\r手太阴肺经图\p06-d33a1.bmp\r
\r肺脏之图\p06-d33a2.bmp\r
《危言》曰∶肺者 也, 然居乎上,为五脏之华盖。《医旨绪余》曰,肺者勃也,言其气勃郁也。《难经》曰∶
肺重三斤三两。
手太阴经肺 肺者,相传之官,治节出焉。统一身之气,主藏魄,与大肠为表里。其母脾土,其子肾水。其克
肝木,其贼心火。其华在毛,其充在皮。其位西,其时秋,其色白,其脉涩而短,其音商,其数九,其臭腥,其恶寒,
其液涕,其声哭,其味辛。在五行属金,其外候窍通于鼻。其形四垂如盖,六叶两耳,凡八叶,附着于脊之第三椎,中
有二十四空,虚如蜂窠,下无透窍,故吸之则满,呼之则虚,一呼一吸,消息自然。司清浊之运化,为人身之橐龠,行
列分布以行诸脏之气。其经多气而少血,寅时气血注此。其不足则太息,其有余则喘嗽。其平脉浮短,其贼脉
洪。其死丙丁日。其畜马,其谷稻,上为太白星。
其见证也,善嚏,悲愁欲哭,洒浙寒热,缺盆中痛,腹痛,肩背痛,脐右少腹胀痛,小便数,溏泄,皮肤痛及麻木,
喘、少气,颊上气见。形寒饮冷则伤肺。实则梦兵戈竞扰,虚则梦田野平原。忧伤肺,喜胜忧,热伤皮毛,寒胜热,辛
伤皮毛,苦胜辛。辛走气,气病毋多食辛。多食苦,则皮肤槁而毛拔。
其经之脉,起于中焦,受足厥阴之交,下络大肠,复行本经之外,还循胃口,迤逦上膈,而会属于肺脏。从肺系
出而横行胸博四行之中府、云门,以出腋下;下循 内,历天府、侠白,行少阴心经、手厥阴心主包络两经之前,下入
肘中,抵尺泽,循臂内上骨之下 ,历孔最、列缺穴,入寸口之经渠、太渊,以上循鱼际,出大指之端少商穴;而络脉
之支行者,从腕后列缺穴,达次指内 出其端,而交于手阳明经,由合骨二间三间以至于商阳穴,又自商阳而上行也。
手太阴肺经图
肺脏之图
《危言》中说:肺,是覆盖在上部的脏器,像华盖一样居于五脏之上。《医旨绪余》中说,肺,意为勃郁,指其气机勃郁的状态。《难经》中说:肺的重量是三斤三两。
手太阴肺经所属的肺脏,肺被称为“相傅之官”(宰相之官),治理和调节的功能由此产生。它统摄全身之气,主要功能是藏魄,与大肠互为表里。脾土是肺之母,肾水是肺之子。肺克制肝木,制约心火。肺的外荣表现在毛发,充养于皮肤。肺对应西方,对应秋季,颜色为白色,脉象涩而短,音律为商,成数为九,气味为腥,畏惧寒气,分泌液为涕,发声为哭,味道为辛。在五行中属金,外部征候通过鼻窍相通。肺的形状四垂如盖,有六叶两耳,共八叶,附着于脊柱第三椎处,中间有二十四孔,空虚如同蜂巢,下方没有透穿的孔窍,所以吸气时充满,呼气时虚空,一呼一吸,气息自然流转。主管清浊之气的运化,是人体呼吸的囊橐(风箱),行列分布以运行各脏腑之气。这条经脉多气少血,气血在寅时注入此经。肺气不足则表现为长叹息,肺气有余则表现为气喘咳嗽。肺的正常脉象浮而短,受克制的病脉洪大。肺脏衰竭死于丙丁日(火日)。对应的动物是马,对应的谷物是稻,天上对应太白星。
其临床表现有:容易打喷嚏,悲伤忧愁想哭,恶寒发热,缺盆中疼痛,腹痛,肩背痛,脐右侧少腹胀痛,小便频数,大便溏泄,皮肤疼痛及麻木,气喘、气短,脸颊上部气色显现。形体受寒或饮用冷食则会损伤肺。实证则梦见兵器战争纷扰,虚证则梦见田野平原。忧伤肺,喜悦能胜忧,热邪损伤皮毛,寒能胜热,辛味损伤皮毛,苦味能胜辛。辛味走气,气病不要多吃辛味食物。多吃苦味,则皮肤干枯而毫毛脱落。
肺经的脉道,起始于中焦,接受足厥阴肝经的气血交接,向下联络大肠,再沿本经外侧上行,回绕胃的上口,蜿蜒穿过膈肌,归属于肺脏。从肺系(气管等与肺相连的组织)出来,横行于胸中,经过中府穴、云门穴,然后出于腋下;向下沿上臂内侧,经过天府穴、侠白穴,行走在手少阴心经、手厥阴心包经这两条经脉的前面,向下进入肘中,到达尺泽穴,沿前臂内侧桡骨之下,经过孔最穴、列缺穴,进入寸口的经渠穴、太渊穴,以上行经过鱼际穴,出于大拇指尖端少商穴;而络脉的分支,从腕后列缺穴分出,到达食指内侧末端,交于手阳明大肠经,经过合谷穴、二间穴、三间穴直到商阳穴,又从商阳穴向上行。
Figure of the Hand-Taiyin Lung Meridian
Figure of the Lung Organ
The *Wei Yan* states: The Lung is the organ that covers the upper part, acting as a canopy (Huagai) above the five zang organs. The *Yi Zhi Xu Yu* states that "Lung" implies vigorous stagnation (Boyu), referring to its qi mechanism being vigorous and stagnant. The *Nan Jing* states: The weight of the Lung is three jin and three liang.
