\r足太阳膀胱经之图\p06-d34a9.bmp\r
足太阳膀胱之经头走脊而脊走足是经多血少气起于睛明止于至阴计六十三穴左右共一百二十
六穴膀胱重九两二铢纵广九寸居肾下之前大肠之侧当脐上一寸水分穴之处小肠下口乃膀胱上
际也水腋由是渗入焉
足太阳属膀胱经起自目 由睛明上行攒竹神庭穴督太阳经 并曲差五处承光额二十五通天从左
脉交行百会右耳尖
灵枢第十篇云足太阳之脉起于目内 上额交巅 滑氏曰目大角为内 发际前为额脑上为巅巅
顶也足太阳起目内 睛明穴上额循攒竹过神庭历曲差五处承光通天自通天斜行左右相交于巅
上之百会也神庭百会俱见督脉俱足太阳督脉之交会也
睛明 在目内 头外畔宛宛中手足太阳阳明少阳之会禁灸
攒竹 在两眉头陷中禁灸
曲差 取神庭外旁临泣之里二穴之间发际内五分临泣见足少阳经
五处 在上星旁曲差后五分
承光 取曲差后二寸禁灸
通天 取曲差后二寸五分
右脉仍从百会出耳角入发际五分率谷浮白连窍阴乃足太阳少阳会从兹三穴散诸经 灵枢第十
篇云其支者从巅至耳上角○滑氏曰支别者从巅之百会抵耳上角过率谷浮白窍阴所以散养于经脉
也○率谷浮白窍阴三
其经再自通天项络却直行来玉枕循行脑户选周傍足太阳同督脉并别循出脑还本经下项复从天柱仍
灵枢第十篇云其直 者从巅入络脑还出别下项○滑氏曰脑头髓也颈上为脑脑后为项此直行者
由通天穴后循络却玉枕入络脑复出下项抵天柱也○脑户见督脉足太阳督脉之会
络却 在通天后一寸五分
玉枕 在络却后一寸五分或取后项上入发际三寸脑户旁一寸三分枕骨起肉
天柱 在颈项大筋外廉夹项后发际陷中
大椎手足三阳会却循陶道两 行大杼风门皆夹脊肺俞厥阴四椎极心膈肝胆脾胃连三焦肾俞同
脐直十六八椎大小肠膀胱十九椎两旁中膂内俞白环入膂络胃由膀胱
灵枢第十篇云循肩膊内挟脊抵腰中入循膂络肾属膀胱○滑氏曰肩后之下为肩膊椎骨为脊尻上
横
膈俞肝俞胆俞脾俞胃俞三焦俞肾俞大肠俞小肠俞膀胱俞中膂内俞白环俞由是抵腰中入循膂络
肾下属膀胱也○大椎见督脉手足三阳督脉之会陶道见督脉足太阳督脉之会
大杼 在项后第一椎下两旁各一寸五分陷中足少阳之会又骨会此夹脊第二行俞穴
风门 在第二椎下督脉之会两旁各一寸五分
肺俞 在第三椎下两旁各一寸五分
厥阴俞 在第四椎下两旁各一寸五分
心俞 在第五椎下五旁各一寸五分
膈俞 在第七椎下两旁各一寸五分
肝俞 在第九椎下两旁各一寸五分
胆俞 在第十椎下正坐取之两旁各一寸五分
脾俞 在第十一椎下两旁各一寸五分
胃俞 在第十二椎下两旁各一寸五分
三焦俞 在第十三椎下两旁各一寸五分
肾俞 在第十四椎下与脐平两旁各一寸五分
大肠俞 在第十六椎下两旁各一寸五分
小肠俞 在第十八椎下两旁各一寸五分
膀胱俞 在第十九椎下两旁各一寸五分
中膂内俞 在第二十椎挟脊起肉两旁各一寸五分
白环俞 在二十椎下伏取之禁灸自大杼循肩膊至白环俞抵腰中去脊中各一寸五分
其支别从白环入下循腰髁夹其脊上 次 中下 会阳穴旁阴尾骨贯穿臀内下承扶殷门浮 委
阳途 中只是委中穴
灵枢第十篇云其支者从腰中下挟脊贯臀入 中○滑氏支下有别字腰中下下无挟脊二字○滑氏
曰臀尻也挟腰 骨两旁为机机后为臀腓肠上膝后曲处为 其支别者从腰中循腰髁下挟脊历上
次 中 下 会阳下贯臀至承扶殷门浮 委阳入 中之委中穴也○按腰髁即腰监骨人脊椎
骨有二十一节自十六椎节而下为腰监骨扶脊附着之处其十七至二十空云云也会阳在尾 骨两
旁则二十一椎乃复见而终焉又按督脉当脊中起于长强在二十一椎下等而上之至第十六椎下为阳关
穴其二十椎至十七椎皆无穴乃知为腰监骨所掩明矣○
上 在第一空腰髁下一寸挟脊陷中足太阳少阳之络
次 在第二空夹脊陷中
中 在第三空挟脊陷中足厥阴少阳所结
下 在第四空挟脊陷中足太阳厥阴所结
会阳 在阴尾 骨两旁
承扶 在尻臀下股阴上纹中
殷门 在肉 下六寸
浮 在委阳上一寸展膝得之
委阳 在承扶下六寸屈身取之足太阳之后出于 中外廉两筋间委中在 中央约文中动脉伏面挺腹至地取
之血 也○此支自夹脊第二行至白环俞而入历上下 循会阳直至委中与附分至秩边者合共会
别支天柱膊中铺别行左右附分去贯穿伸膂来魄户膏肓穴下循神堂 膈内七椎数魂门第九
近阳纲意舍前行取胃仓肓门又勒接志室胞肓直抵秩边藏
灵枢第十篇云其支 者从膊内左右别下贯胂挟脊内过髀枢○滑氏曰膂内曰胂夹脊肉也其支者
为挟脊两旁第三行相去各三寸之诸穴自天柱而下从膊内左右别行下贯胂膂历附分魄户膏肓神
堂 膈关魂门阳纲意舍胃仓肓门志室胞肓秩边下历尻臀过髀枢也股外为脾楗骨之下为髀
附分 在第二椎下附项内廉正坐取之手足太阳之会夹脊第三行俞穴
魄户 在第三椎下两旁各三寸正坐取之
膏肓 在第四椎下近第五椎上两旁各三寸取穴时令人正坐曲脊伸两手以臂着膝前令端直手大指与膝
头齐以物支肘母令臂动摇离胂骨容侧指许按之酸痛
神堂 在第五椎下两旁各三寸正坐取之
在肩膊内廉第六椎下两旁各三寸正坐取之
膈关 在第七椎下两旁各三寸正坐阔肩取之
魂门 左第九椎下两旁各三寸陷中正坐取之
阳纲 在第十椎下两旁各三十陷中正坐取之
