论曰。大杼。膺俞。缺盆。背俞。此八。者。以泻胸中之热也。由是观之为大杼者。盖非也
。
背俞必有所指。举痛论曰。寒气客于背俞之脉。则血脉泣。脉泣则血虚。血虚则痛。其俞注
于心。其为心俞者。为有所据。千金翼曰。第一椎名大杼。无所不主。挟左右一寸半。或二
寸二分。盖斯文错置。大全曰。大杼一名百劳。说见大椎下。难经云。骨会大杼。似指大椎
。
风门热府。(甲乙)第二椎下两旁。各一寸五分。(甲乙)陷者中。(明堂)正坐取之。(大
成)
按千金。外台。以下诸书。皆分热府。以为一名。只千金翼。同甲乙。今从古说。
肺俞(素问)三焦之间。(素问)第三椎下两旁各一寸五分。(甲乙)
按气穴论云。中KT 两旁各五。凡十穴。次注曰。谓五脏之背俞也。千金曰。对乳引绳度之。此捷法也。资生曰。
甄权针
肾俞。共作二寸。说己见。
HT 俞(千金)一名厥阴俞。(千金)第四椎下两旁。各一寸五分。(千金)正坐取之。(类经)
按此穴。千金肺脏篇。引扁鹊。
心俞(素问)一名背俞。(次注)五焦之间。(素问)第五椎下两旁。各一寸五分(甲乙)陷者
中。(明堂)正坐取之。(类经)禁灸(甲乙)禁刺。(入门)
按千金诸风篇。一云。第七节。对心横三间寸。非也。又治不能食。胸中满。膈上逆气
。闷热灸心俞。二七壮。小儿减之。千金翼曰。心烦短气灸心俞百壮。针入三分。
膈俞(素问)七焦之间。(素问)第七椎下两旁。各一寸五分。(甲乙)陷者中。(明堂)正坐
取之。(类经)
按难经曰。血会膈俞。
肝俞(素问)九焦之间。(素问)第九椎下两旁。各一寸五分。(甲乙)陷者中。(明堂)正坐
取之。(类经)
按千金一云。九椎节脊中。非矣。形志篇云。欲知背俞。先度其两乳间。中折之。更以
他草
度去半已。即以两隅相拄也。乃举以度其背令其一隅居上齐脊大椎两隅。在下当其下隅者肺
之
俞也。复下一度。左角肝之俞也。右角脾之俞也。复下一度肾之俞也。是谓五脏之俞。灸刺
之度也肝脾二俞。果是异说。可见素问者。各家之说而不出一人之手也。
胆俞(脉经)第十椎下两旁。各一寸五分。正坐取之(甲乙)陷者中。(明堂)
按气府论云。六腑之俞各六。痹论云。六腑亦各有俞。金鉴。作第九椎下。而无肝俞。
盖脱简。
脾俞(素问)十一焦之间。(素问)第十一椎下两旁各一寸五分。(甲乙)陷者中。(明堂)
按。千金贼风篇曰。凡人脾俞无定所。随四季月应病。即灸脏俞。是脾穴。当时盖有此
说。而行殆堕穿凿。
胃俞(脉经)第十二椎下两旁。各一寸五分。(甲乙)宛宛中。(明堂)正坐取之。(类经)
三焦俞(甲乙)第十三椎下两旁。各一寸五分(甲乙)正坐取之。陷者中。(明堂)
肾俞(素问)一名高盖。(大成)第十四椎下两旁。各一寸五分。(甲乙)陷者中。(明堂)正
坐取之。(类经)
按通评虚实论云。少阴俞去脊椎三寸旁。次注曰。谓足少阴肾俞也。千金翼曰。对脐当
脊两
边。相去一寸五分。名肾俞。本事方曰。与脐平。此捷法也。千金翼又曰。肾俞主五脏虚劳
少腹弦急胀热灸五十壮老小损之。若虚冷可至百壮。横三间寸。灸之。腰痛不得动者。令病
人正立。以竹杖拄地度至脐取杖。度背脊灸杖头随年壮良。灸讫藏竹杖勿令人得之。丈夫痔
下
血。脱肛。不食。长泄痢。妇人崩中去血。带下淋露。去赤白杂汁。皆灸之。此挟两旁各一
寸
横三间寸灸之。又诸书载。杖子至脐中截断。却回杖于背上当脊骨中杖尽处。即是十四椎命
门穴也。用稗心取同身寸。三寸。折作一寸五分。两头是肾 穴也。皆不取。
大肠俞(脉经)第十六椎下两旁。各一寸五分。(甲乙)伏而取之(类经)
按脉经曰。在第十六椎HT 其详。
小肠俞(脉经)第十八椎下两旁。各一寸五分。(甲乙)伏而取之。(类经)
按难经本义云。谢氏曰。在十六椎下两旁。各一寸五分。非也。
膀胱俞(脉经)第十九椎下两旁各一寸五分。(甲乙)陷者中。(明堂)伏而取之。(类经)
中膂俞(甲乙)一名脊内俞(资生)第二十椎下两旁。各一寸五分。挟脊胛而起。(甲乙)伏
而取之。(类经)
按膂。次注。作KT 。外台。以下诸书。皆作中膂内俞。或以为一名。甲乙。千金。千金
翼。
并无内字。入门。金鉴。从之。此编凡征古典。故不补内字。脊胛而起。外台。作脊起肉。
次注。作脊KT 胂起肉。胛当作胂。胛是肩甲也。不与此穴关涉。盖传写之误。膂音吕与KT 通。膂谓
脊侧肉也胂 也。胂谓之HT HT 背侧之肉也。起者。言背侧肉逼臀肉复起者也。人或疑起下脱肉字
不审。古义也。聚英。作脊伸。字误。
白环俞(甲乙)第二十一椎下两旁。各一寸五分。伏而取之。(甲乙)腹挺地。端身。两手
相
重支额纵息。令皮肤俱缓乃取其穴。(资生)禁灸(甲乙○类经。医统。灸三壮)禁针灸。(入
门)
上 (甲乙)第一空腰髁下一寸。挟脊陷者中。(甲乙)
按类经曰腰髁骨。即十六椎下腰脊两旁。起骨之挟脊者。次注曰。余三 。少斜下。按
之陷中是也。入门曰上阔下狭。类经曰。十六椎者不是当十七椎。
次 (甲乙)第二空挟脊陷者中。(甲乙)
中 (甲乙)一名中空。(大成)第三空。挟脊陷者中。(甲乙)
下 (甲乙)第四空。挟脊陷者中。(甲乙)
按以上四穴。谓之八 。素问曰。八 在腰尻分间是也。又曰尻骨空。在髀骨之后相去
四寸
。次注曰是谓八 穴也今按髀当作髁千金曰大小便不利。灸八 穴。在腰目下三寸挟脊相去
四寸。两边各四穴计八穴。故名八 。甲乙。以八 非脊中属二行。又言挟脊而自明不系二行
者。盖便览者。此穴验枯骨则其空自明。
会阳(甲乙)一名利机(甲乙)阴尾骨两旁。(甲乙)骨外。各开一寸半(入门)
按阳。入门。作阴。误也。机外台作机。阴尾旧作阴毛。传写之误。据千金外台而订之
。发挥作尾 骨。 是 之误。金鉴。作阴尾尻骨两旁五分许。
背第三行自第二椎两旁。挟脊各三寸至二十一椎下凡二十八穴。
附分(甲乙)第二椎下附项内廉两旁各三寸(甲乙)陷中。(入门)正坐取之(类经)
按气府论云挟脊以下。至尻尾。二十一节。十五间各一。次注曰。今中诰孔穴图经。所
存者
。十三穴。左右共二十六。谓附分。魄户。神堂。 。膈关魂门。阳纲。意舍。胃仓。肓
门。志室。胞肓。秩边。十三也。类经金鉴作三寸半下皆同。
魄户(甲乙)一名魂户。(宝鉴)第三椎下两旁。各三寸。(甲乙)正坐取之上直附分。(次
注)宛宛中。(明堂)
按水热穴论云五脏俞旁五此十者。以泻五脏之热也。次注曰。俞旁五者。谓魄户神堂。
魂门。意舍。志室五穴。
膏肓俞(千金)第四椎下两旁各三寸。(资生)令人正坐曲脊伸两手。以臂着膝前。令正直
。手
大指与膝头齐以物支肘勿令臂得动摇。从胛骨上角。摸索至胛骨下头。其间当有四肋三间。灸
中间。根据胛骨之里肋间空。去胛骨容侧指许。摩KT 肉之表肋间空处。按之自觉牵引胸户中。
(外台。作于肩中)灸两胛中。各一处。若病患已困不能正坐。当令侧卧挽上臂令前。求取穴灸
之
也。求穴大较以右手从右(千翼。作左肩)肩上拄。指头表所不及者是也左手亦然。乃以前法
。灸之。若不能久正坐。当伸两臂者。亦可伏衣袱上伸两臂。令人挽两胛骨。使相离。不尔胛骨
覆穴不可得也。其穴近第五椎相准望取之(千金)
按千金翼外台胛作甲。古字通用。神应经。作第五椎下两旁。各三寸半。大全。作四柱
下三分
。并非大成曰。人年二旬后。方可灸此二穴。又按此穴。古书不载。千金始有此名。盖原
