灵枢骨度篇曰。人长。七尺五寸。○头之大骨围。二尺六寸。○发所覆者。颅至项。尺
二寸。○发以下至颐。长一尺○角(额角)以下。至柱骨。(天柱骨)长一尺。○两颧之间。相去七
寸。○耳前当耳门者广一尺三寸。○耳后当完骨者。广九寸。○项发以下。至背骨。(背
。甲乙作脊)长二(二甲乙作三)寸半。○结喉。以下至缺盆中。长四寸。(缺盆中。天突也)
按类经曰。如发际不明。则取眉心。直上后。至大杼骨。折一尺八寸。此说拘拘。有头
颅大
而项缩者有项长颅小者。或有眉上颜额广者。此类不少。故就各部骨度置穴。盖发际不明
。则使病者上视颜额。皱纹不生处。是发际。如后发际。以哑门定之。如以理说之。则其失天壤
可不慎乎。
\r头面总图\p06-d22a3.bmp\r
前发际旁行凡七穴
\r前发际旁行图\p06-d22a4.bmp\r
神庭(甲乙)一名发际。(本事)发际直鼻(甲乙)禁刺(甲乙)
按外台秘要方。本事方。资生经。圣济总录。并作入发际五分。诸书从之。千金翼方。
说曰。入发际一分。东医宝鉴曰。额前。皆拘矣。类经有发高者发际是穴。发低者。加二三
分之说。凡发际高低以意将息而得穴。亦无用之辨也。今从古说。
曲差(甲乙)一名鼻冲。(甲乙)挟神庭两旁。各一寸五分。在发际。正头取之。(甲乙)
按。差。徐氏针灸大全。作 。误。十四经发挥。类经。针灸聚英。吴文炳针灸大成。
洲针灸大成。作入发际。医宗金鉴。作发际间。非也。东医宝鉴。作入前后际误也。此穴去
神庭一寸半。则难折量。今以直睛明上。为曲差。直瞳子 上为本神。其间以直目瞳子上。
入发际五分。为临泣。不然先定额角。自神庭至额角为四寸五分。分置四穴。大原先安。医门摘
要曰。神庭直鼻上。入发际五分。则曲差亦入发际五分。无稽之说。不可从。
本神(甲乙)曲差两旁各一寸五分。在发际。(甲乙)
按此穴。直丝竹空上发际。故甲乙经。属发际旁行部。千金方。属面部第四行。至丝竹
瞳子 可见。甲乙。千金。载一说曰。直耳上。入发际四分。千金翼。作二分。诸书皆有此
说。不取。外台。作上目直耳上入发际四分东洋先生曰。盖上目是一曰之误。又医学入门。
作临泣外。一寸半。而临泣。直瞳子。处曲差。本神中间。
头维(甲乙)额角发际。挟本神两旁各一寸五分(甲乙)禁灸。(甲乙)
按。气府论云。足阳明脉气所发者。额颅发际旁。各三。王冰次注曰。谓悬颅阳白头维
。左右共六穴也。资生。神应经。类经。聚英。吴文炳。金鉴。作入发际。非矣。营沼长之。针
灸则曰。入发际一寸五分。妄矣。千金曰。灸头两角。两角当回毛两边起骨。是也。盖指此
穴。神应经曰。取曲鬓一寸。非也。
头中行。直鼻中。入发际一寸。却行至风府。凡八穴。
\r头中行二行三行之图\p06-d22a5.bmp\r
上星(甲乙)一名鬼堂。(千金)一名明堂。(资生)一名神堂。(类经)囟上直鼻中央。入
发
按。入门。大全。作神庭上五分。非矣。先以旋毛与耳上。定百会。至神庭为五寸。一
寸上星。一寸囟会。囟会。百会中间。置前顶。从百会至脑户。四寸五分。水热穴论曰。头上五
行。行五。王冰注曰。头上五行者。当中行谓上星。囟会。前顶。百会。后顶。次两旁谓五
处。承光。通天。络却。玉枕。又次。两旁谓临泣。目窗。正营。承灵。脑空也。按。中行
。凡七穴。行五则余强间脑户二穴。未闻古人论及之者。暂俟知者。千金作神庭上二寸。资
生经载。明堂经。所谓明堂。即此穴。今移入一名。千金翼针灸篇曰。卒癫灸督脉三十壮。
在直鼻人中上入发际。三报之。未知何处。
囟会(甲乙)一名囟上。一名鬼门。(千金)一名囟门(李时珍奇经八脉考)一名顶门。(
大成)上星后一寸。骨间。陷者中。(甲乙)禁刺(入门宝鉴)
按入门。后作上。医门摘要。作一寸五分。非矣。千金翼曰。邪病鬼癫。囟上主之。一名
鬼门千金注曰。囟会。一名鬼门。字书云。囟古作囟。又诸风篇曰神庭上二寸。隔上星。说分寸
。故不取。千金翼作一寸误。
前顶(甲乙)囟会后一寸五分。骨间。陷者中。(甲乙)
按。明堂作百会前一寸。类经亦载此说。非矣。入门后作上。
百会(甲乙)一名三阳五会。(甲乙)一名鬼门。一名泥丸宫。(本事)一名巅上。一名天满
。(类经)一名三阳。一名五会。(大成)巅上(素问)前顶后一寸五分。顶中央旋毛中。陷可容指(
甲乙)头顶凹中。(肘后)直两耳尖。(发挥)
按顶中央之顶。外台作项字误。资生。神应。发挥。类经。聚英。古今医统。容指作容
无异义。甲乙。旋毛中。三字。以大概而言之。肘后方。作直鼻中入发际五寸。神应经作去
前发际五寸。后发际。七寸。是以骨度折量也。然脑户在枕骨上。妄用折量多差谬。三阳五
会。史记扁鹊传正义曰。三阳太阳。少阳。阳明。五会百会。胸会。听会。气会。 会也。
或以此说注之。难经曰。八会者。何也。然。府会。太仓。脏会季胁。筋会阳陵泉。髓会绝
骨。血会膈俞。骨会大杼。脉会太渊。气会三焦外一筋。直两乳内也。热病在内者。取其会
之气穴也。滕万卿注之曰。按内经。载热病五十九刺法。各处热邪随分取之。由是立八会法
以适简约。盖此八会。十三穴。诸热在内者。各随其部分而治之。虢太子。尸厥。取外三阳五
会者。岂止百会一穴。疑兼取此会之五处者。可知矣。然三阳五会之名。出甲乙经又肘后方
。治尸厥方。针百会。针入三分。补之外台方。治尸厥。针百会。通鉴。唐高宗。苦头重不
能视。召侍医秦鸣鹤。诊之。刺百会脑户二穴。胡三省曰。针灸经。百会。一名三阳五会。脑
户一名合颅。是为百会一名者。尚矣。孙真人曰。香港脚旧法。多灸百会。风府。五脏六腑俞
募。顷来。灸者。悉觉引气向上。慎不得灸。以上大忌之。
后顶(甲乙)一名交冲。(甲乙)百会后一寸五分。枕骨上(甲乙)陷者中。(明堂)
按入门。百会后之后作下。明堂。枕上有玉字。非。
强间(甲乙)一名大羽。(甲乙)后顶后。一寸五分。(甲乙)脑户前。一寸半。(千翼)一曰
禁灸(类经)
按。先取枕骨上定脑户。脑户。百会间。置后顶强间。千金翼曰。大门。脑后尖骨上一
寸。似指强间。羽门。字画相近。详于奇穴部。
脑户(素问)一名匝风(作各切)一名会额(甲乙)一名合颅(外台)跳骨上。强间后一寸五分
。(甲乙)不可灸。令人喑。(甲乙)刺头中脑户。入脑立死。(素问)灸五壮。(次注)
按跳。骨空论曰。脊骨上空。在风府上。王冰曰。上谓脑户穴。跳。当作枕。诸书作枕
。枕骨围头大骨也。仰卧当枕者。骨空论云。头横骨为枕。是也。自后顶至此广三寸。凡言
