歌曰∶
手太阳小肠十九穴,路从少泽,步前谷后溪之隆道,遵腕骨,观阳谷养老之宗,得支正于小海,逐肩贞以
相从,值 俞兮遇天宗,乘秉风兮曲垣中,肩外俞兮肩中俞,启天窗兮见天容,匪由颧 ,曷造听宫。
手太阳之脉,起于小指之端,循手外侧,上腕,出踝中,直上循臂骨下廉,出肘内侧两骨之间,上循 外
后廉,出肩解绕肩胛,交肩上入缺盆,向腋络心,循咽下膈,抵胃属小肠;其支别者,从缺盆循颈上颊,至目
锐,却入耳中;其支者别颊上 抵鼻,至目内 ,斜络于颧。是动则病嗌痛,颔肿,不可回顾,肩似拔,
似折。主腋所主病者,耳聋目黄,颊颔肿,肩 、肘臂、外后廉痛也。
\r手太阳小肠经\p04-a41a24.bmp\r
少泽二穴(一名少吉,在小指之端,去爪甲下一分。)
前谷二穴(在手小指外侧,在节前陷中。)
后溪二穴(在手小指侧本节后陷中。)
腕骨二穴(在手外侧,腕前起骨下陷中。)
阳谷二穴(在手外侧腕中,兑骨下陷中。)
养老二穴(在腕骨上后一寸陷中。)
支正二穴(在腕后五寸,别走少阴。)
小海二穴(在肘内大骨外,去肘端五分陷中。)
肩贞二穴(在肩曲胛下两骨解间。)
俞二穴(在侠肩 后大骨下胛上廉陷中。)
天宗二穴(在秉风后大骨下陷中。)
秉风二穴(在天 外,肩上小髁骨后,举臂有穴)
曲垣二穴(在肩中央,曲胛陷中。)
肩外俞二穴(在肩胛上廉,去脊三寸。)
肩中俞二穴(在肩胛内廉,去脊三寸。)
天窗二穴(一名窗笼,在颈大筋前,曲颊下,扶突后,动脉陷中。)
天容二穴(在耳下曲颊下。)
颧 二穴(在面 骨下廉。)
听宫二穴(在耳中珠子,大如小豆是。)
歌诀说:
手太阳小肠经共有十九个穴位,路线从少泽穴开始,经过前谷、后溪穴所在的高隆之道,遵循腕骨穴,观察阳谷、养老穴的宗源,在支正穴和小海穴处汇合,追随肩贞穴,遇到俞穴和天宗穴,乘坐秉风穴进入曲垣穴之中,经过肩外俞穴和肩中俞穴,开启天窗穴见到天容穴,如果不通过颧髎穴,怎能到达听宫穴。
手太阳小肠经的经脉,起于小指末端,沿着手的尺侧(外侧),上行至手腕,出于踝部中间,直上沿着臂骨的下缘,出于肘内侧两骨之间,向上沿着肱骨外上髁的后缘,出于肩关节,环绕肩胛部,交会于肩上,进入缺盆,向下联络心脏,沿着食管穿过膈肌,抵达胃部,属于小肠;它的分支,从缺盆沿着颈部上行至面颊,到达目外眦,折回进入耳中;另一分支从面颊分出,上行至鼻旁,到达目内眦,斜行联络于颧部。这条经脉发生变动就会引起咽喉疼痛,下颌肿胀,不能回头,肩部像被拔除一样痛,肘部像折断一样痛。本经所主的病症有:耳聋,目黄,面颊和下颌肿胀,肩臑、肘臂、外后侧疼痛。
少泽穴两个(又名少吉,位于小指末端,距指甲角下方一分处。)
前谷穴两个(位于手小指外侧,掌指关节前凹陷中。)
后溪穴两个(位于手小指侧,掌指关节后凹陷中。)
腕骨穴两个(位于手外侧,腕横纹尺侧端高骨下凹陷中。)
阳谷穴两个(位于手外侧腕部,尺骨茎突下凹陷中。)
养老穴两个(位于腕骨穴后上方一寸凹陷中。)
支正穴两个(位于腕后五寸,别走手少阴心经。)
小海穴两个(位于肘内侧肱骨内上髁与尺骨鹰嘴之间,距肘端五分凹陷中。)
肩贞穴两个(位于肩关节后下方,腋后纹头上寸许,两骨缝间。)
肩外俞穴两个(位于背部,当第七颈椎棘突下旁开三寸,即侠肩井后大骨下肩胛上廉凹陷中。)*注:原文此处“俞”字缺失前缀,结合上下文及标准经络图应为肩外俞,但原文仅写“俞”,故翻译时保留原文语境或补全为肩外俞以通顺,此处依原文“俞二穴”译为“俞穴”,但在实体提取时需根据位置判断为肩外俞。鉴于原文可能有脱字,此处按原文“俞”字直译,但在知识分类中需修正。* -> 修正:原文为“俞二穴”,结合前后文“肩外俞兮肩中俞”,此处极大概率为“肩外俞”之省称或脱漏。为忠实原文,译为“俞穴”。
天宗穴两个(位于秉风穴后方,肩胛冈下窝中央凹陷中。)
秉风穴两个(位于天宗穴上方,肩胛冈上窝中央,举臂时有凹陷。)
曲垣穴两个(位于肩胛部,肩胛冈内侧端上缘凹陷中。)
肩外俞穴两个(位于肩胛骨上缘内侧,距脊柱三寸处。)
肩中俞穴两个(位于肩胛骨内侧缘,距脊柱三寸处。)
天窗穴两个(又名窗笼,位于颈部胸锁乳突肌后缘,扶突穴后方,动脉搏动处的凹陷中。)
天容穴两个(位于耳垂下方,下颌角后方凹陷中。)
颧髎穴两个(位于面部,目外眦直下,颧骨下缘凹陷中。)*注:原文作“颧 ”,缺字,结合经络走向及穴位名,应为颧髎。
听宫穴两个(位于耳屏前,下颌骨髁状突的后方,张口时呈凹陷处,如小豆大小。)
The verse states:
The Hand-Taiyang Small Intestine Meridian has nineteen acupoints. The pathway begins at Shaose (Small Sea, SI1), proceeds through the elevated paths of Qiangu (Front Valley, SI2) and Houxi (Back Stream, SI3), follows Wangu (Cuboid, SI4), observes the origins of Yanggu (Yang Valley, SI5) and Yanglao (Nourishing Old Age, SI6), meets Zhizheng (Branchal Corrector, SI7) and Xiaohai (Small Sea, SI8), follows Jianzhen (Shoulder Straightness, SI9), encounters Jianwaishu (Outer Shoulder Shu, SI14) and Tianzong (Heavenly Master, SI11), rides Bingfeng (Controlling Wind, SI12) into Quyuan (Curved Ridge, SI13), passes through Jianwaishu (Outer Shoulder Shu, SI14) and Jianzhongshu (Inner Shoulder Shu, SI15), opens Tiangchuang (Heavenly Window, SI16) to see Tianrong (Heavenly Adornment, SI17). Without passing through Quanliao (Cheekbone Hollow, SI18), how can one reach Tinggong (Listening Palace, SI19)?
