膀胱病者,少腹偏肿而痛,以手按之,则欲小便而不得,肩上热。若脉陷,足小指外侧反胫踝后皆热。若脉陷者,
取委中。膀胱胀者,少腹满而气癃。病先发于膀胱者,背KT 筋痛,小便闭。五日之肾,少腹、腰脊痛,胫 。一日之
小肠胀。一日之脾,闭塞不通,身痛体重。二日不已,死。冬鸡鸣,夏下晡(一云日夕)。厥气客于膀胱,则梦游行。
足太阳之脉,起于目内 ,上额,交巅上。其支者,从巅至耳上角。其直者,从巅入络脑,还出别下项,循肩膊内,
挟脊,抵腰中,入循膂,络肾,属膀胱。其支者,从腰中下会于后阴,下贯臀,入 中。其支者,从膊内左右,别下贯
髋(一作肺),过髀枢,循髀外后廉,过(一本下合) 中,以下贯 内,出外踝之后,循京骨,至小指外侧。是动则病
冲头痛,目似脱,项似拔,脊痛,腰似折,髀不可以曲, 如结, 如列,是为踝厥。是主筋所生病者,痔,疟,狂,
癫疾,头脑顶痛,目黄,泪出,鼽衄,项、背、腰、尻、 、 、脚皆痛,小指不用。盛者,则人迎大再倍于寸口;虚
者,则人迎反小于寸口也。
三焦病者,腹胀气满,小腹尤坚,不得小便,窘急,溢则为水,留则为胀。候在足太阳之外大络,在太阳、少阳之
间,赤见于脉。取委阳。
少腹病肿,不得小便,邪在三焦,约取太阳大络视其结脉与厥阴小络结而血者肿,上及胃脘,取三里。
三焦胀者,气满于皮肤,壳壳然而坚,不疼。热在上焦,因咳为肺痿。热在中焦,因坚。热在下焦,因溺血。
手少阳之脉,起于小指次指之端,上出两指之间,循手表腕,出臂外两骨之间,上贯肘,循 外,上肩,而交出足
少阳之后,入缺盆,交膻中,散络心包,下膈,遍属三焦。其支者,从膻中上出缺盆,上项,挟耳后,直上出耳上角,
以屈下额,至 。其支者,从耳后,入耳中,出走耳前,过客主人前,交颊。至目兑 。是动则病耳聋,辉辉 ,嗌
肿,喉痹。是主气所生病者,汗出,目兑 痛,颊肿,耳后、肩、 、肘、臂外皆痛,小指次指不用。盛者,则人迎大
一倍于寸口;虚者,则人迎反小于寸口也。
膀胱发生病变时,少腹部偏侧肿胀且疼痛,用手按压时,想小便却排不出来,肩部发热。如果脉象下陷,足小指外侧、小腿后侧及踝关节后方都会发热。若脉象下陷,应取委中穴。膀胱胀满时,少腹胀满且排尿困难(气癃)。疾病首先发生在膀胱的,背部筋脉疼痛,小便闭塞。病传至肾,出现少腹、腰脊疼痛,小腿酸痛。再一日传至小肠,出现小肠胀满。再一日传至脾,出现闭塞不通,身体疼痛且沉重。若两天病情未愈,则死亡。冬季在鸡鸣时分(凌晨1-3点),夏季在傍晚时分(一说日落时)死亡。厥逆之气客居于膀胱,则会梦见到处游行。
足太阳膀胱经的经脉,起始于目内眦,向上到达额部,交会于头顶。其支脉,从头顶行至耳上角。其直行主干,从头顶入络于脑,复出分别下行于项部,沿肩膊内侧,夹行于脊柱两旁,抵达腰部中,深入循行于脊内肌肉,联络肾脏,归属于膀胱。其支脉,从腰部向下会合于前后二阴,向下贯穿臀部,进入腘窝中。其支脉,从肩膊内侧左右分出,向下贯穿髋部(一作肺),经过髀枢,沿大腿外侧后缘下行,经过腘窝中,向下贯穿小腿肚内,出于外踝后方,沿京骨穴,到达足小指外侧。本经发生变动就会生病:头痛如冲撞,眼睛像要脱出,颈部像被拔起,脊柱疼痛,腰部像折断,大腿不能弯曲,腘窝中感觉像被捆结一样,小腿肚感觉像被撕裂一样,这称为“踝厥”。本经主要主管筋所生的疾病:痔疮、疟疾、狂证、癫疾,头脑和头顶疼痛,眼睛发黄,流泪,鼻塞流涕或鼻出血,颈、背、腰、尻、腘窝、小腿肚、脚都疼痛,足小指不能活动。脉气盛实的人,人迎脉比寸口脉大二倍;脉气虚弱的人,人迎脉反而小于寸口脉。
三焦发生病变时,腹部胀满气塞,小腹部尤其坚硬,不能小便,窘迫急迫,水液溢出则为水肿,停留体内则为胀满。诊察部位在足太阳膀胱经之外的大络,位于太阳经与少阳经之间,脉色赤红见于血脉。应取委阳穴。
少腹部肿胀,不能小便,邪气在三焦,应当取太阳经的大络,观察其结脉以及厥阴经的小络结聚而有瘀血的地方,肿胀向上延伸至胃脘部,取足三里穴。