意舍 在第十一椎下两旁各三十陷中正坐取之
胃仓 在第十二椎下两旁各三寸
肓门 在第十三椎下两旁各三寸又肋间陷中
志室 在第十四椎下两旁各三寸陷中并正坐取之
胞肓 在第十九椎下两旁各三寸伏而取之
秩边 在第二十椎下陷中两旁各三寸伏而取之或云在第二十一椎下○此支复自天柱而下历附分至此而
穴终由此穴循本络直注于委中合
经从秩边贯臀内髀枢穴内承山外旁厢一寸五分间髀从里廉委中会合阳膝约下二寸贯穿 内承
筋承筋正在 肠中下至承山肠肉分飞扬外踝七寸存附阳踝下循昆仑仆参申脉白肉际金门
京骨足边屯足外大骨赤白肉小指本节收束骨通谷之前出至阴交足少阴肾经脉
灵枢第十篇云循髀外后廉下合 中以下贯 内出外踝之后循京骨至小指外侧○滑氏曰 腓
肠
内历承筋承山飞扬附阳出外踝后之昆仑仆参申脉金门循京骨束骨通谷至小指外侧端之至阴穴以交于足少阴也
合阳 在膝约文中央下三寸或取委中下三寸
承筋 在 肠中央陷中
承山 在兑 肠下分肉间陷中
飞阳 在足外踝上七寸太阳之络别走太阴
附阳 在足外踝上二寸太阳前少阳后筋骨间阳跷之
昆仑 在足外后跟骨上陷中
仆参 在跟骨下陷中拱足得之
申脉 在外踝下陷中容爪甲白肉际阳跷脉之所生
金门 在足外踝下太阳之 阳维所属
京骨 在足外侧大骨下赤白肉际陷中
束骨 在足小指外侧本节后陷中
通谷 在足小指外侧本节前陷中
至阴 在足小指外侧去爪甲角如韭叶
总歌曰
内 交巅方下项循肩挟脊抵腰中从腰络肾膀胱过髀骨源流小指通
愚按足太阳膀胱之脉起于目内 睛明穴上额交巅抵天柱过大椎挟脊下行循膂络肾属膀胱其支
者从腰入 中其支别者复自天柱从膊内左右挟脊而下合 中出小指外侧端至阴穴长 交于足
少阴肾故足少阴之脉起于小指之下斜趣足心涌泉穴始也
穴歌曰
足太阳经六十三睛明攒竹曲差参五处承光上通天络却玉枕天柱崭大杼风门引肺俞厥阴心俞膈
俞注肝俞胆俞脾俞同胃俞三焦肾俞中大肠小肠膀胱俞中膂白环两俞输自从大杼至白环相去脊
中三寸间上 次 中复下会阳承扶殷门亚浮 委阳委中罅膊内挟脊附分当太阳行背第三行魄
户膏肓与神堂 膈关魂门旁阳纲意舍仍胃仓育门志室胞之肓二十椎下秩边藏合 以下合阳
是承筋承山居其次飞阳附阳泊昆仑仆参申脉连金门京骨束骨又通谷小指外侧至阴续
是动所生歌曰
是经血多气犹少是动头疼不可当项如拔兮腰似折
髀强痛彻脊中尖 如结兮 如裂是为踝厥筋乃伤所生疟痔小指废头囟顶痛目色黄腰尻 脚疼
连背泪流鼻衄及颠枉
灵枢第十篇云是动则病冲头痛目似脱项似拔脊痛腰似折髀不可以曲 如结 如裂是为踝厥是
主筋所生病者痔疟狂颠疾头囟顶痛目黄泪出鼻衄项背腰尻 脚皆痛小指不用为此诸病盛则
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盛者人迎大再倍于寸口虚者人
迎反小于寸口也
音释
窍 杼 膂(音吕脊骨两旁 髁(苦瓦反腰骨) 臀(音屯髀也)
(戈麦反曲脚也) 膊(补合反) 噫(音根据痛声也)
嘻(音熙痛声也) (时充反音喘) 尻(若高反)
【足太阳膀胱经之图】
足太阳膀胱经,从头走向背部脊柱,再由脊柱走向足部。这条经脉多血少气。起始于睛明穴,终止于至阴穴,左右两侧共六十三穴,双侧合计一百二十六穴。膀胱重九两二铢(古代重量单位),纵长九寸,宽九寸,位于肾脏前方、大肠侧方,正当肚脐上一寸水分穴的位置,也是小肠下口与膀胱上口的交界处,水液由此渗入。
足太阳属膀胱经,起自眼部,由睛明穴上行至攒竹穴,经过神庭穴(督脉、太阳经交会穴),并合曲差、五处、承光、额前二十五穴、通天穴,从左侧脉交行于百会穴,再至右耳尖。
《灵枢》第十篇记载:“足太阳之脉,起于目内眦,上额,交巅。”滑寿氏说:目大角为内眦,发际前为额,脑上为巅,巅即头顶。足太阳经起于目内眦睛明穴,上额循行经过攒竹、过神庭、历曲差、五处、承光、通天,自通天穴斜行左右相交于头顶的百会穴。神庭、百会均见于督脉,是足太阳经与督脉的交会穴。
睛明穴:在眼内眦稍上方,当目内眦头外畔凹陷中。为手足太阳、阳明、少阳之会。禁灸。
攒竹穴:在两眉头陷中。禁灸。
曲差穴:取神庭穴外旁,临泣穴之内,两穴之间,发际内五分处。(临泣见足少阳胆经)
五处穴:在上星穴旁,曲差穴后五分处。
承光穴:取曲差穴后二寸处。禁灸。
通天穴:取曲差穴后二寸五分处。
右侧脉仍从百会出,经耳角入发际五分处率谷穴、浮白穴,连窍阴穴,乃足太阳经与足少阳经交会之处。从此三穴散布于诸经。《灵枢》第十篇云:“其支者,从巅至耳上角。”滑寿氏说:“支别者,从巅之百会抵耳上角,过率谷、浮白、窍阴,所以散养于经脉也。”以上为率谷、浮白、窍阴三穴。
该经再次自通天穴向后,络却穴直行而来,经玉枕穴,循行于脑户穴周围。足太阳经同督脉并行,别行出于脑后还本经,下项复从天柱穴开始。
《灵枢》第十篇云:“其直者,从巅入络脑,还出别下项。”滑寿氏说:“脑即头髓,颈上为脑,脑后为项。此直行者由通天穴后循行络却、玉枕,入络脑,复出下项,抵天柱穴。”(脑户见督脉,为足太阳经与督脉之会)
