足阳明。四十五。是承泣四白而数。巨 有地仓之积。大迎乘颊车之伙。下关头维及人迎。
水突气舍与缺盆。气户兮库房屋翳。膺窗兮乳中乳根。不容承满。梁门关门。太乙滑肉。天枢外
陵。大巨从水道归来。气冲入髀关之境。伏兔至阴市梁丘。犊鼻自三里而行。上巨虚兮条口。下巨
虚兮丰隆。解溪冲阳入陷谷。下内庭厉兑而终。
胃之经兮足阳明。承泣目下七分寻。四白目下方一寸。巨 鼻孔旁八分。地仓夹吻四分迎。大
迎颔下寸三分。颊车耳下八分穴。下关耳前动脉行。头维神庭旁四五。（神庭督脉穴。在中行发际
上五分。头维去神庭四寸五分）人迎喉旁寸五真。水突筋前迎下在。气舍突下穴相乘。（气舍在水突
下）缺盆舍下横骨内。各去中行寸半明。气户璇玑旁四寸。至乳六寸又四分。库房屋翳膺窗近。
乳中正在乳头心。次有乳根出乳下。各一寸六不相侵。（自气户至乳根六穴、上下相去各一寸六分、去中行任脉各
四寸）却去中行须四寸。以前穴道与君陈。不容巨阙旁三寸。（巨阙任脉穴在脐上六寸五分）却近
幽门寸五新。（幽门肾经穴巨阙旁一寸五分、在胃经任脉二脉之中）其下承满与梁门。关门太
乙滑肉门。上下一寸无多少。共去中行三寸寻。天枢脐旁二寸间。枢下一寸外
陵安。枢下二寸大巨穴。枢下四寸水道全。枢下六寸归来好。共去中行二寸边。
气冲鼠鼷上一寸。（鼠鼷横骨尽处）又去中行四寸专。髀关膝上有尺二。伏兔膝上六寸是。阴
市膝下方三寸。梁丘膝上二寸记。膝膑陷中犊鼻存。膝下三
寸三里至。膝下六寸上廉穴。膝下七寸条口位。膝下八寸下廉看。膝下九寸丰隆系。却是踝上八寸
量。比那下廉外边缀。解溪去庭六寸半。（庭内庭也）冲阳庭后五寸换。
陷谷庭后二寸间。内庭次趾外间现。（足大趾次趾外间陷中）厉兑大趾次趾端。去爪如韭胃井判。
（左右各四十五穴共九十穴）脾足太阴之脉。起于大趾之端。循趾内侧白肉际。过核骨后。上内踝
前廉上 后。循胫骨后。交出厥阴之前。上膝股内前廉。入腹属脾络胃。上膈挟咽连舌本。散舌下。其
支者。复从胃别上膈。注心中。是动则病舌本强。食则呕。胃脘痛。腹胀。善噫。得后与气。则快然
如衰。身体皆重。是主脾所生病者。舌本痛。体不能动摇。食不下。烦心。心下急痛。溏瘕泄。水
闭。黄胆。不能卧。强立。股膝内肿厥。足大趾不用。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。盛者寸口大三倍于人迎。虚者寸口反小于人迎
也。（踝叶瓦去声）
核骨一作 骨（俗云孤拐骨）足跟后两旁起骨为踝骨。腓腹为 。髀内为股。脐上为腹。咽以
咽物。居喉之前。至胃长一尺六寸。为胃之系。舌本。舌根也。足太阴脾脉。起于大趾端之隐
白穴。受足阳明之交。循大趾内侧白肉际大都穴。过核骨后。历太白公孙商丘。上内踝前廉之三
阴交。又上 内循 骨后之漏谷。上行二寸。交出足厥阴之前。至地机阴陵泉。上循膝股前廉之
血海箕门。迤逦入腹。经冲门府舍中极关元。复循腹结大横。会下脘。历腹哀。过日月期门之分。
循本经之里。下至中脘之际。以属脾络胃。又由腹哀上膈。循食窦天溪胸乡周荣。曲折向下。至
大包。又自大包外曲折向上。会中府上行人迎之里。挟喉连舌本。散舌下而终。其支行者。由腹哀别
行。再从胃部中脘穴之外。上膈注于膻中之里。心之分。以交于手少阴心经也。是动则病
气而及于经。从经而及于脏腑。故为舌本强。食则呕。胃脘病。腹胀诸证。善噫者。脾气上走心
为噫。得后与气。则快然如衰者。厥逆从上下散也。身体皆重。太阴之气逆也。是主脾所生之经
脉病者。舌本痛。盖病太阴之气。则为舌本强。食则呕。气逆之为病也。在脾脏所生之经脉病者。
则为舌本痛。食不下。经脉之为病也。气主 之。病在气。故身体皆重。经脉者。所以濡筋骨而
利关节。病在血脉。故体不能动摇。此太阴之是动。脾脏之所生。外内出入。而见证之少有别也。
脾脉注心中。故烦心。心下急痛。脾家实。则为瘕泄水闭黄胆。此脏病之在内也。不能卧。强立。
膝股内肿。足大趾不用。经病之在外也。此太阴经脉脾脏之病。外内出入之见证也。明乎脏腑阴
阳经气出入之理。本经大义。思过半矣。
足阳明胃经共有四十五个穴位，依次是：承泣、四白；接着是巨髎，汇聚了地仓穴；大迎穴与颊车穴相连；向下经过头维穴和人迎穴；水突、气舍和缺盆穴紧随其后；气户、库房、屋翳穴位于胸部；膺窗、乳中、乳根穴在乳房部位；不容穴、承满穴、梁门穴、关门穴、太乙穴、滑肉门穴依次排列；天枢穴在外陵穴上方；大巨穴、水道穴、归来穴连成一线；气冲穴进入髀关穴的区域；从伏兔穴到阴市穴再到梁丘穴；犊鼻穴向下延伸至三里穴（足三里）；上巨虚穴连接条口穴；下巨虚穴连接丰隆穴；解溪穴、冲阳穴通向陷谷穴；最后以内庭穴和厉兑穴结束。
