手太阳经小肠穴,少泽先于小指设,前谷后溪腕骨间,阳谷须同养老列,支正小海
上肩贞, 俞大宗秉风合,曲垣肩外复肩中,天窗循次上天容,此经穴数一十九,还有颧 入听宫。
小指端外为少泽,前谷本节前外侧,节后横纹取后溪,腕骨腕前骨陷侧。阳谷锐骨
下陷肘,腕上一寸名养老,支正外侧上四寸,小海肘端五分好,肩贞肩端后陷中, 俞肩
骨陷考(肩 骨陷者,下胛骨上举臂陷中取之也)。天宗肩骨下陷中,秉风肩上小 空,(肩上 骨后,举
肩有空),曲垣肩中曲HT 陷,外俞上HT 一寸从(即外肩俞,肩胛上廉,去脊三寸)。中俞大椎二寸旁,天
窗曲颊动陷详,天容耳下曲颊后,颧 面 锐骨量(面 骨下廉锐骨端陷中),听宫耳中珠子上(耳中
珠子大如赤小豆),此为小肠手太阳。
【注】少泽穴,在手小指外侧端,去爪甲角一分陷中,是其穴也。从少泽上行,手小
指外侧本节前陷中,前谷穴也。从前谷上行,手小指本节后,外侧横纹尖上陷中,仰手握
拳取之,后溪穴也。从后溪上行,手掌外侧,腕前起骨下罅缝陷中,腕骨穴也。从腕骨上
行,手掌外侧,腕下锐骨下陷中,阳谷穴也。从阳谷上行,手下锐骨上,一空腕后一寸许
陷中,阳谷穴也。从阳谷上行,手下锐骨上,
一空腕后一寸许陷中,养老穴也。从养老上行外廉四寸,支正穴也。从支正上行,肘外
大骨外,去肘端五分陷中,屈手向头取之,小海穴也。
从小海上行,肩曲HT 骨下,大骨傍两骨解间,肩端后陷中,肩贞穴也。从肩贞上行肩
端, 上肩骨下,HT 骨上廉陷中,举臂取之, 俞穴也。从 俞上行,肩骨下陷中,天宗
穴也。从天宗上行,肩上小 骨,举臂有空,秉风穴也。从秉风上行肩中央,曲HT 陷中,按
之应手痛,曲垣穴也。从曲垣上行,肩HT 上廉,去脊傍开三寸陷中,肩外俞穴也。从肩外俞
上行,肩HT 内廉,去脊督脉之大椎穴傍开二寸陷中,肩中俞穴也。从肩中俞上行,颈大筋
前曲,颊下动脉应手陷中,天窗穴也。从天窗上行,耳下曲颊后,天容穴也。从天容上
行,面 骨下廉,锐骨端陷中,颧 穴也。从颧 上行耳中之珠,听宫穴也。
\r小肠经穴图\p06-d43a65.bmp\r
手太阳小肠经的穴位,少泽穴首先位于小指末端。前谷、后溪、腕骨穴分别位于手掌尺侧的不同位置。阳谷穴与养老穴、支正穴、小海穴依次向上分布。接着是上肩部的肩贞穴、俞穴(即天宗穴)、秉风穴、曲垣穴、肩外俞穴和肩中俞穴。再往上,天窗穴、天容穴依次排列。这条经脉共有十九个穴位,此外还有颧髎穴进入听宫穴。
小指外侧端为少泽穴;前谷穴位于本节前方的外侧;后溪穴位于本节后方的横纹处;腕骨穴位于腕部前方骨骼凹陷的外侧。阳谷穴位于手腕锐骨下方的凹陷处;腕后一寸处名为养老穴;支正穴在外侧向上四寸处;小海穴在肘端内侧五分处较好定位;肩贞穴在肩端后方凹陷中;俞穴(天宗)在肩胛骨凹陷处考察(所谓肩胛骨凹陷,是指下举胛骨时上举手臂出现的凹陷处取穴)。天宗穴在肩胛骨下方凹陷中;秉风穴在肩上小骨空隙处(肩上骨后,举起肩膀有空隙);曲垣穴在肩中部弯曲的凹陷处;外俞穴在上方一寸处(即肩外俞,位于肩胛上缘,距离脊柱三寸)。肩中俞穴在大椎穴旁开二寸处;天窗穴在曲颊下方动脉应手的凹陷处详细寻找;天容穴在耳下曲颊后方;颧髎穴在面部颧骨下廉锐骨端的凹陷中测量;听宫穴在耳中珠子状软骨上方(耳中珠子大如赤小豆),这就是手太阳小肠经的穴位。
