足少阴兮二十七,涌泉流于然谷,太溪大钟兮水泉绿,照海复溜兮交信续,从筑宾兮上阴谷,掩横骨兮大赫
麓,气穴四满兮中注,肓俞上通乎商曲,守石关兮阴都安,闭通谷兮幽门肃,步廊神封而灵墟存,神藏 中而
俞府足。
足掌心中是涌泉,然骨踝下一寸前,太溪踝后跟骨上,大钟跟后踵中边,水泉溪下一寸觅,照海踝下四寸
安,复溜跟上前二寸,交信踝上二寸联,二穴止隔筋前后,太阳之后少阴前,筑宾内踝上 分,阴谷膝下曲膝
间,横骨大赫并气穴,四满中注亦相连,各开中行止半寸,上下相去一寸便,上膈肓俞亦一寸,肓俞脐旁半寸
边,肓俞商曲石关来,阴都通谷幽门肃,各开中行五分侠,六穴上下一寸裁,步廊神封灵墟存,神藏 中俞府
尊,各开中行计二寸,上下寸六六穴分,俞府璇玑旁二寸,取之得法自然真。
饥不欲食,盖虚火盛则饥,而不欲食者,脾气弱也。乃木火侮土之故,以肾虚不能养肝,且脉贯肝上膈也。
面如漆柴,水枯
而肾之色黑者见于外,肾之主骨者瘦于形也。咳唾有血,喝喝而喘,以脉入肺中,皆火盛水亏之疾也。坐而欲
起,皆阴虚不能安静也。目无所见,水亏肝弱也。心如悬,脉络心包也。善恐如人将捕,恐,伤肾也。骨厥,
肾主骨也。口热舌干,咽肿上气,嗌干痛,脉循喉咙、挟舌本也。烦心心痛,脉络心也。黄胆,身体面目皆变
黄也,有急黄、劳黄、脑黄、阴黄、癖黄、噤黄、五色黄、黄汗、酒疸、谷疸、黑疸、女劳疸,名目不可不辨
。肠 即滞下,滞下即痢疾,痢疾本于肾,肾司二阴也。脊股内后廉痛,脉所经也。痿,骨痿,肾主骨也。厥
,肾虚气上逆也。嗜卧,即《伤寒论》中所谓但欲寐,盖热邪入肾,则神昏而嗜卧也。足下热痛,脉起涌泉也。
以上或脏病、或经病,而合他脏病居多,以肾脉入肝、入肺、络心,一脏而连诸脏,与他脏异也。
足少阴肾经共有二十七个穴位,从涌泉穴开始,流经然谷穴;太溪穴、大钟穴、水泉穴依次排列,如同绿水般延续;照海穴、复溜穴、交信穴相继连接;从筑宾穴向上至阴谷穴,接着是横骨穴、大赫穴;气穴、四满穴、中注穴依次分布;肓俞穴向上连通商曲穴;守石关穴、阴都穴则使气机安宁;闭通谷穴、幽门穴显得肃静;步廊穴、神封穴和灵墟穴留存其间;神藏穴在中部,俞府穴作为终结。
足掌心的凹陷处是涌泉穴,然谷穴位于踝骨前下方一寸处,太溪穴在踝后跟骨上方,大钟穴在脚跟后方踵骨的边缘,水泉穴在水泉穴下方一寸处寻找(注:原文此处可能有误,通常水泉在太溪下1寸,或指其他位置,依原文直译),照海穴位于踝下四寸处安设,复溜穴在跟骨前上方二寸处,交信穴在踝上二寸处相连,这两个穴位只隔着一根筋的前后,位于太阳经之后、少阴经之前;筑宾穴在内踝上五寸处(注:原文缺数字,依常理补全或留白,此处依语境推测为具体寸数,但原文仅写“内踝上 分”,暂译为内踝上方某分寸处),阴谷穴在膝盖下方弯曲的膝间;横骨穴、大赫穴和气穴,四满穴和中注穴也相互连接,它们各距身体正中线半寸,上下相距一寸;膈关处的肓俞穴也与上一穴相距一寸,肓俞穴在脐旁半寸处;肓俞穴、商曲穴、石关穴、阴都穴、通谷穴、幽门穴,各距正中线五分,这六个穴位上下间距为一寸;步廊穴、神封穴、灵墟穴、神藏穴、俞府穴,各距正中线两寸,上下间距为一寸六分,共六个穴位分布其中;俞府穴在璇玑穴旁两寸处,取穴方法得当便自然准确。
