。作曲角上。资生。圣济。发挥。宝鉴。作曲周上。聚英。作颞 中廉。入门。作斜上额角
中
。两太阳之中。大成。作曲周下。以上诸说要皆是大同小异。而与颔厌混。
悬厘（甲乙）曲周颞 下廉。（甲乙）
按千金翼。厘。作 字误。外台。周作角。次注。医统。吴文炳。作曲角上。两太阳下
廉。资生圣济。发挥。聚英宝鉴。大成作曲周上。金鉴。作耳前曲角上。入门。作从额斜上头角
上关（素问）一名客主人。（素问）一名客主。一名容主。（大全）一名太阳。（医垒元戎）耳
前上
甲乙）
按千金。千金翼。外台次注。无端字。发挥。类经。聚英。入门。医统。吴文炳。作起
骨上
枢云。刺上关者。 不能欠。 张口也。欠张口。而复合也。是开口取穴也。即甲乙所谓开
口有孔之义也。圣济曰。若刺深令人欠而不得KT 。是费解。
下关（素问）客主人下。耳前。HT 脉。下空下廉。合口有孔。张口即闭。（甲乙）耳中有
干HT 抵不可灸。（甲乙○注曰HT 抵。一作适之。不可灸。一作针久留针。）
按灵枢云。刺下关者。欠不能 。是合口有孔也。资生。类经。聚英。入门。医统。宝
鉴。无下空二字。HT 。古文动字。千金翼曰。耳门下一寸。宛宛中。动脉际。侧卧开口取之非。
颊车（甲乙）一名机关。一名鬼床。（千金）一名曲牙。（类经）耳下曲颊端。陷者中。开口有孔。（甲乙）
按气府论云。耳下牙车之后。各一。次注曰。谓颊车二穴也。类经。吴文炳。宝鉴。大
成。作曲颊端近前。聚英。颊。作颔。金鉴作近前八分。入门。作耳下八分。据千金及翼方。卒中
风口噤不开。灸机关二穴。穴在耳下八分小近前之说。并似拘矣。资生。引千金曰。一名机
门。门是关字之误。又千金翼曰。耳下二韭叶。宛宛中。侧卧张口取之。不可从也。又千金
。十三鬼穴。耳前发际。宛宛中。耳垂下五分。名鬼床。是指颊车。千金翼。无耳前发际。
宛宛中之七字。今移入一名。
耳前凡八穴
\r耳前之图\p06-d22a9.bmp\r
耳门（甲乙）在耳前起肉当耳缺者。（甲乙）陷中（资生）耳中有脓及底耳。 耳。皆不灸。
（外台）禁灸。有病不过三壮。（甲乙）
按。厥病篇云。耳鸣。取耳前动脉。马莳曰。即耳门也。外台。作耳中缺者。宝鉴。从
之。医统。作当耳缺者缺中。并非。
和 （千金）锐发下。（素问）耳前横动脉。（甲乙）耳门前。（入门）一云禁灸。（类经）
按甲乙。和作禾。入门同千金。千金翼。外台。以下诸书。作和。今从之。三书。并无
资生曰。和 二穴。在耳前锐发陷中明堂上经。亦有和 二穴。 即 也。在鼻孔下挟水沟
旁五分。即铜人之禾 。明堂下经之禾 也。或者。明堂上经。误写禾字。作和字尔。恐人
以和 和 为一穴。故备论之。按一疑二之误。锐发者所谓波以左贺利。
听会（甲乙）一名听呵。（资生）一名后关。一名听呵。（大全）耳前陷者中。张口得之。动脉应
手。（甲乙）耳微前。（明堂）耳珠前。（入门）
按类经。呵作河。资生。神应。发挥。类经。聚英。医统
。宝鉴。大成。作上关下一寸。非矣。类经。金鉴。作去耳珠下。亦非。本事方曰。侧卧张口取
之。吴文炳。曰。一名多所闻。耳中珠子。如赤小豆。是听宫之注。聚英。医统。亦同。盖
误听宫作听会也。千金翼舌病篇曰。听会。在上关下一寸动脉宛宛中。一名耳门。亦误。
听宫（甲乙）一名多所闻。（素问）一名窗笼。（灵枢）在耳中珠子。大明如赤小豆。（甲乙）
按气血论。耳中。多所闻。二穴。根结篇。少阳根于窍阴。结窗笼。窗笼者耳中也。甲
乙。明字衍。诸书皆无之。是也。入门。作耳前珠子旁。是耳门穴也。今据内经。甲乙经。当在
位于曲角上方。资生堂、圣济总录、发挥、宝鉴记载为曲周上方。聚英记载为颞中下缘。入门记载为斜向上至额角。
位于两太阳穴中间。大成记载为曲周下方。以上各种说法大体相同，只有细微差异，容易与颔厌穴混淆。
悬厘（甲乙经）：位于曲周颞部下缘。（甲乙经）
按：千金翼认为“厘”字是误写。外台秘要中“周”写作“角”。次注、医统、吴文炳记载为曲角上方，两太阳穴下方下缘。资生、圣济、发挥、聚英、宝鉴、大成记载为曲周上方。金鉴记载为耳前曲角上方。入门记载为从额部斜向上至头角。
上关（素问）：又名客主人。（素问）又名客主。又名容主。（大全）又名太阳。（医垒元戎）位于耳前上方。
按：千金、千金翼、外台次注中没有“端”字。发挥、类经、聚英、入门、医统、吴文炳记载为起于骨上。
枢云：针刺上关穴时，患者不能闭口，也不能张口。即既不能欠伸也不能张口，而是闭合状态。这是开口取穴的意思。也就是甲乙经所说的“开口有孔”的含义。圣济说：如果刺得太深，会导致患者想闭口却做不到KT（此处疑为衍文或错字，费解）。
下关（素问）：位于客主人下方，耳前，HT脉，下空下缘，合口时有孔，张口时孔闭合。（甲乙经）耳中有干燥感，HT抵不可灸。（甲乙经○注曰：HT抵，一作适之。不可灸，一作针久留针。）
