论曰∶脉有奇常,十二经者,常脉也,奇经八脉,则不拘于常,故谓之奇经,盖言人之
气血,常行于十二经脉,其诸经满溢,则流入奇经焉,奇经有八脉,督脉督于后,任脉任于
前,挟任脉者冲脉,能为诸脉之海,阳维则维络诸阳,阴维则维络诸阴,阴阳更相维持,故
诸经常调,维脉之外,又有带脉者,束之犹带也,至于两足跷脉,有阴有阳,阳跷得诸太阳
之别,阴跷本诸少阴之别,譬犹圣人图设沟渠,以备水潦,斯无滥溢之患,人有奇经,亦若
是也,今总集奇经八脉所发者气穴去处,共成一编。
督脉者,起于少腹以下骨中央,女子入系廷之端,其络循阴器,合篡间,绕篡后,别绕
臀,至少阴,与巨阳中络者合,少阴上股内后廉,贯脊属肾,与太阳起于目内 ,上额交巅,
上入络脑,还出别下项,循肩 内,挟脊抵腰中,入循膂络肾,其男子循茎下至篡,与女子
等,其少腹直上者,贯脐中央,上贯心入喉,上颐环唇,上系两目之中,此生病从少腹上冲
心而痛,不得前后为冲疝,其女子不孕,癃痔遗尿嗌干,治在督脉。
督脉之别,名曰长强,挟膂上项,散头上,下当肩胛左右别走太阳,入贯膂,实则脊强
,虚则头重,取之所别,故难经曰,督脉起于下极之 ,并于脊里,上至风府,入属于脑,
上巅循额至鼻柱,阳脉之海也,如为病,令人脊强反折,督脉从头循脊骨入 ,长四尺五寸,
凡二十七穴。
素 一穴(在鼻柱上端) 水沟一穴(一名人中在鼻柱下人中督脉手阳明之交会直唇取
之)
兑端一穴(在唇上端) 龈交一穴(在唇内齿上缝督会二脉之会) 神庭一穴(直鼻上入发
际五
分督脉足太阳阳明参脉之会) 上星一穴(在神庭后入发际一寸) 囟会一穴(在上星后一
寸)
前顶一穴(在囟会后一寸五分) 百会一穴(一名参阳五会在前顶后一寸五分顶中央旋毛中
陷
容豆督脉足太阳之交会) 后顶一穴(一名交冲在百会后一寸五分) 强间一穴(一名大羽
在后
顶后一寸五分) 脑户一穴(一名匝风一名合颅在枕骨上强间后一寸五分督脉足太阳之会)
风府一穴(一名舌本入顶发际一寸脑户后一寸半项大筋内宛宛中) 哑门一穴(在风府后五
分
入发际五分入系舌本仰头取之) 大椎一穴(在第一椎上陷中参阳督脉所发) 陶道一穴(在
项
大椎节下间督脉足太阳之会俯而取之) 身柱一穴(在第三椎节下间俯而取之) 神道一穴
(在
第五椎节下间俯而取之) 灵台一穴(在第六椎下间俯而取之) 至阳一穴(在第七椎下间
俯而
取之) 筋缩一穴(在第九椎下间俯而取之) 脊中一穴(在第十一椎下间俯而取之禁不可
灸令
人伛偻) 悬枢一穴(在第十三椎节下间伏而取之) 命门一穴(在第十四椎节下间伏而取
之)
阳关一穴(在第十六椎节下间伏而取之) 腰 一穴(在第二十一椎节下间) 长强一穴(在
脊
端)
上自素 至龈交四穴,系鼻柱下,神庭至百会五穴,系额上,后顶至哑门五穴,属顶后
至项,大椎以下一十二穴,属背脊,以上为督脉所发二十七穴(按内经督脉所发者,二十八
穴,据法第十椎下一穴名中枢,阴尾尻骨两旁二穴,名会阳,共有二十九穴,今多龈交一穴,
少中枢一穴,会阳二穴,则系督脉别络,与少阴会,故只载二十七穴)。
素 一穴,一名面王,在鼻柱之端,督脉所发,治鼻塞息肉不消,多涕生疮,针入一分
,不宜灸。
水沟一穴,在鼻柱下,一名人中,督脉手足阳明之会,治消渴饮水无度,水气遍身肿,
失笑无时,癫痫语不识尊卑,乍喜乍哭,牙关不开,面肿唇动,状如虫行,猝中恶,针入四
分,留五呼,得气即泻,灸亦得,然不及针,若灸可小雀粪大为艾炷,日可灸三壮或七壮,
即罢,风水面肿,针此一穴出水尽,即顿愈。
兑端一穴,在唇上端,冶癫疾吐沫,小便黄,舌干消渴,衄血不止,唇吻强,齿龈痛,
针入二分,可灸三壮。炷如大麦。
龈交一穴,在唇内齿上龈缝筋中,治面赤心烦痛,颈项急不得回顾,兼治小儿面疮久不
除,点烙亦佳,鼻塞不利,目泪眵汁,内 赤痒痛,生白肤翳,鼻中息肉蚀疮,针入三分,
可灸三壮。
神庭一穴,在鼻直入发际五分,督脉足太阳阳明三脉之会,治癫疾风痫,戴目上视不识
人,头风目眩,鼻出清涕不止,目泪出,惊悸不得安寝,可灸三七壮,至七七壮止。岐伯曰∶
凡欲疗风,勿令灸多,缘风性轻,多即伤,惟宜灸一壮至三七粒止,禁不可针,针
即发狂。
上星一穴,在鼻直上入发际一寸陷中,督脉气所发,治头风面虚肿,鼻塞不闻香臭,目
眩,痰疟振寒热,病汗不出,目睛痛不能远视,以细三棱针刺之,即宣泄诸阳热气,无令上
冲头目,可灸七壮,不宜多灸,若频灸,即拔气上,令人目不明。
囟会一穴,在上星后一寸陷中,可容豆,督脉气所发,治目眩面肿,鼻塞不闻香臭,惊
痫戴目上视,不识人,可灸二七壮,至七七壮,初灸即不痛,病去即痛,痛即罢灸,若是鼻
塞,灸至四日渐退,七日顿愈,针入二分,留三呼,得气即泻,头风生白屑,多睡,针之弥
佳,针讫以末盐生麻油相和,揩发根下,头风即永除,若八岁以下,即不得针,盖缘囟门未
合,刺之不幸令人夭。
前顶一穴在囟会后一寸五分,骨陷中,督脉所发,疗头风目眩,面赤肿,小儿惊痫风痫
螈,发即无时,鼻多清涕,项肿痛,针入一分,可灸三壮,至七七壮,即止。
百会一穴,一名三阳五会,在前顶后一寸五分,顶中央旋毛中,可容豆,督脉足太阳交
会于巅上,治小儿脱肛久不瘥,风痫中风,角弓反张,或多哭,言语不择,发即无时,盛即
吐沫,心烦惊悸健忘, 疟耳鸣耳聋,鼻塞不闻香臭,针入二分,得愈即泻。可灸七壮至七
