\r足厥阴肝经图\p06-d33a22-1.bmp\r
\r肝脏之图\p06-d33a23.bmp\r
肝重四斤四两,左二叶,右四叶,附脊第九椎。
《卮言》曰∶肝者干也,属木,象木枝干也。
足厥阴经肝 肝者,将军之官,谋虑出焉。主纳血,为血海,魂之居也。其华在爪,其充在筋。其位东,其时
春,其色青,其脉弦而长,其臭臊,其声呼。在七情为怒,在六气为风,在五味为酸,在于为乙,在支司卯,在八卦为
巽,在五行属木。其母肾水,其子心火。其克脾上,其贼肺金。其外候阴器,与胆为表里。其经少气而多血,丑时气血
注此。其不足则悲,其有余则怒。其平脉弦,其贼脉涩。其死庚辛日。其畜鸡,其谷麦,上为岁星。
其见证也,头痛,脱色,善洁,耳无闻,颊肿,肝逆面青,目赤肿痛,两胁下痛,引小腹胸痛,胁肿,妇人小腹
肿,腰痛不可俯仰,四肢满闷挺长,热呕逆,睾疝暴痒,足逆寒, 善螈,遗溺,淋溲便难,癃狐疝 ,冒眩转筋,阴
缩筋挛,善恐,胸中喘,骂詈。血在胁下,喘。恚怒气逆,上而不下,则伤肝。实则梦山林大树 虚则梦细草苔藓。怒
伤肝,悲胜怒;风伤筋,燥胜风;酸伤筋,辛胜酸,酸走筋,筋病毋多食酸。多食辛,则筋挛急而爪枯。
其经之脉,受足少阳之交,起于足大指聚毛之大敦,循足附上廉,历行间、太冲,抵内躁前一寸之中封;自中封上
踝,过足太阴脾经之三阴交,历蠡沟、中都,复上一寸,交出太阴之后,上 内廉,以至膝关、曲泉 上行循股内之阴
包、五里、阴廉,遂当足太阴冲门、府舍之分,入任脉之阴毛中,左右相交,环绕阴器,抵小腹而上,会于任脉曲骨、
中极、关元之穴,循本经之章门,至期门之所,挟胃属肝,下足少阳胆经日月之分,络于胆。由期门上贯膈,行足太阴
脾经食窦之外、大包之里,散布胁下。上手太阴肺经之云门、足少阳渊腋之间,足阳明胃人迎之外,循喉咙之后,上
入颃颡,再行足阳明胃经地仓、人迎、四白之外,连目系,上出额,行胆经临泣之里,与督脉会与巅顶之百会;其支
者,从目系,下行任脉之外、本经之中,下颊里,交环于唇口之内;其又支者,从期门属肝处,别贯膈,行足太阴脾经
食窦之外、本经之里,上注肺,下行至中焦,挟任之中脘之分,以交于手太阴之经,由中府、云门、天府而下行也。
足厥阴肝经图 [图片:p06-d33a22-1.bmp]
肝脏之图 [图片:p06-d33a23.bmp]
肝脏重量为四斤四两,左侧有两叶,右侧有四叶,附着于脊柱第九椎骨处。
《卮言》说:肝即干,属木,象征树木的枝干。
足厥阴肝经:肝是将军之官,谋略思虑由此产生。主管收纳血液,被称为血海,是魂居住的地方。其荣华表现在指甲上,其充养组织在筋脉。其方位在东,其时令对应春季,其颜色为青色,其脉象弦而长,其气味臊,其声音为呼。在七情中对应怒,在六气中对应风,在五味中对应酸,在天干中对应乙,在地支中对应卯,在八卦中对应巽,在五行中属木。其母脏为肾水,其子脏为心火。其克制脾土,其被肺金所克(贼)。其外部征候反映在外生殖器,与胆互为表里。其经脉气血特点是气少而血多,丑时气血灌注于此。其功能不足则表现为悲伤,其功能有余则表现为愤怒。其平和脉象为弦脉,其受邪脉象为涩脉。其死亡之日为庚辛日。其对应的家畜为鸡,其对应的谷物为麦,在天体上对应岁星。
其临床表现有:头痛,面色脱失光泽,爱清洁,听力丧失,脸颊肿胀,肝气上逆导致面色青,眼睛红肿疼痛,两侧胁肋下疼痛,牵引小腹和胸部疼痛,胁部肿胀,妇女小腹肿胀,腰痛不能俯仰,四肢胀满僵硬伸展,热性呕吐逆气,睾丸疝气突发瘙痒,脚部逆冷,容易抽搐,遗尿,小便淋漓困难,癃闭、狐疝,头目眩晕、转筋,阴器收缩、筋脉拘挛,容易恐惧,胸中气喘,骂人叫嚣。血液瘀积在胁下,导致气喘。恚怒之气上逆而不能下行,则会损伤肝脏。实证则梦见山林大树,虚证则梦见细草苔藓。怒伤肝,悲能胜怒;风伤筋,燥能胜风;酸伤筋,辛能胜酸,酸味入筋,筋病不要多吃酸味食物。多吃辛味,则会导致筋脉拘挛紧急而指甲枯槁。
该经脉的走向,接受足少阳胆经的交会,起始于足大趾丛毛处的大敦穴,沿足背内侧上行,经过行间、太冲穴,到达内踝前一寸的中封穴;从中封穴向上经过内踝,越过足太阴脾经的三阴交穴,经过蠡沟、中都穴,再上一寸,交出足太阴脾经之后,沿大腿内侧上行,直至膝关、曲泉穴,向上沿大腿内侧的阴包、五里、阴廉穴,正好位于足太阴脾经冲门、府舍穴的分界处,进入任脉的阴毛部位,左右相交,环绕外生殖器,抵达小腹并向上,会合于任脉的曲骨、中极、关元穴,沿本经的章门穴,至期门穴所在,夹胃属肝,向下经过足少阳胆经日月穴的分界,联络于胆。从期门穴向上贯穿膈肌,行走在足太阴脾经食窦穴之外、大包穴之内,散布于胁下。上行至手太阴肺经云门穴与足少阳胆经渊腋穴之间,足阳明胃经人迎穴之外,沿喉咙后方,向上进入颃颡(鼻咽部),再行走在足阳明胃经地仓、人迎、四白穴之外,连接目系,向上出于额部,行走在胆经临泣穴的内侧,与督脉会合于头顶的百会穴;其分支,从目系向下,行走在任脉外侧、本经中间,下行至颊里,交叉环绕于唇口内部;其又一支,从期门属肝处分出,别行贯穿膈肌,行走在足太阴脾经食窦穴之外、本经内侧,向上注入肺,下行至中焦,夹任脉的中脘穴分界,以交于手太阴肺经,由中府、云门、天府穴向下行走。
