(凡一十九穴左右共三十八穴)
\r手太阳小肠经之图\p06-d14a6.bmp\r
手小指端为少泽前谷外侧节前索节后陷中寻后溪腕骨陷前看外侧脘中骨下阳谷讨腕上一
寸名
后举有空曲垣肩中曲脾里外俞脾后一寸从肩中二寸大杼旁天窗颊下动脉详天容耳下曲颊后颧
面颊锐端详听宫耳端大如菽此一为经手太阳
手太阳经小肠脉小指之端起少泽循手外廉出踝中循臂骨出肘内侧上循 外出后廉直过肩
解绕肩甲交肩下入缺盆内向腋络心循咽嗌下膈低胃属小肠一支缺盆贯颈颊至目锐 却入耳复从耳
前仍上颊抵鼻外至目内 斜络于颧别络接此经少气还多血是动则病痛咽嗌颔下肿兮不可顾肩
如拔兮 如折所生病生肩 痛耳聋目黄肿腮颊肘之外后廉痛部分犹当细分别
(凡六十三穴左右共百一十六穴)
\r足太阳膀胱经图\p06-d14a7.bmp\r
足太阳兮膀胱经目 内角始睛明眉头陷中攒竹名曲差二穴神庭伴五处挨排夹上星承光五
处后
去寸五分第一大杼二风门肺俞三椎厥门四心 五椎之下论督 膈俞相梯级第六第七次第立
第八椎下穴无有肝俞数椎当第九十椎脾俞脾十一十三椎下胃俞取三焦肾俞气海俞十三十四十
五究大肠关元俞安量十六十七椎两旁十八椎下小肠俞十九椎下寻膀胱中膂内俞椎二十白环二
十一椎当上 次 中与下一空二空夹腰胯并同夹脊四个 载在千金君勿讶会阳阴尾两旁分尺
寸须看督脉云第二椎下外附分夹脊相去上法论先从脊后量三寸不是灸狭能伤筋魄户三椎膏肓
四四五三分分明是第五椎下索神堂第六 外可睹膈关第七魂门九阳纲意舍十十一胃仓肓
门屈指弹唯看寸二与十三志室次之为十四胞肓十九合参详秩边二十椎下详承扶臀阴纹中央殷
门
筋肠中央是承山 下分内旁飞扬外踝上七寸附阳踝上三寸量金门正在外踝下昆仑踝后跟骨
中仆参跟骨下陷是申脉分明踝下容京骨外侧大骨下束骨本节后陷中通谷本节前陷取至阴小指
外侧逢足经太阳膀胱脉目内 上起额尖支者巅上至耳角直者从巅脑后悬络脑环出别下项仍循
肩
膊夹脊边抵腰膂肾膀胱内一支下与后阳连贲臀斜入委中穴一支膊内左右别贯脾夹脊过脾枢臂
内后廉 中合下贯 内外踝后京骨之下指外侧此经血多气犹少是动头疼不可当项如拔兮腰似
折髀强痛彻脊中央 如结兮 如裂是为踝厥筋乃伤所生疟痔小指废头囟顶痛目色黄腰尻 脚
疼连背泪流鼻衄及颠狂
(手太阳小肠经左右共三十八穴)
手太阳小肠经之图
手小指外侧端为少泽穴,前谷穴在外侧节前、节后凹陷处寻找,后溪穴在腕骨穴前方的凹陷处查看,腕骨穴在外侧腕部中间骨头下方,阳谷穴在腕上一寸处命名。
向后举手有空隙处为曲垣穴,肩中俞穴在脾俞穴内外侧后方一寸处,从肩中俞向外二寸为大杼穴,旁开为天窗穴,颊下动脉搏动处详查为天容穴,耳下曲颊后方颧骨面颊锐利末端详查为听宫穴,耳端大如豆粒大小的穴位是此经的“经”穴(即阳谷穴)。手太阳经是小肠脉,起于手小指之端少泽穴,沿手臂外侧上行,出于踝中(此处指尺骨茎突附近),沿臂骨上行至肘内侧,再向上循行外出至后廉(上臂后外侧),直过肩部,解绕肩胛,交于肩上,向下进入缺盆,向内联络心脏,沿咽喉下行,穿过膈肌,到达胃部,属于小肠。另有一支脉从缺盆贯穿颈部、面颊,至目外眦,却入耳中;又一支脉从耳前仍上至面颊,抵至鼻外,至目内眦,斜络于颧骨。别络接续此经。此经气少血多。若经脉变动发病,则病在咽嗌,颔下肿胀,不能回顾,肩部像被拔起一样疼痛,肘臂像折断一样疼痛。所生的疾病有:肩痛、耳聋、目黄、腮颊肿、肘臂外侧后缘疼痛,这些部位的症状应当仔细分别。
(足太阳膀胱经左右共六十三穴)
足太阳膀胱经之图
