(十二首集次见灵枢经脉论)
手太阴肺中焦生。下络大肠出贲门。上膈属肺从肺系。系横出腋 中行。肘臂寸口上鱼
际。
大指内侧爪甲根。支络还从腕后出。接次指属阳明经。此经多气而少血。是动则病喘与咳。
肺胀膨膨缺盆痛。两手交瞀为臂厥。所生病者为气嗽。喘渴烦心胸满结。 臂之内前 痛。
小便频数掌中热。气虚肩背痛而寒。气盛亦疼风汗出。欠伸少气不足息。遗失无度溺变别。
阳明之脉手大肠。次指内侧起商阳。循指上连出合谷。两筋歧骨循臂肪。入肘外廉循 外。
肩端前廉柱骨傍。从肩下入缺盆内。络肺下膈属大肠。支从缺盆直上颈。斜贲颊前下齿当。
环出人中交左右。上侠鼻孔注迎香。此经气盛血亦盛。是动颈肿并齿痛。所生病者为鼻衄
。目黄口干喉痹生。大指次指难为用。肩前 外痛相仍。
胃足阳明交鼻起。下循鼻外上入齿。还出侠口绕承浆。颐后大迎颊车里。耳前发际至额
颅
。支下人迎缺盆底。下膈入胃络脾宫。直者缺盆下乳内。一支幽门循腹里。下行直合气冲中
。
遂由髀关抵膝膑。 跗中指内关同。一支下漆注三里。前出中指外间通。一支别走足跗指。
大指之端经尽已。此经多气复多血。是动欠伸面颜黑。凄凄恶寒畏见人。忽闻木音心震慑。
登高而歌弃衣走。甚则腹胀仍贲响。凡此诸疾皆 厥。所生病者为狂疟。湿温汗出鼻流血。
口唇胗又喉痹。膝膑疼痛腹胀结。气膺伏兔 外廉。足跗中指俱痛彻。有余消谷溺色黄。
不足身前寒振栗。胃房胀满食不消。气盛身前皆有热。
太阴脾起足大指。上循内侧白肉际。核骨之后内踝前。上 循 经膝里。股内前廉入腹
中。
属脾络胃与膈通。侠喉连舌散舌下。支络从胃注心宫。此经气盛而血衰。是动其病气所为。
食入即吐胃脘痛。更兼身体痛难移。腹胀善噫舌本强。得后与气决然衰。所生病者舌亦痛。
体重不食亦如之。烦心心下仍急痛。泄水溏瘕寒疟随。不卧强立股膝肿。疽发身黄大指痿。
手少阴脉起心中。下膈直与小肠通。支者还从心系走。直上咽喉系目瞳。直者上肺出腋下。
后肘内少海从。臂内后廉抵掌后。锐骨之端注少冲。多气少血属此经。是动心脾痛难任。
渴欲饮水咽干燥。所生胁痛目如金。胁臂之内后廉痛。掌中有热向经寻。
手太阳经小肠脉。小指之端起少泽。循手外侧出踝中。循臂骨出肘内侧。上循 外出后
廉。
直过肩解绕肩甲。交肩下入缺盆内。向腋络心循咽嗌。下膈抵胃属小肠。一支缺盆贯颈颊。
至目锐 却入耳。复从耳前仍上颊。抵鼻升至目内 。斜络于颧别络接。此经少气还多血。
是动则病痛咽嗌。颔下肿兮不可顾。肩如拔兮 似折。所生病主肩 痛。耳聋目黄肿腮颊。
肘臂之外后廉痛。部分犹当细分别。
足经太阳膀胱脉。目内 上起额尖。支者巅上至耳角。直者从巅脑后悬。络脑还出别下
项。
仍循肩膊侠脊边。抵腰膂肾膀胱内。一支下与后阴连。贯臀斜入委中穴。一支膊内左右别。
贯胂侠脊过髀枢。臂内后廉 中合。下贯 内外踝后。京骨之下指外侧。是经血多气犹少。
是动头疼不可当。项如拔兮腰似折。髀强痛彻脊中央。 如结兮 如裂。是为踝厥筋乃伤。
所生疟痔小指废。头囟顶痛目色黄。腰尻 脚疼连背。泪流鼻衄及癫狂。足经肾脉属少阴。
小指斜趣涌泉心。然谷之下内踝后。别入跟中 内侵。出 内廉上股内。贯脊属肾膀胱临。
直者属肾贯肝膈。入肺循喉舌本寻。支者从肺络心内。仍至胸中部分深。是经多气而少血。
是动病饥不欲食。喘嗽吐血喉中鸣。坐而欲起面如垢。目视KT KT 气不足。心悬如饥常惕惕。
所生病者为舌干。口热咽痛气贲逼。股内后廉并脊疼。心肠烦痛疸而 。痿厥嗜卧体怠惰。
足下热痛皆肾厥。
手厥阴心主起胸。属包下膈三焦宫。支者循胸出胁下。胁上连腋三寸同。仍上抵腋循 内。
太阴少阴两经中。指透中冲支者别。少指次指络相通。是经少气原多血。是动则病手心热。
肘臂挛急腋下肿。甚则胸胁支满结。心中 或大动。善笑目黄面赤色。所生病者为烦心。
心痛掌中热之极。手经少阳三焦脉。起自小指次指端。两指歧骨手腕表。上出臂外两骨间。
肘后 外循肩上。少阳之后交别传。下入缺盆膻中分。散络心包膈里穿。支者膻中缺盆上。
上项耳后耳角旋。屈下至颐仍注颊。一支出耳入耳前。却从上关交曲颊。
