手厥阴之脉起于胸中出属心包下隔历络三焦其肢者循胸出胁下腋三寸上抵腋下下循 内
行太
阴少阴之问入肘中(曲泽穴)下臂行两臂之间(间使穴腕中大陵穴)入掌中(劳宫穴)循中指出其
端(中冲穴)其支别者从掌中循小指次指出其端(自此交入手少阳)是动则病手心热肘臂挛急腋
肿甚则胸胁肢满心中澹澹大动面赤目黄善笑不休是主脉所生病者烦心心痛掌中热盛者寸口大
一倍于人迎虚者寸口反小于人迎也(灵枢)○戌时自 府交与天池从手臂下行至中冲穴止(入
门)心者五脏六腑之大主也精神之所舍也其脏坚固邪不能容也容之则心伤心伤则神去神去则
死矣故诸邪之在于心者皆在于心之包络包络者心主之脉也故独无输焉其余脉出入屈折其行之
徐疾皆如手少阴心主之脉行也故窦汉卿
孔穴旁通图心经不出少冲少府神门灵道少海而代以中冲劳宫大陵间使曲泽则可知矣(纲目)
中冲二穴在手中指之端去爪甲如韭叶陷中手厥阴脉之所生为井针入一分留三呼可灸一壮
(灵枢)
劳宫二穴一名五里一名掌中在掌中央屈无名指取之(铜人)○在掌中央横纹动脉中(纲目)
○在
手掌横纹中心屈中指取之(入门)○手厥阴脉之所流为荣针入三分留六呼可灸三壮(铜人)○只
一度针过两度令人虚不可灸屈中指为是屈无名指者非也(资生)
太陵二穴在掌后两筋间陷中(铜人)○在掌后横纹两筋两骨陷中(入门)○手厥阴脉之所注
为针入五分可灸三壮(铜人)
内关二穴在掌后去腕二寸(铜人)○在大陵后二寸(入门)在两筋间手心主络别走少阳(纲
目)○针入三分可灸三壮(铜人)
间使二穴在掌后三寸两筋间陷中(铜人)○在大陵后三寸又云去腕三寸(入门)○手厥阴脉
之所
行为经针入三分可灸五壮(铜人)○灵枢云在两筋之间三寸之中也有过则至无过则止注云其穴
有大络为限故入络过 掌后正劳宫后三寸寸止处是穴故曰有过则至无过则止(纲目)
门二穴在掌后去腕五寸一云大陵后五寸手厥阴 针入三分可灸五壮(铜人)
曲泽二穴在肘内廉下陷中屈肘得之(铜人)○在肘腕内横纹中央动脉曲肘取之(入门)○手
厥阴脉之所入为合针入三分留七呼可灸三壮(铜人)
天泉二穴一名天湿在曲腋下去臂二寸举臂取之针入三分可灸三壮(铜人)
天池二穴一名天会在腋下乳后一寸着胁直腋肋间(铜人)○在乳后一寸腋下三寸(纲目)○
在乳外二寸侧胁陷中(入门)○针入三分可灸三壮(铜人)
手厥阴心包经的经脉，起始于胸中，向外归属于心包，向下穿过膈肌，依次联络上、中、下三焦。其支脉沿着胸部外出至胁部，下行至腋下三寸处，向上抵达腋下，然后向下沿上臂内侧中间行走，行在手太阴肺经和手少阴心经之间，进入肘窝中（曲泽穴），再向下沿前臂两骨之间行走（经过间使穴、腕横纹中的大陵穴），进入手掌中（劳宫穴），沿中指直达其末端（中冲穴）。另一支别脉从掌中分出，沿无名指直达其末端（自此与手少阳三焦经交接）。
当本经发生病变时，会出现手心发热、肘臂拘挛抽搐、腋窝肿胀；病情严重时，会出现胸胁胀满、心中悸动不安、面色发红、目睛发黄、喜笑不止等症状。本经主要主管血脉相关的疾病，表现为心烦、心痛、手掌心发热等。若邪气盛实，则寸口脉搏比人迎脉搏大一倍；若正气虚弱，则寸口脉搏反而小于人迎脉搏（出自《灵枢》）。○戌时（晚上7点至9点）气血自胆腑交接传入天池穴，沿手臂下行至中冲穴止（出自《入门》）。
心是五脏六腑的大主，也是精神居住的地方。心脏质地坚固，外邪不能直接侵犯；如果邪气侵入心脏，心脏就会受损，心神离去，心神离去就会死亡。所以凡是邪气在心部的，都在于心包络。心包络是代心受邪的经脉，所以它本身没有独立的输穴（此处原文逻辑稍显晦涩，意指心包代心受邪，故取心包之穴以治心病，或指心经原穴神门等被心包经替代使用，结合后文窦汉卿观点理解）。其余经脉的出入屈折及其运行的快慢，都像手少阴心经一样。所以窦汉卿在《孔穴旁通图》中指出，手少阴心经不取少冲、少府、神门、灵道、少海，而代之以中冲、劳宫、大陵、间使、曲泽，由此可知（出自《纲目》）。
中冲穴：有两个穴位，位于手中指的末端，距离指甲如韭菜叶宽度的凹陷处，是手厥阴心包经所生的井穴。针刺深度一分，留针三呼的时间，可艾灸一壮（出自《灵枢》）。
劳宫穴：有两个穴位，又名五里穴、掌中穴，位于手掌中央，屈起无名指时取穴（出自《铜人》）。○位于手掌中央横纹处的动脉中（出自《纲目》）。○位于手掌横纹中心，屈起中指时取穴（出自《入门》）。○是手厥阴心包经所流注的荣穴。针刺深度三分，留针六呼的时间，可艾灸三壮（出自《铜人》）。○只允许针刺一次，若刺两次会导致人体虚弱，不可艾灸。屈中指取穴是正确的，屈无名指取穴是错误的（出自《资生》）。
太陵穴：有两个穴位，位于手腕后方两筋之间的凹陷处（出自《铜人》）。○位于手腕后方横纹处，两筋两骨之间的凹陷中（出自《入门》）。○是手厥阴心包经所注输的腧穴。针刺深度五分，可艾灸三壮（出自《铜人》）。
内关穴：有两个穴位，位于手腕后方距离腕横纹二寸处（出自《铜人》）。○在大陵穴后方二寸处（出自《入门》）。位于两筋之间，是手心主（心包）的络穴，别走手少阳三焦经（出自《纲目》）。○针刺深度三分，可艾灸三壮（出自《铜人》）。
