手太阴肺之经,起于中焦,下络大肠,还循胃口,上膈属肺,从肺系横出腋下,下循
内,行少阴心主之前,下肘中,循臂内,上骨下廉,入寸口,上鱼,循鱼际,出大指之端,
其支者,从腕后直出次指内廉,出其端,是动则病肺胀满膨膨而喘咳,缺盆中痛,甚则交两
手而瞀,此为臂厥,是主肺所生病者,咳,上气,喘,渴,烦心,胸满, 臂内前廉痛厥,
掌中热,气盛有余,则肩背痛,风寒汗出中风,小便数而欠,气虚则肩背痛寒,少气不足以
息,溺色变,盛者,气口大三倍于人迎,虚者,气口反小于人迎也。
手太阴之别,名曰列缺,起于腕上分间,并太阴之经直入掌中,散入于鱼际,其病实则
手锐掌热,虚则欠KT ,小便遗数,取之去腕半寸,别走阳明也。
手太阴之筋,起于大指之上,循指上行,结于鱼际之后,行寸口外侧,上循臂,结肘中
,上 内廉,入腋下,出缺盆,结肩前 ,上结缺盆,下结胸里,散贯贲,合贲下抵季,其
病当所过者支转筋,痛甚则成息贲,胁急吐血,治在燔针劫刺,以知为数,以痛为 ,名曰
仲冬痹也,肺病者,喘咳逆气,肩背痛,汗出,尻阴股膝髀 足皆痛虚则少气不能报息,
耳聋嗌干,取其经,太阴足太阳之外厥阴内血者,肺热病者,先淅然厥,起毫毛恶风寒,舌
上黄身热,热争则喘咳痛走胸膺背,不得太息,头痛不堪,汗出而寒,丙丁甚,庚辛大汗,
气逆则丙丁死,刺手太阴阳明,出血如大豆,立已。
手太阴肺经,从腹走手,长三尺五寸,左右共七尺,凡二十二穴。
中府二穴(在乳上三肋间动脉应手去云门一寸也) 云门二穴(在巨骨下挟气户旁各二
寸
陷中动脉应手举臂取之) 天府二穴(在腋下三寸举臂取之) 侠白二穴(在天府下去肘上
五寸
动脉中) 尺泽二穴(在肘约纹中) 孔最二穴(去腕上七寸) 列缺二穴(在腕后一寸半)
经
渠二穴(在寸口脉中) 太渊二穴(在掌后陷中) 鱼际二穴(在手大指本节后内侧散脉中)
少
商二穴(在手大指端内侧去爪甲角如韭菜)
中府二穴,肺之募,一名膺中 ,在云门下一寸,乳上三肋间,动脉应手,手足太阴之
会。治肺系急,胸中痛,悚悚胆热,呕逆上气,咳唾浊涕,肩背痛,风汗出,腹胀食不下,
喉痹肩息,肤骨痛,寒热,针入三分,留五呼,可灸五壮。
云门二穴,在巨骨下,挟气户旁各二寸,陷中,动脉应手,手太阴脉气所发。治喉痹,
胸中烦满,气上冲心,咳喘不得息,胸胁短气,肩痛不得举臂,可灸五壮,针入三分,刺深
使人气逆,故不宜深刺。
天府二穴,在腋下三寸,动脉中,举臂取之,治逆气喘不得息,目眩远视 ,猝中恶
鬼疰,不得安卧,禁不可灸,使人逆气,刺鼻衄血不止,针入四分,留三呼。
侠白二穴,在天府下,去肘五寸,动脉中。治心痛,干呕烦满,针入三分,可灸五壮。
尺泽二穴,水也,在肘中约纹上动脉中,手太阴脉之所入也,为合。治风痹肘挛,手臂
不得举,喉痹上气,舌干咳嗽唾浊,四肢暴肿,臂寒短气,针入三分,可灸五壮。
孔最二穴,在腕上七寸,手太阴 ,治热病汗不出,此穴可灸三壮即汗出,咳逆臂厥
痛,针入三分,灸五壮。
列缺二穴,去腕侧上一寸五分,以手交叉头指末筋骨罅中,手太阴络,别走阳明。疗偏
风口 ,手腕无力,半身不随,咳嗽掌中热,口噤不开,寒疟呕沫,善笑纵唇口健忘,针入
二分,留三呼,泻五吸即可,灸七壮。
经渠二穴,金也,在寸口陷中,手太阴脉之所行也,为经。治疟寒热,胸背拘急,胸满
膨膨,喉痹掌中热,咳嗽上气数欠,热病汗不出,暴痹喘逆,心痛呕吐,针入二分,留三
呼,禁不可灸,灸即伤人神。
太渊二穴,土也,在手掌后陷中,手太阴脉之所注也,为 。治胸痹逆气,寒厥善哕呕
,饮水咳嗽,烦惋不得卧,肺胀满膨膨,臂内廉痛,目生白翳,眼 赤筋,缺盆中引痛,掌
中热,数次喘不得息,噫气上逆,心痛唾血,振寒咽干,狂言口僻,可灸三壮,针入二分。
鱼际二穴,火也,在手大指本节后内侧散脉中,手太阴脉之所流也,为荥。治洒淅恶风
寒,虚热舌上黄,身热头痛,咳嗽汗不出,痹走胸背痛不得息,目眩烦心少气,腹痛不下食
,肘挛支满,喉中干燥,寒栗鼓颔,咳引尻痛溺出,呕血心痹悲恐,针入二分,留三呼。
少商二穴,木也,在手大指端内侧,去爪甲角如韭叶,手太阴之脉所出也,为井。治烦
心善哕心下满,汗出而寒,咳逆 疟,振寒腹满,唾沫唇干,引饮不下膨膨,手挛指痛,寒
栗鼓颔喉中鸣,以三棱针刺之,微出血,泄诸脏热气,唐刺史成君绰,忽腮颔肿大,喉中闭
塞,水粒不下三日,针之立愈,不宜灸。
凡此手太阴之脉,常多气少血,刺之当出气恶血,其经从脏走手,审而迎随之,气盛则
泻,气虚则补,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之,此治手太阴之法
也。
手太阴肺经,起始于中焦(脾胃所在部位),向下联络大肠,回绕沿着胃的上口,穿过膈肌,属于肺脏;从肺系(气管、喉咙等与肺相连的组织)横行出于腋下,沿上臂内侧下行,行在手少阴心经和手厥阴心包经的前面,下行至肘窝中,沿前臂内侧下行,在桡骨茎突下方,进入寸口(桡动脉搏动处),上行至大鱼际,沿鱼际边缘,出于拇指末端;其支脉,从腕后(列缺穴处)直出至食指内侧边缘,到达其末端。本经发生异常变动时,会出现肺胀满、膨膨胀感而气喘咳嗽,缺盆(锁骨上窝)中疼痛,严重时两手交叉于胸前而视物昏花,这称为臂厥。本经主要主管肺所发生的疾病,如咳嗽、气逆、气喘、口渴、心烦、胸满、手臂内侧前缘疼痛或厥冷、掌心发热。若肺气盛有余,则出现肩背疼痛,风寒侵袭导致汗出、中风,小便频数且量少;若肺气虚,则出现肩背疼痛发冷、气短不足以呼吸、尿液颜色改变。实证时,气口脉比人迎脉大三倍;虚证时,气口脉反而小于人迎脉。
