平按∶此篇自篇首至其不当数者为络,见《灵枢》卷四第十七《脉度》篇,又见《甲乙经》
卷二第二。自阴乔阳乔至则瞑目,见《灵枢》卷五第二十一《寒热病》篇,又见本书二十六卷《寒
热杂说》,又见《甲乙经》卷十二第四。自邪客于足阳乔至末,见《素问》卷十八第六十三《缪
刺论》篇,又见《甲乙经》卷五第三。
黄帝问曰∶乔脉安起安止?何气营此?(乔亦作跷,禁娇反,皆疾健儿。人行健疾,此脉所
能,故因名也。乔,高也。此脉从足而出,以上于头,故曰乔脉。问其终始之处,及问此脉何藏
之气也。平按∶乔《灵枢》、《甲乙经》均作跷。营此《灵枢》作荣水,《甲乙经》作营也。)岐
伯对曰∶乔脉者,少阴之别,起于然骨之后,上内踝之上,(《九卷经》云∶乔脉从足至目,各
长七尺五寸,总二乔当一丈五尺。则知阴阳二乔俱起于
跟,皆至目内 。别少阴于然骨之后,行于跟中,至于照海,上行至目内 者,名为阴乔;起于
跟中,至于申脉,上行至目内 者,名曰阳乔。故《八十一难》曰∶阴阳二乔皆起跟中上行。阴
乔至咽,交灌冲脉;阳乔入于风池。皆起跟中上行,是同入目内 ,至咽中与冲脉交,此犹言二
脉行处,不言二脉终处,二脉上行终于目内 以为极也。然骨之后,即跟中也。《九卷》与《八
十一难》左右并具,两乔丈尺,义皆同也。□□□□□□是足少阴别脉也,然骨跟中□下少前大
起骨也。平按∶注皆起跟中,跟字袁刻误作限。又注是足少阴上所缺六字,平拟作然骨之后跟中六
字。又跟中下所缺一字,平据《甲乙经》拟作陷,袁刻作之。)直上循阴股入阴,上循胸里入缺盆,
上出人迎之前,入鼽属目内 ,合于太阳阳乔而上行。(入阴者,阴乔脉入阴器也,此是足少阴
之别,名为阴乔,入缺盆上行。阳乔从风池、脑空,至口边会地仓、承泣,与阴乔于目锐 相交
已,别出入鼽,至目内 ,阴乔与太阳、阳乔三脉合而上行之也。平按∶上出人迎《甲乙经》作
上循人迎。入鼽《甲乙经》作上入鼽,《灵枢》作入 ,正统本《甲乙》亦作入 。)气并相还,
则为濡目;气不营,则目不合。(阴阳二气相并相还,阴盛故目中泪出濡湿也。若二气不相营者,
是则不和,阳盛故目不合也。平按∶气并《甲乙经》作气相并。营《灵枢》作荣,下同。)黄帝
问曰∶气独行五脏,不营六腑,何也?(帝问阴脏,少阴别者阴乔脉所营,谓阳气不营六腑,故
致斯问也。)岐伯曰∶气之不得毋行也,(阴阳二气,相注如环,故不得毋行也。)如水之流,
如日月之行不休,故阴脉营其脏,阳脉营其腑,如环之无端,莫知其纪,终而复始。(水之东流,
回环天地,故行不休也。日月起于星纪,终而复始,故行不止也。三阴之脉,营脏注阳,三阳之脉,
营府注阴,阴阳相注如环,比水之流,日月之行,终而复始,莫知
其纪也。平按∶注日月起于星纪,日月二字原不全,根据经文当是日月二字。)其流溢之气,内溉
脏腑,外濡腠理。(此谓二乔之气。)黄帝问曰∶乔脉阴阳,何者当数?(平按∶《灵枢》、《甲
乙经》阴阳作有阴阳,当数作当其数。)岐伯答曰∶男子数其阳,女子数其阴,当数者为经,其
不当数者为络。黄帝曰∶善。(男子以阳乔为经,以阴乔为络;女子以阴乔为经,以阳乔为络也。
平按∶当数者上《甲乙经》重其阴二字。)
阴乔阳乔,阴阳相交,阳入阴出,阴阳交于兑 ,阳气盛则 目,阴气盛则瞑目。(二乔交于目内 ,阳乔之气从外
入内,阴乔之气从内出外。阳乔脉盛,目 不合;阴乔脉盛,则目瞑不开矣。平按∶兑 《灵枢》作目锐 。)
邪客于足阳乔,令人目痛,从内 始。(二乔交于目锐 □,俱至目内 ,故邪客痛从是内
起也。平按∶注锐 下所缺一字,据上注阳乔与阴乔于目锐 相交已,应作已字。从是内 起,
是字恐系目字传写之误。)
[Ping An]: This section, from the beginning of the chapter to "those not counted as primary are collaterals," is found in *Ling Shu* (Spiritual Pivot), Volume 4, Chapter 17 "Mai Du" (Length of Vessels), and also in *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion), Volume 2, Section 2. The section from "Yin Qiao and Yang Qiao" to "then the eyes close," is found in *Ling Shu*, Volume 5, Chapter 21 "Han Re Bing" (Cold-Heat Diseases), also in this book (*Huang Di Nei Jing Tai Su*) Volume 26 "Han Re Za Shuo" (Miscellaneous Sayings on Cold and Heat), and also in *Jia Yi Jing*, Volume 12, Section 4. From "Evil Qi invades the Foot Yang Qiao" to the end, it is found in *Su Wen* (Basic Questions), Volume 18, Chapter 63 "Miao Ci Lun" (Discussion on Miraculous Puncture), and also in *Jia Yi Jing*, Volume 5, Section 3.
