手太阴肺中焦生下络大肠出贲门上膈属肺从肺系系横出腋 中行肘臂寸口上鱼际大指内侧爪
甲根支络还从腕后出接次指属阳明经此经多气而少血是动则病喘与咳肺胀膨膨缺盆痛两手交
瞀为臂厥所生病者为气咳喘渴烦心胸满结 臂之外前廉痛小便频数掌中热气虚肩背痛而寒气
盛亦疼风汗出欠伸少气不足息遗失无度溺变别
阳明之脉手大肠次指内侧起商阳循指上连出合谷两筋岐骨循臂肪入肘外廉循 外肩端前廉柱
骨傍从肩下入缺盆内络肺下膈属大肠支从缺盆上入颈斜贲颊前下齿当环出人中交左右上侠鼻
孔注迎香此经血盛气亦盛是动颈肿并齿痛所生病者为鼻衄目黄口干喉痹生大指次指难为用肩
外侧痛相仍
胃足阳明交鼻起下循鼻起下循鼻外下入齿还出侠口绕承浆顾大迎颊车里耳前发际至额颅支下人
迎缺盆底下膈入胃络脾宫直者缺盆下乳内一支幽门循腹中下行直合气冲逢遂由髀关抵膝膑 HT
是动欠伸面颜黑凄凄之恶寒畏见人忽闻木声心振习登高而歌弃衣走甚则腹胀乃贲响凡此诸疾
皆厥所生病者为狂疟湿温汗出鼻流血口 唇裂又喉痹膝膑疼痛腹胀结气膺伏兔 外廉足跗
中指俱痛彻有余消谷渴溺色黄不足身前寒振栗胃房胀满食不消气盛身前皆有热
太阴脾起足大指上循内侧白肉际核骨之后内踝前上 循 胫膝里股内前廉入肠中属脾络胃与
膈通侠喉连舌散舌下支络从胃注心宫此经气盛而血衰是动具病气所为食入即吐胃脘痛更兼身
体痛难移腹胀善噫舌本强得后与气快然衰所生病者舌亦痛体重不食亦如之烦心下仍急痛泄水
溏瘕寒疟随不卧强立股膝肿疽发身黄大指痿
手少阴脉起心中下膈直与小肠通支者还从肺系走直上咽喉系目瞳直者上肺出腋下 后肘内少
海从臂内后廉抵掌中兑骨之端注少冲多气少血属此经是动心脾痛难任渴欲饮水咽干燥所生胁
痛目如金胁臂之内后廉痛掌中有热向经寻
手太阳经小肠脉小指之端起少泽循手外廉出踝中循臂骨出肘内侧上循 外出后廉直过肩解绕
肩甲交肩下入缺盆内向腋络心循咽益下膈抵胃属小肠一支缺盆贯颈颊至目兑 却入耳复从耳
前仍上颊抵鼻升至目内 斜络于颧别络接此经少气还多血是动则病痛咽嗌颔下肿兮不可颧肩
如拔兮 似欣所生病兮主肩 耳聋目黄肿腮颊肘臂之外后廉痛部分犹当细分别
足经太阳膀胱脉目内 上悬额尖支者巅上至耳角直者从巅脑后悬络脑还出别下顶仍循肩膊侠
脊边抵腰膂肾膀胱内一支下与后阴连贯臀斜入委中穴一支膊左右别贯肺侠脊过脾枢臂内后廉
中合下贯 内外踝后京骨之下脂外侧是经血多气少也是动头痛不可当项如拔弓腰似折
髀谨
痛彻脊中央 如结兮 如裂是为踝厥筋乃伤所生疟痔小指废头囟顶痛目色黄腰尻 脚痛连背
泪流鼻衄及癫狂
足经肾脉属少阴小指斜透涌泉心然骨之下内踝后别入跟中 内侵出 内廉上股内贯脊属肾膀
胱临直者属肾贯肝膈入肺循喉舌本寻支者从肺络心内仍至胸中部分深此经多气而少血是动病
肌不欲食喘嗽喘血喉中鸣坐而欲起面如垢目视KT KT 气不足心悬如饥常惕惕所生病者为舌干
口热咽痛气贲逼股内后廉并脊疼心肠烦痛疽而 痿厥嗜卧体怠惰足下热痛皆肾厥
手厥阴心主起胸属包下膈三焦宫支者循胸出胁下下连腋三寸同仍上抵腋循 内太阴少阴两
经
中指透中冲支者别小指次指络相通是经少气原多血是动则病乎心热肘臂挛急腋下肿甚则胸胁
支满结心中澹澹或大动善笑目黄面赤色所生之者为心烦心痛掌热病之则发
手经少阳三焦脉起自小指次指端两指岐骨手腕表上出臂外两骨间肘后 外循肩上少阳之后交
别传下入缺盆膻中分散络心膈高里穿者膻中缺盆上上项耳后角旋屈下至颐仍注颊一支出耳入耳
前却从上关交曲颊至目内 乃尽焉斯经少血还多气是动耳鸣喉肿痹所生病者汗自出耳后痛兼
目锐 肩 肘臂外 疼小指次指亦如废
足脉少阳胆之经始从两踝锐 生抵头循角下耳后脑空风池次第行手少阳前至肩上交少阳右上
缺盆支者耳后贯耳内出走耳前锐 循一支锐 大迎下合手少阳抵项根下加颊车缺盆合入胸贯
膈络肝经属胆仍从胁里过下入气街毛际索横入髀厌环跳内直者缺盆下腋膺过季胁下髀厌内出
膝外廉是阳陵外辅绝骨踝前过足跗小指次指分一支别从大指去三毛之际接肝经此经多气乃少
血是动口苦善大息心胁疼痛难转移面尘足热体无泽所生头痛连锐 缺盆肿痛并两腋马刀侠