【注】少泽穴,在手小指外侧端,距离指甲角一分处的凹陷中,就是该穴位。从少泽穴向上行,在手小指外侧本节前方的凹陷中,是前谷穴。从前谷穴向上行,在手小指本节后,外侧横纹尖上的凹陷中,仰手握拳取穴,是后溪穴。从后溪穴向上行,在手掌外侧,腕前起骨下的缝隙凹陷中,是腕骨穴。从腕骨穴向上行,在手掌外侧,腕下锐骨下的凹陷中,是阳谷穴。从阳谷穴向上行,在手下锐骨上,腕后一寸许的凹陷中,是养老穴。从养老穴向上行,在外侧四寸处,是支正穴。从支正穴向上行,在肘外大骨外侧,距离肘端五分处的凹陷中,屈手向头方向取穴,是小海穴。从小海穴向上行,在肩曲骨下,大骨旁两骨解间,肩端后方凹陷中,是肩贞穴。从肩贞穴向上行到肩端,肩骨下,骨上缘凹陷处,举臂取穴,是天宗穴。从天宗穴向上行,在肩骨下凹陷中,是秉风穴。从天宗穴向上行,在肩上小骨,举臂有空隙处,是秉风穴。从秉风穴向上行到肩中央,弯曲凹陷处,按压感到疼痛,是曲垣穴。从曲垣穴向上行,在肩胛上缘,距离脊柱旁开三寸的凹陷中,是肩外俞穴。从肩外俞穴向上行,在肩胛内缘,距离脊柱督脉之大椎穴旁开二寸的凹陷中,是肩中俞穴。从肩中俞穴向上行,在颈大筋前,曲颊下动脉应手的凹陷中,是天窗穴。从天窗穴向上行,在耳下曲颊后方,是天容穴。从天容穴向上行,在面颊骨下廉,锐骨端凹陷中,是颧髎穴。从颧髎穴向上行到耳中的珠状软骨,是听宫穴。
The acupoints of the Hand-Taiyang Small Intestine Meridian: Shaose (SI1) is first located at the tip of the little finger. Qian Gu (SI2), Hou Xi (SI3), and Wang Gu (SI4) are situated between the wrist and the palm. Yang Gu (SI5) is aligned with Yang Lao (SI6) and Zhi Zheng (SI7). Xiao Hai (SI8) is located on the upper shoulder, followed by Jian Zhen (SI9), Tian Zong (SI10), Bing Feng (SI11), Qu Yuan (SI12), Jian Wai Shu (SI13), and Jian Zhong Shu (SI14). Moving upwards along the neck, Tian Chuang (SI16) is found sequentially, followed by Tian Rong (SI17). This meridian contains nineteen acupoints in total, plus Quan Liao (SI18) leading into Ting Gong (SI19).
