太阴肺兮出中府,云门之下一寸许,云门璇玑旁六寸,巨骨之下二骨数,天府腋下三寸求,侠白肘上五寸主,尺
泽肘中约纹论,孔最腕上七寸取,列缺腕上一寸半,经渠寸口陷中是,太渊掌后横纹头,鱼际节后散脉举,少商大指
端内侧,鼻衄刺之立见止(云门,巨骨下侠气户旁二寸陷中,去中行任脉六寸。气户,巨骨下俞府两旁各二寸陷中,
去中行任脉四寸,去膺窗四寸八分。俞府,巨骨下,璇玑旁二寸陷中。璇玑,天突下一寸。天突,结喉下四寸宛中。右
挨穴之法由天突起至璇玑,由璇玑至云门,其法甚简,后仿此)。
\r手太阴肺经之图\p06-d32a4.bmp\r
起于大指次指之端,循指上廉,出合谷两骨之间,上入两筋之间,循臂上廉,入肘外廉,上 外前廉,上肩,出
骨之前廉,出乎,柱骨之会上,下入缺盆,络肺,下膈,属大肠;其支者,从缺盆上颈,贯颊,入下齿中,还出挟口,
交人中、左之右,右之左,上挟鼻孔。是动则病齿痛颈肿。是主津液所生病者,目黄口干,鼽衄喉痹,肩前 痛,大指、
次指痛不用。气有余则当脉所过者热肿,虚则寒栗不复,为此诸病。( ,语口切。颊,鸠药切。鼽音求,衄音扭)
此言大肠经脉气之行,乃为第二经也。大指次指者,手大指之次指,即第二指,名食指是也。肺经本出于大指,而
大肠经则出于次指,兹言大指次指者,乃大指之次指,非言既出于大指,而又出于次指也。合谷者,本经穴也(俗名虎
口)。肩端两骨间为 骨。肩胛上际处为天柱骨。缺盆,足阳明胃经穴也。头茎为颈,耳以下曲处为颊。言大肠者、乃
手阳明经之脉,受手太阴之交,遂起于指之端,循此次指之商阳、二间、三间之上廉,出合谷穴,在两骨之间,又上阳
溪穴,即两筋间 又循臂之上廉偏历、温溜、下廉、上廉、三里,入肘外廉之曲池穴,上循 外之前廉,历肘 、五里、
臂,以上肩之肩 穴,又出 骨之前廉,循巨骨穴,上出天柱骨之会上,会于大椎,自大椎而下,入缺盆,循足阳明
经脉,外络绕肺脏,复下膈,当天枢之外,会属于大肠;其支别者,虽由偏历而入,又自缺盆上行于颈,循天鼎、扶
突,上贯于颊,人下齿缝中,复出夹口两吻,相交于人中之内,左脉往右,右脉往左,上挟鼻孔,循禾 、迎香而终,
以交于足阳明胃经也。此经有病,则见目黄鼻鼽等症。
手太阴肺经的经脉起始于中府穴,位于云门穴下方约一寸处;云门穴位于璇玑穴旁开六寸,巨骨穴下方两骨之间。天府穴在腋下三寸处取定,侠白穴在肘上五寸处主治,尺泽穴位于肘横纹中央,孔最穴在腕横纹上七寸处取定,列缺穴在腕横纹上一寸半处,经渠穴在寸口动脉搏动处的凹陷中,太渊穴位于掌后横纹的头端,鱼际穴在节后散脉隆起处,少商穴在大指内侧末端,鼻出血时针刺此穴可立即止血(注:云门穴位于巨骨下、侠气户旁二寸的凹陷中,距人体前正中线任脉六寸。气户穴位于巨骨下、俞府两旁各二寸的凹陷中,距前正中线任脉四寸,距膺窗穴四寸八分。俞府穴位于巨骨下、璇玑旁二寸的凹陷中。璇玑穴位于天突穴下一寸。天突穴位于结喉下四寸的凹陷中。右侧穴位定位方法由天突穴起至璇玑穴,再由璇玑穴至云门穴,其法甚为简便,后续穴位依此类推)。
手太阴肺经的循行路线:起始于食指末端,沿食指桡侧上行,出于合谷穴两骨之间,向上进入两筋之间,沿前臂桡侧上行,入肘外侧,沿上臂外侧前缘,上肩,出于骨之前缘,出于柱骨(大椎)的交会处,向下进入缺盆,联络肺脏,下行穿过膈肌,属于大肠;其支脉从缺盆上行至颈部,贯穿面颊,进入下齿龈中,复出环绕口唇,在人中穴处交叉,左侧经脉走向右侧,右侧经脉走向左侧,上行挟持鼻孔两侧。本经气机变动所致的病症包括牙齿疼痛、颈部肿胀。本经主要主管津液代谢异常所引发的疾病,症状包括目黄、口干、鼻塞流涕或鼻出血、咽喉肿痛闭塞、肩前部疼痛、大拇指和食指疼痛且活动不利。经气有余则表现为经脉循行部位的热肿,经气不足则表现为寒战且难以恢复,从而产生上述各种病症。(“”字读音为语口切,“颊”字读音为鸠药切,“鼽”音求,“衄”音扭)。
