\r手太阳小肠经\pj-j19.bmp\r
手太阳之脉。起于小指之端。循手外侧上腕。出踝中。
臂骨尽处为腕。腕下兑骨为踝。本经起小指端少泽穴。由是循手外侧之前谷、后 。上
腕出踝中。历腕骨、阳谷、养老穴也。
直上循臂骨下廉。出肘内侧两骨之间。上循 外后廉。出肩解。绕肩胛。交肩上。
脊两傍为膂。膂上两角为肩解。肩解下成片骨为肩胛。自养老穴直上。循臂骨下廉支正
穴。
宗、秉风、曲垣、肩外俞、肩中俞诸穴。乃上会大椎。因左右相交于两肩之上。
入缺盆络心。循咽下膈。抵胃属小肠。
自交肩上入缺盆。循肩向腋下行。当膻中之分络心。循胃系下膈。过上脘抵胃。下行任
脉之外。当脐上二寸之分属小肠。
其支者。从缺盆贯颈上颊。至目锐 。却入耳中。
目外角为锐 。支者。别从缺盆循颈之天窗、天容。上颊抵颧 。上至目锐 。过童子
。却入耳中。循听宫而终也。
其支别者。别循颊上 。（ 音拙）抵鼻至目内 。
目下为 。目大角为内 。其支者。别循颊上 。抵鼻至目内 睛明穴。以交于足太阳
也。
此经多血少气。未时气血注此。受手少阴之交。凡一十九穴。左右共三十八穴。
少泽（一名小吉） 手小指端外侧。去爪甲角下一分陷中。手太阳小肠脉所出为井。金。
素注
螈。咳嗽口中涎唾。颈项急。不可顾。目生肤翳覆瞳子。头痛。
前谷 手小指外侧。本节前陷中。手太阳小肠脉所溜为荥。水。铜人。针一分。留三呼
。灸
塞不利。咳嗽吐衄。臂痛不得举。妇人产后无乳。
后 手小指外侧。本节后陷中。捏拳取之。手太阳小肠脉所注为俞。木。小肠虚。补
之。
顾。癫疾。臂肘挛急。痂疥。
腕骨 手外侧腕前。起骨下陷中。手太阳小肠脉所过为原。小肠虚实皆拔之。铜人。针
三分。留三呼。灸三壮。主热病汗不出。胁下痛。不得息。颈颔肿。寒热耳鸣。目冷泪生翳。狂
惕。偏枯。肘不得屈伸。 疟头痛。烦闷惊风螈 。五指掣。头痛。
阳谷 手外侧腕中。锐骨下陷中。手太阳小肠脉所行为经。火。素注。灸三壮。针二分
。留
。臂外侧痛不举。吐舌。戾颈。妄言。左右顾。目眩。小儿螈 。舌强不嗍乳。
养老 手踝骨前上。一云。腕骨后一寸陷中。铜人。针三分。灸三壮。主肩臂酸疼。肩
欲折。臂如拔。手不能自上下。目视不明。
支正 腕后五寸。手太阳络脉。别走少阴。铜人。针三分。灸三壮。明堂。灸五壮。主
风虚
喜渴。强项。疣目。实则节弛肘废。泻之。虚则生疣小如指。痂疥。补之。
小海 肘内大骨外。去肘端五分陷中。屈手向头取之。手太阳小肠脉所入为合。土。小
肠实
项痛。疡肿振寒。肘腋痛肿。小腹痛。痫发羊鸣。戾颈。螈 狂走。颔肿不可回顾。肩似拔
。似折。耳聋目黄。颊肿。
肩贞 曲胛下两骨解间。肩 后陷中。铜人。针五分。素注。针八分。灸三壮。主伤寒
寒热。耳鸣耳聋。缺盆肩中热痛。风痹。手足麻木不举。
俞 挟肩 （手少阳穴）后大骨下。胛上廉陷中。举臂取之。手太阳、阳维、阳跷三经
之会。铜人。针八分。灸三壮。主臂酸无力。肩痛引胛。寒热气肿颈痛。
天宗 秉风后大骨下陷中。铜人。灸三壮。针五分。留六呼。主肩臂酸疼。肘外后廉痛
。颊颔肿。
秉风 天 外肩上小 后。举臂有空。手太阳、阳明、手少阳、足少阳四脉之会。铜人
。灸五壮。针五分。主肩痛不能举。
曲垣 肩中央曲胛陷中。按之应手痛。铜人。灸三壮。针五分。明堂。针九分。主肩痹
热痛。气注肩胛拘急痛闷。
肩外俞 肩胛上廉。去脊三寸陷中。铜人。针六分。灸三壮。明堂一壮。主肩胛痛。周
痹寒至肘。
