此篇为针灸家根据经认穴，扼要治病之祖，其十二经五脏六腑之井荥俞经合各穴之发明。非开天明道之圣
人不能通晓，非后世言解剖者，所能几其万一。凡人周身之穴道，及用针灸治病之方
法，俱由此篇逐渐发明，尤为针灸家不可不读。
黄帝问于岐伯曰∶凡刺之道，必通十二经络之所终始，络脉之所别处，五输之所留，六腑之所与合，四
时之所出入，五脏之所溜处，阔数之度，浅深之状，高下所至。愿闻其解。岐伯曰∶请言
其次也。肺出于少商，少商者，手大指端内侧也，为井木；溜于鱼际，鱼际者，手鱼也，为荥，注于太渊，
太渊，鱼后一寸陷者中也，为 ；行于经渠，经渠，寸口中也，动而不居，为经，入
于尺泽，尺泽，肘中之动脉也，为合，手太阴经也。
心出于中冲，中冲，手中指之端也，为井木；溜于劳宫，劳宫，掌中中指本节之内间也，为荥；注于
大陵，大陵，掌后两骨之间方下者也，为 ；行于间使，间使之道，两筋之间，三寸之
中也，有过则至，无过则止，为经，入于曲泽，曲泽，肘内廉下陷者之中也，屈而得之，为合，手少阴也。
肝出于大敦，大敦者，足大指之端及三毛之中也，为井木；溜于行间，行间，足大指间也，为荥；注
于太冲，太冲，行间上二寸陷者之中也，为 ；行于中封，中封，内踝之前一寸半，陷
者之中，使逆则宛，使和则通，摇足而得之，为经；入于曲泉，曲泉，辅骨之下，大筋之上也，屈膝而得之，
为合，足厥阴也。
脾出于隐白，隐白者，足大指之端内侧也，为井木；溜于大都，大都，本节之后，下陷者之中也，为荥；
注于太白，太白，腕骨之下也，为 ；行于商丘，商丘，内踝之下，陷者之中也，为经，入于阴之陵泉，
阴之陵泉，辅骨之下，陷者之中也，伸而得之，为合，足太阴也。
肾出于涌泉，涌泉者，足心也，为井木；溜于然谷，然谷，然骨之下者也，为荥，注于太溪，太溪，
内踝之后，跟骨之上，陷中者也，为 ；行于复溜，复溜，上内踝二寸，动而不休，为
经，入于阴谷，阴谷，辅骨之后，大筋之下，小筋之上也，按之应手，屈膝而得之，为合，足少阴经也。
膀胱出于至阴，至阴者，足小指之端也，为井金；溜于通谷，通谷，本节之前外侧也，为荥；注于束骨，
束骨，本节之后，陷者中也，为 ；过于京骨，京骨，足外侧大骨之下，为原，行于昆仑，昆仑，在外
踝之后，跟骨之上，为经；入于委中，委中， 中央，为合，委而取之，足太阳也。
胆出于窍阴，窍阴者，足小指次指之端也，为井金；溜于侠溪，侠溪，足小指次指之间也，为荥；注
于临泣，临泣，上行一寸半陷者中也，为 ；过于丘墟，丘墟，外踝之前下，陷者中
也，为原；行于阳辅，阳辅，外踝之上，辅骨之前，及绝骨之端也，为经；入于阳之陵泉，阳之陵泉，
在膝外陷者中也，为合，伸而得之，足少阳也。
胃出于厉兑，厉兑者，足大指内次指之端也，为井金；溜于内庭，内庭，次指外间也，为荥；注于陷谷，
陷谷者，上中指内间上行二寸陷者中也，为 ；过于冲阳，冲阳，足跗上五寸陷者中也，为原。摇足而得之；
行于解溪，解溪，上冲阳一寸半陷者中也，为经，入于下陵，下陵，膝下三寸， 骨外三里也，为
合；复下三里三寸为巨虚上廉，复下上廉三寸为巨虚下廉也，大肠属上，小肠属下，足阳明胃脉也，
大肠小肠，皆属于胃，是足阳明也。
三焦者，上合手少阳，出于关冲，关冲者，手小指次指之端也，为井金；溜于液门，液门，小指次指
之间也，为荥；注于中渚，中渚，本节之后陷者中也，为 ，过于阳池，阳池，在腕
上陷者之中也，为原；行于支沟，支沟，上腕三寸，两骨之间陷者中也，为经；入于天井，天井，在肘
外大骨之上陷者中也，为合，屈肘乃得之，三焦下 ，在于足大指之前，少阳之后，出于
中外廉，名曰委阳，是太阳络也。手少阳经也，三焦者，足少阳太阴之所将，太阳之别也，上踝五寸，
别入贯 肠，出于委阳，并太阳之正，入络膀胱，约下焦，实则闭癃，虚则遗溺，遗溺则补之，闭癃则泻之。
手太阳小肠者，上合手太阳，出于少泽，少泽，小指之端也，为井金；溜于前谷，前谷，在手外廉本节
前陷者中也，为荥；注于后溪，后溪者，在手外侧本节之后也，为 ；过于腕骨，腕骨，在手外侧腕骨之前，
为原；行于阳谷，阳谷，在锐骨之下陷者中也，为经；入于小海，小海，在肘内大骨之外，去端
