手少阴。九穴成。极泉青灵少海行。自灵道通里而达。过阴 神门而迎。抵于少府。少冲可寻。
少阴心起极泉中。腋下筋间脉入胸。(臂内腋下筋间动脉入胸)青灵肘上三寸取。少海肘后
五分容。(肘内廉节后大骨外去肘端五分屈节向头得)灵道掌后一寸半。通里腕后一寸同。阴 腕
后方半寸。神门掌后兑骨隆。少府节后劳宫直。小指内侧取少冲。(凡九穴左右共十八穴)
小肠手太阳之脉。起于小指之端。循手外侧。上腕出踝内。直上循臂骨下廉。出肘内侧两筋
之间。上循 外后廉。出肩解。绕肩胛。交肩上。入缺盆。络心。循咽下膈。抵胃属小肠。其支者。
从缺盆循颈上颊。至目锐 。却入耳中。其支者。别颊上 。抵鼻至目内 。斜络于颧。是动则
病咽痛颔肿。不可以顾。肩似拔。 似折。是主液所生病者。耳聋目黄。颊肿。颈颔肩 肘臂外后
廉痛。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。
盛者人迎大再倍于寸口。虚者反小于寸口也。(胛音甲 音掘折叶舌)
臂骨尽处为腕。腕下兑骨为踝。脊两旁为膂。膂上两角为肩解。肩解下成片骨为肩胛。目外
为锐 。目下为 。目内角为内 。手太阳经起于小指少泽穴。受手少阴心经之交也。由是循
外侧之前谷后溪。上腕出踝中。历腕骨阳谷养老穴。直上循臂骨下廉支正。出肘内侧两筋之间。历小
海穴。上循 外廉。行手阳明少阳之外。上肩循肩贞 俞天宗秉风曲垣肩外俞肩中俞诸穴。乃上
会大椎。左右相交于两肩之上。自交
肩上入缺盆。循肩向腋下行。当膻中之分。络心。循胃系下膈。过上腕。抵胃下行任脉之外。当
脐上二寸之分属小肠。其支行者。从缺盆循颈之天窗天容。上颊抵颧 。上至目锐 。过瞳子
。却入耳中。循听宫而终。其支别者。别循颊上 抵鼻。至目内 睛明穴。以斜络于颧。而交于
足太阳也。是动则病嗌痛颔肿。乃病气而及于有形。故复曰似拔似折。皆形容气逆之所致也。小
肠为受盛之官。化水谷之精微。故主液。小肠所生病者。为耳聋目黄颊肿。颈项肘臂痛。皆经脉
所循之部分而为病也。尚御公曰。脏腑雌雄相合。并受五行之化。故在脏主藏。以合五行。在腑
则以六腑所生之血气津液筋骨而为病。盖病则所主之气不足。而病生于外矣。
手少阴心经,共有九个穴位。从极泉、青灵到少海依次排列。从灵道、通里向前延伸,经过阴郄、神门,抵达少府,最后寻得少冲。
手少阴心经起始于极泉穴,位于腋下筋间,动脉入胸。(手臂内侧腋下筋间的动脉进入胸部)。在肘上三寸处取青灵穴。少海穴位于肘后内侧,距肘端五分,屈肘向头方向可找到。(肘内侧关节后方大骨外侧,距离肘端五分,屈肘向头部方向取穴)。灵道穴位于掌后一寸半处。通里穴位于腕后一寸处。阴郄穴位于腕后半寸处。神门穴位于掌后兑骨(豌豆骨)隆起处。少府穴位于节后,与劳宫穴相对,在小指内侧取少冲穴。(以上九穴,左右共十八穴)。
小肠经是手太阳经脉。它起始于小指末端,沿着手外侧上行,经过腕部,出踝骨内侧,直上沿臂骨下缘,出于肘内侧两筋之间,向上沿臂外后侧边缘,出于肩关节解部,绕行肩胛,交会于肩上,进入缺盆,联络心脏,沿咽部下膈,到达胃部,归属于小肠。其分支,从缺盆沿颈部上达面颊,至目外角,退回进入耳中。另一分支,从面颊分出,上行至颧骨,抵鼻旁,至目内角,斜行络于颧骨。本经发生病变,会出现咽喉痛、下颌肿,不能回顾,肩部像被拔除一样疼痛,肘臂像折断一样疼痛。本经主要主管津液方面的疾病,如耳聋、目黄、颊肿、颈颔肩肘臂外后侧疼痛。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,脉陷下者用灸法,不虚不实者取本经穴位治疗。实证时人迎脉比寸口脉大二倍,虚证时则小于寸口脉。(“胛”音甲,“掘”音掘,“折”叶舌音)。
