\r足厥阴肝经\pj-j29.bmp\r
足厥阴之脉。起于大指聚毛之际。上循足跗上廉。去内踝一寸。
足大指爪甲后为三毛。三毛后横纹为聚毛。去、相去也。足厥阴起于大指聚毛之大敦穴
。循足跗上廉。历行间、太冲。抵内踝一寸之中封也。
上踝八寸。交出太阴之后。上 内廉。
自中封上踝。过三阴交。历蠡沟、中都。复上一寸。交出太阴之后。上 内廉。至膝关
、曲泉。
循股入阴中。环阴器。抵小腹。挟胃属肝络胆。
髀内为股。脐下为小腹。由曲泉上行。循股内之阴包、五里、阴廉。遂当冲门、府舍之
分。
。挟胃属肝。下日月之分络于胆也。
上贯膈。布胁肋。循喉咙之后。上入颃颡。连目系。上出额。与督脉会于巅。
目内廉深处为目系。颃颡。咽颡也。自期门上贯膈。行食窦之外。大包之里。散布胁肋
。上云门、
上出额。行临泣之里。与督脉相会于巅顶之百会也。
其支者。从目系下颊里。环唇内。
前此连目系上出额。此支从目系下行任脉之外。本经之里。下颊里。交环于唇口之内。
其支者。复从肝。别贯膈。上注肺。
此交经之支。从期门属肝处别贯膈。行食窦之外。本经之里。上注肺。下行至中焦。挟
中脘之分。以交于手太阴也。
是经多血少气。丑时气血注此。受足少阳之交。凡一十三穴。左右共二十六穴。刺深一
分。留二呼。
大敦 足大指端去爪甲如韭叶。及三毛中。一云。内侧为隐白。外侧为大敦。足厥阴肝
脉所
痛。汗出。阴上入小腹。阴偏大。腹脐中痛。悒悒不乐。病左取右。病右取左。腹胀肿病。
小腹痛。中热喜寐。尸厥状如死人。妇人血崩不止。阴挺出。阴中痛。
行间 足大指缝间。动脉应手陷中。足厥阴肝脉所溜为荥。火。肝实则泻之。素注。针
三分
筋。胸胁痛。小腹肿。咳逆呕血。茎中痛。腰疼不可俯仰。腹中胀。小肠气。肝心痛。色苍
苍如死状。终日不得息。癫疾短气。便溺难。七疝寒疝。中风。肝积肥气。发 疟。妇人小
腹肿。面尘脱色。经血过多不止。崩中。小儿急惊风。东垣曰。前阴臊臭。前阴者。足厥阴
脉络循阴器。出挺末。凡臭。心之所主。入肝为臊。于肝经泻行间。是治本。后于心经泻少
冲。是治标。
按难经谓肝臭臊。心臭焦。脾臭香。肺臭腥。肾臭腐。五脏各有臭。而皆心主之故。泻
行间
。腋臭亦属臊。故治法与前阴臊臭不殊。药用柴胡、草龙胆、车前子、黄连。以泻心肝二经
也。
太冲 足大指本节后二寸。或云一寸半内间。动脉应手陷中。足厥阴肝脉所注为俞。土
。素
人。针三分。留十呼。灸三壮。主心痛脉弦。马黄。瘟疫。肩肿吻伤。虚劳浮肿。腰引小腹
痛。两丸骞缩。溏泄遗溺。阴痛。面目苍色。胸胁支满。足寒。肝心痛。苍然如死状。终日
不得息。大便难。便血。小便淋。小肠疝气痛。 疝。小便不利。呕血呕逆。发寒。嗌干善
渴。肘肿。内踝前痛。淫泺。 酸。腋下马刀。疡 唇肿。女子漏下不止。小儿卒疝。
中封（一名悬泉） 足内踝骨前一寸。筋里宛宛中。素注。一寸半。仰足取陷中。伸足乃
得之
小腹肿痛。食怏怏绕脐痛。五淋不得小便。足厥冷。身黄有微热。不嗜食。身体不仁。寒疝
。腰中痛。或身微热。痿厥失精。筋挛。阴缩入腹相引痛
蠡沟（一名交仪） 内踝上五寸。足厥阴络别走少阳。铜人。针二分。留三呼。灸三壮。
下经
如有息肉。背拘急不可俯仰。小便不利。脐下积气如石。足胫寒酸。屈伸难。女子赤白淫下
。月水不调。气逆则睾丸卒痛。实则挺长。泻之。虚则暴痒。补之。
中都（一名中 ） 内踝上七寸 骨中。与少阴相直。铜人。针三分。灸五壮。主肠 。
疝。小腹痛。不能行立。胫寒。妇人崩中。产后恶露不绝。
膝关 犊鼻下二寸傍陷中。铜人。针四分。灸五壮。主风痹。膝内廉痛引膑。不可屈伸
。咽喉中痛。
曲泉 膝股上内侧。辅骨下。大筋上。小筋下陷中。屈膝横文头取之。足厥阴肝脉所入
为合
。癃闭。少气。泄利。四肢不举。实则身目眩痛。汗不出。目KT KT 。膝关痛。筋挛不可屈伸
