条文:
四十五穴足阳明,承泣四白巨□经,地仓大迎登颊车,下关头维对人迎,
水突气舍连缺盆,气户库房屋翳寻,膺窗乳中下乳根,不容承满出梁门,
关门太乙滑肉起,天枢外陵大巨里,水道归来达气街,髀关伏兔走阴市,
梁丘犊鼻足三里,上巨虚连条口底,下巨虚下有丰隆,解溪冲阳陷谷同,
内庭厉兑阳明穴,大指次指之端终。
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条文:
胃之经兮足阳明,承泣目下七分寻,再下三分名四白,巨□鼻孔旁八分。
地仓侠吻四分近,大迎颔下寸三中,颊车耳下八分陷,下关耳前动脉行。
头维神庭旁四五,人迎喉旁寸五真,水突筋前人迎下,气舍喉下一寸乘。
缺盆舍下横骨陷,气户下行一寸明,库房下行一寸六,屋翳膺窗乳中根。
不容巨阙旁二寸,一寸承满与梁门,关门太乙滑内门,天枢脐旁二寸寻。
枢下一寸外陵穴,陵下一寸大巨陈,巨下三寸水道穴,水下二寸归来存。
气街归来下一寸,共去中行二寸匀,髀关膝上尺二许,伏兔髀下六寸是。
阴市伏兔下三寸,梁丘市下一寸记,犊鼻膝膑陷中取,膝眼三寸下三里。
里下三寸上廉穴,廉下二寸条口举,再下二寸下廉穴,复上外踝上八寸,
却是丰隆穴当记。解溪则从丰隆下,内循足腕上陷中,冲阳解下高骨动,
陷谷冲下二寸名,内庭次指外岐骨,厉兑大次指端中。
注:[1]承泣穴,在目下七分,目下胞陷中,上直瞳子正视取之,是其穴也。
[2]从承泣直下三分,颧空骨内,亦直瞳子取之,四白穴也。
[3]从四白下行,侠鼻孔旁八分,亦直瞳子取之,巨□穴也。
[4]从巨□下行,侠口吻旁四分外许,近下微有动脉,地苍穴也。
[5]从地仓行□颔下前一寸三分,骨陷中动脉,大迎穴也。
[6]从大迎行耳下曲颊端,近前八分陷中,侧卧开口取之,颊车穴也。
[7]从颊车上行,耳前动脉,侧卧合口有空取之,下关穴也。
[8]从下关上行额角,入发际以督脉中行神庭穴旁开四寸半,头维穴也。
[9]从头维下行,颈下侠结喉旁一寸五分,大动脉应手,伸头取之,
人迎穴也。
[10]从人迎下直行,颈大筋前内贴气喉,水突穴也。
[11]从水突下直行,颈大筋前结喉下一寸许陷中,贴骨尖上有缺处,
气舍穴也。
[12]从气舍下行,肩上横骨陷中,缺盆穴也。
[13]从缺盆下行,巨骨下一寸,旁开中行四寸陷中,仰而取之,
气户穴也。
[14]从气户下行一寸六分,亦旁开中行四寸陷中,仰而取之,库房穴也。
[15]从库房下行一寸六分,亦旁开中行四寸陷中,仰而取之,屋翳穴也。
[16]从屋翳下行一寸六分,亦旁开中行四寸陷中,仰而取之,膺窗穴也。
[17]从膺窗下行,当乳头之中,乳中穴也。
[18]从乳中下行一寸六分,亦旁开中行四寸陷中,仰而取之,乳根穴也。
[19]从乳根行在第四肋端,旁开中行二寸,不容穴也。
[20]从不容穴下一寸,亦旁开中行二寸,承满穴也。
[21]从承满下一寸,亦旁开中行二寸,梁门穴也。
[22]从梁门下一寸,亦旁开中行二寸,关门穴也。
[23]从关门下一寸,亦旁开中行二寸太乙穴也。
[24]从太乙下一寸,亦旁开中行二寸,滑肉门穴也。
[25]从滑肉门下一寸,侠脐旁二寸许陷中,天枢穴也。
[26]从天枢下一寸,亦旁开中行二寸,外陵穴也。
[27]从外陵下一寸,亦旁开中行二寸,大巨穴也。
[28]从大巨下三寸,亦旁开中行二寸,即水道穴也。
[29]从水道下二寸,亦旁开中行二寸,即归来穴也。
[30]从归来下行,在腿班中有肉核,名曰鼠溪,直上一寸,动脉应手,
亦旁开中行二寸,气街穴也。
[31]从气街下行,膝上一尺二寸许,中行左右各三指捺,
上有肉起如伏兔之状,故名伏兔,在此肉起后,交纹中,髀关穴也。
