1
黃帝問於歧伯曰:凡刺之道,必通十二經絡之所終始,絡脉之所别處,五輸之所留,六府之所與合,四時之所出入,五藏之所溜處,闊數之度,淺深之狀,高下所至,願聞其解。
黄帝问于歧伯曰:凡刺之道,必通十二经络之所终始,络脉之所别处,五输之所留,六府之所与合,四时之所出入,五藏之所溜处,阔数之度,浅深之状,高下所至,愿闻其解。 Huáng Dì wèn yú Qí Bó yuē: fán cì zhī dào, bì tōng shí èr jīng luò zhī suǒ zhōng shǐ, luò mài zhī suǒ bié chù, wǔ shū zhī suǒ liú, liù fǔ zhī suǒ yǔ hé, sì shí zhī suǒ chū rù, wǔ zàng zhī suǒ liū chù, kuò shù zhī dù, qiǎn shēn zhī zhuàng, gāo xià suǒ zhì, yuàn wén qí jiě.
黄帝问歧伯说:凡是针刺的道理,一定要通晓十二经络起止的地方,络脉别出的处所,五输穴留止的部位,六府与五藏的配合,四时气血出入的规律,五藏之气流注的所在,宽窄的尺度,浅深的状况,上下所到的分寸,希望听你讲解。
Huang Di asked Qi Bo: In the way of needling one must penetrate where the twelve channels and network vessels begin and end, where the network vessels branch off, where the five transporting points retain their qi, how the six fu are paired, the exits and entries of the four seasons, where the qi of the five zang flows and stays, the measure of breadth and spacing, the shape of the shallow and the deep, and how far high and low each reaches. I wish to hear the explanation.
2
歧伯曰:請言其次也。肺出於少商。少商者,手大指端内側也,爲井木;溜于魚際,魚際者,手魚也,爲滎;注于大淵。大淵,魚後一寸,陷者中也,爲腧;行于經渠,經渠,寸口中也,動而不居,爲經;入于尺澤,尺澤,肘中之動脉也,爲合,手太陰經也。
歧伯曰:请言其次也。肺出于少商。少商者,手大指端内侧也,为井木;溜于鱼际,鱼际者,手鱼也,为荥;注于大渊。大渊,鱼后一寸,陷者中也,为腧;行于经渠,经渠,寸口中也,动而不居,为经;入于尺泽,尺泽,肘中之动脉也,为合,手太阴经也。 Qí Bó yuē: qǐng yán qí cì yě. fèi chū yú shào shāng. shào shāng zhě, shǒu dà zhǐ duān nèi cè yě, wéi jǐng mù; liū yú yú jì, yú jì zhě, shǒu yú yě, wéi yíng; zhù yú dà yuān. dà yuān, yú hòu yī cùn, xiàn zhě zhōng yě, wéi shù; xíng yú jīng qú, jīng qú, cùn kǒu zhōng yě, dòng ér bù jū, wéi jīng; rù yú chǐ zé, chǐ zé, zhǒu zhōng zhī dòng mài yě, wéi hé, shǒu tài yīn jīng yě.
歧伯说:请让我说说它的次序。肺气出于少商。少商在手大指末端的内侧,是井木;流到鱼际,鱼际就是手鱼,是荥;注到大渊。大渊在鱼后一寸的凹陷中,是腧;行到经渠,经渠在寸口之中,脉动而不停止,是经;入到尺泽,尺泽在肘中的动脉处,是合。这是手太阴经。
Qi Bo said: Let me speak of their order. The lung emerges at Shaoshang. Shaoshang is on the inner side of the tip of the great thumb, and is the well-wood. It flows to Yuji; Yuji is the thenar flesh, and is the spring. It pours into Dayuan; Dayuan is one cun behind the fish, in the depression, and is the stream. It moves to Jingqu; Jingqu is within the mouth of the inch, where the vessel moves without resting, and is the river. It enters Chize; Chize is the moving vessel at the elbow, and is the sea. This is the hand taiyin channel.
3
心出于中衝。中衝,手中指之端也,爲井木;溜於勞宫,勞宫,掌中中指本節之内間也,爲滎;注于大陵,大陵,掌後兩骨之間,方下者也,爲腧;行於間使,間使之道,兩筋之間,三寸之中也,有過則至,無過則止,爲經;入于曲澤,曲澤,肘内廉下,陷者之中也,屈而得之,爲合,手少陰也。
心出于中冲。中冲,手中指之端也,为井木;溜于劳宫,劳宫,掌中中指本节之内间也,为荥;注于大陵,大陵,掌后两骨之间,方下者也,为腧;行于间使,间使之道,两筋之间,三寸之中也,有过则至,无过则止,为经;入于曲泽,曲泽,肘内廉下,陷者之中也,屈而得之,为合,手少阴也。 xīn chū yú zhōng chōng. zhōng chōng, shǒu zhōng zhǐ zhī duān yě, wéi jǐng mù; liū yú láo gōng, láo gōng, zhǎng zhōng zhōng zhǐ běn jié zhī nèi jiān yě, wéi yíng; zhù yú dà líng, dà líng, zhǎng hòu liǎng gǔ zhī jiān, fāng xià zhě yě, wéi shù; xíng yú jiān shǐ, jiān shǐ zhī dào, liǎng jīn zhī jiān, sān cùn zhī zhōng yě, yǒu guò zé zhì, wú guò zé zhǐ, wéi jīng; rù yú qū zé, qū zé, zhǒu nèi lián xià, xiàn zhě zhī zhōng yě, qū ér dé zhī, wéi hé, shǒu shào yīn yě.
