《素问》曰∶人有大谷十二分(肉之大会为谷。十二分者。十二经脉之部分也。),络脉十四(十二经之
络,并任督二脉之络,为十四也。按《难经》不言任督,而言阳跷,阴跷,与王注《素问》不同,又并脾之大
络,为十五。意者经以其起自于脾,故不及之欤),孙络三百六十五(孙络之脉别经者,其血盛而当泻者,亦
三百六十五脉,并注于络,传注十二络脉,非独十四络也),小溪三百五十四,各少十二俞也(小络所会,
谓之小溪,本亦三百六十五,除十二俞,当三百五十三,今作四者误)。溪谷之会,以行营卫,以会大气(下
会,《甲乙经》作舍)。(合《五脏生成》、《征四失论》、《气穴论》三篇文)
《灵枢》曰∶经脉为里,支而横者为络,络之别者为孙,诸脉之浮而常见者,皆络脉也。不能经大节之
间,又因绝道而出入复合于皮中,故其会皆见于外。经脉伏行分肉之间,深而不见,其虚实以气口知之。其常
见者,唯足太阴脾经脉,过于外踝之上,无所隐耳。(隐括《脉度》、《经脉》两篇文。)(娄全善曰∶滑伯
仁着《十四经络发挥》,释经脉为曲,络脉为直;经为营,络为卫。故为手太阴脉,其支从腕后出次指端,交
于手阳明者,为手太阴络。手阳明脉,其支从列缺,上挟口鼻,交于足阳明者,为手阳明络。凡十二经之支脉,
伏行分肉者,皆释为络脉,与经言络脉,浮而常见,必行绝道,不经大节,及不当数者,不同一也。又谓足少
阳脉,走自锐 ,作三折;从目锐 至完骨为一折,自完骨至睛明为一折,自睛明至风府为一折,与经言起于
目内 ,上抵头角,下耳后,不言曲折者不同二也。又谓气行一万三千五百息,脉行八百十丈,适当寅时,
复会于手太阴,是以积于胸中,呼吸与营周相会之宗气牵合,误作昼行阳,夜行阴,与营五十周方会之卫气,
与经但言营卫,不及宗气者不同三也。乖舛经义,惑乱来学,予故表而出之)。又曰∶手之三阴,从脏走手(太
阴从中焦至出大指,及次指之端。少阴从心中至出小指之端。厥阴从胸中至出中指之端);手之三阳,从手走
头(阳明从大指次指之端,至上挟鼻孔。太阳从小指之端,至目内 。少阳从小指次指之端,至目锐 )。
足之三阳,从头走足(阳明从鼻至入中趾内间。太阳从目内 ,至小趾外侧端。少阳从目锐 ,至入小趾次趾
间),足之三阴,从足走腹(太阴从大指之端,至属脾络胃。少阴从足心至属肾络膀胱。厥阴从大趾聚毛至属
肝络胆。足三阴,虽曰从足走腹,然太阴乃复上膈挟咽,散舌下,少阴复
从肾上挟舌本;厥阴复上出额,与督脉会于巅。兼手太阴,从肺系横出腋下;少阴从心系上肺,出腋下;厥阴
从胸出胁,上抵腋下。此又秦越人所谓诸阴脉,皆至颈胸而还者也。而厥阴则又上出于巅。盖厥阴,阴之尽者,
也上出于巅,示阴无可尽也。犹《易》云∶硕果不食,示阳无可尽也。然《易》之阴阳以气言,人身之阴阳以
脏象言;气无形为阳,脏象有质为阴。此《易》所以贵阳,而医则阴与阳并重)。(《逆顺肥瘦篇》)王太仆
曰∶太阴为正阴,次少者为少阴,又次为厥阴。厥,犹尽也。太阳为正阳,次少者为少阳,又次为阳明,谓合
明也。
《素问》又曰∶三阴三阳,各有离合(离,别离,谓各正位于阴阳也。合,配合,谓表里而为脏腑也)。
内者为阴,外者为阳,圣人南面而立,前曰广明(广,大也。心脏在南,故曰广明),后曰太冲(冲脉在北,
谓之太者,督脉与冲脉合而盛大也)。太冲之地,名曰少阴(此明太冲脉与足少阴督脉相合而为表里也)。少
阴之上,名曰太阳(足少阴脉,肾脏也,起于小趾之下,斜趋足心。足太阳脉,膀胱腑也,循京骨至小趾外侧,
故太阳在少阴之上。太阳者,阴中之阳也,其根起于至阴,结于命门)。中身而上属广明。广明之下,名曰太
阴(广明,心脏。其下则足太阴脾脏)。太阴之前。名曰阳明(足太阴脾脉。起于大趾之端,循趾内侧白肉际,
过核骨后,上内踝前廉,上 内,循 骨之后。足阳明胃脉,下膝三寸而别,以下入中趾外间。足阳明在太阴
之前也。阳明者,阴中之阳也,其根起于厉兑)。厥阴之表,名曰少阳(足厥阴肝脉,起于足大趾聚毛之际,
上循足跗上廉。足少阳胆脉,循足跗上,出小趾次趾之端。足少阳在厥阴之表也。少阳者,阴中之少阳也,其
根起于窍阴)。是故三阳之离合也,太阳为开,阳明为阖,少阳为枢(开,司动;
阖,司静;枢,司动静。言气之不等也)。三经者,不得相失也。搏而勿浮,命曰一阳(言三阳如一也)。中
