条文:
经云:脾胃者仓廪之官,五味出焉。
又云:胃者水谷气血之海也。
又云:胃大一尺五寸,径五寸,长二尺六寸,横屈,受水谷三斗五升,
其中之谷,常留二斗,水一斗五升而满。
又云:是经多气少血。
『难经』曰:胃重二斤一两。
张介宾曰:胃之上口名曰贲门,饮食之精气,从此上输于脾肺,
宣布于诸脉;胃之下口,即小肠上口,名曰幽门(见图四十四)。
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条文:
胃足阳明之脉,起于鼻之交頞中,旁约太阳之脉,下循鼻外,入上齿中,
还出侠口环唇,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,下侠脐,入气街中;
其支者,起于胃下口,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,下廉穴三寸而别,
入中趾外间;其支者,别跗上,入大趾间,出其端(见图四十五)。
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条文:
胃足阳明交鼻起,下循鼻外入上齿,还出侠口绕承浆,颐后大迎颊车里,
耳前发际至额颅,支下人迎缺盆底,下膈入胃络脾宫,直者缺盆下乳内,
一支幽门循腹中,下行直合气街逢,遂由髀关抵膝膑,胻跗足趾内间同;
一支下膝注三里,前出中趾外间通,一支别走足跗趾,大趾之端经尽已。
按:足阳明是足大趾之次趾,不是中趾,必传写之误。
注:[1]足阳明胃经之脉,起于鼻者,是谓由迎香穴上交颊中两旁,
约过足太阳脉之睛明穴,分下循鼻外,
始交于足阳明之承泣、四白、巨□穴也;从巨□入上齿中,
还出侠口之地仓穴;还绕唇下,交会任脉之承浆穴,却循颐后下廉,
复交本经之大迎穴。由大迎出循颊车穴,上行耳前,过客主人穴,
合少阳经,循发际至额颅两旁之悬颅穴、颌厌穴,
复交足阳明之头维穴下关穴。
[2]其支者,行大迎穴,从大迎前循人迎水突穴气舍穴,
循喉咙入缺盆穴,下膈属胃络脾,散布脏腑。
[3]其直者,从缺盆穴直行气户、库房、屋翳、膺窗、乳中、乳根等穴,
下乳内廉不容穴也;从不容循承满、梁门、关门、太乙、滑肉门等穴,
下夹脐天枢穴也;从天枢、外陵、大巨、水道、归来等穴,入气街中,
气冲穴也。
[4]其支者,起于胃口,是谓前之属胃络脾之支,下循腹里,
下至气街中而合气街穴,会冲脉上行者也;其下行本经者脾关穴也。
[5]抵伏兔至伏兔穴下,从伏兔行阴市穴、梁丘穴,下膝膑中犊鼻穴,
循足三里上巨虚、条口、下巨虚等穴,下循胫外廉,丰隆穴也;
从丰隆循解溪穴,下足跗,冲阳穴也;从冲阳行陷谷穴内庭穴,
入次趾外间也。
[6]其本支别支,一自下巨虚下入次趾外间;
一别循跗上入大趾次趾间厉兑穴,出其端,交于足太阴脾经也。
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Passage:
The *Neijing* (Classic of Internal Medicine) states: The spleen and stomach are the officials responsible for storage and transport, from which the five flavors arise.
It further states: The stomach is the sea of water and grain, the source of qi and blood.
It also states: The stomach has a capacity of one chi and five cun in diameter, five cun in width, and two chi and six cun in length; it is curved and can hold three dou and five sheng of water and grain.
Of this content, grain usually remains two dou, and water one dou and five sheng, keeping it full.
It further states: This meridian is abundant in qi and deficient in blood.
The *Nanjing* (Classic of Difficult Issues) states: The stomach weighs two jin and one liang.
Zhang Jiebin stated: The upper opening of the stomach is called the贲门 (Benmen, cardia); the essence of food and drink is transported upward from here to the spleen and lungs,
and distributed through the various meridians; the lower opening of the stomach, which is the upper opening of the small intestine, is called the幽门 (Youmen, pylorus) (see Figure 44).
Passage:
The Foot-Yangming Stomach Meridian originates at the side of the nose, intersecting at the root of the nose, adjacent to and constraining the meridian of Foot-Taiyang, descending along the lateral aspect of the nose, entering the upper teeth,
then emerging to encircle the lips around the mouth, descending to intersect with Chengjiang (CV24), then following the posterior mandible downwards, exiting at Daying (ST5), following Jiache (ST6), ascending to the anterior aspect of the ear,
passing through Kerenzhuren (GB4), following the hairline to the frontal skull; its branch descends from the anterior aspect of Daying to Renying (ST9), follows the throat, enters Quepen (ST12),
descends through the diaphragm, connects with the Stomach, and links with the Spleen; its main trunk descends from Quepen along the medial aspect of the breast, passes alongside the umbilicus, and enters the Qijie region;
another branch originates from the lower opening of the stomach, runs within the abdominal cavity, descends to meet the main trunk at the Qijie region, then descends through Biguan (ST31) to Fubu (ST32), down to the patella,
continues down the lateral aspect of the lower leg, reaches the dorsum of the foot, and enters the space between the second toe; another branch diverges three cun below Lianxu (ST34),
entering the lateral space of the second toe; another branch diverges from the dorsum of the foot, enters the space between the great toe and the second toe, and emerges at the tip of the toe (see Figure 45).