。发狂。衄血下血。喘呼。小腹痛引咽喉。房劳失精。身体极痛。泄水下痢脓血。阴肿。阴
茎痛。 肿。膝胫冷疼。女子血瘕。按之如汤浸股内。小腹肿。阴挺出。阴痒。
阴包 膝上四寸。股内廉两筋间。 足取之。看膝内侧必有槽中。铜人。针六分。灸三
壮。下经。七分。主腰尻引小腹痛。小便难。遗溺。妇人月水不调。
五里 气冲下三寸。阴股中动脉应手。铜人。针六分。灸五壮。主腹中满。热闭不得溺
。风劳嗜卧。
阴廉 羊矢下。去气冲二寸动脉中。铜人。针八分。留七呼。灸三壮。主妇人绝产。若
未经生产者。灸三壮。即有子。
章门（一名长平 一名胁 ） 大横外。直季胁肋端。当脐上二寸。两旁九寸。侧卧。屈
上足
疏曰。藏病治此。铜人。针六分。灸百壮。明堂。日七壮止五百壮。素注。针八分。留六呼
。灸三壮。主肠鸣盈盈然。食不化。胁痛。不得卧。烦热口干。不嗜食。胸胁痛支满。喘息
。心痛而呕。吐逆。饮食却出。腰痛不得转侧。腰脊冷疼。溺多白浊。伤饱身黄瘦。贲豚积
聚。腹肿如鼓。脊强。四肢懈惰。善恐。少气厥逆。肩臂不举。东垣曰。气在于肠胃者。取
之太阴、阳明。不下。取三里、章门、中脘。魏士 妻徐病疝。自脐下上至于心皆胀满。呕
吐烦闷。不进饮食。滑伯仁曰。此寒在下焦。为灸章门、气海。
期门 直乳二肋端。不容傍一寸五分。又曰乳直下一寸半。肝之募。足厥阴、太阴之会
。铜
卧。胁下积气。伤寒心切痛。喜呕酸。食饮不下。食后吐水。胸胁痛支满。男子妇人血结胸
满。面赤火燥。口干消渴。胸中痛不可忍。伤寒过经不解。热入血室。男子则由阳明而伤。
下血谵语。妇人月水适来。邪乘虚而入。及产后余疾。仲景曰。伤寒腹满谵语。寸脉微而紧
。此肝乘脾也。名曰纵。刺期门。伤寒发热。啬啬恶寒。大渴欲水。其腹必满。自汗出。小
便利。其病欲解。肝乘肺也。名曰横。刺期门。又曰。太阳与少阳并病。头项强痛。或眩冒
。时如结胸。心下痞硬者。当刺大椎第一间肺俞、肝俞。慎不可发汗。发汗则谵语。五六日
谵语不止。当刺期门。又曰。妇人中风。发热恶寒。经水适来。得之七八日。热除而脉迟身
凉。胸胁下满。如结胸状。谵语者。此为热入血室。当刺期门。又曰。阳明病。下血谵语者
。为热入血室。但头汗出者。刺期门。王叔和曰。少阴脉不至。肾气微。少精血。奔气促迫
。上入胸膈。宗气反聚。血结心下。阳气退下。热归阴股。与阴相动。令身不仁。此为尸厥
。当刺期门、巨阙。一妇人患热入血室。医者不识。许学士曰。小柴胡已迟。当刺期门。予
不能针。请善针者针之。如言而愈。
按伤寒发热。啬啬恶寒。大渴。饮水腹满。至于自汗出。则表已解。小便利。则里自和
。故
疑衍。故丹溪谓罗成之曰。仲景书非全书。其间或文有不备。或意有未尽。吾每思之。不能
以无疑。此之谓欤。
足厥阴肝经的脉气，起始于足大趾丛毛处。向上沿足背内侧缘上行，距离内踝前一寸。
足大趾爪甲后方有三根毫毛，称为“三毛”。“三毛”后方的横纹处即为丛毛所在。“去”意为相去、距离。足厥阴肝经起于足大趾丛毛处的大敦穴。沿足背内侧缘上行，经过行间穴、太冲穴，到达内踝前一寸的中封穴。
向上行至内踝上八寸处，交叉至足太阴脾经的后方。沿小腿内侧上行。
从中封穴向上，经过内踝上八寸处的三阴交穴，再经过蠡沟穴、中都穴，又上一寸，再次交叉至足太阴脾经的后方，沿小腿内侧上行，到达膝关穴、曲泉穴。
沿大腿内侧进入阴部，环绕生殖器，抵达小腹。挟持胃部，归属于肝脏，联络胆腑。
大腿内侧称为“股”，脐下称为“小腹”。从曲泉穴上行，沿大腿内侧的阴包穴、五里穴、阴廉穴行走，正好处于冲门穴、府舍穴的分界处。挟持胃部，归属于肝脏，向下联络胆腑的日月穴。
向上穿过膈肌，散布于胁肋部。沿喉咙后方上行，进入鼻咽部（颃颡），连接目系（眼球连脑的脉络），向上出于额部，与督脉交会于头顶。
目内眦深处的脉络称为“目系”。“颃颡”即咽喉上部。自期门穴向上穿过膈肌，行于食窦穴之外、大包穴之内，散布于胁肋部。上行至云门穴，出于额部，行于足少阳胆经临泣穴的内侧，与督脉会合于头顶的百会穴。
