足太阳经六十三,睛明攒竹曲差参,五处承光接通天,络却玉枕天柱边。大杼风门
引肺俞,厥阴心膈肝胆居,脾胃三焦肾俞次,大肠小肠膀胱如,中膂白环皆二行,去脊中
间二寸许,上 次 中后下,会阳须下尻旁取。还有附分在三行,二椎三寸半相当,魄
户膏肓与神堂, 膈关魂门旁,阳纲意舍及胃仓,肓门志室连胞肓,秩边承扶殷门穴,
浮相邻是委阳,委中再下合阳去,承筋承山相次长。飞扬附阳达昆仑,仆参申脉过金
门,京骨束骨近通谷,小趾外侧寻至阴。
足太阳兮膀胱经,目内 角始睛明,眉头陷中攒竹取,曲差神庭傍寸五,五处直行
后五分,承通络却玉枕穴,后循俱是寸五行。天柱项后发际内,大筋外廉之陷中,自此脊
中开二寸,第一大杼二风门,三椎肺俞厥阴四,心五督六膈七论,肝九胆十脾十一,胃
俞十二椎下寻,十三三焦十四肾,气海俞在十五椎,大肠十六小十八,膀胱俞穴十九椎,
中膂内俞二十下,白环俞穴甘一椎,小肠俞至白环内,腰空上次中下 ,会阳阴微尻骨
旁,背开二寸二行了,别从脊中三寸半,第二椎下为附分,三椎魄户四膏肓,第五椎下
神堂尊,第六 膈关七,第九魂门阳纲十,十一意舍之穴存,十二会仓穴已分,十
三肓门端正在,十四志室不须论,十九胞肓甘秩边,背部三行下行循。承扶臀下股上约,
下行六寸是殷门,从殷外斜上一寸,曲膝得之浮 寻,委阳承扶下六寸,从 内斜并殷
门。委中膝 约纹里,此下三寸寻合阳,承筋脚跟上七寸,穴在 肠之中央,承山腿肚
分肉间,外踝七寸上飞扬,附阳外踝上三寸,昆仑外跟陷中央,仆参亦在踝骨下,申脉踝
下五分张,金门申脉下一寸,京骨外侧大骨当,束骨本节后陷中,通谷节前限中量,至
阴小趾外侧端,去爪甲之韭叶方。
【注】睛明穴,在目内 外一分宛宛中,是其穴也。从睛明上行眉头陷者中,攒竹穴
也。从攒竹上行发际间,侠督脉之神庭穴傍开一寸五分,正头取之,曲差穴也。从曲差
后行五分,侠督脉之上星,傍开一寸五分,五处穴也。从五处后行一寸五分,承光穴也。从
承光后行一寸五分,侠督脉之百会穴,傍开一寸五分,通天穴也。从通天后行一寸五分,
络却穴也。从络却穴后行一寸五分,玉枕穴也。从玉枕侠项后大筋外廉,下行发际陷中,天柱穴也。
从天柱下行,以项后第一椎下,两旁相去脊中各二寸陷中,正坐取之,大杼穴也。从
大杼下行,二椎下两旁,各去脊中二寸,正坐取之,风门穴也。从风门行三椎下,去脊
中各二寸,又以手搭背,左取右,右取左,当中指末是穴之处,正坐取之,肺俞穴也。从
肺俞行四椎下,去脊中二寸,正坐取之,厥阴俞穴也。从厥阴俞行五椎下,去脊中二寸,
正坐取之,心俞穴也。从心俞行六椎下,去脊中二寸,正坐取之,督俞穴也。从督俞行
七椎下,去脊中二寸,正坐以之,膈俞穴也。从膈俞行九椎下,去脊中二寸,正坐取之,胆
俞穴也。从胆俞行十一椎下,去脊中二寸,正坐取之,脾俞穴也。从脾俞行十二椎下,去
脊中二寸,正坐取之,胃俞穴也。从胃俞行
十三椎下,去脊中二寸,正坐取之,三焦俞穴也。从三焦俞行十四椎下,与脐平,去脊
中二寸,正坐取之,肾俞穴也。从肾俞行十五椎下,去脊中二寸,正坐取之,气海俞穴
也。从气海俞行十六椎下,去脊中二寸,伏而取之,大肠俞穴也。从大肠俞行十七椎下,
去脊中二寸,伏而取之,关元俞穴也。从关元俞行十八椎下,去脊中二寸,伏而取之,小
肠俞穴也。从小肠俞行十九椎下,去脊中二寸,伏而取之,膀胱俞穴也。从膀胱俞行二
十椎下,去脊中二寸,侠脊胛起肉间,伏而取之,中膂俞穴也。从中膂俞行二十椎下,去
脊中二寸,伏而取之,白环俞穴也。从白环俞行腰髁骨下一寸,侠脊两旁第一空陷中,上
穴也。从上 行侠脊旁第二空陷中,次 穴也。从次 行侠脊旁第三空陷中,中 穴
也。从中 行侠脊旁第四空陷中,下 穴也。从下 行阴尾尻骨两旁五分许,会阳穴也。
自大杼别脉,其支者从肩膊内循行第二椎下,附项内廉两旁相去脊中各三寸半,正
坐取之,附分穴也。从附分下行第三椎下,去脊中各三寸半,正坐取之,魄户穴也。从魄
户下行第四椎下,五椎上,此穴居中,去脊中各三寸半,正坐曲脊取之,膏肓穴也。如
取其穴,先令病患正坐曲脊伸两手,以臂着膝前令正,直手大指与膝头齐,以物支肘,勿
令臂动,乃从胛骨上角,摸索至胛骨下头,其间当有四肋三间,根据胛骨之际,相去骨际如
容侧指许,按其中一间空处,自觉牵引肩,是其穴也。从膏肓下行第五椎下,去脊中各三
寸半陷中,正坐取之,神堂穴也。从神堂下行第六椎下,去脊中各三寸半,正坐取之,
穴也,以手重按,病患呼∶“ ”,是其穴处,盖因其痛也。从 下行第七椎下,去
脊中各三寸半陷中,正坐开肩取之,膈关穴也。从膈关下行第九椎下,相去脊中各三寸
半陷中,正坐取之,魂门穴也。从魂门下行
第十椎下,去脊中三寸半陷中,正坐取之,阳纲穴也。从阳纲下行第十一椎下,去脊中三
寸半,正坐取之,意舍穴也。从意舍下行第十椎下,去脊中各三寸半,正坐取之,胃仓
穴也。从胃仓下行第十三椎下,去脊中各三寸半,正坐取之,肓门穴也。从肓门下行第
十四椎下,去脊中各三寸半陷中,正坐取之,志室穴也。从志室下行第十九椎下,去脊中
各三寸半,伏而取之,胞肓穴也。从胞肓下行第二十一椎下,去脊中各三寸半陷中,伏
而取之,秩边穴也。
从秩边下行在尻臀下,阴股上约纹中,承扶穴也。从殷门外循斜上一寸,屈膝得之,浮
穴也,故在委阳穴上一寸也。从浮 下行,仍在承扶穴下六寸,屈伸取之,委阳穴也,而
与会阳下合 中也。从委阳下行, 中央约纹动脉陷中,令人仰颏至地,伏卧取之,委
中穴也。从委中下行,膝 约纹下三寸,合阳穴也。从合阳下行,肠中央陷中,脚跟
上七寸,承筋穴也。从承筋下行,腿肚下尖分肉间陷中,承山穴也。从承山斜行,足外
踝后上七寸陷中,飞扬穴也。从飞扬下行,足外踝上三寸筋骨之间,附阳穴也。从附阳下
行,足外踝后五分,跟骨上陷中,细动脉应手,昆仑穴也。从昆仑下行,足跟骨下陷中,
拱足取之,仆参穴也。从仆参行足外踝下五分陷中,容爪甲许白肉际,申脉穴也。从申
脉下行一寸,金门穴也。从金门行足外侧大骨下,赤白肉际陷中,京骨穴也。按而得之,
小指本节后大骨,名京骨,其穴在骨下。从京骨行足小指外侧,本节后陷中赤白肉际,束
骨穴也。从束骨行足小指外侧,本节前陷中,通谷穴也。从通谷行足小指外侧,去爪甲角
如韭叶,至阴穴也。
