手少三焦所从经,二十二穴起关冲,液门中渚阳池历,外关支沟会宗逢,三阳络入
四渎内,注于天井清冷中,消泺 会肩 穴,天天牖经翳风, 脉颅息角耳门,和 上行丝竹空。
无名外侧端关冲,液门小次指陷中,中渚液门上一寸,阳池腕前表陷中,外关腕后
二寸陷,关上一寸支沟名,外关一寸会宗平,斜上一寸三阳络,肘前五寸四渎称,天井肘
外大骨后,肘上一寸骨罅中。井上一寸清冷渊,消泺臂肘分肉端, 会肩端前二寸,肩
上陷中看,天肩井后一寸,天牖耳下一寸间,翳风耳后尖角陷, 脉耳后青脉看,颅
息青络脉之上,角孙耳上发下间,耳门耳前缺处陷,和横动脉耳前,欲觅丝竹空何在,
眉后陷中仔细观。
【注】关冲穴,在手四指外侧端,去爪甲角如韭叶许,是其穴也。从关冲上行手小指
次指岐骨间陷中,握拳取之,液门穴也。从液门上行一寸陷中,中渚穴也。从中渚由四
指本节直上,行手表腕上陷中,阳池穴也。从阳池上行手腕后二寸,两骨间陷中,外关穴
也。从外关上行一寸,两骨间陷中,支沟穴也,从支沟外开一寸,会宗穴也。以支沟会
宗二穴相并平直,空中相离一寸也。从会宗
内斜上行一寸,臂上大交脉,三阳络穴也。从三阳络上行肘前五寸外廉陷中,四渎穴也。从
四渎斜外一行,肘外大骨尖后,肘上一寸,两筋叉骨罅中,屈肘拱胸取之,天井穴也。
从天井上行一寸,伸肘举臂取之,清冷渊穴也。从清冷渊上行,肩下臂外肘上分肉
间,消泺穴也。从消泺上行, 外去肩端三寸宛宛中, 会穴也。从 会上行,肩端
上陷中,斜举臂取之,肩 穴也,从肩 上行肩,缺盆中直,是少阳经之肩井穴;后一
寸,天 穴也。从天 上行,颈大筋外缺盆上,手太阳经天容穴后,足太阳经天柱穴前,
足少阳胆经完骨穴下,发际中上斜侠耳后一寸,天牖穴也。从天牖上行,耳后尖角陷中,
按之引耳中痛,翳风穴也。从翳风上行,耳后中间鸡足青络脉中, 脉穴也。从 脉行
耳后上间青络脉中,颅息穴也。从颅息上行,耳上上间,发际下开口有空,角孙穴也。
从角孙绕行耳前,起肉当耳缺处陷中,耳门穴也。从耳门行耳前,兑发下横动脉中,和
穴也(兑发下即鬓角也)。从和 上行眉后陷中,丝竹空穴也。
\r三焦经穴图\p06-d43a76.bmp\r
手少阳三焦经是气血汇聚的经脉,共有二十二个穴位,起始于关冲穴。依次经过液门、中渚、阳池、外关、支沟、会宗、三阳络、四渎,注入天井和清冷渊,再经过消泺、臑会、肩井穴,最后上行至天牖、翳风、瘈脉、颅息、角孙、耳门、和髎,最终止于丝竹空穴。
关冲穴位于无名指外侧端;液门穴在小指与无名指之间的凹陷处;中渚穴在液门穴上一寸处;阳池穴在腕横纹前的凹陷中;外关穴在腕后二寸的凹陷处;支沟穴在外关穴上一寸处;会宗穴在外关穴内侧一寸处,与外关平齐;三阳络穴在会宗穴向内斜上方一寸处,位于手臂上大的交叉脉络处;四渎穴在三阳络穴上方五寸,肘部外侧的凹陷处;天井穴在肘部外侧大骨后方,屈肘时肘尖上一寸两筋叉开的骨缝中;清冷渊穴在天井穴上一寸,伸肘举臂时取穴;消泺穴在清冷渊穴上方,肩下、臂外、肘上的分肉之间;臑会穴在消泺穴上方,距离肩端三寸的宛宛凹陷处;肩井穴在臑会穴上方,肩端上的凹陷处,需斜举臂取穴;天牖穴在肩井穴后方一寸,位于颈大筋外侧、缺盆之上,手太阳经天容穴之后,足太阳经天柱穴之前,足少阳胆经完骨穴之下,发际内向上斜行挟持耳后一寸处;翳风穴在天牖穴上方,耳后尖角的凹陷处,按压时牵引耳中疼痛;瘈脉穴在翳风穴上方,耳后中间鸡爪状青色络脉中;颅息穴在瘈脉穴上方,耳后上方的青色络脉中;角孙穴在颅息穴上方,耳上发际下的开口凹陷处;耳门穴在角孙穴绕行耳前,起肉当耳屏前凹陷处;和髎穴在耳门前方的鬓角下横行的动脉搏动处;丝竹空穴在和髎穴上方,眉后端的凹陷处。
