帝曰∶凡刺之道,必通十二经络之所终始,络脉之所别处,五俞之所留,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。为俞,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间也,为荥,注于大陵。大陵掌后两骨之间方下者也,
为俞,行于间使。间使之道,两筋之间三寸中也,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,足大趾之端,
及三毛之中也,为井水,溜于行间。行间者,足大趾间也,为荥,注于太冲。太冲行间上二
寸陷者之中也,为俞,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,太筋之上也,屈膝而得之,为合,足厥阴也。
脾出于隐白,隐白者足大趾之端内侧也。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。太白腕骨之端也,为俞,行商丘。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,为俞,行于复溜,复溜上内踝二寸,动而不休,为经,入于阴谷。阴谷转骨之
后,大筋之下小筋之上也,按之应手,屈膝而得之,为合,足少阴之经也。膀胱出于至阴。
至阴者足小趾之端也,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,为俞,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
者足小趾次趾之端也,为井金,溜于侠溪。侠溪足小趾次趾之间也,为荥,注于临泣,临泣
上行一寸半陷者中也,为俞,过于丘墟。丘墟外踝之前下陷中也,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,为合,
伸而得之,足少阳也。胃出于厉兑。厉兑者足大趾内次趾之端也,为井金,溜于内廷;内廷
次趾外间也,为荥,注于陷谷。陷谷者上中趾内间上行二寸陷者中也,为俞,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。中渚本节之后陷中者也,为俞,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。手太阳小肠者,上合于太阳,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,为俞,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,为俞,过于合谷。合谷在大指歧骨之间,为原,行于阳溪
。阳溪在两筋间陷中者也,为原,入于曲池,在肘外转骨陷者中,屈臂而得之。为合。手阳
明也,是谓五脏六腑之俞,五五二十五俞,六六三十六俞也。
黄帝说:大凡针刺的道理,必须通晓十二经脉的起止点,络脉分叉的地方,五输穴气血停留之处,六腑与经脉相合的关系,四时气候变化的出入规律,五脏经气灌注的部位,经脉宽窄长短的尺寸,针刺深浅的状态,穴位高下的位置,希望听听您的解说。岐伯说:请让我按次序来说明。
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),气血流注于鱼际穴。鱼际穴位于手掌大鱼际处,属荥穴,气血灌注于太渊穴。太渊穴在鱼际后一寸凹陷处,属俞穴,气血运行于经渠穴。经渠穴位于寸口处,脉搏跳动不停止,属经穴,气血深入尺泽穴。尺泽穴是肘窝中的动脉搏动处,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),气血流注于劳宫穴。劳宫穴位于手掌中、中指本节之间,属荥穴,气血灌注于大陵穴。大陵穴位于掌后两骨之间的下方,属俞穴,气血运行于间使穴。间使穴的路径在两筋之间三寸处,有病邪则气血到达,无病邪则停止,属经穴,气血深入曲泽穴。曲泽穴位于肘内侧下方凹陷处,屈肘可取到,属合穴,这是手少阴心经。
肝经的气血出于大敦穴。大敦穴位于足大趾尖端及丛毛之中,属井穴(五行属水),气血流注于行间穴。行间穴位于足大趾趾缝间,属荥穴,气血灌注于太冲穴。太冲穴位于行间穴上二寸凹陷处,属俞穴,气血运行于中封穴。中封穴位于内踝前一寸半凹陷处,若气机逆乱则郁结不通,若气机调和则通畅,摇动足部可取到,属经穴,气血深入曲泉穴。曲泉穴位于辅骨之下、大筋之上,屈膝可取到,属合穴,这是足厥阴肝经。
脾经的气血出于隐白穴,隐白穴位于足大趾内侧尖端。属井穴(五行属木),气血流注于大都穴。大都穴位于本节之后方凹陷处,属荥穴,气血灌注于太白穴。太白穴位于腕骨(此处指足部舟骨粗隆)端,属俞穴,气血运行于商丘穴。商丘穴位于内踝下方凹陷处,属经穴,气血深入阴陵泉穴。阴陵泉穴位于辅骨下方凹陷处,伸腿可取到,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),气血流注于然谷穴。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,气血运行于复溜穴。复溜穴在内踝上二寸,脉搏跳动不止,属经穴,气血深入阴谷穴。阴谷穴位于转骨之后,大筋之下小筋之上,按压有应手感,屈膝可取到,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),气血流注于通谷穴。通谷穴位于本节之前外侧,属荥穴,气血灌注于束骨穴。束骨穴位于本节之后凹陷处,属俞穴,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,气血深入委中穴。委中穴位于腘窝中央,属合穴,屈膝可取到,这是足太阳膀胱经。
