人身络脉一十五，我今逐一从头举∶手太阴络为列缺，手少阴络即通里，手厥阴络为内
关，手太阳络支正是，手阳明络偏历当，手少阳络外关位，足太阳络号飞扬，足阳明络丰隆
记，足少阳络为光明，足太阴络公孙寄，足少阴络名大钟，足厥阴络蠡沟配，阳督之络号长
强，阴任之络为屏翳，脾之大络为大包，十五络名君须记。
十五络脉者，十二经之别络而相通焉者也。其余三络，为任督二脉之络，脾之大络，总
统阴阳诸络，灌溉于脏腑者也。《难经》谓三络为阳跷、阴跷二络，常考之无穴可指。且二
跷亦非十四经之正也。《针灸节要》以为任络曰尾翳，督络曰长强，诚得《十四经发挥》之
正理，加以脾之大络曰大包，此合十五络也。
手太阴之别络，名曰列缺。起于腕上分间，并太阴之经，直入掌中，散入鱼际。其病实
则手锐掌热，泻之；虚则欠KT ，小便遗数，补之。去腕寸半，别走阳明也。
手少阴之别络，名曰通里。去腕一寸，别走太阳，循经入于心中，系舌本，属目系，实
则支膈，泻之；虚则不能言，补之。
手厥阴之络，名曰内关。去掌二寸两筋间，别走少阳，循经上系于心包络心系
。实则心痛，泻之；虚则头强，补之。
手太阳之别络，名曰支正。上腕五寸，别走少阴，其别者，上走肘，络肩 。实则节
弛肘废，泻之；虚则生疣，小者如指痂疥，补之。
手阳明之别络，名曰偏历。去腕三寸，别走太阴；其别者，上循臂，乘肩 ，上曲颊
偏齿；其别者，入耳，合于宗脉。实则龋聋，泻之；虚则齿寒痹膈，补之。
手少阳之别络，名曰外关。去腕二寸，外绕臂，注胸中，别走手厥阴。实则肘挛，泻之
；虚则不收，补之。
足太阳之别络，名曰飞扬。去踝七寸，别走少阴。实则鼽窒，头背痛，泻之；虚则鼽衄
足少阳之别络，名曰光明，去踝五寸，别走厥阴，下络足跗。实则厥，泻之；虚则痿
，坐不能起，补之。
足阳明之别络，名曰丰隆。去踝八寸，别走太阴。其别者，循胫骨外廉，上络头项，合
诸经之气，下络喉嗌。其病气逆则喉痹，卒喑，实则狂癫，泻之；虚则足不收，胫枯，补
足太阴之别络，名曰公孙。去本节之后一寸，别走阳明。其别者，入络肠胃，厥气上逆
则霍乱。实则肠中切痛，泻之；虚则鼓胀，补之。
足少阴之别络，名曰大钟。当踝后绕跟，别走太阳；其别者，并经上走于心包下，外贯
腰脊。其病气逆烦闷，实则闭癃，泻之；虚则腰痛，补之。
足厥阴之别络，名曰蠡沟。去内踝五寸，别走少阳；其别者，经胫上睾，结于茎。其病
气逆则睾肿，卒疝，实则挺长，泻之；虚则暴痒，补之。
任脉之别络，名曰屏翳，下鸠尾，散于腹。实则腹皮痛，泻之；虚则痒搔，补之。
督脉之别络，名曰长强，侠膂上项，散头上，下当肩胛左右，别走太阳，入贯膂。实则
脊强，泻之；虚则头重高摇，补之。
脾之大络，名曰大包。出渊液下三寸，布胸胁，实则身尽痛，泻之；虚则百节尽皆纵，
凡此十五络者，实则必见，虚则必下，视之不见，求之上下。人经不同，络脉异所别也。
人身共有十五条络脉，我现在逐一从头说起：手太阴肺经的络穴叫列缺，手少阴心经的络穴就是通里，手厥阴心包经的络穴是内关，手太阳小肠经的络穴是支正，手阳明大肠经的络穴是偏历，手少阳三焦经的络穴是外关，足太阳膀胱经的络穴叫飞扬，足阳明胃经的络穴记作丰隆，足少阳胆经的络穴是光明，足太阴脾经的络穴寄附于公孙，足少阴肾经的络穴名叫大钟，足厥阴肝经的络穴配合蠡沟，阳维之络（此处指督脉之络）叫长强，阴维之络（此处指任脉之络）叫屏翳，脾的大络是大包，这十五条络脉的名字你必须记住。
十五络脉，是十二经脉的别络而相互连通的。其余三条络脉，分别是任脉和督脉的络脉，以及脾的大络，它们总领统率阴阳各条络脉，向脏腑灌溉气血。《难经》认为这三条络脉是阳跷脉和阴跷脉的络脉，但仔细考证发现没有穴位可以指认。而且跷脉也不属于十四正经。《针灸节要》认为任脉的络穴叫尾翳，督脉的络穴叫长强，这确实符合《十四经发挥》的正理，再加上脾的大络叫大包，这就合成了十五条络脉。
手太阴肺经的别络，名叫列缺。起于手腕上侧的分肉间，与手太阴肺经并行，直入掌中，散布在鱼际处。它的病证表现为实证时手掌心和手腕锐骨处发热，应使用泻法；虚证时出现呵欠、小便频数或遗尿，应使用补法。该络脉距离腕横纹一寸半，别行走向手阳明大肠经。
手少阴心经的别络，名叫通里。距离腕横纹一寸，别行走向手太阳小肠经，沿经脉进入心中，联系舌根，归属于目系。实证表现为胸膈支撑胀满，应使用泻法；虚证表现为不能说话，应使用补法。
手厥阴心包经的络脉，名叫内关。距离掌心二寸，在两筋之间，别行走向手少阳三焦经，沿经脉向上联系于心包络和心系。实证表现为心痛，应使用泻法；虚证表现为头项强痛，应使用补法。
手太阳小肠经的别络，名叫支正。距离腕横纹五寸，别行走向手少阴心经，其分支向上走到肘部，联络肩部。实证表现为关节松弛、肘部废用，应使用泻法；虚证则生疣赘，小的如手指大小的痂疥，应使用补法。
手阳明大肠经的别络，名叫偏历。距离腕横纹三寸，别行走向手太阴肺经；其分支，向上沿手臂，经过肩部，上至曲颊并联络牙齿；另一分支，进入耳中，与宗脉相合。实证表现为龋齿耳聋，应使用泻法；虚证表现为牙齿寒冷、痹阻胸膈，应使用补法。
手少阳三焦经的别络，名叫外关。距离腕横纹二寸，向外环绕手臂，注入胸中，别行走向手厥阴心包经。实证表现为肘部拘挛，应使用泻法；虚证表现为手部不能收持，应使用补法。
足太阳膀胱经的别络，名叫飞扬。距离内踝七寸，别行走向足少阴肾经。实证表现为鼻塞流涕、头背痛，应使用泻法；虚证表现为鼻塞流清涕或鼻出血。（原文此处似有脱漏，依常理补全语境，但翻译仅忠实于原文可见部分及逻辑断句）