[32]从髀关下行,膝上六寸起肉间,正跪坐而取之,伏兔穴也。
[33]从伏兔下行三寸,在伏兔之下陷中,拜揖而取之,阴市穴也。
[34]从阴市下行一寸两筋间,梁丘穴也。
[35]从梁门下行过膝盖骨,下胻骨上陷中,俗名膝眼,
此处陷中两旁有空状如牛鼻在外侧者,犊鼻穴也。
[36]从犊鼻下行,胻骨外侧大筋内宛宛中,足三里穴也
(犊鼻即膝眼处也)。
[37]从足三里下行三寸,两筋骨陷中,举足取之,上巨虚穴也。
[38]从上巨虎下行二寸,举足取之,条口穴也。
[39]从条口下行一寸,两肋骨陷中,蹲地举足取之,下巨虚穴也。
[40]从下巨虚复斜向后,上行,在足外踝上八寸,□骨外廉陷中,
丰隆穴也。
[41]从丰隆内循下足腕上,中行陷中,解溪穴也。
[42]从解溪下行足跗上,即脚面也,高骨间动脉,冲阳穴也。
[43]从冲阳下行二寸,至足大趾之次趾本节后陷中,陷谷穴也。
[44]从陷谷下至足大趾之次趾本节前岐骨外间陷中,内庭穴也。
[45]从内庭下行足大趾之次趾之端,去爪角如韭叶许,厉兑穴也
(图四十六)
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四十五个穴位属于足阳明胃经,从承泣、四白、巨髎、地仓、大迎、颊车开始,向下经过头维,正对的人迎穴,
水突、气舍连接着缺盆,气户、库房、屋翳依次寻找,膺窗、乳中向下到乳根,不容、承满出自梁门,
关门、太乙、滑肉门起始,天枢、外陵、大巨在里,水道、归来到达气街,髀关、伏兔走向阴市,
梁丘、犊鼻、足三里,上巨虚连接条口到底部,下巨虚之下有丰隆,解溪、冲阳、陷谷相同(排列),
内庭、厉兑是阳明经的穴位,在大拇指和食指端的尽头结束。
胃经就是足阳明经,承泣穴在目下七分处寻找,再向下三分名为四白,巨髎在鼻孔旁八分处。
地仓穴在口角旁四分近处,大迎穴在下颌角下一寸三分中,颊车穴在耳下八分凹陷处,下关穴在耳前动脉搏动处行走。
头维穴在神庭穴旁开四寸半,人迎穴在喉旁一寸五分处真实存在,水突穴在人迎穴下方的筋前,气舍穴在喉下一寸乘(处)。
缺盆穴在锁骨上窝横骨凹陷处,气户穴向下行一寸明(确),库房穴向下行一寸六分,屋翳、膺窗、乳中、乳根相连。
不容穴在巨阙穴旁开二寸,承满穴与梁门穴各在一寸处,关门、太乙、滑肉门在内,天枢穴在脐旁二寸处寻找。
天枢下一寸是外陵穴,外陵下一寸是大巨穴,大巨下三寸是水道穴,水道下二寸是归来穴存留。
气街穴在归来穴下一寸,距离身体中线二寸均匀分布,髀关穴在膝上一尺二寸许,伏兔穴在大腿下六寸处。
阴市穴在伏兔下三寸,梁丘穴在阴市下一寸记住,犊鼻穴在膝盖骨凹陷中取,膝眼穴在三寸下取足三里。
足三里下三寸是上巨虚穴,上巨虚下二寸是条口穴举起,再下二寸是下巨虚穴,复向上在外踝上八寸,
却是丰隆穴应当记住。解溪穴则从丰隆穴下,向内循行足腕上凹陷中,冲阳穴在解溪下高骨间跳动处,
陷谷穴在冲阳下二寸名,内庭穴在第二趾外侧歧骨间,厉兑穴在大脚趾和第二趾端中间。
注:[1] 承泣穴,在眼下七分,眼眶下缘凹陷中,直视瞳孔正上方取之,即是此穴。
[2] 从承泣直下三分,颧骨空内,也直对瞳孔取之,是四白穴。
[3] 从四白下行,夹鼻孔旁八分,也直对瞳孔取之,是巨髎穴。
[4] 从巨髎下行,夹口角旁四分分外许,近下微有动脉,是地仓穴。
[5] 从地仓行至下颌前一寸三分,骨凹陷中动脉,是大迎穴。
[6] 从大迎行至耳下曲颊端,近前八分陷中,侧卧张口取之,是颊车穴。
[7] 从颊车上行,耳前动脉,侧卧闭口有空处取之,是下关穴。
[8] 从下关上行额角,入发际以督脉中行神庭穴旁开四寸半,是头维穴。
