一、列缺
部位 去腕侧上一寸半。以手交叉。食指末。筋骨罅中。手太阴络。别走阳明。
证治 疗偏风口 。手腕无力。半身不遂。咳嗽。掌中热。口噤不开。寒热疟。呕沫。
善笑。纵唇口。健忘。
针灸 针入二分。留三呼。泻五吸。可灸七壮。
二、偏历
部位 在腕后三寸。手阳明络也。别走太阴。
证治 寒热疟。风汗不出。目视KT KT 。癫疾多言。耳鸣。口 。齿龋。喉痹。嗌干。鼻
鼽衄血。
针灸 针入三分。留七呼。可灸三壮。
按∶列缺偏历乃手太阴手阳明阴交阳。阳交阴。横斜而行之两别络穴。列缺在两手指
交叉。食指尽处。以爪甲切之。若呈列一缺点在此。故名列缺。特殊人有现反关
脉者。其脉不行寸口之中。由尺中斜上列缺。入阳溪穴而上食指。大渊经渠正关
脉之位不动。而动列缺之上。故名反关。有一手反关。有两手反关。数百人中有
其一。此得于有生之初。非为受病而有此脉也。列缺内通任脉。为灵龟八穴之
一。待时而取之。作用最大。须用卧针。斜向内。久留其针。补泻寒热升降。各
种手法。皆可取用。列缺上一寸半。腕后上三寸。即偏历穴。乃大肠手阳明经脉
行至阳溪上。偏向臂内。别阳经脉。而历络于手太阴之经。故曰偏历。其十二经
所行之次序。肺寅。大卯。胃辰。脾巳。手阳明从手走头。交足阳明胃。精专营
气。一日一夜一周于身。只走列缺。不走偏历。只走丰隆。不走公孙。偏历公孙
等别络。乃二十八脉。男女不同。左升右降。右升左降。阴阳互相交错。脉度十
六丈二尺。乃行于偏历公孙等交错之别络也。
三、丰隆
部位 在外踝上八寸。下廉 外廉陷中。别走太阴。
证治 厥逆胸痛如刺。腹中切痛。大小便难涩。厥头痛。面浮肿、风逆。四肢肿。足
青。身寒湿。喉痹不能言。
针灸 针入三分。可灸三壮。
四、公孙
部位 在足大指本节后一寸。足太阴络。别走阳明。
证治 寒疟不嗜食。卒面肿。烦心狂言。腹虚胀如鼓。
针灸 针入四分。可灸三壮。
按∶丰隆与公孙两别络。乃足阳明。足太阴脉度往还之要道。丰隆穴位。在外踝中心
直上八寸。考骨度篇。膝下至外踝。长一尺六寸。膝下三寸。 骨外为三里。复
下三里三寸。为巨虚上廉。复下上廉三寸。为巨虚下廉。此穴在下廉 骨外。以
骨度推计之。丰隆穴较高于下廉一寸。然穴与上廉非直线。别于阳明之正经之外。
其肉丰满而隆起。与巨虚上下廉。迥然不同。故名丰隆。以骨度推之。内络太阴。
当在漏谷地机之间。公孙别络。在足大指本节骨后一寸。吾国古史。以火德旺者
曰炎帝。以土德旺者曰黄帝。黄帝姓公孙。名轩辕。公孙穴。乃脾土别络。人体
五脏。脾居中央。中央黄色。入通于脾。以土德旺。此别络穴。别于太阴土位。
络于阳明燥金之位。土以生金。亦犹以土德旺之后裔。故名公孙。由流溯原。赐其姓也。
五、通里
部位 去掌后横纹后一寸。陷中。手少阴络。别走太阳。
证治 热病。卒心中懊 。数欠频伸。悲恐。目眩。头痛。面赤而热。心悸。肘臂 痛。
实则支肿。虚则不能言。苦呕喉痹。少气遗溺。
针灸 针入三分。可灸三壮。
六、支正
部位 在腕后五寸。小指动应手。手太阳络。别走少阴。
证治 寒热颔肿肘挛。头痛。目眩。虚风惊恐。狂惕生疣目。
针灸 针入二分。可灸三壮。
按∶通里支正乃手少阴手太阳从阴出阳。从阳入阴之两别络穴名。通里者。以小肠为
受盛之官。化物出焉。若井里然。心经穴灵道之前五分。阴 之后五分。腕之后
一寸。即通里穴位。一有云去腕一寸半者。盖通里在手外侧腕上折纹后。手向外
侧屈而取腕间折纹。则为一寸。如伸而取之。则有一寸半也。支正乃小肠别络。
内注手少阴心。心为五脏六腑之大主。故曰正。支者离也。离小肠经脉而入络于
