（挟脊两旁陇起之肉也）属足太阳膀胱经（《灵枢》曰∶足太阳之脉，其支者，从 内左
右别下贯胂，挟脊肉，过髀枢。《素问》曰∶腰痛，挟脊而痛至顶，头沉沉然，目 然，欲僵仆，刺太阳
中出血络）。
（膺也，又曰臆）统属手少阴心经（《灵枢》曰∶手少阴之脉，起于心中，出属心系，下膈络小肠。
又曰∶手少阴之筋，挟乳里，结于胸中，其病内急，心承伏梁。《素问》曰∶南风生于夏，其脏心，俞在胸膈，
其病内舍膺胁。又曰∶心病者，胸中痛，胁支满；虚则胸腹大，胁下与腰相引而痛。又曰∶赤脉之至也，喘而
坚。诊曰∶有积气在胸中，时害于食，名曰心痹。得之外疾思虑而心虚，故邪从之）。又属手厥阴心包经（《灵
枢》曰∶手厥阴之脉，起于胸中，出属心包络，下膈历三焦；其支者，循胸出胁下。是动则病胸胁支满，心中
大动。又曰∶手心主之别，名曰内关，去腕二寸，出于两筋之间，循经以上，络于心包，络心系。实则心
痛，虚则为头强，取之两筋间也）。又属足少阴肾经（《灵枢》曰∶足少阴之脉，其支者，从肺出络心，注胸
中。又曰∶气在肾者，止之膺与背俞。《素问》曰∶邪客于足少阴之络，令人卒心痛，暴胀，胸胁支满）。又属
手足太阴肺经、脾经（《灵枢》曰∶白脉之至也，喘而浮，上实下虚，惊，有积气在胸中；喘而虚，名曰肺痹，
寒热，得之醉而使内也。《灵枢》曰∶足太阴之脉，其支者，从胃别上膈，注心中。所生病者烦心，心下急痛。
又曰∶气满胸中，喘息，取足太阴，大指之端，去爪甲如韭叶。寒则留之；热则疾之；气下乃止）。兼属手太
阳小肠经（《素问》曰∶心烦头痛，病在膈中，过在手巨阳、少阴。注∶巨阳之脉，从肩上入缺盆，络心，循
咽，下膈，抵胃，属小肠。故心烦头痛，病在膈中也）。又属手足阳明大肠、胃经（《素问》曰∶邪客于手阳
明之络，令人气满胸中，喘息而支 ，胸中热。《灵枢》曰∶足阳明，挟喉之动脉也，其俞在膺中。又曰∶胃
病者腹 胀，胃脘当心而痛。一曰∶阳明所谓胸满短气者，水气在脏腑也。水者阴
气也，阴气在中，故胸痛少气也。轻者五苓散，重者用张子和法治之。沈承之曰∶胸有四行，中行自结喉下循
钤骨，抵 ，属任脉；膺二行，去中行左右，各开二寸，属足少阴肾经；膺三行，去中行左右，各开四寸，
属足阳明胃经；膺四行，去中行左右，各开六寸，属足太阴脾经）。
（指脊柱两旁隆起的肌肉）归属于足太阳膀胱经（《灵枢》记载：足太阳经脉的支脉，从目内眦左右分开下行，贯穿胂部，夹着脊背部的肌肉，经过髋关节。《素问》记载：腰痛，疼痛沿脊柱两侧向上延伸至头顶，头部沉重昏沉，眼睛视物模糊，想要跌倒，应针刺太阳经的血络出血）。
（即胸前部，又称臆）统属于手少阴心经（《灵枢》记载：手少阴经脉，起于心中，出来归属于心系，向下穿过膈肌，联络小肠。又记载：手少阴筋脉，挟持乳房内侧，结聚于胸中，其病症表现为内部拘急，心脏支撑着伏梁病。《素问》记载：南风生于夏季，对应的脏腑是心，俞穴在胸膈部位，其病邪内舍于胸胁。又记载：心病患者，胸中疼痛，胁肋部胀满；若为虚证，则胸腹部膨大，胁下与腰部相互牵引而痛。又记载：赤色脉象出现时，脉搏急促且坚实。诊断为：胸中有积气，时常影响饮食，名为心痹。这是由于外感疾病、思虑过度导致心气虚弱，所以邪气乘虚而入）。同时也归属于手厥阴心包经（《灵枢》记载：手厥阴经脉，起于胸中，出来归属于心包络，向下穿过膈肌，依次联络上、中、下三焦；其支脉，沿着胸部出于胁下。