祖国医学中的“十二经脉”理论,出自于《素问》《灵枢》。由于人体五脏六腑的“十二经脉”各有两道经脉,一道在于左侧,一道在于右侧,而《灵枢经》对“十二经脉”的论述仅只一个侧面而已。贫道认为:若研究人体“十二经脉”的运行机理,必须将《灵枢经》中有关“十二经脉”的一切论述,综合起来研究,才能悟出“十二经脉”的真谛。如果仅凭《灵抠经》中某一章节对“十二经脉”之片面的论述来分析,即形成种种不可理解的矛盾。例如经云:“手之三阴从胸走手,手之三阳从手走头,足之三阳从头走足,足之三阴从足走腹”。数千年以来中医界人士都遵循这一教条主义传承至今,如果手、足的“十二经脉”一直是按照以上的规律之道循行,即形成自我矛盾:
(一)井荥俞经合的出入矛盾
《灵枢·本输篇》曰:“手太阴肺经,出于少商为井木,溜于鱼际为荥,注于太渊为俞,行于经渠为经,入于尺泽为合。”经日:“手之三阴从脚走手”……如手太阴肺经全是从胸走到手,故从“少商穴”出,是合乎运行道理的,但人于“尺泽穴”、即形成“经气倒流”的矛盾现象。何以手太阴肺经在走过了之道中所“入”呢?此为手三阴经之“入合穴”的“自我矛盾”现象。
《本输篇》曰:“手阳明大肠经,出于商阳为井金,溜于二间为荥,注于三间为俞,过于合谷为原,行于阳溪为经,入手曲地为合。”经云:“手之三阳从手走头”……若手阳明大肠经一直是从手走到头,故人走于“曲池合穴”是合乎运行道理的,但出于“商阳穴”就矛盾了,其“商阳穴”位于手指端,为何从手阳明经的“起点”而出?又为何所出之“商阳穴”,反处于所入的“曲池穴”之后呢?此为手三阳经之“出井穴”的“自我矛盾”现象。关于足三阳经与足三阴经之“出井、人合”的矛盾、亦按以上道理推论,其足三阳经的“入”呈矛盾现象;足三阴经的“出”呈矛盾现象。
(二)根结矛盾
《灵枢·根结篇》云:“太阳根于至阴,结于命门。阳明根于厉兑,结于颡大。少阳根于窍阴,结于窗笼;大阴根于隐白,结于太仓。少阴根子涌泉,结于廉泉。厥阴根于大墩,结于玉英,络于膻中”。经日:“足之三阳从头走足,足之三明从足走腹”。若联系以上足三阳经与足三阴经之走向来推理阴、阳、根、结的居点。其足三阴经的根、结居点是合乎循行规律的,因为足之三明从足走腹,故应根在足、而结在胸上。若是将足三阳经的根,结居点来结合足三阴经的根、结居点相对照定理,其足三阳的“根”当在头;“结”当在足。为何足三阳的“根”反在足、“结”反在头呢?此乃根结矛盾。
(三)根、溜、注、入矛盾
《灵枢·根结篇》云:“足太阳根于至阴,溜于京骨,注于昆仑,入于天柱。足少阳根于窍阴,溜于丘墟,注于阳辅,入于天容。足阳明根于厉兑,溜于阳谷,注于下陵,入于人迎。手太阳根于少泽,溜于阳谷,注于小海,入于天窗。手少阳根于关冲,溜于阳池,注于支沟,入于天聪。手阳明根于商阳,溜于合谷,注于阳溪、入于扶突。”据以上足三阳经与手三阳经的根、溜、注、入走向,若结合手之三阳从手走头、足之三阳从头定足的道理分析,其手主阳经之根、溜、注、入的循行路线是合理的,它是随着手之三阳从手走头的路线而根、溜、注、入的。但是,足三阳经的根、溜、注、入路线就不符合道理了——不但不能从头走足来根、溜、注、入,为何反而“从足走头”而根、溜、注、入呢?此乃根、溜、注、入矛盾。诸如以上有关“十二经脉”的出、入、根、结及根、溜、注、入等经脉循环迂迴的逆行矛盾,从古至今著书者众理纷纭,皆附和围绕着“经典的理义”注释而已,未有剖析说明“十二经脉”之内在所形成的“各种矛盾”而难圆其说。
二.修身练性方悟真谛
笔者初学十二经脉的循行路线,犹如乱丝难以理顺。观历代医家对“经络学说”的见解各持己见,未能获得“十二经脉”运行的奥秘,面对以上所提出的种种矛盾而百思不解。
由于《黄帝内经》中之天人合一整体观念,与道家夫人合一的思想宗旨相同,其著《素问》、《灵枢》的黄帝、歧伯都是得道通天之人,有关经络循环运行的道理,是古圣人在养生炼道中由自身显示出来的玄机奥秘。所以,虽然著出《素问》、《灵枢》于世,却是藏头去尾深隐保密,如未经真师口传心授,实难解释其“真谛”。
为了解开数千年没有解开的“十二经脉”运行的矛盾之谜,笔者于六十年代期间开始修身炼性静化身心,按子午卯酉四时静坐。修炼不久由于机缘巧合而达到“胎息”的境界,终于悟出亲身体验到“十二经脉”运行的“其谛”。
和玄门太极阴阳往返旋转的运动一样,“十二经脉”也是呈现左、右、阴、阳对立的“双向进退运动”。根据其阴阳对立的双向运动,使以前研究“十二经脉”的三个矛盾得到了合理的解释。
关于“十二经脉”在脏、腑、表、里相配合的阴阳对立运动是“小循环运动”,笔者能清楚的用文字表达出来,在后面解释根、溜、注、入矛盾章上详述。而每一个侧面有三道“大循环运动”,但因隐隐约约、恍惚杳冥,且比“小循环运动”更深奥、更玄妙,所以无法用语言文字来形容表达,故只提示一下而已。
附手足三阴三阳的动态现象
贫道有一次在炼午功的“咽津服气”之时,明显感觉吞下一个清凉的圆团降入“下丹田”,随即停止了后天的鼻息,同时在“下丹田”出现了先天呼吸(胎息)即觉得身心非常凉爽明静。而周身的气、血似停若滞,仅清晰的感觉到脐部(下丹田)处,有约3cm的透明圆球在微微的、缓慢地正、反、往、来的周旋着。约十分钟后,即明确感觉到四肢的内、外侧各有三条经脉路线一致的运动着。原来手足之内侧的三阴经与手足之外侧的三阳经以同速反向运动着,即内侧手三阴经向指端运行时,外侧手三阳经则向肩部方向运行。同时,外侧足三阳经向足趾方向运行时,则内侧足三阴经向腹部方向运行。但是,身体另一侧的手,足之三阴经与三阳经的运行,分别与之相反:即左侧的手三阴经向指端运行时,则右侧的手三阴经向腋窝方向运行,其余的三明三阳逆行经脉类推。
由于这种左、右侧相对立往返无休止的三阴三阳同速运动,使我亲身体验到“十二经脉”的运行是呈现双向正、负运行规律的。可是,手三阴经与手三阳经的双向回旋运动不过肘,足三阴经与足三阳经的双向回旋运动不过膝。这种阴、阳、正、负运动便是我悟开十二经脉的关键所在。
我处于这种“服息”的状态历时较长,故清晰地觉察到:
l、左手之手三阴经的机能正运行出至手指的同时,而左手之手三阳经即正运行至头;左足之足三阳经即正运行至足,左足之足三阴经即正运行至腹。同时,其右侧之,足三阴经即反运行至足,右侧之足三阳经即反运行至头,右侧之手三阳经即反运行至手,右侧之手三阴经即反运行至胸中。再接着,右侧正运,而左侧反运。左侧正运,而右侧就反运。正常人每行一个呼吸之时,其左侧约正运行二次负运行二次,右侧亦正运行一次负运行二次。所以十二经脉的内在机能始终都是正、负无休止的升、降、进、退运行。
