\r手少阴心经\pj-j17.bmp\r
手少阴之脉。起于心中。出属心系。下膈络小肠。
心系有二。一则上与肺相通而入肺两大叶间。一则由肺叶而下。曲折向后。并脊里细络
相连
心。循任脉之外。属心系。下膈。当脐上二寸之分络小肠。
其支者。从心系上挟咽。系目。
支者。从心系出任脉之外。上行而挟咽系目也。
其直者。复从心系。却上肺。出腋下。
直者。得从心系直上。至肺脏之分。出循腋下。抵极泉也。穴在臂内腋下筋间。动脉入
胸。
下循 内后廉。行太阴、心主之后。下肘内廉。
自极泉下循 内后廉。行太阴、心主两经之后。历青灵穴。下肘内廉。抵少海。
循臂内后廉。抵掌后兑骨之端。入掌内廉。循小指之内。出其端。
腕下踝为兑骨。自少海而下。循臂内后廉。历灵道、通里。至掌后兑骨之端。经阴 、
神门
尊于他脏。故其交经授受。不假支别云。
此经多血少气。午时气血注此。受足太阴之交。凡九穴。左右共一十八穴。
极泉 臂内腋下筋间。动脉入胸。铜人。针三分。灸七壮。主臂肘厥寒。四肢厥。心痛
。干呕烦满。胁痛悲愁。
青灵 肘上三寸。伸肘举臂取之。铜人。灸七壮。明堂。三壮。主目黄。头痛振寒。胁
痛。肩臂不举。不能带衣。
少海（一名曲节） 肘内廉节后。大骨外。去肘端五分。屈肘向头得之。心脉所入为合。
水。
灸。素注。灸五壮。资生云。数说不同。要之非大急不灸。主寒热。齿龋痛。目眩发狂。呕
吐涎沫。项不得回顾。肘挛。腋胁下痛。四肢不得举。脑风头痛。气逆噫哕。瘰 。心疼。
手颤。健忘。
灵道 掌后一寸五分。心脉所行为经。金。铜人。针三分。灸三壮。主心痛。干呕。悲
恐。相引螈 。肘挛。暴喑不能言。
通里 腕后一寸陷中。手少阴心脉之络。别走太阳小肠经。铜人。针三分。灸三壮。明
堂。
目痛。心悸。肘臂 痛。苦呕。喉痹。少气。遗溺。妇人经血过多。崩中。实则支满鬲肿。
泻之。虚则不能言。补之。
阴 掌后脉中。去腕五分。铜人。针三分。灸七壮。主鼻衄。吐血。洒淅畏寒。厥逆
气惊。心痛。
神门（一名锐中 一名中都） 掌后锐骨端陷中。手少阴心脉所注为俞。土。心实泻之。
铜人
痛数噫。恐悸。少气不足。手臂寒。面赤喜笑。掌中热而哕。目黄胁痛。喘逆身热。狂悲笑
。呕血吐血。振寒上气。遗溺。失音。心性痴呆。健忘。心积伏梁。大小人五痫。东垣曰。
胃气下溜。五脏气皆乱。其为病互相出见。气在于心者。取之手少阴之俞神门。大陵同精导
气。以复其本位。灵枢经曰。少阴无俞。心不病乎。其外经病而脏不病。故独取其经。于掌
后锐骨之端。心者五脏六腑之大主。精神之所舍。其脏坚固。邪不能容。容邪则身死。故诸
邪皆在心之包络。包络者。心主之脉也。
少府 小指本节后骨缝陷中。直劳宫。手少阴心脉所溜为荥。火。铜人。针二分。灸七
壮。
久不愈。振寒阴挺出。阴痛阴痒。遗尿。偏坠。小便不利。太息。
少冲（一名经始） 手小指内廉端。去爪甲角如韭叶。手少阴心脉所出为井。木。
心虚补之。
心痛。痰冷。少气。悲恐善惊。太息。烦满。掌中热。胁痛胸中痛。口中热。咽中酸。乍寒
乍热。手挛不伸。引肘腋痛。悲惊。东垣曰。一富者前阴臊臭。求先师（张洁古也）治之。曰
。夫前阴足厥阴之脉络循阴器。出其挺末。凡臭者。心之所主。散入五方为五臭。入肝为臊
。此其一也。当于肝经泻行间。是治其本。后于心经中泻少冲。是治其标。
\r大肠脏之图\pj-j18.bmp\r
小肠重二斤十四两。长三丈二尺。广二寸半。径八分分之少半。左回叠积十六曲。盛谷
二斗
口。小肠下口也。至是而泌别清浊。水液入膀胱。滓秽入大肠。小肠者。受盛之官。化物出
焉。小肠为赤肠。食下则肠实而胃虚。（以此推之。则知糟粕下于大肠。小肠亦虚矣。）
Hand-Shaoyin Heart Meridian
The meridian of the Hand-Shaoyin Heart starts within the heart, emerges to connect with the Xin Xi (Heart System), descends through the diaphragm, and connects with the Small Intestine.
