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黃帝內經-靈樞第02章,本輸在線閱讀

中藥大全 2023-09-21 11:24:33

黃帝內經-靈樞》第02章 本輸


黃(huang)帝(di)問于歧伯曰:凡刺(ci)之(zhi)(zhi)道,必通十(shi)二經絡(luo)(luo)之(zhi)(zhi)所(suo)(suo)終始,絡(luo)(luo)脈之(zhi)(zhi)所(suo)(suo)別處(chu),五俞之(zhi)(zhi)所(suo)(suo)留,六腑之(zhi)(zhi)所(suo)(suo)與合,四時之(zhi)(zhi)所(suo)(suo)出入,五臟之(zhi)(zhi)所(suo)(suo)溜處(chu),闊數之(zhi)(zhi)度,淺深之(zhi)(zhi)狀,高(gao)下所(suo)(suo)至(zhi)。愿聞其(qi)解。

歧伯曰:請(qing)言其(qi)次也。

肺出(chu)于(yu)少商,少商者,手(shou)大指端內側(ce)也(ye),為井木;溜于(yu)魚(yu)際,魚(yu)際者,手(shou)魚(yu)也(ye),為滎;注于(yu)太(tai)(tai)淵(yuan),太(tai)(tai)淵(yuan)魚(yu)后一寸陷者中(zhong)也(ye),為俞;行于(yu)經(jing)渠,經(jing)渠,寸口(kou)中(zhong)也(ye),動而不居為經(jing);入于(yu)尺澤,尺澤,肘中(zhong)之動脈(mo)也(ye),為合。手(shou)太(tai)(tai)陰經(jing)也(ye)。

心出于(yu)中(zhong)(zhong)(zhong)沖,中(zhong)(zhong)(zhong)沖,手中(zhong)(zhong)(zhong)指(zhi)之(zhi)端也(ye)(ye)(ye)(ye),為(wei)(wei)井木(mu);溜于(yu)勞宮,勞宮,掌中(zhong)(zhong)(zhong)中(zhong)(zhong)(zhong)指(zhi)本節之(zhi)內(nei)間(jian)也(ye)(ye)(ye)(ye),為(wei)(wei)滎(ying);注于(yu)大(da)陵,大(da)陵,掌后兩(liang)骨(gu)之(zhi)間(jian),方下者也(ye)(ye)(ye)(ye),為(wei)(wei)俞;行(xing)于(yu)間(jian)使,間(jian)使之(zhi)道,兩(liang)筋之(zhi)間(jian),三(san)寸之(zhi)中(zhong)(zhong)(zhong)也(ye)(ye)(ye)(ye),有過(guo)(guo)則至,無過(guo)(guo)則止,為(wei)(wei)經;入于(yu)曲澤,曲澤,肘(zhou)內(nei)廉下陷之(zhi)中(zhong)(zhong)(zhong)也(ye)(ye)(ye)(ye),屈而得(de)之(zhi),為(wei)(wei)合(he)。手少(shao)陰也(ye)(ye)(ye)(ye)。

肝出于(yu)大(da)敦(dun),大(da)敦(dun)者,足(zu)(zu)大(da)趾(zhi)(zhi)之(zhi)(zhi)(zhi)端,及三毛(mao)之(zhi)(zhi)(zhi)中也,為井木;溜(liu)于(yu)行(xing)間,行(xing)間,足(zu)(zu)大(da)趾(zhi)(zhi)間也,為滎;注于(yu)太沖,太沖,行(xing)間上二寸(cun),陷者之(zhi)(zhi)(zhi)中也,為俞;行(xing)于(yu)中封(feng),中封(feng),內(nei)踝之(zhi)(zhi)(zhi)前一寸(cun)半(ban),陷者之(zhi)(zhi)(zhi)中,使逆則宛,使和則通(tong),搖足(zu)(zu)而得之(zhi)(zhi)(zhi),為經(jing);入于(yu)曲泉,曲泉,輔骨(gu)之(zhi)(zhi)(zhi)下(xia),大(da)筋之(zhi)(zhi)(zhi)上也,屈膝(xi)而得之(zhi)(zhi)(zhi),為合。足(zu)(zu)厥(jue)陰也。

