内经调经篇云。夫邪之生也。或生于阴。或生于阳。其生于阳者。得之风雨寒暑。乃天
之邪
治
其生于阴者。得之饮食居处。阴阳喜怒。乃水之寒热。感则害人六腑。是七损之病。故
曰。
阳气
风雨之伤人奈何。岐伯曰。风雨之伤人也。先客于皮肤。传入于孙脉。孙脉满则传入络
络脉满则输于大经脉。血气与邪。并客于分腠之间。其脉坚大。故曰实。实者外坚充满
可按之。按之则痛。此重明八益之邪伤人中人也。高是客邪表受风寒。
帝曰寒湿之伤人奈何。岐伯曰。寒湿之中人也。皮肤不收。肌肉坚紧。荣血泣。卫气去。
故
此清虚之地气伤人也。必从足始。故曰。地之湿气。感则害人皮肉筋脉。夫百病之变。
皆生
皆由
阴火
气
年。帝曰善阴之生实奈何。岐伯曰。喜怒不节。则阴气上逆。上逆则下虚。下虚则阳气走上。
故
夫阴气逆上者。盛怒得之。非喜也。喜则气和。此喜之一字。传写误矣。前已有说。血
之
怒。
帝曰阴之生虚奈何。岐伯曰。喜则气下。悲则气消。则脉虚空。因寒饮食。寒气熏满。
则血
辨云。阴虚者。说饮食居处。阴阳喜怒。按阴阳应象大论云。喜怒伤气。今言喜气下行
者非
但
去
帝曰经言阳虚则外寒。阴虚则内热。阳盛则外热。阴盛则内寒。余已闻之矣。不知其所
由然
此一段帝问。在表阳病。在里阴病四证。阳虚则外寒。阳胜则外热。此明客邪伤表六淫
有余
岐伯曰阳受气于上焦。以温皮肤分肉之间。今寒气在外。则上焦不通。则寒气独留于外。
故
阴栗、谓心寒栗也。非战动。又明阳虚生外寒。此风寒伤表。有余病也。
阴虚生内热奈何。岐伯曰。有所劳倦。形气衰少。谷气不盛。上焦不行。下脘不通。胃
气热
此再明湿从下受之病之形状。乃水谷之寒热。则害人六腑。此中焦不足。脾胃先受病。
乃饮
阳盛生外热奈何。岐伯曰。上焦不通利。则皮肤致密。腠理闭塞。不通。卫气不得泄越。
故
此乃末传客寒化热。当下也。故经云。人之伤于寒则为病热是也。
阴盛生内寒奈何。岐伯曰。厥气下密。寒气积于胸中而不泻。不泻则温气去。寒独留则
血凝
此再明脾胃不足。劳役形体。中焦荣气受病。末传寒中。惟宜补阳泻阴。
帝曰阴与阳并。血气以并。病形以成。刺之奈何。岐伯曰。刺此者取之经隧。取血于营。
取
此一段明脾胃荣气不足。从阴引阳。并泻血络经隧。荣者主血。阴气也。卫者主气。阳
气也
形也
帝曰血气以并。病形以成。阴阳相倾。补泻奈何。
此复问八风表邪。及伤寒客邪、在外有余之证。惟宜泻之。血气以并。及阴病劳役。脾
胃湿
岐伯曰。泻实者气盛乃内针。针与气俱内。以开其门。如利其户。针与气俱出。精气不
伤。
屈
言欲开其穴而泄其邪气。切。谓急也。言急出针也。予详切字之义。非急出针也。切其
穴路。
此
切之
也。
帝曰。补虚奈何。岐伯曰。持针勿置。以定其意。候呼内针。气出针入。针空四塞。精
无从
时。
此治法不足内病脾胃也。
帝曰、夫子言虚实者有十。生于五脏五脉耳。夫十二经脉皆生其病（按、甲乙经曰。皆
生百
经
实
血
调
气
也
病在筋调之筋（肝主筋。病在筋治在肝血）。病在骨调之骨（肾主骨。骨病治在肾。热则疾
之
。寒则留之）。燔针劫刺其下及与急者（筋病在脾者。以燔针劫刺治在经。筋急者熨络。先
令
气行也）。病在骨淬针药熨（肾主骨。以大寒为骨痹者。先药熨淬刺。淬刺即燔针也）。病
知所痛、两跷为上（病在阴跷阳跷。癫痫螈 。不知所苦。两跷为上者。取中脉穴。是足太
阳太阴外踝下也）。身形有痛。九候莫辨。则缪刺之。病在于左。而右脉病者巨刺之（大气
不
能过关尺者。巨针刺之必矣）。谨察其九候。针道备矣。
