手厥阴心包络之经,起于胸中,出属心包,下膈历络三焦,其支者循胸出胁,下腋三寸
,上抵腋下,循 内行太阴少阴之间,入肘中,下臂行两筋之间,入掌中,循中指出其端,
其支者别掌中,循小指次指出其端,是动则病手心热,肘挛急,腋肿,甚则胸胁支满,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,盛者气口大一倍于
人迎,虚者气口反小于人迎也。
手心主之别,名曰内关,去腕二寸,出于两筋之间,循经以上,系于心包络,心系实则
心痛,虚则为烦,取之两筋间也。
手心主之筋,起于中指,与太阴之筋并行,结于肘内廉,上臂阴,结腋下,下散前后挟
胁,其支者,入腋,散胸中,结于贲,其病当所过者支转筋前及胸痛息贲,治在燔针劫刺,
以知为数,以痛为 ,名曰孟冬痹也。
手厥阴心包脉,从腹走手,长三尺五寸,左右共七尺,凡一十八穴。
天池二穴(一名天会在乳后一寸腋下三寸着胁直腋撅肋间) 天泉二穴(一名天湿在曲
腋
下去臂二寸举臂取之) 曲泽二穴(在肘内廉下陷中屈肘得之) 门二穴(在掌后去筋五
寸)
间使二穴(在掌后三寸两筋间陷中) 内关二穴(在掌后去腕二寸) 太陵二穴(在掌后两
筋间
陷中) 劳宫二穴(在掌中央屈无名指取之) 中冲二穴(在手中指之端去爪甲如韭叶)
天池二穴,在乳后一寸腋下三寸,着胁直腋撅肋间,一名天会,手心主足少阳之会,治
寒热胸膈烦满头痛,四肢不举,腋下肿,上气,胸中有声喉中鸣,可灸三壮,针入三分。
天泉二穴,一名天湿,在曲腋下二寸,举臂取之,治心病,胸胁支满,咳逆,膺背胛间
臂内廉痛,针入六分,可灸三壮。
曲泽二穴,水也,在肘内廉陷中,屈肘取之,手厥阴脉之所入也,为合,治心痛善惊,
身热烦渴口干,逆气呕血,风疹臂肘手腕善动摇,可灸三壮,针入三分。留七呼。
门二穴,去腕五寸,手厥阴 ,治心痛衄血呕哕,惊恐畏入,神气不足,针入三分,
可灸五壮。
间使二穴,金也,在掌后三寸两筋间陷中,手厥阴脉之所行也,为经,治心悬如饥,猝
狂,胸中澹澹,恶心寒呕吐,怵惕寒中少气,掌中热,腋肿肘挛,猝心痛多惊,喑不得语,
咽中如鲠,可灸五壮,针入三分。岐伯云,可灸鬼邪。
内关二穴,在掌后去腕二寸,别走少阳,治目赤支满,中风肘挛,实则心暴痛,虚则
心烦惕惕,针入五分,可灸三壮。
太陵二穴,土也,在掌后两筋间陷中,手厥阴脉之所注也,为输,治热病汗不出,臂挛
腋肿,善笑不休,心悬若饥,喜悲泣惊恐,目赤小便如血,呕逆狂言不乐,喉痹口干,身热
头痛,短气胸胁痛,针入五分,可灸三壮。
劳宫二穴,火也,在掌中央动脉中,屈无名指取之,手厥阴脉之所流也,为荥,治中风
善怒,悲笑不休,手痹,热病三日汗不出,怵惕,胸胁痛不可转侧,大小便血。衄血不止,
气逆呕哕烦渴,食饮不下,口中腥臭,胸胁支满,黄胆目黄,可灸三壮。
中冲二穴,木也,在手中指端,去爪甲如韭叶陷中,手厥阴心主脉之所出也,为井,治
热病烦闷汗不出,掌中热,身如火,心痛烦满舌强,针入一分。
凡此手心主之脉,多血少气,刺之当出血恶气,其经从脏走手,审而迎随,盛则泻之,
虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之,此治厥阴之法也。
The Pericardium Meridian of Hand-Jueyin originates in the chest, emerges to connect with the Pericardium (Pericardium), descends through the diaphragm, and successively links with the Triple Burner (Triple Energizer). Its branch follows the chest, emerges from the hypochondrium, descends three cun below the axilla, ascends to reach the axilla, runs along the medial aspect of the upper arm between the Taiyin (Lung) and Shaoyin (Heart) meridians, enters the elbow midpoint, descends along the forearm between two tendons, enters the center of the palm, and follows the middle finger to its tip. Another branch diverges from the center of the palm, follows the ring finger to its tip. When this meridian is disturbed, it causes heat in the palm, spasm and stiffness of the elbow, swelling of the axilla; in severe cases, it causes a sensation of fullness and distension in the chest and hypochondrium, palpitations (dandan dadong) of the heart, red face, yellow eyes, and incessant laughter. This meridian primarily governs diseases of the vessels, manifesting as vexation, heart pain, and heat in the palm. In excess conditions, the Qi Kou pulse is twice as large as the Ying Yang pulse; in deficiency conditions, the Qi Kou pulse is smaller than the Ying Yang pulse.
