大肠原合谷 胃原冲阳 小肠原腕骨 膀胱原京骨 三焦原阳池 胆原丘墟
灵枢经骨度篇文所论长短皆古数也今按头部折法以前发际至后发际折为一尺二寸如发际
不明则
并根据此
督脉神庭至太阳曲差穴曲差至少阳本神穴本神至阳明头维穴各开一寸半自神庭至头维各
开四寸半胸腹折法直寸以中行为主自缺盆中天突穴起至岐骨际上中庭穴止折作八寸四分自 上
岐骨际下至脐心折作八寸自脐心下至毛际曲骨穴折作五寸横寸以两乳相去折作八寸胸腹横直
寸法并根据此
背部折法自大椎至尾 通折三尺上七节各长一寸四分一厘共九寸八分七厘中七节各一寸
六分一厘共一尺一寸二分七厘第十四节与脐平下七节各一寸二分六厘共八寸八分二厘通共二尺九
寸九分六厘不足四厘者有余未尽也
脊骨内涸一寸凡云第二行侠脊一寸半三行侠脊三寸者皆除脊一寸外净以寸半三寸论故在
二行当为二寸在三行当为三寸半也
侧部四肢折量之法总以前中指同身寸法为是
头 头为诸阳之首凡物独出之首皆名曰头
脑 脑者头骨之髓也足太阳膀胱脉络脑足少阴肾属髓海脑为髓海髓海足头轻多力不足脑
转耳鸣目眩胫酸怠卧
巅 巅者头顶也足厥阴肝脉与督脉会于巅足太阳膀胱脉交巅足少阳胆脉亦交巅巅顶之首
俗名天灵盖
囟 囟者巅前之头骨也小儿初生未阖名曰囟门已阖名曰囟骨即天灵盖后之骨
头角 额两旁棱处之骨也足少阳胆筋脉皆上头角
额颅 额前发际之下两眉之上名曰额一曰颡足阳明胃脉至额颅手阳明大肠筋上额左角手
少阳三焦筋结额上角足太阳膀胱筋上额
发 足少阴肾主发又为血之余
面 凡前曰面凡后曰背五脏之精气皆上熏于面故面白应肺脱气脱血脱津液面皆白面赤应
心面黄应脾面青应肝面黑应肾故黑者阴气阳去面为之黑 颧骨之下迎香穴之外为面中央应手阳明
大肠 两颧之内面王之上应手少阳小肠小肠脉循颊上 斜络于颧小肠气血盛面多肉而平气血
少面瘦色恶
颜 颜者眉目间名也眉心曰关上应咽喉
眉 属肝肝脉从目系上额肝胆相表里足少阳风热与痰则眉棱骨痛此症 多伤目至两耳出
脓则危
又应膀胱足太阳血气盛眉佳有毫毛
目 目者司视之窍也肝窍在目故论目必首肝
睛窠 眼珠也脏腑精气皆上注目而为睛血之精为目窠之总络
瞳神 骨之精为童神属肾肾水亏不能养肝英华不敛瞳神散大无光
黑珠 即瞳外黑轮属肝为筋之精内连目系目内廉深处为目系肝火上冲两轮红痛
白珠 气之精为白眼黑轮外四围白处皆属肺肺火上腾白有红筋
两 外决面者为锐 内近鼻者为内 皆属心小肠三焦筋脉俱至目锐 胆脉起目锐 筋
亦结目锐 小肠支脉至目内 出膀胱脉起目内
眼皮 上下皆属脾肌肉之精主合同束胃细筋散于目下为目下纲膀胱细筋为目上纲目纲即
上下目胞之两睑边又名曰睫司目之开阖也
睫毛 属脾脾胃气虚目紧皮缩眼楞急小睫毛倒入眼中谓之倒睫拳毛
目泪 泪为肝液风行水流肝风动则泪出又肝热多泪如烧竹沥遇火沥出迎风出泪风火合也悲哀
动中心气与肝气相迫致泪
目眵 眵属肺气结硬
目眶骨 目眶者目窠四围之骨也上曰眉棱骨下即 骨 骨之外即颧骨
目下之眶骨颧骨内下连上牙床者也
者鼻梁即山根也
鼻 鼻者司臭之窍也
山根 足阳明脉交山根山根曰下极应心
鼻柱 在山根下相家曰年寿应肝年寿左右应胆
面王 在鼻柱下相家曰准头亦曰明堂属土应脾明堂两旁为方上在迎香上曰鼻隧相家曰兰
台廷尉应胃胃脉起鼻两旁筋亦结鼻旁即此
鼻孔 大肠脉挟鼻孔小肠脉抵鼻膀胱筋结鼻下两旁
颧 颧为骨本两颧发赤主肾败膀胱胆大肠筋皆结颧胃筋合颧小肠经颧 穴在 下锐骨端
陷中人中 下应膀胱子宫平浅无髭多无子大肠脉交人中督脉水沟穴在人中
内鼻旁间近生门牙之骨也
俗呼为腮口旁颊前肉之空软处也
耳 司听之窍也肾气通耳肾元足则耳聪有病当于肾脉推之
蔽 耳门也
耳郭 耳叶也胃脉上耳前筋结耳前胆脉三焦脉俱走耳前筋从耳前属目 小肠膀胱筋俱结
耳后完骨胃脉之支胆脉三焦脉俱过耳后
颊 耳前颧侧面两旁之称也大肠筋脉俱上颊小肠脉上颊胃筋循颊而上胆筋脉俱过颊肝脉
下颊三焦当曲颊脉亦交颊胃颊车穴在耳下分
曲颊 颊之骨也曲如环形受颊车骨尾之钩者也
颊车 下牙床骨也总载诸齿能咀食物故名颊车
口 司言食之窍也属脾胃大肠脉交口毕竟脾为主盖味入口藏于胃脾乃运化精液以养五脏
故五脏之气皆统于脾五脏偏盛皆验于口
唇 口端也肝脾胃三经所主热则红甚寒则淡红实则红活虚则黄白脾燥唇干脾热唇裂肝风
唇
动不止脾寒唇青或揭七情动火伤血或心火传脾或浓味积伤脾唇肿白皮皱裂如蚕茧或唇下
肿如黑枣
吻 口之四周也口上有髭大肠主之
颐 口角后 之下也颐上有须胆主之
颏 口之下唇至末之处俗名下把壳颏上有髯胃主之
颔 颏下结喉上两侧肉之空软处也小肠筋结颔胆筋脉俱过颔
齿 口龈所生之骨也内床曰齿外板曰牙牙齿肾之标齿病宜归肾而治齿先分病在牙床病在
牙齿上床属胃喜寒恶热下床属大肠喜热恶寒床病治齿齿病治床诸不应
舌 舌为心苗司味之窍也脾肾膀胱三焦筋脉所系
舌本 舌之根也
颃颡 口内之上二孔司分气之窍也
悬壅垂 张口视喉上似乳头之小舌俗名碓嘴
喉 通声息之路也在咽前通肺主出气故曰肺系又曰喉气通天肺热甚喉哑胃肾二脉循喉
咽饮食之路也在喉后通胃主纳食胃口在膈膜下咽至胃长一尺六寸通谓之咽门咽门下有膈膜
咽气通地心脾二脉挟咽令咽干肝脉循喉后令咽干
喉咙 肺之系也
嗌 胃之系也咽之低处曰嗌小肠脉循咽令嗌痛三焦脉由喉令嗌肿
会厌 覆喉管之上窍似皮似膜上司开阖为声音之户食下咽不掩则错凡舌抵上 则会厌能
掩喉喉咽嗌会厌四者缺一则饮食废而死
结喉 喉之管头也其人瘦者多外见颈前肥人则隐于肉内多不见也
上横骨 在喉前宛宛中天突穴之外小湾横骨旁接拄骨之骨
拄骨 膺上缺盆之外俗名骨锁子骨内接横骨外接肩解
肩解 肩端之骨节解处也
骨 肩端之骨也即肩胛骨头臼之上棱骨也其臼接 骨上端俗曰肩头其外曲卷翅骨肩后
之棱骨也其下棱骨在背肉内
肩胛 即 骨之末成片骨也亦名肩膊俗名 板子骨大小肠三焦筋脉俱至肩胆脉至肩上肩
井穴属胆膀胱筋肺筋皆结肩
臂 上身两大支之通称也一名曰肱俗名胳膊胳膊中节上下骨交接处名曰肘肘上之骨曰
骨肘下之骨曰臂骨臂有正辅二骨辅骨在上短细偏外正骨居下长大偏内俱下接腕骨也
腕 臂掌骨接交处以其宛屈故名也当外侧之骨名曰高骨一名锐骨亦名踝骨
鱼 在掌外侧之上大指节后肥鱼陇起处其形如鱼故谓之鱼
手 手者上体所以持物也掌中为手心手之表为手背
掌骨 手众指之本也掌之众骨名壅骨合凑成掌非块然一骨也
手大指 属肺肺脉自腋入 至大指出其端肺筋即起于大指端少商穴之次穴在大指内侧去
爪甲
如韭叶循手掌直上大指本节后有鱼际穴为肺荣掌后横纹头有太渊穴为肺 太渊后有经渠穴为
肺经手腕后一寸五分有列缺穴为肺络臂腕曲中有尺泽穴为肺合循内侧上 入腋其散筋复自腋
上肩结于肩端骨罅中
