手太阴肺中焦生。下络大肠出贲门。上鬲属肺从肺系。系横出腋 中行。肘臂寸口生鱼
际。
肺胀膨膨缺盆痛。两手交瞀为臂厥。所生病者为气嗽。喘咳烦心胸满结。 臂之外前廉痛。
小便频数掌中热。气虚肩背痛而寒。气盛亦疼风汗出。欠伸少气不足息。遗失无度溺色赤。
阳明之脉手大肠。次指内侧起商阳。循指上连出合谷。两筋岐骨循臂肪。入肘外廉循
外。
环出人中交左右。上夹鼻孔注迎香。此经气盛血亦盛。是动 肿并齿痛。所生病者为鼽衄。
目黄口干喉痹生。大指次指难为用。肩前 外痛相仍。气有余兮脉热肿。虚则寒栗病偏增。
胃足阳明交鼻起。下循鼻外下入齿。还出夹口绕承浆。颐后大迎颊车里。耳前发际至额
颅。
遂由髀关抵膝膑。 跗中指内关同。一支下膝注三里。前出中指外关通。一支别走足跗指。
大指之端经尽矣。此经多气复多血。是动欠伸面颜黑。凄凄恶寒畏见人。忽闻木音心惊惕。
登高而歌弃衣走。甚则腹胀乃贲响。凡此诸疾皆 厥。所生病者为狂疟。温淫汗出鼻流血。
口唇裂又喉痹。膝膑疼痛腹胀结。气膺伏兔 外廉。足跗中指俱痛彻。有余消谷溺色黄。
不足身前寒振栗。胃房胀满食不消。气盛身前皆有热。
太阴脾起足大指。上循内侧白肉际。核骨之后内髁前。上 循 胫膝里。股内前廉入腹
中。
食入即吐胃脘痛。更兼身体痛难移。腹胀善噫舌本强。得后与气快然衰。所生病者舌亦痛。
体重不食亦如之。烦心心下仍急痛。泄水溏瘕寒疟随。不卧强立股膝肿。疸发身黄大指痿。
手少阴脉起心中。下鬲直与小肠通。支者还从肺系走。直上喉咙系目瞳。直者上肺出腋
下。
渴欲饮水咽干燥。所生胁痛目如金。胁臂之内后廉痛。掌中有热向经寻。
手太阳经小肠脉。小指之端起少泽。循手外廉出踝中。循臂骨出肘内侧。上循肘外出后
廉。
至目兑 却入耳。复从耳前仍上颊。抵鼻外至目内 。斜络于颧别络接。此经少气还多血。
是动则病痛咽嗌。颔下肿兮不可顾。肩如拔兮 似折。所生病兮主肩 。耳聋目黄肿腮颊。
肘臂之外后廉痛。部分犹当细分别。足太阳经膀胱脉。目内 上起额尖。支者巅上至耳角。
直者从巅脑后悬。络脑还出别下项。仍循肩膊侠脊边。抵腰膂肾膀胱内。一支下与后阴连。
贯臀斜入委中穴。一支膊内左右别。贯胛夹脊过髀枢。臀内后廉 中合。下贯 内外踝后。
京骨之下指外侧。是经血多气少也。是动头疼不可当。项如拔兮腰似折。髀枢痛彻脊中央。
如结兮 如裂。是为髁厥筋乃伤。所生疟痔小指废。头囟项痛目色黄。腰尻 脚疼连背。
泪流鼻衄及癫狂。
足经肾脉属少阴。小指斜趋涌泉心。然谷之下内踝后。别入跟中 内侵。出 内廉上股
内。
此经多气而少血。是动病饥不欲食。喘嗽唾血喉中鸣。坐而欲起面如垢。目视KT KT 气不足。
心悬如饥常惕惕。所生病者为舌干。口热咽痛气贲逼。股内后廉并脊疼。心胸烦痛疸而 。
痿厥嗜卧体怠惰。足下热痛皆肾厥。手厥阴心主起胸。属包下鬲三焦宫。支者循胸出胁下。
胁下连腋三寸同。仍上抵腋循 内。太阴少阴两经中。指透中冲支者别。小指次指络相通。
是经少气原多血。是动则病手心热。肘臂挛急腋下肿。甚则胸胁支满结。心中淡淡或大动。
善笑目黄面赤色。所生病者为心烦。心痛掌热病之则。
手经少阳三焦脉。起自小指次指端。两指岐骨手腕表。上出臂外两骨间。肘后 外循肩
上。
屈下至颐仍注颊。一支出耳入耳前。却从上关交曲颊。至目外 乃尽焉。斯经少血还多气。
是动耳鸣喉肿痹。所生病者汗自出。耳后痛兼目锐 。肩 肘臂外皆疼。小指次指亦如废。
足脉少阳胆之经。始从两目锐 生。抵头循角下耳后。脑空风池次第行。手少阳前至肩
上。
下加颊车缺盆合。入胸贯膈络肝经。属胆仍从胁里过。下入气冲毛际荣。横入髀厌环跳内。
直者缺盆下腋膺。过季胁下髀厌内。出膝外廉是阳陵。外辅绝骨踝前过。足跗小指次指分。
一支别从大指去。三毛之际接肝经。此经多气而少血。是动口苦善太息。心胁疼痛难转移。
面尘足热体无泽。所生头痛连锐 。缺盆肿痛并两腋。马刀挟瘿生两傍。汗出振寒 疟疾。
胸胁髀膝至 骨。绝骨踝痛及诸节。
厥阴足脉肝所终。大指之端毛际丛。足跗上廉太冲分。踝前一寸入中封。上踝交出太阴
后。
脉上巅会督脉出。支者还生目系中。下络颊里还唇内。支者便从膈肺通。是经血多气少焉。
是动腰疼俯仰难。男疝女人小腹肿。面尘脱色及咽干。所生病者为胸满。呕吐洞泄小便难。
或时遗溺并狐疝。临证还须仔细看。
手太阴肺经从中焦产生。向下联络大肠，出贲门。向上穿过膈肌，归属于肺，从肺系（气管、喉咙等与肺相连的组织）横行出于腋下，沿上肢内侧前缘下行。经过肘窝、臂部、寸口，到达鱼际穴。
肺经受邪出现肺胀，胸部膨满，缺盆穴处疼痛，两手交叉抱胸为臂厥证。本经所生疾病多为气逆咳嗽，气喘咳嗽，心烦胸闷，手臂外侧前缘疼痛。小便频数，掌心发热。肺气虚则肩背寒冷疼痛，肺气盛则疼痛、怕风、汗出，呵欠少气，呼吸短促，遗尿失禁，小便颜色赤黄。
