\r手少阴心经\pj-j17.bmp\r
手少阴之脉。起于心中。出属心系。下膈络小肠。
心系有二。一则上与肺相通而入肺两大叶间。一则由肺叶而下。曲折向后。并脊里细络
相连
心。循任脉之外。属心系。下膈。当脐上二寸之分络小肠。
其支者。从心系上挟咽。系目。
支者。从心系出任脉之外。上行而挟咽系目也。
其直者。复从心系。却上肺。出腋下。
直者。得从心系直上。至肺脏之分。出循腋下。抵极泉也。穴在臂内腋下筋间。动脉入
胸。
下循 内后廉。行太阴、心主之后。下肘内廉。
自极泉下循 内后廉。行太阴、心主两经之后。历青灵穴。下肘内廉。抵少海。
循臂内后廉。抵掌后兑骨之端。入掌内廉。循小指之内。出其端。
腕下踝为兑骨。自少海而下。循臂内后廉。历灵道、通里。至掌后兑骨之端。经阴 、
神门
尊于他脏。故其交经授受。不假支别云。
此经多血少气。午时气血注此。受足太阴之交。凡九穴。左右共一十八穴。
极泉 臂内腋下筋间。动脉入胸。铜人。针三分。灸七壮。主臂肘厥寒。四肢厥。心痛
。干呕烦满。胁痛悲愁。
青灵 肘上三寸。伸肘举臂取之。铜人。灸七壮。明堂。三壮。主目黄。头痛振寒。胁
痛。肩臂不举。不能带衣。
少海（一名曲节） 肘内廉节后。大骨外。去肘端五分。屈肘向头得之。心脉所入为合。
水。
灸。素注。灸五壮。资生云。数说不同。要之非大急不灸。主寒热。齿龋痛。目眩发狂。呕
吐涎沫。项不得回顾。肘挛。腋胁下痛。四肢不得举。脑风头痛。气逆噫哕。瘰 。心疼。
手颤。健忘。
灵道 掌后一寸五分。心脉所行为经。金。铜人。针三分。灸三壮。主心痛。干呕。悲
恐。相引螈 。肘挛。暴喑不能言。
通里 腕后一寸陷中。手少阴心脉之络。别走太阳小肠经。铜人。针三分。灸三壮。明
堂。
目痛。心悸。肘臂 痛。苦呕。喉痹。少气。遗溺。妇人经血过多。崩中。实则支满鬲肿。
泻之。虚则不能言。补之。
阴 掌后脉中。去腕五分。铜人。针三分。灸七壮。主鼻衄。吐血。洒淅畏寒。厥逆
气惊。心痛。
神门（一名锐中 一名中都） 掌后锐骨端陷中。手少阴心脉所注为俞。土。心实泻之。
铜人
痛数噫。恐悸。少气不足。手臂寒。面赤喜笑。掌中热而哕。目黄胁痛。喘逆身热。狂悲笑
。呕血吐血。振寒上气。遗溺。失音。心性痴呆。健忘。心积伏梁。大小人五痫。东垣曰。
胃气下溜。五脏气皆乱。其为病互相出见。气在于心者。取之手少阴之俞神门。大陵同精导
气。以复其本位。灵枢经曰。少阴无俞。心不病乎。其外经病而脏不病。故独取其经。于掌
后锐骨之端。心者五脏六腑之大主。精神之所舍。其脏坚固。邪不能容。容邪则身死。故诸
邪皆在心之包络。包络者。心主之脉也。
少府 小指本节后骨缝陷中。直劳宫。手少阴心脉所溜为荥。火。铜人。针二分。灸七
壮。
久不愈。振寒阴挺出。阴痛阴痒。遗尿。偏坠。小便不利。太息。
少冲（一名经始） 手小指内廉端。去爪甲角如韭叶。手少阴心脉所出为井。木。
心虚补之。
心痛。痰冷。少气。悲恐善惊。太息。烦满。掌中热。胁痛胸中痛。口中热。咽中酸。乍寒
乍热。手挛不伸。引肘腋痛。悲惊。东垣曰。一富者前阴臊臭。求先师（张洁古也）治之。曰
。夫前阴足厥阴之脉络循阴器。出其挺末。凡臭者。心之所主。散入五方为五臭。入肝为臊
。此其一也。当于肝经泻行间。是治其本。后于心经中泻少冲。是治其标。
\r大肠脏之图\pj-j18.bmp\r
小肠重二斤十四两。长三丈二尺。广二寸半。径八分分之少半。左回叠积十六曲。盛谷
二斗
口。小肠下口也。至是而泌别清浊。水液入膀胱。滓秽入大肠。小肠者。受盛之官。化物出
焉。小肠为赤肠。食下则肠实而胃虚。（以此推之。则知糟粕下于大肠。小肠亦虚矣。）
手少阴心经的经脉，起始于心脏内部，出来归属于心系（连接心脏与其他脏器的组织），向下穿过膈肌，联络小肠。
