手少阳三焦之脉。二十三穴之间。关冲液门中渚。阳池外关通连。支沟会宗三阳络。四渎天
井清冷渊。消铄 会。肩 相联。天 处天牖之下。翳风让 脉居先。颅囟定而角孙近耳。丝竹
空而和 接焉。耳门已毕。经穴已全。
无名之外端关冲。液门小次指陷中。中渚液下去一寸。阳池腕上之陷中。外关腕后方二寸。
腕后三寸支沟
容。腕后三寸内会宗。空中有穴用心攻。腕后四寸三阳络。四渎肘前五寸着。天井肘外大骨后。
骨罅中间一寸摸。肘后二寸清冷渊。消铄对腋臂外落。 会肩前三寸量。肩 上陷中央。天 缺
盆陷处上。天牖天容之外旁。(天牖颈大筋外缺盆上、天容后、天柱前、完骨下、发际上、)翳
风耳后尖角陷。(耳后尖角陷中按之引耳中) 脉耳后青脉现。(耳本后鸡足青络脉)颅囟亦在
青络脉。角孙耳廓中间上。耳门耳前起肉中。(耳前起肉当耳缺陷中)和 耳前动脉张。欲知丝
竹空何在。眉后陷中仔细量。(计二十三穴左右共四十六穴)
胆足少阳之脉。起于目锐 。上抵头角。下耳后。循颈行手少阳之前。至肩上。却交出手少
阳之后。入缺盆。其支者。从耳后入耳中。出走耳前。至目锐 后。其支者。别锐 下大迎。合手
少阳抵于 下。加颊车下颈。合缺盆以下胸中。贯膈。络肝属胆。循胁里。出气街。绕毛际。横入
髀厌中。其直者。从缺盆下腋。循胸。过季胁。下合髀厌中。以下循髀阳。出膝外廉。下外辅骨之
前。直下抵绝骨之端。下出外踝之前。循足跗上。入小趾次趾之间。其支者。别跗上。入大趾之间。
循大趾歧骨内出其端。还贯爪甲。出三毛。是动则病口苦。善太息。心胁痛。不能转侧。甚则面
微有尘。体无膏泽。足外反热。是为阳厥。是主骨所生病者。头痛颔痛。目锐 痛。缺盆中肿痛。
胁下肿。马刀侠瘿。汗出。振寒疟。胸胁肋髀膝外至胫绝骨外踝前。及诸节皆痛。小趾次趾不用。
为此诸病。盛则泻之。虚则补之。热则疾之。寒则留之。陷下则灸之。不盛不虚。以经取之。盛者
人迎大一倍于寸口。虚者人迎反小于寸口也。
腋下为胁。胁又名 。曲骨之外为毛际。毛际两旁动脉为气冲。捷骨之下为髀厌。即髀枢也。
胁骨之下为季胁。(属肝经穴名章门) 骨为辅骨。外踝以上为绝骨。足面为跗。足大趾本节后
为歧骨。大指爪甲后为三毛。足少阳
胆经。起于目锐 之瞳子 。由听会过客主人。上抵头角。循颔厌。下悬颅悬厘。由悬厘上循耳。
上发际。至曲鬓率谷。由率谷外折。下耳后。循天冲浮白窍阴完骨。又自完骨外折。循本神过曲
差。下至阳白会睛明。复从睛明上行。循临泣目窗正营承灵脑空风池至颈。过天牖。行手少阳之
脉前。下至肩上。循肩井。却左右交出手少阳之后。过大椎大杼秉风。当秉风前入缺盆之外。其支
者。从耳后颞 间过翳风之分。入耳中过听宫。复自听宫至目锐 瞳子 之分。其支者。别自目
外瞳子 而下大迎。合手少阳于 。当颧 之分。下临颊车下颈。循本经之前。与前之入缺盆者相
合。下胸中天池之外贯膈。即期门之所络肝。下至日月之分属于胆也。自属胆处。循胁内章门之里。
至气冲。绕毛际。遂横入髀厌中之环跳穴。其直行者。从缺盆下腋循胸。历渊液辄筋日月。过季胁。
循京门带脉五枢维道居 。入上 中 长强而下。与前之入髀厌者相合。乃下循髀外行太阳阳明
之间。历中渎阳关。出膝外廉。抵阳陵泉。又自阳陵泉下于辅骨前。历阳交外丘光明。直下抵绝
骨之端。循阳辅悬钟。而下出外踝之前。至丘墟循足面之临泣五会侠溪。乃上入小趾次趾之间
至窍阴而终。其支别者。自足跗面临泣别行。入大趾循歧骨内出大趾端。还贯入爪甲。出三毛以
交于足厥阴肝经也。是动则病口苦善太息。心胁痛不能转侧。少阳之气不升也。少阳主初阳之生
气。故胆气升。十一脏腑之气皆升。经云。精明五色者。气之华也。平脉篇云。阳气长则其色鲜。
其颜光。其声商。毛发长。少阳之动气为病。则厥逆而不升。故甚则面有微尘。体无膏泽。少阳
相火主气。足下反热者。火逆于下也。是为阳气厥逆之所致也。少阳属肾。故主骨所生病者。为头
痛颔痛。目锐 痛。缺盆腋下胸胁髀膝胫踝皆痛。乃足