The Yellow Emperor asked: Where do the Qiao vessels originate and where do they terminate? What Qi governs these vessels? (Qiao is also written as Qiao; pronunciation is Jin Jiao fan, meaning agile and vigorous runners. Human movement is swift and vigorous due to the function of these vessels, hence the name. Qiao means high. These vessels originate from the feet and ascend to the head, thus called Qiao vessels. This asks for their starting and ending points, and which Zang organ's Qi governs them. Ping An: In *Ling Shu* and *Jia Yi Jing*, Qiao is written as Qiao. 'Governs this' is written as 'Rong Shui' in *Ling Shu* and 'Ying Ye' in *Jia Yi Jing*.)
Qi Bo replied: The Qiao vessels are branches of the Foot Shaoyin Kidney Meridian. They originate behind Ran Gu (the navicular tuberosity), ascend above the medial malleolus. (*Jiu Juan Jing*, i.e., *Ling Shu*, states: Each Qiao vessel extends seven chi five cun from foot to eye; together, Yin and Yang Qiao measure one zhang five chi. Thus, both Yin and Yang Qiao originate at the heel and reach the inner canthus. Branching from Foot Shaoyin behind Ran Gu, running through the heel to Zhaohai (KI6), and ascending to the inner canthus is named Yin Qiao; originating from the heel, reaching Shenmai (BL62), and ascending to the inner canthus is named Yang Qiao. Therefore, *Nan Jing* Chapter 81 states: Both Yin and Yang Qiao originate from the heel and ascend. Yin Qiao reaches the throat and intersects with the Chong Mai (Penetrating Vessel); Yang Qiao enters Fengchi (GB20). Both originate from the heel and ascend, entering the inner canthus, intersecting with the Chong Mai at the throat. This describes their course but not their termination; their ascent terminates at the inner canthus as the extreme point. Behind Ran Gu refers to the heel. Both *Jiu Juan* and *Nan Jing* record left and right sides, and the measurements are consistent. [Text missing] is the branch of Foot Shaoyin. Behind Ran Gu, [missing character] below the front-large raised bone of the heel. Ping An: In the note 'originate at the heel', Yuan edition mistakenly prints 'Xian' instead of 'Gen'. Also, six characters missing before 'is Foot Shaoyin' are conjectured by me as 'behind Ran Gu, in the heel'. The missing character after 'heel' is conjectured based on *Jia Yi Jing* as 'Xian' (depression), while Yuan edition prints 'Zhi'.)
