手少阴心经起于心中，出属心系，下膈络小肠，其支者，从心系上挟咽，系目系，其直
者，复从心系却上肺，下出腋下，下循 内后廉，行太阴心主之后，下肘内，循臂内后廉，
抵掌后锐骨之端，入掌内后廉，循小指之内出其端，是动则病嗌干心痛，渴而欲饮，是为臂
厥，是主心所生病者，目黄胁痛， 臂内后廉痛厥，掌中热痛，盛者气口大再倍于人迎，虚
者气口反小于人迎也。
手少阴之别，名曰通里，去腕一寸，别而上行，循经入于心中，系舌本，属目系，其实
则支膈，虚则不能言，取之掌后一寸，别走太阳也。
手少阴之经，起于小指之内侧，结于锐骨，上结肘内廉，上入腋，交太阴，挟乳里，结
于胸中，循贲下系于脐，其病内急，心承伏梁，下为肘网，其病当所过者支转筋，筋痛，治
在燔针劫刺，以知为数，以痛为 ，其成伏梁唾血脓者，死不治，经筋之病，寒则反折筋急，
热则筋弛纵不收，阴萎不用，阳急则反折，阴急则俯不伸，淬刺者，刺寒急也，热则筋纵不
收，无用燔针，名曰季冬痹也。
心病者，胸中痛，胁支满，胁下痛，膺背肩胛间痛，两臂内痛，虚则胸腹大，胁下与腰
相引而痛，取其经，少阴太阳，舌下血者，其变病，刺隙中出血。
心热病者，先不乐，数日乃热，热争则卒心痛，烦闷善呕，头痛面赤无汗，壬癸甚，丙
丁大汗，气逆则壬癸死，刺手少阴太阳。
手少阴心经，从腹走手，长三尺五寸，左右共七尺，凡一十八穴。
极泉二穴（在臂内腋下筋间动脉入胸） 青灵二穴（在肘上三寸） 少海二穴（一名曲
节在
肘内廉节后陷中） 灵道二穴（在掌后一寸五分或曰一寸） 通里二穴（在腕后一寸） 阴
二
穴（在掌后脉中去腕五分） 神门二穴（一名兑冲一名中都在掌后兑骨端） 少府二穴（在
手小
指本节后陷中直劳宫） 少冲二穴（一名经始在手小指内廉端去爪甲如韭叶）
极泉二穴，在腋下筋间动脉入胸，治心痛干呕，四肢不收，咽干烦渴，臂肘厥寒，目黄
胁下满痛，可灸七壮，针入三分。
青灵二穴，在肘上三寸，举臂取之，治肩臂不举，不能带衣，头痛振寒，目黄胁痛，可
灸七壮。
少海二穴，水也，一名曲节，在肘内廉节后，又云肘内大骨外去肘端五分，手少阴脉之
所入也，为合，治寒热齿龋痛，目眩发狂，呕吐涎沫，项不得回顾，肘腋胁下痛，四肢不得
举，针入三分，可灸三壮，甄权云屈手向头取之，治齿寒脑风头痛，不宜灸，针入五分。
灵道二穴，金也，去掌后一寸五分或一寸，手少阴脉之所行也，为经，治心痛悲恐，相
引螈 肘KT ，暴喑不能言，可灸三壮，针入三分。
通里二穴，在腕后一寸，治热病猝心中懊 ，数欠频伸，悲恐目眩头痛，面赤而热，心
悸肘臂 痛，实则支肿，虚则不能言，苦呕喉痹，少气遗溺，针入三分，可灸三壮。
阴 二穴，在掌后脉中，去腕五分，治失喑不能言，洒淅振寒，厥逆心痛，霍乱胸中满
，衄血惊恐，针入三分，可灸七壮。
神门二穴，土也，一名兑冲，在掌后兑骨之端陷中，手少阴脉之所注也，为输。治疟，
心烦甚欲得饮冷，恶寒则欲处温中，咽干不嗜食心痛，数噫恐悸，少气不足，手臂寒喘逆，
身热狂悲哭，呕血上气遗溺，大小人五痫，可灸七壮，炷如小麦大，针入三分，留七呼。
少府二穴，火也，在小指本节后陷中，直劳宫，手少阴脉之所流也，为荥。治烦满少气
，悲恐畏人，掌中热，肘腋挛急，胸中痛，手卷不伸，针入二分，可灸七壮。
少冲二穴，木也，一名经始，在手小指内廉之端，去爪甲角如韭叶，手少阴脉之所出也
，为井。治热病烦满，上气心痛，痰冷少气，悲恐善惊，掌中热，胸中痛，口中热，咽中酸
，乍寒乍热，手挛不伸，引肘腋痛，针入一分，可灸三壮。
凡此手少阴之脉，常少血多气，刺之当出气恶血，其经从脏走手，审其逆顺而迎随之，
有余则泻，不足则补，热则疾之，寒则留之，陷下则灸之，不盛不虚，以经取之，此治手少
阴之法也。
The Hand-Shaoyin Heart Meridian originates in the heart, emerges to connect with the Heart System (tissues connecting the heart to other organs), descends through the diaphragm, and links with the Small Intestine. Its branch ascends from the Heart System, flanking the pharynx, and connects with the Eye System (the meridians linking the eyeballs to the brain). Its main trunk, returning from the Heart System, ascends into the lung, descends to emerge from the axilla, follows the posterior medial aspect of the upper arm, running posterior to the Hand-Taiyin Lung Meridian and Hand-Jueyin Pericardium Meridian, descends to the elbow interior, follows the posterior medial aspect of the forearm, reaches the end of the styloid process of the ulna (posterior sharp bone) at the wrist, enters the posterior medial aspect of the palm, and emerges at the tip of the little finger. When this meridian is disturbed, it causes dryness of the throat, heart pain, thirst with desire to drink, a condition known as "Arm Jue" (Arm Reversal). This meridian governs diseases generated by the heart, such as yellowing of the eyes, hypochondriac pain, pain or coldness along the posterior medial aspect of the arm, and heat/pain in the palm. In excess conditions, the Qi Kou pulse is twice as large as the Ren Ying pulse; in deficiency conditions, the Qi Kou pulse is smaller than the Ren Ying pulse.
