歧伯曰:平治於權衡。去宛陳莝,微動四極,温衣繆剌其處,以復其形。開鬼門,潔淨府,精以時服。五陽已布,疏滌五藏,故精自生,形自盛,骨肉相保,巨氣乃平。
岐伯曰:平治于权衡。去宛陈莝,微动四极,温衣缪刺其处,以复其形。开鬼门,洁净府,精以时服。五阳已布,疏涤五藏,故精自生,形自盛,骨肉相保,巨气乃平。
qí bó yuē: píng zhì yú quán héng. qù wǎn chén cuò, wēi dòng sì jí, wēn yī miù cì qí chù, yǐ fù qí xíng. kāi guǐ mén, jié jìng fǔ, jīng yǐ shí fú. wǔ yáng yǐ bù, shū dí wǔ zàng, gù jīng zì shēng, xíng zì shèng, gǔ ròu xiāng bǎo, jù qì nǎi píng.
Qibo says: level it by weighing. Remove the stasis and cut away the old, stir the four extremities gently, warm the clothing, and needle the place by contralateral puncture, so as to restore the frame. Open the ghost gate, clean the pure storehouse, and the essence will be taken up in season. Once the five yang have been distributed and the five storing organs flushed, the essence generates itself, the frame fills itself, bone and flesh keep one another, and the great qi is at last level.
底本作「繆剌」,「剌」(音 là)當為「刺」(cì)之形近字,今通行本作「繆刺」。王冰以「繆刺」為「所刺之穴,如病在左而取之右」之法;《素問》第六十三篇《繆刺論》專論之,與「巨刺」並舉:巨刺刺經,繆刺刺絡。
其病者在奇邪,奇邪之脉,則繆刺之。留瘦不移,節而刺之。
其病者在奇邪,奇邪之脉,则缪刺之。留瘦不移,节而刺之。
Qí bìng zhě zài qí xié, qí xié zhī mài, zé miù cì zhī. Liú shòu bù yí, jié ér cì zhī.
Where the disease lies in stray evil, the vessels of stray evil are treated by contralateral needling. Where the evil lodges and the wasting does not shift, needle it by stages.
「其病者在奇邪,奇邪之脉,則繆刺之」:本篇繆刺之義,在為奇邪之治——邪不入於經而流溢於絡者,刺之不以經取,而左病取右、右病取左。繆音 miù。與第十四篇「温衣繆剌其處」(彼「剌」 為「刺」之形近字,通行作繆刺)、第七篇繆刺之例同法而義別:第十四篇之繆刺為治水病形腫之法之一端(温衣、繆刺並舉以復其形),本篇則以繆刺為奇邪之專法;下文「留瘦不移,節而刺之」,則邪著而形瘦者不可急取,當節次而刺之。
經言氣之盛衰,左右傾移,以上調下,以左調右,有餘不足,補冩於榮輸,余知之矣。
经言气之盛衰,左右倾移,以上调下,以左调右,有余不足,补写于荣输,余知之矣。
Jīng yán qì zhī shèng shuāi, zuǒ yòu qīng yí, yǐ shàng tiáo xià, yǐ zuǒ tiáo yòu, yǒu yú bù zú, bǔ xiè yú róng shù, yú zhī zhī yǐ.
The classic speaks of the waxing and waning of qi, of its tipping and shifting to left and right, of treating the lower by means of the upper and the right by means of the left, of surplus and insufficiency, and of supplementing and draining at the bloom and transport points. All this I know.
「以上調下,以左調右」——上病取下、左病取右,即本站繆刺之目。本篇黃帝舉此以為「余知之矣」之事,然後問「非邪氣從外入於經」之病,是繆刺之法所治者為榮衛自病之傾移,非本篇所論之真邪離合。**「調」讀 tiáo,本篇四見皆讀 tiáo**;「左」讀 zuǒ,「右」讀 yòu;「餘」讀 yú,底本作餘不作余。由此可見繆刺與本篇攻邪之法,在《內經》中本屬兩路,各有所當。
身形有痛,九𠉀莫病,則繆刺之。
身形有痛,九候莫病,则缪刺之。
Shēn xíng yǒu tòng, jiǔ hòu mò bìng, zé miù cì zhī.
When the body is in pain but the nine probes show no disease, use criss-cross needling: take the right for the left and the left for the right, and needle the network vessels shallowly.
「身形有痛,九𠉀莫病,則繆刺之」——**「繆刺」本篇1見,在末章刺法三則之中**:**繆刺者,身形有痛而九𠉀之脉不病,則刺其絡,左病取右、右病取左**;**與下文「巨刺」對舉:繆刺刺絡,巨刺刺經**;**「繆」讀 miù、「刺」讀 cì**
其氣無常處,不入於經俞,命曰繆刺。
其气无常处,不入于经俞,命曰缪刺。
Qí qì wú cháng chù, bù rù yú jīng shù, mìng yuē miù cì.
Its qi has no fixed place, and it does not enter the transport points of the channels. This is what is named contralateral puncture.
「其氣無常處,不入於經俞,命曰繆刺」——**「繆刺」本篇10見,為一篇之主名,篇題即此二字**:**開篇「余聞繆刺,未得其意,何謂繆刺」設問,末句「此繆刺之數也」收篇**;**與「巨刺」對舉:邪客於經、左盛右病者,必巨刺之而中其經;邪客於絡、痛與經脉繆處者,則命曰繆刺**;**繆刺者,刺絡而不刺經,左病取右、右病取左**;**本篇「左取右」「左取右」之文凡7見、「左刺右」9見,同一法而字異**;**「繆」讀 miù、「刺」讀 cì**