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《neijing》10

已有 1217 次阅读2015-3-10 22:01 |个人分类:中医

Chapter 10

Jing Mai

Lei Gong asked Huang Di: chapter Jin Fu said the first thing of acupuncture theory is to understand meridian, and familiar the Ying Qi move in the meridians’ begin to end, know the meridians’ length, and the relationship of the meridians with internal five Zang and connect to external six Fu, I want listen your detail speech about it. Huang Di said: during the beginning of human being born, first born Jing, and then born the brain marrow, later shaped the body, the bones is the trestle, the meridians and blood vessel with Ying Qi and blood will irrigate whole body, the tendons power hold bones, the muscle protect the internal organs, tendon bones, blood meridians as wall, till the skin strong to grow up hairs, then human body be shaped. After born, the food and Jing Qi nutrition will move into the internal meridian channels, Qi and blood will circle into the meridian channels never end, this is the theory of body born begin from Jing, body grow begin from food. Lei Gong said: I hope to understand the meridian circle begin and end condition. Huang Di said: meridians not only can move Qi and blood, connect to yin and yang, and very useful for diagnosis illness for decide death or not, so this is very important to understand. Lung meridian called hand Tai Yin meridian, begin from middle jiao and down to connect to large intestine, surround the stomach entrance, go up through diaphragm, go into lung organs, and then come out of under shoulder from lung system, go down interior along the upper arms, go in front of hand Shao Yin and hand Jue Yin meridians, directly reach the thenar, along the side of thenar, come out of thumb tips; its branch, from back of wrist straight go to interior of index finger, connect to hand Yang Ming large intestine meridian. This organ meridian syndromes by external sick Qi attack are: lung swelling, cough asthma, pain at St12 area, if cough too much, the patient will cross hands on chest, eyes looks unclear on everything, this is arms extremity illness. This organ sick effect this organ meridian syndromes are: cough, breath air reverse, asthma, anxiety in heart, fullness and blocked in chest, upper arms pain along front interior edges, heat on the palms center. If this meridian Qi excess, the shoulder and upper back will pain of wind attack and sweating, frequency urination syndromes. If this meridian Qi deficiency, the shoulder and upper back will pain of cold attack, rapid breath, the color of urination will change un-normal. To treat these syndromes, if excess pattern should use sedate way, if deficiency pattern should use tonify way, if heat pattern should use fast needling way, if cold pattern should use retaining needling way, if yang Qi deficiency and the meridian sink down not up should use moxa way, not excess and not deficiency pattern should use needling this meridian points. This meridian Qi excess means the power of Lu8 pulse three times stronger than St9 pulse. This meridian Qi deficiency means the power of Lu8 pulse weaker than St9 pulse. Large intestine meridian called hand Yang Ming meridian, begin from tip of index finger, along radial side of index finger, pass through Li4, go up through the depression between the tendons of muscle extensor pollicis longus and brevis, along forearm go up to exterior side of elbow, along front edge of upper arm radial side go up to shoulder, come out of front edge of shoulder peak, up to upper back, go to Du14 connect with other yang meridians, and then go front to St12 down connect to lung, and down connect to large intestine, its branches from St12 go up through neck, pass chin go into lower gum, surround mouth go to upper lip, both branch connect through Du26, then the left branch go to right side of face, the right branch go to left side of face, go up to Li20, connect to foot Yang Ming Stomach meridian. The meridian will has patterns by external sick Qi attack such as: teeth pain, swelling at neck etc. syndromes. If this organ’s liquid Jing be sicked will has pattern such as: eyes color become yellow, dry mouth, running nose or nose bleeding, throat swell or pain, pain at front shoulder and inside of upper arm, index finger pain or can not move etc. syndromes. This meridian Qi excess pattern is heat feeling or swelling at this meridian Qi flow location. This meridian Qi deficiency pattern is aversion to cold and rigors, difficult warm up body. To treat these syndromes, if excess pattern should use sedate way, if deficiency pattern should use tonify way, if heat pattern should use fast needling way, if cold pattern should use retaining needle way, if yang Qi deficiency cause meridian location sink should use moxa way, not excess not deficiency pattern should use this meridian points. If this meridian Qi excess, the St9 pusle power will 3 times stronger than Lu8 pulse, this meridian Qi deficiency, the St9 pulse power will weaker than Lu8 pulse. Stomach meridian called foot Yang Ming meridian, begin from the side of nose, go up, cross at the depression of the upper nose bridge, surround and connect to the foot Tai Yang meridian, reach to under eyes Ub1, and go down, along exterior side of nose, go into upper gum, again come out and surround mouth lips, cross at Ren24, again along the lower edge of the back of cheek, come out at St5, along under ear St6 go up to front of ear, pass through Gb3, along front head hair edge to St8. Its branch from St5 go down to St9, along throat to St12, go down pass diaphragm, Jing connect to Stomach organ, luo connect to Spleen organ. Its main meridian go down inside of breat and down side of belly button, and go into St30; another branch, from stomach entrance go down inside abdomen, go on down to St30 connect to main meridian, and the main meridian go down through thigh St31, directly down to St32, go into knees, along the anterior crest of tibia go down to top of feet, go into middle toe interior side, an other branch form 3 cun under knee go down middle toe exterior side, an other branch from top of feet slant come out of foot Jue Yin meridian exterior side, go into big toe, to tip of big toe connect to foot Tai Yin spleen meridian. If this meridian be attacked by sick Qi will has syndromes such as: body cold like take a cold shower, patient like to stretch straight lower back and straight legs, frequently yawn, black color on forehead, disgust of seeing people and seeing light, scare of wood sound, heart beat can not calm down, always want close windows and doors to live alone. During the sun strongest time or very hot time, the patient will climb high location to sing a song, or take off body cloth and run to everywhere, also swelling abdomen and noisy intestine etc. syndromes, this called Gan extremity illness. If the blood of this organ be sicked the patient will has syndromes such as: mind disorder and maniac by highly heat, warm disease, spontaneous sweating, blocked nose or nose bleeding, tilt mouth, sore at mouth lips, swell at neck and throat, abdomen swelling because of water stagnation, swell pain at knees, pain at side of chest, breast, St32, anterior crest of tibia edge, top of feet etc.. Middle toes can not bend or straight. If this meridian Qi is excess pattern such as: feel heat at front body chest and abdomen, stomach heat will digest food and water fast, easy feel hungry, stool color changed. If this meridian Qi is deficiency pattern such as: feel cold at front body chest and abdomen, stomach cold to swell full at stomach. To treat these illness patterns, if excess