手厥阴心包之脉。计有九穴而终。自天池天泉为始。逐曲泽 门而通。间使行于内关。大陵
近乎劳宫。既由掌握。抵于中冲。
心包起自天池间。乳后一寸腋下三。(腋下三寸乳后一寸)天泉曲腋下二寸。曲泽屈肘陷中央。
门去腕方五寸。(掌后去腕五寸)
间使腕后三寸量。内关去腕只二寸。大陵掌后两筋间。劳宫屈中名指取。(屈中指无名指两者
之间取之)中指之末中冲良。
三焦手少阳之脉。起于小指次指之端。上出两指之间。循手表腕。出臂外两骨之间。上贯肘。
循外上肩。而交出足少阳之后。入缺盆。布膻中。散络心包。下膈循属三焦。其支者。从膻中上
出缺盆。上项系耳后。直上出耳上角。以屈下颊至 。其支者。从耳后入耳中。出走耳前。过客
主人。前交颊。至目锐 。是动则病耳聋。浑浑 。嗌肿喉痹。是主气所生病者。汗出。目锐
痛。颊肿。耳前肩 肘臂外皆痛。小指次指不用。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。( 音屯)
臂骨尽处为腕。 尽处为肘。膊下对腋处为 。目下为 。手少阳起于小指次指之端关冲穴。
(第四指也)上出历
液门中渚四指之间。循手表腕之阳池。出臂外两骨之间。至天井穴。从天井上行。循臂 之外。
历清冷渊消铄。行手太阳之里。手阳明之外。上肩循臂 。会肩 天 。交出足少阳之后。过秉
风肩井。下入缺盆。复由足阳明之外。而会交于膻中之上焦。散布络绕于心包络。乃下膈入络膀
胱以约下焦。附右肾而生。其支行者。从膻中而上出缺盆之外。上项过大椎。循天牖上耳后。经翳风
脉颅囟。直上出耳上角。至角孙。过悬厘颔厌。及过阳白睛明。屈曲耳颊至 。会颧 之分。
其又支者。从耳后翳风穴。入耳中。过听宫。历耳门和 。却出至目锐 。合瞳子 。循丝竹空。
而交于足少阳胆经也。少阳之上。相火主之。故是动则病耳聋。浑浑 。嗌肿喉痹。相火之有
余于上也。少阳乃一阳初生之气。故主气所生病者汗出。阳加于阴。则汗出也。目锐 痛。颊肿。
耳后肩 肘臂小指次指。皆经脉所循之部分而为病也。人迎一盛而躁。病在手少阳。故盛者人
迎大一倍于寸口。虚者人迎反小于寸口也。
手厥阴心包经的经脉,共有九个穴位。从天池、天泉穴开始,沿着弯曲的路径经过曲泽、门(郄门)穴而通达。间使穴位于内关穴之上,大陵穴靠近劳宫穴。既已掌握这些穴位,便抵达中指末端的中间冲穴。
心包经起始于天池穴,位于乳后一寸、腋下三寸处。(注:腋下三寸,乳后一寸)天泉穴在腋前纹头下二寸。曲泽穴在屈肘时,肘横纹中央的凹陷处。郄门穴距离腕横纹五寸。(注:掌后去腕五寸)
间使穴在腕横纹上三寸量取。内关穴距离腕横纹仅二寸。大陵穴在掌后两筋之间的凹陷处。劳宫穴需屈曲中指与无名指,取两者指尖之间的位置。(注:屈中指无名指两者之间取之)中冲穴位于中指末端,位置良好。
手少阳三焦经的经脉,起始于小指和次指(无名指)的末端。向上出于两指之间,沿着手背腕部,出于手臂外侧两根骨头之间,向上贯穿肘部。沿着外上方到达肩部,然后交出足少阳胆经之后,进入缺盆。分布于膻中,散布络属于心包。向下穿过膈肌,归属于三焦。其支脉,从膻中向上出于缺盆,上行至颈部,联络耳后。直上出于耳上角,然后弯曲下行至面颊,到达眼眶下。另一支脉,从耳后进入耳中,出走耳前,经过客主人穴(上关),前方交叉于面颊,到达目外眦(锐眦)。本经发生变动则出现耳聋,耳鸣如轰鸣声,咽喉肿痛,喉痹。本经主气所发生的病变,有汗出,目外眦痛,面颊肿,耳前、肩、臑、肘、臂外侧均疼痛,小指和次指不能运用。对于这些病症,实证用泻法,虚证用补法,热证用疾刺法,寒证用留针法,脉气下陷的用灸法,不虚不实者,取本经穴治疗。实证表现为人迎脉搏动大一倍于寸口,虚证表现为人迎脉搏动反而小于寸口。(“浑浑”音屯)