【注】关冲穴,位于手第四指(无名指)外侧端,距离指甲角约韭菜叶宽度,即是该穴。从关冲穴向上行至手小指与次指(无名指)歧骨间的凹陷中,握拳取之,即为液门穴。从液门穴向上行一寸的凹陷中,是中渚穴。从中渚穴沿第四指本节直上,行至手腕背侧的凹陷中,是阳池穴。从阳池穴向上行手腕后二寸,两骨之间的凹陷中,是外关穴。从外关穴向上行一寸,两骨之间的凹陷中,是支沟穴。从支沟穴向外开一寸,是会宗穴。以支沟和会宗两穴相比,二者相并平直,空中相距一寸。从会宗穴向内斜上方行一寸,手臂上大的交络脉处,是三阳络穴。从三阳络穴向上行五寸,肘部外侧廉边的凹陷中,是四渎穴。从四渎穴斜向外一行,肘外大骨尖后方,肘上一寸,两筋交错骨缝中,屈肘拱胸取之,是天井穴。从天井穴向上行一寸,伸肘举臂取之,是清冷渊穴。从清冷渊穴向上行,肩下臂外肘上的分肉间,是消泺穴。从消泺穴向上行,外侧去肩端三寸的宛宛凹陷中,是臑会穴。从臑会穴向上行,肩端上的凹陷中,斜举臂取之,是肩井穴。从肩井穴向上行过肩部,至缺盆中直上,这是少阳经的肩井穴;向后一寸,是天牖穴。从天牖穴向上行,颈大筋外侧缺盆之上,手太阳经天容穴之后,足太阳经天柱穴之前,足少阳胆经完骨穴之下,发际中向上斜行挟持耳后一寸,是天牖穴。从天牖穴向上行,耳后尖角凹陷中,按之引耳中痛,是翳风穴。从翳风穴向上行,耳后中间鸡足状青色络脉中,是瘈脉穴。从瘈脉穴行耳后上间青色络脉中,是颅息穴。从颅息穴向上行,耳上发际下开口有空隙处,是角孙穴。从角孙穴绕行耳前,起肉当耳缺处凹陷中,是耳门穴。从耳门穴行耳前,鬓角下横行动脉中,是和髎穴(鬓角下即鬓角也)。从和髎穴向上行眉后凹陷中,是丝竹空穴。
The Hand-Shaoyang Sanjiao Meridian is the channel where Qi and Blood converge, containing twenty-two acupoints. It begins at Guanchong (LI1), then passes through Yemen (TE2), Zhongzhu (TE3), Yangchi (TE4), Waiguan (TE5), Zhigou (TE6), Huizong (TE7), Sanyangluo (TE8), Sidu (TE9), Tianjing (TE10), Qinglengyuan (TE11), Xiaoluo (TE12), Naohui (TE13), Jianjing (GB21), Tiannyou (TE16), Yifeng (TE17), Zhi Mai (TE18), Luxi (TE19), Jiaosun (TE20), Ermen (TE21), Heliao (TE22), and finally terminates at Sizhukong (TE23).