1左侧正运右侧反运表2右侧正运左侧反运表
左侧手三阴从胸→手右侧手三阴从胸→手
左侧手三阳从手→头右侧手三阳从手→头
左侧足三阳从头→足右侧足三阳从头→足
左侧足三阴从足→腹右侧足三阴从足→腹
右侧足三阴从腹→足左侧足三阴从腹→足
右侧足三阳从足→头左侧足三阳从足→头
右侧手三阳从头→手左侧手三阳从头→手
右侧手三阴从手→胸中左侧手三阴从手→胸中
2.人体中线的督、任二脉是“两条”经脉相合并的,也有左、右各自不同的升降往返运动机能。
3、足三阳经和足三明、经手三阳经和手三阴经、之“别络穴处”的阴阳机能交合,是人体表、里、阴、阳经脉交换最奥秘的联系之所。这一现象、在后章解释根、溜、注、入矛盾的运动中详述。
4、头部的两侧,亦有左、右各自不同的升降进退运动机能,只是运动路线复杂、故感觉不太分明,仅感觉其复杂的经脉升降运动机能,由头部至项部而止。
5、胸腔和腹腔内的脏、腑也有类似的阴阳进退机能运动,但因其脏腑的位置分散而难以分辨清楚。如果依据手、足四肢的三阴经和三阳经之明显对立的运动规律,故对头部和脏阴腑阳的经脉运行,即能够推理而得到解释。
在“胎息”的状态历时达四小时之后,由一点思维念头略心,陡然间我恢复了后天呼吸,周身而由凉转温,其手、足之三阴三阳经脉的运动机能也消失。
根据这次“胎息”的体验,使我多年研究“十二经脉”所遇到种种不可理解的矛盾获得了解释。现将研究“十二经脉”的收获贡献于世,以供爱好研究“十二经脉”的同仁们验证落实,使祖国医学发扬光大。
三、简叙十二经筋
人体十二经筋,是附属十二经脉的“筋肉”,由有形质的类似条索状的组织所组成。十二经筋的分布路线,大致与十二经脉路线相同,遍及人体的前、后、左、右和头、面、四肢。十二经筋共合起来即成为一个完整的人体筋肉组织。所不同的是十二经筋组织不进入“脏腑”只显示在人的表体,犹如房屋的外围墙壁的组成部分,而未涉及墙壁之内的脏腑组织。但十二经筋亦与体内的脏腑有同气相感的联系能供十二经脉的正负运动以贯通阴阳。因十二经筋依靠十二经脉的往来经气濡养。所以凡属足太阳经筋和分支经筋的分布路线,全由足太阳经的往返经气并与一部分足少阴经气而流注于其中。其他的经筋所受经气濡养亦相同。
按十二经筋与十二经脉的关系,若以有形的沟渠相比喻分三种类型:
l、经脉中往来运行的经气似渠中之“流水”(流水应想象成无形的,因经脉的经气是无形的)。
2、经脉路线似渠道里水层下面的“沟槽”。
3、十二经筋则似有形质的渠道里的“边岸”。故有形的边岸是固定不移的,其“十二经筋”在人体上也是固定不移的。由于十二经筋因“热则纵缓”为病较少,而遭受“寒湿侵袭”受病甚多。所以《灵枢·经筋篇》将人体“十二经筋”分配在一年四季的十二月之中。如在某月内遭受了“风寒湿邪”的侵袭、而引起某道经筋路线“固定的段落”拘急疼痛,多为寒邪阻滞,“不通则痛”。凡出现象条索状拘急牵掣疼痛,多为十二经筋受病,宜采取温热燔针治疗。当以局部的疼痛重点为火针取治的“阿是穴”范围:并可采取药物温熨法,或采用现代的电疗传热等方法,都能取得疗效。不过,用火针直激温热甚强,故疗显著。
附:经筋病例
典型病例:陈??,男,56岁,搬运工人,于1994年9月13日就诊。症状:右肩膀外侧患牵掣性疼痛,活动受限,不能上举后伸,疼痛重点在于肩髃与曲池穴处。脉候:左、右阴阳的动脉较平,唯右人迎动脉出现紧象,诊断为手阳明的“经筋受寒”而病。取棉布裹针上浸菜油燃烧,用快速手法燔针劫刺患者的牵掣痛点,主要取刺曲池与肩路穴处。经两次用火针劫刺治后,患者的右肩膀痛止,并运用自如而愈。
四、简叙十二经络
《灵枢·脉度篇》云:“经脉为里,支而横者为络,络之别者为孙。”由此说明络脉是从经脉分出;再由络脉又分出无数的细支名为孙络。
《灵枢·经脉篇》中论有“十五别络”:即手太阳之别“列缺”。手少阳之别“通里”。手心主之别“内关”。手太阳之别“支正”。手阳明之别“偏历”。手少阳之别“外关”。足太阳之别“飞扬”。足阳明之别“丰隆”。足少阳之别“光明”。足大阴之别“公孙”。足少阴之别“大钟”。足厥阴之别“蠡沟”。任脉之别“尾翳”。督脉之别“长强”。另有脾之大络“大包”。共合为十五道“别络脉”。
所谓“别络者”,即有旁出之意。是正经脉的一道分支,是维系十二经脉阴阳经气交换相互平衡的重要途径,犹如运输线只有宽广的大道来输送是不够的,还需要一些分支出的小道予以弥补不足,才能循环运输畅通无阻。故由十五络脉再分出无数孙络遍布周身,共组成一个整体的网络系统,通过十二经脉正、负运动机能的推动下,才使人体的气、血有节奏规律的循环而传、注、周流灌溉全身。人身的络脉比较浮浅,在表体可以见到。《灵枢·经脉篇》曰:“经脉者常不可见也……脉之见者皆络脉也。”又回:“诸脉之浮而常见者皆络脉也。”故凡从表体能见到的皆是络脉。
由于络脉是“血液周流”的通道,故对络脉的虚、实现象,可以从外观上诊断出来。《灵枢·经脉篇》曾云:“凡此十五络脉者,实者必见,虚者必下”。由此说明络脉的实证是血壅血瘀而使血液循环受阻,故在表体可能见到——特别是在四肢部位易于见到络脉的显露结滞郁血现象;络脉的虚证,为络脉内的血液不足、其络脉空虚而血液循环亦差,故络脉必然显得“虚软下萎”,所以在皮肤的表面就不易见到。
祖国医学中的“十二经脉”理论,出自于《素问》和《灵枢》。由于人体五脏六腑的“十二经脉”各有两道经脉,一道在左侧,一道在右侧,而《灵枢经》对“十二经脉”的论述仅只一个侧面而已。贫道认为:若研究人体“十二经脉”的运行机理,必须将《灵枢经》中有关“十二经脉”的一切论述,综合起来研究,才能悟出“十二经脉”的真谛。如果仅凭《灵枢经》中某一章节对“十二经脉”之片面的论述来分析,即形成种种不可理解的矛盾。例如经云:“手之三阴从胸走手,手之三阳从手走头,足之三阳从头走足,足之三阴从足走腹”。数千年以来中医界人士都遵循这一教条主义传承至今,如果手、足的“十二经脉”一直是按照以上的规律之道循行,即形成自我矛盾:
(一)井荥俞经合的出入矛盾
《灵枢·本输篇》曰:“手太阴肺经,出于少商为井木,溜于鱼际为荥,注于太渊为俞,行于经渠为经,入于尺泽为合。”经日:“手之三阴从脚走手”……如手太阴肺经全是从胸走到手,故从“少商穴”出,是合乎运行道理的,但人于“尺泽穴”、即形成“经气倒流”的矛盾现象。何以手太阴肺经在走过了之道中所“入”呢?此为手三阴经之“入合穴”的“自我矛盾”现象。