肩中俞 肩胛内廉。去脊二寸陷中。素注。针六分。灸三壮。铜人。针三分。留七呼。
灸十壮。主咳嗽上气。唾血寒热。目视不明。
天窗（一名窗龙） 颈大筋间前曲颊下。扶突后动脉应手陷中。铜人。灸三壮。针三分。
素注六分。主痔 。颈痛。肩胛引项不得回顾。耳聋颊肿。齿噤中风。
天容 耳下曲颊后。素注。灸三壮。主瘿颈项痈。不可回顾。不能言。胸痛胸满不得息
。呕逆吐沫。齿噤。耳聋耳鸣。
颧 面 骨下廉。锐骨端陷中。手少阳、太阳之会。素注。针三分。铜人。针二分。
主口 面赤。眼 动不止。 肿齿痛。
听会（一名多所闻） 耳中珠子。大如赤小豆。手足少阳、手太阳三脉之会。铜人。针三
分。
耳中嘈嘈 蝉鸣。
\r膀胱图\pj-j20.bmp\r
膀胱重九两二铢。纵广九寸。居肾之下。大肠之侧。小肠下口。乃膀胱上口。水液由是
渗入焉。盛溺九升九合。
膀胱者。州都之官。津液藏焉。气化则能出矣。
膀胱为黑肠。（从脏属北方色也）
王安道曰。或曰灵枢经云。水谷者。常并居胃中。成糟粕而俱下大肠。而成下焦。渗而
俱下
泄出也。杨介云。水谷自小肠盛受于阑门以分别也。其水则渗入于膀胱上口为溲便。详以上
三说。则小便即泌别之水液。渗入膀胱以出者也。素问则曰。饮食入胃。游溢精气。上输于
脾。脾散精。上归于肺。通调水道。下输膀胱。则小便又似水饮精微之气上升。脾肺运化而
后成者也。将何所司。将何所凭乎。余曰。凭夫理耳。且夫溲溺者。果何物耶。水而已矣。
水
上升者。必有待于上升者为之先道。故素问又曰。膀胱者。津液藏焉。气化则能出矣。且水
者气之子。气者水之母。气行则水行。气滞则水滞。或者又谓小便纯由泌别。不由运化。盖
不明此理故也。虽然。膀胱固曰津液之府。至于受盛津液。则又有胞而居膀胱之中焉。故素
问曰。胞移热于膀胱。灵枢曰。膀胱之胞。薄以濡。类纂曰。膀胱者。胞之室。且夫胞之居
于膀胱也。有上口而无下口。津液既盛于胞。无由自出。必因乎气化而后能渐浸润于膀胱。
外积于胞下之空处。遂为溺。以出于前阴也。素问所谓膀胱津液藏焉者。盖举膀胱以该胞也
。若曰胞下无空处。则人溺急时。至厕焉能即出乎。夫惟积满胞下空处而不可再容。故急。
急则至厕即出矣。或言胞有上口而无下口。或言胞上下皆有口。或言胞有小窍而为注泄之路
。不亦妄欤。
手太阳小肠经
手太阳经脉，起始于小指末端。沿着手外侧向上至腕部，出腕后高骨（尺骨茎突）之中。
手臂骨骼尽头处称为腕，腕下突出的骨头称为踝。本经起于小指端的少泽穴，由此沿手外侧的前谷、后溪穴，上行至腕部，出腕后高骨中，经过腕骨、阳谷、养老等穴位。
直上沿臂骨下缘，出于肘内侧两骨之间，再沿上臂外侧后缘，出于肩关节，绕行肩胛部，交会于肩上。
脊柱两旁称为膂，膂上两侧角为肩解，肩解下成片状骨为肩胛。从养老穴直上，沿臂骨下缘经过支正穴。
宗、秉风、曲垣、肩外俞、肩中俞等穴位，然后上会于大椎穴，因左右相交于双肩之上。
进入缺盆，联络心脏，沿咽部下行穿过膈肌，抵达胃部，归属于小肠。
自交会于肩上后进入缺盆，沿肩部向腋下行，当膻中部位联络心脏，沿胃系下行穿过膈肌，过上脘穴抵达胃部，下行于任脉之外，当脐上二寸的部位归属于小肠。
其分支，从缺盆贯穿颈部上达面颊，至目外角，折回进入耳中。
目外角称为锐眦。分支，另从缺盆沿颈部的天窗、天容穴，上达面颊抵颧骨，上至目外角，过瞳子髎穴，折回进入耳中，沿听宫穴终止。
另一分支，别行沿面颊上至眼眶下，抵鼻旁至目内眦。
目下为眶下缘，目大角为内眦。其分支，别行沿面颊上至眶下缘，抵鼻旁至目内眦睛明穴，以交于足太阳膀胱经。
