2=标题= 足少阴肾经穴歌足少阴二十七穴。涌泉然谷太溪溢。大锺照海通水泉。复溜交信筑宾连。阴谷横骨至大赫。气穴四满中注莅。肓俞商曲石关循。阴都通谷幽门辟。步廊神封灵墟位。神藏 中俞府既。足少阴,肾之经。凡二十七穴,左右共五十四穴。o是经多气少血。肾有两枚,状如石卵,色黑紫,当胃下两旁,入脊膂附脊之第十四椎,前後与脐平直。足少阴之脉:起於小指之端,斜趋足心。趋,向也。足少阴起小指之下,斜向足心之涌泉穴,在足心陷中,屈足卷指宛宛中。
出然谷之下,循内踝之後,别入跟中,上侶内,出 内廉。跟,足跟也。由涌泉转出足内踝然谷穴,上循内踝後太溪穴,别入跟中之大锺,照海,水泉,乃折自大锺之外,上循内踝,行厥阴太阴之後,经复溜,交信,过三阴交,上侶内,循筑宾,出 内廉,抵阴谷也。o然谷:在足内踝前大骨下陷中。太溪:在足内踝後跟骨上,动脉陷中。大锺:在足跟後踵中。照海:在足内踝下。水泉:在太溪下一寸内踝下。复溜:在足内踝上二寸,动脉陷中。交信:在足内踝上二寸,少阴前,太阴後。三阴交:见足太阴,足三阴之交会也。筑宾:在足内踝上侶分中。阴谷:在膝内辅骨後,大筋下、小筋上,按之应手,屈膝乃得之。
上股内後廉,贯脊属肾,络膀胱。由阴谷上股内後廉,贯脊会於脊之长强穴。还出於前,循横骨,大赫,气穴,四满,中注,肓俞,当肓俞之所,脐之左右属肾,下脐下,过关元,中极而络膀胱也。o长强:见督脉,足少阴少阳所结会,督脉别络也。横骨:在大赫下一寸,肓俞下五寸千金云,在阴上横骨中,宛曲如却月中央是。大赫:在气穴下一寸。气穴:在四满下一寸。四满:在中注下一寸,气海旁一寸。中注:在肓俞下一寸。肓俞在商曲下一寸,去脐旁五分。自横骨至肓俞,考之资生经,去中行各一寸半,关元,中极,并任脉穴,足三阴任脉之会。其直者:从肾上贯肝膈,入肺中,循喉嘴,挟舌本。其直行者:从肓俞属肾处上行,循商曲,石关,阴都,通谷,诸穴。贯肝上,循幽门上膈,历步廊,入肺中,循神封,灵墟,神藏, 中,俞府,而上循喉咙,并人迎,挟舌本而终也。o商曲:在石关下一寸。石关:在阴都下一寸。阴都:在通谷下一寸。通谷:在幽门下一寸。幽门:挟巨阙旁各五分。商曲至通谷,去腹中行各五分。步廊:在神封下一寸六分陷中。神封:在灵墟下一寸六分陷中。灵墟:在神藏下一寸六分陷中。神藏:在 中下一寸六分陷中。 中:在俞府下一寸六分陷中。俞府:在巨骨下,璇玑旁二寸陷中。自步廊至 中,去胸中行各二寸,并仰面而取之。人迎:见足阳明经。其支者:从肺出络心,注胸中。两乳间为胸中。支者:自神藏别出绕心,注胸之 中,以交於手厥阴也。是动:则病饥不欲食,面黑如地色, 唾则有血,喝喝而喘,坐而欲起,目俁俁如是无所见,心如悬,若饥状,气不足则善恐,心惕惕如人将捕之,是谓骨厥,是主肾所生病者。口热,舌乾,咽肿,上气,嗌乾及痛,烦心,心痛,黄疸,肠癖,脊臀股内後廉痛,痿,厥,嗜卧,足心热而痛。盛者:寸口大再倍於人迎。虚者:寸口反小於人迎也。
2=标题= 手厥阴心包经穴歌九穴心包手厥阴。天池天泉曲泽深。俕门间使内关对。大陵劳宫中冲备。手厥阴,心包之经。凡九穴,左右共十八穴。o是经多血少气。心包,一名手心主,以藏象校之,在心下横膜之上,竖膜之下,与横膜相粘,而黄脂漫 者心也,其漫脂之外,有细筋膜如丝,与心肺相连者,心包也。或问手厥阴经,曰心主,又曰心包络,何也?曰,君火以名,相火以位,手厥阴代君火行事,以用而言,故曰手心主,以经而言,则曰心包络。一经而二名,实相火也。
手厥阴之脉:起於胸,出属心包,下膈,历络三焦。手厥阴,受足少阴之交,起於胸中,出属心包,由是下膈,历络於三焦之上 ,中 ,乃脐下一寸,下焦之分也。
其支者:循胸出胁,下腋三寸,上抵腋下,下循 内,行太阴少阴之间,入肘中。侸上际为腋。自属心包,上循胸出侸,下腋三寸,天池穴上行抵腋下,下循 内之天泉穴,以介乎太阴少阴两经之中间,入肘中之曲泽也。o天池:在腋下三寸,乳後一寸,着侸直腋橛肋间。天泉:在曲腋下,去臂二寸,举臂取之。曲泽:在肘内廉下陷中,屈肘得之。下臂行两筋之间,入掌中,循中指,出其端。由肘中下臂,行臂两筋之间,循俕门,间使,内关,大陵,入掌中劳宫穴,循中指,出其端之中冲云。o俕门:在掌後,去腕五寸。间使:在掌後三寸,两筋间陷中。内关:在掌後,去腕二寸。大陵:在掌後,两筋间陷中。劳宫:在掌中央,屈无名指取之,资生经云,屈中指。以今观之,莫若屈中指无名指两者之间取之为妥。中冲:在手中指端,去爪甲如韭叶陷中。
