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人纪系列针灸篇
校勘序
中华民族文化博大精深、源远流长，中医更是中华民族的瑰宝，几千年来一直维护着中
华民族的健康。继承和发扬中医，本是我们与生俱来的使命。可是由于种种原因，中医的许
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经绝版。
本书基于网络流传的倪海厦先生人纪授课实录的《人纪系列针灸篇》扫描版电子书籍，
经由诸多民间的中医爱好者，参阅古籍文献，共同校勘而成。我们在校勘的过程中对某些明
显的错误给予了修改，对于无法确定之处，都保持了原样。同时完善了目录，并将竖版改为
横版。我们力图提供正确无误的电子版，但限于精力与能力，错误在所难免。
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民间中医爱好者 敬校
庚寅年 辛巳月 庚午日
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目录
校勘序·······································································································································2
目录···········································································································································3
第一章 针灸的使用时机（1-00:00:14）·············································································11
一、针灸的使用时机（1-00:00:56）··········································································11
隔姜灸··················································································································11
隔盐灸··················································································································12
隔蒜灸··················································································································12
米粒灸··················································································································13
二、针灸的急救法（1-00:34:08）··············································································13
三、火罐的使用时机（1-00:41:45）··········································································14
四、火罐的使用（1-00:45:06）··················································································14
第二章 针灸穴位丈量方法（1-00:49:46）·········································································14
一、针刺的深浅讨论（1-00:52:35）··········································································15
二、一般针刺入穴方法（1-00:56:20）······································································15
三、成人与幼儿的不同入穴方式（1-01:10:36）······················································16
四、现代常用的针号概念（1-01:06:47）··································································16
五、黄帝时代九针型式（1-01:10:45）······································································17
第三章 十二经纳天干地支与十二正经井荣俞原经合（1-01:14:05）·····························17
一、十二经纳天干歌（1-01:14:10）··········································································17
二、十二经纳地支歌（1-01:16:28）··········································································17
三、十二正经之井荣俞原经合穴（1-01:50:22）······················································20
四、病在脏取井穴（1-01:56:16）··············································································20
五、病变于色取荣穴（1-01:58:35）··········································································21
六、病在时间者取俞穴（1-01:59:55）······································································21
七、病变于音者取经穴（1-02:02:22）······································································21
八、病起于饮食取合穴（1-02:03:37）······································································21
九、五脏不平衡时用原穴（1-02:05:21）··································································22
十、与四季的关系（1-02:05:48）··············································································22
十一、五行（1-02:12:44）·························································································23
第四章 十二经络与奇经八脉简介（1-02:18:45）·····························································23
一、任脉与督脉（1-02:18:45）··················································································23
二、任脉经穴（1-02:34:23）·····················································································24
1、膀胱之募穴—中极穴（1-02:54:42）····························································26
2、小肠之募穴—关元穴（1-03:00:02）····························································27
3、三焦之募穴—石门穴（1-03:18:25）····························································28
4、三焦之募穴—阴交穴（1-03:25:05）····························································29
5、神阙穴（1-03:26:14）····················································································29
6、水分穴（2-00:01:54）····················································································29
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7、下脘穴（2-00:12:02）····················································································30
8、胃之募穴一中脘（2-00:14:33）····································································30
9、心之募穴—巨阙穴（2-00:18:58）································································31
补泻手法（2-00:22:48）··············································································31
10、鸠尾穴（2-00:29:57）··················································································32
11、膻中穴与天突穴（2-00:31:05）··································································32
12、廉泉穴（2-00:43:13）··················································································33
13、承浆穴（2-00:45:20）··················································································33
三、督脉经穴篇（2-00:52:58）··················································································33
1、长强穴（主治痔疮）（2-00:54:24）······························································34
2、腰俞穴（2-00:59:29）····················································································34
3、命门与阳关穴（2-01:01:02）········································································34
4、悬枢穴（2-01:05:42）····················································································35
5、脊中与筋缩穴（2-01:07:00）········································································35
癫、痫、狂之眼诊法（2-01:10:19）··························································35
6、至阳、灵台、神道、身柱（2-01:14:54）····················································35