半寸陷者中也，伸臂而得之，为合，手太阳经也。
大肠上合手阳明，出于商阳，商阳，大指次指之端也，为井金；溜于本节之前二间，为荥；注于本节之后
三间，为 ；过于合谷，合谷，在大指岐骨之间，为原，行于阳溪，阳溪在两筋间
陷者中也，为经，入手曲池，在肘外辅骨陷者中，屈臂而得之，
为合，手阳明也，是五脏六腑之 ，五五二十五 ，六六三十六 也。六腑皆出足之三阳，上合于手者也。
缺盆之中，任脉也，名曰天突，一。次任脉侧之动脉，足阳明也，名曰人迎，二。次脉手阳明也，名
曰扶突，三。次脉手太阳也，名曰天窗，四。次脉足少阳也，名曰天容，五。次脉手少
阳也，名曰天牖，六。次脉足太阳也，名曰天柱，七。次脉颈中央之脉，督脉也，名曰风府。腋内动脉，
手太阴也，名曰天府。腋下三寸，手心主也，名曰天池。
刺上关者， 不能欠，刺下关者，欠不能 。刺犊鼻者，屈不能伸，刺两关者，伸不能屈。
足阳明挟喉之动脉也，其 在膺中。手阳明次在其 外，不至曲颊一寸。手太阳当曲颊。足少阳在耳
下曲颊之后。手少阳出耳后，上加完骨之上。足太阳挟项大筋之中发际。阴尺动脉在五里，五 之禁也。
肺合大肠，大肠者，传道之府。心合小肠，小肠者，受盛之府。肝合胆，胆者，中精之府。脾合胃，胃
者，五谷之府。肾合膀胱，膀胱者，津液之府也。少阳属肾，肾上连肺，故将两脏。
三焦者，中渎之府也，水道出焉，属膀胱，是孤之腑也。是六腑之所与合者。
春取络脉诸荥大筋分肉之间，甚者深取之，间者浅取之。夏取诸 孙络肌肉皮肤之上。秋取诸合，余如
春法。冬取诸井诸 之分，欲深而留之。此四时之序，气之所处，病之所舍，藏之
所宜。转筋者，立而取之，可令遂已。痿厥者，张而刺之，可令立快也。
本篇是针灸医家依据经络来认定穴位、简要治疗疾病的源头，它阐明了十二经脉以及五脏六腑的井、荥、俞、经、合各穴位的原理。这不是具有开天辟地般智慧的圣人不能通晓，也不是后世从事解剖研究的人所能理解其万一的。凡是人体全身的穴位，以及使用针灸治病的方法，都是由此篇逐渐阐明出来的，尤其是针灸医家不可不读的文章。
黄帝向岐伯问道：大凡针刺的道理，必须通晓十二经络的起止点，络脉分叉的地方，五输穴气血留止之处，六腑相配合的脏腑，四季气候变化的出入规律，五脏气血流注的部位，经脉宽窄的尺寸，针刺深浅的状态，以及穴位高低的位置。我希望听听您的解释。岐伯说：请允许我按次序来说明。
肺经的气血出于少商穴，少商穴位于手大拇指内侧尖端，属井穴（五行属木）；气血流经鱼际穴，鱼际穴位于手掌大鱼际部位，属荥穴；气血灌注于太渊穴，太渊穴位于手腕后一寸处的凹陷中，属俞穴（原穴）；气血运行于经渠穴，经渠穴位于寸口处，脉搏跳动不停，属经穴；气血汇入尺泽穴，尺泽穴位于肘窝中间的动脉处，属合穴。这是手太阴肺经。
心经的气血出于中冲穴，中冲穴位于手中指指尖，属井穴（五行属木）；气血流经劳宫穴，劳宫穴位于手掌中心中指本节内侧之间，属荥穴；气血灌注于大陵穴，大陵穴位于腕后两骨之间的下方，属俞穴（原穴）；气血运行于间使穴，间使穴的路径在两筋之间，距腕三寸处，有病邪则气血到达，无病邪则停止，属经穴；气血汇入曲泽穴，曲泽穴位于肘内侧边缘下方的凹陷中，弯曲手臂即可找到，属合穴。这是手少阴心经。
肝经的气血出于大敦穴，大敦穴位于足大拇指尖端及趾甲后丛毛之中，属井穴（五行属木）；气血流经行间穴，行间穴位于足大拇指两趾之间，属荥穴；气血灌注于太冲穴，太冲穴位于行间穴向上二寸的凹陷中，属俞穴（原穴）；气血运行于中封穴，中封穴位于内踝前一寸半的凹陷中，若气机逆乱则郁结不通，若气机调和则通畅，摇动脚部即可找到，属经穴；气血汇入曲泉穴，曲泉穴位于膝下辅骨之下、大筋之上，弯曲膝盖即可找到，属合穴。这是足厥阴肝经。
脾经的气血出于隐白穴，隐白穴位于足大拇指内侧尖端，属井穴（五行属木）；气血流经大都穴，大都穴位于本节之后下方的凹陷中，属荥穴；气血灌注于太白穴，太白穴位于足内踝前腕骨（此处指足部骨骼）之下，属俞穴（原穴）；气血运行于商丘穴，商丘穴位于内踝下方的凹陷中，属经穴；气血汇入阴陵泉穴，阴陵泉穴位于膝下辅骨之下的凹陷中，伸直腿部即可找到，属合穴。这是足太阴脾经。
