黄帝内经 · 灵枢 · 经筋

唐 · 王冰

足zú太tài阳yáng之zhī筋jīn,起qǐ于yú足zú小xiǎo趾zhǐ,上shàng结jié于yú踝huái,邪xié上shàng结jié于yú膝xī,其qí下xià循xún足zú外wài侧cè,结jié于yú踵zhǒng,上shàng循xún跟gēn,结jié于yú腘guó;其qí别bié者zhě,结jié于yú腨shuàn外wài,上shàng腘guó中zhōng内nèi廉lián,与yǔ腘guó中zhōng并bìng上shàng结jié于yú臀tún,上shàng挟xié脊jǐ上shàng项xiàng;其qí支zhī者zhě,别bié入rù结jié于yú舌shé本běn;其qí直zhí者zhě,结jié于yú枕zhěn骨gǔ,上shàng头tóu,下xià颜yán,结jié于yú鼻bí;其qí支zhī者zhě,为wéi目mù上shàng网wǎng,下xià结jié于yú頄;其qí支zhī者zhě,从cóng腋yè后hòu外wài廉lián结jié于yú肩jiān髃yú;其qí支zhī者zhě,入rù腋yè下xià,上shàng出chū缺quē盆pén,上shàng结jié于yú完wán骨gǔ;其qí支zhī者zhě,出chū缺quē盆pén,邪xié上shàng出chū于yú頄。其qí病bìng小xiǎo趾zhǐ支zhī跟gēn肿zhǒng痛tòng,腘guó挛luán,脊jǐ反fǎn折zhē,项xiàng筋jīn急jí,肩jiān不bù举jǔ,腋yè支zhī缺quē盆pén中zhōng纽痛tòng,不bù可kě左zuǒ右yòu摇yáo。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū,名míng曰yuē仲zhòng春chūn痹bì也yě。

足zú少shǎo阳yáng之zhī筋jīn,起qǐ于yú小xiǎo指zhǐ次cì指zhǐ,上shàng结jié外wài踝huái,上shàng循xún胫jìng外wài廉lián,结jié于yú膝xī外wài廉lián;其qí支zhī者zhě,别bié起qǐ外wài辅fǔ骨gǔ,上shàng走zǒu髀bì,前qián者zhě结jié于yú伏fú兔tù之zhī上shàng,后hòu者zhě,结jié于yú尻kāo;其qí直zhí者zhě,上shàng乘chéng沙shā季jì胁xié,上shàng走zǒu腋yè前qián廉lián,系xì于yú膺yīng乳rǔ,结jié于yú缺quē盆pén;直zhí者zhě,上shàng出chū腋yè,贯guàn缺quē盆pén,出chū太tài阳yáng之zhī前qián,循xún耳ěr后hòu,上shàng额é角jiǎo,交jiāo巅diān上shàng,下xià走zǒu颔hàn,上shàng结jié于yú頄;支zhī者zhě,结jié于yú目mù眦zì为wéi外wài维wéi。其qí病bìng小xiǎo指zhǐ次cì指zhǐ支zhī转zhuǎn筋jīn,引yǐn膝xī外wài转zhuǎn筋jīn,膝xī不bù可kě屈qū伸shēn,腘guó筋jīn急jí,前qián引yǐn髀bì,后hòu引yǐn尻kāo,即jí上shàng乘chéng(月yuè少shǎo)季jì胁xié痛tòng,上shàng引yǐn缺quē盆pén、膺yīng乳rǔ、颈jǐng维wéi筋jīn急jí。从cóng左zuǒ之zhī右yòu,右yòu目mù不bù开kāi,上shàng过guò右yòu角jiǎo,并bìng蹻qiāo脉mài而ér行háng,左zuǒ络luò于yú右yòu,故gù伤shāng左zuǒ角jiǎo,右yòu足zú不bù用yòng,命mìng曰yuē维wéi筋jīn相xiāng交jiāo。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū,名míng曰yuē孟mèng春chūn痹bì也yě。

