(增补)
《灵枢》曰∶五脏六腑,各有部分;能别部分,万举万当。庭者,首面也。(庭,天庭也,谓之首面。)
阙上者,(眉间上分。)咽喉也。阙中者,(眉之中。)肺也。下极者,(印堂。)心也。直下者,(山根。)
肝也。肝左者,(山根之左。)胆也。下者,(胃之下。)脾也。方上者,(方始上于脾。)胃也。中央
者,(脾之下,寿之上。)大肠也。挟大肠者,肾也。(肾有两,故挟大肠也。)当肾者,脐也。(肾与大
肠、脐,俱在寿上。)面王以上者,(面王,准头也。鼻为面之王。)小肠也。(准头上色黄,小便难。)
面王以下者,膀胱子处也。(准头之部,又分上下,男小腹痛,卵痛;女子主膀胱子处病。)
颧者,肩也。颧后者,臂也。臂下者,手也。目内 上者,膺乳也。挟绳而上者,背也。(耳旁为绳,臂背为
外,膺乳为内,故在目内 。)循牙车以下者,股也。中央者,膝也。(膝居股胫之中。)膝以下者,胫
也。胫以下者,足也。巨分者,股里也。(巨,大也。上下牙床大分处以候股。牙床司开合,亦如
股里之任屈伸也。)巨屈者,膝膑也。(上下唇交接处是地仓穴,以唇口大为屈转,以候膝膑。又唇为言语饮
食之门户,亦如膝膑为屈伸奔走之关节,俱动而不休,故应候焉。)此五脏六腑肢节之部分也。
【按】《灵枢》此文,雷公问,黄帝答者。细绎经旨,自首面而至膀胱子处十四部,配于明堂者也。
自颧至膝膑十一部,配颧之左右及颧之下也。由此观之,明堂为内,两颧为外,一部之分,而有内外。
黄帝曰∶“明堂者,鼻也。阙者,眉间也。庭者,颜也。”此三者立内部。“蕃者,颊
侧也。蔽者,耳门也。”此二者别外部。又按五官之辨曰∶“明堂骨高以
起,平以直,五脏次于中央,六腑挟于两侧,首面上于阙庭,王宫在于下极。”前后互观,脏腑配于明堂,
肢体列于两颧,上下左右,不更彰彰乎!
(增补)
《灵枢》说:五脏六腑,在面部各有对应的区域;能够辨别这些对应区域,诊疗时就能万无一失。庭部(即天庭),反映头部和面部的情况。
阙上部位(眉间上方),反映咽喉的情况。阙中部位(两眉之间),反映肺的情况。下极部位(印堂),反映心的情况。直下部位(山根,即鼻梁根部),反映肝的情况。肝的左侧(山根的左边),反映胆的情况。下方部位(胃的下部对应区),反映脾的情况。方上部(位于脾区上方),反映胃的情况。中央部位(脾区之下,寿上之上),反映大肠的情况。挟持大肠两侧的部位,反映肾的情况。(因为肾有两个,所以分别挟持在大肠两侧)。正对肾脏的部位,反映肚脐的情况。(肾、大肠、肚脐,都位于寿上区域)。面王以上部位(面王指准头,即鼻尖;鼻为面部之王),反映小肠的情况。(如果准头部位颜色发黄,提示小便困难)。面王以下部位,反映膀胱和子宫的情况。(准头这一区域又分为上下两部分,男性主要反映小腹痛、睾丸痛;女性主要反映膀胱和子宫的疾病)。
颧骨部位,反映肩部的情况。颧骨后方,反映手臂的情况。手臂下方,反映手部的情况。目内眦上方,反映胸膺和乳部的情况。挟持耳旁绳索线向上延伸的部位,反映背部的情况。(耳旁称为绳,臂背在外侧属外,胸乳在内侧属内,所以在目内眦上方反映背部)。沿着牙车(下颌角)向下延伸的部位,反映大腿的情况。中央部位,反映膝盖的情况。(膝盖位于大腿和小腿之间)。膝盖以下部位,反映小腿的情况。小腿以下部位,反映足部的情况。巨分部位(股内侧肌肉丰厚处),反映大腿内侧的情况。(“巨”意为大。上下牙床的大分界处用来候察大腿。牙床主管开合,也如同大腿内侧主管屈伸一样)。巨屈部位(膝髌骨),反映膝盖骨的情况。(上下唇交接处是地仓穴,因为嘴唇口形较大且能屈转,用来候察膝髌。另外,嘴唇是言语饮食的门户,也如同膝髌是屈伸奔走的关节,都是活动不停歇的,所以相应地用来候察)。这就是五脏六腑及肢节在面部的对应区域。
【按语】《灵枢》中的这段文字,是雷公提问,黄帝回答的内容。仔细推究经文的旨意,从首面到膀胱子宫共十四个部位,对应于明堂(鼻部及其周围)。从颧骨到膝髌共十一个部位,对应于颧骨的左右两侧及颧骨下方。由此看来,明堂属于内部对应区,两颧属于外部对应区,一个大的分区中又有内部和外部的区别。
黄帝说:“明堂就是鼻子。阙就是眉间。庭就是颜面。”这三者构成了内部对应区。“蕃就是脸颊侧面。蔽就是耳门。”这两者区分了外部对应区。另外根据五官辨别的说法:“明堂骨骼高起且平直,五脏依次排列在中央,六腑夹在两侧,首面反映在阙庭,心宫位于下极。”前后对照观察,脏腑对应于明堂,肢体列于两颧,上下左右的对应关系不是更加明显吗!
