(俗谓之肚,中脘穴分,即中焦也)
统属足太阴脾经(《灵枢》曰∶足太阴之脉,循膝股内前廉入腹。是动则病腹胀善噫,得后与气,则快然如
衰。又曰∶太阴终者,腹胀闭,不得息,善噫善呕;呕则逆,逆则面赤,不逆则上下不通;上下不通则面黑,
皮毛焦而终矣。又曰∶足太阴之别,名曰公孙,去本节之后一寸,别走阳明,其别者入络肠胃。厥气上逆则
霍乱;实则肠中切痛,虚则鼓胀,取之所别也。又曰∶腹胀满,食不化,腹响响然不能大使,取足太阴。《
素问》曰∶阴中之至阴,脾也。腹者,至阴之所居。又曰∶脾病内舍心腹,外在肌肉四肢。又曰∶黄脉之至
也,大而虚,有厥气在腹中。厥气,名曰疝厥,女子同法。得之疾使四肢汗出当风。又曰∶中气不足,谓之
脾虚,则腹满肠鸣,飧泄,食不化。又曰∶伤寒十日,太阴病衰,腹减如故,则思饮食。又曰∶太阴之厥,
则腹满 胀,后不利,不欲食,食则呕,不得卧。又曰∶脾疟者,令人寒则腹中痛,热则肠中鸣,已汗出。
李东垣曰∶中脘痛者,太阴也,理中汤或建中汤,及草豆蔻丸之类主之)。又属足阳明胃经(《灵枢》曰∶
足阳明之脉,其支者起于胃口,下循腹里。所生病者,大腹水肿。《素问》曰∶腹中鸣者,病本于胃也。薄
脾,则烦不能食,食不下者,胃脘膈也。又曰∶胃疟者,令人善饥而不能食,食而支满腹大。杨上善曰∶足
阳明脉,从鼻起,下咽,分为四道,并正别脉六道,上下行腹,纲维于身)。兼属手太阳小肠经、少阳三焦
经之会。(《素问》曰∶腹暴满,按之不下,取手太阳经络者,胃之募也。注∶胃募,中脘穴也,居蔽骨与
脐之中,手太阳小肠、足阳明脉所生也)。又属足少阴肾经、厥阴肝经(《灵枢》
曰∶腹满,大便不利,腹大,亦上走胸嗌,喘息渴渴然,取足少阴。又曰∶足之三阴,从足走腹。《素问》曰∶
肾病者,腹大胫肿,虚则胸中痛,大腹、小腹痛。又曰∶肝热病者,小便先黄,腹痛多卧,身热)。又属冲脉、
任脉之会(《灵枢》曰∶冲脉、任脉之浮而外者,循腹右上行,会于咽喉。又曰∶任脉之别,散于腹。实则腹
皮痛,虚则瘙痒,取之所别也。《素问》曰∶冲脉挟脐上行,至胸中而散。故冲脉为病,则逆气里急也。沈承
之曰∶腹分四行,中行脐上五寸,名上脘穴,属足阳明胃经、手太阳小肠经、任脉之会。脐上四寸,名中脘穴,
又谓之上纪,属手太阳小肠经、少阳三焦经、足阳明胃经、任脉之会。脐上二寸,名下脘穴,属足太阴脾经、
任脉之会。第二行去中行左右各开五分,属足少阴肾经、冲脉之会。第三行去中行左右各开二寸,属足阳明胃
经。第四行去中行左右各开三寸五分,属足太阴脾经、阴维脉之会)。
(Commonly known as the belly, divided by the Zhongwan (CV12) acupoint, which belongs to the Middle Jiao (Middle Burner))
Primarily governed by the Foot-Taiyin Spleen Meridian (The *Ling Shu* states: The meridian of the Foot-Taiyin follows the anterior aspect of the inner knee and thigh into the abdomen. When this meridian is affected, it causes abdominal distension and frequent belching; relief is felt after defecation or passage of flatus. It also states: At the termination of the Taiyin, there is abdominal fullness and closure, inability to breathe, frequent belching and vomiting; if vomiting occurs, qi rebels upward, causing redness of the face; if it does not rebel, there is obstruction between the upper and lower parts; such obstruction leads to a black complexion, with dry skin and hair, marking the end of life. Furthermore: The collateral branch of the Foot-Taiyin is named Gongsun (SP4), located one cun posterior to the root of the first metatarsal bone, diverging to connect with the Yangming meridian, with its branches entering and connecting to the intestines and stomach. Rebellious Qi upwards results in Huoluan (cholera-like syndrome); excess conditions manifest as severe cutting pain in the intestines, while deficiency conditions manifest as drum-like distension; treatment should target this collateral branch. Additionally: For abdominal fullness, food stagnation, audible borborygmi, and constipation, points on the Foot-Taiyin should be selected. The *Su Wen* states: The Yin within Yin is the Spleen. The abdomen is the residence of the Ultimate Yin. It further states: Spleen disease internally affects the heart and abdomen, and externally affects muscles and limbs. Also: When the Huang Mai (Yellow Pulse, associated with Earth/Spleen) is large and empty, it indicates Jue Qi (rebellious/cold Qi) residing in the abdomen. This Jue Qi is called Shan Jue (Hernia Jue), following the same pattern in women. It arises from exerting the limbs vigorously while sweating and exposed to wind. Moreover: Insufficiency of Middle Qi is termed Spleen Deficiency, leading to abdominal fullness, borborygmi, undigested stool diarrhea, and food stagnation. It is also stated: In the tenth day of Shanghan (Cold Damage), when the Taiyin disease declines, abdominal distension subsides to normal, and appetite returns. Regarding Taiyin Jue (Jue Syndrome of Taiyin): abdominal fullness and distension, difficulty in bowel movements, anorexia, postprandial vomiting, and insomnia occur. Regarding Pi Nue (Spleen Malaria): chills cause abdominal pain, heat causes intestinal rumbling, accompanied by sweating. Li Dongyuan states: Pain at Zhongwan is a Taiyin condition, treated with Lizhong Tang (Regulate the Middle Decoction), Jianzhong Tang (Build the Middle Decoction), or Caodoukou Wan (Cardamom Pill)).
