The Sinew Channels

經筋

Jīng jīn

The sinew channels are the third of the Lingshu's three channel systems, and the least like a channel system in the modern sense. They are not vessels and carry no blood; they are the continuous tracts of tendon, fascia and ligament that bind the skeleton, and the chapter follows each one from its origin at the toes or fingers to its termination in the head. Every one of the twelve is described in the same order: where it begins, where it knots, what branches it gives off, and then what happens when it is diseased.The word that organises the chapter is jie, "knot." A sinew channel is a series of knots — at the ankle, the knee, the hip, the nape — with tracts running between them. Where a knot lies near a joint, disease shows as cramp, contracture, or the joint refusing to bend; where the tract crosses the face, it shows as a drawn mouth or an eye that will not open. Because the sinews do not enter the zang fu, their diseases are all on the surface, and the treatment is correspondingly uniform: heated needle, swift piercing, "taking recovery as the measure and the painful spot as the point." That formula closes almost every section.Two things stand out. First, the seasonal names — mid-spring bi, first-spring bi, last-spring bi, and so on through the year — assign each sinew channel a season, so that the twelve form a calendar as well as an anatomy. Second, the chapter contains the book's most concrete clinical scene: the treatment of a suddenly drawn mouth with horse fat on the tight side, wine and cassia on the slack side, a mulberry hook, warm ash, roast meat and wine. The closing paragraph generalises the whole: cold arches the sinews back, heat lets them go slack, and where heat is present the heated needle is forbidden.

