条文:
『素问·骨空论』曰:冲脉者,起于气街,并于少阴之经,侠脐上行,
至胸中而散(图七十八)。
『灵枢·卫气篇』曰:请言气街。胸气有街,腹气有街,胫气有街。
故气在头者,止之于脑;
气在胸者,止之膺与背俞;
气在腹者,止之背俞。与冲脉在脐之左右之动脉者,
气在胫者,止之于气街,与承山踝上。
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条文:
冲脉起于腹气街,后天宗气气冲来,并于先天之真气,相并侠脐上胸街,
大气至胸中而散,会合督任充身怀,分布脏腑诸经络,名之曰海不为乖。
注:[1]冲脉者,起于气街,是起于腹气之街也。
[2]名曰气街者,是谓气所行之街也。
[3]一身之大气,积于胸中者,有先天之真气,是所受者,
即人之肾间动气也;有后天之宗气,是水谷所化者,即人之胃气也。
[4]此所谓起于腹气之街者,是起胃中榖起也;并于少阴者,
是并于肾间动气也,其真气与谷气相并,侠脐上行,至胸中而散,
是谓大气至胸中,分布五脏六腑诸经,而充身者也。
[5]『灵枢·顺逆肥瘦篇』曰:冲脉者五脏六腑之海也,
五脏六腑皆禀气焉。
[6]『灵枢·动俞篇』又曰:冲脉者十二经之海,与少阴之大络,
起于肾下,出于气街也。
[7]『灵枢·五音五味篇』又曰:冲脉任脉皆起于胞中者,
即此之起于肾下之谓也,而谓起于肾下者,即并于少阴之经,
肾间动气上行也。
[8]『素问·骨空论』曰:冲脉起于气冲者,即此出气街之谓也。
[9]不曰起而曰出者,谓谷气由阳明胃经出,而会于气街也。
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《素问·骨空论》说:冲脉,起始于气街穴,与足少阴肾经并行,夹着肚脐向上运行,到达胸中后散开(见图七十八)。
《灵枢·卫气篇》说:请允许我谈谈气街。胸部的正气有气街,腹部的正气有气街,小腿的正气也有气街。
所以,正气在头部的,止聚于脑部;
正气在胸部的,止聚于胸部前侧(膺)和背部俞穴;
正气在腹部的,止聚于背部俞穴,以及冲脉在肚脐左右两侧的动脉处;
正气在小腿的,止聚于气街穴,以及承山穴和脚踝上方。
条文:
冲脉起始于腹部的“气街”,后天形成的宗气从“气冲”穴而来,与先天形成的真气相结合,并行夹着肚脐上行至胸部的“气街”,
大气到达胸中后散开,会合督脉和任脉以充盈全身,分布到脏腑和各条经络,称之为“海”并不违背医理。
注释:[1] 所谓“冲脉起始于气街”,是指起始于腹部的气街部位。
[2] 称为“气街”,是指这是正气通行的街道/路径。
[3] 一身的大气,积聚在胸中的,包括先天的真气,这是禀受于父母的,即人的肾间动气;还有后天的宗气,这是由水谷精微化生的,即人的胃气。
[4] 这里所说的“起始于腹部的气街”,是指出发于胃中的水谷之气;而“并与足少阴经并行”,是指并入了肾间的动气,真气与水谷之气相合并,夹着肚脐向上运行,到达胸中后散开,这就是说大气到达胸中,分布到五脏六腑各条经脉,从而充盈全身。
[5] 《灵枢·顺逆肥瘦篇》说:冲脉是五脏六腑之海,
五脏六腑都禀受其气。
[6] 《灵枢·动俞篇》又说:冲脉是十二经之海,与足少阴肾经的大络,
起始于肾脏下方,出于气街穴。
[7] 《灵枢·五音五味篇》又说:冲脉和任脉都起始于胞宫,
就是这里所说的起始于肾脏下方的意思,而说起始于肾脏下方,就是指并入足少阴经,
肾间动气向上运行的过程。
[8] 《素问·骨空论》说:冲脉起始于气冲穴,就是这里说出自气街的意思。
[9] 不说“起始”而说“出于”,是指水谷之气由足阳明胃经出来,而汇聚于气街穴。
The *Suwen: Gu Kong Lun* states: The Chong Mai (Penetrating Vessel) originates at Qichuan (ST30), runs parallel to the Foot-Shaoyin Kidney Meridian, flanks the navel and ascends, dispersing within the chest (see Figure 78).
The *Lingshu: Wei Qi Pian* states: Let me speak of the Qi Streets. There is a Qi Street in the chest, a Qi Street in the abdomen, and a Qi Street in the lower legs.
Therefore, when Qi is in the head, it terminates in the brain;
When Qi is in the chest, it terminates in the anterior chest (Ying) and the Back-Shu points on the back;
When Qi is in the abdomen, it terminates in the Back-Shu points on the back, and in the pulsating arteries on either side of the navel belonging to the Chong Mai;
When Qi is in the lower legs, it terminates at Qichuan (ST30), Chengshan (BL57), and above the ankle.
Text:
The Chong Mai originates from the abdominal Qi Street. The acquired Zong Qi (Pectoral Qi) comes from the Qichong point (ST30), merging with the innate True Qi. They run together, flanking the navel and ascending to the chest's Qi Street. The Great Qi disperses upon reaching the chest, uniting with the Du Mai (Governing Vessel) and Ren Mai (Conception Vessel) to fill the body, distributing to the Zang-Fu organs and all meridians. It is named the "Sea" without contradiction.
Annotations: [1] When it says "the Chong Mai originates at the Qi Street," it refers to originating at the Qi Street of the abdomen.
[2] It is called the "Qi Street" because it is the pathway through which Qi travels.
[3] The Great Qi of the whole body, accumulated in the chest, consists of the innate True Qi, which is received from one's parents, namely the Moving Qi between the kidneys; and the acquired Zong Qi (Pectoral Qi), which is transformed from water and grain, namely the Stomach Qi.
[4] What is meant by "originating from the abdominal Qi Street" is that it starts from the Grain Qi in the stomach; and "running parallel to the Shaoyin" means merging with the Moving Qi between the kidneys. The True Qi merges with the Grain Qi, flanks the navel and ascends, dispersing upon reaching the chest. This means the Great Qi reaches the chest, distributes to the meridians of the five Zang and six Fu organs, thereby filling the body.
[5] The *Lingshu: Shun Ni Fei Shou Pian* states: The Chong Mai is the Sea of the Five Zang and Six Fu organs,
as all five Zang and six Fu organs receive its Qi.
[6] The *Lingshu: Dong Yu Pian* further states: The Chong Mai is the Sea of the Twelve Meridians, connected with the large collateral of the Foot-Shaoyin,
originating below the kidney and emerging from the Qichuan point (ST30).
[7] The *Lingshu: Wu Yin Wu Wei Pian* further states: Both the Chong Mai and Ren Mai originate in the Bao Zhong (Uterus/Blood Chamber),
which refers to what is said here as originating below the kidney. To say it originates below the kidney means it runs parallel to the Foot-Shaoyin Meridian,
with the Moving Qi between the kidneys ascending.
[8] The *Suwen: Gu Kong Lun* states: The Chong Mai originates at Qichong (ST30), which refers to emerging from the Qi Street mentioned here.
[9] It does not say "originates" but "emerges from," indicating that Grain Qi emerges from the Foot-Yangming Stomach Meridian and converges at the Qi Street.