心包络经。起自天池。循胸中出胁下。入肘内曲泽下臂行循中指出其端。终于中冲。凡九穴。今录四穴。
天池(一名天会) 在乳后一寸。腋下三寸。着胁直腋撅肋间气府。论注曰。在乳后同身寸之二寸。手厥阴足
少阳之会。刺三分。灸三壮。主治胸胁烦满。头痛寒热疟。千金云。治颈漏瘰 。灸百壮。
天泉(一名天 ) 在曲腋下。去肩臂二寸。举臂取之。刺六分。灸三壮。一曰刺二分。主治恶风寒胸胁痛。
曲泽 在肘内廉横交陷中。筋内侧动脉。屈肘得之。
手厥阴所入为合。刺三分。留七呼。 灸三壮。主治咽喉疼痛。身热烦渴。臂肘摇动掣痛不可伸。
中冲 在手中指端。去爪甲如韭叶陷中。手厥阴所出为井。刺一分。留三呼。灸一壮。主治热病汗不出。头痛
如破。身热如火。心痛烦满。舌强痛。神农经云。治小儿夜啼多哭。灸一壮。炷如小麦。百证赋云。兼廉泉堪攻舌
下肿痛。一云主治神气不足。失志。灸三壮。乾坤生意云。此为十井穴。凡中风痰涎壅盛。牙关紧闭。及喉痛药水
不下。急以三棱针刺少商。少冲。并此穴。使血气流通。乃起死回生之妙诀。
手少阴心经。起于极泉。终于少冲。脉起心中。出属心系下膈络小肠。其支者。从心系上侠咽系目系。其直者。
复从心系却上肺。下出腋下循 内后廉。行手太阴肺。心主之后。下肘内循臂内后廉。抵掌后锐骨之端。入掌内后
廉。循小指之内出其端。凡九穴。今取二穴。
少冲(一名经始) 在手小指内侧端。去爪角如韭叶。手少阴所出为井。刺一分。留一呼。灸一壮。主治热病
烦满。心火炎上。眼赤血少。呕吐血沫。口热咽酸。乍寒乍热。 臂内后廉痛。手弯不伸。乾坤生意云。此为十井
穴。凡中风跌倒。卒暴昏沉。双单蛾痹。喉紧不开。以三棱针刺此穴。及少商诸穴。使血气流通。乃救急之要法也。
通里 在腕侧后一寸陷中。 手少阴络。别走手太阳经。刺三分。灸三壮。主治热病头痛目眩。喉痹苦呕。肘
臂肿痛。神农经云。治目眩头疼。可灸七壮。马丹阳云。治欲言声不出实则四支重。头腮面颊红。喉闭气难通。不
能饮食。以三棱针微刺出血。不宜灸。
The Pericardium Meridian of Hand-Jueyin originates at Tianchi (Tianhui). It runs through the chest, emerges from under the lateral costal margin, enters the elbow at Quze, descends along the forearm, and terminates at the tip of the middle finger. There are nine acupoints in total; four are recorded here.
Tianchi (also known as Tianhui) is located one cun posterior to the nipple, three cun below the axilla, within the intercostal space adjacent to the rib. *Lunzhu* states: it is two cun posterior to the nipple, and is an intersection point of the Pericardium Meridian of Hand-Jueyin and the Gallbladder Meridian of Foot-Shaoyang. Needle depth: 0.3 cun; moxibustion: 3 moxa cones. It treats chest and hypochondriac fullness and oppression, headache, aversion to cold with fever, and malaria. *Qianjin Fang* states: it treats neck fistulas and scrofula; moxibustion can be applied up to 100 cones.
Tianquan (also known as Tianxun) is located in the axilla above Quze, two cun away from the shoulder arm. Take the point with the arm raised. Needle depth: 0.6 cun; moxibustion: 3 moxa cones. Another source suggests a needle depth of 0.2 cun. It treats aversion to wind and cold, and pain in the chest and hypochondrium.
