心,注胸中。(其支者,自神藏之际,从肺络心注胸中,以上俞府诸穴,足少阴经止于此,而接乎手厥阴经也。胸中,当
两乳之间,亦曰膻中。)
心主手厥阴心包络之脉,起于胸中,(心主者,心之所主也。心本手少阴,而复有手厥阴者,心包络之经也。如邪客
篇曰∶心者,五脏六腑之大主也。诸邪之在心者,皆在心之包络。包络者,心主之脉也。其脉之出入屈折,行之疾徐,
皆如手少阴心主之脉行也。故曰心主手厥阴心包络之脉。胸中义见上文。滑氏曰∶或问∶手厥阴经曰心主,又曰心包络
何也?曰∶君火以明,相火以位。手厥阴代君火行事,以用而言,故曰手心主,以经而言,则曰心包络,一经而二名,
实相火也。)出属心包络,下膈,历络三 ;(心包络,包心之膜络也。包络为心主之外卫,三 为脏腑之外卫,故为表
里而相络。诸经皆无历字,独此有之,盖指上中下而言,上即膻中,中即中脘,下即脐下,故任脉之阴交穴为三 募也。
,焦通用。)其支者,循胸出胁,下腋三寸,(胁上际为腋。腋下三寸,天池也,手厥阴经穴始此。)上抵腋下,循 内,
行太阴少阴之间,(上抵腋下之天泉,循 内行太阴、少阴之间,以手之三阴,厥阴在中也。)入肘中,下臂行两筋之间,
(入肘中,曲泽也。下臂行两筋之间, 门、间使、内关、大陵也。)入掌中,循中指出其端;(入掌中,劳宫也。中指
端,中冲也,手厥阴经止于此。)其支者,别掌中,循小指次指出其端。(小指次指,谓小指之次指,即无名指也。其支
者,自劳宫别行名指端,而接乎手少阳经也。)
三焦手少阳之脉,起于小指次指之端,(三焦为手少阳经也。起于无名指端关冲穴。)上出两指之间,(即小指次指之
间液门、中渚穴也。)循手表腕,出臂外两骨之间,(手表之腕,阳池也。臂外两骨间,外关、支沟等穴也。)上贯肘,循
外,上肩而交出足少阳之后,(上贯肘之天井,循 外,行手太阳之前,手阳明之后,历清冷渊、消泺、 会上肩 ,
过足少阳之肩井,自天 而交出足少阳之后也。)入缺盆,布膻中,散络心包,下膈,循属三焦;(其内行者入缺盆,复
由足阳明之外,下布膻中,散络心包,相为表里,乃自上焦下膈,循中焦下行,并足太阳之正入络膀胱以约下焦,故足
太阳经委阳穴为三焦下辅 也。详见后十六。)其支者,从膻中上出缺盆,上项,系耳后,直上出耳上角,以屈下颊至 ;
(其支行于外者,自膻中上行,出缺盆,循天 上项,会于督脉之大椎,循天牖,系耳后之翳风、螈脉、颅息,出耳上
角之角孙,过足少阳之悬厘、颔厌,下行耳颊至 会于手太阳颧 之分。 音拙,目下也。)其支者,从耳后入耳中,出
走耳前,过客主人前交颊,至目锐 。(此支从耳后翳风入耳中,过手太阳之听宫,出走耳前之耳门,过足少阳之客主人,
交颊,循和 ,上丝竹空,至目锐 ,会于瞳子 穴,手少阳经止于此,而接乎足少阳经也。)
胆足少阳之脉,起于目锐 ,(胆为足少阳经也。起于目锐 瞳子 穴。目之外角曰锐 。)上抵头角,下耳后,(自
目锐 ,由听会、客主人上抵头角,循颔厌,下悬颅、悬厘,从耳上发际入曲鬓、率谷,历手少阳之角孙外折下耳后,
行天冲、浮白、窍阴、完骨,又自完骨外折上行,循本神,前至阳白,复内折上行,循临泣、目窗、正营、承灵、脑空,
由风池而下行也。)循颈行手少阳之前,至肩上,却交出手少阳之后,入缺盆;(自风池循颈,过手少阳之天牖,行少阳
之前,下至肩上,循肩井,复交出手少阳之后,过督脉之大椎,会于手太阳之秉风,而前入于足阳明缺盆之外。)其支者,
从耳后入耳中,出走耳前,至目锐 后;(其支者,从耳后颞HT 间,过手少阳之翳风,入耳中,过手太阳之听宫,出
走耳前,复自听会至目锐 后瞳子 之分。)其支者,别锐皆,下大迎,合于手少阳,抵于 ,(其支者,别自目外 瞳
子,下足阳明大迎之次,由手少阳之丝竹、和 而下抵于 也。)下加颊车,下颈合缺盆,(其下于足阳明者,合于下
