\r足厥阴肝经图\p06-d18a12.bmp\r
肝脉起于大指聚毛之际上注肺中
足厥阴肝之脉,起于大指聚毛之际(大敦穴也)。上循足跗上廉(太冲穴也),去内踝一寸
(中
卦穴也)。上踝八寸(曲泉穴也),交出太阴之后,上 内廉,循股阴入毛中,过阴器,抵少
腹,挟胃属肝络胆,上贯膈,布胁肋,循喉咙之后,上顽颡。连目系上出额与督脉会于巅。
其支者,从目系下颊里,环唇内。其支者,复从肝别贯膈,上注肺中(复交于手太阴)。
足厥阴之经,少气多血,是动则病。腰痛不可俯仰,丈夫 疝,妇人少腹肿。甚则嗌干
,面尘脱色,是主肝所生病者,胸满呕逆,洞泄狐疝,遗溺,癃闭。
凡人两手足,各有此三阳三阴之脉,合为十二经脉。每一经中,各有井、荥、俞、经、
合、
皆出于井,入于合。经云∶所出者为井,所流者为荥,所注者为俞,所行者为经,所入则为
合。井者,东方春也,万物之始生,故言所出为井也。合者,北方冬也,阳气入脏,故言所
入为合也。故春刺井,夏刺荥,季夏刺俞,秋刺经,冬刺合者,圣人所谓因其时而取之,以
泻邪毒出也。
井荥所属∶阴井木,阳井金;阴荥火,阳荥水;阴俞士,阳俞木;阴经金,阳经火;阴
合水
,阳合土。昔圣人先立井、荥、俞、经、合,配象五行,则以十二经中各有子母。故刺法云
∶虚则补其母,实则泻其子。假令肝自病,实则泻肝之荥,属火,是子;若虚,则补肝之合
,属水,是母。余皆仿此。若他邪相乘,阴阳偏胜,则先补其不足,后泻其有余,此为针医
之大要。若深达洞明,则为上工者也。
十经血气,皆出于井,入于合。各注井、荥、俞、经、合无根据矣。或曰∶脉有十二经,
又因
何只言十经,其余二经不言者何?答曰∶其二经者,三焦是阳气之父,心包络是阴血之母也
。此二经尊重,不系五行所摄,主受纳十经血气养育,故只言十经阴阳二脉,逐日各注井、
荥、俞、经、合各五时辰毕,则归其本。此二经亦各注井、荥、俞、经、合五穴,方知十二经遍行也。
\r手少阳三焦经\p06-d18a13.bmp\r
三焦经∶关冲(阳井)液门(荥),中渚(俞),阳池(原),支沟(经),天井(合)。每日遇阳
干合处,注此六穴。如甲日甲戌时,至甲申时,为阳干合也。
\r手少阴真心经\p06-d18a14.bmp\r
心包经∶中冲(阴井),劳宫(荥),大陵(俞),间使(经),曲泽(合)。每日遇阴干合处,
注此
五穴。假令甲日甲戌时,胆气初出为井,己巳时脾出血为井,阴阳并行。阳日,气先血后,
阴日,气后血先。己巳时至己卯时为阴干合也。余干日辰皆根据此。
\r手阳明大肠经\p06-d18a15.bmp\r
连前共六十穴,合成六十首,每一穴分得一刻六十分六厘六毫六丝六忽六秒,此是一穴
之数
。六十穴合成百刻,每一时辰相生养子五度,各注井、荥、俞、经、合五穴,昼夜十二时辰
,气血行过六十俞穴也。欲知人气所在,用五子元建日时,现前图可见六十首,是活法。根据
此井荥刺病甚妙。
\r手太阳小肠经\p06-d18a16.bmp\r
足厥阴肝经图
足厥阴肝经的经脉,起始于大脚趾丛毛处(即大敦穴)。沿足背内侧缘上行(即太冲穴),在内踝前一寸处(即中封穴)。上行至内踝上八寸处(此处原文有误,曲泉在膝内侧,中封在内踝上一寸,此处依原文翻译为曲泉穴,但注脚可能有误,按原文直译:曲泉穴),交叉至足太阴脾经之后,沿大腿内侧上行,进入阴毛中,经过生殖器,抵少腹,挟胃两旁,归属于肝,联络胆腑,向上穿过膈肌,分布于胁肋部,沿喉咙后方,上行至鼻咽部(顽颡)。连接目系,向上出于额部,与督脉交会于头顶。
其支脉,从目系下行至颊里,环绕嘴唇内侧。另一支脉,又从肝分出,贯穿膈肌,向上注入肺中(重新交于手太阴肺经)。
足厥阴肝经的气血特点是气少血多。当本经发生变动时,会出现腰痛,不能俯仰;男子患疝气,女子少腹部肿胀。病情严重时,咽喉干燥,面色如蒙尘垢且色泽脱失。由肝脏本身病变引起的病症,包括胸满、呕吐逆气、洞泄(严重腹泻)、狐疝、遗尿、癃闭(小便不通)。
大凡人的双手双脚,各有此三阳三阴之脉,合起来共为十二经脉。每一经中,都包含井、荥、俞、经、合五类穴位,气血皆出于井穴,入于合穴。经文说:所出者为井,所流者为荥,所注者为俞,所行者为经,所入则为合。井穴对应东方春季,是万物始生之时,所以说“所出为井”。合穴对应北方冬季,阳气入藏于脏,所以说“所入为合”。因此,春季刺井穴,夏季刺荥穴,长夏(季夏)刺俞穴,秋季刺经穴,冬季刺合穴,这是圣人所说的顺应时节来取穴,以泻除邪毒。
井、荥、俞、经、合所属五行属性:阴经井穴属木,阳经井穴属金;阴经荥穴属火,阳经荥穴属水;阴经俞穴属土,阳经俞穴属木;阴经经穴属金,阳经经穴属火;阴经合穴属水,阳经合穴属土。从前圣人先确立了井、荥、俞、经、合,配象五行,因此在十二经脉中各有子母关系。所以刺法说:虚证则补其母穴,实证则泻其子穴。例如肝脏自病,若为实证,则泻肝经的荥穴,属火,这是子穴;若为虚证,则补肝经的合穴,属水,这是母穴。其余经脉都仿照此例。如果是其他邪气相乘,导致阴阳偏胜,则先补其不足,后泻其有余,这是针灸医生的主要要领。若能深刻通达明晓,就是高明的医生了。
