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《neijing》2

已有 853 次阅读2015-3-10 21:51 |个人分类:中医

Chapter 2

Ben Shu

Yellow emperor asked Qi Bo: Doctor use the techniques of needling, must be expert on the Qi movement’s begin to end routine of twelve meridians, also expert on the Luo meridians’ branches and connections, and expert on the Qi’s in and out at Jing well, Ying spring, Shu stream, Jing river and He sea points. Expert on the exterior and interior relationship of five Zang and six Fu. Expert on the human body Qi and blood’s changing of strong or weak during the four season yin yang energy’s changing. Expert on the locations of five Zang’s Qi flow into the five Shu points. Also the doctor should clear the different conditions of width or narrow, deep or shallow, exterior or interior, above or below and root or tip of Jing meridians, Luo meridians and Sun meridians. I like to hear those theory from your detail explain.

Qi Bo said: please let me speak the meridian shu points in orderly. Lung meridian’s Qi come out at Lu11, Lu11 is located on the radial side of the thumb, it is Jing well wood point; the Lu meridian’s Qi is still weak flow at the Lu10 which in located on the radial aspect of the midpoint of the 1st metacarpal bone, Lu10 is ying spring point; the Lu meridian Qi gradually become stronger flow at Lu9 which is located at the radial end of the transverse crease of the wrist, in the depression on the lateral side of the radial artery, Lu9 is 1 cun above Lu10, Lu9 is Shu stream point; the Lu meridian Qi become more stronger flow at Lu8 which located on the Cun pulse diagnosis position, the lung meridian Qi flow at here like river water, so Lu8 is Jing river point; the Lu meridian Qi become strongest flow at Lu5 which is He sea point, and the Lu meridian Qi will go on connect to lung, Lu5 is beside the Artery and Vein radialis at the elbow joint. The above five shu points is belong to hand Tai Yin Lung meridian. Heart meridian Qi come out at Pc9 which is located in the center of the tip of the middle finger, Pc9 is Jing well(wood) point; the heart meridian Qi still weak flow into Pc8 which is located on the transverse crease and center of the palm, Pc8 is Ying spring point; the heart meridian Qi gradually become stronger flow at Pc7 which is located in the middle of the transverse crease of the wrist, between the tendons of the muscle palmaris longus and flexor carpi radialis, Pc7 is Shu stream point. And then the heart meridian Qi become more stronger flow to Pc5 which is located at 3 cun above the transverse crease of the wrist between the tendons of palmaris longus and flexor carpiradialis, if the heart has sick Qi, the Pc meridian will be effected and shown some conditions, if the heart has not sick Qi, the heart and pericardium will be Ok, the meridian Qi is peaceful, Pc5 is Jing river point; the heart meridian Qi become strongest flow into Pc3 which is located at interior of elbow joint inside the concave area, bend elbow can find it which is He sea point. The above five shu points are belong to hand Shao Yin Heart meridian. Liver meridian Qi come out at Lv1 which is located on the lateral side of the terminal phalanx of the great toe. Lv1 is Jing well wood point. Then the liver meridian Qi flow into Lv2 which is located on the dorsum of the foot, between the 1st and 2nd toes. Lv2 is Ying spring point. And then the liver meridian Qi flow into Lv3 which is located on the dorsum of the foot, in the depression distal to the junction of the 1st and 2nd metatarsal bones, 2 cuns above Lv2. Lv3 is Shu stream point. The liver Qi go on flow into Lv4 which is located on 1 cun anterior to the medial malleolus, in the depression, Lv4 is important liver meridian Qi flow channel point, during needling, if block the liver meridian Qi to insert the needle will make the Qi stasis, so to sooth the liver meridian Qi, to make the liver meridian Qi will go smoothly, the doctor should shake the patient’s foot before take the Lv4 point. Lv4 is Jing river point. The liver meridian Qi flow strongest in Lv8 which is located in the depression above the medial and of the transverse popliteal crease, posterior to the medial epicondyle of the tibla, on the anteerior part of the insertion of m. semimembranosus and m.semitendinosus, bend knee to find the point. Lv8 is He sea point. The above five shu points are belong to foot Jue Yin Liver meridian. Spleen meridian Qi come out at Sp1 which is located on the medial side of the great toe, Sp1 is Jing well wood point. The spleen meridian Qi still weak when flow into Sp2 which is located on the medial side of the great toe, distal and inferior to the first metatarso-digital joint. Sp2 is Ying spring point; and then the spleen meridian Qi flow into Sp3 which is located on proximal and inferior to the head of the first metatarsal bone. Sp3 is Shu stream point. The spleen Qi flow into Sp5 which is located in the depression distal and inferior to the medial malleolus, midway between the tuberosity of the navicular bone and the tip of the medial malleolus, Sp5 is Jing river point. The spleen Qi gathered into Sp9 which is located on the lower border of the medial condyle of the tibia, in the depression on the medial border of the tibia, straight the leg can find it, Sp9 is He sea point. The above five shu points are belong to foot Tai Yin spleen meridian. The kidney meridian Qi come out at Kd1 which is located on the sole, between 2nd and 3rd toes, in the depression when the foot is in plantar flexion, Kd1 is Jing well