《本输篇》曰:“手阳明大肠经,出于商阳为井金,溜于二间为荥,注于三间为俞,过于合谷为原,行于阳溪为经,入手曲地为合。”经云:“手之三阳从手走头”……若手阳明大肠经一直是从手走到头,故人走于“曲池合穴”是合乎运行道理的,但出于“商阳穴”就矛盾了,其“商阳穴”位于手指端,为何从手阳明经的“起点”而出?又为何所出之“商阳穴”,反处于所入的“曲池穴”之后呢?此为手三阳经之“出井穴”的“自我矛盾”现象。关于足三阳经与足三阴经之“出井、人合”的矛盾、亦按以上道理推论,其足三阳经的“入”呈矛盾现象;足三阴经的“出”呈矛盾现象。
(二)根结矛盾
《灵枢·根结篇》云:“太阳根于至阴,结于命门。阳明根于厉兑,结于颡大。少阳根于窍阴,结于窗笼;大阴根于隐白,结于太仓。少阴根子涌泉,结于廉泉。厥阴根于大墩,结于玉英,络于膻中”。经日:“足之三阳从头走足,足之三明从足走腹”。若联系以上足三阳经与足三阴经之走向来推理阴、阳、根、结的居点。其足三阴经的根、结居点是合乎循行规律的,因为足之三明从足走腹,故应根在足、而结在胸上。若是将足三阳经的根,结居点来结合足三阴经的根、结居点相对照定理,其足三阳的“根”当在头;“结”当在足。为何足三阳的“根”反在足、“结”反在头呢?此乃根结矛盾。
(三)根、溜、注、入矛盾
《灵枢·根结篇》云:“足太阳根于至阴,溜于京骨,注于昆仑,入于天柱。足少阳根于窍阴,溜于丘墟,注于阳辅,入于天容。足阳明根于厉兑,溜于阳谷,注于下陵,入于人迎。手太阳根于少泽,溜于阳谷,注于小海,入于天窗。手少阳根于关冲,溜于阳池,注于支沟,入于天聪。手阳明根于商阳,溜于合谷,注于阳溪、入于扶突。”据以上足三阳经与手三阳经的根、溜、注、入走向,若结合手之三阳从手走头、足之三阳从头定足的道理分析,其手主阳经之根、溜、注、入的循行路线是合理的,它是随着手之三阳从手走头的路线而根、溜、注、入的。但是,足三阳经的根、溜、注、入路线就不符合道理了——不但不能从头走足来根、溜、注、入,为何反而“从足走头”而根、溜、注、入呢?此乃根、溜、注、入矛盾。诸如以上有关“十二经脉”的出、入、根、结及根、溜、注、入等经脉循环迂迴的逆行矛盾,从古至今著书者众理纷纭,皆附和围绕着“经典的理义”注释而已,未有剖析说明“十二经脉”之内在所形成的“各种矛盾”而难圆其说。
二.修身练性方悟真谛
笔者初学十二经脉的循行路线,犹如乱丝难以理顺。观历代医家对“经络学说”的见解各持己见,未能获得“十二经脉”运行的奥秘,面对以上所提出的种种矛盾而百思不解。
由于《黄帝内经》中之天人合一整体观念,与道家夫人合一的思想宗旨相同,其著《素问》、《灵枢》的黄帝、歧伯都是得道通天之人,有关经络循环运行的道理,是古圣人在养生炼道中由自身显示出来的玄机奥秘。所以,虽然著出《素问》、《灵枢》于世,却是藏头去尾深隐保密,如未经真师口传心授,实难解释其“真谛”。
为了解开数千年没有解开的“十二经脉”运行的矛盾之谜,笔者于六十年代期间开始修身炼性静化身心,按子午卯酉四时静坐。修炼不久由于机缘巧合而达到“胎息”的境界,终于悟出亲身体验到“十二经脉”运行的“其谛”。
和玄门太极阴阳往返旋转的运动一样,“十二经脉”也是呈现左、右、阴、阳对立的“双向进退运动”。根据其阴阳对立的双向运动,使以前研究“十二经脉”的三个矛盾得到了合理的解释。
关于“十二经脉”在脏、腑、表、里相配合的阴阳对立运动是“小循环运动”,笔者能清楚的用文字表达出来,在后面解释根、溜、注、入矛盾章上详述。而每一个侧面有三道“大循环运动”,但因隐隐约约、恍惚杳冥,且比“小循环运动”更深奥、更玄妙,所以无法用语言文字来形容表达,故只提示一下而已。
附手足三阴三阳的动态现象
贫道有一次在炼午功的“咽津服气”之时,明显感觉吞下一个清凉的圆团降入“下丹田”,随即停止了后天的鼻息,同时在“下丹田”出现了先天呼吸(胎息)即觉得身心非常凉爽明静。而周身的气、血似停若滞,仅清晰的感觉到脐部(下丹田)处,有约3cm的透明圆球在微微的、缓慢地正、反、往、来的周旋着。约十分钟后,即明确感觉到四肢的内、外侧各有三条经脉路线一致的运动着。原来手足之内侧的三阴经与手足之外侧的三阳经以同速反向运动着,即内侧手三阴经向指端运行时,外侧手三阳经则向肩部方向运行。同时,外侧足三阳经向足趾方向运行时,则内侧足三阴经向腹部方向运行。但是,身体另一侧的手,足之三阴经与三阳经的运行,分别与之相反:即左侧的手三阴经向指端运行时,则右侧的手三阴经向腋窝方向运行,其余的三明三阳逆行经脉类推。
由于这种左、右侧相对立往返无休止的三阴三阳同速运动,使我亲身体验到“十二经脉”的运行是呈现双向正、负运行规律的。可是,手三阴经与手三阳经的双向回旋运动不过肘,足三阴经与足三阳经的双向回旋运动不过膝。这种阴、阳、正、负运动便是我悟开十二经脉的关键所在。
我处于这种“服息”的状态历时较长,故清晰地觉察到:
l、左手之手三阴经的机能正运行出至手指的同时,而左手之手三阳经即正运行至头;左足之足三阳经即正运行至足,左足之足三阴经即正运行至腹。同时,其右侧之,足三阴经即反运行至足,右侧之足三阳经即反运行至头,右侧之手三阳经即反运行至手,右侧之手三阴经即反运行至胸中。再接着,右侧正运,而左侧反运。左侧正运,而右侧就反运。正常人每行一个呼吸之时,其左侧约正运行二次负运行二次,右侧亦正运行一次负运行二次。所以十二经脉的内在机能始终都是正、负无休止的升、降、进、退运行。
1左侧正运右侧反运表2右侧正运左侧反运表
左侧手三阴从胸→手右侧手三阴从胸→手
左侧手三阳从手→头右侧手三阳从手→头
左侧足三阳从头→足右侧足三阳从头→足
左侧足三阴从足→腹右侧足三阴从足→腹
右侧足三阴从腹→足左侧足三阴从腹→足
右侧足三阳从足→头左侧足三阳从足→头
右侧手三阳从头→手左侧手三阳从头→手
右侧手三阴从手→胸中左侧手三阴从手→胸中
2.人体中线的督、任二脉是“两条”经脉相合并的,也有左、右各自不同的升降往返运动机能。
3、足三阳经和足三明、经手三阳经和手三阴经、之“别络穴处”的阴阳机能交合,是人体表、里、阴、阳经脉交换最奥秘的联系之所。这一现象、在后章解释根、溜、注、入矛盾的运动中详述。
4、头部的两侧,亦有左、右各自不同的升降进退运动机能,只是运动路线复杂、故感觉不太分明,仅感觉其复杂的经脉升降运动机能,由头部至项部而止。
5、胸腔和腹腔内的脏、腑也有类似的阴阳进退机能运动,但因其脏腑的位置分散而难以分辨清楚。如果依据手、足四肢的三阴经和三阳经之明显对立的运动规律,故对头部和脏阴腑阳的经脉运行,即能够推理而得到解释。
在“胎息”的状态历时达四小时之后,由一点思维念头略心,陡然间我恢复了后天呼吸,周身而由凉转温,其手、足之三阴三阳经脉的运动机能也消失。
