泉论。详按后世诸
图,悉宗仲景,然多不合经旨,未知果出仲景否也。若他书有图无说,其义益晦,余一以经旨为主而补之。
在南政之年,例如甲子、甲午年,若为少阴君火司天,则双侧寸脉均不应指(脉搏微弱或摸不到),正如前文所述的情况。在南政之年,例如己巳、己亥年,若为厥阴风木司天,其左间气为少阴君火,右间气为太阳寒水,此时右侧寸脉应当不应指,正如前文所述的情况。在南政之年,例如己丑、己未年,若为太阴湿土司天,其左间气为少阳相火,右间气为少阴君火,此时左侧寸脉应当不应指,正如前文所述的情况。如果南政之年是三阴之气在泉而不司天,那么不应指的部位就不在寸部而在尺部了。所以说:“南政之年,三阴之气在天位,则寸脉不应;若三阴之气在泉位,则尺脉不应”,说的就是这个道理。所谓各种“不应”的情况,即通过南北二政相反的方法来诊察,就可以明白:南政主病在寸部的,北政主病在尺部;而南政主病在尺部的,北政主病在寸部,这样脉象的道理自然就清楚了。
[图片:南政少阴司天脉图]
[图片:南政厥阴司天脉图]
[图片:南政太阴司天脉图]
[图片:南政少阴在泉脉图]
[图片:南政厥阴在泉脉图]
[图片:南政太阴在泉脉图]
[图片:北政少阴司天脉图]
[图片:北政厥阴司天脉图]
[图片:北政太阴司天脉图]
[图片:北政少阴在泉脉图]
[图片:北政厥阴在泉脉图]
[图片:北政太阴在泉脉图]
《素问·五营运大论》说:“脉位不当的有病,位置交替移易的病情会停止。”在南政和北政中,无论是少阴司天还是在泉,都称为“失守其位者危”。论述南北二政内的运气法则:甲年和己年为南政,其余四运(乙、丙、丁、戊)为北政。南政之年,无论是司天还是在泉,都行土运。其余北政之年,都以在泉之气来行运。例如北政的巳年、亥年,厥阴风木司天,则行在泉的少阳相火运;又如寅年、申年,少阳相火司天,则行在泉的厥阴风木运。其余年份仿照此例。只有北政的辰年、戌年,太阳寒水司天,本当行在泉的土运,但因为北政以臣不敢行君之令为由,所以改行金运,这是土之子(火克金?此处原文逻辑为土生金,金为土之子,借子行父令之意,或指金运代土运),以补足木、火、金、水四运。
尺寸反死,阴阳交危。所谓“反”,是指本不应出现脉象的部位出现了脉象,本应出现脉象的部位却未出现,这就是尺寸反。所谓“交”,是指隅位相交,阴脉本该在左侧,却交移至右侧;阳脉本该在右侧,却交移至左侧。
例如尺脉本不应现却反而浮大,寸脉本应浮大却反而沉细;或者寸脉本不应现却反而浮大,尺脉本应浮大却反而沉细;这叫做尺寸反。《素问·五营运大论》说:“尺寸反者死。”例如右脉本不应现却反而浮大,左脉本应浮大却反而沉细;左脉本不应现却反而浮大,右脉本应浮大却反而沉细。经书说:“左右交者死。”例如年少阴君火在左,应当左侧脉不应,却反而见于右侧;阳脉本在右,却反而互移到左侧;这是少阴所易之位,不是少阳相火就是太阳寒水的脉象。所以说:“阴阳交,交者死。”这种情况只在辰、戌、丑、未、寅、申、巳、亥八年中出现。如果年少阴君火在尺,应当尺脉不应,却反而见于寸部;阳脉本在寸,却反而移到尺部。所以说:“尺寸反,反者死。”这种情况只在子、午、卯、酉四年中出现。然而必须尺寸俱反,阴阳俱交,才算是危殆。如果只是本位应当应指而未应指,那是阴气之不应,只是疾病而已,不属于阴阳交、尺寸反的范畴,不可拘泥固执。
[图片:南政少阴司天尺寸反者图]
[图片:南政少阴在泉尺寸反者图]
[图片:北政少阴司天尺寸反者图]
[图片:北政少阴在泉尺寸反者图]
《素问·天元纪大论》说:“尺寸反者死。”这里仅以南政和北政中少阴司天或在泉的情况来论述。
[图片:南政厥阴司天阴阳交者图]
[图片:南政厥阴在泉阴阳交者图]
[图片:南政厥阴司天阴阳交者图]
[图片:南政太阴司天阴阳交者图]
[图片:南政太阴在泉阴阳交者图]
[图片:北政厥阴司天阴阳交者图]
[图片:北政厥阴在泉阴阳交者图]
[图片:北政太阴司天阴阳交者图]
[图片:北政太阴在泉阴阳交者图]
《素问·五营运大论》说:“阴阳交者死。”除了少阴司天或在泉的情况外,仅以厥阴、太阴司天或在泉的情况来论述。详细考察后世的诸图,都尊崇张仲景,但大多不符合经典原意,不知是否真的出自张仲景之手。如果其他书籍有图无解说,意义更加晦涩,我一律以经典原意为主导并加以补充。
In years of Southern Polarity (Nanzheng), such as Jiazi and Jiawu, if Shaoyin (Lesser Yin) governs the Heaven position (Si Tian), then both Cun positions (Cun pulse) on the wrists should be non-responsive (pulse is faint or imperceptible), as described in the preceding text. In years of Southern Polarity, such as Jisi and Jihai, if Jueyin (Terminal Yin) governs the Heaven position, its left interstitial Qi is Shaoyin, and its right interstitial Qi is Taiyang (Greater Yang); thus, the right Cun pulse should be non-responsive, as described previously. In years of Southern Polarity, such as Jichou and Jiwei, if Taiyin (Greater Yin) governs the Heaven position, its left interstitial Qi is Shaoyang (Lesser Yang), and its right interstitial Qi is Shaoyin; thus, the left Cun pulse should be non-responsive, as described previously. If in a year of Southern Polarity, the Three Yin (Sanyin) are at the Earth position (Zai Quan) rather than governing the Heaven position, then the non-responsive site is not at the Cun but at the Chi (Chi pulse). Therefore it is said: "In years of Southern Polarity, when the Three Yin are at the Heaven position, the Cun pulses do not respond; if the Three Yin are at the Earth position, the Chi pulses do not respond." This is what is meant. Regarding all kinds of "non-responsiveness," by diagnosing with the opposite methods of Northern and Southern Polarity, it becomes clear: for Southern Polarity where the pathology is primarily at the Cun, Northern Polarity's pathology is primarily at the Chi; and for Southern Polarity where the pathology is primarily at the Chi, Northern Polarity's pathology is primarily at the Cun. Thus, the principles of the pulse become self-evident.
