丰隆 外踝上八寸。下 外廉陷中。足阳明络别走太阴。铜人。针三分。灸三壮。明下
。七
四肢肿。足清身寒湿。喉痹不能言。登高而歌。弃衣而走。见鬼。好笑。气逆则喉痹卒喑。
实则癫狂。泻之。虚则足不收。胫枯。补之。
解 冲阳后一寸五分。腕上陷中。足大指次指直上。跗上陷者宛宛中。足阳明胃脉所
行为
。大便下重。 惊。膝股 肿。转筋目眩。头痛癫疾。烦心悲泣。霍乱。头风。面赤目赤。
眉攒疼不可忍。
冲阳 足跗上五寸。去陷谷三寸骨间动脉。足阳明胃脉所过为原。胃虚实皆拔之。素注
。针
。跗肿。齿龋。发寒热。腹坚大。不嗜食。伤寒病振寒而欠。久狂。登高而歌。弃衣而走。
足缓履不收。身前痛。
陷谷 足大指次指外间。本节后陷中。去内庭二寸。足阳明胃脉所注为俞。木。素注。
针五
。东垣曰。气在于臂。足取之。先去血脉。后取其阳明、少阴之荥俞内庭、陷谷深取之。
内庭 足大指次指外间陷中。足阳明胃脉所溜为荥。水。铜人。灸三壮。针三分。留十
呼。
。疟不嗜食。脑皮肤痛。鼻衄不止。伤寒手足逆冷。汗不出。赤白痢。仲景曰。太阳若欲作
再经者。针足阳明。使不传则愈。
厉兑 足大指次指之端。去爪甲角如韭叶。足阳明胃脉所出为井。金。胃实泻之。铜人
。针
寒疟不嗜食。面肿。足 寒。喉痹。上齿龋。恶寒鼻不利。多惊好卧。狂欲登高而歌。弃
衣而走。黄胆鼽衄。口 唇胗。颈肿。膝膑肿痛。循胸乳气街股伏兔 外廉足跗上痛。消谷
善饥。溺黄。
\r脾脏图\pj-j14.bmp\r
脾重二斤三两。扁广三寸。长五寸。有散膏半斤。居脊之第十二椎。掩乎太仓。（胃）主
裹血。温五脏。
中央黄色。入通于脾。开窍于口。藏精于脾。故病在舌本。其味甘。其类土。其畜牛。
其谷
中央生湿。湿生土。土生甘。甘生脾。脾生肉。肉生肺。脾主口。其在天为湿。在地为
土。
。在志为思。思伤脾。怒胜思。湿伤肉。风胜湿。甘伤肉。酸胜甘。
脾之合肉也。其荣唇也。其主肝也。脾胃者。仓廪之官。五味出焉。
脾者。仓廪之本。营之居也。其华在唇四白。其充在肌。此至阴之类。通于土气。（从滑氏
改正）脾者。土也。孤脏以灌四旁。
脾主四肢。为胃行其津液。（丹溪曰。脾具坤静之德。而有干健之用。易牝马地类行地
无强之意。）
脾主治中央。常以四时长四脏。各十八日寄治。不独主于时也。
脾气通于口。口和则知谷味矣。
脾气虚。则梦饮食不足。得其时。则梦筑垣墙盖屋。（长夏及四季）
脾色黄。欲如罗裹雄黄。不欲如黄土。（一云枳实）
脾气绝。则脉不荣其唇口。唇者。肌肉之本也。脉不荣。则肌肉不滑泽。肌肉不滑泽。
则肉满。肉满则唇反。唇反则肉先死。甲日笃。乙日死。
丰隆穴：位于外踝尖上八寸，胫骨前嵴外侧两横指处的凹陷中。是足阳明胃经的络穴，别走足太阴脾经。据《铜人腧穴针灸图经》记载，针刺深度三分，艾灸三壮。
主治病症：四肢浮肿，足部发凉，身体寒冷湿重；喉痹导致不能言语；登高而歌，脱衣奔跑，看见鬼怪，无故发笑。若气机上逆，则突发喉痹和失音。实证表现为癫狂，应泻法治疗；虚证表现为足部弛缓不收、小腿肌肉萎缩干枯，应补法治疗。
解溪穴：位于冲阳穴后一寸五分，踝关节横纹中央的凹陷中。在大脚趾和第二脚趾直线上，足背动脉搏动处的凹陷中。是足阳明胃经经气所行的部位。
主治病症：大便下坠感（里急后重）；惊恐；膝部和股部肿胀；筋脉拘挛抽搐，头晕目眩；头痛、癫疾；心烦、悲伤哭泣；霍乱；头风痛；面部发红，眼睛发红；眉头疼痛难以忍受。
冲阳穴：位于足背最高处，距陷谷穴三寸，骨间动脉搏动处。是足阳明胃经的原穴，经气经过之处。无论胃经虚实，均可在此穴施治。据《素问》注解说，此处可针。
主治病症：足背肿胀；龋齿疼痛；寒热往来；腹部坚硬胀大；食欲不振；伤寒病时战栗发冷并呵欠；长期癫狂；登高而歌，脱衣奔跑；足部软弱无力，无法穿鞋行走；身前疼痛。
陷谷穴：位于第二脚趾外侧，本节（第一跖趾关节）后的凹陷中，距离内庭穴二寸。是足阳明胃经经气灌注的地方，为输穴，五行属木。据《素问》注说。针刺深度五分。李东垣说：如果气机阻滞在手臂和足部，可以取此穴。先刺破瘀血脉络，然后深取足阳明胃经和足少阴肾经的荥穴和内庭、输穴陷谷。
内庭穴：位于第二脚趾外侧，本节前的凹陷中。是足阳明胃经经气流注的地方，为荥穴，五行属水。据《铜人腧穴针灸图经》记载，艾灸三壮，针刺三分，留针十次呼吸的时间。
主治病症：疟疾且食欲不振；脑部及皮肤疼痛；鼻出血不止；伤寒导致手足逆冷，无汗；赤白痢疾。张仲景说：太阳病如果打算传入下一经（阳明经），针刺足阳明胃经的穴位，阻止其传变即可痊愈。
厉兑穴：位于第二脚趾末端，距离爪甲角如韭菜叶宽的地方。是足阳明胃经经气发出的地方，为井穴，五行属金。胃经实证用泻法。据《铜人腧穴针灸图经》记载。