该经发生变动则病症表现为胸胁胀满，心中剧烈跳动。又记载：手厥阴经的别络，名叫内关，距离腕横纹二寸，出于两筋之间，沿经脉上行，联络于心包，联络于心系。实证则为心痛，虚证则为头项强直，治疗取两筋之间的穴位）。同时也归属于足少阴肾经（《灵枢》记载：足少阴经脉的支脉，从肺脏出来联络心脏，注入胸中。又记载：病气在肾脏的，治疗应止于胸胁和背部俞穴。《素问》记载：邪气侵犯足少阴的络脉，使人突然心痛，急剧腹胀，胸胁胀满）。同时也归属于手太阴肺经、足太阴脾经（《灵枢》记载：白色脉象出现时，脉搏急促且浮浅，上部实下部虚，伴有惊悸，胸中有积气；若脉搏急促而虚弱，名为肺痹，伴有寒热症状，这是由于醉酒后进行房事所致。《灵枢》记载：足太阴经脉的支脉，从胃部分出向上穿过膈肌，注入心中。其所生的疾病包括心烦，心窝部急痛。又记载：胸中气满，喘息，应取足太阴经在大脚趾端的穴位，距离趾甲角如韭菜叶宽度处。寒证留针久一些；热证快速出针；待气机下行后再停止治疗）。兼属于手太阳小肠经（《素问》记载：心烦头痛，病位在膈中，涉及手太阳经和手少阴经。注释：手太阳经脉，从肩上进入缺盆，联络心脏，沿着咽喉，向下穿过膈肌，抵达胃部，归属于小肠。所以心烦头痛，病位在膈中）。同时也归属于手阳明大肠经、足阳明胃经（《素问》记载：邪气侵犯手阳明的络脉，使人胸中气满，喘息且胁肋胀满，胸中发热。《灵枢》记载：足阳明经，是挟持喉部的动脉，其俞穴在胸膺部。又记载：胃病表现为腹部胀满，胃脘部当心口而痛。另一种说法：阳明经所说的胸满短气，是水气停留在脏腑中。水属于阴气，阴气在中焦，所以胸痛且气短。轻症用五苓散，重症用张子和的方法治疗。沈承之说道：胸部有四条纵行经脉，中间一行自结喉下方沿锁骨中线，抵至耻骨联合，归属于任脉；胸膺第二行，距离中间一行左右各开二寸，归属于足少阴肾经；胸膺第三行，距离中间一行左右各开四寸，归属于足阳明胃经；胸膺第四行，距离中间一行左右各开六寸，归属于足太阴脾经）。
(The muscles protruding on both sides of the spine) belong to the Foot-Taiyang Bladder Channel (The *Ling Shu* states: The branch of the Foot-Taiyang channel separates from the inner canthus, descends bilaterally through the gluteal region (*Shen*), passes through the muscles along the spine, and crosses the hip joint. The *Su Wen* states: In lumbar pain, the pain extends up the spine to the vertex, accompanied by a heavy and dull head, blurred vision, and a desire to fall; treat by bleeding the collateral vessels of the Taiyang channel).
