经云∶肝者,将军之官,谋虑出焉。又云∶肝居膈下,上着脊之九椎下。是经常多
血少气。其合筋也,其荣爪也。主藏魂,开窍于目。其系上络心肺,下亦无窍。
《难经》曰∶肝重二斤四两,左三叶右四叶,凡七叶。肝之为脏,其治在左,其脏在
右胁右肾之前,并胃着脊之第九椎。
\r足厥阴肝脏图\p06-d43a80.bmp\r
肝足厥阴之脉,起于大指聚毛之上,上循足跗上廉,去内踝一寸,上踝八寸,交出
太阴之后,上 内廉,循股阴入毛中,过阴器,抵小腹,侠胃,属肝,络胆,上贯膈,布
胁,循喉咙之后,上入颃颡,连目系,上出额与督脉会于颠。其支者,从目系下颊里,环
唇内;其支者,复从肝别贯膈,上注肺。
\r肝经循行图\p06-d43a81.bmp\r
厥阴足脉肝所终,大指之端毛际丛,足跗上廉太冲分,踝前一寸入中封,上踝交出
太阴后,循 内廉阴股冲,环绕阴器抵小腹,侠胃属肝络胆逢,上贯膈里布胁肋,侠喉颃
颡目系同,脉上颠会督脉出。支者还生目系中,下络颊里环唇内,支者便从膈肺通。
【注】足厥阴肝经之脉,起于足大指聚毛之际大敦行间穴,从行间上循足跗上廉太冲
穴,从太冲穴去内踝一寸,至于中封穴也。从中封穴循内联踝五寸,入于蠡沟穴也。从蠡
沟上踝七寸中都穴,上内踝八寸,交出于足太阴阴经之后,上踝内廉,膝关曲泉穴也。从
曲泉循股阴阴包五里穴,入于毛中之阴廉穴,过阴器入抵小腹,上行于章门穴,从章门循
行期门穴,从期门内行,侠胃,属肝,络胆,上贯膈,布胁肋,散布于脏腑,循喉咙之后,
上入颃颡,连目系,上额,与督脉会于颠也。其有一支者,不上会于颠,但从目下颊里环
唇内。又一支复从肝别贯膈,上注于肺,以交于手太阴肺经也。
古籍记载说:肝,是将军之官,谋虑由此产生。又说:肝位于膈肌之下,上部附着于脊柱第九椎骨下方。这条经脉通常是多血少气的。它与筋相合,其华表现在爪甲上。主要功能是藏魂,开窍于眼睛。它的系带向上联络心和肺,向下也没有孔窍与外界相通。
《难经》说:肝脏重二斤四两,左边有三叶,右边有四叶,总共七叶。肝作为脏腑,其气机治理的部位在左侧,而其脏器实体位于右胁下、右肾的前方,并与胃相邻,附着于脊柱第九椎骨处。
足厥阴肝经的脉气,起始于足大趾丛毛之处,向上沿足背内侧缘上行,在内踝前一寸处,上行至内踝八寸处,交出足太阴脾经之后,沿大腿内侧缘上行,进入阴毛中,经过生殖器,抵达小腹,夹行于胃的两侧,属于肝,联络胆,向上穿过膈肌,散布于胁肋部,沿喉咙后方上行,进入鼻咽部(颃颡),连接目系,向上出于额部,与督脉交会于头顶。其中一支脉,从目系下行至面颊内部,环绕口唇内侧;另一支脉,又从肝分出,贯穿膈肌,向上注入肺脏。
足厥阴肝经的脉气在此终结,起始于足大趾端丛毛处,足背内侧缘太冲穴处分流,内踝前一寸入中封穴,上行至内踝八寸处交出足太阴经之后,沿大腿内侧阴股部位上行,环绕生殖器抵达小腹,夹胃而行,属于肝络属胆,向上穿过膈肌散布于胁肋,夹喉咙经过鼻咽部和目系,脉气上行至头顶与督脉交会。分支者还从目系生出,下行络属面颊内部并环绕口唇内侧;另一分支便从膈部通连肺部。
【注释】足厥阴肝经的脉气,起始于足大趾丛毛之际的大敦穴和行间穴,从行间穴向上沿足背内侧缘至太冲穴,从太冲穴向内踝前一寸处,到达中封穴。从中封穴沿内踝向上五寸,进入蠡沟穴。从蠡沟穴上行至内踝七寸处的中都穴,再上行至内踝八寸处,交出于足太阴脾经之后,沿内踝内侧上行至膝部的膝关穴和曲泉穴。从曲泉穴沿大腿内侧经阴包穴、五里穴,进入阴毛中的阴廉穴,经过生殖器进入并抵达小腹,上行至章门穴,从章门穴循行至期门穴,从期门穴向内行走,夹行于胃的两侧,属于肝,联络胆,向上穿过膈肌,散布于胁肋,散布于脏腑之间,沿喉咙后方上行,进入鼻咽部,连接目系,上行至额部,与督脉交会于头顶。其中有一支脉,不向上交会于头顶,而是从眼下方面颊内部环绕口唇内侧。又有一支脉再从肝分出,贯穿膈肌,向上注入肺脏,以交接于手太阴肺经。
The classic texts state: The Liver is the official of the General, from whom strategies and deliberations arise. It is also stated that the Liver resides below the diaphragm, with its upper part attached to the ninth thoracic vertebra of the spine. This meridian typically has abundant blood but scarce Qi. It corresponds to the sinews (Jin), its flourishing aspect manifests in the nails, it primarily stores the Hun (Ethereal Soul), and opens into the eyes. Its connecting system links upward to the Heart and Lungs, while downward it has no orifice connecting to the exterior.
