按商曲。宝鉴作商谷。
肓俞(甲乙)商曲下一寸直脐旁五分。(甲乙)
按肓千金外台金鉴。作盲。资生作育。类经曰。商曲下一寸。当作二寸。内经云。挟鸠
尾外
。各半寸。至脐寸一。盖古必自幽门。至肓俞。有七穴。甲乙经以来。已缺之。甲乙。商曲
下一寸。以直脐旁之字。见之。后人误以二作一也。距古之远。无所可考。今姑不取商曲下
一寸五字。唯定此穴于脐旁五分。从张氏说。
中注(甲乙)肓俞下一寸。(资生)
按甲乙。千金。外台。次注。作肓俞下五分。发挥。类经。聚英。入门。医统宝鉴。共
从资生。据内经。挟脐下旁各五分至横骨。寸一之义。则资生为得。
四满(甲乙)一名髓府。(甲乙)中注下一寸。(甲乙)挟丹田。(千金)
按髓。外台作随。聚英。吴文炳。大成。府作中。千金曰。丹田两边。相去各一寸半。
(千
金翼。无半字。盖是脱字也。)丹田在脐下二寸是也。此说可从。又曰。挟丹田两旁。相去
三寸。即心下八寸脐下横纹是也。不可从丹田是石门也。发挥。作气海旁一寸。非也。
气穴(甲乙)一名胞门。一名子户。(甲乙)四满下一寸。(甲乙)
按脉经曰。胞门。在太仓左右三寸。太仓中脘别名也。千金妇人篇曰。胞门。关元左边
二寸
是。右二寸名子户。此二说。不与本穴相关涉。又冠中字详于奇穴部。又妇人良方。胎动不安
论曰。服药致补暖。而反使胞门子户为药所燥搏。自注曰。巢氏病源。并产宝。并谓之胞门
子户。张仲景谓之血室。
大赫(甲乙)一名阴维。一名阴关。(甲乙)气穴下一寸。(甲乙)
按千金肾脏篇曰。屈骨端三寸。不合诸书。且千金屈骨端。为曲骨横骨之别名。益不可
解此也。千金言屈骨者。不一。说见下。
横骨(素问)一名下极。(甲乙)一名屈骨。(千金)大赫下一寸(甲乙)肓俞下五寸。(发挥)
陷中。(入门)禁刺。(入门)
按大全。周身经穴赋。作横谷。又曰。一名屈骨端。千金曰。屈骨端阴上横骨中央。宛
曲如
却月中央。是也。此名横骨千金翼同。千金霍乱篇。灸慈宫。注曰横骨在脐下横门骨。是。
盖横门骨。言横骨也。又阴 篇曰。灸玉泉穴。在屈骨下阴。又三焦篇曰。水道穴。在挟屈骨
相去五寸。千金翼曰。屈骨在脐下五寸。屈骨端。水道两旁。各二寸半。又淋闭篇曰。玉泉
下一寸。名尿胞。一名屈骨端。曲骨穴下。宜合考。凡言屈骨者。不一恐有差。却月。入门
。作如仰月陷中。曲骨外一寸半。吴文炳。作仰月中央。去腹中行各一寸半。李时珍。作偃
月。医统。作卧月。洗冤录曰。妇人隐处。其骨为羞秘骨。不可捡验。盖横骨也。
腹第三行。自不容。挟幽门两旁各一寸半。下行至气冲及急脉凡二十六穴。
不容(甲乙)幽门旁。一寸五分。去任脉三寸两肋端。相去四寸(甲乙)对巨阙。(类经)
按两字。诸书作四。此穴对巨阙。巨阙旁二寸。直贴肋端四肋之数不合。且以肋数言之
。必
有第字。至此。特不冠第字。只千金。作直四肋端。次注冠第字。而期门。言第二肋。期门
在
不容旁。而二四易位。故人多疑之。今考之不容。直贴左右两肋端。此肋为岐。左右分垂。
如一
肋而相分。故因其形状言两也。甲乙曰。去任脉三寸。按幽门。挟巨阙两旁五分。不容幽门旁
一寸五分。凡二寸也。参当作二。去任脉旁二寸。取此穴。类经。引此文作二寸。千金。千金翼。
外台。作去任脉二寸是也。甲乙经曰。相去四寸。谓相去。兼任脉而量之也。次注。作挟腹中行
两旁相去各四寸。误读甲乙文增各字则相去字不成语。今删去任脉三寸。并相去四寸之数言
。
入门作平巨阙三寸。医统。聚英。作去中行任脉各三寸。共受甲乙写误。而不深考也。明堂。作
在上管两旁。各一寸。非矣。
承满(甲乙)不容下一寸。(甲乙)对上脘。(类经)
按千金及翼方。大肠篇曰。挟巨阙相去五寸。巨阙在心下一寸。灸之者挟巨阙两边。各
二寸半。非。说既见。
梁门(甲乙)承满下一寸。(甲乙)对中脘(类经)孕妇禁灸(类经)
关门(甲乙)梁门下。太乙上。(甲乙)梁门下一寸。(千金)对建里。(类经)
按千金翼门作
太乙(甲乙)关门下一寸。(甲乙)对下脘(类经)
按千金。并翼方。外台次注。资生。圣济。宝鉴。作太一。无异义。千金翼门作明。
滑肉门(甲乙)太乙下一寸。(甲乙)天枢上一寸。对水分。(类经)
按聚英。医统。作下挟
脐下一寸至天枢。去中行三寸下挟之下字。吴文炳。作一。
天枢(脉经)一名长溪。一名谷门(甲乙)一名大肠募(肘后)一名循际。一名长谷。(千金)
去肓
俞一寸五分。挟脐两旁各二寸。陷者中。(甲乙)滑肉门下一寸(次注)魂魄之舍。不可针(千
金)孕妇禁灸。(同上)
按谷门。千金。千金翼。外台。资生。圣济。类经。发挥。聚英。大全。医统。作谷门。音
通。
资生。溪作鸡。肓作育。千金脾脏篇曰。长谷挟脐相去五寸。一名循际。又曰挟脐相去三寸
。魂
魄之舍。不可针。大法在脐旁一寸。合脐相去可三寸也。千金翼作挟脐相去各二寸。聚英。
吴文炳。作去肓俞半寸。盖寸半之误。大成。作一寸。脱字。奇穴部。魂舍。可合考。
外陵(甲乙)天枢下大巨上。(甲乙)天枢下一寸。(次注)对阴交。(类经)
按千金作天枢
从千金之说也。景岳全书曰。在脐左右各开一寸半灸疝立效永不再发。屡用。屡验。脐者阴
交之误。
大巨(甲乙)一名腋门。(甲乙)长溪下二寸。(甲乙)外陵下一寸。(次经)对石门。(类经)
按腋。外台。作掖。千金。作脐下一寸。两旁各二寸。非也。长溪天枢也。
水道(甲乙)大巨下一寸。(增注)
按甲乙千金千金翼。次注。外台。共作大巨下三寸。以下诸书从之。聚英。吴文炳。作
二寸。
千金。千金翼曰。挟屈骨。相去五寸。此水道盖奇穴。详奇穴部。宝鉴。作天枢下五寸。非是
。说见下。
归来(甲乙)一名溪穴。(甲乙)水道下一寸(增注)
按甲乙。千金。千金翼。气府论注。圣济。作二寸。水热穴论注新校正。作三寸。外台。作
五寸。千金注资生。引外台。作三寸。说见下。千金妇人篇。作挟玉泉五寸。不是。
气冲(素问)一名气街。(素问)归来下。鼠鼷上。一寸动脉应手(甲乙)宛宛中。(资生)灸
之不幸使人不得息(甲乙)禁刺。(资生)
按大全曰。一名气冲。 冲。古通用。非一名。不取。骨空
论曰。毛际动脉。归来下。动脉是也。千金。外台作归来下一寸。鼠鼷。素问曰。刺气街。
中脉血不出。为肿鼠仆注曰。气街。在腹下挟脐两旁相去四寸。鼠仆上一寸。动脉应手。新校