[9] 从头维下行,颈下夹结喉旁一寸五分,大动脉应手,伸头取之,
是人迎穴。
[10] 从人迎下直行,颈大筋前内贴气喉,是水突穴。
[11] 从水突下直行,颈大筋前结喉下一寸许陷中,贴骨尖上有缺处,
是气舍穴。
[12] 从气舍下行,肩上横骨凹陷中,是缺盆穴。
[13] 从缺盆下行,巨骨下一寸,旁开中线四寸凹陷中,仰面取之,
是气户穴。
[14] 从气户下行一寸六分,也旁开中线四寸凹陷中,仰面取之,是库房穴。
[15] 从库房下行一寸六分,也旁开中线四寸凹陷中,仰面取之,是屋翳穴。
[16] 从屋翳下行一寸六分,也旁开中线四寸凹陷中,仰面取之,是膺窗穴。
[17] 从膺窗下行,当乳头之中,是乳中穴。
[18] 从乳中下行一寸六分,也旁开中线四寸凹陷中,仰面取之,是乳根穴。
[19] 从乳根行在第四肋端,旁开中线二寸,是不容穴。
[20] 从不容穴下一寸,也旁开中线二寸,是承满穴。
[21] 从承满下一寸,也旁开中线二寸,是梁门穴。
[22] 从梁门下一寸,也旁开中线二寸,是关门穴。
[23] 从关门下一寸,也旁开中线二寸是太乙穴。
[24] 从太乙下一寸,也旁开中线二寸,是滑肉门穴。
[25] 从滑肉门下一寸,夹脐旁二寸许凹陷中,是天枢穴。
[26] 从天枢下一寸,也旁开中线二寸,是外陵穴。
[27] 从外陵下一寸,也旁开中线二寸,是大巨穴。
[28] 从大巨下三寸,也旁开中线二寸,即水道穴。
[29] 从水道下二寸,也旁开中线二寸,即归来穴。
[30] 从归来下行,在腿班中有肉核,名曰鼠蹊,直上一寸,动脉应手,
也旁开中线二寸,是气街穴。
[31] 从气街下行,膝上一尺二寸许,中线左右各三指捺,
上有肉起如伏兔之状,故名伏兔,在此肉起后,交纹中,是髀关穴。
[32] 从髀关下行,膝上六寸起肉间,正跪坐而取之,是伏兔穴。
[33] 从伏兔下行三寸,在伏兔之下凹陷中,拜揖而取之,是阴市穴。
[34] 从阴市下行一寸两筋间,是梁丘穴。
[35] 从梁门下行过膝盖骨,下胫骨上凹陷中,俗名膝眼,
此处凹陷中两旁有空状如牛鼻在外侧者,是犊鼻穴。
[36] 从犊鼻下行,胫骨外侧大筋内宛宛中,是足三里穴
(犊鼻即膝眼处也)。
[37] 从足三里下行三寸,两筋骨凹陷中,举足取之,是上巨虚穴。
[38] 从上巨虚下行二寸,举足取之,是条口穴。
[39] 从条口下行一寸,两肋骨凹陷中,蹲地举足取之,是下巨虚穴。
[40] 从下巨虚复斜向后,上行,在足外踝上八寸,腓骨外廉凹陷中,
是丰隆穴。
[41] 从丰隆内循下足腕上,中线凹陷中,是解溪穴。
[42] 从解溪下行足跗上,即脚面也,高骨间动脉,是冲阳穴。
[43] 从冲阳下行二寸,至足大趾之次趾本节后凹陷中,是陷谷穴。
[44] 从陷谷下至足大趾之次趾本节前岐骨外间凹陷中,是内庭穴。
[45] 从内庭下行足大趾之次趾之端,去爪角如韭叶许,是厉兑穴
(图四十六)
Forty-five acupoints belong to the Foot-Yangming Stomach Meridian, starting from Chengqi (Chengqi, ST1), Sibai (Sibai, ST2), Juliao (Juliao, ST3), Dicang (Dicang, ST4), Daying (Daying, ST5), Jiache (Jiache, ST6), ascending to Touwei (Touwei, ST8), directly facing Renying (Renying, ST9).