阳明经的手阳明大肠经，起于食指内侧端商阳穴。沿手指上行，经过合谷穴，在两筋歧骨间沿前臂外侧前缘上行。进入肘部外侧，沿上臂外侧前缘上行。环绕口唇，交叉于人中穴，左右经脉交会。上行夹鼻孔两侧，注入迎香穴。此经气盛时血也盛。经脉变动引起的病症有面部浮肿和牙齿疼痛。本经所生疾病多为鼻渊流涕、鼻出血，眼睛发黄，口干，咽喉肿痛，大拇指和食指活动不便。肩前外侧疼痛相继出现。气有余则脉道热肿，气不足则寒战，病情加重。
胃足阳明胃经交于鼻翼旁开始。向下沿鼻外侧下行入上齿。复出环绕口角，绕过承浆穴。向后行至颐后大迎穴、颊车穴。上行至耳前发际，到达额颅。
随即由髀关穴下行抵膝髌骨。分支沿小腿外侧前缘至中趾内关穴。另一支下行至膝下三里穴。前方一支出中趾外侧通连。另一支别行走向足背诸趾。在大趾末端经脉之气尽矣。此经多气多血。经脉变动引起呵欠，面色发黑，凄凄怕冷，害怕见人，忽然听到木器声音就心惊胆战。登高而歌，脱衣乱跑，甚至腹部胀满，肠鸣有声。凡这些疾病都属于气逆厥证。本经所生疾病多为狂病、疟疾，温热邪气侵袭导致汗出、鼻出血，口唇破裂，咽喉肿痛，膝髌疼痛，腹部胀满结滞。气膺、伏兔穴外侧疼痛。足背和中趾都疼痛剧烈。气有余则消谷善饥，小便色黄；气不足则身前寒冷战栗。胃部房廓胀满，食物不消化。气盛则身前都有热象。
太阴脾经起于足大趾。向上沿内侧白肉际。经过核骨之后、内踝之前。向上沿小腿内侧膝里。在大腿内侧前缘进入腹中。
食物入口即吐，胃脘疼痛。兼见身体疼痛难以移动。腹胀，爱打嗝，舌根强硬。排便排气后症状减轻。本经所生病症包括舌痛。身体沉重，不想吃东西也是如此。心烦，心下急痛。泄泻如水，大便溏薄，瘕聚，寒疟。不能平卧，强立则股膝肿胀。黄疸发作，身体发黄，大趾痿废。
手少阴心经起于心。向下穿过膈肌，直接与小肠相通。分支还从肺系走出。直上喉咙，联系目系。直行者上肺出腋下。
口渴想喝水，咽喉干燥。本经所生病症为胁痛，眼睛像金子一样黄。胁臂内侧后缘疼痛。掌心发热应寻本经治疗。
手太阳小肠经经脉，起于小指外侧端少泽穴。沿手外侧上行出腕部中。沿前臂骨出肘内侧。向上沿肘外出后侧缘。
至眼角却入耳中。又从耳前仍上至面颊。抵鼻外至目内眦。斜络于颧骨，别络相接。此经气少血多。经脉变动则病痛在咽嗌。下颌下肿胀，头不可回顾。肩膀像被拔起一样，肘部像折断一样。本经所生病症主肩部疼痛，耳聋，眼睛发黄，腮颊肿胀。肘臂外侧后缘疼痛。部位应当仔细分别。
足太阳膀胱经经脉，起于目内眦上行至额尖。分支从巅顶至耳角。直行者从巅顶脑后悬垂。络脑复出别下行项部。仍沿肩膊夹脊柱两旁。抵腰脊，络肾属膀胱。一支下行与前后二阴相连。贯穿臀部斜入委中穴。一支从臂内侧左右分开。贯穿肩胛夹脊过髀枢。臀内后缘中间会合。下行贯穿内外踝后。京骨穴之下，足趾外侧。此经血多气少。经脉变动头痛不可忍受。项部像被拔起，腰部像折断。髀枢疼痛彻及脊中央。像被捆绑一样，又像撕裂一样。这是髁厥，筋受伤。本经所生疾病有疟疾、痔疮，小趾废用。头囟项痛，眼睛色黄。腰尻脚疼连及背部。流泪、鼻出血及癫狂。
足经肾脉属于少阴。从小趾斜趋涌泉穴。然谷穴之下内踝后。别入跟中向内侵。出内踝上大腿内侧。
此经多气少血。经脉变动病症是饥饿但不想进食，喘咳唾血，喉中鸣响。坐着想起来，面色如污垢。眼睛视物模糊，气不足。心悬空像饥饿常惊恐。本经所生病症为舌干。口热咽痛，气逆逼迫。大腿内侧后缘并脊柱疼痛。心胸烦痛，黄疸。痿厥嗜卧，身体怠惰。足下热痛都是肾厥。
手厥阴心包经起于胸。属心包下膈，络三焦。分支循胸出胁下。胁下连腋三寸同。仍上抵腋沿内侧。在太阴少阴两经中间。指尖透中冲穴，分支别行。小指次指络相通。此经气少原多血。经脉变动则病手心热。肘臂挛急腋下肿。严重时胸胁支撑满闷结聚。心中淡淡或大动。爱笑，眼睛黄，面色赤。本经所生病症为心烦。心痛掌热是病的准则。
手经少阳三焦经脉，起自小指次指端。两指歧骨手腕表。上行出臂外两骨间。肘后外侧循肩上。屈下至颐仍注颊。一支出耳入耳前。却从上关交曲颊。至目外眦乃尽焉。此经少血还多气。经脉变动耳鸣喉肿痹。本经所生病症自汗出。耳后痛兼目锐眦痛。肩肘臂外皆疼。小指次指也像废用。
足脉少阳胆经，始从两目锐眦生。抵头循角下耳后。脑空风池次第行。手少阳经前至肩上。下加颊车缺盆合。入胸贯膈络肝经。属胆仍从胁里过。下入气冲毛际荣。横入髀厌环跳内。直者缺盆下腋膺。过季胁下髀厌内。出膝外廉是阳陵。外辅绝骨踝前过。足跗小指次指分。一支别从大指去。三毛之际接肝经。此经多气而少血。经脉变动口苦善太息。心胁疼痛难转移。面尘足热体无泽。本经所生头痛连锐眦。缺盆肿痛并两腋。马刀挟瘿生两傍。汗出振寒疟疾。胸胁髀膝至腨骨。绝骨踝痛及诸节。
