阳跷脉者。起于跟中。循外踝上行入风池。其为病也。令人阴缓而阳急。两足跷脉。本
太阳
数其阴。当数者为经。不当数者为络也。跷脉长八尺。所发之穴。生于申脉。以附阳为 。
本于仆参。与足少阳会于居 。又与手阳明会于肩 及巨骨。又与手足太阳、阳维会于 俞。
与手足阳明会于地仓。又与手足阳明会于巨 。又与任脉、足阳明会于承泣。凡二十穴。
申脉(外踝下。属足太阳经。) 附阳(外踝上) 仆参(跟骨上) 居 (章门下) 肩 (
肩端
分)
以上诸穴。阳跷脉病者。宜刺之。
阴跷脉者。亦起于跟中。循内踝上行至咽喉。交贯冲脉。此为病者。令人阳缓而阴急。
故曰
。上出人迎之前。入鼻。属目内 。合于太阳。女子以之为经。男子以之为络。两足跷脉。
长八尺。而阴跷之 在交信。阴跷病者取此。
照海(足内踝下) 交信(内踝上)
阴跷脉病。取之二穴刺之。
冲脉者。与任脉皆起于胞中。上循脊里。为经络之海。其浮于外者。循腹上行。会于咽
喉。
人逆气而里急。难经则曰。并足阳明之经。以穴考之。足阳明侠脐左右各二寸而上行。足少
阴侠脐左右各五分而上行。针经所载。冲、任与督脉。同起于会阴。其在腹也。行乎幽门、
通谷、阴都、石关、商曲、肓俞、中注、四满、气穴、大赫、横骨。凡二十二穴。皆足少阴
之分也。然则冲脉并足少阴之经明矣。
幽门(巨阙旁) 通谷(上脘两旁) 阴都(通谷下) 石关(阴都下) 商曲(石关下) 肓俞
(商曲下) 中注(肓俞下) 四满(中注下) 气穴(四满下) 大赫(气穴下) 横骨(大赫下)
逆气里急者。取诸此。
阳跷脉,起始于足跟中部,沿外踝向上行走,进入风池穴。它发生病变时,会导致阴侧肌肉松弛而阳侧肌肉拘急(即内侧弛缓、外侧痉挛)。对于两足的跷脉,应当以阴跷脉作为经,以阳跷脉作为络。跷脉的长度为八尺。其发出的穴位,生于申脉穴,依附于附阳穴,根本在于仆参穴,与足少阳胆经会合于居髎穴,又与手阳明大肠经会合于肩髃穴及巨骨穴,又与手太阳小肠经、足太阳膀胱经以及阳维脉会合于大杼穴,与手足阳明经会合于地仓穴,又与手足阳明经会合于巨髎穴,又与任脉、足阳明胃经会合于承泣穴。共计二十个穴位。
申脉穴(位于外踝下方,属于足太阳膀胱经) 附阳穴(位于外踝上方) 仆参穴(位于跟骨上方) 居髎穴(位于章门穴下方) 肩髃穴(位于肩端分界处)
阴跷脉,也起始于足跟中部,沿内踝向上行走到达咽喉,并交叉贯穿冲脉。它发生病变时,会导致阳侧肌肉松弛而阴侧肌肉拘急(即外侧弛缓、内侧痉挛)。所以被称为……(原文此处有缺漏或指代不明,通常指阴阳失衡之病机)。上行出于人迎穴之前,进入鼻部,归属于目内眦,与太阳经相合。对于女子,以阴跷脉为经;对于男子,以阴跷脉为络。两足的跷脉长度均为八尺,而阴跷脉的郄穴在交信穴。患有阴跷脉疾病时选取此穴。
冲脉,与任脉都起始于胞宫(子宫/精室),向上沿着脊柱内部行走,是十二经脉气血汇聚的海洋(经络之海)。其中浮行于体外的部分,沿着腹部向上行走,会合于咽喉。如果气机上逆且腹部拘急疼痛,难以缓解。《难经》则说,冲脉并行于足阳明胃经。通过穴位考证,足阳明胃经夹脐左右各二寸向上行走,足少阴肾经夹脐左右各五分向上行走。《针经》记载,冲脉、任脉与督脉,共同起始于会阴穴。在腹部这一段,它们行走在幽门、通谷、阴都、石关、商曲、肓俞、中注、四满、气穴、大赫、横骨等穴位之间。共计二十二个穴位,都属于足少阴肾经的分布范围。既然如此,那么冲脉并行于足少阴肾经是明确的了。
幽门穴(巨阙穴旁) 通谷穴(上脘穴两旁) 阴都穴(通谷穴下方) 石关穴(阴都穴下方) 商曲穴(石关穴下方) 肓俞穴(商曲穴下方) 中注穴(肓俞穴下方) 四满穴(中注穴下方) 气穴穴(四满穴下方) 大赫穴(气穴穴下方) 横骨穴(大赫穴下方)
出现气机上逆和腹部拘急疼痛的症状,可以选取上述这些穴位进行治疗。
The Yang Qiao Mai (Yang Heel Vessel) originates from the middle of the heel, ascends along the lateral malleolus, and enters the Fengchi (GB20) acupoint. When pathological changes occur in this vessel, it causes flaccidity on the Yin side and tension on the Yang side (i.e., relaxation of the medial muscles and spasm of the lateral muscles). Regarding the Qiao vessels of both feet, the Yin Qiao should be counted as the Jing (Regular Channel), while the Yang Qiao should be counted as the Luo (Connecting Channel). The length of the Qiao vessel is eight chi. The acupoints originating from it begin at Shenmai (BL62), attach to Fuliu (BL59), originate from Puxen (BL60), intersect with the Foot-Shaoyang Gallbladder Channel at Juliao (GB73), intersect with the Hand-Yangming Large Intestine Channel at Jianyu (LI15) and Jugu (SI10), intersect with the Hand-Taiyang Small Intestine Channel, Foot-Taiyang Bladder Channel, and Yang Wei Mai (Yang Linking Vessel) at Dazhu (BL11), intersect with the Hand-Yangming and Foot-Yangming channels at Dicang (ST4), intersect again with the Hand-Yangming and Foot-Yangming channels at Juliao (ST3), and intersect with the Ren Mai (Conception Vessel) and Foot-Yangming Stomach Channel at Chengqi (ST1). There are twenty acupoints in total.
