(凡二十四穴)
气府论云。任脉之气所发者二十八穴。(次注。今少一穴)喉中央二(谓廉泉。天突。二
穴也
。)膺中骨陷中各一。(谓璇玑。华盖。紫宫。玉堂。膻中。中庭六穴也。)鸠尾下三寸胃脘
五寸胃脘。以下至横骨六寸半一。(新校正云。详。一字疑误。)腹脉法也。(鸠尾。巨阙。
上
脘。中脘。建里。下脘。水分。脐中。阴交。脖 。丹田。关元。中极。曲骨。十四俞也。
)下阴别一。(谓会阴一穴也。)目下各一。(谓承泣二穴也。)下唇一。(谓承浆穴也。)龈交
一。(龈交穴名也。)
骨空论云。任脉者。起于中极之下。以上毛际。循腹里上关元至咽喉。上颐循面入目。
(按
骨空论。督脉者。起少腹之条。有其少腹直上者。贯脐中央。贯心上颐环唇。上系两目之下
中央之文。宜合考。)
营气篇云。络阴器。上过毛中入脐中。上循腹里入缺盆。下注肺中复出太阴。(马莳曰
。此任脉也。)
五音五味篇云。冲脉。任脉。皆起于胞中。上循背里。为经络之海。其浮而外者。循腹
右上行会于咽喉。别而络唇口。
经脉篇云。任脉之别名曰尾翳。下鸠尾散于腹。
难经曰。任脉者。起于中极之下。以上毛际。循腹里。上关元。至喉咽。
会阴(任脉别络。挟督脉波脉之会。)曲骨(任脉。足厥阴之会。)中极(足三阴任脉之会
。)关
元(同上)石门(所发)气海(同上)阴交(任脉气冲之会○外台曰。任脉波脉。少阴之会。次注
作任脉。阴冲之会。铜人曰。任脉气所发。)神阙 水分(所发)下脘(足太阴任脉之会)建里
中脘(手太阳少阳。足阳明所生。任脉之会○次注曰。手太阳少阳。足阳明三脉所生。任脉
气所发也。)上脘(任脉。足阳明。手太阳之会。)巨阙(所发)鸠尾(任脉之别)中庭 膻中
玉堂 紫宫 华盖 璇玑(中庭以下六穴。任脉气所发。)天突(阴维任脉之会。)廉泉(同上)
承浆(足阳明任脉之会。)
按气府论云。任脉之气所发者。二十八穴。王冰曰。今少一穴。乃今所载二十四穴也。
加承
泣龈交二十七穴。外台。无承浆。(入胃经)折衷。无廉泉。(入肾经)据口齿类要。舌下廉
泉此属肾经也。气府论云。足少阴舌下。厥阴毛中急脉。各一。王冰曰。足少阴舌下二穴。
在人迎前。陷中。动脉前。是曰舌本左右二也。又类经曰。按刺疟论所载曰。舌下两脉者廉
泉也。气府论曰足少阴舌下。各一。卫气篇曰。足少阴之标在背 与舌下两脉。然则廉泉非
一穴。当是舌根下之左右泉脉。而且为足少阴之会也。
\r图\p06-d22a50.bmp\r
承泣(本经之会) 交(次注曰任督二经之会)
(共计二十四穴)
《气府论》记载:任脉之气所发出的穴位共有二十八个。(次注说明:现在少了一个穴位。)喉部中央有两个穴位(指的是廉泉、天突这两个穴位)。胸骨正中凹陷处各有一个穴位(指的是璇玑、华盖、紫宫、玉堂、膻中、中庭这六个穴位)。从鸠尾穴向下三寸,再向下五寸至胃脘,以下直至横骨穴,每隔六寸半有一个穴位。(新校正指出:“一”字疑为衍文误植。这是腹脉法的规律。)(包括鸠尾、巨阙、上脘、中脘、建里、下脘、水分、脐中、阴交、脖胦、丹田、关元、中极、曲骨,共十四个俞穴。)阴部下方别行有一穴(指的是会阴这一穴)。目下各有一穴(指的是承泣两穴)。下唇有一穴(指的是承浆穴)。龈交有一穴(即龈交穴名)。
《骨空论》记载:任脉,起始于中极穴之下,向上经过毛际,沿着腹部内侧上行至关元穴到达咽喉,上行至面颊部,环绕嘴唇,进入目内眦。(按语:《骨空论》中关于督脉的记载说:“督脉起于少腹直上的部位……贯穿脐中央,穿过心,上至面颊,环绕嘴唇,上行系于两眼之下中央。”应当合参考证。)
《营气篇》记载:(经脉)联络阴器,向上经过阴毛中部进入脐中,沿腹部内侧上行进入缺盆,向下注入肺中,再复出注入太阴经。(马莳注释道:这是指任脉。)
《五音五味篇》记载:冲脉、任脉,都起始于胞中,向上沿着脊柱内部上行,成为经络之海。其浮行于体表的分支,沿着腹部右侧上行,汇聚于咽喉,分支联络口唇。
《经脉篇》记载:任脉的别名叫作尾翳,下行至鸠尾穴,散布于腹部。
《难经》说:任脉,起始于中极穴之下,向上经过毛际,沿着腹部内侧,上行至关元穴,到达喉咽部。
会阴(任脉别络,与督脉、膀胱脉相交会的地方)。曲骨(任脉与足厥阴肝经的交会穴)。中极(足三阴经与任脉的交会穴)。关元(同上)。石门(经气所发之处)。气海(同上)。阴交(任脉经气冲注的交会穴○《外台秘要》说:是任脉、膀胱脉、足少阴肾经的交会穴。次注写作:任脉、阴维脉的交会穴。《铜人腧穴针灸图经》说:是任脉经气所发之处)。神阙、水分(经气所发之处)。下脘(足太阴脾经与任脉的交会穴)。建里。中脘(手太阳小肠经、手少阳三焦经、足阳明胃经经气所生,且为任脉的交会穴○次注说:是手太阳、手少阳、足阳明三条经脉经气所生,任脉经气所发之处)。上脘(任脉、足阳明胃经、手太阳小肠经的交会穴)。巨阙(经气所发之处)。鸠尾(任脉的别络)。中庭、膻中、玉堂、紫宫、华盖、璇玑(从中庭向下的六个穴位,是任脉经气所发之处)。天突(阴维脉与任脉的交会穴)。廉泉(同上)。承浆(足阳明胃经与任脉的交会穴)。
按语:《气府论》记载:任脉之气所发出的穴位有二十八个。王冰说:现在少了一个穴位,即目前所载的二十四个穴位。加上承泣、龈交,共二十七个穴位。《外台秘要》中没有收录承浆穴(归入胃经)。折衷取舍后,没有收录廉泉穴(归入肾经)。根据《口齿类要》,舌下的廉泉属于肾经。《气府论》说:足少阴肾经在舌下有一穴,足厥阴肝经在阴毛中的急脉有一穴。王冰说:足少阴肾经在舌下的两个穴位,在人迎穴前方,凹陷处,动脉前方,称为“舌本”,左右各一。又据《类经》说:按《刺疟论》所载:“舌下两脉者,廉泉也。”《气府论》说:足少阴肾经在舌下各有一穴。《卫气篇》说:足少阴肾经的标在背部和舌下两脉。那么廉泉不是一个穴位,应当是舌根下的左右两条泉脉,并且是足少阴肾经的交会穴。
