平按∶此卷自卷首至两目之下中以上,原抄残脱,平于日本仁和寺宫御残卷十三纸中检出,
证以《素问·骨空论》篇及本书《骨空》篇、《甲乙经·奇经八脉》篇,补在经文央字、杨注督
脉起于少腹之上,而脱处复完。惟篇中杨注缺蚀过多,无由补入,不无遗憾。谨根据缺处计字空格以
存真相。自经文央字以下,见《素问》卷十六第六十《骨空论》篇,又见《甲乙经》卷二第二并
本书《骨空》篇。
岐伯曰∶督脉起于少腹以下骨中央,女子入系庭孔,其孔溺孔之端,(此脉起少腹,循阴器,
上至目内 ,复上额交巅入脑,还出别下项,挟脊,入循膂络肾,然后别从肾上而还至于肾。《九
卷》别于畜门,上额循巅,下项脊入 ,络阴器,入齐中,上入缺盆。二经相证,督脉之逆显然。
又按考古本,竟于此为任脉之言,而有不识,以此督□□□□□□□□□□□□□腹。《八十一难》云∶
起下极之输,并脊上行,至于风府,为阳脉之聚。义亦同也。庭孔,溺孔之端孔也。平按∶起于
少腹,于字本书《骨空》篇无。《素问》端下有也字。)其络循阴器合篡间,绕篡后,(督脉之络,
出庭孔,别左右,循男女阴器,于篡间合,复绕于篡后也。篡音督,此□□□后也。平按∶篡
《甲乙经》作纂,本书《骨空》篇亦作纂,注音督,义未详。查《骨空论》类注云∶篡,交篡之
义,谓两便争行之所,前后二阴之间。《金鉴》云∶篡者,横骨下,两股之前,相合共结之凹,
前后两阴之间。是篡当根据《甲乙经》及本书《骨空篇》作纂为合。《说文》篡似组而赤。盖两阴
之间,有一道缝处,其状如纂组,故谓之纂。日本医家丹波元简已有此说,似较篡夺之篡,于义为
长,特采入以备参考。又注此下所缺三字,平拟作“两阴前”三字。)别绕臀,至少阴与巨阳中
络者,合少阴上股内后廉,贯脊属肾,(从篡后复别两箱绕臀,行至足少阴与足太阳中络者,合于
少阴,行于股,复贯脊属肾也。)与太阳起于目内 ,(从肾与足太阳上行,起于目内 也。)上
额交颠上,入络脑,还出别下项,循肩 内,挟脊抵腰中,入循膂络肾而止。其男子循茎下至篡,
与女子等。(督脉与太阳两道上至目内 ,上额至颠相交已,入脑还出,别为两箱下项,复循左
右肩 之内,挟脊抵腰,循膂络于二肾方止,男女皆同也。旧来相传为督脉当脊中唯为一脉者,
不可为正也。平按∶颠《素问》、《甲乙经》作巅。 《甲乙经》作膊。《素问》无而止二字。
又按∶《八脉考》∶“督脉又别自脑下项,循肩胛,与手足太阳少阳会于大抒,第一椎下两旁去
脊中一寸五分陷中,内挟脊抵腰中,入循膂络肾。”足证本注别两箱循左右肩 之是,旧传只一
脉当脊中者非也。)其少腹直上者,贯齐中央,上贯心入喉,上颐环唇,上系两目之下中央。(督
脉起于少腹以下至额前者,从少腹至肾上行,还来至肾而止。此从少腹直上至两目之下也。贯齐
贯心入喉上颐皆为一道也,环唇以上复为二道,各当目下直瞳子,故曰中央也。平按∶少腹《甲乙
经》作小腹。齐中央《甲乙经》作脐中中央。两目之下中央《甲乙经》作两目之中。)此生病,
从少腹上冲心而痛,不得前后,为冲疝。(从少腹上
冲心痛。前后之脉为病,不得前后便,冲疝病也。)其女子不字, 痔遗溺嗌干,督脉生病,治
督脉。(不字,母子不产病也。 痔遗溺,脉从阴器上行至咽,故为此等病也。任脉波脉行处相
似,故须细别。督脉生病,疗之于督脉,勿疗任脉也。有本无痔字。平按∶不字《素问》、《甲乙
经》均作不孕。又按∶《素问》王注谓冲任督三脉异名同体。《甲乙经》注云∶《素问》言督脉,
似谓任冲,多闻阙疑,故并载以贻后之长者云。)
[Ping An]: This volume, from the beginning of the scroll to above the center below both eyes, was originally damaged and lost in the manuscript. I (Yang Shangshan) retrieved it from thirteen pages of the imperial damaged scrolls at the Ninna-ji Palace in Japan. By verifying with the "Gu Kong Lun" chapter of *Su Wen*, the "Gu Kong" chapter of this book, and the "Qi Jing Ba Mai" chapter of *Jia Yi Jing*, I supplemented the text after the character "Yang" in the scripture and Yang's commentary stating that the Du Meridian originates above the lower abdomen, thus restoring the missing parts. However, Yang's commentary in this chapter is too eroded to be supplemented, which is regrettable. I strictly preserved the truth by counting characters and leaving spaces according to the missing parts. From the character "Yang" in the scripture onwards, it can be seen in Volume 16, Chapter 60 "Gu Kong Lun" of *Su Wen*, as well as in Volume 2, Chapter 2 of *Jia Yi Jing* and the "Gu Kong" chapter of this book.
Qibo said: The Du Meridian (the Governor Vessel, governing all Yang meridians) originates from the central bone below the lower abdomen. In women, it enters and connects to the Ting Kong (opening for urine), which is the end of the urethral opening. (This meridian originates from the lower abdomen, follows the external genitalia, ascends to the inner canthus of the eye, then goes up to the forehead, crosses the vertex, enters the brain, emerges again, descends separately to the nape, runs along the spine, enters the paraspinal muscles, and connects with the Kidney. Then it branches from the Kidney, ascends, and returns to the Kidney. *Jiu Juan* branches from the Chumen gate, goes up the forehead along the vertex, down the nape and spine into [missing], connects with the external