丰隆∶外踝上八寸,下 外廉陷中,足阳明络别走太阴。《铜人》针三分,
灸三壮。《明堂》灸七壮。
主厥逆,大小便难,怠惰,腿膝酸,屈伸难,胸痛如刺,腹若刀切痛,风痰头痛,风
逆四肢肿,足青身寒湿,喉痹不能言,登高而歌,弃衣而走,见鬼好笑。气逆则喉痹卒喑
,实则癫狂,泻之。虚则足不收,胫枯,补之。
解溪∶冲阳后一寸五分,腕上陷中,足大趾次趾直上跗上陷者宛宛中。足阳
明胃脉所行为经火。胃虚补之。《铜人》灸三壮,针五分,留三呼。
主风面浮肿,颜黑,厥气上冲,腹胀,大便下重,螈惊,膝股 肿,转筋,目眩,
头痛,癫疾,烦心悲泣,霍乱,头风面赤、目赤,眉攒疼不可忍。
冲阳∶足跗上五寸,去陷谷二寸,骨间动脉。足阳明胃脉所过为原,胃虚实
皆拔之。《素注》针三分,留十呼。《素问》刺足跗上动脉,血出不止死。《铜人》针
主偏风口眼 ,跗肿,齿龋,发寒热,腹坚大,不嗜食,伤寒病振寒而欠,久狂,
登高而歌,弃衣而走,足缓履不收,身前痛。
陷谷∶足大趾次趾外间,本节后陷中,去内庭二寸。足阳明胃脉所注为俞木
。《铜人》针三分。《素注》针五分,留七呼,灸三壮。
主面目浮肿及水病善噫,肠鸣腹痛,热病无度,汗不出,振寒疟疾。
东垣曰∶气在于臂,足取之,先去血脉,后深取足阳明之荥俞∶内庭、陷谷。
内庭∶足大趾次趾外间陷中。足阳明胃脉所溜为荥水。《铜人》灸三壮,针
三分,留十呼。
主四肢厥逆,腹胀满,数欠,恶闻人声,振寒,咽中引痛,口 ,上齿龋,疟不嗜食
,脑皮肤痛,鼻衄不止,伤寒手足逆冷,汗不出,赤白痢。
厉兑∶足大趾次趾之端,去爪甲角如韭叶。足阳明胃脉所出为井金。胃实泻
之。《铜人》针一分,灸一壮。
主尸厥,口噤气绝,状如中恶,心腹胀满,水肿,热病汗不出,寒疟不嗜食,面肿,足
寒,喉痹,上齿龋,恶寒鼻不利,多惊好卧,狂欲登高而歌,弃衣而走,黄胆,鼽衄,
口唇疹,颈肿,膝膑肿痛,循胸、乳、气膺、伏兔、 外廉、足跗上皆痛,消谷善
\r胃腑图\pG-G59.bmp\r
\r足阳明胃经\pG-G59a.bmp\r
Fenglong (ST40): Located 8 cun above the lateral malleolus, in the depression on the lateral side of the tibia, two finger-widths from the anterior crest. It is the Luo-Connecting point of the Foot-Yangming Stomach Meridian, diverging to connect with the Foot-Taiyin Spleen Meridian. The *Tongren* text records needle insertion at 3 fen and moxibustion of 3 cones. The *Mingtang* text records moxibustion of 7 cones.
Indications: Limb coldness (Jue-ni), difficulty in urination and defecation, lassitude, soreness and weakness of the legs and knees, difficulty in flexion and extension, chest pain like stabbing, abdominal pain as if cut by a knife, headache due to wind-phlegm, swelling of the four limbs due to wind-reversal, cyanosis of the feet and body cold-dampness, bi-syndrome of the throat leading to aphonia, singing while climbing high, running naked, seeing ghosts and laughing. If Qi rebels, it causes sudden aphonia due to throat bi; excess patterns manifest as mania or epilepsy, treated with draining method; deficiency patterns manifest as flaccidity of the feet and wasting of the shin muscles, treated with tonifying method.