至目内 乃尽焉。是经少血还多气。是动耳鸣喉肿痹。所生病者汗自出。耳后痛兼目锐 。
肩肘臂外皆疼。小指次指亦如废。足脉少阳胆之经。始从两目锐 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。支者耳后贯耳内。出走耳前锐 循。
一支锐 大迎下。合手少阳抵项根。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。过季胁下髀厌内。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。此经多气乃少血。
是动口苦善太息。心胁疼痛难转移。面尘足热体无泽。所生头痛连锐 。缺盆肿痛并两腋。
马刀挟瘿生两旁。汗出振寒 疟疾。胸胁髀膝至 骨。绝骨踝痛及诸节。厥阴足脉肝所终。
大指之端毛际丛。足跗上廉太冲分。踝前一寸入中封。上踝交出太阴后。循 内廉阴股充。
环绕阴器抵少腹。侠胃属肝络胆逢。上贯膈里布胁肋。侠喉颃颡目系同。脉上巅会督脉
出
。支者还生目系中。下络颊里环唇内。支者便从膈肺起。此经血多气少焉。是动腰疼俯仰难
。男疝女人少腹肿。面尘脱色及咽干。所生病者为胸满。呕吐洞泄小便难。或时遗溺并狐疝
临证还须仔细看。
（十二首集次见灵枢经脉论）
手太阴肺经：产生于中焦。向下联络大肠，出贲门。向上穿过膈肌，归属于肺，从肺系（气管、喉咙等与肺相连的组织）横行出于腋下，沿上肢内侧前缘下行，经过肘窝、寸口，上行至鱼际。分支从腕后列缺穴分出，走向食指内侧端，交接于手阳明大肠经。此经多气而少血。本经发生变动时，会出现气喘、咳嗽；肺胀满，膨膨然，缺盆（锁骨上窝）疼痛；两手交叉按揉胸部为臂厥证。本经所生的疾病有气逆咳嗽、气喘、口渴、心烦、心胸满闷结滞；手臂内侧前缘疼痛；小便频数、掌心发热。肺气虚则肩背寒痛；肺气盛则疼痛、伤风、汗出；呵欠、少气、呼吸不足；遗尿或失禁、小便颜色改变。
手阳明大肠经：脉起于食指桡侧端的商阳穴。沿手指上行，出于合谷穴，在两筋之间的歧骨处循行，沿前臂外侧前缘上行，进入肘外廉，沿上臂外侧前缘上行，过肩峰前缘，沿柱骨（颈椎）旁上行。从肩井穴下入缺盆内，联络肺，向下穿过膈肌，归属于大肠。其支脉从缺盆直上颈部，斜贯面颊，进入下齿龈中。环绕口唇，在人中穴处左右交叉，上行至鼻孔两侧，注于迎香穴，交接于足阳明胃经。此经气盛血亦盛。本经发生变动时，出现颈肿、牙齿疼痛。本经所生的疾病有鼻衄（鼻出血）、目黄、口干、喉痹（咽喉肿痛闭塞）。拇指和食指活动困难。肩前外侧疼痛相继出现。
足阳明胃经：交于鼻翼旁起，向下沿鼻外侧，上行入上齿中。复出，挟口角，环绕承浆穴。向后行至颐后大迎穴、颊车穴。上行至耳前发际，至额颅。其支脉从人迎穴下方、缺盆底处，向下穿过膈肌，进入胃，联络脾脏。直行者从缺盆下行，沿乳内，一支从幽门穴沿腹里下行，直下至气冲穴。遂由髀关穴抵膝膑（膝盖骨），沿胫骨外侧前缘下行，至足跗中指内侧间。另一支从膝下三寸处（足三里）分出，下行至足跗中指外侧间。又一支别走足背，出于大趾端，经气至此已尽。此经多气又多血。本经发生变动时，出现呵欠、面色发黑。凄凄怕冷，害怕见人。忽然听到木器声音就心惊震慑。登高而歌，弃衣奔走。严重时腹胀且肠鸣有声。凡此诸疾皆属厥证。本经所生的疾病有狂证、疟疾、湿温病、汗出、鼻流血、口唇生疮、喉痹、膝膑疼痛、腹胀结滞。气膺、伏兔、大腿前外侧疼痛。足跗、中指俱痛彻。有余（实证）则消谷善饥、小便色黄。不足（虚证）则身前寒冷战栗。胃脘胀满、食物不消化。气盛则身前皆有热感。
手太阴脾经：起于足大趾末端。向上沿内侧白肉际，核骨（第一跖骨基底）之后，内踝之前，上行沿小腿内侧前缘，入腹中。归属于脾，联络胃，与膈相通。挟咽喉，连舌根，散于舌下。其支络从胃注于心宫。此经气盛而血衰。本经发生变动时，病由气引起。食入即吐，胃脘痛。更兼身体疼痛难以移动。腹胀、爱噫气、舌根强硬。大小便通畅后症状暂时缓解。本经所生的疾病有舌痛。体重、不能进食也如此。心烦、心下急痛。泄泻如水、溏泄、瘕聚、寒疟。不能安卧、强立时股膝肿胀。疽发、身黄、大趾痿废。
