,本节前陷中,足少阳脉之所流也,为荥,治胸胁支满,寒热汗不出,目外 赤目眩,颊颔
肿耳聋,胸中痛不可转侧,痛无常处,可灸三壮,针入三分。
足窍阴二穴,金也,在足小趾次趾之端,去爪甲如韭叶,足少阳脉之所出也,为井,治
胁痛咳逆不得息,手足烦热汗不出,转筋,痈疽头痛心烦,喉痹舌强口干,肘不可举,猝聋
不闻人语,可灸三壮,针入一分。
凡此足少阳之脉,常少血多气,刺当出气恶血,其经从头走足,逆则为迎,顺则为随,
气盛则泻之,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,此治足
少阳之法也。
足厥阴肝之经,起于大趾聚毛之际,上循足跗上廉,去内踝一寸,上踝八寸,交出太阴
之后,上 内廉,循股入阴毛中,环阴器,抵少腹,挟胃属肝络胆,上贯膈,布胁肋,循喉
咙之后,上入颃颡,连目系上出额,与督脉会于巅,其支者,从目系下颊里,环唇内,其支
者,复从肝别贯膈,上注肺,是动则病腰痛不可以俯仰,丈夫 疝,妇人少腹肿,甚则嗌干,
面尘脱色,是主肝所生病者,胸满呕逆洞泄,狐疝,遗溺闭癃,盛者气口大一倍于人迎,虚
者气口反小于人迎也。
足厥阴之别,名曰蠡沟,去内踝五寸,别走少阳,其别者循胫上睾结于茎,其病气逆则
睾肿猝疝,实则挺长热,虚则暴痒,取之所别也。
足厥阴之筋,起于大趾之上,上结于内踝之前,上循胫,上结内辅之下,上循阴股,结
于阴器,络诸筋,其病足大趾支内踝之前痛,内辅痛,阴股痛,转筋,阴器不用,伤于内则
不起,伤于寒则阴缩入,伤于热则纵挺不收,治在行水渎之,其病转筋者,治在燔针劫刺,
以知为数,以痛为 ,名曰季秋痹也。
邪客足厥阴之络,令人暴疝卒痛,剌足大趾爪甲上与肉交者各一 ,男子立已,女子
有顷已,左取右,右取左。
肝病者,两胁下痛引少腹,令人善怒,虚则目 无所见,耳无所闻,善恐如人将捕之,
取其经,厥阴与少阳,气逆则头痛耳聋不聪颊肿,取血者。
肝热病者,小便先黄,腹痛多卧身热,热争则狂言及惊,胁满痛,手足躁,不得安卧,
庚辛甚,甲乙大汗,气逆则庚辛死,刺足厥阴。
足厥阴肝经,从足走胸中,长六尺五寸,左右共一丈三尺,凡二十六穴。
大敦二穴(在足大趾端去瓜甲如韭叶) 行间二穴(在足大趾间动脉应手) 太冲二穴
(在
足大趾本节后二寸或一寸半动脉中) 中封二穴(在足内踝前一寸仰足而取之) 蠡沟二穴
(在
内踝上五寸) 中都二穴(一名中 在内踝上七寸) 膝关二穴(在犊鼻下二寸陷中) 曲
泉二
穴(在膝内辅骨下大筋上小筋下陷中) 阴包二穴(在膝上四寸股内廉两筋间) 五里二穴
(在
气冲下三寸阴股中动脉) 阴廉二穴(在羊矢下去气冲二寸) 章门二穴(一名长平一名胁
在
大横外直脐季肋端) 期门二穴(在不容旁一寸五分直乳第二肋端)
大敦二穴,木也,在足大趾端,去爪甲如韭叶,及三毛中,足厥阴脉之所出也,为井,
治猝疝,小便数遗溺,阴头中痛,心痛汗出,阴上入腹,阴偏大,腹脐中痛,悒悒不乐,病
左取右,右取左,腹胀肿满,少腹痛,中热喜寐,尸厥状如死,妇人经血暴脱不止,可灸三
壮,针入三分,留六呼。
行间二穴,火也,在足大趾间动脉应手陷中,足厥阴脉之所流也,为荥,治溺难,又白
浊寒疝少腹肿,咳逆呕血,腰痛不能俯仰,腹中胀,心痛色苍苍如死状,终日不得息,口
四肢逆冷,嗌干烦渴,瞑不欲视,目中泪出太息,癫疾短气,可灸三壮,针入六分,留十呼。
太冲二穴,土也,在足大趾本节后二寸或一寸半陷中,此穴有动脉,诊之可诀男子死生
之候,足厥阴脉之所注也,为输,治腰引少腹痛,小便不利状如淋, 疝少腹肿,溏泄遗溺,
阴痛面目苍色,胸胁支满,足寒,大便难,呕血,女子漏血不止,小儿猝疝,呕逆发寒嗌干,
