\r足经起止图\p06-d33a27.bmp\r
涌泉穴 足少阴肾经之穴,在足心,肾脉起于此穴,止于俞府。
至阴穴 足太阳膀胱之穴,在足小指外侧之端,膀胱脉起于睛明,止于此穴。
窍阴穴 足少阳胆经之穴,在足小指次指之端,胆脉起于瞳子 ,止于此穴。
厉兑穴 足阳明胃经之穴,在足大指内次指之端,胃脉起于承泣,止于此穴。
隐白穴 足太阴脾经之穴,在足大指之外侧也,脾脉起于此穴,止于大包。
大敦六 足厥阴肝经之穴,在足大指之端三毛之中,肝脉起于此穴,止于期门。
凡言手经者,手之三阴,从胸走手,手之三阳,从手走头;脉气之行,不至于足也。凡言足经者,足之三阴,从足
走胸;足之三阳,从头走足;脉气之行,不至于手也(此手足阴阳之说,较之井、荣、俞、经、合之说,简而明,书之
以便后学观览)。
以上图论详注,明阴阳交接,阳不混于阴,阴不混于阳,以见阴阳之不杂。
以下借为问答,明阴阳交济,阳中有阴,阴中有阳,以见阴阳之不离。
或问∶头为诸阳之首,阴气自HT 项而回,如手三阴,肩胸走手,足三阴,自足走胸,全不及于头面,然则头面之
部,全无阴乎?答曰∶何得无阴?如眼者,肝之窍,肝乃足厥阴经也。鼻者,肺之窍,肺乃手太阴经也。耳者,肾之
窍,肾乃足少阴经也。舌者,心之窍,心乃手少阴经也。口者,脾之窍,脾乃足太阴经也。何尝无阴?
或问∶十二经有十二络,共任、督、脾络而为十五络。其经一一相传,宜皆谓之经。其经之外,又何者为络也?答
曰∶人身脉气之行,直行大隧者为经,分支交经者为络。十二经之络,乃十二经之别也。盖别者,本经脉气,行至交经
之处,所交之经,则直行其经矣,而本经之脉,则散之诸经,以养诸经之脉,而别行之,所谓络脉也。如手太阴肺经,
其脉气之行,起于中焦,自胸博中府穴,下行至手大指之少商穴而止,自此其脉气则散于诸经,以养诸经之脉。自列缺
穴,交手阳明大肠经,而阳明经,则又自手大指次指之端商阳穴,往上而直行其经矣。此言肺之一经,诸经仿此。盖人
之一身经有不到之处,络无不到之处矣。
或问∶人身有阴阳,六脏属阴,六腑属阳。足三阴,自足走胸;手三阴,自胸走手;手三阳,自手走头,可易知
也。足三阳,自头走足。足三阳,是胆、胃、膀胱三腑,俱在下部,又谓之足经。其经脉之行,宜自足而上,乃自头而
下者,何也?答曰∶人身一天地也,罗膈以上属天,罗膈以下属地。所以云,呼出于心肺,天也,阳也;吸纳于肾肝,
地也,阴也。头、面、耳、目、口、鼻、舌五脏之透窍,阴也。手三阳、足三阳俱在头,阳也,亦上阳下阴之意,此皆
人身生定不易之阴阳也。至于经络之流行,自阴传阳,自阳传阴,又一身流动之阴阳也。人之一身,上则属阳,天也;
下则属阴,地也。天地阴阳,人生之始,其部位各一分定。足三阳部位穴情既定于头,其脉气之流动,乌得不自高而下
行也?大抵诸经脉气,经络未交,寂然不动;经络一交,脉气即行,是人身流动之阴阳,皆生定不易之阴阳相交接也。
人身是一小天地。今再以天地之阴阳申言之,天属阳,地属阴,此天地已定之阴阳。至于地气上升而为云,天气下降而
为雨,又天地交泰流动之阴阳也。昼则属阳,夜则属阴,亦天地已定之阴阳。至于昼而复夜,夜而复昼,日者,阳之精,
月者,阴之精,每一月初旬,则日前行而月后,先阳而后阴也,十五之后,则月前行而日后,先阴而后阳也,阴阳交济
亦流动之阴阳也。由此推之,人身之阴阳,可洞悉矣。
或问∶真阳之气,蓄于命门。阳气鼓动,煦育无形之气,生有形之质,先天之元气在于此;其气熏蒸脏腑,腐化
水谷,后天之气血生于此,命门之所由称也。而十二经之中,不载命门,何也?答曰∶命门之气,人之有生,胞胎凝结,
即含此气。其气熏蒸煦育先天无形之真阳,生后天有形之脏腑。先生两肾,其次肾生脾,脾生肝,肝生肺,肺生心,以
生其胜己者。肾属水,故五脏由是而为阴。其次心生小肠,小肠生大肠,大肠生胆,胆生胃,胃生膀胱,膀胱三焦,以
生其己胜者。小肠属火,故六腑由是而为阳。则命门实五脏六腑之根蒂,阴阳之橐龠,十二经之总司也。且其气与膈膜
脂膏之内,五脏六腑之隙,水谷流化之关,融会于其间,熏蒸膈膜,腐化水谷,发达皮肤分肉,营运四旁。五脏非此,
悉皆寒凝之质;六腑非此,难成腐化之功。是命门之气,统通脏腑,默行十二经络,岂一经之所能尽,十二经之所能遗
者哉?何谓不载?
