手肺少商中府起。大肠商阳迎香主。足胃厉兑头维三。脾部隐白大包参。膀胱晴明至阴
肾经涌泉俞府住。心包中冲天池随。三焦关冲耳门推。胆家窍阴瞳子 。肝经大敦期门绍。
手心少冲极泉来。小肠少泽听宫罢。十二经穴始终歌。学人铭于肺腑照。
肺寅大卯胃辰宫。脾巳心午小未中。申膀酉肾心包戌。亥三子胆丑肝通。此是经脉流注
君当记取在心胸。甲胆乙肝丙小肠。丁心戊胃己脾乡。庚属大肠辛属肺。壬属膀胱癸肾藏。
三焦亦向壬中寄。包络同归入癸方。
三里内庭穴。曲池合谷接。环跳与阳陵。通里并列缺。委中配承山。下至昆仑穴。合担
用法担。合截用法截。此法人不知。金锁通关节。机按。他家又添太冲。作十二穴。去阳陵加
阳辅
引谓之担。左手推按谓之截。担则气来。截则气去。所解无定见者。
法不经见。故诸家各以己意而释之也。）
公孙冲脉胃心胸。内关阴维下总同。临泣胆经连带脉。阳维目锐外关逢。后溪督脉内
颈。申脉阳跷络亦通。列缺肺任行肺系。阴跷照海隔喉咙。
（热病在内者。各随其所属而取之会也。）
八脉始终连八会。府会太仓中脘内。藏会季肋是章门。骨杼血膈（骨会大杼。血会膈俞
。）都
肺经多气而少血。是动（因气动也）则病喘与咳。肺胀膨膨缺盆痛。两手交瞀为臂厥。所
生病者（不因气动）为气嗽。喘渴烦心胸满结。 臂之内前廉痛。小便频数掌中热。气虚肩背
痛而寒
。所生病者为鼻衄。目痛口干喉痹候。大指次指用为难。肩前 外痛相参。 胃经多气复多
血。是动欠伸面颜黑。凄凄恶寒畏见人。忽闻木音心震慑。登高而歌弃衣走。甚则腹胀气贲
响。凡此诸疾 厥竭。所生病者狂疟说。湿温汗出鼻血流。口 唇胗喉痹结。膝膑疼痛腹胀
兼。气膺伏兔 外廉。足跗中趾俱痛彻。有余消谷溺黄色。不足身前寒振栗。胃房胀满不消
食。气盛身前热似蒸。此是胃经之病真。 脾经气盛而血衰。是动其病气所为。食入即吐胃
脘痛。更兼身体痛难移。腹胀善噫舌本强。得食与气快然衰。所生病者舌肿痛。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。疽发身黄大指痿。 心经多气
少血宫。是动心脾痛难任。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。 小肠气少还多血。是动则病痛咽嗌。颔下肿兮不可顾。肩似拔兮 似折。所生病
主肩 痛。耳聋目黄肿腮颊。肘臂之外后廉痛。部分尤当细分别。 膀胱血多气犹少。是动
头疼不可当。项似拔兮腰似折。髀强痛彻脊中央。 如结兮 如裂。是为踝厥筋乃伤。所主
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。 肾经多气而少血。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。口热咽痛气贲促。股内后廉并脊疼。心肠烦痛疸而 。痿厥嗜卧体怠惰。足
下热痛皆骨厥。 心包少气原多血。是动则病手心热。肘臂挛急腋下肿。甚则胸胁支满结。
心中澹澹或大动。喜笑目黄面赤色。所生病者为烦心。心痛掌中热之疾。 三焦少血还多气
。是动耳鸣喉肿痹。所生病者汗自出。耳后痛兼目锐 。肩 肘臂外 疼。小指次指亦如废
。胆经多气而少血。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。马刀挟瘿生两旁。汗出振寒 疟疾。胸胁髀膝至跗骨。绝骨踝痛及诸节
。肝经血多气少方。是动腰疼俯仰难。男疝女人少腹肿。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。临症还须仔细看。（机按。经言十二经是动及所
生诸病。虚则补之。实则写之。热则疾之。寒则留之。陷下则灸之。不盛不虚。以经取之。
盛者。寸口大三倍于人迎。虚者。寸口反小于人迎也。兹集切脉观色数条于前。继集诸经病
症数条于后。盖欲学人备举兼尽。庶不陷于一偏。免致杀人于无知无识。阴谴之报。或可以
少逭也。）