心系有两个分支：一个向上与肺相通，进入肺的两叶之间；另一个从肺叶向下，曲折向后，沿着脊柱内部的细小络脉相连。
心脏，沿着任脉的外侧，归属于心系，向下穿过膈肌，在脐上两寸的部位联络小肠。
其分支，从心系向上挟持咽喉，联系目系（眼球连系脑部的脉络）。
另一分支，从心系出来，行于任脉之外，向上行走并挟持咽喉，联系目系。
直行者，得以从心系直上，到达肺部的位置，出来沿腋下行走，抵达极泉穴。该穴位位于手臂内侧腋下筋间，动脉入胸处。
向下沿着臂内后缘，行于手太阴肺经和手厥阴心包经之后，下行至肘部内侧边缘。
从极泉穴向下沿着臂内后缘，行于手太阴肺经和手厥阴心包经两条经脉之后，经过青灵穴，下行至肘部内侧边缘，抵达少海穴。
沿着前臂内侧后缘，抵达手掌后方豌豆骨（兑骨）的末端，进入手掌内侧，沿着小指内侧，出其末端。
腕下的踝骨称为兑骨。从少海穴向下，沿着前臂内侧后缘，经过灵道穴、通里穴，到达手掌后方豌豆骨的末端，经过阴郄穴、神门穴。
因为心尊贵于其他脏腑，所以它的经络交接传授，不需要借助其他分支来传递。
这条经脉多血少气，午时气血灌注于此。接受足太阴脾经的气血交接。共有九个穴位，左右两侧共十八个穴位。
极泉穴 位于手臂内侧腋下筋间，动脉入胸处。《铜人腧穴针灸图经》记载：针刺三分，艾灸七壮。主治手臂肘部厥冷寒痛，四肢厥逆，心痛，干呕，烦闷，胁痛，悲伤忧愁。
青灵穴 位于肘上三寸处，伸肘举臂时取穴。《铜人腧穴针灸图经》记载：艾灸七壮，《明堂》记载：艾灸三壮。主治目黄，头痛伴恶寒战栗，胁痛，肩臂不能抬起，穿衣困难。
少海穴（又名曲节） 位于肘部内侧边缘关节后方，大骨外侧，距离肘端五分处，屈肘向头部方向可找到。此处为手少阴心经经气所入的地方，称为“合”穴，五行属水。《素问》注解说：艾灸五壮。《资生经》说：说法不一，总之如果不是急症不要艾灸。主治寒热往来，龋齿痛，目眩发狂，呕吐涎沫，颈部僵硬不能回顾，肘部拘挛，腋部和胁下疼痛，四肢不能抬举，脑风头痛，气逆嗳气呃逆，瘰疬，心疼，手部颤抖，健忘。
灵道穴 位于掌后一寸五分处。此处为手少阴心经经气所行的地方，称为“经”穴，五行属金。《铜人腧穴针灸图经》记载：针刺三分，艾灸三壮。主治心痛，干呕，悲伤恐惧，牵引性抽搐，肘部拘挛，突然失音不能说话。
通里穴 位于腕后一寸凹陷处。此处为手少阴心经的络穴，别走手太阳小肠经。《铜人腧穴针灸图经》记载：针刺三分，艾灸三壮。《明堂》记载：主治目痛，心悸，肘臂疼痛，苦于呕吐，喉痹，气短，遗尿，妇女月经量过多，崩中。实证表现为胸胁胀满膈部肿胀，应泻法；虚证表现为不能说话，应补法。
阴郄穴 位于掌后脉搏跳动处，距离腕横纹五分。《铜人腧穴针灸图经》记载：针刺三分，艾灸七壮。主治鼻出血，吐血，洒淅畏寒，厥逆，气惊，心痛。
神门穴（又名锐中，又名中都） 位于掌后锐骨（豌豆骨）端的凹陷处。此处为手少阴心经经气所注的地方，称为“输”穴，五行属土。心实热证用泻法。《铜人腧穴针灸图经》记载：主治心痛，频繁嗳气，恐惧心悸，气短不足，手臂寒冷，面色发红喜欢笑，掌心发热且呃逆，目黄胁痛，喘逆身热，狂躁悲笑，呕血吐血，恶寒战栗气逆，遗尿，失音，心性痴呆，健忘，心积伏梁病，大人小孩的各种痫证。李东垣说：胃气下溜，五脏之气都会紊乱，它们的病症互相出现。气停留在心脏的，取用手少阴心的输穴神门，配合大陵穴引导精气，以恢复其本位。《灵枢经》说：少阴经没有输穴吗？心脏不生病吗？这是指外经有病而内脏没有病，所以只取用这条经脉的穴位。在掌后锐骨端取穴。心是五脏六腑的大主，精神居住的地方，它的脏器坚固，邪气不能容纳，如果容纳了邪气人就会死，所以各种邪气都侵犯心包络。包络，就是心主的经脉。