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足太陽之筋,起于足小指,上結于踝,邪上結于膝,其下循足外踝,結于踵,上循跟,結於膕;其别者,結于踹外,上膕中内廉,與膕中并上結于臀,上挾脊,上項;其支者,别入結於舌本;其直者,結于枕骨,上頭下顔,結于鼻;其支者,爲目上網,下結于頄;其支者,從腋後外廉,結于肩髃;其支者,入腋下,上出缺盆,上結于完骨;其支者,出缺盆,邪上出于頄。其病小指支跟腫痛,膕攣,脊反折,項筋急,肩不舉,腋支,缺盆中紐痛,不可左右摇。治在燔鍼劫刺,以知爲數,以痛爲輸,名曰仲春痺。 足太阳之筋,起于足小指,上结于踝,邪上结于膝,其下循足外踝,结于踵,上循跟,结于腘;其别者,结于踹外,上腘中内廉,与腘中并上结于臀,上挟脊,上项;其支者,别入结于舌本;其直者,结于枕骨,上头下颜,结于鼻;其支者,为目上网,下结于頄;其支者,从腋后外廉,结于肩髃;其支者,入腋下,上出缺盆,上结于完骨;其支者,出缺盆,邪上出于頄。其病小指支跟肿痛,腘挛,脊反折,项筋急,肩不举,腋支,缺盆中纽痛,不可左右摇。治在燔针劫刺,以知为数,以痛为输,名曰仲春痹。
zú tài yáng zhī jīn, qǐ yú zú xiǎo zhǐ, shàng jié yú huái, xié shàng jié yú xī, qí xià xún zú wài huái, jié yú zhǒng, shàng xún gēn, jié yú guó; qí bié zhě, jié yú shuàn wài, shàng guó zhōng nèi lián, yǔ guó zhōng bìng shàng jié yú tún, shàng xié jí, shàng xiàng; qí zhī zhě, bié rù jié yú shé běn; qí zhí zhě, jié yú zhěn gǔ, shàng tóu xià yán, jié yú bí; qí zhī zhě, wéi mù shàng wǎng, xià jié yú qiú; qí zhī zhě, cóng yè hòu wài lián, jié yú jiān yú; qí zhī zhě, rù yè xià, shàng chū quē pén, shàng jié yú wán gǔ; qí zhī zhě, chū quē pén, xié shàng chū yú qiú. qí bìng xiǎo zhǐ zhī gēn zhǒng tòng, guó luán, jí fǎn zhé, xiàng jīn jí, jiān bù jǔ, yè zhī, quē pén zhōng niǔ tòng, bù kě zuǒ yòu yáo. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, míng yuē zhòng chūn bì.
足太阳的经筋,起于足小指,上结于外踝,斜上结于膝;它下面的一支沿足外踝,结于足踵,上沿足跟,结于膕窝;别出的一支,结于小腿肚外侧,上至膕窝内侧,与膕中的筋一同上结于臀部,再上挟脊,上至项部;分出的一支,别入而结于舌本;直行的一支,结于枕骨,上头而下行至颜面,结于鼻;分出的一支,成为目上纲,向下结于颧部;分出的一支,从腋后外廉结于肩髃;分出的一支,入腋下,上出缺盆,上结于完骨;分出的一支,出缺盆,斜上出于颧部。它的病候是小指与足跟牵引肿痛,膕窝拘挛,脊背反折,项筋拘急,肩不能举,腋下牵掣,缺盆中如绳纽结而痛,不可左右摇动。治疗用燔针劫刺,以病愈为度,以痛处为输穴,名叫仲春痹。
The sinews of foot taiyang begin at the little toe, knot at the outer ankle, run obliquely upward and knot at the knee. The lower part follows the outer ankle, knots at the heel, runs up the heel and knots in the popliteal fossa. A divergent branch knots outside the calf, ascends to the inner side of the popliteal fossa, joins the sinews there and knots at the buttock, then ascends to grip the spine and reaches the nape. A branch separates and knots at the root of the tongue. The straight branch knots at the occiput, ascends to the head, comes down the face and knots at the nose. A branch forms the upper net of the eye and knots below at the cheekbone. A branch runs from the outer side behind the axilla and knots at the shoulder point. A branch enters below the axilla, emerges above at the supraclavicular fossa and knots at the mastoid. A branch emerges from the supraclavicular fossa and runs obliquely up to the cheekbone. Its diseases: the little toe and the heel swell and hurt, the popliteal fossa cramps, the spine arches backward, the sinews of the nape tighten, the shoulder cannot be raised, the axilla pulls, and there is a knotted pain in the supraclavicular fossa so that one cannot shake from side to side. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the mid-spring bi.
足少陽之筋,起于小指次指,上結外踝,上循脛外廉,結于膝外廉;其支者,别起外輔骨,上走髀;前者結于伏兔之上,後者結于尻;其直者,上乘䏚季脅,上走腋前廉,繫于膺乳,結于缺盆;直者,上出腋,貫缺盆,出太陽之前,循耳後,上額角,交巔上,下走頷,上結于頄;支者,結于目眦,爲外維。其病小指次指支轉筋,引膝外轉筋,膝不可屈伸,膕筋急,前引髀,後引尻,即上乘䏚季,脅痛,上引缺盆、膺乳,頸維筋急,從左之右,右目不開,上過右角,並蹻脉而行,左絡于右,故傷左角,右足不用,命曰維筋相交。治在燔鍼刼刺,以知爲數,以痛爲輸,名曰孟春痺也。 足少阳之筋,起于小指次指,上结外踝,上循胫外廉,结于膝外廉;其支者,别起外辅骨,上走髀;前者结于伏兔之上,后者结于尻;其直者,上乘䏚季胁,上走腋前廉,系于膺乳,结于缺盆;直者,上出腋,贯缺盆,出太阳之前,循耳后,上额角,交巅上,下走颔,上结于頄;支者,结于目眦,为外维。其病小指次指支转筋,引膝外转筋,膝不可屈伸,腘筋急,前引髀,后引尻,即上乘䏚季,胁痛,上引缺盆、膺乳,颈维筋急,从左之右,右目不开,上过右角,并𫏋脉而行,左络于右,故伤左角,右足不用,命曰维筋相交。治在燔针劫刺,以知为数,以痛为输,名曰孟春痹也。
zú shào yáng zhī jīn, qǐ yú xiǎo zhǐ cì zhǐ, shàng jié wài huái, shàng xún jìng wài lián, jié yú xī wài lián; qí zhī zhě, bié qǐ wài fǔ gǔ, shàng zǒu bì; qián zhě jié yú fú tù zhī shàng, hòu zhě jié yú kāo; qí zhí zhě, shàng chéng miǎo jì xié, shàng zǒu yè qián lián, xì yú yīng rǔ, jié yú quē pén; zhí zhě, shàng chū yè, guàn quē pén, chū tài yáng zhī qián, xún ěr hòu, shàng é jiǎo, jiāo diān shàng, xià zǒu hàn, shàng jié yú qiú; zhī zhě, jié yú mù zì, wéi wài wéi. qí bìng xiǎo zhǐ cì zhǐ zhī zhuǎn jīn, yǐn xī wài zhuǎn jīn, xī bù kě qū shēn, guó jīn jí, qián yǐn bì, hòu yǐn kāo, jí shàng chéng miǎo jì, xié tòng, shàng yǐn quē pén, yīng rǔ, jǐng wéi jīn jí, cóng zuǒ zhī yòu, yòu mù bù kāi, shàng guò yòu jiǎo, bìng qiāo mài ér xíng, zuǒ luò yú yòu, gù shāng zuǒ jiǎo, yòu zú bù yòng, mìng yuē wéi jīn xiāng jiāo. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, míng yuē mèng chūn bì yě.
足少阳的经筋,起于小指次指,上结于外踝,上沿胫外廉,结于膝外廉;分出的一支,别起于外辅骨,上走于髀,前面的结于伏兔之上,后面的结于尻部;直行的一支,上乘䏚季胁,上走腋前廉,系于膺乳,结于缺盆;直行的一支,上出腋,贯缺盆,出太阳之前,沿耳后,上额角,交于巅上,下走颔部,上结于颧;分出的一支,结于目眦,成为外维。它的病候是小指次指牵引转筋,引及膝外转筋,膝不能屈伸,膕筋拘急,前引髀部,后引尻部,再上乘䏚季而胁痛,上引缺盆、膺乳,颈维筋拘急,从左向右,右眼不能睁开,上过右额角,与蹻脉并行,左边络于右边,所以伤在左角而右足不能用,名叫维筋相交。治疗用燔针劫刺,以病愈为度,以痛处为输穴,名叫孟春痹。
