条文:风廓属胆水膀胱,大肠天廓地胃乡,火廓小肠雷廓命,山泽三焦包络方。
方剂:
【注】[1]此明八廓所属也。
[2]风廓即风轮也,风轮属肝,肝与胆为表里,故轮主脏为肝病,廓主腑
为胆病。
[3]水廓即水轮也,水轮属肾,肾与膀胱为表里,故轮主脏为肾病,廓主
腑为膀胱病。
[4]天廓即气轮也,气轮属肺,肺与大肠为表里,故轮主脏为肺病,廓主
腑为大肠病。
[5]地廓即肉轮也,肉轮属脾,脾与胃为表里,故轮主脏为脾病,廓主腑
为胃病。
[6]火廓、雷廓、山廓,即血轮之部位也,血轮属心,心与小肠为表里,
故轮主脏为心病,廓主腑为小肠病。
[7]其雷廓命门、泽廓三焦、山廓包络,皆附于血轮者,以命门、三焦、
包络,俱属相火,当禀命于君火,故当附焉。
【按】
眼科皆以五轮属脏,配五行;八廓属藏腑,配八卦,遂使脏腑混淆,无所
适从。夫五轮既属脏,八卦自应属腑。今改订之,俾学者按轮廓之部位视
之,而病之在脏、在腑,自能了然矣。
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条文:津液水廓属膀胱,养化风廓是胆方,传导天廓大肠是,水谷地廓胃家乡,
关泉雷廓命门主,抱阳内眦火小肠,外眦三焦清净泽,会阴山廓包络疆。
方剂:
【注】[1]内眦火小肠,谓内眦火廓,属小肠也。
[2]外眦三焦清净泽,谓外眦属三焦,清净泽廓也。
[3]津液廓即水廓,水廓属肾,肾与膀胱为表里,膀胱为津液之腑,故又
名焉。
[4]养化廓即风廓,风廓属肝,肝与胆为表里,胆为少阳,主长养化育,
故又名焉。
[5]传导廓和天廓,天廓属肺,肺与大肠为表里,大肠为传导之官,故又
名焉。
[6]水壳廓即地廓,地廓属脾,脾与胃为表里,胃纳水壳,故又名焉。
[7]抱阳廓即火廓,火廓属心,心与小肠为表里,根据附于阳,故又名焉。
[8]关泉廓即雷廓,命门者龙雷之火,故名关泉,附于火廓也。
[9]清净廓即泽廓,三焦者,阳相火也,蒸化水壳,为决渎之官,故名清
净,附于火廓也。
[10]会阴廓即山廓,包络者,阴相火也,根据附于心为臣使之官,故名会阴
,附于火廓也。
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风廓归属于胆,水廓归属于膀胱,天廓归属于大肠,地廓归属于胃。火廓归属于小肠,雷廓归属于命门,山廓与泽廓分别归属于三焦和心包络。
【注释】
[1] 这段文字阐明八廓所属的脏腑关系。
[2] 风廓即风轮(位于黑睛部分),风轮属肝,肝与胆互为表里,因此轮主要反映脏的病证为肝病,廓主要反映腑的病证为胆病。
[3] 水廓即水轮(位于黑睛部分,此处原文注疏有混淆,通常水轮指瞳仁,但依上下文及传统眼科理论,风、水轮常混称或特指不同部位,此处依原文逻辑翻译:水轮属肾,肾与膀胱互为表里,因此轮主要反映脏的病证为肾病,廓主要反映腑的病证为膀胱病)。
[4] 天廓即气轮(位于白睛部分),气轮属肺,肺与大肠互为表里,因此轮主要反映脏的病证为肺病,廓主要反映腑的病证为大肠病。
[5] 地廓即肉轮(位于眼睑部分),肉轮属脾,脾与胃互为表里,因此轮主要反映脏的病证为脾病,廓主要反映腑的病证为胃病。
[6] 火廓、雷廓、山廓,均属于血轮(位于两眦部分)的部位,血轮属心,心与小肠互为表里,因此轮主要反映脏的病证为心病,廓主要反映腑的病证为小肠病。
[7] 其中雷廓对应命门,泽廓对应三焦,山廓对应心包络,它们都依附于血轮,因为命门、三焦、心包络都属于相火,应当禀受君火的命令,所以应当附属于此。
【按语】
眼科通常将五轮归属于脏,并配合五行;将八廓归属于腑,并配合八卦,这导致脏腑概念混淆,让人无所适从。既然五轮已经归属于脏,那么八卦自然应该归属于腑。现在对此进行修订,使学习者通过观察轮廓的部位,就能清楚地知道病位在脏还是在腑。
【八廓所属歌】
津液水廓归属于膀胱,养化风廓归属于胆,传导天廓归属于大肠,水谷地廓归属于胃。关泉雷廓由命门主宰,抱阳内眦火廓归属于小肠,外眦清净泽廓归属于三焦,会阴山廓是心包络的疆域。
【注释】
[1] “内眦火小肠”,意思是内眦处的火廓,归属于小肠。
[2] “外眦三焦清净泽”,意思是外眦归属于三焦,即清净泽廓。
[3] 津液廓即水廓,水廓属肾,肾与膀胱互为表里,膀胱是津液之腑,所以又名为津液廓。
[4] 养化廓即风廓,风廓属肝,肝与胆互为表里,胆为少阳经,主管生长化育,所以又名为养化廓。
[5] 传导廓即天廓,天廓属肺,肺与大肠互为表里,大肠是传导之官,所以又名为传导廓。
[6] 水壳廓即地廓(注:原文“水壳”应为“水谷”之误或异写,结合下文“胃纳水壳”及常规理解,此处指代饮食水谷),地廓属脾,脾与胃互为表里,胃容纳水谷,所以又名为水谷廓(原文作水壳廓,依文意译为容纳水谷之意)。
[7] 抱阳廓即火廓,火廓属心,心与小肠互为表里,根据附属于阳,所以又名为抱阳廓。
[8] 关泉廓即雷廓,命门被称为龙雷之火,所以名为关泉,它依附于火廓。
[9] 清净廓即泽廓,三焦属于阳相火,蒸化水谷,是决渎之官,所以名为清净,它依附于火廓。
[10] 会阴廓即山廓,心包络属于阴相火,根据附属于心,作为臣使之官,所以名为会阴,它依附于火廓。
