条文:
经云:胆者中正之官,决断出焉。又云:是经少血多气。
又曰:凡十一脏皆取决于胆也。
『难经』曰:胆在肝之短叶间,重三两三铢,长三寸,盛精汁三合。
『中脏经』曰:胆者清净之腑,号曰将军,主藏而不泻(图六十八)
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条文:
胆足少阳之脉,起于目锐眦,上抵头角,下耳后,循颈行手少阳之前,
至肩上却交出手少阳之后,入缺盆;其支者,从耳后入耳中,出走耳前,
至目锐眦后;
其支者,别锐眦,下大迎,合手少阳抵于□,下加颊车,下颈合缺盆以下胸中,
贯膈、络肝、属胆、循胁里,出气街,绕毛际横入髀厌中;
其直者,从缺盆下腋循胸,过季胁,下合髀厌中,以下循髀阳,出膝外廉,
下外辅骨之前,直下抵绝骨之端,下出外踝之前,循足跗上入小趾之间;
其支者,别跗上入大趾之间,循大趾岐骨内,出其端,还贯爪甲,出三毛
(图六十九)。
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条文:
足脉少阳胆之经,始从两目锐眦生,抵头循角下耳后,脑空风池次第行,
手少阳前至肩上,交少阳右上缺盆,支者取后贯耳内,出走耳前锐眦循,
一支锐眦大迎下,合乎少阳抵项根,下加颊车缺盆合,入胸贯膈络肝经,
属胆仍从胁里过,下入气街毛际萦,横入髀厌环跳内;直者缺盆下腋膺,
过季胁下脾厌内,出膝外廉是阳陵,外辅绝骨踝前过,足跗小指次指分;
一支别从大指去,三毛之际接肝经。
注:[1]足少阳胆经之脉,起于目之锐眦瞳子□穴,循听会客主人穴,
上抵头角颔厌穴也。
[2]从颔厌循悬颅、悬厘、曲鬓率谷,折而下行于耳后之天冲、浮白、
窍阴、完骨等穴;折外上行至眉头之本神、阳白、临泣、目窗、正营、
承灵、脑空等穴;循颈至风池穴,过手少阳经天牖穴之前,
至肩上本经之肩井穴:从肩井穴却交出于手少阳之后,入缺盆处也。
[3]其支者,从耳后入耳中,出走耳前至目锐眦后,此一小支之脉,
行于头之无穴处也。
[4]又其支者,别锐眦下手阳明之大迎穴,合手少阳抵于□下,加颊车,
下颈合缺盆穴,以下入胸中,贯膈络肝,属胆,循胁里,出气街,
散布脏腑,外绕毛际,横入髀厌中环跳穴也。
[5]其支者,从缺盆下腋渊液穴;从渊液穴循胸辄筋穴也。
[6]从辄筋、日月穴过季胁至京门穴;从京门循行带脉、五枢、维道、
居□,下合髀厌中环跳穴也。
[7]从环跳穴以下循髀阳风市穴;从风市循行渎、阳关、出膝外廉,
阳陵泉穴也。
[8]从阳陵泉穴循阳交、外丘、光明等穴,下外辅骨之前阳辅穴也。
[9]从阳辅穴直下抵绝骨之端悬钟穴;从悬钟下出外踝之前丘墟穴;
从丘墟穴循足跗上临泣穴也。
[10]从临泣入小指次指之间侠溪、窍阴穴也。
[11]其支者,别跗上入大指之间,循大指岐骨内,出其端,
还贯爪出三毛,以交于足厥阴肝经也。
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条文:
《黄帝内经》说:胆是中正之官,决断的功能由此产生。又说:这条经脉(足少阳胆经)血少气多。
又说:所有十一个脏腑的功能发挥都取决于胆。
《难经》说:胆位于肝脏的短叶之间,重量为三两三铢,长度三寸,容纳精汁三合。
《中脏经》说:胆是清净之腑,号称将军,主要功能是贮藏精气而不泻出(图六十八)。
条文:
足少阳胆经的脉气,起始于目外角(锐眦),向上到达头角,向下经过耳后,沿着颈部行走,在手少阳三焦经的前方,
到达肩部时,却交叉到手少阳三焦经的后方,进入缺盆;它的分支,从耳后进入耳中,走出耳前,
到达目外角的后方;
另一分支,从目外角分出,向下经过大迎穴,与手少阳三焦经会合到达下颌角下方(原文缺字,据注补为“项根”或类似部位),向下经过颊车穴,沿颈部下行与缺盆处的经脉会合,然后进入胸中,
穿过膈肌,联络肝脏,归属于胆,沿着胁肋内部行走,出于气街(腹股沟动脉处),绕过阴毛边缘,横向进入大腿外侧的髀厌(环跳穴所在处);
其直行者,从缺盆下行至腋下,沿着胸部,经过季胁,向下与大腿外侧的髀厌会合,然后向下沿着大腿外侧(髀阳),出于膝盖外侧,
下行于腓骨前缘,直下到达绝骨的末端,向下出于外踝之前,沿着足背进入第四趾与第五趾之间;