7、大椎与陶道穴（2-01:23:00）········································································36
8、哑门与风府穴（2-01:26:27）········································································36
9、后顶与百会穴（2-01:33:43）········································································37
扁鹊典故（2-01:37:43）··············································································37
10、前顶、顖会与上星穴（2-01:40:16）··························································38
11、素髎、兑端、龈交穴（2-01:48:31）··························································38
四、手太阴肺经（2-01:53:55）··················································································39
1、相傅之官：肺（2-01:54:44）········································································39
五脏逼毒法（2-02:04:02）··········································································40
2、阴经之井荣俞经合（2-02:11:59）································································40
3、肺法象天幕（2-02:23:14）············································································41
4、中府穴至经渠（2-02:25:31）········································································41
5、太渊穴—手太阴肺经母穴（2-02:49:04）····················································43
6、反关脉与经渠穴（2-02:55:03）····································································44
7、鱼际穴与少商穴（2-03:02:34）····································································44
五、手阳明大肠经（2-03:10:34）··············································································45
1、商阳穴（2-03:13:42）····················································································45
2、二间与三间穴（2-03:19:45）········································································46
3、合谷穴（2-03:24:34）····················································································46
虚实症之诊治（2-03:26:24）······································································46
4、阳溪穴（2-03:36:09）····················································································47
5、四关穴（2-03:39:38）····················································································48
6、偏历与温溜穴（2-03:41:35）········································································48
7、曲池与手三里穴（2-03:44:04）····································································48
捻转针手法（2-03:45:44）··········································································48
8、肘髎至巨骨穴（3-00:06:26）········································································49
中风八大穴（3-00:08:27）··········································································50
9、天鼎、扶突穴（3-00:14:03）········································································50
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10、禾髎与迎香穴（3-00:16:25）······································································51
六、足阳明胃经（3-00:20:35）··················································································51
1、头维穴（3-00:20:55）····················································································51
2 下关与颊车穴（3-00:34:27）···········································································52
3、承泣、四白与巨髎穴（3-00:40:21）····························································53
4、地仓、大迎与人迎穴（3-00:46:51）····························································53
5、缺盆穴至膺窗穴（3-00:50:31）····································································54
6、乳中穴与乳根穴（3-00:53:40）····································································54
乳癌之针灸治疗（3-01:00:53）··································································55
7、不容与承满穴（3-01:20:57）········································································57
8、天枢穴（3-01:27:27）····················································································58
腹四针（中脘关元天枢）（3-01:35:38）····················································58
9、外陵穴至气冲穴（3-01:37:00）····································································58
10、髀关穴至梁丘穴（3-01:42:53）··································································59
五穴四针（治疗关节炎 ）（3-01:51:44）···················································60
11、足三里穴：胃经合穴（3-01:55:33）··························································60
足三里之补泻手法（3-02:00:49）······························································61
12、奇穴—阑尾穴（3-02:12:38）······································································62
13、上巨虚、条口与下巨虚（3-02:16:58）······················································62
条口透承山穴（糖尿病诊治）（03-02:19:02）···········································62
14、丰隆穴与导痰针灸法（3-02:25:55）··························································63
15、解溪穴与冲阳穴（3-02:29:43）··································································63
16、陷谷、内庭与厉兑穴（3-02:36:51）··························································64
尸厥放血（3-02:46:19）··············································································65
针灸之导引针法（3-02:49:01）··································································65
七、足太阴脾经（3-02:51:30）··················································································65
1、谏议之官：脾脏（3-02:51:39）····································································65
中风预兆（3-03:00:42）··············································································66
咖啡与胰脏癌（3-03:08:26）······································································67
2、隐白穴与奇穴：三毛（3-03:10:19）····························································67
3、大都穴与太白穴（3-03:14:55）····································································67
蛔虫症 判断（3-03:18:42）········································································68
4、公孙穴（胃心胸病）（3-03:25:00）······························································68
5、商丘穴与对称治疗法（3-3:33:34）······························································69
6、三阴交穴与妇病治疗（3-3:38:47）······························································70
