条文:
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,臑俞天宗秉风合,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。
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条文:
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,臑俞肩臑骨陷考。(肩臑骨陷者,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),
曲垣肩中曲胛陷,外俞上胛一寸从(即外肩俞。肩胛上廉,上脊三寸)。
中俞大椎二寸旁,天窗曲颊动陷详,天容耳下曲颊后,颧□面頄锐骨量,
(面頄骨下廉锐骨端陷中)
听宫中耳珠子上(耳中珠子大如赤小豆),
此为小肠手太阳。
注:[1]少泽穴,在手小指外侧端,去爪甲角一分陷中,是其穴也。
[2]从少泽上行,手小指外侧本节前陷中,前谷穴也。
[3]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。
[4]从后溪上行,手掌外侧,腕前起骨下罅缝陷中,腕骨穴也。
[5]从腕骨上行,手掌外侧,腕下锐骨下陷中,阳谷穴也。
[6]从阳谷上行,手下锐骨上,一空腕后一寸许陷中,养老穴也。
[7]从养老上行外廉四寸,支正穴也。
[8]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。
[9]从小海上行,肩曲胛骨下,大骨傍两骨解间,肩端后陷中,
肩贞穴也。
[10]从肩贞上行肩端,臑上肩骨下,胛骨上廉陷中,举臂取之,
臑俞穴也。
[11]从臑俞上行,肩骨下陷中,天宗穴也。
[12]从天宗上行,肩上小胛骨,举臂有空,秉风穴也。
[13]从秉风上行肩中央,曲胛陷中,按之应手痛,曲垣穴也。
[14]从曲垣上行,肩胛上廉,去脊傍开三寸陷中,肩外俞穴也。
[15]从肩外俞上行,肩胛内廉,去脊督脉之大椎穴傍开二寸陷中,
肩中俞穴也。
[16] 从肩中俞上行,颈大筋前曲,颊下动脉应手陷中,天窗穴也。
[17] 从天窗上行,耳下曲颊后,天容穴也。
[18] 从天容上行,面頄骨下廉,锐骨端陷中,颧□穴也。
[19] 从颧□上行耳中之珠,听宫穴也(图五十五)。
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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外侧的不同位置。阳谷穴与养老穴相邻,支正穴在小海穴上方,再向上是肩贞穴。臑俞、天宗、秉风穴依次排列,曲垣、肩外俞、肩中俞穴也循次分布。天窗穴随后,接着是天容穴。这条经脉共有十九个穴位,还有颧髎穴和听宫穴。
小指外侧端为少泽穴,前谷穴在本节(掌指关节)前的外侧,后溪穴在节后横纹尖端,腕骨穴在腕部前方骨骼凹陷处。阳谷穴在尺骨茎突下方的凹陷中,腕背横纹上一寸处名为养老穴,支正穴在外侧向上四寸处,小海穴在肘尖内侧五分处。肩贞穴在肩关节后方凹陷中,臑俞穴在肩臂骨间凹陷处(所谓肩臂骨间凹陷,是指下缘肩胛骨,上举手臂时的凹陷处取穴)。天宗穴在肩胛骨下方凹陷中,秉风穴在肩上小肩胛骨后的空隙中(肩上肩胛骨后方,举起肩膀时有空隙),曲垣穴在肩中部肩胛骨弯曲处的凹陷中,外俞穴在肩胛上缘距离脊柱三寸处(即肩外俞,位于肩胛上缘,距脊三寸)。肩中俞穴在大椎穴旁开二寸处,天窗穴在颈部大筋前、下颌角后方动脉搏动处的凹陷中,天容穴在耳下下颌角后方,颧髎穴在面颊骨下缘锐利骨端的凹陷中(面颊骨下缘锐骨端凹陷处),听宫穴在耳中如赤小豆大小的软骨处。这就是手太阳小肠经的穴位。
注:[1] 少泽穴,位于手小指外侧端,距离指甲角一分处的凹陷中,就是该穴位。
[2] 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。
[3] 从前谷穴向上行,在手小指本节后,外侧横纹尖端的凹陷中,仰手握拳时取穴,是后溪穴。
[4] 从后溪穴向上行,在手掌外侧,腕部前方起骨下的缝隙凹陷中,是腕骨穴。
[5] 从腕骨穴向上行,在手掌外侧,腕下锐骨下方的凹陷中,是阳谷穴。
[6] 从阳谷穴向上行,在手下锐骨上方,腕后一寸许的凹陷中,是养老穴。
[7] 从养老穴向上行外侧四寸,是支正穴。
[8] 从支正穴向上行,在肘部外侧大骨外,距离肘尖五分处的凹陷中,屈手向头部方向取穴,是小海穴。
[9] 从小海穴向上行,在肩胛骨弯曲处下方,大骨旁边两骨连接间隙,肩端后方的凹陷中,是肩贞穴。
[10] 从肩贞穴向上行到肩端,臑部上方肩骨下方,肩胛骨上缘的凹陷中,举臂时取穴,是臑俞穴。
[11] 从臑俞穴向上行,在肩骨下方的凹陷中,是天宗穴。
[12] 从天宗穴向上行,在肩上小肩胛骨处,举臂时有空隙,是秉风穴。
[13] 从秉风穴向上行到肩中央,肩胛骨弯曲处的凹陷中,按压时感到疼痛,是曲垣穴。
[14] 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。
[15] 从肩外俞穴向上行,在肩胛内缘,距离脊柱督脉的大椎穴旁开二寸的凹陷中,是肩中俞穴。
[16] 从肩中俞穴向上行,在颈部大筋前,下颌角后方动脉搏动应手的凹陷中,是天窗穴。
[17] 从天窗穴向上行,在耳下下颌角后方,是天容穴。
[18] 从天容穴向上行,在面颊骨下缘,锐骨端凹陷中,是颧髎穴。
[19] 从颧髎穴向上行到耳中的软骨珠,是听宫穴(见图五十五)。
