心包原络应刺病,面红目赤笑不休,心中动热掌中热,胸腋臂手痛中求。
【注】[1]心包里之原穴大陵,三焦表之络穴外关,二穴应刺之证即:
面红目赤,好笑不休,心中动悸,内热,手心热,胸腋与臂手疼痛,
皆心包络、三焦经病也(图十一)。
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胆经原络应刺病,口苦胸胁痛不宁,髀膝外踝诸节痛,太息马刀侠瘤瘿。
【注】[1]胆经表之原穴丘墟,肝经里之络穴蠡沟,二穴应刺之证即:
口苦,胸、胁、脾、膝、外踝诸节疼痛,太息,马刀瘿瘤,
皆胆、肝经病也(见图十二)
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肝经原络应刺病,头痛颊肿胁疝疼,妇人少腹胞中痛,便难溲淋怒色青。
【注】[1]肝经里之原穴太冲,胆经表之络穴光明,二穴应刺之证即:
头痛,颊肿,胁疝疼痛,妇人少腹胞疼痛,大便难,小便淋,
好怒色青,皆肝、胆经病也(图十三)。
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公孙冲脉胃心胸,内关阴维下总同,临泣胆经连带脉,阳维目锐外关逢,
后溪督脉内眦颈,申脉阳跷络亦通,列缺任脉行肺系,阴跷照海膈喉咙。
【注】[1]公孙二穴,是足太阴脾经穴也,通于冲脉;
内关二穴,此二穴是手厥阴心包络穴也。
四穴通于阴维脉。
四经会合循行之处,在胃心胸之间,故主治胃与心、胸之病也。
[2]临泣二穴,是足少阳胆经穴也,通于带脉;
外关二穴,此二穴是手少阴三焦经穴也。
四穴通于阳维脉。
四经会合联系之处,在于目锐眦、耳后、颊、颈、肩之时,
故主治目锐眦、耳后、颊、颈、肩之病也。
[3]后溪二穴,是手太阳小肠经穴也,通于督脉;
申脉二穴,此二穴是足太阳膀胱经穴也。
四穴通于阳跷脉。
四经会合别络之处,
在于目内眦、颈、项、耳、肩、膊、小肠、膀胱之间,
故主治目内眦、颈、项、耳、肩、膊、小肠、膀胱之病也。
[4]列缺二穴,是手太阴肺经穴也,通于任脉;
照海二穴,此二穴是足少阴肾经穴也,四穴通于阴跷脉。
四经会合系络之处,在于肺系、咽喉、胸膈之间,
故主治肺系、咽喉、胸膈之病也。
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心包络经的原穴与络穴应当用于治疗相关病证,症状表现为面色红赤、眼睛发红、笑声不止,心中烦热、手掌发热,胸部、腋下、手臂及手部疼痛应在这些部位寻找治疗点。
【注】[1] 心包络经的原穴是大陵穴,三焦经作为表里关系的络穴是外关穴,这两个穴位所对应的适应病症包括:
面色红赤,眼睛发红,喜欢笑个不停,心中悸动,体内发热,手心发热,胸部、腋下以及手臂和手部的疼痛,
这些都是心包络经和三焦经的病变(见图十一)。
胆经的原穴与络穴应当用于治疗相关病证,症状表现为口苦、胸胁部疼痛不安宁,大腿、膝盖、外踝及各关节疼痛,频繁叹气,以及出现马刀瘿瘤等病症。
【注】[1] 胆经作为表经的原穴是丘墟穴,肝经作为里经的络穴是蠡沟穴,这两个穴位所对应的适应病症包括:
口苦,胸部、胁部、腹部、膝部、外踝等各关节疼痛,频繁叹气,马刀瘿瘤,
都是胆经和肝经的病变(见图十二)。
肝经的原穴与络穴应当用于治疗相关病证,症状表现为头痛、脸颊肿胀、胁肋部和疝气疼痛,妇女少腹和子宫疼痛,大便困难、小便淋沥不尽,易怒且面色发青。
【注】[1] 肝经作为里经的原穴是太冲穴,胆经作为表经的络穴是光明穴,这两个穴位所对应的适应病症包括:
头痛,脸颊肿胀,胁肋部和疝气疼痛,妇女少腹和子宫疼痛,大便困难,小便淋沥,
易怒且面色发青,都是肝经和胆经的病变(图十三)。
公孙穴通于冲脉,主治胃、心、胸部的疾病;内关穴通于阴维脉,二者在下部总司相同的功能;
临泣穴通于胆经并连带带脉;阳维脉的病证在目锐眦处可找到外关穴对应;
后溪穴通于督脉,关联目内眦和颈部;申脉穴通于阳跷脉,其络脉也相通;
列缺穴通于任脉,行于肺系;阴跷脉的病证在照海穴可治膈部和喉咙的疾病。
【注】[1] 公孙这两穴,属于足太阴脾经的穴位,通于冲脉;
内关这两穴,属于手厥阴心包络经的穴位。
这四穴通于阴维脉。
这四条经脉会合循行的部位,在胃、心、胸之间,所以主治胃与心、胸部的疾病。
[2] 临泣这两穴,属于足少阳胆经的穴位,通于带脉;
外关这两穴,属于手少阳三焦经的穴位。
这四穴通于阳维脉。
这四条经脉会合联系的部位,在于目锐眦、耳后、颊部、颈部、肩部之时,
所以主治目锐眦、耳后、颊部、颈部、肩部的疾病。
[3] 后溪这两穴,属于手太阳小肠经的穴位,通于督脉;
申脉这两穴,属于足太阳膀胱经的穴位。
这四穴通于阳跷脉。
这四条经脉会合别络的部位,
在于目内眦、颈部、项部、耳朵、肩部、上臂、小肠、膀胱之间,
所以主治目内眦、颈部、项部、耳朵、肩部、上臂、小肠、膀胱的疾病。
[4] 列缺这两穴,属于手太阴肺经的穴位,通于任脉;
照海这两穴,属于足少阴肾经的穴位,这四穴通于阴跷脉。
这四条经脉会合系络的部位,在于肺系、咽喉、胸膈之间,
所以主治肺系、咽喉、胸膈的疾病。
The Yuan-Source and Luo-Connecting points of the Pericardium Meridian should be needled for corresponding diseases, presenting with symptoms such as a red face, red eyes, incessant laughter, heat sensation in the chest and heart, heat in the palms, and pain in the chest, axilla, arm, and hand; treatment points should be sought in these painful areas.
