手阳明之脉起于大指次指之端外侧(商阳穴)循指上廉(本节前二间穴本节后三间穴)出合
谷两
骨之间(合谷穴)上入两筋之中(阳溪穴)循臂上廉偏历入肘外廉(曲池穴)上循 外前廉上肩出
骨之前廉(肩 穴)上出柱骨之会上(天鼎穴)下入缺盆络肺下膈属大肠其支者从缺盆上颈贯
颊入下齿中还出挟口交人中(穴名)左之右右之左上挟鼻孔(迎香穴自此交入足阳明)是动则病
齿痛 肿是主津所生病者目黄口干鼽衄喉痹肩前 痛大指次指痛不用气有余则当脉所过者热
肿虚则寒栗不复盛者人迎大三倍于寸口虚者人迎反小于寸口也(灵枢)○卯时自少商穴起至迎
香穴止(入门)
商阳二穴一名绝阳在手大指次指外侧去爪甲角如韭叶手阳明脉之所出也为井针入一分留
一呼可灸三壮(铜人)
二间二穴一名间谷在手大指次指本节前内侧陷中手阳明脉之所流为荣针入三分留三呼可
灸三壮(铜人)
三间二穴一名少谷在手大指次指本节后内侧陷中手阳明脉之所注为 针入三分留三呼可
灸三
壮(铜人)
合谷二穴一名虎口在手大指次指岐骨间陷中(铜人)○在手大指次指两骨罅间宛宛中
动脉应手(资生)○手阳明脉之所过为原针入三分留六呼可灸三壮○妊妇不可刺损胎气(铜人)
阳溪二穴一名中魁在手腕中上侧两筋间陷者中手阳明脉之所行为经针入二分留七呼可灸
三壮(铜人)
偏历二穴在腕中后三寸手阳明络别走太阴针入三分留七呼可灸三壮(铜人)
温留二穴一名通注一名池头在腕后小士五寸大士六寸(铜人)○在腕后五寸六寸间(资生)
○手阳明 针入三分可灸三壮(铜人)○大士小士即大人小儿也(纲目)
下廉二穴在辅骨下去上廉一寸(铜人)○在曲池前五寸兑肉分外斜(入门)○针入五分留五
呼可灸三壮(铜人)
上廉二穴在三里下一寸(铜人)○在曲池前四寸(入门)○其分独抵阳明之会外斜(纲目)○
针入五分可灸五壮(铜人)
三里二穴在曲池下二寸(铜人)○按之肉起锐肉之端(纲目)○针入二分可灸三壮(铜人)
曲池二穴在肘外辅骨屈肘曲骨之中(铜人)○在肘外辅屈肘两骨中文头尽处以手拱胸取之
(入门)○手阳明脉之所入为合针入五分留七呼可灸三壮(灵枢)
肘 二穴在肘大骨外廉近大筋陷中可灸三壮针入三分(铜人)
五里二穴在肘上三寸行向里大脉中央可灸十壮禁不可针(铜人)○内经曰大禁二十五在天
府下
五寸注云五里穴也大禁者禁不可刺也○迎之五里中道而止五至而已五往而藏之气尽矣故五五
二十五而竭其输也此所谓夺其天气也故曰 门而刺之者死于家中入门而刺之者死于堂上传之
后世以为刺禁(灵枢)
臂 二穴在肘上七寸 肉端平手取之手阳明络针入三分可灸三壮(铜人)○在肩 一夫两
筋两骨罅陷宛中平手取之不得拿手令急其穴即闭宜灸不宜刺(资生)
肩 二穴一名中肩井一名扁骨在肩端两骨间陷者宛宛中举臂取之(铜人)○在膊骨头肩端
两骨
间(资生)○针入六分留六呼刺则泄肩臂热气可灸七壮至二七壮若灸偏风不遂至七七壮止○唐
库狄钦患风痹手不得伸甄权针此穴立愈(铜人)
巨骨二穴在肩端上行两叉骨罅间陷中针入一寸半可灸五壮(铜人)
天鼎二穴在侧颈缺盆直扶突后一寸(铜人)○在头缺盆气舍后一寸五分(纲目)○针入三分
可灸三壮(铜人)
迎香二穴一名冲阳在禾 上一寸鼻孔旁五分针入三分留三呼禁不可灸(铜人)
扶突二穴一名木穴在人迎后一寸五分(铜人)○在气舍后一寸五分(纲目)○在曲颊下一寸
仰而取之(入门)○针入三分可灸三壮(铜人)
禾 二穴一名长频直鼻孔下挟水沟旁五分针入二分禁不可灸(铜人)
The Hand-Yangming Large Intestine Meridian originates at the radial tip of the index finger (Shangyang LI-1), follows the radial border of the finger, passes through Erjian LI-2 (anterior to the metacarpophalangeal joint) and Sanjian LI-3 (posterior to the metacarpophalangeal joint), emerges between the two bones at Hegu LI-4, ascends into the space between the two tendons at Yangxi LI-5, follows the radial border of the forearm through Pianli LI-6, enters the lateral aspect of the elbow at Quchi LI-11, continues up the anterior lateral border of the upper arm to the shoulder, emerges anterior to the acromion process at Jianyu LI-15, ascends above the intersection of the cervical vertebrae (Dazhui GV-14) at Tianding LI-17, descends into the supraclavicular fossa, connects with the Lung, pierces the diaphragm, and belongs to the Large Intestine. A branch arises from the supraclavicular fossa, ascends to the neck, penetrates the cheek, enters the lower gum, re-emerges crossing the lips at the Renzhong point (DU-26), where the left meridian crosses to the right and the right to the left, ascending to flank both sides of the nostrils at Yingxiang LI-20, where it connects with the Foot-Yangming Stomach Meridian.
