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《内经》曰∶大肠者,传道之官,变化出焉。又云∶大肠为白肠。
食下则肠实而胃虚,故曰∶实而不满,满而不实。
手阳明大肠之脉,起于大指次指之端,循指上廉,出合谷两骨之间,上入两筋之中。大指之
次指谓食指也。凡经脉之道,阴脉行手足之里,阳脉行手足之外。此经多血多气,循臂上廉入肘
外廉,上循 外前廉,上肩出 骨之前廉,上出柱骨之会上,下入缺盆,络肺,下膈属大肠。其
支者,别从缺盆上颈贯颊,入下齿缝中,远出挟口交人中,左之右,右之左,上挟鼻孔。凡二十
穴,左右共四十穴。
商阳(一名绝阳) 手大指次指内侧,去爪甲角如韭叶,手阳明大肠脉所出为井金。
针一分,灸三壮。
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【主治】胸中满,气喘,肢肿痛,热病汗不出,耳鸣耳聋,寒热 疟,口干颐肿齿痛,恶寒
肩背急相引,缺盆中痛,目青盲。灸三壮。右取左,左取右,如食顷立已。
二间(一名间谷) 在食指本节前内侧陷中。手阳明大肠脉所溜为荥水。针三分,灸五壮。
【主治】喉痹颔 肿,肩背 痛,振寒,鼻衄多惊齿痛,目黄口干,口 急,食不通,伤寒水结。
三间(一名少谷) 在食指本节后内侧陷中,手阳明大肠脉所注为俞木。
针三分,灸三壮。
【主治】喉痹咽中如梗,下齿龋痛,嗜卧,胸腹满,肠鸣洞泄,寒热疟,唇焦口干,气喘目
痛,喜惊多唾,寒热结水。
合谷(一名虎口) 手大指次指歧骨间陷中。手阳明大肠脉所过为原。针三分,灸三壮。
【主治】伤寒大渴,脉浮在表,发热恶寒,头痛脊强无汗,寒热疟,鼻衄不止,热病汗不出,
目视不明,偏正头痛,腰脊内引痛,小儿单乳鹅。妇人妊娠,补合谷即堕胎。
阳溪(一名中魁) 腕中上侧两筋间陷中,手阳明大肠脉所行为经火。针三分,灸三壮。
【主治】狂言笑,喜见鬼,热病烦心,目赤烂翳,厥逆头痛,胸满不得息,寒热疟,呕沫,
喉痹,耳鸣,惊掣,肘臂不举,痂疥。
偏历 在腕中后三寸,阳明络脉别走太阴。针三分,灸三壮。
【主治】肩膊肘腕疼,目KT KT ,齿痛鼻衄,寒热疟,癫疾多言,喉痹耳鸣,汗不出,利小便。
温溜(一名逆注,一名池头) 腕后大士五寸,小士六寸,《明堂》腕后五寸六寸
间,针三分,灸三壮。
【主治】肠鸣腹痛,伤寒哕逆,噫膈气闭,寒热头痛,喜笑狂言,见鬼吐沫,四肢肿,口舌痛,喉痹。
下廉 在辅骨下去上廉一寸,辅锐肉分外。针五分,灸三壮。
【主治】飧泄,痨瘵,小腹满,小便血,狂言,偏风,湿痹,小肠气,面无颜色, 癖,腹
痛不可忍,飧泄,脐腹痛,食不化,气喘,涎出,乳痈。
上廉 在三里下一寸,其分独抵阳明之会外,针五分,灸五壮。
【主治】小便涩,肠鸣胸痛,半身不遂,手足不仁,喘息,大肠气,脑风头痛。
三里(一名手三里) 在曲池下二寸,按之内起锐肉之端。针二分,灸三壮。
【主治】霍乱遗失,失音齿痛,项肿瘰 ,手痹不仁,中风口癖,手足不随。
曲池 在肘外辅骨屈肘两骨中,以手拱胸取之。手阳明大肠脉所入为合土。针七分,
灸七壮至百壮。
【主治】绕踝风,手臂红肿,肘中痛,偏风半身不遂,风邪泣出,喉痹不能言,臂膊痛,筋
缓屈伸不便,无力,螈 癫疾,皮肤干燥,痂疥,妇人经脉不通。
肘 在肘大骨外廉陷中。针三分,灸三壮。
【主治】劳风嗜卧,臂痛不举,麻木不仁。
五里 在肘上三寸,行向里大脉中央。禁针,灸十壮。
【主治】风痨惊恐,吐血咳嗽,肘臂痛难动,胀满气逆,微热,瘰 。
臂 肘上七寸, 肉端肩 下一寸,两筋两骨罅陷宛宛中,平手取之。手阳明络
手足太阳阳维之会。不宜针(《明堂》),灸七壮。
【主治】臂痛无力,瘰 ,颈项拘急。
肩 (一名中肩井,一名偏肩) 膊骨头肩端上两骨罅间陷者宛宛中,举臂取之有
空,足少阳阳跷之会。针六分,灸七壮。
【主治】中风偏风,半身不遂,手足不随,肩臂痛不能向头上,劳气泄精憔悴,伤寒作热不
已,四肢热,诸瘿气。昔有臂痛无力,不能挽弓,肩 进针即可射。
巨骨 肩尖上行两叉骨罅间陷中,手阳明阳跷之会。禁针(《素注》),灸七壮。
【主治】惊痫吐血,胸中有瘀血,臂膊痛不得屈伸。
天鼎 颈缺盆上直扶突后一寸。针三分,灸三壮。
【主治】喉痹,嗌肿不得食。
扶突(一名水穴) 气舍后一寸五分,在颈当曲颊下一寸,人迎后一寸五分,仰而取之。
【主治】咳嗽多唾,上气喘息,喉中如水鸡,暴喑气破。
禾 在鼻孔下夹水沟旁五分。针三分,灸三壮。
【主治】尸厥及口不可开,鼻疮 肉,鼻塞不闻香臭,鼽衄。
迎香 在禾 上一寸,鼻下孔旁五分。手阳明足阳明之会。针三分,禁灸。
【主治】鼻塞不闻香臭,偏风 斜,面痒浮肿,风动叶落,状如虫行,喘息不利,多涕有疮,
鼽衄鼻有 肉。
[Diagram of the Form of the Large Intestine Fu Organ]
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The Large Intestine is the official of transmission, where changes and transformations occur. It also states: The Large Intestine is called the "White Intestine."
When food enters the intestines, the intestines become full while the stomach becomes empty; thus it is said that the Large Intestine is "full but not complete" (referring to containing solid matter but not being tightly packed without space), while the stomach is "complete but not full" (referring to receiving food and drink but needing to be emptied).
