The 14 Meridian

1. The Lung Meridian of Hand-Taiyin

1)The Course of the Channel

(1) The Lung Channel of Hand-Taiyin originates from the middle-jiao, running downwards to conneat wtth the large intestine. (2) Winding back, it goes along the upper orifice the stomach, (3) passes upwards through the diaphragm,(4) and enters the lung, its pertaining organ. (5) From the lung system which reftis to to the portion of the lung communicating with the throat, it comes out transversely (Zhongfu, LU1). (6) Descending along the radial border of the medial aspect of the upper arm, (7) it reaches the cubital. (8) Then it goes continuously downwards along the border of the radial side in the medial aspect of the forearm and (9) enter cunkon (Taiyuan, LU9). (10) Passing the thenar eminence, (11) and going along its radial border, it ends at the medial side of the tip of the thumb. The branch emges form Lieque (LU7) and runs along the dorsum of the hand onto the radial side of the tip of the index finger.

2) Principal Indications

Diseases of the chest and lung such as cough,asthma,hemoptysis oppressed feeling in the chest, chest pain, etc.; dieases of the regions along the course of this channel.

2.The Large Intestine Meridian of Hand-Yangming

l) The Course of the Channel (1)The Large Intestine Channel of Hand-Yangming starts from the tip of the index finger (Shangyang, LI 1). (2)Runn- ing upwards along the radial side of the index finger and passing through the interspace of the lst and 2nd metacarpal bones (Hegu LI 4), it enters into the depression between the tendons of m. extensor pollicis longus and brevis. (3)Then, running on along the anterior aspect of the forearm, (4)it reaches the lateral side of the elbow.(5) From there, it ascends along the lateral anterior aspect of the upper arm(6) to the highest point of the shoulder (Jianyu, LI 15).(7) Then, along the anterior border of the acromion, (8) it goes up to the 7th cervical vertebra (the confluence of the three yang channels of the hand and foot) (Dazhui DU 14),(9) and descends to Quepen(ST 12) (the supraciavicular fossa) (10) to connect with its corresponding zang-fu organs. (11) It then passes through the diaphragm (12) and enters the large intestine, its pertaining organ. (13) The branch from Quepen (ST 12) runs upwards to the neck,(14)passes through the cheek (15) and enters the lower gums.(16) Then it turns back to the upper lip and crosses the opposite channel at the Philtrum. From there, the left channel goes to the right and the right channel to the left, to the contralateral sides of the nose (Yingxiang, LI 20), where the Large Intestine Channel links whith the Stomach Channel of Foot-Yangming.

2) Principal Indications Diseases of the head, face, five sense organs and throat; febrile diseases; other diseases in the regions along the course of this channel.

3. The Stomach Meridian of Foot-Yangming

1) The Course of the Channel (1)The Stomach Channel of Foot-Yangming starts from the lateral side of ala nasi. It ascends to the bridge of the nose, (2) where it meets the Bladder Channel of Foot-Taiyang. (3) Turning downwards along the lateral side of the nose,(4) it enters the upper gum.(5) Reemerging, it curves round the lips and (6)descends to meet the Ren Channel at the mentolabial groove-Chengjiang (RN 24).(7) Then it runs posterolaterally across the lower portion of the cheek at Daying (ST 5). (8)Winding along the angle of the mandible-Jiache (ST 6), (9)it ascends in front of the ear and traverses Shangguan (G 3) of the Gallbladder Channel of Foot-Shaoyang.(10) Then it follows the anterior hairline. (ll)and reaches the forchead. (12)The facial branch emerging in front of Daying (S 5) runs downwards to Renying (ST 9). From there it goes along the throat and (13)enters the supraclavicular fossa.(14) Descending, it passes through the diaphragm,(15) enters the stomach, its pertaining organ, and connects with the spleen. (16)The straight portion of the channel arising from the supraclavicular fossa runs downward(17) Passing through the nipple. It descends by the umbilicus and enters Qichong (ST 30) on the lateral side of the lower abdomen. (18) The branch from the lower orifice of the stomach descends inside the abdomen and joins the previous portion of the channel at Qichong (ST 30).(19) Further running down wards, traversing Biguan (ST 31),(20)and further through Femur-Futu (ST 32),(21)it reaches the knee.(22)From there, it continues downwards along the anterior border of the lateral aspect of the tibia,(23) passes through the dorsum of the foot, (24) and reaches the lateral side of the tip of the 2nd toe. (25) The tibial branch emerges from Zusanli (ST 36), 3 cun below the knee,(26) and enters the lateral side of the middle toe. (27)The branch from the dorsum of the foot rises from Chongyang (ST 42) and terminates at the medial side of the tip of the great toe, where it links with the Spleen Channel of Foot- Taiyin.