The sinews of foot shaoyang begin at the fourth toe, knot at the outer ankle, ascend along the outer side of the shin and knot at the outer side of the knee. A branch separates from the outer shin bone and runs up to the thigh; the front part knots above the crouching rabbit, the back part knots at the sacrum. The straight branch rides up over the hollow below the lateral ribs, runs up the front of the axilla, ties at the breast and nipple and knots at the supraclavicular fossa. The straight branch emerges from the axilla, pierces the supraclavicular fossa, comes out in front of taiyang, follows behind the ear, ascends to the corner of the forehead and crosses at the vertex, then runs down the chin and knots above at the cheekbone. A branch knots at the canthus and forms the outer stay. Its diseases: the fourth toe pulls and cramps, the outer knee cramps, the knee cannot bend or stretch, the popliteal sinews tighten, the front pulls the thigh, the back pulls the sacrum, and it rides up over the hollow of the lateral ribs so that the ribs hurt; it pulls upward at the supraclavicular fossa and the breast, the stay of the neck tightens, and the trouble passes from left to right so that the right eye cannot open. It crosses the right corner of the forehead and runs with the qiao vessels; the left is bound to the right, and so when the left corner is injured the right foot is useless. This is called the crossing of the stays. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the first-spring bi.
足陽明之筋,起于中三指,結于跗上,邪外上加于輔骨,上結于膝外廉,直上結于髀樞,上循脅屬脊;其直者,上循骭,結于膝;其支者,結于外輔骨,合少陽;其直者,上循伏兔,上結于髀,聚于陰器,上腹而布,至缺盆而結,上頸,上挾口,合于頄,下結于鼻,上合于太陽。太陽爲目上網,陽明爲目下網。其支者,從頰結于耳前。其病足中指支,脛轉筋,脚跳堅,伏兔轉筋,髀前腫,㿉疝,腹筋急,引缺盆及頰,卒口僻。急者,目不合;𤍠則筋縱,目不開。頰筋有寒,則急引頰移口。有𤍠則筋弛縱,緩不勝收,故僻。治之以馬膏,膏其急者,以白酒和桂,以塗其緩者,以桑鉤鉤之,即以生桑灰置之坎中,高下以坐等,以膏熨急頰,且飲美酒,噉美炙肉,不飲酒者,自强也,爲之三拊而已。治在燔鍼刼刺,以知爲數,以痛爲輸,名曰季春痺也。 足阳明之筋,起于中三指,结于跗上,邪外上加于辅骨,上结于膝外廉,直上结于髀枢,上循胁属脊;其直者,上循骭,结于膝;其支者,结于外辅骨,合少阳;其直者,上循伏兔,上结于髀,聚于阴器,上腹而布,至缺盆而结,上颈,上挟口,合于頄,下结于鼻,上合于太阳。太阳为目上网,阳明为目下网。其支者,从颊结于耳前。其病足中指支,胫转筋,脚跳坚,伏兔转筋,髀前肿,㿉疝,腹筋急,引缺盆及颊,卒口僻。急者,目不合;𤍠则筋纵,目不开。颊筋有寒,则急引颊移口。有𤍠则筋弛纵,缓不胜收,故僻。治之以马膏,膏其急者,以白酒和桂,以涂其缓者,以桑钩钩之,即以生桑灰置之坎中,高下以坐等,以膏熨急颊,且饮美酒,啖美炙肉,不饮酒者,自强也,为之三拊而已。治在燔针劫刺,以知为数,以痛为输,名曰季春痹也。
zú yáng míng zhī jīn, qǐ yú zhōng sān zhǐ, jié yú fū shàng, xié wài shàng jiā yú fǔ gǔ, shàng jié yú xī wài lián, zhí shàng jié yú bì shū, shàng xún xié zhǔ jí; qí zhí zhě, shàng xún gàn, jié yú xī; qí zhī zhě, jié yú wài fǔ gǔ, hé shào yáng; qí zhí zhě, shàng xún fú tù, shàng jié yú bì, jù yú yīn qì, shàng fù ér bù, zhì quē pén ér jié, shàng jǐng, shàng xié kǒu, hé yú qiú, xià jié yú bí, shàng hé yú tài yáng. tài yáng wéi mù shàng wǎng, yáng míng wéi mù xià wǎng. qí zhī zhě, cóng jiá jié yú ěr qián. qí bìng zú zhōng zhǐ zhī, jìng zhuǎn jīn, jiǎo tiào jiān, fú tù zhuǎn jīn, bì qián zhǒng, tuí shàn, fù jīn jí, yǐn quē pén jí jiá, cù kǒu pì. jí zhě, mù bù hé; rè zé jīn zòng, mù bù kāi. jiá jīn yǒu hán, zé jí yǐn jiá yí kǒu. yǒu rè zé jīn chí zòng, huǎn bù shēng shōu, gù pì. zhì zhī yǐ mǎ gāo, gāo qí jí zhě, yǐ bái jiǔ huò guì, yǐ tú qí huǎn zhě, yǐ sāng gōu gōu zhī, jí yǐ shēng sāng huī zhì zhī kǎn zhōng, gāo xià yǐ zuò děng, yǐ gāo yùn jí jiá, qiě yǐn měi jiǔ, dàn měi zhì ròu, bù yǐn jiǔ zhě, zì qiǎng yě, wéi zhī sān fǔ ér yǐ. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, míng yuē jì chūn bì yě.
足阳明的经筋,起于中三指,结于跗上,斜外上行加于辅骨,上结于膝外廉,直上结于髀枢,上沿胁而属脊;直行的一支,上沿骭骨,结于膝;分出的一支,结于外辅骨,与少阳相合;直行的一支,上沿伏兔,上结于髀,聚于阴器,上布于腹,到缺盆而结,上颈,上挟口,合于颧,下结于鼻,上合于太阳。太阳为目上纲,阳明为目下纲。分出的一支,从颊结于耳前。它的病候是足中指牵引,胫部转筋,脚跳而坚,伏兔转筋,髀前肿,㿉疝,腹筋拘急,引及缺盆与颊,突然口角歪斜。拘急的,眼睛不能闭合;有热的,筋纵弛而不能睁开。颊筋有寒,就拘急而牵引颊部使口角移动;有热则筋弛纵,缓而不能收,所以口歪。治疗用马膏涂在拘急的一侧,用白酒调和桂末涂在弛缓的一侧,用桑钩钩住,再把生桑灰放在坎中,高低与坐位相等,用膏熨那拘急的颊部,并且饮美酒,吃烤美的肉,不饮酒的人也要勉强喝一些,如此抚摩三次而已。治疗用燔针劫刺,以病愈为度,以痛处为输穴,名叫季春痹。
The sinews of foot yangming begin at the middle three toes, knot on the dorsum of the foot, run obliquely outward and upward onto the shin bone, knot at the outer side of the knee, go straight up to knot at the hip joint, ascend along the ribs and belong to the spine. The straight branch ascends along the shin and knots at the knee. A branch knots at the outer shin bone and joins shaoyang. The straight branch ascends along the crouching rabbit, knots at the thigh, gathers at the genitals, spreads over the abdomen, knots at the supraclavicular fossa, ascends the neck, grips the mouth, joins at the cheekbone, knots below at the nose and joins above with taiyang. Taiyang is the upper net of the eye and yangming the lower net. A branch runs from the cheek and knots in front of the ear. Its