(灵枢本输篇)
缺盆之中,任脉也,名曰天突。(此下言颈项中诸经之次也。缺盆,足阳明经穴,居横骨之上,左右各一。缺盆之中,
即任脉之天突穴,是为颈前居中第一行脉也。)一次任脉侧之动脉,足阳明也,名曰人迎。(一次者,次于中脉一行,足
阳明也。其动脉名曰人迎,即颈中第二行脉也。)二次脉,手阳明也,名曰扶突。(二次于足阳明之外者,手阳明也。穴
名扶突,在颈当曲颊下一寸,人迎后一寸五分,即第三行脉也。)三次脉,手太阳也,名曰天窗。(三次于手阳明之外者,
手太阳也。穴名天窗,在颈大筋前,曲颊下,扶突后,即第四行脉也。)四次脉,足少阳也,名曰天容。(四次于手太阳
之后者,足少阳也。上出天窗之外,而颈中无穴,是第五行脉也。此云天容者,系手太阳经穴,疑误。)五次脉,手少阳
也,名曰天牖。(五次于足少阳之后者,手少阳也。穴名天牖,在颈大筋外,天容后,天柱前,完骨下,发际上,是第六
行脉也。牖音有。)六次脉,足太阳也,名曰天柱。(六次于手少阳之后者,足太阳也。穴名天柱,在挟项后大筋外廉发
际陷中,是第七行脉也。)七次脉。颈中央之脉,督脉也,名曰风府。(七次于足太阳之后而居颈之中央者,督脉也。穴
名风府,在项后入发际一寸,自前中行任脉至此,是为第八行,而颈脉止于此也。)腋内动脉,手太阴也,名曰天府。腋
下三寸,手心主也,名曰天池。(此言腋下二经之脉也。手太阴之穴名天府,手厥阴之脉名天池,二穴俱在腋下三寸,然
天府则在臂 内廉,天池则在肋间乳后一寸也。)刺上关者, 不能欠;刺下关者,欠不能 。刺犊鼻者,屈不能伸;刺
两关者,伸不能屈。(此言取穴之法有所验也。 ,张口也。欠,张而复合也。上关,足少阳客主人也,在耳前开口有空,
张口取之,故刺上关则 不能欠。下关,足阳明穴也,在客主人下,合口有空,开口则闭,故刺下关则欠不能 也。犊
鼻,足阳明穴也,屈足取之,故刺犊鼻则屈不能伸。两关,内关外关也,内者手厥阴,外者手少阳,俱伸手取之,故刺
两关则伸不能屈也。)足阳明挟喉之动脉也,其 在膺中。(此下乃重言上文六阳经脉以明其详也。挟喉动脉,即足阳明
人迎也。阳明之脉,自挟喉而下行于胸膺,凡气户、库房之类,皆阳明之 ,故曰其 在膺中。)手阳明次在其 外,不
至曲颊一寸。(此复言扶突穴,在足阳明动 之外,当曲颊下一寸也。)手太阳当曲颊。(此复言天窗穴也。)足少阳在耳
下曲颊之后。(耳下曲颊后,仍如上文言手太阳之天容也。此非足少阳之穴而本篇重言在此,意者古以此穴属足少阳经
也。)手少阳出耳后,上加完骨之上。(此复言天牖穴也。)足太阳挟项大筋之中发际。(此复言天柱穴,挟后项大筋中发
际也。)
(《灵枢·本输》篇)
在缺盆穴的中间,是任脉,穴位名为天突。(此处以下讲述颈项部各经脉的次序。缺盆是足阳明胃经的穴位,位于横骨之上,左右各一。缺盆的中间,即任脉的天突穴,这是颈部前侧居中第一行的经脉。)
第二行是任脉侧面的动脉,属于足阳明胃经,穴位名为人迎。(“一次”意为次于中间任脉这一行,属于足阳明经。其动脉名为“人迎”,即颈部中第二行的经脉。)
第三行经脉,属于手阳明大肠经,穴位名为扶突。(次于足阳明经外侧的是手阳明经。穴位名为扶突,位于颈部正对下颌角下方一寸,人迎穴后一寸五分,即第三行经脉。)
第四行经脉,属于手太阳小肠经,穴位名为天窗。(次于手阳明经外侧的是手太阳经。穴位名为天窗,位于颈部大筋前方,下颌角下方,扶突穴后方,即第四行经脉。)
第五行经脉,属于足少阳胆经,穴位名为天容。(次于手太阳经后方的是足少阳经。向上出于天窗穴外侧,而颈部中没有其他穴位,这是第五行经脉。这里提到的天容穴,实际上是手太阳小肠经的穴位,此处可能有误。)
第六行经脉,属于手少阳三焦经,穴位名为天牖。(次于足少阳经后方的是手少阳经。穴位名为天牖,位于颈部大筋外侧,天容穴后方,天柱穴前方,完骨穴下方,发际上方。牖音同“有”。)
第七行经脉,属于足太阳膀胱经,穴位名为天柱。(次于手少阳经后方的是足太阳经。穴位名为天柱,位于挟持项部后方的大筋外侧边缘、发际处的凹陷中,这是第七行经脉。)
第八行经脉,位于颈部中央的经脉,是督脉,穴位名为风府。(次于足太阳经后方且居于颈部中央的是督脉。穴位名为风府,位于项部后方入发际一寸处。从前正中线的任脉至此,为第八行,颈部的经脉到此为止。)
腋窝内的动脉,属于手太阴肺经,穴位名为天府。腋下三寸处,属于手厥阴心包经,穴位名为天池。(此处讲述腋下两条经脉的情况。手太阴肺经的穴位名为天府,手厥阴心包经的穴位名为天池,两个穴位都在腋下三寸处,然而天府穴位于臂内侧,天池穴位于肋间乳头后一寸处。)
针刺上关穴时,患者不能张口;针刺下关穴时,患者不能闭口。针刺犊鼻穴时,膝关节屈曲而不能伸直;针刺内关和外关穴时,手臂伸展而不能屈曲。(此处讲述取穴方法有一定的验证标准。“欠”指张口,“欠”也指张开后闭合。上关穴,即足少阳胆经的客主人穴,位于耳前开口有空隙处,张口时取穴,所以刺上关穴时患者不能闭口。下关穴,是足阳明胃经的穴位,位于客主人穴下方,闭口时有空隙,张口时则闭合,所以刺下关穴时患者不能张口。犊鼻穴,是足阳明胃经的穴位,需屈膝取穴,所以刺犊鼻穴时患者屈膝而不能伸直。两关,指内关和外关,内关属手厥阴经,外关属手少阳经,均需伸手取穴,所以刺两关穴时患者伸臂而不能屈曲。)
