一、商阳（井穴）
部位 在手大指次指内侧。去爪甲角如韭叶。
证治 胸中气满。喘咳支肿。热病汗不出。耳鸣耳聋。寒热 疟。口干。颐颔肿。齿痛。
恶寒。肩背急。相引缺盆痛。目青盲。
针灸 针入一分。留一呼。右取左。左取右。如食顷立已。可灸三壮。
按∶商阳乃阳井金穴之始。木上有水曰井。水乃金之所生。阳常有余。商乃肺音。大
肠合之。故曰商阳。大肠之脉。上颈贯颊。交人中。左之右。右之左。上夹鼻孔。
故治齿病目病。当左取右而右取左也。
二、二间（荥穴）
部位 在手大指次指本节前。内侧陷中。
证治 喉痹颔肿。肩背痛。振寒鼻鼽衄血。多惊口 。
针灸 针入三分。可灸三壮。
按∶二间乃阳荥水穴。金水相生。可针可灸。手次指亦名食指。共三节。此穴在二节
与三节之中间。故曰二间。
三、三间（俞穴）
部位 在手大指次指本节之后。内侧陷中。
证治 喉痹。咽中如鲠。齿龋痛。嗜卧。胸满肠鸣。洞泄寒疟。唇焦口干。气喘。目 急痛。
针灸 针入三分。留三呼。可灸三壮。
按∶三间乃阳俞木穴。手阳明脉之所注。在食指本节第三骨之后。大次指歧骨之前。
穴居其中。故名三间。
四、合谷（原穴）
部位 在手大指次指歧骨间陷中。
证治 疗寒热疟。鼻鼽衄。热病汗不出。目视不明。头痛。齿龋。喉痹。痿臂。面肿。
唇吻不收。喑不能言。口噤不开。
针灸 针入三分。留六呼。可灸三壮。若妇人妊娠。不可剌。刺之损胎气。
按∶合谷乃大肠手阳明之原穴。居大指次指歧骨间。稍偏次指微前缺陷中。直下可达
劳宫。与后溪成一直线。大指次指相合处。类似深谷。故称合谷。病重者。可深刺八分或一寸。
五、阳溪（经穴）
部位 在腕中上侧大指与次指两筋间陷中。
证治 狂言喜笑见鬼。热病烦心。目风赤烂有翳。厥逆头痛。胸满不得息。寒热疟疾。
喉痹。耳鸣。齿痛。惊掣肘臂不举。痂疥。
针灸 针入三分。留七呼。可灸三壮。慎如合谷法。
按∶阳溪乃手阳明所行之经穴。手太阴肺别络列缺交会之处。肺位最高。大肠居下。
手指掌后仰。则大指与次指两筋高起。太阴交阳明之处。有类山溪。故名阳溪。
六、曲池（合穴）
部位 在肘外辅骨屈肘曲骨之中以手拱胸取之。
证治 肘中痛。偏风半身不随。刺风瘾疹。喉痹不能言。胸中烦满。筋缓。捉物不得。
挽弓不开。屈伸难。风臂肘细而无力。伤寒余热不尽。皮肤干燥。
针灸 针入七分。得气先泻后补之。可灸三壮。
按∶曲池乃大肠手阳明之合穴。阳合为土。阳明多气多血。有余者泻之。然大肠为庚
金。土穴乃金之母。故泻后当补之。邪气之来也紧而急。谷气之来也徐而和。先
泻后补。指下针下。犹有所别。穴在肘外辅骨稍前陷中。屈曲其臂乃得之。故称曲池。
一、商阳（井穴）
部位：位于手食指内侧，距离指甲角约如韭菜叶宽度处。
证治：主治胸中气机壅满、喘息咳嗽、四肢肿胀、热病无汗、耳鸣耳聋、寒热往来及疟疾、口干、下颌部肿胀、牙齿疼痛、恶寒、肩背部拘急、牵引至缺盆穴处疼痛、目盲不见。
针灸：进针一分深，留针一次呼吸的时间。采用左病取右、右病取左的交叉刺法。大约一顿饭的功夫即可痊愈。可艾灸三壮。
按语：商阳是手阳明大肠经的阳井金穴之始。“木上有水”称为井，水是金所生的（金生水）。阳气常有余，商音对应肺，大肠与肺相表里合属，所以叫商阳。大肠经脉上行经过颈部贯穿面颊，在人中穴处左右交叉，向左行则从右侧来，向右行则从左侧来，上行夹鼻孔两侧。因此治疗齿病和眼病时，应当左病取右、右病取左。
二、二间（荥穴）
部位：位于手食指本节（近侧指间关节）前方，内侧凹陷处。
证治：主治喉痹、下颌肿胀、肩背疼痛、发冷颤抖、鼻塞流涕或鼻出血、易受惊吓、口角歪斜或言语不利。
针灸：进针三分深，可艾灸三壮。
按语：二间是手阳明大肠经的阳荥水穴，金水相生，既可针刺也可艾灸。手的第二指也称为食指，共有三节。此穴位于第二节与第三节之间，所以叫二间。
三、三间（输穴）
部位：位于手食指本节之后，内侧凹陷处。
证治：主治喉痹、咽喉中有异物感如鱼刺卡住、龋齿疼痛、嗜睡、胸满肠鸣、腹泻如水、寒性疟疾、嘴唇焦枯口干、气喘、眼部紧急疼痛。
针灸：进针三分深，留针三次呼吸的时间，可艾灸三壮。
按语：三间是手阳明大肠经的阳输木穴，是经气灌注之处。位于食指本节第三骨之后，大指与食指分叉骨骼之前，穴位居于其中，所以名叫三间。
四、合谷（原穴）
部位：位于手食指与拇指两骨之间的凹陷处。
证治：治疗寒热疟疾、鼻塞流涕或鼻出血、热病无汗、视物不明、头痛、龋齿、喉痹、手臂痿软无力、面部肿胀、口唇闭合不全、失声不能说话、牙关紧闭不开。
针灸：进针三分深，留针六次呼吸的时间，可艾灸三壮。如果是孕妇，不可针刺，因为针刺会损伤胎气。
按语：合谷是大肠经手阳明的原穴，位于拇指与食指两骨分叉之间的稍偏食指侧前方的微小凹陷中。直下可达劳宫穴，与后溪穴成一直线。在拇指与食指相合之处，形状类似深谷，所以称为合谷。病情重者，可深刺八分或一寸。
五、阳溪（经穴）
部位：位于手腕上侧，拇指与食指两根肌腱之间的凹陷处。
证治：主治胡言乱语、喜笑不止、见鬼怪幻觉、热病心烦、风邪引起的眼睛红肿溃烂生翳、厥逆头痛、胸满呼吸困难、寒热疟疾、喉痹、耳鸣、牙齿疼痛、惊恐抽搐导致肘臂不能抬起、疮疥。
