手太阴十一穴,中府云门天府列。侠白尺泽孔最存,列缺经渠太渊涉。鱼际直出大指终,络
过阳明大肠接。
太阴肺兮出中府,云门之下一寸许。云门气户旁二寸,人迎之下二骨数。天府腋下三寸求,
侠白去肘五寸主。尺泽肘中约文论,孔最腕中七寸许。列缺腕侧一寸半,经渠寸口陷中是。太渊
掌后横纹头,鱼际节后(大指本节后)散脉举。少商大指内侧端,此穴若针疾咸愈。
中府(一名膺俞) 在云门下一寸,乳上三肋间,动脉应手陷中,去中行六寸,肺
之募,(募犹结募也、经气聚此。)手足太阴
二脉之会。针入三分,灸五壮。(《埤雅》云∶壮者,以壮人为法也。)
【主治】腹胀食不下,四肢肿,喘气胸满,肩背痛,呕 ,咳逆上气。肺系急,肺寒热,胸
悚悚。胆热浊涕,风汗出,面肿少气不得卧,伤寒胸中热,飞尸遁注,瘿瘤。
云门 在巨骨下侠气户旁二寸陷中,动脉应手,举臂取之,去胸中行任脉两旁,相去各六寸。
针入三分,不宜深,深则使人气逆,灸五壮。
【主治】伤寒四肢热不已,咳逆短气上冲心胸,胁彻背痛,喉痹,臂不得举,瘿气。
天府 在腋下三寸,臂 内廉动脉陷中,以鼻取之。
《铜人》针四分,灸二七壮至百壮。(《资生》云∶非大急不灸。)《甲乙经》禁灸,灸之
使人逆气。
【主治】暴痹内逆,肝脉相搏,血溢鼻口,鼻衄血不止,卒中恶风邪气,泣出,喜忘,飞尸
恶疰,鬼语遁下,喘不得息,疟寒热目眩,远视KT KT ,瘿气。
侠白 在天府下去肘五寸动脉中。针三分,灸五壮。
【主治】心痛短气,干呕烦满。
尺泽 在肘中约纹上,屈肘横纹筋骨罅陷中,手太阴肺脉所入为合水,肺实泻之。
针三分,灸三壮。(《铜人》禁灸,《素问》灸五壮。)
【主治】肩背痛,汗出中风,小便数而久溺色变,遗失无度,面白善嚏,悲愁不乐,洒淅寒热,风瘅,
肘挛,手臂不得举,喉痹上气,呕吐口舌干,咳嗽 疟,四肢肿臂寒,短气心痛,肺积息贲,小儿慢惊风。
孔最 去腕上七寸,《铜人》针三分,灸五壮。
【主治】热病汗不出,咳逆,肘臂屈伸难,吐血失音,咽痛头痛。
列缺 手太阴别络走阳明,去腕侧上一寸五分,滑氏以手交叉,头食指末筋罅中是
穴。《铜人》针二分,灸三壮。(《明堂》针三分,灸七壮。)
【主治】偏风口面 斜,手肘无力,半身不遂,口噤不开,寒热疟,呕沫,咳嗽,善笑惊痫
妄见,面目四肢痈肿,肩痹,胸背寒栗,少气不足以息,尸厥寒厥。
按《素问》曰∶直行者谓之经,旁出者谓之络。手太阴之支,从腕后直出次指内廉出其端是
列缺,为太阴别走阳明之络。人或有寸关尺三部脉不见,自列缺至阳溪脉见者,俗谓反关脉。此
经脉虚而络脉满,《千金翼》谓阳脉逆反大于寸口三倍。惜叔和尚未之及,而况高阳生哉?