wood point; and then the kidney meridian Qi flow into Kd2 which is located anterior and inferior to the medial malleolus, in the depression of the lower border of the tuberosity of the navicular bone, Kd2 is Ying spring point; the kidney Qi stronger flow into Kd3 which is located in the depression between the medial malleolus and tendon calcaneus, Kd3 is Shu stream point; the kidney meridian Qi more stronger flow into Kd7 which is 2 cun directly above Kd3, the kidney meridian Qi flow like river water at Kd7, Kd7 is Jing river point; the kidney meridian Qi flow strongest into Kd10 which is located on the medial side of the popliteal fossa, between the tendons of muscle semitendinosus and semimembranosus, bend knee can find it, Kd10 is beside the medial knee artery and vein, press it can feel the pulse, Kd10 is He sea point. The above five shu points are belong to foot Shao Yin kidney meridian. The Urine Bladder meridian Qi come out at Ub67 which is located on the lateral side of small toe, Ub67 is Jing well metal point; the Urine Bladder meridian Qi still weak flow into Ub66 which is located in the depression anterior to the 5th metatarsophalangeal joint, Ub66 is Ying spring point, the Urine Bladder meridian Qi become stronger flow pass through Ub64 which is located below the tuberosity of the 5th metatarsal bone, Ub64 is Yuan point; the Urine Bladder meridian Qi become more stronger flow into Ub60 which is located in the depression between the external malleolus and tendo calcaneus, Ub60 is Jing river point; the Urine Bladder meridian Qi become strongest flow into Ub40 which is located midpoint of the transverse crease of the popliteal fossa, between the tendons of muscle biceps femoris and muscle semitendinosus, Ub40 is He sea point, the body face down lie down can find Ub40. The above shu points are belong to foot Tai Yang urine bladder meridian. The gall bladder meridian Qi come out at Gb44 which located on the lateral side of the 4th toe; Gb44 is Jing well metal point; the gall bladder meridian Qi still weak flow into Gb43 which is located on the dorsum of the foot, between the 4th and 5th toes, the Gb43 is Ying spring point; and then the gall bladder meridian Qi become stronger flow into Gb41 which is located in the depression distal to the junction of the 4th and 5th metaltarsal bones, 1.5 cun above Gb43, Gb41 is Shu stream point; then the gall bladder meridian Qi pass through Gb40 which is located in the depression on the lateral side of the tendon of m.extensor digitorum longus. Gb40 is yuan point; and then the gall bladder meridian Qi become more stronger flow into Gb38 which is located on the anterior border of the fibula, between m. extensor digitorum longus and m. peroneus brevis, Gb38 is Jing river point; the gall bladder meridian Qi become strongest flow into Gb34 which is located in the depression anterior and in inferior to the head of the fibula, Gb34 is He sea point, straight foot can find it. The above shu points belong to foot Shao Yang gall bladder meridian. The stomach meridian Qi come out at St45 which is located on the lateral side of the 2nd toe, St45 is Jing well metal point; the stomach meridian Qi still weak flow into St44 which is located in the depression distal and lateral to the 2nd metatarsodigital joint, St44 is Ying spring point; the stomach meridian Qi become stronger flow into St43 which is located in the depression distal to the junction of the 2nd and 3rd metatarsal bones, 2 cun above St44, St43 is Shu stream point; the stomach meridian Qi pass through St42 which is located in the depression between the 2nd and 3nd metatarsal bones and cuneiform bone, 5 cun above the 2nd tip of toe, near the artery and vein dorsalis pedis, St42 is yuan point, swing the foot can find it; the stomach meridian Qi become more stronger flow into St41 which is located 1.5 cun above St42 in the depression between the tendons of muscle extensor digitorum longus and hallucis longus, the St41 is Jing river point; the stomach meridian Qi become strongest flow into St36 located on 3 cun below the St35, one finger breadth from the anterior crest of the tibia, in tibialis anterior, St36 is He sea point; the stomach meridian Qi from St36 go down 3 cun is St37, go on down 3 cun is St39, St37 is the large intestine Fu He sea point, St39 is the small intestine Fu He sea point, St37 and St39 are connect to the stomach meridian, the large intestine and small intestine all connect to stomach, so the meridian Qi all controlled by stomach meridian. The above shu points are belong to foot Yang Ming stomach meridian. The triple burner’s Qi go up connect to hand Shao Yang Sanjiao meridian. the Sanjiao meridian Qi come out at Sj1 which is located on the lateral side of ring finger, Sj1 is Jing well metal point; the Sanjiao meridian Qi still weak flow into Sj2 which is located in the depression proximal to the margin of the web between the ring and small finger, Sj2 is Ying spring point; the Sanjiao meridian Qi become stronger flow into Sj3 which is located on the dorsum of the hand between the 4th and 5th metacarpal bones, in the depression proximal to the 4th metacarpophalangeal joint, Sj3 is Shu stream point; the Sanjiao meridian Qi pass through Sj4 which is located on the transverse crease of the dorsum of the wrist, Sj4 is yuan point; the Sanjiao meridian Qi become stronger flow into Sj6 which is located 3 cun above Sj4 between the radius and the ulna, Sj6 is Jing river point; the Sanjiao meridian Qi become strongest flow into Sj10 which is located in