足厥阴之脉。起于大指聚毛之际(聚毛。大敦穴分也。素问曰。厥阴之根。起于大敦)。
上循
足跗上廉(太冲穴在焉)。去内踝一寸(中封之位也)。上踝八寸。交出太阴之后(足厥阴行足
太阴之前。上踝八寸。而厥阴复出太阴之后也)。上 内廉(曲泉穴分也)。循股阴入毛中。
环阴器。抵小腹。挟胃属肝(足厥阴为肝之经故其脉属于肝也)。络胆(胆者肝之维故肝脉络
于胆)。上贯膈。布胁肋。循喉咙之后。上入顽颡(灵枢经曰。顽颡者。分气之泄池)。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
中(足厥阴自此行入手太阴)。是动则病(足厥阴常多血少气。今气先病。是谓是动也)。腰痛
不可以俯仰(素问所谓腰脊痛不可以俯仰者。三月一振。荣华万物。一俯而不仰也)。丈夫
疝。妇人少腹肿(素问所谓 疝。妇人少腹肿者。厥阴者。辰也。三月阳中之阴邪在中。故
曰疝少腹肿也)。甚则嗌干(素问所谓甚则嗌于热中者。阴阳相搏而热。故嗌干也)。面尘
脱色(面如有尘。而去其色脱去也)。是主肝。所生病者(血受病于气。是气之所生。故云。
所生病也)。胸满。呕逆洞泄(凡中其经。内于肝。肝气乘脾。故为洞泄矣)。狐疝(狐夜不得
尿日出方得。人之所病与狐同候。故曰狐病)。遗溺。闭癃(遗溺谓不禁。闭癃谓不行也)盛
者。寸口大一倍于人迎。虚者。寸口反小于人迎也。
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
则睾肿卒疝。实则挺长热。虚则暴痒。取之所别也。
足厥阴之筋。起于大指之上。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。则阴缩和。伤于热。则纵挺不收。治在行水清阴。其病转筋者。治在燔针劫刺
以知为数。以痛为输。名曰季秋痹也。
邪客于足厥阴之络。令人暴疝。卒痛。刺足大趾爪甲上。与肉交者各一 。男子立已。
女子有顷已。左刺右。右刺左。
肝病者。两胁下痛引少腹。令人善怒。虚则目KT KT 。无所见。耳无所闻。善恐。如人将
捕之
取其经厥阴于少阳。气逆则头痛耳聋不聪。颊肿。取血者。肝病热者。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。庚子甚。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。行间二穴。太冲二穴。中封二穴。蠡沟二穴。中都二穴。膝关二穴。曲泉二
穴。阴包二穴。五里二穴。阴廉二穴。章门二穴。期门二穴。
The meridian of Foot-Jueyin (Liver) originates at the pubic hair on the big toe (Pubic hair. The location of Dadun [LR1]. *Suwen* states: The root of Jueyin starts at Dadun).
It ascends along the upper medial border of the dorsum of the foot (Taichong [LR3] is located here), one cun anterior to the medial malleolus (the position of Zhongfeng [LR4]). It ascends eight cun above the ankle, crossing posterior to the meridian of Foot-Taiyin (Spleen) (Foot-Jueyin runs anterior to Foot-Taiyin; upon reaching eight cun above the ankle, it re-emerges posterior to Foot-Taiyin). It continues up the medial aspect of the thigh (the location of Ququan [LR8]), enters the pubic region, circles the external genitalia, reaches the lower abdomen, flanks the stomach, and connects with and belongs to the Liver (As Foot-Jueyin is the meridian of the Liver, its vessel belongs to the Liver). It links with the Gallbladder (The Gallbladder is the supporting organ of the Liver, so the Liver meridian connects with the Gallbladder). It passes upward through the diaphragm, spreads over the hypochondrium, follows the posterior aspect of the throat, and enters the nasal cavity (The *Ling Shu* states: The nasal cavity is the outlet for the dispersion of Qi). It connects with the optic nerve system, emerges from the forehead, and meets the Du Meridian at the vertex. A branch descends from the optic nerve system into the cheek interior, circling the inside of the lips. Another branch diverges from the Liver, pierces through the diaphragm, and flows upward into the Lungs (Foot-Jueyin thus transfers to Hand-Taiyin [Lung]).