手太阴肺经起于中府穴，止于少商穴。手阳明大肠经起于商阳穴，止于迎香穴。足阳明胃经起于厉兑穴，止于头维穴。足太阴脾经起于隐白穴，止于大包穴。足太阳膀胱经起于睛明穴，止于至阴穴。足少阴肾经起于涌泉穴，止于俞府穴。手厥阴心包经起于中冲穴，止于天池穴。手少阳三焦经起于关冲穴，止于耳门穴。足少阳胆经起于窍阴穴，止于瞳子髎穴。足厥阴肝经起于大敦穴，止于期门穴。手少阴心经起于少冲穴，止于极泉穴。手太阳小肠经起于少泽穴，止于听宫穴。这是十二经脉穴位起止的歌诀，学习者应铭记于心并加以对照实践。
肺经对应寅时，大肠经对应卯时，胃经对应辰时，脾经对应巳时，心经对应午时，小肠经对应未时，膀胱经对应申时，肾经对应酉时，心包经对应戌时，三焦经对应亥时，胆经对应子时，肝经对应丑时。这就是经脉气血流注的规律，应当牢记在心胸之间。甲木对应胆，乙木对应肝，丙火对应小肠，丁火对应心，戊土对应胃，己土对应脾，庚金对应大肠，辛金对应肺，壬水对应膀胱，癸水对应肾。三焦经也寄属于壬水，心包络同归于癸水。
足三里、内庭穴；曲池、合谷相接；环跳与阳陵泉；通里与列缺并列；委中配承山；向下至昆仑穴。运用“担”法时，需同时取用两端的穴位；运用“截”法时，需只取中间的一个穴位。这种方法世人不知晓，如同金锁般能贯通关节。（汪机按：其他医家又添加了太冲穴，凑成十二个穴位，去掉阳陵泉加上阳辅穴。引伸称为“担”，左手推按称为“截”。担法则气来，截法则气去。那些解释没有固定见解的人，因为这种用法在经典中不常见，所以各家都根据自己的意思来解释。）
公孙穴通冲脉，主治胃、心、胸部疾病；内关穴通阴维脉，二者在下部总司相同的功能。临泣穴通胆经兼连带脉；外关穴通阳维脉，在目锐眦处相会。后溪穴通督脉，在内颈处相合；申脉穴通阳跷脉，经络也相通。列缺穴通任脉，行于肺系；照海穴通阴跷脉，治疗隔喉部的疾病。
（对于热病在体内的情况，各自根据所属经脉而选取交会穴。）
八脉始终连接着八个会穴。腑会是太仓（即中脘穴），位于腹部内侧；脏会是季肋处的章门穴；骨会是大杼穴，血会是膈俞穴。
手太阴肺经多气而少血。因气动而发生的病变（是动病），则出现气喘和咳嗽。肺胀膨满，缺盆部位疼痛，两手交叉捂住胸口，表现为臂厥。因气血运行失常而产生的病变（所生病），为气逆咳嗽、喘促、口渴、心烦、心胸满闷结滞。手臂内侧前缘疼痛，小便频数，掌心发热。气虚则肩背痛且发冷。所生病还包括鼻衄、目痛、口干、喉痹等症。大拇指和第二指使用困难，肩前外侧疼痛相互参杂。
足阳明胃经多气又多血。因气动而发生的病变，表现为呵欠、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，甚至腹胀、气逆作响。凡是这些疾病，若导致厥逆竭绝，所生病包括狂证、疟疾等。湿温病汗出、鼻出血、口唇生疮、喉痹结聚、膝膑疼痛、腹胀兼有气攻、膺部伏兔穴外侧疼痛、足背和中趾都痛彻。邪气有余则消谷善饥、尿色黄；邪气不足则身前寒冷战栗、胃脘胀满不能消化食物。气盛则身前热如蒸，这就是胃经疾病的真实表现。
足太阴脾经气盛而血衰。因气动而发生的病变，由气所致，食入即吐，胃脘痛，兼身体疼痛难以移动。腹胀、容易嗳气、舌根强硬，进食或得气后感觉舒适但随后衰退。所生病包括舌体肿痛、身体沉重、不想吃东西也是如此。心烦、心下急痛、泄泻如水、溏便、瘕积、寒疟随之而来。不能安卧、强立时股膝肿胀，疽发、身黄、大拇指痿废。
手少阴心经多气少血。因气动而发生的病变，心痛、脾痛难以忍受，口渴想喝水，咽喉干燥。所生病包括胁痛、眼睛像金子一样发黄、胁臂内侧后缘疼痛、掌中有热，向经脉寻找治疗。
手太阳小肠经气少血多。因气动而发生的病变，则病痛在咽喉，颔下肿胀不可回顾，肩膀像被拔除一样，肘部像折断一样。所生病主要主肩部疼痛，耳聋、目黄、腮颊肿胀，肘臂外侧后缘疼痛，分部尤其应当仔细分别。
足太阳膀胱经血多气犹少。因气动而发生的病变，头痛不可抵挡，项部像被拔除一样，腰部像折断一样，大腿僵硬疼痛彻脊中央，小便像结块一样，又像撕裂一样，这是踝厥，筋受伤。所主包括疟疾、痔疮、小指废用，头囟项痛、目色黄，腰尻脚疼连背，流泪、鼻衄及癫狂。
足少阴肾经多气而少血。因气动而发生的病变，饥饿但不想吃东西，喘嗽唾血，喉中鸣响，坐着想起来，面色如污垢，视物模糊不清，气不足，心中悬空如饥饿常感惊恐。所生病包括舌干、口热、咽痛、气逆急促，大腿内侧后缘并脊柱疼痛，心肠烦痛、黄疸、痿厥、嗜卧、身体怠惰，足下热痛，皆属骨厥。