The Luo-connecting vessel of the Pericardium of Hand-Jueyin is named Neiguan (Inner Pass), located two cun above the wrist crease, emerging between the two tendons of the forearm, ascending along the meridian to connect with the Pericardium. Excess of the Heart system causes heart pain, while deficiency causes vexation; treatment involves needling the point between the two tendons.
The sinews of the Pericardium of Hand-Jueyin originate at the middle finger, run parallel with the sinews of the Taiyin (Lung) meridian, knot at the medial aspect of the elbow, ascend along the medial aspect of the upper arm, knot at the axilla, and descend to scatter anteriorly and posteriorly flanking the hypochondrium. Its branch enters the axilla, scatters in the chest, and knots at the贲 (cardia/upper stomach opening). Disease in these sinews manifests as support-like pain, spasms (zhuan jin) at the sites traversed, accompanied by chest pain and rapid breathing (xiben). Treatment employs burning needle puncture (fanzhen jiesi), with the number of sessions determined by when symptoms improve, and the painful area as the target. This condition is called Mengdong Bi (Early Winter Bi Syndrome).
The Pericardium Pulse of Hand-Jueyin travels from the abdomen to the hand, measuring three chi and five cun in length, totaling seven chi for both sides, comprising eighteen acupoints in total.
Tianchi (Heavenly Pool) [2 points]: Also known as Tianhui, located one cun behind the nipple, three cun below the axilla, against the rib, directly under the armpit, in the intercostal space when ribs are spread.
Tianquan (Heavenly Spring) [2 points]: Also known as Tianshi, located two cun below the cubital fossa in the axillary region, taken with the arm raised.
Quze (Pool at the Bend) [2 points]: Located in the depression at the medial end of the elbow crease, obtained by flexing the elbow.
Ximen (Gate of the Xi-cleft) [2 points]: Located five cun proximal to the wrist crease, away from the tendon.
Jianshi (Intercalated Stream) [2 points]: Located three cun proximal to the wrist crease, in the depression between the two tendons.
Neiguan (Inner Pass) [2 points]: Located two cun proximal to the wrist crease.
Daling (Great Palace) [2 points]: Located in the depression between the two tendons at the wrist crease.
Laogong (Palace of Labor) [2 points]: Located in the center of the palm, taken by curling the ring finger.
Zhongchong (Middle Rush) [2 points]: Located at the tip of the middle finger of the hand, in the depression about the width of a leek leaf from the nail corner.
Tianchi (Heavenly Pool) [2 points]: Located one cun behind the nipple, three cun below the axilla, against the rib, directly under the armpit, in the intercostal space when ribs are spread. Also known as Tianhui, it is an intersection of the Pericardium Meridian of Hand-Jueyin and the Gallbladder Meridian of Foot-Shaoyang. It treats chills and fever, vexation and fullness in the chest and diaphragm, headache, inability to lift the limbs, axillary swelling, rebellious qi, sounds in the chest, and ringing in the throat. Moxibustion: 3 moxa cones; Needling depth: 0.3 cun.
Tianquan (Heavenly Spring) [2 points]: Also known as Tianshi, located two cun below the axillary fold, taken with the arm raised. It treats heart disease, fullness and distension in the chest and hypochondrium, cough and rebellious qi, pain in the chest, back, scapular region, and medial aspect of the arm. Needling depth: 0.6 cun; Moxibustion: 3 moxa cones.
