(在肝之短叶间,重三两三铢,藏津汁三合)《灵枢》曰∶足少阳之脉,起于目锐 ,上抵
头角,下耳后,循颈行手少阳之前,至肩上,却交出手少阳之后,入缺盆(自目锐 ,由听会、客主人,上
抵头角,循颔厌,
下悬颅、悬厘,从耳上发际入曲鬓、率谷,历手少阳之角孙,外折下耳后,行天冲、浮白、窍阴、完骨;又自
完骨外折上行,循本神,前至阳白,复内折上行,循临泣、目窗、正营、承灵、脑空,由风池而下行;自风池
循颈,过手少阳之天牖,行少阳之前,下至肩上,循肩井,复交出手少阳之后,过督脉之大椎,会于手太阳之
秉风,而前入于足阳明缺盆之外,其支又入耳);其支者从耳后,入耳中,出走耳前,至目锐 后(其支者,
从耳后颞 间,过手少阳之翳风,入耳中,过手太阳之听宫,出走耳前,复自听会至目锐 后瞳子 之分);
其支者,别锐 ,下大迎,合于手少阳,抵于 (其支者,别自目外 瞳 ,下足阳明大迎之次,由手少阳之
丝竹空、和 ,而下抵于 也);下加颊车,下颈合缺盆(其下于足阳明者,合于下关,乃自颊车下颈,循本
经之前与前之入缺盆者相合,以下胸中)以下胸中,贯膈,络肝,属胆,循胁里,出气街,绕毛际,横入髀厌
中(其内行者,由缺盆下胸,当手厥阴天池之分贯膈,足厥阴期门之分络肝,本经日月之分属胆,而相为表里,
乃循胁里,由足厥阴之章门下行,出足阳明之气街,绕毛际,合于足厥阴,以横入髀厌中之环跳穴也);其直
者,从缺盆下腋,循胸,过季胁,下合髀厌中(其直下而行于外者,从缺盆下腋,循胸,历渊腋、辄筋、日月,
过季胁,循京门、带脉等穴下行,由居 入足太阳之上 、中 、下 ,下行复与前之入髀厌者相合),以下
循髀阳,出膝外廉,下行辅骨之前(髀阳,髀之外侧也。辅骨,膝下两旁高骨也。由髀阳行太阳、阳明之中,
历中渎、阳关,出膝外廉,下行辅骨之前,自阳陵泉以下阳交等穴也),直下抵绝骨之端,下出外踝之前,循
足跗上,入小指次指之
间(外踝上骨际曰绝骨。绝骨之端,阳辅穴也,下行悬钟,循足面上之丘墟、临泣等穴,乃入小指次指之间,
至窍阴穴,足少阳经止于此);其支者,别跗上,入大指之间,循大指岐骨内,出其端,还贯爪甲,出三毛(足
大指次指本节后骨缝为岐骨,大指爪甲后二节间为三毛。其支者,自足跗上别行入大指,循岐骨内,出大指端,
还贯入爪甲,出三毛,而接乎足厥阴经也)。其别,名曰光明,去踝五寸,别走厥阴,下络足跗。实则厥,虚
则痿 ,坐不能起,取之所别也(足少阳之络,名光明,在外踝上五寸,别走足厥阴者也,此经下络足跗。凡
痛厥与痿 ,治此者,当取所别之光明)。其正绕髀入毛际,合于厥阴;别者,入季胁之间,循胸里属胆,散之
上肝,贯心,以上挟咽,出颐颔中,散于面,系目系,合少阳于外 也(此肝、胆二经为表里,经脉相为一合。
足少阳,绕髀阳,入毛际,与足厥阴合。其内行而别者,乃自季胁入胸属胆,散之上肝,由肝之上系贯心,上
挟咽,自颐颔中出散于面,而上系目系,复合少阳本经于目外 瞳子 也)。其筋起于小趾次趾,上结外踝,上
循胫外廉,合于膝外廉(小趾次趾,即第四趾窍阴之次。外踝,丘墟之次。胫外廉,外丘、阳交之次。膝外廉,
阳陵泉、阳关之次。此皆刚筋也);其支者,别走外辅骨,上走髀,前者结于伏兔之上,后者结于尻(膝下两
旁突出之骨曰辅骨。膝上六寸起肉曰伏兔。尾 骨曰尻。此支自外踝骨上走于髀,分为二岐,前结阳明之伏兔,
后结督脉之尻,至此刚柔相制,所以取臀膝而运枢机也);其直者,上乘 季胁,上走腋前廉,系于膺乳,结
于缺盆(季胁下两旁 处曰 。胸上两旁高处曰膺。此直,自外输骨上走于髀,由髀枢上行乘 ,循季胁上走
腋,当手太阴之下,出腋前廉,横系于胸乳之分,上结于缺盆,
与手太阴之筋相合,皆刚筋也);直者,上出腋,贯缺盆,出太阳之前,循耳后,上额角,交巅上,下走颔,
上结于 (此直者,自上走腋处,直上出腋,贯于缺盆,与上之结于缺盆者相合,乃行足太阳经筋之前,循耳
上额角,交太阳之筋于巅上,复从足阳明头维之分,走耳前,下腮颔,复结于 上也);支者,结于目 为外
维(此支者,从颧上斜趋结于目外 ,而为目之外维,凡人能左右盼视者,正以此筋为之伸缩也)。是动则病
口苦,善太息,心胁痛不能转侧,甚则面微有尘,体无膏泽,足外反热,是为阳厥。是主骨所生病者,头痛颔
痛,目锐 痛,缺盆中肿痛,腋下肿,马刀侠瘿,汗出振寒,疟,胸胁肋髀膝外至胫绝骨外踝前及诸节皆痛,
小指次指不用。盛者人迎大一倍于寸口,虚者人迎反小于寸口也。
(胆位于肝脏的短叶之间,重量为三两三铢,贮藏津液三合。)《灵枢》说:足少阳胆经的经脉,起始于目外角(瞳子髎穴),向上到达头角,向下经过耳后,沿着颈部行走于手少阳三焦经之前,至肩部,然后交叉到手少阳三焦经之后,进入缺盆(从目外角开始,经过听会穴、客主人穴,向上到达头角,沿颔厌穴,下行至悬颅穴、悬厘穴,从耳上发际进入曲鬓穴、率谷穴,经过手少阳三焦经的角孙穴,向外折下经过耳后,行经天冲穴、浮白穴、窍阴穴、完骨穴;又从完骨穴向外折上行,沿本神穴,向前到达阳白穴,再向内折上行,沿临泣穴、目窗穴、正营穴、承灵穴、脑空穴,由风池穴下行;从风池穴沿颈部,经过手少阳三焦经的天牖穴,行于少阳经之前,下行至肩部,沿肩井穴,再次交叉到手少阳三焦经之后,经过督脉的大椎穴,与手太阳小肠经的秉风穴会合,然后向前进入足阳明胃经缺盆的外侧,其支脉又进入耳中);其支脉从耳后,进入耳中,走出耳前,到达目外角后方(这支脉,从耳后颞颥部间,经过手少阳三焦经的翳风穴,进入耳中,经过手太阳小肠经的听宫穴,走出耳前,再从听会穴到目外角后方的瞳子髎穴部位);另一支脉,从目外角分出,下行至大迎穴,与手少阳三焦经会合,到达眼下方(这支脉,从目外角瞳子髎穴处分出,下行至足阳明胃经大迎穴的位置,经由手少阳三焦经的丝竹空穴、和髎穴,而下到达眼下方);向下加于颊车穴,下行颈部与缺盆汇合(其下行至足阳明胃经的部分,与下关穴会合,乃从颊车穴下行颈部,沿本经之前与前文进入缺盆的经脉相合,以进入胸中);进入胸中,贯穿膈肌,联络肝脏,属于胆,沿着胁肋内部,出于气街,环绕阴毛边缘,横向进入大腿外侧的髀厌中(其内行的部分,由缺盆下行入胸,正当手厥阴心包经天池穴的部位贯穿膈肌,足厥阴肝经期门穴的部位联络肝脏,本经日月穴的部位属于胆,二者互为表里,乃沿胁肋内部,由足厥阴肝经的章门穴下行,出于足阳明胃经的气街,环绕阴毛边缘,与足厥阴肝经会合,以横向进入大腿外侧的环跳穴);其直行者,从缺盆下行腋下,沿胸部,经过季胁,下行与进入髀厌中的经脉会合(其直行向外的部分,从缺盆下行腋下,沿胸部,历经渊腋穴、辄筋穴、日月穴,经过季胁,沿京门穴、带脉穴等穴位下行,由居髎穴进入足太阳膀胱经的上髎、中髎、下髎穴,下行后又与前文进入髀厌的经脉相合);由此向下沿大腿外侧,出于膝外侧,下行至辅骨之前(大腿外侧称为髀阳。