足太阴之脉。起于大趾之端。循趾内侧（大趾内侧。隐白所居。素问曰。太阴之根。起
于隐
白）。白肉际。过核骨后（核骨之下。太白所居焉）。上内踝前廉（商丘居此内踝之前）。上
后（ 谓胫之鱼腹也）。循 骨后。交出厥阴之前（厥阴行太阴之前。至 骨之后。而太阴复
在其前）。上循膝（膝下相侧。阴陵泉所在焉）。股内前廉入腹。属脾（足太阴。脾之经。故其
脉属于脾）。络胃（胃者。脾之维。故脾脉络于胃也）。上膈。挟咽连舌本（舌本。与会厌相连
发泄声音之所也）。散舌下（舌下有泉焉。乃脾之灵津也。道家饮此以延生。号曰华池。仲
长统曰。漱舌下泉而咽之。名曰台仓）。其支者。复从胃别上膈。注心中（足太阴自此交入手
少阴）。是动则病（足太阴。常多气少血。今气先病。是为是动）。舌本强。食则呕（素问所谓
食则呕者。物盛满而上溢。故呕也）。胃脘痛（以其脉络胃故）。腹胀（素问所谓病腹胀者。
太阴子也。十一月万物之气皆藏于中。故曰病胀）。善噫（素问曰。心为噫。今足太阴之阴气
盛。而上走于心。故为噫耳。以其脉支者。复从胃别上膈。注心中故也）。得后与气。则快
然如衰（素问所谓得后与气。则快然如衰者。十二月阴气下衰。而阳气且出。故病如是）。身
体皆重（以脾主肉。故脾病则身体重）。是主脾所生病者（血受病于气。是气之所生。故云。
所生病也）。舌本痛。体不能动摇。食不下。烦心。心下急痛。寒疟（凡疟先寒而后热者。谓
之寒疟。先热而后寒者。谓之温疟。但热而不寒者。谓之瘅疟）。溏瘕泄水闭（按甲乙经。作
溏水泄。病水温。溏泄谓如汤之溏也。素问所谓 溏者。是也）。黄胆。不能卧。强立。股
膝内肿厥（按甲乙经。作好卧不能食肉。唇青强立股膝内）。足大趾不用。盛者寸口大三倍于
人迎。虚者寸口反小于人迎也。
足太阴之别。名曰公孙。去本节之后一寸。别走阳明。其别者。入络肠胃。厥气上逆。
则霍
乱。实则肠中切痛。虚则鼓胀。取之所别也。足太阴之筋。起于大趾之端内侧。上结于内踝
其直者。上结于膝内辅骨。上循阴股。结于髀。聚于阴器。上腹。结于脐。循腹里。结于
胁。散于胸中。其内者。着于脊。其病足大趾支内踝痛。转筋痛。膝内转骨痛。阴股引髀而
痛。阴器钮痛。上引脐两胁痛。引膺中脊内痛。治在燔针劫刺。以知为数。以痛为输。名曰
孟秋痹也。
邪客于足太阴之络。令人腰痛。引少腹控 。不可以仰。急刺腰尻之解。两胂之上是腰
。以月死生为 数。发针立已。左刺右。右刺左。
脾病者。身重善饥。肉痿足不收。行善 。脚下痛。虚则腹满。肠鸣。飧泄食不化。取
其经
太阴。阳明少阴血者脾热病者。先头重颊痛烦心。颜青欲呕。身热。热争则腰痛不可俯仰。
腹满两颔痛。甲乙甚戊己。大汗气逆。则甲乙死。刺足太阴阳明。
脾之大络脉。别名曰大包。出渊腋下三寸。布胸胁。实则一身尽寒。虚则百节皆纵。此
络若罗络之脉者。皆取之。
足太阴脾经。从足走胸中。长六尺五寸。左右共一丈三尺。凡四十二穴。
隐白二穴。大都二穴。太白二穴。公孙二穴。商丘二穴。三阴交二穴。漏谷二穴。地机
二穴
阴陵泉二空。血海二穴。箕门二穴。冲门二穴。府舍二穴。脐结二穴。大横二穴。腹哀二
穴。食窦二穴。天溪二穴。胸乡二穴。周荣二穴。大包二穴。
足太阴脾经的经脉，起始于大脚趾的末端。沿着脚趾内侧（大脚趾内侧，隐白穴所在之处，《素问》说：太阴经的根源，起于隐白穴），经过白色皮肤与红色皮肤的交界处，越过核骨后方（核骨下方，太白穴所在处），向上到达内踝前缘（商丘穴位于此内踝之前），上行至小腿肚（指胫骨后方的鱼腹状肌肉部位），沿着胫骨后缘行走，在膝下交叉至足厥阴肝经的前方（厥阴经行走在太阴经前方，直到胫骨之后，太阴经又重新位于其前方）。继续向上沿膝盖内侧上行（膝盖下方侧面，阴陵泉穴所在处），进入大腿内侧前缘，深入腹部，归属于脾脏（足太阴经是脾的经脉，所以它的脉气归属于脾），联络胃腑（胃是脾的维系器官，所以脾经的络脉联络于胃）。向上穿过膈肌，夹着咽喉连接舌根（舌根，与会厌相连，是发声的地方），散布于舌下（舌下有津液，这是脾的灵润之津，道家饮用此津以延年益寿，称为华池，仲长统说：吞咽舌下的泉水，名叫天仓）。它的支脉，又从胃部分出，上穿膈肌，注入心中（足太阴经从此处交入手少阴心经）。
当本经发生变动时会出现病症（足太阴经通常多气少血，现在气先发病，这称为“是动病”）：舌根僵硬，进食则呕吐（《素问》所说的进食呕吐，是因为食物充满而上溢，所以呕吐），胃脘疼痛（因为经脉联络胃的缘故），腹胀（《素问》所说病发腹胀，是因为太阴对应十一月，此时万物之气都收藏于体内，所以说病发为胀），容易嗳气（《素问》说心主嗳气，现在足太阴的阴气旺盛，向上走于心，所以产生嗳气，因为其支脉从胃别出上膈注入心中的缘故），大小便通畅或排气后，症状就会轻松减轻（《素问》所说得后与气则快然如衰，是指十二月阴气下行衰退，阳气将要外出，所以病情如此表现），身体沉重（因为脾主肌肉，所以脾病则身体沉重）。
