三字。）是动则病手热肘挛掖肿，甚则胸中满，心澹澹大动，面赤目黄。（澹，徒滥反，水摇，
又动也。平按∶《灵枢》、《甲乙经》手热均作手心热，肘挛均作臂肘挛急，胸中满均作胸胁支
满，心澹澹均作心中 ，目黄下均有喜笑不休四字。大动赵府本《灵枢》作火动。）是心主脉
所生病者，烦心心痛，掌中热。（心包既病，故令烦心心痛。平按∶心主，心字《灵枢》、《甲乙
经》无。）为此诸病，盛则泻之，虚则补之，热则疾之，寒则留之，陷下则灸之，不盛不虚，以经
取之。盛者则寸口大一倍于人迎，虚者则寸口反小于人迎。
三焦手少阳之脉，（上焦在心下，下膈在胃上口，主内而不出，其理在膻中。中焦在胃中口，
不上不下，主腐熟水谷，其理在脐旁。下焦在脐下，当膀胱上口，主分别清浊，主出而不内，其
理在脐下一寸。上焦之气如云雾在天，中焦之气如沤雨在空，下焦之气如沟渎流地也。手少阳脉
是三焦经隧，通行三焦之血气，故曰三焦手少阳脉也。）起于小指次指之端，上出两指之间，循
手表出臂外两骨之间，上贯肘，循 外上肩，而交出足少阳之后，入缺盆，（上肩交足少阳，行
出足少阳之后，方入缺盆也。平按∶手表下《灵枢》、《甲乙经》均有腕字。）布膻中，散络心
包，下鬲遍属三焦；（遍，甫见反。散布膻中也。有本布作交者，检非也。三焦是气，血脉是形，
而言属者，谓脉气相入也。平按∶《灵枢》络作落，遍作循。）其支者，从膻中上出缺盆，上项，
系耳后直上，出耳上角，以屈下颊至 ；其支者，从耳后入耳中，出走耳前，过客主人前，交颊，
至目锐 。（系，古帝反，有本作侠也。平按∶系《灵枢》作系，《甲乙经》作侠。下颊，颊字
《甲乙经》作额。
兑《灵枢》作锐，下同，不再举。）是动则病耳聋浑浑淳淳，嗌肿喉痹。（浑浑淳淳，耳聋声也。
平按∶淳淳《灵枢》、《甲乙经》作 。）是主气所生病者，汗出，目锐 痛，颊痛，耳后肩
肘臂外皆痛，小指次指不用。（气，谓三焦气液。平按∶颊痛，痛字《甲乙经》无。不用《甲乙
经》作不为用。）为此诸病，盛则泻之，虚则补之，热则疾之，寒则留之，陷下则灸之，不盛不
虚，以经取之。盛者则人迎大一倍于寸口，虚者则人迎反小于寸口。
胆足少阳之脉，（足少阳脉，起目锐 ，下行络肝属胆，下行至足大趾三毛，通行胆之血气，
故曰胆足少阳脉也。平按∶注属胆二字袁刻脱。）起于目锐 ，上抵角，下耳后，循颈行手少阳
之前，至肩上，却交出手少阳之后，入缺盆；（角，谓额角也。项前曰颈。足少阳脉，从耳后下
颈，向前至缺盆，屈回向肩，至肩屈向后，复回向颈，至颈始入缺盆。是则手少阳上肩向入缺盆，
肩上自然交足少阳也。足少阳从颈前下至缺盆向肩，即是行手少阳前也；至肩交手少阳已向后，
回入缺盆，即是行手少阳之后也。平按∶《灵枢》、《甲乙经》角上有头字。注至肩交手少阳已，
已字袁刻误作也。）其支者，从耳后入耳中，出走耳前，至目锐 后；其支者，别目锐 下大迎，
合手少阳于 ，下加颊车，下颈，合缺盆，以下胸中，贯鬲络肝属胆，（大迎，在曲颔前一寸二
分骨陷者中。足少阳至大迎已，向 ，与手少阳合已，却邪下向颊车，加颊车已，然后下颈至缺
盆，与前直者合。颊车，在大迎上，曲颊端。有本云别目锐 ，迎手少阳于 。无大合二字。以
义置之，二脉双下，不得称迎也。）
（平按∶于 下《灵枢》、《甲乙经》作抵于 下。）循胁里，出气街，绕毛际，横入髀HT
中；（街，街道也。足阳明脉及足少阳脉气所行之道，故曰气街。股外髀枢，名曰髀HT 也。）其
直者，从缺盆下掖，循胸过季胁，下合髀HT 中，（胁有前后，最近下后者为季胁。有本作肋。平
按∶HT 《灵枢》、《甲乙经》均作厌。）以下循髀太阳，出膝外廉，下外辅骨之前，直下抵绝骨
之端，下出外踝之前，循足跗上，入小指次指之间；（膀胱足太阳脉，从髀外下足，因名髀太阳。
辅骨绝骨穷也，外踝上阳辅穴也。平按∶太阳，太字《灵枢》、《甲乙经》无。）其支者，别跗
上，入大指之间，循大指歧内出其端，还贯爪甲，出三毛。（其足少阳脉，出大指端，还出回贯
甲，复出三毛。一名 毛，在上节后毛中也。平按∶歧下《灵枢》、《甲乙经》有骨字。爪上《甲
乙经》有入字。）是动则病口苦，善太息，心胁痛，不能反侧，（胆热，苦汁循脉入颊，故口苦，
名曰胆痹。脉循胸胁，喜太息及心胁皆痛也。平按∶反侧《灵枢》作转侧。）甚则面尘，体无膏泽，
足少阳反热，是为阳厥。（甚，谓阳厥热甚也。足少阳起面，热甚则头颅前热，故面尘色也。阳厥，
少阳厥也。平按∶面尘《灵枢》作面微有尘，《甲乙经》作面微尘。足少阳反热《灵枢》、《甲乙
经》作足外反热。）是主骨所生病者，头角 痛，目锐 痛，（水以主骨，骨生足少阳，故足少
阳痛病还主骨也。额角，在发际也。头角，谓顶两箱，额角后高骨角也。 ，谓牙车骨，上抵颅
以下者，名为 骨。平按∶角《灵枢》作痛，《甲乙经》作面。 《灵枢》作颔，《甲乙经》同。
注牙车骨，牙字袁刻作口。）缺盆中肿痛，掖下肿，马刀侠婴，汗出振寒疟，（脉从缺盆下掖，
故掖下肿；复从颊车下颈，故病马刀侠婴也。马刀，谓痈而无脓者是也。汗出振寒疟等，皆寒热病，
是骨之血气所生病也。）
（平按∶马字上《甲乙经》有痛字。婴《灵枢》、《甲乙经》均作瘿。）胸胁肋髀膝外至胫
绝骨外踝前及诸节皆痛，小指次指不用。（足少阳脉主骨，络于诸节，故病诸节痛也。平按∶胸下
《甲乙经》有中字。至胫袁刻误作至经。）为此诸病，盛则泻之，虚则补之，热则疾之，寒则留
之，陷下则灸之，不盛不虚，以经取之。盛者则人迎大一倍于寸口，虚者则人迎反小于寸口。
肝足厥阴之脉，（足厥阴脉，从足指上行，环阴器，络胆属肝，通行肝之血气，故曰肝足厥
阴脉也。）起于大指 毛之上，循足跗上廉，去内踝一寸，上踝八寸，交出太阴之后，上 内廉，
循阴股，入毛中，环阴器，抵少腹，挟胃，属肝络胆，上贯鬲，布胁肋，（髀内近阴之股，名曰
阴股。循阴器一周，名环也。平按∶《灵枢》、《甲乙经》 作丛，上循上均有际字。上踝《甲
乙经》作外踝。阴股《灵枢》、《甲乙经》作股阴。《灵枢》环作过，少腹作小腹。络胆下正统
本《甲乙经》有其直者从肝五字。）循喉咙之后，上入颃颡，连目系，上出额，与督脉会于巅；
（喉咙上孔名颃颡。督脉出两目上巅，故与厥阴相会也。）其支者，从目系下颊里，环唇内；其
支者，复从肝别贯鬲，上注肺。（肺脉手太阴从中焦起，以次四脏六腑之脉皆相接而起，唯足厥
阴脉还回从肝注于肺中，不接手太阴脉何也？但脉之所生，禀于血气，血气所生，起中焦仓廪，
故手太阴脉，从于中焦，受血气已，注诸经脉。中焦乃是手太阴受血气处，非是脉次相接之处，
故脉环周，至足厥阴，注入脉中，与手太阴脉相接而行，不入中焦也。）是动则病腰痛不可以俯
仰，丈夫颓疝，妇人少腹肿腰痛，甚则嗌干面尘。（肝合足少阳，阳盛并阴，故面尘色也。平按∶
颓《灵枢》作 ，《甲乙经》作 。尘下《灵枢》、《甲乙
