足少阳之脉。起于目锐 。上抵头角。下耳后。循颈行手少阳之脉前。至肩上。却交出
手少
阳之后(足少阳。循颈行手少阳之前。至肩上。手少阳后。在足少阳之前)。入缺盆。其支者
从耳后入耳中。出走耳前。至目锐 。下大迎。合手少阳抵于 。下加颊车。下颈合缺盆
以下胸中贯膈。络肝(肝为胆之维。故胆脉络于肝)。属胆(足少阳为胆之经。故其脉属于
胆)。循胁里。出气冲(气冲。在腹脐下横骨两端鼠鼷上。同身寸之一寸动脉中)。绕毛际。
横入髀厌中(髀厌中。环跳穴分也)。其直者。从缺盆下腋。循胸过季胁(胁骨曰肋。肋尽处
曰季胁)。下合髀厌中。以下循髀阳(髀阳。髀外也)。出膝外廉(阳陵泉穴分也)。下外辅骨
之前(辅骨。谓辅佐 骨之骨。在 之外)。直下抵绝骨之端(阳辅。居此绝骨之端)。下出外
踝之前(邱墟穴分也)。循足跗上。出小指次指之端(次指之端。窍阴所居。素问云。少阳之
拱。起于窍阴)。其支者。别跗上。入大指之间。循大指岐骨内。出其端。还贯爪甲。出三
毛(足少阳自此交入足厥阴)。是动则病(足少阳常少血多气。今气先病。是谓是动)。口苦(
素问云。口苦者。病名胆瘅也。此人素谋虑不决。故胆虚。气上溢。而口为之苦。治之以胆
募俞)。善太息(灵枢经曰。人忧思则心系急。心系急则气道约。约。则不利。故太息以仰出
之)。心胁痛(素问所谓心胁痛者。言少阳盛也。盛者。心之所表也。九月阳气盛。而阴气衰
故云心胁痛也)。不能转侧(素问所谓。不可反侧者。九月阴气藏。万物藏则不动矣。故不
可反侧也)。甚则面微尘(面微尘。谓面如微尘。有独如尘土之色也)。体无膏泽。足外反热
是谓阳厥。是主骨。所生病者(血受病于气。是气之所生。故云。所生病也。足少阳血少
气
多。乃人之常数也。亦有异于常者。灵枢经曰。足少阳之上。血气盛则通须美长。血多气少
则通髯美短。血少气多。则少髯。血气皆少。则无须。盛于寒温。则善痹骨痛爪枯也。足
少阳之下。血气盛。则胫毛美长外踝肥。血多气少。则胫毛美短。外踝皮坚而浓。血少气多
则胫毛少外踝皮薄而软。血气皆少。则无毛。外踝瘦血肉。又云。通鬓极须者少阳多血。
由此足少阳血气多少。可得而知也)。头痛角颔痛(角颔。耳下曲角之颔也。以其脉下之颊车
故病如是)。目锐 痛。缺盆中肿痛。腋下肿。马刀挟瘿(马刀挟瘿者。灵枢经曰。其痈坚
而不溃者。为马刀挟瘿)。汗出振寒(以寒邪客其经。经虚。则邪盛。故谓振寒)。疟(疟。寒
热之病也。指中阳之疟。寒热皆不甚)。胸胁肋髀膝外之胫。绝骨外踝前。及诸节皆痛。小
指次指不用。盛者。人迎大一倍于寸口。虚者。人迎反小于寸口也。
足少阳之别。名曰光明。去踝五寸。别走厥阴。下络足跗。实则厥。虚则痿 。坐不
能起。取之所别也。
足少阳之筋。起于小指次指之上。结外踝。循 外廉。结于膝外廉。其支者别起外辅骨
上。
走髀前者。结伏兔之上。后者。结于尻。其直者。上 乘季胁。上走腋前廉。挟于膺乳。结
于缺盆。其直者。上出腋。贯缺盆。出太阳之前。循耳后上额角。交巅上。下走颔上。结于
其支者。结于目外 。为外维。其病小指次指支转筋。引膝外转筋。膝不可屈伸。 筋急
前引髀。后引尻。即上乘 季胁痛。上引缺盆膺乳颈维筋急。从左之右。右目不开。上过
右角。并跷脉而行。左络于右。故伤右角。右足不用。命曰维筋相交。治在燔针劫刺。以知
为数。以痛为输。名曰孟春痹也。
邪客于足少阳之络。令人胁痛。不得息。咳而汗出。刺足小趾次指爪甲上。与肉交者各
一
不得息立已。汗出立止。咳者。温衣饮食一日已。在左刺右。右刺左。病立已。不已。复
刺如法。
邪客于足少阳之络。令人留于枢中痛。髀不可举。刺枢中以毫针。寒则久留针以月死生
为数
立已。热痛先胸胁痛。手足躁。刺足少阳。补足太阴。病甚者为五十九刺。热病先眩冒而热
胸胁满。刺足少阴少阳。
足少阳胆脉从头走足。长八尺。左右共一丈六尺。凡八十六穴。
瞳子 二穴。听会二穴。客主人二穴。颔厌二穴。悬颅二穴。悬厘二穴。曲鬓二穴。率
谷二
穴。天冲二穴。浮白二穴。窍阴二穴。完骨二穴。本神二穴。阳白二穴。临泣二穴。目窗二
穴。正营二穴。承灵二穴。脑空二穴。风池二穴。肩井二穴。渊腋二穴。辄筋二穴。日月二