少府穴 位于小指本节后的骨缝凹陷处，直对劳宫穴。此处为手少阴心经经气所流注的地方，称为“荥”穴，五行属火。《铜人腧穴针灸图经》记载：针刺二分，艾灸七壮。主治久治不愈的病，恶寒战栗，阴挺出，阴部疼痛瘙痒，遗尿，偏坠，小便不利，叹气。
少冲穴（又名经始） 位于手小指内侧边缘末端，距离指甲角如韭菜叶宽度处。此处为手少阴心经经气所出的地方，称为“井”穴，五行属木。心虚证用补法。主治心痛，痰冷，气短，悲伤恐惧容易受惊，叹气，烦闷，掌心发热，胁痛胸中痛，口中热，咽中酸楚，忽冷忽热，手部拘挛不能伸展，牵引肘腋疼痛，悲伤惊恐。李东垣说：有一位富人前阴臊臭，求先师（张洁古）治疗。他说：前阴是足厥阴肝经的脉络循行经过阴器，出于其顶端。凡是气味，由心所主宰，散发到五个方位成为五种气味，进入肝脏成为臊味，这就是其中之一。应当在肝经泻行间穴，这是治本；后来在心经中泻少冲穴，这是治标。
大肠脏之图
小肠重二斤十四两，长三丈二尺，宽二寸半，直径八分又三分之一分。向左回旋叠积十六个弯曲，能盛纳谷物二斗。
口（此处指小肠下口，即幽门附近），到这里分别清浊。水液进入膀胱，糟粕进入大肠。小肠是受盛之官，负责消化食物。小肠被称为赤肠，食物进入后肠道充实而胃空虚。（由此推断，糟粕下行于大肠，小肠也就空虚了。）
Hand-Shaoyin Heart Meridian
The meridian of the Hand-Shaoyin Heart starts within the heart, emerges to connect with the Xin Xi (Heart System), descends through the diaphragm, and connects with the Small Intestine.
The Heart System has two branches: one ascends to communicate with the Lung and enters between the two lobes of the lung; the other descends from the lung lobe, curves backward, and connects via fine collaterals along the interior of the spine.
The Heart, following the lateral aspect of the Ren Mai (Conception Vessel), belongs to the Heart System, descends through the diaphragm, and connects with the Small Intestine at the level two cun above the umbilicus.
Its branch ascends from the Heart System, flanking the pharynx, and connects with the Eye System (the connection between the eyeball and the brain).
Another branch emerges from the Heart System, runs outside the Ren Mai (Conception Vessel), ascends, flanks the pharynx, and connects with the Eye System.
