手太阴之脉起于中焦下络大肠还循胃口上膈属肺(起发也络绕也还复也循巡也又根据也属会也中焦在胃中脘胃口胃上
下口也上口在膀上五寸上腕穴分下口在脐上二寸下腕穴分膈者隔也凡心下有膈膜以遮浊气不使上薰于心肺也)从肺系横
出腋下循 内行少阴心主之前(续肺系喉咙也喉以候气下接于肺臂下胁上际曰腋膊下对腋处为 有肘之间也 尽处为肘
臂节也)循臂内上骨下廉入寸口上鱼际循鱼际出大指之端(续肘以下为臂廉隅也边也手掌后高骨旁动脉为关关前动脉为
寸口曰鱼曰鱼际云者谓掌骨之前大指本节之后其肥肉际起处统谓之鱼鱼际则其间之穴名也端杪也)其支者从腕后直出次
指内廉出其端(臂骨尽处为腕脉之大隧为经交经者为络○愚按经云经脉十二伏行分肉之间深而不见诸脉浮而常见者皆络
脉也又云诸络脉不能经大节之间必行绝道而出入复合于皮又云当数者为经不当数者为络今滑伯仁发挥谓手太阴脉其支从
腕后出次指端交于手阳明者为手太阴络又手阳明脉其支从缺盆挟口鼻交于足阳明者为手阳明络凡十二经之支脉伏行分肉
者皆释为络脉则络脉亦伏行分肉之间而不浮见亦能经大节而不行绝道亦当经脉十六丈二尺内之数而非不当数也伯仁长于
注释愚何敢议姑着之以俟明哲)
手阳明之脉起于大指次指之端循指上廉出合谷两骨之间上入两筋之中(大指之次指谓食指也手阳明大肠经也凡经脉
之道阴脉行手足之里阳脉行手足之表)循臂上廉入肘外廉循 外前廉上肩出 骨之前廉(肩端两骨间为 骨)上出柱骨
之会于大椎(肩甲上际会处为天柱骨大柑脊上高骨)下入缺盆络肺下膈属大肠(缺盆穴名在肩下横骨陷中)其支别者从
缺盆上颈贯颊入下齿缝中(头茎为颈耳以下曲处为颊口前小者为齿)还出挟口交人中左之右右之左上挟鼻孔(口两口吻
也口唇上鼻柱下为人中)
手太阴肺经的经脉起始于中焦,向下联络大肠,然后回转过来沿着胃的上口,穿过膈肌,归属于肺脏。(“起”意为起始,“络”意为联络环绕,“还”意为回转,“循”意为沿循、根据,“属”意为归属连接。中焦位于胃的中脘部位;胃口分为上下两口,上口在膈膜之上五寸处,即上腕穴的分界处;下口在脐上二寸处,即下腕穴的分界处。“膈”即隔膜,凡是心下方有膈膜遮挡浊气,防止其向上熏蒸心肺。)从肺系(喉咙)横向走出腋下,沿手臂内侧下行,行于手少阴心经和手厥阴心包经的前方。(“续”意为接续,肺系即喉咙,喉用于纳气,下端连接肺部;臂下与胁上的交界处称为腋;膊下对腋处的中间有肘部;肘为臂部的关节。)沿手臂内侧上行,走在骨头的下缘,进入寸口,经过鱼际,沿鱼际边缘,出于大拇指的末端。(“廉”意为棱角、边沿;手掌后方的高骨旁有动脉搏动处称为关,关前脉搏跳动处称为寸口。所谓“鱼”、“鱼际”,是指掌骨之前、大拇指本节之后,那块肥肉隆起的交界处,统称为“鱼”,而“鱼际”则是其中间的一个穴位名称。“端”即末端。)它的支脉从手腕后直出,行至食指的内侧边缘,出于其末端。(臂骨尽头处为腕,脉的大通道称为经,交汇的脉络称为络。○我按:经文说十二经脉伏行于分肉之间,深藏而不可见;那些浮浅而常见的都是络脉。又说所有络脉不能经过大的关节之间,必须走特殊的道路而出入,再复合于皮表。又说应当计数的为经,不应当计数的为络。如今滑伯仁发挥解释说,手太阴脉的支脉从腕后出于食指端,交于手阳明经,这被称为手太阴络;又手阳明脉的支脉从缺盆挟持口鼻,交于足阳明经,这被称为手阳明络。如果将十二经的所有支脉伏行于分肉之间的都解释为络脉,那么络脉也就伏行于分肉之间而不浮露可见,也能经过大关节而不走特殊道路,也应当包含在经脉十六丈二尺的总数之内,而不是不应当计数的。伯仁擅长注释,我怎敢议论,暂且记下以等待明智者的指正。)
手阳明大肠经的经脉起始于食指末端,沿手指上缘,出于合谷穴在两骨之间,上行进入两筋之中。(食指的旁边即为第二指,也就是食指,这是手阳明大肠经。凡经脉的运行规律,阴脉行于手足的内侧,阳脉行于手足的外侧。)沿手臂上缘,进入肘部外侧,沿臂外侧前缘上行至肩部,出于肩峰骨的前缘。(肩端两骨之间称为肩峰骨。)上行出于柱骨的交会处,在大椎穴会合。(肩胛骨上际会合处为天柱骨,即脊背上高耸的骨头。)下行进入缺盆,联络肺脏,穿过膈肌,归属于大肠。(缺盆是穴位名,位于肩下横骨凹陷中。)它的支别脉从缺盆上行至颈部,贯穿面颊,进入下齿缝中。(头颈部分为颈,耳以下弯曲处为颊,口前较小的牙齿为齿。)回转出来,挟持口角,交叉于人中穴,左边的交叉到右边,右边的交叉到左边,上行挟持鼻孔两侧。
The Lung Meridian of Hand-Taiyin originates in the middle jiao (Middle Burner), descends to connect with the Large Intestine, then returns to follow the upper opening of the stomach, passes through the diaphragm, and attaches to the Lung. ("Qi" means origin; "Luo" means to connect and surround; "Huan" means to return; "Xun" means to follow along; "Shu" means to attach or belong. The Middle Jiao is located at the Zhongwan point in the center of the stomach. The gastric opening has an upper and a lower part: the upper opening is five cun above the diaphragm, corresponding to the boundary of the Shangwan point; the lower opening is two cun above the umbilicus, corresponding to the boundary of the Xiawan point. "Ge" refers to the diaphragm/membrane. Generally, there is a membrane below the heart that blocks turbid qi from ascending to fumigate the Heart and Lungs.) From the lung system (trachea/throat), it emerges horizontally into the axilla, running along the medial aspect of the arm, anterior to the Heart Meridian of Hand-Shaoyin and the Pericardium Meridian of Hand-Jueyin. ("Xu" means to continue; the lung system refers to the throat, which receives qi and connects inferiorly to the lungs; the junction between the lower arm and the hypochondrium is called the axilla; the area opposite the axilla on the arm contains the elbow; the elbow is the joint of the arm.) It continues along the medial aspect of the forearm, descending along the lower border of the radius/ulna, enters the Cun Kou (pulse-taking site), passes through the Yu Ji (Fish Border) area, and emerges at the tip of the thumb. ("Lian" means edge or corner; beside the high bone behind the palm lies the Guan pulse point; anterior to the Guan is the Cun Kou