2.閻氏納甲法
《手掌與疾病》
閻氏納甲法來(lái)源于金代何若愚撰、閻明廣注的《子午流注針經(jīng)》中的“流注經(jīng)絡(luò)井滎圖”,。但有人認(rèn)為該書卷下(即流注經(jīng)絡(luò)井滎圖歌訣)為金代閻明廣所作,,所以將此種納甲開(kāi)穴法稱為閻氏開(kāi)穴法,。閻氏納甲法與徐氏納甲法的區(qū)別是:前者(閻氏納甲法)十二經(jīng)脈都參與流注,,癸日不存在長(zhǎng)達(dá)十個(gè)時(shí)辰的閉穴,“日干重見(jiàn)”時(shí)納三焦或心包經(jīng)的全部五腧穴;而后者(徐氏納甲法)只有十條經(jīng)脈參與流注,,即三焦經(jīng)及心包經(jīng)不參與流注,,只在每日“日干重見(jiàn)”時(shí)納三焦經(jīng)或心包經(jīng)五腧穴中之一穴,在癸日存在長(zhǎng)達(dá)十個(gè)時(shí)辰的閉穴,,即使采用“合日互用法”開(kāi)取互用穴,,十天中也存在著十二個(gè)時(shí)辰的閉穴,。
(1)開(kāi)值日經(jīng)井穴法
按“陽(yáng)進(jìn)陰退”規(guī)律開(kāi)值日經(jīng)井穴,與徐氏納甲法大體相同(見(jiàn)圖21),。即是:甲日甲戌時(shí)開(kāi)膽井竅陰乙日乙酉時(shí)開(kāi)肝井大敦,,丙日丙申時(shí)開(kāi)小腸井少澤,丁日丁未時(shí)開(kāi)心井少?zèng)_,,戊日戊午時(shí)開(kāi)胃井厲兌,,己日己巳時(shí)開(kāi)脾井隱白,庚日庚辰時(shí)開(kāi)大腸經(jīng)井穴商陽(yáng),,辛日辛卯時(shí)開(kāi)肺井少商,,壬日壬寅時(shí)開(kāi)膀胱井至陰,癸日癸亥時(shí)開(kāi)腎井涌泉,。不同之處是:閻氏納甲法三焦經(jīng)和心包經(jīng)亦參與流注,,這二經(jīng)和腎經(jīng)都在癸日開(kāi)井穴,心包經(jīng)井穴中沖在癸日癸丑時(shí)開(kāi);三焦經(jīng)井穴關(guān)沖在癸日壬子時(shí)開(kāi);腎經(jīng)井穴涌泉在癸日癸亥時(shí)開(kāi),。所以在癸日就有三條經(jīng)脈(三焦經(jīng),、心包經(jīng)和腎經(jīng))值日。
本法開(kāi)值日經(jīng)井穴的掌上推算方法是:按“陽(yáng)進(jìn)陰退”規(guī)律把甲定在掌中戌位上,,天干逆時(shí)針?lè)较蜻\(yùn)轉(zhuǎn)數(shù)至癸(癸丑)后,,又從壬(壬子)開(kāi)始數(shù)至癸(癸亥),即得甲戌,、乙酉,、丙申、丁未,、戊午,、己巳、庚辰,、辛卯,、壬寅、癸丑,、壬子,、癸亥等十二組干支。這十二組干支即是各日開(kāi)值日經(jīng)井穴的時(shí)辰干支,,而且這些時(shí)干與值日經(jīng)的所屬天干是相同的(心包經(jīng)歸屬于腎,,為癸,三焦經(jīng)歸屬于膀胱,,為壬),。除三焦經(jīng)開(kāi)井穴的時(shí)干與日干不同外(三焦經(jīng)井穴在癸日壬子時(shí)開(kāi)),其余各日值日經(jīng)開(kāi)井穴的時(shí)干與當(dāng)日日干都是相同的,。
(2)循經(jīng)開(kāi)穴法
每日值日經(jīng)開(kāi)過(guò)井穴后,,則按滎,、輸、經(jīng),、合穴的順序開(kāi)取本時(shí)干相應(yīng)經(jīng)脈的五腧穴(三焦經(jīng)和心包經(jīng)例外),,按陽(yáng)日陽(yáng)時(shí)開(kāi)陽(yáng)經(jīng)穴,陰日陰時(shí)開(kāi)陰經(jīng)穴的原則,,每隔一個(gè)時(shí)辰開(kāi)一穴,。每日在開(kāi)輸穴的時(shí)候,陽(yáng)經(jīng)值日要“返本還原”同時(shí)開(kāi)值日經(jīng)的原穴,。陰經(jīng)無(wú)原穴,,所以陰經(jīng)值日在開(kāi)輸穴的時(shí)候無(wú)須同開(kāi)值日經(jīng)原穴(此法陰經(jīng)無(wú)“返本還原”之說(shuō))。如:大腸經(jīng)值日在庚日庚辰時(shí)開(kāi)大腸經(jīng)井穴商陽(yáng),,至甲申時(shí)開(kāi)膽經(jīng)輸穴臨泣,,同時(shí)返本還原開(kāi)大腸經(jīng)(值日經(jīng))原穴合谷。又如:肺經(jīng)值日在辛日辛卯時(shí)開(kāi)肺井少商,,至乙未時(shí)開(kāi)肝經(jīng)輸穴太沖(不須返本還原),,丁酉時(shí)開(kāi)心經(jīng)經(jīng)穴靈道。