心之正主位。故其别络穴。曰支正。
七、飞扬
部位 在外踝上七寸。足太阳络。别走少阴。
证治 血痔。历节风。足指不得屈伸。头目眩。逆气鼽衄。癫疾寒疟。
针灸 针入三分。可灸三壮。
八、大钟
部位 在足跟后踵中。大骨两筋间。足少阴络。别走太阳。
证治 实则小便淋闭。洒洒。腰脊强痛。大便秘涩。嗜卧。口中热。虚则呕逆多寒。欲
闭户而处。少气不足。胸张喘息。舌干咽中食噎不得下。善惊恐不乐。喉中鸣。咳唾血。
针灸 针入二分。留七呼。可灸三壮。
按∶飞扬大钟乃足太阳足少阴经。从阳入阴。从阴出阳之两别络。飞扬在外踝上七寸。
一名厥阳。厥尽也。阳至此而尽。则络于阴也。飞扬跋扈有好高之义。十二别络。
如内关外关。光明蠡沟。在手足内外。皆成平线。而飞扬与足跟后踵中之大钟穴
较之上下悬殊矣。大钟之义有二。一钟者重也。一钟者饮器也。肾为立命之根。
人之能立。赖有此后踵大骨。其责重大。故曰大钟。肾者主水。受五脏六腑之精
而藏之。水之精者曰津曰液。膀胱为州渚之官。津液藏焉。肾之精津。转注膀胱
之脉。不有此一大钟之饮器。则津液无所藏之处。故名其穴曰大钟。义至浓也。
九、内关
部位 在掌后去腕二寸。手心主之络。别走少阳。
证治 目赤支满。中风肘挛。实则心暴痛。虚则心惕惕。
针灸 针入五分。可灸三壮。
十、外关
部位 在阳池后二寸。两骨间。与内关相对。此手少阳络。别走心主厥阴脉。
证治 耳聋浑浑无闻。肘臂不得屈伸。五指痛不能握。
针灸 针入三分。灸三壮。
按∶内关外关。乃手厥阴心包络。与手少阳三焦经脉。别阴出阳。别阳入阴之络穴。
掌内腕后二寸曰内关。在两筋间。掌外腕后二寸。曰外关。在两骨间。握拳取之。
则两筋明晰。外关伏手取之。则两骨便于摩按。此外关内关。合于奇经。阴维阳
维。乃灵龟八穴之二。待时取之。作用最大也。
十一、光明
部位 外踝上五寸。足少阳络别走厥阴。
证治 热病汗不出。卒狂。嚼颊淫泺。胫酸 痛。不能久立。虚则痿痹。偏细。坐不能
起。实则足 热膝痛。身体不仁。
针灸 针入六分。留七呼。灸五壮。
十二、蠡沟
部位 在内踝前上五寸。足厥阴络。别走少阳。
证治 疝痛。小腹满痛。癃闭。脐下积气如杯。数噫。恐悸。少气。足胫寒酸。屈伸难。
腰背拘急。不可俯仰。月经不调。带下赤白。
针灸 针入二分。留三呼。灸三壮。
按 光明蠡沟。乃足少阳胆。足厥阴肝。阳入阴。阴出阳之两别络穴。外踝上五寸曰
光明。内踝上五寸曰蠡沟。蠡啮木之小虫也。肝为木脏。胆为木府。经脉十二。
始于肺而终于肝。肝脏之血。不能尽返于肺。男子生髭须。女子下月事。肝者将
军之官。谋虑出焉。胆者中正之官。决断出焉。思虑此回环十二经己周之营血。
必有小数不洁者。不特无益于肝之经脉。而转有损于肝之经脉。如蠡沟之蚀木。
因置此一蠡沟穴与光明穴。内外相应。胆有决断。大放光明。通于蠡沟。是者存
之。转于上腹属肝络胆。非者去之。有如日月光明。则蠡沟之害木者自去也。
一、列缺
部位：距离手腕横纹上一寸半处。将两手交叉，食指指尖所在的筋骨缝隙中。这是手太阴肺经的络穴，别行走向手阳明大肠经。
证治：治疗偏风口眼歪斜、手腕无力、半身不遂、咳嗽、手掌心发热、牙关紧闭不能张开、寒热往来的疟疾、呕吐泡沫状痰涎、喜欢笑、口唇松弛不收、健忘等症。
针灸：进针二分深，留针三呼的时间，施行泻法时配合五吸的呼吸节奏。可以艾灸七壮。
二、偏历
部位：在手腕后方三寸处。是手阳明大肠经的络穴，别行走向手太阴肺经。
