QIAN-JING YAO-FANG

備急千金要方

Equipping for Emergency Thousand Supplementing Prescriptions

By Sun Si-miao, 682 Tang Dynasty

SUN

AUTHOR SUN SI-MIAO

[Shinjiro’s Explanatory Notes]

1) I broke the text into sections and numbered them following the Japanese standard text, the Nippon Kanpo Kyokai Edition.

2) The words in [] are Shinjiro’s notes, not in the original text.

3) The words in () are added by Shinjiro to facilitate comprehension in English.

4) The words in {} are notes in small characters in the original texts.

Bei-ji Qian-jin Yao-fang*
(Ready for Emergency Thousand Golden Important Prescriptions )  
by SUN SI-MIAO**

Volume 28 Chapter 4

Pulses Belonging to Five Organs

 

Shinjiro's Notes:

  • *Bei-ji Qian-jin Yao-fang, total 30 volumes, was published in 652. In the end of volume 9, the author, Sun Si-miao, wrote "the doctors of Jiang-nan (the southern area of the river Zhang-jiang, aka Yang-zi-jiang) hide the important prescriptions of Zhong-jing and do not hand down." It means when he published this book, he had not a chance to read the Shang-han Lun. Later in 682, he published a squel, Bei-ji Qian-jin Yi-fang (Ready for Emergency Thousand Golden Wing (= supplementing Bei-ji Qian-jin Yao-fang Prescriptions), and that time Si-miao could copy the Shang-han Lun.

    Sun Si-miao (581-682) was a famous doctor in the Tang Dynasty, who refused to become a bureaucrat and practiced medicine for common people. He used animal thyroid grants to treat goiter, and a leek as a catheter.  

The Heart section is located on Cun-guo (distal) ahead of Guan (middle) of the left wrist. [The other name is Ren-ying (welcoming human).]

The Liver section is located on Guan-shang (middle) on the left wrist.

The Kidney section is located on Chi-zhong (proximal) behind Guan (middle) of the left wrist.

The Lung section is located on Cun-guo (distal) ahead of Guan (middle) of the right wrist.

The Spleen section is located on Guan-shang (middle) of the right wrist.

The Kidney section is located on Chi-zhong (proximal) behind Guan (middle) of the right wrist.

{The first close of Chapter Seven in Volume One of Mai Jing records from here. The original forms of the sentences are rhythmical and with rhymes, showing it is a part of a paean.}

Mai Fa Zan (paean of pulse rules) says:

Liver and Heart show themselves in the left wrist. Spleen and Lung show themselves in the right.

Kidney and Ming-men (life-gate) both show themselves in the Cun sections.

Hun (spirit), Po (soul), Gu (grains), and Shen (divinity; i.e. vigor) all appear in Cun-guo (distal).

The left (pulse) governs the officers, and the right governs the offices (fu).

When the left (pulse) is large (da), it is regular for the male, and the large right (pulse) is regular for the female.

One fen (1/10 cun) ahead of Guan (middle) governs the human life (ren ming).

The left (pulse) is called Ren-ying (welcome human), and the right (pulse) is called Qi-guo (qi mouth).

The decisions (jue-dan) of Shen-men (devine gate) are located laterally behind Guan (middle).

The man, who does not have these two pulses, will be mortally diseased and never be cured. 

The damages and reductions of each meridian will follow (the pulse of) the each section.

Three Yang and three Yin [one says “to palpate Yang and Yin”] Which precedes, and which succeeds.

(In case of) Yin diseases, treat the officers [officers are inner Zang organs], (and in case of) Yang diseases, treat the offices [offices are outer Fu organs].

The place where the Extraordinary evil stays, how to get it?

The one who examines and finds can insert a needle and cure the disease.

 {The first close of Chapter Seven Volume One of Mai Jing records until here.}

{The first close of Chapter One in Volume Five of Mai Jing records from here, with the title of “Zhang Zhong-jing Theorizing Pulses.”}

The pulse has three sections. Yin and Yang over-ride each other.

Prosperous, Guarding, Qi and Blood circulate in the human body,

In and out of breaths (move them) up and down inside.

Due to breathing, humors and fluids are distributed.

Following the season, (the pulse) works, and shapes its functional figure.

The spring (pulse shapes) String (xian), and the fall (pulse shapes) Floating (fu).

The winter (pulse shapes) Sinking (chen), and the summer (pulse shapes) Flooding (hong).

Under the observation of the colors and examination of pulses, each differs sizes.

In a short while it changes without ordinariness.

Chi (proximal) and Cun (distal) pulses are mingled, some short and some long.

The upper and lower pulses are misplaced, and some exists and some perishes.

The illness easily changes in an instance, and progresses low and high.

It confuses the mind and deceives the decision, often deprives a discipline.

Please teach me (about pulses) precisely and let me understand it clearly.    

The master says:      

What you asked is the root and origin of Dao (doctrine of medicine).

There are three sections in the pulse: Chi (proximal), Guan (middle) and Cun (distal).

When Prosperous and Guarding (Qi) flow and circulate, without loosing their balances,

The Kidney pulse is Sinking (chen), the Heart pulse is Flooding (hong),

The Lung pulse is Floating (fu), and the Liver pulse is String (xian).

These are their own ordinariness without loosing their measurements.

In and out, up and down, as a water clock circulates

Flowing water downward two hour-periods, the pulse goes round the body

And comes back to Cun-guo (distal), showing Void (xu) and Repletion (shi).

When changes over-ride each other, and Yin and Yang interfere each other,

Wind (feng) creates Floating (fu) and Void (xu) pulse, Cold (han) creates Tight (jing) and String (xian) pulse,

Water retention creates Sinking (chen) and Latent (qian) pulse, and Fluid retention (zhi-yin) creates Hatening (ji) and String (xian) pulse.

Moving (dong) and String (xian) pulse means pains, and Frequent (shu) and Flooding (hong) pulse means fever and being anguished.

If the pulse does not reflect this way, then we know why the change occurred.

If the three sections differ from each other, the each section suffers from a different cause.

Watch when the pulse is too strong, or too weak.

The Evil (ye) never shows up without a reason, in the end, there will be the wickedness  (gan) without a fail.

Examine Surface (biao) and Rear (li), dividing San-jiao (three scorchers).

Find out where the Evil (ye) stays, while examining and observing the condition.

Evaluate Zang Fu organs, then (the diagnosis) will come up by itself as if a revelation of God.

{The first close of Chapter One in Volume Five of Mai Jing records two more clauses. }

For my disciples, I itemized here. Make known and impart theses to wise men. 

  

Chapter Five: Discrimination of Diseases by Pulse Figures

Chapter Six: Three Position Hosts and Opponents

 

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