足太阴脾经之脉。起于大指之端。循指内侧白肉际过核骨后。上内踝前廉。上 内循胫骨后交出厥阴之前。上
膝股内前廉入腹。属脾络胃。上膈侠咽连舌本。散舌下。其支者复从胃别上膈注心中。几二十一穴。今取四穴。
隐白 在足大指内侧端。去爪甲如韭叶。足太阴所出为井。刺一分。留三呼。宜灸三壮。主治中痛呕吐。食不
下及足寒不得温。妇人月事过时不止。刺之立愈。小儿客忤惊风。
三阴交 在内踝上。除踝三寸。骨下陷中。足三阴之交会。刺三分。留七呼。灸三壮。凡妊妇不可刺。主治脾
胃虚弱。心腹胀满。不思饮食。妇人产难。月水不禁。赤白带下。宜先泻后补。凡小肠疝气。外肾偏坠。小便不通。
浑身浮肿。宜先补后泻。千金云。内踝上三寸绝骨宛宛中。灸五十壮。主咳逆虚劳。筋骨挛痛。喉痹项颈满。肠痔
逆气痔血阴急等症。又云男女梦与人交泄精。三阴交灸五壮。梦泄神良。昔有宋太子善医术。出逢一妊妇。太子诊
之曰是一女也。徐文伯亦诊曰。此一男一女也。太子性急欲剖视之。文伯曰。臣能针而落之。为泻三阴交。补手阳
明合谷。应针而落。果如文伯之言。故妊娠不可刺此穴。且能落死胎也。
阴陵泉 在膝下内辅骨下陷中。伸足取之。或曲膝取之。与少阳经阳陵泉内外相对。一曰稍高一寸。足太阴所
入为合。刺五分。留七呼。灸三壮。主治腹中寒痛。胀满喘逆。不得卧。小便不通。阴痛。足膝红肿。通元赋云。
能开通水道。喉痹胸满。
血海（一名百虫窠） 在膝膑上一寸。内廉白肉际陷中。一云在膝内辅骨上横入五分。刺五分。灸五壮。主治
肾脏风两腿疮痒湿不可当。妇人月事不调带下。先补后泻。百证赋云。兼地机。治妇人经事之改常又云兼冲门治
癖有验。灵光赋云。兼气海疗五淋症。
足太阴脾经的经脉，起始于足大趾的末端。沿着足大趾内侧边缘，经过核骨（第一跖骨基底）后方，上行至内踝前缘。再沿小腿内侧上行，在胫骨后缘交叉至足厥阴肝经的前方，继续上行至膝部和大腿内侧前缘，进入腹部。归属于脾脏，联络胃腑。向上穿过膈肌，夹行于咽喉两侧，连接舌根，散布于舌下。其分支从胃部分出，向上穿过膈肌，注入心中。本经共有二十一个穴位，此处选取四个穴位进行论述。
隐白穴：位于足大趾内侧端，距离指甲角如韭菜叶宽度处。是足太阴脾经的井穴（经气所出之处）。针刺深度一分，留针三呼的时间。适宜艾灸三壮。主治心腹疼痛、呕吐、饮食不下以及足部寒冷无法温暖等症状。妇女月经过期不止，针刺此穴可立即痊愈。小儿受惊风邪（客忤惊风），也可用此穴治疗。
三阴交穴：位于内踝尖上三寸，胫骨内侧缘后方的凹陷中。是足太阴脾经、足少阴肾经、足厥阴肝经三条阴经的交会穴。针刺深度三分，留针七呼的时间。艾灸三壮。凡是孕妇禁止针刺。主治脾胃虚弱引起的心腹胀满、不思饮食；妇女难产、月经淋漓不尽、赤白带下等症。治疗上述病症宜先泻后补。对于小肠疝气、睾丸偏坠、小便不通、全身浮肿等症，宜先补后泻。《千金方》记载：“内踝上三寸绝骨宛宛中”，灸五十壮，主治咳嗽气逆、虚劳、筋骨挛痛、喉痹、颈项胀满、肠痔、逆气、痔血、阴部拘急等症状。又记载男女梦中与人交合而泄精者，灸三阴交五壮，疗效显著。从前宋太子精通医术，外出时遇到一位孕妇，太子诊断说怀的是女孩。徐文伯也诊断说是一个男孩一个女孩。太子性情急躁想要剖开查看，徐文伯说：“臣可以用针刺使胎儿落下。”于是针刺三阴交（泻法），补手阳明大肠经的合谷穴，应针而下，果然如徐文伯所言。所以妊娠期不可针刺此穴，且此穴能导致死胎落下。
阴陵泉穴：位于膝内侧下方，胫骨内侧髁下方的凹陷中。伸直足取穴，或弯曲膝盖取穴。与足少阳胆经的阳陵泉穴内外相对。另一种说法是稍高于一寸。是足太阴脾经的合穴（经气所入之处）。针刺深度五分，留针七呼的时间。艾灸三壮。主治腹中寒痛、胀满、气喘逆乱、不能平卧、小便不通、阴部疼痛、足膝红肿等症。《通元赋》记载：“能开通水道”，主治喉痹、胸满。
血海穴（又名百虫窠）：位于膝盖骨上一寸，大腿内侧肌肉边缘的凹陷中。另一种说法是在膝内侧辅骨上横入五分处。针刺深度五分，艾灸五壮。主治肾脏风邪引起的双腿疮疡瘙痒、湿气重难以忍受；妇女月经不调、带下病等。治疗宜先补后泻。《百证赋》记载：“配合地机穴，治疗妇人月经异常”；又说“配合冲门穴，治疗积聚痞块有验”。《灵光赋》记载：“配合气海穴，治疗五淋症”。
The meridian of the Foot-Taiyin Splein Channel originates at the tip of the great toe. It follows the medial margin of the toe, passes posterior to the nucleus bone (base of the first metatarsal), and ascends to the anterior border of the medial malleolus. It then travels up the medial aspect of the leg, crossing behind the tibia to emerge anterior to the Foot-Jueyin Liver Channel. Continuing upward, it enters the medial anterior aspect of the knee and thigh, and penetrates into the abdomen. It connects with the Spleen Zang-organ (Spleen) and links with the Stomach Fu-organ (Stomach). Ascending through the diaphragm, it runs alongside the pharynx, connects with the root of the tongue, and scatters under the tongue. A branch diverges from the Stomach, ascends through the diaphragm, and pours into the Heart. This channel contains twenty-one acupoints; four are selected here for discussion.
