\r足阳明胃经之图\p06-d34a5.bmp\r
足阳明胃之经头走腹而腹走足足经气血俱多起于承泣止于厉兑计四十五穴左右共九十穴胃大
一尺五寸纤曲屈伸长二尺六寸
足阳明起鼻睛明平足太阳少阳并是足阳明五脉会又足太阳颧上循斜行承泣目瞳子四白巨 来
上齿出环唇口地仓行交互承浆下唇会
灵枢第十篇云足阳明之脉起于鼻交 中旁约太阳之脉下循鼻外入上齿中还出挟口环唇下交承
浆○滑氏曰颇鼻茎也鼻山根为颇足阳明起于鼻两旁迎香穴由是而上左右相交于 中过睛明之
分下循鼻外历承泣四白巨 入上齿中复出循地
仓挟两口吻环绕唇下左右相交于承浆之分也○迎香见手阳明经睛明见足太阳经手足太阳少阳
足阳明五脉之会承浆见任脉足阳明任脉之会
承泣 在目下七分直瞳于陷中足阳明任跷脉之会禁针
四白 在目下一寸直瞳子
巨 在夹鼻孔旁八分直瞳子跷脉之会
地仓 在夹口吻旁四分外如近下有微微动手足阳跷脉之会
却循颐后大迎出斜上颊车下关客足阳明与少阳交发际头维至颅额颞 手足少阳经额颅督
脉到神庭足太阳明三脉会
灵枢第十篇云却循颐后下廉出大迎循颊车上耳前过客主人循发际至额颅○滑氏曰腮下
为颔颔中为颐囟前为发际发际前为额颅自承浆却循颐后下廉出大迎循颊车上耳前历下关过
客主人循发际行悬厘颔厌之分经头维会于额颅之神庭○客主人悬厘颔厌并见足少阳经皆手足少
阳阳明之交会神庭见督脉足太阳阳明督脉之会
大迎 在曲颔前一寸三分骨陷中动脉以口下当两肩
颊车 在耳下曲颊端陷中侧卧张口取之
下关 在客主人下耳前动脉下廉合口有空开口即闭足少阳之会客主人足见少阳经
头维 在额角入发际本神旁一寸五分神庭旁四寸五分足少阳交会本神见足少阳经神庭见督脉足太阳
阳明督脉会足阳明脉自大迎行上终于此穴入神庭散脑中
其支再下大人迎水突穴居气舍上夹喉天突缺盆当循足少阴俞府行下膈属胃上脘旁胃口会厌为
吸门 属胃上脘足阳明会手太阴下一寸即由中脘是其经乃手太阳少阳合又同任脉会其穴络脾
微着左胁些相根据胃上无差别
灵枢第十篇云其支者从大迎前下人迎循喉咙入缺盆下膈属胃络脾○胸两旁高处为膺膺上横骨
为巨骨巨骨上陷中为缺盆其支别者从大迎前下人迎循喉咙历水突气舍入缺盆行足少阴俞府之
外下膈当上脘中脘之分属胃络脾○俞府见足少阴经上脘见任脉足阳明手太阳任脉之会中脘见
任脉手太阳少阳足阳明所生任脉之会
人迎 在颈大脉动应手夹结喉旁一寸五分动脉仰首取之禁针灸
水突 在颈大筋前直人迎下气舍上二穴之中间
气舍 在颈直人迎下夹天突陷中天突见任脉
缺盆 在肩下横骨陷中禁针
直行又自缺盆底气户库房并屋翳膺窗当乳乳根停斜入不容承满位梁门穴过关门通太乙滑门天
枢同挟脐外陵下大巨水道归来入气冲
灵枢第十篇云其直者从缺盆下乳内廉下挟脐入气冲中○滑氏曰直行者从缺盆而下下乳内廉循
气户库房屋翳膺窗乳中乳根不容承满梁门关门太乙滑肉门下挟脐历天枢外陵大巨水道归来诸
穴而入气冲中也○自气户至乳根去中行各四寸自不容至滑肉门去中行各三寸自天枢至归来去
气户 取天突下一寸两旁各四寸微近下陷中直乳头仰取天突见任脉
库房 在气户下一寸六分陷中下直乳头仰而取之
屋翳 在库房下一寸六分陷中直乳头仰而取之
膺窗 在屋翳下一寸六分陷中下直乳头仰而取
乳中 当乳中是也禁针灸
乳根 在直乳下一寸六分陷中仰而取之自气户至乳根去中行各四寸
不容 取巨关两旁各三寸直四肋端巨阙见任脉
承满 在不容下一寸
梁门 在承满下一寸
关门 在梁门下一寸
太乙 在关门下一寸
滑肉门 在太乙下一寸下挟脐自不容至滑肉门去中行各三寸
天枢 取脐两旁各二寸大肠之募
外陵 在天枢下一寸
大巨 在外陵下一寸
水道 在大巨下三寸
归来 在水道下二寸自天枢至日来去中行各二寸
气冲 在归来下鼠溪上一寸动脉应手宛宛中禁针一名气冲
其支腹从胃口下别行循腹肓俞走足少阴经与本经复会气冲从下溜
灵枢第十篇云其支者起胃下口循腹里下至气冲中而合○滑氏曰胃下口下脘之分难经云太仓下
口为幽门者是也自属胃处起胃下口循腹里过足少阴肓俞之外本经之里下至气冲中与前之入气
髀关伏兔阴市从梁丘膝上两筋同膝膑犊鼻至三里上廉条口下廉中丰隆解溪冲阳属陷谷内庭厉兑足
灵枢第十篇云以下 关抵伏兔下入膝膑中下循 外廉下足跗入中指外间○滑氏曰抵至也股外
