起于目锐 ,上抵头角,下耳后,循颈行手少阳之前,至肩上,却交出手少阳之后,入缺盆;其支者,从耳后入耳
中,出走耳前,至目锐 后;其支者,别锐 ,下大迎,合手少阳,抵于 ,下加颊车,下颈合缺盆;以下胸中,贯膈
络肝属胆,循胁里,出气街,绕毛际,横入髀厌中;其直者,从缺盆下腋,从胸过季胁,下合髀厌中,以下循髀阳,出
膝外廉,下外辅骨之前,直下抵绝骨之端,下出外踝之前,循足跗上,入小趾次趾之间;其支者,别跗上,入大趾之间,
循大趾岐骨内出其端,还贯爪甲,出三毛。是动则病口苦,善太息,心胁痛不能转侧,甚则面微有尘,体无膏泽,足外
反热,是为阳厥。是主骨所生病者,头痛颔痛,目锐 痛,缺盆中肿痛,腋下肿,马刀侠瘿,汗出振寒,疟,胸、胁肋、
髀、膝外至胫绝骨外踝前及诸节皆痛,小趾次趾不用,为此诸病。
此言胆经脉气之行,乃为第十一经也。腋下为胁,胁又名 。曲骨之外为毛际,毛际两旁动脉为气冲,捷骨之下为
髀厌,即髀枢也。胁骨之下为季胁(属肝经,穴名章门), 骨为辅骨,外踝以上为绝骨,足面为附,足大趾本节后为
歧骨,大趾爪甲后为三毛。足少阳胆经,起目锐 之瞳子 ,由听会、客主人上抵头角,循颔厌,下悬颅、悬厘,由悬
厘外循耳,上发际,至曲宾、率谷外折,下耳后,循天冲、浮白、窍阴、完骨。又自完骨外折,循本神,过曲差,下至
阳白,会睛明,复从睛明上行,循临泣、目窗、正营、承灵、脑空、风池,至颈过天牖,行手少阳之脉前,下至肩,
上循肩井,却左右交出手少阳之后,从耳后颞 间过翳风之分,入耳中,过听宫,复自锐 瞳子 之分其支者,别自目
外瞳子 而下大迎,合手少阳于 ,当颧 之分,下临颊车,下车下颈,循本经之前,与前之入缺盆者相合,下胸中天
池之外,贯膈,即期门之所络肝,下至日月之分,属于胆也,自属胆处,循胁内章门之里至气冲,绕毛际,遂横入髀厌
中之环跳穴;其直行者,从缺盆下腋,循胸,历渊液、辄筋、日月,过季胁,循京门、带脉、五枢、维道、居 ,入上
、中 、长强而下,与前之入髀厌者相合,乃下循髀外,行太阳、阳明之间,历中渎、阳关、出膝外廉,抵阳陵泉,
又自阳陵泉下行于辅骨前,历阳交、外丘、光明,直下抵绝骨之端,循阳辅、悬钟而下,出外踝之前,至丘墟,循
足面之临泣、五会、侠溪,乃上入于小趾次趾之端,至窍阴而终;其支别者,自足跗面临泣,别行入大趾,循岐骨内,
出大趾端,还贯入爪甲,出三毛,以交于足厥阴肝也。及其动穴验病,则为口苦者,以胆汁苦也,善太息者,胆气不舒
也,为胁痛等症者,随其经而现也。
The Foot-Shaoyang Gallbladder Meridian originates at the outer canthus (Tongziliao, GB1), ascends to the vertex/corner of the head, descends behind the ear, follows the neck anterior to the Hand-Shaoyang Sanjiao Meridian, reaches the shoulder, then crosses posterior to the Hand-Shaoyang Sanjiao Meridian, and enters the supraclavicular fossa (Quepen). A branch enters the ear from behind the ear, emerges anterior to the ear, and reaches the posterior aspect of the outer canthus. Another branch diverges from the outer canthus, descends to Daying (LI17), joins the Hand-Shaoyang Sanjiao Meridian, reaches the zygomatic region, descends below Jiache (ST6), travels down the neck to join the main trunk in the supraclavicular fossa; it then descends into the chest, pierces the diaphragm, connects with the Liver, and belongs to the Gallbladder. It follows the interior of the hypochondrium, emerges at the Qi Chong (Stomach 30) area, circles the pubic hair margin, and transversely enters the hip joint depression (Biyan). The straight branch descends from the supraclavicular fossa to the axilla, passes through the lateral chest and costal margin, descends to join the hip joint depression, then follows the lateral thigh, emerges at the lateral knee, descends anterior to the fibula, reaches the end of the fibular neck (Juegu), emerges anterior to the lateral malleolus, follows the dorsum of the foot, and enters between the second and third toes. A branch diverges from the dorsum of the foot, enters between the first and second toes, follows the medial side of the first metatarsal bone to its tip, returns to penetrate the nail bed, and emerges at the trichiasis (Sanmao).
