（凡二十八穴）
气府论云。督脉气所发者。二十八穴。（次注今少一穴。）项中央二（谓风府哑门也。）发
际后
中八。（谓神庭。上星。囟会。前顶。百会。后顶。强间。脑户。八穴也。）面中三。（谓素
。
水沟。龈交。三穴也。）大椎以下。至尻尾及旁十五穴。（脊椎之间。有大椎。陶道。身柱。
神道。灵台。至阳。筋缩。中枢。脊中。悬枢。命门。阳关。腰俞。长强。会阳。十五俞
也。）至胝下。凡二十一节。脊椎法也。
骨空论云。督脉者。起于小腹。以下骨中央。女子入系廷孔。其孔溺孔之端也。其络循
阴器。合
篡间。绕篡后。别绕臀。至少阴与巨阳中络者合。少阴上股内后廉。贯脊属肾。与太阳起于
目内 。上额交巅上。入络脑。还出别下项。循肩 内。挟脊抵腰中。入循膂络肾其男子循茎
下。至篡与女子等。其少腹直上者。贯脐中央。上贯心。入喉上颐环唇。上系两目之下中央
营气篇云。上额。循巅。下项中。循脊入 。是督脉也。
经脉篇云。督脉之别。名曰长强。挟膂上项。散头上。下当肩胛左右。别走太阳。入贯
难经曰。督脉者起于下极之俞。并于脊里。上至风府入属于脑。
长强（督脉别络。少阴所结○聚英曰。足少阴少阳结会。督脉别走任脉。）腰俞（所发）阳
关（
所发）至阳（同上）灵台（次注曰督脉气所发）神道（所发）身柱（同上）陶道（督脉。足太阳之会）
大椎（三阳督脉之会○聚英。有手足二字）哑门（督脉阳维之会）风府（同上○聚英曰足太阳督
脉阳维之会。）脑户（督脉。足太阳之会。）强间（所发）后顶（同上）百会（督脉足太阳之会○聚
英曰。手足三阳督脉之会。）前顶（所发）囟会（同上）上星（同上）神庭（督脉。足太阳阳明之会
。）素 （所发）水沟（督脉手足阳明之会○外台。次注。无足字。）兑端（手阳明。脉气所发）
龈交（次注曰任督二经之会○聚英曰。任督足阳明之会。）
按甲乙。千金。外台。无阳关。中枢。灵台。外台。无兑端。（入大肠经。）折衷。有会
阳。曰。气府。甲乙。本穴明系督脉。至铜人经。系之足太阳经。盖推其意。甲乙。千金无嫌他
经之相混以本穴。列于足太阳第三行之末。故遂袭取之耳。今系之于督脉。以复其旧。比之他经
之有络穴者发挥穴歌。作二十七穴。无会阳。滑寿曰。按内经。督脉所发者。二十八穴据法
十椎下一穴。名中枢。阴尾骨两旁二穴。名长强。共有二十九穴。今多龈交一穴少中枢一穴
。会阳二穴则系督脉别络。与少阳会。故止载二十七穴。此说谬误不可读也。又长强一穴。为
两傍者。古所无也。不可从焉。
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风门（本经之会） 会阳（督脉气所发）
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（共计二十八穴）
《素问·气府论》记载：督脉之气所发散的穴位，共有二十八穴。（此处注释说现在少了一穴。）项部正中线上的两穴（指的是风府、哑门二穴）。发际后正中线上的八穴（指的是神庭、上星、囟会、前顶、百会、后顶、强间、脑户这八穴）。面部正中线上的三穴（指的是素髎、水沟、龈交这三穴）。从大椎以下，直到尾骶骨及其两侧的十五穴（脊椎间隙中，有大椎、陶道、身柱、神道、灵台、至阳、筋缩、中枢、脊中、悬枢、命门、阳关、腰俞、长强、会阳，共十五个腧穴）。直至尾骨下端，总共二十一节脊椎，这是推算脊椎的方法。
《素问·骨空论》记载：督脉，起始于小腹内，向下出于会阴部的骨中央。女子进入并联系廷孔，这个孔就是尿道口的末端。其络脉循行经过外阴器，汇合于会阴中间，环绕会阴后方，分支绕行臀部，与足少阴肾经和足太阳膀胱经的络脉相合。足少阴肾经沿大腿内侧后缘上行，贯穿脊柱，归属于肾脏；足太阳膀胱经起于目内眦，上行至额部，交会于头顶，入络于脑，复出分别下行至项部，沿着肩胛内侧，挟持脊柱抵达腰部中，入里循行于膂肉，联络肾脏。男子则循行阴茎向下，到达会阴，与女子相同。其直行的脉络从小腹向上，贯穿脐中央，上行贯穿心脏，进入喉咙，上达颐部，环绕嘴唇，上行系连两眼下方的中央。
《灵枢·营气篇》记载：上行至额部，循行头顶，下行至项中，循行脊柱入于骶部，这就是督脉。
《灵枢·经脉篇》记载：督脉的别络，名叫长强，挟持膂肉上行至项部，散布于头部，下方当肩胛骨左右处，别走足太阳膀胱经，入里贯通……
《难经》记载：督脉起始于下极之俞（长强），并行于脊柱内部，上行至风府，进入并归属于脑。
长强（督脉的别络，足少阴经气结聚之处○《针灸聚英》说：足少阴、足少阳经气结会，督脉别行联络任脉。）
腰俞（督脉气所发）
阳关（督脉气所发）
