足阳明胃经、乃两阳合明于前也。胃府者、府居中土,万物所归也。其脉起于鼻,上额,络于目,循于面,
行身之前,终于左足内踝。经曰、尺寸俱长,阳明受病也。若头额痛、目疼、鼻干、不得眠,此阳明经标病
也。不拘日数多少,即宜解肌,葛根汤。若身热烦渴,汗出恶热,此阳明经本病也,宜清邪热。若潮热自
汗,谵语发渴,不恶寒,反恶热,扬手掷足,斑黄便硬等症,此阳明胃本实也,急宜下之。故曰、在经当
解肌,在府当平热,府实则宜下。
足少阳胆经、乃前有阳明,后有太阳,居二阳之中,所以主半表半里,以胆为清净之府,无出入之路,
不论在经在府,治法俱同。其脉起于目锐皆,上头角,络耳中,循胸?行身之侧,终于右足外踝。经曰、
尺寸俱弦,少阳受病也。其症头角痛而目眩,胸?痛而耳聋,寒热呕而口苦,皆少阳症也。此经有三
禁,不可汗,不可下,不可利小便也。只宜小柴胡汤加减和之。
凡头角痛耳烘烘而鸣,耳之上下肿痛,皆少阳所主部分邪火为之也。
足太阴脾经、为三阴之首,其脉始于左足内踝大指,行至腹,络于嗌,连舌本,行身之前。若寒邪卒中,
直犯本经者,一时便发,腹痛、或吐、或利、俱宜温之。若四五日而发,腹满嗌干,此传经之邪也,又宜和
之。如不渴而利者,寒也,理中汤温之。渴而利者,热也,猪苓汤清之。
寒热二症,皆有腹满,以热陷于内,邪气盛而充塞也,寒盛于内,胃气虚而壅滞也。
The Foot-Yangming Stomach Meridian is where the two Yang energies combine and manifest in the anterior aspect of the body. The Stomach Fu-organ resides in the Central Earth (Spleen and Stomach belong to Earth, situated in the center), serving as the gathering place for all things. Its vessel originates from beside the nose, ascends to the forehead, connects with the eye, follows the face, travels along the anterior aspect of the body, and terminates at the medial malleolus of the left foot. The classics state: when both the Cun (inch) and Chi (cubit) pulses are long, it indicates disease in the Yangming channel. If there is pain in the forehead and temples, eye pain, dryness of the nose, and insomnia, this constitutes the *biao* disease (manifestation/exterior symptoms) of the Yangming channel. Regardless of the number of days since onset, one should employ the method of resolving the muscle layer (*jie ji*), using Ge Gen Tang (Pueraria Decoction). If there is fever, irritability, thirst, sweating, and aversion to heat, this constitutes the *ben* disease (root/interior symptoms) of the Yangming channel, and one should clear the pathogenic heat. If there is tidal fever, spontaneous sweating, delirium, thirst, aversion to cold being absent but aversion to heat present, waving hands and kicking feet, appearance of macules and jaundice, and hard stool, these are signs of excess syndrome in the Yangming Stomach Fu-organ; urgent purgation is required. Thus it is said: when the disease is in the channel, resolve the muscle layer; when in the Fu-organ, pacify the heat; when the Fu-organ is full/excess, purgation is appropriate.
The Foot-Shaoyang Gallbladder Meridian lies between the Yangming anteriorly and the Taiyang posteriorly, thus governing disorders of the half-exterior half-interior level. Since the Gallbladder is a pure and clear Fu-organ without direct pathways of entry or exit, the treatment principles are similar whether the disease is in the channel or the Fu-organ. Its vessel originates from the lateral canthus of the eye, ascends to the temporal angle, connects with the interior of the ear, follows the chest and hypochondrium along the lateral aspect of the body, and terminates at the lateral malleolus of the right foot. The classics state: when both the Cun and Chi pulses are wiry (*xian*), it indicates disease in the Shaoyang channel. Symptoms include pain in the temporal region and vertigo, chest and hypochondriac pain and deafness, alternating chills and fever, vomiting, and bitter taste in the mouth; these are all Shaoyang syndromes. This channel has three prohibitions: sweating is contraindicated, purgation is contraindicated, and promoting urination is contraindicated. One should only use Xiao Chai Hu Tang (Minor Bupleurum Decoction) with modifications to harmonize. Whenever there is pain in the temporal region, roaring tinnitus, and swelling and pain above and below the ear, these are caused by pathogenic fire affecting the areas governed by the Shaoyang channel.
The Foot-Taiyin Spleen Meridian is the head of the Three Yin channels. Its vessel begins at the medial malleolus and big toe of the left foot, travels to the abdomen, connects with the pharynx, links to the root of the tongue, and travels along the anterior aspect of the body. If cold pathogenic factors strike suddenly and directly invade this channel, symptoms appear immediately, such as abdominal pain, vomiting, or diarrhea; warming methods are appropriate. If symptoms appear after four or five days, with abdominal fullness and dryness of the pharynx, this is pathogenic qi transmitted via the channels, and harmonizing methods are appropriate. If there is no thirst accompanied by diarrhea, it is a cold syndrome, treated with Li Zhong Tang (Regulate the Middle Decoction) to warm the middle. If there is thirst accompanied by diarrhea, it is a heat syndrome, treated with Zhu Ling Tang (Polyporus Decoction) to clear heat and promote diuresis. Both cold and heat syndromes present with abdominal fullness. In heat syndromes, heat sinks inward, and pathogenic qi becomes excessive and obstructive. In cold syndromes, cold is excessive internally, and the Stomach Qi is deficient and stagnant.