\r手少阳三焦经\pj-j25.bmp\r
手少阳之脉。起于小指次指之端。上出次指之间。循手表腕。出臂外两骨之间。上贯肘
臂骨尽处为腕。 尽处为肘。手少阳起小指次指之端关冲穴。上出次指之间。历液门、
中渚
天井穴也。
循 外上肩。交出足少阳之后。入缺盆。交膻中。散络心包。下膈。循属三焦。
肩肘之间。膊下对腋处为 。从天井上行。循臂 之外。历清冷渊、消泺。行太阳之里
。阳
阳明之外。而交会于膻中。散布络绕于心包。乃下膈。当胃上口以属上焦。于中脘以属中焦
。于阴交以属下焦也。
其支者。从膻中上出缺盆。上项系耳后。直上出耳上角。以屈下颊至 。
脑户后为项。目下为 。其支者。从膻中而上出缺盆之外。上项过大椎。循天牖。上耳
后。
耳颊。至 。会颧 之分也。
其支者。从耳后入耳中。却出。至目锐 。
此支从耳后翳风穴入耳中。过听宫。历耳门、和 。却出至目锐 。会童子 。循丝竹
空而交于足少阳也。
此经多血少气。亥时气血注此。受手厥阴之交。凡二十三穴。左右共四十六穴。
关冲 手小指次指之端。去爪甲角如韭叶。手少阳三焦脉所出为井。金。铜人。针一分
。留
肘痛不可举。目生翳膜。视物不明。
液门 手小指次指间陷中。握拳取之。手少阳三焦脉所溜为荥。水。素问、铜人。针二
分。
痛。暴得耳聋。齿龈痛。
中渚 手小指次指本节后间陷中。在腋门下一寸。手少阳三焦脉所注为俞。木。三焦虚
。补
头痛。耳聋。目生翳膜。久疟。咽肿。肘臂痛。手五指不得屈伸。
阳池（一名别阳） 手表腕上陷中。从指本节直摸下至腕中心。手少阳三焦脉所过为原。
三焦
破皮。不可摇手。恐伤针转曲。主消渴。口干烦闷。寒热疟。或因折伤手腕。捉物不得。肩
臂痛不得举。
外关 腕后二寸两筋间。阳池上一寸。手少阳络。别走心主。铜人。针三分。留七呼。
灸二
。补之。
支沟（一名飞虎） 腕后臂外三寸。两骨间陷中。手少阳脉所行为经。火。铜人。针
三分
腋痛。四肢不举。霍乱呕吐。口噤不开。暴喑不能言。心闷不已。卒心痛。鬼击。伤寒结胸
。疮疥癣。妇人妊脉不通。产后血晕。不省人事。
会宗 腕后三寸。空中一寸。铜人。灸七壮。明堂。五壮。禁针。主五痫。肌肤痛。耳
聋。
三阳络（一名通门） 臂上大交脉。支沟上一寸。铜人。灸七壮。明堂。五壮。禁针。主
暴喑哑。耳聋。嗜卧。四肢不欲动摇。
四渎 在肘前五寸。外廉陷中。铜人。针六分。留七呼。灸三壮。主暴气耳聋。下齿龋
痛。
天井 肘外大骨后。肘上一寸。辅骨上两筋叉骨罅中。屈肘拱胸取之。甄权云。曲肘后
一寸
寸。留七呼。铜人。灸三壮。明堂。五壮。针三分。主心胸痛。咳嗽上气。短气不得语。唾
脓。不嗜食。寒热凄凄不得卧。惊悸。螈 癫疾。羊痫风痹。耳聋嗌肿。喉痹汗出。目锐
痛。颊肿痛。耳后 臂肘痛。捉物不得。嗜卧。扑伤腰髋疼。振寒颈项痛。大风默默不知所
痛。悲伤不乐。香港脚上攻。
清冷渊 肘上二寸。伸肘举臂取之。铜人。针三分。灸三壮。主肩痹痛。臂 不能举。
不能带衣。
消泺 肩下臂外间。腋斜肘分下。铜人。针一分。灸三壮。明堂。针六分。素注。针五
分。主风痹颈项强急。肿痛寒热。头痛癫疾。
会（一名 交） 肩前廉。去肩头三寸宛宛中。手少阳、阳维之会。素注。针五分。灸
五壮
痛。项瘿气瘤。
肩 肩端 上陷中。斜举臂取之。铜人。针七分。灸三壮。明堂。五壮。主臂痛肩重
不能举。
天 肩缺盆中。上毖骨际陷中央。须缺盆陷处。上有空。起肉上是穴。手足少阳、阳
维之
卒死。主胸中烦闷。肩臂酸疼。缺盆中痛。汗不出。胸中烦满。颈项急。寒热。
天牖 颈大筋外。缺盆上。天容后。天柱前。完骨下。发际上。铜人。针一寸。留七呼
。不
明堂。针五分。得气即泻。泻尽更留三呼。泻三吸。不宜补。素注、下经。灸三壮。资生云
。宜灸一壮三壮。主暴聋气。目不明。耳不聪。夜梦颠倒。面青黄无颜色。头风面肿。项强