When this meridian is affected, symptoms include toothache and facial swelling. This meridian primarily governs diseases related to Jin Ye (Body Fluids), such as yellowing of the eyes, dry mouth, nasal congestion or epistaxis, throat obstruction, pain in the anterior shoulder, and pain or dysfunction of the index and thumb. If Qi is in excess, there will be heat and swelling along the course of the meridian; if Qi is deficient, there will be chills that are difficult to recover from. In excess patterns, the Renying pulse (Carotid artery) beats three times stronger than the Cunkou pulse (Radial artery); in deficiency patterns, the Renying pulse beats weaker than the Cunkou pulse. (From *Ling Shu*) ○ The Qi flows from Shaoshang LU-1 to Yingxiang LI-20 during the Mao hour (5:00–7:00 AM). (From *Ru Men*)
Shangyang LI-1: Two points, also known as Jueyang. Located on the radial side of the index finger, approximately the width of a leek leaf from the corner of the nail. It is the Jing-Well point of the Hand-Yangming Large Intestine Meridian. Needle depth 1 fen, retain for one breath, moxibustion 3 Zhu. (From *Tong Ren*)
Erjian LI-2: Two points, also known as Jianggu. Located in the depression on the medial side anterior to the metacarpophalangeal joint of the index finger. It is the Ying-Spring point of the Hand-Yangming Large Intestine Meridian. Needle depth 3 fen, retain for three breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Sanjian LI-3: Two points, also known as Shaogu. Located in the depression on the medial side posterior to the metacarpophalangeal joint of the index finger. It is the Shu-Stream point of the Hand-Yangming Large Intestine Meridian. Needle depth 3 fen, retain for three breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Hegu LI-4: Two points, also known as Hukou. Located in the depression between the metacarpal bones of the thumb and index finger. (From *Tong Ren*) ○ Located in the gap between the two bones of the thumb and index finger, where the pulse is palpable. (From *Zi Sheng*) ○ It is the Yuan-Source point of the Hand-Yangming Large Intestine Meridian. Needle depth 3 fen, retain for six breaths, moxibustion 3 Zhu. ○ Contraindicated in pregnant women as it may damage fetal Qi. (From *Tong Ren*)
Yangxi LI-5: Two points, also known as Zhongkui. Located in the depression between the two tendons on the radial side of the wrist crease. It is the Jing-River point of the Hand-Yangming Large Intestine Meridian. Needle depth 2 fen, retain for seven breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Pianli LI-6: Two points. Located 3 cun distal to the wrist crease. It is the Luo-Connecting point of the Hand-Yangming, diverging to the Hand-Taiyin Lung Meridian. Needle depth 3 fen, retain for seven breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Wenliu LI-7: Two points, also known as Tongzhu or Chitou. Located 5 cun (in children) or 6 cun (in adults) proximal to the wrist crease. (From *Tong Ren*) ○ Located between 5 and 6 cun proximal to the wrist crease. (From *Zi Sheng*) ○ It is the Xi-Cleft point of the Hand-Yangming. Needle depth 3 fen, moxibustion 3 Zhu. (From *Tong Ren*) ○ "Adult" and "Child" refer to grown-ups and children respectively. (From *Gang Mu*)
Xialian LI-8: Two points. Located 1 cun distal to Shanglian LI-9 on the radius. (From *Tong Ren*) ○ Located 5 cun anterior to Quchi LI-11, obliquely in the lateral muscle belly. (From *Ru Men*) ○ Needle depth 5 fen, retain for five breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Shanglian LI-9: Two points. Located 1 cun distal to Sanli LI-10. (From *Tong Ren*) ○ Located 4 cun anterior to Quchi LI-11. (From *Ru Men*) ○ Its muscle belly converges with the Yangming Meridian and slants outward. (From *Gang Mu*) ○ Needle depth 5 fen, moxibustion 5 Zhu. (From *Tong Ren*)