7、漏谷穴（4-00:02:40）····················································································71
8、天地人三皇穴（阴陵 地机 三阴交）（4-00:03:58）···································71
9、痛经三穴：血海 三阴交 中极（4-00:15:22）·············································73
10、奇穴：百虫窝（4-00:20:01）······································································73
11、箕门穴与冲门穴（4-00:21:47）··································································73
12、府舍穴至腹哀穴（4-00:25:16）··································································74
13、食窦穴与天溪穴（4-00:29:03）··································································74
14、胸乡穴与周荣穴（4-00:35:37）··································································75
15、全身脉络之主管：大包穴（4-00:38:20）··················································75
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八、手少阴心经（04-00:47:30）················································································76
1、君主之官：心脏（04-00:47:55）··································································76
非置入性治疗清除动脉血管阻塞（4-00:59:20）·······································77
2、极泉穴与青灵穴（4-01:06:34）····································································78
3、母穴：少海穴（4-01:08:44）········································································78
4、灵道 通里 阴郄 神门穴（4-01:14:33）······················································79
5、少府与少冲穴（4-01:18:02）········································································79
九、手太阳小肠经（4-01:30:58）··············································································81
1、受盛之官：小肠（4-01:33:03）····································································81
2、少泽穴与前谷穴（4-01:40:52）····································································82
3、后溪穴（4-01:44:00）····················································································82
4、腕骨穴与阳谷穴（4-01:48:25）····································································83
5、养老穴（手不能扭毛巾）（4-01:52:38）······················································83
6、奇穴：肠关 肝关 心关（4-01:59:49）························································84
7、支正穴与小海穴（4-02:04:19）····································································85
8、肩贞穴与臑腧（4-02:07:12）········································································85
9、天宗穴至秉风穴（4-02:10:04）····································································86
10、肩外俞与肩中俞（4-02:13:50）··································································86
11、天窗、天容与颧髎穴···················································································87
12、听宫穴（耳鸣耳脓中耳炎）（4-02:22:31）·················································87
十、足太阳膀胱经（4-02:29:42）··············································································88
1、州都之官：膀胱（4-02:29:44）····································································88
2、睛明穴与攒竹穴（4-02:41:56）····································································89
四穴放血：治视力（4-02:47:00）······························································90
3、眉冲穴至玉枕穴（4-02:49:48）····································································90
4、天柱穴与奇穴：安眠穴（4-02:56:57）························································91
5、大杼穴（专治骨病）（4-03:00:34）······························································91
6、风门穴（发背脓疽）（4-03:16:35）······························································93
肺俞穴（俞募治疗法）（5-00:00:16）································································94
8、厥阴俞与心俞穴（5-00:13:06）····································································95
9、红斑性狼疮（5-00:21:40）············································································96
10、督俞穴（血癌）（5-00:26:24）····································································97
11、膈俞穴（贫血、瘀血）（5-00:31:19）························································97
12、经外奇穴：消渴穴（5-00:36:48）······························································98
13、肝俞与胆俞穴（胆结石、肺痨）（5-00:41:03）·········································99
14、四花灸（膈俞、肝俞）（5-00:47:25）························································99
15、脾俞穴与胃俞穴（5-00:50:35）································································100
16、三焦俞与肾俞穴（5-00:55:25）································································100
17、气海穴与大肠俞穴（5-01:03:47）····························································101
18、关元俞至白环俞穴（5-01:07:54）····························································102
19、八髎穴与会阳穴（5-01:12:06）································································102
20、附分穴与魄户穴（5-01:17:10）································································103
21、膏肓穴（5-01:20:53）················································································103
22、神堂穴至胃仓穴（5-01:29:12）································································104
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23、肓门穴至秩边穴（5-01:33:13）································································105
24、经外奇穴:痞根穴（5-01:35:20）·······························································105
25、承扶穴至委阳穴（5-01:39:08）································································105
26、殷门与委阳穴（5-01:44:20）····································································106
27、委中穴（去血放毒、麻风病、背痛、皮肤癣）（5-01:48:53）···············106
担法与截法（5-01:59:05）········································································107
合阳穴与模拟法（5-02:04:16）································································108
28、承筋、承山、飞扬穴（5-02:08:02）························································108
29、跗阳与昆仑穴（5-02:14:45）····································································109
奇穴：消积穴（判断肿瘤）（5-02:16:46）···············································109
30、仆参穴至京骨穴（5-02:20:54）································································110
31、束骨穴（专治经络之病）（5-02:29:08）··················································110