The meridian of Hand-Yangming Large Intestine originates at the tip of the radial side of the index finger, follows the radial border of the finger, emerges between the two bones at Hegu (LI4), and ascends into the depression between the two tendons. The "secondary finger" of the thumb refers to the index finger. Generally, regarding the course of meridians, Yin meridians travel on the medial aspect (inner side) of the hands and feet, while Yang meridians travel on the lateral aspect (outer side). This meridian is rich in both blood and qi. It follows the anterior lateral border of the arm, enters the lateral border of the elbow, ascends along the anterior lateral border of the upper arm to the shoulder, emerges from the anterior border of the acromion, ascends to meet at the Huizhui (GV14, C7 spinous process), descends into the Quepen (ST12, supraclavicular fossa), connects with the Lung, passes through the diaphragm, and belongs to the Large Intestine. Its branch diverges from the Quepen, ascends the neck, penetrates the cheek, enters the lower gum, re-emerges crossing the lips at the Renzhong (GV26), with the left meridian crossing to the right and the right to the left, ascending to flank both sides of the nostrils. There are twenty acupoints on this meridian, totaling forty points bilaterally.
Shangyang (LI1, also known as Jueyang): Located on the radial side of the index finger, one grain of rice width from the corner of the nail. It is the Jing-Well point of the Hand-Yangming Large Intestine meridian, belonging to Metal. Needle 1 fen deep, moxa 3 zhu.
[Diagram of the Hand-Yangming Large Intestine Meridian Acupoints]
[Indications] Fullness in the chest, asthma, swelling and pain of limbs, febrile disease with anhidrosis, tinnitus and deafness, alternating chills and fever, malaria, dry mouth, swelling of the jaw, toothache, aversion to cold, stiff and painful traction in the shoulder and back, pain in the Quepen (ST12), blindness. Moxa 3 zhu. Treat the affected side by selecting the opposite side (right for left, left for right); recovery occurs within the time it takes to eat a meal.
Erjian (LI2, also known as Jiangu): Located in the depression on the ulnar side proximal to the metacarpophalangeal joint of the index finger. It is the Ying-Spring point of the Hand-Yangming Large Intestine meridian, where qi flows rapidly, belonging to Water. Needle 3 fen deep, moxa 5 zhu.
