(是经起于关冲穴,终于耳门穴。)
三焦手少阳之脉,起于小指次指之端,上出两指之间,循手表腕,出臂外两骨之间,上贯肘,循 外上肩
,而交出足少阳之后,入缺盆,布膻中,散络心包,下膈,循属三焦。其支者,从膻中上出缺盆,上项,系耳
后直上,出耳上角,以屈下颊至 。其支者,从耳后入耳中,出走耳前,过客主人前,交颊,至目锐 。是动
则病耳聋浑浑 ,嗌肿喉痹。是主气所生病者,汗出,目锐 痛,颊肿,耳后肩 肘臂外皆痛,小指次指不
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。盛者人迎大一倍于寸口,
虚者人迎反小于寸口也。
三焦手少阳之脉,受手厥阴之交,起于第四指之端关冲穴,上出历液门、中渚,循手表腕之阳池,出臂外
两骨之间,历外关、支沟、会宗、三阳络、四渎至天井穴,从天井上行,循臂 之外,历清冷渊、消泺,行手
太阴之里、手阳明之外,上肩循臂 ,会肩 、天 ,交出足少阳之后,过秉风、肩井,下入缺盆,复由足阳
明之外,而交会于膻中之上焦,散布络绕于心包络,乃下膈入络膀胱,以约下焦,附右肾而止。其支行者,从
膻中而上出缺盆之外,上项,过大椎,循天牖,上耳后,经翳风、 脉、颅囟,直上出耳上角至角孙,过悬厘、
颔厌,及过阳白、睛明,屈曲耳颊至 ,会颧 之分。其又支者,从耳后翳风穴入耳中,过听宫,历耳门、和
,却出至目锐 ,会瞳子 ,循丝竹空,而交于足少阳胆经也。
手少阳三焦经的脉气,起于小指与无名指之间的末端,向上出于两指之间,沿着手背腕部,从手臂外侧两根骨头之间穿出,向上穿过肘部,沿着肩外侧上行至肩部,然后交叉出足少阳胆经的后面,进入缺盆,分布于膻中部位,散布并联络心包络,向下穿过横膈,依次属于上焦、中焦、下焦三焦。它的支脉,从膻中上行出于缺盆,向上经过颈部,联系耳后,直上出于耳上角,然后向内弯曲下行至面颊部到达眼眶下。另一条支脉,从耳后进入耳中,走出耳前,经过客主人穴(上关穴)前方,交叉于面颊部,到达目外眦。当本经发生病变时,会出现耳聋、声音浑浊、咽喉肿痛、喉痹等症状。本经主治气分所生的疾病,症状包括汗出、目外眦疼痛、脸颊肿胀、耳后、肩部、肘部、臂外侧均出现疼痛,小指和无名指不能活动。对于这些病症,实证用泻法,虚证用补法,热证用疾刺法,寒证用留针法,脉气下陷的用灸法,不虚不实的取本经穴位治疗。实证表现为人迎脉搏动比寸口大一倍,虚证表现为人迎脉搏动反而小于寸口。
手少阳三焦经的脉气,接受手厥阴心包经的交接,起始于第四指(无名指)末端的关冲穴,向上经过液门穴、中渚穴,沿着手背腕部的阳池穴,从手臂外侧两根骨头之间穿出,经过外关穴、支沟穴、会宗穴、三阳络穴、四渎穴到达天井穴,从天井穴向上行,沿着臂外侧,经过清冷渊穴、消泺穴,行走于手太阴肺经的内侧、手阳明大肠经的外侧,上行至肩部沿着臂外侧,会合于肩髎穴、天髎穴,交叉出足少阳胆经的后面,经过秉风穴、肩井穴,向下进入缺盆,再从足阳明胃经的外侧,交会于膻中部位的上焦,散布络绕于心包络,然后向下穿过横膈入络膀胱,以约束下焦,附着于右肾而止。它的支脉,从膻中向上出于缺盆之外,上行至颈部,经过大椎穴,沿着天牖穴,上行至耳后,经过翳风穴、瘛脉穴、颅囟,直上出于耳上角到达角孙穴,经过悬厘穴、颔厌穴,以及经过阳白穴、睛明穴,弯曲经过耳颊部到达眼眶下,会合于颧骨部分。又一条支脉,从耳后的翳风穴进入耳中,经过听宫穴,历过耳门穴、和髎穴,再出来到达目外眦,会合于瞳子髎穴,沿着丝竹空穴,与足少阳胆经相交接。
(The meridian starts at the Guanzhong point and ends at the Ermen point.)