左传医缓之语。杜预曰。心上膈下。不可属肩背也。腹中论曰。肓之原出于脐下。九针十二
原篇曰。膏之原出于鸠尾肓之原出于悖 。膏肓之字。既见于此。而悖 者气海也。谢士泰删
繁方。说其病形全根据左传。而为说者也。以非经穴之事。故不录于此。千金及翼方。系奇穴
。不属太阳经。今时人间习熟。以肺俞呼狭肓。呼膏肓为广肓。故今举于此云。
神堂(甲乙)第五椎下两旁。各三寸陷者中。(甲乙)正坐取之。(明堂)
按次注曰。上直魄户。甲乙无膏肓穴。素问曰。挟脊以下至尻尾二十一节十五间各一。
次注
曰。今中诰孔穴图经。所存者。十三穴。王亦不记膏肓。故不言上直膏肓。而言直魄户。张
介宾。以大杼。列于此行曰。近世有膏肓一穴。亦合十五穴。然此穴自晋以前所未言。而原数
则左右共二十八穴也非矣。今加膏肓为十四穴。不可考者一穴也
(素问)背下挟脊旁三寸所。厌之。令病者呼 。 应手。(素问)肩 内廉挟第
六椎下两旁。各三寸。(甲乙)上直神堂。(次注)陷者中。(明堂)正坐取之(资生)
按刺疟篇曰五 俞各一适肥瘦出其血也。王冰曰。五 俞。谓 。吴昆以为魄户。神堂
。 膈
关魂门之五穴。张介宾曰。 胁也。一曰旁开也。水热穴论云。五脏俞旁各五。以泻五脏之热。即此谓
也。盖此五者乃五脏俞旁之穴以其旁开近。胁故曰。旁五 俞即魄户神堂魂门。意舍。志室也。应
手。入门。作指下动。原骨空论注也。
膈关(甲乙)第七椎下两旁各三寸。陷者中正坐开肩取之。(甲乙)上直 。(次注)
按膈。次注。聚英。医统。作鬲。外台。发挥。开作阔。
魂门(甲乙)第九椎下两旁。各三寸。陷者中。正坐取之。(甲乙)上直鬲关。(次注)
按千金注。及聚英。吴文炳。大成。引外台云。作魂门十椎下。阳纲十一椎下。意舍九椎
下。今本与甲乙同。大全作膈关七柱八魂门。非也。
阳纲(甲乙)第十椎下两旁。各三寸。陷者中正坐取之(甲乙)上直魂门(次注)
按纲。明堂。作HT 。入门。作刚。正字通HT 刚字之讹。资生聚英医统曰。阔肩取之。明堂
曰。微俯而取之。似无谓。
意舍(甲乙)第十一椎下两旁。各三寸陷者中(甲乙)正坐取之。上直阳纲。(次注)
按明堂。作第九椎下。阔肩取之。非矣。
胃仓(甲乙)第十二椎下两旁。各三寸。陷者中。(甲乙)上直意舍。(次注)正坐取之。(
类经)
按金鉴。作十椎脱二之字。
肓门(甲乙)第十三椎下两旁各三寸。入肋间。(甲乙)上直胃仓。(次注)陷中(类经)
按肓金鉴作育。误。入门。载痞根穴盖指此穴。详于奇穴部。资生曰经云与鸠尾相直。
未详
为何经。千金。并翼方次注。无入肋字。外台以下诸书。作叉肋甲乙。本作入肘。肓门。不
可入肘。又无叉肋甲乙肘字肋之误诸书叉字入之误故改作入肋。
志室(甲乙)一名精宫。(大成)第十四椎下两旁。各三寸。陷者中。正坐取之。(甲乙)上
直肓门。(次注)
按室。入门。作堂。误。明堂作三寸半。微俯而取之。非。
胞肓(甲乙)第十九椎下两旁。各三寸。陷者中。伏而取之(甲乙)上直志室。(次注)
秩边(甲乙)第二十一椎下两旁。各三寸。陷者中。伏而取之(甲乙)上直胞肓。(次注)
按资生发挥。入门。聚英。大全医统。吴文炳。宝鉴。外台。程敬通注一说。大成并作
论述说:大杼、膺俞、缺盆、背俞,这八个穴位,是用来泻除胸中热邪的。由此看来,认为“大杼”就是这里的“背俞”,大概是不正确的。
“背俞”必定有特定的指代对象。《举痛论》说:“寒气客于背俞之脉,则血脉泣(凝滞),脉泣则血虚,血虚则痛。其俞注于心。”这里所说的“心俞”,是有依据的。《千金翼方》说:“第一椎名为大杼,无所不主,位于左右各一寸半或二寸二分处。”这大概是本文文字错置所致。《大全》说:“大杼又名百劳”,说法见于大椎穴之下。《难经》说:“骨会大杼”,似乎是指大椎穴。
风门、热府。(出自《甲乙经》)第二椎下两旁,各一寸五分。(出自《甲乙经》)凹陷处。(出自《明堂》)正坐姿势取穴。(出自《大成》)
按《千金方》、《外台秘要》及以下诸书,都将“热府”分为一个别名,只有《千金翼方》与《甲乙经》相同,现在遵从古说。
肺俞(出自《素问》)位于三焦之间。(出自《素问》)第三椎下两旁,各一寸五分。(出自《甲乙经》)
按《气穴论》说:“中渎(此处原文为KT,通‘髆’或指背部特定区域,结合上下文指背部膀胱经第一侧线穴位分布)两旁各五穴,共十穴。”次注解释说:“指的是五脏的背俞穴。”《千金方》说:“对着乳头拉绳测量,这是简便方法。”《资生篇》说:“甄权针刺肾俞时,两穴间距作二寸计算,说法已在前面见到。”
心俞(出自《千金方》)又名厥阴俞。(出自《千金方》)第四椎下两旁,各一寸五分。(出自《千金方》)正坐姿势取穴。(出自《类经》)
心俞(出自《素问》)又名背俞。(出自次注)位于五焦之间。(出自《素问》)第五椎下两旁,各一寸五分(出自《甲乙经》)凹陷处。(出自《明堂》)正坐姿势取穴。(出自《类经》)禁灸(出自《甲乙经》)禁刺(出自《入门》)。
按《千金方·诸风篇》,有一种说法是第七节,对心横开三间一寸,这是不对的。又治疗不能进食,胸中胀满,膈上逆气,闷热,灸心俞十四壮,小儿减半。《千金翼方》说:“心烦短气,灸心俞一百壮,针入三分。”
膈俞(出自《素问》)位于七焦之间。(出自《素问》)第七椎下两旁,各一寸五分。(出自《甲乙经》)凹陷处。(出自《明堂》)正坐姿势取穴。(出自《类经》)
肝俞(出自《素问》)位于九焦之间。(出自《素问》)第九椎下两旁,各一寸五分。(出自《甲乙经》)凹陷处。(出自《明堂》)正坐姿势取穴。(出自《类经》)
按《千金方》一种说法是第九椎节脊中,这是错误的。《形志篇》说:“想知道背俞的位置,先度量两乳之间,从中折断,再用其他草量去一半长度,然后用两端互相抵住。以此量度背部,令一端居上对齐脊中大椎,另一端在下,对应下方的是肺俞。再下一度,左角是肝俞,右角是脾俞。再下一度是肾俞。这叫做五脏的俞穴,也是灸刺的尺度。肝俞和脾俞果然有不同的说法,可见《素问》是各家之说,并非出于一人之手。”
胆俞(出自《脉经》)第十椎下两旁,各一寸五分。正坐姿势取穴(出自《甲乙经》)凹陷处。(出自《明堂》)
按《气府论》说:“六腑之俞各六个。”《痹论》说:“六腑也各有俞穴。”《医宗金鉴》作第九椎下,而没有肝俞,大概是脱简。
脾俞(出自《素问》)位于十一焦之间。(出自《素问》)第十一椎下两旁各一寸五分。(出自《甲乙经》)凹陷处。(出自《明堂》)
按《千金方·贼风篇》说:“凡人的脾俞没有固定位置,随四季月份应病,就灸脏腑俞穴。这是脾穴,当时大概有此说法,但后来几乎陷入穿凿附会。”
胃俞(出自《脉经》)第十二椎下两旁,各一寸五分。(出自《甲乙经》)宛宛中(凹陷处)。(出自《明堂》)正坐姿势取穴。(出自《类经》)
三焦俞(出自《甲乙经》)第十三椎下两旁,各一寸五分(出自《甲乙经》)正坐姿势取穴。凹陷处。(出自《明堂》)
肾俞(出自《素问》)又名高盖。(出自《大成》)第十四椎下两旁,各一寸五分。(出自《甲乙经》)凹陷处。(出自《明堂》)正坐姿势取穴。(出自《类经》)