厥阴足脉肝经终结。大趾之端毛际丛。足跗上廉太冲分。踝前一寸入中封。上踝交出太阴后。脉上巅会督脉出。分支还生目系中。下络颊里还唇内。分支便从膈肺通。此经血多气少焉。经脉变动腰痛俯仰难。男疝女人小腹肿。面尘脱色及咽干。本经所生病症为胸满。呕吐洞泄小便难。或时遗溺并狐疝。临证还须仔细看。
The Hand-Taiyin Lung Meridian originates from the Middle Jiao (Middle Burner). It descends to connect with the Large Intestine, exits at the贲门 (cardia), ascends through the diaphragm, and belongs to the Lung. From the lung system (trachea, larynx, and tissues connected to the lung), it emerges horizontally from the axilla, running along the anterior aspect of the medial side of the elbow and arm, passing through the Cun Kou (radial pulse) point, and reaching the Yu Ji (LU10) point on the thenar eminence.
When pathogenic factors affect the Lung meridian, lung distension occurs with a feeling of fullness in the chest and pain in the Que Pen (CV15) area. Crossing both hands over the chest indicates Bi Jue (Arm Reversal Syndrome). Diseases generated by this meridian mainly involve Qi rebellion and coughing, wheezing, coughing, irritability, chest fullness, and pain along the anterior lateral aspect of the arm. Frequent urination and heat in the palm are also symptoms. When Lung Qi is deficient, there is cold pain in the shoulder and back; when Lung Qi is excessive, there is pain, aversion to wind, and sweating. Yawning, shortness of breath, insufficient respiration, involuntary urination or seminal emission, and reddish urine may occur.
The Hand-Yangming Large Intestine Meridian begins at Shang Yang (LI1) on the radial side of the index finger. It follows the finger upwards, connects to He Gu (LI4), runs between the two tendons and the divergent bones along the forearm, enters the lateral aspect of the elbow, and follows the lateral aspect of the upper arm. It circles around the lips, crosses at Ren Zhong (GV26), and intersects with the contralateral meridian. It ascends flanking the nostrils and pours into Ying Xiang (LI20). In this meridian, when Qi is excessive, Blood is also excessive. Changes in