经》均有脱色二字。）是主肝所生病者，胸满欧逆，飧泄狐疝遗溺闭 。（脉抵少腹挟胃，故生
飧泄也。狐夜不得尿，至明始得，人病与狐相似，因曰狐疝。有本作颓疝，谓偏颓病也。 ，篆文
麻字，此经淋病也，音隆。平按∶《甲乙经》飧泄作洞泄，遗溺作遗精，闭 作癃闭。）为此诸病，
盛则泻之，虚则补之，热则疾之，寒则留之，陷下则灸之，不盛不虚，以经取之。盛者则寸口大一
倍于人迎，虚者则寸口反小于人迎。
（前文缺失三字。）经脉发生变动时，会出现手掌发热、肘部挛急、腋下肿胀的症状，严重时胸中胀满，心脏悸动不安，面色发红，眼球发黄。（“澹”，读音同“徒滥反”，意为水摇动，又指跳动。平按：《灵枢》和《甲乙经》中“手热”均作“手心热”，“肘挛”均作“臂肘挛急”，“胸中满”均作“胸胁支满”，“心澹澹”均作“心中悸”，“目黄”下均有“喜笑不休”四字。“大动”赵府本《灵枢》作“火动”。）这是心包络脉所发生的病症，表现为心烦、心痛、掌心发热。（心包络既已发病，所以导致心烦心痛。平按：“心主”二字，《灵枢》和《甲乙经》中没有。）对于这些病症，实证用泻法，虚证用补法，热证用疾刺法，寒证用留针法，脉气下陷的用灸法，不虚不实者取本经穴位治疗。实证则寸口脉搏比人迎脉搏大一倍，虚证则寸口脉搏反而小于人迎脉搏。
三焦手少阳之脉，（上焦位于心下，横膈之上，胃上口之上，主管受纳而不外泄，其机理在膻中穴处。中焦位于胃的中部，不上不下，主管腐熟水谷，其机理在脐旁。下焦位于脐下，膀胱上口之下，主管分别清浊，主管排泄而不纳入，其机理在脐下一寸处。上焦之气像天上的云雾，中焦之气像空中的雨沤，下焦之气像地下的沟渠流水。手少阳脉是三焦的经络通道，通行三焦的气血，所以称为三焦手少阳脉。）起于无名指末端，向上出于食指与无名指之间，沿手背行于前臂外侧两骨之间，向上穿过肘部，沿臂外侧上行至肩部，并交出足少阳胆经之后，进入缺盆穴，（上肩时与足少阳经相交，行于足少阳经之后，才进入缺盆穴。平按：手背之下，《灵枢》和《甲乙经》均有“腕”字。）散布于膻中，联络心包络，向下穿过横膈，遍属于三焦；（“遍”，读音同“甫见反”。散布于膻中。有的版本“布”作“交”，经查证不对。三焦是气，血脉是形，说“属”是指脉气相入。平按：《灵枢》中“络”作“落”，“遍”作“循”。）其分支，从膻中上行出缺盆，上至颈部，连系耳后，直上出于耳上角，然后弯曲下行至面颊，至眼眶下；另一分支，从耳后进入耳中，走出耳前，经过客主人穴前，交叉于面颊，至目外眦。（“系”，读音同“古帝反”，有的版本作“侠”。平按：“系”在《灵枢》中作“系”，《甲乙经》作“侠”。下颊，“颊”字在《甲乙经》中作“额”。兑在《灵枢》中作“锐”，下同，不再重复列举。）经脉发生变动时，会出现耳聋、声音嗡嗡作响、咽喉肿痛、喉痹的症状。（“浑浑淳淳”，是耳聋时的声音。平按：“淳淳”在《灵枢》和《甲乙经》中作“重”。）这是三焦气液所发生的病症，表现为汗出、目外眦痛、面颊痛、耳后、肩、肘、臂外侧均痛、无名指不能活动。（气，指三焦气液。平按：“颊痛”的“痛”字在《甲乙经》中没有。“不用”在《甲乙经》中作“不为用”。）对于这些病症，实证用泻法，虚证用补法，热证用疾刺法，寒证用留针法，脉气下陷的用灸法，不虚不实者取本经穴位治疗。实证则人迎脉搏比寸口脉搏大一倍，虚证则人迎脉搏反而小于寸口脉搏。
胆足少阳之脉，（足少阳脉，起于目外眦，下行联络肝，属胆，下行至足大趾丛毛处，通行胆的血气，所以称为胆足少阳脉也。平按：注文中“属胆”二字袁刻本脱漏。）起于目外眦，向上到达额角，下行至耳后，沿颈部行于手少阳经之前，至肩部，却交出手少阳经之后，进入缺盆；（“角”，指额角。颈的前部叫颈。足少阳脉，从耳后下至颈部，向前至缺盆，屈回向肩，至肩屈向后，再回向颈部，到颈部才进入缺盆。这样手少阳经上肩向入缺盆，肩上自然与足少阳经相交。足少阳经从颈前下至缺盆向肩，即是行于手少阳经之前；至肩交手少阳经后向后，回入缺盆，即是行于手少阳经之后。平按：《灵枢》和《甲乙经》中“角”上有“头”字。注文中“至肩交手少阳已”，“已”字袁刻本误作“也”。）其分支，从耳后进入耳中，走出耳前，至目外眦后方；另一分支，从目外眦分出，下行至大迎穴，与手少阳经会合于颧髎穴，下行加于颊车穴，下行至颈部，会合于缺盆，以下进入胸中，穿过横膈，联络肝，属胆，（大迎穴，在曲颔前一寸二分骨陷处。足少阳经至大迎穴后，向颧髎穴，与手少阳经会合后，却斜向下向颊车穴，加于颊车穴后，然后下颈至缺盆，与前行的直行脉会合。颊车穴，在大迎穴上，曲颊端。有的版本说别出于目外眦，在颧髎穴迎接手少阳经。没有“大合”二字。依义理判断，二脉双下，不能称“迎”。）（平按：于“颧髎”下，《灵枢》和《甲乙经》作“抵于颧髎”下。）沿胁里，出于气街，绕阴毛际，横向进入髀关穴；（“街”，街道。足阳明脉及足少阳脉气所行之道，所以叫气街。股外髀枢，名叫髀关。）其直行者，从缺盆下腋，沿胸过季胁，下行会合于髀关穴，（胁有前后，最近下方的叫季胁。有的版本作“肋”。平按：“髀关”在《灵枢》和《甲乙经》中均作“厌”。）以下沿大腿外侧太阳经，出膝外侧，下外辅骨之前，直下抵达绝骨端，下出外踝之前，沿足背，入于足第四趾之间；（膀胱足太阳脉，从大腿外下足，因名髀太阳。辅骨即绝骨尽头，外踝上的阳辅穴。平按：“太阳”，“太”字在《灵枢》和《甲乙经》中没有。）其分支，从足背分出，入于足大趾之间，沿足大趾内侧歧骨出其端，还贯爪甲，出于丛毛。（足少阳脉，出大趾端，还出回贯甲，复出丛毛。一名丛毛，在上节后毛中也。平按：“歧”下，《灵枢》和《甲乙经》有“骨”字。“爪”上《甲乙经》有“入”字。）经脉发生变动时，会出现口苦、喜欢叹气、心胁痛、不能翻身侧卧的症状，（胆热，苦汁沿脉入颊，所以口苦，名叫胆痹。脉循行胸胁，喜欢叹气以及心胁都痛。平按：“反侧”在《灵枢》中作“转侧。”）严重时面色如蒙尘，身体无光泽，足少阳经反而发热，这叫阳厥。（“甚”，指阳厥热甚。足少阳经起于面部，热甚则头颅前热，所以面色如尘。阳厥，少阳厥也。平按：“面尘”在《灵枢》中作“面微有尘”，《甲乙经》作“面微尘”。足少阳反热在《灵枢》和《甲乙经》中作“足外反热”。）这是主骨所发生的病症，表现为头角痛、目外眦痛，（水以主骨，骨生足少阳，所以足少阳痛病还主骨。额角，在发际处。头角，指头顶两侧，额角后高骨角也。“頄”，指牙车骨，上抵颅以下者，名为頄骨。平按：“角”在《灵枢》中作“痛”，《甲乙经》作“面”。“頄”在《灵枢》中作“颔”，《甲乙经》同。注“牙车骨”，“牙”字袁刻本作“口”。）缺盆中肿痛，腋下肿，马刀侠瘿，汗出振寒疟疾，（脉从缺盆下腋，所以腋下肿；又从颊车下颈，所以病马刀侠瘿。马刀，指痈而无脓的是。汗出振寒疟疾等，都是寒热病，是骨的-blood-qi所生病。）（平按：“马”字上《甲乙经》有“痛”字。“婴”在《灵枢》和《甲乙经》中均作“瘿”。）胸胁、肋、髀、膝外侧至胫、绝骨、外踝前及诸节皆痛，足第四趾不能活动。（足少阳脉主骨，络于诸节，所以病诸节痛。平按：“胸”下《甲乙经》有“中”字。“至胫”袁刻本误作“至经”。）对于这些病症，实证用泻法，虚证用补法，热证用疾刺法，寒证用留针法，脉气下陷的用灸法，不虚不实者取本经穴位治疗。实证则人迎脉搏比寸口脉搏大一倍，虚证则人迎脉搏反而小于寸口脉搏。