手少阴心经：脉起于心中，向下穿过膈肌，直接与小肠相通。其支脉从心系上行，挟咽喉，连系目系（眼球连系于脑的脉络）。直行者上肺，出腋下，沿上臂内侧后缘，抵掌后锐骨（豌豆骨）之端，注入少冲穴。此经多气少血。本经发生变动时，心痛、脾痛难以忍受。口渴想喝水，咽喉干燥。本经所生的疾病有胁痛、目如金色（目睛发黄）。胁臂内侧后缘疼痛。掌心发热，向经络寻治。
手太阳小肠经：脉起于小指尺侧端的少泽穴。沿手外侧上行，出腕部尺骨茎突中，沿前臂骨外侧，出肘内侧。上行沿上臂外侧后缘，直过肩关节，绕肩胛，交会于肩上，下入缺盆内。向腋窝方向，联络心脏，沿食管咽嗌。向下穿过膈肌，抵胃，归属于小肠。其一支脉从缺盆贯穿颈部、面颊，至目内眦，却入耳中。又从耳前上行至面颊，抵鼻旁，升至目内眦，斜络于颧骨，别络相接。此经少气还多血。本经发生变动时，病痛在咽嗌。颔下肿，不可回顾。肩如拔，肘似折。本经所生病主肩肘疼痛。耳聋、目黄、腮颊肿。肘臂外侧后缘疼痛。部位不同应当仔细分别。
足太阳膀胱经：脉起于目内眦，上行至额尖。支脉至头顶，至耳角上方。直行者从头顶脑后悬垂而下，络脑，还出别下项。仍沿肩膊侠脊边下行，抵腰膂，入络肾，属于膀胱。一支下与后阴（肛门）相连。贯臀，斜入委中穴。一支从膊内左右分开，贯胂（臀部肌肉），侠脊过髀枢（髋关节）。臂内后廉腘中合。下贯内外踝后，京骨之下，至足小趾外侧端。此经血多气犹少。本经发生变动时，头疼不可当。项如拔，腰似折。髀强痛彻脊中央。腘如结，踹（小腿肚）如裂。是为踝厥，筋乃伤。本经所生的疾病有疟疾、痔疾、小趾废用。头囟顶痛、目色黄。腰尻、脚疼连背。泪流、鼻衄及癫狂。
足少阴肾经：脉属少阴。起于足小趾斜趣涌泉穴。然谷穴之下，内踝之后，别入跟中，向内侵。出内踝前廉，上股内后廉。贯脊，属于肾，联络膀胱。直行者属于肾，贯穿肝，穿过膈肌，入肺，沿喉咙，至舌根。支脉从肺络心内，仍至胸中，部位深。此经多气而少血。本经发生变动时，病表现为饥不欲食。喘嗽、吐血、喉中鸣响。坐而欲起，面色如垢。目视KT KT（形容目光呆滞或视物不清），气不足。心悬如饥，常惕惕不安。本经所生的疾病有舌干。口热、咽痛、气贲逼。股内后廉并脊疼。心肠烦痛、疸病、痿厥、嗜卧、体怠惰。足下热痛皆属肾厥。
手厥阴心包经：起于胸中，属心包，下膈，历络三焦。其支脉循胸出胁，下腋三寸，上抵腋下，循臑内，行于太阴、少阴两经之间。透达中冲穴。其支别从膻中分出，络于手心，通于小指次指（无名指）。此经少气原多血。本经发生变动时，病在手心热。肘臂挛急，腋下肿。严重时胸胁支满结滞。心中憺憺（心动貌）或大动。善笑、目黄、面赤色。本经所生的疾病有烦心。心痛、掌中热之极。
手少阳三焦经：脉起自小指次指端（无名指尺侧端）。两指歧骨手腕表。上出臂外两骨间。肘后臑外，循肩上，行于少阳之后，交别传。下入缺盆，分走膻中。散络心包，穿过膈里。其支脉从膻中、缺盆上，至项、耳后，耳角旋。屈下至颐，仍注颊。一支出耳，入耳前，却从上关交曲颊。至目内眦乃尽焉。此经少血还多气。本经发生变动时，耳鸣、喉肿痹。本经所生的疾病有汗自出。耳后痛兼目锐眦痛。肩肘臂外皆疼。小指次指亦如废用。
足少阳胆经：脉始从两目锐眦生。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。支者耳后贯耳内，出走耳前锐眦循。一支锐眦、大迎下，合手少阳抵项根。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，下髀厌内。出膝外廉是阳陵泉。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。此经多气乃少血。本经发生变动时，口苦、善太息。心胁疼痛难转移。面尘、足热、体无泽。本经所生的疾病有头痛连锐眦。缺盆肿痛并两腋。马刀挟瘿生两旁。汗出振寒、疟疾。胸胁髀膝至腨骨。绝骨踝痛及诸节。