足阳明胃经挟持喉咙的动脉,其腧穴位于胸膺部。(此处再次重申上文六条阳经以阐明详情。挟持喉咙的动脉,即足阳明胃经的人迎穴。阳明经的经脉,从挟喉处下行至胸膺,凡是气户、库房等穴位,都属于阳明经的腧穴,所以说其腧穴在胸膺部。)
手阳明大肠经的穴位次位于胸膺部的外侧,距离下颌角一寸。(此处再次说明扶突穴,位于足阳明经动脉的外侧,正当下颌角下方一寸处。)
足少阳胆经的穴位在耳下、下颌角之后。(耳下、下颌角之后,仍如上文所说的手太阳经的天容穴位置。这并非足少阳胆经的穴位,但本篇在此重复提及,推测古时候将此穴归属于足少阳胆经。)
(Ling Shu: Ben Shu Chapter)
In the center of the Quepen (ST12) acupoint lies the Ren Mai (Conception Vessel), with the acupoint named Tiantu (CV22). (The following text describes the sequence of meridians in the neck and throat. Quepen is an acupoint of the Foot-Yangming Stomach Meridian, located above the transverse process of the sternum, one on each side. The center of Quepen corresponds to the Tiantu acupoint of the Ren Mai, which is the first meridian line centered at the anterior neck.)
The second row consists of the arterial pulse lateral to the Ren Mai, belonging to the Foot-Yangming Stomach Meridian, with the acupoint named Yingchang (ST9). ("Yi ci" means subsequent to the central Ren Mai line, belonging to the Foot-Yangming Meridian. Its arterial pulse is named Yingchang, representing the second meridian line in the neck.)
The third row of meridians belongs to the Hand-Yangming Large Intestine Meridian, with the acupoint named Futu (LI18). (Lateral to the Foot-Yangming Meridian is the Hand-Yangming Meridian. The acupoint Futu is located in the neck, directly below the angle of the mandible by one cun, and 1.5 cun posterior to Yingchang, constituting the third meridian line.)
The fourth row of meridians belongs to the Hand-Taiyang Small Intestine Meridian, with the acupoint named Tianchuang (SI16). (Lateral to the Hand-Yangming Meridian is the Hand-Taiyang Meridian. The acupoint Tianchuang is located anterior to the large tendon of the neck, below the angle of the mandible, and posterior to Futu, constituting the fourth meridian line.)
The fifth row of meridians belongs to the Foot-Shaoyang Gallbladder Meridian, with the acupoint named Tianrong (SI17). (Posterior to the Hand-Taiyang Meridian is the Foot-Shaoyang Meridian. Emerging laterally above Tianchuang, there are no other acupoints in the neck; this constitutes the fifth meridian line. The Tianrong mentioned here is actually an acupoint of the Hand-Taiyang Small Intestine Meridian, suggesting a possible error in the text.)
