(凡十一穴左右云门共二十二穴)
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太阴肺兮出中府云门之下一寸许云门气户旁二寸人迎之下二骨数天府腋下三寸求侠白肘
上五寸主尺泽肘中约纹论孔最脘中七寸取列缺腕侧寸有半经渠寸口陷中取太渊掌后横纹头鱼际节
后散脉奉少商大指内侧寻此穴若针疾减愈
手太阴肺中焦生下络大肠出贲门上膈属肺从肺系系横出腋 中行肘臂寸口上鱼际大指内
侧爪
瞀为臂厥所生病者为气喘咳渴烦心胸满结 臂之外前廉痛小便频数掌中热气虚肩背痛而寒气
盛亦疼风汗出火神少气不足息遗失无度溺色赤
(凡二十穴左右共四十)
\r手阳明大肠经之图\p06-d14a2.bmp\r
手阳明经属大肠食指内侧起商阳本节前取二间定本节后取三间强岐骨陷中寻合谷阳溪腕
中上侧详腕后三寸定偏历五寸之中温溜当下廉上廉各一寸上廉此下一寸方屈肘曲中曲池得池下二
寸三里场肘 大骨外廉陷五里肘上三寸量臂 下一寸取肩 肩端两骨当巨骨肩端叉骨内天
鼎缺盆之上藏扶突曲颊下一寸禾 五分水沟旁鼻孔两旁各五分左右二穴皆迎香
阳明之脉手大肠次指内侧起商阳循指上廉出合谷两筋岐骨循臂 入肘外廉循 外肩端前
廉柱骨旁从肩下入缺盆内络肺下膈属大肠支沿缺盆直上颈斜贯颊前下齿当环出人中交左右上侠鼻
孔注迎香此经气盛血亦盛是动颈 并齿痛所生病者为鼻衄目黄口干喉痹生大指次指难为用肩
前外痛相仍气有余兮脉热肿虚则寒栗病偏增
(手太阴肺经左右两侧云门穴共二十二穴)
手太阴肺经循行图
手太阴肺经的穴位从中府穴开始,位于云门穴下方约一寸处;云门穴在气户穴旁开二寸,人迎穴下方两骨之间;天府穴在腋下三寸处寻找;侠白穴在肘上五寸处;尺泽穴在肘窝中央的横纹处;孔最穴在前臂掌面尺侧,距腕横纹七寸处取之;列缺穴在手腕侧面,距腕横纹一寸半处;经渠穴在寸口脉搏动处的凹陷中;太渊穴在掌后腕横纹的头端;鱼际穴在节后散脉处;少商穴在大拇指内侧寻找。如果针刺时病情加重则应减少刺激量或停止。
手太阴肺经起于中焦,向下联络大肠,回绕经过贲门,向上穿过膈肌,属于肺脏;从肺系(气管、喉咙等与肺相连的组织)横行出于腋下,沿上肢内侧前缘下行,经过肘中,沿着前臂内侧到达寸口,上行至鱼际,止于大拇指内侧爪甲角旁。
本经发生病变,会出现手臂厥冷等症状;所生的疾病包括气喘、咳嗽、口渴、心烦、胸胁部胀满结滞;手臂外侧前缘疼痛,小便频数,手掌心发热;若是肺气虚,则见肩背寒冷疼痛且寒气盛,也可见疼痛、出汗怕风、神疲乏力、呼吸短促、遗尿无度、尿液颜色深赤。
(手阳明大肠经左右两侧共四十穴)
手阳明大肠经循行图
手阳明大肠经属于大肠,起始于食指内侧端的商阳穴,在本节(近节指骨)前取二间穴;在本节后取三间穴;在第二、三掌骨歧骨间的凹陷中寻合谷穴;阳溪穴在腕横纹桡侧的上侧;偏历穴在腕后三寸处;温溜穴在腕后五寸处;下廉穴和上廉穴各距上一穴位一寸;在上廉穴下一寸处,屈肘时在曲池穴的凹陷中取得;曲池穴下二寸为三里穴(手三里),在大骨外缘的凹陷中;五里穴在肘上三寸处测量臂围确定;臂臑穴在肩髃穴下一寸处;肩髃穴在肩端两骨之间;巨骨穴在肩端叉骨内;天鼎穴在缺盆穴上方;扶突穴在下颌角下方一寸处;禾髎穴在水沟穴旁五分处,鼻孔两旁各有一穴,左右共二穴,均为迎香穴。
手阳明大肠经的脉气,从手阳明大肠经起始于食指内侧端的商阳穴,沿手指上缘上行,出于合谷穴,在两筋之间的歧骨处,沿前臂外侧进入肘外缘,沿上臂外侧前行至肩端前缘,沿柱骨(脊柱)旁,从肩上入缺盆内,联络肺脏,向下穿过膈肌,属于大肠;其支脉从缺盆直上颈部,斜贯脸颊前方,进入下齿龈,环绕人中,交叉于左右两侧,上行夹持鼻孔,注入迎香穴。此经气盛血亦盛,若经脉变动异常,会出现颈项肿痛及牙齿疼痛;所生的疾病包括鼻出血、目黄、口干、喉痹;大拇指和食指活动不便;肩前外侧疼痛相继出现;若邪气有余则脉象热肿,若正气不足则寒战,病势偏增。
(There are twenty-two acupoints on the Yunmen point of the Hand-Taiyin Lung Meridian, eleven on each side.)
