手少阴之脉起于心中出属心系下膈络小肠其肢者从心系上挟咽喉系目其直者复从心系却
上肺
下出腋下下循 内后廉行太阴心主之后下肘内(少海穴)海循臂内后廉(灵道穴)抵掌后锐骨之端
(神门穴)入掌内后廉(少府穴)循小指之内出其端(少冲穴自此交入手太阳)是动则病嗌干心痛
渴而欲饮是谓臂厥是主心所生病者目黄胁痛 臂内后廉痛厥掌中热盛者寸口大再倍于人迎虚
者寸口反小于人迎也(灵枢)○午时自太包交与极泉循臂行至小指少冲穴止(入门)
少冲二穴一名经始在手小指端内侧去爪甲角如韭叶手少阴脉之所出为井针入一分可灸二
壮(铜人)
少府二穴在手小指本节后陷中直劳宫手少阴脉之所流为荣针入二分可灸五壮(铜人)
神门二穴一名锐冲一名中都在掌后锐骨之端动脉陷中手少阴脉之所注为 针入三分留七
呼可
灸七壮(铜人)○内经言心脏坚固邪不能容故手少阴独无输其外经病而脏不病者独取其经于掌
后锐骨之端神门穴是也(纲目)
阴 二穴在掌后脉中去腕五分(铜人)○在掌后五分动脉中手少阴 针入三分可灸七壮(
入门)
通里二穴在腕后一寸手少阴络别走太阳针入三分可灸三壮(铜人)
灵通二穴在掌后一寸五分手少阴脉之所行为经针入三分可灸三壮(铜人)
少海二穴一名曲折在肘内廉节后陷中(铜人)○在肘内大骨外去肘端五分(纲目)○在肘内
廉节
后陷中动脉应手屈肘得之(资生)○肘内廉横纹头尽处陷中曲手向头取之(入门)○手少阴脉之
所入为合针入三分可灸三壮(铜人)
青灵二穴在肘上三寸伸肘举臂取之可灸七壮禁不可针(铜人)
极泉二穴在臂内腋下筋间动脉入胸处针入三分可灸七壮(铜人)
The Heart Meridian of Hand-Shaoyin originates within the heart, emerges to connect with the heart system (tissues connecting the heart), descends through the diaphragm, and links with the small intestine. Its branch ascends from the heart system, flanking the pharynx, and connects with the eye system (the meridians connecting the eyeballs to the brain). The main trunk, returning from the heart system, ascends into the lung, then emerges below the axilla, follows the posterior aspect of the medial side of the upper arm, running behind the Lung Meridian of Hand-Taiyin and Pericardium Meridian of Hand-Jueyin, descends to the inner elbow (where Shaohai [Ch8] is located), continues along the posterior aspect of the medial forearm (where Lingdao [HT4] is located), reaches the end of the ulnar styloid process at the wrist (where Shenmen [HT7] is located), enters the posterior aspect of the palm (where Shaofu [HT8] is located), follows the medial side of the little finger to its tip (where Shaochong [HT9] is located; here the qi and blood transfer to the Small Intestine Meridian of Hand-Taiyang).
When this meridian is affected, symptoms include dryness of the throat, heart pain, thirst with desire to drink, a condition known as "Arm Jue" (Arm Reversal). This meridian governs diseases generated by the Heart, such as yellowing of the eyes, hypochondriac pain, pain in the posterior medial aspect of the arm, coldness/numbness of the arm, and heat in the palm. If the Cun Kou pulse is twice as large as the Ren Ying pulse, it indicates excess; if the Cun Kou pulse is smaller than the Ren Ying pulse, it indicates deficiency. (From *Ling Shu*) ○ At Wu hour (11:00–13:00), qi and blood transfer from the Dabao point to Ji Quan [HT1], travel along the arm, and stop at Shaochong [HT9] at the tip of the little finger. (From *Ru Men*)
Shaochong [HT9]: Two points, also named Jing Shi, located on the radial (medial) corner of the nail of the little finger, approximately the width of a leek leaf. It is the Jing-Well point of the Heart Meridian of Hand-Shaoyin, where the meridian qi exits. Needle depth: 1 fen; Moxibustion: 2 cones. (From *Tong Ren*)
Shaofu [HT8]: Two points, located in the depression distal to the metacarpophalangeal joint of the little finger, directly opposite Laogong [PC8]. It is the Ying-Spring point of the Heart Meridian of Hand-Shaoyin, where the meridian qi flows. Needle depth: 2 fen; Moxibustion: 5 cones. (From *Tong Ren*)
Shenmen [HT7]: Two points, also named Rui Chong or Zhong Du, located in the depression of the pulsating artery at the end of the ulnar styloid process at the wrist. It is the Shu-Stream point of the Heart Meridian of Hand-Shaoyin, where the meridian qi pours in. Needle depth: 3 fen; retain for seven breaths; Moxibustion: 7 cones. (From *Tong Ren*) ○ *Nei Jing* states that the heart is solid, so pathogenic factors cannot easily invade it; therefore, the Heart Meridian of Hand-Shaoyin alone lacks an Yuan-Source point. For external meridian disorders without internal organ involvement, one should only select the Shu-Stream point at the end of the ulnar styloid process, which is Shenmen [HT7]. (From *Gang Mu*)
Yin Xi [HT6]: Two points, located in the pulsating artery 1.5 cun proximal to the transverse crease of the wrist. (From *Tong Ren*) ○ Located in the pulsating artery 0.5 cun proximal to the wrist crease, it is the Xi-Cleft point of the Heart Meridian of Hand-Shaoyin. Needle depth: 3 fen; Moxibustion: 7 cones. (From *Ru Men*)
Tong Li [HT5]: Two points, located 1 cun proximal to the wrist crease. It is the Luo-Connecting point of the Heart Meridian of Hand-Shaoyin, diverging to connect with the Small Intestine Meridian of Hand-Taiyang. Needle depth: 3 fen; Moxibustion: 3 cones. (From *Tong Ren*)
Ling Dao [HT4]: Two points, located 1.5 cun proximal to the wrist crease. It is the Jing-River point of the Heart Meridian of Hand-Shaoyin, where the meridian qi travels. Needle depth: 3 fen; Moxibustion: 3 cones. (From *Tong Ren*)
Shao Hai [Ch8]: Two points, also named Qu Zhe, located in the depression posterior to the medial epicondyle of the humerus. (From *Tong Ren*) ○ Located 0.5 cun lateral to the tip of the medial epicondyle. (From *Gang Mu*) ○ Located in the depression posterior to the medial elbow joint, where the arterial pulse is palpable; flex the elbow to locate. (From *Zi Sheng*) ○ Located in the depression at the end of the transverse cubital crease on the medial side; flex the elbow towards the head to locate. (From *Ru Men*) ○ It is the He-Sea point of the Heart Meridian of Hand-Shaoyin, where the meridian qi enters. Needle depth: 3 fen; Moxibustion: 3 cones. (From *Tong Ren*)
Qing Ling [HT3]: Two points, located 3 cun superior to the elbow crease; locate with the arm extended and raised. Moxibustion: 7 cones; needling is prohibited. (From *Tong Ren*)
Ji Quan [HT1]: Two points, located between the tendons in the axilla, deep in the pulsating artery entering the chest. Needle depth: 3 fen; Moxibustion: 7 cones. (From *Tong Ren*)