枕骨。脑户。盖在枕骨之锐者上。又云。颅际锐骨。盖指之也。甲乙曰跳骨。盖以锐骨为跳
骨。跳字。似有其意也。通鉴。秦鸣鹤。刺高宗。胡三省曰。针令人哑。旧传。鸣鹤。针微
出血。头疼立止。盖此穴以禁针。微出血也。
风府(素问)一名舌木。(甲乙)一名鬼枕。一名鬼穴。(千金)一名曹溪。(本事)髓空在
五分。颅际锐骨之下。(素问)七次脉。颈中央之脉督脉也。名曰风府。(灵枢)顶上入发际一
寸。大筋内。宛宛中。疾言其肉立起。言休其肉立下。(甲乙)禁灸(甲乙)
按。骨空论云。风府在上椎。上椎者。盖天柱骨之第一节。伏而不见者也。宛宛。旧作穴
今订之。此穴直高骨下。不拘折量。故甲乙经。不言脑户下一寸。古说可见也。千金作顶后
入发际一寸去上骨一寸。千金翼。作哑门上一寸。入门。大全。作脑户下一寸半。不取。
头第二行直眉头。挟中行各一寸半。却行至玉枕。凡十穴。
五处(甲乙)督脉旁。去上星。一寸五分。(甲乙)曲差后一寸(增注)禁灸(甲乙)灸三壮(
按入门。五作巨字误。类经。金鉴。作曲差后五分。非也。第二行。前从眉头睛明。后至
天柱。系一线定之。曲差至玉枕为六寸半。布置诸穴。
承光(甲乙)五处后二寸。(甲乙。外台。)五处后一寸(千金。千翼。次注。)五处后寸半
。(资生。圣济。)禁灸(甲乙)
按三说。不知孰是。姑从甲乙经入门。作巨处后。字误。
通天(甲乙)一名天臼。(甲乙)承光后一寸五分(甲乙)
按。臼。外台。作白。宝鉴。作伯。类经。一说直百会旁一寸五分。是以承光。为五处
后一寸五分。故有此解。
络却(甲乙)一名强阳。一名脑盖。(甲乙)通天后一寸三分。(甲乙)禁刺(入门)
按脑。医统。作胸。字误。外台。作反行在通天后。反行。无谓。神应经云。脑后发际
上。两
旁起肉上。各一寸三分。脑后枕骨。挟脑户。自发际上四寸半。然玉枕挟脑户。盖此说非也
。诸书作通天后一寸五分。说见下。
玉枕(甲乙)络却后七分。(甲乙次注)七分半。(千金。千翼。外台。)挟脑户旁。一寸三
分。起肉枕骨。入发际三寸(甲乙)一云禁刺。(类经)
按资生经曰。铜人云。玉枕。在络却后一寸半。明堂上下经。皆云七分半。若以铜人为
误。
则足太阳穴亦同。若以明堂为误。不应上下经。皆误也。予按素问注云玉枕在络却后七分。
则与明堂之七分半。相去不远矣。固当从素问为准。然而玉枕二穴。既挟脑户矣。不应止七
分。则至于脑盖也。铜人一寸半。盖有说焉。识者当有以辨之注曰。今以诸经校勘。在络却
后寸半者是。张介宾曰。甲乙经之数。与督脉之数。不相合。盖骨度篇。载中行分寸。未言
侧行。意侧行长不及中行。乃可知也。颅顶圆形不同故分寸。不可定也。络却曰一寸三分。玉
枕曰七分。资生。圣济。作络却后一寸五分。发挥。类经。聚英。入门。医统。吴文炳。金
鉴
大成从之。非是以上诸穴挟中行。一寸五分。至此曰一寸三分。是侧行。稍狭二分。犹腹部
狭于胸博也。古来之说。不可不知也。侧行之穴。难折量。故不取入发际三寸五字。根据枕骨
上起肉。村上亲方骨度正误。承灵。脑空。去督脉各二寸一分。风池去督脉各二寸。络却。
玉枕。去督脉各一寸五分。天柱去督脉一寸三分。未详其所据。盖臆说。
头第三行直瞳子上。入发际五分。却行至脑空。凡十穴。
临泣(甲乙)当目上 直入发际五分。陷者中。(甲乙)正睛取之。(类经)一云禁灸(类经)
按。气府论云。直目上发际内。各五。次注云。谓临泣目窗。正营。承灵。脑空也。上
。千
金。千金翼。外台。同。次注。资生。圣济。以下无 字。是也。第三行。前自直瞳子。后
至风池。引一线定第三行自前发际至脑空。折量为五寸五分。入发际五分。取临泣。次第处
置。脑空挟玉枕。其穴易得也。
目窗(甲乙)一名至荣。(甲乙)临泣后一寸。(甲乙)
按荣。外台。作营。一寸。大成。作寸半。非也。
正营(甲乙)目窗后一寸(甲乙)
承灵(甲乙)正营后一寸五分(甲乙)一云禁刺(类经)
按千金翼。作一寸。非也。
脑空(甲乙)一名颞 (甲乙)承灵后一寸五分。挟玉枕骨下。陷者中。(甲乙)
按颞。大全。作颈。误。玉枕者。穴名。骨者。枕骨。挟玉枕旁有骨。其下。故言骨下
千金。
不取。与奇穴颞 同名异穴。圣济曰。魏公。苦患头风发即心闷乱目眩。华陀当针而立愈。
后发际旁行凡五穴
喑门(素问)一名舌横。一名舌厌。(甲乙)一名哑门(千翼)一名舌肿。(宝鉴)项后中。复
骨下。(素问)后发际宛宛中。入系舌本。仰头取之。(甲乙)不可灸。灸之。令人喑。(甲乙)禁深
刺
舌。舌厌。医统。作厌舌。 。入门。作哑。千金翼曰。一云。脑户下三寸。次注曰。去风府一
寸。吴文炳。从之。圣济。神应。发挥。吴文炳。皆曰入发际五分。宝鉴曰。风府后五分。
说已见。此穴不须折量。古书不言分寸者。可见。张介宾曰。大椎上。骨节空也。复当作伏
。盖项骨三节。不甚显。故云伏骨下也。
天柱(素问)项中。大筋两旁。(素问)挟项后发际。大筋外廉。陷者中。(甲乙)
按口问篇曰。天柱经。挟颈。挟颈者。头中分也。经者。盖所谓流注也。
风池(素问)风府两旁。(素问)颞 后。发际陷者中。(甲乙)按之引于耳中。(次注)
按入门曰。耳后一寸半拘矣。颞 脑空一名。是与颔厌等注颞 。不同。资生。既作脑
空是也。类经曰。大筋外廉。非矣。聚英。医统。大成。作颞 后。脑空下。误也。
耳上凡八穴
\r耳上之图\p06-d22a6.bmp\r
天冲(甲乙)耳上如前三分(甲乙)
《灵枢·骨度篇》说:人的身高,是七尺五寸。○头部的最大骨骼周长,是二尺六寸。○头发覆盖的范围,从颅顶到项部,长一尺二寸。○头发以下到下巴(颐),长一尺。○额角(角)以下,到柱骨(天柱骨),长一尺。○两颧骨之间,相距七寸。○耳朵前方对应耳门穴处,宽一尺三寸。○耳朵后方对应完骨穴处,宽九寸。○后发际以下,到背骨(《甲乙经》作脊骨),长二寸半(《甲乙经》作三寸半)。○喉结下方到缺盆中穴,长四寸。(缺盆中穴即天突穴)。
按照《类经》的说法:如果发际线不清楚,就取眉心,直向上向后,到大杼骨,折量为一尺八寸。这种说法拘泥僵化。有的人头颅大但脖子短缩,有的人脖子长而头颅小,或者眉毛上方颜面额头宽阔的人,这类情况不少。所以应当根据各部位的骨度来定位穴位。既然发际线不明确,就让病人向上看额头,皱纹不产生的地方,就是发际线。至于后发际线,以哑门穴来确定。如果用上述理论来说明,那么其中的谬误相差天地之大,能不谨慎吗?
