歧伯曰:平治於權衡。去宛陳莝,微動四極,温衣繆剌其處,以復其形。開鬼門,潔淨府,精以時服。五陽已布,疏滌五藏,故精自生,形自盛,骨肉相保,巨氣乃平。
岐伯曰:平治于权衡。去宛陈莝,微动四极,温衣缪刺其处,以复其形。开鬼门,洁净府,精以时服。五阳已布,疏涤五藏,故精自生,形自盛,骨肉相保,巨气乃平。
qí bó yuē: píng zhì yú quán héng. qù wǎn chén cuò, wēi dòng sì jí, wēn yī miù cì qí chù, yǐ fù qí xíng. kāi guǐ mén, jié jìng fǔ, jīng yǐ shí fú. wǔ yáng yǐ bù, shū dí wǔ zàng, gù jīng zì shēng, xíng zì shèng, gǔ ròu xiāng bǎo, jù qì nǎi píng.
Qibo says: level it by weighing. Remove the stasis and cut away the old, stir the four extremities gently, warm the clothing, and needle the place by contralateral puncture, so as to restore the frame. Open the ghost gate, clean the pure storehouse, and the essence will be taken up in season. Once the five yang have been distributed and the five storing organs flushed, the essence generates itself, the frame fills itself, bone and flesh keep one another, and the great qi is at last level.
王冰:「平治權衡,謂察脈之輕重、量病之淺深也。」一說「權衡」即秤錘與秤桿,「平治」謂稱量以取平。下文「去宛陳莝,微動四極,温衣繆剌」即其稱量之事,「五陽已布,疏滌五藏,故精自生,形自盛,骨肉相保,巨氣乃平」即其平復之效。
陰陽反他。治在權衡相奪,奇𢘆事也,揆度事也。
阴阳反他。治在权衡相夺,奇𢘆事也,揆度事也。
yīn yáng fǎn tā. zhì zài quán héng xiāng duó, qí héng shì yě, kuí duó shì yě.
Yin and yang are overturned. The treatment lies in weighing and taking from one another: this is the business of the anomalous, and it is the business of assessment.
「治在權衡相奪」:權衡即秤錘與秤桿,相奪謂衡量逆從而奪其有餘、補其不足。與第十四篇「平治於權衡」同語:第十四篇之權衡施於水氣之病,本篇之權衡施於陰陽反常之病——「陰陽反他」而後「治在權衡相奪」,又申之曰「奇𢘆事也,揆度事也」。
毛脉合精,行氣於府。府精神明,留於四臓,氣歸於權衡。權衡以平,氣口成寸,以決死生。
毛脉合精,行气于府。府精神明,留于四脏,气归于权衡。权衡以平,气口成寸,以决死生。
Máo mài hé jīng, xíng qì yú fǔ. Fǔ jīng shén míng, liú yú sì zàng, qì guī yú quán héng. Quán héng yǐ píng, qì kǒu chéng cùn, yǐ jué sǐ shēng.
Hair and vessels unite their essence and move qi into the storehouse; the spirit brightness of the storehouse lodges in the four viscera, and the qi returns to the steelyard. When the steelyard is level, the qi mouth forms the inch, by which death and life are decided.
「府精神明,留於四臓,氣歸於權衡。權衡以平,氣口成寸,以決死生」:本篇權衡之義,為脈氣之會歸——權衡既平,寸乃得成。與第十四篇「平治於權衡」(去宛陳莝以復其形)、第十五篇「治在權衡相奪」同條而義別:彼以權衡為治法之喻(衡量虛實而去其菀陳)與奇偶之二術,本篇則以之為脈氣之所歸,而其下即接「氣口成寸,以決死生」——診家獨取寸口之理,此處最明。按本篇自「食氣入胃」以下四句皆不需釋而自明於此:百脈之氣歸於權衡,權衡平則見於寸口,與第十九篇胃氣與藏氣俱至手太陰之說,各明一端。
夫五運之政,猶權衡也,高者抑之,下者舉之,化者應之,變者復之。此生長化成收藏之理,氣之常也。失常則天地四塞矣。故曰:天地之動靜,神明爲之紀;陰陽之往復,寒暑彰其兆。此之謂也。
夫五运之政,犹权衡也,高者抑之,下者举之,化者应之,变者复之。此生长化成收藏之理,气之常也。失常则天地四塞矣。故曰:天地之动静,神明为之纪;阴阳之往复,寒暑彰其兆。此之谓也。
Fú wǔ yùn zhī zhèng, yóu quán héng yě, gāo zhě yì zhī, xià zhě jǔ zhī, huà zhě yìng zhī, biàn zhě fù zhī. Cǐ shēng zhǎng huà chéng shōu cáng zhī lǐ, qì zhī cháng yě. Shī cháng zé tiān dì sì sè yǐ. Gù yuē: tiān dì zhī dòng jìng, shén míng wéi zhī jì; yīn yáng zhī wǎng fù, hán shǔ zhāng qí zhào. Cǐ zhī wèi yě.
The governance of the five circuits is like the weight and the beam: what is high is pressed down, what is low is lifted up, what transforms is answered, and what changes is revenged. This is the pattern of growth, maturation, transformation, completion, gathering and storage — the constant of the qi. Lose the constant and heaven and earth are blocked on all four sides. Hence it is said: the movement and stillness of heaven and earth have spirit brightness as their record; the going and returning of yin and yang have cold and summer heat to display their omens. This is what that means.
「夫五運之政,猶權衡也,高者抑之,下者舉之」——**「權衡」本篇1見,止此一見**;**本篇以權衡喻五運之政:高者抑之、下者舉之、化者應之、變者復之**;**與第十四篇「平治於權衡」同喻而異用:彼言治水之腫,此言為政之平**;**「權」讀 quán、「衡」讀 héng**