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The tendon-sinew channel of Foot-Taiyang originates from the upper part of the little toe, binds at the ankle, and obliquely ascends to bind at the knee; its descending branch follows the lateral aspect of the foot to bind at the calcaneus, ascends along the Achilles tendon to bind at the popliteal fossa; its collateral branch binds at the lateral, superior, and medial aspects of the calf, runs parallel with another tendon-sinew channel, and ascends to bind above the buttocks, flanking the spine to ascend to the nape, while its branch enters separately to bind at the root of the tongue; its straight course binds at the occiput, ascends the head, descends to the face, and binds at the nose; its branch forms the upper eyelid margin (Yang Gang), binding downward at the inner canthus; its branch from the posterior-lateral axilla binds at Jianyu (LI15); its branch enters the axilla, ascends to emerge at the Supraclavicular Fossa, and binds at Wanggu (GB12); its branch emerges from the Supraclavicular Fossa, ascends obliquely above the ear. Pathological conditions include support sensation in the little toe, pain in the Achilles tendon and heel, opisthotonos, stiffness of the neck tendons, inability to raise the shoulder, pulling pain in the axilla and Supraclavicular Fossa, and inability to turn the head left or right. Treatment involves burning needle rapid needling (Fanzhen Dongci), using symptom relief as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Foot-Shaoyang originates from the little toe and the second toe, ascends to bind at the lateral malleolus, follows the lateral aspect of the tibia, and binds at the lateral aspect of the knee; its branch arises separately from above the fibular tuberosity, moves anteriorly to the thigh, binds above Futu (ST32), and posteriorly binds at the sacrococcygeal region; the straight course ascends over the costal margin, moves upward along the anterior axillary line, ties to the chest and breast, and binds at the Supraclavicular Fossa; the straight course ascends out of the axilla, penetrates the Supraclavicular Fossa, emerges anterior to the Foot-Taiyang tendon-sinew channel, follows behind the ear, ascends to the frontal angle, intersects at the vertex, descends to the mandible to bind; a branch binds at the eye, termed "Waiwei" (Outer Link). Pathological conditions include support sensation and spasms in the little and second toes, pulling spasms laterally at the knee, inability to flex or extend the knee, stiffness at the popliteal fossa, anterior pulling of the thigh, posterior pulling of the sacrum, if ascending to the costal margin then costal pain, upward pulling of the Supraclavicular Fossa, stiffness of tendons in the chest, breast, neck, and periorbital area. If the left side is injured affecting the right, the right eye cannot open; the pathogenic qi passes through the right corner and travels with the Qiao vessels, left connecting to the right; thus, injury to the left corner renders the right foot unusable, termed "Weijin Xiangjiao" (Cross-linking of Weijin). Treatment involves burning needle劫刺 (Jieci), using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Foot-Yangming originates from the middle three toes, binds at the dorsum of the foot obliquely outward, adds onto the fibular tuberosity, ascends to bind at the lateral aspect of the knee, the straight course ascends to bind at the hip pivot, follows the ribs to connect to the spine; its straight course ascends along Futu to bind at the knee; its branch binds at the lateral fibular tuberosity, merging with the Foot-Shaoyang tendon-sinew channel; its straight course ascends along Futu, binds at the thigh, gathers at the genitalia, spreads upward on the abdomen to the Supraclavicular Fossa where it binds, ascends to the neck, flanks the mouth, merges with the Foot-Taiyang tendon-sinew channel, binds downward at the nose, and ascends to merge with Foot-Taiyang. Foot-Taiyang forms the upper eyelid margin, Foot-Yangming forms the lower eyelid margin; its branch from the cheek binds at the anterior aspect of the ear. Pathological conditions include support sensation and calf spasms in the middle toe, jumping hardness of the foot, spasms at Futu, swelling of the anterior thigh, hernia and abdominal tendon stiffness pulling to the Supraclavicular Fossa and cheek, sudden facial deviation. In cases of stiffness, the eyes do not close; in heat, tendons relax and eyes do not open; cold in cheek tendons causes stiffness pulling the mouth corner; heat causes relaxation leading to deviation. Treatment uses horse fat applied to the stiff side, white wine mixed with cinnamon applied to the relaxed side, traction with a mulberry hook, placement of raw mulberry ash in a pit level with sitting height, moxibustion/heat application to the stiff cheek with horse fat, drinking fine wine, and eating roasted meat. Non-drinkers may achieve self-strengthening through exercise and three patting sessions. Treatment also involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Foot-Taiyin originates from the medial end of the big toe, ascends to bind at the medial malleolus; its straight course connects to the medial epicondyle of the knee, ascends along the medial thigh to bind at the thigh, gathers at the genitalia, ascends to the abdomen to bind at the umbilicus, runs inside the abdomen to terminate at the ribs, and scatters in the chest; its internal branch attaches to the spine. Pathological conditions include support sensation, medial malleolar spasm and pain, medial epicondyle pain, medial thigh pulling thigh pain, genital pulling pain, downward pulling of umbilicus and hypochondriac pain, pulling of the central chest and intraspinal pain. Treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Foot-Shaoyin originates below the little toe, runs obliquely with the Foot-Taiyin tendon-sinew channel under the medial malleolus, binds at the heel, merges with the Foot-Taiyang tendon-sinew channel to ascend and bind below the medial knee epicondyle, runs upward with the Foot-Taiyin tendon-sinew