（左右凡四十二穴）
经脉篇云。大肠手阳明之脉起于大指次指之端。（商阳）循指上廉。（二间三间）出合谷两
骨之
间。（合谷）上入两骨之中（阳溪）循臂上廉。（偏历温溜下廉上廉三里）入肘外廉。（曲池）上
外前廉（肘 五里臂 会）上肩出 骨之前廉。（肩 ）上出于柱骨之会上。（巨骨秉风）下入
缺盆（天鼎）络肺。下膈属大肠。其支者。从缺盆上颈。（扶突）贯颊入下齿中。还出挟口（地
仓）交人中。左之右。右之左。（禾 ）上挟鼻孔（迎香）
又云。手阳明之别。名曰偏历。去腕三寸。别入太阴。其别者。上循臂乘肩 。上曲颊
偏齿。其别者。入耳合于宗脉。
气府论云手阳明脉气所发者二十二穴鼻空外廉项上各二（次注谓迎香扶突二穴也）大迎骨
空各
一。（大迎穴名也。）柱骨之会各一（谓天鼎二穴也） 骨之会各一。（谓肩 二穴也）肘以下至
手大指次指各六俞。（谓三里阳溪合谷三间二间商阳六穴也。）
经别篇云。手阳明之正。从手循膺乳别于肩 。入柱骨。下走大肠属于肺。上循喉咙出
缺盆
合于阳明也。经筋篇云。手阳明之筋。起于大指次指之端结于腕上循臂上。结于肘外上 结于
。其支者。绕肩胛挟脊直者。从肩 上颈。其支者上颊结于 。直者。上出手太阳之前上
左角。络头下右颔。
商阳（手阳明脉之所出）二间（所溜○宝鉴作所流非）三间（所注）合谷（所过）阳溪（所行）偏
历
（别走太阴）温溜（ ）下廉 上廉（抵阳之会○外台作阳明之会）三里 曲池（所入）肘 五里
臂 （阳明络之会○聚英作手足太阳阳维之会。） 会（络○气府论云。手少阳之会。次注
曰手阳明少阳二络气之会。聚英曰。阳维会。）肩 （跷脉之会○聚英曰。足少阳阳跷之会。
）巨骨（同上）天鼎（所发）扶突（同上）禾 （同上）迎香（手足阳明之会○气府论曰。手阳明脉气
所发。次注曰。谓迎香扶突。）
按千金。无 会（入肺经）发挥同。（入三焦经）外台曰。两旁四十二穴并下三单穴共四十
五穴
。无迎香。（入胃经）有肩 。（三焦）兑端。龈交。水沟（共督脉）甲乙经曰。兑端手阳明脉气
之所发。
\r图\p06-d22a26.bmp\r
（左右两侧共四十二穴）
《经脉篇》说：手阳明大肠经的脉气，起始于食指末端。（商阳穴）沿着食指的桡侧边缘上行。（经过二间、三间穴）出于合谷穴，位于第一、二掌骨之间。（合谷穴）向上进入两骨之间的凹陷处（阳溪穴），沿着前臂桡侧边缘上行。（经过偏历、温溜、下廉、上廉、三里穴）进入肘部外侧边缘。（曲池穴）沿上臂外侧前缘上行（经过肘髎、五里、臂臑穴），上肩，出于肩峰前缘。（肩髃穴）向上出于诸阳经交汇的柱骨部位。（巨骨、秉风穴）向下进入缺盆（天鼎穴），联络肺脏。向下穿过横膈，归属大肠。其分支，从缺盆上行至颈部。（扶突穴）贯穿面颊，进入下齿中。回转出来，挟持口角（地仓穴），在人中穴处交叉，左侧向右，右侧向左。（禾髎穴）上行挟持鼻孔两侧（迎香穴）。
又说：手阳明经的络脉，名为偏历。距离腕横纹三寸处，别行入太阴肺经。其分支，沿手臂上行，经过肩部，上至曲颊，偏斜分布于牙齿。另一分支，进入耳中，与宗脉相合。
《气府论》说：手阳明经脉气所发出的穴位共有二十二个。鼻翼外缘两旁各二穴（次注解释为迎香、扶突两穴）。大迎穴处的骨空各一穴。（大迎穴名。）柱骨交会处各一穴（指天鼎二穴）。肩髃穴处的骨会各一穴。（指肩髃二穴。）肘以下至手食指末端各有六个腧穴。（指三里、阳溪、合谷、三间、二间、商阳六穴。）
《经别篇》说：手阳明的正经，从手部沿胸乳部上行，别行于肩髃穴，进入柱骨，向下走行至大肠，归属于肺。向上沿喉咙上行，出于缺盆，与阳明经相合。《经筋篇》说：手阳明的经筋，起始于食指和拇指的末端，结聚于手腕上方，沿手臂上行，结聚于肘部外侧，向上结聚于肩髃穴。其分支，环绕肩胛，挟持脊柱。直行者，从肩髃上行至颈部。其分支，上达面颊，结聚于颧骨。直行者，上行出手太阳经之前，上至左额角，联络头部，下行至右下颌。
商阳穴（手阳明经井穴，脉气所出）；二间穴（荥穴，脉气所溜，《铜人针灸经》作“所流”非）；三间穴（输穴，脉气所注）；合谷穴（原穴，脉气所过）；阳溪穴（经穴，脉气所行）；偏历穴（络穴，别走太阴肺经）；温溜穴（郄穴）；下廉穴、上廉穴（抵阳之会，《外台秘要》作“阳明之会”）；三里穴、曲池穴（合穴，脉气所入）；肘髎穴、五里穴、臂臑穴（阳明络脉之会，《针灸聚英》作“手足太阳、阳维之会”）；肩髎穴（络穴，《气府论》云为手少阳之会，次注曰手阳明、少阳二络气之会，《针灸聚英》曰为阳维之会）；肩髃穴（跷脉之会，《针灸聚英》曰为足少阳、阳跷之会）；巨骨穴（同上）；天鼎穴（脉气所发）；扶突穴（同上）；禾髎穴（同上）；迎香穴（手足阳明经交会穴，《气府论》曰手阳明脉气所发，次注曰指迎香、扶突穴）。