不得回顾。目中痛。
翳风 耳后尖角陷中。按之引耳中痛。针经。先以铜钱二十文。令患人咬之。寻取穴中
。手
开。主耳鸣耳聋。口眼 斜。脱颔颊肿。口噤不开。不能言。口吃。牙车急。小儿喜欠。
脉（一名资脉） 耳本后鸡足青络脉。铜人。刺出血。如豆汁。不宜多出。针一分。灸
三壮。主头风耳鸣。小儿惊痫螈 。呕吐。泄利无时。惊恐。眵瞢目睛不明。
颅息 耳后间青络脉中。铜人。灸七壮。禁针。明堂。灸三壮。针一分。不得多出血。
多
角孙 耳廓中间上。发际下。开口有空。手太阳、手足少阳之会。铜人。灸三壮。明堂
。针八分。主目生翳肤。齿龈肿。唇吻强。齿牙不能嚼物。龋齿。头项强。
耳门 耳前起肉。当耳缺者陷中。铜人。针三分。留三呼。灸三壮。下经。禁灸。有病
。灸不过三壮。主耳鸣如蝉声。 耳脓汁出。耳生疮。齿龋。唇吻强。
和 耳前锐发下横动脉。手足少阳、手太阳三脉之会。铜人。针七分。灸三壮。主头
重痛
丝竹空（一名目 ） 眉后陷中。手足少阳脉气所发。素注。针三分。留六呼。铜人。禁
灸。
明。恶风寒。风痫。目戴上。不识人。眼睫倒毛。发狂吐涎沫。发即无时。偏正头疼。
\r胆\pj-j26.bmp\r
胆重三两三铢。长三寸。在肝之短叶间。盛精汁三合。
胆者。中正之官。喜乐出焉。
胆为清净之府。
诸腑皆传秽浊。独胆无所传道。故曰清净。胆汁减。则目昏。又吐伤胆倒。则视物倒植
胆为青肠。
Hand-Shaoyang Sanjiao Meridian
The Hand-Shaoyang meridian originates at the tip of the ring finger. It ascends between the ring and little fingers, follows the dorsal aspect of the wrist, emerges between the radius and ulna of the forearm, and ascends through the elbow.
The end of the arm bones is the wrist joint. The end of the wrist joint is the elbow joint. The Hand-Shaoyang Sanjiao Meridian begins at the Guanchong (TE1) point at the tip of the ring finger. It ascends between the two fingers, passes through the Yemen (TE2) and Zhongzhu (TE3) points, and reaches the Tianjing (TE10) point.
It ascends along the lateral aspect of the upper arm to the shoulder, crosses posterior to the Foot-Shaoyang Gallbladder Meridian, enters the Keyuan (supraclavicular fossa), intersects at the Danzhong (CV17) point, spreads and connects with the Pericardium. It then descends through the diaphragm, successively belonging to the Upper Jiao, Middle Jiao, and Lower Jiao.