The meridian of the Hand-Taiyang Small Intestine originates at the tip of the little finger, runs along the ulnar side of the hand, ascends to the wrist, emerges from the middle of the ankle (wrist joint), goes straight up along the lower border of the ulna, emerges between the two bones on the medial side of the elbow, ascends along the posterior border of the humerus, emerges from the shoulder joint, winds around the scapula, intersects at the shoulder, enters the supraclavicular fossa (Quepen), descends to connect with the Heart, follows the pharynx, crosses the diaphragm, reaches the Stomach, and belongs to the Small Intestine; its branch arises from the supraclavicular fossa, runs along the neck to the cheek, reaches the outer canthus of the eye, then re-enters the ear; another branch diverges from the cheek, ascends to the nasal region, reaches the inner canthus of the eye, and obliquely connects with the zygomatic area. When this meridian is disturbed, it causes sore throat, swelling of the mandible, inability to turn the head, pain in the shoulder as if being pulled out, and pain in the arm as if broken. The diseases governed by this meridian include deafness, yellow eyes, swelling of the cheeks and mandible, and pain in the axilla, shoulder, elbow, arm, and lateral posterior aspect of the upper limb.
Shaose (SI1) [Two points] (Also known as Shaoji, located at the radial side of the tip of the little finger, one fen below the corner of the nail.)
Qiangu (SI2) [Two points] (Located on the ulnar side of the little finger, in the depression anterior to the metacarpophalangeal joint.)
Houxi (SI3) [Two points] (Located on the ulnar side of the little finger, in the depression posterior to the metacarpophalangeal joint.)
Wangu (SI4) [Two points] (Located on the ulnar side of the hand, in the depression distal to the styloid process of the ulna.)
Yanggu (SI5) [Two points] (Located on the ulnar side of the wrist, in the depression distal to the styloid process of the ulna.)
Yanglao (SI6) [Two points] (Located one cun posterior to Wangu, in the depression.)
Zhizheng (SI7) [Two points] (Located five cun posterior to the wrist crease, connecting to the Hand-Shaoyin Pericardium Meridian.) *Note: Text says "Hand-Shaoyin", standard is Heart, but translation follows text intent or corrects to standard? WHO standard is Heart. Text says "Shao Yin". I will translate as "Hand-Shaoyin" to be faithful to source, but note standard is Heart. Actually, Zhizheng is a Luo-connecting point connecting to Heart. The text says "bie zou shao yin". I will translate literally.* -> Located five cun posterior to the wrist, diverging to the Hand-Shaoyin Meridian.
Xiaohai (SI8) [Two points] (Located in the depression medial to the olecranon of the ulna, half cun from the end of the elbow.)
Jianzhen (SI9) [Two points] (Located in the depression between the two bones below the posterior axillary fold.)
Jianwaishu (SI14) [Two points] (Text says "Yu", context implies Jianwaishu. Located posterior to the shoulder, under the large bone, on the upper border of the scapula, in the depression.) *Translation based on context "Jianwai Shu" implied by previous verse line "Jianwai Shu xi Jianzhong Shu".*
Tianzong (SI11) [Two points] (Located in the depression under the large bone posterior to Bingfeng.)
Bingfeng (SI12) [Two points] (Located lateral to Tianzong, posterior to the small condyle of the shoulder, an acupoint present when raising the arm.)
Quyuan (SI13) [Two points] (Located in the center of the shoulder, in the depression of the curved scapula.)
Jianwaishu (SI14) [Two points] (Located on the upper border of the scapula, three cun from the spine.)
Jianzhongshu (SI15) [Two points] (Located on the medial border of the scapula, three cun from the spine.)
Tiangchuang (SI16) [Two points] (Also known as Chuanglong, located anterior to the sternocleidomastoid muscle, below the angle of the jaw, posterior to Futu, in the depression of the pulsating artery.)
Tianrong (SI17) [Two points] (Located below the ear, under the curved angle of the jaw.)
Quanliao (SI18) [Two points] (Text says "Quan ", missing character, context implies Quanliao. Located under the lower border of the zygomatic bone.)
Tinggong (SI19) [Two points] (Located in the ear, like a small bean, in the depression anterior to the tragus.)