pattern should use sedate way, if deficiency pattern should use tonify way, if heat pattern should use fast needling way, if cold pattern should use retaining needling way, if yang Qi deficiency cause meridian sink should use moxa way, no excess no deficiency should use this meridian points to treat. If this meridian Qi excess, the St9 pulse power is 3 times stronger than Lu8, if this meridian Qi deficiency, the St9 pulse power is weaker than Lu8. Spleen meridian called foot Tai Yin meridian, begin from tip of big toes, along the medial side of big toes and junction of the red and white skin, pass through the first metatarsal bone, go up to front of malleolus, again go up into medial side of Calf, along back of tibia, pass through foot Jue Yin meridian, come out front of foot Jue Yin meridian, and go up, pass through front edge of medial side of knees and buttock directly go into abdomen, luo connect to spleen and stomach, and go up through diaphragm, then go up and hold throat, connect to root of tongue, spread under tongue, its branch, from stomach organ come out and up to diaphragm, go into heart, connect to hand Shao Yin meridian. If this meridian organ be sicked, it will has syndromes such as: pain at tongue root, body can not move or turn, can not eat food, anxiety in heart, stomach pain like be pulled, diarrhea or dysentery, or water stagnation inside, urination and bowls be blocked, or whole body face and eyes color is yellow, like lie down and can not digest meat food, mouth and lips become blue color, if try to stand up, feel pain at medial side of knees and buttock, big toes can not move. To treat these syndromes, if excess pattern, should use sedate way; if deficiency pattern, should use tonify way; if heat pattern, should use fast needling way; if cold pattern, should use retaining needling way; if yang Qi deficiency cause meridian sink down, should use moxa way; if not excess not deficiency pattern, should use this meridian points. If this meridian Qi excess, the Lu8 pulse power will 3 times stronger than St9 pulse; if this meridian Qi deficiency, the Lu8 pulse power will weaker than St9 pulse. Heart meridian called hand Shao Yin meridian, begin from center of heart, come out of heart and related meridians, go down pass diaphragm, luo connect to small intestine, its branch, from heart and related meridians go up hold throat, connect to eye balls and go inside brain connect to related meridians; main meridian, from heart and related meridians go up to lung, flat come out of under shoulder, along medial side back edge of upper arms, go through back of hand Tai Yin and hand Jue Yin meridians, down to medial side of elbows, along medial side back edge of forearms, to radial side of the little finger’s phalanx distalis tip, then go inside of palms, along medial side of little finger’s phalanx distalis tip connect to hand hand Tai Yang meridian. If this meridian be attacked by sick Qi will has syndromes such as: dry throat, pain at heart, thirsty want drink water, and has arm extremity illness syndromes. If this meridian’s organ be sicked will has syndromes such as: eyes’ color become yellow, ribs swell pain, upper arm and forearm medial side back edge pain and cold of extremities illness, heat pain at center of palms etc. syndromes. To treat these syndromes, if excess pattern, should use sedate way; if deficiency pattern, should use tonify way; if heat pattern, should use fast needling way; if cold pattern, should use retaining needling way; if yang Qi deficiency cause meridian sink down, should use moxa way; if no excess pattern and no deficiency pattern, should use this meridian points. If this meridian Qi excess, the Lu8 pulse power will 2 times stronger than St9 pulse power; if this meridian Qi deficiency, the Lu8 pulse power will weaker than St9 pulse power. Small intestine meridian called hand Tai Yang meridian, begin from tip of ulnar side small finger, along ulnar side of hand to wrist, pass through of the transverse crease on the forsal aspect of the wrist, go up along the ulnar side of forearm, come out of elbow interior side between the olecranon of the ulna and the medial epicondyle of the humerus, and go up along the exterior back side of upper arm, out of shoulder back middle space of the bones, surround the scapular, connect to Du14 then go into St12, luo connect to heart, along throat go down pass through diaphragm down to stomach, go on down to small intestine; its branches, from St12 along neck go up to cheek, go to exterior corner of eyes, turn into ears; another branches, from cheek go into under eyes’ frame and down to nose, and to up to interior corner of eyes connect to foot Tai Yang meridians. If this meridian be attacked by external sick Qi will has syndromes such as: pain at throat, lower cheek swell, head and neck can not turn back, shoulder pain like be pulled, arm pain like be broken. If this meridian liquid Ye be sicked will has syndromes such as: deaf ears, yellow eyes, swell cheek, pain at along down neck, cheek, back side of shoulder, upper arm, elbow and fore arm etc.. To treat these syndromes, if excess pattern, should use sedate way; if deficiency pattern, should use tonify way; if heat pattern, should use fast needling way; if cold pattern, should use retaining needling way; if not excess and not deficiency pattern, should use this meridian points; if this meridian Qi excess, the St9 pulse power will 2 times stronger than Lu8 pulse power; if this meridian Qi deficiency, the St9 pulse will weaker than Lu8 pulse power. Urination bladder meridian called foot Tai Yang meridian, begin from interior corner of eyes the Ub1, go up through forehead meet at top of head, its branches from top of head down to up corner of ears, main meridian from top of head luo connect to inside of brain, and come out of top of head go on down to back of head and neck, along interior side of shoulder blades, hold the both side of spine directly down to lower back, go deep inside body, along the muscles beside the spine, luo connect to kidneys, meet at urination bladder; another branches, from lower back go down hold spine muscles through buttock directly down into popliteal; another branches pass through shoulder blades, hold the both side of spine muscle go down, pass through greater trochanter go down exterior side of thigh, meet another branch into popliteal, and go on down through calfs, come out back of ankles, along the lateral side pass the metatarsophalangeal joint to the small toes’ tip. If this meridian be attacked by external sick Qi will has syndromes such as: Qi rush up to head, eyes looks like swell out, neck feel like be pulled up, spine and back pain, lower back pain like broken, thigh can not bend or straight, popliteal tendons feel like be bound can not move flexible, calf pain like be teared, this called ankle extremity. If this meridian’s tendons be sicked will has syndromes such as: piles, malaria, mania, depressive psychosis, pain at brain and top of head, yellow eyes, tearing, running nose and bleeding nose, pain at neck, back, lower back, tail bone, popliteal, bottom of feet etc. locations, the small toes can not move. To treat these syndromes, if excess pattern, should use sedate way; if deficiency pattern, should use tonify way; if heat pattern, should use fast needling way; if cold pattern, should use retaining needling way; if yang Qi deficiency cause meridian sink down, should use moxa way; if not excess and not deficiency pattern, should use this meridians’ points. If this meridian Qi excess, the St9 pulse power will 2 times stronger than Lu8 pulse power; if this meridian Qi