\r手厥阴心包络经\pj-j24.bmp\r
手厥阴之脉。起于胸中。出属心包。下鬲。历络三焦。
手厥阴受足少阴之交。起于胸中。出属心包。由是下鬲。历络于三焦之上脘中脘。及脐
下一寸下焦之分也。
其支者。循胸出胁。下腋三寸。上抵腋下。下循 内。行太阴、少阴之间。入肘中。
胁上际为腋。自属心包上循胸出胁。下腋三寸天池穴。上行抵腋下。下循 内之天泉穴
。以介手太阴、少阴两经之中间。入肘中之曲泽也。
下臂行两筋之间。入掌中。循中指出其端。
由肘中下臂。行臂两筋之间。循 门、间使、内关、大陵入掌中劳宫穴。循中指出其端
之中冲云。
其支别者。从掌中循小指次指出其端。
小指次指。无名指也。自小指而逆数之。则为次指。云其支别者。自掌中劳宫穴别行。
循小指次指出其端。而交于手少阳也。
此经多血少气。戌时气血注此。受足少阴之交。凡九穴。左右共一十八穴。
天池（一名天会） 腋下三寸。乳后一寸。着胁直腋橛肋间。手足厥阴、少阳之会。铜人
。灸
下肿。上气。寒热 疟。
天泉（一名天湿） 曲腋下二寸。举臂取之。铜人。针六分。灸三壮。主目KT KT 不明。恶
风寒。心病。胸胁支满。咳逆。膺背胛臂内廉痛。
曲泽 肘内廉下陷中。屈肘得之。心包络脉所入为合。水。铜人。灸三壮。针三分。留
七呼
头清汗出不过肩。伤寒逆气呕吐。
门 掌后去腕五寸。手厥阴心包络脉 。铜人。针三分。灸五壮。主呕血衄血。心痛
呕哕。惊恐畏人。神气不足。
间使 掌后三寸两筋间陷中。心包络脉所行为经。金。素注。针六分。留七呼。铜人。
针三
。呕沫怵惕。寒中少气。掌中热。腋肿肘挛。卒心痛。多惊。中风气塞。涎上昏危。喑不得
语。咽中如梗。鬼邪。霍乱干呕。妇人月水不调。血结成块。小儿客忤。
内关 掌后去腕二寸两筋间。与外关相对。手心主之络。别走少阳。铜人。针五分。灸三壮
。主手中风热。失志。心痛。目赤。支满肘挛。实则心暴痛。泻之。虚则头强。补之。
大陵 掌后骨下两筋间陷中。手厥阴心包络脉所注为俞。土。心包络实。泻之。铜人。
针五
烦心。心悬若饥。心痛掌热。喜悲泣惊恐。目赤目黄。小便如血。呕哕无度。狂言不乐。喉
痹口干。身热头痛。短气。胸胁痛。 疮疥癣。东垣曰。胃气下溜。五脏气乱。在于心者。
取之心主之俞大陵。同精导气。以复其本位。
劳宫（一名五里 一名掌中） 掌中央动脉。铜人。屈无名指取之。资生。屈中指取之。
滑氏
留六呼。铜人。灸三壮。明堂。针二分。得气即泻。只一度。针过两度。令人虚。禁灸。灸
令人息肉日加。主中风。善悲笑不休。手痹。热病数日汗不出。怵惕。胁痛不可转侧。大小
便血。衄血不止。气逆呕哕烦渴。食饮不下。大小人口中腥臭。口疮。胸胁支满。黄胆目黄
。小儿龈烂。
中冲 手中指端去爪甲角如韭叶陷中。心包络脉所出为井。木。心包络虚。补之。铜人
。针
三焦者。水谷之道路。气之所终始也。上焦者。在心下下鬲。在胃上口。主内而不出。
其治
。其治在脐旁。下焦者。当膀胱上口。主分别清浊。主内而出以传道。其治在脐下一寸。故
名三焦。
三焦者。决渎之官。水道出焉。
滑氏曰。三焦。相火也。火能腐熟水谷。万物焦从火。火亦腐物之气。命名取义。或有
在于
气融会于其间。熏蒸鬲膜。发达皮肤分肉。营运四旁上中下。各随其所属部分而名之。实
元气之别使也。是故虽无其形。倚内外之形而得名。虽无其实。合内外之实而为位者也。
三因方云。古人谓左为肾脏。其腑膀胱。右为命门。其腑三焦。三焦者。有脂膜如手大
。正
。三焦当如此说。有形可见为是。扁鹊乃云。三焦有位无形。而叔和辈失其旨意。遽云无状
有名。俾后学承谬不已。且名以召实。无实奚名。果无其形。尚何藏精系胞为哉。其所谓三
焦者何也。上焦在膻中。内应心。中焦在中脘。内应脾。下焦在脐下。即肾间动气。分布人
身。有上中下之异。方人湛寂。欲想不兴。则精气散在三焦。荣华百脉。及其想念一起。欲
火炽然。翕撮三焦精气流溢。并于命门输泻而去。故号此府为三焦耳。世承叔和之弊而不悟
。可为长太息也。初甚异其说。及为齐从事。（以下医说。载之龙川志。）有一举子徐遁者。
石守道之婿也。少尝医疗病。有精思。曰。齐尝大饥。群丐相脔而食。有一人皮肉尽而骨脉
全者。视其五脏。见右肾之下。有脂膜如手大者。正与膀胱相对。有二白脉。自其中出。夹
脊而上贯脑。意此则导引家所谓夹脊双关者。而不悟脂膜如手大者之为三焦也。所见默合。
可以证古人之谬。
丹溪朱氏曰。三焦以焦。而下焦司肝肾之分。皆阴而主乎下者也。天非此火不能以生物
。人非此火不能以有生。
Hand Jueyin Pericardium Meridian
The meridian of Hand Jueyin Pericardium originates in the chest, emerges to connect with the Pericardium (Pericardium), descends through the diaphragm, and successively connects with the Sanjiao (Triple Burner).
The Hand Jueyin meridian intersects with the Foot Shaoyin Kidney meridian. It originates in the chest, emerges to connect with the Pericardium, and from there descends through the diaphragm, successively connecting with the upper epigastrium (Shangwan), middle epigastrium (Zhongwan) areas, and the lower burner area one cun below the umbilicus.
