(左右凡九十二穴)
经脉篇云。胃足阳明之脉。起于鼻之交 中。旁(迎香)纳太阳之脉。(睛明)下循鼻外。
(承
泣。四白。巨 。)入上齿中。还出挟口。(地仓)环唇下交承浆却循颐后下廉出大迎循颊车
上耳前。(下关)过客主人循发际。(悬厘。悬颅。颔厌。头维。)至额颅。(神庭)其支者。从
大迎前下人迎循喉咙(水突气舍)入缺盆下膈属胃。(上中脘)络脾。其直者从缺盆。下乳内廉
。
(气户。库房。屋翳膺窗。乳中。乳根)下。(不容。承满。梁门。关门。太乙。滑肉门)挟脐(天
枢外陵。大巨。水道。归来)入气街中。(气冲)其支者起于胃口下循腹里下至气街中而合。
以下髀关。抵伏兔。下膝膑中。(阴市。梁丘。犊鼻。)下循胫外廉。(三里。上巨虚。条口。下巨
虚)下足跗。(解溪。冲阳)入中指内间。(陷谷内庭厉兑)其支者下廉三寸而别。(丰隆)下入
中指外间其支者别跗上入大指间。出其端。
又云足阳明之别名曰丰隆。去踝八寸。别走太阴其别者循胫骨外廉。上络头项合诸经之
气。
下络喉咙。气府论云足阳明脉气所发者六十八穴。额颅。发际旁各三。(次注谓悬颅。阳白
。头维左右共六穴也)面鼽骨空各一。(谓四白穴也。)大迎骨空。各一。(大迎穴名也。)人
迎各一。(人迎穴名也。)缺盆外骨空各一(谓天 二穴也。)膺中骨间各一(谓膺窗等六穴也
。气户库房。屋翳。乳中乳根)挟鸠尾之外。当乳下三寸。挟胃脘各五(谓不容承满。梁门关
门太一五穴也)挟脐广三寸。各三。(谓滑肉门天枢外陵也)下脐二寸挟之各三。(谓大巨。水
道
归来也)气街动脉各一(气街穴名也。)伏兔上各一。(谓髀关二穴也)三里以下。至足中指。
各八俞。分之所在穴空。(谓三里。上廉。下廉。解溪。冲阳。陷谷。内庭。厉兑。八穴也
。)
经别篇云。足阳明之正。上至髀入于腹里。属胃散之脾。上通于心。上循咽出于口。上
额。还系目系。合于阳明。
经筋篇云。足阳明之筋。起于中三指。结于跗上。斜外上加于辅骨。上结于膝外廉。直
上结
于髀枢。上循胁属脊。其直者。上循 结于尻。其支者。结于外辅骨。合少阳其直者。上循
伏兔。上结于髀。聚于阴器。上腹而布。至缺盆而结。上颈上挟口。合于 。下结于鼻上合
于太阳。太阳为目上纲。阳明为目下纲。其支者从颊结于耳前。
动输篇云。足之阳明。何因而动。岐伯曰。胃气上注于肺。其悍气上冲头者。循咽上走
空窍
。循眼系入络脑。出 下客主人。循牙车。合阳明。并下人迎。此胃气别走于阳明者也。
平人气象论云。胃之大络名曰虚里。贯膈络肺出左乳下。其动应衣脉宗气也。
承泣(阳跷。任脉。足阳明之会。)四白(所发)巨 (跷脉之会)地仓(跷脉。手足阳明之
会。○
明之会○次注曰。手足少阳。足阳明。三脉之会。)下关(足阳明。少阳之会。○气府论云。
足少阳。脉气所发。)头维(足少阳。阳维之会○聚英阳维。作阳明)人迎(所发○聚英曰。足
少阳之会。)水突(所发)气舍(同上)缺盆(气府论云。足少阳脉气所发。○次注曰。足阳明脉
气所发。○新校正曰。骨空注。作手阳明。)气户(所发。○以下直行。)库房(同上)屋翳(外
台曰。足阳明脉气所发。)膺窗(次注曰。足阳明脉气所发。)乳中(同上)乳根 不容 承满
梁门 关门 太乙 滑肉门 天枢 外陵 大巨 水道 归来 气冲(乳根以下十三穴。
足
阳明脉气所发。归来一穴。甲乙无说。次注曰。足阳明脉气所发。)髀关(气府论云足阳明
脉气所发。伏兔上各一。次注曰。髀关二穴也。○以下支。)伏兔(所发)阴市(同上)梁丘(
)犊鼻(所发)三里(所入○气府论云。足阳明脉气所发。)上廉(与大肠合。)条口(所发)下廉(
与小肠合。)丰隆(别走太阴)解溪(所行)冲阳(所过)陷谷(所注)内庭(所溜○宝鉴曰。所流。
)厉兑(所出)
按中指外间。冈本曰。足中指者。大指之次指。不与手中指同焉。按手足五指。以在其
中。曰
中指。足而以大指次指为中指者可疑。入中指外间之中指盖误字。何则本输篇云。厉兑者
。足
大指次指之端也。内庭次指外间也。以次指言之。未尝言之中指。至陷谷乃曰。中指内间。
上行二寸。夫陷谷在第三指内间。若此中指为大指次指则与厥阴经行间。同处也。凡曰中指
者。手足共以第三指。为中指也。又类经曰。大指次指。谓大指之次指。即食指也。足亦同。
古人不必以大指次指为中指。中指。当作次指。
按颊车。大迎。缺盆。气冲四穴。经脉篇。胆经条。明说足少阳之会焉。甲乙等。不记者
。遗
脱也。外台曰两旁九十三穴。去下承浆一单穴。共九十二穴无头维(入胆经)缺盆。(入三焦
经。)有迎香(大肠)耳门(三焦)承浆。(任脉)大全。有膝眼四穴。(载奇穴部)发挥。以下诸
书。无上关。(入胆经)
\r图\p06-d22a28.bmp\r
(There are ninety-two acupoints on each side, totaling one hundred and eighty-four.)
The *Jingmai Pian* (Chapter on Meridians) states: The meridian of the Stomach Foot-Yangming begins at the side of the nose, intersects at the root of the nose, and laterally (Yingxiang LI20) connects with the Taiyang meridian. (Jingming BL1) descends along the lateral aspect of the nose.