[Image: p06-d33a22-1.bmp]
[Image: p06-d33a23.bmp]
The liver weighs four jin and four liang. It has two lobes on the left and four lobes on the right, attached to the ninth thoracic vertebra of the spine.
*Zhiyan* states: The liver (Gan) is the trunk; it belongs to Wood and symbolizes the branches and trunk of a tree.
Foot-Jueyin Liver Meridian: The liver is the official of the general, from which strategies and deliberations emerge. It governs the reception of blood, is called the Sea of Blood, and is the residence of the Hun (Ethereal Soul). Its luster manifests in the nails, and its nourishment fills the sinews. Its direction is East, its season corresponds to Spring, its color is Green, its pulse is Wiry (Xian) and long, its odor is fishy, and its sound is the shout. In the Seven Emotions, it corresponds to Anger; in the Six Qi, it corresponds to Wind; in the Five Flavors, it corresponds to Sour; in the Heavenly Stems, it corresponds to Yi; in the Earthly Branches, it corresponds to Mao; in the Eight Trigrams, it corresponds to Xun; and in the Five Elements, it belongs to Wood. Its mother organ is the Kidney Water, and its child organ is the Heart Fire. It controls Spleen Earth, and is controlled by Lung Metal. Its external manifestation is reflected in the genitalia, and it forms an interior-exterior relationship with the Gallbladder. Its meridian is characterized by little Qi and abundant Blood, with Qi and Blood pouring into it during the Chou hour (1:00 AM - 3:00 AM). When deficient, it manifests as sorrow; when excessive, it manifests as anger. Its healthy pulse is Wiry, and its pathological pulse is Choppy (Se). Death occurs on Geng or Xin days. Its associated domestic animal is the chicken, its grain is wheat, and in the heavens, it corresponds to the Planet Jupiter (Sui Xing).