The area between the shoulder and elbow is called Nao. From the Tianjing (TE10) point, it ascends along the lateral aspect of the upper arm, passing through the Qinglengyuan (TE11) and Xiaoluo (TE12) points. It runs interior to the Taiyang meridian and exterior to the Yangming meridian, intersecting at the Danzhong (CV17) point. It spreads and loops around the Pericardium, then descends through the diaphragm. At the upper opening of the stomach, it belongs to the Upper Jiao; at the Zhongwan (CV12) point, it belongs to the Middle Jiao; at the Yinjiao (CV7) point, it belongs to the Lower Jiao.
Its branch arises from the Danzhong (CV17) point, ascends out of the Keyuan, goes up to the neck, and ties behind the ear. It goes straight up to emerge above the upper angle of the ear, then curves down to the cheek, reaching the zygomatic region.
The area behind the Naohu (DU16) point is the nape. The area below the eye is the zygomatic bone. Another branch arises from the Danzhong (CV17) point, ascends out of the Keyuan, passes over the Dazhui (GV14) point on its way to the neck, follows the Tianyou (TE15) point, ascends behind the ear, and meets the cheek region near the zygomatic bone.
Yet another branch enters the ear from behind the ear at the Yifeng (TE17) point, passes through the Tinggong (SI19) point, traverses the Ermen (TE21) and Heliao (TE22) points, emerges to the lateral canthus, meets the Tongziliao (GB1) point, follows the Sizhukong (TE23) point, and intersects with the Foot-Shaoyang Gallbladder Meridian.
This meridian has abundant blood but scarce Qi. Qi and Blood enter this meridian during the Hai hour (9 PM - 11 PM). It receives Qi and Blood from the Hand-Jueyin Pericardium Meridian. There are twenty-three acupoints in total, forty-six bilaterally.
Guanchong (TE1): Located at the radial side of the tip of the ring finger, about the width of a leek leaf from the nail corner. It is the Jing-Well point of the Hand-Shaoyang Sanjiao Meridian, associated with Metal. According to *Tongren*, needle 1 cun, retain needle. Main indications: Elbow pain with inability to lift, nebulae in eyes, blurred vision.
Yemen (TE2): Located in the depression between the ring and little fingers when the fist is clenched. It is the Ying-Spring point of the Hand-Shaoyang Sanjiao Meridian, associated with Water. According to *Suwen* and *Tongren*, needle 2 fen. Main indications: Headache, sudden deafness, gingival pain.
Zhongzhu (TE3): Located in the depression proximal to the metacarpophalangeal joint of the ring finger, one cun distal to Yemen. It is the Shu-Stream point of the Hand-Shaoyang Sanjiao Meridian, associated with Wood. Main indications: Headache, deafness, nebulae in eyes, chronic malaria, pharyngeal swelling, elbow and arm pain, inability to flex or extend the five fingers.
Yangchi (TE4) (Alias: Bieyang): Located in the depression on the dorsal wrist crease, directly from the metacarpophalangeal joint to the center of the wrist. It is the Yuan-Source point of the Hand-Shaoyang Sanjiao Meridian. Main indications: Xiao Ke (wasting-thirst syndrome), dry mouth, irritability, chills and fever malarial fevers. Due to wrist sprain, difficulty grasping objects, shoulder and arm pain with inability to lift. Puncture skin, do not rotate hand to avoid damaging the needle.
Waiguan (TE5): Located two cun proximal to the wrist crease, between the two tendons, one cun proximal to Yangchi. It is the Luo-Connecting point of the Hand-Shaoyang Meridian, diverging to the Hand-Jueyin Pericardium Meridian. According to *Tongren*, needle 3 fen, retain for seven breaths. Moxibustion 2 cones. Tonification method.
