脾经穴歌
足太阴脾由足拇,隐白先从内侧起。大都、太白继公孙,商丘直上三阴坞。漏谷、地
机、阴陵泉,血海、箕门、冲门前。府舍、腹结、大横上,腹哀、食窦、天溪连。胸乡、周容、大
包尽,二十一穴太阴全。
隐白 在足大指内侧端,去爪甲角如韭叶。足太阴所出为井。刺一分,留三呼,灸三壮。
主治腹胀喘满不得卧,呕吐食不下,胸中痛,烦热暴泄,衄血,尸厥不识人,足寒不得
温,妇人月事过时不止,刺之立愈,小儿客忤惊风。
百证赋云∶兼厉兑,治梦魇不宁。
大都 在大指本节后内侧骨缝,白肉际陷中。足太阴所溜为荥。刺三分,留七呼,灸三壮。
主治热病汗不出,不得卧,身重骨痛,伤寒手足逆冷,腹满呕吐闷乱,腰痛不可俯仰,四
肢肿痛。凡妇人孕不论月数,及生产后未满百日,俱不宜灸。
千金云∶治大便难,灸随年壮。又霍乱下泻不止,灸七壮。
席弘赋云∶兼横骨,治气滞腰痛不能立。
百证赋云∶兼经渠,治热病汗不出。
太白 在足大指后,内侧核骨下,赤白肉际陷中。足太阴所注为 ,即原也。刺三分,留七呼,灸三壮。
主治身热烦满,腹胀食不化,呕吐泻痢脓血,腰痛,大便难,气逆霍乱,腹中切痛,肠鸣,
膝股 酸,转筋身重骨痛。
玉龙赋云∶治痔漏。
通玄赋云∶能宣导于气冲。
公孙 在足大指内侧,本节后一寸,内踝前陷中,正坐合足掌相对取之。太阴络,别走
阳明。刺四分,留七呼,灸三壮。甲乙经曰∶留二十呼。
主治寒疟不食,痫气好大息,多寒热,汗出喜呕,卒面肿,心烦多饮,胆虚腹虚,水肿腹胀如鼓,脾冷胃痛。
神农经云∶治腹胀心疼,可灸七壮。
席弘赋云∶治肚疼,须兼内关相应。
标幽赋云∶脾冷胃疼,泻公孙而立愈。
拦江赋云∶兼照海,治伤寒四日太阴经,再内联关施截法。
截法云∶治九种心疼;一切冷气;痰涎隔闷,胸中隐痛,脐腹胀满,气不消化;胁肋下痛,
起坐艰难;泄泻不止,里急后重;胸中刺痛;两胁胀满,气攻疼痛;中满不快,翻胃吐食;气隔
五噎,饮食不下;胃脘停痰,口吐清水;中脘停食,疼刺不已;呕吐痰涎,眩晕不止;心疟,令
人心内怔忡;肝疟,令人气色苍苍,恶寒发热;脾疟,令人怕寒,腹中痛;肺疟,令人心寒惊
怕;肾疟,令人洒淅寒热,腰脊强痛;疟疾,大热不退,或先寒后热,及先热后寒;疟疾,心胸
疼痛;疟疾,头痛眩晕,吐痰不已;疟疾,骨节酸痛;疟疾,口渴不已;胃疟,令人善饥而不能
食;胆疟,令人恶寒惊怕,睡卧不安;黄汗疸,四肢俱肿,汗出染衣;黄胆,遍身皮肤黄,及面
目小便俱黄;谷疸食毕则头眩,心中拂郁;酒疸,身目俱黄,心中俱痛,面发赤斑,小便赤黄;
女劳疸身目俱黄,发热恶寒,小便不利。以上凡三十证,先以公孙为主治,然后随证取各穴应之。
商丘 在内踝下微前陷中,前有中封,后有照海,此穴居中,内踝下有横文如偃口形。
足太阴所行为经。刺三分,留七呼,灸三壮。
主治胃脘痛,腹胀肠鸣,不便,脾虚令人不乐,身寒善太息,心悲气逆,喘呕舌强,脾积
痞气,黄胆寒疟,体重肢节痛,怠惰嗜卧,骨疽痔疾,阴股内痛,狐疝走引小腹疼痛,不可俯仰。
神农经云∶治脾虚腹胀胃脘痛,可灸七壮。
玉龙赋云∶兼解溪、丘墟,堪追脚痛。
百证赋云∶专治痔漏最良。
三阴交 在内踝上除踝三寸,骨下陷中。足三阴之交会。刺三分,留七呼,灸三壮,妊娠不可刺。
主治脾胃虚弱,心腹胀满,不思饮食,脾病身重,四肢不举,飧泄痢血, 癖脐下痛不可
忍,中风卒厥不省人事,膝内廉痛,足痿不行。凡女人产难,月水不禁,赤白带下,先泻后
补;小肠疝气,偏坠木肾肿痛,小便不通,浑身浮肿,先补后泻。
千金云∶内踝上三寸,绝骨宛宛中。灸五十壮。主咳逆、虚劳、寒损、忧恚、筋骨挛痛,
又主心中咳逆、泄注、腹满、喉痹、项颈满、肠痔、逆气、痔血、阴急、鼻衄、骨疮、大、小便涩、
鼻中干燥、烦满、狂易、走气,凡二十二种病,皆当灸之也。又云∶男女梦与人交泄精,三阴
交灸五壮。喜梦泄,神良。又治霍乱手足逆冷,灸七壮,不瘥更七壮。又治劳淋,灸百壮,
三报之。又痔疾刺入三分,亦主大便不利。又治气 水 ,卵偏大,上入腹,灸随年壮。
玉龙赋云∶兼三里、绝骨,治连延香港脚。
百证赋云∶兼针气海,专司白浊久遗精。
席弘赋云∶冷嗽宜补合谷,却须泻此穴。又云∶脚痛膝肿针三里,又须兼悬钟、二陵、三
阴交、太冲引气,并治指头麻木。
天星秘诀云∶兼合谷,治脾病血气。又云∶兼承山,治胸膈痞满,饮食自喜。
乾坤生意云∶兼大敦,治小肠疝气。
昔有宋太子善医术,出逢一妊妇。太子诊之曰∶是一女也。徐文伯亦诊曰,此一男一
女也。太子性急,欲剖视之。文伯曰∶臣能针而落之。为泻三阴交,补手阳明合谷,应针而
落,果如文伯之言。故妊娠不可刺此穴,且能落死胎。
漏谷(一名太阴络) 在内踝上六寸,骨下陷中。刺三分,留七呼,灸三壮。
主治膝痹脚冷不仁,肠鸣腹胀, 癖冷气,小腹痛,饮食不为肌肤,小便不利失精。
地机(一名脾舍) 在膝下五寸,内侧骨下陷中,伸足取之。一曰在别走上一寸,孔在膝下
五寸。足太阴 。刺三分,灸五壮。
主治腰痛不可俯仰,溏泄腹胀,水肿不嗜食,精不足,小便不利,足痹痛,女子 瘕。