辅骨,指膝盖两旁的高骨。由髀阳行于太阳、阳明经之间,历经中渎穴、阳关穴,出于膝外侧,下行至辅骨之前,自阳陵泉穴以下经阳交穴等穴位);直行向下到达绝骨的末端,下行出于外踝之前,沿足背,进入第四趾与第五趾之间(外踝上方的骨际称为绝骨。绝骨的末端是阳辅穴,下行至悬钟穴,沿足面的丘墟穴、临泣穴等穴位,乃进入第四趾与第五趾之间,至窍阴穴,足少阳胆经终止于此);其支脉,从足背分出,进入大脚趾与第二脚趾之间,沿大脚趾岐骨内侧,出于其端,回绕穿过指甲,出于三毛处(足大脚趾与第二脚趾本节后骨缝称为岐骨,大脚趾指甲后二节间称为三毛。其支脉,从足背另起一行进入大脚趾,沿岐骨内侧,出大脚趾端,回绕进入指甲,出于三毛,而连接足厥阴肝经)。其别络,名为光明,距离外踝五寸,别行走向足厥阴肝经,下行联络足背。实证表现为厥逆,虚证表现为痿弱,坐起困难,治疗应取该别络(足少阳胆经的络脉,名为光明,位于外踝上五寸,别行走向足厥阴肝经,此经下行联络足背。凡是痛厥与痿弱的病症,治疗此经时,应当取用别络光明穴)。其正经绕行大腿进入阴毛际,与足厥阴肝经会合;别行者,进入季胁之间,沿胸里属于胆,散布至上部肝脏,贯穿心脏,向上挟持咽喉,出于颐颌中,散布于面部,系连目系,在外眼角与少阳经会合(这是肝、胆两经互为表里,经脉相互为一合。足少阳胆经,绕行大腿外侧,进入阴毛际,与足厥阴肝经会合。其内行而分出的别脉,乃从季胁入胸属于胆,散布至上部肝脏,由肝脏上部系连贯穿心脏,向上挟持咽喉,自颐颌中出来散布于面部,而上系连目系,复合少阳本经于目外角的瞳子髎穴)。其筋起始于第四趾,向上结聚于外踝,向上沿小腿外侧,与膝外侧会合(第四趾即窍阴穴所在的第四趾。外踝,即丘墟穴所在处。小腿外侧,即外丘穴、阳交穴所在处。膝外侧,即阳陵泉穴、阳关穴所在处。这些都是刚筋);其支脉,别行走向外辅骨,向上走到大腿,前方的结聚于伏兔之上,后方的结聚于尻骨(膝盖两旁突出的骨头称为辅骨。膝盖上六寸隆起的肌肉称为伏兔。尾骨称为尻。这支脉从外踝骨上走到大腿,分为两支,前方结聚于足阳明胃经的伏兔穴,后方结聚于督脉的尻骨,至此刚柔相互制约,所以能支配臀部和膝关节的运动枢纽);其直行者,上乘季胁,向上走腋前廉,系联于胸乳,结聚于缺盆(季胁下两旁凹陷处称为 。胸上两旁高处称为膺。此直行部分,从外输骨上走到大腿,由大腿枢纽上行乘 ,沿季胁向上走腋,正当手太阴肺经之下,出腋前廉,横系于胸乳部位,上结于缺盆,与手太阴肺经的筋相合,都是刚筋);直行者,向上出腋,贯穿缺盆,出于足太阳膀胱经之前,沿耳后,上至额角,交会于头顶,向下走至下颌,上结于 (此直行部分,从上方走腋处,直上出腋,贯穿缺盆,与上文结于缺盆的部分相合,乃行于足太阳经筋之前,沿耳上至额角,与足太阳经筋交会于头顶,又从足阳明胃经头维穴的部位,走耳前,下至腮颌,复结于 上部);支脉,结聚于目外眦成为外维(这支脉,从颧骨上斜趋结聚于目外眦,成为眼睛的外维,凡人能左右顾盼视物,正是以此筋的伸缩所致)。经脉发生变动则出现口苦,喜欢叹气,心胁疼痛不能转侧,严重时面色微如蒙尘,身体无光泽,足外侧反热,这称为阳厥。本经主司骨骼所生的疾病有:头痛、下颌痛、目外角痛、缺盆中肿痛、腋下肿、马刀侠瘿(瘰疬的一种)、汗出振寒、疟疾,胸胁肋髀膝外侧至胫骨绝骨、外踝前及各个关节皆痛,第四趾与第五趾功能丧失。脉象盛大的人迎脉比寸口大一倍,脉象虚弱的人迎脉反而小于寸口。
(The gallbladder is located between the short lobes of the liver, weighs three taels and three zhu, and stores three he of jinye [body fluids].) The *Ling Shu* states: The Foot-Shaoyang (Gallbladder) meridian originates at the outer canthus (Tongziliao, GB1), ascends to the head corner, descends behind the ear, follows the neck anterior to the Hand-Shaoyang (Sanjiao) meridian, reaches the shoulder, then crosses posterior to the Hand-Shaoyang meridian, and enters the supraclavicular fossa (starting from the outer canthus, passing through Tinghui (GB2) and Keyuzhuren (Ex-HN16), ascending to the head corner, following Hanyan (GB4), descending to Xuanlu (GB5) and Xuanli (GB6), entering Qubin (GB7) and Lvgu (GB8) from the hairline above the ear, passing Jiaosun (SJ14) of the Hand-Shaoyang meridian, turning outward and descending