[图片]
承泣(本经的交会穴)。龈交(次注说:是任脉、督脉二经的交会穴)。
(There are twenty-four acupoints in total.)
The *Qifu Lun* (Treatise on Acupoints of the Qi) states: There are twenty-eight acupoints where the Qi of the Ren Mai (Conception Vessel) emerges. (Secondary note: One point is currently missing.) Two points at the center of the throat (referring to Lianquan [RN23] and Tiantu [RN22]). One point in each depression of the central bone of the chest (referring to Xuanji [RN21], Huagai [RN20], Zigong [RN19], Yutang [RN18], Danzhong [RN17], and Zhongting [RN16]). From Jiutui [RN15] downward three cun, then five cun to the stomach region, and below that to Henggu [RN3], one point every six and a half cun. (New correction notes: The character "one" [yi] is suspected to be an error or interpolation. This follows the method of the abdominal meridian.) (These include Jiutui [RN15], Jueque [RN14], Shangwan [RN13], Zhongwan [RN12], Jianli [RN11], Xiawan [RN10], Shuifen [RN9], Qizhong [CV12/Yinjiao RN7 contextually often grouped but here listed as part of the sequence leading to Guanyuan/RN4 area, specifically listing 14 points: Jiutui, Jueque, Shangwan, Zhongwan, Jianli, Xiawan, Shuifen, Shenque/Central Umbilicus, Yinjiao [RN7], Boyang/Dantian [RN4 - note: text says 'Bo Yang' likely referring to Dantian area or specific point name variant], Guanyuan [RN4], Zhongji [RN3], Qugu [RN2], Curved Bone [Guqu]). One point below the external genitalia (referring to Huiyin [RN1]). One point under each eye (referring to Chengqi [ST1]). One point on the lower lip (referring to Chengjiang [RN24]). One point at Gingival Junction (Yinjiao [DU28]).
The *Gukong Lun* (Treatise on Bone Gaps) states: The Ren Mai (Conception Vessel) originates below Zhongji [RN3], ascends to the pubic hair line, follows the interior of the abdomen up to Guanyuan [RN4], reaches the throat, ascends to the chin, follows the face, and enters the eyes. (Commentary: In the *Gukong Lun*, regarding the Du Mai (Governing Vessel), it states: "The Du Mai originates from the strip of the lower abdomen... there is a path straight up from the lower abdomen, piercing the center of the navel, passing through the heart to the chin, circling the lips, and ascending to the center below both eyes." These should be studied together for comparison.)