主治病症：寒性疟疾且食欲不振；面部浮肿；足部寒冷；喉痹；上齿龋痛；恶寒，鼻塞不通利；多惊悸，嗜睡；癫狂欲登高而歌，脱衣奔跑；黄疸，鼻衄；口唇生疮；颈部肿胀；膝盖髌骨肿痛；沿胸部、乳房、气街、大腿伏兔穴外侧至足背疼痛；消化食物快且容易饥饿；小便黄。
【脾脏图】\pj-j14.bmp
脾脏重量二斤三两，扁平宽阔三寸，长五寸，旁边有半斤重的散膏（胰腺）。位于脊柱第十二椎旁，覆盖在太仓（胃）之上。脾主包裹血液，温煦五脏。
中央对应黄色，入通于脾，开窍于口，精气藏于脾。所以病变反映在舌根。其味为甘，其类属土，其畜为牛，其谷为稷（小米）。
中央产生湿气，湿生土，土生甘味，甘味滋养脾。脾生成肌肉，肌肉生肺。脾主口。在天为湿，在地为土。
在志为思，思虑过度伤脾，怒能胜思。湿气伤肉，风能胜湿。甘味伤肉，酸味能胜甘。
脾与肉相合，其荣华表现在嘴唇。脾的制约者是肝。脾胃是仓廪之官，五味由此化生。
脾是仓廪的根本，营气居住的地方。其荣华表现在口唇四周的白色肌肤，其充养在肌肉。这是至阴的一类，与土气相通。（根据滑寿先生的观点改正）脾属土，是孤脏，用来灌溉四方脏腑。
脾主四肢，为胃运行津液。（朱丹溪说：脾具备坤卦静止的德行，而有乾卦刚健的作用，如同母马在地面上行走没有强力之意。）
脾主治中央，常在四季末各十八天寄治以滋养四脏，不仅仅主管一个季节。
脾气通于口，口调和就能知道五谷的味道。
脾气虚，则梦见饮食不足。得其时令（长夏及四季末），则梦见筑墙盖屋。
脾的颜色应该是像罗纱包裹着的雄黄那样明润含蓄，不应该是像黄土那样枯槁晦暗。（一说枳实色）
脾气绝，则脉气不能荣养口唇。唇是肌肉的根本。脉气不能荣养，则肌肉不光滑润泽。肌肉不光滑润泽，则肌肉满胀。肌肉满胀则口唇外翻。口唇外翻则肌肉先死。甲日病情加重，乙日死亡。
Fenglong (ST40): Located 8 cun above the lateral malleolus, in the depression lateral to the anterior crest of the tibia. It is the Luo-Connecting point of the Foot-Yangming Stomach Meridian, diverging to connect with the Foot-Taiyin Spleen Meridian. According to the *Tongren Shuxue Zhenjiu Tujing* (Illustrated Manual of Acupoints and Moxibustion for Bronze Figures), needle insertion depth is 3 fen, moxibustion 3 moxa cones.
Indications: Edema of the four limbs, cold feet, body feeling cold and damp; Bi syndrome of the throat leading to aphonia; climbing high and singing, discarding clothes and running, seeing ghosts, laughing inexplicably. If Qi rebels upward, it causes sudden throat Bi and aphonia. Excess patterns manifest as mania or epilepsy, treated by reducing method; deficiency patterns manifest as flaccidity of the feet unable to hold weight and atrophy of the lower leg muscles, treated by tonifying method.
Jiexi (ST41): Located 1.5 cun posterior to Chongyang (ST42), in the depression at the center of the transverse crease of the ankle joint. On the line extending straight up from the big toe and second toe, in the depression where the dorsal foot artery beats. It is a site where the Qi of the Foot-Yangming Stomach Meridian flows.