百证赋云∶兼血海,治妇人经事之改常。
阴陵泉 在膝下内辅骨下陷中,伸足取之,或曲膝取之,与少阳经阳陵泉内外相对。
一曰稍高一寸。足太阴所入为合。刺五分,留七呼,灸三壮。
主治腹中寒痛,胀满喘逆不得卧,小便不利,气淋寒热不节,腰痛不可俯仰,霍乱疝瘕,
遗尿泄泻,阴痛足膝红肿。
神农经云∶治小便不通,疝瘕,可灸七壮。
千金云∶小便失禁不觉,刺五分,灸随年壮。又水肿不得卧,灸百壮。
玉龙赋云∶兼阳陵,治膝肿之难消。
太乙歌云∶肠中切痛阴陵调。
灵光赋云∶治香港脚。
席弘赋云∶治心胸满,兼承山饮食自思。又云∶脚痛膝肿针三里,又须兼悬钟、二陵、三
阴交、太冲行气,并治指头麻木。
百证赋云∶兼水分,能去水肿脐盈。
通玄赋云∶能开通水道。
天星秘诀云∶若是小肠连脐痛,先刺阴陵后涌泉。
血海(一名百虫窠) 在膝膑上一寸内廉白肉际陷中。一云在膝内辅骨上,横入五分。刺五
分,灸五壮。
主治女子崩中漏下,月事不调,带下,逆气腹胀,先补后泻。又主肾藏风,两腿疮痒湿不可当。
百证赋云∶兼地机,治妇人经事之改常。又云∶兼冲门,治 癖有验。
灵光赋云∶兼气海,疗五淋。
箕门 在鱼腹上,越两筋间阴股内廉,动脉应手。一云股上起筋间。甲乙经曰∶太阴内
市。刺三分,留六呼,灸三壮。一云禁刺。
主治小便不通,遗尿,鼠鼷肿痛。
冲门(一名慈宫) 上去大横五寸,在府舍下,横骨两端约文中动脉,去腹中行三寸半。足
太阴厥阴之会。刺七分,灸五壮。
主治中寒积聚,淫泺阴疝,妊娠冲心,难乳。
百证赋云∶兼气冲,治带下产崩。又云∶兼血海,治 癖。
府舍 在腹结下三寸,去腹中行三寸半。足厥阴太阴阴维之会。甲乙经曰∶此脉上下
入腹,络胸,结心肺,从胁上至肩,此太阴 ,三阴阳明支别。刺七分,灸五壮。
主治疝癖,腹胁满痛,上下抢心,积聚痹痛,厥气霍乱。
腹结(一名腹屈。) 在大横下一寸三分,去腹中行三寸半。刺七分,灸五壮。
主治咳逆,绕脐腹痛,中寒泻痢,心痛。
大横 在腹哀下三寸五分,平脐,去中行三寸半。足太阴阴维之会。刺七分,灸五壮。
主治大风逆气,四肢不举,多寒善悲。
千金云∶主多寒洞痢,四肢不举,灸随年壮。又云∶多汗四肢不举少力, 灸横文五十壮,
在挟脐相去七寸。亦属此穴。
百证赋云∶兼天冲穴,治反张悲哭。
腹哀 在日月下一寸五分,去腹中行三寸半。足太阴阴维之会。刺三分,灸五壮。甲乙经云∶刺七分。
主治寒中食不化,大便脓血腹痛。
食窦 在天溪下一寸六分陷中,举臂取之。刺四分,灸五壮。
主治胸胁支满,咳唾逆气,饮不下,膈有水声。
天溪 在胸乡下一寸六分陷中,仰而取之。刺四分,灸五壮。
主治胸满喘逆上气,喉中作声,妇人乳肿贲痈。
胸乡 在周荣下一寸六分陷中,仰而取之。刺四分,灸五壮。
主治胸胁支满,引背痛,不得卧转侧。
周荣 在中府下一寸六分陷中,仰而取之。刺四分,灸五壮。
主治胸满不得俯仰,咳逆食不下。
大包 在渊腋下三寸。脾之大络,布胸胁中,出九肋间及季胁端,总统阴阳诸络,由脾
灌溉五脏。刺三分,灸三壮。
主治胸中喘痛,腹有大气不得息,实则其身尽寒,虚则百节皆纵。
足太阴脾经起于足大趾,隐白穴首先从内侧开始。大都、太白接着是公孙,商丘直上至三阴交。漏谷、地机、阴陵泉,血海、箕门、冲门依次排列。府舍、腹结、大横向上,腹哀、食窦、天溪相连。胸乡、周荣、大包结束,二十一穴构成太阴脾经全貌。
隐白穴
位于足大趾内侧端,距离指甲角约韭菜叶宽度。为足太阴脾经所出之井穴。针刺一分,留针三次呼吸时间,艾灸三壮。
主治腹胀喘满不能平卧,呕吐食欲不振,胸痛,烦热暴泻,鼻出血,尸厥(突然昏倒不省人事),足部寒冷无法温暖,妇女月经过期不止,针刺可立即痊愈,小儿客忤惊风。
《百证赋》记载:配合厉兑穴,治疗梦魇不安。
大都穴
位于足大趾本节后内侧骨缝中,赤白肉际凹陷处。为足太阴脾经所溜之荥穴。针刺三分,留针七次呼吸时间,艾灸三壮。
主治热病无汗,不能安卧,身体沉重骨痛,伤寒手足逆冷,腹部胀满呕吐烦闷,腰痛不能俯仰,四肢肿痛。凡妇女怀孕不论月份大小,以及产后未满百日,均不宜艾灸。
《千金方》记载:治疗大便困难,灸随年壮(即患者年龄对应的壮数)。又治霍乱腹泻不止,灸七壮。
《席弘赋》记载:配合横骨穴,治疗气滞腰痛不能站立。
《百证赋》记载:配合经渠穴,治疗热病无汗。
太白穴
位于足大趾后方,内侧核骨下方,赤白肉际凹陷处。为足太阴脾经所注之输穴,也就是原穴。针刺三分,留针七次呼吸时间,艾灸三壮。
主治身体发热烦闷,腹胀消化不良,呕吐泻痢脓血,腰痛,大便困难,气逆霍乱,腹部剧烈疼痛,肠鸣,膝股酸软,转筋身体沉重骨痛。
《玉龙赋》记载:治疗痔疮瘘管。
《通玄指要赋》记载:能宣导气冲部位的气机。
公孙穴
位于足大趾内侧,本节后一寸,内踝前凹陷处,正坐时双脚掌相对取穴。为足太阴络穴,别走足阳明胃经。针刺四分,留针七次呼吸时间,艾灸三壮。《甲乙经》说:留针二十次呼吸时间。
主治寒疟不进食,癫痫喜欢叹气,多寒热,出汗且喜欢呕吐,突然面部浮肿,心烦多饮,胆虚腹虚,水肿腹胀如鼓,脾冷胃痛。