七壮,即止,唐秦鸣鹤刺微出血,头痛立愈,凡灸头项,不过七七壮,缘头顶皮肤浅薄,灸
不宜多。
后顶一穴,一名交冲,在百会后一寸五分,枕骨上,督脉气所发,治目 ,颈项恶风
寒,目眩头偏痛,可灸五壮,针入二分。
强间一穴,一名大羽,在后顶后一寸五分,督脉气所发,治脑旋目晕,头痛不可忍,烦
心呕吐涎沫,发即无时,颈项强,左右不得回顾,可灸七壮,针入二分。
脑户一穴,一名合颅,在枕骨上,强间后一寸五分,督脉足太阳之会,禁不可针,针之
令人哑,不能言,治目暗痛,不能远视,面赤目黄头肿,可灸七壮,亦不可妄灸,令人失音。
风府一穴,一名舌本,在项发际上一寸,大筋内宛宛中,疾言,其肉立起,言休立下,
督脉阳维之会,禁不可灸,不幸使人失音,治头痛颈项急不得回顾,目眩鼻衄,喉咽痛,狂
走目妄视,针入三分。
哑门一穴,一作喑门,一名舌横,一名舌厌,在项中央,入发际五分宛宛中,督脉阳维
之会。入系舌本,仰头取之,禁不可灸,灸之令人哑,治颈项强,舌缓不能言,诸阳热气盛
,鼻衄血不止,头痛风汗不出,寒热风痉,脊强反折,螈 癫疾头重,针入二分。
大 一穴,一本作椎,今从页作 ,余皆仿此,在第一 上陷中,手足三阳督脉之会,
KT五劳七伤,温疟 疟,气疰背 拘急,颈项强不得回顾,风劳食气,针入五分,留三
呼,泻五吸,若灸以年为壮,自大椎下至尾 骨,二十一椎,长三尺,折量取 穴,凡度周
身孔穴远近分寸,以男左女右,取中指内纹为一寸,素问云,同身寸是也,又多用绳度量孔
穴,绳多出缩,取穴不准,今以薄竹片,点量分寸,疗病准的。
陶道一穴,在大椎节下间,俯而取之,督脉足太阳之会,治头重目瞑,洒淅寒热,脊强
汗不出,可灸五壮,针入五分。
身柱一穴,在第三椎节下间,督脉气所发,冶癫疾螈 ,怒欲杀人,身热狂走,谵言见
鬼,针入五分,灸七七壮。
灵台一穴,在第六椎节下间,俯而取之,督脉气所发。
至阳一穴,在第七椎节下间,俯而取之,督脉气所发,治寒热解 ,淫泺胫酸,四肢
重痛,少气难言,可灸三壮,针入五分。
筋缩一穴,在第九椎节下间,俯而取之,督脉气所发,治惊痫狂走癫疾,脊急强,目转
上插,可灸三壮,针入五分。
脊中一穴,在第十一椎节下间,俯而取之,督脉气所发,治风痫癫邪,温病积聚下利,
禁不可灸,灸则令人腰背伛偻,针入五分,得气即泻。
悬枢一穴,在第十三椎节下间,伏而取之,督脉气所发,治积气上下行,水谷不化下利
,腰脊强不得屈伸,腹中留积,针入三分,可灸三壮。
命门一穴,一名属累,在第十四椎节下间,伏而取之,督脉气所发,治头痛不可忍,身
热如火,汗不出,螈 里急,腰腹相引痛,针入五分,可灸三壮。
阳关一穴,在第十六椎节下间,伏而取之,针入五分,可灸三壮。
腰俞一穴,一名背解,一名腰柱,一名腰户,在第二十一椎节下间宛宛中,以挺腹舒身
,两手相重支额,纵四体,然后乃取得其穴,督脉气所发,治腰髋疼,腰脊强,不得回转,
温疟 疟,针入八分,留三呼,泻五吸,可灸七壮,至七七壮,甲乙经云,针入二寸,留七
呼,可灸七七壮。
长强一穴,一名气之阴 ,督脉络别,在脊 端,足少阴少阳所结会,治肠风下血,五
种痔,疳蚀下部 ,针入三分,抽针以大痛为度,其穴伏地取之乃得,灸亦得,然不及针,
日灸三十壮,至二百壮止,此痔根本是冷,慎冷食房劳,甲乙经云,针入二寸,留七呼。
【论曰】:脉有常脉与奇脉之分,十二经脉属于常脉,而奇经八脉则不受常规约束,因此称为“奇经”。这说的是人的气血通常运行于十二经脉之中,当各条经脉的气血充盈满溢时,就会流入奇经。奇经共有八条:督脉位于背部正中,任脉位于腹部正中;夹在任脉两侧的冲脉,能够作为诸脉之海;阳维脉维系联络所有阳经,阴维脉维系联络所有阴经,阴阳相互维持,所以各条经脉才能保持调和。除了维脉之外,还有带脉,它像腰带一样束绕身体。至于下肢的跷脉,分为阴跷和阳跷两条,阳跷脉来源于太阳经的别络,阴跷脉根源于少阴经的别络。这就好比圣人挖掘沟渠,以储备洪水,从而避免泛滥成灾;人拥有奇经,也是同样的道理。现在将奇经八脉所发出的穴位汇总在一起,编成一卷。
督脉,起始于小腹以下骨中央,女子进入系连廷孔(尿道口)的末端,其络脉沿生殖器循行,会合于篡间(肛门周围),环绕肛门后方,另支绕行臀部,到达足少阴肾经,与足太阳膀胱经的中络相合。足少阴肾经上行至大腿内侧后缘,贯穿脊柱,归属于肾;足太阳膀胱经起于目内眦,上额部,交会于头顶,深入联络脑部,复出分别下行至项部,沿肩胛内侧,挟持脊柱抵达腰中,入内沿肌肉深层联络肾脏。男子的督脉沿阴茎下行至篡间,与女子相同。其直行向上的一支,贯穿脐中央,上贯心脏,进入喉咙,上达颐部,环绕嘴唇,上系连两目中央。此脉发生病变,会出现气从少腹上冲心胸并疼痛,大小便不通的症状,称为“冲疝”;女子则表现为不孕、小便淋漓、痔疮、遗尿、咽喉干燥等症,治疗应取督脉的穴位。
督脉的别络,名为长强,挟持脊旁肌肉上行至项部,散布于头部,向下至肩胛左右分别走向太阳经,入内贯穿脊旁肌肉。实证表现为脊柱强直,虚证表现为头重,治疗应取该别络所在之处。所以《难经》说:督脉起于下极之端,并行于脊柱内部,上至风府,入属于脑,上达头顶,沿额部至鼻柱,是“阳脉之海”。如果发生病变,使人脊柱强直、身体反折。督脉从头沿脊骨入骶,全长四尺五寸,共有二十七个穴位。