调经篇云。夫邪之生也。或生于阴。或生于阳。其生于阳者得之风雨寒暑。其生于阴者
得之
已备
未详
医学发明冲督任脉云。二十八难曰。奇经八脉者。既不拘于十二经。皆何起何继也。然
督脉
起于下极之俞。并于脊里。上至风腑。入属于脑。任脉者。起于中极之下。以上毛际。
循腹
夫督任冲。三脉者为一源。始于二阴之间。分为三脉。任脉者。起于会阴穴。根于曲骨。入
前阴中。出腹里、过脐上行。附足厥阴之经。为生化之源也。贯穿诸经。无所不系焉。冲者
。分为二道。起于会阴。根于气冲。为二道入腹中。夹脐两旁上行。附足阳明之脉。至胸中
而散。一说上至脑耳上角。下至足内踝络跗上。若搐如引绳之状。上下动之。若一贯诸经之
脉。无所不到。以其从胃脉故也。十二经之海也。并为生化升降之主。督脉者。出于会阴。
根于长强。上行脊里至于巅。附足太阳膀胱之脉。膀胱者。谓阳之首。又曰巨阳。荣卫之气
系
焉。督脉为附。督
冲督二脉。系根在下焦。下焦者。里也地道也血也阴分也。自脐以下至足少阴分。下至骨髓。
主行阴二十五度
有定止。其邪之
状。 目则魂如
大盛。大势之来
先泻冲督。以
如渎。经云。在
如便溺已通。不
甘温热于阳分。
助阴气。从权泄
升。气平乃止。
三十六难曰、脏各有一耳。肾独有两者何也。曰。肾两者非皆肾也。左为肾右为命门。
命门
洁古云。一者男子妇人皆以左为肾右为命门。男子藏精者气海也。妇人系胞者血海也。
所主
骨。
强。
成唾
气汤
三十七难曰、邪在六腑。则阳脉不和。阳脉不和。则气留之。气留之则阳脉盛矣。邪在
五脏
阴气太盛。则阳气不得荣也。故曰格。阳气
不得相荣也。故曰关格。关格者。不得尽其命
曰。气之所行也。如水之流不得息也。故阴
其纪。终而复始。而不覆溢。人气内温于脏
解云。邪在五脏者、以明水谷之寒热。感则害人六腑。是饮食不节。劳役形体。以伤六
府。元
阴盛生
天有八
脏明之
者。谓
也。又
也。六
乃病
变。
所伤
《黄帝内经·调经篇》说：邪气的产生，有的生于阴分，有的生于阳分。那些生于阳分的，是由于风雨寒暑等外界气候因素引起的，这是天之邪气致病；那些生于阴分的，是由于饮食不节、起居失常以及情绪波动（阴阳喜怒）等原因引起的，这属于地之寒热邪气，感邪后容易伤害六腑，形成七种损伤类的疾病。所以说……
风雨这类邪气伤人是怎么回事呢？岐伯回答说：风雨之邪伤人，先侵犯皮肤，然后传入孙脉（最细小的脉络），孙脉充满后传入络脉，络脉充满后输注到大经脉。此时血气与邪气共同停留在分肉腠理之间，脉象变得坚实盛大，所以称为“实证”。实证的特点是体表坚硬充满，按压时会感到疼痛。这里再次阐明八益之邪（指外感六淫等邪气）伤人的过程，这种客邪从体表感受风寒……
黄帝问：寒湿之邪伤人是怎么回事？岐伯回答说：寒湿之邪中人，会导致皮肤松弛不收摄，肌肉僵硬紧束，营血运行涩滞不畅，卫气耗散离去。因此……这是清虚之地（指下部或阴位）的气机受伤，病势必然从足部开始。所以说：大地的湿气，感邪后容易伤害皮肉筋脉。各种疾病的变证，都产生于……皆由……
黄帝问：阴分之邪产生实证是怎么回事？岐伯回答说：如果喜怒没有节制，就会导致阴气上逆，上逆则下部空虚，下部空虚则阳气走上（此处原文可能有误，通常理解为阳气随之上逆或下虚导致阳亢）。所谓阴气逆上，多因盛怒所致，而非喜悦。喜悦会使气机调和舒缓，这里的“喜”字可能是传写错误，前文已有说明。血……因怒……
黄帝问：阴分之邪产生虚证是怎么回事？岐伯回答说：喜乐过度则气机下陷，悲伤过度则气机消减，导致脉道虚空。再加上食用生冷饮食，寒气熏蒸充满体内……