此经多血少气，未时气血灌注于此。接受手少阴心经的交接。共有一十九个穴位，左右共三十八个穴位。
少泽（又名小吉）：位于手小指端外侧，距爪甲角下一分陷中。为手太阳小肠经所出的井穴，属金。主治抽搐、咳嗽、口中流涎唾、颈项强急不可回顾、目生翳膜覆盖瞳孔、头痛。
前谷：位于手小指外侧，本节（掌指关节）前陷中。为手太阳小肠经所溜的荥穴，属水。主治鼻塞不利、咳嗽吐血、臂痛不能举、妇人产后无乳。
后溪：位于手小指外侧，本节（掌指关节）后陷中，握拳取之。为手太阳小肠经所注的输穴，属木。主治小肠虚证宜补、颈项强急、癫疾、臂肘挛急、痂疥。
腕骨：位于手外侧腕前，起骨（豌豆骨）下陷中。为手太阳小肠经所过的原穴。主治热病汗不出、胁下痛、呼吸不畅、颈颌肿、寒热耳鸣、目冷泪生翳、狂躁惊惕、偏枯、肘不得屈伸、疟疾头痛、烦闷惊风抽搐、五指掣痛、头痛。
阳谷：位于手外侧腕中，锐骨（尺骨茎突）下陷中。为手太阳小肠经所行的经穴，属火。主治臂外侧痛不能举、吐舌、颈项歪斜、妄言、左右顾盼、目眩、小儿抽搐、舌强不能吮乳。
养老：位于手踝骨前上方，一说腕骨后一寸陷中。主治肩臂酸痛、肩欲折、臂如拔、手不能上下、视物不明。
支正：位于腕后五寸，为手太阳络脉，别走手少阴心经。主治风虚喜渴、强项、疣目。实证则关节弛缓肘废，宜泻；虚则生小疣如指大、痂疥，宜补。
小海：位于肘内大骨外，去肘端五分陷中，屈手向头取之。为手太阳小肠经所入的合穴，属土。主治项痛、疡肿振寒、肘腋痛肿、小腹痛、痫发作如羊鸣、颈项歪斜、抽搐狂走、颌肿不可回顾、肩似拔、似折、耳聋目黄、颊肿。
肩贞：位于曲胛下两骨解间，肩髃后陷中。主治伤寒寒热、耳鸣耳聋、缺盆肩中热痛、风痹、手足麻木不举。
臑俞：挟肩（手少阳三焦经穴）后大骨下，胛上廉陷中，举臂取之。为手太阳、阳维、阳跷三经之会。主治臂酸无力、肩痛引胛、寒热气肿颈痛。
天宗：位于秉风后大骨下陷中。主治肩臂酸痛、肘外后缘痛、颊颌肿。
秉风：位于天宗外肩上小骨后，举臂有空隙。为手太阳、阳明、手少阳、足少阳四脉之会。主治肩痛不能举。
曲垣：位于肩中央曲胛陷中，按之应手痛。主治肩痹热痛、气注肩胛拘急痛闷。
肩外俞：位于肩胛上廉，去脊三寸陷中。主治肩胛痛、周痹寒至肘。
肩中俞：位于肩胛内廉，去脊二寸陷中。主治咳嗽上气、唾血寒热、视物不明。
天窗（一名窗龙）：位于颈大筋间前曲颊下，扶突后动脉应手陷中。主治痔瘘、颈痛、肩胛引项不得回顾、耳聋颊肿、齿噤中风。
天容：位于耳下曲颊后。主治瘿瘤、颈项痈、不可回顾、不能言、胸痛胸满不得息、呕逆吐沫、齿噤、耳聋耳鸣。
颧髎：面部颧骨下廉，锐骨端陷中。为手少阳、太阳之会。主治口眼歪斜面赤、眼睑跳动不止、肿痛齿痛。
听会（一名多所闻）：位于耳中珠子，大如赤小豆。为手足少阳、手太阳三脉之会。主治耳中嘈嘈如蝉鸣。
膀胱图
膀胱重九两二铢，纵广九寸，居于肾之下，大肠之侧。小肠下口即为膀胱上口，水液由此渗入。盛尿九升九合。
膀胱者，州都之官，津液藏焉，气化则能出矣。
膀胱被称为黑肠。（因为从脏属北方色也）。
