（一名地阁，即承浆穴）属足阳明胃经、任脉之交（《灵枢》曰∶足阳明之脉，环唇下，
交承浆。又曰∶墙基卑高，不及其地者，不满三十而死；其有因加疾者，不及二十岁而死也）。又属足少阴肾
经（沈承之曰∶其在小儿面部，属足少阴肾经。《心鉴》曰∶水性润下，北方之应也）。
（颈项也）属足太阳膀胱经、督脉之交（《灵枢》曰∶足太阳之脉，从膂上出于项。邪气中于
项，则下太阳。又曰∶颈中央之脉，督脉也。《素问》曰∶邪客于足太阳之络，令人头项肩痛。又曰∶太阳所
谓强上引背者，阳气太上而争也。注∶强上，谓头项禁强也。又曰∶诸痉项强，皆属于湿。注∶痉，强急也，
太阳伤湿。李东垣曰∶脊痛项强，腰似折、项似拔者，此足太阳经不通行，以羌活胜湿汤主之。《素问》又曰∶
厥头痛，项先痛不可俯仰，腰脊为应，先取天柱，后取足太阳）。又属足厥阴肝经（《灵枢》曰∶足厥阴之脉，
循喉咙之后，上入颃颡。《素问》曰∶东风生于
春，病在肝，俞在颈项。张鸡峰曰∶肝主项背与臂膊）。又属手足少阳三焦、胆经（《灵枢》曰∶手少阳之脉，
其支者出缺盆，上项系耳后。又曰∶足少阳之脉，循颈，行手少阳之前，至肩上。又曰∶扶突次脉，足少阳脉
也，名曰天牖。暴聋气蒙，耳目不明，取天牖。沈承之曰∶挟项两旁大筋中，属足太阳膀胱经；大筋外，属足
少阳胆经；大筋前、耳后，属手少阳三焦经）。又属手足阳明大肠、胃经（《灵枢》曰∶手阳明之筋，直者从
肩上颈。其病肩不举，颈不可左右视。又曰∶足阳明之别，循胫骨外廉，上络头项。又曰∶足阳明是动，则
病齿痛颈肿。李东垣曰∶瘰 绕颈，或至耳下曲颊，皆由胃经中来，以升阳调经汤治之）。又属手太阳小肠经
（《灵枢》曰∶手太阳之脉，其支者，从缺盆循颈上颊。所生病者，颊肿，头项痛。又曰∶项痛不可俯仰，刺
足太阳；不可以顾，刺手太阳也。又曰∶手少阳之筋，上肩走颈，合手太阳。其病当所过者，即肢转筋）。又
属足少阴肾经（《灵枢》曰∶足少阴之正，直者系舌本，复出于项，合于太阳。王肯堂曰∶人多有挫闪，及久
坐失枕，而致项强，不可转移者，皆由肾虚不能生肝，肝虚无以养筋，故机关不利。六味丸主之）。
（地阁，即承浆穴）属于足阳明胃经与任脉的交会之处（《灵枢》记载：足阳明胃经的经脉，环绕嘴唇下方，在承浆穴处相交。又说：如果下巴骨骼低矮，不及承浆穴的位置，寿命不满三十岁；如果再加上疾病侵袭，则不到二十岁就会死亡）。此外，该部位也归属于足少阴肾经（沈承之说：在小儿的面部区域，归属于足少阴肾经。《心鉴》记载：水性滋润向下，对应北方）。
（指颈项部位）属于足太阳膀胱经与督脉的交会之处（《灵枢》记载：足太阳膀胱经的经脉，从脊背向上出于项部。邪气中伤项部，则下陷于足太阳经。又说：颈部中央的经脉是督脉。《素问》记载：邪气客居足太阳经的络脉，使人出现头、项、肩疼痛。又说：太阳经所谓的“强上引背”，是因为阳气过盛而上争所致。注释：强上，指的是头项僵硬不灵活。又说：各种痉病导致的项部强直，都归属于湿邪。注释：痉，指强急拘挛，这是太阳经受湿邪侵袭。李东垣说：脊痛项强，腰部像折断一样，项部像被牵引拔起一样，这是由于足太阳经气血不通畅，用羌活胜湿汤主治。《素问》又说：厥头痛，先出现项部疼痛且不能俯仰，腰部脊柱会有感应，先取天柱穴，后取足太阳经穴位）。此外，还归属于足厥阴肝经（《灵枢》记载：足厥阴肝经的经脉，沿着喉咙后方，向上进入颃颡。《素问》记载：东风生于春季，病变在肝，俞穴反映在颈项。张鸡峰说：肝主管项背和臂膊）。