the depression about 1 cun superior to the olecranon, Sj10 is He sea point, bend elbow can find it; Sanjiao meridian Qi go down in front of foot Tai Yang urine bladder meridian, behind of foot Shao Yang gall bladder meridian, and up connect to the Ub39 which is located on the medial border of the tendon of muscle biceps femoris, Ub39 is the beginning point of Luo meridian branch of the Ub channel, and the Ub22 shu point Qi come out at Ub39 also. So the triple burner Qi together go with Gb and Ub channels, from 5 cun above malleolus go ino gastrocnemius and go up to Ub39 and connect to Ub channel to control the lower jiao. So for excess syndrome of triple burner, the patient will become urination retention, difficult urination; for deficiency syndrome of triple burner, the patient will become incontinence of urine or enuresis, for Sanjiao deficiency syndrome use tonify needling way to do the treatment, for Sanjiao excess syndrome use sedate needling way to do the treatment. The small intestine Qi go up connect to hand Tai Yang small intestine meridian, the small intestine meridian Qi come out at Si1 which is located on the ulnar side of the little finger, Si1 is Jing well metal point; the small intestine Qi still weak flow into Si2 which is located on the ulnar side, distal to the 5th MP joint, Si2 is Ying spring point; the smal intestine meridian Qi become stronger flow into Si3 which is located on the ulnar side, proximal to the 5th MP joint, at the end of the transverse crease at the junction of the red and white and skin, Si3 is Shu stream point; the small intestine Qi pass through Si4 which is located on the ulnar side of the palm, in the depression between the base of the fifth metacarpal bone and the triquetral bone, Si4 is Yuan point; the small intestine Qi become more stronger flow into Si5 which is located in the depression between the styloid process of the ulna and the triquetral bone, Si5 is Jing river point; the small intestine Qi flow strongest into Si8 which is located in the depression between the olecranon of the ulna and the medial epicondyle of the humerus, 0.5 cun distance from the tip of elbow, straight arm can find it, Si8 is He sea point, the above shu points are belong to hand Tai Yang small intestine meridian. The large intestine Qi go up connect to hand Yang Ming large intestine meridian, the hand Yang Ming large intestine meridian Qi come out at Li1 which is located on the radial side of the index finger, Li1 is Jing well metal point; the large intestine meridian Qi still weak flow into Li2 which is located in the depression of the radial side of index finger, distal to the second metacarpalphalangeal joint, Li2 is Ying spring point; the large intestine meridian Qi become stronger flow into Li3 which is located on the radial side of the index finger, in the depression proximal to the head of the second metacarpal bone, Li3 is Shu stream point; the large intestine meridian Qi pass through Li4 which is located on the dorsum of the hand, between the 1st and 2nd metacarpal bones, Li4 is yuan point; the large intestine meridian Qi become more stronger flow into Li5 which is located in the depression between the tendons of muscle extensor pollicis longus and brevis, Li5 is Jing river point; the large intestine Qi flow strongest into Li11 which is located in the depression at the lateral end of the transverse cubital crease, bend elbow can find it, Li11 is He sea point, the above shu points are belong to hand Yang Ming large intestine meridian. The above is talking about five Zang and six Fu meridian shu points, five Zang each has five shu points(Jing well, Ying spring, Shu stream, Jing river and He sea), total twenty five shu points, six Fu each has six shu points(Jing well, Ying spring, Shu stream, Yuan, Jing river and He sea), total thirty six shu points. Six Fu meridians’ Qi all come out of hand and foot three yang meridians(hand/foot Tai Yang, Yang Ming and Shao Yang). The point between St12 on Ren meridian is Ren22, the first meridian point beside the Ren meridian is foot Yang Ming stomach meridian St9 which is located near the artery of carotis communis, the second meridian point beside the Ren meridian is hand Yang Ming Li18, the third meridian point beside the Ren meridian is hand Tai Yang Si16, the fourth point beside the Ren meridian is hand Tai Yang Si17, the fifth meridian point beside the Ren meridian is hand Shao Yang Sj16, the sixth meridian point beside the Ren meridian is foot Tai Yang Ub10, the seventh meridian point is Du 16, the Lu3 is hand Tai Yin meridian point which is near the artery and vein of brachialis, the Pc1 is located 3cun under shoulder belong to heart meridian. Needling the Gb3, the patient should open mouth without closing mouth; needling the St7, the patient should close mouth without openning mouth; needling the St35, the patient should bent knee without straight leg; needling the Pc6 and Sj5, the patient should straight arm without bending arm. The foot Yang Ming meridian point St9 is located on the throat beside the Adam’s apple near the artery of carotis communis, and then the foot Yang Ming meridian Qi go down to chest pass through St16,17; hand Yang Ming meridian point Li18 is located outside of St9, one cun distance from St6; hand Tai Yang meridian point Si17 is located behind of St6; hand Shao Yang meridian point Sj16 is located behind of ear and above Gb12; foot Tai Yang meridian point Ub10 is located on the back of neck in the depression on the lateral aspect of the trapezius muscle.

