足太阴之脉起于大指之端(隐白穴)循指内侧白肉际(大都穴)过核骨后(太白穴)上内踝前
廉
(商丘穴)上 内( 谓胫之鱼腹也)循HT 骨后交出厥阴之前上循膝股内前廉(阴陵泉穴)入腹
属
脾络胃上膈挟咽连舌本散舌下其肢者复从胃别上膈注心中(自此交入手少阴)是动则病舌本强
食则呕胃脘痛腹胀善噫得后与气则快然如衰身体皆重是主脾所生病者舌本痛体不能动摇食不
下烦心心下急痛寒疟溏瘕泄水下黄胆不能卧强立股膝内肿厥足大指不用盛者寸口大三倍于人
迎虚者寸口反小于人迎也(灵枢)○巳时自冲阳过交与隐白循腿腹上行至腋下大包穴止(入门)
太阴根于隐白结于大仓(灵枢)
隐白二穴在足大指端内侧去爪甲角如韭叶足太阴脉之所出为并针入一分留三呼禁不
可灸(铜人)
大都二穴在足大指内侧本节前陷中(铜人)○在本节内侧白肉际(资生)○足太阴脉之所流
为荣针入二分留七呼可灸三壮(灵枢)
太白二穴在足大指内侧核骨下陷中足太阴脉之所注为 针入三分留七呼可灸三壮(铜人)
公孙二穴在足大指本节之后一寸(铜人)○在太白后一寸陷中(入门)○足太阴络别走阳明
针入四分可灸三壮(铜人)
商丘二穴在足内踝骨下微前陷中足太阴脉之所行为经针入三分留七呼可灸三壮(铜人)
三阴交二穴在内踝上三寸骨下陷中(铜人)○在骨后筋前(入门)○足太阴厥阴少阴之会针
入三
分可灸三壮○昔有宋太子善医术逢一孕妇诊曰是一女徐文伯诊曰此一男一女也太子性急欲剖
视之文伯曰臣请针之泻足三阴交补手合谷应针而落果如文伯之言故妊娠不可刺(铜人)
漏谷二穴在内踝上六寸骨下陷中针入三分禁不可灸(铜人)
地机二穴一名脾舍在别走上一寸空中在膝下五寸足太阴之 (铜人)○在膝下五寸大骨后
伸足取之(入门)○针入三分可灸三壮(铜人)
阴陵泉二穴在膝下内侧辅骨下陷中伸足乃得之(铜人)○在膝内侧辅骨下陷中(资生)○曲
膝取之(入门)○足太阴脉之所合针入五分留七呼禁不可灸(入门)
血海二穴在膝膑上内廉白肉际三寸(铜人)○在膝膑上三寸内廉骨后筋前白肉际(入门)针
入五分可灸五壮(铜人)
箕门二穴在鱼腹上越筋间阴股内动脉应手(铜人)○在股上起筋间(灵枢)○在血海上六寸
阴股内动脉应手筋间(入门)○可灸三壮禁不可针(入门)
冲门二穴一名慈宫上去太横五寸在府舍下横骨两端约文中动脉针入七分可灸五壮(铜人)
府舍二穴在腹结下二寸大横下三寸足太阴阴维厥阴之会此三脉上下三入腹络肝脾结心肺
从胁上至肩此太阴 三阴阳明之别针入七分可灸五壮(铜人)
腹结二穴一名肠窟一名腹屈在大横下三寸针入七分可灸五壮(铜人)
大横二穴在腹哀下一寸六分(铜人)○平脐旁四寸半(入门)○去章门合为六寸(资生)○针
入七分可灸五壮(铜人)○自期门至冲门去腹中行各当四寸半(资生)
腹哀二穴在日月下一寸六分针入三分禁不可灸(铜人)
食窦二穴在天溪下一寸六分陷中举臂取之针入四分可灸五壮(铜人)
天溪二穴在胸乡下一寸六分陷中仰而取之针入四分可灸五壮(铜人)
胸乡二穴在周荣下一寸六分陷中仰而取之针入四分可灸五壮(铜人)
周荣二穴在中府下一寸六分陷中仰而取之针入四分禁不可灸(铜人)
大包二穴在渊液下三寸此脾之大络布胸胁中出九肋间针入三分可灸三壮(铜人)○云门中
府周荣胸乡天溪食窦六穴去膺中行各六寸六分(资生)
足太阴脾经的经脉，起始于足大趾末端（隐白穴），沿着足趾内侧的白色肌肉边缘（大都穴），经过足部内侧高骨后方（太白穴），上行至内踝前下方（商丘穴），再沿小腿胫骨后缘（指小腿肚部位），向上穿过胫骨后侧，出于足厥阴肝经的前方，继续上行沿大腿和小腿内侧前缘（阴陵泉穴），进入腹部，归属于脾脏，联络胃腑，穿过膈肌，夹行于咽喉两侧，连接舌根，散布于舌下。其支脉，从胃部分出，上穿膈肌，注入心中（此处与手少阴心经相交接）。