The Luo-Connecting vessel of the Hand-Shaoyin Heart Meridian is named Tongli (通里), located one cun distal to the wrist crease. It branches off and ascends, entering the heart along the meridian, connecting with the root of the tongue, and belonging to the Eye System. In excess, it causes fullness and distension in the chest and diaphragm; in deficiency, it causes inability to speak. Treatment involves needling the point one cun behind the wrist, which diverges to the Taiyang Meridian.
The Jing-Retaining Sinew Meridian of the Hand-Shaoyin Heart Meridian originates at the medial side of the little finger, binds at the styloid process of the ulna, ascends to bind at the medial elbow, enters the axilla, intersects with the Taiyin Meridian, runs inside the breast, binds in the chest, follows the贲 (diaphragm/epigastrium) downward to connect with the umbilicus. Symptoms include internal tightness, Fuliang accumulation (a type of abdominal mass) under the heart, and "Elbow Net" symptoms below (spasms in the elbow area). Spasms, twisting, and sinew pain occur at the sites traversed. Treatment uses burning needle rapid puncture (Cao Ci), repeated until improvement is felt, using the painful spot as the acupoint. If Fuliang develops with hemoptysis or purulent sputum, it is incurable and fatal. Sinew diseases caused by cold result in reverse flexion and spasms; those caused by heat result in flaccidity and inability to contract, leading to impotence. Yang-side spasms cause hyperextension; Yin-side spasms cause flexion inability. Burning needles are used for cold-induced spasms. For heat-induced flaccidity, burning needles should not be used. This condition is called Winter Jue Bi.
Heart disease manifests as pain in the chest, fullness and distension in the hypochondrium, pain under the ribs, pain in the chest, back, and scapula, and pain in the inner arms. Deficiency presents as abdominal distension and pulling pain between the hypochondrium and waist. Treatment involves selecting points on the Shaoyin and Taiyang meridians, and bleeding the sublingual vessels. For altered conditions, bleed from the Xi-Cleft points.
Heart Heat Disease begins with dysphoria, followed by fever after several days. When heat struggles with healthy qi, sudden heart pain, irritability, frequent vomiting, headache, flushed face, and anhidrosis occur. Symptoms worsen on Ren-Gui days (Water days) and resolve with profuse sweating on Bing-Ding days (Fire days). If Qi rebels, death occurs on Ren-Gui days. Treatment involves needling the Hand-Shaoyin and Hand-Taiyang meridians.
The Hand-Shaoyin Heart Meridian travels from the abdomen to the hand, measuring three chi five cun in length, seven chi combined for both sides, containing eighteen acupoints.
Jiquan (HT1) [2 points] (Located in the axilla, between tendons, where the artery enters the chest)
Qingling (HT13) [2 points] (Three cun above the elbow)
Shaohai (HT3) [2 points] (Also known as Qujie, located in the depression posterior to the medial epicondyle of the humerus)
Lingdao (HT4) [2 points] (One cun five fen proximal to the wrist crease, or said to be one cun)
Tongli (HT5) [2 points] (One cun proximal to the wrist crease)
Yinxi (HT6) [2 points] (In the pulse at the wrist, five fen proximal to the wrist crease)
Shenmen (HT7) [2 points] (Also known as Duichong or Zhongdu, located in the depression at the radial end of the pisiform bone)
Shaofu (HT8) [2 points] (In the depression distal to the metacarpophalangeal joint of the little finger, directly opposite Laogong PC8)
Shaochong (HT9) [2 points] (Also known as Jingshi, located at the radial corner of the nail bed of the little finger, approximately the width of a leek leaf from the nail corner)
Jiquan (HT1) is located in the axilla between tendons where the artery enters the chest. It treats heart pain, dry retching, flaccidity of the four limbs, dry throat with irritability and thirst, cold reversal of the arm and elbow, yellowing of the eyes, and hypochondriac fullness/pain. Moxibustion: 7 moxa cones. Acupuncture: Insert 3 fen.
