手阳明大肠经,起于大指次指之端,循指上廉,出合谷两骨之间,上入两筋之中,循臂
上廉,入肘外廉,上 外前廉,上肩,出 骨之前廉,上出于柱骨之会上,下入缺盆,络肺,
下膈属大肠,其支者,从缺盆上颈,贯颊,入下齿中,还出挟口,交人中,左之右,右之左,
上挟鼻孔,是动则病齿痛, 肿,是主津液所生病者,目黄口干,鼽衄喉痹,肩前 痛,大
指次指痛不用,气有余则当脉所过者热肿,虚则寒栗不复,盛者人迎大三倍于气口,虚者人
迎反小于气口也。
手阳明之别,名曰偏历,去腕三寸,别入太阴,其别者上肘循臂,乘肩 ,上曲颊遍齿
,其别者,入耳会于宗脉,实则齿龋耳聋,虚则齿寒痹隔,取之所别也。
手阳明之筋,起于大指次指之端,结于腕,上循臂,上结于肘外,上 ,结于 ,其支
者,绕肩胛,挟脊,直者,从肩 上颈,其支者,上颊,结于 ,直者,上出手太阳之前,
上左角,络头,下右颔,其病当所过者支痛及转筋,肩不举颈,不可左右视,治在燔针劫刺
,以知为数,以痛为 ,名曰孟夏痹也。
邪客于手阳明之络,令人气满,胸中喘息,而支 胸中热,刺手大指爪甲上,去端如韭
叶各一 ,左取右,右取左,如食顷已(商阳穴也)。
邪客于手阳明之络,令人耳聋时不闻音,刺商阳立闻,不已,刺中指爪甲上与肉交者,
立闻,其不时闻者,不可刺也,耳中生风者,亦刺之如此数,左刺右,右刺左,手阳明不已,
刺其通脉出耳前者。
热病始手臂痛者,刺手阳明太阴而汗出止,手阳明大肠经从手走头,长五尺,左右共一
丈,凡四十穴。
商阳二穴(一名绝阳在手大指次指内侧去爪甲角如韭叶) 二间二穴(一名间谷在手大
指
次指本节前内侧陷中) 三间二穴(一名少谷在手大指次指本节后内廉侧陷中) 合谷二穴
(一
名虎口在大指次指骨间) 阳溪二穴(一名中魁在腕中上侧两筋陷中) 偏历二穴(在腕中
后三
寸) 温流二穴(在腕后小士五寸大士六寸) 手下廉二穴(在辅骨下去手上廉一寸辅兑肉
其分
外斜) 手上廉二穴(在手三里下一寸其分独抵阳明之会外斜) 手三里二穴(在曲池下二
寸)
曲池二穴(在肘外辅骨屈肘曲骨之中) 肘 二穴(在肘大骨外廉陷中) 五里二穴(在肘
上三
寸行向里大脉中央) 臂 二穴(在肘上七寸 肉端) 肩 二穴(在肩端两骨间陷者宛宛
中)
巨骨二穴(在肩端上行两叉骨间) 天鼎二穴(在颈缺盆直扶突后一寸) 扶突二穴(在人
迎后
一寸五分) 禾 二穴(一名长频直鼻孔挟水沟旁五分) 迎香二穴(一名冲阳在禾 上鼻
孔
旁)
商阳二穴,金也,一名绝阳,在手大指次指内侧,去爪甲角如韭叶,手阳明脉之所出也
,为井。治胸中气满,喘咳支肿,热病汗不出,耳鸣且聋,寒热 疟,口干颐颔肿,齿痛
恶寒,肩背急相引缺盆痛,目青盲,可灸三壮,右取左,左取右,如食顷立已,针入一分,
留一呼。
二间二穴,水也,一名间谷,在手大指次指本节前内侧陷中,手阳明脉之所流也,为荥。
治喉痹颔肿,肩背痛振寒,鼻鼽衄血,多惊口 ,针入三分,可灸三壮。
三间二穴,木也,一名少谷,在手大指次指本节之后内侧陷中,手阳明脉之所注也为输。
治喉痹咽中如鲠,齿龋痛,嗜卧胸满,肠鸣洞泄,寒疟唇焦,口干气喘,目 急痛,针入
三分,留三呼,可灸三壮。
合谷二穴,一名虎口,在手大指次指岐骨间陷中,手阳明脉之所过也,为原。疗寒热疟
,鼻鼽衄,热病汗不出,目视不明,头痛齿龋,喉痹痿臂面肿,唇吻不收,喑不能言,口
噤不开,针入三分,留六呼,可灸三壮,若妇人妊娠不可刺,刺则损胎气。
阳溪二穴,火也,一名中魁,在腕中上侧两筋陷中,手阳明脉之所行也,为经。治狂言
喜笑见鬼,热病烦心,目风赤烂有翳,厥逆头痛,胸满不得息,寒热疟疾,喉痹耳鸣,齿痛
惊掣,肘臂不举,痂疥,针入三分,留七呼,可灸三壮,慎如合谷法。
偏历二穴,手阳明络也,在腕后三寸,别走太阴,治寒热疟,风汗不出,目视 ,癫
疾多言,耳鸣口 ,齿龋喉痹嗌干,鼻鼽衄血,针入三分,留七呼,可灸三壮。
温溜二穴,一名逆注,一名蛇头,在腕后,小士五寸,大士六寸,手阳明 ,治口 ,
肠鸣腹痛,伤寒身热,头痛哕逆,肩不得举,癫疾吐涎,狂言见鬼,喉痹面虚肿,针入三分
,可灸三壮。
手下廉二穴,在辅骨下去手上廉一寸,辅兑肉其分外斜。治头风,臂胛痛,溺黄,针入
五分,留五呼,可灸三壮。
手上廉二穴,在手三里下一寸,其分独抵阳阳之会外斜。治脑风头痛,小便难黄赤,肠
鸣气走注痛,针入五分,可灸五壮。
手三里二穴,在曲池下二寸,按之肉起兑肉之端。治手臂不仁,肘挛不伸,齿痛颊颔肿
,瘰 ,可灸三壮,针入三分。
曲池二穴,土也,在肘外辅骨屈肘曲骨之中,以手拱胸取之,手阳明脉之所入也,为合。
治肘中痛,偏风半身不遂,刺风瘾疹,喉痹不能言,胸中烦满,筋缓捉物不得,挽弓不开
,屈伸难,风臂肘细而无力,伤寒余热不尽,皮肤干燥,针入七分,得气先泻后补之,可灸
三壮。
肘 二穴,在肘大骨外廉陷中。治肘节风痹,臂痛不可举,屈伸挛急,可灸三壮,针入
三分。
臂五里二穴,在肘上三寸行向里大脉中央。治风劳惊恐吐血,肘臂痛嗜卧,四肢不得动
摇,寒热瘰 咳嗽,目视 , 疟心下胀满,可灸十壮,禁不可针。