正云。别本。仆作鼷。张介宾曰。仆当作鼷。千金翼。作鼠 。医门摘要曰。鼠鼷羊矢同。
非矣。羊矢骨与是不同。按王冰言挟脐两旁相去四寸者误。又水热穴论注曰。脐下横骨两端
。鼠鼷上一寸。本草别录。马刀条曰。除肌中鼠鼷。外台。箕门注曰鼠鼷痛。小便难。金鉴曰
。腿班中有肉核。名曰鼠鼷。溪鼷音通说文曰。小鼠也。即春秋言鼷鼠食郊牛角者。陈藏器
曰鼷鼠极细卒不可见。尹文子曰郑人。谓玉未琢者。为璞。周人谓鼠未腊者为璞。周人遇郑贾
人曰欲买璞。乎郑贾曰。欲之。出璞视之。鼠也。因谢不取。战国策同。盖仆鼷者璞之转讹也。
按毛际腿中肉核。动应手俗所谓横根所是也。千金外台并作归来下一寸。入门作天枢下八寸
。夫脐下至横骨六寸半。骨度为然。何得八寸。素问曰。挟鸠尾之外当乳下三寸挟胃脘各五。
次注曰。谓不容。承满。梁门。关门。太乙五穴也。又曰。挟脐广三寸。各三。注曰。谓滑肉
门
。天枢。外陵也。又曰下脐二寸。挟之各三。注曰谓大巨。水道。归来也。马莳曰。鸠尾下
三寸。胃脘五寸言鸠尾下一寸曰巨阙。又下一寸半曰上脘。今曰三寸者。正以鸠尾上之蔽骨。
数
起也。鸠尾下三寸半。为胃之中脘。今五寸者。字之误也。以下至横骨。言自中脘以下。有
建
里。下脘。水分。神阙。阴交。气海。石门。关元。中极。曲骨等穴共计一十三寸。今曰。六
寸半。一者。疑当为二。六寸半者二。则为十三寸也。是腹部中行之脉法也。此注牵强附会
。可笑也。巨阙下一寸半。取上脘穴。强合经文。此承皇甫氏之谬也。不知脐下至横骨六寸半
。
为一十三寸说。以一为二。故误如此解书何难之有。如其无征何。学人察诸。折衷曰天枢。
与任脉神阙。相对。气冲。与任脉曲骨相对而自曲骨。至神阙。相去五寸也。如斯从天枢至
气冲。亦当相去五寸。然甲乙说天枢气冲之间相去分寸。甚有余。而难。合于曲骨神阙。相
去之寸。恐非也。经曰下脐二寸。各三。二寸中有三穴也。不可解。凡脐下四寸。而别取此气冲
穴于毛际。与经文合。从甲乙。千金等。大巨。水道归来相去为二寸。则至归来六寸。归来下半
寸间取此穴。而不合。经文毛际语窃疑素问上文言挟脐三寸。各三。至此乃言下脐二寸
各
三。二字三误。不然则各字不稳。且大巨水道归来。各每寸一穴则与外陵并度之。得脐下四
寸乃归来下一寸。为气冲穴正与横骨二穴相对。又挟鸠尾之外。当乳下三寸之三。亦五之误
然则挟鸠尾之旁。当乳下行五寸。每寸一穴。各字义亦稳矣。仍记数言。以待来哲。因次注。
挟中行。二寸语。以此穴为横骨两端不觉冲门同处。甲乙。千金以气冲属腹部三行。以冲门
属四行。腹部四行。自两乳。下行至横骨端。因知自胸至小腹渐狭也。而其书挟任脉几寸使
人知在某行中也。甲乙。千金。以部分列。故言自某穴。挟某穴几寸。至某穴。言起自某穴
旁下行至某穴也。外台。始以穴系经而以任脉属肾经。督脉属膀胱经。及滑寿。十二经合任
督二脉为十四经。尔后说经穴者。一据十四经至一行中别布置三四所。乃每穴。不能言挟某几
寸。后人不知此义也。故以腹部四行置横骨六寸半中。准拟分量。目巧度之。骨度正误曰。
自
天枢至横骨六寸半盖肾经与任脉。不为脐下五寸也。脾胃之两经。可取于六寸半矣是亦臆说
古书。言横骨有二义。以横骨为穴名。故有此误。
急脉(素问)厥阴毛中。(素问)阴髦中。阴上两旁。相去二寸半。
按之隐指坚然。甚按则
也。其左者。中寒则引少腹下引阴丸善为痛。为少腹急中寒。此两脉皆厥阴之大络通行其中
故曰厥阴急脉。即睾之系也。可灸而不可刺也。(次注)
按类经曰。此穴自甲乙经以下。诸书。皆无。是遗误也。金鉴。坚然。作而坚。
腹第四行。自期门上。直两乳。挟不容两旁。各一寸半。下行至冲门。凡十四穴。
期门(伤寒论)一名肝募(大成)第二肋端。不容旁。各二寸五分上直两乳举臂取之。(甲
乙)承满旁。(增注)
按第二肋。及两肋说详。于不容下。本文不容字。写误。当作承满。其旁。各一寸五分
。上
直两乳。第二肋端。是期门也。第二肋。千金曰。奔 。灸期门百壮。穴直两乳下。第二肋
端旁。肋。旧作胁误。(针灸篇。妇人病中作肋)第二肋。言乳下第二肋也。端。本事方。作
间非矣。不容。当两肋端。其旁。一寸五分。则在膺骨间。而甲乙千金。共属腹部。可疑之一
也。不容在肋端。其旁一寸五分。又谓肋端可疑之二也在膺骨间。而谓肋端。可疑之三也。
自大横倒量上行至不容。不合骨度之数者。一寸。可疑之四也。故谓传写之误也。今试自直
脐大横穴量之。大横上三寸。腹哀。腹哀上一寸五分。日月日月上。五分。横平当通谷也。
通谷旁一寸五分。承满也。承满旁一寸五分。直两乳下行当肋端。于是。不容误谬。可始解
矣。近世。唯取不容二字。不取肋端直两乳五字何也。聚英。作乳直下一寸半。大成。作乳
旁
一寸半。直下又一寸半。不是。宝鉴曰。令人仰卧从脐心正中。向上五寸。以墨点定。从墨
点两边。横量各二寸半。此乃正穴。大约直两乳。为的此说为是而言二寸半者。不可从。
日月(甲乙)一名胆募一名神光(千金)期门下五分。(千金)
按千金。外台。资生。圣济。作期门下五分。是也。次注。作第三肋端。横直心蔽骨旁
各二
寸五分。上直两乳。无稽之言也。何则日月在期门下五分。期门乳下肋端是也。假使期门在不
容旁蔽骨下一寸五分旁。此不容也。其下五分。无横直心蔽骨之理。资生经。有陷中字。此
以期门取不容旁之误也。以为期门。在不容旁一寸五分。则此穴亦在胸中骨间故谓陷中。杜
撰也。甲乙经。作期门下一寸五分。盖据期门在不容旁之文。后人谩补入一寸字也。故今从千
金等。聚英。日月无。说见辄筋。
【商曲】《铜人腧穴针灸图经》中写作“商谷”。
肓俞(出自《甲乙经》):位于商曲穴下一寸,正对脐旁五分处。(出自《甲乙经》)
按语:《千金方》、《外台秘要》、《针灸资生经》及《医宗金鉴》将其写作“盲”;《针灸资生经》写作“育”;《类经》认为:“商曲下一寸”应当是“二寸”。《黄帝内经》记载:“挟鸠尾外侧各半寸,至脐部一寸一穴。”大概古代从幽门穴到肓俞穴共有七个穴位。自《甲乙经》以来,这些穴位已经缺失。《甲乙经》记载商曲下一寸,是用“直脐旁”这几个字来确定的。后人误将“二”写成了“一”,距离古法甚远,已无法考证。现在暂且去掉“商曲下一寸”这五个字,只确定此穴在脐旁五分处,遵从张氏的说法。
【中注】(出自《甲乙经》):位于肓俞下一寸。(出自《针灸资生经》)
