马云。气府者。各经脉气交会之府也。故有言本经。而他经之穴。入其中者。止论脉气所发所会。不以
本经别经为拘也。其穴有多少。亦不拘于本经故耳。前篇论穴。故名气穴。而此论脉气所发。故名曰气府也。
高删论字。此亦以无问答也。
七十八穴 吴云。下文。考得九十一穴。多一十三穴。此与近世不同。近世左右共一百二十六穴。
张云。详考本经
下文。共得九十三穴。内除督脉少阳二经。其浮气相通于本经。而重见者。凡十五穴。则本经止七十八穴。近
世经络相传。足太阳左右。共一百二十六穴。即下文各经之数。亦多与今时者不同。
入发至项三寸半 马云。谓大杼风门二穴也。盖自后项。上至入发。则自入发至项而下。计有三寸
半许。其数正如二穴所在也。中乃督脉。旁有四行。俱足太阳经穴。故曰旁五。二穴。各开中行一寸半。则在
左之穴。至在右之穴。共相去三寸也。（按入发者。入后发际也。在后曰项。在侧曰颈。在前曰喉。新校正。
以入发为前发际。故欲以项字更为顶字。且以囟会至百会。百会至后顶。俱有三寸之说。又以半字为衍。何其
强也。今如愚注。则王注自明。新校正。不必赘矣。）马云。项。当作顶。自眉上入发。曲差穴也。自曲差上
行。至顶中通天穴。则三寸半也。并通天而居中者。督脉之百会也。百会。为太阳督脉之会。故此以为言百会
居中。而前后共五穴。左右凡五行。故曰旁五。自百会前。至囟会后。至强间左右。至少阳经穴。相去各三寸。
共五五二十五穴。如下文者也。高云。顶。旧本讹项。今改。顶。前项穴也。自攒竹入发际。至前顶。其中有
神庭上星囟会。故长三寸半。前顶在中行。次两行。外两行。故旁五。言自中及旁。有五行也。简按甲乙。神
庭。在发际直鼻。上星。在直鼻中央。入发际一寸。囟会。在上星后一寸。前顶。在囟会后一寸五分。凡四穴。
通三寸半。高注似是。
浮气 吴云。阳气浮于巅顶之上者也。张云。言脉气之浮于巅也。
项中大筋两旁各一 高云。风池二穴。
风府两旁各一 高云。天柱二穴。以明上文外两旁。在项中大筋两旁。名为风池者。各一。内两旁
在风府穴两旁。
名为天柱者。各一也。简按此与王注互异。甲乙。天柱。在侠项后发际。大筋外廉陷者中。足太阳脉气所发。
又云。风池。在颞 后。发际陷者中。由此观之。王注为是。
十五间各一 吴云。间。两骨之间。自大椎。至胞肓。凡十五肋。故曰十五间。十五间各一者。今甲
乙经所载十三穴。并去脊三寸。附分。云云。（与王注同）左右合成二十六穴。近世有膏肓二穴。在魄户之次。
晋汉而上。率未有也。曰十五间各一。当得三十穴方是。不然。则五当作三矣。简按张加大杼膏肓二穴。为十
五穴。马以五脏六腑之俞。中膂内俞。白环俞。为十五俞。志高同。然膏肓。晋以上无所见。而五脏六腑之俞。
乃出下文。故并不可从。
两角上 吴云。角。谓额角。张云。耳角也。高云。头角也。沉氏释骨云。额之中曰颜。曰庭。其旁
曰额角。巅之旁崭然起者。曰头角。亦曰角。经筋篇云。足少阳之筋。循耳后。上额角。交巅上。彤按耳上近
巅者。乃头角。非额角也。故额角。为头角之讹。简按据沈之说。此所言两角。亦头角之谓。天冲穴。在耳后
发际二寸。故张云耳角。误。
锐发 高云。即鬓发。锐。熊音。睿。
面鼽骨 马。鼽。HT 同。王。下文鼽骨注云。鼽。 也。 面颧也。高云。面上鼻气旁通之处。故
曰面鼽。简按HT 。字书无考。或恐是颊字。高说亦未见所据。盖是杜撰。沉氏释骨云。目之下起骨。曰 。其
下旁高而大者。曰面鼽骨。曰颧骨。亦曰大颧。亦曰 。鼽。 。古通用。
挟脐广三寸各三 高。三寸。作二寸。注云。挟脐。与脐相并也。广。开广也。挟脐广二寸。天枢
穴也。各三。乃天枢外陵大巨。左右各三。凡六穴。简按高据甲乙等。改二寸。似是。然而遗滑肉门一穴。何诸。
下脐二寸挟之各二 高。作三寸。注云。下脐三寸。关元穴也。下脐三寸挟之。乃外两旁之水道归
来气冲。左右各三。简按若作二寸。则阙气冲一穴。故高作三寸。然而气冲穴。下文举之。则不可从。
伏菟 吴本。作伏兔。
鼽骨下各一 高云。即上文面鼽骨空之下。两巨 穴。简按甲乙。颧 。在面 骨下廉陷者中。则
旧注为是。张云。鼽。当作 。颧 二穴也。张注前面鼽骨云。 同。而此改字。疏甚。
耳郭上各一 高云。郭。匡郭也。
曲掖上 高云。肩端尖骨。从后下陷。是为曲掖。简按曲掖。盖谓肘掖曲弯之处。犹曲 之曲。
俞。肩 之后。大骨之下。腋之曲弯上。是穴。高注恐非。
柱骨上陷者各一 高云柱骨。项骨也。柱骨上陷者。两肩井穴也。简按肩井。在肩上陷者中。即是
项骨外旁。安得言项骨上陷者。此必别有所指。诸注并同。今无可考。
上天窗四寸 高云。浮白穴也。简按与前注异。未知孰是。
小指本 高云。指本。指头也。肘以下。至手小指本。谓肘骨之下。从侧而下。至小指之头。简按
新校正。以本为爪甲之本。却非。
大迎骨空各一 吴云。一出足阳明。一出乎此。岂手阳明。足阳明二经。所并发者乎。甲乙。为晚
出之书。未足据也。
角上各一 吴云。颔厌穴也。张同。高云。头角之上。两天冲穴也。简按王注前文足少阳耳前角下
各一云。谓悬厘二穴。而此注亦云悬厘。误矣。吴以角为额角。高为头角。故其说不一。甲乙。颔厌。在曲周
颞上廉。（周。铜人。作角。）悬
厘。在曲周颞 下廉。铜人。天冲。在耳后入发际二寸。则吴注为得。
项中足太阳之前 高云。足太阳之脉。下项行身之背。今在足太阳项中之前。乃人迎之下。气舍二穴。
简按在后曰项。在侧曰颈。在前曰喉。今气舍在颈。不可云项中足太阳之前也。当从王注。
挟扶突各一 高云。承上文气舍而言。故曰挟扶突。谓气舍扶突穴相并也。简按此注亦非。
肩贞下三寸分间各一 高云。肩贞下三寸。消泺穴也。分间。即肩贞分肉之间。天宗 俞穴也。
面中三 高云。面之中央。从鼻至唇。有素 水沟兑端三穴。简按此本于张注。诸家载龈交。而不
载兑端。龈交。在唇内齿上。不宜言面中。今从张高。
及旁十五穴 吴云。从大椎。至长强。十三穴。又会阳。在两旁。各一。共十五穴。张云。会阳二
穴。属足太阳经。在尻尾两旁。故曰及旁。共十六穴。本经连会阳。则二十九穴也。
HT 下 诸本。作 下。熊音。丁计反。张云。 。音底。尾 也。
鸠尾下三寸胃脘五寸胃脘 马云。言鸠尾下一寸。曰巨阙。又下一寸半。曰上脘。今曰三寸者。正
以鸠尾上之蔽骨数起也。鸠尾下三寸半。为胃之中脘。今五寸者。字之讹也。张云。鸠尾。心前蔽骨也。胃脘。
言上脘也。自脐上。至上脘五寸。故又曰五寸胃脘。此古经颠倒文法也。高本。鸠尾下三寸。（句）胃脘五寸。
