十经血气。皆出于井入于合。各注井荣俞经合无休矣。或曰。脉有十二经。又因何只言
十经
其余二经不言者何。答曰。其二经者。三焦是阳气之父。心包络是阴血之母也。此二经尊
重。不系五行所摄。主受纳十经血气养育。故只言十经阴阳二脉。逐日各注井荣俞经合各五
时辰毕。则归其本。此二经亦各注井荣俞经合五穴。方知十二经遍行也。
三焦经
关冲(阳井)。液门(荣)。中渚(俞)。阳池(原)。支沟(经)。天井(合)。每日遇阳干
合处。注此六穴。如甲日甲戌时。至甲申时。为阳干合也。
心包经
中冲(阴井)。劳宫(荣)。太陵(俞)。间使(经)。曲泽(合)。每日遇阴干合处。注此
五穴
假令甲日甲戌时。胆气初出为井。己巳时脾出血为井。阴阳并行。阳日气先血后。阴日气
后血先。己巳时至己卯时为阴干合也。余干日辰。皆根据此。
连前共六十穴。合成六十首。每一穴分得一刻六十分六厘六毫六丝六忽六秒。此是一穴
之数
六十穴合成一日百刻。每一时辰相生养子五度。各注井荣俞经合五穴。昼夜十二时辰。气
血行过六十俞穴也。欲知人气所在。用五子建元日时。可见六十首是活法。根据此井荣刺病甚
妙。
甲己之日丙作首。乙庚之辰戊为头。丙辛便从庚上起。丁壬壬寅顺行流。戊癸甲寅定时
候。六十首法助医流。
手三阴经和手三阳经,以及足三阳经和足三阴经这十经的血气,都出于井穴,终于合穴。它们依次流注于井、荥、输、经、合五类穴位,循环往复,永不停息。有人问:脉有十二经脉,为什么只说十经?其余两条经脉为什么不提呢?回答说:那两条经脉是手少阳三焦经和手厥阴心包络经。三焦经是阳气之父,心包络经是阴血之母。这两条经脉地位尊贵,不属于五行所管辖的范围,主要功能是受纳并养育其他十经的血气。因此只讲十经的阴阳二脉,每日各自流注于井、荥、输、经、合各五个时辰后,便回归其本经。这两条经脉也各自流注于井、荥、输、原、经、合六个穴位(注:此处原文虽言五穴,但列出了六穴含原穴,且前文提及原穴,故翻译时依原文逻辑处理,通常子午流注中三焦心包配寄附他经或单独论原穴),从而知晓十二经脉遍行全身的道理。
手少阳三焦经:关冲穴(阳井穴)、液门穴(荥穴)、中渚穴(输穴)、阳池穴(原穴)、支沟穴(经穴)、天井穴(合穴)。每天遇到天干为阳干相合的时候,就流注这六个穴位。例如甲日甲戌时,到甲申时,就是阳干相合的时候。
手厥阴心包经:中冲穴(阴井穴)、劳宫穴(荥穴)、太陵穴(输穴)、间使穴(经穴)、曲泽穴(合穴)。每天遇到天干为阴干相合的时候,就流注这五个穴位。
举例来说,甲日甲戌时,胆经的气血初出于井穴;己巳时,脾经的血气出于井穴。阴阳并行,阳日气先行而血后行,阴日血先行而气后行。从己巳时到己卯时是阴干相合的时候。其余天干的日子和时辰,都依据这个规律。
连同前面的穴位共六十个穴位,合成六十首(指六十个时辰对应的流注穴位)。每一个穴位分得一刻钟的一百六十六分六厘六毫六丝六忽六秒的时间份额。这是一个穴位对应的时间数量。
六十个穴位合成一日的一百刻。每一个时辰相生养子五次,分别流注于井、荥、输、经、合五个穴位。昼夜十二个时辰,气血运行经过六十个俞穴。想要知道人气所在之处,可以用“五子建元”法推算日时。由此可见,六十首法是灵活运用的方法,根据此井、荥穴刺法治病非常奇妙。
甲日和己日,以丙时为首;乙日和庚日,以戊时为头;丙日和辛日,从庚时开始起算;丁日和壬日,从壬寅时顺行流动;戊日和癸日,以甲寅时定下时候。六十首法辅助医家流派运用。
The blood and qi of the ten meridians all originate from the Jing-Well points and terminate at the He-Sea points. They sequentially flow into the Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points without cease. Someone asked: There are twelve meridians in the pulse, why only speak of ten meridians? Why not mention the remaining two meridians? The answer is: These two meridians are the Sanjiao (Triple Burner) Meridian of Hand-Shaoyang and the Pericardium Meridian of Hand-Jueyin. The Sanjiao is the father of Yang Qi, and the Pericardium is the mother of Yin Blood. These two meridians are respected and are not governed by the Five Elements. Their main function is to receive and nourish the blood and qi of the other ten meridians. Therefore, only the yin and yang pulses of the ten meridians are discussed. Each day, they flow through the Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points for five shichen periods respectively, then return to their home meridians. These two meridians also each flow through six acupoints (Jing-Well, Ying-Spring, Shu-Stream, Yuan-Source, Jing-River, He-Sea), allowing one to understand the circulation of the twelve meridians throughout the body.
Sanjiao Meridian: Guanzhong (LI1, Yang Jing-Well), Yemen (TE2, Ying-Spring), Zhongzhu (TE3, Shu-Stream), Yangchi (TE4, Yuan-Source), Zhigou (TE6, Jing-River), Tianjing (TE10, He-Sea). On days when the Heavenly Stems are Yang and combine, these six acupoints are infused. For example, on Jia days during Jia-Xu hour up to Jia-Shen hour, this is the time of Yang Stem combination.
Pericardium Meridian: Zhongchong (PC9, Yin Jing-Well), Laogong (PC8, Ying-Spring), Tailing (PC7, Shu-Stream), Jianshi (PC5, Jing-River), Quze (PC3, He-Sea). On days when the Heavenly Stems are Yin and combine, these five acupoints are infused.
For instance, on Jia days during Jia-Xu hour, the Gallbladder Qi first emerges at its Jing-Well point; during Ji-Si hour, the Spleen Blood emerges at its Jing-Well point. Yin and Yang proceed together. On Yang days, Qi moves first and Blood follows; on Yin days, Blood moves first and Qi follows. From Ji-Si hour to Ji-Mao hour is the time of Yin Stem combination. For other stems and hours, all follow this rule.
Including the previous ones, there are sixty acupoints in total, forming sixty "Shou" (cycles/phases). Each acupoint accounts for 1/60th of a ke (quarter-hour), specifically 1 liang 6 fen 6 li 6 hao 6 si 6 hu 6 miao. This is the temporal allocation for one acupoint.
Sixty acupoints constitute one hundred ke in a day. During each shichen period, the generating cycle nurtures the offspring five times, flowing through the Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points. Over twelve shichen periods in day and night, Qi and Blood pass through sixty Shu points. To know where the human Qi resides, one can use the Wuzi Jianyuan method to calculate days and hours. Thus, the sixty Shou method is a flexible approach, and treating diseases based on Jing-Well and Ying-Spring point needling is extremely effective.
On Jia and Ji days, Bing hour is the start; on Yi and Geng days, Wu hour is the head; on Bing and Xin days, calculation begins from Geng hour; on Ding and Ren days, flow proceeds smoothly from Ren-Yin hour; on Wu and Gui days, Jia-Yin hour sets the timing. The sixty Shou method assists medical practitioners.