按语:《甲乙经》、《千金方》、《外台秘要》中的次注写作“肓俞下五分”;《针灸发挥》、《类经》、《针灸聚英》、《医学入门》、《医统》、《针灸宝鉴》都遵从《针灸资生经》。依据《黄帝内经》“挟脐下旁各五分至横骨,寸一穴”的含义,则《针灸资生经》的说法是正确的。
【四满】(出自《甲乙经》):又名髓府。(出自《甲乙经》)位于中注下一寸。(出自《甲乙经》)挟丹田。(出自《千金方》)
按语:“髓”字,《外台秘要》写作“随”;《针灸聚英》、吴文炳、《针灸大成》中“府”写作“中”。《千金方》说:“丹田两边,相距各一寸半。”(《千金翼方》中没有“半”字,大概是脱漏了。)丹田就在脐下二寸处。这种说法可以采纳。又说:“挟丹田两旁,相距三寸”,即心下八寸、脐下横纹处。这种说法不可采纳。丹田就是石门穴。《针灸发挥》写作“气海旁一寸”,这是错误的。
【气穴】(出自《甲乙经》):又名胞门,又名子户。(出自《甲乙经》)位于四满下一寸。(出自《甲乙经》)
按语:《脉经》说:“胞门,在太仓左右三寸。”太仓是中脘的别名。《千金方·妇人篇》说:“胞门,在关元左边二寸,右边二寸名为子户。”这两种说法与本穴无关。另外,“冠中”二字详见于奇穴部。又《妇人大全良方·胎动不安论》说:“服药导致补暖,反而使胞门子户被药物燥热搏结。”其自注说:“巢元方的《诸病源候论》和《产宝》,都称之为胞门子户。张仲景称之为血室。”
【大赫】(出自《甲乙经》):又名阴维,又名阴关。(出自《甲乙经》)位于气穴下一寸。(出自《甲乙经》)
按语:《千金方·肾脏篇》说:“屈骨端三寸。”这与各家书籍不符。况且《千金方》中“屈骨端”是曲骨、横骨的别名,更加难以解释。《千金方》中提到“屈骨”的地方不止一处,说法见下文。
【横骨】(出自《素问》):又名下极。(出自《甲乙经》)又名屈骨。(出自《千金方》)位于大赫下一寸(出自《甲乙经》),肓俞下五寸。(出自《针灸发挥》)陷者中。(出自《医学入门》)禁刺。(出自《医学入门》)
按语:《针灸大全》、《周身经穴赋》写作“横谷”。又说:又名屈骨端。《千金方》说:“屈骨端阴上横骨中央,宛曲如却月中央。”这是正确的。这个名称叫横骨,《千金翼方》相同。《千金方·霍乱篇》灸慈宫穴,注解说:“横骨在脐下横门骨。”这是正确的。“横门骨”指的就是横骨。又《阴器篇》说:“灸玉泉穴,在屈骨下阴。”又《三焦篇》说:“水道穴,在挟屈骨相去五寸处。”《千金翼方》说:“屈骨在脐下五寸,屈骨端、水道两旁,各二寸半。”又《淋闭篇》说:“玉泉下一寸,名尿胞,又名屈骨端。”曲骨穴下,宜合参考证。凡是提到“屈骨”的,说法不一,恐怕有差错。“却月”,《医学入门》写作“如仰月陷中”,曲骨外一寸半;吴文炳写作“仰月中央”,距腹中线各一寸半;李时珍写作“偃月”;《医统》写作“卧月”。《洗冤录》说:“妇人隐处,其骨为羞秘骨,不可检验,大概就是横骨。”
腹部第三行,自不容穴起,挟幽门两旁各一寸半,下行至气冲及急脉,共二十六穴。
【不容】(出自《甲乙经》):位于幽门旁,一寸五分,去任脉三寸,两肋端,相去四寸(出自《甲乙经》)。对巨阙穴。(出自《类经》)
按语:“两”字,诸书多作“四”。此穴对巨阙,巨阙旁二寸,直贴肋端,四肋之数不合。且以肋数而言,必有“第”字。至此,特意不冠“第”字,只有《千金方》作“直四肋端”,次注冠“第”字,而期门言“第二肋”。期门在不容旁,而二、四易位,所以人多怀疑。现在考证,不容直贴左右两肋端,此肋为岐,左右分垂,如一肋而相分,故因其形状言“两”也。《甲乙经》说:“去任脉三寸。”按幽门,挟巨阙两旁五分,不容在幽门旁一寸五分,凡二寸也。“参”当作“二”,去任脉旁二寸取此穴。《类经》引此文作“二寸”。《千金方》、《千金翼方》、《外台秘要》作“去任脉二寸”,这是正确的。《甲乙经》说:“相去四寸”,谓相去兼任脉而量之也。次注作“挟腹中行两旁相去各四寸”,误读《甲乙经》文增“各”字,则“相去”二字不成语。现在删去“去任脉三寸”并“相去四寸”的数量说法。《医学入门》作“平巨阙三寸”,《医统》、《针灸聚英》作“去中行任脉各三寸”,共同受《甲乙经》抄写错误的影响,而不深入考证。《明堂》作“在上管两旁,各一寸”,这是错误的。
【承满】(出自《甲乙经》):位于不容下一寸。(出自《甲乙经》)对上脘穴。(出自《类经》)
按语:《千金方》及《翼方·大肠篇》说:“挟巨阙相去五寸。”巨阙在心下一寸,灸之者挟巨阙两边,各二寸半。这是错误的。说法既已见到。
【梁门】(出自《甲乙经》):位于承满下一寸。(出自《甲乙经》)对中脘穴(出自《类经》)。孕妇禁灸(出自《类经》)。
【关门】(出自《甲乙经》):位于梁门下,太乙上。(出自《甲乙经》)梁门下一寸。(出自《千金方》)对建里穴。(出自《类经》)
按语:《千金翼方》中“门”写作“...”。
【太乙】(出自《甲乙经》):位于关门下一寸。(出自《甲乙经》)对下脘穴(出自《类经》)
按语:《千金方》、《千金翼方》、《外台秘要》次注、《针灸资生经》、《圣济总录》、《针灸宝鉴》作“太一”,意义无异。《千金翼方》中“门”写作“明”。
【滑肉门】(出自《甲乙经》):位于太乙下一寸。(出自《甲乙经》)天枢上一寸,对水分穴。(出自《类经》)
按语:《针灸聚英》、《医统》作“下挟脐下一寸至天枢”,“去中行三寸”下“挟”之下字,吴文炳作“一”。
【天枢】(出自《脉经》):一名长溪,一名谷门(出自《甲乙经》),一名大肠募(出自《肘后备急方》),一名循际,一名长谷。(出自《千金方》)去肓俞一寸五分,挟脐两旁各二寸,陷者中。(出自《甲乙经》)滑肉门下一寸(次注)。魂魄之舍,不可针(出自《千金方》)。孕妇禁灸。(同上)
按语:“谷门”,《千金方》、《千金翼方》、《外台秘要》、《针灸资生经》、《圣济总录》、《类经》、《针灸发挥》、《针灸聚英》、《针灸大全》、《医统》均作“谷门”,音通。《针灸资生经》中“溪”作“鸡”,“肓”作“育”。《千金方·脾脏篇》说:“长谷挟脐相去五寸,一名循际。”又说:“挟脐相去三寸。”“魂魄之舍,不可针。”大法在脐旁一寸,合脐相去可三寸也。《千金翼方》作“挟脐相去各二寸”。《针灸聚英》、吴文炳作“去肓俞半寸”,大概是“寸半”之误。《针灸大成》作“一寸”,脱字。奇穴部“魂舍”,可合参考证。