足少阳胆经的别络，名叫光明，距离内踝五寸，别行走向足厥阴肝经，向下联络足背。实证表现为四肢厥冷，应使用泻法；虚证表现为痿软无力，坐起困难，应使用补法。
足阳明胃经的别络，名叫丰隆。距离内踝八寸，别行走向足太阴脾经。其分支，沿胫骨外侧，向上联络头项，汇聚各经之气，向下联络咽喉。其病证表现为气逆则喉痹，突然失音，实证表现为狂癫，应使用泻法；虚证表现为足部不能收持、小腿枯瘦，应使用补法。
足太阴脾经的别络，名叫公孙。距离第一跖骨基底后一寸，别行走向足阳明胃经。其分支，进入并联络肠胃，厥逆之气上逆则导致霍乱。实证表现为肠中剧烈疼痛，应使用泻法；虚证表现为腹部鼓胀，应使用补法。
足少阴肾经的别络，名叫大钟。位于内踝后方绕跟骨，别行走向足太阳膀胱经；其分支，沿经脉上行至心包下方，外贯腰脊。其病证表现为气逆烦闷，实证表现为小便闭塞不通，应使用泻法；虚证表现为腰痛，应使用补法。
足厥阴肝经的别络，名叫蠡沟。距离内踝五寸，别行走向足少阳胆经；其分支，沿胫骨上行至睾丸，结聚于阴茎。其病证表现为气逆则睾丸肿胀，突发疝气，实证表现为阴茎挺长，应使用泻法；虚证表现为突然瘙痒，应使用补法。
任脉的别络，名叫屏翳，从鸠尾穴向下，散布于腹部。实证表现为腹皮疼痛，应使用泻法；虚证表现为皮肤瘙痒，应使用补法。
督脉的别络，名叫长强，夹脊柱上行至项部，散布于头部，向下到达肩胛左右，别行走向足太阳膀胱经，入内贯穿脊柱肌肉。实证表现为脊柱强直，应使用泻法；虚证表现为头重且摇晃不稳，应使用补法。
脾的大络，名叫大包。出于渊液穴下三寸，布散于胸胁。实证表现为全身疼痛，应使用泻法；虚证表现为全身关节松弛无力。
以上这十五条络脉，实证时必然显现（如血脉充盈），虚证时必然陷下（如脉络不显）。如果视而不见，就要在上下寻找。人的经脉不同，络脉分出的部位也各异。
The human body possesses fifteen Luo-connecting vessels, which I shall now enumerate one by one: The Luo of Hand-Taiyin is Lieque (LI 7); the Luo of Hand-Shaoyin is Tongli (HT 5); the Luo of Hand-Jueyin is Neiguan (PC 6); the Luo of Hand-Taiyang is Zhizheng (SI 7); the Luo of Hand-Yangming is Pianli (LI 6); the Luo of Hand-Shaoyang is Waiguan (TE 5); the Luo of Foot-Taiyang is Feiyang (BL 58); the Luo of Foot-Yangming is Fenglong (ST 40); the Luo of Foot-Shaoyang is Guangming (GB 37); the Luo of Foot-Taiyin is Gongsun (SP 4); the Luo of Foot-Shaoyin is Dazhong (KI 4); the Luo of Foot-Jueyin is Ligou (LR 5); the Luo of Yang Du [Du Meridian] is Changqiang (GV 1); the Luo of Yin Ren [Ren Meridian] is Pingyi; the Great Luo of the Spleen is Dabao (SP 21). You must memorize the names of these fifteen Luo vessels.
These fifteen Luo-connecting vessels are the divergent Luo vessels of the twelve primary meridians that interconnect. The remaining three Luo vessels are those of the Ren and Du meridians, and the Great Luo of the Spleen, which command and control all Yin and Yang Luo vessels and irrigate the Zang-Fu organs. The *Nan Jing* (Classic of Difficult Issues) states that these three Luo vessels are those of the Yang Qiao and Yin Qiao meridians, but upon careful examination, no acupoints can be identified for them. Moreover, the Qiao meridians do not belong to the fourteen primary meridians. The *Zhen Jiu Jie Yao* (Essentials