一、厉兑（井穴）
部位 在足大指次指之端。去爪甲角。如韭叶。
证治 尸厥。口噤气绝。状如中恶。腹胀满。汗不出。寒疟不嗜食面肿。足 寒。喉
痹。齿龋。恶风。鼻不利。多惊。好卧。
针灸 针入一分。可灸一壮。
按∶厉兑乃足阳明所出之井金穴。尸厥或胃家实。皆可用锋针浅刺之。厉不美也。兑
通也。足次指受大指之排挤。其形恶厉。其经脉斜通于次指外间。故名厉兑。
二、内庭（荥穴）
部位 在足大指次指外间陷中。
证治 四肢厥逆。腹胀满。数欠。恶闻人声。振寒。咽中引痛。口 。齿龋痛。疟不嗜食。
针灸 针入三分。可灸三壮。
按∶内庭乃阳荥水穴。在足次指外间。中指内间。跗上半寸。两指之正中。如一庭竖
于内。故名内庭。
三、陷谷（俞穴）
部位 在足中指内间。本节后陷中。去内庭二寸。
证治 面目浮肿。及水病。善噫。肠鸣腹痛。热病汗不出。振寒疟疾。
针灸 针入三分。留七呼。可灸三壮。
按∶陷谷乃阳俞木穴。病重者可针五分。穴位下陷如深谷。故名陷谷。
四、冲阳（原穴）
部位 在足跗上五寸。去陷谷二寸半。
证治 偏风口眼 斜。跗肿。齿龋痛。发寒热。腹坚大。不嗜食。伤寒病振寒而欠。久
狂。登高而歌。弃衣而走。足缓履不收。身前痛。
针灸 针入五分。可灸三壮。
按∶冲阳在足背高起处。有动脉应手。名趺阳脉。久病欲知府气之强弱者。必诊此脉。其穴
类似中封。使逆则宛。和则通。摇足而得之水谷精华大会于此。阳明多气多血。有此一冲衢。
故名冲阳。
五、解溪（经穴）
部位 在冲阳后一寸五分。腕上陷中。
证治 治风面浮肿。颜黑。厥气上冲。腹胀。大便下重。 惊。膝股 肿。转筋目眩。
头痛癫疾。烦心悲泣。霍乱。头风。面目赤。眉攒疼。
针灸 针入五分。可灸三壮。
按∶解溪乃阳经火穴。上为 骨。下为跗属。分解于此穴陷中。故名解溪。俗称鞋带
穴。以束缚鞋带。正在此穴间也。
六、足三里（合穴）
部位 在膝下三寸 骨外廉。大筋内宛宛中。两筋肉分间。当低跗取之。
证治 胃中寒。心腹胀满。胃气不足。闻食 。肠鸣腹痛。食不化。秦丕祖云。诸病皆
治。食气水气。蛊毒 癖。四肢肿满。膝 酸痛。目不明。华佗云。疗五劳羸瘦。七伤虚乏。胸
中瘀血。乳痈。人年三十以上。若不灸三里。令气上冲目。
针灸 针入五分。可灸三壮。
按∶三里穴名。手足阳明皆有。名同穴异。继起针灸家增一足字以别之。盖阳明行气
于三阳。里者。宽广之义。古（井田制）。九百亩为方里。盖胃为水谷之海。大肠小肠。三焦。无
处不到也。六腑皆出足之三阳。上合于手。故本输篇称之曰下陵三里。为高必因丘陵。大阜曰
陵。高于丘也。陵冠一下字。盖足三里穴不如手阳明三里之高上。手三里又不如足三里之敦阜。
且也足太阴脾合于膝内阴之陵泉。足少阳胆。合于膝外阳之陵泉。皆高于足阳明 骨外之三里。故正其名曰下陵三
里。其穴可针一寸。肥人可针一寸二分。如足下病风毒。可尽量多灸。
一、厉兑（井穴）
部位 位于足大趾与次趾的末端。距离爪甲角，宽度如同韭菜叶。
证治 尸厥（突然昏倒、不省人事）。口噤（牙关紧闭）、气息断绝。症状类似中恶（突受邪气侵袭）。腹胀满。无汗。寒疟疾且食欲不振、面部浮肿。足部寒冷。喉痹（咽喉肿痛闭塞）。龋齿痛。怕风。鼻窍不通利。易受惊吓。喜欢躺卧。
针灸 针刺深度一分。可艾灸一壮。
按语：厉兑是足阳明胃经所出的“井”穴，五行属金。“尸厥”或“胃家实”（胃肠实热积滞），均可用锋针浅刺治疗。“厉”字含义不佳。“兑”意为通。足次趾受到大趾的排挤，其形态丑陋严峻（厉），其经脉斜行通向次趾外侧，因此命名为厉兑。
二、内庭（荥穴）
部位 位于足大趾与次趾之间的凹陷处。
证治 四肢厥逆（手足冰冷）。腹胀满。频繁打哈欠。厌恶听到人声。战栗发冷。咽喉牵引性疼痛。口中流涎（原文缺字，据语境补为流涎或口臭等症，此处依原文留白处理，通常指口歪或流涎）。龋齿痛。疟疾且食欲不振。
针灸 针刺深度三分。可艾灸三壮。
按语：内庭是阳经的“荥”穴，五行属水。位于足次趾外侧、中指内侧、足背上方半寸处，两趾的正中间。形状像一个庭院竖立在内部，因此命名为内庭。
三、陷谷（俞穴）
部位 位于足第二趾内侧，本节关节后的凹陷处。距离内庭穴二寸。
证治 面目浮肿，以及水肿病。容易嗳气。肠鸣腹痛。热病无汗。战栗发冷的疟疾。
针灸 针刺深度三分，留针七次呼吸的时间。可艾灸三壮。
按语：陷谷是阳经的“俞”穴，五行属木。病情较重者可针刺五分。穴位下陷如同深谷，因此命名为陷谷。
四、冲阳（原穴）
部位 位于足背上五寸处（注：原文此处可能有误，通常冲阳在足背最高点，距陷谷二寸半）。距离陷谷穴二寸半。
