手太阴之脉起于中焦下络大肠还循胃口上膈属肺(起发也络绕也还复也循巡也又根据也属会也中焦在胃中脘胃口胃上
下口也上口在膀上五寸上腕穴分下口在脐上二寸下腕穴分膈者隔也凡心下有膈膜以遮浊气不使上薰于心肺也)从肺系横
出腋下循 内行少阴心主之前(续肺系喉咙也喉以候气下接于肺臂下胁上际曰腋膊下对腋处为 有肘之间也 尽处为肘
臂节也)循臂内上骨下廉入寸口上鱼际循鱼际出大指之端(续肘以下为臂廉隅也边也手掌后高骨旁动脉为关关前动脉为
寸口曰鱼曰鱼际云者谓掌骨之前大指本节之后其肥肉际起处统谓之鱼鱼际则其间之穴名也端杪也)其支者从腕后直出次
指内廉出其端(臂骨尽处为腕脉之大隧为经交经者为络○愚按经云经脉十二伏行分肉之间深而不见诸脉浮而常见者皆络
脉也又云诸络脉不能经大节之间必行绝道而出入复合于皮又云当数者为经不当数者为络今滑伯仁发挥谓手太阴脉其支从
腕后出次指端交于手阳明者为手太阴络又手阳明脉其支从缺盆挟口鼻交于足阳明者为手阳明络凡十二经之支脉伏行分肉
者皆释为络脉则络脉亦伏行分肉之间而不浮见亦能经大节而不行绝道亦当经脉十六丈二尺内之数而非不当数也伯仁长于
注释愚何敢议姑着之以俟明哲)
手阳明之脉起于大指次指之端循指上廉出合谷两骨之间上入两筋之中(大指之次指谓食指也手阳明大肠经也凡经脉
之道阴脉行手足之里阳脉行手足之表)循臂上廉入肘外廉循 外前廉上肩出 骨之前廉(肩端两骨间为 骨)上出柱骨
之会于大椎(肩甲上际会处为天柱骨大柑脊上高骨)下入缺盆络肺下膈属大肠(缺盆穴名在肩下横骨陷中)其支别者从
缺盆上颈贯颊入下齿缝中(头茎为颈耳以下曲处为颊口前小者为齿)还出挟口交人中左之右右之左上挟鼻孔(口两口吻
也口唇上鼻柱下为人中)
The Lung Meridian of Hand-Taiyin originates in the middle jiao (Middle Burner), descends to connect with the Large Intestine, then returns to follow the upper opening of the stomach, passes through the diaphragm, and attaches to the Lung. ("Qi" means origin; "Luo" means to connect and surround; "Huan" means to return; "Xun" means to follow along; "Shu" means to attach or belong. The Middle Jiao is located at the Zhongwan point in the center of the stomach. The gastric opening has an upper and a lower part: the upper opening is five cun above the diaphragm, corresponding to the boundary of the Shangwan point; the lower opening is two cun above the umbilicus, corresponding to the boundary of the Xiawan point. "Ge" refers to the diaphragm/membrane. Generally, there is a membrane below the heart that blocks turbid qi from ascending to fumigate the Heart and Lungs.) From the lung system (trachea/throat), it emerges horizontally into the axilla, running along the medial aspect of the arm, anterior to the Heart Meridian of Hand-Shaoyin and the Pericardium Meridian of Hand-Jueyin. ("Xu" means to continue; the lung system refers to the throat, which receives qi and connects inferiorly to the lungs; the junction between the lower arm and the hypochondrium is called the axilla; the area opposite the axilla on the arm contains the elbow; the elbow is the joint of the arm.) It continues along the medial aspect of the forearm, descending along the lower border of the radius/ulna, enters the Cun Kou (pulse-taking site), passes through the Yu Ji (Fish Border) area, and emerges at the tip of the thumb. ("Lian" means edge or corner; beside the high bone behind the palm lies the Guan pulse point; anterior to the Guan is the Cun Kou pulse point. The terms "Yu" and "Yu Ji" refer to the fleshy prominence anterior to the metacarpal bones and posterior to the first metacarpophalangeal joint, collectively called "Yu," while "Yu Ji" specifically names the acupoint within this region. "Duan" means the extremity.) Its branch arises directly from behind the wrist, travels along the medial aspect of the index finger, and emerges at its tip. (The end of the arm bone is the wrist; the main channel of the vessel is the Jing (Channel); intersecting vessels are the Luo (Collaterals). ○ I note: The classic states that the twelve Jing meridians run deep within the muscle intervals, hidden from view; those that are superficial and visible are all Luo collaterals. It also states that all Luo collaterals cannot pass through major joints but must take alternative routes to enter and exit, rejoining at the skin surface. Furthermore, those counted as Jing are channels, while those not counted are collaterals. Now, Hua Bo Ren elaborates that the branch of the Hand-Taiyin meridian emerges from behind the wrist to the tip of the index finger, connecting to the Hand-Yangming meridian, thus being called the Hand-Taiyin Luo collateral; similarly, the branch of the Hand-Yangming meridian emerges from the Que Pen point, flanking the mouth and nose to connect with the Foot-Yangming meridian, thus being called the Hand-Yangming Luo collateral. If all branches of the twelve meridians running deep in the muscle intervals are interpreted as Luo collaterals, then these collaterals would also run deep without being superficially visible, could pass through major joints without taking alternative routes, and should be included in the total measurement of sixteen zhang and two chi of the Jing meridians, rather than being uncounable. Master Bo Ren excels in annotation; how dare I critique? I record this here for the wise to judge.)
The Large Intestine Meridian of Hand-Yangming originates at the tip of the index finger, follows the radial aspect of the finger, emerges at the He Gu point between the two bones, and ascends into the space between the two tendons. (The finger next to the thumb is the index finger; this is the Large Intestine Meridian of Hand-Yangming. Regarding the course of meridians, Yin meridians run on the medial/intrinsic side of the limbs, while Yang meridians run on the lateral/exterior side.) It follows the radial aspect of the forearm, enters the lateral aspect of the elbow, runs along the anterior-lateral aspect of the arm to the shoulder, and emerges anterior to the acromion/clavicle joint. (The space between the two bones at the shoulder tip is the acromion/clavicular joint.) It ascends to meet the intersection of the vertebral column at the Da Zhui point. (The meeting place at the superior margin of the scapula is the Tian Zhu bone, i.e., the prominent vertebrae on the spine.) It descends into the Que Pen (Clavicular Fossa) point, connects with the Lung, passes through the diaphragm, and attaches to the Large Intestine. (Que Pen is an acupoint name located in the depression of the clavicle below the shoulder.) Its branch diverges from the Que Pen, ascends to the neck, penetrates the cheek, and enters the lower gum/tooth socket. (The neck is the cervical region; the curved area below the ear is the cheek; the smaller teeth at the front of the mouth are the incisors/canines.) It returns to emerge, flanking the mouth, crosses at the Ren Zhong (Philtrum) point, crossing from left to right and right to left, and ascends to flank both sides of the nostrils.