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黃帝內經-靈樞第13章,經筋在線閱讀

中藥大全 2023-09-21 11:22:23

黃帝內經-靈樞》第13章 經筋


足(zu)太陽之筋,起于(yu)(yu)足(zu)小趾,上(shang)(shang)(shang)(shang)結于(yu)(yu)踝,邪上(shang)(shang)(shang)(shang)結于(yu)(yu)膝,其(qi)下(xia)(xia)循足(zu)外側,結于(yu)(yu)踵(zhong),上(shang)(shang)(shang)(shang)循跟(gen),結于(yu)(yu)腘;其(qi)別者(zhe),結于(yu)(yu)踹外,上(shang)(shang)(shang)(shang)腘中內(nei)廉(lian),與腘中并上(shang)(shang)(shang)(shang)結于(yu)(yu)臀,上(shang)(shang)(shang)(shang)挾脊(ji)上(shang)(shang)(shang)(shang)項;其(qi)支(zhi)者(zhe),別入結于(yu)(yu)舌本;其(qi)直者(zhe),結于(yu)(yu)枕(zhen)骨,上(shang)(shang)(shang)(shang)頭,下(xia)(xia)顏,結于(yu)(yu)鼻;其(qi)支(zhi)者(zhe),為(wei)(wei)目(mu)上(shang)(shang)(shang)(shang)網,下(xia)(xia)結于(yu)(yu)頄;其(qi)支(zhi)者(zhe),從腋(ye)后(hou)外廉(lian)結于(yu)(yu)肩髃;其(qi)支(zhi)者(zhe),入腋(ye)下(xia)(xia),上(shang)(shang)(shang)(shang)出(chu)(chu)缺(que)盆,上(shang)(shang)(shang)(shang)結于(yu)(yu)完骨;其(qi)支(zhi)者(zhe),出(chu)(chu)缺(que)盆,邪上(shang)(shang)(shang)(shang)出(chu)(chu)于(yu)(yu)頄。其(qi)病小趾支(zhi)跟(gen)腫痛,腘攣,脊(ji)反折,項筋急,肩不(bu)(bu)舉,腋(ye)支(zhi)缺(que)盆中紐痛,不(bu)(bu)可(ke)左右搖″在燔針劫刺,以知(zhi)為(wei)(wei)數(shu),以痛為(wei)(wei)輸,名(ming)曰(yue)仲春痹也。

足少陽之(zhi)筋,起于(yu)(yu)小指次指,上(shang)結(jie)外踝,上(shang)循脛外廉,結(jie)于(yu)(yu)膝(xi)(xi)外廉;其(qi)支(zhi)者別(bie)起外輔骨,上(shang)走(zou)髀,前(qian)者結(jie)于(yu)(yu)伏兔之(zhi)上(shang),后(hou)(hou)者,結(jie)于(yu)(yu)尻;其(qi)直者,上(shang)乘(cheng)(cheng)?季脅(xie),上(shang)走(zou)腋前(qian)廉,系于(yu)(yu)膺乳,結(jie)于(yu)(yu)缺盆;直者,上(shang)出(chu)腋,貫缺盆,出(chu)太陽之(zhi)前(qian),循耳后(hou)(hou),上(shang)額角(jiao),交(jiao)巔上(shang),下走(zou)頷,上(shang)結(jie)于(yu)(yu)頄;支(zhi)者,結(jie)于(yu)(yu)目眥為(wei)外維。具(ju)病(bing)小指次指支(zhi)轉筋,引(yin)膝(xi)(xi)外轉筋,膝(xi)(xi)不可(ke)屈伸,腘筋急前(qian)引(yin)髀,后(hou)(hou)引(yin)尻,即(ji)上(shang)乘(cheng)(cheng)?季脅(xie)痛,上(shang)引(yin)缺盆、膺乳、頸維筋急。從左(zuo)之(zhi)右(you)(you),右(you)(you)目不開,上(shang)過右(you)(you)角(jiao),并蹺脈而行,左(zuo)絡(luo)于(yu)(yu)右(you)(you),故傷左(zuo)角(jiao),右(you)(you)足不用,命曰維筋相(xiang)交(jiao)。治在燔針劫刺,以(yi)知(zhi)為(wei)數,以(yi)痛為(wei)輸,名曰孟春(chun)痹也。