deficiency, the St9 pulse power will weaker than Lu8 pulse power. Kidney meridian called foot Shao Yin meridian, begin from the bottom of small toes, tilt go through the center of feet bottom, come out front of medial malleolus below the navicular bone and Kd2, along the back of medial malleolus turn into heel, go up through medial calf, come out of medial popliteal, and up along through back edge of medial buttock, pass through spine, meet at kidneys, connect to urination bladder, main meridian from kidney go up pass liver, through diaphragm, into lungs, along throat, hold root of tongue; its branches, from lungs connect to heart, go into chest connect with hand Jue Yin meridian. If this meridian be attacked by sick Qi will has syndromes such as: the patient don’t want eat food even feel hungry, dark face without health color and very skinny, cough or vomit something include blood inside, asthma with sound, patient can not straight lie down, want stand up during just sit down, eyes can not see clear on everything, heart can not calm down like be hung up, and like feel hungry; kidney Qi deficiency easy be scared, heart beat not calm down, like someone want catch the patient, this is called bone extremity. This organ of the meridian be sicked will has syndromes such as: heat mouth and dry tongue, swell throat, Qi goes up, pain and dry at throat, pain at heart can not calm down, feet soft without power and extremity cold, always sleepy, pain and heat at center of feet bottom. To treat these syndromes, if excess pattern, should use sedate way; if deficiency pattern, should use tonify way; if heat pattern, should use fast needling way; if cold pattern, should use retaining way; if yang Qi deficiency cause meridian location sink down, should use moxa way; if not excess and not deficiency pattern, should use this meridian points to treat. During moxa treatment, the patient should eat more meat food to increase nutrition, and warm up kidney and tonify deficiency, also need loose the belt on waist, loose hair, hold big cane, wear heavy shoes, slowly walk, to sooth body Qi and blood circulation, to stretch tendons and bones. If this meridian Qi excess, the Lu8 pulse power will 2 times stronger than St9 pulse power; if this meridian Qi deficiency, the Lu8 pulse power will weaker than St9 pulse power. The meridian belong to heart called hand Jue Yin pericardium meridian, begin from center of chest, come out luo connect to pericardium, go down to diaphragm, down connect to upper, middle and lower Jiaos; its branches, from chest go to ribs area, from 3 cun middle line below under shoulder go up to armpits, then along the medial side of upper arms go down between of hand Tai Yin and hand Shao Yin meridians, go into elbows, along the middle line between the tendons of palmaris longus and flexor carpiradialis of forearms go into center of palms, along middle finger to tip of the fingers; another branches from center of palms along small fingers and ring fingers to tip of the fingers, connect to hand Shao Yin meridian. If this meridian be attacked by sick Qi will has syndromes such as: heat at center of palms, arms and elbows cramp, swell at armpits, Qi stagnation feel full and oppressive at chest, feel heart beat without calm down, red face, yellow eyes, laugh without end. If the meridians which belong to this meridian be sicked will has syndromes such as: anxiety in heart, pain at heart, heat at center of palms. To treat these syndromes, if excess pattern, should use sedate ways; if deficiency pattern, should use tonify ways; if heat pattern, should use fast needling ways; if cold pattern, should use retaining ways; if yang Qi deficiency cause meridian location sink down, should use moxa way; if not excess and not deficiency pattern, should use this meridian’s points to treat. If this meridian Qi excess, the Lu8 pulse power will 1 times stronger than St9 pulse power; if this meridian Qi deficiency, the Lu8 pulse power will weaker than St9 pulse power. Sanjiao meridian called hand Shao Yang meridian, begin from tip of ring fingers, go up between the ring finger and small finger, along back palm up to wrist, come out of forearm radial side between the radius and the ulna, pass through elbow, along radial side of upper arms go up to shoulders, cross foot Shao Yang meridian on the back, go into St12 area, go through Ren17, luo connect to pericardium, down pass diaphragm, in order connect to upper, middle and lower Jiaos; its branches from Ren17 come out of St12, up through neck hold back of ears, up to above corner of ears, turn around go down, surround cheeks to under eyes frame, another branches from back of ears go into ears, come out in front of ears, pass through foot Shao Yang meridian at front of Gb3, meet the other branches at cheek, go up to exterior corner of eyes, meet foot Shao Yang meridians. If this meridian be attacked by sick Qi will has syndromes such as: deaf ears with ringing ears, pain at throat, throat impediment disease etc.. If the Qi belong to this meridian be sicked will has syndromes such as: daytime sweating, pain at exterior corner of eyes, swell at cheek, pain at back of ears, shoulder, upper arm, elbow and radial of forearm etc. locations, ring finger can not move. To treat these syndromes, if excess pattern, shoulder use sedate way; if deficiency pattern, should use tonify way; if heat pattern, should use fast needling way; if cold pattern, should use retaining needling way; if yang Qi deficiency cause meridian locations sink down, should use moxa way; if not excess and not deficiency pattern, should use this meridian points to treat. If this meridian Qi excess, the St9 pulse power will 1 times stronger than Lu8 pulse power; if this meridian Qi deficiency, the St9 pulse power will weaker than Lu8 pulse power. The gallbladder meridian called foot Shao Yang meridian, begin from exterior corner of eyes corner, go up to corner of forehead(St8), turn down to back of ears, along the neck go front of hand Shao Yang meridian, to shoulder, and cross to back of hand Shao Yang meridian, go into St12; its branches from back of ears go into ears, and come out front of ears, go to back of exterior corner of eyes; an other branches from exterior corner of eyes go down to St5, meet the hand Shao Yang meridian at under eyes frame, and down to St6, go down through neck into St12 meet the main meridian, then go down into chest, pass through diaphragm, luo connect to liver, and meet to gallbladder organ, from gallbladder down through ribs area, pass St30 area, surround genital hair location flat go to Gb30; the main meridian from St12 go to undershoulder, along chest pass through ribs area, go down to Gb30 meet the branch meridian, from Gb30 along radial thigh go down to exterior edge of knees, go down to anterior border of fibula, straight go down the depression of 3 cun above the lateral malleolus, down out in front of lateral malleolus, along the back of feet go to the tip of little toes and 4th toes; another branches, from back of feet go to big toes, along the middle of big toe and second toe go to tip of big toe, and turn back into big toes’ nail, pass through the big toe’s nail go to the second joint of big toes, connect to foot Jue Yin meridian. Liver meridian called foot Jue Yin meridian, begin from second joint of big toes’ border, along top of feet back edge go to 1 cun anterior to the medial malleolus, and go up 8 cun above medial malleolus, cross to back of foot Tai Yin meridian, go up to medial border of popliteal, along medial of buttock go into genital hair, both side meridians cross each other, surround genital go