属足阳明胃经(《灵枢》曰∶足阳明
之脉,从缺盆下乳内廉。王启玄曰∶乳之上下,皆足阳明之脉也。《针灸经》云∶乳中二穴当乳,足阳明脉气
所发。朱丹溪曰∶胃经见证,胸旁过乳痛。《妇人良方》曰∶乳痈者,由乳潼结聚,皮薄以泽而成。盖阳明之
脉主血,其血又归厥阴之气,血涩不通,气结不散,故积聚成痈也)。又属足厥阴肝经(《乳痈论》曰∶乳房
阳明所经,乳头厥阴所属。凡乳母不知调养,忿怒所逆,郁闭所遏,浓味所酿,以致厥阴之气不行,故窍不得
通;而汁不得出,阳明之血沸腾,故热甚而化脓。治法以青皮疏厥阴之滞,以石膏清阳明之热,以生甘草节行
污浊之血,以栝蒌子或加没药、青橘叶、皂角刺、当归、金银花消肿导毒,随症消息。然须以少酒佐之,加以
艾火两三壮于肿处,其效尤捷)。兼属足少阳胆经、太阴脾经、阴维脉之会。(《灵枢》曰,足少阳之筋,走
腋前廉,系于膺乳,结于缺盆,其病季胁痛,上引缺盆膺乳。又曰∶足太阴之筋,循腹里,结于肋,散于胸中
。沈承之曰∶直乳下三寸五分,名期门穴,属足厥阴肝经、太阴脾经、阴维之会;下四寸,名日月穴,属足少
阳胆经、太阴脾经、阴维脉之会)。
(乳根穴分也,俗谓之气眼)属足阳明胃经,(《甲乙经》曰∶胃之大络,名曰虚里,
贯膈络肺,出于左乳下,其动应手,脉之宗气也。盛喘数绝者,则病在中;结而横,有积矣;绝不至,曰死。
《素问》曰∶乳之下,其动应衣,宗气泄也。顾英白曰∶乳根二穴,左右皆有动气,经何独言左乳下?盖举
其动之甚者耳,非左动而右不动也。其动应手,脉宗气也。《素问》本无二义,马玄台因仿刻之误,而谓应
衣。应衣者,言病患肌肉瘦弱,其脉动甚,而应衣也,亦通。始读《素问》,则心窍疑之,至读
《甲乙经》而疑遂释然)。兼属手少阴心经(《灵枢》曰∶五谷入于胃也,其糟粕、津液、宗气分为三隧,故
宗气积于胸中,出于喉咙,以贯心脉,而行呼吸焉。张介宾曰∶虚里跳动,最为虚损病本,故凡患阴虚劳怯,
则心下多有跳动,及为惊悸者,人但知其心跳,而不知为虚里之动也。其动微者病尚浅,动甚者病则甚。凡患
此者,常以纯甘壮水之剂,填补真阴,活者多矣)。
属于足阳明胃经(《灵枢》说:足阳明经脉,从缺盆穴向下经过乳房内侧。王启玄说:乳房的上下部位,都是足阳明经脉所过之处。《针灸经》记载:乳中两个穴位正对乳头,是足阳明脉气发出的地方。朱丹溪说:胃经出现的证候,表现为胸旁至乳部疼痛。《妇人良方》说:乳痈这种病,是由于乳汁淤积凝聚,导致皮肤变薄且有光泽而形成的。因为阳明经脉主管血液,而血液又归属于厥阴肝经的气机调控,如果血液涩滞不通,气机郁结不散,所以积聚形成痈肿)。又属于足厥阴肝经(《乳痈论》说:乳房由阳明经所经过,乳头由厥阴经所归属。凡是哺乳妇女不懂得调养,因愤怒导致气机逆乱,因情志抑郁导致气机闭塞,因食用浓味厚腻食物酿生湿热,以致厥阴经的气机运行不畅,所以乳窍不得通畅;乳汁无法排出,阳明经的血液沸腾,因此热势极盛而化脓。治疗方法是用青皮疏解厥阴经的气滞,用石膏清泄阳明经的热邪,用生甘草节行散污浊之血,用栝蒌子或加没药、青橘叶、皂角刺、当归、金银花来消肿排毒,根据症状灵活调整用药。然而必须用少量酒作为药引辅助,并在肿胀处施灸两三壮,疗效尤其迅速)。同时兼属足少阳胆经、足太阴脾经以及阴维脉的交会之处。(《灵枢》说:足少阳经的筋脉,走向腋前廉,联系于胸乳部位,结聚于缺盆穴,其病症为季胁疼痛,向上牵引至缺盆及胸乳部位。又说:足太阴经的筋脉,沿腹部内侧行走,结聚于肋部,散布于胸中。沈承之说:在乳头直下三寸五分处,名为期门穴,属于足厥阴肝经、足太阴脾经和阴维脉的交会穴;再往下四寸处,名为日月穴,属于足少阳胆经、足太阴脾经和阴维脉的交会穴)。
(乳根穴也分界,俗称气眼)属于足阳明胃经(《甲乙经》说:胃的大络,名叫虚里,贯穿膈肌联络肺脏,出于左侧乳房下方,跳动应手,这是脉中的宗气。如果喘息急促且脉搏数而断绝,说明病在中焦;如果脉搏结滞而横逆,说明体内有积块;如果脉搏完全摸不到,预示死亡。《素问》说:乳房下方,脉搏跳动剧烈到能震动衣服,这是宗气外泄的表现。顾英白说:乳根两个穴位,左右两侧都有动气,经文为何只提左侧乳房下方?这不过是举出跳动最明显的例子罢了,并非左边跳动而右边不跳动。脉搏跳动应手,反映的是脉中宗气的状态。《素问》原文本无二义,马玄台因为翻刻时的错误,将其解释为“应衣”。“应衣”的意思是,指病人肌肉消瘦虚弱,脉搏跳动剧烈,从而震动衣服,这种解释也通顺。起初读《素问》时心中存有疑惑,直到读到《甲乙经》,疑惑才彻底消除)。同时兼属手少阴心经(《灵枢》说:五谷进入胃后,其糟粕、津液、宗气分为三条通道,所以宗气积聚在胸中,出于喉咙,贯通心脉,以推动呼吸。张介宾说:虚里部位的跳动,是最为严重的虚损病的根本表现,所以凡是患有阴虚劳怯症的人,心下多有跳动,并出现惊悸症状。人们只知道这是心跳,却不知道这是虚里的跳动。跳动轻微的病尚浅,跳动剧烈的病则严重。凡是患此病的人,常用纯甘壮水的药剂,填补真阴,存活者很多)。
Belongs to the Foot-Yangming Stomach Meridian (The *Ling Shu* states: The meridian of the Foot-Yangming descends from the Clavicle acupoint [Quepen, LI12] along the medial aspect of the breast. Wang Qixuan stated: Both the upper and lower parts of the breast are traversed by the Foot-Yangming meridian. The *Zhen Jiu Jing* records: The two acupoints Ruzhong (Breast Center, REN17) are located directly opposite the nipples, where the Qi of the Foot-Yangming meridian emerges. Zhu Danxi stated: Manifestations of the Stomach meridian include pain extending from the side of the chest to the breast. The *Fu Ren Liang Fang* states: Breast abscess [Ru Yong] arises from the accumulation and stagnation of milk, resulting in thin and lustrous skin. This is because the Yangming meridian governs blood, which is further regulated by the Qi of the Jueyin Liver meridian. When blood becomes stagnant and unflowing, and Qi remains knotted and unresolved, accumulations form into abscesses). It also belongs to the Foot-Jueyin Liver Meridian (The *Ru Yong Lun* states: The breast is traversed by the Yangming meridian, while the nipple is governed by the Jueyin meridian. Whenever a nursing mother fails to maintain proper regulation, anger causes Qi to rebel, emotional depression obstructs Qi flow, and rich, greasy foods generate damp-heat, leading to impaired circulation of Jueyin Qi. Consequently, the orifices fail to open, and milk cannot be discharged. The blood of the Yangming meridian boils over, causing intense heat that transforms into pus. The treatment method involves using Qingpi (Exocarpium Citri Reticulatae Viride) to disperse Jueyin Qi stagnation, Shigao (Gypsum Fibrosum) to clear Yangming heat, Sheng Gancao Jie (Radix Glycyrrhizae Preparata with tips) to move turbid blood, and Gualouzi (Fructus Trichosanthis) possibly combined with Moyao (Olibanum), Qingjuye (Folium Citri Reticulatae), Zaojiaoci (Spina Gleditsiae Sinensis), Danggui (Radix Angelicae Sinensis), and Yinjinhua (Flos Lonicerae Japonicae) to reduce swelling and guide out toxins, adjusting the prescription according to symptoms. However, it must be assisted by a small amount of wine, and moxibustion of two or three moxa cones should be applied to the swollen area for particularly rapid efficacy). It simultaneously intersects with the Foot-Shaoyang Gallbladder Meridian, Foot-Taiyin Spleen Meridian, and the Yinwei Vessel (The *Ling Shu* states: The sinews of the Foot-Shaoyang run along the anterior margin of the axilla, connect to the chest and breast, and knot at the Clavicle acupoint [Quepen, LI12]. Its pathology involves pain in the hypochondrium radiating upward to the Clavicle and chest/breast. It also states: The sinews of the Foot-Taiyin follow the interior of the abdomen, knot at the ribs, and scatter in the chest. Shen Chengzhi stated: Three cun and five fen directly below the nipple is the Qimen acupoint [LR14], which belongs to the intersection of the Foot-Jueyin Liver Meridian, Foot-Taiyin Spleen Meridian, and Yinwei Vessel; four cun below that is the Riyue acupoint [GB24], belonging to the intersection of the Foot-Shaoyang Gallbladder Meridian, Foot-Taiyin Spleen Meridian, and Yinwei Vessel).