32、通谷穴与至阴穴（5-02:32:14）································································111
十一、足少阴肾经（5-02:36:12）············································································111
1、作强之官——肾脏（5-02:36:12）······························································111
2、肾经与音羽吹声（5-02:46:30）··································································112
3、涌泉穴（顽固头痛）（5-02:53:15）····························································113
4、眼诊法（心肺肝肾脾脏）（5-02:57:11）·····················································114
5、然谷穴（治脑震荡）（5-03:04:13）····························································114
6、太溪穴与肾结石诊治（5-03:07:27）··························································115
7、大钟、水泉与照海穴（5-03:13:36）··························································115
8、扁桃腺诊治（5-03:18:47）··········································································116
9、复溜、交信与筑宾穴（5-03:22:47）··························································116
10、阴谷穴与横骨穴（5-03:32:59）································································117
11、大赫穴至肓俞穴（5-03:41:27）································································118
12、商曲穴（6-00:03:33）················································································119
13、石关穴至幽门穴（6-00:50:39）································································119
14、步廊穴（6-00:08:31）················································································119
15、神封穴至俞府穴（6-00:13:16）································································120
十二、手厥阴心包经（6-00:17:58）········································································120
1、天池穴至曲泽穴（6-00:25:57）··································································121
2、郄门穴至内关穴（6-00:31:32）··································································122
3、大陵穴、劳宫穴、中冲穴（6-00:45:18）··················································123
十三、手少阳三焦经（6-00:54:34）········································································124
1、三焦：上焦、中焦与下焦（6-00:54:40）··················································124
2、关冲穴至阳池穴（6-01:01:10）··································································124
3、外关穴（通生死关与开天河水）（6-01:06:55）·········································125
三关：幼儿治症（指针法）（6-01:09:10）···············································125
耳轮：治小儿惊吓（6-01:15:00）····························································126
三种背痛诊治（6-01:21:15）····································································127
4、支沟穴至四渎穴（6-01:24:51）··································································127
5、天井穴与清冷渊穴（6-01:31:50）······························································128
6、消泺穴至翳风穴（6-01:35:46）··································································128
7、瘈脉穴至丝竹空穴（6-01:43:05）······························································129
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8、奇穴：眉棱点（眉棱骨痛）（6-01:51:44）················································130
指针术（6-01:53:33）················································································130
和髎穴与耳门穴（6-01:56:30）········································································131
十四、足少阳胆经（6-02:01:40）············································································131
1、胆··················································································································131
2、瞳子髎穴（6-02:12:17）··············································································133
3、听会穴与上关穴（6-02:16:44）··································································133
4、颔厌穴与率谷穴（6-02:21:15）··································································134
5、完骨、本神与阳白穴（6-02:28:58）··························································135
6、头临泣、目窗穴与风池穴（6-02:32:32）··················································135
7、肩井穴（解血瘀胸中）（6-02:38:52）························································136
8、渊液、辄筋穴（6-02:43:45）······································································137
9、日月穴与京门穴（腰酸、耳鸣）································································137
10、带脉、五枢与维道穴（6-02:51:29）························································137
11、华陀夹脊（足三里十临泣穴）（6-02:58:16）···········································138
12、居髎穴与环跳穴（骨之始）（6-03:00:51）···············································138
13、风市穴（中风瘫痪大穴）（6-03:08:25）··················································139
14、阳关穴、阳陵泉穴（6-03:11:58）····························································140
15、奇穴：胆石点（6-03:15:06）····································································140
16、阳交穴至外丘穴（治犬咬伤）（6-03:17:28）···········································140
17、光明、阳辅与悬钟穴（6-03:22:51）························································141
18、八会穴介绍（6-03:30:07）········································································142
19、丘墟穴至足窍阴穴（6-03:33:11）····························································142
十五、足厥阴肝经（7-00:00:12）············································································144
1、肝经走向（7-00:00:26）··············································································144
2、肝病与睡眠（7-00:11:27）··········································································145
3、大敦穴（疟气、子宫下垂、性病、阴部痛）（7-00:16:55）·····················146
4、行间穴（7-00:25:10）··················································································147
5、太冲穴与三脉（7-00:27:27）······································································147
6、中封穴至阴包穴（7-00:33:50）··································································148
7、奇穴：治肝三穴（7-00:43:48）··································································148
8、五里穴与阴廉穴（助孕）（7-00:49:01）····················································149
9、章门穴与期门穴（7-00:51:47）··································································149
第五章 奇经八脉与针刺法（7-01:01:48）·······································································150