(Supplement)
The *Ling Shu* (Spiritual Pivot) states: The Five Zang organs and Six Fu organs each have corresponding areas on the face; if one can distinguish these areas, ten thousand treatments will be accurate. The Ting area (i.e., the upper forehead/Tian Ting) reflects the head and face.
The area above the Que (above the glabella) reflects the pharynx and larynx. The center of the Que (between the eyebrows) reflects the Lung. The Xia Ji point (Yin Tang, between the eyebrows at the root of the nose) reflects the Heart. The area directly below (Shan Gen, the root of the nasal bridge) reflects the Liver. To the left of the Liver area (to the left of Shan Gen) is the Gallbladder. The lower area (corresponding to the lower part of the Stomach region) reflects the Spleen. The Fang Shang area (located above the Spleen region) reflects the Stomach. The Zhong Yang area (below the Spleen, above Shou Shang) reflects the Large Intestine. The areas flanking the Large Intestine reflect the Kidney. (Since there are two Kidneys, they flank the Large Intestine on both sides). The area directly opposite the Kidneys reflects the umbilicus. (The Kidneys, Large Intestine, and umbilicus are all located in the Shou Shang region). The area above the Mian Wang (Mian Wang refers to Zhun Tou, the nasal tip; the nose is the king of the face) reflects the Small Intestine. (If the color of the Zhun Tou is yellow, it indicates difficulty in urination). The area below the Mian Wang reflects the Bladder and the uterus. (The Zhun Tou area is further divided into upper and lower parts; in men, it primarily reflects lower abdominal pain and testicular pain; in women, it primarily reflects diseases of the Bladder and uterus).
The cheekbone (Quan) reflects the shoulder. Behind the cheekbone reflects the arm. Below the arm reflects the hand. Above the inner canthus reflects the chest and breast. The area extending upward along the "cord" (side of the ear) reflects the back. (The side of the ear is called the cord; the arm and back are external, while the chest and breast are internal, hence the back is reflected above the inner canthus). Following the Ya Che (mandibular angle) downward reflects the thigh. The central area reflects the knee. (The knee is situated between the thigh and the leg). Below the knee reflects the lower leg. Below the lower leg reflects the foot. The Ju Fen area (the fleshy medial aspect of the thigh) reflects the medial thigh. ("Ju" means large. The major division between the upper and lower jaws is used to observe the thigh. The jaw governs opening and closing, just as the medial thigh governs flexion and extension). The Ju Qu area (kneecap/patella) reflects the patella. (The junction of the upper and lower lips is the Dicang acupoint; because the mouth is large and capable of flexion and rotation, it is used to observe the patella. Furthermore, the mouth is the gateway for speech and eating, just as the patella is the joint for flexion, extension, running, and walking; both are constantly active, hence they correspondingly serve as observation points). These are the corresponding areas of the Five Zang organs, Six Fu organs, and limbs/joints on the face.
[Commentary] This passage from the *Ling Shu* is a dialogue where Lei Gong asks and Huang Di answers. Carefully analyzing the intent of the classic, the fourteen areas from the head/face down to the Bladder and uterus correspond to the Ming Tang (nose and surrounding area). The eleven areas from the cheekbone to the patella correspond to the left and right sides of the cheekbones and the area below them. From this, we see that the Ming Tang represents the internal correspondence zone, while the two cheekbones represent the external correspondence zone; within one major division, there are internal and external distinctions.
Huang Di said: "The Ming Tang is the nose. The Que is the glabella. The Ting is the forehead." These three constitute the internal correspondence zone. "The Fan is the lateral cheek. The Bi is the ear gate." These two distinguish the external correspondence zone. Additionally, according to the differentiation of the five sense organs: "The bone of the Ming Tang should be high and rising, flat and straight; the Five Zang organs are arranged sequentially in the center, the Six Fu organs flank on both sides, the head and face are reflected in the Que and Ting, and the Palace of the King (Heart) is located at the Xia Ji." Observing this before and after, the Zang and Fu organs correspond to the Ming Tang, and the limbs are listed on the two cheekbones; are not the correspondences of up-down and left-right even more evident!