为髀髀前膝上起肉处为伏兔伏兔后交文为髀关挟膝解中为膑胫骨为 跗足面也既相合气冲
下髀关抵伏兔历阴市梁丘下入膝膑中经犊鼻下循 外廉之三里巨虚上廉条口巨虚下廉丰隆解
之冲阳陷谷入中指外间之内庭至厉兑而终也
髀关 在膝上伏兔后交文分中禁灸
伏兔 在膝上六寸起肉端正跪坐而取之一云膝盖上七寸禁灸
阴市 在膝上三寸伏兔下陷中拜而取之禁灸
梁丘 在膝上二寸两筋间
犊鼻 在膝膑下 骨上骨解大筋中禁灸
三里 在膝眼下三寸 骨外廉大筋内宛宛中举足取之极重按之则跗上动脉止矣
上廉 在里下三寸举足取之
条口 在下廉上一寸举足取之禁灸
下廉 在上廉下三寸举足取之
丰隆 在外踝上八寸 外廉陷中当系鞋带处
解溪 在冲阳后一寸五分腕上陷中当系鞋带处
冲阳 在足跗上五寸骨间动脉去陷谷三寸
陷谷 在足大指次指之间本节后陷中
内庭 在足大指次指外间陷中
厉兑 在足大指次指之端去爪甲如韭叶
灵枢第十篇云其支者下膝三寸而别以下入中指外间○滑氏曰此支自膝下三寸循三里穴之外
冲阳反出行间来交足太阴脾脉续
灵枢第十篇云其支者别跗上入大指间出其端○滑氏曰此支自跗上冲阳穴别行大指间斜出足厥
阴行间穴之外循大指下出其端
以交于足太阴行间见足厥阴经
总歌曰
胃脉先由鼻 中却循颐后过喉咙络脾属胃侠脐下下胫还知厉兑通
愚按足阳明胃之脉起于鼻 终于足大指次指端上其支者自跗上冲阳穴别行入足大指之下长八
寸交于足太阴脾经故足太阴之脉起于大指之端内侧隐白穴始也
穴歌曰
四十五穴足阳明承泣四白巨 经地仓大迎颊车峙下关头维人迎对水突气舍连缺盆气户库
房屋
伏
是动所动歌曰
此经多气复多血是动欠呻面颜黑凄凄恶寒畏见人忽闻木音心震惕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 唇胗仍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中寒时胀满生气盛身前皆有热
灵枢第十篇云是动则病洒洒振寒善呻数欠颜黑病至则恶人与火闻木音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 厥是主血所生病者狂疟温淫汗出鼽衄口
唇胗颈肿喉痹大腹永肿膝膑肿痛循膺乳气街股伏兔 外廉足跗上皆痛中指不用气盛则身以
前皆热其有余于胃则消谷善饥溺色黄气不足则身以前皆寒栗胃中寒则胀满为此诸病盛则泻
虚则补之热则疾之寒则留之陷下则灸之不盛不虚以经取之盛者人迎大三倍于寸口虚者人迎反
音释
颞 颅（音卢囟也） 突（防骨反触也） 翳 肓 髀（音陛股也） 膑 犊
（音遏） 颔（音顺下也） 囟（音信） 鼷 独 （音旱胫骨） 峙
足阳明胃经之图
足阳明胃经，从头走向腹部，从腹部走向足部。该经脉气血都很充沛，起始于承泣穴，终止于厉兑穴，共计四十五个穴位，左右两侧共九十穴。胃的周长是一尺五寸，曲折伸展后长度为二尺六寸。
足阳明胃经起于鼻旁，睛明穴处与足太阳膀胱经、足少阳胆经并行，此处是足阳明、足太阳、足少阳、手阳明、手太阳五条经脉的交会点。又经过颧骨上方，沿斜行路线至承泣穴，在目瞳子直下为四白穴，再至巨髎穴。进入上齿中，出来环绕口唇，经过地仓穴，交替运行至承浆穴，在下唇处会合。
《灵枢》第十篇记载：足阳明胃经的脉气，起于鼻翼旁，在鼻根处交叉，旁边约略与足太阳膀胱经的脉气并行，向下沿着鼻外侧，进入上齿中，然后出来挟持口角，环绕嘴唇，下方交叉于承浆穴。○滑寿（滑氏）说：“颇”即鼻茎。鼻山根部位称为“颇”。足阳明胃经起于鼻两旁迎香穴，由此向上，左右相交于鼻根处，经过睛明穴的分野，向下沿着鼻外侧，经过承泣、四白、巨髎，进入上齿中，再出来沿着地仓穴，挟持两口角，环绕唇下，左右相交于承浆穴的部位。○迎香穴见手阳明大肠经；睛明穴见足太阳膀胱经；手足太阳、手足少阳、足阳明五条经脉在此交会；承浆穴见任脉，是足阳明胃经与任脉的交会点。
承泣穴：位于眼下七分，瞳孔直下的凹陷中，是足阳明胃经、任脉、阳跷脉的交会穴。禁止针刺。
四白穴：位于目下一寸，瞳孔直下。
巨髎穴：位于鼻孔旁八分，瞳孔直下，是阳跷脉的交会穴。
地仓穴：位于口角旁四分外，稍下方有微微跳动的感觉，是手足阳跷脉的交会穴。