本经主治脾所生的疾病（血受气的影响而生病，这是气所化生，所以称为“所生病”）：舌根疼痛，身体不能动摇，饮食不下，心烦，心窝部急痛，寒疟（凡是先恶寒后发热的疟疾，称为寒疟；先发热后恶寒的，称为温疟；只发热不恶寒的，称为瘅疟），大便溏泄、癥积、水闭（参考《甲乙经》，作“溏水泄”，病性属水湿，溏泄指像稀汤一样的腹泻，《素问》所说的飧泄，就是这种情况），黄疸，不能平卧，强直站立，大腿和膝盖内侧肿胀厥冷，大脚趾活动不利。脉象方面，实证时寸口脉搏比人迎脉搏大三倍，虚证时寸口脉搏反而小于人迎脉搏。
足太阴脾经的络脉，名为公孙，距离大脚趾本节后方一寸，别行走向阳明经。其分支，进入并联络肠胃。如果逆乱之气上冲，就会发生霍乱。实证表现为肠中剧烈疼痛，虚证表现为腹部鼓胀。治疗应取该络脉别出的穴位。
足太阴脾经的筋，起始于大脚趾的内侧末端，向上结聚于内踝。其直行者，向上结聚于膝内侧辅骨，沿大腿内侧上行，结聚于髀部，汇聚于生殖器，向上至腹部，结聚于脐部，沿腹腔内部上行，结聚于胁肋，散布于胸中。其深入体内的部分，附着于脊柱。其病症包括：大脚趾支撑内踝疼痛，转筋疼痛，膝内侧辅骨疼痛，大腿内侧牵引髀部疼痛，生殖器扭转疼痛，向上牵引脐部和两侧胁肋疼痛，牵引胸部中间和脊柱内部疼痛。治疗采用燔针劫刺法，以见效为度，以痛点为腧穴。这种病称为孟秋痹。
邪气侵犯足太阴脾经的络脉，使人腰痛，牵引少腹并控引睾丸，不能仰卧。应立即针刺腰尻部的缝隙，即两臀上方的位置，这就是腰。根据月亮的盈亏变化决定针刺次数，针发下去疼痛立即停止，左病刺右，右病刺左。
脾有病的人，身体沉重，容易饥饿，肌肉痿软无力，足部弛缓不收，行走时常绊倒，脚底疼痛。虚证表现为腹部胀满，肠鸣，完谷不化的泄泻。治疗应选取足太阴、足阳明、足少阴的血分穴位。
脾热病患者，先出现头部沉重，脸颊疼痛，心烦，面色发青，想呕吐，身体发热。热邪与正气相争，则腰痛不可俯仰，腹部胀满，两侧下颌疼痛。病情在甲乙日加重，戊己日更甚。如果大汗淋漓且气逆，则在甲乙日死亡。治疗应针刺足太阴和足阳明经。
脾的大络脉，别名大包，出于渊腋下三寸，布散于胸胁。实证表现为全身寒冷，虚证表现为全身关节松弛无力。这个络脉就像罗网一样覆盖全身，都应予以治疗。
足太阴脾经，从足部走向胸中，长度六尺五寸，左右共一丈三尺。共有四十二个穴位。
隐白穴二穴，大都穴二穴，太白穴二穴，公孙穴二穴，商丘穴二穴，三阴交穴二穴，漏谷穴二穴，地机穴二穴，阴陵泉穴二穴，血海穴二穴，箕门穴二穴，冲门穴二穴，府舍穴二穴，大横穴二穴，腹哀穴二穴，食窦穴二穴，天溪穴二穴，胸乡穴二穴，周荣穴二穴，大包穴二穴。
The meridian of Foot-Taiyin (Spleen) originates at the tip of the great toe. It follows the medial side of the toe (the medial side of the great toe, where Yinbai SP1 is located; *Suwen* states: The root of Taiyin starts at Yinbai). It passes the junction of white and red skin, moves behind the nuclear bone (below the nuclear bone, where Taibai SP3 is located), ascends to the anterior margin of the medial malleolus (Shangqiu SP5 is located anterior to this medial malleolus), and goes up to the calf (referring to the fleshy part of the posterior tibia, resembling a fish belly). It follows the posterior border of the tibia, crosses anterior to Jueyin (Liver) before reaching the posterior aspect of the tibia (Jueyin runs anterior to Taiyin; after passing the posterior tibia, Taiyin re-emerges anteriorly). It ascends along the knee (on the lateral side below the knee, where Yinlingquan SP9 is