手阳明之脉起于大指次指之端外侧(商阳穴)循指上廉(本节前二间穴本节后三间穴)出合
谷两
骨之间(合谷穴)上入两筋之中(阳溪穴)循臂上廉偏历入肘外廉(曲池穴)上循 外前廉上肩出
骨之前廉(肩 穴)上出柱骨之会上(天鼎穴)下入缺盆络肺下膈属大肠其支者从缺盆上颈贯
颊入下齿中还出挟口交人中(穴名)左之右右之左上挟鼻孔(迎香穴自此交入足阳明)是动则病
齿痛 肿是主津所生病者目黄口干鼽衄喉痹肩前 痛大指次指痛不用气有余则当脉所过者热
肿虚则寒栗不复盛者人迎大三倍于寸口虚者人迎反小于寸口也(灵枢)○卯时自少商穴起至迎
香穴止(入门)
商阳二穴一名绝阳在手大指次指外侧去爪甲角如韭叶手阳明脉之所出也为井针入一分留
一呼可灸三壮(铜人)
二间二穴一名间谷在手大指次指本节前内侧陷中手阳明脉之所流为荣针入三分留三呼可
灸三壮(铜人)
三间二穴一名少谷在手大指次指本节后内侧陷中手阳明脉之所注为 针入三分留三呼可
灸三
壮(铜人)
合谷二穴一名虎口在手大指次指岐骨间陷中(铜人)○在手大指次指两骨罅间宛宛中
动脉应手(资生)○手阳明脉之所过为原针入三分留六呼可灸三壮○妊妇不可刺损胎气(铜人)
阳溪二穴一名中魁在手腕中上侧两筋间陷者中手阳明脉之所行为经针入二分留七呼可灸
三壮(铜人)
偏历二穴在腕中后三寸手阳明络别走太阴针入三分留七呼可灸三壮(铜人)
温留二穴一名通注一名池头在腕后小士五寸大士六寸(铜人)○在腕后五寸六寸间(资生)
○手阳明 针入三分可灸三壮(铜人)○大士小士即大人小儿也(纲目)
下廉二穴在辅骨下去上廉一寸(铜人)○在曲池前五寸兑肉分外斜(入门)○针入五分留五
呼可灸三壮(铜人)
上廉二穴在三里下一寸(铜人)○在曲池前四寸(入门)○其分独抵阳明之会外斜(纲目)○
针入五分可灸五壮(铜人)
三里二穴在曲池下二寸(铜人)○按之肉起锐肉之端(纲目)○针入二分可灸三壮(铜人)
曲池二穴在肘外辅骨屈肘曲骨之中(铜人)○在肘外辅屈肘两骨中文头尽处以手拱胸取之
(入门)○手阳明脉之所入为合针入五分留七呼可灸三壮(灵枢)
肘 二穴在肘大骨外廉近大筋陷中可灸三壮针入三分(铜人)
五里二穴在肘上三寸行向里大脉中央可灸十壮禁不可针(铜人)○内经曰大禁二十五在天
府下
五寸注云五里穴也大禁者禁不可刺也○迎之五里中道而止五至而已五往而藏之气尽矣故五五
二十五而竭其输也此所谓夺其天气也故曰 门而刺之者死于家中入门而刺之者死于堂上传之
后世以为刺禁(灵枢)
臂 二穴在肘上七寸 肉端平手取之手阳明络针入三分可灸三壮(铜人)○在肩 一夫两
筋两骨罅陷宛中平手取之不得拿手令急其穴即闭宜灸不宜刺(资生)
肩 二穴一名中肩井一名扁骨在肩端两骨间陷者宛宛中举臂取之(铜人)○在膊骨头肩端
两骨
间(资生)○针入六分留六呼刺则泄肩臂热气可灸七壮至二七壮若灸偏风不遂至七七壮止○唐
库狄钦患风痹手不得伸甄权针此穴立愈(铜人)
巨骨二穴在肩端上行两叉骨罅间陷中针入一寸半可灸五壮(铜人)
天鼎二穴在侧颈缺盆直扶突后一寸(铜人)○在头缺盆气舍后一寸五分(纲目)○针入三分
可灸三壮(铜人)
迎香二穴一名冲阳在禾 上一寸鼻孔旁五分针入三分留三呼禁不可灸(铜人)
扶突二穴一名木穴在人迎后一寸五分(铜人)○在气舍后一寸五分(纲目)○在曲颊下一寸
仰而取之(入门)○针入三分可灸三壮(铜人)
禾 二穴一名长频直鼻孔下挟水沟旁五分针入二分禁不可灸(铜人)
手阳明大肠经的经脉起始于食指桡侧末端（商阳穴），沿食指桡侧缘上行，经过本节前方的二间穴和本节后的三间穴，出于合谷穴两骨之间的凹陷处，向上进入前臂两筋之间（阳溪穴），沿前臂桡侧上行至偏历穴，进入肘部外侧（曲池穴），沿上臂外侧前缘上行至肩部，出于肩峰前缘（肩髃穴），向上出于颈椎大椎穴的交会处（天鼎穴），向下进入缺盆，联络肺脏，穿过膈肌，属于大肠。其分支从缺盆上行至颈部，贯穿面颊，进入下齿龈中，复出夹口唇，在人中穴处交叉，左侧脉向右，右侧脉向左，上行夹鼻孔两侧（迎香穴），在此处交接转入足阳明胃经。