Passage:
The Foot-Yangming Stomach Meridian begins at the nose, descends along the lateral nose into the upper teeth, emerges to encircle the mouth and Chengjiang, passes through the area behind the jaw at Daying and Jiache,
ascends to the hairline before the ear to the frontal skull; a branch descends to Renying and the bottom of Quepen, passes through the diaphragm to enter the Stomach and link with the Spleen palace; the straight path descends from Quepen to the medial breast,
one branch follows the abdomen from Youmen, descending directly to meet at Qijie, then proceeds from Biguan to the knee patella, and together with the shin and foot toes on the inner side;
one branch descends to the knee and notes Sanli, exiting anteriorly to connect with the lateral space of the second toe; one branch diverges to the foot dorsum and toes, ending at the tip of the great toe.
Note: The Foot-Yangming meridian connects to the second toe next to the great toe (the lesser toe/second toe), not the middle toe (third toe); this must be a transcription error.
Annotation: [1] The meridian of the Foot-Yangming Stomach originates at the nose, meaning it intersects laterally at Yingxiang (LI20),
passing near Jingming (BL1) of the Foot-Taiyang Bladder Meridian, then dividing to descend along the lateral nose,
initially intersecting with Chengqi (ST1), Sibai (ST2), and Juliao (ST3) of the Foot-Yangming Stomach Meridian; from Juliao, it enters the upper teeth,
emerges to pass through Dicang (ST4) beside the mouth; it then circles the lower lip, intersects with Chengjiang (CV24) of the Ren Mai, and follows the posterior mandible,
re-intersecting with Daying (ST5) of its own meridian. From Daying, it follows Jiache (ST6), ascends to the anterior ear, passes through Kerenzhuren (GB4),
merges with the Shaoyang meridian, follows the hairline to Xuanlu (GB5) and Xiayan (GB7) on both sides of the frontal skull,
and re-intersects with Touwei (ST8) and Xiaguan (ST7) of the Foot-Yangming Stomach Meridian.
[2] Its branch travels through Daying, proceeding anteriorly from Daying through Renying (ST9), Shuitu (ST10), and Qishe (ST11),
follows the throat to enter Quepen (ST12), descends through the diaphragm to belong to the Stomach and link with the Spleen, distributing to the zang-fu organs.
[3] The straight path proceeds directly from Quepen through Qihu (ST15), Fukuang (ST16), Wuyi (ST17), Yingchuang (ST18), Ruzhong (ST19), Rugen (ST18), etc.,
descending to the medial aspect of the breast at Burong (ST14); from Burong, it follows Chengman (ST15), Liangmen (ST21), Guanmen (ST22), Taiyi (ST23), Huaroumen (ST25), etc.,
descending alongside the umbilicus to Tianshu (ST25); from Tianshu, Wailing (ST26), Daju (ST27), Shuidao (ST28), Guilai (ST29), etc., it enters the Qijie,
which is the Qichong (ST30) acupoint.
[4] Its branch originates at the stomach opening, referring to the branch that belongs to the Stomach and links with the Spleen mentioned earlier, descending within the abdominal cavity,
reaching the Qijie to merge with the Qijie acupoint, where it meets the ascending Chong Mai; its downward path along this meridian involves the Pipan (SP13? Note: Text says Pipan but context implies ST31 Biguan or similar transition, text says "Splen Gate" likely typo for Biguan or referring to SP connection, but strictly translating text: Pipan) acupoint. *Correction based on standard anatomy in text*: The text mentions "Pipan" (Spleen Gate) but in the context of ST descent, it likely refers to the transition or a specific point description. However, sticking to translation: "Pipan acupoint".
[5] Reaching Fubu and descending below Fubu (ST32), it travels through Yinshi (ST33) and Liangqiu (ST34), descends to Dunbi (ST35) in the center of the patella,
follows Zusanli (ST36), Shangjuxu (ST37), Tiaokou (ST38), Xiajuxu (ST39), etc., descending along the lateral aspect of the tibia to Fenglong (ST40);
from Fenglong, it follows Jiaoxi (ST41), descends to the dorsum of the foot to Chongyang (ST42); from Chongyang, it travels through Xangu (ST43) and Neiting (ST44),
entering the lateral space of the second toe.
[6] Its main branch and divergent branches: one enters the lateral space of the second toe from Xiajuxu (ST39);
one diverges along the dorsum of the foot to enter Liding (ST45) between the great toe and the second toe, emerging at the tip, and intersecting with the Foot-Taiyin Spleen Meridian.