肾经的气血出于涌泉穴，涌泉穴位于足心，属井穴（五行属木）；气血流经然谷穴，然谷穴位于然骨之下，属荥穴；气血灌注于太溪穴，太溪穴位于内踝后方、跟骨上方的凹陷中，属俞穴（原穴）；气血运行于复溜穴，复溜穴位于内踝上二寸处，脉搏跳动不止，属经穴；气血汇入阴谷穴，阴谷穴位于膝下辅骨之后、大筋之下、小筋之上，按压有应手感，弯曲膝盖即可找到，属合穴。这是足少阴肾经。
膀胱经的气血出于至阴穴，至阴穴位于足小趾尖端，属井穴（五行属金）；气血流经通谷穴，通谷穴位于本节之前的外侧，属荥穴；气血灌注于束骨穴，束骨穴位于本节之后的凹陷中，属俞穴（原穴）；气血经过京骨穴，京骨穴位于足外侧大骨之下，为原穴；气血运行于昆仑穴，昆仑穴位于外踝后方、跟骨上方，属经穴；气血汇入委中穴，委中穴位于腘窝中央，弯曲腿部取穴，属合穴。这是足太阳膀胱经。
胆经的气血出于窍阴穴，窍阴穴位于足小趾和第二趾的尖端，属井穴（五行属金）；气血流经侠溪穴，侠溪穴位于足小趾和第二趾之间，属荥穴；气血灌注于临泣穴，临泣穴位于向上走一寸半的凹陷中，属俞穴（原穴）；气血经过丘墟穴，丘墟穴位于外踝前方下方凹陷中，为原穴；气血运行于阳辅穴，阳辅穴位于外踝之上、辅骨之前，以及绝骨（腓骨）的末端，属经穴；气血汇入阳陵泉穴，阳陵泉穴位于膝盖外侧的凹陷中，属合穴，伸直腿部即可找到。这是足少阳胆经。
胃经的气血出于厉兑穴，厉兑穴位于足第二趾的内侧尖端，属井穴（五行属金）；气血流经内庭穴，内庭穴位于第二趾外侧之间，属荥穴；气血灌注于陷谷穴，陷谷穴位于足背第二趾内侧向上走二寸的凹陷中，属俞穴（原穴）；气血经过冲阳穴，冲阳穴位于足背上五寸的凹陷中，为原穴，摇动脚部即可找到；气血运行于解溪穴，解溪穴位于冲阳穴上一寸半的凹陷中，属经穴；气血汇入下陵穴（即足三里），下陵穴位于膝下三寸、胫骨外侧三里处，属合穴；再向下三寸为巨虚上廉，再向下三寸为巨虚下廉。大肠归属于上廉，小肠归属于下廉。这是足阳明胃脉，大肠和小肠都隶属于胃，所以称为足阳明经。
三焦经，上部与手少阳经相合，气血出于关冲穴，关冲穴位于手小指和第二指的尖端，属井穴（五行属金）；气血流经液门穴，液门穴位于小指和第二指之间，属荥穴；气血灌注于中渚穴，中渚穴位于本节之后的凹陷中，属俞穴（原穴）；气血经过阳池穴，阳池穴位于手腕上的凹陷中，为原穴；气血运行于支沟穴，支沟穴位于腕上三寸、两骨之间的凹陷中，属经穴；气血汇入天井穴，天井穴位于肘部外侧大骨之上的凹陷中，属合穴，弯曲手臂即可找到。三焦的下行部分，位于足大趾之前、少阳经之后，出于中外廉，名叫委阳，这是太阳经的络脉，属于手少阳经。三焦经由足少阳和足太阴所统领，是太阳经的别络，上行至踝上五寸，分支进入并贯穿膕肠，出于委阳，并与太阳经的正脉合并，入里联络膀胱，约束下焦。实证表现为小便闭塞不通，虚证表现为遗尿。遗尿应当用补法，小便闭塞应当用泻法。
手太阳小肠经，上部与手太阳经相合，气血出于少泽穴，少泽穴位于小指尖端，属井穴（五行属金）；气血流经前谷穴，前谷穴位于手外侧本节前的凹陷中，属荥穴；气血灌注于后溪穴，后溪穴位于手外侧本节之后，属俞穴（原穴）；气血经过腕骨穴，腕骨穴位于手外侧腕骨之前，为原穴；气血运行于阳谷穴，阳谷穴位于锐骨之下的凹陷中，属经穴；气血汇入小海穴，小海穴位于肘内侧大骨之外，距离端点半寸的凹陷中，伸直手臂即可找到，属合穴。这是手太阳小肠经。
大肠经，上部与手阳明经相合，气血出于商阳穴，商阳穴位于食指（大指次指）尖端，属井穴（五行属金）；气血流经二间穴，位于本节之前，属荥穴；气血灌注于三间穴，位于本节之后，属俞穴（原穴）；气血经过合谷穴，合谷穴位于食指和大拇指歧骨之间，为原穴；气血运行于阳溪穴，阳溪穴位于两筋之间的凹陷中，属经穴；气血汇入曲池穴，曲池穴位于肘部外侧辅骨的凹陷中，弯曲手臂即可找到，属合穴。这是手阳明大肠经。这就是五脏六腑的五输穴，五脏各有五个穴位共二十五个，六腑各有六个穴位（含原穴）共三十六个。六腑的气血都出自足部的三阳经，上部与手部的经脉相合。