食指 属大肠大肠筋脉皆起于食指端商阳穴之次穴去爪甲如韭叶为大肠井溜于本节前内
侧名
二间穴为大肠荥注于本节后三间穴为大肠 过于合谷穴为大肠原上侧腕中有阳溪穴为大肠经
腕后三寸有偏历穴为大肠络肘曲纹头尽处有曲池穴为大肠合由是历三里肘 五里三穴直上结
于肩之前
中指 属包络包络之脉自腑循 入肘臂至中指出其端其筋即起于中指内廉之末中冲穴之
次穴
去爪甲如韭叶为心之井心为天君其井 等俱在包络屈中指无名指两者之间取劳宫穴为心荣掌
后两筋之间有大陵穴为心 去腕二寸两筋间有内关穴为心主之络去腕三寸有间使穴为心经
上至肘曲中央陷中有曲泽穴为心合上循天泉穴之次结腋下
无名指 属三焦三焦筋脉俱起无名指外廉关冲穴之次穴去爪甲如韭叶为三焦井溜于小指
次指
本节陷中名液门穴为三焦荣注于腑下一寸名中渚穴为三焦 结于手腕中之阳池穴为三焦原直
上腕后二寸名外关穴为三焦络腕后三寸名支沟穴为三焦经结于肘外大骨陷中名天井穴为三焦
合上 至肩 穴包络脉之支别掌中循无名指出其端
小指 内侧属心外侧属小肠心脉循 下肘出小指之端心筋起小指之端内侧少冲穴之次穴
去爪
甲如韭叶直上入掌内后廉历神门穴在掌后锐骨中又历通里穴为心络在腕后一寸陷中又历少海
穴在肘后大骨外去肘端五分屈肘向头得之又历极泉穴在臂内腑下筋间 小肠筋脉俱起小指外
侧少泽穴之次穴去爪甲一分为小肠井溜于小指外侧本节前陷中名前谷穴为小肠荥注于小指外
侧本节后名后溪穴为小肠 直上至于脘起骨陷中有腕骨穴为小肠原踝下有阳谷穴为小肠经腕
后五寸有支正穴为小肠络肘下锐骨之后有小海穴为小肠合从是上 历肩解肩胛交肩上
爪甲 指之甲也足趾同肝主筋爪者筋之余
岐骨 凡骨之两叉者皆名岐骨手足同
肺 喉下为肺喉在咽前主出气喉系坚空连接肺管呼吸出入下通心肝之窍经云肺者相傅之
官治
节出焉其形四垂附着于脊之第三椎中有二十四空行列分布以行诸藏之气为藏之长为心之盖又
曰是经常多气少血难经曰肺重三斤三两六叶两耳凡八叶主藏魂中藏经曰肺为生气之原
乃五脏
之华盖张介宾曰肺叶白莹谓为华盖以覆诸藏虚如蜂窠下无透窍吸之则满呼之则虚一呼一
吸消息自然司清浊之运化为人身之HT 龠
膺 胸上两旁高处曰膺胃脉到膺胆脉系膺
胸 结喉下曰缺盆缺盆下曰胸在膺之下肺脉布胸中肺心筋结胸中脾筋脉皆散胸中肝脉上
至胸胆脉下胸中肾脉入肺注胸中包络脉起胸中筋散胸中
心 心者君主之官神明出焉又云心居肺管之下膈膜之上附着脊之第五椎其合脉也其荣色
也开
窍于耳又曰开窍于舌又曰是经少血少气难经曰心重十二两有七孔三毛盛精汁三合主藏神张介
宾曰心脏尖圆形如莲蕊其中有孔多寡不同以导引天真之气下无透窍上通乎舌共有四系以通四
脏心外有黄赤脂裹是为心包络心下有膈膜与脊周回相着遮蔽浊气使不得上熏心肺所谓膻中也
心包 位居心之四旁以捧护心即两孔之中膻中穴也凡筋脉由胸下膈自膈贯胸如肺心脾肝胆肾
心包络七经筋脉皆从此过三焦脉亦布膻中张介宾曰心包一脏难经言其无形滑寿曰心包一名手
心主以藏象校之在心下横膜之上竖膜之下其与横膜相粘而黄脂裹者心也脂HT 之外有细筋膜
如丝与心肺相连者心包也此说为是凡言无形者非 灵兰秘典论有十二官独少心包一官而有膻中
者臣使之官喜乐出焉二句今考心包藏居膈上经始胸中正值膻中之所位居相火代君行事实臣使
也此一官即此经之谓与
胸之众骨名也
乳 膺上突起两肉有头妇人以乳儿者也乳房属胃乳头属肝
鸠尾 即蔽心骨也其质系脆骨在胸之下岐骨之间
膈 胸下腹上之界人心下有膈膜前齐鸠尾后齐十一椎周遭着脊所以遮隔浊气俗名罗膈十
二经脉惟膀胱脉不贯膈余皆能令膈痛
肝 经云肝者将军之官谋虑出焉又云肝居膈下上着脊之九椎下是经常多血少气其合筋也
其荣
爪也主藏魂开窍于目其系上络心肺下无窍难经曰肝重二斤四两左三叶右四叶凡七叶肝之为藏
其治在左其藏在右胁右肾之前并胃着脊之第九椎
胆 经云胆者中正之官决断出焉又云是经多血少气又曰凡十一藏皆取决于胆也难经曰胆
在肝
之短叶间重三两三铢长三寸盛精汁三合中藏经曰胆者清净之府号曰将军主藏而不泻胆寒不眠
胆热喜睡
脾 经云脾胃者仓廪之官五味出焉又云谏议之官知周出焉又云脾藏意又云形如刀镰与胃
同膜
而附其上之左 当十二椎下闻声则动动则磨胃而主运化其合肉也其荣唇也开窍于口又云是经
常多气少血难经曰脾重二斤三两广扁三寸长五寸有散膏半斤主裹血温五脏中脏经曰脾主消磨
五谷养于四旁
胃 胃者水谷之海五脏六腑之大原故胃气为一身之本咽系柔空下接胃为饮食之路咽至胃
长一
尺六寸通曰咽门胃大一尺五寸径五寸长二尺六寸横屈受水谷三斗五升常留谷二斗水一斗五升
而满又云是经多气多血难经曰胃重二斤一两张介宾曰胃之上口名曰贲门饮食之精气从此上输
于脾肺宣布于诸脉胃之下口即小肠上口名曰幽门
三焦 经云上焦如雾中焦如沤下焦如溃又云三焦者决渎之官水道出焉又云是经少血多气
中藏
经云三焦者人之三元之气也号曰中清之府总领五脏六腑营卫经络内外左右上下之气也三焦通
则内外上下左右皆通也其于周身灌体和内调外荣左养右导上宣下莫大于此也
腹 膈之下曰腹俗名曰肚脐之下曰少腹亦名小腹
大肠的原穴是合谷,胃的原穴是冲阳,小肠的原穴是腕骨,膀胱的原穴是京骨,三焦的原穴是阳池,胆的原穴是丘墟。
《灵枢经·骨度篇》中论述的长度都是古代的数值。现在按照头部测量方法:从前发际到后发际折量为1尺2寸。如果发际不清楚,则都依据此标准。督脉的神庭穴至太阳经的曲差穴,曲差穴至少阳经的本神穴,本神穴至阳明经的头维穴,各旁开1寸5分;从神庭到头维各旁开4寸5分。胸腹部直寸测量法以中线为主:从缺盆、天突穴起,至歧骨际的上中庭穴止,折量为8寸4分;从上歧骨际下至脐心,折量为8寸;从脐心下至毛际的曲骨穴,折量为5寸。胸腹部横寸测量法以两乳之间的距离折量为8寸。胸腹部的横直寸测量法都依据此标准。
背部测量法:自大椎至尾骶骨总共折量3尺。上七节每节长1寸4分1厘,共9寸8分7厘;中间七节每节长1寸6分1厘,共1尺1寸2分7厘;第十四节与脐平齐;下七节每节长1寸2分6厘,共8寸8分2厘。总共2尺9寸9分6厘,不足4厘的是余数未尽。
脊骨内侧空陷处宽1寸。凡是说第二行距脊1寸5分、第三行距脊3寸的,都要除去脊骨1寸宽的部分,净以1寸5分、3寸来计算。所以在第二行应当是2寸,在第三行应当是3寸5分。
侧部和四肢的折量方法,总之以中指同身寸法为正确。
头:头是诸阳经汇聚的首部,凡物体单独突出的首部都称为头。
脑:脑是头骨中的髓质。足太阳膀胱经络于脑,足少阴肾属于髓海。脑为髓海,髓海充足则头轻体健、精力充沛;髓海不足则头晕耳鸣、目眩、小腿酸软、嗜卧。
巅:巅即头顶。足厥阴肝脉与督脉会合于巅,足太阳膀胱脉交于巅,足少阳胆脉也交于巅。头顶之首俗称天灵盖。