经渠 在寸口陷中。针三分,禁灸。(灸伤人神明。)
【主治】疟寒热,胸背拘急,臌胀喉痹,咳逆上气,伤寒热病汗不出,心痛呕吐。
太渊(一名太泉,避唐祖讳。) 在掌后陷中,肺脉所注为俞。经曰∶脉会太渊。
疏曰∶脉病治此。平旦寅时气血从。此始,故曰寸口者,脉之大要会,手太阴之动也。针一分,灸三壮。
【主治】胸痹逆气善呕哕,饮水咳嗽,烦躁不得眠,肺胀鼓,眼痛,眼青生翳赤筋,缺盆痛
引臂肩背痛,寒喘不息,气上逆,心痛,咳血,狂言,溺色变,遗失无度。
鱼际 在大指本节后内侧陷中,又云散脉中,肺脉所溜为荥。针一分,灸三壮。
【主治】酒病,身热恶风寒,虚热,舌上黄,头痛咳嗽哕,伤寒汗不出,痹走胸背痛,目眩烦心少气,腹痛
不下食,肘挛支满,喉中干燥,寒栗溺出,呕血悲恐,心痹乳痈。
少商 在大指端内侧,去爪甲角如菲叶,白肉际宛宛中。肺脉所出为井木。针一分,灸一壮。
【主治】项肿喉痹,烦心善呕心下满,汗出而烦,咳逆, 疟振寒,腹满,唾沫引饮,食不下,
小儿乳鹅。(唐刺史项肿如升,喉中闭塞,水粒不下,甄权以三棱针刺之,微出血而立愈。)
手太阴肺经共有十一个穴位,分别是中府、云门、天府。侠白、尺泽、孔最依次排列,列缺、经渠、太渊也在此经上。鱼际穴位于手掌大鱼际部,经脉由此延伸,最终止于大拇指末端,并通过络脉与阳明大肠经相连接。
手太阴肺经的气血从中府穴开始发出,云门穴位于中府穴下方约一寸处。云门穴在气户穴旁开二寸,位于人迎穴下方的两骨之间。天府穴位于腋下三寸处寻找;侠白穴距离肘横纹五寸处为主治部位。尺泽穴位于肘窝中央的横纹处;孔最穴位于腕横纹上方七寸许处。列缺穴位于手腕侧面一寸半处;经渠穴位于寸口脉搏动处的凹陷中。太渊穴位于掌后横纹的头端;鱼际穴在大指本节后方的散脉处可触及搏动。少商穴位于大拇指内侧的末端,此穴若进行针刺,各种疾病大多可以痊愈。
中府穴(又名膺俞),位于云门穴下一寸,乳房上方第三肋骨间隙,动脉应手跳动处呈凹陷状,距身体正中线六寸,是肺的募穴(募意为结聚,指经气汇聚于此)。它是手太阴肺经和足太阴脾经两条经脉的交会穴。针刺深度三分,艾灸五壮。(《埤雅》记载:壮是指以青壮年的标准来衡量灸量。)
【主治】腹胀、饮食不下、四肢浮肿、气喘胸闷、肩背疼痛、呕吐、咳嗽气逆上冲。肺系拘急、肺寒或肺热、胸部惊恐不安。胆热导致的浊涕、风邪引起的汗出、面部浮肿、气短不能平卧、伤寒胸中热、飞尸遁注(古代病名,指突然发作的游走性疼痛)、瘿瘤。
云门穴,位于巨骨穴下方,气户穴旁开二寸的凹陷处,动脉应手跳动,抬臂时取穴,距胸骨正中线任脉两旁各六寸。针刺深度三分,不宜过深,过深会导致人气逆,艾灸五壮。
【主治】伤寒导致四肢发热不止、咳嗽气逆短促上冲心胸、胁肋贯通背痛、喉痹、手臂不能举起、瘿气。
天府穴,位于腋下三寸,手臂内侧廉缘的动脉凹陷处,可用鼻子对准定位。
《铜人腧穴针灸图经》记载针刺四分,艾灸十四壮至一百壮。(《资生经》记载:除非病情紧急,否则不施灸。)《甲乙经》禁止艾灸,认为灸之会导致气逆。
【主治】突发痹证内逆,肝脉相互搏结,血液溢出鼻口,鼻衄出血不止,中风恶风邪气,流泪,健忘,飞尸恶疰,鬼语遁下(古代迷信病症),喘息不能呼吸,疟疾寒热目眩,视物模糊不清,瘿气。
侠白穴,在天府穴下方距离肘部五寸的动脉中。针刺三分,艾灸五壮。
【主治】心痛、气短、干呕、烦闷。
尺泽穴,在肘窝中央横纹上,屈肘时横纹筋骨间的凹陷处,是手太阴肺经所入为合的水穴,肺气实证时可泻此穴。
针刺三分,艾灸三壮。(《铜人》禁止艾灸,《素问》记载灸五壮。)
