三焦经穴歌
手少阳三焦所从,二十三穴起关冲。向液门、中渚、阳池,历外关、支沟、会宗。三阳络
入于四渎,注天井、清冷渊中。消泺、 会、肩 同,天 、天牖经翳风。 脉、颅息、角孙
入,耳门、和 、丝竹空。
关冲 在手名指外侧端,去爪甲角如韭叶。手少阳所出为井。刺一分,留三呼,灸三壮。
主治头痛口干喉痹,霍乱,胸中气噎不食,肘臂痛不能举,目昏昏。一云主三焦邪热,
口渴唇焦口气,宜泻此出血。
玉龙赋云∶壅热盛于三焦,关冲最宜。
百证赋云∶兼哑门,治舌缓不语。
快捷方式云∶治热病烦心,满闷汗不出,掌中大热如火,舌本痛,口干消渴,久热不去。
乾坤生意云∶此为十井穴,凡国中风暴仆昏沉,痰涎壅盛,不省人事,牙关紧闭,药水不
下,急以三棱针刺少商、商阳、中冲、少冲、关冲、少泽,使血气流通,乃起死回生急救之妙穴。
液门 在手小指次指间陷者中。手少阳所溜为荥。刺二分,留二呼,灸三壮。
主治惊悸忘言,寒厥,臂痛不得上下, 疟寒热头痛,目眩赤涩泣出,耳暴聋,咽外肿,
牙龈痛,若手臂红肿痛楚,泻之出血为妙。
千金云∶治耳聋不得眠,刺入三分补之。
玉龙赋云∶兼中渚,治手臂红肿。
百证赋云∶兼鱼际,能疗喉痛。
中渚 在手名指本节后间陷中,把拳取之。手少阳所注为 。刺二分,留三呼,灸三壮。
主治热病汗不出,臂指痛不得屈伸,头痛目眩,生翳不明,耳聋咽肿,久疟,手臂红肿,泻之出血,灸五壮。
太乙歌云∶刺久患腰疼背痛。
玉龙赋云∶兼液门,治手臂红肿。
席弘赋云∶治久患伤寒肩背痛。
通玄赋云∶脊心后痛,针此立愈。
灵光赋云∶五指不便,取中渚。
阳池(一名别阳) 在手表腕上陷者中,自本节后骨直对腕中。手少阳所过为原。刺二分,
留六呼,灸三壮。铜人经曰∶不可灸。
主治消渴口干烦闷,寒热疟,或因折伤,手腕捉物不得,臂不能举。
千金云∶消渴口干,灸五十壮。
神农经云∶治手腕疼无力,不能上举至头,可灸七壮。
外关 在腕后二寸两筋间陷中。手少阳络,别走心主。刺三分,留七呼,灸三壮。
主治耳聋浑 无闻,肘臂五指痛不能握,若胁肋痛者泻之。
神农经云∶治肘臂不得屈伸,五指尽疼,不能握物,可灸七壮。
玉龙赋云∶兼大陵、支沟,治肚痛秘结。
快捷方式云∶治臂膊红肿,肢节疼痛,足内踝骨红肿痛,手足指节痛不能屈伸,五脏六腑结
热,吐血妄行不已,鼻衄不止,吐血昏晕,不省人事,虚损气逆,阳乘于阴则血热妄行,阴乘
于阳则血寒亦吐,名心肺二经呕血,舌强难言,及生白苔,重舌肿胀,热极口内生疮,舌吐不
收,舌缩不能言,唇吻破裂,血出干痛,头生瘰 结核,绕颈连胸,耳根颈项肿痛不消,目生
翳膜,隐涩难开,风沿烂弦,迎风流泪,目风肿痛, 肉攀睛,暴赤肿痛。以上诸证,先以外
关主治,后随证分穴治之。
支沟(一名飞虎) 在腕后三寸,两骨间陷中。手少阳所行为经。刺二分,留七呼,灸七壮。
主治热病汗不出,肩臂酸重,胁腋痛,四肢不举,霍乱呕吐,口噤暴喑,鬼击卒心痛,产
后血晕,不省人事,凡三焦相火炽盛,及大便不通,胁肋疼痛者,俱宜泻之。
千金云∶治颈漏马刀,灸百壮。
玉龙赋云∶兼照海,能通大便之秘。又云∶合外关、大陵,治肚痛秘结。
会宗 在腕后三寸空中。一云空中一寸。手少阳 。刺三分,灸三壮。一曰禁刺。
主治五痫,耳聋,肌肤痛。
三阳络(一名通间) 在臂上大交脉,支沟上一寸。灸五壮,禁刺。
主治暴喑不能言,耳聋齿龋,嗜卧身不欲动。
四渎 在肘前五寸外廉陷中。刺六分,留七呼,灸三壮。一曰刺三分。
主治暴气耳聋,下齿龋痛。
天井 在肘外,大骨尖后,肘上一寸,两筋间陷中,屈肘得之。甄权云∶在曲肘后一寸,
叉手按膝头取之。手少阳所入为合。刺三分,留七呼,灸三壮。甲乙经云∶刺一分。
主治咳嗽上气,胸痛不得语,唾脓不嗜食,寒热凄凄,不得卧,惊悸悲伤,螈 癫疾,五
痫风痹,头颈肩背痛,耳聋,目锐 痛,颊肿,肘臂痛不得捉物,及泻一切瘰 疮肿瘾疹。
神农经云∶治咳嗽上气,风痹肘疼,可灸七壮。
清冷渊 在肘上二寸,伸肘举臂取之。刺三分,灸三壮。
主治诸痹痛,肩臂肘 不能举。