少阳经脉所循之部分而为病也。血脉留滞。则为马刀侠瘿。阳加于阴。则为汗出。阳逆于下。则为
振寒。少阳主骨。故诸节皆痛也。
手少阳三焦经的经脉,共有二十三个穴位。从关冲、液门、中渚开始,经过阳池、外关相互连通。支沟、会宗、三阳络依次排列。四渎、天井、清冷渊、消泺、臑会、肩髎穴位相连。天髎位于天牖穴之下。翳风穴在耳后,颔厌脉位居其前。颅囟穴定位后,角孙穴靠近耳朵。丝竹空穴与和髎穴相接。耳门穴之后,经穴已全部列完。
无名指外侧端有关冲穴。液门穴在小指与次指之间的凹陷处。中渚穴在液门穴下一寸处。阳池穴在手腕上方的凹陷中。外关穴在腕后两寸处。腕后三寸是支沟穴的位置。腕后三寸内侧是会宗穴。此处穴位需用心体会寻找。腕后四寸是三阳络穴。四渎穴在肘前五寸处固定。天井穴在肘部外侧大骨后方。在两骨缝隙中间一寸处可摸到。肘后二寸是清冷渊穴。消泺穴对着腋下,位于臂外侧。臑会穴在肩前三寸处测量。肩髎穴在上方的凹陷中央。天髎穴在缺盆凹陷处的上方。天牖穴在天容穴的外侧旁边。(天牖穴在大筋外侧、缺盆上方;天容穴在后、天柱穴在前、完骨穴下方、发际上方)翳风穴在耳后尖角的凹陷中。(按压耳后尖角凹陷处,感觉引动耳中)颔厌脉在耳后青色的脉络显现处。(耳根后方鸡足状的青色络脉)颅囟穴也在青色络脉处。角孙穴在耳廓中间的上方。耳门穴在耳前隆起的肉中。(耳前隆起处正当耳孔缺陷中)和髎穴在耳前动脉搏动张开处。想知道丝竹空穴在哪里?在眉后凹陷处仔细度量。(共计二十三穴,左右共四十六穴)
胆足少阳经的经脉,起始于目外眦(瞳子髎)。向上到达头角。向下经过耳后。沿着颈部行走,在手少阳三焦经之前。至肩部,却交叉到手少阳三焦经的后面。进入缺盆。它的分支,从耳后进入耳中,走出耳前。到达目外眦后方。另一分支,从目外眦分出,下行至大迎穴。汇合手少阳三焦经抵于下颌角下方。加颊车穴下颈。汇合缺盆以下行入胸中。贯穿膈肌。联络肝,属胆。沿着胁肋内部。出于气街。绕过阴毛际。横向进入髀厌中。其直行者,从缺盆下腋。沿着胸部。经过季胁。向下汇合于髀厌中。以下沿着髀阳经。出膝盖外侧。下行在外辅骨之前。直下抵达绝骨的末端。向下出于外踝之前。沿着足背。进入小趾与次趾之间。其分支,从足背分出。进入大趾之间。沿着大趾歧骨内出其端。回转贯穿爪甲。出于三毛处。发生病变则口苦。喜欢叹气。心胁痛。不能转侧。严重时面部微显尘色。身体无光泽。足外反热。这是阳厥。此经主司骨骼所生的疾病。头痛颔痛。目外眦痛。缺盆中肿痛。胁下肿。马刀侠瘿。汗出。寒战疟疾。胸胁肋髀膝外至胫绝骨外踝前。以及各关节皆痛。小趾次趾不能用。对于这些病,实证用泻法。虚证用补法。热证用疾刺法。寒证用留针法。陷下症用灸法。不虚不实,取本经治疗。实证时人迎脉搏动比寸口大一倍。虚证时人迎脉搏动反而小于寸口。
腋下为胁。胁又名季胁。曲骨之外为毛际。毛际两旁动脉为气冲穴。捷骨之下为髀厌。即髀枢。胁骨之下为季胁。(属于肝经穴位章门)辅骨为辅骨。外踝以上为绝骨。足面为跗。足大趾本节后为歧骨。大指爪甲后为三毛。足少阳胆经。起始于目外眦的瞳子髎穴。由听会穴过客主人穴。上抵头角。循颔厌穴。下悬颅悬厘穴。由悬厘穴上循耳。上达发际。至曲鬓率谷穴。由率谷穴外折。下耳后。循天冲浮白窍阴完骨穴。又自完骨穴外折。循本神过曲差穴。下至阳白穴会睛明穴。复从睛明穴上行。循临泣目窗正营承灵脑空风池穴至颈。过天牖穴。行手少阳经脉之前。下至肩上。循肩井穴。却左右交叉出手少阳经之后。过大椎大杼秉风穴。当秉风穴前入缺盆之外。其分支,从耳后颞颥间过翳风穴之分。入耳中过听宫穴。复自听宫穴至目外眦瞳子髎之分。其分支,别自目外瞳子髎而下大迎穴。合手少阳于下颌角。当颧髎之分。下临颊车下颈。循本经之前。与前之入缺盆者相合。下胸中天池穴之外贯膈。即期门穴之所络肝。下至日月穴之分属于胆也。自属胆处。循胁内章门之里。至气冲穴。绕毛际。遂横入髀厌中的环跳穴。其直行者,从缺盆下腋循胸。历渊液辄筋日月穴。过季胁。循京门带脉五枢维道居髎穴。入上髎中髎下髎长强而下。与前之入髀厌者相合。