(肝之为脏,左三叶,右四叶,凡七叶。其治在左,其脏在右胁右肾之前,并胃着脊之第九
椎)《灵枢》曰∶足厥阴之脉,起于大趾丛毛之际(大敦穴也),上循足跗上廉(大趾间陷中,行间穴也。大
趾本节后陷中,太冲穴也),去内踝一寸,上踝八寸,交出太阴之后(内踝前一寸,中封穴也),上 内廉(曲
泉穴也),循股阴,入毛中,过阴器,抵小腹,挟胃属肝络胆(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,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,上入顽颡,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,与督脉相会于巅顶之百会穴);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)。其别,名曰蠡沟,去内踝五寸,别走少阳;其别
者,循胫上睾,结于茎。其病气逆则睾肿卒疝;实则挺长,虚则暴痒,取之所别也(足厥阴之络,名蠡沟,在
足内踝上五寸,别走足少阳者也。本经络阴器,上睾结于茎,故其所病如此。而治此者,当取所别之蠡沟)。
其正,别跗上,上至毛际,合于少阳,与别俱行,此为二合也(足厥阴之正,别足跗上内行,上至阴毛之际,
合于足少阳,与别者俱行,上布胁肋,是为六合之二也)。其筋起于大趾之上,上结于内踝之前(大趾上三毛
际,大敦之次,行跗上与足太阴之筋并行,结于内踝前中封之次也),上循胫,上结内辅之下,上循阴股,结
于阴器,络诸筋(由内踝上足胫,循三阴交之分,上行并足少阴之筋,上结于内辅骨下曲泉之次,复并太阴之
筋,上循阴股中五里、阴廉之分,上急脉,结于阴器。阴器者,合太阴、厥阴、阳明、少阴之筋,以及冲、任、
督三脉皆聚于此,故曰宗筋。厥阴属肝,肝主筋,故络诸筋,而一之以成健运之用)。是动则病腰痛不可以俯
仰,丈夫颓疝,妇人小腹肿,甚则嗌干,面尘脱色。是主肝所生病者,胸满呕逆,洞泄狐疝,遗溺闭癃。盛
者寸口大一倍于人迎,虚者寸口反小于人迎也(篇内是
动、所生病皆谓经脉病也,若筋病则与此不同,散见前编各条,此不详录。又凡十二经脉,病盛则泄之,虚则
补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之,虽亦散见于前。而此复重录者,以其大体所。
欲从一关类,故不厌其详也)。
The liver, as an organ, has three lobes on the left and four on the right, totaling seven lobes. Its functional regulation is located on the left, while the organ itself is situated in the right hypochondrium, anterior to the right kidney, connected with the stomach, and attached to the ninth thoracic vertebra of the spine. The *Ling Shu* states: The Foot-Jueyin (Liver) Meridian originates at the pubic hair on the big toe (Dadun, LR1), ascends along the medial aspect of the dorsum of the foot (passing through the depression between the big toes, Xingjian, LR2; and the depression behind the first metatarsophalangeal joint, Taichong, LR3). It passes one cun anterior to the medial malleolus, ascends eight cun above the ankle, crosses posterior to the Foot-Taiyin (Spleen) Meridian (Zhongfeng, LR4, one cun anterior to the medial malleolus), ascends along the medial aspect of the thigh (Ququan, LR8), enters the pubic region, passes around the external genitalia, reaches the lower abdomen, flanks the stomach, connects with the Liver, and links with the Gallbladder (The "thigh yin" refers to the medial thigh. Following Yinbao, Wuli, and Yinlian on the medial thigh, it converges with Chongmen and Fushhe of the Foot-Taiyin Spleen Meridian, enters Jimai in the pubic hair, intersects left and right, surrounds the genitalia, and converges with Qugu of the Ren Mai. Ascending from the genitalia into the lower abdomen, it converges with Zhongji and Guanyuan of the Ren Mai, follows Zhangmen to Qimen, flanks the stomach, connects with Riyue of the Foot-Shaoyang Gallbladder Meridian, and the Liver and Gallbladder are exterior-interior partners). It pierces the diaphragm and spreads into the hypochondrium and ribs (From Qimen, it pierces the diaphragm, runs lateral to Shidou of the Foot-Taiyin Spleen Meridian and medial to Dabao, spreading into the hypochondrium. It ascends below Yuan Ye of the Foot-Shaoyang Gallbladder Meridian and Yunmen of the Hand-Taiyin Lung Meridian; the acupoints of the Foot-Jueyin Liver Meridian end here). It follows the posterior aspect of the throat, ascends into the nasopharynx (Hangsang), connects with the optic nerve system (Muxi), emerges onto the forehead, and meets the Du Mai at the vertex (Hangsang refers to the soft palate/pharyngeal area. Muxi is the deep interior connection of the eye. The internal ascending branch travels from the hypochondrium, lateral to Renying of the Foot-Yangming Stomach Meridian, follows the posterior throat into Hangsang, runs lateral to Daying, Dicang, and Sibai of the Foot-Yangming Stomach Meridian, internally connects with Muxi, emerges lateral to Yangbai of the Foot-Shaoyang Gallbladder Meridian and medial to Linqi, and meets the Du Mai at Baihui on the vertex). A branch descends from the optic nerve system into the cheek interior, encircling the inner lips (This branch diverges from the previous optic nerve system point, descends lateral to the Ren Mai