手太阴肺经的络穴,名叫列缺,起始于腕上分间,与手太阴经并行直入掌中,散布于鱼际。其病变实证表现为手腕锐骨处及掌心发热,虚证表现为呵欠、小便频数或遗尿,治疗取此穴,位于去腕横纹半寸处,别走阳明经。
手太阴肺经的筋,起始于拇指上方,沿手指上行,结聚于鱼际之后,行于寸口外侧,向上沿前臂,结聚于肘中,向上沿上臂内侧边缘,进入腋下,出于缺盆,结聚于肩前部,向上结聚于缺盆,向下结聚于胸里,散布贯穿膈肌,合于膈下抵于季胁。其病变为经过之处出现支撑转筋,疼痛严重则形成息贲(一种积聚病,症见胁下痞块、喘咳),胁肋拘急吐血,治疗用燔针劫刺,以症状缓解为度,以痛点为腧穴,名为仲冬痹。肺病者,表现为气喘咳嗽气逆,肩背痛,汗出,尻、阴部、股、膝、髀、足均疼痛;虚证则气短不能深吸气,耳聋咽干,取手太阴经,以及足太阳经之外侧和足厥阴经内侧的血络。肺热病患者,先感到淅然恶寒,毫毛竖起,恶风恶寒,舌苔黄,身体发热,正邪相争则气喘咳嗽,疼痛放射至胸膺背部,不能深呼吸,头痛剧烈,汗出而寒战,丙丁日病情加重,庚辛日大汗出,若气逆则丙丁日可能死亡,针刺手太阴、阳明经,放出如大豆量的血,立即痊愈。
手太阴肺经,从腹部走向手部,长三尺五寸,左右共七尺,共有二十二个穴位。
中府二穴(位于乳头上三肋间,动脉应手处,距云门穴一寸) 云门二穴(位于巨骨穴下,挟气户穴旁各二寸,陷中,动脉应手,举臂取之) 天府二穴(位于腋下三寸,举臂取之) 侠白二穴(在天府穴下,距肘上五寸,动脉中) 尺泽二穴(在肘横纹中) 孔最二穴(距腕上七寸) 列缺二穴(在腕后一寸半) 经渠二穴(在寸口脉中) 太渊二穴(在掌后陷中) 鱼际二穴(在手大指本节后内侧散脉中) 少商二穴(在手大指端内侧,距爪甲角如韭菜叶宽)。
中府二穴,是肺的募穴,一名膺中俞,在云门下一寸,乳上三肋间,动脉应手,是手足太阴经的交会穴。主治肺系急迫,胸中痛,心中恐惧胆热,呕逆上气,咳吐浊涕,肩背痛,风邪致汗出,腹胀食不下,喉痹肩息,肤骨痛,寒热,针刺入三分,留针五个呼吸时间,可灸五壮。
云门二穴,在巨骨下,挟气户旁各二寸,陷中,动脉应手,是手太阴脉气所发。主治喉痹,胸中烦满,气上冲心,咳喘不得息,胸胁短气,肩痛不得举臂,可灸五壮,针刺入三分,因刺深易致气逆,故不宜深刺。
天府二穴,在腋下三寸,动脉中,举臂取之,主治逆气喘不得息,目眩远视,猝中恶鬼疰(古代指突然发生的传染病或精神异常),不得安卧,禁止不可灸,灸会导致气逆,刺鼻衄血不止,针刺入四分,留针三个呼吸时间。
侠白二穴,在天府下,距肘五寸,动脉中。主治心痛,干呕烦满,针刺入三分,可灸五壮。
尺泽二穴,属水,在肘中约纹上动脉中,是手太阴脉之所入,为合穴。主治风痹肘挛,手臂不得举,喉痹上气,舌干咳嗽唾浊,四肢暴肿,臂寒短气,针刺入三分,可灸五壮。
孔最二穴,在腕上七寸,手太阴郄穴,主治热病汗不出,此穴可灸三壮即汗出,咳逆臂厥痛,针刺入三分,灸五壮。
列缺二穴,去腕侧上一寸五分,以手交叉头指末筋骨罅中,是手太阴络穴,别走阳明经。治疗偏风口歪,手腕无力,半身不随,咳嗽掌中热,口噤不开,寒疟呕沫,善笑纵唇口健忘,针刺入二分,留针三个呼吸时间,泻法配合五次吸气即可,灸七壮。
经渠二穴,属金,在寸口陷中,是手太阴脉之所行,为经穴。主治疟寒热,胸背拘急,胸满膨膨,喉痹掌中热,咳嗽上气数欠,热病汗不出,暴痹喘逆,心痛呕吐,针刺入二分,留针三个呼吸时间,禁止不可灸,灸即伤人神气。
太渊二穴,属土,在手掌后陷中,是手太阴脉之所注,为输穴。主治胸痹逆气,寒厥善哕呕,饮水咳嗽,烦惋不得卧,肺胀满膨膨,臂内廉痛,目生白翳,眼赤筋,缺盆中引痛,掌中热,数次喘不得息,噫气上逆,心痛唾血,振寒咽干,狂言口僻,可灸三壮,针刺入二分。
鱼际二穴,属火,在手大指本节后内侧散脉中,是手太阴脉之所流,为荥穴。主治洒淅恶风寒,虚热舌上黄,身热头痛,咳嗽汗不出,痹走胸背痛不得息,目眩烦心少气,腹痛不下食,肘挛支满,喉中干燥,寒栗鼓颔,咳引尻痛溺出,呕血心痹悲恐,针刺入二分,留针三个呼吸时间。
少商二穴,属木,在手大指端内侧,距爪甲角如韭叶,是手太阴之脉所出,为井穴。主治烦心善哕心下满,汗出而寒,咳逆疟,振寒腹满,唾沫唇干,引饮不下膨膨,手挛指痛,寒栗鼓颔喉中鸣,用三棱针刺之,微出血,泄诸脏热气。唐刺史成君绰,忽腮颔肿大,喉中闭塞,水粒不下三日,针之立愈,不宜灸。
凡此手太阴之脉,常多气少血,刺之当出气恶血,其经从脏走手,审而迎随之,气盛则泻,气虚则补,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之,这是治疗手太阴经的方法。
