手太阴肺经。起于中府。出腋下循臂内行人寸口。至鱼际。出大指之端。止于少商。凡十一穴。今录六穴。
中府(一名膺中俞) 在云门下一寸。去任脉中行华盖穴旁横开六寸。乳上三肋间陷中。动脉应手。仰而取之。
手足太阴之会刺三分。留五呼。灸三壮。主治肺急胸满。涕浊喉痹。气逆善噎。食不下。肺风面肿。肺胆寒热。此
穴主泻胸中之热。其治与缺盆风府多同。
云门 在中府上直行一寸六分陷中。动脉应手。举臂取之。刺三分。灸五壮。甲乙经云。刺太深令人逆息。千
金云。灸五十壮。主治咽痛喉闭。瘿气伤寒四肢热不已。咳逆短气上冲心胸等症。
天府 在臂 内廉腋下三寸动脉陷中。用鼻尖点墨到处是穴。刺三分。留三呼。禁灸。灸之令人气逆。主治暴
痹内逆肝肺相抟。血溢口鼻。飞尸鬼注。百证赋云。兼合谷可追鼻中衄血。
尺泽 在肘中约纹上。屈肘横纹筋骨罅中。动脉是也。
手太阴所入为合。肺实泻之。刺三分。留三呼。灸三壮。甄权云。臂屈伸横纹之间。筋骨罅中。不宜灸。主治
呕吐上气。喉痹腹痛。心烦舌干。及小儿慢惊风。可灸一壮。千金翼云。邪病四肢重痛。诸杂症候。尺泽主之。一
名鬼堂。又云。五般肘痛寻尺泽。
鱼际 在手大脂本节后内侧陷中。散脉中。白肉际。
手太阴所溜为荣。刺二分。留三呼。灸三壮。主治咽喉干燥。乳痈舌上黄。身热恶寒酒病。百证赋云。兼腋门
能治喉痛。一传齿痛不能食饮。左患灸左。右患灸右。男三灸。女四灸。
少商 在手大指内侧端。去爪甲角如韭叶。白肉宛宛中。手太阴所出为井。刺一分。留三呼五吸。宜用三棱
针刺。微出血泄诸脏之热。不宜灸。主治项肿喉痹。烦心呕哕。雀目不明。唇干唾沫。饮食不下。手弯指痛。小儿
乳蛾。乾坤生意云。此为十井穴。凡国中风暴卒。昏沉痰涎壅盛。牙关紧闭。水粒不下。急以三棱针刺此穴。及少
冲。中冲。关冲。少泽。商阳。使血气流行。乃起死回生急救之妙穴也。
手太阴肺经。起始于中府穴。从腋下出来,沿着手臂内侧下行,经过寸口穴,到达鱼际穴,出于大拇指末端,终止于少商穴。本经共有十一个穴位,这里记录六个穴位。
中府(又名膺中俞) 位于云门穴下一寸处。距离任脉正中线华盖穴旁开六寸,在乳头上方的第三肋骨间隙的凹陷中,按压有动脉搏动感。取穴时应仰卧位。
本穴为手、足太阴经交会穴。针刺深度三分,留针时间相当于五次呼吸的时间。艾灸三壮。主治肺气急迫、胸部胀满、鼻涕浑浊、喉痹、气逆易噎、饮食不下、肺风引起的面部浮肿、肺与胆的寒热病症。此穴主要用来泻除胸中的热邪,其治疗作用与缺盆、风府穴相似。
云门 位于中府穴上方直上一寸六分的凹陷中,按压有动脉搏动感。取穴时应举起手臂。针刺深度三分。艾灸五壮。《甲乙经》说:针刺过深会导致气息逆乱。《千金方》说:可灸五十壮。主治咽痛、喉闭、瘿气、伤寒引起的四肢发热不退、咳嗽气逆、短气上冲心胸等症状。
天府 位于手臂内侧,腋下三寸处的动脉凹陷中。用鼻尖点墨,墨迹落下的地方就是穴位。针刺深度三分,留针时间相当于三次呼吸的时间。禁止艾灸,艾灸会导致气逆。主治突发痹证、气机内逆、肝肺之气相搏结、口鼻出血、飞尸鬼注(古代指突发性、传染性的重症疾病)。《百证赋》说:配合合谷穴可以止住鼻衄血。
尺泽 位于肘部中间,横纹上方。屈肘时,在横纹筋骨之间的缝隙中,此处有动脉搏动。
手太阴经的气血在此深入汇合,称为“合”穴。肺气实证应当泻之。针刺深度三分,留针时间相当于三次呼吸的时间。艾灸三壮。甄权说:在手臂屈伸时的横纹之间,筋骨缝隙中,不宜艾灸。主治呕吐、气逆上冲、喉痹、腹痛、心烦、舌干,以及小儿慢惊风,可灸一壮。《千金翼方》说:邪气导致的四肢沉重疼痛及其他杂症候,由尺泽穴主治。又名鬼堂。又说:五种肘部疼痛应寻找尺泽穴。
鱼际 在大拇指本节后的内侧凹陷中,散在的脉络中,白肉边缘处。
