天地定位,而水位乎中,天地通气,而水气蒸达,土润膏滋,云兴雨降,而百物生化。
人肖天地,亦有水焉,在上为痰,伏皮为血,左下为精,从毛窍出为汗,从腹肠出为泻,从
疮口出为水,痰尽死,精竟死,汗枯死,泻极死。水从疮口出不止,干即死,至于血充目则
见明,充耳则听聪,充四肢则举动强,充肌肤则身色白,渍则黑,去则黄,外热则赤,内热则
上蒸喉,或下蒸大肠,为小窍,喉有窍,则咳血,杀人,肠有窍则便血,杀人,便血犹可止,
咳血不易医,喉不停物,毫发必咳,血渗入喉,愈渗愈咳,愈咳愈渗,饮溲溺则百不一死,服
寒凉则百不一生,血虽阴类,运之者,其和阳乎。
耳目鼻口阴尻窍也,臂股指趾肢也,双乳卧肾关也,齿发爪甲余也,枝脂旁趾附也,养
耳力者常饱,养目力者常瞑,养臂指者常屈伸,养股趾者常步履。夏脏宜冷,冬脏宜温,
阴肢末虽夏宜温,胸包心火虽冬难热,热肿而窍塞,血不行而肢废,余有消长无疾,
附有疾,痛无生死者疣瘤而已。
余食五味养髓骨肉血肌肤毛发。男子为阳中必有阴,阳之中数八,故一八而阳精
升,二八而阳精溢。女子为阴,阴中必有阳,阳之中数七,故一七而阴血升,二七而阴血
溢。阳精阴血皆饮食五味之实秀也。方其升也,智虑开明,齿牙更始,发黄者黑,筋弱者
强,即其溢也。凡充身肢体手足耳目之余,虽针芥之沥无有不下,凡子形肖父母者,以其精
血尝于父母之身无所不历也。是以父一肢废则子一肢不肖其父母,一目亏则一目不肖其
母,然雌鸟牝兽无天癸而成胎者何也?鸟兽精血往来尾间也,精未通而御女以通其精,则
五体有不满之处,异日有难状之疾,阴已痿而思色以降其精,则精不出,内败小便道涩,而
为淋精已耗而复竭之,则大小便道牵疼,愈疼则愈欲大小便,愈便则愈疼。女人天癸既至,
逾十年无男子合则不调,未逾十年思男子合亦不调,不调则旧血不出,新血误行,或渍而
入骨,或变而之肿,或虽合而难子。合男子多则涩枯虚人,产乳众则血枯杀人,观其精血思
过半矣。
天地确立了位置,水便处于其中;天地之气相互贯通,水气便蒸腾上升;大地湿润肥沃,云气兴起雨水降落,从而万物得以化生。
人效法天地,体内也有“水”,在上部表现为痰,潜伏于皮肤之下表现为血,在左下部表现为精,从毛孔排出为汗,从腹部肠道排出为泄泻,从疮口流出为水液。痰耗尽则死,精气竭尽则死,汗液枯涸则死,泄泻极度严重则死。水液从疮口流出不止,干燥后则死。至于血液充盈于眼睛则视力明亮,充盈于耳朵则听力聪敏,充盈于四肢则动作强健,充盈于肌肤则肤色白皙,若受浸渍则变黑,流失过多则变黄,体表发热则变红,体内发热则向上熏蒸咽喉,或向下熏蒸大肠,导致小窍出血。咽喉有孔窍,若咳血,可致人死亡;肠道有孔窍,若便血,也可致人死亡。便血尚可止住,咳血却不易医治。因为喉中不停留异物,哪怕是一根毫发也会引起咳嗽;血液渗入喉中,越渗越咳,越咳越渗。此时饮用尿液(溲溺)则百人中难有一死,服用寒凉药物则百人中无一人生还。血液虽然属于阴类,但推动运行的,难道是温和的阳气吗?
