\r足少阴肾经图\p06-d32a17.bmp\r
肾有两枝,重一斤二两,状如石卵,附着于脊之十四椎下,各开一寸半。《素问·灵兰秘典论》云∶肾者作强之官,
伎巧出焉。《本藏》篇云∶肾小则藏安难伤;肾大则善病腰痛,不可以俯仰,易伤以邪。肾高则苦臂膂痛,不可以俯仰;
肾下则腰尻痛,不可以俯仰,为狐疝。肾坚则不病腰背痛;肾脆则苦病消瘅易伤。肾端正则和利难伤;肾偏倾则苦腰尻
痛也。黑色小理者肾小,粗理者肾大。高耳者肾高,耳后陷者肾下。耳坚者肾坚,耳薄不坚者肾脆。耳好前居无车者肾
端正,耳偏高者肾偏倾也。
足少阴兮廿七,涌泉流于然谷,天溪太冲兮水泉缘,照海复溜兮交信续,从筑宾兮上阴谷,掩横骨兮大赫麓,气穴
四满兮中注,肓俞上通乎商曲,守石关兮阴都,宁闭通谷兮幽门肃,步郎神封而灵墟存,神藏 中而 府足。
足掌心中是涌泉,然谷踝下一寸前(内踝前一寸),太溪踝后跟骨上,大钟跟后踝中边(足踝后踵中,大骨上两筋
门也)。水泉溪下一寸觅,照海踝下四寸真,复溜踝上前一寸,交信踝上二寸联,二穴止隔筋前后,太阴之后少阴前
(前旁骨是复溜,后旁骨是交信,二穴止隔一条筋)。筑宾内踝上 分,阴谷膝下曲膝间,横骨大赫并气穴,四满中注亦
相连,各开中行止寸半,上下相去一寸便。上膈盲俞亦一寸,肓俞脐旁半寸边,肓俞商曲石关来,阴都通谷幽门开,各
开中行五分侠,六穴上下一寸裁。步郎神封灵墟存,神藏 中俞府尊,各开中行计二寸,上下寸六六穴同,俞府璇玑旁
二寸,取之得法有成功。(马玄台曰∶阴都,中脘旁五分。通谷,上脘旁五分。幽门、巨阙,又按∶下自横骨、气穴,四
满、中注,上下各去一寸。所谓横骨在盲俞下五寸,有以也,但自横骨至中注各开中行一寸半,肓俞、商曲、石关、阴
都、通谷、幽门各开中行五分,自步郎、神封、灵墟、神藏、 中、俞府去中行各二寸。其屈曲有如此,《徐氏针灸书》
皆以二行言误矣。计二十七穴,左右等五十四穴)
\r足少阴肾经之图\p06-d32a18.bmp\r
足少阴肾经图
肾脏有两个,重量各为一斤二两,形状像石蛋,附着在脊柱第十四椎骨下方,左右各距离中线一寸半。《素问·灵兰秘典论》说:肾是作强之官(负责强力工作的器官),技巧由此产生。《本藏》篇说:肾小则脏气安定难以受伤;肾大则容易患腰痛,不能前后俯仰,易被邪气所伤。肾位置高则苦于手臂和脊背疼痛,不能前后俯仰;肾位置低则腰部和尾骶部疼痛,不能前后俯仰,会形成狐疝。肾质地坚实则不患腰背痛;肾质地脆弱则苦于消瘅病(类似糖尿病的症状)且易受伤。肾位置端正则气血调和难以受伤;肾位置偏斜则苦于腰部和尾骶部疼痛。皮肤黑色纹理细密的是肾小,纹理粗糙的是肾大。耳朵位置高的是肾高,耳后凹陷的是肾下。耳朵坚实的是肾坚,耳朵薄而不坚实的是肾脆。耳朵形态好、向前居中无缺损的是肾端正,耳朵偏高的是肾偏斜。
足少阴肾经共有二十七个穴位,涌泉穴流向然谷穴,天溪、太冲、水泉穴缘起,照海、复溜、交信穴相继,从筑宾穴向上到阴谷穴,横骨、大赫、麓骨(此处指代该区域穴位群或笔误,结合下文应为气穴等,但原文如此),气穴、四满、中注穴相连,肓俞穴向上通达商曲穴,守石关穴、阴都穴,宁闭通谷穴、幽门穴肃静,步郎神封穴和灵墟穴存在,神藏、中府、俞府穴充足。
足掌心中是涌泉穴,然谷穴在内踝下一寸前(内踝前一寸),太溪穴在内踝后跟骨上,大钟穴在跟后踝中边(足踝后踵中,大骨上两筋门处)。水泉穴在水泉溪下一寸寻找,照海穴在内踝下四寸处,复溜穴在内踝上前一寸,交信穴在内踝上二寸处,这两个穴位只隔一条筋的前后,位于足太阴脾经之后、足少阴肾经之前(前旁骨是复溜,后旁骨是交信,两穴之间仅隔一条筋)。筑宾穴在内踝上五分,阴谷穴在膝下弯曲的膝盖间,横骨、大赫和气穴,四满和中注也相连,各自距离身体正中线止于一寸半,上下相距一寸便知。膈俞盲俞也相隔一寸,肓俞穴在脐旁半寸边,肓俞、商曲、石关、阴都、通谷、幽门穴依次打开,各自距离身体正中线五分,这六个穴位上下各相距一寸。步郎、神封、灵墟穴存在,神藏、中俞、俞府穴尊贵,各自距离身体正中线计为二寸,上下相距一寸六分,这六个穴位相同,俞府穴在璇玑穴旁二寸,取穴得法会有成功。(马玄台说:阴都穴在中脘穴旁五分。通谷穴在上脘穴旁五分。幽门穴、巨阙穴,又按:下部自横骨、气穴,四满、中注,上下各去一寸。所谓横骨在盲俞下五寸,是有依据的,只是自横骨至中注各开中行一寸半,肓俞、商曲、石关、阴都、通谷、幽门各开中行五分,自步郎、神封、灵墟、神藏、中俞、俞府去中行各二寸。其屈曲情况如此,《徐氏针灸书》都以两行来论述是错误的。共计二十七穴,左右相等共五十四穴)
足少阴肾经之图
Diagram of the Foot-Shaoyin Kidney Meridian
The kidneys are two in number, each weighing one jin and two liang, shaped like stone eggs, attached below the 14th thoracic vertebra of the spine, each located one and a half cun lateral to the midline. The *Suwen: Linglan Midian Lun* states: "The Kidney is the official responsible for strength and vigor, and dexterity arises from it." The *Ben Cang* chapter states: "If the Kidney is small, its storage is secure and difficult to injure; if large, it is prone to lower back pain, inability to bend forward or backward, and susceptibility to pathogenic invasion. If the Kidney is high, there is suffering from arm and back pain, with inability to bend forward or backward; if low, there is pain in the loins and sacrum, with inability to bend forward or backward, leading to Hu Hernia (fox hernia). If the Kidney is firm, there is no lower back pain; if fragile, there is suffering from Xiao Dan disease (wasting-thirst syndrome) and easy injury. If the Kidney is centered, harmony prevails and it is hard to injure; if tilted, there is suffering from loins and sacral pain. Black skin with fine texture indicates a small Kidney; coarse texture indicates a large Kidney. High ears indicate a high Kidney; sunken areas behind the ears indicate a low Kidney. Firm ears indicate a firm Kidney; thin and unfirm ears indicate a fragile Kidney. Ears that are well-formed and positioned forward and centered without defects indicate a centered Kidney; ears positioned higher indicate a tilted Kidney."