up to lower abdomen, hold both side of stomach, meet at liver Zang, luo connect to gallbladder Fu, go up pass through diaphragm spread to ribs area, and along the back of throat surround face to upper hole of throat, connect to eyes system, come out of forehead, meet Du meridian at Du20; its branches from eyes system go down into cheek, surround inside mouth lips, another branches from liver come out pass through diaphragm, go into lungs, connect to hand Tai Yin meridian. If this meridian be attacked by sick Qi will has syndromes such as: pain at lower back can not bend backward, male will has genital hernia, female will has lower abdomen swelling; if serious condition, will dry throat, face without health color with very dark and dusty color. If this meridian of organ be sicked will has syndromes such as: chest Qi stagnation with oppressive feeling, Qi reverse with vomit, diarrhea with un-digest food, fox hernia, enuresis or blocked urination. To treat these syndromes, if excess pattern, should use sedate way, if deficiency pattern, should use tonify way, if heat pattern, should use fast needling way, if cold pattern, should use retaining needling way, if yang Qi deficiency cause meridian location sink down, should use moxa way; if not excess and not deficiency pattern, should use this meridian points to treat. If this meridian Qi excess, the Lu8 pulse power will 1 times stronger than St9 pulse power, if this meridian Qi deficiency, the Lu8 pulse power will weaker than St9 pulse power. If the hand Tai Yin meridian Qi deficiency and run out, the skin hair will haggard, the lung has the function of active Qi to warm up skin and hair, so if the Qi can not nourish skin, the skin and hair will haggard, if skin and hair haggard, means the Jing liquid also run out, if Jing liqued run out, the surface of muscle will injury, if the surface of muscle injury, the skin and hair will easy broken and fall down, hair broken means lung’s Jing and Qi deficiency and run out, during the Chinese calender the date of Bing Ding fire day, the patient will die, because fire kill metal(lung). If hand Shao Yin meridian Qi deficiency and run out, then the blood vessel will be blocked, hand Shao Yin meridian is heart meridian, hear is coordinate with blood vessel, if the blood vessel be blocked, the blood will be not flow smoothly, blood not flow smoothly, the face will lose health color. Heart energy shows on the face, nourish the blood vessel, so if the patient face color is dark black without health color means the blood vessel is dried without blood, this patient’s sick will be more serious at Chinese calender Ren water date and died at the Chinese calender Gui water date, because water kill fire(heart). If the foot Tai Yin meridian Qi deficiency and run out, not nourish the mouth lips, the mouth lips is the basic of muscles, if the meridian Qi not nourish the muscle, so muscle will be soft without power, then the body of tongue will shrink, Du26 area swell up, Du26 area swell up the mouth lip will turn to outside, the mouth lips turn outside, the muscle will shrink haggard, this condition will become more heavy even die during Chinese calender Jia and Yi wood day, because wood kill earth(spleen). If the foot Shao Yin meridian Qi deficiency and run out, the bones will haggard, Kidney is belong to water, in five elements, water means winter, so kidney meridian also called winter meridian, the kidney meridian Qi hide deep inside muscle to warm and nourish the bones and marrow, if the marrow lose the kidney meridian Qi warm up and nourish, the muscle will not hold the bone, then muscles will separate away from the bones, the muscles will become shrink and soft without power, and the teeth will have filth, hair will lose health color, kidney meridian energy shows on hair, nourish at bones, so hair lose health color means bones lose nutrition and weak fall. This condition will more heavy even die at the Chinese calender Wu and Ji earth day, because earth kill water(kidney). If the foot Jue Yin meridian Qi deficiency and run out, the tendons will cramp, genital will shrink, the tongue will roll bend, the liver meridian energy shows out at tendons, gather at genital, luo connect to the tongue, if liver meridian Qi not nourish the tendons, the tendons will cramp, lead the genital and tongue be pulled too, also shows the blue mouth lips, tongue roll bend, genital be pulled shrink etc syndromes, this is means the liver meridian Qi will be declined, this condition will more heavy at Gen day and die at Xin day which are metal days, because metal kill wood(liver). If five Zang yin Qi deficiency and run out, the eyes will turning, eyes turning then will dizziness, this means five Zang Qi run out, five Zang Qi run out, the patient will die in one and half days. If the six Fu yang Qi run out, then yin Qi separate away from yang Qi, and the skin and muscle spaces will open without close, Jing Qi will leak out, the sweat will come out not end, the sweat will big as pearls, but not flow on skin, breath will very weak as die syndromes, if this condition on the morning, shows the patient will die at night, if this condition on the evening, shows the patient will die in the next morning. These are the twelve meridians’ Qi run out syndromes. The twelve meridians hide inside muscles deep locations, so it is not easy to find out, only the foot Tai Yin meridian at above medial ankle location can be seen, because this location is skinny with thin skin. The other meridians can be seen on the surface are luo meridians. The hand Yang Ming and Shao Yang luo meridians are the biggest meridians in hand six luo meridians, these two meridians begin from the dorsum of hand, go up meet at elbowpit. The wine is the grain’s liquid, it’s nature is slippery fast flow, similar as Wei Qi. After drink wine, the wine will follow the Wei Qi go to skin, first full of luo meridians, the luo meridians Qi become strong, so Wei Qi will be strong too, and then the Ying Qi will be excess strong, and the Ying Qi flow into the meridians till the merdians’ Qi will very excess strong. If anyone of the twelve meridians suddenly has irregular pulse, this is because the sick Qi hide inside the meridian. If the sick Qi stagnate in the meridians without move, then the stagnation will become heat condition, the pulse is hard, if the pulse is not hard, this means cold excess condition, and the excess cold Qi deep sink down, cause meridian empty deficiency, this is different from normal people’s pulse, use this way can diagnosis anyone meridian’s sick condition. Lei Gong asked: what is the different of diagnosis between the Jing meridian with Luo meridian? Huang Di answered: Jing meridian hide inside deep locations, if sicked will not easy to find out, to know its excess or deficiency condition, must diagnosis the Lu8 pulse condition; the Luo meridians all show out on surface locations can be seen. Lei Gong said: I still don’t understand their difference. Huang Di said: all Luo meridians can not pass through big joints, must go across the Jing meridians directions, then come out to surface, and go into skin, it has the function of communication the Qi and blood. So if needling the Luo meridians, must needling the location of sick blood where is gathered, if the sick blood too much, even has not been gathered yet, still need needling the Luo meridians to lead sick blood come out, otherwise, the sick blood stagnation will become impediment disease. About the Luo meridian’s diagnosis, if its color blue means cold and pain, red means heat. If cold inside stomach, the thenar luo meridian is blue color; if heat