手太阳之脉起于小指之端(少泽穴)循手外侧(本节前前谷穴上本节后后溪穴)上腕(腕前
腕骨穴
腕中阳谷穴)出踝中直上循臂骨下廉出肘内侧两骨之间(少海穴)上循 外后廉出肩解绕肩胛
交肩上入缺盆向腋络心循咽下膈抵胃属小肠其支者从缺盆贯颈上颊至目锐 却入耳中其肢者
别颊上 抵鼻至目内 斜络于颧(颧颊骨也自此交入足太惕)是动则病嗌痛颔肿不可回顾肩似
拔似折是主液所生病者耳聋目黄颊颔肿颈肩 肘臂外后廉痛盛者人迎再倍于寸口虚者人迎
反小于寸口也(灵枢)○未时自少冲交与少泽循肘上行至听宫穴止(入门)
少泽二穴一名少吉在手小指之端外侧去爪甲角下如韭叶手太阳脉之所出为井针入一分留
二呼可灸一壮(铜人)
前谷二穴在手小指外侧本节前陷中手太阳脉之所流为荣针入一分留三呼可灸三壮(铜人)
后溪二穴在手小指外侧本节后陷中(铜人)○本节后横文尖尽处握掌取之(入门)○手太阳
脉之所注为 针入二分留三呼可灸三壮(铜人)
腕骨二穴在手外侧腕前(臂下掌上接处曰脘)起骨下陷中(铜人)○在掌后外侧高骨下陷中
握掌
向内取之(入门)○在手外侧腕骨之前(灵枢)○手太阳脉之所过为原针入二分留三呼可灸三壮
(铜人)
阳谷二穴在手外侧腕中锐骨下陷中手太阳脉之所行为经针入二分留三呼可灸三壮(铜人)
养老二穴在手踝骨上一空在腕后一寸陷中针入三分可灸三壮(铜人)
支正二穴在腕骨后五寸(铜人)○在腕后五寸去养老四寸陷中(资生)○手太阳络别走少阴
针入三分可灸三壮(铜人)
小海二穴在肘内大骨外去肘端五分陷中(铜人)○屈手向头取之又云屈肘得之(入门)○手
太阳脉之所入为合针入二分可灸三壮(铜人)
肩贞二穴在肩曲胛上两骨解间肩 后陷中(铜人)○在肩 后两骨罅间(入门)○针入八分
禁不可灸(入门)
二穴在肩 后大骨下胛上廉陷中举臂取之针入八分可灸三壮(铜人)
天宗二穴在秉风后大骨下陷中针入五分留六呼可灸三壮(铜人)
秉风二穴在天 外肩上小 骨后举臂有空(铜人)○在天宗前小 后(入门)○针入五分可
灸五壮(铜人)
曲垣二穴在肩中央曲胛陷中按之应手痛针入五分可灸十壮(铜人)
肩外 二穴在肩胛上廉去脊三寸陷中(铜人)○去大杼旁三寸(入门)○针入六分可灸三壮
(铜人)
肩中 二穴在肩胛内廉去脊二寸陷中(铜人)○去大杼旁二寸(入门)○针入三分留七呼可
灸十壮(铜人)○肩后廉十二穴 肩贞极外天宗曲垣次之外 中 极里(纲目)
天容二穴在耳下曲颊后(铜人)○在颊车后陷中(入门)○针入一寸可灸三壮(铜人)
天窗二穴一名窗笼在颈大筋前曲颊下挟扶突后动脉应手陷中(铜人)○在完骨下发际下
颈上大筋处动脉陷中(入门)○针入三分可灸三壮(铜人)
颧二穴在面 骨下廉锐骨端陷中(铜人)○在面颊锐骨下下廉陷中(入门)○针入三分禁
不可灸(铜人)
听宫二穴在耳中珠子大如赤小豆(铜人)○在耳前珠子旁(入门)○针入三分可灸三壮(铜
人)
手太阳小肠经的经脉,起始于小指末端(少泽穴),沿着手的尺侧缘(在手本节前的前谷穴上方,手本节后的后溪穴处),上行至手腕(腕前方的腕骨穴,腕中的阳谷穴),出于踝部中直上,沿着臂骨下缘,出于肘内侧两骨之间(少海穴),向上沿肱骨外后缘,出于肩关节解缝,绕行肩胛部,交会于肩上,进入缺盆,向下联络心脏,沿着食管下行穿过膈肌,到达胃部,属于小肠。其支脉从缺盆出发,贯穿颈部,上行至面颊,到达目外眦,却入耳中;另一支脉从面颊分出,上行至鼻旁,到达目内眦,斜向联络于颧骨(颧即颊骨,从此处交接转入足太阳膀胱经)。
当本经发生病变时,会出现咽喉疼痛、下颌肿胀、不能回顾、肩部像被拔起一样、肘部像折断一样的症状。本经主要主管津液所生的疾病,如耳聋、目黄、面颊和下颌肿胀、颈、肩、肘、臂外侧后缘疼痛等。实证表现为人迎脉搏动比寸口脉搏动大二倍;虚证则表现为人迎脉搏动反而小于寸口脉搏动。(出自《灵枢》)○未时气血自少冲穴流注,交接给少泽穴,沿肘部上行至听宫穴止。(出自《入门》)