素髎一穴(位于鼻柱上端) 水沟一穴(又名人中,位于鼻柱下人中处,为督脉与手阳明经的交会穴,直对唇部取之)
兑端一穴(位于唇上端) 龈交一穴(位于唇内齿上缝处,为督脉与任脉的交会穴) 神庭一穴(直对鼻上,入发际五分,为督脉、足太阳经、足阳明经的交会穴) 上星一穴(位于神庭后入发际一寸) 囟会一穴(位于上星后一寸)
前顶一穴(位于囟会后一寸五分) 百会一穴(又名三阳五会,位于前顶后一寸五分,头顶中央旋毛凹陷处,可容纳豆粒,为督脉与足太阳经的交会穴) 后顶一穴(又名交冲,位于百会后一寸五分) 强间一穴(又名大羽,位于后顶后一寸五分) 脑户一穴(又名匝风、合颅,位于枕骨上,强间后一寸五分,为督脉与足太阳经的交会穴)
风府一穴(又名舌本,入发际一寸,脑户后一寸半,项部大筋内宛宛中) 哑门一穴(位于风府后五分,入发际五分,入系舌本,仰头取之) 大椎一穴(在第一椎上陷中,为手足三阳经与督脉的交会穴) 陶道一穴(在项部大椎节下间,为督脉与足太阳经的交会穴,俯身取之) 身柱一穴(在第三椎节下间,俯身取之) 神道一穴(在第五椎节下间,俯身取之) 灵台一穴(在第六椎下间,俯身取之) 至阳一穴(在第七椎下间,俯身取之) 筋缩一穴(在第九椎下间,俯身取之) 脊中一穴(在第十一椎下间,俯身取之,禁止艾灸,否则使人驼背) 悬枢一穴(在第十三椎节下间,伏身取之) 命门一穴(在第十四椎节下间,伏身取之)
阳关一穴(在第十六椎节下间,伏身取之) 腰俞一穴(在第二十一椎节下间) 长强一穴(在脊柱末端)
以上自素髎至龈交共四穴,位于鼻柱下方;神庭至百会共五穴,位于额上;后顶至哑门共五穴,属头顶后至项部;大椎以下十二穴,属背脊。以上共计督脉所发的二十七个穴位。(按《内经》记载督脉所发者有二十八穴,据本法第十椎下一穴名中枢,尾骨两旁二穴名会阳,共有二十九穴。现今多载龈交一穴,少载中枢一穴、会阳二穴,这是因为会阳二穴系督脉别络,与足少阴经交会,故只记载二十七穴)。
素髎一穴,又名面王,位于鼻柱之端,为督脉所发,主治鼻塞、息肉不消、多涕、生疮,针刺入一分,不宜艾灸。
水沟一穴,位于鼻柱下,又名人中,为督脉与手足阳明经的交会穴,主治消渴饮水无度、水气遍身肿、无故失笑、癫痫胡言不识尊卑、忽喜忽哭、牙关紧闭、面肿唇动、状如虫行、猝然中恶毒之气,针刺入四分,留针五个呼吸时间,得气后即泻,也可艾灸,但不如针刺效果好。若艾灸,艾炷大小如小麻雀粪,每日可灸三壮或七壮,即止。风水面肿,针刺此穴出水尽,即可痊愈。
兑端一穴,位于唇上端,主治癫疾吐沫、小便黄、舌干消渴、衄血不止、唇吻强直、齿龈痛,针刺入二分,可灸三壮,艾炷如大麦大小。
龈交一穴,位于唇内齿上龈缝筋中,主治面赤心烦痛、颈项急迫不能回顾,兼治小儿面部疮疡久不愈,点烙疗法也很好,还可治鼻塞不利、流泪流脓、内鼻赤痒痛、生白膜翳障、鼻中息肉蚀疮,针刺入三分,可灸三壮。
神庭一穴,位于鼻直上入发际五分,为督脉、足太阳经、足阳明经三脉的交会穴,主治癫疾、风痫、瞪眼上视不识人、头风目眩、鼻出清涕不止、流泪、惊悸不得安寝,可灸三七壮,直至七七壮为止。岐伯说:凡是治疗风病,不要令艾灸过多,因为风性轻扬,灸多了会损伤正气,适宜灸一壮至三七壮为止,禁止针刺,针刺会导致发狂。
上星一穴,位于鼻直上入发际一寸凹陷处,为督脉气所发,主治头风、面虚肿、鼻塞不闻香臭、目眩、痰疟寒热、病汗不出、目睛痛不能远视,用细三棱针刺之,可宣泄诸阳热气,不让其上冲头目,可灸七壮,不宜多灸。若频繁艾灸,会使气上拔,导致眼睛不明亮。
囟会一穴,位于上星后一寸凹陷处,可容豆粒,为督脉气所发,主治目眩面肿、鼻塞不闻香臭、惊痫瞪眼上视、不识人,可灸二七壮,直至七七壮。初灸时不痛,病去后痛,痛即停止艾灸。若是鼻塞,灸至第四日渐退,七日痊愈。针刺入二分,留三个呼吸时间,得气即泻。头风生白屑、多睡,针刺效果更佳。针毕用细盐和生麻油调和,擦拭发根下,头风即可永除。若八岁以下儿童,不得针刺,因为囟门未闭合,刺之不幸会导致夭折。
前顶一穴位于囟会后一寸五分,骨陷中,为督脉所发,治疗头风目眩、面赤肿、小儿惊痫风痫抽搐,发作无定时、鼻多清涕、项肿痛,针刺入一分,可灸三壮,直至七七壮即止。
百会一穴,又名三阳五会,位于前顶后一寸五分,头顶中央旋毛中,可容豆粒,督脉与足太阳经交会于巅上,主治小儿脱肛久不愈、风痫中风、角弓反张、或多哭、言语不分、发作无定时、盛时吐沫、心烦惊悸健忘、疟疾耳鸣耳聋、鼻塞不闻香臭,针刺入二分,得愈即泻。可灸七壮至七七壮即止。唐代秦鸣鹤刺微出血,头痛立即痊愈。凡灸头项,不超过七七壮,因为头顶皮肤浅薄,灸不宜多。
后顶一穴,又名交冲,位于百会后一寸五分,枕骨上,为督脉气所发,主治目视不明、颈项恶风寒、目眩头偏痛,可灸五壮,针刺入二分。
强间一穴,又名大羽,位于后顶后一寸五分,为督脉气所发,主治脑旋目晕、头痛不可忍受、烦心呕吐涎沫、发作无定时、颈项强直、左右不能回顾,可灸七壮,针刺入二分。
脑户一穴,又名合颅,位于枕骨上,强间后一寸五分,为督脉与足太阳经的交会穴,禁止针刺,针刺使人失音不能说话,主治目暗痛、不能远视、面赤目黄头肿,可灸七壮,也不可乱灸,否则令人失音。
