条文:
足太阴脾由足拇,隐白先从内侧起,大都太白继公孙,商丘直上三阴坞,
漏谷地机阴陵泉,血海箕门冲门前,府舍腹结大横上,腹哀食窦天溪连,
胸乡周荣大包尽,二十一穴太阴全。
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条文:
大趾端内侧隐白,节后陷中求大都,太白内侧核骨下,节后一寸公孙呼。
商丘内踝微前陷,踝上三寸三阴交,再上三寸漏谷是,踝上五寸地机朝。
膝下内侧阴陵泉,血海膝膑上内廉,箕门穴在鱼腹上,动脉应手越筋间。
冲门横骨两端动,府舍上行七分看,腹结上行三寸入,大横上行一寸三。
腹哀上行三寸半,食窦上行三寸间,天溪上行一寸六,胸乡周荣亦同然。
外斜腋下六寸许,大包九肋季胁端。
注:[1]隐白穴,在足大趾内侧端后,去爪甲角如韭叶许,是其穴也。
[2]从隐白行足大趾内侧,次节末骨缝,赤白肉际陷中,大都穴也。
[3]从大都行足大趾后内侧,内踝前核骨下,赤白肉际陷中,太白穴也。
[4]从太白上行,足大趾本节后一寸,内踝前陷中,公孙穴也。
[5]从公孙上行,内踝下微前陷中,商丘穴也。
[6]从商丘上行,内踝踝尖上三寸,夹骨陷中,三阴交穴也。
[7]从三阴交上行三寸,夹骨陷中,漏谷穴也。
[8]从漏谷上行五寸,在膝下五寸内侧,夹骨陷中,伸足取之,
地机穴也。
[9]从地机上行膝下,内侧曲膝横纹头陷中,阴陵泉穴也。
[10]从阴陵泉上行,在膝膑上一寸,内廉白肉际陷中,血海穴也。
[11]从血海上行,在鱼腹上越两筋间,阴骨内廉,动脉应手,不禁重按,
箕门穴也。
[12]从箕门上行,横骨两端约纹中动脉,去腹中行旁开三寸半,
冲门穴也。
[13]从冲门上行七分,去复中行,亦旁开三寸半,府舍穴也。
[14]从府舍上行三寸,去腹中行,亦旁开三寸半,腹结穴也。
[15]从腹结上行一寸三分,去腹中行,亦旁开三寸半,大横穴也。
[16]从大横上行三寸半,去腹中行,亦旁开三寸半,腹哀穴也。
[17]从腹哀上行三寸,或从乳上三肋间,动脉应手处,往下六寸四分,
去胸中行旁开六寸,举臂取之,食窦穴也。
[18]从食窦上行一寸六分,去胸中行旁开六寸,仰而取之,天溪穴也。
[19]从天溪上行一寸六分,去胸中行亦旁开六寸,仰而取之,胸乡穴也。
[20]从胸乡上行一寸六分,去胸中行亦旁开六寸,仰而取之,周荣穴也。
[21]从周荣外斜下行,过少阳胆经渊液穴下三寸,至液下六寸许,出九肋
间季胁端,大包穴也(见图四十九)。
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足太阴脾经的穴位起始于足大趾,隐白穴首先位于内侧。接着是大都、太白,随后是公孙,商丘直上到达三阴交,
漏谷、地机、阴陵泉,血海、箕门、冲门依次排列,府舍、腹结、大横向上延伸,腹哀、食窦、天溪相连,
胸乡、周荣直至大包结束,二十一穴构成了完整的足太阴脾经。
大趾端内侧为隐白穴,节后凹陷处寻找大都穴,太白穴在内侧核骨下方,节后一寸处呼为公孙穴。
商丘穴在内踝前微前的凹陷中,内踝上三寸处为三阴交穴,再向上三寸为漏谷穴,内踝上五寸处为地机穴。
膝下内侧为阴陵泉穴,血海穴在膝盖髌骨上方内侧边缘,箕门穴位于鱼腹肌肉上方,动脉跳动穿过筋间可触及。
冲门穴在横骨两端搏动处,府舍穴向上七分处观察,腹结穴向上三寸进入,大横穴向上一寸三分。
腹哀穴向上三寸半,食窦穴向上三寸间隔,天溪穴向上一寸六分,胸乡和周荣穴也是同样的距离。
向外斜向腋下约六寸处,大包穴位于第九肋骨季胁末端。
注:[1] 隐白穴,位于足大趾内侧端后方,距离指甲角如韭菜叶宽度处,即是该穴位。
[2] 从隐白沿足大趾内侧行,至第二指节末端的骨缝,赤白肉际的凹陷中,是大都穴。
[3] 从大都沿足大趾后内侧行,至内踝前核骨下方,赤白肉际的凹陷中,是太白穴。
[4] 从太白向上行,足大趾本节后一寸,内踝前凹陷中,是公孙穴。
[5] 从公孙向上行,内踝下微前的凹陷中,是商丘穴。
[6] 从商丘向上行,内踝尖上三寸,夹骨凹陷中,是三阴交穴。
[7] 从三阴交向上行三寸,夹骨凹陷中,是漏谷穴。
[8] 从漏谷向上行五寸,在膝下五寸内侧,夹骨凹陷中,伸直腿取穴,
是地机穴。
[9] 从地机向上行膝下,内侧屈膝横纹头凹陷中,是阴陵泉穴。
[10] 从阴陵泉向上行,在膝盖髌骨上一寸,内侧白肉际凹陷中,是血海穴。
[11] 从血海向上行,在鱼腹上方越过两筋之间,阴骨内侧,动脉应手,不可重按,
是箕门穴。
[12] 从箕门向上行,横骨两端约纹中的动脉处,距腹中线旁开三寸半,
是冲门穴。
[13] 从冲门向上行七分,距腹中线,亦旁开三寸半,是府舍穴。
[14] 从府舍向上行三寸,距腹中线,亦旁开三寸半,是腹结穴。
[15] 从腹结向上行一寸三分,距腹中线,亦旁开三寸半,是大横穴。
[16] 从大横向上行三寸半,距腹中线,亦旁开三寸半,是腹哀穴。
[17] 从腹哀向上行三寸,或从乳上第三肋间隙,动脉应手处,往下六寸四分,
距胸中线旁开六寸,举臂取穴,是食窦穴。
[18] 从食窦向上行一寸六分,距胸中线旁开六寸,仰卧取穴,是天溪穴。