腑肿内踝前痛,淫泺 酸,腋下肿,马刀疡 唇肿,针入三分,留十呼,可灸三壮。
中封二穴,金也,在足内踝前一寸,仰足取之陷中,伸足乃得之,足厥阴脉之所行也,
为经,治 疟,色苍苍振寒,少腹肿,食怏怏绕脐痛,足逆冷不嗜食,身体不仁,寒疝引腰
中痛,或身微热,针入四分,留七呼,可灸三壮。
蠡沟二穴,在足内踝上五寸,别走少阳,足厥阴络,治猝疝,少腹肿,时少腹暴痛,
小便不利如癃闭,数噫恐悸,少气不足,腹中痛悒悒不乐,咽中闷如有息肉状,背拘急不可
俯仰,针入二分,留三呼,可灸三壮。
中都二穴,一名中 ,在内踝上七寸 骨中,与少阴相直,治肠 , 疝少腹痛,妇人
经血暴脱,因产恶露不绝,针入三分,可灸五壮。
膝关二穴,在犊鼻下二寸陷中,治风痹,膝内痛引膑不可屈伸,喉咽中痛,针入四分,
可灸五壮。
曲泉二穴,水也,在膝内辅骨下,大筋上小筋下陷中,屈膝取之,足厥阴脉之所入也,
为合,治女子血瘕,按之如汤沃股内,少腹肿,阴挺出,丈夫癫疝阴股痛,小便难,腹胁支
满,癃闭少气泄利,四肢不举,实即身热目眩痛,汁不出目 ,膝痛筋挛不可屈伸,发狂
衄血喘呼,少腹痛引喉咽,针入六分,灸三壮,又云∶正膝屈内外两筋间宛宛中,又在膝曲
横纹头,治风劳失精,身体极痛,泄水下利脓血,阴肿 痛,可灸三壮,针入六分,留十呼。
阴包二穴,在膝上四寸,股内廉两筋间,足厥阴别走,治腰尻引少腹痛,遗溺不禁,针
入六分,可灸三壮。
足五里二穴,在气冲下三寸,阴股中动脉,治肠中满,热闭不得溺,可灸五壮,针入六
气。
阴廉二穴,在羊矢下,去气冲二寸动脉中,治妇人绝产,若未经生产者,可灸三壮即有
子,针入八分,留七呼。
章门二穴,脾之募,一各长平,一名胁 ,在大横外,直脐季肋端,侧卧屈上足伸下足
,举臂取之,足厥阴少阳之会,治肠鸣盈盈然食不化,胁痛不得卧,烦热口干不嗜食,胸胁
支满喘息,心痛,腰痛不得转侧,伤饱身黄羸瘦,贲豚腹肿脊强,四肢懈堕,善恐少气,厥
逆肩臂不举,可灸百壮,针入六分。
期门二穴,肝之募,在不容旁一寸五分,直两乳第二肋端,足太阴厥阴阴维之会,治胸
中烦热,贲豚上下,目青而呕,霍乱泄利,腹坚硬,大喘不得安卧,胁下积气,女子产后
余疾,食饮不下,胸胁支满,心中切痛善噫,若伤寒过经不解,当针期门使经不传,针入四
分,可灸五壮。
凡此足厥阴之脉,常多血少气,刺之当出血恶气,其经从足走腹,审其从逆,以行迎随
,虚则补之,实则泻之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之,此治足
厥阴之法也。
Located in the depression behind the root of the big toe, this is where the Qi of the Foot-Shaoyang Gallbladder Meridian flows; it is the Ying-Spring point. It treats chest and hypochondriac fullness and distension, alternating chills and fever with inability to sweat, redness of the outer canthus, vertigo, swelling of the cheek and jaw, deafness, pain in the chest making turning difficult, pain without a fixed location. Moxibustion: 3 moxa cones. Acupuncture: depth 0.3 cun.
