第一难

难经 · section 1 · 佚名 舊題扁鵲 · 345 characters

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Original text

十二经皆有动脉,独取寸口,以决五藏六府死生吉凶之法,何谓也?

然: 寸口者,脉之大会,手太阴之脉动也。 人一呼脉行三寸,一吸脉行三寸,呼吸定息,脉行六寸,人一日一夜,凡一万三千五百息,脉行五十度,周于身漏水下百刻,荣卫行阳二十五度,行阴亦二十五度,为一周也,故五十度复会于手太阴寸口者,五藏六府之所终始,故法取于寸口也。

第二难 脉有尺寸,何谓也?

然: 尺寸者,脉之大要会也。 从关至尺是尺内,阴之所治也,从关至鱼际是寸口内,阳之所治也。 故分寸为尺,分尺为寸,故阴得尺内一寸,阳得寸内九分,尺寸终始一寸九分,故曰尺寸也。

第三难 脉有太过,有不及,有阴阳相乘,有覆有溢,有关有格,何谓也?

然: 关之前者,阳之动也,脉当见九分而浮,过者,法曰太过; 减者,法曰不及。遂上鱼为溢,为外关内格,此阴乘之脉也。

关以后者,阴之动也,脉当见一寸而沉,过者,法曰太过; 减者,法曰不及。遂入尺为覆,为内关外格,此阳乘之脉也,故曰覆溢。是其真藏之脉,人不病而死也。

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第一難 — 難經