the meridian cause facial swelling and toothache. Diseases generated by this meridian include rhinitis, epistaxis, yellow eyes, dry mouth, bi syndrome of the throat, difficulty in using the thumb and index finger, and successive pain in the anterior lateral shoulder. Excess Qi leads to hot and swollen meridians; deficiency leads to chills and worsening of the disease.
The Foot-Yangming Stomach Meridian begins at the side of the nose. It descends along the lateral side of the nose into the upper teeth, emerges again, surrounds the mouth, and winds around Cheng Jiang (CV24). It goes behind the chin to Da Ying (ST5) and Jia Che (ST6). It ascends to the hairline in front of the ear and reaches the forehead.
From Pi Guan (ST31), it descends to the patella. A branch descends along the lateral aspect of the leg to Nei Guan (ST36) near the middle toe. Another branch descends to San Li (ST36) below the knee. The anterior branch emerges laterally from the middle toe. Another branch branches off to the dorsum of the foot and toes. The meridian ends at the tip of the big toe. This meridian has abundant Qi and Blood. Changes in the meridian cause yawning, dark complexion, shivering aversion to cold, fear of people, and sudden startle upon hearing wooden sounds. Climbing high and singing, discarding clothes and running, abdominal distension with borborygmi are possible. All these diseases belong to Ni Jue (Rebellious Qi Reversal Syndrome). Diseases generated by this meridian include mania, malaria, sweating and epistaxis due to warm pathogens, cracked lips, sore throat, knee and patella pain, abdominal distension and stagnation. Pain in Qi Ying, Fu Tu, and the lateral aspect of the leg extends to the dorsum of the foot and middle toe. Excess Qi leads to rapid digestion and yellow urine; deficiency leads to cold and trembling in the anterior body. Fullness in the stomach chamber and indigestion occur. Excess Qi causes heat in the anterior body.