王安道说：有人说《灵枢经》云：水谷，常并居胃中，成糟粕而俱下大肠，而成下焦，渗而俱下泄出也。杨介云：水谷自小肠盛受于阑门以分别也。其水则渗入于膀胱上口为溲便。详以上三说，则小便即泌别之水液，渗入膀胱以出者也。《素问》则曰：饮食入胃，游溢精气，上输于脾，脾散精，上归于肺，通调水道，下输膀胱，则小便又似水饮精微之气上升，脾肺运化而后成者也。将何所司？将何所凭乎？我说：凭夫理耳。况且溲溺者，果何物耶？水而已矣。水上升者，必有待于上升者为之先道，故《素问》又曰：膀胱者，津液藏焉，气化则能出矣。且水者气之子，气者水之母，气行则水行，气滞则水滞。或者又谓小便纯由泌别，不由运化，盖不明此理故也。虽然，膀胱固曰津液之府，至于受盛津液，则又有胞而居膀胱之中焉。故《素问》曰：胞移热于膀胱，《灵枢》曰：膀胱之胞，薄以濡。《类纂》曰：膀胱者，胞之室。且夫胞之居于膀胱也，有上口而无下口，津液既盛于胞，无由自出，必因乎气化而后能渐浸润于膀胱，外积于胞下之空处，遂为溺，以出于前阴也。《素问》所谓膀胱津液藏焉者，盖举膀胱以该胞也。若曰胞下无空处，则人溺急时，至厕焉能即出乎？夫惟积满胞下空处而不可再容，故急，急则至厕即出矣。或言胞有上口而无下口，或言胞上下皆有口，或言胞有小窍而为注泄之路，不亦妄欤。
Hand-Taiyang Small Intestine Meridian
The Hand-Taiyang meridian originates at the tip of the little finger. It follows the lateral aspect of the hand upward to the wrist, emerging from the middle of the ankle bone (styloid process of the ulna).
The end of the arm bones is called the wrist; the prominent bone below the wrist is called the ankle. This meridian begins at the Shaose (Small Pool) point at the tip of the little finger. From there, it follows the anterior aspect of the lateral side of the hand through the Qian Gu (Front Valley) and Hou Xi (Rear Stream) points, ascends to the wrist, emerges from the middle of the ankle bone, and sequentially passes through the Wang Gu (Wrist Bone), Yang Gu (Yang Valley), and Yang Lao (Nourishing Old Age) points.
It goes straight up along the lower border of the arm bone, emerges between the two bones on the medial side of the elbow, ascends along the posterior-lateral border of the elbow, emerges from the shoulder joint, and winds around the scapula, intersecting at the shoulder.