耳、目、鼻、口、前阴和后尻都是孔窍;手臂、手指、脚趾和肢体是附属部分;双乳位于肾关之处;牙齿、头发、指甲是其余部分;枝条般的脂肪和旁生的趾甲是附赘。保养耳力的要常保持饱足,保养目力的要常闭目休息,保养臂指的要常屈伸活动,保养大腿和脚趾的要常行走步履。夏季脏腑宜清凉,冬季脏腑宜温暖;阴肢末端即使在夏季也宜温暖,胸中包裹心脏之火即使在冬季也难以过热。若出现热肿且孔窍闭塞,血液运行不畅则肢体废用。其余部位若有消长变化而无疾病,只有附赘如有疾病,疼痛但没有生死之虞的,不过是疣瘤罢了。
残余的食物五味滋养骨髓、骨肉、血液、肌肤和毛发。男子属阳,阳中必含有阴,阳的成数是以八计算,所以一八岁(八岁)时阳精升发,二八岁(十六岁)时阳精满溢。女子属阴,阴中必含有阳,阴的成数是以七计算,所以一七岁(七岁)时阴血升发,二七岁(十四岁)时阴血满溢。阳精和阴血都是饮食五味的精华。当它们升发时,智力思虑开明,牙齿更换新生,头发由白转黑,筋脉由弱变强,这就是所谓的“溢”。凡是充满身体、肢体、手足、耳目等余部的物质,即使是像针尖芥子那样微小的点滴也不会不落下。凡是子女的外形像父母,是因为他们的精血曾在父母身上无所不经历(遗传)。因此,父亲有一只肢体废用,则子女就有一只肢体不像父母;父亲有一只眼睛亏损,则子女就有一只眼睛不像母亲。然而,雌鸟和母兽没有天癸却能受孕是怎么回事呢?这是因为鸟兽的精血往来于尾闾之间。如果在精气未通之时就御女以强行通其精,那么五体就会有不完满的地方,日后会有难以形容的疾病;如果阴器已经痿软还想追求色欲来降下精液,那么精液排不出,内部败坏,小便道涩滞,从而形成淋证和精浊;如果精气已经耗损又再次竭尽,那么大、小便道会牵引疼痛,越疼就越想大小便,越大小便就越疼。女人天癸既已到来,超过十年没有与男子交合则月经不调,未满十年就想与男子交合也不调。不调则旧血不能排出,新血误行,或者浸渍入骨,或者变成肿胀,或者虽然交合却难以怀孕。与男子交合过多则会导致涩枯虚损,生育哺乳众多则会导致血枯致死。观察精血的规律,道理就过半了。
Heaven and Earth establish their positions, and Water resides in the midst; Heaven and Earth Qi communicate with each other, and Water Qi steams and reaches upwards; the Earth is moist and fertile, clouds rise and rain descends, thereby all things are generated and transformed.
Humans emulate Heaven and Earth, and also possess "Water"; when located superiorly, it manifests as Phlegm (Tan); latent beneath the skin, it manifests as Blood (Xue); located inferiorly on the left, it manifests as Essence (Jing); exiting through hair follicles, it becomes Sweat (Han); exiting from the abdomen and intestines, it becomes Diarrhea (Xie); exiting from wound openings, it becomes Fluids (Shui). If Phlegm is exhausted, death ensues; if Essence is depleted, death ensues; if Sweat is dried up, death ensues; if Diarrhea is extreme, death ensues. If fluids continue to flow from a wound without stopping, and then dry out, death ensues. As for Blood: when it fills the eyes, vision becomes clear; when it fills the ears, hearing becomes acute; when it fills the four limbs, movements become strong; when it fills the muscles and skin, the complexion becomes white. If immersed, it turns black; if lost, it turns yellow; if external heat exists, it turns red; if internal heat exists, it steams upward to the throat or downward to the large intestine, causing bleeding from small orifices. The throat has orifices; if Hemoptysis (coughing blood) occurs, it can be fatal. The intestines have orifices; if Rectal Bleeding (blood in stool) occurs, it can also be fatal. Rectal bleeding can still be stopped, but Hemoptysis is difficult to treat. This is because nothing remains stationary in the throat; even a single hair will induce coughing. When blood seeps into the throat, the more it seeps, the more one coughs; the more one coughs, the more it seeps. Drinking urine (Sou Niao) results in less than one in a hundred deaths, whereas administering Cold-Cooling herbs results in no survivors among a hundred. Although Blood belongs to Yin, what moves it must be Harmonious Yang (He Yang).