随后沿着腮部后方，经过大迎穴，斜向上至颊车穴、下关穴，客主人穴处与足少阳胆经交会，到达发际处的头维穴，直至额颅颞部。此处是手足少阳经、额颅督脉、神庭穴所在，也是足太阳、足阳明、督脉三脉的交会点。
《灵枢》第十篇记载：随后沿着腮部后方下行，经过下颌角下方的大迎穴，沿着脸颊上部，经过耳前的客主人穴，沿着发际到达额颅。○滑寿（滑氏）说：腮下为颌，颌中为颐，囟门前方为发际，发际前方为额颅。自承浆穴开始，沿着颐后下方，出大迎穴，沿着颊车上行至耳前，经过下关穴，过客主人穴，沿着发际行于悬厘、颔厌的部位，经过头维穴，会合于额颅的神庭穴。○客主人、悬厘、颔厌均见足少阳胆经，都是手足少阳、足阳明经的交会穴；神庭穴见督脉，是足太阳、足阳明、督脉的交会点。
大迎穴：位于下颌角前一寸三分，骨陷中的动脉处，取穴时口向下，正对两肩。
颊车穴：位于耳下曲颊端的凹陷中，侧卧张口取穴。
下关穴：位于客主人穴下方，耳前动脉下方的凹陷中，闭口时有空隙，开口则闭合，是足少阳胆经的交会穴。客主人穴见足少阳胆经。
头维穴：位于额角入发际内，本神穴旁一寸五分，神庭穴旁四寸五分，是足少阳胆经的交会穴。本神穴见足少阳胆经，神庭穴见督脉，此处是足太阳、足阳明、督脉的交会点。足阳明胃经自大迎穴上行，最终止于此穴，进入神庭穴，散布于脑中。
其分支再次下行，经过人迎穴、水突穴，位于气舍穴之上，夹喉而行，至天突穴、缺盆穴，正当循行足少阴肾经俞府穴的外侧，向下穿过膈肌，属胃，络脾，在上脘穴旁，胃口处会合，至会厌，作为吸门。属胃，上脘穴处足阳明胃经与手太阴肺经交会，向下约一寸即中脘穴，这是本经与手太阳小肠经、手少阳三焦经相合，又同任脉交会之处，其穴位联络脾脏，略微显露于左胁少许，根据来看，胃上没有差别。
《灵枢》第十篇记载：其分支者，从大迎穴前，下行至人迎穴，沿着喉咙，进入缺盆，向下穿过膈肌，属胃，络脾。○胸两旁高处为膺，膺上横骨为巨骨，巨骨上的凹陷中为缺盆。其支别者从大迎穴前下行至人迎穴，沿着喉咙，经过水突、气舍穴，进入缺盆，行于足少阴肾经俞府穴的外侧，向下穿过膈肌，正当上脘、中脘的部位，属胃，络脾。○俞府穴见足少阴肾经；上脘穴见任脉，是足阳明、手太阳、任脉的交会穴；中脘穴见任脉，是手太阳、手少阳、足阳明所生，任脉的交会穴。
人迎穴：位于颈部大动脉跳动应手处，结喉旁一寸五分，动脉处，仰首取穴。禁止针灸。
水突穴：位于颈大筋前，直对人迎穴下方，气舍穴上方，两穴中间。
缺盆穴：位于肩下横骨凹陷中。禁止针刺。
直行线又从缺盆穴下，经气户、库房、屋翳、膺窗穴，正当乳头，至乳根穴停止。斜行线进入不容、承满位，梁门穴过关门、通太乙、滑肉门、天枢穴，挟脐外陵穴下行，至大巨、水道、归来穴，进入气冲穴。
《灵枢》第十篇记载：其直行者，从缺盆下，沿乳内侧，下挟脐，入气冲中。○滑寿（滑氏）说：直行者从缺盆而下，下沿乳内侧，循行气户、库房、屋翳、膺窗、乳中、乳根、不容、承满、梁门、关门、太乙、滑肉门、下挟脐，经过天枢、外陵、大巨、水道、归来诸穴，而入气冲中。○自气户至乳根，距身体中线各四寸；自不容至滑肉门，距身体中线各三寸；自天枢至归来，距身体中线各二寸。
气户穴：取天突穴下一寸，两旁各四寸，微近下方凹陷中，直对乳头，仰头取穴。天突穴见任脉。
乳中穴：正当乳头正中。禁止针灸。
乳根穴：在直对乳头下一寸六分，凹陷中，仰头取穴。自气户至乳根，距身体中线各四寸。
不容穴：取巨阙穴两旁各三寸，直对第四肋端。巨阙穴见任脉。
滑肉门穴：在太乙穴下一寸，下挟脐。自不容至滑肉门，距身体中线各三寸。
气冲穴：在归来穴下，鼠溪上一寸，动脉应手，宛宛中，禁止针刺。又名气街。
其分支从腹胃口下别行，沿着腹肓俞穴，走足少阴肾经，与本经重新会合于气冲穴，从下溜行。
《灵枢》第十篇记载：其支者，起于胃下口，循腹里，下至气冲中而合。○滑寿（滑氏）说：胃下口即下脘穴的部位。《难经》说太仓下口为幽门，就是这里。自属胃处起于胃下口，循腹里，过足少阴肾经肓俞穴的外侧，在本经的里面，下至气冲中，与前之入气冲者相合。
髀关、伏兔、阴市穴，从梁丘穴、膝上两筋间，同膝膑犊鼻穴，至三里穴、上廉穴、条口穴、下廉穴、丰隆穴、解溪穴、冲阳穴，属陷谷穴、内庭穴、厉兑穴。
