阳维,即手三阳、足三阳诸气穴旁出之孙络也。
阴维,即手三阴、足三阴诸气穴旁出之孙络也。
阳跷,即足太阳之别,支通少阴者也。男子脉度以阳跷为经,阴跷为络。
阴跷,即足少阴之别,支通太阳者也。女子脉度以阴跷为经,阳跷为络。
督脉,即背脊当中一条督脉之孙络。
任脉,即胸前当中一条任脉之孙络。
以上六者,共有三百六十五气穴,此皆旁出孙络,不入营行之度。
冲脉为血海,循腹右下行,与右肾相通,男子以之藏精,女子以之系胞。胞即子宫,为
月事所从出,即天癸也。《难经》谓右肾为命门,即此冲脉行腹右,与左乳虚里穴相对。盖人身
血液分为两途,其从左乳下随宗气动而行于十二经脉之中者,名为营血,所以荫形而生肌者
也。其从腹右下注冲脉通于右肾者,名为天癸,所以种子传生者也。营血从左乳下发源,行
于脉中,故左乳旁下有动气应手;冲血从腹右下注于右肾胞中,其血本静,故右乳旁下并无
动气,此左右之所以不同也。营血养身,故不可伤,伤之则死;冲血传生,原有可泄,故阉
宦者流虽伤冲血亦不死。此营血为病所以独重,而冲血为病所以较轻也。
带脉横通于腰,所以联系诸经者也。
以上二者,皆不入营行之度,与诸经孙络相似,故亦列于奇经。
凡此八者,皆血之积而不流者也,《内经》名为奇邪血络,《难经》则名为奇经。盖血
之行于脉中者,如川河之流;血之溢于孙络者,如湖海之会,古人用此以审病耳。譬如阳维之血
溢于上,则为鼻衄、齿衄之类;阴维之血溢于下,则为圊血、淋血之类;两维同病,则为吐
血、呕血之类,其孙络上贯于膈也。冲带为病,则为崩漏、带下之类。《内经》、《难经》
分晰甚明,李时珍辈乃谓另有八脉,考之古经既不合,证之此身亦不确,又假此为修真之说
,无识者流莫不被其诳惑,往往因修炼而成痨瘵,生平所见亦多矣,故详辨之。
以上诸条,皆形体实义也。凡病,惟络病最轻,经病稍重,腑病又重,脏病最重。此审
病轻重之大法。
形体实义既明,然后附于形体之气血阴阳始可得而知之矣。有宗气、有营气、有卫气,
另详于左。
阳维脉,是从手三阳经和足三阳经各气穴旁出的细小络脉(孙络)。
阴维脉,是从手三阴经和足三阴经各气穴旁出的细小络脉(孙络)。
阳跷脉,是足太阳膀胱经的别支,分支连通足少阴肾经。在男子体内,以阳跷脉作为主干(经),阴跷脉作为分支(络)。
阴跷脉,是足少阴肾经的别支,分支连通足太阳膀胱经。在女子体内,以阴跷脉作为主干(经),阳跷脉作为分支(络)。
督脉,是背部脊柱正中的一条督脉之细小络脉(孙络)。
任脉,是胸部正中的一条任脉之细小络脉(孙络)。
以上六条脉,共有三百六十五个气穴,这些都属于旁出的细小络脉,不参与营气运行的常规度数。
冲脉被称为血海,沿腹部右侧下行,与右肾相通。男子依靠它来藏精,女子依靠它来维系子宫。子宫即胞宫,是月经发出的地方,也就是天癸。《难经》认为右肾为命门,指的就是这冲脉行于腹部右侧,与左侧乳下的虚里穴相对。大概人体的血液分为两条途径:从左侧乳下随着宗气运动而运行于十二经脉中的,称为营血,是用来滋养形体、生长肌肉的。从腹部右侧向下注入冲脉并通达右肾的,称为天癸,是用来孕育种子、繁衍后代的。营血从左侧乳下发源,运行在脉管之中,所以左乳旁下有搏动的动脉可以触及;冲血从腹部右侧向下注入右肾和胞宫,其血本性静止,所以右乳旁下并没有搏动的动脉,这就是左右不同的原因。营血用来滋养身体,所以不能受伤,受伤就会死亡;冲血用来繁衍后代,原本就可以泄出,所以宦官虽然损伤了冲血也不会死。这就是营血生病之所以特别严重,而冲血生病相对较轻的原因。
带脉横向贯通腰部,用来联系各条经脉。
以上这两条脉,都不参与营气运行的常规度数,与各经的细小络脉相似,所以也列在奇经八脉之中。
凡是这八条脉,都是血液积聚而不流动的部分,《内经》称之为奇邪血络,《难经》则称之为奇经。大概血液在脉管中运行,就像河流一样流动;血液溢出到细小络脉中,就像湖海汇聚一样,古人用这个原理来诊断疾病。例如阳维脉的血液溢出于上,就会出现鼻出血、牙龈出血等症状;阴维脉的血液溢出于下,就会出现便血、尿血等症状;如果两维脉同时发病,就会出现吐血、呕血等症状,这是因为它们的细小络脉向上贯穿膈肌的缘故。冲脉和带脉发病,就会出现崩漏、白带过多等症状。《内经》和《难经》分析得非常清楚,李时珍等人却声称另有八条脉,考证古代经典既不相符,验证自身身体也不准确,又借此附会修炼成仙的说法,没有见识的人往往被其欺骗迷惑,常常因为修炼而导致虚劳病,我生平所见这种情况也很多,所以详细辨析这一点。
以上各条,都是关于形体结构的实际意义。大凡疾病,只有络脉生病最轻,经脉生病稍重,腑脏生病更重,五脏生病最重。这是判断疾病轻重的大法。
形体的实际意义既然明确了,然后依附于形体的气血阴阳才可以得以知晓了。这里有宗气、有营气、有卫气,另外详细说明在左边。
Yang Wei Mai (Yang Linking Vessel) refers to the collateral branches (Sun Luo, fine collaterals) emerging from the side of Qi acupoints of the Three Yang Meridians of Hand and Foot.
