（胁下也）属足少阳胆经（《灵枢》曰∶足少阳之脉，循胸过季胁下。又曰∶足少阳之
别者，入季胁之间，循胸里，属胆）。又属足厥阴肝经（《灵枢》曰∶若有所大怒，气上而不下，积于胁下，
则伤肝。《素问》曰∶肝病者，两胁下痛引少腹，令人善怒。又曰∶肝咳之状，咳则两胁下痛，甚则不可以转，
转则两 下满。《中藏》曰∶肝虚冷，则胁下坚痛，目盲臂痛，发寒如疟状，不欲食，妇人月水不来，气急，
其脉左关上沉而弱者是也）。兼属手太阴肺经（《灵枢》曰∶手太阴之筋，合贲下，抵季胁，其病息贲胁急，
吐血，治在燔针劫刺，以知为数。朱丹溪曰∶左胁多因留血作痛，右胁悉是痰积作痛。痰气亦有流注于左者，
然必与血相搏而痛，不似右胁之痛无关于血也）。又属五脏之会（《难经》曰∶脏会于季胁。注∶脏，
五脏也。季胁，章门穴也，一名胁 。在脐旁左右各九寸，直季胁，乃足厥阴之穴。带脉发于此，脾之募也。
脾受谷气，播敷各脏，故脏会于季胁，不能食而热，可灸章门。张洁古曰∶胁痛者肝也，身热而烦者心也，体
重而满者脾也。寒热者肺也，足胫寒而逆者肾也）。
（季胁之下，挟脊两旁空软处也）属足少阴肾经、带脉之会（《灵枢》曰∶足少阴之正，
至肾，当十四椎出属带脉。王太仆曰∶肾之外当 ）。又属足少阳胆经、太阳膀胱经（《灵枢》曰∶足少阳
之筋，其直者上乘 季胁，其病 季胁痛。《素问》曰∶ 络季胁，引少腹而痛胀，刺 。 穴在肩膊内
廉，挟第六椎下，以手厌之，令病患呼 之声，则指下动矣，此足太阳脉气所发也）。
（季胁，即胁下部位）归属于足少阳胆经（《灵枢》记载：足少阳胆经的经脉，循行经过胸部，下行至季胁之下。又说：足少阳胆经的别络，进入季胁之间，沿胸内部走行，联络胆腑）。又归属于足厥阴肝经（《灵枢》记载：如果因大怒导致气机上逆而不能下行，积聚在胁下，就会损伤肝脏。《素问》记载：患肝病的人，两侧胁下疼痛并牵引至小腹，使人容易发怒。又说：肝咳的症状是咳嗽时两侧胁下疼痛，严重时身体不能转动，转动时两侧胁下感到胀满。《中藏经》记载：肝虚寒证，则表现为胁下坚硬疼痛，眼睛失明，手臂疼痛，发作时像疟疾一样发冷，不想进食，妇女月经不来潮，呼吸急促，其脉象在左手关部沉而弱）。同时兼属手太阴肺经（《灵枢》记载：手太阴肺经的筋脉，汇聚于贲门下方，抵止于季胁，其病症为气息壅塞、胁肋拘急、吐血，治疗采用燔针劫刺法，以症状缓解为度。朱丹溪说：左侧胁痛多因瘀血停滞所致，右侧胁痛完全是痰积所致。痰气也有流注到左侧的情况，但必然与血液相互搏结而致痛，不像右侧胁痛那样与血液无关）。又属于五脏之气汇聚之处（《难经》记载：脏气汇聚于季胁。注释：脏，指五脏。季胁，指章门穴，又名胁髎。位于脐旁左右各九寸处，直对季胁，是足厥阴肝经的穴位。带脉由此发出，也是脾脏的募穴。脾脏接受水谷精气，布散给各个脏腑，所以脏气汇聚于季胁。若出现不能进食且发热，可艾灸章门穴。张洁古说：胁痛属于肝脏病变，身体发热且烦躁属于心脏病变，身体沉重且胀满属于脾脏病变。寒热往来属于肺脏病变，足胫寒冷且逆冷属于肾脏病变）。
（季胁之下，即脊柱两旁空软的部位）归属于足少阴肾经、带脉的交会处（《灵枢》记载：足少阴肾经的正经，到达肾脏，在第十四椎骨处外出归属带脉。王冰注解说：肾脏外部对应此处）。又归属于足少阳胆经、足太阳膀胱经（《灵枢》记载：足少阳胆经的筋脉，其直行者向上到达季胁，其病症为季胁疼痛。《素问》记载：[某]络脉联系季胁，牵引小腹而疼痛胀满，针刺[某]穴。该穴位于肩膊内侧边缘，挟持第六椎骨下方，用手按压，令患者发出呻吟之声，则手指下有跳动感应，这是足太阳膀胱经经气所发出的部位）。
(Ji Xie, that is, the area below the costal margin) belongs to the Foot-Shaoyang Gallbladder Meridian (The *Ling Shu* states: The meridian of the Foot-Shaoyang Gallbladder follows the chest and passes below Ji Xie. It also states: The divergent branch of the Foot-Shaoyang enters between Ji Xie, runs along the interior of the chest, and connects with the Gallbladder). It also belongs to the Foot-Jueyin Liver Meridian (The *Ling Shu* states: If one becomes extremely angry, Qi ascends but fails to descend, accumulating under the hypochondrium, thereby injuring the Liver. The *Su Wen* states: Patients with Liver disease experience pain in both hypochondria radiating to the lower abdomen, making them prone to anger. It further states: The manifestation of Liver Cough involves pain in both hypochondria during coughing; in severe cases, the body cannot turn, and turning causes fullness in both [hypochondria]. The *Zhong Zang Jing* states: In cases of Liver Deficiency Cold, there is hardness and pain under the hypochondrium, blindness, arm pain, chills resembling Malaria, anorexia, amenorrhea in women, shortness of breath, and