Channel Pathways
The Spleen Meridian consists of multiple channel systems, each with its own pathway and clinical significance.
Pathway Description
The external pathway:
- The Spleen Primary Channel starts at Yinbai SP-1 at the medial corner of the big toe nail. It connects to a Stomach Primary branch at Chongyang ST-42 and forms the first great circuit of Foot Yin-Yang.
- It flows through the medial aspect of the foot, along the border where the skin changes color.
- It then passes Shangqiu SP-5 of the medial malleolus and ascends along the posterior border of the medial tibia.
- Sanyinjiao SP-6 is 3 cun above the madial malleolus, which is the meeting point with the other two Foot-Yin Channel (Liver and Kidneys). SP-6 is also the most important point of the Channel.
- It continues ascending the anteromedial aspect of the knee and thigh to the lower abdomen at Fushe SP-13.
- Afterwards, it ascends to the Stomach area 4 cun lateral to the midline, then to the ribs area 6 cun lateral to the midline. During the course, it also cross other Channels at Riyue GB-24, Qimen LIV-14 and Zhongfu LU-1.
- After reaching the second intercostal space, the Primary Channel curves downward and terminates at Dabao SP-21, on the midaxillary line 6 cun below the axilla.
The internal pathway:
- In the abdomen area, the Primary Channel intersects with the Directing Vessel internally at Zhongji REN-3, Guangyuan REN-4 and Xiawan REN-10 on the midline.
- One internal branch enters the Spleen, penetrates the diaphragm, ascending along the oesophagus and spreads over the lower surface of the tongue.
- Another internal branch enters the Stomach, penetrates the diaphragm and connects to the Heart.