Quze is located in the depression at the medial end of the transverse cubital crease, on the medial side of the tendon where the artery beats. Flex the elbow to locate it. The Qi of the Pericardium Meridian of Hand-Jueyin enters and gathers here, forming the He-Sea point. Needle depth: 0.3 cun; retain the needle for seven breaths. Moxibustion: 3 moxa cones. It treats sore throat, fever, vexation and thirst, and pulling pain in the arm and elbow that prevents extension.
Zhongchong is located at the tip of the middle finger, in the depression approximately the width of a leek leaf from the nail corner. The Qi of the Pericardium Meridian of Hand-Jueyin emerges here, forming the Jing-Well point. Needle depth: 0.1 cun; retain the needle for three breaths. Moxibustion: 1 moxa cone. It treats heat diseases with no sweating, severe headache as if splitting, body heat like fire, heart pain with vexation and fullness, and stiff, painful tongue. *Shennong Bencao Jing* states: it treats infantile night crying and frequent weeping; moxibustion: 1 cone, size of a wheat grain. *Baizheng Fu* states: combined with Lianquan, it attacks swelling and pain under the tongue. Another view holds that it treats insufficiency of Shen-Qi (spiritual energy) and loss of willpower; moxibustion: 3 moxa cones. *Qiankun Shengyi* states: this is one of the Ten Jing-Well points. In cases of stroke with excessive phlegm-saliva obstruction, locked jaw, or sore throat preventing swallowing of medicine, urgently prick Shaoshang, Shaochong, and this point with a three-edged needle to promote blood and Qi circulation. This is a miraculous method for reviving the dying.
The Heart Meridian of Hand-Shaoyin originates at Jiquan and terminates at Shaochong. The pulse originates in the heart, emerges to belong to the Heart System, passes downward through the diaphragm, and connects with the Small Intestine. Its branch ascends from the Heart System, flanking the pharynx, and connects with the Eye System. Its main trunk returns from the Heart System, ascends into the lung, emerges downward from the axilla, runs along the medial posterior border of the upper arm, posterior to the Lung Meridian of Hand-Taiyin and the Pericardium, descends into the elbow, runs along the medial posterior border of the forearm, reaches the end of the pisiform bone at the wrist, enters the palm along its medial posterior border, runs along the medial side of the little finger, and emerges at its tip. There are nine acupoints in total; two are selected here.
Shaochong (also known as Jingshi) is located at the medial ulnar end of the little finger, approximately the width of a leek leaf from the nail corner. The Qi of the Heart Meridian of Hand-Shaoyin emerges here, forming the Jing-Well point. Needle depth: 0.1 cun; retain the needle for one breath. Moxibustion: 1 moxa cone. It treats heat diseases with vexation and fullness, flaming-up of Heart Fire, red eyes, blood deficiency, vomiting of bloody froth, hot mouth and sour throat, alternating chills and fever, pain along the medial posterior border of the arm, and inability to extend the wrist. *Qiankun Shengyi* states: this is one of the Ten Jing-Well points. In cases of stroke with falling, sudden coma, unilateral or bilateral tonsillar swelling (Ebi), and tight throat preventing opening, prick this point and Shaoshang with a three-edged needle to promote blood and Qi circulation. This is a crucial method for emergency rescue.
Tongli is located in the depression one cun posterior to the wrist joint. It is the Luo-Connecting point of the Heart Meridian of Hand-Shaoyin, diverging to the Small Intestine Meridian of Hand-Taiyang. Needle depth: 0.3 cun; moxibustion: 3 moxa cones. It treats heat disease with headache and vertigo, bi-syndrome of the throat with bitter vomiting, and swelling and pain in the elbow and arm. *Shennong Bencao Jing* states: it treats vertigo and headache; moxibustion: 7 moxa cones. Ma Danyang states: it treats aphonia (desire to speak but inability to produce sound), excess patterns with heavy limbs, redness of the head, cheeks, and face, throat closure with difficult breathing, and inability to eat or drink. Prick slightly with a three-edged needle to bleed; moxibustion is not suitable.