手少阴九穴成,极泉青灵少海深,自灵道通理而达,过阴 神门而迎,抵于少府少冲可寻。
少阴心起极泉中,腋下筋间脉入胸(臂内腋下,筋间动脉,入胸)。青灵肘上三寸取(伸肘,举臂取之),少海肘后
端五分(肘内廉节后,大骨外,去肘端五分,屈肘向头得之)。灵道掌后一寸半,通里腕后一寸同。阴 腕后方半寸,神
门掌后兑骨隆。少府节后劳宫直,小指内侧取少冲。(凡九穴,左右各一十八穴)
\r手太阴心经之图\p06-d32a12.bmp\r
起于小指之端,循手外侧上腕,出踝中,直循臂骨下廉,出肘内侧两筋之间,上循 外后廉,出肩解,绕肩胛,交
肩上,入缺盆络心,循咽下膈,抵胃属小肠,其支者,从缺盆循颈上颊,至目锐 ,却入耳中;其支者,别颊上 抵鼻,
至目内 ,斜络于颧。是动则病嗌痛颔肿,不可以顾,肩似拔, 似折。是主液所生病者,耳聋目黄颊肿,颈颔肩 肘
臂外后廉痛,为此诸病。
此言小肠经脉气之行,乃为第六经也。臂骨尽处为腕,腕下兑骨为踝,脊两旁为膂,膂上两骨为肩解,肩解片骨为
肩胛,目外角为外 ,目下为 ,目内角为内 。手太阳起小指少泽穴,受手少阴心经之交也,由是循外侧之前谷、
后溪,上腕出踝中,历腕骨、阳谷、养老穴,直上循臂骨下廉支正,出肘内侧两筋之间,历小海穴,上循 外廉,行
手阳明、少阳之外,上肩,循肩贞、 俞、天宗、秉风、曲垣、肩外俞、肩中俞诸穴,乃上会大椎,左右相交于两肩之
上,自交肩上入缺盆,循肩向腋下行,当膻中之分,络心,循胃系下膈,过上脘抵胃,下行任脉之外,当脐上二寸之分,
属小肠;其支者,从缺盆循颈之天窗、天容,上颊抵颧 ,上至目锐 ,过瞳子 ,却入耳中,循听宫而终,其支别者,
别循颊,上 抵鼻,至目内 睛明穴,以斜络于颧而交于足太阳经也。故变动则有嗌痛颔肿等症。
手少阴心经的九个穴位已经列全:极泉、青灵、少海穴位较深,从灵道、通理(即通里)到达阴郄、神门,再抵达少府和少冲可以寻得。
手少阴心经起始于极泉穴,位于腋下筋间,动脉入胸(手臂内侧腋下,筋间动脉处,向内进入胸部)。青灵穴在肘上三寸处取穴(伸直手臂,举起手臂时取穴),少海穴在肘后端五分处(肘内侧边缘关节后方,大骨外侧,距离肘端五分,屈肘向头部方向可找到)。灵道穴在掌后一寸半处,通里穴在腕后一寸处相同位置。阴郄穴在腕后方半寸,神门穴在掌后兑骨(豌豆骨)隆起处。少府穴在节后与劳宫穴垂直对应,在小指内侧取少冲穴。(共九穴,左右各一,合计十八穴)
手太阳小肠经起于小指末端,沿手外侧上行至腕部,出踝中(手腕下方豆骨处),直循臂骨下缘,出肘内侧两筋之间,上行沿臂外后侧缘,出肩解(肩关节凹陷处),绕肩胛,交会于肩上,进入缺盆,联络心脏,沿咽部下膈,抵达胃部,归属于小肠。其支脉,从缺盆沿颈部上达面颊,至目锐眦(外眼角),又回入耳中;另一支脉,从面颊分出,上行至鼻旁,至目内眦,斜行络于颧骨。经脉气机变动则出现咽喉痛、下颌肿,不能回顾,肩部像被拔除般疼痛,肘部像折断般疼痛。此经主治津液所生的疾病,如耳聋、目黄、面颊肿,颈、颔、肩、肘、臂外后侧缘疼痛,以及上述各种病症。
这里讲述的是小肠经脉之气运行的路径,它是第六条经脉。臂骨尽头处为腕,腕下豆骨为踝,脊柱两旁为脊肉,脊肉上两侧骨头为肩解,肩解处的片状骨为肩胛,目外角为外眦,眼下为眶下缘,目内角为内眦。手太阳小肠经起于小指端的少泽穴,接受手少阴心经的气血交接,由此沿外侧之前谷、后溪穴,上行至腕,出踝中,经过腕骨、阳谷、养老穴,直上沿臂骨下缘至支正穴,出肘内侧两筋之间,经过小海穴,上行沿臂外后侧缘,行于手阳明大肠经、手少阳三焦经之外侧,上肩,经过肩贞、天髎、天宗、秉风、曲垣、肩外俞、肩中俞等穴,于是上会于大椎穴,左右相交于两肩之上,自交会于肩上后进入缺盆,沿肩向腋下行,当膻中之分界处,联络心脏,沿胃系下膈,过上脘抵达胃,下行于任脉之外,当脐上二寸处,归属于小肠;其支脉,从缺盆沿颈部的天窗、天容穴,上达面颊抵颧骨,上至目锐眦,过瞳子髎,又回入耳中,沿听宫穴而终,其分支别行,沿面颊,上行至鼻旁抵颧骨,至目内眦睛明穴,以斜行络于颧骨而与足太阳膀胱经交接。所以经脉变动则有咽喉痛、下颌肿等症状。
The nine acupoints of the Hand-Shaoyin (Heart) Meridian are complete: Jiquan (HT1), Qingling (HT2), and Shaohai (HT3) are deep; from Lingdao (HT4) and Tongli (HT5) one reaches Yinxi (HT6) and Shenmen (HT7), arriving at Shaofu (HT8) and Shaochong (HT9) which can be located.