以上论述的是大肠经脉之气的运行,这是十二经脉中的第二经。“大指次指”指的是手的第二指,即食指。肺经原本起始于拇指,而大肠经则起始于食指,这里所说的“大指次指”,是指大拇指旁边的第二个手指,并非指既从拇指发出又从食指发出。合谷穴是本经的穴位(俗称虎口)。肩端两骨之间称为骨。肩胛骨上际处称为天柱骨。缺盆是足阳明胃经的穴位。头部茎状物为颈,耳朵以下弯曲处为颊。文中所说的大肠经,实为手阳明大肠经的经脉,它承接手太阴肺经的气血交接,于是起始于手指末端,沿着食商的阳溪、二间、三间等穴的上缘,出于合谷穴,在两骨之间,又上行至阳溪穴,即两筋之间,再沿前臂上缘经过偏历、温溜、下廉、上廉、三里等穴,进入肘外侧的曲池穴,向上沿上臂外侧前缘,经过肘部的五里、臂臑等穴,上至肩部的肩髃穴,又出于骨的前缘,循行经过巨骨穴,向上出于天柱骨(大椎)的交会处,与大椎相会,自大椎向下,进入缺盆,沿足阳明胃经的路线,在外侧络属并环绕肺脏,再下行穿过膈肌,在天枢穴外侧,会合归属于大肠;其分支虽从偏历穴进入,但又从缺盆上行至颈部,循行经过天鼎、扶突穴,向上贯穿面颊,进入下齿缝中,复出夹持口角两旁的地仓穴,相交于人中的内部,左侧经脉走向右侧,右侧经脉走向左侧,上行挟持鼻孔,循行经过禾髎、迎香穴而终止,以此与足阳明胃经相接。此经发生病变,就会出现目黄、鼻鼽等症状。
The Lung Meridian of Hand-Taiyin originates at Zhongfu (LU-1), located approximately one cun below Yunmen (LU-2); Yunmen is situated six cun lateral to the midline, below Jugu (SI-1). Tianfu (LU-3) is sought three cun below the axilla; Xiabai (LU-4) governs conditions when located five cun above the elbow; Chize (LU-5) is discussed at the center of the cubital crease; Kongzui (LU-6) is taken seven cun above the wrist crease; Lieque (LU-7) is one and a half cun above the wrist crease; Jingqu (LU-8) is found in the depression at the radial pulse (Cunkou); Taiyuan (LU-9) is at the head of the transverse crease of the wrist; Yuji (LU-10) is elevated where the dispersed vessels scatter after the thenar eminence; Shaoshang (LU-11) is on the medial end of the thumb. Needling this point stops epistaxis immediately. (Note: Yunmen is in the depression two cun lateral to Xiayuhu, below Jugu, six cun from the anterior midline Ren Meridian. Qihu is in the depression two cun lateral to Yufu, below Jugu, four cun from the anterior midline and 4.8 cun from Yingchuang. Yufu is in the depression two cun lateral to Xuanji, below Jugu. Xuanji is one cun below Tiantu. Tiantu is in the depression four cun below the laryngeal prominence. The method for locating points on the right side starts from Tiantu to Xuanji, then to Yunmen; this method is very simple, and subsequent points follow this pattern.)