瘿生两旁汗出振寒 疟疾胸胁髀膝至 骨绝骨踝痛及诸节
厥阴足脉肝所终大指之端毛际丛足跗上廉太冲分踝前一寸入中封上踝交出太阴后循胭内廉阴
股充环绕阴器抵小腹侠胃属肝络胆逢上贯膈里布胁肋侠喉项颈上系同脉上巅会督脉出支者还
生目系中下络颊里还唇内支者便从膈肺通是经血多气少焉是腰动疼俯仰难男疝女人小腹肿面
尘脱色及咽干所生病者为胸满呕吐同泄小便难或时遗溺并狐疝临证还须仔细看
Hand-Taiyin Lung Meridian: Originates in the Middle Jiao (Middle Burner), descends to connect with the Large Intestine, circles back up through the diaphragm, and belongs to the Lung. From the lung system (trachea, larynx, etc.), it emerges horizontally at the axilla (below Ji Quan HT1), descends along the anterior aspect of the medial upper arm, passes through the cubital fossa, follows the anterior aspect of the medial forearm, reaches Cun Kou (Radial Pulse), ascends to Yu Ji (Thenar Eminence), and terminates at the radial corner of the nail root on the medial side of the thumb. Its branch diverges from the wrist (Lie Que LU7) and heads to the radial side of the index finger, connecting with the Hand-Yangming Large Intestine Meridian. This meridian has abundant Qi and scarce Blood. If pathological changes occur in the meridian, symptoms include wheezing, cough, distension and fullness of the lung, pain in the supraclavicular fossa (Que Pen), crossing both hands over the chest and heart region, known as "Arm Jue" (Bi Jue). Diseases generated by this meridian involve Qi rebellion, cough, wheezing, thirst, mental restlessness, chest fullness and stagnation, pain along the lateral anterior aspect of the arm, frequent urination, and heat in the palm; deficiency presents with cold pain in the shoulder and back; excess cold also causes pain; wind invasion leads to sweating, yawning, shortness of breath, seminal emission without control, and alteration in urine color.