（句）胃脘以下。（句）注云。鸠尾下三寸。自鸠尾之下。有巨阙上脘中脘三穴。当三寸也。胃脘五寸。自上
脘至脐中。有中脘建里下脘水分脐中五穴。当五寸也。
胃脘以下。指脐中也。志注义同。
至横骨六寸半一 马云。言自中脘以下。有建里下脘水分神阙阴交气海石门关元中极曲骨等穴。共计
一十三寸今曰六寸半一者。疑当为二六寸半者二。则为十三寸也。张云。骨度篇曰。 KT 以下。至天枢。长
八寸。天枢以下。至横骨。长六寸半。正合此数。一。谓一寸。当有一穴。此上下共十四寸半。故亦有十四穴。
自鸠尾至曲骨。是也。高云。自胃脘以下之脐中。由中极。至两旁横骨。有阴交气海石门关元中极五穴。五寸。
中极至横骨。约寸半余。当六寸半一分也。自鸠尾至两横骨。凡十五穴。此任脉任于前。而为中行腹脉之法。
简按从鸠尾下三寸。至于此。诸注未清晰。今姑仍张义。吴改作鸠尾下三寸胃脘。四寸胃脘。八寸脐中。以下
至横骨五寸。十四俞。腹脉法也。盖旧经文当如此。然竟不免为肆臆矣。
下阴别一 吴云。阴别。任脉至阴而支别也。张云。自曲骨之下别络。两阴之间。为冲督之会。故
曰阴别。高云。下阴。下于阴前。会阴穴也。别一。上文横骨不通会阴。别从曲骨至会阴之一穴。简按下阴别。
盖会阴一名。高注恐非。
龈交一 志云。龈交穴。一在唇内齿下龈缝中。盖上古以龈交有二。督脉之龈交。入上齿。任脉之
龈交。入下齿也。以上下之龈齿相交。故名龈交。高云。齿缝。任督之交。故曰龈交。简按龈交有二。其说难
根据。考上文诸穴。则其误自明。
足少阴舌下 志云。谓肾脉之上通于心。循喉咙。挟舌本。而舌下有肾经之穴窍也。简按刺疟论云。
舌下两脉者。廉泉也。根结篇云。少阴根于涌泉。结于廉泉。知是任脉廉泉之外。有肾经廉泉。故王云。足少
阴舌下二穴。薛氏口齿
类要云。舌下廉泉穴。此属肾经。马张以任脉廉泉释之。疏矣。
毛中急脉一 吴云。少阴舌下。厥阴毛中。四穴。古无穴名。张云。急脉。在阴毛之中。凡疝气急痛
者。上引小腹。下引阴丸。即急脉之验。厥阴脉气所发也。今甲乙针灸等书。俱失此穴。马同。图翼云。按此
穴。自甲乙经以下诸书皆无。是遗误也。经脉篇云。足厥阴。循股阴。入毛中。过阴器。又曰。其别者。循胫
上睾。结于茎。然此厥阴之正脉。而会于阳明者也。简按志云。谓肝经之脉。起于大指丛毛之际。而肝气之弦
急也。高云。曲骨穴也。并非。
手少阴各一 志云。言三百六十五穴之中。有心脉之穴二也。高云。左右少冲各一。简按吴马张根据王
注。似是。
手足诸鱼际 吴云。凡手足黑白肉分之处。如鱼腹色际。皆曰鱼际。张云。手足掌两旁丰肉处。皆谓
之鱼。此举诸鱼际为言者。盖四肢为十二经发脉之本。故言此以明诸经气府之纲领也。简按志云。手之鱼际。
肺之脉气所发。足之鱼际。脾之脉气所发也。高同。此说不可从。
凡三百六十五穴也 吴云。凡三百九十八穴。除去重出四穴。实多二十九穴。张云共三百八十六穴。
除重复十二穴。仍多九穴。简按志高强合三百六十五穴之数。不可凭焉。
马云：气府，是指各条经脉之气交会汇聚的处所。因此，有的穴位虽然属于本经，但其他经的穴位也会进入其中；这里只论述脉气所发出和汇聚的地方，并不拘泥于它是本经还是他经的穴位。穴位的数量多少，也不受限于本经的规定。前一篇讨论的是穴位，所以称为“气穴”；而这一篇讨论的是脉气所发出的地方，所以称为“气府”。高世栻删去了“论”字，因为这里没有问答的内容。
七十八穴：吴崑说：下文考证出九十一穴，多出了十三穴。这与近世的说法不同。近世认为左右两侧共有一百二十六穴。
张景岳说：详细考证本经下文，共得到九十三穴。除去督脉和少阳经中，那些浮气相通于本经且重复出现的十五个穴位外，本经实际上只有七十八穴。近世经络相传的说法是，足太阳膀胱经左右两侧共一百二十六穴。即下文各经的穴位数量，也与现在的说法大多不同。
入发至项三寸半：马云说：指的是大杼、风门两个穴位。大概从后项部向上到入发际处，再从入发际向下到项部，计算起来大约有寸半的距离？（注：此处原文逻辑较乱，马云意在说明距离与穴位位置的关系）。其数值正好对应这两个穴位所在的位置。中间是督脉，旁边有四行穴位，都是足太阳膀胱经的穴位，所以说“旁五”（包括中线一行及左右两行，共五行？或指旁开五寸？原文意指分布格局）。两个穴位，各自离开中线一寸半，那么左边的穴位到右边的穴位，总共相距三寸。（按语：所谓“入发”，是指进入后发际。在后部叫“项”，在侧面叫“颈”，在前部叫“喉”。新校正认为“入发”是指前发际，所以想把“项”字改为“顶”字，并且认为从囟会到百会、百会到后顶都有三寸的说法，又把“半”字当作衍文，这太牵强了。现在像愚者我的注释，王冰的注解自然明了，新校正就不必再赘述了。）马云又说：“项”应当作“顶”。从眉毛上方进入发际处的曲差穴，从曲差上行到头顶正中通天穴，距离是三寸半。并通天穴居中者，是督脉的百会穴。百会是太阳经和督脉的交会穴，所以这里以此为例说明百会居中，前后共有五个穴位，左右凡五行，所以说“旁五”。从百会前面，到囟会后边，再到强间左右，直到少阳经的穴位，相互之间各相距三寸，共五五二十五穴，如下文所述。高世栻说：“顶”字，旧本误作“项”，现在改正。“顶”，指前项部的穴位。从攒竹进入发际，到前顶，其中有神庭、上星、囟会，所以长度是三寸半。前顶在中行，次两行，外两行，所以旁五。意思是说从中线到旁边，有五行。简按《甲乙经》：神庭，在发际直鼻处；上星，在直鼻中央，入发际一寸；囟会，在上星后一寸；前顶，在囟会后一寸五分。这四个穴位，通长三寸半。高注似乎是正确的。
浮气：吴崑说：阳气浮越在巅顶之上的部分。张景岳说：说的是脉气浮越在巅顶的情况。
项中大筋两旁各一：高世栻说：风池二穴。
风府两旁各一：高世栻说：天柱二穴。为了明确上文所说的外两旁，即在项中大筋两旁名为风池的穴位，各有一个；内两旁在风府穴两旁名为天柱的穴位，也各有一个。简按：这与王冰的注解释互不相同。《甲乙经》记载：天柱，在侠项后发际，大筋外廉陷者中，是足太阳脉气所发之处。又说：风池，在颞后，发际陷者中。由此看来，王冰的注是正确的。
十五间各一：吴崑说：间，指两骨之间。自大椎至胞肓，共有十五根肋骨，所以叫“十五间”。“十五间各一”，即今《甲乙经》所载的十三个穴位，都距离脊柱三寸，如附分等穴。（与王注相同）左右合成二十六穴。近世有膏肓二穴，在魄户之旁。晋汉以前，通常没有这个穴位。如果说“十五间各一”，应当得到三十穴才对。否则，“五”字可能是“三”字的讹误。简按：张景岳加上大杼、膏肓二穴，算作十五穴；马云以五脏六腑之俞、中膂内俞、白环俞作为十五俞；高世栻同马云。然而膏肓穴在晋代以前未见记载，而五脏六腑之俞出自下文，所以都不采纳。