The acupoints of the Hand-Taiyang Small Intestine Meridian: Shaose (SI-1) is first located at the tip of the little finger. Qian Gu (SI-2), Hou Xi (SI-3), and Wang Gu (SI-4) are situated between the wrist and palm. Yang Gu (SI-5) is adjacent to Yang Lao (SI-6). Zhi Zheng (SI-7) is above Xiao Hai (SI-8), followed by Jian Zhen (SI-9). Naoshu (SI-10), Tianzong (SI-11), and Bingfeng (SI-12) are arranged in sequence. Qu Yuan (SI-13), Jianwaishu (SI-14), and Jianzhongshu (SI-15) follow. Tianchuang (SI-16) comes next, then Tianrong (SI-17). This meridian contains nineteen acupoints, including Quanliao (SI-18) and Tinggong (SI-19).
Shaose (SI-1) is at the outer lateral end of the little finger. Qian Gu (SI-2) is located on the lateral side anterior to the metacarpophalangeal joint crease. Hou Xi (SI-3) is at the apex of the transverse crease posterior to the joint. Wang Gu (SI-4) is in the depression anterior to the styloid process of the ulna. Yang Gu (SI-5) is in the depression below the styloid process of the ulna. Yang Lao (SI-6) is named so because it is one cun proximal to the dorsal wrist crease. Zhi Zheng (SI-7) is four cun superior along the lateral aspect. Xiao Hai (SI-8) is excellent at five fen medial to the olecranon. Jian Zhen (SI-9) is in the depression posterior to the glenoid cavity. Naoshu (SI-10) is examined in the depression between the humerus and scapula (the depression below the scapula when the arm is raised). Tianzong (SI-11) is in the depression below the scapular spine. Bingfeng (SI-12) is in the small hollow behind the acromion (a space appears when raising the shoulder). Qu Yuan (SI-13) is in the depression within the curved scapula at the center of the shoulder. Waishu (Jianwaishu, SI-14) follows from the upper border of the scapula, three cun from the spine (also known as Jianwaishu, located at the upper border of the scapula, three cun lateral to the spine). Zhongshu (Jianzhongshu, SI-15) is two cun lateral to the Dazhui (GV-14) point on the inner border of the scapula. Tianchuang (SI-16) is detailed in the depression where the carotid artery pulses anterior to the sternocleidomastoid muscle and posterior to the angle of the mandible. Tianrong (SI-17) is posterior to the angle of the mandible below the ear. Quanliao (SI-18) is measured at the sharp bony edge below the zygomatic bone (in the depression at the lower margin of the zygomatic bone). Tinggong (SI-19) is at the pearl-like cartilage in the ear (the cartilage in the ear is as large as a red bean). These constitute the Hand-Taiyang Small Intestine Meridian.
