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type="text/javascript">s("content_top");</script> <div id="lt2rgr5" class="content"> <div id="errnufg" class="excellent_articles_box"><ul> <li id="8f3ib0z" class="excellent_articles_title">相關(guān)推薦</li> </ul></div> <p>黃帝內(nèi)經(jīng)靈樞篇第62篇?jiǎng)虞?/p><p> 　　本篇《動(dòng)輸》主要論述了手太陰、足陽(yáng)明和早小陽(yáng)坯茸血輸注的部位，及搏動(dòng)不休的道理，以及三經(jīng)與全身氣血輸注的關(guān)系，故篇名"動(dòng)輸"。</p> <p> 　　【原文】黃帝日經(jīng)脈十二，而手太陰、足少陰、陽(yáng)明獨(dú)動(dòng)不休，何也?岐伯日是明胃脈也。胃為五臟六腑之海，其清氣上注于肺，肺氣從太陰而行之，其行也，以息往來(lái)，故人一呼脈再動(dòng)，一吸脈亦再動(dòng)，呼吸不已，故動(dòng)而不止。</p> <p> 　　黃帝日氣之過(guò)于寸口也，上十焉息?下八焉伏何道從還?不知其極。岐伯日氣之離臟也，卒然如弓弩之發(fā)，如水之下岸，上于魚(yú)以反衰，其余氣衰散以逆上，故其行微。</p> <p> 　　黃帝日足之陽(yáng)明何因而動(dòng)?岐伯日胃氣上注于肺，其悍氣上沖頭者，循咽，上走空竅，循眼系，入絡(luò)腦，出頗[1]，下客主人，循牙車(chē)，合陽(yáng)明，并下人迎，此胃氣別走于陽(yáng)明者也。故陰陽(yáng)上下，其動(dòng)也若一。故陽(yáng)病而陽(yáng)脈小者為逆，陰病而陰脈大者為逆。故陰陽(yáng)俱靜俱動(dòng)若引繩，相傾者病。</p> <p> 　　黃帝日足少陰何因而動(dòng)?岐伯日沖脈者，十二經(jīng)之海也，與少陰之大絡(luò)，起于腎下，出于氣街，循陰股內(nèi)廉，邪入胭中，循脛骨內(nèi)廉，并少陰之經(jīng)，下入內(nèi)踝之后，入足下，其別者，邪入踝，出屬、跗上，入大指之間，注諸絡(luò)，以溫足脛，此脈之常動(dòng)者也。</p> <p> 　　黃帝日營(yíng)衛(wèi)之行也，上下相貫，如環(huán)之無(wú)端，今有其卒然遇邪氣，及逢大寒，手足懈惰，其脈陰陽(yáng)之道，相輸之會(huì)，行相失也，氣何由還?岐伯日夫四末陰陽(yáng)之會(huì)者，此氣之大絡(luò)也，四街嗍者，氣之徑路也。故絡(luò)絕則徑通，四末解則氣從合，相輸如環(huán)。黃帝日善。此所謂如環(huán)無(wú)端，莫知其紀(jì)，終而復(fù)始，此之謂也。</p> <p> 　　【提要】本篇主要論述了十二經(jīng)脈中手太陰、足陽(yáng)明和足少陰三經(jīng)氣血輸注的部位、搏動(dòng)不休的道理，以及三經(jīng)與全身茸向給注的蘭玄 ;不{皓明了若云行由漕{禺和與仔輔可自身調(diào)節(jié)流行的道理。</p> <p> 　　【注釋】[1]頗，音砍，俗稱腮。</p> <p> 　　[2]四街本文指頭、胸、腹、脛四部的氣街。</p> <p> 　　【白話解】黃帝問(wèn)在十二經(jīng)脈中，為什么手太陰肺經(jīng)、足少陰腎經(jīng)、足陽(yáng)明胃經(jīng)這三條經(jīng)脈搏動(dòng)不止呢?岐伯答道足陽(yáng)明胃脈與經(jīng)脈搏動(dòng)有密切關(guān)系，因?yàn)槲甘俏迮K六腑的營(yíng)養(yǎng)來(lái)源，胃中食物所化生的精微物質(zhì)，上輸于肺，氣從手太陰肺經(jīng)開(kāi)始，循行于十二經(jīng)脈。經(jīng)脈的搏動(dòng)，是依靠肺氣的推動(dòng)而發(fā)生的，所以，人一呼氣脈跳動(dòng)兩次，一吸氣脈也是跳動(dòng)兩次，呼吸不停止，脈搏的跳動(dòng)也不停止。