席弘赋云∶五般肘痛寻尺泽,冷渊针后即收功。
消泺 在肩下臂外间,腋斜肘分下行。刺五分,灸五壮。一曰刺一分,灸三壮。
主治风痹,颈项强急肿痛,寒热头痛肩背急。
一传海南治牙疼,灸此穴。
会(一名 ) 在臂前廉,去肩端三寸宛宛中。手阳明少阳二络之会。刺五分,灸五壮。
主治肘臂气肿,酸痛无力不能举,项瘿气瘤,寒热瘰 。
肩 在肩端 上陷中,斜举臂取之。刺七分,灸三壮。
主治臂重肩痛不能举。
天 在肩缺盆中,上毖骨际,陷者中。(毖音秘。)一曰直肩井后一寸。手足少阳阳维三
脉之会。刺八分,灸三壮。
主治肩臂酸痛,缺盆痛,汗不出,胸中烦满,颈项急,寒热。
天牖 在颈大筋外,缺盆上,天容后,天柱前,完骨下,发际中,上夹耳后一寸。刺一
分,留七呼,不宜补,亦不宜灸,灸即令人面肿。资生经云∶灸一壮。甲乙经云∶灸三壮。
主治暴聋不聪,气目不明,夜梦颠倒,面无颜色,头风面肿项强。一曰若治面肿眼合,
先取 ,后针天牖、风池,其病即瘥。若不先针 ,其病难愈。
翳风 在耳后尖角陷中,按之引耳中。手足少阳之会。刺三分,灸七壮。
主治耳聋,口眼 斜,口噤不开,脱颔肿颊,牙车急痛,暴喑不能言。一云耳红肿痛,泻
之,耳虚鸣,补之,补多泻少。
百证赋云∶兼听会,治耳聋气闭。
脉(一名资脉) 在耳本后,鸡足青络脉中。刺一分,灸三壮。铜人云∶刺出血如豆汁,不
宜多出。一云禁灸。
主治头风耳鸣,小儿惊痫螈 ,呕吐泻痢无时,惊恐,目涩眵膏。
颅息 在耳后间青络脉中。刺一分,灸七壮。甲乙经曰∶灸三壮。一曰禁刺,出血多
则杀人。
主治耳鸣喘息,小儿呕吐,螈 惊恐发痫,身热头痛不得卧, 耳肿流脓汁。
百证赋云∶ 病非颅息不愈。
角孙 在耳廓中间,上发际下,开口有空。手太阳手足少阳三脉之会。(甲乙经手太阳作手
阳明。)寒热病篇曰∶足太阳有入 遍齿者,名曰角孙。则足太阳脉亦会于此。刺三分,灸三壮。
主治目生翳,齿龈肿不能嚼,唇吻燥,颈项强。
一云堪治耳齿之病。
耳门 在耳前起肉,当耳缺处陷中。刺三分,留三呼,灸三壮。一云禁灸。
主治耳聋 耳脓汁,耳生疮,齿龋唇吻强。
席弘赋云∶但患伤寒两耳聋,耳门、听会疾如风。
百证赋云∶兼丝竹空,能住牙疼于顷刻。
天星秘诀云∶耳鸣腰痛先五会,后此穴及三里。
和 耳前兑发下横动脉。手足少阳手太阳三脉之会。刺三分,灸三壮。一曰灸之目盲。
主治头痛耳鸣,牙车引急,颈项肿,口僻螈 。
丝竹空(一名目 ) 在眉后陷中。甲乙经曰∶足少阳脉气所发。刺三分,留三呼,禁灸,灸
之不幸,令人目小及盲。
主治头痛,目赤目眩,视物KT KT ,拳毛倒睫,风痫戴眼,发狂吐涎沫,偏正头风。
神农经云∶治头风,宜出血。
百证赋云∶兼耳门,能治牙疼于顷刻。
通玄赋云∶治偏头痛难忍。
一传主眼赤痛,针一分出血。
手少阳三焦经的穴位歌诀:
手少阳三焦经的气血由此始生,共有二十三个穴位,起始于关冲穴。依次经过液门、中渚、阳池,再经过外关、支沟、会宗。接着进入三阳络,注入天井和清冷渊。随后是消泺、会(肩髎)、肩髎,以及天髎、天牖、翳风。脉(角孙)、颅息、角孙依次进入,最后是耳门、和髎、丝竹空。
关冲穴位于手无名指外侧端,距离指甲角约韭菜叶宽度处。这是手少阳三焦经所出的“井”穴。针刺深度一分,留针时间相当于三次呼吸,艾灸三壮。
主治头痛、口干、喉痹(咽喉肿痛闭塞),霍乱,胸中气机阻塞导致的不思饮食,肘臂疼痛无法抬起,眼睛昏花。另一种说法认为此穴主治三焦邪热,表现为口渴、嘴唇焦裂、口气重,适宜通过刺破出血来泻热。
《玉龙赋》说:三焦壅滞热盛,最适宜针刺关冲。
《百证赋》说:配合哑门穴,可治疗舌体松弛不能言语。
《快捷方式》记载:治疗热病心烦,胸满闷胀无汗,手掌心大热如火,舌根疼痛,口干消渴,长期发热不退。
《乾坤生意》说:这是十井穴之一,凡是国家中突发中风仆倒昏迷,痰涎壅盛,不省人事,牙关紧闭,汤药无法喂下,紧急时用三棱针刺少商、商阳、中冲、少冲、关冲、少泽穴,使气血流通,是起死回生的急救妙穴。