十二经络与十五络脉歌（7-01:02:02）····································································150
奇经八脉（7-01:13:04）···························································································151
呼吸法引气法（7-01:34:34）···················································································154
烧山火与透天凉（7-01:43:50）················································································155
阳中引阴与阴中引阳（7-01:55:34）········································································156
留气法、烧针与报刺法（7-01:59:49）····································································156
治痞：烧针（脂肪瘤 黑痣 化脓）（7-02:04:35）··················································157
治痞：报刺针法（7-02:10:41）················································································158
运气法与四种痛症（7-02:15:12）············································································158
提气法与中气法（7-02:21:42）················································································159
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五门十变与天干歌（7-02:31:04）············································································160
飞经引气（7-02:46:22）···························································································161
青龙摆尾与白虎摇头·························································································162
苍龟探穴与赤凤迎源（7-02:53:07）································································162
龙虎交战与龙虎升降（7-02:58:25）································································163
五脏交经法（青龙摆尾于本穴）（8-00:00:21）······················································163
呼吸补泻法（8-00:06:00）·······················································································164
子午捣臼法（九入六出治水胀）（8-00:12:20）······················································165
下针八法（8-00:17:20）···························································································166
五俞穴治疗与原络治疗（8-00:22:33）····································································166
俞募治疗与会郄治疗（8-00:32:02）········································································167
九针之使用时机（8-00:38:54）················································································168
第六章 针灸治症系列（8-00:52:47）···············································································170
梅花针（治皮肤病麻痹症）（8-00:52:54）······························································170
头部与脑瘤治症（8-00:55:17）················································································170
治眼证及睛中法（8-01:08:08）················································································171
治鼻病：鼻息肉 鼻炎（8-01:14:59）······································································172
治耳症：耳鸣 化脓（8-01:23:22）········································································173
面部中风与起因（8-01:32:32）················································································174
治舌症与扁桃腺炎（8-01:43:40）············································································175
甲状腺治症（8-01:53:06）·······················································································176
肺症虚实与癫痫（8-01:56:16）················································································176
内伤与五脏气乱（8-02:03:05）················································································176
肺癌与肺痨（8-02:09:12）·······················································································177
肺积水与胸肋积水（8-02:17:35）············································································178
心脏肥大、胸痛与心律不整（8-02:25:20）····························································178
乳癌初期与中期肿块治疗（8-02:40:14）································································180
肺积水 乳癌末期灸法治疗（8-02:53:53）······························································181
胆结石与肝病治症（8-03:07:33）············································································182
针灸疗程与针后禁忌（8-03:15:00）········································································183
脾肿大与胃病治疗（8-03:19:27）············································································183
血症（内出血与外伤出血）（8-03:29:02）······························································184
朝食暮吐与腹膜炎（8-03:35:47）············································································185
消渴、痞块与肝结石治症（8-03:40:47）································································185
腹痛、瘀血与便秘（9-00:00:14）············································································187
盲肠炎与奔豚症（9-00:07:07）················································································187
血痢、痔疮、肠漏与大肠癌（9-00:15:53）····························································188
月经寒实症、助孕与绝孕（9-00:24:38）································································189
痛经、赤白带与子宫卵巢肿瘤（9-00:35:22）························································190
怀孕忌针、安胎堕胎与胎位不正（9-00:50:25）····················································191
灵龟八法（9-01:00:40）···························································································192
灵龟八法与子午流注（9-01:03:39）········································································193
奇穴：大椎外五分定喘穴（9-01:25:28）································································195
耳针治疗：醒酒、肾结石、心脏、消炎（9-01:27:04）·········································195
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回阳九针（9-01:59:50）···························································································198
十三鬼穴：癫痫 发狂奔走 中邪（9-02:03:56）····················································199
疾病疑问解答（略）（9-02:10:50）···················································································199
穴位拼音索引·······················································································································201
穴位笔画索引·······················································································································207