证治：治疗寒热往来的疟疾、风邪导致汗不出、眼睛视物模糊不清、癫狂多言、耳鸣、牙齿疼痛、龋齿、喉痹、咽喉干燥、鼻塞流涕或鼻出血。
针灸：进针三分深，留针七呼的时间。可以艾灸三壮。
按语：列缺和偏历分别是手太阴和手阳明经阴阳相交的别络穴，阳经交于阴经，阴经交于阳经，呈横斜行走的两条别络。列缺位于两手手指交叉时，食指尽头处，用指甲切按，若此处呈现如裂缝般的凹陷，故名为“列缺”。特殊体质的人可能出现反关脉，其脉象不走寸口常规位置，而是从尺部斜向上行至列缺，进入阳溪穴后上行至食指。大渊、经渠等正关脉的位置不变，而脉动出现在列缺上方，所以称为反关脉。有单手反关，也有双手反关，几百人中才有一例，这是先天形成的，并非因病所致。列缺内通任脉，是灵龟八穴之一，需待时而取，作用极大。必须采用卧针，斜向内方，长时间留针，补泻、寒热、升降等各种手法均可应用。列缺上一寸半，即腕后上三寸处，就是偏历穴。这是大肠经（手阳明）行至阳溪穴时，偏向臂内侧，别出阳经脉气，联络于手太阴经，所以叫“偏历”。十二经脉运行的次序是：肺经在寅时，大肠经在卯时，胃经在辰时，脾经在巳时……手阳明经从手走头，交接足阳明胃经。精气营卫之气，一日一夜循环全身一周，只经过列缺，不经过偏历；只经过丰隆，不经过公孙。偏历、公孙等别络，属于二十八脉，男女不同，左升右降，右升左降，阴阳互相交错。脉度十六丈二尺，是在偏历、公孙等交错的别络中运行的。
三、丰隆
部位：在外踝尖上八寸，胫骨前缘外侧与腓骨后缘之间的凹陷中。别行走向足太阴脾经。
证治：治疗厥逆导致的胸痛如针刺、腹中剧烈疼痛、大小便困难涩滞、厥头痛、面部浮肿、风邪逆乱、四肢肿胀、足色发青、身体寒冷湿重、喉痹不能说话。
针灸：进针三分深。可以艾灸三壮。
四、公孙
部位：在足大趾本节（第一跖趾关节）后一寸处。是足太阴脾经的络穴，别行走向足阳明胃经。
证治：治疗寒疟、食欲不振、突然面部浮肿、心烦狂言、腹部虚胀如鼓。
针灸：进针四分深。可以艾灸三壮。
按语：丰隆与公孙两别络，是足阳明胃经和足太阴脾经脉气往还的要道。丰隆穴位于外踝中心直上八寸。考证《骨度篇》，膝下至外踝长一尺六寸。膝下三寸，胫骨外侧为足三里穴。再往下三寸，为巨虚上廉。再往下三寸，为巨虚下廉。此穴位于下廉胫骨外侧。以骨度推算，丰隆穴比下廉高一寸。然而穴位与上廉并非直线，而是别出于阳明经的正经之外。此处肌肉丰满隆起，与巨虚上下廉截然不同，所以命名为“丰隆”。以骨度推算，内络太阴，应当在漏谷、地机之间。公孙别络，在足大趾本节骨后一寸。我国古史中，以火德旺盛的称为炎帝，以土德旺盛的称为黄帝。黄帝姓公孙，名轩辕。公孙穴是脾土的别络。人体五脏中，脾居中央，中央属黄色，入通于脾，以土德旺盛。此别络穴，别出于太阴土位，联络于阳明燥金之位。土能生金，也如同以土德旺盛的后裔，所以命名为公孙。由流溯源，赐予姓氏。
五、通里
部位：距离手掌后横纹后一寸的凹陷中。是手少阴心经的络穴，别行走向手太阳小肠经。
证治：治疗热病、突然心中烦闷懊恼、频繁打哈欠伸懒腰、悲伤恐惧、目眩、头痛、面色红赤发热、心悸、肘臂疼痛。实证表现为肢体肿胀，虚证表现为不能说话、苦于呕吐喉痹、少气遗尿。
针灸：进针三分深。可以艾灸三壮。
六、支正
部位：在手腕后方五寸，小指动作时应手之处。是手太阳小肠经的络穴，别行走向手少阴心经。
证治：治疗寒热、下巴肿胀、肘部挛急、头痛、目眩、虚风惊恐、狂躁惕惧、生疣目。
针灸：进针二分深。可以艾灸三壮。