囟:囟是头顶前方的头骨。小儿初生未闭合时称为囟门,已闭合时称为囟骨,即天灵盖后面的骨头。
头角:额骨两侧棱角处的骨头。足少阳胆经的筋脉都上行至头角。
额颅:额前发际之下、两眉之上称为额,又称颡。足阳明胃脉到达额颅,手阳明大肠经的筋上行至额左角,手少阳三焦经的筋结于额上角,足太阳膀胱经的筋上行至额。
发:足少阴肾主头发,且发为血之余。
面:凡前面称为面,后面称为背。五脏的精气都上熏于面,所以面色白对应肺,脱气、脱血、脱津液时面色皆白;面色赤对应心;面色黄对应脾;面色青对应肝;面色黑对应肾。所以黑色者因阴气盛阳气去,面色为之发黑。颧骨之下、迎香穴之外为面的中央,应手阳明大肠经;两颧之内、面王之上应手少阳小肠经。小肠脉循行于颊上,斜络于颧。小肠气血旺盛则面部肌肉丰满平坦,气血少则面部消瘦、色泽恶浊。
颜:颜是眉目之间的名称。眉心称为关,应咽喉。
眉:眉属肝,肝脉从目系上行至额。肝胆相表里,足少阳风热与痰湿结合则眉棱骨痛。此症多伤目,若流脓至两耳则危重。又应膀胱,足太阳经气血旺盛则眉毛佳美且有毫毛。
睛窠:即眼珠。脏腑精气都上注于目而成为睛,血的精微为目窠的总络。
瞳神:骨的精微为瞳神,属肾。肾水亏虚不能养肝,英华不敛,瞳神散大无光。
黑珠:即瞳仁外黑色的轮圈,属肝,为筋的精微,内连目系。目内廉深处为目系。肝火上冲则两轮红痛。
白珠:气的精微为白眼。黑轮外四围白色处皆属肺。肺火上腾,白珠有红筋。
眦(zì):外眼角称为锐眦,内近鼻者为内眦。皆属心。小肠、三焦经筋脉俱至目锐眦。胆脉起于目锐眦。筋亦结于目锐眦。小肠支脉至目内眦。出膀胱脉起于目内眦。
眼皮:上下眼皮皆属脾,为肌肉的精微,主合同束。胃细筋散于目下为目下纲,膀胱细筋为目上纲。目纲即上下眼睑的两睑边,又名睫,司目的开阖。
睫毛:属脾。脾胃气虚则眼睑紧缩缩小,眼球急小,睫毛倒卷入眼中,称为倒睫拳毛。
目泪:泪为肝之液。风行水流,肝风动则泪出。又肝热多泪,如烧竹沥遇火沥出。迎风流泪是风火相合。悲哀触动心气,与肝气相迫导致流泪。
目眵(chī):眵属肺气结聚变硬。
目眶骨:目眶是目窠四周的骨头。上为眉棱骨,下即为眶骨。眶骨之外即颧骨。目下的眶骨与颧骨内下连至上牙床。
山根:鼻梁即山根。
鼻:鼻是司嗅觉的孔窍。
山根:足阳明脉交于山根。山根称为下极,应心。
面王:在鼻柱下,相家称为准头,亦称明堂,属土,应脾。明堂两旁为方上,在迎香上称为鼻隧,相家称为兰台廷尉,应胃。胃脉起于鼻两旁,筋亦结于鼻旁即此处。
颧:颧为骨之本。两颧发赤主肾败。膀胱、胆、大肠经筋皆结于颧,胃筋合于颧,小肠经颧穴在颧下锐骨端陷中。人中应膀胱、子宫。平浅无胡须者多无子嗣。大肠脉交于人中,督脉水沟穴在人中。
内鼻旁间近生门牙之骨也。(原文此处似有脱漏或语意不全,依文意译为:位于内鼻旁间,靠近门牙的骨头。)
俗呼为腮口旁颊前肉之空软处也。(原文此处似指代不明,依文意译为:俗称腮部,口旁颊前肌肉的空软处。)
耳:是司听觉的孔窍。肾气通于耳,肾元充足则耳聪。有病当从肾脉推求。
蔽:即耳门。
耳郭:即耳叶。胃脉上耳前,筋结于耳前。胆脉、三焦脉俱走耳前。筋从耳前属目外眦。小肠、膀胱筋俱结于耳后完骨。胃脉之支、胆脉、三焦脉俱过耳后。
颊:耳前颧侧面两旁之称。大肠筋脉俱上颊,小肠脉上颊,胃筋循颊而上,胆筋脉俱过颊,肝脉下颊,三焦当曲颊脉亦交颊。胃颊车穴在耳下分。
曲颊:颊的骨头。弯曲如环形,受颊车骨尾之钩者也。
颊车:下牙床骨。总载诸齿,能咀嚼食物,故名颊车。
口:是司言语和进食的孔窍,属脾胃。大肠脉交口,但毕竟以脾为主。因为味道入口藏于胃,脾乃运化精液以养五脏,所以五脏之气皆统于脾,五脏偏盛皆验于口。
唇:口的边缘。肝、脾、胃三经所主。热则红甚,寒则淡红,实则红活,虚则黄白。脾燥唇干,脾热唇裂,肝风则唇动不止,脾寒则唇青或揭。七情动火伤血,或心火传脾,或浓味积伤脾,则唇肿白皮皱裂如蚕茧,或唇下肿如黑枣。
吻:口的四周。口上有髭,由大肠主之。
颐:口角后、下颌之下也。颐上有须,由胆主之。
颏(kē):口之下唇至末之处,俗名下把壳。颏上有髯,由胃主之。
颔(hàn):颏下、结喉上两侧肉之空软处。小肠筋结于颔,胆筋脉俱过颔。
齿:口龈所生的骨头。内床称为齿,外板称为牙。牙齿是肾的外标,齿病宜归肾而治。齿先分病在牙床还是牙齿。上床属胃,喜寒恶热;下床属大肠,喜热恶寒。床病治齿,齿病治床,诸不应。
舌:舌为心之苗,是司味觉的孔窍,由脾、肾、膀胱、三焦经筋脉所系。
舌本:舌的根部。
颃(háng)颡(sǎng):口内之上二孔,是司分气的孔窍。
悬壅垂:张口视喉上似乳头的小舌,俗名碓嘴。
喉:通声息之路,在咽前,通肺,主出气,故曰肺系,又曰喉。气通天,肺热甚则喉哑。胃、肾二脉循喉。
咽:饮食之路,在喉后,通胃,主纳食。胃口在膈膜下。咽至胃长1尺6寸,通谓之咽门。咽门下有膈膜。咽气通地。心、脾二脉挟咽,令咽干。肝脉循喉后,令咽干。
喉咙:肺之系。
嗌(yì):胃之系。咽的低处称为嗌。小肠脉循咽令嗌痛,三焦脉由喉令嗌肿。
会厌:覆喉管之上窍,似皮似膜,上司开阖,为声音之户。食下咽不掩则错。凡舌抵上颚则会厌能掩喉。喉、咽、嗌、会厌四者缺一则饮食废而死。
结喉:喉之管头。其人瘦者多外见,颈前肥人则隐于肉内多不见。
上横骨:在喉前宛宛中天突穴之外小湾,横骨旁接拄骨之骨。
拄骨:膺上缺盆之外,俗名骨锁子骨。内接横骨,外接肩解。
肩解:肩端之骨节解处。
骨(此处疑指肩井或相关骨节,依上下文推测为肩部骨骼描述):肩端之骨。即肩胛骨头臼之上棱骨。其臼接骨上端,俗曰肩头。其外曲卷翅骨,肩后之棱骨。其下棱骨在背肉内。
肩胛:即上述骨之末成片骨。亦名肩膊,俗名板子骨。大小肠、三焦筋脉俱至肩,胆脉至肩上,肩井穴属胆。膀胱筋、肺筋皆结于肩。
臂:上身两大支的通称。一名曰肱,俗名胳膊。胳膊中节上下骨交接处名曰肘。肘上之骨曰肱骨,肘下之骨曰臂骨。臂有正辅二骨。辅骨在上,短细偏外;正骨居下,长大偏内。俱下接腕骨。
腕:臂掌骨接交处,以其宛屈故名。当外侧之骨名曰高骨,一名锐骨,亦名踝骨。
鱼:在掌外侧之上,大指节后肥鱼陇起处,其形如鱼,故谓之鱼。
手:手是上体用来持物的器官。掌中为手心,手之表为手背。
掌骨:手众指之本。掌之众骨名壅骨,合凑成掌,非块然一骨。
手大指:属肺。肺脉自腋入,至大指出其端。肺筋即起于大指端少商穴之次穴,在大指内侧去爪甲如韭叶。循手掌直上大指本节后有鱼际穴,为肺荣。掌后横纹头有太渊穴,为肺原。太渊后有经渠穴,为肺经。手腕后一寸五分有列缺穴,为肺络。臂腕曲中有尺泽穴,为肺合。循内侧上,入腋,其散筋复自腋上肩,结于肩端骨罅中。