按《通评虚实论》说:“少阴俞去脊椎三寸旁。”次注解释说:“指的是足少阴肾俞。”《千金翼方》说:“对着肚脐当脊两边,相去一寸五分,名叫肾俞。”《本事方》说:“与脐平齐,这是简便方法。”《千金翼方》又说:“肾俞主治五脏虚劳,少腹弦急胀热,灸五十壮,老人小孩受损者,若虚冷可至一百壮。横开三间一寸,灸之。腰痛不能动的,让病人正立,用竹杖拄地量到脐部取杖,用这根杖量背脊,灸杖头所指处,随年龄定壮数,效果良好。灸完后藏起竹杖,不要让人得到它。男子痔疮下血,脱肛,不吃东西,长期泄痢;女子崩中去血,带下淋露,去除赤白杂汁,都灸这些穴位。这些穴位在挟脊两旁各一寸,横开三间一寸灸之。又诸书记载,将杖子截断至脐中,再将杖放回背上,当脊骨中间杖尽之处,即是第十四椎命门穴。用稗草心取同身寸三寸,折成一段一寸五分,两头就是肾俞穴。这些方法都不采用。”
大肠俞(出自《脉经》)第十六椎下两旁,各一寸五分。(出自《甲乙经》)伏卧姿势取穴(出自《类经》)
小肠俞(出自《脉经》)第十八椎下两旁,各一寸五分。(出自《甲乙经》)伏卧姿势取穴。(出自《类经》)
按《难经本义》说:“谢氏说:在十六椎下两旁,各一寸五分,这是不对的。”
膀胱俞(出自《脉经》)第十九椎下两旁各一寸五分。(出自《甲乙经》)凹陷处。(出自《明堂》)伏卧姿势取穴。(出自《类经》)
中膂俞(出自《甲乙经》)又名脊内俞(出自《资生篇》)第二十椎下两旁,各一寸五分。挟脊胛而起。(出自《甲乙经》)伏卧姿势取穴。(出自《类经》)
按“膂”,次注写作“KT”。《外台秘要》以下诸书,都写作“中膂内俞”,或者认为是一个别名。《甲乙经》、《千金方》、《千金翼方》都没有“内”字。《入门》、《医宗金鉴》遵从这一说法。本编凡是征引古典,所以不补“内”字。“脊胛而起”,《外台秘要》作“脊起肉”,次注作“脊KT胂起肉”。“胛”应当作“胂”。“胛”是肩胛,与此穴无关,大概是传写错误。“膂”音吕,与“KT”通。“膂”指脊侧肉,“胂”也指肉。“胂”称为“HT”,“HT”是背侧的肉。“起”的意思是,说背侧的肉逼近臀肉又隆起。有人怀疑“起”下脱漏了“肉”字,这是不明古义。《聚英》作“脊伸”,是字形错误。
白环俞(出自《甲乙经》)第二十一椎下两旁,各一寸五分。伏卧姿势取穴。(出自《甲乙经》)腹部挺地,端正身体,两手重叠支撑额头,放松呼吸,令皮肤都松弛,然后取穴。(出自《资生篇》)禁灸(出自《甲乙经》、《类经》、《医统》灸三壮)禁针灸。(出自《入门》)
上髎(出自《甲乙经》)第一空,腰髁下一寸,挟脊凹陷处。(出自《甲乙经》)
按《类经》说:“腰髁骨,即第十六椎下腰脊两旁,隆起的挟脊骨头。”次注说:“其余三个髎穴,稍微斜向下,按之陷中即是。”《入门》说:“上阔下狭。”《类经》说:“第十六椎并不是正当第十七椎。”
次髎(出自《甲乙经》)第二空,挟脊凹陷处。(出自《甲乙经》)
中髎(出自《甲乙经》)又名中空。(出自《大成》)第三空,挟脊凹陷处。(出自《甲乙经》)
下髎(出自《甲乙经》)第四空,挟脊凹陷处。(出自《甲乙经》)
按以上四个穴位,称为八髎。《素问》说:“八髎在腰尻分间。”又说:“尻骨空,在髀骨之后,相去四寸。”次注说:“这就是谓八髎穴。”现在考察,“髀”应当作“髁”。《千金方》说:“大小便不利,灸八髎穴,在腰目下三寸,挟脊相去四寸,两边各四穴,计八穴,所以叫八髎。”《甲乙经》认为八髎不在脊中,属于二行,又说挟脊而自明不属于二行,大概是供浏览者参考。此穴验证枯骨,其空自然明了。
会阳(出自《甲乙经》)又名利机(出自《甲乙经》)阴尾骨两旁。(出自《甲乙经》)骨外,各开一寸半(出自《入门》)
按“阳”,《入门》作“阴”,是错误的。“机”,《外台秘要》作“几”。“阴毛”旧作“阴毛”,传写错误。根据《千金方》、《外台秘要》订正。《发挥》作“尾骶骨”,“骶”是“髁”的错误。《医宗金鉴》作“阴尾尻骨两旁五分许”。
附分(出自《甲乙经》)第二椎下附项内廉两旁各三寸(出自《甲乙经》)陷中。(出自《入门》)正坐取穴(出自《类经》)
按《气府论》说:“挟脊以下,至尻尾,二十一节,十五间各一穴。”次注说:“现在《中诰孔穴图经》所存的,十三穴,左右共二十六,指附分、魄户、神堂、膈关、魂门、阳纲、意舍、胃仓、肓门、志室、胞肓、秩边,共十三穴。”《类经》、《医宗金鉴》作三寸半,下面都一样。
魄户(出自《甲乙经》)又名魂户。(出自《宝鉴》)第三椎下两旁,各三寸。(出自《甲乙经》)正坐取穴之上直对附分。(出自次注)宛宛中(凹陷处)。(出自《明堂》)
按《水热穴论》说:“五脏俞旁五,此十者,用来泻五脏之热。”次注说:“俞旁五者,指魄户、神堂、魂门、意舍、志室五穴。”
膏肓俞(出自《千金方》)第四椎下两旁各三寸。(出自《资生篇》)让人正坐曲脊伸两手,以手臂着膝前,令正直,手大拇指与膝头齐,用物体支撑肘部,不让手臂动摇。从胛骨上角,摸索至胛骨下头,其间应当有四肋三间,灸中间,根据胛骨里的肋间空处,去胛骨容侧指许宽,摩KT肉之表肋间空处,按之自觉牵引胸户中。(《外台秘要》作“于肩中”)灸两胛中各一处。如果病人已经困倦不能正坐,应当令侧卧挽上臂令前,求取穴灸之。求穴大致以右手从右(《千金翼方》作左肩)肩上拄,指头表所不及的地方是穴。左手亦然,乃以前法灸之。如果不能久正坐,应当伸两臂,也可伏在衣袱上伸两臂,让人挽两胛骨,使相离,不然胛骨覆盖穴位不可得。其穴近第五椎,相准望取之(出自《千金方》)
按《千金翼方》、《外台秘要》“胛”作“甲”,古字通用。《神应经》作第五椎下两旁,各三寸半。《大全》作四柱下三分,都不对。《大成》说:“人年二十岁后,方可灸此二穴。”又按此穴,古书不载,《千金方》始有此名,大概源于《左传》医缓的话。杜预说:“心上膈下,不可属肩背也。”《腹中论》说:“肓之原出于脐下。”《九针十二原篇》说:“膏之原出于鸠尾,肓之原出于脖胦。”膏肓之字,既见于此,而脖胦者气海也。谢士泰删繁方,说其病形全根据《左传》,而为说者也。因为不是经穴之事,故不录于此。《千金方》及《翼方》系奇穴,不属太阳经。今时人间习熟,以肺俞呼狭肓,呼膏肓为广肓,故今举于此云。
神堂(出自《甲乙经》)第五椎下两旁,各三寸陷者中。(出自《甲乙经》)正坐取穴。(出自《明堂》)
按次注说:“上直魄户。”《甲乙经》无膏肓穴。《素问》说:“挟脊以下至尻尾二十一节十五间各一。”次注说:“现在《中诰孔穴图经》所存的,十三穴。”王冰也不记膏肓,故不言上直膏肓,而言直魄户。张介宾,以大杼列于此行曰:“近世有膏肓一穴,亦合十五穴,然此穴自晋以前所未言,而原数则左右共二十八穴也非矣。今加膏肓为十四穴,不可考者一穴也。”
(出自《素问》)背下挟脊旁三寸所,厌之,令病者呼“咹”,应手。(出自《素问》)肩内廉挟第六椎下两旁,各三寸。(出自《甲乙经》)上直神堂。(出自次注)陷者中。(出自《明堂》)正坐取穴(出自《资生篇》)
按《刺疟篇》说:“五输俞各一,适肥瘦出其血也。”王冰说:“五输俞,指……”吴昆以为魄户、神堂、膈关、魂门之五穴。张介宾说:“胁也。一说旁开也。”《水热穴论》说:“五脏俞旁各五,以泻五脏之热。”即此谓也。盖此五者乃五脏俞旁之穴,以其旁开近胁,故曰旁五输俞,即魄户、神堂、魂门、意舍、志室也。“应手”,《入门》作“指下动”,原骨空论注也。
膈关(出自《甲乙经》)第七椎下两旁各三寸。陷者中正坐开肩取之。(出自《甲乙经》)上直……(出自次注)