臂 二穴,在肘上七寸 肉端,手阳明络也。治寒热颈项拘急,瘰 肩背痛不得举,可
灸三壮,针入三分。
肩 二穴,在肩端两骨间陷者宛宛中,举臂取之,手阳明跷脉之会。疗偏风半身不遂,
热风瘾疹,手臂挛急,捉物不得,挽弓不开,臂细无力,筋骨酸疼,可灸七壮至二七壮,以
瘥为度,若灸偏风不遂,可七七壮止,不宜多灸,恐手臂细,若风病筋骨无力久不瘥,当灸
不畏细也。刺即泄肩臂热气,若患风痹,手臂不得伸引,刺之,可使挽强习射如故。
巨骨二穴,在肩端上行两叉骨间陷中,手阳明跷脉之会。治背 痛,胸中有瘀血,肩臂
不得屈伸而痛,可灸五壮,针入一寸五分。
天鼎二穴,在颈缺盆直扶突后一寸,手阳明脉气所发。治暴喑气哽,喉痹咽肿不得息
,饮食不下,喉中鸣,可灸三壮,针入三分。
扶突二穴,一名水穴,在人迎后一寸五分,手阳明脉气所发。治咳多唾,上气咽引喘息
,喉中如水鸡鸣,可灸三壮,针入三分。
禾 二穴,在鼻孔下挟水沟旁五分,手阳明脉气所发,治鼻衄血不止,鼻清涕生疮,口
噤不开,针入二分。
迎香二穴,在禾 上一寸,鼻孔旁五分,手足阳明之会,治鼻有息肉,不闻香臭衄血,
偏风口 ,面痒浮肿,风动叶叶,状如虫行,或唇肿痛,针入三分,留三呼,不宜灸。
凡此手阳明之脉,多气多血,刺当出气血,其经从手走头,顺之为随,逆之为迎,盛则
泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之,此治手阳明之
法也。
手阳明大肠经,起始于食指末端,沿着食指桡侧边缘上行,出于合谷穴位于第一、二掌骨之间,向上进入两筋(拇长伸肌腱与拇短伸肌腱)之中,沿着前臂桡侧上行,进入肘部外侧,沿上臂外侧前缘上行,到达肩部,出于肩峰前缘,向上出于颈椎大椎穴的交会处,向下进入缺盆,联络肺脏,穿过膈肌,属于大肠。其分支,从缺盆上行至颈部,贯穿面颊,进入下齿中,再出来夹口唇左右交叉于人中穴,左侧向右,右侧向左,上行夹鼻孔两侧。本经发生异常变动就会引起牙齿疼痛、面部肿胀,本经主要主管津液代谢所发生的疾病,如目黄、口干、鼻流清涕或出血、咽喉肿痛、肩前部疼痛、食指疼痛且活动不利。邪气盛实则经脉循行部位出现热肿,虚证则出现寒战不能恢复,实证时人迎脉比寸口脉大三倍,虚证时人迎脉反而小于寸口脉。
手阳明的络脉,名为偏历,距离腕横纹三寸处,别出走向太阴肺经。其分支,上行至肘部,沿前臂上行,经过肩部,上至曲颊遍布牙齿;另一分支,进入耳中,与宗脉相会。实证表现为龋齿、耳聋;虚证表现为牙齿寒冷、痹阻隔塞,治疗应取该络穴。
手阳明的经筋,起始于食指末端,结聚于手腕,沿前臂上行,结聚于肘部外侧,沿上臂上行,结聚于肩髃穴,其分支,绕肩胛,挟脊柱直行者,从肩上颈,其分支,上达面颊,结聚于颔部,直行者,上行出手太阳经之前,上至左额角,络于头部,下行至右下颌。其病症为经筋循行部位掣痛及转筋,肩不能举,颈项不能左右转动,治疗用燔针劫刺,以症状缓解为度,以痛点为腧穴,称为孟夏痹。
邪气侵犯手阳明的络脉,使人气机壅满,胸中喘息,并支撑胸中发热,针刺手大指指甲上,距离指尖如韭菜叶宽的地方各一穴,左病取右,右病取左,约吃一顿饭的时间就好了(这是商阳穴)。
邪气侵犯手阳明的络脉,使人耳聋,时常听不到声音,针刺商阳穴可立即听见,如果不好,针刺中指指甲上与肉交接处,也可立即听见,如果不时常听不见的,不可针刺。耳中有风声的,也这样针刺,左刺右,右刺左,手阳明经无效,针刺通脉出耳前的穴位。
热病开始手臂痛的,针刺手阳明和手太阴经使汗出而止。手阳明大肠经从手走向头,长五尺,左右共一丈,共有四十个穴位。
商阳二穴(又名绝阳,在手大指次指内侧,距指甲角如韭菜叶宽),是手阳明脉所出的井穴。主治胸中气满,喘咳支肿,热病汗不出,耳鸣且聋,寒热疟疾,口干颐颔肿,齿痛恶寒,肩背急迫牵引缺盆痛,目青盲,可灸三壮,右取左,左取右,约吃一顿饭的时间即可痊愈,针入一分,留针一呼。
二间二穴,属水,又名间谷,在手大指次指本节前的内侧陷中,是手阳明脉所流的荥穴。主治喉痹颔肿,肩背痛振寒,鼻鼽衄血,多惊口噤,针入三分,可灸三壮。
三间二穴,属木,又名少谷,在手大指次指本节后的内侧陷中,是手阳明脉所注的输穴。主治喉痹咽中如鲠,齿龋痛,嗜卧胸满,肠鸣洞泄,寒疟唇焦,口干气喘,目急痛,针入三分,留三呼,可灸三壮。
合谷二穴,又名虎口,在手大指次指歧骨间的陷中,是手阳明脉所过的原穴。治疗寒热疟疾,鼻鼽衄血,热病汗不出,目视不明,头痛齿龋,喉痹痿臂面肿,唇吻不收,喑不能言,口噤不开,针入三分,留六呼,可灸三壮。若妇人妊娠不可刺,刺则损胎气。
阳溪二穴,属火,又名中魁,在腕中上侧两筋陷中,是手阳明脉所行的经穴。治疗狂言喜笑见鬼,热病烦心,目风赤烂有翳,厥逆头痛,胸满不得息,寒热疟疾,喉痹耳鸣,齿痛惊掣,肘臂不举,痂疥,针入三分,留七呼,可灸三壮,慎用如合谷法。
偏历二穴,是手阳明络穴,在腕后三寸,别走太阴,治寒热疟,风汗不出,目视不明,癫疾多言,耳鸣口噤,齿龋喉痹嗌干,鼻鼽衄血,针入三分,留七呼,可灸三壮。
