人之有五脏者,犹天地之有五岳也;六腑者,犹天地之有四渎也;奇经者,犹四渎之外
,别有江河也。奇经客邪,非十二经之治也。十二经之外,别有治奇经之法也。《缪刺论》
曰∶邪客于足阳跷之脉,令人目痛,从内 始。《启玄子·王冰注》曰∶以其脉起于足,上
行至头而属目内 ,故病令人目痛从内 始也。《针经》曰∶阴跷脉入鼽,属目内 ,合于
太阳阳跷而上行。故阳跷受邪者,内 既赤,生脉如缕,缕根生于瘀肉,瘀肉生黄赤脂,脂
横侵黑睛,渐蚀神水,此阳跷为病之次第也。或兼锐 而病者,以其合于太阳故也。锐 者
,手太阳小肠之脉也。锐 之病,必轻于内 者,盖枝蔓所传者少,而正受者必多也。俗呼
为攀睛,即其病也。还阴救苦汤主之,拨云退翳丸主之,栀子胜奇散主之,万应蝉花散主之
,磨障灵光膏主之,消翳复明膏主之,朴硝黄连炉甘石泡散主之。病多药不能及者,宜治以
手法。先用冷水洗,如针内障眼法,以左手按定,勿令得动移,略施小眉刀尖,剔去脂肉,
复以冷水洗净,仍将前药饵之,此治奇经客邪之法也。故并置其经络病始。
志于固者,则八风无以窥其隙;本于密者,则五脏何以受其邪。故生之者天也,召之者
人也。虽生弗召,莫能害也,为害不已,召之甚也。《生气通天论》曰∶风者,百病之始也
。清净则肉腠闭拒,虽有大风苛毒,弗之能害。《阴阳应象大论》曰∶邪风之至,疾如风雨
,故善治者治皮毛。夫肉腠固,皮毛密,所以为害者,安从其来也。今为物之所伤,则皮毛
肉腠之间,为隙必甚,所伤之际,岂无七情内移,而为卫气衰惫之原,二者俱召,风安不从
。故伤于目之上下左右者,则目之上下左右俱病,当总作除风益损汤主之。伤于眉骨者,病
自目系而下,以其手少阴有隙也,加黄连,除风益损汤主之。伤于额者,病自抵过而上,伤
于耳中者,病自锐 而入,以其手太阳有隙也,加柴胡,除风益损汤主之。伤于额交巅耳上
角及脑者,病自内 而出,以其足太阳有隙也,加苍术,除风益损汤主之。伤于耳后耳角耳
前者,病自客主人斜下,伤于颊者,病自锐 而入,以其手少阳有隙也,加枳壳,除风益损
汤主之。伤于头角耳前后及目锐 后者,病自锐 而入,以其足少阳有隙也,加龙胆草,除
风益损汤主之。伤于额角及巅者,病自目系而下,以其足厥阴有隙也,加五味子,除风益损
汤主之。诸有热者,更当加黄芩,兼服加减地黄丸。伤甚者,须从权倍加大黄,泻其败血。
《六节藏象论》曰∶肝受血而能视。此盖滋血养血复血之药也,此治其本也。又有为物暴震
,神水遂散,更不复治,故并识之于此。
人的五脏,就像天地的五座名山;六腑,就像天地的四条大河;奇经八脉,就像在四条大河之外,另有江河一样。邪气侵犯奇经,不能用治疗十二正经的方法来处理。在十二正经之外,另有治疗奇经的方法。《素问·缪刺论》说:邪气侵入足阳跷脉,使人眼睛疼痛,从内眼角开始。《黄帝内经太素·王冰注》说:因为这条经脉起于足部,上行至头部并连接内眼角,所以生病时眼睛疼痛从内眼角开始。《灵枢·针经》说:阴跷脉进入鼻腔,连接内眼角,与太阳经和阳跷脉汇合后上行。所以阳跷脉受邪,内眼角既发红,生出如丝缕般的血管,丝缕的根部生长在瘀肉上,瘀肉生出黄红色的脂膜,脂膜横向侵入黑睛,逐渐侵蚀神水,这是阳跷脉发病的次第过程。如果同时伴有锐眦(外眼角)病变的,是因为它与手太阳小肠经相合的缘故。锐眦的病,一定比内眼角的病轻,因为旁支传变较少,而正受邪气的部位必然较多。俗称为攀睛,就是这种病。用还阴救苦汤主治,拨云退翳丸主治,栀子胜奇散主治,万应蝉花散主治,磨障灵光膏主治,消翳复明膏主治,朴硝黄连炉甘石泡散主治。病情严重药物难以达到的,适宜用手法治疗。先用冷水清洗,像针刺内障眼那样的方法,用左手按住固定,不让它移动,稍微用小眉刀尖,剔除去除脂肉,再用冷水洗净,然后继续服用前面的药物,这就是治疗奇经客邪的方法。所以一并列出其经络疾病的始末。
立志坚固的人,八风就无法窥探他的空隙;根本严密的人,五脏又怎么会受到邪气侵袭。所以生命由天赋予,但招致疾病的是人自己。虽然天生健康但不去招致病邪,就没有人能伤害他;如果危害不停止,是因为自己招致的太过分了。《素问·生气通天论》说:风,是百病的开端。保持清净,则肌肉腠理闭合拒邪,即使有大风苛毒,也不能伤害人体。《素问·阴阳应象大论》说:邪风到来,快如风雨,所以善于治病的人治在皮毛。如果肌肉腠理坚固,皮毛致密,那么造成危害的因素,从哪里来呢?现在被物体所伤,则皮毛肉腠之间,出现的缝隙必然很严重,受伤的时候,难道没有七情内移,成为卫气衰惫的根源吗?这两方面都招致病邪,风邪怎么会不入侵呢?所以伤在眼睛上下左右的,则眼睛上下左右都生病,应当总括为除风益损汤主治。伤在眉骨的,病症从目系向下发展,因为手少阴心经有缝隙,加黄连,用除风益损汤主治。伤在额头的,病症从抵过向上发展;伤在耳中的,病症从锐眦向内发展,因为手太阳小肠经有缝隙,加柴胡,用除风益损汤主治。伤在额角交巅、耳上角及脑部的,病症从内眼角向外发展,因为足太阳膀胱经有缝隙,加苍术,用除风益损汤主治。伤在耳后、耳角、耳前的,病症从客主人穴斜向下发展;伤在颊部的,病症从锐眦向内发展,因为手少阳三焦经有缝隙,加枳壳,用除风益损汤主治。伤在头角、耳前后及目锐眦后的,病症从锐眦向内发展,因为足少阳胆经有缝隙,加龙胆草,用除风益损汤主治。伤在额角及头顶的,病症从目系向下发展,因为足厥阴肝经有缝隙,加五味子,用除风益损汤主治。所有有热症的,另外加黄芩,兼服加减地黄丸。伤势严重的,必须权宜加倍加大黄,泻去败血。《素问·六节藏象论》说:肝得到血液滋养就能视物。这大概是滋血、养血、复血的药物,这是治疗根本的方法。又有因物体突然震动,导致神水散失,更无法治疗的,所以一并记录在此处。