The Lung belonging to the Hand-Taiyin Meridian is known as the "Minister of Instruction" (Xiangfu), from which governance and regulation arise. It unifies the qi of the whole body, primarily houses the Po (Corporeal Soul), and stands in interior-exterior relationship with the Large Intestine. Spleen Earth is the mother of Lung, and Kidney Water is the child of Lung. Lung controls Liver Wood and restricts Heart Fire. Its brilliance manifests in the hair, and it nourishes the skin. It corresponds to the West, the season of Autumn, the color White, the pulse texture is choppy and short, the musical note is Shang, the number is nine, the odor is fishy, it fears Cold, its fluid is nasal discharge, its sound is crying, and its taste is Pungent. In the Five Elements, it belongs to Metal; its external manifestation connects through the nose orifice. Its shape hangs down like a canopy, consisting of six lobes and two ears, totaling eight lobes, attached to the third thoracic vertebra of the spine. Inside, there are twenty-four hollow spaces, empty like a honeycomb, with no perforations at the bottom; thus, it fills upon inhalation and empties upon exhalation, with breathing occurring naturally. It governs the transformation and transportation of clear and turbid qi, serving as the bellows (Tuoyue) of the human body, distributing in rows to circulate qi among the various zang organs. This meridian has abundant qi and scarce blood, with qi and blood entering this meridian during the Yin hour (3-5 AM). When Lung qi is deficient, sighing occurs; when excessive, panting and coughing occur. The normal pulse of the Lung is floating and short; the pulse indicating restriction/restriction by the controlling element is surging. The Lung fails on Bing-Ding days (Fire days). Its associated animal is the Horse, its grain is Rice, and in the heavens, it corresponds to the Great White Star (Venus).
Its clinical manifestations include: propensity to sneezing, sadness, worry, and desire to cry, aversion to cold alternating with fever, pain in the supraclavicular fossa, abdominal pain, shoulder and back pain, distending pain in the lower abdomen to the right of the umbilicus, frequent urination, loose stools, skin pain and numbness, panting, shortness of breath, and visible qi manifestation on the upper cheeks. External cold exposure or consumption of cold drinks damages the Lung. Excess patterns manifest as dreams of weapons and war chaos; deficiency patterns manifest as dreams of fields and plains. Worry injures the Lung, Joy overcomes Worry. Heat injures the skin and hair, Cold overcomes Heat. Pungent taste injures the skin and hair, Bitter taste overcomes Pungent. Pungent enters the Qi level; in Qi disorders, one should not consume much pungent food. Consuming too much bitter taste leads to dry skin and loss of lanugo hair.
The meridian pathway of the Lung begins at the Middle Jiao, receives intersection from the Foot-Jueyin Liver Meridian, descends to connect with the Large Intestine, then returns along the exterior of its own meridian, winds around the stomach opening, meanders upward through the diaphragm, and converges with the Lung organ. From the Lung system (trachea and related tissues), it emerges and runs horizontally across the chest, passing through Zhongfu (LU1) and Yunmen (LU2), then exits under the axilla; it descends along the medial aspect of the arm, passing Tianfu (LU3) and Xiabai (LU4), running anterior to the Hand-Shaoyin Heart Meridian and Hand-Jueyin Pericardium Meridian, descends into the elbow center, reaches Chize (LU5), follows the medial forearm below the radius, passes Kongzui (LU6) and Lieque (LU7), enters the Cun Kou area at Jingqu (LU8) and Taiyuan (LU9), ascends along Yuji (LU10), and exits at the tip of the thumb at Shaoshang (LU11); the branch of the collateral vessels diverges from Lieque (LU7) behind the wrist, reaches the medial end of the index finger, intersects with the Hand-Yangming Large Intestine Meridian, passes Hegu (LI4), Erjian (LI2), Sanjian (LI3), up to Shangyang (LI1), and ascends from Shangyang.