Jiexi (ST41): Located 1.5 cun posterior to Chongyang (ST42), in the depression above the ankle joint, specifically in the hollow where the foot extends straight up from the big toe and second toe on the dorsum. This is the Jing-River point of the Foot-Yangming Stomach Meridian, corresponding to Fire. For stomach deficiency, apply tonification. The *Tongren* text records moxibustion of 3 cones, needle insertion of 5 fen, retaining the needle for three breaths.
Indications: Wind-induced facial edema, dark complexion, rebellious Qi rushing upward, abdominal distension, sensation of heaviness in defecation, convulsions and fright, swelling of the knee and thigh, muscle cramps, vertigo, headache, epilepsy, vexation and sorrowful weeping, cholera, headache with red face and eyes, unbearable pain in the glabella.
Chongyang (ST42): Located 5 cun on the dorsum of the foot, 2 cun away from Xangu (ST43), over the arterial pulse between the bones. This is the Yuan-Source point of the Foot-Yangming Stomach Meridian. Both excess and deficiency of the stomach can be treated here by needling. The *Suwen Zhu* notes needle insertion of 3 fen, retaining for ten breaths. The *Suwen* warns that puncturing the arterial pulse on the dorsum of the foot with unceasing bleeding leads to death. The *Tongren* text records indications: hemiplegic facial paralysis, dorsal foot swelling, toothache, aversion to cold and fever, hard and distended abdomen, loss of appetite, shivering and yawning in cold damage disease, chronic mania, singing while climbing high, running naked, foot flaccidity unable to hold shoes, pain in the front of the body.
Xangu (ST43): Located in the depression lateral to the space between the big toe and the second toe, behind the metatarsophalangeal joint, 2 cun away from Neiting (ST44). This is the Shu-Stream point of the Foot-Yangming Stomach Meridian, corresponding to Wood. The *Tongren* text records needle insertion of 3 fen. The *Suwen Zhu* records needle insertion of 5 fen, retaining for seven breaths, and moxibustion of 3 cones.
Indications: Edema of the face and eyes, water retention diseases, frequent belching, borborygmus and abdominal pain, heat disease with profuse diarrhea, absence of sweating, chills and malaria.
Li Dongyuan stated: When Qi stagnates in the arm, points on the foot should be selected. First remove blood stasis, then deeply needle the Ying-Spring and Shu-Stream points of the Foot-Yangming Stomach Meridian: Neiting (ST44) and Xangu (ST43).
Neiting (ST44): Located in the depression lateral to the space between the big toe and the second toe. This is the Ying-Spring point of the Foot-Yangming Stomach Meridian, corresponding to Water. The *Tongren* text records moxibustion of 3 cones, needle insertion of 3 fen, retaining for ten breaths.
Indications: Coldness of the four limbs, abdominal fullness, frequent yawning, aversion to human voices, chills, pulling pain in the throat, deviation of the mouth, upper toothache, malaria with loss of appetite, pain in the scalp skin, unceasing epistaxis, cold damage with cold extremities, absence of sweating, dysentery with red and white discharge.
Lidui (ST45): Located at the tip of the second toe, approximately the width of a leek leaf from the corner of the nail. This is the Jing-Well point of the Foot-Yangming Stomach Meridian, corresponding to Metal. For stomach excess, apply draining method. The *Tongren* text records needle insertion of 1 fen and moxibustion of 1 cone.
Indications: Corpse-like fainting (Shi-jue), locked jaw and cessation of breathing, symptoms resembling evil possession, heart and abdominal fullness, edema, heat disease with no sweat, cold malaria with loss of appetite, facial swelling, cold feet, throat bi, upper toothache, aversion to cold and nasal obstruction, frequent fright and desire to lie down, mania with desire to climb high and sing, running naked, jaundice, rhinorrhea and epistaxis, herpes on the lips, neck swelling, swelling and pain of the knee patella, pain along the chest, breast, Qiyng, Futu, lateral calf, and dorsum of the foot, excessive hunger and digestion.