of Acupuncture and Moxibustion) considers the Ren Luo to be Wei Yi (likely referring to Juque or similar, text says Wei Yi/Pingyi contextually linked to Ren) and the Du Luo to be Changqiang (GV 1), which indeed aligns with the correct principles of the *Shi Si Jing Fa Hui* (Elucidation of the Fourteen Meridians). Adding the Great Luo of the Spleen named Dabao (SP 21), this totals fifteen Luo vessels.
The divergent Luo vessel of Hand-Taiyin is named Lieque (LU 7). It originates in the interspace above the wrist, runs parallel with the Hand-Taiyin meridian, enters directly into the palm, and scatters into the Thenar eminence (Yuji). Its pathological manifestations include heat in the sharp edge of the hand and the palm when in a Excess state, treated by draining; and yawning with frequent urination or enuresis when in a Deficiency state, treated by tonifying. It is located one-and-a-half cun from the wrist crease, diverging to connect with the Yangming meridian.
The divergent Luo vessel of Hand-Shaoyin is named Tongli (HT 5). It is located one cun from the wrist crease, diverges to connect with the Taiyang meridian, follows the meridian into the heart, connects with the root of the tongue, and attaches to the eye system. In an Excess state, it causes oppression in the chest and diaphragm, treated by draining; in a Deficiency state, it causes inability to speak, treated by tonifying.
The Luo vessel of Hand-Jueyin is named Neiguan (PC 6). It is located two cun from the palm center, between the two tendons, diverges to connect with the Shaoyang meridian, and follows the meridian upward to connect with the Pericardium and Heart system. In an Excess state, it causes heart pain, treated by draining; in a Deficiency state, it causes stiffness of the head and neck, treated by tonifying.
The divergent Luo vessel of Hand-Taiyang is named Zhizheng (SI 7). It is located five cun above the wrist, diverges to connect with the Shaoyin meridian. Its branch goes up to the elbow and connects with the shoulder. In an Excess state, it causes flaccidity of the joints and uselessness of the elbow, treated by draining; in a Deficiency state, it causes warts, small ones resembling scabies or crusts on the fingers, treated by tonifying.