肝足厥阴之脉，（足厥阴脉，从足趾上行，环绕生殖器，联络胆，属肝，通行肝的血气，所以称为肝足厥阴脉也。）起于足大趾丛毛之上，沿足背内侧上行，距内踝一寸，上踝八寸，交出足太阴脾经之后，上至小腿内侧，沿大腿内侧，入阴毛中，环绕生殖器，抵少腹，挟胃，属肝络胆，上穿横膈，散布胁肋，（大腿近阴部的内侧，名叫阴股。环绕生殖器一周，名叫环。平按：《灵枢》和《甲乙经》中“丛”作“丛”，“上循”上均有“际”字。“上踝”《甲乙经》作“外踝”。“阴股”在《灵枢》和《甲乙经》中作“股阴”。《灵枢》中“环”作“过”，“少腹”作“小腹”。络胆下正统本《甲乙经》有“其直者从肝”五字。）沿喉咙之后，上入颃颡，连系目系，上出额部，与督脉会于巅顶；（喉咙上孔名叫颃颡。督脉出两目上巅，所以与厥阴经相会。）其分支，从目系下行至颊里，环绕唇内；另一分支，再从肝分出，穿过横膈，上注于肺。（肺脉手太阴从中焦起，依次四脏六腑之脉皆相接而起，唯独足厥阴脉还回从肝注于肺中，不接手太阴脉为什么呢？但脉之所生，禀于血气，血气所生，起于中焦仓廪，所以手太阴脉，从中焦起，受血气后，注入诸经脉。中焦乃是手太阴受血气处，不是脉次相接之处，所以脉环周，至足厥阴，注入脉中，与手太阴脉相接而行，不入中焦也。）经脉发生变动时，会出现腰痛不可以俯仰，男子颓疝，妇人少腹肿腰痛，严重时咽干、面色如蒙尘。（肝合足少阳，阳盛并阴，所以面色如尘。平按：“颓”在《灵枢》中作“𦚝”，《甲乙经》作“𦚝”。“尘”下《灵枢》和《甲乙经》均有“脱色”二字。）这是主肝所发生的病症，表现为胸满呕逆、飧泄、狐疝、遗尿或小便不通。（脉抵少腹挟胃，所以生飧泄。狐疝夜间不得尿，至天明始得，人病与狐相似，因曰狐疝。有的版本作“颓疝”，指偏颓病也。“癃”，篆文麻字，此经淋病也，音隆。平按：《甲乙经》中“飧泄”作“洞泄”，“遗溺”作“遗精”，“闭癃”作“癃闭”。）对于这些病症，实证用泻法，虚证用补法，热证用疾刺法，寒证用留针法，脉气下陷的用灸法，不虚不实者取本经穴位治疗。实证则寸口脉搏比人迎脉搏大一倍，虚证则寸口脉搏反而小于人迎脉搏。
(The preceding three characters are missing.) When the meridian undergoes pathological changes, symptoms include heat in the palm, spasm of the elbow, and swelling in the axilla. In severe cases, there is fullness in the chest, palpitations (Xin Dan Dan Da Dong), redness of the face, and yellowing of the eyes. ("Dan" refers to the trembling of water, also indicating pulsation. Ping An: In *Ling Shu* and *Jia Yi Jing*, "heat in the hand" is written as "heat in the palm," "spasm of the elbow" as "spasm of the arm and elbow," "fullness in the chest" as "distension of the chest and hypochondrium," "heart Dan Dan" as "palpitations in the heart," and under "yellowing of the eyes," the four characters "unremitting laughter" appear. "Da Dong" in Zhao's edition of *Ling Shu* is written as "Huo Dong".) These are diseases generated by the Pericardium Meridian (Pericardium Channel). Symptoms include vexation, heart pain, and heat in the palms. (Since the Pericardium is diseased, it causes vexation and heart pain. Ping An: The character "Xin" [Heart] in "Xin Zhu" [Master of Heart] is absent in *Ling Shu* and *Jia Yi Jing*.) For these various conditions, excess is treated with draining methods, deficiency with tonifying methods, heat with rapid needling, cold with retained needling, sinking pulse with moxibustion, and neither excess nor deficiency with treatment of the affected meridian itself. In excess conditions, the Cun Kou pulse at the wrist is larger than the Ren Ying pulse at the neck by one fold; in deficiency, the Cun Kou pulse is smaller than the Ren Ying pulse.
