起于大趾之端，循趾内侧白肉际，过核骨后，上内踝前廉，上 内，循胫骨后，交出厥阴之前，上膝股内前廉，入
腹属脾络胃，上膈，挟咽，连舌本，散舌下；其支者，复从胃，别上膈，注心中。是动则病舌本强，食则呕，胃脘痛，
腹胀善噫，得后与气则快然如衰，身体皆重。是主脾所生病者，舌本痛，体不能动摇，食不下，烦心，心下急痛，溏瘕
泄，水闭黄胆，不能卧，强立股膝内肿厥，足大趾不用，为此诸病。（踝，湖瓦切）
此言脾经脉之行，乃为第四经也。核骨，一作 骨（俗之孤拐）。足根后两旁起骨为踝骨，腓腹为 ，髀内为股，
脐上为腹。咽以咽物，居喉之前，至胃长一尺六寸，为胃之系。舌本，舌根也。足太阴起大趾端之隐白穴，受足阳明之
交也，循大趾内侧白肉际大都穴，过核骨后，历太白、公孙、商丘，上内踝前廉之三阴交，又上 内，循 骨后之漏
谷，上行二寸，交出足厥阴之前，至地机、阴陵泉，上循膝股前廉之血海、箕门，迤逦入腹，经冲门、府舍，会中
极、关元；复循腹结、大横，会下脘，历腹哀，过日月、期门之分，循本经之里，下至中脘之际，以属脾络胃，又由
腹哀上膈，循食窦、天溪、胸乡、周荣曲折而下至大包，又自大包外曲折向上会中府，上行人迎之里，挟喉，连舌本，
散舌下而终；其支行者，由腹哀别行，再从胃部中脘穴之外，上膈，注于膻中之里，心之分，以交于手少阴心经也。及
其动穴验病，则为舌本强等症者，随其部分而应之也。
起于大脚趾尖端，沿着脚趾内侧的白肉边缘，经过核骨后方，上行至内踝前缘，再向上进入小腿内侧，沿胫骨后方行走，在足厥阴肝经之前交叉而出，上行至膝盖和大腿内侧前缘，进入腹部，归属于脾脏，联络胃腑，穿过膈肌，夹行于咽喉两侧，连接舌根，散布于舌下；其分支，又从胃部分出，别行穿过膈肌，注入心中。当本经发生异常变动时，会出现舌根僵硬，进食则呕吐，胃脘疼痛，腹部胀满且容易嗳气，大小便通畅或排气后感觉轻松症状减轻，身体沉重。本经主治脾脏所生的疾病，包括舌根疼痛，身体不能动摇，饮食不下，心烦，心窝处急痛，大便溏泄或痢疾，小便不通及黄疸，无法安卧，强行站立则大腿和膝盖内侧肿胀厥冷，大脚趾不能活动，出现上述各种病症。（“踝”字读音为“huǎ”，即湖瓦切）
这里讲述的是脾经脉的循行路线，它是十二经脉中的第四条。核骨，又写作“跗骨”（俗称孤拐）。足跟后方两侧的突起骨头称为踝骨，腓肠肌部位称为腨，大腿内侧称为股，肚脐以上称为腹。咽部用于吞咽食物，位于喉部前方，长度为一尺六寸，是胃的系连。舌本，即舌根。足太阴脾经起于大脚趾端的隐白穴，接受足阳明胃经的气血交接，沿着大脚趾内侧白肉边缘的大都穴，经过核骨后方，依次经过太白、公孙、商丘穴，上行至内踝前缘的三阴交穴，再向上进入小腿内侧，沿胫骨后方的漏谷穴，上行二寸，在足厥阴肝经之前交叉而出，到达地机、阴陵泉穴，向上沿膝盖和大腿前缘的血海、箕门穴，蜿蜒进入腹部，经过冲门、府舍穴，会合于中极、关元穴；再沿腹结、大横穴，会合于下脘穴，经过腹哀穴，越过日月、期门穴的分界，沿本经深层下行至中脘穴附近，从而归属于脾脏并联络胃腑，又从腹哀穴上行穿过膈肌，经过食窦、天溪、胸乡、周荣穴，曲折向下到达大包穴，又自大包穴向外曲折向上会合于中府穴，向上进入人迎穴的里侧，夹行于喉咙，连接舌根，散布于舌下而终止；其支脉，从腹哀穴别行，再从胃部中脘穴的外侧，上行穿过膈肌，注入膻中穴的里侧，即心脏所属区域，从而与手少阴心经相交接。至于其动穴验证病症，如舌根僵硬等症状，都是随着经脉循行的部位而相应出现的。
It originates at the tip of the great toe, follows the white flesh margin on the medial side of the toe, passes behind the nuclear bone (the first metatarsal head), ascends to the anterior edge of the medial malleolus, enters the medial aspect of the lower leg, runs posterior to the tibia, crosses anterior to the Foot Jueyin Liver Meridian, ascends along the anterior edge of the medial knee and thigh, enters the abdomen, connects with the Spleen Zang-organ and links with the Stomach Fu-organ, pierces the diaphragm, flanks the pharynx, connects with the root of the tongue, and scatters under the tongue; its branch separates from the Stomach, passes through the diaphragm again, and pours into the Heart. When this meridian is disturbed, it causes stiffness of the tongue root, vomiting after eating, epigastric pain, abdominal distension with frequent belching, a feeling of relief after defecation or passage of gas, and heaviness of the body. It governs diseases generated by the Spleen, such as pain in the tongue root, inability to move the body, difficulty in swallowing food, vexation, urgent pain in the epigastrium, loose stools or dysentery, urinary retention and jaundice, inability to lie down, swelling and coldness in the medial thigh and knee when standing forcibly, and dysfunction of the great toe. These are the various diseases associated with this meridian. ("Malleolus" is pronounced "huǎ").