足阳明胃经的走向如下：承泣穴在目眶下方七分处寻找；四白穴在眼眶下方一寸处；巨髎穴在鼻孔旁八分处；地仓穴夹在口角旁四分处；大迎穴在下颌角前下方一寸三分处；颊车穴在耳垂下方八分处；下关穴在耳前动脉搏动处；头维穴在神庭穴旁开四寸五分处。（注：神庭穴属督脉，位于正中线上发际上五分，头维穴距神庭穴四寸五分）。人迎穴在喉结旁开一寸五分处；水突穴在人迎穴下方的筋前；气舍穴在水突穴下方。（气舍穴位于水突穴之下）。缺盆穴在锁骨上窝横骨内侧，距离正中线各一寸半。气户穴在璇玑穴旁开四寸，至乳头为六寸又四分。库房、屋翳、膺窗穴位置相近；乳中穴正对乳头中心；乳根穴在乳头下一寸六分处，互不侵犯。（自气户至乳根这六个穴位，上下间距各为一寸六分，距离正中线任脉各四寸）。这些穴位距离正中线均为四寸，以上穴位向君陈述。不容穴在巨阙穴旁开三寸。（巨阙穴属任脉，位于脐上六寸五分处）。幽门穴紧邻其旁，距离正中一寸五分新近。（幽门穴属肾经，位于巨阙穴旁开一寸五分，处于胃经与任脉之间）。其下方的承满穴和梁门穴，关门、太乙、滑肉门穴，上下间距均为一寸，没有多少差别，距离正中线均为三寸。天枢穴在脐旁二寸处；天枢下一寸安设外陵穴；天枢下二寸是大巨穴；天枢下四寸是水道穴；天枢下六寸是归来穴，它们都距离正中线二寸边沿。气冲穴在鼠鼷（腹股沟）上一寸处。（鼠鼷指横骨尽头处），又距离正中线四寸专一。髀关穴在膝上尺二寸处；伏兔穴在膝上六寸处；阴市穴在膝下三寸处；梁丘穴在膝上二寸处记录；犊鼻穴存在于膝盖髌骨凹陷中；足三里穴在膝下三寸处到达；上巨虚穴（原称上廉穴）在膝下六寸处；条口穴在膝下七寸处；下巨虚穴（原称下廉穴）在膝下八寸处看；丰隆穴系于膝下九寸处，却是在踝上八寸处测量，比那下廉穴的外边缀连。解溪穴距离内庭穴六寸半。（庭指内庭穴）；冲阳穴在内庭穴后五寸处更换；陷谷穴在内庭穴后二寸间；内庭穴现于足次趾外侧间隙。（足大趾与次趾外侧间隙的凹陷中）；厉兑穴在大趾与次趾端，去爪甲如韭菜叶宽度处，作为胃经的井穴判定。（左右各四十五穴，共九十穴）。
足太阴脾经的脉气，起于大趾末端，沿着大趾内侧白色肉际行走，经过核骨之后，上行至内踝前缘，再向上经过胫骨后方，交出足厥阴肝经的前面，上行至膝股内侧前缘，进入腹部，归属于脾脏，联络胃腑，穿过膈肌，挟持咽喉，连接舌根，散布于舌下。它的支脉，又从胃部分出，上行穿过膈肌，注入心中。当本经发生变动时，会出现舌根僵硬、进食呕吐、胃脘疼痛、腹胀、容易嗳气等症状，大小便通畅或排气后，症状会感到减轻缓解，身体沉重。这是脾脏所主管的疾病表现，包括舌根疼痛、身体不能动摇、饮食不下、心烦、心下部急痛、大便溏泄或痢疾、小便不通、黄疸、不能平卧、强立时头晕、大腿膝盖内侧肿胀厥冷、足大趾不能活动。对于这些病症，实证用泻法，虚证用补法，热证用速刺法，寒证用留针法，阳气下陷用灸法，不虚不实则取本经穴位治疗。实证时，寸口脉搏比人迎脉搏大三倍；虚证时，寸口脉搏反而小于人迎脉搏。（“踝”音瓦去声）。
“核骨”一作“䯒骨”（俗称孤拐骨）。足跟后两旁隆起的骨头称为踝骨。小腿肚称为腓肠。大腿内侧称为股。脐上称为腹。咽部用于吞咽食物，位于喉之前，至胃长一尺六寸，是胃的连接组织。舌本即舌根。足太阴脾经，起于大趾端的隐白穴，接受足阳明胃经的气血交会，沿着大趾内侧白色肉际的大都穴，经过核骨后的太白穴、公孙穴、商丘穴，上行至内踝前缘的三阴交穴，又向上经过小腿内侧循行于胫骨后面的漏谷穴，上行二寸，交出足厥阴肝经的前面，到达地机穴、阴陵泉穴，向上沿着膝股前缘的血海穴、箕门穴，蜿蜒进入腹部，经过冲门穴、府舍穴、中极穴、关元穴，又沿着腹部经过腹结穴、大横穴，会合于下脘穴，经过腹哀穴，过日月穴、期门穴的分界，沿着本经的里侧，下行至中脘穴附近，以归属于脾脏并联络胃腑。又从腹哀穴上行穿过膈肌，经过食窦穴、天溪穴、胸乡穴、周荣穴，曲折向下，到达大包穴，又自大包穴向外曲折向上，会合于中府穴，上行进入人迎穴的里侧，挟持咽喉连接舌根，散布于舌下而终结。它的支行者，由腹哀穴别行，再从胃部中脘穴的外侧，上行穿过膈肌注入膻中的里侧，心脏的分野，以交于手少阴心经。当本经发生变动时，病气波及经脉，从经脉波及脏腑，所以出现舌根僵硬、进食呕吐、胃脘病、腹胀等证候。容易嗳气，是因为脾气上走于心形成噫气。大小便通畅或排气后症状减轻，是因为厥逆之气从上往下消散。身体沉重，是因为太阴之气逆乱。这是脾脏所主管的经脉病变，舌根疼痛，因为病在太阴之气，导致舌根僵硬、进食呕吐，这是气逆引起的疾病。在脾脏所生的经脉病变中，表现为舌根疼痛、饮食不下，这是经脉本身的疾病。气主煦之，病在气，所以身体沉重。经脉的作用是濡养筋骨而利关节，病在血脉，所以身体不能动摇。这是太阴经的“是动”病与脾脏的“所生”病，内外出入，见证略有不同。脾经脉气注入心中，所以心烦、心下急痛。脾家实邪，则导致瘕积、泄泻、小便不通、黄疸，这是内脏疾病在内部的表现。不能平卧、强立时头晕、膝股内侧肿胀、足大趾不能活动，这是经脉疾病在外部的表现。这是太阴经脉与脾脏疾病的内外出入见证。明白了脏腑阴阳经气出入的道理，对本经大义的理解就超过一半了。