diseases: the middle toe pulls, the shin cramps, the foot jumps and feels hard, the crouching rabbit cramps, the front of the thigh swells, there is swelling hernia, the abdominal sinews tighten and pull at the supraclavicular fossa and the cheek, and the mouth is suddenly drawn aside. Where it is tight, the eye cannot close; where there is heat, the sinews slacken and the eye cannot open. If the sinews of the cheek are cold they tighten and pull the cheek so that the mouth shifts; if there is heat they slacken and cannot gather, and so the mouth is drawn aside. Treat with horse fat, anointing the tight side, and with white wine mixed with cassia, smearing the slack side; hook it with a mulberry hook, place the ash of burnt mulberry in a pit at the height of the sitting patient, and iron the tight cheek with the ointment. Let him drink good wine and eat roast meat; if he does not drink, let him force himself. Do this with three rubbings, and then treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the last-spring bi.
足太陰之筋,起于大指之端内側,上結于内踝;其直者,絡于膝内輔骨,上循陰股,結于髀,聚于陰器,上腹,結于臍,循腹裏,結于肋,散于胸中;其内者,著于脊。其病足大指支内踝痛,轉筋痛,膝内輔骨痛,陰股引髀而痛,陰器紐痛,下引臍兩脅痛,引膺中脊内痛。治在燔鍼刼刺,以知爲數,以痛爲輸,命曰孟秋痺也。 足太阴之筋,起于大指之端内侧,上结于内踝;其直者,络于膝内辅骨,上循阴股,结于髀,聚于阴器,上腹,结于脐,循腹里,结于肋,散于胸中;其内者,著于脊。其病足大指支内踝痛,转筋痛,膝内辅骨痛,阴股引髀而痛,阴器纽痛,下引脐两胁痛,引膺中脊内痛。治在燔针劫刺,以知为数,以痛为输,命曰孟秋痹也。
zú tài yīn zhī jīn, qǐ yú dà zhǐ zhī duān nèi cè, shàng jié yú nèi huái; qí zhí zhě, luò yú xī nèi fǔ gǔ, shàng xún yīn gǔ, jié yú bì, jù yú yīn qì, shàng fù, jié yú qí, xún fù lǐ, jié yú lèi, sàn yú xiōng zhōng; qí nèi zhě, zhuó yú jí. qí bìng zú dà zhǐ zhī nèi huái tòng, zhuǎn jīn tòng, xī nèi fǔ gǔ tòng, yīn gǔ yǐn bì ér tòng, yīn qì niǔ tòng, xià yǐn qí liǎng xié tòng, yǐn yīng zhōng jí nèi tòng. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, mìng yuē mèng qiū bì yě.
足太阴的经筋,起于大指之端内侧,上结于内踝;直行的一支,络于膝内辅骨,上沿阴股,结于髀,聚于阴器,上腹,结于脐,沿腹里,结于肋,散于胸中;在内的,附着于脊。它的病候是足大指牵引而内踝痛,转筋痛,膝内辅骨痛,阴股引髀而痛,阴器如绳纽结而痛,下引脐与两胁痛,上引膺中与脊内痛。治疗用燔针劫刺,以病愈为度,以痛处为输穴,名叫孟秋痹。
The sinews of foot taiyin begin at the inner end of the great toe and knot at the inner ankle. The straight branch ties at the inner shin bone of the knee, ascends along the inner thigh, knots at the thigh, gathers at the genitals, ascends the abdomen, knots at the navel, runs inside the abdomen, knots at the ribs and disperses in the chest; the inner part attaches to the spine. Its diseases: the great toe pulls and the inner ankle hurts, there is cramping pain, pain at the inner shin bone of the knee, pain pulling from the inner thigh to the hip, a knotted pain at the genitals, pain pulling down to the navel and both ribs, and pain pulling at the middle of the breast and inside the spine. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the first-autumn bi.
足少陰之筋,起于小指之下,並足太陰之筋,邪走内踝之下,結于踵,與太陽之筋合,而上結于内輔之下,並太陰之筋而上,循陰股,結于陰器,循脊内,挾膂,上至項,結于枕骨,與足太陽之筋合。其病足下轉筋,及所過而結者,皆痛及轉筋。病在此者,主癇瘛及痙;在外者不能俛,在内者不能仰,故陽病者腰反折不能俛,陰病者不能仰。治在燔鍼刼刺,以知爲數,以痛爲輸。在内者熨引飲藥,此筋折紐,紐發數甚者,死不治,名曰仲秋痺也。 足少阴之筋,起于小指之下,并足太阴之筋,邪走内踝之下,结于踵,与太阳之筋合,而上结于内辅之下,并太阴之筋而上,循阴股,结于阴器,循脊内,挟膂,上至项,结于枕骨,与足太阳之筋合。其病足下转筋,及所过而结者,皆痛及转筋。病在此者,主痫瘛及痉;在外者不能俛,在内者不能仰,故阳病者腰反折不能俛,阴病者不能仰。治在燔针劫刺,以知为数,以痛为输。在内者熨引饮药,此筋折纽,纽发数甚者,死不治,名曰仲秋痹也。
zú shào yīn zhī jīn, qǐ yú xiǎo zhǐ zhī xià, bìng zú tài yīn zhī jīn, xié zǒu nèi huái zhī xià, jié yú zhǒng, yǔ tài yáng zhī jīn hé, ér shàng jié yú nèi fǔ zhī xià, bìng tài yīn zhī jīn ér shàng, xún yīn gǔ, jié yú yīn qì, xún jí nèi, xié lǚ, shàng zhì xiàng, jié yú zhěn gǔ, yǔ zú tài yáng zhī jīn hé. qí bìng zú xià zhuǎn jīn, jí suǒ guò ér jié zhě, jiē tòng jí zhuǎn jīn. bìng zài cǐ zhě, zhǔ xián chì jí jìng; zài wài zhě bù néng fǔ, zài nèi zhě bù néng yǎng, gù yáng bìng zhě yāo fǎn zhé bù néng fǔ, yīn bìng zhě bù néng yǎng. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū. zài nèi zhě yùn yǐn yǐn yào, cǐ jīn zhé niǔ, niǔ fā shuò shèn zhě, sǐ bù zhì, míng yuē zhòng qiū bì yě.
足少阴的经筋,起于小指之下,与足太阴的经筋并行,斜走内踝之下,结于足踵,与太阳的经筋相合,而上结于内辅骨之下,再与太阴的经筋并行而上,沿阴股,结于阴器,沿脊内,挟膂,上至项部,结于枕骨,与足太阳的经筋相合。它的病候是足下转筋,以及所经过而结聚的地方都痛而且转筋。病在这一经的,主癫痫、瘛疭与痉病;在外的不能俯,在内的不能仰,所以阳病腰背反折而不能俯,阴病不能仰。治疗用燔针劫刺,以病愈为度,以痛处为输穴。在内的用温熨、导引与汤药。这种筋折而纽结,纽结发作频繁而剧烈的,是不治之证,名叫仲秋痹。