The San Jiao Hand-Shaoyang Meridian (Triple Energizer Hand-Taiyang Channel): (The Upper Jiao is below the heart, above the diaphragm, at the upper opening of the stomach; it governs intake without excretion, its mechanism lying in the Tan Zhong area. The Middle Jiao is in the middle of the stomach, neither ascending nor descending; it governs the rotting and ripening of food and drink, its mechanism lying beside the navel. The Lower Jiao is below the navel, at the upper opening of the bladder; it governs the separation of clear and turbid substances, governing excretion without intake, its mechanism lying one cun below the navel. The Qi of the Upper Jiao is like clouds and mist in the sky; the Qi of the Middle Jiao is like fermenting raindrops in the air; the Qi of the Lower Jiao is like ditches flowing on the ground. The Hand-Shaoyang meridian is the conduit of the San Jiao, circulating the blood and Qi of the San Jiao, hence it is called the San Jiao Hand-Shaoyang Meridian.) It originates at the tip of the fourth finger, ascends between the two fingers, follows the back of the hand, emerges between the two bones of the forearm, ascends through the elbow, follows the lateral aspect of the arm to the shoulder, crosses behind the Foot-Shaoyang meridian, and enters the Que Pen (Clavicular Fossa). (At the shoulder, it intersects with the Foot-Shaoyang, running behind it before entering the Que Pen. Ping An: Below "back of the hand," *Ling Shu* and *Jia Yi Jing* both have the character "wrist".) It spreads in the Tan Zhong, connects with and networks the Pericardium, descends through the diaphragm, and extensively belongs to the San Jiao. ("Bian" means to spread. Spreading in the Tan Zhong. Some versions write "Bu" as "Jiao," but this is incorrect upon verification. San Jiao is Qi, while blood vessels are form; saying "belongs" implies the entry of meridian Qi. Ping An: In *Ling Shu*, "Luo" is written as "Luo" [fall], and "Bian" as "Xun" [follow].) Its branch rises from the Tan Zhong, exits the Que Pen, ascends to the neck, connects behind the ear, goes straight up to emerge above the ear's apex, then curves down to the cheek, reaching the infraorbital region. Another branch enters the ear from behind the ear, exits in front of the ear, passes anterior to the Ke Zhu Ren acupoint, crosses the cheek, and reaches the lateral canthus of the eye. ("Xi" means to connect. Some versions write "Xia" [clasp]. Ping An: "Xi" in *Ling Shu* is "Xi," in *Jia Yi Jing* is "Xia." For the lower cheek, the character "Jia" in *Jia Yi Jing* is "E." "Rui" in *Ling Shu* is "Rui," same below, not repeated.) When the meridian undergoes pathological changes, symptoms include deafness with a buzzing sound, swelling of the throat, and throat obstruction. ("Hun Hun Chun Chun" describes the sound of deafness. Ping An: "Chun Chun" in *Ling Shu* and *Jia Yi Jing* is