臂骨尽头为腕,腕下豌豆骨为踝,脊柱两旁为膂,膂上两角为肩解,肩解下成片状骨为肩胛。目外角为锐眦,目下为䪼,目内角为内眦。手太阳小肠经起始于小指端的少泽穴,接受手少阴心经的气血交接。由此循行于外侧的前谷、后溪穴,上行出腕踝中,经过腕骨、阳谷、养老穴,直上沿臂骨下缘的支正穴,出肘内侧两筋之间的小海穴,向上沿臂外后侧边缘,行于手阳明、手少阳经之外,上肩经过肩贞、天宗、秉风、曲垣、肩外俞、肩中俞等穴,然后上会大椎,左右相交于两肩之上,自交肩上进入缺盆,沿肩向腋下行,当膻中穴的分界处,联络心脏,沿胃系下膈,过上腕,抵胃下行,在任脉之外,当脐上二寸处归属于小肠。其支行者,从缺盆沿颈部的天窗、天容穴,上颊抵颧,上至目锐眦,过瞳子髎,却入耳中,循听宫穴而终。其支别者,别循颊上䪼抵鼻,至目内睛明穴,以斜络于颧,而交于足太阳膀胱经。本经发生病变,出现咽喉痛、下颌肿,这是病气影响到有形之体,所以说像拔、像折,都是形容气逆所致。小肠是受盛之官,化生水谷的精微,所以主管津液。小肠所生的疾病,如耳聋、目黄、颊肿、颈项肘臂痛,都是经脉循行部位发生的病变。尚御公说:脏腑雌雄相合,共同受五行之气的影响。所以在脏主藏精,以合五行;在腑则以六腑所生的血气津液筋骨而发生病变。这是因为病则所主之气不足,而病生于外了。
The Hand-Shaoyin Heart Meridian consists of nine acupoints. They are arranged in sequence from Jiquan (HT1), Qingling (HT8) to Shaohai (HT3). Extending from Lingdao (HT4) and Tongli (HT5), it passes through Yinxi (HT6) and Shenmen (HT5), reaches Shaofu (HT8), and finally locates Shaochong (HT9).
The Hand-Shaoyin Heart Meridian originates at Jiquan (HT1), located between the tendons in the axilla, where the artery enters the chest. (The arterial pulse in the tendon space under the arm on the medial side enters the chest). Qingling (HT8) is located three cun above the elbow. Shaohai (HT3) is contained five fen posterior to the elbow. (Located laterally to the large bone posterior to the medial aspect of the elbow joint, five fen from the elbow end; obtained by flexing the elbow towards the head). Lingdao (HT4) is one and a half cun distal to the wrist crease. Tongli (HT5) is one cun distal to the wrist crease. Yinxi (HT6) is half a cun distal to the wrist crease. Shenmen (HT7) is located at the prominence of the duigu bone (pisiform bone) distal to the palm. Shaofu (HT8) is directly opposite Laogong (PC8) posterior to the joint; Shaochong (HT9) is taken on the medial side of the little finger. (These nine acupoints amount to eighteen points on both sides).