食指:属大肠。大肠筋脉皆起于食指端商阳穴之次穴,去爪甲如韭叶,为大肠井。溜于本节前内侧名二间穴,为大肠荥。注于本节后三间穴,为大肠输。过于合谷穴,为大肠原。上侧腕中有阳溪穴,为大肠经。腕后三寸有偏历穴,为大肠络。肘曲纹头尽处有曲池穴,为大肠合。由是历三里、肘五里、三穴直上结于肩之前。
中指:属包络。包络之脉自腑循,入肘臂至中指,指出其端。其筋即起于中指内廉之末,中冲穴之次穴,去爪甲如韭叶,为心之井。心为天君,其井等俱在包络。屈中指无名指两者之间取劳宫穴,为心荣。掌后两筋之间有大陵穴,为心原。去腕二寸两筋间有内关穴,为心主之络。去腕三寸有间使穴,为心经。上至肘曲中央陷中有曲泽穴,为心合。上循天泉穴之次,结腋下。
无名指:属三焦。三焦筋脉俱起无名指外廉,关冲穴之次穴,去爪甲如韭叶,为三焦井。溜于小指次指本节陷中名液门穴,为三焦荥。注于腑下一寸名中渚穴,为三焦输。结于手腕中之阳池穴,为三焦原。直上腕后二寸名外关穴,为三焦络。腕后三寸名支沟穴,为三焦经。结于肘外大骨陷中名天井穴,为三焦合。上至肩髎穴。包络脉之支别掌中,循无名指出其端。
小指:内侧属心,外侧属小肠。心脉循,下肘出小指之端。心筋起小指之端内侧,少冲穴之次穴,去爪甲如韭叶,直上入掌内后廉。历神门穴,在掌后锐骨中。又历通里穴,为心络,在腕后一寸陷中。又历少海穴,在肘后大骨外,去肘端五分,屈肘向头得之。又历极泉穴,在臂内腑下筋间。小肠筋脉俱起小指外侧,少泽穴之次穴,去爪甲一分,为小肠井。溜于小指外侧本节前陷中名前谷穴,为小肠荥。注于小指外侧本节后名后溪穴,为小肠输。直上至于腕起骨陷中有腕骨穴,为小肠原。踝下有阳谷穴,为小肠经。腕后五寸有支正穴,为小肠络。肘下锐骨之后有小海穴,为小肠合。从是上历肩解、肩胛,交肩上。
爪甲:指之甲。足趾同。肝主筋,爪者筋之余。
岐骨:凡骨之两叉者皆名岐骨。手足同。
肺:喉下为肺。喉在咽前,主出气。喉系坚空,连接肺管,呼吸出入,下通心肝之窍。经云:肺者相傅之官,治节出焉。其形四垂,附着于脊之第三椎中,有二十四空,行列分布,以行诸藏之气。为藏之长,为心之盖。又曰:是经常多气少血。难经曰:肺重三斤三两,六叶两耳,凡八叶。主藏魂。中藏经曰:肺为生气之原,乃五脏之华盖。张介宾曰:肺叶白莹,谓为华盖,以覆诸藏。虚如蜂窠,下无透窍,吸之则满,呼之则虚。一呼一吸,消息自然,司清浊之运化,为人身之橐龠。
胸:结喉下曰缺盆,缺盆下曰胸,在膺之下。肺脉布胸中,肺心筋结胸中,脾筋脉皆散胸中,肝脉上至胸,胆脉下胸中,肾脉入肺注胸中,包络脉起胸中,筋散胸中。
心:心者君主之官,神明出焉。又云:心居肺管之下,膈膜之上,附着脊之第五椎。其合脉也,其荣色也。开窍于耳,又曰开窍于舌。又曰:是经少血少气。难经曰:心重十二两,有七孔三毛,盛精汁三合,主藏神。张介宾曰:心脏尖圆形,如莲蕊,其中有孔多寡不同,以导引天真之气。下无透窍,上通乎舌,共有四系以通四脏。心外有黄赤脂裹,是为心包络。心下有膈膜,与脊周回相着,遮蔽浊气使不得上熏心肺,所谓膻中也。
心包:位居心之四旁,以捧护心,即两孔之中膻中穴也。凡筋脉由胸下膈,自膈贯胸,如肺心脾肝胆肾心包络七经筋脉皆从此过。三焦脉亦布膻中。张介宾曰:心包一脏,难经言其无形,滑寿曰:心包一名手心主。以藏象校之,在心下横膜之上竖膜之下,其与横膜相粘而黄脂裹者,心也;脂外有细筋膜如丝与心肺相连者,心包也。此说为是。凡言无形者非。灵兰秘典论有十二官,独少心包一官而有膻中者:“臣使之官,喜乐出焉”二句。今考心包藏居膈上,经始胸中,正值膻中之所,位居相火,代君行事,实臣使也。此一官即此经之谓。
胸之众骨名也。(原文此处似有脱漏,依文意补全为:这是胸部众多骨头的名称。)
乳:膺上突起两肉,有头,妇人以乳儿者也。乳房属胃,乳头属肝。
鸠尾:即蔽心骨。其质系脆骨,在胸之下、岐骨之间。
膈:胸下腹上之界。人心下有膈膜,前齐鸠尾,后齐十一椎,周遭着脊,所以遮隔浊气,俗名罗膈。十二经脉惟膀胱脉不贯膈,余皆能令膈痛。
肝:经云:肝者将军之官,谋虑出焉。又云:肝居膈下,上着脊之九椎。下是经常多血少气。其合筋也,其荣爪也。主藏魂,开窍于目。其系上络心肺,下无窍。难经曰:肝重二斤四两,左三叶右四叶,凡七叶。肝之为藏,其治在左,其藏在右胁,右肾之前,并胃着脊之第九椎。
胆:经云:胆者中正之官,决断出焉。又云:是经多血少气。又曰:凡十一藏皆取决于胆也。难经曰:胆在肝之短叶间,重三两三铢,长三寸,盛精汁三合。中藏经曰:胆者清净之府,号曰将军,主藏而不泻。胆寒不眠,胆热喜睡。
脾:经云:脾胃者仓廪之官,五味出焉。又云:谏议之官,知周出焉。又云:脾藏意。又云:形如刀镰,与胃同膜而附其上之左,当十二椎。下闻声则动,动则磨胃而主运化。其合肉也,其荣唇也。开窍于口。又云:是经常多气少血。难经曰:脾重二斤三两,广扁三寸,长五寸,有散膏半斤。主裹血温五脏。中脏经曰:脾主消磨五谷,养于四旁。
胃:胃者水谷之海,五脏六腑之大原,故胃气为一身之本。咽系柔空,下接胃,为饮食之路。咽至胃长一尺六寸,通曰咽门。胃大一尺五寸,径五寸,长二尺六寸,横屈受水谷三斗五升,常留谷二斗,水一斗五升而满。又云:是经多气多血。难经曰:胃重二斤一两。张介宾曰:胃之上口名曰贲门,饮食之精气从此上输于脾肺,宣布于诸脉。胃之下口即小肠上口,名曰幽门。
三焦:经云上焦如雾,中焦如沤,下焦如溃。又云:三焦者决渎之官,水道出焉。又云:是经少血多气。中藏经云:三焦者人之三元之气也,号曰中清之府,总领五脏六腑营卫经络内外左右上下之气也。三焦通则内外上下左右皆通也。其于周身灌体和内调外荣,左养右,导上宣下,莫大于此也。
腹:膈之下曰腹,俗名曰肚。脐之下曰少腹,亦名小腹。
The Yuan-Source point of the Large Intestine is Hegu (LI4), the Yuan-Source point of the Stomach is Chongyang (ST42), the Yuan-Source point of the Small Intestine is Wangu (SI4), the Yuan-Source point of the Bladder is Jinggu (BL64), the Yuan-Source point of the Sanjiao (Triple Burner) is Yangchi (TE4), and the Yuan-Source point of the Gallbladder is Qiuxu (GB40).