手厥阴心包络少气原多血。因气动而发生的病变，手心热，肘臂挛急，腋下肿，甚至胸胁支撑满闷结滞，心中澹澹跳动或大幅跳动，喜笑、目黄、面赤色。所生病包括烦心、心痛、掌中热之疾。
手少阳三焦经少血还多气。因气动而发生的病变，耳鸣、喉肿痹。所生病包括汗自出，耳后痛兼目锐眦疼痛，肩肘臂外侧疼痛，小指次指也像废用一样。
足少阳胆经多气而少血。因气动而发生的病变，口苦、喜欢叹气，心胁疼痛难以转移，面色尘垢、足热、身体无光泽。所生病包括头痛连及目锐眦，缺盆肿痛并两腋，马刀挟瘿生在两旁，汗出振寒、疟疾，胸胁髀膝至跗骨，绝骨踝痛及诸节。
足厥阴肝经血多气少。因气动而发生的病变，腰痛俯仰困难，男子疝气，女人少腹肿，面色尘垢、脱色及咽干。所生病包括胸满、呕吐、洞泄、小便难，有时遗溺并狐疝，临症还需要仔细看。（汪机按：经文说十二经是动及所生的各种病症，虚则补之，实则泻之，热则疾之，寒则留之，陷下则灸之，不盛不虚，以本经取之。盛的，寸口脉比人迎脉大三倍；虚的，寸口脉反而小于人迎脉。这里在前面集合了切脉观色的几条内容，接着在后面集合了各经病症的几条内容，大概是想让学习者具备全面兼顾的能力，以免陷入片面，避免在无知无识中杀人，遭受阴谴的报应，或许可以稍微逃避吧。）
The Lung Meridian of Hand-Taiyin starts at Zhongfu (LU-1) and ends at Shaoshang (LU-11). The Large Intestine Meridian of Hand-Yangming starts at Shangyang (LI-1) and is governed by Yingxiang (LI-18). The Stomach Meridian of Foot-Yangming starts at Lidui (ST-45) and Touwei (ST-8). The Spleen Meridian of Foot-Taiyin involves Yinbai (SP-1) and Dabao (SP-21). The Bladder Meridian of Foot-Taiyang extends from Jingming (BL-1) to Zhiyin (BL-67). The Kidney Meridian of Foot-Shaoyin resides from Yongquan (KI-1) to Yuful (KI-23). The Pericardium Meridian of Hand-Jueyin starts at Zhongchong (PC-9) and follows Tianchi (PC-1). The Sanjiao Meridian of Hand-Shaoyang pushes from Guanchong (TE-1) to Ermen (TE-21). The Gallbladder Meridian of Foot-Shaoyang begins at Qiaoyin (GB-1) and Tongziliao (GB-1). The Liver Meridian of Foot-Jueyin continues from Dadun (LR-1) to Qimen (LR-14). The Heart Meridian of Hand-Shaoyin comes from Shaochong (HT-9) and Jiquan (HT-1). The Small Intestine Meridian of Hand-Taiyang finishes with Shaoze (SI-1) and Tinggong (SI-19). This is the song of the beginning and end of acupoints in the Twelve Meridians. Students should engrave it in their hearts and lungs for reference.