根据这次“胎息”的体验,使我多年研究“十二经脉”所遇到种种不可理解的矛盾获得了解释。现将研究“十二经脉”的收获贡献于世,以供爱好研究“十二经脉”的同仁们验证落实,使祖国医学发扬光大。
三、简叙十二经筋
人体十二经筋,是附属十二经脉的“筋肉”,由有形质的类似条索状的组织所组成。十二经筋的分布路线,大致与十二经脉路线相同,遍及人体的前、后、左、右和头、面、四肢。十二经筋共合起来即成为一个完整的人体筋肉组织。所不同的是十二经筋组织不进入“脏腑”只显示在人的表体,犹如房屋的外围墙壁的组成部分,而未涉及墙壁之内的脏腑组织。但十二经筋亦与体内的脏腑有同气相感的联系能供十二经脉的正负运动以贯通阴阳。因十二经筋依靠十二经脉的往来经气濡养。所以凡属足太阳经筋和分支经筋的分布路线,全由足太阳经的往返经气并与一部分足少阴经气而流注于其中。其他的经筋所受经气濡养亦相同。
按十二经筋与十二经脉的关系,若以有形的沟渠相比喻分三种类型:
l、经脉中往来运行的经气似渠中之“流水”(流水应想象成无形的,因经脉的经气是无形的)。
2、经脉路线似渠道里水层下面的“沟槽”。
3、十二经筋则似有形质的渠道里的“边岸”。故有形的边岸是固定不移的,其“十二经筋”在人体上也是固定不移的。由于十二经筋因“热则纵缓”为病较少,而遭受“寒湿侵袭”受病甚多。所以《灵枢·经筋篇》将人体“十二经筋”分配在一年四季的十二月之中。如在某月内遭受了“风寒湿邪”的侵袭、而引起某道经筋路线“固定的段落”拘急疼痛,多为寒邪阻滞,“不通则痛”。凡出现象条索状拘急牵掣疼痛,多为十二经筋受病,宜采取温热燔针治疗。当以局部的疼痛重点为火针取治的“阿是穴”范围:并可采取药物温熨法,或采用现代的电疗传热等方法,都能取得疗效。不过,用火针直激温热甚强,故疗显著。
附:经筋病例
典型病例:陈??,男,56岁,搬运工人,于1994年9月13日就诊。症状:右肩膀外侧患牵掣性疼痛,活动受限,不能上举后伸,疼痛重点在于肩髃与曲池穴处。脉候:左、右阴阳的动脉较平,唯右人迎动脉出现紧象,诊断为手阳明的“经筋受寒”而病。取棉布裹针上浸菜油燃烧,用快速手法燔针劫刺患者的牵掣痛点,主要取刺曲池与肩路穴处。经两次用火针劫刺治后,患者的右肩膀痛止,并运用自如而愈。
四、简叙十二经络
《灵枢·脉度篇》云:“经脉为里,支而横者为络,络之别者为孙。”由此说明络脉是从经脉分出;再由络脉又分出无数的细支名为孙络。
《灵枢·经脉篇》中论有“十五别络”:即手太阳之别“列缺”。手少阳之别“通里”。手心主之别“内关”。手太阳之别“支正”。手阳明之别“偏历”。手少阳之别“外关”。足太阳之别“飞扬”。足阳明之别“丰隆”。足少阳之别“光明”。足大阴之别“公孙”。足少阴之别“大钟”。足厥阴之别“蠡沟”。任脉之别“尾翳”。督脉之别“长强”。另有脾之大络“大包”。共合为十五道“别络脉”。
所谓“别络者”,即有旁出之意。是正经脉的一道分支,是维系十二经脉阴阳经气交换相互平衡的重要途径,犹如运输线只有宽广的大道来输送是不够的,还需要一些分支出的小道予以弥补不足,才能循环运输畅通无阻。故由十五络脉再分出无数孙络遍布周身,共组成一个整体的网络系统,通过十二经脉正、负运动机能的推动下,才使人体的气、血有节奏规律的循环而传、注、周流灌溉全身。人身的络脉比较浮浅,在表体可以见到。《灵枢·经脉篇》曰:“经脉者常不可见也……脉之见者皆络脉也。”又回:“诸脉之浮而常见者皆络脉也。”故凡从表体能见到的皆是络脉。
由于络脉是“血液周流”的通道,故对络脉的虚、实现象,可以从外观上诊断出来。《灵枢·经脉篇》曾云:“凡此十五络脉者,实者必见,虚者必下”。由此说明络脉的实证是血壅血瘀而使血液循环受阻,故在表体可能见到——特别是在四肢部位易于见到络脉的显露结滞郁血现象;络脉的虚证,为络脉内的血液不足、其络脉空虚而血液循环亦差,故络脉必然显得“虚软下萎”,所以在皮肤的表面就不易见到。
The theory of the "Twelve Primary Meridians" (Shi'er Jingmai, Twelve Primary Meridians) in Traditional Chinese Medicine originates from the *Suwen* (Basic Questions) and the *Lingshu* (Spiritual Pivot). Since the "Twelve Primary Meridians" associated with the five Zang organs and six Fu organs each have two meridians—one on the left side and one on the right side—the discussions on the "Twelve Primary Meridians" in the *Lingshu Jing* (Spiritual Pivot Classic) only cover one aspect. This humble Daoist practitioner believes that if one wishes to study the mechanism of the operation of the human body's "Twelve Primary Meridians," it is necessary to comprehensively integrate all discussions related to the "Twelve Primary Meridians" in the *Lingshu Jing* to comprehend their true essence. If analysis relies solely on partial discussions of the "Twelve Primary Meridians" found in a single chapter of the *Lingshu Jing*, various incomprehensible contradictions will arise. For example, the classic states: "The three Yin meridians of the hand travel from the chest to the hand; the three Yang meridians of the hand travel from