\r膀胱经穴图\p06-d43a67.bmp\r
The Foot-Taiyang Bladder Meridian has sixty-three acupoints, starting with Jingming (BL1), Cuanzhu (BL2), and Qucha (BL4), followed by Wuchu (BL5), Chengguang (BL6), and Tongtian (BL7); Luoque (BL8) and Yuzhen (BL9) are located beside Tianzhu (BL10). Dazhu (BL11) and Fengmen (BL12) lead to Feishu (BL13); Jueyinshu (BL14), Xinshu (BL15), Geshu (BL17), Ganshu (BL18), and Danshu (BL19) are arranged in sequence; Pishu (BL20), Weishu (BL21), Sanjiaoshu (BL22), Shenshu (BL23), Dachangshu (BL25), Xiaochangshu (BL27), and Pangguangshu (BL28) follow. Zhonglushu (BL29) and Baihuanxu (BL30) are both distributed on the second lateral line, approximately two cun away from the midline of the spine; Shangliao (BL31), Ciliao (BL32), Zhongliao (BL33), and Xialiao (BL34) are arranged in order, while Huiyang (BL35) is taken below the side of the coccyx. There is also Fufen (BL16) on the third lateral line, corresponding to the space below the second vertebra, three and a half cun away from the midline of the spine; Pohu (BL42), Gaohuang (BL43), Shentang (BL44), Ge Guan (BL45), Hunmen (BL47), Yanggang (BL48), Yishe (BL49), Weicang (BL50), Huangmen (BL51), Zhishi (BL52), Baohuang (BL54), Zhibian (BL54 - *Note: Text says Zhibian connects to Baohuang, but standard is Zhibian BL54*), Chengfu (BL36), and Yinmen (BL37) are connected in succession; Fuxi (BL38) is adjacent to Weiyang (BL39), Heyang (BL57) is below Weizhong (BL40), and Chengjin (BL56) and Chengshan (BL57) extend sequentially. Feiyang (BL58) and Fuyang (BL59) reach Kunlun (BL60); Pucan (BL61) and Shenmai (BL62) pass through Jinmen (BL63); Jinggu (BL64), Shugu (BL65), and Tonggu (BL66) are close together, and Zhiyin (BL67) is found on the lateral side of the little toe.
The Foot-Taiyang meridian is the Bladder Meridian, beginning at Jingming (BL1) in the inner canthus of the eye. Cuanzhu (BL2) is taken in the depression at the medial end of the eyebrow. Qucha (BL4) is one and a half cun lateral to Shenting (GV24). Wuchu (BL5) is five fen posterior to Wuchu's straight line. Chengguang (BL6), Tongtian (BL7), Luoque (BL8), and Yuzhen (BL9) are spaced one and a half cun apart along the posterior course. Tianzhu (BL10) is located in the depression on the lateral border of the sternocleidomastoid muscle, inside the hairline at the nape. From here, two cun lateral to the spinal midline, Dazhu (BL11) is at the first thoracic vertebra, Fengmen (BL12) at the second, Feishu (BL13) at the third, Jueyinshu (BL14) at the fourth, Xinshu (BL15) at the fifth, Dushu (BL16) at the sixth, Geshu (BL17) at the seventh, Ganshu (BL18) at the ninth, Danshu (BL19) at the tenth, Pishu (BL20) at the eleventh, and Weishu (BL21) is sought below the twelfth thoracic vertebra. Sanjiaoshu (BL22) is at the thirteenth, Shenshu (BL23) at the fourteenth, Qihai Shu (BL24) at the fifteenth, Dachangshu (BL25) at the sixteenth, Xiaochangshu (BL27) at the eighteenth, and Pangguangshu (BL28) at the nineteenth. Zhonglushu (BL29) is at the twentieth, and Baihuanxu (BL30) at the twenty-first. From Xiaochangshu to Baihuanxu are on the medial line; Shangliao (BL31), Ciliao (BL32), Zhongliao (BL33), and Xialiao (BL34) are in the sacral foramina, and Huiyang (BL35) is beside the coccyx. There are two rows of points two cun lateral to the back, and another row branches off three and a half cun from the spinal midline. Fufen (BL16) is below the second vertebra, Pohu (BL42) below the third, Gaohuang (BL43) between the fourth and fifth, Shentang (BL44) below the fifth, Ge Guan (BL45) below the sixth (Note: Text implies Ge Guan here based on song, though standard varies), Hunmen (BL47) below the ninth, Yanggang (BL48) below the tenth, Yishe (BL49) below the eleventh, Weicang (BL50) below the twelfth, Huangmen (BL51) correctly positioned at the thirteenth, Zhishi (BL52) at the fourteenth, Baohuang (BL54) and Zhibian (BL54) at the nineteenth, following the three rows down the back. Chengfu (BL36) is in the gluteal fold above the thigh. Moving down six cun is Yinmen (BL37). From Yinmen, moving obliquely upward one cun and flexing the knee reveals Fuxi (BL38). Weiyang (BL39) is six cun below Chengfu, obliquely inward from the popliteal fossa, aligning with Yinmen. Weizhong (BL40) is in the center of the transverse crease of the popliteal fossa. Three cun below this is Heyang (BL57). Chengjin (BL56) is seven cun above the heel, in the center of the gastrocnemius muscle. Chengshan (BL57) is in the depression between the muscles of the calf. Feiyang (BL58) is seven cun above the lateral malleolus. Fuyang (BL59) is three cun above the lateral malleolus. Kunlun (BL60) is in the depression behind the lateral malleolus and above the calcaneus. Pucan (BL61) is also below the malleolus. Shenmai (BL62) is five fen below the lateral malleolus. Jinmen (BL63) is one cun below Shenmai. Jinggu (BL64) is under the large bone on the lateral side of the foot. Shugu (BL65) is in the depression behind the metatarsophalangeal joint. Tonggu (BL66) is measured before the joint. Zhiyin (BL67) is at the outer corner of the nail of the little toe, about the width of a leek leaf from the nail.