The sinews of foot shaoyin begin below the little toe, run alongside the sinews of foot taiyin, go obliquely below the inner ankle, knot at the heel, join the sinews of taiyang and knot above below the inner shin bone; then, running alongside the sinews of taiyin, they ascend the inner thigh, knot at the genitals, run inside the spine, grip the spinal muscles, reach the nape and knot at the occiput, joining the sinews of foot taiyang. Its diseases: the sole of the foot cramps, and wherever they pass and knot there is pain and cramping. When the disease is in this channel it governs epilepsy, convulsion and tetany. What is outside cannot bend forward and what is inside cannot bend back; thus in yang disease the lower back arches back and one cannot bend forward, and in yin disease one cannot bend back. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. For what is inside, use warm ironing, guided stretching and decoctions. When this sinew breaks and knots, and the knots come often and fiercely, it is a fatal disease. It is called the mid-autumn bi.
足厥陰之筋,起于大指之上,上結于内踝之前,上循脛,上結内輔之下,上循陰股,結于陰器,絡諸筋。其病足大指支,内踝之前痛,内輔痛,陰股痛,轉筋,陰器不用。傷於内則不起,傷於寒則陰縮入,傷於𤍠則縱挺不收。治在行水,清陰氣。其病轉筋者,治在燔鍼刼刺,以知爲數,以痛爲輸。命曰季秋痺也。 足厥阴之筋,起于大指之上,上结于内踝之前,上循胫,上结内辅之下,上循阴股,结于阴器,络诸筋。其病足大指支,内踝之前痛,内辅痛,阴股痛,转筋,阴器不用。伤于内则不起,伤于寒则阴缩入,伤于𤍠则纵挺不收。治在行水,清阴气。其病转筋者,治在燔针劫刺,以知为数,以痛为输。命曰季秋痹也。
zú jué yīn zhī jīn, qǐ yú dà zhǐ zhī shàng, shàng jié yú nèi huái zhī qián, shàng xún jìng, shàng jié nèi fǔ zhī xià, shàng xún yīn gǔ, jié yú yīn qì, luò zhū jīn. qí bìng zú dà zhǐ zhī, nèi huái zhī qián tòng, nèi fǔ tòng, yīn gǔ tòng, zhuǎn jīn, yīn qì bù yòng. shāng yú nèi zé bù qǐ, shāng yú hán zé yīn suō rù, shāng yú rè zé zòng tǐng bù shōu. zhì zài xíng shuǐ, qīng yīn qì. qí bìng zhuǎn jīn zhě, zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū. mìng yuē jì qiū bì yě.
足厥阴的经筋,起于大指之上,上结于内踝之前,上沿胫,上结于内辅骨之下,上沿阴股,结于阴器,联络诸筋。它的病候是足大指牵引而内踝之前痛,内辅骨痛,阴股痛,转筋,阴器不能运用。伤于内则阳事不起,伤于寒则阴器缩入,伤于热则纵挺而不收。治疗在行水以清阴气。若病转筋的,用燔针劫刺,以病愈为度,以痛处为输穴,名叫季秋痹。
The sinews of foot jueyin begin above the great toe, knot in front of the inner ankle, ascend the shin, knot below the inner shin bone, ascend the inner thigh, knot at the genitals and net all the sinews. Its diseases: the great toe pulls, there is pain in front of the inner ankle, pain at the inner shin bone, pain in the inner thigh, cramping, and the genitals are useless. If injured within, the organ will not rise; if injured by cold the genitals draw in; if injured by heat they stretch out and will not gather. Treat by moving the water and clearing the yin qi. Where there is cramping, treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the last-autumn bi.
手太陽之筋,起于小指之上,結于腕,上循臂内廉,結于肘内鋭骨之後,彈之應小指之上,入結于腋下;其支者,後走腋後廉,上繞肩胛,循脛出走太陽之前,結于耳後完骨;其支者,入耳中;直者,出耳上,下結于頷,上屬目外眦。其病小指支肘内鋭骨後廉痛,循臂陰,入腋下,腋下痛,腋後廉痛,繞肩胛,引頸而痛,應耳中鳴痛引頷,目瞑,良久乃得視。頸筋急,則爲筋瘻頸腫,寒𤍠在頸者。治在燔鍼劫刺之,以知爲數,以痛爲輸。其爲腫者,復而鋭之;本支者,上曲牙,循耳前,屬目外眦,上頷,結于角。其痛當所過者支轉筋。治在燔鍼劫刺,以知爲數,以痛爲輸,名曰仲夏痺也。 手太阳之筋,起于小指之上,结于腕,上循臂内廉,结于肘内锐骨之后,弹之应小指之上,入结于腋下;其支者,后走腋后廉,上绕肩胛,循胫出走太阳之前,结于耳后完骨;其支者,入耳中;直者,出耳上,下结于颔,上属目外眦。其病小指支肘内锐骨后廉痛,循臂阴,入腋下,腋下痛,腋后廉痛,绕肩胛,引颈而痛,应耳中鸣痛引颔,目瞑,良久乃得视。颈筋急,则为筋瘘颈肿,寒𤍠在颈者。治在燔针劫刺之,以知为数,以痛为输。其为肿者,复而锐之;本支者,上曲牙,循耳前,属目外眦,上颔,结于角。其痛当所过者支转筋。治在燔针劫刺,以知为数,以痛为输,名曰仲夏痹也。
shǒu tài yáng zhī jīn, qǐ yú xiǎo zhǐ zhī shàng, jié yú wàn, shàng xún bì nèi lián, jié yú zhǒu nèi ruì gǔ zhī hòu, tán zhī yīng xiǎo zhǐ zhī shàng, rù jié yú yè xià; qí zhī zhě, hòu zǒu yè hòu lián, shàng rào jiān jiǎ, xún jìng chū zǒu tài yáng zhī qián, jié yú ěr hòu wán gǔ; qí zhī zhě, rù ěr zhōng; zhí zhě, chū ěr shàng, xià jié yú hàn, shàng zhǔ mù wài zì. qí bìng xiǎo zhǐ zhī zhǒu nèi ruì gǔ hòu lián tòng, xún bì yīn, rù yè xià, yè xià tòng, yè hòu lián tòng, rào jiān jiǎ, yǐn jǐng ér tòng, yīng ěr zhōng míng tòng yǐn hàn, mù míng, liáng jiǔ nǎi dé shì. jǐng jīn jí, zé wéi jīn lòu jǐng zhǒng, hán rè zài jǐng zhě. zhì zài fán zhēn jié cì zhī, yǐ zhī wéi shù, yǐ tòng wéi shū. qí wéi zhǒng zhě, fù ér ruì zhī; běn zhī zhě, shàng qū yá, xún ěr qián, zhǔ mù wài zì, shàng hàn, jié yú jiǎo. qí tòng dāng suǒ guò zhě zhī zhuǎn jīn. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, míng yuē zhòng xià bì yě.
手太阳的经筋,起于小指之上,结于腕,上沿臂内廉,结于肘内锐骨之后,弹它就会应于小指之上,入而结于腋下;分出的一支,向后走腋后廉,上绕肩胛,沿颈出走太阳之前,结于耳后完骨;分出的一支,入耳中;直行的一支,出耳上,下结于颔,上属目外眦。它的病候是小指牵引而肘内锐骨后廉痛,沿臂阴入腋下,腋下痛,腋后廉痛,绕肩胛,引颈而痛,应于耳中鸣痛而引颔,眼睛昏暗,良久才能看见。颈筋拘急,就成为筋瘘与颈肿,这是寒热在颈的病。治疗用燔针劫刺,以病愈为度,以痛处为输穴。若已成肿的,再刺而锐之;本支的一支,上曲牙,沿耳前,属目外眦,上颔,结于额角。它在所经过的地方牵引转筋而痛。治疗用燔针劫刺,以病愈为度,以痛处为输穴,名叫仲夏痹。