足厥阴肝经：脉终。起于大指之端毛际丛。足跗上廉太冲分。踝前一寸入中封。上踝交出太阴后。循胫内廉，阴股充。环绕阴器，抵少腹。侠胃，属肝，络胆逢。上贯膈里，布胁肋。侠喉颃颡，目系同。脉上巅会督脉出。支者还生目系中。下络颊里，环唇内。支者便从膈肺起。此经血多气少焉。本经发生变动时，腰疼俯仰难。男疝、女人少腹肿。面尘脱色及咽干。本经所生的疾病有胸满。呕吐、洞泄、小便难。或时遗溺并狐疝临。临证还须仔细看。
(The Twelve Headings Collection, next seen in the *Ling Shu: Jing Mai Lun*)
**Hand-Taiyin Lung Meridian:** Originates in the Middle Jiao (Middle Burner). Descends to connect with the Large Intestine, exits at the贲门 (cardia), ascends through the diaphragm, and belongs to the Lung. From the lung system (trachea, larynx, etc., connected to the lung), it emerges horizontally from the axilla, runs along the anterior aspect of the medial side of the upper limb, passes through the cubital fossa, the Cun Kou pulse point, and ascends to the Yu Ji area. A branch emerges from the wrist posteriorly (Lieque point), heads to the radial side of the tip of the index finger, and connects with the Hand-Yangming Large Intestine Meridian. This meridian has abundant Qi and scarce Blood. When this meridian is disturbed, symptoms include wheezing and cough; lung distension with a bloated sensation and pain in the Que Pen (supraclavicular fossa); crossing both hands over the chest indicates Bi Jue (Arm Jue syndrome). Diseases generated by this meridian include Qi-reversal cough, wheezing, thirst, mental restlessness, fullness and stagnation in the chest and heart; pain in the anterior medial aspect of the arm; frequent urination and heat in the palm. Qi deficiency leads to cold pain in the shoulder and back; Qi excess leads to pain, wind-strike, and sweating; yawning, shortness of breath, and insufficient respiration; enuresis or incontinence, and changes in urine color.