心气出于中冲。中冲在手中指的末端,是井木;流到劳宫,劳宫在掌中中指本节的内间,是荥;注到大陵,大陵在掌后两骨之间,正当凹陷处,是腧;行到间使,间使在腕上三寸两筋之间,邪气有过就脉动而至,没有邪过就安静而止,是经;入到曲泽,曲泽在肘内侧凹陷中,屈肘才能取到,是合。这是手少阴经。
The heart emerges at Zhongchong. Zhongchong is at the tip of the middle finger, and is the well-wood. It flows to Laogong; Laogong is in the palm between the sections at the root of the middle finger, and is the spring. It pours into Daling; Daling lies between the two bones behind the palm, exactly in the hollow, and is the stream. It moves to Jianshi; the way of Jianshi is between the two sinews, three cun up, where if there is excess it arrives and if there is no excess it stops, and it is the river. It enters Quze; Quze is below the inner border of the elbow, in the hollow, reached by bending, and is the sea. This is the hand shaoyin [channel].
4
肝出于大敦。大敦者,足大指之端,及三毛之中也,爲井木;溜于行間,行間,足大指間也,爲滎;注于大衝,大衝,行間上二寸,陷者之中也,爲腧;行于中封,中封,内踝之前一寸半,陷者之中,使逆則宛,使和則通,摇足而得之,爲經;入于曲泉,曲泉,輔骨之下,大筋之上也,屈膝而得之,爲合,足厥陰也。
肝出于大敦。大敦者,足大指之端,及三毛之中也,为井木;溜于行间,行间,足大指间也,为荥;注于大冲,大冲,行间上二寸,陷者之中也,为腧;行于中封,中封,内踝之前一寸半,陷者之中,使逆则宛,使和则通,摇足而得之,为经;入于曲泉,曲泉,辅骨之下,大筋之上也,屈膝而得之,为合,足厥阴也。 gān chū yú dà dūn. dà dūn zhě, zú dà zhǐ zhī duān, jí sān máo zhī zhōng yě, wéi jǐng mù; liū yú xíng jiān, xíng jiān, zú dà zhǐ jiān yě, wéi yíng; zhù yú dà chōng, dà chōng, xíng jiān shàng èr cùn, xiàn zhě zhī zhōng yě, wéi shù; xíng yú zhōng fēng, zhōng fēng, nèi huái zhī qián yī cùn bàn, xiàn zhě zhī zhōng, shǐ nì zé yù, shǐ hé zé tōng, yáo zú ér dé zhī, wéi jīng; rù yú qū quán, qū quán, fǔ gǔ zhī xià, dà jīn zhī shàng yě, qū xī ér dé zhī, wéi hé, zú jué yīn yě.
肝气出于大敦。大敦在足大指末端三毛的中间,是井木;流到行间,行间在足大指与次指之间,是荥;注到太冲,太冲在行间上二寸的凹陷中,是腧;行到中封,中封在内踝前一寸半的凹陷中,针得逆了就郁滞,针得和了就通畅,摇动足才能取到,是经;入到曲泉,曲泉在辅骨之下、大筋之上,屈膝才能取到,是合。这是足厥阴经。
The liver emerges at Dadun. Dadun is at the tip of the great toe, within the three hairs, and is the well-wood. It flows to Xingjian; Xingjian is between the great toe and the next, and is the spring. It pours into Taichong; Taichong is two cun above Xingjian, in the hollow, and is the stream. It moves to Zhongfeng; Zhongfeng is one and a half cun in front of the inner ankle, in the hollow, where needling against it causes stagnation and needling in accord lets it pass, and it is obtained by shaking the foot; it is the river. It enters Ququan; Ququan is below the supporting bone and above the great sinew, reached by bending the knee, and is the sea. This is the foot jueyin [channel].
5
脾出于隱白。隱白者,足大指之端,内側也,爲井木;溜于大都,大都,本節之後,下陷者之中也,爲滎;注于太白,太白,腕骨之下也,爲腧;行于商丘,商丘,内踝之下,陷者之中也,爲經;入于陰之陵泉,陰之陵泉,輔骨之下,陷者之中也,伸而得之,爲合,足太陰也。
脾出于隐白。隐白者,足大指之端,内侧也,为井木;溜于大都,大都,本节之后,下陷者之中也,为荥;注于太白,太白,腕骨之下也,为腧;行于商丘,商丘,内踝之下,陷者之中也,为经;入于阴之陵泉,阴之陵泉,辅骨之下,陷者之中也,伸而得之,为合,足太阴也。 pí chū yú yǐn bái. yǐn bái zhě, zú dà zhǐ zhī duān, nèi cè yě, wéi jǐng mù; liū yú dà dū, dà dū, běn jié zhī hòu, xià xiàn zhě zhī zhōng yě, wéi yíng; zhù yú tài bái, tài bái, wàn gǔ zhī xià yě, wéi shù; xíng yú shāng qiū, shāng qiū, nèi huái zhī xià, xiàn zhě zhī zhōng yě, wéi jīng; rù yú yīn zhī líng quán, yīn zhī líng quán, fǔ gǔ zhī xià, xiàn zhě zhī zhōng yě, shēn ér dé zhī, wéi hé, zú tài yīn yě.
脾气出于隐白。隐白在足大指末端的内侧,是井木;流到大都,大都在本节之后下方的凹陷中,是荥;注到太白,太白在腕骨之下,是腧;行到商丘,商丘在内踝之下的凹陷中,是经;入到阴之陵泉,阴之陵泉在辅骨之下的凹陷中,伸足才能取到,是合。这是足太阴经。
The spleen emerges at Yinbai. Yinbai is at the tip of the great toe, on the inner side, and is the well-wood. It flows to Dadu; Dadu is behind the section, in the hollow below, and is the spring. It pours into Taibai; Taibai is below the wrist bone, and is the stream. It moves to Shangqiu; Shangqiu is below the inner ankle, in the hollow, and is the river. It enters Yin Lingquan; Yin Lingquan is below the supporting bone, in the hollow, reached by stretching, and is the sea. This is the foot taiyin [channel].
