足阳明胃之脉,起于鼻,交 中(两目之间鼻吻深处谓之 中)。旁约太阳之脉(足太阳
起于
承浆穴名也,在颐前唇下,宛宛中)。却循颐后下廉,出大迎(大迎之穴,在曲颔前同身寸之
一寸二分陷者中),循颊车(颊车谓颊之牙车也,言足阳明脉,循出颊车而行,故颊车穴在耳
下曲颊之端陷中),上耳前,过客主人(客主人,在耳前起骨开口有空处,)循发际至额颅。其
支者,从大迎前下人迎(人迎,在结候两旁大脉动应手是也),循喉咙入缺盆,下膈属胃,络
脾。其
至气冲中而合。以下髀关,低伏兔,下入膝膑中,下循 外廉,下足跗,入中趾内间。其支
者,下膝三寸而别,以下入中指外间。其支者,别跗上入大趾间,出其端厉兑穴也。
足阳明多气多血。是动则病,洒洒然振寒,善伸数欠颜黑,病至则恶人与火,闻木声则
惕然而惊,心欲动,独闭户塞牖而处,甚则欲上高而歌,弃衣而走,贲响腹胀,是为 厥。(本经
原缺,据《普济方》节补。)
\r足太阴脾经图\p06-d18a4.bmp\r
脾脉起于大指之端注于心中注心经
足太阴脾之脉,起于大趾之端,循趾内侧(隐白穴也),白肉际,过核骨后(太白穴之后
也),
上内踝前廉(商丘穴也),上 内(鱼腹也),循 骨后,交出厥阴之前,上循膝股内前廉(阴
陵泉也),入腹,属脾,络胃,上膈,挟咽连舌本(舌根系也),散舌下。其支者,复从胃别
上膈,注心中。
足太阴少血多气,是动则病,舌本强,食则吐,胃脘痛,腹胀善噫,得后与气,则快然
如衰
,身体皆重,是主脾所生病者,舌本痛,体不能动摇,食不下,烦心,心下急痛,寒疟溏瘕
,泄水闭,黄胆,不能卧,强立股膝内肿厥,足大趾不用也。
足阳明胃经的经脉,起始于鼻部,交汇于鼻根深处(两目之间、鼻梁深处的部位称为“囟中”)。旁边与足太阳膀胱经的脉气相约束(足太阳膀胱经起于睛明穴),随后沿着面颊后侧下行至下颌骨下缘,出于大迎穴(大迎穴位于下巴前方,同身寸一寸二分处的凹陷中)。接着沿颊车穴运行(颊车指面颊部的牙关处,意为足阳明胃经循行经过此处,故颊车穴位于耳下、下颌角弯曲处的端点凹陷中),上行至耳前,经过客主人穴(客主人穴即上关穴,位于耳前突起骨骼开口处的空隙中),沿发际线到达额颅。其分支,从大迎穴前方下行至人迎穴(人迎穴位于结喉两旁的大动脉搏动应手处),沿喉咙进入缺盆,向下穿过膈肌,归属于胃,联络脾脏。其直行主干在气冲穴处会合。由此向下经过髀关穴,伏行于伏兔穴下方,进入膝盖髌骨中,沿小腿外侧前缘下行,至足背,进入第二趾内侧间隙。另一分支,从膝下三寸处分出,向下进入第三趾外侧间隙。再一支,从足背分出,进入第一、二趾间,出于末端厉兑穴。
足阳明胃经是多气多血的经脉。当本经发生异常变动时,会出现病症:表现为怕冷战栗,喜欢伸展身体且频繁打哈欠,面色发黑;病发时厌恶人与火光,听到木器敲击的声音就会惊恐不安,心中悸动,独自关闭门窗居住;严重时想要登高唱歌,脱衣奔跑,腹部肠鸣胀满,这被称为“阳厥”。(原文此处缺失,据《普济方》节选补充。)
足太阴脾经图
脾脉起始于大脚趾末端,注入心中,注入手少阴心经。
足太阴脾经的经脉,起始于大脚趾末端,沿脚趾内侧(隐白穴所在处),行至白肉与红肉的交界处,经过核骨后方(太白穴之后),上行至内踝前缘(商丘穴所在处),上行至小腿肚(鱼腹部位),沿胫骨后缘行走,交出足厥阴肝经的前方,沿大腿内侧前缘上行(阴陵泉穴所在处),进入腹部,归属于脾,联络胃腑,向上穿过膈肌,夹持咽喉,连接舌根(舌系带根部),散布于舌下。其分支,又从胃部分出,向上穿过膈肌,注入心中。
足太阴脾经是少气多血的经脉。当本经发生异常变动时,会出现病症:舌根僵硬,进食后呕吐,胃脘疼痛,腹部胀满,容易嗳气,大小便通畅或排气后,症状似乎减轻,身体沉重;本经主治脾脏所生的疾病:舌根疼痛,身体无法动摇,饮食不下,心烦,心窝部急痛,寒性疟疾,大便溏泄或形成瘕聚,水液代谢障碍导致小便闭塞,黄疸,不能平卧,强行站立则大腿和膝盖内侧肿胀厥冷,大脚趾不能活动。
The meridian of Foot-Yangming Stomach originates at the nose, intersects at the root of the nose (the deep area between the eyes and on the nasal bridge is called "Xinzhong"). It laterally constrains with the meridian of Foot-Taiyang Bladder (Foot-Taiyang Bladder meridian originates at Jingming [BL1]), then follows the posterior aspect of the cheek downwards along the lower border of the mandible, emerging at Daying [ST5] (Daying acupoint is located in the depression 1.2 cun anterior to the angle of the jaw). It follows Jiache [ST6] (Jiache refers to the masticatory region of the cheek; since the Foot-Yangming Stomach meridian traverses this area, Jiache acupoint is located in the depression at the end of the curved jaw below the ear), ascends anterior to the ear, passes through Kerenren [ST7] (Kerenren, also known as Shangguan [ST7], is located in the hollow space anterior to the ear where the temporal bone rises and the mouth opens), follows the hairline to the frontal skull. Its branch descends from anterior to Daying to Renying [ST9] (Renying is located at the pulsating large artery on both sides of the laryngeal prominence). It follows the throat into Quepen [ST12], descends through the diaphragm, belongs to the