一、少冲（井穴）
部位 在手小指内廉之端。去爪甲角如韭叶。
证治 热病烦满。上气。心痛。痰冷。少气。悲恐善惊。掌中热。胸中痛。口中热。咽
中酸。乍寒乍热。手挛不伸。引肘腋痛。
针灸 针入一分。可灸三壮。
二、少府（荥穴）
部位 在小指本节后陷中。平直劳宫。
证治 烦满少气。悲恐畏人。掌中热。臂酸。肘腋挛急。胸中痛。手卷不伸。
针灸 针入二分。可灸七壮。
三、神门（俞穴）
部位 在掌后兑骨之端陷中。
证治 疟。心烦甚。欲得饮冷。恶寒则欲处温中。咽干不嗜食。心痛数噫。恐悸。少气
不足。手臂寒喘逆身热狂悲狂笑。呕血。上气遗溺。大小人五痫。
针灸 针入三分。留七呼。可灸七壮。炷如小麦大。
四、灵道（经穴）
部位 在臂内下廉。去掌后横纹后一寸五分。
证治 心痛。悲恐相引螈 肘挛。暴喑不能言。
针灸 针入三分。可灸三壮。
五、少海（合穴）
部位 在肘内廉横纹头尽处陷中。曲手向头取之。
证治 寒热齿龋痛。目眩发狂。呕吐涎沫。项不得回顾。肘挛。腋胁下痛。四肢不得
举。
针灸 针入五分。不宜灸。
按∶以上少冲。少府。神门。灵道。少海。为心本藏之井木。荥火。俞土。经金。合
水五穴。乃扁鹊所增。本输篇并未记载。然神门一穴。照子午流注甲己日卯时针
之。治大小人痫证有特效。（仙）用针数十年。心本藏九穴。仅取神门一穴。余八穴未曾一次取用。盖
尊经旨。外经病而内不病。独取其经于掌后兑骨之端之正义。
兑骨即掌外侧腕后高起之踝骨。手踝骨向内转。踝内侧骨有空即神门穴。踝骨上
另有一空即养老穴。经称此骨名兑骨。兑有内通之义。向内一转则神门养老两孔
穴皆开。与足内外踝之顽梗不开无穴可取者。迥然不同。故别其名曰兑骨。继起针灸家多书作
锐骨。义未妥。
一、少冲（井穴）
部位：位于手小指内侧指甲角旁，距离指甲角约如韭菜叶宽度处。
证治：热病引起的烦闷胀满。气逆上冲。心痛。痰饮寒冷感。气短。悲伤恐惧且易受惊。手掌心发热。胸部疼痛。口中发热。咽喉中有酸味。忽冷忽热。手部痉挛无法伸展。牵引至肘部和腋窝疼痛。
针灸：针刺深度一分。可艾灸三壮。
二、少府（荥穴）
部位：在小指本节（掌指关节）后的凹陷中。位置与劳宫穴平齐。
证治：烦闷胀满，气短。悲伤恐惧，畏人。手掌心发热。手臂酸痛。肘部和腋窝拘挛紧急。胸部疼痛。手指卷曲不能伸展。
针灸：针刺深度二分。可艾灸七壮。
三、神门（俞穴）
部位：在手腕后方豌豆骨（兑骨）端的凹陷中。
证治：疟疾。心烦严重。想要喝冷水。怕冷则想处于温暖环境中。咽干不想进食。心痛频繁打嗝。恐惧心悸。气短乏力。手臂发冷，气喘逆乱，身体发热，狂躁，悲伤或狂笑。呕血。气逆上冲，遗尿。成人和儿童的各类癫痫。
针灸：针刺深度三分。留针七次呼吸的时间。可艾灸七壮。艾炷大小如小麦粒。
四、灵道（经穴）
部位：在前臂内侧下缘。距离手腕横纹向后一寸五分处。
证治：心痛。悲伤恐惧相互牵引导致抽搐。肘部拘挛。突然失音不能说话。
针灸：针刺深度三分。可艾灸三壮。
五、少海（合穴）
部位：在肘部内侧横纹尽头处的凹陷中。屈肘向头部方向取穴。
证治：寒热往来，龋齿痛。目眩，发狂。呕吐涎沫。颈部僵硬不能回顾。肘部拘挛。腋窝和胁下疼痛。四肢不能抬起。
针灸：针刺深度五分。不宜艾灸。
按语：以上少冲、少府、神门、灵道、少海，分别是心本脏的井（木）、荥（火）、俞（土）、经（金）、合（水）五穴。这是扁鹊所增加的，《本输》篇中并未记载。然而神门这一穴位，按照子午流注法，在甲日和己日的卯时针刺，治疗成人和儿童的癫痫证有特效。（吴棹仙）我用针数十年，对于心本脏九穴，仅取用神门一穴，其余八穴从未同时取用过。这是因为尊重经典旨意，认为外经有病而内脏无病时，独取位于掌后兑骨端这一经脉的正义所在。
兑骨即手掌外侧腕后高起的踝骨。手部的踝骨向内转动，踝骨内侧有空隙处即为神门穴。踝骨上方另有一个空隙即为养老穴。经络学说称此骨为兑骨，“兑”有内通的含义。向内一转，则神门和养老两个孔穴都开启。这与足部内外踝处骨骼坚硬梗塞、没有穴位可取的情况截然不同。因此特别将其命名为“兑骨”。后世继起的针灸家多写作“锐骨”，含义不妥。
1. Shaochong (Jing-Well Point)
Location: At the radial corner of the little finger, approximately the width of a leek leaf away from the nail angle.