治症索引·······························································································································213
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第一章 针灸的使用时机（1-00:00:14）
各位同学!今天是人纪班第一天开始上课，以后你们会慢慢学到很多中医的知识。我把
你们统统当作完全没有中医的根基，完全不懂，所以我们从头开始讲。
有关针灸的起源、发源及历史，坊间的书上写了很多，我们不浪费时间讲，我们要讲书
上没有的。针灸的使用时机、针灸的禁忌。
针灸的使用比中药早了约一千年。从古到今，中医的针灸在施治上有几个大原则。
一、针灸的使用时机（1-00:00:56）
遇到气血大虚、重病、刚刚失过很多血、病患完全没有元气的时候，这时候我们不下针。
另外，刚做完爱，行完房事后，也不针。时机不好、运动过后、大汗后也不针。喝酒后，不
针。体力不够，不下针。
针可以用在所有的病上面，从感冒到癌症都可以。针灸及中药都是可以独立成为中医的
一个部门的。所以，此时我们不谈中药，只谈针灸来治病。而日后我在教各位《伤寒》《金
匮》时，大家也一样把针灸忘掉，全用中药来治病。
灸呢？我们叫JIU，就是“久”下加一个“火”字。用灸时就必须用艾绒，为什么要用
这个艾草，在古代，部队里没有西医，只有中医，那个时候都是中医。那部队沿路开拔的时
候最重要的就是补给，除了食物以外，最重要的是水，没有水的话部队就不能行动。中医如
何去找这个水呢？艾草它的生命力很强，再艰难的环境下都可以找得到它。艾有一个特性，
就是向下，艾会自己去找水,找到水以后烟就往上升。如果部队要找水，就叫阿兵哥将艾草
摊在土里烧，这时叫人到各处去看看，看到地上有烟冒出来的地方，那个地方下面就有水。
为什么要灸？当针力不足的地方，我们就会用到灸，气血大虚时，可用灸的方式处理。
隔姜灸
我们有几种灸法，最普遍的就是“隔姜灸”。
我们隔姜灸就是切一片大概五十元大小的生姜，先戳几个洞，我示范给诸位看。拿一些
艾绒捏成金字塔状，再将它放在生姜上面，这样一个单位叫“一壮”。在灸的时候，这个生
姜片不用换。不要灸五壮，就换五片生姜，烧到温热，不用烧到很烫。感觉温热，不用很烫
时就换一壮，在旁边放一个水盆，未烧完的艾就丢到水里熄灭掉。若不放水在里面，碗就会
烧破。
灸的时候，灸单数不灸双数，艾为纯阳，取阳数。若灸后起了水泡，就从皮肤旁边用消
毒过的针刺一个小洞，把水慢按排出来。不要把皮肤撕掉免得造成疤痕，洒上一些硫磺粉及
大黄粉就可以了。
因为艾本性向下，它的本性是属阳的。
譬如说，不论是什么病，灸膏肓穴灸百壮，无所不疗。灸到口干舌燥都没有关系，小便
都会有艾草味。
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隔盐灸
第二个灸法是“隔盐灸”，我们在灸的时候，用盐巴填满神阙穴（就是肚脐），再放艾绒
上去灸。先将盐炒熟。精盐不能用，要用青盐，要等盐变温一点了，凉了，再倒在神阙穴上，
否则会把肚皮烧坏了。古病人下利时不管是寒利或热利（只要是食物没有消化就是寒，热利
的话味道会很臭），灸神阙就可以了。
隔蒜灸
第三个灸法叫“隔蒜灸”，灸一个就是一壮。
当久咳的时候，因蒜是白色的，辛辣色白，才能入肺，放在舌上。因为舌为心表，把舌
头往外伸，灸后心脏力量加强。心和肺最接近，这时候我们去灸，咳嗽就会好。那你不要拿
生姜，要用蒜，肺的问题，我们要用隔蒜灸。
灸的用途非常广，比如说被毒蛇咬伤、蝎子、蜘蛛咬伤，任何的毒物咬伤、破伤风都可
以用灸。什么是破伤风，比如说今天你手上有伤口，又去整理生锈的铁钉，在临床上面怎么
做呢？有个病人来找我，手指头红肿，从手指头一路红到手上。我们在介绍中医的时候，我
会慢慢把中医的原则跟诸位讲，我们有两种方式，可以知道病人的病情到底是越来越严重，
还是越来越好。当病进时，是由四肢末梢往身上走，就像我刚才讲的，如手有伤口被感染或
被毒蛇咬到，这时会感到毒往身上走。而病退时，就会由身上往四肢走。譬如，原来是病在
肩，第二天醒来，病虽还没好，但我的肩不痛了。但是痛到手臂上了，这就是病在退了。当
病在退的时，处方不能改，所针的穴道也不能改，要等它病好了为止。若病仍在进时，就表
示你的处方、穴道错了!这时你就应该想想怎么去解决它。
当这个病在进时，像病人手指头破伤风红肿，我一看，针都不用下，用隔蒜灸。它（病）
走到这边的时候，我们在这边的头上面灸，病人手粉红色，很痛，痛到不能动，我就在头尾
灸两壮，灸完两壮后才几分钟而已，就在退了，退到手掌心，退到劳宫时，就知道病离开心
脏。到后来我就没有帮他灸了，因为艾草在烧起来的时候，很像大麻的味道。我在美国的诊
所，一烧起来的时候，常有人说：有人在抽大麻，所以我没有再帮他灸，而把窗户打开，透
透空气，然后隔两天病人回来，那天从诊所走到停车场，他手都不痛了，也可以开车了。来
的时候是一只手开车的，回去时可以两手开车了。
如果说，你觉得打破伤风针很好，打疫苗很好，那就去打吧，实际上没什么大帮助，破
伤风时，连药也不用吃针也不用下，用灸就可以好，所以我们用灸的机会很多。
还有疱疹、腰蛇、锦蛇。长这样一圈，看起来红红的一小粒，长疱疹的时候，我们有两
种烧它的方式，如病人疱疹是长这样子的，在疱疹的头尾隔姜去灸他，它就不会再蔓延了，
过两天，疱疹就变短了。我们还是一样在疱疹的头尾灸，慢慢去灸，反正就是把疱疹包围起
来。就是一种方法。
还有一种方法，过去古代看到疱疹，就去拿蜘蛛网，把这蜘蛛网平摊在疱疹上面，因为
蜘蛛网很粘，用薄薄的粘一层，瞬间一烧就烧掉，烧完后，五天到一个星期，疱疹就治好了。
疱疹比米粒还小，像五味子，粉红色，很痛。现在不要去拿蜘蛛网了，可以用干棉花，不要
用有酒精的棉花。但棉花粘不住啊，它不像蜘蛛网，没有那个胶质，所以我们放点凡士林在
上面，因为目的是烧嘛。如果是你的爸爸妈妈就轻轻一烧，烧完就会整个干掉，如果是你的
仇人，用多一点棉花烧。我们平常用全蝎，把它烤干，你不要拿蝎子给他吃，全蝎粉去药房
买也可以买到。但过去是把蝎子烧烤成金黄色，但现在药房已有全蝎粉，味道很强，你可以
放到胶囊里面去，可以吃八到十颗。所以疱疹很好治。
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一般热症不用灸法。当感冒发烧，病人已经很热了，不要灸。流汗多的地方不灸，手掌
汗比较多，也不灸。津液很多的地方不要灸，眼睛不要灸，阴部不灸。病人有痔疮时，已经
是热了，也不能灸。
针灸有些禁忌。有一个歌诀：“针而勿灸灸勿针，针经为此常叮咛。庸医针灸一齐施，
徒施患者炮烙刑。”
过去呢，针就是针，灸就是灸，历代就一直就是这样子。但从文化大革命以后，变成哪
里痛针哪里。要真是如此简单，就不用读针灸啦!而且效果又不好，手法又变得开始花哨了。
《针灸大成》
①是我们的教科书，书上所说的地方都是：左病右治，右病左治。意思就
是叫我们对称治疗。但像刚才带状疱疹当然是在天应穴
②上灸。临床下针是左病右治、右病
左治。但大陆的中医没有看过这种书，而且在文革烧掉了好多好书，好的中医也都给斗争掉
了。所以他们治不好病，只好变些花哨的手法来吸引病人，变成针上头放个艾绒，让病人更
痛苦。古有名训，针就是针，炙就是灸，我们要分开使用。
米粒灸
另外，补充一点。我们还有一个灸法是“米粒灸”。我们把一点点的艾绒，捏成像米粒
一样大。用凡士林先涂在欲灸的穴道上，将它放在上面灸。用在什么地方呢，如鼻窦炎 、
鸡眼 ，我们用香来点，灸三个、五个，就看病有多深。这是灸的大原则。痛灸到不痛止，
不痛灸到痛止，这是原则，所谓“不痛灸到痛止”的意思是，一直灸直到当你碰到患部病根
的时候，那儿开始产生了痛，对不对？就表示到了。那怎么知道“痛灸到不痛”，像“肿瘤”
就是。在肿瘤痛 的地方一直灸，直到不痛的地方就停住。
最高明的医生，就是把病治好了，又不伤病人的元气。而西医的手术，即使宣称手术很
成功，但这个刀开下去后的结果如何，你需要慢慢去体会它！若去开刀，还是会长回来的。
当然，如果是你的情敌，叫他给西医开刀好了！
二、针灸的急救法（1-00:34:08）
我们再下来讲“针灸的急救方式”，我们可用在很多地方。当有人发病，昏迷 过去时，
他可能是心脏病，也可能是中风，溺水。我们不管是什么原因，第一个先针“人中”，就是
鼻子下方、嘴唇上方的水沟处，把它分三段，取上面三分之一处下针，下针时，针要斜刺往
上，若没有针在手上呢，掐人中。
若仍未醒，第二个就是“十宣”放血。为什么叫“十宣”呢？就是在十只手指头的指尖
放血。比较没有常识的人呢，都是一个一个手指尖放。一个一个下，太慢了，我们可以一次
捉五个手指，针拿起来，一、二、三、四、五，一下子就刺完，五只指头一起挤放血。这是
老师傅的手法。
若仍未醒，再将脚的十个趾头尖放血。若还没醒，就再下“涌泉”穴。将脚掌一握起来，
会看到“人”字纹，人字纹的纹头就是穴道。这是我们的急救大穴，你不要拿一个三寸针下
去。若还不醒，就在“百会”放血。“百会穴”一般是放血用。我们不下针。当病人整个脸
都是呈现红色时，就是刚中风，就在百会放血。
百会穴怎么找呢？从额头往上到顶，再由两耳尖直上，两线相交的一点，再往后半寸，
①《针灸大成》由明代杨继洲原著，靳贤补辑重编，于明万历二十九年(1601)刊行。共10 卷。
② 天应穴，穴名。《扁鹊神应针灸玉龙经》：“不定穴，又名天应穴，但疼痛便针。”
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会摸到一个凹洞，就是百会穴。放血时，让病人躺下头靠着床沿往下垂，在百会放血后，病
人会感到一阵清凉，凉到嘴巴，就可以讲话，凉到手脚，手脚就可以活动了。
在急救时，管他有无执照，没有人会告你的，急救就去救。若碰到美女，就用嘴对嘴呼
吸也可以。不要管太多!
这是我们的急救方式。
三、火罐的使用时机（1-00:41:45）
针灸的器具,还有火罐。过去是用大小不同的竹子，做成杯子一样。把杯子先用火烧一
下，就罩在要拔的地方。
病人常会大叫一声，因为拔的力量相当强。过去的郎中带着各式各样的火罐，里面呢，
放只蚂蝗，这个吸血的蚂蝗，会吸脓，还有麻醉作用，这是他的天性。伤口烂了，里面化脓，
对它来说是人间美食啊!在现代呢，美国有消毒过的蚂蝗。
四、火罐的使用（1-00:45:06）
我们用真空的拔火罐，火罐有不同的size，用真空的来吸。我在介绍火罐，并没有介绍
哪个厂商。火罐用的时候就要拿火罐枪将空气吸出来，拿的时候后面的尾巴一拔，气就放出
来了。
你们命很好，我们在学针灸时，是用点火的。当时，曾有个太太。不小心头发烧了一个
大洞。
火罐除了可以吸脓，还有瘀血，我们在活血化瘀的时候，比如膝盖扭伤 ，我们会在痛
点放血，用火罐放血的时候看颜色，由黑变淡，就起罐。被竹子刺到或海胆刺到，都可以抽
出来。
有些地方不能拔火罐，例如乳中，否则乳头会流黄水出来。多汗的地方不上火罐，头部
也不用火罐。在外科急性扭伤的时候用的很多，受伤时马上在扭到的地方上火罐。还有痔疮，
现在是用放血针，刺完以后，就用火罐把它吸出来。西医的放血针做得很好，针尖呈三角形，
很锐利，放完后就可以直接丢掉。待会我们介绍针时，再跟各位讲。这是笫一章的基本概念，
我们休息一下!
第二章 针灸穴位丈量方法（1-00:49:46）
我们进入第二章，先介绍这穴道丈量的方法。
诸位一定要晓得，知道穴道丈量的方法，才不会找不到穴道，否则即使你知道要扎什么
穴道，结果你心到手却没有到，扎错穴道也等于没有扎。那我们丈量的方法，第一个我们叫
同身寸。所谓同身寸，因为每个人的高矮体格都不一样，像我在美国，NBA 球员来的时候，
门都走不进来，摔跤手进来，门也进不来，要侧着进来，个子大到这种程度，所以你不能用
我的寸来量他的，每一个人的寸都不一样。怎么量这个寸，把中指头弯起来，这两个横纹头，
点跟这个点之间我们定义为一寸，这是同身寸。你不用去一个一个量，三个指头拿起来，这
是两寸，四个指头是三寸，以连接手掌的指端为长度标准。你看的时候要看病人的手，不能
看你的手，大概就可以了。
这是我们的同身寸，小孩子要看小孩子的手。所以每个人的寸都不一样，这是同身寸。
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我们在运用的时候，同身寸大部分用在四肢上面，还有经络之间的寸。而腹部跟胸部，另有
个独立的丈量方式。待介绍任督二脉，我会再讲，基本上是以同身寸为主。
一、针刺的深浅讨论（1-00:52:35）
我们下针有深有浅，一般言，我们有受季节的影响，比如说在春天下针就要比较浅，秋
冬的时候，针下的比较深，这就好像我们钓鱼一样。冬天的时候，鱼都在比较深的地方，针
就要下到骨髓去，春夏的时候，天气比较热，所以针下的比较浅，这是一个观念。
还有，就是中医认为，皮毛是肺在管，肌肉是脾脏在管，血脉是心脏在管，骨是肾脏在
管。一般下针的时候，如果病在皮毛，我们针就下在皮毛，如果病在肌肉，我们下在肌肉，
病如果是在血脉上面，我们就扎在脉的旁边，如果病是在肾脏，我们会从皮肤上面下针下在
骨头的旁边去。看这个病情在那里，决定我们下针的深浅。
十二经络和奇经八脉介绍完以后。我会专门开始讲针刺手法及补泻手法，这个都是最传
统的针灸方式。
过去我们有一句话，叫做“腹深似井，背薄似饼”。这指的就是针刺的深浅。腹部上扎
针的时候，可深针，背上扎针，就不可以深针，否则会扎到内脏。扎到肺会引起肺气肿，但
也不能说腹深似井，就扎那么深，不能乱搞。还有，胖子瘦子下针的深浅也不一样。
下针有个规距在那边，不能随便，有的穴道本来就浅，你也不能硬要把它刺过去，也无
