阳之别,贯心循胁里也。义详下章。)甚则面微有尘,体无膏泽,(足少阳之别散于面,胆木为病,燥金胜之,故面微有
尘,体无膏泽,按《至真要大论》列以上诸证于阳明在泉司天者,即其义也。)足外反热,是为阳厥。(本经循髀阳出膝
外廉,下出外踝之前,故足外反热。木病从火,故为阳厥。)是主骨所生病者,(胆味苦,苦走骨,故胆主骨所生病。又
骨为 ,其质刚,胆为中正之官,其气亦刚,胆病则失其刚,故病及于骨。凡惊伤胆者骨必软,即其明证。)头痛颔痛,
目锐 痛,缺盆中肿痛,腋下肿,马刀侠瘿,(马刀,瘰 也。侠瘿,侠颈之瘤属也。 音渍。瘿音影。)汗出振寒疟,(少
阳居三阳之中,半表半里者也。故阳胜则汗出,风胜则振寒为疟。)胸胁肋髀膝外至胫绝骨外踝前及诸节皆痛,小指次指
不用,为此诸病。(皆本经之脉所及也。胫,形景、形敬二切。)盛则泻之,虚则补之,热则疾之,寒则溜之,陷下则灸
之,不盛不虚,以经取之。(义如首经。)盛者人迎大一倍于寸口,虚者人迎反小于寸口也。(足少阳为厥阴之表,故候在
人迎。)
肝,足厥阴也。是动则病腰痛不可以俯仰,(足厥阴支别者,与太阴少阳之脉,同结于腰髁下中 下 之间,故为腰
痛。《刺腰痛篇》曰∶厥阴之脉令人腰痛,腰中如张弓弩弦。)丈夫 疝,妇人少腹肿,(足厥阴气逆则为睾肿卒疝。妇人
少腹肿,即疝病也。上义详下章。( , 同,音颓。)甚则嗌干,面尘脱色。(肝脉循喉咙之后,上入颃颡,上出额,其
支者从目系下颊里,故为此病。按《至真要大论》列以上诸证于阳明在泉司天之下,以燥淫所胜,则病本于肝也。)是肝
所生病者,(足厥阴经,肝所生病也。)胸满呕逆飧泄,狐疝遗溺闭癃,为此诸病。(本经上行者挟胃贯膈,下行者过阴器
抵小腹,故为此诸病。飧音孙。癃,良中切。)盛则泻之,虚则补之,热则疾之,寒则溜之,陷下则灸之,不盛不虚,以
经取之。(义如首经。)盛者寸口大一倍于人迎,虚者寸口反小于人迎也。(足厥阴为少阳之里,故候在寸口。)
阳经的别络,贯穿心脏并沿着胁肋内部行走。(其义理详见下一章。)病情严重时,面部微显尘垢色,身体缺乏光泽滋润。(足少阳胆经的别络散布于面部,若胆木发生病变,燥金之气克制它,所以面部微现尘垢色,身体失去膏泽般的润泽。按《素问·至真要大论》将上述诸证列在阳明司天或在泉的情况下,即是此中的义理。)足外侧反而发热,这称为阳厥。(本经脉循行经过髀阳部位,出膝盖外侧边缘,下行至外踝前方,所以足外侧反而发热。木病转化为火,所以称为阳厥。)这是胆主骨所发生的疾病,(胆味苦,苦味入走骨,所以胆主管骨所发生的疾病。另外,骨为髓之府,其质地刚硬,胆为中正之官,其气性也刚强,胆生病则失去其刚强之性,所以病及于骨。凡是惊恐伤胆的人,骨头必然软弱,这就是明显的证据。)头痛、下颌痛,目外眦痛,缺盆中肿痛,腋下肿,马刀侠瘿,(马刀,即瘰疬。侠瘿,指夹颈部的瘤属。渍音zì。瘿音yǐng。)出汗、恶寒战栗疟疾,(少阳居于三阳之中,属于半表半里的部位。所以阳气胜则出汗,风邪胜则恶寒战栗发为疟疾。)胸胁、肋骨、髀部、膝外侧直至胫骨、绝骨、外踝前以及各个关节都疼痛,小趾和第二趾不能随意使用,出现这些病症。(都是本经脉气所到达的部位。胫,读音为形景或形敬二切。)实证用泻法,虚证用补法,热证用疾刺法,寒证用留针法,脉气下陷的用灸法,不虚不实者,取本经穴位治疗。(义理如首经所述。)实证时人迎脉搏动比寸口大一倍,虚证时人迎脉搏动反而小于寸口。(足少阳胆经是足厥阴肝经的表里关系,所以诊候在人迎脉。)
肝,属于足厥阴经。经脉变动就会发生腰痛,不能前后俯仰,(足厥阴经的支别,与足太阴、足少阳的经脉,共同结聚于腰髁下的中间部位,所以导致腰痛。《素问·刺腰痛篇》说:厥阴经脉使人腰痛,腰部中间像张开的弓弩弦一样紧绷。)男子患疝气,妇人少腹肿胀,(足厥阴经气逆乱就会导致睾丸肿胀突然发作疝气。妇人少腹肿胀,也就是疝病一类。上述义理详见下一章。颓同“”,音tuí。)病情严重时咽喉干燥,面部灰暗无血色。(肝脉沿着喉咙后面,向上进入颃颡,向上出于额部,其支脉从目系下行到颊里,所以发生这些病症。按《素问·至真要大论》将上述诸证列在阳明司天或在泉之下,是因为燥气淫胜,病本源于肝。)这是肝所发生的疾病,(足厥阴经,是肝所发生的疾病。)胸满、呕吐逆气、完谷不化的泄泻,狐疝、遗尿、小便不通,出现这些病症。(本经上行部分挟胃穿过膈肌,下行部分经过阴器抵达到小腹,所以发生这些病症。飧音sūn。癃,读音为良中切。)实证用泻法,虚证用补法,热证用疾刺法,寒证用留针法,脉气下陷的用灸法,不虚不实者,取本经穴位治疗。(义理如首经所述。)实证时寸口脉搏动比人迎大一倍,虚证时寸口脉搏动反而小于人迎。(足厥阴肝经是足少阳胆经的表里关系,所以诊候在寸口脉。)
The collateral branch of the Yang channel penetrates the Heart and follows along the interior of the costal region. (The rationale is detailed in the following chapter.) When severe, the face appears slightly dusty, and the body lacks luster and moisture. (The collateral branch of Foot-Shaoyang Gallbladder disperses over the face. When Wood disease occurs in the Gallbladder, Metal (Dryness) overcomes it; thus, the face appears slightly dusty, and the body loses its glossy luster. According to *Suwen: Zhi Zhen Yao Da Lun*, listing these syndromes under Yangming ruling or presiding implies this rationale.) The lateral aspect of the foot becomes hot, which is termed Yang Jue (Yang Reversal). (This meridian passes through Biyang, emerges at the lateral margin of the knee, and descends anterior to the lateral malleolus; hence, the lateral foot becomes hot. As Wood disease transforms into Fire, it is called Yang Jue.) This governs diseases arising from the bones governed by the Gallbladder. (Gallbladder taste is bitter; bitterness enters and directs to the bones, so the Gallbladder governs bone-related diseases. Furthermore, bones are the residence of Marrow, possessing a rigid quality. The Gallbladder is the Official of Justice and Uprightness, with a Qi that is also rigid. When the Gallbladder is diseased, it loses its rigidity, thus affecting the bones. For instance, those injured by fright to the Gallbladder invariably have soft bones, which is clear evidence.) Headache, mandibular