络却穴:在通天后一寸五分处。
玉枕穴:在络却后一寸五分处;或取后项上入发际三寸,脑户旁一寸三分,枕骨突起肌肉处。
天柱穴:在颈项大筋外廉,夹项后发际陷中。
大椎穴:为手足三阳经交会穴。却循陶道穴,两行大杼穴、风门穴皆夹脊分布。肺俞、厥阴俞在第四椎,极泉、心膈、肝胆、脾胃连三焦、肾俞等同脐平齐,大小肠、膀胱俞在第十九椎两旁,中膂内俞、白环俞入膂络胃,由膀胱而出。
《灵枢》第十篇云:“循肩膊内,挟脊抵腰中,入循膂,络肾,属膀胱。”滑寿氏说:“肩后之下为肩膊,椎骨为脊,尻上横骨为髀。膈俞、肝俞、胆俞、脾俞、胃俞、三焦俞、肾俞、大肠俞、小肠俞、膀胱俞、中膂内俞、白环俞,由是抵腰中,入循膂,络肾下属膀胱也。”(大椎见督脉,为手足三阳经与督脉之会;陶道见督脉,为足太阳经与督脉之会)
大杼穴:在项后第一椎下两旁各一寸五分陷中。为足少阳经交会穴,又为骨会。此夹脊第二行俞穴。
风门穴:在第二椎下,督脉之会,两旁各一寸五分。
肺俞穴:在第三椎下,两旁各一寸五分。
厥阴俞穴:在第四椎下,两旁各一寸五分。
心俞穴:在第五椎下,两旁各一寸五分。
膈俞穴:在第七椎下,两旁各一寸五分。
肝俞穴:在第九椎下,两旁各一寸五分。
胆俞穴:在第十椎下,正坐取之,两旁各一寸五分。
脾俞穴:在第十一椎下,两旁各一寸五分。
胃俞穴:在第十二椎下,两旁各一寸五分。
三焦俞穴:在第十三椎下,两旁各一寸五分。
肾俞穴:在第十四椎下,与脐平,两旁各一寸五分。
大肠俞穴:在第十六椎下,两旁各一寸五分。
小肠俞穴:在第十八椎下,两旁各一寸五分。
膀胱俞穴:在第十九椎下,两旁各一寸五分。
中膂内俞穴:在第二十椎挟脊起肉两旁各一寸五分。
白环俞穴:在二十椎下,伏而取之。禁灸。自大杼至白环俞,抵腰中去脊中各一寸五分。
其支别者从白环俞入下,循腰髁,夹其脊上,次髎、中髎、下髎、会阳穴旁,阴尾骨贯穿臀内,下至承扶、殷门、浮郄、委阳,途中只是委中穴。
《灵枢》第十篇云:“其支者,从腰中下,挟脊贯臀,入腘中。”滑寿氏注:支下有“别”字,腰中下无“挟脊”二字。滑寿氏说:“臀即尻也,挟腰骨两旁为机,机后为臀,腓肠上膝后曲处为腘。其支别者从腰中循腰髁下,挟脊历上髎、次髎、中髎、下髎、会阳,下贯臀至承扶、殷门、浮郄、委阳,入腘中之委中穴也。”按:腰髁即腰监骨,人脊椎骨有二十一节,自十六椎节而下为腰监骨,扶脊附着之处。其十七至二十空云云。会阳在尾骨两旁,则二十一椎乃复见而终焉。又按:督脉当脊中,起于长强,在二十一椎下,等而上之至第十六椎下为阳关穴,其二十椎至十七椎皆无穴,乃知为腰监骨所掩,明矣。
上髎穴:在第一空腰髁下一寸,挟脊陷中。为足太阳经与足少阳经络脉交会。
次髎穴:在第二空,夹脊陷中。
中髎穴:在第三空,挟脊陷中。为足厥阴经与足少阳经所结。
下髎穴:在第四空,挟脊陷中。为足太阳经与足厥阴经所结。
会阳穴:在阴尾骨两旁。
承扶穴:在尻臀下股阴上纹中。
殷门穴:在肉里下六寸。
浮郄穴:在委阳上一寸,展膝得之。
委阳穴:在承扶下六寸,屈身取之。为足太阳经之后,出于腘中外廉两筋间。委中在腘中央,约文中动脉,伏面挺腹至地取之,为血郄。此支自夹脊第二行至白环俞而入,历上下髎,循会阳直至委中,与附分至秩边者合,共为会别支。
天柱、膊中铺别行左右附分,去贯穿伸膂来魄户、膏肓穴,下循神堂、膈关,内七椎数魂门第九,近阳纲、意舍前行取胃仓、肓门,又勒接志室、胞肓,直抵秩边藏。
《灵枢》第十篇云:“其支者,从膊内左右别下,贯胂,挟脊内,过髀枢。”滑寿氏说:“膂内曰胂,夹脊肉也。其支者为挟脊两旁第三行相去各三寸之诸穴,自天柱而下,从膊内左右别行,下贯胂膂,历附分、魄户、膏肓、神堂、膈关、魂门、阳纲、意舍、胃仓、肓门、志室、胞肓、秩边,下历尻臀,过髀枢也。股外为脾楗,骨之下为髀。”
附分穴:在第二椎下,附项内廉,正坐取之。为手足太阳经交会穴,夹脊第三行俞穴。
魄户穴:在第三椎下,两旁各三寸,正坐取之。
膏肓穴:在第四椎下,近第五椎上,两旁各三寸。取穴时令人正坐,曲脊伸两手以臂着膝前,令端直,手大指与膝头齐,以物支肘,母令臂动摇,离胂骨容侧指许,按之酸痛。
神堂穴:在第五椎下,两旁各三寸,正坐取之。
膈关穴:在第六椎下,两旁各三寸,正坐取之。
魂门穴:在第九椎下,两旁各三寸陷中,正坐取之。
阳纲穴:在第十椎下,两旁各三寸陷中,正坐取之。
意舍穴:在第十一椎下,两旁各三寸陷中,正坐取之。
胃仓穴:在第十二椎下,两旁各三寸。
肓门穴:在第十三椎下,两旁各三寸,又肋间陷中。
志室穴:在第十四椎下,两旁各三寸陷中,并正坐取之。
胞肓穴:在第十九椎下,两旁各三寸,伏而取之。
秩边穴:在第二十椎下陷中,两旁各三寸,伏而取之。或云在第二十一椎下。此支复自天柱而下,历附分至此而穴终,由此穴循本络直注于委中合。