genitalia, enters the umbilicus, and ascends to the clavicular fossa. Comparing these two meridians, the reversal of the Du Meridian is obvious. Furthermore, checking ancient editions, this part seems to refer to the Ren Meridian, but there is confusion; thus, the Du [missing]... *Nan Jing* states: It originates from the Shu point of Xia Ji, ascends along the spine to Fengfu, gathering all Yang meridians. The meaning is also consistent. Ting Kong refers to the end hole of the urethra. Ping An notes: The character "Yu" in "originates from the lower abdomen" is absent in the "Gu Kong" chapter of this book. *Su Wen* has the character "Ye" after "Duan".) Its collateral network follows the external genitalia, meets at the Cu Jian (perineum), and circles behind the Cu Hou (posterior perineum). (The collateral network of the Du Meridian exits the Ting Kong, branches left and right, follows the external genitalia of men and women, meets at the Cu Jian, and circles behind the Cu Hou. "Cu" sounds like "Du", this [missing] behind. Ping An notes: "Cu" is written as "Zuan" in *Jia Yi Jing* and also as "Zuan" in the "Gu Kong" chapter of this book, pronounced "Du", meaning unclear. Checking annotations on "Gu Kong Lun": "Cu" means the intersection, referring to where the two excretory passages meet, between the anterior and posterior orifices. *Jin Jian* states: "Cu" is the concave point below the pubic bone, where the front of the two thighs meet and knot together, between the anterior and posterior orifices. Therefore, "Cu" should be written as "Zuan" meaning union, based on *Jia Yi Jing* and the "Gu Kong" chapter of this book. *Shuo Wen* describes "Zuan" as resembling a red silk braid. There is a seam between the two orifices, shaped like a braid, hence called "Zuan". Japanese physician Danbo Yuanjian already held this view, which seems more appropriate than "Cu" meaning usurpation, so I adopted it for reference. Also, I tentatively filled the three missing characters here as "Liang Yin Qian" [front of the two yins].) Branching off to circle the buttocks, it reaches the collaterals of the Shaoyin and Juyang (Taiyang) meridians, merges with the Shaoyin, ascends along the medial posterior aspect of the thigh, penetrates the spine, and attaches to the Kidney. (From behind the Cu Hou, it branches into two sides, circles the buttocks, reaches the collaterals of Foot Shaoyin and Foot Taiyang, merges with Shaoyin, travels along the thigh, penetrates the spine, and attaches to the Kidney.) It meets the Taiyang meridian originating at the inner canthus of the eye. (Ascending from the Kidney with Foot Taiyang, it originates at the inner canthus of the eye.) It goes up the forehead, crosses the vertex, enters and connects with the brain, emerges again, descends separately to the nape, follows the interior of the shoulder blades, runs alongside the spine to the middle of the waist, enters the paraspinal muscles, connects with the Kidney, and stops. In men, it follows the penis down to the Cu Jian, same as in women. (The Du Meridian and Taiyang both ascend to the inner canthus, cross at the vertex, enter the brain, emerge, branch into two sides descending to the nape, then follow the interior of the left and right