络脉已言其诊法矣。然必先知其部。与其病焉。灵枢曰。手太阴之别。名曰列缺。实则手锐掌热。虚则欠KT 。
小便遗数。手少阴之别。名曰通里。实则支膈。虚则不能言。手心主之别。名曰内关。实则心痛。虚则头强。手
太阳之别。名曰支正。实则节弛肘废。虚则生 。手阳明之别。名曰偏历。实则龋聋。虚则齿寒痹膈。手少阳
之别。名曰外关。实则肘挛。虚则不收。足太阳之别。名曰飞阳。实则鼽窒。头背痛。虚则鼽衄。足阳明之别。名
曰丰隆。实则癫狂。虚则足不收。胫枯。足少阳之别。名曰光明。实则厥。虚则痿 。坐不能起。足太阴之别。名
曰公孙。厥气上逆则气乱。实则肠中切痛。虚则鼓胀。足少阴之别。名曰大钟。气逆则烦闷。实则闭癃。虚则
腰痛。足厥阴之别。名曰蠡沟。气逆则 肿卒疝。实则挺长。虚则暴痒。任脉之别。名曰尾翳。实则腹皮痛。虚
则痒瘙。督脉之别。名曰长强。实则脊强。虚则头重。脾之大络。名曰大包。实则身尽痛。虚则百节皆纵。凡此
十五络者。实则必见。虚则必下。视之不见。求之上下。人经不同。络脉异所别也。夫经言虚实者。络脉之病。
经言名目者。络脉之部。知其病而察其部。则察其部而知其病矣。经又曰。凡诊络脉。脉色青则寒且痛。赤
则有热。其暴黑者。留久痹也。其有赤、有黑、有青者。寒热气也。其青短者。少气也。是则不但知其虚实。且知
其寒热矣。合前篇观之。其体用不已备乎。(别也之别当作故)
络脉的诊法已经阐述过了。然而必须预先知道其所属的部位以及相应的病症。《灵枢》说:手太阴肺经的别络,名叫列缺。实证时表现为手腕锐骨处及手掌发热;虚证时表现为呵欠连天、小便频数或失禁。手少阴心经的别络,名叫通里。实证时表现为胸膈支撑胀满;虚证时表现为不能言语。手厥阴心包经的别络,名叫内关。实证时表现为心痛;虚证时表现为头项强直。手太阳小肠经的别络,名叫支正。实证时表现为关节松弛、肘部功能丧失;虚证时表现为皮肤生疣赘(原文“ ”处据文意推测为疣或类似病变,此处保留空缺或译为疣赘)。手阳明大肠经的别络,名叫偏历。实证时表现为龋齿、耳聋;虚证时表现为牙齿寒冷、胸膈痹阻。手少阳三焦经的别络,名叫外关。实证时表现为肘部拘挛;虚证时表现为手臂不能收持。足太阳膀胱经的别络,名叫飞阳。实证时表现为鼻塞不通、头部和背部疼痛;虚证时表现为鼻流清涕或鼻出血。足阳明胃经的别络,名叫丰隆。实证时表现为癫狂;虚证时表现为足部弛缓不收、小腿肌肉枯瘦。足少阳胆经的别络,名叫光明。实证时表现为四肢厥冷;虚证时表现为痿软无力、坐下后不能站起。足太阴脾经的别络,名叫公孙。逆气上冲则导致气机紊乱;实证时表现为肠中剧烈疼痛;虚证时表现为腹部鼓胀。足少阴肾经的别络,名叫大钟。气逆时表现为烦闷;实证时表现为小便闭塞不通;虚证时表现为腰痛。足厥阴肝经的别络,名叫蠡沟。气逆时表现为阴囊肿大、突发疝气;实证时表现为阴茎挺长;虚证时表现为突然瘙痒。任脉的别络,名叫尾翳(鸠尾)。实证时表现为腹皮疼痛;虚证时表现为皮肤瘙痒。督脉的别络,名叫长强。实证时表现为脊柱强直;虚证时表现为头部沉重。脾之大络,名叫大包。实证时表现为全身疼痛;虚证时表现为全身关节松弛无力。凡是这十五络脉,实证时必然在体表显现,虚证时则表现隐伏。如果视之不见,就要在上下部位仔细寻找。人的经脉不同,络脉分出的部位也各异。经文所说的虚实,是指络脉的病症;经文所说的名目,是指络脉的部位。知道了病症并观察其部位,就能通过部位来推断病症。经文又说:凡是诊察络脉,脉色青则主寒且痛;色赤则有热;颜色突然变黑的,是久留不愈的痹症;颜色有赤、有黑、有青的,是寒热错杂的表现;青色且短小的,是少气的表现。这样不仅知道了虚实,而且知道了寒热了。结合前篇来看,其体用不是已经完备了吗?(注:“别也之别”当作“故”)
The diagnostic methods for the Luo-connecting vessels (Luo vessels) have already been discussed. However, one must first know their respective locations and associated pathologies. The *Ling Shu* (Spiritual Pivot) states: The Luo vessel of the Hand-Taiyin Lung meridian is named Lieque (LU-7). In excess conditions, there is heat in the wrist apex and palm; in deficiency conditions, there are frequent yawning and frequent or enuretic urination. The Luo vessel of the Hand-Shaoyin Heart meridian is named Tongli (HT-5). In excess conditions, there is a sensation of fullness and distension in the chest and diaphragm; in deficiency conditions, speech is impaired. The Luo vessel of the Hand-Jueyin Pericardium meridian is named Neiguan (PC-6). In excess conditions, there is heart pain; in deficiency conditions, there is stiffness of the head and neck. The Luo vessel of the Hand-Taiyang Small Intestine meridian is named Zhizheng (SI-7). In excess conditions, there is flaccidity of the joints and loss of function in the elbow; in deficiency conditions, cutaneous warts may appear. The Luo vessel of the Hand-Yangming Large Intestine meridian is named Pianli (LI-6). In excess conditions, there is dental caries and deafness; in deficiency conditions, there is coldness of the teeth and bi-syndrome obstruction in the chest and diaphragm. The Luo vessel of the Hand-Shaoyang Sanjiao meridian is named Waiguan (TE-5). In excess conditions, there is contracture of the elbow; in deficiency conditions, the arm cannot be held or grasped. The Luo vessel of the