其支别者:从掌中,循小指次指出其端。小指次指、无名指也,自小指逆数之,则为次指云。支别者,自掌中劳宫穴别行,循小指次指出其端,而交於手少阳也。是动:则病手心热,臂肘挛急,腋肿,甚则胸侸支满,心中澹澹大动,面赤,目黄,喜笑不休,是主脉所生病者。烦心,心痛,掌中热。盛者:寸口大十倍於人迎。虚者:寸口反小於人迎也。
2=标题= 手少阳三焦经穴歌二十三穴手少阳。关冲液门中渚傍。阳池外关支沟会。会宗三阳四渎配。天井合去清冷渊。消泺 会肩侫偏。天侫天牖仝翳风。 脉颅息角孙通。耳门禾侫丝竹空。手少阳,三焦之经。凡二十三穴,左右共四十六穴。o是经多气少血。三焦者:水谷之道路,气之所终始也。上焦在心下下膈,当胃上口。其治在 中,直两乳间陷者中。中焦在胃中 ,当脐上四寸,不上不下,其治在脐旁。下焦当膀胱上口,其治在脐下一寸。
手少阳之脉:起於小指次指之端,上出次指之间,循手表腕,出臂外两骨之间,上贯肘。臂骨尽处为腕。 尽处为肘。手少阳起小指次指端关冲穴。上出次指之间,历液门,中渚,循手表腕之阳池,出臂外两骨之间,循外关,支沟,会宗,三阳络,四渎,乃上贯肘,抵天井穴也。o关冲:在手小指次指之端,去爪甲如韭叶。液门:在手小指次指间陷中。中渚:在手小指次指本节後间陷中。阳池:在手表腕上陷中。外关:在腕後二寸陷中,别走手心主。支沟:在腕後三寸,两骨间陷中。会宗:在腕後三寸,空中一寸。三阳络:在臂上大交脉,支沟上一寸。四渎:在肘前五寸,外廉陷中。天井:在肘外大骨後上一寸,两筋间陷中,屈肘得之,甄权云,曲肘後一寸,叉手按膝头取之,两筋骨罅。
循 外上肩,交出足少阳之後,入缺盆,交 中,散络心包,下膈,偱? T焦。肩肘之间,膊下对腋处为 。从天井上行,循臂 之外,历清冷渊,消泺,行手太 阳之 ,阳明之外,上肩,循 会,肩侫,天侫,交出足少阳之後,过秉风,肩井,下入缺盆,复由足阳明之外而交会於 中,散布络绕於心包,乃下膈,当胃上口以属上焦,於中 以属中焦,於阴交以属下焦也。o清冷渊:在肘上二寸,伸肘举臂取之。消泺:在肩下臂外间,腋斜肘分下行。 会:在肩前廉,去肩头三寸。肩侫:在肩端 上举臂取之。天侫:在肩,缺盆中上毖骨之际陷中。秉风:见手太阳经,手足少阳,手太阳,阳明之会。肩井:见足少阳经,手足少阳,阳维之会。缺盆:足阳明经穴。 中:见任脉,心包相火用事之分也。中 ,阴交:见任脉,三焦之募,任脉所发也。其支者:从 中,上出缺盆,上项,挟耳後直上,出耳上角,以屈下颊至俢。脑户後为项。目下为俢。其支者:从 中而上出缺盆之外,上项过大椎,循天牖上,挟耳後,经翳风, 脉,颅息,直上出耳上角,至角孙,过悬厘,颔厌,及过阳白,睛明,屈曲下颊至俢,会颧侸之分也。o大椎:见督脉,手足三阳督脉之会。天牖:在颈大筋外,缺盆上,天窗後,天窗後资生经作天容後,天柱前,完骨下,发际上。悬厘,颔厌:见足少阳经,手足阳明,少阳之交会也。翳风:在耳後尖角陷中,按之引耳中痛。 脉:在耳本後,鸡足青脉中。颅息:在耳後青脉中。角孙:在耳郭中间上,开口有空。阳白:见足少阳经,手足阳明,少阳之会。睛明:见足太阳经。颧侸:见手太阳经,手少阳,太阳之会也。其支者:从耳後入耳中,却出,至目锐眦。此支从耳後翳风穴,入耳中,过听宫,历耳门,和侫,却出至目锐眦,会瞳子侫,循丝竹空,而交於足少阳也。o听宫:见手太阳经,手足少阳,手太阳,三脉之会。耳门:在耳前起肉,当耳缺中。和侫:在耳前锐发下横动脉。瞳子侫:见足少阳经,手太阳,手足少阳,之会。丝竹空:在眉後陷中。是动:则病耳聋浑浑 ,嗌肿,喉 ,是主气所生病者。汗出,目锐眦痛,颊痛,耳後肩 肘臂外皆痛,小指次指不用。盛者:人迎大一倍於寸口。虚者:人迎反小於寸口也。
2=标题= 足少阳胆经穴歌少阳足经瞳子侫。四十三穴行迢迢。听会客主颔厌集。悬颅悬厘曲鬓翘。率谷天冲浮白次。窍阴完骨本神企。阳白临泣开目窗。正营承灵及脑空。风池肩井渊液长,辄筋日月京门当。带脉五枢维道续。居侫环跳下中渎。阳关阳陵复阳交。外丘光明阳辅高。悬锺丘墟足临泣。地五侠溪窍阴毕。此经:头部,自瞳子侫至风池,凡二十穴,作三折,向外而行。始瞳子侫,至完骨 是一折。又自完骨外折,上至阳白,会睛明是一折。又自睛明上行,循临泣,风池是一折。缘其穴曲折外,多难为科牵,故此作一至二十,次第以该之。一瞳子侫,二听会,三客主人,四颔厌,五悬颅,六悬厘,七曲鬓,八率谷,九天冲,十浮白,十一窍阴,十二完骨,十三本神,十四阳白,十五临泣,十六目窗,十七正营,十八承灵,十九脑空,二十风池。足少阳,胆之经。凡四十三穴,左右共八十六穴。o是经多气少血。胆在肝之短叶间,重二两三铢,包精汁三合。足少阳之脉:起於目锐眦,上抵头角,下耳後。足少阳经:起目锐眦之瞳子侫,於是循听会,客主人,上抵头角,循颔厌,下悬颅,悬厘,曲悬厘外循耳上发际,至曲鬓,率谷,由率谷外折,下耳後,循天冲,浮白,窍阴,完骨,又自完骨外折,上过角孙,循本神,过曲差,下至阳白会睛明。