缺盆中间的是任脉，名叫天突，是一号穴位。其次在任脉侧面的动脉是足阳明经，名叫人迎，是二号穴位。其次是手阳明经的动脉，名叫扶突，是三号穴位。其次是手太阳经的动脉，名叫天窗，是四号穴位。其次是足少阳经的动脉，名叫天容，是五号穴位。其次是手少阳经的动脉，名叫天牖，是六号穴位。其次是足太阳经的动脉，名叫天柱，是七号穴位。其次是颈部中央的督脉，名叫风府。腋内的动脉是手太阴经，名叫天府。腋下三寸处是手心主（心包经），名叫天池。
针刺上关穴时，患者不能闭口；针刺下关穴时，患者不能张口。针刺犊鼻穴时，腿不能伸直；针刺两侧关穴时，腿不能弯曲。
足阳明经挟持喉咙的动脉，其搏动部位在胸部正中。手阳明经的动脉其次在其外侧，不到达曲颊一寸处。手太阳经的动脉正当曲颊处。足少阳经的动脉在耳下曲颊之后。手少阳经的动脉出于耳后，上加于完骨之上。足太阳经的动脉挟持项部大筋之中，发际处。阴尺动脉在五里穴，这是五禁之一。
肺与大肠相表里，大肠是传导之府。心与小肠相表里，小肠是受盛之府。肝与胆相表里，胆是中精之府。脾与胃相表里，胃是五谷之府。肾与膀胱相表里，膀胱是津液之府。少阳隶属于肾，肾向上连接肺，所以少阳统领这两脏。
三焦是中渎之府，水道由此而出，隶属于膀胱，是孤独的府。这就是六腑相配合的情况。
春季取络脉和各荥穴，位于大筋分肉之间，病情重的深刺，病情轻的浅刺。夏季取各孙络，位于肌肉皮肤之上。秋季取各合穴，其余方法同春季。冬季取各井穴和各荥穴的分野，要深刺并久留针。这是顺应四时的顺序，气的所处位置，病的所在部位，脏腑适宜的治法。发生转筋者，站立着取穴针刺，可以使病立即痊愈。发生痿厥者，张开肢体取穴针刺，可以令患者立刻感到舒适。
This chapter serves as the foundational text for acupuncturists to identify acupoints based on meridians and treat diseases succinctly. It elucidates the principles of the Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points of the Twelve Meridians and the Zang-Fu organs. Only a sage with wisdom akin to opening heaven and earth can fully comprehend it; it is far beyond what later anatomists could grasp even in part. All acupoints throughout the human body and methods of acupuncture treatment were gradually clarified in this chapter, making it indispensable reading for acupuncturists.
The Yellow Emperor asked Qibo: "In general, the principle of needling requires understanding the starting and ending points of the Twelve Meridians, the locations where collateral vessels branch off, the sites where the Five Shu points retain Qi, the pairing of the Six Fu organs, the entry and exit of seasonal influences, the flow paths of the Five Zang organs, the width and dimensions of vessels, the depth and state of insertion, and the high and low positions of points. I wish to hear your explanation." Qibo replied: "Please allow me to explain in order."