the hand to the head; the three Yang meridians of the foot travel from the head to the foot; the three Yin meridians of the foot travel from the foot to the abdomen." For thousands of years, practitioners of Traditional Chinese Medicine have followed this dogmatic transmission. If the "Twelve Primary Meridians" of the hands and feet always follow the above-mentioned laws of circulation, self-contradictions are formed:
(I) Contradiction of Entry and Exit regarding Well, Spring, Stream, River, and Sea Acupoints
The *Lingshu · Benshu Chapter* states: "The Hand Taiyin Lung Meridian emerges at Shaoshang as the Wood Well point, flows to Yuji as the Fire Spring point, pours into Taiyuan as the Shu Stream point, travels through Jingquan as the Metal River point, and enters Chize as the Earth Sea point." The classic says: "The three Yin meridians of the hand travel from the foot to the hand"... If the Hand Taiyin Lung Meridian entirely travels from the chest to the hand, then emerging from the "Shaoshang acupoint" conforms to the logic of operation. However, entering at the "Chize acupoint" creates a contradictory phenomenon of "reverse flow of meridian Qi." Why does the Hand Taiyin Lung Meridian "enter" after traversing its path? This is a "self-contradictory" phenomenon regarding the "Sea points of entry" for the three Yin meridians of the hand.
The *Benshu Chapter* states: "The Hand Yangming Large Intestine Meridian emerges at Shangyang as the Metal Well point, flows to Erjian as the Water Spring point, pours into Sanjian as the Wood Shu Stream point, passes through Hegu as the Yuan Source point, travels through Yangxi as the Fire River point, and enters Quchi as the Earth Sea point." The classic says: "The three Yang meridians of the hand travel from the hand to the head"... If the Hand Yangming Large Intestine Meridian continuously travels from the hand to the head, then entering the "Quchi Sea point" conforms to the logic of operation. However, emerging from the "Shangyang acupoint" is contradictory. Its "Shangyang acupoint" is located at the tip of the finger; why does it emerge from the "starting point" of the Hand Yangming Meridian? Furthermore, why is the emerged "Shangyang acupoint" positioned after the entered "Quchi acupoint"? This is a "self-contradictory" phenomenon regarding the "Well points of exit" for the three Yang meridians of the hand. Regarding the contradictions of "exit Well points and entry Sea points" for the three Yang meridians of the foot and the three Yin meridians of the foot, the same reasoning applies: the "entry" of the three Yang meridians of the foot presents a contradictory phenomenon; the "exit" of the three Yin meridians of the foot presents a contradictory phenomenon.