Hand-Yangming Large Intestine Meridian: The pulse begins at Shang Yang LI1 on the radial side of the index finger, ascends along the finger, emerges at He Gu LI4 between the tendons of the metacarpals, runs along the anterior aspect of the lateral forearm, enters the lateral elbow, ascends along the anterior aspect of the lateral upper arm, travels to the anterior aspect of the shoulder tip, runs alongside the vertebral column, enters the supraclavicular fossa from below, internally connects with the Lung, descends through the diaphragm, and belongs to the Large Intestine. Its branch ascends from the supraclavicular fossa, passes through the neck, obliquely traverses the cheek, enters the lower gum, returns to encircle the lips, crosses at Ren Zhong GV26, ascends to clamp the nasal aperture, and pours into Ying Xiang LI18, connecting with the Foot-Yangming Stomach Meridian. This meridian has abundant Qi and Blood. Pathological changes manifest as swelling of the neck and toothache. Diseases generated include epistaxis, yellowing of the eyes, dry mouth, throat obstruction (Hou Bi), difficulty in using the thumb and index finger, and continuous pain on the lateral side of the shoulder.
Foot-Yangming Stomach Meridian: Begins at the side of the nose, descends along the nasal exterior, enters the upper gum, returns to encircle the lips, surrounds Cheng Jiang CV24, looks back at Da Ying ST5, follows Jia Che ST6, ascends to the front of the ear, passes through the hairline to the vertex. Its branch descends from Da Ying to Ren Ying ST9, crosses the supraclavicular fossa, passes through the diaphragm, enters the Stomach, and connects with the Spleen. The straight course descends from the supraclavicular fossa along the inner mammary line; one branch descends from You Men ST15 along the abdominal midline to Qi Chong ST30, then from Bi Guan ST31 to the knee patella. Pathological changes include yawning, dark facial complexion, aversion to cold, fear of people, palpitation upon hearing wooden sounds, climbing high and singing, discarding clothes and running, abdominal distension like a drum, and borborygmus. These are all Jue syndromes. Diseases generated include mania, malaria, damp-warmth, sweating, epistaxis, cracked lips, throat obstruction, knee pain, abdominal distension, Qi stagnation in the chest, pain in the Ying area, lateral Fu Tu ST32, dorsum of the foot, and middle toe; excess presents with digestion of food quickly, thirst, and yellow urine; deficiency presents with cold shivering in the anterior body, gastric distension, and indigestion.
Foot-Taiyin Spleen Meridian: Originates at the tip of the great toe, follows the medial white flesh margin, behind the nuclear bone (base of the first metatarsal), anterior to the medial malleolus, ascends along the medial tibia, enters the popliteal fossa, follows the anterior aspect of the medial thigh, enters the abdomen, belongs to the Spleen, connects with the Stomach, communicates with the diaphragm, flanks the pharynx, connects to the root of the tongue, and scatters under the tongue. Its branch diverges from the Stomach and pours into the Heart. This meridian has abundant Qi and scarce Blood. Pathological changes involve Qi dysfunction, immediate vomiting after eating, epigastric pain, body pain difficult to shift, abdominal distension, belching, stiffness of the tongue root, and relief after defecation or passing gas. Diseases generated include tongue pain, heavy body, anorexia, mental distress, urgent pain below the heart, watery diarrhea, loose stools, masses (Jia), cold malaria, inability to lie down comfortably, swelling of the thigh and knee when standing forcibly, carbuncles, jaundice, and atrophy of the great toe.
Hand-Shaoyin Heart Meridian: Originates in the Heart, descends through the diaphragm, and directly connects with the Small Intestine. Its branch returns from the lung system, ascends along the pharynx, and connects with the eye system (optic nerve/veins). The straight course emerges from the Lung, exits the axilla (Ji Quan HT1), follows the posterior medial aspect of the upper arm, reaches the medial elbow, follows the posterior medial aspect of the forearm,抵s the end of the ulnar styloid process (Dui Gu), enters the posterior medial palm, and pours into Shao Chong HT9. This meridian has abundant Qi and scarce Blood. Pathological changes include unbearable heart pain, thirst for water, and dry throat. Diseases generated include hypochondriac pain, yellow eyes, pain along the posterior medial aspect of the arm, and heat in the palm.
