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七 傳 者 死 與 間 臟者 生 seven transmutations produce death, five produce life

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五 十 三 難 53rd difficulty
Wǔ shí sān nán
論 七 傳 者 死 theory of 7 transmmutations produce death
Lùn qī chuán zhě sǐ
與 間 臟 者 生 and between Zhang organs is life
Yǔ jiān zàng zhě shēng
五 十 三 難 曰 :53rd difficulty says
Wǔ shí sān nán yuē
經 言 : treatises say
Jīng yán
七 傳 者 死 , seven transmutations produce death
Qī chuán zhě sǐ
間 藏 者 生 。passages between Zhang organs are life, creation,  shen cycle
Jiān cáng zhě shēng
何 謂 也? 然 :How to explain that? Explanation
Héwèi yě? Rán:
七 傳 者 ,seven transmutations
Qī chuán zhě
傳 其 所 勝 也 ;transmutations through directions of dominating ko cycle
Chuán qí suǒ shèng yě
間 藏 者 ,transmutation between neighbouring organs
Jiān cáng zhě
傳 其 子 也 。passing to the child
Chuán qí zi yě
何 以言 之 ?what does it mean?
Héyǐ yán zhī?
假 令 心 病 傳 肺 ,suppose that heart diseases affects lung
Jiǎ lìng xīnbìng chuán fèi
肺 傳 肝 , from lungs moves to liver
Fèi chuán gān
肝 傳 脾 ,from liver moves to spleen
Gān chuán pí
脾 傳 腎 ,from spleen moves to kidney
Pí chuán shèn
 腎 傳心 ,from kidneys moves to the heart
Shèn chuán xīn
 一 藏 不 再 傷 ,one of organs is harmed again and again
Yī cáng bù zài shāng
故 言 七 傳 者 死 也 。it is why they say that 7 transmutations produce death
Gù yán qī chuán zhě sǐ yě
問 藏 者 ,transmutation between organs from mother to son
Wèn cáng zhě
傳 其 所 生 也 。is direction of life, shen
Chuán qí suǒ shēng yě
假 令 心 病 傳 脾 ,suppose that heart disease affects spleen
Jiǎ lìng xīn bìng chuán pí
脾 傳 肺 ,from spleen goes to the lings
Pí chuán fèi
肺 傳腎 , from lungs goes to kidney
Fèi chuán shèn
腎 傳 肝 ,from kidney to liver
Shèn chuán gān
肝 傳 心 ,from liver goes to heart
Gān chuán xīn
是 子 母 相 傳 , movement from mother to son
Shì zǐ mǔ xiāng chuán
竟 而 復 始 , finishing and starting again
Jìng ér fù shǐ
如 環 無端 ,as huang jade ring without end
Rú huán wú duān
故 曰 生 也 。it is why they say about life
Gù yuē shēng yě.
Difficulty 53 is linked with difficulty 77, where explained that mediocre doctor treat same disease that follows develop through ko cycle and highest practitioner treat disease through rule of mother and son moving disease through shen, creation cycle producing healing. Ancient wuxing cycle explains how disease makes seven transmutation damaging Spleen more then once. During this damage disease is developing in the body. Difficulty 78th explains that disease starts in pulse and develops into same disease in the body and finishes into symptoms. Practitioner of archaic acupuncture starts treatment treating the pulse. Treatment has aim to move disease from ko to shen cycle, preventing development of disease. Movement by shen cycle obeys rule of mother and son explained in difficulty 69. This process of creation movement and healing of patient is compared to huang jade ring known from Zhou Dynasty which has same amount of yang and yin, this movement happens through circulation between zhang as between fu organs.
​Paul Unschuld in his translation believes that seven is the mistake as wuxing is five movements.
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