脾(pi)出于(yu)(yu)隱(yin)白,隱(yin)白者(zhe),足(zu)大(da)(da)趾之(zhi)端內側也,為(wei)井木(mu);溜于(yu)(yu)大(da)(da)都(dou)(dou),大(da)(da)都(dou)(dou),本節(jie)之(zhi)后下,陷者(zhe)之(zhi)中也,為(wei)滎;注于(yu)(yu)太白,太白,腕(wan)骨之(zhi)下也,為(wei)俞(yu);行于(yu)(yu)商丘(qiu),丘(qiu)商,內踝之(zhi)下,陷者(zhe)之(zhi)中也,為(wei)經;入于(yu)(yu)陰(yin)之(zhi)陵(ling)泉(quan),陰(yin)之(zhi)陵(ling)泉(quan),輔骨之(zhi)下,陷者(zhe)之(zhi)中也,伸而得(de)之(zhi),為(wei)合。足(zu)太陰(yin)也。

腎出于涌泉,涌泉者足(zu)心也(ye)(ye),為(wei)井木(mu);溜(liu)于然谷(gu),然谷(gu),然骨(gu)之(zhi)下(xia)者也(ye)(ye),為(wei)滎;注于太(tai)溪(xi),太(tai)溪(xi),內(nei)踝之(zhi)后,跟(gen)骨(gu)之(zhi)上,陷中者也(ye)(ye),為(wei)俞;行于復溜(liu),復溜(liu),上內(nei)踝二(er)寸,動而不休(xiu),為(wei)經;入于陰(yin)(yin)谷(gu),陰(yin)(yin)谷(gu),輔骨(gu)之(zhi)后,大筋(jin)之(zhi)下(xia),小筋(jin)之(zhi)上也(ye)(ye),按之(zhi)應手,屈膝而得之(zhi),為(wei)合。足(zu)少陰(yin)(yin)經也(ye)(ye)。

膀(bang)胱出于至陰,至陰者,足(zu)(zu)小趾之(zhi)端也(ye),為(wei)(wei)井金;溜于通(tong)(tong)谷(gu),通(tong)(tong)谷(gu),本(ben)節之(zhi)前外(wai)側(ce)也(ye),為(wei)(wei)滎;注于束骨(gu)(gu),束骨(gu)(gu),本(ben)節之(zhi)后,陷者中(zhong)(zhong)也(ye),為(wei)(wei)俞;過于京骨(gu)(gu),京骨(gu)(gu),足(zu)(zu)外(wai)側(ce)大骨(gu)(gu)之(zhi)下(xia),為(wei)(wei)原;行于昆侖,昆侖,在外(wai)踝(huai)之(zhi)后,跟骨(gu)(gu)之(zhi)上,為(wei)(wei)經;入于委中(zhong)(zhong),委中(zhong)(zhong),腘中(zhong)(zhong)央,為(wei)(wei)合,委而取(qu)之(zhi)。足(zu)(zu)太陽也(ye)。

膽(dan)出于(yu)竅陰,竅陰者,足(zu)(zu)小趾(zhi)次(ci)趾(zhi)之(zhi)端也(ye),為(wei)(wei)(wei)井金;溜(liu)于(yu)俠(xia)溪(xi),俠(xia)溪(xi),足(zu)(zu)小趾(zhi)次(ci)趾(zhi)之(zhi)間也(ye),為(wei)(wei)(wei)滎;注(zhu)于(yu)臨泣(qi),上(shang)行(xing)(xing)一(yi)寸半,陷(xian)者中也(ye),為(wei)(wei)(wei)俞;過于(yu)丘(qiu)墟,丘(qiu)墟,外踝之(zhi)前下陷(xian)者中也(ye),為(wei)(wei)(wei)原(yuan)。行(xing)(xing)于(yu)陽輔(fu),陽輔(fu),外踝之(zhi)上(shang),輔(fu)骨之(zhi)前,及絕(jue)骨之(zhi)端也(ye),為(wei)(wei)(wei)經;入于(yu)陽之(zhi)陵泉(quan),陽之(zhi)陵泉(quan),在膝外,陷(xian)者中也(ye),為(wei)(wei)(wei)合,伸而得之(zhi)。足(zu)(zu)少(shao)陽也(ye)。

