足太阴,脾中州,二十一穴隐白游。赴大都兮瞻太白,访公孙兮至商丘。越三阴之交而漏谷地机可即,步
阴陵之泉而血海箕门是求。入冲门兮府舍轩豁,解腹结兮大横优游。腹哀食窦兮接天溪而同派,胸乡周荣兮缀
大包而如钩。
大趾内侧起隐白,节后陷中求大都,太白内侧核骨下,节后一寸公孙呼,商丘内踝陷中遭,踝上三寸三阴
交,踝上六寸漏谷是,踝上五寸地机朝,膝下内侧阴陵泉,血海膝膑上内廉,箕门穴在鱼腹取,动脉应手越筋
间,冲门期下尺五分,府舍期下九寸判,腹结期下六寸八,大横期下五寸半,腹哀期下方二寸,期门肝经穴道
现,巨阙之旁四寸五,却连脾穴休胡乱,自此以上食窦穴,天溪胸乡周荣贯,相去寸六无多寡,又上寸六中府
换,大包腋下有六寸,渊液腋下三寸绊。
舌本强,脉连舌本也。食则呕,脾不能化食也。胃脘痛,脉络胃也。腹胀,脉入腹也。善噫,脾气厥逆于
胃也。得后与气则快,脾气下泄也。身体重,脾主肌肉也。以上或经病、或络病、或脏病,皆脾经自病也。舌
本痛,甚于强也。体不能动,甚于重也。食不下,不但呕也。心烦、心痛,脉注心中,亦合心经病也。溏瘕泄,
脾不实也。水闭,脾病连肾也。黄胆,脾病本色外现也。不能卧,肾病干脾也。强立股膝肿、足大趾不用,皆
经病。以上合病也。不言气盛、气虚,省文也。
足太阴脾经,位于中州(人体中部),共有二十一个穴位,从隐白穴开始循行。前往大都穴,瞻望太白穴;拜访公孙穴,到达商丘穴。越过三阴经交汇之处,漏谷穴和地机穴便可找到;步入阴陵泉穴所在,血海穴和箕门穴是所求之处。进入冲门穴,府舍穴开阔明朗;解开腹结穴的郁结,大横穴从容舒展。腹哀穴、食窦穴与天溪穴同出一源,胸乡穴、周荣穴连接大包穴如钩状相连。
大趾内侧起始处为隐白穴,节后凹陷中寻求大都穴,太白穴在内侧核骨下方,节后一寸处称为公孙穴,商丘穴在内踝下方的凹陷中遭遇,内踝上三寸处为三阴交穴,内踝上六寸处为漏谷穴,内踝上五寸处为地机穴,膝下内侧为阴陵泉穴,血海穴在膝盖髌骨上方内侧边缘,箕门穴在鱼腹部位取穴,动脉跳动应手穿过筋间,冲门穴在期门穴下方尺五分处,府舍穴在期门穴下方九寸处判定,腹结穴在期门穴下方六寸八分处,大横穴在期门穴下方五寸半处,腹哀穴在期门穴下方二寸处,期门穴属于肝经穴位显现,巨阙穴旁开四寸五分处,却连接着脾经穴位不可胡乱操作,自此以上为食窦穴,天溪穴、胸乡穴、周荣穴贯穿其间,相距一寸六分没有多少差别,再向上寸六分由中府穴替换,大包穴在腋下六寸处,渊液穴在腋下三寸处羁绊。
舌根僵硬,是因为经脉连系舌根。进食则呕吐,是因为脾不能运化食物。胃脘疼痛,因为经脉联络胃部。腹胀,因为经脉进入腹部。喜欢嗳气,是因为脾气厥逆于胃。排便排气后感到舒畅,是因为脾气下泄。身体沉重,因为脾主肌肉。以上或为经病、或为络病、或为脏病,都是脾经自身的病变。舌根疼痛,比僵硬更严重。身体不能活动,比重沉更严重。饮食不下,不仅仅是呕吐。心烦、心痛,因为经脉注入心中,也符合心经病变。溏泄夹有未消化食物或瘕聚,是因为脾不充实。小便闭塞,因为脾病牵连肾脏。黄疸,因为脾病本色外现。不能平卧,因为肾病干扰脾。强行站立导致大腿膝盖肿胀、足大趾不能使用,都是经病。以上为合病。不言气盛、气虚,是省略写法。
The Foot-Taiyin Spleen Meridian is located in the Central Region (the middle of the human body) and has twenty-one acupoints, starting with Yinbai. Proceed to Dada, gaze at Taibai; visit Gongsun, arrive at Shangqiu. Crossing the intersection of the three Yin meridians, Lougu and Dijia can be reached; stepping into the spring of Yinlingquan, Xuehai and Jimen are sought. Entering Chongmen, Fushé is open and spacious; resolving the knot of Fujie, Dahan moves leisurely. Fu'ai, Shidou connect with Tianxi sharing the same source; Xiongxiang and Zhourong link to Dabao like a hook.
Starting from the medial side of the great toe is Yinbai; seek Dada in the depression behind the joint; Taibai is below the nuclear bone on the medial side; one cun posterior to the joint is called Gongsun; Shangqiu is encountered in the depression medial to the medial malleolus; Sanyinjiao is three cun above the medial malleolus; Lougu is six cun above the medial malleolus; Dijia is five cun above the medial malleolus; Yinlingquan is on the medial side below the knee; Xuehai is on the medial margin above the patella; Jimen is taken at the fish belly area, where the arterial pulse is felt passing between the tendons; Chongmen is 0.5 cun below Qimen; Fushé is determined nine cun below Qimen; Fujie is 6.8 cun below Qimen; Dahan is 5.5 cun below Qimen; Fu'ai is two cun below Qimen; Qimen belongs to the Liver Meridian and appears; beside Juque, four cun and five fen lateral, connects to Spleen Meridian points, do not operate randomly; from here upwards is Shidou; Tianxi, Xiongxiang, and Zhourong run through; they are separated by one cun and six fen with little difference; moving up another one cun and six fen, Zhongfu replaces it; Dabao is six cun under the axilla; Yuanli binds at three cun under the axilla.
Stiffness of the tongue root occurs because the meridian connects to the tongue root. Vomiting after eating occurs because the Spleen cannot transform food. Epigastric pain occurs because the meridian connects to the Stomach. Abdominal distension occurs because the meridian enters the abdomen. Frequent belching occurs because Spleen Qi rebels in the Stomach. Feeling relieved after defecation and passing gas occurs because Spleen Qi descends. Heaviness of the body occurs because the Spleen governs the muscles. The above conditions may be Jing-meridian diseases, Luo-collateral diseases, or Zang-organ diseases, all being self-diseases of the Spleen Meridian. Pain of the tongue root is more severe than stiffness. Inability to move the body is more severe than heaviness. Inability to eat is more than just vomiting. Heart vexation and heart pain occur because the meridian pours into the heart center, also conforming to Heart Meridian diseases. Loose stools with undigested food or masses occur because the Spleen is not solid. Urinary retention occurs because Spleen disease involves the Kidney. Jaundice occurs because the true color of the Spleen manifests externally. Inability to lie down occurs because Kidney disease interferes with the Spleen. Forcibly standing leading to swelling of the thighs and knees and inability to use the big toe are all Jing-meridian diseases. The above are combined diseases. Not mentioning Qi excess or Qi deficiency is an omission of text.