Shuitu (Shuitu, ST10) and Qishe (Qishe, ST11) connect to Quepen (Quepen, ST12); Qihu (Qihu, ST13), Kufang (Kufang, ST14), Wuyi (Wuyi, ST15) are sought in sequence; Yingchuang (Yingchuang, ST16), Ruzhong (Ruzhong, ST17) descend to Rugen (Rugen, ST18); Burong (Burong, ST21) and Chengman (Chengman, ST22) emerge from Liangmen (Liangmen, ST23).
Guanmen (Guanmen, ST24), Taiyi (Taiyi, ST25), and Roumen (Roumen, ST26) begin; Tianshu (Tianshu, ST25) is located two cun lateral to the umbilicus, with Wailing (Wailing, ST27) and Daju (Daju, ST28) inside.
Shuidao (Shuidao, ST29) and Guilai (Guilai, ST30) reach Qichong (Qichong, ST30); Biguan (Biguan, ST31) and Futu (Futu, ST32) lead to Yinshi (Yinshi, ST33).
Liangqiu (Liangqiu, ST34), Dubi (Dubi, ST35), and Zusanli (Zusanli, ST36) follow; Shangjuxu (Shangjuxu, ST37) connects to Tiaokou (Tiaokou, ST38) at the bottom; Xiajuxu (Xiajuxu, ST39) has Fenglong (Fenglong, ST40) below it.
Jiexi (Jiexi, ST41), Chongyang (Chongyang, ST42), and Xangu (Xangu, ST43) are arranged similarly; Neiting (Neiting, ST44) and Lidui (Lidui, ST45) are the acupoints of the Yangming Meridian, ending at the tips of the big toe and the second toe.
The Stomach Meridian is the Foot-Yangming Meridian; Chengqi (Chengqi, ST1) is found seven fen below the eye. Descending another three fen is named Sibai (Sibai, ST2); Juliao (Juliao, ST3) is eight fen lateral to the nostril.
Dicang (Dicang, ST4) is near four fen lateral to the corner of the mouth; Daying (Daying, ST5) is one cun three fen below the angle of the mandible; Jiache (Jiache, ST6) is in an eight fen depression below the ear; Xiaguan (Xiaguan, ST7) follows the arterial pulse anterior to the ear.
Touwei (Touwei, ST8) is four cun half lateral to Shenting (Shenting, GV24) on the midline of the Governor Vessel; Renying (Renying, ST9) is truly present one cun five fen lateral to the larynx; Shuitu (Shuitu, ST10) is anterior to the tendon below Renying; Qishe (Qishe, ST11) is one cun below the larynx.
Quepen (Quepen, ST12) is in the depression of the transverse bone above the shoulder; Qihu (Qihu, ST13) descends one cun clearly; Kufang (Kufang, ST14) descends one cun six fen; Wuyi (Wuyi, ST15), Yingchuang (Yingchuang, ST16), Ruzhong (Ruzhong, ST17), and Rugen (Rugen, ST18) are connected.
