十二经脉之终,(十二经脉,即十二脏之气也。终者,气尽之谓。)太阳脉之终也,戴眼、反折、
螈,其色白,绝汗乃出,出则死矣。(戴者,戴于上也,谓目睛仰视而不能转也。反折,腰脊反张
也。螈者,筋之急也。 者,筋之缓也。绝汗者,暴出如油,不能收也。足太阳之脉,起于目内 ,上额
交巅,入络脑,下项挟脊,抵腰中,下至足之小趾。手太阳之脉,起于小指之端,循臂上肩,其支者,循
颈上颊。至目之外 ,故其为病如此。然太阳为三阳之表,故主色白。汗出,其色白绝皮,乃绝汗,绝汗
则终矣。亦主表之谓。螈,音炽。 ,音纵。)少阳终者,耳聋,百节皆纵,目HT 绝系,绝系一日半死,
其死也色先青,白乃死矣。(手足少阳之脉,皆入于耳中,亦皆至于目锐 ,故为耳聋、目HT 也。HT 者,直
视如惊貌,因少阳之系绝,不能旋转,故至此也。胆者筋其应,少阳气绝,故百节皆纵也。木之色青,金之
色白,金木相贼,则青白先见。此少阳之死候也。HT ,音琼。)阳明终者,口目动作,善惊,妄言,色黄,
上下经盛,不仁,则终矣。(手足阳明之脉,皆挟口入目,故为口目动作而牵引歪斜也。闻木音则惕然
而惊,是阳明善惊也。詈骂不避亲疏,是阳明妄言也。黄者,土色外见也。上下经盛,谓头颈手足阳明之脉,
皆躁动而盛,是胃气之败也。不知疼痛,谓之不仁,是肌肉之败也。此皆阳明气竭之候。)少阴终者,面
黑,齿长而垢,腹胀闭,上下不通而终矣。(手少阴气绝则血败,足少阴气绝则色如 ,故面黑也。肾主
骨,肾败则骨败,故齿根不固,长而垢也。手少阴之脉,下膈络小肠,足少阴之脉,络膀胱,贯肝膈,故为
腹胀闭,上下不通,则心肾隔绝,此少阴之终也。)太阴终者,腹胀闭,不得息,善噫善呕,呕则逆,逆
则面赤,不逆则上下不通,不通则面黑,皮毛焦而终矣。(足太阴脉,入腹属脾,故为腹胀闭;手太阴脉,
上膈属肺,而主呼吸,故为不得息。胀闭则升降难,不得息则气道滞,故为噫为呕,呕则气逆于上,
故为面赤;不逆则痞塞于
中,故为上下不通。脾气败则无以制水,故黑色见于面;肺气败则治节不行,故皮毛焦而终矣。)厥阴
终者,中热,嗌干,善溺,心烦,甚则舌卷、卵上缩而终矣。(手厥阴心主之脉,起于胸中,出属心包络,
下膈历络三焦,足厥阴肝脉,循喉咙之后,上入颃颡,其下者,循股阴,入毛中,过阴器,故为中热、嗌
干、善溺、心烦等病,又舌者,心之官也,肝者,筋之合也,筋者聚于阴器而脉络于舌木,故甚则舌卷卵缩,
而厥阴之气终矣。)此十二经之所败也。(手足六经,各分表里,是十二经也。)
十二经脉的终绝,(十二经脉,即对应十二脏腑之气。所谓“终”,是指气数耗尽的意思。)太阳经气的终绝,表现为眼睛上视不能转动、身体角弓反张、抽搐与弛缓交替,面色苍白,绝汗流出,一旦出汗就会死亡。(“戴”是指向上,指眼球仰视而不能转动。“反折”是指腰脊向后反张呈弓形。“螈”是指筋脉拘急痉挛。“纵”是指筋脉松弛无力。“绝汗”是指大汗淋漓如油状,无法收敛。足太阳膀胱经,起于目内眦,上行至额部,交会于头顶,入络于脑,下行项后夹脊柱,抵达腰部,向下至足小趾。手太阳小肠经,起于手小指末端,沿手臂上行至肩,其分支沿颈部上达面颊,至目外眦,所以它的病证会出现上述症状。然而太阳为三阳之表,所以主色白。汗出透皮而出,称为绝汗,绝汗出现则生命终结。这也体现了“表”的含义。“螈”,读音chì;“纵”,读音zòng。)少阳经气的终绝,表现为耳聋,全身关节松弛无力,目光直视如惊呆状,目系断绝,目系断绝后一天半死亡,死前面色先现青色,然后面白而死。(手足少阳三焦经和小肠经,都进入耳中,也都到达目锐眦,所以会出现耳聋、目光直视的症状。“HT”(此处原文缺字,据上下文及音注应为“瞿”或类似字,指直视貌),是指目光直竖像受惊的样子,因为少阳的经络之气断绝,眼球不能旋转,所以达到这种地步。胆属木,主筋,少阳气绝,所以全身关节都松弛无力。木的颜色是青,金的颜色是白,金克木(相贼),所以青色和白色会先显现。这是少阳经死亡的征象。“HT”,读音qióng。)阳明经气的终绝,表现为口眼歪斜抽动,容易惊恐,胡言乱语,面色发黄,上下经脉躁动亢盛,肌肤麻木不仁,这就到了终绝的地步。(手足阳明大肠经和胃经,都挟口入目,所以会出现口眼抽动牵引歪斜的症状。听到木器的声音就惊恐不安,这是阳明经容易惊恐的表现。骂人不避亲疏,这是阳明经胡言乱语的表现。黄色是土色外露。上下经脉亢盛,是指头颈手足阳明经的脉气,都躁动而旺盛,这是胃气败坏的表现。不知疼痛,叫做不仁,这是肌肉败坏的表现。这些都是阳明经气竭尽的征象。)少阴经气的终绝,表现为面色发黑,牙齿显得变长且布满污垢,腹部胀满闭塞,上下不通气而死亡。(手少阴心经气绝则血液败坏,足少阴肾经气绝则面色如炭,所以面色发黑。肾主骨,肾败坏则骨骼败坏,所以齿根不固,显得长且垢秽。手少阴心经,下行穿过膈肌联络小肠;足少阴肾经,联络膀胱,贯穿肝脏和膈肌,所以出现腹部胀满闭塞,上下不通,导致心肾隔绝,这是少阴经的终绝。)太阴经气的终绝,表现为腹部胀满闭塞,呼吸困难,频繁嗳气呕吐,呕吐则气逆,气逆则面色发红,如果不逆则痞塞在中焦,导致上下不通,不通则面色发黑,皮毛枯焦而死亡。(足太阴脾经,入腹属于脾,所以出现腹部胀满闭塞;手太阴肺经,上行穿过膈肌属于肺,主管呼吸,所以出现呼吸困难。胀闭导致升降困难,呼吸困难导致气道滞涩,所以出现嗳气和呕吐,呕吐则气逆于上,所以面色发红;如果不逆则痞塞在中焦,所以上下不通。脾气败坏则无法制约水湿,所以黑色显现于面部;肺气败坏则治节功能不行,所以皮毛枯焦而死亡。)厥阴经气的终绝,表现为胸中发热,咽喉干燥,喜欢小便,心烦,严重时舌头卷缩、睾丸上缩而死亡。(手厥阴心包经,起于胸中,出来归属于心包络,下行穿过膈肌依次联络三焦;足厥阴肝经,循行喉咙之后,向上进入颃颡(鼻咽部),其下行的一支,循大腿内侧,进入阴毛中,经过生殖器,所以出现胸中发热、咽喉干燥、多尿、心烦等症状。另外,舌是心的官窍,肝合筋,筋聚于生殖器并脉络于舌,所以严重时舌头卷缩、睾丸上缩,而厥阴经的气就终绝了。)这就是十二经脉败绝的情况。(手足六经,各分表里,合为十二经脉。)