按语：通里和支正是手少阴心和手太阳小肠经从阴出阳、从阳入阴的两个别络穴名称。通里，因为小肠是受盛之官，化物出焉，像井巷一样。在心经灵道穴前五分，阴郄穴后五分，腕后一寸处，即是通里穴位。有一种说法是去腕一寸半，大概是因为通里在手外侧腕上折纹后，手向内侧屈曲取腕间折纹，则为一寸；如果伸直手臂取之，则有一寸半。支正是小肠的别络，内注入手少阴心经。心是五脏六腑的大主，所以叫“正”。“支”者离也，离开小肠经脉而入络于心之正主位，所以其别络穴叫“支正”。
七、飞扬
部位：在外踝上七寸处。是足太阳膀胱经的络穴，别行走向足少阴肾经。
证治：治疗血痔、历节风、足趾不能屈伸、头目眩晕、气逆鼻塞鼻衄、癫疾、寒疟。
针灸：进针三分深。可以艾灸三壮。
八、大钟
部位：在足跟后踵中，大骨两筋之间。是足少阴肾经的络穴，别行走向足太阳膀胱经。
证治：实证表现为小便淋闭、洒洒恶寒、腰脊强痛、大便秘涩、嗜睡、口中发热；虚证表现为呕逆多寒、想关门独处、少气不足、胸满喘息、舌干咽中食物噎塞不下、容易惊恐不乐、喉中鸣响、咳唾带血。
针灸：进针二分深，留针七呼的时间。可以艾灸三壮。
按语：飞扬和大钟是足太阳膀胱经和足少阴肾经从阳入阴、从阴出阳的两个别络。飞扬在外踝上七寸，又名厥阳，“厥”意为尽，阳气至此而尽，则络于阴经。飞扬跋扈有高远之意。十二别络中，如内关外关、光明蠡沟，在手足内外皆成平线，而飞扬与足跟后踵中的大钟穴相比，上下悬殊很大。大钟的含义有二：一是钟者重也，二是钟者饮器也。肾是立命之根，人之所以能站立，依赖有此足跟大骨，责任重大，所以叫大钟。肾主水，受五脏六腑之精而藏之。水的精华叫津叫液。膀胱是州都之官，津液藏焉。肾的精津，转注于膀胱之脉，没有这一大钟般的饮器，津液就无处收藏，所以命名此穴为大钟，含义深厚。
九、内关
部位：在掌后距离手腕二寸处。是手心主（心包）经的络穴，别行走向手少阳三焦经。
证治：治疗目赤、胸胁胀满、中风肘挛。实证表现为心暴痛，虚证表现为心中惕惕不安。
针灸：进针五分深。可以艾灸三壮。
十、外关
部位：在阳池穴后二寸，两骨之间，与内关相对。这是手少阳三焦经的络穴，别行走向手心主厥阴脉。
证治：治疗耳聋浑浑无闻、肘臂不能屈伸、五指疼痛不能握持。
针灸：进针三分深，灸三壮。
按语：内关和外关是手厥阴心包络与手少阳三焦经脉，别阴出阳、别阳入阴的络穴。掌内腕后二寸叫内关，在两筋之间。掌外腕后二寸叫外关，在两骨之间。握拳取之，则两筋清晰可见。外关伏手取之，则两骨便于摩按。内关外关合于奇经，阴维脉和阳维脉，是灵龟八穴之二，待时而取，作用最大。
十一、光明
部位：外踝上五寸处。是足少阳胆经的络穴，别行走向足厥阴肝经。
证治：治疗热病汗不出、突然发狂、咀嚼颊部淫泺（形容肢体软弱无力）、小腿酸痛、不能久立。虚证表现为痿痹、腿脚偏细、坐起困难；实证表现为足底发热、膝痛、身体麻木不仁。
针灸：进针六分深，留针七呼的时间，灸五壮。
十二、蠡沟
部位：在内踝前上五寸处。是足厥阴肝经的络穴，别行走向足少阳胆经。
证治：治疗疝痛、小腹满痛、癃闭、脐下积气如杯、频繁嗳气、恐惧心悸、少气、足胫寒冷酸楚、屈伸困难、腰背拘急、不可俯仰、月经不调、带下赤白。
针灸：进针二分深，留针三呼的时间，灸三壮。
按语：光明和蠡沟是足少阳胆经和足厥阴肝经，阳入阴、阴出阳的两个别络穴。外踝上五寸叫光明，内踝上五寸叫蠡沟。“蠡”是咬食木头的小虫。肝为木脏，胆为木府。经脉十二，始于肺而终于肝。肝脏之血，不能完全返还于肺。男子生胡须，女子来月经。肝是将军之官，谋虑出焉；胆是中正之官，决断出焉。思考这环绕十二经已周流的营血，必有小数不洁者，不仅无益于肝之经脉，反而损害肝之经脉，就像蠡沟侵蚀木头一样。因此设置这一个蠡沟穴与光明穴，内外相应。胆有决断，大放光明，通于蠡沟，存其善者，转于上腹属肝络胆；去其非者，有如日月光明，则蠡沟害木的危害自然去除。