《神农本草经》记载:治疗腹胀心痛,可灸七壮。
《席弘赋》记载:治疗肚疼,必须配合内关穴相应治疗。
《标幽赋》记载:脾冷胃痛,泻公孙穴可立即痊愈。
《拦江赋》记载:配合照海穴,治疗伤寒第四日传入太阴经,再配合内关穴施用截法。
《截法》记载:治疗九种心痛;一切冷气;痰涎阻隔胸闷,胸部隐痛,脐腹胀满,气不消化;胁肋下痛,起身坐下困难;泄泻不止,里急后重;胸部刺痛;两胁胀满,气攻疼痛;中满不适,翻胃吐食;气隔五噎,饮食不下;胃脘停痰,口吐清水;中脘停食,疼痛刺人不已;呕吐痰涎,眩晕不止;心疟,令人心悸怔忡;肝疟,令人面色苍白,恶寒发热;脾疟,令人怕冷,腹痛;肺疟,令人心寒惊恐;肾疟,令人洒淅寒热,腰脊强痛;疟疾,大热不退,或先寒后热,及先热后寒;疟疾,心胸疼痛;疟疾,头痛眩晕,吐痰不已;疟疾,骨节酸痛;疟疾,口渴不已;胃疟,令人容易饥饿但不能进食;胆疟,令人恶寒惊恐,睡卧不安;黄汗疸,四肢俱肿,汗出染衣;黄疸,遍身皮肤黄,及面目小便俱黄;谷疸食毕则头晕,心中郁结;酒疸,身目俱黄,心中俱痛,面发赤斑,小便赤黄;女劳疸身目俱黄,发热恶寒,小便不利。以上共三十种病症,先以公孙穴为主治,然后随证选取各穴配合治疗。
商丘穴
位于内踝下微前凹陷处,前有中封穴,后有照海穴,此穴居中,内踝下有横纹如仰卧口形。为足太阴脾经所行之经穴。针刺三分,留针七次呼吸时间,艾灸三壮。
主治胃脘痛,腹胀肠鸣,便秘,脾虚使人心情不乐,身体寒冷喜欢叹气,心悲气逆,喘呕舌强,脾积痞气,黄疸寒疟,体重肢节痛,怠惰嗜卧,骨疽痔疾,阴股内痛,狐疝牵引小腹疼痛,不能俯仰。
《神农本草经》记载:治疗脾虚腹胀胃脘痛,可灸七壮。
《玉龙赋》记载:配合解溪、丘墟穴,可治疗脚痛。
《百证赋》记载:专治痔疮瘘管效果最好。
三阴交穴
位于内踝上除踝尖三寸,骨下凹陷处。为足三阴经交会之处。针刺三分,留针七次呼吸时间,艾灸三壮,妊娠期间不可针刺。
主治脾胃虚弱,心腹胀满,不思饮食,脾病身体沉重,四肢不能抬起,完谷不化的泄泻痢血,癖块脐下痛不可忍受,中风卒厥不省人事,膝内侧痛,足痿不能行走。凡妇女难产,月经不禁,赤白带下,先补后泻;小肠疝气,偏坠木肾肿痛,小便不通,浑身浮肿,先补后泻。
《千金方》记载:内踝上三寸,绝骨宛宛中。灸五十壮。主治咳逆、虚劳、寒损、忧恚、筋骨挛痛,又主治心中咳逆、泄注、腹满、喉痹、项颈满、肠痔、逆气、痔血、阴急、鼻衄、骨疮、大、小便涩、鼻中干燥、烦满、狂易、走气,共二十二种病,都应当灸治。又说:男女梦中与人交合泄精,三阴交灸五壮。喜梦泄,神效。又治霍乱手足逆冷,灸七壮,不好再灸七壮。又治劳淋,灸百壮,分三次灸完。又治痔疾刺入三分,也主治大便不利。又治气水,睾丸偏大,上入腹部,灸随年壮。
《玉龙赋》记载:配合足三里、绝骨穴,治疗连绵不断的香港脚(脚气病)。
《百证赋》记载:配合针刺气海穴,专司白浊久遗精。
《席弘赋》记载:冷嗽宜补合谷穴,却须泻此穴(三阴交)。又说:脚痛膝肿针三里穴,又须配合悬钟、二陵(阳陵泉、阴陵泉)、三阴交、太冲穴引气,并治疗指头麻木。
《天星秘诀》记载:配合合谷穴,治疗脾病血气。又说:配合承山穴,治疗胸膈痞满,饮食自喜。
《乾坤生意》记载:配合大敦穴,治疗小肠疝气。
从前宋太子擅长医术,外出遇到一位孕妇。太子诊断说:是一个女孩。徐文伯也诊断说:这是一个男孩和一个女孩。太子性情急躁,想要剖开查看。文伯说:臣能用针刺使其流产。于是泻三阴交,补手阳明合谷穴,应针而落,果然如文伯所言。所以妊娠期不可针刺此穴,且能导致死胎脱落。
漏谷穴(一名太阴络)
位于内踝上六寸,骨下凹陷处。针刺三分,留针七次呼吸时间,艾灸三壮。
主治膝痹脚冷麻木,肠鸣腹胀,癖块冷气,小腹痛,饮食不为肌肤(消瘦),小便不利失精。
地机穴(一名脾舍)
位于膝下五寸,内侧骨下凹陷处,伸足取穴。一说在别走上一寸,孔在膝下五寸。为足太阴脾经所入之合穴。针刺三分,艾灸五壮。
主治腰痛不能俯仰,溏泄腹胀,水肿不想吃东西,精气不足,小便不利,足痹痛,女子癥瘕。
《百证赋》记载:配合血海穴,治疗妇女月经异常。
阴陵泉穴
位于膝下内辅骨下凹陷处,伸足取穴,或曲膝取穴,与少阳经阳陵泉内外相对。一说稍高一寸。为足太阴脾经所入之合穴。针刺五分,留针七次呼吸时间,艾灸三壮。
主治腹中寒痛,胀满喘逆不能平卧,小便不利,气淋寒热不调,腰痛不能俯仰,霍乱疝瘕,遗尿泄泻,阴痛足膝红肿。
《神农本草经》记载:治疗小便不通,疝瘕,可灸七壮。
《千金方》记载:小便失禁不觉,刺五分,灸随年壮。又治水肿不能平卧,灸百壮。
《玉龙赋》记载:配合阳陵泉穴,治疗膝肿难消。
《太乙歌》记载:肠中切痛用阴陵泉调理。
《灵光赋》记载:治疗香港脚(脚气病)。
《席弘赋》记载:治疗心胸满,配合承山穴饮食自思。又说:脚痛膝肿针三里穴,又须配合悬钟、二陵、三阴交、太冲穴行气,并治疗指头麻木。
《百证赋》记载:配合水分穴,能去除水肿脐盈。
《通玄指要赋》记载:能开通水道。