The Hand-Shaoyang Sanjiao Meridian originates from the tip of the ring finger, ascends between the index and ring fingers, follows the dorsal aspect of the wrist, emerges between the two bones of the forearm, ascends through the elbow, follows the lateral aspect of the shoulder, crosses posterior to the Foot-Shaoyang Gallbladder Meridian, enters the Supraclavicular Fossa (Quepen), spreads in the Chest Center (Danzhong), disperses and connects with the Pericardium, descends through the diaphragm, and successively belongs to the Upper, Middle, and Lower Jiao (Triple Burner). Its branch arises from the Danzhong, ascends out of the Quepen, goes up the neck, connects behind the ear, ascends straight to the upper angle of the ear, then curves downward to the cheek reaching the infraorbital region. Another branch enters the ear from behind it, exits anterior to the ear, passes anterior to the Shangguan point (Kerenren), crosses the cheek, and reaches the outer canthus. When this meridian is affected, disorders such as deafness, muffled hearing (Hunhun), pharyngeal swelling, and throat obstruction occur. This meridian governs diseases arising from Qi, manifesting as sweating, pain in the outer canthus, cheek swelling, pain in the area behind the ear, shoulder, elbow, and lateral arm, and dysfunction of the ring and little fingers. For these conditions, excess is treated by reducing, deficiency by tonifying, heat by rapid needling, cold by retaining the needle, sinking pulse by moxibustion, and neither excess nor deficiency by selecting points on the meridian itself. Excess is indicated when the Renying pulse is one times larger than the Cunkou pulse; deficiency is indicated when the Renying pulse is smaller than the Cunkou pulse.
The Hand-Shaoyang Sanjiao Meridian receives transmission from the Hand-Jueyin Pericardium Meridian, originating at the Guanzhong point at the tip of the fourth finger (ring finger), ascending through the Liye men (Yemen) and Zhongzhu points, following the Yangchi point on the dorsal wrist, emerging between the two forearm bones, passing through Waiguan, Zhigou, Huizong, Sanyangluo, and Sidu points to reach the Tianjing point. From Tianjing, it ascends along the lateral arm, passing Qinglengyuan and Xiaoluo points, running medial to the Hand-Taiyin Lung Meridian and lateral to the Hand-Yangming Large Intestine Meridian, ascending to the shoulder along the lateral arm, converging at Jianliao and Tianliao points, crossing posterior to the Foot-Shaoyang Gallbladder Meridian, passing Bingfeng and Jianjing points, descending into the Quepen, then intersecting with the Upper Jiao at Danzhong via the lateral aspect of the Foot-Yangming Stomach Meridian, spreading and connecting around the Pericardium, descending through the diaphragm to connect with the Bladder, thereby regulating the Lower Jiao, and attaching to the right kidney to terminate. Its branch arises from Danzhong, ascends out of the Quepen, goes up the neck, passes Dazhui, follows Tianyou, ascends behind the ear, passes Yifeng, Hui Mai, and Luxi, ascends straight to the upper angle of the ear reaching Jiaosun, passes Xuanli and Hanyan, as well as Yangbai and Jingming, curves through the ear-cheek region to the infraorbital area, converging at the zygomatic region. Another branch enters the ear from the Yifeng point behind the ear, passes Tinggong, goes through Ermen and Heliao, exits to reach the outer canthus, converges at Tongziliao, follows Sizhukong, and intersects with the Foot-Shaoyang Gallbladder Meridian.