Zhigou (TE6) (Alias: Feihu): Located three cun proximal to the wrist crease on the lateral aspect of the forearm, in the depression between the radius and ulna. It is the Jing-River point of the Hand-Shaoyang Sanjiao Meridian, associated with Fire. According to *Tongren*, needle 3 fen. Main indications: Axillary pain, inability to raise limbs, cholera with vomiting, lockjaw, sudden aphonia, persistent chest oppression, acute heart pain, Guiji (ghost strike), cold damage with chest binding, sores and scabies, obstruction of pregnancy pulse, postpartum blood syncope with loss of consciousness.
Huizong (TE7): Located three cun proximal to the wrist crease, in the hollow space within the bone. According to *Tongren*, moxibustion 7 cones. According to *Mingtang*, moxibustion 5 cones. Contraindicated for needling. Main indications: Five types of epilepsy, myalgia, deafness.
Sanyangluo (TE8) (Alias: Tongmen): Located on the large crossing vessel of the arm, one cun proximal to Zhigou. According to *Tongren*, moxibustion 7 cones. According to *Mingtang*, moxibustion 5 cones. Contraindicated for needling. Main indications: Sudden aphonia, deafness, somnolence, unwillingness to move limbs.
Sidu (TE9): Located five cun proximal to the elbow, in the depression on the lateral margin. According to *Tongren*, needle 6 fen, retain for seven breaths. Moxibustion 3 cones. Main indications: Sudden qi-closure deafness, lower tooth caries pain.
Tianjing (TE10): Located posterior to the lateral epicondyle of the humerus, one cun proximal to the elbow, in the gap between the two tendons on the accessory bone. Flex the elbow and arch the chest to locate. Zhen Quan stated: One cun posterior to the flexed elbow. According to *Tongren*, retain for seven breaths. Moxibustion 3 cones. According to *Mingtang*, moxibustion 5 cones. Needle 3 fen. Main indications: Chest and heart pain, cough with rebellious Qi, shortness of breath with inability to speak, expectoration of pus, anorexia, aversion to cold and fever with inability to lie down, palpitations, convulsions and epilepsy, sheep epilepsy bi-syndrome, deafness with throat swelling, wind-stroke with sweating, lateral canthus pain, cheek swelling, pain behind the ear and in the upper arm/elbow, difficulty grasping, somnolence, lumbar and hip pain from falls, chills and neck pain, severe wind with silent unawareness of pain, sadness and unhappiness, ascending jiaogqi (foot disease).
Qinglengyuan (TE11): Located two cun proximal to the elbow. Extend the elbow and raise the arm to locate. According to *Tongren*, needle 3 fen, moxibustion 3 cones. Main indications: Shoulder bi-pain, inability to raise the arm, inability to put on clothes.
Xiaoluo (TE12): Located between the lower shoulder and lateral arm, below the oblique division from the axilla to the elbow. According to *Tongren*, needle 1 fen, moxibustion 3 cones. According to *Mingtang*, needle 6 fen. According to *Suwen* annotation, needle 5 fen. Main indications: Wind-bi with stiff and rigid neck, swelling and pain with chills and fever, headache, epilepsy.
Naoshu (TE13) (Alias: Jiao): Located on the anterior border of the shoulder, three cun from the shoulder tip in the depression. Intersection of the Hand-Shaoyang and Yangwei Mai meridians. According to *Suwen* annotation, needle 5 fen, moxibustion 5 cones. Main indications: Shoulder pain, goiter and tumors in the neck.
Jianliao (TE14): Located in the depression on the superior aspect of the acromion. Raise the arm obliquely to locate. According to *Tongren*, needle 7 fen, moxibustion 3 cones. According to *Mingtang*, moxibustion 5 cones. Main indications: Arm pain, heavy shoulder with inability to lift.
Tianliao (TE15): Located in the Keyuan, in the central depression at the junction of the upper clavicle bone. Locate the depression of the Keyuan; there is a void above, and the raised muscle is the point. Intersection of the Hand and Foot Shaoyang and Yangwei Mai meridians. Main indications: Sudden death, chest oppression, shoulder and arm soreness and pain, Keyuan pain, absence of sweat, chest fullness, neck stiffness, chills and fever.