按“膈”,次注、《聚英》、《医统》作“鬲”。《外台秘要》、《发挥》“开”作“阔”。
魂门(出自《甲乙经》)第九椎下两旁,各三寸。陷者中。正坐取穴。(出自《甲乙经》)上直鬲关。(出自次注)
按《千金方》注及《聚英》、吴文炳、《大成》引《外台秘要》云:“作魂门十椎下,阳纲十一椎下,意舍九椎下。”今本与《甲乙经》同。《大全》作膈关七柱八魂门,不对。
阳纲(出自《甲乙经》)第十椎下两旁,各三寸。陷者中正坐取穴(出自《甲乙经》)上直魂门(出自次注)
按“纲”,《明堂》作“HT”。《入门》作“刚”。《正字通》说“HT”是“刚”字之讹。《资生篇》、《聚英》、《医统》说:“阔肩取之。”《明堂》说:“微俯而取之。”似乎无意义。
意舍(出自《甲乙经》)第十一椎下两旁,各三寸陷者中(出自《甲乙经》)正坐取穴。上直阳纲。(出自次注)
按《明堂》作第九椎下,阔肩取之,不对。
胃仓(出自《甲乙经》)第十二椎下两旁,各三寸。陷者中。(出自《甲乙经》)上直意舍。(出自次注)正坐取穴。(出自《类经》)
按《医宗金鉴》作十椎脱二之字。
肓门(出自《甲乙经》)第十三椎下两旁各三寸。入肋间。(出自《甲乙经》)上直胃仓。(出自次注)陷中(出自《类经》)
按“肓”,《医宗金鉴》作“育”,误。《入门》载痞根穴,盖指此穴,详于奇穴部。《资生篇》说:“经云与鸠尾相直”,未详为何经。《千金方》并《翼方》次注,无“入肋”字。《外台秘要》以下诸书,作“叉肋”。《甲乙经》本作“入肘”。“肓门”不可入肘,又无“叉肋”。《甲乙经》“肘”字是“肋”之误,诸书“叉”字是“入”之误,故改作“入肋”。
志室(出自《甲乙经》)一名精宫。(出自《大成》)第十四椎下两旁,各三寸。陷者中。正坐取穴。(出自《甲乙经》)上直肓门。(出自次注)
按“室”,《入门》作“堂”,误。《明堂》作三寸半,微俯而取之,不对。
胞肓(出自《甲乙经》)第十九椎下两旁,各三寸。陷者中。伏而取穴(出自《甲乙经》)上直志室。(出自次注)
秩边(出自《甲乙经》)第二十一椎下两旁,各三寸。陷者中。伏而取穴(出自《甲乙经》)上直胞肓。(出自次注)
按《资生篇》、《发挥》、《入门》、《聚英》、《大全》、《医统》、吴文炳、《宝鉴》、《外台秘要》、程敬通注一说,《大成》并作
It is discussed that Dazhu (BL11, Great Threshhold), Ying Shu (Extra point, Chest Shu), Quepen (SI15, Shoulder Bone Well), and Bei Shu (Heart Shu, BL15) — these eight acupoints — are used to drain heat from the chest. From this perspective, it is likely incorrect to consider "Dazhu" as the specific "Bei Shu" referred to here.
"Bei Shu" (Back-Shu points) must refer to specific locations. The *Jutong Lun* states: "When cold qi lodges in the meridians of the Back-Shu points, the blood vessels become stagnant; stagnation leads to blood deficiency, and deficiency causes pain. The influence of these points transmits to the Heart." The reference to "Xin Shu" (BL15, Heart Shu) here has a basis. The *Qianjin Yi Fang* states: "The first thoracic vertebra is named Dazhu, governing all aspects, located 1.5 cun or 2.2 cun lateral to both sides." This appears to be a textual displacement in the current text. The *Da Quan* states: "Dazhu is also known as Bailao," a description found under the Dazhui (GV14, Great Vertebra) point. The *Nan Jing* states: "The meeting point of bones is Dazhu," which seems to refer to the Dazhui point.
Fengmen (BL12, Wind Gate) and Refu (EX-B1, Heat Mansion). (From *Jia Yi Jing*) Located 1.5 cun lateral to both sides below the second thoracic vertebra. (From *Jia Yi Jing*) In the depression. (From *Ming Tang*) Taken with the patient sitting upright. (From *Da Cheng*)
According to the *Qian Jin Fang*, *Wai Tai Mi Yao*, and subsequent texts, "Refu" is listed as an alias for another point. Only the *Qian Jin Yi Fang* aligns with the *Jia Yi Jing*. We follow the ancient interpretation here.
Fei Shu (BL13, Lung Shu). (From *Su Wen*) Located between the San Jiao (Triple Burner). (From *Su Wen*) 1.5 cun lateral to both sides below the third thoracic vertebra. (From *Jia Yi Jing*)