当本经发生病变时，会出现牙齿疼痛、面部肿胀等症状；本经主要主管津液所生的疾病，如目黄、口干、鼻塞流涕或鼻出血、喉痹、肩前部疼痛、食指和拇指疼痛且活动不利等。若气有余，则经脉所过之处出现热肿；若气虚，则出现寒战且难以恢复。实证表现为人迎脉搏动大三倍于寸口，虚证则人迎脉搏动反而小于寸口。（出自《灵枢》）○卯时气血自少商穴起，至迎香穴止。（出自《入门》）
商阳穴：左右各一穴，又名绝阳穴。位于手大指与次指外侧，距爪甲角如韭菜叶宽处，为手阳明大肠经井穴。针刺深度一分，留针时间为一呼，可灸三壮。（出自《铜人腧穴针灸图经》）
二间穴：左右各一穴，又名间谷穴。位于手大指与次指本节前内侧凹陷中，为手阳明大肠经荥穴。针刺深度三分，留针时间为三呼，可灸三壮。（出自《铜人腧穴针灸图经》）
三间穴：左右各一穴，又名少谷穴。位于手大指与次指本节后内侧凹陷中，为手阳明大肠经输穴。针刺深度三分，留针时间为三呼，可灸三壮。（出自《铜人腧穴针灸图经》）
合谷穴：左右各一穴，又名虎口穴。位于手大指与次指歧骨间的凹陷中。（出自《铜人腧穴针灸图经》）○位于手大指与次指两骨缝隙间，宛宛之中，按之有动脉应手。（出自《资生经》）○为手阳明大肠经原穴。针刺深度三分，留针时间为六呼，可灸三壮。○孕妇不可针刺，以免损伤胎气。（出自《铜人腧穴针灸图经》）
阳溪穴：左右各一穴，又名中魁穴。位于手腕横纹桡侧，两筋之间的凹陷中，为手阳明大肠经经穴。针刺深度二分，留针时间为七呼，可灸三壮。（出自《铜人腧穴针灸图经》）
偏历穴：左右各一穴。位于腕后三寸处，为手阳明络穴，别走手太阴肺经。针刺深度三分，留针时间为七呼，可灸三壮。（出自《铜人腧穴针灸图经》）
温溜穴：左右各一穴，又名通注穴、池头穴。位于腕后五寸（小儿）或六寸（成人）处。（出自《铜人腧穴针灸图经》）○位于腕后五寸至六寸之间。（出自《资生经》）○为手阳明郄穴。针刺深度三分，可灸三壮。（出自《铜人腧穴针灸图经》）○大人小儿即成人和儿童之意。（出自《纲目》）
下廉穴：左右各一穴。位于辅骨下方，距离上廉穴一寸处。（出自《铜人腧穴针灸图经》）○位于曲池穴前五寸，分肉之外侧斜向。（出自《入门》）○针刺深度五分，留针时间为五呼，可灸三壮。（出自《铜人腧穴针灸图经》）
上廉穴：左右各一穴。位于三里穴下一寸处。（出自《铜人腧穴针灸图经》）○位于曲池穴前四寸处。（出自《入门》）○其分肉独抵阳明经会合之处，向外斜行。（出自《纲目》）○针刺深度五分，可灸五壮。（出自《铜人腧穴针灸图经》）
三里穴：左右各一穴。位于曲池穴下二寸处。（出自《铜人腧穴针灸图经》）○按压此处肌肉隆起，为锐肉之端。（出自《纲目》）○针刺深度二分，可灸三壮。（出自《铜人腧穴针灸图经》）
曲池穴：左右各一穴。位于肘部外侧辅骨屈肘时曲骨之中。（出自《铜人腧穴针灸图经》）○位于肘外辅骨，屈肘时两骨尽头处，以手拱胸姿势取穴。（出自《入门》）○为手阳明大肠经合穴。针刺深度五分，留针时间为七呼，可灸三壮。（出自《灵枢》）
肘髎穴：左右各一穴。位于肘部大骨外侧近大筋的凹陷中，可灸三壮，针刺深度三分。（出自《铜人腧穴针灸图经》）
五里穴：左右各一穴。位于肘上三寸，行向里的粗大血管中央。可灸十壮，禁止针刺。（出自《铜人腧穴针灸图经》）○《内经》记载的大禁二十五穴之一，在天府穴下五寸，注云即五里穴。所谓大禁，即禁止针刺。○迎击五里穴，中途而止，五次而已。若五次往复式针刺，则脏气耗尽，故五五二十五次则竭尽输穴之气，此所谓剥夺先天之气。因此说，在门外刺入者死于家中，在门内刺入者死于厅堂。后世流传此为刺禁。（出自《灵枢》）
臂臑穴：左右各一穴。位于肘上七寸，臑肉端平齐处，手臂平举取穴。为手阳明络穴。针刺深度三分，可灸三壮。（出自《铜人腧穴针灸图经》）○位于肩髃穴下一夫，两筋两骨缝隙凹陷宛中，平手取之。不可握拳使肌肉紧张，否则穴位闭合，宜灸不宜刺。（出自《资生经》）