足经起止图
涌泉穴:足少阴肾经的穴位,位于足心。肾脉起始于这个穴位,终止于俞府穴。
至阴穴:足太阳膀胱经的穴位,位于足小趾外侧端。膀胱脉起始于睛明穴,终止于这个穴位。
窍阴穴:足少阳胆经的穴位,位于足小趾与次趾(第二趾)之间端。胆脉起始于瞳子髎穴,终止于这个穴位。
厉兑穴:足阳明胃经的穴位,位于足大趾内侧与次趾之间端。胃脉起始于承泣穴,终止于这个穴位。
隐白穴:足太阴脾经的穴位,位于足大趾的外侧。脾脉起始于这个穴位,终止于大包穴。
大敦穴:足厥阴肝经的穴位,位于足大趾末端三毛(指甲后缘毛发)之中。肝脉起始于这个穴位,终止于期门穴。
凡是提到手经的,手的三条阴经从胸部走向手部,手的三条阳经从手部走向头部;脉气的运行不到达足部。凡是提到足经的,足的三条阴经从足部走向胸部;足的三条阳经从头部走向足部;脉气的运行不到达手部。(这种关于手足阴阳的说法,比井、荥、输、经、合五腧穴的理论更简洁明了,写下来以便后学观察阅览)。
以上图和论述详细注释,阐明阴阳交接,阳不混杂于阴,阴不混杂于阳,以此显示阴阳的不杂性。
以下借用问答形式,阐明阴阳交济,阳中有阴,阴中有阳,以此显示阴阳的不离性。
有人问:头是诸阳经的首领,阴气自颈部回转。像手三阴经,从肩胸走向手;足三阴经,从足走向胸,完全不及于头面。那么头面部,完全没有阴经吗?回答说:怎么能没有阴呢?比如眼睛,是肝之窍,肝属于足厥阴经。鼻子,是肺之窍,肺属于手太阴经。耳朵,是肾之窍,肾属于足少阴经。舌头,是心之窍,心属于手少阴经。口,是脾之窍,脾属于足太阴经。哪里曾经没有阴呢?