Shenmai (BL62) (Located below the lateral malleolus, belonging to the Foot-Taiyang Bladder Channel.) Fuliu (BL59) (Located above the lateral malleolus.) Puxen (BL60) (Located above the calcaneus.) Juliao (GB73) (Located below Zhangmen (LR13).) Jianyu (LI15) (Located at the division of the shoulder tip.)
For diseases of the Yang Qiao Mai, these acupoints are suitable for needling.
The Yin Qiao Mai also originates from the middle of the heel, ascends along the medial malleolus to the throat, crosses and penetrates the Chong Mai (Penetrating Vessel). When pathological changes occur in this vessel, it causes flaccidity on the Yang side and tension on the Yin side (i.e., relaxation of the lateral muscles and spasm of the medial muscles). Therefore, it is said... [text missing]. It ascends anterior to the Yingchang (ST9) acupoint, enters the nose, belongs to the inner canthus, and merges with the Taiyang channels. For women, the Yin Qiao serves as the Jing (Regular Channel); for men, the Yin Qiao serves as the Luo (Connecting Channel). The Qiao vessels of both feet are eight chi long, and the Xi-Cleft point of the Yin Qiao is located at Jiaoxin (KI8). When treating diseases of the Yin Qiao Mai, select this acupoint.
Zhaohai (KI6) (Located below the medial malleolus.) Jiaoxin (KI8) (Located above the medial malleolus.)
For diseases of the Yin Qiao Mai, select these two acupoints for needling.
The Chong Mai (Penetrating Vessel) originates together with the Ren Mai (Conception Vessel) from the Baozhong (Uterus/Essence Chamber). It ascends along the interior of the spine and serves as the Sea of the Jing-Luo (Meridian System). Its portion floating externally ascends along the abdomen and converges at the throat. If Qi rebels upward causing abdominal tightness and urgency, it becomes difficult to relieve. The Nan Jing (Classic of Difficult Issues) states that the Chong Mai runs parallel to the Foot-Yangming Stomach Channel. Based on acupoint verification, the Foot-Yangming Stomach Channel ascends two cun lateral to the umbilicus on both sides, while the Foot-Shaoyin Kidney Channel ascends five fen lateral to the umbilicus on both sides. The Zhen Jing (Classic of Acupuncture) records that the Chong Mai, Ren Mai, and Du Mai (Governor Vessel) all originate from the Huiyin (CV1) acupoint. In the abdomen, they traverse the acupoints Youmen (KI15), Tonggu (KI16), Yindu (KI17), Shiguan (KI18), Shangqu (KI19), Huangshu (KI16 - *Note: Text lists Huangshu here but anatomically corresponds to KI16 which is also Tonggu's neighbor or distinct depending on edition, usually KI16 is Tonggu, KI17 Yindu, etc. The text lists specific points*), Zhongzhu (KI21), Siman (KI22), Qixue (KI26), Dahe (KI27), and Henggu (KI11). There are twenty-two acupoints in total, all belonging to the distribution of the Foot-Shaoyin Kidney Channel. Thus, it is clear that the Chong Mai runs parallel to the Foot-Shaoyin Kidney Channel.
Youmen (KI15) (Lateral to Juque (RN14).) Tonggu (KI16) (Bilateral to Shangwan (RN13).) Yindu (KI17) (Below Tonggu.) Shiguan (KI18) (Below Yindu.) Shangqu (KI19) (Below Shiguan.) Huangshu (KI16? *Text says below Shangqu, likely referring to a specific point in this context, traditionally KI16 is Tonggu, KI17 Yindu, KI18 Shiguan, KI19 Shangqu, KI20 Huangshu*) (Below Shangqu.) Zhongzhu (KI21) (Below Huangshu.) Siman (KI22) (Below Zhongzhu.) Qixue (KI26) (Below Siman.) Dahe (KI27) (Below Qixue.) Henggu (KI11) (Below Dahe.)
For symptoms of rebellious Qi and abdominal tightness/urgency, select these acupoints for treatment.