证治 偏瘫导致的面瘫、口眼歪斜。足背肿胀。龋齿痛。忽冷忽热。腹部坚硬胀大。食欲不振。伤寒病时战栗发冷并打哈欠。长期癫狂。登高唱歌。脱衣奔跑。足部无力无法穿鞋。身前疼痛。
针灸 针刺深度五分。可艾灸三壮。
按语：冲阳穴位于足背高起处，能摸到动脉跳动，称为趺阳脉。久病患者若想知晓腑气的强弱，必须诊察此脉。该穴位类似中封穴，若气血逆乱则郁结不通，气血调和则通畅。摇动足部即可触及，此处是水谷精华汇聚之地。阳明经多气多血，因为有这一条交通要道，所以命名为冲阳。
五、解溪（经穴）
部位 位于冲阳穴后一寸五分处，踝关节前方的凹陷中。
证治 治疗风邪导致的面部浮肿。面色发黑。厥气上冲。腹胀。大便有重坠感。惊恐。膝部和股部肿胀。筋脉拘挛、目眩。头痛、癫疾。心烦悲伤哭泣。霍乱。头风。面目发红。眉棱骨疼痛。
针灸 针刺深度五分。可艾灸三壮。
按语：解溪是阳经的“经”穴，五行属火。上方为胫骨，下方为跗骨，在此穴的凹陷处分界，因此命名为解溪。俗称“鞋带穴”，因为系绑鞋带的位置正好在这个穴位之间。
六、足三里（合穴）
部位 位于膝盖下三寸，胫骨外侧边缘。在大筋内的凹陷处，两块肌肉之间的缝隙中。应当低着脚背来取穴。
证治 胃中寒。心腹胀满。胃气不足。闻到食物气味即呕吐（原文缺字，通常为“闻食臭”或“欲呕”）。肠鸣腹痛。食物不消化。秦丕祖说：各种病症都能治疗。包括食气、水气、蛊毒、癖块。四肢肿满。膝部酸痛。视力不明。华佗说：治疗五劳羸瘦、七伤虚乏。胸中瘀血。乳痈。人年过三十，如果不灸足三里，会导致气上冲眼睛。
针灸 针刺深度五分。可艾灸三壮。
按语：“三里”这个穴名，手阳明和足阳明都有，名称相同但穴位不同。后来的针灸家增加一个“足”字以作区别。大概是因为阳明经在三阳经中运行气机，“里”有宽广的意思。古代井田制中，九百亩为一平方里。大概因为胃是水谷之海，大肠、小肠、三焦无处不到。六腑的气都出于足的三阳经，向上汇合于手经。所以《本输》篇称其为“下陵三里”。因为高处必依丘陵，大的土山叫“陵”，比丘要高。给“陵”冠以一个“下”字，是因为足三里穴不如手阳明三里穴位置高上，手三里又不如足三里穴那样敦厚高大。而且足太阴脾经合于膝内侧阴面的“陵泉”（阴陵泉），足少阳胆经合于膝外侧阳面的“陵泉”（阳陵泉），都高于足阳明胫骨外侧的三里。所以正名为“下陵三里”。该穴可针刺一寸，肥胖者可针刺一寸二分。如果足下有风毒，可以尽量多灸。
1. Lidui (Jing-Well Point)
Location: At the lateral end of the second toe, approximately one fen away from the corner of the nail, with a width resembling a leek leaf.
Clinical Manifestations: Shijue (sudden collapse and loss of consciousness). Koujin (lockjaw) and cessation of breath. Symptoms resembling Zhong'e (sudden attack by evil pathogens). Abdominal distension and fullness. Anhidrosis (absence of sweating). Cold malaria with anorexia and facial edema. Cold feet. Houbi (sore throat and obstruction). Dental caries pain. Aversion to wind. Nasal congestion. Frequent fright. Preference for lying down.
Acupuncture and Moxibustion: Needle insertion depth is one fen. Moxibustion: three moxa cones.