2) Principal Indications Gastrointestinal diseases, diseases of the head, face, eye, nose and mouth, toothache, mental illnesses, other diseases in the regions along the course of this channel.

4. The Spleen Meridian of Foot-Taiyin

1) The Gourse of the Channel (1)The Spleen Channel of Foot-Taiyin starts from the tip of the big toe.(2) It runs along the medial aspect of the big toe at the junction of the red and white skin,(3) and ascends to the front of the medial malleolus and(4) further up to the medi- al aspect of the leg.(5)It follows the posterior aspect ofthe tibia and(6) Passes through the front of the Liver Channel of Foot- fueyin.(7) Going on along the anterior medial aspect of the knee and then the thigh,(8) it enters the abdomen,(9) reaches the spleen, its pertaining organ, and connects with the stomach.(10) From there it ascends, passing through the diaphragm (11)and running alongside the esophagus.(12)When it rea- ches the root of the tongue, it spreads over its under surface. (13)The branch from the stomach goes upwards through the diaphragm, (14) and flows into the heart to link with the Heart Channel of Hand-Shaoyin.

2) Principal Indications Diseases of the spleen and stomach, gynecopathies, diseases of the regions along the course of this channel.

5. The Heart Meridian of Hand-Shaoyin.

1) The Heart Channel of Hand-Shaoyin. (1)The Heart Channel of Hand-Shaoyin originates from the heart. Emerging, it spreads over the " heart system " (i.e. the tissues connecting the heart with the other Zang-fu organs). (2)It Passes through the diaphragm to connect with the small intestine.(3) The ascending portion of the channel from the " heart system "(4) runs alongside the esophagus (5) to con- nect with the "eye system" (i.e. the tissues connecting the eyes with the brain).(6) The straight portion of the channel from the "heart system " goes upwards to the lung. Then it runs downwards and emerges from the axilla.(7)From there it goes along the posterior border of the medial aspect of the upper arm behind the Lung Channel of Hand-Taiyin and the Pericar- dium Channel of Hand-fueyin(8) down to the cubital fossa. From there it descends along the posterior border of the me- dial aspect of the forearm(9) to the pisiform region proximal to the palm(10) and enters the palm.(11) Then it follows the medial aspect of the little finger to its tip and links with the Small Intestine Channel of Hand-Taiyang.

2) Principal Indications. Diseases in the heart and chest, mental diseases and the diaeases of the regions along the course of this channels.

6. The Small Intestine Meridian of Hand-Taiyang

1) The Course of the Channel (1)The Small Intestine Channel of Hand-Taiyang starts from the ulnar side of the tip of the little finger.(2) Following the ulnar side of the dorsum of the hand it reaches the wrist where it emerges from the styloid process of the ulna. (3)From there it ascends along the posterior border of the lateral aspect of the forearm, passes between the olecranon of the ulna and the medial epicondyle of the humerus, and(4) runs along the posterior border of the lateral aspect of the upper arm(5) to the shoulder joint.(6)Circling around the scapular region, (7)it meets Dazhui (DU 14) on the superior aspect of the shoul- der.(8) Then, turning downwards to the supraclavicular fossa, (9)it connects with the heart.(10)From there, it descends along the esophagus,(11) passes through the diaphragm,(12) reahes the stomach,(13)and finally enters the small intestine, its pertaining organ. (14) The branch from the supralavicular fossa (15) ascends along the neck (16) to the cheek. (17) Via the outer canthus. (18) it enters the ear. (19) The branch from the cheek runs upwards to the infraorbital region and further to the lateral side of the nose. Then it reaches the inner canthus to link with the Bladder Channel of Foot-Taiyang.

2) Principal Indications Diseases of the head, nape, ear, eye and throat,febrile and mental diseases, and the diseases of the regions along the course of this channel.

7. The Bladder Meridian of Foot-Taiyang

l) The Course of the Channel (1)The Bladder Channel of Foot-Taiyang starts from the inner canthus.(2) Ascending to the forehead,(3) it joins the Du Channel at the vertex. (4)From the vertex, a branch arises, running to the temple. (5) The straight portion of the channel enters and com-municates with the brain from the vertex.(6) It then emer- ges and bifurcates to descend along the posterior aspect of the neck.(7) Running downward along the medial aspect of the scapula region and parallel to the vertebral column,(8) it reaches the lumbar region,(9) where it enters the body cavity via the paravertebral muscle (10) to connect with the kidney (11) and join its pertaining organ, the urinary bladder. (12) The branch of the lumbar region descends through the gluteal region (13) and ends in the popliteal fossa. (14) The branch from the posterior aspect of the neck runs straight downward along the medial border of the scapula. (15) Passing through the gluteal region and going downward (16) along the lateral aspect of the thigh,(17) it meets the preceding branch descending from the lumbar region in the popliteal fossa. (18) From threre, it descends through the gastrocnemius muscle (19) to the posterior aspect of the external malleolus. (20) Then, running along the tuberosity of the 5th metatarsal bone, (21) it reaches the lateral side of the tip of the little toe, where it links with the Kidney Channel of Foot-Shaoyin.