Foot-Taiyang Bladder meridian is named Feiyang (BL-58). In excess conditions, there is nasal congestion with headache and back pain; in deficiency conditions, there is rhinorrhea or epistaxis. The Luo vessel of the Foot-Yangming Stomach meridian is named Fenglong (ST-40). In excess conditions, there is mania or epilepsy; in deficiency conditions, there is flaccidity of the foot and emaciation of the shin. The Luo vessel of the Foot-Shaoyang Gallbladder meridian is named Guangming (GB-37). In excess conditions, there is coldness of the extremities; in deficiency conditions, there is flaccidity syndrome where one sits but cannot rise. The Luo vessel of the Foot-Taiyin Spleen meridian is named Gongsun (SP-4). When rebellious Qi ascends, it causes chaotic Qi dynamics; in excess conditions, there is cutting pain in the intestines; in deficiency conditions, there is abdominal distension like a drum. The Luo vessel of the Foot-Shaoyin Kidney meridian is named Dazhong (KI-4). When Qi rebels, there is irritability and oppression; in excess conditions, there is stranguria (difficulty in urination); in deficiency conditions, there is lower back pain. The Luo vessel of the Foot-Jueyin Liver meridian is named Ligou (LR-5). When Qi rebels, there is swelling of the genitals and sudden hernia; in excess conditions, there is priapism; in deficiency conditions, there is sudden pruritus. The Luo vessel of the Ren Mai (Conception Vessel) is named Wei Yi (CV-15, also known as Jiutui). In excess conditions, there is pain in the abdominal skin; in deficiency conditions, there is itching of the skin. The Luo vessel of the Du Mai (Governor Vessel) is named Changqiang (GV-1). In excess conditions, there is rigidity of the spine; in deficiency conditions, there is heaviness of the head. The Great Luo vessel of the Spleen is named Dabao (SP-21). In excess conditions, there is pain throughout the body; in deficiency conditions, all joints become flaccid and weak. Regarding these fifteen Luo vessels, excess patterns will necessarily manifest visibly on the surface, while deficiency patterns will tend to be hidden. If they are not visible upon inspection, one must search above and below. As human meridians differ, the sites where Luo vessels branch off also vary. The "excess and deficiency" mentioned in the classics refer to the pathologies of the Luo vessels; the "names" mentioned refer to the anatomical locations of the Luo vessels. By knowing the pathology and observing the location, one can deduce the pathology from the location. The classics further state: When diagnosing Luo vessels, if the color is blue/green, it indicates cold and pain; if red, it indicates heat; if suddenly black, it indicates long-standing bi-syndrome; if mixed with red, black, and blue/green, it indicates mixed cold and heat; if blue/green and short, it indicates Qi deficiency. Thus, one not only knows excess and deficiency but also cold and heat. Viewing this in conjunction with the previous chapter, are not its substance and function fully complete? (Note: "Bie ye zhi Bie" should read "Gu", meaning "therefore".)