小肠穴。十九中。路从少泽。步前谷后溪之隆。道遵腕骨。观阳谷养老之崇。得支正于小海。
逐肩贞以相从。值 俞兮遇天宗。乘秉风兮曲垣中。肩外俞兮肩中俞。启天窗兮见天容。匪由颧 。
曷造听宫。
小指端外为少泽。前谷外侧节前觅。节后捏拳取后溪。腕骨腕前骨陷侧。兑骨下陷阳谷讨。腕
上一寸名养老。支正腕后量五寸。小海肘端五分好。肩贞胛下两骨解。（曲胛下两骨解间肩 后陷中）
俞大骨下陷保。（大骨下胛上廉举臂取之）天宗秉风后骨中。秉风 外举有空。（天 外肩上小
后举臂有空）曲垣肩中曲胛陷。外俞胛后一寸从。（即外肩俞肩胛上廉去脊三寸陷中）肩中二寸大
杼旁。天窗扶突后陷详。（颈大筋间前曲颊下扶突后动脉应手陷中）天容耳下曲颊后。颧 面
锐端量。听宫耳端大如菽。（耳中珠子大如赤小豆）
此为小肠手太阳。（左右共三十八穴）
膀胱足太阳之脉。起于目内 。上额交巅。其支者。从巅至耳上角。其直者。从巅直络脑。还
出别下项。循肩膊内。挟脊抵腰中。入循膂。络肾属膀胱。其支者。从腰中下挟脊贯臀。入 中。
其支者。从膊内左右。别下贯胛。挟脊内过髀枢。循髀外。从后廉下合 中。以下贯 内。出外踝
之后。循京骨。至小趾外侧。是动则病冲头痛。目似锐。项如拔。脊痛。腰似折。髀不可以曲。
如结。 如裂。是为踝厥。是主筋所生病者。痔疟狂痫疾。头囟项痛。目黄泪出。鼽衄。项背
腰尻 脚皆痛。小趾不用。为此诸病。盛则泻之。虚则补之。热则疾之。寒则留之。陷下则灸
之。不盛不虚。以经取之。盛者人迎大再倍于寸口。虚者人迎反小于寸口也。（臀音屯 音国 同）
目大角为内 。发际前为额。头顶上为巅。脑后为项。肩后之下为肩膊。椎骨为脊。尻上横
骨为腰。挟脊为膂。挟腰 骨两旁为机。机后为臀。臀、尻也。腓肠上膝后曲处为 。膂内为胛。
即挟脊肉也。股外为髀。捷骨之下为髀枢。腓肠为 。足太阳膀胱之脉。起于目内 睛明穴。受手
太阳之交也。上额循攒竹。过神庭。历曲差五处承光通天。自通天斜行左右。交于顶上之百会。其
支行者。从巅至百会。抵耳上角。过率谷浮白窍阴穴。所以散养于筋脉也。其直行者。由通天络
玉枕入络脑。复出下项。以抵天柱。又由天柱而下。过大椎陶道。却循肩膊内。挟脊两旁。相去
各一寸半。下行历大杼。风门。肺俞。厥阴俞。心俞。膈俞。肝俞。胆俞。脾俞。胃俞。三焦俞。
肾俞。大肠俞。小肠俞。膀胱俞。中膂内俞。白环俞。由是抵腰中。入循膂。络肾下属膀胱。其支
别者。从腰中循腰 。下挟脊。历上 。中 。次 。下 。会阳。下贯臀。至承扶。殷门。浮 。
委阳。入 中之委中穴。其支
别者。为挟脊两旁第三行。相去各三寸之诸穴。自天柱而下。从膊内左右。别行下贯胛膂。历附分。
魄户。膏肓。神堂。 膈关。魂门。扬纲。意舍。胃仓。肓门。志室。胞肓。秩边。下历尻臀。
过髀枢。又循髀枢之里。承扶之外。一寸五分之间。而下与前之入 中者相合。下行循合阳。下贯
内。历承筋。承山。飞扬。附阳。出外踝后之昆仑。仆参。申脉。金门。循京骨。束骨。通谷。
至小趾外侧之至阴穴。以交于足少阴肾经也。太阳是动。则病冲头痛。目似锐。项似拔。腰似折。
如结。曰。似曰如者。病在太阳之气。而有似乎形证也。太阳之气。生于膀胱水中。而为诸阳
主气。阳气者。柔则养筋。故是主筋所生之病则为痔。经云筋脉横解。肠 为痔。盖太阳所主之
筋。膀胱所生之脉。横逆而为痔也。经络沉以内薄则为疟。厥逆于下则为癫为狂。囟项鼽目腰背
诸证。皆经脉所循之部分而为病也。尚御公曰。伤寒论云。太阳之为病。脉浮。头项强痛而恶寒。
又曰。太阳病头痛。至七日以上自愈者。以行其经尽故也。夫伤寒六经相传。七日来复于太阳。只
病三阴三阳之六气。而不涉于有形。然头项强痛。又有似乎经证。盖气舍于形。未有病气而不见
于形证者也。
The acupoints of the Small Intestine channel number nineteen. Its pathway begins at Shaose (Small Intestine 1), proceeding through the prominences of Qiangu (Small Intestine 2) and Houxi (Small Intestine 3). The route follows Wangu (Small Intestine 4), observing the elevations of Yanggu (Small Intestine 5) and Yanglao (Small Intestine 6). It connects with Zhizheng (Small Intestine 7) at Xiaohai (Small Intestine 8), then follows Jianzhen (Small Intestine 9). Encountering Shu (likely referring to a point or area near Shu, possibly a textual variant for Shu or related to Tiantong/Shenmai context but here listed as points), it meets Tianzong (Small Intestion 11), riding Bingfeng (Small Intestine 12) into Qu Yuan (Small Intestine 13). Jianwai Shu (Small Intestine 14) and Jianzhong Shu (Small Intestine 15) connect; opening Tianchuang (Small Intestine 16) reveals Tianrong (Small Intestine 17). Without passing the cheekbone (Quan Gu), how could one reach Tinggong (Small Intestine 19)?
Shaose is at the outer end of the little finger. Qiangu is sought on the lateral side of the anterior valley, before the joint. Houxi is taken by making a fist at the post-joint position. Wangu is in the depression on the side of the bone anterior to the wrist. Yanggu is found in the depression below the radial styloid process (Dui Gu). Yanglao is named at one cun above the wrist. Zhizheng is measured five cun posterior to the wrist. Xiaohai is best located five fen from the elbow end. Jianzhen is between the two bones below the scapula (in the depression behind the shoulder when the arm is flexed). Shu is preserved