【外陵】(出自《甲乙经》):位于天枢下,大巨上。(出自《甲乙经》)天枢下一寸。(次注)对阴交穴。(出自《类经》)
按语:《千金方》作“天枢...”,从《千金方》之说。《景岳全书》说:“在脐左右各开一寸半,灸疝立效,永不再发,屡用,屡验。”“脐者”是“阴交”之误。
【大巨】(出自《甲乙经》):一名腋门。(出自《甲乙经》)长溪下二寸。(出自《甲乙经》)外陵下一寸。(次经)对石门穴。(出自《类经》)
按语:“腋”,《外台秘要》作“掖”。《千金方》作“脐下一寸,两旁各二寸”,这是错误的。长溪即天枢。
【水道】(出自《甲乙经》):大巨下一寸。(增注)
按语:《甲乙经》、《千金方》、《千金翼方》、次注、《外台秘要》共作“大巨下三寸”,以下诸书从之。《针灸聚英》、吴文炳作“二寸”。《千金方》、《千金翼方》说:“挟屈骨,相去五寸。”此水道大概是奇穴,详见奇穴部。《针灸宝鉴》作“天枢下五寸”,这是错误的。说法见下文。
【归来】(出自《甲乙经》):一名溪穴。(出自《甲乙经》)水道下一寸(增注)
按语:《甲乙经》、《千金方》、《千金翼方》、《气府论注》、《圣济总录》作“二寸”。《水热穴论注新校正》作“三寸”。《外台秘要》作“五寸”。《千金注》引《外台秘要》作“三寸”。说法见下文。《千金方·妇人篇》作“挟玉泉五寸”,不是。
【气冲】(出自《素问》):一名气街。(出自《素问》)归来下,鼠鼷上一寸,动脉应手(出自《甲乙经》),宛宛中。(出自《针灸资生经》)灸之不幸使人不得息(出自《甲乙经》)禁刺。(出自《针灸资生经》)
按语:《针灸大全》说:一名气冲。“冲”、“衝”古通用,非一名,不取。《骨空论》说:“毛际动脉,归来下,动脉是也。”《千金方》、《外台秘要》作“归来下一寸”。鼠鼷,《素问》说:“刺气街,中脉血不出,为肿鼠仆。”注曰:“气街,在腹下挟脐两旁相去四寸,鼠仆上一寸,动脉应手。”新校正云:“别本,仆作鼷。”张介宾说:“仆当作鼷。”《千金翼方》作“鼠...”。《医门摘要》说:“鼠鼷羊矢同。”这是不对的。羊矢骨与是不同的。按王冰说“挟脐两旁相去四寸”是错误的。又《水热穴论注》说:“脐下横骨两端,鼠鼷上一寸。”《本草别录》马刀条说:“除肌中鼠鼷。”《外台秘要》箕门注曰:“鼠鼷痛,小便难。”《医宗金鉴》说:“腿班中有肉核,名曰鼠鼷。”“溪”、“鼷”音通。《说文》说:“小鼠也。”即《春秋》所言“鼷鼠食郊牛角”者。陈藏器说:“鼷鼠极细,卒不可见。”尹文子说:“郑人谓玉未琢者为璞,周人谓鼠未腊者为璞。周人遇郑贾人曰:‘欲买璞乎?’郑贾曰:‘欲之。’出璞视之,鼠也。因谢不取。”《战国策》同。大概“仆”、“鼷”者是“璞”之转讹。按毛际腿中肉核,动应手,俗所谓“横根”所是也。《千金方》、《外台秘要》并作“归来下一寸”。《医学入门》作“天枢下八寸”。夫脐下至横骨六寸半,骨度为然,何得八寸?《素问》说:“挟鸠尾之外当乳下三寸,挟胃脘各五。”次注曰:“谓不容、承满、梁门、关门、太乙五穴也。”又说:“挟脐广三寸,各三。”注曰:“谓滑肉门、天枢、外陵也。”又说:“下脐二寸,挟之各三。”注曰:“谓大巨、水道、归来也。”马莳说:“鸠尾下三寸,胃脘五寸。言鸠尾下一寸曰巨阙,又下一寸半曰上脘。今曰三寸者,正以鸠尾上之蔽骨数起也。鸠尾下三寸半,为胃之中脘。今五寸者,字之误也。以下至横骨,言自中脘以下,有建里、下脘、水分、神阙、阴交、气海、石门、关元、中极、曲骨等穴,共计一十三寸。今曰六寸半,一者,疑当为二,六寸半者二,则为十三寸也。是腹部中行之脉法也。此注牵强附会,可笑也。巨阙下一寸半,取上脘穴,强合经文,此承皇甫氏之谬也。不知脐下至横骨六寸半,为一十三寸说,以一为二,故误如此解书何难之有。如其无征何。学人察诸。”折衷曰:天枢与任脉神阙相对,气冲与任脉曲骨相对,而自曲骨至神阙,相去五寸也。如斯从天枢至气冲,亦当相去五寸。然《甲乙经》说天枢气冲之间相去分寸,甚有余,而难合于曲骨神阙相去之寸,恐非也。经曰:“下脐二寸,各三。”二寸中有三穴也,不可解。凡脐下四寸,而别取此气冲穴于毛际,与经文合。从《甲乙经》、《千金方》等,大巨、水道、归来相去为二寸,则至归来六寸。归来下半寸间取此穴,而不合经文“毛际”语。窃疑《素问》上文言“挟脐三寸,各三”,至此乃言“下脐二寸,各三”,“二”字“三”误。不然则“各”字不稳。且大巨、水道、归来,各每寸一穴,则与外陵并度之,得脐下四寸,乃归来下一寸,为气冲穴,正与横骨二穴相对。又“挟鸠尾之外,当乳下三寸”之三,亦“五”之误。然则挟鸠尾之旁,当乳下行五寸,每寸一穴,“各”字义亦稳矣。仍记数言,以待来哲。因次注“挟中行二寸”语,以此穴为横骨两端,不觉冲门同处。《甲乙经》、《千金方》以气冲属腹部三行,以冲门属四行。腹部四行,自两乳下行至横骨端,因知自胸至小腹渐狭也。而其书“挟任脉几寸”,使人知在某行中也。《甲乙经》、《千金方》以部分列,故言自某穴,挟某穴几寸,至某穴,言起自某穴旁下行至某穴也。《外台秘要》始以穴系经,而以任脉属肾经,督脉属膀胱经。及滑寿,十二经合任督二脉为十四经。尔后说经穴者,一据十四经,至一行中别布置三四所,乃每穴不能言挟某几寸。后人不知此义也,故以腹部四行置横骨六寸半中,准拟分量,目巧度之。《骨度正误》曰:“自天枢至横骨六寸半。”盖肾经与任脉不为脐下五寸也。脾胃之两经,可取于六寸半矣。是亦臆说古书,言横骨有二义,以横骨为穴名,故有此误。
【急脉】(出自《素问》):厥阴毛中。(出自《素问》)阴髦中,阴上两旁,相去二寸半。按之隐指坚然,甚按则...也。其左者,中寒则引少腹,下引阴丸善为痛,为少腹急中寒。此两脉皆厥阴之大络通行其中,故曰厥阴急脉,即睾之系也。可灸而不可刺也。(次注)
按语:《类经》说:“此穴自《甲乙经》以下,诸书皆无,是遗误也。”《医宗金鉴》中“坚然”作“而坚”。
腹第四行,自期门上,直两乳,挟不容两旁,各一寸半,下行至冲门,凡十四穴。
【期门】(出自《伤寒论》):一名肝募(出自《针灸大成》)。第二肋端,不容旁,各二寸五分,上直两乳,举臂取之。(出自《甲乙经》)承满旁。(增注)