The Foot-Shaoyin Kidney Meridian has twenty-seven acupoints. Yongquan flows to RanGu; Tianxi, Taichong, and Shuiquan originate; Zhaohai, Fuliou, and Jiaoxin continue; from Zubin ascending to Yinggu; Henggu, Dahe, and Lu (referring to the region/acupoints); Qixue, Siman, and Zhongzhu connect; Huangshu ascends to reach Shangqu; Shiguan and Yindu are guarded; Tonggu and Youmen are serene; Bulang, Shenfeng, and Lingxu exist; Shencang, Zhongfu, and Yufulu are abundant.
Yongquan is in the center of the sole of the foot. RanGu is one cun anterior to the medial malleolus. Taixi is posterior to the medial malleolus on top of the calcaneus. Dazhong is at the back of the heel, between the ankle and the calcaneus (at the gate of the two tendons above the great bone of the heel). Shuiquan is found one cun below Shuiquan stream. Zhaohai is truly four cun below the medial malleolus. Fuliou is one cun anterior to the medial malleolus. Jiaoxin is linked two cun above the medial malleolus. These two points are separated only by the front and back of a tendon, located posterior to the Foot-Taiyin Spleen Meridian and anterior to the Foot-Shaoyin Kidney Meridian (the bone adjacent anteriorly is Fuliou, the bone adjacent posteriorly is Jiaoxin, separated by only one tendon). Zubin is five fen above the medial malleolus. Yinggu is between the knee and the bent leg. Henggu, Dahe, and Qixue, as well as Siman and Zhongzhu, are connected, each opening one and a half cun from the midline, with one cun distance between upper and lower points. Ge Shu and Huangshu are also one cun apart. Huangshu is at half a cun lateral to the umbilicus. From Huangshu to Shangqu, Shiguan, Yindu, Tonggu, and Youmen open, each five fen lateral to the midline, with one cun spacing vertically among these six points. Bulang, Shenfeng, and Lingxu exist; Shencang, Zhongshu, and Yufulu are honored, each two cun lateral to the midline, with one and six-tenths cun spacing vertically among these six points. Yufulu is two cun lateral to Xuanji. Correct needle retrieval leads to success. (Ma Xuantai says: Yindu is five fen lateral to Zhongwan. Tonggu is five fen lateral to Shangwan. Youmen and Juque. Furthermore: Lower down, from Henggu and Qixue, to Siman and Zhongzhu, the vertical distance is one cun. It is said that Henggu is five cun below Huangshu, which has basis. However, from Henggu to Zhongzhu, each opens one and a half cun from the midline; Huangshu, Shangqu, Shiguan, Yindu, Tonggu, and Youmen each open five fen from the midline; from Bulang, Shenfeng, Lingxu, Shencang, Zhongshu, and Yufulu, each is two cun from the midline. Their curvature is thus. The *Xu's Acupuncture Book* erroneously describes them as two rows. Totaling twenty-seven points, left and right equal fifty-four points.)
Diagram of the Foot-Shaoyin Kidney Meridian