《天星秘诀》记载:若是小肠连脐痛,先刺阴陵泉后刺涌泉。
血海穴(一名百虫窠)
位于膝膑上一寸内廉白肉际凹陷处。一说在膝内辅骨上,横入五分。针刺五分,艾灸五壮。
主治女子崩中漏下,月经不调,带下,逆气腹胀,先补后泻。又主治肾脏风,两腿疮痒湿不可当。
《百证赋》记载:配合地机穴,治疗妇女月经异常。又说:配合冲门穴,治疗癖块有效。
《灵光赋》记载:配合气海穴,治疗五淋。
箕门穴
位于鱼腹上,越过两筋间阴股内廉,动脉应手。一说股上起筋间。《甲乙经》称为:太阴内市。针刺三分,留针六次呼吸时间,艾灸三壮。一说禁止针刺。
主治小便不通,遗尿,鼠鼷肿痛。
冲门穴(一名慈宫)
上去大横五寸,在府舍下,横骨两端约文中动脉,去腹中行三寸半。为足太阴、厥阴之会。针刺七分,艾灸五壮。
主治中寒积聚,淫泺阴疝,妊娠冲心,难乳。
《百证赋》记载:配合气冲穴,治疗带下产崩。又说:配合血海穴,治疗癖块。
府舍穴
在腹结下三寸,去腹中行三寸半。为足厥阴、太阴、阴维之会。《甲乙经》说:此脉上下入腹,络胸,结心肺,从胁上至肩,这是太阴经别,三阴阳明支别。针刺七分,艾灸五壮。
主治疝癖,腹胁满痛,上下抢心,积聚痹痛,厥气霍乱。
腹结穴(一名腹屈)
在大横下一寸三分,去腹中行三寸半。针刺七分,艾灸五壮。
主治咳逆,绕脐腹痛,中寒泻痢,心痛。
大横穴
在腹哀下三寸五分,平脐,去中行三寸半。为足太阴、阴维之会。针刺七分,艾灸五壮。
主治大风逆气,四肢不能抬起,多寒喜欢悲伤。
《千金方》记载:主治多寒洞痢,四肢不能抬起,灸随年壮。又说:多汗四肢不能抬起少力,灸横纹五十壮,在挟脐相去七寸。也属于此穴范围。
《百证赋》记载:配合天冲穴,治疗反张悲哭。
腹哀穴
在日月下一寸五分,去腹中行三寸半。为足太阴、阴维之会。针刺三分,艾灸五壮。《甲乙经》说:针刺七分。
主治寒中食不化,大便脓血腹痛。
食窦穴
在天溪下一寸六分凹陷处,举臂取穴。针刺四分,艾灸五壮。
主治胸胁支满,咳唾逆气,饮水不下,膈有水声。
天溪穴
在胸乡下一寸六分凹陷处,仰而取穴。针刺四分,艾灸五壮。
主治胸满喘逆上气,喉中作声,妇人乳肿贲痈。
胸乡穴
在周荣下一寸六分凹陷处,仰而取穴。针刺四分,艾灸五壮。
主治胸胁支满,牵引背痛,不能平卧转侧。
周荣穴
在中府下一寸六分凹陷处,仰而取穴。针刺四分,艾灸五壮。
主治胸满不能俯仰,咳逆饮食不下。
大包穴
在渊腋下三寸。为脾之大络,布散于胸胁中,出于第九肋骨间及季胁端,总统阴阳诸络,由脾灌溉五脏。针刺三分,艾灸三壮。
主治胸中喘痛,腹有大气不得息,实证则全身寒冷,虚证则百节皆松弛无力。
Song of Acupoints on the Foot-Taiyin Spleen Meridian
The Foot-Taiyin Spleen meridian originates from the great toe, with Yinbai (SP1) starting first from the medial side. Dadu (SP2), Taibai (SP3), and Gongsun (SP4) follow; Shangqiu (SP5) leads up to Sanyinjiao (SP6). Lougu (SP7), Dijii (SP8), and Yinlingquan (SP9) are next; Xuehai (SP10), Jimen (SP11), and Chongmen (SP12) follow in sequence. Fushé (SP13), Fujie (SP14), and Daheng (SP15) ascend; Fu'ai (SP16), Shidou (SP17), and Tianxi (SP18) connect. Xiongxiang (SP19), Zhourong (SP20), and Dabao (SP21) conclude, completing the twenty-one acupoints of the Taiyin Spleen meridian.
Yinbai (SP1)
Located at the medial end of the great toe, approximately the width of a leek leaf from the corner of the nail. It is the Jing-Well point where the Foot-Taiyin Spleen meridian emerges. Needle 1 fen, retain for three breaths, moxa 3 zhuang.