The Small Intestine Meridian is the Hand-Taiyang meridian. It originates at the tip of the little finger, follows the lateral side of the hand, ascends past the wrist, emerges from the medial malleolus-like structure (ulnar styloid process area), goes straight up along the lower border of the forearm bone, emerges between the two tendons on the medial side of the elbow, ascends along the posterior-lateral border of the upper arm, emerges from the shoulder joint (jianjie), winds around the scapula, crosses the shoulders, enters the supraclavicular fossa (quepen), connects with the Heart, follows the pharynx down through the diaphragm, reaches the Stomach, and belongs to the Small Intestine. Its branch arises from the supraclavicular fossa, follows the neck up to the cheek, reaches the outer canthus of the eye, then re-enters the ear. Another branch separates from the cheek, ascends to the zygomatic bone, reaches the nose, arrives at the inner canthus of the eye, and obliquely connects to the zygomatic bone. When this meridian is disturbed, diseases manifest as sore throat and submandibular swelling, inability to look back, shoulder pain as if being pulled out, and arm/shoulder pain as if broken. This meridian primarily governs diseases related to fluids (ye), such as deafness, yellow eyes, swollen cheeks, and pain along the posterior-lateral border of the neck, jaw, shoulder, elbow, and arm. For these conditions, excess patterns are treated with draining methods, deficiency patterns with tonifying methods, heat patterns with rapid needle manipulation, cold patterns with retained needle retention, sunken pulses with moxibustion, and neither-excess-nor-deficiency patterns by treating the affected meridian itself. In excess cases, the Renying pulse is twice as large as the Cunkou pulse; in deficiency cases, it is smaller than the Cunkou pulse. ("Jia" refers to scapula, "Jue" refers to digging/breaking sound, "Zhe" rhymes with she).
The end of the arm bone is the wrist; below the wrist, the pisiform bone is called 'huai'; beside the spine are the 'lü' muscles; the two corners above the lü are the 'jianjie' (shoulder joint); below the jianjie, the flat bones form the scapula ('jianjia'). The outer corner of the eye is the acute canthus ('ruizi'); below the eye is the 'bi'; the inner corner of the eye is the inner canthus ('neibi'). The Hand-Taiyang Small Intestine Meridian begins at the Shaose point (SI1) at the tip of the little finger, receiving qi and blood transmission from the Hand-Shaoyin Heart Meridian. From there, it follows the lateral side through Qian Gu (SI2) and Hou Xi (SI3), ascends past the wrist and huai, passing through Wanggu (SI4), Yanggu (SI5), and Yanglao (SI6). It goes straight up along the lower border of the forearm bone through Zhengzhen (SI7), emerges between the two tendons on the medial side of the elbow at Xiaohai (SI8), ascends along the posterior-lateral border of the upper arm, running outside the Hand-Yangming and Hand-Shaoyang meridians. It ascends the shoulder through Jianzhen (SI9), Tianzong (SI11), Bingfeng (SI12), Quyuan (SI13), Jianwai Shu (SI14), and Jianzhong Shu (SI15). It then meets at Dazhui (GV14), crossing left and right above the shoulders. From the crossed shoulders, it enters the supraclavicular fossa (Quepen), descends along the shoulder towards the axilla, reaching the level of Danzhong (CV17), connecting with the Heart. It follows the stomach system down through the diaphragm, passes the upper wrist, reaches the Stomach, and descends outside the Conception Vessel (Renmai), belonging to the Small Intestine at the level two cun above the umbilicus. Its branch arises from the supraclavicular fossa, follows the Tianchuang (SI16) and Tianrong (SI17) points of the neck, ascends to the cheek and zygoma, reaches the outer canthus, passes Tongziliao (GB1), and re-enters the ear, ending at Tinggong (SI19). Another branch separates, follows the cheek up to the bi, reaches the nose, arrives at the Jingming point (BL1) in the inner canthus, and obliquely connects to the zygoma, intersecting with the Foot-Taiyang Bladder Meridian. Disturbance of this meridian causes sore throat and submandibular swelling, indicating that pathological qi affects tangible structures, hence described as "as if pulled" or "as if broken," all describing the result of rebellious qi. The Small Intestine is the official of reception and transformation, refining the essence of water and grain, thus governing fluids. Diseases generated by the Small Intestine, such as deafness, yellow eyes, swollen cheeks, and neck/arm/elbow pain, occur in the areas traversed by its meridian. Shang Yu Gong stated: Zang and Fu organs match in yin-yang and are transformed by the Five Elements. Therefore, the Zang organs store essence, aligning with the Five Elements; the Fu organs manifest diseases through the blood, qi, fluids, sinews, and bones generated by the six Fu organs. Disease arises when the qi governed by the organ is insufficient, leading to pathology originating externally.