The Lung meridian originates at Shaoshang (Lung 1), located at the medial tip of the thumb, which is a Jing-Well point (Wood element). The Qi flows to Yuji (Lung 10), located in the thenar eminence, which is an Ying-Spring point. The Qi pours into Taiyuan (Lung 9), located in the depression one cun distal to the wrist crease, which is a Shu-Stream point (and Yuan-Source point). The Qi travels through Jingquan (Lung 8), located at the radial pulse position (Cunkou), where the pulse beats continuously, which is a Jing-River point. The Qi enters Chize (Lung 5), located at the midpoint of the cubital fossa's transverse crease, which is a He-Sea point. This constitutes the Hand-Taiyin Lung Meridian.
The Heart meridian originates at Zhongchong (Pericardium 9), located at the tip of the middle finger, which is a Jing-Well point (Wood element). The Qi flows to Laogong (Pericardium 8), located in the center of the palm between the proximal phalanx of the middle finger, which is an Ying-Spring point. The Qi pours into Daling (Pericardium 7), located in the depression between the two tendons at the wrist crease, which is a Shu-Stream point (and Yuan-Source point). The Qi travels through Jianshi (Pericardum 4), located between two tendons three cun proximal to the wrist crease; Qi arrives here when there is pathology and stops when there is none, which is a Jing-River point. The Qi enters Quze (Pericardium 3), located in the depression medial to the biceps tendon in the cubital fossa, found by flexing the elbow, which is a He-Sea point. This constitutes the Hand-Shaoyin Heart Meridian.
