散;其后行者,上循背里,为经络之海。其上行者出于颃颡,下行者出于足,故其输上在于足太阳之大杼,
下在于足阳明之巨虚上下廉。冲脉起于胞中,阳明会于前阴,故男女精血,皆由前阴而降者,以二经血气总
聚于此,故均称为五脏六腑、十二经之海,诚有非他经之可比也。)膻中者为气之海,其输上在于柱骨之
上下,前在于人迎。(膻中,胸中也,肺之所居。诸气者皆属于肺,是为真气,亦曰宗气。宗气积于胸中,
出于喉咙,以贯心脉而行呼吸,故膻中为之气海。柱骨,项后天柱骨也。颃颡者,分气之所泄也。故气海营运
之输,一在颃颡之后,即柱骨之上下,谓督脉之喑门,大椎也;一在颃颡之前,谓足阳明之人迎也。)脑为髓之
海,其输上在于其盖,下在风府。(凡骨之有髓,惟脑为最巨,故诸髓皆属于脑,而脑为髓之海。盖,脑
盖骨也。即督脉之囟会,风府,亦督脉穴。此皆髓海之上下前后输也。)气海有余者,气满,胸中
息,面赤;气海不足,则少气不足以言。(气有余者,邪气实也;气不足者,正气虚也。下仿此。气海在
胸中而属阳,故气实则胸中 闷喘息,面热而赤,声由气发;气不足则语言轻怯,不能出声。如言而微,终
日乃复言者,此夺气也。 ,母本切,又音瞒。)血海有余,则常想其身大,怫然不知其所病;血海不足,
亦常想其身小,狭然不知其所病。(形以血充,故血有余则常想其身大。怫,怫郁也,重滞不舒
之貌。血不足则常想其身小。狭,隘狭也,索然不广之貌。此皆血海不调之为病。病在血者,徐而不显,
故茫然不觉其所病。怫,音拂。)水谷之海有余,则腹满;水谷之海不足,则饥不受谷食。(有余者,
水谷留滞于中,故腹为胀满;不足者,脾虚则不能运,胃虚则不能纳,故虽饥不受谷食。)髓海有余,则轻劲
多力,自过其度;髓海不足,则脑转耳鸣,胫酸眩冒,目无所见,懈怠安卧。(髓海充足,即有余也,故身轻
而劲,便利多力,自有过人之度而无病也。若其不足,则在上者为脑转,以脑空而运似旋转也;为耳鸣,以
髓虚者精必衰,阴虚则耳鸣也;为胫酸,髓空无力也;为眩冒,忽不知人;为目无所见,
怠惰安卧,皆以髓为精类,精衰则气去,而诸证以见矣。)审守其输而调其虚实,无犯其害,顺者得复,
逆者必败。(审守其输,谓审察其输穴,无犯其害,无盛盛,无虚虚也。顺者得复,逆者必败,戒夫!