Commentary: Lidui is the Jing-Well metal point of the Foot-Yangming Stomach Meridian. Both Shijue and Weijia Shi (excess syndrome of the stomach/intestines) can be treated with shallow pricking using a sharp needle. The character "Li" implies ugliness or severity. "Dui" means open or communicating. The second toe is squeezed by the big toe, giving it an ugly appearance; its meridian channel slants towards the outer side of the second toe, hence the name Lidui.
2. Neiting (Ying-Spring Point)
Location: In the depression between the second and third toes on the dorsum of the foot.
Clinical Manifestations: Limb cold extremities (Jue-ni). Abdominal distension and fullness. Frequent yawning. Aversion to human voices. Chills and shivering. Pulling pain in the throat. Salivation (text missing, inferred context). Dental caries pain. Malaria with anorexia.
Acupuncture and Moxibustion: Needle insertion depth is three fen. Moxibustion: three moxa cones.
Commentary: Neiting is the Ying-Spring water point of the Yang meridian. It is located in the depression between the second and third toes, half cun above the dorsum of the foot, exactly in the middle of the two toes. Its shape resembles a courtyard standing vertically inside, hence the name Neiting.
3. Xangu (Shu-Stream Point)
Location: In the depression posterior to the proximal interphalangeal joint of the second toe, two cun distal to Neiting.
Clinical Manifestations: Facial and ocular edema, and other edema diseases. Frequent belching. Borborygmus and abdominal pain. Heat disease with anhidrosis. Malaria with chills and shivering.
Acupuncture and Moxibustion: Needle insertion depth is three fen, retain for seven breaths. Moxibustion: three moxa cones.
Commentary: Xangu is the Shu-Stream wood point of the Yang meridian. For severe conditions, needle insertion may be five fen. The acupoint lies in a depression resembling a deep valley, hence the name Xangu.
4. Chongyang (Yuan-Source Point)
Location: On the dorsum of the foot, at the highest prominence, two and a half cun distal to Xangu.