液门穴位于手小指与无名指之间的凹陷处。这是手少阳三焦经所流的“荥”穴。针刺深度二分,留针时间相当于两次呼吸,艾灸三壮。
主治惊悸、失语,寒厥,手臂疼痛无法上下活动,疟疾寒热头痛,眼睛眩晕、红涩流泪,耳朵突然聋哑,咽部外侧肿胀,牙龈疼痛,如果手臂红肿疼痛,刺破出血疗效奇妙。
《千金方》说:治疗耳聋无法入睡,针刺三分并施补法。
《玉龙赋》说:配合中渚穴,治疗手臂红肿。
《百证赋》说:配合鱼际穴,能治疗喉咙痛。
中渚穴位于手无名指本节(掌指关节)后的凹陷中,握拳时取穴。这是手少阳三焦经所注的“输”穴。针刺深度二分,留针时间相当于三次呼吸,艾灸三壮。
主治热病无汗,手臂手指疼痛无法屈伸,头痛目眩,眼生翳膜视力不明,耳聋咽肿,长期疟疾,手臂红肿,刺破出血或艾灸五壮。
《太乙歌》说:针刺可治久患的腰疼背痛。
《玉龙赋》说:配合液门穴,治疗手臂红肿。
《席弘赋》说:治疗久患伤寒引起的肩背痛。
《通玄指要赋》说:脊背中心后方疼痛,针刺此穴立即痊愈。
《灵光赋》说:五指不便,取中渚穴。
阳池穴(又名别阳)位于手腕背侧的凹陷中,自本节后的骨头直对腕骨中间。这是手少阳三焦经所过的“原”穴。针刺深度二分,留针时间相当于六次呼吸,艾灸三壮。《铜人腧穴针灸图经》说:不可艾灸。
主治消渴(糖尿病样症状)、口干烦闷,寒热疟疾,或因扭伤导致手腕拿物困难,手臂无法抬起。
《千金方》说:消渴口干,艾灸五十壮。
《神农本草经》相关记载说:治疗手腕疼痛无力,无法上举至头部,可艾灸七壮。
外关穴位于腕后两寸,两筋之间的凹陷中。它是手少阳三焦经的络穴,别走手厥阴心包经。针刺深度三分,留针时间相当于七次呼吸,艾灸三壮。
主治耳聋完全听不见,肘臂五指疼痛无法握持,如果是胁肋疼痛则用泻法。
《神农本草经》相关记载说:治疗肘臂无法屈伸,五指剧痛,无法握物,可艾灸七壮。
《玉龙赋》说:配合大陵、支沟穴,治疗腹痛便秘。
《快捷方式》说:治疗手臂红肿,肢节疼痛,足内踝骨红肿痛,手足指节疼痛无法屈伸,五脏六腑积热,吐血不止,鼻衄不止,吐血昏晕不省人事,虚损气逆,阳气乘入阴分则血热妄行,阴气乘入阳分则血寒亦吐,名为心肺二经呕血,舌强难言,以及生白苔,重舌肿胀,热极口内生疮,舌头伸出不能收回,舌头萎缩不能说话,嘴唇破裂,干燥疼痛,头部生瘰疬结核,绕颈连胸,耳根颈项肿痛不消,眼睛生翳膜,隐涩难开,风沿烂弦,迎风流泪,眼睛风肿疼痛,胬肉攀睛,暴发性赤肿疼痛。以上各种病症,先以外关穴主治,之后随证候分穴治疗。
支沟穴(一名飞虎)位于腕后三寸,两骨之间的凹陷中。这是手少阳三焦经所行的“经”穴。针刺深度二分,留针时间相当于七次呼吸,艾灸七壮。
主治热病无汗,肩臂酸重,胁腋疼痛,四肢无法抬起,霍乱呕吐,口噤暴喑(突然失音),鬼击卒心痛,产后血晕不省人事,凡是三焦相火炽盛,以及大便不通,胁肋疼痛者,都适宜用泻法。
《千金方》说:治疗颈漏、马刀(淋巴结结核),艾灸一百壮。
《玉龙赋》说:配合照海穴,能通大便之秘结。又说:合用外关、大陵穴,治疗腹痛便秘。
会宗穴位于腕后三寸的空隙中。另一种说法是一寸空隙。这是手少阳三焦经的郄穴。针刺三分,艾灸三壮。一种说法禁止针刺。
主治五种痫证,耳聋,肌肤疼痛。
三阳络穴(一名通间)位于手臂上方经脉交汇处,支沟穴上一寸。艾灸五壮,禁止针刺。
主治突然失音不能说话,耳聋,龋齿,嗜睡身体不想动。
四渎穴位于肘前五寸,外侧边缘的凹陷中。针刺六分,留针七次呼吸,艾灸三壮。一种说法针刺三分。
主治突发气闭耳聋,下齿龋齿疼痛。
天井穴位于肘外侧,大骨尖后方,肘上一寸,两筋之间的凹陷中,屈肘时可找到。甄权说:在曲肘后一寸,叉手按膝头时取穴。这是手少阳三焦经所入的“合”穴。针刺三分,留针七次呼吸,艾灸三壮。《甲乙经》说:针刺一分。
主治咳嗽气逆,胸痛无法说话,咳吐脓血不思饮食,恶寒战栗,无法躺卧,惊悸悲伤,抽搐癫痫,五种痫证及风痹,头颈肩背痛,耳聋,目锐眦疼痛,脸颊肿胀,肘臂疼痛无法拿物,以及泻除一切瘰疬疮肿瘾疹。
《神农本草经》相关记载说:治疗咳嗽气逆,风痹肘疼,可艾灸七壮。