两角上：吴崑说：角，指额角。张景岳说：耳角。高世栻说：头角。沉氏释骨云：额头中间叫颜，也叫庭；旁边叫额角；头顶旁边高耸起来的，叫头角，也叫角。《经筋篇》说：足少阳之筋，循行耳后，上额角，交于巅上。彤按：耳朵上方接近头顶的，是头角，不是额角。所以“额角”是“头角”的讹误。简按：根据沈氏的说法，这里所说的“两角”，也是指头角。天冲穴，在耳后发际二寸处，所以张景岳说是耳角，是错误的。
锐发：高世栻说：即鬓发。“锐”，读音为熊音，睿。
面鼽骨：马云说：“鼽”与“HT”同义。王冰在下文鼽骨注中说：“鼽”，即面颧。高世栻说：面上鼻气旁通之处，所以叫面鼽。简按：“HT”字，字书中无考。恐怕是“颊”字。高注也没有依据，大概是杜撰的。沉氏释骨云：目之下隆起的骨头，叫某；其下旁侧高大者，叫面鼽骨，也叫颧骨，也叫大颧，也叫某。“鼽”与“某”古时通用。
挟脐广三寸各三：高世栻说：“三寸”作“二寸”。注解说：挟脐，与脐相并。广，指开广。挟脐广二寸，是天枢穴。各三，乃天枢外的陵、大巨，左右各三，共六穴。简按：高世栻根据《甲乙经》等书，改为二寸，似乎正确。然而遗漏了滑肉门一穴，为什么呢？
下脐二寸挟之各二：高世栻说：作“三寸”。注解说：下脐三寸，是关元穴。下脐三寸挟之，乃外两旁的水道、归来、气冲，左右各三。简按：如果作二寸，则缺少气冲一穴，所以高世栻作三寸。然而气冲穴在下文中已经列举，所以不能依从高注。
伏菟：吴崑本，作“伏兔”。
鼽骨下各一：高世栻说：即上文面鼽骨空之下的两巨髎穴。简按《甲乙经》：颧髎，在面鼽骨下廉陷者中，则旧注是正确的。张景岳说：“鼽”应当作“髎”，即颧髎二穴。张注前面提到面鼽骨时说“鼽”同“髎”，而这里改字，很疏漏。
耳郭上各一：高世栻说：郭，指匡郭。
曲掖上：高世栻说：肩端尖骨，从后下方凹陷，这叫曲掖。简按：曲掖，大概是指肘部弯曲腋下的地方，就像曲池的曲一样。俞穴，在肩贞之后，大骨之下，腋窝的曲弯上方，就是这个穴位。高注恐怕不对。
柱骨上陷者各一：高世栻说：柱骨，指项骨。柱骨上陷者，是两肩井穴。简按：肩井，在肩上陷者中，即是项骨外旁，怎么能说项骨上陷者呢？这必定另有指涉。诸家注疏都一样，现在无法考证。
上天窗四寸：高世栻说：浮白穴。简按：与前注不同，不知谁对。
小指本：高世栻说：指本，指指头。肘以下，到手小指本，谓肘骨之下，从侧而下，至小指的头部。简按：新校正认为“本”是指爪甲之本，却是不对的。
大迎骨空各一：吴崑说：一出足阳明，一出于此，难道是手阳明、足阳明二经所并发之处吗？《甲乙经》是晚出的书，不足以作为依据。
角上各一：吴崑说：颔厌穴。张景岳同。高世栻说：头角之上，两天冲穴。简按：王注前文“足少阳耳前角下各一”说：指悬厘二穴，而这里注也说悬厘，是错误的。吴崑以角为额角，高世栻为头角，所以说法不一。《甲乙经》：颔厌，在曲周颞上廉（周，铜人作角）；悬厘，在曲周颞下廉；铜人：天冲，在耳后入发际二寸。则吴注更恰当。
项中足太阳之前：高世栻说：足太阳之脉，下项行身之背。现在在足太阳项中之前的，是人迎之下，气舍二穴。简按：在后叫项，在侧叫颈，在前叫喉。现在气舍在颈部，不可说是在项中足太阳之前。应当遵从王注。
挟扶突各一：高世栻说：承接上文气舍而言，所以说挟扶突。指气舍、扶突穴相并。简按：此注也不对。
肩贞下三寸分间各一：高世栻说：肩贞下三寸，是消泺穴。分间，即肩贞分肉之间，是天宗腧穴。
面中三：高世栻说：面部中央，从鼻至唇，有素髎、水沟、兑端三穴。简按：这原本基于张景岳的注。各家记载龈交，而不记载兑端。龈交，在唇内齿上，不宜说在面中。现在遵从张、高的说法。
及旁十五穴：吴崑说：从大椎至长强，十三穴。又会阳，在两旁，各一，共十五穴。张景岳说：会阳二穴，属足太阳经，在尻尾两旁，所以叫“及旁”，共十六穴。本经连会阳，则二十九穴。
HT下：诸本，作“髀下”。熊音，丁计反。张云：“髀”，音底，尾髀也。
鸠尾下三寸胃脘五寸胃脘：马云说：言鸠尾下一寸，叫巨阙；又下一寸半，叫上脘。现在说三寸，正是以鸠尾上的蔽骨数起。鸠尾下三寸半，为胃之中脘。现在说五寸，是文字的讹误。张景岳说：鸠尾，心前蔽骨。胃脘，指上脘。自脐上至上脘五寸，所以又叫五寸胃脘。这是古经颠倒的文法。高本：鸠尾下三寸。（句读）胃脘五寸。（句读）胃脘以下。（句读）注解说：鸠尾下三寸，自鸠尾之下，有巨阙、上脘、中脘三穴，当三寸。胃脘五寸，自上脘至脐中，有中脘、建里、下脘、水分、脐中五穴，当五寸。胃脘以下，指脐中也。高世栻注义同。
至横骨六寸半一：马云说：言自中脘以下，有建里、下脘、水分、神阙、阴交、气海、石门、关元、中极、曲骨等穴，共计一十三寸。现在说六寸半一者，疑当为“二六寸半者二”，则为十三寸。张景岳说：《骨度篇》说：髁以下至天枢，长八寸；天枢以下至横骨，长六寸半。正合此数。“一”谓一寸，当有一穴。此上下共十四寸半，故亦有十四穴。自鸠尾至曲骨，是也。高世栻说：自胃脘以下之脐中，由中极至两旁横骨，有阴交、气海、石门、关元、中极五穴，五寸。中极至横骨，约寸半余，当六寸半一分。自鸠尾至两横骨，凡十五穴。此任脉任于前，而为中行腹脉之法。简按：从鸠尾下三寸，至于此，诸注未清晰。现在暂且依从张景岳的意见。吴崑改作“鸠尾下三寸胃脘，四寸胃脘，八寸脐中，以下至横骨五寸，十四俞，腹脉法也”。盖旧经文应当如此。然而终究不免是肆意揣测。
下阴别一：吴崑说：阴别，任脉至阴而支别也。张景岳说：自曲骨之下别络，两阴之间，为冲督之会，所以叫阴别。高世栻说：下阴，下于阴前，会阴穴。别一，上文横骨不通会阴，别从曲骨至会阴之一穴。简按：下阴别，盖是会阴一名。高注恐怕不对。
龈交一：高世栻注引志云：龈交穴，一在唇内齿下龈缝中。盖上古以龈交有二，督脉之龈交，入上齿；任脉之龈交，入下齿也。以上下之龈齿相交，故名龈交。高世栻说：齿缝，任督之交，所以叫龈交。简按：龈交有二，这种说法难以根据。考察上文诸穴，则其错误自然明白。
足少阴舌下：高世栻注引志云：谓肾脉之上通于心，循喉咙，挟舌本，而舌下有肾经之穴窍。简按：《刺疟论》说：舌下两脉者，廉泉也。《根结篇》说：少阴根于涌泉，结于廉泉。知是任脉廉泉之外，有肾经廉泉。所以王冰说：足少阴舌下二穴。薛氏《口齿类要》说：舌下廉泉穴，此属肾经。马云、张景岳以任脉廉泉解释，很疏漏。
