手阳明穴起商阳,二间三间合谷藏,阳溪偏历历温溜,下廉上廉三里长,曲池肘
迎五里,臂 肩 巨骨起,天鼎扶突接禾 ,终以迎香二十止。
商阳食指内侧边,二间来寻本节前,三间节后陷中取,合谷虎口岐骨间,阳溪上侧
腕中是,偏历腕后三寸安,温溜腕后去五寸,池前五寸下廉看,池前三寸上廉中,池前二
寸三里逢,曲池曲肘纹头尽,肘 上 外廉近,大筋中央寻五里,肘上三寸行向里,臂
肘上七寸量,肩 肩端举臂取,巨骨肩尖端上行,天鼎喉旁四寸真,扶突天突旁三寸,禾
水沟旁五分,迎香禾 上一寸,大肠经穴自分明。
【注】商阳穴在手食指内侧端后,去爪甲角如韭叶许,是其穴也。从商阳穴循食指上廉,本节前内侧陷中,
二间穴也。从二间穴循食指本节后,内侧陷中,三间穴也。从三间穴循行手大指次指岐骨间陷中,合谷穴也。从
合谷穴循行手腕中上侧,两筋间陷中,张大指次指取之,阳溪穴也。从阳溪穴上行手腕后,上侧三寸,偏历穴也。
从偏历穴上行三寸,温溜穴也。从温溜穴上行二寸五分,辅锐肉分,下廉穴也。从下廉穴上行一寸,上廉穴也。从
上廉穴上行一寸,锐肉之端,按之肉起,手三里穴也。从手三里穴上二寸,以手拱胸屈肘,横纹头陷中取之,曲池
穴也。从曲池穴上行大骨外廉陷中,肘 穴也。从肘 穴循行肘上三寸,向里大脉中央,五里穴也。从五里穴上行
四寸,两筋两骨罅宛宛陷中,伸臂平手取之,臂 穴也。从臂 穴上行 骨头,肩端上两骨罅陷处宛宛中,举臂取
之有空,肩 穴也。从肩 穴上行臂端,两叉骨间陷中,巨骨穴也。从巨骨穴循颈,缺盆上直行扶突下一寸,天鼎
穴也。从天鼎穴上直行曲颊下一寸,人迎后一寸五分,仰而取之,扶突穴也。从扶突穴贯颊直鼻孔下,水沟旁五
分,禾 穴也。从禾 穴上一寸,鼻孔旁五分,迎香穴也。
\r大肠经穴图\p06-d43a52.bmp\r
手阳明大肠经的穴位起始于商阳穴,接着是二间、三间和合谷穴。阳溪、偏历、温溜依次排列,下廉、上廉和手三里延伸较长。曲池位于肘部,肘髎、五里、臂臑、肩髃、巨骨相继而起。天鼎和扶突连接至禾髎,最后以迎香穴结束,共计二十个穴位。
商阳穴位于食指内侧边缘,二间穴在手指本节前方的凹陷处寻找,三间穴在本节后的凹陷中取穴,合谷穴在手大指与次指之间的岐骨缝隙中。阳溪穴在手腕上侧两筋间的凹陷处,张开拇指和食指即可找到;偏历穴在腕后三寸处;温溜穴在腕后五寸处;下廉穴在曲池穴前方五寸处;上廉穴在曲池穴前方三寸处;手三里穴在曲池穴前方二寸处。曲池穴在屈肘时肘横纹尽头处;肘髎穴在肘尖外侧近旁;五里穴在大筋中央,从肘上三寸向内行取之;臂臎穴在肘上七寸处;肩髃穴在肩端,举臂时取穴;巨骨穴在肩尖端向上行,两叉骨间的凹陷中。天鼎穴在喉旁四寸处;扶突穴在天突穴旁开三寸;禾髎穴在水沟穴旁五分处;迎香穴在禾髎穴上一寸,鼻孔旁五分处。大肠经的穴位分布清晰明了。
【注】商阳穴位于手食指内侧端后方,距离指甲角约韭菜叶宽度,此处即为该穴。从商阳穴沿食指上缘,至本节前内侧的凹陷处,即为二间穴。从二间穴沿食指本节后,至内侧凹陷处,即为三间穴。从三间穴沿行至手大指与次指之间的岐骨缝隙凹陷处,即为合谷穴。从合谷穴沿行至手腕上侧两筋间的凹陷处,张大拇指和食指可取到,此为阳溪穴。从阳溪穴上行至手腕后上侧三寸处,为偏历穴。从偏历穴上行三寸,为温溜穴。从温溜穴上行二寸五分,肌肉分界处,为下廉穴。从下廉穴上行一寸,为上廉穴。从上廉穴上行一寸,肌肉尖端,按压时肌肉隆起处,为手三里穴。从手三里穴上行二寸,双手抱胸屈肘,在横纹头凹陷处取穴,为曲池穴。从曲池穴上行至大骨外侧凹陷处,为肘髎穴。从肘髎穴沿行至肘上三寸,向里大脉中央,为五里穴。从五里穴上行四寸,两筋两骨缝隙中的凹陷处,伸臂平手取穴,为臂臎穴。从臂臎穴上行至骨头,肩端上两骨缝隙凹陷处的宛宛中,举臂取穴有空隙,为肩髃穴。从肩髃穴上行至臂端,两叉骨间的凹陷处,为巨骨穴。从巨骨穴沿颈部,缺盆上直行至扶突下一寸,为天鼎穴。从天鼎穴上直行至曲颊下一寸,人迎穴后一寸五分,仰头取穴,为扶突穴。从扶突穴贯穿脸颊直抵鼻孔下,水沟穴旁五分处,为禾髎穴。从禾髎穴上一寸,鼻孔旁五分处,为迎香穴。
The acupoints of the Hand-Yangming Large Intestine Meridian begin with Shangyang (LI1, 商阳), followed by Erjian (LI2, 二间), Sanjian (LI3, 三间), and Hegu (LI4, 合谷). Yangxi (LI5, 阳溪), Pianli (LI6, 偏历), and Wenliu (LI7, 温溜) are arranged in sequence, while Xialian (LI8, 下廉), Shanglian (LI9, 上廉), and Shousanli (LI10, 手三里) extend further. Quchi (LI11, 曲池) is located at the elbow, followed by Zhoulaо (LI12, 肘髎), Wuli (LI13, 五里), Binao (LI14, 臂臑), Jianyu (LI15, 肩髃), and Jugu (LI16, 巨骨). Tianding (LI17, 天鼎) and Futu (LI18, 扶突) connect to Heliao (LI19, 禾髎), ending with Yingxiang (LI20, 迎香), totaling twenty acupoints.