穴。京门二穴。带脉二穴。五枢二穴。维道二穴。居 二穴。环跳二穴。风市二穴。中渎二
穴。阳关二穴。阳陵泉二穴。阳交二穴。外丘二穴。光明二穴。阳辅二穴。悬钟二穴。丘墟
二穴。地五会二穴。侠溪二穴。临泣二穴。窍阴二穴。
足少阳胆经的经脉,起始于目外眦(锐眦),向上到达头角部,再向下经过耳后,沿着颈部行走,位于手少阳三焦经经脉的前方,至肩部时,转而交出于手少阳三焦经的后方(注:此处原文括号内解释为足少阳沿颈部行于手少阳之前,至肩部时,手少阳在其后,即足少阳在前)。进入缺盆(锁骨上窝)。其分支从耳后进入耳中,出走耳前,到达目外眦后方,下行至大迎穴处,与手少阳三焦经会合,上行至目眶下,下行加于颊车穴,再下行颈部,与缺盆处的经脉汇合,由此向下进入胸中,贯穿膈肌,联络肝脏(肝为胆之维系,故胆经脉络联系于肝),属于胆腑(足少阳胆经为胆之经脉,故其脉归属于胆)。沿胁肋内部走行,出于气冲穴(气冲穴位于腹脐下横骨两端鼠鼷上方,同身寸一寸处的动脉搏动中),环绕阴毛边缘,横向进入髀厌中(即环跳穴所在部位)。其直行者,从缺盆下行腋下,沿胸部经过季胁(肋骨称为肋,肋尽头处称为季胁),向下汇合于髀厌中,再向下沿大腿外侧(髀阳,即大腿外侧)行走,出于膝部外侧(阳陵泉穴所在部位),下行于腓骨前缘(辅骨,指辅助胫骨的腓骨,在胫骨之外),直下抵达绝骨末端(阳辅穴位于此绝骨之端),下行出于外踝前方(丘墟穴所在部位),沿足背行走,出于第四趾末端(第四趾末端为窍阴穴所居,《素问》云:少阳经气始于窍阴)。其分支,从足背分出,进入大脚趾之间,沿大脚趾歧骨内侧,出于其端,回绕穿过爪甲,出于丛毛处(足少阳胆经至此交接入足厥阴肝经)。
凡是经脉变动异常所致的病症(足少阳胆经通常血少气多,若气先发病,称为“是动病”),会出现口苦(《素问》云:口苦者,病名为胆瘅。此人平素谋虑不决,导致胆虚,气机上溢,因而口苦。治疗应取胆的募穴和俞穴)。喜欢长叹气(《灵枢经》说:人忧思则心脉拘急,心脉拘急则气道约束,约束则不通利,故通过长叹来舒展气机)。心胁部疼痛(《素问》所说的心胁痛,是指少阳经气盛。盛,是心的表证。九月阳气盛而阴气衰,所以说心胁痛)。身体不能转侧(《素问》所谓不可反侧,是因为九月阴气收藏,万物静止不动,所以身体不可反侧)。严重时面色如蒙尘垢(面微尘,谓面部像有微尘,呈现如尘土般的色泽),身体失去光泽润泽,足外侧发热,这称为阳厥。
本经主司骨骼,其所生的疾病(血受气的影响而生病,是气所化生,故称“所生病”。足少阳胆经血少气多,这是人体的常数。也有不同于常数的情况,《灵枢经》说:足少阳经上部,血气旺盛则鬓发美且长,血多气少则胡须美但短,血少气多则胡须少,血气皆少则无胡须。若遇寒温失调,则容易发生痹症、骨痛、指甲枯槁等。足少阳经下部,血气旺盛,则小腿毛发美且长,外踝丰满;血多气少,则小腿毛发美但短,外踝皮肤坚硬厚实;血少气多,则小腿毛发少,外踝皮肤薄而软;血气皆少,则无毛,外踝瘦削无肉。又说:鬓发和胡须极盛者,说明少阳经血多。由此可知足少阳经血气的多少状况)。头痛、头角及下颌疼痛(角颔,指耳下曲角处的下颌。因其经脉下行经过颊车,故出现此类病症)。目外眦疼痛,缺盆中肿痛,腋下肿,马刀挟瘿(马刀挟瘿,据《灵枢经》记载:那种痈肿坚硬而不溃破的,称为马刀挟瘿)。汗出、战栗恶寒(因寒邪客居经脉,经脉虚弱,则邪气亢盛,故表现为战栗恶寒)。疟疾(疟疾是寒热往来的疾病,此处指中阳之疟,寒热症状均不严重)。胸胁、肋部、大腿外侧、膝盖外侧的小腿、绝骨、外踝前以及各个关节都疼痛,小指和次趾功能丧失。脉象方面,实证表现为人迎脉搏动比寸口大一倍;虚证表现为人迎脉搏动反而小于寸口。
足少阳胆经的别络,名叫光明,距离外踝五寸处,别行走向足厥阴肝经,向下联络足背。实证表现为厥逆,虚证表现为痿弱不用,坐起困难,治疗应取该别络穴位。
