(先生讳世 注《灵枢》,《素问》二种行世。
部位者,头、面、胸、背、胁、腹、手、足,各有所属之部,所主之位也。头为三阳之
首,三阳者,太阳也。自印堂至额颅,上颠顶,从脑下项皆足太阳经脉之部,故曰头为三阳之首也。
两颧属肾,《刺热论》云∶“色荣颧骨,其热内连肾也。”两目为肝之窍,而五脏精华皆注
于目,故瞳神属肾,黑目属肝,白眼属肺,内外 肉属心,眼包属脾。两鼻为肺窍,而位居
中央,又属乎脾,鼻内口鼻交通之处,则为颃颡,又为畜门。乃肝肺相交之部也。口为脾窍
,内外唇肉,脾所主也。舌为心苗,齿为骨余,而齿龈则为牙床,又属乎胃。舌之下腮之内
,为廉泉、玉英,乃水液之上源也。耳为肾窍,又心亦开窍于耳。胃足阳明之脉,起于鼻,
交中,循鼻外,入齿中,挟口环唇。胆足少阳之脉,起于目锐 ,上抵头角,循耳后,
入
耳中,出走耳前,此头面之部位,各有所属也。头面以下,前有咽喉,后有颈项,喉居右,
咽居左,喉为气管而硬,咽为食管而软。咽喉之中,则为吭嗓,吭嗓之上,则为舌本,舌本
居下 之尽,而上 之尽,则为小舌,所谓会厌也。太阴脾脉络舌本,少阴肾脉络舌本,阳
明胃脉络舌本。咽喉之外,则有动脉,居乎两旁,所谓人迎之脉,乃胃足阳明之脉也。人迎
之下,锁骨空处,则为缺盆,肺所主也。又阳明经脉行身之前,自面部而至胸膈,皆阳明经
脉所主也。缺盆之下,两乳之上,谓之膺中,膺中之中,谓之上膈,即上焦也。《经》云∶
“上焦开发,宣五谷味,熏肤,充身,泽毛,若雾露之溉也。”上膈而下,谓之膈中,即胸
膈也。胸膈之间,谓之膻中,膻中即心包络也。心包主血,主脉横通四布,包络之下,即有
胃络,两络而相通,横布于经络之间。胸乃心主之宫城,而包络包乎心之外。肺为五脏之
长,而盖乎心之上。心窝之下,谓之中焦,胃有三焦,上焦之旁,即上脘也,中焦之旁,即
中脘也,下焦之旁,即下脘也。头面之下,后有颈项,项之中央,名为风府,项之两旁,名
为风池,项下高耸大椎,乃脊骨之骨一椎,第自脊而下,至七节之两旁,名为鬲俞。《经》
云∶“七节之旁,中有小心。”以明鬲俞之穴,乃心气之游行出入,而太阳经脉行身之背,
此胸背之部位,各有所属也。胸膈之下,腹也,胸膈下侧,胁也。前胸后背,而胁则居胸背
之间,行身之侧,胁之上为腋,胁之下为季胁。太阳行身之背而主开,阳明行身之前而主阖
,少阳行身之侧而主枢。舍开则不能阖,舍阖则不能开,舍枢则不能为开阖,是枢者,乃开
阖之关键也。大腹名为坤土,坤土,太阴之脾土也。大腹之上,下脘之间,名为中土,中土
,阳明之胃土也。大肠名回肠,盘旋于腹之左右,小肠居大肠之前,脐乃小肠之结总,而贴
脐左右,乃冲脉所出。《经》云∶“冲脉于脐左右之动脉者是也。”脐之下则为小腹,小腹
两旁,名为少腹。小腹者,少阴水脏,膀胱水腑之所属也。少阴者,厥阴肝脏,胞中血海之
所居也。血海居膀胱之外,名曰胞中,膀胱居血海之内,故曰膀胱者,胞之室也。从小腹而
入前阴,乃少阴、太阴、阳明三经之属。《经》云∶“肾开窍于前后二阴。”是前阴者,属
少阴也。《经》云∶“前阴者,宗筋之所聚,太阴、阳明之所合也。”又∶“阳明主润宗筋
。”是前阴又属太阴,阳明也,阴囊卵核,乃厥阴肝经之所属,故《经》云∶“厥阴病则舌
卷囊缩。”舌卷手厥阴,囊缩足厥阴也。又云∶“厥阴气绝,则卵上缩而终。”此胁腹之部位
,各有所属也。两手两足曰四肢,两手之上,则有肘腋,两足之上,则有 脾,两肘两腋
两两脾名曰八溪。从臂至手,乃手太阴肺金所出,而兼手少阴厥阴,此手之三阴,从胸走
手也。从足至股,乃足太阴脾经所出,而兼足少阴厥阴,此足之三阴,从足走腹也。夫手足
三阴三阳,十二经脉,交相贯通,行于周身,手之三阴,从胸走手,手之三阳,从手走头,
是手三阴三阳而循行于手臂矣。足之三阳,从头走足,足之三阴,从足走腹,是足三阳三阴
而循行于足股矣。此手足之部位,各有所属也。
(Mr. Shi annotated the *Ling Shu* and *Su Wen*, two works that are circulated in the world.