Zuqiaoyin (GB45) - Two points, Element Metal. Located at the lateral end of the fourth toe, about the width of a leek leaf from the nail corner. This is where the Qi of the Foot-Shaoyang Gallbladder Meridian originates; it is the Jing-Well point. It treats hypochondriac pain, cough with counterflow Qi and dyspnea, vexing heat in hands and feet with inability to sweat, muscle cramps, carbuncles and sores, headache, vexation, bi-syndrome of the throat with stiff tongue and dry mouth, immobility of the elbow, sudden deafness unable to hear speech. Moxibustion: 3 moxa cones. Acupuncture: depth 0.1 cun.
Generally, the Foot-Shaoyang Gallbladder Meridian has less Blood and more Qi. Needling should aim to release pathogenic Qi and discharge evil Blood. The meridian runs from head to foot. Needling against the flow is "Ying" (Rebuke), following the flow is "Sui" (Follow). Excess is treated by reducing, deficiency by tonifying. Heat conditions require rapid needle withdrawal; cold conditions require retaining the needle. Collapsed Qi is treated with moxibustion. If neither excess nor deficiency, treat using the meridian itself. This is the method for treating the Foot-Shaoyang Gallbladder Meridian.
The Foot-Jueyin Liver Meridian starts at the hairline on the big toe, ascends along the medial margin of the dorsum of the foot, one cun anterior to the medial malleolus, crosses posterior to the Foot-Taiyin Spleen Meridian at eight cun above the medial malleolus, ascends along the medial aspect of the thigh, enters the pubic region, circles the external genitalia, reaches the lower abdomen, flanks the Stomach, connects with the Liver, and branches to the Gallbladder. It ascends through the diaphragm, spreads in the hypochondrium, follows the posterior aspect of the throat, enters the nasopharynx (hangsang), connects with the eye system, emerges at the forehead, and meets the Du Meridian at the vertex. A branch descends from the eye system to the inner cheek, circling the interior of the lips. Another branch separates from the Liver, passes through the diaphragm, and pours into the Lungs. Pathological changes of the meridian cause lower back pain preventing bending or stretching, hernia in men, and lower abdominal swelling in women. Severe cases involve dry throat, dusty complexion, and loss of luster. Diseases primarily governed by the Liver include chest fullness, vomiting with counterflow Qi, severe diarrhea, fox hernia, enuresis, and strangury. In excess, the Qi-kou pulse is larger than the Renying pulse by one fold; in deficiency, the Qi-kou pulse is smaller than the Renying pulse.
The Luo-Connecting vessel of the Foot-Jueyin Liver Meridian is named Ligou (LR5). It is located five cun above the medial malleolus and branches to connect with the Foot-Shaoyang Gallbladder Meridian. Its branch ascends along the tibia to the testis, converging at the penis. Pathology involves Qi counterflow causing testicular swelling and sudden hernia. Excess presents with priapism and heat; deficiency presents with sudden itching. Treatment involves needling this connecting vessel.