Diagram of the Hand-Taiyin Lung Meridian
The Hand-Taiyin Lung Meridian starts from Zhongfu (LU-1), located approximately one cun below Yunmen (LU-2); Yunmen is found two cun lateral to Qihu (ST-15) and two bone-widths below Renying (ST-9); Tianfu (LU-3) is sought three cun below the axilla; Xiabai (LU-4) is at five cun above the elbow; Chize (LU-5) is in the center of the cubital fossa crease; Kongzui (LU-6) is taken seven cun proximal to the wrist crease on the palmar aspect of the forearm; Lieque (LU-7) is located half a cun distal to the radial styloid process on the radial side of the wrist; Jingqu (LU-8) is in the depression at the radial pulse (Cunkou); Taiyuan (LU-9) is at the head of the transverse crease of the wrist; Yuji (LU-10) is at the scattered vessels after the metacarpophalangeal joint; Shaoshang (LU-11) is sought on the medial side of the thumb. If needle insertion aggravates the condition, reduce the stimulation or stop.
The Hand-Taiyin Lung Meridian originates in the Middle Jiao (Middle Burner), descends to connect with the Large Intestine, loops around the cardiac orifice (Benmen), ascends through the diaphragm, and belongs to the Lung; from the Lung system (trachea, larynx, etc.), it emerges horizontally from the axilla, runs along the anterior border of the medial aspect of the upper limb, passes through the elbow, follows the forearm to Cunkou, ascends to Yuji, and terminates beside the nail corner on the medial side of the thumb.
Pathological changes in this meridian manifest as arm jue (coldness/numbness of the arm); diseases generated include asthma, cough, thirst, irritability, chest and hypochondriac fullness and stagnation; pain along the anterior lateral border of the arm, frequent urination, heat in the palm; if Lung Qi is deficient, cold pain in the shoulder and back with an excess of cold qi occurs, also presenting with pain, sweating, aversion to wind, fatigue, shortness of breath, involuntary urination without control, and dark red urine.
(There are forty acupoints for the Hand-Yangming Large Intestine Meridian, twenty on each side.)
Diagram of the Hand-Yangming Large Intestine Meridian
The Hand-Yangming Large Intestine Meridian belongs to the Large Intestine and begins at Shangyang (LI-1) on the medial side of the index finger; Erjian (LI-2) is determined before the proximal interphalangeal joint; Sanjian (LI-3) is determined after the proximal interphalangeal joint; Hegu (LI-4) is sought in the depression between the second and third metacarpal bones; Yangxi (LI-5) is detailed on the radial side of the wrist crease; Pianli (LI-6) is fixed three cun behind the wrist; Wenliu (LI-7) is at five cun behind the wrist; Xialian (LI-8) and Shanglian (LI-9) are each one cun apart; Shanglian is one cun above Xialian; Quchi (LI-11) is obtained by flexing the elbow one cun below Shanglian in the depression; Shousanli (LI-10) is two cun below Quchi, in the depression on the lateral edge of the radius; Wuli (LI-13) is measured three cun above the elbow based on arm circumference; Binao (LI-14) is one cun below Jianyu (LI-15); Jianyu is between the two bones at the shoulder end; Jugu (SI-1) is inside the forked bone at the shoulder end; Tianding (SI-11) is above Quepen (ST-12); Futu (LI-18) is one cun below the angle of the mandible; Heliao (SI-19) is five fen beside Shuigou (GV-26); there is one acupoint on each side of the nostrils, totaling two points, both being Yingxiang (LI-20).
The meridian qi of the Hand-Yangming Large Intestine starts at Shangyang (LI-1) on the medial side of the index finger, follows the lateral border of the finger, emerges at Hegu (LI-4) between the tendons in the depression of the metacarpals, enters the lateral elbow via the lateral forearm, proceeds along the lateral upper arm to the anterior border of the shoulder, runs alongside the spine (Zhugut), enters the Supraclavicular Fossa (Quepen) from the shoulder, connects with the Lung, descends through the diaphragm, and belongs to the Large Intestine; its branch rises straight up from the Supraclavicular Fossa to the neck, crosses obliquely over the cheek anteriorly, enters the lower gum, circles around the philtrum (Renzhong), crosses to the opposite side, ascends flanking the nasal cavity, and pours into Yingxiang (LI-20). When the qi and blood of this meridian are abundant, pathological changes (Shidong) involve neck swelling and toothache; diseases generated include epistaxis, yellow eyes, dry mouth, throat obstruction (Houbi); difficulty in using the thumb and index finger; persistent pain in the anterior lateral shoulder; if pathogenic factors are excessive, the pulse is hot and swollen; if healthy Qi is deficient, there is chills, and the disease worsens asymmetrically.