Quze (Pool at the Bend) [2 points]: Element Water. Located in the depression at the medial end of the elbow, taken by flexing the elbow. It is the He-Sea point of the Pericardium Meridian of Hand-Jueyin. It treats heart pain, susceptibility to fright, body heat, vexation and thirst, dry mouth, rebellious qi, hematemesis, wind-rash, and instability/shaking of the arm, elbow, and wrist. Moxibustion: 3 moxa cones; Needling depth: 0.3 cun; Retain needle for 7 breaths.
Ximen (Gate of the Xi-cleft) [2 points]: Located five cun from the wrist. It is the Xi-cleft point of the Pericardium Meridian of Hand-Jueyin. It treats heart pain, epistaxis, vomiting and hiccups, fear and dread, insufficiency of spirit and qi. Needling depth: 0.3 cun; Moxibustion: 5 moxa cones.
Jianshi (Intercalated Stream) [2 points]: Element Metal. Located three cun proximal to the wrist crease, in the depression between the two tendons. It is the Jing-River point of the Pericardium Meridian of Hand-Jueyin. It treats a sensation of hunger-like emptiness in the heart, sudden mania, palpitations, nausea, aversion to cold, vomiting, fear, insufficiency of qi, heat in the palm, axillary swelling, elbow spasm, sudden heart pain with frequent fright, aphonia, and a sensation of a foreign body in the throat. Moxibustion: 5 moxa cones; Needling depth: 0.3 cun. Qibo stated that this point can be used with moxibustion to treat "ghost evils" (psychiatric disturbances).
Neiguan (Inner Pass) [2 points]: Located two cun proximal to the wrist crease, diverging to connect with the Shaoyang (Gallbladder) meridian. It treats red eyes, fullness, elbow spasm due to wind-stroke. Excess presents as sudden severe heart pain; deficiency presents as vexation and palpitations. Needling depth: 0.5 cun; Moxibustion: 3 moxa cones.
Daling (Great Palace) [2 points]: Element Earth. Located in the depression between the two tendons at the wrist crease. It is the Shu-Stream point of the Pericardium Meridian of Hand-Jueyin. It treats febrile diseases with no sweating, arm spasm, axillary swelling, incessant laughter, hunger-like emptiness in the heart, propensity to weep and feel sad, fear and fright, red eyes, blood in urine, vomiting and rebellious qi, delirious speech, unhappiness, bi-syndrome of the throat, dry mouth, body heat, headache, shortness of breath, and chest/hypochondriac pain. Needling depth: 0.5 cun; Moxibustion: 3 moxa cones.
Laogong (Palace of Labor) [2 points]: Element Fire. Located in the artery pulsating at the center of the palm, taken by curling the ring finger. It is the Ying-Spring point of the Pericardium Meridian of Hand-Jueyin. It treats irritability due to wind-stroke, incessant weeping and laughing, hand bi-syndrome, febrile diseases after three days with no sweating, fear, chest/hypochondriac pain preventing turning to the side, blood in stool and urine, persistent epistaxis, rebellious qi, vomiting and hiccups, vexation and thirst, inability to eat or drink, foul odor in the mouth, fullness and distension in the chest and hypochondrium, jaundice, and yellow eyes. Moxibustion: 3 moxa cones.
Zhongchong (Middle Rush) [2 points]: Element Wood. Located at the tip of the middle finger, in the depression about the width of a leek leaf from the nail corner. It is the Jing-Well point of the Pericardium Meridian of Hand-Jueyin. It treats febrile diseases with vexation, stuffiness, no sweating, heat in the palm, body feeling like fire, heart pain, vexation and fullness, and stiff tongue. Needling depth: 0.1 cun.
Generally, the Pericardium Meridian of Hand-Jueyin has abundant blood but scarce qi. Needling should aim to bleed out evil qi. Since this meridian travels from the zang organs to the hands, one must carefully assess the direction of qi flow to apply following or opposing techniques. Excess is treated with draining methods, deficiency with tonifying methods, heat with rapid needling without retention, cold with prolonged retention, and sinking/depressed conditions with moxibustion. If neither excess nor deficiency is present, treat using the meridian itself. This is the method for treating Jueyin disorders.