间使穴：有两个穴位，位于手腕后方三寸处，两筋之间的凹陷中（出自《铜人》）。○在大陵穴后方三寸处，又说是距离腕横纹三寸（出自《入门》）。○是手厥阴心包经所行的经穴。针刺深度三分，可艾灸五壮（出自《铜人》）。○《灵枢》说该穴在两筋之间，距离腕横纹三寸处。注释说：“有过则至，无过则止。”意思是该穴位有大络作为界限，所以进入络脉超过手掌后正中线，到劳宫穴后方三寸处停止，那个位置就是穴位所在，所以说“有过则至，无过则止”（出自《纲目》）。
郄门穴：有两个穴位，位于手腕后方距离腕横纹五寸处，一说在大陵穴后方五寸处，是手厥阴心包经的郄穴。针刺深度三分，可艾灸五壮（出自《铜人》）。
曲泽穴：有两个穴位，位于肘部内侧边缘下方的凹陷中，屈肘时可取到（出自《铜人》）。○位于肘腕内侧横纹中央的动脉处，屈肘时取穴（出自《入门》）。○是手厥阴心包经所入合的合穴。针刺深度三分，留针七呼的时间，可艾灸三壮（出自《铜人》）。
天泉穴：有两个穴位，又名天湿穴，位于曲腋下方，距离上臂二寸处，举臂时可取穴。针刺深度三分，可艾灸三壮（出自《铜人》）。
天池穴：有两个穴位，又名天会穴，位于腋下，乳头后方一寸，贴着胁肋，直对腋窝与肋骨之间（出自《铜人》）。○位于乳头后方一寸，腋下三寸处（出自《纲目》）。○位于乳头外侧二寸，侧身时的胁肋凹陷中（出自《入门》）。○针刺深度三分，可艾灸三壮（出自《铜人》）。
The Pericardium Meridian of Hand-Jueyin originates in the chest, emerges to connect with the Pericardium (Pericardium), descends through the diaphragm, and successively connects with the Triple Burner (Triple Energizer). Its branch follows the chest, emerges to the hypochondrium, descends three cun below the axilla, ascends to reach the axilla, then descends along the medial aspect of the upper arm, running between the Lung Meridian of Hand-Taiyin and the Heart Meridian of Hand-Shaoyin. It enters the elbow (Quze, PC3), descends along the forearm between the radius and ulna (passing Jianshi, PC5; Daling, PC7 at the wrist crease), enters the palm (Laogong, PC8), and follows the middle finger to its tip (Zhongchong, PC9). Another branch separates from the palm, follows the ring finger to its tip (here connecting with the Sanjiao Meridian of Hand-Shaoyang).
When this meridian is affected by pathogenic factors, symptoms include heat in the palm, spasm and stiffness of the elbow and arm, swelling of the axilla. In severe cases, there may be fullness in the chest and hypochondrium, palpitations (heart quivering), red face, yellow eyes, and incessant laughter. This meridian primarily governs diseases related to the vessels, manifesting as irritability, heart pain, and heat in the palm. If excess, the Cun Kou pulse is larger than the Ying Yang pulse by one degree; if deficiency, the Cun Kou pulse is smaller than the Ying Yang pulse (from *Ling Shu*). ○ During Xu hour (7-9 PM), Qi flows from the Gallbladder into Tianchi (TI10), descending along the arm to Zhongchong (PC9) (from *Ru Men*).