清冷渊穴位于肘上二寸,伸肘举臂时取穴。针刺三分,艾灸三壮。
主治各种痹痛,肩臂肘部无法抬起。
《席弘赋》说:五种肘痛寻找尺泽穴,针刺冷渊穴后即可收效。
消泺穴位于肩下臂外侧,腋下斜向肘部分叉下行处。针刺五分,艾灸五壮。一种说法针刺一分,艾灸三壮。
主治风痹,颈项强直肿痛,寒热头痛肩背拘急。
有一种传承来自海南,治疗牙疼,艾灸此穴。
会穴(一名肩髎)位于臂前缘,距离肩端三寸的宛宛凹陷中。这里是手阳明大肠经和手少阳三焦经两条络脉的交会处。针刺五分,艾灸五壮。
主治肘臂气肿,酸痛无力无法抬起,颈部瘿气瘤,寒热瘰疬。
肩髎穴位于肩端臑俞上方的凹陷中,斜举手臂时取穴。针刺七分,艾灸三壮。
主治手臂沉重肩痛无法抬起。
天髎穴位于肩缺盆中,上毖骨(锁骨)边缘,凹陷处。(毖音同秘。)一种说法在肩井穴正后方一寸。这里是手足少阳经和阳维脉的交会处。针刺八分,艾灸三壮。
主治肩臂酸痛,缺盆痛,无汗,胸中烦闷,颈项拘急,寒热。
天牖穴位于颈部大筋外侧,缺盆上方,天容穴后方,天柱穴前方,完骨穴下方,发际中,耳后一寸夹缝处。针刺一分,留针七次呼吸,不宜用补法,也不宜艾灸,艾灸会导致面部肿胀。《资生经》说:艾灸一壮。《甲乙经》说:艾灸三壮。
主治突发耳聋听力下降,气逆眼睛不明,夜间梦境颠倒,面色无华,头风面肿项强。一种说法如果治疗面肿眼合,先取天窗穴,后针天牖、风池穴,病即痊愈。如果不先针天窗穴,病难愈。
翳风穴位于耳后尖角凹陷处,按压时牵引耳中。这里是手足少阳经的交会处。针刺三分,艾灸七壮。
主治耳聋,口眼歪斜,口噤不开,下颌脱臼颊肿,牙车急痛,突然失音不能说话。一种说法耳红肿痛用泻法,耳虚鸣用补法,补多泻少。
《百证赋》说:配合听会穴,治疗耳聋气闭。
角孙穴(一名资脉)位于耳根部后方,鸡足状青色络脉中。针刺一分,艾灸三壮。《铜人经》说:刺出如豆汁的血,不宜过多。一种说法禁止艾灸。
主治头风耳鸣,小儿惊痫抽搐,呕吐泻痢无定时,惊恐,眼睛干涩多眵膏。
颅息穴位于耳后中间的青色络脉中。针刺一分,艾灸七壮。《甲乙经》说:艾灸三壮。一种说法禁止针刺,出血多则致死。
主治耳鸣喘息,小儿呕吐,抽搐惊恐发作痫证,身热头痛无法躺卧,耳肿流脓汁。
《百证赋》说:耳部疾病非颅息穴不治。
角孙穴位于耳廓中间,发际下方,开口时有空隙。这里是手太阳小肠经、手少阳三焦经、足少阳胆经三条经脉的交会处。(《甲乙经》中手太阳作手阳明。)《寒热病篇》说:足太阳膀胱经有进入遍布牙齿的分支,名叫角孙。那么足太阳脉也交会于此。针刺三分,艾灸三壮。
主治眼睛生翳,齿龈肿胀无法咀嚼,嘴唇干燥,颈项强直。
一种说法可以治疗耳齿疾病。
耳门穴位于耳前隆起的肌肉处,正当耳屏缺口处的凹陷中。针刺三分,留针三次呼吸,艾灸三壮。一种说法禁止艾灸。
主治耳聋耳流脓汁,耳生疮,龋齿嘴唇僵硬。
《席弘赋》说:凡是患伤寒导致的两耳耳聋,耳门、听会穴见效快如风。
《百证赋》说:配合丝竹空穴,能顷刻止住牙疼。
《天星秘诀》说:耳鸣腰痛先取五会穴,后取此穴及足三里。
和髎穴位于耳前鬓发下横动脉搏处。这里是手足少阳经和手太阳小肠经三条经脉的交会处。针刺三分,艾灸三壮。一种说法艾灸会导致失明。
主治头痛耳鸣,牙车牵引拘急,颈项肿,口眼歪斜抽搐。
丝竹空穴(一名目窗)位于眉后凹陷中。《甲乙经》说:足少阳胆经脉气所发。针刺三分,留针三次呼吸,禁止艾灸,艾灸不幸会导致眼睛变小及失明。
主治头痛,眼睛红赤眩晕,视物模糊,睫毛倒睫,风痫戴眼(眼睛上翻),发狂吐涎沫,偏正头风。
《神农本草经》相关记载说:治疗头风,适宜刺破出血。
《百证赋》说:配合耳门穴,能顷刻治疗牙疼。
《通玄指要赋》说:治疗难以忍受的偏头痛。
一种传承主治眼赤痛,针刺一分出血。
Song of Acupoints on the Hand-Shaoyang Sanjiao Meridian:
The Qi and Blood of the Hand-Shaoyang Sanjiao (Triple Burner) meridian originate here, with twenty-three acupoints starting from Guanchong (LI1). Proceeding to Yemen (TE2), Zhongzhu (TE3), Yangchi (TE4), passing through Waiguan (TE5), Zhigou (TE6), Huizong (TE7). Then entering Sanyangluo (TE8), flowing into Tianjing (TE10) and Qinglengyuan (TE11). Followed by Xiaoluo (TE12), Hui (Jianliao, TE14), Jianliao (TE14), as well as Tianliao (TE15), Tianyou (TE16), and Yifeng (TE23). Juesun (SJ19), Luxi (TE19), Jiaosun (TE20) enter sequentially, finally Ermen (TE21), He'liao (TE22), and Sizhukong (TE23).
Guanchong (TE1): Located at the ulnar side of the tip of the ring finger, approximately the width of a leek leaf from the nail corner. It is the "Jing-Well" point where the Hand-Shaoyang Sanjiao meridian emerges. Needle depth 1 fen, retain for three breaths, moxa 3 cones.
Indications: Headache, dry mouth, Bi syndrome of the throat (swollen and obstructed pharynx), Huoluan (cholera-like disorder), Qi obstruction in the chest leading to anorexia, pain in the elbow and arm preventing elevation, blurred vision. Another view holds that this point treats Heat-Fire pathogenic factors in the Sanjiao, manifesting as thirst, cracked lips, and foul breath; bleeding via pricking is indicated.
*Yulong Fu* states: For excessive Heat stagnation in the Sanjiao, Guanchong is most suitable.
*Bai Zheng Fu* states: Combined with Yamen (GV15), it treats flaccid tongue and aphasia.
*Kuaijie Fangshi* records: Treats febrile diseases with vexation, chest fullness and stifling sensation without sweating, intense heat in the palm like fire, root-of-tongue pain, dry mouth with Xiao-Ku (wasting-thirst), and prolonged fever.