Sanli LI-10: Two points. Located 2 cun distal to Quchi LI-11. (From *Tong Ren*) ○ Pressing here causes the muscle to rise at the sharp end. (From *Gang Mu*) ○ Needle depth 2 fen, moxibustion 3 Zhu. (From *Tong Ren*)
Quchi LI-11: Two points. Located in the depression at the lateral end of the elbow when flexed. (From *Tong Ren*) ○ Located at the lateral end of the humerus, at the end of the bone when flexed; take the point with arms crossed over the chest. (From *Ru Men*) ○ It is the He-Sea point of the Hand-Yangming Large Intestine Meridian. Needle depth 5 fen, retain for seven breaths, moxibustion 3 Zhu. (From *Ling Shu*)
Zhoule LI-12: Two points. Located in the depression near the large tendon on the lateral aspect of the greater bone of the elbow. Moxibustion 3 Zhu, needle depth 3 fen. (From *Tong Ren*)
Wuli LI-13: Two points. Located 3 cun proximal to the elbow, in the center of the deep vessel running inward. Moxibustion 10 Zhu, needling is contraindicated. (From *Tong Ren*) ○ The *Nei Jing* lists it among the 25 Great Prohibitions, located 5 cun below Tianfu LU-3. Note: Wuli LI-13 is the point referred to. "Great Prohibition" means strictly forbidden to needle. ○ Striking Wuli LI-13 should stop midway; only five times. Five repetitions exhaust the Qi of the Zang organs. Thus, twenty-five punctures exhaust the Shu points, which is called depriving the Heavenly Qi. Therefore, it is said: "He who is pierced outside the gate dies in the house; he who is pierced inside the gate dies in the hall." This has been passed down as a prohibition against needling. (From *Ling Shu*)
Binao LI-14: Two points. Located 7 cun proximal to the elbow, level with the end of the biceps muscle, taking the point with the arm extended horizontally. It is the Luo-Connecting point of the Hand-Yangming. Needle depth 3 fen, moxibustion 3 Zhu. (From *Tong Ren*) ○ Located one Cun below Jianyu LI-15, in the depression between two tendons and two bones, taking the point with the arm extended horizontally. Do not clench the hand tightly, or the point will close; moxibustion is preferred over needling. (From *Zi Sheng*)
Jianyu LI-15: Two points, also known as Zhongjianjing or Biangu. Located in the depression between the two bones at the shoulder tip, taking the point with the arm raised. (From *Tong Ren*) ○ Located between the head of the humerus and the acromion. (From *Zi Sheng*) ○ Needle depth 6 fen, retain for six breaths. Needling drains heat and qi from the shoulder and arm. Moxibustion 7 to 14 Zhu. For hemiplegia due to wind, moxibustion up to 49 Zhu. ○ In the Tang Dynasty, Kudi Qin suffered from wind-bi with inability to extend his hand; Zhen Quan needled this point and he recovered immediately. (From *Tong Ren*)
Jugu LI-16: Two points. Located in the depression between the bifurcating bones ascending from the shoulder tip. Needle depth 1.5 cun, moxibustion 5 Zhu. (From *Tong Ren*)
Tianding LI-17: Two points. Located on the lateral neck, directly above the supraclavicular fossa, 1 cun posterior to Futu LI-18. (From *Tong Ren*) ○ Located 1.5 cun posterior to the head, supraclavicular fossa, and Qishe ST-10. (From *Gang Mu*) ○ Needle depth 3 fen, moxibustion 3 Zhu. (From *Tong Ren*)
Yingxiang LI-20: Two points, also known as Chongyang. Located 1 cun above Heliao LI-19, 0.5 cun lateral to the nostril. Needle depth 3 fen, retain for three breaths, moxibustion is contraindicated. (From *Tong Ren*)
Futu LI-18: Two points, also known as Muxue. Located 1.5 cun posterior to Renying ST-9. (From *Tong Ren*) ○ Located 1.5 cun posterior to Qishe ST-10. (From *Gang Mu*) ○ Located 1 cun below the angle of the jaw, taking the point with the head tilted back. (From *Ru Men*) ○ Needle depth 3 fen, moxibustion 3 Zhu. (From *Tong Ren*)
Heliao LI-19: Two points, also known as Changpin. Directly below the nostril, 0.5 cun lateral to Shuigou DU-26. Needle depth 2 fen, moxibustion is contraindicated. (From *Tong Ren*)