The Foot-Taiyin Spleen Meridian begins at the big toe. It ascends along the medial white flesh margin. Behind the nuclear bone (medial malleolus) and before the inner ankle, it ascends along the medial tibia and knee. It enters the abdomen along the anterior medial thigh.
Vomiting immediately after eating and epigastric pain occur. Accompanied by body pain that is difficult to move. Abdominal distension, frequent belching, and a stiff tongue base are present. Symptoms alleviate after defecation or passing gas. Diseases generated by this meridian include tongue pain. Heavy body and anorexia are similar. Irritability and urgent pain in the heart region occur. Watery diarrhea, loose stools, masses, and cold malaria follow. Inability to lie down, swelling of thighs and knees when standing forcibly, jaundice with yellow skin, and atrophy of the big toe appear.
The Hand-Shaoyin Heart Meridian originates in the heart. It descends through the diaphragm and directly communicates with the Small Intestine. A branch returns from the lung system, ascends to the throat, and connects to the eye system. The main trunk ascends to the lung and emerges from the axilla.
Thirst with desire to drink water and dry throat occur. Diseases generated by this meridian include hypochondriac pain, eyes like gold (jaundice), and pain along the posterior medial aspect of the hypochondrium and arm. Heat in the palm should be sought in this meridian.
The Hand-Taiyang Small Intestine Meridian begins at Shao Ze (SI1) on the ulnar side of the little finger. It follows the lateral side of the hand, emerges from the wrist, follows the ulnar bone out of the medial elbow, and ascends along the posterior lateral aspect of the elbow and upper arm.
It reaches the outer canthus, enters the ear, ascends from the front of the ear to the cheek, reaches the lateral nose, and arrives at the inner canthus. It obliquely connects to the zygomatic bone and interconnects via collateral vessels. This meridian has little Qi and much Blood. Changes in the meridian cause pain in the pharynx and larynx. Swelling under the mandible prevents turning the head. Shoulder pain feels like being pulled, and elbow pain feels like breaking. Diseases generated by this meridian primarily involve shoulder pain, deafness, yellow eyes, and swelling of the cheeks. Pain in the posterior lateral aspect of the elbow and arm requires careful differentiation.
The Foot-Taiyang Bladder Meridian begins at the inner canthus and ascends to the vertex. A branch goes from the vertex to the ear angle. The main trunk hangs down from the vertex behind the neck. It connects to the brain, emerges, and descends separately to the nape. It follows the shoulders and flanks the spine. It reaches the lower back, connects to the kidneys, and belongs to the bladder. One branch connects with the anterior and posterior orifices. It penetrates the buttocks and enters the Wei Zhong (BL40) acupoint obliquely. Another branch separates left and right within the arm. It penetrates the scapula, flanks the spine, passes through the hip pivot. They meet in the posterior medial aspect of the buttock. It descends through the medial and lateral malleoli. Below Jing Gu (BL64), it reaches the lateral side of the foot. This meridian has much Blood and little Qi. Changes in the meridian cause unbearable headache. Neck stiffness like pulling, lumbar pain like breaking, and pain in the hip pivot extending to the central spine occur. Pain feels like binding or tearing. This is Huo Jue (Ankle Reversal) with tendon injury. Diseases generated by this meridian include malaria, hemorrhoids, useless little toe, vertex and neck pain, yellow eyes, low back and calf pain connecting to the back, tearing, epistaxis, and epilepsy.
The Foot-Shaoyin Kidney Meridian belongs to the Shaoyin. It slants from the little toe towards Yong Quan (KI1). Below Ran Gu (KI2) and behind the medial malleolus, it enters the heel and invades inward. Emerging from the medial aspect of the lower leg, it ascends along the medial thigh.