经从秩边贯臀内,髀枢穴内承山外旁厢一寸五分间,髀从里廉,委中会合阳,膝约下二寸,贯穿腨内承筋,承筋正在腨肠中,下至承山,肠肉分飞扬,外踝七寸存附阳,踝下循昆仑、仆参、申脉、白肉际金门、京骨、足边屯足外大骨、赤白肉小指本节收束骨、通谷之前,出至阴,交足少阴肾经脉。
《灵枢》第十篇云:“循髀外后廉,下合腘中,以下贯腨内,出外踝之后,循京骨至小指外侧。”滑寿氏说:“腓肠内历承筋、承山、飞扬、附阳,出外踝后之昆仑、仆参、申脉、金门,循京骨、束骨、通谷,至小指外侧端之至阴穴,以交于足少阴也。”
合阳穴:在膝约文中央下三寸,或取委中下三寸。
承筋穴:在腨肠中央陷中。
承山穴:在兑腨肠下分肉间陷中。
飞阳穴:在足外踝上七寸,太阳之络,别走太阴。
附阳穴:在足外踝上二寸,太阳前少阳后筋骨间,阳跷脉之所生。
昆仑穴:在足外后跟骨上陷中。
仆参穴:在跟骨下陷中,拱足得之。
申脉穴:在外踝下陷中,容爪甲白肉际,阳跷脉之所生。
金门穴:在足外踝下,太阳之郄,阳维所属。
京骨穴:在足外侧大骨下,赤白肉际陷中。
束骨穴:在足小指外侧本节后陷中。
通谷穴:在足小指外侧本节前陷中。
至阴穴:在足小指外侧,去爪甲角如韭叶。
总歌曰:
内眦交巅方下项,循肩挟脊抵腰中。
从腰络肾膀胱过,髀骨源流小指通。
愚按:足太阳膀胱之脉,起于目内眦睛明穴,上额交巅,抵天柱,过大椎,挟脊下行,循膂络肾属膀胱。其支者从腰入腘中;其支别者复自天柱,从膊内左右挟脊而下,合腘中,出小指外侧端至阴穴,长交于足少阴肾。故足少阴之脉,起于小指之下,斜趣足心涌泉穴始也。
穴歌曰:
足太阳经六十三,睛明攒竹曲差参。
五处承光上通天,络却玉枕天柱崭。
大杼风门引肺俞,厥阴心俞膈俞注。
肝俞胆俞脾俞同,胃俞三焦肾俞中。
大肠小肠膀胱俞,中膂白环两俞输。
自从大杼至白环,相去脊中三寸间。
上髎次髎中复下,会阳承扶殷门亚。
浮郄委阳委中罅,膊内挟脊附分当。
太阳行背第三行,魄户膏肓与神堂。
膈关魂门旁阳纲,意舍仍胃仓育门。
志室胞之肓,二十椎下秩边藏。
合腘以下合阳是,承筋承山居其次。
飞阳附阳泊昆仑,仆参申脉连金门。
京骨束骨又通谷,小指外侧至阴续。
是动所生歌曰:
是经血多气犹少,是动头疼不可当。
项如拔兮腰似折,髀强痛彻脊中尖。
腘如结兮腨如裂,是为踝厥筋乃伤。
所生疟痔小指废,头囟顶痛目色黄。
腰尻腨脚疼连背,泪流鼻衄及颠枉。
《灵枢》第十篇云:“是动则病冲头痛,目似脱,项似拔,脊痛腰似折,髀不可以曲,腘如结,腨如裂,是为踝厥。是主筋所生病者,痔、疟、狂、颠疾,头囟顶痛,目黄,泪出,鼻衄,项背腰尻腨脚皆痛,小指不用。为此诸病,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。盛者人迎大再倍于寸口,虚者人迎反小于寸口也。”
音释:
窍(qiào) 杼(zhù) 膂(lǚ,音吕,脊骨两旁) 髁(kē,苦瓦反,腰骨) 臀(tún,音屯,髀也)
腘(guó,戈麦反,曲脚也) 膊(bó,补合反) 噫(yī,音根据,痛声也)
嘻(xī,音熙,痛声也) 喘(chuǎn,时充反,音喘) 尻(kāo,若高反)
[Diagram of the Foot-Taiyang Bladder Meridian]
The Foot-Taiyang Bladder Meridian starts from the head, travels down the spinal column, and then proceeds to the foot. This meridian is characterized by abundant blood and scarce qi. It originates at Jingming (BL1) and terminates at Zhiyin (BL67). There are sixty-three acupoints on each side, totaling one hundred twenty-six acupoints bilaterally. The bladder weighs nine liang and two zhu (ancient units of weight), measures nine cun in length and width, is located anterior to the kidneys and lateral to the large intestine, precisely at the position of Shuifen (CV9), which is one cun above the umbilicus. This location also marks the junction between the lower opening of the small intestine and the upper boundary of the bladder, where water fluids seep in.