有人问:十二经脉有十二条络脉,加上任脉、督脉和脾之大络,共为十五络。其经脉一一相传,都应当称为经。在经脉之外,什么又被称为络呢?回答说:人身脉气的运行,直行的大通道称为经,分支交错于经脉之间的称为络。十二经的络脉,乃是十二经的别行部分。大概所谓“别”,是本经脉气行至交会之处,所交会的经脉,则直行其经了,而本经的脉气,则散布到诸经,以滋养诸经的脉气,并别行而出,这就是所谓的络脉。例如手太阴肺经,其脉气的运行,起始于中焦,从胸部的中府穴,下行至手大指端的少商穴而停止,从此处其脉气则散布于诸经,以滋养诸经的脉气。从列缺穴,交手阳明大肠经,而阳明经,则又从手大指次趾端商阳穴,往上而直行其经了。这里只说肺经这一条经,其他各经仿照此类。大概人的一身,经气有不到的地方,络气却没有不到的地方了。
有人问:人身有阴阳,六脏属阴,六腑属阳。足三阴经,从足走向胸;手三阴经,从胸走向手;手三阳经,从手走向头,这容易知道。足三阳经,从头走向足。足三阳经,是胆、胃、膀胱三腑,都在下部,又被称为足经。其经脉的运行,按理应该从足向上,却是从头向下,为什么呢?回答说:人身如同一天地。膈膜以上属天,膈膜以下属地。所以说,呼出出于心肺,是天,是阳;吸纳于肾肝,是地,是阴。头、面、耳、目、口、鼻、舌这些五脏的透窍,属阴。手三阳、足三阳都在头部,属阳,这也是上阳下阴的意思,这都是人生来固定不变的阴阳。至于经络的流行,自阴传阳,自阳传阴,又是一身流动变化的阴阳。人的一身,上部属阳,是天;下部属阴,是地。天地阴阳,是人生之始,其部位各有一份定数。足三阳的部位穴位既然定于头部,其脉气的流动,怎能不从高处向下方行走呢?大致诸经脉气,经络未交会时,寂然不动;经络一经交会,脉气即开始运行,这是人身流动变化的阴阳,都是生来固定不变的阴阳相交接的结果。人身是一个小天地。现在再拿天地的阴阳进一步阐述:天属阳,地属阴,这是天地已定的阴阳。至于地气上升成为云,天气下降成为雨,又是天地交泰流动变化的阴阳。白天属阳,夜晚属阴,也是天地已定的阴阳。至于昼而复夜,夜而复昼,日,是阳之精;月,是阴之精。每月初旬,则日前行而月后行,先阳而后阴;十五之后,则月前行而日后行,先阴而后阳,阴阳交济也是流动变化的阴阳。由此推论,人身的阴阳,可以彻底洞察了。
有人问:真阳之气,蓄积于命门。阳气鼓动,温煦孕育无形之气,生成有形之质,先天元气在于此;其气熏蒸脏腑,腐化水谷,后天气血产生于此,这就是命门得名的原因。而在十二经脉中,不记载命门,为什么呢?回答说:命门之气,在人出生时,胞胎凝结,就含有此气。其气熏蒸温育先天的无形真阳,生成后天的有形脏腑。先生两肾,其次肾生脾,脾生肝,肝生肺,肺生心,以生出克制自己的脏器(按五行相生顺序,实则此处原文逻辑似有倒置或特定语境,通常相生为水生木等,但依原文翻译)。肾属水,所以五脏由此而为阴。其次心生小肠,小肠生大肠,大肠生胆,胆生胃,胃生膀胱,膀胱及三焦,以生出被自己克制的脏器。小肠属火,所以六腑由此而为阳。那么命门实际上是五脏六腑的根本,阴阳的橐龠(风箱,喻气化之源),十二经脉的总司。而且其气与膈膜脂膏之内,五脏六腑的间隙,水谷流化的关口,融会于其间,熏蒸膈膜,腐化水谷,发达皮肤分肉,营运四周。五脏如果没有此气,全都是寒凝之质;六腑如果没有此气,难以成就腐化之功。因此命门之气,统通脏腑,默行于十二经络,岂是一条经所能尽述,十二条经所能遗漏的呢?为什么说没有记载呢?
Diagram of the Starting and Ending Points of the Foot Meridians
Yongquan (Kidney 1): An acupoint of the Foot-Shaoyin Kidney Meridian, located in the center of the sole. The Kidney meridian originates at this point and terminates at Yufo (Kidney 27).
Zhiyin (Bladder 67): An acupoint of the Foot-Taiyang Bladder Meridian, located at the lateral end of the little toe. The Bladder meridian originates at Jingming (Bladder 1) and terminates at this point.
Qiaoyin (Gallbladder 44): An acupoint of the Foot-Shaoyang Gallbladder Meridian, located at the lateral end of the space between the little toe and the second toe. The Gallbladder meridian originates at Tongziliao (Gallbladder 1) and terminates at this point.
Lidui (Stomach 45): An acupoint of the Foot-Yangming Stomach Meridian, located at the medial end of the space between the great toe and the second toe. The Stomach meridian originates at Chengqi (Stomach 1) and terminates at this point.