[Ba Kuo Zhu Liu Fu Ming Men Bao Luo Bing Ge]
The Feng Kuo (Wind Palisade) belongs to the Gallbladder; the Shui Kuo (Water Palisade) belongs to the Bladder; the Tian Kuo (Heaven Palisade) belongs to the Large Intestine; and the Di Kuo (Earth Palisade) belongs to the Stomach. The Huo Kuo (Fire Palisade) belongs to the Small Intestine; the Lei Kuo (Thunder Palisade) belongs to the Ming Men (Gate of Life); and the Shan Kuo (Mountain Palisade) and Ze Kuo (Marsh Palisade) belong to the San Jiao (Triple Burner) and Pericardium, respectively.
[Annotations]
[1] This passage clarifies the organ associations of the Eight Palisades (Ba Kuo).
[2] The Feng Kuo is also known as the Feng Lun (Wind Wheel). The Feng Lun belongs to the Liver. Since the Liver and Gallbladder are exterior-interiorly related, the Lun primarily reflects Zang-organ diseases as Liver diseases, while the Kuo primarily reflects Fu-organ diseases as Gallbladder diseases.
[3] The Shui Kuo is also known as the Shui Lun (Water Wheel). The Shui Lun belongs to the Kidney. Since the Kidney and Bladder are exterior-interiorly related, the Lun primarily reflects Zang-organ diseases as Kidney diseases, while the Kuo primarily reflects Fu-organ diseases as Bladder diseases.
[4] The Tian Kuo is also known as the Qi Lun (Qi Wheel). The Qi Lun belongs to the Lung. Since the Lung and Large Intestine are exterior-interiorly related, the Lun primarily reflects Zang-organ diseases as Lung diseases, while the Kuo primarily reflects Fu-organ diseases as Large Intestine diseases.
[5] The Di Kuo is also known as the Rou Lun (Flesh Wheel). The Rou Lun belongs to the Spleen. Since the Spleen and Stomach are exterior-interiorly related, the Lun primarily reflects Zang-organ diseases as Spleen diseases, while the Kuo primarily reflects Fu-organ diseases as Stomach diseases.
[6] The Huo Kuo, Lei Kuo, and Shan Kuo are all located within the Xue Lun (Blood Wheel). The Xue Lun belongs to the Heart. Since the Heart and Small Intestine are exterior-interiorly related, the Lun primarily reflects Zang-organ diseases as Heart diseases, while the Kuo primarily reflects Fu-organ diseases as Small Intestine diseases.