Its branch follows the chest, emerges from the hypochondrium, descends three cun below the axilla, ascends to reach the axilla, then descends along the medial aspect of the arm, running between the Hand Taiyin Lung meridian and the Hand Shaoyin Heart meridian, entering the elbow fossa.
The upper margin of the hypochondrium is called the axilla. Starting from its connection with the Pericardium, it ascends along the chest, emerges from the hypochondrium, descends three cun below the axilla to the Tianchi (P1) acupoint, ascends to reach the axilla, then descends along the Tianshu (PC2) acupoint on the medial aspect of the arm, positioned between the Hand Taiyin Lung meridian and the Hand Shaoyin Heart meridian, entering the Quze (PC3) acupoint in the center of the elbow.
It descends along the forearm between the two tendons, enters the center of the palm, and follows the middle finger to its tip.
From the elbow fossa, it descends along the forearm, running between the two tendons of the forearm, passing through the Ximen (PC4), Jianshi (PC5), Neiguan (PC6), and Daling (PC7) acupoints, entering the Laogong (PC8) acupoint in the center of the palm, and following the middle finger to its tip at the Zhongchong (PC9) acupoint.
Another branch separates from the center of the palm, follows the ring finger to its tip.
The ring finger is the next finger after the little finger. Counting backwards from the little finger, it is the next finger. This branch separates from the Laogong (PC8) acupoint in the center of the palm, follows the ring finger to its tip, and intersects with the Hand Shaoyang Sanjiao meridian.
This meridian has abundant blood and scarce qi. Qi and blood flow into it during the Xu hour (7-9 PM). It intersects with the Foot Shaoyin Kidney meridian. There are nine acupoints in this meridian, totaling eighteen acupoints on both sides.
Tianchi (P1) (also known as Tianhui): Located three cun below the axilla, one cun posterior to the nipple, in the intercostal space directly under the axilla against the rib. It is the meeting point of the Hand Jueyin Pericardium, Hand Shaoyang Sanjiao, and Foot Shaoyang Gallbladder meridians. *Tongren* records: Treats swelling in the lower body, qi rebellion in the upper body, alternating chills and fever, and malaria.
