《内经》曰∶胆者,中正之官,决断出焉。凡十一脏,皆取决胆也。胆为青肠。又曰∶
胆为清净之府。
诸腑皆传秽浊,独胆无所传道,故曰清净。虚则目昏,若吐伤胆倒,则视物倒植。
少阳足经瞳子 ,四十四穴行迢迢,听会、上关、颔厌集,悬颅、悬厘、曲鬓翘,率谷
、天冲、浮白次,窍阴、完骨、本神邀,阳白、临泣、目窗辟,正营、承灵、脑空摇,风池
、肩井、渊液部,辄筋、日月、京门标,带脉、五枢、维道续,居 、环跳、风市招,中渎
、阳关、阳陵穴,阳交、外丘、光明宵,阳辅、悬钟、丘墟外,足临泣、地五、侠溪,第四
指端窍阴毕(左右八十八穴)。
此一经起于瞳子 ,终于窍阴,取窍阴、侠溪、临泣、丘墟、阳辅、阳陵泉、与井荥
俞原经合也。
脉起目锐 ,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,其支者,从耳后入耳中,走耳前,至目锐 后;其支者,别目锐 下大迎,合手
少阳,抵 下,加颊车,下颈,合缺盆,下胸中,贯膈,络肝属胆,循胁里,出气冲,
绕毛际,横入髀厌中;其直者,从缺盆下腋,循胸,过季胁,下合髀厌中,以下循髀阳,出
膝外廉,下外辅骨之前,直下抵绝骨之端,下出外踝之前,循足跗上,入小指次指之间;其
支者,别跗上,入大指,循歧骨内出其端,还贯入爪甲,出三毛。多气少血,子时气血注此
甲木之腑,在关脉候。是胆病则眉颦口苦,而呕宿汁,善太息,恐如人捕。实则脉实,
精神不守,半夏汤泻之最良;虚则脉虚,而烦扰不眠,温胆汤补之却善。火不下降心胆跳,
茯神沉香蜜和丸,送入人参汤;中风癫狂心恐悸,铅汞朱乳共结成,吞下井花水。咽痛膈壅
,硝蚕黛勃蒲脑子,加麝以收功;胆虚卧惊,参柏枸神枳熟地,用酒而有力。清热宽咽,薄
荷宿砂芎片脑;惊心怖胆,人参酸枣乳辰砂。惊神昏乱,记学士之良方;风引痛生,修真人
之秘散。胆虚寒而不眠,炒酸枣调煎竹叶;胆实热而多睡,生枣仁末和姜茶。补用薏苡炒枣
仁,泻须青连柴前胡。温则姜夏橘红,凉加竹茹甘菊。柴胡川芎,报使上行而不悖;青皮车
前,引经下走以无疑。药有生熟,贵按脉而取用;剂宜多寡,当随症以权衡。或厥疾之未瘳
,仗针灸以收功。
《黄帝内经》说:胆是中正之官,决断的功能由此产生。所有十一个脏腑,都取决于胆的决断。胆被称为“青肠”。又说:胆是清净之府。
其他六腑都传导秽浊之物,唯独胆不传导任何事物,所以称为清净。胆气虚则视力昏花,如果因呕吐损伤了胆气导致倒逆,就会看到物体颠倒。
足少阳经有瞳子髎穴起始,共四十四穴,路径遥远漫长。听会、上关、颔厌汇聚于此,悬颅、悬厘、曲鬓高翘,率谷、天冲、浮白依次排列,窍阴、完骨、本神相邀,阳白、临泣、目窗开启,正营、承灵、脑空摇动,风池、肩井、渊液分部,辄筋、日月、京门为标,带脉、五枢、维道延续,居髎、环跳、风市招引,中渎、阳关、阳陵泉穴位,阳交、外丘、光明如宵,阳辅、悬钟、丘墟在外,足临泣、地五会、侠溪,至第四趾端的窍阴结束(左右两侧共八十八穴)。
这条经脉起于瞳子髎,终于窍阴穴,选取窍阴、侠溪、临泣、丘墟、阳辅、阳陵泉,分别对应井、荥、俞、原、经、合穴。
脉气起于目锐眦,向上到达头角,向下经过耳后,沿着颈部前行,走在手少阳三焦经的前面,到达肩部,然后交叉到手少阳三焦经的后面,进入缺盆。其支脉,从耳后进入耳中,走出耳前,到达目锐眦后方;另一支脉,从目锐眦分出,下行至大迎穴,与手少阳三焦经汇合,抵达颊车穴下方,经过脸颊,下行颈部,汇合于缺盆,下行入胸中,贯穿膈肌,联络肝脏,归属于胆,沿着胁肋内部,出于气冲穴,环绕阴毛际,横向进入髋关节中;其直行者,从缺盆下行腋下,沿着胸部,经过季胁,向下汇合于髋关节中,以下沿着大腿外侧,出膝盖外侧边缘,下行于腓骨之前,直下到达绝骨末端,下行出于外踝之前,沿着足背,进入第四趾端;其支脉,从足背分出,进入大趾,沿着歧骨内侧出其端,回过来贯穿指甲,出于丛毛处。此经多气少血,子时气血注入此属甲木的腑,在关脉部位候察。胆病则皱眉、口苦,呕吐宿汁,喜欢叹气,恐惧好像有人追捕。实证则脉象实,精神不能守舍,用半夏汤泻之最良;虚证则脉象虚,烦躁不眠,用温胆汤补之却很好。火不下降导致心胆跳动,用茯神、沉香蜜和丸,送服人参汤;中风癫狂、心中惊恐悸动,用铅、汞、朱砂、牛乳共同结成,吞服井花水。咽痛膈壅,用硝石、蚕蜕、青黛、白勃、蒲黄、脑子,加麝香以收功;胆虚卧惊,用人参、黄柏、枸杞、茯神、枳实、熟地黄,用酒送服而有力。清热宽咽,用薄荷、宿砂、川芎、片脑;惊心怖胆,用人参、酸枣仁、牛乳、辰砂。惊神昏乱,记住学士的良方;风引痛生,使用修真人的秘散。胆虚寒而不眠,炒酸枣调煎竹叶;胆实热而多睡,生枣仁末和姜茶。补法用薏苡、炒枣仁,泻法须用青皮、黄连、柴胡、前胡。温法则用生姜、半夏、橘红,凉法则加竹茹、甘草、菊花。柴胡、川芎,作为报使上行而不悖逆;青皮、车前,引经药下行无疑。