至阳（同上）
灵台（次注说：督脉气所发）
神道（督脉气所发）
身柱（同上）
陶道（督脉，足太阳膀胱经的会穴）
大椎（手三阳、足三阳、督脉的会穴○《针灸聚英》补充有“手足”二字）
哑门（督脉，阳维脉的会穴）
风府（同上○《针灸聚英》说：足太阳膀胱经、督脉、阳维脉的会穴。）
脑户（督脉，足太阳膀胱经的会穴。）
强间（督脉气所发）
后顶（同上）
百会（督脉，足太阳膀胱经的会穴○《针灸聚英》说：手三阳、足三阳、督脉的会穴。）
前顶（督脉气所发）
囟会（同上）
上星（同上）
神庭（督脉，足太阳膀胱经、足阳明胃经的会穴。）
素髎（督脉气所发）
水沟（督脉，手阳明大肠经、足阳明胃经的会穴○《外台秘要》、次注无“足”字。）
兑端（手阳明大肠经，脉气所发）
龈交（次注说：任脉、督脉二经的会穴○《针灸聚英》说：任脉、督脉、足阳明胃经的会穴。）
按《甲乙经》、《千金方》、《外台秘要》记载，没有阳关、中枢、灵台三穴。《外台秘要》也没有兑端穴（归入大肠经）。折衷各方说法，包含会阳穴。有人说，《气府论》、《甲乙经》中本穴明确属于督脉，到了《铜人腧穴针灸图经》，却将其归入足太阳膀胱经。推测其用意，《甲乙经》、《千金方》不嫌与其他经络混淆，因为本穴列在足太阳膀胱经第三行的末尾，所以便沿袭收录了它。现在将其重新归属到督脉，以恢复其旧貌。比照其他经络有络穴的情况，发挥穴歌，作二十七穴，不包括会阳穴。滑寿说：按《内经》记载，督脉所发的穴位有二十八穴。据法推算，第十椎下一穴，名为中枢；尾骨两旁二穴，名为长强。共有二十九穴。现在多了一个龈交穴，少了一个中枢穴。会阳二穴则是督脉的别络，与足少阳胆经相会，所以只记载了二十七穴。这种说法谬误，不可读信。另外，将长强一穴作为两旁穴位的说法，古来就没有，不可遵从。
[图片]
(A total of twenty-eight acupoints)
The *Qifu Lun* (Treatise on Qi-Producing Points) states: The points where the Qi of the Du Meridian emerges are twenty-eight in number. (A subsequent note indicates that one point is currently missing.) Two points in the center of the neck (referring to Fengfu GV16 and Yamen GV15). Eight points posterior to the hairline in the midline (referring to Shenting GV24, Shangxing GV23, Xinhui GV22, Qian Ding GV21, Baihui GV20, Hou Ding GV17, Jiangjian GV18, and Naohu GV16; these eight points). Three points in the midline of the face (referring to Suliao GV26, Shuigou GV27, and Yinjiao GV28; these three points). Fifteen points from Dazhui GV14 down to the sacrococcygeal region and its sides (In the intervertebral spaces, there are Dazhui GV14, Taodao GV13, Shenzhu GV12, Shendao GV11, Lingtai GV10, Zhiyang GV9, Jinsuo GV8, Zhongshu GV7, Jizhong GV6, Xuanxu GV5, Mingmen GV4, Yangguan GV3, Yaoshu GV34, Changqiang GV1, and Huiyang GB35; fifteen acupoints). Down to the lower end of the coccyx, there are twenty-one vertebral segments in total; this is the method for calculating the vertebrae.