The term "regions" refers to the head, face, chest, back, flanks, abdomen, hands, and feet, each having its specific domain and governing position. The head is the chief of the Three Yang meridians, specifically referring to the Taiyang (Greater Yang) meridian. From the Yintang point to the forehead, upward to the vertex, and from the occiput down to the neck, these are all regions traversed by the Foot-Taiyang Bladder Meridian; thus, it is said that the head is the chief of the Three Yang.
The zygomatic bones belong to the Kidney. The *Ci Re Lun* (Treatise on Acupuncture for Heat) states: "When color manifests on the zygomatic bones, the heat internally connects with the Kidney." The eyes are the orifices of the Liver, and the essence of the Five Zang organs pours into them. Therefore, the pupil belongs to the Kidney, the iris (black part) belongs to the Liver, the sclera (white part) belongs to the Lung, the inner and outer canthi fleshy parts belong to the Heart, and the eyelids belong to the Spleen. The nostrils are the orifices of the Lung, positioned centrally, and also belong to the Spleen. The junction where the nasal cavity communicates with the oral cavity is called the *hangsang* (nasopharynx), also known as the *xumen*. This is the region where Liver Qi and Lung Qi intersect. The mouth is the orifice of the Spleen, and the flesh of the upper and lower lips is governed by the Spleen. The tongue is the sprout of the Heart, teeth are the surplus of bone, and the gums are the dental bed, belonging to the Stomach. Inside the sublingual area, there are the Lianquan and Yuying points, which are the source of fluid ascent. The ears are the orifices of the Kidney, and the Heart also opens into the ears. The Foot-Yangming Stomach Meridian originates at the side of the nose, crosses at the root of the nose, follows the lateral aspect of the nose, enters the upper teeth, and circles the lips. The Foot-Shaoyang Gallbladder Meridian originates at the outer canthus, ascends to the temporal angle, follows behind the ear, enters the ear, exits anterior to the ear. These illustrate how the regions of the head and face have their respective affiliations.
Below the head and face, anteriorly are the throat and pharynx, posteriorly is the nape. The larynx (throat) is on the right, and the pharynx is on the left. The larynx is the airway and is hard; the pharynx is the food pipe and is soft. Within the throat and pharynx lies the *kengsangs* (voice box). Above the *kengsangs* is the root of the tongue (*sheben*). The root of the tongue is at the end of the mandible, and the apex of the maxilla is the uvula, also known as the epiglottis. The Foot-Taiyin Spleen Meridian connects to the root of the tongue, the Foot-Shaoyin Kidney Meridian connects to the root of the tongue, and the Foot-Yangming Stomach Meridian connects to the root of the tongue. Outside the throat and pharynx, there are arteries on both sides, known as the Renying pulse, which belongs to the Foot-Yangming Stomach Meridian. Below the Renying, the hollow space above the clavicle is called the Quepen region, governed by the Lung. Furthermore, the Yangming meridians run along the anterior body, from the face to the chest and diaphragm, all governed by the Yangming meridians.
Below the Quepen and above the nipples is the Yingzhong region. The center of Yingzhong is called Shangge, which corresponds to the Upper Jiao. The *Classic* states: "The Upper Jiao develops and disseminates, distributing the flavors of grain and food, steaming the skin, filling the body, and moistening the hair, like mist and dew irrigating." Below Shangge is Gezhi, i.e., the thoracic diaphragm. Between the chest and diaphragm is Danzhong, which is the Pericardium (Ying Belt). The Pericardium governs blood and vessels, extending horizontally and spreading throughout. Below the Pericardium are the collateral vessels of the Stomach, connecting with each other and spreading horizontally among the meridians. The chest is the palace city of the Heart Master, with the Pericardium enveloping the exterior of the Heart. The Lung is the leader of the Five Zang organs, covering the top of the Heart. Below the heart pit is the Middle Jiao. The Stomach relates to the Triple Burner; beside the Upper Jiao is the Shangwan point, beside the Middle Jiao is the Zhongwan point, and beside the Lower Jiao is the Xiawan point.