3cun above hand Tai Yin meridian Lu5 is hand Yang Ming Li13 is located near the vice artery on radialis side, this point are very near the artery blood vessel will cause bleeding and run out five Zang Qi, so forbidden needling. The interior organ Zang of Lung connect to exterior Fu of Large intestine, the large intestine is the Fu of transfer bowel movement; the interior organ Zang of heart connect to exterior Fu of Small intestine, the small intestine is the Fu of receive the digested food from stomach; the interior organ Zang of Liver connect to exterior Fu of Gall bladder, the gall bladder is the Fu which contain the gall bladder juice for digest food; the interior Zang of Spleen connect to exterior Fu of Stomach, the stomach is the Fu which contain the food and water for digestion; the interior Zang of Kidney connect to exterior Fu of Urine bladder, the urine bladder is the Fu which contain the Jing liquid; the foot Shao Yin kidney meridian also pass through the diaphragm luo connect to Lung, so the Ub meridian Qi connect to Lung and Kidney two Zang. San Jiao control the whole body’s water channels called “Zhong Du”Fu, and also connect to Ub meridian, but Sanjiao is the lonely Fu. The above is talking about the condition of Zang Fu interior and exterior relationship. During spring season needling, should shallow needling on the Ying spring points, needling on luo meridian and the space between the muscle and meridians. If the patient has serious illness, should deeper needling, if the patient’s illness is not heavy, should shallow needling. During summer season needling, should needling on the Shu stream points on twelve meridians, sun luo meridian and muscle or skin shallow location etc.. During fall season needling, should needling on the He sea points, and the others should same as spring season needling ways. During winter season needling, should needling on the Jing well points on twelve meridians and Zang Fu related points on Ub channel, and deep needling long time detention needles. This is different needling ways on four different seasons changes. The four seasons yin yang energy’s changing is in an order, so human body Qi and blood also change in this order, the illness happen also has different locations during the changing order, so use needling should follow this order on different locations. For cramp limbs patients, should let the patient stand up and needling the points to sooth Qi and blood will easy cure the problem. For limbs numbness can not move and cold pain patients, should let the patient lay down on the bed to needling, will feel comfortable and easy sooth the Qi and blood, different needling points will based on different illness.

