肺者。藏也。两旁一十八穴。出甲乙经。
肺出于少商。少商者木也(在手大指端内侧。出手甲角。如韭叶。手太阴脉之所出也。
为井
冬。三月宜灸之)。流于鱼际。鱼际者。火也(在手大指本节后内侧。散脉中。手太阴脉之所
流也。为荣春。三月宜灸之)。注于太渊。太渊者上也(在掌后陷者中。手太阴脉之所注也。
为俞。夏三月宜灸之)。行于经渠。经渠者。金也(在寸口陷者中。手太阴脉之所行也。为经
不可灸。伤人神明)。入于尺泽。尺泽者。水也(在肘中约上动脉手。太阴脉之所入也。为
合。秋三月宜灸之)。
少商(在手大指端内侧。去爪甲如韭叶。灸一壮。主疟寒厥。及热烦心。善哕。
心满而
汗出。寒濯濯热烦。手臂不仁。唾沫唇干。及热烦心。引饮手HT 。挛指支痛。肺胀上气。耳
中生风。咳喘逆。痹臂痛。呕吐食饮不下。彭彭然。热病象疟。振栗鼓颔。腹胀俾倪。喉中
喘。耳前痛。甄权云。在手大拇指甲骨外畔当角一韭叶。白肉际宛宛中是也。此脉脾肺之候
论藏凑不宜灸之。忌生冷热食)。
鱼际(在手大指本节后内侧。散脉中。灸三壮。主虚极洒洒毛起恶风寒。舌上黄
身
热。咳嗽。喘病走胸背不得息。头痛甚。汗不出。寒厥。及烦热。心少气不足以息。阴湿痒
腹痛不下饮食。肘挛支满。喉中焦干。竭 上气。热病。振栗鼓颔。腹满阴痿。咳引尻漏
出。虚也。膈中虚。饮食呕。身热。汗不出。数唾涎。呕吐血下。肩背寒热。脱色。目泣出
皆虚也。色不变者。肺心痛也。短气心痹。悲怒逆气恐狂易霍乱。胃气逆)。
太渊(在手掌后陷者中。灸三壮。主痹逆气寒。厥逆。烦心。善唾哕噫。胸满HT
呼。
胃气上逆。心痛咳逆。烦闷不得卧。胸中满喘。背痛肺胀满彭彭。臂厥。肩膺胸满痛。目中
白翳。眼青转筋。掌中热。乍寒乍热。缺盆中相引痛。数欠喘不得息。臂内廉痛。膈饮烦满
病温身热。五日以上。汗不出。厥心痛卧若从居心间痛。动作。痛益甚色。不变者。肺心
痛也。如乳噫胃气上逆心痛。唾血。振寒。嗌干。狂言口僻肘中痛。皆疟痹也)。
经渠(在寸口陷者中。不可灸。伤人神明。主疟寒热。胸背急。胸中彭彭然。甚
即
交两手如瞀。为暴痹。喘逆喉痹。掌中热。咳逆上气。喘息数欠。热病汗不出。心痛欲呕也
)。
列缺(手太阴络。去腕上一寸半。灸五壮。甄权云。腕后臂侧二寸。手交叉食指
两筋
骨罅宛宛中是也。主偏风口 。半身不遂。腕劳。灸三壮。主疟甚热。惊痫如有见者。咳喘
掌中热。虚则肩背寒栗。少气不足以息。寒厥。交两手如瞀。为口沫出。实则肩背热痛。
汗出。四肢肿。身温。睡时热。饥则烦。饱则面色变。口噤不开。恶风泣血出。喉痹咳嗽上
气。数欠。四肢厥逆。喜笑弱白。热病。先手臂痛。身热螈 。喜笑纵唇口。咽干鼻张。呕
吐汗出如连珠。小便白。热痛。两乳下三寸坚。胁下满。心悸善忘。口中沫出)。
孔最(手太阴 。去腕上五寸。灸五壮。主热病汗不出。此穴可灸五壮。汗即出