channel along the medial thigh, binds at the genitalia, follows the interior of the spine, flanks the paraspinal muscles to ascend to the nape, binds at the occiput, and merges with the Foot-Taiyang tendon-sinew channel. Pathological conditions include sole spasms, pain at all binding sites, and spasms occurring here. It primarily treats epilepsy and tetany. External involvement prevents bending forward; internal involvement prevents extending backward. Yang disorders cause opisthotonos preventing bending; Yin disorders prevent extending. Treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Foot-Jueyin originates above the big toe, ascends to bind anterior to the medial malleolus, follows the tibia upward to bind below the fibular tuberosity, ascends along the medial thigh to bind at the genitalia, and links all tendons. Pathological conditions include support sensation, pain anterior to the medial malleolus, pain at the fibular tuberosity, medial thigh pain, spasms, genital dysfunction. Injury internally leads to impotence; injury by cold leads to retraction of the penis; injury by heat leads to flaccidity and prolapse. Treatment involves moving water and clearing Yin Qi. For spasms, treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Hand-Taiyang originates above the little finger, binds at the wrist, follows the medial arm to bind posterior to the medial epicondyle, stimulation responds at the little finger, enters to bind in the axilla; its branch moves posteriorly along the axillary border, winds around the scapula, follows the neck to emerge anterior to the Foot-Taiyang channel, binds at Wanggu (GB12) behind the ear; its branch enters the ear, the straight course emerges above the ear, descends to bind at the mandible, connects to the outer canthus. Pathological conditions include support sensation in the little finger, pain posterior to the medial epicondyle, pain entering the axilla along the medial arm, axillary pain, posterior axillary pain, scapular wrapping pulling neck pain, tinnitus, pain pulling the mandible, prolonged eye closure before vision returns, neck tendon stiffness causing Wei syndrome (tendon atrophy), neck swelling with cold and heat. For those in the upper neck, treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints. For swellings, specific techniques are used. Branches ascend to draw teeth, follow anterior to the ear, connect to the outer canthus, ascend to the frontal angle to bind. Pain at affected sites includes support and spasms. Treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Hand-Shaoyang originates at the ends of the little and second fingers, binds at the wrist, ascends along the arm to bind at the elbow, winds around the lateral elbow, ascends to the shoulder and neck, merging with Hand-Taiyang; its branch enters the jaw to tie to the root of the tongue; its branch ascends past the zygomatic arch, follows anterior to the ear, connects to the outer canthus, ascends over the mandible to bind at the frontal angle. Pathological conditions at affected sites include support, spasms, and tongue rolling. Treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Hand-Yangming originates at the ends of the thumb and index finger, binds at the wrist, ascends along the arm to bind at the lateral elbow, ascends to bind at Jianyu (LI15); its branch winds around the scapula and flanks the spine, the straight course goes from Jianyu up the neck; its branch ascends to the cheek to bind at the zygoma; the straight course ascends anterior to Hand-Taiyang, to the left corner linking the head, descending to the right mandible. Pathological conditions at affected sites include support pain and spasms, inability to raise the shoulder, inability to turn the head left or right. Treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Hand-Taiyin originates above the thumb, follows the finger upward to bind at Yuji (LU10), runs posteriorly on the lateral side of Cun Kou, ascends along the arm to bind at the elbow center, ascends to the medial arm, enters the axilla, emerges at the Supraclavicular Fossa, binds at the anterior shoulder, ascends to bind at the Supraclavicular Fossa, descends to bind in the chest interior, scatters through the diaphragm to reach the costal margin. Pathological conditions at affected sites include support, spasms, and pain; severe cases become Xiben (Breath Accumulation), with tight hypochondrium and hematemesis. Treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Hand-Zhongying (Pericardium) originates at the middle finger, runs parallel with Hand-Taiyin, binds at the medial elbow, ascends the medial arm, binds in the axilla, descends to scatter anteriorly and posteriorly flanking the ribs; its branch enters the axilla, scatters in the chest, binds at Danzhong (CV17). Pathological conditions at affected sites include support, spasms, anterior chest pain, and Xiben. Treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints.

The tendon-sinew channel of Hand-Shaoyin originates at the medial little finger, binds at the pisiform, ascends to bind at the medial elbow, enters the axilla to intersect with Hand-Taiyin, flanks the breast interior to bind in the chest, follows the arm down to tie at the umbilicus. Pathological conditions include internal urgency, heart pain, Fulian (Beam Accumulation) below, forming the elbow guideline. Affected sites show support, spasms, and tendon pain. Treatment involves burning needle Jieci, using efficacy as the indicator, and using tender points as acupoints. Cases developing Fulian with expectoration of pus and blood are fatal and untreatable.

Tendon-sinew diseases: Cold causes reverse bending and tendon stiffness; heat causes tendon flaccidity and laxity, impotence and dysfunction. Yang stiffness causes opisthotonos; Yin stiffness prevents bending forward. Cui Ci (quenching needling) treats cold-induced stiffness; for heat-induced flaccidity, burning needles are contraindicated. Stiffness of Foot-Yangming and Hand-Taiyang tendon-sinews causes facial deviation, inability to see suddenly; treatment follows the methods above.