located), enters the anterior medial aspect of the thigh, penetrates the abdomen, and connects with the Spleen (Foot-Taiyin is the meridian of the Spleen, thus its pulse belongs to the Spleen). It links with the Stomach (the Stomach is the support of the Spleen, so the Spleen meridian's collateral links to the Stomach). It ascends through the diaphragm, flanks the pharynx, and connects to the root of the tongue (the root of the tongue is connected to the epiglottis, the place where voice is emitted). It scatters under the tongue (there is fluid under the tongue, which is the spiritual moisture of the Spleen; Daoists drink this fluid to prolong life, calling it Huachi; Zhongchang Tong said: Swallowing the spring water under the tongue is called Taicang). Its branch diverges from the Stomach, ascends through the diaphragm, and pours into the Heart (Foot-Taiyin intersects with Hand-Shaoyin here).
When this meridian is disturbed, diseases occur (Foot-Taiyin usually has abundant Qi and scarce Blood; when Qi is diseased first, it is called "Is-Dong" disease): The root of the tongue becomes stiff, vomiting occurs after eating (as stated in *Suwen*, vomiting occurs because food fills up and overflows), epigastric pain (because the meridian links with the Stomach), abdominal distension (as stated in *Suwen, Taiyin corresponds to the eleventh month when the Qi of all things is stored within, hence disease manifests as distension), frequent belching (as stated in *Suwen*, the Heart governs belching; now the Yin Qi of Foot-Taiyin is excessive and moves upward to the Heart, causing belching, because its branch diverges from the Stomach, ascends through the diaphragm, and pours into the Heart), relief of symptoms after defecation or passage of gas (as stated in *Suwen*, relief occurs in the twelfth month when Yin Qi declines downward and Yang Qi begins to exit, hence the disease presents this way), heaviness of the body (because the Spleen governs muscles, Spleen disease causes bodily heaviness).
