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(The chapter in the *Ling Shu: Jing Mai* section is identical to Chapter 2 of the Meridians category, originating from the same source with interconnected principles, and thus should be cross-referenced.)

Huang Di said: The Lung meridian belongs to the Hand-Taiyin. When the meridian undergoes change (Shi Dong), disease occurs in the lung, manifesting as lung distension and fullness, panting, and coughing. (Dong refers to change; changing implies deviating from the normal state to become diseased. As stated in the *Yin Yang Ying Xiang Da Lun*: "In terms of movement/change, it manifests as grasping or hiccups," which is what this refers to. The Lung meridian originates in the Middle Jiao, follows the stomach opening, ascends through the diaphragm, and connects to the Lung, hence the disease presents thus. According to the *Zhi Yao Yao Da Lun*, these lung diseases are listed under the control of Shaoyin, where excessive heat overcomes Metal. See detailed discussion in the Yun Qi category, item 25. Same below. Peng sounds like 'Peng'.) Pain in the Quepen (Clavicular Fossa). (Although Quepen is a pathway for the twelve meridians, the Lung meridian is particularly close to it, so Lung disease causes pain here.) In severe cases, the patient crosses their hands over the chest and experiences visual blurring or mental confusion (Mao), which is called Bi Jue (Arm Jue). (Mao refers to numbness and insensibility. The Hand-Taiyin meridian exits from Zhongfu, emerges under the axilla, and runs between the elbow and arm, hence the term Arm Jue. Mao has three pronunciations: Mao, Mo, Wu.) These are diseases generated by the Lung, which is governed by the Hand-Taiyin meridian. (The Hand-Taiyin meridian governs diseases generated by the Lung. According to the *Nan Jing: Chapter 22*: "What the classics call Shi Dong relates to Qi; Suo Sheng Bing relates to Blood. Evil in the Qi makes Qi the primary site of Shi Dong; evil in the Blood makes Blood the primary site of Suo Sheng Bing. Qi primarily moves and warms; Blood primarily moistens and nourishes. When Qi stagnates and fails to flow, it is the Qi that is primarily diseased; when Blood becomes congested and fails to nourish, it is the Blood that is subsequently diseased. Therefore, Shi Dong comes first, followed by Suo Sheng. Viewing this, equating Shi Dong with Qi and Suo Sheng with Blood, and primary disease with Qi and subsequent disease with Blood, seems logical; however, upon careful examination of the intent of this chapter, for all Five Zang organs, each discusses diseases specific to that organ; for all Six Fu organs, they discuss either Qi or Blood, or meridians, sinews, bones, or body fluids. The diseases they govern have specific dominances and are not universally summarized by the two characters 'Qi and Blood.' The statement in the *Nan Jing* seems inconsistent with the original intent of the classic.) Cough, asthma with rapid breathing and thirst, irritability, chest fullness, pain and Jue sensation along the anterior medial aspect of the arm, and heat in the palm. (The character 'Ke' [thirst] should be 'He', referring to rough and urgent voice. The collateral of the Taiyin enters directly into the palm, hence pain, Jue, and palm heat.) When Qi is excessive and surplus, there is shoulder and back pain, aversion to wind and cold, sweating, stroke, frequent urination with scant volume. (The sinews of the Hand-Taiyin knot at the shoulder, and the viscera attach to the back, so when pathogenic factors are excessive, there is shoulder and back pain. The Lung governs the skin and hair, and when wind-cold is on the exterior, there is sweating and susceptibility to stroke. The Lung is the mother of the Kidney; when pathogenic factors damage its Qi, there is frequent urination with scant volume.) When Qi is deficient, there is shoulder and back pain with cold sensation, shortness of breath insufficient for respiration, and changes in urine color, giving rise to these various diseases. (The shoulder and back are the Yang aspect of the Upper Jiao. Qi deficiency leads to Yang pathology, hence pain, cold, and timidity with shortness of breath. Metal decline leads to Water drying up, hence urine color changes to yellow-red.) For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Draining excess and tonifying deficiency, although stated in the context of acupuncture, also applies to herbal medicine. Rapid needling for heat indicates swift arrival of Qi. Retaining the needle for cold indicates slow arrival of Qi. Moxibustion for sinking conditions indicates internal depletion of Yang Qi and failure of the pulse to rise. Neither excess nor deficiency refers to conditions where the disorder is not due to the deficiency or excess of blood and Qi, but rather rebellion within the meridians; in such cases, one should follow the meridian's location and treat with either herbs or acupuncture/moxibustion. The treatment principles for the following meridians are consistent with this. This section is largely identical to the *Jin Fu* chapter; see detailed discussion in Acupuncture Category 29.) When excessive, the Cun Kou pulse is three times larger than the Ren Ying pulse; when deficient, the Cun Kou pulse is smaller than the Ren Ying pulse. (Cun Kou governs Yin; the Lung is the Zang organ of the Large Intestine and belongs to the Hand-Taiyin meridian. Thus, when Lung Qi is excessive, the Cun Kou pulse is three times larger than the Ren Ying pulse; when deficient, it is smaller. The Ren Ying pulse is the arterial pulse of the Foot-Yangming meridian, located 1.5 cun lateral to the Adam's apple, where the Qi of the Three Yang meridians arrives. The *Yin Yang Bie Lun* states: "Three Yang at the head, Three Yin at the hand," which embodies this meaning. Same below. Regarding the Ren Ying and Mai Kou pulses being one, two, or three times excess, whether to tonify or drain is explained in the *Zhong Shi* chapter; see detailed discussion in Acupuncture Category 28.)