足少阳胆经的筋脉,起始于第四趾上方,结聚于外踝,沿小腿外侧廉,结聚于膝外侧廉。其分支另起于外辅骨上方,走于大腿前方,结聚于伏兔穴上方;另一分支结聚于尻部。其直行者,向上乘夹季胁,向上走于腋前廉,挟持胸乳部位,结聚于缺盆。其直行者,向上出于腋下,贯穿缺盆,出于太阳经之前,沿耳后上行至额角,交会于头顶,向下走于下颌上方。其分支,结聚于目外眦,作为外维筋。其病症包括:第四趾及次趾牵引性转筋,牵引膝外侧转筋,膝关节不可屈伸;筋脉拘急向前牵引大腿,向后牵引尻部;若向上乘夹季胁则痛,向上牵引缺盆、胸乳、颈部。若颈维筋拘急,左侧受伤影响右侧,导致右眼无法睁开,病气上过右角,并与跷脉并行,左络脉连系于右,所以损伤右角会导致右足不能使用,这叫做维筋相交。治疗采用燔针劫刺法,以病情好转为度,以痛点为腧穴,病名叫做孟春痹。
邪气客居于足少阳胆经的络脉,使人胁痛,呼吸不畅,咳嗽并出汗。针刺足小趾和次趾爪甲上与肉交界处各一针,呼吸不畅立即缓解,出汗立即停止。咳嗽者,保暖衣物饮食一天即可痊愈。病在左侧刺右侧,病在右侧刺左侧,病立愈。若不愈,再次按此法针刺。
邪气客居于足少阳胆经的络脉,使人枢中(关节枢纽处)疼痛,大腿无法抬起。用毫针刺枢中穴,寒证久留针,以月亮盈亏变化天数为准,病立愈。热证先见胸胁痛,手足躁扰,针刺足少阳经,补足太阴经。病势严重的采用五十九刺法。热病先出现眩晕冒昧而后发热胸胁满闷,针刺足少阴、足少阳经。
足少阳胆脉从头走足,长度八尺,左右共一丈六尺。共有八十六个穴位。
瞳子髎二穴,听会二穴,客主人二穴,颔厌二穴,悬颅二穴,悬厘二穴,曲鬓二穴,率谷二穴,天冲二穴,浮白二穴,窍阴二穴,完骨二穴,本神二穴,阳白二穴,临泣二穴,目窗二穴,正营二穴,承灵二穴,脑空二穴,风池二穴,肩井二穴,渊腋二穴,辄筋二穴,日月二穴,京门二穴,带脉二穴,五枢二穴,维道二穴,居髎二穴,环跳二穴,风市二穴,中渎二穴,阳关二穴,阳陵泉二穴,阳交二穴,外丘二穴,光明二穴,阳辅二穴,悬钟二穴,丘墟二穴,地五会二穴,侠溪二穴,临泣二穴,窍阴二穴。
The meridian of Foot-Shaoyang Gallbladder originates at the outer canthus (Shaozhuo, GB1), ascends to the frontal angle, descends behind the ear, and follows the neck, running anterior to the meridian of Hand-Shaoyang Sanjiao. Upon reaching the shoulder, it turns and emerges posterior to the Hand-Shaoyang Sanjiao meridian (Note: The text clarifies that Foot-Shaoyang runs anterior to Hand-Shaoyang along the neck, but at the shoulder, Hand-Shaoyang is posterior, meaning Foot-Shaoyang is anterior). It enters the clavicular fossa (Quepen, LI15). A branch enters the ear from behind the ear, emerges anterior to the ear, reaches the lateral canthus, descends to Daying (ST4), meets the Hand-Shaoyang Sanjiao meridian, ascends to the infraorbital region, descends to Jiache (ST6), then goes down the neck to converge with the main trunk in the clavicular fossa. From there, it descends into the chest, pierces the diaphragm, connects