前发际旁行共有七个穴位。
神庭(出自《甲乙经》),又名发际(出自《本事方》)。位于发际正中直对鼻尖处(《甲乙经》)。禁刺(《甲乙经》)。
按:《外台秘要方》、《本事方》、《资生经》、《圣济总录》都记载为入发际五分,诸书都遵从这一说法。《千金翼方》说:入发际一分。《东医宝鉴》说:额前部位,都过于拘泥了。《类经》有说法认为:发际高的人,发际即是该穴;发际低的人,加二三寸分。凡是发际高低,凭心意斟酌而定穴位,也没有必要去争辩。现在遵从古说。
曲差(出自《甲乙经》),又名鼻冲(《甲乙经》)。在神庭两旁,各距一寸五分,位于发际处,端正头部取穴(《甲乙经》)。
按:“差”字,徐氏《针灸大全》写作“ ”,是错误的。《十四经发挥》、《类经》、《针灸聚英》、吴文炳《针灸大成》、洲《针灸大成》都作“入发际”。《医宗金鉴》作“发际间”,是不对的。《东医宝鉴》作“入前后际”,也是错误的。此穴距离神庭一寸半,难以折量测量。现在以直对睛明穴上方,定为曲差;直对瞳子髎上方为本神;其间以直对瞳孔上方,入发际五分,定为临泣。否则先确定额角,从神庭到额角为四寸五分,均分放置四个穴位,大抵先安顿好。《医门摘要》说:神庭直对鼻上,入发际五分,则曲差也入发际五分。这是没有根据的说法,不可遵从。
本神(出自《甲乙经》)。在曲差两旁各一寸五分,位于发际处(《甲乙经》)。
按:此穴直对丝竹空上方发际处,所以《甲乙经》将其归入发际旁行部。《千金方》将其归入面部第四行,直到丝竹空和瞳子髎可见。《甲乙经》、《千金方》记载一种说法:直对耳朵上方,入发际四分。《千金翼方》作二分。诸书都有这种说法,不予采用。《外台秘要》作:上目直耳上入发际四分。东洋先生曰:大概“上目”是“一日”的误写。又《医学入门》作:临泣外侧一寸半,而临泣直对瞳子髎处,位于曲差和本神中间。
头维(出自《甲乙经》)。在额角发际处,挟持本神两旁各一寸五分(《甲乙经》)。禁灸(《甲乙经》)。
按:《气府论》说:足阳明脉气所发的穴位,在额颅发际旁,各三个。王冰次注说:指悬颅、阳白、头维,左右共六个穴位。《资生经》、《神应经》、《类经》、《聚英》、吴文炳、《金鉴》都作“入发际”,是不对的。营沼长之《针灸则》说:入发际一寸五分,是妄言。《千金方》说:灸头两角,两角应当是回毛两边隆起的骨头,这是正确的。大概是指这个穴位。《神应经》说:取曲鬓穴一寸,是不对的。
头正中线,直对鼻中,入发际一寸,向后行至风府,共有八个穴位。
上星(出自《甲乙经》),一名鬼堂(《千金方》),一名明堂(《资生经》),一名神堂(《类经》)。在囟门上方,直对鼻中央,入发际……
按:《医学入门》、《针灸大全》作神庭上五分,是不对的。先以旋毛与耳上定百会穴,至神庭为五寸。一寸处为上星,一寸处为囟会。囟会在百会中间,放置前顶。从百会至脑户,四寸五分。《素问·热病论》说:头上五行,每行五个穴位。王冰注说:头上五行者,当中一行谓上星、囟会、前顶、百会、后顶。其次两旁谓五处、承光、通天、络却、玉枕。又其次两旁谓临泣、目窗、正营、承灵、脑空。按:中行共有七个穴位。如果是五行,则剩下强间、脑户两个穴位,没听说古人论述过它们。暂时等待知情者补充。《千金方》作神庭上二寸。《资生经》记载《明堂经》,所谓明堂,就是这个穴位。现在移入别名。《千金翼针灸篇》说:突然癫痫,灸督脉三十壮。在直对鼻人中上方入发际处。反复三次。不知道具体是哪个位置。
囟会(出自《甲乙经》),一名囟上,一名鬼门(《千金方》),一名囟门(李时珍《奇经八脉考》),一名顶门(《针灸大成》)。在上星后一寸,骨间隙凹陷处(《甲乙经》)。禁刺(《医学入门》、《东医宝鉴》)。
按:《医学入门》“后”作“上”。《医门摘要》作一寸五分,是不对的。《千金翼方》说:邪病鬼癫,囟上主之。一名鬼门。《千金方》注说:囟会,一名鬼门。字书云:囟古作囟。又《诸风篇》说:神庭上二寸,隔上星,说明分寸,所以不采用。《千金翼方》作一寸,是错误的。
前顶(出自《甲乙经》)。在囟会后一寸五分,骨间隙凹陷处(《甲乙经》)。
按:《明堂经》作百会前一寸,《类经》也记载这种说法,是不对的。《医学入门》“后”作“上”。
百会(出自《甲乙经》),一名三阳五会(《甲乙经》),一名鬼门,一名泥丸宫(《本事方》),一名巅上,一名天满(《类经》),一名三阳,一名五会(《针灸大成》)。在巅上(《素问》)。在前顶后一寸五分,头顶中央旋毛中,凹陷可容手指(《甲乙经》)。在头顶凹中(《肘后备急方》)。直对两耳尖(《十四经发挥》)。
按:顶中央的“顶”字,《外台秘要》作“项”字,是错误的。《资生经》、《神应经》、《十四经发挥》、《类经》、《针灸聚英》、《古今医统》将“容指”作“容无异义”。《甲乙经》“旋毛中”三字,是大致而言。《肘后备急方》作直对鼻中入发际五寸。《神应经》作去前发际五寸,后发际七寸,是以骨度折量测量的。然而脑户在枕骨上,妄用折量往往多出差错。“三阳五会”,《史记·扁鹊传》正义说:三阳指太阳、少阳、阳明。五会指百会、胸会、听会、气会、髓会。有人用这种说法来注解。《难经》说:八会是怎样的呢?回答说:腑会太仓,脏会季胁,筋会阳陵泉,髓会绝骨,血会膈俞,骨会大杼,脉会太渊,气会三焦外一筋,直对两乳内。热病在体内的,取其会之气穴。滕万卿注解说:按《内经》记载热病五十九刺法,各处热邪随部分取之,由此建立八会法以适应简约。大概这八会十三穴,凡热病在体内的,各自随其部分治疗。虢太子患尸厥,取外三阳五会,难道只是百会一穴吗?怀疑兼取此会的五处穴位,就可以知道了。然而“三阳五会”之名,出自《甲乙经》。又《肘后备急方》治尸厥方,针百会,针入三分,补法。《外台秘要》治尸厥,针百会。《通鉴》记载唐高宗苦于头重不能视物,召侍医秦鸣鹤诊治。刺百会、脑户二穴。胡三省说:《针灸经》中,百会一名三阳五会,脑户一名合颅。这是百会别名的由来,已经很久了。孙真人说:香港脚旧法,多灸百会、风府及五脏六腑俞募穴。近来,灸的人,都感觉引气向上。慎重不得灸。以上是大忌。
后顶(出自《甲乙经》),一名交冲(《甲乙经》)。在百会后一寸五分,枕骨上(《甲乙经》),凹陷处(《明堂经》)。
按:《医学入门》“百会后”的“后”作“下”。《明堂经》“枕上”有“玉”字,不对。
强间(出自《甲乙经》),一名大羽(《甲乙经》)。在后顶后一寸五分(《甲乙经》)。在脑户前一寸半(《千金翼方》)。一说禁灸(《类经》)。
按:先取枕骨上定脑户穴。脑户、百会间,放置后顶、强间。《千金翼方》说:大门,脑后尖骨上一寸,似乎指强间穴。羽门,字画相近,详见于奇穴部。
脑户(出自《素问》),一名匝风(音作各切),一名会额(《甲乙经》),一名合颅(《外台秘要》)。在跳骨上,强间后一寸五分(《甲乙经》)。不可灸,令人失音(《甲乙经》)。刺头中脑户,入脑立死(《素问》)。灸五壮(王冰次注)。
按:“跳”字,《骨空论》说:脊骨上空,在风府上。王冰说:上指脑户穴。“跳”当作“枕”。诸书作“枕”。枕骨围住头的大骨。仰卧当枕者,《骨空论》说:头横骨为枕,是对的。自后顶至此广三寸。凡是说枕骨、脑户,大概在枕骨的锐利部分上。又说:颅际锐骨,大概就是指这个。《甲乙经》说跳骨,大概以锐骨为跳骨,“跳”字,似乎有其意蕴。《通鉴》记载秦鸣鹤刺高宗,胡三省说:针令人哑。旧传说鸣鹤针刺微出血,头疼立止。大概此穴禁针,只微出血。
风府(出自《素问》),一名舌木(《甲乙经》),一名鬼枕,一名鬼穴(《千金方》),一名曹溪(《本事方》)。髓空在五分,颅际锐骨之下(《素问》)。七次脉,颈中央之脉督脉也,名曰风府(《灵枢》)。在顶上入发际一寸,大筋内,宛宛中,疾言其肉立起,言休其肉立下(《甲乙经》)。禁灸(《甲乙经》)。
按:《骨空论》说:风府在上椎。上椎者,大概是天柱骨的第一节,伏而不见的。宛宛,旧作穴,今订正之。此穴直对高骨下,不拘泥于折量,所以《甲乙经》不说脑户下一寸。古说由此可见。《千金方》作顶后入发际一寸,去上骨一寸。《千金翼方》作哑门上一寸。《医学入门》、《针灸大全》作脑户下一寸半,不采用。
头第二行直对眉头,挟持中行各一寸半,向后行至玉枕,共有十个穴位。
五处(出自《甲乙经》)。在督脉旁,去上星一寸五分(《甲乙经》)。在曲差后一寸(《增注》)。禁灸(《甲乙经》)。灸三壮……