The Heart is the great master of the five Zang organs and six Fu organs, and the residence of the Spirit (Shen). The Heart organ is solid, so pathogens cannot easily invade it; if they do, the Heart is damaged, the Spirit departs, and death ensues. Therefore, any pathogen affecting the Heart actually affects the Pericardium. The Pericardium is the meridian representing the Heart Master, so it alone has no Yuan-Source point (Note: Context implies substitution or specific treatment logic). The entry, exit, flexion, extension, and speed of flow of other meridians are similar to those of the Heart Meridian of Hand-Shaoyin. Thus, Dou Hanqing in *Kongxue Pangtong Tu* points out that for the Heart Meridian, instead of using Shaochong (HT9), Shaofu (HT8), Shenmen (HT7), Lingdao (HT4), and Shaohai (HT3), one uses Zhongchong (PC9), Laogong (PC8), Daling (PC7), Jianshi (PC5), and Quze (PC3), which clarifies the relationship (from *Gang Mu*).
Zhongchong (PC9): Two points located at the tip of the middle finger, in the depression about the width of a leek leaf from the nail bed. It is the Jing-Well point of the Pericardium Meridian. Needle depth 1 fen, retain for 3 breaths, moxa 1 cone (from *Ling Shu*).
Laogong (PC8): Two points, also known as Wuli or Zhangzhong, located in the center of the palm. To locate, flex the ring finger (from *Tong Ren*). ○ Located in the artery at the central transverse crease of the palm (from *Gang Mu*). ○ Located at the center of the palmar transverse crease, to locate, flex the middle finger (from *Ru Men*). ○ It is the Ying-Spring point of the Pericardium Meridian. Needle depth 3 fen, retain for 6 breaths, moxa 3 cones (from *Tong Ren*). ○ Only needle once; needling twice causes deficiency. Do not moxa. Flexing the middle finger is correct; flexing the ring finger is incorrect (from *Zisheng*).
Daling (PC7): Two points located in the depression between the two tendons behind the wrist (from *Tong Ren*). ○ Located in the depression between the two tendons and two bones at the posterior transverse crease of the palm (from *Ru Men*). ○ It is the Shu-Stream point of the Pericardium Meridian. Needle depth 5 fen, moxa 3 cones (from *Tong Ren*).
Neiguan (PC6): Two points located 2 cun proximal to the wrist crease (from *Tong Ren*). ○ 2 cun posterior to Daling (from *Ru Men*). Located between the two tendons; it is the Luo-Connecting point of the Heart Master (Pericardium), diverging to the Sanjiao Meridian (from *Gang Mu*). ○ Needle depth 3 fen, moxa 3 cones (from *Tong Ren*).
Jianshi (PC5): Two points located 3 cun proximal to the wrist crease, in the depression between the two tendons (from *Tong Ren*). ○ 3 cun posterior to Daling, or 3 cun from the wrist crease (from *Ru Men*). ○ It is the Jing-River point of the Pericardium Meridian. Needle depth 3 fen, moxa 5 cones (from *Tong Ren*). ○ *Ling Shu* states it is between the two tendons, 3 cun from the wrist. Commentary notes: "If there is pathology, it reaches here; if not, it stops." This means the point is limited by a large collateral vessel. Entering the collateral beyond the midline of the posterior palm, stopping 3 cun posterior to Laogong, is where the point lies. Hence, "reaches if pathological, stops if not" (from *Gang Mu*).
Ximen (PC4): Two points located 5 cun proximal to the wrist crease, or 5 cun posterior to Daling. It is the Xi-Cleft point of the Pericardium Meridian. Needle depth 3 fen, moxa 5 cones (from *Tong Ren*).
Quze (PC3): Two points located in the depression on the medial border of the elbow, found by flexing the elbow (from *Tong Ren*). ○ Located in the artery at the central transverse crease of the antecubital fossa, found by flexing the elbow (from *Ru Men*). ○ It is the He-Sea point of the Pericardium Meridian. Needle depth 3 fen, retain for 7 breaths, moxa 3 cones (from *Tong Ren*).
Tianquan (PC2): Two points, also known as Tianshi, located 2 cun distal to the axillary fold, found by raising the arm. Needle depth 3 fen, moxa 3 cones (from *Tong Ren*).
Tianchi (PC1): Two points, also known as Tianhui, located 1 cun posterior to the nipple, adjacent to the rib cage, directly opposite the axilla and rib space (from *Tong Ren*). ○ 1 cun posterior to the nipple, 3 cun in the axilla (from *Gang Mu*). ○ 2 cun lateral to the nipple, in the depression of the lateral rib (from *Ru Men*). ○ Needle depth 3 fen, moxa 3 cones (from *Tong Ren*).