(在内近鼻者,亦名为赤 ,睛明穴之分也)属手少阴心经(《灵枢》曰∶手少阴之正,
出于面,合目内 。又曰∶血之精为络其窠,心则主血脉也。)兼属手足太阳小肠、膀胱经,足阳明胃经之合。
(《灵枢》曰∶足之阳明、手之太阳筋急,则口目为僻, 急不能卒视。《素问》曰∶风气与阳明入胃,循脉
而上,至目内 。其人肥,则风气不得外泄,则为热中而目黄;人瘦则外泄而寒,则为寒中而泣出。王启玄曰∶
太阳之脉,起于目内 ,太阳绝,则目内陷而死。沈承之曰∶直目内 上,属足太阳膀胱经;直目内 下,属
足阳明胃经、厥阴肝经之会)。又属二跷合脉(《灵枢》曰∶阴跷脉出人迎之前,入 ,属目内 ,合于太阳、
阳跷而上行。气并相还,则为濡目;气不营则目不合。又曰∶目中赤痛,从内 始,取之阴跷。《素问》曰∶邪
客于足阳跷之脉,令人目痛,从目 始。赵以德曰∶阴跷为病,阳缓而阴急;阳跷为病,阴缓而阳急。二脉皆
与交会于目内 。阳脉交于阴则目闭,阴脉交于
阳则目开)。
(目 之外决于面者)属手足少阳三焦、胆经、手太阳小肠经之会(《灵枢》曰∶手少
阳所生病者,目锐 痛。又曰∶足少阳之筋,支者结于目 ,为外维。其病维筋急,从左之右,右目不开,上
过右角,左右不开,名曰维筋相交。又曰∶手太阳之筋,直者出耳后,下结于颔,上属目外 。沈承之曰∶直目
锐上,属手足少阳三焦、胆经之会;直目锐 下,兼属手太阳小肠经之交会)。兼属足太阳膀胱经、二跷脉
(《灵枢》曰∶足太阳有通项入于脑者,正属目本,名曰眼系。头目苦痛取之,在项中两筋间,入脑乃别。阴跷、
阳跷,阴阳相交,阳入阴,阴出阳,交于目锐 。阳气盛,则 目,阴气盛,则瞑目也)。
(位于内眼角靠近鼻侧的部位,也被称为“䀧”[赤肉],是睛明穴所属的区域)归属于手少阴心经(《灵枢》记载:手少阴经的正气,出于面部,会合于目内眦。又说:血的精气汇聚成络脉的巢穴,心主司血脉)。同时也兼属手足太阳经的小肠经、膀胱经,以及足阳明胃经的会合之处。(《灵枢》记载:足阳明经和手太阳经的筋脉拘急,会导致口眼歪斜,眼睛因筋急而不能突然视物。《素问》记载:风邪与阳明经之气进入胃中,顺着经脉向上行,到达目内眦。如果人肥胖,则风邪不能向外宣泄,就会形成热中病而眼睛发黄;如果人消瘦,则风邪向外宣泄而致寒,就会形成寒中病而流泪。王启玄说:太阳经的经脉,起于目内眦,如果太阳经气绝,则目内陷而死。沈承之说:正对目内眦上方,归属于足太阳膀胱经;正对目内眦下方,是足阳明胃经、厥阴肝经的交会处)。又属于阴阳跷脉的合脉(《灵枢》记载:阴跷脉出人迎穴之前,进入目内眦,归属于目内眦,与太阳经、阳跷脉会合而上行。两脉之气并行相互返还,就能滋润眼睛;如果气不能濡养,则眼睛无法闭合。又说:眼睛内部红肿疼痛,从目内眦开始,治疗应取阴跷穴。《素问》记载:邪气侵犯足阳跷脉,使人眼睛疼痛,从外眼角开始。赵以德说:阴跷脉发病,表现为外侧松弛而内侧拘急;阳跷脉发病,表现为内侧松弛而外侧拘急。这两条脉都在目内眦交会。阳脉交于阴则眼睛闭合,阴脉交于阳则眼睛张开)。
(位于外眼角向面部延伸的部位)是手足少阳经的三焦经、胆经,以及手太阳小肠经的会合之处(《灵枢》记载:手少阳经所生的疾病,包括外眼角疼痛。又说:足少阳经的筋脉,分支结聚于外眼角,作为眼睑的外维。如果该处筋脉拘急,从左侧影响到右侧,则右眼无法睁开,向上经过右额角,左右都无法睁开,称为“维筋相交”。又说:手太阳经的筋脉,直行者出于耳后,向下结聚于下颌,向上归属于外眼角。沈承之说:正对外眼角上方,归属于手足少阳经的三焦经、胆经的会合处;正对外眼角下方,兼属手太阳小肠经的交会处)。同时也兼属足太阳膀胱经、阴阳跷脉(《灵枢》记载:足太阳经有一条通路通过项部进入脑部,正对目本,称为眼系。头部和眼睛剧烈疼痛时取此穴,位置在项部两筋之间,进入脑部后分开。阴跷、阳跷二脉,阴阳相交,阳入阴,阴出阳,交汇于外眼角。阳气旺盛,则眼睛睁开;阴气旺盛,则眼睛闭合)。
(The area located near the nose at the inner canthus, also known as "Chi Rou" [red flesh], is the distribution of Jingming [BL1].) It belongs to the Hand-Shaoyin Heart Meridian (The *Ling Shu* states: The regular qi of the Hand-Shaoyin emerges from the face and converges at the inner canthus. It also states: The essence of blood gathers into the network vessels' nests, and the Heart governs the blood vessels.) It concurrently belongs to the convergence of the Foot-Taiyang and Hand-Taiyang Small Intestine Meridians, Bladder Meridian, and Foot-Yangming Stomach Meridian. (The *Ling Shu* states: When the sinews of the Foot-Yangming and Hand-Taiyang are tense, it causes deviation of the mouth and eye, and due to tension, one cannot see suddenly. The *Su Wen* states: Wind pathogen and Yangming qi enter the stomach, follow the meridians upward to the inner canthus. If a person is obese, wind qi cannot be excreted outward, leading to Heat-Zhong syndrome with yellow eyes; if a person is thin, wind qi excretes outward causing cold, leading to Cold-Zhong syndrome with tearing. Wang Qixuan said: The Taiyang meridian originates at the inner canthus; if Taiyang qi