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If there is disorder, headache due to wind causes redness of the face and eyes; needle depth 5 fen, moxibustion 3 zhuang.

Chongyang (ST42) consists of two points, located on the dorsum of the foot, 3 cun distal to Xiangu (ST43), where the Foot-Yangming Stomach meridian passes through, serving as the Yuan-Source point. It treats hemiplegia with deviation of the mouth and eye, swelling of the elbow, dental caries pain, chills and fever, abdominal hardness and distension with loss of appetite, tremors and coldness, long-term mania such as climbing high and singing, discarding clothes and running, foot weakness unable to hold shoes; needle depth 5 fen, moxibustion 3 zhuang.

Xiangu (ST43) consists of two points, belonging to Wood, located between the first and second toes, in the depression distal to the proximal interphalangeal joint, 2 cun distal to Neiting (ST44), where the Foot-Yangming Stomach meridian qi pours into, serving as the Shu-Stream point. It treats edema of the face and eyes, water diseases with frequent belching, borborygmus and abdominal pain, heat disease with no sweating, tremors and coldness, malaria; needle depth 3 fen, retain for seven breaths, moxibustion 3 zhuang.

Neiting (ST44) consists of two points, belonging to Water, located in the depression lateral to the space between the first and second toes, where the Foot-Yangming Stomach meridian qi flows, serving as the Ying-Spring point. It treats cold limbs, abdominal distension with frequent yawning, aversion to human voice, tremors and coldness with throat pain radiating inward, oral and dental caries pain, malaria with loss of appetite; moxibustion 3 zhuang, needle depth 3 fen.

Lidui (ST45) consists of two points, belonging to Metal, located at the tip of the first and second toes, distance from the nail like a leek leaf width, where the Foot-Yangming Stomach meridian qi emerges, serving as the Jing-Well point. It treats corpse-jue with clenched jaw and absent breathing, resembling evil possession, epigastric and abdominal fullness, heat disease with no sweating, chills and fever malaria with loss of appetite and edema, cold feet, bi syndrome of the throat and dental caries, aversion to wind with nasal obstruction, frequent fright and desire to lie down; needle depth 1 fen, moxibustion 1 zhuang.

For this Foot-Yangming Stomach meridian, both blood and qi are abundant; needling should release blood and qi. The meridian runs from head to foot: needling along the direction is Su (following), against the direction is Ying (opposing). For excess, use draining method; for deficiency, use tonifying method; for heat, needle quickly; for cold, retain needle; for sinking, use moxibustion; for neither excess nor deficiency, treat by taking from the meridian itself. This is the method for treating the Foot-Yangming Stomach meridian.

The Foot-Taiyin Spleen meridian originates at the tip of the big toe, follows the medial white flesh margin of the toe, passes behind the nuclear bone, ascends anterior to the medial malleolus, goes up the medial aspect of the leg, crosses anterior to the Jueyin meridian, ascends along the anterior medial aspect of the knee and thigh, enters the abdomen, connects with the Spleen and links with the Stomach, ascends through the diaphragm, flanks the pharynx, connects with the root of the tongue, and scatters under the tongue. Its branch separates from the Stomach, ascends through the diaphragm, and pours into the Heart. When the meridian is disturbed, it causes stiffness of the tongue root, vomiting after eating, epigastric pain and abdominal distension, frequent belching, relief after defecation or passing gas, heaviness of the body. Diseases generated by the Spleen include: pain at the root of the tongue, inability to move the body, difficulty eating, vexation, urgent pain in the epigastrium, loose stools with undigested food or dysentery, urinary retention, jaundice with inability to lie flat, rigidity, yawning, swelling and coldness of the inner thigh and knee, non-function of the big toe. In these conditions, if excess, the Qi Kou pulse is three times larger than the Ren Ying pulse; if deficiency, the Qi Kou pulse is smaller than the Ren Ying pulse.

The Luo-Connecting vessel of the Foot-Taiyin Spleen is named Gongsun (SP4), located 1 cun posterior to the base of the big toe, diverging to the Yangming meridian. Its branch enters and connects with the Intestines and Stomach. Rebellious Qi ascending causes Huoluan (cholera-like disorder); excess leads to cutting pain in the intestines; deficiency leads to鼓胀 (drum-like distension). Treat by selecting this Luo point.