按语:“第二肋”及“两肋”说详于不容下。本文“不容”字,写误,当作“承满”。其旁,各一寸五分。上直两乳,第二肋端,是期门也。“第二肋”,《千金方》说:“奔豚,灸期门百壮。”穴直两乳下,第二肋端旁。“肋”,旧作“胁”误。(《针灸篇·妇人病中》作“肋”)。“第二肋”,言乳下第二肋也。“端”,《本事方》作“间”,非矣。“不容”当两肋端,其旁一寸五分,则在膺骨间,而《甲乙经》、《千金方》共属腹部,可疑之一也。“不容”在肋端,其旁一寸五分,又谓肋端可疑之二也。在膺骨间,而谓肋端,可疑之三也。自大横倒量上行至不容,不合骨度之数者一寸,可疑之四也。故谓传写之误也。今试自直脐大横穴量之,大横上三寸,腹哀。腹哀上一寸五分,日月。日月上五分,横平当通谷也。通谷旁一寸五分,承满也。承满旁一寸五分,直两乳下行当肋端。于是,不容误谬,可始解矣。近世,唯取“不容”二字,不取“肋端直两乳”五字何也?《针灸聚英》作“乳直下一寸半”,《针灸大成》作“乳旁一寸半,直下又一寸半”,不是。《针灸宝鉴》说:“令人仰卧,从脐心正中,向上五寸,以墨点定。从墨点两边,横量各二寸半。此乃正穴。大约直两乳,为的。此说为是,而言二寸半者,不可从。”
【日月】(出自《甲乙经》):一名胆募,一名神光(出自《千金方》)。期门下五分。(出自《千金方》)
按语:《千金方》、《外台秘要》、《针灸资生经》、《圣济总录》作“期门下五分”,这是正确的。次注作“第三肋端,横直心蔽骨旁各二寸五分,上直两乳”,是无稽之言也。何则?日月在期门下五分,期门乳下肋端是也。假使期门在不容旁蔽骨下一寸五分旁,此不容也。其下五分,无横直心蔽骨之理。《针灸资生经》有“陷中”字,此以期门取不容旁之误也。以为期门在不容旁一寸五分,则此穴亦在胸中骨间,故谓陷中,杜撰也。《甲乙经》作“期门下一寸五分”,盖据期门在不容旁之文,后人谩补入“一寸”字也。故今从《千金方》等。《针灸聚英》中“日月”无说,见辄筋。
[Shangqu] Written as "Shanggu" in *Tongren Shuxue Zhenjiu Tujing* (Manual of Points for Acupuncture and Moxibustion).
Huangshu (Jia Yi): Located one cun below Shangqu, directly opposite five fen lateral to the umbilicus. (Jia Yi)
Note: *Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold), *Waitai Miyao* (Secret Essentials of the Outer Terrace), *Zishengjing* (Acupuncture and Moxibustion Resource Classic), and *Yizong Jinjian* (Golden Mirror of the Medical Tradition) write it as "Mang"; *Zishengjing* writes it as "Yu"; *Leijing* states: "One cun below Shangqu" should be "two cun". *Huangdi Neijing* records: "Half an cun lateral to Jiawei on both sides, one acupoint per cun up to the umbilicus." Generally, there were seven acupoints from Youmen to Huangshu in ancient times. Since *Jia Yi Jing*, these points have been missing. *Jia Yi Jing* specifies "one cun below Shangqu" using the phrase "directly opposite the umbilicus side". Later scholars mistakenly changed "two" to "one", deviating significantly from the ancient method, making it impossible to verify. Currently, the phrase "one cun below Shangqu" is omitted, and this point is fixed at five fen lateral to the umbilicus, following Zhang's theory.
[Zhongzhu] (Jia Yi): Located one cun below Huangshu. (Zisheng)
Note: *Jia Yi Jing*, *Qianjin Yaofang*, *Waitai Miyao* (sub-commentary) write "five fen below Huangshu"; *Zhenjiu Fahui* (Acupuncture and Moxibustion Unfolding), *Leijing*, *Zhenjiu Juying* (Acupuncture and Moxibustion Gathered Brilliance), *Yixue Rumen* (Medical Beginner's Entry), *Yitong*, and *Zhenjiu Baojian* all follow *Zisheng*. Based on *Huangdi Neijing*'s meaning of "five fen lateral to the lower umbilicus to Henggu, one acupoint per cun," *Zisheng* is correct.