6
腎出于涌泉。涌泉者,足心也,爲井木;溜于然谷,然谷,然骨之下者也,爲滎;注于大谿,大谿,内踝之後,跟骨之上,陷中者也,爲腧;行于復留,復留,上内踝二寸,動而不休,爲經;入于陰谷,陰谷,輔骨之後,大筋之下,小筋之上也,按之應手,屈膝而得之,爲合,足少陰經也。
肾出于涌泉。涌泉者,足心也,为井木;溜于然谷,然谷,然骨之下者也,为荥;注于大溪,大溪,内踝之后,跟骨之上,陷中者也,为腧;行于复留,复留,上内踝二寸,动而不休,为经;入于阴谷,阴谷,辅骨之后,大筋之下,小筋之上也,按之应手,屈膝而得之,为合,足少阴经也。 shèn chū yú yǒng quán. yǒng quán zhě, zú xīn yě, wéi jǐng mù; liū yú rán gǔ, rán gǔ, rán gǔ zhī xià zhě yě, wéi yíng; zhù yú dà xī, dà xī, nèi huái zhī hòu, gēn gǔ zhī shàng, xiàn zhōng zhě yě, wéi shù; xíng yú fù liú, fù liú, shàng nèi huái èr cùn, dòng ér bù xiū, wéi jīng; rù yú yīn gǔ, yīn gǔ, fǔ gǔ zhī hòu, dà jīn zhī xià, xiǎo jīn zhī shàng yě, àn zhī yìng shǒu, qū xī ér dé zhī, wéi hé, zú shào yīn jīng yě.
肾气出于涌泉。涌泉就在足心,是井木;流到然谷,然谷在然骨之下,是荥;注到大谿,大谿在内踝之后、跟骨之上的凹陷中,是腧;行到复留,复留在内踝上二寸,脉动而不休息,是经;入到阴谷,阴谷在辅骨之后、大筋之下、小筋之上,按它就应手,屈膝才能取到,是合。这是足少阴经。
The kidney emerges at Yongquan. Yongquan is the centre of the sole, and is the well-wood. It flows to Rangu; Rangu is below the Rangu bone, and is the spring. It pours into Daxi; Daxi is behind the inner ankle, above the heel bone, in the hollow, and is the stream. It moves to Fuliu; Fuliu is two cun above the inner ankle, where the vessel moves without rest, and is the river. It enters Yingu; Yingu is behind the supporting bone, below the great sinew and above the small sinew; press it and it answers the hand; reached by bending the knee, it is the sea. This is the foot shaoyin channel.
7
膀胱出于至陰。至陰者,足小指之端也,爲井金;溜于通谷,通谷,本節之前,外側也,爲滎;注于朿骨,朿骨,本節之後,陷者中也,爲腧;過于京骨,京骨,足外側大骨之下,爲原;行于崑崙,崑崙,在外踝之後,跟骨之上,爲經;入于委中,委中,膕中央,爲合,委而取之,足太陽也。
膀胱出于至阴。至阴者,足小指之端也,为井金;溜于通谷,通谷,本节之前,外侧也,为荥;注于朿骨,朿骨,本节之后,陷者中也,为腧;过于京骨,京骨,足外侧大骨之下,为原;行于昆仑,昆仑,在外踝之后,跟骨之上,为经;入于委中,委中,腘中央,为合,委而取之,足太阳也。 páng guāng chū yú zhì yīn. zhì yīn zhě, zú xiǎo zhǐ zhī duān yě, wéi jǐng jīn; liū yú tōng gǔ, tōng gǔ, běn jié zhī qián, wài cè yě, wéi yíng; zhù yú cì gǔ, cì gǔ, běn jié zhī hòu, xiàn zhě zhōng yě, wéi shù; guò yú jīng gǔ, jīng gǔ, zú wài cè dà gǔ zhī xià, wéi yuán; xíng yú kūn lún, kūn lún, zài wài huái zhī hòu, gēn gǔ zhī shàng, wéi jīng; rù yú wěi zhōng, wěi zhōng, guó zhōng yāng, wéi hé, wěi ér qǔ zhī, zú tài yáng yě.
膀胱气出于至阴。至阴在足小指的末端,是井金;流到通谷,通谷在本节之前的外侧,是荥;注到束骨,束骨在本节之后的凹陷中,是腧;过于京骨,京骨在足外侧大骨之下,是原;行到昆仑,昆仑在外踝之后、跟骨之上,是经;入到委中,委中在膝弯中央,屈膝才能取到,是合。这是足太阳经。
The bladder emerges at Zhiyin. Zhiyin is at the tip of the little toe, and is the well-metal. It flows to Tonggu; Tonggu is in front of the section, on the outer side, and is the spring. It pours into Shugu; Shugu is behind the section, in the hollow, and is the stream. It passes to Jinggu; Jinggu is below the great bone on the outer side of the foot, and is the source. It moves to Kunlun; Kunlun is behind the outer ankle, above the heel bone, and is the river. It enters Weizhong; Weizhong is in the middle of the popliteal hollow, reached by bending, and is the sea. This is the foot taiyang [channel].