针灸：进针三分深，留针七次呼吸的时间，可艾灸三壮。注意事项如同合谷穴的禁忌方法。
按语：阳溪是手阳明大肠经所行的经穴，是手太阴肺经络脉列缺穴交会的地方。肺的位置最高，大肠位置较低。手指掌面向后仰时，拇指与食指的两根肌腱高高隆起，太阴经与阳明经交会之处，形态类似山间的溪流，所以名叫阳溪。
六、曲池（合穴）
部位：在肘部外侧辅骨旁，屈肘时在曲骨形成的凹陷中取穴。
证治：主治肘部疼痛、中风半身不遂、风疹瘾块、喉痹不能说话、胸中烦闷胀满、筋脉弛缓、抓握物体无力、拉弓无法张开、屈伸困难、手臂肘部细小无力、伤寒余热未尽、皮肤干燥。
针灸：进针七分深，得气后先泻后补，可艾灸三壮。
按语：曲池是大肠经手阳明的合穴，阳合穴属性为土。阳明经多气多血，对于实证应当用泻法。但大肠属庚金，土穴是金的母穴（火生土，土生金？此处原文逻辑为“土穴乃金之母”，实则五行中土生金，故土为金之母），所以在泻法之后应当用补法。邪气来袭时脉象紧而急，谷气（正气）来袭时徐缓平和。先泻后补，指下针下的感觉有所区别。穴位位于肘外侧辅骨稍前方的凹陷中，弯曲手臂才能找到，所以称为曲池。
1. Shangyang (Jing-Well Point)
Location: On the radial side of the index finger, approximately the width of a leek leaf from the corner of the nail.
Indications: Fullness of qi in the chest, wheezing and coughing, swelling of the limbs, heat diseases with no sweating, tinnitus and deafness, alternating chills and fever, malaria, dry mouth, swelling of the mandible, toothache, aversion to cold, stiffness of the shoulder and back, pain radiating to the clavicular fossa (Quepen), blindness.
Acupuncture and Moxibustion: Insert needle 1 fen deep, retain for one breath. Apply cross-needling (left disease treated on right, right disease treated on left). Recovery occurs within the time it takes to eat a meal. Moxibustion: 3 moxa cones.
Commentary: Shangyang is the starting point of the Yang Metal Jing-Well point of the Large Intestine channel. "Water above wood" is called a well; water is generated by metal (Metal generates Water). Yang is often in excess. The musical note 'Shang' corresponds to the Lung, and the Large Intestine is internally-externally related to the Lung. Hence, it is named Shangyang. The Large Intestine meridian ascends through the neck, passes through the cheek, crosses at Renzhong (人中), going from left to right and right to left, and ascends flanking the nostrils. Therefore, for treating dental and ocular diseases, one should treat the left side using the right point and vice versa.
2. Erjian (Ying-Spring Point)
Location: In the depression on the ulnar side, proximal to the proximal interphalangeal joint of the index finger.