The areas beside the spine are called Lü; the two angles above Lü are called Jian Jie (Shoulder Resolution); the flat bone below Jian Jie is called Jian Jia (Scapula). From the Yang Lao point straight up, following the lower border of the arm bone, it passes through the Zheng (Support) point, Zong (Gathering) point, Bing Feng (Holding Wind), Qu Yuan (Curved Ridge), Jian Wai Shu (Outer Shoulder Shu), and Jian Zhong Shu (Inner Shoulder Shu) points, then meets the Da Zhui (Great Vertebra) point. Because they intersect left and right above the two shoulders,
it enters the Que Pen (Clavicular Fossa), connects with the Heart, follows the pharynx downward through the Diaphragm, reaches the Stomach, and belongs to the Small Intestine.
From where it intersects at the shoulder, it enters the Que Pen, descends along the shoulder toward the axilla, connects with the Heart at the level of Dan Zhong (Center of Chest), follows the stomach system downward through the Diaphragm, passes above the Shang Wan (Upper Stomach) point to reach the Stomach, descends outside the Ren Mai (Conception Vessel), and belongs to the Small Intestine at the level of two cun above the umbilicus.
Its branch, from the Que Pen, penetrates the neck, ascends to the cheek, reaches the outer canthus of the eye, turns back, and enters the ear.
The outer corner of the eye is called Rui Zi (Sharp Corner). The branch, separately from the Que Pen, follows the Tian Chuang (Heavenly Window) and Tian Rong (Heavenly Reception) points of the neck, ascends to the cheek, reaches the zygomatic bone, goes up to the outer canthus, passes through the Tong Zi Liao (Child's Pupil Cleft) point, turns back, and enters the ear, ending by following the Ting Gong (Listening Palace) point.
Another branch separates and follows the cheek upward to the infraorbital region, reaches the nose, and arrives at the inner canthus.
The area below the eye is the infraorbital margin; the large angle of the eye is the inner canthus. Its branch, separately, follows the cheek upward to the infraorbital margin, reaches the nose, and arrives at the inner canthus's Jing Ming (Bright Eyes) point, thereby connecting with the Foot-Taiyang Bladder Meridian.
This meridian has abundant blood and scarce Qi. Qi and Blood flow into it during the Wei hour (1:00 PM - 3:00 PM). It receives transmission from the Hand-Shaoyin Heart Meridian. There are nineteen acupoints in total, thirty-eight acupoints on both sides combined.
Shaose (Small Pool) (also known as Xiao Ji): Located on the lateral side of the tip of the little finger, one fen depression below the corner of the nail. It is the Jing-Well point where the Hand-Taiyang Small Intestine Meridian issues, belonging to Metal. *Su Wen* notes: It treats convulsions, cough, salivation, stiff neck unable to turn the head, leukoma covering the pupil, and headache.
Qian Gu (Front Valley): Located in the depression lateral to the little finger, proximal to the metacarpophalangeal joint. It is the Ying-Spring point where the Hand-Taiyang Small Intestine Meridian flows, belonging to Water. *Tong Ren*: Needle 1 fen, retain for three breaths, moxa. It treats nasal congestion, cough with hemoptysis, arm pain unable to lift, and postpartum agalactia in women.
Hou Xi (Rear Stream): Located in the depression lateral to the little finger, distal to the metacarpophalangeal joint; take the point with a clenched fist. It is the Shu-Stream point where the Hand-Taiyang Small Intestine Meridian pours, belonging to Wood. Deficiency of the Small Intestine should be tonified. It treats difficulty turning the head, epilepsy, spasm of the arm and elbow, crusts, and scabies.
Wang Gu (Wrist Bone): Located in the depression under the prominent bone at the anterior aspect of the lateral wrist. It is the Yuan-Source point where the Hand-Taiyang Small Intestine Meridian passes. Both excess and deficiency of the Small Intestine should be treated with needle extraction. *Tong Ren*: Needle 3 fen, retain for three breaths, moxa 3 cones. It treats heat disease with no sweat, hypochondriac pain, dyspnea, swelling of the neck and jaw, chills and fever, tinnitus, cold tears and leukoma, mania and palpitations, hemiplegia, inability to flex and extend the elbow, malaria headache, irritability, infantile convulsions, pulling pain in the five fingers, and headache.
Yang Gu (Yang Valley): Located in the depression below the sharp bone in the center of the lateral wrist. It is the Jing-River point where the Hand-Taiyang Small Intestine Meridian travels, belonging to Fire. *Su Wen* notes: Moxa 3 cones, needle 2 fen, retain. It treats pain in the lateral arm unable to lift, protruding tongue, torticollis, delirious speech, looking left and right, vertigo, infantile convulsions, stiff tongue unable to suckle milk.