天时人事,皆宜慎而不可忽也。)
散;其后行者,沿背部内侧上行,是经络之海。其向上行的部分出于颃颡(咽喉上部),向下行的部分出于足部,所以它的输穴上在足太阳膀胱经的大杼穴,下在足阳明胃经的巨虚上廉和巨虚下廉穴。冲脉起于胞中(子宫或精室),与阳明经会合于前阴,所以男女的精血,都由前阴下降,因为这两条经脉的血气总聚于此,所以都称为五脏六腑、十二经脉之海,确实不是其他经脉可以比拟的。)膻中(胸中)是气之海,它的输穴上在柱骨(项后大椎骨)的上下,前在人迎穴。(膻中,就是胸中,是肺居住的地方。各种气都属于肺,这就是真气,也叫宗气。宗气积聚在胸中,出于喉咙,贯通心脉而运行呼吸,所以膻中被称为气海。柱骨,就是颈后的天柱骨。颃颡,是分泄气的地方。所以气海运行的输穴,一个在颃颡之后,即柱骨的上下,指的是督脉的喑门穴和大椎穴;一个在颃颡之前,指的是足阳明胃经的人迎穴。)脑是髓之海,它的输穴上在脑盖骨(囟会穴所在处),下在风府穴。(凡是骨头里有髓的,只有脑最大,所以所有的髓都属于脑,而脑是髓之海。盖,就是脑盖骨。也就是督脉的囟会穴,风府穴也是督脉的穴位。这些都是髓海上下前后的输穴。)气海有余,就会气满,胸中憋闷喘息,面色发红;气海不足,就会气短,说话无力。(气有余,是邪气实;气不足,是正气虚。下文仿照此例。气海在胸中而属阳,所以气实则胸中闷塞喘息,面部发热而红,声音由气发出;气不足则语言轻弱怯懦,不能出声。如果说话声音微弱,整天才能说上一句话,这是夺气。 ,母本切,又音瞒。)血海有余,就常常觉得自己身体变大,郁结不畅不知道得了什么病;血海不足,也常常觉得自己身体变小,狭隘拘谨不知道得了什么病。(形体靠血充盈,所以血有余就常常觉得身体大。怫,是怫郁,沉重滞涩不舒展的样子。血不足就常常觉得身体小。狭,是隘狭,索然不广阔的样子。这都是血海不调引起的疾病。病在血者,表现缓慢而不明显,所以茫然不觉自己得了什么病。怫,音拂。)水谷之海有余,就会腹部胀满;水谷之海不足,就会饥饿却吃不下食物。(有余,是水谷停滞在中焦,所以腹部胀满;不足,是脾虚不能运化,胃虚不能受纳,所以虽然饥饿却吃不下谷物。)髓海有余,就会身体轻便强劲,力气多,超过正常限度;髓海不足,就会头晕耳鸣,小腿酸软,眩晕昏冒,视物不清,懈怠嗜卧。(髓海充足,就是有余,所以身体轻便强劲,便利多力,自然有过人之度而没有病。如果不足,在上表现为头晕,因为脑空而运转似旋转;表现为耳鸣,因为髓虚则精气必衰,阴虚则耳鸣;表现为小腿酸软,因为髓空无力;表现为眩晕昏冒,忽然不知人事;表现为视物不清,怠惰嗜卧,都是因为髓属于精类,精气衰败则气去,而这些症状就出现了。)仔细审察并守住这些输穴来调节虚实,不要犯错误,顺应规律的就能恢复,逆反规律的必定失败。(仔细审察输穴,指审察这些输穴,不要犯错误,不要使实证更实,不要使虚证更虚。顺应规律就能恢复,逆反规律必定失败,要警惕啊!天时人事,都应当谨慎而不可疏忽。)
Scattered; those that travel subsequently ascend along the interior of the back, serving as the Sea of the Collaterals (Jingluo). The portion ascending emerges from the Hongsang (upper pharynx), while the portion descending emerges at the feet. Therefore, its Shu points are located superiorly at Dazhu (BL11) of the Foot-Taiyang Bladder Channel, and inferiorly at Shangjuxu (ST37) and Xiajuxu (ST39) of the Foot-Yangming Stomach Channel. The Chong Mai (Penetrating Vessel) originates in the Baozhong (uterus or essence chamber) and converges with the Yangming channels at the anterior yin. Thus, the essence and blood of both men and women descend via the anterior yin because the blood and qi of these two vessels gather here in abundance. Consequently, they are both referred to as the Sea of the Zang-Fu Organs and the Twelve Channels, truly incomparable to other channels.) The Danzhong (Chest Center) is the Sea of Qi. Its Shu points are located superiorly at the upper and lower aspects of the Zhugu (cervical vertebrae) and anteriorly at the Yingling (Renying, ST9) point. (Danzhong refers to the chest center, the residence of the Lung. All Qi belongs to the Lung; this is True Qi, also known as Zong Qi (Gathering Qi). Zong Qi accumulates in the chest, emerges from the throat, penetrates the Heart vessels, and governs respiration; thus, Danzhong is called the Sea of Qi. Zhugu refers to the Tianzhu bone at the back of the neck. Hongsang is the site where Qi disperses. Therefore, the Shu points for the circulation of Qi in the Sea of Qi are: one posterior to Hongsang, at the upper and lower aspects of Zhugu, referring to the Yimen (DU18) and Dazhui (DU14) points of the Du Mai (Governor Vessel); the other anterior to Hongsang, referring to the Yingling (ST9) point of the Foot-Yangming Stomach Channel.) The Brain is the Sea of Marrow. Its Shu points are located superiorly at the brain cover (Xinhui, DU22 area) and inferiorly at the Fengfu (DU16) point. (Among all bones containing marrow, the brain is the largest; thus, all marrow belongs to the brain, making it the Sea of Marrow. 