Indications: Abdominal distension, wheezing, fullness, inability to lie flat, vomiting, poor appetite, chest pain, sudden diarrhea with irritability and heat, epistaxis, corpse-jue (sudden fainting with loss of consciousness), cold feet that cannot be warmed, prolonged menstrual bleeding in women (needling brings immediate relief), and infantile fright wind.
*Baizheng Fu* states: Combined with Lidui (ST45), it treats restless nightmares.
Dadu (SP2)
Located in the interosseous space on the medial side behind the metatarsophalangeal joint of the great toe, in the depression at the junction of red and white skin. It is the Ying-Spring point where the Qi flows rapidly along the Foot-Taiyin Spleen meridian. Needle 3 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Heat diseases with no sweat, inability to sleep, heavy body and bone pain, cold extremities in cold damage, abdominal fullness, vomiting, and mental restlessness, low back pain preventing flexion and extension, swelling and pain in the four limbs. For pregnant women regardless of gestational age, and for women within one hundred days postpartum, moxibustion is contraindicated.
*Qianjin Fang* states: Treats difficult defecation; apply moxibustion according to the patient's age in zhuang. Also treats cholera-like syndrome with incessant diarrhea; moxa 7 zhuang.
*Xihong Fu* states: Combined with Henggu (KI13), it treats lumbar pain due to qi stagnation preventing standing.
*Baizheng Fu* states: Combined with Jingqu (LU8), it treats heat diseases with no sweat.
Taibai (SP3)
Located posterior to the great toe, below the medial cuneiform bone, in the depression at the junction of red and white skin. It is the Shu-Stream point where the Qi pours into the Foot-Taiyin Spleen meridian, which is also the Yuan-Source point. Needle 3 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Fever and irritability, abdominal distension and indigestion, vomiting and dysentery with pus and blood, low back pain, difficult defecation, rebellious qi with cholera-like syndrome, severe abdominal pain, borborygmus, soreness of the knee and thigh, muscle spasms, heavy body, and bone pain.