《灵枢》第十篇记载：以下膝关抵伏兔，下入膝膑中，下循胫骨外廉，下足跗，入中指外间。○滑寿（滑氏）说：抵，至也。股外为髀，髀前膝上起肉处为伏兔，伏兔后交文为髀关，挟膝解中为膑，胫骨为胫，足面也。既相合，气冲下髀关，抵伏兔，历阴市、梁丘，下入膝膑中，经犊鼻，下循胫骨外廉之三里、巨虚上廉、条口、巨虚下廉、丰隆、解溪、冲阳、陷谷，入中指外间之内庭，至厉兑而终也。
伏兔穴：在膝上六寸，起肉端正，跪坐而取之。一说膝盖上七寸。禁止灸法。
梁丘穴：在膝上二寸，两筋间。
犊鼻穴：在膝膑下，胫骨上骨解大筋中。禁止灸法。
三里穴：在膝眼下三寸，胫骨外廉，大筋内宛宛中，举足取之。极重按之，则跗上动脉止矣。
上廉穴：在里下三寸，举足取之。
丰隆穴：在外踝上八寸，胫骨外廉陷中，当系鞋带处。
陷谷穴：在足大指次指之间，本节后陷中。
内庭穴：在足大指次指外间陷中。
厉兑穴：在足大指次指之端，去爪甲如韭叶宽。
《灵枢》第十篇记载：其支者，下膝三寸而别，以下入中指外间。○滑寿（滑氏）说：此支自膝下三寸，循三里穴之外，冲阳反出行间，来交足太阴脾脉续。
《灵枢》第十篇记载：其支者，别跗上，入大指间，出其端。○滑寿（滑氏）说：此支自跗上冲阳穴别行，大指间斜出足厥阴肝经行间穴之外，循大指下，出其端。
总歌曰：
胃脉先由鼻准中，却循颐后过喉咙。
络脾属胃侠脐下，下胫还知厉兑通。
愚按：足阳明胃之脉，起于鼻准，终于足大指次指端。其上支者，自跗上冲阳穴别行，入足大指之下，长八寸，交于足太阴脾经。故足太阴之脉，起于大指之端内侧隐白穴始也。
穴歌曰：
四十五穴足阳明，承泣四白巨髎经。
地仓大迎颊车峙，下关头维人迎对。
水突气舍连缺盆，气户库房屋翳膺。
乳根不容承满梁，关门太乙滑肉门。
天枢外陵大巨水，道归来入气冲中。
髀关伏兔阴市梁，丘犊鼻三里上廉行。
条口下廉丰隆解，溪冲阳陷谷内庭厉。
兑终。
是动所生病歌曰：
此经多气复多血，是动欠呻面颜黑。
凄凄恶寒畏见人，忽闻木音心震惕。
登高而歌弃衣走，甚则腹胀仍贲响。
凡此诸疾皆气厥，所生病者为狂疟。
湿温汗出鼻流血，口䐜唇胗仍喉痹。
膝膑疼痛腹胀结，气膺伏兔外廉痛。
足跗中指俱痛彻，有余消谷溺色黄。
不足身前寒振栗，胃中寒时胀满生。
生气盛身前皆有热。
《灵枢》第十篇记载：是动则病洒洒振寒，善呻数欠，颜黑。病至则恶人与火，闻木音则惕然而惊，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，是为气厥。是主血所生病者，狂疟温淫，汗出鼽衄，口唇䐜，颈肿，喉痹，大腹水肿，膝膑肿痛。循膺乳、气街、股、伏兔、胫外廉、足跗上皆痛，中指不用。气盛则身以前皆热，其有余于胃则消谷善饥，溺色黄。气不足则身以前皆寒栗，胃中寒则胀满。为此诸病，盛则泻之，虚则补之，热则疾之，寒则留之，陷下则灸之，不盛不虚以经取之。盛者人迎大三倍于寸口，虚者人迎反小于寸口。
音释：
颞 颅（音卢，囟也）
突 （防骨反，触也）
翳 肓 髀（音陛，股也）
膑 犊 （音遏）
颔（音顺，下也）
囟（音信）
鼷 独 （音旱，胫骨）
峙
Diagram of the Foot-Yangming Stomach Meridian
The Foot-Yangming Stomach Meridian runs from the head to the abdomen, and from the abdomen to the foot. This meridian is abundant in both Qi (vital energy) and Blood. It originates at Chengqi (ST1) and terminates at Lidui (ST45), totaling forty-five acupoints on each side, ninety in total for both sides. The circumference of the stomach is one chi five cun, and its length when straightened out is two chi six cun.
