足阳明胃经之脉。起于鼻之交 中旁。约太阳之脉。下循鼻外。上入齿中。还出侠口环出唇下交承浆。却循颐后下
廉出大迎。循颊车上耳前循发际至额颅。其支者。从大迎前下人迎。循喉咙入缺盆下膈属胃络脾。其直者。 从缺
盆下乳内廉。下挟脐入气街中。其支者。起于胃下口。循腹里。下至气街中。而合以下髀关。抵伏兔下膝膑中。下
循胫外廉。下足跗入中指外间。其支者。下廉三寸。而别入中指外间。其支者。别跗上大指间出其端。凡四十五穴。
今取八穴。
头维 在额角入发际。神庭旁开四寸五分。足少阳阳明之会。刺三分。没皮向下。禁灸。主治头风疼痛如破目
疼泪出不明。玉龙赋云。兼攒竹能治目痛头痛。
颊车(一名曲 一名曲牙) 在耳下曲颊端。近前陷中。侧卧开口取之。刺三分。灸三壮。一曰灸七壮。至七
七壮。炷如小麦。主治中风牙关不开。失音不语。口眼歪斜。颊肿齿痛。不能嚼物。颈强不得回顾。凡口眼 斜者。
则左泻右补。斜则左泻右补。灵光赋云。针齿痛。
地仓(一名会准) 夹口吻旁四分外如近下微有动脉。若久患风。其脉亦有不动者。手阳明足阳明任脉阳跷之
会。刺三分。留五呼。灸七壮。病左治右。病右治左。若过大口反 。却灸承浆即愈。主治偏风口眼歪斜。牙关不
开。齿痛颊肿。灵光赋云。地仓能止口流涎。
缺盆(一名天盖) 在肩上横骨陷中。为五脏六腑之通。刺三分。留七呼。灸三壮。刺太深令人逆息。孕妇禁
针。主治喉闭汗出瘰 寒热。缺盆中肿外溃。伤寒胸中热不已。
阴市(一名阴鼎) 在膝上三寸。伏兔下陷中。拜而取之。刺三分。留七呼。禁灸主治腰膝寒如注水。痿痹不
仁。不得屈伸。寒疝小腹痛满少气。千金云。水肿腹大灸。随年壮。
犊鼻 在膝膑下 骨上。骨解大筋陷中。形如牛鼻。故名。一曰在膝头下。近外窟解中。刺六分。灸三壮。一
曰刺三分。主治膝痛不仁。难跪起。香港脚。灵光赋云。善治风邪湿。
足三里(即下陵穴) 在膝眼下三寸。 骨外廉大筋内宛宛中 。坐而竖膝低跗取之。极重按之。则跗上动脉
正矣。足阳明所入为合。刺五分。留七呼。灸三壮。千金云。灸二百壮。至五百壮止。一云。小儿忌灸三里。三十
外方可灸。不尔反生疾。秋月不宜出血。恐土虚也。主治胃寒心腹胀痛。逆气上攻。藏气虚惫。胃气不足。恶闻食
臭。腹痛肠鸣。食不化。大便不通。小肠气。华陀云。疗五劳七伤。羸瘦虚乏瘀血乳痈外台明堂云。人年三十已外。
若不灸三里。令气上冲目使眼无光盖以三里能下气也。千金云。凡邪病大呼骂走。三里主之。名鬼邪。太乙歌云。
兼束骨刺。治项强肿痛。体重腰瘫。又云合太冲中封。治行步艰难。百证赋云。兼阴交。治中邪霍乱。天星秘诀云。
兼二间。治牙疼头痛。并喉痹小便不利等症。
厉兑 在足大指次指之端。去爪甲如韭叶。按本轮篇曰。厉兑者。足大指内次指之端也。经脉经筋等篇。俱云
中指缪刺篇曰。邪客于足阳明之络。刺足中指次指爪甲上。各一 。据此诸篇之说。可见中指次指之间。皆阳明脉
所发也。足阳明所出为井。刺一分。留一呼。灸一壮。主治面肿喉痹。齿龋恶风。百证赋云。与隐白相偕。治梦魇
不宁。
The meridian of Foot-Yangming Stomach starts at the side of the nose, intersecting with the root of the nose, connecting with the meridians of Taiyang (Greater Yang), descends along the lateral aspect of the nose, enters the upper teeth, then emerges, surrounds the lips, crosses at Chengjiang (Chin Groove) below the lower lip, and then follows the posterior aspect of the mandible, descending to Daying (Great Meeting). It proceeds along Jiache (Chejia) to the front of the ear, follows the hairline to the forehead. A branch descends from the anterior aspect of Daying to Renying (Human Well), follows the throat, enters Quepen (Clavicular Fossa), passes through the diaphragm, belongs to the Stomach, and connects with the Spleen. The main trunk descends from Quepen, along the medial aspect of the mammary region, down alongside the umbilicus into Qichong (Femoral Artery). Another branch originates from the lower opening of the Stomach, runs within the abdominal cavity, and meets the previous branch in Qichong, then descends to Bituan (Hip Joint), reaches Futu (Thigh Rabbit), descends to the center of the patella, continues down the lateral aspect of the tibia, passes over the dorsum of the foot, and enters between the toes of the second toe. Another branch diverges three cun below the knee, entering between the toes of the second toe. Yet another branch diverges from the dorsum of the foot, enters between the first and second toes, and emerges at their tips. There are forty-five acupoints in this meridian; eight are selected here for description.