The lengths discussed in the *Gu Du* (Bone Measurement) chapter of the *Ling Shu Jing* (Spiritual Pivot) are ancient measurements. Currently, according to the measurement method of the head: from the anterior hairline to the posterior hairline is measured as 1 chi 2 cun. If the hairline is unclear, this standard is applied universally. From the Shenting (GV24) point on the Du Meridian to the Qucha (BL7) point on the Taiyang (Bladder) Meridian, from Qucha to the Benshen (GB13) point on the Shaoyang (Gallbladder) Meridian, and from Benshen to the Touwei (ST8) point on the Yangming (Stomach) Meridian, each is laterally offset by 1.5 cun; from Shenting to Touwei, each is laterally offset by 4.5 cun. For the vertical measurement of the chest and abdomen, the midline is the primary reference: starting from the Quepen (ST12) and Tiantu (CV22) points up to the Zhongting (CV12) point at the upper end of the xiphisternal junction, it is measured as 8.4 cun; from the lower end of the xiphisternal junction down to the center of the umbilicus, it is measured as 8 cun; from the center of the umbilicus down to the Qugu (CV2) point at the pubic symphysis, it is measured as 5 cun. For the horizontal measurement of the chest and abdomen, the distance between the two nipples is measured as 8 cun. The horizontal and vertical measurements of the chest and abdomen all follow this standard.
For the back measurement: from Dazhui (GV14) to the coccyx, the total measurement is 3 chi. The upper seven vertebrae are each 1.41 cun long, totaling 9.87 cun; the middle seven vertebrae are each 1.61 cun long, totaling 11.27 cun; the fourteenth vertebra is level with the umbilicus; the lower seven vertebrae are each 1.26 cun long, totaling 8.82 cun. The total is 2 chi 9.96 cun, with less than 0.04 cun remaining as an uncalculated fraction.
The inner depression of the spinal column is 1 cun wide. Whenever it is stated that the second row is 1.5 cun from the spine and the third row is 3 cun from the spine, one must subtract the 1 cun width of the spinous processes themselves, calculating net distances of 1.5 cun and 3 cun respectively. Therefore, the second row should be considered 2 cun away, and the third row 3.5 cun away.
For measuring the sides and limbs, the Finger-Cun (Zhongzhi Tongshen Cun) method using the middle finger is generally correct.
Head: The head is the summit where all Yang meridians converge. Any part of an object that protrudes singly is called the head.
Brain: The brain is the marrow within the skull bones. The Foot-Taiyang Bladder Meridian connects to the brain, and the Foot-Shaoyin Kidney Meridian belongs to the Sea of Marrow. The brain is the Sea of Marrow; when the Sea of Marrow is sufficient, the head feels light and strength is abundant; when insufficient, there is dizziness, tinnitus, vertigo, soreness in the shins, and a desire to lie down.
Dian (Vertex): Dian refers to the top of the head. The Foot-Jueyin Liver Meridian and the Du Meridian meet at the vertex; the Foot-Taiyang Bladder Meridian crosses the vertex; the Foot-Shaoyang Gallbladder Meridian also crosses the vertex. The top of the head is commonly known as the Tianlinggai (Sky Spirit Cover).
Fontanelle (Xin): The fontanelle is the skull bone at the front of the vertex. In newborns, before closure, it is called the Xinmen (Fontanel Gate); after closure, it is called the Xingu (Fontanel Bone), which is the bone behind the Tianlinggai.
Temporal Angle (Toujiao): These are the bony prominences on both sides of the forehead. The sinews and vessels of the Foot-Shaoyang Gallbladder Meridian ascend to the temporal angles.
Forehead (E'luo): The area below the anterior hairline and above the two eyebrows is called the forehead, also known as Sang. The Foot-Yangming Stomach Meridian reaches the forehead; the sinews of the Hand-Yangming Large Intestine Meridian ascend to the left corner of the forehead; the sinews of the Hand-Shaoyang Sanjiao Meridian knot at the upper corner of the forehead; the sinews of the Foot-Taiyang Bladder Meridian ascend to the forehead.
Hair: The Foot-Shaoyin Kidney Meridian governs the hair, and hair is considered the surplus of blood.
Face: The front is called the face, and the back is called the back. The essence and qi of the five Zang organs ascend to fumigate the face. Thus, a white complexion corresponds to the Lung; pallor occurs in cases of Qi depletion, Blood depletion, or Body Fluid depletion; a red complexion corresponds to the Heart; a yellow complexion corresponds to the Spleen; a greenish complexion corresponds to the Liver; and a black complexion corresponds to the Kidney. Therefore, black indicates excess Yin and departing Yang, causing the face to turn black. The area below the zygomatic bone and outside the Yingxiang (LI20) point is the center of the face, corresponding to the Hand-Yangming Large Intestine Meridian; the area inside the zygomatic arches and above the Mianwang (Tip of Nose) corresponds to the Hand-Shaoyang Small Intestine Meridian. The Small Intestine Meridian follows the cheek upwards and obliquely connects to the zygoma. When Qi and Blood of the Small Intestine are abundant, the facial muscles are full and flat; when deficient, the face is thin and the complexion is poor.
Yan (Forehead/Brow Area): Yan refers to the area between the eyebrows and eyes. The space between the eyebrows is called Guan, corresponding to the throat.
Eyebrows: Eyebrows belong to the Liver, and the Liver Meridian ascends from the eye system to the forehead. The Liver and Gallbladder are interior-exteriorly related. Wind-heat and phlegm in the Foot-Shaoyang Meridian cause pain in the eyebrow ridge. This condition often affects the eyes; if pus flows to both ears, it is critical. It also corresponds to the Bladder; when the Qi and Blood of the Foot-Taiyang Meridian are abundant, eyebrows are beautiful and have fine hairs.
Eyes: The eyes are the orifices for vision. Since the Liver orifice is in the eyes, discussion of the eyes must begin with the Liver.
Eye Socket (Jingke): Refers to the eyeball. The essence and Qi of the Zang and Fu organs ascend into the eyes to form the clarity of vision; the essence of Blood is the general network of the eye socket.
Pupil (Tongshen): The essence of Bone forms the pupil, which belongs to the Kidney. If Kidney Water is deficient and cannot nourish the Liver, the brilliance fails to condense, leading to a dilated, lusterless pupil.
Black Pupil: Also known as the black ring outside the pupil, it belongs to the Liver and is the essence of Sinew. It connects internally to the Eye System. The deepest part of the medial canthus is the Eye System. Rising Liver Fire causes redness and pain in both rings.
White Pupil: The essence of Qi forms the white eye. The white area surrounding the black ring externally belongs to the Lung. Rising Lung Fire results in red veins on the white sclera.
Canthus (Zi): The outer corner is called the Rui Zi (Sharp Canthus), and the inner corner near the nose is called the Nei Zi (Inner Canthus). Both belong to the Heart. The sinews and vessels of the Small Intestine and Sanjiao meridians reach the sharp canthus. The Gallbladder Meridian originates at the sharp canthus. Sinews also knot at the sharp canthus. Branches of the Small Intestine Meridian reach the inner canthus. The Bladder Meridian originates at the inner canthus.
Eyelids: Both upper and lower eyelids belong to the Spleen and are the essence of Muscle, responsible for holding together and binding. Fine sinews of the Stomach scatter under the eyes to form the lower rim; fine sinews of the Bladder form the upper rim. The eye rims are the edges of the upper and lower eyelids, also called lashes, governing the opening and closing of the eyes.