behind the ear, traversing Tianchong (GB9), Fu Bai (GB10), Qiaoyin (GB11), and Wanggu (GB12); again turning outward and ascending from Wanggu, following Benshen (GB13), advancing to Yangbai (GB14), then turning inward and ascending, following Linqi (GB15), Mucuang (GB16), Zhengying (GB17), Chengling (GB18), and Naokong (GB19), descending via Fengchi (GB20); from Fengchi, following the neck, passing Tiyou (SJ16) of the Hand-Shaoyang meridian, proceeding anterior to the Shaoyang meridian, descending to the shoulder, following Jianjing (GB21), crossing again posterior to the Hand-Shaoyang meridian, passing Dazhui (GV14) of the Du meridian, meeting Bingfeng (SI12) of the Hand-Taiyang meridian, and then entering laterally to the supraclavicular fossa of the Foot-Yangming meridian; its branch also enters the ear). Its branch arises from behind the ear, enters the ear, emerges anterior to the ear, and reaches the posterior aspect of the outer canthus (this branch, from the temporal region behind the ear, passes Yifeng (SJ17) of the Hand-Shaoyang meridian, enters the ear, passes Tinggong (SI19) of the Hand-Taiyang meridian, emerges anterior to the ear, returns from Tinghui to the posterior aspect of the outer canthus at Tongziliao); another branch diverges from the outer canthus, descends to Daying (ST5), joins the Hand-Shaoyang meridian, and reaches the infraorbital region (this branch diverges from the outer canthus at Tongziliao, descends to the level of Daying of the Foot-Yangming meridian, passes Sizhukong (SJ23) and Heliao (Ex-HN1) of the Hand-Shaoyang meridian, and descends to the infraorbital region); it descends to Jiache (ST6), travels down the neck, and converges with the supraclavicular fossa (the part descending to the Foot-Yangming meridian converges at Xiaguan (ST7), then descends from Jiache along the neck, preceding this meridian, and merges with the portion previously entering the supraclavicular fossa, to enter the chest); it enters the chest, penetrates the diaphragm, connects with the Liver, belongs to the Gallbladder, follows the interior of the hypochondrium, emerges at Qichong (ST30), surrounds the pubic region, and transversely enters the hip joint (its internal course descends from the supraclavicular fossa into the chest, penetrating the diaphragm at the level of Tianchi (PC1) of the Hand-Jueyin meridian, connecting with the Liver at Qimen (LR14) of the Foot-Jueyin meridian, belonging to the Gallbladder at Riyue (GB24) of this meridian, forming exterior-interior relationships, then