Its clinical manifestations include: headache, loss of luster in complexion, excessive cleanliness, hearing loss, swelling of the cheeks, liver Qi rebellion causing greenish face, redness and swelling pain of the eyes, pain under both hypochondria radiating to the lower abdomen and chest, swelling of the hypochondrium, swelling of the lower abdomen in women, low back pain preventing bending and straightening, fullness and stiffness of the four limbs, hot vomiting and rebellious Qi, sudden itching of testicular hernia, cold feet, frequent spasms, urinary incontinence, difficult and dribbling urination, strangury and fox hernia, dizziness and convulsions, retraction of the genitals and tendon cramping, fearfulness, wheezing in the chest, and cursing. Blood stasis in the hypochondrium causes wheezing. Resentful anger rising upward without descending will damage the Liver. Excess patterns manifest as dreams of forests and large trees; deficiency patterns manifest as dreams of fine grass and moss. Anger damages the Liver, but Sorrow can overcome Anger; Wind damages the Sinews, but Dryness can overcome Wind; Sour damages the Sinews, but Pungent can overcome Sour. Sour flavor enters the sinews; for sinew diseases, one should not consume too much sour food. Consuming too much Pungent food leads to tendon cramping and dry nails.
The pathway of this meridian receives intersection with the Foot-Shaoyang Gallbladder Meridian. It originates at Dadun (LR1), located in the hair cluster on the tip of the big toe, runs along the medial aspect of the foot, passes through Xingjian (LR2) and Taichong (LR3), reaches Zhongfeng (LR4), one cun anterior to the medial malleolus; from Zhongfeng, it ascends past the ankle, crossing the Sanyinjiao (SP6) point of the Foot-Taiyin Spleen Meridian, passes through Ligou (LR5) and Zhongdu (LR6), ascends another cun, emerges posterior to the Foot-Taiyin Spleen Meridian, runs along the medial thigh to Xiguan and Ququan (LR8), continues upward along the medial thigh through Yinbao, Wuli, and Yinlian, arriving precisely at the boundary of Chongmen and Fushhe of the Foot-Taiyin Spleen Meridian, enters the pubic region of the Ren Mai (Conception Vessel), crosses midline, surrounds the external genitalia, reaches the lower abdomen and ascends, meeting the Qugu, Zhongji, and Guanyuan points of the Ren Mai, follows the Zhangmen point of this meridian to Qimen (LR14), flanks the stomach and connects to the Liver, descends passing the Riyue point of the Foot-Shaoyang Gallbladder Meridian, and links to the Gallbladder. From Qimen, it ascends through the diaphragm, running outside the Shidou point and inside the Dabao point of the Foot-Taiyin Spleen Meridian, spreading in the hypochondriac region. It ascends between Yunmen of the Hand-Taiyin Lung Meridian and Yuanye of the Foot-Shaoyang Gallbladder Meridian, outside the Yingjing point of the Foot-Yangming Stomach Meridian, runs behind the throat, ascends into the pharynx (Hangsang), again runs outside the Dicang, Yingjing, and Sibai points of the Foot-Yangming Stomach Meridian, connects to the eye system, ascends out of the forehead, runs inside the Linqi point of the Gallbladder Meridian, and meets the Du Mai (Governing Vessel) at Baihui (GV20) on the vertex; its branch descends from the eye system, running outside the Ren Mai and within this meridian, descending to the inner cheek, crossing and surrounding the interior of the lips and mouth; another branch diverges from the Liver connection at Qimen, pierces the diaphragm, runs outside the Shidou point of the Foot-Taiyin Spleen Meridian and inside this meridian, ascends to pour into the Lungs, descends to the Middle Jiao, flanks the Zhongwan point of the Ren Mai, and intersects with the Hand-Taiyin Lung Meridian, descending from Zhongfu, Yunmen, and Tianfu.