“Pondering how best to describe this distinctly innovative translation of the Neijing, the most apt image would be the instant clarity revealed by wiping a steam-misted mirror. Suddenly everything is clear.” —American Journal of Acupuncture ABOUT THE BOOK The Neijing is one of the most important classics of Taoism, as well as the highest authority on traditional Chinese medicine. Its authorship is attributed to the great Huang Di, the Yellow Emperor, who reigned during the third millennium BCE. This new translation consists of the eighty-one chapters of the section of the Neijing known as the Suwen, or “Questions of Organic and Fundamental Nature.” (The other section, called the Lingshu, is a technical book on acupuncture and is not included here.) Written in the form of a discourse between Huang Di and his ministers, The Yellow Emperor’s Classic of Medicine contains a wealth of knowledge, including etiology, physiology, diagnosis, therapy, and prevention of disease, as well as in-depth investigation of such diverse subjects as ethics, psychology, and cosmology. All of these subjects are discussed in a holistic context that says life is not fragmented, as in the model provided by modern science, but rather that all the pieces make up an interconnected whole. By revealing the natural laws of this holistic universe, the book offers much practical advice on how to promote a long, happy, and healthy life. The original text of the Neijing presents broad concepts and is often brief with details. The translator’s elucidations and interpretations, incorporated into the translation, help not only to clarify the meaning of the text but also to make it a highly readable narrative for students—as well as for everyone curious about the underlying principles of Chinese medicine. MAOSHING NI, Ph.D., is a doctor of Oriental medicine and a licensed acupuncturist in Santa Monica, California. He is also the author of Chinese Herbology Made Easy and The Tao of Nutrition. Sign up to learn more about our books and receive special offers from Shambhala Publications. Or visit us online to sign up at shambhala.com/eshambhala. Shambhala Publications, Inc. Horticultural Hall 300 Massachusetts Avenue Boston, Massachusetts 02115 www.shambhala.com © 1995 by Maoshing Ni Cover art: Detail from Walk of Qin Shi Huang Di (221-206 BCE) in a Palanquin, from the “Historical Anthology of the Lives of the Emperors of China,” Bibliothèque Nationale, Paris. © Giraudon/Art Resource, NY All rights reserved. No part of this book may be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the publisher. Library of Congress Cataloging-in-Publication Data Su wen. English. The Yellow Emperor’s Classic of medicine: a new translation of the Neijing Suwen with commentary/Maoshing Ni.—1st ed. p. cm. Includes bibliographical references and index. eISBN 978-0-8348-2576-5 ISBN 978-1-57062-080-5 (acid-free paper) 1. Su wen. 2. Medicine, Chinese—Early works to 1800. I. Ni, Maoshing. II. Title. R127.1.S93Y4513 1995 94-44058 610′.951—dc20 CIP Dedicated to a world in need of balance and harmony CONTENTS Preface A Note on the Translation Acknowledgments Pronunciation Guide 1. The Universal Truth 2. The Art of Life Through the Four Seasons 3. The Union of Heaven and Human Beings 4. The Truth from the Golden Chamber 5. The Manifestation of Yin and Yang from the Macrocosm to the Microcosm 6. The Interplay of Yin and Yang 7. Further Discourse on Yin and Yang 8. The Sacred Teachings 9. The Energetic Cycles of the Universe and Their Effects on Human Beings 10. Dysfunction of the Five Zang Viscera 11. Further Discourse on the Five Zang Viscera 12. Methods of Treatment 13. Treatment of the Mind and the Body 14. The Art of Medicine 15. Doctrines of the Jade Tablet 16. Diagnostic Importance and Discussion of the Collapse of the Meridians 17. The Methods of Pulse Examination 18. Pulse Analysis 19. Seasonal Variations and Abnormalities in Pulses 20. Determining Life and Death 21. Meridian Pathology and Corresponding Pulse Signs 22. Seasonal Organ Pathology 23. Paradigm of the Five Elemental Phases 24. Channel Constituents and Acupuncture Techniques 25. The Preservation of Health 26. Acupuncture in Accordance with Cosmic Cycles 27. Pathogens 28. The Nature of Excess and Deficiency 29. Discourse on the Taiyin and Yangming Channels 30. Disorders of the Yangming Channel 31. Discussion of Febrile Disease 32. Acupuncture in the Treatment of Febrile Disease 33. A Discourse on Wen Bing 34. Imbalances 35. Malaria-like Illnesses 36. Acupuncture in the Treatment of Malaria 37. Pathologic Disorders of Heat and Cold 38. Etiology, Diagnosis, and Treatment of Cough 39. Differentiation of Pain 40. Conditions of the Abdomen 41. Acupuncture in the Treatment of Back Pain 42. The Pathology of Wind 43. The Bi Syndrome 44. Wei Conditions 45. Jue Conditions: The Separation of Yin and Yang 46. Normal and Abnormal Courses of Illness 47. Unusual Illness 48. Extraordinary Illness 49. Channel Pathology in Accordance with the Energy Almanac 50. Rudiments of Acupuncture 