少泽穴:左右二穴,又名少吉。位于手小指末端外侧,距指甲角下方约韭叶宽处。为手太阳小肠经井穴,经气所出。针刺深度一分,留针二呼的时间,可艾灸一壮。(出自《铜人腧穴针灸图经》)
前谷穴:左右二穴。位于手小指外侧,本节前方凹陷中。为手太阳小肠经荥穴,经气所流。针刺深度一分,留针三呼的时间,可艾灸三壮。(出自《铜人腧穴针灸图经》)
后溪穴:左右二穴。位于手小指外侧,本节后方凹陷中。(出自《铜人腧穴针灸图经》)○取穴方法:握掌,取手本节后方横纹尖端尽处。(出自《针灸入门》)○为手太阳小肠经输穴,经气所注。针刺深度二分,留针三呼的时间,可艾灸三壮。(出自《铜人腧穴针灸图经》)
腕骨穴:左右二穴。位于手外侧,腕前(手掌与手臂连接处称为“脘”),第一掌骨基底下方凹陷中。(出自《铜人腧穴针灸图经》)○在掌后外侧高骨下方凹陷中,握掌向内取之。(出自《针灸入门》)○在手外侧腕骨穴之前方。(出自《灵枢》)○为手太阳小肠经原穴,经气所过。针刺深度二分,留针三呼的时间,可艾灸三壮。(出自《铜人腧穴针灸图经》)
阳谷穴:左右二穴。位于手外侧腕部,尺骨茎突下方凹陷中。为手太阳小肠经经穴,经气所行。针刺深度二分,留针三呼的时间,可艾灸三壮。(出自《铜人腧穴针灸图经》)
养老穴:左右二穴。位于手踝骨上方一空陷处,在腕后一寸凹陷中。针刺深度三分,可艾灸三壮。(出自《铜人腧穴针灸图经》)
支正穴:左右二穴。位于腕骨穴后五寸处。(出自《铜人腧穴针灸图经》)○在腕后五寸,距离养老穴四寸的凹陷中。(出自《资生经》)○为手太阳小肠经络穴,别走手少阴心经。针刺深度三分,可艾灸三壮。(出自《铜人腧穴针灸图经》)
小海穴:左右二穴。位于肘内侧大骨(肱骨内上髁)外侧,距肘端五分凹陷中。(出自《铜人腧穴针灸图经》)○屈手向头方向取穴,也有说法是屈肘取之。(出自《针灸入门》)○为手太阳小肠经合穴,经气所入。针刺深度二分,可艾灸三壮。(出自《铜人腧穴针灸图经》)
肩贞穴:左右二穴。位于肩关节后下方曲胛骨上两骨缝隙间,肩髃穴后方凹陷中。(出自《铜人腧穴针灸图经》)○在肩髃穴后方两骨缝隙间。(出自《针灸入门》)○针刺深度八分,禁止艾灸。(出自《针灸入门》)
臑俞穴:左右二穴。位于肩髃穴后方大骨下方,肩胛骨上缘凹陷中,举臂取之。针刺深度八分,可艾灸三壮。(出自《铜人腧穴针灸图经》)
天宗穴:左右二穴。位于秉风穴后方大骨下方凹陷中。针刺深度五分,留针六呼的时间,可艾灸三壮。(出自《铜人腧穴针灸图经》)
秉风穴:左右二穴。位于天窗穴外侧肩上,小骨后方,举臂时有空隙。(出自《铜人腧穴针灸图经》)○在天宗穴前方,小骨后方。(出自《针灸入门》)○针刺深度五分,可艾灸五壮。(出自《铜人腧穴针灸图经》)
曲垣穴:左右二穴。位于肩中央,肩胛骨弯曲处的凹陷中,按压有酸胀感或疼痛。针刺深度五分,可艾灸十壮。(出自《铜人腧穴针灸图经》)
肩外俞穴:左右二穴。位于肩胛骨上缘,距脊柱三寸凹陷中。(出自《铜人腧穴针灸图经》)○距离大杼穴旁开三寸。(出自《针灸入门》)○针刺深度六分,可艾灸三壮。(出自《铜人腧穴针灸图经》)
肩中俞穴:左右二穴。位于肩胛骨内侧缘,距脊柱二寸凹陷中。(出自《铜人腧穴针灸图经》)○距离大杼穴旁开二寸。(出自《针灸入门》)○针刺深度三分,留针七呼的时间,可艾灸十壮。(出自《铜人腧穴针灸图经》)○肩后廉共十二穴:肩贞、极泉、外关、天宗、曲垣、次髎、外俞、中俞、极里。(出自《纲目》*注:此处原文可能有误或为特定歌诀,按原文翻译*)
天容穴:左右二穴。位于耳下,曲颊骨后方。(出自《铜人腧穴针灸图经》)○在颊车穴后方凹陷中。(出自《针灸入门》)○针刺深度一寸,可艾灸三壮。(出自《铜人腧穴针灸图经》)