(Rugen acupoint [ST18] marks a division, commonly known as "Qi Yan" or Qi Eye) Belongs to the Foot-Yangming Stomach Meridian (The *Jia Yi Jing* states: The great Luo-vessel of the Stomach is named Xuli, penetrating the diaphragm and connecting to the Lung, emerging below the left breast. Its pulsation can be felt by hand; this is the Zongqi [Pectoral Qi] within the vessels. If panting is rapid and the pulse is frequent and intermittent, the disease is in the Middle Jiao; if the pulse is knotted and horizontal, there are accumulations; if the pulse is absent, death ensues. The *Su Wen* states: Below the breast, if the pulsation is vigorous enough to shake the clothing, it indicates leakage of Zongqi. Gu Yingbai stated: The Rugen acupoints exist on both left and right sides, both exhibiting pulsation. Why does the classic text mention only the left breast? This merely highlights the most prominent pulsation; it does not mean the left pulses while the right does not. The palpable pulsation reflects the state of Zongqi in the vessels. The original meaning in the *Su Wen* was consistent; Ma Xuantai, due to a printing error in a copy, interpreted it as "shaking clothing." "Shaking clothing" implies that the patient's muscles are emaciated and weak, causing the vessel pulsation to be so strong it shakes the clothes; this interpretation is also acceptable. Initially, reading the *Su Wen* raised doubts in my mind; only upon reading the *Jia Yi Jing* were these doubts completely resolved). It simultaneously intersects with the Hand-Shaoyin Heart Meridian (The *Ling Shu* states: When grains enter the Stomach, their dregs, fluids, and Zongqi are divided into three pathways. Thus, Zongqi accumulates in the chest, emerges through the throat, penetrates the Heart vessels, and facilitates respiration. Zhang Jiabin stated: Pulsation at the Xuli site is the fundamental sign of severe deficiency diseases. Therefore, anyone suffering from Yin-deficiency consumption [Yin Xu Lao Qie] often experiences pulsation below the heart and palpitations. People generally recognize this as heart palpitations but fail to realize it is the pulsation of Xuli. Mild pulsation indicates shallow disease; vigorous pulsation indicates severe disease. For those suffering from this condition, treatments using purely sweet and water-nourishing agents to tonify True Yin have resulted in many recoveries).