络一十有五,有横络、有经络,一万八千。有孙络,不知其纪。
络穴说
络穴正在两经中间,假令立身叉手取之,大指次指端尽处,手腕后高骨缝间列缺是也。
内为
手太阴肺经,外为手阳明大肠经,列缺穴交两经之中。若刺络穴,表里皆活,他皆仿此。
络穴辨
流注六十六穴内,无此一十五络穴,一十二经,每经络各有一络穴,外有三络穴。阳跷
络在足太阳经,阴跷络在足少阴经,脾之大络,在足太阴络,此一十五络穴之辨。
足厥阴肝经上内踝八寸,交出足太阴脾经之后,足太阴脾经,却交出足厥阴肝经之前。
予问∶脉之理果是气耶,果是血耶?答曰∶气血之波澜,身体之橐 ,此说特未契理。
脉者
陌也,魂魄之生,气血之府也,天地之祖,万物之宗,此说极有气味,吾常拟此。予问∶经
之理,果何意耶?答曰∶经者气血经历之路也,故曰经。予问∶身寸之寸拟何寸为寸?答曰∶
以中指大指相屈如环,取内侧纹两角为寸,各随大小取之。问∶手太阴经起自肺何耶?答曰
∶食入于胃,输精于脾,播气于肺,此之谓也。问曰∶周身之穴各有两,如补泻时只刺病所
?两穴俱刺耶?答曰∶不然,随病左右而补泻之,左则左补泻,右则右补泻。问曰∶何为络?
答曰∶横者为络,络穴一十有五。问∶针经云,灸几壮,针讫而复灸何也?答曰∶针则针,
灸则灸,若针而弗灸,若灸而弗针。问曰∶荣卫之理果何为耶?答曰∶难经云,血为荣,气
为卫,荣行脉中,卫行脉外。问∶捻针之法有左有右,何谓之左?何谓之右?答曰∶以大指次
指相合,大指往上进,谓之左;大指往下退,谓之右,如内针时须索一左一右。
十五络脉,包括横络和经络,共计一万八千条。还有孙络(细小的络脉),其数量多到无法计数。
络穴说
络穴位于两条经脉的中间。例如,站立时双手交叉取穴,在大拇指和食指指尖尽头处,手腕后方高骨缝隙间的列缺穴就是其中之一。
内侧为手太阴肺经,外侧为手阳明大肠经,列缺穴正交于这两条经脉之间。如果针刺络穴,表里两经的气血都能通畅,其他穴位也依此类推。
络穴辨
在流注六十六穴中,不包含这十五条络穴。十二正经,每条经各有一个络穴,此外还有三条特殊的络穴。阳跷络脉位于足太阳膀胱经,阴跷络脉位于足少阴肾经,脾之大络脉位于足太阴脾经,这就是十五条络穴的区别。
足厥阴肝经在内踝上八寸处,从足太阴脾经之后交叉出来;而足太阴脾经,则从足厥阴肝经之前交叉出来。
我问:脉象的道理,究竟是气呢,还是血呢?回答说:气血的波澜,如同身体的风箱(橐龠),这种说法特别不符合医理。
脉,是路径的意思,是魂魄产生、气血汇聚的地方,是天地的始祖,万物的宗源,这种说法极有深意,我常常以此自拟。我问:经脉的道理,究竟是什么意思呢?回答说:经脉是气血运行的道路,所以称为经。我问:人身寸法中的“寸”,参照什么来定为“寸”呢?回答说:用中指和大指弯曲成环状,取内侧纹路两个角的距离作为一寸,根据每个人的大小比例来取用。问:为什么手太阴肺经起自于肺脏呢?回答说:食物进入胃中,将精微物质输送给脾,再将气散布到肺,说的就是这个道理。问:全身的穴位左右各有两个,如进行补泻手法时,只刺患病一侧的穴位吗?还是两侧都刺呢?回答说:不是这样,要根据病位的左右来进行补泻,左边有病就左补左泻,右边有病就右补右泻。问:什么是络脉?回答说:横向分布的是络脉,共有十五条络穴。问:《针经》中说,灸多少壮,针刺完后又再施灸,这是为什么呢?回答说:该针刺时就针刺,该艾灸时就艾灸,如果只针刺而不艾灸,或者只艾灸而不针刺,都是不完整的。问:营卫的道理究竟是什么呢?回答说:《难经》中说,血属于营,气属于卫,营气运行在脉管之中,卫气运行在脉管之外。问:捻针的手法有向左和向右之分,什么叫左?什么叫右?回答说:用大拇指和食指相合,大拇指向前上方推进,称为左;大拇指向后下方退却,称为右,如在进针时必须要求一左一右交替进行。
There are fifteen Luo (Collateral) vessels, including Hengluo (Horizontal Collaterals) and Jingluo (Meridian Collaterals), totaling eighteen thousand. There are also Sunluo (Sun Collaterals), whose numbers are incalculable.
