人身经脉十四,络脉十五,原穴十二,诚为一身枢要。纲维之大,不可以不熟会于胸中。至
于取法,如《标幽赋》云∶取五穴用一穴而必端,取三经用一经而可正。今世之医惟取中指中节,
谓之同身寸,凡取诸穴悉根据之,其亦未之思耳。殊不知同身之义,随身之大小肥瘦长短,随处分
折而取之,则自无此长彼短之弊,而庶几乎同身之义有准矣。若以中指为法,如瘦人指长而身小,
则背腹之横寸岂不太阔耶;如肥人指短而身大,则背腹之横寸岂不太狭耶。古人所以特谓同身寸
法者,盖必同其身体,随在而分析之,固无肥瘦长短之差讹也。如头部则以前眉中直上至后大杼
骨共折一尺八寸,眼内 角至外 角为一寸,头部直横寸法悉根据此准。如背部自大椎下至尾 共
折三尺,横寸第二行连脊分开各二寸,第三行连脊分开各三寸半,背部直横寸法悉根据此准。如
腹部天突至膻中折六寸,歧骨至脐折八寸,脐下至毛际折五寸,两乳对折八寸,腹部直横寸法悉
根据此准。如四肢尺寸,手肘内曲泽穴至经渠为一尺,足膝至踝尖为一尺六寸,踝尖至地为三寸,
亦不独以中指为法也。何后世不论背腹,概以中指谓之同身,简面是行简,讹而愈讹。愚故悉图背腹,总
较尺寸,以备考取之便。倘考有未
尽、法有未周,惟同志者订之,庶斯集之无遗憾也。
人身有十四条经脉,十五条络脉,十二个原穴,这确实是全身的关键所在。其纲纪维系的重要性,不可不熟记于心。至于取穴的方法,正如《标幽赋》所说:“选取五个穴位时,用其中一个穴位来定位必须端正;选取三条经络时,用其中一条经络来校正即可。”当今的医生只取中指中间一节作为标准,称为“同身寸”,凡是选取各个穴位都依据这个标准,这恐怕是没有深思的缘故吧。殊不知“同身”的含义,是随着身体大小、肥瘦、长短的不同,随处进行折算而取穴,这样自然就没有此处长彼处短的弊端,从而才符合“同身”的意义并有了准绳。如果以中指为标准,比如瘦人手指长但身体小,那么背部和腹部的横向尺寸岂不太宽了?比如肥人手指短但身体大,那么背部和腹部的横向尺寸岂不太窄了?古人之所以特别强调“同身寸”法,是因为必须与其身体相称,随处进行分析折算,本来就没有因肥瘦长短而产生的差错。例如头部,从前眉正中直上至后部的大杼骨共折算为一尺八寸,内眼角至外眼角为一寸,头部的纵向和横向尺寸法都以此为准。例如背部,自大椎穴向下至尾骶骨共折算为三尺,横向尺寸第二行距离脊柱各二寸,第三行距离脊柱各三寸半,背部的纵向和横向尺寸法都以此为准。例如腹部,从天突穴至膻中穴折算为六寸,歧骨(胸剑联合)至脐中折算为八寸,脐下至耻骨毛际折算为五寸,两乳头之间折算为八寸,腹部的纵向和横向尺寸法都以此为准。例如四肢的尺寸,手肘内侧曲泽穴至经渠穴为一尺,足膝至踝尖为一尺六寸,踝尖至地面为三寸,也不仅仅以中指为标准。为什么后世不论背部还是腹部,一概以中指称为同身寸,这是图省事而行简便之法,错误反而更加严重。我因此绘制了背部和腹部的尺寸图,总括比较各种尺寸,以备考察取穴之便。如果考证有不详尽、方法有不周全之处,希望志同道合者予以订正,使这部文集没有遗憾。
The human body possesses fourteen meridians (Jingmai, meridians), fifteen collateral vessels (Luomai, collateral vessels), and twelve Yuan-Source points (Yuanxue, source points); these are indeed the pivotal aspects of the entire body. Their role as the framework and maintenance cannot be thoroughly understood without deep internalization. Regarding the method of point selection, as stated in *Biao You Fu* (Ode to Profound Elegance): "When selecting five acupoints, use one point to ensure accuracy; when selecting three meridians, use one meridian for correction." Physicians of the present age solely rely on the middle segment of the middle finger, calling it the "Same-Body Cun" (Tongshen Cun, a proportional measurement unit based on the patient's own body dimensions). They base all acupoint selections on this standard, which is likely due to a lack of deep reflection. It is unknown that the meaning of "Same-Body" lies in adapting to the size, leanness, fatness, length, and shortness of the individual's body, performing proportional calculations wherever necessary. This way, the flaw of disproportionate measurements is avoided, and the true meaning of "Same-Body" is accurately realized. If the middle finger is used as the sole standard: for a lean person with long fingers but a small body, would not the transverse cun of the back and abdomen be excessively wide? For a fat person with short fingers but a large body, would not the transverse cun of the back and abdomen be excessively narrow? The ancients specifically emphasized the "Same-Body Cun" method because it must correspond to the individual's physique, involving analysis and calculation at each location, thereby eliminating errors caused by variations in fatness, leanness, length, or shortness. For example, in the head region, from the midpoint between the eyebrows straight up to the Dachzhu bone (Dazhu, BL11) at the back is measured as 1 chi 8 cun; from the inner canthus to the outer canthus is 1 cun. All longitudinal and transverse cun methods for the head are based on this standard. For the back, from Dazhui (Dazhui, GV14) down to the coccyx is measured as 3 chi. In transverse measurements, the second row is divided into 2 cun intervals from the spine, and the third row into 3.5 cun intervals from the spine. All longitudinal and transverse cun methods for the back follow this standard. For the abdomen, from Tiantu (Tiantu, CV22) to Shanzhong (Shanzhong, CV17) is 6 cun; from the xiphisternal junction (Qigu) to the umbilicus is 8 cun; from the umbilicus to the pubic hairline is 5 cun; and between the two nipples is 8 cun. All longitudinal and transverse cun methods for the abdomen adhere to this standard. For the limbs, from Quze (Quze, PC3) at the inner elbow crease to Jingqu (Jingqu, LU8) is 1 chi; from the knee to the malleolus tip is 1 chi 6 cun; and from the malleolus tip to the ground is 3 cun. Thus, it is not solely dependent on the middle finger. Why do later generations, regardless of the back or abdomen, universally refer to the middle finger as the Same-Body Cun? This is taking the easy way out, leading to compounded errors. Therefore, I have drawn diagrams of the back and abdomen, summarizing and comparing various dimensions for the convenience of reference and point selection. If there are omissions in the examination or imperfections in the methods, I invite colleagues of like mind to correct them, so that this collection may remain without regret.