pulse point. The terms "Yu" and "Yu Ji" refer to the fleshy prominence anterior to the metacarpal bones and posterior to the first metacarpophalangeal joint, collectively called "Yu," while "Yu Ji" specifically names the acupoint within this region. "Duan" means the extremity.) Its branch arises directly from behind the wrist, travels along the medial aspect of the index finger, and emerges at its tip. (The end of the arm bone is the wrist; the main channel of the vessel is the Jing (Channel); intersecting vessels are the Luo (Collaterals). ○ I note: The classic states that the twelve Jing meridians run deep within the muscle intervals, hidden from view; those that are superficial and visible are all Luo collaterals. It also states that all Luo collaterals cannot pass through major joints but must take alternative routes to enter and exit, rejoining at the skin surface. Furthermore, those counted as Jing are channels, while those not counted are collaterals. Now, Hua Bo Ren elaborates that the branch of the Hand-Taiyin meridian emerges from behind the wrist to the tip of the index finger, connecting to the Hand-Yangming meridian, thus being called the Hand-Taiyin Luo collateral; similarly, the branch of the Hand-Yangming meridian emerges from the Que Pen point, flanking the mouth and nose to connect with the Foot-Yangming meridian, thus being called the Hand-Yangming Luo collateral. If all branches of the twelve meridians running deep in the muscle intervals are interpreted as Luo collaterals, then these collaterals would also run deep without being superficially visible, could pass through major joints without taking alternative routes, and should be included in the total measurement of sixteen zhang and two chi of the Jing meridians, rather than being uncounable. Master Bo Ren excels in annotation; how dare I critique? I record this here for the wise to judge.)
The Large Intestine Meridian of Hand-Yangming originates at the tip of the index finger, follows the radial aspect of the finger, emerges at the He Gu point between the two bones, and ascends into the space between the two tendons. (The finger next to the thumb is the index finger; this is the Large Intestine Meridian of Hand-Yangming. Regarding the course of meridians, Yin meridians run on the medial/intrinsic side of the limbs, while Yang meridians run on the lateral/exterior side.) It follows the radial aspect of the forearm, enters the lateral aspect of the elbow, runs along the anterior-lateral aspect of the arm to the shoulder, and emerges anterior to the acromion/clavicle joint. (The space between the two bones at the shoulder tip is the acromion/clavicular joint.) It ascends to meet the intersection of the vertebral column at the Da Zhui point. (The meeting place at the superior margin of the scapula is the Tian Zhu bone, i.e., the prominent vertebrae on the spine.) It descends into the Que Pen (Clavicular Fossa) point, connects with the Lung, passes through the diaphragm, and attaches to the Large Intestine. (Que Pen is an acupoint name located in the depression of the clavicle below the shoulder.) Its branch diverges from the Que Pen, ascends to the neck, penetrates the cheek, and enters the lower gum/tooth socket. (The neck is the cervical region; the curved area below the ear is the cheek; the smaller teeth at the front of the mouth are the incisors/canines.) It returns to emerge, flanking the mouth, crosses at the Ren Zhong (Philtrum) point, crossing from left to right and right to left, and ascends to flank both sides of the nostrils.