风府一穴,又名舌本,位于项发际上一寸,大筋内宛宛中,快速说话时,肌肉立起,说话停止肌肉立刻下降,为督脉与阳维脉的交会穴,禁止艾灸,不幸会导致失音,主治头痛颈项急迫不能回顾、目眩鼻衄、喉咽痛、狂走目妄视,针刺入三分。
哑门一穴,一作喑门,又名舌横、舌厌,位于项中央,入发际五分宛宛中,为督脉与阳维脉的交会穴,入系舌本,仰头取之,禁止艾灸,灸之令人哑,主治颈项强、舌缓不能言、诸阳热气盛、鼻衄血不止、头痛风汗不出、寒热风痉、脊强反折、抽搐、癫疾头重,针刺入二分。
大椎一穴,一本作“椎”,今从“页”作“椎”,其余仿此,在第一椎上陷中,为手足三阳经与督脉的交会穴,主治五劳七伤、温疟、瘅疟、气疰背痛拘急、颈项强不得回顾、风劳食气,针刺入五分,留三呼,泻五吸。若艾灸,以年为计算单位(指壮数多)。自大椎下至尾骶骨,共二十一椎,长三尺,折量取穴。凡度量周身孔穴远近分寸,以男左女右,取中指内纹为一寸,《素问》所说的“同身寸”就是这种方法。又多用绳子度量孔穴,绳子容易多出或缩短,取穴不准,现在用薄竹片点量分寸,治疗疾病准确。
陶道一穴,位于大椎节下间,俯身取之,为督脉与足太阳经的交会穴,主治头重目瞑、洒淅寒热、脊强汗不出,可灸五壮,针刺入五分。
身柱一穴,位于第三椎节下间,为督脉气所发,主治癫疾抽搐、怒欲杀人、身热狂走、谵语见鬼,针刺入五分,灸七七壮。
至阳一穴,位于第七椎节下间,俯身取之,为督脉气所发,主治寒热解㿉(肢体软弱无力)、淫泺胫酸、四肢重痛、少气难言,可灸三壮,针刺入五分。
筋缩一穴,位于第九椎节下间,俯身取之,为督脉气所发,主治惊痫狂走癫疾、脊急强、目转上插,可灸三壮,针刺入五分。
脊中一穴,位于第十一椎节下间,俯身取之,为督脉气所发,主治风痫癫邪、温病积聚下利,禁止艾灸,灸则令人腰背驼背,针刺入五分,得气即泻。
悬枢一穴,位于第十三椎节下间,伏身取之,为督脉气所发,主治积气上下行、水谷不化下利、腰脊强不得屈伸、腹中留积,针刺入三分,可灸三壮。
命门一穴,又名属累,位于第十四椎节下间,伏身取之,为督脉气所发,主治头痛不可忍、身热如火、汗不出、抽搐里急、腰腹相引痛,针刺入五分,可灸三壮。
阳关一穴,位于第十六椎节下间,伏身取之,针刺入五分,可灸三壮。
腰俞一穴,又名背解、腰柱、腰户,位于第二十一椎节下间宛宛中,挺腹舒身,两手相重支额,纵展四肢,然后取得穴位,为督脉气所发,主治腰髋疼、腰脊强、不得回转、温疟、瘅疟,针刺入八分,留三呼,泻五吸,可灸七壮,至七七壮。《甲乙经》说,针刺入二寸,留七呼,可灸七七壮。
长强一穴,又名气之阴郄,为督脉络别,在脊柱末端,为足少阴、足少阳经所结会,主治肠风下血、五种痔、疳蚀下部疮疡,针刺入三分,抽针以大痛为限度,此穴需伏地取之方能得到,也可艾灸,但不如针刺好,每日灸三十壮,至二百壮止。此痔根本原因是冷,慎食冷物及房事。《甲乙经》说,针刺入二寸,留七呼。
[Discussion]: There are regular and extraordinary pulses. The twelve meridians belong to the regular pulses, while the Eight Extraordinary Vessels (Qi Jing Ba Mai) are not bound by regularity, hence they are called "Extraordinary Vessels." This refers to the fact that Qi and Blood in the human body usually circulate within the Twelve Meridians. When the Qi and Blood of these meridians become full and overflow, they flow into the Extraordinary Vessels. There are eight extraordinary vessels: the Du Meridian (Governing Vessel) governs the posterior aspect; the Ren Meridian (Conception Vessel) governs the anterior aspect; the Chong Meridian (Penetrating Vessel), located flanking the Ren Meridian, serves as the Sea of all Vessels; the Yang Wei Mai (Yang Linking Vessel) links and maintains all Yang meridians; the Yin Wei Mai (Yin Linking Vessel) links and maintains all Yin meridians. Yin and Yang mutually maintain each other, thus keeping the regular meridians harmonious. Besides the Wei Vessels, there