[Note] Jingming (BL1) is in the depression one fen lateral to the inner canthus. Moving up from Jingming to the depression at the medial end of the eyebrow is Cuanzhu (BL2). Moving up from Cuanzhu to the hairline, one and a half cun lateral to the Governing Vessel's Shenting (GV24), taking the head upright, is Qucha (BL4). Five fen posterior to Qucha, one and a half cun lateral to the Governing Vessel's Shangxing (GV23), is Wuchu (BL5). One and a half cun posterior to Wuchu is Chengguang (BL6). One and a half cun posterior to Chengguang, one and a half cun lateral to the Governing Vessel's Baihui (GV20), is Tongtian (BL7). One and a half cun posterior to Tongtian is Luoque (BL8). One and a half cun posterior to Luoque is Yuzhen (BL9). From Yuzhen, along the lateral border of the large tendon at the nape, descending into the depression at the hairline, is Tianzhu (BL10). Descending from Tianzhu, at the depression two cun lateral to the spinal midline below the first cervical/thoracic vertebra, sitting upright, is Dazhu (BL11). Descending from Dazhu, two cun lateral to the spinal midline below the second vertebra, sitting upright, is Fengmen (BL12). From Fengmen to the third vertebra, two cun lateral to the spinal midline, placing the hand on the back, crossing left to right or right to left, where the middle finger ends is the location of Feishu (BL13), sitting upright. From Feishu to the fourth vertebra, two cun lateral to the spinal midline, sitting upright, is Jueyinshu (BL14). From Jueyinshu to the fifth vertebra, two cun lateral to the spinal midline, sitting upright, is Xinshu (BL15). From Xinshu to the sixth vertebra, two cun lateral to the spinal midline, sitting upright, is Dushu (BL16). From Dushu to the seventh vertebra, two cun lateral to the spinal midline, sitting upright, is Geshu (BL17). From Geshu to the ninth vertebra, two cun lateral to the spinal midline, sitting upright, is Danshu (BL18). From Danshu to the eleventh vertebra, two cun lateral to the spinal midline, sitting upright, is Pishu (BL20). From Pishu to the twelfth vertebra, two cun lateral to the spinal midline, sitting upright, is Weishu (BL21). From Weishu to the thirteenth vertebra, two cun lateral to the spinal midline, sitting upright, is Sanjiaoshu (BL22). From Sanjiaoshu to the fourteenth vertebra, level with the umbilicus, two cun lateral to the spinal midline, sitting upright, is Shenshu (BL23). From Shenshu to the fifteenth vertebra, two cun lateral to the spinal midline, sitting upright, is Qihai Shu (BL24). From Qihai Shu to the sixteenth vertebra, two cun lateral to the spinal midline, lying prone, is Dachangshu (BL25). From Dachangshu to the seventeenth vertebra, two cun lateral to the spinal midline, lying prone, is Guanyuan Shu (BL26). From Guanyuan Shu to the eighteenth vertebra, two cun lateral to the spinal midline, lying prone, is Xiaochangshu (BL27). From Xiaochangshu to the nineteenth vertebra, two cun lateral to the spinal midline, lying prone, is Pangguangshu (BL28). From Pangguangshu to the twentieth vertebra, two cun lateral to the spinal midline, between the raised muscles of the scapula, lying prone, is Zhonglushu (BL29). From Zhonglushu to the twentieth vertebra (Note: Text repeats 20th, likely error for 21st or refers to S4), two cun lateral to the spinal midline, lying prone, is Baihuanxu (BL30). From Baihuanxu, one cun below the iliac crest/sacral angle, in the first depression lateral to the spine, is Shangliao (BL31). From Shangliao to the second depression lateral to the spine is Ciliao (BL32). From Ciliao to the third depression lateral to the spine is Zhongliao (BL33). From Zhongliao to the fourth depression lateral to the spine is Xialiao (BL34). From Xialiao, five fen lateral to the coccyx, is Huiyang (BL35). Branching from Dazhu, the branch runs from the shoulder blade internally to the second vertebra, three and a half cun lateral to the spinal midline, sitting upright, is Fufen (BL16). Descending from Fufen to the third vertebra, three and a half cun lateral to the spinal midline, sitting upright, is Pohu (BL42). Descending from Pohu to the fourth vertebra, above the fifth, centered, three and a half cun lateral to the spinal midline, sitting upright with curved spine, is Gaohuang (BL43). To locate it, have the patient sit upright, curve the spine, extend hands, place arms on