关,乃自颊车下颈,循本经之前,与前之入缺盆者相合,以下胸中。)以下胸中,贯膈络肝属胆,循胁里,出气街,绕毛
际,横入髀厌中;(其内行者,由缺盆下胸,当手厥阴天池之分贯膈,足厥阴期门之分络肝,本经日月之分属胆,而相为
表里,乃循胁里,由足厥阴之章门下行,出足阳明之气街,绕毛际,合于足厥阴,以横入髀厌中之环跳穴也。)其直者,
从缺盆下腋,循胸过季胁,下合髀厌中,(其直下而行于外者,从缺盆下腋循胸,历渊腋、辄筋、日月过季胁,循京门、
带脉等穴下行,由居 入足太阳之上 、中 、下 下行,复与前之入髀厌者相合。)以下循髀阳,出膝外廉,下外辅骨
之前,(髀阳,髀之外侧也。辅骨,膝下两旁高骨也。由髀阳行太阳阳明之中,历中渎、阳关、出膝外廉,下外辅骨之前,
自阳陵泉以下阳交等穴也。)直下抵绝骨之端,下出外踝之前,循足跗上,入小趾次趾之间;(外踝上骨际曰绝骨。绝骨
之端,阳辅穴也。下行悬钟,循足面上之丘墟、临泣等穴,乃入小趾次趾之间,至窍阴穴,足少阳经止于此。)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。(足大趾次趾本节后骨缝为岐骨。大趾爪甲后二节间为
三毛。其支者自足跗上别行入大趾,循岐骨内,出大趾端,还贯入爪甲,出三毛,而接乎足厥阴经也。)
肝足厥阴之脉,起于大趾丛毛之际,(肝为足厥阴经也。起于足大趾,去爪甲横纹后,丛毛际大敦穴。丛毛,即上文
所谓三毛也。)上循足跗上廉,去内踝一寸,(足跗上廉,行间、太冲也。内踝前一寸,中封也。)上踝八寸,交出太阴之
后,上 内廉,(上踝过足太阴之三阴交,历蠡沟、中都,复上一寸,交出太阴之后,上 内廉,至膝关、曲泉也。)循
股阴,入毛中,过阴器,(股阴,内侧也。循股内之阴包、五里、阴廉,上会于足太阴之冲门、府舍,入阴毛中之急脉,
遂左右相交,环绕阴器,而会于任脉之曲骨。)抵小腹,挟胃属肝络胆,(自阴上入小腹,会于任脉之中极、关元,循章
门至期门之所挟胃属肝,下足少阳日月之所络胆,而肝胆相为表里也。)上贯膈,布胁肋,(自期门上贯膈,行足太阴食
窦之外,大包之里,散布胁肋,上足少阳渊腋、手太阴云门之下,足厥阴经穴止于此。)循喉咙之后,上入颃颡,连目系,
上出额,与督脉会于巅;(颃颡,咽颡也。目内深处为目系。其内行而上者,自胁肋间,由足阳明人迎之外,循喉咙之后
入颃颡,行足阳明大迎、地仓、四白之外,内连目系,上出足少阳阳白之外,临泣之里,与督脉相会于顶巅之百会。)其
支者,从目系下颊里,环唇内;(此支者,从前目系之分,下行任脉之外,本经之里,下颊里,交环于口唇之内。)其支
者,复从肝别贯膈,上注肺。(又其支者,从前期门属肝所行足太阴食窦之外,本经之里,别贯膈,上注于肺,下行至中
焦,挟中脘之分,复接于手太阴肺经,以尽十二经之一周,终而复始也。)
The heart meridian's qi flows into the chest. (Its branch, from the vicinity of Shencang [Shenmen, HT4], passes through the lung network to connect with the heart and flows into the chest. At this point, the Foot-Shaoyin Kidney Meridian ends and connects with the Hand-Jueyin Pericardium Meridian. The chest is located between the two breasts, also known as Danzhong [Chest Center].)
