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Chapter 15 of 81
黄帝内经·灵枢
Overall Paraphrase
The Yellow Emperor asked: I wish to hear about the "Fifty Circuits" (the circulation of construction qi through the body fifty times in a day-night cycle)—what is this about? Qi Bo replied: The celestial cycle is divided into twenty-eight lunar mansions (the ancients divided the sky into twenty-eight stellar regions), and each mansion is further divided into thirty-six divisions, totaling one thousand and eight divisions; the qi of the human body circulating one full course through the meridians corresponds to this celestial measurement. The sun passes through the twenty-eight lunar mansions in a day-night cycle, and the human body's meridians—upper, lower, left, right, front, and back—number twenty-eight in total, with a combined meridian length of sixteen zhang and two chi, corresponding to the twenty-eight mansions above. 🌊 The clepsydra (water clock) divides a full day and night into one hundred marks, used to distinguish day from night.
Therefore, with one exhalation, the pulse beats twice, and qi moves three cun; with one inhalation, the pulse also beats twice, and qi again moves three cun; one exhalation and one inhalation together constitute one breath (xi), during which qi travels a total of six cun. 💨 In ten breaths, qi travels six chi, and the sun advances two divisions along the celestial degrees. In two hundred and seventy breaths, qi travels sixteen zhang and two chi—the qi within the body completes one full circuit—the clepsydra water descends by two marks, and the sun advances twenty-five divisions. In five hundred and forty breaths, qi completes two full circuits of the body, the water descends by four marks, and the sun advances forty divisions. In two thousand seven hundred breaths, qi completes ten full circuits of the body, the water descends by twenty marks, and the sun advances five mansions plus twenty divisions. In thirteen thousand five hundred breaths, qi completes fifty full circuits of the body, the water descends by one hundred marks, the sun completes exactly one full passage through the twenty-eight mansions, the water of the clock is entirely exhausted, and the meridian qi completes one full cycle of circulation.
The term "interconnection" (jiaotong) means that the quantity and rhythm of the human qi’s movement correspond exactly to the celestial degrees and the clepsydra markings. Therefore, when the fifty circuits are completed in full, the ancients held that a person could thereby align with the natural lifespan granted by heaven and earth; the fifty circuits total qi movement of eight hundred and ten zhang.
This chapter constructs a "Fifty Circuits" rhythmic model, unifying astronomy, time-keeping, meridians, respiration, and pulse within a framework of correspondence between heaven and humanity.
This chapter reflects early Chinese medical concepts of chronomedicine and holism, emphasizing the coordination of respiration, pulse, and circadian rhythms—ideas that resonate with modern medical understanding of biological clocks, respiratory regulation of the autonomic nervous system, and the health benefits of regular routines.
However, numerical values such as "sixteen zhang two chi," "six cun per breath," and "fifty circuits totaling eight hundred ten zhang" are products of ancient theoretical derivation, not results of anatomical dissection or modern hemodynamic measurement. The correspondence between the twenty-eight mansions and the twenty-eight meridians is analogical reasoning, not a causal mechanism. Modern medicine has established that blood circulation is driven by the heart as a pump, and no physical entity of "qi movement" operating on celestial degrees has been discovered. This chapter should therefore be studied as traditional culture and part of the theoretical history of Chinese medicine, rather than having its literal figures applied to modern physiological parameters. Additionally, some numbers in the text—such as "the sun advances twenty-five divisions"—do not perfectly align with the surrounding calculations based on ten divisions per marking, possibly due to textual transmission or rounding approximations; readers need not insist on absolute numerical precision.
⚠️ Note: This content is based on classical Chinese medicine texts and is provided solely for traditional cultural study and research. It does not constitute any medical diagnosis, medication, or treatment advice. If you feel unwell, please seek medical attention promptly.