复从睛明上行,循临泣,目窗,正营,承灵,脑空,风池云。o瞳子侫:在目外眦五分。听会:在耳前陷中,上关下一寸,动脉宛宛,张口得之。客主人:在耳前起骨上廉,开口有空,动脉宛宛中。颔厌:在曲周下,颞俻一名脑空上廉。悬颅:在曲周上颞俻中。悬厘:在曲周上颞俻下廉。曲鬓:在耳上发际,曲隅陷中,鼓颔有孔。率谷:在耳上如前三分,入发际一寸五分,陷者宛宛中。天冲:在耳後发际二寸耳上,如前三分。浮白:在耳後入发际一寸。窍阴:在完骨上,枕骨下,摇动有空。完骨:在耳後入发际四分。角孙:见手少阳经,手足少阳之会。本神:在曲差旁一寸五分,入发际四分。曲差:见足太阳经。阳白:在眉上一寸,直瞳子。睛明:见足太阳经,手足太阳,少阳,足阳明,五脉之会。临泣:在目上直入发际五分陷中。目窗:在临泣後一寸。正营在目窗後一寸。承灵:在正营後一寸五分。脑空:在承灵後一寸五分,挟玉枕骨下陷中。风池:在颞俻後发际陷中。
循颈行手少阳之前,至肩上,却交出少阳之後,入缺盆。自风池循颈,过天牖穴,行手少阳脉之前,下至肩,上循肩井,却左右相交,出手少阳之後。过大椎,大杼,秉风,当秉风前,入缺盆之外。o天牖:见手少阳经。肩井:在肩上陷中,缺盆上大骨前一寸半,以三指按取之,当中指下陷中者是。大椎:见督脉,手足三阳督脉之会。大杼:见足太阳经,足太阳少阳之会。秉风:见手太阳经,手太阳,阳明,手足少阳之会。缺盆:见足阳明经。其支者:从耳後,入耳中,出走耳前,至目锐眦後。其支者:从耳後颞俻间,过翳风之分,入耳中,过听宫,出走耳前,复自听会至目锐眦,瞳子侫之分也。o翳风:见手少阳经,手足少阳之会。听宫:见手太阳经,手足少阳太阳、三脉之会。听会:瞳子侫见前。其支者:别目锐眦,下大迎。合手少阳抵於俢,下加颊车,下颈合缺盆,下胸中贯膈,络肝,属胆。其支者:别自目外瞳子侫而下大迎。合手少阳於俢,当颧侸穴之分,下临颊车,下颈,循本经之前,与前之入缺盆者相合,下胸中天池之外,贯膈:即期门之所络肝,下至日月之分属於胆也。o大迎:见足阳明经。颧侸,颊车:手太阳穴。天池:手心主穴,手厥阴,足少阳之会。期门:足厥阴穴。日月:见下文,胆之募也。
循胁 ,出气冲,绕毛际,横入髀厌中。胁, 也。腋下为胁。曲骨之分为毛际。毛际两旁动脉中为气冲。捷骨之下为髀厌。即髀枢也。自属胆处,循侸内章门之 ,出气冲,绕毛际,遂横入髀厌中之环跳也。o章门:足厥阴穴,足少阳,厥阴之会。气冲:足阳明穴。环跳:在髀枢中。
Acupoint Song of the Foot-Shaoyin Kidney Meridian: The Foot-Shaoyin Kidney Meridian has twenty-seven acupoints. Yongquan (Yongquan), RanGu (Ran Gu), Taixi (Tai Xi), Yi (Yi, likely a textual variant or error for Dazhong), Dazhong (Great Bell), Zhaohai (Light Sea), Tong Shuiquan (connecting to Shuiquan), Fuliu (Reflowing Stream), Jiaoxin (Connecting Trust), and Zubin (Zhu Bin) are connected. Yinggu (Ying Gu), Henggu (Horizontal Bone), up to Dahe (Great Heat). Qixue (Qi Gate), Siman (Four Fullnesses), Zhongzhu (Central Note), Huangshu (Huang Shu) follow in order. Shangqu (Shang Qu), Shiguan (Stone Gate) are followed along. Yindu (Yin Capital), Tonggu (Passing Valley), Youmen (Pylorus Gate) open wide. Bulang (Step Corridor), Shenfeng (Spirit Seal), Lingxu (Spirit Cave) are positioned. Shencang (Spirit Storage), Zhongshu (Middle Palace) are complete.