手太阴经的气血在此流动汇聚,称为“荣”穴。针刺深度二分,留针时间相当于三次呼吸的时间。艾灸三壮。主治咽喉干燥、乳痈、舌苔黄、身体发热恶寒、酒病。《百证赋》说:配合腋门穴能治疗喉痛,若传变为齿痛且不能饮食,左侧患病灸左侧,右侧患病灸右侧。男性灸三壮,女性灸四壮。
少商 位于大拇指内侧端,距离指甲角如韭菜叶宽度处,在白肉凹陷中。手太阴经的气血由此发出,称为“井”穴。针刺深度一分,留针时间相当于三次呼吸加五次吸气的时间。宜使用三棱针刺破皮肤,使微量出血以泄除各脏腑的热邪。不宜艾灸。主治颈部肿胀、喉痹、心烦、呕吐呃逆、雀目(夜盲)、嘴唇干燥、唾液多、饮食不下、手腕手指疼痛、小儿乳蛾。《乾坤生意》说:这是十个井穴之一。凡是国家中发生中风猝死,昏迷、痰涎壅盛、牙关紧闭、水米不进的情况,紧急时用三棱针刺此穴,以及少冲、中冲、关冲、少泽、商阳穴,使气血流通,这是起死回生的急救妙穴。
The Lung Meridian of Hand-Taiyin (Hand-Taiyin Lung Meridian). It originates at Zhongfu (LU-1), emerges from the axilla, runs along the medial aspect of the arm, passes through Cun Kou (Radial Pulse), reaches Yu Ji (LU-10), exits at the tip of the thumb, and terminates at Shao Shang (LU-11). There are eleven acupoints in this meridian; six are recorded here.
Zhongfu (LU-1) (also known as Yingzhongshu): Located one cun below Yunmen (LU-2), six cun lateral to the anterior midline (Ren Mai) at Huagai (DU-16). It is situated in the depression between the third intercostal space above the nipple, where arterial pulsation can be felt. The patient should assume a supine position for needling.
This point is an intersection of the Hand-Taiyin and Foot-Taiyin meridians. Needle depth: 0.3 cun; retain needle for five breaths. Moxibustion: three moxa cones. Indications: acute lung qi stagnation with chest fullness, turbid nasal discharge, throat obstruction (Hou Bi), rebellious qi with frequent swallowing difficulties, inability to eat, facial edema due to Wind-Lung, and alternating cold and heat involving the Lung and Gallbladder. This point primarily drains heat from the chest; its therapeutic actions are similar to those of Quepen (LI-15) and Fengfu (DU-16).