按:《医学入门》“五”作“巨”字,错误。《类经》、《金鉴》作曲差后五分,不对。第二行,前从眉头睛明,后至天柱,系一线确定。曲差至玉枕为六寸半,布置诸穴。
承光(出自《甲乙经》)。在五处后二寸(《甲乙经》、《外台秘要》)。在五处后一寸(《千金方》、《千金翼方》、王冰次注)。在五处后寸半(《资生经》、《圣济总录》)。禁灸(《甲乙经》)。
按:三种说法,不知哪个正确。暂且遵从《甲乙经》、《医学入门》,作巨处后,是字误。
通天(出自《甲乙经》),一名天臼(《甲乙经》)。在承光后一寸五分(《甲乙经》)。
按:“臼”字,《外台秘要》作“白”。《宝鉴》作“伯”。《类经》一说直对百会旁一寸五分,是以承光为五处后一寸五分,所以有此解释。
络却(出自《甲乙经》),一名强阳,一名脑盖(《甲乙经》)。在通天后一寸三分(《甲乙经》)。禁刺(《医学入门》)。
按:“脑”字,《古今医统》作“胸”,字误。《外台秘要》作反行在通天后。“反行”无意义。《神应经》说:脑后发际上,两旁起肉上,各一寸三分。脑后枕骨,挟持脑户,自发际上四寸半。然而玉枕挟持脑户,大概这种说法不对。诸书作通天后一寸五分,说法见下文。
玉枕(出自《甲乙经》)。在络却后七分(《甲乙经》、王冰次注)。七分半(《千金方》、《千金翼方》、《外台秘要》)。挟持脑户旁,一寸三分,起肉枕骨,入发际三寸(《甲乙经》)。一说禁刺(《类经》)。
按:《资生经》说:《铜人腧穴针灸图经》云:玉枕,在络却后一寸半。《明堂上下经》都说七分半。如果以《铜人》为误,则足太阳穴也相同。如果以《明堂》为误,不应《上下经》都误。我按《素问》注云:玉枕在络却后七分,则与《明堂》的七分半,相去不远了。固当以《素问》为准。然而玉枕二穴,既然挟持脑户了,不应只有七分,则至于脑盖也。《铜人》一寸半,大概有说法。识者应当有所辨别。注曰:现在以诸经校勘,在络却后寸半的是对的。张介宾说:《甲乙经》之数,与督脉之数,不相合。大概《骨度篇》记载中行分寸,未言侧行。意侧行长不及中行,乃可知也。颅顶圆形不同故分寸,不可定也。络却曰一寸三分,玉枕曰七分。《资生经》、《圣济总录》作络却后一寸五分。《十四经发挥》、《类经》、《针灸聚英》、《医学入门》、《古今医统》、吴文炳、《金鉴》、《针灸大成》遵从它,是不对的。以上诸穴挟持中行一寸五分,至此曰一寸三分,是侧行,稍狭二分,犹腹部狭于胸博也。古来之说,不可不知也。侧行之穴,难折量,故不取入发际三寸五字。根据枕骨上起肉,村上亲方《骨度正误》:承灵、脑空,去督脉各二寸一分;风池去督脉各二寸;络却、玉枕,去督脉各一寸五分;天柱去督脉一寸三分。未详其所据,盖臆说。
头第三行直对瞳子上,入发际五分,向后行至脑空,共有十个穴位。
临泣(出自《甲乙经》)。当目上直入发际五分,凹陷处(《甲乙经》)。正睛取之(《类经》)。一说禁灸(《类经》)。
按:《气府论》说:直目上发际内,各五个。次注说:谓临泣、目窗、正营、承灵、脑空也。“上”字,《千金方》、《千金翼方》、《外台秘要》同。次注、《资生经》、《圣济总录》以下无“上”字,是对的。第三行,前自直对瞳子,后至风池,引一线确定。第三行自前发际至脑空,折量为五寸五分。入发际五分,取临泣,次第处置。脑空挟持玉枕,其穴易得也。
目窗(出自《甲乙经》),一名至荣(《甲乙经》)。在临泣后一寸(《甲乙经》)。
按:“荣”字,《外台秘要》作“营”。“一寸”,《针灸大成》作“寸半”,不对。
正营(出自《甲乙经》)。在目窗后一寸(《甲乙经》)。
承灵(出自《甲乙经》)。在正营后一寸五分(《甲乙经》)。一说禁刺(《类经》)。
按:《千金翼方》作一寸,不对。
脑空(出自《甲乙经》),一名颞颥(《甲乙经》)。在承灵后一寸五分,挟持玉枕骨下,凹陷处(《甲乙经》)。
按:“颞颥”,《针灸大全》作“颈”,错误。玉枕者,穴名。骨者,枕骨。挟持玉枕旁有骨,其下,故言骨下。《千金方》不采用。与奇穴颞颥同名异穴。《圣济总录》说:魏公,苦患头风发即心闷乱目眩。华陀当针而立愈。
后发际旁行共有五个穴位。
哑门(出自《素问》),一名舌横,一名舌厌(《甲乙经》),一名哑门(《千金翼方》),一名舌肿(《东医宝鉴》)。在项后中,复骨下(《素问》)。后发际宛宛中,入系舌本,仰头取之(《甲乙经》)。不可灸,灸之,令人失音(《甲乙经》)。禁深刺舌。
按:“舌厌”,《古今医统》作“厌舌”。“ ”,《医学入门》作“哑”。《千金翼方》说:一云,脑户下三寸。次注说:去风府一寸。吴文炳遵从它。《圣济总录》、《神应经》、《十四经发挥》、吴文炳都说入发际五分。《东医宝鉴》说:风府后五分。说法已见上文。此穴不须折量,古书不言分寸者,可见。张介宾说:大椎上,骨节空也。“复”当作“伏”。大概项骨三节,不甚显,故云伏骨下也。
天柱(出自《素问》)。在项中,大筋两旁(《素问》)。挟持项后发际,大筋外廉,凹陷处(《甲乙经》)。
按:《口问篇》说:天柱经,挟颈。挟颈者,头中分也。经者,大概所谓流注也。
风池(出自《素问》)。在风府两旁(《素问》)。在颞颥后,发际凹陷处(《甲乙经》)。按之引于耳中(王冰次注)。
按:《医学入门》说:耳后一寸半,拘泥了。“颞颥”、“脑空”一名,是与颔厌等注“颞颥”不同。《资生经》既作脑空是对的。《类经》说:大筋外廉,不对。《针灸聚英》、《古今医统》、《针灸大成》作颞颥后,脑空下,错误。
耳上共有八个穴位。
天冲(出自《甲乙经》)。在耳上如前三分(《甲乙经》)。
The *Ling Shu: Gu Du Pian* states: The height of a person is seven chi and five cun. ○ The circumference of the largest bone of the head is two chi and six cun. ○ The area covered by hair, from the cranium to the nape, is one chi and two cun. ○ From below the hairline to the chin (Yi), the length is one chi. ○ From the frontal angle (Jiao) below to the pillar bone (Tian Zhu Gu), the length is one chi. ○ Between the two zygomatic bones, the distance is seven cun. ○ The width at the ear front corresponding to the Er Men point is one chi and three cun. ○ The width at the ear back corresponding to the Wan Gu point is nine cun. ○ From the posterior hairline down to the dorsal bone (the *Jia Yi Jing* refers to this as the spine), the length is two and a half cun (the *Jia Yi Jing* records it as three and a half cun). ○ From the laryngeal prominence below to the center of Que Pen, the length is four cun. (The center of Que Pen is the Tian Tu point.)