The Lung corresponds to Yin hour, Large Intestine to Mao hour, Stomach to Chen hour, Spleen to Si hour, Heart to Wu hour, Small Intestine to Wei hour, Bladder to Shen hour, Kidney to You hour, Pericardium to Xu hour, Sanjiao to Hai hour, Gallbladder to Zi hour, and Liver to Chou hour. This is the flow and distribution of meridians; you should keep it in mind. Jia Wood corresponds to Gallbladder, Yi Wood to Liver, Bing Fire to Small Intestine, Ding Fire to Heart, Wu Earth to Stomach, Ji Earth to Spleen, Geng Metal to Large Intestine, Xin Metal to Lung, Ren Water to Bladder, and Gui Water to Kidney storage. Sanjiao also entrusts to Ren, and Bao Luo (Pericardium) returns to Gui.
Zusanli (ST-36) and Neiting (ST-44); Quchi (LI-11) connects with Hegu (LI-4); Huantiao (GB-30 and Yanglingquan (GB-34); Tongli (HT-5) stands together with Lieque (LU-7); Weizhong (BL-40) pairs with Chengshan (BL-57); down to Kunlun (BL-60). For the method of "Dan" (supporting), one supports both ends; for the method of "Jie" (intercepting), one intercepts the middle. This method is unknown to others; it is like a golden lock that opens joints. (Wang Ji notes: Other schools add Taichong (LR-3) to make twelve acupoints, removing Yanglingquan (GB-34) and adding Yangfu (GB-38). Pulling is called Dan, pushing with the left hand is called Jie. Dan brings Qi, Jie sends Qi away. Those who interpret without fixed views, because this usage is not seen in classics, each interprets according to their own ideas.)
Gongsun (SP-4) connects to the Chong Mai (Penetrating Vessel), governing Stomach, Heart, and Chest. Neiguan (PC-6) connects to the Yin Wei Mai (Yin Linking Vessel), generally same below. Linqi (GB-41) connects to the Gallbladder Meridian and Dai Mai (Belt Vessel). Waiguan (TE-5) connects to the Yang Wei Mai (Yang Linking Vessel), meeting at the outer canthus. Houxi (SI-3) connects to the Du Mai (Governing Vessel), inside the neck. Shenmai (BL-62) connects to the Yang Qiao Mai (Yang Heel Vessel), meridians also connect. Lieque (LU-7) connects to the Ren Mai (Conception Vessel), traveling through the Lung system. Zhaohai (KI-6) connects to the Yin Qiao Mai (Yin Heel Vessel), treating throat obstruction.
(For heat diseases inside, select the Hui-Meeting points according to their belonging.)
The Eight Extraordinary Vessels connect to the Eight Hui-Meeting Points. Fu-Hui is Tai Cang (Zhongwan CV-12) inside; Zang-Hui is Zhangmen (LR-13) in the costal region; Gu-Hui is Dazhu (BL-11), Xue-Hui is Geshu (BL-17).
The Lung Meridian has much Qi and little Blood. Shi Dong (Disease caused by Qi movement) manifests as wheezing and cough. Lung distension, fullness, pain in Quepen, crossing hands over chest constitutes Bi Jue. Suo Sheng (Diseases produced) include Qi cough, panting, thirst, vexation, chest fullness and knotting. Pain on the anterior medial aspect of the arm, frequent urination, hot palms. Qi deficiency causes shoulder and back pain with cold. Suo Sheng also includes epistaxis, eye pain, dry mouth, bi syndrome. Difficulty using the thumb and index finger, pain in the anterior lateral shoulder.