另一分支,从足背分出,进入大趾与次趾之间,沿着大趾内侧的歧骨行走,出于其尖端,回转贯穿爪甲,出于丛毛处(三毛,即大趾爪甲后丛毛处)。
(图六十九)。
条文:
足少阳胆经的经脉,开始从两眼外角生出,抵住头部,沿着额角下行至耳后,依次经过脑空、风池穴,
在手少阳三焦经前方到达肩部,交会在手少阳三焦经之后上方进入缺盆,分支者取道耳后贯穿耳内,走出耳前至外眼角循行,
一支从外眼角向下至大迎穴,与手少阳三焦经会合到达颈根部,向下经过颊车、缺盆会合,进入胸中穿过膈膜联络肝脏,
归属于胆仍从胁肋内部经过,向下进入气街,环绕阴毛际,横向进入髀厌中的环跳穴内;直行者从缺盆下行至腋下的渊液穴,
经过季胁下方的脾厌(指带脉等区域)内部,出于膝盖外侧即是阳陵泉,经过外辅骨前的绝骨和外踝前,在足跗部小趾和次趾间分开;
一支别行从大趾离去,在三毛之处接续肝经。
注:[1] 足少阳胆经的脉气,起始于眼睛的外角瞳子髎穴,循行经过听会、客主人穴,
向上到达头角的颔厌穴。
[2] 从颔厌循行悬颅、悬厘、曲鬓、率谷,折而下行于耳后的天冲、浮白、
窍阴、完骨等穴;折向外上行至眉头部位的本神、阳白、临泣、目窗、正营、
承灵、脑空等穴;循颈部至风池穴,经过手少阳三焦经的天牖穴前方,
到达肩部本经的肩井穴:从肩井穴却交叉出手少阳三焦经的后方,进入缺盆处。
[3] 它的分支,从耳后进入耳中,走出耳前至目外角后方,这一小支经脉,
行走在头部没有穴位的地方。
[4] 又它的分支,从目外角分出下行至手阳明大肠经的大迎穴,与手少阳三焦经会合到达下颌角下方(原文缺字,据注补为“项根”或类似部位),经过颊车,
下行至颈部与缺盆穴会合,以下进入胸中,穿过膈膜联络肝脏,归属于胆,循行胁肋内部,出于气街,
散布于脏腑,外部环绕阴毛际,横向进入髀厌中的环跳穴。
[5] 它的分支,从缺盆下行至渊液穴;从渊液穴循行至辄筋穴。
[6] 从辄筋、日月穴经过季胁至京门穴;从京门循行带脉、五枢、维道、
居髎穴,向下与髀厌中的环跳穴会合。
[7] 从环跳穴以下循行髀阳的风市穴;从风市循行渎会、阳关,出于膝盖外侧,
即阳陵泉穴。
[8] 从阳陵泉穴循行阳交、外丘、光明等穴,下行于外辅骨前方的阳辅穴。
[9] 从阳辅穴直下到达绝骨末端的悬钟穴;从悬钟穴下行出于外踝前方的丘墟穴;
从丘墟穴循行足背上的临泣穴。
[10] 从临泣穴进入小趾和次趾之间的侠溪、窍阴穴。
[11] 它的分支,从足背分出进入大趾和次趾之间,循行大趾内侧的歧骨,出于其端,
回转贯穿爪甲出于三毛处,以交接于足厥阴肝经。
Passage:
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The Gallbladder is the official of uprightness, and decision-making arises from it. It further states: This meridian (Foot-Shaoyang Gallbladder Meridian) has little blood and abundant qi.
It also states: All eleven zang-fu organs depend on the Gallbladder for their functions.
The *Nanjing* (Classic of Difficult Issues) states: The Gallbladder is located between the short lobes of the Liver, weighing three liang and three zhu, with a length of three cun, containing three he of essence juice.
The *Zhongzangjing* (Classic of Internal Organs) states: The Gallbladder is a pure and clear fu organ, known as the General, primarily responsible for storing essence without excreting it (Figure 68).
