(嗌也,所以咽物者,水谷之道,在喉咙后。旧注在喉咙前者,非)属足太阴脾、阳明胃
经(《灵枢》曰∶足太阴之正,上结于咽。《素问》曰∶咽主地气,地气通于嗌,足太阴脉布胃中,络于咽,
故腹满咽干。又曰∶阳明之脉通于心,循咽上口)。又属手太阳小肠、少阴心经(《灵枢》曰∶手太阳之脉,
络心,循咽下膈。是动则病嗌痛颔肿,不可以顾。又曰∶手少阴之脉,其支者,从心系,上挟咽。是动则病
咽干心痛,渴而欲饮。沈
承之曰∶挟咽旁,属手少阴心、足太阴脾经之会)。又属足少阴肾经(《灵枢》曰∶足少阴所生病者,口热,
舌干,咽肿,上气,嗌干及痛。《素问》曰∶邪客于足少阴之络,令人嗌痛,不可纳食,无故善怒,气上走贲
上。注∶贲,膈也。贲上,贲门也。《难经》曰∶胃为贲门。又曰∶嗌中肿,不能纳唾,时不能出唾者,刺然
骨之前,足少阴之络也。)兼属足厥阴肝经、少阳胆经(《灵枢》曰∶足少阳之正,别者上挟咽,出颐颔中。
《素问》曰∶肝者中之将也,取决于胆,咽为之使。又曰∶一阴一阳代绝,此阴气至心,上下无常,出入不知,
咽喉干燥,病在脾土。注∶一阴,厥阴脉;一阳,少阳脉,并木之气也。木克土,故咽喉病,虽在脾土,实由
肝胆之所为也。朱丹溪曰∶手足阴阳合生见证,曰咽肿。足少阴、厥阴也)。
(嗌,即咽喉部位,是吞咽食物的通道,位于喉咙后方。旧注认为在喉咙前方,这是错误的。)它归属于足太阴脾经和足阳明胃经(《灵枢》说:足太阴脾经的正脉,向上结聚于咽部。《素问》说:咽部主管地气,地气通达于嗌,足太阴脾经的经脉散布于胃中,联络于咽,所以会出现腹部胀满、咽干的症状。又说:足阳明胃经的经脉通达于心,沿着咽部上行至口)。它还归属于手太阳小肠经和手少阴心经(《灵枢》说:手太阳小肠经的经脉,联络心脏,沿着咽部下行穿过膈肌。该经发生变动就会引起咽痛、下颌肿胀,头部不能转动。又说:手少阴心经的支脉,从心系发出,上行夹持咽部。该经发生变动就会引起咽干、心痛,口渴想喝水。沈承之说:夹持咽部的旁侧,是手少阴心经和足太阴脾经交会之处)。它还归属于足少阴肾经(《灵枢》说:足少阴肾经所生的疾病,包括口热、舌干、咽肿、气逆上冲、嗌干及疼痛。《素问》说:邪气侵犯足少阴肾经的络脉,使人咽痛,无法进食,无故容易发怒,气向上冲击贲门。注:贲,指膈肌。贲上,指贲门。《难经》说:胃有贲门。又说:如果嗌中肿胀,不能吞咽唾液,时常无法吐出唾液,应针刺然骨穴前方,这里是足少阴肾经的络脉所在)。同时也归属于足厥阴肝经和足少阳胆经(《灵枢》说:足少阳胆经的正脉,别出的分支上行夹持咽部,出于颐颔中间。《素问》说:肝是将帅之官,取决于胆,咽部作为其使者发挥作用。又说:一阴一阳代绝,这是阴气到达心脏,上下无常,出入不知,导致咽喉干燥,病位在脾土。注:一阴,指厥阴脉;一阳,指少阳脉,都包含木的气机。木克土,所以咽喉的疾病,虽然表现在脾土,实际上是由肝胆引起的。朱丹溪说:手足阴阳合生见证,称为咽肿,涉及足少阴和厥阴经)。
(Ye, the pharynx, is the passage for swallowing food and drink, located posterior to the larynx. The old annotation stating it is anterior to the larynx is incorrect.) It belongs to the Foot-Taiyin Spleen Channel (Zu Taiyin Pi Jing) and the Foot-Yangming Stomach Channel (Zu Yangming Wei Jing) (*Ling Shu* states: The regular branch of the Foot-Taiyin ascends and knots at the pharynx. *Su Wen* states: The pharynx governs Earth Qi; Earth Qi connects with Ye. The Foot-Taiyin channel spreads in the stomach and links with the pharynx, hence abdominal fullness and dry throat occur. It also states: The Foot-Yangming channel connects with the Heart, follows the pharynx, and ascends to the mouth.) It also belongs to the Hand-Taiyang Small Intestine Channel (Shou Taiyang Xiaochang Jing) and the Hand-Shaoyin Heart Channel (Shou Shaoyin Xin Jing) (*Ling Shu* states: The Hand-Taiyang channel links with the Heart, follows the pharynx, and descends through the diaphragm. When this channel is disturbed, it causes pain in the pharynx and swelling of the chin, making it difficult to turn the head. It also states: The branch of the Hand-Shaoyin channel arises from the Heart system, ascends, and flanks the pharynx. When this channel is disturbed, it causes dry throat, heart pain, thirst, and desire to drink. Shen Chengzhi says: The area flanking the pharynx is the intersection of the Hand-Shaoyin Heart Channel and the Foot-Taiyin Spleen Channel.) It also belongs to the Foot-Shaoyin Kidney Channel (Zu Shaoyin Shen Jing) (*Ling Shu* states: Diseases generated by the Foot-Shaoyin include heat in the mouth, dry tongue, swollen pharynx, ascending Qi, dry and painful Ye. *Su Wen* states: When pathogenic factors invade the collateral of the Foot-Shaoyin, it causes pain in the pharynx, inability to ingest food, unprovoked irritability, and Qi rushing upward to Benmen. Note: Ben refers to the diaphragm. Ben-shang refers to the cardiac orifice (Benmen). *Nan Jing* states: The Stomach has the Benmen. It also states: If there is swelling in the pharynx, inability to swallow saliva, and inability to expectorate saliva at times, needle the anterior aspect of Ran Gu, which is the site of the collateral of the Foot-Shaoyin.) It also involves the Foot-Jueyin Liver Channel (Zu Jueyin Gan Jing) and the Foot-Shaoyang Gallbladder Channel (Zu Shaoyang Dan Jing) (*Ling Shu* states: The regular branch of the Foot-Shaoyang, diverging, ascends to flank the pharynx and emerges in the center of the jaw and chin. *Su Wen* states: The Liver is the general; decisions are made by the Gallbladder, and the pharynx serves as its envoy. It also states: When the Yin-Yin and Yang-Yang channels alternate and cease, this indicates Yin Qi reaching the Heart, moving up and down without constancy, entering and exiting without awareness, leading to dry throat and pharynx. The disease is in Spleen-Earth. Note: Yin-Yin refers to the Jueyin channel; Yang-Yang refers to the Shaoyang channel, both associated with Wood Qi. Wood overacts on Earth; therefore, although throat diseases manifest in Spleen-Earth, they are actually caused by the Liver and Gallbladder. Zhu Danxi says: Manifestations arising from the combination of Hand and Foot Yin and Yang channels are called swollen pharynx, involving the Foot-Shaoyin and Jueyin channels.)