8
膽出于竅陰。竅陰者,足小指次指之端也,爲井金;溜于俠谿,俠谿,足小指次指之間也,爲滎;注于臨泣,臨泣上行一寸半,陷者中也,爲腧;過于丘墟,丘墟,外踝之前,下陷者中也,爲原;行于陽輔,陽輔,外踝之上,輔骨之前,及絶骨之端也,爲經;入于陽之陵泉,陽之陵泉,在膝外陷者中也,爲合,伸而得之,足少陽也。
胆出于窍阴。窍阴者,足小指次指之端也,为井金;溜于侠溪,侠溪,足小指次指之间也,为荥;注于临泣,临泣上行一寸半,陷者中也,为腧;过于丘墟,丘墟,外踝之前,下陷者中也,为原;行于阳辅,阳辅,外踝之上,辅骨之前,及绝骨之端也,为经;入于阳之陵泉,阳之陵泉,在膝外陷者中也,为合,伸而得之,足少阳也。 dǎn chū yú qiào yīn. qiào yīn zhě, zú xiǎo zhǐ cì zhǐ zhī duān yě, wéi jǐng jīn; liū yú xiá xī, xiá xī, zú xiǎo zhǐ cì zhǐ zhī jiān yě, wéi yíng; zhù yú lín qì, lín qì shàng xíng yī cùn bàn, xiàn zhě zhōng yě, wéi shù; guò yú qiū xū, qiū xū, wài huái zhī qián, xià xiàn zhě zhōng yě, wéi yuán; xíng yú yáng fǔ, yáng fǔ, wài huái zhī shàng, fǔ gǔ zhī qián, jí jué gǔ zhī duān yě, wéi jīng; rù yú yáng zhī líng quán, yáng zhī líng quán, zài xī wài xiàn zhě zhōng yě, wéi hé, shēn ér dé zhī, zú shào yáng yě.
胆气出于窍阴。窍阴在足小指次指的末端,是井金;流到侠谿,侠谿在足小指次指之间,是荥;注到临泣,临泣由侠谿上行一寸半的凹陷中,是腧;过于丘墟,丘墟在外踝之前下方的凹陷中,是原;行到阳辅,阳辅在外踝之上、辅骨之前,正当绝骨的末端,是经;入到阳之陵泉,阳之陵泉在膝外的凹陷中,伸足才能取到,是合。这是足少阳经。
The gallbladder emerges at Qiaoyin. Qiaoyin is at the tip of the little toe’s next toe, and is the well-metal. It flows to Xiayi; Xiayi is between the little toe and the next, and is the spring. It pours into Linqi; Linqi is one and a half cun above Xiayi, in the hollow, and is the stream. It passes to Qiuxu; Qiuxu is in front of the outer ankle, below, in the hollow, and is the source. It moves to Yangfu; Yangfu is above the outer ankle, in front of the supporting bone, at the end of the severed bone, and is the river. It enters Yang Lingquan; Yang Lingquan is in the hollow outside the knee, reached by stretching, and is the sea. This is the foot shaoyang [channel].
9
胃出于厲兑。厲兑者,足大指内,次指之端也,爲井金;溜于内庭,内庭,次指外間也,爲滎;注于陷谷,陷谷者,上中指内間,上行二寸,陷者中也,爲腧;過于衝陽,衝陽,足跗上五寸,陷者中也,爲原,摇足而得之;行于解谿,解谿,上衝陽一寸半,陷者中也,爲經;入于下陵,下陵,膝下三寸,胻骨外三里也,爲合;復下三里三寸,爲巨虚上廉;復下上廉三寸,爲巨虚下廉也。大腸屬上,小腸屬下,足陽明胃脉也。大腸小腸皆屬于胃,是足陽明也。
胃出于厉兑。厉兑者,足大指内,次指之端也,为井金;溜于内庭,内庭,次指外间也,为荥;注于陷谷,陷谷者,上中指内间,上行二寸,陷者中也,为腧;过于冲阳,冲阳,足跗上五寸,陷者中也,为原,摇足而得之;行于解溪,解溪,上冲阳一寸半,陷者中也,为经;入于下陵,下陵,膝下三寸,胻骨外三里也,为合;复下三里三寸,为巨虚上廉;复下上廉三寸,为巨虚下廉也。大肠属上,小肠属下,足阳明胃脉也。大肠小肠皆属于胃,是足阳明也。 wèi chū yú lì duì. lì duì zhě, zú dà zhǐ nèi, cì zhǐ zhī duān yě, wéi jǐng jīn; liū yú nèi tíng, nèi tíng, cì zhǐ wài jiān yě, wéi yíng; zhù yú xiàn gǔ, xiàn gǔ zhě, shàng zhōng zhǐ nèi jiān, shàng xíng èr cùn, xiàn zhě zhōng yě, wéi shù; guò yú chōng yáng, chōng yáng, zú fū shàng wǔ cùn, xiàn zhě zhōng yě, wéi yuán, yáo zú ér dé zhī; xíng yú jiě xī, jiě xī, shàng chōng yáng yī cùn bàn, xiàn zhě zhōng yě, wéi jīng; rù yú xià líng, xià líng, xī xià sān cùn, héng gǔ wài sān lǐ yě, wéi hé; fù xià sān lǐ sān cùn, wéi jù xū shàng lián; fù xià shàng lián sān cùn, wéi jù xū xià lián yě. dà cháng zhǔ shàng, xiǎo cháng zhǔ xià, zú yáng míng wèi mài yě. dà cháng xiǎo cháng jiē shǔ yú wèi, shì zú yáng míng yě.
胃气出于厉兑。厉兑在足大指内侧次指的末端,是井金;流到内庭,内庭在次指外间,是荥;注到陷谷,陷谷在上中指内间、上行二寸的凹陷中,是腧;过于冲阳,冲阳在足跗上五寸的凹陷中,是原,摇足才能取到;行到解谿,解谿在冲阳上一寸半的凹陷中,是经;入到下陵,下陵在膝下三寸、胻骨外侧,就是三里,是合。再从三里下三寸,是巨虚上廉;再从上廉下三寸,是巨虚下廉。大肠连属于上廉,小肠连属于下廉,都属于足阳明胃脉。大肠小肠都连属于胃,所以都是足阳明。
The stomach emerges at Lidui. Lidui is at the tip of the next toe on the inner side of the great toe, and is the well-metal. It flows to Neiting; Neiting is in the outer space of the next toe, and is the spring. It pours into Xiangu; Xiangu is two cun above, in the hollow between the middle and great toes, and is the stream. It passes to Chongyang; Chongyang is five cun above the instep, in the hollow, and is the source, reached by shaking the foot. It moves to Jiexi; Jiexi is one and a half cun above Chongyang, in the hollow, and is the river. It enters Xialing; Xialing is three cun below the knee, outside the shin bone — this is Sanli — and is the sea. Three cun below Sanli is Juxu Shanglian; three cun below Shanglian is Juxu Xialian. The large intestine attaches above and the small intestine below; both belong to the foot yangming stomach vessel. Since large and small intestine both attach to the stomach, both are foot yangming.
