(凡二十一穴左右共四十二穴)
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拇指内侧隐白位大都节后陷中赵太白核骨下陷中公孙节后一寸止商丘有穴属经金踝下微
前陷
际二十地箕门血海上六寸筋间动脉须详谛冲门五寸大横下三寸三分寻府舍腹结横下寸三分大
横夹脐非此假腹哀寸半去日月直与食窦相连并食窦天溪及胸乡周荣各一寸六者大包渊液下三
寸出九筋间当记也
太阴脾起足大指上循内侧白肉际核骨之后内踝前上 循 胫膝里股内前廉入腹中属脾络
胃与膈通侠喉连舌散舌下支络从胃经心宫此经气盛而血衰是动其病气所为食下即吐胃脘痛更兼
身体痛难移腹胀善噫舌本强所生病者舌亦痛体重不食亦如之烦心、下仍急痛泄水溏瘕寒疟随
不卧强立股膝肿胆发
(凡九穴左右共十八穴)
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少阴心起极泉中腋下筋间脉入胸青灵肘节上三寸少海肘内节后容灵道掌后一寸半通里腕
后一寸同阴 五分取动脉神门掌后兑冲隆少府节后劳宫直小指内侧取少冲
手少阴经起心中下膈直与小肠通支者还从肺系走直上咽喉系目瞳直者上肺出夜下 后肘
内少海从臂内后廉抵掌中锐骨之端注少冲多气少血属此经是动心疲痛难忍渴欲饮水咽干燥所生
胁痛目如金胁臂之内后廉痛掌中有热向经寻
(足太阴脾经共有二十一穴,左右两侧共四十二穴)
足太阴脾经循行图
隐白穴位于足大趾内侧,大都穴之后,核骨下方的凹陷处;公孙穴在节后一寸;商丘穴属经金,位于内踝前下方的微陷处。
际二十地(注:此处原文疑似脱漏或讹误,结合上下文及穴位顺序,通常指“三阴交”等穴,但依原文直译);箕门穴在大腿内侧上六寸,筋间有动脉,需仔细诊察;冲门穴在腹股沟动脉搏动处五寸;大横穴在下脘旁开三寸三分处寻取;府舍、腹结穴在大横穴下方各三寸三分;大横穴夹脐分布,并非虚假之穴;腹哀穴距离日月穴一寸半,与食窦穴相连;并包括食窦、天溪、胸乡、周荣各穴,间距为一寸六分;大包穴在渊液穴下方三寸,出于九条筋之间,应当牢记。
足太阴脾经起始于足大趾末端,沿足内侧白肉边缘,经过核骨后方,上行至内踝前上方,沿着胫骨内侧,进入膝腘中,再沿大腿内侧前缘进入腹部,归属于脾脏,联络胃腑,向上通过膈肌,挟持咽喉,连系舌根,散布于舌下。其支脉从胃部分出,上通于心。此经气盛而血衰。如果是本经异常变动引起的疾病,表现为进食后立即呕吐,胃脘疼痛,兼有身体疼痛且难以移动,腹胀,容易嗳气,舌根僵硬。如果是本经所生的疾病,表现为舌痛,身体沉重,食欲不振,心烦意乱,小腹急痛,泄泻如水或大便溏薄,瘕聚,寒疟,不能安卧,强行站立时大腿和膝盖肿胀。
(手少阴心经共有九穴,左右两侧共十八穴)
手少阴心经循行图
极泉穴位于腋下筋间脉动处;青灵穴在肘节上三寸;少海穴在肘内节后;灵道穴在掌后一寸半;通里穴在腕后一寸;阴郄穴(原文作“阴 五分”,据文意补全为阴郄,距腕后五分)取动脉搏动处;神门穴在掌后锐骨端凹陷处;兑冲(注:原文可能为“兑谷”或误写,结合位置应为神门附近或指特定部位,此处保留原词或依语境理解为局部描述);少府穴在节后劳宫穴直对的小指内侧;少冲穴在小指内侧指甲角旁。
手少阴心经起始于心中,向下穿过膈肌,直接与小肠相通。其支脉从肺系(气管、喉咙部)分出,向上走行至咽喉,连系目系(眼球连系脑部的脉络)。直行者上肺,出于腋下的渊液穴,下行至肘内,经过少海穴,沿臂内侧后缘,抵达手掌中锐骨(豌豆骨)的末端,注入少冲穴。此经多气少血。如果是本经异常变动引起的疾病,表现为心痛难以忍受,口渴想喝水,咽喉干燥。如果是本经所生的疾病,表现为胁肋疼痛,眼睛发黄,胁肋及手臂内侧后缘疼痛,手掌发热。
(There are twenty-one acupoints on each side, totaling forty-two acupoints for both sides.)