药物有生熟之分,贵在按脉象取用;剂量宜多寡适宜,应当随症状权衡。或者厥疾未愈,依靠针灸来收功。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The Gallbladder is the official of uprightness, from which decision-making arises. All eleven zang-fu organs depend on the Gallbladder for their decisions. The Gallbladder is referred to as the "Green Intestine." It is also said: The Gallbladder is the organ of purity and clarity.
While all other fu organs transmit turbid substances, the Gallbladder transmits nothing, hence it is called pure and clear. Deficiency leads to blurred vision; if vomiting injures the Gallbladder qi causing reversal, objects may appear inverted.
The Foot-Shaoyang Meridian begins at Tongziliao (GB1), with forty-four acupoints extending over a long path. Tinghui (GB2), Shangguan (GB3), and Hanyan (GB4) converge here; Xuanlu (GB5), Xuanli (GB6), and Qubin (GB7) rise high; Shuaigu (GB8), Tianchong (GB9), and Fu Bai (GB10) follow in sequence; Qiaoyin (GB11), Wanggu (GB12), and Benshen (GB13) invite each other; Yangbai (GB14), Zulinqi (GB15), and Mucuang (GB16) open up; Zhengying (GB17), Chengling (GB18), and Naokong (GB19) sway; Fengchi (GB20), Jianjing (GB21), and Yuanli (GB22) are distributed; Zhejin (GB23), Riyue (GB24), and Jingmen (GB25) serve as markers; Daimai (GB26), Wushu (GB27), and Weidao (GB28) continue; Juliao (GB29), Huantiao (GB30), and Fengshi (GB31) beckon; Zhongdu (GB32), Yangguan (GB33), and Yanglingquan (GB34) are located; Yangjiao (GB35), Waixiu (GB36), and Guangming (GB37) shine like nightfall; Yangfu (GB38), Xuanzhong (GB39), and Qiuxu (GB40) are external; Zulinqi (GB41), Diwu (GB42), and Xiaxi (GB43); ending at Qiaoyin (GB44) at the tip of the fourth toe (eighty-eight points on both sides).
This meridian starts at Tongziliao (GB1) and ends at Qiaoyin (GB44). Selecting Qiaoyin (GB44), Xiaxi (GB43), Zulinqi (GB41), Qiuxu (GB40), Yangfu (GB38), and Yanglingquan (GB34) corresponds to the Jing-River, Ying-Spring, Shu-Stream, Yuan-Source, Jing-River, and He-Sea points respectively.