The Foot-Shaoyin is the meridian of the Kidney. It comprises twenty-seven acupoints, totaling fifty-four on both sides. This meridian is abundant in Qi and deficient in Blood. There are two kidneys, shaped like stone eggs, with a black-purple color, located below and on both sides of the Stomach, extending into the spine muscles attached to the fourteenth vertebral body, level with the umbilicus anteriorly and posteriorly. The pulse of the Foot-Shaoyin Kidney Meridian originates at the tip of the little toe, slanting towards the center of the foot. "Qu" means to tend towards. The Foot-Shaoyin starts below the little toe, slanting towards Yongquan acupoint at the center of the foot, which is located in the depression of the sole, in the hollow when the foot is flexed and toes curled.
It emerges below Ran Gu, follows behind the medial malleolus, branches into the heel, ascends along the medial aspect of the lower leg, and emerges at the anteromedial border of the lower leg. "Gen" refers to the heel. From Yongquan, it turns to Ran Gu at the medial malleolus, ascends behind the medial malleolus to Taixi, branches into the heel to Dazhong, Zhaohai, and Shuiquan. Then, turning from the outside of Dazhong, it ascends along the medial malleolus, running posterior to the Jueyin and Taiyin meridians, passing through Fuliu and Jiaoxin, crossing Sanyinjiao (SP6), ascending along the medial aspect of the lower leg, following Zubin, emerging at the anteromedial border of the lower leg, and reaching Yinggu.
○ Ran Gu: Located in the depression distal to the large bone anterior to the medial malleolus.
○ Taixi: Located in the depression between the posterior aspect of the medial malleolus and the calcaneus, where the artery beats.
○ Dazhong: Located in the center of the heel posteriorly.
○ Zhaohai: Located inferior to the medial malleolus.
○ Shuiquan: Located one cun below Taixi, inferior to the medial malleolus.
○ Fuliu: Located two cun above the medial malleolus, in the depression where the artery beats.
○ Jiaoxin: Located two cun above the medial malleolus, anterior to the Shaoyin meridian and posterior to the Taiyin meridian.
○ Sanyinjiao: See Foot-Taiyin Spleen Meridian; it is the intersection of the three Yin meridities of the foot.
○ Zubin: Located in the middle of eight fen above the medial malleolus.
○ Yinggu: Located posterior to the medial condyle of the tibia, under the large tendon and above the small tendon; palpable upon pressure, obtained by flexing the knee.
It ascends along the posteromedial border of the thigh, penetrates the spine, connects to the Kidney, and links with the Bladder. From Yinggu, it ascends along the posteromedial border of the thigh, penetrates the spine, and meets Changqiang (DU1) in the spine. Returning to the front, it follows Henggu, Dahe, Qixue, Siman, Zhongzhu, and Huangshu. At the location of Huangshu, on both sides of the umbilicus, it connects to the Kidney. Descending below the umbilicus, it passes through Guanyuan (CV4) and Zhongji (CV3) to link with the Bladder.
○ Changqiang: See Du Meridian; it is the intersection of Foot-Shaoyin and Foot-Shaoyang, and also a collateral branch of the Du Meridian.
○ Henggu: One cun below Dahe, five cun below Huangshu. *Qianjin Fang* states it is in the transverse bone above the pubic hair, curved like the center of a crescent moon.
○ Dahe: One cun below Qixue.
○ Qixue: One cun below Siman.
○ Siman: One cun below Zhongzhu, one cun lateral to Qihai (CV6).
○ Zhongzhu: One cun below Huangshu.
○ Huangshu: One cun below Shangqu, five fen lateral to the umbilicus. From Henggu to Huangshu, according to *Zisheng Jing*, they are each 1.5 cun lateral to the midline. Guanyuan and Zhongji are Ren Meridian points, intersections of the Three Yin meridities of the foot and the Ren Meridian. The straight branch: Ascends from the Kidney, penetrates the Liver and Diaphragm, enters the Lung, follows the throat, and flanks the root of the tongue. The direct branch: Ascends from the point connecting to the Kidney at Huangshu, following Shangqu, Shiguan, Yindu, Tonggu, etc. Penetrating the Liver upwards, it follows Youmen, crosses the diaphragm, passes through Bulang, enters the Lung, follows Shenfeng, Lingxu, Shencang, [Zhongshu], and Yu Fu, then ascends along the throat, joins Renying (ST9), flanks the root of the tongue, and ends.
○ Shangqu: One cun below Shiguan.
○ Shiguan: One cun below Yindu.
○ Yindu: One cun below Tonggu.
○ Tonggu: One cun below Youmen.
○ Youmen: Five fen lateral to Juque (CV14) on both sides. From Shangqu to Tonggu, they are five fen lateral to the abdominal midline.
○ Bulang: Six cun and six fen below Shenfeng, in the depression.
○ Shenfeng: Six cun and six fen below Lingxu, in the depression.