The Lung Meridian of Hand-Taiyin originates in the Middle Jiao (the area where the Spleen and Stomach are located), descends to connect with the Large Intestine, returns to follow the upper opening of the Stomach, pierces through the Diaphragm, and belongs to the Lung Organ. From the Lung System (tissues connected to the lung such as the trachea and throat), it emerges horizontally from below the axilla, descends along the medial aspect of the upper arm, running anterior to the Heart Meridian of Hand-Shaoyin and the Pericardium Meridian of Hand-Jueyin, descends into the cubital fossa, follows the medial aspect of the forearm, enters the Cun Kou (radial artery pulse point), ascends to the Thenar Eminence, follows the edge of the Thenar Eminence, and emerges at the tip of the thumb. Its branch arises from behind the wrist (at Lieque LU7) and goes straight to the medial border of the index finger, reaching its tip. When this meridian is affected by pathological changes, it manifests as Lung distension with a feeling of fullness and bloating, accompanied by wheezing and cough; pain in the Supraclavicular Fossa (Clavicular Fossa); and in severe cases, crossing both hands over the chest with blurred vision, known as Arm Jue. This meridian primarily governs diseases generated by the Lung, such as cough, Qi rebellion, wheezing, thirst, mental restlessness, chest fullness, pain or coldness in the anteromedial aspect of the arm, and heat in the palm. If Lung Qi is excessive, it presents with shoulder and back pain, sweating due to Wind-Cold invasion, stroke-like symptoms, frequent urination with small volume. If Lung Qi is deficient, it presents with shoulder and back pain with cold sensation, shortness of breath insufficient for respiration, and changes in urine color. In excess patterns, the Qi Kou pulse is three times larger than the Ying Yang pulse; in deficiency patterns, the Qi Kou pulse is smaller than the Ying Yang pulse.
The Luo-Connecting Point of the Lung Meridian of Hand-Taiyin is named Lieque (LU7). It originates in the interstices above the wrist, runs parallel with the Hand-Taiyin Meridian directly into the palm, and scatters into the Thenar Eminence. Its pathological manifestations include heat in the radial styloid process and palm in excess patterns, and yawning with urinary frequency or enuresis in deficiency patterns. Treatment involves selecting this point, located half cun distal to the wrist crease, which connects to the Yangming Meridian.
