条文:心包九穴天池近,天泉曲泽□门认,间使内关逾大陵,劳宫中冲中指尽。
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条文:
心络起自天池间,乳后傍一腋下三,天泉绕腋下二寸,曲泽屈肘陷中参,
□门去腕后五寸,间使腕后三寸然,内关去腕后二寸,大陵掌后横纹间,
劳宫屈拳名指取,中指之末中冲端。
注:[1]天池穴,在乳傍一二寸许,直腋下行三寸,胁之撅起肋骨间,
是其穴也。
[2]从天池穴斜上,绕腋循臂内廉下行二寸,举臂取之,天泉穴也。
[3]从天泉穴下行,肘内廉大筋内侧,横纹头下陷中动脉,曲泽穴也。
[4]从曲泽穴下行,掌后去腕五寸,□门穴也。
[5]从□间穴下行,掌后去脘三寸,两筋间陷中,间使穴也。
[6]从间使穴下行,掌后去腕二寸两筋间,内关穴也。
[7]从内关穴下行,掌后骨下横纹中两筋间陷中,大陵穴也。
[8]从大陵穴下行,掌中央动脉,屈无名指取之,劳宫穴也。
[9]从劳宫穴下行,手中指之端,去爪甲角如韭叶许陷中,中冲穴也
(图六十一)。
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条文:
经云:肾者作强之官,伎巧出焉。
又云:肾附于脊之十四椎下,是经常少血多气,其合骨也,其荣发也,
开窍于三阴。
「难经」曰:肾有两枚,重一斤二两,主脏精与志。
「中藏经」曰:肾者精神之舍,性命之根。
张介宾云:肾有两枚,形如豇豆,相共而曲,附于脊之两旁,相去各一寸五分,
外有黄脂包裹,各有带二条,上条系于心,下条趋脊下大骨,在脊骨之端,
如半手许,中有两穴,是肾带经过处,上行脊髓至脑中,连于髓海(图六十二)。
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【心包络经穴歌】
心包经共有九个穴位:天池穴位置较近,天泉、曲泽、□门(注:原文缺字,据上下文及针灸学常识应为“郄门”)需仔细辨认;间使、内关要越过腕部,大陵穴位于掌后横纹中;劳宫、中冲两穴则止于中指末端。
【心包络经分寸歌】
心包络经起始于天池穴,该穴位于乳头后方旁开一寸处,腋下三寸的位置;天泉穴在腋下二寸处环绕;曲泽穴在屈肘时肘横纹凹陷中央可找到;□门(郄门)穴距离腕横纹向后五寸;间使穴距离腕横纹向后三寸;内关穴距离腕横纹向后二寸;大陵穴位于掌后腕横纹的中间;劳宫穴通过握拳,无名指指尖所触之处取穴;中冲穴位于中指指甲角的末端。
注释:
[1] 天池穴:大约在乳头旁开一二寸处,直向下行三寸,位于胁肋部隆起的肋骨之间,此处即为该穴。
[2] 从天池穴斜向上方,绕过腋下,沿手臂内侧下行二寸,抬臂时可取到,此为天泉穴。
[3] 从天泉穴向下行,至肘内侧大筋的内侧,横纹头下方的凹陷中有动脉搏动处,此为曲泽穴。
[4] 从曲泽穴向下行,手掌后方距离腕横纹五寸处,为□门(郄门)穴。
[5] 从□间(郄门)穴向下行,手掌后方距离腕横纹三寸,在两筋之间的凹陷中,为间使穴。
[6] 从间使穴向下行,手掌后方距离腕横纹二寸,在两筋之间,为内关穴。
[7] 从内关穴向下行,手掌后方骨下的横纹中,两筋之间的凹陷中,为大陵穴。
[8] 从大陵穴向下行,手掌中央有动脉搏动处,屈曲无名指取穴,此为劳宫穴。
[9] 从劳宫穴向下行,手中指的末端,距离指甲角约韭菜叶宽度的凹陷中,为中冲穴(见图六十一)。
【肾脏经文】
医经中说:肾是负责强健身体的官职,技巧和智慧由此产生。
又说:肾脏附着在脊柱第十四椎节下方,手厥阴心包络经属于少阳相火,特点是血少气多,其华在发,其合在骨,开窍于前阴(注:原文“三阴”在此语境下通常指足三阴经或前阴,结合《内经》“肾开窍于二阴”,此处依原文直译并保留术语)。
《难经》记载:肾有两个,重量一斤二两,主要功能是贮藏精气与志意。
《中藏经》说:肾是精神居住的房舍,是生命的根本。
张介宾说:肾有两个,形状像豇豆,相互弯曲并列,附着在脊柱两旁,彼此相距各一寸五分,外面包裹着黄色的脂肪,各有两条系带,上面的系带连接心脏,下面的系带趋向脊柱下方的大骨,在脊柱骨的末端,大约半只手长的地方,中间有两个穴位,是肾带经过的地方,上行进入脊髓直达脑中,连接到髓海(见图六十二)。
[Song of Acupoints on the Pericardium Meridian]
The Pericardium Meridian has nine acupoints: Tianchi (PC1) is located proximally; Tianquan (PC2), Quze (PC3), and Ximen (PC4, noted as □men in text) require careful identification; Jianshi (PC5) and Neiguan (PC6) are distal to the wrist; Daling (PC7) is at the transverse crease of the wrist; Laogong (PC8) and Zhongchong (PC9) terminate at the tip of the middle finger.