*Yulong Fu* states: Treats hemorrhoids and fistulas.
*Tongxuan Zhiyao Fu* states: Can guide qi in the Qichong region.
Gongsun (SP4)
Located on the medial side of the great toe, one cun posterior to the metatarsophalangeal joint, in the depression anterior to the medial malleolus. Take the point while sitting upright with the soles of both feet facing each other. It is the Luo-Connecting point of the Spleen, diverging to the Stomach meridian. Needle 4 fen, retain for seven breaths, moxa 3 zhuang. *Jia Yi Jing* states: Retain for twenty breaths.
Indications: Cold malaria with anorexia, epilepsy with frequent sighing, alternating chills and fever, sweating with a tendency to vomit, sudden facial edema, irritability with excessive thirst, deficiency of the Gallbladder and Spleen/Stomach, edema and abdominal distension like a drum, cold spleen with stomachache.
*Shennong Bencao Jing* states: Treats abdominal distension and heart pain; moxa 7 zhuang.
*Xihong Fu* states: To treat abdominal pain, it must be combined with Neiguan (PC6) correspondingly.
*Biaoyou Fu* states: For cold spleen and stomachache, reducing Gongsun brings immediate relief.
*Lanjing Fu* states: Combined with Zhaohai (KI6), it treats Taiyin meridian involvement on the fourth day of cold damage, further applying the interception method by linking with Neiguan (PC6).
*Jiefang Fa* states: Treats nine types of heart pain; all forms of cold qi; phlegm-fluid obstruction causing chest tightness, hidden pain in the chest, umbilical and abdominal distension, undigested qi; pain under the hypochondrium making sitting and rising difficult; incessant diarrhea with tenesmus; stabbing pain in the chest; distension and pain attacking the two hypochondria; general fullness and discomfort, regurgitation and vomiting; qi obstruction and five types of gluttony/dysphagia, inability to eat; phlegm retention in the epigastrium with spitting clear water; food retention in Zhongwan causing unceasing stabbing pain; vomiting of phlegm-fluid with incessant vertigo; Heart Malaria causing palpitations; Liver Malaria causing pale complexion, aversion to cold and fever; Spleen Malaria causing fear of cold and abdominal pain; Lung Malaria causing cold heart and fright; Kidney Malaria causing shivering chills and fever, stiffness and pain of the waist and spine; Malaria with persistent high fever, or chills preceding fever, or fever preceding chills; Malaria with chest and heart pain; Malaria with headache, vertigo, and incessant expectoration; Malaria with soreness and pain in bone joints; Malaria with incessant thirst; Stomach Malaria causing hunger but inability to eat; Gallbladder Malaria causing aversion to cold and fright, restless sleep; Yellow Sweat Jaundice with swelling of all four limbs and sweat staining clothes; Jaundice with yellow skin, face, eyes, and urine; Grain Jaundice causing dizziness after eating and internal oppression; Wine Jaundice with yellow skin and eyes, chest pain, red spots on the face, and dark yellow urine; Female Labor Jaundice with yellow skin and eyes, fever, aversion to cold, and difficult urination. These thirty conditions are primarily treated with Gongsun, followed by selecting additional points based on specific symptoms.
Shangqiu (SP5)
Located in the slight depression anterior and inferior to the medial malleolus. Zhongfeng (LR4) is anterior, Zhaohai (KI6) is posterior, and this point is centered. There is a transverse wrinkle resembling a supine mouth shape below the medial malleolus. It is the Jing-River point where the Qi flows along the Foot-Taiyin Spleen meridian. Needle 3 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Epigastric pain, abdominal distension and borborygmus, constipation, spleen deficiency causing unhappiness, body coldness with frequent sighing, sadness with rebellious qi, wheezing, vomiting, stiff tongue, spleen accumulation and mass, jaundice and cold malaria, heavy body and joint pain, lethargy and desire to lie down, bone abscess and hemorrhoids, pain inside the thigh and groin, hernia huo moving pain pulling to the lower abdomen preventing flexion and extension.
*Shennong Bencao Jing* states: Treats spleen deficiency with abdominal distension and epigastric pain; moxa 7 zhuang.
*Yulong Fu* states: Combined with Jiexi (ST41) and Qiuxu (GB40), it can chase away foot pain.
*Baizheng Fu* states: Specifically treats hemorrhoids and fistulas best.
Sanyinjiao (SP6)
Located three cun above the tip of the medial malleolus, in the depression below the bone. It is the intersection of the three yin meridians of the foot. Needle 3 fen, retain for seven breaths, moxa 3 zhuang. Contraindicated during pregnancy.
Indications: Spleen and stomach weakness, chest and abdominal fullness, lack of appetite, spleen disease with heavy body and immobile limbs, undigested diarrhea and bloody dysentery, painful masses below the umbilicus, stroke with sudden coma, pain on the medial aspect of the knee, flaccidity of the foot preventing walking. For women with difficult labor, uncontrollable menstruation, red and white leukorrhea, tonify first then reduce; for small intestine hernia, pendulous testicle swelling and pain, difficulty urinating, generalized edema, tonify first then reduce.