The sixth row of meridians belongs to the Hand-Shaoyang Sanjiao (Triple Energizer) Meridian, with the acupoint named Tianyou (TE16). (Posterior to the Foot-Shaoyang Meridian is the Hand-Shaoyang Meridian. The acupoint Tianyou is located lateral to the large tendon of the neck, posterior to Tianrong, anterior to Tianzhu, below Wanggu, and above the hairline. "You" is pronounced as "you".)
The seventh row of meridians belongs to the Foot-Taiyang Bladder Meridian, with the acupoint named Tianzhu (BL10). (Posterior to the Hand-Shaoyang Meridian is the Foot-Taiyang Meridian. The acupoint Tianzhu is located in the depression at the hairline, lateral to the large tendons flanking the back of the neck, constituting the seventh meridian line.)
The eighth row of meridians is the Du Mai (Governing Vessel) located centrally in the neck, with the acupoint named Fengfu (GV16). (Posterior to the Foot-Taiyang Meridian and situated centrally in the neck is the Du Mai. The acupoint Fengfu is located one cun above the hairline at the back of the neck. From the anterior midline Ren Mai to this point constitutes the eighth row, marking the end of the cervical meridian lines.)
The arterial pulse within the axilla belongs to the Hand-Taiyin Lung Meridian, with the acupoint named Tianfu (LU3). Three cun below the axilla, it belongs to the Hand-Jueyin Pericardium Meridian, with the acupoint named Tianchi (PC1). (This section discusses the two meridians in the axillary region. The Hand-Taiyin Lung Meridian has the acupoint Tianfu, and the Hand-Jueyin Pericardium Meridian has the acupoint Tianchi. Both acupoints are located three cun below the axilla; however, Tianfu is on the medial aspect of the arm, while Tianchi is in the intercostal space, one cun posterior to the nipple.)
When needling Shangguan (GB3), the patient cannot open their mouth; when needling Xiaguan (ST7), the patient cannot close their mouth. When needling Dubi (ST35), the knee cannot be extended from flexion; when needling Neiguan (PC6) and Waiguan (TE5), the arm cannot be flexed from extension. (This section illustrates that verification methods exist for acupoint selection. "Kou" refers to opening the mouth, and "Qian" refers to closing it after opening. Shangguan, also known as Keyuncheren, is an acupoint of the Foot-Shaoyang Gallbladder Meridian, located in front of the ear where there is a gap when the mouth is open. Since it is accessed with the mouth open, needling Shangguan prevents the patient from closing their mouth. Xiaguan is an acupoint of the Foot-Yangming Stomach Meridian, located below Keyuncheren; there is a gap when the mouth is closed, but it closes when opened. Thus, needling Xiaguan prevents the patient from opening their mouth. Dubi is an acupoint of the Foot-Yangming Stomach Meridian, accessed with the knee flexed; thus, needling Dubi prevents the patient from extending the knee. The "Two Guan" refer to Neiguan and Waiguan; Neiguan belongs to the Hand-Jueyin Pericardium Meridian, and Waiguan belongs to the Hand-Shaoyang Sanjiao Meridian. Both are accessed with the arm extended; thus, needling these points prevents the patient from flexing the arm.)
The arterial pulse of the Foot-Yangming Stomach Meridian flanking the throat, its shu points are located in the chest and epigastric region. (This part reiterates the six Yang meridians mentioned earlier to clarify details. The arterial pulse flanking the throat is Yingchang of the Foot-Yangming Stomach Meridian. The pathway of the Yangming Meridian descends from flanking the throat to the chest and epigastrium. Acupoints such as Qihu and Kufang all belong to the Yangming Meridian's shu points; hence, it is stated that their shu points are in the chest/epigastric region.)
The acupoints of the Hand-Yangming Large Intestine Meridian are located laterally to the chest/epigastric region, one cun away from the angle of the mandible. (This reiterates the location of Futu, which is lateral to the arterial pulse of the Foot-Yangming Meridian, directly one cun below the angle of the mandible.)
The acupoint of the Hand-Taiyang Small Intestine Meridian is located directly at the angle of the mandible. (This reiterates the location of Tianchuang.)
The acupoint of the Foot-Shaoyang Gallbladder Meridian is located behind the angle of the mandible, below the ear. (Behind the angle of the mandible and below the ear corresponds to the location of Tianrong of the Hand-Taiyang Small Intestine Meridian as described above. This is not an acupoint of the Foot-Shaoyang Gallbladder Meridian, but its repetition here suggests that ancient texts may have attributed this acupoint to the Foot-Shaoyang Meridian.)
The acupoint of the Hand-Shaoyang Sanjiao Meridian emerges behind the ear and extends superiorly above Wanggu. (This reiterates the location of Tianyou.)
The acupoint of the Foot-Taiyang Bladder Meridian is located between the large tendons of the nape, at the hairline. (This reiterates the location of Tianzhu, situated between the large tendons of the posterior neck at the hairline.)