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黃帝內經--素問第60章,骨空論在線閱讀

中藥大(da)全 2023-09-21 14:27:16

黃帝內經--素問》第60章 骨空論


黃帝(di)問(wen)曰:余聞風者百病之始也,以針治之奈何?

岐伯對曰:風(feng)(feng)從外入,令人振寒(han),汗(han)出頭痛,身重惡寒(han),治在(zai)風(feng)(feng)府(fu),調其(qi)陰陽(yang),不(bu)足則補,有余則瀉(xie)。大風(feng)(feng)頸項痛,刺風(feng)(feng)府(fu),風(feng)(feng)府(fu)在(zai)上椎。大風(feng)(feng)汗(han)出,灸譩(yi)譆(xi),譩(yi)譆(xi)在(zai)背(bei)下俠脊傍三寸(cun)所,厭之,令病者呼譩(yi)譆(xi),譩(yi)譆(xi)應手。

從風憎風,刺眉頭。失(shi)枕,在肩上橫骨間。折,使榆(yu)臂,齊肘正,灸脊中。

絡季脅引(yin)少(shao)腹而痛脹,刺譩譆。

腰痛(tong)不(bu)可以(yi)轉搖(yao),急引陰卵,刺(ci)八(ba)(ba)髎與痛(tong)上,八(ba)(ba)髎在(zai)腰尻分間(jian)。

鼠瘻,寒(han)(han)熱,還刺寒(han)(han)府,寒(han)(han)府在附(fu)膝外(wai)解營。取(qu)膝上外(wai)者使(shi)之拜(bai),取(qu)足(zu)心者使(shi)之跪(gui)。

任脈(mo)(mo)(mo)者(zhe)(zhe)(zhe),起(qi)于(yu)中(zhong)(zhong)(zhong)(zhong)極之下(xia)(xia)(xia)(xia),以(yi)(yi)上(shang)(shang)毛(mao)際,循(xun)腹里上(shang)(shang)關元,至咽(yan)喉(hou)(hou),上(shang)(shang)頤(yi)循(xun)面(mian)入(ru)目。沖脈(mo)(mo)(mo)者(zhe)(zhe)(zhe),起(qi)于(yu)氣(qi)街,并(bing)少(shao)陰(yin)之經,俠齊上(shang)(shang)行,至胸中(zhong)(zhong)(zhong)(zhong)而散。任脈(mo)(mo)(mo)為(wei)病(bing)(bing),男子內(nei)結七疝,女(nv)子帶下(xia)(xia)(xia)(xia)瘕聚。沖脈(mo)(mo)(mo)為(wei)病(bing)(bing),逆氣(qi)里急(ji)。督(du)脈(mo)(mo)(mo)為(wei)病(bing)(bing),脊(ji)強反折(zhe)。督(du)脈(mo)(mo)(mo)者(zhe)(zhe)(zhe),起(qi)于(yu)少(shao)腹以(yi)(yi)下(xia)(xia)(xia)(xia)骨中(zhong)(zhong)(zhong)(zhong)央(yang),女(nv)子入(ru)系廷孔,其(qi)孔,溺孔之端也。其(qi)絡(luo)循(xun)陰(yin)器合篡(cuan)間,繞篡(cuan)后,別繞臀(tun),至少(shao)陰(yin)與巨陽(yang)(yang)中(zhong)(zhong)(zhong)(zhong)絡(luo)者(zhe)(zhe)(zhe)合,少(shao)陰(yin)上(shang)(shang)股(gu)內(nei)后廉,貫(guan)脊(ji)屬腎(shen),與太(tai)陽(yang)(yang)起(qi)于(yu)目內(nei)眥,上(shang)(shang)額交巔,上(shang)(shang)入(ru)絡(luo)腦,還出(chu)別下(xia)(xia)(xia)(xia)項(xiang),循(xun)肩髆,內(nei)俠脊(ji)抵(di)腰中(zhong)(zhong)(zhong)(zhong),入(ru)循(xun)膂絡(luo)腎(shen)。其(qi)男子循(xun)莖下(xia)(xia)(xia)(xia)至篡(cuan),與女(nv)子等。其(qi)少(shao)腹直(zhi)上(shang)(shang)者(zhe)(zhe)(zhe),貫(guan)齊中(zhong)(zhong)(zhong)(zhong)央(yang),上(shang)(shang)貫(guan)心入(ru)喉(hou)(hou),上(shang)(shang)頤(yi)環唇,上(shang)(shang)系兩目之下(xia)(xia)(xia)(xia)中(zhong)(zhong)(zhong)(zhong)央(yang)。此生(sheng)(sheng)病(bing)(bing),從少(shao)腹上(shang)(shang)沖心而痛,不(bu)得前后,為(wei)沖疝;其(qi)女(nv)子不(bu)孕,癃痔遺溺嗌(ai)干(gan)。督(du)脈(mo)(mo)(mo)生(sheng)(sheng)病(bing)(bing)治督(du)脈(mo)(mo)(mo),治在骨上(shang)(shang),甚者(zhe)(zhe)(zhe)在齊下(xia)(xia)(xia)(xia)營。其(qi)上(shang)(shang)氣(qi)有音者(zhe)(zhe)(zhe),治其(qi)喉(hou)(hou)中(zhong)(zhong)(zhong)(zhong)央(yang),在缺盆中(zhong)(zhong)(zhong)(zhong)者(zhe)(zhe)(zhe),其(qi)病(bing)(bing)上(shang)(shang)沖喉(hou)(hou)者(zhe)(zhe)(zhe)治其(qi)漸,漸者(zhe)(zhe)(zhe),上(shang)(shang)俠頤(yi)也。

