\r足太阴脾经图\p06-d32a9.bmp\r
《难经》云∶脾重二斤三两,扁广三寸,长五寸,有散膏半斤。主裹血,温五脏,主藏意。《素问·灵兰秘典论》云∶
脾胃者,仓禀之官,五味出焉。
《本藏》篇云∶脾小则藏安,难伤于邪也,脾大则苦凑 而痛,不能疾行。脾高则 引季胁而痛;脾下则下加于大
肠,下加于大肠则藏苦受邪。脾坚则脏安难伤;脾脆则善病消痹易伤。脾端正则和利难伤;脾偏倾则善满善胀也。又云∶
黄色小理者脾小,粗理者脾大。揭唇者脾高,唇下纵者脾下。唇坚者脾坚,唇大而不坚者脾脆。唇上下好者脾端正,唇
偏举者脾偏倾也。
足太阴脾中洲,二十一穴隐白游,赴大都兮瞻太白,访公孙兮至商丘,越三阴之交而漏谷地机可即,步阴凌之泉
而血海箕门是求,入冲门兮府舍轩豁,解腹结兮大横优游,腹哀食窦兮接天溪而同派,胸乡周荣兮缀大包而如钩。
大趾端内侧隐白,节后陷中求大都,太白内侧核骨下,节后一寸公孙呼。商丘内踝微前陷,踝上三寸三阴交,踝上
六寸漏谷是,踝上五寸地机朝。膝下内侧阴陵泉(与阳陵泉相对),血海膝膑上内廉,箕门穴在鱼腹取,动脉应手越筋
间。冲门期下尺五分(期门,肝经穴,巨阙旁四寸五分。巨阙,任脉穴,脐上六寸五分),府舍期下九寸看,腹结期下
六寸入,大横期下五寸半。腹哀期下方二寸,期门肝经穴道现,巨阙之旁四寸五,却连脾穴休胡乱。自此以上食窦穴,
天溪胸乡周荣贯,相去寸六无多寡,又上寸六中府换(肺穴),大包腋下有六寸,渊腋腋下三寸半(渊腋,胆经穴,腋下
三寸与脾大包穴相连)。
愚按∶马玄台曰∶中府,肺穴也。周荣、胸乡、天溪、食窦,脾经穴也。期门,肝经穴也。肝经之下有脾经之腹
哀、大横、腹结、府舍、冲门诸穴,则中行开四寸五分。三经之穴,上下相连,左右共四十二穴。
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Figure of the Foot-Taiyin Spleen Meridian
The *Nan Jing* (Classic of Difficult Issues) states: The spleen weighs two jin and three liang, is flat and broad with a width of three cun, and a length of five cun, accompanied by a half-jin weight of "scattered pancreas" (san gao). Its primary functions are to envelop blood, warm the five zang organs, and govern the storage of yi (intellect/thought). The *Su Wen · Ling Lan Mi Dian Lun* (Plain Questions: Secret Records of the Spiritual Pivot) states: The stomach and spleen are like the officials in charge of granaries; the five flavors emerge from them.
The *Ben Cang* chapter states: If the spleen is small, the zang organs are secure and difficult for pathogenic factors to injure; if the spleen is large, it causes pain due to compression against the hypochondrium, making rapid movement impossible. If the spleen is positioned high, it pulls on the costal region causing pain; if positioned low, it presses down upon the large intestine, and pressing upon the large intestine makes the zang organs susceptible to pathogenic invasion. If the spleen is firm, the zang organs are secure and hard to injure; if fragile, one is prone to xiao bi disease (wasting-thirst and numbness-bi) and easy injury. If the spleen is upright, its functions are harmonious and hard to injure; if tilted, one is prone to fullness and distension. It further states: Those with yellow complexion and fine skin texture have a small spleen; those with coarse skin texture have a large spleen. Those with everted lips have a high spleen; those with drooping lower lips have a low spleen. Those with firm lips have a firm spleen; those with large but unfirm lips have a fragile spleen. Those with symmetrical upper and lower lips have an upright spleen; those with lips bulging to one side have a tilted spleen.
The Foot-Taiyin Spleen Meridian resides in the central province, containing twenty-one acupoints starting from Yinbai (SP1). Proceeding to Dabu (SP2), viewing Taibai (SP3), visiting Gongsun (SP4) up to Shangqiu (SP5). Crossing Sanjinyiao (SP6), Loudong (SP7) and Dijji (SP8) can be reached. Stepping into Yinlingquan (SP9), Xuehai (SP10) and Jimen (SP11) are sought. Entering Chongmen (SP12), Fushhe (SP13) appears open; releasing Fujie (SP14), Daheng (SP15) lies leisurely. Fu'ai (SP16) and Shidou (SP17) connect to Tianxi (SP18), sharing the same source; Xiongxiang (SP19) and Zhourong (SP20) link to Dabao (SP21), hooked together.
Yinbai (SP1) is at the medial tip of the great toe; Dabu (SP2) is sought in the depression behind the joint; Taibai (SP3) is below the medial malleolus bone; Gongsun (SP4) is called one cun behind the joint. Shangqiu (SP5) is in the slight depression anterior to the medial malleolus; Sanjinyiao (SP6) is three cun above the medial malleolus; Loudong (SP7) is six cun above the medial malleolus; Dijji (SP8) faces five cun above the medial malleolus. Yinlingquan (SP9) is on the medial aspect below the knee (opposite Yanglingquan GB34); Xuehai (SP10) is on the medial margin above the patella; Jimen (SP11) is taken at the fish belly muscle, where the arterial pulse is felt passing between tendons. Chongmen (SP12) is located one cun and five fen below Qimen (LR14) (Qimen is a Liver meridian point, four cun and five fen lateral to Juque CV14. Juque is a Conception Vessel point, six cun and five fen above the umbilicus); Fushhe (SP13) is viewed nine cun below Qimen; Fujie (SP14) enters six cun below Qimen; Daheng (SP15) is five cun and half below Qimen. Fu'ai (SP16) is two cun below Qimen; Qimen is a Liver meridian point appearing here, four cun and five fen lateral to Juque, yet connecting to Spleen meridian points—do not confuse them. Above this lies Shidou (SP17); Tianxi (SP18), Xiongxiang (SP19), and Zhourong (SP20) run through. They are separated by one cun and six fen, with little variation; moving up another one cun and six fen changes to Zhongfu LU1 (Lung meridian point). Dabao (SP21) is six cun under the axilla; Yuanye GB22 is three cun and half under the axilla (Yuanye is a Gallbladder meridian point, three cun under the axilla, connected to the Spleen meridian's Dabao point).
My commentary: Ma Xuantai stated: Zhongfu LU1 is a Lung meridian point. Zhourong (SP20), Xiongxiang (SP19), Tianxi (SP18), and Shidou (SP17) are Spleen meridian points. Qimen LR14 is a Liver meridian point. Below the Liver meridian lie the Spleen meridian points of Fu'ai (SP16), Daheng (SP15), Fujie (SP14), Fushhe (SP13), and Chongmen (SP12), which are four cun and five fen lateral to the midline. The points of these three meridians are connected vertically and horizontally, totaling forty-two points on both sides.
Figure of the Foot-Taiyin Spleen Meridian