脾在隐白。隐白者,木也。在足大指端内侧,去爪甲角如韭叶,足太阴脉之所出也。为
井。刺入一分,留三呼,灸三壮。
大都者,火也。在足大指本节后陷者中,足太阴脉之所溜也,为荥。刺入三分,留七呼
,灸一壮。
太白者,土也。在足内侧核骨下陷者中,足太阴脉之所注也。为俞。刺入三分,留七呼
,灸三壮。
公孙,在足大指本节后一寸,别走阳明,太阴络也,刺入四分,留二十呼,灸三壮。
商丘者,金也。在足内踝下微前陷者中,足太阴脉之所行也,为经。刺入三分,留七呼
,灸三壮。(气穴论注云∶刺入四分。)
三阴交,在内踝上三寸,骨下陷者中,足太阴、厥阴、少阴之会,刺入三分,留七呼,
灸三壮。
漏谷,在内踝上六寸骨下陷者中,足太阴络,刺入三分,留七呼,灸三壮。
地机,一名脾舍,足太阴 ,别走上一寸空,在膝下五寸,刺入三分,灸三壮。
阴陵泉者,水也。在膝下内侧辅骨下陷者中,伸足乃得之,足太阴脉之所入也,为合。
刺入五分,留七呼,灸三壮。
血海,在膝膑上内廉白肉际二寸中,足太阴脉气所发,刺入五分,灸五壮。
箕门,在鱼腹上越两筋间,动脉应手,太阴内部,足太阴脉气所发,刺入三分,留六呼
,灸三壮。(《素问》三部九候论注云∶直五里下,宽巩足单衣,沉取乃得之,动脉应于手
。)
脾经的起始穴是隐白。隐白属木。位于足大趾末端内侧,距离趾甲角约如韭菜叶宽度处,是足太阴脾经气血发出的部位,为井穴。针刺深度一分,留针三呼的时间,艾灸三壮。
大都穴属火。位于足大趾本节后方的凹陷处,是足太阴脾经气血流动的部位,为荥穴。针刺深度三分,留针七呼的时间,艾灸一壮。
太白穴属土。位于足内侧核骨(第一跖骨基底)下方的凹陷处,是足太阴脾经气血灌注的部位,为输穴。针刺深度三分,留针七呼的时间,艾灸三壮。
公孙穴,位于足大趾本节后一寸处,别走阳明经,是足太阴脾经的络穴,针刺深度四分,留针二十呼的时间,艾灸三壮。
商丘穴属金。位于足内踝下方稍向前方的凹陷处,是足太阴脾经气血运行的部位,为经穴。针刺深度三分,留针七呼的时间,艾灸三壮。(《气穴论》注云:针刺深度四分。)
三阴交穴,位于内踝尖上三寸,胫骨后缘的凹陷处,是足太阴脾经、足厥阴肝经、足少阴肾经三条阴经交会之处,针刺深度三分,留针七呼的时间,艾灸三壮。
漏谷穴,位于内踝尖上六寸,胫骨后缘的凹陷处,是足太阴脾经的络脉所在,针刺深度三分,留针七呼的时间,艾灸三壮。
地机穴,又名脾舍,是足太阴脾经的郄穴,别走上一寸的空隙处,位于膝下五寸,针刺深度三分,艾灸三壮。
阴陵泉穴属水。位于膝内侧辅骨(胫骨内侧髁)下方的凹陷处,伸直足部时方可取到,是足太阴脾经气血汇入的部位,为合穴。针刺深度五分,留针七呼的时间,艾灸三壮。
血海穴,位于膝盖骨(髌骨)上方内侧边缘白肉际二寸处,是足太阴脾经经气所发之处,针刺深度五分,艾灸五壮。
箕门穴,位于大腿内侧鱼腹状肌肉上方,两筋之间,按之有动脉搏动应手,属于太阴内部,是足太阴脾经经气所发之处,针刺深度三分,留针六呼的时间,艾灸三壮。(《素问·三部九候论》注云:直对五里穴下方,宽展巩膜及足部单衣,沉取才能摸到,动脉应指明显。)
The starting point of the Spleen Meridian is Yinbai (SP1, Hidden White). Yinbai belongs to Wood. It is located at the medial end of the big toe, approximately the width of a leek leaf away from the corner of the toenail. It is the source point where the Qi of the Foot-Taiyin Spleen Meridian emerges, classified as a Jing-Well point. The needle insertion depth is 0.1 cun; retain the needle for three breaths; moxibustion consists of three moxa cones.