本輸第二

黃帝問於岐伯曰:凡刺之道,必通十二經絡之所終始,絡脈之所別處,五俞之所留,六腑之所與合,四時之所出入,五臟之所溜處,闊數之度,淺深之狀,高下所至。願聞其解。

岐伯曰:請言其次也。肺出於少商,少商者,手大指端內側也,為井木;溜於魚際,魚際者,手魚也,為滎;注於太淵,太淵魚後一寸陷者中也,為俞;行於經渠,經渠寸口中也,動而不居為經;入於尺澤,尺澤肘中之動脈也,為合。手太陰經也。

心出於中沖,中沖,手中指之端也,為井木;流於勞宮,勞宮掌中中指本節之內間也,為滎;注於大陵,大陵掌後兩骨之間方下者也,為俞;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,為經;入於曲澤,曲澤,肘內廉下陷者之中也,屈而得之,為合。手少陰也。

肝出於大敦,大敦者,足大趾之端,及三毛之中也,為井木;溜於行間,行間足大趾間也,為滎;注於太沖,太沖行間上二寸陷者之中也,為俞;行於中封,中封內踝之前一寸半,陷者之中,使逆則宛,使和則通,搖足而得之,為經;入於曲泉,曲泉輔骨之下,大筋之上也,屈膝而得之,為合。足厥陰也。

脾出於隱白,隱白者,足大趾之端內側也,為井木;溜於大都,大都本節之後下陷者之中也,為滎;注於太白,太白腕骨之下也,為俞;行於商丘,商丘內踝之下陷者之中也,為經;入於陰之陵泉,陰之陵泉,輔骨之下陷者之中也,伸而得之,為合。足太陰也。

腎出於湧泉,湧泉者足心也,為井木;溜於然谷,然谷,然骨之下者也,為滎;注於太溪,太溪內踝之後跟骨之上陷中者也,為俞;行於復溜,復溜,上內踝二寸,動而不休,為經;入於陰谷,陰谷,輔骨之後,大筋之下,小筋之上也,按之應手,屈膝而得之,為合。足少陰經也。

膀胱出於至陰,至陰者,足小趾之端也,為井金;溜於通谷,通谷,本節之前外側也,為滎;注於束骨,束骨,本節之後陷者中也,為俞;過於京骨,京骨,足外側大骨之下,為原;行於崑崙,崑崙,在外踝之後,跟骨之上,為經;入於委中,委中,膕中央,為合,委而取之。足太陽也。

膽出於竅陰,竅陰者,足小趾次趾之端也,為井金;溜於俠溪,俠溪,足小趾次趾之間也,為滎;注於臨泣,臨泣,上行一寸半,陷者中也,為俞;過於丘墟,丘墟,外踝之前下陷者中也,為原。行於陽輔,陽輔外踝之上輔骨之前及絕骨之端也,為經;入於陽之陵泉,陽之陵泉,在膝外陷者中也,為合,伸而得之。足少陽也。