The *Yingqi Pian* (Chapter on Nutritive Qi) states: (The meridian) connects with the external genitalia, ascends through the middle of the pubic hair into the navel, follows the interior of the abdomen up to the Supraclavacular Fossa (Quepen), descends into the lungs, and re-emerges to enter the Taiyin Meridian. (Ma Shi comments: This refers to the Ren Mai.)
The *Wuyin Wumei Pian* (Chapter on Five Sounds and Five Flavors) states: Both the Chong Mai (Penetrating Vessel) and the Ren Mai (Conception Vessel) originate in the Baozhong (Uterus/Pelvic Cavity), ascend along the interior of the back, and serve as the Sea of the Meridians. Their branches that float outward follow the right side of the abdomen upward, converge at the throat, and branch off to connect with the lips and mouth.
The *Jingmai Pian* (Chapter on Meridians) states: The collateral branch of the Ren Mai is called Wei Yi (another name for Jiutui [RN15]), which descends to Jiutui [RN15] and scatters into the abdomen.
The *Nan Jing* (Classic of Difficult Issues) states: The Ren Mai (Conception Vessel) originates below Zhongji [RN3], ascends to the pubic hair line, follows the interior of the abdomen, goes up to Guanyuan [RN4], and reaches the throat and pharynx.
Huiyin [RN1]: (Collateral branch of the Ren Mai, meeting place of the Du Mai and Bladder Meridian).
Qugu [RN2]: (Meeting point of the Ren Mai and Foot-Jueyin Liver Meridian).
Zhongji [RN3]: (Meeting point of the Three Foot-Yin Meridians and the Ren Mai).
Guanyuan [RN4]: (Same as above).
Shimen [RN5]: (Where the Qi emerges).
Qihai [RN6]: (Same as above).
Yinjiao [RN7]: (Meeting point where Ren Mai Qi rushes; *Waitai Mi Yao* states: Meeting of Ren Mai, Bladder Meridian, and Foot-Shaoyin Kidney Meridian. Secondary note writes: Meeting of Ren Mai and Yinwei Mai. *Tongren* states: Where Ren Mai Qi emerges).
Shenque [CV8] / Shuifen [RN9]: (Where the Qi emerges).
Xiawan [RN10]: (Meeting point of Foot-Taiyin Spleen Meridian and Ren Mai).
Jianli [RN11].
Zhongwan [RN12]: (Generated by Hand-Taiyang Small Intestine, Hand-Shaoyang Sanjiao, and Foot-Yangming Stomach Meridians; meeting point of Ren Mai. Secondary note: Generated by the Qi of Hand-Taiyang, Hand-Shaoyang, and Foot-Yangyang meridians; where Ren Mai Qi emerges).
Shangwan [RN13]: (Meeting point of Ren Mai, Foot-Yangming Stomach, and Hand-Taiyang Small Intestine Meridians).
Jueque [RN14]: (Where the Qi emerges).
Jiutui [RN15]: (Branch of the Ren Mai).
Zhongting [RN16], Danzhong [RN17], Yutang [RN18], Zigong [RN19], Huagai [RN20], Xuanji [RN21]: (The six points from Zhongting downward are where Ren Mai Qi emerges).
Tiantu [RN22]: (Meeting point of Yinwei Mai and Ren Mai).
Lianquan [RN23]: (Same as above).
Chengjiang [RN24]: (Meeting point of Foot-Yangming Stomach Meridian and Ren Mai).
Commentary: The *Qifu Lun* states that there are twenty-eight points where Ren Mai Qi emerges. Wang Bing says: One point is missing, leaving the currently recorded twenty-four points. Adding Chengqi [ST1] and Yinjiao [DU28] makes twenty-seven points. *Waitai Mi Yao* does not include Chengjiang [RN24] (classified under Stomach Meridian). After deliberation, Lianquan [RN23] is excluded (classified under Kidney Meridian). According to *Kouchi Lei Yao*, Lianquan under the tongue belongs to the Kidney Meridian. The *Qifu Lun* states: Foot-Shaoyin has one point under the tongue, and Jueyin has one point at Jimai [LV11] in the pubic hair. Wang Bing says: The two points of Foot-Shaoyin under the tongue are located anterior to Yingchuan [ST9], in the depression, anterior to the pulsating artery, called "Sheben" (Root of Tongue), left and right respectively. Furthermore, according to *Leijing*: As stated in *Ci Nue Lun*: "The two vessels under the tongue are Lianquan." The *Qifu Lun* says Foot-Shaoyin has one point under the tongue. The *Wei Qi Pian* says: The biao (mark) of Foot-Shaoyin is in the back and the two vessels under the tongue. Therefore, Lianquan is not a single point, but rather the left and right "Quan" vessels under the root of the tongue, and it serves as a meeting point for Foot-Shaoyin.
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Chengqi [ST1]: (Meeting point of this meridian).
Yinjiao [DU28]: (Secondary note: Meeting point of Ren Mai and Du Mai).