is the Dai Mai (Girdle Vessel), which binds the body like a belt. As for the Qiao Vessels of the lower limbs, there are the Yin Qiao Mai (Yin Heel Vessel) and the Yang Qiao Mai (Yang Heel Vessel). The Yang Qiao Mai originates from the branch of the Taiyang Meridian, and the Yin Qiao Mai roots from the branch of the Shaoyin Meridian. This is akin to sages digging canals to store floodwaters, thereby preventing overflowing disasters; humans possessing Extraordinary Vessels operate in the same manner. Herein, the acupoints where the Qi of the Eight Extraordinary Vessels emerges are collected together to form this volume.
The Du Meridian (Governing Vessel) originates below the lower abdomen at the central bone. In women, it enters and connects to the end of the Ting Kong (urethral opening); its collateral network follows the external genitalia, converges at the Cuan Jian (perianal region), circles around the anus posteriorly, branches to circle the buttocks, reaches the Shaoyin Meridian, and merges with the middle collateral of the Taiyang Meridian. The Shaoyin Meridian ascends along the posterior medial border of the thigh, pierces the spine, and connects to the Kidney. The Taiyang Meridian starts at the inner canthus of the eye, ascends to the forehead, intersects at the vertex, enters deeply to connect to the brain, re-emerges, descends separately to the nape, follows the medial aspect of the shoulder blade, flanks the spine to reach the middle of the waist, enters internally to follow the deep muscles and connect to the Kidney. In men, the Du Meridian follows the penis down to the Cuan Jian, identical to women. Its straight ascending branch pierces the center of the umbilicus, ascends through the Heart, enters the throat, reaches the chin, circles the lips, and ascends to connect to the center of both eyes. Pathologies of this vessel manifest as Qi rushing from the lower abdomen up to the heart and chest causing pain, and inability to pass stool or urine, known as "Chong Hernia" (Chong Shan). In women, it manifests as infertility, strangury, hemorrhoids, urinary incontinence, and dryness of the throat. Treatment should focus on the Du Meridian.