三焦胀满时,气充满于皮肤之下,鼓胀而坚硬,但不疼痛。热邪在上焦,因咳嗽导致肺痿。热邪在中焦,导致大便干硬。热邪在下焦,导致尿血。
手少阳三焦经的经脉,起始于无名指末端,向上出于两指之间,沿手腕背面,出于前臂外侧两骨之间,向上贯穿肘部,沿上臂外侧,上行至肩部,而在足少阳胆经之后交出,进入缺盆,交于膻中,散行联络心包,向下穿过横膈,遍属三焦。其支脉,从膻中上行出于缺盆,上项部,夹耳后,直上出于耳上角,然后屈折下行至面颊部,到达眶下部。其支脉,从耳后进入耳中,出走耳前,经过客主人穴(上关穴)前方,交叉于面颊部,到达目外眦。本经发生变动就会生病:耳聋,耳鸣嗡嗡作响,咽喉肿痛,喉痹。本经主要主管气所生的疾病:汗出,目外眦疼痛,脸颊肿胀,耳后、肩、臑、肘、臂外侧都疼痛,无名指不能活动。脉气盛实的人,人迎脉比寸口脉大一倍;脉气虚弱的人,人迎脉反而小于寸口脉。
When the Bladder (Pang Guang) is diseased, there is swelling and pain on one side of the lower abdomen. Pressing with the hand creates the urge to urinate but it cannot be done, accompanied by heat in the shoulder. If the pulse is sunken, there will be heat on the lateral side of the little toe, the posterior aspect of the leg, and behind the ankle. If the pulse is sunken, select Weizhong (BL 40). When the Bladder is distended, the lower abdomen is full and qi stagnation causes difficulty in urination (Qi Long). If the disease originates in the Bladder, there is pain in the tendons of the back and urinary obstruction. After five days, it transmits to the Kidney (Shen), causing pain in the lower abdomen, waist, and spine, and soreness in the calves. One day later, it transmits to the Small Intestine (Xiao Chang), causing distension. One day later, it transmits to the Spleen (Pi), causing blockage and obstruction, body pain, and heaviness. If the condition does not improve after two days, death occurs. In winter, death occurs at Ji Ming time (1:00–3:00 AM); in summer, it occurs at Xia Bu (late afternoon, or sunset according to some texts). When Jue Qi (Rebellious Qi) lodges in the Bladder, the patient dreams of traveling.