Passage:
The Foot-Shaoyang Gallbladder Meridian originates at the outer canthus (lateral angle of the eye), ascends to the vertex/corner of the head, descends behind the ear, runs along the neck anterior to the Hand-Shaoyang Sanjiao Meridian,
reaches the shoulder, crosses posterior to the Hand-Shaoyang Sanjiao Meridian, and enters the supraclavicular fossa (Quepen); its branch enters the ear from behind the ear, emerges anterior to the ear,
and reaches the posterior aspect of the outer canthus;
another branch diverges from the outer canthus, descends to the Daying point, converges with the Hand-Shaoyang Sanjiao Meridian at the lower jaw/neck root area, descends past the Jiache point, travels down the neck to converge with the Quepen point, then enters the chest,
pierces the diaphragm, connects with the Liver, belongs to the Gallbladder, runs along the interior of the hypochondrium, emerges at the Qijie (inguinal region), surrounds the pubic hairline, and transversely enters the hip joint depression (Huantiao);
the main trunk descends from the Quepen into the axilla, follows the chest, passes through the lateral costal margin (Jixiong), descends to converge with the hip joint depression, then runs down the lateral thigh (Bi-yang), emerges at the lateral knee,
descends anterior to the fibula, reaches the end of the Juegu (distal fibula), emerges anterior to the lateral malleolus, runs along the dorsum of the foot, and enters the space between the fourth and fifth toes;
another branch diverges from the dorsum of the foot, enters the space between the first and second toes, runs along the medial side of the first metatarsal bone, emerges at its tip, curves back to penetrate the nail bed, and emerges at the trichiasis (hair tuft) area.
(Figure 69).
Passage:
The Foot-Shaoyang Gallbladder Meridian begins at the outer canthi of both eyes, ascends to the head, follows the temporal corner, descends behind the ear, sequentially passing through Naokong and Fengchi points,
anterior to the Hand-Shaoyang Sanjiao Meridian reaches the shoulder, crosses posterior and superior to the Hand-Shaoyang Sanjiao Meridian to enter the supraclavicular fossa; a branch enters the ear from behind, emerges anterior to the ear to follow the outer canthus,
one branch descends from the outer canthus to the Daying point, converges with the Hand-Shaoyang Sanjiao Meridian at the neck root, descends past Jiache and converges at Quepen, enters the chest, pierces the diaphragm, connects with the Liver,
belongs to the Gallbladder, still passing through the hypochondriac interior, descends into the Qijie, circles the pubic hairline, and transversely enters the Huantiao point within the hip depression; the straight branch descends from Quepen to the Yuanli point in the axilla,
passes through the lateral costal margin into the Dai Mai region, emerges at the lateral knee which is Yanglingquan, passes anterior to the external auxiliary bone (fibula) and anterior to the ankle, dividing between the dorsum of the foot, the little toe, and the second toe;
one branch diverges from the big toe, connecting with the Liver Meridian at the trichiasis area.
Note: [1] The Foot-Shaoyang Gallbladder Meridian originates at the Tongziliao point at the outer canthus of the eye, follows the Tinghui and Keyuren points,
and ascends to the Han'an point at the corner of the head.
[2] From Han'an, it follows Xuanlu, Xuanli, Qubin, and Shuaigu, turns downward to Tianchong, Fubai,
Qiayin, Wanggu, etc., behind the ear; turns outward and upward to Benshen, Yangbai, Linqi, Mucuang, Zhengying,
Chengling, Naokong, etc., near the eyebrow; follows the neck to Fengchi, anterior to the Tianyou point of the Hand-Shaoyang Sanjiao Meridian,
reaching the Jingming point of this meridian on the shoulder: from Jingming, it crosses posterior to the Hand-Shaoyang Sanjiao Meridian and enters the Quepen.
[3] Its branch enters the ear from behind the ear, emerges anterior to the ear to the posterior outer canthus; this small branch
runs through areas of the head without acupoints.
[4] Another branch diverges from the outer canthus, descends to the Daying point of the Hand-Yangming Large Intestine Meridian, converges with the Hand-Shaoyang Sanjiao Meridian at the lower jaw/neck root, passes Jiache,
descends to the neck to converge at Quepen, enters the chest below, pierces the diaphragm, connects with the Liver, belongs to the Gallbladder, runs along the hypochondriac interior, emerges at Qijie,
scatters among the zang-fu organs, surrounds the pubic hairline externally, and transversely enters the Huantiao point in the hip depression.
[5] Its branch descends from Quepen to the Yuanli point; from Yuanli, it follows to the Zhejin point.
[6] From Zhejin and Riyue points, it passes the lateral costal margin to the Jingmen point; from Jingmen, it follows the Dai Mai, Wushu, Weidao,
Juliao points, and descends to converge with the Huantiao point in the hip depression.
[7] From Huantiao, it follows the Biyang Fengshi point; from Fengshi, it follows Duhui and Yangguan, emerges at the lateral knee,
which is the Yanglingquan point.
[8] From Yanglingquan, it follows Yangjiao, Waqiu, Guangming, etc., descends anterior to the external auxiliary bone to the Yangfu point.
[9] From Yangfu, it goes straight down to the end of the Juegu, the Xuanzhong point; from Xuanzhong, it descends and emerges anterior to the lateral malleolus at the Qiuxu point;
from Qiuxu, it follows the Linqi point on the dorsum of the foot.
[10] From Linqi, it enters the Xiya and Qiayin points between the little toe and the second toe.
[11] Its branch diverges from the dorsum of the foot, enters the space between the first and second toes, follows the medial side of the first metatarsal bone, emerges at its tip,
curves back to penetrate the nail and emerge at the trichiasis, thereby connecting with the Foot-Jueyin Liver Meridian.