**Hand-Yangming Large Intestine Meridian:** The meridian originates at Shang Yang (LI1) on the radial side of the tip of the index finger. It follows the finger upwards, emerges at He Gu (LI4), runs between the two tendons at the岐骨 (radial-ulnar junction), ascends along the anterior lateral aspect of the forearm, enters the lateral edge of the elbow, follows the anterior lateral aspect of the upper arm, passes the anterior edge of the shoulder, and ascends alongside the cervical spine. From Jian Jing (GB21), it descends into the Que Pen (supraclavicular fossa), connects with the Lung, descends through the diaphragm, and belongs to the Large Intestine. A branch rises straight from the Que Pen to the neck, obliquely traverses the cheek, enters the lower teeth, circles the lips, crosses at Ren Zhong (GV26), ascends to the sides of the nose, and pours into Ying Xiang (LI20), connecting with the Foot-Yangming Stomach Meridian. This meridian has abundant Qi and abundant Blood. Disturbance causes neck swelling and toothache. Generated diseases include epistaxis, yellow eyes, dry mouth, and throat obstruction (Bi). Difficulty in using the thumb and index finger. Successive pain in the anterior lateral shoulder.
**Foot-Yangming Stomach Meridian:** Intersects at the side of the nose, descends along the nasal exterior, enters the upper teeth, re-emerges, flanks the mouth, and surrounds Cheng Jiang (CV24). Moves backward to Da Ying (ST5) and Jia Che (ST6). Ascends to the hairline at the ear front, reaching the forehead. A branch descends from Ren Ying (ST9) below the Que Pen base, passes through the diaphragm, enters the Stomach, and connects with the Spleen. The straight course descends from the Que Pen along the inner breast; one branch follows the abdomen interior from You Men (RN15) downward to Qi Chong (ST30). Then from Bi Guan (ST31) to the knee cap, along the medial side of the middle toe. Another branch descends from the knee to San Li (ST36), emerging anteriorly to pass between the toes of the middle toe. Another branch diverges to the foot dorsum, ending at the tip of the big toe, where the meridian energy concludes. This meridian has abundant Qi and abundant Blood. Disturbance causes yawning, dark facial complexion, aversion to cold, fear of people, and sudden fright upon hearing wooden sounds. Climbing high and singing, discarding clothes and running. Severe cases involve abdominal distension and borborygmus. All these diseases belong to Jue syndromes. Generated diseases include mania, malaria, damp-warmth, sweating, epistaxis, lip sores, throat obstruction, knee cap pain, abdominal distension and knotting. Pain in Qi Ying, Fu Tu, and the lateral thigh. Complete pain in the foot dorsum and middle toe. Excess conditions lead to rapid digestion and yellow urine; deficiency leads to cold shivering in the anterior body. Gastric fullness and indigestion. Qi excess causes heat in the anterior body.
**Hand-Taiyin Spleen Meridian:** Originates at the tip of the big toe. Ascends along the medial white flesh margin, behind the nuclear bone (base of the first metatarsal), anterior to the medial malleolus, ascends along the anterior medial aspect of the leg, enters the abdomen. Belongs to the Spleen, connects with the Stomach, and communicates with the diaphragm. Flanks the throat, connects to the root of the tongue, and spreads under the tongue. A branch from the stomach pours into the Heart. This meridian has abundant Qi and scarce Blood. Disturbance causes diseases due to Qi. Vomiting immediately after eating, epigastric pain. Accompanied by body pain difficult to move. Abdominal distension, belching, and stiff tongue root. Symptoms alleviate significantly after defecation or passing gas. Generated diseases include tongue pain. Heavy body and anorexia. Mental restlessness and urgent pain in the heart region. Watery diarrhea, loose stools, masses, cold malaria. Inability to lie down, swelling of thighs and knees when standing forcibly. Carbuncles, jaundice, and atrophy of the big toe.