following the hypochondrium, descending from Zhangmen (LR13) of the Foot-Jueyin meridian, emerging at Qichong of the Foot-Yangming meridian, surrounding the pubic region, joining the Foot-Jueyin meridian, and transversely entering Huantiao (GB30) in the hip joint); its straight branch descends from the supraclavicular fossa to the axilla, follows the chest, passes the lateral costal margin, and converges with the portion entering the hip joint (the straight external course descends from the supraclavicular fossa to the axilla, follows the chest, traverses Yuanye (GB25), Zhejin (GB26), and Riyue (GB24), passes the lateral costal margin, descends along Jingmen (GB25), Daibai (GB26), etc., enters Juliao (GB31) of the Foot-Taiyang meridian, specifically Shangliao (BL31), Zhongliao (BL32), and Xialiao (BL33), descends, and merges with the portion previously entering the hip joint); from there, it follows the lateral thigh, emerges at the lateral knee, and descends anterior to the fibula (the lateral thigh is called Biyang. The fibula refers to the prominent bones on both sides below the knee. Traversing Biyang between the Taiyang and Yangming meridians, it passes Zhongdu (GB34) and Yangguan (GB33), emerges at the lateral knee, and descends anterior to the fibula, from Yanglingquan (GB34) downward through Yangjiao (GB35), etc.); it descends straight to the end of the Jiegu (fibular head), emerges anterior to the lateral malleolus, follows the dorsum of the foot, and enters the space between the fourth and fifth toes (the bone junction above the lateral malleolus is called Jiegu. The end of Jiegu is the point Yangfu (GB38); descending to Xuanzhong (GB39), following Qiuxu (GB40) and Linqi (GB41) on the dorsum of the foot, it enters the space between the fourth and fifth toes, reaching Qiaoyin (GB44), where the Foot-Shaoyang meridian terminates); its branch diverges from the dorsum of the foot, enters the space between the first and second toes, follows the medial side of the interphalangeal bone of the great toe, emerges at its tip, loops through the nail bed, and emerges at the trichorrhexis (the bone gap after the proximal phalanx of the great and second toes is called Qigu; the space two segments behind the nail of the great toe is called Sanmao. This branch diverges from the dorsum of the foot, enters the great toe, follows the medial Qigu, emerges at the tip of the great toe, loops into the nail, emerges at Sanmao, and connects with the Foot-Jueyin meridian). Its collateral is named Guangming (GB37), located five cun above the ankle, diverging to the Foot-Jueyin meridian, descending to connect with the dorsum of the foot. Excess conditions manifest as Jue [cold extremities], deficiency conditions manifest as Wei [flaccidity], with difficulty sitting up or rising; treatment should target this collateral (The collateral of the Foot-Shaoyang meridian is named Guangming, located five cun above the lateral malleolus, diverging to the Foot-Jueyin meridian; this meridian descends to connect with the dorsum of the foot. For disorders of pain/Jue and flaccidity/Wei involving this meridian, one should select the collateral point Guangming). The main channel winds around the thigh into the pubic region, joining the Foot-Jueyin meridian; its branch enters the lateral costal margin, follows the chest interior, belongs to the Gallbladder, disperses to the upper Liver, penetrates the Heart, ascends to flank the pharynx, emerges in the jaw area, disperses on the face, ties to the eye system, and joins the Shaoyang meridian at the outer canthus (This indicates the Liver and Gallbladder meridians are exterior-interior pairs, with their channels forming a single union. The Foot-Shaoyang meridian winds around the lateral thigh, enters the pubic region, and joins the Foot-Jueyin meridian. Its internal branch enters the chest from the lateral costal margin, belongs to the Gallbladder, disperses to the upper Liver, passes from the Liver through the Heart, ascends to flank the pharynx, emerges from the jaw to disperse on the face, ascends to tie to the eye system, and reunites with the original Shaoyang meridian at the outer canthus/Tongziliao). Its sinews originate at the fourth toe, ascend to bind at the lateral malleolus, follow the lateral tibia, and join at the lateral knee (The fourth toe is adjacent to Qiaoyin. The lateral malleolus is adjacent to Qiuxu. The lateral tibia is adjacent to Waixiu and Yangjiao. The lateral knee is adjacent to Yanglingquan and Yangguan. These are all rigid sinews); its branch diverges to the lateral fibula, ascends to the thigh, binding anteriorly at Futu (ST32) and posteriorly at Kao (sacrum/coccyx) (The prominent bones on both sides below the knee are called fibula. The muscle mass six cun above the knee is called Futu. The tailbone is called Kao. This branch ascends from the lateral malleolus to the thigh, dividing into two: anteriorly binding at Futu of the Foot-Yangming meridian, posteriorly binding at Kao of the Du meridian; here rigid and soft mutually constrain