According to the *Lei Jing*: If the hairline is unclear, take the glabella (Yin Tang), go straight up and back to the Da Zhu bone, measuring one chi and eight cun. This view is rigid. Some people have large heads but short necks, some have long necks but small heads, or broad foreheads above the eyebrows; such cases are not few. Therefore, acupoints should be located based on the bone measurements of each part. Since the hairline is unclear, ask the patient to look upward at the forehead; the place where wrinkles do not form is the hairline. As for the posterior hairline, it is determined by the Ya Men point. If explained by the aforementioned theory, the errors would be vast, so one must be cautious.
There are seven acupoints along the lateral line from the anterior hairline.
Shen Ting (*Jia Yi Jing*), also known as Fa Ji (*Benshi Fang*). Located directly opposite the tip of the nose at the anterior hairline (*Jia Yi Jing*). Moxibustion is prohibited (*Jia Yi Jing*).
Note: The *Wai Tai Mi Yao*, *Benshi Fang*, *Zisheng Jing*, and *Shengji Zonglu* all record "five fen into the hairline," and subsequent texts follow this. The *Qianjin Yifang* states: "one fen into the hairline." The *Dongui Bogam* states that regarding the forehead, such rigidity is inappropriate. The *Lei Jing* offers a view: for those with a high hairline, the hairline itself is the point; for those with a low hairline, add two or three cun. Regarding the varying heights of the hairline, the point can be determined by judgment without need for debate. Here we follow the ancient saying.
Qu Cha (*Jia Yi Jing*), also known as Bi Chong (*Jia Yi Jing*). Located one cun and five fen lateral to Shen Ting on both sides, at the hairline, taken with the head upright (*Jia Yi Jing*).
Note: The character "Cha" is written as " " in Xu's *Zhen Jiu Da Quan*, which is incorrect. The *Shi Si Jing Fa Hui*, *Lei Jing*, *Zhen Jiu Ju Ying*, Wu Wenbing's *Zhen Jiu Da Cheng*, and Zhou's *Zhen Jiu Da Cheng* write "into the hairline." The *Yi Zong Jin Jian* writes "between the hairlines," which is wrong. The *Dongui Bogam* writes "into the anterior and posterior hairlines," which is also wrong. Since this point is one cun and half away from Shen Ting, it is difficult to measure precisely. Now, we define Qu Cha as directly above Jing Ming; Ben Shen as directly above Tong Zi Liao; and Lin Qi, halfway between them, as five fen into the hairline from the pupil. Alternatively, first determine the frontal angle; the distance from Shen Ting to the frontal angle is four cun and five fen, dividing this space into four points. Generally, secure the position first. The *Yi Men Zhai Yao* states: Shen Ting is directly above the nose, five fen into the hairline, so Qu Cha is also five fen into the hairline. This is an unfounded claim and should not be followed.
Ben Shen (*Jia Yi Jing*). Located one cun and five fen lateral to Qu Cha on both sides, at the hairline (*Jia Yi Jing*).
Note: This point is directly above Si Zhu Kong at the hairline, so the *Jia Yi Jing* classifies it in the lateral hairline section. The *Qianjin Fang* classifies it in the fourth row of the face, visible until Si Zhu Kong and Tong Zi Liao. The *Jia Yi Jing* and *Qianjin Fang* record a view: directly above the ear, four fen into the hairline. The *Qianjin Yifang* records it as two fen. Although many texts contain this view, it is not adopted here. The *Wai Tai Mi Yao* records: "above the eye, directly above the ear, four fen into the hairline." Mr. Dongyang says: "Above the eye" is likely a typo for "one day." Also, the *Yi Xue Ru Men* places it one cun and half lateral to Lin Qi, while Lin Qi is directly above Tong Zi Liao, situated between Qu Cha and Ben Shen.