Hand-Taiyang Small Intestine Meridian: The pulse begins at Shao Ze SI1 at the tip of the little finger, follows the lateral hand, emerges from the ulnar styloid process, follows the posterior aspect of the forearm bone, exits the medial elbow, ascends along the posterior lateral aspect of the upper arm, passes directly over the shoulder joint, winds around the scapula, intersects at the shoulder, enters the supraclavicular fossa, internally connects with the Heart, follows the pharynx, passes through the diaphragm, reaches the Stomach, and belongs to the Small Intestine. One branch emerges from the supraclavicular fossa, penetrates the neck and cheek, reaches the inner canthus (Jing Ming BL1), and enters the ear; another branch emerges from the ear, ascends to the cheek, reaches the outer canthus, and obliquely connects with the zygomatic bone. This meridian has scarce Qi and abundant Blood. Pathological changes include sore throat, submandibular swelling, pulling pain in the zygoma and shoulder, and breaking pain in the arm. Diseases generated primarily involve shoulder pain, deafness, yellow eyes, swollen cheeks, and pain in the posterior lateral aspect of the elbow and arm.
Foot-Taiyang Bladder Meridian: The pulse begins at the inner canthus (Jing Ming BL1), ascends to the forehead, and intersects at the vertex. Its branch goes from the vertex to the ear apex. The straight course enters from the vertex to connect with the Brain, emerges again at the nape, follows the shoulder blades, flanks the spine, reaches the loins, enters the paraspinal muscles, connects with the Kidney, and belongs to the Bladder. One branch descends from the loins, flanks the spine, passes through the buttocks, and obliquely enters Wei Zhong BL40. Another branch diverges left and right, penetrates the Lung, flanks the spine, passes the Spleen, follows the posterior medial aspect of the arm, merges with the lower part, penetrates between the medial and lateral malleoli, below Jing Gu BL64, and to the lateral fat pad. This meridian has abundant Blood and scarce Qi. Pathological changes include severe headache, stiff neck like being pulled, waist like being broken, hip pain penetrating the central spine, sensation of knotting or tearing, ankle Jue, and tendon injury. Diseases generated include malaria, hemorrhoids, useless little toe, vertex pain, yellow eyes, low back and sacral pain extending to the back, tearing eyes, epistaxis, and epilepsy.
Foot-Shaoyin Kidney Meridian: Belongs to Shaoyin, obliquely penetrates Yong Quan KI1 from the little toe, emerges below Ran Gu KI2, enters the heel separately behind the medial malleolus, invades inward to emerge at the anterior medial aspect of the medial malleolus, ascends along the medial thigh, penetrates the spine, belongs to the Kidney, and connects with the Bladder. The straight course belongs to the Kidney, penetrates the Liver, enters the diaphragm, enters the Lung, follows the throat, seeks the root of the tongue. Its branch diverges from the Lung, connects with the Heart, and still reaches the chest. This meridian has abundant Qi and scarce Blood. Pathological changes include lack of appetite, wheezing and cough, hemoptysis, stridor in the throat, desire to sit up but lie down, dirty facial complexion, blurred vision, insufficient Qi, feeling of hunger with a hanging heart, and constant apprehension. Diseases generated include dry tongue, hot mouth, sore throat, rushing Qi, pain along the posterior medial aspect of the thigh and spine, mental and intestinal distress, carbuncles, atrophy, cold limbs, drowsiness, lethargy, and hot painful soles, all constituting Kidney Jue.
Hand-Jueyin Pericardium Meridian: Originates in the chest, belongs to the Pericardium, descends through the diaphragm, and sequentially connects with the San Jiao (Triple Burner). Its branch follows the chest out to the hypochondrium, descends 3 cun below the axilla, ascends to the axilla, follows the medial upper arm, runs between the Hand-Taiyin and Hand-Shaoyin meridians, enters the elbow, descends the forearm between two tendons, enters the palm, and emerges at the tip of the middle finger (Zhong Chong PC9). Its branch diverges from the palm, connects with the tip of the ring finger, linking with the Hand-Shaoyang San Jiao Meridian. This meridian originally has scarce Qi and abundant Blood. Pathological changes include heat in the palm, spasm and stiffness of the elbow and arm, axillary swelling, chest and hypochondriac fullness, palpitations, excessive laughter, yellow eyes, and red face. Diseases generated include mental distress, heart pain, and heat in the palm; onset manifests as these symptoms.
