条文:
手阳明穴起商阳,二间三间合谷脏,阳溪偏历历温溜,下廉上廉三里长,
曲池肘□迎五里,臂臑肩□巨骨起,天鼎扶突接禾□,终以迎香二十止。
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条文:
商阳食指内侧边,二间来寻本节前,三间节后陷中取,合谷处口岐骨间,
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,曲池曲肘纹头尽,肘□上臑外廉近,
大筋中央寻五里,肘上三寸行向里,臂臑肘上七寸量,肩□肩端举臂取;
巨骨肩尖端上行,天鼎喉旁四寸真,扶突天突旁三寸,禾□水沟旁五分,
迎香禾□上一寸,大肠经穴自分明。
注:[1]商阳穴在手食指内侧端后,去爪甲角如韭叶许,是其穴也。
[2]从商阳穴循食指上廉,本节前内侧陷中,二间穴也。
[3]从二间穴循食指本节后,内侧陷中,三间穴也。
[4]从三间穴循行手大指次指岐骨间陷中,合谷穴也。
[5]从合谷穴循行手腕中上侧,两筋间陷中,张大指次指取之,
阳溪穴也。
[6]从阳溪穴上行手腕后,上侧三寸,偏历穴也。
[7]从偏历穴上行三寸,温溜穴也。
[8]从温溜穴上行二寸五分,辅锐肉分,下廉穴也。
[9]从下廉穴上行一寸,上廉穴也。
[10]从上廉穴上行一寸,锐肉之端,按之肉起,手三里穴也。
[11]从手三里穴上二寸,以手拱胸屈肘,横纹头陷中取之,曲池穴也。
[12]从曲池穴上行大骨外廉陷中,肘□穴也。
[13]从肘□穴循肘上三寸,向里大脉中央,五里穴也。
[14]从五里穴上行四寸,两筋两骨罅宛宛陷中,伸臂平手取之,
臂臑穴也。
[15]从臂臑穴上行髆骨头,肩端上两骨罅陷处宛宛中,举臂取之有空,
肩□穴也。
[16]从肩□穴上行臂端,两叉骨间陷中,巨骨穴也。
[17]从巨骨穴循颈,缺盆上直行扶突下一寸,天鼎穴也。
[18]从天鼎穴上直行曲颊下一寸,人迎后一寸五分,仰而取之扶突穴也。
[19]从扶突穴贯颊直鼻孔下,水沟旁五分,禾□穴也。
[20]从禾□穴上一寸,鼻孔旁五分,迎香穴也(见图四十三)
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Translation:
The acupoints of the Hand-Yangming Large Intestine Meridian begin with Shangyang (LI1, Shāngyáng), followed by Erjian (LI2, Èrjiān), Sanjian (LI3, Sānjiàn), and Hegu (LI4, Hégu). Then come Yangxi (LI5, Yángxī), Pianli (LI6, Piānlì), and Wenliu (LI7, Wēnliú). Further down are Xialian (LI8, Xiàlián), Shanglian (LI9, Shànglián), and Shousanli (LI10, Shǒusānlǐ).
Quchi (LI11, Qūchí), Zhouluo (LI12, Zhōuluó), and Wuli (LI13, Wǔlǐ) are located, along with Binao (LI14, Bìnáo), Jianyu (LI15, Jiānyú), and Jugu (LI16, Jùgǔ) where they originate. Tianding (LI17, Tiāndǐng) and Futu (LI18, Fútū) connect to Heliao (LI19, Héliáo), ending finally at Yingxiang (LI20, Yíngxiāng), totaling twenty acupoints.
Shangyang (LI1, Shāngyáng) is on the medial side of the index finger; seek Erjian (LI2, Èrjiān) in the depression before the proximal interphalangeal joint; locate Sanjian (LI3, Sānjiàn) in the depression after the proximal interphalangeal joint; Hegu (LI4, Hégu) is found in the depression between the metacarpals of the thumb and index finger.
Yangxi (LI5, Yángxī) is on the radial side of the wrist crease; Pianli (LI6, Piānlì) is secured three cun distal to the wrist crease; Wenliu (LI7, Wēnliú) is five cun distal to the wrist crease; Xialian (LI8, Xiàlián) is seen five cun proximal to Quchi (LI11, Qūchí).
Shanglian (LI9, Shànglián) is at the midpoint three cun proximal to Quchi (LI11, Qūchí); Shousanli (LI10, Shǒusānlǐ) is encountered two cun proximal to Quchi (LI11, Qūchí); Quchi (LI11, Qūchí) is at the end of the transverse cubital crease when the elbow is flexed; Zhouluo (LI12, Zhōuluó) is near the lateral aspect of the elbow.
