手太阳穴一十九,少泽前谷后溪遇。腕骨阳谷可养老,支正少海肩贞走。 俞天宗及秉风,
曲垣肩外复肩中。天窗天容上颧 ,却入耳中循听宫。
手小指端为少泽,前谷外侧本节索。节后陷中寻后溪,腕骨陷前着外侧。腕中骨下阳谷讨,
腕上一寸名养
老。支正腕后量五寸,少海肘端五分好。肩贞胛下两解间, 俞大骨之下保。天宗骨下在陷中,
秉风 后举有空。曲垣肩中曲胛陷,外俞胛后一寸从。肩中二寸大杼旁,天窗颊下动脉详。天容
耳下曲颊后,颧 面 锐端量。听宫耳端大如菽,此为小肠手太阳。
\r膀胱腑形图\ps127a73.bmp\r
经曰∶膀胱者,州都之官,津液藏焉,气化则能出矣。又云为黑肠。诸书辨膀胱不一。有云
有上口无下口,有云上下皆有口,或云有小窍注泄,皆非也。惟有下窍以出溺,上皆由泌别渗入
膀胱,其所以入也出也,由于气之施也。在上之气不施,则注入大肠而为泄,在下之气不施则急
胀涩涩,若不出而为淋。
足太阳膀胱之脉,起于目内 ,上额交巅上。其支别者,从巅至耳上角。其直行者从巅入
络脑,还出别下项,循肩膊内挟脊抵腰中,入循膂,络肾属膀胱。其支别者,从腰中下贯臀入
中。其支别者,从膊内左右别下贯胛,挟脊内,过髀枢,循髀外后廉下合 中,以下贯 内,出
外踝之后,循京骨至小指外侧端。
凡六十三穴,左右共一百二十六穴。
睛明(一名泪空) 在目内 ,《明堂》云内 头外一分宛宛中。手足太阳、足阳明、
阴跷、阳跷五脉之会。针一分半,灸三壮。
【主治】目视不明,见风泪出,拿肉攀睛,白翳 痒,头痛目眩。
手太阳小肠经共有十九个穴位,分别是少泽、前谷、后溪。腕骨、阳谷和养老穴位于此处,支正、少海、肩贞穴沿此走向分布。俞(天窗)、天宗及秉风穴,曲垣、肩外俞、肩中俞依次排列。天窗、天容穴位于颧骨上方,随后进入耳中循行于听宫穴。
手小指末端是少泽穴,在前谷穴外侧的本节(掌指关节)处寻找。节后凹陷处可找到后溪穴,腕骨穴在腕部骨头前方偏外侧。阳谷穴在腕中骨头下方,腕上一寸处名为养老穴。支正穴在腕后五寸处,少海穴在肘端内侧五分处。肩贞穴在肩胛骨下两骨缝之间,俞穴在大骨之下。天宗穴在骨下凹陷中,秉风穴在肩胛冈后方举手时有空隙处。曲垣穴在肩中曲胛的凹陷处,外俞穴在肩胛后一寸处。肩中穴在二寸处大杼穴旁,天窗穴在颊下动脉搏动明显处。天容穴在耳下曲颊后方,颧髎穴在面部颧骨锐利端测量定位。听宫穴在耳端,大小如豆粒,这是手太阳小肠经的穴位分布。
膀胱腑形态图
经文说:膀胱是州都之官,津液在此储藏,经过气化作用才能排出。又说它是黑肠。各书对膀胱的辨析不一。有的说它有上口无下口,有的说上下都有口,或者说有小窍用于排泄,这些说法都不正确。只有下窍用来排出尿液,上部的津液都由泌别清浊渗入膀胱,其进入和排出的过程,取决于气的施化作用。如果上部的气不施化,则津液注入大肠导致泄泻;下部的气不施化则会导致急胀、涩痛,若不出尿则成为淋证。
足太阳膀胱经的脉气,起于目内眦,向上至额部,交会于头顶。它的分支,从头顶到耳上角。直行者从头顶入络脑,复出分别下行项部,沿肩膊内侧挟脊柱到达腰部,入循脊内肌肉,联络肾脏,属于膀胱。它的分支,从腰部向下贯穿臀部,进入腘窝中。另一分支,从肩膊内侧左右分别下行贯穿肩胛,挟脊柱内侧,过髀枢,沿大腿外侧后廉下行,在腘窝中汇合,以下贯穿小腿肚,出于外踝之后,循京骨穴至小指外侧端。
本经共有六十三穴,左右共一百二十六穴。
睛明穴(又名泪空),位于目内眦,《明堂》记载在内眼角头外一分处的凹陷中。这里是手足太阳、足阳明、阴跷、阳跷五条经脉的交会处。针刺深度一分半,艾灸三壮。
【主治】视物不明,迎风流泪,胬肉攀睛,白翳瘙痒,头痛目眩。
The Hand-Taiyang Small Intestine Meridian has nineteen acupoints: Shaose (SI1), Qiangu (SI2), and Houxi (SI3) are encountered. Wangu (SI4), Yanggu (SI5), and Yanglao (SI6) can be found here; Zhizheng (SI7), Shaohai (SI8), and Jianzhen (SI9) follow the course. Tianzhu (SI10), Tianzong (SI11), and Bingfeng (SI12); Quyuan (SI13), Jianwaishu (SI14), and Jianzhongshu (SI15). Tianchuang (SI16) and Tianrong (SI17) are above the zygomatic bone, then entering the ear to circulate along Tinggong (SI19).
