(是经起于头维穴,终于厉兑穴。)
胃足阳明之脉,起于鼻之交 中,旁约太阳之脉,下循鼻外,上入齿中,还出挟口,环唇,下交承浆,却
循颐后下廉,出大迎,循颊车,上耳前,过客主人,循发际,至额颅。其支者,从大迎前下人迎,循喉咙,
入缺盆,下膈属胃,络脾。其直者,从缺盆下乳内廉,下挟脐,入气街中。其支者,起于胃口,下循腹里,下
至气街中而合,以下髀关,抵伏兔,下膝膑中,下循胫外廉,下足跗,入中趾内间。其支者,下廉三寸而别,
下入中趾外间。其支者,别跗上,入大趾间,出其端。是动则病洒洒振寒,善呻,数欠,颜黑,病至则恶人与
火,闻木声则HT 然而惊,心欲动,独闭户塞牖而处,甚则欲上高而歌,弃衣而走,贲响腹胀,是为 厥。是主
血所生病者,狂,疟,温淫汗出,鼽衄,口 ,唇胗,颈肿,喉痹,大腹水肿,膝膑肿痛,循膺、乳、气街、
股、伏兔、 外廉、足跗上皆痛,中趾不用。气盛则身以前皆热。其有余于胃,则消谷善饥,溺色黄。气不足
则身以前皆寒栗。胃中寒则胀满。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛
不虚,以经取之。盛者人迎大三倍于寸口,虚者
人迎反小于寸口也。
,鼻茎也。腮下为颔。颔中为颐。腮前为发际。发际前为额颅。股内为髀。髀前膝上起肉处为伏兔。伏
兔后为髀关。挟膝筋中为膑。胫骨为 。足面为跗。
足阳明受手阳明之交,起于鼻之两旁迎香穴,上行而左右相交于 中,过太阳睛明之分,下循鼻外,历承
泣、四白、巨 ,上入齿中,还出挟口两吻地仓,环绕唇下,左右相交于承浆,却循颐后下廉,出大迎,循颊
车,上耳前,历下关,过客主人,循发际,经头维,会于额颅之神庭。其支者,从大迎前下人迎,循喉咙,历
水突、气舍,入缺盆,行足少阴俞府之外,下膈,当上脘、中脘之分,属胃络脾。其直行者,从缺盆而下,下
乳内廉,循气户、库房、屋翳、膺窗、乳中、乳根、不容、承满、梁门、关门、太乙、滑肉门,下挟脐,历天
枢、外陵、大巨、水道、归来诸穴,而入气街中。其支者,自属胃处起胃下口,循腹里,过足少阴肓俞之外本
经之里,下气街中,与前之入气街者合,乃下髀关,抵伏兔,历阴市、梁丘,下入膝膑中,经犊鼻,下循足面
之冲阳、陷谷,入中趾外间之内庭,至厉兑穴而终也。其支别者,自膝下三寸循三里穴之外别下,历上廉、条
口、下廉、丰隆、解溪、冲阳、陷谷,以至内庭、厉兑而合也。又其支者,别跗上冲阳穴,别行入大趾间,出
足厥阴行间穴之外,循大趾下出其端,以交于足太阴也。胃之经脉有二,一上行至头,一下行至足。络脉有四
,伏行胸腹者二,旁行胫足者二。其实上下二脉虽不同行,而中有络脉以相连贯,则仍一脉也。伏行二络,一
起于胃,一止于胃,仍是一脉。至气街而合行于胫足,络与经又仍一脉也。下二络,一交于太阴,一旋分而
旋合。其旁行之路虽殊,而结穴正自井然也。
The (meridian) starts at Touwei (ST8) and ends at Lidui (ST45).
The Foot-Yangming Stomach Meridian originates from the sides of the nose at Yingxiang (LI18), ascends and crosses left and right at the root of the nose (Shangen), meeting laterally with the meridian of the Foot-Taiyang Bladder, descends along the lateral aspect of the nose, enters the upper teeth, emerges to encircle the lips, descends to intersect at Chengjiang (CV24), then retraces along the lower margin behind the chin, emerges at Daying (ST5), follows Jiache (ST6), ascends in front of the ear, passes through Keguoren (ST7/Shangguan GB23), follows the hairline, and reaches the frontal cranium. Its branch descends from the anterior part of Daying to Renying (ST9), follows the throat, enters the Supraclavicular Fossa (Quepen), descends through the diaphragm, belongs to the Stomach, and connects with the Spleen. Its main trunk descends from the Supraclavicular Fossa along the medial border of the breast, descends flanking the umbilicus, and enters the Qi Street (inguinal region). Another branch originates from the stomach opening, descends along the interior of the abdomen, reaches the Qi Street to merge with the previous branch, then descends through Biguan (ST31), arrives at Futu (ST32), descends into the patella, follows the lateral margin of the tibia, reaches the dorsum of the foot, and enters the space between the medial side of the second toe. A further branch separates three cun below the knee, descends into the lateral space of the second toe. Yet another branch separates from the dorsum of the foot, enters the space between the great toe, and emerges at its tip. When this meridian is affected, it causes shivering and aversion to cold, frequent groaning, yawning, dark complexion; upon onset, the patient dislikes people and fire, is startled by the sound of wood, feels palpitations, desires to close doors and windows and stay alone; in severe cases, they may climb high to sing, discard clothes and run, experience abdominal distension and borborygmus, which is termed "Jue" (reversal). This meridian primarily governs diseases related to blood, such as mania, malaria, febrile diseases with sweating, nasal congestion or epistaxis, facial paralysis, lip sores, neck swelling, pharyngolaryngeal obstruction, massive abdominal edema, pain and swelling of the knee and patella, pain along the chest, breast, Qi Street, thigh, Futu, lateral leg, and dorsum of the foot, and inability to use the second toe. When Qi is excessive, heat pervades the anterior body; if excess is in the Stomach, there is rapid digestion and hunger, and yellow urine; when Qi is deficient, cold and chills pervade the anterior body; cold in the Stomach causes distension and fullness. For these conditions, tonify deficiency, sedate excess, treat heat with quick needle withdrawal, treat cold with retained needling, apply moxibustion for sinking Qi, and select points on the meridian itself for neither excess nor deficiency. Excess is indicated when the Renying pulse is three times larger than the Cunkou pulse; deficiency is indicated when the Renying pulse is smaller than the Cunkou pulse.