臂骨尽头处为腕关节,肘骨尽头处为肘关节,膊下对腋处为臑(上臂),目下为颧。手少阳三焦经起始于小指和次指末端的关冲穴。(第四指也)向上出于液门、中渚穴,位于四指之间。沿着手背腕部的阳池穴,出于手臂外侧两根骨头之间,到达天井穴。从天井穴上行,沿着臂臑之外,经过清冷渊、消铄穴。行于手太阳小肠经的内侧,手阳明大肠经的外侧。上行至肩部,沿着臂臑,会合于肩髎、天髎穴。交出足少阳胆经之后,经过秉风、肩井穴,向下进入缺盆。又由足阳明胃经的外侧,会合交于膻中的上焦部位。散布络绕于心包络,乃向下穿过膈肌,入络膀胱以约束下焦。附于右肾而生。其支脉,从膻中而上出于缺盆之外。上行至颈部,经过大椎穴,沿着天牖穴上行至耳后。经过翳风、脉颅囟穴,直上出于耳上角,到达角孙穴。经过悬厘、颔厌穴,以及经过阳白、睛明穴,弯曲经过耳颊到达颧部,会合于颧部分野。
其又一支脉,从耳后翳风穴,进入耳中,经过听宫穴,历过耳门穴和听会穴,却出至目外眦,合于瞳子髎穴,沿着丝竹空穴,而交于足少阳胆经。少阳之上,由相火主持。所以本经发生变动则出现耳聋,耳鸣如轰鸣声,咽喉肿痛,喉痹。这是相火有余于上的表现。少阳是一阳初生之气,所以主气所发生的病变有汗出。阳气加于阴分,则汗出。目外眦痛,面颊肿,耳后、肩、臑、肘、臂、小指和次指,都是经脉循行的部位而发生病变。人迎脉大一倍且躁动,病在手少阳经。所以实证表现为人迎脉搏动大一倍于寸口,虚证表现为人迎脉搏动反而小于寸口。
The meridian of the Pericardium of Hand-Jueyin has nine acupoints in total. It begins with Tianchi (PC9) and Tianquan (PC10), passes through Quze (PC3) and Ximen (PC4) along its curved path, and connects to Jianshi (PC5) which is located above Neiguan (PC6). Daling (PC7) is near Laogong (PC8), and having mastered these points, one reaches Zhongchong (PC9) at the tip of the middle finger.
The Pericardium meridian originates from Tianchi (PC9), located one cun behind the nipple and three cun below the axillary fold. Tianquan (PC10) is two cun below the anterior axillary fold. Quze (PC3) is found in the center of the transverse cubital crease when the elbow is flexed. Ximen (PC4) is five cun proximal to the wrist crease.
Jianshi (PC5) is measured three cun proximal to the wrist crease. Neiguan (PC6) is only two cun proximal to the wrist crease. Daling (PC7) lies between the two tendons posterior to the palm. Laogong (PC8) is located between the tips of the flexed middle and ring fingers. Zhongchong (PC9) is situated at the tip of the middle finger.