○ Lingxu: Six cun and six fen below Shencang, in the depression.
○ Shencang: Six cun and six fen below Zhongshu, in the depression.
○ Zhongshu: Six cun and six fen below Yu Fu, in the depression.
○ Yu Fu: Below Jugu (SI10), two cun lateral to Xuanji (CV15), in the depression. From Bulang to Zhongshu, they are two cun lateral to the sternal midline, taken with the face upward. Renying: See Foot-Yangming Stomach Meridian. The branch: Emerges from the Lung, connects to the Heart, and pours into the Chest Middle. The area between the two breasts is the Chest Middle. Branch: Emerges separately from Shencang, winds around the Heart, pours into the Chest Middle (Zhongting), to connect with the Hand-Jueyin Pericardium Meridian.
Pathogenic changes (Shi Dong): Symptoms include hunger without desire to eat, complexion as dark as earth, blood in saliva, panting ("he he"), restlessness (wanting to sit up but unable to stay still), blurred vision ("mu mu"), heart feeling suspended like hunger, Qi deficiency leading to fearfulness and palpitations as if being chased, known as "Bone Jue". Diseases governed by the Kidney: Heat in the mouth, dry tongue, swollen pharynx, rising Qi, dry and painful throat, vexation, heart pain, jaundice, intestinal dysentery, pain along the posteromedial border of the spine, buttocks, and thigh, flaccidity syndrome, cold limbs, lethargy, heat and pain in the soles of the feet. Excess pattern: Cun Kou pulse is twice as large as Ren Ying. Deficiency pattern: Cun Kou pulse is smaller than Ren Ying.
Acupoint Song of the Hand-Jueyin Pericardium Meridian: Nine acupoints of the Hand-Jueyin Pericardium. Tianchi, Tianquan, Quze deep. Ximen, Jianshi, Neiguan opposite. Daling, Laogong, Zhongchong prepared.
The Hand-Jueyin Pericardium Meridian is the meridian of the Pericardium. It has nine acupoints, totaling eighteen on both sides. This meridian is abundant in Blood and deficient in Qi. The Pericardium, also called Hand Xin Zhu, according to Zang-Fu theory, is located above the horizontal membrane and below the vertical membrane beneath the Heart, adhering to the horizontal membrane. The Heart is wrapped in yellow fat; outside this fat, fine fibrous membranes like silk connect to the Heart and Lungs; this is the Pericardium. Question: Why is the Hand-Jueyin Meridian called Xin Zhu (Heart Master) and also Xin Bao Luo (Pericardium Collateral)? Answer: The Minister Fire acts by position, while the Ruler Fire acts by name. The Hand-Jueyin performs the duties of the Ruler Fire. Functionally, it is called Hand Xin Zhu; structurally, it is called Xin Bao Luo. One meridian with two names, actually representing the Minister Fire.
The pulse of the Hand-Jueyin Pericardium Meridian originates in the chest, emerges to connect to the Pericardium, descends through the diaphragm, and sequentially connects to the San Jiao (Triple Burner). The Hand-Jueyin receives transmission from the Foot-Shaoyin, originating in the chest, emerging to connect to the Pericardium, descending through the diaphragm, and connecting to the upper, middle, and lower parts of the San Jiao (the lower part being one cun below the umbilicus).
Its branch: Follows the chest, emerges from the hypochondrium, descends three cun below the axilla, ascends to reach the axilla, descends along the medial aspect of the arm, runs between the Taiyin and Shaoyin meridians, and enters the elbow. The upper border of the armpit is the axilla. From connecting to the Pericardium, it ascends along the chest, emerges from the hypochondrium, descends three cun below the axilla to Tianchi, ascends to the axilla, descends along the medial arm to Tianquan, situated between the Taiyin and Shaoyin meridians, and enters Quze in the elbow.
○ Tianchi: Three cun below the axilla, one cun behind the nipple, in the intercostal space aligned with the axilla.
○ Tianquan: Two cun below the axillary fold, taken with the arm raised.
○ Quze: In the depression at the medial end of the transverse cubital crease, obtained by flexing the elbow.
It descends the arm between two tendons, enters the palm, follows the middle finger, and emerges at its tip. From the elbow, it descends the arm between two tendons, follows Ximen, Jianshi, Neiguan, Daling, enters Laogong in the palm, follows the middle finger, and emerges at Zhongchong.
○ Ximen: Five cun proximal to the wrist crease on the palm side.
○ Jianshi: Three cun proximal to the wrist crease, in the depression between two tendons.
○ Neiguan: Two cun proximal to the wrist crease on the palm side.
○ Daling: In the depression between two tendons at the wrist crease on the palm side.
○ Laogong: In the center of the palm, taken by flexing the ring finger. *Zisheng Jing* says flex the middle finger. Currently, it is more appropriate to take the midpoint between the flexed middle and ring fingers.
○ Zhongchong: At the tip of the middle finger of the hand, in the depression about the width of a leek leaf from the nail.
Its separate branch: From the palm, follows the fourth finger (ring finger) and emerges at its tip. The fourth finger is the ring finger; counting backwards from the little finger, it is the second finger. This branch separates from Laogong in the palm, follows the ring finger to its tip, and connects to the Hand-Shaoyang San Jiao Meridian.