足太阳膀胱经起于目内眦睛明穴,眉头凹陷中为攒竹穴,曲差穴两穴与神庭穴相伴,五处穴挨排在上星穴之后。
去上星穴后五分是大杼穴,第二穴风门,第三穴肺俞,第四穴厥阴心包俞(原文作厥门,通常指厥阴俞或心包俞,此处依文意保留位置描述),第五穴心俞,第六穴之下论督脉之膈俞,相梯级次第而立的是第七、第八椎下的肝俞,第九、第十椎下的脾俞,第十一、第十三椎下的胃俞取法,三焦俞、肾俞、气海俞在第十三、十四、十五椎处究查,大肠俞、关元俞在安量第十六、十七椎两旁,第十八椎下为小肠俞,第十九椎下寻膀胱俞,中膂内俞在第二十椎,白环俞在第二十一椎。当上髎、次髎、中髎、下髎四穴夹腰胯并同,夹脊四个穴位记载在《千金方》中,不要惊讶。会阳穴在尾骨两旁分列,尺寸须看督脉。云门(此处疑为误植或特定别名,结合上下文应为背部穴位定位描述,原文作“云第二椎下”,结合针灸常识及下文“外附分”,此处可能指从脊柱旁开量的方法,但依原文直译)第二椎下外附有分穴(附分),夹脊相去上法论述,先从脊后量三寸,如果不是灸狭(此处指穴位狭窄或操作不当)能伤筋魄。户门(原文作“户三椎”,疑为魄户之误,魄户在三椎)三椎膏肓俞,四五三分分明是第五椎下索神堂,第六椎外可睹膈关,第七魂门,九阳纲(疑为阳纲之误,阳纲在第九椎)意舍十、十一胃仓、肓门屈指弹唯看寸二与十三志室,次之为十四胞肓,十九合参详秩边,二十椎下详承扶,臀阴纹中央殷门,筋肠中央是承山,下分内旁飞扬,外踝上七寸附阳,踝上三寸量金门,正在外踝下昆仑,踝后跟骨中仆参,跟骨下陷是申脉,分明踝下容京骨,外侧大骨下束骨,本节后陷中通谷,本节前陷取至阴,小指外侧逢足经。
太阳膀胱脉起于目内眦,上行至额尖,分支至巅顶,至耳角;直行者从巅脑后悬络脑环,出别下项,仍循肩膊夹脊边,抵腰膂,肾膀胱内一支下与后阳连贲臀,斜入委中穴;一支膊内左右别贯脾,夹脊过脾枢臂内后廉,中合下贯内外踝后,京骨之下指外侧。此经血多气犹少。若经脉变动发病,头疼不可抵挡,项部像被拔起一样,腰部像折断一样,大腿强痛彻脊中央,像结块一样,像撕裂一样,这是踝厥,筋乃受伤。所生的疾病有:疟疾、痔疮、小指废用、头囟顶痛、目色黄、腰尻脚疼连背、泪流、鼻衄及颠狂。
(There are thirty-eight acupoints in total on both sides of the Hand Taiyang Small Intestine Meridian)
Diagram of the Hand Taiyang Small Intestine Meridian
Shaose (Small Sea, SI1) is at the lateral end of the little finger. Qian Gu (Front Valley, SI2) is sought in the depression anterior and posterior to the radial styloid process joint. Hou Xi (Hollow Stream, SI3) is viewed in the depression anterior to the Wangu (Wrist Bone, SI4) point. Wangu (SI4) is located below the bone in the middle of the lateral wrist. Yang Gu (Yang Valley, SI5) is named one cun above the wrist.