Note: [1] Shaose (SI-1) is located in the depression one fen distal to the corner of the nail on the radial side of the little finger.
[2] Moving upward from Shaose (SI-1), Qian Gu (SI-2) is in the depression anterior to the proximal interphalangeal joint on the radial side of the little finger.
[3] Moving upward from Qian Gu (SI-2), Hou Xi (SI-3) is in the depression at the apex of the transverse crease on the radial side, proximal to the metacarpophalangeal joint; take this point with the hand supinated and clenched into a fist.
[4] Moving upward from Hou Xi (SI-3), Wang Gu (SI-4) is in the depression in the gap below the prominent bone at the anterior aspect of the wrist on the radial side of the palm.
[5] Moving upward from Wang Gu (SI-4), Yang Gu (SI-5) is in the depression below the sharp bone of the wrist on the radial side of the palm.
[6] Moving upward from Yang Gu (SI-5), Yang Lao (SI-6) is in a depression approximately one cun proximal to the sharp bone of the wrist.
[7] Moving upward four cun along the lateral aspect from Yang Lao (SI-6), Zhi Zheng (SI-7) is located.
[8] Moving upward from Zhi Zheng (SI-7), Xiao Hai (SI-8) is in the depression five fen distal to the end of the elbow, on the lateral side of the large bone of the elbow; take this point with the elbow flexed and the hand directed toward the head.
[9] Moving upward from Xiao Hai (SI-8), Jian Zhen (SI-9) is in the depression posterior to the end of the shoulder, between the two joints of the large bone, below the curved scapula.
[10] Moving upward from Jian Zhen (SI-9) to the end of the shoulder, Naoshu (SI-10) is in the depression below the shoulder bone and above the upper border of the scapula; take this point with the arm raised.
[11] Moving upward from Naoshu (SI-10), Tianzong (SI-11) is in the depression below the shoulder bone.
[12] Moving upward from Tianzong (SI-11), Bingfeng (SI-12) is located on the small scapular bone of the shoulder, where a space appears upon raising the arm.
[13] Moving upward from Bingfeng (SI-12) to the center of the shoulder, Qu Yuan (SI-13) is in the depression of the curved scapula; tenderness upon palpation confirms the location.
[14] Moving upward from Qu Yuan (SI-13), Jianwaishu (SI-14) is in the depression three cun lateral to the spine at the upper border of the scapula.
[15] Moving upward from Jianwaishu (SI-14), Jianzhongshu (SI-15) is in the depression two cun lateral to the Dazhui (GV-14) point of the Governor Vessel, at the medial border of the scapula.
[16] Moving upward from Jianzhongshu (SI-15), Tianchuang (SI-16) is in the depression where the arterial pulse is felt anterior to the major tendon of the neck and posterior to the cheekbone.
[17] Moving upward from Tianchuang (SI-16), Tianrong (SI-17) is located posterior to the angle of the mandible below the ear.
[18] Moving upward from Tianrong (SI-17), Quanliao (SI-18) is in the depression at the end of the sharp bone below the lower margin of the zygomatic bone.
[19] Moving upward from Quanliao (SI-18) to the pearl-like structure in the ear, Tinggong (SI-19) is located (see Figure 55).