此前所述分支从目系上行出于额部；此分支从目系下行，位于任脉之外、本经之内，下行至颊里，在口唇内部交错环绕。
这是交接经脉的支脉，从期门穴属肝处分出，穿过膈肌，行于食窦穴之外、本经之内，向上注入肺脏，下行至中焦，挟持中脘穴部位，从而交于手太阴肺经。
这条经脉多血少气，丑时气血灌注于此。接受足少阳胆经的气血交接。共有十三个穴位，左右共二十六个穴位。针刺深度一分，留针二呼的时间。
大敦穴：位于足大趾末端，距爪甲如韭菜叶宽处，以及三毛之中。另一种说法认为，内侧为隐白穴，外侧为大敦穴。主治足厥阴肝经病变引起的疼痛、出汗、阴气上冲入小腹、阴囊肿大偏侧、腹脐中部疼痛、抑郁不乐。病在左侧取右侧穴位，病在右侧取左侧穴位。治疗腹胀肿胀、小腹痛、体内发热喜睡、尸厥（状如死人）、妇人血崩不止、子宫脱垂（阴挺出）、阴部疼痛。
行间穴：位于足大趾缝间，动脉应手凹陷处。是足厥阴肝经所溜注的荥穴，五行属火。肝实证应泻此穴。素问注解说，针刺三分。主治筋病、胸胁痛、小腹胀肿、咳嗽逆气呕血、尿道疼痛、腰痛不可俯仰、腹部胀满、小肠疝气、肝心痛（面色青苍如死状，整天呼吸不畅）、癫疾短气、大小便困难、七种疝气及寒疝、中风、肝积肥气、发作疟疾、妇人小腹胀肿、面部如蒙灰尘色泽脱落、月经量多不止、崩漏、小儿急惊风。东垣说：前阴臊臭。前阴是足厥阴肝经络脉循行经过生殖器、出于阴茎末端的部位。凡气味，由心所主，入肝则表现为臊味。在治疗肝经时泻行间穴，这是治本；随后在心经泻少冲穴，这是治标。
按《难经》所说，肝的气味是臊，心的气味是焦，脾的气味是香，肺的气味是腥，肾的气味是腐。五脏各有其气味，但都由心所主宰，所以通过泻行间穴来治疗。腋臭也属于臊味，所以治疗方法与前阴臊臭相同。药用柴胡、龙胆草、车前子、黄连，以清泻心肝二经。
太冲穴：位于足大趾本节（第一跖趾关节）后二寸处，或说一寸半处，两筋之间，动脉应手凹陷处。是足厥阴肝经所注输的俞穴，五行属土。普通人针刺三分，留针十呼，灸三壮。主治心痛脉弦、马黄病、瘟疫、肩肿吻伤、虚劳浮肿、腰牵引小腹痛、两侧睾丸收缩、腹泻遗尿、阴部疼痛、面目青色、胸胁支撑胀满、足冷、肝心痛、面色青苍如死状、整天呼吸不畅、大便困难、便血、小便淋沥、小肠疝气痛、狐疝、小便不利、呕血呕吐、发冷、咽干善渴、肘部肿胀、内踝前疼痛、身体软弱酸痛、腋下马刀疡瘘、嘴唇肿胀、女子漏下不止、小儿突发疝气。
中封穴（一名悬泉）：位于足内踝骨前一寸，筋里宛宛凹陷处。素问注解说一寸半，仰卧伸足取陷中，伸直脚才能找到。主治小腹胀痛、饮食不快绕脐痛、五种淋证小便不通、足厥冷、身黄微热、食欲不振、身体麻木不仁、寒疝、腰部疼痛、或身微热、痿厥失精、筋脉拘挛、阴器收缩入腹牵引疼痛。
蠡沟穴（一名交仪）：位于内踝上五寸，足厥阴络脉别走足少阳胆经。铜人针灸经记载，针刺二分，留针三呼，灸三壮。下经记载：如有息肉、背部拘急不可俯仰、小便不利、脐下积气坚硬如石、足胫寒冷酸痛、屈伸困难。女子赤白带下、月经不调。气逆则睾丸突然疼痛，实证则阴茎挺长，泻之可愈；虚证则突然瘙痒，补之可愈。
中都穴（一名中郄）：位于内踝上七寸，腓骨后缘，与足少阴肾经相对。铜人针灸经记载，针刺三分，灸五壮。主治肠澼（痢疾）、疝气、小腹痛、不能行走站立、小腿寒冷、妇人崩漏、产后恶露不绝。
膝关穴：位于犊鼻穴下二寸旁侧凹陷中。铜人针灸经记载，针刺四分，灸五壮。主治风痹、膝内侧疼痛牵引髌骨、不可屈伸、咽喉疼痛。
曲泉穴：位于膝股内侧，辅骨下方，大筋之上、小筋之下凹陷中。屈膝时取横纹头。是足厥阴肝经所入合的合穴，五行属水。主治癃闭、少气、泄利、四肢不能举重。实证则身体目眩疼痛、无汗、眼睛视物模糊、膝关疼痛、筋脉拘挛不可屈伸、发狂、衄血下血、喘呼、小腹痛牵引咽喉、房劳失精、身体极度疼痛、泄水下痢脓血、阴肿、阴茎痛、阴囊水肿、膝胫冷痛、女子血瘕（按之感觉像热水浸过的大腿内侧）、小腹胀肿、子宫脱垂、阴痒。