温溜二穴,又名逆注,又名蛇头,在腕后小士五寸,大士六寸,是手阳明郄穴,治口噤,肠鸣腹痛,伤寒身热,头痛哕逆,肩不得举,癫疾吐涎,狂言见鬼,喉痹面虚肿,针入三分,可灸三壮。
手下廉二穴,在辅骨下去手上廉一寸,辅兑肉其分外斜。治头风,臂胛痛,溺黄,针入五分,留五呼,可灸三壮。
手上廉二穴,在手三里下一寸,其分独抵阳阳之会外斜。治脑风头痛,小便难黄赤,肠鸣气走注痛,针入五分,可灸五壮。
手三里二穴,在曲池下二寸,按之肉起兑肉之端。治手臂不仁,肘挛不伸,齿痛颊颔肿,瘰疬,可灸三壮,针入三分。
曲池二穴,属土,在肘外辅骨屈肘曲骨之中,以手拱胸取之,是手阳明脉所入的合穴。治疗肘中痛,偏风半身不遂,刺风瘾疹,喉痹不能言,胸中烦满,筋缓捉物不得,挽弓不开,屈伸难,风臂肘细而无力,伤寒余热不尽,皮肤干燥,针入七分,得气先泻后补之,可灸三壮。
肘髎二穴,在肘大骨外廉陷中。治疗肘节风痹,臂痛不可举,屈伸挛急,可灸三壮,针入三分。
臂臑二穴,在肘上三寸行向里大脉中央。治疗风劳惊恐吐血,肘臂痛嗜卧,四肢不得动摇,寒热瘰疬咳嗽,目视不明,疟疾心下胀满,可灸十壮,禁不可针。
臂臑二穴(注:原文此处可能有误,通常臂臑在肩端,此处描述似重复或指代其他,依原文翻译),在肘上七寸肉端,是手阳明络穴。治疗寒热颈项拘急,瘰疬肩背痛不得举,可灸三壮,针入三分。
肩髃二穴,在肩端两骨间陷者宛宛中,举臂取之,是手阳明跷脉之会。治疗偏风半身不遂,热风瘾疹,手臂挛急,捉物不得,挽弓不开,臂细无力,筋骨酸疼,可灸七壮至二七壮,以痊愈为度,若灸偏风不遂,可七七壮止,不宜多灸,恐手臂细,若风病筋骨无力久不愈,当灸不畏细也。刺即泄肩臂热气,若患风痹,手臂不得伸引,刺之,可使挽强习射如故。
巨骨二穴,在肩端上行两叉骨间陷中,是手阳明跷脉之会。治疗背痛,胸中有瘀血,肩臂不得屈伸而痛,可灸五壮,针入一寸五分。
天鼎二穴,在颈缺盆直扶突后一寸,是手阳明脉气所发。治疗暴喑气哽,喉痹咽肿不得息,饮食不下,喉中鸣,可灸三壮,针入三分。
扶突二穴,又名水穴,在人迎后一寸五分,是手阳明脉气所发。治疗咳多唾,上气咽引喘息,喉中如水鸡鸣,可灸三壮,针入三分。
禾髎二穴,在鼻孔下挟水沟旁五分,是手阳明脉气所发,治疗鼻衄血不止,鼻清涕生疮,口噤不开,针入二分。
迎香二穴,在禾髎上一寸,鼻孔旁五分,是手足阳明之会,治疗鼻有息肉,不闻香臭衄血,偏风口㖞,面痒浮肿,风动叶叶,状如虫行,或唇肿痛,针入三分,留三呼,不宜灸。
凡是手阳明脉,多气多血,针刺应当调出气血,其经从手走向头,顺之为随,逆之为迎,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之,这是治疗手阳明经的方法。
The Hand-Yangming Large Intestine Meridian (Shou Yangming Dachang Jing) originates at the tip of the index finger, follows the radial border of the finger, emerges between the two bones of Hegu (LI4), ascends into the space between the two tendons, follows the radial border of the forearm, enters the lateral aspect of the elbow, ascends along the anterior-lateral border of the upper arm, reaches the shoulder, emerges from the anterior border of the acromion, ascends to emerge at the intersection of the vertebral bones (Dazhui GV14), descends into the supraclavicular fossa (Quepen), connects with the Lung (Fei), passes through the diaphragm, and belongs to the Large Intestine (Dachang). Its branch arises from the supraclavicular fossa, ascends to the neck, penetrates the cheek, enters the lower teeth, returns to emerge crossing the mouth at Renzhong (GV26), left crossing to right, right crossing to left, ascending to flank both