This meridian governs diseases generated by the Spleen (Blood is affected by Qi, which generates it, hence called "Suo-Sheng-Bing"): Pain at the root of the tongue, inability to move the body, difficulty in eating, vexation, urgency and pain in the heart region, cold malaria (malaria starting with chills followed by fever is called Cold Malaria; starting with fever followed by chills is called Warm Malaria; only fever without chills is called Dan Malaria), loose stools, masses, water retention (referencing *Jiayi Jing*, written as "loose watery diarrhea," pathological nature is water-dampness; loose stool like thin soup is referred to in *Suwen* as Sundun diarrhea), jaundice, inability to lie flat, stiffness upon standing, swelling and coldness in the inner thighs and knees, dysfunction of the great toe. In excess conditions, the Cun Kou pulse is three times larger than the Ren Ying pulse; in deficiency conditions, the Cun Kou pulse is smaller than the Ren Ying pulse.
The collateral vessel of Foot-Taiyin is named Gongsun (SP4), one cun posterior to the proximal interphalangeal joint of the great toe, diverging to connect with Yangming. Its branch enters and links with the intestines and stomach. If rebellious Qi ascends, Huoluan (cholera-like syndrome) occurs. Excess conditions manifest as cutting pain in the intestines; deficiency conditions manifest as drum-like abdominal distension. Treatment involves selecting the point where the collateral diverges.
The sinews of Foot-Taiyin originate at the medial tip of the great toe, ascending to knot at the medial malleolus. The straight branch ascends to knot at the medial condyle of the tibia, follows the medial thigh, knots at the hip, gathers at the genitalia, ascends to the abdomen, knots at the umbilicus, follows the interior of the abdomen, knots at the hypochondrium, scatters in the chest. The internal branch attaches to the spine. Diseases include: pain supporting the medial malleolus in the great toe, tendon spasms and pain, pain at the medial tibial condyle, pain radiating from the medial thigh to the hip, torsion pain in the genitalia, upward radiation to the umbilicus and bilateral hypochondrium, radiation to the center of the chest and inner spine. Treatment uses burning needle rapid puncture, taking effectiveness as the criterion, and pain points as Shu points. This disease is called Mengqiu Bi.
Evil invading the collateral of Foot-Taiyin causes lower back pain, radiating to the lower abdomen and controlling the testicles, making supine position impossible. Immediate acupuncture should be applied to the gap of the lumbosacral region, above the two gluteal muscles, known as Yao. The number of needle insertions should vary according to the waxing and waning of the moon. Pain ceases immediately upon needling. Treat left for right, right for left.
Diseases of the Spleen present with heavy body, easy hunger, muscle flaccidity, foot laxity and inability to hold weight, frequent tripping while walking, and sole pain. Deficiency presents with abdominal fullness, borborygmus, undigested food in stool. Treatment involves selecting blood points of Foot-Taiyin, Foot-Yangming, and Foot-Shaoyin.
Patients with Spleen Heat disease first experience heavy head, cheek pain, vexation, bluish complexion, desire to vomit, and body heat. When heat struggles with righteous Qi, lower back pain prevents flexion and extension, abdominal fullness occurs, and bilateral mandible pain appears. Symptoms worsen on Jia/Yi days and are severe on Wu/Ji days. Profuse sweating with rebellious Qi leads to death on Jia/Yi days. Treatment involves needling Foot-Taiyin and Foot-Yangming meridians.
The major collateral of the Spleen is named Dabao (SP21), emerging three cun below Yuanshi, spreading over the chest and hypochondrium. Excess manifests as whole-body coldness; deficiency manifests as laxity of all joints. This collateral, like a net covering the body, should all be treated.
Foot-Taiyin Spleen Meridian travels from the foot to the chest, measuring six chi five cun in length, totaling one zhang three chi on both sides. There are forty-two acupoints in total:
Yinbai (2 points), Dadu (2 points), Taibai (2 points), Gongsun (2 points), Shangqiu (2 points), Sanyinjiao (2 points), Lougu (2 points), Diji (2 points), Yinlingquan (2 points), Xuehai (2 points), Jimen (2 points), Chongmen (2 points), Fushhe (2 points), Daheng (2 points), Fu'ai (2 points), Shidou (2 points), Tianxi (2 points), Xiongxiang (2 points), Zhourong (2 points), Dabao (2 points).