黄帝内经 · 灵枢 · 脉度

唐 · 王冰

黄huáng帝dì曰yuē:愿yuàn闻wén脉mài度dù。歧qí伯bó答dá曰yuē:手shǒu之zhī六liù阳yáng,从cóng手shǒu至zhì头tóu,长cháng五wǔ尺chǐ,五wǔ六liù三sān丈zhàng。手shǒu之zhī六liù阴yīn,从cóng手shǒu至zhì胸xiōng中zhōng,三sān尺chǐ五wǔ寸cùn,三sān六liù一yī丈zhàng八bā尺chǐ,五wǔ六liù三sān尺chǐ,合hé二èr丈zhàng一yī尺chǐ。足zú之zhī六liù阳yáng,从cóng足zú上shàng至zhì头tóu,八bā尺chǐ六liù八bā四sì丈zhàng八bā尺chǐ。足zú之zhī六liù阴yīn,从cóng足zú至zhì胸xiōng中zhōng,六liù尺chǐ五wǔ寸cùn,六liù六liù三sān丈zhàng六liù尺chǐ,五wǔ六liù三sān尺chǐ,合hé三sān丈zhàng九尺chǐ。跷qiāo脉mài从cóng足zú至zhì目mù,七qī尺chǐ五wǔ寸cùn,二èr七qī一yī丈zhàng四sì尺chǐ,二èr五wǔ一yī尺chǐ,合hé一yī丈zhàng五wǔ尺chǐ。督dū脉mài、任rèn脉mài各gè四sì尺chǐ五wǔ寸cùn,二èr四sì八bā尺chǐ,二èr五wǔ一yī尺chǐ,合hé九尺chǐ。凡fán都dū合hé一yī十shí六liù丈zhàng二èr尺chǐ,此cǐ气qì之zhī大dà经jīng隧suì也yě。

经jīng脉mài为wéi里lǐ,支zhī而ér横héng者zhě为wéi络luò,络luò之zhī别bié者zhě为wéi孙sūn,盛shèng而ér血xiě者zhě疾jí诛zhū之zhī。盛shèng者zhě泻xiè之zhī,虚xū者zhě饮yǐn药yào以yǐ补bǔ之zhī。五wǔ藏cáng常cháng内nèi阅yuè于yú上shàng七qī窍qiào也yě。故gù肺fèi气qì通tōng于yú鼻bí,肺fèi和hé则zé鼻bí能néng知zhī臭chòu香xiāng矣yǐ;心xīn气qì通tōng于yú舌shé,心xīn和hé则zé舌shé能néng知zhī五wǔ味wèi矣yǐ;肝gān气qì通tōng于yú目mù,肝gān和hé则zé目mù能néng辨biàn五wǔ色sè矣yǐ;脾pí气qì通tōng于yú口kǒu,脾pí和hé则zé口kǒu能néng知zhī五wǔ榖gǔ矣yǐ;肾shèn气qì通tōng于yú耳ěr,肾shèn和hé则zé耳ěr能néng闻wén五wǔ音yīn矣yǐ。五wǔ脏zāng不bù和hé,则zé七qī窍qiào不bù通tōng;六liù腑fǔ不bù合hé则zé留为wéi痈yōng。故gù邪xié在zài腑fǔ则zé阳yáng脉mài不bù和hé,阳yáng脉mài不bù和hé则zé气qì留之zhī,气qì留之zhī则zé阳yáng气qì盛shèng矣yǐ。阳yáng气qì太tài盛shèng,则zé阴yīn脉mài不bù利lì,阴yīn脉mài不bù利lì则zé血xiě留之zhī,血xiě留之zhī则zé阴yīn气qì盛shèng矣yǐ。阴yīn气qì太tài盛shèng则zé阳yáng气qì不bù能néng荣róng也yě,故gù曰yuē关guān。阳yáng气qì太tài盛shèng,则zé阴yīn气qì弗fú能néng荣róng也yě,故gù曰yuē格gé。阴yīn阳yáng俱jù盛shèng,不bù得dé相xiāng荣róng,故gù曰yuē关guān格gé。关guān格gé者zhě,不bù得dé尽jìn期qī而ér死sǐ也yě。

黄huáng帝dì曰yuē:跷qiāo脉mài安ān起qǐ安ān止zhǐ,何hé气qì荣róng也yě?歧qí伯bó答dá曰yuē:跷qiāo脉mài者zhě,少shǎo阴yīn之zhī别bié,起qǐ于yú然rán骨gǔ之zhī后hòu。上shàng内nèi踝huái之zhī上shàng,直zhí上shàng循xún阴yīn股gǔ,入rù阴yīn,上shàng循xún胸xiōng里lǐ,入rù缺quē盆pén,上shàng出chū人rén迎yíng之zhī前qián,入rù頄,属shǔ目mù内nèi眦zì,合hé于yú太tài阳yáng,阳yáng跷qiāo而ér上shàng行háng,气qì并bìng相xiāng还huán,则zé为wéi濡rú,目mù气qì不bù荣róng,则zé目mù不bù合hé。

黄huáng帝dì曰yuē:气qì独dú行háng五wǔ脏zāng,不bù荣róng六liù腑fǔ,何hé也yě?歧qí伯bó答dá曰yuē:气qì之zhī不bù得dé无wú行háng也yě,如rú水shuǐ之zhī流,如rú日rì月yuè之zhī行háng不bù休xiū,故gù阴yīn脉mài荣róng其qí脏zāng,阳yáng脉mài荣róng其qí腑fǔ,如rú环huán之zhī无wú端duān,莫mò知zhī其qí纪jì,终zhōng而ér复fù始shǐ,其qí流溢yì之zhī气qì,内nèi溉gài脏zāng腑fǔ,外wài濡rú腠còu理lǐ。

黄huáng帝dì曰yuē:跷qiāo脉mài有yǒu阴yīn阳yáng,何hé脉mài当dāng其qí数shù?歧qí伯bó曰yuē:男nán子zǐ数shù其qí阳yáng,女nǚ子zǐ数shù其qí阴yīn,当dāng数shù者zhě为wéi经jīng,其qí不bù当dāng数shù者zhě为wéi络luò也yě。