Tou Wei (*Jia Yi Jing*). At the frontal angle hairline, one cun and five fen lateral to Ben Shen on both sides (*Jia Yi Jing*). Moxibustion is prohibited (*Jia Yi Jing*).
Note: The *Qi Fu Lun* states: The acupoints where the Foot-Yangming meridian qi emerges are three on each side beside the frontal hairline. Wang Bing's secondary note says: This refers to Xuan Lu, Yang Bai, and Tou Wei, totaling six points on both sides. The *Zisheng Jing*, *Shen Ying Jing*, *Lei Jing*, *Ju Ying*, Wu Wenbing, and *Jin Jian* write "into the hairline," which is incorrect. Niiyama Nagano's *Zhen Jiu Ze* states "one cun and five fen into the hairline," which is妄言 (wild talk). The *Qianjin Fang* states: Moxa the two corners of the head; the corners should be the raised bones on either side of the receding hairline, which is correct. This likely refers to this point. The *Shen Ying Jing* states: Take Qu Bin one cun, which is incorrect.
Along the midline of the head, directly opposite the nose, one cun into the hairline, extending backward to Feng Fu, there are eight acupoints.
Shang Xing (*Jia Yi Jing*), also known as Gui Tang (*Qianjin Fang*), Ming Tang (*Zisheng Jing*), and Shen Tang (*Lei Jing*). Above the fontanelle, directly opposite the center of the nose, entering the hairline...
Note: The *Yi Xue Ru Men* and *Zhen Jiu Da Quan* state "five fen above Shen Ting," which is incorrect. First, determine Bai Hui using the whorl and above the ears; the distance to Shen Ting is five cun. One cun up is Shang Xing, another cun is Xin Hui. Xin Hui is in the middle of Bai Hui, placing Qian Ding. From Bai Hui to Nao Hu is four cun and five fen. The *Su Wen: Re Bing Lun* states: There are five rows on the head, five points per row. Wang Bing notes: The central row consists of Shang Xing, Xin Hui, Qian Ding, Bai Hui, and Hou Ding. The next lateral row consists of Wu Chu, Cheng Guang, Tong Tian, Luo Que, and Yu Zhen. The third lateral row consists of Lin Qi, Mu Chuang, Zheng Ying, Cheng Ling, and Nao Kong. Note: The central row has seven points. If considering five rows, the remaining points are Qiang Jian and Nao Hu, which ancient texts rarely discuss. We await clarification from experts. The *Qianjin Fang* states "two cun above Shen Ting." The *Zisheng Jing* cites the *Ming Tang Jing*, stating that "Ming Tang" refers to this point. It is now moved to aliases. The *Qianjin Yifang Zhen Jiu Pian* states: For sudden epilepsy, moxa the Du Meridian thirty Zhu. Directly above the philtrum into the hairline. Repeat three times. It is unknown exactly which location this refers to.
Xin Hui (*Jia Yi Jing*), also known as Xin Shang, Gui Men (*Qianjin Fang*), Xin Men (Li Shizhen's *Qi Jing Ba Mai Kao*), and Ding Men (*Zhen Jiu Da Cheng*). One cun behind Shang Xing, in the depression between the bones (*Jia Yi Jing*). Puncture is prohibited (*Yi Xue Ru Men*, *Dongui Bogam*).
Note: The *Yi Xue Ru Men* changes "behind" to "above." The *Yi Men Zhai Yao* states "one cun and five fen," which is incorrect. The *Qianjin Yifang* states: For evil diseases and ghost epilepsy, Xin Shang governs it. Also known as Gui Men. The *Qianjin* commentary states: Xin Hui is also known as Gui Men. Dictionaries say Xin was anciently written as 囟. Also, the *Zhu Feng Pian* states: Two cun above Shen Ting, separated from Shang Xing, explaining the measurement, so this is not adopted. The *Qianjin Yifang* recording it as one cun is erroneous.
Qian Ding (*Jia Yi Jing*). One cun and five fen behind Xin Hui, in the depression between the bones (*Jia Yi Jing*).
Note: The *Ming Tang Jing* states "one cun before Bai Hui," and the *Lei Jing* also records this view, which is incorrect. The *Yi Xue Ru Men* changes "behind" to "above."
Bai Hui (*Jia Yi Jing*), also known as San Yang Wu Hui (*Jia Yi Jing*), Gui Men, Ni Wan Gong (*Benshi Fang*), Dian Shang, Tian Man (*Lei Jing*), San Yang, and Wu Hui (*Zhen Jiu Da Cheng*). At Dian Shang (*Su Wen*). One cun and five fen behind Qian Ding, in the depression of the whorl at the center of the vertex, where a finger can fit (*Jia Yi Jing*). In the depression of the top of the head (*Zhou Hou Bei Ji Fang*). Directly opposite the tips of both ears (*Shi Si Jing Fa Hui*).
Note: The character "Ding" (vertex) in "center of the vertex" is recorded as "Xiang" (nape) in the *Wai Tai Mi Yao*, which is an error. The *Zisheng Jing*, *Shen Ying Jing*, *Shi Si Jing Fa Hui*, *Lei Jing*, *Zhen Jiu Ju Ying*, and *Gu Jin Yi Tong* interpret "Rong Zhi" (fitting a finger) similarly. The *Jia Yi Jing*'s "in the whorl" is a general statement. The *Zhou Hou Bei Ji Fang* states "directly opposite the nose, five cun into the hairline." The *Shen Ying Jing* states "five cun from the anterior hairline, seven cun from the posterior hairline," based on bone measurement. However, Nao Hu is on the occipital bone; arbitrary measurement often leads to significant errors. "San Yang Wu Hui": The Justice commentary in the *Shi Ji: Bian Que Zhuan* states: San Yang refers to Tai Yang, Shao Yang, and Yang Ming. Wu Hui refers to Bai Hui, Xiong Hui, Ting Hui, Qi Hui, and Sui Hui. Some use this explanation. The *Nan Jing* asks: What are the Eight Hui? The answer is: Fu Hui is Tai Cang, Zang Hui is Ji Xie, Jin Hui is Yang Ling Quan, Sui Hui is Jue Gu, Xue Hui is Ge Shu, Gu Hui is Da Zhu, Mai Hui is Tai Yuan, and Qi Hui is outside the San Jiao, one tendon straight between the two breasts. For internal heat diseases, select the Hui acupoints. Teng Wanqing annotates: According to the *Nei Jing*, the fifty-nine needle method for heat diseases takes points according to the distribution of heat pathogens. Thus, the Eight Hui method was established for simplicity. These eight Hui involve thirteen points; for internal heat, treat according to the respective parts. When Guo Taizi suffered Shi Jue (corpse厥), selecting the external San Yang Wu Hui—was it only the Bai Hui point? It is suspected that multiple points of this Hui were taken, which clarifies the matter. However, the name "San Yang Wu Hui" originates from the *Jia Yi Jing*. Also, the *Zhou Hou Bei Ji Fang* treatment for Shi Jue involves puncturing Bai Hui, inserting three fen, and reinforcing. The *Wai Tai Mi Yao* treatment for Shi Jue also involves puncturing Bai Hui. The *Tong Jian* records that Emperor Gaozong of Tang suffered from heavy head and inability to see, summoning physician Qin Minghe. He punctured Bai Hui and Nao Hu. Hu Sansheng states: In the *Zhen Jiu Jing*, Bai Hui is also known as San Yang Wu Hui, and Nao Hu is also known as He Lu. This explains the alias of Bai Hui, which has existed for a long time. Sun Simiao said: The old method for Hong Zhang Jiao (gout/leg swelling) often moxas Bai Hui, Feng Fu, and the Shu and Mu points of the five zang and six fu organs. Recently, those who moxa feel the qi rising upward. Caution: do not moxa. This is a major taboo.