当本经发生病变时，会出现舌根强直、进食即呕吐、胃脘疼痛、腹部胀满、容易嗳气，大小便通畅或排气后症状暂时缓解但身体依然沉重等症状。本经主要主管脾脏所生的疾病，表现为舌根疼痛、身体不能动摇、饮食难以下咽、心烦、心下部急痛、寒性疟疾、大便溏泄、瘕聚泄泻、小便色黄、黄疸、不能平卧、强行站立时股部和膝内侧肿胀、足大趾活动不利等。脉象方面，实证时寸口脉比人迎脉大三倍；虚证时寸口脉反而小于人迎脉。（出自《灵枢》）○巳时（上午9点至11点），气血自冲阳穴经过，交接于隐白穴，沿腿部腹部上行，直至腋下的包穴止。（出自《入门》）太阴经的根部在隐白穴，结于太仓穴（中脘）。（出自《灵枢》）
隐白穴：左右两穴，位于足大趾末端内侧，距离爪甲角如韭菜叶宽度处，是足太阴脾经的井穴（所出为井）。针刺深度一分，留针三呼的时间，禁止艾灸。（出自《铜人腧穴针灸图经》）
大都穴：左右两穴，位于足大趾内侧本节前方的凹陷中。（出自《铜人》）○位于本节内侧白色肌肉边缘。（出自《资生经》）○是足太阴脾经的荥穴（所流为荣）。针刺深度二分，留针七呼，可灸三壮。（出自《灵枢》）
太白穴：左右两穴，位于足大趾内侧核骨下方的凹陷中，是足太阴脾经的输穴（所注为输）。针刺深度三分，留针七呼，可灸三壮。（出自《铜人》）
公孙穴：左右两穴，位于足大趾本节后方一寸处。（出自《铜人》）○位于太白穴后方一寸的凹陷中。（出自《入门》）○是足太阴脾经络穴，别走阳明经。针刺深度四分，可灸三壮。（出自《铜人》）
商丘穴：左右两穴，位于足内踝骨下方稍前方的凹陷中，是足太阴脾经的经穴（所行为经）。针刺深度三分，留针七呼，可灸三壮。（出自《铜人》）
三阴交穴：左右两穴，位于内踝尖上三寸，胫骨后缘的凹陷中。（出自《铜人》）○位于骨后筋前。（出自《入门》）○是足太阴脾经、足厥阴肝经、足少阴肾经三条阴经的交会穴。针刺深度三分，可灸三壮。○过去宋太子精通医术，遇到一位孕妇，诊察后说怀的是女孩。徐文伯诊察后说是一个男孩一个女孩。太子性情急躁想要剖开查看，文伯说：“请允许我施针治疗。”于是泻足部的三阴交穴，补手部合谷穴，胎儿应针而落，果然如文伯所言。因此妊娠期间不可随意针刺此穴。（出自《铜人》）
漏谷穴：左右两穴，位于内踝尖上六寸，胫骨后缘的凹陷中。针刺深度三分，禁止艾灸。（出自《铜人》）
地机穴：左右两穴，又名脾舍，位于公孙穴上一寸的空隙中，在膝盖下方五寸处，是足太阴脾经的郄穴（原文缺字，据义补）。○位于膝盖下方五寸，大骨后方，伸足时可取到。（出自《入门》）○针刺深度三分，可灸三壮。（出自《铜人》）
阴陵泉穴：左右两穴，位于膝盖内侧，辅骨（胫骨内侧髁）下方的凹陷中，伸直足部即可找到。（出自《铜人》）○位于膝盖内侧，辅骨下方的凹陷中。（出自《资生经》）○弯曲膝盖时可取到。（出自《入门》）○是足太阴脾经的合穴（所入为合）。针刺深度五分，留针七呼，禁止艾灸。（出自《入门》）
血海穴：左右两穴，位于膝盖髌骨内侧边缘上方三寸处。（出自《铜人》）○位于膝盖髌骨上方三寸，内侧骨后筋前，白色肌肉边缘处。（出自《入门》）针刺深度五分，可灸五壮。（出自《铜人》）
箕门穴：左右两穴，位于大腿鱼腹状肌肉上方，越过筋间，在大腿内侧动脉搏动应手处。（出自《铜人》）○位于大腿上部起筋之间。（出自《灵枢》）○位于血海穴上方六寸，大腿内侧动脉搏动应手的筋间。（出自《入门》）○可灸三壮，禁止针刺。（出自《入门》）
冲门穴：左右两穴，又名慈宫，距离横骨中线五寸，位于府舍穴下方，横骨两端约纹中的动脉处。针刺深度七分，可灸五壮。（出自《铜人》）
