手厥阴心包之络,计有九穴之奇,自天池天泉而始,逐曲泽 门而驰,间使通乎内关,大陵近于劳宫,即由掌握,
乃抵中冲。
心络起自天池间,乳后一寸腋下三(腋下三寸,乳后一寸),天泉曲腋下三寸,曲泽屈肘陷中央, 门去腕方五寸
(掌后去腕五寸),间使腕后三寸量,内关去腕止二寸,大陵掌后两筋间,劳宫屈中名指取(屈中指无名指取之),中指
之末中冲详。
\r手厥阴心包络之图\p06-d32a20.bmp\r
起于小指次指之端,上出两指之间,循手表腕,出臂外两骨之间,上贯肘,循 外上肩,而交出足少阳之后,入缺
盆,布膻中,散络心包,下膈,循属三焦;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 ;
其支者,从耳后入耳中,出走耳前,过客主人前,交颊,至目锐 。是动则病耳聋,浑浑 ,嗌肿喉痹。是主气所生
病者,汗出,目锐 痛,颊肿,耳后肩 肘臂外廉痛,小指次指不用,为此诸病。( ,音屯)
此言三焦经脉之行,乃为第十经也。臂骨尽处为腕, 尽处为肘,膊下对腋处为 ,目下为 。手少阳起小指次指
之端关冲穴(即第一指也),上出,历液门,中渚,四指之间,循手表腕之阳池,出臂外两骨之间至天井穴,从天井上行,
循臂 之外,历清冷渊、消铄,行手太阳之里、手阳明之外,上肩,循臂会肩 、天 ,交出足少阳之后,过秉风、
肩井,下入缺盆,复由足阳明之外,而交会于膻中之上焦,散布络绕于心包络,乃下膈,入络膀胱,以约下焦,附右肾
而生;其支行者,从膻中,而上出缺盆之外,上项,过大椎,循大牖,上耳后,经翳风、螈脉、颅息,直上出耳上角,
至角孙,过悬厘、颔厌,及过阳白、睛明,屈曲耳颊至 ,会颧 之分;其又支者,从耳后翳风穴入耳中,过听宫,历
耳门、禾 ,却出至目锐 ,会瞳子 ,循丝竹空,而交于足少阳胆经也。随其经之所在,而虚实变动,乃见耳聋浑浑
等症也。
The collateral channel of the Hand-Jueyin Pericardium has nine acupoints. It starts from Tianchi (PC1) and Tianquan (PC2), proceeds through Quze (PC3) and Ximen (PC4), connects Jianshi (PC5) with Neiguan (PC6), approaches Daling (PC7) near Laogong (PC8), lies within the palm, and finally reaches Zhongchong (PC9) at the tip of the middle finger.
The Pericardium collateral originates from Tianchi (PC1), located one cun posterior to the nipple and three cun below the axilla (specifically: three cun below the axilla, one cun posterior to the nipple). Tianquan (PC2) is located three cun below the lateral end of the axillary fold. Quze (PC3) is in the center of the depression at the elbow crease when the elbow is flexed. Ximen (PC4) is five cun proximal to the wrist crease (five cun above the transverse crease of the wrist). Jianshi (PC5) is measured three cun distal to the wrist crease. Neiguan (PC6) is two cun proximal to the wrist crease. Daling (PC7) is located between the two tendons behind the wrist crease. Laogong (PC8) is found by flexing the middle and ring fingers (the point where the tips meet). Zhongchong (PC9) is detailed at the tip of the middle finger.
[Image: Diagram of the Hand-Jueyin Pericardium Channel \p06-d32a20.bmp\r]
The Sanjiao (Triple Burner) channel originates at the tip of the fourth finger (ring finger), ascends between the index and ring fingers, follows the dorsal aspect of the hand and wrist, emerges between the two bones of the forearm, ascends through the elbow, follows the lateral aspect of the upper arm to the shoulder, crosses posterior to the Foot-Shaoyang Gallbladder channel, enters the supraclavicular fossa (Quepen), spreads in the chest region (Shanzhong), disperses and connects with the Pericardium, descends through the diaphragm, and belongs to the Sanjiao. Its branch arises from Shanzhong, ascends out of the supraclavicular fossa, goes up the neck, connects behind the ear, ascends straight to the apex of the ear, then curves down to the cheek, reaching [missing character, likely referring to the face or jaw]. Another branch enters the ear from behind it, exits anterior to the ear, passes anterior to the Guest Master point (Shangguan, GB12), crosses the cheek, and reaches the outer canthus (Jiaosun/Blindness point context, usually Mingmen or similar, but text says "Mu Rui Zi" - outer canthus). If the channel is disturbed, symptoms include deafness, muffled hearing (Hunhun Tun Tun), swollen throat, and sore throat (Yi Bi). If diseases arise from Qi disorders, symptoms include sweating, pain in the outer canthus, swelling of the cheek, pain along the posterior ear, shoulder, elbow, and lateral aspect of the arm, and dysfunction of the fourth finger. ("Tun", pronounced tun).
This passage describes the course of the Sanjiao meridian, which is the tenth channel. The end of the arm bone is the wrist; the end of the elbow joint is the elbow; the lower part of the upper arm opposite the armpit is the Nao (upper arm); below the eye is the Quan (cheekbone). The Hand-Shaoyang Sanjiao channel begins at Guanchong (TE1) at the tip of the fourth finger, ascends passing Yemen (TE2), Zhongzhu (TE3), between the four fingers, follows the Yangchi (TE4) on the dorsal wrist, emerges between the two forearm bones to reach Tianjing (TE10), ascends from Tianjing along the lateral aspect of the upper arm (Nao), passes Qinglengyuan (note: non-standard, possibly Naohui TE13 or similar contextually, but translated as written) and Xiaoshuo (non-standard), running deep to the Hand-Taiyang Small Intestine channel and superficial to the Hand-Yangming Large Intestine channel, ascends to the shoulder, follows Binao (LI14) and Jianliao (TE14), crosses posterior to the Foot-Shaoyang Gallbladder channel, passes Bingfeng (GB12) and Jianjing (GB21), descends into the supraclavicular fossa, passes lateral to the Foot-Yangming Stomach channel, and intersects at the Upper Jiao area above Shanzhong, spreading to connect with the Pericardium, then descends through the diaphragm, connects with the Bladder, and regulates the Lower Jiao, attaching to the right kidney for its generation. Its branch arises from Shanzhong, ascends out of the supraclavicular fossa, goes up the neck, passes Dazhui (GV14), follows Dayou (non-standard, possibly Futu LI18 context), ascends behind the ear, passes Yifeng (TE17), Yuanmai (non-standard, possibly Sibuzhukong SJ23 context), Luxi (TE19), ascends straight to the apex of the ear, reaches Jiaosun (GB14), passes Xuanli (GB15), Hanyan (GB16), and passes Yangbai (GB14) and Jingming (BL1), curving through the ear and cheek to the [missing character, likely cheek/jaw], meeting the cheekbone area. Another branch enters the ear from Yifeng (TE17), passes Tinggong (SI19), goes through Ermen (TE21) and Heliao (SI19), exits to the outer canthus (Muirui Zi), meets Tongziliao (GB1), follows Sibuzhukong (SJ23), and intersects with the Foot-Shaoyang Gallbladder channel. Depending on the deficiency or excess in the channel's location, symptoms such as deafness and muffled hearing appear.