Hou Ding (*Jia Yi Jing*), also known as Jiao Chong (*Jia Yi Jing*). One cun and five fen behind Bai Hui, on the occipital bone (*Jia Yi Jing*), in the depression (*Ming Tang Jing*).
Note: The *Yi Xue Ru Men* changes "behind Bai Hui" to "below Bai Hui." The *Ming Tang Jing* adds the character "Yu" (jade) after "occipital," which is incorrect.
Qiang Jian (*Jia Yi Jing*), also known as Da Yu (*Jia Yi Jing*). One cun and five fen behind Hou Ding (*Jia Yi Jing*). One cun and half in front of Nao Hu (*Qianjin Yifang*). One view states moxibustion is prohibited (*Lei Jing*).
Note: First locate Nao Hu on the upper occipital bone. Place Hou Ding and Qiang Jian between Nao Hu and Bai Hui. The *Qianjin Yifang* states: One cun above the sharp bone at the back of the head, seemingly referring to Qiang Jian. "Yu Men" resembles the characters closely, detailed in the Extraordinary Points section.
Nao Hu (*Su Wen*), also known as Za Feng (pronounced 'ge'), Hui E (*Jia Yi Jing*), and He Lu (*Wai Tai Mi Yao*). On the Tiao bone, one cun and five fen behind Qiang Jian (*Jia Yi Jing*). Do not moxa, as it causes aphonia (*Jia Yi Jing*). Puncturing Nao Hu in the head, entering the brain, leads to immediate death (*Su Wen*). Moxa five Zhu (Wang Bing's secondary note).
Note: The character "Tiao" in the *Gu Kong Lun* states: The empty space above the spinal bone, above Feng Fu. Wang Bing says: "Up" refers to the Nao Hu point. "Tiao" should be "Zhen" (pillow). Most texts write "Zhen." The Zhen bone surrounds the large bone of the head. Those who lie supine rest their head on the pillow. The *Gu Kong Lun* states: The transverse bone of the head is the Zhen, which is correct. From Hou Ding to here, the width is three cun. Whenever it mentions the Zhen bone or Nao Hu, it is generally on the sharp part of the occipital bone. It also says: The sharp bone at the cranial margin, likely referring to this. The *Jia Yi Jing* says "Tiao bone," likely considering the sharp bone as the Tiao bone. The character "Tiao" seems to have its own meaning. The *Tong Jian* records Qin Minghe puncturing the Emperor. Hu Sansheng states: Needling causes aphonia. Old legends say Minghe caused slight bleeding, and the headache stopped immediately. This point prohibits deep needling, allowing only slight bleeding.
Feng Fu (*Su Wen*), also known as She Mu (*Jia Yi Jing*), Gui Zhen, Gui Xue (*Qianjin Fang*), and Cao Xi (*Benshi Fang*). The Marrow Empty is at five fen, below the sharp bone at the cranial margin (*Su Wen*). The seventh pulse, the vessel in the center of the neck is the Du Meridian, named Feng Fu (*Ling Shu*). One cun into the hairline from the crown, inside the large tendons, in the hollow. Speak quickly, and the flesh rises instantly; stop speaking, and the flesh falls (*Jia Yi Jing*). Moxibustion is prohibited (*Jia Yi Jing*).
Note: The *Gu Kong Lun* states: Feng Fu is at the upper vertebra. The "upper vertebra" refers to the first segment of the Tian Zhu bone, which is hidden when flexed. "Wan Wan" was formerly written as "Xue" (acupoint), now corrected. This point is directly below the high bone, not restricted by measurement, so the *Jia Yi Jing* does not specify "one cun below Nao Hu." This reveals the ancient view. The *Qianjin Fang* states: One cun into the hairline from the back of the head, one cun from the upper bone. The *Qianjin Yifang* states: One cun above Ya Men. The *Yi Xue Ru Men* and *Zhen Jiu Da Quan* state: One cun and half below Nao Hu, which is not adopted.
The second row of the head is straight opposite the eyebrows, one cun and half lateral to the midline, extending backward to Yu Zhen, totaling ten acupoints.
Wu Chu (*Jia Yi Jing*). Lateral to the Du Meridian, one cun and five fen from Shang Xing (*Jia Yi Jing*). One cun behind Qu Cha (*Zeng Zhu*). Moxibustion is prohibited (*Jia Yi Jing*). Moxa three Zhu...
Note: The *Yi Xue Ru Men* erroneously writes "Ju" instead of "Wu." The *Lei Jing* and *Jin Jian* state "five fen behind Qu Cha," which is incorrect. The second row is determined by a line from Jing Ming at the eyebrow front to Tian Zhu at the back. The distance from Qu Cha to Yu Zhen is six cun and half, arranging the points accordingly.
Cheng Guang (*Jia Yi Jing*). Two cun behind Wu Chu (*Jia Yi Jing*, *Wai Tai Mi Yao*). One cun behind Wu Chu (*Qianjin Fang*, *Qianjin Yifang*, Wang Bing's note). One cun and half behind Wu Chu (*Zisheng Jing*, *Shengji Zonglu*). Moxibustion is prohibited (*Jia Yi Jing*).
Note: Among the three views, it is unknown which is correct. Temporarily follow the *Jia Yi Jing* and *Yi Xue Ru Men*, noting that "Ju" behind is a typo.
Tong Tian (*Jia Yi Jing*), also known as Tian Jiu (*Jia Yi Jing*). One cun and five fen behind Cheng Guang (*Jia Yi Jing*).
Note: The character "Jiu" is written as "Bai" in the *Wai Tai Mi Yao* and "Bo" in the *Baojian*. The *Lei Jing* offers a view: directly one cun and five fen lateral to Bai Hui, considering Cheng Guang as one cun and five fen behind Wu Chu, hence this interpretation.
Luo Que (*Jia Yi Jing*), also known as Qiang Yang and Nao Gai (*Jia Yi Jing*). One cun and three fen behind Tong Tian (*Jia Yi Jing*). Puncture is prohibited (*Yi Xue Ru Men*).
Note: The character "Nao" is written as "Xiong" in the *Gu Jin Yi Tong*, which is a typo. The *Wai Tai Mi Yao* states "reverse direction behind Tong Tian." "Reverse direction" is meaningless. The *Shen Ying Jing* states: One cun and three fen above the hairline at the back of the head, on the raised flesh on both sides. The occipital bone at the back of the head, flanking Nao Hu, four cun and half above the hairline. However, Yu Zhen flanks Nao Hu, so this view is likely incorrect. Most texts state one cun and five fen behind Tong Tian; see the discussion below.
Yu Zhen (*Jia Yi Jing*). Seven fen behind Luo Que (*Jia Yi Jing*, Wang Bing's note). Seven and a half fen (*Qianjin Fang*, *Qianjin Yifang*, *Wai Tai Mi Yao*). Flanking Nao Hu, one cun and three fen, on the raised occipital bone, three cun into the hairline (*Jia Yi Jing*). One view states puncture is prohibited (*Lei Jing*).