并主臂厥头痛)。
尺泽(在肘中约纹上动脉。灸三壮。甄权云。在臂屈横文中两筋骨罅陷者宛宛中
不
宜灸。主喉痹上气。舌干胁痛。心彭彭痛。咳逆上气。心烦肩寒。少气不足以息。腹胀喘逆
振栗。螈 。手不伸。咳嗽唾浊。气膈善呕。鼓颔不得汗。烦满身痛。因为纵衄唾血。时
寒时热。胞中有大疝瘕积与阴相引痛。若穴泄之。并主喉痹哽噎。寒热。实则肩背热痛。汗
不出。四肢暴肿。虚则臂背寒。短气心烦。癫疾呕沫。手臂不得上头。肘痛。也)。
侠白(在天府下去肘下五寸动脉。手太阴脉气所发。灸五壮。主心痛。咳逆。干
呕。烦满)。
天府(在腋下三寸。臂 内廉动脉。手太阴肺气所发。禁不可灸。使人逆气。主
咳上
气喘不得息。暴瘴内逆。肝肺相搏。口鼻出血。身胀逆息。不能卧风。汗不出。身肿。喘喝
多睡。恍惚善忘。嗜卧不觉。甄权千金扬操同。也)。
肺,是藏精气而不泄的脏器。其两侧共有十八个穴位,出自《甲乙经》。
手太阴肺经的井穴少商,属木(位于手大拇指末端内侧,距离指甲角如韭菜叶宽处,为手太阴脉气所出之处,为井穴。冬季三个月适宜艾灸此穴)。脉气流注于荥穴鱼际,属火(位于手大拇指本节后的内侧,散在的脉管中,为手太阴脉气所流之处,为荣穴。春季三个月适宜艾灸此穴)。脉气灌注于输穴太渊,属土(位于手腕后凹陷处,为手太阴脉气所注之处,为俞穴。夏季三个月适宜艾灸此穴)。脉气运行于经穴经渠,属金(位于寸口凹陷处,为手太阴脉气所行之处,为经穴,不可艾灸,否则会损伤人的神明)。脉气汇入合穴尺泽,属水(位于肘部横纹上动脉跳动处,为手太阴脉气所入之处,为合穴。秋季三个月适宜艾灸此穴)。
少商穴(位于手大拇指末端内侧,距离指甲角如韭菜叶宽处,灸一壮。主治疟疾寒厥,以及热病烦心,容易呃逆,心胸满闷而汗出,忽冷忽热且心烦,手臂麻木不仁,唾沫多嘴唇干燥,以及热病烦心,引水自饮,手指挛急肢体疼痛,肺胀气喘,耳中生风,咳嗽气喘气逆,臂部痹痛,呕吐饮食不下,腹部膨隆,热病像疟疾一样,颤抖鼓颔,腹胀喘息,喉中气喘,耳前疼痛。甄权说:在手大拇指指甲外侧边缘,距离指甲角如韭菜叶宽,白肉与红肉交界处凹陷中即是。此脉为脾肺之候,论述脏腑凑聚不宜艾灸,忌食生冷冷热食物)。
鱼际穴(位于手大拇指本节后的内侧,散在的脉管中,灸三壮。主治极度虚弱时洒洒恶寒、毫毛竖起、怕风怕冷,舌苔黄,身体发热,咳嗽,气喘病邪走窜胸背导致呼吸不畅,头痛剧烈,汗不出,寒厥,以及烦热,心中气少不足以呼吸,阴部湿痒腹痛不能进食,肘部挛急肢体胀满,喉中焦干,竭尽上气,热病,颤抖鼓颔,腹部胀满阳痿,咳嗽牵引尻骨漏出,属于虚证。膈中虚,饮食呕吐,身体发热,汗不出,频繁吐涎沫,呕吐下血,肩背寒热,面色脱失,眼泪流出,都属于虚证。面色不变的是肺心痛。短气心痹,悲怒气逆,恐惧狂乱霍乱,胃气上逆)。