The Sinew Meridian of the Lung of Hand-Taiyin originates above the thumb, ascends along the finger, binds at the posterior aspect of the Thenar Eminence, runs on the lateral side of the Cun Kou, ascends along the forearm, binds at the elbow, ascends along the medial border of the upper arm, enters the axilla, emerges from the Supraclavicular Fossa, binds at the anterior shoulder, ascends to bind at the Supraclavicular Fossa, descends to bind in the interior of the chest, scatters and penetrates through the Diaphragm, and combines below the Diaphragm to reach the hypochondrium. Pathological changes involve stiffness and spasms at the sites traversed; severe pain may form Xi Ben (a type of accumulation disease characterized by subcostal mass, wheezing, and cough), hypochondriac rigidity, and hemoptysis. Treatment uses burning needle rapid puncture, taking symptom relief as the indicator, and using the painful point as the acupoint, named Zhongdong Bi. Lung diseases manifest as wheezing, cough, Qi rebellion, shoulder and back pain, sweating, and pain in the sacrum, yin region, thigh, knee, hip, and foot. Deficiency presents as shortness of breath with inability to take deep breaths, deafness, and dry throat. Select the Hand-Taiyin Meridian, as well as blood collaterals on the lateral side of the Foot-Taiyang Meridian and the medial side of the Foot-Jueyin Meridian. Lung Heat Disease initially presents with chills, piloerection, aversion to wind and cold, yellow tongue coating, and fever. During the struggle between pathogenic heat and healthy Qi, there is wheezing and cough, pain radiating to the chest and back, inability to take deep breaths, severe headache, sweating with chills. Symptoms worsen on Bing-Ding days and improve with profuse sweating on Geng-Xin days. If Qi rebels, death may occur on Bing-Ding days. Puncture the Hand-Taiyin and Hand-Yangming meridians to release blood amounting to soybean size, and recovery will be immediate.
