足厥阴肝一十四大敦行间太冲是中封蠡沟伴中都膝关曲泉阴包次五里阴廉上急脉章门才
过期门至
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大敦 穴在足大指端去爪甲后如韭叶许外侧聚毛中一云内侧为隐白外侧为大敦灸三壮
行间 从大敦上行足大指次指岐骨缝间动脉应手陷中灸三壮
太冲 从行间上行二寸足跗间动脉应手陷中灸三壮
中封 从太冲上行足内踝前一寸筋里宛宛中(一名悬泉)灸三壮千金云五十壮
蠡沟(一名交仪) 从中封上内联踝上五寸灸三壮
中都(一名中 ) 从蠡沟上行二寸当 骨中灸五壮
膝关 从中都上行挟鼻下二寸旁陷者中灸五壮
曲泉 从膝关上行膝内辅骨下大筋上小筋下陷中屈膝横纹头取之灸三壮
阴包 从曲泉上行膝上四寸股内廉两筋间蜷足取之看膝内侧有槽中灸三壮
五里 从阴包上行在足阳明之气冲穴下三寸阴股中动脉应手灸五壮
阴廉 从五里上行羊矢下斜里三分直上气冲下二寸动脉陷中灸三壮 羊矢在阴旁股内约
纹缝中皮肉间有核如羊矢故名
急脉 从阴廉上行阴上中行两旁相去二寸半按之隐指而坚甚按则痛引上下此厥阴之大络
故曰
厥阴急脉即睾之系也可灸而不可刺 经脉篇曰足厥阴循股阴入毛中过阴器 又曰其别者循胫
上睾结于茎然此实厥阴之正脉而会于阳明者也按此穴自甲乙经以下诸书皆无是遗误也今增入
之
章门(一名长平一名胁 ) 从急脉上行足太阴脾经之大横穴外季胁直脐软骨端脐上二寸
两旁
开六寸侧卧屈上足伸下足举臂取之 一云肘尖尽处是穴 一云在脐上一寸八分两旁各八寸
半季胁端 一云在脐上二寸两旁各六寸寸法以胸前乳间横折八寸约取之灸三壮一云百壮
期门 从章门上行足阳明胃经之不容穴旁一寸五分上直乳第二肋端灸五壮七壮
足厥阴肝经共有十四个穴位:大敦、行间、太冲、中封、蠡沟、中都、膝关、曲泉、阴包、五里、阴廉、急脉、章门,最后到期门。
大敦穴位于足大趾末端,距离爪甲后方约韭菜叶宽度的外侧,在聚生的毫毛中(另一种说法是内侧为隐白穴,外侧为大敦穴)。艾灸三壮。
行间穴在大敦穴上方,位于足大趾与次趾之间的跖骨缝隙间,按压有动脉搏动感,处于凹陷处。艾灸三壮。
太冲穴在行间穴上方二寸,足背之间,按压有动脉搏动感,处于凹陷处。艾灸三壮。
中封穴在太冲穴上方,内踝前一寸,肌腱内的凹陷处(又名悬泉穴)。艾灸三壮,《千金方》记载可灸五十壮。
中都穴(又名中郄穴)从蠡沟穴向上二寸,当胫骨后缘的凹陷中。艾灸五壮。
膝关穴从都穴向上,挟持鼻骨下方二寸,旁侧的凹陷中。艾灸五壮。
曲泉穴从膝关穴向上,膝内侧辅骨下,大筋之上、小筋之下的凹陷中。屈膝时取横纹头处。艾灸三壮。
阴包穴从曲泉穴向上四寸,大腿内侧两筋之间。蜷足取穴,观察膝内侧如有槽状凹陷处。艾灸三壮。
五里穴从阴包穴向上,位于足阳明胃经气冲穴下方三寸,大腿内侧动脉搏动应手处。艾灸五壮。
阴廉穴从五里穴向上,羊矢(指腹股沟淋巴结或相关组织,位于阴部旁大腿内侧皱褶皮肉间有核如羊睾丸状故名)下方斜进三分,直上至气冲穴下方二寸,动脉凹陷处。艾灸三壮。
急脉穴从阴廉穴向上,阴器上方正中两旁,相距二寸半。按压感觉坚硬,重按则疼痛牵引上下,这是厥阴经的大络,所以称为厥阴急脉,即睾丸的系带。此穴可灸不可刺。《经脉篇》说足厥阴肝经沿大腿内侧进入阴毛中,经过阴器;又说其别支沿小腿上行至睾丸,结于阴茎。但这实际上是厥阴的正脉并与阳明经会合。按此穴自《甲乙经》以下诸书皆无记载,属于遗漏错误,现增补入之。
章门穴(又名长平穴、胁端穴)从急脉穴向上,足太阴脾经大横穴外,季胁直对脐部的软骨端,脐上二寸,两旁开六寸。侧卧,屈上肢足,伸下肢足,举臂取穴。一种说法是肘尖尽头处即是此穴;一种说法是在脐上一寸八分,两旁各八寸半的季胁端;一种说法是在脐上二寸,两旁各六寸。寸法以胸前乳间横折八寸来约略取之。艾灸三壮,一种说法可灸百壮。
The Foot-Jueyin Liver Meridian has fourteen major acupoints: Dadun (LR1), Xingjian (LR2), Taichong (LR3), Zhongfeng (LR4), Ligou (LR5), Zhongdu (LR6), Xiguan (LR7), Ququan (LR8), Yinbao (LR9), Wuli (LR10), Yinlian (LR11), Jimai (LR12), Zhangmen (LR13), ending at Qimen (LR14).