按《千金方》记载，无肩髎穴（归入手太阴肺经），《发挥》观点相同（归入手少阳三焦经）。《外台秘要》记载：两旁四十二穴并下三单穴共四十五穴。无迎香穴（归入足阳明胃经），有肩髎穴（归入手少阳三焦经）、兑端穴、龈交穴、水沟穴（共属督脉）。《甲乙经》记载：兑端穴为手阳明经脉气所发之处。
(There are forty-two acupoints on both sides combined.)
The *Jingmai Pian* (Chapter on Meridians) states: The meridian of Hand-Yangming Large Intestine originates at the radial tip of the index finger. [Shangyang LI-1] It follows the radial border of the finger, passing through [Erjian LI-2 and Sanjian LI-3], and emerges between the first and second metacarpal bones at Hegu LI-4. It ascends into the depression between the two bones [Yangxi LI-5], follows the radial border of the forearm, passing through Pianli LI-6, Wenliu LI-7, Xialian LI-8, Shanglian LI-9, and Sanli LI-10. It enters the lateral border of the elbow [Quchi LI-11]. It ascends along the anterolateral border of the upper arm, passing through Zhouliao LI-12, Wuli LI-13, and Binao LI-14. It reaches the shoulder, emerging anterior to the lateral border of the scapula [Jianyu LI-15]. It ascends to emerge at the junction of the vertebral column where the Yang meridians converge [Jugu BL-1 and Bingfeng GB-12]. It descends into the supraclavicular fossa [Tianding LI-16], connects with the Lung, descends through the diaphragm, and belongs to the Large Intestine. Its branch arises from the supraclavicular fossa, ascends to the neck [Futu LI-18], passes through the cheek, and enters the lower teeth. It returns to emerge alongside the mouth [Dicang ST-4], crosses at the Renzhong point (人中), with the left side connecting to the right and the right to the left [Heliao LI-19]. It ascends flanking the nostrils [Yingxiang LI-20].
It is also stated: The collateral vessel of the Hand-Yangming meridian is named Pianli (LI-6). Located three cun distal to the wrist crease, it branches off to connect with the Taiyin Lung meridian. Its branch ascends along the arm, traverses the shoulder, reaches the submandibular region, and distributes obliquely to the teeth. Another branch enters the ear and merges with the Zong Mai (Master Vessel).