*Qianjin Fang* states: Three cun above the medial malleolus, in the hollow near Jiegu. Moxa 50 zhuang. Mainly treats coughing upward, consumptive fatigue, cold injury, sorrow and anger, tendon and bone spasms, also mainly treats heart-related coughing upward, diarrhea, abdominal fullness, throat obstruction, neck and jaw fullness, intestinal hemorrhoids, rebellious qi, hemorrhoidal blood, genital urgency, epistaxis, bone sores, difficult urination and defecation, nasal dryness, irritability and fullness, mania, wandering qi. All twenty-two conditions should be treated with moxibustion. It also states: For men and women dreaming of sexual intercourse with seminal emission, moxa Sanyinjiao 5 zhuang. For frequent dream emissions, it is highly effective. Also treats cholera-like syndrome with cold extremities; moxa 7 zhuang, if not cured, moxa another 7 zhuang. Also treats chronic strangury from exhaustion; moxa 100 zhuang, administered in three sessions. Also needling hemorrhoids 3 fen deep also treats difficult defecation. Also treats qi fluid retention and enlarged testicle ascending into the abdomen; moxa according to age in zhuang.
*Yulong Fu* states: Combined with Zusanli (ST36) and Yangjiao (GB39), it treats persistent jiaogong (foot qi disease).
*Baizheng Fu* states: Combined with needling Qihai (CV6), it specifically controls long-term turbid urine and spermatorrhea.
*Xihong Fu* states: For cold cough, tonify Hegu (LI4), but must reduce this point (Sanyinjiao). Also states: For foot pain and knee swelling, needle Zusanli (ST36), and must combine with Xuanzhong (GB39), Er Ling (Yanglingquan GB34 and Yinlingquan SP9), Sanyinjiao (SP6), and Taichong (LR3) to guide qi, and also treats numbness of the fingertips.
*Tianxing Mijue* states: Combined with Hegu (LI4), it treats spleen disease affecting blood and qi. Also states: Combined with Chengshan (BL57), it treats chest and diaphragm fullness and improves appetite.
*Qiankun Shengyi* states: Combined with Dadun (LR1), it treats small intestine hernia.
In ancient times, Crown Prince Song was skilled in medicine. Once he met a pregnant woman on his way out. The Prince diagnosed: "It is a girl." Xu Wenbo also diagnosed: "It is a boy and a girl." The Prince was impatient and wanted to剖视 (cut open to inspect). Wenbo said: "Your subject can use acupuncture to induce abortion." By reducing Sanyinjiao and tonifying Hegu (LI4), the fetus fell immediately upon needling, exactly as Wenbo predicted. Therefore, this point is contraindicated during pregnancy, as it can cause the expulsion of a dead fetus.
Lougu (SP7) (Also known as Taiyin Luo)
Located six cun above the medial malleolus, in the depression below the bone. Needle 3 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Knee bi syndrome with cold and numbness of the feet, borborygmus and abdominal distension, cold qi in masses, lower abdominal pain, emaciation despite adequate diet, difficult urination and seminal emission.
Diji (SP8) (Also known as Pi She)
Located five cun below the knee, in the depression below the medial bone, taking the point with the leg extended. One source says it is one cun above the divergence point, located five cun below the knee. It is the He-Sea point of the Foot-Taiyin Spleen meridian. Needle 3 fen, moxa 5 zhuang.
Indications: Low back pain preventing flexion and extension, loose stools and abdominal distension, edema and anorexia, insufficiency of essence, difficult urination, foot bi pain, and female zheng jia (masses).
*Baizheng Fu* states: Combined with Xuehai (SP10), it treats irregular menstruation in women.
Yinlingquan (SP9)
Located in the depression below the medial condyle of the tibia. Take the point with the leg extended or bent. It is opposite to Yanglingquan (GB34) of the Shaoyang meridian internally and externally. One source says it is slightly higher by one cun. It is the He-Sea point where the Qi enters the Foot-Taiyin Spleen meridian. Needle 5 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Cold pain in the abdomen, distension, wheezing, and inability to lie down, difficult urination, qi strangury with irregular chills and fever, low back pain preventing flexion and extension, cholera-like syndrome and hernia/jia, enuresis and diarrhea, genital pain, and redness and swelling of the feet and knees.
*Shennong Bencao Jing* states: Treats difficult urination and hernia/jia; moxa 7 zhuang.
*Qianjin Fang* states: For involuntary urination without awareness, needle 5 fen, moxa according to age in zhuang. Also for edema preventing lying down, moxa 100 zhuang.
*Yulong Fu* states: Combined with Yanglingquan (GB34), it treats stubborn knee swelling.
*Taiyi Ge* states: For severe cutting pain in the intestines, regulate with Yinlingquan.
*Lingguang Fu* states: Treats jiaogong (foot qi disease).
*Xihong Fu* states: Treats chest and heart fullness; combine with Chengshan (BL57) to improve appetite. Also states: For foot pain and knee swelling, needle Zusanli (ST36), and must combine with Xuanzhong (GB39), Er Ling (Yanglingquan GB34 and Yinlingquan SP9), Sanyinjiao (SP6), and Taichong (LR3) to move qi, and also treats numbness of the fingertips.
*Baizheng Fu* states: Combined with Shuifen (CV9), it can remove edema and umbilical distension.
*Tongxuan Zhiyao Fu* states: Can open the water pathways.
*Tianxing Mijue* states: If there is pain connecting the small intestine to the umbilicus, first needle Yinlingquan (SP9) then Yongquan (KI1).
Xuehai (SP10) (Also known as Baichongke)
Located one cun above the patella on the medial aspect, in the depression at the junction of white skin. One source says it is on the medial condyle of the tibia, entering horizontally 5 fen. Needle 5 fen, moxa 5 zhuang.