Pathogenic changes (Shi Dong): Symptoms include heat in the palm, spasms and stiffness of the arm and elbow, axillary swelling, severe cases showing chest and hypochondriac fullness, palpitations ("dan dan"), red face, yellow eyes, excessive laughter. These are diseases of the vessels governed by this meridian. Vexation, heart pain, heat in the palm. Excess pattern: Cun Kou pulse is ten times larger than Ren Ying. Deficiency pattern: Cun Kou pulse is smaller than Ren Ying.
Acupoint Song of the Hand-Shaoyang San Jiao Meridian: Twenty-three acupoints of Hand-Shaoyang. Guanchong, Ye Men, Zhongzhu beside. Yangchi, Waiguan, Zhigou meet. Huizong, Sanyangluo, Sidu match. Tianjing, Hequ, Qingleng Yuan. Xiaoluo, Naohui, Jianliao slant. Tianliao, Tianyou same as Yifeng. Haoxue, Luxi, Jiaosun connect. Ermen, Heliao, Sizhukong.
The Hand-Shaoyang San Jiao Meridian is the meridian of the San Jiao. It has twenty-three acupoints, totaling forty-six on both sides. This meridian is abundant in Qi and deficient in Blood. The San Jiao is the pathway for water and grain, and the beginning and end of Qi. The Upper Jiao is below the diaphragm at the upper opening of the stomach. Its treatment point is Danzhong (CV17), in the depression between the two breasts. The Middle Jiao is in the stomach at Zhongwan (CV12), four cun above the umbilicus, neither high nor low; its treatment point is lateral to the umbilicus. The Lower Jiao is at the upper opening of the Bladder; its treatment point is one cun below the umbilicus.
The pulse of the Hand-Shaoyang San Jiao Meridian originates at the tip of the fourth finger, emerges between the fourth and fifth fingers, follows the dorsal aspect of the wrist, emerges between the two bones of the forearm, ascends through the elbow. The end of the arm bones is the wrist. The end of the elbow is the elbow joint. Hand-Shaoyang starts at Guanchong at the tip of the fourth finger. Emerging between the fingers, it passes Ye Men, Zhongzhu, follows Yangchi on the dorsal wrist, emerges between the two forearm bones, follows Waiguan, Zhigou, Huizong, Sanyangluo, Sidu, then ascends through the elbow to Tianjing.
○ Guanchong: At the tip of the fourth finger, about the width of a leek leaf from the nail.
○ Ye Men: In the depression between the fourth and fifth fingers.
○ Zhongzhu: In the depression posterior to the metacarpophalangeal joint of the fourth finger.
○ Yangchi: In the depression on the dorsal aspect of the wrist.
○ Waiguan: Two cun proximal to the dorsal wrist crease, in the depression, diverging to the Hand-Jueyin Pericardium.
○ Zhigou: Three cun proximal to the dorsal wrist crease, in the depression between the two bones.
○ Huizong: Three cun proximal to the dorsal wrist crease, one cun in the "empty space" (between radius and ulna).
○ Sanyangluo: On the arm, intersecting the meridian, one cun above Zhigou.
○ Sidu: Five cun proximal to the elbow, in the depression on the lateral border.
○ Tianjing: One cun posterior and superior to the lateral epicondyle of the humerus, in the depression between two tendons, obtained by flexing the elbow. Zhen Quan says: Flex the elbow one cun back, cross hands and press knees, find the gap between two bones/tendons.
It follows the lateral aspect of the arm up to the shoulder, emerges posterior to the Foot-Shaoyang Gallbladder Meridian, enters the Supraclavicular Fossa (Quepen), intersects at Danzhong, scatters and connects to the Pericardium, descends through the diaphragm, and follows the San Jiao. The area between the shoulder and elbow, opposite the axilla below the arm, is called Nao. Ascending from Tianjing, it follows the lateral aspect of the arm Nao, passing Qingleng Yuan, Xiaoluo, lateral to the Hand-Taiyang Small Intestine and Hand-Yangming Stomach meridians, up to the shoulder, following Naohui, Jianliao, Tianliao, emerging posterior to the Foot-Shaoyang, passing Bingfeng, Jianjing, descending into Quepen, re-intersecting at Danzhong lateral to the Foot-Yangming, scattering and connecting to the Pericardium, then descending through the diaphragm to connect to the Upper Jiao at the upper stomach opening, Middle Jiao at Zhongwan, and Lower Jiao at Yinjiao (CV10).
○ Qingleng Yuan: Two cun above the elbow, taken with the arm extended and raised.
○ Xiaoluo: Between the shoulder and lateral arm, descending from the oblique division of the axilla and elbow.
○ Naohui: Anterior-lateral to the shoulder, three cun from the shoulder head.
○ Jianliao: At the apex of the shoulder, taken with the arm raised.
○ Tianliao: In the depression at the junction of the shoulder, supraclavicular fossa, and clavicle.
○ Bingfeng: See Hand-Taiyang Small Intestine Meridian; intersection of Hand/Foot-Shaoyang, Hand-Taiyang, and Hand-Yangming.
○ Jianjing: See Foot-Shaoyang Gallbladder Meridian; intersection of Hand/Foot-Shaoyang and Yangwei.
○ Quepen: Foot-Yangming Stomach Meridian point.
○ Danzhong: See Ren Meridian; site where Pericardium Minister Fire functions.
○ Zhongwan, Yinjiao: See Ren Meridian; Mu points of San Jiao, originating from Ren Meridian.