The Foot-Yangming Stomach Meridian has forty-five acupoints, listed in order: Chengqi (Chengqi, ST1), Sibai (Sibai, ST2); followed by Juliao (Juliao, ST3), accumulating with Dicang (Dicang, ST4); Daying (Daying, ST5) connects with Jiache (Jiache, ST6); descending to Touwei (Touwei, GB8) and Renying (Renying, ST9); Shuitu (Shuitu, ST10), Qishe (Qishe, ST11), and Quepen (Quepen, ST12) follow; Qihu (Qihu, ST13), Fukuang (Fukuang, ST14), Wuyi (Wuyi, ST15) are located on the chest; Yingchuang (Yingchuang, ST16), Ruzhong (Ruzhong, ST17), Rugen (Rugen, ST18) are at the breast; Burong (Burong, ST19), Chengman (Chengman, ST20), Liangmen (Liangmen, ST21), Guanmen (Guanmen, ST22), Taiyi (Taiyi, ST23), and Runiwomen (Runiwomen, ST24) are arranged sequentially; Tianshu (Tianshu, ST25) is above Wailing (Wailing, ST26); Daju (Daju, ST27), Shuidao (Shuidao, ST28), and Guilai (Guilai, ST29) form a line; Qichong (Qichong, ST30) enters the region of Biguan (Biguan, ST31); from Futu (Futu, ST32) to Yinshi (Yinshi, ST33) then to Liangqiu (Liangqiu, ST34); Dubi (Dubí, ST35) extends downward to Sanli (Zusanli, ST36); Shangjuxu (Shangjuxu, ST37) connects to Taikou (Taikou, ST38); Xiajuxu (Xiajuxu, ST39) connects to Fenglong (Fenglong, ST40); Jiexi (Jiexi, ST41) and Chongyang (Chongyang, ST42) lead to Xiangu (Xiangu, ST43); finally ending with Neiting (Neiting, ST44) and Lidui (Lidui, ST45).
The course of the Foot-Yangming Stomach Meridian is as follows: Chengqi (Chengqi, ST1) is found 0.7 cun below the orbital rim; Sibai (Sibai, ST2) is 1 cun below the orbital rim; Juliao (Juliao, ST3) is 0.8 cun lateral to the nostril; Dicang (Dicang, ST4) is 0.4 cun lateral to the corner of the mouth; Daying (Daying, ST5) is 1.3 cun anterior-inferior to the angle of the mandible; Jiache (Jiache, ST6) is 0.8 cun inferior to the earlobe; Xiaguan (Xiaguan, ST7) is at the pulsation anterior to the ear; Touwei (Touwei, GB8) is 4.5 cun lateral to Shenting (Shenting, GV24). (Note: Shenting belongs to the Du Meridian, located 0.5 cun above the hairline on the midline; Touwei is 4.5 cun from Shenting). Renying (Renying, ST9) is 1.5 cun lateral to the laryngeal prominence; Shuitu (Shuitu, ST10) is anterior to the sternocleidomastoid muscle, inferior to Renying; Qishe (Qishe, ST11) is inferior to Shuitu. (Qishe is located below Shuitu). Quepen (Quepen, ST12) is inside the clavicular fossa, 1.5 cun from the midline. Qihu (Qihu, ST13) is 4 cun lateral to Xuji (Xuji, CV14), reaching the nipple at 6.4 cun. Fukuang (Fukuang, ST14), Wuyi (Wuyi, ST15), and Yingchuang (Yingchuang, ST16) are close together; Ruzhong (Ruzhong, ST17) is exactly at the center of the nipple; Rugen (Rugen, ST18) is 1.6 cun below the nipple, not interfering with each other. (From Qihu to Rugen, these six acupoints are spaced 1.6 cun apart vertically, and 4 cun from the midline Conception Vessel). These acupoints are 4 cun from the midline, described above for your reference. Burong (Burong, ST19) is 3 cun lateral to Juque (Juque, CV14). (Juque belongs to the Conception Vessel, located 6.5 cun above the umbilicus). Youmen (Youmen, KI15) is adjacent, 1.5 cin new. (Youmen belongs to the Kidney Meridian, located 1.5 cun lateral to Juque, between the Stomach Meridian and Conception Vessel). Below them are Chengman (Chengman, ST20) and Liangmen (Liangmen, ST21); Guanmen (Guanmen, ST22), Taiyi (Taiyi, ST23), and Runiwomen (Runiwomen, ST24) have a vertical spacing of 1 cun, without much difference, all 3 cun from the midline. Tianshu (Tianshu, ST25) is 2 cun lateral to the umbilicus; 1 cun below Tianshu is Wailing (Wailing, ST26); 2 cun below Tianshu is Daju (Daju, ST27); 4 cun below Tianshu is Shuidao (Shuidao, ST28); 6 cun below Tianshu is Guilai (Guilai, ST29), all 2 cun from the midline edge. Qichong (Qichong, ST30) is 1 cun above the inguinal ligament (the end of the transverse bone), and 4 cun from the midline. Biguan (Biguan, ST31) is 1.2 cun above the knee; Futu (Futu, ST32) is 6 cun above the knee; Yinshi (Yinshi, ST33) is 3 cun below the knee; Liangqiu (Liangqiu, ST34) is recorded at 2 cun above the knee; Dubi (Dubí, ST35) exists in the depression of the patella; Zusanli (Zusanli, ST36) is reached at 3 cun below the knee; Shanglian (Shangjuxu, ST37) is at 6 cun below the knee; Taikou (Taikou, ST38) is at 7 cun below the knee; Xialian (Xiajuxu, ST39) is seen at 8 cun below the knee; Fenglong (Fenglong, ST40) is connected at 9 cun below the knee, measured at 8 cun above the malleolus, extending laterally beyond Xialian. Jiexi (Jiexi, ST41) is 6.5 cun from Neiting (Neiting, ST44); Chongyang (Chongyang, ST42) replaces it 5 cun posterior to Neiting; Xiangu (Xiangu, ST43) is between 2 cun