[Image: Diagram of Non-responsive Pulse in Southern Polarity with Shaoyin Governing Heaven]
[Image: Diagram of Non-responsive Pulse in Southern Polarity with Jueyin Governing Heaven]
[Image: Diagram of Non-responsive Pulse in Southern Polarity with Taiyin Governing Heaven]
[Image: Diagram of Non-responsive Pulse in Southern Polarity with Shaoyin at Earth Position]
[Image: Diagram of Non-responsive Pulse in Southern Polarity with Jueyin at Earth Position]
[Image: Diagram of Non-responsive Pulse in Southern Polarity with Taiyin at Earth Position]
[Image: Diagram of Non-responsive Pulse in Northern Polarity with Shaoyin Governing Heaven]
[Image: Diagram of Non-responsive Pulse in Northern Polarity with Jueyin Governing Heaven]
[Image: Diagram of Non-responsive Pulse in Northern Polarity with Taiyin Governing Heaven]
[Image: Diagram of Non-responsive Pulse in Northern Polarity with Shaoyin at Earth Position]
[Image: Diagram of Non-responsive Pulse in Northern Polarity with Jueyin at Earth Position]
[Image: Diagram of Non-responsive Pulse in Northern Polarity with Taiyin at Earth Position]
The *Suwen: Treatise on the Great Discussion of the Five Movements and Six Qi* states: "Disease occurs when the position is inappropriate; disease ceases when the positions shift alternately." In both Southern and Northern Polarity, whether Shaoyin governs the Heaven position or is at the Earth position, it is called "dangerous if the position is lost." The discussion on the internal movement laws within Northern and Southern Polarity states: Years of Jia and Ji are Southern Polarity, while the remaining four movements (Yi, Bing, Ding, Wu) are Northern Polarity. In Southern Polarity years, whether governing the Heaven position or at the Earth position, the Earth Movement (Tu Yun) prevails. For the remaining Northern Polarity years, the movement is determined by the Qi at the Earth position. For example, in Northern Polarity years of Si and Hai, with Jueyin governing the Heaven position, the movement follows the Shaoyang Fire Movement at the Earth position; similarly, in Yin and Shen years, with Shaoyang governing the Heaven position, the movement follows the Jueyin Wood Movement at the Earth position. Other years follow this pattern. Only in Northern Polarity years of Chen and Xu, with Taiyang governing the Heaven position, should the Earth Movement at the Earth position prevail. However, because in Northern Polarity, the minister dare not execute the ruler's order, the Metal Movement (Jin Yun) is executed instead. Metal is the son of Earth, thereby completing the four movements of Wood, Fire, Metal, and Water.