10
三焦者,上合手少陽,出于關衝,關衝者,手小指次指之端也,爲井金;溜于液門,液門,小指次指之間也,爲滎;注于中渚,中渚,本節之後陷者中也,爲腧;過于陽池,陽池,在腕上陷者之中也,爲原;行于支溝,支溝,上腕三寸,兩骨之間陷者中也,爲經;入于天井,天井,在肘外大骨之上陷者中也,爲合;屈肘乃得之。三焦下腧,在于足大指之前,少陽之後,出于膕中外廉,名曰委陽,是太陽絡也,手少陽經也。三焦者,足少陽、太陰之所將,太陽之别也。上踝五寸,别入貫腨腸,出于委陽,並太陽之正,入絡膀胱,約下焦。實則閉癃,虚則遺溺;遺溺則補之,閉癃則冩之。
三焦者,上合手少阳,出于关冲,关冲者,手小指次指之端也,为井金;溜于液门,液门,小指次指之间也,为荥;注于中渚,中渚,本节之后陷者中也,为腧;过于阳池,阳池,在腕上陷者之中也,为原;行于支沟,支沟,上腕三寸,两骨之间陷者中也,为经;入于天井,天井,在肘外大骨之上陷者中也,为合;屈肘乃得之。三焦下腧,在于足大指之前,少阳之后,出于腘中外廉,名曰委阳,是太阳络也,手少阳经也。三焦者,足少阳、太阴之所将,太阳之别也。上踝五寸,别入贯腨肠,出于委阳,并太阳之正,入络膀胱,约下焦。实则闭癃,虚则遗溺;遗溺则补之,闭癃则冩之。 sān jiāo zhě, shàng hé shǒu shào yáng, chū yú guān chōng, guān chōng zhě, shǒu xiǎo zhǐ cì zhǐ zhī duān yě, wéi jǐng jīn; liū yú yè mén, yè mén, xiǎo zhǐ cì zhǐ zhī jiān yě, wéi yíng; zhù yú zhōng zhǔ, zhōng zhǔ, běn jié zhī hòu xiàn zhě zhōng yě, wéi shù; guò yú yáng chí, yáng chí, zài wàn shàng xiàn zhě zhī zhōng yě, wéi yuán; xíng yú zhī gōu, zhī gōu, shàng wàn sān cùn, liǎng gǔ zhī jiān xiàn zhě zhōng yě, wéi jīng; rù yú tiān jǐng, tiān jǐng, zài zhǒu wài dà gǔ zhī shàng xiàn zhě zhōng yě, wéi hé; qū zhǒu nǎi dé zhī. sān jiāo xià shù, zài yú zú dà zhǐ zhī qián, shào yáng zhī hòu, chū yú guó zhōng wài lián, míng yuē wěi yáng, shì tài yáng luò yě, shǒu shào yáng jīng yě. sān jiāo zhě, zú shào yáng, tài yīn zhī suǒ jiāng, tài yáng zhī bié yě. shàng huái wǔ cùn, bié rù guàn shuàn cháng, chū yú wěi yáng, bìng tài yáng zhī zhèng, rù luò páng guāng, yuē xià jiāo. shí zé bì lóng, xū zé yí niào; yí niào zé bǔ zhī, bì lóng zé xiě zhī.
三焦上合于手少阳,气出于关冲。关冲在手小指次指的末端,是井金;流到液门,液门在小指次指之间,是荥;注到中渚,中渚在本节之后的凹陷中,是腧;过于阳池,阳池在腕上的凹陷中,是原;行到支沟,支沟在腕上三寸、两骨之间的凹陷中,是经;入到天井,天井在肘外大骨之上的凹陷中,是合,屈肘才能取到。三焦的下腧,在足大指之前、少阳之后,出于膝弯的外侧,名叫委阳,是太阳的络脉,属手少阳经。三焦是足少阳、太阴所统率的,又是太阳的别脉。它上踝五寸,别入贯串腨肠,出于委阳,并入太阳的正经,入内络于膀胱,约束下焦。实就闭癃,虚就遗溺;遗溺就补它,闭癃就写它。
The triple burner joins above with hand shaoyang, and emerges at Guanchong. Guanchong is at the tip of the little toe’s next toe [on the hand], and is the well-metal. It flows to Yemen; Yemen is between the little finger and the next, and is the spring. It pours into Zhongzhu; Zhongzhu is behind the section, in the hollow, and is the stream. It passes to Yangchi; Yangchi is in the hollow above the wrist, and is the source. It moves to Zhigou; Zhigou is three cun above the wrist, in the hollow between two bones, and is the river. It enters Tianjing; Tianjing is in the hollow above the great bone outside the elbow, reached by bending the elbow, and is the sea. The lower transporting point of the triple burner lies in front of the great toe and behind shaoyang; it emerges at the outer border of the popliteal hollow and is named Weiyang; it is the network of taiyang, and belongs to the hand shaoyang channel. The triple burner is what foot shaoyang and taiyin command, and it is a branch of taiyang. Five cun above the ankle it branches inward, pierces the calf, emerges at Weiyang, joins the upright channel of taiyang, enters and networks with the bladder, and constrains the lower burner. When full there is urinary block; when empty there is incontinence. For incontinence tonify it; for block reduce it.