(II) Root and Knot Contradiction
The *Lingshu · Genjie Chapter* states: "The Taiyang [meridian] roots at Zhiyin and knots at Mingmen. The Yangming [meridian] roots at Lidui and knots at Sangda. The Shaoyang [meridian] roots at Qiaoyin and knots at Chuanglong; the Taiyin [meridian] roots at Yinbai and knots at Taicang. The Shaoyin [meridian] roots at Yongquan and knots at Lianquan. The Jueyin [meridian] roots at Dazhong and knots at Yuying, connecting to Danzhong." The classic says: "The three Yang meridians of the foot travel from the head to the foot; the three Yin meridians of the foot travel from the foot to the abdomen." If one reasons the locations of Yin, Yang, Root, and Knot by linking the directions of the three Yang meridians of the foot and the three Yin meridians of the foot mentioned above, the Root and Knot locations of the three Yin meridians of the foot conform to the circulation rules. Because the three Yin meridians of the foot travel from the foot to the abdomen, the Root should be at the foot and the Knot at the upper chest. If one compares the Root and Knot locations of the three Yang meridians of the foot with those of the three Yin meridians of the foot according to established principles, the "Root" of the three Yang meridians of the foot should be at the head, and the "Knot" at the foot. Why is the "Root" of the three Yang meridians of the foot actually at the foot and the "Knot" at the head? This is the Root-Knot contradiction.
(III) Contradiction of Root, Flow, Pour, and Enter
The *Lingshu · Genjie Chapter* states: "The Foot Taiyang [meridian] roots at Zhiyin, flows to Jinggu, pours to Kunlun, and enters Tianzhu. The Foot Shaoyang [meridian] roots at Qiaoyin, flows to Qiuxu, pours to Yangfu, and enters Tianrong. The Foot Yangming [meridian] roots at Lidui, flows to Yanggu, pours to Xialing, and enters Renying. The Hand Taiyang [meridian] roots at Shaoze, flows to Yanggu, pours to Xiaohai, and enters Tianchuang. The Hand Shaoyang [meridian] roots at Guanchong, flows to Yangchi, pours to Zhigou, and enters Tiancong. The Hand Yangming [meridian] roots at Shangyang, flows to Hegu, pours to Yangxi, and enters Futu." Based on the Root, Flow, Pour, and Enter directions of the three Yang meridians of the foot and the three Yang meridians of the hand mentioned above, if analyzed in conjunction with the principle that "the three Yang meridians of the hand travel from the hand to the head, and the three Yang meridians of the foot travel from the head to the foot," the circulation routes of Root, Flow, Pour, and Enter for the Hand Yang meridians are reasonable, following the route of the three Yang meridians of the hand traveling from the hand to the head. However, the Root, Flow, Pour, and Enter routes of the three Yang meridians of the foot do not conform to reason—not only can they not Root, Flow, Pour, and Enter from head to foot, but why do they instead "Root, Flow, Pour, and Enter from foot to head"? This is the Root-Flow-Pour-Enter contradiction. Such retrograde contradictions in the circulation of the "Twelve Primary Meridians," including exit, entry, root, knot, and root-flow-pour-enter, have been numerous since ancient times, with scholars offering various interpretations that merely adhere to and annotate around "classic theoretical meanings." None have thoroughly analyzed and explained the "various contradictions" internally formed within the "Twelve Primary Meridians," making it difficult to provide a coherent explanation.
II. Cultivating Character and Nature to Comprehend the True Essence
When I first learned the circulation routes of the Twelve Primary Meridians, it was like untangling chaotic silk. Observing the views of medical masters throughout history on the "Meridian Theory," each held their own opinions, failing to grasp the mystery of the operation of the "Twelve Primary Meridians." Facing the various contradictions proposed above, I pondered endlessly without understanding.
Because the holistic concept of "Unity of Heaven and Humanity" in the *Huangdi Neijing* (Yellow Emperor's Inner Canon) is consistent with the ideological tenet of Daoist "Unity of Man and Heaven," Huangdi and Qibo, who authored the *Suwen* and *Lingshu*, were individuals who had attained the Dao and connected with Heaven. The principles regarding the circulation and operation of meridians are profound mysteries revealed by ancient sages through their own bodies during health preservation and Daoist cultivation. Therefore, although the *Suwen* and *Lingshu* were published to the world, their beginnings and endings were deeply concealed and kept secret. Without oral transmission and heart-to-heart instruction from a true master, it is truly difficult to explain their "true essence."
To unravel the mystery of the operational contradictions of the "Twelve Primary Meridians" that have remained unsolved for thousands of years, I began cultivating my character and nature to quiet my mind and body in the 1960s, practicing meditation according to the four times of Zi, Wu, Mao, and You. Shortly after beginning cultivation, due to fortunate circumstances, I reached the state of "Fetal Breathing" (Taixi), and finally comprehended and personally experienced the "true essence" of the operation of the "Twelve Primary Meridians."
Just as the movement of Yin and Yang rotating back and forth in the Xuanmen Taiji, the "Twelve Primary Meridians" also present a "bidirectional advance and retreat movement" characterized by the opposition of Left/Right and Yin/Yang. Based on this bidirectional movement of opposing Yin and Yang, the three contradictions previously encountered in studying the "Twelve Primary Meridians" received reasonable explanations.
Regarding the Yin-Yang oppositional movement coordinated between Zang organs, Fu organs, exterior, and interior in the "Twelve Primary Meridians," this is the "Small Circulation Movement." I can clearly express this in words, which will be detailed in the later chapter explaining the Root-Flow-Pour-Enter contradiction. However, there are three "Large Circulation Movements" on each side. Due to their indistinct, elusive, and profound nature, being more esoteric and mysterious than the "Small Circulation Movement," they cannot be described or expressed using language and text, so I only hint at them here.
