或問奇經(jīng)諸脈.何以異于十二經(jīng).而以奇字目之.答曰www.med126.com.夫十二經(jīng)者.經(jīng)脈之常度也.其源各從臟腑而發(fā).雖有枝別.其實一氣貫通.曾無間斷.其經(jīng)皆直行上下.故謂之經(jīng).十五絡者.經(jīng)脈之聯(lián)屬也.其端各從經(jīng)脈而發(fā).頭緒散漫不一.非若經(jīng)脈之如環(huán)無端也.以其斜行左右.遂名曰絡.奇經(jīng)為諸經(jīng)之別貫.經(jīng)經(jīng)自為起止.各司前后上下之陰陽血氣.不主一臟一腑.隨邪氣之滿溢而為。拭}之發(fā)現(xiàn)諸部.皆乖戾不和.是古圣以奇字稱之.非若經(jīng)氣之常升.絡氣之常降也.所以者何.蓋緣經(jīng)起中焦.恒隨營氣下行極而上.故其診在寸.絡起下焦.恒附營氣上行極而下.故其診在尺.雖經(jīng)有明諭.而世罕究其旨者.通評虛實論云.經(jīng)絡皆實.寸脈急而尺緩.言經(jīng)中所受之邪.既隨經(jīng)而盛于上,絡氣雖實.當無下陷之邪.則尺部不為之熱滿矣.次云絡氣不足.經(jīng)氣有余.脈口熱滿.尺部寒澀.有余則熱滿.是指邪氣而言.非經(jīng)氣之充實也.不足則寒澀.絡氣本虛之驗也.又云.經(jīng)虛絡滿者.尺部熱滿.脈口寒澀.絡滿亦指邪氣.以經(jīng)中之邪陷于絡.故尺部為之熱滿也.按金f1411.cn/yishi/匱云.極寒傷經(jīng).極熱傷絡.蓋經(jīng)受寒邪而發(fā)熱.絡受熱邪.而傳次溢入于奇經(jīng)矣.然經(jīng)絡之脈.雖各有疆界.各有司屬.各有交會.而實混然一區(qū).全在大氣鼓運.營血灌注.方無偏勝竭絕之虞.經(jīng)云.氣主煦之.血主濡之.又言邪在氣.氣為是動.邪在血.血為所生。且允(jīng)脈.各以分隸氣血之所屬也.其經(jīng)絡二字.方書中靡不并舉.曷知絡脈皆不離本經(jīng)之部分.雖十二經(jīng)外別有陰絡陽絡脾之大絡三種.而為病亦不殊本經(jīng)之血氣也.蓋絡脈之病.雖略亞于本經(jīng).然邪伏幽隱.氣難升散.不似經(jīng)脈之循經(jīng)上下.易于開發(fā)也.而奇經(jīng)又為十二經(jīng)之約束.若臟氣安和.經(jīng)脈調(diào)暢.八脈之形.無從而見也.即經(jīng)絡受邪.不至滿溢.與奇經(jīng)亦無預也.惟是經(jīng)絡之邪熱滿.勢必溢入于奇經(jīng).所以越人有溝渠滿溢.諸經(jīng)不能復拘之喻.試推傷寒之邪.皆從陽維而傳次三陽.從陰維而傳次三陰.未嘗循十二經(jīng)次第也.或有臟氣內(nèi)結,邪氣外溢.竟從奇經(jīng)受病者有之.復問八脈之形象與病苦.可得聞乎.答曰.在經(jīng)有也.吾嘗考諸經(jīng)中.言沖脈直上直下而中央牢.病苦逆氣里急.督脈直上直下而中央。】嗉箯姡坏酶┭觯蚊}橫寸口邊.丸丸緊細而長.病苦少腹切痛.男子內(nèi)結七疝.女子帶下瘕聚.陽維尺外斜上至寸而。】嗪疅幔苋懿荒茏允粘郑幘S尺內(nèi)斜上至寸而沉.病苦心痛.悵然失志.陽蹺寸口左右彈.浮而細綿綿.病苦陰緩而陽急.陰蹺尺內(nèi)左右彈.沉而細綿綿.病苦陽緩而陰急.帶脈中部左右彈而橫滑.病苦腹痛.腰溶溶若坐水中.內(nèi)經(jīng)所言奇經(jīng)之脈象如是.凡遇五癇七疝.項痙背強.發(fā)歇不時.外內(nèi)無定之證.剛勁不倫.殊異尋常之脈.便于奇經(jīng)中求之.或問奇經(jīng)之奇字.昔人咸以奇偶之奇為訓.未審孰是.因語之曰.讀書須要自立主見.切勿浮 地隨人腳跟.設泥昔人奇偶之說.不當有陰陽維蹺之配偶也.坐客皆舉手稱善.請著玉版.以為奇恒之別鑒.