11
手太陽小腸者,上合於太陽,出于少澤,少澤,小指之端也,爲井金;溜于前谷,前谷,在手外廉本節前陷者中也,爲滎;注于後谿,後谿者,在手外側本節之後也,爲腧;過于腕骨,腕骨在手外側腕骨之前,爲原;行于陽谷,陽谷,在鋭骨之下陷者中也,爲經;入于小海,小海,在肘内大骨之外,去端半寸陷者中也,伸臂而得之,爲合,手太陽經也。太腸上合手陽明,出于商陽,商陽,大指次指之端也,爲井金;溜于本節之前二間,爲滎;注于本節之後三間,爲腧;過于合谷,合谷,在大指歧骨之間,爲原;行于陽谿,陽谿在兩筋間陷者中也,爲經;入于曲池,在肘外輔骨陷者中,屈臂而得之,爲合,手陽明也。是謂五藏六府之腧,五五二十五腧,六六三十六腧也。六府皆出足之三陽,上合于手者也。
手太阳小肠者,上合于太阳,出于少泽,少泽,小指之端也,为井金;溜于前谷,前谷,在手外廉本节前陷者中也,为荥;注于后溪,后溪者,在手外侧本节之后也,为腧;过于腕骨,腕骨在手外侧腕骨之前,为原;行于阳谷,阳谷,在锐骨之下陷者中也,为经;入于小海,小海,在肘内大骨之外,去端半寸陷者中也,伸臂而得之,为合,手太阳经也。太肠上合手阳明,出于商阳,商阳,大指次指之端也,为井金;溜于本节之前二间,为荥;注于本节之后三间,为腧;过于合谷,合谷,在大指歧骨之间,为原;行于阳溪,阳溪在两筋间陷者中也,为经;入于曲池,在肘外辅骨陷者中,屈臂而得之,为合,手阳明也。是谓五藏六府之腧,五五二十五腧,六六三十六腧也。六府皆出足之三阳,上合于手者也。 shǒu tài yáng xiǎo cháng zhě, shàng hé yú tài yáng, chū yú shào zé, shào zé, xiǎo zhǐ zhī duān yě, wéi jǐng jīn; liū yú qián gǔ, qián gǔ, zài shǒu wài lián běn jié qián xiàn zhě zhōng yě, wéi yíng; zhù yú hòu xī, hòu xī zhě, zài shǒu wài cè běn jié zhī hòu yě, wéi shù; guò yú wàn gǔ, wàn gǔ zài shǒu wài cè wàn gǔ zhī qián, wéi yuán; xíng yú yáng gǔ, yáng gǔ, zài ruì gǔ zhī xià xiàn zhě zhōng yě, wéi jīng; rù yú xiǎo hǎi, xiǎo hǎi, zài zhǒu nèi dà gǔ zhī wài, qù duān bàn cùn xiàn zhě zhōng yě, shēn bì ér dé zhī, wéi hé, shǒu tài yáng jīng yě. tài cháng shàng hé shǒu yáng míng, chū yú shāng yáng, shāng yáng, dà zhǐ cì zhǐ zhī duān yě, wéi jǐng jīn; liū yú běn jié zhī qián èr jiān, wéi yíng; zhù yú běn jié zhī hòu sān jiān, wéi shù; guò yú hé gǔ, hé gǔ, zài dà zhǐ qí gǔ zhī jiān, wéi yuán; xíng yú yáng xī, yáng xī zài liǎng jīn jiān xiàn zhě zhōng yě, wéi jīng; rù yú qū chí, zài zhǒu wài fǔ gǔ xiàn zhě zhōng, qū bì ér dé zhī, wéi hé, shǒu yáng míng yě. shì wèi wǔ zàng liù fǔ zhī shù, wǔ wǔ èr shí wǔ shù, liù liù sān shí liù shù yě. liù fǔ jiē chū zú zhī sān yáng, shàng hé yú shǒu zhě yě.
手太阳小肠,上合于太阳,气出于少泽。少泽在小指的末端,是井金;流到前谷,前谷在手外廉本节之前的凹陷中,是荥;注到后谿,后谿在手外侧本节之后,是腧;过于腕骨,腕骨在手外侧腕骨之前,是原;行到阳谷,阳谷在锐骨之下的凹陷中,是经;入到小海,小海在肘内大骨之外、离骨端半寸的凹陷中,伸臂才能取到,是合。这是手太阳经。大肠上合于手阳明,气出于商阳。商阳在大指次指的末端,是井金;流到本节之前的二间,是荥;注到本节之后的三间,是腧;过于合谷,合谷在大指歧骨之间,是原;行到阳谿,阳谿在两筋之间的凹陷中,是经;入到曲池,曲池在肘外辅骨的凹陷中,屈臂才能取到,是合。这是手阳明经。这就是五藏六府的腧穴:五五二十五腧,六六三十六腧。六府都出于足的三阳,而上合于手。
The hand taiyang small intestine joins above with taiyang, and emerges at Shaoze. Shaoze is at the tip of the little finger, and is the well-metal. It flows to Qiangu; Qiangu is in front of the section on the outer border of the hand, in the hollow, and is the spring. It pours into Houxi; Houxi is on the outer side of the hand behind the section, and is the stream. It passes to Wangu; Wangu is in front of the wrist bone on the outer side of the hand, and is the source. It moves to Yanggu; Yanggu is below the sharp bone, in the hollow, and is the river. It enters Xiaohai; Xiaohai is outside the great bone inside the elbow, half a cun from its end, in the hollow, reached by stretching the arm, and is the sea. This is the hand taiyang channel. The large intestine joins above with hand yangming, and emerges at Shangyang. Shangyang is at the tip of the next toe of the great finger, and is the well-metal. It flows to Erjian, in front of the section, and is the spring. It pours into Sanjian, behind the section, and is the stream. It passes to Hegu; Hegu is between the forked bones of the thumb, and is the source. It moves to Yangxi; Yangxi is in the hollow between two sinews, and is the river. It enters Quchi; Quchi is in the hollow of the supporting bone outside the elbow, reached by bending the arm, and is the sea. This is hand yangming. These are the transporting points of the five zang and six fu: five times five, twenty-five points; six times six, thirty-six points. The six fu all emerge from the three yang of the foot and join above with the hand.