乃下循髀外行太阳阳明之间。历中渎阳关穴。出膝外廉。抵阳陵泉穴。又自阳陵泉下于辅骨前。历阳交外丘光明穴。直下抵绝骨的末端。循阳辅悬钟穴。而下出外踝之前。至丘墟循足面的临泣五会侠溪穴。乃上入小趾次趾之间至窍阴穴而终。其支别者,自足跗面临泣穴别行。入大趾循歧骨内出大趾端。还贯入爪甲。出三毛以交于足厥阴肝经也。发生病变则口苦善太息。心胁痛不能转侧。这是少阳之气不升的缘故。少阳主初阳之生气。所以胆气升。十一脏腑之气皆升。经文说。精明五色是气的华彩。平脉篇说。阳气长则其色鲜。其颜光。其声商。毛发长。少阳的动气为病。则厥逆而不升。所以严重时面有微尘。体无膏泽。少阳相火主气。足下反热。是火逆于下。这是阳气厥逆所致。少阳属肾。所以主骨骼所生的疾病。为头痛颔痛。目外眦痛。缺盆腋下胸胁髀膝胫踝皆痛。乃是足少阳经脉所循行的部位而为病。血脉留滞。则为马刀侠瘿。阳加于阴。则为汗出。阳逆于下。则为振寒。少阳主骨。所以诸节皆痛。
The meridian of the Hand-Shaoyang Sanjiao (Triple Burner) has twenty-three acupoints. Starting from Guanchong (LI16), Yemen (SJ2), Zhongzhu (SJ3), they connect through Yangchi (SJ4) and Waiguan (SJ5). Zhigou (SJ6), Huizong (SJ7), and Sanyangluo (SJ9) follow in sequence. Sidu (SJ10), Tianjing (SJ11), Qinglengyuan (SJ12), Xiaoluo (SJ13), Naohui (SJ14), and Jianliao (SJ15) are linked together. Tianliao (SJ16) is located below Tianyou (SJ17). Yifeng (SJ18) is behind the ear, with Han'an (likely referring to a pulse or vessel location relative to Yifeng) preceding it. After locating Luxin (likely a typo for a point near the vertex or related to hairline, contextually ambiguous but kept as is), Jiaosun (TE20) is near the ear. Sizhukong (TE23) connects with Hezhao (SI18). After Ermen (TE21), all meridian points are complete.
Guanchong (TE1) is at the lateral end of the ring finger. Yemen (TE2) is in the depression between the fourth and fifth fingers. Zhongzhu (TE3) is one cun below Yemen (TE2). Yangchi (TE4) is in the depression above the wrist. Waiguan (TE5) is two cun posterior to the wrist crease. Zhigou (TE6) is located three cun posterior to the wrist. Huizong (TE7) is three cun posterior to the wrist on the medial side. One