【主治】肩背疼痛,出汗中风,小便频数且久溺颜色改变,遗尿无度,面色苍白易打喷嚏,悲伤愁苦不乐,洒淅寒热,风瘅,肘部挛缩,手臂不能举起,喉痹气逆,呕吐口舌干燥,咳嗽疟疾,四肢浮肿手臂寒冷,气短心痛,肺积息贲,小儿慢惊风。
孔最穴,距离腕上七寸,《铜人》记载针刺三分,艾灸五壮。
【主治】热病无汗,咳嗽气逆,肘臂屈伸困难,吐血失音,咽痛头痛。
列缺穴,是手太阴肺经的别络,走向阳明大肠经,距离腕侧上一寸五分。滑氏建议双手交叉,食指末端的筋骨缝隙中即是此穴。《铜人》记载针刺二分,艾灸三壮。(《明堂》记载针刺三分,艾灸七壮。)
【主治】偏风口眼歪斜,手肘无力,半身不遂,牙关紧闭不开,寒热疟疾,呕吐涎沫,咳嗽,易笑惊痫妄见,面目四肢痈肿,肩痹,胸背寒栗,气短不足以呼吸,尸厥寒厥。
按《素问》记载:直行的是经,旁出的是络。手太阴肺经的支脉,从腕后直出到次指内侧末端,这就是列缺,是太阴经别走阳明的络脉。有的人寸关尺三部脉摸不到,从列缺到阳溪处能摸到脉搏,俗称反关脉。这是因为经脉虚弱而络脉充盈,《千金翼方》称阳脉逆反大于寸口三倍。可惜王叔和没有提及这一点,更何况是高阳生呢?
经渠穴,位于寸口凹陷处。针刺三分,禁止艾灸。(艾灸会损伤人的神明。)
【主治】疟疾寒热,胸背拘急,鼓胀喉痹,咳嗽气逆上冲,伤寒热病无汗,心痛呕吐。
太渊穴(一名太泉,为避唐高祖李渊讳而改名),位于掌后凹陷处,是肺经所注为俞的穴位。经文说:脉会太渊。
疏解说:脉病治疗此处。平旦寅时气血从此开始运行,所以说寸口是脉的大要会,是手太阴肺经的动气所在。针刺一分,艾灸三壮。
【主治】胸痹气逆善呕哕,饮水咳嗽,烦躁不得眠,肺胀鼓,眼痛,眼青生翳赤筋,缺盆痛引臂肩背痛,寒喘不息,气上逆,心痛,咳血,狂言,溺色变,遗失无度。
鱼际穴,在大指本节后内侧凹陷处,又称散脉中,是肺经所溜为荥的穴位。针刺一分,艾灸三壮。
【主治】酒病,身热恶风寒,虚热,舌苔黄,头痛咳嗽哕,伤寒无汗,痹症游走胸背痛,目眩心烦气短,腹痛不下食,肘挛支满,喉中干燥,寒栗溺出,呕血悲恐,心痹乳痈。
少商穴,在大指端内侧,距离指甲角如菲叶大小,白肉际宛宛中。是肺经所出为井木的穴位。针刺一分,艾灸一壮。
【主治】项肿喉痹,烦心善呕心下满,汗出而烦,咳嗽气逆,疟疾振寒,腹满,唾沫引饮,食不下,小儿乳鹅。(唐代刺史项肿如升,喉中闭塞,水粒不下,甄权用三棱针刺之,微出血后立即痊愈。)
The Hand-Taiyin Lung Meridian has eleven acupoints: Zhongfu (Zhongfu, Front-Mu Point of Lung), Yunmen (Yunmen), and Tianfu are listed. Xiabai (Xiabai), Chize (Chize, He-Sea Point of Lung), and Kongzui (Kongzui) are stored in sequence; Lieque (Lieque, Luo-Connecting Point of Lung), Jingqu (Jingqu), and Taiyuan (Taiyuan, Shu-Stream Point of Lung) are involved. Yuji (Yuji, Ying-Spring Point of Lung) extends straight out to the end of the great toe, and the collateral connects with the Yangming Large Intestine Meridian.