12
缺盆之中,任脉也,名曰天突。一次任脉側之動脉,足陽明也,名曰人迎;二次脉手陽明也,名曰扶突;三次脉手太陽也,名曰天牕;四次脉足少陽也,名曰天容;五次脉手少陽也,名曰天牖;六次脉足太陽也,名曰天柱;七次脉頸中央之脉,督脉也,名曰風府。腋内動脉,手太陰也,名曰天府;腋下三寸,手心主也,名曰天池。
缺盆之中,任脉也,名曰天突。一次任脉侧之动脉,足阳明也,名曰人迎;二次脉手阳明也,名曰扶突;三次脉手太阳也,名曰天窗;四次脉足少阳也,名曰天容;五次脉手少阳也,名曰天牖;六次脉足太阳也,名曰天柱;七次脉颈中央之脉,督脉也,名曰风府。腋内动脉,手太阴也,名曰天府;腋下三寸,手心主也,名曰天池。 quē pén zhī zhōng, rèn mài yě, míng yuē tiān tū. yī cì rèn mài cè zhī dòng mài, zú yáng míng yě, míng yuē rén yíng; èr cì mài shǒu yáng míng yě, míng yuē fú tū; sān cì mài shǒu tài yáng yě, míng yuē tiān chuāng; sì cì mài zú shào yáng yě, míng yuē tiān róng; wǔ cì mài shǒu shào yáng yě, míng yuē tiān yǒu; liù cì mài zú tài yáng yě, míng yuē tiān zhù; qī cì mài jǐng zhōng yāng zhī mài, dū mài yě, míng yuē fēng fǔ. yè nèi dòng mài, shǒu tài yīn yě, míng yuē tiān fǔ; yè xià sān cùn, shǒu xīn zhǔ yě, míng yuē tiān chí.
缺盆的中间是任脉,名叫天突。第一行是任脉旁侧的动脉,属足阳明,名叫人迎;第二行是手阳明的脉,名叫扶突;第三行是手太阳的脉,名叫天牕;第四行是足少阳的脉,名叫天容;第五行是手少阳的脉,名叫天牖;第六行是足太阳的脉,名叫天柱;第七行是颈中央的脉,属督脉,名叫风府。腋内的动脉,属手太阴,名叫天府;腋下三寸,属心主,名叫天池。
In the middle of the supraclavicular basin runs the controller vessel; it is named Tiantu. The first row is the moving vessel beside the controller vessel, belonging to foot yangming, named Renying; the second row is the vessel of hand yangming, named Futu; the third row is the vessel of hand taiyang, named Tianchuang; the fourth row is the vessel of foot shaoyang, named Tianrong; the fifth row is the vessel of hand shaoyang, named Tianyou; the sixth row is the vessel of foot taiyang, named Tianzhu; the seventh row is the vessel in the centre of the neck, the governing vessel, named Fengfu. The moving vessel in the armpit belongs to hand taiyin and is named Tianfu; three cun below the armpit, belonging to the heart master, it is named Tianchi.
13
刺上關者,呿不能欠。刺下關者,欠不能呿。刺犢鼻者,屈不能伸。仰刺兩關者,伸不能屈。
刺上关者,呿不能欠。刺下关者,欠不能呿。刺犊鼻者,屈不能伸。仰刺两关者,伸不能屈。
cì shàng guān zhě, qū bù néng qiàn. cì xià guān zhě, qiàn bù néng qū. cì dú bí zhě, qū bù néng shēn. yǎng cì liǎng guān zhě, shēn bù néng qū.
刺上关的时候,口张开了就不能打呵欠;刺下关的时候,打了呵欠就不能张口;刺犊鼻的时候,只能屈不能伸;仰着刺两关的时候,只能伸不能屈。
When Shangguan is needled, the mouth may open but cannot yawn. When Xiaguan is needled, one may yawn but cannot open the mouth. When Dubi is needled, one can bend but not stretch. When, with the body supine, the two passes are needled, one can stretch but not bend.
14
足陽明,挾喉之動脉也,其腧在膺中。手陽明次在其腧外,不至曲頰一寸。手太陽當曲頰。足少陽,在耳下曲頰之後。手少陽,出耳後,上加完骨之上。足太陽,挾項大筋之中髮際。
足阳明,挟喉之动脉也,其腧在膺中。手阳明次在其腧外,不至曲颊一寸。手太阳当曲颊。足少阳,在耳下曲颊之后。手少阳,出耳后,上加完骨之上。足太阳,挟项大筋之中发际。 zú yáng míng, xié hóu zhī dòng mài yě, qí shù zài yīng zhōng. shǒu yáng míng cì zài qí shù wài, bù zhì qū jiá yī cùn. shǒu tài yáng dāng qū jiá. zú shào yáng, zài ěr xià qū jiá zhī hòu. shǒu shào yáng, chū ěr hòu, shàng jiā wán gǔ zhī shàng. zú tài yáng, xié xiàng dà jīn zhī zhōng fà jì.