must concentrate to locate this point. Sanyangluo (TE9) is four cun posterior to the wrist. Sidu (TE10) is fixed five cun anterior to the elbow. Tianjing (TE11) is behind the large bone on the lateral aspect of the elbow. It can be palpated one cun within the gap between the bones. Qinglengyuan (TE12) is two cun posterior to the elbow. Xiaoluo (TE13) is opposite the axilla, located on the lateral arm. Naohui (TE14) is measured three cun anterior to the shoulder. Jianliao (TE15) is in the central depression above. Tianliao (TE16) is above the depression of Quepen (Clavicular fossa). Tianyou (TE17) is lateral to Tianger (ST17). (Tianyou is lateral to the great tendon of the neck, above the clavicular fossa; Tianger is posterior, Tianzhu is anterior, Wangu is inferior, and it is above the hairline.) Yifeng (TE18) is in the depression at the posterior angle of the ear. (Pressing the depression at the posterior angle of the ear induces sensation in the ear canal.) Han'an Mai (likely referring to a visible vein or pulse) appears as a blue vein behind the ear. (Blue collateral vessels resembling a chicken's foot behind the ear root.) Luxin (contextually likely referring to a point on the collateral) is also on the blue collateral. Jiaosun (TE20) is above the middle of the auricle. Ermen (TE21) is in the flesh rising anterior to the ear. (The flesh rising anterior to the ear corresponds to the defect of the ear opening.) Hezhao (SI18) is where the artery pulses anterior to the ear. To know where Sizhukong (TE23) is, carefully measure the depression behind the eyebrow. (Totaling twenty-three points, forty-six points on both sides.)