Burong (Burong, ST21) is two cun lateral to Juque (Juque, CV14); Chengman (Chengman, ST22) and Liangmen (Liangmen, ST23) are each one cun away; Guanmen (Guanmen, ST24), Taiyi (Taiyi, ST25), and Roumen (Roumen, ST26) are internal; Tianshu (Tianshu, ST25) is sought two cun lateral to the umbilicus.
One cun below Tianshu is Wailing (Wailing, ST27); one cun below Wailing is Daju (Daju, ST28); three cun below Daju is Shuidao (Shuidao, ST29); two cun below Shuidao is Guilai (Guilai, ST30).
Qichong (Qichong, ST30) is one cun below Guilai, evenly distributed two cun from the midline; Biguan (Biguan, ST31) is approximately one chi two cun above the knee; Futu (Futu, ST32) is six cun below the thigh.
Yinshi (Yinshi, ST33) is three cun below Futu; remember Liangqiu (Liangqiu, ST34) is one cun below Yinshi; Dubi (Dubi, ST35) is taken in the depression of the kneecap; Zusanli (Zusanli, ST36) is three cun below the knee eye.
Three cun below Zusanli is Shangjuxu (Shangjuxu, ST37); two cun below Shangjuxu is Tiaokou (Tiaokou, ST38); another two cun down is Xiajuxu (Xiajuxu, ST39); ascending obliquely to eight cun above the lateral malleolus,
remember this is Fenglong (Fenglong, ST40). Jiexi (Jiexi, ST41) is below Fenglong, following internally to the depression above the ankle joint; Chongyang (Chongyang, ST42) is where the artery beats between the high bone below Jiexi.
Xangu (Xangu, ST43) is named two cun below Chongyang; Neiting (Neiting, ST44) is in the depression lateral to the bifurcation of the bone between the first and second toes; Lidui (Lidui, ST45) is in the middle of the tip of the big toe and the second toe.
Note: [1] Chengqi (Chengqi, ST1) is seven fen below the eye, in the depression of the lower eyelid; take it by looking straight ahead with the pupil aligned vertically, this is the acupoint.
[2] Three fen directly below Chengqi, inside the hollow of the zygomatic bone, also aligned vertically with the pupil, is Sibai (Sibai, ST2).
[3] Descending from Sibai, eight fen lateral to the side of the nostril, also aligned vertically with the pupil, is Juliao (Juliao, ST3).
[4] Descending from Juliao, slightly more than four fen lateral to the corner of the mouth, with a slight arterial pulse below, is Dicang (Dicang, ST4).
[5] From Dicang moving forward to one cun three fen below the chin, in the bony depression with an arterial pulse, is Daying (Daying, ST5).
[6] From Daying moving to the end of the curved jaw below the ear, in a depression eight fen anteriorly, take it lying on the side with the mouth open, is Jiache (Jiache, ST6).
[7] Ascending from Jiache to the arterial pulse anterior to the ear, take it lying on the side with the mouth closed where there is a gap, is Xiaguan (Xiaguan, ST7).
[8] Ascending from Xiaguan to the frontal angle, entering the hairline four cun half lateral to the midline acupoint Shenting (Shenting, GV24) of the Governor Vessel, is Touwei (Touwei, ST8).
[9] Descending from Touwei, one cun five fen lateral to the hyoid bone at the neck, where the large artery is palpable, take it with the head extended,
is Renying (Renying, ST9).
[10] Descending straight from Renying, anterior to the large tendon of the neck, adhering to the Qi throat, is Shuitu (Shuitu, ST10).
[11] Descending straight from Shuitu, in a depression about one cun below the hyoid bone, anterior to the large tendon of the neck, on the missing spot above the bone tip,
is Qishe (Qishe, ST11).
[12] Descending from Qishe, in the depression of the transverse bone on the shoulder, is Quepen (Quepen, ST12).
[13] Descending from Quepen, one cun below Jugu, in a depression four cun lateral to the midline, take it while supine,
is Qihu (Qihu, ST13).
[14] Descending one cun six fen from Qihu, also in a depression four cun lateral to the midline, take it while supine, is Kufang (Kufang, ST14).
[15] Descending one cun six fen from Kufang, also in a depression four cun lateral to the midline, take it while supine, is Wuyi (Wuyi, ST15).