inside stomach, the thenar luo meridian is red color; if the thenar luo meridian is black color, this is sick energy stagnate long time become impediment disease; if luo meridian color some time red, some time black, some time blue, this is cold and heat complex together illness. During treatment, if needling the cold or heat illness, should needling the shallow surface blood luo meridians, must one times treatment every two days, to sedate out all the sick blood, and then based on the patient body excess and deficiency condition to adjust treatment. If the thenar luo meridians is short blue color, this is Qi deficiency illness, if mistake use sedate way, will cause patient anxiety and dizziness with oppressive, even suddenly fall down can not wake up, can not speak a word. If dizziness oppressive anxiety happens, should hold up the patient, immediately rescue treatment. Hand Tai Yin meridian luo branch out point called Lu7, begin from superior to the styloid process of the radius above the transverse crease of the wrist, go with the Jing meridian parallel direction, directly go into medial of palm, spread to thenar area. If the luo meridian sicked, sick Qi excess will heat at above the transverse crease of the wrist; lung Qi deficiency the patient will open mouth give yawn, incontinence of urine, and frequent urination. For treatment, use Lu7 which is 1.5 cun above wrist, the luo meridian branch out from here, luo connect to hand Yang Ming meridian. Hand Shao Yin meridian’s luo meridian branch out at Ht5, begin from 1 cun above wrist, this luo meridian from here go up follow the heart meridian direction, go into heart, and go on up to connect the root of tongue, and belong to the eyes system. If this luo meridian sicked, sick Qi excess, the patient will has uncomfortable feeling of overfill at chest and diaphragm area; heart Qi deficiency, the patient can not speak. For treatment, use the 1 cun above wrist Ht5 point. This luo meridian from here will luo connect to hand Tai Yang meridian. Hand Jue Yin meridian luo branch out at Pc6, begin from 2 cun above the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis, this luo meridian connect to hand Shao Yang meridian, and follow the Pc meridian direction go up connect to pericardium, luo connect to heart system. If this luo meridian sicked, sick Qi excess, the heart will pain, heart Qi deficiency, patient will anxiety at heart. For treatment, use 2 cun above wrist between the two tendons point Pc6. Hand Tai Yang meridian luo branch out at Si7, begin from 5 cun above the ulnar end of the transverse crease on the dorsal aspect of the wrist, its energy flow into hand Shao Yin meridian, its branch go up pass elbow luo connect to Li15. If the luo meridian sicked, sick Qi excess the joint bones will soft without power, elbow joint shrink injury can not move, if body Qi deficiency, the Qi and blood will not flow, there will be warts on skin, the small wart like scab scabies. For treatment, use the luo point Si7. Hand Yang Ming meridian luo branch out at Li6, it is begin from 3cun above wrist radial side of forearm, branch go into hand Tai Yin meridian; go up along arm to Li15, and go on up to throat to St6 area, luo connect to gum root; another branch luo go up into ears, in the ear meet with other meridians. If this luo meridian sicked, sick Qi excess the patient will teeth decayed with deaf ear, if body Qi deficiency, the patient will teeth cold pain with diaphragm blocked no sooth, for treatment, use luo point Li6. Hand Shao Yang luo meridian branch out at Sj5, 2 cun above wrist, between the radius and the ulna, surround exterior side of arm go into chest, and meet hand Jue Yin meridian. If this meridian sick Qi excess, the elbow will cramp, if this meridian Qi deficiency, the elbow will soft without power to bend, for treatment, use Sj5. Foot Tai Yang meridian luo branch out at Ub58, which is 7 cun above ankle, luo connect to foot Shao Yin meridian. If the luo meridian sicked, sick Qi excess, the nose be blocked not sooth, head and back will pain; body Qi deficiency, the nose will bleeding, for treatment, use Ub58. Foot Shao Yang meridian luo branch out at Gb37, 5 cun above ankle, luo branch connect to foot Jue Yin meridian, follow the Gb meridian go down luo connect to back of feet. If the luo meridian sicked, sick Qi excess the limbs will feel cold, body Qi deficiency the legs will soft without power can not walk, sit down can not stand up, for treatment, use Gb37. Foot Yang Ming meridian luo branch out at St40, which is 8 cun above external ankle, branch luo connect to foot Tai Yin meridian; its branch along external of tibia go up luo connect to head and neck, and meet with other meridians, and go down surround luo connect to throat. If this luo meridian sicked, the Qi will reverse up, the patient will has throat impediment disease or lost sound; if the sick Qi excess the patient will lost mind and maniac, if body Qi deficiency, the patient both legs lost power can not bend, the tibia muscles will haggard shrink, for treatment, use St40. Foot Tai Yin meridian luo branch out at Sp4, one cun behind the first metatarsal bone joint, luo branch connect to foot Yang Ming meridian; its branch go up into stomach luo connect to intestine and stomach. If this luo meridian sick, the patient’s Qi reverse up and choera, if sick Qi excess, the patient will abdomen acute pain, if body Qi deficiency, the patient will abdomen swell, for treatment, use Sp4. Foot Shao Yin meridian luo branch out at Kd4, which is behind ankle, surround ankle luo branch connect to foot Tai Yang meridian; its branch together go with Kd meridian up connect to pericardium, then go down through lower back spine. If this luo meridian sicked, the patient sick Qi reverse go up and anxiety oppressive disorder in heart; sick Qi excess, the patient’s bowel movement and urination not pass smoothly, body Qi deficiency, the patient lower back pain, for treatment, use Kd4. Foot Jue Yin meridian luo branch out at Lv5, which is 5 cun above medial ankle, branch luo connect to foot Shao Yang meridian; its branch follow the Lv meridian up to genital, gather connect to penis. If sick Qi go up suddenly, the patient will hernia, genital swell pain, sick Qi excess, the genital will swell out, body Qi deficiency, the genital will strongly itchy, for treatment, use Lv5. Ren meridian luo branch out at Ren15, go down spread on abdomen. If this luo meridian sick, sick Qi excess, the abdomen skin will pain, if body Qi deficiency, the abdomen skin will itchy, for treatment use Ren15. Du meridian luo branch at Du1, its branch hold both side of the spine muscles follow the spine up to neck, spread above head, and then go down to to both side of shoulder blades, branch go into foot Tai Yang meridian, go deep pass through the both side of spine. If this luo meridian sick, sick Qi excess, the spine will ankylose, if body Qi deficiency, feel heavy on head, for treatment, use Du1. Spleen has another luo meridian connect to whole body’s meridians, branch out at Sp21, which is 3 cun below Gb22, spread to chest and ribs area. If this luo meridian sick, sick Qi excess, whole body will pain, body Qi deficiency, whole body bone’s joints will soft without power, this luo meridian control whole body all luo meridian’s blood. For treatment of blood stagnation condition, use Sp21. The above 15 luo meridians, sick Qi excess, the blood stasis can be seen on the luo meridians, we can find it on above or below of body’s luo meridians, different body, the body shape and character different, so the luo meridians location also different on different body.
經脈第十