The Foot-Yangming Stomach Meridian begins beside the nose. At Jingming (BL1), it runs parallel with the Foot-Taiyang Bladder Meridian and the Foot-Shaoyang Gallbladder Meridian; this is the intersection point of five meridians: Foot-Yangming, Foot-Taiyang, Foot-Shaoyang, Hand-Yangming, and Hand-Taiyang. It then passes above the zygomatic bone, follows an oblique path to Chengqi (ST1), and below the pupil is Sibai (ST2), followed by Juliao (ST3). It enters the upper teeth, emerges to surround the lips, passes through Dicang (ST4), intersects and runs to Chengjiang (CV24), meeting at the lower lip.
Chapter 10 of *Ling Shu* states: The vessel of the Foot-Yangming Stomach Meridian originates beside the nasal alae, crosses at the root of the nose, and runs roughly parallel with the vessels of the Foot-Taiyang Bladder Meridian. It descends along the lateral aspect of the nose, enters the upper teeth, then emerges, flanking the corners of the mouth, surrounding the lips, and crossing inferiorly at Chengjiang (CV24). ○ Hua Shou (Master Hua) stated: "Po" refers to the nasal bridge. The root of the nose is called "Po". The Foot-Yangming Stomach Meridian originates at Yingxiang (LI20) on both sides of the nose, ascends from there, intersects at the root of the nose, passes through the area of Jingming (BL1), and descends along the lateral aspect of the nose, passing through Chengqi (ST1), Sibai (ST2), and Juliao (ST3), entering the upper teeth. It then emerges, running along Dicang (ST4), flanking the corners of the mouth, surrounding the lower lip, and intersecting at Chengjiang (CV24). ○ Yingxiang (LI20) is described in the Hand-Yangming Large Intestine Meridian; Jingming (BL1) is described in the Foot-Taiyang Bladder Meridian. Five meridians—Hand-Taiyang, Hand-Shaoyang, Foot-Taiyang, Foot-Shaoyang, and Foot-Yangming—intersect here. Chengjiang (CV24) is described in the Ren Mai (Conception Vessel) and is the intersection of the Foot-Yangming Stomach Meridian and the Ren Mai.
Chengqi (ST1): Located 0.7 cun below the pupil, in the depression directly below the center of the pupil. It is the intersection of the Foot-Yangming Stomach Meridian, Ren Mai (Conception Vessel), and Yang Qiao Mai. Acupuncture is prohibited.
Sibai (ST2): Located 1 cun below the eye, directly below the pupil.
Juliao (ST3): Located 0.8 cun beside the nasal alae, directly below the pupil. It is the intersection of the Qiao Mai (specifically Yang Qiao Mai).
Dicang (ST4): Located 0.4 cun laterally from the corner of the mouth. Slightly inferiorly, there is a slight pulsation. It is the intersection of the Hand-Yang Qiao Mai and Foot-Yang Qiao Mai.
Subsequently, it follows the posterior aspect of the cheek, passes through Daying (ST5), ascends obliquely to Jiache (ST6), Xiaguan (ST7), and at Kuzhuren (ST7, also known as Tinghui GB2 in some contexts but here referred to as part of the pathway near Shaoyang), it intersects with the Foot-Shaoyang Gallbladder Meridian. It reaches Touwei (ST8) at the hairline, extending to the frontal-temporal region. This area is where the Hand-Shaoyang Sanjiao Meridian, Foot-Shaoyang Gallbladder Meridian, Du Mai (Governing Vessel) at Shenting (GV24), and the frontal skull meet. It is the intersection of the Foot-Taiyang Bladder Meridian, Foot-Yangming Stomach Meridian, and Du Mai.
Chapter 10 of *Ling Shu* states: Subsequently following the posterior aspect of the cheek, descending below the mandible, it emerges at Daying (ST5), follows the cheekbone superiorly, passes anterior to the ear at Kuzhuren (ST7/Xiaguan area), follows the hairline to the forehead and skull. ○ Hua Shou stated: The lower jaw is the han; the middle of the jaw is the yi; the area anterior to the fontanelle is the hairline; anterior to the hairline is the forehead and skull. Starting from Chengjiang (CV24), following the posterior yi inferiorly, emerging at Daying (ST5), ascending along the cheekbone to the ear anteriorly, passing Xiaguan (ST7), crossing Kuzhuren (ST7), following the hairline through Xuanli (GB7) and Hanyan (GB5), passing Touwei (ST8), and meeting at Shenting (GV24) on the forehead. ○ Kuzhuren (ST7), Xuanli (GB7), and Hanyan (GB5) are described in the Foot-Shaoyang Gallbladder Meridian; they are intersections of the Hand-Shaoyang, Foot-Shaoyang, and Foot-Yangming meridians. Shenting (GV24) is described in the Du Mai (Governing Vessel); it is the intersection of the Foot-Taiyang, Foot-Yangming, and Du Mai meridians.
Daying (ST5): Located 1.3 cun anterior to the angle of the mandible, in the bony depression where the artery pulses. To locate, look down with shoulders aligned.
Jiache (ST6): Located in the depression at the end of the curved jawbone below the ear. Locate while lying on the side with the mouth open.
Xiaguan (ST7): Located inferior to Kuzhuren (ST7), in the depression below the arterial pulse anterior to the ear. There is a gap when the mouth is closed, which closes upon opening. It is the intersection of the Foot-Shaoyang Gallbladder Meridian. Kuzhuren is seen in the Foot-Shaoyang Gallbladder Meridian.