张元素（洁古）辨析说：阴虚者，是指饮食起居不当及情绪失调。按《素问·阴阳应象大论》所说：“喜怒伤气”，现在说喜气下行……
黄帝说：经文说阳虚则体表寒冷，阴虚则体内发热，阳盛则体表发热，阴盛则体内寒冷，我已经听过了，但不知道其中的道理……
这一段是黄帝询问在表的阳病和在里的阴病四种证候。阳虚则外寒，阳胜则外热，这是阐明客邪伤害体表、六淫有余……
岐伯回答说：阳气受气于上焦，用以温煦皮肤和分肉之间。现在寒气在外，导致上焦不通畅，寒气独自留滞在体表，所以……
阴栗，是指心中寒冷战栗，并非全身颤抖动摇。这也阐明了阳虚生外寒的道理，这是风寒伤表、有余的病证。
阴虚生内热是怎么回事？岐伯回答说：由于劳倦过度，形体和气衰少，水谷精气不充足，导致上焦不能宣发，下脘（胃之下口）不通畅，胃气郁而化热……
这里再次阐明湿邪从下部受入的病症形态，乃是由于水谷的寒热不调，从而伤害六腑。这是中焦不足，脾胃首先受病，乃是饮食……
阳盛生外热是怎么回事？岐伯回答说：上焦不通利，导致皮肤致密，腠理闭塞，卫气不得宣泄越出，所以……
这是末传客寒化热的情况，应当用下法治疗。所以经文说：人受寒邪侵袭就会发生热病，就是这种情况。
阴盛生内寒是怎么回事？岐伯回答说：厥气下沉凝聚，寒气积聚在胸中而不能消散，不能消散则温煦之气离去，寒气独留，导致血液凝涩……
这里再次阐明脾胃不足，形体劳役，中焦营气受病，最终传变为寒中（脾胃虚寒），只宜补阳泻阴。
黄帝问：阴与阳相并，血与气相并，病形已经形成，针刺治疗该怎么办？岐伯回答说：针刺此症，取治于经隧，取血于营分……
这一段阐明脾胃营气不足，应从阴引阳，并泻血络经隧。营气主血，属阴；卫气主气，属阳……
黄帝问：血气相并，病形已成，阴阳相互倾轧，补泻方法如何？
这里再次询问八风表邪及伤寒客邪、在外有余的证候，只宜用泻法。血气相并，以及阴病劳役、脾胃湿……
岐伯回答说：泻实的方法，要在气盛时进针。针与气一起进入，以打开门户，就像打开窗户一样。针与气一起退出，精气不受损伤……
言欲开启穴位以泄除邪气。“切”，意思是急迫。说的是快速出针。我详细考察“切”字的含义，并非快速出针，而是切按其穴位路径……
黄帝问：补虚的方法如何？岐伯回答说：持针不要随意放置，以安定患者心意。待患者呼气时进针，气出针入，针孔四周紧密闭合，精气无从流失……
这是治疗不足之内伤病在脾胃的方法。
黄帝说：先生您说虚实有十种，都生于五脏五脉罢了。十二经脉都产生其疾病（按：《甲乙经》说：都产生百病……实……血……调……气……）
病在筋，调理筋（肝主筋，病在筋治在肝血）。病在骨，调理骨（肾主骨，骨病治在肾，热证疾刺，寒证留针）。用火针劫刺其下部及拘急之处（筋病在脾者，用火针劫刺治在经，筋急者用熨法，先令气行）。病在骨，用淬针药熨（肾主骨，以大寒为骨痹者，先用药物熨烫再用淬针刺，淬针即火针）。病知所痛，两跷脉为主（病在阴跷阳跷，癫痫抽搐，不知痛苦所在，取两跷脉为主，即取中脉穴，位于足太阳、太阴经外踝下）。身形有疼痛，九候脉象无法辨别，则用缪刺法。病在左侧而右侧脉象异常者，用巨刺法（大气不能过关尺者，必须用巨针刺治）。谨慎诊察九候脉象，针刺之道就完备了。
《调经篇》说：邪气的产生，有的生于阴分，有的生于阳分。生于阳分的，得之于风雨寒暑；生于阴分的，得之于……已备……未详……