雷公問於黃帝曰:「禁脈」之言,凡刺之理,經脈為始,營其所行,制其度量,內次五藏,外別六府,願盡聞其道。

黃帝曰:人始生,先成精,精成而腦髓生,骨為干,脈為營,筋為剛,肉為牆,皮膚堅而毛髮長,谷入於胃,脈道以通,血氣乃行。

雷公曰:願卒聞經脈之始也。黃帝曰:經脈者,所以能決死生、處百病、調虛實,不可不通。

肺手太陰之脈,起於中焦,下絡大腸,還循胃口,上膈屬肺,從肺系橫出腋下,下循臑內,行少陰心主之前,下肘中,循臂內上骨下廉,入寸口,上魚,循魚際,出大指之端;其支者,從腕後直出次指內廉出其端。

是動則病肺脹滿,膨脹而喘咳,缺盆中痛,甚則交兩手而瞀,此為臂厥。是主肺所生病者,咳上氣,喘渴,煩心,胸滿,臑臂內前廉痛厥,掌中熱。氣盛有餘,則肩背痛,風寒汗出中風,小便數而欠。氣虛則肩背痛,寒,少氣不足以息,溺色變。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,寸口大三倍於人迎,虛者,則寸口反小於人迎也。

大腸手陽明之脈,起於大指次指之端,循指上廉,出合谷兩骨之間,上入兩筋之中,循臂上廉,入肘外廉,上臑外前廉,上肩,出?骨之前廉,上出於柱骨之會上,下入缺盆,絡肺,下膈,屬大腸。其支者,從缺盆上頸,貫頰,入下齒中,還出挾口,交人中,左之右,右之左,上挾鼻孔。

是動則病齒痛,頸腫。是主津液所生病者,目黃,口乾,鼽衄,喉痹,肩前臑痛,大指次指痛不用,氣有餘則當脈所過者熱腫;虛則寒慄不復。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,人迎大三倍於寸口;虛者,人迎反小於寸口也。

胃足陽明之脈,起於鼻之交頞中,旁納太陽之脈,下循鼻外,入上齒中,還出挾口環唇,下交承漿,卻循頤後下廉,出大迎,循頰車,上耳前,過客主人,循髮際,至額顱;其支者,從大迎前下人迎,循喉嚨,入缺盆,下膈,屬胃,絡脾;其直者,從缺盆下乳內廉,下挾臍,入氣沖中;其支者,起於胃口,下循腹里,下至氣沖中而合,以下髀關,抵伏兔,下膝臏中,下循脛外廉,下足跗,入中指內間;其支者,下廉三寸而別下入中趾外間;其支者,別跗上,入大趾間出其端。

是動則病洒洒振寒,善呻,數欠,顏黑,病至則惡人與火,聞木聲則惕然而驚,心欲動,獨閉戶塞牖而處。甚則欲上高而歌,棄衣而走,賁向腹脹,是為骭厥。是主血所生病者,狂瘧溫淫,汗出,鼽衄,口喎,唇胗,頸腫,喉痹,大腹水腫,膝臏腫痛,循膺乳、氣沖、股、伏兔、骭外廉、足跗上皆痛,中趾不用,氣盛則身以前皆熱,其有餘於胃,則消谷善飢,溺色黃;氣不足則身以前皆寒慄,胃中寒則脹滿。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,人迎大三倍於寸口,虛者,人迎反小於寸口也。

脾足太陰之脈,起於大趾之端,循趾內側白肉際,過核骨後,上內踝前廉,上踹內,循脛骨後,交出厥陰之前,上膝股內前廉,入腹,屬脾,絡胃,上膈,挾咽,連吞本,散舌下;其支者,復從胃,別上膈、注心中。

是動則病舌本強,食則嘔,胃脘痛,腹脹,善噫,得後與氣,則快然如衰,身體皆重。是主脾所生病者,舌本痛,體不能動搖,食不下,煩心,心下急痛,溏瘕泄,水閉,黃疸,不能卧,強立,股膝內腫厥,足大趾不用。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,寸口大三倍於人迎,虛者,寸口反小於人迎。