posterior to Neiting; Neiting (Neiting, ST44) appears in the lateral space between the second toe. (The depression in the lateral space between the big toe and second toe); Lidui (Lidui, ST45) is at the tip of the big toe and second toe, judged as the Jing-Well point of the Stomach Meridian, removing the nail like a leek leaf. (Forty-five acupoints on each side, totaling ninety acupoints).
The Foot-Taiyin Spleen Meridian originates at the tip of the great toe, follows the medial white flesh margin of the toe, passes behind the nuclear bone, ascends to the anterior margin of the medial malleolus, then runs posterior to the tibia, crosses anterior to the Foot-Jueyin Liver Meridian, ascends along the anterior margin of the medial thigh and knee, enters the abdomen, belongs to the Spleen, and connects with the Stomach. It pierces the diaphragm, flanks the pharynx, connects to the root of the tongue, and scatters under the tongue. Its branch diverges from the Stomach, ascends through the diaphragm, and pours into the Heart. When this meridian undergoes pathological changes, symptoms include stiffness of the tongue root, vomiting after eating, epigastric pain, abdominal distension, frequent belching. After defecation or passage of gas, the patient feels relieved and symptoms diminish, accompanied by heaviness of the body. These are diseases governed by the Spleen, including pain at the tongue root, inability to move the body, difficulty in eating, irritability, urgent pain in the epigastrium, loose stools or dysentery, urinary retention, jaundice, inability to lie flat, dizziness upon standing forcibly, swelling and coldness in the inner thigh and knee, and immobility of the great toe. For these conditions, excess patterns are treated with draining methods, deficiency patterns with tonifying methods, heat patterns with rapid needling, cold patterns with retained needling, sinking Qi with moxibustion, and balanced patterns with local points on the meridian. In excess patterns, the Cun Kou pulse is three times larger than the Ren Ying pulse; in deficiency patterns, the Cun Kou pulse is smaller than the Ren Ying pulse. ("An" pronounced 'wa' departing tone).