(Note: The root of the nose is referred to as Bi Jing. The area below the cheekbone is Han. The center of the chin is Yi. The area in front of the cheek is the hairline. The area before the hairline is the frontal cranium. The inner thigh is Bi. The muscular prominence above the knee in front of the thigh is Futu. Behind Futu is Biguan. The kneecap is Bin. The shin bone is the tibia. The dorsum of the foot is Fu.)
The Foot-Yangming Stomach Meridian receives transmission from the Hand-Yangming Large Intestine Meridian, originating at Yingxiang (LI18) beside the nose, ascending to cross left and right at the root of the nose, passing the Jingming (BL1) point of the Foot-Taiyang Bladder Meridian, descending along the lateral nose, passing through Chengqi (ST1), Sibai (ST2), Juliao (ST3), entering the teeth, emerging to flank the corners of the mouth at Dicang (ST4), encircling the lips, crossing left and right at Chengjiang (CV24), then following the lower margin behind the chin, emerging at Daying (ST5), following Jiache (ST6), ascending in front of the ear, passing Xiaguan (ST7), through Keguoren (ST7), following the hairline, via Touwei (ST8), converging at Shenting (GV24) on the frontal cranium. Its branch descends from the anterior part of Daying to Renying (ST9), follows the throat, passing Shuitu (ST10), Qishe (ST11), enters the Supraclavicular Fossa, runs outside the Yufu (KI27) point of the Foot-Shaoyin Kidney Meridian, descends through the diaphragm, at the junction of Shangwan (CV13) and Zhongwan (CV12), belongs to the Stomach and connects with the Spleen. Its main trunk descends from the Supraclavicular Fossa, down the medial breast border, following Qihu (ST15), Kufang (ST16), Wuyi (ST17), Yingchuang (ST18), Ruzhong (ST18), Rugen (ST18), Burong (ST21), Chengman (ST22), Liangmen (ST23), Guanmen (ST24), Taiyi (ST25), Huaroumen (ST26), descending flanking the umbilicus, passing Tianshu (ST25), Wailing (ST29), Daju (ST30), Shuidao (ST28), Guilai (ST29), and entering the Qi Street. Its branch originates from the lower opening of the Stomach where it belongs, follows the abdominal interior, passing outside the Hunshu (KI16) of the Foot-Shaoyin Kidney Meridian but inside the Stomach Meridian, descends to the Qi Street, merging with the branch that previously entered the Qi Street, then descends through Biguan (ST31), reaches Futu (ST32), passes Yinshi (ST33), Liangqiu (ST34), enters the knee patella, passes Dubi (ST35), descends along the dorsum of the foot through Chongyang (ST42), Xangu (ST43), enters the lateral space of the second toe at Neiting (ST44), ending at Lidui (ST45). Its collateral branch separates three cun below the knee, descending outside the Zusanli (ST36) point, passing Shanglian (EX-LE7), Tiaokou (EX-LE8), Xialian (EX-LE9), Fenglong (ST40), Jiexi (ST41), Chongyang (ST42), Xangu (ST43), until merging at Neiting (ST44) and Lidui (ST45). Another branch separates from Chongyang (ST42) on the dorsum of the foot, enters the space between the great toes, exits outside the Xingjian (LR2) point of the Foot-Jueyin Liver Meridian, follows the underside of the great toe to its tip, and connects with the Foot-Taiyin Spleen Meridian. There are two Stomach meridians, one ascending to the head and one descending to the foot. There are four collaterals, two running along the chest and abdomen, and two running along the legs and feet. Although the upper and lower meridians do not follow the same path, they are connected by collaterals, thus remaining one continuous system. The two collaterals running along the chest and abdomen, one starting from the Stomach and one ending at the Stomach, still constitute one meridian. At the Qi Street, they merge and run along the legs and feet, where the collaterals and main meridian again form one unit. The lower two collaterals, one connecting with the Taiyin and one dividing and rejoining, although their paths differ, converge at specific acupoints in an orderly manner.