Hǎi lùn
A short cosmological chapter that does one thing well: it gives the body its own oceans. Heaven and earth have four seas, the twelve channel-waters flow into them, and Qi Bo maps the same four onto the body — marrow, blood, qi, and water-and-grain — each with a point above and a point below where its influence surfaces.The mapping is not decorative. Every sea is given a place to be needled: Qijie and Sanli for the stomach, Dazhu and the lian of Juxu for the thoroughfare vessel, the pillar bone and Renying for the chest, the crown and Fengfu for the brain. The chapter thus converts a metaphor into an address.Its clinical half is a set of excess-and-deficiency pictures that clinicians have quoted ever since: the full chest and red face of qi, the bodily inflation and shrinking of blood, the hunger that cannot eat, and the lightness, dizziness and lassitude of the marrow. The rule that closes it is deliberately modest — hold the points, adjust excess and deficiency, and do not injure what is already following.The blood sea is the strangest of the four, and the most instructive. Its patient cannot say where the trouble is, only that the whole body has changed size — swollen when full, cramped when empty. A sea, after all, is felt everywhere and located nowhere, and that is exactly how these four patterns present.
Readings follow the base edition; significant variants are recorded here.
命曰四海名曰四海
命曰,猶言名之曰,與「名曰」同。底本引號已去。此句承上東西南北而言,謂海有四,人亦有四,故以「四海」爲名。
下出于巨虚之上下廉下出于巨虚之上下廉
底本原作「下出于巨虚之上。下廉膻中者」,於「上」字斷句則「下廉」無所屬,且「膻中者」另起一海。今移句讀,字未增損。
膻中者,爲氣之海膻中者,爲氣之海
膻中,胸中也,讀若「扇」。此以部位言,非穴名;其輸上在柱骨上下,前在人迎,皆胸中氣所出入之處。
其輸上在于柱骨之上下其輸上在于柱骨之上下
柱骨,天柱骨也,即項後脊骨上段。氣海之輸上及於此,下前及於人迎,正見胸中大氣前後相應之勢。
其輸上在于其蓋其輸上在于其蓋
蓋,頭蓋也,謂腦之上骨。髓海之輸上在顛頂,下在風府,一上一下,與針家取風府治腦之說相合。
則常想其身大則常想其身大
想,自覺也,非思念。血海有餘則自覺身脹,不足則自覺身縮,皆無形可指,故曰「不知其所病」,此爲血海虛實之的特徵。
自過其度自過其度
度,常度也。髓海有餘則輕勁多力,超乎常人之度;與下「腦轉耳鳴」「懈怠安臥」對看,一實一虛,皆從髓海立論。
審守其輸,而調其虚實審守其輸,而調其虛實
輸即上文四海之輸穴。審守者,先審其處而後守之,不可泛取;調其虛實,則寫補隨證,此全章治法之總綱。
無犯其害無犯其害
害,即「不知調者害」之害。虛者不可寫,實者不可補,逆其性則爲害,故戒之曰無犯。
Cite this page
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.). Hǎi lùn 海論 [On the Seas], Chapter 33. 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/on-the-seas/
"Hǎi lùn 海論 [On the Seas]." Huangdi Neijing · Lingshu 黃帝內經靈樞, chapter 33, Classica Sinica Medica, 2026, https://classicstcm.com/classics/huangdi-neijing-lingshu/on-the-seas/. 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。
《黃帝內經靈樞·海論》(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/on-the-seas/。
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