The sinews of hand taiyang begin above the little finger, knot at the wrist, ascend the inner side of the arm and knot behind the sharp bone at the inner elbow; pluck it and the little finger answers. They enter and knot below the axilla. A branch runs back along the outer side behind the axilla, winds up around the shoulder blade, follows the neck and comes out in front of taiyang, knotting at the mastoid behind the ear. A branch enters the ear; the straight branch comes out above the ear, knots below at the chin and belongs above to the outer canthus. Its diseases: the little finger pulls and the outer side behind the sharp bone of the inner elbow hurts; the pain follows the inner arm into the axilla, the axilla hurts, the outer side behind the axilla hurts, it winds around the shoulder blade, pulls the neck and hurts, answers in the ear with ringing and pain that pulls the chin; the eye is dim and only after a long while can one see. When the sinews of the neck are tight there is sinew fistula and swelling of the neck; this is cold and heat in the neck. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. Where there is swelling, pierce again and sharpen it. A root branch goes up to the curved tooth, follows in front of the ear, belongs to the outer canthus, ascends the chin and knots at the corner. Where it passes there is pulling and cramping pain. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the mid-summer bi.
手少陽之筋,起于小指、次指之端,結于腕,上循臂,結于肘,上繞臑外廉,上肩走頸,合手太陽;其支者,當曲頬,入繫舌本;其支者,上曲牙,循耳前,屬目外眦,上乘頷,結于角。其病當所過者,即支轉筋,舌卷。治在燔鍼劫刺,以知爲數,以痛爲輸,名曰季夏痺也。 手少阳之筋,起于小指、次指之端,结于腕,上循臂,结于肘,上绕臑外廉,上肩走颈,合手太阳;其支者,当曲頬,入系舌本;其支者,上曲牙,循耳前,属目外眦,上乘颔,结于角。其病当所过者,即支转筋,舌卷。治在燔针劫刺,以知为数,以痛为输,名曰季夏痹也。
shǒu shào yáng zhī jīn, qǐ yú xiǎo zhǐ, cì zhǐ zhī duān, jié yú wàn, shàng xún bì, jié yú zhǒu, shàng rào nào wài lián, shàng jiān zǒu jǐng, hé shǒu tài yáng; qí zhī zhě, dāng qū jiá, rù xì shé běn; qí zhī zhě, shàng qū yá, xún ěr qián, zhǔ mù wài zì, shàng chéng hàn, jié yú jiǎo. qí bìng dāng suǒ guò zhě, jí zhī zhuǎn jīn, shé juǎn. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, míng yuē jì xià bì yě.
手少阳的经筋,起于小指、次指之端,结于腕,上沿臂,结于肘,上绕臑外廉,上肩走颈,与手太阳相合;分出的一支,当曲颊入而系于舌本;分出的一支,上曲牙,沿耳前,属目外眦,上乘颔,结于额角。它的病候是所经过的地方牵引转筋,舌卷。治疗用燔针劫刺,以病愈为度,以痛处为输穴,名叫季夏痹。
The sinews of hand shaoyang begin at the tips of the little and fourth fingers, knot at the wrist, ascend the arm, knot at the elbow, wind up the outer side of the upper arm, ascend the shoulder and run to the neck, joining hand taiyang. A branch at the curved cheek enters and ties at the root of the tongue. A branch goes up to the curved tooth, follows in front of the ear, belongs to the outer canthus, ascends the chin and knots at the corner. Its diseases: wherever they pass there is pulling and cramping, and the tongue curls. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the last-summer bi.
手陽眀之筋,起于大指、次指之端,結于腕,上循臂,上結于肘外,上臑,結于髃;其支者,繞肩胛,挾脊;直者,從肩髃上頸;其支者,上頬,結于頄;直者,上出手太陽之前,上左角,絡頭,下右頷。其病當所過者,支痛及轉筋,肩不舉,頸不可左右視。治在燔鍼劫刺,以知爲數,以痛爲輸,名曰孟夏痺也。 手阳眀之筋,起于大指、次指之端,结于腕,上循臂,上结于肘外,上臑,结于髃;其支者,绕肩胛,挟脊;直者,从肩髃上颈;其支者,上頬,结于頄;直者,上出手太阳之前,上左角,络头,下右颔。其病当所过者,支痛及转筋,肩不举,颈不可左右视。治在燔针劫刺,以知为数,以痛为输,名曰孟夏痹也。
shǒu yáng míng zhī jīn, qǐ yú dà zhǐ, cì zhǐ zhī duān, jié yú wàn, shàng xún bì, shàng jié yú zhǒu wài, shàng nào, jié yú yú; qí zhī zhě, rào jiān jiǎ, xié jí; zhí zhě, cóng jiān yú shàng jǐng; qí zhī zhě, shàng jiá, jié yú qiú; zhí zhě, shàng chū shǒu tài yáng zhī qián, shàng zuǒ jiǎo, luò tóu, xià yòu hàn. qí bìng dāng suǒ guò zhě, zhī tòng jí zhuǎn jīn, jiān bù jǔ, jǐng bù kě zuǒ yòu shì. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, míng yuē mèng xià bì yě.
手阳明的经筋,起于大指、次指之端,结于腕,上沿臂,上结于肘外,上臑,结于肩髃;分出的一支,绕肩胛,挟脊;直行的一支,从肩髃上颈;分出的一支,上颊,结于颧;直行的一支,上出手太阳之前,上左角,络头,下右颔。它的病候是所经过的地方牵引而痛并且转筋,肩不能举,颈不可左右转视。治疗用燔针劫刺,以病愈为度,以痛处为输穴,名叫孟夏痹。
The sinews of hand yangming begin at the tips of the thumb and index finger, knot at the wrist, ascend the arm, knot at the outer elbow, ascend the upper arm and knot at the shoulder point. A branch winds around the shoulder blade and grips the spine; the straight branch goes up the neck from the shoulder point. A branch ascends the cheek and knots at the cheekbone; the straight branch emerges in front of hand taiyang, goes up the left corner, nets the head and comes down to the right chin. Its diseases: wherever they pass there is pulling pain and cramping, the shoulder cannot be raised, and the neck cannot turn to look. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the first-summer bi.
手太陰之筋,起于大指之上,循指上行,結于魚後,行寸口外側,上循臂,結肘中,上臑内廉,入腋下,出缺盆,結肩前髃,上結缺盆,下結胸裏,散貫賁,合賁下抵季脅。其病當所過者,支轉筋,痛甚成息賁,脅急吐血。治在燔鍼劫刺,以知爲數,以痛爲輸,名曰仲冬痺也。 手太阴之筋,起于大指之上,循指上行,结于鱼后,行寸口外侧,上循臂,结肘中,上臑内廉,入腋下,出缺盆,结肩前髃,上结缺盆,下结胸里,散贯贲,合贲下抵季胁。其病当所过者,支转筋,痛甚成息贲,胁急吐血。治在燔针劫刺,以知为数,以痛为输,名曰仲冬痹也。
shǒu tài yīn zhī jīn, qǐ yú dà zhǐ zhī shàng, xún zhǐ shàng xíng, jié yú yú hòu, xíng cùn kǒu wài cè, shàng xún bì, jié zhǒu zhōng, shàng nào nèi lián, rù yè xià, chū quē pén, jié jiān qián yú, shàng jié quē pén, xià jié xiōng lǐ, sàn guàn bēn, hé bēn xià dǐ jì xié. qí bìng dāng suǒ guò zhě, zhī zhuǎn jīn, tòng shèn chéng xī bēn, xié jí tù xuè. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, míng yuē zhòng dōng bì yě.
