（大一尺五寸，纡曲屈伸长二尺六寸）《灵
枢》曰∶足阳明之脉，起于鼻之交 中（ ，鼻茎也，亦曰山根。交 ，其脉左右互交），旁纳太阳之脉（纳，
入也。足太阳起于目内 睛明穴，与 相并。阳明由此下行，故入之也），下循鼻外，入上齿中（鼻外，即承
泣、四白、巨 之分），还出挟口环唇，下交承浆（环，绕也。承浆，任脉穴），却循颐后下廉，出大迎（
腮下为颔，颔中为颐，由地仓以下大迎也），循颊车，上耳前，过客主人，循发际，至额颅（颊车本经穴，在
耳下，上耳前，下关也。客主人，足少阳经穴，在耳前，循发际以上头维至额颅，会于督脉之神庭。额颅，发
际前也）；其支者，循大迎前，下人迎，循喉咙，入缺盆，下膈，属胃络脾（人迎、缺盆，俱本经穴。属胃，
谓诸经之所属也，络脾，胃与脾为表里也，此支自缺盆入内下膈当上脘，中脘之分，属胃络脾）；其直者，
从缺盆下乳内廉）直者，直下而外行也，从缺盆行气户等穴以至乳中、乳根也），下挟脐（天枢等穴也），入气
街中（自外陵等穴，下入气街，即气冲，也在毛际两旁，鼠鼷上一寸）；其支者。起于胃口，下循腹里，下至
气街中而合（胃口，胃之下口，当下脘之分，《难经》谓之幽门者是也。循腹里，过足少阴肓俞之外，此即上
文支者之脉，由胃下行，而与直者复合于气街之中也），以下髀关，抵伏兔下膝膑中（膝盖曰膑），下循胫外
廉（ 骨曰胫），下足跗（足面曰跗），入中趾内间（髀，股也，抵，至也。髀关、伏兔，皆膝上穴名。膝胫
外廉，即犊鼻、三里、巨虚等穴之次，乃循内庭，入中趾内间而出历兑，足阳明经止于此）；其支者，下廉三
寸而别，下入中趾外间；其支者，别跗上，入大趾间，出其端（廉，上廉。下廉三寸，即丰隆穴也，是为阳明
别络，故下入中趾外间。又有支者，自跗上冲阳，别行入大
趾间，斜出足厥阴，循大趾出其端，而接乎足太阴经也）。其别，名曰丰隆，去踝八寸，别走太阴；其别者，
循胫骨外廉，上络头项，合诸经之气，下络喉嗌。其病气逆则喉痹瘁 ，实则狂癫；虚则足不收，胫枯，而取
之所别也（足阳明之络，名丰隆，在外踝上八寸，别走足太阴者也。此经循喉咙入缺盆，胃为脏腑之海，而喉
嗌、缺盆，为诸经之孔道，故合之也）。其正上至髀，入于腹里，属胃散之脾，上通于心，上循咽，出于口，
上 （ ，颧也），还系目系，合于阳明（此脾胃二经表里相为一合也。足阳明上至髀关，其内行者，由气
街入腹里，属于胃，散于脾，上通于心，循咽出于口，上 ，入承泣之次，系目系，为目下网，以合于足阳
明之本经也）。其筋起于中三趾，结于跗上，斜外上加于辅骨，上结于膝外廉，直上结于髀枢，上循胁属脊
（中三趾，即足之中趾，厉兑之旁也。结于跗上，冲阳之次，乃从足面斜行，出太阴、少阳两筋之间，上辅骨，
结于膝之外廉，直上髀枢，行少阳之前，循胁后，内属脊）；其直者，上循 ，结于膝；其支者，结于外辅骨，
合少阳（ ，足胫骨也。其直者，自跗循 ，结于膝下外廉三里之次，以上膝膑中；其支者，自前跗上斜外上
行，结于外辅骨阳陵泉之分，与少阳经相合也）；其直者，上循伏兔，上结于髀，聚于阴器，上腹而布（此直者
由膝膑直上，循伏兔髀关之分，结于髀中，乃上行聚于阴器，阴阳总宗筋之会，会于气街，而阳明为之长也。
乃自横骨之分，左右挟行，循天枢、关门等穴而上布于腹，此上至颈皆刚筋也），至缺盆而结，上颈，上挟口，
合于 （即 也），下结于鼻，上合于太阳，太阳为目上网，阳明为目下网（自缺盆上颈中人迎穴，乃循颐颊，
上挟口吻，与阳跷会于地仓，上合于颧 ，下结于鼻旁，复
上睛明穴，合于足太阳。太阳细筋，散于目上，故为目上网。阳明细筋，散于目下，故为目下网也）；其支者，
从颊结于耳前（其支者，自颐颊间上结于耳前，会于足少阳之上关、颔厌，上至头维而终也）。是动则病洒洒
然振寒，善伸数欠颜黑；病至则恶人与火，闻木音则惕然而惊，心欲动。独闭户塞牖而处，甚则欲上高而歌，
弃衣而走，贲响腹胀，是为 厥。是主血所生病者，狂疟湿温汗出，鼽衄，口 唇疹。颈肿喉痹，大腹水肿，
膝膑肿痛，循膺、乳、气街、股、伏兔、 外廉、足跗上皆痛，中趾不用。气盛则身以前皆热，其有余于胃，
则消谷善饥，溺色黄；不足则身以前皆寒栗，胃中寒则胀满。盛者人迎大三倍于寸口，虚者人迎反小于寸口也。
（足阳明胃经的脉道，直行部分长一尺五寸，迂曲部分伸长二尺六寸）《灵枢》说：足阳明胃经的经脉，起始于鼻翼两侧交角处（即山根部位，左右脉在此交叉），旁侧吸纳足太阳膀胱经的脉气（纳，意为进入。足太阳膀胱经起于目内眦的睛明穴，与足阳明经并行，因此足阳明经由此下行而纳入其气），向下沿鼻外侧行走，进入上齿中（鼻外侧区域，包括承泣、四白、巨髎等穴位所在），复出环绕口唇，向下交汇于承浆穴（环，环绕之意。承浆是任脉的穴位），然后沿下颌后下方下行，出于大迎穴（腮下为颔，颔中为颐，从地仓穴以下至大迎穴），沿颊车穴上行至耳前，经过客主人穴（即上关穴，属足少阳胆经，位于耳前），沿发际线前行，到达额颅部（颊车是本经穴位，在耳下；上关在耳前；发际前即为额颅）；其分支，沿大迎穴前方下行至人迎穴，沿喉咙行走，进入缺盆，向下穿过膈肌，属于胃，联络脾脏（人迎、缺盆均为本经穴位。属于胃，指各经所属关系；联络脾，因胃与脾互为表里。此支脉自缺盆入内，下行穿过膈肌，经过上脘、中脘部位，属于胃并联络脾）；其直行主干，从缺盆下行至乳内侧（直者，指直行向外行，从缺盆经气户等穴直至乳中、乳根穴），向下挟脐两旁（如天枢等穴），进入气街中（自外陵等穴向下进入气街，即气冲穴，位于阴毛两侧，鼠鼷上一寸）；另一分支，起于胃口，向下沿腹腔内部行走，至气街中与直行主干汇合（胃口，即胃之下口，相当于下脘部位，《难经》称之为幽门。沿腹里行走，经过足少阴肾经肓俞穴外侧，这是上文提到的分支脉，由胃下行，与直行脉在气街中复合）；由此向下经过髀关穴，抵达伏兔穴，下行至膝盖髌骨中（膝盖称为膑），沿胫骨外侧下行（小腿骨称为胫），下行至足背（足面称为跗），进入中趾内侧间隙（髀，即大腿；抵，意为到达。髀关、伏兔均为膝上穴位名。膝胫外侧，即犊鼻、足三里、上巨虚等穴所在的次序，随后循行经过内庭穴，进入中趾内侧间隙而出历兑穴，足阳明经止于此）；另一分支，在廉泉穴下三寸处分出（廉，指上廉。下廉三寸，即丰隆穴，此为阳明经的别络，故下行进入中趾外侧间隙）；又一支脉，从足背分出，进入大趾间，出于其端（此支脉自足背冲阳穴分出，斜行进入大趾间，斜出至足厥阴肝经，沿大趾出于其端，从而衔接足太阴脾经）。