为阴,其冲在下,名曰太阴(冲脉在脾之下,与足少阴之络,皆起于肾下。上者过于胞中,是足太阴脾脉,在
冲上也。太阴者,是阴中之阴也,其根起于隐白)。太阴之后,名曰少阴(足太阴脾脉,起于大趾之端,循趾
内侧,及上内踝前廉,上 内,循 骨后。足少阴肾脉,起于小趾之下,斜趋足心,出于然骨之下,循内踝之
后,以上 内。是少阴在太阴之下也。少阴者,阴中之少阴也,其根起于涌泉)。少阴之前,名曰厥阴(足少
阴肾脉,循内踝之后,上 内廉。足厥阴肝脉,循足跗上廉,去内踝一寸,上踝八寸,交出太阴之后,上 内。
是厥阴在少阴之上也。厥阴者,阴之绝阴,言阴气至此而尽也,其根起于大敦。阴之绝阳,两阴相合,故曰阴
之绝阳)。是故三阴之离合也,太阴为开,厥阴为阖,少阴为枢。三阴者,不得相失也,搏而勿沉名曰一阴。
(隐括《阴阳离合论》篇文)
《内经》曰∶两阳合明于辰巳,阳合则明,故曰阳明。辰为三月,主左足之阳明;巳为四月,主右足之阳
明。两阴交尽于戌亥,阴交则幽,故曰厥阴。戌为九月,主右足之厥阴,亥为十月,主左足之厥阴。(隐括《素
问·至真要大论》、《灵枢、阴阳系日月》两篇文)
《灵枢》又曰∶从腰以上者,手太阴(肺经),阳明(大肠经)皆主之,从腰以下者,足太阴(脾经)、
阳明(胃经)皆主之(《终始篇》)。《素问》又曰∶欲之皮部,以经脉
为纪者,诸经皆然(循经脉行止,则皮部可知,十二经脉皆矣),上下同法,视其部中有浮络者,皆阳明之络
也(上,谓手;下,谓足。后并同)。其色多青则痛,多黑则痹,黄赤则热,多白则寒,五色皆见,则寒热也。
(此通言之,余经皆然)。络盛则入客于经。阳主外,阴主内。少阳之阳,名曰枢持(为枢要,以主持之也),
上下同法,视其部中有浮络者,皆少阳之络也,络盛则入客于经。故在阳者主内,在阴者主出,以渗于内,诸
经皆然(此申上文阳主外,阴主内之意,亦通言之也,上“内”字,读曰“纳”,对出而言也。阳络主外纳,
故主外。阴络虽主出,然渗于内,故主内)。太阳之阳,名曰关枢(谓关之枢也),上下同法,视其部中有浮
络者,皆太阳之络也,络盛则入客于经。少阴之阴,名曰枢儒(儒,顺也,守要而顺,阴阳开阖之用也。儒,
《甲乙经》作“ ”),上下同法,视其部中有浮络者,皆少阴之络也,络盛则入客于经,其入经也,从阳部
注于经(此阴阳络所同);其出者,从阴内注于骨(此阴络所独着。此句以明上文在阴者主出,以渗于内之意。
后并同)。心主之阴,名曰害肩(心包之脉,入腋下,气不和,则妨害肩腋之运动),上下同法,视其部中有
浮络者,皆心主之络也,络盛则入客于经。太阴之阴,名曰关蛰(谓关之潜藏者。蛰,《甲乙经》作执),上
下同法。视其部中有浮络者,皆太阴之络也。络盛则入客于经。凡十二经络脉者,皮之部也。是故百病之始
生也,必先于皮毛,邪中则腠理开,开则入客于络脉,留而不去,传入于经,留而不去,传入于腑,廪于肠
胃(廪,积聚也)。邪之始入于皮也,溯然起毫毛,开腠理(溯,当作淅,寒貌。起,竖也)其入于络也,则
络脉盛色变。(经之常色,心赤,肺白,肝青,脾黄,肾黑,阴络之色应其经,
阳络之色变无常。变则生痛痹寒热等病,详见前阳明条);其入客于经也,则感虚乃陷下;其留于筋骨之间,
寒多则筋挛骨痛,热多则筋弛骨消,肉烁 破,毛直而败( ,肘膝后肉如块者)。夫皮者,脉之部也(脉气
随经行止,而皮则部主之),邪客于皮则腠理开,开则邪入客于络脉,络脉满则注于经脉,经脉满则入舍于腑
脏也。故皮者有分部,不与而生大病也(不与,当根据《甲乙经》作“不愈”。《皮部论》篇。按此篇本论客感,
今以其详于经络,故附于此)。
张世贤曰∶腹属阴,五脏之募,皆在腹。肺之募曰中府(中府二穴,在云门下一寸,乳上三肋间动脉应手陷
中),心之募曰巨阙(巨阙一穴,在鸠尾下一寸),脾之募曰章门,(章门二穴,在大横外直脐季胁端),肝
之募曰期门(期门二穴,在不容旁一寸五分,直两乳第二肋端),肾之募曰京门(京门二穴,在监骨腰中,季
胁挟脊)。背属阳,五脏之俞皆在背(肺俞二穴,在三椎下两旁。心俞二穴,在五椎下两旁。肝俞二穴,在九
椎下两旁。脾俞二穴,在十一椎下两旁。肾俞二穴,在十四椎下两旁。俱挟脊各去一寸五分)。风寒之邪外入
在人之背,故阴病行阳。水谷之寒热,感则害人六腑,传于五脏,故阳病行阴。阴病行阳,当从阳引阴,其治
