膀胱病者,少腹偏肿而痛,以手按之,则欲小便而不得,肩上热。若脉陷,足小指外侧反胫踝后皆热。若脉陷者,
取委中。膀胱胀者,少腹满而气癃。病先发于膀胱者,背KT 筋痛,小便闭。五日之肾,少腹、腰脊痛,胫 。一日之
小肠胀。一日之脾,闭塞不通,身痛体重。二日不已,死。冬鸡鸣,夏下晡(一云日夕)。厥气客于膀胱,则梦游行。
足太阳之脉,起于目内 ,上额,交巅上。其支者,从巅至耳上角。其直者,从巅入络脑,还出别下项,循肩膊内,
挟脊,抵腰中,入循膂,络肾,属膀胱。其支者,从腰中下会于后阴,下贯臀,入 中。其支者,从膊内左右,别下贯
髋(一作肺),过髀枢,循髀外后廉,过(一本下合) 中,以下贯 内,出外踝之后,循京骨,至小指外侧。是动则病
冲头痛,目似脱,项似拔,脊痛,腰似折,髀不可以曲, 如结, 如列,是为踝厥。是主筋所生病者,痔,疟,狂,
癫疾,头脑顶痛,目黄,泪出,鼽衄,项、背、腰、尻、 、 、脚皆痛,小指不用。盛者,则人迎大再倍于寸口;虚
者,则人迎反小于寸口也。
三焦病者,腹胀气满,小腹尤坚,不得小便,窘急,溢则为水,留则为胀。候在足太阳之外大络,在太阳、少阳之
间,赤见于脉。取委阳。
少腹病肿,不得小便,邪在三焦,约取太阳大络视其结脉与厥阴小络结而血者肿,上及胃脘,取三里。
三焦胀者,气满于皮肤,壳壳然而坚,不疼。热在上焦,因咳为肺痿。热在中焦,因坚。热在下焦,因溺血。
手少阳之脉,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,交膻中,散络心包,下膈,遍属三焦。其支者,从膻中上出缺盆,上项,挟耳后,直上出耳上角,
以屈下额,至 。其支者,从耳后,入耳中,出走耳前,过客主人前,交颊。至目兑 。是动则病耳聋,辉辉 ,嗌
肿,喉痹。是主气所生病者,汗出,目兑 痛,颊肿,耳后、肩、 、肘、臂外皆痛,小指次指不用。盛者,则人迎大
一倍于寸口;虚者,则人迎反小于寸口也。
When the Bladder (Pang Guang) is diseased, there is swelling and pain on one side of the lower abdomen. Pressing with the hand creates the urge to urinate but it cannot be done, accompanied by heat in the shoulder. If the pulse is sunken, there will be heat on the lateral side of the little toe, the posterior aspect of the leg, and behind the ankle. If the pulse is sunken, select Weizhong (BL 40). When the Bladder is distended, the lower abdomen is full and qi stagnation causes difficulty in urination (Qi Long). If the disease originates in the Bladder, there is pain in the tendons of the back and urinary obstruction. After five days, it transmits to the Kidney (Shen), causing pain in the lower abdomen, waist, and spine, and soreness in the calves. One day later, it transmits to the Small Intestine (Xiao Chang), causing distension. One day later, it transmits to the Spleen (Pi), causing blockage and obstruction, body pain, and heaviness. If the condition does not improve after two days, death occurs. In winter, death occurs at Ji Ming time (1:00–3:00 AM); in summer, it occurs at Xia Bu (late afternoon, or sunset according to some texts). When Jue Qi (Rebellious Qi) lodges in the Bladder, the patient dreams of traveling.