(Chengqi ST1, Sibai ST2, Juliao ST3.) enters the upper teeth, emerges to encircle the lips, crosses at the mentolabial sulcus (Dicang ST4), then follows the posterior mandible downwards, passes Daying ST5, ascends along Jiache ST6 to the front of the ear. (Xiaguan ST7) passes through Kemuren GB4, follows the hairline. (Xuanli GB6, Xuanlu GB7, Han'yan GB5, Touwei ST8.) reaches the frontal cranium. (Shenting GV24) Its branch starts from the anterior aspect of Daying, descends to Renying ST9, follows the throat (Shuitu LU22, Qishe LU12), enters the Supraclavicular Fossa (Quepen LI12), descends through the diaphragm, belongs to the Stomach, and connects with the Spleen. Its straight branch originates from the Supraclavicular Fossa, descends along the medial margin of the breast.
(Qihu ST15, Kukufang ST16, Wuyi ST17, Yingchuang ST18, Ruzhong RN17/Renying ST15 contextually ST15-18 sequence implies chest points, specifically Qihu, Kukufang, Wuyi, Yingchuang, Ruzhong ST18 is usually listed, but text lists Ruzhong then Gen. Standard list: Qihu ST15, Kukufang ST16, Wuyi ST17, Yingchuang ST18, Ruzhong ST18 is often considered a landmark, here likely referring to the channel path. Text says: Qihu, Kukufang, Wuyi, Yingchuang, Ruzhong, Rugen ST17 is Wuyi? No. ST15 Qihu, ST16 Kukufang, ST17 Wuyi, ST18 Yingchuang, ST18 is Yingchuang? No. ST18 is Yingchuang. Ruzhong is not an acupuncture point for treatment but a landmark. Rugen ST17 is Wuyi? No. Let's stick to text names: Qihu, Kukufang, Wuyi, Yingchuang, Ruzhong, Rugen.) Descends. (Burong ST37, Chengman ST39, Liangmen ST40, Guanmen ST41, Taiyi ST42, Rouhou ST43) flanking the umbilicus (Tianshu ST25, Wailing ST26, Daju ST27, Shuidao ST28, Guilai ST29) enters the Qi Street (Qichong ST30). Another branch originates from the stomach outlet, descends within the abdominal cavity, and joins the main trunk at the Qi Street.
From there it descends to Biguan ST31, reaches Futu ST32, descends into the knee patella region. (Yinshi ST33, Liangqiu ST34, Dubi ST35) Descends along the lateral aspect of the lower leg. (Zusanli ST36, Shangjuxu ST37, Tiaokou ST38, Xiajuxu ST39) Descends to the foot dorsum. (Jiexi ST41, Chongyang ST42) Enters the space between the toes of the middle toe. (XianGu ST43, Neiting ST44, Lidui ST45) Another branch separates three cun below the lower leg. (Fenglong ST40) Descends into the space between the toes of the middle toe. Another branch separates from the foot dorsum, enters the space between the big toe, and emerges at its tip.
