(是经起于瞳子 穴,终于窍阴穴。)
胆足少阳之脉,起于目锐 ,上抵头角,下耳后,循颈,行手少阳之前,至肩上,却交出手少阳之后,入
缺盆。其支者,从耳后入耳中,出走耳前,至目锐 后。其支者,别锐 ,下大迎,合手少阳,抵于 ,下加
颊车,下颈合缺盆以下胸中,贯膈络肝属胆,循胁里,出气街,绕毛际,横入髀厌中。其直者,从缺盆下腋,
循胸过季胁,下合髀厌中,以下循髀阳,出膝外廉,下外辅骨之前,直下抵绝骨之端,下出外踝之前,循足跗
上,入小趾次趾之间。其支者,别跗上,入大趾之间,循大趾歧骨内出其端,还贯爪甲,出三毛。是动则病口
苦,善太息,心胁痛不能转侧,甚则面微有尘,体无膏泽,足外反热,是为阳厥。是主骨所生病者,头痛颔痛
,目锐 痛,缺盆中肿痛,腋下肿,马刀侠瘿,汗出振寒,疟,胸胁肋髀膝外至胫绝骨外髁前及诸节皆痛,小趾
次趾不用。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。盛者人
迎大一倍于寸口,虚者人迎反小于寸口也。
胁,又名 。曲骨之外为毛际。毛际两旁动脉为气冲。髀厌,髀枢也。胁骨之下为季胁。 骨为辅骨。外
踝以上为绝骨。足面为跗。足大趾本节后为歧骨。大趾爪甲后为三毛。
足少阳胆经之脉,受手少阳三焦之交,起于目锐 之瞳子 ,由听会、客主人上行头角,循颔厌,下悬颅
、悬厘,循耳上发际至曲鬓、率谷,由率谷外折,下耳后,循天冲、浮白、窍阴、完
骨,又自完骨外折,循本神下至阳白,会睛明,复从睛明上行,循临泣、目窗、正营、承灵、脑空、风池至颈,
行手少阳之脉前,下至肩上,循肩井,却左右交出手少阳之后,入缺盆外。其支者,自耳后入耳中,过听宫至
目锐 瞳子 之分。其支者,别自瞳子 下大迎,合手少阳于 ,下临颊车,下颈,循本经之前,与前之入缺
盆者相合,下胸中天池之外,贯膈,即期门之所,络肝,下属于胆,自属胆处循胁里至气冲,绕毛际,遂横入
髀厌之环跳穴。其直行者,从缺盆下腋,循胸,历渊液、辄筋、日月,过季胁,循京门、带脉、五枢、维道、
居,与前之入髀厌者相合,乃下循髀外,循太阳、阳明之间,历中渎、阳关,出膝外廉,抵阳陵泉,下辅骨
前,历阳交、外丘、光明,直下抵绝骨之端,循阳辅、悬钟而下出外踝之前,至丘墟,循足面之临泣、五会、
侠溪,乃上入小趾次趾之间,至窍阴而终。其支别者,自足面临泣别行入大趾,循歧骨内出大趾端,还贯入爪
甲,出三毛,以交于足厥阴肝经也。
足少阳胆经的脉气,起始于目外眦,向上到达头角,向下经过耳后,沿着颈部前行,走在手少阳三焦经的前面,到达肩部,然后折回交出于手少阳三焦经的后面,进入缺盆。它的分支,从耳后进入耳中,再走出耳前,到达目外眦后方。另一分支,从目外眦分出,下行至大迎穴,与手少阳三焦经会合,到达目眶下,向下经过颊车穴,下行颈部与进入缺盆的经脉汇合,由此下行进入胸中,穿过膈肌,联络肝脏,归属于胆;沿着胁肋内部,出于气街,环绕阴毛边缘,横向进入髀厌(大腿根部关节)中。其直行者,从缺盆下行腋下,沿着胸部经过季胁,向下与进入髀厌的经脉汇合,由此向下沿着大腿外侧,出于膝盖外侧,下行于腓骨之前,直下到达绝骨(腓骨下段)的末端,向下出于外踝之前,沿着足背前行,进入第四趾与第五趾之间。另一分支,从足背上分出,进入大趾趾缝间,沿着大趾内侧骨骼前行,出于大趾末端,回转贯穿爪甲,出于丛毛处。
当本经发生变动时,会出现口苦、喜欢叹气、心部和胁部疼痛导致身体不能转侧的症状,严重时面色微显尘垢,身体缺乏光泽,足外侧发热,这称为阳厥。本经主要主管骨骼所生的疾病,包括头痛、下颌痛、目外眦痛、缺盆中部肿痛、腋下肿、马刀侠瘿(淋巴结结核)、出汗且战栗发冷、疟疾,以及胸、胁、肋、髀、膝外侧直至胫骨、绝骨、外踝前及各个关节皆痛,小趾和第四趾不能随意运动。对于上述各种病症,实证用泻法,虚证用补法,热证用疾刺法,寒证用留针法,脉气下陷的用灸法,不虚不实的,取本经穴位治疗。实证表现为人迎脉搏动比寸口大一倍,虚证则人迎脉搏动反而小于寸口。
季胁,又名季胁。耻骨联合之外为阴毛边缘。阴毛边缘两旁的动脉搏动处为气冲穴。髀厌,即髀枢(大腿根部关节)。肋骨之下为季胁。腓骨为辅骨。外踝以上为绝骨。足面为跗。足大趾本节后为歧骨。大趾爪甲后为三毛。
足少阳胆经的脉气,受手少阳三焦经的气血交会影响,起始于目外眦的瞳子髎穴,由听会穴、客主人穴(上关穴)上行至头角,循行颔厌穴,下行至悬颅穴、悬厘穴,循行耳上发际至曲鬓穴、率谷穴,由率谷穴向外折转,下行至耳后,循行天冲穴、浮白穴、足窍阴穴、完骨穴,又从完骨穴向外折转,循行本神穴下行至阳白穴,会合睛明穴,再从睛明穴上行,循行临泣穴、目窗穴、正营穴、承灵穴、脑空穴、风池穴至颈部,走在手少阳三焦经脉的前方,下行至肩上,循行肩井穴,左右交叉交手少阳三焦经的后面,进入缺盆之外。它的分支,从耳后进入耳中,经过听宫穴到达目外眦瞳子髎穴的分野。另一分支,从瞳子髎穴分出下行至大迎穴,与手少阳三焦经在丝竹空穴附近会合,下行临近颊车穴,下行颈部,循行本经前方,与先前进入缺盆的经脉相汇合,下行至胸中天池穴的外侧,穿过膈肌,即期门穴所在之处,联络肝脏,向下归属于胆,从归属于胆处循行胁肋内部至气冲穴,环绕阴毛边缘,随即横向进入髀厌的环跳穴。