太渊穴(位于手掌后凹陷处,灸三壮。主治痹症、气逆寒厥、烦心,容易唾沫呃逆嗳气,胸满呼哧,胃气上逆,心痛咳逆,烦闷不能卧,胸中满喘,背痛肺胀满膨隆,臂厥,肩膺胸满痛,眼中白翳,眼青转筋,掌中热,忽冷忽热,缺盆中相互牵引疼痛,频繁呵欠气喘呼吸不畅,手臂内侧疼痛,膈间饮水烦满,温病身体发热,五日以上汗不出,厥心痛躺下若从居心间疼痛,动作时疼痛加剧,面色不变的是肺心痛。像乳痈嗳气、胃气上逆、心痛、唾血、振寒、咽干、狂言口歪、肘中疼痛,都是疟疾痹症)。
经渠穴(位于寸口凹陷处,不可艾灸,会损伤人的神明。主治疟疾寒热,胸背拘急,胸中膨隆感,严重时交两手如昏眩,为暴痹,气喘喉痹,掌中热,咳逆上气,喘息频繁呵欠,热病汗不出,心痛想呕吐)。
列缺穴(手太阴络穴,距离腕上一寸半,灸五壮。甄权说:腕后臂侧二寸,双手交叉食指在两筋骨缝隙凹陷处即是。主治偏风口歪,半身不遂,腕劳,灸三壮。主治疟疾高热,惊痫如有幻觉,咳嗽气喘,掌中热。虚证则肩背寒栗,少气不足以呼吸,寒厥,交两手如昏眩,口角流涎。实证则肩背热痛,汗出,四肢肿,身体温热,睡觉时热,饥饿则烦,饱则面色改变,口噤不开,恶风流泪出血,喉痹咳嗽上气,频繁呵欠,四肢厥逆,喜笑弱白,热病先手臂痛,身体发热抽搐,喜笑纵唇口,咽干鼻张,呕吐汗出如连珠,小便白,热痛,两乳下三寸坚硬,胁下满,心悸善忘,口中流涎)。
孔最穴(手太阴郄穴,距离腕上五寸,灸五壮。主治热病汗不出。此穴可灸五壮,汗即出。并主治臂厥头痛)。
尺泽穴(位于肘中横纹上动脉处,灸三壮。甄权说:在臂屈曲横纹中两筋骨缝隙凹陷处,不宜艾灸。主治喉痹上气,舌干胁痛,心中彭彭作痛,咳逆上气,心烦肩寒,少气不足以呼吸,腹胀气喘颤抖,抽搐,手不能伸,咳嗽吐浊痰,气膈善呕,鼓颔不得汗,烦满身痛,因此导致纵衄唾血,时寒时热,胞中有大疝瘕积并与阴部相互牵引疼痛。如果针刺泻法,并主治喉痹哽噎,寒热。实证则肩背热痛,汗不出,四肢暴肿。虚证则臂背寒,短气心烦,癫疾呕沫,手臂不能上头,肘痛)。
侠白穴(在天府穴下去肘下五寸动脉处,手太阴脉气所发,灸五壮。主治心痛,咳逆,干呕,烦满)。
天府穴(位于腋下三寸,臂内侧动脉处,手太阴肺气所发。禁止不可艾灸,会导致气逆。主治咳嗽上气喘息不能呼吸,暴瘴内逆,肝肺相搏,口鼻出血,身体胀满呼吸急促,不能卧,风汗不出,身体肿,喘喝多睡,恍惚善忘,嗜卧不觉。甄权、千金方、杨操观点相同)。
The Lung is the Zang organ that stores essence and does not drain. There are eighteen acupoints on both sides, originating from the *Jia Yi Jing* (Classics of Acupuncture and Moxibustion).