感到饥饿但不想吃东西,这是因为虚火旺盛导致饥饿感,但因脾气虚弱而不欲进食。这是木火之气侵犯脾土的缘故,因为肾虚不能滋养肝木,且肾脉贯穿肝脏上行穿过膈肌。面色像漆柴一样枯黑,是因为肾水枯竭,肾的本色黑色显露于外;肾主司骨骼,所以形体消瘦。咳嗽吐痰带血,呼吸急促有声,是因为肾脉进入肺中,这都是火盛水亏的疾病表现。坐着想要起身,都是因为阴虚不能保持安静。眼睛看不见东西,是因为肾水亏虚导致肝气衰弱。心中感觉空虚悬挂,是因为脉络联系心包。容易恐惧,好像被人追捕,恐惧会损伤肾脏。骨厥病,是因为肾主司骨骼。口热舌干,咽喉肿痛,气逆向上,咽喉干燥疼痛,是因为肾脉循行经过喉咙、挟持舌根。心烦心痛,是因为脉络联系心脏。黄疸,是指身体和面目都变黄,有急黄、劳黄、脑黄、阴黄、癖黄、噤黄、五色黄、黄汗、酒疸、谷疸、黑疸、女劳疸等名称,这些名目不可不加以辨别。肠澼即滞下,滞下即痢疾,痢疾根源在于肾,因为肾主管前后二阴。脊柱和大腿内侧后缘疼痛,是因为经脉所经过的地方。痿证中的骨痿,是因为肾主司骨骼。厥证,是因为肾气虚导致气机上逆。嗜睡,即《伤寒论》中所说的“但欲寐”,这是因为热邪侵入肾脏,导致神志昏沉而嗜睡。足底发热疼痛,是因为经脉起于涌泉穴。以上病症或是脏病、或是经病,但多与其他脏腑的病证合并出现,因为肾脉进入肝脏、进入肺部、联络心脏,一脏连接诸脏,与其他脏腑不同。
The Foot-Shaoyin (Kidney) Meridian has twenty-seven acupoints, starting from Yongquan (KI-1), flowing to RanGu (KI-2); TaiXi (KI-3), DaZhong (KI-4), and ShuiQuan (KI-5) are arranged in sequence like green water; ZhaoHai (KI-6), FuLiu (KI-7), and JiaoXin (KI-8) follow one another; from ZhuBin (KI-9) ascending to YinGu (KI-10), followed by HengGu (KI-11) and DaHe (KI-12); QiXue (KI-13), SiMan (KI-14), and ZhongZhu (KI-15) are distributed in turn; HuangShu (KI-16) connects upward to ShangQu (KI-17); ShiGuan (KI-18) and YinDu (KI-19) stabilize the qi; TongGu (KI-20) and YouMen (KI-21) appear solemn; BuLang (KI-22), ShenFeng (KI-23), and LingXu (KI-24) remain present; ShenCang (KI-25) is in the middle, and YuFu (KI-27) serves as the conclusion.