其直行者,从缺盆下行腋下,循行胸部,历经渊液穴、辄筋穴、日月穴,经过季胁,循行京门穴、带脉穴、五枢穴、维道穴、居髎穴,与先前进入髀厌的经脉相汇合,于是向下循行大腿外侧,循行足太阳膀胱经与足阳明胃经之间,历经中渎穴、阳关穴,出于膝盖外侧,抵达阳陵泉穴,下行辅骨之前,历经阳交穴、外丘穴、光明穴,直下到达绝骨的末端,循行阳辅穴、悬钟穴而下出外踝之前,至丘墟穴,循行足面的临泣穴、五会穴、侠溪穴,于是向上进入小趾与第四趾之间,至足窍阴穴而终结。其别行的分支,从足面的临泣穴分出,进入大趾,循行歧骨内出于大趾端,回转贯穿入爪甲,出于三毛处,以交于足厥阴肝经。
(The channel originates at Tongziliao (GB15) and terminates at Zuqiaoyin (GB44).)
The Foot-Shaoyang Gallbladder Channel begins at the outer canthus of the eye, ascends to the vertex/corner of the head, descends behind the ear, follows the neck, runs anterior to the Hand-Shaoyang Sanjiao Channel, reaches the shoulder, then turns back to emerge posterior to the Hand-Shaoyang Sanjiao Channel, and enters the supraclavicular fossa. A branch enters the ear from behind it, emerges anterior to the ear, and reaches the area posterior to the outer canthus. Another branch diverges from the outer canthus, descends to Daying (LI17), merges with the Hand-Shaoyang Sanjiao Channel, reaches below the orbit, descends past Jiache (ST6), goes down the neck, and joins the supraclavicular group; it then descends into the chest, pierces the diaphragm, connects with the Liver, and belongs to the Gallbladder. It follows the interior of the hypochondrium, emerges at Qichong (ST30), surrounds the pubic region, and transversely enters the hip joint (Biyan). The main trunk descends from the supraclavicular fossa under the axilla, follows the chest passing through the costal margin, descends to merge with the branch in the hip joint, then continues down the lateral aspect of the thigh, emerges at the lateral side of the knee, descends anterior to the fibula, reaches the end of the Jiegu (lower fibula), emerges anterior to the lateral malleolus, follows the dorsum of the foot, and enters between the fourth and fifth toes. A branch diverges from the dorsum of the foot, enters the space between the great toe and second toe, follows the medial aspect of the dorsal bone of the great toe, emerges at its tip, returns to penetrate the nail bed, and emerges at the trichiasis (hair tuft).