sides of the nostrils. When this meridian is disturbed, it causes toothache and facial swelling. This meridian primarily governs diseases related to body fluids (Jinye), such as yellowing of the eyes, dry mouth, rhinorrhea or epistaxis, pharyngolaryngeal obstruction (Houbi), pain in the anterior shoulder, and pain and dysfunction of the index finger. When qi is in excess, there is heat and swelling along the course of the meridian; when deficient, there is cold shivering that does not resolve. In excess conditions, the Renying (ST9) pulse is three times larger than the Qikou (LU9) pulse; in deficiency conditions, the Renying pulse is smaller than the Qikou pulse.
The Luo-connecting vessel of the Hand-Yangming is named Pianli (LI6), located three cun distal to the wrist crease, where it diverges to connect with the Taiyin Lung Meridian. Its branch ascends to the elbow, follows the forearm, traverses the shoulder, ascends to the curved jaw (Qujia), and spreads over the teeth. Another branch enters the ear and meets the Zongmai (Major Vessels). In excess conditions, it causes dental caries and deafness; in deficiency conditions, it causes cold teeth and bi-syndrome with obstruction. Treatment involves selecting its Luo-point.
The Sinew Meridian of the Hand-Yangming originates at the tip of the index finger, knots at the wrist, ascends along the forearm, knots at the lateral elbow, ascends along the upper arm, knots at Jianyu (LI15). Its branch winds around the scapula and flanks the spine. The straight branch ascends from the shoulder to the neck. Another branch ascends to the cheek and knots at the mandible. The straight branch ascends anterior to the Hand-Taiyang Small Intestine Meridian, ascends to the left frontal angle, connects with the head, and descends to the right mandible. Pathological conditions include pulling pain and spasms along the course of the sinews, inability to raise the shoulder, and inability to turn the head left or right. Treatment involves burning needle puncture (Fanzhen Jiesi), using the point where symptoms cease as the frequency, and using painful points as acupuncture points. This is called Mengxia Bi (Early Summer Bi Syndrome).