According to the *Qi Xue Lun*: "Five points on each side of the Zhongdu [referring to the medial line of the back], totaling ten points." The secondary annotation explains: "These refer to the Back-Shu points of the five Zang organs." The *Qian Jin Fang* states: "Measure by drawing a string from nipple to nipple; this is a shortcut method." The *Zi Sheng Pian* notes: "Zhen Quan measured the distance between Kidney Shu points as 2 cun; this explanation was mentioned earlier."
Xin Shu (BL15, Heart Shu) (From *Qian Jin Fang*) Also known as Jueyin Shu. (From *Qian Jin Fang*) 1.5 cun lateral to both sides below the fourth thoracic vertebra. (From *Qian Jin Fang*) Taken with the patient sitting upright. (From *Lei Jing*)
Note: This point is cited in the *Qian Jin Fang · Chapter on Lung Diseases*, quoting Bian Que.
Xin Shu (BL15, Heart Shu) (From *Su Wen*) Also known as Bei Shu. (Secondary Annotation) Located between the five Jiao. (From *Su Wen*) 1.5 cun lateral to both sides below the fifth thoracic vertebra. (From *Jia Yi Jing*) In the depression. (From *Ming Tang*) Taken with the patient sitting upright. (From *Lei Jing*) Moxibustion is prohibited. (From *Jia Yi Jing*) Needling is prohibited. (From *Ru Men*)
Note: In the *Qian Jin Fang · Chapter on Various Winds*, one version states "at the seventh segment, three intervals horizontally from the heart," which is incorrect. It treats inability to eat, fullness in the chest, rebellious Qi above the diaphragm, and stifling heat by moxa-burning Xin Shu for 14 burns (Zhuang); reduce for children. The *Qian Jin Yi Fang* states: "For mental restlessness and shortness of breath, moxa-burn Xin Shu for 100 Zhuang; needle depth 3 fen."
Ge Shu (BL17, Diaphragm Shu) (From *Su Wen*) Located between the seven Jiao. (From *Su Wen*) 1.5 cun lateral to both sides below the seventh thoracic vertebra. (From *Jia Yi Jing*) In the depression. (From *Ming Tang*) Taken with the patient sitting upright. (From *Lei Jing*)
According to the *Nan Jing*: "The meeting point of blood is Ge Shu."
Gan Shu (BL18, Liver Shu) (From *Su Wen*) Located between the nine Jiao. (From *Su Wen*) 1.5 cun lateral to both sides below the ninth thoracic vertebra. (From *Jia Yi Jing*) In the depression. (From *Ming Tang*) Taken with the patient sitting upright. (From *Lei Jing*)
Note: One version in the *Qian Jin Fang* says "at the center of the spine at the ninth vertebral segment," which is wrong. The *Xing Zhi Pian* states: "To know the location of Back-Shu points, first measure the distance between the two nipples, fold it in half, then use another grass strand to measure half of that length. Use the ends of this strand to span across the back. Place one end aligned with the upper Da Zhui (GV14) at the spine's prominence; the other end downwards indicates the Lung Shu. Move down one span: the left corner is Liver Shu, the right corner is Spleen Shu. Move down one more span: Kidney Shu. These are the Back-Shu points of the five Zang organs, defining the scale for moxibustion and needling." The differing views on Liver and Spleen Shu show that the *Su Wen* compiles various schools of thought, not authored by a single person.