</p> <p> 　　黃帝問(wèn)脈氣通過(guò)寸口時(shí)，它的上下搏動(dòng)和具體運(yùn)行是怎樣的呢?岐伯答道脈氣離開(kāi)內(nèi)臟而外行經(jīng)脈時(shí)，像離弦之箭一樣疾急，如沖決堤岸之洪水一樣迅猛，開(kāi)始時(shí)脈勢(shì)是強(qiáng)盛的。當(dāng)脈氣上達(dá)魚(yú)際后，就呈現(xiàn)由盛而衰的現(xiàn)象，這是因?yàn)槊}氣至此已經(jīng)衰散，而且是上行的，所以它運(yùn)行的氣勢(shì)就減弱了。</p> <p> 　　黃帝問(wèn)足陽(yáng)明胃脈為什么搏動(dòng)不止呢?岐伯答道因?yàn)槲笟馍献⒂诜�，其中迅猛而傈悍之氣上沖于頭部，循咽而上走于孔竅，循眼系向內(nèi)絡(luò)循于腦，從腦出于面部，下行會(huì)于足少陽(yáng)膽經(jīng)的客主人穴，沿頰車(chē)合人足陽(yáng)明經(jīng)，再循經(jīng)下行至結(jié)喉兩旁的人迎穴。這就是胃氣別出陽(yáng)明而又合于陽(yáng)明，使陽(yáng)明脈搏動(dòng)不休的原因。手太陰肺經(jīng)上的寸口脈和足陽(yáng)明胃經(jīng)上的人迎脈，因陽(yáng)明之氣上下貫通，所以它們的跳動(dòng)也是一致的。陽(yáng)亢而陽(yáng)明脈反小是逆象。陰衰而太陰脈大也是逆象。在正常情況下，脈氣的陰陽(yáng)動(dòng)靜，是內(nèi)外相應(yīng)的，因此，寸口脈和人迎脈應(yīng)當(dāng)相互協(xié)調(diào)，搏動(dòng)的至數(shù)、力量等都應(yīng)當(dāng)一致。就像用一條繩索牽動(dòng)兩物一樣，既聯(lián)系又平衡，有一方偏盛而失去平衡就是病態(tài)。</p> <p> 　　黃帝問(wèn)足少陰腎經(jīng)的動(dòng)脈為何跳動(dòng)不休呢?岐伯說(shuō)足少陰脈的搏動(dòng)，是因?yàn)榕c沖脈并行的原因。沖脈為十二經(jīng)脈之海，它和足少陰的絡(luò)脈，共同起于腎下，出于足陽(yáng)明胃經(jīng)的氣沖穴，沿大腿內(nèi)側(cè)，向下斜行人于胭中，沿脛骨內(nèi)側(cè)，與足少陰經(jīng)并行，下行進(jìn)入于內(nèi)踝之后，入于足下。其中又分出一條支脈，斜入內(nèi)踝，再進(jìn)入脛骨與跗骨相連的部位，經(jīng)足背人大趾之間，最后進(jìn)入絡(luò)脈，發(fā)揮溫養(yǎng)脛部和足部的作用，這便是足少陰經(jīng)脈不停地跳動(dòng)的原因。</p> <p> 　　黃帝問(wèn)道營(yíng)氣和衛(wèi)氣的運(yùn)行，上下貫通，循環(huán)往返而不停息。若突然遇到邪氣的侵襲，或受到嚴(yán)寒的刺激，外邪留滯四肢，使得手足懈惰無(wú)力。在正常情況下，營(yíng)衛(wèi)在經(jīng)脈內(nèi)外有規(guī)律地運(yùn)行。若邪氣滯留，營(yíng)衛(wèi)運(yùn)行的通道和轉(zhuǎn)輸會(huì)合之處，因外邪阻滯而運(yùn)行失常。如此營(yíng)衛(wèi)之氣是如何往返循環(huán)的呢?岐伯回答說(shuō)四肢末端是陰陽(yáng)會(huì)合的地方，也是營(yíng)衛(wèi)之氣循行的必經(jīng)之路。邪氣阻塞了小的絡(luò)脈后，像四街這樣的一些路徑就能開(kāi)通，營(yíng)衛(wèi)之氣仍然能夠運(yùn)行。當(dāng)四肢末端的邪氣祛除后，各絡(luò)脈又溝通如初，營(yíng)衛(wèi)之氣又從這里轉(zhuǎn)輸會(huì)合，周而復(fù)始，循環(huán)不止。黃帝說(shuō)好!通過(guò)上述闡釋，對(duì)于如環(huán)無(wú)端，周而復(fù)始的道理，我更加明白了。</p> <p> 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