Dadun (LR1) is located at the lateral side of the tip of the big toe, approximately the width of a leek leaf distal to the nail corner, within the cluster of fine hairs. (Another view states that the medial side is Yinbai and the lateral side is Dadun.) Moxibustion: 3 moxa cones.
Xingjian (LR2) is located superior to Dadun, in the depression between the metatarsal bones of the first and second toes, where the arterial pulse can be felt upon pressure. Moxibustion: 3 moxa cones.
Taichong (LR3) is located 2 cun superior to Xingjian, in the depression on the dorsum of the foot where the arterial pulse can be felt upon pressure. Moxibustion: 3 moxa cones.
Zhongfeng (LR4) is located 1 cun anterior to the medial malleolus, superior to Taichong, within the depression inside the tendon (also known as Xuanquan). Moxibustion: 3 moxa cones. *Qianjin Fang* records it as 50 moxa cones.
Ligou (LR5) (also known as Jiaoyi) is located 5 cun superior to the medial malleolus, ascending from Zhongfeng. Moxibustion: 3 moxa cones.
Zhongdu (LR6) (also known as Zhongxi) is located 2 cun superior to Ligou, in the depression along the posterior border of the tibia. Moxibustion: 5 moxa cones.
Xiguan (LR7) is located 2 cun inferior to the nasal bone (referring to the medial condyle area), ascending from Zhongdu, in the depression on the lateral side. Moxibustion: 5 moxa cones.
Ququan (LR8) is located superior to Xiguan, in the depression below the medial condyle of the knee, between the large tendon above and the small tendon below. It is located at the head of the transverse crease when the knee is flexed. Moxibustion: 3 moxa cones.
Yinbao (LR9) is located 4 cun superior to Ququan, between two tendons on the medial aspect of the thigh. The point is taken with the foot curled; look for a groove-like depression on the medial side of the knee. Moxibustion: 3 moxa cones.
Wuli (LR10) is located 3 cun inferior to Qichong (ST30) of the Foot-Yangming Stomach Meridian, ascending from Yinbao, where the arterial pulse can be felt in the medial thigh. Moxibustion: 5 moxa cones.
Yinlian (LR11) is located 2 cun inferior to Qichong, ascending from Wuli. It is situated 0.3 cun obliquely downward from the "sheep testicle" (a term referring to a nodular structure in the inguinal region, named for its resemblance to a sheep's testis found in the skin and flesh between the folds of the inner thigh). The point is in the depression where the arterial pulse is felt. Moxibustion: 3 moxa cones.
Jimai (LR12) is located 2.5 cun lateral to the midline, superior to the external genitalia, ascending from Yinlian. Upon pressing, it feels hard; deep pressure causes pain radiating up and down. This is the major collateral of the Jueyin meridian, hence called Jueyin Jimai, which corresponds to the spermatic cord. This point may be treated with moxibustion but not needling. The *Jingmai Chapter* states: "The Foot-Jueyin [meridian] runs along the medial thigh, enters the pubic region, and passes around the genital organs." It also states: "Its branch ascends along the shin to the testis and connects with the penis." However, this is actually the main trunk of the Jueyin meridian converging with the Yangming meridian. Note that this point is absent in texts from *Jia Yi Jing* onwards, likely due to omission or error; it is now added.
Zhangmen (LR13) (also known as Changping or Xieduan) is located at the end of the floating rib, directly opposite the umbilicus, 2 cun above the umbilicus, and 6 cun lateral to the midline, ascending from Jimai. It is associated with Dahan (SP15) of the Foot-Taiyin Spleen Meridian. To locate it, lie on one side, flex the upper leg, extend the lower leg, and raise the arm. One view states it is at the tip of the elbow; another says it is 1.8 cun above the umbilicus, 8.5 cun lateral at the end of the floating rib; another says it is 2 cun above the umbilicus, 6 cun lateral. For measurement, use the distance between the nipples (8 cun) as a reference. Moxibustion: 3 moxa cones, or alternatively 100 moxa cones.
Qimen (LR14) is located 1.5 cun lateral to Burong (ST19) of the Foot-Yangming Stomach Meridian, ascending from Zhangmen, directly below the second rib at the nipple. Moxibustion: 5 or 7 moxa cones.