The Jing-Well point Shaoshang (Shao Shang) of the Hand-Taiyin Lung Meridian belongs to Wood (located at the medial tip of the thumb, approximately the width of a leek leaf from the nail corner; it is where the Qi of the Hand-Taiyin meridian emerges, classified as a Jing-Well point. It is suitable for moxibustion during the three months of winter). The Qi flows into the Ying-Spring point Yuji (Yu Ji), which belongs to Fire (located on the medial side behind the first metacarpophalangeal joint, within the scattered vessels; it is where the Qi of the Hand-Taiyin meridian flows, classified as an Ying-Spring point. It is suitable for moxibustion during the three months of spring). The Qi pours into the Shu-Stream point Taiyuan (Tai Yuan), which belongs to Earth (located in the depression posterior to the wrist; it is where the Qi of the Hand-Taiyin meridian pours, classified as a Shu-Stream point. It is suitable for moxibustion during the three months of summer). The Qi travels through the Jing-River point Jingqu (Jing Qu), which belongs to Metal (located in the depression at the radial pulse; it is where the Qi of the Hand-Taiyin meridian travels, classified as a Jing-River point. Moxibustion is contraindicated here as it damages the Shen [Spirit]). The Qi enters the He-Sea point Chize (Chi Ze), which belongs to Water (located at the artery in the depression of the elbow crease; it is where the Qi of the Hand-Taiyin meridian enters, classified as a He-Sea point. It is suitable for moxibustion during the three months of autumn).
Shaoshang (Shao Shang) (Located at the medial tip of the thumb, approximately the width of a leek leaf from the nail corner. Apply one moxa cone. Indications include malaria with cold limbs, heat-induced restlessness, frequent hiccups, chest fullness with sweating, alternating chills and heat with restlessness, arm numbness, excessive saliva and dry lips, heat-induced thirst, finger spasms and limb pain, lung distension with asthma, wind sensation in the ears, cough with wheezing and counterflow qi, bi-syndrome arm pain, vomiting inability to keep food down, abdominal bloating, heat disease resembling malaria, tremors with jaw clenching, abdominal distension with dyspnea, wheezing in the throat, preauricular pain. Zhen Quan stated: It is located at the lateral edge of the thumbnail, approximately the width of a leek leaf from the corner, in the depression between the white and red flesh. This meridian reflects the state of the Spleen and Lung; regarding Zang organs, moxibustion is generally not recommended. Avoid raw, cold, or hot foods).
Yuji (Yu Ji) (Located on the medial side behind the first metacarpophalangeal joint, within the scattered vessels. Apply three moxa cones. Indications include extreme deficiency with aversion to cold, piloerection, fear of wind and cold, yellow tongue coating, body heat, cough, asthma with pain radiating to the chest and back causing dyspnea, severe headache, absence of sweating, cold limbs, and irritability with heat. Also indicates insufficient Qi in the heart leading to shortness of breath, genital itching and abdominal pain with anorexia, elbow spasms and limb fullness, dry throat, exhaustion with counterflow qi, heat disease, tremors with jaw clenching, abdominal fullness with impotence, cough radiating to the sacrum with leakage, indicating deficiency. Deficiency of the diaphragm, vomiting after eating, body heat, absence of sweating, frequent salivation, hematemesis, alternating cold and heat in shoulders and back, loss of complexion, lacrimation—all indicate deficiency. If the complexion does not change, it is Lung-Heart pain. Shortness of breath, Heart Bi syndrome, grief/anger with counterflow qi, fear/manic episodes, cholera-like disorder, and Stomach Qi counterflow).
Taiyuan (Tai Yuan) (Located in the depression posterior to the palm/wrist. Apply three moxa cones. Indications include bi-syndrome, counterflow qi, cold limbs, irritability, frequent salivation/hiccups/belching, chest fullness with labored breathing, Stomach Qi counterflow, Heart pain with cough and counterflow qi, restlessness preventing sleep, chest fullness with asthma, back pain with lung distension and bloating, arm jue syndrome, shoulder/chest fullness and pain, leukoma in eyes, cyanosis with tendon spasm, palmar heat, alternating chills and heat, pulling pain in the supraclavicular fossa, frequent yawning with dyspnea, pain along the medial arm, fluid retention in the diaphragm with restlessness/fullness, warm disease with body heat persisting over five days without sweating, jue Heart pain worsening when lying down or moving, unchanged complexion indicating Lung-Heart pain. Symptoms like belching resembling breast abscess, Stomach Qi counterflow, Heart pain, hemoptysis, chills, dry throat, manic speech, facial deviation, and elbow pain all indicate malaria and bi-syndrome).