The Large Intestine meridian belongs to the Hand-Yangming. When the meridian undergoes change, disease occurs, manifesting as toothache and neck swelling. (The meaning of 'Dong' is as previously described. A branch of the Hand-Yangming meridian ascends from the Quepen, passes through the neck, penetrates the cheek, and enters the lower teeth.) These are diseases generated by the Large Intestine, which governs Body Fluids. (The Large Intestine and Lung are interior-exterior partners; the Lung governs Qi, and Body Fluids arise from Qi transformation. Therefore, any diarrhea or constipation of the Large Intestine are diseases generated by Body Fluids, with the primary governance lying in the Large Intestine.) Yellow eyes, dry mouth, rhinorrhea or epistaxis, bi-syndrome of the throat, pain in the anterior shoulder, and pain with inability to use the index finger. (The collateral of the Hand-Yangming merges with the Zong Mai, hence yellow eyes. Other diseases are all within the coverage of this meridian. According to the *Zhi Yao Yao Da Lun*, this is listed under Shaoyin Si Tian because excessive heat injures Metal.) When Qi is in excess, there is heat and swelling along the course of the meridian. (Along the meridian's course refers to the path of the Hand-Yangming.) When deficient, there is chills and rigors that do not resolve easily, giving rise to these diseases. (Chills and rigors not resolving means difficulty in warming. These are all diseases of the Hand-Yangming meridian.) For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Principles as above.) When excessive, the Ren Ying pulse is three times larger than the Cun Kou pulse; when deficient, the Ren Ying pulse is smaller than the Cun Kou pulse. (Ren Ying governs Yang; the Large Intestine is the Fu organ of the Lung and belongs to the Hand-Yangming meridian. Thus, when excessive, Ren Ying is larger than Cun Kou; when deficient, Ren Ying is smaller than Cun Kou. Detailed principles as above.)