Stomach, and connects with the Spleen. The main trunk converges at Qichong [ST30]. From there, it descends through Biguan [ST31], lies flat over Futu [ST32], enters the middle of the knee patella, descends along the lateral border of the leg, reaches the dorsum of the foot, and enters the medial space of the second toe. Another branch separates three cun below the knee, descending to enter the lateral space of the third toe. A further branch separates from the dorsum of the foot, enters the space between the first and second toes, and emerges at its tip, Lijue [ST45].
Foot-Yangming Stomach is a meridian abundant in Qi and Blood. When the meridian undergoes pathological changes, diseases occur: shivering and aversion to cold, frequent stretching and yawning, dark complexion; upon onset, aversion to people and fire, startling fear upon hearing the sound of wood, palpitations, closing doors and windows to stay alone; in severe cases, desire to climb high and sing, discarding clothes and running, abdominal rumbling and distension, which is termed "Yang Jue" (Yang Rebellious Qi). (This section was originally missing in the text, supplemented according to excerpts from *Puji Fang*.)
[Image: Foot-Taiyin Splein Meridian Diagram]
The Spleen meridian originates at the tip of the great toe, injects into the Heart, and connects with the Heart meridian.
The meridian of Foot-Taiyin Spleen originates at the tip of the great toe, follows the medial side of the toe (Yinbai [SP1]), crosses the junction of white and red flesh, passes posterior to the nuclear bone (posterior to Taibai [SP3]), ascends anterior to the medial malleolus (Shangqiu [SP5]), ascends to the calf belly (Yu Fu), follows the posterior border of the tibia, crosses anterior to Foot-Jueyin Liver, ascends along the anterior medial border of the thigh and knee (Yinlingquan [SP9]), enters the abdomen, belongs to the Spleen, connects with the Stomach, ascends through the diaphragm, flanks the pharynx, connects with the root of the tongue (tongue tie base), and scatters under the tongue. Its branch separates from the Stomach, ascends through the diaphragm, and injects into the Heart.
Foot-Taiyin Spleen is a meridian deficient in Qi but abundant in Blood. When the meridian undergoes pathological changes, diseases occur: stiffness of the tongue root, vomiting after eating, epigastric pain, abdominal distension, frequent belching; relief is felt after defecation or passage of gas, though the body feels heavy; diseases governed by the Spleen include: pain at the tongue root, inability to move the body, difficulty in swallowing food, vexation, acute pain in the epigastrium, cold malaria, loose stools or masses (Jia), water retention with urinary obstruction, jaundice, inability to lie down, swelling and coldness in the inner thighs and knees when standing forcibly, and dysfunction of the great toe.