[7] Among these, the Lei Kuo corresponds to the Ming Men (Gate of Life), the Ze Kuo to the San Jiao (Triple Burner), and the Shan Kuo to the Pericardium. All attach to the Xue Lun because the Ming Men, San Jiao, and Pericardium all pertain to Ministerial Fire (Xiang Huo) and must receive orders from Sovereign Fire (Jun Huo); therefore, they should be attached here.
[Commentary]
Ophthalmology traditionally associates the Five Wheels (Wu Lun) with the Zang organs and the Five Elements, and associates the Eight Palisades (Ba Kuo) with the Fu organs and the Eight Trigrams. This has led to confusion between Zang and Fu concepts, leaving practitioners unsure how to proceed. Since the Five Wheels already belong to the Zang organs, the Eight Trigrams should naturally belong to the Fu organs. We have revised this so that students can observe the locations of the palisades and clearly understand whether the disease resides in a Zang or Fu organ.
[Ba Kuo Suo Shu Ge]
The Jin Ye Shui Kuo (Fluid-Water Palisade) belongs to the Bladder; the Yang Hua Feng Kuo (Nourishing-Transformation Wind Palisade) belongs to the Gallbladder; the Chuan Dao Tian Kuo (Conducting Heaven Palisade) belongs to the Large Intestine; and the Shui Gu Di Kuo (Food-Water Earth Palisade) belongs to the Stomach. The Guan Quan Lei Kuo (Spring-Closing Thunder Palisade) is governed by the Ming Men (Gate of Life); the Bao Yang Nei Zi Huo Kuo (Embracing-Yang Inner Canthus Fire Palisade) belongs to the Small Intestine; the Wai Zi San Jiao Qing Jing Ze Kuo (Outer Canthus Triple Burner Pure-Clean Marsh Palisade) belongs to the San Jiao (Triple Burner); and the Hui Yin Shan Kuo (Meeting-Yin Mountain Palisade) is the domain of the Pericardium.
[Annotations]
[1] "Nei Zi Huo Xiao Chang" refers to the Huo Kuo at the inner canthus, which belongs to the Small Intestine.
[2] "Wai Zi San Jiao Qing Jing Ze" refers to the outer canthus belonging to the San Jiao (Triple Burner), specifically the Qing Jing Ze Kuo (Pure-Clean Marsh Palisade).
[3] The Jin Ye Kuo is the same as the Shui Kuo. The Shui Kuo belongs to the Kidney. Since the Kidney and Bladder are exterior-interiorly related, and the Bladder is the Fu organ of fluids, it is also named the Jin Ye Kuo.
[4] The Yang Hua Kuo is the same as the Feng Kuo. The Feng Kuo belongs to the Liver. Since the Liver and Gallbladder are exterior-interiorly related, and the Gallbladder is the Shaoyang channel governing growth and transformation, it is also named the Yang Hua Kuo.
[5] The Chuan Dao Kuo is the same as the Tian Kuo. The Tian Kuo belongs to the Lung. Since the Lung and Large Intestine are exterior-interiorly related, and the Large Intestine is the official of conduction, it is also named the Chuan Dao Kuo.
[6] The Shui Ke Kuo is the same as the Di Kuo. The Di Kuo belongs to the Spleen. Since the Spleen and Stomach are exterior-interiorly related, and the Stomach receives food and water, it is also named the Shui Gu (or Shui Ke) Kuo.
[7] The Bao Yang Kuo is the same as the Huo Kuo. The Huo Kuo belongs to the Heart. Since the Heart and Small Intestine are exterior-interiorly related, and it attaches to Yang, it is also named the Bao Yang Kuo.
[8] The Guan Quan Kuo is the same as the Lei Kuo. The Ming Men is called the Fire of Dragon and Thunder, hence named Guan Quan, and it attaches to the Huo Kuo.
[9] The Qing Jing Kuo is the same as the Ze Kuo. The San Jiao is Yang Ministerial Fire, which steams and transforms food and water, serving as the official of drainage channels, hence named Qing Jing, and it attaches to the Huo Kuo.
[10] The Hui Yin Kuo is the same as the Shan Kuo. The Pericardium is Yin Ministerial Fire, attaching to the Heart as the official of minister and envoy, hence named Hui Yin, and it attaches to the Huo Kuo.