Indications: Throat obstruction (Bi syndrome), swelling of the jaw, shoulder and back pain, shivering chills, nasal congestion or epistaxis, frequent fright, deviation of the mouth or speech difficulties.
Acupuncture and Moxibustion: Insert needle 3 fen deep. Moxibustion: 3 moxa cones.
Commentary: Erjian is the Yang Water Ying-Spring point of the Large Intestine channel. Metal and Water generate each other; it can be needled and moxibusted. The second digit of the hand is also called the index finger, which has three segments. This point lies between the second and third segments, hence the name Erjian (Second Interval).
3. Sanjian (Shu-Stream Point)
Location: In the depression on the ulnar side, distal to the proximal interphalangeal joint of the index finger.
Indications: Throat obstruction, sensation of a foreign body in the throat like a fishbone, carious toothache, lethargy, chest fullness, borborygmus, watery diarrhea, cold malaria, scorched lips and dry mouth, asthma, urgent eye pain.
Acupuncture and Moxibustion: Insert needle 3 fen deep, retain for three breaths. Moxibustion: 3 moxa cones.
Commentary: Sanjian is the Yang Wood Shu-Stream point of the Large Intestine channel, where the Qi pours in. It is located posterior to the third bone of the proximal phalanx of the index finger and anterior to the bifurcation bone of the thumb and index finger. The point resides in this interval, thus named Sanjian (Third Interval).
4. Hegu (Yuan-Source Point)
Location: In the depression between the metacarpal bones of the thumb and index finger.
Indications: Treatment of alternating chills and fever, malaria, nasal congestion or epistaxis, heat diseases with no sweating, blurred vision, headache, carious toothache, throat obstruction, flaccid paralysis of the arm, facial swelling, inability to close the lips, aphonia, trismus (lockjaw).
Acupuncture and Moxibustion: Insert needle 3 fen deep, retain for six breaths. Moxibustion: 3 moxa cones. Contraindicated in pregnant women, as needling may damage fetal Qi.
Commentary: Hegu is the Yuan-Source point of the Hand-Yangming Large Intestine channel. It is located in the slight depression slightly偏向 the index finger side between the bifurcation of the thumb and index finger. Directly below, it aligns with Laogong (PC8) and Houxi (SI3) in a straight line. Where the thumb and index finger meet, the shape resembles a deep valley, hence the name Hegu (Combining Valley). For severe conditions, it can be inserted deeply 8 fen or 1 cun.
5. Yangxi (Jing-River Point)
Location: In the depression between the tendons of the thumb and index finger on the radial aspect of the wrist crease.
Indications: Delirious speech, excessive laughter, hallucinations of seeing ghosts, irritability due to heat diseases, wind-pathogen causing red, rotting eyes with nebula,厥逆 (Jue-ni) headache, chest fullness with dyspnea, alternating chills and fever malaria, throat obstruction, tinnitus, toothache,惊掣 (frightful convulsions) preventing elevation of the elbow and arm, scabies.
Acupuncture and Moxibustion: Insert needle 3 fen deep, retain for seven breaths. Moxibustion: 3 moxa cones. Precautions are the same as for Hegu.
Commentary: Yangxi is the Jing-River point of the Hand-Yangming Large Intestine channel, where it intersects with Lieque (LU7), the Luo-Connecting vessel of the Hand-Taiyin Lung. The Lung is located highest, while the Large Intestine is lower. When the palm is extended dorsally, the tendons of the thumb and index finger rise high. The intersection of the Taiyin and Yangming channels resembles a mountain stream, hence the name Yangxi (Yang Stream).
6. Quchi (He-Sea Point)
Location: Lateral to the olecranon process of the humerus, in the depression formed when the elbow is flexed. To locate, flex the elbow against the chest.
Indications: Pain in the elbow, hemiplegia due to wind-stroke, urticaria (wind-rash), throat obstruction with inability to speak, chest烦满 (fullness and irritability), flaccidity of sinews, inability to grasp objects, inability to draw a bow, difficulty in flexion and extension, thin and weak arms/elbows, residual heat from cold damage diseases, dry skin.
Acupuncture and Moxibustion: Insert needle 7 fen deep. Upon obtaining Deqi, apply reducing method first, then reinforcing method. Moxibustion: 3 moxa cones.
Commentary: Quchi is the He-Sea point of the Hand-Yangming Large Intestine channel. Yang He-Sea points belong to Earth. The Yangming channel is abundant in Qi and Blood; excess should be reduced. However, the Large Intestine belongs to Geng Metal, and the Earth point is the mother of Metal (Earth generates Metal). Therefore, after reducing, one should reinforce. When pathogenic Qi arrives, the pulse is tight and rapid; when Gu Qi (healthy Qi) arrives, it is slow and harmonious. The distinction between reducing and reinforcing is felt under the needle. The point is located in the slight depression anterior to the lateral epicondyle of the humerus, found by flexing the arm, hence the name Quchi (Curved Pool).