The Foot-Taiyang belongs to the Bladder Meridian, starting from the eye. From Jingming (BL1), it ascends to Cuanzhu (BL2), passes through Shenting (GV24)—an intersection of the Governor Vessel and the Taiyang Meridian—and continues through Qucha (BL8), Wuchu (BL7), Chengguang (BL74), and Tongtian (BL76). It intersects on the left side at Baihui (GV20) and then reaches the apex of the right ear.
Chapter 10 of *Ling Shu* states: "The vessel of Foot-Taiyang originates at the inner canthus, ascends to the forehead, and crosses at the vertex." Mr. Hua said: The inner corner of the eye is the inner canthus; the area before the hairline is the forehead; the top of the brain is the vertex (dian), which refers to the crown of the head. The Foot-Taiyang Meridian starts at Jingming (BL1) in the inner canthus, ascends to the forehead, follows Cuanzhu (BL2), passes Shenting (GV24), traverses Qucha (BL8), Wuchu (BL7), Chengguang (BL74), and Tongtian (BL76). From Tongtian (BL76), it diagonally crosses left and right to intersect at Baihui (GV20) on the crown. Both Shenting (GV24) and Baihui (GV20) are listed under the Governor Vessel and represent intersections between the Foot-Taiyang Meridian and the Governor Vessel.
Jingming (BL1): Located slightly above the inner canthus, in the depression at the outer edge of the medial canthus. It is an intersection of the Hand and Foot Taiyang, Yangming, and Shaoyang meridians. Moxibustion is contraindicated.
Cuanzhu (BL2): Located in the depression at the medial end of the eyebrow. Moxibustion is contraindicated.
Qucha (BL8): Located halfway between the lateral side of Shenting (GV24) and the medial side of Linqi (GB15), five fen inside the hairline. (See Foot-Shaoyang Gallbladder Meridian for Linqi).
Wuchu (BL7): Located five fen posterior to Qucha (BL8), beside Shangxing (GV23).
Chengguang (BL74): Located two cun posterior to Qucha (BL8). Moxibustion is contraindicated.
Tongtian (BL76): Located two cun and five fen posterior to Qucha (BL8).
The right branch still exits from Baihui (GV20), enters the hairline five fen below the ear apex at ShuaiGu (GB8), connects to Fubai (GB12), and links to Qiyaon (GB11). These three points serve as intersections between the Foot-Taiyang and Foot-Shaoyang meridians. From here, the meridian disperses to various other meridians. Chapter 10 of *Ling Shu* says: "Its branch goes from the vertex to the supra-auricular angle." Mr. Hua stated: "The branch diverges from Baihui (GV20) on the vertex, reaches the supra-auricular angle, passing through ShuaiGu (GB8), Fubai (GB12), and Qiyaon (GB11), thereby nourishing the meridians." These are the three points: ShuaiGu (GB8), Fubai (GB12), and Qiyaon (GB11).
The meridian again proceeds from Tongtian (BL76) backwards, connecting to Luoque (BL9), moving straight to Yuzhen (BL17), and circulating around Naohu (GV16). The Foot-Taiyang Meridian runs parallel to the Governor Vessel, branches out behind the head, returns to its own meridian, descends the neck, and begins anew from Tianzhu (BL10).
Chapter 10 of *Ling Shu* states: "The main trunk enters the brain from the vertex, emerges separately, and descends the nape." Mr. Hua explained: "The brain is the marrow of the head; the upper neck is the brain region, and the back of the neck is the nape. This main trunk follows Luoque (BL9) and Yuzhen (BL17) posterior to Tongtian (BL76), enters the brain, emerges, descends the nape, and reaches Tianzhu (BL10)." (Naohu (GV16) is seen in the Governor Vessel, an intersection of the Foot-Taiyang and Governor Vessels).
Luoque (BL9): Located one cun and five fen posterior to Tongtian (BL76).
Yuzhen (BL17): Located one cun and five fen posterior to Luoque (BL9); or located three cun inside the hairline at the back of the neck, one cun and three fen lateral to Naohu (GV16), on the raised muscle of the occipital bone.
Tianzhu (BL10): Located lateral to the large tendon of the neck, in the depression at the posterior hairline of the nape.
Dazhui (GV14): Intersection of the Hand and Foot Three Yang Meridians. Following Tao Dao (GV13), the two rows of Dazhu (BL11) and Fengmen (BL12) are distributed paravertebrally. Feishu (BL13), Jueyinshu (BL14) are at the fourth vertebra; Jiquan (HT1), Xinge, Gan, Dan, Pi, Wei, Sanjiao, and Shenshu (BL23) align with the umbilicus; Dachangshu (BL25), Xiaochangshu (BL32), and Pangguangshu (BL33) are at the sides of the nineteenth vertebra; Zhonglü Neishu (BL29) and Baihuanxu (BL30) enter the muscular ridge, connect with the Stomach, and exit via the Bladder.
