甲乙经云。自大椎下至尾 骨。二十一椎长三尺。折量取俞穴。或云。第一椎上。更有
大椎在
宛宛陷中。非有骨也。有骨虚即是第一
椎若以大椎至尾 二十一椎长三尺法校之。则止节云椎。每椎节长
一寸四分。惟第七椎下。至于膂骨多分之七。故上七节
共九寸八分分之七。下节十四椎。每椎一寸四分分之五有奇。以下七节共二寸一分分之三
亦是一说也。但第一椎有骨。乃骨节之数。大椎虽无骨。实是穴名。既曰自大椎下至二十
一椎。岂可不量大椎以下。或者之说。于是不通矣。
自蔽骨下至脐八寸。而中脘居其中(上下各四寸)。气论注云。中脘居心。蔽骨与脐之中
是也
按明常下经云。鸠尾在胸前蔽骨下五分。人无蔽骨。从岐骨际下行一寸则是。欲定中脘之
穴。当详有蔽骨无蔽骨也。又当准人长短肥瘠量之。自脐下寸半为气海。三寸为丹田。至屈
骨凡五寸。千金云。屈骨在脐下五寸。明堂下经亦云。屈骨在横骨上中极下一寸。当准人长
短肥瘠量之。
铜人经云。幽门夹巨阙旁各五分。肓 夹脐各五分(明堂经云。在巨阙旁各夹上脘旁相
去寸
半。三寸)。不容在幽门旁各寸半。天枢去肓俞寸半。夹脐。期门在不容旁寸半。大横直脐
旁(不容天枢期门既各寸半。则幽门肓俞各五分。误矣)。又云。肾俞在十四椎下两旁各寸半
与脐平。肓门在十三椎相去各三寸。与鸠尾相直。肾俞既与脐平。肓门乃与鸠尾相直。亦
可疑也。
甲乙经云。人有长七尺五寸者。发以下至颐一尺。结喉 一尺三寸。 至天枢八寸
天
枢以下至横骨长六寸半。横骨内辅上廉至下廉三寸半。内辅下廉至内踝一尺三寸。内踝至地
三寸。又膝 至跗属一尺六寸。跗属至地三寸。又肩至肘一尺七寸。肘至腕一尺二寸半。
腕至中指本节末四寸半。
《甲乙经》记载:从大椎穴向下至尾骨,共有二十一节椎骨,总长度为三尺。据此比例折算来取用俞穴。另一种说法认为,在第一椎之上,还有一个大椎穴,位于宛宛的凹陷中,此处没有骨头;如果有骨头且呈虚陷状,那才是第一椎。如果用“自大椎至尾骨二十一椎长三尺”的方法来校对,那么每一节椎骨的长度是一寸四分。只有第七椎以下,直到脊骨(膂骨),多出了七分之七的长度。因此,上面的七节椎骨总共长九寸八分又七分之七;下面的十四节椎骨,每节长一寸四分又五分之一有余;再往下的七节椎骨总共长二寸一分又三分之一。这也是其中一种说法。但是,第一椎是有骨头的,这是骨节的数量统计;大椎虽然无骨,但确实是穴位名称。既然说“自大椎下至二十一椎”,怎么能不测量大椎以下的距离呢?那种认为大椎无骨就不需测量的说法,是不通的。
从胸骨剑突(蔽骨)下方到脐部,长度为八寸,中脘穴位于其正中间(上下各四寸)。《气论注》记载:中脘穴位于心脏与蔽骨、脐部之间的中点,这是正确的。
按《明堂常下经》记载:鸠尾穴在胸前蔽骨下方五分处。如果人没有蔽骨,则从歧骨边缘向下行一寸的位置才是。要确定中脘穴的位置,应当详细辨别是否有蔽骨。同时也应当根据人的高矮、胖瘦进行度量。从脐部向下寸半为气海穴,三寸为丹田穴,直到弯曲的骨头(屈骨)共五寸。《千金方》记载:屈骨在脐下五寸处。《明堂下经》也记载:屈骨在横骨上的中极穴下一寸处。同样应当根据人的高矮、胖瘦进行度量。
《铜人腧穴针灸图经》记载:幽门穴在巨阙穴旁开各五分处;肓俞穴夹脐两侧各五分处(《明堂经》记载:在巨阙穴旁开各五分,在上脘穴旁开相去寸半,即三寸处)。不容穴在幽门穴旁开各寸半处。天枢穴距离肓俞穴寸半,夹脐分布。期门穴在不容穴旁开寸半处。大横穴直对脐旁(既然不容、天枢、期门各相距寸半,那么幽门、肓俞各五分是错误的)。又记载:肾俞穴在第十四椎下两旁各寸半处,与脐部平齐。肓门穴在第十三椎处,两者相去各三寸,与鸠尾穴垂直相对。既然肾俞与脐平齐,肓门便与鸠尾垂直相对,这也值得怀疑。
《甲乙经》记载:身高七尺五寸的人,头发以下至下巴(颐)为一尺;结喉至天枢穴为八寸;天枢穴以下至横骨长为六寸半;横骨内侧辅骨上缘至下缘为三寸半;内辅骨下缘至内踝为一尺三寸;内踝至地面为三寸。另外,膝部至足背连接处为一尺六寸;足背连接处至地面为三寸。还有,肩部至肘部为一尺七寸;肘部至腕部为一尺二寸半;腕部至中指本节末端为四寸半。
The *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion) states: From the Dazhui (GV14) acupoint down to the coccyx, there are twenty-one vertebral segments with a total length of three chi. Based on this proportion, the Shu acupoints can be located. Another view holds that above the first vertebra, there is another Dazhui point, located in a hollow depression where there is no bone; if there is bone appearing hollow or depressed, that constitutes the first vertebra. If one uses the method of "from Dazhui to the coccyx, twenty-one vertebrae totaling three chi" for calibration, then each vertebral segment measures one cun and four fen. However, below the seventh vertebra down to the spinal muscle bone (Lügu), there is an additional seven-sevenths of length. Therefore, the upper seven segments collectively measure nine cun, eight fen, and seven-sevenths; the lower fourteen segments each measure one cun, four fen, and slightly more than five-tenths; and the subsequent seven segments collectively measure two cun, one fen, and one-third. This is also one interpretation. Nevertheless, the first vertebra possesses bone, which counts as a bony joint; although Dazhui lacks bone, it is indeed the name of an acupoint. Since it is stated "from Dazhui down to the twenty-first vertebra," how can one fail to measure the distance below Dazhui? The argument that Dazhui has no bone and thus requires no measurement is illogical.