[Siman] (Jia Yi): Also known as Suifu. (Jia Yi) Located one cun below Zhongzhu. (Jia Yi) Flanking Dantian. (Qianjin)
Note: The character "Sui" is written as "Sui" in *Waitai Miyao*; "Fu" is written as "Zhong" in *Zhenjiu Juying*, Wu Wenbing, and *Zhenjiu Dacheng*. *Qianjin Fang* states: "The two sides of Dantian are each one cun and half apart." (*Qianjin Yifang* lacks the character "half," likely a textual omission.) Dantian is located two cun below the umbilicus. This explanation can be accepted. It also states: "Flanking the two sides of Dantian, three cun apart," which corresponds to eight cun below the heart and the transverse crease below the umbilicus. This cannot be accepted. Dantian is Shimen. *Zhenjiu Fahui* writes "one cun lateral to Qihai," which is incorrect.
[Qixue] (Jia Yi): Also known as Baomen, also known as Zihu. (Jia Yi) Located one cun below Siman. (Jia Yi)
Note: *Maijing* states: "Baomen is three cun lateral to Taicang on both sides." Taicang is another name for Zhongwan. *Qianjin Yaofang · Gynecology Chapter* states: "Baomen is two cun to the left of Guanyuan, and two cun to the right is named Zihu." These two explanations are not related to this specific acupoint. Furthermore, "Guanzhong" is detailed in the Extraordinary Acupoints section. Additionally, *Furen Daquan Liangfang · Fetal Restlessness Discussion* states: "Medication causing warmth and tonification instead causes Baomen and Zihu to be dried and constrained by the medicine." Its self-note says: "Chao Yuanfang's *Zhubing Yuanshou Lun* and *Chanbao* both refer to them as Baomen and Zihu. Zhang Zhongjing refers to them as Xueshi."
[Dahé] (Jia Yi): Also known as Yinwei, also known as Yinguan. (Jia Yi) Located one cun below Qixue. (Jia Yi)
Note: *Qianjin Yaofang · Kidney Chapter* states: "Three cun from the end of the flexed bone." This contradicts other texts. Moreover, in *Qianjin Fang*, "end of the flexed bone" is an alias for Qugu and Henggu, making it even more difficult to explain. References to "flexed bone" in *Qianjin Fang* are numerous; see below.
[Hénggǔ] (Suwen): Also known as Xiaji. (Jia Yi) Also known as Qugu. (Qianjin) Located one cun below Dahé (Jia Yi), five cun below Huangshu. (Zhenjiu Fahui) In the depression. (Rumen) Forbidden for needling. (Rumen)
Note: *Zhenjiu Daquan* and *Zhou Shen Jingxue Fu* write "Henggu" as "Henggu." It is also said to be named Qu Gutuan. *Qianjin Fang* states: "In the center of Henggu above Yin, curved like the center of a crescent moon." This is correct. This name is Henggu, consistent with *Qianjin Yifang*. *Qianjin Fang · Cholera Chapter* notes moxa for Cigong: "Henggu is at the transverse gate bone below the umbilicus." This is correct. "Transverse gate bone" refers to Henggu. Another chapter states: "Moxa Yuquan acupoint, below the flexed bone in Yin." Another chapter states: "Shuidao acupoint is five cun apart flanking the flexed bone." *Qianjin Yifang* states: "Flexed bone is five cun below the umbilicus; on both sides of the end of the flexed bone and Shuidao, each two cun and half." Another chapter on stranguria states: "One cun below Yuquan is named Niaobao, also known as Qu Gutuan." Below Qugu, cross-reference is advised. References to "flexed bone" vary, suggesting potential errors. "Quèyuè" (crescent moon) is written as "Ru Yangyue Xianzhong" in *Rumen*, one cun and half lateral to Qugu; Wu Wenbing writes "Center of the upward crescent," one cun and half from the midline; Li Shizhen writes "Yanyue"; *Yitong* writes "Woyue". *Xiyuan Lu* states: "The bone in the female private part is called Xiubi Bone, which cannot be examined; it is likely Henggu."
Abdominal Third Line: Starting from Burong, one cun and half lateral to both sides of Youmen, descending to Qichong and Jimai, totaling twenty-six acupoints.
[Burong] (Jia Yi): One cun and half lateral to Youmen, three cun from Renmai, at the ends of the two ribs, four cun apart (Jia Yi). Opposite Juque. (Leijing)
Note: The character "Liang" (two) is often written as "Si" (four) in various texts. This point opposes Juque; Juque is two cun lateral, directly adjacent to the rib end, which does not fit the count of four ribs. Speaking of rib numbers, there must be a "Di" (ordinal) character. Here, no ordinal is used. Only *Qianjin Fang* writes "directly at the fourth rib end," while the sub-commentary adds the ordinal. Qimen is mentioned as the "second rib." Qimen is lateral to Burong, but the positions of two and four are swapped, causing doubt. Current examination shows Burong is directly adjacent to the ends of the left and right ribs. This rib bifurcates, hanging down on both sides, resembling one rib that splits; thus, described as "two" due to its shape. *Jia Yi Jing* says: "Three cun from Renmai." Youmen is five fen lateral to both sides of Juque; Burong is one cun and half lateral to Youmen, totaling two cun. "Can" should be "Er" (two); take this point two cun lateral to Renmai. *Leijing* cites this text as "two cun." *Qianjin Fang*, *Qianjin Yifang*, and *Waitai Miyao* write "two cun from Renmai," which is correct. *Jia Yi Jing* says: "Four cun apart," meaning measured including Renmai. The sub-commentary writes "four cun apart on both sides of the abdominal midline," misreading *Jia Yi Jing* by adding "each," rendering "apart" grammatically incorrect. The measurements "three cun from Renmai" and "four cun apart" are now deleted. *Rumen* writes "level with Juque, three cun"; *Yitong* and *Zhenjiu Juying* write "three cun from the midline Renmai," collectively suffering from copying errors in *Jia Yi Jing* without deep investigation. *Mingtang* writes "one cun on both sides of the upper tube," which is incorrect.
[Chengman] (Jia Yi): One cun below Burong. (Jia Yi) Opposite Shangwan. (Leijing)
Note: *Qianjin Fang* and *Yifang · Large Intestine Chapter* state: "Five cun apart flanking Juque." Juque is one cun below the heart; those who moxa it do so two cun and half on both sides of Juque. This is incorrect. The explanation has been seen.
[Liangmen] (Jia Yi): One cun below Chengman. (Jia Yi) Opposite Zhongwan (Leijing). Forbidden for moxa during pregnancy (Leijing).
[Guanmen] (Jia Yi): Below Liangmen, above Taiyi. (Jia Yi) One cun below Liangmen. (Qianjin) Opposite Jianli. (Leijing)
Note: In *Qianjin Yifang*, "Men" is written as "...".
[Taiyi] (Jia Yi): One cun below Guanmen. (Jia Yi) Opposite Xiawan (Leijing)
Note: *Qianjin Fang*, *Qianjin Yifang*, *Waitai Miyao* sub-commentary, *Zisheng*, *Shengji Zonglu*, and *Baojian* write "Taiyi" as "Taiyi," with no difference in meaning. In *Qianjin Yifang*, "Men" is written as "Ming."
[Huaroumen] (Jia Yi): One cun below Taiyi. (Jia Yi) One cun above Tianshu, opposing Shuifen. (Leijing)
Note: *Zhenjiu Juying* and *Yitong* write "Below clamping the lower umbilicus one cun to Tianshu," and the character "xia" (below) after "qu zhongxing san cun" is written as "yi" by Wu Wenbing.