阴包穴：位于膝上四寸，大腿内侧两筋之间。仰卧取穴，看膝内侧必有槽中。铜人针灸经记载，针刺六分，灸三壮。下经记载七分。主治腰尻牵引小腹痛、小便困难、遗尿、妇人月经不调。
五里穴：位于气冲穴下三寸，阴股中动脉应手处。铜人针灸经记载，针刺六分，灸五壮。主治腹中胀满、热闭导致小便不通、风劳嗜卧。
阴廉穴：位于羊矢穴下方，距气冲穴二寸动脉中。铜人针灸经记载，针刺八分，留针七呼，灸三壮。主治妇人绝产。如果未曾生育者，灸三壮即可受孕。
章门穴（一名长平，一名胁端）：位于大横穴外侧，直对季胁肋端，当脐上二寸，两旁九寸处。侧卧，屈上足。疏曰：脏腑疾病治疗此处。铜人针灸经记载，针刺六分，灸百壮。明堂记载每日七壮止五百壮。素问注解说，针刺八分，留六呼，灸三壮。主治肠鸣盈盈然、食物不消化、胁痛、不得卧、烦热口干、食欲不振、胸胁痛支撑胀满、喘息、心痛而呕吐、吐逆、饮食反出、腰痛不得转侧、腰脊冷痛、溺多白浊、伤饱身黄瘦、贲豚积聚、腹肿如鼓、脊强、四肢懈怠懒惰、易恐惧、少气厥逆、肩臂不能举起。东垣说：气在肠胃者，取太阴、阳明经穴。如果不效，取三里、章门、中脘穴。魏士的妻子徐氏患疝气，从脐下上至心部皆胀满，呕吐烦闷，不进饮食。滑伯仁说：这是寒邪在下焦，灸章门、气海穴。
期门穴：直对乳头第二肋端，不容穴旁开一寸五分。又说乳头直下一寸半。是肝之募穴，足厥阴肝经、足太阴脾经之会合穴。铜人针灸经记载：仰卧。主治胁下积气、伤寒心切痛、喜呕酸水、饮食不下、食后吐水、胸胁痛支撑胀满、男子妇人血结胸满、面赤火燥、口干消渴、胸中痛不可忍受。伤寒过经不解，热入血室。男子则由阳明经受伤，下血谵语；妇人月经适来，邪气乘虚而入，及产后余疾。仲景说：伤寒腹满谵语，寸脉微而紧，这是肝乘脾，名叫纵，刺期门。伤寒发热，啬啬恶寒，大渴欲饮水，腹部必然胀满，自汗出，小便通利，病情将解，这是肝乘肺，名叫横，刺期门。又说：太阳与少阳并病，头项强痛，有时像结胸，心下痞硬者，应当刺大椎第一间、肺俞、肝俞。千万不要发汗，发汗则谵语。五六日谵语不止，应当刺期门。又说：妇人中风，发热恶寒，月经适来，得病七八日，热退脉迟身凉，胸胁下满，像结胸状，谵语者，此为热入血室，应当刺期门。又说：阳明病，下血谵语者，为热入血室，仅头部出汗者，刺期门。王叔和说：少阴脉不至，肾气微弱，少精血，奔气促迫，上入胸膈，宗气反聚，血结心下，阳气退下，热归阴股，与阴相动，令身体麻木不仁，此为尸厥，应当刺期门、巨阙。一妇人患热入血室，医者不识，许学士说：用小柴胡汤已晚，应当刺期门。我不能针刺，请擅长针刺的人针刺。照做而痊愈。
按：伤寒发热，啬啬恶寒，大渴，饮水腹满，至于自汗出，则表证已解；小便通利，则里气自和。故怀疑原文有衍文。所以丹溪对罗成之说：仲景书不是全书，其中或有文字不全，或有意思未尽。我每次思考，不能不有疑问。说的就是这种情况吧。
Jueyin Liver Meridian
The Qi of the Foot-Jueyin Liver Meridian originates at the pubic hair on the big toe. It ascends along the medial margin of the dorsum of the foot, one cun anterior to the medial malleolus.
