足太陽脉,令人腰痛,引項脊凥背如重狀,刺其郄中,太陽正經出血,春無見血。
足太阳脉,令人腰痛,引项脊凥背如重状,刺其郄中,太阳正经出血,春无见血。
Zú tài yáng mài, lìng rén yāo tòng, yǐn xiàng jǐ jū bèi rú zhòng zhuàng, cì qí xì zhōng, tài yáng zhèng jīng chū xuè, chūn wú xiàn xuè.
When the foot greater yang vessel is affected, it gives a person pain in the lower back that draws up into the nape, the spine and the seat, as though one were carrying a weight. Needle the cleft centre and let blood from the greater yang main conduit. In spring, do not bring blood to view.
**「足太陽脉,令人腰痛,引項脊凥背如重狀」是開篇第一條**,**「令人腰痛」五字為每條之起句**——**本篇二十四條,「腰痛」19見**。「脊」讀 jǐ**本篇4見**;「凥」讀 jū**本篇2見**,**尸下从几,居之本字,不作「尻」(「尻」讀 kāo)**;「重」讀 zhòng**「如重狀」讀 zhòng**;「項」讀 xiàng**「引項脊」之項讀 xiàng**。**「太陽正經出血,春無見血」——「見」讀 xiàn**。
厥陰厥逆,攣腰痛,虚滿前閉,譫言,治主病者。
厥阴厥逆,挛腰痛,虚满前闭,谵言,治主病者。
Jué yīn jué nì, luán yāo tòng, xū mǎn qián bì, zhān yán, zhì zhǔ bìng zhě.
In counterflow inversion of ceasing yin there is cramping pain in the lower back, empty fullness and closure in front, and delirious speech; treat what governs the disease.
「厥陰厥逆,攣腰痛」——**本篇「腰」三見**;**厥陰之脉抵少腹、貫膈布脅肋,故其逆則腰痛而攣**;**「虚滿」之滿,無形之脹也**。
帝曰:何以言之?歧伯曰:少陰脉貫腎絡肺,今得肺脉。腎爲之病,故腎爲腰痛之病也。
帝曰:何以言之?歧伯曰:少阴脉贯肾络肺,今得肺脉。肾为之病,故肾为腰痛之病也。
Dì yuē: hé yǐ yán zhī? Qí bó yuē: shào yīn mài guàn shèn luò fèi, jīn dé fèi mài. Shèn wéi zhī bìng, gù shèn wéi yāo tòng zhī bìng yě.
The Emperor asks: how do you say that? Qi Bo says: the lesser yin conduit penetrates the kidney and networks the lung, and now one finds a lung conduit. The kidney is made ill by it, and so the kidney is the disease of pain in the low back.
「故腎爲「腰」讀 yāo「痛」讀 tòng之病也」——**本篇「腰痛」2見**;「腎」讀 shèn、**腎讀 shèn**;「爲」讀 wéi、**「腎爲之病」「腎爲腰痛之病」二爲皆讀 wéi**;**上文「在左當主病在腎,頗關在肺,當腰痛也」,為此句之發端**。
少陰所謂腰痛者,少陰者腎也,十月萬物陽氣皆傷,故腰痛也。
少阴所谓腰痛者,少阴者肾也,十月万物阳气皆伤,故腰痛也。
Shào yīn suǒ wèi yāo tòng zhě, shào yīn zhě shèn yě, shí yuè wàn wù yáng qì jiē shāng, gù yāo tòng yě.
When the lesser yin is said to give low back pain: lesser yin is the kidney, and in the tenth month the yang qi of the myriad things is all damaged; hence the pain in the low back.
「故「腰」讀 yāo痛也」——**本篇「腰痛」2見**;「腰」讀 yāo、**本篇5見**;「傷」讀 shāng、**本篇2見**;**少陰十月之腰痛,與下文厥陰三月「腰脊痛不可以俛仰」同源而異經**。
刺筋無傷骨,骨傷則内動腎,腎動則冬病脹腰痛。
刺筋无伤骨,骨伤则内动肾,肾动则冬病胀腰痛。
Cì jīn wú shāng gǔ, gǔ shāng zé nèi dòng shèn, shèn dòng zé dōng bìng zhàng yāo tòng.
When needling the sinew do not wound the bone. If the bone is wounded the kidney is stirred within, and once the kidney is stirred there is distension and low back pain in winter.
「腎動則冬病脹「腰」讀 yāo「痛」讀 tòng」——**本篇「腰痛」1見**;「腰」讀 yāo、**本篇1見**;「腎」讀 shèn、**本篇2見**;「冬」讀 dōng、「脹」讀 zhàng、**各本篇1見、2見**;**骨傷則内動腎,腎動則冬病脹腰痛——本篇五傷中配冬者**。
腰痛不可以轉摇,急引陰𡖉,刺八髎與痛上,八髎在腰凥分閒。
腰痛不可以转摇,急引阴卵,刺八髎与痛上,八髎在腰凥分间。
Yāo tòng bù kě yǐ zhuǎn yáo, jí yǐn yīn luǎn, cì bā liáo yǔ tòng shàng, bā liáo zài yāo jū fēn jiān.
When the lower back aches so that one cannot turn or sway, and the pulling runs urgently into the scrotum, needle the eight liao and the place that hurts. The eight liao are in the space where the lower back divides from the seat bone.
「「腰」讀 yāo「痛」讀 tòng不可以轉摇,急引陰𡖉」——**本目第四十一篇以腰痛為綱而分經論治;本篇則以腰痛引陰卵者刺八髎與痛上**;**「痛」本篇12見**;「𡖉」讀 luǎn,**「陰𡖉」之𡖉為「卵」之古文異體,讀 luǎn**
邪客於足太陰之絡,令人腰痛,引少腹控䏚,不可以仰息,剌腰凥之解,兩胂之上,是腰俞。
邪客于足太阴之络,令人腰痛,引少腹控䏚,不可以仰息,刺腰凥之解,两胂之上,是腰俞。
Xié kè yú zú tài yīn zhī luò, lìng rén yāo tòng, yǐn shào fù kòng miǎo, bù kě yǐ yǎng xī, cì yāo jū zhī jiě, liǎng shēn zhī shàng, shì yāo shù.
When evil lodges in the network of the foot greater yin it causes pain of the lower back that pulls the lower abdomen and grips the soft place below the short ribs, so that one cannot lie back and breathe. Puncture the cleft of the lower back and the buttock, above the two flank muscles; this is the lumbar transport point.
「令人腰痛,引少腹控䏚,不可以仰息」——**「腰痛」本篇1見,在足太陰之絡一證中**:**腰痛而引少腹、控䏚,不可以仰息——痛自腰而下引,非腰之本病**;**第四十一篇專論腰痛而分經取之,本篇之腰痛則屬絡病,故以繆刺取之**;**「腰」讀 yāo、「痛」讀 tòng**