在俞;阳病行阴,当从阴引阳,其治在募。
《难经》曰∶五脏六腑,各有井、荥、输、经、合,在穴所出为井(井者,若水之源也),所流为荥(水
始出时,其流尚微,故谓之荥),所注为输(水由上而注下,下复承而流之,故谓之输),所行为经(水之所
行经历过处,故谓之经),所入为合(经过于此,乃入于脏腑,与众经相会,故为之协议)。阳明之阳,名曰
害蜚(蜚,生化之物,阳极则损生化
六腑独各增置一穴为六者,谓原穴也)。盖脐下肾间动气,乃人之生命,十二经之根本,故名曰原。三焦者,原
气之别使,主通行三气,经历于五脏六腑,所止辄为原,然三焦行于诸阳,腑为阳,故五脏即以输穴为原,
而腑独增置原穴也( 括《六十六难》、《六十八难》两篇文)。
The *Suwen* (Basic Questions) states: The human body has twelve major valleys (large gatherings of muscle are called valleys. The "twelve" refers to the distribution areas of the twelve meridians). There are fourteen collateral vessels (the collaterals of the twelve meridians, plus the collaterals of the Ren and Du meridians, total fourteen. According to the *Nan Jing* (Classic of Difficult Issues), the Ren and Du meridians are not mentioned, but rather the Yang Qiao and Yin Qiao meridians are discussed, which differs from Wang Bing's commentary on the *Suwen*; adding the large collateral of the Spleen makes fifteen. It is speculated that because the meridians originate from the Spleen, it was excluded?). There are 365 sun collaterals (sun collaterals branching off from the main meridians; those with abundant blood requiring drainage also number 365, all injecting into the collaterals, then transmitting to the twelve main collaterals, not just the fourteen mentioned). There are 354 small streams (where small collaterals intersect, called small streams; originally there were 365, minus the twelve Shu points, leaving 363; the current figure of 354 is erroneous). The convergence of streams and valleys facilitates the circulation of Ying (Nutrient) Qi and Wei (Defensive) Qi, and gathers the Great Qi ("Xia Hui" in some texts appears as "She"). (This passage synthesizes content from the chapters *Zang Wu Sheng Cheng*, *Zheng Si Shi Lun*, and *Qi Xue Lun*).