胆经的气血出于窍阴穴。窍阴穴位于足小趾次趾(第四趾)尖端,属井穴(五行属金),气血流注于侠溪穴。侠溪穴位于足小趾次趾之间,属荥穴,气血灌注于临泣穴。临泣穴向上行一寸半凹陷处,属俞穴,经过丘墟穴。丘墟穴位于外踝前下方凹陷处,为原穴,气血运行于阳辅穴。阳辅穴位于外踝之上,辅骨之前,及绝骨之端,属经穴,气血深入阳陵泉穴。阳陵泉穴位于膝外侧凹陷处,属合穴,伸腿可取到,这是足少阳胆经。
胃经的气血出于厉兑穴。厉兑穴位于足大趾内次趾(第二趾)尖端,属井穴(五行属金),气血流注于内庭穴;内庭穴位于次趾外侧间隙,属荥穴,气血灌注于陷谷穴。陷谷穴位于中趾内间向上行二寸凹陷处,属俞穴,经过冲阳穴。冲阳穴位于足背上方五寸凹陷处,为原穴,摇足可取到,气血运行于解溪穴。解溪穴位于冲阳穴上一寸半凹陷处,属经穴,气血深入下陵穴。下陵即膝下三寸胫骨外侧的足三里穴,属合穴,再向下三寸为巨虚上廉,再向下三寸为巨虚下廉。大肠经气上行,小肠经气下行,均归属于足阳明胃脉。大肠和小肠都隶属于胃,这就是足阳明经。
三焦经,上行与手少阳经相合,出于关冲穴。关冲穴位于手小指次指(无名指)尖端,属井穴(五行属金),气血流注于液门穴。液门穴位于小指次指之间,属荥穴,气血灌注于中渚穴。中渚穴位于本节之后凹陷中,属俞穴,经过阳池穴。阳池穴位于手腕上凹陷处,为原穴,气血运行于支沟穴。支沟穴位于腕上三寸两骨之间凹陷处,属经穴,气血深入天井穴。天井穴位于肘外大骨之上凹陷处,屈肘可取到,属合穴。
手太阳小肠经,上行与太阳经相合,出于少泽穴。少泽穴位于小指尖端,属井穴(五行属金),气血流注于前谷穴。前谷穴在手外侧本节前凹陷处,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,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凹陷处,属经穴,气血深入小海穴。小海穴位于肘内大骨之外去端半寸凹陷处,伸臂可取到,属合穴,这是手太阳小肠经。
大肠经上行与手阳明经相合,出于商阳穴。商阳穴位于大指次指(食指)尖端,属井穴(五行属金),气血流注于本节之前的二间穴,属荥穴,气血灌注于本节之后的三间穴,属俞穴,经过合谷穴。合谷穴位于大指歧骨(第一、二掌骨)之间,为原穴,气血运行于阳溪穴。阳溪穴位于两筋间凹陷处,为原穴(注:原文此处重复提及或指代不同层面,通常合谷为原,阳溪为经,依原文记录),气血深入曲池穴。曲池穴位于肘外转骨凹陷处,屈臂可取到,属合穴。这是手阳明大肠经。这就叫做五脏六腑的腧穴,五脏各有五个腧穴共二十五个,六腑各有六个腧穴共三十六个。
The Yellow Emperor said: In general, the principles of acupuncture require a thorough understanding of the starting and ending points of the twelve meridians, the locations where collateral vessels branch off, the sites where the Five Shu Points accumulate Qi, the connections between the Six Fu Organs and their corresponding meridians, the entry and exit of Qi in relation to the Four Seasons, the sites where Qi flows into the Zang Organs, the dimensions of width and length, the states of depth and shallowness, and the high and low positions of acupoints. I wish to hear your explanation. Qibo replied: Please allow me to explain in order.
The Lung Meridian's Qi emerges from Shaoshang (Shao Shang), which is located at the medial tip of the thumb. It is the Jing-Well point (Wood element). The Qi flows to Yuji (Yu Ji), located on the thenar eminence, which is the Ying-Spring point. The Qi pours into Taiyuan (Tai Yuan), located in the depression one cun posterior to the thenar eminence, which is the Shu-Stream point. The Qi travels through Jingquan (Jing Quan), located at the radial pulse position (Cunkou), where the pulse beats continuously; this is the Jing-River point. The Qi enters Chize (Chi Ze), which is the arterial pulse in the center of the elbow crease; this is the He-Sea point. This constitutes the Hand-Taiyin Lung Meridian.