The termination of the Twelve Meridians, (The Twelve Meridians correspond to the Qi of the Twelve Zang-Fu organs. "Termination" refers to the exhaustion of Qi.) The termination of the Taiyang Meridian manifests as eyes fixed upward unable to rotate, opisthotonos (body arched backward), spasms and flaccidity alternating, pale complexion, and the emergence of "Juehan" (desperate sweat). Once this sweat appears, death ensues. ("Dai" refers to upward fixation, meaning the eyeballs look up and cannot turn. "Fan zhe" refers to the arching of the waist and spine. "Chong" refers to tendon spasm. "Zong" refers to tendon relaxation. "Juehan" refers to profuse sweating like oil, which cannot be contained. The Foot-Taiyang Bladder Meridian originates at the inner canthus, ascends to the forehead, intersects at the vertex, enters to connect with the brain, descends along the neck flanking the spine, reaches the loins, and goes down to the little toe of the foot. The Hand-Taiyang Small Intestine Meridian originates at the ulnar end of the little finger, follows the arm up to the shoulder; its branch follows the neck up to the cheek and reaches the outer canthus. Hence its diseases present thus. However, Taiyang is the exterior of the Three Yang meridians, so it governs the color white. Sweat penetrating the skin is called Juehan; when Juehan appears, life terminates. This also reflects the concept of "Exterior." "Chong" is pronounced chì; "Zong" is pronounced zòng.) The termination of the Shaoyang Meridian manifests as deafness, flaccidity of all joints, and eyes staring straight as if in shock due to the severance of the eye connections. Death occurs one and a half days after the severance. The complexion first turns cyan, then white before death. (Both Hand and Foot Shaoyang Sanjiao and Gallbladder meridians enter the ear and reach the temporal region/outer canthus, hence deafness and staring eyes. "Qiong" describes a straight, startled gaze; because the Shaoyang connections are severed, rotation is impossible, leading to this state. The Gallbladder corresponds to tendons; Shaoyang Qi exhaustion causes all joints to become flaccid. Wood's color is cyan, Metal's color is white. When Metal overacts on Wood (Xiang Zei), cyan and white appear first. This is the death sign of Shaoyang. "Qiong" is pronounced qióng.) The termination of the Yangming Meridian manifests as twitching of the mouth and eyes, frequent fright, delirious speech, yellow complexion, hyperactivity of the upper and lower meridians, and anesthesia (loss of sensation), leading to termination. (Hand and Foot Yangming Large Intestine and Stomach meridians flank the mouth and enter the eyes, causing twitching and deviation. Fright upon hearing wooden sounds indicates Yangming's tendency toward fright. Cursing without regard for kinship indicates Yangming's delirium. Yellow is the color of Earth appearing externally. Hyperactivity of upper and lower meridians means the Qi of the Head, Neck, Hands, and Feet Yangming meridians is agitated and excessive, indicating the failure of Stomach Qi. Loss of pain sensation is called anesthesia, indicating muscle failure. These are signs