1. Lieque (LU7)
Location: One and a half cun above the wrist crease. Cross the hands; at the tip of the index finger, in the gap between the tendon and bone. It is the Luo-Connecting point of the Hand-Taiyin Lung Meridian, diverging to run to the Hand-Yangming Large Intestine Meridian.
Symptoms and Treatments: Treats facial paralysis (Bell's palsy), wrist weakness, hemiplegia, cough, heat in the palm, trismus (lockjaw), malaria with alternating chills and fever, vomiting of frothy saliva, excessive laughter, flaccid lips and mouth, and forgetfulness.
Acupuncture and Moxibustion: Insert needle 2 fen deep. Retain for three breaths. Apply reducing method coordinated with five inhalations. Moxa can be applied for seven moxa cones.
2. Pianli (LI6)
Location: Three cun posterior to the wrist. It is the Luo-Connecting point of the Hand-Yangming Large Intestine Meridian, diverging to run to the Hand-Taiyin Lung Meridian.
Symptoms and Treatments: Treats malaria with alternating chills and fever, wind-induced anhidrosis (absence of sweat), blurred vision, mania with excessive talking, tinnitus, toothache, dental caries, pharyngolaryngeal obstruction (Bi syndrome of the throat), dryness of the pharynx, nasal congestion, epistaxis (nosebleed).
Acupuncture and Moxibustion: Insert needle 3 fen deep. Retain for seven breaths. Moxa can be applied for three moxa cones.