"Nuclear bone" is also written as "Ci bone" (commonly known as the ankle bone). The bones rising on both sides behind the heel are called ankle bones. The calf is called the fibular belly. The inner thigh is called the thigh. Above the navel is the abdomen. The pharynx is used for swallowing food, located anterior to the larynx, extending 1 chi 6 cun to the stomach, serving as the connection of the stomach. The root of the tongue is the base of the tongue. The Foot-Taiyin Spleen Meridian originates at the Yinbai acupoint (Yinbai, SP1) at the tip of the great toe, receiving intersection from the Foot-Yangming Stomach Meridian. It follows the medial white flesh margin of the great toe through Dadu (Dadu, SP2), passes behind the nuclear bone through Taibai (Taibai, SP3), Gongsun (Gongsun, SP4), and Shangqiu (Shangqiu, SP35), ascends to the anterior margin of the medial malleolus at Sanyinjiao (Sanyinjiao, SP6), then ascends through Lougu (Lougu, SP7) running posterior to the tibia, ascends 2 cun, crosses anterior to the Foot-Jueyin Liver Meridian, reaches Diji (Diji, SP8) and Yinlingquan (Yinlingquan, SP9), ascends along the anterior margin of the knee and thigh through Xuehai (Xuehai, SP10) and Jimen (Jimen, SP11), winds into the abdomen, passing through Chongmen (Chongmen, SP12), Fushhe (Fushhe, SP13), Zhongji (Zhongji, CV3), Guanyuan (Guanyuan, CV4), then along the abdomen through Fujie (Fujie, SP14) and Daheng (Daheng, SP15), meets Xiawan (Xiawan, CV10), passes Fuai (Fu'ai, SP16), goes past Riyue (Riyue, GB24) and Qimeng (Qimeng, LR14), runs along the interior of this meridian, descends to the vicinity of Zhongwan (Zhongwan, CV12), belonging to the Spleen and connecting with the Stomach. From Fu'ai, it ascends through the diaphragm, passing Shidou (Shidou, SP17), Tianxi (Tianxi, SP18), Xiongxiang (Xiongxiang, SP19), and Zhourong (Zhourong, SP20), curves downward to reach Dabao (Dabao, SP21), then curves outward and upward from Dabao, meeting Zhongfu (Zhongfu, LU1), ascending into the interior of Renying, flanking the throat, connecting to the root of the tongue, scattering under the tongue, and terminating. Its branch diverges from Fu'ai, runs separately from the exterior of the Zhongwan acupoint in the Stomach, ascends through the diaphragm, pours into the interior of Danzhong (Danzhong, CV17), the domain of the Heart, to intersect with the Hand-Shaoyin Heart Meridian. When this meridian undergoes pathological changes, the disease qi spreads to the meridians, and from the meridians to the zang-fu organs, causing stiffness of the tongue root, vomiting after eating, epigastric disease, abdominal distension, etc. Frequent belching occurs because Spleen Qi moves upward to the Heart forming belch. Relief after defecation or gas passage is due to the dispersion of rebellious Qi downwards. Heaviness of the body is due to the rebellion of Taiyin Qi. These are meridian diseases generated by the Spleen organ; pain at the tongue root indicates that when Taiyin Qi is diseased, it causes stiffness of the tongue root and vomiting, which are diseases of Qi rebellion. In meridian diseases generated by the Spleen organ, symptoms include pain at the tongue root and difficulty eating, which are diseases of the meridians themselves. Qi provides warmth; when diseased in Qi, the body feels heavy. Meridians nourish sinews and bones and facilitate joint movement; when diseased in blood vessels, the body cannot move. This distinguishes the "Is-Moving" diseases of the Taiyin Meridian from the "So-Generated" diseases of the Spleen organ, where internal and external manifestations differ slightly. Spleen Meridian Qi pours into the Heart, causing irritability and urgent epigastric pain. Excess in the Spleen leads to masses, diarrhea, urinary retention, and jaundice, representing internal organ diseases. Inability to lie flat, dizziness upon standing, swelling in the inner thigh and knee, and immobility of the great toe represent external meridian diseases. These are the internal and external manifestations of Taiyin Meridian and Spleen organ diseases. Understanding the principles of the entry and exit of Zang-Fu Yin-Yang and Meridian Qi allows one to comprehend more than half of the major principles of this classic.