Hand-Shaoyang San Jiao Meridian: The pulse originates between the radial and ulnar sides of the ring and index fingers, emerges above the wrist on the dorsal aspect, exits between the two bones of the forearm, behind the elbow, ascends along the shoulder, behind the Shaoyang, intersects and transmits downward, enters the supraclavicular fossa, disperses in the Dan Zhong (Chest Center), connects with the Pericardium, penetrates the diaphragm, and belongs to the Upper, Middle, and Lower Jiao. Its branch emerges from the Dan Zhong, ascends the neck, rotates behind the ear angle, descends to the chin, and pours into the cheek; one branch enters the ear from behind, emerges before the ear, passes above Shang Guan TE13, intersects at the curved jaw, and reaches the inner canthus, ending here. This meridian has scarce Blood and abundant Qi. Pathological changes include tinnitus and throat swelling/obstruction. Diseases generated include spontaneous sweating, pain behind the ear, pain at the outer canthus, shoulder, elbow, and lateral arm pain, and uselessness of the ring and index fingers.
Foot-Shaoyang Gallbladder Meridian: Begins at the outer canthus (Tong Zi Liao GB1), reaches the head, follows the temporal angle down behind the ear, proceeding through Nao Kong GB19 and Feng Chi GB20, before the Hand-Shaoyang, to the shoulder, intersecting above the Shaoyang, at the right supraclavicular fossa. Its branch penetrates the ear from behind, emerges before the ear, to the lateral canthus rear; one branch descends from the lateral canthus to Da Ying ST5, combines with the Hand-Shaoyang, reaches the neck root, adds to Jia Che ST6, combines at the supraclavicular fossa, enters the chest, penetrates the diaphragm, connects with the Liver, belongs to the Gallbladder, passes through the hypochondrium, descends to Qi Jie (inguinal region), horizontal entry to the pubic hair, enters the hip crevice (Huan Tiao GB30). The straight course descends from the supraclavicular fossa to the axilla, chest, lateral costal margin, down through the hip crevice, emerges at the lateral knee, is Yang Ling Quan GB34, outside the fibula, Xuan Zhong GB39, anterior to the ankle, passes the dorsum of the foot, divides at the little and index toes. One branch diverges from the pubic hair area, connects with the Liver Meridian. This meridian has abundant Qi and scarce Blood. Pathological changes include bitter taste, frequent sighing, difficult-to-shift pain in the heart and hypochondrium, dusty complexion, hot feet, lusterless body. Diseases generated include headache connected to the outer canthus, swelling and pain in the supraclavicular fossa and both axillae, Ma Dao and Xia Ying (scrofula) on both sides, sweating with chills, malaria, pain in the chest, hypochondrium, thigh, knee, Xuan Zhong, ankle, and various joints.
Foot-Jueyin Liver Meridian: Terminates at the tip of the great toe in the hairy margin, Tai Chong LR3 on the medial dorsum of the foot, enters Zhong Feng LR4 one cun anterior to the ankle, ascends the ankle, crosses behind the Taiyin, follows the medial popliteal margin, Yin Gu, surrounds the genitalia, reaches the lower abdomen, flanks the Stomach, belongs to the Liver, connects with the Gallbladder, penetrates the diaphragm, distributes in the hypochondrium, flanks the throat and neck, connects with the eye system, ascends to the vertex, intersects with the Du Mai. Its branch returns to the eye system, connects with the buccal mucosa, returns to the inside of the lips. Another branch connects from the diaphragm to the Lung. This meridian has abundant Blood and scarce Qi. Pathological changes include painful movement of the waist, difficulty bending and stretching, hernia in men, lower abdominal swelling in women, dusty complexion, loss of color, and dry throat. Diseases generated include chest fullness, vomiting, diarrhea, difficult urination, occasional enuresis, and fox hernia. Clinical diagnosis requires careful examination.