When pathogenic factors invade the Luo-connecting vessel of the Hand-Yangming, it causes qi fullness, chest distress, panting, and heat supporting the chest. Puncture one point on each hand at the nail bed of the index finger, about the width of a leek leaf from the corner, treating left disease with right points and right disease with left points. Recovery occurs after approximately the time it takes to eat a meal (this is Shangyang LI1).
When pathogenic factors invade the Luo-connecting vessel of the Hand-Yangming, it causes deafness and intermittent inability to hear sounds. Puncturing Shangyang (LI1) restores hearing immediately. If ineffective, puncture the point where the nail meets the flesh on the middle finger, which also restores hearing immediately. If hearing loss is not intermittent, it should not be treated with acupuncture. For wind sensation in the ear, treat similarly, crossing left and right. If the Hand-Yangming meridian treatment fails, puncture the vessel emerging anterior to the ear.
For heat diseases starting with arm pain, puncture the Hand-Yangming and Hand-Taiyin meridians to induce sweating and stop the disease. The Hand-Yangming Large Intestine Meridian runs from the hand to the head, measuring five chi in length, totaling one zhang for both sides, containing forty acupoints.
Shangyang (LI1) [Two points]: Also known as Jueyang. Located on the radial side of the index finger, the width of a leek leaf from the nail corner. It is the Jing-Well point of the Hand-Yangming Meridian. Treats chest fullness, panting, cough, swelling, heat diseases without sweating, tinnitus and deafness, alternating cold and fever malaria, dry mouth, swelling of the chin and jaw, toothache, aversion to cold, stiff shoulder and back radiating to the supraclavicular fossa, blindness, and can be moxibusted with three moxa cones. Treat left with right, right with left; recovery occurs after eating time. Needle depth: 1 fen, retain for one breath.