此外，还归属于手少阳三焦经和足少阳胆经（《灵枢》记载：手少阳三焦经的经脉，其分支出缺盆，上行至项部并联系耳后。又说：足少阳胆经的经脉，沿着颈部行走，位于手少阳经之前，到达肩上。又说：扶突穴处的脉络，是足少阳经的脉络，名叫天牖穴。突发耳聋、气机蒙蔽、耳目不明，取天牖穴治疗。沈承之说：夹在项部两旁大筋中间，属于足太阳膀胱经；大筋外侧，属于足少阳胆经；大筋前方及耳后，属于手少阳三焦经）。此外，还归属于手阳明大肠经和足阳明胃经（《灵枢》记载：手阳明大肠经的筋，直行者从肩上经过颈部。其病症表现为肩部不能抬起，颈部不能左右转动。又说：足阳明胃经的别络，沿胫骨外缘，上行联络头项。又说：足阳明经发生变动，就会出现牙齿痛、颈部肿胀的症状。李东垣说：瘰疬环绕颈部，或者延伸至耳下曲颊部位，都是由胃经引起的，用升阳调经汤治疗）。此外，还归属于手太阳小肠经（《灵枢》记载：手太阳小肠经的经脉，其分支，从缺盆沿着颈部上行至面颊。所生的疾病包括面颊肿胀、头项疼痛。又说：项痛不能俯仰，针刺足太阳经；不能回顾，针刺手太阳经。又说：手少阳三焦经的筋，上行至肩部走向颈部，与手太阳经会合。其病症发生在经络经过的部位，就会出现肢体转筋）。此外，还归属于足少阴肾经（《灵枢》记载：足少阴肾经的正经，直行者系连舌根，复出项部，与足太阳经会合。王肯堂说：很多人因挫伤闪失，以及久坐枕头不当，而导致项部强直，不能转动，这都是由于肾虚不能生养肝木，肝血虚无以滋养筋脉，导致关节机关不利。用六味丸主治）。
(Dige, also known as Chengjiang acupoint) belongs to the intersection of the Foot-Yangming Stomach Meridian (Zú Yángmíng Wèi Jīng, Foot Yangming Stomach Channel) and the Ren Mai (Conception Vessel). (*Ling Shu* states: The Foot-Yangming meridian circles below the lips and intersects at Chengjiang. It further states: If the chin bone is low and does not reach the level of this point, life expectancy will be less than thirty years; if illness is added, death may occur before twenty years of age). Furthermore, it is associated with the Foot-Shaoyin Kidney Meridian (Zú Shàoyīn Shèn Jīng, Foot Shaoyin Kidney Channel) (Shen Chengzhi stated: In the facial region of children, it belongs to the Foot-Shaoyin Kidney Meridian. *Xin Jian* states: Water nature moistens downward, corresponding to the North).