From the inferior border of the xiphoid process (Bigu) to the umbilicus, the distance is eight cun, with Zhongwan (CV12) situated exactly in the middle (four cun above and four cun below). The *Qi Lun Zhu* notes that Zhongwan lies midway between the heart, the xiphoid process, and the umbilicus, which is correct.
According to the *Mingtang Chang Xia Jing*, Jiawei (CV15) is located five fen below the xiphoid process at the front of the chest. If a person lacks a xiphoid process, the location is one cun downward from the junction of the costal cartilages (Qigu). To accurately locate Zhongvan, one must carefully determine the presence or absence of the xiphoid process. Additionally, measurements should be adjusted according to the individual's height and body constitution (fat or thin). One and half cun below the umbilicus is Qihai (CV6); three cun below is Dantian (CV4); up to the flexed bone (Qugu) is a total of five cun. The *Qianjin Fang* states that the flexed bone is five cun below the umbilicus. The *Mingtang Xia Jing* also states that the flexed bone is one cun below Zhongji (CV3) on the pubic bone. Measurements should similarly be calibrated based on the person's height and build.
The *Tongren Jing* records: Youmen (BL22) is located five fen lateral to Juque (CV14); Huangshu (BL23) is located five fen lateral to the umbilicus (the *Mingtang Jing* states it is five fen lateral to Juque and one and half cun lateral to Shangwan, totaling three cun). Burong (ST21) is located one and half cun lateral to Youmen. Tianshu (ST25) is one and half cun lateral to Huangshu, flanking the umbilicus. Qimen (LR14) is located one and half cun lateral to Burong. Daheng (SP15) is directly lateral to the umbilicus (Since Burong, Tianshu, and Qimen are spaced one and half cun apart, the claim that Youmen and Huangshu are five fen apart is erroneous). It further states: Shenshu (BL23) is located one and half cun lateral to the level of the fourth lumbar vertebra (actually 14th dorsal/1st lumbar depending on counting, text says 14th vertebra), level with the umbilicus. Huangmen (BL52) is located at the thirteenth vertebra, three cun apart laterally, vertically aligned with Jiawei. Since Shenshu is level with the umbilicus, and Huangmen aligns vertically with Jiawei, this relationship is also questionable.
The *Jia Yi Jing* records: For a person seven chi five cun tall, the distance from the hairline to the chin (Yi) is one chi; from the laryngeal prominence (Jiehou) to Tianshu is eight cun; from Tianshu to the pubic symphysis (Henggu) is six and a half cun; from the medial condyle of the femur/tibia upper margin to lower margin is three and a half cun; from the lower margin of the medial condyle to the medial malleolus is one chi three cun; from the medial malleolus to the ground is three cun. Furthermore, from the knee to the dorsum of the foot connection is one chi six cun; from the dorsum of the foot connection to the ground is three cun. Also, from the shoulder to the elbow is one chi seven cun; from the elbow to the wrist is one chi two and a half cun; from the wrist to the end of the proximal phalanx of the middle finger is four and a half cun.