《医学发明》论冲督任脉引用《难经·二十八难》说：奇经八脉，既然不拘束于十二正经，它们都是从哪里起始、到哪里接续的呢？然而督脉起于下极之俞（长强穴），并行于脊柱内部，上至风府，入属于脑。任脉起于中极之下，向上经过毛际，循行腹部……
夫督脉、任脉、冲脉，这三脉同源，起始于二阴之间，分为三脉。任脉起于会阴穴，根于曲骨，进入前阴中，出于腹里，过脐上行，附着于足厥阴肝经，为生化之源，贯穿诸经，无所不系。冲脉分为两道，起于会阴，根于气冲，作为两道进入腹中，夹脐两旁上行，附着于足阳明胃脉，至胸中而散。一说上至脑耳上角，下至足内踝，络跗上，若抽搐如引绳状，上下动之，若一贯连接诸经之脉，无所不到，因为其从胃脉而来，故为十二经之海，并为生化升降之主。督脉出于会阴，根于长强，上行脊里至于头顶，附着于足太阳膀胱之脉。膀胱者，称为阳之首，又称巨阳，营卫之气系于此。督脉为附……
冲督二脉，系根在下焦。下焦者，是里、地道、血、阴分。自脐以下至足少阴分，下至骨髓，主行阴二十五度……有定止。其邪之状……目则魂如……大盛……大势之来……先泻冲督，以……如渎。经文说：在……如便溺已通，不……甘温热于阳分……助阴气，从权泄升，气平乃止。
《难经·三十六难》说：五脏各有一个，唯独肾脏有两个，为什么呢？回答说：两个肾并非都是肾，左为肾，右为命门。
李东垣（洁古）说：无论男子妇人，都以左为肾，右为命门。男子藏精，在于气海；妇人系胞，在于血海。所主……骨……强……成唾……气汤……
《难经·三十七难》说：邪气在六腑，则阳脉不和。阳脉不和，则气停留。气停留则阳脉盛矣。邪气在五脏……阴气太盛，则阳气不得荣养，所以称为“格”。阳气……不得相荣养，所以称为“关格”。关格者，不得尽其命……曰：气之所行也，如水之流不得息也。故阴……其纪，终而复始，而不覆溢。人气内温于脏……
解云：邪气在五脏者，以明水谷之寒热，感邪后伤害六腑，这是饮食不节、劳役形体，从而伤害六腑……元……阴盛生……天有八……脏明之……者，谓……也。又……也。六……乃病……变……所伤……
The *Tuning the Meridians* chapter of the *Huangdi Neijing* states: The generation of pathogenic factors arises either from the Yin aspect or from the Yang aspect. Those arising from the Yang aspect result from wind, rain, cold, and heat (external climatic pathogens), which are heavenly pathogenic factors affecting the body; those arising from the Yin aspect result from improper diet, irregular living habits, and emotional fluctuations (joy and anger), belonging to earthly cold and heat pathogens. Upon infection, they tend to damage the Six Fu organs, forming diseases of seven types of injury. Thus it is said...