the pulse is deep and weak at the left Guan position). It concurrently belongs to the Hand-Taiyin Lung Meridian (The *Ling Shu* states: The sinews of the Hand-Taiyin Lung converge below Ben, reaching Ji Xie. Their pathology includes Qi stagnation, hypochondrial tension, and hemoptysis; treatment involves burning needles for rapid puncture, repeated until symptoms resolve. Zhu Danxi stated: Left-sided hypochondriac pain is mostly due to retained blood causing pain, while right-sided hypochondriac pain is entirely due to Phlegm accumulation. Although Phlegm-Qi can also flow into the left side, it must contend with Blood to cause pain, unlike right-sided pain which is unrelated to Blood). It also serves as the meeting point of the Five Zang Organs (The *Nan Jing* states: The Zang organs meet at Ji Xie. Annotation: Zang refers to the Five Zang organs. Ji Xie refers to Zhangmen [LR13], also known as Xie Liao. Located 9 cun lateral to the umbilicus on both sides, directly opposite Ji Xie, it is a point of the Foot-Jueyin Liver Meridian. The Dai Mai originates here and is the Mu-Alarm point of the Spleen. Since the Spleen receives grain Qi and distributes it to all Zang organs, the Zang Qi meets at Ji Xie. For symptoms of inability to eat accompanied by fever, moxibustion may be applied to Zhangmen. Zhang Jiegu stated: Hypochondriac pain relates to the Liver; body heat and irritability relate to the Heart; heaviness and fullness relate to the Spleen; alternating chills and fever relate to the Lung; cold and reversal in the lower legs relate to the Kidney).
(Beneath Ji Xie, referring to the soft empty areas on both sides of the spine) belongs to the Foot-Shaoyin Kidney Meridian and the intersection of the Dai Mai (The *Ling Shu* states: The regular pathway of the Foot-Shaoyin reaches the Kidney and exits at the fourteenth vertebral level to connect with the Dai Mai. Wang Bing annotated: The exterior of the Kidney corresponds to this location). It also belongs to the Foot-Shaoyang Gallbladder Meridian and the Foot-Taiyang Bladder Meridian (The *Ling Shu* states: The straight branch of the sinews of the Foot-Shaoyang ascends to Ji Xie, and its pathology involves pain in Ji Xie. The *Su Wen* states: [A certain] collateral connects Ji Xie, drawing pain and distension from the lower abdomen; needle [a certain] point. This point is located at the medial edge of the shoulder blade, adjacent to the sixth thoracic vertebra. Pressing with the hand while asking the patient to groan induces a pulsating sensation under the finger, indicating the emission of Qi from the Foot-Taiyang Bladder Meridian).