蹇,膝(xi)伸(shen)不(bu)(bu)屈,治(zhi)其楗。坐而(er)膝(xi)痛(tong),治(zhi)其機。立而(er)暑解,治(zhi)其骸關(guan)。膝(xi)痛(tong),痛(tong)及(ji)拇指治(zhi)其膕。坐而(er)膝(xi)痛(tong)如物隱者,治(zhi)其關(guan)。膝(xi)痛(tong)不(bu)(bu)可屈伸(shen),治(zhi)其背內。連?若折,治(zhi)陽(yang)(yang)明中俞髎。若別(bie),治(zhi)巨陽(yang)(yang)少陰(yin)滎。淫濼脛痠,不(bu)(bu)能久立,治(zhi)少陽(yang)(yang)之維,在外上五寸。

輔(fu)骨上,橫(heng)骨下為(wei)楗,俠(xia)髖(kuan)為(wei)機,膝解為(wei)骸(hai)關,俠(xia)膝之骨為(wei)連骸(hai),骸(hai)下為(wei)輔(fu),輔(fu)上為(wei)膕,膕上為(wei)關,頭橫(heng)骨為(wei)枕(zhen)。

水(shui)俞(yu)五十七(qi)穴者,尻(kao)上五行(xing),行(xing)五;伏菟上兩(liang)行(xing),行(xing)五,左(zuo)右(you)各(ge)一(yi)行(xing),行(xing)五;踝上各(ge)一(yi)行(xing),行(xing)六穴,髓空(kong)(kong)(kong)(kong)(kong)在(zai)(zai)(zai)(zai)腦后三分,在(zai)(zai)(zai)(zai)顱際銳(rui)骨(gu)(gu)(gu)(gu)之(zhi)下(xia),一(yi)在(zai)(zai)(zai)(zai)齗基下(xia),一(yi)在(zai)(zai)(zai)(zai)項(xiang)后中(zhong)(zhong)(zhong)復(fu)骨(gu)(gu)(gu)(gu)下(xia),一(yi)在(zai)(zai)(zai)(zai)脊骨(gu)(gu)(gu)(gu)上空(kong)(kong)(kong)(kong)(kong)在(zai)(zai)(zai)(zai)風府(fu)上。脊骨(gu)(gu)(gu)(gu)下(xia)空(kong)(kong)(kong)(kong)(kong),在(zai)(zai)(zai)(zai)尻(kao)骨(gu)(gu)(gu)(gu)下(xia)空(kong)(kong)(kong)(kong)(kong)。數(shu)髓空(kong)(kong)(kong)(kong)(kong)在(zai)(zai)(zai)(zai)面俠(xia)鼻,或骨(gu)(gu)(gu)(gu)空(kong)(kong)(kong)(kong)(kong)在(zai)(zai)(zai)(zai)口下(xia)當兩(liang)肩。兩(liang)髆骨(gu)(gu)(gu)(gu)空(kong)(kong)(kong)(kong)(kong),在(zai)(zai)(zai)(zai)髆中(zhong)(zhong)(zhong)之(zhi)陽(yang)。臂骨(gu)(gu)(gu)(gu)空(kong)(kong)(kong)(kong)(kong)在(zai)(zai)(zai)(zai)臂陽(yang),去踝四寸(cun)兩(liang)骨(gu)(gu)(gu)(gu)空(kong)(kong)(kong)(kong)(kong)之(zhi)間。股骨(gu)(gu)(gu)(gu)上空(kong)(kong)(kong)(kong)(kong)在(zai)(zai)(zai)(zai)股陽(yang),出(chu)上膝四寸(cun)。?骨(gu)(gu)(gu)(gu)空(kong)(kong)(kong)(kong)(kong)在(zai)(zai)(zai)(zai)輔骨(gu)(gu)(gu)(gu)之(zhi)上端,股際骨(gu)(gu)(gu)(gu)空(kong)(kong)(kong)(kong)(kong)在(zai)(zai)(zai)(zai)毛中(zhong)(zhong)(zhong)動(dong)下(xia)。尻(kao)骨(gu)(gu)(gu)(gu)空(kong)(kong)(kong)(kong)(kong)在(zai)(zai)(zai)(zai)髀骨(gu)(gu)(gu)(gu)之(zhi)后,相去四寸(cun)。扁骨(gu)(gu)(gu)(gu)有滲(shen)理(li)湊,無髓孔,易髓無孔。

灸寒熱(re)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa),先(xian)灸項大椎,以年為(wei)壯數(shu),次(ci)灸橛骨(gu),以年為(wei)壯數(shu),視背俞陷者(zhe)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),舉臂肩上陷者(zhe)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),兩季(ji)脅之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)間(jian)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),外踝上絕骨(gu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)端灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),足小指(zhi)(zhi)次(ci)指(zhi)(zhi)間(jian)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),腨下(xia)陷脈灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),外踝后灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),缺盆骨(gu)上切之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)堅(jian)痛(tong)如筋者(zhe)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),膺(ying)中陷骨(gu)間(jian)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),掌束骨(gu)下(xia)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),齊下(xia)關元三(san)寸(cun)(cun)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),毛際(ji)動(dong)脈灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),膝下(xia)三(san)寸(cun)(cun)分間(jian)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),足陽明跗(fu)上動(dong)脈灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),巔(dian)上一灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。犬(quan)所嚙之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)處灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)三(san)壯,即以犬(quan)傷病法(fa)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。凡(fan)當灸二十九處,傷食(shi)灸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),不已者(zhe),必視其經之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)過于陽者(zhe),數(shu)刺其俞而藥之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。


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