足少阳经瞳子 ,四十三穴行迢迢,听会客主颔厌集,悬颇悬厘曲鬓翘。率谷天冲
浮白次,窍阴完骨本神至,阳白临泣开目窗,正营承灵脑空是。风池肩井渊液长,辄筋日
月京门乡,带脉五枢维道续,居 环跳市中渎。阳关阳陵复阳交,外丘光明阳辅高,悬
钟丘墟足临泣,地五侠溪窍阴毕。
足少阳兮四十三,头上廿穴分三折,起自瞳子至风池,积数陈之根据次第。外 五分
瞳子,耳前陷中寻听会,上行一寸客主人,内斜曲角上颔厌,后行颅中厘下穴,曲鬓耳前
上发际,率谷入发寸半安,天冲耳后斜二寸浮白下行一寸间,窍阴穴在枕骨下,完骨耳
后入发际,量得四分须用记,本神神庭旁三寸,入发四分耳上系,阳白眉上一寸许,上
行五分是临泣。临后寸半目窗穴,正营承灵及脑空,后行相去一寸五,风池耳后发陷中。
肩井肩上陷中取,大骨之前寸半明,渊液腋下行三寸,辄筋复前一寸行,日月乳下二肋
缝,下行五分是穴名。脐上五分傍九五,季肋侠脊是京门,季下寸八寻带脉,带下三寸
穴五枢,维道章下五三定,维下三寸居 名,环跳髀枢宛中陷,风市垂手中指终。膝上五
寸中渎穴,膝上二寸阳关寻,阳陵膝下一寸住,阳交外踝上七寸,外丘外踝七寸同,此
系斜属三阳分,踝上五寸定光明,踝上四寸阳辅穴,踝上三寸是悬钟,丘墟踝前陷中取,
丘下三寸临泣存,临下五分地五会,会下一
寸侠溪轮,欲觅窃阴穴何在?小指次指外侧寻。
【注】瞳子 ,在目锐 去 五分,是其穴也。从瞳子 下外斜行,耳前起骨上面,下
一寸耳珠下动脉宛宛中,开口有空,侧卧张口取之,听会穴也。从听会上直行一寸,开
口有空,侧卧张口取之,客主人穴也。从客主人上内斜行,两太阳曲角上廉,颔厌穴也。
从颔厌后行耳前曲角上,两太阳之中,悬颅穴也。从悬颅后行,耳前曲角上,两太阳下
廉,悬厘穴也。从悬厘后行,耳前入发际曲隅陷中,鼓颔有空,曲鬓穴也。从曲鬓后行
耳上,入发际寸半陷者宛宛中,嚼牙取之,率谷穴也。从率谷后行耳后三分许,入发际二
寸,天冲穴也。从天冲下行耳后,入发际一寸,浮白穴也。从浮白下行耳后,高上枕骨
下,摇动有空,窍阴穴也。从窍阴行耳后,入发际四分,完骨穴也。
从完骨折上行,神庭旁三寸,直耳上入发际四分,本神穴也。从本神行眉上一寸,直
瞳子,阳白穴也。从阳白上直行,入发际五分陷中,正睛取之,临泣穴也。从临泣后行
一寸,目窗穴也。从目窗后行一寸,正营穴也。从正营后行一寸五分,承灵穴也。从承
灵后行一寸五分,脑空穴也。从脑空下行耳后,下发际陷中,大筋外廉,按之引于耳中,风池穴也。
从风池下行肩上,会其支者,合缺盆上大骨前一寸半,以三指按取,当中指下陷中,
肩井穴也。从肩井下行腋下三寸宛宛中,举臂取之,渊液穴也。从渊液下行,复前一寸
三肋端,横直蔽骨旁七寸五分半,直两乳,侧卧屈上足取之,辄筋穴也。从辄筋行乳下二
肋端缝下五分,日月穴也。从日月行监骨腰中季肋本,侠脊脐上五分,旁开九寸半,侧
卧屈上足伸下足举臂取之,京门穴也。从京门下行季胁下一寸八分陷中,脐上二分,旁
开八寸半,带脉穴也。从带脉下三寸,五枢穴也。从五枢下行,过肝经之章门穴下五寸
三分,维道穴也。从维道下行三寸,监骨上陷中,居 穴也。从居 下行髀枢中,侧卧
伸下足屈上足取之,环跳穴也。
从环跳下行膝上外廉两筋中,以手着腿中指尽处,风市穴也。从风市下髀骨外,膝
上外廉五寸,分肉间陷中,中渎穴也。从中渎下行膝上二寸,犊鼻外陷中,阳关穴也。从
阳关下行膝下一寸,外廉陷中,尖骨前筋骨间,蹲坐取之,阳陵泉穴也。从阳陵泉下行,
足外踝上七寸,内斜三阳分肉间,阳交穴也。从阳交行外踝上七寸外斜,外丘穴也。从外
丘下行外踝上五寸;光明穴也。从光明下行一寸,辅骨前绝骨端,内斜三分,阳辅穴也。
从阳辅下行三寸,外踝骨尖内动脉中,寻按取之,悬钟穴也。从悬钟行外踝下,斜前陷
中,丘墟穴也。从丘墟下行三寸,在足小指
四指本节后,足跗间陷中,临泣穴也。从临泣下行五分,足小指四指本节后间陷中,地
五会穴也。从地五会下行一寸,足小指四指本节前,岐骨间陷中,侠溪穴也。从侠溪下
行足小指四指外侧端,去爪甲角如韭叶,窍阴穴也。
\r胆经穴图\p06-d43a79.bmp\r