毛中急脉一：吴崑说：少阴舌下，厥阴毛中，四穴，古无穴名。张景岳说：急脉，在阴毛之中。凡疝气急痛者，上引小腹，下引阴丸，即急脉之验。厥阴脉气所发。今《甲乙》针灸等书，俱失此穴。马云同。《图翼》说：按此穴，自《甲乙经》以下诸书皆无，是遗误。《经脉篇》说：足厥阴，循股阴，入毛中，过阴器。又说：其别者，循胫上睾，结于茎。然此厥阴之正脉，而会于阳明者也。简按：高世栻注引志云：谓肝经之脉，起于大指丛毛之际，而肝气之弦急。高世栻说：曲骨穴。并非。
手少阴各一：高世栻注引志云：言三百六十五穴之中，有心脉之穴二。高世栻说：左右少冲各一。简按：吴崑、马云、张景岳根据王注，似乎正确。
手足诸鱼际：吴崑说：凡手足黑白肉分之处，如鱼腹色际，皆曰鱼际。张景岳说：手足掌两旁丰肉处，皆谓之鱼。此举诸鱼际为言者，盖四肢为十二经发脉之本，故言此以明诸经气府之纲领。简按：高世栻注引志云：手之鱼际，肺之脉气所发；足之鱼际，脾之脉气所发。高世栻同。此说不可从。
凡三百六十五穴：吴崑说：凡三百九十八穴，除去重出四穴，实多二十九穴。张景岳说：共三百八十六穴，除重复十二穴，仍多九穴。简按：高世栻、马云强合三百六十五穴之数，不可凭信。
Ma Yun: The "Qi Fu" (Qi Gathering Places) refer to the locations where the Qi of each meridian converges and gathers. Therefore, some acupoints, although belonging to the primary meridian, are also accessed by other meridians; this section discusses only the places where meridian Qi emerges and converges, without being restricted to whether they belong to the primary or secondary meridians. The number of acupoints varies and is not strictly confined to the primary meridian. The previous chapter discussed acupoints, hence it was named "Qi Xue" (Qi Acupoints); whereas this chapter discusses the places where meridian Qi emerges, hence it is named "Qi Fu" (Qi Gathering Places). Gao Shixi deleted the character "Lun" (Discourse), as there is no question-and-answer format here.
Seventy-eight Acupoints: Wu Kun stated: In the following text, ninety-one acupoints were verified, which is thirteen more than this count. This differs from modern interpretations. Modern texts state that there are one hundred and twenty-six acupoints on both sides combined.
Zhang Jingyue stated: Upon detailed examination of the following text of this meridian, a total of ninety-three acupoints were obtained. Excluding fifteen acupoints that appear repeatedly due to floating Qi connecting with the primary meridian, specifically those of the Du Meridian and the Shaoyang Meridian, the primary meridian actually contains only seventy-eight acupoints. The traditional transmission of meridians in later times states that the Foot-Taiyang Bladder Meridian has one hundred and twenty-six acupoints on both sides combined. Similarly, the number of acupoints for other meridians mentioned below differs significantly from current understandings.
From Hairline to Neck Three Cun and Half: Ma Yun stated: This refers to the two acupoints Dazhu (BL11) and Fengmen (BL12). Generally, measuring from the posterior neck upwards to the hairline, and then downwards from the hairline to the neck, the distance is calculated to be approximately three cun and half? (Note: The original text's logic is complex; Ma Yun intends to explain the relationship between distance and acupoint location.) The numerical value corresponds exactly