Its straight branch returns from the Heart System, ascends to the Lung, emerges from the axilla.
The straight branch ascends directly from the Heart System to the location of the Lung, emerges, and follows the axilla to reach Ji Quan (HT1) acupoint. This acupoint is located in the tendon space of the medial arm in the axilla, where the artery enters the chest.
It descends along the posterior medial border of the arm, running posterior to the Hand-Taiyin Lung Meridian and the Hand-Jueyin Pericardium Meridian, descending to the medial border of the elbow.
From Ji Quan (HT1), it descends along the posterior medial border of the arm, running posterior to the Hand-Taiyin Lung Meridian and the Hand-Jueyin Pericardium Meridian, passing through Qing Ling (HT8), descending to the medial border of the elbow, and reaching Shao Hai (HT3).
It follows the posterior medial border of the forearm, reaches the end of the post-carpal pisiform bone (Dui Gu), enters the medial palm, follows the medial side of the little finger, and exits at its tip.
The ankle-like bone below the wrist is called Dui Gu (pisiform bone). From Shao Hai (HT3) downward, along the posterior medial border of the forearm, passing through Ling Dao (HT4), Tong Li (HT5), reaching the end of the post-carpal pisiform bone, passing through Yin Xie (HT6), Shen Men (HT7).
Because the Heart is honored above other Zang organs, its meridian transmission does not require auxiliary branches for relay.
This meridian has abundant blood and scarce Qi. At Wu hour (11:00-13:00), Qi and Blood pour into this meridian. It receives transmission from the Foot-Taiyin Spleen Meridian. There are nine acupoints in total, eighteen on both sides combined.
Ji Quan (HT1) Located in the tendon space of the medial arm in the axilla, where the artery enters the chest. *Tong Ren* records: Needle 3 fen, Moxibustion 7 moxa cones. Main indications: Cold and numbness of the arm and elbow, cold extremities, heart pain, dry heaving, irritability and fullness, hypochondriac pain, sorrow and grief.
Qing Ling (HT8) Located three cun above the elbow; take the point with the arm extended and raised. *Tong Ren* records: Moxibustion 7 moxa cones. *Ming Tang* records: Moxibustion 3 moxa cones. Main indications: Yellow eyes, headache with chills, hypochondriac pain, inability to raise the shoulder and arm, difficulty dressing.
Shao Hai (HT3) (Also known as Qu Jie) Located behind the medial epicondyle of the humerus, on the lateral side of the large bone, 5 fen from the elbow tip; find it by flexing the elbow toward the head. This is where the Heart Qi enters, known as the He-Sea point, corresponding to Water. *Su Wen* notes: Moxibustion 5 moxa cones. *Zi Sheng* states: Opinions vary, but generally, do not use moxibustion unless it is an urgent condition. Main indications: Alternating cold and heat, toothache from caries, vertigo and mania, vomiting of saliva and foam, neck stiffness preventing turning back, elbow contracture, pain in the axilla and hypochondrium, inability to lift limbs, wind-headache of the brain, rebellious Qi with belching and hiccups, scrofula, heart pain, hand tremors, amnesia.
Ling Dao (HT4) Located 1.5 cun proximal to the wrist crease. This is where the Heart Qi flows, known as the Jing-River point, corresponding to Metal. *Tong Ren* records: Needle 3 fen, Moxibustion 3 moxa cones. Main indications: Heart pain, dry heaving, fear and terror,牵引 spasms, elbow contracture, sudden aphasia.
Tong Li (HT5) Located in the depression 1 cun proximal to the wrist. This is the Luo-Connecting point of the Hand-Shaoyin Heart Meridian, diverging to the Hand-Taiyang Small Intestine Meridian. *Tong Ren* records: Needle 3 fen, Moxibustion 3 moxa cones. *Ming Tang* records: Main indications: Eye pain, palpitations, elbow and arm pain, bitter vomiting, throat obstruction, shortness of breath, urinary incontinence, excessive menstrual bleeding in women, metrorrhagia. Excess syndrome presents as chest and hypochondriac fullness and swelling; treat with draining method. Deficiency syndrome presents with inability to speak; treat with tonifying method.