written as "Zhong".) These are diseases governed by the Qi of the San Jiao. Symptoms include sweating, pain in the lateral canthus, cheek pain, pain in the posterior ear, shoulder, elbow, and lateral arm, and dysfunction of the fourth finger. (Qi refers to the Qi and fluid of the San Jiao. Ping An: The character "Tong" [pain] in "Cheek pain" is absent in *Jia Yi Jing*. "Bu Yong" [not used] in *Jia Yi Jing* is written as "Bu Wei Yong" [not functioning].) For these conditions, excess is treated with draining, deficiency with tonifying, heat with rapid needling, cold with retained needling, sinking pulse with moxibustion, and neither excess nor deficiency with treatment of the affected meridian. In excess, the Ren Ying pulse is larger than the Cun Kou pulse by one fold; in deficiency, the Ren Ying pulse is smaller than the Cun Kou pulse.
The Gallbladder Foot-Shaoyang Meridian: (The Foot-Shaoyang meridian originates at the lateral canthus, descends to network the Liver and belong to the Gallbladder, descends to the tuft of hair on the big toe, circulating the blood and Qi of the Gallbladder, hence called the Gallbladder Foot-Shaoyang Meridian. Ping An: The characters "Shu Dan" [belong to Gallbladder] in the note are omitted in Yuan's printed edition.) It originates at the lateral canthus, ascends to the forehead angle, descends behind the ear, follows the neck anterior to the Hand-Shaoyang meridian, reaches the shoulder, crosses behind the Hand-Shaoyang meridian, and enters the Que Pen. ("Jiao" refers to the forehead angle. The front of the neck is called the neck. The Foot-Shaoyang meridian descends from behind the ear to the neck, moves forward to the Que Pen, curves back toward the shoulder, turns backward at the shoulder, returns to the neck, and only then enters the Que Pen. Thus, when the Hand-Shaoyang ascends to the shoulder towards the Que Pen, it naturally intersects with the Foot-Shaoyang at the shoulder. The Foot-Shaoyang descends from the front of the neck to the Que Pen towards the shoulder, i.e., runs anterior to the Hand-Shaoyang; after intersecting at the shoulder and turning back to enter the Que Pen, it runs posterior to the Hand-Shaoyang. Ping An: *Ling Shu* and *Jia Yi Jing* have the character "Tou" [head] before "Jiao." In the note, "Yi" [already] in "Zhi Jian Jiao Shou Shao Yang Yi" is misprinted as "Ye" [also] in Yuan's edition.) Its branch enters the ear from behind the ear, exits in front of the ear, and reaches behind the lateral canthus. Another branch diverges from the lateral canthus, descends to the Da Ying acupoint, merges with the Hand-Shaoyang at the Quan Liao acupoint, descends adding to the Jia Che acupoint, descends to the neck, merges with the Que Pen, descends into the chest, penetrates the diaphragm, networks the