to the positions of these two acupoints. The center line is the Du Meridian, and there are four rows of acupoints on either side, all belonging to the Foot-Taiyang Bladder Meridian, thus it is said to have "five rows beside" (referring to the distribution pattern including the midline and two rows on each side, totaling five columns?). The two acupoints are each located one cun and half away from the midline; therefore, the distance between the left acupoint and the right acupoint totals three cun. (Commentary: "Entering the hairline" refers to entering the posterior hairline. The posterior part is called "Neck" (Xiang), the lateral part "Neck" (Jing), and the anterior part "Throat" (Hou). The New Correction assumes "entering the hairline" refers to the anterior hairline, suggesting changing "Xiang" to "Ding" (Vertex), and claiming distances such as three cun from Xinhui to Baihui and Baihui to Houding, while treating "half" as an interpolative character; this is too forced. With my current annotation, Wang Bing's commentary becomes clear, rendering further comments by the New Correction unnecessary.) Ma Yun further stated: "Xiang" should be read as "Ding" (Vertex). From Qucha (EX-HN19) entering the hairline above the eyebrows, moving upward to Tongtian (BL7) at the vertex center, the distance is three cun and half. Centered along with Tongtian is Baihui (GV20) of the Du Meridian. Baihui is the intersection of the Taiyang Meridian and the Du Meridian, so it is used here as an example to illustrate Baihui being central, with five acupoints in front and back, forming five rows on left and right, hence "five rows beside." From Baihui forward to Xinhui (GV22) backward, then to Qiangjian (GV18) on left and right, down to the Shaoyang acupoints, each spaced three cun apart, totaling twenty-five acupoints (5x5), as described in the following text. Gao Shixi stated: The character "Ding" was erroneously written as "Xiang" in old editions and has been corrected. "Ding" refers to acupoints in the anterior vertex region. From Zanzhu (BL2) entering the hairline to Qian Ding (GV21), including Shenting (GV24), Shangxing (GV23), and Xinhui (GV22), the length is three cun and half. Qian Ding is on the midline, followed by two inner rows and two outer rows, hence "five rows beside." This means there are five rows from the midline to the sides. Checking the *Jia Yi Jing*: Shenting is straight above the nose at the hairline; Shangxing is one cun inside the hairline, centered above the nose; Xinhui is one cun behind Shangxing; Qian Ding is one cun and half behind Xinhui. These four acupoints span three cun and half. Gao's annotation seems correct.