and medial to this meridian, goes down to the cheek interior, and interlocks within the lips). Another branch diverges from the Liver, pierces the diaphragm, and ascends to pour into the Lungs (Another branch, from Qimen where it connects to the Liver, runs lateral to Shidou of the Foot-Taiyin Spleen Meridian and medial to this meridian, diverges to pierce the diaphragm, and ascends to pour into the Lung Meridian. Descending to the Middle Jiao, it flanks Zhongwan, reconnects with the Hand-Taiyin Lung Meridian, completing one cycle of the twelve meridians, ending and restarting). Its collateral is named Ligou, five cun above the medial malleolus, diverging to the Foot-Shaoyang Gallbladder Meridian; its divergent branch follows the tibia upward to the testis, knotting at the penis. Pathological changes involving qi reversal result in testicular swelling and sudden hernia; excess conditions manifest as priapism, while deficiency conditions manifest as sudden pruritus; treatment should target the collateral point Ligou (The collateral of the Foot-Jueyin is named Ligou, located five cun above the medial malleolus, diverging to the Foot-Shaoyang Gallbladder Meridian. This meridian collaterals the genitalia, ascends to the testis, and knots at the penis, hence these symptoms. Treatment for these conditions should target the divergent point Ligou). The main channel diverges on the dorsum of the foot, ascends to the pubic hair, merges with the Foot-Shaoyang, and travels together with the collateral; this is called the second convergence (The proper channel of the Foot-Jueyin diverges medially on the dorsum, ascends to the pubic hair, merges with the Foot-Shaoyang Gallbladder Meridian, travels with the collateral, and spreads into the hypochondrium; this is the second of the six convergences). Its sinews originate above the big toe, ascending to knot anterior to the medial malleolus (At the pubic hair above the big toe, next to Dadun, running on the dorsum parallel to the sinews of the Foot-Taiyin Spleen Meridian, knotting near Zhongfeng anterior to the medial malleolus), following the tibia upward, knotting below the medial condyle of the tibia, ascending along the medial thigh, knotting at the genitalia, and connecting with all sinews (Ascending from the medial malleolus along the leg, following Sanyinjiao, traveling parallel to the sinews of the Foot-Shaoyin Kidney Meridian, knotting below the medial condyle near Ququan, then merging with the sinews of the Foot-Taiyin Spleen Meridian, ascending along the medial thigh through Wuli and Yinlian, reaching Jimai, and knotting at the genitalia. The genitalia gather the sinews of the Taiyin, Jueyin, Yangming, and Shaoyin, as well as the Chong, Ren, and Du meridians, thus called the Zongjin (Master Sinew). Jueyin belongs to the Liver, and the Liver governs the sinews, thus connecting all sinews to facilitate movement and function). When the meridian is disturbed, it causes low back pain preventing flexion and extension, hernia in men, lower abdominal swelling in women, and in severe cases, dryness of the throat and a dusty, pale complexion. The Liver Meridian governs diseases generated by the Liver, including chest fullness, vomiting and reflux, loose diarrhea, fox hernia, enuresis, and urinary retention or difficulty. In terms of pulse diagnosis, when the condition is excess, the Cun Kou pulse is larger than the Ren Ying pulse by one degree; when deficient, the Cun Kou pulse is smaller than the Ren Ying pulse (The "Is-Disturbed" and "Generated Diseases" in this chapter refer to meridian diseases. Sinew diseases differ and are detailed elsewhere. Regarding the twelve meridians, excess is treated with draining, deficiency with tonifying, heat with rapid needling, cold with retained needling, sinking with moxibustion, and neither excess nor deficiency by selecting from the meridian itself. These principles are scattered in previous texts but repeated here for clarity and detail).