Dan Shu (BL19, Gallbladder Shu) (From *Mai Jing*) 1.5 cun lateral to both sides below the tenth thoracic vertebra. Taken with the patient sitting upright (From *Jia Yi Jing*) In the depression. (From *Ming Tang*)
According to the *Qi Fu Lun*: "There are six Back-Shu points for the six Fu organs." The *Bi Lun* states: "Each of the six Fu organs also has its own Shu point." The *Yi Zong Jin Jian* places it below the ninth thoracic vertebra and omits Gan Shu, likely due to a missing manuscript leaf.
Pi Shu (BL20, Spleen Shu) (From *Su Wen*) Located between the eleven Jiao. (From *Su Wen*) 1.5 cun lateral to both sides below the eleventh thoracic vertebra. (From *Jia Yi Jing*) In the depression. (From *Ming Tang*)
Note: The *Qian Jin Fang · Chapter on Thief Wind* states: "The Spleen Shu point has no fixed location; it corresponds to seasonal diseases. One should moxa-burn the Zang Shu points accordingly. This was a theory at the time, but later interpretations became overly speculative."
Wei Shu (BL21, Stomach Shu) (From *Mai Jing*) 1.5 cun lateral to both sides below the twelfth thoracic vertebra. (From *Jia Yi Jing*) In the hollow/depression. (From *Ming Tang*) Taken with the patient sitting upright. (From *Lei Jing*)
San Jiao Shu (BL22, Triple Burner Shu) (From *Jia Yi Jing*) 1.5 cun lateral to both sides below the thirteenth thoracic vertebra. (From *Jia Yi Jing*) Taken with the patient sitting upright. In the depression. (From *Ming Tang*)
Shen Shu (BL23, Kidney Shu) (From *Su Wen*) Also known as Gai Gai. (From *Da Cheng*) 1.5 cun lateral to both sides below the fourteenth thoracic vertebra. (From *Jia Yi Jing*) In the depression. (From *Ming Tang*) Taken with the patient sitting upright. (From *Lei Jing*)
According to the *Tong Ping Xu Shi Lun*: "Shaoyin Shu is 3 cun lateral to the spinal column." The secondary annotation clarifies: "This refers to the Foot Shaoyin Kidney Shu." The *Qian Jin Yi Fang* states: "Opposite the umbilicus, on both sides of the spine, 1.5 cun apart, named Shen Shu." The *Ben Shi Fang* states: "Level with the umbilicus; this is a shortcut method." The *Qian Jin Yi Fang* further states: "Shen Shu treats deficiency and exhaustion of the five Zang organs, tension and heat in the lower abdomen. Moxa-burn 50 Zhuang; for elderly and children with damage, if cold-deficiency, up to 100 Zhuang. Horizontally 3 finger-widths, moxa-burn. For lumbar pain preventing movement, have the patient stand upright, hold a bamboo staff to the ground reaching the navel, mark the staff, then measure the back with it. Moxa-burn at the tip according to age in Zhuang. Excellent results. Hide the staff after treatment. For male hemorrhoids with bleeding, rectal prolapse, anorexia, chronic diarrhea; for female metrorrhagia, leukorrhea, dysuria, discharge of red/white fluids, moxa-burn these points. They are 1 cun lateral to the spine, horizons 3 finger-widths. Other texts describe cutting a staff at the navel level, placing it on the back along the spine; the end marks Mingmen (GV4) at the 14th vertebra. Using barnacle heart for proportional measurement, 3 cun folded to 1.5 cun, the ends mark Shen Shu. These methods are not adopted."
Da Chang Shu (BL25, Large Intestine Shu) (From *Mai Jing*) 1.5 cun lateral to both sides below the sixteenth thoracic vertebra. (From *Jia Yi Jing*) Taken in prone position. (From *Lei Jing*)
According to the *Mai Jing*: "At the 16th vertebra... details follow."
Xiao Chang Shu (BL27, Small Intestine Shu) (From *Mai Jing*) 1.5 cun lateral to both sides below the eighteenth thoracic vertebra. (From *Jia Yi Jing*) Taken in prone position. (From *Lei Jing*)
According to the *Nan Jing Ben Yi*: "Mr. Xie stated: Below the 16th vertebra, 1.5 cun lateral, is incorrect."
Pang Guang Shu (BL28, Bladder Shu) (From *Mai Jing*) 1.5 cun lateral to both sides below the nineteenth thoracic vertebra. (From *Jia Yi Jing*) In the depression. (From *Ming Tang*) Taken in prone position. (From *Lei Jing*)
Zhong Lv Shu (BL32, Middle Spine Shu) (From *Jia Yi Jing*) Also known as Ji Nei Shu. (From *Zi Sheng Pian*) 1.5 cun lateral to both sides below the twentieth thoracic vertebra. Arising from the paraspinal muscles. (From *Jia Yi Jing*) Taken in prone position. (From *Lei Jing*)
Note: "Lv" is written as "KT" in the secondary annotation. Subsequent texts like *Wai Tai Mi Yao* write "Zhong Lv Nei Shu" or treat it as an alias. *Jia Yi Jing*, *Qian Jin Fang*, and *Qian Jin Yi Fang* omit "Nei". *Ru Men* and *Yi Zong Jin Jian* follow this. This compilation retains classical accuracy, so "Nei" is not added. "Ji Jia Er Qi" in *Wai Tai Mi Yao* is written as "Ji Qi Rou"; secondary annotation writes "Ji KT Shen Qi Rou". "Jia" should be "Shen". "Jia" refers to the scapula, unrelated to this point, likely a transcription error. "Lv" (sound: Lü) is interchangeable with "KT". "Lv" refers to the muscle beside the spine. "Shen" also refers to muscle. "Shen" is called "HT", referring to the dorsal muscle. "Er Qi" means the dorsal muscle rises again towards the gluteal muscle. Some doubt a character is missing after "Qi", misunderstanding ancient meaning. *Ju Ying* writes "Ji Shen", a character error.
Bai Huan Shu (BL30, White Ring Shu) (From *Jia Yi Jing*) 1.5 cun lateral to both sides below the twenty-first thoracic vertebra. Taken in prone position. (From *Jia Yi Jing*) Lie prone with abdomen raised, body straight, hands stacked supporting the forehead, relax breathing until skin loosens, then locate the point. (From *Zi Sheng Pian*) Moxibustion is prohibited. (From *Jia Yi Jing*, *Lei Jing*, *Yi Tong* suggest 3 Zhuang) Needling and moxibustion are prohibited. (From *Ru Men*)
Shang Liao (BL31, Upper Gap) (From *Jia Yi Jing*) First gap, 1 cun below the iliac tubercle, in the depression flanking the spine. (From *Jia Yi Jing*)
Note: *Lei Jing* states: "The iliac tubercle bone refers to the protruding paraspinal bones below the 16th thoracic vertebra." Secondary annotation: "The remaining three gaps are slightly oblique downwards; pressing reveals the depression." *Ru Men* states: "Upper wide, lower narrow." *Lei Jing* states: "The 16th vertebra does not correspond exactly to the 17th."