The *Gukong Lun* (Treatise on Bone Cavities) states: The Du Meridian originates within the lower abdomen, descends to emerge at the central bone of the perineum. In women, it enters and connects to the Ting Kong (opening of the uterus), which is the terminal end of the urethral orifice. Its collateral network circulates through the external genitalia, converges in the center of the perineum, winds around the posterior aspect of the perineum, branches to wind around the buttocks, and joins with the collateral networks of the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian. The Foot-Shaoyin Kidney Meridian ascends along the posterior medial border of the thigh, penetrates the spine, and attaches to the Kidneys. The Foot-Taiyang Bladder Meridian originates at the inner canthus of the eye, ascends to the forehead, intersects at the vertex, enters to connect with the Brain, exits again, descends separately to the nape, follows the medial aspect of the shoulder blades, flanks the spine to reach the middle of the waist, enters internally to circulate through the paraspinal muscles, and connects with the Kidneys. In men, it circulates down the penis to the perineum, identical to women. The vertical branch rises directly from the lower abdomen, penetrates the center of the umbilicus, ascends to penetrate the Heart, enters the throat, ascends to the chin, circles the lips, and ascends to connect with the central area below both eyes.
The *Yingqi Pian* (Chapter on Ying Qi) states: Ascending to the forehead, following the vertex, descending to the middle of the nape, following the spine into the sacrum—this is the Du Meridian.
The *Jingmai Pian* (Chapter on Meridians) states: The divergent branch of the Du Meridian is named Changqiang GV1. It flanks the paraspinal muscles, ascends to the nape, scatters over the head, and below, at the level of the shoulder blades on the left and right, it branches off to run to the Foot-Taiyang Bladder Meridian, entering and penetrating...
The *Nan Jing* (Classic of Difficult Issues) states: The Du Meridian originates at the Lower Extreme Acupoint (Changqiang GV1), runs parallel within the interior of the spine, ascends to Fengfu GV16, and enters to attach to the Brain.
Changqiang GV1 (The divergent branch of the Du Meridian, where the Qi of the Foot-Shaoyin Meridian knots ○ *Zhenjiu Ju Ying* says: The Qi of the Foot-Shaoyin and Foot-Shaoyang Meridians converges; the Du Meridian branches off to connect with the Ren Meridian.)
Yaoshu GV34 (Where the Qi of the Du Meridian emerges)
Yangguan GV3 (Where the Qi of the Du Meridian emerges)
Zhiyang GV9 (Same as above)
Lingtai GV10 (Subsequent note says: Where the Qi of the Du Meridian emerges)
Shendao GV11 (Where the Qi of the Du Meridian emerges)
Shenzhu GV12 (Same as above)
Taodao GV13 (Du Meridian, intersection with the Foot-Taiyang Bladder Meridian)
Dazhui GV14 (Intersection of the Hand-Taiyang, Hand-Yangming, Hand-Shaoyang, Foot-Taiyang, Foot-Yangming, Foot-Shaoyang, and Du Meridians ○ *Zhenjiu Ju Ying* adds the characters "Hand" and "Foot")
Yamen GV15 (Intersection of the Du Meridian and the Yangwei Vessel)
Fengfu GV16 (Same as above ○ *Zhenjiu Ju Ying* says: Intersection of the Foot-Taiyang Bladder Meridian, Du Meridian, and Yangwei Vessel.)