The divergent Luo vessel of Hand-Yangming is named Pianli (LI 6). It is located three cun from the wrist, diverges to connect with the Taiyin meridian. Its branch ascends along the arm, passes over the shoulder, reaches the curved cheek, and connects with the teeth. Another branch enters the ear and merges with the Zong Mai (Grand Vessel). In an Excess state, it causes toothache and deafness, treated by draining; in a Deficiency state, it causes cold teeth and bi-syndrome blocking the diaphragm, treated by tonifying.
The divergent Luo vessel of Hand-Shaoyang is named Waiguan (TE 5). It is located two cun from the wrist, winds around the arm externally, pours into the chest, and diverges to connect with the Hand-Jueyin meridian. In an Excess state, it causes contraction of the elbow, treated by draining; in a Deficiency state, it causes inability to grasp, treated by tonifying.
The divergent Luo vessel of Foot-Taiyang is named Feiyang (BL 58). It is located seven cun from the ankle, diverges to connect with the Shaoyin meridian. In an Excess state, it causes nasal congestion and headache/back pain, treated by draining; in a Deficiency state, it causes nasal discharge and epistaxis.
The divergent Luo vessel of Foot-Shaoyang is named Guangming (GB 37). It is located five cun from the ankle, diverges to connect with the Jueyin meridian, and descends to connect with the dorsum of the foot. In an Excess state, it causes cold limbs (Jue), treated by draining; in a Deficiency state, it causes flaccidity syndrome, making it difficult to rise from sitting, treated by tonifying.
The divergent Luo vessel of Foot-Yangming is named Fenglong (ST 40). It is located eight cun from the ankle, diverges to connect with the Taiyin meridian. Its branch follows the lateral aspect of the tibia, ascends to connect with the head and nape, gathers the Qi of all meridians, and descends to connect with the throat. Pathologically, if Qi rebels, it causes throat obstruction and sudden aphonia. In an Excess state, it causes mania and epilepsy, treated by draining; in a Deficiency state, it causes inability to hold the feet and emaciation of the shins, treated by tonifying.
The divergent Luo vessel of Foot-Taiyin is named Gongsun (SP 4). It is located one cun posterior to the base of the first metatarsal, diverges to connect with the Yangming meridian. Its branch enters and connects with the intestines and stomach. If rebellious Qi ascends, it causes Huoluan (cholera-like disorder). In an Excess state, it causes severe cutting pain in the intestines, treated by draining; in a Deficiency state, it causes abdominal distension like a drum, treated by tonifying.
The divergent Luo vessel of Foot-Shaoyin is named Dazhong (KI 4). It is located behind the ankle, winding around the heel, diverges to connect with the Taiyang meridian. Its branch ascends along the meridian to below the Pericardium, penetrates externally through the lumbar spine. Pathologically, it causes rebellious Qi leading to restlessness and stuffiness. In an Excess state, it causes urinary retention, treated by draining; in a Deficiency state, it causes lower back pain, treated by tonifying.
The divergent Luo vessel of Foot-Jueyin is named Ligou (LR 5). It is located five cun from the medial malleolus, diverges to connect with the Shaoyang meridian. Its branch ascends along the shin to the testicles, knotting at the penis. Pathologically, rebellious Qi causes swelling of the testicles and sudden hernia. In an Excess state, it causes priapism, treated by draining; in a Deficiency state, it causes sudden itching, treated by tonifying.
The divergent Luo vessel of the Ren Meridian is named Pingyi. It descends from Jiutui (CV 15) and scatters in the abdomen. In an Excess state, it causes pain in the skin of the abdomen, treated by draining; in a Deficiency state, it causes itching, treated by tonifying.
The divergent Luo vessel of the Du Meridian is named Changqiang (GV 1). It runs alongside the spinal muscles to the nape, scatters on the head, descends to the left and right of the shoulder blades, diverges to connect with the Taiyang meridian, and penetrates internally through the spinal muscles. In an Excess state, it causes rigidity of the spine, treated by draining; in a Deficiency state, it causes heaviness of the head and unsteady swaying, treated by tonifying.
The Great Luo of the Spleen is named Dabao (SP 21). It emerges three cun below Yuanlin (axillary area), spreads over the chest and hypochondrium. In an Excess state, it causes pain throughout the body, treated by draining; in a Deficiency state, it causes flaccidity of all joints.
Regarding these fifteen Luo vessels: in Excess states, they will necessarily appear (visible/distended); in Deficiency states, they will necessarily sink (invisible/collapsed). If they cannot be seen visually, seek them above and below. Since individuals' meridians differ, the points where the Luo vessels diverge also vary.