足(zu)陽明之筋(jin),起(qi)于(yu)(yu)(yu)(yu)(yu)中(zhong)三指,結(jie)于(yu)(yu)(yu)(yu)(yu)跗上(shang)(shang)(shang)(shang),邪外(wai)上(shang)(shang)(shang)(shang)加于(yu)(yu)(yu)(yu)(yu)輔(fu)骨,上(shang)(shang)(shang)(shang)結(jie)于(yu)(yu)(yu)(yu)(yu)膝外(wai)廉(lian),直上(shang)(shang)(shang)(shang)結(jie)于(yu)(yu)(yu)(yu)(yu)髀(bi)樞,上(shang)(shang)(shang)(shang)循脅屬脊(ji);其(qi)(qi)直者,上(shang)(shang)(shang)(shang)循骭,結(jie)于(yu)(yu)(yu)(yu)(yu)缺(que)盆;其(qi)(qi)支者,結(jie)于(yu)(yu)(yu)(yu)(yu)外(wai)輔(fu)骨,合少陽;其(qi)(qi)直者,上(shang)(shang)(shang)(shang)循伏(fu)兔,上(shang)(shang)(shang)(shang)結(jie)于(yu)(yu)(yu)(yu)(yu)髀(bi),聚(ju)于(yu)(yu)(yu)(yu)(yu)陰器,上(shang)(shang)(shang)(shang)腹而(er)布(bu),至缺(que)盆而(er)結(jie),上(shang)(shang)(shang)(shang)頸,上(shang)(shang)(shang)(shang)挾口,合于(yu)(yu)(yu)(yu)(yu)頄(pan),下結(jie)于(yu)(yu)(yu)(yu)(yu)鼻,上(shang)(shang)(shang)(shang)合于(yu)(yu)(yu)(yu)(yu)太陽。太陽為目上(shang)(shang)(shang)(shang)網(wang)(wang),陽明為目下網(wang)(wang);其(qi)(qi)支者,從(cong)頰(jia)結(jie)于(yu)(yu)(yu)(yu)(yu)耳(er)前(qian)。其(qi)(qi)病足(zu)中(zhong)指支脛轉筋(jin),腳跳堅,伏(fu)兔轉筋(jin),髀(bi)前(qian)踵,潰疝,腹筋(jin)急(ji),引缺(que)盆及頰(jia),卒口僻;急(ji)者,目不合,熱(re)則筋(jin)縱(zong),目不開頰(jia)筋(jin)有寒,則急(ji),引頰(jia)移口,有熱(re)則筋(jin)弛縱(zong),緩(huan)不勝收(shou),故(gu)僻。治之以(yi)(yi)馬膏,其(qi)(qi)急(ji)者;以(yi)(yi)白酒和桂,以(yi)(yi)涂其(qi)(qi)緩(huan)者,以(yi)(yi)桑(sang)鉤(gou)鉤(gou)之即以(yi)(yi)生(sheng)桑(sang)炭置之坎中(zhong),高下以(yi)(yi)坐等。以(yi)(yi)膏熨(yun)急(ji)頰(jia),且飲美酒,啖美炙肉(rou),不飲酒者,自強也(ye),為之三拊(fu)而(er)已。治在燔針劫(jie)刺,以(yi)(yi)知為數,以(yi)(yi)痛為輸,名曰(yue)季春痹也(ye)。