Note: Lieque and Pianli are the Luo-Connecting points where Yin and Yang intersect between the Hand-Taiyin and Hand-Yangming meridians. Yang intersects with Yin, and Yin intersects with Yang, running obliquely as two divergent vessels. Lieque is located at the end of the index finger when hands are crossed. Pressing with a fingernail reveals a depression resembling a crack, hence named "Lieque" (Splitting Crack). In individuals with a reversed radial pulse (Fan Guan Mai), the pulse does not travel through the standard Cun Kou position but斜 (obliquely) from Chi upward to Lieque, entering Yangxi (LI5) and ascending to the index finger. The positions of Dazeyuan (PC7) and Jingqu (LU8) remain fixed, but the pulse movement appears above Lieque, thus called Fan Guan. There are single-hand or double-hand Fan Guan cases, occurring in about one in hundreds. This is congenital, not pathological. Lieque internally connects with the Ren Mai (Conception Vessel) and is one of the Eight Lingshi Points (Spirit Turtle Eight Points), to be selected according to time, with significant effects. A horizontal needling technique should be used, angled inward, with prolonged retention. Various techniques for tonification, reduction, regulating cold/heat, and ascending/descending can be applied. One and a half cun above Lieque, i.e., three cun posterior to the wrist, is Pianli. This is where the Large Intestine Meridian (Hand-Yangming), after reaching Yangxi, deviates medially, separating from the Yang meridian to connect with the Hand-Taiyin Lung Meridian, hence named "Pianli" (Deviating History/Process). The sequence of the twelve meridians is: Lung at Yin hour, Large Intestine at Mao hour, Stomach at Chen hour, Spleen at Si hour... The Hand-Yangming meridian travels from hand to head, connecting with the Foot-Yangming Stomach Meridian. Jing-Qi circulates once around the body in a day and night, passing only through Lieque, not Pianli; passing only through Fenglong, not Gongsun. The divergent vessels like Pianli and Gongsun belong to the twenty-eight pulses, differing between men and women, with left ascending/right descending and right ascending/left descending, interlacing Yin and Yang. The pulse length is sixteen zhang and two chi, flowing through these interlacing divergent vessels.
3. Fenglong (ST40)
Location: Eight cun above the lateral malleolus, in the depression between the anterior border of the tibia and the posterior border of the fibula. Diverges to run to the Foot-Taiyin Spleen Meridian.
Symptoms and Treatments: Treats reversal syndromes with stabbing chest pain, severe abdominal pain, difficult and obstructed urination and defecation, Jue-type headache, facial edema, wind counterflow, limb swelling, cyanosis of the feet, cold-dampness of the body, pharyngolaryngeal obstruction with inability to speak.
Acupuncture and Moxibustion: Insert needle 3 fen deep. Moxa can be applied for three moxa cones.
4. Gongsun (SP4)
Location: One cun posterior to the first metatarsophalangeal joint on the medial side of the foot. It is the Luo-Connecting point of the Foot-Taiyin Spleen Meridian, diverging to run to the Foot-Yangming Stomach Meridian.
Symptoms and Treatments: Treats cold malaria, loss of appetite, sudden facial edema, irritability and manic speech, abdominal distension feeling like a drum.
Acupuncture and Moxibustion: Insert needle 4 fen deep. Moxa can be applied for three moxa cones.
Note: Fenglong and Gongsun are the key pathways for the reciprocal flow of Qi between the Foot-Yangming Stomach and Foot-Taiyin Spleen meridians. Fenglong is located eight cun vertically above the center of the lateral malleolus. According to the *Bone Proportions Chapter*, the distance from the knee to the lateral malleolus is one chi six cun. Three cun below the knee, outside the tibia, is Zusanli (ST36). Another three cun down is Shangjuxu (ST37). Another three cun down is Xiagjuxu (ST39). This point is outside the tibia below Xiagjuxu. Calculated by bone proportions, Fenglong is one cun higher than Xiagjuxu. However, it is not in a straight line with Shangjuxu but lies outside the main channel of the Yangming meridian. The flesh here is full and prominent, distinct from Shangjuxu and Xiagjuxu, hence named "Fenglong" (Abundant and Prominent). By bone proportion, it internally connects to the Taiyin, likely between Lougu (SP7) and Diji (SP8). Gongsun Luo is one cun posterior to the bone of the first toe's proximal joint. In ancient Chinese history, those with flourishing Fire Virtue were called Yan Di (Flame Emperor), and those with flourishing Earth Virtue were called Huang Di (Yellow Emperor). The Yellow Emperor's surname was Gongsun, given name Xuanyuan. Gongsun point is the Luo point of Spleen Earth. Among the five Zang organs, Spleen resides in the center, corresponding to yellow color, connecting to Spleen, and possessing strong Earth Virtue. This Luo point separates from the Taiyin Earth position and connects to the Yangming Dry Metal position. Earth generates Metal, similar to descendants of strong Earth virtue, hence named Gongsun. Tracing the source gives the surname.
5. Tongli (HT5)
Location: One cun posterior to the palmar wrist crease, in the depression. It is the Luo-Connecting point of the Hand-Shaoyin Heart Meridian, diverging to run to the Hand-Taiyang Small Intestine Meridian.