Ci Liao (BL32, Middle-Upper Gap) (From *Jia Yi Jing*) Second gap, in the depression flanking the spine. (From *Jia Yi Jing*)
Zhong Liao (BL33, Middle Gap) (From *Jia Yi Jing*) Also known as Zhong Kong. (From *Da Cheng*) Third gap, in the depression flanking the spine. (From *Jia Yi Jing*)
Xia Liao (BL34, Lower Gap) (From *Jia Yi Jing*) Fourth gap, in the depression flanking the spine. (From *Jia Yi Jing*)
Note: These four points are called the Ba Liao (Eight Gaps). The *Su Wen* states: "The Eight Gaps are in the separation between the waist and sacrum." It also says: "The sacral foramen is behind the femur, 4 cun apart." Secondary annotation: "This refers to the Ba Liao points." Currently, "Bi" should be read as "Ke" (tubercle). *Qian Jin Fang* states: "For difficulty in urination and defecation, moxa-burn Ba Liao, 3 cun below the 'waist eye', flanking the spine, 4 cun apart, 4 points on each side, totaling 8, hence the name." *Jia Yi Jing* considers Ba Liao not in the midline but in the double rows, yet clarifies they flank the spine. This serves as a reference; verifying on skeletal remains makes the gaps clear.
Hui Yang (BL35, Meeting Yang) (From *Jia Yi Jing*) Also known as Li Ji. (From *Jia Yi Jing*) On both sides of the coccyx. (From *Jia Yi Jing*) Outside the bone, 1.5 cun open. (From *Ru Men*)
Note: "Yang" in *Ru Men* is written as "Yin", which is an error. "Ji" in *Wai Tai Mi Yao* is written as "Ji". "Yin Mao" (pubic hair) was a transcription error for "Yin Wei" (coccyx). Corrected based on *Qian Jin Fang* and *Wai Tai Mi Yao*. *Fa Hui* writes "Wei Bi Gu", where "Bi" is an error for "Ke". *Yi Zong Jin Jian* writes "5 fen lateral to both sides of the Yin Wei Kao Gu".
The third row of the back starts from 3 cun lateral to both sides of the second thoracic vertebra down to below the twenty-first thoracic vertebra, totaling 28 acupoints.
Fu Fen (BL16, Attached Branch) (From *Jia Yi Jing*) Below the second thoracic vertebra, attached to the inner edge of the neck, 3 cun lateral to both sides. (From *Jia Yi Jing*) In the depression. (From *Ru Men*) Taken with the patient sitting upright. (From *Lei Jing*)
According to the *Qi Fu Lun*: "Below the spine flanking the back, to the sacrum and tail, 21 segments, 15 spaces, one point each." Secondary annotation: "Currently, the *Zhong Gao Kong Xue Tu Jing* retains 13 points, 26 bilateral: Fu Fen, Po Hu, Shen Tang, Ge Guan, Hun Men, Yang Gang, Yi She, Wei Cang, Huang Men, Zhi Shi, Bao Huang, Zhi Bian, totaling 13." *Lei Jing* and *Yi Zong Jin Jian* state 3.5 cun, same below.
Po Hu (BL42, House of the Corporeal Soul) (From *Jia Yi Jing*) Also known as Hun Hu. (From *Bao Jian*) 3 cun lateral to both sides below the third thoracic vertebra. (From *Jia Yi Jing*) Sitting upright, directly above Fu Fen. (Secondary Annotation) In the hollow/depression. (From *Ming Tang*)
According to the *Shui Re Xue Lun*: "Five points beside the Zang Shu, these ten, are used to drain heat from the five Zang organs." Secondary annotation: "The five points beside the Shu refer to Po Hu, Shen Tang, Hun Men, Yi She, and Zhi Shi."
Gao Huang Shu (BL44, Deep Yellow Shu) (From *Qian Jin Fang*) 3 cun lateral to both sides below the fourth thoracic vertebra. (From *Zi Sheng Pian*) Have the patient sit upright, bend the spine, extend both hands, place arms before knees, keeping straight. Align thumb with knee cap. Support elbows with an object to prevent arm movement. From the upper angle of the scapula, feel down to the lower head of the scapula. There should be four ribs and three intervals. Moxa-burn the middle, inside the rib space relative to the scapula, about the width of a side finger away from the scapula. Rub the surface of the KT muscle in the intercostal space. Pressing should induce a sensation pulling into the chest door. (*Wai Tai Mi Yao* says "at Jian Zhong"). Moxa-burn one spot in the middle of each scapula. If the patient is too weak to sit, have them lie on their side, pull the upper arm forward to locate and moxa-burn. Generally, use the right hand to prop on the right shoulder (left in *Qian Jin Yi Fang*), the fingertip indicating the inaccessible area is the point. Same for the left. Then moxa-burn using the previous method. If unable to sit long, extend arms, lie prone on a cloth, have someone pull the scapulae apart; otherwise, the scapula covers the point. The point is near the fifth thoracic vertebra, estimate visually. (From *Qian Jin Fang*)
Note: *Qian Jin Yi Fang* and *Wai Tai Mi Yao* write "Jia" for "Jia" (scapula), ancient characters used interchangeably. *Shen Ying Jing* places it 3.5 cun lateral below the 5th thoracic vertebra. *Da Quan* places it 3 fen below the 4th pillar, both incorrect. *Da Cheng* states: "Only moxa-burn these two points after age 20." Ancient texts do not record this point; it first appears in *Qian Jin Fang*, likely derived from the physician Huan's words in *Zuo Zhuan*. Du Yu commented: "Above the heart, below the diaphragm, cannot belong to the shoulder/back." *Fu Zhong Lun* states: "The source of Huang originates below the umbilicus." *Jiu Zhen Shi Er Yuan Pian* states: "The source of Gao originates at Jiū Wěi, the source of Huang at Bó Yīng." Since "Gao Huang" appears here, and Bo Ying is Qi Hai. Xie Shitai's *Shan Fan Fang* bases its pathology entirely on *Zuo Zhuan*. As it is not a standard meridian point, it is not recorded here. *Qian Jin Fang* and *Yi Fang* list it as an Extra point, not belonging to the Taiyang Meridian. Modern practice calls Fei Shu "Narrow Huang" and Gao Huang "Broad Huang", so it is included here.