Touwei (ST8): Located 1.5 cun inside the hairline at the frontal angle, beside Benshen (GB13), and 4.5 cun beside Shenting (GV24). It is the intersection of the Foot-Shaoyang Gallbladder Meridian. Benshen (GB13) is seen in the Foot-Shaoyang Gallbladder Meridian; Shenting (GV24) is seen in the Du Mai (Governing Vessel). This is the intersection of the Foot-Taiyang, Foot-Yangming, and Du Mai meridians. The Foot-Yangming Stomach Meridian ascends from Daying (ST5) and finally ends at this acupoint, entering Shenting (GV24) and dispersing into the brain.
A branch descends again, passing through Renying (ST9) and Shuitu (ST10), located superior to Qishe (ST11). It runs alongside the throat, reaching Tiantu (CV22) and Quepen (ST12). It runs lateral to the Yufu (KI27) acupoint of the Foot-Shaoyin Kidney Meridian, descends through the diaphragm, connects to the Stomach, and links to the Spleen. It meets at the upper epigastrium (Shangwan CV13) beside the stomach opening, reaching the epiglottis, serving as the "Inhale Gate" (Xi Men). It connects to the Stomach; at Shangwan (CV13), the Foot-Yangming Stomach Meridian intersects with the Hand-Taiyin Lung Meridian. Descending about one cun leads to Zhongwan (CV12), where this meridian combines with the Hand-Taiyang Small Intestine Meridian and Hand-Shaoyang Sanjiao Meridian, and also intersects with the Ren Mai (Conception Vessel). Its pathways link to the Spleen, slightly manifesting in the left hypochondrium. Regarding the Stomach, there is no difference above.
Chapter 10 of *Ling Shu* states: A branch starts from anterior to Daying (ST5), descends to Renying (ST9), follows the throat, enters Quepen (ST12), descends through the diaphragm, connects to the Stomach, and links to the Spleen. ○ The high areas on both sides of the chest are called Ying; the transverse bone above Ying is Jugu; the depression above Jugu is Quepen. Another branch starts from anterior to Daying (ST5), descends to Renying (ST9), follows the throat, passes through Shuitu (ST10) and Qishe (ST11), enters Quepen (ST12), runs lateral to Yufu (KI27) of the Foot-Shaoyin Kidney Meridian, descends through the diaphragm, situated between Shangwan (CV13) and Zhongwan (CV12), connects to the Stomach, and links to the Spleen. ○ Yufu (KI27) is seen in the Foot-Shaoyin Kidney Meridian; Shangwan (CV13) is seen in the Ren Mai (Conception Vessel), intersection of Foot-Yangming, Hand-Taiyang, and Ren Mai. Zhongwan (CV12) is seen in the Ren Mai (Conception Vessel), intersection of Hand-Taiyang, Hand-Shaoyang, Foot-Yangming, and Ren Mai.
Renying (ST9): Located at the pulsating major artery in the neck, 1.5 cun lateral to the laryngeal prominence. Locate with the head extended. Acupuncture and moxibustion are prohibited.
Shuitu (ST10): Located anterior to the sternocleidomastoid muscle in the neck, directly below Renying (ST9) and superior to Qishe (ST11), in the middle of these two points.
Qishe (ST11): Located in the neck, directly below Renying (ST9), in the depression flanking Tiantu (CV22). Tiantu (CV22) is seen in the Ren Mai (Conception Vessel).
Quepen (ST12): Located in the depression of the transverse bone below the shoulder. Acupuncture is prohibited.
The main trunk continues from Quepen (ST12), passing through Qihu (ST15), Kukong (ST16), Wuyi (ST17), and Yingchuang (ST18), directly over the nipple, stopping at Rugen (ST18). The oblique branch enters Burong (ST19), Chengman (ST20), Liangmen (ST21), Guerman (ST22), Taiyi (ST23), Haroumen (ST24), Tianshu (ST25), Wailing (ST26), Daju (ST27), Shuidao (ST28), Guilai (ST29), and enters Qichong (ST30).
Chapter 10 of *Ling Shu* states: The direct branch descends from Quepen (ST12), along the medial aspect of the breast, flanks the umbilicus, and enters Qichong (ST30). ○ Hua Shou stated: The direct branch descends from Quepen (ST12), along the medial aspect of the breast, passing through Qihu (ST15), Kukong (ST16), Wuyi (ST17), Yingchuang (ST18), Ruzhong (ST25), Rugen (ST18), Burong (ST19), Chengman (ST20), Liangmen (ST21), Guerman (ST22), Taiyi (ST23), Haroumen (ST24), flanking the umbilicus, passing through Tianshu (ST25), Wailing (ST26), Daju (ST27), Shuidao (ST28), Guilai (ST29), and entering Qichong (ST30). ○ From Qihu (ST15) to Rugen (ST18), the distance from the midline is 4 cun. From Burong (ST19) to Haroumen (ST24), the distance from the midline is 3 cun. From Tianshu (ST25) to Guilai (ST29), the distance from the midline is 2 cun.
Qihu (ST15): Take 1 cun below Tiantu (CV22), 4 cun on either side, slightly inferior in the depression, directly below the nipple. Locate with head extended. Tiantu (CV22) is seen in the Ren Mai (Conception Vessel).
Kukong (ST16): Located 1.6 cun below Qihu (ST15), in the depression, directly below the nipple. Locate with head extended.
Wuyi (ST17): Located 1.6 cun below Kukong (ST16), in the depression, directly below the nipple. Locate with head extended.