Floating Qi: Wu Kun stated: This refers to Yang Qi floating above the vertex. Zhang Jingyue stated: It refers to meridian Qi floating at the vertex.
One on Each Side of the Large Tendon in the Neck: Gao Shixi stated: Fengchi (GB20) acupoints.
One on Each Side of Fengfu: Gao Shixi stated: Tianzhu (BL10) acupoints. To clarify the previously mentioned outer sides, i.e., the acupoints named Fengchi on both sides of the large tendon in the neck, there is one on each side; the inner sides next to the Fengfu acupoint, named Tianzhu, also have one on each side. Commentary: This differs from Wang Bing's annotation. The *Jia Yi Jing* records: Tianzhu is located in the depression outside the lateral edge of the large tendon behind the posterior hairline, where the Qi of the Foot-Taiyang Meridian emerges. It also states: Fengchi is located in the depression behind the temporal region at the hairline. Based on this, Wang Bing's annotation is correct.
One in Each of the Fifteen Intervals: Wu Kun stated: "Interval" refers to the space between bones. From Dazhui (GV14) to Baohuang (BL54), there are fifteen ribs, hence "fifteen intervals." "One in each of the fifteen intervals" refers to the thirteen acupoints recorded in the current *Jia Yi Jing*, all located three cun from the spine, such as Fufen (BL43), etc. (Consistent with Wang Bing's note). Left and right combine to form twenty-six acupoints. In later times, the Gaohuang (BL48) acupoints were added, located next to Pohu (BL42). Before the Jin and Han dynasties, these were generally not recognized. If "one in each of the fifteen intervals" implies thirty acupoints, then perhaps the character "Wu" (Five) is a corruption of "San" (Three). Commentary: Zhang Jingyue includes Dazhu (BL11) and Gaohuang (BL48) to make fifteen acupoints; Ma Yun considers the Back-Shu points of the Five Zang and Six Fu organs, Zhonglü Neishu (BL44), and Baihuan Shu (BL30) as fifteen Shu points; Gao Shixi agrees with Ma Yun. However, Gaohuang is not found in pre-Jin texts, and the Back-Shu points are listed in the following text, so neither interpretation is adopted.
Above the Two Corners: Wu Kun stated: "Corner" refers to the frontal angle. Zhang Jingyue stated: The ear corner. Gao Shixi stated: The head corner. Chen Shi's *Shi Gu* explains: The center of the forehead is called Yan or Ting; the sides are called frontal angles (Ejiao); the prominent parts on the sides of the vertex are called head corners (Toujiao) or simply Jiao. The *Meridian Sinews Chapter* states: The sinew of the Foot-Shaoyang Gallbladder Meridian follows behind the ear, ascends to the frontal angle, and crosses the vertex. Commentary: The area near the vertex above the ear is the head corner, not the frontal angle. Thus, "frontal angle" is likely a corruption of "head corner." Commentary: According to Chen Shi, the "two corners" mentioned here also refer to the head corners. Tianchong (GB3) is located two cun behind the ear hairline, so Zhang Jingyue's identification as the ear corner is incorrect.
Sharp Hair: Gao Shixi stated: Refers to the sideburns. "Rui" is pronounced like "Xiong," sounding like "Rui."
Mian Qiu Bone: Ma Yun stated: "Qiu" is synonymous with "HT" (likely a typo/corruption in source). Wang Bing's annotation for Mian Qiu Bone in the following text says: "Qiu" refers to the cheekbone. Gao Shixi stated: The area on the face where nasal Qi passes laterally, hence called Mian Qiu. Commentary: "HT" cannot be verified in dictionaries. It might be "Jia" (cheek). Gao's note lacks basis and may be fabricated. Chen Shi's *Shi Gu* explains: The bone rising under the eye is called [unclear]; the higher and larger part below and lateral to it is called Mian Qiu Bone, also known as the cheekbone, great cheekbone, or [unclear]. "Qiu" and [unclear] were interchangeable in ancient times.
Three on Each Side Spanning Three Cun Clamping the Umbilicus: Gao Shixi stated: Changed "three cun" to "two cun." Annotation: Clamping the umbilicus means adjacent to it. "Guang" means width. Spanning two cun clamping the umbilicus refers to Tianshu (ST25). "Each three" refers to Lingqu (ST15) and Daju (ST16) outside Tianshu, three on each side, totaling six acupoints. Commentary: Gao's change to two cun based on *Jia Yi Jing* seems plausible. However, it omits Huairenmens (ST17), why?
Two on Each Side Spanning Two Cun Below the Umbilicus: Gao Shixi stated: Changed to "three cun." Annotation: Three cun below the umbilicus is Guanyuan (CV4). Clamping three cun below the umbilicus refers to the outer lateral Shuidao (ST28), Guilai (ST29), and Qichong (ST30), three on each side. Commentary: If changed to two cun, the Qichong acupoint would be missing, so Gao changed it to three cun. However, since Qichong is listed in the following text, Gao's interpretation should not be followed.
Fu Tu: Wu Kun's edition writes "Fu Tu" as "Futu" (Vast Rabbit).
One on Each Side Below the Qiu Bone: Gao Shixi stated: Refers to the two Juliao (SI18) acupoints below the empty space of the Mian Qiu Bone mentioned earlier. Commentary: According to *Jia Yi Jing*, Quanliao (SI18) is in the depression below the lower edge of the facial cheekbone, so the old annotation is correct. Zhang Jingyue stated: "Qiu" should be "Liao," referring to the two Quanliao acupoints. Zhang noted earlier that "Qiu" is the same as "Liao," but changed the character here, which is sloppy.