On Luo Acupoints
Luo acupoints are located midway between two meridians. For example, when standing with hands crossed to locate the point, Lieque (LU 7) is found in the gap behind the high bone at the wrist, at the end of the thumb and index finger.
The medial side is the Hand-Taiyin Lung Meridian (Hand-Taiyin Fei Jing), and the lateral side is the Hand-Yangming Large Intestine Meridian (Hand-Yangming Dachang Jing). The Lieque acupoint intersects these two meridians. If a Luo acupoint is needled, both the exterior and interior aspects become active; other points follow this principle.
Differentiation of Luo Acupoints
Among the sixty-six flowing and circulating acupoints, these fifteen Luo acupoints are not included. Each of the twelve regular meridians has one Luo acupoint, plus three additional special Luo acupoints. The Yangqiao Luo collateral is located in the Foot-Taiyang Bladder Meridian (Foot-Taiyang Pangguang Jing); the Yinqiao Luo collateral is located in the Foot-Shaoyin Kidney Meridian (Foot-Shaoyin Shen Jing); and the Great Luo of the Spleen is located in the Foot-Taiyin Spleen Meridian (Foot-Taiyin Pijing). This distinguishes the fifteen Luo acupoints.
The Foot-Jueyin Liver Meridian (Foot-Jueyin Ganying) crosses out from behind the Foot-Taiyin Spleen Meridian at eight cun above the medial malleolus. The Foot-Taiyin Spleen Meridian, in turn, crosses out from in front of the Foot-Jueyin Liver Meridian.
I asked: Is the principle of pulse truly Qi, or is it Blood? The answer was: The waves of Qi and Blood are like the bellows (Tuoyue) of the body; this specific theory does not accord with reason.
Pulse (Mai) means a path; it is where Hun and Po souls are generated, and where Qi and Blood gather. It is the ancestor of Heaven and Earth, and the source of all things. This theory holds profound meaning, which I often emulate. I asked: What is the true meaning of the principle of Jing (Meridians)? The answer was: Jing refers to the pathways through which Qi and Blood travel, hence it is called Jing. I asked: Regarding the "cun" measurement on the body, what serves as the reference for a "cun"? The answer was: Bend the middle finger and thumb together into a ring shape; take the distance between the two corners of the inner crease as one cun, adjusting according to individual size. Question: Why does the Hand-Taiyin Lung Meridian originate from the Lung? Answer: Food enters the Stomach, essence is transported to the Spleen, and Qi is distributed to the Lung; this is what is meant. Question: Every acupoint on the body exists in pairs on the left and right. When applying tonification or sedation techniques, do we only needle the affected side, or both sides? Answer: Not so. Tonify and sedate according to the location of the disease; if the disease is on the left, tonify and sedate the left; if on the right, tonify and sedate the right. Question: What constitutes a Luo (Collateral)? Answer: Those that run horizontally are Luos, and there are fifteen Luo acupoints. Question: The *Zhenjing* (Needle Classic) states: "Moxibustion for how many moxa cones? After needling, why apply moxibustion again?" Answer: Needling should be done when indicated, and moxibustion when indicated. If one needles without moxibustion, or moxibustion without needling, it is incomplete. Question: What is the principle of Ying (Nutritive) and Wei (Defensive) Qi? Answer: The *Nanjing* (Classic of Difficult Issues) states: Blood is Ying, Qi is Wei. Ying circulates within the vessels, while Wei circulates outside the vessels. Question: The method of twirling the needle has left and right directions. What is defined as left? What is defined as right? Answer: Bring the thumb and index finger together. Advancing the thumb forward and upward is called left; retreating the thumb backward and downward is called right. When inserting the needle, one must alternate left and right.