Yinbai (Spleen 1): An acupoint of the Foot-Taiyin Spleen Meridian, located on the lateral side of the great toe. The Spleen meridian originates at this point and terminates at Dabao (Spleen 21).
Dadun (Liver 1): An acupoint of the Foot-Jueyin Liver Meridian, located among the hair tufts at the tip of the great toe. The Liver meridian originates at this point and terminates at Qimen (Liver 14).
When referring to the Hand Meridians: the three Yin meridians of the hand travel from the chest to the hand; the three Yang meridians of the hand travel from the hand to the head; the flow of meridian Qi does not reach the feet. When referring to the Foot Meridians: the three Yin meridians of the foot travel from the foot to the chest; the three Yang meridians of the foot travel from the head to the foot; the flow of meridian Qi does not reach the hands. (This explanation regarding the Yin and Yang of the hands and feet is simpler and clearer than the theory of the Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points; it is recorded here for the convenience of later students to observe and study.)
The above diagrams and discussions provide detailed annotations to clarify the intersection of Yin and Yang, demonstrating that Yang does not mix with Yin, nor Yin with Yang, thereby showing the distinctness of Yin and Yang.
The following section uses a question-and-answer format to clarify the mutual interaction of Yin and Yang, illustrating that Yang contains Yin and Yin contains Yang, thereby showing the inseparability of Yin and Yang.
Question: The head is the summit of all Yang meridians. Yin Qi returns from the neck. For instance, the three Yin meridians of the hand travel from the shoulder and chest to the hand; the three Yin meridians of the foot travel from the foot to the chest. None of these reach the head and face. Therefore, are there absolutely no Yin meridians in the region of the head and face? Answer: How could there be no Yin? For example, the eyes are the orifices of the Liver, which belongs to the Foot-Jueyin Liver Meridian. The nose is the orifice of the Lung, which belongs to the Hand-Taiyin Lung Meridian. The ears are the orifices of the Kidney, which belongs to the Foot-Shaoyin Kidney Meridian. The tongue is the orifice of the Heart, which belongs to the Hand-Shaoyin Heart Meridian. The mouth is the orifice of the Spleen, which belongs to the Foot-Taiyin Spleen Meridian. Where has there ever been a lack of Yin?
Question: There are twelve collaterals corresponding to the twelve main meridians. Adding the Ren Mai (Conception Vessel), Du Mai (Governing Vessel), and the Great Luo of the Spleen, there are fifteen collaterals in total. Since the meridians transmit sequentially, they should all be called "Meridians." What, outside of the meridians, is called a "Collateral"? Answer: In the human body, the straight, major channels through which Qi flows are called Meridians, while the branches that intersect with the meridians are called Collaterals. The collaterals of the twelve meridians are the divergent branches of the twelve meridians. Essentially, when the Qi of a primary meridian reaches an intersection point, the intersecting meridian continues its straight path, while the Qi of the original meridian disperses into the various meridians to nourish their vessels and travels separately. This is what is meant by "Collateral Vessels." For example, the Hand-Taiyin Lung Meridian originates in the Middle Jiao, descends from Zhongfu (Lung 1) in the chest to Shaoshang (Lung 11) at the tip of the thumb, where it stops. From there, its Qi disperses into the various meridians to nourish them. At the Lieque (Lung 7) point, it connects with the Hand-Yangming Large Intestine Meridian. The Yangming Meridian then proceeds straight upward from Shangyang (Large Intestine 1) at the tip of the index finger. This description applies to the Lung Meridian alone; the other meridians follow this pattern. Generally, in the human body, there are areas where Meridian Qi does not reach, but Collateral Qi reaches everywhere.