Jingqu (Jing Qu) (Located in the depression at the radial pulse. Moxibustion is contraindicated as it damages the Shen. Indications include malaria with alternating chills and heat, stiffness of chest and back, sensation of bloating in the chest, severe cases presenting with crossed hands and confusion/blurred vision constituting sudden bi-syndrome, asthma with throat obstruction, palmar heat, cough with counterflow qi, frequent yawning with rapid breathing, heat disease without sweating, Heart pain with urge to vomit).
Lieque (Lie Que) (The Luo-Connecting point of the Hand-Taiyin meridian, 1.5 cun above the wrist. Apply five moxa cones. Zhen Quan stated: Two cun posterior to the wrist on the radial side, in the depression between the two tendons and bones when crossing the hands with the index finger. Indications include hemifacial paralysis, hemiplegia, wrist strain (apply three moxa cones). Severe malaria with high fever, epilepsy with hallucinations, cough with asthma, palmar heat. Deficiency manifests as chills in shoulders/back, shortness of breath, cold limbs, crossed hands with confusion, drooling. Excess manifests as heat/pain in shoulders/back, sweating, swollen limbs, warm body, night fever, irritability when hungry, complexion changes when full, locked jaw, aversion to wind, tearing and bleeding, throat obstruction, cough with counterflow qi, frequent yawning, cold limbs in four extremities, excessive laughter, weak complexion, heat disease starting with arm pain, convulsions, excessive laughter with protruding lips, dry throat, flaring nostrils, vomiting with sweat like pearls, white urine, heat pain, hardness below the nipples, hypochondriac fullness, palpitations, forgetfulness, drooling).
Kongzui (Kong Zui) (The Xi-Cleft point of the Hand-Taiyin meridian, 5 cun above the wrist. Apply five moxa cones. Indications include heat disease without sweating. Applying five moxa cones induces sweating. Also treats arm jue syndrome and headache).
Chize (Chi Ze) (Located at the artery in the depression of the elbow crease. Apply three moxa cones. Zhen Quan stated: In the depression between the two tendons and bones in the transverse crease of the flexed arm; moxibustion is not recommended. Indications include throat obstruction with counterflow qi, dry tongue, hypochondriac pain, palpitations in the heart region, cough with counterflow qi, irritability with cold shoulders, shortness of breath, abdominal distension with asthma and tremors, convulsions, inability to extend the hand, cough with turbid sputum, diaphragmatic stagnation with vomiting, jaw clenching without sweating, restlessness with body pain, leading to epistaxis and hemoptysis, alternating chills and heat, large hernia/masses in the uterus/bladder region with pulling pain to the genitals. Needling with reducing method also treats throat obstruction/dysphagia, chills/heat. Excess manifests as heat/pain in shoulders/back, absence of sweating, sudden swelling of four extremities. Deficiency manifests as cold in arms/back, shortness of breath, irritability, epilepsy with vomiting of foam, inability to raise arms to head, elbow pain).
Xiabai (Xia Bai) (Located 5 cun below Tianfu, at the arterial pulse. It is where the Qi of the Hand-Taiyin meridian emerges. Apply five moxa cones. Indications include Heart pain, cough with counterflow qi, dry retching, restlessness/fullness).
Tianfu (Tian Fu) (Located 3 cun below the axilla, at the arterial pulse on the medial aspect of the arm. It is where the Lung Qi of the Hand-Taiyin meridian emerges. Moxibustion is strictly prohibited as it causes counterflow qi. Indications include cough with asthma and dyspnea, sudden pathogenic invasion with internal counterflow, Liver-Lung conflict, epistaxis, body distension with dyspnea, inability to lie flat, wind-related absence of sweating, body edema, loud breathing with somnolence, mental fogginess and forgetfulness, lethargy. Zhen Quan, *Qianjin Fang*, and Yang Cao agree).