The Stomach meridian belongs to the Foot-Yangming. When the meridian undergoes change, disease occurs, manifesting as shivering aversion to cold, frequent groaning and yawning, and darkened complexion. (The Stomach belongs to Earth; shivering aversion to cold in Earth disease is due to Wind overcoming it. Frequent groaning and yawning indicate Stomach Qi stagnation. According to the *Zhi Yao Yao Da Lun*, these are listed under Jueyin Zai Quan, indicating Wood overcoming. Black is the color of Water. When Earth is diseased, Water has no fear, hence the black color appears on the face.) Upon onset of the disease, there is aversion to people and fire, startle upon hearing the sound of wood, palpitations, desire to stay alone with doors closed and windows shut; in severe cases, desire to climb high and sing, discard clothes and run. (Aversion to people upon onset is due to Yangming reversal causing panting and distress, leading to aversion. Aversion to fire is due to extreme heat from pathogenic factors lodging in Yangming. Startle upon hearing wood is because Earth fears Wood. Desire to stay indoors is due to Yin-Yang conflict with Yin overcoming Yang. Desire to climb high and sing is because Yang excess leads to solidity in the four limbs. Discarding clothes and running is because heat is excessive in the body. Principles of this section are detailed in the next two chapters. You sounds like 'You'.) Borborygmus and abdominal distension, which is called Ting Jue. (Borborygmus refers to rumbling in the intestines and stomach. Ting refers to the lower leg. The Yangming meridian descends from the knee patella along the lateral aspect of the tibia, hence Ting Jue reversal. Ben is synonymous with Ben. Ting sounds like 'Ting'.) These are diseases generated by the Stomach, which governs Blood. (The Middle Jiao receives grain, transforms it, and changes it to red to become blood; thus, Yangming is a meridian of abundant Qi and Blood, governing diseases generated by Blood.) Manic malaria, warm invasion with sweating, rhinorrhea or epistaxis, facial deviation and lip herpes, neck swelling and throat bi-syndrome. (Ting refers to deviation. Zhen refers to sores. Yangming heat excess causes mania; Wind excess causes malaria; Warm Qi invasion causes sweating. Rhinorrhea, facial deviation, etc., are all within the coverage of the Yangming meridian. Qiu sounds like 'Qiu'. Nu is cut at 'Nu Liu'. Ting is cut at 'Kong Guai'. Zhen sounds like 'Zhen'.) Abdominal edema. (The Stomach is in the Middle Jiao; Earth disease fails to control Water.) Swelling and pain of the knee patella, pain along the chest, breast, Qi Street, thigh, Futu, lateral aspect, and dorsum of the foot, with inability to use the middle finger. (The Yangming meridian descends from the Quepen to the inner lateral aspect of the breast, flanks the umbilicus and abdomen, passes through the anterior yin, descends the thigh to the foot, and enters the middle finger, hence these diseases. Bin has two pronunciations: Pin and Pin.) When Qi is excessive, the anterior body is hot; if there is excess in the Stomach, there is rapid digestion and easy hunger, with yellow urine. (This distinguishes Yangming excess-heat in the meridian versus the zang organ.) When Qi is deficient, the anterior body is cold and shivering; cold in the Stomach causes distension and fullness, giving rise to these diseases. (This distinguishes Yangming deficiency-cold in the meridian versus the zang organ.) For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Principles as in the first meridian.) When excessive, the Ren Ying pulse is three times larger than the Cun Kou pulse; when deficient, the Ren Ying pulse is smaller than the Cun Kou pulse. (Foot-Yangming is the exterior of Taiyin and belongs to the Three Yang meridians, hence excess and deficiency manifest in the Ren Ying pulse.)

The Spleen meridian belongs to the Foot-Taiyin. When the meridian undergoes change, disease occurs, manifesting as stiffness of the tongue root, vomiting after eating. (The Spleen meridian connects to the tongue root, hence stiffness. Spleen disease leads to failure of transportation, hence vomiting.) Epigastric pain, abdominal distension, frequent belching. (The Spleen meridian enters the abdomen, connects to the Spleen and links to the Stomach, hence pain and distension. Yi is the sound of belching. Excess Yin rises to Yangming, causing Qi stagnation and belching. Yi has two pronunciations: Yi Fang and Ai.) Relief after defecation and passage of gas, feeling as if symptoms have subsided. (Spleen Qi is unblocked. Principles of the above are detailed in the next chapter.) Heavy body. (The Spleen governs muscles. According to the *Zhi Yao Yao Da Lun*, the above symptoms are listed under Jueyin Zai Quan, indicating Wood overcoming Spleen.) These are diseases generated by the Spleen, which belongs to the Foot-Taiyin (Earth). Tongue root pain, inability to move the body, inability to eat, irritability, acute pain in the heart region, loose stools, masses (Jia), diarrhea, water retention, jaundice, inability to lie flat, discomfort when standing forcibly, swelling and Jue sensation in the inner thigh and knee, inability to use the big toe, giving rise to these diseases. (The branch of the Taiyin meridian ascends through the diaphragm and pours into the heart, hence irritability and heart pain. Spleen cold causes loose stools; Spleen stagnation causes masses. Spleen disease fails to control Water, causing diarrhea, water retention, jaundice, and inability to lie flat. The Spleen meridian originates from the big toe, ascends along the medial aspect of the knee and thigh, hence swelling, Jue, and inability to use the big toe. Note: The *Zhi Yao Yao Da Lun* lists these symptoms under Jueyin Si Tian because excessive Wind affects the Spleen. Jia has two pronunciations: Jia and Jia. Dan sounds like 'Dan'.) For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Principles as in the first meridian.) When excessive, the Cun Kou pulse is three times larger than the Ren Ying pulse; when deficient, the Cun Kou pulse is smaller than the Ren Ying pulse. (Foot-Taiyin is the interior of Yangming and belongs to the Three Yin meridians, hence pulse excess and deficiency are observed at the Qi Kou.)