It also belongs to the Foot-Yangming Stomach Meridian (The *Ling Shu* states: A branch of the Foot-Yangming meridian originates from the stomach opening and descends along the interior of the abdomen. Diseases generated by this meridian include massive abdominal edema. The *Su Wen* states: Borborygmi in the abdomen originates from the Stomach. If pathogenic factors encroach upon the Spleen, irritability and anorexia occur; difficulty swallowing food indicates obstruction at the epigastrium. It also states: Patients with Wei Nue (Stomach Malaria) feel hungry but cannot eat; upon eating, they experience chest/flank fullness and abdominal enlargement. Yang Shangshan states: The Foot-Yangming meridian begins at the nose, descends through the throat, dividing into four channels, combined with the main and collateral meridians totaling six paths, traveling up and down the abdomen to regulate the body).
It serves as a confluence for the Hand-Taiyin Small Intestine Meridian and the Shaoyang Sanjiao Meridian (The *Su Wen* states: For sudden abdominal fullness that does not depress upon pressure, select the Luo-connecting point of the Hand-Taiyang Small Intestine Meridian, which is the Mu-Alarm point of the Stomach. Note: The Mu-Alarm point of the Stomach is Zhongwan (CV12), located midway between the xiphoid process and the umbilicus, where the Hand-Taiyang Small Intestine and Foot-Yangming Stomach meridians originate).
It also belongs to the Foot-Shaoyin Kidney Meridian and the Jueyin Liver Meridian (The *Ling Shu* states: For abdominal fullness, difficulty in defecation, abdominal enlargement, and Qi rushing upward to the chest and throat causing panting and thirst, select points on the Foot-Shaoyin Kidney Meridian. It also states: The three Yin meridities of the foot travel from the foot to the abdomen. The *Su Wen* states: Kidney disease manifests as abdominal swelling and leg edema; deficiency presents as chest pain, and pain in the great and small abdomen. It also states: Heat disease of the Liver presents with yellow urine first, abdominal pain, lethargy, and fever).
It is a confluence of the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) (The *Ling Shu* states: The superficial and external branches of the Chong and Ren meridians ascend along the right side of the abdomen and converge at the throat. It also states: The collateral branch of the Ren Mai scatters over the abdomen. Excess conditions cause pain in the abdominal skin, while deficiency causes itching; treatment targets this collateral branch. The *Su Wen* states: The Chong Mai ascends alongside the umbilicus, dispersing in the chest. Therefore, Chong Mai pathology manifests as rebellious Qi and internal tension/pain. Shen Chengzhi states: Abdominal meridians are divided into four rows. The central row, five cun above the umbilicus, is named Shangwan (CV13), a confluence of the Foot-Yangming Stomach, Hand-Taiyang Small Intestine, and Ren meridians. Four cun above the umbilicus is named Zhongwan (CV12), also called Shangji, a confluence of the Hand-Taiyang Small Intestine, Shaoyang Sanjiao, Foot-Yangming Stomach, and Ren meridians. Two cun above the umbilicus is named Xiawan (CV10), a confluence of the Foot-Taiyin Spleen and Ren meridians. The second row, 0.5 cun lateral to the center on both sides, is a confluence of the Foot-Shaoyin Kidney and Chong meridians. The third row, two cun lateral to the center on both sides, belongs to the Foot-Yangming Stomach Meridian. The fourth row, 3.5 cun lateral to the center on both sides, is a confluence of the Foot-Taiyin Spleen and Yinwei Mai (Yin Linking Vessel)).