shoulder blades, run alongside the spine to the waist, follow the paraspinal muscles, and connect with both Kidneys before stopping. This is the same for men and women. Traditionally, it was believed that the Du Meridian is only one vessel running exactly in the midline of the spine, which is incorrect. Ping An notes: "Dian" is written as "Dian" in *Su Wen* and *Jia Yi Jing*. *Jia Yi Jing* writes "Bo". *Su Wen* lacks the words "er zhi" [and stops]. Also, *Ba Mai Kao* states: "The Du Meridian also branches from the brain down to the nape, follows the scapula, meets Hand and Foot Taiyang and Shaoyang at Dazhu, located in the depression 1.5 cun lateral to the spine below the first thoracic vertebra, internally running alongside the spine to the middle of the waist, entering the paraspinal muscles to connect with the Kidney." This proves that the note describing branching into two sides following the left and right shoulder blades is correct, and the old tradition of it being a single midline vessel is wrong.) The part rising straight from the lower abdomen passes through the center of the Qi (Umbilicus), ascends through the Heart, enters the throat, goes up to the chin, circles the lips, and connects to the center below both eyes. (The Du Meridian originates from below the lower abdomen up to the forehead; ascending from the lower abdomen to the Kidney, it returns to the Kidney and stops. This part rises straight from the lower abdomen to below both eyes. Passing through Qi, penetrating the Heart, entering the throat, and going up to the chin are all one path. Above the circling of the lips, it becomes two paths again, each directly below the pupils, hence called "Center". Ping An notes: "Shaofu" is written as "Xiaofu" in *Jia Yi Jing*. "Qi Zhongyang" is written as "Qizhong Zhongyang" in *Jia Yi Jing*. "Liangmu zhi xia zhongyang" is written as "Liangmu zhi zhong" in *Jia Yi Jing*.) Diseases arising from this include pain rushing up from the lower abdomen to the heart, inability to pass stool and urine, known as Chong Hernia. (Pain rushing up from the lower abdomen to the heart. Disease of the meridians controlling anterior and posterior orifices, inability to pass stool and urine, is the Chong Hernia disease.) In women, it causes infertility, strangury, hemorrhoids, enuresis, and dryness of the pharynx. When the Du Meridian is diseased, treat the Du Meridian. (Infertility refers to the inability of mother and child to be born. Strangury, hemorrhoids, and enuresis occur because the meridian ascends from the external genitalia to the throat, causing these diseases. The paths of the Ren Meridian and Bo Mai are similar, so they must be distinguished carefully. When the Du Meridian is diseased, treat the Du Meridian, do not treat the Ren Meridian. Some editions lack the character "Zhi". Ping An notes: "Bu Zi" is written as "Bu Yun" [infertility] in both *Su Wen* and *Jia Yi Jing*. Also, Wang's annotation in *Su Wen* states that the Chong, Ren, and Du meridians have different names but the same body. The annotation in *Jia Yi Jing* says: What *Su Wen* calls the Du Meridian seems to refer to the Ren and Chong. Having heard much but remaining uncertain, I recorded them together for future scholars.)