Yingchuang (ST18): Located 1.6 cun below Wuyi (ST17), in the depression, directly below the nipple. Locate with head extended.
Ruzhong (ST25): Directly at the center of the nipple. Acupuncture and moxibustion are prohibited.
Rugen (ST18): Located 1.6 cun directly below the nipple, in the depression. Locate with head extended. From Qihu (ST15) to Rugen (ST18), the distance from the midline is 4 cun.
Burong (ST19): Take 3 cun on either side of Juque (CV14), directly at the end of the fourth rib. Juque (CV14) is seen in the Ren Mai (Conception Vessel).
Chengman (ST20): Located 1 cun below Burong (ST19).
Liangmen (ST21): Located 1 cun below Chengman (ST20).
Guerman (ST22): Located 1 cun below Liangmen (ST21).
Taiyi (ST23): Located 1 cun below Guerman (ST22).
Haroumen (ST24): Located 1 cun below Taiyi (ST23), flanking the umbilicus. From Burong (ST19) to Haroumen (ST24), the distance from the midline is 3 cun.
Tianshu (ST25): Take 2 cun on either side of the umbilicus. It is the Front-Mu point of the Large Intestine.
Wailing (ST26): Located 1 cun below Tianshu (ST25).
Daju (ST27): Located 1 cun below Wailing (ST26).
Shuidao (ST28): Located 3 cun below Daju (ST27).
Guilai (ST29): Located 2 cun below Shuidao (ST28). From Tianshu (ST25) to Guilai (ST29), the distance from the midline is 2 cun.
Qichong (ST30): Located 1 cun below Guilai (ST29), above the inguinal ligament ("rat stream"), where the artery pulses visibly. Acupuncture is prohibited. Also known as Qijie.
A branch arises from the lower opening of the stomach, runs along the abdominal interior through Huangshu (KI15) of the Foot-Shaoyin Kidney Meridian, and re-intersects with the main channel at Qichong (ST30), flowing downwards.
Chapter 10 of *Ling Shu* states: A branch originates from the lower opening of the stomach, runs along the interior of the abdomen, and joins at Qichong (ST30). ○ Hua Shou stated: The lower opening of the stomach is the location of Xiawan (CV10). The *Nan Jing* states that the lower opening of the Tai Cang (Stomach) is Youmen (DN15), which is this point. Starting from the connection to the Stomach at the lower opening, it runs along the abdominal interior, lateral to Huangshu (KI15) of the Foot-Shaoyin Kidney Meridian, inside the main channel, descending to Qichong (ST30) to join the previous branch.
Bigan (ST31), Futu (ST32), Yinshi (ST33), from Liangqiu (ST34), between the two tendons above the knee, together with Dubi (ST35) at the knee patella, to Zusanli (ST36), Shanglianxu (ST37), Tiaokou (ST38), Xiaolianxu (ST39), Fenglong (ST40), Jiexi (ST41), Chongyang (ST42), Xangu (ST43), Neiting (ST44), and Lidui (ST45).
Chapter 10 of *Ling Shu* states: Descending from the knee, reaching Futu (ST32), entering the knee patella, descending along the lateral aspect of the tibia, onto the dorsum of the foot, entering between the toes of the middle finger. ○ Hua Shou stated: "Di" means to reach. The lateral thigh is Bi; the fleshy area anterior to the knee is Futu; the crease posterior to Futu is Bigan; the space between the knee joint is Bin; the shin bone is Tibia; the foot surface is Fu. After joining, from Qichong (ST30) descending to Bigan (ST31), reaching Futu (ST32), passing Yinshi (ST33), Liangqiu (ST34), entering the knee patella, passing Dubi (ST35), descending along the lateral aspect of the tibia through Zusanli (ST36), Shanglianxu (ST37), Tiaokou (ST38), Xiaolianxu (ST39), Fenglong (ST40), Jiexi (ST41), Chongyang (ST42), Xangu (ST43), entering Neiting (ST44) between the toes of the middle finger, ending at Lidui (ST45).
Bigan (ST31): Located in the division posterior to Futu (ST32) above the knee. Moxibustion is prohibited.
Futu (ST32): Located 6 cun above the knee, on the raised muscle, centered. Locate while kneeling. Alternatively, 7 cun above the kneecap. Moxibustion is prohibited.
Yinshi (ST33): Located 3 cun above the knee, in the depression below Futu (ST32). Locate while bowing. Moxibustion is prohibited.
Liangqiu (ST34): Located 2 cun above the knee, between the two tendons.
Dubi (ST35): Located below the patella, in the depression of the large tendon among the bone gaps of the tibial tuberosity. Moxibustion is prohibited.
Zusanli (ST36): Located 3 cun below the knee eye, in the depression between the lateral aspect of the tibia and the large tendon. Locate with the foot lifted. Pressing heavily stops the arterial pulse on the dorsum of the foot.
Shanglianxu (ST37): Located 3 cun below Zusanli (ST36). Locate with the foot lifted.
Tiaokou (ST38): Located 1 cun above Xiaolianxu (ST39). Locate with the foot lifted. Moxibustion is prohibited.
Xiaolianxu (ST39): Located 3 cun below Shanglianxu (ST37). Locate with the foot lifted.
Fenglong (ST40): Located 8 cun above the lateral malleolus, in the depression on the lateral aspect of the tibia, corresponding to the shoelace area.