Symptoms and Treatments: Treats febrile diseases, sudden mental restlessness and regret, frequent yawning and stretching, sadness and fear, vertigo, headache, red and hot face, palpitations, elbow and arm pain. Excess syndrome presents with limb swelling; deficiency syndrome presents with inability to speak, bitter vomiting, pharyngolaryngeal obstruction, shortness of breath, and urinary incontinence.
Acupuncture and Moxibustion: Insert needle 3 fen deep. Moxa can be applied for three moxa cones.
6. Zhizheng (SI7)
Location: Five cun posterior to the wrist, where movement of the little finger is felt. It is the Luo-Connecting point of the Hand-Taiyang Small Intestine Meridian, diverging to run to the Hand-Shaoyin Heart Meridian.
Symptoms and Treatments: Treats alternating chills and fever, submandibular swelling, elbow contracture, headache, vertigo, deficiency wind causing fright, mania, tremors, and warts/verrucae.
Acupuncture and Moxibustion: Insert needle 2 fen deep. Moxa can be applied for three moxa cones.
Note: Tongli and Zhizheng are the Luo-Connecting points where Hand-Shaoyin Heart and Hand-Taiyang Small Intestine meridians transition from Yin to Yang and Yang to Yin. Tongli: Since the Small Intestine is the official of receiving and storing, transforming substances, it is like a well or alley. Half a cun anterior to Lingdao (HT4) of the Heart Meridian, half a cun posterior to Yinxi (HT6), and one cun posterior to the wrist is Tongli. Some say one and a half cun from the wrist because if the hand is flexed inward to find the crease, it measures one cun; if extended, it measures one and a half cun. Zhizheng is the divergent vessel of the Small Intestine, internally pouring into the Hand-Shaoyin Heart. The Heart is the great master of the five Zang and six Fu organs, hence "Zheng" (Main/Upright). "Zhi" means separation. Separating from the Small Intestine meridian to connect to the main position of the Heart, hence named "Zhizheng".
7. Feiyang (BL58)
Location: Seven cun above the lateral malleolus. It is the Luo-Connecting point of the Foot-Taiyang Bladder Meridian, diverging to run to the Foot-Shaoyin Kidney Meridian.
Symptoms and Treatments: Treats hemorrhoidal bleeding, rheumatoid arthritis (Li-jie Feng), inability to flex and extend toes, dizziness of head and eyes, counterflow Qi with nasal congestion and epistaxis, epilepsy, cold malaria.
Acupuncture and Moxibustion: Insert needle 3 fen deep. Moxa can be applied for three moxa cones.
8. Dazhong (KI4)
Location: In the center of the heel, between the large bone and two tendons. It is the Luo-Connecting point of the Foot-Shaoyin Kidney Meridian, diverging to run to the Foot-Taiyang Bladder Meridian.
Symptoms and Treatments: Excess syndrome presents with dysuria and strangury, aversion to cold, stiffness and pain of waist and spine, constipation, lethargy, heat in the mouth. Deficiency syndrome presents with vomiting and counterflow with excessive cold, desire to stay indoors alone, shortness of breath, chest distension and panting, dry tongue, food sticking in the throat unable to swallow, frequent fright and unhappiness, buzzing in the throat, coughing up blood.
Acupuncture and Moxibustion: Insert needle 2 fen deep. Retain for seven breaths. Moxa can be applied for three moxa cones.
Note: Feiyang and Dazhong are the Luo-Connecting points where Foot-Taiyang Bladder and Foot-Shaoyin Kidney meridians transition from Yang to Yin and Yin to Yang. Feiyang is seven cun above the lateral malleolus, also known as Jueyang ("Jue" means end); Yang ends here and connects to Yin. "Feiyang" implies soaring high. Among the twelve Luo points, such as Neiguan/Waiguan and Guangming/Ligou, they form horizontal lines on the inner and outer sides of limbs. However, Feiyang and Dazhong (at the heel) show significant vertical disparity. "Dazhong" has two meanings: one is "heavy," the other is "drinking vessel." The Kidney is the root of life. Human standing relies on this heel bone, bearing heavy responsibility, hence "Da Zhong" (Great Weight/Bell). Kidney governs Water, storing essence of all Zang and Fu organs. Essence of water is Jin and Ye. Bladder is the official of the capital, storing Jin and Ye. Kidney essence and fluids transfer to the Bladder meridian. Without this great bell-like vessel, Jin and Ye would have no place to store, hence named Dazhong, with profound meaning.