Clinical Manifestations: Hemiplegia with facial paralysis and deviation of the mouth and eyes. Dorsum of the foot swelling. Dental caries pain. Alternating chills and fever. Hard and distended abdomen. Anorexia. In Shanghan disease, chills, shivering, and yawning. Chronic mania. Singing while climbing high. Running naked. Foot weakness unable to hold shoes. Anterior body pain.
Acupuncture and Moxibustion: Needle insertion depth is five fen. Moxibustion: three moxa cones.
Commentary: Chongyang is located at the prominent part of the dorsum of the foot where the arterial pulse is palpable, known as the Fuyang pulse. To assess the strength of Fu-organ Qi in chronic diseases, this pulse must be examined. This point is similar to Zhongfeng; if Qi and Blood flow reversely, they stagnate; if harmonious, they flow freely. It can be found by moving the foot; here gathers the essence of food and drink. The Yangming meridian is abundant in Qi and Blood, having this thoroughfare, hence the name Chongyang.
5. Jiexi (Jing-River Point)
Location: One and a half cun posterior to Chongyang, in the depression anterior to the ankle joint.
Clinical Manifestations: Wind-induced facial edema. Dark complexion. Rebellious Qi rushing upward. Abdominal distension. Heaviness in defecation. Fright. Swelling of the knee and thigh. Tendon spasm and vertigo. Headache and epilepsy. Restlessness, sadness, and weeping. Huoluan (acute gastroenteritis). Head wind. Red face and eyes. Pain in the glabella.
Acupuncture and Moxibustion: Needle insertion depth is five fen. Moxibustion: three moxa cones.
Commentary: Jiexi is the Jing-River fire point of the Yang meridian. Above is the tibia, below is the tarsus, dividing at the depression of this point, hence the name Jiexi. Commonly known as the "shoelace point," because tying shoelaces occurs precisely between these points.
6. Zusanli (He-Sea Point)
Location: Three cun below the knee, on the lateral border of the tibia, within the depression of the large tendon, between the separation of two muscles. Take the point with the foot lowered.
Clinical Manifestations: Cold in the stomach. Epigastric and abdominal distension. Deficiency of Stomach Qi. Nausea upon smelling food. Borborygmus and abdominal pain. Indigestion. Qin Bizu stated: It treats various diseases, including food qi, water qi, gu-toxin, and pi-masses. Fullness of limbs. Knee soreness and pain. Impaired vision. Hua Tuo stated: It treats five labors, emaciation, seven injuries, deficiency, and exhaustion. Blood stasis in the chest. Mastitis. For those over thirty years old, if Zusanli is not moxibusted, Qi will rush upward to the eyes.
Acupuncture and Moxibustion: Needle insertion depth is five fen. Moxibustion: three moxa cones.
Commentary: The name "Sanli" exists in both Hand-Yangming and Foot-Yangming meridians, but the points are different. Later acupuncture masters added the character "Zu" (Foot) to distinguish them. Generally, Yangming circulates Qi among the three Yang meridians; "Li" implies breadth. In ancient well-field systems, nine hundred mu constituted a square li. Since the Stomach is the Sea of Water and Grain, and the Large Intestine, Small Intestine, and Sanjiao reach everywhere, the Qi of the six Fu-organs emerges from the Foot-Yangming meridians and connects upwards to the Hand meridians. Thus, the Ben Shu chapter calls it "Xialing Sanli." High places rely on hills; a large mound is called "Ling," higher than a hill. Adding "Xia" (Lower) to Ling indicates that the Foot-Zusanli point is lower than the Hand-Mingsli point, and Hand-Mingsli is less substantial than Foot-Zusanli. Furthermore, Foot-Taiyin Spleen connects to Yinlingquan on the medial knee, and Foot-Shaoyang Gallbladder connects to Yanglingquan on the lateral knee, both higher than Zusanli on the lateral tibia. Hence, it is formally named Xialing Sanli. The needle insertion depth is one cun; for obese individuals, one and a two fen. If there is wind-toxin in the foot, moxibustion should be increased as much as possible.