足少阴兮廿七。涌泉流于然谷。太溪大钟兮水泉缘。照海复溜兮交信续。从筑宾兮上阴谷。撩横
骨兮大赫麓。气穴四满兮中注。肓俞上通于商曲。守石关兮阴都宁。闭通谷兮幽门肃。步廊神封
而灵墟存。神藏 中而俞府足。
足掌心中是涌泉。然骨踝下一寸前。(内踝前一寸)太溪踝后跟骨上。大钟跟后肿中边。
(足跟后肿中大骨上两筋间也)水泉溪下一寸觅。照海踝下四寸安。复溜踝上前二寸。交信踝上
二寸联。一穴止隔筋前后。太阳之后少阳前。(前旁骨是复溜后旁骨是交信
二穴止隔一条筋)筑宾内踝上 分。阴谷膝下曲漆间。横骨大赫并气穴。四满中注亦相连。各开
中行只寸半。上下相去一寸便。上膈肓俞亦一寸。肓俞脐旁半寸边。肓俞商曲石关来。阴都通谷
幽门辟。各开中行五分挟。六穴上下一寸裁。步廊神封灵墟存。神藏 中俞府尊。各开中行计二寸。
上下寸六六穴分。俞府璇玑旁二寸。取之得法自然真。
心主手厥阴心包络之脉。起于胸中。出属心包络。下膈历络三焦。其支者。循胸中出胁。下腋
三寸。上抵腋下。循 内。行太阴少阴之间。入肘中。下臂行两筋之间。入掌中。循中指出其端。
其支者。别掌中。循小指次指出其端。是动则病心中热。臂肘挛急。腋肿。甚则胸胁支满。心中
大动。面赤目黄。喜笑不休。是主脉所生病者。烦心。心痛。掌中热。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。盛者寸口大一倍于人迎。虚
者寸口反小于人迎也。
胁上际为腋。小指次指。乃小指之次指。无名指也。手厥阴心包络之脉。起于胸中。出属心
下之包络。受足少阴肾经之交也。由是下膈历络三焦。历者。谓三焦各有部署。在胃脘上中下之
间。其脉分络于三焦也。其支者。自属心包。上循胸出胁。下腋三寸天池穴。上行抵腋下。下循
内之天泉。以界手太阴肺经。手少阴心经两经之中间。入肘中之曲泽穴。又由肘中下臂。行臂
两筋之间。循 门间使内关大陵。入掌中劳宫。循中指出其端之中冲。其支别者。从掌中。循无
名指出其端。而交于手少阳三焦经也。厥阴是动。则病手心热。臂肘挛急。腋肿。经气之病于外
也。甚则胸胁支满。心中 大动。面赤目黄。喜笑不休。盖甚则从外而内。其
有余于内也。心主血而包络代君行令。故主脉。是主脉之包络所生病者。烦心。心痛掌中热。盖
自内而外也。脉口一盛而躁。病在手厥阴。故盛者寸口大一倍于人迎。虚者寸口反小于人迎也。
足少阴肾经共有二十七个穴位。涌泉穴向下流注至然谷穴。太溪、大钟与水泉穴依次相连。照海、复溜与交信穴接续其后。从筑宾穴向上行至阴谷穴。撩过横骨穴,再到大赫穴和俞府穴(原文“麓”通“俞”,指俞府)。气穴、四满、中注穴依次排列。肓俞穴向上连通商曲穴。守石关穴,阴都穴安宁。闭通谷穴,幽门穴肃静。步廊、神封、灵墟穴依次存在。神藏、中府(原文缺字,据歌诀应为神藏)与俞府穴完备。
足掌心中是涌泉穴。然谷穴位于内踝前下方一寸处。(内踝前一寸)太溪穴在内踝后方跟骨上方。大钟穴在足跟后侧肿起的大骨边缘。(即足跟后大骨上两筋之间)水泉穴在水泉溪下一寸处寻找。照海穴位于内踝下方四寸处安设。复溜穴在内踝前方二寸处。交信穴在内踝上方二寸处连接。这两个穴位仅隔一条肌腱前后分布。太阳膀胱经在后,少阳胆经在前。(前旁骨是复溜穴,后旁骨是交信穴;两穴之间只隔一条筋)筑宾穴位于内踝上五寸分界处。阴谷穴在膝下腘窝弯曲处的膝盖内侧间。横骨、大赫、气穴三个穴位。四满、中注两个穴位也相互连接。它们各距身体正中线半寸。上下相邻穴位间距一寸。膈关之上的肓俞穴距离上一穴位也是一寸。肓俞穴位于脐旁半寸边。肓俞、商曲、石关、阴都、通谷、幽门六个穴位依次排开。它们各距身体正中线五分,呈左右夹持状。这六个穴位上下间距均为一寸。步廊、神封、灵墟、神藏、中府、俞府六个穴位依次存在。它们各距身体正中线二寸。上下间距为寸六分,共分为六穴。俞府穴在璇玑穴旁二寸处。取穴方法得当,自然准确真实。