with the Liver (as the Liver is the support for the Gallbladder, the Gallbladder meridian links to the Liver), and belongs to the Gallbladder (Foot-Shaoyang is the meridian of the Gallbladder, so its vessel belongs to the Gallbladder organ). It runs along the interior of the hypochondrium, emerges at Qichong (ST30) (located one cun below the umbilicus, on both sides of the pubic bone, above the inguinal ligament, in the pulsation of the femoral artery), surrounds the pubic hair margin, and transversely enters the hip joint depression (Huantiao, GB30). The straight branch descends from the clavicular fossa to the axilla, passes along the chest through the costal margin (ribs are called Lei; the end of the ribs is called Jixie), converges with the hip joint depression, and descends along the lateral aspect of the thigh (Bi Yang, i.e., the lateral thigh), emerges at the lateral side of the knee (Yanglingquan, GB34), descends anterior to the fibula (Fugu refers to the fibula assisting the tibia, located outside the tibia), goes straight down to the end of the absolute bone (Yangfu, GB38, located at the end of this absolute bone), emerges anterior to the lateral malleolus (Qiuxu, GB40), follows the dorsum of the foot, and emerges at the tip of the fourth toe (the tip of the fourth toe is where Qiaoyin is located; *Suwen* states: "The Qi of Shaoyang begins at Qiaoyin"). Another branch diverges from the dorsum of the foot, enters between the big toe, follows the medial side of the bifurcation of the big toe, emerges at its tip, loops around to penetrate the nail bed, and emerges at the pubic hair (Foot-Shaoyang Gallbladder meridian intersects with Foot-Jueyin Liver meridian here).