Naohu GV17 (Du Meridian, intersection with the Foot-Taiyang Bladder Meridian.)
Jiangjian GV18 (Where the Qi of the Du Meridian emerges)
Houding GV17 (Same as above)
Baihui GV20 (Du Meridian, intersection with the Foot-Taiyang Bladder Meridian ○ *Zhenjiu Ju Ying* says: Intersection of the Hand-Taiyang, Hand-Yangming, Hand-Shaoyang, Foot-Taiyang, Foot-Yangming, Foot-Shaoyang, and Du Meridians.)
Qianding GV21 (Where the Qi of the Du Meridian emerges)
Xinhui GV22 (Same as above)
Shangxing GV23 (Same as above)
Shenting GV24 (Du Meridian, intersection with the Foot-Taiyang Bladder Meridian and Foot-Yangming Stomach Meridian.)
Suliao GV26 (Where the Qi of the Du Meridian emerges)
Shuigou GV27 (Du Meridian, intersection with the Hand-Yangming Large Intestine Meridian and Foot-Yangming Stomach Meridian ○ *Wai Tai Mi Yao* and subsequent notes omit the character "Foot".)
Duanduan GI15 (Hand-Yangming Large Intestine Meridian, where the meridian Qi emerges)
Yinjiao GV28 (Subsequent note says: Intersection of the Ren Meridian and Du Meridian ○ *Zhenjiu Ju Ying* says: Intersection of the Ren Meridian, Du Meridian, and Foot-Yangming Stomach Meridian.)
According to the *Jia Yi Jing* (*Systematic Classic of Acupuncture and Moxibustion*), *Qian Jin Fang* (*Essential Prescriptions Worth a Thousand Gold*), and *Wai Tai Mi Yao* (*Important Essential Formulas for Emergencies [That Are] Worth a Thousand Pieces of Gold*), the points Yangguan GV3, Zhongshu GV7, and Lingtai GV10 are absent. *Wai Tai Mi Yao* also lacks the point Duanduan GI15 (classified under the Large Intestine Meridian). A compromise view includes the point Huiyang GB35. Some argue that in the *Qifu Lun* and *Jia Yi Jing*, this point clearly belongs to the Du Meridian, but in the *Tong Ren Jing* (*Bronze Man Meridian and Acupoint Classics*), it is classified under the Foot-Taiyang Bladder Meridian. Speculating on the intent, the *Jia Yi Jing* and *Qian Jin Fang* did not mind the potential confusion with other meridians because this point was listed at the end of the third row of the Foot-Taiyang Bladder Meridian, so it was subsequently adopted. Now, it is reclassified under the Du Meridian to restore its original status. Comparing it with other meridians that have Luo-Connecting points, we expand upon the acupoint song, listing twenty-seven points, excluding Huiyang GB35. Hua Shou said: According to the *Nei Jing* (*Inner Canon*), there are twenty-eight points where the Du Meridian emerges. By calculation, one point below the tenth thoracic vertebra is named Zhongshu GV7; two points on either side of the tailbone are named Changqiang GV1. This totals twenty-nine points. Currently, there is one extra point, Yinjiao GV28, and one missing point, Zhongshu GV7. The two points Huiyang GB35 are the divergent branch of the Du Meridian, intersecting with the Foot-Shaoyang Gallbladder Meridian, hence only twenty-seven points are recorded. This explanation is erroneous and should not be read. Furthermore, regarding Changqiang GV1 as a pair of lateral points, this has no basis in ancient texts and should not be followed.
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Fengmen BL12 (Intersection of this meridian) Huiyang GB35 (Where the Qi of the Du Meridian emerges)
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