Qingling (HT13) is located three cun above the elbow; take the point with the arm raised. It treats inability to raise the shoulder/arm, difficulty dressing, headache, chills, yellowing of the eyes, and hypochondriac pain. Moxibustion: 7 moxa cones.
Shaohai (HT3) belongs to Water, also known as Qujie. Located posterior to the medial epicondyle of the humerus, or five fen lateral to the elbow tip. It is the He-Sea point where the Hand-Shaoyin Qi enters. It treats chills and fever, toothache, dizziness, mania, vomiting of saliva/phlegm, neck stiffness preventing turning the head, pain in the elbow, axilla, and hypochondrium, and inability to lift the limbs. Acupuncture: Insert 3 fen. Moxibustion: 3 moxa cones. Zhen Quan stated to flex the hand towards the head to locate it; treats cold teeth, wind-cold headache. Do not moxa. Acupuncture: Insert 5 fen.
Lingdao (HT4) belongs to Metal. Located one cun five fen or one cun proximal to the wrist crease. It is the Jing-River point where the Hand-Shaoyin Qi flows. It treats heart pain, fear/sorrow,牵引 spasms, elbow cramping, sudden aphonia. Moxibustion: 3 moxa cones. Acupuncture: Insert 3 fen.
Tongli (HT5) is located one cun proximal to the wrist crease. It treats acute heart distress in febrile diseases, frequent yawning/stretching, fear/sorrow, dizziness, headache, flushed hot face, palpitations, elbow/arm pain. Excess causes swelling; deficiency causes aphonia. Also treats bitter vomiting, bi-syndrome of the throat, shortness of breath, and urinary incontinence. Acupuncture: Insert 3 fen. Moxibustion: 3 moxa cones.
Yinxi (HT6) is located in the pulse at the wrist, five fen proximal to the wrist crease. It treats loss of voice, aversion to cold/chills, cold reversal heart pain, cholera with chest fullness, epistaxis, and fright. Acupuncture: Insert 3 fen. Moxibustion: 7 moxa cones.
Shenmen (HT7) belongs to Earth, also known as Duichong. Located in the depression at the radial end of the pisiform bone. It is the Shu-Stream point where the Hand-Shaoyin Qi pours. It treats malaria, severe irritability with desire for cold drinks, aversion to cold with desire for warmth, dry throat, anorexia, heart pain, frequent belching, fear/palpitations, shortness of breath, cold arms, asthma/rebellious Qi, fever, mania/crying, hematemesis, rebellious Qi, urinary incontinence, and epilepsy in adults and children. Moxibustion: 7 moxa cones (size of wheat grain). Acupuncture: Insert 3 fen, retain for 7 breaths.
Shaofu (HT8) belongs to Fire. Located in the depression distal to the metacarpophalangeal joint of the little finger, directly opposite Laogong PC8. It is the Ying-Spring point where the Hand-Shaoyin Qi flows. It treats irritability/fullness, shortness of breath, fear/shyness, heat in the palm, cramping in the elbow/axilla, chest pain, and inability to extend the hand. Acupuncture: Insert 2 fen. Moxibustion: 7 moxa cones.
Shaochong (HT9) belongs to Wood, also known as Jingshi. Located at the radial corner of the nail bed of the little finger, approximately the width of a leek leaf from the nail corner. It is the Jing-Well point where the Hand-Shaoyin Qi exits. It treats febrile diseases with irritability/fullness, rebellious Qi/heart pain, cold-phlegm with shortness of breath, fear/jumpiness, heat in the palm, chest pain, heat in the mouth, sourness in the throat, alternating chills/fever, hand cramping/inability to extend, and pain radiating to the elbow/axilla. Acupuncture: Insert 1 fen. Moxibustion: 3 moxa cones.
Regarding the Hand-Shaoyin Meridian, it typically has less blood and more Qi. Needling should aim to disperse Qi and avoid blood. Since the meridian travels from the Zang organ to the Hand, one must assess the direction of Qi flow and apply following/following techniques accordingly. Excess requires draining; deficiency requires tonifying. Heat requires rapid insertion/removal; cold requires retention. Collapsed pulses require moxibustion. Balanced excess/deficiency requires treating the meridian itself. This is the method for treating the Hand-Shaoyin Meridian.