Yin Xie (HT6) Located in the pulse at the posterior wrist, 5 fen proximal to the wrist crease. *Tong Ren* records: Needle 3 fen, Moxibustion 7 moxa cones. Main indications: Epistaxis, hematemesis, aversion to cold with shivering, cold extremities, Qi shock, heart pain.
Shen Men (HT7) (Also known as Rui Zhong, also known as Du Zhong) Located in the depression at the end of the ulnar styloid process (Rui Gu). This is where the Heart Qi pours, known as the Shu-Stream point, corresponding to Earth. Tonify deficiency, drain excess of the Heart. *Tong Ren* records: Main indications: Heart pain, frequent belching, fear and palpitations, shortness of breath, cold arms, red face with laughter, hot palms with hiccups, yellow eyes and hypochondriac pain, wheezing and rebellious Qi with body heat, manic laughter and crying, hematemesis, chills with rebellious Qi, urinary incontinence, loss of voice, mental dullness, amnesia, Fu Liang accumulation in the Heart, epilepsy in adults and children. Li Dongyuan said: When Stomach Qi sinks, the Qi of the Five Zang organs becomes chaotic, and their diseases manifest interchangeably. When Qi resides in the Heart, select the Shu-Stream point Shen Men of the Hand-Shaoyin Heart Meridian, combined with Da Ling (PC7) to guide Qi and restore its original position. *Ling Shu* states: Does the Shaoyin meridian have no Shu points? Does the Heart never get sick? This refers to disease in the exterior meridian without disease in the interior organ, so only the meridian points are selected. Take the point at the end of the ulnar styloid process. The Heart is the great master of the Five Zang and Six Fu organs, the residence of Spirit. Its organ is solid, and pathogens cannot enter; if they enter, death ensues. Therefore, all pathogens attack the Pericardium. The Pericardium is the meridian of the Heart Master.
Shao Fu (HT8) Located in the depression between the bones distal to the base of the little finger, directly opposite Lao Gong (PC8). This is where the Heart Qi flows, known as the Ying-Spring point, corresponding to Fire. *Tong Ren* records: Needle 2 fen, Moxibustion 7 moxa cones. Main indications: Chronic conditions not healing, chills, uterine prolapse, genital pain and itching, urinary incontinence, inguinal hernia, difficult urination, sighing.
Shao Chong (HT9) (Also known as Jing Shi) Located at the medial tip of the little finger, approximately the width of a leek leaf from the corner of the nail. This is where the Heart Qi exits, known as the Jing-Well point, corresponding to Wood. Tonify deficiency of the Heart. Main indications: Heart pain, cold phlegm, shortness of breath, fear and terror with easy fright, sighing, irritability and fullness, hot palms, hypochondriac and chest pain, hot mouth, sour sensation in the throat, alternating cold and heat, hand contracture unable to extend, pain radiating to the elbow and axilla, fear and panic. Li Dongyuan said: A wealthy patient had a foul odor from the anterior yin. He sought treatment from my teacher (Zhang Jiegu). He said: The anterior yin is the pathway of the Foot-Jueyin Liver Meridian, which circulates around the genitals and ends at the tip. All odors are governed by the Heart; when dispersed into the five directions, they become the five odors. Entering the Liver, it becomes fishy/sour. This is one such case. One should drain Xing Jian (LR2) on the Liver Meridian to treat the root cause, and later drain Shao Chong (HT9) on the Heart Meridian to treat the branch symptom.
Diagram of the Large Intestine Organ
The Small Intestine weighs two jin and fourteen liang, is three zhang and two chi long, two and a half cun wide, and eight and one-third fen in diameter. It loops sixteen times to the left. It can hold two dou of grain.
The opening (referring to the lower opening of the Small Intestine, near the pylorus): Here, clear and turbid substances are separated. Fluids enter the Bladder, while dregs enter the Large Intestine. The Small Intestine is the official responsible for reception and transformation, processing food. The Small Intestine is called the Red Intestine. When food enters, the intestine becomes full and the stomach becomes empty. (By inference, since waste moves down to the Large Intestine, the Small Intestine also becomes empty.)