Guanchong (LI1) is located at the lateral end of the ring finger; Yemen (TE2) is in the depression between the little and ring fingers; Zhongzhu (TE3) is one cun above Yemen (TE2); Yangchi (TE4) is in the depression anterior to the transverse crease of the wrist; Waiguan (TE5) is in the depression two cun posterior to the wrist crease; Zhigou (TE6) is one cun above Waiguan (TE5); Huizong (TE7) is one cun medial to Waiguan (TE5), level with it; Sanyangluo (TE8) is one cun obliquely upward and medial from Huizong (TE7), located at the major intersecting vessel on the arm; Sidu (TE9) is five cun above Sanyangluo (TE8), in the depression on the lateral aspect of the elbow; Tianjing (TE10) is posterior to the large bone at the lateral side of the elbow, one cun above the elbow tip in the gap between two tendons, taken with the elbow flexed; Qinglengyuan (TE11) is one cun above Tianjing (TE10), taken with the elbow extended and arm raised; Xiaoluo (TE12) is above Qinglengyuan (TE11), in the muscle belly between the lower shoulder, outer arm, and upper elbow; Naohui (TE13) is above Xiaoluo (TE12), three cun lateral to the shoulder tip, in a concave depression; Jianjing (GB21) is in the depression above the shoulder tip, taken with the arm obliquely raised; Tiannyou (TE16) is one cun posterior to Jianjing (GB21), located lateral to the large tendon of the neck, above the supraclavicular fossa, posterior to Tianrong (SI17) of the Hand-Taiyang Bladder Meridian, anterior to Tianzhu (BL10) of the Foot-Taiyang Bladder Meridian, inferior to Wanggu (GB12) of the Foot-Shaoyang Gallbladder Meridian, one cun obliquely upward behind the ear within the hairline; Yifeng (TE17) is above Tiannyou (TE16), in the depression at the posterior angle of the ear, tender upon pressure radiating to the ear canal; Zhi Mai (TE18) is above Yifeng (TE17), among the chicken-foot-shaped cyan collateral vessels in the middle of the post-auricular region; Luxi (TE19) is above Zhi Mai (TE18), along the cyan collateral vessels in the upper post-auricular area; Jiaosun (TE20) is above Luxi (TE19), in the hollow below the hairline on the upper ear; Ermen (TE21) is reached by circling Jiaosun (TE20) anterior to the ear, in the depression where the flesh rises opposite the tragus; Heliao (TE22) is anterior to Ermen (TE21), in the transverse arterial pulse below the temporal hairline (temporal hairline refers to the sideburns); Sizhukong (TE23) is above Heliao (TE22), in the depression posterior to the eyebrow.
[Note] Guanchong (LI1) is located at the lateral end of the fourth finger (ring finger), approximately the width of a leek leaf away from the corner of the nail. Moving upward from Guanchong (LI1) to the depression between the metacarpals of the little and ring fingers, with the fist clenched, is Yemen (TE2). One cun above Yemen (TE2) in the depression is Zhongzhu (TE3). From Zhongzhu (TE3), moving straight up along the proximal phalanx of the fourth finger to the dorsal wrist depression is Yangchi (TE4). Two cun posterior to Yangchi (TE4) in the depression between the two bones is Waiguan (TE5). One cun above Waiguan (TE5) in the depression between the two bones is Zhigou (TE6). One cun lateral to Zhigou (TE6) is Huizong (TE7). Zhigou (TE6) and Huizong (TE7) are parallel and separated by one cun in the interosseous space. One cun obliquely upward and medial from Huizong (TE7), at the major intersecting vessel on the arm, is Sanyangluo (TE8). Five cun above Sanyangluo (TE8) in the depression on the lateral edge of the elbow is Sidu (TE9). Obliquely outward from Sidu (TE9), posterior to the lateral olecranon process, one cun above the elbow in the gap between the crossed tendons and bones, taken with the elbow flexed and chest drawn in, is Tianjing (TE10). One cun above Tianjing (TE10), taken with the elbow extended and arm raised, is Qinglengyuan (TE11). Above Qinglengyuan (TE11), in the muscle belly between the lower shoulder, outer arm, and upper elbow, is Xiaoluo (TE12). Above Xiaoluo (TE12), three cun lateral to the shoulder tip in a concave depression, is Naohui (TE13). Above Naohui (TE13), in the depression above the shoulder tip, taken with the arm obliquely raised, is Jianjing (GB21). Moving upward from Jianjing (GB21) over the shoulder to the direct line above the supraclavicular fossa is the Jianjing (GB21) point of the Shaoyang Meridian; one cun posterior to this is Tiannyou (TE16). Moving upward from Tiannyou (TE16), lateral to the large cervical tendon, above the supraclavicular fossa, posterior to Tianrong (SI17) of the Hand-Taiyang Meridian, anterior to Tianzhu (BL10) of the Foot-Taiyang Meridian, and inferior to Wanggu (GB12) of the Foot-Shaoyang Meridian, one cun obliquely upward behind the ear within the hairline, is Tiannyou (TE16). Above Tiannyou (TE16), in the depression at the posterior angle of the ear, which causes pain in the ear upon pressure, is Yifeng (TE17). Above Yifeng (TE17), among the cyan collateral vessels resembling a chicken's foot in the middle of the post-auricular region, is Zhi Mai (TE18). Along the cyan collateral vessels in the upper post-auricular area from Zhi Mai (TE18) is Luxi (TE19). Above Luxi (TE19), in the hollow below the hairline on the upper ear, is Jiaosun (TE20). Circling Jiaosun (TE20) anterior to the ear, in the depression where the flesh rises opposite the ear opening, is Ermen (TE21). Anterior to Ermen (TE21), in the transverse arterial pulse below the temporal hairline (the area below the hairline refers to the sideburns), is Heliao (TE22). Above Heliao (TE22), in the depression posterior to the eyebrow, is Sizhukong (TE23).