This meridian has abundant Qi and little Blood. Changes in the meridian cause hunger without desire to eat, wheezing, coughing, spitting blood, and humming in the throat. Sitting up but wanting to rise, dirty-looking face, blurred vision, and Qi deficiency occur. The heart feels empty like hunger and constantly startled. Diseases generated by this meridian include dry tongue, hot mouth, sore throat, and forced Qi. Pain in the posterior medial thigh and spine, irritability, chest pain, jaundice, atrophy, reversal, lethargy, and body fatigue occur. Heat and pain in the soles are all Kidney Reversal.
The Hand-Jueyin Pericardium Meridian originates in the chest. It belongs to the Pericardium, descends through the diaphragm, and connects to the Triple Energizer. A branch follows the chest and emerges from the hypochondrium. Connecting to the axilla three cun away, it ascends to the axilla along the medial aspect, between the Taiyin and Shaoyin meridians. The fingertip penetrates Zhong Chong (PC9). A branch connects to the index and middle fingers. This meridian has little Qi and originally much Blood. Changes in the meridian cause heat in the palm. Spasm and stiffness of the elbow and arm, axillary swelling, and severe chest and hypochondriac fullness occur. Palpitations or strong beating, excessive laughter, yellow eyes, and red face appear. Diseases generated by this meridian include irritability and heart pain with heat in the palm.
The Hand-Shaoyang Triple Energizer Meridian begins at the tip of the ring finger. Between the divergent bones of the two fingers on the dorsal wrist, it ascends between the two bones of the forearm. Posterior to the elbow, it follows the lateral shoulder. Bending down to the chin, it pours into the cheek. One branch exits the ear and enters the front of the ear. It crosses from Shang Guan (TE17) to the curved jaw. It ends at the outer canthus. This meridian has little Blood and more Qi. Changes in the meridian cause tinnitus, swollen throat, and bi syndrome. Diseases generated by this meridian include spontaneous sweating. Pain behind the ear and outer canthus, shoulder, elbow, and arm pain occur. The ring and middle fingers may become useless.
The Foot-Shaoyang Gallbladder Meridian begins at the outer canthus. It reaches the head, follows the angle, and descends behind the ear. Na Kong (GB18) and Feng Chi (GB20) follow in order. The Hand-Shaoyang meridian reaches the shoulder. Descending to Jia Che (ST6) and Que Pen (SI12), it combines. Entering the chest, piercing the diaphragm, it connects to the Liver meridian. Belonging to the Gallbladder, it passes through the hypochondrium. Descending to Qi Chong (ST30) and the pubic hair region, it enters horizontally into Bi Yan (GB29) at the hip depression. The straight branch descends from Que Pen to the axilla and chest. Passing the costal margin and inside the hip depression, it emerges at the lateral aspect of the knee as Yang Ling Quan (GB34). It passes the lateral fibular head and anterior ankle. It divides at the dorsum of the foot between the fourth and fifth toes. One branch departs from the big toe. At the nail corner, it connects to the Liver meridian. This meridian has abundant Qi and little Blood. Changes in the meridian cause bitter taste and frequent sighing. Chest and hypochondriac pain difficult to shift, dusty complexion, hot feet, and lack of luster occur. Diseases generated by this meridian include headache connecting to the outer canthus, swelling and pain in the supraclavicular fossa and both axillae, Dao Dao and Jia Ying (scrofula) on both sides, sweating with chills and malaria. Pain extends from the chest, hypochondrium, thigh, and knee to the calf. Pain in the fibular head, ankle, and various joints occurs.
The Jueyin Foot Meridian ends with the Liver. At the tip of the big toe among the hairs, it divides at Tai Chong (LR3) on the lateral aspect of the dorsum of the foot. Entering Zhong Feng (LR4) one cun anterior to the ankle, it ascends the ankle and crosses behind the Taiyin meridian. The meridian ascends to the vertex and meets the Du Meridian. A branch generates from the eye system. Descending to connect with the cheeks and lips, another branch connects from the diaphragm to the lung. This meridian has much Blood and little Qi. Changes in the meridian cause lower back pain with difficulty in bending and stretching. Hernia in men and lower abdominal swelling in women occur. Dusty complexion, loss of color, and dry throat appear. Diseases generated by this meridian include chest fullness. Vomiting, profuse diarrhea, and difficult urination occur. Involuntary urination and fox hernia may happen. Clinical diagnosis requires careful observation.