[Tianshu] (Maijing): Also known as Changxi, also known as Gumén (Jia Yi), also known as Dachang Mu (Zhouhou), also known as Xunjì, also known as Changgu. (Qianjin) One cun and half away from Huangshu, two cun lateral to both sides of the umbilicus, in the depression. (Jia Yi) One cun below Huaroumen (sub-commentary). Residence of Hun and Po, forbidden for needling (Qianjin). Forbidden for moxa during pregnancy. (Same)
Note: "Gumen" is written as "Gumen" in *Qianjin Fang*, *Qianjin Yifang*, *Waitai Miyao*, *Zisheng*, *Shengji Zonglu*, *Leijing*, *Zhenjiu Fahui*, *Zhenjiu Juying*, *Daquan*, and *Yitong*, sharing the same pronunciation. In *Zisheng*, "Xi" is written as "Ji," and "Huang" as "Yu." *Qianjin Fang · Spleen Chapter* states: "Changgu is five cun apart flanking the umbilicus, also known as Xunjì." It also states: "Three cun apart flanking the umbilicus." "Residence of Hun and Po, forbidden for needling." The general rule is one cun lateral to the umbilicus, totaling three cun from the umbilicus. *Qianjin Yifang* writes "two cun apart flanking the umbilicus." *Zhenjiu Juying* and Wu Wenbing write "half cun from Huangshu," likely an error for "one cun and half." *Dacheng* writes "one cun," missing a character. "Hunshe" in the Extraordinary Acupoints section can be cross-referenced.
[Wailing] (Jia Yi): Below Tianshu, above Daju. (Jia Yi) One cun below Tianshu. (Sub-commentary) Opposite Yinjiao. (Leijing)
Note: *Qianjin Fang* writes "Tianshu...", following *Qianjin Fang*. *Jingyue Quanshu* states: "One cun and half open to the left and right of the umbilicus; moxa for hernia is immediately effective and never recurs, tested repeatedly." "Qi zhe" is an error for "Yinjiao."
[Daju] (Jia Yi): Also known as Yemen. (Jia Yi) Two cun below Changxi. (Jia Yi) One cun below Wailing. (Ci Jing) Opposite Shimen. (Leijing)
Note: "Ye" is written as "Ye" in *Waitai Miyao*. *Qianjin Fang* writes "one cun below the umbilicus, two cun on both sides," which is incorrect. Changxi is Tianshu.
[Shuidao] (Jia Yi): One cun below Daju. (Added Note)
Note: *Jia Yi Jing*, *Qianjin Fang*, *Qianjin Yifang*, sub-commentary, and *Waitai Miyao* all write "three cun below Daju," followed by subsequent texts. *Zhenjiu Juying* and Wu Wenbing write "two cun." *Qianjin Fang* and *Qianjin Yifang* state: "Five cun apart flanking the flexed bone." This Shuidao is likely an extraordinary acupoint, detailed in the Extraordinary Acupoints section. *Baojian* writes "five cun below Tianshu," which is incorrect. See below.
[Guilai] (Jia Yi): Also known as Xixue. (Jia Yi) One cun below Shuidao (Added Note)
Note: *Jia Yi Jing*, *Qianjin Fang*, *Qianjin Yifang*, *Qifu Lun Zhu*, and *Shengji Zonglu* write "two cun." *Shuire Xuelun Zhu Xin Zhengzheng* writes "three cun." *Waitai Miyao* writes "five cun." *Qianjin Zhu* citing *Waitai Miyao* writes "three cun." See below. *Qianjin Fang · Gynecology Chapter* writes "five cun flanking Yuquan," which is incorrect.
[Qichong] (Suwen): Also known as Qijie. (Suwen) Below Guilai, one cun above Shuxi, where the artery beats (Jia Yi), in the hollow. (Zisheng) Moxa may unfortunately cause breathlessness (Jia Yi). Forbidden for needling. (Zisheng)
Note: *Zhenjiu Daquan* states: Also known as Qichong. "Chong" and "Chong" were interchangeable in ancient times, not distinct names, so this is not taken. *Gukong Lun* states: "Artery at the pubic hair line, below Guilai, is the artery." *Qianjin Fang* and *Waitai Miyao* write "one cun below Guilai." Shuxi: *Suwen* states: "Needle Qijie, if blood does not flow out of the pierced vessel, swelling occurs in Shupu." Commentary states: "Qijie is four cun apart flanking the lower abdomen and umbilicus, one cun above Shupu, where the artery beats." New Correction states: "Alternative versions write 'Pu' as 'Xi'." Zhang Jiebin states: "Pu should be 'Xi'." *Qianjin Yifang* writes "Shu...". *Yimen Yaojian* states: "Shuxi and Yangshi are the same." This is incorrect. Yangshi bone is different. Wang Bing's statement that they are "four cun apart flanking the umbilicus" is erroneous. *Shuire Xuelun Zhu* states: "At both ends of the transverse bone below the umbilicus, one cun above Shuxi." *Bencao BieLu* under Mach Dao states: "Remove Shuxi in the muscle." *Waitai Miyao* Ji Men note says: "Shuxi pain, difficult urination." *Yizong Jinjian* states: "A flesh nodule in the thigh band is named Shuxi." "Xi" and "Xi" share pronunciation. *Shuowen* states: "Small mouse," i.e., the "Xi Mouse eating sacrificial ox horns" mentioned in *Spring and Autumn Annals*. Chen Cangqi states: "Xi mice are extremely fine and invisible suddenly." Yin Wenzi states: "People of Zheng call uncarved jade Pu; people of Zhou call un-cured mouse Pu. A person from Zhou met a merchant from Zheng and asked: 'Do you want to buy Pu?' The merchant said: 'Yes.' He took out Pu to show him; it was a mouse. He apologized and did not buy it." *Zhan Guo Ce* is similar. Likely "Pu" and "Xi" are corruptions of "Pu." At the pubic hair line and meat nodules in the thigh, beating upon pressing, commonly known as "Henggen." *Qianjin Fang* and *Waitai Miyao* both write "one cun below Guilai." *Rumen* writes "eight cun below Tianshu." From the umbilicus to Henggu is six cun and half according to bone measurement; how can it be eight cun? *Suwen* states: "Half an cun lateral to Jiawei outside, three cun below the breast; five cun flanking the stomach." Sub-commentary states: "Refers to Burong, Chengman, Liangmen, Guanmen, Taiyi, five acupoints." It also states: "Three cun wide flanking the umbilicus, three each." Commentary states: "Refers to Huaroumen, Tianshu, Wailing." It also states: "Two cun below the umbilicus, three each flanking." Commentary states: "Refers to Daju, Shuidao, Guilai." Ma Shi states: "Three cun below Jiawei, five cun flanking the stomach. Saying one cun below Jiawei is Shangwan, and another one cun and half below is Shangwan. Now saying three cun is precisely because counting starts from the cartilage above Jiawei. Three cun and half below Jiawei is the middle of the stomach, Zhongwan. Now five cun is a textual error. From below to Henggu, speaking from Zhongwan below, there are Jianli, Xiawan, Shuifen, Shenque, Yinjiao, Qihai, Shimen, Guanyuan, Zhongji, Qugu, etc., totaling thirteen cun. Now saying six cun and half, one suspects it should be two; six cun and half times two equals thirteen cun. This is the pulse method of the abdominal midline. This commentary is forced and absurd. Taking Shangwan one cun and half below Juque to forcibly match the classic text inherits Huangfu Mi's error. Not knowing that from the umbilicus to Henggu is six cun and half, interpreting it as thirteen cun by changing one to two leads to such errors. How difficult is it to interpret books? What if there is no evidence? Scholars observe. Eclectic view: Tianshu opposes Shenque of Renmai; Qichong opposes Qugu of Renmai. From Qugu to Shenque is five cun. Thus, from Tianshu to Qichong should also be five cun. However, *Jia Yi Jing* says the distance between Tianshu and Qichung leaves much room, making