Seek Wuli (LI13, Wǔlǐ) in the center of the large tendon, located three cun above the elbow towards the interior; measure Binao (LI14, Bìnáo) seven cun above the elbow; locate Jianyu (LI15, Jiānyú) at the shoulder tip when the arm is raised.
Jugu (LI16, Jùgǔ) ascends from the tip of the shoulder; Tianding (LI17, Tiāndǐng) is accurately located four cun lateral to the throat; Futu (LI18, Fútū) is three cun lateral to Tiantu (CV22, Tiāntǔ); Heliao (LI19, Héliáo) is five fen lateral to Shuigou (GV26, Shuǐgōu).
Yingxiang (LI20, Yíngxiāng) is one cun above Heliao (LI19, Héliáo); the distribution of the Large Intestine Meridian acupoints is thus clearly distinct.
Notes: [1] Shangyang (LI1, Shāngyáng) is at the medial end of the index finger, approximately the width of a leek leaf from the corner of the nail; this is the point.
[2] From Shangyang (LI1, Shāngyáng), following the upper margin of the index finger to the medial depression before the proximal interphalangeal joint, is Erjian (LI2, Èrjiān).
[3] From Erjian (LI2, Èrjiān), following the post-proximal interphalangeal joint to the medial depression, is Sanjian (LI3, Sānjiàn).
[4] From Sanjian (LI3, Sānjiàn), moving to the depression between the metacarpals of the thumb and index finger, is Hegu (LI4, Hégu).
[5] From Hegu (LI4, Hégu), moving to the radial side of the wrist, in the depression between the two tendons, taking the point while abducting the thumb and index finger,
is Yangxi (LI5, Yángxī).
[6] Ascending three cun on the radial side distal to the wrist from Yangxi (LI5, Yángxī), is Pianli (LI6, Piānlì).
[7] Ascending three cun from Pianli (LI6, Piānlì), is Wenliu (LI7, Wēnliú).
[8] Ascending two cun and five fen from Wenliu (LI7, Wēnliú), at the sharp boundary of the muscle, is Xialian (LI8, Xiàlián).
[9] Ascending one cun from Xialian (LI8, Xiàlián), is Shanglian (LI9, Shànglián).
[10] Ascending one cun from Shanglian (LI9, Shànglián), at the end of the muscle, where the flesh rises upon pressure, is Shousanli (LI10, Shǒusānlǐ).
[11] Ascending two cun from Shousanli (LI10, Shǒusānlǐ), with hands clasped to the chest and elbow flexed, locating the depression at the end of the transverse crease, is Quchi (LI11, Qūchí).
[12] Ascending from Quchi (LI11, Qūchí) to the depression at the lateral margin of the humerus, is Zhouluo (LI12, Zhōuluó).
[13] Following three cun above the elbow from Zhouluo (LI12, Zhōuluó), towards the center of the major vessel internally, is Wuli (LI13, Wǔlǐ).
[14] Ascending four cun from Wuli (LI13, Wǔlǐ), in the deep depression between two tendons and two bones, taking the point with the arm extended and hand level,
is Binao (LI14, Bìnáo).
[15) Ascending from Binao (LI14, Bìnáo) to the head of the scapula, in the deep depression between the two bones at the shoulder tip, where there is space when the arm is raised,
is Jianyu (LI15, Jiānyú).
[16] Ascending from Jianyu (LI15, Jiānyú) to the end of the arm, in the depression between the bifurcating bones, is Jugu (LI16, Jùgǔ).
[17] Following the neck from Jugu (LI16, Jùgǔ), straight up from the supraclavicular fossa (Quepen) to one cun below Futu (LI18, Fútū), is Tianding (LI17, Tiāndǐng).
[18) Moving straight up from Tianding (LI17, Tiāndǐng) to one cun below the angle of the jaw, one cun and five fen posterior to Renying (ST9, Rényíng), taking the point with the head tilted back, is Futu (LI18, Fútū).
[19] From Futu (LI18, Fútū), passing through the cheek directly under the nostril, five fen lateral to Shuigou (GV26, Shuǐgōu), is Heliao (LI19, Héliáo).
[20] One cun above Heliao (LI19, Héliáo), five fen lateral to the nostril, is Yingxiang (LI20, Yíngxiāng) (see Figure 43).