Liver, and belongs to the Gallbladder. (Da Ying is located in the bony depression one cun and two fen anterior to the jaw angle. After reaching Da Ying, the Foot-Shaoyang meridian moves toward Quan Liao, merges with the Hand-Shaoyang, then斜 descends toward Jia Che, adds to Jia Che, then descends to the neck to Que Pen, merging with the direct path. Jia Che is located above Da Ying at the end of the curved jaw. Some versions say diverging from the lateral canthus to welcome the Hand-Shaoyang at Quan Liao. Without the characters "Da He" [greatly merge]. Based on logic, since both meridians descend together, it cannot be called "welcome." Ping An: Below "Yu Quan Liao," *Ling Shu* and *Jia Yi Jing* write "Di Yu Quan Liao" [reach Quan Liao].) It follows inside the costal region, emerges at the Qi Jie (Groin), surrounds the pubic hair area, and transversely enters the Bi Guan acupoint. ("Jie" means street. The path where the Qi of the Foot-Yangming and Foot-Shaoyang meridians travels is called Qi Jie. The lateral pivot of the thigh is named Bi Guan.) Its direct path descends from the Que Pen to the axilla, follows the chest passing the Ji Xie (Hypochondrium), descends to merge with the Bi Guan. (The ribs have front and back; the lowest ones are the Ji Xie. Some versions write "Lei" [ribs]. Ping An: "Bi Guan" in *Ling Shu* and *Jia Yi Jing* is written as "Ya".) It descends along the Tai Yang of the thigh, emerges at the lateral margin of the knee, descends anterior to the lateral fibular bone, goes straight down to the end of the Jue Gu (Fibular Head/Ankle process), emerges anterior to the lateral malleolus, follows the dorsum of the foot, and enters between the fourth toe. (The Bladder Foot-Taiyang meridian descends from the thigh to the foot, hence named Bi Tai Yang. Fu Gu is the end of the Jue Gu, the Yang Fu acupoint above the lateral malleolus. Ping An: The character "Tai" in "Tai Yang" is absent in *Ling Shu* and *Jia Yi Jing*.) Its branch diverges from the dorsum of the foot, enters between the big toe, follows the medial bifurcation of the big toe to its tip, returns to pierce the nail bed, and emerges at the tuft of hair. (The Foot-Shaoyang meridian emerges at the tip of the big toe, returns to pierce the nail, and emerges at the tuft of hair. Also known as Cong Mao [tuft of hair], located in the hair behind the upper joint. Ping An: Below "Qi," *Ling Shu* and *Jia Yi Jing* have the character "Gu" [bone]. Above "Zhua" [nail], *Jia Yi Jing* has the character "Ru" [enter].) When the meridian undergoes pathological changes, symptoms include bitter taste in the mouth, frequent sighing, pain in the heart and hypochondrium, and inability to turn over. (Gallbladder heat causes bile juice to follow the meridian into the cheek, resulting in a bitter