The Sinew meridian of the Foot-Taiyin Spleen originates at the medial tip of the big toe, ascends and binds to the medial malleolus. The straight part ascends and binds to the medial condyle of the tibia, ascends along the medial thigh, binds to the hip, gathers at the genitalia, ascends to the abdomen and binds at the umbilicus, follows the interior of the abdomen, binds at the hypochondrium, scatters in the chest. The internal part attaches to the spine. Pathology includes: pain supporting the medial malleolus of the big toe, tendon cramping pain, pain at the medial tibial condyle, pain radiating from the medial thigh to the hip, twisting pain of the genitalia, upward radiation to the umbilicus and bilateral hypochondrium, radiation to the middle of the chest and inner spine. Treatment involves burning needle Ji Ci (severe stabbing), using the number of treatments until effect is known, using pain as the acupoint, named Mengqiu Bi.

Evil invading the collateral of the Foot-Taiyin Spleen causes lower back pain radiating to the lower abdomen and controlling the testicles, inability to breathe while lying supine. Needle Yaoshu (BL23) at the gap of the sacrum and upper gluteal region. Determine the number of needles based on the waxing and waning of the moon. Needling brings immediate relief. Left side treated by needling right, right side by left.

Spleen disease manifests as heavy body, prone to muscle atrophy, foot weakness and inability to walk, frequent convulsions and pain in the soles. Deficiency presents as abdominal fullness, borborygmus, stool with undigested food. Select the Spleen meridian, and the Blood points of Taiyin, Yangming, and Shaoyin.

Spleen Heat Disease begins with heavy head and cheek pain, vexation, greenish complexion, desire to vomit, and fever. When heat struggles, it causes lower back pain with inability to flex or extend, abdominal fullness, and pain in both mandibles. Symptoms worsen on Jia/Yi days, profuse sweating occurs on Wu/Ji days. If Qi rebels, death occurs on Jia/Yi days. Needle the Foot-Taiyin and Yangming meridians. The Great Luo of the Spleen is named Dabao (SP21), emerging 3 cun below Yuanshi (LI15? Note: Text says Yuanxia, likely referring to axillary region context or specific location relative to armpit), distributing across the chest and hypochondrium. Excess causes whole-body pain; deficiency causes relaxation of all joints. All vessels resembling a net in these collaterals should be treated.

The Foot-Taiyin Spleen meridian runs from the foot to the chest, measuring 6 chi 5 cun, totaling 1 zhang 3 chi for both sides, with 42 acupoints in total.

Yinbai (SP1) consists of two points (located at the medial tip of the big toe, distance from nail corner like leek leaf width). Dadu (SP2) consists of two points (in the depression posterior to the proximal interphalangeal joint of the big toe). Taibai (SP3) consists of two points (in the depression below the nuclear bone on the medial foot). Gongsun (SP4) consists of two points (1 cun posterior to the base of the big toe). Shangqiu (SP5) consists of two points (in the slight anterior depression below the medial malleolus). Sanyinjiao (SP6) consists of two points (in the depression below the bone 3 cun above the medial malleolus). Lougu (SP7) consists of two points (in the depression below the bone 6 cun above the medial malleolus). Dijji (SP8), also named Pishé, is located 1 cun superiorly in the empty space below the knee, 5 cun below the knee. Yinlingquan (SP9) consists of two points (in the depression below the medial condyle of the tibia). Xuehai (SP10) consists of two points (2 cun on the medial white flesh margin above the patella). Jimen (SP11) consists of two points (on the fish belly, crossing between tendons, arterial pulse in the medial thigh). Chongmen (SP12), also named Cigong, is 5 cun distal to Daheng, at the end of the transverse bone below Fushé, in the arterial pulse. Fushé (SP13) consists of two points (3 cun below Fujie). Fujie (SP14), also named Changku, is 3 fen below Daheng. Daheng (SP15) consists of two points (3.5 cun below Fu'ai). Fu'ai (SP16) consists of two points (1.5 cun below Riyue). Shidou (SP17) consists of two points (1.5 cun below Tianxi). Tianxi (SP18) consists of two points (1.6 cun below Xiongxiang). Xiongxiang (SP19) consists of two points (1.6 cun below Zhourong). Zhourong (SP20) consists of two points (1.6 cun below Zhongfu, in the depression). Dabao (SP21) consists of two points (3 cun below Yuanshi, in the 9th intercostal space).