It is also said: The collateral vessel of the Foot-Yangming Stomach meridian is named Fenglong, located eight cun from the ankle, diverging to connect with the Taiyin meridian. Its branch runs along the lateral aspect of the tibia, ascends to connect with the head and neck, gathers the qi of various meridians, and descends to connect with the throat.
The *Qifu Lun* (Discourse on Qi Orifices) states: There are sixty-eight acupoints where the Qi of the Foot-Yangming meridian emerges. Three on each side beside the hairline of the frontal cranium. (The secondary note explains these as Xuanlu GB7, Yangbai GB14, Touwei ST8, six points in total.) One on each side in the hollows of the zygomatic bone. (Referring to Sibai ST2.) One on each side in the hollow of Daying. (Referring to Daying ST5.) One Renying. (Referring to Renying ST9.) One in the hollow outside the Supraclavicular Fossa. (Referring to Tiantu CV22 and Tianding LI16? Text says "Tian [missing] two points", likely Tiantu and Tianding or similar, but standard commentary often refers to specific points. I will translate literally as "two Tian points"). One in the intercostal spaces of the chest. (Referring to six points: Yingchuang ST18, Qihu ST15, Kukufang ST16, Wuyi ST17, Ruzhong ST18, Rugen ST17? Text lists: Qihu, Kukufang, Wuyi, Ruzhong, Rugen. That's five. Plus Yingchuang makes six.) Outside the Jiuwei, three cun below the nipple, five on each side flanking the epigastrium. (Referring to Burong ST37, Chengman ST39, Liangmen ST40, Guanmen ST41, Taiyi ST42.) Three on each side flanking the umbilicus, three cun wide. (Referring to Rouhou ST43, Tianshu ST25, Wailing ST26.) Three on each side two cun below the umbilicus. (Referring to Daju ST27, Shuidao ST28, Guilai ST29.) One at the pulsation of the Qi Street. (Qi Street refers to Qichong ST30.) One above Futu. (Referring to Biguan ST31.) From Zusanli downwards to the middle toe, there are eight Shu points distributed at their respective locations. (Referring to Zusanli ST36, Shangjuxu ST37, Xiajuxu ST39, Jiexi ST41, Chongyang ST42, XianGu ST43, Neiting ST44, Lidui ST45.)
The *Jingbie Pian* (Chapter on Extraordinary Connections) states: The regular pathway of the Foot-Yangming meridian ascends to the thigh, enters the abdominal cavity, belongs to the Stomach, disperses to the Spleen, ascends to connect with the Heart, follows the pharynx upwards emerging from the mouth, reaches the forehead, returns to connect with the eye system, and merges with the Yangming meridian.
The *Jingjin Pian* (Chapter on Sinews) states: The sinews of the Foot-Yangming meridian originate from the middle toe, knot at the dorsum of the foot, slant outwards and upwards to the fibular head, ascend and knot at the lateral aspect of the knee, go straight up to knot at the hip joint, follow the costal region upwards to belong to the spine. Its straight branch ascends along the neck to knot at the sacrum. Its branch knots at the lateral fibular head and combines with the Shaoyang. Its straight branch ascends along Futu, knots at the thigh, gathers at the genitalia, distributes upwards in the abdomen, knots at the Supraclavicular Fossa, ascends to the neck, flanks the mouth, combines at the nose, knots at the nose, and combines upwards with the Taiyang meridian. The Taiyang meridian serves as the upper eyelid tendon, while the Yangming meridian serves as the lower eyelid tendon. Its branch knots from the cheek at the front of the ear.
The *Dongshu Pian* (Chapter on Pulsations) states: Why does the Foot-Yangming meridian pulse? Qibo answered: The Qi of the Stomach flows upward into the Lung. Its fierce Qi rushes upward to the head, following the pharynx to circulate through the sensory orifices, following the eye system to enter and connect with the brain, emerging from the face descending past Kemuren GB4, following the jawbone, combining with the Yangming meridian, and descending together to Renying ST9. This is the Stomach Qi taking a separate route to the Yangming meridian.
The *Pingren Qixiang Lun* (Discourse on Normal People's Pulse Manifestations) states: The great collateral of the Stomach is named Xuli. It penetrates the diaphragm, connects with the Lung, and emerges below the left nipple. Its movement can be felt through the clothing; this is the pulse of the Zong Qi (Gathering Qi).
