足太阴。脾中州。二十一穴隐白游。赴大都兮瞻太白。访公孙兮至商丘。越三阴之交。而漏
谷地机可接。步阴陵之泉。而血海箕门是求。入冲门兮府舍轩豁。解腹结兮大横优游。腹哀食窦兮。
接天溪而同派。胸乡周荣兮。缀大包而如钩。
大趾内侧起隐白。节后陷中求大都。太白内侧核骨下。节后一寸公孙呼。商丘内踝陷中遭。踝
上三寸三阴交。踝上六寸漏谷是。踝上五寸地机朝。膝下内侧阴陵泉。血海膝膑上内廉。箕门穴
在鱼腹取。动脉应手越筋间。冲门期下尺五分。(期门肝经穴、巨阙旁四寸五分、巨阙任脉穴、
脐上六寸五分、)府舍期下九寸判。腹结期下六寸八。大横期下五寸半。腹哀
期下方二寸。期门肝经穴道现。巨阙之旁四寸五。却连脾穴休胡乱。自此以上食窦穴。天溪胸乡
周荣贯。相去寸六无多寡。又上寸六中府换。(肺经穴)大包腋下有六寸。渊液腋下三寸半。
(左右共四十二穴)
心手少阴之脉。起于心中。出属心系。下膈络小肠。其支者。从心系上挟咽。系目系。其直
者。复从心系。却上肺下出腋下。循 内后廉。行手太阴心主之后。下肘内。循臂内后廉。抵掌
后锐骨之端。入掌内后廉。循小指之内出其端。是动则病咽干心痛。渴而欲饮。是为臂厥。是主
心所生病者。目黄。胁痛。 臂内后廉痛。厥。掌中热痛。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。甚者。寸口大再倍于人迎。虚者。反小于
人迎也。
心系有二。一则上与肺相通。而入肺大叶间。一则由肺叶而下。曲折向后并脊里。细络相连。
贯脊髓。与肾相通。正当七节之间。盖五脏系皆通于心。而心通五脏系也。手少阴经起于心。循
任脉之外。属心系下膈。当脐上二寸之分络小肠。其支者。从心系出任脉之外。上行而挟咽系目
也。其直者。复从心系直上至肺脏之分。出循腋下抵极泉。(穴在臂内腋下筋间动脉入胸)自极
泉下循 内后廉。行手太阴心主两筋之后。历青灵穴。下肘内廉。抵少海。手腕下踝为兑骨。自
少海而下循臂内后廉。历灵道通里。至掌后锐骨之端。经阴 神门。入掌内廉。至少府。循小指端
之少冲而终。以交于手太阳也。少阴之上。君火主之。故是动则病嗌干心痛。渴而欲饮。少阴之
气盛也。是主心所生病者。目黄。心系上系于目。心火盛故黄也。 臂掌中。心脉所循之部分。盖
心所生之病。而外及于经脉也。
足太阴脾经。脾属中州(中央土)。共有二十一个穴位,从隐白穴开始循行。前往大都穴,瞻望太白穴。拜访公孙穴,到达商丘穴。越过三阴交穴,漏谷穴和地机穴便可连接。步入阴陵泉穴,血海穴和箕门穴即可寻得。进入冲门穴,府舍穴豁然开朗。解开腹结穴,大横穴悠然自在。腹哀穴、食窦穴,接着天溪穴同出一源。胸乡穴、周荣穴,连接大包穴如钩状。
大趾内侧起始于隐白穴。节后凹陷处寻求大都穴。太白穴在内侧核骨下方。节后一寸处呼叫公孙穴。商丘穴在内踝下方的凹陷中遭遇。内踝上三寸处是三阴交穴。内踝上六寸处是漏谷穴。内踝上五寸处朝见地机穴。膝下内侧是阴陵泉穴。血海穴在膝盖髌骨上方内侧边缘。箕门穴在鱼腹肌肉处取穴,动脉应手,越过筋间。冲门穴在期门穴下方尺五分处。(注:期门为肝经穴,巨阙旁四寸五分处,巨阙为任脉穴,脐上六寸五分处。)府舍穴在期门穴下方九寸判定。腹结穴在期门穴下方六寸八分。大横穴在期门穴下方五寸半。腹哀穴在期门穴下方二寸。期门穴为肝经穴道显现。巨阙穴旁四寸五分处。却连脾经穴位不要胡乱操作。自此以上有食窦穴。天溪、胸乡、周荣穴贯穿其中。相互距离寸六左右没有多少差别。再向上寸六处更换为中府穴。(肺经穴)大包穴在腋下六寸处。渊液穴在腋下三寸半处。(左右共四十二个穴位)