Jiexi (ST41): Located 1.5 cun posterior to Chongyang (ST42), in the depression above the ankle, corresponding to the shoelace area.
Chongyang (ST42): Located at the arterial pulse between the bones on the dorsum of the foot, 5 cun proximal to Xangu (ST43).
Xangu (ST43): Located in the depression distal to the metatarsophalangeal joint between the first and second toes.
Neiting (ST44): Located in the depression between the first and second toes.
Lidui (ST45): Located at the tip of the second toe, approximately the width of a leek leaf from the nail.
Chapter 10 of *Ling Shu* states: A branch descends 3 cun below the knee and diverges to enter between the toes of the middle finger. ○ Hua Shou stated: This branch diverges 3 cun below the knee, outside the Zusanli (ST36) acupoint, reversing course at Chongyang (ST42), walking through Xingjian (LR2), and connecting to the Foot-Taiyin Spleen Meridian.
Chapter 10 of *Ling Shu* states: A branch diverges from the dorsum of the foot, enters the big toe, and emerges at its tip. ○ Hua Shou stated: This branch diverges from Chongyang (ST42) on the dorsum of the foot, walks between the big toe, exits obliquely lateral to Xingjian (LR2) of the Foot-Jueyin Liver Meridian, follows the big toe downwards, and emerges at its tip.
To connect with the Foot-Taiyin Spleen Meridian. Xingjian (LR2) is seen in the Foot-Jueyin Liver Meridian.
General Verse:
The Stomach Meridian begins at the nose tip,
Then follows behind the cheek past the throat.
Linking the Spleen and connecting to the Stomach,
Flanking the umbilicus downward,
Descending the leg, we know Lidui connects.
Commentary: The Foot-Yangming Stomach Meridian originates at the nose tip and terminates at the tip of the second toe. Its branch diverges from Chongyang (ST42) on the dorsum of the foot, enters beneath the big toe, extends eight cun, and connects to the Foot-Taiyin Spleen Meridian. Thus, the Foot-Taiyin Spleen Meridian begins at Yinbai (SP1) on the medial side of the tip of the big toe.
Acupoint Verse:
Forty-five acupoints of the Foot-Yangming,
Chengqi, Sibai, Juliao along the meridian.
Dicang, Daying, Jiache stand tall,
Xiaguan, Touwei, Renying face each other.
Shuitu and Qishe connect to Quepen,
Qihu, Kukong, Wuyi, Yingchuang.
Rugen, Burong, Chengman, Liangmen,
Guerman, Taiyi, Haroumen follow.
Tianshu, Wailing, Daju, Shuidao,
Guilai enters Qichong.
Bigan, Futu, Yinshi, Liangqiu,
Dubi, Zusanli, Shanglianxu walk.
Tiaokou, Xiaolianxu, Fenglong,
Jiexi, Chongyang, Xangu, Neiting, Lidui ends.
Verse on Disorders Caused by Movement and Diseases Produced:
This meridian has abundant Qi and Blood.
Disorders caused by movement include yawning, groaning, and darkening of the face.
Shivering aversion to cold, fearing people,
Suddenly hearing the sound of wood causes heart palpitations and fear.
Climbing high to sing, discarding clothes and running,
Severe cases involve abdominal distension and rumbling.
All these diseases are due to Qi reversal.
Diseases produced include mania, malaria,
Damp-warmth with sweating, epistaxis,
Mouth ulcers, lip sores, and sore throat.
Knee and patella pain, abdominal distension and Qi stagnation,
Pain along the chest, breast, Qichong, thigh, Futu, and lateral tibia.
Pain throughout the dorsum of the foot and middle toe.
Excess leads to digestion of food and yellow urine.
Deficiency leads to cold and shivering anteriorly,
Cold in the Stomach causes distension.
When Qi is abundant, heat exists anteriorly.
Chapter 10 of *Ling Shu* states: When moved, it causes shivering chills, frequent yawning and stretching, and darkening of the face. Upon onset, the patient dislikes people and fire, startles at the sound of wood, feels fearful, desires to move alone, closes doors and windows. Severe cases desire to climb high and sing, discard clothes and run. Rumbling and abdominal distension occur, constituting Qi reversal. It produces diseases related to Blood: mania, malaria, warm pathogens, sweating, rhinorrhea, epistaxis, mouth ulcers, neck swelling, sore throat, abdominal edema, knee and patella swelling and pain. Pain follows the chest, breast, Qichong, thigh, Futu, lateral tibia, and dorsum of the foot; the middle toe becomes unusable. When Qi is abundant, the anterior body is hot; excess in the Stomach leads to rapid digestion and hunger, and yellow urine. When Qi is deficient, the anterior body is cold and shivering; cold in the Stomach causes distension. For these diseases: tonify deficiency, sedate excess, treat heat quickly, retain needle for cold, apply moxibustion for sinking conditions, and regulate according to the meridian for neither excess nor deficiency. If excess, the Renying pulse is three times larger than the Cunkou pulse; if deficient, the Renying pulse is smaller than the Cunkou pulse.
Phonetic Notes:
Nie Lu (Sound: Lu, referring to fontanelle/skull)
Tu (Fanqie: Fang-Gu, meaning touch)
Yi Huang Bi (Sound: Bi, meaning thigh)
Bin Du (Sound: E)
Han (Sound: Shun, meaning downward)
Xin (Sound: Xin)
Xi Du (Sound: Han, meaning tibia)
Zhi