How do wind and rain pathogens injure the human body? Qibo replied: Wind and rain pathogens first invade the skin, then transmit to the Sun vessels (the finest capillaries). When the Sun vessels are full, they transmit to the Luo vessels; when the Luo vessels are full, they transport to the Large Meridians. At this point, blood and Qi co-reside with the pathogen between the muscle intervals and interstices. The pulse becomes firm and large, hence termed "Excess Syndrome" (Shi Zheng). Excess syndrome is characterized by external hardness and fullness, and pain upon palpation. This reiterates the process of injury by the Eight Beneficial Pathogens (referring to external six climatic pathogens); such exogenous pathogens contract wind-cold from the exterior...
The Yellow Emperor asked: How do cold-damp pathogens injure the human body? Qibo replied: Cold-damp pathogens invading the person cause the skin to become loose and unable to retain tension, the muscles to become stiff and tight, Ying blood (nutritive blood) to flow sluggishly, and Wei Qi (defensive Qi) to dissipate. Therefore... This is the injury of Qi in the clear and empty region (referring to the lower part or Yin position), and the disease trajectory necessarily begins from the feet. Thus it is said: Earthly dampness, upon infection, tends to damage the skin, flesh, sinews, and vessels. All variations of diseases arise from... all due to...
The Yellow Emperor asked: How does Yin generate Excess? Qibo replied: If joy and anger are not regulated, it leads to the counterflow of Yin Qi upward. Upward counterflow results in deficiency below; deficiency below causes Yang Qi to move upward (note: the original text may contain an error; usually understood as Yang Qi following upward or lower deficiency leading to Yang hyperactivity). The so-called counterflow of Yin Qi upward is caused by extreme anger, not joy. Joy harmonizes and relaxes Qi; the character "joy" here might be a transcription error, as explained previously. Blood... due to anger...
The Yellow Emperor asked: How does Yin generate Deficiency? Qibo replied: Excessive joy causes Qi to sink downward; excessive grief causes Qi to dissipate, resulting in empty pulses. Additionally, consuming cold and raw foods causes cold Qi to fumigate and fill the interior...
Zhang Yuansu (Jiegu) analyzed: For Yin Deficiency, it refers to improper diet and living habits as well as emotional dysregulation. According to the *Suwen: Yin-Yang Yingxiang Daelun*, "Joy and anger injure Qi." Now it says that joyful Qi moves downward...
The Yellow Emperor stated: The classic states that Yang Deficiency leads to external cold, Yin Deficiency leads to internal heat, Yang Excess leads to external heat, and Yin Excess leads to internal cold. I have heard this, but I do not understand the underlying principles...
This section involves the Yellow Emperor asking about four syndromes: Yang diseases at the exterior and Yin diseases at the interior. Yang Deficiency leads to external cold, Yang Hyperactivity leads to external heat; this clarifies how exogenous pathogens damage the exterior and the excess of the Six Climatic Pathogens...
Qibo replied: Yang Qi receives its energy from the Upper Jiao to warm the skin and muscle intervals. Now, because cold is outside, the Upper Jiao is blocked, causing cold to remain exclusively on the exterior, thus...
Yin chills refer to cold shivering originating from the heart, not whole-body trembling. This also elucidates the principle that Yang Deficiency generates external cold; this is an Excess syndrome caused by wind-cold damaging the exterior.
How does Yin Deficiency generate internal heat? Qibo replied: Due to overexertion and fatigue, the form and Qi decline, grain Qi (digestive essence) is insufficient, leading to the failure of the Upper Jiao to disseminate and the Lower Wan (lower stomach outlet) to be obstructed, causing Stomach Qi to stagnate and transform into heat...
This again clarifies the manifestation of diseases where dampness enters from the lower body, resulting from the imbalance of cold and hot food and drink, thereby damaging the Six Fu organs. This indicates Middle Jiao insufficiency, where the Spleen and Stomach are primarily affected, stemming from dietary issues...
How does Yang Excess generate external heat? Qibo replied: When the Upper Jiao is not unobstructed, the skin becomes dense, the cilia pores close, and Wei Qi cannot vent out, thus...