足少阳胆经共有瞳子髎等四十三穴,穴位分布绵延遥远。听会、客主人(上关)、颔厌、悬颅、悬厘、曲鬓等穴在此汇聚,率谷、天冲、浮白、次髎(此处原文为“次”,结合上下文及胆经循行,实指足少阳胆经之“足临泣”之前的穴位排列,但歌诀中“次”字通常对应“足临泣”前的定位描述或笔误,根据标准胆经穴位顺序及后文“临泣开目窗”,此处“次”应理解为连接词或特定位置描述,但在实体提取中我们关注明确穴位名。注:原文“悬颇”应为“悬颅”,“日”后缺字应为“月”,“居 ”后缺字应为“髎”)。
足少阳胆经的四十三穴,头部有二十个穴位,分为三段折线。起始于瞳子髎,终止于风池,依次累积陈述其位置次序。瞳子髎位于外眼角旁五分处;在耳前凹陷中寻找听会穴;向上直行一寸是客主人穴;向内斜行至曲角上方的颔厌穴;向后行至颅骨中间,悬颅穴下方为悬厘穴;再向后行至耳前发际角的凹陷处,鼓动脸颊时有空隙,此为曲鬓穴;从曲鬓向后行至耳上,入发际寸半的凹陷处,咀嚼时取穴,此为率谷穴;从率谷向后行至耳后约三分处,入发际二寸,为天冲穴;从天冲向下行至耳后,入发际一寸,为浮白穴;从浮白向下行至耳后,高出于枕骨下方,摇动头部时有空隙,为窍阴穴;从窍阴行至耳后,入发际四分,为完骨穴。
从完骨折向上行,神庭穴旁开三寸,直对耳上入发际四分处,为本神穴;从本神行至眉上一寸,直对瞳子髎,为阳白穴;从阳白向上直行,入发际五分处的凹陷中,正视眼睛时取穴,为足临泣穴;从足临泣向后行一寸,为目窗穴;从目窗向后行一寸,为正营穴;从正营向后行一寸五分,为承灵穴;从承灵向后行一寸五分,为脑空穴;从脑空向下行至耳后,下发际的凹陷中,大筋的外侧缘,按压时感觉引向耳中,为风池穴。
从风池下行至肩上,与支脉会合,汇合于缺盆上方大骨前一寸半处,用三指按压,中指下的凹陷中,为肩井穴;从肩井下行至腋下三寸的凹陷中,举臂时取穴,为渊液穴;从渊液下行,再向前一寸,第三肋骨端,横直对蔽骨旁七寸五分半,直对两乳,侧卧屈起上腿时取穴,为辄筋穴;从辄筋行至乳下第二肋骨端的缝隙下五分,为日月穴;从日月行至季肋部的根本,夹脊,脐上五分,旁开九寸半,侧卧屈起上腿伸直下腿并举臂时取穴,为京门穴;从京门下行至季胁下一寸八分的凹陷中,脐上二分,旁开八寸半,为带脉穴;从带脉下三寸,为五枢穴;从五枢下行,经过肝经章门穴下五寸三分,为维道穴;从维道下行三寸,季肋上端的凹陷中,为居髎穴;从居髎下行至髀枢中,侧卧伸直下腿屈起上腿时取穴,为环跳穴。
从环跳下行至膝上外侧两筋之间,用手着腿,中指尽处,为风市穴;从风市下至髀骨外,膝上外侧五寸,分肉间的凹陷中,为中渎穴;从中渎下行至膝上二寸,犊鼻外的凹陷中,为阳关穴;从阳关下行至膝下一寸,外侧凹陷中,尖骨前筋骨间,蹲坐时取穴,为阳陵泉穴;从阳陵泉下行,足外踝上七寸,向内斜入三阳经分肉间,为阳交穴;从阳交行至外踝上七寸外斜处,为外丘穴;从外丘下行至外踝上五寸,为光明穴;从光明下行一寸,辅骨前绝骨端,向内斜三分,为阳辅穴;从阳辅下行三寸,外踝骨尖内动脉中,寻按取穴,为悬钟穴;从悬钟行向外踝下,斜前方的凹陷中,为丘墟穴;从丘墟下行三寸,在足小趾第四趾本节后,足背间的凹陷中,为足临泣穴;从足临泣下行五分,足小趾第四趾本节后间的凹陷中,为地五会穴;从地五会下行一寸,足小趾第四趾本节前,歧骨间的凹陷中,为侠溪穴;从侠溪下行至足小趾第四趾外侧端,距爪甲角如韭菜叶宽处,为足窍阴穴。
The Foot-Shaoyang Gallbladder Meridian contains 43 acupoints, distributed along a long and winding path. Tinghui (GB1), Shangguan (GB2), Hanyan (GB5), Xuanlu (GB6), Xuanli (GB7), and Qubin (GB7) converge here; Shuaigu (GB8), Tianchong (GB9), Fubai (GB10), Zulinqi (GB41 - *Note: Text says "Ci" then later "Lin Qi", standard order implies points in between or specific locational markers*), Mucong (GB13), Zhengying (GB14), Chengling (GB15), Naokong (GB16), Fengchi (GB20), Jianjing (GB21), Yuanli (GB22), Zhejin (GB24), Riyue (GB25), Jingmen (GB25 - *Note: Text lists Jingmen separately later, here likely referring to the sequence*), Daibmai (GB26), Wushu (GB27), Weidao (GB28), Juliao (GB29), Huantiao (GB30), Fengshi (GB31), Zhongdu (GB32), Yangguan (GB33), Yanglingquan (GB34), Yangjiao (GB35), Waixiu (GB36), Guangming (GB37), Yangfu (GB38), Xuanzhong (GB39), Qiuxu (GB40), Zulinqi (GB41), Diwuhui (GB42), Xiaxi (GB43), and Zuqiaoyin (GB44).
Regarding the 43 points of the Foot-Shaoyang Meridian, there are 20 points on the head, divided into three segments. Starting from Tongziliao (GB1) up to Fengchi (GB20), their positions are listed sequentially. Tongziliao is located 0.5 cun lateral to the outer canthus; Tinghui (GB1) is found in the depression anterior to the ear; moving vertically upward 1 cun leads to Shangguan (GB2); slanting inward to the upper margin of the curved angle of the temporal bone is Hanyan (GB5); moving posteriorly to the middle of the skull, below Xuanlu (GB6), is Xuanli (GB7); further posteriorly into the hairline at the corner of the ear, where movement of the jaw creates a gap, is Qubin (GB7); from Qubin, moving posteriorly above the ear into the hairline 1.5 cun deep, taken during chewing, is Shuaigu (GB8); from Shuaigu, moving posteriorly about 0.3 cun behind the ear, entering the hairline 2 cun deep, is Tianchong (GB9); descending from Tianchong behind the ear, entering the hairline 1 cun deep, is Fubai (GB10); descending from Fubai behind the ear, high below the occipital bone, where shaking the head reveals a gap, is Qiaoyin (GB44); moving from Qiaoyin behind the ear, entering the hairline 0.4 cun deep, is Wanggu (GB12).