足太陰(yin)之(zhi)筋,起于(yu)大指之(zhi)端(duan)內(nei)(nei)側,上(shang)結(jie)于(yu)內(nei)(nei)踝;其直者,絡于(yu)膝(xi)內(nei)(nei)輔骨,上(shang)循陰(yin)股,結(jie)于(yu)髀,聚于(yu)陰(yin)器(qi),上(shang)腹結(jie)于(yu)臍,循腹里,結(jie)于(yu)肋,散于(yu)胸中(zhong);其內(nei)(nei)者,著(zhu)于(yu)脊。其病足大指支內(nei)(nei)踝痛(tong)(tong),轉筋痛(tong)(tong)膝(xi)內(nei)(nei)輔骨痛(tong)(tong),陰(yin)股引(yin)(yin)髀而痛(tong)(tong),陰(yin)器(qi)紐(niu)痛(tong)(tong),下引(yin)(yin)臍兩(liang)脅(xie)痛(tong)(tong),引(yin)(yin)膺(ying)中(zhong)脊內(nei)(nei)痛(tong)(tong)。治在燔針(zhen)劫刺,以知為數,以痛(tong)(tong)為輸,命曰孟(meng)秋痹(bi)也。

足少陰(yin)之筋(jin)(jin),起于(yu)(yu)小指之下并(bing)足太陰(yin)之筋(jin)(jin),邪走內(nei)踝之下,結(jie)(jie)于(yu)(yu)踵,與太陽(yang)之筋(jin)(jin)合,而(er)(er)上(shang)結(jie)(jie)于(yu)(yu)內(nei)輔之下并(bing)太陰(yin)之筋(jin)(jin),而(er)(er)上(shang)循陰(yin)股,結(jie)(jie)于(yu)(yu)陰(yin)器,循脊內(nei)挾膂上(shang)至(zhi)項,結(jie)(jie)于(yu)(yu)枕(zhen)骨(gu),與足太陽(yang)之筋(jin)(jin)合。其病(bing)足下轉(zhuan)筋(jin)(jin),及(ji)(ji)所過(guo)而(er)(er)結(jie)(jie)者皆痛(tong)及(ji)(ji)轉(zhuan)及(ji)(ji)轉(zhuan)筋(jin)(jin)。病(bing)在此(ci)者,主癎(xian)瘈及(ji)(ji)痙,在外(wai)者不能(neng)挽,在內(nei)者不能(neng)仰。故陽(yang)病(bing)者,腰反折(zhe)不能(neng)俛,陰(yin)病(bing)者,不能(neng)仰。治在燔針劫刺以(yi)知(zhi)為數(shu),以(yi)痛(tong)為輸。在內(nei)者熨引飲藥,此(ci)筋(jin)(jin)折(zhe)紐(niu)(niu),紐(niu)(niu)發數(shu)甚者死不治,名曰仲秋痹(bi)也。