Appendix: Dynamic Phenomena of the Three Yin and Three Yang Meridians of the Hands and Feet
Once, while practicing the "swallowing saliva and receiving Qi" technique during the Wu Gong (Noon Practice), I distinctly felt swallowing a cool, round mass descending into the "Lower Dantian." Immediately afterward, my postnatal nasal breathing stopped, and prenatal breathing (Fetal Breathing) appeared in the "Lower Dantian," making me feel extremely cool and serene in both body and mind. The Qi and Blood throughout my body seemed to stop or stagnate. I only clearly felt that at the navel area (Lower Dantian), a transparent sphere of approximately 3 cm was rotating slightly and slowly in forward, backward, outgoing, and incoming directions. After about ten minutes, I distinctly felt that there were three meridian routes moving consistently on the inner and outer sides of each limb. Originally, the three Yin meridians on the inner sides of the hands and feet and the three Yang meridians on the outer sides moved in opposite directions at the same speed. That is, when the inner Hand Three Yin meridians ran toward the finger tips, the outer Hand Three Yang meridians ran toward the shoulder direction. Simultaneously, when the outer Foot Three Yang meridians ran toward the toe tips, the inner Foot Three Yin meridians ran toward the abdomen direction. However, the operation of the Hand and Foot Three Yin and Three Yang meridians on the other side of the body was respectively opposite: that is, when the left Hand Three Yin meridians ran toward the finger tips, the right Hand Three Yin meridians ran toward the armpit direction. The remaining three Yin and Three Yang reverse meridian operations can be deduced similarly.
Due to this endless, reciprocal, same-speed movement of the Three Yin and Three Yang meridians opposing each other on the left and right sides, I personally experienced that the operation of the "Twelve Primary Meridians" presents a bidirectional positive and negative operational law. However, the bidirectional回旋 (rotary/helical) movement of the Hand Three Yin and Hand Three Yang meridians does not exceed the elbow, and the bidirectional rotary movement of the Foot Three Yin and Foot Three Yang meridians does not exceed the knee. This Yin/Yang, Positive/Negative movement is the key to my comprehension of the Twelve Primary Meridians.
I remained in this "receiving breath" state for a long time, thus clearly perceiving:
1. While the function of the Hand Three Yin meridians of the left hand was operating out to the fingers, the Hand Three Yang meridians of the left hand were simultaneously operating to the head; the Foot Three Yang meridians of the left foot were operating to the foot, and the Foot Three Yin meridians of the left foot were operating to the abdomen. At the same time, the Foot Three Yin meridians of the right side were running inversely to the foot, the Foot Three Yang meridians of the right side were running inversely to the head, the Hand Three Yang meridians of the right side were running inversely to the hand, and the Hand Three Yin meridians of the right side were running inversely to the chest center. Subsequently, the right side operated positively while the left side operated inversely. When the left side operated positively, the right side operated inversely. In a normal person, during each breath, the left side operates positively twice and negatively twice, and the right side also operates positively once and negatively twice. Therefore, the internal functions of the Twelve Primary Meridians are always undergoing endless positive and negative ascending, descending, advancing, and retreating operations.
Table of Positive and Negative Operation Directions of the Twelve Primary Meridians of the Hands and Feet Discovered During Fetal Breathing
Table 1: Left Side Positive Operation, Right Side Inverse Operation | Table 2: Right Side Positive Operation, Left Side Inverse Operation
Left Hand Three Yin: Chest → Hand | Right Hand Three Yin: Chest → Hand
Left Hand Three Yang: Hand → Head | Right Hand Three Yang: Hand → Head
Left Foot Three Yang: Head → Foot | Right Foot Three Yang: Head → Foot
Left Foot Three Yin: Foot → Abdomen | Right Foot Three Yin: Foot → Abdomen
Right Foot Three Yin: Abdomen → Foot | Left Foot Three Yin: Abdomen → Foot
Right Foot Three Yang: Foot → Head | Left Foot Three Yang: Foot → Head
Right Hand Three Yang: Head → Hand | Left Hand Three Yang: Head → Hand
Right Hand Three Yin: Hand → Chest Center | Left Hand Three Yin: Hand → Chest Center
2. The Du (Governor Vessel) and Ren (Conception Vessel) meridians on the midline of the human body are "two" meridians combined, possessing left and right independent ascending/descending and reciprocating operational functions.
3. The intersection of Yin and Yang functions at the "Luo-Connecting Acupoints" of the Foot Three Yang meridians and Foot Three Yin meridians, and the Hand Three Yang meridians and Hand Three Yin meridians, is the most profound connection point for the exchange of exterior/interior and Yin/Yang meridians in the human body. This phenomenon will be detailed in the later chapter explaining the Root-Flow-Pour-Enter contradiction movements.
4. Both sides of the head also possess left and right independent ascending/descending and advancing/retreating operational functions. However, due to the complexity of the movement routes, the sensation is not very distinct; one only feels the complex ascending/descending meridian operational functions stopping from the head to the neck region.
5. The Zang and Fu organs within the thoracic and abdominal cavities also have similar Yin/Yang advancing/retreating functional movements. However, because the positions of these organs are scattered, it is difficult to distinguish them clearly. If one bases reasoning on the obvious oppositional movement laws of the Three Yin and Three Yang meridians of the hands and feet limbs, one can deduce and explain the meridian operations of the head and the Yin of Zang organs and Yang of Fu organs.
After remaining in the "Fetal Breathing" state for four hours, due to a slight wandering of thought, I suddenly recovered postnatal breathing. My whole body turned from cool to warm, and the operational functions of the Hand and Foot Three Yin and Three Yang meridians disappeared.
Based on this experience of "Fetal Breathing," the various incomprehensible contradictions I encountered over many years of researching the "Twelve Primary Meridians" have been explained. I now contribute the fruits of my research on the "Twelve Primary Meridians" to the world, for colleagues who love researching the "Twelve Primary Meridians" to verify and implement, thereby promoting the development of our motherland's medicine.