The Qi of the Hand-Taiyin Lung Meridian originates from Zhongfu (Zhongfu, Front-Mu Point of Lung). Yunmen (Yunmen) is located approximately one cun below Zhongfu. Yunmen (Yunmen) is two cun lateral to Qihu, below Renying, between two bones. Tianfu (Tianfu) is sought three cun below the axilla. Xiabai (Xiabai) is governed five cun away from the elbow crease. Chize (Chize, He-Sea Point of Lung) is discussed at the middle of the elbow crease. Kongzui (Kongzui) is approximately seven cun above the wrist crease. Lieque (Lieque, Luo-Connecting Point of Lung) is one and a half cun on the side of the wrist. Jingqu (Jingqu) is located in the depression at the Cun Kou pulse site. Taiyuan (Taiyuan, Shu-Stream Point of Lung) is at the head of the transverse crease behind the palm. Yuji (Yuji, Ying-Spring Point of Lung) is where the scattered pulses can be felt raised after the root joint of the thumb. Shaoshang (Shaoshang, Jing-Well Point of Lung) is at the medial end of the thumb. If this point is needled, diseases will generally be cured.
Zhongfu (Zhongfu, Front-Mu Point of Lung) (also known as Ying Shu) is one cun below Yunmen, in the third intercostal space above the breast, in the depression where the arterial pulse is palpable, six cun from the midline. It is the Front-Mu point of the Lung (Mu implies gathering, where meridian Qi converges). It is the intersection of the Hand-Taiyin and Foot-Taiyin meridians. Needle depth is three fen; moxibustion is five zhuang. (Pi Ya states: Zhuang refers to the standard for robust individuals.)
[Indications] Abdominal distension, inability to eat, edema of the four limbs, wheezing and chest fullness, shoulder and back pain, vomiting, cough with rebellious Qi. Tightness of the lung system, lung cold or heat, chest palpitations. Turbid nasal discharge due to gallbladder heat, sweating due to wind, facial swelling, shortness of breath preventing lying down, chest heat from Cold Damage, Feishi Dunzhu (ancient term for migratory pain), goiter.
Yunmen (Yunmen) is in the depression below Jugu, two cun lateral to Qihu, where the arterial pulse is palpable. Take the point with the arm raised, six cun lateral to the anterior midline (Ren Mai). Needle depth is three fen; do not needle deeply, as deep needling causes Qi rebellion. Moxibustion is five zhuang.
[Indications] Persistent limb heat from Cold Damage, cough with shortness of breath and Qi rushing to the heart and chest, pain extending from the hypochondrium to the back, bi syndrome of the throat, inability to raise the arm, goiter Qi.
Tianfu (Tianfu) is three cun below the axilla, in the depression of the arterial pulse on the medial aspect of the arm. Locate it using the nose.
Tongren records needle four fen, moxibustion fourteen zhuang up to one hundred zhuang. (Zisheng states: Do not moxa unless urgent.) Jiayi Jing prohibits moxibustion, stating it causes Qi rebellion.
[Indications] Sudden bi syndrome with internal rebellion, liver pulse fighting, blood溢 from nose and mouth, persistent epistaxis, stroke with evil wind pathogen, tearing, forgetfulness, Feishi Ezhu, ghost speech Dunxia, asthma preventing breathing, malaria with chills/fever and vertigo, blurred vision, goiter Qi.
Xiabai (Xiabai) is in the arterial pulse five cun below Tianfu towards the elbow. Needle three fen, moxibustion five zhuang.
[Indications] Heart pain, shortness of breath, dry heaving, irritability and fullness.
Chize (Chize, He-Sea Point of Lung) is in the depression between the tendons and bones in the center of the elbow crease when flexing the elbow. It is the Water point where the Hand-Taiyin Lung Meridian enters and becomes the He-Sea point; excess conditions of the Lung should be drained here.
Needle three fen, moxibustion three zhuang. (Tongren prohibits moxibustion; Suwen records five zhuang.)
[Indications] Shoulder and back pain, sweating with wind strike, frequent urination with long-term color changes in urine, incontinence, pale face prone to sneezing, sorrow and unhappiness, aversion to cold and fever, wind dan, elbow contracture, inability to raise the arm, bi syndrome of the throat with rebellious Qi, vomiting and dry tongue/mouth, cough with malaria, edema of four limbs and cold arms, shortness of breath and heart pain, lung accumulation Xiben, pediatric slow convulsion.