Dadu (SP2, Great Grand) belongs to Fire. It is located in the depression distal to the metatarsophalangeal joint of the big toe. It is the location where the Qi of the Foot-Taiyin Spleen Meridian flows, classified as a Ying-Spring point. The needle insertion depth is 0.3 cun; retain the needle for seven breaths; moxibustion consists of one moxa cone.
Taibai (SP3, Supreme White) belongs to Earth. It is located in the depression below the medial malleolus (specifically the base of the first metatarsal bone). It is the location where the Qi of the Foot-Taiyin Spleen Meridian pours, classified as a Shu-Stream point. The needle insertion depth is 0.3 cun; retain the needle for seven breaths; moxibustion consists of three moxa cones.
Gongsun (SP4, Grand Son) is located one cun posterior to the metatarsophalangeal joint of the big toe. It connects with the Yangming Meridian and is the Luo-Connecting point of the Foot-Taiyin Spleen Meridian. The needle insertion depth is 0.4 cun; retain the needle for twenty breaths; moxibustion consists of three moxa cones.
Shangqiu (SP5, Hill of Commerce) belongs to Metal. It is located in the slight depression anterior and inferior to the medial malleolus. It is the pathway where the Qi of the Foot-Taiyin Spleen Meridian travels, classified as a Jing-River point. The needle insertion depth is 0.3 cun; retain the needle for seven breaths; moxibustion consists of three moxa cones. (Note on *Qi Xue Lun*: Needle insertion depth is 0.4 cun.)
Sanyinjiao (SP6, Three Yin Intersection) is located three cun directly above the tip of the medial malleolus, in the depression behind the tibia. It is the convergence point of the Foot-Taiyin Spleen, Foot-Jueyin Liver, and Foot-Shaoyin Kidney meridians. The needle insertion depth is 0.3 cun; retain the needle for seven breaths; moxibustion consists of three moxa cones.
Lougou (SP7, Leaking Valley) is located six cun directly above the tip of the medial malleolus, in the depression behind the tibia. It is associated with the Luo-Connecting vessel of the Foot-Taiyin Spleen Meridian. The needle insertion depth is 0.3 cun; retain the needle for seven breaths; moxibustion consists of three moxa cones.
Diji (SP8, Earth Machine), also known as Pi She (Spleen Residence), is the Xi-Cleft point of the Foot-Taiyin Spleen Meridian. It is located five cun below the knee, in the empty space slightly superior to the previous point. The needle insertion depth is 0.3 cun; moxibustion consists of three moxa cones.
Yinlingquan (SP9, Yin Gathering Spring) belongs to Water. It is located in the depression below the medial condyle of the tibia (accessory bone on the medial side of the knee); it can be located by extending the foot. It is the He-Sea point where the Qi of the Foot-Taiyin Spleen Meridian enters. The needle insertion depth is 0.5 cun; retain the needle for seven breaths; moxibustion consists of three moxa cones.
Xuehai (SP10, Sea of Blood) is located two cun superior to the superomedial border of the patella, at the junction of the white skin. It is the site where the Qi of the Foot-Taiyin Spleen Meridian manifests. The needle insertion depth is 0.5 cun; moxibustion consists of five moxa cones.
Jimen (SP11, Gate of the Basket) is located above the fleshy part of the thigh (adductor magnus region), between two tendons, where an arterial pulse is palpable. It belongs to the interior of the Taiyin and is the site where the Qi of the Foot-Taiyin Spleen Meridian manifests. The needle insertion depth is 0.3 cun; retain the needle for six breaths; moxibustion consists of three moxa cones. (Note on *Su Wen: San Bu Jiu Hou Lun*: Directly below Wuli (ST29), widen the sclera and relax the single garment on the foot; deep palpation is required to locate it, and the arterial pulse should be distinct.)