taste, named Dan Bi [Gallbladder Obstruction]. The meridian follows the chest and hypochondrium, causing sighing and pain in the heart and hypochondrium. Ping An: "Fan Ce" [turn side] in *Ling Shu* is written as "Zhuan Ce" [turn].) In severe cases, the face appears dusty, the body lacks luster, the Foot-Shaoyang meridian becomes abnormally hot, which is called Yang Jue (Yang Reversal). ("Shen" [severe] refers to severe Yang Jue heat. The Foot-Shaoyang originates at the face; severe heat causes heat in the front of the head, hence the dusty complexion. Yang Jue is Shaoyang Jue. Ping An: "Mian Chen" [face dust] in *Ling Shu* is "Mian Wei You Chen" [face slightly has dust], in *Jia Yi Jing* is "Mian Wei Chen" [face slight dust]. "Foot-Shaoyang Fan Re" in *Ling Shu* and *Jia Yi Jing* is "Zu Wai Fan Re" [foot exterior abnormally hot".) These are diseases governed by the bones. Symptoms include pain at the temple and lateral canthus, (Water governs bones; bones generate Foot-Shaoyang, so Foot-Shaoyang pain diseases also govern bones. E Jiao is at the hairline. Tou Jiao refers to the sides of the vertex, the high bone angle behind the forehead. "Qiu" refers to the mandibular ramus bone, extending from above to below the skull, named Qiu Gu. Ping An: "Jiao" in *Ling Shu* is "Tong" [pain], in *Jia Yi Jing* is "Mian" [face]. "Qiu" in *Ling Shu* is "Han", same in *Jia Yi Jing*. Note "Ya Che Gu": "Ya" in Yuan's edition is "Kou" [mouth].) swelling and pain in the Que Pen, axillary swelling, Ma Dao (Marine Knife/Malignant Neck Swelling) and Xia Ying (Parotid Swelling), sweating with chills and malaria, (The meridian descends from Que Pen to the axilla, hence axillary swelling; it also descends from Jia Che to the neck, hence Ma Dao and Xia Ying. Ma Dao refers to an abscess without pus. Sweating, chills, and malaria are all cold-heat diseases, generated by the blood and Qi of the bones.) (Ping An: Above "Ma," *Jia Yi Jing* has the character "Tong" [pain]. "Ying" in *Ling Shu* and *Jia Yi Jing* is written as "Ying" [goiter].) Pain in the chest, hypochondrium, ribs, thigh, lateral knee, tibia, lateral malleolus, and all joints, with dysfunction of the fourth toe. (Foot-Shaoyang governs bones and networks all joints, hence pain in all joints. Ping An: Below "Xiong," *Jia Yi Jing* has the character "Zhong" [middle]. "Zhi Jing" in Yuan's edition is a misprint for "Zhi Jing" [to tibia].) For these conditions, excess is treated with draining, deficiency with tonifying, heat with rapid needling, cold with retained needling, sinking pulse with moxibustion, and neither excess nor deficiency with treatment of the affected meridian. In excess, the Ren Ying pulse is larger than the Cun Kou pulse by one fold; in deficiency, the Ren Ying pulse is smaller than the Cun Kou pulse.
