(腰胯骨也,亦谓之踝。腰旁挟脊,平立陷者中,按之有骨机关处,动者是也)属足少阳
胆经(《素问》曰∶挟髋为机, 上为关。又曰∶少阳厥逆,机关不利,腰不可以行,项不可以顾。又曰∶腰
痛引少腹控 ,不可以仰,刺腰尻交者两踝胂上,以月死生为 数)。
(即髀厌也,当环跳穴之分,谓之枢者,以楗骨转动,如户之枢也,亦曰髀关)属足少
阳胆经(《素问》曰∶邪客于足少阳之络,令人留于枢中,痛髀不可举。朱丹溪曰∶环跳穴痛,防生附骨疽)。
又属足太阳膀胱经(《灵枢》曰∶足太阳之脉,挟脊内,过髀枢。又曰∶两肘两腋,两髀两 ,此八虚者,皆
机关之地,真气之所过,血络之所游,邪气恶血,固不得留住。留住,则伤筋络,骨节机关不得屈伸,致病挛
也)。兼属足阳明胃经(《灵枢》曰∶足阳明之筋,结于髀枢,上循胁,属脊。又曰∶足阳
明之脉,至气街中而合,以下至髀关,抵伏兔。顾英白曰∶髀关一穴,是足阳明所发也,在髀枢之前廉。窦氏
以腹下腿上为髀枢者,原非误也。若髀枢之别名为髀关,则所谓楗后为关者耳,此止一穴之髀关也。承之但知
一穴之髀关,而不知髀枢可以名髀关,而反以窦氏为误也,宜矣。旧重出髀关者,大非)。
(在髀辅骨上,腰横骨下,股外之中,侧立摇动取之,筋动应手者是也)属足少阳胆经
(《素问》曰∶辅骨上,横骨下为楗,楗上为机,楗后为关。又曰∶蹇膝,伸不能屈,治其楗也)。
(这是腰胯部的骨头,也称之为“踝”。位于腰部两侧夹着脊柱,平立时凹陷的地方中,按压到有骨节机关活动之处,能够活动的就是它。)归属于足少阳胆经(《素问》说:夹持髋部的是机,上部是关。又说:少阳经气厥逆,导致关节运动不利,腰部不能行走,颈部不能回顾。又说:腰痛牵引少腹并牵及阴器,不能仰卧,针刺腰尻交会处的两个“踝”胂上部位,以月亮盈亏变化的天数为针刺次数)。
(这就是髀厌,位于环跳穴的分布区域,称为“枢”,是因为楗骨的转动,就像门户的转轴一样,也称为髀关。)归属于足少阳胆经(《素问》说:邪气客居在足少阳经的络脉,使人病邪留滞于枢中,髀部疼痛不能抬起。朱丹溪说:环跳穴疼痛,要防止发生附骨疽)。又归属于足太阳膀胱经(《灵枢》说:足太阳经脉,夹行于脊柱内侧,经过髀枢。又说:两肘、两腋、两髀、两腘,这八个部位称为“八虚”,都是关节机关所在之地,是真气经过、血络游行的地方,邪气和恶血本来不得停留。如果停留,就会损伤筋络,使骨节机关不能屈伸,导致产生拘挛病症)。兼归属于足阳明胃经(《灵枢》说:足阳明经的筋,结聚于髀枢,向上沿胁肋,连属于脊柱。又说:足阳明经脉,至气街中会合,向下到达髀关,抵达伏兔穴。顾英白说:髀关一穴,是足阳明经所发出的穴位,位于髀枢的前缘。窦氏将腹下腿上部位称为髀枢,原本并非错误。如果髀枢的别名叫髀关,那么所谓“楗后为关”指的就是这里,这只是单个穴位髀关。承之只知道单个穴位的髀关,而不知道髀枢可以命名为髀关,反而认为窦氏是错误的,这也是理所当然的。旧本重复列出髀关,是非常错误的)。
(位于大腿辅骨之上,腰部横骨之下,股部外侧中间,侧身站立摇动身体时取穴,筋脉跳动应手的就是它。)归属于足少阳胆经(《素问》说:辅骨之上,横骨之下称为楗,楗之上称为机,楗之后称为关。又说:膝部跛行,伸展而不能弯曲,治疗其楗部)。
(This is the bone of the waist and hip, also referred to as "Huai". It is located on both sides of the waist flanking the spine, in the depression when standing upright. Pressing it reveals the bony joint mechanism where movement occurs.) It belongs to the Foot-Shaoyang Gallbladder Channel (The *Suwen* states: "Flanking the hip is the Ji (mechanism), and above is the Guan (door hinge)." It further states: "When Shaoyang Qi rebels, the joint mechanism becomes dysfunctional, resulting in an inability to walk with the waist or look back with the neck." It also states: "Lumbar pain radiating to the lower abdomen and controlling the genitals, preventing supine posture; needle the two Huai points above the Sheng at the intersection of the lumbar and sacral regions, using the number of days corresponding to the waxing and waning of the moon as the count.")
(This is the Biyan, corresponding to the area of the Huantiao acupoint. It is called 'Shu' because the Jian bone rotates like the pivot of a door, and is also known as Biguan.) It belongs to the Foot-Shaoyang Gallbladder Channel (The *Suwen* states: "When pathogenic factors lodge in the collaterals of the Foot-Shaoyang channel, they remain in the Shu, causing pain in the thigh that prevents lifting." Zhu Danxi stated: "Pain at the Huantiao point warns of the potential development of Gujugu [bone-abscess abscess].") It also belongs to the Foot-Taiyang Bladder Channel (The *Lingxu* states: "The Foot-Taiyang channel runs inside the paravertebral muscles, passing through the Bisu. It further states: The two elbows, two axillae, two thighs, and two popliteal fossae are called the 'Eight Xu' (Empty places). These are locations of joint mechanisms, where True Qi passes and blood collaterals circulate. Pathogenic qi and evil blood cannot stay here. If they do stay, they damage the sinews and collaterals, causing the joints and mechanisms to lose flexion and extension, leading to spasms.") It concurrently belongs to the Foot-Yangming Stomach Channel (The *Lingxu* states: "The sinews of the Foot-Yangming channel knot at the Bisu, ascend along the costal region, and connect to the spine. It further states: The Foot-Yangming channel merges at the Qichong point and descends to the Biguan, reaching the Futu point. Gu Yingbai stated: The Biguan acupoint is issued by the Foot-Yangming channel, located at the anterior margin of the Bisu. Dou Shi's designation of the area below the abdomen and on the upper leg as Bisu was originally not erroneous. If Bisu's alias is Biguan, then what is referred to as 'Guan behind Jian' applies here; this refers only to the single acupoint Biguan. Cheng Zhi only knew the single acupoint Biguan but did not know that Bisu could be named Biguan, thus mistakenly considering Dou Shi's view incorrect, which was inevitable. The old texts duplicating Biguan were largely incorrect.")
(Located above the auxiliary bone of the thigh, below the transverse bone of the waist, in the middle of the lateral aspect of the thigh. Take the point while standing sideways and shaking the body; the one where the tendon moves and responds to touch is the correct location.) It belongs to the Foot-Shaoyang Gallbladder Channel (The *Suwen* states: "Above the auxiliary bone and below the transverse bone is the Jian; above the Jian is the Ji; behind the Jian is the Guan. It further states: For stiff knee [Jianxi], unable to extend and flex, treat its Jian region.")