胃出于厲兌,厲兌者,足(zu)大(da)(da)趾內(nei)(nei)次趾之(zhi)端也(ye),為井(jing)金;溜(liu)于內(nei)(nei)庭(ting),內(nei)(nei)庭(ting),次趾外間(jian)也(ye),為滎;注于陷(xian)谷(gu),陷(xian)谷(gu)者,上(shang)中指內(nei)(nei)間(jian),上(shang)行二(er)寸,陷(xian)者中也(ye),為俞;過于沖陽(yang),足(zu)跗上(shang)五寸,陷(xian)者中也(ye),為原,搖(yao)足(zu)而得之(zhi);行于解溪,解溪,上(shang)沖陽(yang)一寸半,陷(xian)者中也(ye),為經;入(ru)于下(xia)陵(ling),下(xia)陵(ling),膝下(xia)三(san)寸,胻骨外三(san)里也(ye),為合;復下(xia)三(san)里三(san)寸為巨虛上(shang)廉(lian)(lian),復下(xia)上(shang)廉(lian)(lian)三(san)寸,為巨虛下(xia)廉(lian)(lian)也(ye);大(da)(da)腸屬(shu)上(shang),小(xiao)腸屬(shu)下(xia),足(zu)陽(yang)明胃脈也(ye)。大(da)(da)腸小(xiao)腸,皆屬(shu)于胃,是足(zu)陽(yang)明也(ye)。

三(san)(san)焦(jiao)者(zhe),上(shang)合手少陽(yang)(yang)(yang)(yang),出于(yu)(yu)(yu)關沖,關沖者(zhe),手小指(zhi)次指(zhi)之(zhi)(zhi)(zhi)(zhi)端也(ye)(ye)(ye),為(wei)(wei)井(jing)金;溜于(yu)(yu)(yu)液門,液門,小指(zhi)次指(zhi)之(zhi)(zhi)(zhi)(zhi)間也(ye)(ye)(ye),為(wei)(wei)滎(ying);注(zhu)于(yu)(yu)(yu)中(zhong)渚,中(zhong)渚,本節之(zhi)(zhi)(zhi)(zhi)后(hou),陷(xian)(xian)者(zhe)中(zhong)也(ye)(ye)(ye),為(wei)(wei)俞;過于(yu)(yu)(yu)陽(yang)(yang)(yang)(yang)池(chi),陽(yang)(yang)(yang)(yang)池(chi),在(zai)腕上(shang),陷(xian)(xian)者(zhe)之(zhi)(zhi)(zhi)(zhi)中(zhong)也(ye)(ye)(ye),為(wei)(wei)原(yuan);行于(yu)(yu)(yu)支(zhi)溝,支(zhi)溝,上(shang)腕三(san)(san)寸,兩骨之(zhi)(zhi)(zhi)(zhi)間,陷(xian)(xian)者(zhe)中(zhong)也(ye)(ye)(ye),為(wei)(wei)經(jing);入(ru)(ru)于(yu)(yu)(yu)天井(jing),天井(jing),在(zai)肘外大骨之(zhi)(zhi)(zhi)(zhi)上(shang),陷(xian)(xian)者(zhe)中(zhong)也(ye)(ye)(ye),為(wei)(wei)合,屈肘乃得之(zhi)(zhi)(zhi)(zhi);三(san)(san)焦(jiao)下(xia)腧(shu),在(zai)于(yu)(yu)(yu)足大趾之(zhi)(zhi)(zhi)(zhi)前,少陽(yang)(yang)(yang)(yang)之(zhi)(zhi)(zhi)(zhi)后(hou),出于(yu)(yu)(yu)腘(guo)中(zhong)外廉,名曰委陽(yang)(yang)(yang)(yang),是(shi)太(tai)陽(yang)(yang)(yang)(yang)絡也(ye)(ye)(ye),手少陽(yang)(yang)(yang)(yang)經(jing)也(ye)(ye)(ye)。三(san)(san)焦(jiao)者(zhe),足少陽(yang)(yang)(yang)(yang)太(tai)陰(yin)之(zhi)(zhi)(zhi)(zhi)所將,太(tai)陽(yang)(yang)(yang)(yang)之(zhi)(zhi)(zhi)(zhi)別也(ye)(ye)(ye),上(shang)踝(huai)五寸,別入(ru)(ru)貫腨腸,出于(yu)(yu)(yu)委陽(yang)(yang)(yang)(yang),并太(tai)陽(yang)(yang)(yang)(yang)之(zhi)(zhi)(zhi)(zhi)正,入(ru)(ru)絡膀胱(guang),約(yue)下(xia)焦(jiao),實(shi)則(ze)閉(bi)癃(long),虛(xu)則(ze)遺溺,遺溺則(ze)補之(zhi)(zhi)(zhi)(zhi),閉(bi)癃(long)則(ze)瀉之(zhi)(zhi)(zhi)(zhi)。