[Note] [1] The Yuan-Source point of the Pericardium Meridian is Daling (PC7), and the Luo-Connecting point of its exteriorly-interiorly related Sanjiao Meridian is Waiguan (TE5). The indications for needling these two points include:
Red face, red eyes, excessive laughing, palpitations, internal heat, heat in the palms, pain in the chest, axilla, arm, and hand.
These are all diseases of the Pericardium and Sanjiao meridians (Figure 11).
The Yuan-Source and Luo-Connecting points of the Gallbladder Meridian should be needled for corresponding diseases, presenting with symptoms such as bitter taste in the mouth, restlessness due to pain in the chest and hypochondrium, pain in the thigh, knee, lateral malleolus, and various joints, frequent sighing, and conditions such as scrofula (Hedao) and goiter (Xiying).
[Note] [1] The Yuan-Source point of the Gallbladder Meridian (as the exterior meridian) is Qiuxu (GB40), and the Luo-Connecting point of its interiorly-related Liver Meridian is Ligou (LR5). The indications for needling these two points include:
Bitter taste, pain in the chest, hypochondrium, abdomen, knee, lateral malleolus, and various joints, frequent sighing, scrofula and goiter.
These are all diseases of the Gallbladder and Liver meridians (see Figure 12).
The Yuan-Source and Luo-Connecting points of the Liver Meridian should be needled for corresponding diseases, presenting with symptoms such as headache, swelling of the cheeks, pain in the hypochondrium and hernia, pain in the lower abdomen and uterus in women, difficulty in defecation, dysuria, irritability, and a bluish complexion.
[Note] [1] The Yuan-Source point of the Liver Meridian (as the interior meridian) is Taichong (LR3), and the Luo-Connecting point of its exteriorly-related Gallbladder Meridian is Guangming (GB37). The indications for needling these two points include:
Headache, cheek swelling, pain in the hypochondrium and hernia, pain in the lower abdomen and uterus in women, difficulty in defecation, dysuria,
irritability and bluish complexion. These are all diseases of the Liver and Gallbladder meridians (Figure 13).
Gongsun (SP4) connects with the Chong Mai (Penetrating Vessel) and treats diseases of the stomach, heart, and chest; Neiguan (PC6) connects with the Yin Wei Mai (Yin Linking Vessel), and both share common functions below.
Linqi (GB41) connects with the Gallbladder Meridian and extends to the Dai Mai (Belt Vessel); Yang Wei Mai (Yang Linking Vessel) disorders meet at Waiguan (TE5) near the outer canthus.
Houxi (SI3) connects with the Du Mai (Governor Vessel) and relates to the inner canthus and neck; Shenmai (BL62) connects with the Yang Qiao Mai (Yang Heel Vessel), and their collaterals also interconnect.
Lieque (LU7) connects with the Ren Mai (Conception Vessel) and runs through the lung system; Zhaohai (KI6) treats disorders of the Di Mai (Yin Heel Vessel) affecting the diaphragm and throat.
[Note] [1] Gongsun (SP4) belongs to the Foot-Taiyin Spleen Meridian and connects with the Chong Mai (Penetrating Vessel);
Neiguan (PC6) belongs to the Hand-Jueyin Pericardium Meridian.
These four points connect with the Yin Wei Mai (Yin Linking Vessel).
The convergence and circulation of these four meridians occur in the region of the stomach, heart, and chest; therefore, they treat diseases of the stomach, heart, and chest.
[2] Linqi (GB41) belongs to the Foot-Shaoyang Gallbladder Meridian and connects with the Dai Mai (Belt Vessel);
Waiguan (TE5) belongs to the Hand-Shaoyang Sanjiao Meridian.
These four points connect with the Yang Wei Mai (Yang Linking Vessel).
The convergence and connection of these four meridians occur at the outer canthus, behind the ear, cheek, neck, and shoulder;
therefore, they treat diseases of the outer canthus, behind the ear, cheek, neck, and shoulder.
[3] Houxi (SI3) belongs to the Hand-Taiyang Small Intestine Meridian and connects with the Du Mai (Governor Vessel);
Shenmai (BL62) belongs to the Foot-Taiyang Bladder Meridian.
These four points connect with the Yang Qiao Mai (Yang Heel Vessel).
The convergence and collateral connections of these four meridians occur
at the inner canthus, neck, nape, ears, shoulders, upper arms, small intestine, and bladder;
therefore, they treat diseases of the inner canthus, neck, nape, ears, shoulders, upper arms, small intestine, and bladder.
[4] Lieque (LU7) belongs to the Hand-Taiyin Lung Meridian and connects with the Ren Mai (Conception Vessel);
Zhaohai (KI6) belongs to the Foot-Shaoyin Kidney Meridian. These four points connect with the Yin Qiao Mai (Yin Heel Vessel).
The convergence and collateral connections of these four meridians occur in the lung system, pharynx, and thoracic diaphragm;
therefore, they treat diseases of the lung system, pharynx, and thoracic diaphragm.