足厥陰(yin)(yin)之(zhi)(zhi)(zhi)筋(jin),起(qi)于(yu)(yu)大指之(zhi)(zhi)(zhi)上(shang)(shang)(shang),上(shang)(shang)(shang)結(jie)(jie)于(yu)(yu)內(nei)(nei)(nei)(nei)踝之(zhi)(zhi)(zhi)前(qian),上(shang)(shang)(shang)循(xun)脛,上(shang)(shang)(shang)結(jie)(jie)內(nei)(nei)(nei)(nei)輔之(zhi)(zhi)(zhi)下(xia),上(shang)(shang)(shang)循(xun)陰(yin)(yin)股,結(jie)(jie)于(yu)(yu)陰(yin)(yin)器(qi),絡諸(zhu)筋(jin)。其病(bing)足大指支(zhi),內(nei)(nei)(nei)(nei)踝之(zhi)(zhi)(zhi)前(qian)痛(tong)(tong),內(nei)(nei)(nei)(nei)輔痛(tong)(tong),陰(yin)(yin)股痛(tong)(tong)轉筋(jin),陰(yin)(yin)器(qi)不用,傷于(yu)(yu)內(nei)(nei)(nei)(nei)則(ze)不起(qi),傷于(yu)(yu)寒(han)則(ze)陰(yin)(yin)縮入(ru),傷于(yu)(yu)熱(re)則(ze)縱挺不收,治(zhi)(zhi)在行(xing)水(shui)清陰(yin)(yin)氣(qi);其病(bing)轉筋(jin)者(zhe)(zhe),治(zhi)(zhi)在燔針(zhen)劫(jie)刺(ci),以知為(wei)(wei)數(shu)(shu),以痛(tong)(tong)為(wei)(wei)輸,命曰季秋痹也(ye)。手太(tai)陽之(zhi)(zhi)(zhi)筋(jin),起(qi)于(yu)(yu)小(xiao)(xiao)指之(zhi)(zhi)(zhi)上(shang)(shang)(shang),結(jie)(jie)于(yu)(yu)腕,上(shang)(shang)(shang)循(xun)臂內(nei)(nei)(nei)(nei)廉(lian)(lian),結(jie)(jie)于(yu)(yu)肘(zhou)內(nei)(nei)(nei)(nei)銳骨之(zhi)(zhi)(zhi)后,彈之(zhi)(zhi)(zhi)應小(xiao)(xiao)指之(zhi)(zhi)(zhi)上(shang)(shang)(shang),入(ru)結(jie)(jie)于(yu)(yu)腋下(xia);其支(zhi)者(zhe)(zhe),后走腋后廉(lian)(lian),上(shang)(shang)(shang)繞(rao)肩胛,循(xun)頸出走太(tai)陽之(zhi)(zhi)(zhi)前(qian),結(jie)(jie)于(yu)(yu)耳后完骨;其支(zhi)者(zhe)(zhe),入(ru)耳中(zhong)(zhong);直者(zhe)(zhe)出耳上(shang)(shang)(shang),下(xia)結(jie)(jie)于(yu)(yu)頷,上(shang)(shang)(shang)屬(shu)目外眥。其病(bing)小(xiao)(xiao)指支(zhi)肘(zhou)內(nei)(nei)(nei)(nei)銳骨后廉(lian)(lian)痛(tong)(tong),循(xun)臂陰(yin)(yin),入(ru)腋下(xia),腋下(xia)痛(tong)(tong),腋后廉(lian)(lian)痛(tong)(tong),繞(rao)肩胛引(yin)頸而(er)痛(tong)(tong),應耳中(zhong)(zhong)鳴痛(tong)(tong)引(yin)頷,目瞑良(liang)久乃得視,頸筋(jin)急(ji),則(ze)為(wei)(wei)筋(jin)痿,頸腫(zhong),寒(han)熱(re)在頸者(zhe)(zhe)。治(zhi)(zhi)在燔針(zhen)劫(jie)刺(ci)之(zhi)(zhi)(zhi),以知為(wei)(wei)數(shu)(shu),以痛(tong)(tong)為(wei)(wei)輸。其為(wei)(wei)腫(zhong)者(zhe)(zhe),復而(er)銳之(zhi)(zhi)(zhi)。本支(zhi)者(zhe)(zhe)上(shang)(shang)(shang)曲牙,循(xun)耳前(qian)屬(shu)目外眥,上(shang)(shang)(shang)頜(he)結(jie)(jie)于(yu)(yu)角,其痛(tong)(tong)當所(suo)過者(zhe)(zhe)支(zhi)轉筋(jin)。治(zhi)(zhi)在燔針(zhen)劫(jie)刺(ci),以知為(wei)(wei)數(shu)(shu),以痛(tong)(tong)為(wei)(wei)輸,名曰仲夏痹也(ye)。