(Refers to the neck and nape) belongs to the intersection of the Foot-Taiyang Bladder Meridian (Zú Tàiyáng Pángguāng Jīng, Foot Taiyang Bladder Channel) and the Du Mai (Governing Vessel). (*Ling Shu* states: The Foot-Taiyang meridian ascends from the back and emerges at the nape. If pathogenic qi strikes the nape, it descends into the Foot-Taiyang meridian. It also states: The meridian in the center of the neck is the Du Mai. *Su Wen* states: When pathogenic qi lodges in the collaterals of the Foot-Taiyang meridian, it causes pain in the head, nape, and shoulder. It further states: What the Taiyang meridian calls "stiff neck pulling the back" is due to excessive yang qi struggling upward. Note: "Stiff neck" refers to rigidity and immobility of the head and nape. It also states: Various forms of spasm with stiff neck all belong to dampness. Note: Spasm refers to stiffness and tension, caused by the Taiyang meridian being injured by dampness. Li Dongyuan stated: Back pain and stiff neck, with the waist feeling like breaking and the neck feeling like being pulled out, are caused by the obstruction of the Foot-Taiyang meridian, treated primarily with Qianghuo Shengshi Tang. *Su Wen* further states: In Jue headache, where the nape hurts first and prevents flexion and extension, with the lumbar spine responding, one should first select Tianzhu acupoint, then select points on the Foot-Taiyang meridian). Furthermore, it is associated with the Foot-Jueyin Liver Meridian (Zú Juéyīn Gān Jīng, Foot Jueyin Liver Channel) (*Ling Shu* states: The Foot-Jueyin meridian follows behind the throat and ascends into the pharynx. *Su Wen* states: East wind arises in spring, disease affects the liver, and the Shu points reflect in the neck and nape. Zhang Jifeng stated: The liver governs the neck, back, arms, and shoulders). Furthermore, it is associated with the Hand-Shaoyang Sanjiao Meridian (Shǒu Shàoyáng Sānjiāo Jīng, Hand Shaoyang Triple Burner Channel) and the Foot-Shaoyang Gallbladder Meridian (Zú Shàoyáng Dǎn Jīng, Foot Shaoyang Gallbladder Channel) (*Ling Shu* states: The branch of the Hand-Shaoyang meridian exits the clavicular fossa, ascends to the nape, and connects behind the ear. It also states: The Foot-Shaoyang meridian follows the neck, running anterior to the Hand-Shaoyang meridian, reaching the shoulder. It also states: The vessel at Futu is the Foot-Shaoyang vessel, named Tianyou acupoint. For sudden deafness, Qi obstruction, and unclear hearing and vision, select Tianyou. Shen Chengzhi stated: Between the large tendons on both sides of the nape belongs to the Foot-Taiyang Bladder Meridian; outside the large tendons belongs to the Foot-Shaoyang Gallbladder Meridian; anterior to the large tendons and behind the ear belongs to the Hand-Shaoyang Sanjiao Meridian). Furthermore, it is associated with the Hand-Yangming Large Intestine Meridian (Shǒu Yángmíng Dàcháng Jīng, Hand Yangming Large Intestine Channel) and the Foot-Yangming Stomach Meridian (*Ling Shu* states: The sinews of the Hand-Yangming meridian, the straight ones, go from the shoulder over the neck. Their pathology involves inability to raise the shoulder and inability to turn the head left or right. It also states: The divergent vessel of the Foot-Yangming meridian runs along the outer edge of the tibia and ascends to connect the head and nape. It also states: When the Foot-Yangming meridian moves abnormally, it causes toothache and neck swelling. Li Dongyuan stated: Scrofula encircling the neck or extending to the angle of the jaw below the ear originates from the Stomach meridian, treated with Shengyang Tiaojing Tang). Furthermore, it is associated with the Hand-Taiyang Small Intestine Meridian (Shǒu Tàiyáng Xiǎocháng Jīng, Hand Taiyang Small Intestine Channel) (*Ling Shu* states: The branch of the Hand-Taiyang meridian, from the clavicular fossa, follows the neck up to the cheek. Diseases generated include cheek swelling and head/neck pain. It also states: For neck pain preventing flexion and extension, needle the Foot-Taiyang meridian; for inability to look back, needle the Hand-Taiyang meridian. It also states: The sinews of the Hand-Shaoyang meridian ascend to the shoulder and travel to the neck, merging with the Hand-Taiyang meridian. Pathology occurring at the sites passed through results in muscle cramps). Furthermore, it is associated with the Foot-Shaoyin Kidney Meridian (*Ling Shu* states: The regular pathway of the Foot-Shaoyin meridian, the straight part, connects to the root of the tongue, re-emerges at the nape, and merges with the Taiyang meridian. Wang Kentang stated: Many people suffer from stiff neck and inability to move due to sprains or prolonged sitting with improper pillow support. This is caused by Kidney deficiency failing to generate Liver wood, and Liver blood deficiency failing to nourish the sinews, leading to dysfunction of the joints. It is treated with Liuwei Wan).