The collateral branch of the Du Meridian is named Chang Qiang. It flanks the paraspinal muscles, ascends to the nape, scatters over the head, descends to the left and right of the shoulder blades, and runs separately to the Taiyang Meridian, entering to pierce the paraspinal muscles. Excess conditions present as spinal rigidity; deficiency conditions present as heavy head. Treatment involves selecting the point of this collateral branch. Thus, the *Nan Jing* states: The Du Meridian originates at the lower extreme, runs parallel within the spine, ascends to Feng Fu, enters and connects to the brain, reaches the vertex, follows the forehead to the nasal bridge, and is the "Sea of Yang Vessels." If diseased, it causes spinal rigidity and opisthotonos. The Du Meridian runs from the head along the spinal column into the sacrum, measuring four chi five cun in length, comprising twenty-seven acupoints.
Suliao (DU23): Located at the upper end of the nasal bridge.
Shuigou (DU26, also known as Renzhong): Located at the nasolabial groove, intersection of the Du Meridian and Hand-Yangming Meridian; take directly facing the lips.
Duanduan (DU27): Located at the upper end of the lip.
Yinjiao (DU28): Located in the gum line inside the upper lip, intersection of the Du and Ren Meridians.
Shenting (DU24): Directly above the nose, entering the hairline by five fen; intersection of the Du, Foot-Taiyang, and Foot-Yangming Meridians.
Shangxing (DU23): One cun behind Shenting, entering the hairline.
Xinhui (DU22): One cun behind Shangxing.
Qian Ding (DU21): One cun five fen behind Xinhui.
Baihui (DU20, also known as Sanyang Wuhui): One cun five fen behind Qian Ding, in the depression at the center of the vertex where hair whorls exist; space sufficient to hold a bean; intersection of the Du and Foot-Taiyang Meridians.
Hou Ding (DU19): One cun five fen behind Baihui (also known as Jiaochong).
Qiangjian (DU18): One cun five fen behind Hou Ding (also known as Dayu).
Naohu (DU17): Located on the occipital bone, one cun five fen behind Qiangjian (also known as Zafeng, Helu); intersection of the Du and Foot-Taiyang Meridians.
Fengfu (DU16): Also known as Sheben; one cun entering the hairline, behind Naohu, halfway between the large tendons of the neck.
Yamen (DU15): Five fen behind Fengfu, five cun entering the hairline, connecting to the root of the tongue; take with head raised.
Dazhui (DU14): In the depression above the first thoracic vertebra; intersection of the Hand and Foot Three-Yang Meridians and the Du Meridian.
Daodao (DU13): In the interspace below the Dazhui vertebra; intersection of the Du and Foot-Taiyang Meridians; take in prone position.
Shenzhu (DU12): In the interspace below the third thoracic vertebra; take in prone position.
Shendao (DU11): In the interspace below the fifth thoracic vertebra; take in prone position.
Lingtai (DU10): In the interspace below the sixth thoracic vertebra; take in prone position.
Zhiyang (DU9): In the interspace below the seventh thoracic vertebra; take in prone position.
Jinsuo (DU8): In the interspace below the ninth thoracic vertebra; take in prone position.
Jizhong (DU7): In the interspace below the eleventh thoracic vertebra; take in prone position. Moxibustion is contraindicated as it may cause kyphosis.
Xianshu (DU6): In the interspace below the thirteenth thoracic vertebra; take in prone position.
Mingmen (DU4): In the interspace below the fourteenth thoracic vertebra; take in prone position.
Yangguan (DU3): In the interspace below the sixteenth thoracic vertebra; take in prone position.
Yaoshu (DU2): In the interspace below the twenty-first thoracic vertebra.
Changqiang (DU1): At the tip of the coccyx.
From Suliao to Yinjiao, there are four points located below the nasal bridge. From Shenting to Baihui, there are five points located on the forehead. From Hou Ding to Yamen, there are five points belonging to the back of the head and nape. Below Dazhui, there are twelve points belonging to the back and spine. In total, these are the twenty-seven acupoints emitted by the Du Meridian. (According to the *Nei Jing*, there are twenty-eight points emitted by the Du Meridian. According to this method, there is one point named Zhongshu below the tenth vertebra, and two points named Huiyang on both sides of the sacrococcygeal bone, totaling twenty-nine points. Currently, Yinjiao is included, but Zhongshu and the two Huiyang points are omitted because Huiyang belongs to the collateral branches of the Du Meridian intersecting with the Shaoyin Meridian; thus, only twenty-seven points are recorded.)
Suliao (DU23), also known as Mianwang, is located at the tip of the nasal bridge, emitted by the Du Meridian. It treats nasal congestion, persistent polyps, excessive discharge, and sores. Needle insertion depth is one fen; moxibustion is contraindicated.