each other, enabling the pivot function of the buttocks and knees); its straight branch ascends over the lateral costal margin, moves to the anterior axillary line, ties to the chest and breast, and binds at the supraclavicular fossa (The depressed area below the lateral costal margin is called . The high area on both sides of the upper chest is called Ying. This straight course ascends from the lateral bone to the thigh, moves from the hip pivot over , follows the lateral costal margin to the axilla, lies inferior to the Hand-Taiyin meridian, emerges at the anterior axillary line, transversely ties to the chest and breast region, and ascends to bind at the supraclavicular fossa, joining the sinews of the Hand-Taiyin meridian, all being rigid sinews); the straight branch ascends out of the axilla, penetrates the supraclavicular fossa, emerges anterior to the Foot-Taiyang meridian, follows behind the ear, ascends to the frontal angle, crosses at the vertex, descends to the mandible, and ascends to bind at (This straight course ascends from the axilla, penetrates the supraclavicular fossa, merging with the previous binding at the supraclavicular fossa, then proceeds anterior to the Foot-Taiyang sinew, follows the ear to the frontal angle, crosses with the Foot-Taiyang sinew at the vertex, moves from Touwei (ST8) of the Foot-Yangming meridian anterior to the ear, descends to the cheek and mandible, and re-binds at the upper ); its branch binds at the outer canthus as the outer dimension (This branch slants from the zygoma to bind at the outer canthus, serving as the outer support of the eye; the ability to look left and right depends on the extension and contraction of this sinew). When the meridian is disturbed, symptoms include bitter taste, frequent sighing, pain in the heart and hypochondrium preventing turning, severe cases showing a dusty complexion, lack of luster in the body, and heat on the lateral foot, known as Yang Jue [Yang reversal]. Diseases governed by the bone include: headache, mandibular pain, pain at the outer canthus, swelling and pain in the supraclavicular fossa, axillary swelling, Hashimoto's thyroiditis/scrofula (Madao and Xiaying), sweating with chills, malaria, pain throughout the chest, hypochondrium, ribs, thigh, lateral knee, lateral tibia, Jiegu, lateral malleolus, and all joints, and dysfunction of the fourth and fifth toes. In excess, the Renying pulse is one times larger than the Cunkou pulse; in deficiency, the Renying pulse is smaller than the Cunkou pulse.