Yin Wei Mai (Yin Linking Vessel) refers to the collateral branches (Sun Luo, fine collaterals) emerging from the side of Qi acupoints of the Three Yin Meridians of Hand and Foot.
Yang Qiao Mai (Yang Heel Vessel) is a branch of Zu Taiyang Bladder Meridian (Foot-Taiyang Bladder Channel), with branches connecting to Zu Shaoyin Kidney Meridian (Foot-Shaoyin Kidney Channel). In men, Yang Qiao Mai serves as the Jing (Main Meridian), and Yin Qiao Mai serves as the Luo (Collateral).
Yin Qiao Mai (Yin Heel Vessel) is a branch of Zu Shaoyin Kidney Meridian (Foot-Shaoyin Kidney Channel), with branches connecting to Zu Taiyang Bladder Meridian (Foot-Taiyang Bladder Channel). In women, Yin Qiao Mai serves as the Jing (Main Meridian), and Yang Qiao Mai serves as the Luo (Collateral).
Du Mai (Governing Vessel) is the collateral branch (Sun Luo, fine collateral) of the Du Mai running along the center of the spinal column on the back.
Ren Mai (Conception Vessel) is the collateral branch (Sun Luo, fine collateral) of the Ren Mai running along the center of the chest.
These six vessels together comprise 365 Qi acupoints. These all belong to the laterally emerging fine collaterals and do not participate in the standard degree of Ying Blood circulation.
Chong Mai (Penetrating Vessel) is known as the Sea of Blood. It descends along the right side of the abdomen and connects with the Right Kidney. Men use it to store Essence (Jing), and women use it to anchor the Bao Gong (Uterus). The Bao Gong (Uterus) is where menstruation originates, which is also referred to as Tian Gui (Heavenly Water, reproductive essence). The Nan Jing (Classic of Difficult Issues) states that the Right Kidney is the Ming Men (Gate of Life), referring to this Chong Mai running on the right side of the abdomen, opposite to the Xu Li acupoint located below the left breast. Generally, blood in the human body divides into two pathways: that which originates from below the left breast, moves with Zong Qi (Gathering Qi), and circulates within the Twelve Regular Meridians is called Ying Xue (Nutritive Blood), which nourishes the form and generates muscle tissue. That which descends from the right side of the abdomen into the Chong Mai and reaches the Right Kidney is called Tian Gui (Heavenly Water), which is responsible for reproduction and propagation. Ying Xue originates from below the left breast and circulates within the vessels; therefore, there is palpable pulsation below the left breast. Chong blood descends from the right side of the abdomen into the Right Kidney and Bao Gong (Uterus); its blood is inherently static, so there is no palpable pulsation below the right breast. This explains the difference between the left and right sides. Ying Xue nourishes the body, so it must not be injured; injury leads to death. Chong blood is for reproduction and can naturally be discharged; thus, eunuchs who have had their Chong blood damaged do not die. This is why diseases involving Ying Xue are considered particularly severe, while diseases involving Chong blood are relatively mild.
Dai Mai (Girdle Vessel) traverses horizontally through the waist, serving to connect the various meridians.
These two vessels do not participate in the standard degree of Ying Blood circulation and are similar to the fine collaterals of the regular meridians; hence, they are also classified among the Eight Extraordinary Vessels.
All these eight vessels are accumulations of blood that do not flow. The Nei Jing (Inner Canon) calls them Qi Xie Xue Luo (Abnormal Evil Blood Collaterals), while the Nan Jing calls them Qi Jing (Extraordinary Vessels). Blood circulating within the vessels is like the flow of rivers; blood overflowing into the fine collaterals is like the gathering of lakes and seas. The ancients used this principle to diagnose diseases. For instance, if blood from Yang Wei Mai overflows upwards, it results in conditions such as epistaxis (nosebleed) or gingival bleeding. If blood from Yin Wei Mai overflows downwards, it results in conditions such as hematochezia (blood in stool) or hematuria (blood in urine). If both Wei Mai suffer disease simultaneously, it results in vomiting blood or hematemesis, because their fine collaterals penetrate upwards through the Diaphragm. Diseases of Chong Mai and Dai Mai result in conditions such as metrorrhagia and leukorrhea. The Nei Jing and Nan Jing analyze these distinctions very clearly. Li Shizhen and others claimed there were separate Eight Vessels; however, this contradicts ancient classics and does not align with physiological verification. Furthermore, they falsely used this concept to support cultivation practices. Uninformed people were often deceived by this, frequently developing Lao Fei (Consumptive Disease) due to improper cultivation. I have witnessed many such cases in my life, so I elaborate on this distinction.
The above points all pertain to the actual significance of physical structure. Generally speaking, among diseases, those affecting the collaterals are the mildest, those affecting the meridians are slightly more severe, those affecting the Fu Organs are heavier still, and those affecting the Zang Organs are the most severe. This is the major method for assessing the severity of disease.
Once the actual significance of physical structure is clarified, then the Qi, Blood, Yin, and Yang attached to the physical structure can be understood. There is Zong Qi (Gathering Qi), Ying Qi (Nutritive Qi), and Wei Qi (Defensive Qi), which are detailed separately on the left.