府舍穴：左右两穴，位于腹结穴下方二寸，大横穴下方三寸，是足太阴脾经、阴维脉、足厥阴肝经的交会穴。这三条经脉上下进入腹部，联络肝脾，结于心肺，从胁肋上行至肩部。这是太阴经、三阴阳明经的别络。针刺深度七分，可灸五壮。（出自《铜人》）
腹结穴：左右两穴，又名肠窟，又名腹屈，位于大横穴下方三寸。针刺深度七分，可灸五壮。（出自《铜人》）
大横穴：左右两穴，位于腹哀穴下方一寸六分。（出自《铜人》）○与脐平齐，旁开四寸半。（出自《入门》）○距离章门穴合计六寸。（出自《资生经》）○针刺深度七分，可灸五壮。（出自《铜人》）○自期门穴至冲门穴，距离腹正中线各为四寸半。（出自《资生经》）
腹哀穴：左右两穴，位于日月穴下方一寸六分。针刺深度三分，禁止艾灸。（出自《铜人》）
食窦穴：左右两穴，位于天溪穴下方一寸六分的凹陷中，举臂时可取到。针刺深度四分，可灸五壮。（出自《铜人》）
天溪穴：左右两穴，位于胸乡穴下方一寸六分的凹陷中，仰卧时可取到。针刺深度四分，可灸五壮。（出自《铜人》）
胸乡穴：左右两穴，位于周荣穴下方一寸六分的凹陷中，仰卧时可取到。针刺深度四分，可灸五壮。（出自《铜人》）
周荣穴：左右两穴，位于中府穴下方一寸六分的凹陷中，仰卧时可取到。针刺深度四分，禁止艾灸。（出自《铜人》）
大包穴：左右两穴，位于渊液穴下方三寸，这是脾经的大络，分布于胸胁之中，出于第九肋骨间隙。针刺深度三分，可灸三壮。（出自《铜人》）○云门、中府、周荣、胸乡、天溪、食窦这六个穴位，距离胸部正中线各为六寸六分。（出自《资生经》）
The Foot-Taiyin Spleen Meridian originates at the tip of the great toe (Yinbai, SP1), follows the medial margin of the white flesh (Dadu, SP2), passes behind the medial malleolus prominence (Taibai, SP3), ascends to the anterior-inferior aspect of the medial malleolus (Shangqiu, SP4), then runs along the posterior aspect of the tibia (referring to the fleshy part of the calf), ascends behind the tibial bone, emerges anterior to the Foot-Jueyin Liver Meridian, and continues upward along the anterior-medial aspect of the knee and thigh (Yinlingquan, SP9). It enters the abdomen, connects with the Spleen organ, and links with the Stomach organ. It pierces the diaphragm, runs alongside the pharynx, connects with the root of the tongue, and scatters under the tongue. Its branch diverges from the Stomach, ascends through the diaphragm, and pours into the Heart (where it intersects with the Hand-Shaoyin Heart Meridian).