Yang Lao (Nourishing Old Age): Located anterior-superior to the wrist ankle bone. Another view says it is in the depression one cun posterior to Wang Gu. *Tong Ren*: Needle 3 fen, moxa 3 cones. It treats soreness and pain of the shoulder and arm, sensation of shoulder breaking, sensation of arm being pulled, inability to move hands up and down, and blurred vision.
Zheng Zheng (Correct Support): Located five cun posterior to the wrist; it is the Luo-Connecting vessel of the Hand-Taiyang, diverging to the Shaoyin. *Tong Ren*: Needle 3 fen, moxa 3 cones. *Ming Tang*: Moxa 5 cones. It treats wind-deficiency, excessive thirst, stiff neck, and warts. In excess syndromes, joints relax and elbows become useless; drain it. In deficiency syndromes, small warts like fingers grow, crusts, and scabies appear; tonify it.
Xiao Hai (Small Sea): Located in the depression lateral to the large bone inside the elbow, five fen from the elbow end; take the point with the hand bent toward the head. It is the He-Sea point where the Hand-Taiyang Small Intestine Meridian enters, belonging to Earth. It treats Small Intestine excess syndromes, neck pain, abscesses with chills, swelling and pain in the elbow and axilla, lower abdominal pain, epilepsy with bleating sounds, torticollis, convulsions with wild running, swollen jaw unable to turn the head, shoulder sensation of being pulled or broken, deafness, yellow eyes, and swollen cheeks.
Jian Zhen (Shoulder Integrity): Located in the depression between the two bone junctions below the curved scapula, posterior to Jian Yu. *Tong Ren*: Needle 5 fen; *Su Wen* notes: Needle 8 fen, moxa 3 cones. It treats chills and fever from cold damage, tinnitus and deafness, heat and pain in the clavicular fossa and shoulder, wind-bi, numbness and inability to lift hands and feet.
Shu Point (Referring to Jian Wai Shu or similar based on context, literally "Shu"): Located posterior to the large bone under the shoulder (Shaoyang point), in the depression at the upper border of the scapula; take the point with the arm raised. It is the intersection of the Hand-Taiyang, Yang Wei, and Yang Qiao meridians. *Tong Ren*: Needle 8 fen, moxa 3 cones. It treats arm soreness and weakness, shoulder pain radiating to the scapula, cold-heat qi swelling, and neck pain.
Tian Zong (Heavenly Master): Located in the depression below the large bone posterior to Bing Feng. *Tong Ren*: Moxa 3 cones, needle 5 fen, retain for six breaths. It treats soreness and pain of the shoulder and arm, pain at the posterior-lateral border of the elbow, and swelling of the cheek and jaw.
Bing Feng (Holding Wind): Located posterior to the small bone on the shoulder lateral to Tian Zong; there is a gap when the arm is raised. It is the intersection of the Hand-Taiyang, Yangming, Hand-Shaoyang, and Foot-Shaoyang meridians. *Tong Ren*: Moxa 5 cones, needle 5 fen. It treats shoulder pain unable to lift.
Qu Yuan (Curved Ridge): Located in the depression of the curved scapula in the center of the shoulder; pressing elicits pain. *Tong Ren*: Moxa 3 cones, needle 5 fen. *Ming Tang*: Needle 9 fen. It treats bi-syndrome heat pain of the shoulder, qi stagnation causing stiffness and painful oppression in the scapula.
Jian Wai Shu (Outer Shoulder Shu): Located at the upper border of the scapula, three cun from the spine in the depression. *Tong Ren*: Needle 6 fen, moxa 3 cones. *Ming Tang*: 1 cone. It treats scapular pain and cold reaching the elbow in generalized bi-syndrome.
Jian Zhong Shu (Inner Shoulder Shu): Located at the medial border of the scapula, two cun from the spine in the depression. *Su Wen* notes: Needle 6 fen, moxa 3 cones. *Tong Ren*: Needle 3 fen, retain for seven breaths, moxa 10 cones. It treats cough with rebellious Qi, hemoptysis with chills and fever, and blurred vision.