The Heart System has two branches: one ascends to communicate with the Lung and enters between the two lobes of the lung; the other descends from the lung lobe, curves backward, and connects via fine collaterals along the interior of the spine.
The Heart, following the lateral aspect of the Ren Mai (Conception Vessel), belongs to the Heart System, descends through the diaphragm, and connects with the Small Intestine at the level two cun above the umbilicus.
Its branch ascends from the Heart System, flanking the pharynx, and connects with the Eye System (the connection between the eyeball and the brain).
Another branch emerges from the Heart System, runs outside the Ren Mai (Conception Vessel), ascends, flanks the pharynx, and connects with the Eye System.
Its straight branch returns from the Heart System, ascends to the Lung, emerges from the axilla.
The straight branch ascends directly from the Heart System to the location of the Lung, emerges, and follows the axilla to reach Ji Quan (HT1) acupoint. This acupoint is located in the tendon space of the medial arm in the axilla, where the artery enters the chest.
It descends along the posterior medial border of the arm, running posterior to the Hand-Taiyin Lung Meridian and the Hand-Jueyin Pericardium Meridian, descending to the medial border of the elbow.
From Ji Quan (HT1), it descends along the posterior medial border of the arm, running posterior to the Hand-Taiyin Lung Meridian and the Hand-Jueyin Pericardium Meridian, passing through Qing Ling (HT8), descending to the medial border of the elbow, and reaching Shao Hai (HT3).
It follows the posterior medial border of the forearm, reaches the end of the post-carpal pisiform bone (Dui Gu), enters the medial palm, follows the medial side of the little finger, and exits at its tip.
The ankle-like bone below the wrist is called Dui Gu (pisiform bone). From Shao Hai (HT3) downward, along the posterior medial border of the forearm, passing through Ling Dao (HT4), Tong Li (HT5), reaching the end of the post-carpal pisiform bone, passing through Yin Xie (HT6), Shen Men (HT7).
Because the Heart is honored above other Zang organs, its meridian transmission does not require auxiliary branches for relay.
This meridian has abundant blood and scarce Qi. At Wu hour (11:00-13:00), Qi and Blood pour into this meridian. It receives transmission from the Foot-Taiyin Spleen Meridian. There are nine acupoints in total, eighteen on both sides combined.
Ji Quan (HT1) Located in the tendon space of the medial arm in the axilla, where the artery enters the chest. *Tong Ren* records: Needle 3 fen, Moxibustion 7 moxa cones. Main indications: Cold and numbness of the arm and elbow, cold extremities, heart pain, dry heaving, irritability and fullness, hypochondriac pain, sorrow and grief.
Qing Ling (HT8) Located three cun above the elbow; take the point with the arm extended and raised. *Tong Ren* records: Moxibustion 7 moxa cones. *Ming Tang* records: Moxibustion 3 moxa cones. Main indications: Yellow eyes, headache with chills, hypochondriac pain, inability to raise the shoulder and arm, difficulty dressing.
Shao Hai (HT3) (Also known as Qu Jie) Located behind the medial epicondyle of the humerus, on the lateral side of the large bone, 5 fen from the elbow tip; find it by flexing the elbow toward the head. This is where the Heart Qi enters, known as the He-Sea point, corresponding to Water. *Su Wen* notes: Moxibustion 5 moxa cones. *Zi Sheng* states: Opinions vary, but generally, do not use moxibustion unless it is an urgent condition. Main indications: Alternating cold and heat, toothache from caries, vertigo and mania, vomiting of saliva and foam, neck stiffness preventing turning back, elbow contracture, pain in the axilla and hypochondrium, inability to lift limbs, wind-headache of the brain, rebellious Qi with belching and hiccups, scrofula, heart pain, hand tremors, amnesia.
Ling Dao (HT4) Located 1.5 cun proximal to the wrist crease. This is where the Heart Qi flows, known as the Jing-River point, corresponding to Metal. *Tong Ren* records: Needle 3 fen, Moxibustion 3 moxa cones. Main indications: Heart pain, dry heaving, fear and terror,牵引 spasms, elbow contracture, sudden aphasia.