该经的别络，名为丰隆，距离外踝八寸处，别行走向足太阴脾经；其别行支脉，沿胫骨外侧上行，联络头项部，汇聚各经之气，向下联络喉咽。当经气逆乱时则发生喉痹、声音嘶哑；邪气盛实则表现为狂癫；正气虚则表现为足部不能收持、胫部干枯，治疗应取该经别络所过之处（足阳明经的络穴名为丰隆，位于外踝上八寸，别行走向足太阴经。此经循喉咙入缺盆，胃为脏腑之海，而喉咽、缺盆是各经通行的孔道，因此相互关联）。其正脉向上至髀部，进入腹腔内部，属于胃，散布于脾，向上通达于心，向上循行咽喉，出于口，上行至颧部（颧即颧骨），还联系目系，与足阳明经相合（这是脾胃两经表里相合的关系。足阳明经上至髀关，其向内行者，由气街进入腹里，属于胃，散布于脾，向上通达于心，循行咽喉出于口，上行至颧部，进入承泣穴附近，联系目系，形成目下网，以合于足阳明本经）。其筋起于中三趾，结聚于足背上方，斜向外上方加于辅骨，向上结聚于膝外侧，直上结聚于髀枢，向上循行胁肋归属于脊柱（中三趾，即足的中趾，厉兑穴旁边。结聚于足背上，即冲阳穴附近，乃从足面斜行，出于足太阴、足少阳两筋之间，上行至辅骨，结聚于膝外侧，直上至髀枢，行于足少阳经之前，循行胁肋后，内属于脊柱）；其直行部分，向上循行，结聚于膝；其分支，结聚于外辅骨，与足少阳经相合（此处指足胫骨。其直行部分，自足背循行胫骨，结聚于膝下外侧足三里附近，以上至膝髌骨中；其分支，自前足背斜向外上行，结聚于外辅骨阳陵泉部位，与足少阳经相合）；其直行部分，向上循行伏兔，向上结聚于髀部，聚于阴器，向上腹部布散（此直行部分由膝髌骨直上，循行伏兔、髀关部位，结聚于髀中，乃上行聚于阴器，这里是阴阳诸筋的总汇，会于气街，而足阳明经为之长。乃自横骨部位，左右挟行，循行天枢、关门等穴而上布于腹部，此上至颈部皆为刚筋），至缺盆而结聚，向上至颈部，向上挟口，合于颧部（即颧骨），向下结聚于鼻旁，向上合于足太阳经，足太阳经为目上网，足阳明经为目下网（自缺盆上颈至人迎穴，乃循行颐颊，向上挟口吻，与阳跷脉会于地仓穴，向上合于颧部，向下结聚于鼻旁，再上行至睛明穴，合于足太阳经。足太阳经细筋散于目上，故为目上网。足阳明经细筋散于目下，故为目下网）；其分支，从颊部结聚于耳前（此分支，自颐颊间向上结聚于耳前，会于足少阳经的上关、颔厌穴，上至头维穴而终）。当经脉变动时发生的病症有：瑟瑟然恶寒战栗，喜欢伸展，频繁打哈欠，面色黑；病发时则厌恶人和火，听到木声则惊恐心动，想要独自关闭门窗居住；严重时想登上高处唱歌，脱衣奔跑，肠鸣腹胀，这称为贲豚厥。本经主治血分所生的疾病有：狂证、疟疾、湿温、汗出、鼻塞流涕或鼻出血、口唇生疮、颈部肿胀、喉痹、大腹水肿、膝髌肿痛，沿胸膺、乳、气街、大腿、伏兔、胫外侧、足背均疼痛，中趾不能活动。经气盛则身体前部皆热，若胃气有余，则消谷善饥，小便色黄；经气不足则身体前部皆寒栗，胃中有寒则胀满。经气盛时，人迎脉大三倍于寸口脉；经气虚时，人迎脉反而小于寸口脉。
(The straight portion of the Foot-Yangming Stomach Meridian is one chi and five cun in length, while the tortuous portion extends to two chi and six cun.) The *Ling Shu* states: The meridian of the Foot-Yangming Stomach begins at the intersection of the nose (the root of the nose, also known as Shan Gen, where the meridians cross from left to right), laterally receiving the Qi of the Foot-Taiyang Bladder Meridian (Receiving means entering. The Foot-Taiyang Bladder Meridian originates at Jingming BL-1 in the inner canthus and runs parallel to the Foot-Yangming; thus, the Foot-Yangming receives its Qi here). It descends along the lateral aspect of the nose, enters the upper teeth (the lateral nasal region corresponds to areas such as Chengqi ST-1, Sibai ST-2, and Juliao ST-3), emerges to encircle the lips, and intersects below at Chengjiang CV-12 (Encircle means to surround. Chengjiang is an acupoint of the Ren Mai). It then follows the posterior mandible downward, emerging at Daying ST-5 (The area below the cheekbone is the jaw; the center of the jaw is the chin; this path goes from Dicang ST-4 down to Daying). It follows Jiache ST-6, ascends anterior to the ear, passes through Guest Master (Keguzhu/Shangguan GB-3, a Foot-Shaoyang Gallbladder Meridian point located anterior to the ear), follows the hairline, and reaches the frontal cranium (Jiache is a local point below the ear; Shangguan is anterior to the ear; the area anterior to the hairline is the frontal