The Liver Foot-Jueyin Meridian: (The Foot-Jueyin meridian ascends from the toes, circles the genitalia, networks the Gallbladder, and belongs to the Liver, circulating the blood and Qi of the Liver, hence called the Liver Foot-Jueyin Meridian.) It originates above the tuft of hair on the big toe, follows the medial margin of the dorsum of the foot, one cun from the medial malleolus, ascends eight cun above the ankle, crosses behind the Foot-Taiyin meridian, ascends to the medial aspect of the tibia, follows the medial thigh, enters the pubic hair area, circles the genitalia, reaches the lower abdomen, flanks the stomach, belongs to the Liver, networks the Gallbladder, penetrates the diaphragm, and spreads in the hypochondrium. (The medial thigh near the genitals is named Yin Gu. Circling the genitalia once is named Huan. Ping An: In *Ling Shu* and *Jia Yi Jing*, "Cong" is written as "Cong"; "Shang Xun" [ascend follow] both have the character "Ji" [margin]. "Shang Huai" in *Jia Yi Jing* is "Wai Huai" [lateral ankle]. "Yin Gu" in *Ling Shu* and *Jia Yi Jing* is "Gu Yin". In *Ling Shu*, "Huan" is "Guo" [pass], "Shao Fu" is "Xiao Fu" [lower abdomen]. In the orthodox edition of *Jia Yi Jing* below "Luo Dan," there are five characters "Qi Zhi Zhe Cong Gan" [its direct path starts from the liver".) It follows behind the pharynx, ascends into the Geng Sang (Epiglottis/Nasopharynx), connects with the Eye System, ascends to the forehead, and meets the Du Meridian at the vertex. (The upper opening of the pharynx is named Geng Sang. The Du meridian emerges above the eyes to the vertex, hence meeting the Jueyin.) Its branch descends from the Eye System to the interior of the cheeks, circles the lips internally. Another branch diverges from the Liver, penetrates the diaphragm, and ascends to pour into the Lung. (The Lung meridian Hand-Taiyin originates from the Middle Jiao. Subsequently, the meridians of the four zang and six fu organs arise sequentially connected to each other. Only the Foot-Jueyin meridian returns from the Liver to pour into the Lung, not receiving from the Hand-Taiyin. Why? Because meridians are born from blood and Qi; blood and Qi originate in the Middle Jiao granary. Thus, the Hand-Taiyin meridian arises from the Middle Jiao, receives blood and Qi, and then pours into the various meridians. The Middle Jiao is where the Hand-Taiyin receives blood and Qi, not where the meridians sequentially connect. Therefore, the meridian circuit, upon reaching the Foot-Jueyin, pours into the meridian, connecting with the Hand-Taiyin to travel together, without entering the Middle Jiao.) When the meridian undergoes pathological changes, symptoms include low back pain preventing flexion and extension, hernia in men, and lower abdominal swelling and low back pain in women. In severe cases, dryness of the throat and a dusty complexion. (Liver combines with Foot-Shaoyang; Yang excess merging with Yin causes a dusty complexion. Ping An: "Tui" in *Ling Shu* is written as "Tui" variant, in *Jia Yi Jing* as "Tui" variant. Below "Chen," *Ling Shu* and *Jia Yi Jing* both have the characters "Tuo Se" [loss of luster".) These are diseases governed by the Liver. Symptoms include chest fullness, vomiting and counterflow qi, undigested food diarrhea, fox hernia, enuresis, or urinary retention. (The meridian reaches the lower abdomen and flanks the stomach, hence undigested food diarrhea. Fox hernia prevents urination at night, allowing it only at dawn; human illness resembles the fox, hence named Fox Hernia. Some versions write "Tui Hernia," referring to unilateral hernia. "Long" is the seal script for "Ma" [numbness]; here it refers to strangury, pronounced Long. Ping An: In *Jia Yi Jing*, "Sun Xie" is "Dong Xie" [loose stool], "Yi Niao" is "Ying Jing" [seminal emission], "Bi Long" is "Long Bi" [strangury obstruction".) For these conditions, excess is treated with draining, deficiency with tonifying, heat with rapid needling, cold with retained needling, sinking pulse with moxibustion, and neither excess nor deficiency with treatment of the affected meridian. In excess, the Cun Kou pulse is larger than the Ren Ying pulse by one fold; in deficiency, the Cun Kou pulse is smaller than the Ren Ying pulse.