黄帝内经 · 灵枢 · 本输

唐 · 王冰

黄huáng帝dì问wèn于yú歧qí伯bó曰yuē:凡fán刺cì之zhī道dào,必bì通tōng十shí二èr经jīng络luò之zhī所suǒ终zhōng始shǐ,络luò脉mài之zhī所suǒ别bié处chǔ,五wǔ俞yú之zhī所suǒ留,六liù腑fǔ之zhī所suǒ与yǔ合hé,四sì时shí之zhī所suǒ出chū入rù,五wǔ脏zāng之zhī所suǒ溜liū处chǔ,阔kuò数shù之zhī度dù,浅qiǎn深shēn之zhī状zhuàng,高gāo下xià所suǒ至zhì。愿yuàn闻wén其qí解jiě。

歧qí伯bó曰yuē:请qǐng言yán其qí次cì也yě。

肺fèi出chū于yú少shǎo商shāng,少shǎo商shāng者zhě,手shǒu大dà指zhǐ端duān内nèi侧cè也yě,为wéi井jǐng木mù;溜liū于yú鱼yú际jì,鱼yú际jì者zhě,手shǒu鱼yú也yě,为wéi荥xíng;注zhù于yú太tài渊yuān,太tài渊yuān鱼yú后hòu一yī寸cùn陷xiàn者zhě中zhōng也yě,为wéi俞yú;行háng于yú经jīng渠qú,经jīng渠qú,寸cùn口kǒu中zhōng也yě,动dòng而ér不bù居jū为wéi经jīng;入rù于yú尺chǐ泽zé,尺chǐ泽zé,肘zhǒu中zhōng之zhī动dòng脉mài也yě,为wéi合hé。手shǒu太tài阴yīn经jīng也yě。

心xīn出chū于yú中zhōng冲chōng,中zhōng冲chōng,手shǒu中zhōng指zhǐ之zhī端duān也yě,为wéi井jǐng木mù;溜liū于yú劳láo宫gōng,劳láo宫gōng,掌zhǎng中zhōng中zhōng指zhǐ本běn节jié之zhī内nèi间jiān也yě,为wéi荥xíng;注zhù于yú大dà陵líng,大dà陵líng,掌zhǎng后hòu两liǎng骨gǔ之zhī间jiān,方fāng下xià者zhě也yě,为wéi俞yú;行háng于yú间jiān使shǐ,间jiān使shǐ之zhī道dào,两liǎng筋jīn之zhī间jiān,三sān寸cùn之zhī中zhōng也yě,有yǒu过guò则zé至zhì,无wú过guò则zé止zhǐ,为wéi经jīng;入rù于yú曲qū泽zé,曲qū泽zé,肘zhǒu内nèi廉lián下xià陷xiàn之zhī中zhōng也yě,屈qū而ér得dé之zhī,为wéi合hé。手shǒu少shǎo阴yīn也yě。

肝gān出chū于yú大dà敦dūn,大dà敦dūn者zhě,足zú大dà趾zhǐ之zhī端duān,及jí三sān毛máo之zhī中zhōng也yě,为wéi井jǐng木mù;溜liū于yú行háng间jiān,行háng间jiān,足zú大dà趾zhǐ间jiān也yě,为wéi荥xíng;注zhù于yú太tài冲chōng,太tài冲chōng,行háng间jiān上shàng二èr寸cùn,陷xiàn者zhě之zhī中zhōng也yě,为wéi俞yú;行háng于yú中zhōng封fēng,中zhōng封fēng,内nèi踝huái之zhī前qián一yī寸cùn半bàn,陷xiàn者zhě之zhī中zhōng,使shǐ逆nì则zé宛wǎn,使shǐ和hé则zé通tōng,摇yáo足zú而ér得dé之zhī,为wéi经jīng;入rù于yú曲qū泉quán,曲qū泉quán,辅fǔ骨gǔ之zhī下xià,大dà筋jīn之zhī上shàng也yě,屈qū膝xī而ér得dé之zhī,为wéi合hé。足zú厥jué阴yīn也yě。