cranium); A branch proceeds anterior to Daying, descends to Renying ST-9, follows the throat, enters the Supraclavicular Fossa (Quepen), descends through the diaphragm, belongs to the Stomach, and connects with the Spleen (Renying and Quepen are local points. Belonging to the Stomach refers to the meridian's affiliation; connecting with the Spleen reflects the exterior-interior relationship between the Stomach and Spleen. This branch enters internally from Quepen, descends through the diaphragm, passing through the regions of Shangwan CV-13 and Zhongwan CV-12, belonging to the Stomach and connecting with the Spleen); The main straight trunk descends from Quepen along the medial edge of the breast (Straight refers to the direct external course, passing through Qihuxue ST-15 etc., reaching Ruzhong ST-17 and Rugen ST-18), descends flanking the umbilicus (such as Tianshu ST-25), and enters the Qi Street (descending from Wailing ST-27 into the Qi Street, i.e., Qichong ST-30, located on both sides of the pubic hair line, one cun above the inguinal ligament); Another branch originates from the stomach opening, descends along the interior of the abdomen, and meets the main trunk at the Qi Street (The stomach opening refers to the lower orifice of the stomach, corresponding to the Xiaowan CV-10 region, called Youmen in the *Nan Jing*. Following the abdominal interior past Hanyu KI-16 of the Foot-Shaoyin Kidney Meridian, this branch merges with the main trunk at the Qi Street); From there, it descends to Bituan ST-31, reaches Futu ST-32, and descends to the middle of the knee patella (The knee cap is called Bin), follows the lateral aspect of the tibia (The shin bone is called Jing), descends to the dorsum of the foot (The top of the foot is called Fu), and enters the space between the medial side of the second toe (Bi refers to the thigh; Di means to reach. Bituan and Futu are points above the knee. The lateral aspect of the knee and tibia corresponds to the sequence of Dubi ST-35, Zusanli ST-36, and Shangjixu ST-37, then follows Neiting ST-44, enters the medial space of the second toe, and exits at Lidui ST-45, where the Foot-Yangming Stomach Meridian ends); A branch diverges three cun below Lianquan (Lian refers to the upper margin; three cun below Lianquan is Fenglong ST-40, which is the Luo-Connecting vessel of the Yangming, thus descending into the lateral space of the second toe); Another branch diverges from the dorsum of the foot, enters the space between the great toe, and emerges from its tip (This branch diverges from Chongyang ST-42 on the dorsum, runs obliquely into the space between the great toes, crosses to the Foot-Jueyin