III. Brief Description of the Twelve Muscle Regions (Jingjin)
The Twelve Muscle Regions (Shi'er Jingjin) of the human body are the "muscles and tendons" attached to the Twelve Primary Meridians, composed of tangible, cord-like tissues. The distribution routes of the Twelve Muscle Regions are roughly the same as those of the Twelve Primary Meridians, covering the front, back, left, right, head, face, and limbs of the human body. Together, the Twelve Muscle Regions form a complete human musculoskeletal system. The difference is that the Twelve Muscle Regions tissue does not enter the "Zang and Fu organs" but only manifests on the body's surface, similar to the outer walls of a house, without involving the internal organ tissues within the walls. However, the Twelve Muscle Regions also have a sympathetic connection with the internal Zang and Fu organs, capable of connecting Yin and Yang through the positive and negative movements of the Twelve Primary Meridians. Because the Twelve Muscle Regions rely on the circulating Qi of the Twelve Primary Meridians for nourishment, the distribution routes of the Foot Taiyang Muscle Region and its branch muscle regions are entirely infused with the reciprocating Qi of the Foot Taiyang Meridian and part of the Qi of the Foot Shaoyin Meridian. The nourishment of Qi received by other Muscle Regions is the same.
According to the relationship between the Twelve Muscle Regions and the Twelve Primary Meridians, if compared to tangible ditches, they can be divided into three types:
1. The Qi circulating within the meridians is like the "flowing water" in the ditch (the flowing water should be imagined as intangible, as the Qi of the meridians is intangible).
2. The meridian routes are like the "ditch channels" beneath the water layer in the ditch.
3. The Twelve Muscle Regions are like the tangible "banks" of the ditch. Thus, the tangible banks are fixed and immovable, and the "Twelve Muscle Regions" on the human body are also fixed and immovable. Because the Twelve Muscle Regions suffer fewer diseases due to "heat causing relaxation," they suffer many diseases from "cold-damp invasion." Therefore, the *Lingshu · Jingjin Chapter* allocates the human "Twelve Muscle Regions" to the twelve months of the four seasons. If invaded by "wind-cold-damp pathogens" in a certain month, causing spasm and pain in a "fixed segment" of a certain Muscle Region route, it is mostly due to cold pathogen obstruction, where "blockage causes pain." Whenever symptoms such as cord-like spasm, pulling, and pain appear, it is mostly a disease of the Twelve Muscle Regions. It is advisable to adopt warm moxibustion or burning needle therapy. The range for fire needle treatment should focus on the local painful areas as "Ashi Points" (painful trigger points). One can also adopt drug warming compresses or modern electrotherapy heat transmission methods, all of which can achieve therapeutic effects. However, direct stimulation with fire needles generates strong warmth, thus yielding significant results.
Appendix: Case of Muscle Region Disease
Typical Case: Chen ??, Male, 56 years old, Porter. Visited on September 13, 1994. Symptoms: Pulling pain on the outer side of the right shoulder, limited mobility, unable to raise or extend posteriorly. The focal point of pain was at the Jianyu and Quchi acupoints. Pulse diagnosis: The arteries of Yin and Yang on the left and right were relatively flat, except for the tight pulse appearing at the right Renying artery. Diagnosed as "Muscle Region Cold Invasion" of the Hand Yangming Meridian. Wrapped cotton cloth around the needle, soaked it in vegetable oil, and burned it. Used rapid technique to perform burning needle piercing (Fan Zhen Jie Ci) on the patient's pulling pain points, mainly piercing the Quchi and Jianyu acupoints. After two treatments with burning needle piercing, the patient's right shoulder pain ceased, and he regained full mobility and recovered.
IV. Brief Description of the Twelve Collateral Vessels (Luo Mai)
The *Lingshu · Maidu Chapter* states: "The Primary Meridians are deep; branches that diverge horizontally are Collaterals (Luo); further divisions of Collaterals are Sun Collaterals." This explains that Collateral vessels branch off from the Primary Meridians; and from the Collaterals, countless fine branches named Sun Collaterals further diverge.
The *Lingshu · Jingmai Chapter* discusses the "Fifteen Major Collaterals": namely, the collateral of the Hand Taiyang is Lieque; the collateral of the Hand Shaoyin is Tongli; the collateral of the Hand Jueyin (Pericardium) is Neiguan; the collateral of the Hand Taiyang is Zhizheng; the collateral of the Hand Yangming is Pianli; the collateral of the Hand Shaoyang is Waiguan; the collateral of the Foot Taiyang is Feiyang; the collateral of the Foot Yangming is Fenglong; the collateral of the Foot Shaoyang is Guangming; the collateral of the Foot Taiyin is Gongsun; the collateral of the Foot Shaoyin is Dazhong; the collateral of the Foot Jueyin is Ligou; the collateral of the Ren Mai is Wei Yi; the collateral of the Du Mai is Changqiang. Additionally, there is the Great Collateral of the Spleen, Dabao. Together, they form fifteen "Major Collateral Vessels."
The term "Major Collateral" implies lateral divergence. It is a branch of the regular Primary Meridian and is an important pathway for maintaining the exchange and mutual balance of Yin and Yang Qi between the Twelve Primary Meridians. Just as transportation lines require not only wide main roads for delivery but also some branching small paths to compensate for deficiencies to ensure smooth circular transport, countless Sun Collaterals further diverge from the fifteen Collateral Vessels, spreading throughout the body to form an integrated network system. Driven by the positive and negative operational functions of the Twelve Primary Meridians, the Qi and Blood of the human body circulate rhythmically and regularly, transmitting, pouring, and irrigating the entire body. The Collateral Vessels of the human body are relatively superficial and visible on the body surface. The *Lingshu · Jingmai Chapter* states: "Primary Meridians are often invisible... what is seen of the vessels are all Collateral Vessels." It also states: "All vessels that float and are commonly visible are Collateral Vessels." Therefore, anything visible from the body surface is a Collateral Vessel.
Since Collateral Vessels are the channels for "blood circulation," the deficiency or excess phenomena of Collateral Vessels can be diagnosed from external appearance. The *Lingshu · Jingmai Chapter* once stated: "Of these fifteen Collateral Vessels, excess conditions must be visible, and deficiency conditions must be sunken." This explains that the excess condition of Collateral Vessels involves blood congestion and stasis obstructing blood circulation, thus possibly visible on the body surface—especially in the limbs where the manifestation of exposed, knotted, and stagnant blood in Collateral Vessels is easy to see. The deficiency condition of Collateral Vessels refers to insufficient blood within the Collateral Vessels, resulting in empty Collateral Vessels and poor blood circulation, thus the Collateral Vessels inevitably appear "soft and flaccid," making them difficult to see on the skin surface.