The Heart Meridian's Qi emerges from Zhongchong (Zhong Chong), located at the tip of the middle finger. It is the Jing-Well point (Wood element). The Qi flows to Laogong (Lao Gong), located between the proximal phalanx of the middle finger in the palm; this is the Ying-Spring point. The Qi pours into Daling (Da Ling), located in the depression below the space between the two bones at the wrist; this is the Shu-Stream point. The Qi travels through Jianshi (Jian Shi), located three cun between the two tendons. When there is pathogenic influence, Qi reaches here; when absent, it stops. This is the Jing-River point. The Qi enters Quze (Qu Ze), located in the depression below the medial border of the elbow, obtained by flexing the arm; this is the He-Sea point. This constitutes the Hand-Shaoyin Heart Meridian.
The Liver Meridian's Qi emerges from Dadun (Da Dun), located at the tip of the great toe and among the hair tufts. It is the Jing-Well point (Water element). The Qi flows to Xingjian (Xing Jian), located between the great toe and the second toe; this is the Ying-Spring point. The Qi pours into Taichong (Tai Chong), located in the depression two cun superior to Xingjian; this is the Shu-Stream point. The Qi travels through Zhongfeng (Zhong Feng), located in the depression one and half cun anterior to the medial malleolus. If Qi moves against its course, it stagnates; if harmonious, it flows freely. It is obtained by shaking the foot. This is the Jing-River point. The Qi enters Ququan (Qu Quan), located below the accessory bone and above the large tendon, obtained by flexing the knee; this is the He-Sea point. This constitutes the Foot-Jueyin Liver Meridian.
The Spleen Meridian's Qi emerges from Yinbai (Yin Bai), located at the medial tip of the great toe. It is the Jing-Well point (Wood element). The Qi flows to Dabu (Da Bu), located in the depression posterior to the proximal phalanx; this is the Ying-Spring point. The Qi pours into Taibai (Tai Bai), located at the end of the navicular bone tuberosity; this is the Shu-Stream point. The Qi travels through Shangqiu (Shang Qiu), located in the depression below the medial malleolus; this is the Jing-River point. The Qi enters Yinlingquan (Yin Ling Quan), located in the depression below the accessory bone, obtained by extending the leg; this is the He-Sea point. This constitutes the Foot-Taiyin Spleen Meridian.
The Kidney Meridian's Qi emerges from Yongquan (Yong Quan), located in the center of the sole. It is the Jing-Well point (Wood element). The Qi flows to Ran Gu (Ran Gu), located below the cuneiform bone; this is the Ying-Spring point. The Qi pours into Taixi (Tai Xi), located in the depression behind the medial malleolus and above the calcaneus; this is the Shu-Stream point. The Qi travels through Fuliu (Fu Liu), located two cun above the medial malleolus, where the pulse beats without rest; this is the Jing-River point. The Qi enters Yin Gu (Yin Gu), located posterior to the turning bone, between the large tendon and small tendon, palpable upon pressing, obtained by flexing the knee; this is the He-Sea point. This constitutes the Foot-Shaoyin Kidney Meridian.
The Bladder Meridian's Qi emerges from Zhiyin (Zhi Yin), located at the tip of the little toe. It is the Jing-Well point (Metal element). The Qi flows to Tonggu (Tong Gu), located at the anterolateral aspect of the proximal phalanx; this is the Ying-Spring point. The Qi pours into Shugu (Shu Gu), located in the depression posterior to the proximal phalanx; this is the Shu-Stream point. It passes Jinggu (Jing Gu), located below the large bone on the lateral side of the foot, which is the Yuan-Source point. The Qi travels through Kunlun (Kun Lun), located posterior to the lateral malleolus and above the calcaneus; this is the Jing-River point. The Qi enters Weizhong (Wei Zhong), located in the center of the popliteal fossa, obtained by flexing the knee; this is the He-Sea point. This constitutes the Foot-Taiyang Bladder Meridian.
The Gallbladder Meridian's Qi emerges from Xiaoyin (Xiao Yin), located at the tip of the fourth toe. It is the Jing-Well point (Metal element). The Qi flows to Xiaxi (Xia Xi), located between the fourth and fifth toes; this is the Ying-Spring point. The Qi pours into Linqi (Lin Qi), located in the depression one and half cun superiorly; this is the Shu-Stream point. It passes Qiuxu (Qiu Xu), located in the depression anterior and inferior to the lateral malleolus, which is the Yuan-Source point. The Qi travels through Yangfu (Yang Fu), located above the lateral malleolus, anterior to the fibula, and at the end of the Jieggu (fibular head region); this is the Jing-River point. The Qi enters Yanglingquan (Yang Ling Quan), located in the depression lateral to the knee, obtained by extending the leg; this is the He-Sea point. This constitutes the Foot-Shaoyang Gallbladder Meridian.