[19] 从天溪向上行一寸六分,距胸中线亦旁开六寸,仰卧取穴,是胸乡穴。
[20] 从胸乡向上行一寸六分,距胸中线亦旁开六寸,仰卧取穴,是周荣穴。
[21] 从周荣外斜下行,经过足少阳胆经渊液穴下方三寸,至腋窝下六寸许,出第九肋骨
间季胁末端,是大包穴(见图四十九)。
The acupoints of the Foot-Taiyin Spleen Meridian originate from the big toe. Yinbai (SP-1) begins on the medial side, followed by Dadu (SP-2), Taibai (SP-3), and Gongsun (SP-4). Shangqiu (SP-5) leads upward to Sanyinjiao (SP-6). Lougu (SP-7), Diji (SP-8), and Yinlingquan (SP-9) follow. Xuehai (SP-10), Jimen (SP-11), and Chongmen (SP-12) are arranged in sequence. Fushe (SP-13), Fujie (SP-14), and Daheng (SP-15) extend upward. Fu'ai (SP-16), Shidou (SP-17), and Tianxi (SP-18) connect continuously. Xiongxiang (SP-19), Zhourong (SP-20), and finally Dabao (SP-21) complete the meridian, totaling twenty-one acupoints of the Foot-Taiyin Spleen Meridian.
Yinbai (SP-1) is located at the medial end of the big toe. Dadu (SP-2) is sought in the depression behind the joint. Taibai (SP-3) is under the medial malleolus bone prominence on the medial side. Gongsun (SP-4) is one cun posterior to the joint. Shangqiu (SP-5) is in the slight anterior depression below the medial malleolus. Sanyinjiao (SP-6) is three cun above the medial malleolus. Lougu (SP-7) is another three cun above Sanyinjiao. Diji (SP-8) is five cun above the medial malleolus. Yinlingquan (SP-9) is on the medial side below the knee. Xuehai (SP-10) is on the medial aspect, one cun above the patella. Jimen (SP-11) is above the fleshy part of the thigh, where the arterial pulse can be felt between the tendons. Chongmen (SP-12) is at the pulsating point at both ends of the Henggu bone. Fushe (SP-13) is observed seven fen upward from Chongmen. Fujie (SP-14) enters three cun upward from Fushe. Daheng (SP-15) is one cun three fen upward from Fujie. Fu'ai (SP-16) is three cun half upward from Daheng. Shidou (SP-17) is separated by three cun upward from Fu'ai. Tianxi (SP-18) is one cun six fen upward from Shidou. Xiongxiang (SP-19) and Zhourong (SP-20) follow the same measurements. Laterally oblique to the armpit about six cun away, Dabao (SP-21) is at the end of the costal margin on the ninth rib.