Shaose (SI1) is at the lateral end of the little finger; Qian Gu (SI2) is originally at the lateral side of the proximal interphalangeal joint; Hou Xi (SI3) is taken at the transverse crease distal to the proximal interphalangeal joint; Wang Gu (SI4) is on the lateral side of the depression anterior to the styloid process of the ulna. Yang Gu (SI5) is in the depression below the styloid process of the ulna; one cun proximal to the wrist is named Yang Lao (SI6); Zhi Zheng (SI7) is four cun up the lateral aspect; Xiao Hai (SI8) is best located five fen medial to the olecranon. Jian Zhen (SI9) is in the posterior depression at the glenoid cavity. Tian Zong (SI10) is examined in the depression of the scapula (the depression appearing when raising the arm while depressing the scapula). Tian Zong (SI10) is in the depression below the scapular spine. Bing Feng (SI11) is in the small gap above the scapular spine (a gap appears when raising the shoulder). Qu Yuan (SI12) is in the curved depression in the center of the shoulder. Jian Wai Shu (SI13) is one cun superiorly (specifically, the upper border of the scapula, three cun from the midline). Jian Zhong Shu (SI14) is two cun lateral to the Dazhui (GV14) point. Tian Chuang (SI16) is detailed in the depression where the temporal artery beats under the angle of the jaw. Tian Rong (SI17) is behind the curved angle of the jaw below the ear. Quan Liao (SI18) is measured at the depression at the sharp bony end below the zygomatic bone. Ting Gong (SI19) is above the cartilaginous prominence in the ear (the prominence is as large as a red mung bean). These constitute the acupoints of the Hand-Taiyang Small Intestine Meridian.
[Note] Shaose (SI1) is located in the depression one fen away from the corner of the nail on the lateral side of the little finger. Ascending from Shaose (SI1), in the depression anterior to the proximal interphalangeal joint on the lateral side of the little finger, is Qian Gu (SI2). Ascending from Qian Gu (SI2), in the depression on the apex of the transverse crease distal to the proximal interphalangeal joint of the little finger, taking the position with the hand supinated and clenched into a fist, is Hou Xi (SI3). Ascending from Hou Xi (SI3), in the gap/depression below the raised bone at the anterior wrist on the lateral side of the palm, is Wang Gu (SI4). Ascending from Wang Gu (SI4), in the depression below the sharp bone at the wrist on the lateral side of the palm, is Yang Gu (SI5). Ascending from Yang Gu (SI5), above the sharp bone of the hand, in the depression approximately one cun posterior to the wrist, is Yang Lao (SI6). Ascending from Yang Lao (SI6) four cun up the lateral aspect, is Zhi Zheng (SI7). Ascending from Zhi Zheng (SI7), lateral to the large bone of the elbow, in the depression five fen from the end of the elbow, taking the position with the hand flexed towards the head, is Xiao Hai (SI8). Ascending from Xiao Hai (SI8), below the curved bone of the shoulder, between the separation of the two bones beside the large bone, in the posterior depression at the end of the shoulder, is Jian Zhen (SI9). Ascending from Jian Zhen (SI9) to the end of the shoulder, below the scapular bone, in the depression at the upper border of the bone, taking the position with the arm raised, is Tian Zong (SI10). Ascending from Tian Zong (SI10), in the depression below the scapular bone, is Bing Feng (SI11). Ascending from Bing Feng (SI11) to the center of the shoulder, in the curved depression where pressure elicits pain, is Qu Yuan (SI12). Ascending from Qu Yuan (SI12), at the upper border of the scapula, in the depression three cun lateral to the spine, is Jian Wai Shu (SI13). Ascending from Jian Wai Shu (SI13), at the medial border of the scapula, in the depression two cun lateral to the Dazhui (GV14) point of the Governor Vessel, is Jian Zhong Shu (SI14). Ascending from Jian Zhong Shu (SI14), anterior to the large tendon of the neck, in the depression where the pulse is felt under the curved angle of the jaw, is Tian Chuang (SI16). Ascending from Tian Chuang (SI16), behind the curved angle of the jaw below the ear, is Tian Rong (SI17). Ascending from Tian Rong (SI17), at the depression at the sharp bony end below the lower margin of the zygomatic bone, is Quan Liao (SI18). Ascending from Quan Liao (SI18) to the pearl-like structure in the ear, is Ting Gong (SI19).