Tong Li (HT5) Located in the depression 1 cun proximal to the wrist. This is the Luo-Connecting point of the Hand-Shaoyin Heart Meridian, diverging to the Hand-Taiyang Small Intestine Meridian. *Tong Ren* records: Needle 3 fen, Moxibustion 3 moxa cones. *Ming Tang* records: Main indications: Eye pain, palpitations, elbow and arm pain, bitter vomiting, throat obstruction, shortness of breath, urinary incontinence, excessive menstrual bleeding in women, metrorrhagia. Excess syndrome presents as chest and hypochondriac fullness and swelling; treat with draining method. Deficiency syndrome presents with inability to speak; treat with tonifying method.
Yin Xie (HT6) Located in the pulse at the posterior wrist, 5 fen proximal to the wrist crease. *Tong Ren* records: Needle 3 fen, Moxibustion 7 moxa cones. Main indications: Epistaxis, hematemesis, aversion to cold with shivering, cold extremities, Qi shock, heart pain.
Shen Men (HT7) (Also known as Rui Zhong, also known as Du Zhong) Located in the depression at the end of the ulnar styloid process (Rui Gu). This is where the Heart Qi pours, known as the Shu-Stream point, corresponding to Earth. Tonify deficiency, drain excess of the Heart. *Tong Ren* records: Main indications: Heart pain, frequent belching, fear and palpitations, shortness of breath, cold arms, red face with laughter, hot palms with hiccups, yellow eyes and hypochondriac pain, wheezing and rebellious Qi with body heat, manic laughter and crying, hematemesis, chills with rebellious Qi, urinary incontinence, loss of voice, mental dullness, amnesia, Fu Liang accumulation in the Heart, epilepsy in adults and children. Li Dongyuan said: When Stomach Qi sinks, the Qi of the Five Zang organs becomes chaotic, and their diseases manifest interchangeably. When Qi resides in the Heart, select the Shu-Stream point Shen Men of the Hand-Shaoyin Heart Meridian, combined with Da Ling (PC7) to guide Qi and restore its original position. *Ling Shu* states: Does the Shaoyin meridian have no Shu points? Does the Heart never get sick? This refers to disease in the exterior meridian without disease in the interior organ, so only the meridian points are selected. Take the point at the end of the ulnar styloid process. The Heart is the great master of the Five Zang and Six Fu organs, the residence of Spirit. Its organ is solid, and pathogens cannot enter; if they enter, death ensues. Therefore, all pathogens attack the Pericardium. The Pericardium is the meridian of the Heart Master.
Shao Fu (HT8) Located in the depression between the bones distal to the base of the little finger, directly opposite Lao Gong (PC8). This is where the Heart Qi flows, known as the Ying-Spring point, corresponding to Fire. *Tong Ren* records: Needle 2 fen, Moxibustion 7 moxa cones. Main indications: Chronic conditions not healing, chills, uterine prolapse, genital pain and itching, urinary incontinence, inguinal hernia, difficult urination, sighing.
Shao Chong (HT9) (Also known as Jing Shi) Located at the medial tip of the little finger, approximately the width of a leek leaf from the corner of the nail. This is where the Heart Qi exits, known as the Jing-Well point, corresponding to Wood. Tonify deficiency of the Heart. Main indications: Heart pain, cold phlegm, shortness of breath, fear and terror with easy fright, sighing, irritability and fullness, hot palms, hypochondriac and chest pain, hot mouth, sour sensation in the throat, alternating cold and heat, hand contracture unable to extend, pain radiating to the elbow and axilla, fear and panic. Li Dongyuan said: A wealthy patient had a foul odor from the anterior yin. He sought treatment from my teacher (Zhang Jiegu). He said: The anterior yin is the pathway of the Foot-Jueyin Liver Meridian, which circulates around the genitals and ends at the tip. All odors are governed by the Heart; when dispersed into the five directions, they become the five odors. Entering the Liver, it becomes fishy/sour. This is one such case. One should drain Xing Jian (LR2) on the Liver Meridian to treat the root cause, and later drain Shao Chong (HT9) on the Heart Meridian to treat the branch symptom.
Diagram of the Large Intestine Organ
The Small Intestine weighs two jin and fourteen liang, is three zhang and two chi long, two and a half cun wide, and eight and one-third fen in diameter. It loops sixteen times to the left. It can hold two dou of grain.
The opening (referring to the lower opening of the Small Intestine, near the pylorus): Here, clear and turbid substances are separated. Fluids enter the Bladder, while dregs enter the Large Intestine. The Small Intestine is the official responsible for reception and transformation, processing food. The Small Intestine is called the Red Intestine. When food enters, the intestine becomes full and the stomach becomes empty. (By inference, since waste moves down to the Large Intestine, the Small Intestine also becomes empty.)