心手少陰之脈,起於心中,出屬心系,下膈,絡小腸;其支者,從心系,上挾咽,系目系;其直者,復從心系卻上肺,下出腋下,下循臑內後廉,行太陰心主之後,下肘內,循臂內後廉,抵掌後銳骨之端,入掌內後廉,循小指之內,出其端。

是動則病嗌干,心痛,渴而欲飲,是為臂厥。是主心所生病者,目黃,脅痛,臑臂內後廉痛厥,掌中熱痛。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,寸口大再倍於人迎,虛者,寸口反小於人迎也。

小腸手太陽之脈,起於小指之端,循手外側,上腕,出踝中,直上循臂骨下廉,出肘內側兩筋之間,上循臑外後廉,出肩解,繞肩胛,交肩上,入缺盆,絡心,循咽,下膈,抵胃,屬小腸;其支者,從缺盆循頸上頰,至目銳眥,卻入耳中;其支者,別頰上?,抵鼻,至目內眥,斜絡於顴。

是動則病嗌痛,頷腫,不可以顧,肩似拔,臑似折。是主液所生病者,耳聾、目黃,頰腫,頸、頷、肩、臑、肘、臂外後廉痛。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,人迎大再倍於寸口,虛者,人迎反小於寸口也。

膀胱足太陽之脈,起於目內眥,上額,交巔;其支者,從巔至耳上角;其直者,從巔入絡腦,還出別下項,循肩髆內,挾脊,抵腰中,入循膂,絡腎,屬膀胱;其支者,從腰中下挾脊,貫臀,入膕中;其支者,從髆內左右,別下,貫胛,挾脊內,過髀樞,循髀外,從後廉,下合膕中,以下貫踹(腨)內,出外踝之後,循京骨,至小趾外側。

是動則病沖頭痛,目似脫,項如拔,脊痛,腰似折,髀不可以曲,膕如結,踹(腨)如裂,是為踝厥。是主筋所生病者,痔、瘧、狂、癲疾、頭?項痛,目黃、淚出,鼽衄,項、背、腰、尻、膕踹(腨)、腳皆痛,小趾不用。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,人迎大再倍於寸口,虛者,人迎反小於寸口也。

腎足少陰之脈,起於小趾之下,邪走足心,出於然谷之下,循內踝之後,別入跟中,以上踹(腨)內,出膕內廉,上股內後廉,貫脊,屬腎,絡膀胱;其直者,從腎上貫肝膈,入肺中,循喉嚨,挾舌本;其支者,從肺出絡心,注胸中。

是動則病飢不欲食,面如漆柴,咳唾則有血,喝喝而喘,坐而欲起,目(盳盳)如無所見,心如懸若飢狀。氣不足則善恐,心惕惕如人將捕之,是為骨厥。是主腎所生病者,口熱,舌干,咽腫,上氣,嗌干及痛,煩心,心痛,黃疸,腸澼,脊股內後廉痛,痿厥,嗜卧,足下熱而痛。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。灸則強食生肉,緩帶披髮,大杖重履而步。盛者,寸口大再倍於人迎,虛者,寸口反小於人迎也。

心主手厥陰心包絡之脈,起於胸中,出屬心包絡,下膈,歷絡三焦;其支者,循胸出脅,下腋三寸,上抵腋下,循臑內,行太陰、少陰之間,入肘中,下臂,行兩筋之間,入掌中,循中指,出其端;其支者,別掌中,循小指次指,出其端。

是動則病手心熱,臂肘攣急,腋腫,甚則胸脅支滿,心中憺憺大動,面赤,目黃,喜笑不休。是主脈所生病者,煩心,心痛,掌中熱。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,寸口大一倍於人迎,虛者,寸口反小於人迎也。

三焦手少陽之脈,起於小指次指之端,上出兩指之間,循手錶腕,出臂外兩骨之間,上貫肘,循臑外,上肩,而交出足少陽之後,入缺盆,布膻中,散落心包,下膈,循屬三焦;其支者,從膻中上出缺盆,上項系耳後,直上出耳上角,以屈下頰至?,其支者,從耳後入耳中,出走耳前,過客主人前,交頰,至目銳眥。

是動則病耳聾渾渾焞焞,嗌腫,喉痹。是主氣所生病者,汗出,目銳眥痛,頰痛,耳後、肩、臑、肘、臂外皆痛,小指次指不用。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,人迎大一倍於寸口,虛者,人迎反小於寸口也。

膽足少陽之脈,起於目銳眥,上抵頭角下耳後,循頸行手少陽之前,至肩上卻交出手少陽之後,入缺盆;其支者,從耳後入耳中,出走耳前,至目銳眥後;其支者,別銳眥,下大迎,合於手少陽,抵於?下,加頰車,下頸,合缺盆,以下胸中,貫膈,絡肝,屬膽,循脅里,出氣沖,繞毛際,橫入髀厭中;其直者,從缺盆下腋,循胸,過季脅下合髀厭中,以下循髀陽,出膝外廉,下外輔骨之前,直下抵絕骨之端,下出外踝之前,循足跗上,入小趾次趾之間;其支者,別跗上,入大指之間,循大指歧骨內,出其端,還貫爪甲,出三毛。

是動則病口苦,善太息,心脅痛,不能轉側,甚則面微有塵,體無膏澤,足外反熱,是為陽厥。是主骨所生病者,頭痛,頷痛,目銳眥痛,缺盆中腫痛,腋下腫,馬刀俠癭,汗出振寒,瘧,胸、脅、肋、髀、膝外至脛、絕骨、外踝前及諸節皆痛,小趾次趾不用。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,人迎大一倍於寸口,虛者,人迎反小於寸口也。

肝足厥陰之脈,起於大趾叢毛之際,上循足跗上廉,去內踝一寸,上踝八寸,交出太陰之後,上膕內廉,循股陰,入毛中,過陰器,抵小腹,挾胃,屬肝,絡膽,上貫膈,布脅肋,循喉嚨之後,上入頏顙,連目系,上出額,與督脈會於巔;其支者,從目系下頰里,環唇內;其支者,復從肝,別貫膈,上注肺。