This represents the transmission of exogenous cold transforming into heat, requiring purgative treatment. Hence the classic states: When humans are injured by cold pathogens, they develop heat diseases.
How does Yin Excess generate internal cold? Qibo replied: Jue Qi sinks and condenses, cold accumulates in the chest without dispersing. Without dispersal, warming Qi departs, leaving only cold, which causes blood to coagulate...
This again clarifies Spleen-Stomach insufficiency and physical overexertion, where Middle Jiao Ying Qi is diseased, eventually transmitting to Cold-Middle (Spleen-Stomach deficiency-cold). Treatment should solely focus on tonifying Yang and draining Yin.
The Yellow Emperor asked: When Yin and Yang merge, and Blood and Qi merge, and the disease form is established, how should acupuncture treat this? Qibo replied: To treat this condition, select the Jing-Tunnel meridians, draw blood from the Ying level...
This section elucidates Spleen-Stomach Ying Qi insufficiency; one should guide Yang from Yin and drain the blood collaterals and Jing-Tunnels. Ying governs blood and belongs to Yin; Wei governs Qi and belongs to Yang...
The Yellow Emperor asked: When Blood and Qi merge, the disease form is established, and Yin and Yang antagonize each other, what are the methods for tonification and sedation?
This reiterates the inquiry regarding the Eight Winds (exterior pathogens) and Shanghan exogenous pathogens, representing exterior Excess syndromes, which require sedation. For Blood-Qi merging, as well as Yin diseases from overexertion and Spleen-Stomach dampness...
Qibo replied: To sedate Excess, insert the needle when Qi is abundant. Insert the needle along with the Qi to open the gate, like opening a window. Withdraw the needle along with the Qi so that Essence and Qi are not damaged...
It speaks of opening acupoints to drain pathogenic factors. "Qie" means urgent/rapid. It refers to rapid needle withdrawal. Upon detailed examination of the meaning of "Qie," it does not mean rapid withdrawal, but rather palpating the acupoint pathway...
The Yellow Emperor asked: How is tonification for Deficiency performed? Qibo replied: Hold the needle without placing it randomly, to stabilize the patient's mind. Insert the needle during exhalation; as Qi exits, the needle enters. The space around the needle must be sealed tightly so that Essence cannot escape...
This describes the treatment method for Deficiency-type internal diseases affecting the Spleen and Stomach.
The Yellow Emperor said: Master, you stated there are ten types of Excess and Deficiency, all arising from the Five Zang organs and their five pulses. The Twelve Primary Meridians all generate their diseases (Note: *Jia Yi Jing* states: all generate hundred diseases... Excess... Blood... Regulate... Qi...)
Diseases in the sinews are regulated via the sinews (Liver governs sinews; treating sinew diseases focuses on Liver Blood). Diseases in the bones are regulated via the bones (Kidney governs bones; treating bone diseases focuses on Kidney; for Heat, prick quickly; for Cold, leave the needle in place). Use fire-needle劫刺 (rob/strike needling) on the lower areas and sites of spasm (For sinew diseases associated with the Spleen, use fire-needle rob-sticking on the meridians; for tendon spasms, apply moxibustion/warming, first ensuring Qi circulation). Diseases in the bones use quenched needles and medicinal warming (Kidney governs bones; for bone bi caused by severe cold, first apply medicinal warming then quenched needling; quenched needling is equivalent to fire-needling). If the site of pain is known, the Two Chong vessels (Yin and Yang Heel Vessels) are primary (Diseases of Yin/Yang Heel vessels manifest as epilepsy and convulsions with unknown discomfort; taking the Two Heel Vessels as primary means selecting mid-vessel points located below the lateral malleolus of the Foot Taiyang and Foot Taiyin meridians). If the body has pain but the Nine Pulse inspections cannot distinguish the pathology, use Miao-stickling (lateral needling). If the disease is on the left but the right pulse is abnormal, use Ju-stickling (deep needling against the meridian flow) (If vital Qi cannot pass through the Guan and Chi positions, deep needling is absolutely necessary). Carefully inspect the Nine Pulses, and the Dao of Needling is complete.