When pathological changes occur in this channel, symptoms include bitter taste in the mouth, frequent sighing, pain in the heart and hypochondrium preventing turning of the body, and in severe cases, a dusty complexion, lack of luster in the body, and heat on the lateral aspect of the foot, known as Yang-Jue (Yang Reversal). This channel governs diseases arising from the bones, including headache, mandibular pain, pain at the outer canthus, swelling and pain in the supraclavicular fossa, axillary swelling, scrofula (Madao and Xiaying), sweating with chills, malaria, and pain throughout the chest, hypochondrium, ribs, thigh, lateral knee, tibia, Jiegu, lateral malleolus, and all joints, along with dysfunction of the fourth and fifth toes. For these conditions, excess is treated by draining, deficiency by tonifying, heat by rapid needling, cold by retaining the needle, sinking pulse by moxibustion, and neither excess nor deficiency by selecting points from the channel itself. Excess is indicated when the Renying pulse is one times larger than the Cunkou pulse; deficiency is indicated when the Renying pulse is smaller than the Cunkou pulse.
The hypochondrium is also called Ji Xie. The area outside the pubic symphysis is the pubic region. The pulsating artery on both sides of the pubic region is Qichong. Biyan refers to the hip pivot (hip joint). The lower part of the rib cage is the costal margin. The fibula is the Fu Gu. The area above the lateral malleolus is Jiegu. The dorsum of the foot is Fu. The bone behind the metatarsophalangeal joint of the great toe is Qi Gu. The area behind the nail of the great toe is San Mao.
The Foot-Shaoyang Gallbladder Channel receives intersection with the Hand-Shaoyang Sanjiao Channel. It originates at Tongziliao (GB15) in the outer canthus, ascends via Tinghui (GB2) and Kerenren (Shangguan GB12) to the corner of the head, follows Hanyan (GB18), descends to Xuanlu (GB19) and Xuanli (GB20), follows the hairline above the ear to Qubin (GB7) and Lvgu (GB8), turns outward from Lvgu, descends behind the ear following Tianchong (GB9), Fubai (GB10), Zuqiaoyin (GB44), and Wanggu (GB12), then turns outward from Wanggu, follows Benshen (GB13) down to Yangbai (GB14), meets Jingming (BL1), ascends again from Jingming, follows Linqi (GB15), Mucuang (GB16), Zhengying (GB17), Chengling (GB19), Naokong (GB11), Fengchi (GB20) to the neck, runs anterior to the Hand-Shaoyang Sanjiao Channel, descends to the shoulder, follows Jianjing (GB21), crosses left and right to emerge posterior to the Hand-Shaoyang Sanjiao Channel, and enters the supraclavicular fossa externally. A branch enters the ear from behind, passes through Tinggong (SI19) to reach the territory of Tongziliao (GB15) at the outer canthus. Another branch diverges from Tongziliao (GB15), descends to Daying (LI17), merges with the Hand-Shaoyang Sanjiao Channel near Sizhukong (TE23), descends near Jiache (ST6), goes down the neck, follows the anterior aspect of this channel, and merges with the branch that previously entered the supraclavicular fossa. It descends laterally to Tianchi (PC1), pierces the diaphragm at the location of Qimen (LR14), connects with the Liver, descends to belong to the Gallbladder, follows the interior of the hypochondrium from the Gallbladder connection to Qichong (ST30), surrounds the pubic region, and transversely enters the Huantiao (GB30) point in the hip joint. The main trunk descends from the supraclavicular fossa under the axilla, follows the chest, passes through Yuanye (GB24), Zhejin (GB25), Riyue (GB24), crosses the costal margin, follows Jingmen (GB25), Daimai (GB26), Wushu (GB27), Weidao (GB28), Juliao (GB29), merges with the branch entering the hip joint, then descends along the lateral thigh between the Foot-Taiyang Bladder Channel and Foot-Yangming Stomach Channel, passes through Zhongdu (GB33) and Yangguan (GB34), emerges at the lateral side of the knee, reaches Yanglingquan (GB34), descends anterior to the fibula, passes through Yangjiao (GB35), Waixiu (GB36), Guangming (GB37), reaches the end of Jiegu, follows Yangfu (GB38), Xuanzhong (GB39), and emerges anterior to the lateral malleolus, reaches Qiuxu (GB40), follows Linqi (GB15), Wuhui (GB43), Xiaxi (GB43) on the dorsum of the foot, ascends into the space between the fourth and fifth toes, and terminates at Zuqiaoyin (GB44). A divergent branch separates from Linqi (GB15) on the dorsum of the foot, enters the great toe, follows the Qi Gu internally, emerges at the tip of the great toe, returns to penetrate the nail bed, emerges at San Mao, and intersects with the Foot-Jueyin Liver Channel.