The three hairs behind the nail of the big toe are called "Sanmao" (Three Hairs). The transverse crease behind these hairs is where the pubic hair gathers. "Qu" means distance. The Foot-Jueyin Liver Meridian starts at the Dazhun (LR1) acupoint in the pubic hair of the big toe. It follows the medial margin of the dorsum of the foot, passing through Xingjian (LR2) and Taichong (LR3), reaching Zhongfeng (LR4) one cun anterior to the medial malleolus.
Ascending eight cun above the ankle, it crosses posterior to the Foot-Taiyin Spleen Meridian. It ascends along the medial aspect of the leg.
From Zhongfeng ascending past Sanjiaojiao (SP6) at eight cun above the ankle, it passes through Ligou (LR5) and Zhongdu (LR6), then ascends another cun, crossing again posterior to the Foot-Taiyin Spleen Meridian, ascending along the medial aspect of the leg to Xiguan (LR7) and Ququan (LR8).
It follows the medial thigh into the genital region, circles the external genitalia, reaches the lower abdomen. It flanks the stomach, belongs to the Liver, and connects with the Gallbladder.
The inner thigh is called "Gu". The area below the umbilicus is called the "lower abdomen". Ascending from Ququan, it follows Yinbao (LR9), Wuli (LR10), and Yinlian (LR11) on the medial thigh, arriving at the boundary of Chongmen (ST30) and Fushé (ST29). It flanks the stomach, belongs to the Liver, and connects downward with the Danmü (GB24) point of the Gallbladder.
It pierces the diaphragm and spreads over the costal and hypochondriac regions. It follows the posterior aspect of the throat, enters the nasopharynx (Hangsang), connects with the visual system (Muxi), emerges above the forehead, and meets the Du Meridian at the vertex.
