(结喉两旁动脉)属足阳明胃经(人迎,在结喉两旁,应手之动脉也,又名天五会。《灵
枢》曰∶颈侧之动脉,人迎。人迎,足阳明也,在婴筋之前。又曰∶人迎,此胃气别走于阳明者也,故阴阳上下,
其动也若一。故阳病而阳脉小者为逆,阴病而阴脉大者为逆。阴阳俱静、俱动,若引绳相倾者病。又曰∶大热
遍身,狂而妄见、妄闻、妄言,视足阳明及大络取之。因令偃卧,居其头前,以两手四指,挟按颈动脉,久持
之,卷而切推之,下至缺盆中,复止如前,热去乃止。此所谓推而散之者也。王启玄曰∶胃脘之阳,人迎之气
也。胃为水谷之海,故候其气而知痛处。其脉之动,常左小而右大。左小常以候脏,右大常以候腑。庞安常曰∶
察脉之要,莫急于人迎、气口,二脉相应,如两引绳。何谓人迎?喉旁取之,《内经》所谓别于阳者也。秦越
人但取手太阴鱼际后一寸九分,以配阴阳之数,而得关格之脉。然不尽取诸穴,不先求喉手引绳之义,
则杳尺寸阴阳、关格之所起矣)。又统属手足六阳经(《灵枢》曰∶人迎一盛,病在足少阳,一盛而躁,病在手
少阳;人迎二盛,病在足太阳,二盛而躁,病在手太阳;人迎三盛,病在足阳明,三盛而躁,病在手阳明;人迎
四盛,且大且数,名曰溢阳,溢阳为外格,死不治。又曰∶寸口主中,人迎主外,两者相应,俱往俱来,若引
绳大小齐等。春夏人迎微大,秋冬寸口微大,如是者名曰平人。人病,其寸口之脉与人迎之脉大小等,及其浮沉
等者,病难已也。)
(位于结喉两侧搏动处的动脉)归属于足阳明胃经。人迎穴,位于结喉两旁,手指触按可感到脉搏跳动,又名天五会。《灵枢》记载:“颈侧部的动脉,称为人迎。人迎,属于足阳明经,位于婴筋(胸锁乳突肌)的前方。”又说:“人迎,是胃气别行走向阳明的部位,所以人体阴阳上下部位的脉动应当一致。因此,阳病而阳脉反而细小的是逆证,阴病而阴脉反而盛大的是逆证。如果阴阳脉象都微弱或都盛大,如同拉紧的绳子一样倾斜失衡,则病情严重。”又说:“若全身大热,出现狂躁、幻视、幻听、胡言乱语等症状,应观察足阳明经及其大络进行针刺治疗。让患者仰卧,医者坐在其头部前方,用双手的四指挟持并按压颈动脉,长时间保持,然后卷曲手指切推,向下至缺盆穴处,再像之前那样停止,热退为止。这就是所说的‘推而散之’的方法。”王启玄说:“胃脘的阳气,即人迎之气。胃为水谷之海,所以通过诊察此处的气机可以知道疼痛的部位。人迎脉的跳动,通常左侧小右侧大。左侧小通常用来诊察脏病,右侧大通常用来诊察腑病。”庞安常说:“诊察脉象的要领,没有比人迎、气口更紧急重要的了,这两处脉象相应,就像两根并行的绳子。什么是人迎?在喉旁取穴,《内经》称之为‘别于阳’的地方。秦越人(扁鹊)只取手太阴肺经鱼际穴后一寸九分处,来配合阴阳之数,从而得出关格脉象。然而如果不全面取用各穴位,不先探求喉部与手部脉象如引绳相应的意义,就无法知晓尺寸脉、阴阳及关格的起源了。”此外,人迎又统属手足六条阳经。《灵枢》记载:“人迎脉大一倍于寸口,病在足少阳胆经;大一倍且躁动不安,病在手少阳三焦经;人迎脉大二倍于寸口,病在足太阳膀胱经;大二倍且躁动不安,病在手太阳小肠经;人迎脉大三倍于寸口,病在足阳明胃经;大三倍且躁动不安,病在手阳明大肠经;人迎脉大四倍,且脉大且数,称为溢阳,溢阳属于外格证,死症难以治愈。”又说:“寸口脉主要反映体内病变,人迎脉主要反映体表病变,两者相应,共同往来,大小整齐相等。春夏季节人迎脉微大于寸口,秋冬季节寸口脉微大于人迎,这样的人称为平人(健康人)。人患病时,如果寸口脉与人迎脉大小相等,浮沉力度也相等,说明病情难治。”
(The arterial pulse on both sides of the laryngeal prominence) belongs to the Foot-Yangming Stomach Meridian. Renying (ST9), located on both sides of the laryngeal prominence, is palpable as an arterial pulse, also known as Tianwuhui. The *Ling Shu* states: "The arterial pulse on the side of the neck is called Renying. Renying belongs to the Foot-Yangming Meridian and is located anterior to the sternocleidomastoid muscle." It further states: "Renying is the site where stomach qi branches off to the Yangming meridian; therefore, the pulsations in the Yin and Yang regions above and below should be consistent. Thus, if a Yang disease presents with a small Yang pulse, it is a counterflow (ni); if a Yin disease presents with a large Yin pulse, it is a counterflow (ni). If both Yin and Yang pulses are either both weak or both excessive, resembling a taut rope tilting to one side, the disease is severe." It also states: "In cases of high fever throughout the body, accompanied by mania, hallucinations of sight, hearing, and speech, one should observe the Foot-Yangming Meridian and its major collaterals for treatment. Let the patient lie supine, situate oneself before the head, use four fingers of both hands to clamp and press the cervical artery, hold it for a long time, then