足zú阳yáng明míng之zhī筋jīn,起qǐ于yú中zhōng三sān指zhǐ,结jié于yú跗fū上shàng,邪xié外wài上shàng加jiā于yú辅fǔ骨gǔ,上shàng结jié于yú膝xī外wài廉lián,直zhí上shàng结jié于yú髀bì枢shū,上shàng循xún胁xié属shǔ脊jǐ;其qí直zhí者zhě,上shàng循xún(骨gǔ干gān),结jié于yú膝xī;其qí支zhī者zhě,结jié于yú外wài辅fǔ骨gǔ,合hé少shǎo阳yáng;其qí直zhí者zhě,上shàng循xún伏fú兔tù,上shàng结jié于yú髀bì,聚jù于yú阴yīn器qì,上shàng腹fù而ér布bù,至zhì缺quē盆pén而ér结jié,上shàng颈jǐng,上shàng挟xié口kǒu,合hé于yú頄,下xià结jié于yú鼻bí,上shàng合hé于yú太tài阳yáng。太tài阳yáng为wéi目mù上shàng网wǎng,阳yáng明míng为wéi目mù下xià网wǎng;其qí支zhī者zhě,从cóng颊jiá结jié于yú耳ěr前qián。其qí病bìng足zú中zhōng指zhǐ支zhī胫jìng转zhuǎn筋jīn,脚jiǎo跳tiào坚jiān,伏fú兔tù转zhuǎn筋jīn,髀bì前qián踵zhǒng,(疒nè贵guì)疝shàn,腹fù筋jīn急jí,引yǐn缺quē盆pén及jí颊jiá,卒zú口kǒu僻pì;急jí者zhě,目mù不bù合hé,热rè则zé筋jīn纵zòng,目mù不bù开kāi,颊jiá筋jīn有yǒu寒hán,则zé急jí,引yǐn颊jiá移yí口kǒu,有yǒu热rè则zé筋jīn弛chí纵zòng,缓huǎn不bù胜shèng收shōu,故gù僻pì。治zhì之zhī以yǐ马mǎ膏gāo,膏gāo其qí急jí者zhě;以yǐ白bái酒和hé桂guì,以yǐ涂tú其qí缓huǎn者zhě,以yǐ桑sāng钩gōu钩gōu之zhī,即jí以yǐ生shēng桑sāng炭tàn置zhì之zhī坎kǎn中zhōng,高gāo下xià以yǐ坐zuò等děng。以yǐ膏gāo熨yùn急jí颊jiá,且qiě饮yǐn美měi酒,敢gǎn美měi炙zhì肉ròu,不bù饮yǐn酒者zhě,自zì强qiáng也yě,为wéi之zhī三sān拊fǔ而ér已yǐ。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū,名míng曰yuē季jì春chūn痹bì也yě。

足zú太tài阴yīn之zhī筋jīn,起qǐ于yú大dà指zhǐ之zhī端duān内nèi侧cè,上shàng结jié于yú内nèi踝huái;其qí直zhí者zhě,络luò于yú膝xī内nèi辅fǔ骨gǔ,上shàng循xún阴yīn股gǔ,结jié于yú髀bì,聚jù于yú阴yīn器qì,上shàng腹fù结jié于yú脐qí,循xún腹fù里lǐ,结jié于yú肋lèi,散sàn于yú胸xiōng中zhōng;其qí内nèi者zhě,着zhuó于yú脊jǐ。其qí病bìng足zú大dà指zhǐ支zhī内nèi踝huái痛tòng,转zhuǎn筋jīn痛tòng,膝xī内nèi辅fǔ骨gǔ痛tòng,阴yīn股gǔ引yǐn髀bì而ér痛tòng,阴yīn器qì纽痛tòng,上shàng引yǐn脐qí两liǎng胁xié痛tòng,引yǐn膺yīng中zhōng脊jǐ内nèi痛tòng。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū,命mìng曰yuē孟mèng秋qiū痹bì也yě。

足zú少shǎo阴yīn之zhī筋jīn,起qǐ于yú小xiǎo指zhǐ之zhī下xià,并bìng足zú太tài阴yīn之zhī筋jīn,邪xié走zǒu内nèi踝huái之zhī下xià,结jié于yú踵zhǒng,与yǔ太tài阳yáng之zhī筋jīn合hé,而ér上shàng结jié于yú内nèi辅fǔ之zhī下xià,并bìng太tài阴yīn之zhī筋jīn,而ér上shàng循xún阴yīn股gǔ,结jié于yú阴yīn器qì,循xún脊jǐ内nèi挟xié膂上shàng至zhì项xiàng,结jié于yú枕zhěn骨gǔ,与yǔ足zú太tài阳yáng之zhī筋jīn合hé。其qí病bìng足zú下xià转zhuǎn筋jīn,及jí所suǒ过guò而ér结jié者zhě皆jiē痛tòng及jí转zhuǎn筋jīn。病bìng在zài此cǐ者zhě,主zhǔ癎xián瘈zhì及jí痉jìng,在zài外wài者zhě不bù能néng挽wǎn,在zài内nèi者zhě不bù能néng仰yǎng。故gù阳yáng病bìng者zhě,腰yāo反fǎn折zhē不bù能néng俯fǔ,阴yīn病bìng者zhě,不bù能néng仰yǎng。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū。在zài内nèi者zhě熨yùn引yǐn饮yǐn药yào,此cǐ筋jīn折zhē纽,纽发fā数shù甚shèn者zhě死sǐ不bù治zhì,名míng曰yuē仲zhòng秋qiū痹bì也yě。