The Heart meridian belongs to the Hand-Shaoyin. When the meridian undergoes change, disease occurs, manifesting as dry throat, heart pain, thirst with desire to drink. (A branch of this meridian ascends from the Heart connection to flank the throat, hence dry throat and heart pain. Heart Fire flares up, consuming Heart fluids, hence thirst and desire to drink. Yi sounds like 'Yi'.) This is called Bi Jue (Arm Jue). (The Hand-Shaoyin meridian follows the posterior medial aspect of the arm and emerges at the tip of the little finger, hence Arm Jue.) These are diseases generated by the Heart, which is governed by the Hand-Shaoyin meridian. (The Hand-Shaoyin meridian governs diseases generated by the Heart.) Yellow eyes, hypochondriac pain, pain and Jue sensation along the posterior medial aspect of the arm, heat and pain in the palm, giving rise to these diseases. (The Shaoyin meridian connects to the eye system, hence yellow eyes. It emerges from the axilla, hence hypochondriac pain. It follows the arm internally to enter the posterior medial aspect of the palm, hence heat and pain. Ru and Ruan are two pronunciations, also cut at Shuang Dao and Nu Dao.) For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Principles as in the first meridian.) When excessive, the Cun Kou pulse is twice as large as the Ren Ying pulse; when deficient, the Cun Kou pulse is smaller than the Ren Ying pulse. (Hand-Shaoyin is the interior of Taiyang and belongs to the Three Yin meridians, hence pulse excess and deficiency manifest in the Cun Kou.)

The Small Intestine meridian belongs to the Hand-Taiyang. When the meridian undergoes change, disease occurs, manifesting as sore throat and submandibular swelling. (The meridian of this channel follows the throat down through the diaphragm; its branch follows the neck to the cheek, hence these diseases. The *Zhi Yao Yao Da Lun* lists this under Taiyang Zai Quan because excessive Cold injures the Fire Fu. Han is cut at 'He Gan'.) Inability to look around, shoulder pain as if being pulled out, elbow pain as if broken. (The Hand-Taiyang meridian follows the posterior lateral aspect of the arm, circles the scapula, and crosses the shoulder, hence shoulder and elbow pain as if pulled or broken.) These are diseases generated by the Small Intestine, which governs Body Fluids. (The Small Intestine separates the clear from the turbid; disease leads to indistinguishable water and grain flowing without restraint, hence governing diseases of Body Fluids.) Deafness, yellow eyes, facial swelling, pain along the neck, jaw, shoulder, elbow, and arm on the posterior lateral aspect, giving rise to these diseases. (All are within the coverage of the Small Intestine meridian.) For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Principles as in the first meridian.) When excessive, the Ren Ying pulse is twice as large as the Cun Kou pulse; when deficient, the Ren Ying pulse is smaller than the Cun Kou pulse. (Hand-Taiyang is the exterior of Shaoyin, hence observed at the Ren Ying pulse.)