手少阴心经的经脉。起始于心中。出来归属于心系。向下穿过膈肌联络小肠。它的分支。从心系向上挟持咽喉。联系目系。它的主干。又从心系。向上至肺,向下出腋下。沿上臂内侧后缘。行走于手太阴肺经和手厥阴心包经之后。下行肘内。沿前臂内侧后缘。抵达掌后豌豆骨端。进入掌内后缘。沿小指内侧出于其端。发生变动则出现咽干心痛。口渴想饮水。这称为臂厥。由心脏所主生的疾病。包括目黄。胁痛。手臂内侧后缘痛。厥逆。掌心热痛。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。阳气下陷用灸法。不虚不实。按本经取穴治疗。病情严重的。寸口脉搏比人迎脉搏大二倍。虚证的。反而小于人迎脉搏。
心系有两个。一个与肺相通。进入肺的大叶之间。一个由肺叶向下。曲折向后并脊柱内部。细络相连。贯穿脊髓。与肾相通。正当第七节椎骨之间。大概五脏的心系都通于心。而心也通五脏的心系。手少阴经起始于心。沿任脉外侧。归属于心系向下穿过膈肌。当脐上二寸处分络小肠。它的分支。从心系出任脉外侧。上行挟持咽喉联系目系。它的主干。又从心系直上至肺脏部位。出来沿腋下抵达极泉穴。(穴位在上臂内侧腋下筋间动脉入胸处)自极泉穴向下沿上臂内侧后缘。行走于手太阴肺经和手厥阴心包经两筋之后。经过青灵穴。下行肘内侧。抵达少海穴。手腕下踝为兑骨。自少海穴向下沿前臂内侧后缘。经过灵道穴、通里穴。至掌后豌豆骨端。经过阴郄穴、神门穴。进入掌内廉。至少府穴。沿小指端的少冲穴终结。以交于手太阳经。少阴之上。君火主事。所以发生变动则病嗌干心痛。口渴想饮水。这是少阴之气盛的表现。由心脏所主生的疾病。包括目黄。心系上部联系于目。心火盛故发黄。手臂和手掌中。是心脉循行的部分。大概是心脏所生的疾病。而外及于经脉。
The Foot-Taiyin Spleen Meridian. The spleen belongs to the Central Earth (Zhongzhou). There are twenty-one acupoints, starting with Yinbai (SP1) and wandering along its course. Proceed to Dabu (SP2), gaze at Taibai (SP3). Visit Gongsun (SP4), arrive at Shangqiu (SP5). Cross Sanjiaoin (SP6), where Lougu (SP7) and Diji (SP8) can be connected. Step into Yinlingquan (SP9), while Xuehai (SP10) and Jimen (SP11) are sought. Enter Chongmen (SP12), Fushé (SP13) opens up. Untie Fujie (SP14), Daheng (SP15) wanders freely. Fu'ai (SP16) and Shidou (SP17) connect with Tianxi (BL22) sharing the same source. Xiongxiang (ST21) and Zhourong (ST22) link to Dabao (SP21) like a hook.