Shuigou (DU26), also known as Renzhong, is located below the nasal bridge, intersection of the Du, Hand-Yangming, and Foot-Yangming Meridians. It treats polydipsia due to Xiao Ke (wasting-thirst), generalized edema due to Water Qi, spontaneous laughter without cause, epilepsy with inappropriate speech and loss of social hierarchy awareness, alternating joy and crying, trismus, facial swelling with labial twitching, sensation of insects crawling, sudden stroke from evil qi. Needle insertion depth is four cun; retain for five breaths; drain upon obtaining Deqi. Moxibustion is permissible but less effective than needling. If moxibustion is used, the cone should be the size of a sparrow's droppings; three or seven moxa cones per day are sufficient. For wind-water facial edema, needling this point until fluid drains results in immediate cure.
Duanduan (DU27) is located at the upper end of the lip. It treats epilepsy with foaming, yellow urine, dry tongue with wasting-thirst, persistent epistaxis, rigid lips, and gingival pain. Needle insertion depth is two fen; three moxa cones (size of a barley grain) may be applied.
Yinjiao (DU28) is located in the tendon within the gum line inside the upper lip. It treats red face, vexation, pain, stiff neck unable to look back, pediatric facial acne persisting long-term (cauterization is also effective), nasal obstruction, tearing and purulent discharge, internal nasal redness, itching, pain, white membrane opacity, nasal polyps, and erosive sores. Needle insertion depth is three fen; three moxa cones may be applied.
Shenting (DU24) is located five fen entering the hairline directly above the nose, intersection of the Du, Foot-Taiyang, and Foot-Yangming Meridians. It treats epilepsy, wind-phlegm epilepsy, upward staring with inability to recognize people, headache-dizziness due to Wind, persistent clear nasal discharge, tearing, palpitations and insomnia. Apply thirty-seven moxa cones, up to forty-nine cones. Qibo stated: When treating Wind disorders, do not apply excessive moxibustion, as Wind nature is light and excessive heat damages Zheng Qi. Thirty-seven cones are appropriate. Needling is strictly contraindicated as it may induce mania.
Shangxing (DU23) is located one cun entering the hairline directly above the nose in the depression, emitted by the Qi of the Du Meridian. It treats headache-dizziness, facial puffiness, nasal obstruction with loss of smell and taste, dizziness, phlegm-malaria with chills and fever, absence of pathological sweating, ocular pain preventing distant vision. Puncture with a fine three-edged needle to vent excess Yang Heat and prevent it from rushing to the head and eyes. Seven moxa cones may be applied; avoid excessive moxibustion. Frequent moxibustion draws Qi upward, clouding vision.
Xinhui (DU22) is located one cun behind Shangxing in the depression, space sufficient to hold a bean, emitted by the Qi of the Du Meridian. It treats dizziness, facial swelling, nasal obstruction with loss of smell, fright-epilepsy with upward staring and inability to recognize people. Apply fourteen to forty-nine moxa cones. Initially painless, becomes painful as disease recedes; stop moxibustion when painful. For nasal obstruction, symptoms subside by the fourth day and resolve completely by the seventh day. Needle insertion depth is two fen; retain for three breaths; drain upon obtaining Deqi. For headache-dizziness with dandruff and hypersomnia, needling is highly effective. After needling, mix fine salt with sesame oil and rub the scalp roots to permanently eliminate headache-dizziness. Children under eight years old must not be needled, as the fontanelle is not closed, and puncture may lead to premature death.
Qian Ding (DU21) is located one cun five fen behind Xinhui in the bony depression, emitted by the Du Meridian. It treats headache-dizziness, red swollen face, pediatric fright-epilepsy and wind-epilepsy with convulsions occurring at any time, excessive clear nasal discharge, and swollen painful neck. Needle insertion depth is one fen; apply three to forty-nine moxa cones.
Baihui (DU20), also known as Sanyang Wuhui, is located one cun five fen behind Qian Ding in the depression at the center of the vertex hair whorl, space sufficient to hold a bean. The Du Meridian intersects with the Foot-Taiyang Meridian at the vertex. It treats pediatric rectal prolapse unresponsive to treatment, wind-epilepsy and stroke with opisthotonos, excessive crying, incoherent speech, convulsions occurring at any time with foaming, vexation, palpitations, and amnesia, malaria with tinnitus and deafness, nasal obstruction with loss of smell. Needle insertion depth is two fen; drain upon recovery. Apply seven to forty-nine moxa cones. In the Tang Dynasty, Qin Minghe treated headache by pricking until slight bleeding occurred, resulting in immediate relief. Moxibustion on the head and neck should not exceed forty-nine cones, as the skin is thin.
Hou Ding (DU19), also known as Jiaochong, is located one cun five fen behind Baihui on the occipital bone, emitted by the Qi of the Du Meridian. It treats blurred vision, aversion to wind and cold in the neck, dizziness, and lateral headache. Apply five moxa cones; needle insertion depth is two fen.
Qiangjian (DU18), also known as Dayu, is located one cun five fen behind Hou Ding, emitted by the Qi of the Du Meridian. It treats vertigo, unbearable headache, vexation, vomiting of saliva, convulsions occurring at any time, stiff neck unable to look left or right. Apply seven moxa cones; needle insertion depth is two fen.
Naohu (DU17), also known as Helu, is located on the occipital bone, one cun five fen behind Qiangjian, intersection of the Du and Foot-Taiyang Meridians. Needling is strictly contraindicated as it causes aphonia. It treats dim vision and pain, inability to see far, red face, yellow eyes, and head swelling. Apply seven moxa cones; do not apply indiscriminately to avoid aphonia.