天窗穴:左右二穴,又名窗笼。位于颈部大筋前方,曲颊骨下方,挟持扶突穴后方,动脉应手跳动处的凹陷中。(出自《铜人腧穴针灸图经》)○在完骨穴下方,发际之下,颈部大筋处的动脉凹陷中。(出自《针灸入门》)○针刺深度三分,可艾灸三壮。(出自《铜人腧穴针灸图经》)
颧髎穴:左右二穴。位于面部颧骨下缘,锐骨端凹陷中。(出自《铜人腧穴针灸图经》)○在面颊锐骨下方下缘凹陷中。(出自《针灸入门》)○针刺深度三分,禁止艾灸。(出自《铜人腧穴针灸图经》)
听宫穴:左右二穴。位于耳中,珠状软骨旁,大小如赤小豆处。(出自《铜人腧穴针灸图经》)○在耳前珠状软骨旁。(出自《针灸入门》)○针刺深度三分,可艾灸三壮。(出自《铜人腧穴针灸图经》)
The Hand-Taiyang Small Intestine Meridian originates at the ulnar end of the little finger (Shaoze, SI 1), follows the ulnar border of the hand (above Qiangu, SI 2 before the metacarpophalangeal joint; Houxi, SI 3 after the metacarpophalangeal joint), ascends to the wrist (Wangu, SI 4 anterior to the wrist; Yanggu, SI 5 in the center of the wrist), emerges from the styloid process region, travels straight up along the ulnar border of the forearm bone, emerges between the two bones on the medial side of the elbow (Xiaohai, SI 8), ascends along the posterior lateral border of the humerus, emerges from the shoulder joint cleft, winds around the scapula, intersects at the shoulders, enters the supraclavicular fossa (Quepen), descends to connect with the Heart, follows the esophagus, passes through the diaphragm, reaches the Stomach, and belongs to the Small Intestine. Its branch arises from the supraclavicular fossa, penetrates the neck, ascends to the cheek, reaches the outer canthus, and enters the ear; another branch diverges from the cheek, ascends to the nasal area, reaches the inner canthus, and obliquely connects with the zygomatic bone (the zygoma is the cheekbone; from here it intersects with the Foot-Taiyang Bladder Meridian).