**Hand-Shaoyin Heart Meridian:** The meridian originates in the Heart, descends through the diaphragm, and directly connects with the Small Intestine. A branch returns from the heart system, ascends to the throat, and connects to the eye system (ocular connections to the brain). The straight course ascends to the Lung, emerges from the axilla, follows the posterior medial aspect of the upper arm, reaches the posterior edge of the palm at the sharp bone (pisiform), and pours into Shao Chong (HT9). This meridian has abundant Qi and scarce Blood. Disturbance causes unbearable heart and spleen pain. Thirst for drinking water and dry throat. Generated diseases include hypochondriac pain and yellowish eyes. Pain in the posterior medial aspect of the hypochondrium and arm. Heat in the palm, seeking treatment along the meridian.
**Hand-Taiyang Small Intestine Meridian:** The meridian originates at Shao Ze (SI1) on the ulnar side of the tip of the little finger. Follows the lateral hand, emerges at the wrist (ulnar styloid), follows the lateral aspect of the forearm bone, emerges at the medial side of the elbow. Ascends along the posterior lateral aspect of the upper arm, passes the shoulder joint, winds around the scapula, intersects at the shoulder, and enters the Que Pen. Towards the axilla, it connects with the Heart, follows the pharynx/esophagus. Descends through the diaphragm, reaches the Stomach, and belongs to the Small Intestine. One branch from the Que Pen penetrates the neck and cheek, reaches the inner canthus, enters the ear. From the ear front, it ascends to the cheek, reaches the nose, ascends to the inner canthus, obliquely connects to the zygoma, and diverges. This meridian has scarce Qi and abundant Blood. Disturbance causes pain in the pharynx. Swelling under the jaw making turning the head difficult. Shoulder feels like being pulled, elbow feels like breaking. Generated diseases mainly involve shoulder and elbow pain. Deafness, yellow eyes, swollen cheeks. Pain in the posterior lateral aspect of the elbow and arm. Locations should be distinguished carefully.
**Foot-Taiyang Bladder Meridian:** The meridian originates at the inner canthus, ascends to the vertex. A branch reaches the ear angle. The straight course hangs down from the vertex behind the head, connects with the Brain, emerges again, descends separately to the nape. Still follows the shoulder blades, flanking the spine, reaches the lumbar region, enters the Kidneys and Bladder. One branch connects with the posterior orifice (anus). Penetrates the buttocks, obliquely enters Wei Zhong (BL40). One branch separates left and right within the arm, penetrates the gluteal muscles, flanks the spine, passes the hip pivot. Merges in the popliteal fossa at the posterior medial aspect. Descends through the medial and lateral malleoli, below Jing Gu (BL64), to the lateral side of the little toe. This meridian has abundant Blood and scarce Qi. Disturbance causes unbearable headache. Neck feels like being pulled, waist feels like breaking. Thigh stiffness and pain penetrating the central spine. Popliteal fossa feels knotted, calf feels like tearing. This is An Jue, damaging the sinews. Generated diseases include malaria, hemorrhoids, useless little toe. Vertex pain, yellow eyes. Lower back and foot pain connecting to the back. Tearing, epistaxis, and epilepsy.
**Foot-Shaoyin Kidney Meridian:** Belongs to Shaoyin. Originates at Yong Quan (KI1) slanting from the little toe. Below Ran Gu (KI2), posterior to the medial malleolus, enters the heel separately, invades inward. Emerges at the medial shin, ascends along the posterior medial thigh. Penetrates the spine, belongs to the Kidney, approaches the Bladder. The straight course belongs to the Kidney, penetrates the Liver, passes through the diaphragm, enters the Lung, follows the throat to the tongue root. A branch from the Lung connects with the Heart internally, still reaching the chest deeply. This meridian has abundant Qi and scarce Blood. Disturbance causes hunger without desire to eat. Wheezing, cough, hemoptysis, and humming in the throat. Sitting but wanting to rise, face like dirt. Eyes staring blankly, insufficient Qi. Heart hanging like hunger, often apprehensive. Generated diseases include dry tongue. Hot mouth, sore throat, oppressive Qi. Pain in the posterior medial thigh and spine. Restless pain in heart and intestines, jaundice, atrophy-jue, lethargy, and body lassitude. Heat and pain in the soles are all Kidney Jue.