51. Needling Depth in Acupuncture 52. Contraindications in Acupuncture 53. Principles of Tonification and Sedation in Acupuncture 54. The Art of Acupuncture 55. Acupuncture Techniques 56. Dermatomes of the Channels 57. Channels and Collaterals 58. Acupuncture Points 59. Pathways of the Channels 60. Acupoints along Skeletal Indentations 61. Acupuncture Treatment in Water and Febrile Diseases 62. Regulation of the Channels 63. Acupuncturing the Superficial Luo 64. Acupuncture According to the Seasons 65. Biao and Ben and the Transmission of Disease 66. Energy Almanac 67. The Five-Phase Circuits 68. The Six Atmospheric Influences 69. Effects of the Five Elemental Phases and the Six Atmospheric Influences 70. Rules of Phase Energetics 71. The Six Macrocosmic Influences 72. Acupuncture in Epidemiology 73. Etiology of Disease 74. Essentials of Disease and Therapy 75. The Yellow Emperor on Pathology 76. The Importance of Correct Diagnosis 77. The Five Failings of Physicians 78. The Four Lapses of Physicians 79. The Three Yin and Three Yang Channels in the Human Body 80. Growth and Decline of Energy 81. Subtle Reasoning Bibliography About the Translator Index E-mail Sign-Up PREFACE A S the end of the twentieth century nears, humankind can celebrate the triumph of achievements in many fields, most notably science, technology, and medicine. The technological breakthroughs of the last two centuries that helped propel science to its zenith are responsible for raising standards of living, increasing productivity, and saving lives. Most significant is the increase in the communication of knowledge that made the vast application of science and technology possible. Paradoxically, the same accomplishments are also responsible for genocide on a massive scale, the destruction of our planet, and a gradual diminishing of quality in people’s lives. In recent years more and more disenchanted citizens of the West have looked to the East for an “organic” answer to the great imbalance in the technologically advanced “modern world.” Strangely, few realize that the East, specifically China, contributed many discoveries and inventions to the modern world. According to Robert Temple in his book The Genius of China, some of the West’s greatest achievements have turned out to be simple borrowing from the Chinese. These include decimal mathematics, paper and printing, the mechanical clock, guns, multistage rockets, the magnetic compass, a ship’s rudder, manned flight, the steam engine, paper money, and even brandy and whiskey. But the scientific and industrial revolutions did not occur in China, despite many advances prior to those of the West. One of the key reasons is that Chinese science and technology always functioned within a philosophy that recognized the importance of balance and harmony between human beings and the environment. In fact, there is more similarity between this philosophy-science paradigm of China and that of the ancient Greeks. As Joseph Needham, author of the great work Science and Civilization in China, wrote, “The sciences of China . . . never dreamed of divorcing science from ethics, but when at the Scientific Revolution the final cause of Aristotle was done away with, and ethics chased out of science, things became very different, and more menacing.” Without sensitive regard to the larger scheme of the universal law, modern science and technology will continue to produce disturbance and even destruction to all life on earth. In the modern age the East can indeed offer the West a philosophy of balance and harmony that is not only urgently needed but necessary for the survival of human civilization. No other Chinese source of this wisdom is as complete as the Yellow Emperor’s Classic of Medicine, or the Neijing. This monumental classic is undoubtedly the most important work representing the crowning achievement of the Chinese prior to the first unification of the country by Emperor Qin Shi in 221 BCE. Its authorship was attributed to the great Huang Di, the Yellow Emperor, who reigned during the middle of the third millennium BCE. The Chinese refer to themselves as the descendants of Huang Di, who is the symbol of the vital spirit of Chinese civilization. The Neijing is actually two works: the Suwen and the Lingshu. The Suwen, “Questions of Organic and Fundamental Nature,” is the subject of this translation, while the Lingshu, once called Zhen Jing, or “Classic of Acupuncture,” is a technical book on acupuncture and moxibustion.1 Historically, Neijing refers to the Suwen alone. I did not have full appreciation for the Neijing at an early age despite having been exposed to it through my father as well as through other Chinese classics. After an education and apprenticeship in Chinese medicine and philosophy I ventured on to study Western medicine, psychology, and physics. Through the Western sciences I gained an understanding for the pertinence of the wisdom outlined in this ancient classic. Furthermore, after I began my clinical practice of Chinese medicine, I became