in the depression below the large bone (take when the arm is raised, below the large bone and upper margin of the scapula). Tianzong is in the bone posterior to Bingfeng. Bingfeng has an empty space laterally when the arm is raised (anterior to Tianzong, on the shoulder, posterior-superiorly, with space upon raising the arm). Qu Yuan is in the depression of the curved scapula in the middle of the shoulder. Waishu follows one cun posterior to the scapula (i.e., Waishanjian Shu, in the depression one cun posterior to the scapular spine, three cun from the spine at the upper margin of the scapula). Jianzhong is two cun from Dazhu, beside it. Tianchuang is detailed in the depression posterior to Futu (in the depression where the pulse is felt, posterior to Futu, under the jaw, between the anterior oblique muscle of the neck). Tianrong is posterior to the curved jaw below the ear. Quan Gu is measured at the sharp end of the facial cheekbone. Tinggong is at the end of the ear, the size of a chickpea (a bead in the ear like a red mung bean).
These are the acupoints of the Hand-Taiyang Small Intestine Channel (thirty-eight points in total, left and right).
The Foot-Taiyang Bladder Meridian originates from the inner canthus (Jingming), ascends to the forehead, and intersects at the vertex. Its branch goes from the vertex to the supraorbital region. The straight course runs from the vertex directly to the brain, emerges again, descends separately to the nape, follows the medial aspect of the shoulder blades, flanks the spine, reaches the loins, enters to connect with the Kidney, and belongs to the Bladder. Another branch descends from the loins, flanking the spine through the buttocks, entering the popliteal fossa. A third branch separates from the medial aspect of the shoulders, descending bilaterally through the scapulae, flanking the spine internally, passing the hip pivot, following the lateral aspect of the thigh, descending along the posterior margin to converge in the popliteal fossa. From there, it descends through the calf, emerges posterior to the lateral malleolus, follows Jinggu, and reaches the lateral side of the fifth toe. If this meridian is disturbed, it causes headache rushing upward, eyes feeling as if pierced, the neck feeling as if pulled, spinal pain, waist feeling as if broken, inability to flex the thigh, knees feeling bound, calves feeling torn, known as Anjue (Ankle Jue). This meridian primarily governs diseases generated by the sinews, such as hemorrhoids, malaria, mania, and epilepsy; pain in the vertex, nape, and neck; yellow eyes with tearing; nasal congestion or epistaxis; pain in the nape, back, loin, sacrum, and feet; and dysfunction of the fifth toe. For these conditions, excess is drained, deficiency is tonified, heat is treated with rapid needling, cold with retained needling, sinking with moxibustion, and neither excess nor deficiency is treated by selecting points from the meridian itself. In excess, the Renying pulse is more than double that of the Cunkou; in deficiency, the Renying pulse is smaller than the Cunkou. (Tun refers to buttocks; Guo refers to popliteal fossa.)
