少阳胆经。胆无出入。主半表半里。其经起于目锐 。上头角。络耳中。循胸胃胁。行
身之
不从标本。从乎中治。只用小柴胡汤和解。别无他药。禁汗。禁吐。禁下。禁利小便。
太阴脾经。乃三阴之首。故名太阴。其经起于足大指。上行至腹。络于咽。连舌本。循
身之前
。口渴。发黄茵陈汤。小便赤。大便闭。是太阴本病。桂枝大黄汤。初病起。不热。不渴。
头不痛。便怕寒。胸腹满痛。或吐泻。手足冷。小便清白。或呕呃。是本经直中寒邪。宜理
中汤初病起。不热不渴。胸腹满痛。手足冷。气口沉细。此内伤生冷。宜治中汤。
少阴肾经。人之根蒂也。三阴交中名曰少阴。其经起于足心涌泉穴。上行贯脊。循喉。
络舌本。下注心胸。行身之前。其症引衣蜷卧。恶寒。口躁咽干。谵语。口渴。便闭。脉沉有力
。此热邪传入少阴本病。大承气汤急下之。初起身热。面赤足冷。本经自受夹阴伤寒。标本俱
病也。麻黄附子细辛汤。温经散寒。若阴躁欲坐泥水井中。虽欲饮而不受。面赤足冷。脉沉
或脉虽大。按之如无。此阴极发躁。本病也。宜四逆合生脉散。退阴回阳。身热烦躁。面赤
足冷。脉数大无力。此虚阳伏阴。标本俱病。宜加减五积散。温解表里。初病起。头不痛。
口不渴。身不热。便厥冷蜷卧。腹痛吐泻。或战栗。面如刀刮。脉沉细。此少阴直中寒邪。
宜四逆汤。急温之。无热恶寒。面青。小腹绞痛。足冷脉沉。蜷卧不渴。或吐利昏沉。手足
甲青。冷过肘膝。胀满不受药。此夹阴中寒本病也。宜人参四逆汤温补之。六经之中。惟此
经难辨。以燥渴便闭。脉沉实知其热。脉沉迟别其寒。
Foot-Shaoyang Gallbladder Meridian. The Gallbladder has no direct interior-exterior pairing for entry and exit, primarily governing the half-exterior half-interior level. Its meridian originates at the outer canthus of the eye, ascends to the frontal angle of the head, connects with the middle of the ear, follows along the chest, stomach, and hypochondrium, and runs along the lateral aspect of the body. Treatment does not follow the standard or root principles but harmonizes from the middle; only Xiaochaihu Tang (Minor Bupleurum Decoction) is used for harmonization, with no other medicines applicable. Sweating (diaphoresis), vomiting (emesis), purgation (downward draining), and promoting urination are all contraindicated.
Foot-Taiyin Spleen Meridian. It is the first of the three Yin meridians, hence named Taiyin. Its meridian originates at the big toe of the foot, ascends to the abdomen, connects with the pharynx, links to the root of the tongue, and runs along the anterior aspect of the body. If thirst and jaundice occur, Yinchin Tang (Artemisia Capillaris Decoction) is used. If urine is red and stool is obstructed, this is the primary disease of the Taiyin meridian, and Guizhi Dahuang Tang (Cinnamon Twig and Rhubarb Decoction) is used. If the illness begins initially without fever or thirst, without headache, but with aversion to cold, fullness and pain in the chest and abdomen, or vomiting and diarrhea, cold hands and feet, clear urine, or dry heaving and hiccups, this is a direct invasion of cold pathogen into this meridian, and Lizhong Tang (Regulate the Middle Decoction) is appropriate. If the illness begins initially without fever or thirst, with fullness and pain in the chest and abdomen, cold hands and feet, and a deep and fine pulse at the cunkou (radial artery), this is caused by internal injury from raw and cold foods, and Zhizhong Tang (Regulate the Middle Decoction) is appropriate.
Foot-Shaoyin Kidney Meridian. It is the root of human life. Among the intersection of the three Yin meridians, it is called Shaoyin. Its meridian originates at the Yongquan acupoint (KI1) on the sole of the foot, ascends through the spine, follows the throat, connects to the root of the tongue, descends into the heart and chest, and runs along the anterior aspect of the body. Symptoms include curling up while lying down, aversion to cold, oral irritability and dry throat, delirium, thirst, constipation, and a deep yet forceful pulse. This is the primary disease of the Shaoyin meridian due to heat pathogen transmission, and Dachengqi Tang (Major Order the Qi Decoction) should be used urgently to purge downward. If there is initial fever, red face, and cold feet, this is a Jia-Yin Shanghan (Cold Damage with Hidden Yin Deficiency) affecting this meridian directly, involving both root and branch, and Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction) is used to warm the meridians and dissipate cold. If there is yin restlessness, desiring to sit in a muddy well, wanting to drink but unable to accept fluids, red face, cold feet, deep pulse, or a large pulse that feels empty upon pressure, this is the primary disease of extreme yin generating restlessness, and Sini Tang (Frigid Extremities Decoction) combined with Shengmai San (Generate the Pulse Powder) is appropriate to withdraw yin and restore yang. If there is body heat and irritability, red face, cold feet, and a rapid, large but forceless pulse, this is deficient yang hidden within yin, involving both root and branch, and Jiajian Wuji San (Modified Accumulation-Resolving Powder) is appropriate to warm and resolve exterior and interior. If the illness begins initially without headache, thirst, or body heat, with cold extremities and curling up, abdominal pain, vomiting, and diarrhea, or shivering, pale face like a scraped knife, and a deep, fine pulse, this is a direct invasion of cold pathogen into the Shaoyin meridian, and Sini Tang (Frigid Extremities Decoction) is appropriate for urgent warming. If there is absence of heat with aversion to cold, blueish complexion, severe colic in the lower abdomen, cold feet and deep pulse, curling up without thirst, or vomiting, diarrhea, lethargy, cyanotic fingernails, cold extending beyond elbows and knees, abdominal distension preventing medication intake, this is the primary disease of Jia-Yin Zhonghan (Cold Strike with Hidden Yin), and Renshen Sini Tang (Ginseng and Frigid Extremities Decoction) is appropriate for warming and tonifying. Among the six meridians, this one is the most difficult to differentiate; heat is known by dryness, thirst, constipation, and deep-solid pulse, while cold is distinguished by deep-slow pulse.