The Hand-Taiyin Lung Meridian begins at the tip of the index finger, follows the radial border of the finger, emerges between the two bones at Hegu (LI-4), enters between the two tendons, follows the radial border of the forearm, enters the lateral aspect of the elbow, ascends along the anterolateral aspect of the upper arm, reaches the shoulder, emerges anterior to the bone, reaches the intersection of the Zhu Gu (Dazhui GV-14), descends into Quepen (ST-12), connects with the Lung, passes through the diaphragm, and belongs to the Large Intestine. Its branch rises from Quepen to the neck, penetrates the cheek, enters the lower teeth, returns to encircle the mouth, crosses at Renzhong (GV-26), with the left meridian crossing to the right and the right to the left, ascending to flank both sides of the nostrils. When the Qi of this meridian moves abnormally, it causes toothache and neck swelling. This meridian primarily governs diseases related to fluid metabolism, presenting as yellow eyes, dry mouth, rhinorrhea or epistaxis, pharyngitis, pain in the anterior shoulder, and pain or dysfunction of the thumb and index finger. Excess Qi results in heat and swelling along the meridian's pathway; deficiency results in chills that do not resolve, leading to these various ailments. ("" pronounced 'yu kou', "cheek" pronounced 'jiu yue', "rhinorrhea" sounds like 'qiu', "epistaxis" sounds like 'niu').
This passage describes the circulation of Qi in the Large Intestine Meridian, which is the second meridian. "The tip of the index finger next to the thumb" refers to the second finger of the hand, namely the index finger. The Lung Meridian originally originates from the thumb, while the Large Intestine Meridian originates from the index finger; thus, "the tip of the index finger next to the thumb" refers to the finger adjacent to the thumb, not implying origin from both the thumb and the index finger. Hegu is an acupoint of this meridian (commonly known as the tiger's mouth). The space between the two bones at the shoulder end is called the bone. The upper edge of the scapula is called the Heavenly Pillar Bone. Quepen is an acupoint of the Foot-Yangming Stomach Meridian. The stem of the head is the neck; the curved area below the ear is the cheek. The text mentions the Large Intestine, referring to the Hand-Yangming Large Intestine Meridian, which receives the connection from the Hand-Taiyin Lung Meridian, thus originating at the tip of the finger, following the radial border of Shangyang (LI-1), Erjian (LI-2), Sanjian (LI-3), emerging at Hegu between the two bones, ascending again to Yangxi (LI-5) between the two tendons, then following the radial border of the forearm through Pianli (LI-6), Wenliu (LI-7), Xialian (LI-8), Shanglian (LI-9), Sanli (LI-10), entering Quchi (LI-11) at the lateral elbow, ascending along the anterolateral aspect of the upper arm through Wuli (LI-13) and Binao (LI-14), reaching the shoulder Shangu (LI-15), emerging anterior to the bone, following Jugu (SI-1), ascending to the intersection of the Heavenly Pillar Bone (Dazhui GV-14), meeting at Dazhui, descending from Dazhui into Quepen, following the Foot-Yangming Stomach Meridian, laterally connecting and surrounding the Lung, descending through the diaphragm, meeting and belonging to the Large Intestine outside Tianshu (ST-25); its branch, although entering from Pianli, also ascends from Quepen to the neck, following Tianding (LI-16) and Futu (LI-18), penetrating the cheek, entering the lower gum, returning to flank the corners of the mouth (Dicang ST-4), intersecting inside Renzhong (GV-26), with the left meridian going to the right and the right to the left, ascending to flank the nostrils, following Heliao (LI-19) and Yingxiang (LI-20) to terminate, thereby connecting with the Foot-Yangming Stomach Meridian. Diseases of this meridian manifest as yellow eyes, nasal congestion, and other symptoms.