脾pí出chū于yú隐yǐn白bái,隐yǐn白bái者zhě,足zú大dà趾zhǐ之zhī端duān内nèi侧cè也yě,为wéi井jǐng木mù;溜liū于yú大dà都dū,大dà都dū,本běn节jié之zhī后hòu下xià,陷xiàn者zhě之zhī中zhōng也yě,为wéi荥xíng;注zhù于yú太tài白bái,太tài白bái,腕wàn骨gǔ之zhī下xià也yě,为wéi俞yú;行háng于yú商shāng丘,丘商shāng,内nèi踝huái之zhī下xià,陷xiàn者zhě之zhī中zhōng也yě,为wéi经jīng;入rù于yú阴yīn之zhī陵líng泉quán,阴yīn之zhī陵líng泉quán,辅fǔ骨gǔ之zhī下xià,陷xiàn者zhě之zhī中zhōng也yě,伸shēn而ér得dé之zhī,为wéi合hé。足zú太tài阴yīn也yě。

肾shèn出chū于yú涌yǒng泉quán,涌yǒng泉quán者zhě足zú心xīn也yě,为wéi井jǐng木mù;溜liū于yú然rán谷gǔ,然rán谷gǔ,然rán骨gǔ之zhī下xià者zhě也yě,为wéi荥xíng;注zhù于yú太tài溪xī,太tài溪xī,内nèi踝huái之zhī后hòu,跟gēn骨gǔ之zhī上shàng,陷xiàn中zhōng者zhě也yě,为wéi俞yú;行háng于yú复fù溜liū,复fù溜liū,上shàng内nèi踝huái二èr寸cùn,动dòng而ér不bù休xiū,为wéi经jīng;入rù于yú阴yīn谷gǔ,阴yīn谷gǔ,辅fǔ骨gǔ之zhī后hòu,大dà筋jīn之zhī下xià,小xiǎo筋jīn之zhī上shàng也yě,按àn之zhī应yīng手shǒu,屈qū膝xī而ér得dé之zhī,为wéi合hé。足zú少shǎo阴yīn经jīng也yě。

膀bǎng胱guāng出chū于yú至zhì阴yīn,至zhì阴yīn者zhě,足zú小xiǎo趾zhǐ之zhī端duān也yě,为wéi井jǐng金jīn;溜liū于yú通tōng谷gǔ,通tōng谷gǔ,本běn节jié之zhī前qián外wài侧cè也yě,为wéi荥xíng;注zhù于yú束shù骨gǔ,束shù骨gǔ,本běn节jié之zhī后hòu,陷xiàn者zhě中zhōng也yě,为wéi俞yú;过guò于yú京jīng骨gǔ,京jīng骨gǔ,足zú外wài侧cè大dà骨gǔ之zhī下xià,为wéi原yuán;行háng于yú昆kūn仑lún,昆kūn仑lún,在zài外wài踝huái之zhī后hòu,跟gēn骨gǔ之zhī上shàng,为wéi经jīng;入rù于yú委wěi中zhōng,委wěi中zhōng,腘guó中zhōng央yāng,为wéi合hé,委wěi而ér取qǔ之zhī。足zú太tài阳yáng也yě。

胆dǎn出chū于yú窍qiào阴yīn,窍qiào阴yīn者zhě,足zú小xiǎo趾zhǐ次cì趾zhǐ之zhī端duān也yě,为wéi井jǐng金jīn;溜liū于yú侠xiá溪xī,侠xiá溪xī,足zú小xiǎo趾zhǐ次cì趾zhǐ之zhī间jiān也yě,为wéi荥xíng;注zhù于yú临lín泣qì,上shàng行háng一yī寸cùn半bàn,陷xiàn者zhě中zhōng也yě,为wéi俞yú;过guò于yú丘墟xū,丘墟xū,外wài踝huái之zhī前qián下xià陷xiàn者zhě中zhōng也yě,为wéi原yuán。行háng于yú阳yáng辅fǔ,阳yáng辅fǔ,外wài踝huái之zhī上shàng,辅fǔ骨gǔ之zhī前qián,及jí绝jué骨gǔ之zhī端duān也yě,为wéi经jīng;入rù于yú阳yáng之zhī陵líng泉quán,阳yáng之zhī陵líng泉quán,在zài膝xī外wài,陷xiàn者zhě中zhōng也yě,为wéi合hé,伸shēn而ér得dé之zhī。足zú少shǎo阳yáng也yě。