手厥阴心包络之脉,起始于胸中。出来归属于心包络。向下穿过膈肌,依次联络三焦。其支脉,沿着胸中出于胁部,下行至腋下三寸处。上行抵达腋下。沿手臂内侧,行于手太阴肺经与手少阴心经之间。进入肘中。下行臂部,行于两条肌腱之间。进入手掌中。沿中指直达其末端。其另一支脉,从掌中分出,沿无名指直达其末端。经脉发生变动则出现病症:心中发热,臂肘拘挛僵硬,腋窝肿胀。严重时胸胁支撑胀满,心脏剧烈跳动,面色发红,眼睛发黄,喜欢笑个不停。这是心主脉所生的疾病:心烦,心痛,手掌心发热。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。实证时寸口脉搏比人迎脉搏大一倍,虚证时寸口脉搏反而小于人迎脉搏。
胁部上际称为腋。小指次指,即小指的下一个手指,也就是无名指。手厥阴心包络之脉,起始于胸中,出来归属于心下的心包络,接受足少阴肾经的气血交会。由此向下穿过膈肌,依次联络三焦。“历”的意思是三焦各有分部,位于胃脘的上、中、下之间,其脉分支联络于三焦。其支脉,从属于心包,向上循行于胸中出于胁部,下行至腋下三寸的天池穴。上行抵达腋下,下行沿手臂内侧的天泉穴,介于手太阴肺经与手少阴心经两经的中间。进入肘中的曲泽穴。又从肘中下行至臂部,行于手臂两条肌腱之间,沿臂门间的间使、内关、大陵穴。进入手掌中的劳宫穴。沿中指直达其末端的中冲穴。其别出的支脉,从掌中分出,沿无名指直达其末端,从而交于手少阳三焦经。厥阴经发生变动,则出现手心发热,臂肘拘挛僵硬,腋窝肿胀,这是经气病发于外。严重时胸胁支撑胀满,心脏剧烈跳动,面色发红,眼睛发黄,喜欢笑个不停。这是因为病情严重则由外向内发展,导致内部邪气有余。心主血而心包络代君主行使命令,所以主管脉。由心主脉的心包络所生的疾病有:心烦,心痛,手掌心发热,这是由内向外发展的表现。脉口搏动一盛且躁动,病在手厥阴经。所以实证时寸口脉搏比人迎脉搏大一倍,虚证时寸口脉搏反而小于人迎脉搏。
The Foot-Shaoyin (Kidney) Meridian has twenty-seven acupoints. Yongquan (KI 1) flows downward to RanGu (KI 2). TaiXi (KI 3), DaZhong (KI 4), and ShuiQuan (KI 5) are connected in sequence. ZhaoHai (KI 6), FuLiu (KI 7), and JiaoXin (KI 8) follow one after another. From ZhuBin (KI 9), the meridian ascends to YinGu (KI 10). It passes through HengGu (KI 11), then reaches DaHe (KI 12) and YuFu (KI 27, text implies "Lu" refers to YuFu). QiXue (KI 13), SiMan (KI 14), and ZhongZhu (KI 15) are arranged in order. HuangShu (KI 16) connects upward to ShangQu (KI 17). ShiGuan (KI 18) is guarded, YinDu (KI 19) is tranquil. TongGu (KI 20) is closed, YouMen (KI 21) is solemn. BuLang (KI 22), ShenFeng (KI 23), and LingXu (KI 24) exist in succession. ShenCang (KI 25), [missing character, likely ShenCang context], and YuFu (KI 27) are complete.
