手少阴心起极泉,青灵少海灵道全,通里阴 神门下,少府少冲小指边。
少阴心起极泉中,腋下筋间动引胸,青灵肘上三寸取,少海肘后端五分,灵道掌后
一寸半,通里腕后一寸同,阴 腕后内半寸,神门掌后锐骨隆,少府小指本节末,小指内侧取少冲。
【注】极泉穴,在腋下臂内筋间动脉引胸中,是其穴也。从极泉下行至时,在肘上三
寸,伸肘举臂取之,青灵穴也。从青灵下行肘内廉,节后大骨外上去肘端五分,肘内横
纹头,屈肘向头取之,少海穴也。从少海下行掌后一寸五分,灵道穴也。从灵道下行五
分,循腕侧外腕后一寸陷中,通里穴也。从通里内行五分,掌后脉中腕后五分,阴 穴
也。从阴 行掌后锐骨端陷中,神门穴也。从神门行手小指本节末,外侧骨缝陷中,少
府穴也。从少府行小指内,中行去爪甲角如韭叶,少冲穴也。
\r心经穴图\p06-d43a61.bmp\r
经云∶小肠者,受盛之官,化物出焉。又云∶小肠后附于脊,前附于脐,上左回叠,积
十六曲,大二寸半,径八分分之少半,长三丈二尺,受谷二斗四升,水六升三合合之大
半。又云∶小肠上口在脐上二寸近脊,水谷由此而入。复下一寸,外附于脐,为水分穴,
当小肠下口,至是而泌别清浊,水液渗入膀胱,滓秽流入大肠。又云∶是经多血少气。
《难经》曰∶小肠重二斤十四两。
\r手太阳小肠腑图\p06-d43a62.bmp\r
手少阴心经的穴位起于极泉穴,依次经过青灵、少海、灵道、通里、阴郄、神门,止于少府和少冲,位于小指一侧。
手少阴心经起始于极泉穴,位置在腋下筋脉之间,搏动处牵引至胸部;青灵穴在肘上三寸处取穴;少海穴在肘端内侧后方五分处;灵道穴在掌后横纹上一寸半处;通里穴在腕后横纹上一寸处;阴郄穴在腕后横纹内侧半寸处;神门穴在掌后尺侧锐骨(豌豆骨)隆起处;少府穴在小指本节(掌指关节)末端;少冲穴在小指内侧取穴。
【注】极泉穴,位于腋下臂内侧筋脉之间的动脉搏动处,其气引动胸中,这就是该穴位的位置。从极泉穴向下行至肘部,在肘上三寸处,伸肘举臂时取穴,此处为青灵穴。从青灵穴下行至肘内廉,节后大骨外侧,距离肘端五分处,即肘内横纹头,屈肘向头部方向取穴,此处为少海穴。从少海穴下行一寸五分,此处为灵道穴。从灵道穴下行五分,沿腕侧外方腕后一寸的凹陷处,此处为通里穴。从通里穴向内行五分,在掌后脉中腕后五分处,此处为阴郄穴。从阴郄穴行至掌后尺侧锐骨端的凹陷处,此处为神门穴。从神门穴行至手小指本节末端,外侧骨缝的凹陷处,此处为少府穴。从少府穴行至小指内侧,中间距离指甲角如韭菜叶宽度处,此处为少冲穴。
经典记载说:小肠是受盛之官,负责消化食物并排出糟粕。又说:小肠后方附着于脊柱,前方附着于脐部,向上向左回旋重叠,共有十六个弯曲,直径二寸半,管径八分又三分之一分,长度三丈二尺,能容纳谷物二斗四升,水六升又三分之二合。又说:小肠的上口在脐上二寸近脊处,水和谷物由此进入。再下一寸,外部附着于脐部,这里是水分穴,正当小肠的下口,到这里便分别清浊,水液渗入膀胱,渣滓流入大肠。又说:这条经脉多血少气。《难经》说:小肠重二斤十四两。
The acupoints of the Hand-Shaoyin Heart Meridian begin at Jiquan (HT1), proceed through Qingling, Shaohai, Lingdao, Tongli, Yinxi, Shenmen, and end at Shaofu and Shaochong, located on the side of the little finger.
The Hand-Shaoyin Heart Meridian originates at Jiquan (HT1), located between the tendons in the axilla where the pulse is palpable and radiates to the chest; Qingling is located three cun above the elbow; Shaohai is located five fen posterior to the medial end of the elbow; Lingdao is located one and a half cun proximal to the transverse crease of the wrist; Tongli is located one cun proximal to the transverse crease of the wrist; Yinxi is located half a cun proximal to the transverse crease of the wrist on the medial side; Shenmen is located in the depression at the radial border of the pisiform bone (referred to as "sharp bone" in classical texts) at the distal wrist crease; Shaofu is located at the distal end of the fifth metacarpophalangeal joint; Shaochong is located on the medial side of the little finger.
[Note] Jiquan (HT1) is located in the depression between the tendons on the medial aspect of the upper arm in the axilla, where the arterial pulse is felt and sensation radiates into the chest; this is the location of the point. Descending from Jiquan towards the elbow, at three cun above the elbow, with the arm extended and raised, the point Qingling is located. Descending from Qingling to the medial aspect of the elbow, lateral to the large bone after the joint, five fen above the medial end of the elbow, i.e., at the head of the transverse cubital crease, with the elbow flexed and facing the head, the point Shaohai is located. Descending one cun and five fen from Shaohai, the point Lingdao is located. Descending five fen from Lingdao, along the lateral side of the wrist in the depression one cun proximal to the transverse crease, the point Tongli is located. Moving five fen medially from Tongli, within the vessel at the wrist, five fen proximal to the transverse crease, the point Yinxi is located. From Yinxi to the depression at the end of the sharp bone (pisiform) at the distal wrist crease, the point Shenmen is located. From Shenmen to the distal end of the fifth metacarpophalangeal joint, in the depression in the lateral interosseous space, the point Shaofu is located. From Shaofu to the medial side of the little finger, midway between the tip and the corner of the nail, approximately the width of a leek leaf, the point Shaochong is located.
The Classics state: The Small Intestine is the official of reception and transformation, responsible for processing substances and separating them. It is also stated that the Small Intestine is attached posteriorly to the spine and anteriorly to the umbilicus. It loops upward and to the left, forming sixteen curves, with a diameter of two and a half cun, a lumen diameter of eight fen and one-third fen, and a length of three zhang and two chi. It can hold two dou and four sheng of grain and six sheng and two-thirds he of water. Furthermore, the upper orifice of the Small Intestine is located two cun above the umbilicus near the spine, where water and grain enter. One cun below this, externally attached to the umbilicus, is the point Shuifen, which corresponds to the lower orifice of the Small Intestine. Here, clear and turbid substances are separated; fluid permeates into the Bladder, while dregs flow into the Large Intestine. It is also stated that this meridian has abundant blood but scarce qi. The Nan Jing states: The Small Intestine weighs two jin and fourteen liang.