The *Lingshu* (Spiritual Pivot) states: Meridians run deep within, while branches running transversely are called collaterals; further subdivisions of collaterals are called sun collaterals. All vessels that float visibly on the surface are collaterals. Collaterals do not pass through major joints but exit and re-enter through special pathways within the skin, so their intersections are visible externally. Meridians lie hidden between muscle layers, deep and unseen; their deficiency or excess can be determined via the Qi Kou (Cunkou pulse). Among them, only the Foot Taiyin Spleen Meridian is commonly visible, as it passes over the lateral malleolus without concealment. (Summarizing the chapters *Mai Du* and *Jing Mai*). (Lou Quanshan stated: Hua Borén, in his *Fourteen Meridians Exposition*, explained meridians as curving and collaterals as straight; meridians govern Ying Qi, while collaterals govern Wei Qi. Thus, the branch of the Hand Taiyin Lung Meridian exiting at the tip of the index finger to connect with the Hand Yangming Large Intestine Meridian is termed the collateral of Hand Taiyin. Similarly, the branch of the Hand Yangming Large Intestine Meridian ascending from Lieque to cross the nose and mouth to connect with the Foot Yangming Stomach Meridian is the collateral of Hand Yangming. Any branch of the twelve meridians lying hidden in muscle spaces is interpreted as a collateral, differing from the textual description that collaterals are superficial, follow unique paths avoiding major joints, and have specific counting rules. Furthermore, he described the Foot Shaoyang Gallbladder Meridian as having three bends... differing from the text's description of its path starting at the inner canthus... This is the second discrepancy. He also claimed that after 13,500 breaths, the pulse travels 810 zhang, coinciding with the Yin hour, returning to the Hand Taiyin, conflating Zong Qi (Gathering Qi) accumulating in the chest with the Wei Qi that circulates fifty cycles... differing from the text which mentions only Ying and Wei Qi... This is the third discrepancy. These interpretations distort the original meaning and confuse learners, hence I clarify them.) It also states: The three Yin meridians of the hand travel from the zang organs to the hands (Hand Taiyin from the Middle Jiao to the thumb and index finger tips; Hand Shaoyin from the Heart to the little finger tip; Hand Jueyin from the Chest to the middle finger tip); the three Yang meridians of the hand travel from the hands to the head (Hand Yangming from the thumb/index finger tips to beside the nostrils; Hand Taiyang from the little finger tip to the inner canthus; Hand Shaoyang from the index/little finger tips to the outer canthus). The three Yang meridians of the foot travel from the head to the feet (Foot Yangming from the nose to the medial side of the middle toe; Foot Taiyang from the inner canthus to the lateral side of the little toe; Foot Shaoyang from the outer canthus to the space between the little and fourth toes). The three Yin meridians of the foot travel from the feet to the abdomen (Foot Taiyin from the big toe to connect with the Spleen and link to the Stomach; Foot Shaoyin from the sole of the foot to connect with the Kidney and link to the Bladder; Foot Jueyin from the hairline of the big toe to connect with the Liver and link to the Gallbladder. Although said to travel from foot to abdomen, Foot Taiyin ascends through the diaphragm along the throat and spreads under the tongue; Foot Shaoyin ascends