Tian Chuang (Heavenly Window) (also known as Chuang Long): Located in the depression where the pulse beats behind the Fu Tu point, anterior to the chin curve between the large tendons of the neck. *Tong Ren*: Moxa 3 cones, needle 3 fen. *Su Wen* notes: 6 fen. It treats hemorrhoids, neck pain, shoulder and scapula pulling the neck making turning difficult, deafness, swollen cheeks, lockjaw, and stroke.
Tian Rong (Heavenly Reception): Located posterior to the curved jaw below the ear. *Su Wen* notes: Moxa 3 cones. It treats goiter, neck carbuncles, inability to turn the head, aphonia, chest pain and fullness with dyspnea, vomiting and frothing, lockjaw, tinnitus, and deafness.
Quan Liao (Zygomatic Cleft): Located in the depression at the end of the sharp bone under the cheekbone. It is the intersection of the Hand-Shaoyang and Taiyang meridians. *Su Wen* notes: Needle 3 fen. *Tong Ren*: Needle 2 fen. It treats facial deviation with redness, involuntary eye movement, swelling, and toothache.
Ting Gong (Listening Palace) (also known as Duo Suo Wen): Located in the ear, pearl-sized like a red adzuki bean. It is the intersection of the Hand-Shaoyang, Foot-Shaoyang, and Hand-Taiyang meridians. *Tong Ren*: Needle 3 fen. It treats buzzing tinnitus like cicadas.
Bladder Diagram
The bladder weighs nine liang and two zhu, is nine cun long and wide, resides below the kidney and on the side of the large intestine. The lower opening of the small intestine is the upper opening of the bladder; fluids seep in from here. It holds nine sheng and nine he of urine.
The bladder is the official of the metropolitan area; it stores body fluids. Through Qi transformation, they can be excreted.
The bladder is the black intestine (because organs belong to the Northern color).
Wang Andao said: Some say that *Ling Shu* states: Food and drink often reside together in the stomach, become dregs, and descend together to the large intestine, forming the Lower Jiao, seeping and descending together to be excreted. Yang Jie said: Food and drink are received in abundance from the small intestine at the Lan Men (Gate of Filter) to be separated. The water seeps into the upper opening of the bladder to become urine. Examining these three theories, urine is simply the separated fluid that seeps into the bladder to be excreted. *Su Wen* states: When food enters the stomach, its essence floats and overflows, is transported upward to the Spleen, the Spleen scatters the essence, which returns upward to the Lung, regulates the water passages, and transports downward to the bladder. Thus, urine seems to be formed after the ascending of fine Qi from water and drinks, processed by the Spleen and Lung. What governs this? What is the basis? I say: It relies on principle. Moreover, what exactly is urine? It is only water. For water to ascend, there must be a prior path for ascent. Thus, *Su Wen* again states: The bladder stores body fluids; through Qi transformation, they can be excreted. Water is the child of Qi, and Qi is the mother of water. Where Qi moves, water moves; where Qi stagnates, water stagnates. Others claim that urine is purely from separation, not from transformation, because they do not understand this principle. Nevertheless, although the bladder is indeed the mansion of body fluids, regarding the reception and storage of body fluids, there is a bladder sac (Pao) residing within the bladder. Thus, *Su Wen* states: Heat from the bladder sac transfers to the bladder. *Ling Shu* states: The bladder's sac is thin and moist. *Lei Zan* states: The bladder is the chamber of the sac. Furthermore, the sac residing in the bladder has an upper opening but no lower opening. Since fluids accumulate in the sac, they cannot exit spontaneously; they must rely on Qi transformation to gradually infiltrate the bladder, accumulating externally in the empty space below the sac, thus becoming urine, which exits through the anterior yin. What *Su Wen* means by "the bladder stores body fluids" is essentially referring to the bladder encompassing the sac. If one says there is no empty space below the sac, how can urine be excreted immediately upon urgency? Only when the empty space below the sac is filled and cannot hold more does urgency arise; with urgency, one goes to the toilet and excretes immediately. Some say the sac has an upper opening but no lower opening; some say it has openings both above and below; some say it has small pores as channels for excretion. Is this not absurd?