胃wèi出chū于yú厉lì兑duì,厉lì兑duì者zhě,足zú大dà趾zhǐ内nèi次cì趾zhǐ之zhī端duān也yě,为wéi井jǐng金jīn;溜liū于yú内nèi庭tíng,内nèi庭tíng,次cì趾zhǐ外wài间jiān也yě,为wéi荥xíng;注zhù于yú陷xiàn谷gǔ,陷xiàn谷gǔ者zhě,上shàng中zhōng指zhǐ内nèi间jiān,上shàng行háng二èr寸cùn,陷xiàn者zhě中zhōng也yě,为wéi俞yú;过guò于yú冲chōng阳yáng,足zú跗fū上shàng五wǔ寸cùn,陷xiàn者zhě中zhōng也yě,为wéi原yuán,摇yáo足zú而ér得dé之zhī;行háng于yú解jiě溪xī,解jiě溪xī,上shàng冲chōng阳yáng一yī寸cùn半bàn,陷xiàn者zhě中zhōng也yě,为wéi经jīng;入rù于yú下xià陵líng,下xià陵líng,膝xī下xià三sān寸cùn,胻héng骨gǔ外wài三sān里lǐ也yě,为wéi合hé;复fù下xià三sān里lǐ三sān寸cùn为wéi巨jù虚xū上shàng廉lián,复fù下xià上shàng廉lián三sān寸cùn,为wéi巨jù虚xū下xià廉lián也yě;大dà肠cháng属shǔ上shàng,小xiǎo肠cháng属shǔ下xià,足zú阳yáng明míng胃wèi脉mài也yě。大dà肠cháng小xiǎo肠cháng,皆jiē属shǔ于yú胃wèi,是shì足zú阳yáng明míng也yě。

三sān焦jiāo者zhě,上shàng合hé手shǒu少shǎo阳yáng,出chū于yú关guān冲chōng,关guān冲chōng者zhě,手shǒu小xiǎo指zhǐ次cì指zhǐ之zhī端duān也yě,为wéi井jǐng金jīn;溜liū于yú液yè门mén,液yè门mén,小xiǎo指zhǐ次cì指zhǐ之zhī间jiān也yě,为wéi荥xíng;注zhù于yú中zhōng渚zhǔ,中zhōng渚zhǔ,本běn节jié之zhī后hòu,陷xiàn者zhě中zhōng也yě,为wéi俞yú;过guò于yú阳yáng池chí,阳yáng池chí,在zài腕wàn上shàng,陷xiàn者zhě之zhī中zhōng也yě,为wéi原yuán;行háng于yú支zhī沟gōu,支zhī沟gōu,上shàng腕wàn三sān寸cùn,两liǎng骨gǔ之zhī间jiān,陷xiàn者zhě中zhōng也yě,为wéi经jīng;入rù于yú天tiān井jǐng,天tiān井jǐng,在zài肘zhǒu外wài大dà骨gǔ之zhī上shàng,陷xiàn者zhě中zhōng也yě,为wéi合hé,屈qū肘zhǒu乃nǎi得dé之zhī;三sān焦jiāo下xià腧shù,在zài于yú足zú大dà趾zhǐ之zhī前qián,少shǎo阳yáng之zhī后hòu,出chū于yú腘guó中zhōng外wài廉lián,名míng曰yuē委wěi阳yáng,是shì太tài阳yáng络luò也yě,手shǒu少shǎo阳yáng经jīng也yě。三sān焦jiāo者zhě,足zú少shǎo阳yáng太tài阴yīn之zhī所suǒ将jiāng,太tài阳yáng之zhī别bié也yě,上shàng踝huái五wǔ寸cùn,别bié入rù贯guàn□肠cháng,出chū于yú委wěi阳yáng,并bìng太tài阳yáng之zhī正zhèng,入rù络luò膀bǎng胱guāng,约yuē下xià焦jiāo,实shí则zé闭bì癃lóng,虚xū则zé遗yí溺nì,遗yí溺nì则zé补bǔ之zhī,闭bì癃lóng则zé泻xiè之zhī。