[Indications] Throat obstruction (bi syndrome), submandibular swelling, shoulder and back pain, shivering chills, epistaxis, frequent fright, toothache, yellow eyes, dry mouth, oral stiffness, difficulty swallowing, water retention in typhoid cold damage.
Sanjian (LI3, also known as Shaogu): Located in the depression on the ulnar side distal to the metacarpophalangeal joint of the index finger. It is the Shu-Stream point of the Hand-Yangming Large Intestine meridian, where qi pours in, belonging to Wood.
Needle 3 fen deep, moxa 3 zhu.
[Indications] Throat obstruction, sensation of a lump in the throat, caries pain in lower teeth, somnolence, abdominal fullness, borborygmus and watery diarrhea, alternating chills and fever, malaria, scorched lips and dry mouth, asthma, eye pain, frequent fright, excessive salivation, water accumulation due to cold-heat binding.
Hegu (LI4, also known as Hukou): Located in the depression between the metacarpal bones of the index finger and thumb. It is the Yuan-Source point of the Hand-Yangming Large Intestine meridian, where qi passes through. Needle 3 fen deep, moxa 3 zhu.
[Indications] Severe thirst in typhoid cold damage, floating pulse indicating exterior syndrome, fever and aversion to cold, headache and nuchal rigidity with anhidrosis, alternating chills and fever, malaria, persistent epistaxis, febrile disease with anhidrosis, blurred vision, unilateral or frontal headache, internal pulling pain in the waist and spine, unilateral tonsillar hypertrophy in children. For pregnant women, tonifying Hegu may induce abortion.
Yangxi (LI5, also known as Zhongkui): Located in the depression between the two tendons on the radial side of the wrist. It is the Jing-River point of the Hand-Yangming Large Intestine meridian, where qi flows like a river, belonging to Fire. Needle 3 fen deep, moxa 3 zhu.
[Indications] Manic speech and laughter, hallucinations of seeing ghosts, vexation in febrile disease, red and ulcerated eyes with pterygium, reversal headache, chest fullness with dyspnea, alternating chills and fever, vomiting of saliva, throat obstruction, tinnitus, convulsions, inability to raise the elbow and arm, scabies with crusts.
Pianli (LI6): Located 3 cun posterior to the wrist crease. It is the Luo-Connecting point where the Yangming meridian diverges to connect with the Taiyin Lung meridian. Needle 3 fen deep, moxa 3 zhu.
[Indications] Pain in shoulders, arms, elbows, and wrists, blurred vision, toothache, epistaxis, alternating chills and fever, manic disorder with excessive talking, throat obstruction, tinnitus, anhidrosis, promoting urination.
Wenliu (LI7, also known as Nizhu, also known as Chitou): Located 5 or 6 cun posterior to the wrist. The *Mingtang* records it between 5 and 6 cun posterior to the wrist. Needle 3 fen deep, moxa 3 zhu.
[Indications] Borborygmus and abdominal pain, hiccups in typhoid cold damage, dysphagia with qi stagnation, alternating chills and fever, headache, manic laughter and speech, hallucinations and vomiting of saliva, edema of four limbs, pain in mouth and tongue, throat obstruction.
Xialian (LI9): Located 1 cun below Shanglian on the radius (auxiliary bone), lateral to the prominent muscle. Needle 5 fen deep, moxa 3 zhu.
[Indications] Undigested stool diarrhea (sun-xie), consumptive disease, lower abdominal fullness, hematuria, manic speech, hemiplegia, damp-bi syndrome, intestinal hernia, pallor, abdominal masses, unbearable abdominal pain, undigested stool diarrhea, periumbilical abdominal pain, indigestion, asthma, salivation, mastitis.
Shanglian (LI10): Located 1 cun below Shousanli (LI10 is actually Shousanli, text says "below Sanli", likely referring to Shousanli LI10 relative to Quchi LI11 or standard location). It is located where the muscle belly meets the Yangming convergence laterally. Needle 5 fen deep, moxa 5 zhu.
[Indications] Dysuria, borborygmus and chest pain, hemiplegia, numbness and insensitivity of hands and feet, wheezing, Large Intestine qi disorders, wind-headache of the brain.
Shousanli (LI10, also known as Sanli): Located 2 cun below Quchi (LI11). Pressing reveals the end of the prominent muscle. Needle 2 fen deep, moxa 3 zhu.