手(shou)(shou)(shou)太陽(yang)小(xiao)腸者,上合(he)手(shou)(shou)(shou)太陽(yang),出于少澤,小(xiao)指之端也(ye),為(wei)(wei)井金;溜于前谷(gu),前谷(gu),在(zai)(zai)手(shou)(shou)(shou)外(wai)(wai)廉本節前,陷者中(zhong)也(ye),為(wei)(wei)滎;注于后(hou)溪,后(hou)溪者,在(zai)(zai)手(shou)(shou)(shou)外(wai)(wai)側本節之后(hou)也(ye),為(wei)(wei)俞;過(guo)于腕骨,腕骨,在(zai)(zai)手(shou)(shou)(shou)外(wai)(wai)側腕骨之前,為(wei)(wei)原;行于陽(yang)谷(gu),陽(yang)谷(gu),在(zai)(zai)銳骨之下,陷者中(zhong)也(ye),為(wei)(wei)經;入于小(xiao)海(hai),小(xiao)海(hai),在(zai)(zai)肘內大骨之外(wai)(wai),去端半寸,陷者中(zhong)也(ye),伸臂而得之,為(wei)(wei)合(he)。手(shou)(shou)(shou)太陽(yang)經也(ye)。

大(da)腸上合(he)(he)手陽明,出于商陽,商陽,大(da)指次指之端也,為井金(jin);溜(liu)于本節(jie)之前(qian),二間,為滎;注于本節(jie)之后,三間,為俞;過于合(he)(he)谷(gu),合(he)(he)谷(gu),在大(da)指歧骨(gu)之間,為原;行于陽溪(xi),陽溪(xi),在兩筋間陷者中(zhong)也,為經;入(ru)于曲(qu)池,在肘外輔骨(gu),陷者中(zhong)也,屈臂而得之,為合(he)(he)。手陽明也。

是(shi)謂五(wu)臟(zang)六腑(fu)之俞(yu),五(wu)五(wu)二十五(wu)俞(yu),六六三(san)十六俞(yu)也(ye)(ye)。六腑(fu)皆(jie)出足之三(san)陽,上(shang)合(he)于手者也(ye)(ye)。