Its branch: From Danzhong, ascends out of Quepen, up the neck, flanks the ear posteriorly, goes straight up to emerge above the ear angle, curves down the cheek to Bi (cheekbone area). Posterior to Naohu is the neck. Below the eye is Bi. Another branch: From Danzhong, ascends out of Quepen, up the neck over Dazhui, follows Tianyou, flanks the ear posteriorly, passes Yifeng, Haoxue, Luxi, goes straight up above the ear angle to Jiaosun, passes Xuanli, Han Yan, and above Yangbai, Jingming, curves down the cheek to Bi, meeting the zygomatic-temporal region.
○ Dazhui: See Du Meridian; intersection of Hand/Foot-Sanyang and Du.
○ Tianyou: Outside the large neck tendon, above Quepen, posterior to Tianchuang (or Tianrong per *Zisheng Jing*), anterior to Tianzhu, below Wanggu, above the hairline.
○ Xuanli, Han Yan: See Foot-Shaoyang; intersection of Hand/Foot-Yangming and Shaoyang.
○ Yifeng: In the depression at the posterior angle of the ear, pressing causes pain in the ear.
○ Haoxue: Behind the ear base, in the blue vein resembling a chicken's foot.
○ Luxi: In the blue vein behind the ear.
○ Jiaosun: Above the middle of the auricle, an opening appears when the mouth is open.
○ Yangbai: See Foot-Shaoyang; intersection of Hand/Foot-Yangming and Shaoyang.
○ Jingming: See Foot-Taiyang Bladder Meridian.
○ Zygomatic-temporal: See Hand-Taiyang; intersection of Hand-Shaoyang and Taiyang.
Another branch: Enters the ear from behind, exits, and reaches the outer canthus. This branch enters the ear from Yifeng, passes Tinggong, Li Ermen, Heliao, exits to the outer canthus, meets Tongziliao, follows Sizhukong, and connects to the Foot-Shaoyang Gallbladder Meridian.
○ Tinggong: See Hand-Taiyang; intersection of Hand/Foot-Shaoyang and Hand-Taiyang.
○ Li Ermen: In the fleshy prominence anterior to the ear, in the ear notch.
○ Heliao: Under the sharp hairline anterior to the ear, in the pulsating artery.
○ Tongziliao: See Foot-Shaoyang; intersection of Hand-Taiyang and Hand/Foot-Shaoyang.
○ Sizhukong: In the depression posterior to the eyebrow.
Pathogenic changes (Shi Dong): Deafness with muffled hearing ("hun hun tun tun"), swollen pharynx, throat obstruction (Bi). These are diseases of Qi governed by this meridian. Sweating, pain at the outer canthus, cheek pain, pain along the ear, shoulder, arm, elbow, and lateral arm, dysfunction of the fourth finger. Excess pattern: Ren Ying pulse is one time larger than Cun Kou. Deficiency pattern: Ren Ying pulse is smaller than Cun Kou.
Acupoint Song of the Foot-Shaoyang Gallbladder Meridian: Foot-Shaoyang meridian starts at Tongziliao. Forty-three acupoints extend far. Tinghui, Keyren, Han Yan gather. Xuanlu, Xuanli, Qubin rise. Lvagu, Tianchong, Fubai next. Qiaoyin, Wanggu, Benshen stand. Yangbai, Linqi opens Mucuang. Zhengying, Chengling, Naokong. Fengchi, Jianjing, Yuan Ye long. Zejin, Riyue, Jingmen fit. Daimai, Wushu, Weidao continue. Juliao, Huantiao down Zhongdu. Yangguan, Yangling, Yangjiao high. Waiqiu, Guangming, Yangfu tall. Xuanzhong, Qiuxu, Zulinqi. Diwu, Xiaxi, Qiaoyin finish.
This meridian: On the head, from Tongziliao to Fengchi, there are twenty acupoints, forming three bends moving outward. Starting from Tongziliao to Wanggu is one bend. From Wanggu bending outward up to Yangbai, meeting Jingming is one bend. From Jingming ascending, following Linqi and Fengchi is one bend. Due to the complex curvature of these points, making them difficult to describe simply, they are listed here from one to twenty in sequence. 1. Tongziliao, 2. Tinghui, 3. Keyren (Guest Master), 4. Han Yan, 5. Xuanlu, 6. Xuanli, 7. Qubin, 8. Lvagu, 9. Tianchong, 10. Fubai, 11. Qiaoyin, 12. Wanggu, 13. Benshen, 14. Yangbai, 15. Linqi, 16. Mucuang, 17. Zhengying, 18. Chengling, 19. Naokong, 20. Fengchi.
The Foot-Shaoyang is the meridian of the Gallbladder. It has forty-three acupoints, totaling eighty-six on both sides. This meridian is abundant in Qi and deficient in Blood. The Gallbladder is located between the short lobes of the Liver, weighs two taels and three zhu, and contains three he of essence juice.
The pulse of the Foot-Shaoyang Gallbladder Meridian originates at the outer canthus, ascends to the head corner, descends behind the ear. Foot-Shaoyang starts at Tongziliao at the outer canthus, follows Tinghui, Keyren, ascends to the head corner, follows Han Yan, descends Xuanlu, Xuanli, curves outside Xuanli along the hairline above the ear to Qubin, Lvagu, bends outward from Lvagu, descends behind the ear, follows Tianchong, Fubai, Qiaoyin, Wanggu, bends outward from Wanggu, passes above Jiaosun, follows Benshen, passes Qucha, descends to Yangbai meeting Jingming. Then from Jingming ascending, follows Linqi, Mucuang, Zhengying, Chengling, Naokong, Fengchi.