**Hand-Jueyin Pericardium Meridian:** Originates in the chest, belongs to the Pericardium, descends through the diaphragm, sequentially connects with the Triple Energizer. A branch follows the chest, emerges from the hypochondrium, descends three cun below the axilla, ascends to reach the axilla, follows the arm interior, between the Taiyin and Shaoyin meridians. Reaches Zhong Chong (PC9). A branch diverges from the Dan Zhong, connects with the palm, and communicates with the ring finger. This meridian has scarce Qi and originally abundant Blood. Disturbance causes heat in the palm. Spasm and tightness of the elbow and arm, swelling in the axilla. Severe cases involve fullness and knotting in the chest and hypochondrium. Palpitations or severe heart movement. Frequent laughter, yellow eyes, red face. Generated diseases include mental restlessness. Heart pain and extreme heat in the palm.
**Hand-Shaoyang Triple Energizer Meridian:** The meridian originates at the end of the ring finger (ulnar side). Between the two bones at the wrist. Ascends out between the two bones of the forearm. Posterior to the elbow, outside the arm, follows the shoulder, behind the Shaoyang, intersecting and transmitting. Descends into the Que Pen, dividing at the Dan Zhong. Scatters and connects with the Pericardium, piercing through the diaphragm. A branch from the Dan Zhong and Que Pen ascends to the neck, behind the ear, rotating at the ear angle. Bends down to the chin, still pouring into the cheek. One branch exits the ear, enters anterior to the ear, yet from Shang Guan (SJ17) intersects at the curved cheek. Ends at the inner canthus. This meridian has scarce Blood and abundant Qi. Disturbance causes tinnitus and throat swelling/obstruction. Generated diseases include spontaneous sweating. Pain behind the ear and lateral canthus. Pain in the shoulder, elbow, and lateral arm. Ring finger and index finger also become useless.
**Foot-Shaoyang Gallbladder Meridian:** Begins at the lateral canthus of both eyes. Reaches the head, follows the angle, descends behind the ear. Na Kong and Feng Chi proceed in order. Anterior to the Hand-Shaoyang to the shoulder, intersecting the Shaoyang above the right Que Pen. A branch from behind the ear penetrates the ear, exits anterior to the ear, follows the lateral canthus. One branch from the lateral canthus and Da Ying descends, merging with the Hand-Shaoyang to reach the neck root. Descending adds Jia Che and merges at the Que Pen. Enters the chest, pierces the diaphragm, connects with the Liver meridian. Belongs to the Gallbladder, still passing through the hypochondrium. Descends into the Qi Street and pubic region. Horizontally enters the hip depression and Huan Tiao (GB30). The straight course descends from the Que Pen to the axilla and chest. Passes the flank, descends inside the hip depression. Emerges at the lateral edge of the knee at Yang Ling Quan (GB34). Passes the fibular head and ankle anteriorly. Divides at the foot dorsum between the little and second toes. One branch diverges from the big toe, connecting with the Liver meridian at the hair tuft. This meridian has abundant Qi and scarce Blood. Disturbance causes bitter taste and frequent sighing. Pain in the heart and hypochondrium difficult to shift. Dusty face, hot feet, lack of luster. Generated diseases include headache connecting to the lateral canthus. Swelling and pain in the Que Pen and both axillae. Horse knife and clamping goiter arising on both sides. Sweating, chills, and malaria. Pain from the chest, hypochondrium, thigh, knee to the calf. Pain at the fibular head, ankle, and various joints.
**Foot-Jueyin Liver Meridian:** The meridian ends. Originates at the hair tufts at the tip of the big toe. Divides at Tai Chong (LR3) on the superior medial foot dorsum. Enters Zhong Feng (LR4) one cun anterior to the ankle. Ascends the ankle, crosses out posterior to the Taiyin. Follows the medial shin, filling the yin thigh. Circles the genitalia, reaches the lower abdomen. Flanks the Stomach, belongs to the Liver, encounters the Gallbladder. Ascends through the diaphragm interior, distributes in the hypochondrium. Flanks the throat, shares the pharynx and eye system. The pulse ascends to the vertex, meeting the Du Meridian to exit. A branch generates from the eye system. Descends to connect with the cheek interior, circling the lips internally. Another branch rises from the diaphragm and Lung. This meridian has abundant Blood and scarce Qi. Disturbance causes lower back pain difficult to bend or extend. Male hernia, female lower abdominal swelling. Dusty face, loss of color, and dry throat. Generated diseases include chest fullness. Vomiting, profuse diarrhea, difficult urination. Or occasional enuresis and fox hernia appearing. Clinical diagnosis requires careful observation.