The meridian of the Sanjiao of Hand-Shaoyang originates at the end of the fourth finger (ring finger). It ascends out between the fourth and fifth fingers, follows the dorsal aspect of the hand and wrist, emerges between the two bones of the forearm, ascends through the elbow, and follows the lateral upper arm to the shoulder. It then crosses posterior to the Foot-Shaoyang Gallbladder meridian, enters the supraclavicular fossa (Quepen), distributes in the chest region (Shanzhong), and scatters to connect with the Pericardium. It descends through the diaphragm and belongs to the Sanjiao. Its branch arises from Shanzhong, ascends out of the supraclavicular fossa, goes up the neck, and connects behind the ear. It goes straight up to emerge above the ear apex, then curves down to the cheek and reaches the outer canthus. Another branch enters the ear from behind it, exits in front of the ear, passes through Shangguan (GB2/Keguzhuren), crosses anteriorly on the cheek, and arrives at the outer canthus. When this meridian is disturbed, symptoms include deafness, tinnitus described as a roaring sound ("hunhun"), swollen throat, and pharyngeal obstruction. This meridian governs diseases related to Qi, manifesting as sweating, pain in the outer canthus, facial swelling, and pain in the area anterior to the ear, shoulder, upper arm, elbow, and lateral forearm, with dysfunction of the fourth and fifth fingers. For these conditions, excess patterns are treated by reducing, deficiency patterns by tonifying, heat patterns by rapid needle withdrawal, cold patterns by retaining the needle, sinking Qi by moxibustion, and mixed excess-deficiency patterns by selecting points from the affected meridian itself. Excess is indicated when the Renying pulse is more than double that of the Cunkou pulse; deficiency is indicated when the Renying pulse is smaller than the Cunkou pulse. ("Hunhun" is pronounced "tun").
The end of the arm bone is the wrist, the end of the elbow bone is the elbow, the lower part of the humerus opposite the armpit is the upper arm (Nao), and below the eye is the zygomatic area. The Hand-Shaoyang Sanjiao meridian originates at Guanchong (TE1) at the tip of the fourth finger. It ascends out between the fourth and fifth fingers through Liqiu (TE2), Zhongzhu (TE3), and Yangchi (TE4). It emerges between the two bones of the forearm, reaches Tianjing (TE10), and ascends from there along the lateral aspect of the upper arm, passing Qinglengyuan (SI11) and Xiaoshuo (SI12). It runs deep to the Hand-Taiyang Small Intestine meridian and superficial to the Hand-Yangming Large Intestine meridian. It ascends to the shoulder, meeting Jianliao (TE14) and Tianliao (TE15). Crossing posterior to the Foot-Shaoyang Gallbladder meridian, it passes Bingfeng (GB12) and Jianjing (GB21), descending into the supraclavicular fossa. From there, lateral to the Foot-Yangming Stomach meridian, it meets at the upper Jiao of Shanzhong. It scatters and connects around the Pericardium, then descends through the diaphragm to connect with the Bladder to regulate the lower Jiao. It attaches to the right kidney for its generation. Its branch ascends from Shanzhong out of the supraclavicular fossa, goes up the neck over Dazhui (GV14), follows Tianyou (TE16) to behind the ear, passes Yifeng (TE17) and Maichuang, goes straight up to emerge above the ear apex at Jiaosun (SJ20). It passes Xuanli (GB37) and Hanyan (GB13), and also passes Yangbai (GB14) and Jingming (BL1), curving through the ear and cheek to meet at the zygomatic region.
Another branch enters the ear from Yifeng (TE17), passes Tinggong (SI19), Ermen (TE21), and Tinghui (GB2), exits to the outer canthus, joins Tongziliao (GB1), follows Sizhukong (TE23), and intersects with the Foot-Shaoyang Gallbladder meridian. Above the Shaoyang, Xianghuo (Ministerial Fire) dominates. Therefore, disturbance of this meridian causes deafness, roaring tinnitus, swollen throat, and pharyngeal obstruction, indicating an excess of Xianghuo above. Since Shaoyang represents the initial growth of Yang Qi, diseases governed by Qi include sweating, as Yang added to Yin causes sweating. Pain in the outer canthus, facial swelling, and disorders in the areas behind the ear, shoulder, upper arm, elbow, forearm, and fourth/fifth fingers occur because these are parts traversed by the meridian. If the Renying pulse is larger and restless, the disease is in the Hand-Shaoyang meridian. Thus, excess is marked by the Renying pulse being double the Cunkou pulse, and deficiency by the Renying pulse being smaller than the Cunkou pulse.