Yongquan is located in the center of the sole of the foot. RanGu is located one cun anterior to the medial malleolus. TaiXi is posterior to the medial malleolus, above the calcaneus. DaZhong is on the lateral edge of the prominent bone behind the heel. (Specifically, between two tendons on the prominent bone behind the heel). ShuiQuan is found one cun below the ankle crease. ZhaoHai is secured four cun below the medial malleolus. FuLiu is two cun anterior to the medial malleolus. JiaoXin is connected two cun superior to the medial malleolus. These two points are separated only by a tendon anteriorly and posteriorly. The Bladder Meridian (Taiyang) is posterior, and the Gallbladder Meridian (Shaoyang) is anterior. (The bone anteriorly corresponds to FuLiu, the bone posteriorly to JiaoXin; these two points are separated by a single tendon). ZhuBin is located five cun above the medial malleolus. YinGu is located between the knee joint in the popliteal fossa below the knee. HengGu, DaHe, and QiXue. SiMan and ZhongZhu are also connected. Each is located half a cun from the midline. Vertically adjacent points are spaced one cun apart. Above the diaphragm, HuangShu is also one cun apart. HuangShu is located at the lateral border, half a cun from the umbilicus. HuangShu, ShangQu, ShiGuan, YinDu, TongGu, and YouMen are arranged sequentially. Each is located five fen from the midline, flanking it. These six points are vertically spaced one cun apart. BuLang, ShenFeng, LingXu, ShenCang, [missing character], and YuFu exist in succession. Each is located two cun from the midline. Vertically, they are divided into six points with a spacing of 1.6 cun. YuFu is two cun lateral to Xuanji. When the method of locating points is correct, accuracy comes naturally.
The Pericardium Meridian of Hand-Jueyin originates in the chest. It emerges and belongs to the Pericardium. It descends through the diaphragm and successively connects with the Sanjiao (Triple Burner). Its branch follows the chest, emerges from the hypochondrium, and descends three cun below the axilla. It ascends to reach the axilla. It runs along the medial aspect of the arm, passing between the Lung Meridian of Hand-Taiyin and the Heart Meridian of Hand-Shaoyin. It enters the elbow. It descends the forearm, running between two tendons. It enters the palm. It follows the middle finger to its tip. Another branch separates from the palm and follows the ring finger to its tip. When the meridian is disturbed, pathology manifests as heat in the heart, spasm and stiffness of the arm and elbow, swelling of the axilla. In severe cases, there is distension and fullness in the chest and hypochondrium, violent palpitations of the heart, red face, yellow eyes, and uncontrollable laughter. This meridian governs diseases generated by the vessels: vexation, heart pain, and heat in the palm. For these conditions, excess patterns are treated with draining methods, deficiency patterns with tonifying methods, heat patterns with rapid needling, cold patterns with retention of needles, sinking pulse conditions with moxibustion, and neither-excess-nor-deficiency patterns are treated by selecting points from the affected meridian itself. In excess patterns, the pulse at Cunkou (Radial Artery) is larger than that at Renying (Carotid Artery) by one degree. In deficiency patterns, the pulse at Cunkou is smaller than that at Renying.
The upper boundary of the hypochondrium is called the axilla. The "ring finger" (small finger's secondary finger) is the finger next to the little finger, i.e., the fourth finger. The Pericardium Meridian of Hand-Jueyin originates in the chest, emerges and belongs to the Pericardium located below the heart, receiving the intersection of the Foot-Shaoyin Kidney Meridian. From there, it descends through the diaphragm and successively connects with the Sanjiao. "Successively" means the Sanjiao has distinct divisions located between the upper, middle, and lower parts of the stomach region, and its branches connect to the Sanjiao. Its branch, belonging to the Pericardium, ascends through the chest, emerges from the hypochondrium, and descends three cun below the axilla to TianChi (PC 1). It ascends to the axilla, then descends along TianQuan (PC 2) of the medial arm, situated between the Lung Meridian of Hand-Taiyin and the Heart Meridian of Hand-Shaoyin. It enters QuZe (PC 3) in the elbow. From the elbow, it descends the forearm, running between the two tendons, following JianShi (PC 5), NeiGuan (PC 6), and DaLing (PC 7) at the wrist gate. It enters LaoGong (PC 8) in the palm. It follows the middle finger to its tip, ZhongChong (PC 9). Its divergent branch separates from the palm, follows the ring finger to its tip, and intersects with the Sanjiao Meridian of Hand-Shaoyang. When Jueyin is disturbed, pathology manifests as heat in the palm, spasm and stiffness of the arm and elbow, and swelling of the axilla; this is meridian qi pathology manifesting externally. In severe cases, there is distension and fullness in the chest and hypochondrium, violent palpitations, red face, yellow eyes, and uncontrollable laughter. This indicates that when severe, the pathogen moves from external to internal, resulting in excess internally. The Heart governs blood, and the Pericardium acts on behalf of the Sovereign (Heart) to execute commands; thus, it governs the vessels. Diseases generated by the Pericardium governing the vessels include vexation, heart pain, and heat in the palm; this is pathology manifesting from internal to external. A pulse at the Cunkou that is one degree excessive and restless indicates disease in the Hand-Jueyin Meridian. Therefore, in excess patterns, the Cunkou pulse is larger than the Renying pulse by one degree, and in deficiency patterns, the Cunkou pulse is smaller than the Renying pulse.