The Hand-Jueyin Pericardium Meridian originates in the chest. ("Heart Master" refers to that which governs the heart. The heart belongs to the Hand-Shaoyin Meridian, but there is additionally the Hand-Jueyin Meridian, which is the vessel of the pericardium. As stated in the *Xieke* chapter: "The heart is the great master of the five zang and six fu organs." Whenever pathogenic factors invade the heart, they invade the pericardium instead. The pericardium is the vessel of the Heart Master. Its flow, entry, exit, turns, and speed are all like those of the Hand-Shaoyin Heart Master meridian. Therefore, it is called the Hand-Jueyin Pericardium Meridian. The meaning of "chest" is seen above. Hua Shi said: One may ask: Why is the Hand-Jueyin meridian called both "Heart Master" and "Pericardium"? The answer is: The Minister Fire operates by position, while the Sovereign Fire operates by brightness. The Hand-Jueyin meridian acts on behalf of the Sovereign Fire. From the perspective of function, it is called the Hand-Xin Zhong; from the perspective of the meridian name, it is called the Pericardium. One meridian has two names, essentially representing the Minister Fire.) It emerges and attaches to the pericardium, descends through the diaphragm, and successively networks the Sanjiao [Triple Burner]; (The pericardium is the membranous network enveloping the heart. The pericardium serves as the external guard for the heart, and the Sanjiao serves as the external guard for the zang-fu organs, so they are interior-exterior counterparts and interconnect. Other meridians do not use the character "li" [successively traverse], only this one does, likely referring to the upper, middle, and lower sections. Upper refers to Danzhong, middle refers to Zhongwan, and lower refers to below the umbilicus. Thus, the Renmai point Yinjiao [CV7] is the Mu-Alarm point of the Sanjiao. "Jiao" and "Liao" are interchangeable.) Its branch follows the chest, emerges from the hypochondrium, and descends three cun below the axilla. (The upper boundary of the hypochondrium is the axilla. Three cun below the axilla is Tianchi [PC1], where the Hand-Jueyin meridian points begin.) It ascends to reach the axilla, runs along the medial aspect of the arm, passing between the Hand-Taiyin Lung Meridian and the Hand-Shaoyin Heart Meridian. (Ascending to reach Tianquan [PC2] in the axilla, it runs along the medial arm between the Hand-Taiyin and Hand-Shaoyin meridians because among the three Hand-Yin meridians, the Jueyin is in the middle.) It enters the elbow center, runs down the forearm between two tendons. (Entering the elbow center is Quze [PC3]. Running down the forearm between the two tendons includes Ximen [PC4], Jianshi [PC5], Neiguan [PC6], and Daling [PC7].) It enters the palm, and follows the index finger to its tip. (Entering the palm is Laogong [PC8]. The tip of the middle finger is Zhongchong [PC9], where the Hand-Jueyin meridian terminates.) Its branch diverges from the palm, follows the ring finger to its tip. (The ring finger is the digit next to the little finger. This branch diverges from Laogong, travels to the tip of the ring finger, and connects with the Hand-Shaoyang Sanjiao Meridian.)