[Indications] Cholera with urinary incontinence, aphonia, toothache, neck swelling with scrofula, hand bi with numbness, stroke with facial deviation, immobility of hands and feet.
Quchi (LI11): Located at the lateral end of the elbow crease, between the humerus and radius when the elbow is flexed. Take the point with the arm adducted to the chest. It is the He-Sea point of the Hand-Yangming Large Intestine meridian, where qi enters and combines, belonging to Earth. Needle 7 fen deep, moxa 7 to 100 zhu.
[Indications] Perimalleolar wind, redness and swelling of the arm, elbow pain, hemiplegia due to wind-stroke, lacrimation due to wind-pathogen, aphonia due to throat obstruction, arm and shoulder pain, flaccid paralysis with difficulty in flexion and extension, weakness, clonic spasms and epilepsy, dry skin, scabies with crusts, amenorrhea in women.
Zhou Liao (LI12): Located in the depression on the lateral side of the large bone of the elbow. Needle 3 fen deep, moxa 3 zhu.
[Indications] Wind-dampness with somnolence, arm pain with inability to raise, numbness and insensitivity.
Wuli (LI13): Located 3 cun above the elbow, in the center of the major vessel running medially. Contraindicated for needling. Moxa 10 zhu.
[Indications] Wind-consumption, fright, hemoptysis, cough, severe elbow and arm pain with limited movement, distension and rebellious qi, slight fever, scrofula.
Binao (LI14): Located 7 cun above the elbow, at the end of the muscle prominence, 1 cun below Jianliao (SJ14), in the depression between two tendons and two bones. Take the point with the arm held horizontally. It is the intersection of the Hand-Yangming Luo-Connecting vessel with the Hand-Taiyang, Foot-Taiyang, and Yangwei vessels. Not suitable for needling (*Mingtang*). Moxa 7 zhu.
[Indications] Arm pain and weakness, scrofula, neck and nape stiffness.
Jianyu (LI15, also known as Zhongjianjing, also known as Pianjian): Located in the depression between the two bones at the top of the shoulder joint, near the acromion. Take the point with the arm raised; a hollow space appears. It is the intersection of the Foot-Shaoyang and Yangqiao vessels. Needle 6 fen deep, moxa 7 zhu.
[Indications] Stroke and hemiplegia, immobility of hands and feet, shoulder and arm pain with inability to raise overhead, exhaustion with seminal emission and emaciation, persistent fever in typhoid cold damage, heat in four limbs, various goiters. Historically, a person with arm pain and weakness unable to draw a bow could shoot after needling Jianyu.
Jugu (LI16): Located in the depression between the bifurcating bones above the shoulder tip. It is the intersection of the Hand-Yangming and Yangqiao vessels. Contraindicated for needling (*Suwen* Wang Bing commentary). Moxa 7 zhu.
[Indications] Fright epilepsy with hemoptysis, blood stasis in the chest, arm and shoulder pain with inability to flex and extend.
Tianding (SI18): Located 1 cun posterior to Futu (SI17), directly above the Quepen (ST12) on the neck. Needle 3 fen deep, moxa 3 zhu.
[Indications] Throat obstruction, pharyngeal swelling with inability to eat.
Futu (SI17, also known as Shuixue): Located 1.5 cun posterior to Qishe (ST11), on the neck directly below the angle of the jaw, 1.5 cun posterior to Yingchang (ST9). Take the point with the head tilted back.
[Indications] Cough with excessive saliva, upward rushing qi with wheezing, gurgling sound in the throat like a toad, sudden loss of voice with broken qi.
Heliao (LI18): Located 0.5 cun lateral to the philtrum (Renzhong, GV26), under the nostril. Needle 3 fen deep, moxa 3 zhu.
[Indications] Corpse-jue (syncope) and inability to open the mouth, nasal sores and polyps, nasal congestion with loss of smell, rhinitis and epistaxis.
Yingxiang (LI20): Located 1 cun above Heliao (LI18), 0.5 cun lateral to the alar base. It is the intersection of the Hand-Yangming and Foot-Yangming meridians. Needle 3 fen deep, contraindicated for moxibustion.
[Indications] Nasal congestion with loss of smell, facial paralysis with drooping mouth, facial itching and edema, sensation of wind moving like insects crawling, dyspnea, excessive discharge with sores, rhinitis, epistaxis, and nasal polyps.