Erjian (LI2) [Two points]: Element Water, also known as Jianggu. Located in the depression medial to the proximal interphalangeal joint of the index finger. It is the Ying-Spring point of the Hand-Yangming Meridian. Treats pharyngolaryngeal obstruction, submandibular swelling, shoulder and back pain with chills, rhinorrhea and epistaxis, frequent fright, and lockjaw. Needle depth: 3 fen, moxibustion: 3 cones.
Sanjian (LI3) [Two points]: Element Wood, also known as Shaogu. Located in the depression posterior-medial to the metacarpophalangeal joint of the index finger. It is the Shu-Stream point of the Hand-Yangming Meridian. Treats pharyngolaryngeal obstruction with a sensation of a foreign body, dental caries pain, lethargy with chest fullness, borborygmus and diarrhea, cold malaria with dry lips, dry mouth with asthma, eye urgency and pain. Needle depth: 3 fen, retain for three breaths, moxibustion: 3 cones.
Hegu (LI4) [Two points]: Also known as Hukou. Located in the depression between the first and second metacarpal bones. It is the Yuan-Source point of the Hand-Yangming Meridian. Treats alternating cold and fever malaria, rhinorrhea and epistaxis, heat diseases without sweating, blurred vision, headache, dental caries, pharyngolaryngeal obstruction, atrophy and swelling of the arm and face, flaccid lips, aphonia, lockjaw. Needle depth: 3 fen, retain for six breaths, moxibustion: 3 cones. Contraindicated in pregnant women as it may damage fetal qi.
Yangxi (LI5) [Two points]: Element Fire, also known as Zhongkui. Located in the depression between the two tendons on the radial side of the wrist. It is the Jing-River point of the Hand-Yangming Meridian. Treats manic speech, laughter, seeing ghosts, heat diseases with vexation, wind-eye redness and ulceration with pannus, reversal headache, chest fullness with dyspnea, alternating cold and fever malaria, pharyngolaryngeal obstruction, tinnitus, toothache, convulsions, inability to lift the elbow and arm, crusts and scabies. Needle depth: 3 fen, retain for seven breaths, moxibustion: 3 cones. Use caution as with Hegu.
Pianli (LI6) [Two points]: The Luo-connecting point of the Hand-Yangming. Located three cun posterior to the wrist, diverging to the Taiyin. Treats alternating cold and fever malaria, wind with no sweat, blurred vision, mania with excessive talking, tinnitus, lockjaw, dental caries, pharyngolaryngeal obstruction, dry throat, rhinorrhea and epistaxis. Needle depth: 3 fen, retain for seven breaths, moxibustion: 3 cones.
Wenliu (LI7) [Two points]: Also known as Nizhu or She Tou. Located on the posterior wrist, 5 cun (small shi) to 6 cun (large shi) distal to the wrist. It is the Xi-Cleft point of the Hand-Yangming Meridian. Treats lockjaw, borborygmus and abdominal pain, typhoid with fever, headache with hiccups, inability to raise the shoulder, mania with salivation, manic speech and seeing ghosts, pharyngolaryngeal obstruction with facial edema. Needle depth: 3 fen, moxibustion: 3 cones.
Xiàshǒu Lián (LI8) [Two points]: Located one cun below Shàngshǒu Lián on the accessory bone, with muscle fibers slanting outward. Treats head wind, shoulder and arm pain, yellow urine. Needle depth: 5 fen, retain for five breaths, moxibustion: 3 cones.
Shàngshǒu Lián (LI9) [Two points]: Located one cun below Shousanli, with muscle fibers meeting the Yangming intersection and slanting outward. Treats brain wind headache, difficult and yellow-red urination, borborygmus with migrating pain. Needle depth: 5 fen, moxibustion: 5 cones.
Shousanli (LI10) [Two points]: Located two cun below Quchi. Pressing causes muscle elevation at the end of the quadriceps femoris-like muscle. Treats arm numbness, elbow contracture with inability to extend, toothache and submaxillary swelling, scrofula. Moxibustion: 3 cones, needle depth: 3 fen.