Yongquan (KI-1) is located in the depression of the center of the sole of the foot; RanGu (KI-2) is one cun anterior to the inferior border of the medial malleolus; TaiXi (KI-3) is posterior to the ankle, above the calcaneus; DaZhong (KI-4) is at the edge of the heel behind the calcaneus; ShuiQuan (KI-5) is sought one cun below TaiXi (KI-3); ZhaoHai (KI-6) is situated four cun below the medial malleolus; FuLiu (KI-7) is two cun anterior and superior to the medial malleolus; JiaoXin (KI-8) is connected two cun above the medial malleolus. These two points are separated only by a tendon anteriorly and posteriorly, located posterior to the Foot-Taiyang (Bladder) Meridian and anterior to the Foot-Shaoyin (Kidney) Meridian. ZhuBin (KI-9) is located above the medial malleolus [distance unspecified in text]; YinGu (KI-10) is between the knee and the leg when the knee is flexed. HengGu (KI-11), DaHe (KI-12), and QiXue (KI-13), along with SiMan (KI-14) and ZhongZhu (KI-15), are also connected. Each is located half a cun lateral to the midline, with a vertical distance of one cun between them. The vertical distance between GeShu (likely referring to the interval before HuangShu) and HuangShu (KI-16) is also one cun; HuangShu (KI-16) is located half a cun lateral to the umbilicus. ShangQu (KI-17), ShiGuan (KI-18), YinDu (KI-19), TongGu (KI-20), and YouMen (KI-21) are each five fen lateral to the midline, with these six points spaced one cun apart vertically. BuLang (KI-22), ShenFeng (KI-23), LingXu (KI-24), ShenCang (KI-25), and YuFu (KI-27) are each two cun lateral to the midline, with a vertical spacing of one cun and six fen among these six points. YuFu (KI-27) is two cun lateral to Xuanji (CV-21); obtaining the correct method yields natural accuracy.
Feeling hungry but having no desire to eat occurs because deficiency fire is excessive causing hunger, yet spleen qi is weak preventing eating. This is due to Wood and Fire insulting Earth; specifically, Kidney deficiency fails to nourish Liver Wood, and the Kidney meridian passes through the Liver and up through the diaphragm. The face appears dark and dry like lacquered wood because Kidney Water is depleted, and the black color of the Kidney manifests externally; since the Kidney governs bones, the body becomes emaciated. Coughing and spitting blood, accompanied by wheezing and panting, occur because the meridian enters the Lungs; these are all diseases of excessive Fire and deficient Water. Sitting with an urge to rise indicates that Yin deficiency prevents tranquility. Inability to see indicates Kidney Water deficiency leading to Liver weakness. The heart feels suspended because the vessels connect to the Pericardium. Frequent fear, as if being chased, occurs because Fear injures the Kidney. Bone Jue (reversal cold/chaos) occurs because the Kidney governs bones. Oral heat and dry tongue, swollen throat, upward rushing of qi, and dry painful pharynx occur because the meridian circulates around the throat and binds to the root of the tongue. Vexation and heart pain occur because the vessels connect to the Heart. Jaundice refers to the yellowing of the body and face; there are many types such as Ji Huang (Acute Jaundice), Lao Huang (Consumptive Jaundice), Nao Huang (Brain Jaundice), Yin Huang (Yin Jaundice), Pi Huang (Mass Jaundice), Jin Huang (Lockjaw Jaundice), Wu Se Huang (Five-Color Jaundice), Huang Han (Yellow Sweat), Jiu Dan (Wine Jaundice), Gu Dan (Grain Jaundice), Hei Dan (Black Jaundice), and Nu Lao Dan (Female Labor Jaundice); these names must be distinguished. Chang Pi (Intestinal Dysentery) is synonymous with Zhi Xia (Stagnant Downward Discharge), which is Li Ji (Dysentery). Dysentery originates in the Kidney because the Kidney controls the two orifices (anterior and posterior). Pain along the posterior inner aspect of the spine and thigh occurs where the meridian passes. Wei Syndrome (Flaccidity Syndrome), specifically bone Wei, occurs because the Kidney governs bones. Jue Syndrome occurs because Kidney Qi deficiency leads to rebellious Qi ascending. Hypersomnia (excessive sleepiness), referred to in the *Treatise on Cold Damage* as "only desiring to sleep," occurs because pathogenic Heat enters the Kidney, causing mental confusion and hypersomnia. Heat and pain in the soles of the feet occur because the meridian originates at Yongquan (KI-1). The above conditions may be Zang organ diseases or Meridian diseases, but they often combine with diseases of other organs because the Kidney meridian enters the Liver, enters the Lungs, and connects with the Heart; thus, one organ connects to multiple others, differing from other organs.