When this meridian is disturbed, disorders include bitter taste in the mouth, frequent sighing, pain in the heart and hypochondrium with inability to turn the body, severe cases presenting with a dusty complexion, lack of luster in the body, and heat on the lateral aspect of the foot; this is termed Yang Jue (Yang Reversal).
This meridian primarily governs diseases of the bones, manifesting as headache, mandibular pain, pain at the outer canthus, swelling and pain in the supraclavicular fossa, axillary swelling, "horse knife" and "xia ying" (scrofula/lymphadenopathy), sweating with chills, malaria, and pain throughout the chest, hypochondrium, thigh, lateral knee, lower leg, fibular neck, lateral malleolus, and various joints, along with dysfunction of the second toe. These constitute the diseases associated with this meridian.
The above describes the circulation of Qi in the Gallbladder Meridian, which is the eleventh meridian. The axillary region is referred to as the hypochondrium. The area outside the Qugu bone is the pubic hair margin; the pulsating artery on both sides of the pubic hair margin is the Qi Chong point. Below the Jiegu bone is the Biyan, also known as the Bi Shu. Below the costal margin is the Ji Xiong (belonging to the Liver Meridian, specifically Zhangmen LR13). The fibula is the Fu Gu; the area above the lateral malleolus is Juegu; the dorsum of the foot is the Su; the bone behind the base of the great toe is the Qi Gu; and the hair behind the great toenail is Sanmao.
The Foot-Shaoyang Gallbladder Meridian originates at Tongziliao (GB1) of the outer canthus, ascending via Tinghui (GB2) and Keren Zhu (Shangguan, GB4) to the head corner, following Han Yan, descending through Xuan Lou and Xuan Li, exiting laterally from Xuan Li along the ear, ascending to the hairline, reaching Qu Bin and Lv Gu, turning outward, descending behind the ear, following Tian Chong, Fu Bai, Qiaoyin, and Wang Gu. From Wang Gu, it turns outward, follows Ben Shen, passes Qu Cha, descends to Yang Bai, meets Jingming (BL1), ascends again from Jingming, following Lin Qi, Mu Chuang, Zheng Ying, Cheng Ling, Nao Kong, and Feng Chi, reaching the neck via Tian You, running anterior to the Hand-Shaoyang Sanjiao Meridian, descending to the shoulder, ascending along Jian Jing (GB21), crossing left and right to pass posterior to the Hand-Shaoyang Sanjiao Meridian, passing through Yifeng (TE17) in the temporal region behind the ear, entering the ear, passing Ting Gong (SI19), and diverging from the outer canthus (Tongziliao). This branch descends to Daying (LI17), joining the Hand-Shaoyang Sanjiao Meridian at the zygomatic region, descending below Jiache (ST6), traveling down the neck anterior to this meridian, merging with the branch that entered the supraclavicular fossa, descending outside Tianchi (Pericardium 17) in the chest, piercing the diaphragm, connecting with the Liver at Qimen (LR14), descending to the Riyue (GB24) region, and belonging to the Gallbladder. From the Gallbladder connection, it follows the interior of the hypochondrium past Zhangmen (LR13) to Qi Chong (ST30), circles the pubic hair margin, and transversely enters the Huantiao (GB30) point in the Biyan; the straight branch descends from the supraclavicular fossa to the axilla, following the chest through Yuan Ye, Zhe Jin, and Riyue, passing the costal margin, following Jingmen (GB25), Dai Mai (GB26), Wushu (GB27), Weidao (GB28), Juliao (GB29), entering Shangliao (BL31), Zhongliao (BL32), Changqiang (GV1), and descending, merging with the branch that entered the Biyan, then following the lateral thigh between the Foot-Taiyang Bladder Meridian and Foot-Yangming Stomach Meridian, passing Zhongdu (GB33) and Yangguan (GB34), emerging at the lateral knee, reaching Yanglingquan (GB34), descending anterior to the fibula through Yangjiao (GB35), Waixiu (GB36), and Guangming (GB37), reaching the end of the fibular neck (Xuanzhong/Gallbladder 39), following Yangfu (GB38) and Xuanzhong (Gallbladder 39), emerging anterior to the lateral malleolus to Qiuxu (GB40), following the dorsum of the foot through Lin Qi (Gallbladder 41), Wuhui (Gallbladder 43), and Xiaxi (Gallbladder 44), ascending to the tip of the second toe, ending at Zuqiaoyin (Gallbladder 45). Its branch diverges from Lin Qi (Gallbladder 41) on the dorsum of the foot, enters the great toe, follows the medial side of the metatarsal bone, exits the tip of the great toe, penetrates the nail bed, emerges at the Sanmao, and connects with the Foot-Jueyin Liver Meridian.
Regarding clinical manifestations when these points are disturbed: bitter taste occurs due to the bitterness of bile juice; frequent sighing results from stagnant Gallbladder Qi; hypochondriac pain and other symptoms appear according to the meridian's pathway.