curl the fingers to cut and push downwards to the Quepen (ST12) area, stop as before, until the heat dissipates. This is what is referred to as 'pushing and dispersing'." Wang Qixuan said: "The Yang qi of the stomach cavity is the qi of Renying. As the Stomach is the Sea of Water and Grain, observing its qi allows one to know the location of pain. The pulsation of the Renying pulse is usually smaller on the left and larger on the right. A smaller left pulse typically diagnoses Zang organ diseases, while a larger right pulse typically diagnoses Fu organ diseases." Pang Anchang said: "The key to pulse diagnosis lies most urgently in Renying and Qikou; these two pulses correspond to each other like two parallel ropes. What is Renying? It is taken at the side of the throat, which the *Nei Jing* calls 'distinguishing from Yang'. Qin Yue-ren (Bian Que) only took the point 1.9 cun posterior to the Yuji (LU10) of the Hand-Taiyin Lung Meridian to match the numbers of Yin and Yang, thereby obtaining the Guan-Ge pulse pattern. However, without comprehensively selecting various acupoints and first seeking the meaning of the throat and hand pulses corresponding like a taut rope, one would remain ignorant of the origins of Cun-Cun pulses, Yin-Yang, and Guan-Ge." Furthermore, Renying collectively governs the Six Yang Meridians of the Hand and Foot. The *Ling Shu* states: "If the Renying pulse is one-fold greater than the Cunkou pulse, the disease is in the Foot-Shaoyang Gallbladder Meridian; if one-fold greater and restless, the disease is in the Hand-Shaoyang Sanjiao Meridian. If the Renying pulse is two-fold greater, the disease is in the Foot-Taiyang Bladder Meridian; if two-fold greater and restless, the disease is in the Hand-Taiyang Small Intestine Meridian. If the Renying pulse is three-fold greater, the disease is in the Foot-Yangming Stomach Meridian; if three-fold greater and restless, the disease is in the Hand-Yangming Large Intestine Meridian. If the Renying pulse is four-fold greater, and both large and rapid, it is named Yi Yang (Overflowing Yang). Yi Yang constitutes Wai Ge (External Gridlock), which is a death case difficult to treat." It also states: "Cunkou primarily reflects internal conditions, while Renying primarily reflects external conditions. They should correspond to each other, coming and going together, with equal magnitude. In spring and summer, the Renying pulse is slightly larger than the Cunkou pulse; in autumn and winter, the Cunkou pulse is slightly larger than the Renying pulse. Such a person is considered a Ping Ren (healthy person). When a person is ill, if the Cunkou pulse and the Renying pulse are equal in magnitude and floating/sinking depth, the disease is difficult to cure."