Question: The human body possesses Yin and Yang. The six Zang organs belong to Yin, and the six Fu organs belong to Yang. The three Yin meridians of the foot travel from the foot to the chest; the three Yin meridians of the hand travel from the chest to the hand; the three Yang meridians of the hand travel from the hand to the head. These are easily understood. The three Yang meridians of the foot travel from the head to the foot. The three Yang meridians of the foot correspond to the Gallbladder, Stomach, and Bladder Fu organs, which are all located in the lower part of the body and are thus called Foot Meridians. Their meridian flow ought to ascend from the foot, yet it descends from the head. Why is this? Answer: The human body is akin to Heaven and Earth. Above the diaphragm belongs to Heaven; below the diaphragm belongs to Earth. Thus, exhalation arises from the Heart and Lung, which is Heaven and Yang; inhalation is absorbed by the Kidney and Liver, which is Earth and Yin. The orifices of the five Zang organs—the head, face, ears, eyes, mouth, nose, and tongue—belong to Yin. The Hand-Yang and Foot-Yang meridians are all located at the head, belonging to Yang. This also reflects the principle of Yang above and Yin below. These are the fixed, unchanging Yin and Yang inherent in human life. However, the circulation of meridians, transmitting from Yin to Yang and from Yang to Yin, represents the dynamic, flowing Yin and Yang of the body. The upper part of the body belongs to Yang (Heaven); the lower part belongs to Yin (Earth). Heaven and Earth represent the beginning of human life, with their positions fixed. Since the acupoints of the three Yang meridians of the foot are fixed at the head, how can their Qi flow not descend from high to low? Generally, when meridians have not yet intersected, their Qi is still and silent; once they intersect, Qi begins to flow. This dynamic Yin and Yang of the body is formed by the intersection of the fixed, unchanging Yin and Yang. The human body is a microcosm. Let us further elaborate using the Yin and Yang of Heaven and Earth: Heaven is Yang, Earth is Yin; this is the fixed Yin and Yang of Heaven and Earth. When Earth Qi rises to become clouds, and Heaven Qi descends to become rain, this represents the interacting, flowing Yin and Yang of Heaven and Earth. Day is Yang, Night is Yin; this is also the fixed Yin and Yang of Heaven and Earth. As day turns to night and night turns to day: the Sun is the essence of Yang; the Moon is the essence of Yin. During the first half of the lunar month, the Sun moves ahead and the Moon follows, prioritizing Yang then Yin; after the fifteenth day, the Moon moves ahead and the Sun follows, prioritizing Yin then Yang. The mutual interaction of Yin and Yang is also dynamic Yin and Yang. By reasoning from this, the Yin and Yang of the human body can be thoroughly understood.
Question: True Yang Qi is stored in the Gate of Vitality (Mingmen). Yang Qi stirs and warms, nurturing formless Qi and generating material substance; the Pre-Heaven Yuan Qi resides here. Its Qi steams the Zang and Fu organs and transforms food and drink; Post-Heaven Qi and Blood are generated here. This is why it is called the Gate of Vitality. However, the Gate of Vitality is not listed among the twelve meridians. Why? Answer: The Qi of the Gate of Vitality is contained within the embryo at conception. This Qi steams and warms the Pre-Heaven formless True Yang, generating the Post-Heaven material Zang and Fu organs. First, the two Kidneys are formed; then the Kidney generates the Spleen, the Spleen generates the Liver, the Liver generates the Lung, and the Lung generates the Heart, producing the organs that control them (Note: Text implies a specific generative sequence). The Kidney belongs to Water, so the five Zang organs become Yin through this process. Then, the Heart generates the Small Intestine, the Small Intestine generates the Large Intestine, the Large Intestine generates the Gallbladder, the Gallbladder generates the Stomach, the Stomach generates the Bladder, and the Bladder generates the Sanjiao (Triple Burner), producing the organs controlled by them. The Small Intestine belongs to Fire, so the six Fu organs become Yang through this process. Thus, the Gate of Vitality is truly the root of the five Zang and six Fu organs, the bellows of Yin and Yang, and the master of the twelve meridians. Moreover, its Qi integrates with the interior of the diaphragmatic fat, the spaces between the Zang and Fu organs, and the passages for the transformation of food and drink. It steams the diaphragm, transforms food and drink, develops the skin and muscles, and circulates throughout the periphery. Without this Qi, the five Zang organs would be cold and congealed; without this Qi, the six Fu organs could hardly achieve their function of transformation. Therefore, the Qi of the Gate of Vitality connects all Zang and Fu organs and silently traverses the twelve meridians. How could it be exhausted by a single meridian or omitted by the twelve meridians? Why do you say it is not recorded?