Qu Yuan (Curved Field, SI13) is found where there is a gap when raising the hand backward. Jianzhongshu (Middle of Shoulder Shu, SI14) is one cun posterior to the interior and exterior of Pishu (Spleen Shu, BL20). Dazhu (Great Thoroughfare, BL11) is two cun lateral to Jianzhongshu. Tianchuang (Heavenly Window, SI16) is lateral to it. Tianrong (Heavenly Reception, SI17) is detailed at the pulsating artery under the cheek. Tinggong (Palace of Hearing, SI19) is detailed at the sharp end of the zygomatic facial area behind the curved jaw under the ear. The acupoint at the ear end, large as a bean, is the Jing-River point (Yang Gu, SI5) of this meridian.
The Hand Taiyang Meridian is the Small Intestine pulse. It originates from Shaose at the tip of the little finger, follows the lateral aspect of the arm, emerges from the elbow region, ascends along the arm bone to the medial side of the elbow, continues upward outward to the posterior-lateral aspect, passes directly over the shoulder, winds around the scapula, crosses at the shoulder, enters the supraclavicular fossa (Quepen), connects internally with the Heart, follows the pharynx and esophagus downward through the diaphragm, reaches the Stomach, and belongs to the Small Intestine. A branch arises from the supraclavicular fossa, penetrates the neck and cheek, reaches the outer canthus of the eye, enters the ear; another branch goes from the front of the ear still upward to the cheek, reaches the outside of the nose, arrives at the inner canthus of the eye, and obliquely connects to the zygomatic bone. The collateral network connects to this meridian. This meridian has less Qi and more Blood. If the meridian undergoes pathological changes, disease occurs in the pharynx and esophagus, swelling appears under the chin, making it difficult to look back; the shoulder feels like being pulled out, and the elbow and arm feel like being broken. Diseases generated include shoulder pain, deafness, yellow eyes, swelling of the cheeks and parotid region, and pain in the posterior-lateral aspect of the elbow and arm. These symptoms in different parts should be carefully distinguished.
(There are sixty-three acupoints in total on both sides of the Foot Taiyang Bladder Meridian)
Diagram of the Foot Taiyang Bladder Meridian
The Foot Taiyang Bladder Meridian begins at Jingming (Bright Eyes, BL1) in the inner canthus of the eye. Zanzhu (Gathered Bamboo, BL2) is in the depression at the brow head. Qucha (Curved Difference, BL8) and Shenming (Spirit Brightness, BL8 - *Note: Text says "Qucha two points accompany Shenting", likely referring to specific positioning or a textual variant, standard texts place Qucha alone or with others nearby*) are accompanied by Shenting (Spirit Pavilion, GV24). Wuchu (Five Places, BL8) is arranged after Shangxing (Upper Star, GV23).
Fifty fen posterior to Shangxing is Dazhu (BL11). The second point is Fengmen (Wind Gate, BL12); the third is Feishu (Lung Shu, BL13); the fourth is Jueyinshu (Pericardium Shu, BL14 - text says Juemen); the fifth is Xinshu (Heart Shu, BL15). Below the sixth vertebra is discussed regarding the Du Meridian's Geshu (Diaphragm Shu, BL17). Standing in steps are the Liver Shu (BL18) below the eighth vertebra, Spleen Shu (BL20) below the ninth and tenth vertebrae, Stomach Shu (BL21) below the eleventh and thirteenth vertebrae. Sanjiaoshu (Triple Energizer Shu, BL22), Shenshu (Kidney Shu, BL23), and Qihai Shu (Sea of Qi Shu, BL24) are investigated at the thirteenth, fourteenth, and fifteenth vertebrae. Dachangshu (Large Intestine Shu, BL25) and Guanyuan Shu (Source of Origin Shu, BL26) are on both sides of the sixteenth and seventeenth vertebrae. Xiaochangshu (Small Intestine Shu, BL27) is below the eighteenth vertebra, Pangguangshu (Bladder Shu, BL28) is sought below the nineteenth vertebra, Zhonglü Neishu (Inner Shu of Middle Spine, BL29) is at the twentieth vertebra, Baihuan Shu (White Ring Shu, BL30) is at the twenty-first vertebra. The upper, secondary, middle, and lower Baliao points (BL31-34) flank the waist and hips. Four Jiachi (Clasp the Spine) points are recorded in the *Qianjin Fang*, do not be surprised. Huiyang (Meeting Yang, BL35) is divided on both sides of the coccyx; dimensions must refer to the Du Meridian. Outside the second vertebra below, Fufen (Attached Division, BL41) is attached laterally. The method for measuring distance from the spine is discussed: first measure three cun posterior to the spine; if not careful, moxibustion may injure the tendons and soul. Pohu (Soul Residence, BL42 - text says Hu Sanzui, likely a typo for Pohu at T3) is at the third vertebra, Gaohuang (High and Yellow, BL43) is at the fourth and fifth vertebrae, clearly separated. Su Shen Tang (Draw Spirit Hall, BL44) is below the fifth vertebra. Ge Guan (Diaphragm Pass, BL45) is visible at the sixth vertebra externally. Hun Men (Gate of the Ethereal Soul, BL47) is at the seventh. Yanggang (Yang Ridge, BL48 - text says Jiu Yang Gang) is at the ninth. Yishe (Intention Abode, BL49) is at the tenth, Weicang (Stomach Granary, BL50) at the eleventh, Huangmen (Yellow Gate, BL52) is seen by flexing fingers and counting two cun and thirteen Zhishi (Will Chamber, BL53). Next is Baohuang (Bladder Yellow, BL54) at fourteen. Nineteen combined details Zhizhong (Rank Edge, BL54 - *Note: Text sequence varies slightly from standard, Zhizhong is usually L5/S1 level, Chengfu is L1/L2. Text says "Nineteen combined reference Zhizhong, Twenty vertebra down detailed Chengfu"*). Chengfu (Supporting Support, BL36) is detailed below the twentieth vertebra, in the center of the gluteal crease. Yinmen (Yin Gate, BL37) is in the center of the muscle/intestine line. Chengshan (Support Mountain, BL57) divides below into Feiyang (Flying Yang, BL58) medially and Fuyang (Assisting Yang, BL59) laterally seven cun above the external malleolus. Jinmen (Metal Gate, BL63) is measured three cun above the ankle. Kunlun (Kunlun Mountains, BL60) is exactly below the external malleolus. Pucan (Prostrate Companion, BL61) is in the heel bone behind the ankle. Shenmai (Spirit Pulse, BL62) is in the depression below the heel bone. Jinggu (Jade Bone, BL64) is clearly contained below the ankle. Shugu (Bone Node, BL65) is below the large bone on the lateral side. Tonggu (Through Valley, BL40) is in the depression posterior to the metatarsophalangeal joint. Zhiyin (Reaching Yin, BL67) is taken in the depression anterior to the joint. The Foot Taiyang Meridian meets the little toe laterally.
The Foot Taiyang Bladder Pulse originates from the inner canthus, ascends to the vertex. A branch goes to the vertex and up to the ear angle. The straight course hangs from the vertex, connects to the brain, exits separately down the nape, follows the shoulder blades clamping the spine, reaches the loins and sacrum. One branch descends internally connecting with the kidneys and bladder, another connects with the buttocks and enters the Weizhong (Pool Central, BL40) acupoint obliquely. Another branch separates internally on both sides of the arm, penetrates the spleen, clamps the spine, passes through the spleen pivot, arm posterior-lateral aspect, merges centrally, descends through the internal and external malleoli, and reaches the lateral side of the toes below Jinggu. This meridian has more Blood and less Qi. If the meridian undergoes pathological changes, headache is unbearable, the neck feels like being pulled, the waist feels like being broken, the thigh is stiff and painful penetrating the central spine, feeling like a knot or tearing. This is An-Jue (Ankle Jue), damaging the tendons. Diseases generated include malaria, hemorrhoids, paralysis of the little toe, pain in the fontanelle and vertex, yellow eyes, pain in the waist, sacrum, and feet connecting to the back, tearing tears, epistaxis, and mania.