Note: [1] Yinbai (SP-1) is located posterior to the medial end of the big toe, approximately the width of a leek leaf from the corner of the nail.
[2] Moving along the medial side of the big toe from Yinbai (SP-1), to the interosseous space at the end of the second phalanx, in the depression at the junction of red and white skin, is Dadu (SP-2).
[3] Moving along the posteromedial side of the big toe from Dadu (SP-2), to the depression at the junction of red and white skin below the medial malleolar prominence, is Taibai (SP-3).
[4] Moving upward from Taibai (SP-3), one cun posterior to the base of the big toe, in the depression anterior to the medial malleolus, is Gongsun (SP-4).
[5] Moving upward from Gongsun (SP-4), in the slight anterior depression below the medial malleolus, is Shangqiu (SP-5).
[6] Moving upward from Shangqiu (SP-5), three cun above the tip of the medial malleolus, in the depression between the bones, is Sanyinjiao (SP-6).
[7] Moving upward three cun from Sanyinjiao (SP-6), in the depression between the bones, is Lougu (SP-7).
[8] Moving upward five cun from Lougu (SP-7), on the medial side five cun below the knee, in the depression between the bones, take the point with the leg extended; this is Diji (SP-8).
[9] Moving upward from Diji (SP-8) below the knee, in the depression at the head of the transverse crease of the flexed knee on the medial side, is Yinlingquan (SP-9).
[10] Moving upward from Yinlingquan (SP-9), in the depression at the junction of white skin on the medial aspect, one cun above the patella, is Xuehai (SP-10).
[11] Moving upward from Xuehai (SP-10), above the fleshy part of the thigh, passing between two tendons, on the medial side of the femur, where the arterial pulse is palpable without heavy pressure, is Jimen (SP-11).
[12] Moving upward from Jimen (SP-11), at the arterial pulsation in the crease at both ends of the Henggu bone, three cun half lateral to the midline of the abdomen, is Chongmen (SP-12).
[13] Moving upward seven fen from Chongmen (SP-12), lateral to the midline of the abdomen, also three cun half lateral, is Fushe (SP-13).
[14] Moving upward three cun from Fushe (SP-13), lateral to the midline of the abdomen, also three cun half lateral, is Fujie (SP-14).
[15] Moving upward one cun three fen from Fujie (SP-14), lateral to the midline of the abdomen, also three cun half lateral, is Daheng (SP-15).
[16] Moving upward three cun half from Daheng (SP-15), lateral to the midline of the abdomen, also three cun half lateral, is Fu'ai (SP-16).
[17] Moving upward three cun from Fu'ai (SP-16), or from the third intercostal space above the breast where the arterial pulse is palpable, downward six cun four fen, six cun lateral to the midline of the chest, take the point with the arm raised; this is Shidou (SP-17).
[18] Moving upward one cun six fen from Shidou (SP-17), six cun lateral to the midline of the chest, take the point in supine position; this is Tianxi (SP-18).
[19] Moving upward one cun six fen from Tianxi (SP-18), six cun lateral to the midline of the chest, take the point in supine position; this is Xiongxiang (SP-19).
[20] Moving upward one cun six fen from Xiongxiang (SP-19), six cun lateral to the midline of the chest, take the point in supine position; this is Zhourong (SP-20).
[21] Moving obliquely downward laterally from Zhourong (SP-20), passing three cun below the Yuanli (GB-29) acupoint of the Foot-Shaoyang Gallbladder Meridian, to about six cun below the axilla, emerging between the ninth ribs at the end of the costal margin, is Dabao (SP-21) (see Figure 49).