*Qiankun Shengyi* states: This is one of the Ten Jing-Well points. In cases of sudden stroke with collapse and coma, copious phlegm-saliva, unconsciousness, locked jaw, and inability to swallow medicine, urgently prick Shaoshang (LU11), Shangyang (LI1), Zhongchong (PC9), Shaochong (HT9), Guanchong (TE1), and Shaoze (SI1) with a three-edged needle to promote Qi and Blood circulation; this is a miraculous emergency point for reviving the dying.
Yemen (TE2): Located in the depression between the little finger and the ring finger. It is the "Ying-Spring" point where the Hand-Shaoyang Sanjiao meridian flows. Needle depth 2 fen, retain for two breaths, moxa 3 cones.
Indications: Palpitations and amnesia, cold reversal (cold limbs), arm pain unable to move up or down, malaria with chills and fever headache, vertigo with red, dry, tearing eyes, sudden deafness, swelling of the outer pharynx, gum pain. If the arm is red, swollen, and painful, pricking to bleed is excellent.
*Qianjin Fang* states: Treats deafness and insomnia, needle 3 fen with tonification.
*Yulong Fu* states: Combined with Zhongzhu (TE3), it treats arm redness and swelling.
*Bai Zheng Fu* states: Combined with Yuji (LU10), it can treat sore throat.
Zhongzhu (TE3): Located in the depression behind the metacarpophalangeal joint of the ring finger, found when making a fist. It is the "Shu-Stream" point where the Hand-Shaoyang Sanjiao meridian pours. Needle depth 2 fen, retain for three breaths, moxa 3 cones.
Indications: Febrile disease without sweat, pain in the arm and fingers preventing flexion and extension, headache and vertigo, eye nebula causing blindness, deafness and swollen pharynx, chronic malaria, arm redness and swelling; pricking to bleed or moxa 5 cones.
*Tai Yi Ge* states: Needling treats chronic lower back and shoulder pain.
*Yulong Fu* states: Combined with Yemen (TE2), it treats arm redness and swelling.
*Xi Hong Fu* states: Treats shoulder and back pain caused by chronic Shanghan (Cold Damage).
*Tongxuan Zhiyao Fu* states: Pain in the center of the spine posteriorly is cured immediately upon needling this point.
*Lingguang Fu* states: For difficulty in moving the five fingers, select Zhongzhu (TE3).
Yangchi (TE4) (Alias: Bieyang): Located in the depression on the dorsal aspect of the wrist, directly opposite the middle of the carpus from the bone behind the metacarpophalangeal joint. It is the "Yuan-Source" point where the Hand-Shaoyang Sanjiao meridian passes. Needle depth 2 fen, retain for six breaths, moxa 3 cones. *Tongren Jing* states: Moxibustion is contraindicated.
Indications: Xiao-Ku (wasting-thirst/diabetes), dry mouth, vexation, chills and fever malaria, or wrist injury preventing grasping objects and raising the arm.
*Qianjin Fang* states: For wasting-thirst and dry mouth, moxa 50 cones.
*Shennong Jing* related records state: Treats wrist pain and weakness, inability to raise the arm to the head; moxa 7 cones.
Waiguan (TE5): Located 2 cun posterior to the wrist crease, in the depression between the two tendons. It is the Luo-Connecting point of the Hand-Shaoyang Sanjiao, diverging to connect with the Pericardium. Needle depth 3 fen, retain for seven breaths, moxa 3 cones.
Indications: Deafness with complete hearing loss, pain in the elbow, arm, and five fingers preventing grasping; if there is hypochondriac pain, use draining method.
*Shennong Jing* related records state: Treats elbow and arm inability to flex/extend, severe pain in all five fingers, inability to grasp objects; moxa 7 cones.
*Yulong Fu* states: Combined with Daling (PC7) and Zhigou (TE6), it treats abdominal pain and constipation.
*Kuaijie Fangshi* states: Treats arm redness and swelling, joint pain, redness/swelling/pain of the medial malleolus, pain in hand/foot finger joints preventing flexion/extension, internal Heat accumulation in the Five Zang and Six Fu organs, continuous hematemesis, persistent epistaxis, fainting from blood loss, deficiency exhaustion with rebellious Qi, Yang invading Yin causing reckless bleeding, Yin invading Yang causing cold-blood vomiting (named Lung-Heart meridian hematemesis), stiff tongue difficult to speak, white coating on tongue, double tongue swelling, sores in the mouth due to extreme Heat, protruding tongue unable to retract, shrunken tongue unable to speak, cracked lips, dry painful bleeding, scrofula nodules on the head encircling the neck and chest, swelling/pain of ear root and neck not subsiding, eye nebula, gritty difficulty opening, wind-margin ulcerated eyelids, tearing in wind, wind-swollen painful eyes, pterygium, acute red swollen painful eyes. For all above syndromes, first treat with Waiguan (TE5), then select additional points based on specific symptoms.