9. Neiguan (PC6)
Location: Two cun posterior to the wrist crease on the palm side. It is the Luo-Connecting point of the Hand-Jueyin Pericardium Meridian, diverging to run to the Hand-Shaoyang Sanjiao Meridian.
Symptoms and Treatments: Treats red eyes, chest and hypochondriac fullness, stroke with elbow contracture. Excess syndrome presents with sudden heart pain; deficiency syndrome presents with palpitations and fear.
Acupuncture and Moxibustion: Insert needle 5 fen deep. Moxa can be applied for three moxa cones.
10. Waiguan (TE5)
Location: Two cun posterior to Yangchi (TE4), between two bones, opposite Neiguan. It is the Luo-Connecting point of the Hand-Shaoyang Sanjiao Meridian, diverging to run to the Hand-Jueyin Pericardium Meridian.
Symptoms and Treatments: Treats deafness with muffled hearing, inability to flex and extend elbow and arm, pain in five fingers preventing grasping.
Acupuncture and Moxibustion: Insert needle 3 fen deep. Moxa for three cones.
Note: Neiguan and Waiguan are the Luo points where Hand-Jueyin Pericardium and Hand-Shaoyang Sanjiao meridians separate Yin to exit Yang and separate Yang to enter Yin. Two cun posterior to the wrist on the palm side is Neiguan, between two tendons. Two cun posterior to the wrist on the dorsal side is Waiguan, between two bones. Make a fist to clearly see the tendons. For Waiguan, press the hand flat to feel the bones easily. These two points combine with the extraordinary vessels, Yin Wei Mai and Yang Wei Mai, forming two of the Eight Lingshi Points, to be selected by time, with maximum effect.
11. Guangming (GB37)
Location: Five cun above the lateral malleolus. It is the Luo-Connecting point of the Foot-Shaoyang Gallbladder Meridian, diverging to run to the Foot-Jueyin Liver Meridian.
Symptoms and Treatments: Treats febrile diseases with anhidrosis, sudden mania, chewing difficulties with limpness, calf soreness and pain, inability to stand for long. Deficiency syndrome presents with flaccidity and bi-syndrome, thin legs, difficulty rising from sitting. Excess syndrome presents with heat in the soles and knee pain, numbness of the body.
Acupuncture and Moxibustion: Insert needle 6 fen deep. Retain for seven breaths. Moxa for five cones.
12. Ligou (LR5)
Location: Five cun anterior-superior to the medial malleolus. It is the Luo-Connecting point of the Foot-Jueyin Liver Meridian, diverging to run to the Foot-Shaoyang Gallbladder Meridian.
Symptoms and Treatments: Treats hernia pain, lower abdominal fullness and pain, strangury, accumulation of Qi under the umbilicus like a cup, frequent belching, fear and palpitations, shortness of breath, cold and soreness of shins, difficulty flexing and extending, stiffness of waist and back preventing bending and twisting, irregular menstruation, leukorrhea (red and white discharge).
Acupuncture and Moxibustion: Insert needle 2 fen deep. Retain for three breaths. Moxa for three cones.
Note: Guangming and Ligou are the Luo points where Foot-Shaoyang Gallbladder and Foot-Jueyin Liver meridians transition from Yang to Yin and Yin to Yang. Five cun above the lateral malleolus is Guangming; five cun above the medial malleolus is Ligou. "Li" refers to small insects that gnaw wood. Liver is the Wood Zang, Gallbladder is the Wood Fu. The twelve meridians start with Lung and end with Liver. Liver blood cannot fully return to the Lung. Men grow beards; women have menstruation. Liver is the General, originating strategy; Gallbladder is the Official of Justice, originating decision. Considering the circulating Ying-Blood of the twelve meridians, there must be minor impurities. These are not beneficial to the Liver meridian but harmful, like Ligou gnawing wood. Therefore, Ligou and Guangming are set, corresponding internally and externally. With Gallbladder's decision-making, shining brightly, connecting to Ligou, preserving the good, transferring to the upper abdomen connecting Liver and Gallbladder; removing the bad, like the light of sun and moon, the harm of Ligou to wood naturally disappears.