Touwei: Located at the corner of the forehead, entering the hairline, 4.5 cun lateral to Shenting (Spirit Hall). It is the meeting point of Foot-Shaoyang Gallbladder and Foot-Yangming Stomach meridians. Puncture 0.3 cun obliquely downwards; moxibustion is contraindicated. It treats headache resembling bursting sensation due to wind, eye pain with tearing, and blurred vision. *Yulong Fu* states: Combined with Zanzhu, it treats eye pain and headache.
Jiache (also known as Quya): Located in the depression anterior to the angle of the mandible below the ear. Take the point with the mouth open while lying on the side. Puncture 0.3 cun; moxibustion 3 moxa cones, or alternatively 7 cones, up to 49 cones, with cone size like a wheat grain. It treats trismus (lockjaw), aphonia, facial paralysis (deviation of mouth and eyes), swelling of the cheek, toothache, inability to chew, neck stiffness preventing turning the head. For facial deviation, if the face deviates to the left, reduce the right and tonify the left; if to the right, reduce the left and tonify the right. *Lingguang Fu* states: Needling this point treats toothache.
Dicang (also known as Huizhun): Located 0.4 cun lateral to the corner of the mouth, slightly inferior where a slight arterial pulse may be felt. In chronic wind-stroke cases, the pulse might not be palpable. It is the meeting point of Hand-Yangming Large Intestine, Foot-Yangming Stomach, Ren Mai (Conception Vessel), and Yangqiao Mai. Puncture 0.3 cun; retain needle for five breaths; moxibustion 7 cones. Follow the principle of treating the opposite side for disease on one side. If the mouth deviation is severe with flaccidity, adding moxibustion at Chengjiang can cure it. It treats hemifacial paralysis, trismus, toothache, and cheek swelling. *Lingguang Fu* states: Dicang stops drooling.
Quepen (also known as Tian Gai): Located in the depression of the clavicle on the shoulder. It is a thoroughfare for the Qi of the five Zang and six Fu organs. Puncture 0.3 cun; retain needle for seven breaths; moxibustion 3 cones. Deep puncture may cause dyspnea. Contraindicated in pregnancy. It treats laryngeal obstruction, sweating, scrofula with chills and fever, swelling and ulceration in the supraclavicular fossa, and persistent chest heat from Cold Damage (Shanghan).
Yinshi (also known as Yinding): Located 3 cun above the knee, in the depression below Futu. Take the point in a kneeling position. Puncture 0.3 cun; retain needle for seven breaths; moxibustion is contraindicated. It treats coldness in the waist and knees as if water is pouring, flaccidity and numbness, difficulty in flexion and extension, cold hernia with lower abdominal fullness and pain, and shortness of breath. *Qianjin Fang* states: For edema and abdominal distension, apply moxibustion according to the patient's age in number of cones.
Dubi: Located below the patella, in the depression lateral to the patellar ligament, shaped like an ox's nose, hence the name. Alternatively described as below the knee cap, near the lateral joint space. Puncture 0.6 cun; moxibustion 3 cones, or alternatively puncture 0.3 cun. It treats knee pain and numbness, difficulty in kneeling and rising, and gout (Hong Kong foot). *Lingguang Fu* states: It effectively treats wind-damp bi syndrome.
Zusanli (also known as Xialing): Located 3 cun below the knee eye, in the depression between the lateral border of the tibia and the large tendon. Take the point sitting with the knee vertical and foot lowered. Press heavily to feel the arterial pulse on the dorsum of the foot. The Qi of Foot-Yangming enters here to become the He-Sea point. Puncture 0.5 cun; retain needle for seven breaths; moxibustion 3 cones. *Qianjin Fang* states: Moxibustion can be applied from 200 to 500 cones. Some say children should avoid moxibustion on Zusanli; it is suitable only after age thirty, otherwise it may cause illness. Bleeding from this point in autumn is unfavorable as it may weaken Earth Qi. It treats stomach cold with epigastric fullness and pain, rebellious Qi attacking upward, deficiency exhaustion of Zang-Fu Qi, insufficient Stomach Qi, aversion to food odors, abdominal pain with borborygmus, indigestion, constipation, and intestinal Qi pain. Hua Tuo stated: It treats five labors and seven injuries, emaciation, deficiency, blood stasis, and mastitis. *Waitai Mingtang* states: For those over thirty, failing to moxa Zusanli allows Qi to rush upward, causing dull eyesight, because Zusanli directs Qi downward. *Qianjin Fang* states: For manic disorders involving shouting and running, Zusanli is indicated, termed "Ghost Evil". *Taiyi Ge* states: Combined with Shugu needling, it treats neck stiffness and swelling, heavy body, and lumbar paralysis. Also combined with Taichong and Zhongfeng, it treats difficulty walking. *Baizheng Fu* states: Combined with Yinjiao, it treats epidemic cholera due to pathogenic invasion. *Tianxing Mijue* states: Combined with Erjian, it treats toothache, headache, pharyngolaryngeal obstruction, and dysuria.
Lidui: Located at the tip of the second toe, about the width of a leek leaf from the nail. According to *Lingshu · Benshu*: "Lidui is the end of the inner second toe." Other chapters like *Jingmai* and *Jingjin* also refer to this area. *Miuci* chapter states: "When evil invades the collaterals of Foot-Yangming, puncture the nails of the middle and second toes." Based on these texts, the area between the first and second toes is where Yangming meridians emerge. The Qi of Foot-Yangming exits here as the Jing-Well point. Puncture 0.1 cun; retain needle for one breath; moxibustion 1 cone. It treats facial swelling, pharyngolaryngeal obstruction, dental caries with aversion to wind. *Baizheng Fu* states: Paired with Yinbai, it treats nightmare anxiety.