胃出於厲兌,厲兌者,足大趾內次趾之端也,為井金;溜於內庭,內庭,次趾外間也,為滎;注於陷谷,陷谷者,上中指內間上行二寸陷者中也,為俞;過於沖陽,沖陽,足跗上五寸陷者中也,為原,搖足而得之;行於解溪,解溪,上沖陽一寸半陷者中也,為經;入於下陵,下陵,膝下三寸胻骨外三里也,為合;復下三里三寸,為巨虛上廉,復下上廉三寸,為巨虛下廉也;大腸屬上,小腸屬下,足陽明胃脈也。大腸小腸,皆屬於胃,是足陽明也。

三焦者,上合手少陽,出於關沖,關沖者,手小指次指之端也,為井金;溜於液門,液門,小指次指之間也,為滎;注於中渚,中渚,本節之後陷者中也,為俞;過於陽池,陽池,在腕上陷者之中也,為原;行於支溝,支溝,上腕三寸兩骨之間陷者中也,為經;入於天井,天井,在肘外大骨之上陷者中也,為合,屈肘而得之;三焦下腧在於足大趾之前,少陽之後,出於膕中外廉,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,太陽之別也,上踝五寸,別入貫腨腸,出於委陽,並太陽之正,入絡膀胱,約下焦,實則閉癃,虛則遺溺,遺溺則補之,閉癃則瀉之。

手太陽小腸者,上合手太陽,出於少澤,少澤,小指之端也,為井金;溜於前谷,前谷,在手外廉本節前陷者中也,為滎;注於後溪,後溪者,在手外側本節之後也,為俞;過於腕骨,腕骨,在手外側腕骨之前,為原;行於陽谷,陽谷,在銳骨之下陷者中也,為經;入於小海,小海,在肘內大骨之外,去端半寸,陷者中也,伸臂而得之,為合。手太陽經也。

大腸上合手陽明,出於商陽,商陽,大指次指之端也,為井金;溜於本節之前二間,為滎;注於本節之後三間,為俞;過於合谷,合谷,在大指岐骨之間,為原;行於陽溪,陽溪,在兩筋間陷者中也,為經;入於曲池,在肘外輔骨陷者中,屈臂而得之,為合。手陽明也。

是謂五臟六腑之俞,五五二十五俞,六六三十六俞也。六腑皆出足之三陽,上合於手者也。

缺盆之中,任脈也,名曰天突。一次,任脈側之動脈足陽明也,名曰人迎;二次脈,手陽明也,名曰扶突;三次脈,手太陽也,名曰天窗;四次脈,足少陽也,名曰天容;五次脈,手少陽也,名曰天牖;六次脈,足太陽也,名曰天柱;七次脈,頸中央之脈,督脈也,名曰風府。腋內動脈手太陰也,名曰天府。腋下三寸手心主也,名曰天池。

刺上關者,呿不能欠。刺下關者,欠不能呿。刺犢鼻者,屈不能伸。刺兩關者,伸不能屈。

足陽明,俠喉之動脈也,其俞在膺中。手陽明,次在其俞外,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。足太陽俠項大筋之中,髮際。

陰尺動脈,在五里,五俞之禁也。

肺合大腸,大腸者,傳道之腑。心合小腸,小腸者,受盛之腑。肝合膽,膽者中精之腑。脾合胃,胃者五穀之腑。腎合膀胱,膀胱者津液之腑也。少陽屬腎,腎上連肺,故將兩臟。三焦者,中瀆之腑也,水道出焉,屬膀胱,是孤之腑也,是六腑之所與合者。

春取絡脈諸滎大經分肉之間,甚者深取之,間者淺取之。夏取諸俞孫絡肌肉皮膚之上。秋取諸合,余如春法。冬取諸井諸俞之分,欲深而留之。此四時之序,氣之所處,病之所舍,臟之所宜。轉筋者,立而取之,可令遂已。痿厥者,張而刺之,可令立快也。


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