\r手少阳三焦经图\p06-d18a10.bmp\r
三焦脉起于小指次指之端至目兑 注胆经
手少阳三焦之脉,起于小指次指之端(关冲穴也),上出两指之间(液门穴也),循手表腕
池穴也),出臂外两骨之间(支沟穴也),上贯肘,循 外上肩,而交出足少阳之后,入缺盆
,布膻中(膻中在玉堂穴下一寸六分,两乳之间陷中是也)。散络心包,下膈循属三焦。其支
者,从膻中上出缺盆,上项挟耳后,直上出耳上角,以屈下颊(一作颅)至 。其支者,从耳
后入耳中,出走耳前,过客主人(客主人在耳前上起骨,开口有空者),前交颊,至目锐 。
手少阳三焦之脉,多气少血,是动则病,耳聋耳鸣,浑浑 ,嗌肿喉痹,是主气所生
病者,汗出,目锐 痛,颊痛,耳后肩 肘臂外皆痛,小指次指不用。
\r足少阳胆经图\p06-d18a11.bmp\r
胆脉起于目兑 入大指循歧骨内出于端注肝经
足少阳胆之脉,起于目锐 ,上抵头角,下耳后循颈行手少阳之前,至肩上,却交出手
少阳
之后,入缺盆。其支者,从耳后入耳中,出走耳前,至目锐 后。其支者,别锐 ,下大迎
,合于手少阳,抵于 ,下加颊车,下颈合缺盆,以下胸中贯膈,络肝属胆,循胁里,出气
街,绕毛际,横入髀厌中。其直者,从缺盆下腋,循胸中过季胁,下合髀厌中,以下循髀阳
,出膝外廉(阳陵泉也),下外辅骨之前(辅骨在陷下)。直下抵绝骨之端(绝骨外端阳辅穴)。
下出外踝之前,循足跗上,入小趾次趾之间。其支者,别跗上,入大趾之间,循大趾岐骨内
,出其端,还贯爪甲,出三毛中。
足少阳之经,多气少血,是动则病,口苦,善太息,心胁痛不能转侧,甚则面有微尘,
体无
膏泽,足外反热,是为阳厥,是主骨。所生病者,头痛颔痛,目锐 痛,缺盆中肿痛,腋下
肿,马刀挟瘿,汗出振寒,疟胸胁肋髀膝外至胫,绝骨外踝前及诸节皆痛,小趾次趾不用。
【手少阳三焦经图】
三焦经脉起于小指与无名指之间,至目外眦,注入胆经。
手少阳三焦的经脉,起始于小指与无名指指尖端(即关冲穴),向上出于两指之间(即液门穴),沿手背腕部前行(此处原文有缺漏,结合上下文及标准经络循行,应为“循手表腕”后接“出两骨之间”,但依原文字面翻译为:沿手背腕部),出于前臂外侧两骨之间(即支沟穴),向上穿过肘部,沿上臂外侧上行至肩部,并交叉走在足少阳胆经之后,进入缺盆,分布于膻中(膻中穴位于玉堂穴下一寸六分,两乳之间的凹陷处)。散布联络心包,向下穿过横膈,依次属络三焦。其分支,从膻中上行出缺盆,上项部挟耳后,直上出耳上角,然后弯曲下行至颊部(一说至颅部)至眼眶下。另一分支,从耳后入耳中,出走耳前,经过客主人穴(客主人穴在耳前上方隆起的骨头处,张口有空隙的地方),前方交叉于颊部,至目外眦。
手少阳三焦经脉,多气少血。若经脉发生变动,则出现耳聋、耳鸣,声音浑浊不清,咽喉肿痛、喉痹等症状。若是本经所主之气发生的病变,则表现为汗出、目外眦痛、颊痛、耳后、肩、臑、肘、臂外侧均疼痛,小指与无名指不能随意运动。
【足少阳胆经图】
胆脉起于目外眦,入大趾间,循歧骨内出于端,注肝经。
足少阳胆的经脉,起始于目外眦,向上抵达头角,向下经过耳后,沿颈部行走于手少阳三焦经之前,至肩部,却交叉走在手少阳三焦经之后,进入缺盆。其分支,从耳后入耳中,出走耳前,至目外眦后方。另一分支,从目外眦分出,下行至大迎穴,与手少阳三焦经相合,抵达目眶下,向下加于颊车穴,下行颈部与缺盆会合,向下进入胸中,穿过横膈,联络肝脏,属络胆腑,沿胁肋内部走行,出于气街,环绕阴毛边缘,横向进入髋关节中。其直行者,从缺盆下行腋下,沿胸侧过季胁,向下与髋关节中的经脉会合,向下沿大腿外侧下行,出于膝外侧(即阳陵泉穴),下行于腓骨前缘(腓骨位于凹陷处),直下抵绝骨末端(绝骨外端为阳辅穴),下行出于外踝之前,沿足背上行,入于第四趾与第五趾之间。其分支,从足背分出,入于大趾之间,沿大趾歧骨内侧,出于趾端,回贯爪甲,出于丛毛中(即三毛处)。
足少阳胆经,多气少血。若经脉发生变动,则出现口苦、喜欢叹气、心胁部疼痛不能转侧,严重时面色如蒙尘垢,身体无光泽,足外侧发热,这称为阳厥。本经主司骨骼。若发生本经所主的疾病,则表现为头痛、下颌痛、目外眦痛、缺盆中肿痛、腋下肿、马刀侠瘿(一种颈侧淋巴结结核或肿瘤)、汗出且战栗发冷、疟疾;胸、胁、肋、髀、膝外侧至胫骨、绝骨、外踝前及各关节皆痛,小趾与第四趾不能随意运动。
[Diagram of the Hand-Shaoyang Sanjiao Meridian]
The Sanjiao meridian originates at the tip of the fourth finger, reaches the outer canthus, and connects with the Gallbladder meridian.