Shaose is at the tip of the little finger; Qiangu is sought on the lateral side of the metacarpophalangeal joint. Houxi is found in the depression distal to the joint; Wangu is located anterior to the pisiform bone on the lateral side. Yanggu is sought below the styloid process of the ulna; one cun proximal to the wrist crease is named Yanglao. Zhizheng is measured five cun posterior to the wrist; Shaohai is good at five fen medial to the end of the elbow. Jianzhen is between the two gaps below the scapula; Tianzhu is protected below the large bone. Tianzong is in the depression below the bone; Bingfeng has an empty space when the arm is raised posteriorly. Quyuan is in the depression of the curved scapula in the shoulder; Waishu follows one cun posterior to the scapula. Jianzhong is two cun lateral to Dazhu; Tianchuang is detailed by the pulsation under the cheek. Tianrong is posterior to the curved jaw below the ear; Quanliao is measured at the sharp end of the zygomatic bone. Tinggong is at the end of the ear, the size of a bean; this constitutes the Hand-Taiyang Small Intestine Meridian.
[Image: Diagram of the Bladder Fu Organ]
The Classic states: The Bladder is the official of the capital, where fluids are stored; only through qi transformation can they be excreted. It is also called the "black intestine." Various texts differ in their description of the bladder. Some claim it has an upper opening but no lower one; others say it has openings at both ends; or that there is a small aperture for discharge. All these are incorrect. Only the lower aperture discharges urine, while fluids from above are separated and seep into the bladder through the process of distinguishing clear from turbid. Their entry and exit depend on the function of qi. If the qi above does not transform, fluids pour into the Large Intestine causing diarrhea; if the qi below does not transform, it leads to urgent distension and dysuria, resulting in strangury if urine is not expelled.
The Foot-Taiyang Bladder Meridian originates from the inner canthus of the eye, ascends to the forehead, and intersects at the vertex. Its branch goes from the vertex to the upper angle of the ear. The main trunk enters the brain from the vertex, emerges again, descends separately down the neck, follows the medial aspect of the shoulder blade, flanks the spine, reaches the waist, enters the paraspinal muscles, connects with the Kidney, and belongs to the Bladder. Another branch descends from the waist, passes through the buttocks, and enters the popliteal fossa. A further branch separates from the medial aspect of the shoulder, passes laterally through the scapula, flanks the spine internally, crosses the hip joint, follows the posterior-lateral aspect of the thigh, converges in the popliteal fossa, descends through the calf muscle, emerges posterior to the lateral malleolus, follows Jinggu (BL64) to the lateral end of the little toe.
There are sixty-three acupoints in total, one hundred twenty-six on both sides.
Jingming (BL1) (also known as Leikong): Located in the inner canthus. The *Mingtang* records it in the depression one fen lateral to the inner canthus corner. It is the meeting point of the Hand-Taiyang, Foot-Taiyang, Foot-Yangming, Yin-Qiao, and Yang-Qiao meridians. Needle 1.5 fen deep; moxibustion three cones.
【Indications】Blurred vision, tearing upon exposure to wind, pterygium, white corneal opacity with itching, headache, and vertigo.