《生气通天论》曰∶因而强力，肾气乃伤，高骨乃坏。又曰∶味过于咸，大骨气劳，短
肌，
心气抑。王冰云∶高骨，腰高之骨也。喻嘉言云∶大骨即高骨，常有高僧绝欲，只因味过于
咸，以致精泄溃败，堕其前功。窃以为二说皆非也。高骨者，阴上毛际之横骨也，非腰高之
骨。腰有何高骨耶?强力者，即强力入房，交合太过也。此骨为肝、肾之经所系，交合太过
，不但五内之气伤，而外经所系之高骨亦坏。每有多战强泄者，毛际横骨隐作酸疼，是其征
也。《洗冤录》辨俗言妇人贞洁从一者，其阴骨洁白；其淫而多夫者，则全变成黑。非也。
凡室女及妇人未生产者，其骨皆白；生育多者，其骨皆黑。无关贞淫也。妇人生产多而骨坏
，不可知男子交合多而骨坏乎?此骨为肝、肾所系，大筋所结，横束下焦；若坏，则筋弛而
无束，五脏之气，膀胱之津液，肾之精，皆有下泄不禁之虞矣!岂尚堪长寿乎?
大骨，则举人身脊骨、臂骨、肘骨、 骨而赅之也。气劳者，咸走骨，骨病无多食咸，
咸味
入骨，则津液凝涩，骨失所养，骨中之气热而燔矣，故曰劳也。凡人食咸则渴，血汁举为所
涩，骨髓不得荣养，其烦劳也，不亦宜乎?然则高骨也，大骨也，一乎二乎?高骨坏者，精不
固，传为虚损；大骨劳者，骨内蒸发为痈、疽、痿、痹，甚则枯槁。
《素问·生气通天论》说：如果因为强力房事，肾气就会受损，高骨就会败坏。又说：口味过于咸，大骨之气劳损，肌肉短缩，心气受抑。王冰注释说：高骨，是指腰部高耸的骨头。喻嘉言说：大骨就是高骨，常有高僧断绝欲望，只因为口味过于咸，导致精气泄漏溃败，毁掉了之前的修行成果。我认为这两种说法都不对。高骨，是指阴毛边缘的横骨，不是腰部高耸的骨头。腰部有什么高耸的骨头呢？强力，就是指强力进行房事，性交过度。这块骨头由肝、肾的经脉所联系，性交过度，不仅损伤五脏内部的气，而且与外经相连的高骨也会败坏。常常有频繁交合且强行泄精的人，阴毛处的横骨隐隐作酸痛，这就是征象。《洗冤录》辨析民间说法认为妇女贞洁从一而终的，其阴骨洁白；淫乱多夫的，则完全变成黑色。这是不对的。凡是处女及未生育过的妇人，她们的骨头都是白色的；生育多的，骨头都是黑色的。这与贞洁或淫乱无关。妇人因生产多而导致骨坏，难道不能推断男子因交合多也会导致骨坏吗？这块骨头由肝、肾所系，是大筋结聚之处，横向束缚下焦；如果败坏，则筋弛缓而无约束力，五脏的气，膀胱的津液，肾的精，都有向下泄漏无法控制的危险了！哪里还能承受长寿呢？
大骨，则是泛指人身体的脊骨、臂骨、肘骨、髌骨等全部包括在内。气劳，是指咸味入骨，骨病不应多吃咸味，咸味进入骨骼，则津液凝滞涩结，骨骼失去滋养，骨中的气热而焚烧，所以说叫“劳”。凡人吃咸了就口渴，血液汁液都被它涩滞，骨髓得不到荣养，那种烦劳，不也是应该的吗？那么高骨和大骨，是一个还是两个呢？高骨败坏的，是精气不固，流传为虚损病；大骨劳损的，是骨内蒸发热气成为痈、疽、痿、痹，甚至枯槁。
The *Suwen: Treatise on the Heavenly Origin of Vital Qi* states: "If one engages in strenuous sexual activity, the Kidney Qi will be damaged, and the High Bone will deteriorate." It also states: "If the taste is excessively salty, the Qi of the Great Bone will be exhausted, the muscles will become short and contracted, and the Heart Qi will be suppressed." Wang Bing commented: "The High Bone refers to the prominent bone of the lower back." Yu Jiayan stated: "The Great Bone is the same as the High Bone. There are often high monks who have abstained from desire, but due to an excessively salty diet, their essence leaks and disintegrates, ruining their previous efforts. I believe both explanations are incorrect. The High Bone is the transverse bone at the pubic symphysis (the area of pubic hair), not the prominent bone of the lumbar region. What prominent bone exists in the waist? 'Strenuous activity' refers to vigorous intercourse with excessive frequency. This bone is connected by the meridians of the Liver and Kidney. Excessive intercourse not only damages the Qi of the five internal organs but also causes the High Bone, which is linked to the exterior meridians, to deteriorate. Many individuals who engage in frequent intercourse and forceful ejaculation experience a dull, sour pain in the transverse bone at the pubic region; this is a sign. The *Xi Yuan Lu* refutes the folk belief that women who remain chaste and faithful have white pelvic bones, while those who are promiscuous have black ones. This is incorrect. All virgins and women who have not given birth have white bones; those who have given birth many times have black bones. This has nothing to do with chastity or promiscuity. If multiple births can cause deterioration of a woman's bones, why could it not be inferred that excessive intercourse causes bone deterioration in men? This bone is connected to the Liver and Kidney, formed by the convergence of large tendons, and horizontally binds the Lower Jiao. If it deteriorates, the tendons become lax and lose their binding function, leading to the risk of uncontrolled leakage of the Qi of the five zang organs, the fluids of the Bladder, and the essence of the Kidneys! How could such a person still expect longevity?
The Great Bone generally refers to the vertebral column, arm bones, elbow bones, patella, and other bones throughout the body. 'Qi exhaustion' here implies that salty flavors enter the bones; when there are bone diseases, one should not consume excessive salt. When salty flavor enters the bones, body fluids become stagnant and viscous, causing the bones to lose nourishment. The heat within the bone qi burns fiercely, hence it is called 'exhaustion.' When people consume salt, they feel thirsty because blood and juices become viscous, and the marrow fails to receive proper nourishment; thus, their feeling of fatigue and vexation is indeed appropriate. So, are the High Bone and the Great Bone one or two distinct entities? Deterioration of the High Bone results from insecure essence, manifesting as deficiency consumptive diseases. Exhaustion of the Great Bone involves heat evaporating from within the bones, leading to sores, carbuncles, flaccidity, and bi-syndrome, and even severe emaciation.