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The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The Sanjiao (Triple Burner), as the official in charge of irrigation, is where water passages emerge. It further states: The Upper Jiao is like mist, the Middle Jiao like fermentation, and the Lower Jiao like a ditch.

When the human mind is clear and silent, and desires do not arise, essence and qi scatter throughout the Sanjiao (Triple Burner), nourishing and flourishing all the vessels. However, once thoughts arise and desire-fire blazes up, it contracts and gathers the Sanjiao (Triple Burner), causing essence and qi to overflow and be discharged along with the Mingmen (Gate of Life). Thus, this fu organ is called the Sanjiao (Triple Burner).

There are twenty-three acupoints on the Hand-Shaoyang channel: Guanchong (LI11, note: text says SJ1 but context implies SJ channel points, actually Guanchong is SJ1), Yemen (SJ2), Zhongzhu (SJ3) beside them; Yangchi (SJ4), Waiguan (SJ5), Zhigou (SJ6) in their proper positions; Huizong (SJ7), Sanyangluo (SJ8), Sidu (SJ9) are longer; Tianjing (SJ10), Qinglengyuan (SJ11), Xiaoluo (SJ12); Naohui (SJ13), Jianliao (SJ14), Tianliao (SJ15); Tianyou (SJ16), Yifeng (SJ17), Chimai (SJ18); Luxi (SJ19), Jiaosun (SJ20), Sizhukong (SJ23); Heliao (SJ21), Ermen (SJ22) listen with regularity (forty-six points on both sides).

This meridian begins at Guanchong (SJ1) and ends at Ermen (SJ22). Taking Guanchong (SJ1), Yemen (SJ2), Zhongzhu (SJ3), Yangchi (SJ4), Zhigou (SJ6), Tianjing (SJ10) and other Jing-River-Sea-Source-Channel points, it starts between the little finger and the next finger, ascends out between the second finger, follows the dorsal aspect of the wrist, emerges between the two bones of the forearm, ascends through the elbow, follows the lateral aspect of the arm, reaches the shoulder, crosses behind the Foot-Shaoyang Gallbladder Meridian, enters the supraclavicular fossa, distributes in the Danzhong (Chest Center), scatters and connects with the Pericardium, descends through the diaphragm, and extensively belongs to the Sanjiao (Triple Burner); its branch rises from Danzhong (Chest Center), emerges from the supraclavicular fossa, ascends the neck, goes straight up behind the ear, emerges above the upper angle of the ear, then bends down to the cheek at the zygomatic arch; another branch enters the ear from behind the ear, reaches the outer canthus. This meridian has abundant qi and little blood; during the Hai hour, qi and blood flow into it.

It receives connection from the Hand-Jueyin Pericardium Meridian, is the middle clear fu organ, guides yin and yang, opens blockages. Medication should move like pearls on a plate, not like carving a mark on a boat to find the sword. I briefly record this in the previous chapter, awaiting further debate by comrades.

Guanchong (SJ1): On the lateral side of the little finger and the next finger, about the width of a leek leaf from the corner of the nail. It is the Jing-Wood point (actually Jing-Metal in standard texts, text says Jing-Metal) where the Hand-Shaoyang Sanjiao Meridian emerges. *Tongren* (Silver Man) advises needle 1 fen, retain for three breaths, moxa one mound. *Su Zhu* (Commentary on Suwen) advises moxa three mounds. It governs throat bi and throat closure, curled tongue and dry mouth, headache, cholera, chest qi obstruction, loss of appetite, arm and elbow pain unable to lift, eye nebula, and blurred vision.

Yemen (SJ2): In the depression between the metacarpals of the little and next fingers, taken with a clenched fist. It is the Ying-Spring Water point where the Hand-Shaoyang Sanjiao Meridian flows. *Su Zhu Tongren* advises needle 2 fen, retain for two breaths, moxa three mounds. It governs palpitations and delirious speech, external swelling of the pharynx, cold reversal, arm pain unable to move up and down, malaria chills and fever, red and gritty eyes, headache, sudden deafness, and gingival pain.

Zhongzhu (SJ3): In the depression behind the interphalangeal joint of the little and next fingers. One cun below Yemen (SJ2), it is the Shu-Stream Wood point where the Hand-Shaoyang Sanjiao Meridian pours. Tonify for Sanjiao deficiency. *Su Zhu* advises needle 2 fen, retain for three breaths. *Tongren* advises moxa three mounds, needle 3 fen. *Mingtang* advises moxa two mounds. It governs heat disease with no sweat, vertigo and headache, deafness, eye nebula, chronic malaria, throat swelling, elbow and arm pain, and inability to flex or extend the five fingers.