it hard to match the distance between Qugu and Shenque, likely incorrect. The classic says: "Two cun below the umbilicus, three each." There are three acupoints in two cun, which is inexplicable. Generally, four cun below the umbilicus, taking this Qichong acupoint at the pubic hair line matches the classic text. Following *Jia Yi Jing* and *Qianjin Fang*, Daju, Shuidao, and Guilai are two cun apart, reaching six cun at Guilai. Taking this point in the half cun below Guilai does not match the classic text's "pubic hair line." Suspecting that the upper text of *Suwen* says "flanking the umbilicus three cun, three each," here it says "two cun below the umbilicus, three each," the character "two" or "three" is erroneous. Otherwise, "each" is unstable. And Daju, Shuidao, Guilai, one acupoint per cun, combined with Wailing, reach four cun below the umbilicus, then one cun below Guilai is Qichong, exactly opposite the two Henggu acupoints. Also, the "three" in "outside Jiawei, three cun below the breast" is likely an error for "five." Then, five cun down from beside Jiawei below the breast, one acupoint per cun, makes "each" stable. Still recording numbers for future philosophers. Due to the sub-commentary's "two cun clamping the midline," regarding this point as both ends of Henggu, inadvertently placing it with Chongmen. *Jia Yi Jing* and *Qianjin Fang* place Qichong in the third abdominal row and Chongmen in the fourth. The fourth abdominal row descends from both breasts to the end of Henggu, indicating narrowing from chest to lower abdomen. The book states "clamping Renmai several cun" to indicate which row it is in. *Jia Yi Jing* and *Qianjin Fang* list by region, stating from a certain point, clamping another point several cun, to a certain point, starting from the side of a certain point descending to a certain point. *Waitai Miyao* began linking points to meridians, placing Renmai in Kidney Meridian and Du Mai in Bladder Meridian. Hu Shou combined twelve meridians with Ren and Du into fourteen meridians. Later commentators on meridian points relied solely on the fourteen meridians, arranging three or four points in one row, unable to specify clamping several cun. Later generations did not understand this, placing the four abdominal rows within the six cun and half of Henggu, estimating by eye. *Gudu Zhengwu* states: "From Tianshu to Henggu is six cun and half." Kidney Meridian and Renmai are not five cun below the umbilicus. The two meridians of Spleen and Stomach can be taken within six cun and half. This is also a speculative interpretation of ancient texts. "Henggu" has two meanings; using Henggu as an acupoint name causes this error.
[Jimai] (Suwen): In the hair of Jueyin. (Suwen) In the pubic hair, two cun and half apart on both sides above Yin. Pressing feels firm hidden under the finger; pressing deeply causes... The left one, if struck by cold, draws to the lower abdomen, drawing down to the testicle, prone to pain, indicating lower abdominal urgency and cold. These two vessels are the large collaterals of Jueyin passing through, hence named Jueyin Jimai, which is the cord of the testis. Can be moxa but not needled. (Sub-commentary)
Note: *Leijing* states: "Since *Jia Yi Jing*, all subsequent texts lack this point, an omission/error." *Yizong Jinjian* writes "firm" as "and firm."
Abdominal Fourth Row: Starting from Qimen, directly to both breasts, one cun and half lateral to both sides of Burong, descending to Chongmen, totaling fourteen acupoints.
[Qimen] (Shanghan Lun): Also known as Gancu (Dacheng). End of the second rib, two cun and half lateral to Burong, directly above both breasts, take with arms raised. (Jia Yi) Lateral to Chengman. (Added Note)
Note: "Second rib" and "two ribs" explanations are detailed under Burong. The character "Burong" in the text is a writing error, should be "Chengman." Its side, one cun and half each. Directly above both breasts, end of the second rib, is Qimen. "Second rib": *Qianjin Fang* states: "For Ben Tun, moxa Qimen one hundred strong." The point is directly below both breasts, end of the second rib side. "Rib" was formerly written as "Xie" (side/flank) erroneously. (*Zhenjiu Pian · Gynecology Disease* writes "Rib"). "Second rib" refers to the second rib below the breast. "End" in *Benshi Fang* is written as "Jian" (space/between), which is incorrect. "Burong" should be at the end of the two ribs; one cun and half lateral to it is in the sternum area, yet *Jia Yi Jing* and *Qianjin Fang* belong to the abdomen, suspicious reason one. "Burong" is at the rib end, one cun and half lateral, again suspecting the rib end, suspicious reason two. In the sternum area, yet called rib end, suspicious reason three. Measuring upwards from Dahan to Burong does not match bone measurement by one cun, suspicious reason four. Thus, it is considered a transcription error. Now trying to measure from the umbilicus-aligned Dahan point: three cun above Dahan is Fuai; one cun and half above Fuai is Riyue. Five fen above Riyue is level with Tonggu. One cun and half lateral to Tonggu is Chengman. One cun and half lateral to Chengman is directly below both breasts descending to the rib end. Thus, the error in Burong can be explained. Why do modern practitioners only take the two characters "Burong" and not the five characters "rib end directly below both breasts"? *Zhenjiu Juying* writes "one cun and half directly below the breast"; *Dacheng* writes "one cun and half lateral to the breast, another one cun and half directly down," which is incorrect. *Baojian* states: "Have the person lie supine, mark five cun up from the center of the umbilicus with ink. Measure two cun and half horizontally on both sides from the ink mark. This is the correct point. Approximately directly below both breasts is accurate. This theory is correct, but saying two cun and half cannot be followed."
[Riyue] (Jia Yi): Also known as Danmu, also known as Shenguang (Qianjin). Five fen below Qimen. (Qianjin)
Note: *Qianjin Fang*, *Waitai Miyao*, *Zisheng*, and *Shengji Zonglu* write "five fen below Qimen," which is correct. The sub-commentary writes "end of the third rib, horizontally straight two cun and half lateral to the xiphoid process, directly above both breasts," which is baseless. Why? Riyue is five fen below Qimen, and Qimen is at the rib end below the breast. Suppose Qimen were one cun and half below the xiphoid process lateral to Burong; this is Burong. Five fen below it has no logic of being horizontally straight to the xiphoid process. *Zisheng Jing* has the character "Xianzhong" (in depression); this is due to the error of taking Qimen lateral to Burong. Believing Qimen is one cun and half lateral to Burong, this point is also in the chest bone gap, hence called "Xianzhong," fabricated. *Jia Yi Jing* writes "one cun and half below Qimen," likely based on the text of Qimen lateral to Burong, where later scholars casually added the character "one cun." Therefore, we now follow *Qianjin Fang* etc. *Zhenjiu Juying* has no explanation for "Riyue," see Zheqin.