陽(yáng)經(jīng)值日在開(kāi)完五腧穴后,,于“日干重見(jiàn)時(shí)”納三焦經(jīng)之井,、滎、輸,、原,、經(jīng)、合六穴;陰經(jīng)值日在開(kāi)完五腧穴后,,于“日干重見(jiàn)時(shí)”納心包經(jīng)之井,、滎、輸,、經(jīng),、合五穴?!蹲游缌髯⑨樈?jīng)》說(shuō):“其二經(jīng)者,,三焦是陽(yáng)氣之父,心包絡(luò)是陰血之母也……主受納十經(jīng)血?dú)怵B(yǎng)育,?!庇终f(shuō):“每日遇陽(yáng)干合處,注此六穴,。如甲日甲戌時(shí),,至甲申時(shí),,為陽(yáng)干合也……每日遇陰干合處,,注此五穴,。”這里的“陽(yáng)干合處”是指陽(yáng)經(jīng)值日的日干重見(jiàn)時(shí);“陰干合處”是指陰經(jīng)值日的日干重見(jiàn)時(shí);“六穴”是指三焦經(jīng)的井,、滎,、輸、原,、經(jīng),、合六穴,“五穴”是指心包經(jīng)的井,、滎,、輸、經(jīng),、合五穴,。如:膽經(jīng)值日于甲日甲戌時(shí)開(kāi)膽井竅陰,至乙日甲申時(shí)納三焦經(jīng)的關(guān)沖(井),、液門(滎),、中渚(輸)、陽(yáng)池(原),、支溝(經(jīng)),、天井(合)六穴。肝經(jīng)值日于乙日乙酉時(shí)開(kāi)肝井大敦,,至丙日的乙未時(shí)納心包經(jīng)的中沖(井),、勞宮(滎)、大陵(輸),、間使(經(jīng)),、曲澤(合)五穴。
例如:甲屬膽,,膽經(jīng)值日于甲日甲戌時(shí)開(kāi)膽井竅陰,,下一個(gè)陽(yáng)時(shí)為乙日的丙子時(shí),丙屬小腸,,所以丙子時(shí)開(kāi)小腸經(jīng)的滎穴前谷,,同理,戊寅時(shí)開(kāi)胃經(jīng)輸穴陷谷,,同時(shí)返本還原開(kāi)膽經(jīng)原穴丘墟,,庚辰時(shí)開(kāi)大腸經(jīng)經(jīng)穴陽(yáng)溪,壬午時(shí)開(kāi)膀胱經(jīng)合穴委中,,甲申時(shí)(日干重見(jiàn))氣納三焦之井(關(guān)沖),、滎(液門)、輸(中渚),、原(陽(yáng)池),、經(jīng)(支溝),、合(天井)六穴。
又如:乙屬肝,,肝經(jīng)值日于乙日乙酉時(shí)開(kāi)肝井大敦,,丁亥時(shí)開(kāi)心滎少府,己丑時(shí)開(kāi)脾輸太白,,辛卯時(shí)開(kāi)肺經(jīng)經(jīng)渠,,癸巳時(shí)開(kāi)腎合陰谷,乙未時(shí)(日干重見(jiàn))血納包絡(luò)之井(中沖),、滎(勞宮),、輸(大陵)、經(jīng)(間使),、合(曲澤)五穴,。
三焦經(jīng)和心包經(jīng)均在癸日參與流注開(kāi)穴,即三焦經(jīng)在癸日的壬子時(shí)開(kāi)井穴關(guān)沖,、甲寅時(shí)開(kāi)滎穴液門,,丙辰時(shí)開(kāi)輸穴中渚、同時(shí)返本還原開(kāi)三焦經(jīng)原穴陽(yáng)池,,戊午時(shí)開(kāi)經(jīng)穴支溝,,庚申時(shí)開(kāi)合穴天井。心包經(jīng)在癸日的癸丑時(shí)開(kāi)井穴中沖,,乙卯時(shí)開(kāi)滎穴勞宮,,丁巳時(shí)開(kāi)輸穴大陵,己未時(shí)開(kāi)經(jīng)穴間使,,辛酉時(shí)開(kāi)合穴曲澤,。
圖39癸腎主氣日流注開(kāi)穴
(圖)
腎經(jīng)值日于癸日癸亥時(shí)開(kāi)腎井涌泉,下一個(gè)陰時(shí)為甲日的乙丑時(shí),,乙屬肝,,所以乙丑時(shí)開(kāi)肝經(jīng)滎穴行間,同理,,丁卯時(shí)開(kāi)心經(jīng)輸穴神門,,己巳時(shí)開(kāi)脾經(jīng)經(jīng)穴商丘,辛未時(shí)開(kāi)肺經(jīng)合穴尺澤,,癸酉時(shí)(日干重見(jiàn)時(shí))血納包絡(luò)之井(中沖),、滎(勞宮)、輸(大陵),、經(jīng)(間使),、合(曲澤)五穴(見(jiàn)圖39)。
閻氏納甲法十二經(jīng)流注開(kāi)穴見(jiàn)圖39。(圖)
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