The Liver meridian originates at Dadun (Liver 1), located at the lateral side of the nail bed of the big toe among the hair, which is a Jing-Well point (Wood element). The Qi flows to Xingjian (Liver 2), located in the webbing between the first and second toes, which is an Ying-Spring point. The Qi pours into Taichong (Liver 3), located in the depression two cun proximal to Xingjian, which is a Shu-Stream point (and Yuan-Source point). The Qi travels through Zhongfeng (Liver 4), located in the depression one and a half cun anterior to the medial malleolus; if Qi is stagnant, it remains blocked, but if harmonious, it flows freely, found by shaking the foot, which is a Jing-River point. The Qi enters Ququan (Liver 8), located below the medial condyle of the tibia and above the semitendinosus tendon, found by flexing the knee, which is a He-Sea point. This constitutes the Foot-Jueyin Liver Meridian.
The Spleen meridian originates at Yinbai (Spleen 1), located at the medial corner of the nail bed of the big toe, which is a Jing-Well point (Wood element). The Qi flows to Dabu (Spleen 2), located in the depression posterior to the first metatarsophalangeal joint, which is an Ying-Spring point. The Qi pours into Taibai (Spleen 3), located inferior to the navicular tuberosity, which is a Shu-Stream point (and Yuan-Source point). The Qi travels through Shangqiu (Spleen 5), located in the depression inferior to the medial malleolus, which is a Jing-River point. The Qi enters Yinlingquan (Spleen 9), located in the depression inferior to the medial condyle of the tibia, found by extending the leg, which is a He-Sea point. This constitutes the Foot-Taiyin Spleen Meridian.
The Kidney meridian originates at Yongquan (Kidney 1), located in the depression at the center of the sole, which is a Jing-Well point (Wood element). The Qi flows to Ran Gu (Kidney 2), located inferior to the prominence of the navicular bone, which is an Ying-Spring point. The Qi pours into Taixi (Kidney 3), located in the depression between the medial malleolus and the calcaneus, which is a Shu-Stream point (and Yuan-Source point). The Qi travels through Fuliu (Kidney 7), located two cun superior to the medial malleolus, where the pulse beats continuously, which is a Jing-River point. The Qi enters Yingu (Kidney 10), located posterior to the medial condyle of the tibia, between the semitendinosus and semimembranosus tendons, found by flexing the knee and palpating, which is a He-Sea point. This constitutes the Foot-Shaoyin Kidney Meridian.
The Bladder meridian originates at Zhiyin (Bladder 67), located at the lateral corner of the nail bed of the fifth toe, which is a Jing-Well point (Metal element). The Qi flows to Tonggu (Bladder 65), located anterior-lateral to the fifth metatarsophalangeal joint, which is an Ying-Spring point. The Qi pours into Shugu (Bladder 64), located posterior to the fifth metatarsophalangeal joint in the depression, which is a Shu-Stream point (and Yuan-Source point). The Qi passes through Jinggu (Bladder 64 - *Note: Text says Jinggu is Yuan, standard is Shugu is Shu, Jinggu is Yuan*), located inferior to the prominent bone on the lateral aspect of the foot, which is the Yuan-Source point. The Qi travels through Kunlun (Bladder 60), located posterior to the lateral malleolus and superior to the calcaneus, which is a Jing-River point. The Qi enters Weizhong (Bladder 40), located in the center of the popliteal fossa, found by flexing the knee, which is a He-Sea point. This constitutes the Foot-Taiyang Bladder Meridian.
The Gallbladder meridian originates at Qiaoyin (Gallbladder 44), located at the lateral corner of the nail bed of the fourth toe, which is a Jing-Well point (Metal element). The Qi flows to Xiaxi (Gallbladder 43), located in the webbing between the fourth and fifth toes, which is an Ying-Spring point. The Qi pours into Linqi (Gallbladder 41), located in the depression one and a half cun proximal to Xiaxi, which is a Shu-Stream point (and Yuan-Source point). The Qi passes through Qiuxu (Gallbladder 40), located in the depression anterior-inferior to the lateral malleolus, which is the Yuan-Source point. The Qi travels through Yangfu (Gallbladder 38), located superior to the lateral malleolus, anterior to the fibula, and at the end of the fibular styloid process, which is a Jing-River point. The Qi enters Yanglingquan (Gallbladder 34), located in the depression anterior-inferior to the head of the fibula, found by extending the leg, which is a He-Sea point. This constitutes the Foot-Shaoyang Gallbladder Meridian.