Indications: Tenesmus (feeling of incomplete defecation); fright; swelling of the knee and thigh; muscle spasms, dizziness; headache, epilepsy; irritability, sadness, weeping; cholera; wind-headache; red face, red eyes; unbearable pain at the inner canthus/eyebrow root.
Chongyang (ST42): Located on the highest point of the dorsum of the foot, 3 cun distal to Xangu (ST43), over the arterial pulse between the bones. It is the Yuan-Source point of the Foot-Yangming Stomach Meridian, where the meridian Qi passes through. Both excess and deficiency of the Stomach can be treated here. According to annotations in the *Suwen*, needling is applicable.
Indications: Dorsal foot edema; dental caries pain; alternating chills and fever; abdominal hardness and distension; anorexia; during Shanghan disease, shivering chills and yawning; chronic mania; climbing high and singing, discarding clothes and running; weakness of the feet making walking difficult; pain in the anterior body.
Xangu (ST43): Located in the depression distal to the first metatarsophalangeal joint, on the lateral side of the second toe, 2 cun distal to Neiting (ST44). It is the Shu-Stream point of the Foot-Yangming Stomach Meridian, where Qi pours in, corresponding to the Wood element. According to *Suwen* annotations. Needle insertion depth 5 fen. Li Dongyuan stated: If Qi stagnates in the arms and legs, this point can be taken. First puncture collateral vessels to release blood stasis, then deeply needle the Ying-Spring points of the Foot-Yangming Stomach Meridian and Foot-Shaoyin Kidney Meridian, specifically Neiting and Xangu.
Neiting (ST44): Located in the depression on the lateral side of the second toe, proximal to the first metatarsophalangeal joint. It is the Ying-Spring point of the Foot-Yangming Stomach Meridian, where Qi flows, corresponding to the Water element. According to the *Tongren Shuxue Zhenjiu Tujing*, moxibustion 3 cones, needle insertion 3 fen, retain needle for 10 breaths.