Tianyou (TE16): Located lateral to the large tendon of the neck, above the Keyuan, posterior to Tianrong (SI17), anterior to Tianzhu (BL10), inferior to Wanggu (GB12), and above the hairline. According to *Tongren*, needle 1 cun, retain for seven breaths. Do not tonify. According to *Mingtang*, needle 5 fen, drain upon obtaining Deqi, retain for three breaths after draining, drain for three inhalations. According to *Suwen* annotation and *Xiajing*, moxibustion 3 cones. *Zisheng* states: Moxibustion 1 or 3 cones is suitable. Main indications: Sudden deafness, poor vision, poor hearing, inverted dreams, sallow complexion, head wind with facial swelling, neck stiffness with inability to look back, eye pain.
Yifeng (TE17): Located in the depression at the posterior angle of the ear. Pressing induces pain in the ear. According to *Zhenjing*, place twenty copper coins in the patient's mouth to help locate the point. Main indications: Tinnitus and deafness, facial paralysis, jaw dislocation with cheek swelling, lockjaw, aphonia, stuttering, trismus, frequent yawning in children.
Maichong (TE18) (Alias: Zi Mai): Located in the blue collateral vessels behind the ear resembling a chicken's foot. According to *Tongren*, prick to bleed until the blood resembles bean curd dregs; do not bleed excessively. Needle 1 fen, moxibustion 3 cones. Main indications: Head wind with tinnitus, pediatric convulsive epilepsy, vomiting, uncontrolled diarrhea, fright, turbid discharge and unclear vision.
Luxi (TE19): Located among the blue collateral vessels behind the ear. According to *Tongren*, moxibustion 7 cones. Contraindicated for needling. According to *Mingtang*, moxibustion 3 cones, needle 1 fen, do not bleed excessively. Excessive bleeding causes... (text missing).
Jiaosun (TE20): Located in the middle of the auricle, above the hairline. An opening appears when the mouth is opened. Intersection of the Hand-Taiyang and Hand/Foot Shaoyang meridians. According to *Tongren*, moxibustion 3 cones. According to *Mingtang*, needle 8 fen. Main indications: Nebulae on cornea, gingival swelling, stiff lips and corners of mouth, inability to chew, dental caries, stiff head and neck.
Ermen (TE21): Located in the depression of the raised flesh anterior to the ear, corresponding to the ear meatus. According to *Tongren*, needle 3 fen, retain for three breaths, moxibustion 3 cones. According to *Xiajing*, contraindicated for moxibustion. If diseased, moxibustion should not exceed 3 cones. Main indications: Tinnitus like cicada sounds, otorrhea, ear sores, dental caries, stiff lips.
Heliao (TE22): Located in the transverse artery under the sharp hair anterior to the ear. Intersection of the Hand/Foot Shaoyang and Hand-Taiyang meridians. According to *Tongren*, needle 7 fen, moxibustion 3 cones. Main indications: Heavy head and pain.
Sizhukong (TE23) (Alias: Mu ): Located in the depression posterior to the eyebrow. Emission point of the Hand and Foot Shaoyang meridians. According to *Suwen* annotation, needle 3 fen, retain for six breaths. According to *Tongren*, contraindicated for moxibustion. Main indications: Blurred vision, aversion to wind and cold, wind epilepsy, upward deviation of eyes, agnosia, inverted eyelashes, manic delirium with foaming at the mouth, irregular attacks, lateral and frontal headaches.
Gallbladder
The gallbladder weighs three liang and three zhu, is three cun long, located between the short lobes of the liver, and holds three he of essence juice.
The Gallbladder is the official of justice and decision-making; joy and pleasure arise from it.
The Gallbladder is the organ of purity and clarity.
All other fu organs transmit turbid substances, but the Gallbladder does not transmit anything, hence it is called pure and clear. If bile decreases, vision becomes dim. If vomiting damages the gallbladder causing rebellious Qi, vision becomes inverted.
The Gallbladder is referred to as the Green Intestine.