手太阴的经筋,起于大指之上,沿指上行,结于鱼后,行于寸口外侧,上沿臂,结于肘中,上臑内廉,入腋下,出缺盆,结于肩前髃,上结于缺盆,下结于胸里,散贯贲门,合于贲下而抵季胁。它的病候是所经过的地方牵引转筋,痛得厉害就成为息贲,胁部拘急而吐血。治疗用燔针劫刺,以病愈为度,以痛处为输穴,名叫仲冬痹。
The sinews of hand taiyin begin above the thumb, run up the finger and knot behind the fish, pass the outer side of the inch opening, ascend the arm, knot in the elbow, go up the inner side of the upper arm, enter below the axilla, emerge at the supraclavicular fossa, knot at the front of the shoulder, knot above at the supraclavicular fossa, knot below inside the chest, disperse through the cardia and join below the cardia, reaching the lateral ribs. Its diseases: wherever they pass there is pulling and cramping; if the pain is severe it becomes rushing qi, with tightness of the ribs and spitting of blood. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the mid-winter bi.
手心主之筋,起于中指,與太陰之筋並行,結于肘内廉;上臂陰,結腋下,下散前後挾脅;其支者,入腋,散胸中,結于臂。其病當所過者,支轉筋,前及胸痛息賁。治在燔鍼劫刺,以知爲數,以痛爲輸,名曰孟冬痺也。 手心主之筋,起于中指,与太阴之筋并行,结于肘内廉;上臂阴,结腋下,下散前后挟胁;其支者,入腋,散胸中,结于臂。其病当所过者,支转筋,前及胸痛息贲。治在燔针劫刺,以知为数,以痛为输,名曰孟冬痹也。
shǒu xīn zhǔ zhī jīn, qǐ yú zhōng zhǐ, yǔ tài yīn zhī jīn bìng xíng, jié yú zhǒu nèi lián; shàng bì yīn, jié yè xià, xià sàn qián hòu xié xié; qí zhī zhě, rù yè, sàn xiōng zhōng, jié yú bì. qí bìng dāng suǒ guò zhě, zhī zhuǎn jīn, qián jí xiōng tòng xī bēn. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, míng yuē mèng dōng bì yě.
手心主的经筋,起于中指,与太阴的经筋并行,结于肘内廉;上臂阴,结于腋下,下散前后而挟胁;分出的一支,入腋,散于胸中,结于臂。它的病候是所经过的地方牵引转筋,前及胸痛而成息贲。治疗用燔针劫刺,以病愈为度,以痛处为输穴,名叫孟冬痹。
The sinews of hand xinzhu begin at the middle finger, run alongside the sinews of taiyin and knot at the inner elbow; they ascend the inner arm, knot below the axilla and disperse downward front and back, gripping the ribs. A branch enters the axilla, disperses in the chest and knots at the arm. Its diseases: wherever they pass there is pulling and cramping, and in front there is chest pain becoming rushing qi. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. It is called the first-winter bi.
手少陰之筋,起于小指之内側,結于鋭骨,上結肘内廉,上入腋,交太陰,挾乳裏,結于胸中,循臂下繫于臍,其病内急,心承伏梁,下爲肘網,其病當所過者,支轉筋,筋痛。治在燔鍼劫刺,以知爲數,以痛爲輸,其成伏梁唾血膿者,死不治。經筋之病,寒則反折筋急,𤍠則筋弛縱不收,陰痿不用。陽急則反折,陰急則俛不伸。焠刺者,刺寒急也,𤍠則筋縱不收,無用燔鍼,名曰季冬痺也。 手少阴之筋,起于小指之内侧,结于锐骨,上结肘内廉,上入腋,交太阴,挟乳里,结于胸中,循臂下系于脐,其病内急,心承伏梁,下为肘网,其病当所过者,支转筋,筋痛。治在燔针劫刺,以知为数,以痛为输,其成伏梁唾血脓者,死不治。经筋之病,寒则反折筋急,𤍠则筋弛纵不收,阴痿不用。阳急则反折,阴急则俛不伸。焠刺者,刺寒急也,𤍠则筋纵不收,无用燔针,名曰季冬痹也。
shǒu shào yīn zhī jīn, qǐ yú xiǎo zhǐ zhī nèi cè, jié yú ruì gǔ, shàng jié zhǒu nèi lián, shàng rù yè, jiāo tài yīn, xié rǔ lǐ, jié yú xiōng zhōng, xún bì xià xì yú qí, qí bìng nèi jí, xīn chéng fú liáng, xià wéi zhǒu wǎng, qí bìng dāng suǒ guò zhě, zhī zhuǎn jīn, jīn tòng. zhì zài fán zhēn jié cì, yǐ zhī wéi shù, yǐ tòng wéi shū, qí chéng fú liáng tuò xuè nóng zhě, sǐ bù zhì. jīng jīn zhī bìng, hán zé fǎn zhé jīn jí, rè zé jīn chí zòng bù shōu, yīn wěi bù yòng. yáng jí zé fǎn zhé, yīn jí zé fǔ bù shēn. cuì cì zhě, cì hán jí yě, rè zé jīn zòng bù shōu, wú yòng fán zhēn, míng yuē jì dōng bì yě.
手少阴的经筋,起于小指之内侧,结于锐骨,上结于肘内廉,上入腋,交于太阴,挟乳里,结于胸中,沿臂下系于脐。它的病候是内急,心承伏梁,下为肘网;所经过的地方牵引转筋而痛。治疗用燔针劫刺,以病愈为度,以痛处为输穴。若已成伏梁而唾血脓的,是不治之证。经筋的病,寒则反折而筋急,热则筋弛纵而不收,阴痿而不用。阳急则反折,阴急则俯而不能伸。焠刺,是刺寒急的;有热则筋纵不收,不可用燔针,名叫季冬痹。
The sinews of hand shaoyin begin on the inner side of the little finger, knot at the sharp bone, knot above at the inner elbow, ascend into the axilla, cross taiyin, grip inside the breast, knot in the chest and run down the arm to tie at the navel. Its diseases: inner tension, the heart bearing a hidden beam, and below a net at the elbow; wherever they pass there is pulling, cramping and pain. Treat with heated needle and swift piercing, taking recovery as the measure and the painful spot as the point. When the hidden beam has formed and there is spitting of blood and pus, it is fatal. In the diseases of the sinews, cold makes them arch back and tighten, heat makes them slacken and fail to gather, and the yin organ withers and is useless. When yang is tight one arches back; when yin is tight one stoops and cannot stretch. Scorched needling is for cold tightness; where there is heat the sinews slacken and do not gather, and the heated needle must not be used. It is called the last-winter bi.
足之陽眀,手之太陽,筋急則口目爲噼,眦急不能卒視,治皆如右方也。 足之阳眀,手之太阳,筋急则口目为噼,眦急不能卒视,治皆如右方也。
zú zhī yáng míng, shǒu zhī tài yáng, jīn jí zé kǒu mù wéi pì, zì jí bù néng zú shì, zhì jiē rú yòu fāng yě.
足的阳明与手的太阳,筋急则口眼歪斜,目眦拘急而不能卒然视物,治疗都如上法。
When the sinews of foot yangming and of hand taiyang are tight, the mouth and eye are drawn aside and the canthus is so tight that one cannot see at once. Treatment in all these cases is as given above.