Chapter 10 of *Ling Shu* states: "It follows the interior of the shoulder blade, flanks the spine, reaches the middle of the waist, enters the muscular ridge, connects with the Kidney, and belongs to the Bladder." Mr. Hua explained: "Below the posterior shoulder is the shoulder blade; the vertebral bones are the spine; the transverse bone above the coccyx is the thigh bone. Geshu (BL17), Ganshu (BL18), Danshu (BL19), Pishu (BL20), Weishu (BL21), Sanjiaoshu (BL22), Shenshu (BL23), Dachangshu (BL25), Xiaochangshu (BL32), Pangguangshu (BL33), Zhonglü Neishu (BL29), and Baihuanxu (BL30) reach the middle of the waist, enter the muscular ridge, connect with the Kidney, and descend to belong to the Bladder." (Dazhui (GV14) is seen in the Governor Vessel, an intersection of the Hand and Foot Three Yang Meridians and the Governor Vessel; Taodao (GV13) is seen in the Governor Vessel, an intersection of the Foot-Taiyang and Governor Vessels).
Dazhu (BL11): Located in the depression one cun and five fen lateral to the lower border of the first thoracic vertebra. It is an intersection with the Foot-Shaoyang Meridian and is also the Hui-Point of Bones. This is the second row of Back-Shu points paravertebrally.
Fengmen (BL12): At the lower border of the second thoracic vertebra, an intersection with the Governor Vessel, one cun and five fen lateral on both sides.
Feishu (BL13): At the lower border of the third thoracic vertebra, one cun and five fen lateral on both sides.
Jueyinshu (BL14): At the lower border of the fourth thoracic vertebra, one cun and five fen lateral on both sides.
Xinshu (BL15): At the lower border of the fifth thoracic vertebra, one cun and five fen lateral on both sides.
Geshu (BL17): At the lower border of the seventh thoracic vertebra, one cun and five fen lateral on both sides.
Ganshu (BL18): At the lower border of the ninth thoracic vertebra, one cun and five fen lateral on both sides.
Danshu (BL19): At the lower border of the tenth thoracic vertebra; take while sitting upright, one cun and five fen lateral on both sides.
Pishu (BL20): At the lower border of the eleventh thoracic vertebra, one cun and five fen lateral on both sides.
Weishu (BL21): At the lower border of the twelfth thoracic vertebra, one cun and five fen lateral on both sides.
Sanjiaoshu (BL22): At the lower border of the thirteenth thoracic vertebra, one cun and five fen lateral on both sides.
Shenshu (BL23): At the lower border of the fourteenth thoracic vertebra, level with the umbilicus, one cun and five fen lateral on both sides.
Dachangshu (BL25): At the lower border of the sixteenth thoracic vertebra, one cun and five fen lateral on both sides.
Xiaochangshu (BL32): At the lower border of the eighteenth lumbar vertebra, one cun and five fen lateral on both sides.
Pangguangshu (BL33): At the lower border of the nineteenth lumbar vertebra, one cun and five fen lateral on both sides.
Zhonglü Neishu (BL29): One cun and five fen lateral to the raised muscle flanking the spine at the twentieth lumbar vertebra.
Baihuanxu (BL30): Below the twentieth lumbar vertebra; take while prone. Moxibustion is contraindicated. From Dazhu (BL11) to Baihuanxu (BL30), reaching the waist, they are one cun and five fen away from the midline of the spine.
Its branch diverges from Baihuanxu (BL30), descends, follows the iliac crest, flanks the spine, passing through Ciliao (BL32), Zhongliao (BL33), Xialiao (BL34), and Huiyang (BL35) beside the sacrococcygeal joint, penetrating the gluteus internally, descending to Chengfu (BL36), Yinmen (BL37), Fuxi (BL38), and Weiyang (BL39). Along the way, it is merely Weizhong (BL40).
Chapter 10 of *Ling Shu* states: "Its branch descends from the middle of the waist, flanks the spine, penetrates the buttocks, and enters the popliteal fossa." Mr. Hua noted: There should be the character 'bie' (branch) after 'zhi'; there is no 'xi ji' (flank spine) after 'xia zhong'. Mr. Hua said: "Buttocks refer to the sacrum/coccyx area; the sides of the waist bones are the ji; behind the ji are the buttocks; the curved part above the gastrocnemius and behind the knee is the guo (popliteal fossa). Its branch follows the iliac crest from the waist, descends flanking the spine, passing through Shangliao (BL31), Ciliao (BL32), Zhongliao (BL33), Xialiao (BL34), Huiyang (BL35), descends through the buttocks to Chengfu (BL36), Yinmen (BL37), Fuxi (BL38), Weiyang (BL39), and enters the popliteal fossa at Weizhong (BL40)." Note: Yaokao refers to the lumbosacral bone. Human spinal vertebrae have twenty-one segments. From the sixteenth vertebra downwards is the lumbosacral bone, attached to the spine. The spaces from the seventeenth to twentieth vertebrae are empty. Huiyang (BL35) is on both sides of the coccyx, so the twenty-first vertebra appears again and ends. Also note: The Governor Vessel runs along the midline of the spine, originating at Changqiang (GV1) below the twenty-first vertebra, ascending to Yangguan (GV15) below the sixteenth vertebra. There are no acupoints from the twentieth to seventeenth vertebrae, proving they are covered by the lumbosacral bone.
Shangliao (BL31): One cun below the iliac crest in the first foramen, in the depression flanking the spine. It is a collateral intersection of the Foot-Taiyang and Foot-Shaoyang meridians.
Ciliao (BL32): In the second foramen, in the depression flanking the spine.