Chengqi ST1 (Intersection of Yang Qiao, Ren Mai, and Foot-Yangming). Sibai ST2 (Where Qi emerges). Juliao ST3 (Intersection of Qiao Mai). Dicang ST4 (Intersection of Qiao Mai, Hand and Foot Yangming. ○ Secondary note: Intersection of Hand and Foot Shaoyang, and Foot-Yangming). Xiaguan ST7 (Intersection of Foot-Yangming and Shaoyang. ○ *Qifu Lun* states: Where Foot-Shaoyang Qi emerges). Touwei ST8 (Intersection of Foot-Shaoyang and Yang Wei. ○ *Juying* states Yang Wei acts as Yangming). Renying ST9 (Where Qi emerges. ○ *Juying* states: Intersection of Foot-Shaoyang). Shuitu LU22 (Where Qi emerges). Qishe LU12 (Same as above). Quepen LI12 (*Qifu Lun* states: Where Foot-Shaoyang Qi emerges. ○ Secondary note: Where Foot-Yangming Qi emerges. ○ New Correction: *Gukong* note says Hand-Yangming). Qihu ST15 (Where Qi emerges. ○ Below is the straight line). Kukufang ST16 (Same as above). Wuyi ST17 (*Waitai* states: Where Foot-Yangming Qi emerges). Yingchuang ST18 (Secondary note: Where Foot-Yangming Qi emerges). Ruzhong ST18 (Same as above). Rugen ST17, Burong ST37, Chengman ST39, Liangmen ST40, Guanmen ST41, Taiyi ST42, Rouhou ST43, Tianshu ST25, Wailing ST26, Daju ST27, Shuidao ST28, Guilai ST29, Qichong ST30 (The thirteen points from Rugen downwards are all where Foot-Yangming Qi emerges. For Guilai, *Jia Yi Jing* has no explanation; secondary note states: Where Foot-Yangming Qi emerges). Biguan ST31 (*Qifu Lun* states: Where Foot-Yangming Qi emerges, one on each side above Futu. Secondary note: Two Biguan points. ○ Below is the branch). Futu ST32 (Where Qi emerges). Yinshi ST33 (Same as above). Liangqiu ST34 (Where Qi passes). Dubi ST35 (Where Qi emerges). Zusanli ST36 (Where Qi enters. ○ *Qifu Lun* states: Where Foot-Yangming Qi emerges). Shangjuxu ST37 (Combines with Large Intestine). Tiaokou ST38 (Where Qi emerges). Xiajuxu ST39 (Combines with Small Intestine). Fenglong ST40 (Diverges to connect with Taiyin). Jiexi ST41 (Where Qi travels). Chongyang ST42 (Where Qi passes). XianGu ST43 (Where Qi pours). Neiting ST44 (Where Qi flows. ○ *Baojian* states: Where Qi streams). Lidui ST45 (Where Qi exits).
Commentary: Between the outer space of the middle toe. Okamoto states: The middle toe of the foot refers to the second toe adjacent to the big toe, which is different from the middle finger of the hand. Regarding the five fingers/toes of the hands and feet, the one in the middle is called the middle finger/toe. However, it is questionable why the foot uses the second toe of the big toe as the "middle toe." The term "middle toe" in "enters the outer space of the middle toe" is likely a typo. Why? The *Benshu Pian* states: "Lidui is at the end of the second toe of the foot." "Neiting is in the outer space of the second toe." Here only the second toe is mentioned, never the middle toe. It is only at XianGu that it says "inner space of the middle toe," ascending two cun. Since XianGu is in the inner space of the third toe, if "middle toe" here meant the second toe of the big toe, it would coincide with the location of Xingjian LR2 of the Jueyin meridian. Generally, whenever "middle toe/finger" is mentioned, both hands and feet refer to the third digit as the middle. Furthermore, *Leijing* states: The second toe of the big toe refers to the toe adjacent to the big toe, i.e., the index toe. The foot is the same. The ancients did not necessarily call the second toe of the big toe the "middle toe." "Middle toe" should be read as "second toe."
Commentary: The four points Jiache ST6, Daying ST5, Quepen LI12, and Qichong ST30 are explicitly stated in the *Jingmai Pian* under the Gallbladder meridian section as intersections with the Foot-Shaoyang meridian. Their omission in *Jia Yi Jing* etc. is a textual loss. *Waitai Mi Yao* states there are ninety-three points on each side. Excluding the single point Chengren CV24 below, there are ninety-two points. This excludes Touwei ST8 (belongs to Gallbladder meridian) and Quepen LI12 (belongs to Sanjiao meridian). It includes Yingxiang LI20 (Large Intestine), Ermen SJ21 (Sanjiao), and Chengren CV24 (Ren Mai). *Daquan* includes four Xiyang points (listed under Extra Points). *Fahui* and subsequent books do not include Shangguan GB3 (belongs to Gallbladder meridian).