The Hand-Shaoyang Sanjiao Meridian originates at the tip of the ring finger. (The Sanjiao belongs to the Hand-Shaoyang meridian. It originates at Guanchong [TE1] at the tip of the ring finger.) It ascends out between the ring and little fingers. (These are the points Yemen [TE2] and Zhongzhu [TE3] between the little and ring fingers.) It follows the dorsal wrist, emerging between the two bones of the forearm. (The wrist on the dorsal hand is Yangchi [TE4]. Between the two bones of the forearm are Waiguan [TE5], Zhigou [TE6], etc.) It ascends through the elbow, follows the lateral aspect of the arm, ascends to the shoulder, and crosses behind the Foot-Shaoyang Gallbladder Meridian. (Ascending through the elbow at Tianjing [TE10], following the lateral arm, it runs anterior to the Hand-Taiyang Small Intestine Meridian and posterior to the Hand-Yangming Large Intestine Meridian, passing Qinglengyuan [TE11], Xiaoluo [TE12], and Huizong [TE14], meeting at the shoulder, passing Jianjing [GB21] of the Foot-Shaoyang meridian, and crossing behind the Foot-Shaoyang meridian from Tianliao [TE15].) It enters the Supraclavicular Fossa (Quepen), distributes in the chest center (Danzhong), scatters and networks the pericardium, descends through the diaphragm, and attaches to the Sanjiao. (Internally, it enters the Supraclavicular Fossa, then goes outside the Foot-Yangming Stomach Meridian, descends to distribute in Danzhong, scatters and networks the pericardium, forming an interior-exterior relationship. It descends from the Upper Jiao through the diaphragm, runs along the Middle Jiao, and together with the main channel of the Foot-Taiyang Bladder Meridian, enters and networks the bladder to regulate the Lower Jiao. Thus, Weiyang [BL39] of the Foot-Taiyang meridian is the auxiliary point of the Lower Sanjiao. See Section 16 later.) Its branch rises from Danzhong, emerges from the Supraclavicular Fossa, ascends to the neck, connects behind the ear, goes straight up to emerge above the upper angle of the ear, then curves down to the cheek and to the infraorbital region. (Externally, the branch ascends from Danzhong, emerges from the Supraclavicular Fossa, follows Tianliao [TE15] to the neck, meets Dazhui [GV14] of the Du Mai, follows Tianyou [TE16], connects behind the ear at Yifeng [TE17], Chiliao [TE18], and Luxi [TE19], emerges above the ear at Jiaosun [TE20], passes Xuanli [GB7] and Hanyan [GB6] of the Foot-Shaoyang meridian, descends to the cheek and infraorbital region, meeting the Zanguan [SI18] area of the Hand-Taiyang meridian. "Zhuo" sounds like "zhuo," referring to the area under the eye.) Another branch enters the ear from behind the ear, exits to the front of the ear, passes anterior to the Guest Master (Kemaren) point, crosses the cheek, and reaches the outer canthus of the eye. (This branch enters the ear from Yifeng [TE17] behind the ear, passes Tinggong [SI19] of the Hand-Taiyang meridian, exits to the front of the ear at Ermen [TE21], passes Kemaren [GB2] of the Foot-Shaoyang meridian, crosses the cheek, follows He'liao [TE22], ascends to Sizhukong [TE23], reaches the outer canthus, meets Tongziliao [GB1], where the Hand-Shaoyang meridian terminates and connects with the Foot-Shaoyang Gallbladder Meridian.)
The Foot-Shaoyang Gallbladder Meridian originates at the outer canthus of the eye. (The Gallbladder belongs to the Foot-Shaoyang meridian. It originates at Tongziliao [GB1] at the outer canthus. The outer corner of the eye is called Ruishi [outer canthus].) It ascends to reach the frontal angle, descends behind the ear. (From the outer canthus, via Tinghui [GB2] and Kemaren [GB2], it ascends to the frontal angle, follows Hanyan [GB6], descends to Xuanlu [GB5] and Xuanli [GB7], enters Qubin [GB7] and Lvgu [GB8] from the hairline above the ear, passes Jiaosun [TE20] of the Hand-Shaoyang meridian externally, descends behind the ear, running through Tianchong [GB9], Fu Bai [GB10], Qiaoyin [GB9/GB11 context implies GB9 or nearby, actually Qiaoyin is GB9, Wangu is GB12], Wangu [GB12], then folds back up from Wangu, follows Benshen [GB13], advances to Yangbai [GB14], folds inward and ascends, follows Linqi [GB15], Mucuang [GB16], Zhengying [GB17], Chengling [GB18], Naokong [GB19], and descends from Fengchi [GB20].) It follows the neck anterior to the Hand-Shaoyang Sanjiao Meridian, reaches the shoulder, crosses behind the Hand-Shaoyang Sanjiao Meridian, and enters the Supraclavicular Fossa. (From Fengchi [GB20] along the neck, passing Tianyou [TE16] of the Hand-Shaoyang meridian, running anterior to the Shaoyang meridian, descending to