○ Tongziliao: Five fen lateral to the outer canthus.
○ Tinghui: In the depression anterior to the ear, one cun below Shangguan, pulsating, obtained by opening the mouth.
○ Keyren: On the upper border of the bone rising anterior to the ear, an opening appears when the mouth is open, in the pulsating depression.
○ Han Yan: Below the curve, upper border of the temporalis muscle (also called Naokong upper border).
○ Xuanlu: In the middle of the temporalis muscle above the curve.
○ Xuanli: Lower border of the temporalis muscle above the curve.
○ Qubin: In the depression at the curved corner of the hairline above the ear, a hole appears when chewing.
○ Lvagu: Three fen anterior to the ear, entering the hairline one cun five fen, in the hollow depression.
○ Tianchong: Two cun above the posterior hairline of the ear, three fen anterior.
○ Fubai: One cun entering the hairline behind the ear.
○ Qiaoyin: Above Wanggu, below the occipital bone, an opening appears when shaking the head.
○ Wanggu: Four cun entering the hairline behind the ear.
○ Jiaosun: See Hand-Shaoyang; intersection of Hand/Foot-Shaoyang.
○ Benshen: One cun five fen lateral to Qucha, entering the hairline four fen.
○ Qucha: See Foot-Taiyang Bladder Meridian.
○ Yangbai: One cun above the eyebrow, directly above Tongziliao.
○ Jingming: See Foot-Taiyang; intersection of Hand/Foot-Taiyang, Shaoyang, and Foot-Yangming.
○ Linqi: Five fen entering the hairline directly above the eye.
○ Mucuang: One cun posterior to Linqi.
○ Zhengying: One cun posterior to Mucuang.
○ Chengling: One cun five fen posterior to Zhengying.
○ Naokong: One cun five fen posterior to Chengling, in the depression flanking the Occipital Bone (Yuzhen).
○ Fengchi: In the depression posterior to the temporalis muscle at the hairline.
It follows the neck anterior to the Hand-Shaoyang Meridian, reaches the shoulder, then emerges posterior to the Shaoyang Meridian, entering Quepen. From Fengchi, following the neck, passing Tianyou, running anterior to the Hand-Shaoyang pulse, descending to the shoulder, ascending along Jianjing, crossing left and right, emerging posterior to the Hand-Shaoyang. Passing Dazhui, Dazhu, Bingfeng, anterior to Bingfeng, entering outside Quepen.
○ Tianyou: See Hand-Shaoyang.
○ Jianjing: In the depression on the shoulder, one cun half anterior to the large bone above Quepen, taken with three fingers, the depression under the middle finger is correct.
○ Dazhui: See Du Meridian; intersection of Hand/Foot-Sanyang and Du.
○ Dazhu: See Foot-Taiyang; intersection of Foot-Taiyang and Shaoyang.
○ Bingfeng: See Hand-Taiyang; intersection of Hand-Taiyang, Yangming, and Hand/Foot-Shaoyang.
○ Quepen: See Foot-Yangming.
Its branch: From behind the ear, enters the ear, exits anterior to the ear, to the posterior of the outer canthus. Another branch: From the temporal region behind the ear, passes Yifeng, enters the ear, passes Tinggong, exits anterior to the ear, from Tinghui to the outer canthus, Tongziliao.
○ Yifeng: See Hand-Shaoyang; intersection of Hand/Foot-Shaoyang.
○ Tinggong: See Hand-Taiyang; intersection of Hand/Foot-Shaoyang and Taiyang.
○ Tinghui: Tongziliao seen previously.
Another branch: Separates from the outer canthus, descends to Daying. Merges with Hand-Shaoyang at Bi, descends to Jiache, down the neck to merge with Quepen, down into the chest, penetrates the diaphragm, connects to the Liver, and belongs to the Gallbladder. Another branch: Separates from the lateral outer canthus (Tongziliao), descends to Daying. Merges with Hand-Shaoyang at Bi, at the location of Zygomatic-temporal, descends to Jiache, down the neck, following the anterior aspect of this meridian, merging with the branch that entered Quepen earlier, down to the chest outside Tianchi, penetrating the diaphragm: connecting to the Liver at Qimen, descending to Riyue belonging to the Gallbladder.
○ Daying: See Foot-Yangming.
○ Zygomatic-temporal, Jiache: Hand-Taiyang points.
○ Tianchi: Hand-Jueyin point, intersection of Hand-Jueyin and Foot-Shaoyang.
○ Qimen: Foot-Jueyin point.
○ Riyue: See below, Mu point of the Gallbladder.
It follows the hypochondrium, emerges at Qichong, circles the pubic hair region, and horizontally enters the hip joint (Biyan). "Xie" refers to the hypochondrium. The axilla is the hypochondrium. The division of Qugu is the pubic hair region. The pulsating arteries on both sides of the pubic hair region are Qichong. Below Jiegu is Biyan, also known as Bishu. From the point belonging to the Gallbladder, it follows the hypochondrium inside Zhangmen, emerges at Qichong, circles the pubic hair region, and horizontally enters Huantiao in Biyan.
○ Zhangmen: Foot-Jueyin point, intersection of Foot-Shaoyang and Jueyin.
○ Qichong: Foot-Yangming point.
○ Huantiao: In the center of the hip joint (Bishu).