膏肓 穴，无所不治，主羸瘦虚损，梦中失精，上气咳逆，狂惑忘误。取穴法∶令人正
坐，曲
脊伸两手，以臂着膝前，令正直手大指与膝头齐，以物支肘，勿令臂得动摇，从胛骨上角摸
索全胛骨下头，其间当有四肋三间，灸中间。 根据胛骨之里肋间空处，去胛骨容侧指许，摩
KT肉之表筋间空处，按之自觉牵引胸户中，灸两胛中各一处，至六百壮，多至千壮。当觉气
下砻砻然，如流水状，亦当有所下出。若无停痰宿疾，则无所下也。若病患已困不能正坐，
当令侧卧，挽一臂令前求取穴灸之也。求穴大较，以右手从右肩上住指头表所不及者是也。
左手亦然，乃以前法灸之。若不能久正坐，常伸两臂者亦可伏衣袱上，伸两臂，令人挽两胛
骨使相离，不尔，胛骨覆穴不可得也。所伏衣袱，当令大小常定，不尔，则失其穴也。此灸
讫后，令人阳气康盛，当消息以自补养。取身体平复，其穴近第五椎，相准望取之。
论曰∶昔秦缓不救晋侯之疾，以其在膏之上肓之下，针药所不及，即此穴是也。时人拙
不能求得此穴，所以宿 难遣。若能用心方便求得灸之，无疾不愈矣。
膏肓 二穴，在第四 下两傍相去各三寸，主无所不疗，羸瘦虚损，梦中失精，上气咳
逆，发
狂健忘。又取穴之法∶令人正坐，曲脊伸两手，以臂着膝前，令正直手大指与膝头齐，以物
支肘，勿令臂动摇也。从胛骨上角摸索至骨下头，其间当有四肋三间，灸中间。从胛骨之里
，
去胛容侧指许，摩KT 去表肋间空处，按之自觉牵引于肩中，灸两胛中一处，至百壮，多至五
百壮。当觉下砻砻似流水之状，亦当有所下出，若得痰疾，则无所不下也。如病患已困，不
能正坐，当令侧卧挽上臂，令前取穴灸之。又以右手从左肩上住，指头所不及者是穴也。
左取亦然，乃以前法灸之。若不能久坐，当伸两臂，令人挽两胛骨使相离，不尔，即胛骨覆
其穴，灸之无验。此灸讫后，令人阳气康盛，当消息以自补养。论曰∶昔在和缓不救晋侯之
疾，以其膏之上、肩之下，针药不能及，即此穴是也。人不能求得此穴，所以宿病难遣。若
能用心以方便，求得灸之，无疾不愈，出《千金》、《外台》方。
膏肓穴，能够治疗各种疾病，主要主治身体消瘦、虚损劳伤，睡梦中遗精，气逆上冲咳嗽，精神狂乱、迷惑及健忘。
取穴方法：让患者端正坐好，弯曲脊柱并伸直双手，将手臂放在膝盖前方，使正直的手的大拇指与膝盖头齐平，用物体支撑手肘，不要让手臂发生动摇。从肩胛骨的上角开始摸索整个肩胛骨的下端，其间应当有四根肋骨和三个间隙，在中间进行艾灸。根据肩胛骨内侧的肋间空隙处，距离肩胛骨约一个侧指宽度的地方，触摸胸肉表面的筋间空隙处，按压时自觉有牵引感至胸户中，在两肩胛骨中间各灸一处，灸至六百壮，多则灸至一千壮。此时应当感觉到气向下流动，像流水一样，也应当有病理产物排出。如果没有停积的痰饮或旧疾，就不会有东西排出来。如果病人已经困倦无法端正坐着，应当让他侧卧，拉过一只手臂以便在前面寻找穴位并进行艾灸。寻找穴位的大致方法是，用右手从右肩上方按住，手指头所触及不到的地方就是穴位。左手也是这样操作，然后按照前面的方法进行艾灸。如果不能长时间端正坐着并伸直双臂，也可以趴在衣袱上，伸直双臂，让人拉开两肩胛骨使其分离，否则，肩胛骨会覆盖住穴位，导致取穴不准。所趴的衣袱，应当保持大小固定不变，否则就会失去准确的穴位位置。此灸法结束后，能使人的阳气恢复旺盛，应当酌情自我调养补益。待身体恢复平衡健康，该穴位靠近第五椎，参照标准来寻找。
论述说：从前秦缓没能治好晋侯的病，因为病位在膏之上、肓之下，针药都达不到，就是这个穴位的意思。当时的人笨拙不能找到这个穴位，所以宿疾难以消除。如果能用心想办法找到并灸治它，没有治不好的疾病。
膏肓二穴，位于第四椎下两旁，相距各三寸，主治无所不疗，身体消瘦虚损，睡梦中遗精，气逆咳嗽，发狂健忘。
另外取穴的方法：让患者端正坐好，弯曲脊柱伸直双手，将手臂放在膝盖前，使正直的手大拇指与膝盖头齐平，用物体支撑手肘，不要让手臂动摇。从肩胛骨上角摸索到骨下端，其间应当有四根肋骨和三个间隙，在中间施灸。从肩胛骨内侧，距离肩胛骨约一个侧指宽的地方，触摸去除表面后的肋间空隙处，按压时自觉牵引至肩中，在两肩胛骨中间各灸一处，灸至一百壮，多则灸至五百壮。应当感觉到向下流动像流水一样的状态，也应当有东西排出，如果是痰疾，则没有什么不能排出的。如果病人已经困倦，不能端正坐着，应当让他侧卧，拉起上臂，在前面寻找穴位进行艾灸。又用右手从左肩上方按住，手指头所触及不到的地方就是穴位。左边取穴也是如此，然后按前面的方法施灸。如果不能久坐，应当伸直双臂，让人拉开两肩胛骨使其分离，否则，肩胛骨会覆盖穴位，灸治就没有效果。此灸法结束后，使人阳气康盛，应当酌情自我补养。论述说：从前和缓没能治好晋侯的病，因为病在膏之上、肩之下，针药不能达到，就是这个穴位的意思。人不能找到这个穴位，所以宿疾难除。如果能用心想办法，找到并灸治它，没有治不好的病，出自《千金方》、《外台秘要》方。
Gao Huang (BL 43, Bladder-43) acupoint can treat various diseases. It mainly indicates emaciation and deficiency exhaustion, nocturnal seminal emission, rebellious Qi with coughing and wheezing, mania, confusion, and amnesia.