手(shou)少陽之(zhi)筋,起(qi)于小指(zhi)(zhi)次指(zhi)(zhi)之(zhi)端,結于腕,上(shang)(shang)循臂,結于肘,上(shang)(shang)繞臑外廉(lian)、上(shang)(shang)肩、走(zou)頸(jing),合手(shou)太陽;其支(zhi)(zhi)者(zhe),當曲頰入系(xi)舌本;其支(zhi)(zhi)者(zhe),上(shang)(shang)曲牙,循耳(er)前(qian),屬(shu)目外眥(zi),上(shang)(shang)乘頷,結于角o其病當所(suo)過者(zhe),即支(zhi)(zhi)轉筋,舌卷。治在(zai)燔針劫刺,以知為數,以痛為輸,名(ming)曰(yue)季夏痹也。

手陽明之筋,起于(yu)大指次指之端,結于(yu)腕(wan),上循臂,上結于(yu)肘外,上臑,結于(yu)髃(yu);其(qi)支者(zhe)(zhe)(zhe),繞肩(jian)胛,挾脊;直者(zhe)(zhe)(zhe),從(cong)肩(jian)髃(yu)上頸;具支者(zhe)(zhe)(zhe),上頰,結于(yu)頄;直者(zhe)(zhe)(zhe),上出手太陽之前,上左角(jiao),絡頭下右(you)頷,其(qi)病當所(suo)過者(zhe)(zhe)(zhe),支痛及轉筋,肩(jian)不(bu)舉,頸不(bu)可(ke)左右(you)視。治在燔針劫刺,以(yi)知(zhi)為數(shu),以(yi)痛為輸名(ming)曰孟夏(xia)痹(bi)也。

手(shou)太陰之筋,起(qi)于(yu)大指之上(shang)行(xing),結于(yu)魚后,行(xing)寸(cun)口外側,上(shang)循臂,結肘中,上(shang)臑內(nei)廉(lian),入(ru)腋下,出缺盆.結肩(jian)前(qian)髃,上(shang)結缺盆,下結胸里,散貫賁,合賁下抵季脅。其病當所過者,支轉筋,痛(tong)甚(shen)成息賁,脅急(ji)吐(tu)血。治在燔針劫刺,以(yi)知為數(shu),以(yi)痛(tong)為輸。名曰(yue)仲(zhong)冬痹也。

手心主之(zhi)筋(jin),起于中指(zhi),與(yu)太(tai)陰之(zhi)筋(jin)并行,結于肘內廉,上臂陰結腋下(xia),下(xia)散前后挾脅;其支(zhi)者,入腋,散胸中,結于臂。其病當所過者,支(zhi)轉筋(jin)前及胸痛(tong)息賁。治在燔針劫刺,以知為數(shu),以痛(tong)為輸(shu),名曰(yue)孟冬(dong)痹也。

手少陰(yin)之筋(jin)(jin),起(qi)于小指之內(nei)(nei)惻,結于銳骨,上結肘內(nei)(nei)廉,上入腋,交太(tai)陰(yin),挾乳里,結于胸中,循臂下(xia)系于臍。其病內(nei)(nei)急(ji)心承伏(fu)(fu)梁,下(xia)為肘網。其病當所過(guo)者(zhe),支轉(zhuan)筋(jin)(jin),筋(jin)(jin)痛(tong)。治(zhi)在燔針劫刺,以(yi)知為數(shu),以(yi)痛(tong)為輸。其成伏(fu)(fu)梁唾血膿者(zhe),死不(bu)(bu)治(zhi)。經筋(jin)(jin)之病,寒(han)則反折(zhe)(zhe)筋(jin)(jin)急(ji),熱則筋(jin)(jin)弛縱不(bu)(bu)收(shou),陰(yin)痿不(bu)(bu)用。陽(yang)急(ji)則反折(zhe)(zhe)陰(yin)急(ji)則俛不(bu)(bu)伸。焠刺者(zhe),刺寒(han)急(ji)也(ye),熱則筋(jin)(jin)縱不(bu)(bu)收(shou),無用燔針,名曰季冬痹也(ye)。

足之陽明(ming),手之太陽,筋(jin)急(ji)則(ze)口目為僻,眥急(ji)不能卒視治皆(jie)如(ru)右方也。


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