肩髃穴：左右各一穴，又名中肩井穴、扁骨穴。位于肩端两骨间凹陷宛宛中，举臂取之。（出自《铜人腧穴针灸图经》）○位于膊骨头与肩端两骨之间。（出自《资生经》）○针刺深度六分，留针六呼。刺之可泄肩臂热气，可灸七壮至十四壮。若灸治偏风不遂，可灸至四十九壮为止。○唐代库狄钦患风痹，手不能伸展，甄权针刺此穴，立即痊愈。（出自《铜人腧穴针灸图经》）
巨骨穴：左右各一穴。位于肩端上行两叉骨缝隙间的凹陷中。针刺深度一寸半，可灸五壮。（出自《铜人腧穴针灸图经》）
天鼎穴：左右各一穴。位于侧颈部，缺盆直上，扶突穴后一寸处。（出自《铜人腧穴针灸图经》）○位于头部、缺盆、气舍穴后一寸五分处。（出自《纲目》）○针刺深度三分，可灸三壮。（出自《铜人腧穴针灸图经》）
迎香穴：左右各一穴，又名冲阳穴。位于禾髎穴上一寸，鼻孔旁五分处。针刺深度三分，留针三呼，禁止灸法。（出自《铜人腧穴针灸图经》）
扶突穴：左右各一穴，又名木穴。位于人迎穴后一寸五分处。（出自《铜人腧穴针灸图经》）○位于气舍穴后一寸五分处。（出自《纲目》）○位于曲颊下一寸，仰头取之。（出自《入门》）○针刺深度三分，可灸三壮。（出自《铜人腧穴针灸图经》）
The Hand-Yangming Large Intestine Meridian originates at the radial tip of the index finger (Shangyang LI-1), follows the radial border of the finger, passes through Erjian LI-2 (anterior to the metacarpophalangeal joint) and Sanjian LI-3 (posterior to the metacarpophalangeal joint), emerges between the two bones at Hegu LI-4, ascends into the space between the two tendons at Yangxi LI-5, follows the radial border of the forearm through Pianli LI-6, enters the lateral aspect of the elbow at Quchi LI-11, continues up the anterior lateral border of the upper arm to the shoulder, emerges anterior to the acromion process at Jianyu LI-15, ascends above the intersection of the cervical vertebrae (Dazhui GV-14) at Tianding LI-17, descends into the supraclavicular fossa, connects with the Lung, pierces the diaphragm, and belongs to the Large Intestine. A branch arises from the supraclavicular fossa, ascends to the neck, penetrates the cheek, enters the lower gum, re-emerges crossing the lips at the Renzhong point (DU-26), where the left meridian crosses to the right and the right to the left, ascending to flank both sides of the nostrils at Yingxiang LI-20, where it connects with the Foot-Yangming Stomach Meridian.