The pulse originates at the outer canthus of the eye, ascends to the head corner, descends behind the ear, follows the neck, running anterior to the Hand-Shaoyang Sanjiao Meridian, reaches the shoulder, then crosses posterior to the Hand-Shaoyang Sanjiao Meridian, enters the supraclavicular fossa (Quepen). Its branch enters the ear from behind the ear, emerges anterior to the ear, and reaches the posterior aspect of the outer canthus; another branch separates from the outer canthus, descends to Daying (LI17), joins the Hand-Shaoyang Sanjiao Meridian, reaches below Jiache (ST6), passes through the cheek, descends the neck, joins the supraclavicular fossa, descends into the chest, pierces the diaphragm, connects with the Liver, and belongs to the Gallbladder. It follows the interior of the hypochondrium, emerges at Qichong (ST30), surrounds the pubic region, and horizontally enters the hip joint. The straight course descends from the supraclavicular fossa under the axilla, follows the chest, passes through the lateral costal margin, and joins the hip joint below. It then follows the lateral thigh, emerges at the lateral edge of the knee, descends anterior to the fibula, goes straight down to the end of the fibular head (Juegu), emerges anterior to the lateral malleolus, follows the dorsum of the foot, and enters between the fourth and fifth toes. A branch from the dorsum of the foot enters the great toe, follows the interosseous space, emerges at its tip, returns to penetrate the nail bed, and emerges at the hair tuft. This meridian has abundant qi and little blood. At Zi hour (11 PM–1 AM), qi and blood flow into this fu organ associated with Jia Wood. It is palpated at the Guan pulse position. Gallbladder disease manifests as furrowed brows, bitter taste in the mouth, vomiting of old bile, frequent sighing, and fear as if being pursued. Excess patterns present with excess pulses and unsettled spirit, best treated by draining with Banxia Tang (Pinellia Decoction); deficiency patterns present with deficient pulses, restlessness, and insomnia, best treated by tonifying with Wendan Tang (Warming the Gallbladder Decoction). If Fire fails to descend, causing palpitations of the Heart and Gallbladder, use Fushen Chenxiang Wan (Poria and Agarwood Pill) mixed with honey, taken with Renshen Tang (Ginseng Decoction); for stroke, mania, or frightful palpitations, use pills made of Lead, Mercury, Cinnabar, and Cow's Milk, swallowed with well water. For sore throat and diaphragmatic congestion, use Xiao Shi (Niter), Can Chan (Cicada Slough), Qing Dai (Indigo Naturalis), Bo He (Mint), Pu Huang (Pollen Typhae), Nao Bing (Borneol), plus She Xiang (Musk) to complete the effect; for Gallbladder deficiency with fright during sleep, use Renshen (Ginseng), Huang Bai (Phellodendron), Gou Qi (Goji), Fu Shen (Poria), Zhi Shi (Immature Bitter Orange), and Shu Di Huang (Prepared Rehmannia) taken with wine for strength. To clear heat and widen the throat, use Bo He (Mint), Su Sha Ren (Villous Amomum Seed), Chuan Xiong (Sichuan Lovage Rhizome), and Pian Nao (Borneol); to calm fright and soothe the Gallbladder, use Renshen (Ginseng), Suan Zao Ren (Ziziphus Seed), Niu Nai (Cow's Milk), and Chen Sha (Cinnabar). For confusion of the spirit, remember the excellent prescription of the Scholar; for wind-induced pain, use the secret powder of the Cultivator. For Gallbladder deficiency-cold causing insomnia, decoct Chao Suan Zao Ren (Fried Ziziphus Seed) with Zhu Ye (Bamboo Leaf); for Gallbladder excess-heat causing excessive sleepiness, mix Sheng Zao Ren (Raw Ziziphus Seed) powder with Ginger Tea. Tonification uses Yi Yi Ren (Coix Seed) and fried Suan Zao Ren; purgation requires Qing Pi (Aged Tangerine Peel), Huang Lian (Coptis Rhizome), Chai Hu (Bupleurum Root), and Qian Hu (Peucedani Radix). For warming methods, use Sheng Jiang (Fresh Ginger), Ban Xia (Pinellia Tuber), and Ju Hong (Tangerine Pith); for cooling methods, add Zhu Ru (Bamboo Shavings), Gan Cao (Licorice Root), and Ju Hua (Chrysanthemum Flower). Chai Hu (Bupleurum Root) and Chuan Xiong (Sichuan Lovage Rhizome) act as guiding herbs ascending without deviation; Qing Pi (Aged Tangerine Peel) and Che Qian (Plantago Seed) guide the meridian downward without doubt. Herbs have raw and processed forms, selected according to the pulse; dosages should be balanced according to symptoms. If severe diseases persist, rely on acupuncture and moxibustion to achieve results.