The five Zang organs of the human body are like the Five Sacred Mountains (Wuyue) of heaven and earth; the six Fu organs are like the Four Great Rivers (Sidu) of heaven and earth; the Eight Extraordinary Vessels (Qijing) are like rivers and streams beyond the Four Great Rivers. When pathogenic factors invade the extraordinary vessels, they cannot be treated by the methods used for the twelve regular meridians. There are specific methods for treating the extraordinary vessels outside of those for the twelve regular meridians. The *Suwen: Mi Ci Lun* states: "When pathogenic factors invade the Foot Yang Qiao Mai, it causes eye pain starting from the inner canthus." Wang Bing's commentary on the *Huangdi Neijing Taisu* explains: "Because this meridian originates at the foot, ascends to the head, and connects to the inner canthus, disease manifests as eye pain starting from the inner canthus." The *Lingshu: Zhen Jing* states: "The Yin Qiao Mai enters the nasal cavity, connects to the inner canthus, and merges with the Taiyang and Yang Qiao meridians to ascend." Therefore, when the Yang Qiao Mai is invaded by pathogens, the inner canthus becomes red, thread-like blood vessels appear, rooted in fleshy growths (Pterygium); these growths produce yellow-red membranes that horizontally invade the cornea, gradually eroding the Shen Shui (aqueous humor). This is the sequence of pathology in the Yang Qiao Mai. If accompanied by pathology in the outer canthus (Rui Kou), it is because it merges with the Hand-Taiyang Small Intestine meridian. Diseases of the outer canthus are necessarily milder than those of the inner canthus, as lateral transmission involves fewer pathways, while the primary affected site bears more burden. Commonly called Pterygium (Pan Jing), this condition is treated primarily with Huan Yin Jiu Ku Tang, Bo Yun Tui Yi Wan, Zhizi Sheng Qi San, Wan Ying Chan Hua San, Mo Zhang Ling Guang Gao, Xiao Yi Fu Ming Gao, and Piao Xiao Huang Lian Lu Gan Shi Pao San. For severe cases where medication cannot reach the lesion, manual therapy is appropriate. First, wash with cold water. Using a technique similar to cataract needle extraction, hold firmly with the left hand to prevent movement, then use the tip of a small eyebrow knife to excise the fleshy growths. Wash again with cold water, then continue administering the aforementioned herbal medicines. This is the method for treating pathogenic invasion of the extraordinary vessels. Thus, the origin of diseases related to these meridians is recorded here.