此需要。
二、一般针刺入穴方法（1-00:56:20）
过去医书如《针灸大成》提到入针的方式，下针的时候，要病人咳嗽一下，针就同时下
去了。
为什么以前是这样子，因为那时没有针管，同时，以前针的（制造）技术很差，过去的
针像火柴棒那么粗，我们看黄帝的九针，《针灸大成》的九针画的图，那九种针根根都像火
柴那么粗，所以扎针比较痛。用咳嗽，一咳，针就下去了，比较不痛。现在有针管直接拍进
去就好了。
美国政府规定，针只能扎一次，所以你不用咳。不然中风病人，要下个十几针，要咳很
多次，所以说不要去咳嗽进针。
要知道穴位，知道大概的位置，针怎么进去，这是有原则的。你要用手去摸质感，这是
皮肤上的感觉，一般穴道绝对不会在肌肉上面，你摸两个肌肉中间穴位永远在肌肉、筋旁，
你摸上去有两条，就在缝隙上下针，绝对不会在肌肉上面，没有这种穴道，穴道都在两条肌
肉中，或者是肌肉和骨之间。
比如说，我们下脚上的针，都下在骨头旁边，一定是在肌肉和骨旁边，不会说直接扎在
骨头上面。穴道或者是在肌肉和筋之间，身上有很多筋，穴道也不会在筋上面，一定在筋和
肌肉中间，或者是在筋与筋之间，绝对不会在筋上面。比如说，心包经，我们有两条经把它
分开来，从这缝隙下进去，绝对不会下在筋上面，也没有任何穴道在血管上面，一定是在血
管旁边，你不能说摸到一个血管，以为找到了，正对它下进去，那不是穴，根本不是穴道。
穴道一定在血管旁边或在筋和筋之间、筋和肌之间、筋与骨中间。绝不会在骨上面。不
要看到一个骨头，硬要戳进去。所以说，穴道一定在筋和骨之间。筋骨之间的穴道我们常碰
到，像脚踝的地方，都是筋骨之间，不要直接扎在肌肉上面，也不要扎在骨头上面，也不要
扎在筋上面。当你们穴道位置找到以后，就用摸的，就知道哪个是正确的，针下进去就对了。
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这是我们基本上找穴，下针位置的取舍。
三、成人与幼儿的不同入穴方式（1-01:10:36）
成人与幼儿有非常大的不同，成人要留针，幼儿不留针，幼儿我们有一个特别的名称，
我们叫单刺。
我们留针，留二十分钟，留针之后会做补泻，像中风的病人，留二十、三十、四十分钟、
一个小时两个小时都没关系。像西医针在那没有打点滴、葡萄糖也没关系。
起针的时候很重要，拔针的时候，若这病人是你妈妈。这个指头放在那，慢慢的拔出来，
出毛孔的时候，稍停一下，停个三十秒，再慢慢出来，这样一滴血都没有。这我们出针的方
式，因针头很利，不能用挑勾出力的方式，会把血带上来。这是起针的方式。不要一直用力
拔出来。那小孩子用单刺。当小baby 发烧感冒，拉肚子，下针效果很快，什么叫单刺？针
进去捻一捻就出来了，根本不留针。哪些穴道可以单刺，我们经络学再讲。小孩子穴道治疗
很快，所以你不能让小孩子留针二十分钟。幼儿的定义以十四岁做为标准，十四岁以下，单
剌不留针，十四岁以上，就留针。下针时，叫病人采用卧姿。
针灸下针后有一种现象就是晕针 。为什么？因为中医有一句话“药不瞑眩疾弗缪”。这
句话，出自《后汉书》，所谓“药不瞑眩疾弗缪”，就是说一种治疗方式，没有产生瞑眩的话，
这个病不会好。
我们每次扎针，若病人产生晕针的现象，起完针，病人会感觉效果很好。可是有一种晕
针的现象，是因为病人的姿势不对。姿势不对会产生的晕针，所以我们要病人采卧姿。让他
躺倒，扎针最好不要让他站着扎，或坐着扎，都容易晕针，躺着扎最好。
姿势不良，产生的晕针怎么处理？就是刚才的急救方式，先下人中，会很痛。晕针叫病
人不要怕，先叫病人躺平。将胸腔的扣子打开。空气流通就会醒过来。晕针不会死的，到现
在还没有因晕针而死的。如果你是很性急的人，不醒就十宣放血，脚趾头再放血，回家叫病
人怎么走回去，太过也不好。
四、现代常用的针号概念（1-01:06:47）
现在我们常用的针，比如说3215，32 是针号，数目字越大，越细，一号，二号，三号
四号，很粗就像螺丝刀一样，32 号已经很细了，15 是一寸半，号码小，粗一点，有2815，
平常多用32。也会需要28 号针。有时候开刀后伤口变得很硬，针扎不进去。或还有一些脚
肿在那，有瘀血块，就用28 号针扎进去。
一寸半的针用得最多，通常用在肌肉、四肢、身上都可以扎。手指头旁呢?手再肥也不
会像身体那么厚，通常用一寸针来扎，刚才这针就是一寸针，你看这代号321O，32 不变，
粗细不变，尺寸变。像这比较长，这是所谓3230,32 号三寸针用来透穴。有些地方会用到透
穴，当场透就好了。
针灸做得好是立竿见影的。做得不好，就没有感觉，但也不会坏事。除非你扎得太深了，
古人才不去负你的责任呢。身上有非常多的穴道，都可以用透针，透的时候不但不伤筋，不
伤骨，不伤血脉，连一滴血都看不到，脚伤、腕骨痛，针一下去当场痛就去掉了。中医如果
以后发展起来，全世界医疗费用可减少非常多。还有放血针，现在放血片。古代的针呢，拿
给你们看。
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五、黄帝时代九针
①型式（1-01:10:45）
这个九针图，你们在《针灸大成》里面看到的九针，这是原图，原样、原寸，手工做的。
毫针用得最多。
各种针的形状，各有不同使用的方向。过去的老师傅的针呢，都是用棉布包拿下来，口
水沾一下，隔着衣服，针就下去了。针弯掉了，丢在地上磨一磨。一样就下去了。以前没有
不锈钢，不是金就是银，金太软银太脆，都必须要做粗一点。我们现在用的针就不会断了。
只有针身跟针柄接合处容易折断，所以我们下针都会留一点针身在外面，不会整只插下去。
若一段断在里面，两指同时一下压旁边的肉，针就出来了。有人说断了针会跟着跑，那是胡
说八道。我扎到现在，还没断针过，因为针是不锈钢的，过去发生的事情，现在不一定会发
生。
第三章 十二经纳天干地支与十二正经井荣俞原经合
（1-01:14:05）
一、十二经纳天干歌（1-01:14:10）
现在介绍天干歌及地支歌。
第一个呢，我们叫做十二经纳天干，在介绍十二经络之前，诸位有些观念要有：甲胆乙
肝丙小肠，丁心戊胃己脾乡，庚属大肠辛属肺，壬属膀胱癸肾脏，三焦亦向壬中寄，心包
同归入癸水。次序不重要，心包就是癸，三焦就是壬，甲是胆，乙是肝，把他编入七言绝句
比较好背，丙是小肠。那我们为什么要知道天干，还有地支呢？
二、十二经纳地支歌（1-01:16:28）
肺寅大卯胃辰宫。脾巳心午小未中，申胱酉肾心包戌，亥焦子胆丑肝通。
天干有十个，地支有十二个，干支合在一起，有六十个，成一甲子循环。这些我们慢慢
会用到，慢慢去习惯他，甲乙丙丁，看到不要紧张，我会一步一步带你们进去。最主要是它
的属性，就是木火土金水，五行的属性。甲乙是木，丙丁是火，脾胃是土，庚辛属金。我们
会用纳天干，就是取它的五行。中医的五行理论木火土金水，就是不易让他人了解。八纲辨
证法，用别的方法还不行，仍要用阴阳五行，木生火，火生土，土生金，金生水，在每一个
行的中间，我们再分阴阳。阳木，还有阴木，阳火，阴火，阳土阴土，木火土金水刚好都有
分阴阳。
所以有十个天干数，代表十个天干。木代表肝，心脏是火，脾脏是土，肺脏是金，水是
肾脏，同样的，水又分阴阳，五行都有阴阳的现象。那我们讲的脏，就好像收藏的藏。
五个脏，就是收藏，就是阴。腑是消化系统，就是所谓的阳，这里面阴木就是肝，阳木
就是胆，阴火就是心，阳火就是小肠，火有两个东西，心脏是一个，小肠是一个。脾土就是
① 针具名。为九种针具的总称。出《黄帝内经》。即镵（音蝉）针、员针、鍉（音迪）针、锋针、铍（音
披）针、员利针、毫针、长针和大针。《灵枢·官针》：“九针之宜，各有所为；长短大小，各有所施也，不
得其用，病弗能移。”指出九针的形状、用途各异，据情选用，方可去病。
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阴，脾是内脏，和阳土相对，就是胃。肺是阴脏，所以肺脏是阴，阳是大肠，水就有阳水跟
阴水。如果我们讲脏的话，就是阴，腑的话就是阳，所以肾脏的话，就是阴，阳水就是膀胱。
代号有他的意义，我先用个例子你听。
为什么我们中医把心脏定义为火？因为心一直跳产生热，西方医学不是这样子。一看，
你瓣膜闭锁不全，你有心律不整，你有心肌梗塞，动脉血管硬化，西医都是看到结构上的问
题，也就是只看到外形。所以西医定的病名都是形，他没有神。好像讲得很详细，但只有形，
没有神。就是因为心脏不断的搏动，一天大概十万次以上，你想想看心脏不断跳，热不热？
既然热的话，我们没办法讲，只好用“火”来代替，对不对？所以体温的来源，来自心脏，
因为心脏不断的搏动，全身上下，就是心脏不断地跳动，西医只知道后面，不知到前面，体
温华氏98 但体温怎么来的不知道，它是由心脏来的。
小肠在这边，小肠是阳火，因为是消化系统，食物到胃里面，到小肠里面，小肠把食物
消化掉。为什么把小肠也定为火呢?因心脏跟小肠是表里，像这种关系我们叫表里关系。中
医讲表，讲的是腑，讲里的时候，指的是脏。心脏和小肠通通被定义成火，小肠是第二个心
脏，心脏产生的热，按照道理，热应该是往上走的，你没有听过冷气球，只有听过热气球上
升吧!所以，热本生的性是往上升的，那光上升不行，每天都会过热，一发高烧就走人啦。
脑袋烧坏掉了!所以，制造了肺，肺是金，在阴阳五行里面呢，火是克金的，而两个相互制
衡。
肺好像天空一样，天上都是寒冷的嘛。把心当成引擎的话，肺就是水箱，肺如果只有呼
吸，那就太简单了!你要有肺跟心脏有制衡的观念，正常肺的功能，肺会让热往下走，练气
的人让气往下走，丹田是小肠的募穴
①，让气就往下走。因此小肠的温度，就变得非常的热。
原来热的来源是来自心脏。什么叫正常人，我在临床上常问病人，谁告诉你有肝病?答，肝
病专家。外面的招牌都是专科医生，而我是健康医生。中医跟西医正好是相反的，西医是把
病复杂化，中医是要知道什么叫做常人。如果你被训练出来，一开始就查病，查了半天还是
看不好病。如果你是被我训练出来，是不是不正常，你一看就知道了!中医不是要你看多少
书，而是你要“悟”，悟最重要!我是想办法让你知道什么是正常人。
心脏的火往小肠下导，所以，正常人的心脏和小肠是一样的速度、一样的温度、一样的
压力。所以中医是物理医学。爱因斯坦是一位物理学大师，他一辈子没有上过太空。登陆月
球是阿姆斯特朗，对不对？他的办公室很小，光用黑板、粉笔，就可以算出黑洞，从NASA
收到的数据，就可证明爱因斯坦是对的。
中医就是物理医学，物理学非常注重，时间、速度、温度还有压力。他没有去过黑洞，
就可以算出来。中医就是按照时间、速度、温度还有压力，你的身体就是一个小宇宙。这就
是中医，就是站在外面可以看到里面。小肠因为有这个热，食物才会消化。小肠那有那么聪
明，竟然会消化食物。你把小肠拿出来，看它会不会消化食物，一但失去温度它就不会消化
了。正常人是这样子。所以小肠被定义为火，那食物消化以后，会进入到大肠，大肠会把食
物的水拿走。你吃猪大肠试试，大肠那么聪明会把食物的水拿走吗?大肠环绕着小肠，小肠
是火，水在上面走，火在下面烧，大肠的水因为很热而气化。所以这个蒸气才能透过肠壁上
升，大肠与肺相表里，水会再回到肺里面，变成正常的津液，残渣才会排出来，这过程在二
十四小时一定要完成，这是一个初浅的概念。
慢慢讲到《黄帝内经》，我们会讲得越来越深。中医为何可以治疗癌症，很简单，你们
听过人死在乳癌、肺癌、淋巴癌、肝癌，却有没有人死在心脏癌?只有死在心脏病，而不是
心脏癌。心脏不会得癌，因为心脏很热，癌细跑经过心脏，像飞蛾扑火一样。若把全身从头
① 经穴分类名。指脏腑之气汇聚于胸腹部的一些特定穴位。五脏、心包络及六腑各有募穴一个，如肺为中
府，心为巨阙，肝为期门，脾为章门，肾为京门，心包为膻中，胃为中脘，胆为日月，大肠为天枢，膀胱
为中极，小肠为关元，三焦为石门穴等。募穴多用以诊断和治疗本脏腑病证。
第 19 页
人纪系列针灸篇
到脚变成像心脏一样，很热，癌细胞就没有了。人身体很热，怎么证明，冬天一吐气，若吐
出来不是白色的蒸气，那个人是火星人，就不是地球人。人都会有气，所以气是热的，中医
的观念是热气，就是蒸气。这是我简单举的例子。
比如说水生木，膀胱在小肠前面，膀胱在这，小肠在这，在肾脏这边第一次气化，在小
肠里面是第二次气化。《黄帝内经》以后会讲的更详细。小肠很热是火，当膀胱有400CC 的
尿时会把膀胱撑起来，膀胱变成热气球往上升，没有到400CC 容量的时候，我们不会有尿
意，不会想小便。一到400CC 满啦，就急着要上厕所。小便出来时，因膀胱的热气，才有
办法产生速度，力量、压力，把小便排射出去，在膀胱气化的过程中间是第一次蒸馏，在第
二次气化时，浊水会排出来。而干净的水会交给肝，肝得到干净的水（水去生木），就可把
毒排掉、再交给胆，化成胆汁。人体很复杂，如果不用这个图代表，还没有别的图可代表它，
刚才讲那么复杂，我们用一个图就把他说完，把他再简化到没办法再简化。实际上，已无法
再取代，必须要用这个符号代表它。如果还是不了解，没问题，会慢慢再详细说明，好，我
们休息一下。
地支歌，简单讲，就是寅时开肺，寅时大家都知道是三点到五点，是凌晨三点到五点。
大肠开卯时，卯时，是五点到七点。胃开辰时，七点到九点。脾脏开巳时，九点到十一点早
上，心开午时，十一点到下午的一点，小肠，是一点到三点。再来是膀胱，是三点到五点。
再来是肾脏，五点到七点。心包经呢，七点到九点。晚上九点到十一点是三焦经。九点到十
一点再回到胆，胆经是凌晨，晚上十一点到凌晨一点，最后再回到肝经，一点到三点。
我们为什么需要知道这些，第一个可帮助我们做诊断。
举个例子给你听，病人来看你，这个人脸色黄黄的，再看手掌暗红色，问一个问题，晚
上好不好睡?答：每天晚上一点多就醒过来，从头到尾没问第二句。第一次问诊，睡觉好不
好就结束了。我在阴阳五行的时候，会慢慢教给大家一个观念。
在阴阳五行木火土金水中，又可分成青赤黄白黑。
肺是白色的，金属的原色是白色的，真正的纯金是白金啊，肺是白色的，心呢，火嘛!