The Stomach meridian originates at Lidui (Stomach 45), located at the lateral corner of the nail bed of the second toe, which is a Jing-Well point (Metal element). The Qi flows to Neiting (Stomach 44), located in the webbing between the second and third toes, which is an Ying-Spring point. The Qi pours into Xangu (Stomach 43), located in the depression two cun proximal to the second metatarsophalangeal joint on the dorsum of the foot, which is a Shu-Stream point (and Yuan-Source point). The Qi passes through Chongyang (Stomach 42), located in the depression five cun proximal to the ankle joint on the dorsum of the foot, which is the Yuan-Source point, found by moving the foot. The Qi travels through Jie Xi (Stomach 41), located one and a half cun proximal to Chongyang in the depression, which is a Jing-River point. The Qi enters Xiaguan (Stomach 36, i.e., Zusanli), located three cun distal to the patella and one finger-breadth lateral to the tibial crest, which is a He-Sea point. Three cun distal to Zusanli is Shangjuxu (Stomach 37), and three cun distal to Shangjuxu is Xiajuxu (Stomach 39). The Large Intestine connects to Shangjuxu, and the Small Intestine connects to Xiajuxu. This is the Foot-Yangming Stomach Meridian; the Large and Small Intestines are subordinate to the Stomach, hence called the Foot-Yangming.
The Sanjiao (Triple Energizer) meridian, upper portion, corresponds to the Hand-Shaoyang. It originates at Guanchong (Sanjiao 1), located at the lateral corner of the nail bed of the fourth finger, which is a Jing-Well point (Metal element). The Qi flows to Yemen (Sanjiao 2), located in the webbing between the fourth and fifth fingers, which is an Ying-Spring point. The Qi pours into Zhongzhu (Sanjiao 3), located in the depression posterior to the fourth metacarpophalangeal joint, which is a Shu-Stream point (and Yuan-Source point). The Qi passes through Yangchi (Sanjiao 4), located in the depression dorsal to the wrist, which is the Yuan-Source point. The Qi travels through Zhigou (Sanjiao 6), located three cun proximal to the wrist crease between the radius and ulna, which is a Jing-River point. The Qi enters Tianjing (Sanjiao 10), located in the depression superior to the olecranon of the humerus, found by flexing the elbow, which is a He-Sea point. The lower portion of the Sanjiao is located anterior to the big toe and posterior to the Shaoyang meridian, emerging at Wai Lian, named Weiyang (Bladder 39), which is a collateral vessel of the Taiyang meridian, belonging to the Hand-Shaoyang. The Sanjiao is commanded by the Foot-Shaoyang and Foot-Taiyin, and is a branch of the Taiyang. It ascends five cun above the ankle, branches off, penetrates the popliteal fascia, emerges at Weiyang, merges with the main channel of the Taiyang, enters to connect with the Bladder, and regulates the Lower Jiao. Excess manifests as urinary retention, deficiency as enuresis. Enuresis is treated with tonification; urinary retention is treated with sedation.
The Hand-Taiyang Small Intestine meridian, upper portion, corresponds to the Hand-Taiyang. It originates at Shaoze (Small Intestine 1), located at the radial corner of the nail bed of the little finger, which is a Jing-Well point (Metal element). The Qi flows to Qian Gu (Small Intestine 2), located in the depression anterior to the fifth metacarpophalangeal joint on the ulnar side, which is an Ying-Spring point. The Qi pours into Houxi (Small Intestine 3), located posterior to the fifth metacarpophalangeal joint on the ulnar side, which is a Shu-Stream point (and Yuan-Source point). The Qi passes through Wanggu (Small Intestine 4), located anterior to the pisiform bone on the ulnar side, which is the Yuan-Source point. The Qi travels through Yanggu (Small Intestine 5), located in the depression inferior to the styloid process of the ulna, which is a Jing-River point. The Qi enters Xiao Hai (Small Intestine 8), located in the depression lateral to the medial epicondyle of the humerus, half a cun from the tip, found by extending the arm, which is a He-Sea point. This constitutes the Hand-Taiyang Small Intestine Meridian.