Tianshu (PC2) (also known as Tianshi): Located two cun below the apex of the axilla when the arm is raised. *Tongren* records: Needle depth six fen, moxa three moxibustions. Treats blurred vision, aversion to wind and cold, heart disease, distending fullness in the chest and hypochondrium, cough with rebellious qi, pain in the chest, back, scapula, and medial aspect of the arm.
Quze (PC3): Located in the depression at the medial end of the transverse cubital crease, obtainable by flexing the elbow. It is the He-Sea point where the Hand Jueyin Pericardium meridian enters, belonging to Water. *Tongren* records: Moxa three moxibustions, needle three fen, retain needle for seven breaths. Treats clear sweat flowing from the head that does not exceed the shoulders, rebellious qi vomiting caused by Cold Damage (Shanghan).
Ximen (PC4): Located five cun proximal to the palmar wrist crease, on the Hand Jueyin Pericardium meridian. *Tongren* records: Needle three fen, moxa five moxibustions. Treats hematemesis, epistaxis, heart pain, vomiting and hiccups, fearfulness and apprehensiveness, insufficiency of spirit qi.
Jianshi (PC5): Located three cun proximal to the palmar wrist crease, in the depression between the two tendons. It is the Jing-River point where the Hand Jueyin Pericardium meridian flows, belonging to Metal. *Suwen* annotations state: Needle depth six fen, retain needle for seven breaths. *Tongren* records: Needle depth three fen. Treats vomiting of saliva, fearfulness and apprehensiveness, qi insufficiency due to cold invading the interior, heat in the palms, axillary swelling, elbow contracture, sudden heart pain, susceptibility to fright, stroke with qi blockage, phlegm salivary fluid rising causing dizziness and danger, aphasia inability to speak, sensation of a lump in the throat, demonic influences, cholera with dry retching, irregular menstruation in women, blood stasis forming masses, pediatric Ke Wu (fright syndrome).
Neiguan (PC6): Located two cun proximal to the palmar wrist crease, between the two tendons, opposite Waiguan. It is the Luo-Connecting point of the Hand Jueyin Pericardium meridian, diverging to the Hand Shaoyang Sanjiao meridian. *Tongren* records: Needle five fen, moxa three moxibustions. Treats wind-heat in the hands, loss of will, heart pain, red eyes, distending fullness and elbow contracture. Excess patterns manifest as sudden severe heart pain; treat with draining method. Deficiency patterns manifest as neck stiffness; treat with tonifying method.
Daling (PC7): Located in the depression between the two tendons, distal to the styloid process of the radius at the palmar wrist crease. It is the Shu-Stream point where the Hand Jueyin Pericardium meridian pours, belonging to Earth. For excess patterns of the Pericardium, use the draining method. *Tongren* records: Needle five fen. Treats vexation, feeling of emptiness in the heart like hunger, heart pain, heat in the palms, propensity to weep and cry, fear and fright, red eyes, jaundice with yellow eyes, urine resembling blood, frequent vomiting and hiccups, delirious speech, unhappiness, bi obstruction of the throat, dry mouth, feverish body and headache, shortness of breath, chest and hypochondriac pain, sores, tinea versicolor, and tinea. Li Dongyuan stated: If stomach qi sinks and the qi mechanism of the five zang organs becomes disordered affecting the heart, select the Shu-Stream point of the Heart Master (Pericardium), Daling, to guide essence and conduct qi to restore its original position.
Laogong (PC8) (also known as Wuli, also known as Zhangzhong): Located at the arterial pulse in the center of the palm. *Tongren* records: Obtain by flexing the ring finger. *Zisheng* records: Obtain by flexing the middle finger. Hua Shi (Hua Shou) states: Retain needle for six breaths. *Tongren* records: Moxa three moxibustions. *Mingtang* records: Needle two fen, drain immediately upon obtaining Deqi. Perform only once; if needled more than twice, it causes weakness. Moxibustion is prohibited; moxibustion leads to increased polyps daily. Treats stroke, incessant sadness and laughter, hand numbness, febrile diseases with no sweat after several days, fearfulness, hypochondriac pain preventing turning, bleeding in stool and urine, persistent epistaxis, rebellious qi with vomiting, hiccups, vexation, and thirst, inability to eat or drink, foul odor from stool, urine, and mouth, mouth ulcers, distending fullness in the chest and hypochondrium, jaundice with yellow eyes, pediatric gingival rot.