是動則病腰痛不可以俛仰,丈夫(疒貴)疝,婦人少腹腫,甚則嗌干,面塵,脫色。是主肝所生病者,胸滿,嘔逆,飧泄,狐疝,遺溺,閉癃。為此諸病,盛則瀉之,虛則補之,熱則疾之,寒則留之,陷下則灸之,不盛不虛,以經取之。盛者,寸口大一倍於人迎,虛者,寸口反小於人迎也。

手太陰氣絕,則皮毛焦。太陰者,行氣溫於皮毛者也。故氣不榮,則皮毛焦;皮毛焦,則津液去皮節;津液去皮節者,則爪枯毛折;毛折者,則毛先死。兩篤丁死,火勝金也。

手少陰氣絕,則脈不通;脈不通,則血不流;血不流,則發色不澤,故其面黑如漆柴者,血先死。壬篤癸死,水勝火也。

足太陰氣絕者,則脈不榮肌肉。唇舌者,肌肉之本也。脈不榮,則肌肉軟;肌肉軟,則舌萎人中滿;人中滿,則唇反;唇反者,肉先死。甲篤乙死,木勝土也。

足少陰氣絕,則骨枯。少陰者,冬脈也,伏行而濡骨髓者也,故骨不濡,則肉不能著也;骨肉不相親,則肉軟卻;肉軟卻,故齒長而垢,發無澤;發無澤者,骨先死。戊篤己死,土勝水也。

足厥陰氣絕,則筋絕。厥陰者,肝脈也,肝者,筋之合也,筋者,聚於陰氣,而脈絡於舌本也。故脈弗榮,則筋急;筋急則引舌與卵,故唇青舌卷卵縮,則筋先死。庚篤辛死,金勝木也。

五陰氣俱絕,則目系轉,轉則目運;目運者,為志先死;志先死,則遠一日半死矣。六陽氣絕,則陰與陽相離,離則腠理發泄,絕汗乃出,故旦占夕死,夕占旦死。

經脈十二者,伏行分肉之間,深而不見;其常見者,足太陰過於外踝之上,無所隱故也。諸脈之浮而常見者,皆絡脈也。六經絡,手陽明少陽之大絡,起於五指間,上合肘中。飲酒者,衛氣先行皮膚,先充絡脈,絡脈先盛。故衛氣已平,營氣乃滿,而經脈大盛。脈之卒然動者,皆邪氣居之,留於本末,不動則熱,不堅則陷且空,不與眾同,是以知其何脈之動也。

雷公曰:何以知經脈之與絡脈異也?黃帝曰:經脈者,常不可見也,其虛實也,以氣口知之。脈之見者,皆絡脈也。

雷公曰:細子無以明其然也。黃帝曰:諸絡脈皆不能經大節之間,必行絕道而出入,複合於皮中,其會皆見於外。故諸刺絡脈者,必刺其結上甚血者。雖無結,急取之,以瀉其邪而出其血。留之發為痹也。凡診絡脈,脈色青,則寒,且痛;赤則有熱。胃中寒,手魚之絡多青矣;胃中有熱,魚際絡赤。其暴黑者,留久痹也。其有赤、有黑、有青者,寒熱氣也。其青短者,少氣也。凡刺寒熱者,皆多血絡,必間日而一取之,血盡而止,乃調其虛實。其小而短者,少氣,甚者,瀉之則悶,悶甚則仆,不得言,悶則急坐之也。

手太陰之別,名曰列缺。起於腕上分間,並太陰之經,直入掌中,散入於魚際。其病實則手銳掌熱;虛則欠(去欠),小便遺數。取之去腕寸半。別走陽明也。

手少陰之別,名曰通里。去腕一寸半,別而上行,循經入於心中,系舌本,屬目系。其實則支膈,虛則不能言。取之掌後一寸,別走太陽也。

手心主之別,名曰內關。去腕二寸,出於兩筋之間,循經以上,繫於心包絡。心系實則心痛,虛則為頭強。取之兩筋間也。

手太陽之別,名曰支正。上腕五寸,內注少陰;其別者,上走肘,絡肩髃。實則節弛肘廢;虛則生(月尤),小者如指痂疥。取之所別也。

手陽明之別,名曰偏歷。去腕三寸,別入太陰;其別者,上循臂,乘肩髃,上曲頰傷齒;其別者,入耳,合於宗脈。實則齲聾;虛則齒寒痹隔。取之所別也。

手少陽之別,名曰外關。去腕二寸,外繞臂,注胸中,合心主。病實則肘攣,虛則不收。取之所別也。

足太陽之別,名曰飛揚。去踝七寸,別走少陰。實則鼽窒,頭背痛;虛則鼽衄。取之所別也。

足少陽之別,名曰光明,去踝五寸,別走厥陰,下絡足跗。實則厥,虛則痿躄,坐不能起。取之所別也。

足陽明之別,名曰豐隆。去踝八寸。別走太陰;其別者,循脛骨外廉,上絡頭項,合諸經之氣,下絡喉嗌。其病氣逆則喉痹瘁瘖。實則狂巔,虛則足不收,脛枯。取之所別也。

足太陰之別,名曰公孫。去本節之後一寸,別走陽明;其別者,入絡腸胃,厥氣上逆則霍亂,實則腸中切痛;虛則鼓脹。取之所別也。

足少陰之別,名曰大鐘。當踝後繞跟,別走太陽;其別者,並經上走於心包下,外貫腰脊。其病氣逆則煩悶,實則閉癃,虛則腰痛。取之所別者也。

足厥陰之別,名曰蠡溝。去內踝五寸,別走少陽;其別者,經脛上睪,結於莖。其病氣逆則睪腫卒疝。實則挺長,虛則暴癢。取之所別也。

任脈之別,名曰尾翳。下鳩尾,散於腹。實則腹皮痛,虛則癢搔。取之所別也。

督脈之別,名曰長強。挾膂上項,散頭上,下當肩胛左右,別走太陽,入貫膂。實則脊強,虛則頭重,高搖之,挾脊之有過者。取之所別也。

脾之大絡,名曰大包。出淵腋下三寸,布胸脅。實則身盡痛,虛則百節盡皆縱。此脈若罷絡之血者,皆取之脾之大絡脈也。

凡此十五絡者,實則必見,虛則必下。視之不見,求之上下。人經不同,絡脈亦所別也。


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