Starting from the medial side of the great toe is Yinbai (SP1). Seek Dabu (SP2) in the depression behind the joint. Taibai (SP3) is below the medial malleolus bone. One cun posterior to the joint is called Gongsun (SP4). Shangqiu (SP5) is encountered in the depression medial to the medial malleolus. Three cun above the medial malleolus is Sanjiaoin (SP6). Six cun above the medial malleolus is Lougu (SP7). Five cun above the medial malleolus faces Diji (SP8). Medial to the lower knee is Yinlingquan (SP9). Xuehai (SP10) is on the medial aspect, superior to the patella. Jimen (SP11) is located in the fish-belly muscle area; the arterial pulse is felt through the tendons. Chongmen (SP12) is 0.5 cun below Qimen (LR14). (Note: Qimen is an Liver Meridian point; 4.5 cun lateral to Juque, which is a Conception Vessel point, located 6.5 cun above the umbilicus.) Fushé (SP13) is determined 9 cun below Qimen. Fujie (SP14) is 6.8 cun below Qimen. Daheng (SP15) is 5.5 cun below Qimen. Fu'ai (SP16) is 2 cun below Qimen. Qimen (LR14) reveals the Liver Meridian pathway. 4.5 cun lateral to Juque connects to the Spleen meridian points; do not act randomly. Above this lies Shidou (SP17). Tianxi (BL22), Xiongxiang (ST21), and Zhourong (ST22) run through. The distance between them is about 1.6 cun. Moving up another 1.6 cun changes to Zhongfu (LU1). (Lung Meridian point). Dabao (SP21) is 6 cun under the axilla. Yuanli (GB22) is 3.5 cun under the axilla. (Totaling forty-two points on both sides).
The Hand-Shaoyin Heart Meridian originates in the heart. It emerges and attaches to the Heart System (Xinxi). It descends through the diaphragm and connects with the Small Intestine. Its branch rises from the Heart System, flanking the pharynx, and connects with the Eye System. Its main trunk returns from the Heart System, goes up to the lung, and exits below the axilla. It follows the posterior medial border of the upper arm, running posterior to the Hand-Taiyin Lung Meridian and Hand-Jueyin Pericardium Meridian. It descends into the elbow, follows the posterior medial border of the forearm, reaches the end of the styloid process of the ulna (Rui Gu), enters the posterior medial palm, follows the medial side of the little finger, and exits at its tip. If there is pathological change, symptoms include dryness of the throat, heart pain, thirst with desire to drink. This is called Arm Jue (Bi-Zhi). Diseases governed by the Heart include yellow eyes, hypochondriac pain, pain along the posterior medial border of the arm, Jue syndrome, and heat/pain in the palm. For these conditions: excess is drained, deficiency is tonified, heat is treated with rapid needling, cold is treated with retained needles, sinking yang is treated with moxibustion, and neither excess nor deficiency is treated by selecting points from the meridian itself. In severe cases, the Cun Kou pulse is twice as large as the Ying Chang pulse. In deficiency cases, it is smaller than the Ying Chang pulse.
There are two Heart Systems. One connects with the lung and enters the space between the large lobes of the lung. The other descends from the lung lobes, curves backward along the interior of the spine, connected by fine collaterals, penetrating the spinal cord, and connecting with the kidney, precisely at the seventh vertebral segment. Generally, the systems of the five zang organs all connect to the heart, and the heart connects to the systems of the five zang organs. The Hand-Shaoyin Meridian originates in the heart, runs outside the Ren Mai (Conception Vessel), attaches to the Heart System, descends through the diaphragm, and connects with the small intestine at the level of 2 cun above the umbilicus. Its branch emerges from the Heart System outside the Ren Mai, ascends, flanks the pharynx, and connects with the eye system. Its main trunk returns from the Heart System, goes straight up to the lung region, emerges, follows the axilla to reach Ji Quan (HT1). (The point is located in the artery between the tendons in the axilla, entering the chest). From Ji Quan, it descends along the posterior medial border of the upper arm, running posterior to the two tendons of the Hand-Taiyin Lung and Hand-Jueyin Pericardium meridians. It passes through Qing Ling (HT12), descends to the medial elbow to reach Shao Hai (HT3). The wrist ankle is called Rui Gu. From Shao Hai, it descends along the posterior medial border of the forearm, passing through Ling Dao (HT4) and Tong Li (HT5), reaching the end of the styloid process of the ulna. It passes through Yin Xi (HT6) and Shen Men (HT7), enters the medial palm, reaches Shao Fu (HT8), follows the tip of the little finger to Shao Chong (HT9) to terminate, thereby connecting with the Hand-Taiyang Bladder Meridian. Above Shaoyin, Minister Fire (Jun Huo) governs. Thus, pathological changes cause dryness of the throat, heart pain, thirst with desire to drink, indicating an abundance of Shaoyin Qi. Diseases governed by the Heart include yellow eyes. The Heart System connects to the eye superiorly; abundance of Heart Fire causes yellowness. The arm and palm are parts traversed by the Heart Meridian. These are diseases generated by the Heart that extend externally to the meridians.