the shoulder, following Jianjing [GB21], crossing behind the Hand-Shaoyang meridian, passing Dazhui [GV14], meeting Bingfeng [SI12] of the Hand-Taiyang meridian, and entering anteriorly outside the Supraclavicular Fossa of the Foot-Yangming Stomach Meridian.) Its branch enters the ear from behind the ear, exits to the front of the ear, and reaches behind the outer canthus. (This branch from the temporal region behind the ear passes Yifeng [TE17] of the Hand-Shaoyang meridian, enters the ear, passes Tinggong [SI19] of the Hand-Taiyang meridian, exits to the front of the ear, returns from Tinghui [GB2] to the area behind the outer canthus Tongziliao [GB1].) Another branch diverges from the outer canthus, descends to Daying [ST4], merges with the Hand-Shaoyang Sanjiao Meridian, and reaches Jiache [ST6]. (This branch diverges from the outer canthus Tongziliao [GB1], descends beside the Foot-Yangming Daying [ST4], and reaches Jiache [ST6] via Sizhukong [TE23] and Heliao [TE22] of the Hand-Shaoyang meridian.) It descends to add to Jiache [ST6], descends to the neck merging with the Supraclavicular Fossa. (The part descending to the Foot-Yangming merges at Xiaguan [ST7], then descends from Jiache [ST6] to the neck, following the anterior aspect of this meridian, merging with the part that entered the Supraclavicular Fossa earlier, to descend into the chest.) It descends into the chest, pierces the diaphragm, networks the Liver, and attaches to the Gallbladder. It follows the interior of the hypochondrium, emerges at Qichuang (Qichong ST30 context implies pathway near Qi Street), circles the pubic hair margin, and transversely enters the hip joint. (Internally, it descends from the Supraclavicular Fossa into the chest, piercing the diaphragm at the level of Tianchi [PC1] of the Hand-Jueyin meridian, networking the Liver at Qimen [LR14] of the Foot-Jueyin meridian, attaching to the Gallbladder at Riyue [GB24] of this meridian, forming an interior-exterior relationship. It then follows the hypochondrium interior, descends from Zhangmen [LR13] of the Foot-Jueyin meridian, emerges at Qichong [ST30] of the Foot-Yangming meridian, circles the pubic hair margin, merges with the Foot-Jueyin meridian, and transversely enters the Ring Jump (Huantiao [GB30]) of the hip joint.) Its direct branch descends from the Supraclavicular Fossa to the axilla, follows the chest passing the lateral costal margin, and descends to merge with the hip joint. (Directly descending externally, it descends from the Supraclavicular Fossa to the axilla, follows the chest, passes Yuanye [GB9], Zhejin [GB23], Riyue [GB24], crosses the lateral costal margin, follows Jingmen [GB25], Daipmai [GB26], etc., descends, enters Juliao [GB33] from the Foot-Taiyang Shangliao [BL31], Zhongliao [BL32], and Xialiao [BL34] areas, and merges with the part that entered the hip joint earlier.) It descends along the lateral thigh, emerges at the lateral knee, descends anterior to the lateral fibular head. (Lateral thigh is Biyang. The fibular head refers to the high bones on both sides below the knee. Running through Biyang between the Taiyang and Yangming meridians, it passes Zhongdu [GB34], Yangguan [GB33? Note: Text says Yangguan, usually GB33 is Yangguan, GB34 is Yanglingquan. Text says "out lateral knee", likely referring to Yanglingquan area], emerges at the lateral knee, descends anterior to the lateral fibular head, starting from Yanglingquan [GB34] and including Yangjiao [GB35].) It goes straight down to the end of Juegu (Fibula Head/Tip), descends to emerge anterior to the lateral malleolus, follows the dorsum of the foot, and enters between the fourth and fifth toes. (The bone junction above the lateral malleolus is called Juegu. The end of Juegu is Yangfu [GB38]. Descending through Xuanzhong [GB39], following Quxu [GB40] and Zulinqi [GB41] on the dorsum of the foot, it enters between the fourth and fifth toes, reaching Qiaoyin [GB44], where the Foot-Shaoyang meridian terminates.) Its branch diverges from the dorsum of the foot, enters between the big toe, follows the medial side of the first metatarsal bone to emerge at its tip, returns to penetrate the nail bed, and emerges at the trichiasis (hair tuft). (The bone gap after the proximal phalanx of the big toe and second toe is called Qigu. The space two segments behind the big toe nail is called Sanmao. This branch diverges from the dorsum of the foot, enters the big toe, follows the medial Qigu, emerges at the tip of the big toe, returns to penetrate the nail bed, emerges at Sanmao, and connects with the Foot-Jueyin Liver Meridian.)