The *Nan Jing* (Classic of Difficult Issues) states: The Liver weighs two jin and four liang. It has three lobes on the left and four on the right, totaling seven lobes. As an organ, its functional governance is located on the left, while its physical body is situated in the right hypochondrium, anterior to the right Kidney, adjacent to the Stomach, and attached to the ninth thoracic vertebra of the spine.
The Foot Jueyin Liver Meridian originates at the lateral end of the big toe where hair grows. It ascends along the medial margin of the dorsum of the foot, one cun anterior to the medial malleolus, reaches eight cun above the ankle, crosses posterior to the Foot Taiyin Spleen Meridian, ascends along the medial aspect of the thigh, enters the pubic region, passes around the external genitalia, reaches the lower abdomen, flanks the Stomach, belongs to the Liver, and connects with the Gallbladder. It pierces through the diaphragm, spreads within the hypochondrium, follows the posterior aspect of the pharynx, enters the nasopharynx (Hangsang), connects with the optic nerve system, emerges onto the forehead, and meets the Du Meridian at the vertex. A branch descends from the optic nerve system to the inner cheek, encircling the interior of the lips. Another branch diverges from the Liver, pierces through the diaphragm, and flows upward into the Lung.
The Foot Jueyin Liver Meridian terminates here. It begins at the hairy margin of the tip of the big toe. At Taichong (LR3) on the medial margin of the dorsum of the foot, it divides. One cun anterior to the medial malleolus, it enters Zhongfeng (LR4). Ascending eight cun above the ankle, it crosses posterior to the Foot Taiyin Meridian, following the medial aspect of the thigh. It circles the genitalia and reaches the lower abdomen, flanking the Stomach, belonging to the Liver and connecting with the Gallbladder. It pierces the diaphragm and spreads in the hypochondrium, flanking the throat, passing through the nasopharynx and connecting with the optic nerve system. The meridian ascends to the vertex to meet the Du Meridian. A branch arises from the optic nerve system, descending to network the inner cheek and circle the lips. Another branch communicates from the diaphragm to the Lung.
[Note] The meridian of the Foot Jueyin Liver Meridian originates at Dadun (LR1) and Xingjian (LR2) at the hairy margin of the big toe. From Xingjian, it ascends along the medial margin of the dorsum of the foot to Taichong (LR3). From Taichong, one cun anterior to the medial malleolus, it reaches Zhongfeng (LR4). From Zhongfeng, ascending five cun along the medial malleolus, it enters Ligou (LR5). From Ligou, ascending seven cun above the ankle, it reaches Zhongdu (LR6). Ascending eight cun above the medial malleolus, it crosses posterior to the Foot Taiyin Spleen Meridian, ascending along the medial aspect to Guanyuan (not explicitly named in text but implied by location) and Ququan (LR8) at the knee. From Ququan, following the medial thigh via Yinbao (LR9) and Wuli (LR10), it enters Yinlian (LR11) in the pubic region, passes the genitalia to reach the lower abdomen, ascends to Zhangmen (LR13), proceeds to Qimen (LR14), moves inward from Qimen, flanks the Stomach, belongs to the Liver, connects with the Gallbladder, pierces the diaphragm, spreads in the hypochondrium, distributes among the Zang-Fu organs, follows the posterior pharynx, enters the nasopharynx, connects with the optic nerve system, ascends to the forehead, and meets the Du Meridian at the vertex. One branch does not ascend to the vertex but descends from below the eye to the inner cheek, circling the lips. Another branch diverges from the Liver, pierces the diaphragm, and flows upward into the Lung, thereby connecting with the Hand Taiyin Lung Meridian.