\r手少阳三焦经图\p06-d18a10.bmp\r
三焦脉起于小指次指之端至目兑 注胆经
手少阳三焦之脉,起于小指次指之端(关冲穴也),上出两指之间(液门穴也),循手表腕
池穴也),出臂外两骨之间(支沟穴也),上贯肘,循 外上肩,而交出足少阳之后,入缺盆
,布膻中(膻中在玉堂穴下一寸六分,两乳之间陷中是也)。散络心包,下膈循属三焦。其支
者,从膻中上出缺盆,上项挟耳后,直上出耳上角,以屈下颊(一作颅)至 。其支者,从耳
后入耳中,出走耳前,过客主人(客主人在耳前上起骨,开口有空者),前交颊,至目锐 。
手少阳三焦之脉,多气少血,是动则病,耳聋耳鸣,浑浑 ,嗌肿喉痹,是主气所生
病者,汗出,目锐 痛,颊痛,耳后肩 肘臂外皆痛,小指次指不用。
\r足少阳胆经图\p06-d18a11.bmp\r
胆脉起于目兑 入大指循歧骨内出于端注肝经
足少阳胆之脉,起于目锐 ,上抵头角,下耳后循颈行手少阳之前,至肩上,却交出手
少阳
之后,入缺盆。其支者,从耳后入耳中,出走耳前,至目锐 后。其支者,别锐 ,下大迎
,合于手少阳,抵于 ,下加颊车,下颈合缺盆,以下胸中贯膈,络肝属胆,循胁里,出气
街,绕毛际,横入髀厌中。其直者,从缺盆下腋,循胸中过季胁,下合髀厌中,以下循髀阳
,出膝外廉(阳陵泉也),下外辅骨之前(辅骨在陷下)。直下抵绝骨之端(绝骨外端阳辅穴)。
下出外踝之前,循足跗上,入小趾次趾之间。其支者,别跗上,入大趾之间,循大趾岐骨内
,出其端,还贯爪甲,出三毛中。
足少阳之经,多气少血,是动则病,口苦,善太息,心胁痛不能转侧,甚则面有微尘,
体无
膏泽,足外反热,是为阳厥,是主骨。所生病者,头痛颔痛,目锐 痛,缺盆中肿痛,腋下
肿,马刀挟瘿,汗出振寒,疟胸胁肋髀膝外至胫,绝骨外踝前及诸节皆痛,小趾次趾不用。
[Diagram of the Hand-Shaoyang Sanjiao Meridian]
The Sanjiao meridian originates at the tip of the fourth finger, reaches the outer canthus, and connects with the Gallbladder meridian.
The Hand-Shaoyang Sanjiao (Triple Burner) meridian originates at the tip of the ring finger (Guanchong, SI 1), ascends between the fingers (Yemen, SJ 2), follows the dorsal aspect of the hand to the wrist, emerges between the two bones of the forearm (Zhigou, SJ 6), ascends through the elbow, follows the lateral aspect of the upper arm to the shoulder, crosses posterior to the Foot-Shaoyang Gallbladder meridian, enters the supraclavicular fossa (Quepen, GB 12), and spreads in the chest center (Shanzhong, CV 17; located 1.5 cun below Yutang, CV 19, in the depression between the nipples). It disperses and connects with the Pericardium, descends through the diaphragm, and belongs to the Sanjiao. A branch arises from the Shanzhong, ascends out of the Quepen, travels up the neck behind the ear, emerges directly above the upper angle of the ear, then curves down to the cheek (or skull) to reach the infraorbital region. Another branch enters the ear from behind the ear, emerges anterior to the ear, passes through the Guest Master point (Keguren, ST 7; located in the depression anterior to the tragus when the mouth is open), crosses anteriorly at the cheek, and reaches the outer canthus.
The Hand-Shaoyang Sanjiao meridian has abundant Qi and scarce Blood. When the meridian is disturbed, symptoms include deafness, tinnitus, a muffled sensation in the head, swelling of the throat, and throat obstruction. If diseases arise from the Qi regulated by this meridian, symptoms include sweating, pain in the outer canthus, cheek pain, pain along the posterior ear, shoulder, arm, elbow, and lateral aspect of the forearm, and dysfunction of the ring and little fingers.
[Diagram of the Foot-Shaoyang Gallbladder Meridian]
The Gallbladder meridian originates at the outer canthus, enters the big toe, follows the interosseous space, emerges at the tip, and connects with the Liver meridian.
The Foot-Shaoyang Gallbladder meridian originates at the outer canthus, ascends to the frontal angle of the head, descends behind the ear, runs along the neck anterior to the Hand-Shaoyang Sanjiao meridian, reaches the shoulder, crosses posterior to the Hand-Shaoyang Sanjiao meridian, and enters the supraclavicular fossa. A branch enters the ear from behind the ear, emerges anterior to the ear, and reaches the posterior aspect of the outer canthus. Another branch diverges from the outer canthus, descends to the Daying point (ST 5), merges with the Hand-Shaoyang Sanjiao meridian, reaches the infraorbital region, descends to the Jiache point (ST 6), goes down the neck to merge with the supraclavicular fossa, descends into the chest, pierces the diaphragm, connects with the Liver, and belongs to the Gallbladder. It follows the interior of the hypochondrium, emerges at the Qichong point (ST 30), surrounds the pubic region, and enters transversely into the hip joint. The main trunk descends from the supraclavicular fossa into the axilla, passes along the lateral chest and costal margin, merges with the hip joint, descends along the lateral thigh, emerges at the lateral knee (Yanglingquan, GB 34), goes down anterior to the fibula (located in the depression), reaches the end of the Juegu (Yangfu, GB 38), emerges anterior to the lateral malleolus, follows the dorsum of the foot, and enters between the fourth and fifth toes. A branch diverges from the dorsum of the foot, enters between the big toe and the second toe, follows the medial aspect of the first metatarsal bone, emerges at the tip of the toe, returns to penetrate the nail bed, and emerges among the hair follicles (Sanmao).
The Foot-Shaoyang Gallbladder meridian has abundant Qi and scarce Blood. When the meridian is disturbed, symptoms include bitter taste in the mouth, frequent sighing, pain in the heart and hypochondrium preventing turning over, and in severe cases, a dusty complexion and lack of luster in the body. Heat on the lateral aspect of the foot indicates Yang Jue (Yang Reversal). This meridian governs the bones. Diseases governed by this meridian include headache, mandibular pain, pain in the outer canthus, swelling in the supraclavicular fossa, axillary swelling, "Horse Knife" and "Xia Ying" (types of scrofula or tumors), sweating with chills, malaria, and pain in the chest, hypochondrium, ribs, thigh, lateral knee, lower leg, Juegu, lateral malleolus, and various joints. There is also dysfunction of the fourth and fifth toes.