足阳明是挟着喉咙的动脉,它的腧在胸膺之中。手阳明次于它的腧外,离曲颊不到一寸。手太阳正当曲颊。足少阳在耳下曲颊之后。手少阳出于耳后,上至完骨之上。足太阳挟着项部大筋之中,正当发际。
Foot yangming is the moving vessel that clasps the throat; its transporting point is in the chest. Hand yangming comes next, outside its transporting point, not reaching one cun from the curved cheek. Hand taiyang is exactly at the curved cheek. Foot shaoyang is below the ear, behind the curved cheek. Hand shaoyang emerges behind the ear and rises above the Wangu bone. Foot taiyang clasps the great sinew of the neck, at the hairline.
yīn chǐ dòng mài zài wǔ lǐ, wǔ shù zhī jìn yě.
阴尺的动脉在五里穴,这是五腧穴所禁刺的地方。
The yin cubit moving vessel is at Wuli; this is the prohibition of the five transporting points.
16
肺合大腸,大腸者,傳道之府。心合小腸,小腸者,受盛之府。肝合膽,膽者,中精之府。脾合胃,胃者,五榖之府。腎合膀胱,膀胱者,津液之府也。少陽屬腎,腎上連肺,故將兩藏。三焦者,中瀆之府也,水道出焉,屬膀胱,是孤之府也。是六府之所與合者。
肺合大肠,大肠者,传道之府。心合小肠,小肠者,受盛之府。肝合胆,胆者,中精之府。脾合胃,胃者,五榖之府。肾合膀胱,膀胱者,津液之府也。少阳属肾,肾上连肺,故将两藏。三焦者,中渎之府也,水道出焉,属膀胱,是孤之府也。是六府之所与合者。 fèi hé dà cháng, dà cháng zhě, chuán dào zhī fǔ. xīn hé xiǎo cháng, xiǎo cháng zhě, shòu chéng zhī fǔ. gān hé dǎn, dǎn zhě, zhōng jīng zhī fǔ. pí hé wèi, wèi zhě, wǔ gǔ zhī fǔ. shèn hé páng guāng, páng guāng zhě, jīn yè zhī fǔ yě. shào yáng zhǔ shèn, shèn shàng lián fèi, gù jiāng liǎng zàng. sān jiāo zhě, zhōng dú zhī fǔ yě, shuǐ dào chū yān, zhǔ páng guāng, shì gū zhī fǔ yě. shì liù fǔ zhī suǒ yǔ hé zhě.
肺合大肠,大肠是传导的府;心合小肠,小肠是受盛的府;肝合胆,胆是中精的府;脾合胃,胃是五谷的府;肾合膀胱,膀胱是津液的府。少阳连属于肾,肾上连于肺,所以统领两藏。三焦是中渎的府,水道由此而出,连属膀胱,是孤独的府。这就是六府所与配合的情形。
The lung pairs with the large intestine, and the large intestine is the fu of transmission. The heart pairs with the small intestine, and the small intestine is the fu of receiving and holding. The liver pairs with the gallbladder, and the gallbladder is the fu of central essence. The spleen pairs with the stomach, and the stomach is the fu of the five grains. The kidney pairs with the bladder, and the bladder is the fu of fluids. Shaoyang attaches to the kidney, and the kidney connects upward with the lung, so it commands two zang. The triple burner is the fu of the central sluice; the waterway issues from it, it attaches to the bladder, and it is the solitary fu. Such is the pairing of the six fu.
17
春取絡脉諸滎大經分肉之間,甚者深取之,間者淺取之。夏取諸腧孫絡肌肉皮膚之上。秋取諸合,餘如春法。冬取諸井諸腧之分,欲深而留之。此四時之序,氣之所處,病之所舍,藏之所宜。轉筋者,立而取之,可令遂已。痿厥者,張而刺之,可令立快也。
春取络脉诸荥大经分肉之间,甚者深取之,间者浅取之。夏取诸腧孙络肌肉皮肤之上。秋取诸合,余如春法。冬取诸井诸腧之分,欲深而留之。此四时之序,气之所处,病之所舍,藏之所宜。转筋者,立而取之,可令遂已。痿厥者,张而刺之,可令立快也。 chūn qǔ luò mài zhū yíng dà jīng fēn ròu zhī jiān, shèn zhě shēn qǔ zhī, jiàn zhě qiǎn qǔ zhī. xià qǔ zhū shù sūn luò jī ròu pí fū zhī shàng. qiū qǔ zhū hé, yú rú chūn fǎ. dōng qǔ zhū jǐng zhū shù zhī fēn, yù shēn ér liú zhī. cǐ sì shí zhī xù, qì zhī suǒ chǔ, bìng zhī suǒ shè, zàng zhī suǒ yí. zhuǎn jīn zhě, lì ér qǔ zhī, kě lìng suì yǐ. wěi jué zhě, zhāng ér cì zhī, kě lìng lì kuài yě.
春天取络脉的诸荥和大经分肉之间,病重的深刺,病轻的浅刺;夏天取诸腧、孙络和肌肉皮肤之上;秋天取诸合,其余和春天一样;冬天取诸井和诸腧的部位,要深刺而久留。这是四时的次序,是气所居处、病所留舍、藏所适宜的地方。转筋的,让他站着刺,可以立刻止住;痿厥的,让他张开肢体刺,可以立刻轻快。
In spring take the network vessels, the several spring points, and the spaces between the muscles along the great channels: for severe cases needle deep, for light cases needle shallow. In summer take the several stream points, the minute network vessels, and the surface of muscle and skin. In autumn take the several sea points, the rest as in spring. In winter take the several well points and the divisions of the several stream points, and needle deep and retain. This is the order of the four seasons — where qi resides, where disease lodges, and what each zang requires. For cramp, have the patient stand and needle; the seizure can be stopped at once. For flaccidity and reversal, have him stretch out and needle; he can be made easy at once.