条文:
『灵枢·脉度篇』曰:跷脉者,少阳之别,起于然谷之后,上内踝之上,
直上循阴股,入阴,上循胸里,入缺盆,上出人迎之前,入頄属目内眦,
合于太阳、阳跷而上行,气并相还,则为濡目,目气不荣,则目不合(图八十二)。
二十八难曰:阳跷脉者,起于跟中,循外踝上行,入风池,阴跷脉者,
亦起于跟中,循内踝上行,至咽喉交贯冲脉。
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条文:
阳跷脉起于跟中,上合三阳外踝行,从胁循肩入颈頄,属目内眦太阳经。
注:[1]阳跷之脉,起于足跟之中,上合三阳外踝上行,从胁少阳居□之穴,
上循肩,入颈頄阳明之肩□、承泣等穴,属目内眦而会太阳也。
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条文:
阳跷脉近申仆阳,居□肩□巨骨乡,臑俞地仓巨□泣,终于睛明一穴强。
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条文:
阳跷脉起足太阳,申脉外踝五分藏,仆参后绕跟骨下,附阳外踝三寸乡,
居□监骨上陷取,肩胛一穴肩尖当,肩上上行名巨骨,肩胛之上臑俞坊,
口吻旁四地仓位,鼻旁八分巨□疆,目下七分是承泣,目内眦出睛明昂。
注:[1]跷者足也,奇经涉于足者之名也。
[2]曰阳者,以其所行阳经也。
[3]阳跷者,谓足太阳经之别脉也,
起于足太阳膀胱经足外踝下五分陷中申脉穴也。
[4]从申脉绕后跟骨下,仆参穴也。
[5]从仆参又斜足外踝三寸,附阳穴也。
[6]又与足少阳会于季胁软骨端下八寸三分,居□穴也。
[7]又与手阳明会于膊骨头肩端上,肩□穴也。
[8]从肩□穴上行肩尖上两叉骨,巨骨穴也。
[9]又与手足太阳阳维,会于肩后大骨下胛上廉,臑俞穴也。
[10]又与手足阳明会于夹口吻旁四分,地仓穴也。
[11]从地仓穴行于鼻孔旁八分,巨□穴也。
[12]又与任脉足阳明会于目下七分,承泣穴也。
[13]又与手足太阳足阳明阴跷,会于目内眦外一分,睛明穴也
(见图八十三)。
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《灵枢·脉度篇》说:跷脉,是足少阳胆经的别支,起始于然谷穴之后,向上经过内踝上方,笔直向上沿大腿内侧阴部上行,进入阴部,再向上沿胸部内部,进入缺盆穴,向上出于人迎穴之前,进入面颊,连属目内眦,与太阳经、阳跷脉会合后共同上行。气血并行相互循环,就能滋润眼睛;如果眼部气血不能濡养,则眼睑无法闭合(见图八十二)。
《难经·二十八难》说:阳跷脉,起始于脚跟中部,沿外踝向上行,进入风池穴;阴跷脉,也起始于脚跟中部,沿内踝向上行,至咽喉处与冲脉交会贯通。
条文:
阳跷脉起始于脚跟中部,向上与三阳经在外踝处会合而行,从胁肋沿肩部进入颈部面颊,连属目内眦,归属于太阳经。
注释:[1] 阳跷脉,起始于足跟之中,向上与三阳经在外踝处会合上行,经过胁肋部足少阳胆经的居髎穴,向上沿肩部,进入颈部面颊部足阳明胃经的肩髎、承泣等穴位,连属目内眦而与太阳经会合。
条文:
阳跷脉靠近申脉穴和仆参穴,位于足少阳胆经的居髎穴和手阳明大肠经的肩髎穴之间,经过臑俞穴、地仓穴、承泣穴,最终止于睛明这一个穴位。
条文:
阳跷脉起始于足太阳膀胱经,在申脉穴位于外踝下方五分处;仆参穴在后侧环绕跟骨下方;附阳穴位于外踝上方三寸处;居髎穴在季胁软骨端下方的凹陷处取穴;肩髎穴位于肩胛骨一穴正对肩尖的位置;肩上向上行走称为巨骨穴;肩胛之上为臑俞穴;口角旁四分为地仓穴;鼻旁八分为巨髎穴;眼下七分为承泣穴;目内眦外侧出发的为睛明穴。
注释:[1] “跷”指脚,奇经中涉及足部的名称都叫跷。
[2] 称为“阳”,是因为它循行于阳经。
[3] 阳跷脉,是指足太阳膀胱经的别脉,起始于足太阳膀胱经足外踝下五分处的凹陷中——申脉穴。
[4] 从申脉穴向后绕至跟骨下方,是仆参穴。
[5] 从仆参穴又斜行至足外踝三寸处,是附阳穴。
[6] 又与足少阳胆经会合于季胁软骨端下八寸三分处,是居髎穴。
[7] 又与手阳明大肠经会合于膊骨头肩端上,是肩髎穴。
[8] 从肩髎穴上行至肩尖上的两叉骨间,是巨骨穴。
[9] 又与手太阳、足太阳及阳维脉会合于肩后大骨下肩胛上廉处,是臑俞穴。
[10] 又与手阳明、足阳明经会合于夹口角旁四分处,是地仓穴。
[11] 从地仓穴行于鼻孔旁八分处,是巨髎穴。
[12] 又与任脉、足阳明经会合于眼下七分处,是承泣穴。
[13] 又与手太阳、足太阳、足阳明及阴跷脉会合于目内眦外一分处,是睛明穴(见图八十三)。
The *Ling Shu: Mai Du Pian* states: The Qiao meridians are branch vessels of the Shaoyang (Lesser Yang). They originate behind the Ran Gu point, ascend above the medial malleolus, travel straight upward along the medial aspect of the thigh and into the genital region, then ascend through the interior of the chest to the Que Pen point. From there, they emerge anterior to the Ying Chu point, enter the cheek, and connect with the inner canthus of the eye. There, they merge with the Taiyang (Greater Yang) and Yang Qiao meridians to ascend together. When Qi circulates mutually between them, it moistens the eyes; if the Qi fails to nourish the eyes, the eyelids cannot close (Figure 82).