The Sinew Meridian of the Foot-Jueyin Liver starts above the big toe, converges anterior to the medial malleolus, ascends along the tibia, converges below the medial condyle of the knee, ascends along the medial thigh, and converges at the external genitalia, linking various sinews. Pathology includes pain at the big toe and anterior medial malleolus, pain at the medial condyle, medial thigh pain, muscle cramps, dysfunction of the external genitalia. Injury from internal factors leads to impotence; injury from Cold causes retraction of the genitals; injury from Heat causes flaccidity and inability to retract. Treatment involves promoting water metabolism to clear obstruction. For muscle cramps, treatment involves burning needles (fire needle) with swift insertion, taking symptom relief as the endpoint, using the painful area as the acupoint. This is called Jiu-Bi (Late Autumn Bi-syndrome).
When pathogenic factors invade the collateral vessels of the Foot-Jueyin Liver, sudden hernia and acute pain occur. Needling the intersection of the nail and flesh at the big toe once on each side cures men immediately and women after a short while. Treat left for right symptoms and right for left symptoms.
Liver disease manifests as pain in both hypochondria radiating to the lower abdomen, leading to irritability. Deficiency causes blurred vision, deafness, and excessive fear, feeling as if being hunted. Treatment involves taking the meridian, specifically Foot-Jueyin and Foot-Shaoyang. Qi counterflow causes headache, deafness, poor hearing, and cheek swelling; if blood stasis is present, bleed the area.
Liver Heat Disease begins with yellow urine, abdominal pain, preference for lying down, and body heat. When Heat contends with Healthy Qi, there is delirium and惊厥 (convulsions), hypochondriac fullness and pain, restlessness of hands and feet, and inability to lie peacefully. Symptoms worsen on Geng-Xin days and resolve with profuse sweating on Jia-Yi days. If Qi counterflows, death may occur on Geng-Xin days. Treatment involves needling the Foot-Jueyin Liver Meridian.
The Foot-Jueyin Liver Meridian runs from the foot to the chest, measuring six chi five cun in length. Both sides total one zhang three chi. There are twenty-six acupoints in total.
Dadun (LR1) - Two points. Located at the tip of the big toe, about the width of a leek leaf from the nail corner.
Xingjian (LR2) - Two points. Located in the depression between the big toe and the second toe where the artery beats.
Taichong (LR3) - Two points. Located two cun or one and a half cun proximal to the root of the big toe in the depression where the artery beats.
Zhongfeng (LR4) - Two points. Located one cun anterior to the medial malleolus, obtained with the foot dorsiflexed.
Ligou (LR5) - Two points. Located five cun above the medial malleolus.
Zhongdu (LR6) - One name Zhong. Located seven cun above the medial malleolus.
Xiguan (LR7) - Two points. Located two cun below Dubi (ST35) in the depression.
Ququan (LR8) - Two points. Located in the depression below the medial condyle of the knee, between the large tendon and small tendon.
Yinbao (LR9) - Two points. Located four cun above the knee, between two tendons on the medial aspect of the thigh.
Wuli (LR10) - Two points. Located three cun below Qichong (ST30) in the artery of the medial thigh.
Yinlian (LR11) - Two points. Located below Yangshi, two cun distal to Qichong (ST30) in the artery.
Zhangmen (LR13) - Also known as Changping or Xie. Located outside Dahan (SP15), directly opposite the umbilicus at the end of the floating rib.
Qimen (LR14) - Two points. Located one and a half cun lateral to Burong (ST19), directly at the end of the second rib below the nipple.
Dadun (LR1) - Two points, Element Wood. Located at the tip of the big toe, about the width of a leek leaf from the nail corner, among the hair. This is where the Qi of the Foot-Jueyin Liver Meridian originates; it is the Jing-Well point. It treats sudden hernia, frequent urination and enuresis, pain in the glans penis, heart pain with sweating, upward rushing of Yin Qi into the abdomen, unilateral scrotal enlargement, periumbilical pain, depression and unhappiness. Treat left for right symptoms and right for left symptoms. Abdominal distension and edema, lower abdominal pain, internal heat with drowsiness, corpse-like fainting (Shijue), and continuous violent bleeding in women. Moxibustion: 3 moxa cones. Acupuncture: depth 0.3 cun, retain for 6 breaths.