The *Tuning the Meridians* chapter states: The generation of pathogenic factors arises either from the Yin aspect or from the Yang aspect. Those arising from the Yang aspect result from wind, rain, cold, and heat; those arising from the Yin aspect result from... Prepared... Not fully detailed...
*Medical Discoveries* discusses the Chong, Du, and Ren meridians, citing the *Nan Jing, Chapter 28*: The Eight Extraordinary Vessels are not constrained by the Twelve Primary Meridians. Where do they start and where do they connect? The Du Mai (Governing Vessel) starts at the Shu point of the lower extremity (Changqiang, GV1), runs parallel within the spine, ascends to Fengfu (GV16), and enters to connect with the brain. The Ren Mai (Conception Vessel) starts below Zhongji (CV3), ascends above the pubic hair, and follows the abdomen...
The Du, Ren, and Chong meridians share a common source, starting between the two yins, and dividing into three vessels. The Ren Mai starts at Huiyin (CV1), roots at Qugu (CV2), enters the anterior yin, emerges into the abdominal interior, passes the umbilicus and ascends, attaching to the Foot Jueyin Liver Meridian, serving as the source of transformation and generation, penetrating all meridians without exception. The Chong Mai divides into two channels, starting at Huiyin, rooting at Qichong (ST30), entering the abdominal interior as two channels, ascending alongside the umbilicus, attaching to the Foot Yangming Stomach Meridian, scattering in the chest. One theory states it ascends to the brain and upper angle of the ear, descends to the medial malleolus, connects to the dorsum of the foot; if spasmodic like a drawn rope, moving up and down, it connects all meridians without omission because it originates from the Stomach Meridian; thus it is the Sea of the Twelve Meridians, serving as the master of transformation and ascent/descent. The Du Mai emerges from Huiyin, roots at Changqiang (GV1), ascends within the spine to the vertex, attaches to the Foot Taiyang Bladder Meridian. The Bladder is called the Head of Yang, also known as Ju Yang (Great Yang); Ying and Wei Qi are connected to it. The Du Meridian serves as an attachment...
The Chong and Du meridians root in the Lower Jiao. The Lower Jiao is the interior, the earth pathway, blood, and Yin aspect. From below the umbilicus to the Foot Shaoyin aspect, down to the bone marrow, it governs the movement of Yin twenty-five cycles... having fixed limits. The state of its pathogens... eyes and soul like... great abundance... the arrival of major trends... First sedate Chong and Du, to... like a drainage ditch. The classic states: In... like urine and feces passing smoothly, not... sweet and warm in the Yang aspect... assist Yin Qi, temporarily drain and ascend, stopping when Qi levels.
*Nan Jing, Chapter 36* states: Each Zang organ has one, why does the Kidney have two? The answer is: The two kidneys are not both Kidneys; the left is the Kidney, the right is the Mingmen (Gate of Life).
Li Dongyuan (Jiegu) stated: Whether male or female, the left is the Kidney and the right is the Mingmen. In men, storing essence occurs in the Qi Sea; in women, connecting to the uterus occurs in the Blood Sea. Governing... bone... strength... forming saliva... Qi Decoction...
*Nan Jing, Chapter 37* states: When pathogens are in the Six Fu organs, the Yang pulses are discordant. When Yang pulses are discordant, Qi stagnates. When Qi stagnates, Yang pulses become vigorous. When pathogens are in the Zang organs... Yin Qi is too abundant, preventing Yang Qi from nourishing, hence termed "Ge" (Obstruction). Yang Qi... unable to mutually nourish, hence termed "Guan Ge" (Lock and Obstruction). Guan Ge means failing to complete life... It is said: The movement of Qi is like flowing water that cannot stop. Thus Yin... Its cycle ends and restarts without overflowing. Human Qi internally warms the Zang...
Annotation explains: Pathogens in the Zang organs clarify the cold and hot nature of food and drink; upon infection, they damage the Six Fu organs. This is due to irregular diet and physical overexertion, thereby injuring the Six Fu organs... Yuan... Yin Excess generates... Heaven has eight... Clarify the Zang... Refers to... Also... Also. Six... Then disease... Change... Injury...