Below the head and face, posteriorly is the nape. The center of the nape is named Fengfu. The sides of the nape are named Fengchi. The prominent Dazhui below the neck is the first vertebra of the spinal column. Descending from the spine to the sides of the seventh vertebra is the Geshu point. The *Classic* states: "Beside the seventh vertebra, there is the 'Small Heart'." This clarifies that the Geshu point is where Heart Qi travels in and out, while the Foot-Taiyang Bladder Meridian runs along the back. This illustrates how the chest and back regions have their respective affiliations.
Below the chest and diaphragm is the abdomen; the sides of the chest and diaphragm are the flanks. Anteriorly is the chest, posteriorly is the back, and the flanks lie between them, running along the lateral aspect of the body. Above the flanks is the axilla; below the flanks is the hypochondrium (costal margin). The Foot-Taiyang Bladder Meridian runs along the back and governs "opening"; the Foot-Yangming Stomach Meridian runs along the front and governs "closing"; the Foot-Shaoyang Gallbladder Meridian runs along the side and governs the "pivot". Without opening, closing cannot occur; without closing, opening cannot occur; without the pivot, opening and closing cannot function. Thus, the pivot is the key to opening and closing.
The large abdomen is called Kun Earth, which is the Taiyin Spleen Earth. Above the large abdomen, between the Xiawan and Zhongwan, is called Central Earth, which is the Yangming Stomach Earth. The Large Intestine is called Huichang, coiling around the left and right sides of the abdomen. The Small Intestine is located anterior to the Large Intestine. The umbilicus is the convergence of the Small Intestine, and adjacent to the umbilicus on both sides is the origin of the Chong Mai (Penetrating Vessel). The *Classic* states: "The Chong Mai is the pulsating artery on both sides of the umbilicus." Below the umbilicus is the lower abdomen. The sides of the lower abdomen are called Shaofu. The lower abdomen belongs to the Shaoyin Water Zang (Kidney) and Water Fu (Bladder). The Shaoyin channel, along with the Jueyin Liver, is where the Baozhong Blood Sea resides. The Blood Sea is outside the Bladder, named Baozhong. The Bladder is inside the Blood Sea, hence it is said that the Bladder is the chamber of the Baozhong. Entering anteriorly from the lower abdomen leads to the anterior yin, which belongs to the Shaoyin, Taiyin, and Yangming meridians. The *Classic* states: "The Kidney opens into the two yins (anterior and posterior)." Thus, the anterior yin belongs to the Shaoyin. The *Classic* states: "The anterior yin is the gathering place of the Zongjin (tendons), where the Taiyin and Yangming merge." It also says: "The Yangming moistens the Zongjin." Therefore, the anterior yin also belongs to the Taiyin and Yangming. The scrotum and testes belong to the Foot-Jueyin Liver Meridian, so the *Classic* states: "In Jueyin disease, the tongue curls and the scrotum retracts." Tongue curling relates to the Hand-Jueyin Pericardium, and scrotal retraction relates to the Foot-Jueyin Liver. It also says: "When Jueyin Qi perishes, the testes retract upward, leading to death." This illustrates how the flank and abdominal regions have their respective affiliations.
The two hands and two feet are called the Four Limbs. Above the hands are the elbows and axillae; above the feet are the popliteal fossae. The two elbows, two axillae, and two popliteal fossae (and knees/thighs depending on interpretation of 'Ba Xi') are collectively called the Eight Creeks. From the arm to the hand, this is where the Hand-Taiyin Lung Metal meridian originates, involving the Hand-Shaoyin Heart and Hand-Jueyin Pericardium. These are the Three Yin meridians of the hand, traveling from the chest to the hand. From the foot to the thigh, this is where the Foot-Taiyin Spleen meridian originates, involving the Foot-Shaoyin Kidney and Foot-Jueyin Liver. These are the Three Yin meridians of the foot, traveling from the foot to the abdomen.
The Three Yin and Three Yang meridians of the hands and feet, totaling twelve meridians, interconnect and circulate throughout the body. The Hand Three Yin meridians travel from the chest to the hand; the Hand Three Yang meridians travel from the hand to the head. Thus, the Hand Three Yin and Yang circulate along the arms. The Foot Three Yang meridians travel from the head to the feet; the Foot Three Yin meridians travel from the feet to the abdomen. Thus, the Foot Three Yang and Yin circulate along the legs and thighs. This illustrates how the regions of the hands and feet have their respective affiliations.