[Diagram of the Foot-Taiyin Spleen Meridian]
Yinbai (SP1) is located in the depression medial to the big toe, distal to Dada (SP2), below the eminence of the first metatarsal bone. Gongsun (SP4) is one cun proximal to the post-malleolar process. Shangqiu (SP5), belonging to the Metal point of the meridian, is located in the slight depression anterior and inferior to the medial malleolus. [Note: The text "Ji er shi di" appears garbled or erroneous in the source; standard texts usually list Sanyinjiao here, but translation follows the literal sequence]. Jimen (SP11) is six cun superior on the medial aspect of the thigh, where an arterial pulse can be felt between the tendons; this must be examined carefully. Chongmen (SP12) is five cun from the inguinal ligament pulsation. Daheng (SP15) is sought three cun and three fen lateral to Xiawan (CV10). Fushhe (SP13) and Fujie (SP14) are three cun and three fen inferior to Daheng. Daheng is situated flanking the umbilicus, not a fictitious point. Fu'ai (SP16) is one cun and half away from Riyue (GB24), connecting directly with Shidou (SP17). This includes Shidou (SP17), Tianxi (SP22), Xiongxiang (SP23), and Zhourong (SP21), each spaced one cun and six fen apart. Dabao (SP21) is three cun inferior to Yuanli (GB24), emerging between nine tendons; this should be remembered.
The Foot-Taiyin Spleen Meridian originates at the tip of the big toe, ascends along the medial white skin margin, passes behind the eminence of the first metatarsal bone, moves anteriorly and superiorly to the medial malleolus, follows the medial aspect of the tibia, enters the popliteal fossa, ascends along the anterior edge of the medial thigh, enters the abdomen, connects with the Spleen, and links with the Stomach. It passes upward through the diaphragm, runs alongside the throat, connects with the root of the tongue, and spreads under the tongue. A branch arises from the Stomach, goes up to connect with the Heart. In this meridian, Qi is abundant while Blood is deficient. If pathological changes occur due to abnormal movement of Qi (Shi Dong), symptoms include immediate vomiting after eating, epigastric pain, body pain that makes movement difficult, abdominal distension, frequent belching, and stiffness of the tongue root. Diseases generated by this meridian (Suo Sheng Bing) include tongue pain, heavy sensation in the body, loss of appetite, irritability, urgency and pain in the lower abdomen, watery diarrhea or loose stools, abdominal masses (Jia), cold malaria, inability to sleep peacefully, and swelling of the thighs and knees when standing forcibly.
(There are nine acupoints on each side, totaling eighteen acupoints for both sides.)
[Diagram of the Hand-Shaoyin Heart Meridian]
Jiquan (HT1) is located in the artery between the tendons in the axilla. Qingling (HT8) is three cun superior to the elbow joint. Shaohai (HT3) is in the depression posterior to the medial epicondyle of the humerus. Lingdao (HT4) is one cun and half proximal to the wrist crease. Tongli (HT5) is one cun proximal to the wrist crease. Yinxi (HT6, text implies "Yin... five fen") is taken at the arterial pulse five fen proximal to the wrist crease. Shenmen (HT7) is in the depression at the radial end of the pisiform bone. [Text "Dui chong" is ambiguous, likely referring to local anatomy or a variant name]. Shaofu (HT8) is located opposite Laogong (PC8) on the medial side of the little finger. Shaochong (HT9) is located at the radial corner of the nail bed of the little finger.
The Hand-Shaoyin Heart Meridian originates in the Heart, descends through the diaphragm, and directly communicates with the Small Intestine. A branch arises from the Lung system (Fei Xi), ascends to the throat, and connects with the eye system (Mu Xi). The main trunk ascends to the Lung, emerges from the axilla (Yuanli area), descends into the elbow, passes through Shaohai (HT3), follows the posterior-medial border of the arm, reaches the medial end of the palm at the sharp bone (pisiform), and pours into Shaochong (HT9). This meridian has abundant Qi and deficient Blood. If pathological changes occur due to abnormal movement of Qi, symptoms include unbearable heart pain, thirst with desire to drink water, and dryness of the throat. Diseases generated by this meridian include hypochondriac pain, yellow eyes (jaundice), pain along the posterior-medial border of the hypochondrium and arm, and heat in the palm.