Zhigou (TE6) (Alias: Feihu): Located 3 cun posterior to the wrist, in the depression between the two bones. It is the "Jing-River" point where the Hand-Shaoyang Sanjiao meridian travels. Needle depth 2 fen, retain for seven breaths, moxa 7 cones.
Indications: Febrile disease without sweat, soreness/heaviness of shoulder/arm, hypochondriac/flank pain, inability to lift four limbs, Huoluan vomiting, locked jaw and sudden aphonia, sudden heart pain from "Ghost Strike", postpartum blood fainting/unconsciousness. Whenever Sanjiao Ministerial Fire is blazing, or constipation, or hypochondriac pain occurs, draining method is appropriate.
*Qianjin Fang* states: Treats neck fistula and scrofula (horse knife), moxa 100 cones.
*Yulong Fu* states: Combined with Zhaohai (KI6), it can unblock constipation. Also states: Combined with Waiguan (TE5) and Daling (PC7), it treats abdominal pain and constipation.
Huizong (TE7): Located 3 cun posterior to the wrist in the hollow space. Another view says 1 cun hollow. It is the Xi-Cleft point of the Hand-Shaoyang Sanjiao meridian. Needle 3 fen, moxa 3 cones. One view prohibits needling.
Indications: Five types of epilepsy, deafness, skin/muscle pain.
Sanyangluo (TE8) (Alias: Tongjian): Located on the upper arm at the intersection of meridians, 1 cun above Zhigou (TE6). Moxa 5 cones, prohibit needling.
Indications: Sudden aphonia unable to speak, deafness, dental caries, lethargy and desire to lie still without movement.
Sidu (TE9): Located 5 cun anterior to the elbow, in the depression on the lateral margin. Needle 6 fen, retain seven breaths, moxa 3 cones. One view says needle 3 fen.
Indications: Sudden Qi-closure deafness, lower dental caries pain.
Tianjing (TE10): Located laterally at the elbow, posterior to the tip of the olecranon, 1 cun above the elbow, in the depression between the two tendons, found by flexing the elbow. Zhen Quan states: 1 cun posterior to the bent elbow, found by crossing hands and pressing knees. It is the "He-Sea" point where the Hand-Shaoyang Sanjiao meridian enters. Needle 3 fen, retain seven breaths, moxa 3 cones. *Jia Yi Jing* states: Needle 1 fen.
Indications: Cough with rebellious Qi, chest pain preventing speech, expectoration of pus, anorexia, chills/shivering, inability to lie down, palpitations/sorrow, convulsions/epilepsy, five types of epilepsy and wind-bi, head/neck/shoulder/back pain, deafness, pain at the outer canthus, cheek swelling, elbow/arm pain preventing grasping, and draining all scrofula, carbuncles, swellings, and urticaria.
*Shennong Jing* related records state: Treats cough/rebellious Qi, wind-bi elbow pain; moxa 7 cones.
Qinglengyuan (TE11): Located 2 cun above the elbow, found by extending the arm and lifting it. Needle 3 fen, moxa 3 cones.
Indications: Various bi-pain, shoulder/arm/elbow inability to lift.
*Xi Hong Fu* states: For five types of elbow pain, seek Chize (LU5); after needling Lengyuan (Qinglengyuan), success is achieved.
Xiaoluo (TE12): Located below the shoulder on the lateral arm, descending obliquely from the axilla towards the elbow division. Needle 5 fen, moxa 5 cones. One view says needle 1 fen, moxa 3 cones.
Indications: Wind-bi, stiff/tender/swollen neck, chills/fever/headache, shoulder/back stiffness.
A transmission from Hainan treats toothache by moxaing this point.
Hui (Jianliao, TE14) (Alias: Jianliao): Located on the anterior margin of the arm, 3 cun from the shoulder tip in the depression. It is the meeting point of the Luo-connecting vessels of the Hand-Yangming Large Intestine and Hand-Shaoyang Sanjiao meridians. Needle 5 fen, moxa 5 cones.
Indications: Qi swelling in elbow/arm, soreness/weakness unable to lift, neck goiter/nodules, chills/scrofula.
Jianliao (TE14): Located in the depression above the Naoshu point at the shoulder tip, found by obliquely lifting the arm. Needle 7 fen, moxa 3 cones.
Indications: Heavy arm, shoulder pain unable to lift.
Tianliao (TE15): Located in the supraclavicular fossa (Quepen), at the edge of the Su-gu (clavicle), in the depression. (Su sounds like Mi.) One view says 1 cun directly posterior to Jianjing (GB21). It is the meeting point of the Hand-Shaoyang, Foot-Shaoyang, and Yangwei Vessels. Needle 8 fen, moxa 3 cones.
Indications: Shoulder/arm soreness/pain, Quepen pain, anhidrosis, chest vexation/fullness, neck stiffness, chills/fever.