Shangyang (LI1) is located on the medial border of the index finger; Erjian (LI2) can be found in the depression anterior to the proximal interphalangeal joint of the finger; Sanjian (LI3) is taken in the depression posterior to the proximal interphalangeal joint; Hegu (LI4) is located in the depression between the first and second metacarpal bones (the "tiger's mouth"). Yangxi (LI5) is situated in the depression between the two tendons on the radial side of the wrist, accessible by abducting the thumb and index finger; Pianli (LI6) is located three cun proximal to the wrist crease; Wenliu (LI7) is five cun proximal to the wrist crease; Xialian (LI8) is five cun proximal to Quchi (LI11); Shanglian (LI9) is three cun proximal to Quchi (LI11); and Shousanli (LI10) is two cun proximal to Quchi (LI11). Quchi (LI11) is at the lateral end of the transverse cubital crease when the elbow is flexed; Zhoulaо (LI12) is near the lateral aspect of the olecranon; Wuli (LI13) is located three cun proximal to the elbow, towards the center of the major artery; Binao (LI14) is seven cun proximal to the elbow; Jianyu (LI15) is at the shoulder tip, taken with the arm raised; Jugu (LI16) is in the depression between the clavicle and scapula, superior to the shoulder tip. Tianding (LI17) is four cun lateral to the throat; Futu (LI18) is three cun lateral to Tiantu (CV22); Heliao (LI19) is five fen lateral to Shuigou (GV26); and Yingxiang (LI20) is one cun superior to Heliao (LI19) and five fen lateral to the nostril. The distribution of the Large Intestine Meridian acupoints is clear and distinct.
[Note] Shangyang (LI1) is located at the medial corner of the nail of the index finger, approximately the width of a leek leaf from the nail angle. Following the upper margin of the index finger from Shangyang (LI1), the depression medial to the proximal interphalangeal joint contains Erjian (LI2). Following the finger from Erjian (LI2) to the depression medial to the proximal interphalangeal joint posteriorly lies Sanjian (LI3). From Sanjian (LI3), moving into the depression between the first and second metacarpal bones (Qi Gu) is Hegu (LI4). From Hegu (LI4), moving to the radial side of the wrist, in the depression between the two tendons, obtained by abducting the thumb and index finger, is Yangxi (LI5). Ascending three cun proximal to the wrist from Yangxi (LI5) is Pianli (LI6). Ascending three cun from Pianli (LI6) is Wenliu (LI7). Ascending two cun and five fen from Wenliu (LI7), where the muscle belly divides, is Xialian (LI8). Ascending one cun from Xialian (LI8) is Shanglian (LI9). Ascending one cun from Shanglian (LI9), at the apex of the muscle belly where pressure causes the muscle to rise, is Shousanli (LI10). Ascending two cun from Shousanli (LI10), with arms crossed over the chest and elbow flexed, the depression at the lateral end of the transverse cubital crease is Quchi (LI11). Ascending from Quchi (LI11) to the depression lateral to the greater tubercle of the humerus is Zhoulaо (LI12). Following Zhoulaо (LI12) three cun proximal to the elbow, towards the center of the major artery, is Wuli (LI13). Ascending four cun from Wuli (LI13), in the depression between two tendons and two bones, obtained by extending the arm and holding it level, is Binao (LI14). Ascending from Binao (LI14) to the bone, in the depression between the two bones at the top of the shoulder tip, obtained with the arm raised, is Jianyu (LI15). Ascending from Jianyu (LI15) to the end of the arm, in the depression between the bifurcated bones, is Jugu (LI16). Following the neck from Jugu (LI16), straight up from Quepen (ST12) to one cun inferior to Futu (LI18) is Tianding (LI17). Ascending straight up from Tianding (LI17) to one cun inferior to the curve of the jaw, one cun and five fen posterior to Renying (ST9), obtained with the head tilted back, is Futu (LI18). Passing through the cheek from Futu (LI18) directly below the nostril, five fen lateral to Shuigou (GV26), is Heliao (LI19). One cun superior to Heliao (LI19), five fen lateral to the nostril, is Yingxiang (LI20).