One on Each Side Above the Ear Auricle: Gao Shixi stated: "Guo" refers to the framework or border.
Above Quye: Gao Shixi stated: The sharp bone at the shoulder end, sinking downward from behind, is called Quye. Commentary: Quye likely refers to the curved area of the elbow axilla, similar to the curve of Quchi. The Shu point is behind Jianzhen, below the large bone, and above the curve of the axilla; this is the acupoint. Gao's note is likely incorrect.
One in the Depression Above the Pillar Bone: Gao Shixi stated: Pillar bone refers to the cervical vertebrae. The depression above the pillar bone refers to the two Jianjing (GB21) acupoints. Commentary: Jianjing is located in the depression on the shoulder, which is lateral to the cervical vertebrae. How can it be described as the depression above the cervical vertebrae? There must be another reference. All annotations agree, but it cannot be verified now.
Four Cun Above Tianchuang: Gao Shixi stated: Furong (GB12) acupoint. Commentary: Differs from the previous note; unknown which is correct.
Base of the Little Finger: Gao Shixi stated: "Ben" (root/base) refers to the fingertip. From the elbow downwards to the base of the little finger refers to below the elbow bone, descending laterally to the tip of the little finger. Commentary: The New Correction interprets "Ben" as the root of the nail, which is incorrect.
One in the Empty Space of the Daying Bone: Wu Kun stated: One originates from the Foot-Yangming, one from here; could this be where the Hand-Yangming and Foot-Yangming meridians converge? *Jia Yi Jing* is a late work and insufficient as evidence.
One on Each Side Above the Corner: Wu Kun stated: Hanyan (GB18) acupoint. Zhang Jingyue agrees. Gao Shixi stated: Above the head corner, the two Tianchong (GB3) acupoints. Commentary: Wang Bing's annotation for "One on Each Side Below the Frontal Angle of the Foot-Shaoyang Ear" earlier stated: Refers to the two Xuanli (GB19) acupoints, yet here he also annotates Xuanli, which is an error. Wu Kun identified the corner as the frontal angle, while Gao Shixi identified it as the head corner, leading to different explanations. *Jia Yi Jing*: Hanyan is at the upper edge of the temporal curve (Curve, Tong Ren text uses 'Jiao'); Xuanli is at the lower edge of the temporal curve; Tong Ren: Tianchong is two cun inside the hairline behind the ear. Thus, Wu's annotation is more accurate.
Anterior to the Foot-Taiyang in the Neck: Gao Shixi stated: The Foot-Taiyang meridian descends through the neck along the back. Now, anterior to the Foot-Taiyang in the neck, below Renying (ST9), are the two Qishe (ST11) acupoints. Commentary: Posterior is called Neck (Xiang), lateral is called Neck (Jing), anterior is called Throat (Hou). Since Qishe is in the neck, it cannot be described as anterior to the Foot-Taiyang in the neck. Wang Bing's annotation should be followed.
One on Each Side Flanking Futu: Gao Shixi stated: Following up on Qishe, it is said to flank Futu (LI18), meaning Qishe and Futu are adjacent. Commentary: This note is also incorrect.
One in the Interval Between Muscles Three Cun Below Jianzhen: Gao Shixi stated: Three cun below Jianzhen (SI9) is Xiaoluo (SI81). Fenjian refers to the space between the muscles of Jianzhen; Tianzong (SI11) is the Shu point.
Three in the Center of the Face: Gao Shixi stated: In the center of the face, from the nose to the lip, there are Sulu (EX-HN23), Shuigou (GV26), and Duanduan (CV15) acupoints. Commentary: This is based on Zhang Jingyue's note. Most texts record Yinjiao (GV28) but not Duanduan. Yinjiao is inside the lip above the teeth and should not be described as in the center of the face. I follow Zhang and Gao here.
And Fifteen Acupoints on the Sides: Wu Kun stated: From Dazhui (GV14) to Changqiang (GV1), there are thirteen acupoints. Plus Huiyang (BL35), one on each side, totaling fifteen acupoints. Zhang Jingyue stated: Huiyang consists of two acupoints, belonging to the Foot-Taiyang Meridian, located on both sides of the sacrococcygeal region, hence called "on the sides," totaling sixteen acupoints. Including Huiyang in this meridian makes twenty-nine acupoints.
Below [Unclear Character]: All editions write "[Unclear Character] below." Pronounced by Xiong as "Dingji fan." Zhang stated: "[Unclear Character]," pronounced "Di," refers to the tail coccyx.
Three Cun Below Jiwei, Five Cun Stomach Chamber, Stomach Chamber: Ma Yun stated: One cun below Jiwei (CV15) is Juque (CV14); another one cun and half below is Shangwan (CV13). The mention of "three cun" counts from the cartilage above Jiwei. Three cun and half below Jiwei is Zhongwan (CV12) in the middle of the stomach. The mention of "five cun" is a textual error. Zhang Jingyue stated: Jiwei is the cartilage in front of the heart. Stomach Chamber refers to Shangwan. From the umbilicus up to Shangwan is five cun, hence also called "Five Cun Stomach Chamber." This is an inverted grammatical structure in the ancient classic. Gao's edition: "Three cun below Jiwei." (Period) "Five Cun Stomach Chamber." (Period) "Below Stomach Chamber." (Period) Annotation: Three cun below Jiwei includes Juque, Shangwan, and Zhongwan, totaling three cun. Five Cun Stomach Chamber, from Shangwan to the umbilicus, includes Zhongwan, Jianli (CV11), Xiawan (CV10), Shuifen (CV9), and Shenque (CV8), totaling five cun. "Below Stomach Chamber" refers to the umbilicus. Gao's interpretation aligns with this.