手shǒu太tài阳yáng小xiǎo肠cháng者zhě,上shàng合hé手shǒu太tài阳yáng,出chū于yú少shǎo泽zé,小xiǎo指zhǐ之zhī端duān也yě,为wéi井jǐng金jīn;溜liū于yú前qián谷gǔ,前qián谷gǔ,在zài手shǒu外wài廉lián本běn节jié前qián,陷xiàn者zhě中zhōng也yě,为wéi荥xíng;注zhù于yú后hòu溪xī,后hòu溪xī者zhě,在zài手shǒu外wài侧cè本běn节jié之zhī后hòu也yě,为wéi俞yú;过guò于yú腕wàn骨gǔ,腕wàn骨gǔ,在zài手shǒu外wài侧cè腕wàn骨gǔ之zhī前qián,为wéi原yuán;行háng于yú阳yáng谷gǔ,阳yáng谷gǔ,在zài锐ruì骨gǔ之zhī下xià,陷xiàn者zhě中zhōng也yě,为wéi经jīng;入rù于yú小xiǎo海hǎi,小xiǎo海hǎi,在zài肘zhǒu内nèi大dà骨gǔ之zhī外wài,去qù端duān半bàn寸cùn,陷xiàn者zhě中zhōng也yě,伸shēn臂bì而ér得dé之zhī,为wéi合hé。手shǒu太tài阳yáng经jīng也yě。

大dà肠cháng上shàng合hé手shǒu阳yáng明míng,出chū于yú商shāng阳yáng,商shāng阳yáng,大dà指zhǐ次cì指zhǐ之zhī端duān也yě,为wéi井jǐng金jīn;溜liū于yú本běn节jié之zhī前qián,二èr间jiān,为wéi荥xíng;注zhù于yú本běn节jié之zhī后hòu,三sān间jiān,为wéi俞yú;过guò于yú合hé谷gǔ,合hé谷gǔ,在zài大dà指zhǐ歧qí骨gǔ之zhī间jiān,为wéi原yuán;行háng于yú阳yáng溪xī,阳yáng溪xī,在zài两liǎng筋jīn间jiān陷xiàn者zhě中zhōng也yě,为wéi经jīng;入rù于yú曲qū池chí,在zài肘zhǒu外wài辅fǔ骨gǔ,陷xiàn者zhě中zhōng也yě,屈qū臂bì而ér得dé之zhī,为wéi合hé。手shǒu阳yáng明míng也yě。

是shì谓wèi五wǔ脏zāng六liù腑fǔ之zhī俞yú,五wǔ五wǔ二èr十shí五wǔ俞yú,六liù六liù三sān十shí六liù俞yú也yě。六liù腑fǔ皆jiē出chū足zú之zhī三sān阳yáng,上shàng合hé于yú手shǒu者zhě也yě。