When this meridian is affected, symptoms include toothache and facial swelling. This meridian primarily governs diseases related to Jin Ye (Body Fluids), such as yellowing of the eyes, dry mouth, nasal congestion or epistaxis, throat obstruction, pain in the anterior shoulder, and pain or dysfunction of the index and thumb. If Qi is in excess, there will be heat and swelling along the course of the meridian; if Qi is deficient, there will be chills that are difficult to recover from. In excess patterns, the Renying pulse (Carotid artery) beats three times stronger than the Cunkou pulse (Radial artery); in deficiency patterns, the Renying pulse beats weaker than the Cunkou pulse. (From *Ling Shu*) ○ The Qi flows from Shaoshang LU-1 to Yingxiang LI-20 during the Mao hour (5:00–7:00 AM). (From *Ru Men*)
Shangyang LI-1: Two points, also known as Jueyang. Located on the radial side of the index finger, approximately the width of a leek leaf from the corner of the nail. It is the Jing-Well point of the Hand-Yangming Large Intestine Meridian. Needle depth 1 fen, retain for one breath, moxibustion 3 Zhu. (From *Tong Ren*)
Erjian LI-2: Two points, also known as Jianggu. Located in the depression on the medial side anterior to the metacarpophalangeal joint of the index finger. It is the Ying-Spring point of the Hand-Yangming Large Intestine Meridian. Needle depth 3 fen, retain for three breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Sanjian LI-3: Two points, also known as Shaogu. Located in the depression on the medial side posterior to the metacarpophalangeal joint of the index finger. It is the Shu-Stream point of the Hand-Yangming Large Intestine Meridian. Needle depth 3 fen, retain for three breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Hegu LI-4: Two points, also known as Hukou. Located in the depression between the metacarpal bones of the thumb and index finger. (From *Tong Ren*) ○ Located in the gap between the two bones of the thumb and index finger, where the pulse is palpable. (From *Zi Sheng*) ○ It is the Yuan-Source point of the Hand-Yangming Large Intestine Meridian. Needle depth 3 fen, retain for six breaths, moxibustion 3 Zhu. ○ Contraindicated in pregnant women as it may damage fetal Qi. (From *Tong Ren*)
Yangxi LI-5: Two points, also known as Zhongkui. Located in the depression between the two tendons on the radial side of the wrist crease. It is the Jing-River point of the Hand-Yangming Large Intestine Meridian. Needle depth 2 fen, retain for seven breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Pianli LI-6: Two points. Located 3 cun distal to the wrist crease. It is the Luo-Connecting point of the Hand-Yangming, diverging to the Hand-Taiyin Lung Meridian. Needle depth 3 fen, retain for seven breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Wenliu LI-7: Two points, also known as Tongzhu or Chitou. Located 5 cun (in children) or 6 cun (in adults) proximal to the wrist crease. (From *Tong Ren*) ○ Located between 5 and 6 cun proximal to the wrist crease. (From *Zi Sheng*) ○ It is the Xi-Cleft point of the Hand-Yangming. Needle depth 3 fen, moxibustion 3 Zhu. (From *Tong Ren*) ○ "Adult" and "Child" refer to grown-ups and children respectively. (From *Gang Mu*)
Xialian LI-8: Two points. Located 1 cun distal to Shanglian LI-9 on the radius. (From *Tong Ren*) ○ Located 5 cun anterior to Quchi LI-11, obliquely in the lateral muscle belly. (From *Ru Men*) ○ Needle depth 5 fen, retain for five breaths, moxibustion 3 Zhu. (From *Tong Ren*)
Shanglian LI-9: Two points. Located 1 cun distal to Sanli LI-10. (From *Tong Ren*) ○ Located 4 cun anterior to Quchi LI-11. (From *Ru Men*) ○ Its muscle belly converges with the Yangming Meridian and slants outward. (From *Gang Mu*) ○ Needle depth 5 fen, moxibustion 5 Zhu. (From *Tong Ren*)