The deep part inside the inner canthus is called the "visual system". "Hangsang" refers to the upper pharynx. From Qimen (LR14), it pierces the diaphragm, runs outside Shidou (ST17) and inside Dabao (SP21), spreading over the costal and hypochondriac regions. It ascends to Yunmen (LU1), emerges above the forehead, runs inside Linqi (GB15) of the Foot-Shaoyang Gallbladder Meridian, and meets the Du Meridian at Baihui (GV20) on the vertex.
A branch descends from the visual system to the cheek interior, circling the inner lips.
Previously mentioned branches ascend from the visual system to emerge above the forehead; this branch descends from the visual system, located outside the Ren Meridian and inside the main meridian, descending to the cheek interior, crossing and circling inside the mouth.
Another branch diverges from the Liver, pierces the diaphragm separately, and flows upward into the Lungs.
This is a branch connecting meridians, diverging from the Qimen point where it belongs to the Liver, piercing the diaphragm, running outside Shidou and inside the main meridian, flowing upward into the Lungs, descending to the Middle Jiao, flanking the Zhongwan (CV12) area, thereby connecting with the Hand-Taiyin Lung Meridian.
This meridian has abundant blood and scarce Qi. Its Qi and Blood flow into it during the Chou hour (1:00-3:00 AM). It receives transmission from the Foot-Shaoyang Gallbladder Meridian. There are thirteen acupoints in total, twenty-six bilaterally. Needling depth is one fen, retention time is two breaths.
Dazhun (LR1): Located at the distal end of the big toe, about the width of a leek leaf from the nail, and among the three hairs. Another view states that the medial side is Yinbai (SP1) and the lateral side is Dazhun. It treats pain caused by disorders of the Foot-Jueyin Liver Meridian, sweating, Qi rushing up into the lower abdomen, unilateral enlargement of the scrotum, pain in the center of the navel, depression and unhappiness. Treat the right side for left-sided disease, and the left side for right-sided disease. It treats abdominal distension and swelling, lower abdominal pain, internal heat with drowsiness, corpse-like fainting (Shijue), continuous metrorrhagia in women, uterine prolapse (Yintingchu), and genital pain.
Xingjian (LR2): Located between the big toe and the second toe, in the depression where the artery is palpable. It is the Ying-Spring point of the Foot-Jueyin Liver Meridian, corresponding to Fire. For Liver Excess, drain this point. Suwen commentary states: needle three fen. It treats tendon disorders, chest and hypochondriac pain, lower abdominal swelling, cough with Qi rebellion and hematemesis, penile pain, low back pain with inability to bend or extend, abdominal distension, Xiao Chang Qi (intestinal hernia), Liver Heart Pain (pale cyan face like death, unable to breathe all day), epilepsy with shortness of breath, difficulty in urination and defecation, seven types of hernias and cold hernias, wind-stroke, Liver accumulation Feiqi, malaria attacks, lower abdominal swelling in women, facial dustiness and loss of complexion, excessive menstrual bleeding, metrorrhagia, pediatric acute convulsive wind. Dongyuan said: Foul odor of the anterior yin. The anterior yin is where the Foot-Jueyin Liver Meridian collaterals circulate through the genitalia and emerge at the tip. All odors are governed by the Heart; entering the Liver, they manifest as fishy odor. Draining Xingjian on the Liver meridian treats the root; subsequently draining Shaochong (HT9) on the Heart meridian treats the branch. According to Nanjing, the Liver's odor is fishy, the Heart's is scorched, the Spleen's is fragrant, the Lung's is raw/fishy, and the Kidney's is putrid. Each Zang organ has its own odor, but all are governed by the Heart. Thus, draining Xingjian treats it. Axillary osmidrosis also belongs to fishy odor, so the treatment method is similar to foul odor of the anterior yin. Medicinals include Chaihu (Bupleuri Radix), Caolongdan (Longanae Radix/Dracocephali Radix - *Note: Context implies Longdan Cao Gentianae Radix*), Cheqianzi (Plantaginis Semen), and Huanglian (Coptidis Rhizoma) to drain the Heart and Liver meridians.
Taichong (LR3): Located two cun posterior to the proximal interphalangeal joint of the big toe, or one and a half cun, between the tendons, where the artery is palpable in the depression. It is the Shu-Stream point of the Foot-Jueyin Liver Meridian, corresponding to Earth. For normal individuals, needle three fen, retain for ten breaths, moxa three zhuans. It treats heart pain with wiry pulse, Ma Huang disease, plague, shoulder swelling and lip injury, deficiency consumption with edema, low back pain radiating to the lower abdomen, retraction of both testicles, loose stools and enuresis, genital pain, cyan face, chest and hypochondriac fullness, cold feet, Liver Heart Pain with pale cyan face like death, inability to breathe all day, difficulty in defecation, hematochezia, dysuria, Xiao Chang hernia pain, Hu hernia, difficult urination, hematemesis and vomiting, chills, dry throat with thirst, elbow swelling, pain anterior to the medial malleolus, weakness and soreness, axillary Machdao ulcer, lip swelling, continuous leukorrhea in women, sudden hernia in infants.