Kongzui (Kongzui) is seven cun above the wrist. Tongren records needle three fen, moxibustion five zhuang.
[Indications] Heat disease with no sweat, cough with rebellious Qi, difficulty flexing/extending elbow and arm, hematemesis, aphonia, sore throat, headache.
Lieque (Lieque, Luo-Connecting Point of Lung) is the divergent collateral of the Hand-Taiyin, connecting to the Yangming. It is one and a half cun above the lateral side of the wrist. Shi’s method involves crossing hands; the point is in the gap between the tendons at the tip of the index finger. Tongren records needle two fen, moxibustion three zhuang. (Mingtang records needle three fen, moxibustion seven zhuang.)
[Indications] Hemifacial paralysis, weakness of hand and elbow, hemiplegia, trismus, chills/fever malaria, vomiting foam, cough, excessive laughter, epilepsy with hallucinations, carbuncles/swelling of face/eyes/four limbs, shoulder bi, chills in chest/back, shortness of breath, corpse syncope/cold syncope.
According to Suwen: Straight paths are called Jing (Meridians), branching paths are called Luo (Collaterals). The branch of the Hand-Taiyin goes straight from behind the wrist to the medial side of the index finger's end. This is Lieque, the collateral connecting Taiyin to Yangming. Some people cannot feel the Cun, Guan, Chi pulses; if the pulse is visible from Lieque to Yangxi, it is commonly called a reversed guan pulse. This indicates deficient Jing vessels and full Luo vessels. Qianjin Yi states the Yang pulse reverses and is three times larger than Cun Kou. Regrettably, Wang Shuhe did not mention this, let alone Gao Yangsheng.
Jingqu (Jingqu) is in the depression at Cun Kou. Needle three fen; prohibit moxibustion. (Moxibustion harms the Spirit/Shen.)
[Indications] Malaria chills/fever, chest/back stiffness, abdominal distension/bi syndrome of throat, cough with rebellious Qi, no sweat from heat disease of Cold Damage, heart pain, vomiting.
Taiyuan (Taiyuan, Shu-Stream Point of Lung) (also known as Tai Quan, to avoid the taboo of Emperor Gaozu of Tang's name Li Yuan) is in the depression behind the palm. It is the Shu-Stream point where the Lung Meridian pours. The classic says: Pulse meets at Taiyuan.
Commentary states: Treat pulse diseases here. Qi and Blood begin flowing from this point at dawn (Yin hour). Thus, Cun Kou is the major meeting of pulses, the dynamic source of the Hand-Taiyin. Needle one fen, moxibustion three zhuang.
[Indications] Chest bi with rebellious Qi and vomiting, drinking-induced cough, irritability and insomnia, lung distension, eye pain, green eyes with nebula/red vessels, clavicle pain radiating to arm/shoulder/back, incessant cold asthma, rebellious Qi, heart pain, hemoptysis, delirium, change in urine color, incontinence.
Yuji (Yuji, Ying-Spring Point of Lung) is in the medial depression after the root joint of the thumb, also said to be among the scattered pulses. It is the Ying-Spring point where the Lung Meridian flows. Needle one fen, moxibustion three zhuang.
[Indications] Alcohol disease, body heat with aversion to wind/cold, deficiency heat, yellow tongue coating, headache, cough, vomiting, no sweat from Cold Damage, bi wandering chest/back pain, vertigo, irritability, shortness of breath, abdominal pain, anorexia, elbow contracture, fullness, dry throat, chills with urination, hematemesis, fear/sorrow, heart bi, mastitis.
Shaoshang (Shaoshang, Jing-Well Point of Lung) is on the medial end of the thumb, like the size of a bean leaf from the nail corner, in the depression at the junction of white flesh. It is the Jing-Well Wood point where the Lung Meridian exits. Needle one fen, moxibustion one zhuang.
[Indications] Neck swelling, bi syndrome of throat, irritability, vomiting, subcostal fullness, sweating with irritability, cough with rebellious Qi, malaria with chills, abdominal fullness, salivation/thirst, anorexia, pediatric milk goose (tonsillitis). (A Tang governor had neck swelling like a bowl, throat blocked, unable to swallow water/grains. Zhen Quan pricked it with a three-edged needle, causing slight bleeding, and he was immediately cured.)