When pathological changes occur in this meridian, symptoms include stiffness of the tongue root, vomiting after eating, epigastric pain, abdominal distension, frequent belching, a feeling of relief after defecation or passing gas but persistent heaviness of the body. The meridian primarily governs diseases generated by the Spleen, manifesting as pain at the tongue root, inability to move the body, difficulty swallowing, irritability, urgency and pain in the epigastrium, cold-type malaria, loose stools, mass-like diarrhea, yellow urine, jaundice, inability to lie flat, swelling of the inner thigh and knee when standing forcibly, and dysfunction of the great toe. In terms of pulse diagnosis, excess conditions present with the Cun position pulse being three times larger than the Renying pulse; deficiency conditions present with the Cun position pulse being smaller than the Renying pulse. (From *Ling Shu*) ○ During the Si hour (9:00-11:00 AM), Qi and Blood pass from Chongyang (ST42) and intersect at Yinbai, ascending along the leg and abdomen to stop at the Dabao point in the axilla. (From *Ru Men*) The root of the Taiyin meridian is at Yinbai, and its knot is at Tacang (Zhongwan, CV12). (From *Ling Shu*)
**Yinbai (SP1):** Two points located at the medial tip of the great toe, approximately the width of a leek leaf away from the corner of the nail. This is the Jing-Well point where the Foot-Taiyin Spleen Meridian emerges. Needle depth: 1 fen; retain for 3 breaths. Moxibustion is prohibited. (From *Tong Ren*)
**Dadu (SP2):** Two points located in the depression proximal to the interphalangeal joint on the medial side of the great toe. (From *Tong Ren*) ○ Located at the medial white flesh margin of this joint. (From *Zi Sheng*) ○ This is the Ying-Spring point where the Qi flows. Needle depth: 2 fen; retain for 7 breaths. Moxibustion: 3 moxa cones. (From *Ling Shu*)
**Taibai (SP3):** Two points located in the depression below the medial cuneiform bone (nuclear bone) on the medial side of the great toe. This is the Shu-Stream point where the Qi pours. Needle depth: 3 fen; retain for 7 breaths. Moxibustion: 3 moxa cones. (From *Tong Ren*)
**Gongsun (SP4):** Two points located 1 cun posterior to the base of the great toe. (From *Tong Ren*) ○ Located in the depression 1 cun posterior to Taibai. (From *Ru Men*) ○ This is the Luo-Connecting point of the Foot-Taiyin, which diverges to connect with the Yangming meridian. Needle depth: 4 fen. Moxibustion: 3 moxa cones. (From *Tong Ren*)
**Shangqiu (SP5):** Two points located in the slight depression anterior to the inferior aspect of the medial malleolus. This is the Jing-River point where the Qi travels. Needle depth: 3 fen; retain for 7 breaths. Moxibustion: 3 moxa cones. (From *Tong Ren*)
**Sanyinjiao (SP6):** Two points located 3 cun directly above the tip of the medial malleolus, in the depression posterior to the tibia. (From *Tong Ren*) ○ Located posterior to the bone and anterior to the tendon. (From *Ru Men*) ○ This is the intersection of the Foot-Taiyin Spleen, Foot-Jueyin Liver, and Foot-Shaoyin Kidney meridians. Needle depth: 3 fen. Moxibustion: 3 moxa cones. ○ Legend has it that Crown Prince Song of the Song Dynasty was skilled in medicine. Upon examining a pregnant woman, he diagnosed a female fetus. Xu Wenbo examined her and diagnosed one male and one female. Impatient, the Prince wished to剖视 (dissect to view). Wenbo said, "Allow me to treat with acupuncture." He reduced the Sanyinjiao points on the feet and supplemented the Hegu points on the hands. The fetus dropped immediately upon needling, exactly as Wenbo predicted. Therefore, these points should not be needled during pregnancy. (From *Tong Ren*)
**Lougu (SP7):** Two points located 6 cun above the tip of the medial malleolus, in the depression posterior to the tibia. Needle depth: 3 fen. Moxibustion is prohibited. (From *Tong Ren*)
**Diji (SP8):** Two points, also known as Pi She (Spleen Residence), located 1 cun