The Foot-Shaoyang Gallbladder Meridian originates at the outer canthus (Tongziliao GB1). It ascends to the head corner. It descends behind the ear. It follows the neck, running anterior to the Hand-Shaoyang Sanjiao meridian. Reaching the shoulder, it crosses posterior to the Hand-Shaoyang Sanjiao meridian. It enters the supraclavicular fossa (Quepen). Its branch enters the ear from behind the ear, emerges anterior to the ear, and reaches the posterior aspect of the outer canthus. Another branch diverges from the outer canthus, descends to Daying (ST5), converges with the Hand-Shaoyang meridian at the mandibular angle, passes Jiache (ST6), descends the neck, and converges with the supraclavicular fossa before descending into the chest. It penetrates the diaphragm, connects with the Liver, and belongs to the Gallbladder. It follows the interior of the hypochondrium, emerges at Qichong (ST30), surrounds the pubic region, and transversely enters the hip joint (Biyan). The straight course descends from the supraclavicular fossa under the axilla, follows the chest, passes the costal margin (Jixie), and converges with the hip joint. It then follows the lateral thigh, exits the lateral knee, descends anterior to the fibula, reaches the end of the Juegu (peroneal notch), emerges anterior to the lateral malleolus, follows the dorsum of the foot, and enters the space between the fourth and fifth toes. A branch diverges from the dorsum of the foot, enters the space between the big toe and second toe, follows the interosseous bone of the big toe, emerges at its tip, passes through the nail bed, and emerges at the trichomata (Sanmao). Pathological changes include bitter taste, frequent sighing, pain in the heart and hypochondrium, inability to turn the body. In severe cases, the face appears dusty, the body lacks luster, and the lateral foot feels hot. This is termed Yang-Jue (Yang Reversal). This meridian governs diseases arising from the bones: headache, submandibular pain, outer canthus pain, swelling and pain in the supraclavicular fossa, hypochondriac swelling, scrofula (Madao and Xiaying), sweating, chills, and malaria. Pain may occur along the chest, hypochondrium, ribs, thigh, knee, lateral leg, Juegu, lateral malleolus, and all joints. The fourth and fifth toes may be unusable. For these conditions, excess is treated by reducing, deficiency by tonifying, heat by rapid needling, cold by retaining the needle, sinking by moxibustion, and neither excess nor deficiency by treating the meridian itself. In excess, the Renying pulse is larger than the Cunkou pulse by one degree. In deficiency, the Renying pulse is smaller than the Cunkou pulse.
The area under the axilla is the hypochondrium (Xie), also known as Jixie. Outside the Qugu bone is the pubic region (Maoji). The pulsating artery on both sides of the pubic region is Qichong (ST30). Below Jiegu is Biyan, which is the Hip Pivot (Bishu). Below the rib cage is the costal margin (Jixie), belonging to the Liver meridian point Zhangmen (LR13). The fibula is the auxiliary bone. Above the lateral malleolus is Juegu. The dorsum of the foot is Fu. Behind the proximal phalanx of the big toe is the interosseous bone (Qigu). Behind the nail of the big toe is the trichomata (Sanmao). The Foot-Shaoyang Gallbladder Meridian originates at Tongziliao (GB1) of the outer canthus. It passes through Tinghui (GB2) and Kegongzhuren (GB4). It ascends to the head corner, follows Hanyan (GB4), descends to Xuanlu (GB5) and Xuanli (GB6). From Xuanli, it ascends along the ear, reaches the hairline, and arrives at Qubin (GB7) and Lvgu (GB8). From Lvgu, it turns laterally, descends behind the ear, follows Tianchong (GB9), Fubai (GB10), Qiaoyin (GB11), and Wangu (GB12). From Wangu, it turns laterally, follows Benshen (GB13) over Qucha (GV6), descends to Yangbai (GB14), meets Jingming (BL1). Ascending again from Jingming, it follows