When the meridian undergoes pathological changes ("Shi Dong" diseases) (Foot-Jueyin typically has abundant blood and scarce Qi; when Qi becomes diseased first, it is called "Shi Dong"). Symptoms include low back pain with inability to bend or extend (As described in *Suwen*: Low back and spine pain with inability to bend or extend is due to the third month where Yang energy振s, flourishing all things, bending but not extending). In men, hernia; in women, swelling of the lower abdomen (As described in *Suwen*: Hernia and lower abdominal swelling in women are associated with Jueyin corresponding to the Chen month, the third lunar month, where Yin evil within Yang is in the middle, hence termed hernia and lower abdominal swelling). Severe cases present with dryness of the pharynx (As described in *Suwen*: Severe dryness of the pharynx due to heat arises from the struggle between Yin and Yang generating heat). The face appears dusty and loses luster (The face looks as if covered with dust, and color is lost).
These are diseases generated by the Liver itself ("Suo Sheng Bing") (Blood becomes diseased due to Qi; this is a disease generated by Qi, hence called "Suo Sheng Bing"). Manifestations include chest fullness, vomiting and regurgitation, and watery diarrhea (When pathogenic factors invade the meridian and affect the Liver internally, Liver Qi overacts on the Spleen, leading to watery diarrhea). Fox hernia (Foxes cannot urinate at night but can after sunrise; human symptoms mimic foxes, hence named Fox Hernia). Enuresis and strangury (Enuresis refers to involuntary urination; strangury refers to difficulty or inability to urinate). In excess conditions, the pulse at Cun Kou is one times larger than Ren Ying; in deficiency conditions, the pulse at Cun Kou is smaller than Ren Ying.
The collateral vessel of Foot-Jueyin is named Ligou (LR5), located five cun above the medial malleolus, diverging to connect with Foot-Shaoyang (Gallbladder). Its branch ascends along the tibia to the testis, knotting at the penis. If Qi rebels in this collateral, testicular swelling and sudden hernia occur. In excess conditions, priapism and heat manifest; in deficiency conditions, sudden itching occurs. Treatment involves selecting the point of divergence.
The sinews of Foot-Jueyin originate above the big toe, ascend and knot anterior to the medial malleolus, follow the tibia upward, and knot below the medial condyle of the femur. They ascend along the medial thigh and knot at the external genitalia, linking various sinews. Pathologies include pain at the big toe and anterior medial malleolus, pain at the medial condyle, pain in the medial thigh, muscle cramps, dysfunction of the external genitalia. Injury from sexual excess leads to flaccidity; injury from Cold leads to retraction; injury from Heat leads to flaccid priapism. Treatment should focus on promoting water metabolism and clearing Yin. For muscle cramps, treatment involves burning needle puncture (Cao Zhen), using the number of sessions until improvement, and using painful points as acupuncture points. This condition is named Jiu Bi (Late Autumn Bi Syndrome).
Evil invading the collateral vessels of Foot-Jueyin causes sudden hernia and acute pain. Puncture the area above the nail plate and at the junction of flesh and nail on the big toe, one needle per side. Men recover immediately; women recover shortly after. Treat left lesions on the right, and right lesions on the left.
Liver diseases manifest as pain in both hypochondria radiating to the lower abdomen, causing irritability. Deficiency presents with blurred vision, inability to see, deafness, excessive fear, and a sensation of being pursued. Treatment involves selecting points from Foot-Jueyin and Foot-Shaoyang meridians. Qi rebellion causes headache, deafness, and facial swelling. Bloodletting is indicated for: Liver heat presenting with yellow urine, abdominal pain, somnolence, and body heat. When heat struggles with healthy Qi, delirium and惊厥 (convulsions) occur, accompanied by hypochondriac fullness and pain, restlessness of hands and feet, and inability to lie down. Conditions worsen on Geng Zi days; profuse sweating on Jia Yi days; death may occur on Geng Xin days if Qi rebels. Treatment involves needling Foot-Jueyin.
The Foot-Jueyin Liver Meridian travels from the foot to the chest, measuring six chi five cun in length. Both sides combined measure one zhang three chi. There are twenty-six acupoints in total:
Dadun (LR1) x2, Xingjian (LR2) x2, Taichong (LR3) x2, Zhongfeng (LR4) x2, Ligou (LR5) x2, Zhongdu (LR6) x2, Xiguan (LR7) x2, Ququan (LR8) x2, Yinbao (LR9) x2, Wuli (LR10) x2, Yinlian (LR11) x2, Zhangmen (LR13) x2, Qimen (LR14) x2.