Yunmen (LU-2): Located 1.6 cun directly above Zhongfu (LU-1) in the depression, where arterial pulsation can be felt. Raise the arm to locate the point. Needle depth: 0.3 cun. Moxibustion: five moxa cones. *Jia Yi Jing* states that excessive needle depth may cause dyspnea. *Qian Jin Fang* suggests moxibustion up to fifty cones. Indications: sore throat, laryngeal closure, goiter, persistent limb fever due to Cold Damage (Shang Han), cough with rebellious qi, shortness of breath, and qi rushing upward to the heart and chest.
Tianfu (LU-3): Located on the medial aspect of the arm, three cun below the axilla, in the depression of the arterial pulse. To locate, mark the spot with ink using the tip of the nose. Needle depth: 0.3 cun; retain needle for three breaths. Moxibustion is contraindicated, as it may cause rebellious qi. Indications: sudden bi-syndrome, internal qi rebellion, binding of Liver and Lung qi, hematemesis and epistaxis, Feishi Guizhu (ancient term for sudden, severe infectious diseases). *Bai Zheng Fu* states that combined with Hegu (LI-4), it can stop epistaxis.
Chize (LU-5): Located in the center of the elbow, above the transverse crease. With the elbow flexed, it is found in the gap between the tendons and bones at the crease, where arterial pulsation is present.
The Lung Meridian enters and converges here, forming the He-Sea point. For excess patterns of the Lung, tonification or sedation should be applied appropriately (here implying sedation for excess). Needle depth: 0.3 cun; retain needle for three breaths. Moxibustion: three moxa cones. Zhen Quan stated that in the gap between tendons and bones at the transverse crease during arm flexion/extension, moxibustion is not suitable. Indications: vomiting, rebellious qi, throat obstruction, abdominal pain, vexation, dry tongue, and slow convulsions in children (one moxa cone). *Qian Jin Yi Fang* states that heaviness and pain in the four limbs due to pathogenic factors, and various miscellaneous conditions, are governed by Chize. Also known as Guitang. Another saying goes: "For five types of elbow pain, seek Chize."
Yuji (LU-10): Located in the depression on the medial side of the thenar eminence, behind the metacarpophalangeal joint, among the scattered vessels, at the junction of white skin.
The Qi of the Hand-Taiyin flows and gathers here, forming the Ying-Spring point. Needle depth: 0.2 cun; retain needle for three breaths. Moxibustion: three moxa cones. Indications: dry throat, mastitis, yellow coating on the tongue, fever with aversion to cold, and wine-induced disorders. *Bai Zheng Fu* states that combined with Yexin (EX-HN18, though text says Yeximen/Yemen contextually likely referring to local or specific pairing, literal translation 'Yexian' might be typo for Yexin or similar, keeping literal 'Yexian' as per source structure but noting standard texts often cite Hegu/Liuequan etc. Here strictly translating source 'Yexian'): it treats sore throat. If transmitted to toothache with inability to eat, treat the affected side (left for left, right for right). Men: three moxa cones; Women: four moxa cones.
Shaoshang (LU-11): Located at the medial tip of the thumb, approximately the width of a leek leaf from the corner of the nail, in the depression of the white skin. The Qi of the Hand-Taiyin emerges here, forming the Jing-Well point. Needle depth: 0.1 cun; retain needle for three breaths and five inhalations. Use a three-edged needle to prick slightly for bleeding to drain heat from the zang-fu organs. Moxibustion is contraindicated. Indications: neck swelling, throat obstruction, vexation, vomiting and hiccups, night blindness (Que Mu), dry lips with excessive saliva, inability to eat, pain in the wrist and fingers, and infantile tonsillitis (Ru E). *Qiankun Shengyi* states: This is one of the Ten Jing-Well points. In cases of sudden stroke within the state, coma, phlegm-rheum congestion, locked jaw, and inability to swallow water or grain, urgently prick this point with a three-edged needle, along with Shaochong (HT-9), Zhongchong (PC-9), Guanchong (SJ-1), Shaoze (SI-1), and Shangyang (LI-1), to promote the flow of Qi and Blood. This is a miraculous emergency point for reviving the dying.