Quchi (LI11) [Two points]: Element Earth. Located in the depression at the lateral end of the elbow crease when the elbow is flexed. It is the He-Sea point of the Hand-Yangming Meridian. Treats elbow pain, hemiplegia due to wind, wind urticaria, pharyngolaryngeal obstruction with aphonia, chest vexation and fullness, muscle flaccidity with inability to grasp objects or draw a bow, difficulty in flexion and extension, thin and weak arms and elbows due to wind, residual heat from typhoid, dry skin. Needle depth: 7 fen. After obtaining Deqi, reduce first then tonify. Moxibustion: 3 cones.
Zhou Liao (LI12) [Two points]: Located in the depression at the lateral border of the large elbow bone. Treats elbow joint wind-bi, arm pain with inability to lift, flexion-extension contracture. Moxibustion: 3 cones, needle depth: 3 fen.
Bili (LI13) [Two points]: Located three cun above the elbow, in the center of the major vessel running inward. Treats wind-lao, fright, hemoptysis, elbow and arm pain with lethargy, inability to move limbs, alternating cold and fever with scrofula and cough, blurred vision, malaria with subcostal fullness. Moxibustion: 10 cones. Acupuncture is prohibited.
Binao (LI14) [Two points]: Located at the end of the muscle seven cun above the elbow. It is the Luo-connecting vessel of the Hand-Yangming. Treats alternating cold and fever with neck stiffness, scrofula with shoulder and back pain and inability to lift. Moxibustion: 3 cones, needle depth: 3 fen.
Jianyu (LI15) [Two points]: Located in the depression between the two bones at the shoulder tip, found by raising the arm. It is the intersection of the Hand-Yangming and Qiao vessels. Treats hemiplegia due to wind, wind-heat urticaria, arm contracture, inability to grasp objects or draw a bow, thin arms with weakness, soreness of muscles and bones. Moxibustion: 7 to 14 cones, until recovery. For hemiplegia, up to 49 cones are allowed, but avoid excessive moxibustion to prevent arm atrophy. If wind-bi causes long-term muscle weakness, do not fear atrophy. Puncturing drains heat and qi from the shoulder and arm. For wind-bi with inability to extend the arm, puncturing can restore strength for drawing bows and archery.
Jugu (LI16) [Two points]: Located in the depression between the bifurcated bones ascending from the shoulder tip. It is the intersection of the Hand-Yangming and Qiao vessels. Treats back pain, blood stasis in the chest, shoulder and arm pain with inability to flex and extend. Moxibustion: 5 cones, needle depth: 1.5 cun.
Tianding (LI17) [Two points]: Located one cun posterior to Futu, directly above the supraclavicular fossa. It is where the Qi of the Hand-Yangming Meridian emerges. Treats sudden aphonia and choking, pharyngolaryngeal obstruction with swollen throat and dyspnea, inability to swallow, throat rattling. Moxibustion: 3 cones, needle depth: 3 fen.
Futu (LI18) [Two points]: Also known as Shui Xue. Located 1.5 cun posterior to Renying. It is where the Qi of the Hand-Yangming Meridian emerges. Treats cough with excessive saliva, upward rushing qi with wheezing, throat sound like a water frog. Moxibustion: 3 cones, needle depth: 3 fen.
Heliao (LI19) [Two points]: Located five fen lateral to the philtrum under the nostril. It is where the Qi of the Hand-Yangming Meridian emerges. Treats persistent epistaxis, nasal discharge with sores, lockjaw. Needle depth: 2 fen.
Yingxiang (LI20) [Two points]: Located one cun above Heliao, five fen lateral to the nostril. It is the intersection of the Hand-Yangming and Foot-Yangming meridians. Treats nasal polyps, anosmia, epistaxis, facial deviation, facial itching and edema, wind sensation like insects crawling, lip swelling and pain. Needle depth: 3 fen, retain for three breaths. Moxibustion is contraindicated.
Generally, the Hand-Yangming Meridian has abundant Qi and Blood. Puncture should regulate Qi and Blood. The meridian runs from hand to head. Following the flow is "Sui" (Following), opposing it is "Ying" (Meeting). Excess is drained, deficiency is tonified, heat is treated with quick needling, cold is treated with retained needling, sinking conditions are treated with moxibustion, and neither excess nor deficiency is treated by selecting points from the meridian itself. This is the method for treating the Hand-Yangming Meridian.