Note: The *Zisheng Jing* states: The *Tong Ren* says Yu Zhen is one cun and half behind Luo Que. The *Ming Tang Shang Xia Jing* both state seven and a half fen. If the *Tong Ren* is wrong, then the Foot-Taiyang points would also be wrong. If the *Ming Tang* is wrong, it is unlikely that both upper and lower classics are wrong. I note that the *Su Wen* commentary states Yu Zhen is seven fen behind Luo Que, which is close to the seven and a half fen of the *Ming Tang*. Thus, the *Su Wen* should be the standard. However, since the two Yu Zhen points flank Nao Hu, they should not be only seven fen apart, reaching the Nao Gai. The *Tong Ren*'s one cun and half likely has a rationale. Experts should discern this. Commentary: Comparing various classics, the one stating one cun and half behind Luo Que is correct. Zhang Jiebin states: The measurements in the *Jia Yi Jing* do not match the Du Meridian. The *Gu Du Pian* records measurements for the midline but not for lateral lines. It is implied that lateral lines are shorter than the midline. Due to the round shape of the skull, measurements cannot be fixed. Luo Que is one cun and three fen; Yu Zhen is seven fen. The *Zisheng Jing* and *Shengji Zonglu* state one cun and five fen behind Luo Que. The *Fa Hui*, *Lei Jing*, *Ju Ying*, *Ru Men*, *Yi Tong*, Wu Wenbing, *Jin Jian*, and *Da Cheng* follow this, which is incorrect. The previous points flank the midline at one cun and half; here it is one cun and three fen, being slightly narrower by two fen, similar to the abdomen being narrower than the chest. Ancient theories must be known. Lateral points are hard to measure, so the phrase "three cun five fen into the hairline" is not adopted. Based on the raised flesh on the occipital bone, Murakami Chikata's *Gu Du Zheng Wu* states: Cheng Ling and Nao Kong are two cun and one fen from the Du Meridian; Feng Chi is two cun from the Du Meridian; Luo Que and Yu Zhen are one cun and five fen from the Du Meridian; Tian Zhu is one cun and three fen from the Du Meridian. The basis for these is unclear and likely speculative.
The third row of the head is straight opposite the pupils, five fen into the hairline, extending backward to Nao Kong, totaling ten acupoints.
Lin Qi (*Jia Yi Jing*). Opposite the eye, directly five fen into the hairline, in the depression (*Jia Yi Jing*). Take with eyes looking straight ahead (*Lei Jing*). One view states moxibustion is prohibited (*Lei Jing*).
Note: The *Qi Fu Lun* states: Five points inside the hairline directly above the eyes. The secondary note states: These are Lin Qi, Mu Chuang, Zheng Ying, Cheng Ling, and Nao Kong. The character "Shang" is present in the *Qianjin Fang*, *Qianjin Yifang*, and *Wai Tai Mi Yao*. The secondary note, *Zisheng Jing*, and *Shengji Zonglu* omit "Shang," which is correct. The third row is determined by a line from directly opposite the pupil to Feng Chi. The third row from the anterior hairline to Nao Kong measures five cun and five fen. Insert five fen into the hairline to locate Lin Qi, placing points sequentially. Nao Kong flanks Yu Zhen, making the point easy to find.
Mu Chuang (*Jia Yi Jing*), also known as Zhi Rong (*Jia Yi Jing*). One cun behind Lin Qi (*Jia Yi Jing*).
Note: The character "Rong" is written as "Ying" in the *Wai Tai Mi Yao*. The *Zhen Jiu Da Cheng* records "one cun and half," which is incorrect.
Zheng Ying (*Jia Yi Jing*). One cun behind Mu Chuang (*Jia Yi Jing*).
Cheng Ling (*Jia Yi Jing*). One cun and five fen behind Zheng Ying (*Jia Yi Jing*). One view states puncture is prohibited (*Lei Jing*).
Note: The *Qianjin Yifang* records one cun, which is incorrect.
Nao Kong (*Jia Yi Jing*), also known as Nei Rui (*Jia Yi Jing*). One cun and five fen behind Cheng Ling, under the bone flanking Yu Zhen, in the depression (*Jia Yi Jing*).
Note: "Nei Rui" is written as "Jing" in the *Zhen Jiu Da Quan*, which is an error. Yu Zhen is the point name; Bone refers to the occipital bone. There is bone flanking Yu Zhen, below which the point lies, hence "under the bone." The *Qianjin Fang* does not adopt this. It shares the same name but is a different point from the extra point Nei Rui. The *Shengji Zonglu* states: Duke Wei suffered from severe headaches causing mental confusion and dizziness. Hua Tuo needled him, and he recovered immediately.
There are five acupoints along the lateral line from the posterior hairline.
Ya Men (*Su Wen*), also known as She Heng, She Yan (*Jia Yi Jing*), Ya Men (*Qianjin Yifang*), and She Zhong (*Dongui Bogam*). In the center of the back of the neck, below the fused bone (*Su Wen*). In the hollow at the posterior hairline, connecting to the root of the tongue, taken with the head tilted back (*Jia Yi Jing*). Do not moxa, as it causes aphonia (*Jia Yi Jing*). Deep puncture into the tongue is prohibited.
Note: "She Yan" is written as "Yan She" in the *Gu Jin Yi Tong*. The character " " is written as "Ya" in the *Yi Xue Ru Men*. The *Qianjin Yifang* states: One view says three cun below Nao Hu. The secondary note states: One cun from Feng Fu. Wu Wenbing follows this. The *Shengji Zonglu*, *Shen Ying Jing*, *Fa Hui*, and Wu Wenbing all state five fen into the hairline. The *Dongui Bogam* states: Five fen behind Feng Fu. This view has been discussed above. This point does not require measurement; the fact that ancient texts do not specify measurements is evident. Zhang Jiebin states: Above Da Zhui, there is a gap in the vertebral joint. "Fu" should be "Fu" (hidden/prone). The three segments of the cervical bone are not very prominent, hence "below the hidden bone."
Tian Zhu (*Su Wen*). In the neck, on both sides of the large tendons (*Su Wen*). Flanking the posterior hairline of the neck, outside the lateral edge of the large tendons, in the depression (*Jia Yi Jing*).
Note: The *Kou Wen Pian* states: The Tian Zhu meridian flanks the neck. "Flanking the neck" means the division of the head. "Meridian" likely refers to the flow and distribution.
Feng Chi (*Su Wen*). On both sides of Feng Fu (*Su Wen*). Behind Nei Rui, in the depression at the hairline (*Jia Yi Jing*). Pressing induces sensation in the ear (Wang Bing's secondary note).
Note: The *Yi Xue Ru Men* states: One cun and half behind the ear, which is too rigid. The names "Nei Rui" and "Nao Kong" are distinct from the "Nei Rui" noted alongside Han Yan. The *Zisheng Jing* correctly identifies it as Nao Kong. The *Lei Jing* states: Outside the lateral edge of the large tendon, which is incorrect. The *Ju Ying*, *Gu Jin Yi Tong*, and *Da Cheng* state "behind Nei Rui, below Nao Kong," which is wrong.
There are eight acupoints above the ear.
Tian Chong (*Jia Yi Jing*). Three fen above the ear (*Jia Yi Jing*).