按：灵枢云：针刺下关穴，患者不能欠伸，也不能张口。这是合口有孔的意思。资生、类经、聚英、入门、医统、宝鉴没有“下空”二字。HT，古文中的“动”字。千金翼说：在耳门下一寸，宛宛中，动脉际，侧卧开口取之是不对的。
颊车（甲乙经）：又名机关。又名鬼床。（千金）又名曲牙。（类经）位于耳下曲颊端，凹陷处，开口时有孔。（甲乙经）
按：气府论云：耳下牙车之后，各一穴。次注说：指的是颊车这两个穴位。类经、吴文炳、宝鉴、大成记载为曲颊端近前。聚英将“颊”写作“颔”。金鉴记载为近前八分。入门记载为耳下八分。根据千金及翼方，治疗卒中风口噤不开，灸机关二穴。关于穴位在耳下八分小近前的说法，似乎有些拘泥。资生引用千金说：又名机门。“门”是“关”字的误写。又千金翼说：耳下二韭叶宽，宛宛中，侧卧张口取之，这种说法不可采纳。又千金十三鬼穴中，耳前发际，宛宛中，耳垂下五分，名鬼床。是指颊车穴。千金翼中没有“耳前发际，宛宛中”这七个字，现在被移入到“一名”之下。
耳前共有八个穴位。
\r耳前之图\p06-d22a9.bmp\r
耳门（甲乙经）：位于耳前隆起的肉，正对耳缺的地方。（甲乙经）陷中（资生）耳中有脓及底耳，均不灸。（外台）禁灸。有病不超过三壮。（甲乙经）
按：厥病篇云：耳鸣，取耳前动脉。马莳说：就是耳门穴。外台写作“耳中缺者”。宝鉴遵从这一说法。医统写作“当耳缺者缺中”，并不正确。
和髎（千金）：锐发下。（素问）耳前横动脉。（甲乙经）耳门前。（入门）一说禁灸。（类经）
按：甲乙经中，“和”写作“禾”。入门同千金。千金翼、外台及以下诸书，写作“和”。现在遵从这一说法。这三本书都没有提到资生。资生说：和髎、髎风二穴，在耳前锐发陷中。明堂上经也有和髎、髎风二穴。这里的“髎”就是“髎”字。位于鼻孔下挟水沟旁五分，即铜人图的禾髎。明堂下经的禾髎。或许明堂上经误写了“禾”字，写成“和”字罢了。恐怕人们把和髎、髎风当作一个穴位，所以详细论述。按：怀疑是“二”字的误写。锐发者所谓波以左贺利。
听会（甲乙经）：又名听呵。（资生）又名后关。又名听呵。（大全）位于耳前凹陷处，张口可得。动脉应手。（甲乙经）耳微前。（明堂）耳珠前。（入门）
按：类经中，“呵”写作“河”。资生、神应、发挥、类经、聚英、医统、宝鉴、大成记载为上关下一寸，这是不对的。类经、金鉴记载为去耳珠下，也不对。本事方说：侧卧张口取之。吴文炳说：又名多所闻。耳中珠子，如赤小豆，这是听宫穴的注释。聚英、医统也相同。大概是误将听宫当作听会了。千金翼舌病篇说：听会，在上关下一寸动脉宛宛中，又名耳门，也是错误的。
听宫（甲乙经）：又名多所闻。（素问）又名窗笼。（灵枢）位于耳中珠子，大明如赤小豆。（甲乙经）
按：气血论中，耳中、多所闻二穴。根结篇：少阳根于窍阴，结窗笼。窗笼者耳中也。甲乙经中“明”字是衍文，诸书皆无此字，是正确的。入门记载为耳前珠子旁，那是耳门穴。现在依据内经、甲乙经，应当在……
Located above the angular prominence. Zisheng, Shengji Zonglu, Fahui, and Baojian record it as above the temporal curve. Jingying records it at the lower edge of the temporal region. Rummen records it diagonally upward to the frontal angle.
Located in the middle of the two Taiyang points. Dacheng records it below the temporal curve. The aforementioned various descriptions are largely similar with only minor differences, which can be easily confused with the Hanyan acupoint.
Xuanli (Jia Yi Jing): Located at the lower edge of the temporal curve. (Jia Yi Jing)