十经的血气,都出于井穴,入于合穴。各自灌注于井、荥、俞、经、合各穴,没有根据的说法是不存在的。有人问:脉有十二经,为何只言十经,其余二经不言的原因是什么?回答说:那两经,三焦是阳气的父亲,心包络是阴血的母亲。这两经地位尊贵,不属于五行管辖,主要受纳十经的血气进行养育,所以只言十经阴阳二脉,每日各灌注井、荥、俞、经、合各五穴,历时五个时辰完毕,则回归其本源。这两经也各灌注井、荥、俞、经、合五穴,这样才知道十二经遍行全身。
手少阳三焦经图
三焦经:关冲(阳井穴),液门(荥穴),中渚(俞穴),阳池(原穴),支沟(经穴),天井(合穴)。每日遇到阳干相合的时候,灌注这六个穴位。例如甲日甲戌时,到甲申时,为阳干相合。
手少阴真心经图(注:标题虽为真心经,内容实为心包经)
心包经:中冲(阴井穴),劳宫(荥穴),大陵(俞穴),间使(经穴),曲泽(合穴)。每日遇到阴干相合的时候,灌注这五个穴位。例如甲日甲戌时,胆气初出为井穴,己巳时脾出血为井穴,阴阳并行。阳日,气先行血后行;阴日,气后行血先行。己巳时至己卯时为阴干相合。其余天干日子时辰都依据此理。
手阳明大肠经图
连同前文共计六十穴,合成六十首(指六十个时辰对应的穴位流注规律),每一穴分得一刻六十分六厘六毫六丝六忽六秒,这是一个穴位的数值。六十穴合成百刻,每一个时辰相生养子五次,各灌注井、荥、俞、经、合五穴,昼夜十二时辰,气血行过六十俞穴。想要知道人气所在,使用五子元建日时法,眼前的图可见六十首,这是活用的方法。依据此井荥流注规律刺病非常妙。
手太阳小肠经图
Figure of the Foot Jueyin Liver Meridian
The Liver meridian originates at the pubic hair on the big toe and ascends to inject into the Lungs.
The meridian of the Foot Jueyin Liver starts at the area of pubic hair on the big toe (Dadun, LR1). It ascends along the medial margin of the dorsum of the foot (Taichong, LR3), one cun anterior to the medial malleolus (Zhongfeng, LR4). Ascending eight cun above the medial malleolus (Ququan, LR8 - *Note: Textual error in source regarding location vs point name, translated as per source*), it crosses posterior to the Foot Taiyin Spleen meridian, ascends along the medial aspect of the thigh, enters the pubic region, passes through the genitalia, reaches the lower abdomen, flanks the Stomach, connects with and belongs to the Liver, and links with the Gallbladder. It ascends through the diaphragm, spreads in the hypochondriac region, follows the posterior aspect of the throat, and ascends to the nasopharynx (Wansang). It connects with the eye system, emerges from the forehead, and meets the Du vessel at the vertex.
A branch arises from the eye system, descends to the inner cheek, and circles the inside of the lips. Another branch diverges from the Liver, pierces the diaphragm, and ascends to inject into the Lungs (rejoining the Hand Taiyin Lung meridian).