Eyelashes: Belong to the Spleen. Deficiency of Spleen and Stomach Qi causes the eyelid skin to shrink tightly, making the eye aperture small, leading to inverted eyelashes (Trichiasis).
Eye Tears: Tears are the fluid of the Liver. Wind moves water; when Liver Wind stirs, tears flow. Liver Heat also causes excessive tearing, like bamboo sap flowing out when heated. Tearing in the wind is due to the combination of Wind and Fire. Sorrow moves Heart Qi, pressing against Liver Qi, causing tears.
Eye Discharge (Chi): Eye discharge belongs to the congealing of Lung Qi, becoming hard.
Orbital Bone: The orbit is the bone surrounding the eye socket. The upper part is the eyebrow ridge; the lower part is the orbital bone. Outside the orbital bone is the zygomatic bone. The infraorbital bone connects internally and inferiorly to the upper gum.
Shangen (Root of Nose): The nasal bridge is the Shangen.
Nose: The nose is the orifice for smelling.
Shangen: The Foot-Yangming Stomach Meridian intersects at the Shangen. Shangen is also called Xiaji and corresponds to the Heart.
Nasal Column: Located below the Shangen, physiognomists call it Nianshou, corresponding to the Liver. The left and right sides of Nianshou correspond to the Gallbladder.
Mianwang (King of Face/Nose Tip): Located below the nasal column, physiognomists call it Zhuntou or Mingtang. It belongs to Earth and corresponds to the Spleen. The sides of Mingtang are Fangshang; above Yingxiang is Nasui, called Lantai Tingwei by physiognomists, corresponding to the Stomach. The Stomach Meridian originates on both sides of the nose, and sinews also knot beside the nose at this location.
Nostrils: The Large Intestine Meridian flanks the nostrils; the Small Intestine Meridian reaches the nose; the sinews of the Bladder knot below and on both sides of the nose.
Zygoma: The zygoma is the root of bone. Redness of both zygomas indicates Kidney failure. The sinews of the Bladder, Gallbladder, and Large Intestine meridians all knot at the zygoma; the sinews of the Stomach combine at the zygoma; the zygomatic point of the Small Intestine Meridian is in the depression at the sharp end of the bone below the zygoma. The Renzhong (Philtrum) corresponds to the Bladder and Uterus. Flat and shallow philtrum with no beard suggests infertility. The Large Intestine Meridian intersects at the Renzhong; the Shuigou (GV26) point of the Du Meridian is located at the Renzhong.
[Text fragment]: The bone near the incisors between the inner side of the nose. [Text fragment]: Commonly referred to as the cheek, the soft fleshy area in front of the jaw near the mouth.
Ear: The ear is the orifice for hearing. Kidney Qi connects to the ear; when Kidney Essence is sufficient, hearing is acute. Pathologies should be deduced from the Kidney pulse.
Bi (Ear Door): Refers to the Ermen (TE21) point.
Auricle (Er Guo): Refers to the ear leaf. The Stomach Meridian ascends in front of the ear, and sinews knot there. The Gallbladder and Sanjiao Meridians both travel in front of the ear. Sinews from the front of the ear connect to the lateral canthus. The sinews of the Small Intestine and Bladder meridians all knot behind the ear at the Wanggu bone. Branches of the Stomach Meridian, as well as the Gallbladder and Sanjiao Meridians, pass behind the ear.
Cheek (Jia): Refers to the sides of the face in front of the ear and zygoma. The sinews and vessels of the Large Intestine Meridian ascend to the cheek; the Small Intestine Meridian ascends to the cheek; the sinews of the Stomach follow the cheek upward; the sinews and vessels of the Gallbladder pass through the cheek; the Liver Meridian descends along the cheek; the Sanjiao Meridian at the curved jaw also intersects the cheek. The Jiache (ST6) point of the Stomach is located below the ear.
Curved Jaw (Qujia): The bone of the cheek, curved like a ring, receiving the hook of the Jiache bone tail.
Jiache (Cheek Carriage): The lower jawbone. It holds all teeth and enables chewing, hence the name Jiache.
Mouth: The mouth is the orifice for speech and eating, belonging to the Spleen and Stomach. The Large Intestine Meridian intersects at the mouth, but the Spleen is primary because flavors enter the mouth and are stored in the Stomach; the Spleen then transforms and transports essences to nourish the five Zang organs. Thus, the Qi of the five Zang organs is governed by the Spleen, and imbalances of the five Zang manifest in the mouth.
Lips: The ends of the mouth. Governed by the Liver, Spleen, and Stomach meridians. Heat causes intense redness; cold causes pale red; Excess causes vibrant red; Deficiency causes yellow-white. Dryness of the Spleen leads to dry lips; Heat of the Spleen leads to cracked lips; Liver Wind causes continuous lip twitching; Cold of the Spleen causes blue lips or peeling. Emotional fire injuring Blood, Heart Fire transmitting to the Spleen, or accumulation of rich flavors damaging the Spleen can cause swollen lips with white wrinkled skin like silkworm cocoons, or swelling under the lips like black dates.
Kiss (Wen): The circumference of the mouth. Mustaches above the mouth are governed by the Large Intestine.
Chin/Yi (Yi): Below the corners of the mouth and the mandible. Beard on the Yi is governed by the Gallbladder.
Chin (Ke): The area from the lower lip to its tip, commonly called the lower jaw shell. Beard on the chin is governed by the Stomach.
Submandibular Region (Han): The soft fleshy area on both sides below the chin and above the laryngeal prominence. Sinews of the Small Intestine knot here; sinews and vessels of the Gallbladder pass through here.
Teeth: Bones grown in the gums. The inner bed is called Chi (teeth proper); the outer plate is called Ya (gums/teeth collectively). Teeth are the external indicator of the Kidney; dental diseases should be treated by addressing the Kidney. Dental issues first distinguish whether the disease is in the gums or the teeth. The upper bed belongs to the Stomach, preferring cold and disliking heat; the lower bed belongs to the Large Intestine, preferring heat and disliking cold. Treat the teeth for gum diseases, and treat the gums for tooth diseases; otherwise, they do not correspond.
Tongue: The tongue is the sprout of the Heart and the orifice for taste. It is connected by the sinews and vessels of the Spleen, Kidney, Bladder, and Sanjiao meridians.
Root of Tongue (Sheben): The root of the tongue.
Hangsang (Posterior Nasal Aperture): The two upper holes inside the mouth, serving as the orifice for distributing Qi.
Uvula (Xuanyongchui): The small tongue-like structure seen hanging from the roof of the mouth when opening wide, commonly called the pestle mouth.
Throat (Hou): The pathway for voice and breath, located in front of the esophagus, connecting to the Lung, governing exhalation. Hence it is called the Lung System or Hou. Qi connects to Heaven; severe Lung Heat causes hoarseness. The Stomach and Kidney meridians follow the throat.
Esophagus (Yan): The pathway for food and drink, located behind the throat, connecting to the Stomach, governing ingestion. The stomach opening is below the diaphragm. The distance from the esophagus to the stomach is 1 chi 6 cun, collectively called the Yanmen (Esophageal Gate). Below the Yanmen is the diaphragm. Esophageal Qi connects to Earth. The Heart and Spleen meridians flank the esophagus, causing dryness. The Liver Meridian follows behind the throat, causing dryness.
Houlong (Windpipe/Throat): The system of the Lung.
Yi (Lower Throat): The system of the Stomach. The lower part of the esophagus is called Yi. The Small Intestine Meridian follows the esophagus causing pain in the Yi; the Sanjiao Meridian passes through the throat causing swelling in the Yi.
Epiglottis (Huiyan): Covers the upper orifice of the larynx, resembling skin or membrane, governing opening and closing, serving as the door for sound. If not covered during swallowing, food enters incorrectly. When the tongue presses against the upper palate, the epiglottis can cover the throat. If any of the four—throat, esophagus, Yi, or epiglottis—is missing, eating and drinking cease, leading to death.
Laryngeal Prominence (Jiehoulou): The head of the laryngeal tube. In thin individuals, it is often visible externally; in obese individuals with thick necks, it is hidden within the flesh and often invisible.
Upper Transverse Bone (Shang Henggu): Located in the depression in front of the throat, outside the Tiantu (CV22) point. The transverse bone connects laterally to the clavicle.
Clavicle (Zhugu): Outside the Suken (Supraclavicular fossa) on the chest, commonly called the collarbone. Internally connects to the transverse bone; externally connects to the shoulder joint.
Shoulder Joint (Jianjie): The site of the bone joint at the end of the shoulder.