The Stomach Meridian's Qi emerges from Lidui (Li Dui), located at the tip of the second toe. It is the Jing-Well point (Metal element). The Qi flows to Neiting (Nei Ting), located in the lateral interspace of the second toe; this is the Ying-Spring point. The Qi pours into Xangu (Xan Gu), located in the depression two cun superiorly between the first and second metatarsal bones; this is the Shu-Stream point. It passes Chongyang (Chong Yang), located in the depression five cun on the dorsum of the foot, obtainable by moving the foot, which is the Yuan-Source point. The Qi travels through Jie Xi (Jie Xi), located in the depression one and half cun superior to Chongyang; this is the Jing-River point. The Qi enters Xialing (Xia Ling), also known as Zusanli (Zu San Li), located three cun below the knee on the lateral side of the tibia, which is the He-Sea point. Three cun below Zusanli is Shanglian (Shang Lian) of the Large Intestine Lower He-Sea point, and three cun below that is Xialian (Xia Lian) of the Small Intestine Lower He-Sea point. The Large Intestine meridian ascends, and the Small Intestine meridian descends, both belonging to the Foot-Yangming Stomach Meridian. The Large and Small Intestines are subordinate to the Stomach; this is the Foot-Yangming Meridian.
The Sanjiao (Triple Burner) meridian ascends and connects with the Hand-Shaoyang meridian, emerging from Guanchong (Guan Chong), located at the tip of the fourth finger. It is the Jing-Well point (Metal element). The Qi flows to Yemen (Ye Men), located between the fourth and fifth fingers; this is the Ying-Spring point. The Qi pours into Zhongzhu (Zhong Zhu), located in the depression posterior to the proximal phalanx; this is the Shu-Stream point. It passes Yangchi (Yang Chi), located in the depression on the dorsal wrist, which is the Yuan-Source point. The Qi travels through Zhigou (Zhi Gou), located in the depression between the two bones three cun above the wrist; this is the Jing-River point. The Qi enters Tianjing (Tian Jing), located in the depression above the olecranon process laterally, obtained by flexing the elbow; this is the He-Sea point.
The Hand-Taiyang Small Intestine Meridian ascends and connects with the Taiyang meridian, emerging from Shaoze (Shao Ze), located at the tip of the little finger. It is the Jing-Well point (Metal element). The Qi flows to Qian Gu (Qian Gu), located in the depression anterior to the proximal phalanx on the ulnar side of the hand; this is the Ying-Spring point. The Qi pours into Houxi (Hou Xi), located posterior to the proximal phalanx on the ulnar side of the hand; this is the Shu-Stream point. It passes Wanggu (Wang Gu), located anterior to the pisiform bone on the ulnar side of the hand, which is the Yuan-Source point. The Qi travels through Yanggu (Yang Gu), located in the depression below the styloid process of the ulna; this is the Jing-River point. The Qi enters Xiao Hai (Xiao Hai), located in the depression half a cun distal to the medial epicondyle of the humerus, obtained by extending the arm; this is the He-Sea point. This constitutes the Hand-Taiyang Small Intestine Meridian.
The Large Intestine meridian ascends and connects with the Hand-Yangming meridian, emerging from Shangyang (Shang Yang), located at the tip of the index finger. It is the Jing-Well point (Metal element). The Qi flows to Erjian (Er Jian), located two cun before the proximal phalanx; this is the Ying-Spring point. The Qi pours to Sanjian (San Jian), located after the proximal phalanx; this is the Shu-Stream point. It passes Hegu (He Gu), located between the divergent bones of the thumb and index finger, which is the Yuan-Source point. The Qi travels through Yangxi (Yang Xi), located in the depression between the two tendons; this is the Yuan-Source point (Note: Text repeats Yuan source designation or implies specific context). The Qi enters Quchi (Qu Chi), located in the depression at the turning bone of the elbow, obtained by flexing the arm; this is the He-Sea point. This constitutes the Hand-Yangming Large Intestine Meridian.
These are referred to as the Shu points of the Zang and Fu organs. There are five Shu points for each of the five Zang organs, totaling twenty-five points, and six Shu points for each of the six Fu organs, totaling thirty-six points.