When the meridian undergoes pathological changes ("Is-Dong" diseases, as Foot-Shaoyang typically has less blood and more Qi, if Qi is diseased first, it is called Is-Dong), symptoms include bitter taste in the mouth (*Suwen* states: "Bitter taste in the mouth is named Dan-Dan [Gallbladder Heat]. This person usually hesitates in decision-making, leading to Gallbladder deficiency, causing Qi to overflow upward, resulting in a bitter taste. Treatment should use the Front-Mu and Back-Shu points of the Gallbladder"). Frequent sighing (*Lingshu* states: "Worry and thought cause tension in the Heart vessels; tension in Heart vessels constrains the Qi pathway; constraint leads to obstruction, so one sighs to release the Qi"). Pain in the heart and hypochondrium (*Suwen* mentions pain in the heart and hypochondrium refers to excess in Shaoyang. Excess is the exterior manifestation of the Heart. In the ninth month, Yang Qi is abundant and Yin Qi declines, hence the term heart-hypochondriac pain). Inability to turn or roll over (*Suwen* states: "Inability to reverse sides is because in the ninth month, Yin Qi stores, and all things remain still, hence inability to reverse sides"). Severe cases present with a face covered like dust (face like fine dust, having a dusty color), body lacking luster and moisture, and heat on the lateral aspect of the foot, known as Yang-Jue (Yang Reversal).
This meridian governs the bones. Diseases generated by this meridian ("Suo-Sheng-Bing", blood is diseased due to Qi, thus it is what Qi generates. Foot-Shaoyang has little blood and much Qi, which is the constant state of humans. However, there are variations. *Lingshu* states: "At the upper part of Foot-Shaoyang, abundant blood and Qi result in beautiful long sideburns; much blood and little Qi result in beautiful short beards; little blood and much Qi result in few beards; both scarce result in no beard. Imbalance of cold and warmth leads to Bi syndrome, bone pain, and withered nails. At the lower part of Foot-Shaoyang, abundant blood and Qi result in beautiful long leg hair and full lateral malleoli; much blood and little Qi result in beautiful short leg hair and firm, thick skin at the lateral malleoli; little blood and much Qi result in sparse leg hair and thin, soft skin at the lateral malleoli; both scarce result in no hair and emaciated flesh at the lateral malleoli." It is also said that those with extremely lush sideburns and beards have abundant blood in Shaoyang. Thus, the abundance or scarcity of blood and Qi in Foot-Shaoyang can be known.) Symptoms include headache, pain at the temporal angle and mandible (Jiao-Han refers to the mandible at the curved angle below the ear; since the meridian passes through Jiache, such diseases occur). Pain at the outer canthus, swelling and pain in the clavicular fossa, axillary swelling, "Ma-Dao Jia-Ying" (Marine Knife and Clinging Goiter; *Lingshu* states: "Abscesses that are hard and do not ulcerate are called Marine Knife and Clinging Goiter"). Sweating with chills (Cold pathogen lodges in the meridian; when the meridian is deficient, the pathogen becomes excessive, hence chills with trembling). Malaria (Malaria is a disease of alternating cold and heat; referring to Zhong-Yang Malaria, where cold and heat are not severe). Pain in the chest, hypochondrium, ribs, lateral thigh, lateral knee, lower leg, end of the absolute bone, anterior to the lateral malleolus, and all joints; dysfunction of the fourth and fifth toes. In excess patterns, the Renying pulse is one times larger than the Cunkou pulse; in deficiency patterns, the Renying pulse is smaller than the Cunkou pulse.
The Luo-connecting vessel of Foot-Shaoyang is named Guangming (GB37), located five cun above the ankle, diverging to connect with Jueyin, and descending to link with the dorsum of the foot. In excess, there is Jue (reversal); in deficiency, there is Wei (atrophy/weakness), inability to sit up and stand. Treatment involves needling the point where it diverges.