The Hand-Shaoyin Heart Meridian originates at Jiquan (HT1), located between the tendons in the axilla, where the artery enters the chest (on the medial aspect of the arm in the axilla, at the arterial pulse between the tendons, entering inward to the chest). Qingling (HT2) is taken three cun above the elbow (extend the arm and raise it to locate). Shaohai (HT3) is five fen distal to the end of the elbow (medial to the elbow joint, lateral to the large bone, five fen from the elbow end; flex the elbow toward the head to find it). Lingdao (HT4) is one and a half cun proximal to the palm crease; Tongli (HT5) is one cun proximal to the wrist crease. Yinxi (HT6) is half a cun proximal to the wrist crease; Shenmen (HT7) is at the prominence of the pisiform bone (Dui Gu) proximal to the palm. Shaofu (HT8) is vertically aligned with Laogong (PC8) posterior to the joint; Shaochong (HT9) is taken on the medial side of the little finger. (Totaling nine acupoints, one on each side, eighteen in total.)
The Hand-Taiyang Small Intestine Meridian originates at the tip of the little finger, follows the lateral aspect of the hand upward to the wrist, emerges from the ankle region (distal to the wrist at the pisiform bone), runs straight along the lower medial border of the forearm bone, emerges between the two tendons on the medial side of the elbow, ascends along the posterolateral border of the arm, emerges from the shoulder joint depression (Jiejie), winds around the scapula, intersects at the shoulder, enters the supraclavicular fossa (Quepen), connects with the Heart, follows the pharynx downward through the diaphragm, reaches the Stomach, and belongs to the Small Intestine. Its branch arises from the supraclavicular fossa, follows the neck upward to the cheek, reaches the outer canthus (Wairui), and returns into the ear; another branch diverges from the cheek, ascends to the nasal area, reaches the inner canthus (Neicui), and obliquely connects with the zygomatic bone. When the meridian qi undergoes pathological changes, symptoms include sore throat, submandibular swelling, inability to look back, shoulder pain as if being pulled out, and elbow pain as if broken. This meridian governs diseases generated by fluid metabolism, such as deafness, yellow eyes, facial swelling, and pain along the posterolateral aspect of the neck, jaw, shoulder, elbow, and arm, as well as the aforementioned various conditions.
This passage describes the circulation of Qi in the Small Intestine Meridian, which is the sixth meridian. The end of the arm bone is the wrist; the pisiform bone below the wrist is the "ankle" (Huai); the muscles beside the spine are the Lumbar muscles (Lv); the two bones above the lumbar muscles are the Shoulder Joint (Jiejie); the flat bone of the shoulder joint is the Scapula (Jianjia); the outer corner of the eye is the Outer Canthus (Waimao); the area below the eye is the infraorbital margin; the inner corner of the eye is the Inner Canthus (Neimao). The Hand-Taiyang Small Intestine Meridian begins at Shaose (SI1) on the tip of the little finger, receiving the intersection from the Hand-Shaoyin Heart Meridian. From there, it follows the anterior aspect of the lateral side to QianGu (SI12) and HouXi (SI3), ascends to the wrist, emerges from the ankle region, passes through WangGu (SI4), YangGu (SI5), and YangLao (SI6), goes straight up along the lower border of the forearm bone to Zhizheng (SI7), emerges between the two tendons on the medial side of the elbow, passes through Xiaohai (SI8), ascends along the posterolateral border of the arm, running external to the Hand-Yangming Large Intestine Meridian and Hand-Shaoyang Sanjiao Meridian, goes up to the shoulder, passes through JianZhen (SI9), Tianliao (SI10), TianZong (SI11), BingFeng (SI12), QuYuan (SI13), JianWaiShu (SI14), and JianZhongShu (SI15), then ascends to meet at Dazhui (GV14), intersecting left and right above the shoulders. From the intersection at the shoulder, it enters the supraclavicular fossa, descends along the shoulder toward the axilla, at the level of Danzhong (CV17), connects with the Heart, follows the stomach system downward through the diaphragm, passes above Shangwan (CV13), reaches the Stomach, descends external to the Ren Meridian, at the level two cun above the umbilicus, and belongs to the Small Intestine; its branch arises from the supraclavicular fossa, follows TianChuang (SI16) and TianRong (SI17) in the neck, ascends to the cheek and zygoma, reaches the outer canthus, passes through TongziLiao (GB1), returns into the ear, follows TingGong (SI19) to terminate; its separate branch diverges, follows the cheek, ascends to the nasal area and zygoma, reaches the inner canthus Jingming (BL1), and obliquely connects with the zygoma to intersect with the Foot-Taiyang Bladder Meridian. Therefore, pathological changes manifest as symptoms such as sore throat and submandibular swelling.