Ascending from Wanggu, 3 cun lateral to Shenting (GV24), directly above the ear entering the hairline 0.4 cun deep, is Benshen (GB13); moving from Benshen 1 cun above the eyebrow, directly opposite Tongziliao, is Yangbai (GB14); ascending vertically from Yangbai into the hairline 0.5 cun deep, taken while looking straight ahead, is Zulinqi (GB41); moving posteriorly 1 cun from Zulinqi is Mucuang (GB15); moving posteriorly 1 cun from Mucuang is Zhengying (GB16); moving posteriorly 1.5 cun from Zhengying is Chengling (GB15); moving posteriorly 1.5 cun from Chengling is Naokong (GB16); descending from Naokong behind the ear into the depression at the lower hairline, on the lateral edge of the large tendon, where pressure radiates to the ear, is Fengchi (GB20).
Descending from Fengchi to the shoulder, meeting the branch, converging 1.5 cun anterior to the greater bone above the Clavicle (Quepen), pressing with three fingers, the depression under the middle finger, is Jianjing (GB21); descending from Jianjing 3 cun into the armpit's depression, taken with the arm raised, is Yuanli (GB22); descending from Yuanli, moving forward 1 cun more, to the end of the third rib, horizontally aligned 7.5 cun lateral to the xiphoid process, directly between the nipples, taken lying on the side with the upper leg flexed, is Zhejin (GB24); moving from Zhejin to the seam below the second rib under the breast, 0.5 cun down, is Riyue (GB25); moving from Riyue to the root of the costal arch, flanking the spine, 0.5 cun above the umbilicus, 9.5 cun lateral, taken lying on the side with the upper leg flexed, lower leg extended, and arm raised, is Jingmen (GB25); descending from Jingmen 1.8 cun below the costal margin into the depression, 0.2 cun above the umbilicus, 8.5 cun lateral, is Daibmai (GB26); 3 cun below Daibmai is Wushu (GB27); descending from Wushu, passing 5.3 cun below Zhangmen (LR13) of the Liver Meridian, is Weidao (GB28); descending 3 cun from Weidao into the depression above the iliac crest is Juliao (GB29); descending from Juliao into the center of the hip joint (bitu), taken lying on the side with the lower leg extended and upper leg flexed, is Huantiao (GB30).
Descending from Huantiao between the two tendons on the lateral aspect above the knee, touching the leg with the hand until the tip of the middle finger reaches, is Fengshi (GB31); descending from Fengshi outside the femur, 5 cun above the knee on the lateral aspect, in the depression between the muscle bundles, is Zhongdu (GB32); descending from Zhongdu 2 cun above the knee, in the depression lateral to Dubi (ST35), is Yangguan (GB33); descending from Yangguan 1 cun below the knee, in the lateral depression, anterior to the tibial tuberosity between bone and tendon, taken in a squatting position, is Yanglingquan (GB34); descending from Yanglingquan 7 cun above the lateral malleolus, slanting inward into the flesh between the three Yang meridians, is Yangjiao (GB35); moving from Yangjiao to the oblique area 7 cun above the lateral malleolus, is Waixiu (GB36); descending from Waixiu 5 cun above the lateral malleolus, is Guangming (GB37); descending 1 cun from Guangming, anterior to the end of the fibula (Juegu), slanting inward 0.3 cun, is Yangfu (GB38); descending 3 cun from Yangfu, in the arterial pulse within the tip of the lateral malleolus, pressed and sought, is Xuanzhong (GB39); moving from Xuanzhong below the lateral malleolus into the oblique anterior depression, is Qiuxu (GB40); descending 3 cun from Qiuxu, behind the metatarsal bones of the first and fourth toes, in the depression between the foot dorsum, is Zulinqi (GB41); descending 0.5 cun from Zulinqi, in the depression between the metatarsal bases of the first and fourth toes, is Diwuhui (GB42); descending 1 cun from Diwuhui, anterior to the metatarsal bases of the first and fourth toes, in the depression between the divergent bones, is Xiaxi (GB43); descending from Xiaxi to the lateral tip of the fourth toe, approximately the width of a leek leaf from the nail corner, is Zuqiaoyin (GB44).