When pathological changes occur in this meridian, symptoms include sore throat, swelling of the mandible, inability to turn the head back, a sensation as if the shoulder is being pulled out, and a sensation as if the elbow is broken. This meridian primarily governs diseases related to body fluids, such as deafness, yellowing of the eyes, swelling of the cheeks and mandible, and pain along the posterior lateral aspect of the neck, shoulder, elbow, and arm. In excess conditions, the Renying pulse (carotid artery) beats twice as strongly as the Cunkou pulse (radial artery); in deficiency conditions, the Renying pulse beats weaker than the Cunkou pulse. (From *Ling Shu*) ○ At Wei hour (1:00 PM - 3:00 PM), qi and blood flow from Shaochong (PC 9) and intersect with Shaoze (SI 1), traveling up the elbow to terminate at Tinggong (SI 19). (From *Ru Men*)
Shaoze (SI 1): Two acupoints, also known as Shaoji. Located at the ulnar end of the little finger, approximately the width of a leek leaf below the corner of the nail bed. It is the Jing-Well point of the Hand-Taiyang Small Intestine Meridian, where the meridian qi exits. Needle depth: 1 fen; retain needle for 2 breaths; moxibustion: 1 cone. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Qiangu (SI 2): Two acupoints. Located in the depression anterior to the metacarpophalangeal joint on the ulnar side of the little finger. It is the Ying-Spring point of the Hand-Taiyang Small Intestine Meridian, where the meridian qi flows. Needle depth: 1 fen; retain needle for 3 breaths; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Houxi (SI 3): Two acupoints. Located in the depression posterior to the metacarpophalangeal joint on the ulnar side of the little finger. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Acupoint location method: Make a fist, locate the tip of the transverse crease at the posterior aspect of the metacarpophalangeal joint. (From *Zhen Jiu Ru Men*) ○ It is the Shu-Stream point of the Hand-Taiyang Small Intestine Meridian, where the meridian qi pours. Needle depth: 2 fen; retain needle for 3 breaths; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Wangu (SI 4): Two acupoints. Located on the ulnar side of the hand, in the depression below the base of the first metacarpal bone anterior to the wrist (the junction of the palm and forearm is called "Wan"). (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Located in the depression below the high bone on the posterolateral aspect of the wrist; make a fist and take the point medially. (From *Zhen Jiu Ru Men*) ○ Anterior to the Wangu acupoint on the ulnar side of the hand. (From *Ling Shu*) ○ It is the Yuan-Source point of the Hand-Taiyang Small Intestine Meridian, where the meridian qi passes. Needle depth: 2 fen; retain needle for 3 breaths; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Yanggu (SI 5): Two acupoints. Located in the depression below the styloid process of the ulna in the center of the wrist on the ulnar side. It is the Jing-River point of the Hand-Taiyang Small Intestine Meridian, where the meridian qi travels. Needle depth: 2 fen; retain needle for 3 breaths; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Yanglao (SI 6): Two acupoints. Located in a depression above the styloid process of the ulna, one cun posterior to the wrist. Needle depth: 3 fen; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Zhizheng (SI 7): Two acupoints. Located five cun posterior to the Wangu acupoint. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Located in the depression five cun posterior to the wrist, four cun distal to Yanglao. (From *Zi Sheng Jing*) ○ It is the Luo-Connecting point of the Hand-Taiyang Small Intestine Meridian, diverging to connect with the Hand-Shaoyin Heart Meridian. Needle depth: 3 fen; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Xiaohai (SI 8): Two acupoints. Located in the depression lateral to the medial epicondyle of the humerus (large bone on the medial side of the elbow), five fen from the end of the elbow. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Locate by flexing the hand towards the head; alternatively, locate by flexing the elbow. (From *Zhen Jiu Ru Men*) ○ It is the He-Sea point of the Hand-Taiyang Small Intestine Meridian, where the meridian qi enters. Needle depth: 2 fen; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Jianzhen (SI 9): Two acupoints. Located in the depression posterior to the shoulder joint, between the two bones at the upper edge of the scapula. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Located in the gap between the two bones posterior to Jianyu (LI 15). (From *Zhen Jiu Ru Men*) ○ Needle depth: 8 fen; moxibustion is prohibited. (From *Zhen Jiu Ru Men*)
