中焦者,中脘也。胃口,胃之上脘也。络犹兜也。循,巡也。膈,心下膈膜也。肺系,喉咙也。肩下胁上
曰腋。膊下对腋处为 。 尽处为肘。肘以下为臂。廉,隅也。关前动脉为寸口,大指本节之后,其肉隆起处
统谓之鱼,鱼际则其间之穴名也。端,杪也。支者,如木之有枝,以其自直行之脉而旁行之也。脉之直行者为
经,旁行者为络。臂骨尽处为腕。
手太阴肺经之脉起于中焦者,以谷气入胃,其精微之气上注于肺脉也。下络大肠,以肺与大肠相表里也。
转巡胃之上口属之于肺,即从肺系横出腋下,盖由胸中之中府、云门以出腋下,下循 内,历天府、侠白行于
手少阴心经、手厥阴心主包络两经之前,下入肘中,抵尺泽穴。既下肘中,乃循臂内上骨之下廉,历孔最、列
缺,入寸口之经渠、太渊以上鱼。又循鱼际出大指之端,至少商穴而止。其支者,从腕后之列缺穴,交于手之
阳明经,以
至于商阳穴,又随商阳而上行也。
手太阴,十一穴。中府云门天府列,侠白下尺泽,孔最见列缺,经渠太渊下鱼际,抵指少商如韭叶。
太阴肺兮出中府,云门之下一寸许,云门璇玑旁六寸,巨骨之下二寸数,天府腋下三寸求,侠白肘上五寸
主,尺泽肘中约横文,孔最腕上七寸取,列缺腕侧一寸半,经渠寸口陷中主,太渊掌后横纹头,鱼际节后散脉
举,少商大指端内侧,相去爪甲韭叶许。
中焦,指的是中脘穴。胃口,即胃的上脘部位。络,如同兜住一样。循,意为巡行。膈,指心下方的膈膜。肺系,即喉咙。肩膀下方、胁肋上方称为腋。手臂下方正对腋下的位置为渊腋(此处原文缺字,根据上下文及经络走向推断为渊腋或极泉附近区域,但依原文“膊下对腋处为 ”,通常指渊腋穴所在区域,然手太阴肺经不经过此,此处原文可能有误或指代特定解剖位置,按字面翻译为:手臂下方正对腋下的位置)。肘部尽头为肘。肘以下至手腕的部分称为臂。廉,意为棱角。关脉前方的动脉搏动处称为寸口。大拇指本节之后的肌肉隆起处统称为鱼,其中的穴位名为鱼际。端,即末端。支者,像树木有枝丫一样,是从直行的经脉旁出的分支。经脉中直行的称为经,旁出的称为络。手臂骨骼尽头处为腕。
手太阴肺经的经脉起始于中焦,这是因为水谷精气进入胃后,其精微之气向上注入肺脉。向下联络大肠,因为肺与大肠互为表里。回转巡行经过胃的上口,归属于肺,接着从肺系横向走出腋下,大概是由胸中的中府穴、云门穴而出至腋下,向下沿上臂内侧,经过天府穴、侠白穴,行走于手少阴心经和手厥阴心包经的前方,向下进入肘中,抵达尺泽穴。既已下行至肘中,便沿着前臂内侧桡骨的下缘,经过孔最穴、列缺穴,进入寸口的经渠穴、太渊穴以上行至鱼际。又沿鱼际出至大拇指尖端,到达少商穴而止。其分支,从腕后的列缺穴分出,交于手阳明大肠经,以至于商阳穴,又随着商阳穴向上行。
手太阴肺经共有十一个穴位:中府、云门、天府、列缺、侠白、下尺泽(此处歌诀韵律所致,实为尺泽)、孔最、见列缺(重复提及,实指列缺)、经渠、太渊、下鱼际、抵指少商如韭叶(形容少商穴大小)。
太阴肺经始于中府穴,云门穴在中府下一寸左右,云门穴在璇玑穴旁开六寸,巨骨穴之下二寸处,天府穴在腋下三寸处寻找,侠白穴在肘上五寸处主治,尺泽穴在肘横纹中取,孔最穴在腕上七寸处取,列缺穴在腕侧一寸半处,经渠穴在寸口凹陷中主治,太渊穴在掌后横纹头,鱼际穴在节后散脉处举按,少商穴在大拇指端内侧,距离指甲边缘约韭菜叶宽度。
The Middle Jiao refers to the Zhongwan (CV12) acupoint. The gastric opening refers to the upper part of the stomach, specifically the Shangwan area. "Luo" (collaterals) is likened to a兜 (兜 means to encircle or hold up). "Xun" means to patrol or follow along. The diaphragm refers to the membrane below the heart. The lung system refers to the trachea and larynx (throat). The area below the shoulder and above the hypochondrium is called the axilla. The area below the arm directly opposite the axilla is [text missing in original, contextually referring to the lateral chest/axillary region]. The end of the elbow is the elbow joint. The part from the elbow down to the wrist is called the forearm. "Lian" means edge or corner. The arterial pulse anterior to the guan position is called the Cun Kou (radial pulse at the wrist). The raised muscular area posterior to the first metacarpophalangeal joint of the thumb is collectively called the Yu (fish), and the acupoint within this area is named Yuji (LU10). "Duan" means the tip or extremity. "Zhi" (branch) is like branches on a tree; it refers to the collateral vessels that branch off from the main meridian which runs straight. The straight-running vessels are called Jing (main meridians), while the branching ones are called Luo (collaterals). The end of the arm bones is the wrist.