Acupoint location method: Have the patient sit upright, bend the spine, and extend both hands, placing the arms in front of the knees. Align the thumb of the extended hand with the knee cap. Support the elbow with an object to prevent arm movement. Palpate from the upper angle of the scapula down to its lower end. There should be four ribs and three intercostal spaces; moxa should be applied in the middle. Locate the empty space within the intercostal area inside the scapula, approximately one finger-width away from the scapular edge. Palpate the space between the muscles on the surface of the chest wall. Upon pressing, a sensation of traction towards the chest should be felt. Apply moxibustion at one point in the center of each scapula. The dosage is up to 600 moxa cones, or up to 1,000 cones if necessary. One should feel the Qi descending like flowing water, and pathological products may be expelled. If there are no retained phlegm or chronic diseases, nothing will be expelled. If the patient is too weak to sit upright, they should lie on their side, pull one arm forward to locate the acupoint and apply moxibustion. The general method for locating the acupoint is to use the right hand to press from above the right shoulder; the spot beyond the reach of the fingertips is the acupoint. The same applies to the left side. Then, apply moxibustion using the aforementioned method. If the patient cannot sit upright and extend both arms for long, they may lie prone on a cloth pad, extending both arms. Ask someone to separate the two scapulae. Otherwise, the scapulae will cover the acupoint, leading to inaccurate location. The cloth pad used for lying should remain fixed in size; otherwise, the accurate acupoint position will be lost. After this moxibustion treatment, the body's Yang Qi will become robust. The patient should adjust their diet and lifestyle for self-nourishment. When the body returns to balance and health, note that the acupoint is near the fifth thoracic vertebra (D5), and locate it according to standard measurements.
Discussion states: In ancient times, Bian Que (Qin Huan) failed to cure the Marquis of Jin because the disease was located above the Gao (heart fat) and below the Huang (diaphragm fat), where acupuncture and herbs could not reach. This refers to this acupoint. People at that time were incompetent and could not locate this acupoint, so chronic diseases were difficult to dispel. If one can diligently seek out this acupoint and apply moxibustion, no disease will remain uncured.
The two Gao Huang (BL 43) acupoints are located on both sides of the fourth thoracic vertebra (D4), three cun apart. They indicate universal curative effects for emaciation and deficiency exhaustion, nocturnal seminal emission, rebellious Qi with coughing, mania, and amnesia.
Another method for locating the acupoint: Have the patient sit upright, bend the spine, and extend both hands, placing the arms in front of the knees. Align the thumb of the extended hand with the knee cap. Support the elbow with an object to prevent arm movement. Palpate from the upper angle of the scapula down to its lower end. There should be four ribs and three intercostal spaces; apply moxibustion in the middle. From the inner side of the scapula, move one finger-width away from the scapula, palpating the intercostal space beneath the superficial muscles. Upon pressing, a sensation of traction towards the shoulder should be felt. Apply moxibustion at one point in the center of each scapula. The dosage is up to 100 moxa cones, or up to 500 cones if necessary. One should feel a downward flow resembling water, and pathological products may be expelled. If there is a phlegm-related disease, all such pathogens will be expelled. If the patient is too weak to sit upright, they should lie on their side, raise the upper arm, and locate the acupoint anteriorly for moxibustion. Use the right hand to press from above the left shoulder; the spot beyond the reach of the fingertips is the acupoint. The same applies to the left side. Then, apply moxibustion using the aforementioned method. If the patient cannot sit for long periods, they should extend both arms, and ask someone to separate the two scapulae. Otherwise, the scapulae will cover the acupoint, rendering moxibustion ineffective. After this moxibustion treatment, the body's Yang Qi becomes robust, and the patient should adjust their regimen for self-nourishment. Discussion states: In ancient times, He Huan (Bian Que) failed to cure the Marquis of Jin because the disease was located above the Gao and below the Jian (shoulder), where acupuncture and herbs could not reach. This refers to this acupoint. Since people could not locate this acupoint, chronic diseases were difficult to dispel. If one can diligently seek out this acupoint and apply moxibustion, no disease will remain uncured. Source: *Qianjin Fang* (Prescriptions Worth a Thousand Gold) and *Waitai Miyao* (Essential Prescriptions from the Imperial Cabinet).