缺quē盆pén之zhī中zhōng,任rèn脉mài也yě,名míng曰yuē天tiān突tū。一yī次cì任rèn脉mài侧cè之zhī动dòng脉mài,足zú阳yáng明míng也yě,名míng曰yuē人rén迎yíng;二èr次cì脉mài,手shǒu阳yáng明míng也yě,名míng曰yuē扶fú突tū;三sān次cì脉mài,手shǒu太tài阳yáng也yě,名míng曰yuē天tiān窗chuāng;四sì次cì脉mài,足zú少shǎo阳yáng也yě,名míng曰yuē天tiān容róng;五wǔ次cì脉mài,手shǒu少shǎo阳yáng也yě,名míng曰yuē天tiān牖yǒu;六liù次cì脉mài,足zú太tài阳yáng也yě,名míng曰yuē天tiān柱zhù;七qī次cì脉mài,颈jǐng中zhōng央yāng之zhī脉mài,督dū脉mài也yě,名míng曰yuē风fēng府fǔ。腋yè内nèi动dòng脉mài手shǒu太tài阴yīn也yě,名míng曰yuē天tiān府fǔ。腋yè下xià三sān寸cùn,手shǒu心xīn主zhǔ也yě,名míng曰yuē天tiān池chí。

刺cì上shàng关guān者zhě,呿qū不bù能néng欠qiàn。刺cì下xià关guān者zhě,欠qiàn不bù能néng呿qū。刺cì犊dú鼻bí者zhě,屈qū不bù能néng伸shēn。刺cì两liǎng关guān者zhě,伸shēn不bù能néng屈qū。

足zú阳yáng明míng,侠xiá喉hóu之zhī动dòng脉mài也yě,其qí俞yú在zài膺yīng中zhōng。手shǒu阳yáng明míng,次cì在zài其qí俞yú外wài,不bù至zhì曲qū颊jiá一yī寸cùn。手shǒu太tài阳yáng,当dāng曲qū颊jiá。足zú少shǎo阳yáng,在zài耳ěr下xià曲qū颊jiá之zhī后hòu。手shǒu少shǎo阳yáng出chū耳ěr后hòu上shàng,加jiā完wán骨gǔ之zhī上shàng。足zú太tài阳yáng,侠xiá项xiàng,大dà筋jīn之zhī中zhōng,发fā际jì。

阴yīn尺chǐ动dòng脉mài,在zài五wǔ里lǐ,五wǔ俞yú之zhī禁jīn也yě。

肺fèi合hé大dà肠cháng,大dà肠cháng者zhě,传chuán道dào之zhī腑fǔ。心xīn合hé小xiǎo肠cháng,小xiǎo肠cháng者zhě,受shòu盛shèng之zhī腑fǔ。肝gān合hé胆dǎn,胆dǎn者zhě中zhōng精jīng之zhī腑fǔ。脾pí合hé胃wèi,胃wèi者zhě五wǔ谷gǔ之zhī腑fǔ。肾shèn合hé膀bǎng胱guāng,膀bǎng胱guāng者zhě津jīn液yè之zhī腑fǔ也yě。少shǎo阳yáng属shǔ肾shèn,肾shèn上shàng连lián肺fèi,故gù将jiāng两liǎng脏zāng。三sān焦jiāo者zhě中zhōng渎dú之zhī腑fǔ也yě,水shuǐ道dào出chū焉yān,属shǔ膀bǎng胱guāng,是shì孤gū之zhī腑fǔ也yě,是shì六liù腑fǔ之zhī所suǒ与yǔ合hé者zhě。

春chūn取qǔ络luò脉mài,诸zhū荥xíng,大dà经jīng,分fēn肉ròu之zhī间jiān,甚shèn者zhě深shēn取qǔ之zhī,间jiān者zhě浅qiǎn取qǔ之zhī。夏xià取qǔ诸zhū俞yú,孙sūn络luò,肌jī肉ròu,皮pí肤fū之zhī上shàng。秋qiū取qǔ诸zhū合hé,余yú如rú春chūn法fǎ。冬dōng取qǔ诸zhū井jǐng,诸zhū俞yú之zhī分fēn,欲yù深shēn而ér留之zhī,此cǐ四sì时shí之zhī序xù,气qì之zhī所suǒ处chǔ,病bìng之zhī所suǒ舍shě,脏zāng之zhī所suǒ宜yí。转zhuǎn筋jīn者zhě,立lì而ér取qǔ之zhī,可kě令líng遂suì已yǐ。痿wěi厥jué者zhě,张zhāng而ér刺cì之zhī,可kě令líng立lì快kuài也yě。