缺盆之中,任(ren)脈(mo)也(ye)(ye),名(ming)曰(yue)(yue)(yue)天(tian)(tian)(tian)突。一次(ci)任(ren)脈(mo)側之動脈(mo),足(zu)陽明(ming)(ming)也(ye)(ye),名(ming)曰(yue)(yue)(yue)人迎;二(er)次(ci)脈(mo),手(shou)陽明(ming)(ming)也(ye)(ye),名(ming)曰(yue)(yue)(yue)扶(fu)突;三次(ci)脈(mo),手(shou)太陽也(ye)(ye),名(ming)曰(yue)(yue)(yue)天(tian)(tian)(tian)窗;四次(ci)脈(mo),足(zu)少(shao)陽也(ye)(ye),名(ming)曰(yue)(yue)(yue)天(tian)(tian)(tian)容(rong);五次(ci)脈(mo),手(shou)少(shao)陽也(ye)(ye),名(ming)曰(yue)(yue)(yue)天(tian)(tian)(tian)牖(you);六次(ci)脈(mo),足(zu)太陽也(ye)(ye),名(ming)曰(yue)(yue)(yue)天(tian)(tian)(tian)柱;七次(ci)脈(mo),頸中央之脈(mo),督脈(mo)也(ye)(ye),名(ming)曰(yue)(yue)(yue)風府。腋內動脈(mo)手(shou)太陰也(ye)(ye),名(ming)曰(yue)(yue)(yue)天(tian)(tian)(tian)府。腋下三寸,手(shou)心主也(ye)(ye),名(ming)曰(yue)(yue)(yue)天(tian)(tian)(tian)池。

刺上關(guan)(guan)者,呿不(bu)能欠。刺下關(guan)(guan)者,欠不(bu)能呿。刺犢鼻者,屈不(bu)能伸。刺兩關(guan)(guan)者,伸不(bu)能屈。

足陽(yang)明(ming),俠喉之(zhi)動脈也,其俞在膺中(zhong)(zhong)。手陽(yang)明(ming),次在其俞外(wai),不至曲頰(jia)一(yi)寸(cun)。手太(tai)(tai)陽(yang),當曲頰(jia)。足少陽(yang),在耳(er)下曲頰(jia)之(zhi)后。手少陽(yang)出(chu)耳(er)后上(shang),加完骨(gu)之(zhi)上(shang)。足太(tai)(tai)陽(yang),俠項,大筋之(zhi)中(zhong)(zhong),發際。

陰尺動脈,在(zai)五里,五俞之禁(jin)也(ye)。

肺合(he)(he)大腸(chang)(chang),大腸(chang)(chang)者,傳道之(zhi)腑(fu)(fu)(fu)。心合(he)(he)小(xiao)腸(chang)(chang),小(xiao)腸(chang)(chang)者,受盛之(zhi)腑(fu)(fu)(fu)。肝合(he)(he)膽,膽者中精(jing)之(zhi)腑(fu)(fu)(fu)。脾合(he)(he)胃,胃者五谷之(zhi)腑(fu)(fu)(fu)。腎(shen)(shen)合(he)(he)膀胱,膀胱者津液(ye)之(zhi)腑(fu)(fu)(fu)也(ye)。少陽屬腎(shen)(shen),腎(shen)(shen)上連肺,故將兩臟。三焦者中瀆之(zhi)腑(fu)(fu)(fu)也(ye),水(shui)道出焉,屬膀胱,是(shi)孤(gu)之(zhi)腑(fu)(fu)(fu)也(ye),是(shi)六腑(fu)(fu)(fu)之(zhi)所與合(he)(he)者。

春(chun)取(qu)絡(luo)脈,諸(zhu)滎,大經,分肉之(zhi)(zhi)間,甚者(zhe)深(shen)取(qu)之(zhi)(zhi),間者(zhe)淺取(qu)之(zhi)(zhi)。夏(xia)取(qu)諸(zhu)俞,孫絡(luo),肌肉,皮膚之(zhi)(zhi)上。秋取(qu)諸(zhu)合(he),余如(ru)春(chun)法。冬取(qu)諸(zhu)井,諸(zhu)俞之(zhi)(zhi)分,欲深(shen)而留之(zhi)(zhi),此四時之(zhi)(zhi)序(xu),氣之(zhi)(zhi)所(suo)(suo)處,病(bing)之(zhi)(zhi)所(suo)(suo)舍,臟(zang)之(zhi)(zhi)所(suo)(suo)宜。轉(zhuan)筋(jin)者(zhe),立而取(qu)之(zhi)(zhi),可令遂已(yi)。痿(wei)厥者(zhe),張而刺之(zhi)(zhi),可令立快也(ye)。


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