The sinews of Foot-Shaoyang originate above the fourth toe, knot at the lateral malleolus, follow the lateral aspect of the calf, and knot at the lateral aspect of the knee. A branch arises from above the lateral fibula, travels anterior to the thigh, knots above Futu (ST32); another branch knots at the sacrum. The straight branch ascends through the costal margin, moves anteriorly to the axilla, clamps the chest and breast, and knots at the clavicular fossa. Another straight branch ascends out of the axilla, penetrates the clavicular fossa, emerges anterior to Taiyang, follows behind the ear to the frontal angle, crosses the vertex, descends to the mandible. A branch knots at the outer canthus, serving as the external suspension. Pathological manifestations include spasmodic contraction of the fourth and fifth toes,牵引 (pulling) to spasmodic contraction of the lateral knee, inability to flex or extend the knee; tendon stiffness pulling forward to the thigh and backward to the sacrum; if ascending to clamp the costal margin, pain occurs; if ascending to pull the clavicular fossa, chest, breast, and neck. If the suspending tendon is stiff, injury on the left affects the right, causing the right eye to fail to open; the pathogenic Qi ascends to the right corner, runs with the Qiao meridians, and the left collateral connects to the right. Thus, injury to the right corner results in non-function of the right foot, termed "Wei-Jin Xiang-Jiao" (Crossed Suspension Sinew). Treatment uses burning needle rapid puncture, taking improvement as the criterion, and using painful points as Shu points. This condition is named Meng-Chun Bi (Early Spring Bi Syndrome).
When evil qi lodges in the Luo-connecting vessel of Foot-Shaoyang, it causes hypochondriac pain, dyspnea, cough with sweating. Needle each of the points at the junction of the nail and flesh on the fourth and fifth toes once. Dyspnea resolves immediately, sweating stops immediately. For cough, warm clothing and diet for one day will resolve it. Treat left-sided disease by needling the right, and right-sided disease by needling the left. Disease resolves immediately. If not resolved, repeat needling according to this method.
When evil qi lodges in the Luo-connecting vessel of Foot-Shaoyang, it causes pain in the pivot (joint) and inability to lift the thigh. Use a filiform needle to shi Shuzhong (pivot point). For cold patterns, retain the needle for a long time, counting by the days of the lunar cycle until resolution. For heat patterns presenting initially with chest/hypochondriac pain and restlessness of hands and feet, needle Foot-Shaoyang and tonify Foot-Taiyin. For severe cases, use the Fifty-Nine Needles technique. For heat diseases presenting initially with dizziness, vertigo, followed by fever and chest/hypochondriac fullness, needle Foot-Shaoyin and Foot-Shaoyang.
The meridian of Foot-Shaoyang Gallbladder runs from head to foot, measuring eight chi in length, totaling one zhang six chi for both sides. There are eighty-six acupoints in total.
Tongziliao (GB1) x2, Tinghui (GB2) x2, Kecheren (GB4) x2, Hanyan (GB5) x2, Xuanlu (GB6) x2, Xuanli (GB7) x2, Qubin (GB7) x2, Lvgu (GB8) x2, Tianchong (GB9) x2, Fu Bai (GB10) x2, Qiaoyin (GB45) x2, Wangu (GB12) x2, Benshen (GB13) x2, Yangbai (GB14) x2, Linqi (GB15) x2, Muchuang (GB16) x2, Zhengying (GB17) x2, Chengling (GB18) x2, Naokong (GB19) x2, Fengchi (GB20) x2, Jianjing (GB21) x2, Yuanye (GB22) x2, Zhejin (GB23) x2, Riyue (GB24) x2, Jingmen (GB25) x2, Da Mai (GB26) x2, Wushu (GB27) x2, Weidao (GB28) x2, Juliao (GB29) x2, Huantiao (GB30) x2, Fengshi (GB31) x2, Zhongdu (GB32) x2, Yangguan (GB33) x2, Yanglingquan (GB34) x2, Yangjiao (GB35) x2, Wuqiu (GB36) x2, Guangming (GB37) x2, Yangfu (GB38) x2, Xuanzhong (GB39) x2, Qiuxu (GB40) x2, Diwuhui (GB41) x2, Xiaxi (GB43) x2, Linqi (GB44) x2, Qiaoyin (GB45) x2.