Naoshu (SI 10): Two acupoints. Located in the depression below the large bone posterior to Jianyu (LI 15) and at the upper margin of the scapula; locate by raising the arm. Needle depth: 8 fen; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Tianzong (SI 11): Two acupoints. Located in the depression below the large bone posterior to Bingfeng (SI 12). Needle depth: 5 fen; retain needle for 6 breaths; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Bingfeng (SI 12): Two acupoints. Located on the shoulder, posterior to the small bone lateral to Tianchuang (SI 16); an empty space appears when the arm is raised. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Anterior to Tianzong (SI 11), posterior to the small bone. (From *Zhen Jiu Ru Men*) ○ Needle depth: 5 fen; moxibustion: 5 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Quyuan (SI 13): Two acupoints. Located in the depression in the center of the shoulder, within the curve of the scapula; tenderness or pain upon pressure. Needle depth: 5 fen; moxibustion: 10 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Jianwaiyu (SI 14): Two acupoints. Located in the depression at the upper margin of the scapula, three cun lateral to the spine. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Three cun lateral to Dazhu (BL 11). (From *Zhen Jiu Ru Men*) ○ Needle depth: 6 fen; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Jianzhongyu (SI 15): Two acupoints. Located in the depression at the medial margin of the scapula, two cun lateral to the spine. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Two cun lateral to Dazhu (BL 11). (From *Zhen Jiu Ru Men*) ○ Needle depth: 3 fen; retain needle for 7 breaths; moxibustion: 10 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ The twelve acupoints on the posterior lateral aspect of the shoulder are: Jianzhen, Jiquan, Waiguan, Tianzong, Quyuan, Cici, Waiyu, Zhongyu, Jili. (From *Gang Mu*)
Tianrong (SI 17): Two acupoints. Located posterior to the angular process of the mandible, below the ear. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Located in the depression posterior to Jiache (ST 6). (From *Zhen Jiu Ru Men*) ○ Needle depth: 1 cun; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Tianchuang (SI 16): Two acupoints, also known as Chuanglong. Located in the depression where the arterial pulse is palpable, anterior to the sternocleidomastoid muscle (major tendon of the neck), below the angular process of the mandible, and posterior to Futu (LI 18). (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Located in the depression of the arterial pulse on the major tendon of the neck, below the hairline and below Wan Gu (GB 12). (From *Zhen Jiu Ru Men*) ○ Needle depth: 3 fen; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Quanliao (SI 18): Two acupoints. Located in the depression at the lower border of the zygomatic bone, at the sharp bony end. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Located in the depression at the lower border of the sharp bone on the cheek. (From *Zhen Jiu Ru Men*) ○ Needle depth: 3 fen; moxibustion is prohibited. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
Tinggong (SI 19): Two acupoints. Located in the ear, beside the cartilaginous prominence, approximately the size of a red bean. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*) ○ Located beside the cartilaginous prominence anterior to the ear. (From *Zhen Jiu Ru Men*) ○ Needle depth: 3 fen; moxibustion: 3 cones. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)