六十五难说合 七十三难说荣 在经木火土金水 再分七象以应切脉 独包七法 有阴
阳配合 父子 兄妹 接经 平经说象 拔源
阴阳者子午也。谓荥合水火之称名曰阴阳也十二经皆有之或感得父气或感得母气而病焉
子午
者乾坤也。乾坤包六子。六子附乾坤也。故七十难云。春夏各致一阴秋冬各致一阳,春夏刺
井荣。秋冬刺经合。是各致一阴一阳之义。亦谓井经近
乎子午。然当微泻其井。大泻其荣。微补其经。大补其合。或补泻反作。是寒则留之。热则
疾之。故微大补泻。以应春食凉夏食寒。秋食温。冬食热。假令胆病善洁。面青善怒。脉得
浮之实大沉之损小。是感得父气为阳中之阳。当于本经中泻火补水。却得浮之损小。沉之实
大。是感得母气为阴中之阳。当于本经中泻水补火。
七十七难曰。上工治未病者。见肝之病。则知肝当传于脾。故先实其脾气。无令受肝之
邪气
也。假令见肝病欲实其脾者。先于足太阴经中补土字一针。又补火字一针。后于足厥阴肝经
内。泻木字一针。又泻火字一针。
假令见肝病满闷淋溲便难转筋。又见心病烦心心痛掌中热而哕。当于足厥阴肝经内。木
火二字各一针。
(以上子母兄妹名曰四针象)
假令见足厥阴肝之经太过又兼见胆之证太过。是为兄妹。当泻肝
经内木火二字各一针。又泻胆经内木火二字各一针。此五法乃人元法也。
《难经》第六十五难论述合穴,《难经》第七十三难论述荥穴。这些穴位分布在经脉中,对应木、火、土、金、水五行。再进一步分为七种象数以对应切脉诊法,唯独包含七种治法,有阴阳配合、父子、兄妹、接经、平经等说法来阐述象数原理,追溯本源。
阴阳指的是子午(方位/时辰)。所谓“荣”和“合”穴水火之称名为阴阳。十二经脉都有这种情况,有的感受父气致病,有的感受母气致病。
子午指的是乾坤(八卦中的父母卦)。乾坤包容六子卦,六子卦依附于乾坤。所以《难经》第七十难说:“春夏各致一阴,秋冬各致一阳”,意思是春夏季节针刺井穴和荥穴,秋冬季节针刺经穴和合穴。这是各自获取一阴一阳的意义。也可以说井穴和经穴靠近子午方位。然而应当轻微泻其井穴,大力泻其荥穴,轻微补其经穴,大力补其合穴。或者补泻方法相反,这就是“寒则留之,热则疾之”的道理。因此采用轻微的补泻手法,以顺应春季食凉、夏季食寒、秋季食温、冬季食热的养生原则。
举例来说,胆病表现为爱干净、面色青、易怒,脉象浮取实大、沉取损小,这是感受了父气,属于阳中之阳。应当在胆经中泻火补水。如果脉象变为浮取损小、沉取实大,这是感受了母气,属于阴中之阳。应当在胆经中泻水补火。
《难经》第七十七难说:“上工治未病,见肝之病,则知肝当传于脾,故先实其脾气,无令受肝之邪气也。”举例来说,见到肝病想要充实脾气时,先在足太阴脾经中补“土”字一针,又补“火”字一针;然后在足厥阴肝经内,泻“木”字一针,又泻“火”字一针。
假如见到肝病出现胸满闷、小便淋沥困难、转筋等症状,又见到心病出现心烦、心痛、手掌发热且呃逆的症状,应当在足厥阴肝经内,对“木”、“火”二字各刺一针。
(以上子、母、兄、弟四种针法称为四针象)
假如见到足厥阴肝经之气太过,又兼见胆经证候太过,这称为“兄妹”关系。应当泻肝经内的“木”、“火”二字各一针,又泻胆经内的“木”、“火”二字各一针。这五种方法就是人元法。
The 65th Difficulty discusses the He-Sea points, and the 73rd Difficulty discusses the Ying-Spring points. These points are located in the meridians, corresponding to the Five Phases of Wood, Fire, Earth, Metal, and Water. Further divided into seven images to correspond with pulse diagnosis, it uniquely encompasses seven therapeutic methods, involving Yin-Yang pairing, Father-Son, Elder-Brother, Connecting Meridian, and Equal Meridian theories to explain image principles and trace origins.
Yin and Yang refer to Zi and Wu (sub-directions/time). The terms "Ying" (Spring) and "He" (Sea) referring to Water and Fire are named Yin and Yang. This applies to all twelve meridians; some diseases arise from contracting the Father Qi, while others from the Mother Qi.
Zi and Wu refer to Qian and Kun (the trigrams for Heaven and Earth). Qian and Kun encompass the Six Children trigrams, which attach to Qian and Kun. Thus, the 70th Difficulty states: "In spring and summer, one induces a Yin; in autumn and winter, one induces a Yang." This means in spring and summer, one punctures the Jing-River (Jing) and Ying-Spring points, and in autumn and winter, one punctures the Jing-Stream and He-Sea points. This is the meaning of inducing one Yin and one Yang respectively. It can also be said that Jing-River points are near Zi, and He-Sea points are near Wu. However, one should slightly drain the Jing-River points, heavily drain the Ying-Spring points, slightly tonify the Jing-Stream points, and heavily tonify the He-Sea points. Or if tonification and drainage are reversed, this follows the principle of "retain needle for cold, quick withdrawal for heat." Therefore, slight tonification and drainage are used to correspond with eating cool food in spring, cold in summer, warm in autumn, and hot in winter.
For example, Gallbladder disease manifests as cleanliness obsession, blue complexion, and irritability. The pulse is excess-large on superficial palpation and deficient-small on deep palpation. This indicates contracting Father Qi, which is Yang within Yang. One should drain Fire and tonify Water in the Gallbladder Meridian. If the pulse becomes deficient-small on superficial palpation and excess-large on deep palpation, this indicates contracting Mother Qi, which is Yang within Yin. One should drain Water and tonify Fire in the Gallbladder Meridian.
The 77th Difficulty states: "A superior physician treats disease before it arises. Seeing Liver disease, one knows it will transmit to the Spleen, thus first strengthening Spleen Qi so it does not receive the pathogenic factor from the Liver." For instance, seeing Liver disease and wishing to strengthen the Spleen, one first tonifies the "Earth" character point once in the Foot-Taiyin Spleen Meridian, and tonifies the "Fire" character point once. Then, in the Foot-Jueyin Liver Meridian, one drains the "Wood" character point once, and drains the "Fire" character point once.
If Liver disease presents with chest fullness, dysuria, difficult urination, and tendon spasms, and Heart disease presents with vexation, heart pain, palm heat, and hiccups, one should puncture the "Wood" and "Fire" character points once each in the Foot-Jueyin Liver Meridian.
(The above four needle techniques—Son, Mother, Elder Brother, Younger Brother—are called the Four Needle Images.)
If the Foot-Jueyin Liver Meridian shows excess, accompanied by excess symptoms of the Gallbladder, this is termed the "Elder-Brother" relationship. One should drain the "Wood" and "Fire" character points once each in the Liver Meridian, and drain the "Wood" and "Fire" character points once each in the Gallbladder Meridian. These five methods constitute the Ren Yuan Method.