The Hand-Shaoyang Sanjiao (Triple Burner) meridian originates at the tip of the ring finger (Guanchong, SI 1), ascends between the fingers (Yemen, SJ 2), follows the dorsal aspect of the hand to the wrist, emerges between the two bones of the forearm (Zhigou, SJ 6), ascends through the elbow, follows the lateral aspect of the upper arm to the shoulder, crosses posterior to the Foot-Shaoyang Gallbladder meridian, enters the supraclavicular fossa (Quepen, GB 12), and spreads in the chest center (Shanzhong, CV 17; located 1.5 cun below Yutang, CV 19, in the depression between the nipples). It disperses and connects with the Pericardium, descends through the diaphragm, and belongs to the Sanjiao. A branch arises from the Shanzhong, ascends out of the Quepen, travels up the neck behind the ear, emerges directly above the upper angle of the ear, then curves down to the cheek (or skull) to reach the infraorbital region. Another branch enters the ear from behind the ear, emerges anterior to the ear, passes through the Guest Master point (Keguren, ST 7; located in the depression anterior to the tragus when the mouth is open), crosses anteriorly at the cheek, and reaches the outer canthus.
The Hand-Shaoyang Sanjiao meridian has abundant Qi and scarce Blood. When the meridian is disturbed, symptoms include deafness, tinnitus, a muffled sensation in the head, swelling of the throat, and throat obstruction. If diseases arise from the Qi regulated by this meridian, symptoms include sweating, pain in the outer canthus, cheek pain, pain along the posterior ear, shoulder, arm, elbow, and lateral aspect of the forearm, and dysfunction of the ring and little fingers.
[Diagram of the Foot-Shaoyang Gallbladder Meridian]
The Gallbladder meridian originates at the outer canthus, enters the big toe, follows the interosseous space, emerges at the tip, and connects with the Liver meridian.
The Foot-Shaoyang Gallbladder meridian originates at the outer canthus, ascends to the frontal angle of the head, descends behind the ear, runs along the neck anterior to the Hand-Shaoyang Sanjiao meridian, reaches the shoulder, crosses posterior to the Hand-Shaoyang Sanjiao meridian, and enters the supraclavicular fossa. A branch enters the ear from behind the ear, emerges anterior to the ear, and reaches the posterior aspect of the outer canthus. Another branch diverges from the outer canthus, descends to the Daying point (ST 5), merges with the Hand-Shaoyang Sanjiao meridian, reaches the infraorbital region, descends to the Jiache point (ST 6), goes down the neck to merge with the supraclavicular fossa, descends into the chest, pierces the diaphragm, connects with the Liver, and belongs to the Gallbladder. It follows the interior of the hypochondrium, emerges at the Qichong point (ST 30), surrounds the pubic region, and enters transversely into the hip joint. The main trunk descends from the supraclavicular fossa into the axilla, passes along the lateral chest and costal margin, merges with the hip joint, descends along the lateral thigh, emerges at the lateral knee (Yanglingquan, GB 34), goes down anterior to the fibula (located in the depression), reaches the end of the Juegu (Yangfu, GB 38), emerges anterior to the lateral malleolus, follows the dorsum of the foot, and enters between the fourth and fifth toes. A branch diverges from the dorsum of the foot, enters between the big toe and the second toe, follows the medial aspect of the first metatarsal bone, emerges at the tip of the toe, returns to penetrate the nail bed, and emerges among the hair follicles (Sanmao).
The Foot-Shaoyang Gallbladder meridian has abundant Qi and scarce Blood. When the meridian is disturbed, symptoms include bitter taste in the mouth, frequent sighing, pain in the heart and hypochondrium preventing turning over, and in severe cases, a dusty complexion and lack of luster in the body. Heat on the lateral aspect of the foot indicates Yang Jue (Yang Reversal). This meridian governs the bones. Diseases governed by this meridian include headache, mandibular pain, pain in the outer canthus, swelling in the supraclavicular fossa, axillary swelling, "Horse Knife" and "Xia Ying" (types of scrofula or tumors), sweating with chills, malaria, and pain in the chest, hypochondrium, ribs, thigh, lateral knee, lower leg, Juegu, lateral malleolus, and various joints. There is also dysfunction of the fourth and fifth toes.