赤色，红色，肺比心脏大很多，很多的白加一点红，就是手掌的颜色粉红色，手掌表示是肚
脐以上的颜色。肝脏是心脏的妈妈，心脏里面的血的来源是来自肝脏，肝脏是提供者。你在
睡觉时，那时肝脏是最忙的，它把身上所有毒素代谢掉，如果这血是正常的，量又好，质又
好，跟肺白合在一起，颜是最好的。
当有一天呢，你有肝硬化 ，肝肿瘤，有东西在里面的时候，中医称为实。没有东西在
里面，中医叫做虚。有东西在里面的时候，代表空间变小了，空间少了但血流的量仍是一样
没变，还没把毒素完全代谢掉，大量的血又跑回心脏去了，红的增加，白的一样，所以表示
颜色慢慢变黑了，肝病的人手就会变成暗红色。这两个时间，应该是最好的睡觉时间。如果
你每天一点起来，三点以后才能睡觉，你的身体就已经告诉你，肝脏有问题了。
这时候西医的检验报告仍说你很好。中医健康的定义跟西医不一样。西医的健康标准，
是在这以上很正常，在这以下就有病。人不是机器，机器有时坏了就坏了，人不是这样子。
中医分成三阶段，当你是正常的人，一得到症状的时候，身体马上就知道了。西医却还不知
道。等到病了，经过太阳、少阳、阳明、太阴、少阴、厥阴六个阶段，进入病西医才查到了，
这就太慢!中医在一开始，一有动作就知道了。中医的高手在一动就晓得。
西医到这阶段才查到，查到病时就已经太慢了。所以我常常握手，以后诸位被我训练到，
举手投足之间，就可以知道，因为你一摸就知道了嘛，如果知道病，知道后就心痒难耐、不
去治又很难过，不知道就好，还要救他回来，真的很麻烦。举例，这是正常人，大肠是开早
上五点到七点，所以起床要上大号，这是正常的身体。代表你气血流注没有问题。一天二十
四小时，有十二时辰，一个周天，你家两个厕所，六个人住，早上抢厕所，代表一家都健康。
不必去验血，这个人每天起床上大号，这是没有病的。
V2-20100703（第四次修改）
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第 20 页
人纪系列针灸篇
V2-20100703（第四次修改）
20
为何早上起来要上大号。按照地支歌，最早讨论就是时间或时机，时机很重要。当中医
能掌握住时机，可以帮我们诊断、帮我们治疗、验证。肝病人来找你，本来一点到三点不能
睡，治疗后来可以睡了，能一觉到天亮，就是肝病好啦!不需要查什么报告，那如果治了以
后，一点到三点还醒过来，又通宵不能睡，就是越治越坏。
现在有一个肺癌、乳癌的病人，问他，晚上睡好不好？就已经讲完啦。这是地支歌，如
果说，肝癌今天去开刀，化疗，病人睡的也好，黄疸也退了，每天早上起床上大号，我绝对
会让病人去治，也从此不骂人了。但是现在是本来一点到三点不能睡、又变成三点到五点不
能睡，就是转到肺癌。晚上不能睡，白天都在睡，你到加护病房去看看，医生护士晚上很忙
的，病人都不睡觉，如果医疗是对的，怎么会这样?光是个地支歌，就可以用来诊断治疗，
验证。我们有专门时辰发病，我们下时针，就是时间的针。把他治好，那这是地支歌的精神。
再举例子，有一个人每天晚上十二点钟一定醒过来，他有一个很大的胆结石，发病都是
晚上十一点到一点，如果我帮他动手治，那你怎么知道帮他治好，很简单，好不好睡?答，
现在很好睡，当然还有穴道可查，胆结石去掉了没有。方法非常多，不用X 光去照。我讲
过，人纪是站在外面就知道里面，这就是需要地支歌的原因。
干支以后还要慢慢混合在一起，我们慢慢来，一步一步走。
三、十二正经之井荣俞原经合穴（1-01:50:22）
第三，我们介绍经络之前，先介绍基本的观念。正经有十二条，奇经有八条，这个十二
正经，每一条经络，不管是阴经还是阳经。有六阳经、六阴经，加起来共十二条。奇经八脉
有任脉、督脉、冲脉、带脉、阳蹻，阴蹻、阳维、阴维。正经十二条。十二正经中，所有的
阳经及所有的阴经，都会介绍到井荣俞经合，这个俞就是运输的意思。古体字是有一个“月”
边，古书上不一样，井荣俞经合都是手不过肘，足不过膝。我们下针的时候，在手肘以下，
膝盖以下下针，这个字念怎么样无所谓，不要在形上面去争，功能最重要。所以，看《针灸
大成》有手不过肘，足不过膝歌，对不对。
我把它分阴阳给你看，阴经有：手太阴肺经、手少阴心经、手厥阴心包经……我在讲阴
经的时候，它有五行的排行，叫做木火土金水，你这样看就很清楚。任何的阴经，他的井穴
通通是木，任何荣穴都是火，每一条阳经都有井荣俞经合，属性是金水木火土。阴经和阳经
的每一条经，经上面都有一个络，叫络穴，什么叫络穴，这两条不交接，平行，是经，光这
样不行，人就是散了。所以，每一条经都一定要有它的络穴。阳经比阴经多一个东西，就是
原穴。在介绍经络时会告诉你。每一个穴道都有他的属性，都有它的功能所在。在介绍经络
之前，基本的概念要了解，这样就很简单了。
四、病在脏取井穴
①（1-01:56:16）
这个井呢?病在脏取井，所谓病在脏取井就是病在越深的地方，我们要在指头末稍，井
穴通通在手指头或脚趾头的末稍，非常的敏感。比如说，足阳明胃经的井穴，我们叫厉兑，
位在第二个脚趾头。我们下针的时候，“井主心下满”，临床上，在动脉血管堵塞，针一下去，
病人会感到有个人在里面扫地，有人在清洗，速度就那么快，刚才有看过针的大小。你不会
拿三寸针去扎，没有这种呆子。用一寸针嘛!刺一点点即可。身上虽有其它穴道可用，但没
① 五俞穴的一种，穴位均位于手指或足趾的末端处。《灵枢•九针十二原篇》 ：“所出为井”。也就是指在经
脉流注方面好像水流开始的泉源一样。“井”为地下出泉。 全身十二经脉各有一个井穴。