2) Principal Indications Diseases of the head, nape, eye, lumbar region and the lower extremities, mental diseases, the Back-Shu Points along the first lateral line and the corresponding points parallel to them on the second lateral line over the back are used to treat diseases of their relevant Zang-fu organs and tissues respectively.

8. The Kidney Meridian of Foot-Shaoyin

1) The Course of the Channel (1)The Kidney Channel of Foot-Shaoyin starts from the inferior aspect of the small toe and runs obliquely towards the sole (Yongquan, KI 1).(2)Emerging from the lower aspect of the tuberosity of the navicular bone and (3) running behind the medial malleolus, (4) it enters the hell.(5) Then it ascends along the medial side of the leg (6) to the medial side of the popliteal fossa (7) and goes further upward along the posteromedial aspect of the thigh (8) towards the vertebral column (Changqiang, DU 1), where it enters the kidney, its pertaining organ,(9) and connects with the bladder.(10) The straight portion of the channel (11) reemerges from the kidney. Ascending and passing through the liver and diaphragm, (12) it enters the lung,(13) runs along the throat, (14) and terminates at the root of the tongue. (15) A branch springs from the lung, joins the heart and runs into the chest to link with the Pericardium Channel of Hand-Jueyin.

2) Principal Indications Gynecopathy, diseases of external genitalia, diseases of the kidney, lung and throat, and other diseases in the regions along the course of this channel.

9.The Pericardium Meridian of Hand-Jueyin

1) The Course of the Channel(1)The Pericardium Channel of Hand-fueyin origlnates from the chest. Emerging, it enters its pertaining organ, the pericardium.(2) Then it descends through the diaphragm (3)to connect successively with the upper, middle and lower jiao from the chest to the abdomen. (4)A branch arising from the chest runs inside the chest (5)emerges from the costal region at the point 3 cun below the axilla (Tianchi, PC 1) and (6) ascends to the axilla. (7) Following the medial aspect of the upper arm, it runs between the Lung Channel of Hand-Taiyin and the Heart Channel of Hand- Shaoyin (8) to the cubital fossa, (9) further downwards to the forearm between the tendons of m. palmaris longus and m. flexor carpi radialis (10) entering the palm. (11) From there, it passes along the middle finger right down to its tip. (12) Another branch arising from the palm at Laogong (PC 8), runs along the ring finger to its tip and links with the Sanjiao Channel of Hand-Shaoyang.

2) Principal Indications Diseases of the heart, chest and the stomach, mental diseases, and diseases in the regions along this channel.

10. The Sanjiao Meridian of Hand-Shaoyang

1) The Course of the Channel (1) The Sanjiao Channel of Hand-Shaoyang originates from the tip of the ring finger (Guanchong, SJ l), (2) running up- wards between the 4th and 5th metacarpal bones (3) along the dorsal aspect of the wrist (4) to the lateral aspect of the forearm between the radius and ulna. (5) Ascending through the olecranon and (6) going along the lateral aspect of the upper arm, (7) it reaches the shoulder region, (8) where it goes across and passes behind the Gallbladder Channel of Foot-Shaoyang. (9) Winding over to the supraclavicular fossa, (10) it spreads in the chest to connect with the pericardium. (11) It then descends through the diaphragm to the abdomen, and joins its pertaining organ, the upper, middle and lower jiao (i.e., sanjao). (12) A branch originates from the chest. Runing upwards, (13) it emerges from the suproclavicular fossa. (14) From there, it ascends to the neck, (15) running along the posterior border of the car, (16) and further to the corner of the anterior hairline. (17) Then it runs downwards to the cheek and terminates in the infraorbital region. (18) The auricular branch arises from the retroauricular region and enters the ear. Then it emerges in front of the ear, crosses the previous branch at the cheek (19) and reaches the outer canthus to link with the Gallbladder Channel of Foot- Shaoyang.

2) Princlpal Indications Diseases of the head, ear, eye, chest, hypochondrium and throat, febrile diseases as well as diseases in the regions along this channel.