Tianyou (TE16): Located lateral to the large tendon of the neck, above Quepen, posterior to Tiānróng (SI17), anterior to Tianzhu (BL10), below Wangu (GB12), in the hairline, 1 cun posterior to the ear. Needle 1 fen, retain seven breaths; tonification is unsuitable, nor is moxibustion (moxa causes facial swelling). *Zisheng Jing* states: Moxa 1 cone. *Jia Yi Jing* states: Moxa 3 cones.
Indications: Sudden deafness/hearing loss, Qi-reversal causing unclear vision, inverted dreams at night, pale complexion, head-wind/facial swelling/neck stiffness. One view states: To treat facial swelling and closed eyes, first select Tianchuang (SI16), then needle Tianyou (TE16) and Fengchi (GB20); the disease will heal. If Tianchuang is not needled first, healing is difficult.
Yifeng (TE23): Located in the depression at the posterior angle of the ear, pressing draws sensation into the ear. It is the meeting point of the Hand-Shaoyang and Foot-Shaoyang meridians. Needle 3 fen, moxa 7 cones.
Indications: Deafness, facial paralysis (deviated mouth and eye), locked jaw unable to open, dislocated mandible/cheek swelling, severe masseter pain, sudden aphonia. One view states: Red/swollen/painful ear uses draining method; empty ringing in ear uses tonification method, more tonification than draining.
*Bai Zheng Fu* states: Combined with Tinghui (GB2), it treats deafness and Qi-closure.
Juesun (SJ19) (Alias: Zi Mai): Located posterior to the ear root, within the chicken-foot-shaped blue collateral vessels. Needle 1 fen, moxa 3 cones. *Tongren* states: Prick until blood flows like bean curd dregs; do not bleed excessively. One view prohibits moxa.
Indications: Head-wind tinnitus, pediatric convulsive epilepsy, vomiting/diarrhea without fixed time, fright, dry eyes with discharge.
Luxi (TE19): Located in the blue collateral vessels between the ear and the occiput. Needle 1 fen, moxa 7 cones. *Jia Yi Jing* states: Moxa 3 cones. One view prohibits needling; excessive bleeding may cause death.
Indications: Tinnitus/wheezing, pediatric vomiting, convulsions/fright inducing epilepsy, fever/headache unable to lie down, ear swelling with purulent discharge.
*Bai Zheng Fu* states: Ear diseases are not cured without Luxi (TE19).
Jiaosun (TE20): Located in the middle of the auricle, below the hairline, with a gap when the mouth is open. It is the meeting point of the Hand-Taiyang Small Intestine, Hand-Shaoyang Sanjiao, and Foot-Shaoyang Gallbladder meridians. (*Jia Yi Jing* lists Hand-Taiyang as Hand-Yangming.*) *Han Re Bing Pian* states: The Foot-Taiyang Bladder meridian has a branch entering the teeth, named Jiaosun; thus the Foot-Taiyang meridian also meets here. Needle 3 fen, moxa 3 cones.
Indications: Eye nebula, swollen gums unable to chew, dry lips/chin, stiff neck.
One view states it can treat ear and dental diseases.
Ermen (TE21): Located in the depression of the raised flesh anterior to the ear, at the tragus notch. Needle 3 fen, retain three breaths, moxa 3 cones. One view prohibits moxa.
Indications: Deafness, otorrhea, ear sores, dental caries, stiff lips/chin.
*Xi Hong Fu* states: For bilateral deafness caused by Shanghan, Ermen (TE21) and Tinghui (GB2) act swiftly like wind.
*Bai Zheng Fu* states: Combined with Sizhukong (TE23), it stops toothache instantly.
*Tianxing Mijue* states: For tinnitus and lower back pain, first select Wu-Hui points, then this point and Zusanli (ST36).
Heliao (TE22): Located in the transverse arterial pulse below the temporal hair anterior to the ear. It is the meeting point of the Hand-Shaoyang, Foot-Shaoyang, and Hand-Taiyang meridians. Needle 3 fen, moxa 3 cones. One view states moxa causes blindness.
Indications: Headache/tinnitus, masseter traction/spasm, neck swelling, facial deviation/convulsions.
Sizhukong (TE23) (Alias: Mu Chuang): Located in the depression posterior to the eyebrow. *Jia Yi Jing* states: Where the Qi of the Foot-Shaoyang Gallbladder meridian issues. Needle 3 fen, retain three breaths; prohibit moxa. Unfortunately, moxa may cause microphthalmia or blindness.
Indications: Headache, red/vertiginous eyes, blurred vision, inverted eyelashes, wind-epilepsy with upward staring eyes, mania with foaming at the mouth, lateral/central head-wind.
*Shennong Jing* related records state: Treats head-wind, suitable for pricking to bleed.
*Bai Zheng Fu* states: Combined with Ermen (TE21), it treats toothache instantly.
*Tongxuan Zhiyao Fu* states: Treats unbearable lateral headache.
A transmission treats red/painful eyes by needling 1 fen to bleed.