手阳明脉起商阳,二间三间合谷藏。阳溪偏历温溜注,下廉上廉三里长。曲池肘 迎五里,
臂肩 巨骨当。天鼎扶突禾 接,终以迎香二十穴。
手阳明经属大肠,食指内侧起商阳。本节前取二间定,本节后取三间强。歧骨陷中寻合谷,
阳溪腕中上侧详。腕后一寸是偏历,五寸之中温溜当。下廉上廉各一寸,上廉此下一寸方。屈肘
曲中曲池得,池下二寸三里场。肘 大骨外廉陷,五里肘上三寸量。臂 下一寸取,肩 肩端
两骨当。巨骨肩端叉骨内,天鼎缺盆
之上针。扶突曲颊下一寸,禾 五分水沟旁。鼻孔两旁各五分,左右二穴皆迎香。
\r胃腑形图\ps127a65.bmp\r
经曰∶胃者,仓廪之官,五味出焉。又曰∶胃为黄肠。
五味入口,藏于胃,以养五脏气。胃者,水谷之海,六腑之大源也,是以五脏六腑之气味皆出于胃。
食入于胃,散精于肝,淫气于筋。食入于胃,浊气归心,淫精于脉。脉气流经,经气归于肺。
肺朝百脉,输精于皮毛。毛脉合精,行气于腑,腑精神明,留于四脏,气归于权衡。权衡以平,
气口成寸,以决死生。饮入于胃,游溢精气,上输于脾,脾气散精,上归于肺,通调水道,下输
膀胱。水精四布,五经并行。合于四时五脏阴阳,揆度以为常也。人胃中常留谷二斗、水一斗五
升,故平人日再圊五升,七日五七三斗五升,故平人七日不食而死也。
手阳明经的脉气起始于商阳穴,接着是二间、三间和合谷穴。阳溪、偏历、温溜等穴位依次分布,下廉、上廉和三里穴沿手臂延伸。曲池、肘髎、迎香、五里、臂臑、肩髃和巨骨穴位于肘部和肩部。天鼎、扶突、禾髎与迎香穴相接,至此共有二十个穴位。
手阳明经归属于大肠,从食指的桡侧(内侧)起始于商阳穴。在第一掌指关节前方取二间穴,后方取三间穴。在拇指和食指掌骨之间的凹陷处寻找合谷穴,腕部背侧桡侧的凹陷处为阳溪穴。腕横纹后一寸是偏历穴,再往后五寸是温溜穴。下廉和上廉穴分别位于前臂外侧,相距各一寸,上廉穴下方一寸即为三里穴。屈肘时,肘横纹尽头处的凹陷中可找到曲池穴,曲池穴下方两寸是三里穴。肘部外侧大骨下方的凹陷处是肘髎穴,肘上三寸量取五里穴。臂臑穴位于臂臑下方一寸,肩髃穴位于肩端两骨之间。巨骨穴在肩端叉骨内侧,天鼎穴在缺盆穴上方针刺。扶突穴在下颌角下一寸,禾髎穴在水沟穴旁五分处。鼻孔两旁各五分处,左右两侧均为迎香穴。
胃腑形图
经文说:胃是掌管饮食储藏的器官,五味由此产生。又说:胃被称为“黄肠”。
五味进入口中,储存在胃中,用来滋养五脏的气机。胃是水谷汇聚的大海,也是六腑能量的主要来源,因此五脏六腑的精微物质都来源于胃。
食物进入胃中,其精微部分散布到肝脏,滋养筋脉。食物进入胃中,其浊气归于心脏,滋养血脉。脉中的气流经全身,经气最终汇聚于肺。
肺朝会百脉,将精微物质输布至皮毛。皮毛与血脉中的精气结合,推动气运行于六腑,六腑精气神明,留驻于四脏,气的运行达到平衡状态。平衡协调后,气口形成寸脉,以此判断生死预后。
饮水进入胃中,精微之气游溢上行,输送给脾脏。脾气散播精微,向上输送到肺,肺通调水道,向下输送到膀胱。水液精微遍布全身,五条经脉并行运行。这符合四季变化及五脏阴阳的规律,作为常理来衡量。
人的胃中通常留存谷物二斗、水一斗五升,所以正常人每天排便五次,共排出五升,七天共计排出三斗五升,因此正常人七天不进食就会死亡。
The Hand-Yangming Meridian originates at Shangyang (LI1), followed by Erjian (LI2), Sanjian (LI3), and Hegu (LI4). Yangxi (LI5), Pianli (LI6), and Wenliu (LI7) are located sequentially, with Xialian (LI8), Shanglian (LI9), and Sanli (LI10) extending along the arm. Quchi (LI11), Zhouliao (LI12), Yingxiang (LI20), Wuli (LI13), Binao (LI14), Jianyu (LI15), and Jugu (LI16) are situated around the elbow and shoulder. Tianding (LI17), Futu (LI18), He liao (LI19), and Yingxiang (LI20) connect in sequence, totaling twenty acupoints on this meridian.