Fengfu (DU16), also known as Sheben, is located one cun above the nape hairline, in the depression within the large tendons. Muscle rises rapidly upon speaking and subsides when silent. Intersection of the Du and Yang Wei Mai. Moxibustion is strictly contraindicated as it may cause aphonia. It treats headache, stiff neck unable to look back, dizziness, epistaxis, sore throat, manic running, and visual hallucinations. Needle insertion depth is three cun.
Yamen (DU15), also written as Yinmen, also known as Sheheng or Sheyan, is located centrally at the nape, five fen entering the hairline in the depression. Intersection of the Du and Yang Wei Mai. Connects to the root of the tongue; take with head raised. Moxibustion is strictly contraindicated as it causes aphonia. It treats stiff neck, flaccid tongue unable to speak, excess Yang Heat, persistent epistaxis, headache with wind and absence of sweating, wind-cold-spasm, spinal rigidity with opisthotonos, convulsions, heavy head due to epilepsy. Needle insertion depth is two fen.
Dazhui (DU14) is located in the depression above the first thoracic vertebra, intersection of the Hand and Foot Three-Yang Meridians and the Du Meridian. It treats five exhaustions and seven injuries, warm malaria, dan-malaria, Qi-zhu with back stiffness and tension, stiff neck unable to look back, wind-lao and food-Qi. Needle insertion depth is five fen; retain for three breaths; drain during five exhalations. If moxibustion is used, count by years (referring to high number of cones). From Dazhui to the sacrococcygeal bone, there are twenty-one vertebrae, measuring three chi. To locate points, measure using the "Same Body Cun" method described in the *Su Wen*: use the middle finger's interphalangeal crease as one cun. Using rope is inaccurate due to stretching or shrinking; thin bamboo strips are recommended for accurate measurement.
Daodao (DU13) is located in the interspace below Dazhui; take in prone position. Intersection of the Du and Foot-Taiyang Meridians. It treats heavy head, drowsy eyes, aversion to cold and fever, spinal rigidity with absence of sweating. Apply five moxa cones; needle insertion depth is five fen.
Shenzhu (DU12) is located in the interspace below the third thoracic vertebra, emitted by the Qi of the Du Meridian. It treats epilepsy with convulsions, rage wanting to kill, fever, manic running, delirium seeing ghosts. Needle insertion depth is five fen; apply forty-nine moxa cones.
Lingtai (DU10) is located in the interspace below the sixth thoracic vertebra; take in prone position. Emitted by the Qi of the Du Meridian.
Zhiyang (DU9) is located in the interspace below the seventh thoracic vertebra; take in prone position. Emitted by the Qi of the Du Meridian. It treats chills and fever, limb weakness, calf soreness, heavy painful limbs, shortness of breath and difficulty speaking. Apply three moxa cones; needle insertion depth is five fen.
Jinsuo (DU8) is located in the interspace below the ninth thoracic vertebra; take in prone position. Emitted by the Qi of the Du Meridian. It treats fright-epilepsy, manic running, epilepsy, stiff and tense spine, eyes rolling upward. Apply three moxa cones; needle insertion depth is five fen.
Jizhong (DU7) is located in the interspace below the eleventh thoracic vertebra; take in prone position. Emitted by the Qi of the Du Meridian. It treats wind-epilepsy and demonic influences, warm diseases with accumulation and diarrhea. Moxibustion is contraindicated as it causes lumbar and dorsal kyphosis. Needle insertion depth is five fen; drain upon obtaining Deqi.
Xianshu (DU6) is located in the interspace below the thirteenth thoracic vertebra; take in prone position. Emitted by the Qi of the Du Meridian. It treats moving accumulation of Qi, undigested food and diarrhea, stiff spine unable to bend or extend, abdominal stagnation. Needle insertion depth is three fen; apply three moxa cones.
Mingmen (DU4), also known as Shulei, is located in the interspace below the fourteenth thoracic vertebra; take in prone position. Emitted by the Qi of the Du Meridian. It treats unbearable headache, fever like fire, absence of sweating, convulsions with internal urgency, pulling pain between waist and abdomen. Needle insertion depth is five fen; apply three moxa cones.
Yangguan (DU3) is located in the interspace below the sixteenth thoracic vertebra; take in prone position. Needle insertion depth is five fen; apply three moxa cones.
Yaoshu (DU2), also known as Beijie, Yaozhu, or Yaohu, is located in the depression in the interspace below the twenty-first thoracic vertebra. Position: arch back, stretch body, cross hands to support forehead, relax limbs. Emitted by the Qi of the Du Meridian. It treats lumbosacral pain, stiff spine unable to turn, warm malaria, dan-malaria. Needle insertion depth is eight fen; retain for three breaths; drain during five exhalations. Apply seven to forty-nine moxa cones. The *Jia Yi Jing* states: needle insertion depth is two cun; retain for seven breaths; apply forty-nine moxa cones.
Changqiang (DU1), also known as Qi Zhi Yinxi, is the collateral branch of the Du Meridian, located at the tip of the coccyx, intersection of the Foot-Shaoyin and Foot-Shaoyang Meridians. It treats intestinal wind with bloody stool, five types of hemorrhoids, and gan-erosion of the lower orifices. Needle insertion depth is three fen; withdraw needle when severe pain is felt. Take point in prone position. Moxibustion is permissible but less effective than needling. Apply thirty moxa cones daily, up to two hundred cones. The root of these hemorrhoids is Cold; avoid cold foods and sexual activity. The *Jia Yi Jing* states: needle insertion depth is two cun; retain for seven breaths.