pain, pain at the outer canthus of the eye, swelling and pain in the supr clavicular fossa, axillary swelling, "Horse Knife" (scrofula/lumps in the neck) and "Xia Ying" (goiter-like masses on the side of the neck), sweating with chills and malaria. (Shaoyang resides in the middle of the Three Yang channels, belonging to the Half-Interior and Half-Exterior level. Thus, excess Yang leads to sweating, while Wind excess leads to chills and malaria.) Pain throughout the chest, hypochondrium, ribs, thigh, lateral knee, down to the tibia, Juegu (GB39), anterior to the lateral malleolus, and all joints; inability to use the fourth toe and the little toe. (These are all areas reached by the meridian of this channel. Tibia pronunciation: Xingjing or Xingjing.) In excess conditions, drain them; in deficiency conditions, tonify them; in heat conditions, use rapid needle withdrawal; in cold conditions, retain the needle; if Qi sinks, apply moxibustion; if neither excess nor deficiency, treat according to the meridian itself. (Rationale as stated in the first chapter.) In excess cases, the Renying (Carotid artery pulse) is one times larger than the Cunkou (Radial artery pulse); in deficiency cases, the Renying pulse is smaller than the Cunkou. (Foot-Shaoyang is the exterior counterpart of Foot-Jueyin; thus, diagnosis is made at the Renying pulse.)
Liver, belongs to Foot-Jueyin. When the meridian moves abnormally, it causes lower back pain preventing flexion and extension. (The collateral branch of Foot-Jueyin, together with the meridians of Foot-Taiyin and Foot-Shaoyang, converges between the waist and hip; thus causing lower back pain. *Suwen: Cilao Tong Pian* states: Jueyin meridian causes lower back pain, feeling like a drawn bowstring in the waist.) Hernia in men, and lower abdominal swelling in women. (Rebellious Qi of Foot-Jueyin causes testicular swelling and sudden hernia. Lower abdominal swelling in women is also a type of hernia disease. The above rationale is detailed in the next chapter. Tui sounds like 'tui'.) When severe, dry throat, and facial dustiness with loss of complexion. (Liver meridian follows behind the throat, ascends to the nasopharynx, emerges above the forehead; its branch descends from the eye system to the cheek interior; thus causing these diseases. According to *Suwen: Zhi Zhen Yao Da Lun*, listing these syndromes under Yangming presiding/ruling indicates that Dryness excess originates from Liver disease.) These are diseases generated by the Liver. (Foot-Jueyin meridian, diseases generated by the Liver.) Chest fullness, vomiting and rebellion, undigested food diarrhea, fox hernia, enuresis, and stranguria. (The ascending part of this meridian flanks the stomach and pierces the diaphragm; the descending part passes through the genitalia and reaches the lower abdomen; thus causing these diseases. Sun sounds like 'sun'. Long pronunciation: Liangzhong.) In excess conditions, drain them; in deficiency conditions, tonify them; in heat conditions, use rapid needle withdrawal; in cold conditions, retain the needle; if Qi sinks, apply moxibustion; if neither excess nor deficiency, treat according to the meridian itself. (Rationale as stated in the first chapter.) In excess cases, the Cunkou pulse is one times larger than the Renying pulse; in deficiency cases, the Cunkou pulse is smaller than the Renying. (Foot-Jueyin is the interior counterpart of Foot-Shaoyang; thus, diagnosis is made at the Cunkou pulse.)