The *Qifu Lun* (Chapter on Qi Orifices) states: There are twenty-two acupoints where the Qi of the Hand-Yangming meridian emerges. Two points on each side at the lateral margin of the nasal cavity (the secondary annotation identifies these as Yingxiang LI-20 and Futu LI-18). One point at each side in the bone hollow at Daying ST-5 (Daying is the acupoint name). One point at each side at the convergence of the vertebral column (referring to Tianding LI-16 on both sides). One point at each side at the convergence of Jianyu LI-15 (referring to Jianyu LI-15 on both sides). Six Shu points from the elbow down to the radial tip of the index finger (referring to Sanli LI-10, Yangxi LI-5, Hegu LI-4, Sanjian LI-3, Erjian LI-2, and Shangyang LI-1, totaling six points).
The *Jingbie Pian* (Chapter on Extraordinary Connections) states: The regular pathway of Hand-Yangming proceeds from the hand along the chest and breast, branches off at Jianyu LI-15, enters the vertebral column, descends to the Large Intestine, and connects with the Lung. It ascends along the throat, emerges from the supraclavicular fossa, and merges with the Yangming meridian. The *Jingjin Pian* (Chapter on Sinew Meridians) states: The sinew meridian of Hand-Yangming originates at the tips of the index and middle fingers, knots at the wrist, ascends along the arm, knots at the lateral elbow, and ascends to knot at Jianyu LI-15. Its branch surrounds the scapula and flanks the spine. The straight portion ascends from Jianyu LI-15 to the neck. Its branch ascends to the cheek and knots at the zygomatic bone. The straight portion ascends anterior to the Hand-Taiyang meridian, reaches the left frontal angle, connects with the head, and descends to the right mandible.
Shangyang LI-1 (Jing-Well point, where Qi emerges); Erjian LI-2 (Ying-Spring point, where Qi flows; *Tongren Jing* writes "flows" which is incorrect); Sanjian LI-3 (Shu-Stream point, where Qi is injected); Hegu LI-4 (Yuan-Source point, where Qi passes); Yangxi LI-5 (Jing-River point, where Qi travels); Pianli LI-6 (Luo-Connecting point, branching to Taiyin); Wenliu LI-7 (Xi-Cleft point); Xialian LI-8 and Shanglian LI-9 (Meeting point of Diyang; *Waitai Mi Yao* writes "Meeting of Yangming"); Sanli LI-10 and Quchi LI-11 (He-Sea point, where Qi enters); Zhouliao LI-12, Wuli LI-13, and Binao LI-14 (Meeting of Yangming collaterals; *Zhenjiu Ju Ying* writes "Meeting of Hand-Foot Taiyang and Yangwei"); Jianliao TE-14 (Luo point; *Qifu Lun* states it is a meeting of Hand-Shaoyang; secondary annotation says it is a meeting of Qi of Hand-Yangming and Shaoyang collaterals; *Zhenjiu Ju Ying* says it is a meeting of Yangwei); Jianyu LI-15 (Meeting of Qiao vessels; *Zhenjiu Ju Ying* says it is a meeting of Foot-Shaoyang and Yangqiao); Jugu BL-1 (Same as above); Tianding LI-16 (Where Qi emerges); Futu LI-18 (Same as above); Heliao LI-19 (Same as above); Yingxiang LI-20 (Meeting of Hand and Foot Yangming; *Qifu Lun* states it is where Hand-Yangming Qi emerges; secondary annotation refers to Yingxiang and Futu).
According to *Qianjin Fang*, there is no Jianliao TE-14 (classified under Hand-Taiyin Lung meridian), and *Fa Hui* agrees (classified under Hand-Shaoyang Sanjiao meridian). *Waitai Mi Yao* records: Forty-two acupoints on both sides plus three single acupoints below, totaling forty-five acupoints. It excludes Yingxiang LI-20 (classified under Foot-Yangming Stomach meridian), but includes Jianliao TE-14 (Hand-Shaoyang Sanjiao meridian), Duiduan GV-26, Yinjiao GV-28, and Shuigou GV-26 (collectively belonging to the Du meridian). *Jia Yi Jing* states that Duiduan GV-26 is where the Qi of the Hand-Yangming meridian emerges.