Reversal at Cun and Chi indicates death; Intersection of Yin and Yang indicates peril. What is called "reversal" (Fan) is when a pulse appears where it should not, and fails to appear where it should; this is Reversal at Cun and Chi. What is called "intersection" (Jiao) is the crossing of diagonal positions: the Yin pulse, which should be on the left, crosses to the right; the Yang pulse, which should be on the right, crosses to the left.
For instance, if the Chi pulse, which should not appear, instead floats and is large, while the Cun pulse, which should float and be large, instead sinks and is thin; or if the Cun pulse, which should not appear, instead floats and is large, while the Chi pulse, which should float and be large, instead sinks and is thin; this is called Reversal at Cun and Chi. The *Suwen: Treatise on the Great Discussion of the Five Movements and Six Qi* states: "Death results from Reversal at Cun and Chi." For example, if the right pulse, which should not appear, instead floats and is large, while the left pulse, which should float and be large, instead sinks and is thin; or if the left pulse, which should not appear, instead floats and be large, while the right pulse, which should float and be large, instead sinks and is thin. The classics state: "Death results from Left-Right Intersection." For example, in years of Shaoyin, with Shaoyin on the left, the left pulse should be non-responsive, yet instead appears on the right; the Yang pulse, originally on the right, instead shifts to the left; this is the position exchanged by Shaoyin, representing either the Shaoyang or Taiyang pulse. Therefore it is said: "Intersection of Yin and Yang leads to death." This occurs only in the eight years of Chen, Xu, Chou, Wei, Yin, Shen, Si, and Hai. If in years of Shaoyin, Shaoyin is at the Chi, the Chi pulse should be non-responsive, yet instead appears at the Cun; the Yang pulse, originally at the Cun, instead shifts to the Chi. Therefore it is said: "Reversal at Cun and Chi leads to death." This occurs only in the four years of Zi, Wu, Mao, and You. However, it must be that both Cun and Chi are reversed, and both Yin and Yang intersect, for the condition to be considered critical. If it is merely that the pulse at the proper position should have responded but did not, this is simply non-response of Yin Qi, indicating mere illness, and does not fall under the categories of Intersection of Yin and Yang or Reversal at Cun and Chi. One must not be rigidly dogmatic.
[Image: Diagram of Reversal at Cun and Chi in Southern Polarity with Shaoyin Governing Heaven]
[Image: Diagram of Reversal at Cun and Chi in Southern Polarity with Shaoyin at Earth Position]
[Image: Diagram of Reversal at Cun and Chi in Northern Polarity with Shaoyin Governing Heaven]
[Image: Diagram of Reversal at Cun and Chi in Northern Polarity with Shaoyin at Earth Position]
The *Suwen: Treatise on the Great Discussion of the Heavenly Origin* states: "Death results from Reversal at Cun and Chi." This refers specifically to discussions involving Shaoyin governing the Heaven position or being at the Earth position in both Southern and Northern Polarity.
[Image: Diagram of Intersection of Yin and Yang in Southern Polarity with Jueyin Governing Heaven]
[Image: Diagram of Intersection of Yin and Yang in Southern Polarity with Jueyin at Earth Position]
[Image: Diagram of Intersection of Yin and Yang in Southern Polarity with Jueyin Governing Heaven]
[Image: Diagram of Intersection of Yin and Yang in Southern Polarity with Taiyin Governing Heaven]
[Image: Diagram of Intersection of Yin and Yang in Southern Polarity with Taiyin at Earth Position]
[Image: Diagram of Intersection of Yin and Yang in Northern Polarity with Jueyin Governing Heaven]
[Image: Diagram of Intersection of Yin and Yang in Northern Polarity with Jueyin at Earth Position]
[Image: Diagram of Intersection of Yin and Yang in Northern Polarity with Taiyin Governing Heaven]
[Image: Diagram of Intersection of Yin and Yang in Northern Polarity with Taiyin at Earth Position]
The *Suwen: Treatise on the Great Discussion of the Five Movements and Six Qi* states: "Death results from Intersection of Yin and Yang." Excluding cases where Shaoyin governs the Heaven position or is at the Earth position, this discussion applies only to Jueyin and Taiyin governing the Heaven position or being at the Earth position. A detailed examination of diagrams from later generations shows they all revere Zhang Zhongjing, yet most do not conform to the original intent of the classics. It is unknown if they truly originated from Zhang Zhongjing. If other books contain diagrams without explanations, their meaning becomes even more obscure. I rely solely on the original intent of the classics to supplement these texts.