Note: Qianjin Yi considers the character "Li" to be a typo. Waitai Mi Yao writes "Zhou" as "Jiao". Ci Zhu, Yitong, Wu Wenbing record it as above the angular prominence, below the lower edge of the two Taiyang points. Zisheng, Shengji, Fahui, Jingying, Baojian, and Dacheng record it as above the temporal curve. Jinjian records it as above the angular prominence in front of the ear. Rummen records it from the forehead diagonally upward to the head angle.
Shangguan (Suwen): Also known as Keyuzhu Ren. (Suwen) Also known as Keyu. Also known as Rongzhu. (Daquan) Also known as Taiyang. (Yilei Yuanrong) Located above the anterior aspect of the ear.
Note: Qianjin, Qianjin Yi, and Waitai Ci Zhu do not have the character "Duan". Fahui, Leijing, Jingying, Rummen, Yitong, and Wu Wenbing record it as starting from the bone above.
Shu Yun states: When needling Shangguan, the patient cannot close their mouth nor open it wide. That is, neither yawning nor opening the mouth; rather, it remains closed. This implies taking the point with the mouth open. It corresponds to the meaning in Jia Yi Jing of "having a hole when the mouth is open." Shengji states: If needled too deeply, it causes the patient to desire closing the mouth but unable to do so KT (here likely a textual error or obscure term, difficult to interpret).
Xiaguan (Suwen): Located below Keyuzhu Ren, anterior to the ear, on the HT vessel, at the lower edge of the empty space below, having an opening when the mouth is closed, which closes when the mouth opens. (Jia Yi Jing) Dryness in the ear, HT Di, moxibustion is contraindicated. (Jia Yi Jing ○ Note: HT Di, alternatively written as Shi Zhi. Moxibustion is contraindicated, alternatively interpreted as retaining the needle for a long time.)
Note: Ling Shu states: When needling Xiaguan, the patient cannot yawn nor open the mouth. This indicates having an opening when the mouth is closed. Zisheng, Leijing, Jingying, Rummen, Yitong, and Baojian lack the characters "Xia Kong". HT is the ancient character for "movement" (dong). Qianjin Yi states: One cun below Ermen, in the depression where the artery pulses; taking it while lying on the side with the mouth open is incorrect.