The *Nan Jing: Chapter 28* states: The Yang Qiao meridian originates in the middle of the heel, ascends along the lateral malleolus, and enters the Feng Chi point. The Yin Qiao meridian also originates in the middle of the heel, ascends along the medial malleolus, reaches the throat, and intersects with the Chong meridian.
Text:
The Yang Qiao meridian originates in the middle of the heel, ascends and merges with the three Yang meridians at the lateral malleolus, travels from the hypochondrium along the shoulder to the neck and cheek, connects with the inner canthus, and belongs to the Taiyang meridian.
Commentary [1]: The Yang Qiao meridian originates in the center of the heel, ascends merging with the three Yang meridians at the lateral malleolus, passes through the Ju Liao point of the Foot-Shaoyang Gallbladder Meridian in the hypochondriac region, ascends along the shoulder, enters the neck and cheek at points such as Jian Liao and Cheng Qi of the Foot-Yangming Stomach Meridian, connects with the inner canthus, and meets the Taiyang meridian.
Text:
The Yang Qiao meridian is near Shen Mai and Pu Can, located between Ju Liao of the Foot-Shaoyang and Jian Liao of the Hand-Yangming, passing through Nao Shu, Di Cang, and Cheng Qi, finally terminating at the single acupoint Jing Ming.
Text:
The Yang Qiao meridian originates from the Foot-Taiyang Bladder Meridian. Shen Mai is stored five fen below the lateral malleolus. Pu Can winds around below the calcaneus posteriorly. Fu Yang is located three cun above the lateral malleolus. Ju Liao is taken from the depression above the iliac crest/cartilage end. Jian Liao is one point on the scapula corresponding to the tip of the shoulder. Ascending above the shoulder is named Ju Gu. Above the scapula is Nao Shu. Di Cang is located four cun lateral to the corner of the mouth. Ju Liao borders eight fen lateral to the nose. Cheng Qi is seven fen below the eye. Jing Ming rises from the inner canthus.
Commentary [1]: "Qiao" refers to the foot; these are names for the extraordinary vessels involving the feet.
[2] It is called "Yang" because it traverses the Yang meridians.
[3] The Yang Qiao is a branch vessel of the Foot-Taiyang Bladder Meridian, originating at Shen Mai, an indentation five fen below the lateral malleolus of the Foot-Taiyang Bladder Meridian.
[4] From Shen Mai, winding behind to below the calcaneus is Pu Can.
[5] From Pu Can, obliquely to three cun above the lateral malleolus is Fu Yang.
[6] It again meets the Foot-Shaoyang at eight cun three fen below the end of the costal cartilage of the hypochondrium, which is Ju Liao.
[7] It again meets the Hand-Yangming at the top of the humeral head/shoulder end, which is Jian Liao.
[8] Ascending from Jian Liao to the bifurcation bones above the shoulder tip is Ju Gu.
[9] It again meets the Hand-Taiyang, Foot-Taiyang, and Yang Wei meridians at the upper border of the scapula below the large bone posterior to the shoulder, which is Nao Shu.
[10] It again meets the Hand-Yangming and Foot-Yangming four fen lateral to the corner of the mouth, which is Di Cang.
[11] From Di Cang, traveling eight fen lateral to the nostril is Ju Liao.
[12] It again meets the Ren Meridian and Foot-Yangming seven fen below the eye, which is Cheng Qi.
[13] It again meets the Hand-Taiyang, Foot-Taiyang, Foot-Yangming, and Yin Qiao meridians one fen lateral to the inner canthus, which is Jing Ming (see Figure 83).