The Lung Meridian of Hand-Taiyin travels from the abdomen to the hand, measuring three chi and five cun in length, totaling seven chi for both sides, with twenty-two acupoints.
Zhongfu (LU1) x2 (located in the third intercostal space above the nipple, where the artery is palpable, one cun from Yunmen LU2). Yunmen (LU2) x2 (located below Jugu GB21, two cun lateral to Qihu GB15, in the depression where the artery is palpable; select with arm elevated). Tianfu (LU3) x2 (located three cun below the axillary fold; select with arm elevated). Xiabai (LU4) x2 (five cun proximal to the elbow crease below Tianfu LU3, in the artery). Chize (LU5) x2 (in the cubital crease). Kongzui (LU6) x2 (seven cun above the wrist). Lieque (LU7) x2 (one and a half cun behind the wrist). Jingqu (LU8) x2 (in the Cun Kou pulse). Taiyuan (LU9) x2 (in the depression behind the palm). Yuji (LU10) x2 (in the scattered vessels on the medial side of the metacarpophalangeal joint of the thumb). Shaoshang (LU11) x2 (on the medial side of the tip of the thumb, as wide as a leek leaf from the corner of the nail).
Zhongfu (LU1) x2 is the Front-Mu Point of the Lung, also known as Yingzhong Shu. It is located one cun below Yunmen LU2, in the third intercostal space above the nipple, where the artery is palpable. It is an intersection of the Hand-Taiyin and Foot-Taiyin meridians. It treats urgency of the Lung system, chest pain, fearfulness with Gallbladder heat, vomiting and Qi rebellion, coughing up turbid sputum, shoulder and back pain, sweating due to Wind, abdominal distension with poor appetite, dysphagia with shoulder breathing, skin and bone pain, and alternating chills and fever. Needle depth: 3 fen; retain for 5 breaths; moxibustion: 5 Zhu.
Yunmen (LU2) x2 is located below Jugu GB21, two cun lateral to Qihu GB15, in the depression where the artery is palpable. It is the site where Qi of the Hand-Taiyin Meridian emerges. It treats dysphagia, chest fullness and irritability, Qi rushing to the heart, wheezing and cough with inability to breathe, shortness of breath in the chest and hypochondrium, and shoulder pain preventing arm elevation. Moxibustion: 5 Zhu; needle depth: 3 fen. Deep needling should be avoided as it may cause Qi rebellion.
Tianfu (LU3) x2 is located three cun below the axillary fold, in the artery; select with arm elevated. It treats rebellious Qi, wheezing, and inability to breathe, dizziness with blurred vision, sudden onset of evil ghost infestation (acute infectious or psychiatric conditions), and inability to lie down comfortably. Moxibustion is contraindicated as it causes Qi rebellion and persistent epistaxis if needled into the nose. Needle depth: 4 fen; retain for 3 breaths.
Xiabai (LU4) x2 is located below Tianfu LU3, five cun from the elbow, in the artery. It treats heart pain, dry heaving, and mental fullness. Needle depth: 3 fen; moxibustion: 5 Zhu.
Chize (LU5) x2 is Water. It is located in the artery within the cubital crease. It is the He-Sea point where Qi of the Hand-Taiyin Meridian enters. It treats wind-bi with elbow contracture, inability to elevate the arm, dysphagia with Qi rebellion, dry tongue with cough and turbid sputum, acute edema of the four limbs, arm coldness with shortness of breath. Needle depth: 3 fen; moxibustion: 5 Zhu.