Zhongfeng (LR4) (also known as Xuanquan): Located one cun anterior to the medial malleolus, in the depression within the tendon. Suwen commentary states one and a half cun. Take with the foot extended to find the depression; straightening the foot reveals it. It treats lower abdominal swelling and pain, food stagnation with periumbilical pain, five types of strangury with inability to urinate, cold feet, yellow body with slight fever, anorexia, numbness of the body, cold hernia, waist pain, or slight fever, flaccidity and impotence with seminal emission, tendon cramping, retraction of the penis into the abdomen with pulling pain.
Ligou (LR5) (also known as Jiaoyi): Located five cun above the medial malleolus. The Foot-Jueyin collateral diverges to the Shaoyang. Tongren Acupuncture Classic states: needle two fen, retain for three breaths, moxa three zhuans. Xiajing states: If there are polyps, rigidity of the back preventing bending or extending, difficult urination, accumulation of Qi under the umbilicus hard as stone, cold and soreness of the lower leg, difficulty in flexion and extension. Red and white leukorrhea in women, irregular menstruation. Qi rebellion causes sudden testicular pain; Excess leads to erection and elongation, drain it; Deficiency leads to sudden itching, tonify it.
Zhongdu (LR6) (also known as Zhongxi): Located seven cun above the medial malleolus, in the bone, aligned with the Shaoyin. Tongren Acupuncture Classic states: needle three fen, moxa five zhuans. It treats intestinal dysentery, hernia, lower abdominal pain, inability to walk or stand, cold legs, metrorrhagia in women, continuous lochia after childbirth.
Xiguan (LR7): Located two cun below Dubi (ST35) in the lateral depression. Tongren Acupuncture Classic states: needle four fen, moxa five zhuans. It treats wind-bi, pain on the medial knee radiating to the patella, inability to flex or extend, pain in the throat.
Ququan (LR8): Located on the medial aspect of the knee and thigh, below the accessory bone, above the large tendon and below the small tendon, in the depression. Take with the knee flexed at the head of the transverse crease. It is the He-Sea point of the Foot-Jueyin Liver Meridian, corresponding to Water. It treats strangury and retention, shortness of Qi, diarrhea, inability to lift the limbs. Excess manifests as body and eye vertigo/pain, no sweating, blurred vision, knee joint pain, tendon cramping with inability to flex or extend, mania, epistaxis and lower bleeding, panting, lower abdominal pain radiating to the throat, seminal emission due to sexual exhaustion, extreme body pain, diarrhea with pus and blood, genital swelling, penile pain, scrotal swelling, cold pain in the knee and shin, blood stasis mass in women (feels like hot water soaked thigh when pressed), lower abdominal swelling, uterine prolapse, genital itching.
Yinbao (LR9): Located four cun above the knee, between the two tendons on the medial thigh. Take supine; looking at the medial knee, there must be a groove. Tongren Acupuncture Classic states: needle six fen, moxa three zhuans. Xiajing states seven fen. It treats low back and sacrum pain radiating to the lower abdomen, difficult urination, enuresis, irregular menstruation in women.
Wuli (LR10): Located three cun below Qichong (ST30), where the artery is palpable in the medial thigh. Tongren Acupuncture Classic states: needle six fen, moxa five zhuans. It treats abdominal fullness, heat obstruction preventing urination, wind-consumption with drowsiness.
Yinlian (LR11): Located below the sheep testicle (inguinal ligament area), two cun from the artery at Qichong. Tongren Acupuncture Classic states: needle eight fen, retain for seven breaths, moxa three zhuans. It treats sterility in women. If she has not given birth, moxa three zhuans, and she will conceive.