Linqi (GB15), Mucuang (GB16), Zhengying (GB17), Chengling (GV19), Naokong (GB18), Fengchi (GB20) to the neck. Passing Tianyou (TE17), it runs anterior to the Hand-Shaoyang meridian. Descending to the shoulder, it follows Jianjing (GB21), crossing posterior to the Hand-Shaoyang meridian on both sides. It passes Dazhui (GV14), Dazhu (BL11), and Bingfeng (GB12 - *Note: Bingfeng is BL12, text says GB12/Qiaoyin earlier, likely referring to Bladder 12*). Anterior to Bingfeng, it enters the supraclavicular fossa. Its branch passes through the temporal region behind the ear, via Yifeng (TE18), enters the ear, passes Tinggong (SI19), and returns to the outer canthus Tongziliao (GB1). Another branch diverges from the outer canthus Tongziliao, descends to Daying (ST5), converges with the Hand-Shaoyang meridian at the mandibular angle (Xiaguan ST7 area), passes Jiache (ST6), descends the neck, running anterior to the main meridian, merging with the branch that entered the supraclavicular fossa. It descends to the chest outside Tianchi (PC1), penetrates the diaphragm, connects with the Liver at Qimen (LR14), and belongs to the Gallbladder at Riyue (GB24). From the Gallbladder connection, it follows the interior of the hypochondrium inside Zhangmen (LR13), reaches Qichong (ST30), surrounds the pubic region, and transversely enters the Huantiao (GB30) point in the hip joint. The straight course descends from the supraclavicular fossa under the axilla, following the chest through Yuanli (GB25), Zhejin (GB26), and Riyue (GB24). Passing the costal margin, it follows Jingmen (GB25), Daipmai (GB26), Wushu (GB27), Weidao (GB28), Juliao (GB29), entering Shangliao (BL31), Zhongliao (BL32), Xialiao (BL33), Changqiang (GV1), and descending, merging with the branch entering the hip joint. It then follows the lateral thigh between the Taiyang and Yangming meridians, passing Zhongdu (GB34) and Yangguan (GB33), exiting the lateral knee, reaching Yanglingquan (GB34). From Yanglingquan, it descends anterior to the fibula, passing Yangjiao (GB35), Waixiu (GB36), Guangming (GB37), reaching the end of Juegu. Following Yangfu (GB38) and Xuanzhong (GB39), it emerges anterior to the lateral malleolus. Reaching Qiuxu (GB40), it follows the dorsum of the foot through Linqi (GB15), Wuhui (GV35), Xiaxi (GB43), entering the space between the fourth and fifth toes, ending at Zulinqi (GB41). A branch diverges from Linqi (GB15) on the dorsum of the foot, enters the big toe, follows the interosseous bone, emerges at the tip of the big toe, passes through the nail bed, and emerges at the trichomata to connect with the Foot-Jueyin Liver Meridian. Pathological changes include bitter taste, frequent sighing, heart and hypochondriac pain, inability to turn the body. This is due to the failure of Shaoyang Qi to ascend. Shaoyang governs the initial generation of Yang Qi, so Gallbladder Qi ascends, and the Qi of the eleven zang-fu organs ascends. The Classic states: "Clear vision and five colors are the brilliance of Qi." The Pingmai Chapter states: "When Yang Qi grows, the complexion is fresh, the face is radiant, the voice is metallic, and hair grows long." When Shaoyang dynamic Qi becomes diseased, it reverses and fails to ascend. Thus, in severe cases, the face appears dusty and the body lacks luster. Shaoyang Xianghuo (Ministerial Fire) governs Qi. Heat in the soles indicates fire reversing downward. This is caused by Yang Qi reversal. Shaoyang belongs to the Kidney, thus governing bone diseases: headache, submandibular pain, outer canthus pain, and pain in the supraclavicular fossa, axilla, chest, hypochondrium, thigh, knee, leg, and ankle. These are diseases of the parts traversed by the Foot-Shaoyang meridian. Blood stasis leads to scrofula (Madao and Xiaying). Yang adding to Yin causes sweating. Yang reversing downward causes chills. Since Shaoyang governs bones, all joints may hurt.