The Bladder meridian belongs to the Foot-Taiyang. When the meridian undergoes change, disease occurs, manifesting as headache with upward rushing sensation. (The meridian ascends the forehead, crosses the vertex, and connects to the brain, hence pathogenic factors rush upward causing headache.) Eyes feel as if dislocating, neck feels as if being pulled out. (The meridian originates at the inner canthus, returns, and descends separately to the neck.) Spinal pain, waist feels as if broken, thighs cannot bend, popliteal fossa feels knotted, calf feels torn. (The meridian flanks the spine, reaches the middle of the waist, passes through the hip pivot, follows the lateral thigh, converges in the popliteal fossa, penetrates the buttock, and enters the popliteal fossa, hence these diseases. According to the *Zhi Yao Yao Da Lun*, the above symptoms are listed under Taiyin Zai Quan Si Tian because excessive Dampness injures Water via Earth. Bi is cut at 'Bing Mi' and sounds like 'Bi'. Guo sounds like 'Guo'. , same as , sounds like 'Zhuan'.) This is called Huai Jue (Ankle Jue). (The Foot-Taiyang meridian emerges behind the lateral malleolus, and sinews knot at the lateral malleolus. Huai is cut at 'Hu Gua'.) These are diseases generated by the Bladder, which governs Sinews. (Among all sinews in the body, the Foot-Taiyang meridian is the most numerous and largest. Those descending knot at the heel, popliteal fossa, and buttocks; those ascending flank the waist and spine, connect to the shoulders and nape, ascend the head to form the upper net of the eyes, and descend to knot... Therefore, spasms, flaccidity, opisthotonos, and fixed gaze are all due to deficiency of Water in the Foot-Taiyang, governing diseases of the sinews.) Hemorrhoids, malaria, mania, and epilepsy. (The meridian enters the anus, hence hemorrhoids. The meridian belongs to the exterior, hence malaria. Pathogenic factors enter Yang, hence mania and epilepsy.) Head, vertex, and nape pain, yellow eyes, tearing, rhinorrhea or epistaxis, pain in the nape, back, waist, sacrum, and feet, inability to use the little toe, giving rise to these diseases. (All are within the coverage of the Foot-Taiyang meridian, hence these diseases. Xun sounds like 'Xin'. Kao is cut at 'Kai Gao'.) For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Principles as in the first meridian.) When excessive, the Ren Ying pulse is twice as large as the Cun Kou pulse; when deficient, the Ren Ying pulse is smaller than the Cun Kou pulse. (Foot-Taiyang is the exterior of Shaoyin, hence observed at the Ren Ying pulse.)

The Kidney meridian belongs to the Foot-Shaoyin. When the meridian undergoes change, disease occurs, manifesting as hunger without desire to eat. (Although the Kidney is a Yin organ, it houses Primordial Yang; there is Fire in Water, making it the mother of the Spleen and Stomach. Yin movement leads to Yang decline; Yang decline leads to Spleen fatigue, hence hunger without desire to eat.) Complexion like lacquered charcoal. (Water color is black; Yin pathogen color appears on the face, hence like lacquer. The Kidney stores Essence; Essence decline leads to withering, hence like charcoal.) Coughing and spitting blood, panting with audible breath. (True Yin damage extends to its mother organ.) Desire to sit up. (Yin deficiency prevents stillness.) Vision blurred as if unable to see. (Clarity of vision resides in the pupil; the pupil is the essence of Bone. Kidney Qi internal depletion leads to blurred vision; thus, dim vision always indicates true Water deficiency in the Kidney. KT sounds like 'Huang'.) Heart feels suspended, as if hungry. (Heart-Kidney non-interaction leads to dispersion of Spirit and Essence, hence heart feels suspended. Yin deficiency leads to internal emptiness, hence often feels hungry. According to the *Zhi Yao Yao Da Lun*, the above symptoms are listed under Taiyin Si Tian because Earth pathogen overcomes, hence disease originates in the Kidney.) Qi deficiency leads to frequent fear, heart palpitations as if someone is about to catch them. (The emotion of the Kidney is Fear; Kidney Qi timidity leads to palpitations as if pursued. Principles of the above are detailed in the next chapter.) This is called Gu Jue (Bone Jue). (Jue reversal in the Bones; the Kidney governs Bones.) These are diseases generated by the Kidney, which is governed by the Foot-Shaoyin meridian. (The Foot-Shaoyin meridian governs diseases generated by the Kidney.) Heat in the mouth, dry tongue, swollen throat, upward rushing Qi, dry and painful throat, irritability, heart pain. (The Foot-Shaoyin meridian follows the throat, flanks the tongue root, and its branch emerges from the Lung to connect to the Heart, hence these diseases.) Jaundice and Chang Pi. (Yin deficiency and Yang excess cause jaundice. The Kidney opens into the two yin openings, hence Chang Pi. Dan sounds like 'Dan'. Pi sounds like 'Pi'.) Pain along the posterior medial aspect of the spine and thigh, Wei Jue, lethargy, heat and pain in the sole of the foot, giving rise to these diseases. (The Foot-Shaoyin meridian starts from the little toe,斜趋 (diagonally approaches) the center of the foot, ascends out of the popliteal fossa, ascends along the posterior medial aspect of the thigh, penetrates the spine, and connects to the Kidney, hence these syndromes. Lethargy is due to excess Yin and deficient Yang, and exhaustion of Spirit and Essence. The *Ni Tiao Lun* states: "The Kidney is the Water Organ, governs Body Fluids, governs bed/rest and panting.") For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Principles as in the first meridian.) If using moxibustion, one should eat strongly to generate flesh, loosen belts, let hair hang down, use a large staff, wear heavy shoes, and walk. (Generated flesh refers to rich flavors. Rich flavors tonify Essence. Loosening belts, letting hair hang down, using a large staff, wearing heavy shoes, and walking are for conserving effort. Stillness nourishes Qi. This method is mentioned only for the Kidney meridian among all meridians because True Yin resides here, and Essence is the root of Primordial Qi.) When excessive, the Cun Kou pulse is twice as large as the Ren Ying pulse; when deficient, the Cun Kou pulse is smaller than the Ren Ying pulse. (Foot-Shaoyin is the interior of Taiyang, hence observed at the Cun Kou.)