To Henggu Six Cun and Half, One: Ma Yun stated: Below Zhongwan, there are Jianli, Xiawan, Shuifen, Shenque, Yinjiao (CV13), Qihai (CV6), Shimen (CV5), Guanyuan (CV4), Zhongji (CV3), and Qugu (CV2), totaling thirteen cun. The mention of "six cun and half one" is suspected to mean "two sets of six cun and half," equaling thirteen cun. Zhang Jingyue stated: The *Bone Proportions Chapter* says: From the knee joint to Tianshu is eight cun; from Tianshu to Henggu (CV2) is six cun and half. This matches exactly. "One" refers to one cun, implying one acupoint per cun. The total from top to bottom is fourteen cun and half, hence fourteen acupoints. From Jiwei to Qugu is correct. Gao Shixi stated: From the umbilicus below the Stomach Chamber, from Zhongji to the lateral Henggu, there are Yinjiao, Qihai, Shimen, Guanyuan, and Zhongji, five acupoints, five cun. From Zhongji to Henggu is about one cun and half, making six cun and half one fen. From Jiwei to both Henggu, there are fifteen acupoints in total. This is the Ren Meridian governing the front, serving as the method for the midline abdominal pulse. Commentary: From three cun below Jiwei to here, the annotations are unclear. For now, I tentatively follow Zhang Jingyue. Wu Kun revised it to "Three cun below Jiwei is Stomach Chamber, four cun is Stomach Chamber, eight cun is Umbilicus, below to Henggu five cun, fourteen Shu points, Abdominal Pulse Method." The original text should have been like this. However, it inevitably remains speculative.
One Below Yin Bie: Wu Kun stated: Yin Bie is the branch of the Ren Meridian reaching the yin region. Zhang Jingyue stated: From below Qugu, the collateral branches separately, meeting between the two yins, as the convergence of Chong and Du, hence called Yin Bie. Gao Shixi stated: Xia Yin refers to below the anterior yin, the Huiyin (CV1) acupoint. Bie Yi refers to the single acupoint from Qugu to Huiyin, distinct from the previous Henggu which does not connect to Huiyin. Commentary: Xia Yin Bie is likely another name for Huiyin. Gao's note is likely incorrect.
One Yinjiao: Gao Shixi quoted Zhi Yun: The Yinjiao acupoint is located in the gum seam inside the lower lip. Anciently, it was believed there were two Yinjiao: the Du Meridian's Yinjiao enters the upper teeth; the Ren Meridian's Yinjiao enters the lower teeth. Named Yinjiao because the upper and lower gums/teeth intersect. Gao Shixi stated: The tooth gap is the intersection of Ren and Du, hence called Yinjiao. Commentary: The theory of two Yinjiao is hard to substantiate. Examining the acupoints above reveals the error clearly.
Foot-Shaoyin Under the Tongue: Gao Shixi quoted Zhi Yun: Refers to the Kidney Meridian connecting to the Heart, following the throat, flanking the root of the tongue, with acupoint apertures under the tongue belonging to the Kidney Meridian. Commentary: The *Acupuncture for Malaria Chapter* states: The two vessels under the tongue are Lianquan (CV23). The *Root and Terminal Chapter* states: Shaoyin roots at Yongquan and terminates at Lianquan. Knowing that besides the Ren Meridian's Lianquan, there is a Kidney Meridian's Lianquan, Wang Bing stated: Two acupoints of the Foot-Shaoyin under the tongue. Xue Shi's *Kou Chi Lei Yao* states: The Lianquan acupoint under the tongue belongs to the Kidney Meridian. Ma Yun and Zhang Jingyue interpreted it as the Ren Meridian's Lianquan, which is inaccurate.
One Jimai in the Hair: Wu Kun stated: Foot-Shaoyin under the tongue, Jueyin in the hair, four acupoints, unnamed in ancient times. Zhang Jingyue stated: Jimai (LV1) is in the pubic hair. For acute hernia pain radiating to the lower abdomen and testicles, it is a sign of Jimai. It is where the Jueyin meridian Qi emerges. Current texts like *Jia Yi Jing* and acupuncture books have lost this acupoint. Ma Yun agrees. *Tu Yi* states: This acupoint is absent in texts from *Jia Yi Jing* onwards, indicating an omission. The *Meridian Chapter* states: The Foot-Jueyin follows the medial thigh, enters the pubic hair, passes over the genitalia. It also states: Its branch follows the shin, ascends to the scrotum, and knots at the penis. This is the main pathway of Jueyin converging with Yangming. Commentary: Gao Shixi quoted Zhi Yun: Refers to the Liver Meridian originating at the hair on the big toe and the string-tight nature of Liver Qi. Gao Shixi stated: Qugu (CV2) acupoint. This is incorrect.
One Each of the Hand-Shaoyin: Gao Shixi quoted Zhi Yun: Among the 365 acupoints, there are two acupoints of the Heart Meridian. Gao Shixi stated: Shaochong (HT9) on left and right, one each. Commentary: Wu Kun, Ma Yun, and Zhang Jingyue follow Wang Bing's note, which seems correct.
Fish Borders of Hands and Feet: Wu Kun stated: Wherever black and white skin meet on hands and feet, resembling the border of a fish belly, is called Yujì (Fish Border). Zhang Jingyue stated: The fleshy areas on both sides of the palms and soles are called Fish. Mentioning the fish borders here serves as a general principle for the Qi Fu of all meridians, as the four limbs are the origin of the twelve meridians. Commentary: Gao Shixi quoted Zhi Yun: The hand's Yujì is where Lung Meridian Qi emerges; the foot's Yujì is where Spleen Meridian Qi emerges. Gao Shixi agrees. This view should not be followed.
Totaling Three Hundred and Sixty-Five Acupoints: Wu Kun stated: Totaling 398 acupoints, minus four duplicates, actually 29 more. Zhang Jingyue stated: Totaling 386 acupoints, minus twelve duplicates, still nine more. Commentary: Gao Shixi and Ma Yun force the count to match 365, which is unreliable.