The Stomach Meridian has much Qi and much Blood. Shi Dong manifests as yawning, dark face, shivering aversion to cold, fear of people, sudden terror at wood sounds, climbing high singing, discarding clothes and running, or abdominal distension with rushing noises. If these diseases lead to Jue exhaustion, Suo Sheng includes mania and malaria. Damp-wheat disease with sweating, epistaxis, lip sores, bi knotting, knee pain, abdominal distension with Qi attack, pain in Ying, Futu, and lateral aspects, penetrating pain in dorsum pedis and second toe. Excess reduces food consumption and yellow urine; deficiency causes cold trembling in the front, stomach fullness and indigestion. Qi excess causes steaming heat in the front; this is true Stomach Meridian disease.
The Spleen Meridian has excess Qi and deficient Blood. Shi Dong disease is caused by Qi, vomiting immediately after eating, epigastric pain, body pain difficult to move. Abdominal distension, frequent belching, stiff tongue root, comfort after eating/Qi but then decline. Suo Sheng includes swollen painful tongue, heavy body, anorexia, vexation, urgent epigastric pain, watery diarrhea, loose stools, masses, cold malaria, inability to lie down, swelling of thighs and knees when standing forcibly, carbuncles, jaundice, atrophy of the big toe.
The Heart Meridian has much Qi and little Blood. Shi Dong includes unbearable heart and spleen pain, thirst wanting water, dry throat. Suo Sheng includes hypochondriac pain, eyes like gold, pain in posterior medial aspect of hypochondrium and arm, hot palms seeking the meridian.
The Small Intestine Meridian has little Qi and much Blood. Shi Dong includes painful throat, swelling under chin unable to look back, shoulder like being pulled, elbow like broken. Suo Sheng mainly governs shoulder pain, deafness, yellow eyes, swollen cheeks, pain in posterior lateral aspect of elbow and arm, requiring careful differentiation.
The Bladder Meridian has much Blood and little Qi. Shi Dong includes unbearable headache, neck like pulled, waist like broken, thigh stiffness and spine pain, urinary retention like knotting or tearing, An Jue with tendon injury. Suo Zhi includes malaria, hemorrhoids, useless little toe, vertex/neck pain, yellow eyes, lower back/hip/leg pain connected to back, tearing nosebleed, and epilepsy.
The Kidney Meridian has much Qi and little Blood. Shi Dong includes hunger without desire to eat, panting/cough with bloody sputum, throat ringing, wanting to sit up, dirty face, blurred vision, insufficient Qi, hanging heart like hunger with palpitations. Suo Sheng includes dry tongue, hot mouth, sore throat, rushing Qi, pain in posterior medial thigh and spine, heart/intestinal vexation, jaundice, atrophy/Jue, lethargy, hot painful feet, all bone Jue.
The Pericardium has little Qi originally and much Blood. Shi Dong includes hot palms, spasms of elbow/arm, axillary swelling, chest/hypochondriac fullness/knotting, palpitations or large movements, laughter, yellow eyes, red face. Suo Sheng includes vexation, heart pain, hot palms.
The Sanjiao has little Blood and much Qi. Shi Dong includes tinnitus, throat swelling/bi. Suo Sheng includes spontaneous sweating, pain behind ear and outer canthus, pain in lateral shoulder/elbow/arm, useless ring and little fingers.
The Gallbladder Meridian has much Qi and little Blood. Shi Dong includes bitter taste, frequent sighing, difficult hypochondriac pain, dusty face, hot feet, lack luster. Suo Sheng includes headache connecting to outer canthus, swelling/pain in suprapubic region and axillae, scrofula on sides, sweating with chills/malaria, pain from chest/hip/knee to ankle bones, fibula/ankle/joint pain.
The Liver Meridian has much Blood and little Qi. Shi Dong includes difficulty bending/stretching due to waist pain, male hernia, female lower abdominal swelling, dusty/desaturated face, dry throat. Suo Sheng includes chest fullness, vomiting, profuse diarrhea, difficult urination, enuresis, fox hernia. Clinical practice requires careful observation. (Wang Ji notes: The classic states for Shi Dong and Suo Sheng diseases: tonify deficiency, sedate excess, hasten heat, retain cold, moxa sinking, treat via the meridian if neither excess nor deficiency. Excess: Cun Kou pulse is three times larger than Ren Ying. Deficiency: Cun Kou is smaller than Ren Ying. I collected pulse diagnosis and color observation first, then meridian diseases later, hoping students will be comprehensive to avoid bias and killing out of ignorance, perhaps avoiding divine retribution.)