[16] Descending one cun six fen from Wuyi, also in a depression four cun lateral to the midline, take it while supine, is Yingchuang (Yingchuang, ST16).
[17] Descending from Yingchuang, directly at the nipple, is Ruzhong (Ruzhong, ST17).
[18] Descending one cun six fen from Ruzhong, also in a depression four cun lateral to the midline, take it while supine, is Rugen (Rugen, ST18).
[19] Moving from Rugen to the end of the fourth rib, two cun lateral to the midline, is Burong (Burong, ST21).
[20] One cun below Burong, also two cun lateral to the midline, is Chengman (Chengman, ST22).
[21] One cun below Chengman, also two cun lateral to the midline, is Liangmen (Liangmen, ST23).
[22] One cun below Liangmen, also two cun lateral to the midline, is Guanmen (Guanmen, ST24).
[23] One cun below Guanmen, also two cun lateral to the midline, is Taiyi (Taiyi, ST25).
[24] One cun below Taiyi, also two cun lateral to the midline, is Roumen (Roumen, ST26).
[25] One cun below Roumen, in a depression about two cun lateral to the umbilicus, is Tianshu (Tianshu, ST25).
[26] One cun below Tianshu, also two cun lateral to the midline, is Wailing (Wailing, ST27).
[27] One cun below Wailing, also two cun lateral to the midline, is Daju (Daju, ST28).
[28] Three cun below Daju, also two cun lateral to the midline, is Shuidao (Shuidao, ST29).
[29] Two cun below Shuidao, also two cun lateral to the midline, is Guilai (Guilai, ST30).
[30] Descending from Guilai, there is a fleshy nodule in the leg called "mouse stream" (inguinal region); one cun straight up, where the arterial pulse is palpable,
also two cun lateral to the midline, is Qichong (Qichong, ST30).
[31] Descending from Qichong, approximately one chi two cun above the knee, press three fingers left and right of the midline;
there is flesh rising like a crouching rabbit, hence named Futu; behind this rising flesh, in the crease, is Biguan (Biguan, ST31).
[32] Descending from Biguan, between the rising flesh six cun above the knee, take it while kneeling upright, is Futu (Futu, ST32).
[33] Descending three cun from Futu, in the depression below Futu, take it while bowing, is Yinshi (Yinshi, ST33).
[34] Descending one cun from Yinshi, between the two tendons, is Liangqiu (Liangqiu, ST34).
[35] Descending from Liangqiu past the patella, in the depression above the tibia, commonly known as the knee eye;
on both sides of this depression, there are gaps resembling ox nostrils on the outer side, which is Dubi (Dubi, ST35).
[36] Descending from Dubi, in the hollow within the large tendon on the lateral side of the tibia, is Zusanli (Zusanli, ST36)
(Dubi is the knee eye area).
[37] Descending three cun from Zusanli, in the depression between the two bones and tendons, take it by lifting the foot, is Shangjuxu (Shangjuxu, ST37).
[38] Descending two cun from Shangjuxu, take it by lifting the foot, is Tiaokou (Tiaokou, ST38).
[39] Descending one cun from Tiaokou, in the depression between the two ribs, take it by squatting and lifting the foot, is Xiajuxu (Xiajuxu, ST39).
[40] From Xiajuxu, slanting backwards and ascending, eight cun above the lateral malleolus, in the depression on the lateral edge of the fibula,
is Fenglong (Fenglong, ST40).
[41] Following internally from Fenglong down to above the ankle joint, in the depression of the midline, is Jiexi (Jiexi, ST41).
[42] Descending from Jiexi to the dorsum of the foot, i.e., the instep, where the artery beats between the high bones, is Chongyang (Chongyang, ST42).
[43] Descending two cun from Chongyang, to the depression behind the root joint of the second toe next to the big toe, is Xangu (Xangu, ST43).
[44] Descending from Xangu to the depression outside the bifurcation of the bone before the root joint of the second toe next to the big toe, is Neiting (Neiting, ST44).
[45] Descending from Neiting to the tip of the second toe next to the big toe, about the width of a leek leaf from the nail, is Lidui (Lidui, ST45)
(Figure 46)