Zhangmen (LR13) (also known as Changping, also known as Xi Duan): Located lateral to Dacheng (SP15), directly opposite the end of the floating rib, two cun above the umbilicus, nine cun laterally. Lie on the side, flex the upper leg. Commentary says: Treat organ diseases here. Tongren Acupuncture Classic states: needle six fen, moxa one hundred zhuans. Mingtang states seven zhuans daily, stopping at five hundred zhuans. Suwen commentary states: needle eight fen, retain for six breaths, moxa three zhuans. It treats borborygmus, indigestion, hypochondriac pain, inability to lie down, irritability, fever, dry mouth, anorexia, chest and hypochondriac pain with fullness, panting, heart pain with vomiting, regurgitation, food coming out, low back pain with inability to turn, cold pain of the lumbar spine, excessive white turbid urine, jaundice and emaciation after overeating,贲豚 (Pien-tun/Gas tumor), accumulations, drum-like abdominal swelling, spinal stiffness, limb lethargy, fearfulness, shortness of Qi, reversal cold, inability to raise shoulder and arm. Dongyuan said: For Qi in the intestines and stomach, take Taiyin and Yangming points. If ineffective, take Zusanli (ST36), Zhangmen (LR13), and Zhongwan (CV12). Wei Shi's wife Xu suffered from hernia, with fullness and distension from below the umbilicus to the heart, vomiting, irritability, and inability to eat. Hua Borén said: This is Cold in the Lower Jiao; moxa Zhangmen (LR13) and Qihai (CV6).
Qimen (LR14): Directly below the nipple at the end of the second rib, one and a half cun lateral to Burong (ST19). Also stated as one and a half cun directly below the nipple. It is the Front-Mu point of the Liver, meeting the Foot-Jueyin and Foot-Taiyin meridians. Tongren Acupuncture Classic states: Lie supine. It treats accumulated Qi under the hypochondrium, heart-cutting pain in Shanghan (Cold Damage), preference for sour vomiting, inability to eat, vomiting water after eating, chest and hypochondriac pain with fullness, blood-binding chest fullness in men and women, red face with fire-dryness, dry mouth with wasting-thirst, unbearable chest pain. Shanghan progressing beyond the stage without resolution, Heat entering the Blood Chamber. In men, it injures via the Yangming, causing bloody stool and delirium; in women, it enters when menstruation is just starting, taking advantage of deficiency, and residual ailments after childbirth. Zhongjing said: Abdominal fullness and delirium in Shanghan, cun pulse subtle and tight, this is Liver attacking Spleen, named Zong (Vertical); puncture Qimen. Fever, shivering aversion to cold, great thirst for water, abdominal fullness, spontaneous sweating, free urination in Shanghan indicates the disease is resolving; this is Liver attacking Lung, named Heng (Horizontal); puncture Qimen. Also said: Taiyang and Shaoyang combined disease, stiff neck and headache, sometimes like chest binding, hardness below the heart; should puncture Dazhui (GV14) first interspace, Feishu (BL13), Ganshu (BL18). Do not induce sweating; inducing sweating causes delirium. If delirium persists for five to six days, puncture Qimen. Also said: Wind-stroke in women, fever and aversion to cold, menstruation just started, after seven to eight days, heat subsides, pulse slows, body cools, fullness below the chest and hypochondrium like chest binding, delirium; this is Heat entering the Blood Chamber; puncture Qimen. Also said: Yangming disease, bloody stool and delirium; this is Heat entering the Blood Chamber; if only the head sweats, puncture Qimen. Wang Shuhe said: Shaoyin pulse does not reach, Kidney Qi is weak, essence and blood are scant, rushing Qi forces upward into the chest and diaphragm, Zong Qi gathers inversely, blood binds below the heart, Yang Qi retreats downward, Heat returns to the medial thigh, moving with Yin, causing bodily numbness; this is Corpse-like Fainting (Shijue); puncture Qimen (LR14) and Jueque (CV14). A woman suffered from Heat entering the Blood Chamber; the physician did not recognize it. Xu Xueshi said: Using Xiaochaihu Tang is too late; should puncture Qimen. I cannot needle; please ask a skilled needle practitioner. She recovered as instructed.
Commentary: In Shanghan, fever, shivering aversion to cold, great thirst, drinking water leading to abdominal fullness, until spontaneous sweating occurs, then the Exterior is resolved; free urination means the Interior is harmonious. Therefore, it is suspected that there are superfluous characters in the text. Thus, Danxi said to Luo Chengzhi: Zhongjing's book is not the complete work; some texts may be incomplete, some meanings may be unfinished. Every time I think of it, I cannot help but have doubts. This is what is meant.