足阳明之脉起于鼻之交 中旁约太阳之脉下循鼻外(迎香穴)入上齿中还出挟口环唇下交
承浆
(穴名)却循颐后下廉出大迎(穴名)循颊车(穴名)上耳前过客主人(穴名)循发际至额颅其肢者
从大迎前下人迎(穴名)循喉咙入缺盆下膈属胃络脾其直者从缺盆下乳内廉下挟脐入气冲中(
穴名)其支者起胃下口循复里下至气冲中而合以下髀关(穴名)抵伏兔(穴名)下入膝膑中(腿下
胫上接处曰膝膑谓膝之盖骨也)下循 外廉(即上廉下解溪穴也)廉下足跗(月面日跌冲阳穴也
)
入中指内间(陷谷穴)其肢者下膝三寸而别下入中指外间(内庭穴)其肢者别跗上入大指间出其
端
(厉兑穴也自止交入足太阴)是动则病凄凄然振寒善伸数欠颜黑(颜即额也)病至则恶人与火闻
木音则惕然而惊心动欲独闭户牖而处甚则欲上高而歌弃衣而走贲响腹胀是谓 厥( 即胫之
别名)是主血所生病者狂疟温淫汗出鼽衄口 唇疹颈肿喉痹大腹水肿膝膑肿痛循膺乳街股伏
兔外廉足跗上皆痛中指不用气盛则身以前皆热其有余于胃则消谷善饥尿色黄气不足则
身
以前皆寒胃中寒则胀满盛者人迎大三倍于寸口虚者人迎反小于寸口也(灵枢)○辰时自迎香穴
交于承泣穴上行至头维对人迎循胸腹下至足指厉兑穴上(入门)○阳明根于厉兑结于颡大颡大
者钳耳也(灵枢)
The Foot-Yangming Stomach Meridian originates at the sides of the nose, intersecting with the Hand-Taiyang Small Intestine Meridian. It descends along the lateral aspect of the nose (passing through Yingxiang LI20), enters the upper gum, then emerges, flanking the mouth and encircling the lips. At the lower part, it intersects with the Ren Mai at Chengjiang CV24. From there, it follows the posterior aspect of the mandible, exits at Daying ST5, ascends along Jiache ST6 to the anterior aspect of the ear, passes through Guanchong GB41 (Ke Zhuren), follows the hairline to the frontal skull.
A branch descends from the anterior aspect of Daying ST5 to Renying ST9, follows the throat, enters the Supraclavicular Fossa (Quepen), descends through the diaphragm, belongs to the Stomach, and connects with the Spleen.
The main trunk descends from the Supraclavicular Fossa, runs along the medial aspect of the breast, descends alongside the umbilicus, and enters the region of Qichong ST30. Another branch originates from the lower orifice of the Stomach, travels internally, descends to Qichong ST30 where it joins the main trunk, then proceeds downward through Biguan ST31, reaches Futu ST32, and descends into the knee patella region (the junction of the upper tibia and lower femur is called the knee patella, referring to the kneecap). It then descends along the anterolateral aspect of the leg (where Shanglian and Xiajie points are located), moves down to the dorsum of the foot (the dorsal surface is called Fu, where Chongyang ST42 is located), and enters the medial space between the middle toes (Xangu ST43).
A branch diverges three cun below the knee, descending to enter the lateral space between the middle toes (Neiting ST44). Another branch diverges from the dorsum of the foot, entering the space between the great toe and emerging at its tip (Lidui ST45), thereby transferring to the Foot-Taiyin Spleen Meridian.
When this meridian is affected by pathological changes, symptoms include feeling chilly and shivering, a desire to stretch, frequent yawning, and a dark complexion (forehead). In severe cases, the patient may fear people and fire, startle at the sound of wood being struck, feel their heart palpitate, and wish to stay alone behind closed doors and windows. They may even want to climb high places to sing, discard clothes, and run around. There may be rushing noises in the abdomen and distension; this is referred to as "Jue" (here referring to a specific condition related to the shin or meridian reversal).
This meridian primarily governs diseases arising from blood, including mania, malaria, sweating due to warm pathogens, nasal congestion or epistaxis, sores on the lips, neck swelling, pharyngeal obstruction (Hou Bi), edema of the large abdomen, pain and swelling of the knee patella, and pain along the chest, breast, groin, Futu, anterolateral leg, and dorsum of the foot, with dysfunction of the middle toe.
If Qi is excessive, the anterior aspect of the body will be hot; if Stomach Qi is surplus, digestion is rapid with easy hunger, and urine is yellow. If Qi is deficient, the anterior aspect of the body will be cold; if there is cold in the Stomach, distension occurs. In excess patterns, the Renying pulse is three times larger than the Cunkou pulse; in deficiency patterns, the Renying pulse is smaller than the Cunkou pulse (from *Ling Shu*).
○ During the Chen hour (7:00-9:00 AM), Qi flows from Yingxiang LI20 to Chengqi ST1, ascends to Touwei ST8, passes through Renying ST9, circulates through the chest and abdomen, and descends to Lidui ST45 at the tip of the toe (from *Ru Men*).
○ The root of the Yangming Meridian is at Lidui ST45, and it knots at Sangda (Great Palate, described as clamping the ears) (from *Ling Shu*).