足zú厥jué阴yīn之zhī筋jīn,起qǐ于yú大dà指zhǐ之zhī上shàng,上shàng结jié于yú内nèi踝huái之zhī前qián,上shàng循xún胫jìng,上shàng结jié内nèi辅fǔ之zhī下xià,上shàng循xún阴yīn股gǔ,结jié于yú阴yīn器qì,络luò诸zhū筋jīn。其qí病bìng足zú大dà指zhǐ支zhī内nèi踝huái之zhī前qián痛tòng,内nèi辅fǔ痛tòng,阴yīn股gǔ痛tòng转zhuǎn筋jīn,阴yīn器qì不bù用yòng,伤shāng于yú内nèi则zé不bù起qǐ,伤shāng于yú寒hán则zé阴yīn缩suō入rù,伤shāng于yú热rè则zé纵zòng挺tǐng不bù收shōu,治zhì在zài行háng水shuǐ清qīng阴yīn气qì;其qí病bìng转zhuǎn筋jīn者zhě,治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū,命mìng曰yuē季jì秋qiū痹bì也yě。

手shǒu太tài阳yáng之zhī筋jīn,起qǐ于yú小xiǎo指zhǐ之zhī上shàng,结jié于yú腕wàn,上shàng循xún臂bì内nèi廉lián,结jié于yú肘zhǒu内nèi锐ruì骨gǔ之zhī后hòu,弹dàn之zhī应yīng小xiǎo指zhǐ之zhī上shàng,入rù结jié于yú腋yè下xià;其qí支zhī者zhě,后hòu走zǒu腋yè后hòu廉lián,上shàng绕rào肩jiān胛jiǎ,循xún颈jǐng出chū走zǒu太tài阳yáng之zhī前qián,结jié于yú耳ěr后hòu完wán骨gǔ;其qí支zhī者zhě,入rù耳ěr中zhōng;直zhí者zhě,出chū耳ěr上shàng,下xià结jié于yú颔hàn,上shàng属shǔ目mù外wài眦zì。其qí病bìng小xiǎo指zhǐ支zhī肘zhǒu内nèi锐ruì骨gǔ后hòu廉lián痛tòng,循xún臂bì阴yīn,入rù腋yè下xià,腋yè下xià痛tòng,腋yè后hòu廉lián痛tòng,绕rào肩jiān胛jiǎ引yǐn颈jǐng而ér痛tòng,应yīng耳ěr中zhōng鸣míng痛tòng引yǐn颔hàn,目mù瞑míng良liáng久乃nǎi得dé视shì,颈jǐng筋jīn急jí,则zé为wéi筋jīn痿wěi颈jǐng肿zhǒng,寒hán热rè在zài颈jǐng者zhě。治zhì在zài燔fán针zhēn劫jié刺cì之zhī,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū。其qí为wéi肿zhǒng者zhě,复fù而ér锐ruì之zhī。本běn支zhī者zhě,上shàng曲qū牙yá,循xún耳ěr前qián属shǔ目mù外wài眦zì,上shàng颔hàn结jié于yú角jiǎo,其qí痛tòng当dāng所suǒ过guò者zhě支zhī转zhuǎn筋jīn。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū,名míng曰yuē仲zhòng夏xià痹bì也yě。

手shǒu少shǎo阳yáng之zhī筋jīn,起qǐ于yú小xiǎo指zhǐ次cì指zhǐ之zhī端duān,结jié于yú腕wàn,中zhōng循xún臂bì,结jié于yú肘zhǒu,上shàng绕rào臑nào外wài廉lián、上shàng肩jiān、走zǒu颈jǐng,合hé手shǒu太tài阳yáng;其qí支zhī者zhě,当dāng曲qū颊jiá入rù系xì舌shé本běn;其qí支zhī者zhě,上shàng曲qū牙yá,循xún耳ěr前qián,属shǔ目mù外wài眦zì,上shàng乘chéng颔hàn,结jié于yú角jiǎo。其qí病bìng当dāng所suǒ过guò者zhě,即jí支zhī转zhuǎn筋jīn,舌shé卷juàn。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū,名míng曰yuē季jì夏xià痹bì也yě。