from the Kidney along the root of the tongue; Foot Jueyin ascends to the vertex, meeting the Du Meridian. Additionally, Hand Taiyin emerges horizontally from the Lung system under the armpit; Hand Shaoyin ascends from the Heart System to the Lungs and out under the armpit; Hand Jueyin emerges from the chest along the ribs to the axilla. This aligns with Qin Yueren's statement that all Yin meridians reach the neck and chest before returning. However, Jueyin ascends to the vertex, indicating that Yin has no absolute end, similar to the *I Ching*'s "unconsumed fruit" symbolizing Yang's inexhaustibility. While the *I Ching* discusses Yin/Yang in terms of formless Qi, medicine discusses them via Zang-Xiang (organ manifestations); Qi is formless (Yang), Zang-Xiang has substance (Yin). Thus, the *I Ching* honors Yang, while medicine values both equally). (From *Ni Shun Fei Shou Pian*). Wang Bing (Wai Taipu) stated: Taiyin is Principal Yin, Shaoyin is Lesser Yin, and Jueyin is Extreme Yin ("Jue" means end). Taiyang is Principal Yang, Shaoyang is Lesser Yang, and Yangming is Combined Brightness.
The *Suwen* further states: The Three Yin and Three Yang each have separation and combination (Separation means distinct positioning within Yin/Yang; Combination means pairing as exterior-interior to form Zang-Fu relationships). Interior is Yin, exterior is Yang. When the sage faces south, the front is Guangming (Broad Brightness, referring to the Heart located South), and the back is Taichong (Great Surge, referring to the Conception Vessel and Governor Vessel merging in strength). The area of Taichong is named Shaoyin (indicating the merger of Taichong and Foot Shaoyin Kidney Meridian as interior-exterior). Above Shaoyin is Taiyang (Foot Shaoyin Kidney Meridian originates below the little toe; Foot Taiyang Bladder Meridian runs to the lateral little toe, thus Taiyang is above Shaoyin. Taiyang is Yang within Yin, rooting at Zhiyin and knotting at Mingmen). The upper middle belongs to Guangming. Below Guangming is Taiyin (referring to Foot Taiyin Spleen Meridian). In front of Taiyin is Yangming (Foot Taiyin starts at the big toe; Foot Yangming Stomach Meridian bifurcates below the knee... thus Yangming is anterior to Taiyin. Yangming is Yang within Yin, rooting at Lidui). Exterior to Jueyin is Shaoyang (Foot Jueyin Liver Meridian starts at the big toe; Foot Shaoyang Gallbladder Meridian runs along the dorsum... thus Shaoyang is exterior to Jueyin. Shaoyang is Lesser Yang within Yin, rooting at Qiaoyin). Therefore, regarding the separation/combination of the Three Yang: Taiyang is Kai (Opening), Yangming is He (Closing), Shaoyang is Shu (Pivot). These three must not function independently; pulsating yet not floating constitutes One Yang. The center is Yin, with the Chong vessel below, named Taiyin (Chong vessel arises below the kidney... Foot Taiyin is above Chong. Taiyin is Yin within Yin, rooting at Yinbai). Behind Taiyin is Shaoyin (Foot Shaoyin Kidney Meridian arises below the little toe... thus Shaoyin is inferior to Taiyin. Shaoyin is Lesser Yin within Yin, rooting at Yongquan). In front of Shaoyin is Jueyin (Foot Jueyin Liver Meridian crosses posterior to Taiyin... thus Jueyin is superior to Shaoyin. Jueyin is Absolute Yin, where Yin energy ends, rooting at Dazhun. Two Yins combine, hence Absolute Yin/Yang). Therefore, regarding the Three Yin: Taiyin is Kai, Jueyin is He, Shaoyin is Shu. These three must not fail; pulsating yet not sinking constitutes One Yin. (Summarizing *Yin Yang Li He Lun*).