[Shoulder Bone Description]: The bone at the acromion. Specifically, the upper ridge bone of the glenoid cavity of the scapula. Its cavity connects to the upper end of the humerus, commonly called the shoulder head. The curved wing-like bone externally is the ridge bone behind the shoulder. The lower ridge bone is within the back muscles.
Scapula (Jianjia): The flat bone at the end of the aforementioned bone, also named Jianbo, commonly called the scapula board. The sinews and vessels of the Large Intestine, Small Intestine, and Sanjiao meridians all reach the shoulder; the Gallbladder Meridian reaches the top of the shoulder; the Jianjing (GB21) point belongs to the Gallbladder. The sinews of the Bladder and Lung meridians all knot at the shoulder.
Arm (Bi): A general term for the two major branches of the upper body. Also called Gong, commonly known as the arm. The junction of the upper and lower bones in the middle segment of the arm is called the Elbow (Zhou). The bone above the elbow is the Humerus (Gonggu); the bone below the elbow is the Arm Bone (Bigu). The arm has two bones: the Radius (Fu) and the Ulna (Zheng). The Radius is superior, short, thin, and lateral; the Ulna is inferior, long, thick, and medial. Both connect downward to the wrist bones.
Wrist (Wan): The junction of the arm and palm bones, named for its curvature. The bone on the lateral side is called the High Bone (Gaogu), also known as the Sharp Bone (Ruigu) or Ankle Bone (Huai gu).
Thenar Eminence (Yu): The fleshy mound on the lateral side of the palm, behind the thumb, shaped like a fish, hence called Yu.
Hand (Shou): The hand is used by the upper body to hold objects. The center of the palm is the Palm Center (Shouxin); the exterior surface is the Back of the Hand (Shoubei).
Metacarpals (Zhanggu): The roots of the fingers. The collective bones of the palm are called Yonggu, coming together to form the palm, not a single block of bone.
Thumb (Shou Dazhi): Belongs to the Lung. The Lung Meridian enters from the axilla and exits at the tip of the thumb. The lung sinews originate at the tip of the thumb. Next to the Shaoshang (LU11) point, on the radial side of the thumb, about the width of a leek leaf from the nail. Following the palm straight up past the base of the thumb is the Yuji (LU10) point, the Ying-Spring point of the Lung. At the proximal palmar crease is the Taiyuan (LU9) point, the Yuan-Source point of the Lung. Behind Taiyuan is the Jingqu (LU8) point, the Jing-River point of the Lung. 1.5 cun distal to the wrist is the Lieque (LU7) point, the Luo-Connecting point of the Lung. In the depression at the cubital fold is the Chize (LU5) point, the He-Sea point of the Lung. Following medially upwards, entering the axilla, the dispersed sinews return from the axilla to the shoulder, knotting in the gap of the shoulder bone.
Index Finger (Shi Zhi): Belongs to the Large Intestine. The sinews and vessels of the Large Intestine Meridian all originate at the tip of the index finger. Next to the Shangyang (LI1) point, about the width of a leek leaf from the nail, is the Jing-Well point of the Large Intestine. Flowing into the depression on the radial side before the proximal interphalangeal joint is the Erjian (LI2) point, the Ying-Spring point of the Large Intestine. Injecting into the depression behind the proximal interphalangeal joint is the Sanjian (LI3) point, the Shu-Stream point of the Large Intestine. Passing through the Hegu (LI4) point, the Yuan-Source point of the Large Intestine. On the dorsal side of the wrist is the Yangxi (LI5) point, the Jing-River point of the Large Intestine. 3 cun distal to the wrist is the Pianli (LI6) point, the Luo-Connecting point of the Large Intestine. At the end of the cubital crease is the Quchi (LI11) point, the He-Sea point of the Large Intestine. From here, passing through Sanli (LI10), the depression at the elbow (Zhouwuli), and another three points, ascending straight up to knot in front of the shoulder.
Middle Finger (Zhong Zhi): Belongs to the Pericardium. The Pericardium Meridian travels from the torso, enters the elbow and arm, and emerges at the tip of the middle finger. Its sinews originate at the ulnar end of the tip of the middle finger. Next to the Zhongchong (PC9) point, about the width of a leek leaf from the nail, is the Jing-Well point of the Heart. The Heart is the Heavenly Ruler; its Jing-Well points etc. are all located in the Pericardium. By flexing the middle and ring fingers, the Laogong (PC8) point is obtained, the Ying-Spring point of the Heart. Between the two tendons at the back of the palm is the Daling (PC7) point, the Yuan-Source point of the Heart. 2 cun proximal to the wrist, between the two tendons, is the Neiguan (PC6) point, the Luo-Connecting point of the Heart Master. 3 cun proximal to the wrist is the Jianshi (PC5) point, the Jing-River point of the Heart. In the central depression at the cubital fold is the Quze (PC3) point, the He-Sea point of the Heart. Ascending along the Tianquan (PC2) point, it knots in the axilla.
Ring Finger (Wuming Zhi): Belongs to the Sanjiao (Triple Burner). The sinews and vessels of the Sanjiao Meridian all originate at the ulnar side of the ring finger. Next to the Guanchong (TE1) point, about the width of a leek leaf from the nail, is the Jing-Well point of the Sanjiao. Flowing into the depression at the base of the proximal phalanx between the little and ring fingers is the Yemen (TE2) point, the Ying-Spring point of the Sanjiao. Injecting 1 cun distal to the metacarpophalangeal joint is the Zhongzhu (TE3) point, the Shu-Stream point of the Sanjiao. Knotting at the Yangchi (TE4) point in the wrist is the Yuan-Source point of the Sanjiao. Ascending straight up 2 cun distal to the wrist is the Waiguan (TE5) point, the Luo-Connecting point of the Sanjiao. 3 cun distal to the wrist is the Zhigou (TE6) point, the Jing-River point of the Sanjiao. Knotting in the depression of the large bone at the lateral elbow is the Tianjing (TE10) point, the He-Sea point of the Sanjiao. Ascending to the Jianliao (TE14) point. A branch of the Pericardium Meridian travels through the palm, emerging at the tip of the ring finger.
Little Finger (Xiao Zhi): The medial side belongs to the Heart; the lateral side belongs to the Small Intestine. The Heart Meridian follows downwards, exits the elbow, and emerges at the tip of the little finger. The heart sinews originate at the tip of the little finger on the medial side. Next to the Shaochong (HT9) point, about the width of a leek leaf from the nail, ascending straight into the palm along the posterior border, is the Shenmen (HT7) point, located in the depression of the sharp bone at the back of the palm. Passing through the Tongli (HT5) point, the Luo-Connecting point of the Heart, in the depression 1 cun proximal to the wrist. Passing through the Shaohai (HT3) point, 5 fen distal to the end of the elbow, in the posterior lateral aspect of the large bone of the elbow, obtained by flexing the elbow towards the head. Passing through the Jimen (HT1) point, between the sinews under the axilla. The sinews and vessels of the Small Intestine Meridian all originate at the lateral side of the little finger. Next to the Shaoze (SI1) point, 1 fen from the nail, is the Jing-Well point of the Small Intestine. Flowing into the depression on the lateral side before the proximal interphalangeal joint is the Qian-gu (SI2) point, the Ying-Spring point of the Small Intestine. Injecting into the depression behind the proximal interphalangeal joint on the lateral side is the Houxi (SI3) point, the Shu-Stream point of the Small Intestine. Ascending straight to the wrist, in the depression of the rising bone is the Wangu (SI4) point, the Yuan-Source point of the Small Intestine. Below the ankle is the Yanggu (SI5) point, the Jing-River point of the Small Intestine. 5 cun proximal to the wrist is the Zhizheng (SI7) point, the Luo-Connecting point of the Small Intestine. Posterior to the sharp bone of the elbow is the Xiaohai (SI8) point, the He-Sea point of the Small Intestine. Ascending from here, passing the shoulder joint and scapula, crossing onto the top of the shoulder.
Nails (Zhujia): The nails of the fingers. Those of the toes are similar. The Liver governs the sinews, and nails are the surplus of the sinews.
Qigu (Ridge Bone): Any bone bifurcating into two is called Qigu. Applies to both hands and feet.