The Foot-Jueyin Liver Meridian originates at the tuft of hair on the big toe. (The Liver belongs to the Foot-Jueyin meridian. It originates at the big toe of the foot, one cun posterior to the transverse crease of the nail, at the hair tuft Dazhun [LR1]. The hair tuft is what was referred to as Sanmao above.) It ascends along the medial border of the dorsum of the foot, one cun anterior to the medial malleolus. (The medial border of the dorsum of the foot contains Xingjian [LR2] and Taichong [LR3]. One cun anterior to the medial malleolus is Zhongfeng [LR4].) Ascending eight cun above the ankle, it crosses behind the Foot-Taiyin Spleen Meridian, and ascends along the medial aspect of the leg. (Ascending past Sanyinjiao [SP6] of the Foot-Taiyin meridian, passing Ligou [LR5] and Zhongdu [LR6], ascending one more cun, it crosses behind the Foot-Taiyin meridian, ascends along the medial leg to Xiguan [LR7] and Ququan [LR8].) It follows the medial thigh, enters the pubic hair region, and passes the genitalia. (Medial thigh is Guyin. Following the medial thigh through Yinbao [LR9], Wuli [LR10], Yinlian [LR11], it meets Chongmen [SP12] and Fushe [SP13] of the Foot-Taiyin meridian, enters the pubic hair region at Jimai [LR12], intersects left and right, surrounds the genitalia, and meets Qugu [CV2] of the Ren Mai.) It reaches the lower abdomen, flanks the stomach, attaches to the Liver, and networks the Gallbladder. (Ascending from the yin region into the lower abdomen, it meets Zhongji [CV3] and Guanyuan [CV4] of the Ren Mai, follows Zhangmen [LR13] to Qimen [LR14], flanking the stomach, descending to Riyue [GB24] of the Foot-Shaoyang meridian to network the Gallbladder, as the Liver and Gallbladder are interior-exterior counterparts.) It pierces the diaphragm, distributes in the hypochondrium. (Ascending from Qimen [LR14] through the diaphragm, running outside Shidou [SP15] of the Foot-Taiyin meridian and inside Dabao [SP21], it distributes in the hypochondrium, ascending below Yuanye [GB24] of the Foot-Shaoyang meridian and Yunmen [LU2] of the Hand-Taiyin meridian, where the Foot-Jueyin meridian points end.) It follows the posterior aspect of the throat, ascends into the nasopharynx (Hangsang), connects with the optic nerve system (Muxi), ascends to emerge from the forehead, and meets the Du Mai at the vertex. (Nasopharynx is Hangsang. The deep interior of the eye is the Muxi. Internally ascending, from the hypochondrium, outside the Renying [ST9] of the Foot-Yangming meridian, it follows the posterior throat into Hangsang, running outside Daying [ST4], Dicang [ST4], Sibai [ST2] of the Foot-Yangming meridian, internally connecting the Muxi, ascending outside Yangbai [GB14] of the Foot-Shaoyang meridian and inside Linqi [GB15], meeting the Du Mai at Baihui [GV20] at the vertex.) Its branch descends from the Muxi to the interior of the cheek, circling the inner lips. (This branch descends from the Muxi area, outside the Ren Mai and inside this meridian, descends to the cheek interior, crossing and circling inside the lips.) Another branch diverges from the Liver, pierces the diaphragm, and ascends to pour into the Lungs. (Another branch diverges from Qimen [LR14] where it attaches to the Liver, running outside Shidou [SP15] of the Foot-Taiyin meridian and inside this meridian, diverges to pierce the diaphragm, ascends to pour into the Lungs, descends to the Middle Jiao, flanks Zhongwan [CV12], and reconnects with the Hand-Taiyin Lung Meridian, completing one cycle of the twelve meridians, ending and beginning again.)