above Gongsun in the hollow space, 5 cun below the knee. This is the Xi-Cleft point of the Foot-Taiyin Spleen Meridian. ○ Located 5 cun below the knee, posterior to the large bone; extend the foot to locate. (From *Ru Men*) ○ Needle depth: 3 fen. Moxibustion: 3 moxa cones. (From *Tong Ren*)
**Yinlingquan (SP9):** Two points located in the depression below the medial condyle of the tibia (accessory bone) on the medial side of the knee. Extend the foot to locate. (From *Tong Ren*) ○ Located in the depression below the medial condyle on the medial side of the knee. (From *Zi Sheng*) ○ Flex the knee to locate. (From *Ru Men*) ○ This is the He-Sea point where the Qi enters. Needle depth: 5 fen; retain for 7 breaths. Moxibustion is prohibited. (From *Ru Men*)
**Xuehai (SP10):** Two points located 3 cun superior to the medial border of the patella. (From *Tong Ren*) ○ Located 3 cun above the patella, posterior to the medial bone, anterior to the tendon, at the margin of the white flesh. (From *Ru Men*) Needle depth: 5 fen. Moxibustion: 5 moxa cones. (From *Tong Ren*)
**Jimen (SP11):** Two points located above the fleshy part of the thigh (fish belly), between the tendons, where the arterial pulse is palpable on the medial aspect of the upper thigh. (From *Tong Ren*) ○ Located between the raised tendons in the upper thigh. (From *Ling Shu*) ○ Located 6 cun above Xuehai, where the arterial pulse is palpable in the tendon gap on the medial thigh. (From *Ru Men*) ○ Moxibustion: 3 moxa cones. Needling is prohibited. (From *Ru Men*)
**Chongmen (SP12):** Two points, also known as Ci Gong, located 5 cun lateral to the transverse bone (pubic symphysis), below Fushu, at the arterial pulse between the two ends of the transverse bone. Needle depth: 7 fen. Moxibustion: 5 moxa cones. (From *Tong Ren*)
**Fushu (SP13):** Two points located 2 cun below Fujie and 3 cun below Daheng. This is the intersection of the Foot-Taiyin Spleen, Yin Wei Mai, and Foot-Jueyin Liver meridians. These three meridians ascend and descend into the abdomen, link the Liver and Spleen, knot at the Heart and Lungs, and ascend from the hypochondrium to the shoulder. This is the divergent channel of the Taiyin and San Yang-Yangming meridians. Needle depth: 7 fen. Moxibustion: 5 moxa cones. (From *Tong Ren*)
**Fujie (SP14):** Two points, also known as Chang Ku and Fu Qu, located 3 cun below Daheng. Needle depth: 7 fen. Moxibustion: 5 moxa cones. (From *Tong Ren*)
**Daheng (SP15):** Two points located 1.6 cun below Fu'ai. (From *Tong Ren*) ○ Level with the umbilicus, 4.5 cun lateral. (From *Ru Men*) ○ Combined distance to Zhangmen is 6 cun. (From *Zi Sheng*) ○ Needle depth: 7 fen. Moxibustion: 5 moxa cones. (From *Tong Ren*) ○ From Qimen to Chongmen, each is 4.5 cun from the midline of the abdomen. (From *Zi Sheng*)
**Fu'ai (SP16):** Two points located 1.6 cun below Riyue. Needle depth: 3 fen. Moxibustion is prohibited. (From *Tong Ren*)
**Shidou (SP17):** Two points located 1.6 cun below Tianxi, in the depression. Raise the arm to locate. Needle depth: 4 fen. Moxibustion: 5 moxa cones. (From *Tong Ren*)
**Tianxi (SP18):** Two points located 1.6 cun below Xiongxiang, in the depression. Lie supine to locate. Needle depth: 4 fen. Moxibustion: 5 moxa cones. (From *Tong Ren*)
**Xiongxiang (SP19):** Two points located 1.6 cun below Zhourong, in the depression. Lie supine to locate. Needle depth: 4 fen. Moxibustion: 5 moxa cones. (From *Tong Ren*)
**Zhourong (SP20):** Two points located 1.6 cun below Zhongfu, in the depression. Lie supine to locate. Needle depth: 4 fen. Moxibustion is prohibited. (From *Tong Ren*)
**Dabao (SP21):** Two points located 3 cun below Yuanlin. This is the Great Luo of the Spleen, distributing in the chest and hypochondrium, emerging between the 9th ribs. Needle depth: 3 fen. Moxibustion: 3 moxa cones. (From *Tong Ren*) ○ Yunmen, Zhongfu, Zhourong, Xiongxiang, Tianxi, and Shidou are all 6.6 cun from the anterior midline of the chest. (From *Zi Sheng*)