(Also known as the chest or *Yi*) is collectively governed by the Hand-Shaoyin Heart Channel (The *Ling Shu* states: The Hand-Shaoyin channel originates in the heart, emerges to connect with the Heart System (*Xin Xi*), descends through the diaphragm, and connects with the Small Intestine. It also states: The Hand-Shaoyin tendon runs alongside the medial aspect of the breast, knotting in the chest; its pathology involves internal tension and the Heart supporting the *Fuliang* condition. The *Su Wen* states: South wind arises in summer, corresponding to the Heart organ, with Shu points located in the chest and diaphragm; pathogenic factors reside internally in the chest and hypochondrium. It further states: Patients with Heart disease suffer from pain in the chest and fullness in the hypochondrium; if deficient, the chest and abdomen become distended, and the hypochondrium draws pain from the waist. Additionally, when red pulses are present, rapid and firm, the diagnosis indicates accumulated Qi in the chest, occasionally impairing digestion, named *Xin Bi* (Heart Bi). This results from external pathogens, excessive mental exertion causing Heart deficiency, allowing evil Qi to enter). It also belongs to the Hand-Jueyin Pericardium Channel (The *Ling Shu* states: The Hand-Jueyin channel originates in the chest, emerges to connect with the Pericardium Collateral (*Xin Bao Luo*), descends through the diaphragm, and sequentially connects with the Upper, Middle, and Lower Jiao; its branch follows the chest and emerges from the hypochondrium. When this channel is disturbed, symptoms include chest and hypochondrial fullness and severe palpitations. It also states: The divergent vessel of the Hand-Jueyin is named Neiguan (*PC6*), located two cun above the wrist crease, emerging between the two tendons, ascending along the channel to connect with the Pericardium and the Heart System. Excess manifests as Heart pain; deficiency manifests as stiffness of the head and neck; treatment involves needling the point between the two tendons). It also belongs to the Foot-Shaoyin Kidney Channel (The *Ling Shu* states: The branch of the Foot-Shaoyin channel emerges from the Lung, connects with the Heart, and pours into the chest. It also states: For Qi disorders in the Kidney, treatment should focus on the chest/hypochondrium and back Shu points. The *Su Wen* states: When evil Qi invades the collaterals of the Foot-Shaoyin, it causes sudden Heart pain, acute abdominal distension, and chest/hypochondrial fullness). It also belongs to the Hand-Taiyin Lung Channel and Foot-Taiyin Spleen Channel (The *Ling Shu* states: When white pulses appear, they are rapid and floating, indicating excess above and deficiency below, accompanied by fright and accumulated Qi in the chest; if rapid and weak, it is named *Fei Bi* (Lung Bi), with chills and fever, caused by intercourse after drunkenness. The *Ling Shu* also states: The branch of the Foot-Taiyin channel separates from the Stomach, ascends through the diaphragm, and pours into the Heart. Diseases generated include irritability and urgent pain in the epigastrium. It further states: For Qi fullness in the chest and wheezing, take the point at the tip of the great toe, one grain-width away from the nail corner. Retain the needle for cold conditions; remove quickly for heat conditions; stop when Qi descends). It is additionally associated with the Hand-Taiyang Small Intestine Channel (The *Su Wen* states: Irritability and headache, with pathology in the diaphragm, involve the Hand-Taiyang and Hand-Shaoyin channels. Note: The Hand-Taiyang channel enters the supraclavicular fossa from the shoulder, connects with the Heart, follows the pharynx, descends through the diaphragm, reaches the Stomach, and belongs to the Small Intestine. Thus, irritability and headache indicate pathology in the diaphragm). It also belongs to the Hand-Yangming Large Intestine Channel and Foot-Yangming Stomach Channel (The *Su Wen* states: When evil Qi invades the collaterals of the Hand-Yangming, it causes Qi fullness in the chest, wheezing, hypochondrial distension, and heat in the chest. The *Ling Shu* states: The Foot-Yangming channel contains the arterial pulse beside the throat, with Shu points located in the chest. It also states: Stomach disease presents as abdominal distension and pain in the epigastrium corresponding to the heart. Another view states: What the Yangming channel describes as chest fullness and shortness of breath is due to Water Qi residing in the Zang-Fu organs. Water is Yin Qi; since Yin Qi resides in the interior, it causes chest pain and shortness of breath. Mild cases are treated with Wuling San; severe cases are treated according to the methods of Zhang Hezi. Shen Chengzhi stated: There are four longitudinal lines in the chest. The central line descends from below the laryngeal prominence along the sternum to the pubic symphysis, belonging to the Ren Mai (Conception Vessel); the second line of the chest is two cun lateral to the center, belonging to the Foot-Shaoyin Kidney Channel; the third line is four cun lateral to the center, belonging to the Foot-Yangming Stomach Channel; the fourth line is six cun lateral to the center, belonging to the Foot-Taiyin Spleen Channel).