十二经脉与十二个月和十二个时辰是如何对应的?

1年前 (2021-12-28) 0 点赞 0 收藏 0 评论 157 已阅读

黃帝問曰:人有四經,十二從,何謂?岐伯對曰:四經應四時,十二從應十二月;十二月應十二脈”——《黃帝內經•陰陽別論》

(接前文)  再往后是张志聪写的书叫《黄帝内经素问集注》,他还写了一本叫《灵枢经集注》,同时他还写了《伤寒论集注》,张志聪对于《黄帝内经•素问》的研究非常深,也是集中了很多他的学生、弟子,有一个团队一起来创作。他的《素问集注》对后世影响就很大,所以张志聪在《素问集注》里说“应十二月者”,十二从应十二月,十二月应十二脉。他就往后开始推论了,起于手太阴肺经,最后结束于足厥阴肝经,所以它就是一个循环,这循环怎么来的?
第一个是手太阴应正月寅,农历历法里叫做“正月建寅”,“建寅”就是开始的意思,正月不是定在丑,也不是定在子,是寅时。手阳明大肠经应二月卯,足阳明经应三月辰,足太阴脾经应四月巳,手少阴心经应五月午,手太阳小肠经应六月未,足太阳膀胱经应七月申,足少阴肾经应八月酉,手厥阴心包经应九月戌,手少阳三焦经应十月亥,足少阳胆经应十一月子,足厥阴肝经应十二月丑,这正好就是一个循环。也就是是应十二个月,十二个月也是应一天当中的十二时辰,十二时辰要是应起来,正好就是针灸学里所讲的子午流注的这样一个概念。
 
子午流注大家都非常熟悉,知道子和午是子时和午时,子时是对应足少阳胆经,午时正好是十二点是对应的手少阴心经,所以叫做子午流注。这是指的取穴的时候用,大家注意,这也不是说你几点睡觉、几点休息、几点哪个脏腑活动,不是这意思。这个是指的在取穴的时候应用,它是这样一个意思。这就是十二月应十二经脉。
 
所以张志聪在《素问集注》中就认为十二月是从手太阴肺应正月建寅,然后再往后正好应到最后一个是足厥阴肝经应十二月丑,最后结束。结束之后又继续手太阴肺,这样循环,它是这样一个概念。应用到每天的十二时辰,也就是二十四小时,你就会发现如果是从零点也就是子时,子时就是十一点,十一点到一点。十一点到一点这段时间正好是足少阳胆经当令,一点到三点是足厥阴肝经当令。
 
再往下凌晨三点到五点是手太阴肺经当令,凌晨五点到早上七点是手阳明大肠当令。从早上七点到早上九点,这段时间是足阳明胃经当令。再往下是早上九点到中午十一点是足太阴脾经当令。从中午十一点到中午一点,这段时间是手少阴心经当令,这就到了午时了。
 
从这个下午一点到下午三点就是手太阳小肠经当令,从下午三点到下午五点,这是申时,这个时候是足太阳膀胱经当令。再往后就是酉时,就是下午五点到晚上七点,这段时间是足少阴肾经当令。再往后就是戌时,是从晚上七点到九点,戌时是手厥阴心包经当令。从晚上九点到十一点,这个时候是亥时,亥时是手少阳三焦经当令。再往后就是子时,子时又轮到足少阳胆经当令,就是从晚上十一点到一点,它这就是一个循环。
 
这是《黄帝内经》里建立起来的一个循环,正好是十二条经脉应十二时辰,跟十二时辰相应,这就是这段话的意思。所以是十二从应十二月,从就是顺从,这是一个循环。十二月正好应十二月的脉,所以每个月都有各自相应的脉,每一天、每一个时辰都有各自相应的脉,一年正好十二个月一循环,这个脉也循环一次,一天当中经脉的循环也正好十二时辰循环一周,这就是《黄帝内经》里建立的一个理论。咱们讲的这么细,先打下基础,便于将来我们学经络学的时候会用到,但是这一篇讲的重点还不是经络学,讲的是脉象、脏腑、病证之间的这样一个关系。
分享自微信公众号 中医彭鑫博士工作室 
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