The ears, eyes, nose, mouth, anterior yin, and posterior anus are orifices; arms, fingers, toes, and limbs are appendages; the double breasts lie at the Gate of Kidney (Shen Guan); teeth, hair, and nails are remnants; fatty branches and accessory toes are excrescences. To nourish ear power, one should often be full; to nourish eye power, one should often close the eyes; to nourish arm and finger power, one should often flex and extend; to nourish thigh and toe power, one should often walk and step. Summer Zang organs should be cool, Winter Zang organs should be warm; although the extremities of Yin limbs should be warm even in summer, the Heart Fire enclosed in the chest is hard to overheat even in winter. If there is hot swelling and orifice blockage, Blood does not circulate and limbs become disabled. Other parts may have growth and shrinkage without disease; only excrescences, if diseased, cause pain but involve no life-and-death stakes, such as warts and tumors.
Residual food and the Five Flavors nourish Marrow, bones, flesh, Blood, skin, and hair. Men belong to Yang, and within Yang there must be Yin; the number for Yang is eight. Thus, at age eight (one-eight), Yang Essence rises; at age sixteen (two-eights), Yang Essence overflows. Women belong to Yin, and within Yin there must be Yang; the number for Yin is seven. Thus, at age seven (one-seven), Yin Blood rises; at age fourteen (two-sevens), Yin Blood overflows. Both Yang Essence and Yin Blood are the essence and beauty derived from the Five Flavors of diet. When they rise, intelligence and thought become clear, teeth renew, white hair turns black, and weak sinews become strong; this is referred to as "overflow." Whatever fills the body, limbs, hands, feet, ears, and eyes, even drops as tiny as needle points or mustard seeds do not fail to descend. The fact that children resemble their parents is because their Essence and Blood have experienced everything in their parents' bodies. Therefore, if a father has one disabled limb, the child will have one limb that does not resemble the parent; if a father has one deficient eye, the child will have one eye that does not resemble the mother. However, why do female birds and beasts conceive without Tian Gui (Menstruation/Essence)? It is because the Essence and Blood of birds and beasts circulate through the Tailbone Pass (Wei Jian). If one engages in sexual intercourse with women before Essence is connected, forcing the opening of Essence, the five bodies will have incomplete areas, leading to indescribable diseases later in life. If the Yin organ is already flaccid yet one desires color/lust to lower Essence, the Essence will not exit, causing internal decay, a涩 (astringent/stagnant) urinary pathway, resulting in Lin Syndrome (Dysuria) and Jing Zhuo (Spermatorrhea). If Essence is already consumed and then further depleted, the large and small bowel pathways will feel pulling pain; the more painful, the more one desires to defecate or urinate; the more one goes, the more painful it becomes. Once a woman's Tian Gui has arrived, if she has not cohabited with a man for over ten years, her menses will be irregular; if under ten years she desires cohabitation, it will also be irregular. Irregularity means old Blood does not exit, and new Blood flows erroneously, either soaking into bones or transforming into swelling, or even if cohabiting, conception is difficult. Frequent cohabitation leads to astringency, dryness, and deficiency; bearing many children and nursing heavily leads to Blood depletion and death. Observing the laws of Essence and Blood, half of the understanding is gained.