knees, align thumb with knee cap, support elbow, do not move arm. Feel from upper angle of scapula to lower head, there are four ribs and three spaces. Based on the edge of the scapula, about the width of a side finger from the bone edge, press the empty space among them; if it feels like traction to the shoulder, that is the point. Descending from Gaohuang to the fifth vertebra, three and a half cun lateral to the spinal midline in the depression, sitting upright, is Shentang (BL44). Descending from Shentang to the sixth vertebra, three and a half cun lateral to the spinal midline, sitting upright, is [missing character, context implies Geshu or related], pressing heavily, if the patient cries "pain", that is the location due to tenderness. Descending from [Geshu?] to the seventh vertebra, three and a half cun lateral to the spinal midline in the depression, sitting upright with shoulders open, is Ge Guan (BL45). Descending from Ge Guan to the ninth vertebra, three and a half cun lateral to the spinal midline in the depression, sitting upright, is Hunmen (BL47). Descending from Hunmen to the tenth vertebra, three and a half cun lateral to the spinal midline in the depression, sitting upright, is Yanggang (BL48). Descending from Yanggang to the eleventh vertebra, three and a half cun lateral to the spinal midline, sitting upright, is Yishe (BL49). Descending from Yishe to the twelfth vertebra (Text says 10th, likely error), three and a half cun lateral to the spinal midline, sitting upright, is Weicang (BL50). Descending from Weicang to the thirteenth vertebra, three and a half cun lateral to the spinal midline, sitting upright, is Huangmen (BL51). Descending from Huangmen to the fourteenth vertebra, three and a half cun lateral to the spinal midline in the depression, sitting upright, is Zhishi (BL52). Descending from Zhishi to the nineteenth vertebra, three and a half cun lateral to the spinal midline, lying prone, is Baohuang (BL54). Descending from Baohuang to the twenty-first vertebra (Note: Standard is S4/19-20 level), three and a half cun lateral to the spinal midline in the depression, lying prone, is Zhibian (BL54). Descending from Zhibian to the buttock, in the fold above the thigh, is Chengfu (BL36). From Yinmen, moving obliquely upward one cun, flexing the knee reveals Fuxi (BL38), which is one cun above Weiyang (BL39). Descending from Fuxi, still six cun below Chengfu, flexing and extending to take, is Weiyang (BL39), connecting with Huiyang below in the popliteal fossa. Descending from Weiyang, in the arterial depression in the center of the popliteal crease, having the person look up to the ground, lying prone, is Weizhong (BL40). Descending from Weizhong, three cun below the popliteal crease, is Heyang (BL57). Descending from Heyang, in the depression in the center of the gastrocnemius, seven cun above the heel, is Chengjin (BL56). Descending from Chengjin, in the depression between the muscles at the tip of the calf, is Chengshan (BL57). Obliquely descending from Chengshan, seven cun above the posterior lateral malleolus in the depression, is Feiyang (BL58). Descending from Feiyang, between the bone and tendon three cun above the lateral malleolus, is Fuyang (BL59). Descending from Fuyang, five fen posterior to the lateral malleolus, in the depression above the calcaneus where the fine artery beats, is Kunlun (BL60). Descending from Kunlun, in the depression below the calcaneus, lifting the foot to take, is Pucan (BL61). From Pucan, five fen below the lateral malleolus in the depression, at the white skin margin allowing for the nail width, is Shenmai (BL62). Descending one cun from Shenmai is Jinmen (BL63). From Jinmen, under the large bone on the lateral side of the foot, in the depression at the junction of red and white skin, is Jinggu (BL64). Pressing finds the large bone behind the base of the little toe, named Jinggu, and the point is below the bone. From Jinggu, on the lateral side of the little toe, in the depression behind the base of the metatarsophalangeal joint at the junction of red and white skin, is Shugu (BL65). From Shugu, on the lateral side of the little toe, in the depression before the base of the metatarsophalangeal joint, is Tonggu (BL66). From Tonggu, on the lateral side of the little toe, removing the nail corner by the width of a leek leaf, is Zhiyin (BL67).