Yinbai (SP1) belongs to Wood, located at the medial tip of the big toe, distance from nail corner like leek leaf width, where the Foot-Taiyin Spleen meridian qi emerges, serving as the Jing-Well point. It treats abdominal distension and wheezing, inability to lie down, vomiting and inability to eat, sudden diarrhea and epistaxis, sudden corpse-jue with loss of consciousness, cold feet unable to warm; needle depth 3 fen. For women with prolonged menstruation, needling brings immediate cure.

Dadu (SP2) belongs to Fire, located in the depression posterior to the proximal interphalangeal joint of the big toe, where the Foot-Taiyin Spleen meridian qi flows, serving as the Ying-Spring point. It treats heat disease with no sweating, cold limbs, abdominal distension with frequent vomiting, vexation and heat with confusion, regurgitation and vertigo; moxibustion 3 zhuang, needle depth 3 fen.

Taibai (SP3) belongs to Earth, located in the depression below the nuclear bone on the medial foot, where the Foot-Taiyin Spleen meridian qi pours into, serving as the Shu-Stream point. It treats fever and vexation/fullness, abdominal distension with indigestion, vomiting and purulent bloody diarrhea, lower back pain with difficult defecation and rebellious Qi, Huoluan with cutting abdominal pain; moxibustion 3 zhuang, needle depth 3 fen.

Gongsun (SP4) is located 1 cun posterior to the proximal interphalangeal joint of the big toe, diverging to the Yangming and Taiyin collaterals. It treats cold malaria with loss of appetite, sudden facial swelling, vexation and manic speech, abdominal deficiency distension like a drum; moxibustion 3 zhuang, needle depth 4 fen.

Shangqiu (SP5) belongs to Metal, located in the slight anterior depression below the medial malleolus, where the Foot-Taiyin Spleen meridian qi travels, serving as the Jing-River point. It treats abdominal distension, intestinal borborygmus and constipation, spleen deficiency causing unhappiness, body coldness with frequent sighing, sadness and rebellious Qi, hemorrhoids, bone abscesses with erosion, sterility and bad dreams; moxibustion 3 zhuang, needle depth 3 fen.

Sanyinjiao (SP6) is located in the depression below the bone 3 cun above the medial malleolus, the intersection of the Foot-Taiyin, Jueyin, and Shaoyin meridians. It treats pi accumulation and cold in the abdomen, pain in the knee and inner thigh, rebellious Qi with difficult urination, spleen disease with heavy body and inability to lift limbs, abdominal distension and borborygmus, loose stools with indigestion, women with continuous leukorrhea; moxibustion 3 zhuang, needle depth 3 fen. Formerly, the Crown Prince of Song was skilled in medicine. Seeing a pregnant woman, he diagnosed: "This is a girl." Xu Wenbo also diagnosed: "This is a boy and a girl." The Crown Prince wanted to perform an abortion. Wenbo then drained Sanyinjiao (SP6) on the feet and tonified Hegu (LI4) on the hands. The fetus fell upon needling. Thus, pregnancy contraindicates needling.

Lougu (SP7), also named Taiyin Luo, is located in the depression below the bone 6 cun above the medial malleolus. It treats pi accumulation and cold qi, epigastric and abdominal fullness, food and drink failing to nourish skin and muscles, damp-bi with inability to stand for long; needle depth 3 fen.

Dijji (SP8), also named Pishé, is the Foot-Taiyin Spleen meridian, diverging 1 cun superiorly into the empty space, located 5 cun below the knee. It treats blood masses in women, feeling like hot water pouring from the inner thigh to the knee upon pressure, men with loose stools and abdominal/hypochondriac qi distension, edema with hard abdomen and loss of appetite, difficult urination; moxibustion 3 zhuang, needle depth 3 fen.

Yinlingquan (SP9) belongs to Water, located in the depression below the medial condyle of the tibia, taken with the leg extended, where the Foot-Taiyin Spleen meridian qi enters, serving as the He-Sea point. It can also be taken with the knee bent. It treats cold in the abdomen with loss of appetite, fullness below the diaphragm, water distension and hard abdomen, wheezing and rebellion with inability to lie flat, lower back pain with inability to flex/extend, Huoluan and hernia masses, difficult urination and strangury, irregular chills and fever; needle depth 5 fen.

Xuehai (SP10) is located 2 cun on the medial white flesh margin above the patella. It treats women with leukorrhea and bad blood, irregular menstruation, rebellious Qi and abdominal distension; moxibustion 3 zhuang, needle depth 5 fen.

Jimen (SP11) is on the fish belly, crossing between tendons, with palpable arterial pulse, in the medial thigh. Alternatively described as between rising tendons on the thigh. It treats strangury and enuresis, inguinal swelling and pain, urinary retention; moxibustion 3 zhuang.