Zhongliao (BL33): In the third foramen, in the depression flanking the spine. It is a knot of the Foot-Jueyin and Foot-Shaoyang meridians.
Xialiao (BL34): In the fourth foramen, in the depression flanking the spine. It is a knot of the Foot-Taiyang and Foot-Jueyin meridians.
Huiyang (BL35): On both sides of the sacrococcygeal joint.
Chengfu (BL36): In the crease on the upper inner thigh, below the gluteal fold.
Yinmen (BL37): Six cun below the gluteal fold.
Fuxi (BL38): One cun above Weiyang (BL39); obtain by extending the knee.
Weiyang (BL39): Six cun below Chengfu (BL36); take while bending the body. It is posterior to the Foot-Taiyang Meridian, emerging between the two tendons at the lateral aspect of the popliteal fossa. Weizhong (BL40) is in the center of the popliteal fossa, at the arterial pulse in the crease. Take by lying prone, extending the abdomen, and touching the ground. It is the Blood-Sea. This branch enters from the second row paravertebrally to Baihuanxu (BL30), traverses Shangliao, Ciliao, Zhongliao, Xialiao, follows Huiyang (BL35) directly to Weizhong (BL40), and merges with the branch from Fufen (BL17) to Zhbian (BL54), collectively forming the converging branch.
From Tianzhu (BL10) and the shoulder, branches run left and right to Fufen (BL17), penetrate the muscular ridge to Pohu (BL42), Gaohuang (BL43), descend through Shen Tang (BL44), Ge Guan (BL48), Hun Men (BL47), Yang Gang (GV15), Yi She (BL46), Wei Cang (BL45), Huang Men (BL52), Zhi Shi (BL53), Bao Huang (BL54), and directly reach Zhibian (BL54).
Chapter 10 of *Ling Shu* states: "Its branch separates from the interior of the shoulder, descends left and right, penetrates the shen (muscle mass), flanks the interior of the spine, and passes the hip pivot." Mr. Hua explained: "Inside the muscular ridge is called shen; it is the muscle flanking the spine. Its branch consists of the acupoints in the third row, three cun apart laterally from the spine. From Tianzhu (BL10) downwards, it separates from the interior of the shoulder, descends left and right, penetrates the shen and muscular ridge, passing Fufen (BL17), Pohu (BL42), Gaohuang (BL43), Shen Tang (BL44), Ge Guan (BL48), Hun Men (BL47), Yang Gang (GV15), Yi She (BL46), Wei Cang (BL45), Huang Men (BL52), Zhi Shi (BL53), Bao Huang (BL54), Zhibian (BL54), descends through the sacrum and buttocks, and passes the hip pivot. The lateral thigh is the pi jian; below the bone is the bi."
Fufen (BL17): Below the second thoracic vertebra, attached to the medial side of the neck; take while sitting upright. It is an intersection of the Hand and Foot Taiyang Meridians and is the third row of Back-Shu points paravertebrally.
Pohu (BL42): Three cun lateral to both sides below the third thoracic vertebra; take while sitting upright.
Gaohuang (BL43): Three cun lateral to both sides below the fourth thoracic vertebra, near the upper border of the fifth. To locate: Have the patient sit upright, hunch the back, extend both arms placing hands on knees, keeping them straight. Align the thumb with the knee cap. Support the elbow with an object, preventing arm movement. The point should be about the width of a finger away from the scapula; pressing causes soreness.
Shen Tang (BL44): Three cun lateral to both sides below the fifth thoracic vertebra; take while sitting upright.
Ge Guan (BL48): Three cun lateral to both sides below the sixth thoracic vertebra; take while sitting upright.
Hun Men (BL47): Three cun lateral to both sides below the ninth thoracic vertebra, in the depression; take while sitting upright.
Yang Gang (GV15): Three cun lateral to both sides below the tenth thoracic vertebra, in the depression; take while sitting upright.
Yi She (BL46): Three cun lateral to both sides below the eleventh thoracic vertebra, in the depression; take while sitting upright.
Wei Cang (BL45): Three cun lateral to both sides below the twelfth thoracic vertebra.
Huang Men (BL52): Three cun lateral to both sides below the thirteenth thoracic vertebra, also in the intercostal depression.
Zhi Shi (BL53): Three cun lateral to both sides below the fourteenth thoracic vertebra, in the depression; take while sitting upright.
Bao Huang (BL54): Three cun lateral to both sides below the nineteenth thoracic vertebra; take while prone.
Zhibian (BL54): In the depression three cun lateral to both sides below the twentieth lumbar vertebra; take while prone. Or stated as below the twenty-first vertebra. This branch descends from Tianzhu (BL10), passes Fufen (BL17), and ends at this point. From here, it follows the main collateral directly to merge at Weizhong (BL40).
The meridian passes through the gluteus internally from Zhibian (BL54), one cun and five fen lateral to Chengshan (BL57) near the hip pivot, follows the medial thigh, meets Heyang (BL38) at Weizhong (BL40), penetrates the calf internally two cun below the popliteal crease to Chengjin (BL56), which is in the center of the gastrocnemius, descends to Chengshan (BL57) in the division of the calf muscles, Feiyang (BL58) seven cun above the lateral malleolus, Fuyang (BL59) below the ankle, Kunlun (BL60), Pucan (BL61), Shenmai (BL62), Jinmen (BL63) at the white-red flesh boundary, Jinggu (BL64), Zhuangu (BL65), Tonggu (BL66) before the base of the little toe, and exits at Zhiyin (BL67), connecting to the Foot-Shaoyin Kidney Meridian.
