手阳明,廿穴名。循商阳二间三间而行,历合谷阳溪之俞,
过偏历温溜之滨,下廉上廉三里而近,曲池肘 五里之程,臂 肩 上于巨骨,天鼎纡乎扶突,禾 唇连,迎
香鼻迫。
商阳食指内侧边,二间来寻本节前,三间节后陷中取,合谷虎口歧骨间,阳溪上侧腕中是,偏历腕后三寸
安,温溜腕后去五寸,池前五寸下廉看,池前三寸上廉中,池前二寸三里逢,曲池屈骨纹头尽,肘 大骨外廉
近,大筋中央寻五里,肘上三寸行向里,臂 肘上七寸量,肩 肩端举臂取,巨骨肩尖端上行,天鼎喉旁四寸
真,扶突天突旁五寸,禾 水沟旁五分,迎香禾 上一寸,大肠经穴是分明。
大肠主津液,故言津液所生病。上二证是本经自病,下诸证或本经或合他经也,皆未言及腑病,举例以概
其余也。齿痛,脉入齿缝也。颈肿,脉上行于颈也。目黄,合太阳、少阳经病也。口干,脉挟口也。鼽衄,脉
挟鼻孔也。喉咙,肺系,脏腑相连也。肩 痛,脉上肩 也。次指不用,脉起于次指也。实则热肿,虚则寒栗
,以寒热分虚实也。
大肠属金,主变化,为传送之官。
本病(脏腑之病)
大便闭结,泄痢下血,里急后重,疽痔,脱肛,肠鸣而痛。(以上诸证,或虚或实,或寒或热,皆本腑病,
补经所未备。)
标病(经络之病)
齿痛,喉痹,颈肿,口干,(俱同经。)咽中如梗,(咽非本经,脉入缺盆循胃脉外,近于咽。)鼽衄,
目黄,手大指次指痛,(俱同经。)宿食发热,(宿食在内,发热在外,故为标病。)寒栗。(同经。)
The Hand-Yangming Large Intestine Meridian has twenty acupoints. The meridian pathway starts from Shangyang (LI1), passes through Erjian (LI2) and Sanjian (LI3), reaches the Shu-stream points Hegu (LI4) and Yangxi (LI5), crosses Pianli (LI6) and Wenliu (LI7), descends to Xialian (LI8) and Shanglian (LI9), approaches Sanli (LI10), traverses the distance of Quchi (LI11), Zhouliao (LI12), and Wuli (LI13), ascends along Binao (LI14) and Jianyu (LI15) to Jugu (LI16), winds around Tianding (LI17) to Futu (LI18), He'liao (LI19) connects to the lips, and Yingxiang (LI20) is close to the nose.
Shangyang (LI1) is located on the medial side of the index finger; Erjian (LI2) is sought before the proximal interphalangeal joint; Sanjian (LI3) is located in the depression behind the joint; Hegu (LI4) is between the divergent bones of the tiger's mouth; Yangxi (LI5) is in the center of the wrist on the radial side; Pianli (LI6) is secured three cun distal to the wrist crease; Wenliu (LI7) is five cun distal to the wrist crease; Xialian (LI8) is seen five cun proximal to Quchi (LI11); Shanglian (LI9) is three cun proximal to Quchi (LI11); Sanli (LI10) is encountered two cun proximal to Quchi (LI11); Quchi (LI11) is at the end of the transverse cubital crease when the elbow is flexed; Zhouliao (LI12) is near the lateral margin of the large bone of the elbow; Wuli (LI13) is found in the center of the large tendon, moving inward three cun above the elbow; Binao (LI14) is measured seven cun above the elbow; Jianyu (LI15) is taken at the shoulder tip with the arm raised; Jugu (LI16) ascends from the tip of the shoulder; Tianding (LI17) is truly four cun lateral to the throat; Futu (LI18) is five cun lateral to Tiantu (CV22); He'liao (LI19) is five fen lateral to Shuigou (GV26); Yingxiang (LI20) is one cun superior to He'liao. The acupoints of the Large Intestine Meridian are clearly defined.
The Large Intestine governs Jin Ye (body fluids), hence it discusses diseases generated by Jin Ye (body fluids). The aforementioned two syndromes are self-diseases of this meridian; the subsequent syndromes may be diseases of this meridian or combined with other meridians. None of them mention Fu-organ diseases; examples are given to generalize the rest. Toothache occurs because the meridian enters the tooth gaps. Neck swelling occurs because the meridian ascends to the neck. Yellow eyes result from combined Taiyang (Greater Yang) and Shaoyang (Lesser Yang) meridian diseases. Dry mouth occurs because the meridian flanks the mouth. Rhinorrhea or epistaxis occurs because the meridian flanks the nasal cavity. The throat belongs to the Lung system, as Zang-Fu organs are connected. Jianyu (LI15) pain occurs because the meridian ascends to Jianyu (LI15). Inability to use the second finger (index finger) occurs because the meridian originates from the second finger. Excess patterns manifest as hot swelling, while deficiency patterns manifest as chills, distinguishing excess and deficiency by cold and heat.
The Large Intestine belongs to Metal, governs transformation, and serves as the official of transmission.
Ben Bing (Zang-Fu organ diseases):
Constipation, dysentery with bloody stool, tenesmus, carbuncles and hemorrhoids, rectal prolapse, borborygmus with pain. (The above syndromes, whether excess or deficiency, cold or heat, are all diseases of this Fu-organ, supplementing what was not prepared in the classic text.)
Biao Bing (Meridian diseases):
Toothache, sore throat (Hou Bi), neck swelling, dry mouth, (all same meridian); sensation of a lump in the throat, (the throat is not traversed by this meridian, but the meridian enters the Quepen area, follows the exterior of the Stomach meridian, and is close to the throat); rhinorrhea or epistaxis, yellow eyes, pain in the thumb and index finger, (all same meridian); fever due to retained food, (retained food inside, fever outside, thus considered a Biao disease); chills. (Same meridian.)