Sanli LI-10: Two points. Located 2 cun distal to Quchi LI-11. (From *Tong Ren*) ○ Pressing here causes the muscle to rise at the sharp end. (From *Gang Mu*) ○ Needle depth 2 fen, moxibustion 3 Zhu. (From *Tong Ren*)
Quchi LI-11: Two points. Located in the depression at the lateral end of the elbow when flexed. (From *Tong Ren*) ○ Located at the lateral end of the humerus, at the end of the bone when flexed; take the point with arms crossed over the chest. (From *Ru Men*) ○ It is the He-Sea point of the Hand-Yangming Large Intestine Meridian. Needle depth 5 fen, retain for seven breaths, moxibustion 3 Zhu. (From *Ling Shu*)
Zhoule LI-12: Two points. Located in the depression near the large tendon on the lateral aspect of the greater bone of the elbow. Moxibustion 3 Zhu, needle depth 3 fen. (From *Tong Ren*)
Wuli LI-13: Two points. Located 3 cun proximal to the elbow, in the center of the deep vessel running inward. Moxibustion 10 Zhu, needling is contraindicated. (From *Tong Ren*) ○ The *Nei Jing* lists it among the 25 Great Prohibitions, located 5 cun below Tianfu LU-3. Note: Wuli LI-13 is the point referred to. "Great Prohibition" means strictly forbidden to needle. ○ Striking Wuli LI-13 should stop midway; only five times. Five repetitions exhaust the Qi of the Zang organs. Thus, twenty-five punctures exhaust the Shu points, which is called depriving the Heavenly Qi. Therefore, it is said: "He who is pierced outside the gate dies in the house; he who is pierced inside the gate dies in the hall." This has been passed down as a prohibition against needling. (From *Ling Shu*)
Binao LI-14: Two points. Located 7 cun proximal to the elbow, level with the end of the biceps muscle, taking the point with the arm extended horizontally. It is the Luo-Connecting point of the Hand-Yangming. Needle depth 3 fen, moxibustion 3 Zhu. (From *Tong Ren*) ○ Located one Cun below Jianyu LI-15, in the depression between two tendons and two bones, taking the point with the arm extended horizontally. Do not clench the hand tightly, or the point will close; moxibustion is preferred over needling. (From *Zi Sheng*)
Jianyu LI-15: Two points, also known as Zhongjianjing or Biangu. Located in the depression between the two bones at the shoulder tip, taking the point with the arm raised. (From *Tong Ren*) ○ Located between the head of the humerus and the acromion. (From *Zi Sheng*) ○ Needle depth 6 fen, retain for six breaths. Needling drains heat and qi from the shoulder and arm. Moxibustion 7 to 14 Zhu. For hemiplegia due to wind, moxibustion up to 49 Zhu. ○ In the Tang Dynasty, Kudi Qin suffered from wind-bi with inability to extend his hand; Zhen Quan needled this point and he recovered immediately. (From *Tong Ren*)
Jugu LI-16: Two points. Located in the depression between the bifurcating bones ascending from the shoulder tip. Needle depth 1.5 cun, moxibustion 5 Zhu. (From *Tong Ren*)
Tianding LI-17: Two points. Located on the lateral neck, directly above the supraclavicular fossa, 1 cun posterior to Futu LI-18. (From *Tong Ren*) ○ Located 1.5 cun posterior to the head, supraclavicular fossa, and Qishe ST-10. (From *Gang Mu*) ○ Needle depth 3 fen, moxibustion 3 Zhu. (From *Tong Ren*)
Yingxiang LI-20: Two points, also known as Chongyang. Located 1 cun above Heliao LI-19, 0.5 cun lateral to the nostril. Needle depth 3 fen, retain for three breaths, moxibustion is contraindicated. (From *Tong Ren*)
Futu LI-18: Two points, also known as Muxue. Located 1.5 cun posterior to Renying ST-9. (From *Tong Ren*) ○ Located 1.5 cun posterior to Qishe ST-10. (From *Gang Mu*) ○ Located 1 cun below the angle of the jaw, taking the point with the head tilted back. (From *Ru Men*) ○ Needle depth 3 fen, moxibustion 3 Zhu. (From *Tong Ren*)
Heliao LI-19: Two points, also known as Changpin. Directly below the nostril, 0.5 cun lateral to Shuigou DU-26. Needle depth 2 fen, moxibustion is contraindicated. (From *Tong Ren*)