11. The Gallbladder Meridian of Foot-Shaoyang

1)The Conrse of the Channel (1)The Gallbladder Channel of Foot-Shaoyang originates from the outer canthus (Tongziliao, GB 1), (2) ascends to the cor- ner of the forehead (Hanyan, GB 4), (3) then curves downwards to the retroauricular region (Fengchi, GB 20) (4) and runs along the side of the neck in front of the Sanjiao Channel of Hand- Shaoyang to the shoulder. Turning back, it traverses and passes behind the Sanjiao Channel of Hand-Shaoyang (5) down to the supraclavicular fossa. (6) The retroauricular branch arises from the retroauricular region and enters into the ear. (7) It then comes out and passes the preauricular region (8) to the posterior aspect of the outer canthus. (9) The branch arising from the outer canthus (10) runs downwards to Daying (ST 5) and (11) meets the Sanjiao Channel of Hand-Shaoyang in the infraorbital region. (12) Then,passing through Jiache (ST 6), (13) it descends to the neck and enters the supraclavicular fossa where it meets the branch which has already reached the place previously. (14) From there, it further descends into the chest, passes through the diaphragm (15) to connect with the liver and (16) enters its pertaining organ, the gallbladder. (17) Then it runs inside the hypochondriac region, (18) comes out from the lateral side of the lower abdomen near the femoral artery at the inguinal region. (19) From there it runs superficially along the margin of the pubic hair (20) and goes transversely into the hip region (Huantiao, GB 30). (21) The straight portion of the channel runs downward from the supraclavicular fossa, (22) passes in front of the axilla (23) along the lateral aspect of the chest (24) and through the floating ribs (25) to the hip region where it meets the previous channel. (26) Then it descends along the lateral aspect of the thigh (27) to the lateral side of the knee. (28) Goig further downward along the anterior aspect of the fibula (29) all the way to its lower end, (30) it reaches the anterior aspect of the external malleolus. It then follows the dorsum of the foot (31) to the lateral side of the tip of the 4th toe. (32) The branch of the dorsum of the foot springs from Zulinqi (GB 41), runs between the first and second metatarsal bones to the distal portion of the great toe and passes through the nail, and terminates at its hairy region, where it links with the Liver Channel of Foot-fueyin.

2) Principal Indications Diseases of the head, eye, ear and throat, mental diseases and the diseases in the regions along this channel.

12. The Liver Meridian of Foot-Jueyin

l) The Course of the Channel (1) The Liver Channel of Foot-fueyin starts from the dor- sal hair of the great toe. (2) Running upward along the dorsum of the foot, (3) Passing through a point ,l cun in front of the medial malleolus, (4) it ascends to an area 8 cun above the medial malleolus, where it runs across and behind the Spleen Channel of Foot-Taiyin. (5) Then it runs furtherupward to the medial side of the knee (6) and along the medial side of the thigh (7) to the pubic hair region, (8) where it curves around the external genitalia (9) and goes up to the lower abdomen. (10) It then runs upward and curves around the stomach to enter the liver, its pertaining organ, and connects with the gallbladder. (11) From there it continues to ascend, passing through the diaphragm, (12) and branching out in the costal and hypochondriac region. (13) Then it ascends along the posterior aspect of the throat (14) to the nasopharynx (15) and connects with the "eye system" (the area where the eyeball links with the brain). (16) Running further upward, it emerges from the forehead (17) and meets the Du Channel at the vertex. (18) The branch which arises from the "eye system" runs downward into the cheek (19) and curves around the inner surface of the lips. (20) The branch arising from the liver (21) passes through the diaphragm, (22) runs upward into the lung and links with the Lung Channel of Hand-Taiyin.

2) Principal Indications Diseases of the liver, gynecopathies, diseases of the external genitalia and diseases in the regions along this channel.

13. The Du Meridian

1)The Course of the Channel (1)The Du Channel arises from the lower abdomen and emerges from the perineum.(2)Then it runs posteriorly along the interior of the spinal column (3)to Fengfu (DU 16) at the nape, where it enters the brain. (4) It further ascends to the vertex (5) and winds along the forehead to the nasal column.

2) Principal Indications Mental diseases, febrile diseases, local diseases of lumbosacral region, back, head and neck, and corresponding splanhnopathies.

14. The Ren Meridian

l) The Course of the Channel (1) The Ren Channel starts from the inside of the lower abdomen and emerges from the perineum. (2) It goes anteriorly to the pubic region and (3) ascends along the interior of the abdomen, passing through Guanyuan (RN 4) and the other points (4) to the throat. (5) Ascending further, it curves around the lips, (6) passes through the cheek and (7) enters the infraorbital region.

2) Principal Indications Local diseases of the abdomen, chest, neck, head and face, and diseases of the correspond- ing internal organs. A few points of this channel have toniying effecfs, and can be used to treat mental diseases.