手shǒu阳yáng明míng之zhī筋jīn,起qǐ于yú大dà指zhǐ次cì指zhǐ之zhī端duān,结jié于yú腕wàn,上shàng循xún臂bì,上shàng结jié于yú肘zhǒu外wài,上shàng臑nào,结jié于yú髃yú;其qí支zhī者zhě,绕rào肩jiān胛jiǎ,挟xié脊jǐ;直zhí者zhě,从cóng肩jiān髃yú上shàng颈jǐng;其qí支zhī者zhě,上shàng颊jiá,结jié于yú頄;直zhí者zhě,上shàng出chū手shǒu太tài阳yáng之zhī前qián,上shàng左zuǒ角jiǎo,络luò头tóu,下xià右yòu颔hàn。其qí病bìng当dāng所suǒ过guò者zhě,支zhī痛tòng及jí转zhuǎn筋jīn,肩jiān不bù举jǔ,颈jǐng不bù可kě左zuǒ右yòu视shì。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū,名míng曰yuē孟mèng夏xià痹bì也yě。

手shǒu太tài阴yīn之zhī筋jīn,起qǐ于yú大dà指zhǐ之zhī上shàng,循xún指zhǐ上shàng行háng,结jié于yú鱼yú后hòu,行háng寸cùn口kǒu外wài侧cè,上shàng循xún臂bì,结jié肘zhǒu中zhōng,上shàng臑nào内nèi廉lián,入rù腋yè下xià,出chū缺quē盆pén,结jié肩jiān前qián髃yú,上shàng结jié缺quē盆pén,下xià结jié胸xiōng里lǐ,散sàn贯guàn贲bì,合hé贲bì下xià抵dǐ季jì胁xié。其qí病bìng当dāng所suǒ过guò者zhě,支zhī转zhuǎn筋jīn,痛tòng甚shèn成chéng息xī贲bì,胁xié急jí吐tǔ血xiě。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū。名míng曰yuē仲zhòng冬dōng痹bì也yě。

手shǒu心xīn主zhǔ之zhī筋jīn,起qǐ于yú中zhōng指zhǐ,与yǔ太tài阴yīn之zhī筋jīn并bìng行háng,结jié于yú肘zhǒu内nèi廉lián,上shàng臂bì阴yīn,结jié腋yè下xià,下xià散sàn前qián后hòu挟xié胁xié;其qí支zhī者zhě,入rù腋yè,散sàn胸xiōng中zhōng,结jié于yú臂bì。其qí病bìng当dāng所suǒ过guò者zhě,支zhī转zhuǎn筋jīn前qián及jí胸xiōng痛tòng息xī贲bì。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū,名míng曰yuē孟mèng冬dōng痹bì也yě。

手shǒu太tài阴yīn之zhī筋jīn,起qǐ于yú小xiǎo指zhǐ之zhī内nèi侧cè,结jié于yú锐ruì骨gǔ,上shàng结jié肘zhǒu内nèi廉lián,上shàng入rù腋yè,交jiāo太tài阴yīn,挟xié乳rǔ里lǐ,结jié于yú胸xiōng中zhōng,循xún臂bì下xià系xì于yú脐qí。其qí病bìng内nèi急jí心xīn承chéng伏fú梁liáng,下xià为wéi肘zhǒu网wǎng。其qí病bìng当dāng所suǒ过guò者zhě,支zhī转zhuǎn筋jīn,筋jīn痛tòng。治zhì在zài燔fán针zhēn劫jié刺cì,以yǐ知zhī为wéi数shù,以yǐ痛tòng为wéi输shū。其qí成chéng伏fú梁liáng唾tuò血xiě脓nóng者zhě,死sǐ不bù治zhì。经jīng筋jīn之zhī病bìng,寒hán则zé反fǎn折zhē筋jīn急jí,热rè则zé筋jīn弛chí纵zòng不bù收shōu,阴yīn痿wěi不bù用yòng。阳yáng急jí则zé反fǎn折zhē,阴yīn急jí则zé俯fǔ不bù伸shēn。焠cuì刺cì者zhě,刺cì寒hán急jí也yě,热rè则zé筋jīn纵zòng不bù收shōu,无wú用yòng燔fán针zhēn,名míng曰yuē季jì冬dōng痹bì也yě。

足zú之zhī阳yáng明míng,手shǒu之zhī太tài阳yáng,筋jīn急jí则zé口kǒu目mù为wéi僻pì,眦zì急jí不bù能néng卒zú视shì,治zhì皆jiē如rú右yòu方fāng也yě。