Indications: Malaria with anorexia; pain in the brain and skin; persistent epistaxis; Shanghan causing cold extremities and absence of sweat; dysentery with red and white discharge. Zhang Zhongjing said: If the Taiyang disease is about to transmit to the next meridian, needling the Foot-Yangming Stomach Meridian can prevent transmission and cure the disease.
Lidui (ST45): Located at the tip of the second toe, approximately the width of a leek leaf from the corner of the nail. It is the Jing-Well point of the Foot-Yangming Stomach Meridian, where Qi emerges, corresponding to the Metal element. Excess patterns of the Stomach are treated by reducing method. According to the *Tongren Shuxue Zhenjiu Tujing*.
Indications: Cold malaria with anorexia; facial edema; cold feet; throat Bi; upper dental caries; aversion to cold, nasal congestion; frequent fright, somnolence; mania desiring to climb high and sing, discard clothes and run; jaundice, epistaxis; sores on lips; neck swelling; swelling and pain of the knee patella; pain along the chest, breast, Qich acupoint area, outer aspect of Futu (ST32) on the thigh, to the dorsum of the foot; rapid digestion with easy hunger; yellow urine.
[Spleen Organ Diagram] \pj-j14.bmp
The Spleen weighs two jin and three liang, is flat and broad three cun, and five cun long. Adjacent to it is half a jin of dispersed paste (pancreas). It is located beside the twelfth thoracic vertebra, covering the Taicang (Stomach). The Spleen governs enclosing blood and warming the five Zang organs.
In the center corresponds to Yellow, entering into communication with the Spleen, opening into the mouth, storing essence in the Spleen. Therefore, diseases manifest at the root of the tongue. Its flavor is Sweet, its category is Earth, its animal is the Ox, its grain is Ji (Millet).
The center generates Dampness; Dampness generates Earth; Earth generates Sweet flavor; Sweet flavor nourishes the Spleen. The Spleen generates flesh/muscle; flesh/muscle generates Lung. The Spleen governs the mouth. In Heaven it is Dampness, in Earth it is Soil.
Its emotion is Pensiveness (Si); excessive pensiveness injures the Spleen; Anger overcomes Pensiveness. Dampness injures flesh; Wind overcomes Dampness. Sweet flavor injures flesh; Sour flavor overcomes Sweet.
The Spleen harmonizes with flesh; its luster manifests in the lips. The Liver controls the Spleen. The Spleen and Stomach are the officials of the granary, from which the five flavors arise.
The Spleen is the root of the granary, the residence of Ying-Qi. Its luster manifests in the white skin around the lips; its substance fills the muscles. This belongs to the category of Supreme Yin, communicating with Earth Qi (Corrected according to Mr. Hua Shi). The Spleen is Earth, a solitary organ that irrigates the four directions (other organs).
The Spleen governs the four limbs and transports fluids for the Stomach. (Zhu Danxi said: The Spleen possesses the quiet virtue of Kun (Earth) but has the vigorous function of Qian (Heaven), like a mare moving across the earth without force.)
The Spleen governs the center and often nourishes the four Zang organs during the last eighteen days of each season, not solely governing one season.
Spleen Qi connects to the mouth; when the mouth is harmonious, one can perceive the flavors of grains.
When Spleen Qi is deficient, one dreams of insufficient food and drink. When receiving its proper season (Late Summer and the last eighteen days of each season), one dreams of building walls and houses.
The color of the Spleen should resemble yellow rosy gauze wrapping realgar (bright and radiant), not like yellow loess (dull and dry). (One version says Atractylodis Rhizoma color).
When Spleen Qi perishes, the pulses fail to nourish the lips and mouth. The lips are the root of the muscles. If pulses do not nourish, muscles become rough and unsmooth. If muscles are unsmooth, they become full/tense. If muscles are full, the lips turn outward/retract. If lips retract, the flesh dies first. Condition worsens on Jia day, death occurs on Yi day.