The *Neijing* states: Yang combines at Chen and Si hours, becoming bright, hence Yangming. Chen (March) governs Left Foot Yangming; Si (April) governs Right Foot Yangming. Yin intersects and ends at Xu and Hai hours, becoming dark, hence Jueyin. Xu (September) governs Right Foot Jueyin; Hai (October) governs Left Foot Jueyin. (Summarizing *Suwen · Zhi Zhen Yao Da Lun* and *Lingshu · Yin Yang Xi Ri Yue*).
The *Lingshu* further states: Above the waist, Hand Taiyin (Lung) and Hand Yangming (Large Intestine) govern; below the waist, Foot Taiyin (Spleen) and Foot Yangming (Stomach) govern (*Zhong Shi Pian*). The *Suwen* adds: To understand Pi Bu (Skin Regions), one uses the meridians as guidelines; this applies to all meridians. Observing superficial collaterals in any region reveals the corresponding meridian's collaterals. For Yangming collaterals: blue indicates pain, black indicates Bi syndrome, yellow-red indicates heat, white indicates cold, and mixed colors indicate cold-heat complexity. (General rule for other meridians too). Excess in collaterals allows pathogens to enter the meridians. Yang governs the exterior, Yin governs the interior. Shaoyang's Yang is named Shu Chi (Pivot Holder). Observing superficial collaterals identifies Shaoyang collaterals; excess leads to entry into meridians. Thus, Yang collaterals receive/nourish, Yin collaterals exude/seep internally. Taiyang's Yang is named Guan Shu (Gate Pivot). Shaoyin's Yin is named Shu Ru (Pivot Compliance). Xin Bao (Pericardium)'s Yin is named Hai Jian (Shoulder Obstruction). Taiyin's Yin is named Guan Zhe (Gate Hibernation). All twelve meridian collaterals constitute the Skin Regions. Diseases begin in the skin/hair; pathogens enter collaterals, then meridians, then Fu organs, finally accumulating in the intestines/stomach. Pathogens entering skin cause goosebumps and open pores; entering collaterals causes color changes (Heart red, Lung white, Liver green, Spleen yellow, Kidney black; Yang collateral colors vary, causing pain/Bi/cold-heat). Entering meridians requires deficiency to sink; lingering in sinews/bones causes spasms/pain (cold) or flaccidity/resorption (heat). Skin is the domain of pulses; pathogens entering skin open pores, enter collaterals, fill meridians, and settle in Zang-Fu. If untreated, serious illness ensues. (From *Pi Bu Lun*).
Zhang Shixian stated: The abdomen is Yin; the Mu (Alarm) points of the Five Zang are here. Lung Mu: Zhongfu; Heart Mu: Juque; Spleen Mu: Zhangmen; Liver Mu: Qimen; Kidney Mu: Jingmen. The back is Yang; the Shu (Transport) points of the Five Zang are here. Lung Shu: T3 level; Heart Shu: T5 level; Liver Shu: T9 level; Spleen Shu: T11 level; Kidney Shu: T14 level. External Wind-Cold affects the back (Yang), so Yin diseases manifest on Yang; internal dietary cold/heat affects Six Fu, transmitting to Five Zang, so Yang diseases manifest on Yin. Yin diseases on Yang should be treated by drawing Yin from Yang (Shu points); Yang diseases on Yin should be treated by drawing Yang from Yin (Mu points).
The *Nan Jing* states: The Five Zang and Six Fu each have Jing-River-Shu-Source-He points. Jing points are where Qi emerges (like a spring source). Ying points are where flow begins (slight stream). Shu points are where Qi pours (flowing down). Jing points are where Qi travels (passage). He points are where Qi enters (merging with Zang-Fu). Yangming's Yang is named Hai Fei. The Six Fu uniquely add a Source point (Yuan), making six points per Fu. Yuan Qi, arising between the kidneys below the navel, is the root of life and the twelve meridians. San Jiao (Triple Burner) is the envoy of Yuan Qi, circulating Qi through Zang-Fu; wherever it stops is a Yuan point. Since San Jiao travels through Yang meridians and Fu organs are Yang, the Five Zang use Shu points as Yuan points, while the Six Fu add distinct Yuan points. (Summarizing *Nan Jing* Chapters 66 and 68).