Those who strive for solidity allow the Eight Winds no opportunity to exploit their gaps; those who maintain strict integrity leave no room for pathogens to invade the Zang organs. Life is granted by Heaven, but illness is summoned by human actions. Even if one is born healthy, without summoning disease, no harm can come. If harm persists, it is due to excessive self-invocation. The *Suwen: Sheng Qi Tong Tian Lun* states: "Wind is the beginning of all diseases." When one maintains purity and tranquility, the muscle pores and interstices close and repel pathogens; even severe winds and toxic agents cannot cause harm. The *Suwen: Yin Yang Ying Xiang Da Lun* states: "Pathogenic winds arrive swiftly like wind and rain; therefore, skilled healers treat at the level of the skin and hair." If the muscle pores are solid and the skin and hair dense, from where would harm originate? Now, if injured by external objects, the gaps between the skin, hair, and muscle interstices become significant. At the time of injury, internal shifts of the Seven Emotions likely occur, becoming the root of Wei Qi (Defensive Qi) depletion. Both factors invite pathogens, so how could Wind not enter? Consequently, injuries to the upper, lower, left, or right aspects of the eye result in corresponding pathological changes in those areas, treated generally with Chu Feng Yi Sun Tang. Injuries to the brow bone cause disease originating from the Eye System (Mu Xi) downward, due to gaps in the Hand-Shaoyin Heart meridian; add Huang Lian (Coptidis Rhizoma) and treat with Chu Feng Yi Sun Tang. Injuries to the forehead cause disease ascending from Di Guo; injuries to the ear canal cause disease entering from the outer canthus, due to gaps in the Hand-Taiyang Small Intestine meridian; add Chai Hu (Bupleuri Radix) and treat with Chu Feng Yi Sun Tang. Injuries to the forehead vertex, ear apex, and brain cause disease emerging from the inner canthus, due to gaps in the Foot-Taiyang Bladder meridian; add Cang Zhu (Atractylodis Rhizoma) and treat with Chu Feng Yi Sun Tang. Injuries to the area behind the ear, ear apex, and front of the ear cause disease descending obliquely from Ke Zhu Ren (ST7); injuries to the cheek cause disease entering from the outer canthus, due to gaps in the Hand-Shaoyang Sanjiao meridian; add Zhi Ke (Aurantii Fructus) and treat with Chu Feng Yi Sun Tang. Injuries to the temple, front and back of the ear, and behind the outer canthus cause disease entering from the outer canthus, due to gaps in the Foot-Shaoyang Gallbladder meridian; add Long Dan Cao (Gentianae Radix) and treat with Chu Feng Yi Sun Tang. Injuries to the forehead corner and vertex cause disease descending from the Eye System, due to gaps in the Foot-Jueyin Liver meridian; add Wu Wei Zi (Schisandrae Fructus) and treat with Chu Feng Yi Sun Tang. For all cases with Heat symptoms, additionally add Huang Qin (Scutellariae Radix) and concurrently administer Jia Di Huang Wan. For severe injuries, temporarily increase the dosage of Da Huang (Rhei Radix et Rhizoma) to purge stagnant blood. The *Suwen: Liu Jie Zang Xiang Lun* states: "The Liver receives blood and thereby enables vision." These herbs nourish, tonify, and restore blood, addressing the root cause. Additionally, sudden trauma may cause the Shen Shui (aqueous humor) to scatter irreparably; such cases are noted here for reference.