Yangchi (SJ4) (also known as Bieyang): In the depression on the dorsal aspect of the wrist, directly from the proximal phalanx joint to the center of the wrist. It is the Yuan-Source point where the Hand-Shaoyang Sanjiao Meridian passes. Treat both excess and deficiency of the Sanjiao by reducing/extracting. *Su Zhu* advises needle 2 fen, retain for six breaths, moxa three mounds. *Tongren* prohibits moxibustion. *Zhiwei Fu* states: Needle through to Daling (PC7) point, do not break the skin, do not shake the hand, lest you damage the needle turning curve. It governs thirst-kapping, dry mouth and vexation, chills and fever malaria, or inability to grasp objects due to wrist injury, and shoulder-arm pain unable to lift.

Waiguan (SJ5): Two cun behind the wrist between the two bones, opposite Neiguan (PC6). It is the Luo-Connecting point of the Hand-Shaoyang, diverging to the Heart Conduit (Pericardium). *Tongren* advises needle 3 fen, retain for seven breaths, moxa two mounds. *Mingtang* advises moxa three mounds. It governs deafness, dull hearing, pain in all five fingers, inability to grasp. In excess cases, elbow contracture occurs; reduce it. In deficiency cases, flaccidity occurs; tonify it. It also treats arm and leg inability to flex and extend.

Zhigou (SJ6) (also known as Feihu): Three cun behind the wrist on the lateral aspect of the arm, in the depression between the two bones. It is the Jing-River Fire point where the Hand-Shaoyang Meridian travels. *Tongren* advises needle 2 fen, moxa fourteen mounds. *Mingtang* advises moxa five mounds. *Su Zhu* advises needle 2 fen, retain for seven breaths, moxa three mounds. It governs heat disease with no sweat, sore and heavy shoulders and arms, hypochondriac and axillary pain, inability to raise limbs, cholera vomiting, locked jaw, sudden aphonia, persistent chest oppression, sudden heart pain, ghost strike, shaoyang chest binding, sores and tinea, blocked pregnancy pulse in women, postpartum blood fainting, and unconsciousness.

Huizong (SJ7): Three cun behind the wrist, one cun in the hollow. *Tongren* advises moxa seven mounds. *Mingtang* advises moxa five mounds, prohibit needle. It governs five types of epilepsy.

Sanyangluo (SJ8) (also known as Guomen): On the large crossing vessel of the arm, one cun above Zhigou (SJ6). *Tongren* advises moxa seven mounds. *Mingtang* governs sudden aphonia and muteness, deafness, drowsiness, and unwillingness to move the four limbs.

Sidu (SJ9): Five cun above the elbow, in the lateral depression. *Tongren* advises moxa three mounds, needle 6 fen, retain for seven breaths. It governs sudden qi deafness and lower tooth decay.

Tianjing (SJ10): Behind the large bone of the elbow, one cun above the elbow, in the gap between the two tendons on the accessory bone, taken by flexing the elbow and hugging the chest. Zhen Quan said: One cun after flexing the elbow, take it by crossing hands and pressing on the knee cap. It is the He-Sea Earth point where the Hand-Shaoyang Sanjiao Meridian enters. Reduce for Sanjiao excess. *Su Zhu* advises needle 1 cun, retain for seven breaths. *Tongren* advises moxa three mounds, *Mingtang* advises moxa five mounds, needle 2 fen. It governs chest and heart pain, cough with rebellious qi, shortness of breath unable to speak, expectoration of pus, loss of appetite, shivering chills unable to lie down, palpitations, convulsions, mania, five types of epilepsy, wind-bi, deafness and throat swelling, throat bi with sweating, outer canthus pain, cheek swelling, pain behind the ear and in the arm/elbow, inability to grasp objects, drowsiness, waist and hip pain from falls, shaking chills and neck pain, great wind with unknown pain location, sadness and unhappiness, and gout attacking upwards.

Qinglengyuan (SJ11): Two cun above the elbow, taken by extending the elbow and raising the arm. *Tongren* advises needle 2 fen, moxa three mounds. It governs shoulder bi pain, arm inability to lift, and inability to dress.

Xiaoluo (SJ12): Between the lower shoulder and lateral arm, below the diagonal armpit to elbow division. *Tongren* advises needle 1 fen, moxa three mounds. *Mingtang* advises needle 6 fen. *Su Zhu* advises needle 5 fen. It governs wind-bi, stiff neck, painful swelling with chills and fever, headache, and mania.

Naohui (SJ13) (also known as Naojiao): At the anterior edge of the shoulder, three cun from the shoulder tip in the depression. It is the meeting point of the Hand-Shaoyang and Yangwei Vessels. *Su Zhu* advises needle 5 fen, moxa five mounds. *Tongren* governs arm pain, soreness, weakness, inability to lift due to pain, chills and fever, shoulder swelling radiating to the scapula, and neck goiter and tumors.

Jianliao (SJ14): In the depression above the acromion at the shoulder end, taken by obliquely raising the arm. *Tongren* advises needle 7 fen, moxa three mounds. *Mingtang* moxa governs arm pain, shoulder heaviness, and inability to lift.