The Foot-Taiyang Bladder Meridian (Zu Tai Yang Pang Guang Jing) originates from the inner canthus of the eye, ascends to the forehead, and intersects at the vertex. Its branch goes from the vertex to the supraorbital angle. The main straight line enters the brain from the vertex, emerges separately, descends along the neck, follows the medial aspect of the shoulder blade, runs alongside the spine, reaches the middle of the waist, enters the interior muscles, connects with the Kidney, and belongs to the Bladder. Another branch descends from the waist to converge at the anterior and posterior orifices, passes through the buttocks, and enters the popliteal fossa. Another branch separates from the medial shoulder, descends through the hip (or lung, according to another version), passes through the greater trochanter, follows the posterior-lateral border of the thigh, passes through the popliteal fossa, descends through the calf muscle, emerges behind the lateral malleolus, follows the Jinggu point (BL 64), and reaches the lateral side of the little toe. When this meridian is disturbed, diseases occur: headache as if rushing upwards, eyes feeling as if they are falling out, neck feeling as if being pulled, spinal pain, waist pain as if broken, inability to flex the thigh, a sensation of knotting in the popliteal fossa, and a sensation of splitting in the calf; this is called An Jue (Ankle Reversal). This meridian primarily governs diseases generated by the sinews: hemorrhoids, malaria, mania, epilepsy, pain in the head and vertex, yellow eyes, tearing, nasal congestion or epistaxis, pain in the neck, back, waist, sacrum, popliteal fossa, calf, and foot, and dysfunction of the little toe. When the qi is excess, the Renying (ST 9) pulse is twice as large as the Cunkou (Radial) pulse; when deficient, the Renying pulse is smaller than the Cunkou pulse.
When the Sanjiao (Triple Burner) is diseased, there is abdominal distension and fullness of qi, with the lower abdomen being particularly hard, inability to urinate, and a sense of urgency. If the fluid overflows, it becomes edema; if it stays, it causes distension. The diagnostic sign is located in the large collateral outside the Foot-Taiyang meridian, between the Taiyang and Shaoyang meridians, with redness visible in the vessels. Select Weiyang (BL 39).
If there is swelling in the lower abdomen and inability to urinate due to pathogenic factors in the Sanjiao, one should examine the large collateral of the Taiyang meridian. Observe for constricted pulses and small collaterals of the Jueyin meridian that are knotted with blood. If the swelling extends up to the epigastrium, select Zusanli (ST 36).
When the Sanjiao is distended, qi fills the skin, making it bulging and firm but not painful. Heat in the Upper Jiao leads to Lung Wei (Lung Asthma/Atrophy) due to coughing. Heat in the Middle Jiao leads to dryness/hardness (of stool). Heat in the Lower Jiao leads to hematuria.
The Hand-Shaoyang Sanjiao Meridian (Shou Shao Yang San Jiao Jing) originates from the tip of the ring finger, ascends between the fingers, follows the dorsal wrist, emerges between the two bones of the forearm, ascends through the elbow, follows the lateral aspect of the arm, ascends to the shoulder, crosses behind the Foot-Shaoyang Gallbladder Meridian, enters the Supraclavicular Fossa (Quepen), intersects at the Chest Center (Danzhong), scatters and connects with the Pericardium, descends through the diaphragm, and extensively belongs to the Sanjiao. Its branch rises from Danzhong, emerges from the Supraclavicular Fossa, ascends the neck, runs behind the ear, goes straight up to the supraorbital angle, then curves down to the cheek, reaching the infraorbital region. Another branch enters the ear from behind the ear, exits in front of the ear, passes in front of the Guest Master point (Shangguan, GB 2), intersects at the cheek, and reaches the outer canthus of the eye. When this meridian is disturbed, diseases occur: deafness, buzzing tinnitus, throat swelling, and pharyngeal obstruction. This meridian primarily governs diseases generated by qi: sweating, pain in the outer canthus, cheek swelling, pain in the area behind the ear, shoulder, upper arm, elbow, and lateral arm, and dysfunction of the ring finger. When the qi is excess, the Renying pulse is one times larger than the Cunkou pulse; when deficient, the Renying pulse is smaller than the Cunkou pulse.