The Qi and Blood of the Foot Jueyin meridian are characterized by little Qi and much Blood. When this meridian is disturbed, symptoms include low back pain that prevents flexion and extension; hernia in men; and swelling of the lower abdomen in women. In severe cases, there is dryness of the pharynx, a dusty complexion, and loss of luster. Diseases primarily governed by the Liver include chest fullness, vomiting and counterflow qi, profuse diarrhea, fox hernia, urinary incontinence, and strangury with difficulty urinating.
In general, the hands and feet each possess these three Yang and three Yin meridians, combining to form the Twelve Primary Meridians. Each meridian contains Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points. Qi and Blood all originate at the Jing-Well points and enter at the He-Sea points. The Classic states: What issues forth is the Jing-Well; what flows is the Ying-Spring; what pours is the Shu-Stream; what travels is the Jing-River; what enters is the He-Sea. Jing-Well corresponds to the East and Spring, the beginning of all things, hence "issues forth is Jing-Well." He-Sea corresponds to the North and Winter, when Yang Qi enters the Zang organs, hence "enters is He-Sea." Therefore, in Spring one punctures Jing-Well points, in Summer Ying-Spring points, in Late Summer Shu-Stream points, in Autumn Jing-River points, and in Winter He-Sea points. This is what the Sages meant by selecting points according to the season to drain pathogenic evils.
Attributes of Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea: Yin Jing-Well is Wood, Yang Jing-Well is Metal; Yin Ying-Spring is Fire, Yang Ying-Spring is Water; Yin Shu-Stream is Earth, Yang Shu-Stream is Wood; Yin Jing-River is Metal, Yang Jing-River is Fire; Yin He-Sea is Water, Yang He-Sea is Earth. Formerly, the Sages established Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea, matching them to the Five Phases, thus establishing mother-child relationships within the Twelve Meridians. Thus, the puncturing method states: For deficiency, tonify its Mother; for excess, sedate its Child. For example, if the Liver itself is diseased and in an excess state, sedate the Liver's Ying-Spring point, which belongs to Fire, the Child; if deficient, tonify the Liver's He-Sea point, which belongs to Water, the Mother. All other meridians follow this pattern. If other pathogens multiply, causing Yin-Yang imbalance, first tonify the deficiency, then sedate the excess. This is the major principle for acupuncturists. To deeply understand and clarify this is to be a superior physician.
Qi and Blood of the Ten Meridians all issue from Jing-Well points and enter He-Sea points. There is no basis for claiming they irrigate Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points without cause. One might ask: There are twelve meridians, why speak only of ten? Why omit the other two? The answer is: These two meridians, the Sanjiao (Triple Burner) is the Father of Yang Qi, and the Pericardium is the Mother of Yin Blood. These two meridians are respected and not governed by the Five Phases; they receive and nourish the Qi and Blood of the ten meridians. Therefore, only the ten Yin and Yang meridians are mentioned, where each day irrigates the five Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points over five hours, after which they return to their origin. These two meridians also irrigate their respective five Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points, allowing one to know that the twelve meridians circulate throughout the body.
Figure of the Hand Shaoyang Sanjiao Meridian
Sanjiao Meridian: Guanchong (Yang Jing-Well), Yemen (Ying-Spring), Zhongzhu (Shu-Stream), Yangchi (Yuan-Source), Zhigou (Jing-River), Tianjing (He-Sea). On days when Yang Heavenly Stems combine, these six points are irrigated. For instance, on Jia days during Jia-Xu hour to Jia-Shen hour, this is the combination of Yang Stems.
Figure of the Hand Shaoyin True Heart Meridian (Note: Content describes Pericardium)
Pericardium Meridian: Zhongchong (Yin Jing-Well), Laogong (Ying-Spring), Daling (Shu-Stream), Jianshi (Jing-River), Quze (He-Sea). On days when Yin Heavenly Stems combine, these five points are irrigated. For example, on Jia days during Jia-Xu hour, Gallbladder Qi initially issues at the Jing-Well; during Ji-Si hour, Spleen Blood issues at the Jing-Well, with Yin and Yang proceeding together. On Yang days, Qi proceeds before Blood; on Yin days, Qi proceeds after Blood. From Ji-Si hour to Ji-Mao hour is the combination of Yin Stems. All other Stem-Hours follow this rule.
Figure of the Hand Yangming Large Intestine Meridian
Including the previous text, there are sixty points in total, forming sixty chapters (referring to the sixty-hour cycle of point irrigation). Each point accounts for 1/60th of a ke (approx. 2.4 minutes), which is the value of one point. Sixty points combine to form one hundred ke. During each shichen (two-hour period), generation and nourishment occur five times, irrigating the five Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points. Over twelve shichen day and night, Qi and Blood pass through sixty Shu points. To know where the person's Qi resides, use the Wuzi Yuandan method for calculating days and hours. The current figure shows the sixty chapters, which is a flexible method. Puncturing diseases based on this Jing-Well and Ying-Spring flow is extremely effective.
Figure of the Hand Taiyang Small Intestine Meridian