Chapter 10 of *Ling Shu* states: "It follows the posterior lateral aspect of the thigh, descends to merge in the popliteal fossa, passes down through the calf, emerges posterior to the lateral malleolus, follows Jinggu (BL64) to the lateral side of the little toe." Mr. Hua explained: "Following the gastrocnemius internally, passing Chengjin (BL56), Chengshan (BL57), Feiyang (BL58), Fuyang (BL59), emerging posterior to the lateral malleolus at Kunlun (BL60), Pucan (BL61), Shenmai (BL62), Jinmen (BL63), following Jinggu (BL64), Shugu (BL65), Tonggu (BL66), to the lateral end of the little toe at Zhiyin (BL67), to connect with the Foot-Shaoyin."
Heyang (BL38): Three cun below the popliteal crease in the center, or three cun below Weizhong (BL40).
Chengjin (BL56): In the depression in the center of the gastrocnemius.
Chengshan (BL57): In the depression between the muscle bellies of the lower calf.
Feiyang (BL58): Seven cun above the lateral malleolus; the collateral of the Taiyang, diverging to the Taiyin.
Fuyang (BL59): Two cun above the lateral malleolus, between the anterior Taiyang and posterior Shaoyang tendons and bones; origin of the Yang Qiao Mai.
Kunlun (BL60): In the depression above the heel bone posterior to the lateral malleolus.
Pucan (BL61): In the depression below the calcaneus; obtain by plantarflexing the foot.
Shenmai (BL62): In the depression below the lateral malleolus, at the white-red flesh boundary accommodating the nail; origin of the Yang Qiao Mai.
Jinmen (BL63): Below the lateral malleolus; Xi-Cleft Point of the Taiyang, belonging to the Yang Wei Mai.
Jinggu (BL64): In the depression at the red-white flesh boundary below the large bone on the lateral foot.
Shugu (BL65): In the depression posterior to the metatarsophalangeal joint of the little toe on the lateral side.
Tonggu (BL66): In the depression anterior to the metatarsophalangeal joint of the little toe on the lateral side.
Zhiyin (BL67): On the lateral side of the little toe, one grain of rice width from the corner of the nail.
General Song:
Inner canthus crosses vertex then descends nape,
Follows shoulders, flanks spine, reaches middle waist.
From waist connects to Kidney, passes Bladder,
Thigh bone source flows to little toe connection.
Commentary: The Foot-Taiyang Bladder Meridian originates at Jingming (BL1) in the inner canthus, ascends to the forehead, crosses the vertex, reaches Tianzhu (BL10), passes Dazhui (GV14), descends flanking the spine, follows the muscular ridge, connects with the Kidney, and belongs to the Bladder. Its branch descends from the waist into the popliteal fossa; its separate branch returns from Tianzhu (BL10), descends flanking the spine from the interior of the shoulder left and right, merges in the popliteal fossa, exits at the lateral end of the little toe Zhiyin (BL67), and long-connects with the Foot-Shaoyin Kidney Meridian. Thus, the Foot-Shaoyin Meridian originates below the little toe, slanting towards Yongquan (KI1) in the sole of the foot.
Acupoint Song:
Foot-Taiyang has sixty-three points,
Jingming, Cuanzhu, Qucha participate.
Wuchu, Chengguang ascend to Tongtian,
Luoque, Yuzhen, Tianzhu stand tall.
Dazhu, Fengmen lead Feishu,
Jueyin, Xinshu, Geshu note.
Ganshu, Danshu, Pishu same,
Weishu, Sanjiao, Shenshu middle.
Dachang, Xiaochang, Pangguang Shu,
Zhonglü, Baihuan two Shu transport.
Since Dazhu to Baihuan,
Three cun from spine midline.
Shangliao, Ciliao, Zhongliao, Xialiao,
Huiyang, Chengfu, Yinmen follow.
Fuxi, Weiyang, Weizhong gap,
Shoulder interior flanks spine Fufen stands.
Taiyang travels back third row,
Pohu, Gaohuang, and Shen Tang.
Ge Guan, Hun Men side Yang Gang,
Yi She, Wei Cang, Huang Men.
Zhi Shi, Bao Huang,
Twentieth vertebra Zhibian hides.
Merge popliteal below Heyang is,
Chengjin, Chengshan next.
Feiyang, Fuyang泊 Kunlun,
Pucan, Shenmai connect Jinmen.
Jinggu, Shugu, Tonggu again,
Little toe lateral Zhiyin continues.
Is-Moved and Generated Song:
This meridian has much blood, little qi,
Is-Moved causes unbearable headache.
Neck feels like pulling, waist like breaking,
Thigh stiff pain pierces spine tip.
Popliteal like knot, calf like tearing,
This is Ankle-Jue, tendons injured.
Generated: Malaria, hemorrhoids, little toe useless,
Head vertex pain, eye color yellow.
Waist, sacrum, calf, foot pain connect back,
Tears flow, nosebleed, and inversion.
Chapter 10 of *Ling Shu* states: "When Is-Moved, disease manifests as rushing headache, eyes feeling like falling out, neck feeling like pulling, spine pain, waist feeling like breaking, thighs unable to bend, popliteal like knotted, calf like tearing, this is Ankle-Jue. It governs diseases related to tendons: hemorrhoids, malaria, mania, epilepsy, head/vertex pain, yellow eyes, tearing, nosebleed, neck/back/waist/sacrum/calf/foot pain, little toe non-function. For these diseases: excess, drain it; deficiency, tonify it; heat, hasten it; cold, retain it; sinking, moxa it; neither excess nor deficiency, treat according to the meridian. Excess: Renying pulse is more than double the Cunkou pulse. Deficiency: Renying pulse is smaller than Cunkou pulse."
Phonetic Notes:
Qiao (qiào) Zhu (zhù) Lü (lǚ, sound 'lu', sides of spine) Ke (kē, ku wa fan, hip bone) Tun (tún, sound 'tun', thigh)
Guo (guó, ge mai fan, bent leg) Bo (bó, bu he fan) Yi (yī, sound gen ju, sound of pain)
Xi (xī, sound xi, sound of pain) Chuan (chuǎn, shi chong fan, sound panting) Kao (kāo, ruo gao fan)