The meridian of the Hand-Taiyin Lung Channel originates in the Middle Jiao. This is because after food and drink enter the stomach, their refined essence ascends to be injected into the lung meridian. It descends to connect with the Large Intestine, as the Lung and Large Intestine are exterior-interiorly related. It turns and patrols the upper opening of the stomach, belongs to the Lung, and then exits horizontally from the lung system into the axilla. Specifically, it emerges from the Zhongfu (LU1) and Yunmen (LU2) acupoints in the chest into the axilla, descends along the medial aspect of the upper arm, passes through Tianfu (LU3) and Xiabai (LU4), runs anterior to the Hand-Shaoyin Heart Channel and the Hand-Jueyin Pericardium Channel, descends into the elbow, and reaches the Chize (LU5) acupoint. Having descended into the elbow, it follows the lower edge of the medial bone of the forearm, passes through Kongzui (LU6) and Lieque (LU7), enters the Jingqu (LU8) and Taiyuan (LU9) acupoints at the Cun Kou, and ascends to the Yuji (LU10). It then proceeds from Yuji to the tip of the thumb, ending at the Shaoshang (LU11) acupoint. Its branch diverges from the Lieque (LU7) acupoint behind the wrist, connects with the Hand-Yangming Large Intestine Channel, reaches the Shangyang (LI1) acupoint, and ascends following Shangyang.
The Hand-Taiyin Lung Channel has eleven acupoints: Zhongfu, Yunmen, Tianfu, Lieque, Xiabai, Chize, Kongzui, Lieque (repeated in song for rhythm/emphasis), Jingqu, Taiyuan, Yuji, and Shaoshang at the finger tip, resembling the width of a leek leaf.
The Taiyin Lung channel begins at Zhongfu. Yunmen is approximately one cun below Zhongfu. Yunmen is six cun lateral to Xuanji (CV15), and two cun below Jugu (SI1). Tianfu is sought three cun below the axilla. Xiabai is governed at five cun above the elbow. Chize is located in the center of the cubital crease. Kongzui is taken seven cun above the wrist. Lieque is located one and a half cun on the radial side of the wrist. Jingqu is governed in the depression at the Cun Kou. Taiyuan is at the head of the transverse crease of the palm. Yuji is palpated where the scattered pulses emerge after the joint. Shaoshang is on the medial side of the tip of the thumb, approximately the width of a leek leaf away from the nail bed.