Xingjian (LR2) - Two points, Element Fire. Located in the depression between the big toes where the artery beats. This is where the Qi of the Foot-Jueyin Liver Meridian flows; it is the Ying-Spring point. It treats difficult urination, white turbid discharge, cold hernia with lower abdominal swelling, cough with counterflow Qi and hematemesis, lower back pain preventing bending/stretching, abdominal distension, heart pain with cyanotic face resembling death, constant dyspnea, cold extremities, dry throat with thirst, desire to close eyes and avoid looking, tearing, sighing, epilepsy, and shortness of breath. Moxibustion: 3 moxa cones. Acupuncture: depth 0.6 cun, retain for 10 breaths.
Taichong (LR3) - Two points, Element Earth. Located two cun or one and a half cun proximal to the root of the big toe in the depression. An artery is palpable here; diagnosis here can determine life or death signs in men. This is where the Qi of the Foot-Jueyin Liver Meridian pours; it is the Shu-Stream point. It treats lumbar pain radiating to the lower abdomen, difficulty urinating resembling strangury, hernia with lower abdominal swelling, loose stools and enuresis, genital pain with cyanotic face, chest and hypochondriac fullness, cold feet, difficulty defecating, hematemesis, continuous metrorrhagia in women, sudden hernia in infants, vomiting with counterflow Qi, aversion to cold, dry throat, swelling of the fu-organs with pain anterior to the medial malleolus, limb soreness and weakness, axillary swelling, scrofula (Madao yangliu), and lip swelling. Acupuncture: depth 0.3 cun, retain for 10 breaths. Moxibustion: 3 moxa cones.
Zhongfeng (LR4) - Two points, Element Metal. Located one cun anterior to the medial malleolus in the depression, obtained with the foot dorsiflexed; straightening the foot reveals it. This is where the Qi of the Foot-Jueyin Liver Meridian travels; it is the Jing-River point. It treats malaria with cyanotic face and chills, lower abdominal swelling, anorexia with periumbilical pain, cold feet, loss of appetite, numbness of the body, cold hernia radiating pain to the waist, or slight body heat. Acupuncture: depth 0.4 cun, retain for 7 breaths. Moxibustion: 3 moxa cones.
Ligou (LR5) - Two points. Located five cun above the medial malleolus, branching to the Foot-Shaoyang Gallbladder Meridian. It is the Luo-Connecting vessel of the Foot-Jueyin Liver Meridian. It treats sudden hernia, lower abdominal swelling, paroxysmal lower abdominal pain, difficulty urinating resembling strangury, frequent belching, fear, palpitations, shortness of breath, abdominal pain with depression, sensation of obstruction in the throat as if having polyps, back stiffness preventing bending/stretching. Acupuncture: depth 0.2 cun, retain for 3 breaths. Moxibustion: 3 moxa cones.
Zhongdu (LR6) - Also named Zhong. Located seven cun above the medial malleolus in the tibial bone, aligned with the Foot-Shaoyin Kidney Meridian. It treats intestinal wind (blood in stool), hernia with lower abdominal pain, violent metrorrhagia in women, and continuous lochia postpartum. Acupuncture: depth 0.3 cun. Moxibustion: 5 moxa cones.
Xiguan (LR7) - Two points. Located two cun below Dubi (ST35) in the depression. It treats Wind-Bi, pain inside the knee radiating to the patella preventing flexion/extension, and pharyngeal pain. Acupuncture: depth 0.4 cun. Moxibustion: 5 moxa cones.