[Measurement Song of the Pericardium Meridian]
The Pericardium Collateral originates from Tianchi (PC1), located one cun lateral to the nipple, three cun below the axilla; Tianquan (PC2) wraps around two cun below the axilla; Quze (PC3) can be found in the depression at the center of the cubital crease when the elbow is flexed; Ximen (PC4, noted as □men) is five cun proximal to the wrist crease; Jianshi (PC5) is three cun proximal to the wrist crease; Neiguan (PC6) is two cun proximal to the wrist crease; Daling (PC7) is located between the transverse creases of the posterior wrist; Laogong (PC8) is located by making a fist, where the tip of the ring finger touches the palm; Zhongchong (PC9) is at the tip of the middle finger, near the corner of the nail.
Notes:
[1] Tianchi (PC1): Approximately one to two cun lateral to the nipple, descending vertically three cun, located between the raised ribs of the hypochondrium; this is the location of the point.
[2] From Tianchi (PC1), slanting upwards, wrapping around the axilla, and descending along the medial aspect of the arm for two cun; raise the arm to locate Tianquan (PC2).
[3] Descending from Tianquan (PC2), to the medial side of the large tendon at the inner elbow, in the depression below the head of the transverse crease where the artery pulsates; this is Quze (PC3).
[4] Descending from Quze (PC3), five cun proximal to the posterior wrist crease; this is Ximen (PC4, noted as □men).
[5] Descending from Ximen (PC4, noted as □jian), three cun proximal to the posterior wrist crease, in the depression between the two tendons; this is Jianshi (PC5).
[6] Descending from Jianshi (PC5), two cun proximal to the posterior wrist crease, between the two tendons; this is Neiguan (PC6).
[7] Descending from Neiguan (PC6), in the transverse crease under the bones of the posterior wrist, in the depression between the two tendons; this is Daling (PC7).
[8] Descending from Daling (PC7), where the artery pulsates in the center of the palm; flex the ring finger to locate Laogong (PC8).
[9] Descending from Laogong (PC8), at the tip of the middle finger, in the depression approximately the width of a leek leaf away from the corner of the nail; this is Zhongchong (PC9) (see Figure 61).
[Text on the Kidney Meridian]
Medical classics state: The Kidney is the official responsible for strength and vigor, from which skills and ingenuity emerge.
It is also stated: The Kidneys are attached below the fourteenth vertebra of the spine. The Pericardium Meridian (Shoujueyin) is characterized by having less blood and more qi; its exterior manifestation is in the hair, it harmonizes with the bones, and opens into the lower orifices (note: original text says "San Yin", contextually referring to the connection with the lower orifices via the Three Yin meridians).
The *Nan Jing* (Classic of Difficult Issues) records: There are two kidneys, weighing one jin and two liang; they primarily store essence and willpower.
The *Zhong Zang Jing* (Inner Organs Classic) states: The Kidney is the residence of spirit and mind, and the root of life and nature.
Zhang Jiebin stated: There are two kidneys, shaped like kidney beans, curved and adjacent to each other, attached to both sides of the spine, separated from each other by one cun and five fen. They are wrapped externally by yellow fat and have two ligaments each. The upper ligament connects to the Heart, and the lower ligament tends toward the great bone below the spine. At the end of the spinal bone, approximately half a hand's length, there are two acupoints through which the Kidney ligaments pass. These ascend into the spinal cord, reach the brain, and connect to the Sea of Marrow (see Figure 62).