Tianliao (SJ15): In the center of the depression in the supraclavicular fossa, at the edge of the clavicle. Where the supraclavicular fossa depression is, there is an empty space above, and the raised flesh is the point. Meeting of Hand and Foot Taiyang and Shaoyang. *Tongren* advises needle 8 fen, moxa three mounds. Needle on the raised flesh above the supraclavicular fossa depression; if mistakenly needled into the depression, it damages the qi of the five zang organs, causing... It governs chest vexation, shoulder and arm soreness, supraclavicular pain, absence of sweat, chest fullness, stiff neck, chills and fever.

Tianyou (SJ16): Outside the large tendon of the neck, above the supraclavicular fossa, behind Tiānróng (SI17), in front of Tiānzhù (BL10), below Wángǔ (GB12), above the hairline. *Tongren* advises needle 1 cun, retain for seven breaths, not suitable for tonification, not suitable for moxibustion. Moxibustion causes facial swelling and closed eyes. First treat Yifeng (SJ17), then Tiānróng (SI17) and Tiānpíng (PC1? likely typo for Tianying or similar, text says Tianchi which is PC1 but location mismatch, sticking to text), and it will heal; if Yifeng (SJ17) is not needled, it is difficult to treat. *Mingtang* advises needle 5 fen, reduce upon arrival of qi, retain for three breaths after reducing, reduce for three inhalations, not suitable for tonification. *Su Zhu* and *Xia Jing* advise moxa three mounds. *Zisheng* states: Suitable for moxa one or three mounds. It governs sudden deafness and qi issues, unclear vision, poor hearing, inverted dreams at night, blue-yellow complexion, head wind and facial swelling, stiff neck unable to look back, eye nebula.

Yifeng (SJ17): In the depression at the posterior sharp angle of the ear, pressing causes pain radiating into the ear. *Zhen Jing* advises first having the patient bite twenty copper coins to locate the point. It is the meeting of the Hand and Foot Shaoyang. *Su Zhu* advises needle 3 fen. *Tongren* advises needle 7 fen, moxa seven mounds. *Mingtang* advises moxa three mounds. For both acupuncture and moxibustion, have the patient bite a coin to open the mouth. It governs tinnitus, deafness, deviation of the mouth and eye, mandibular dislocation and cheek swelling, locked jaw, inability to speak, stuttering, tight masseter, and infants yawning frequently.

Chimai (SJ18) (also known as Zi Mai): The green collateral vein behind the root of the ear resembling a chicken's foot. *Tongren* advises pricking to bleed like bean curd residue, not allowing excessive bleeding. Needle 1 fen, moxa three mounds. It governs head wind and tinnitus, infantile convulsive epilepsy, vomiting, uncontrolled diarrhea, fright, and blurry vision with discharge.

Luxi (SJ19): In the green collateral veins between the ears. *Tongren* advises moxa seven mounds, prohibit needle. *Mingtang* advises moxa three mounds, needle 1 fen, do not bleed excessively. It governs tinnitus and pain, panting, infantile vomiting of saliva, convulsions and epilepsy, drawing of chest and hypochondrium, body heat and headache, inability to lie down, and ear swelling.

Jiaosun (SJ20): In the middle of the auricle, open mouth to find the space. It is the meeting of the Hand-Taiyang and Hand/Foot Shaoyang. *Tongren* advises moxa three mounds. *Mingtang* advises needle 8 fen. It governs eye nebula skin, gingival swelling, strong lips and mouth, inability to chew, tooth decay, and stiff head and neck.

Sizhukong (SJ23) (also known as Mu Chuang): In the depression behind the eyebrow, where the qi of the Hand and Foot Shaoyang meridians emerges. *Su Zhu* advises needle 3 fen, retain for six breaths. *Tongren* prohibits moxibustion; unfortunate moxibustion causes small eyes and blindness. Needle 3 fen, retain for three breaths. It governs vertigo and headache, blurred vision, aversion to wind and cold, wind epilepsy, upward fixed eyes unable to recognize people, inverted eyelashes, madness with salivation, unpredictable onset, and lateral and central headaches.

Heliao (SJ21): In the transverse pulsating artery below the sharp hairline in front of the ear. It is the meeting of the Hand/Foot Shaoyang and Hand-Taiyang. *Tongren* advises needle 7 fen, moxa three mounds. It governs heavy head pain, pulling tightness of the jaw, neck and chin swelling, roaring in the ears, nasal discharge, facial wind-cold, swelling above the nose tip, carbuncles, erratic gaze, convulsions, and deviation of the mouth.

Ermen (SJ22): The raised flesh in front of the ear, in the depression corresponding to the ear notch. *Tongren* advises needle 3 fen, retain for three breaths, moxa three mounds. *Xia Jing* prohibits moxibustion; for diseases suitable for moxibustion, not exceeding three mounds. It governs tinnitus like cicadas, purulent otorrhea, ear sores, severe hearing loss, tooth decay, and stiff lips and mouth.