This text describes the course of the Foot-Taiyin Spleen Meridian, which is the fourth meridian. The nuclear bone is also written as "Fu bone" (colloquially known as the ankle joint). The bony prominence on both sides behind the heel is called the malleolus, the calf muscle is called the "Shuan", the inner thigh is called the "Gu", and the area above the navel is called the abdomen. The pharynx is used for swallowing and is located anterior to the larynx, measuring one chi and six cun in length, serving as the connection to the Stomach. The root of the tongue refers to the base of the tongue. The Foot-Taiyin Spleen Meridian begins at the Yinbai point (SP1) at the tip of the great toe, receiving qi from the Foot-Yangming Stomach Meridian. It follows the medial white flesh margin to the Dadu point (SP2), passes behind the nuclear bone, and sequentially passes through the Taibai (SP3), Gongsun (SP4), and Shangqiu (SP5) points. It ascends to the Sanyinjiao point (SP6) at the anterior edge of the medial malleolus, then enters the medial lower leg, following the Lougu point (SP7) posterior to the tibia. Ascending two cun, it crosses anterior to the Foot-Jueyin Liver Meridian, reaching the Diji (SP8) and Yinlingquan (SP9) points. It continues upward along the anterior edge of the knee and thigh to the Xuehai (SP10) and Jimen (SP11) points, meanders into the abdomen, passing through the Chongmen (SP12) and Fushhe (SP13) points, meeting at the Zhongji (CV3) and Guanyuan (CV4) points. It then follows the Fujie (SP14) and Daheng (SP15) points, meets at the Xiawan (CV10) point, passes through the Fu'ai (SP16) point, crosses the boundaries of the Riyue (GB24) and Qimen (LR14) points, runs deep within the meridian's pathway, descends to the vicinity of the Zhongwan (CV12) point, thereby connecting with the Spleen and linking with the Stomach. From the Fu'ai point, it ascends through the diaphragm, passing through the Shidou (SP17), Tianxi (SP18), Xiongxiang (SP19), and Zhourong (SP20) points, curving downward to reach the Dabao point (SP21). From the Dabao point, it curves outward and upward to meet the Zhongfu point (LU1), ascends into the interior of the Renying point (ST9), flanks the throat, connects with the root of the tongue, and scatters under the tongue to terminate. Its branch separates from the Fu'ai point, runs from the exterior of the Zhongwan point in the Stomach region, ascends through the diaphragm, pours into the interior of the Tanzhong point (CV17), which corresponds to the Heart region, thereby connecting with the Hand-Shaoyin Heart Meridian. Regarding the verification of diseases via active acupoints, symptoms such as tongue root stiffness appear corresponding to the specific segments of the meridian.