春夏先深而后浅,秋冬先浅而后深,随处按之呼吸轻,迎而吸之寻内关,补虚泻实
公孙是,列缺次当照海深,临泣、外关和上下,后溪、申脉用金针。先深后浅行阴数,前三
后二却是阴,先浅后深阳数法,前二后三阳数定。临泣、公孙肠中病,脊头腰背申脉攻,照
海
慢按阳气降,取阳取阴皆六数,达人刺处有奇功。
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五脏∶脏者,藏也;心藏神,肺藏魄,肝藏魂,脾藏意与智,肾藏
精与志,故为五脏。
六腑∶腑者,府也;胆、胃、大肠、小肠、三焦、膀胱、受五脏浊气,名传化之府,故
五脏藏精而不泻,故满而不实。六腑输泻而不藏,故实而不满。如水谷入口,则胃实而
肠虚,食下,则肠实而胃虚。故曰∶实而不满。
肺重三斤三两,六叶两耳,四垂如盖,附脊第三椎,中有二十四孔,行列,分布诸脏清
浊之气,为五脏华盖云。
心重十二两,七孔三毛,形如未敷莲花,居肺下鬲上,附脊第五椎。
心包络,在心下横膜之上,竖膜之下,与横膜相粘而黄脂幔裹者,心也。外有细筋膜如
丝,与心肺相连者,包络也。
三焦者,水谷之道路,气之所终始也。上焦在心下、胃上,其治在膻中,直两乳间陷中
者。中焦在胃中脘,当脐上四寸,其治在脐旁。下焦当膀胱上际,其治在脐下一寸。
肝重二斤四两,左三叶,右四叶,其治在左,其脏在右胁、右肾之前,并胃,附脊第九
胆在肝之短叶间,重三两三铢,包精汁三合。
膈膜前齐鸠尾,后齐十一椎,周遭着脊,以遮隔浊气,不使上熏心肺也。
脾重二斤三两,广三寸,长五寸,掩乎太仓,附脊十一椎。
胃重二斤一两,大一尺五寸,径五寸,纡曲屈伸,长二尺六寸。
小肠重二斤十四两,长三丈二尺,左回迭积十六曲。小肠上口,即胃之下口,在脐上二
寸;复下一寸水分穴,为小肠下口,至是而泌别清浊,水液入膀胱,滓秽入大肠。
大肠重二斤十二两,长二丈一尺,广四寸,右回迭十六曲,当脐中心。大肠上口,即小
肾有两枚,重一斤一两;状如石卵,色黄紫,当胃下两旁,入脊膂,附脊十四椎,前与
膀胱重九两二铢,广九寸,居肾下之前,大肠之侧,膀胱上际,即小肠下口,水液由是
脊骨二十一节,取穴之法,以平肩为大椎,即百劳穴也。
春夏季节针刺宜先深后浅,秋冬季节针刺宜先浅后深。施针时随患者呼吸节奏轻缓操作,吸气时进针以寻得内关穴之感应,此为补虚泻实之法。公孙穴、列缺穴、照海穴、临泣穴、外关穴、后溪穴、申脉穴等八脉交会穴各有其用:临泣与外关主治上下半身疾病,后溪与申脉可用金针治疗。先深后浅的操作遵循阴数法则,前三次深刺、后两次浅刺属阴;先浅后深的操作遵循阳数法则,前两次浅刺、后三次深刺属阳。临泣、公孙穴主治肠道疾病,申脉穴主治脊柱、头部及腰背部疾病,照海穴需慢按以使阳气下降。取阳经或阴经穴位均行六次捻转,高明的医家运用此法能取得奇效。
脏腑图谱(图片略)
仰卧人体经络图(图片略)
俯卧人体经络图(图片略)
五脏:脏的功能是贮藏精气;心藏神,肺藏魄,肝藏魂,脾藏意和智,肾藏精和志,因此称为五脏。
六腑:腑的功能是传化水谷;胆、胃、大肠、小肠、三焦、膀胱接受五脏的浊气,称为传化之府。所以五脏贮藏精气而不妄泄,特点是“满而不实”;六腑传导排泄而不贮藏,特点是“实而不满”。例如食物进入口中,则胃充实而肠空虚;食物下行后,则肠充实而胃空虚。所以说六腑“实而不满”。
肺重三斤三两,有六叶两耳,形状下垂如盖,附着于第三胸椎处,中间有二十四个孔洞,行列分布,输布各脏腑的清浊之气,被称为五脏的华盖。
心脏重十二两,有七孔三毛,形状像未开放的莲花,位于肺下膈上,附着于第五胸椎处。
心包络位于心脏下方的横膜之上、竖膜之下,与横膜相连并被黄色脂肪包裹的是心脏本身;外部有细筋膜如丝状,连接心肺的是心包络。
三焦是水谷运行的道路,也是气机起止的地方。上焦位于心下、胃上,其治疗部位在膻中穴,即两乳之间凹陷处;中焦位于胃的中脘部,即脐上四寸处,其治疗部位在脐旁;下焦位于膀胱上际,其治疗部位在脐下一寸处。
肝脏重二斤四两,左有三叶,右有四叶,其功能主治偏向左侧,脏器位置在右侧胁下、右肾之前,并与胃相邻,附着于第九胸椎处。
胆囊位于肝脏短叶之间,重三两三铢,容纳胆汁三合。
膈膜前方齐平鸠尾穴,后方齐平第十一胸椎,周围附着于脊柱,用以阻隔浊气,防止其上熏心肺。
脾脏重二斤三两,宽三寸,长五寸,覆盖在太仓(胃)之上,附着于第十一胸椎处。