The Pericardium meridian belongs to the Hand-Jueyin Pericardium Luo. When the meridian undergoes change, disease occurs, manifesting as heat in the palm, contracture and stiffness of the arm and elbow, axillary swelling. (All are within the coverage of this meridian.) In severe cases, chest and hypochondriac support-fullness, heart palpitations with restlessness. (The Hand-Jueyin emerges to connect to the Pericardium Luo, follows the chest, and emerges from the hypochondrium. Dan sounds like 'Dan', referring to restless movement.) Red face and yellow eyes. (The Flower of the Heart manifests in the face; the eyes are the messengers of the Heart, hence disease manifests as red face and yellow eyes. The above symptoms, according to the *Zhi Yao Yao Da Lun*, are all listed under Taiyang Si Tian because excessive Cold causes Heart Fire disease.) Unrestrained laughter. (The sound of the Heart is laughter.) These are diseases generated by the Vessels, which is governed by the Hand-Jueyin Pericardium. (The Heart governs the Vessels.) Irritability, heart pain, heat in the palm, giving rise to these diseases. (The vessel originates in the heart-chest and enters the palm.) For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Principles as in the first meridian.) When excessive, the Cun Kou pulse is one time larger than the Ren Ying pulse; when deficient, the Cun Kou pulse is smaller than the Ren Ying pulse. (Hand-Jueyin is the interior of Shaoyang, hence observed at the Cun Kou.)

The Sanjiao meridian belongs to the Hand-Shaoyang. When the meridian undergoes change, disease occurs, manifesting as deafness with muffled hearing, swollen throat, and throat bi-syndrome. (Hun Hun , refers to unclear vision/hearing. The Sanjiao meridian ascends the neck and connects behind the ear, hence these diseases. According to the *Zhi Yao Yao Da Lun*, this is listed under Taiyin Zai Quan because Wet Earth overcomes Water. Tun and Tun are two pronunciations.) These are diseases generated by Qi, which is governed by the Sanjiao. (Sanjiao is the Fu organ of water channels; water disease necessarily arises from Qi issues.) Sweating, pain at the outer canthus, cheek pain, pain behind the ear, shoulder, elbow, and arm laterally, inability to use the ring finger, giving rise to these diseases. (Sanjiao emits Qi to warm muscles and fill the skin, hence sweating. Other diseases are all within the coverage of this meridian.) For excess conditions, apply draining methods; for deficiency conditions, apply tonifying methods; for heat conditions, use rapid needling; for cold conditions, retain the needle; for sinking/depressed conditions, use moxibustion; for neither excess nor deficiency, treat according to the meridian itself. (Principles as in the first meridian.) When excessive, the Ren Ying pulse is one time larger than the Cun Kou pulse; when deficient, the Ren Ying pulse is smaller than the Cun Kou pulse. (Hand-Shaoyang is the exterior of Jueyin, hence observed at the Ren Ying pulse.)

The Gallbladder meridian belongs to the Foot-Shaoyang. When the meridian undergoes change, disease occurs, manifesting as bitter taste in the mouth, frequent sighing. (Gallbladder disease leads to leakage of bile, hence bitter taste. Gallbladder Qi stagnation leads to discomfort, hence frequent sighing.) Hypochondriac pain preventing turning to the side. (Foot-