Indications and Treatments: Heat diseases causing irritability and fullness. Qi rebelling upward. Heart pain. Cold sensation due to phlegm-fluids. Shortness of breath. Sadness, fear, and susceptibility to fright. Heat in the palm. Chest pain. Heat in the mouth. Sourness in the throat. Alternating chills and fever. Hand spasms with inability to extend. Pain radiating to the elbow and axilla.
Acupuncture and Moxibustion: Needle insertion depth 1 fen. Moxibustion: 3 moxa cones.
2. Shaofu (Ying-Spring Point)
Location: In the depression distal to the metacarpophalangeal joint of the little finger, level with Laogong (PC 8).
Indications and Treatments: Irritability and fullness, shortness of breath. Sadness, fear, and aversion to people. Heat in the palm. Soreness of the arm. Spasm and tightness of the elbow and axilla. Chest pain. Curling of the fingers with inability to extend.
Acupuncture and Moxibustion: Needle insertion depth 2 fen. Moxibustion: 7 moxa cones.
3. Shenmen (Shu-Stream Point)
Location: In the depression at the ulnar end of the wrist crease, at the tip of the pisiform bone (Dui Gu).
Indications and Treatments: Malaria. Severe mental restlessness. Desire for cold drinks. Aversion to cold, preferring warmth. Dry throat, anorexia. Heart pain with frequent belching. Fear and palpitations. Shortness of breath and deficiency. Cold arms, asthma and rebellious Qi, body heat, mania, sadness or manic laughter. Hematemesis. Rebellious Qi and enuresis. Epilepsy in both adults and children.
Acupuncture and Moxibustion: Needle insertion depth 3 fen. Retain needle for seven respiratory cycles. Moxibustion: 7 moxa cones, size of a wheat grain.
4. Lingdao (Jing-River Point)
Location: On the medial aspect of the forearm, 1.5 cun proximal to the transverse cubital crease.
Indications and Treatments: Heart pain. Sadness and fear inducing convulsions. Elbow spasm. Sudden aphonia (inability to speak).
Acupuncture and Moxibustion: Needle insertion depth 3 fen. Moxibustion: 3 moxa cones.
5. Shaohai (He-Sea Point)
Location: In the depression at the medial end of the transverse cubital crease. Take the point with the elbow flexed towards the head.
Indications and Treatments: Alternating chills and fever, toothache from dental caries. Vertigo, mania. Vomiting of saliva and froth. Stiff neck unable to look back. Elbow spasm. Pain in the axilla and hypochondrium. Inability to raise the four limbs.
Acupuncture and Moxibustion: Needle insertion depth 5 fen. Moxibustion is contraindicated.
Note: The above points—Shaochong, Shaofu, Shenmen, Lingdao, and Shaohai—are the Jing-Well (Wood), Ying-Spring (Fire), Shu-Stream (Earth), Jing-River (Metal), and He-Sea (Water) points of the Heart organ system, respectively. These were added by Bian Que and are not recorded in the *Ben Shu* chapter. However, the point Shenmen, when needled according to the Zi Wu Liu Zhu method on Jia and Ji days at Mao hour, has a special effect in treating epilepsy in adults and children. (Wu) I have used acupuncture for decades; regarding the nine points of the Heart organ system, I only utilize Shenmen, and have never simultaneously used the other eight points. This is out of respect for the classical principles, adhering to the correct interpretation that when there is disease in the exterior meridians but not in the interior organs, one should exclusively select the point located at the end of the Dui Gu bone on the palm side.
Dui Gu refers to the prominent malleolus-like bone rising behind the lateral aspect of the wrist. When the hand's ankle bone rotates inward, the hollow on the medial side of this ankle bone is Shenmen. Another hollow above the ankle bone is Yanglao. The classics call this bone "Dui Gu"; "Dui" implies internal communication. By rotating inward, both the Shenmen and Yanglao apertures open. This is distinctly different from the solid, unyielding bones of the medial and lateral malleoli of the foot, where no points can be taken. Therefore, it is specifically named "Dui Gu." Later acupuncturists often wrote it as "Rui Gu," which is semantically inappropriate.