Chongmen (SP12), also named Cigong, is 5 cun distal to Daheng, at the arterial pulse between the ends of the transverse bone below Fushé, intersection of Foot-Taiyin and Jueyin. It treats cold qi in abdomen with fullness, accumulations and pain, yin hernia, difficult labor, uterus pressing on heart with inability to breathe; needle depth 7 fen, moxibustion 5 zhuang.

Fushé (SP13) is 3 cun below Fujie, intersection of Foot-Taiyin, Jueyin, and Yinwei meridians. These three meridians enter the abdomen上下, connect Liver and Spleen, bind Heart and Lungs, and ascend from hypochondrium to shoulder. This is the Taiyin meridian, a branch of Sanjiao, Yangming. It treats hernia masses, urgent pain in Spleen, pain seizing the heart along the hypochondrium, abdominal fullness and accumulations, rebellious Qi Huoluan; needle depth 7 fen, moxibustion 5 zhuang.

Fujie (SP14) is 3 fen below Daheng, also named Changku. It treats periumbilical pain, upward seizure to the heart, cold abdomen with diarrhea and cough/rebellion; needle depth 7 fen, moxibustion 5 zhuang.

Daheng (SP15) is 3.5 cun below Fu'ai, directly beside the umbilicus, intersection of Foot-Taiyin and Yinwei. It treats severe wind with rebellious Qi, frequent coldness and sorrow; moxibustion 5 zhuang, needle depth 3 fen.

Fu'ai (SP16) is 1.5 cun below Riyue, intersection of Foot-Taiyin and Yinwei. It treats pus and blood in stool, cold invasion with indigestion, abdominal pain; needle depth 3 fen.

Shidou (SP17) is 1.6 cun below Tianxi, taken with arm raised, where Foot-Taiyin Spleen meridian qi issues. It treats hypochondriac support and fullness, borborygmus in the diaphragm, constant low sounds; needle depth 4 fen, moxibustion 5 zhuang.

Tianxi (SP18) is in the depression 1.6 cun below Xiongxiang, taken supine. Where Foot-Taiyin Spleen meridian qi issues. It treats fullness and pain in chest, breast swelling and pectoral distension, cough/rebellion with air, sounds in throat; needle depth 4 fen, moxibustion 5 zhuang.

Xiongxiang (SP19) is in the depression 1.6 cun below Zhourong, taken supine. Where Foot-Taiyin Spleen meridian qi issues. It treats hypochondriac support and fullness, pain radiating to chest and back, inability to turn in bed; needle depth 4 fen, moxibustion 5 zhuang.

Zhourong (SP20) is in the depression 1.6 cun below Zhongfu. Taken supine, where Foot-Taiyin Spleen meridian qi issues. It treats hypochondriac support and fullness, inability to flex/extend, inability to eat, coughing thick pus; needle depth 4 fen.

Dabao (SP21) is 3 cun below Yuanshi, the Great Luo of the Spleen, distributing in the chest and hypochondrium, emerging from the 9th intercostal space. It treats large qi in abdomen, inability to breathe, pain in chest and hypochondrium. Internal excess causes whole-body coldness; deficiency causes relaxation of all joints; moxibustion 3 zhuang, needle depth 3 fen.

For this Foot-Taiyin Spleen meridian, it usually has abundant Qi and scarce Blood. Needling should release Qi and avoid stasis. The meridian runs from foot to abdomen: needling from bottom to top is Su (following), from top to bottom is Ying (opposing). Disease in Wei (Defensive) level takes Qi; disease in Ying (Nutritive) level takes Blood. Disease in sinews uses Ji Ci (burning needle stabbing). Disease in floating collaterals uses Miu Ci (lateral needling). The Yin of Taiyin is named Guanzhe. Observe floating collaterals in the area; these are Taiyin collaterals. If collaterals are full, evil enters the meridian. Entering collaterals causes fullness and color change. Entering meridians causes sinking due to deficiency. Remaining between sinews and bones: Cold excess causes sinew contraction and bone pain; Heat excess causes sinew relaxation and bone consumption, muscle wasting and skin rupture, hair standing straight and decaying. For diseases of the twelve meridians: Excess drains, deficiency tonifies, heat needles quickly, cold retains needle, sinking uses moxibustion, neither excess nor deficiency takes from the meridian. This is the method for treating the Foot-Taiyin Spleen meridian.