Yinbai (SP1): Located at the medial corner of the nail of the great toe, approximately the width of a leek leaf from the nail edge. It is the Jing-Well point (where the channel Qi emerges) of the Foot-Taiyin Splein Channel. Needle depth: 0.1 cun; retain needle for three breaths. Moxibustion: 3 cones. Indications include abdominal pain, vomiting, inability to eat or drink, coldness of the feet that cannot be warmed, and women with prolonged menstrual bleeding beyond the expected period; needling this point can bring immediate relief. It is also indicated for infantile convulsions due to fright (Ke Wu Jing Feng).
Sanyinjiao (SP6): Located 3 cun directly above the tip of the medial malleolus, in the depression posterior to the medial border of the tibia. It is the intersection point of the three Yin channels of the foot (Foot-Taiyin Spleen, Foot-Shaoyin Kidney, and Foot-Jueyin Liver). Needle depth: 0.3 cun; retain needle for seven breaths. Moxibustion: 3 cones. Contraindicated during pregnancy. Indications include heart and abdominal distension, fullness, loss of appetite due to Spleen and Stomach deficiency; difficult labor, menorrhagia (profuse or prolonged menstruation), and leukorrhea (red and white discharge). For these conditions, the method should be reducing first, then tonifying. For small intestine hernia, unilateral testicular swelling, dysuria, and generalized edema, the method should be tonifying first, then reducing. The *Qianjin Fang* records: "In the hollow 3 cun above the medial malleolus," moxibustion of 50 cones treats cough with reverse flow of Qi, consumptive disease, spasm and pain of sinews and bones, bi syndrome of the throat, fullness of the neck and nape, intestinal hemorrhoids, rebellious Qi, hematochezia due to hemorrhoids, and acute contraction of the genitalia. It also states that for nocturnal emission occurring in dreams of sexual intercourse in both men and women, moxibustion of 5 cones on Sanyinjiao is highly effective. Historically, the Crown Prince of Song was skilled in medicine. Upon encountering a pregnant woman, he diagnosed her fetus as female. Xu Wenbo also diagnosed it as one male and one female. Impatient, the Prince wished to perform an autopsy to verify. Xu Wenbo said, "Your subject can induce delivery via acupuncture." He reduced Sanyinjiao and tonified Hegu (LI4) of the Hand-Yangming Large Intestine Channel. The fetus was delivered immediately, exactly as predicted. Therefore, this point is contraindicated during pregnancy as it can induce abortion, even of a dead fetus.
Yinlingquan (SP9): Located in the depression below the medial condyle of the tibia, inferior to the knee. The point can be located with the leg extended or flexed. It is opposite Yanglingquan (GB34) of the Foot-Shaoyang Gallbladder Channel. Some sources state it is slightly higher than 1 cun. It is the He-Sea point (where the channel Qi enters) of the Foot-Taiyin Splein Channel. Needle depth: 0.5 cun; retain needle for seven breaths. Moxibustion: 3 cones. Indications include cold pain in the abdomen, distension, asthma with reverse flow of Qi, inability to lie flat, dysuria, genital pain, redness and swelling of the foot and knee. The *Tongyuan Fu* records that it "can open the water pathways," treating bi syndrome of the throat and chest fullness.
Xuehai (SP10) (also known as Baichongke): Located 1 cun superior to the patella, in the depression at the medial margin of the vastus medialis muscle. Another description places it 0.5 cun horizontally inward from the upper border of the medial tibial condyle. Needle depth: 0.5 cun. Moxibustion: 5 cones. Indications include skin sores and itching of both legs caused by Wind-Dampness of the Kidney, which is unbearable due to severe dampness; irregular menstruation and leukorrhea in women. The treatment method should be tonifying first, then reducing. The *Baizheng Fu* records: "Combined with Diji (SP8), it treats abnormalities in women's menstruation"; it also states: "Combined with Chongmen (SP12), it effectively treats accumulations and masses." The *Lingguang Fu* records: "Combined with Qihai (CV6), it treats the five types of strangury (Wu Lin)."