of Yangming Qi exhaustion.) The termination of the Shaoyin Meridian manifests as a black complexion, teeth appearing long and dirty, abdominal distension and closure, and obstruction of upper and lower flow, leading to death. (When Hand-Shaoyin Heart Qi exhausts, blood fails; when Foot-Shaoyin Kidney Qi exhausts, the face becomes black like charcoal. The Kidney governs bones; Kidney failure leads to bone failure, so tooth roots become loose, making teeth appear long and dirty. The Hand-Shaoyin Heart Meridian passes through the diaphragm to connect with the Small Intestine; the Foot-Shaoyin Kidney Meridian connects with the Bladder, penetrates the Liver and Diaphragm. Thus, abdominal distension and closure occur, blocking upper and lower flow, separating Heart and Kidney. This is the termination of Shaoyin.) The termination of the Taiyin Meridian manifests as abdominal distension and closure, dyspnea (difficulty breathing), frequent belching and vomiting. Vomiting causes Qi rebellion, leading to a red face; if there is no rebellion, stagnation occurs in the middle, causing upper and lower obstruction. Obstruction leads to a black face, dry and scorched skin and hair, resulting in death. (Foot-Taiyin Spleen Meridian enters the abdomen and belongs to the Spleen, causing abdominal distension and closure; Hand-Taiyin Lung Meridian ascends through the diaphragm to belong to the Lung, governing respiration, causing dyspnea. Distension and closure hinder ascending and descending; dyspnea obstructs the airway, causing belching and vomiting. Vomiting causes Qi to rebel upward, turning the face red; if not rebelling, stagnation blocks the middle, causing upper and lower obstruction. Spleen Qi failure cannot control Water, so black appears on the face; Lung Qi failure disrupts regulation, so skin and hair become scorched and terminate.) The termination of the Jueyin Meridian manifests as heat in the center, dry throat, frequent urination, vexation, and in severe cases, tongue retraction and testicular retraction, leading to death. (Hand-Jueyin Pericardium Meridian originates in the chest, emerges to belong to the Pericardium, descends through the diaphragm to sequentially connect with the Sanjiao; Foot-Jueyin Liver Meridian follows behind the throat, enters the epiglottis area; its descending branch follows the medial thigh, enters the pubic region, passes the genitalia. Hence symptoms include central heat, dry throat, polyuria, and vexation. The tongue is the organ of the Heart; the Liver combines with tendons; tendons gather at the genitalia and connect to the tongue. Thus, in severe cases, tongue retraction and testicular retraction occur, and Jueyin Qi terminates.) This describes the failure of the Twelve Meridians. (Hand and Foot Six Meridians each have interior-exterior pairs, forming the Twelve Meridians.)