Liver Meridian, follows the great toe to emerge from its tip, and connects with the Foot-Taiyin Spleen Meridian). The Luo-Connecting vessel is named Fenglong, located eight cun above the malleolus, diverging to run to the Foot-Taiyin Spleen Meridian; Its collateral branches follow the lateral aspect of the tibia upward, connect with the head and neck, gather the Qi of various meridians, and descend to connect with the larynx and pharynx. When Qi rebels, it causes throat obstruction and hoarseness; when excess occurs, mania and epilepsy manifest; when deficiency occurs, the foot cannot be held firmly, and the tibia becomes dry; treatment should target the divergent pathways (The Luo-Connecting vessel of the Foot-Yangming is named Fenglong, located eight cun above the lateral malleolus, diverging to the Foot-Taiyin. This meridian follows the throat to Quepen; the Stomach is the sea of the zang-fu organs, and the throat/pharynx and Quepen are passages for all meridians, hence they interconnect). The main meridian ascends to the thigh, enters the abdominal interior, belongs to the Stomach, scatters to the Spleen, ascends to communicate with the Heart, follows the pharynx, emerges from the mouth, ascends to the zygomatic arch (Zygoma), returns to connect with the eye system, and combines with the Foot-Yangming (This represents the exterior-interior combination of the Spleen and Stomach meridians. Ascending to Bituan, the internal pathway enters the abdomen via the Qi Street, belongs to the Stomach, scatters to the Spleen, ascends to the Heart, follows the pharynx to emerge from the mouth, ascends to the zygoma, enters near Chengqi ST-1, connects with the eye system forming the lower net of the eye, and合 with the Foot-Yangming proper). The sinews originate from the middle three toes, knot at the dorsum of the foot, slant outward and upward to adduct to the fibula, ascend to knot at the lateral aspect of the knee, go straight up to knot at the hip pivot, and follow the costal region to belong to the spine (The middle three toes refer to the second toe, beside Lidui. Knotting at the dorsum corresponds to Chongyang, running obliquely between the sinews of the Foot-Taiyin and Foot-Shaoyang, ascending to the fibula, knotting at the lateral knee, going straight up to the hip pivot, running anterior to the Foot-Shaoyang, following the ribs, and internally belonging to the spine); The straight part ascends, knots at the knee; the branch knots at the lateral fibula, combining with the Foot-Shaoyang (Referring to the tibia. The straight part follows the tibia from the dorsum, knots at the lateral aspect below the knee near Zusanli, ascending to the