胃重二斤一两,周长一尺五寸,直径五寸,迂曲伸缩,长二尺六寸。
小肠重二斤十四两,长三丈二尺,向左回旋重叠十六个弯曲。小肠上口即胃的下口,位于脐上二寸;再下一寸为水分穴,是小肠下口,至此分别清浊,水液进入膀胱,糟粕进入大肠。
大肠重二斤十二两,长二丈一尺,宽四寸,向右回旋重叠十六个弯曲,正对脐中心。大肠上口即小肠下口……(原文此处似有错简或省略,接下文肾脏描述)
肾脏有两个,重一斤一两;形状像石卵,颜色黄紫,位于胃下方两侧,深入脊骨肌肉间,附着于第十四胸椎处,前方与膀胱相邻。
膀胱重九两二铢,宽九寸,位于肾脏前方、大肠侧面,即小肠下口处,水液由此通过。
脊柱共有二十一节,取穴方法是以肩膀平齐处为大椎穴,即百劳穴。
In spring and summer, needling should be deep first and shallow later; in autumn and winter, it should be shallow first and deep later. Needle gently according to the patient's respiration. When inhaling, advance the needle to locate Neiguan (PC6), which is the method for tonifying deficiency and draining excess. The eight Confluent Points—Gongsun (SP4), Lieque (LU7), Zhaohai (KI6), Qianjin (GB41), Waiguan (TE5), Houxi (SI3), and Shenmai (BL62)—have specific indications: Qianjin and Waiguan treat disorders of the upper and lower body; Houxi and Shenmai can be treated with golden needles. Deep-then-shallow manipulation follows Yin numbers: three deep insertions followed by two shallow ones constitute Yin. Shallow-then-deep manipulation follows Yang numbers: two shallow insertions followed by three deep ones constitute Yang. Qianjin and Gongsun treat intestinal diseases; Shenmai treats spinal, head, and lumbar-dorsal diseases; Zhaohai requires slow pressing to descend Yang Qi. Whether selecting Yang or Yin meridians, six manipulations are performed. Skilled practitioners achieve remarkable results with this technique.
[Diagram of Zang-Fu Organs]
[Meridian Diagram of Supine Position]
[Meridian Diagram of Prone Position]
The Five Zang Organs: "Zang" means to store. The Heart stores Shen (Spirit), the Lungs store Po (Corporeal Soul), the Liver stores Hun (Ethereal Soul), the Spleen stores Yi (Intellect) and Zhi (Will), and the Kidneys store Jing (Essence) and Zhi (Will). Thus, they are called the Five Zang Organs.