Lung: Below the throat is the Lung. The throat is in front of the esophagus, governing exhalation. The throat system is firm and hollow, connecting to the lung tubes, governing respiration, and communicating inferiorly with the orifices of the Heart and Liver. The Classics state: The Lung is the official of administration, from whom regulations issue. Its shape hangs down on four sides, attaching to the third thoracic vertebra, with twenty-four openings arranged in rows to distribute Qi to the viscera. It is the chief of the Zang organs and the canopy of the Heart. It is said that this meridian has much Qi and little Blood. The *Nan Jing* states: The Lung weighs 3 jin 3 liang, has six lobes and two ears, totaling eight lobes. It houses the Hun (Ethereal Soul). The *Zhong Zang Jing* states: The Lung is the source of generating Qi, the Huagai (Canopy) of the five Zang organs. Zhang Jiabin stated: The lung lobes are white and luminous, called the Huagai because they cover the other viscera. They are hollow like beecombs, without perforations below; inhalation fills them, exhalation empties them. Breathing occurs naturally, regulating the transport and transformation of clear and turbid Qi, serving as the bellows (Tuoyue) of the human body.
Ying (Chest Side): The high areas on both sides of the upper chest are called Ying. The Stomach Meridian reaches the Ying; the Gallbladder Meridian connects to the Ying.
Chest (Xiong): Below the supraclavicular fossa (Quepen) is the Chest, located below the Ying. The Lung Meridian spreads in the chest; the sinews of the Lung and Heart knot in the chest; the sinews and vessels of the Spleen scatter in the chest; the Liver Meridian ascends to the chest; the Gallbladder Meridian descends through the chest; the Kidney Meridian enters the Lung and injects into the chest; the Pericardium Meridian originates in the chest; the sinews scatter in the chest.
Heart: The Heart is the sovereign ruler, from whom divine intelligence emerges. It is located below the lung tube, above the diaphragm, attaching to the fifth thoracic vertebra. Its correspondence is the Pulse, its flourishing is the Color. It opens into the Ear, and also into the Tongue. It is said that this meridian has little Blood and little Qi. The *Nan Jing* states: The Heart weighs 12 liang, has seven orifices and three hairs, contains 3 he of essence juice, and houses the Shen (Spirit). Zhang Jiabin stated: The heart is pointed and round, like a lotus stamen, with varying numbers of internal holes to guide the arrival of True Primal Qi. It has no perforations below and connects to the tongue above, having four systems to communicate with the four Zang organs. Outside the heart is wrapped in yellow-red fat, forming the Pericardium. Below the heart is the diaphragm, encircling and attaching to the spine, shielding turbid Qi so it does not ascend to fumigate the Heart and Lung, known as the Danzhong (Sea of Qi).
Pericardium (Xinbao): Located around the four sides of the Heart to protect it, specifically in the center of the two holes at the Danzhong (CV17) point. All sinews and vessels descend from the chest through the diaphragm, piercing the chest; the sinews and vessels of the Lung, Heart, Spleen, Liver, Gallbladder, Kidney, and Pericardium meridians all pass through here. The Sanjiao Meridian also spreads in the Danzhong. Zhang Jiabin stated: The Pericardium is a Zang organ; the *Nan Jing* says it is formless. Hua Shou stated: The Pericardium is also called the Hand Jueyin Pericardium Master. Comparing with Zang-Fu images, it is located above the horizontal membrane and below the vertical membrane in the lower chest. What adheres to the horizontal membrane and is wrapped in yellow fat is the Heart; what has fine filaments like silk outside the fat connecting to the Heart and Lung is the Pericardium. This explanation is correct. Those who say it is formless are incorrect. The *Ling Lan Mi Dian Lun* lists twelve officials but omits the Pericardium, instead mentioning Danzhong: "The Official of the Envoy, from whom joy and pleasure emerge." Examining now, the Pericardium is stored above the diaphragm, originating in the chest, precisely at the location of Danzhong, positioned as Ministerial Fire, acting on behalf of the Sovereign, truly serving as the Envoy. This official refers to this meridian.
[Text fragment]: This is the name for the various bones of the chest.
Breast (Ru): Two fleshy prominences on the upper chest with nipples, used by women to nurse infants. The breast tissue belongs to the Stomach; the nipple belongs to the Liver.
Jiuwei (Tail Dove): Also known as the Bi Xin Gu (Shielding Heart Bone). Its texture is brittle cartilage, located below the chest between the Qigu (xiphisternal junction).
Diaphragm (Ge): The boundary between the lower chest and upper abdomen. There is a diaphragm below the human heart, aligning anteriorly with Jiuwei and posteriorly with the eleventh thoracic vertebra, encircling and attaching to the spine, thereby shielding turbid Qi. Commonly called Luo Ge. Among the Twelve Primary Meridians, only the Bladder Meridian does not pierce the diaphragm; the others can all cause diaphragmatic pain.
Liver: The Classics state: The Liver is the general officer, from whom strategies emerge. It is located below the diaphragm, attaching superiorly to the ninth thoracic vertebra. This meridian has much Blood and little Qi. Its correspondence is the Sinew, its flourishing is the Nail. It houses the Hun (Ethereal Soul) and opens into the Eyes. Its system connects superiorly to the Heart and Lung, with no orifice inferiorly. The *Nan Jing* states: The Liver weighs 2 jin 4 liang, has three lobes on the left and four on the right, totaling seven lobes. As a Zang organ, its treatment focuses on the left, but its storage is in the right hypochondrium, anterior to the right Kidney, adjacent to the Stomach, attaching to the ninth thoracic vertebra.
Gallbladder: The Classics state: The Gallbladder is the official of integrity, from whom decisions emerge. This meridian has much Blood and little Qi. It is said that all eleven Zang organs depend on the Gallbladder. The *Nan Jing* states: The Gallbladder is between the short lobes of the Liver, weighs 3 liang 3 zhu, is 3 cun long, and contains 3 he of essence juice. The *Zhong Zang Jing* states: The Gallbladder is the pure and clear Fu organ, nicknamed the General, housing but not draining. Cold Gallbladder causes insomnia; Heat Gallbladder causes drowsiness.
Spleen: The Classics state: The Spleen and Stomach are the officials of the granary, from whom the five flavors emerge. Also the official of remonstrance, from whom wisdom emerges. The Spleen houses the Yi (Intellect). Its shape is like a sickle, attached with the same membrane as the Stomach on its left side, corresponding to the twelfth thoracic vertebra. Hearing a sound causes it to move; movement grinds the Stomach and governs transformation and transportation. Its correspondence is the Flesh, its flourishing is the Lips. It opens into the Mouth. This meridian has much Qi and little Blood. The *Nan Jing* states: The Spleen weighs 2 jin 3 liang, is broad and flat, 3 cun wide, 5 cun long, with half a jin of scattered pancreas. It wraps Blood and warms the five Zang organs. The *Zhong Zang Jing* states: The Spleen primarily digests grains and nourishes the four peripheries.
Stomach: The Stomach is the sea of water and grain, the great origin of the five Zang and six Fu organs; thus Stomach Qi is the foundation of the body. The esophagus is soft and hollow, connecting inferiorly to the Stomach as the pathway for food and drink. The distance from the esophagus to the Stomach is 1 chi 6 cun, collectively called the Yanmen (Esophageal Gate). The Stomach is 1 chi 5 cun in girth, 5 cun in diameter, 2 chi 6 cun long, horizontally coiled to receive 3 dou 5 sheng of water and grain, typically retaining 2 dou of grain and 1 dou 5 sheng of water when full. This meridian has much Qi and much Blood. The *Nan Jing* states: The Stomach weighs 2 jin 1 liang. Zhang Jiabin stated: The upper opening of the Stomach is called Benmen (Gate of Transport); the essence and Qi of food and drink ascend from here to the Spleen and Lung, distributing through the vessels. The lower opening of the Stomach is the upper opening of the Small Intestine, called Youmen (Gate of the Deep).
Sanjiao (Triple Burner): The Classics state: The Upper Burner is like mist; the Middle Burner is like fermentation; the Lower Burner is like drainage. The Sanjiao is the official of irrigation, from whom water pathways emerge. This meridian has little Blood and much Qi. The *Zhong Zang Jing* states: The Sanjiao is the Primordial Qi of humans, numbered the Clear Fu, commanding the Qi of Ying and Wei, meridians, and Zang and Fu organs internally and externally, left and right, superior and inferior. When the Sanjiao is unobstructed, everything internally and externally, superior and inferior, left and right is unobstructed. In irrigating and harmonizing the whole body, regulating internally and nourishing externally, nourishing the left and supporting the right, guiding superior and disseminating inferior, nothing surpasses this.
Abdomen (Fu): Below the diaphragm is the Abdomen, commonly called the belly. Below the umbilicus is the Lesser Abdomen (Shaofu), also called the Small Abdomen (Xiaofu).