Indications: Metrorrhagia and metrorrhagia leakage in women, irregular menstruation, leukorrhea, rebellious qi and abdominal distension (tonify first then reduce). Also treats kidney wind, itching and dampness of the legs that are unbearable.
*Baizheng Fu* states: Combined with Diji (SP8), it treats irregular menstruation in women. Also states: Combined with Chongmen (SP12), it effectively treats masses.
*Lingguang Fu* states: Combined with Qihai (CV6), it treats five stranguries.
Jimen (SP11)
Located on the fish belly, between the two tendons on the medial aspect of the inner thigh, where the pulse is felt. One source says it is among the raised muscles of the thigh. *Jia Yi Jing* calls it: Neishi of Taiyin. Needle 3 fen, retain for six breaths, moxa 3 zhuang. One source says needling is prohibited.
Indications: Difficulty urinating, urinary incontinence, and swelling and pain in the inguinal region.
Chongmen (SP12) (Also known as Cigong)
Five cun superior to Daheng (SP15), below Fushé (SP13), at the arterial pulse between the two ends of the pubic bone, 3.5 cun lateral to the midline of the abdomen. It is the intersection of the Foot-Taiyin and Foot-Jueyin meridians. Needle 7 fen, moxa 5 zhuang.
Indications: Cold accumulation in the middle, yin hernia with limpness, pregnancy pressing on the heart, and difficulty nursing.
*Baizheng Fu* states: Combined with Qichong (ST30), it treats leukorrhea and postpartum hemorrhage. Also states: Combined with Xuehai (SP10), it treats masses.
Fushé (SP13)
Three cun below Fujie (SP14), 3.5 cun lateral to the midline of the abdomen. It is the intersection of the Foot-Jueyin, Foot-Taiyin, and Yinwei meridians. *Jia Yi Jing* states: This vessel goes up and down into the abdomen, connects to the chest, knots at the heart and lungs, ascends from the hypochondrium to the shoulder. This is the branch of the Taiyin, and a separate branch of the Sanjiao, Yangming. Needle 7 fen, moxa 5 zhuang.
Indications: Hernia and masses, fullness and pain in the abdomen and hypochondrium, upward and downward seizing pain in the heart, accumulation and bi pain, rebellious qi with cholera-like syndrome.
Fujie (SP14) (Also known as Fuqu)
One cun and 3 fen below Daheng (SP15), 3.5 cun lateral to the midline of the abdomen. Needle 7 fen, moxa 5 zhuang.
Indications: Coughing upward, abdominal pain around the umbilicus, cold damage with diarrhea and dysentery, and heart pain.
Daheng (SP15)
Three cun and 5 fen below Fu'ai (SP16), level with the umbilicus, 3.5 cun lateral to the midline. It is the intersection of the Foot-Taiyin and Yinwei meridians. Needle 7 fen, moxa 5 zhuang.
Indications: Severe wind and rebellious qi, immobility of the four limbs, excessive cold and tendency to sadness.
*Qianjin Fang* states: Mainly treats excessive cold with watery diarrhea and immobility of the four limbs; moxa according to age in zhuang. Also states: Excessive sweating, immobility of the four limbs, and weakness; moxa 50 zhuang at the transverse wrinkle, seven cun lateral to the umbilicus. This also belongs to this acupoint area.
*Baizheng Fu* states: Combined with Tianchong (EX-HN6), it treats opisthotonos and crying/sadness.
Fu'ai (SP16)
One cun and 5 fen below Riyue (LR24), 3.5 cun lateral to the midline of the abdomen. It is the intersection of the Foot-Taiyin and Yinwei meridians. Needle 3 fen, moxa 5 zhuang. *Jia Yi Jing* states: Needle 7 fen.
Indications: Cold in the middle with indigestion, pus and blood in stool with abdominal pain.
Shidou (SP17)
One cun and 6 fen below Tianxi (SP18), in the depression. Take the point with the arm raised. Needle 4 fen, moxa 5 zhuang.
Indications: Distension and fullness in the chest and hypochondrium, coughing and spitting with rebellious qi, inability to drink fluids, sound of water in the diaphragm.
Tianxi (SP18)
One cun and 6 fen below Xiongxiang (SP19), in the depression. Take the point while lying supine. Needle 4 fen, moxa 5 zhuang.
Indications: Chest fullness, wheezing, rebellious upward qi, sounds in the throat, breast swelling and carbuncle in women.
Xiongxiang (SP19)
One cun and 6 fen below Zhourong (SP20), in the depression. Take the point while lying supine. Needle 4 fen, moxa 5 zhuang.
Indications: Distension and fullness in the chest and hypochondrium, radiating back pain, inability to lie down or turn over.
Zhourong (SP20)
One cun and 6 fen below Zhongfu (LU1), in the depression. Take the point while lying supine. Needle 4 fen, moxa 5 zhuang.
Indications: Chest fullness preventing flexion and extension, coughing upward and inability to eat.
Dabao (SP21)
Three cun below the axillary apex. It is the Great Luo of the Spleen, spreading through the chest and hypochondrium, emerging from the ninth intercostal space and the end of the costal margin. It commands all luo vessels of yin and yang, irrigating the five zang organs via the Spleen. Needle 3 fen, moxa 3 zhuang.
Indications: Wheezing and pain in the chest, inability to breathe due to excessive qi in the abdomen, excess syndrome presenting as coldness throughout the body, deficiency syndrome presenting as laxity of all joints.