perishes, the inner canthus collapses, resulting in death. Shen Chengzhi said: Directly above the inner canthus belongs to the Foot-Taiyang Bladder Meridian; directly below the inner canthus is the convergence of the Foot-Yangming Stomach Meridian and Jueyin Liver Meridian.) It also belongs to the combined pulse of Yin and Yang Qiao Mai (The *Ling Shu* states: The Yin Qiao meridian emerges before Renying [ST7], enters the inner canthus, belongs to the inner canthus, and combines with Taiyang and Yang Qiao to ascend. When their qi moves together and returns, it moistens the eyes; if qi does not nourish, the eyes cannot close. It also states: Redness and pain in the eyes start from the inner canthus; treatment should target Yin Qiao. The *Su Wen* states: Pathogens invading the Foot-Yang Qiao meridian cause eye pain starting from the outer canthus. Zhao Yi-de said: Disease of Yin Qiao presents with slackness on the outside and tension on the inside; disease of Yang Qiao presents with slackness on the inside and tension on the outside. Both meridians intersect at the inner canthus. Yang meridians intersecting with Yin result in eye closure; Yin meridians intersecting with Yang result in eye opening).
(The area extending outward from the outer canthus towards the face) is the convergence of the Hand-Shaoyang Sanjiao Meridian, Gallbladder Meridian, and Hand-Taiyang Small Intestine Meridian (The *Ling Shu* states: Diseases generated by the Hand-Shaoyang include pain at the outer canthus. It also states: The sinews of the Foot-Shaoyang have branches that knot at the outer canthus, serving as the external support. If these supporting sinews are tense, affecting left to right, the right eye cannot open; ascending past the right corner, neither side opens, named "Wei Jin Xiang Jiao" [Cross-intersection of Supporting Sinews]. It also states: The sinews of the Hand-Taiyang, straight branches, emerge behind the ear, descend to knot at the mandible, and ascend to belong to the outer canthus. Shen Chengzhi said: Directly above the outer canthus belongs to the convergence of Hand-Shaoyang Sanjiao and Gallbladder Meridians; directly below the outer canthus concurrently belongs to the convergence of Hand-Taiyang Small Intestine Meridian.) It concurrently belongs to the Foot-Taiyang Bladder Meridian and Yin/Yang Qiao Mai (The *Ling Shu* states: The Foot-Taiyang has a pathway through the neck entering the brain, directly connecting to the root of the eye, named Yan Xi [Eye System]. For severe headache and eye pain, take this point between the two sinuses in the neck, where it enters the brain and diverges. Yin Qiao and Yang Qiao intersect, Yang enters Yin, Yin exits Yang, converging at the outer canthus. When Yang qi is abundant, the eyes open; when Yin qi is abundant, the eyes close).