Ququan (LR8) - Two points, Element Water. Located in the depression below the medial condyle of the knee, between the large and small tendons, obtained with the knee flexed. This is where the Qi of the Foot-Jueyin Liver Meridian enters; it is the He-Sea point. It treats blood masses in women, feeling like hot water poured on the inner thigh upon pressure, lower abdominal swelling, uterine prolapse, man's dian-hernia with medial thigh pain, difficulty urinating, abdominal and hypochondriac fullness, strangury with shortness of breath and diarrhea, inability to move limbs. Excess presents as body heat, vertigo, pain, anhidrosis, dry eyes, knee pain with tendon contraction preventing movement, madness, epistaxis, wheezing, lower abdominal pain radiating to the throat. Acupuncture: depth 0.6 cun. Moxibustion: 3 moxa cones. Alternatively: With the knee flexed straight, locate the depression between the medial and lateral tendons, or at the head of the transverse crease of the knee. It treats wind-lao with seminal emission, extreme body pain, diarrhea with pus and blood, genital swelling and pain. Moxibustion: 3 moxa cones. Acupuncture: depth 0.6 cun, retain for 10 breaths.
Yinbao (LR9) - Two points. Located four cun above the knee, between two tendons on the medial thigh. It is the pathway of the divergent branch of the Foot-Jueyin Liver Meridian. It treats pain from the lower back/sacrum radiating to the lower abdomen, and involuntary enuresis. Acupuncture: depth 0.6 cun. Moxibustion: 3 moxa cones.
Wuli (LR10) - Two points. Located three cun below Qichong (ST30) in the artery of the medial thigh. It treats fullness in the intestines and heat closure preventing urination. Moxibustion: 5 moxa cones. Acupuncture: depth 0.6 cun.
Yinlian (LR11) - Two points. Located below Yangshi, in the artery two cun distal to Qichong (ST30). It treats infertility in women. For those who have not given birth, moxibustion of 3 cones may induce pregnancy. Acupuncture: depth 0.8 cun, retain for 7 breaths.
Zhangmen (LR13) - Front-Mu point of the Spleen. Also known as Changping or Xie. Located lateral to Dahan (SP15), directly opposite the umbilicus at the end of the floating rib. Obtain with the patient lying on their side, upper leg flexed, lower leg extended, arm raised. It is the meeting point of the Foot-Jueyin Liver and Foot-Shaoyang Gallbladder Meridians. It treats borborygmus, indigestion, hypochondriac pain preventing lying down, vexing heat, dry mouth, anorexia, chest and hypochondriac fullness with wheezing, heart pain, lower back pain preventing turning, jaundice and emaciation from overeating, Ben-tun (rolling mass) with abdominal swelling and spinal stiffness, limb flaccidity, excessive fear, shortness of breath, jue-ni with immobility of shoulders and arms. Moxibustion: up to 100 moxa cones. Acupuncture: depth 0.6 cun.
Qimen (LR14) - Front-Mu point of the Liver. Located one and a half cun lateral to Burong (ST19), directly at the end of the second rib below the nipples. It is the meeting point of the Foot-Taiyin Spleen, Foot-Jueyin Liver, and Yin-Wei Vessels. It treats vexing heat in the chest, Ben-tun moving up and down, cyanosis of the eyes with vomiting, cholera with diarrhea, hard abdomen, severe dyspnea preventing lying down, accumulated Qi in the hypochondrium, residual diseases postpartum in women, inability to eat or drink, chest and hypochondriac fullness, cutting pain in the heart with frequent belching. If Shaoyang syndrome persists beyond its term, needling Qimen prevents transmission. Acupuncture: depth 0.4 cun. Moxibustion: 5 moxa cones.
Generally, the Foot-Jueyin Liver Meridian has more Blood and less Qi. Needling should aim to discharge evil Blood and release pathogenic Qi. The meridian runs from the foot to the abdomen. Assess the direction of Qi flow to apply Ying-Sui techniques. Tonify deficiency, reduce excess. Rapid withdrawal for heat, retention for cold. Moxibustion for collapsed Qi. If neither excess nor deficiency, treat using the meridian itself. This is the method for treating the Foot-Jueyin Liver Meridian.