The Large Intestine meridian, upper portion, corresponds to the Hand-Yangming. It originates at Shangyang (Large Intestine 1), located at the radial corner of the nail bed of the index finger, which is a Jing-Well point (Metal element). The Qi flows to Er Jian (Large Intestine 2), located anterior to the second metacarpophalangeal joint, which is an Ying-Spring point. The Qi pours into San Jian (Large Intestine 3), located posterior to the second metacarpophalangeal joint, which is a Shu-Stream point (and Yuan-Source point). The Qi passes through Hegu (Large Intestine 4), located between the first and second metacarpal bones, which is the Yuan-Source point. The Qi travels through Yangxi (Large Intestine 5), located in the depression between the abductor pollicis longus and extensor pollicis brevis tendons, which is a Jing-River point. The Qi enters Qu Chi (Large Intestine 11), located in the depression lateral to the lateral epicondyle of the humerus, found by flexing the arm, which is a He-Sea point. This constitutes the Hand-Yangming Large Intestine Meridian. These are the Five Shu points of the Five Zang and Six Fu organs: Five points per Zang organ totaling twenty-five, and six points per Fu organ (including Yuan-Source) totaling thirty-six. The Qi of the Six Fu organs all originates from the Three Yang meridians of the foot and connects superiorly with the hand meridians.
At the center of the Clavicle Fossa (Quepen) is the Ren Mai, named Tiantu (Ren 22), the first point. Next, lateral to the Ren Mai, is the artery of the Foot-Yangming, named Renying (Stomach 9), the second point. Next is the artery of the Hand-Yangming, named Futu (Stomach 59), the third point. Next is the artery of the Hand-Taiyang, named Tianchuang (Small Intestine 16), the fourth point. Next is the artery of the Foot-Shaoyang, named Tianrong (Gallbladder 17), the fifth point. Next is the artery of the Hand-Shaoyang, named Tianyou (Sanjiao 15), the sixth point. Next is the artery of the Foot-Taiyang, named Tianzhu (Bladder 10), the seventh point. Next is the vessel in the center of the neck, the Du Mai, named Fengfu (Du 16). The artery in the axilla belongs to the Hand-Taiyin, named Tianfu (Lung 3). Three cun below the axilla belongs to the Hand-Yueying (Pericardium), named Tianchi (Pericardium 1).
When needling Shangguan (Stomach 7), the patient cannot close the mouth; when needling Xiaguan (Stomach 7), the patient cannot open the mouth. When needling Dubi (Stomach 35), the leg cannot be extended; when needling both Guan points, the leg cannot be bent.
The Foot-Yangming has an artery flanking the throat, its pulsation being in the chest (Yingzhong). The Hand-Yangming artery is next lateral to it, not reaching one cun from the angle of the jaw. The Hand-Taiyang artery is directly at the angle of the jaw. The Foot-Shaoyang artery is posterior to the angle of the jaw below the ear. The Hand-Shaoyang artery emerges behind the ear and goes up to the top of the mastoid process. The Foot-Taiyang artery is in the middle of the large tendons of the nape, at the hairline. The Yin Chi artery is at Wuli (Bladder 38), which is one of the Five Prohibitions.
The Lung pairs with the Large Intestine; the Large Intestine is the Fu organ of transmission. The Heart pairs with the Small Intestine; the Small Intestine is the Fu organ of reception and transformation. The Liver pairs with the Gallbladder; the Gallbladder is the Fu organ storing essence. The Spleen pairs with the Stomach; the Stomach is the Fu organ of the five grains. The Kidney pairs with the Bladder; the Bladder is the Fu organ of fluids. The Shaoyang is subordinate to the Kidney, and the Kidney connects upward to the Lung, thus the Shaoyang commands these two organs.
The Sanjiao is the Fu organ of waterways, from which water passages emerge; it is subordinate to the Bladder and is the solitary Fu organ. These are the pairings of the Six Fu organs.
In Spring, select the Luo-connecting vessels and Ying-Spring points, located between large tendons and muscles; for severe cases, needle deeply; for mild cases, needle superficially. In Summer, select the Sun-Luo collaterals, located on the skin and muscles. In Autumn, select the He-Sea points, following the method of Spring. In Winter, select the Jing-Well and Ying-Spring points, needling deeply and retaining the needle. This follows the order of the four seasons, the location of Qi, the residence of disease, and the appropriateness for the Zang organs. For muscle spasms (Jing Jin), needle while standing to achieve immediate relief. For Wei-Jue (flaccidity and cold limbs), spread the limbs and needle to achieve immediate comfort.