The Hand-Yangming Meridian belongs to the Large Intestine, originating at Shangyang (LI1) on the radial side of the index finger. Erjian (LI2) is located proximal to the first metacarpophalangeal joint, while Sanjian (LI3) is distal to it. Hegu (LI4) is found in the depression between the first and second metacarpal bones. Yangxi (LI5) is detailed in the dorsal-radial depression of the wrist. Pianli (LI6) is one cun distal to the wrist crease, and Wenliu (LI7) is five cun away. Xialian (LI8) and Shanglian (LI9) are each one cun apart; Sanli (LI10) is located one cun below Shanglian (LI9). When the elbow is flexed, Quchi (LI11) is obtained at the end of the transverse cubital crease. Sanli (LI10) is two cun below Quchi (LI11). Zhouliao (LI12) is in the depression lateral to the large bone of the elbow, and Wuli (LI13) is measured three cun above the elbow. Binao (LI14) is taken one cun below the upper arm region, and Jianyu (LI15) is at the shoulder tip between the two bones. Jugu (LI16) is medial to the clavicle's acromial process. Tianding (LI17) is needled above the Quepen (ST12) area. Futu (LI18) is one cun below the angle of the mandible, and Heliao (LI19) is five fen lateral to Shuigou (GV26). Yingxiang (LI20) is located five fen lateral to both sides of the nostrils, on the left and right.
Stomach Organ Shape Diagram
The Classic states: The Stomach is the official responsible for storage and processing, from which the Five Flavors emerge. It is also referred to as the "Yellow Intestine."
When flavors enter the mouth, they are stored in the Stomach to nourish the Qi of the Five Zang Organs. The Stomach is the sea of water and grain, and the great source of the Six Fu Organs; thus, the essence and qi of all Zang and Fu organs originate from the Stomach.
Food entering the Stomach disperses its essence to the Liver, enriching the sinews. Food entering the Stomach sends its turbid qi to the Heart, enriching the vessels. The qi flowing through the vessels reaches the meridians, and the meridian qi converges in the Lungs.
The Lungs govern all vessels, distributing essence to the skin and hair. The essence of the skin and hair combines, moving qi through the Fu organs. The Fu organs' spirit and brightness remain in the Four Zang Organs, and the qi returns to a state of balance. When balanced, the Cun pulse forms at the Radial Artery, allowing for the determination of life and death.
Water entering the Stomach allows its essence to overflow upward to the Spleen. The Spleen scatters the essence upward to the Lungs, which regulate the water passages and transport it downward to the Bladder. Water essence distributes throughout the body, running parallel through the Five Channels. This conforms to the Yin-Yang of the Four Seasons and Five Zang Organs, serving as the standard for measurement.
Normally, the human Stomach retains two dou of grain and one dou and five sheng of water. Therefore, a healthy person defecates five times daily, expelling five sheng, totaling three dou and five sheng over seven days. Thus, a healthy person will die after seven days without food.