Shen Tang (BL43, Palace of Spirit) (From *Jia Yi Jing*) 3 cun lateral to both sides below the fifth thoracic vertebra, in the depression. (From *Jia Yi Jing*) Taken with the patient sitting upright. (From *Ming Tang*)
Note: Secondary annotation: "Directly above Po Hu." *Jia Yi Jing* lacks Gao Huang. *Su Wen* states: "Flanking the spine below to the sacrum/tail, 21 segments, 15 spaces, one point each." Secondary annotation: "Currently, *Zhong Gao Kong Xue Tu Jing* retains 13 points." Wang Bing did not record Gao Huang, hence he did not say "directly above Gao Huang" but "directly above Po Hu." Zhang Jiebin lists Da Zhu in this row, stating: "In recent times, there is a Gao Huang point, making 15 points total. However, this point was not mentioned before the Jin dynasty, and the original count of 28 bilateral points is incorrect. Adding Gao Huang makes 14 points, leaving one unaccountable."
(From *Su Wen*) Below the back, 3 cun lateral to the spine. Press it, ask the patient to cry "An", and the response should be felt. (From *Su Wen*) Inner edge of the shoulder, flanking the sixth thoracic vertebra, 3 cun lateral to both sides. (From *Jia Yi Jing*) Directly above Shen Tang. (Secondary Annotation) In the depression. (From *Ming Tang*) Taken with the patient sitting upright. (From *Zi Sheng Pian*)
Note: The *Ci Nu Pian* states: "One point each of the Five Shu points, depending on fat/thinness to release blood." Wang Bing said: "Five Shu points refer to..." Wu Kun considered them Po Hu, Shen Tang, Ge Guan, Hun Men. Zhang Jiebin said: "Xi (rib side). Or said lateral opening." *Shui Re Xue Lun* states: "Five points beside each Zang Shu, to drain Zang heat." This refers to these five points beside the Zang Shu, close to the Xi (rib side), hence called "Pang Wu Shu Yu" (Five Lateral Shu Points), i.e., Po Hu, Shen Tang, Hun Men, Yi She, Zhi Shi. "Ying Shou" (responsive touch) in *Ru Men* is written as "Zhi Xia Dong" (movement under finger), from the original *Gu Kong Lun* annotation.
Ge Guan (BL45, Diaphragm Pass) (From *Jia Yi Jing*) 3 cun lateral to both sides below the seventh thoracic vertebra. In the depression. Sit upright, spread shoulders to take. (From *Jia Yi Jing*) Directly above ... (Secondary Annotation)
Note: "Ge" in secondary annotation, *Ju Ying*, *Yi Tong* is written as "Ge" (diaphragm). *Wai Tai Mi Yao*, *Fa Hui* write "Kuo" (wide) for "Kai" (open).
Hun Men (BL47, Gate of the Ethereal Soul) (From *Jia Yi Jing*) 3 cun lateral to both sides below the ninth thoracic vertebra. In the depression. Taken with the patient sitting upright. (From *Jia Yi Jing*) Directly above Ge Guan. (Secondary Annotation)
Note: *Qian Jin Fang* annotation, *Ju Ying*, Wu Wenbing, *Da Cheng* quote *Wai Tai Mi Yao* saying: "Hun Men below 10th vertebra, Yang Gang below 11th, Yi She below 9th." Current text matches *Jia Yi Jing*. *Da Quan* says Ge Guan at 7th pillar, Hun Men at 8th, which is incorrect.
Yang Gang (BL46, Bright Beam) (From *Jia Yi Jing*) 3 cun lateral to both sides below the tenth thoracic vertebra. In the depression. Taken with the patient sitting upright. (From *Jia Yi Jing*) Directly above Hun Men. (Secondary Annotation)
Note: "Gang" in *Ming Tang* is written as "HT". *Ru Men* writes "Gang". *Zheng Zi Tong* says "HT" is a corruption of "Gang". *Zi Sheng Pian*, *Ju Ying*, *Yi Tong* say: "Spread shoulders to take." *Ming Tang* says: "Slightly bow to take," which seems meaningless.
Yi She (BL48, Meaning Storage) (From *Jia Yi Jing*) 3 cun lateral to both sides below the eleventh thoracic vertebra, in the depression. (From *Jia Yi Jing*) Taken with the patient sitting upright. Directly above Yang Gang. (Secondary Annotation)
Note: *Ming Tang* places it below the 9th vertebra, spread shoulders to take, which is incorrect.
Wei Cang (BL50, Stomach Granary) (From *Jia Yi Jing*) 3 cun lateral to both sides below the twelfth thoracic vertebra, in the depression. (From *Jia Yi Jing*) Directly above Yi She. (Secondary Annotation) Taken with the patient sitting upright. (From *Lei Jing*)
Note: *Yi Zong Jin Jian* places it at the 10th vertebra, missing "two" characters.
Huang Men (BL52, Yellow Gate) (From *Jia Yi Jing*) 3 cun lateral to both sides below the thirteenth thoracic vertebra. Entering the intercostal space. (From *Jia Yi Jing*) Directly above Wei Cang. (Secondary Annotation) In the depression. (From *Lei Jing*)
Note: "Huang" in *Yi Zong Jin Jian* is written as "Yu", an error. *Ru Men* records Pi Gen point, likely referring to this, detailed in Extra Points section. *Zi Sheng Pian* says: "Classic states it aligns with Jiū Wěi," unclear which meridian. *Qian Jin Fang* and *Yi Fang* secondary annotation lack "Entering Rib" text. *Wai Tai Mi Yao* and subsequent texts write "Cha Lei" (fork ribs). *Jia Yi Jing* original text has "Ru Zhou" (enter elbow). "Huang Men" cannot enter the elbow, nor fork ribs. "Zhou" in *Jia Yi Jing* is a typo for "Lei" (rib); "Cha" in other texts is a typo for "Ru" (enter), thus corrected to "Ru Lei" (enter intercostal space).
Zhi Shi (BL53, Will Chamber) (From *Jia Yi Jing*) Also known as Jing Gong. (From *Da Cheng*) 3 cun lateral to both sides below the fourteenth thoracic vertebra, in the depression. Taken with the patient sitting upright. (From *Jia Yi Jing*) Directly above Huang Men. (Secondary Annotation)
Note: "Shi" in *Ru Men* is written as "Tang", an error. *Ming Tang* places it 3.5 cun, slightly bow to take, which is incorrect.
Bao Huang (BL54, Womb Yellow) (From *Jia Yi Jing*) 3 cun lateral to both sides below the nineteenth thoracic vertebra, in the depression. Taken in prone position. (From *Jia Yi Jing*) Directly above Zhi Shi. (Secondary Annotation)
Zhi Bian (BL54, Rank Edge) (From *Jia Yi Jing*) 3 cun lateral to both sides below the twenty-first thoracic vertebra, in the depression. Taken in prone position. (From *Jia Yi Jing*) Directly above Bao Huang. (Secondary Annotation)
Note: *Zi Sheng Pian*, *Fa Hui*, *Ru Men*, *Ju Ying*, *Da Quan*, *Yi Tong*, Wu Wenbing, *Bao Jian*, *Wai Tai Mi Yao*, Cheng Jing Tong's commentary, and *Da Cheng* all make...