'Cover' refers to the cranial vault bone, corresponding to Xinhui (DU22) of the Du Mai. Fengfu (DU16) is also a point on the Du Mai. These are the superior, inferior, anterior, and posterior Shu points of the Sea of Marrow.) If the Sea of Qi has Excess, there will be Qi fullness, chest oppression with panting, and a red face. If the Sea of Qi has Deficiency, there will be shortness of breath and inability to speak. (Qi excess indicates Pathogenic Qi excess; Qi deficiency indicates Healthy Qi deficiency. The following follows this pattern. The Sea of Qi is in the chest and belongs to Yang. Thus, when Qi is excessive, there is chest oppression, panting, facial heat, and redness, with voice emanating from Qi; when Qi is deficient, speech is weak and timid, unable to produce sound. If speech is faint and only uttered once after a whole day, this is Devastation of Qi. , pronounced 'mu' originally, also 'man'.) If the Sea of Blood has Excess, one constantly feels their body is large, feeling stifled and unaware of the illness. If the Sea of Blood has Deficiency, one constantly feels their body is small, feeling narrow and unaware of the illness. (The form is filled by Blood; thus, Blood excess makes one feel the body is large. 'Fu' refers to stagnation, a heavy and sluggish sensation. Blood deficiency makes one feel the body is small. 'Xia' refers to narrowness, a sparse and unexpanded sensation. These are all diseases caused by disharmony of the Sea of Blood. Diseases in the Blood manifest slowly and subtly, hence the confusion regarding the illness. 'Fu', pronounced 'fu'.) If the Sea of Water and Grain has Excess, there will be abdominal fullness. If the Sea of Water and Grain has Deficiency, there will be hunger but an inability to accept food. (Excess means water and grain stagnate in the middle, causing abdominal distension. Deficiency means Spleen deficiency fails to transform and Stomach deficiency fails to receive, so although hungry, one cannot eat grains.) If the Sea of Marrow has Excess, one will feel light, vigorous, and strong, exceeding normal limits. If the Sea of Marrow has Deficiency, there will be dizziness, tinnitus, soreness of the shins, vertigo, blindness, lassitude, and a desire to lie down. (Marrow sea sufficiency is Excess; thus, the body is light and vigorous, convenient and strong, naturally surpassing others without disease. If deficient, superiorly it manifests as dizziness because the brain is empty and rotation seems spinning; as tinnitus because marrow deficiency leads to essence decline, and Yin deficiency causes tinnitus; as shin soreness because marrow emptiness leads to weakness; as vertigo with sudden loss of consciousness; as blindness; and as lassitude with a desire to lie down. All occur because marrow belongs to Essence; when Essence declines, Qi departs, and these symptoms appear.) Carefully observe these Shu points and regulate their Excess and Deficiency. Do not commit harm. Those who follow the proper order will recover; those who oppose it will fail. (Carefully observing Shu points means examining these Shu points. Do not commit harm: do not reinforce Excess, do not deplete Deficiency. Recovery follows compliance; failure follows opposition. Beware! Both heavenly timing and human affairs require caution and must not be neglected.)