The inner canthus is the large angle of the eye; the forehead is anterior to the hairline; the vertex is the top of the head; the nape is posterior to the head; the shoulder blade area is inferior to the posterior shoulder; the vertebral column is the spine; the lumbar region is the transverse bone above the sacrum; the muscles flanking the spine are Lǚ; the sides of the waist are Ji; posterior to Ji is the buttock (Kao); the gastrocnemius is above the knee bend; the muscles inside the spine are Jia (scapular muscles); the lateral thigh is Bi; below the acetabulum is the hip pivot (Bishu); the calf is Shuan. The Foot-Taiyang Bladder Meridian originates at Jingming in the inner canthus, receiving the intersection of the Hand-Taiyang. It ascends the forehead along Zanzhu, passes Shenting, Qucha, Wuchu, Chengguang, and Tongtian. From Tongtian, it runs diagonally bilaterally, intersecting at Baihui on the vertex. Its branch goes from the vertex to Baihui, reaching the supraorbital region, passing Lvgu, Fubai, and Qiaoyin, thereby nourishing the sinews and vessels. The straight course goes from Tongtian to Yuzhen, connecting to the brain, emerging to descend to the nape, reaching Tianzhu. Descending from Tianzhu, it passes Dazhui and Daodao, follows the medial shoulder blades, flanking the spine at 1.5 cun apart, descending through Dazhu, Fengmen, Feishu, Juyinshu, Xinshu, Geshu, Ganshu, Danshu, Pishu, Weishu, Sanjiaoshu, Shenshu, Dachangshu, Xiaochangshu, Pangguangshu, Zhonglü Neishu, and Baihuan Shu. Reaching the loins, it enters to follow Lü, connects with the Kidney, and descends to the Bladder. Its branch separates from the loins, follows the waist, flanks the spine, passing Shangliao, Zhongliao, Ciliao, Xialiao, and Huiyang, descending through the buttocks to Chengfu, Yinmen, Fupi, Weiyang, entering the Weizhong point in the popliteal fossa. Another branch constitutes the third line flanking the spine at 3 cun apart. From Tianzhu downwards, it separates from the medial shoulders, descending through the scapula and Lü, passing Fufen, Pohu, Gaohuang, Shentang, Ge Guan, Hunmen, Yanggang, Yishe, Weicang, Huangmen, Zhishi, Baohuang, and Zhibian. Descending through the sacrum and buttocks, passing the hip pivot, it follows the interior of the hip pivot, between Chengfu and 1.5 cun outward, converging with the branch entering the popliteal fossa. It descends through Heyang, through the calf, passing Chengjin, Chengshan, Feiyang, and Fuyang, emerging posterior to the lateral malleolus at Kunlun, Pucan, Shenmai, and Jinmen. Following Jinggu, Sugu, and Tonggu, it reaches Zhiyin on the lateral side of the fifth toe, connecting with the Foot-Shaoyin Kidney Meridian. When the Taiyang meridian is disturbed, symptoms include rushing headache, eyes feeling pierced, neck feeling pulled, waist feeling broken, and knees feeling bound. The terms "like" or "as if" indicate that the disease lies in the Qi of Taiyang, manifesting similar forms. Taiyang Qi is born from Bladder water and serves as the master Qi of all Yang. Yang Qi nourishes the sinews when soft; thus, diseases generated by the sinews governed by this meridian include hemorrhoids. The Classic states: "When sinews and vessels relax transversely, intestinal discharge becomes hemorrhoids." The sinews governed by Taiyang and the vessels generated by the Bladder become horizontal and逆 (rebellious) to form hemorrhoids. Deep internal invasion of meridians and collaterals causes malaria; reversal downward causes mania and epilepsy. Symptoms involving the vertex, nape, nose, eyes, waist, and back occur because they are parts traversed by the meridian. Master Shang Yu said: The *Shanghan Lun* states: "Taiyang disease is characterized by floating pulse, stiffness and pain in the head and nape, and aversion to cold." It also states: "Headache in Taiyang disease may heal spontaneously after seven days because the pathogen has exhausted its course in the meridian." In the transmission of the Six Stages of Cold Damage, returning to Taiyang after seven days involves only the six Qi of Three Yin and Three Yang, not tangible forms. However, stiffness and pain in the head and nape seem to be meridian-specific signs. Since Qi resides in form, no disease Qi exists without manifesting in physical signs.