Kongzui (LU6) x2 is located seven cun above the wrist. It is the Xi-Cleft point of the Hand-Taiyin Meridian. It treats febrile diseases with absence of sweating (moxibustion of 3 Zhu induces sweating), rebellious Qi, arm Jue pain. Needle depth: 3 fen; moxibustion: 5 Zhu.
Lieque (LU7) x2 is located one and a half cun above the wrist crease on the radial side. With crossed hands, it is found in the gap between the bones at the end of the index finger. It is the Luo-Connecting point of the Hand-Taiyin Meridian, connecting to the Yangming Meridian. It treats facial paralysis, wrist weakness, hemiplegia, cough with palm heat, lockjaw, cold malaria with foamy vomiting, excessive smiling, lip twitching, and forgetfulness. Needle depth: 2 fen; retain for 3 breaths; use reducing method synchronized with 5 inhalations; moxibustion: 7 Zhu.
Jingqu (LU8) x2 is Metal. It is located in the depression at Cun Kou. It is the Jing-River point where Qi of the Hand-Taiyin Meridian flows. It treats malaria with chills and fever, chest and back stiffness, chest fullness and bloating, dysphagia with palm heat, cough with Qi rebellion and frequent yawning, febrile diseases with absence of sweating, acute bi syndrome with wheezing and rebellion, heart pain, and vomiting. Needle depth: 2 fen; retain for 3 breaths. Moxibustion is strictly contraindicated as it harms the Spirit.
Taiyuan (LU9) x2 is Earth. It is located in the depression behind the palm. It is the Shu-Stream point where Qi of the Hand-Taiyin Meridian pours in. It treats chest bi with Qi rebellion, cold Jue with frequent hiccups and vomiting, drinking-induced cough, mental vexation with insomnia, Lung distension with bloating, pain in the medial arm, leukoma, red eyes with visible veins, pain radiating from the Supraclavicular Fossa, palm heat, recurrent wheezing with inability to breathe, belching with Qi rebellion, heart pain with hemoptysis, chills with dry throat, delirium, and deviation of the mouth. Moxibustion: 3 Zhu; needle depth: 2 fen.
Yuji (LU10) x2 is Fire. It is located in the scattered vessels on the medial side of the metacarpophalangeal joint of the thumb. It is the Ying-Spring point where Qi of the Hand-Taiyin Meridian flows. It treats aversion to wind and cold, deficiency heat with yellow tongue coating, fever with headache, cough with absence of sweating, bi syndrome radiating to chest and back with inability to breathe, dizziness, mental restlessness, shortness of breath, abdominal pain with anorexia, elbow contracture with fullness, dry throat, chills with jaw quivering, cough radiating pain to the sacrum with involuntary urination, hematemesis, heart bi with sorrow and fear. Needle depth: 2 fen; retain for 3 breaths.
Shaoshang (LU11) x2 is Wood. It is located on the medial side of the tip of the thumb, as wide as a leek leaf from the corner of the nail. It is the Jing-Well point where Qi of the Hand-Taiyin Meridian exits. It treats mental restlessness, frequent hiccups, subcostal fullness, sweating with cold, cough with malaria, chills with abdominal fullness, foamy saliva with dry lips, inability to swallow despite thirst, hand contracture with finger pain, chills with jaw quivering and throat buzzing. Prick with a three-edged needle to release a small amount of blood to drain heat from all Zang organs. Case: Cheng Junchuo, Prefect of Tang, suddenly developed swelling of the cheeks and jaw, throat obstruction, and inability to eat or drink for three days. Needling led to immediate recovery. Moxibustion is not suitable.
Regarding the Lung Meridian of Hand-Taiyin, it generally has abundant Qi and scarce Blood. Needling should aim to expel Qi and eliminate bad blood. Since the meridian travels from the Zang organs to the hand, one must carefully assess and follow the Qi flow. Excess is treated by reducing, deficiency by tonifying, heat by quick needling, cold by retaining the needle, sinking by moxibustion, and neither excess nor deficiency by treating according to the meridian itself. This is the method for treating the Hand-Taiyin Meridian.