Jiache (Jia Yi Jing): Also known as Jiguan. Also known as Guichuang. (Qianjin) Also known as Quya. (Leijing) Located at the end of the curved jaw below the ear, in the depression, with an opening when the mouth opens. (Jia Yi Jing)
Note: Qifu Lun states: Behind the jaw below the ear, one acupoint each. Ci Zhu explains: This refers to the Jiache acupoints. Leijing, Wu Wenbing, Baojian, and Dacheng record it as near the front of the curved jaw end. Jingying writes "Jia" as "Han". Jinjian records it as eight fen near the front. Rummen records it as eight fen below the ear. According to Qianjin and Yi Fang, treating stroke-induced lockjaw by moxibustion on Jiguan two points. The description that the point is eight fen below the ear slightly towards the front seems somewhat rigid. Zisheng quotes Qianjin saying: Also known as Jimen. "Men" is a typo for "Guan". Also, Qianjin Yi states: Two leek-leaf widths below the ear, in the depression; taking it while lying on the side with the mouth open is unacceptable. Additionally, in the Thirteen Ghost Points of Qianjin, at the hairline anterior to the ear, in the depression, five fen below the earlobe, named Guichuang. This refers to the Jiache acupoint. Qianjin Yi lacks the seven characters "hairline anterior to the ear, in the depression," which are now misplaced under "Also known as."
There are eight acupoints anterior to the ear.
\rDiagram of Acupoints Anterior to the Ear\p06-d22a9.bmp\r
Ermen (Jia Yi Jing): Located anterior to the ear, on the raised flesh, directly opposite the ear notch. (Jia Yi Jing) In the depression (Zisheng). If there is pus in the ear or bottom ear, moxibustion is contraindicated. (Waitai) Moxibustion is prohibited. For illness, do not exceed three moxa cones. (Jia Yi Jing)
Note: Jue Bing Pian states: For tinnitus, take the artery anterior to the ear. Ma Shi says: This is the Ermen acupoint. Waitai writes "in the ear notch." Baojian follows this. Yitong writes "at the ear notch center," which is incorrect.
Heliao (Qianjin): Below the sharp hairline. (Suwen) Transverse artery anterior to the ear. (Jia Yi Jing) Anterior to Ermen. (Rummen) One source says moxibustion is contraindicated. (Leijing)
Note: In Jia Yi Jing, "He" is written as "He" (grain). Rummen agrees with Qianjin. Qianjin Yi, Waitai, and subsequent books write "He." We follow this. These three books do not mention Zisheng. Zisheng states: Heliao and Fengchi two points are located in the depression below the sharp hairline anterior to the ear. Mingtang Shangjing also has Heliao and Fengchi two points. Here "Liao" is "Liao." Located five fen lateral to Shuigou below the nostrils, i.e., He Liao in the Copper Man diagram. He Liao in Mingtang Xiajing. Perhaps Mingtang Shangjing mistakenly wrote "He" instead of "Wei." Fearful that people might confuse Heliao and Fengchi as one point, it is discussed in detail. Note: Suspected error of "two." Sharp hairline refers to Bo Yi Zuo He Li.
Tinghui (Jia Yi Jing): Also known as Tinghe. (Zisheng) Also known as Houguan. Also known as Tinghe. (Daquan) Located in the depression anterior to the ear, obtained when the mouth opens. The artery responds to the touch. (Jia Yi Jing) Slightly anterior to the ear. (Mingtang) Anterior to the earlobe. (Rummen)
Note: In Leijing, "He" is written as "He" (river). Zisheng, Shenyng, Fahui, Leijing, Jingying, Yitong, Baojian, and Dacheng record it as one cun below Shangguan, which is incorrect. Leijing and Jinjian record it as below the earlobe, which is also incorrect. Benshi Fang states: Take it while lying on the side with the mouth open. Wu Wenbing says: Also known as Duosuo Wen. A bead in the ear, like a red bean, is the note for Tinggong. Jingying and Yitong agree. This is likely a mistake confusing Tinggong with Tinghui. Qianjin Yi Tongbing Pian states: Tinghui is one cun below Shangguan in the depression of the pulsating artery, also known as Ermen, which is also wrong.
Tinggong (Jia Yi Jing): Also known as Duosuo Wen. (Suwen) Also known as Chuanglong. (Ling Shu) Located in the bead in the ear, bright and large like a red bean. (Jia Yi Jing)
Note: In Qixue Lun, the two points Erzhong and Duosuo Wen. Genjie Pian: Shaoyang roots at Qiaoyin, knots at Chuanglong. Chuanglong refers to the ear. In Jia Yi Jing, the character "Ming" is superfluous; other books do not have it, which is correct. Rummen records it beside the bead anterior to the ear, which is the Ermen acupoint. Now, based on Neijing and Jia Yi Jing, it should be...