They go straight up along the medial thigh, enter the genital region, ascend along the interior of the chest into the Supraclavicular Fossa (Que Pen), emerge anterior to Renying (ST9), enter the nasal cavity, connect to the inner canthus, and merge with the Taiyang Bladder Meridian and Yang Qiao to ascend. (Entering the genital region refers to Yin Qiao entering the external genitalia; this is a branch of Foot Shaoyin, named Yin Qiao, ascending into Que Pen. Yang Qiao travels from Fengchi (GB20) and Naokong (GB13) to the corner of the mouth, meeting Dicang (ST4) and Chengqi (ST1), and after intersecting with Yin Qiao at the outer canthus, they separately enter the nasal cavity, reach the inner canthus, where Yin Qiao merges with Taiyang and Yang Qiao to ascend. Ping An: 'Emerge anterior to Renying' in *Jia Yi Jing* is 'follow Renying'. 'Enter nasal cavity' in *Jia Yi Jing* is 'ascend into nasal cavity'; in *Ling Shu* it is 'enter Bi' (lacrimal sac area); orthodox *Jia Yi Jing* also writes 'Bi'.)
When Qi moves together and returns, it moistens the eyes; if Qi does not nourish, the eyes cannot close. (Yin and Yang Qi move together and return; excess Yin causes tears to moisten the eyes. If the two Qi do not nourish each other, there is disharmony; excess Yang causes the eyes to remain open. Ping An: 'Qi bing' in *Jia Yi Jing* is 'Qi xiang bing'. 'Ying' in *Ling Shu* is 'Rong', same below.)
The Yellow Emperor asked: Why does Qi circulate only through the Five Zang organs and not nourish the Six Fu organs? (The Emperor asks about Yin Zang. Since the branch of Shaoyin is Yin Qiao, which nourishes Yin, implying Yang Qi does not nourish the Fu organs, hence the question.)
Qi Bo said: Qi cannot fail to circulate. (Yin and Yang Qi pour into each other like a circle, so they cannot fail to circulate.) It flows like water, moves ceaselessly like the sun and moon. Thus, Yin vessels nourish the Zang, and Yang vessels nourish the Fu. Like a circle without beginning or end, its origin is unknown, ending and restarting. (Water flows east, circling heaven and earth, thus moving ceaselessly. Sun and moon start from Xing Ji and restart, thus moving endlessly. Three Yin vessels nourish Zang and inject into Yang; Three Yang vessels nourish Fu and inject into Yin. Yin and Yang inject into each other like a circle, compared to flowing water and moving sun/moon, ending and restarting, unknowable in sequence. Ping An: In the note 'Sun and Moon start from Xing Ji', the characters 'Sun and Moon' were incomplete originally; based on the text, they should be 'Sun and Moon'.) The overflowing Qi irrigates the Zang and Fu internally and moistens the Cou Li (skin and pores) externally. (This refers to the Qi of the two Qiao vessels.)
The Yellow Emperor asked: Regarding Yin and Yang Qiao, which should be counted (as the primary meridian)? (Ping An: In *Ling Shu* and *Jia Yi Jing*, 'Yin Yang' is 'You Yin Yang', and 'Dang Shu' is 'Dang Qi Shu'.)
Qi Bo answered: For men, count Yang; for women, count Yin. That which is counted is the Jing (Primary) vessel; that which is not counted is the Luo (Collateral) vessel.
The Yellow Emperor said: Excellent. (For men, Yang Qiao is Jing and Yin Qiao is Luo; for women, Yin Qiao is Jing and Yang Qiao is Luo. Ping An: Above 'That which is counted', *Jia Yi Jing* repeats 'Its Yin'.)
Yin Qiao and Yang Qiao intersect; Yang enters and Yin exits. At the outer canthus (Dui Kong), Yin and Yang intersect. When Yang Qi is excessive, the eyes open; when Yin Qi is excessive, the eyes close. (The two Qiao intersect at the inner canthus; Yang Qiao Qi enters from outside to inside, Yin Qiao Qi exits from inside to outside. Excess Yang Qiao makes the eyes unable to close; excess Yin Qiao causes the eyes to remain closed. Ping An: Dui Kong in *Ling Shu* is 'Mu Rui Kong' (outer canthus).)
Evil Qi invading the Foot Yang Qiao causes eye pain, starting from the inner canthus. (The two Qiao intersect at the outer canthus and both reach the inner canthus; thus, pain from evil invasion originates from this internal point. Ping An: The missing character after 'Rui Kong' in the note, based on the previous note 'Yang Qiao and Yin Qiao intersect at Mu Rui Kong already', should be 'Yi' (already). 'Starting from Shi Nei Bi Qi', 'Shi' is likely a transcription error for 'Mu' (eye).)