The Six Fu Organs: "Fu" means mansion or storage for transformation. The Gallbladder, Stomach, Large Intestine, Small Intestine, Sanjiao (Triple Burner), and Bladder receive turbid Qi from the Zang organs and are called the organs of transformation. Therefore, the Five Zang organs store essence without leaking, characterized by being "full but not solid." The Six Fu organs transmit and excrete without storing, characterized by being "solid but not full." For example, when food enters the mouth, the Stomach is full while the Intestines are empty; after digestion, the Intestines are full while the Stomach is empty. Hence, it is said that Fu organs are "solid but not full."
The Lungs weigh 3 jin 3 liang, have six lobes and two ears, hang down like a canopy, attach to the third thoracic vertebra, and contain twenty-four pores arranged in rows to distribute clear and turbid Qi among the Zang organs. They are known as the "Canopy of the Five Zang Organs."
The Heart weighs 12 liang, has seven apertures and three hairs, resembles an unopened lotus flower, lies below the Lungs and above the Diaphragm, and attaches to the fifth thoracic vertebra.
The Pericardium (Xin Bao Luo) is located above the transverse membrane and below the vertical membrane beneath the Heart. The part adhering to the transverse membrane and wrapped in yellow fat is the Heart itself. The fine fibrous membranes connecting externally to the Heart and Lungs constitute the Pericardium.
The Sanjiao (Triple Burner) is the pathway for water and grain and the starting and ending point of Qi. The Upper Jiao is below the Heart and above the Stomach; its treatment area is Danzhong (CV17), the depression between the nipples. The Middle Jiao is at Zhongwan (CV12) in the Stomach, four cun above the umbilicus; its treatment area is beside the umbilicus. The Lower Jiao is at the upper margin of the Bladder; its treatment area is one cun below the umbilicus.
The Liver weighs 2 jin 4 liang, has three lobes on the left and four on the right. Its functional dominance is on the left, but its anatomical position is in the right hypochondrium, anterior to the right Kidney, adjacent to the Stomach, and attached to the ninth thoracic vertebra.
The Gallbladder is located between the short lobes of the Liver, weighs 3 liang 3 zhu, and contains 3 he of bile.
The Diaphragm aligns anteriorly with Jiutui (CV15) and posteriorly with the eleventh thoracic vertebra. It attaches circumferentially to the spine to isolate turbid Qi, preventing it from steaming upward to harm the Heart and Lungs.
The Spleen weighs 2 jin 3 liang, is 3 cun wide and 5 cun long, covers the Tai Cang (Stomach), and attaches to the eleventh thoracic vertebra.
The Stomach weighs 2 jin 1 liang, has a circumference of 1 chi 5 cun, a diameter of 5 cun, is tortuous and flexible, and is 2 chi 6 cun long.
The Small Intestine weighs 2 jin 14 liang, is 3 zhang 2 chi long, and loops back upon itself sixteen times on the left. Its upper opening is the lower opening of the Stomach, located 2 cun above the umbilicus. One cun below this is the Shuifen (CV9) acupoint, which is the lower opening of the Small Intestine. Here, clear and turbid substances are separated: fluid enters the Bladder, and waste enters the Large Intestine.
The Large Intestine weighs 2 jin 12 liang, is 2 zhang 1 chi long, 4 cun wide, and loops back upon itself sixteen times on the right, opposite the center of the umbilicus. Its upper opening is the lower opening of the Small Intestine... [Text continues with Kidney description due to original text anomaly].
The Kidneys are two in number, weighing 1 jin 1 liang each. They resemble stone eggs, are yellow-purple in color, lie on both sides below the Stomach, extend into the spinal muscles, and attach to the fourteenth thoracic vertebra, anterior to the Bladder.
The Bladder weighs 9 liang 2 zhu, is 9 cun wide, lies anterior to the Kidneys and lateral to the Large Intestine, at the upper margin of the Bladder (which corresponds to the lower opening of the Small Intestine), through which fluid passes.
There are twenty-one segments of the vertebral column. The method for locating acupoints uses the level of the shoulders as the Dazhui (GV14) acupoint, also known as Bailao (EX-B1).