Zhongchong (PC9): Located in the depression at the tip of the middle finger of the hand, approximately the width of a leek leaf from the corner of the nail. It is the Jing-Well point where the Hand Jueyin Pericardium meridian exits, belonging to Wood. For deficiency patterns of the Pericardium, use the tonifying method. *Tongren* records: Needle three fen.
The Sanjiao (Triple Burner) is the pathway for water and grain, and the beginning and end of qi. The Upper Burner is located below the heart and above the diaphragm, at the upper opening of the stomach. Its main function is to receive but not discharge. Its treatment area is above the umbilicus. The Lower Burner is located at the upper opening of the bladder. Its main function is to separate the clear from the turbid, receiving waste and discharging it for transmission. Its treatment area is one cun below the umbilicus. Hence it is named Sanjiao.
The Sanjiao is the official responsible for irrigation, from which water passages emerge.
Hua Shou stated: The Sanjiao belongs to Ministerial Fire. Fire can cook and ripen water and grain; all things become scorched by fire, and fire also possesses the quality of decomposing matter. The naming takes meaning perhaps from qi merging within it, steaming the diaphragm, developing the skin and muscles, circulating around the four extremities and the upper, middle, and lower parts, each named according to its respective part. It is actually the special envoy of Yuan Qi (Original Qi). Therefore, although it has no form, it is named relying on internal and external forms; although it lacks substantial organ reality, it establishes its position by combining internal and external realities.
*San Yin Fang* states: The ancients believed the left side was the Kidney, its fu organ being the Bladder; the right side was the Mingmen (Gate of Life), its fu organ being the Sanjiao. The Sanjiao has a fatty membrane about the size of a hand... [text fragment]. The Sanjiao should be explained thusly; having visible form is correct. Bian Que claimed the Sanjiao has location but no form, and Wang Shuhe and others misunderstood its purport, hastily stating it has name but no shape, causing later scholars to perpetuate errors endlessly. Moreover, names summon realities; without reality, how can there be a name? If it truly had no form, what would there be to store essence and bind the uterus? What then is this so-called Sanjiao? The Upper Burner is in the Danzhong area, internally corresponding to the Heart; the Middle Burner is in the Zhongwan area, internally corresponding to the Spleen; the Lower Burner is below the umbilicus, namely the moving qi between the kidneys, distributed throughout the body, differing in upper, middle, and lower sections. When a person is tranquil and silent, without arising desires, essence and qi scatter in the Sanjiao, flourishing the hundred vessels; when thoughts arise and desire-fire blazes, compressing the essence and qi of the Sanjiao to overflow and flow out via the Mingmen, hence this fu organ is called Sanjiao. The world inherits Wang Shuhe's弊端 (flaws) without awakening, truly worthy of long sighs. Initially, I found this theory strange. Later, while serving in Qi... [medical theories follow, recorded in Longchuan Zhi]. A scholar named Xu Dun, son-in-law of Shi Shoudao, who had medical experience in his youth and profound thought, said: "Qi once suffered great famine, and beggars ate each other's flesh. One person had all skin and flesh eaten, leaving only bones and meridians. Observing his five zang organs, I saw below the right kidney a fatty membrane about the size of a hand, exactly opposite the bladder, with two white meridians emerging from it, ascending along the spine and penetrating the brain. I thought this was what Dao Yin practitioners call the double pass of the spine, but did not realize that the fatty membrane about the size of a hand was the Sanjiao. My observations silently coincided, proving the error of the ancients."
Zhu Danxi stated: The Sanjiao is named 'scorched' because the Lower Burner governs the divisions of the Liver and Kidney, both yin governing the lower part. Heaven cannot generate living things without this fire; humans cannot have life without this fire.