The Foot-Taiyang Bladder Meridian (Zu Tai Yang Pang Guang Jing) originates from the inner canthus of the eye, ascends to the forehead, and intersects at the vertex. Its branch goes from the vertex to the supraorbital angle. The main straight line enters the brain from the vertex, emerges separately, descends along the neck, follows the medial aspect of the shoulder blade, runs alongside the spine, reaches the middle of the waist, enters the interior muscles, connects with the Kidney, and belongs to the Bladder. Another branch descends from the waist to converge at the anterior and posterior orifices, passes through the buttocks, and enters the popliteal fossa. Another branch separates from the medial shoulder, descends through the hip (or lung, according to another version), passes through the greater trochanter, follows the posterior-lateral border of the thigh, passes through the popliteal fossa, descends through the calf muscle, emerges behind the lateral malleolus, follows the Jinggu point (BL 64), and reaches the lateral side of the little toe. When this meridian is disturbed, diseases occur: headache as if rushing upwards, eyes feeling as if they are falling out, neck feeling as if being pulled, spinal pain, waist pain as if broken, inability to flex the thigh, a sensation of knotting in the popliteal fossa, and a sensation of splitting in the calf; this is called An Jue (Ankle Reversal). This meridian primarily governs diseases generated by the sinews: hemorrhoids, malaria, mania, epilepsy, pain in the head and vertex, yellow eyes, tearing, nasal congestion or epistaxis, pain in the neck, back, waist, sacrum, popliteal fossa, calf, and foot, and dysfunction of the little toe. When the qi is excess, the Renying (ST 9) pulse is twice as large as the Cunkou (Radial) pulse; when deficient, the Renying pulse is smaller than the Cunkou pulse.
When the Sanjiao (Triple Burner) is diseased, there is abdominal distension and fullness of qi, with the lower abdomen being particularly hard, inability to urinate, and a sense of urgency. If the fluid overflows, it becomes edema; if it stays, it causes distension. The diagnostic sign is located in the large collateral outside the Foot-Taiyang meridian, between the Taiyang and Shaoyang meridians, with redness visible in the vessels. Select Weiyang (BL 39).
If there is swelling in the lower abdomen and inability to urinate due to pathogenic factors in the Sanjiao, one should examine the large collateral of the Taiyang meridian. Observe for constricted pulses and small collaterals of the Jueyin meridian that are knotted with blood. If the swelling extends up to the epigastrium, select Zusanli (ST 36).
When the Sanjiao is distended, qi fills the skin, making it bulging and firm but not painful. Heat in the Upper Jiao leads to Lung Wei (Lung Asthma/Atrophy) due to coughing. Heat in the Middle Jiao leads to dryness/hardness (of stool). Heat in the Lower Jiao leads to hematuria.
The Hand-Shaoyang Sanjiao Meridian (Shou Shao Yang San Jiao Jing) originates from the tip of the ring finger, ascends between the fingers, follows the dorsal wrist, emerges between the two bones of the forearm, ascends through the elbow, follows the lateral aspect of the arm, ascends to the shoulder, crosses behind the Foot-Shaoyang Gallbladder Meridian, enters the Supraclavicular Fossa (Quepen), intersects at the Chest Center (Danzhong), scatters and connects with the Pericardium, descends through the diaphragm, and extensively belongs to the Sanjiao. Its branch rises from Danzhong, emerges from the Supraclavicular Fossa, ascends the neck, runs behind the ear, goes straight up to the supraorbital angle, then curves down to the cheek, reaching the infraorbital region. Another branch enters the ear from behind the ear, exits in front of the ear, passes in front of the Guest Master point (Shangguan, GB 2), intersects at the cheek, and reaches the outer canthus of the eye. When this meridian is disturbed, diseases occur: deafness, buzzing tinnitus, throat swelling, and pharyngeal obstruction. This meridian primarily governs diseases generated by qi: sweating, pain in the outer canthus, cheek swelling, pain in the area behind the ear, shoulder, upper arm, elbow, and lateral arm, and dysfunction of the ring finger. When the qi is excess, the Renying pulse is one times larger than the Cunkou pulse; when deficient, the Renying pulse is smaller than the Cunkou pulse.