Textual notes

Readings follow the base edition; significant variants are recorded here.

  1. 上循骭,結于膝上循骭,結于

    底本电子文本「結于」下脱「膝」字,影印本及《甲乙經》《太素》诸本皆有「膝」。足陽明之筋直行者上循骭骨而结于膝,与上文「上結于膝外廉」相承,今据补。

  2. 爲目上網爲目上綱

    「網」当作「綱」,谓目上之纲维。足太陽之筋为目上纲,足陽明之筋为目下纲,二句对举,《甲乙經》正作「綱」。底本作「網」,盖形近而讹。

  3. 名曰仲春痺名曰仲春痹

    「痺」为「痹」之古字,底本全书作「痺」。十二经筋各以季月命名,此足太陽为仲春,与足少陽孟春、足陽明季春相次,周而复始。

  4. 上頭下顔上頭下顏

    「顔」为「顏」之异写,底本从彦从頁。此谓足太陽之筋上至头而下行于颜面,结于鼻。今存底本字形。

  5. 邪上結于膝斜上結于膝

    「邪」为「斜」之借字,谓斜行而上。此篇「邪」字屡见,如「邪走内踝之下」「邪上出于頄」,皆读 xié,不作邪气解。

  6. 其病小指支跟腫痛其病小指支,跟腫痛

    此句底本无逗,作「小指支跟腫痛」,谓小指牵掣而足跟肿痛。与下文「腋支,缺盆中紐痛」句法同,皆以「支」字领起。

  7. 即上乘䏚季,脅痛即上乘䏚季脅痛

    此句底本于「季」下着逗,作「即上乘䏚季,脅痛」,与上文「上乘䏚季脅」句法小异。义谓上乘于䏚季而胁痛,句读可从。

  8. 其病足中指支,脛轉筋其病足中指支脛轉筋

    此句底本「支」下有逗,作「足中指支,脛轉筋」,谓足中指牵掣而胫部转筋。他本或连读,义亦可通,今仍底本句读。

  9. 並蹻脉而行並蹺脉而行

    「蹻」为「蹺」之古字,谓阳蹻、阴蹻之脉。此谓足少陽之筋从左络右,与蹻脉并行,故伤左角而右足不用。读 qiāo。

  10. 口目爲噼口目爲僻

    「噼」为「僻」之俗写,谓口眼歪斜。此总上足陽明、手太陽二筋之病,故曰治皆如右方。底本作「噼」,读 pì。

  11. 則筋弛縱,緩不勝收則筋弛縱緩,不勝收

    「勝」读 shēng,谓不能承受收引。此句底本「縱」下有逗,作「筋弛縱,緩不勝收」,与下文「故僻」相贯,文意自明。

  12. 治在燔鍼劫刺治在燔鍼刼刺

    「刼」为「劫」之异体,底本此篇「劫」「刼」二字杂出,足太陽、手太陽作「劫」,足少陽、足陽明作「刼」,同字异写。燔针即火针。

  13. 以知爲數,以痛爲輸以知爲數以痛爲輸

    「數」读 shù,谓以病愈为度;「輸」读 shū,谓以痛处为腧穴。二句为经筋病治法通例,此篇十二见,文同,可见当时已有定式。

  14. 寒則反折筋急,𤍠則筋弛縱不收寒則反折筋急,熱則筋弛縱不收

    「𤍠」为「熱」之异写,此篇五见。此总论经筋寒热之病:寒则筋急而反折,热则筋弛纵而不收,与上文诸筋病候一一相应。

  15. 焠刺者,刺寒急也焠鍼者,刺寒急也

    「焠刺」即燔针,以火烧针而刺,专治寒急之筋。底本作「刺」,与下句「無用燔鍼」相对成文,一用一不用,义自分明。

  16. 足之陽眀足之陽明

    「眀」为「明」之异写,底本此篇两见,「手陽眀之筋」与「足之陽眀」是也。今存底本字形,与全书「明」字并行。

Cite this page

APA

Huangdi Neijing · Lingshu 黃帝內經靈樞 (Compiled over the same span as the Suwen; the present text was put in order in the Tang.). Jīng jīn 經筋 [The Sinew Channels], Chapter 13. In Classica Sinica Medica. Base text: 《黃帝素問靈樞經》十二卷八十一篇,宋·史崧校定并音釋。據上海涵芬樓《四部叢刊》子部影印明趙府居敬堂刊本錄入,卷首牌記題「上海涵芬樓景明趙府居敬堂刊本」,並記原書版匡高營造尺六寸三分、寬四寸四分。目錄末行作「元二十四卷今併爲十二卷計八十一篇」。底本與影印本均屬公有領域。 Retrieved 29 October 2026, from https://classicstcm.com/classics/huangdi-neijing-lingshu/the-sinew-channels/

MLA

"Jīng jīn 經筋 [The Sinew Channels]." Huangdi Neijing · Lingshu 黃帝內經靈樞, chapter 13, Classica Sinica Medica, 2026, https://classicstcm.com/classics/huangdi-neijing-lingshu/the-sinew-channels/. Accessed 29 Oct. 2026. Base text: 《黃帝素問靈樞經》十二卷八十一篇,宋·史崧校定并音釋。據上海涵芬樓《四部叢刊》子部影印明趙府居敬堂刊本錄入,卷首牌記題「上海涵芬樓景明趙府居敬堂刊本」,並記原書版匡高營造尺六寸三分、寬四寸四分。目錄末行作「元二十四卷今併爲十二卷計八十一篇」。底本與影印本均屬公有領域。

Chinese scholarly

《黃帝內經靈樞·經筋》(Huángdì Nèijīng Língshū)。《黃帝素問靈樞經》十二卷八十一篇,宋·史崧校定并音釋。據上海涵芬樓《四部叢刊》子部影印明趙府居敬堂刊本錄入,卷首牌記題「上海涵芬樓景明趙府居敬堂刊本」,並記原書版匡高營造尺六寸三分、寬四寸四分。目錄末行作「元二十四卷今併爲十二卷計八十一篇」。底本與影印本均屬公有領域。Classica Sinica Medica,2026 年 10 月 29 日 存取,https://classicstcm.com/classics/huangdi-neijing-lingshu/the-sinew-channels/。

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