knee patella; the branch runs obliquely upward from the anterior dorsum, knotting at the lateral fibula near Yanglingquan GB-34, combining with the Foot-Shaoyang); The straight part follows Futu upward, knots at the thigh, gathers at the genitalia, and spreads upward over the abdomen (This straight part rises directly from the knee patella, follows Futu and Bituan, knots at the thigh, ascends to gather at the genitalia, which is the convergence of all sinews, meeting at the Qi Street, with the Yangming acting as the leader. From Henggu, it runs bilaterally, following Tianshu and Guanmen, spreading upward over the abdomen; these sinews extending to the neck are rigid); It knots at Quepen, ascends to the neck, ascends to flank the mouth, combines at the zygoma (Zygoma), descends to knot at the nose, and ascends to combine with the Foot-Taiyang, where the Foot-Taiyang forms the upper net of the eye and the Foot-Yangming forms the lower net of the eye (Ascending from Quepen to the neck at Renying, following the cheeks, flanking the mouth, meeting the Yangqiao at Dicang, ascending to the zygoma, descending to knot beside the nose, ascending again to Jingming BL-1, combining with the Foot-Taiyang. The fine sinews of Taiyang scatter above the eye, forming the upper net. The fine sinews of Yangming scatter below the eye, forming the lower net); A branch knots from the cheek anterior to the ear (This branch ascends from the cheek to knot anterior to the ear, meeting the Foot-Shaoyang at Shangguan and Hanjian, ending at Touwei). When the meridian is disturbed, symptoms include shivering chills, frequent stretching and yawning, and dark complexion; upon onset, aversion to people and fire, startle at the sound of wood, palpitations, desire to close doors and windows and stay alone; severely, climbing high to sing, discarding clothes and running, intestinal rumbling and abdominal distension, known as Ben Tun Jue. This meridian governs diseases generated by blood, including mania, malaria, damp-warmth, sweating, rhinorrhea or epistaxis, oral ulcers, neck swelling, throat obstruction, massive abdominal edema, pain and swelling of the knee patella, pain along the chest, breast, Qi Street, thigh, Futu, lateral tibia, and dorsum of the foot, and immobility of the second toe. Excess Qi causes heat in the anterior body; if Stomach Qi is excessive, food is digested quickly with hunger, and urine is yellow; deficiency causes coldness and shivering in the anterior body; Cold in the Stomach causes distension and fullness. In excess, the Renying pulse is three times larger than the Cunkou pulse; in deficiency, the Renying pulse is smaller than the Cunkou pulse.