督脉起于少腹以下骨中央。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 。上额交颠上。入络脑还出别下项。循肩膊内侠脊抵腰
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。环唇上系两目下中央。
按督脉始于长强。循行背中。上脊至风府。入属于脑。终于龈交。凡二十八穴。今取十三穴。
长强（一名气之阴 一名橛骨灵枢谓之穷骨亦名骨 ） 在脊 骨端。伏地取之。督脉之络。别走任脉足少阴
所结。刺二分。留七呼。灸三壮。主治腰脊强急。不可俯仰。肠风下血。五痔五淋。下部疳蚀。小儿囟陷。惊痫螈
。脱肛泻血。此穴为五痔之本。玉龙赋云。兼承山灸痔最妙。一经验。治少年注夏嬴瘦灸此最妙。
门（一名喑门一名舌厌 一名舌横） 在项后入发际五分宛宛中。仰头取之。督脉阳维之会入系舌本。刺二
分。不可深。禁灸。灸之令人哑。主治颈项强急不语。诸阳热盛。衄血不止。百证赋云。兼关冲。治舌缓不语为紧
要。
风府（一名舌本） 在项上入发际一寸。大筋内宛宛中。疾言其肉立起休言。其肉立下。督脉阳维之会。热论
曰。巨阳者。诸阳之属也。其脉连于风府。刺三分。留三呼。禁灸。灸则令人喑。主治中风舌缓。咽喉肿痛。伤风
头痛。项急不得回顾。狂走悲恐。惊悸欲自杀。一云主泻胸中之热。与大杼缺盆中府同。席宏赋云。风府风池寻得
到。伤寒百病一时消。又云。从来风府最难寻。须用功夫度浅深。倘若膀胱气未散。更宜三里穴中寻。通元赋云。
风伤项急求风府。一传治感冒风寒呕吐不止。
脑户（一名迎风一名会额一名合颅） 在枕骨上强间后一寸五分。一曰在发际上二寸。督脉足太阳之会。禁刺
灸。刺中脑户令立死。亦不可灸。灸之令人喑。（此不在十三穴之数）
强间（一名大羽） 在后顶后一寸五分。刺二分。灸五壮。一曰禁灸。主治头痛项强。目眩脑旋。烦心呕吐涎
沫。百证赋云。兼丰隆。治头痛难禁。
后顶（一名交冲） 在百会后一寸五分。枕骨上刺二分灸五壮。主治颈项强急。咽喉疼痛。恶风目眩。
百会（一名三阳五会一名巅上一名天满） 在前顶后一寸五分。头中央旋毛心容豆许。直两耳间上对是穴。督
脉足太阳之会。手足少阳足厥阴俱会于此。刺二分。灸五壮。甲乙经曰。刺三分。灸三壮。一曰灸头项不得过七七
壮。主治头风头痛耳聋鼻塞鼻衄。中风口噤不开。或多悲哭。小儿风痫惊风。脱肛久不瘥。一曰百病皆治。宜刺此
二分。得气即泻。席宏赋云。兼太冲照海阴交。治咽喉疾。
前顶 在囟会后一寸五分骨陷中。一云在百会前一寸。刺二分。灸五壮。主治头风目眩。面赤肿。小儿惊痫。
鼻多清涕。颈项肿痛。咽喉诸症。神农经云。治小儿急慢惊风。可灸三壮。艾炷如小麦。
囟会 在上星后一寸陷中。刺二分。灸五壮。小儿八岁以前禁针。盖其囟门未合。刺之不幸令人夭。主治脑虚
冷痛。头风肿痛项痛饮酒过多。头皮肿。风痫清涕。一云治目眩面肿。鼻塞不闻香臭。可灸二七壮。初灸即不痛。
病去即痛。痛即罢灸。若是鼻塞。灸至四日渐退。七日顿愈。针入二分。留三呼。得气即泻。凡头风生白屑多睡。
针之弥佳。针讫。以末盐生麻油相和揩发根下。即头风永除。
上星（一名神堂） 在鼻直上入发际一寸陷中。可容豆。刺三分。留六呼。灸五壮。一云宜三棱针出血。以泻
诸阳之热气。主治头风头痛。鼻血鼻涕鼻塞。目眩不能还视晴痛。以三棱针刺。即宣泄诸阳热气。无令上冲头目。
玉龙赋云。治鼻渊头风。
神庭 直鼻上入发际五分。发高者发际是穴。发低者加二三分。督脉足太阳阳明之会。灸三壮。禁刺。刺之令
人癫狂面肿目失明。一曰灸七壮。至三七壮。主治头风目泪诸症。凡喉风切禁针灸。
素 （一名面王） 在鼻端准头。刺一分。禁灸。主治鼻中 肉不消。多涕。一曰治酒酢风。用三棱针出血效。
水沟（一名人中） 在鼻下人中陷中。督脉手足阳明之会。刺三分。留六呼。得气即泻。灸三壮。炷如小麦。
然灸不及针。主治中风口噤。牙关不开。卒中邪恶鬼击。不省人事。神农经云。治小儿急慢惊风。灸三壮。炷如小
麦。
龈交（齿根肉） 在唇肉上齿缝中。任督二经之会。刺三分。逆刺之。灸三壮。主治面赤心烦痛。鼻生 肉不
消。目泪多眵赤痛。牙疳肿痛。小儿面疮久癣不除点烙亦佳。百证赋云。专治鼻痔。
督脉起始于小腹部以下骨骼中央。女子进入系连廷孔，这个孔就是尿道口。其络脉沿生殖器循行，会合于会阴部，环绕肛门后方。分支绕行臀部到达足少阴肾经，与足太阳膀胱经的络脉相合，沿大腿内侧后缘上行贯穿脊柱，归属于肾脏。督脉与足太阳膀胱经起于目内眦，向上至额部，交会于头顶，入络于脑，复出别下行项部，沿肩膊内侧夹脊下行抵腰部中间，入里沿肌肉深层络属肾脏。男子沿阴茎下行至会阴，与女子相同。其直行部分从少腹直上，贯穿脐中央，向上穿过心脏，进入喉咙，上达颐部，环绕嘴唇，向上系于两目下方的中央。
按：督脉始于长强穴，循行于背部正中，上至脊柱，到达风府穴，入属于脑，终于龈交穴。共有二十八个穴位，现选取十三个穴位。
长强（又名气之阴、橛骨，《灵枢》称为穷骨，也名骨骺）位于尾骨端。伏地取穴。为督脉的络脉，别走任脉，是足少阴肾经气血结聚之处。针刺二分，留针七次呼吸的时间。艾灸三壮。主治腰脊强直急痛，不能俯仰。肠风下血，五种痔疮，五种淋证，下部疳蚀疮疡，小儿囟门凹陷，惊痫抽搐，脱肛泻血。此穴为治疗五种痔疮的根本。《玉龙赋》说：“兼用承山穴艾灸痔疮最妙。”这是一条经验之谈。治疗少年夏季消瘦羸弱，灸此穴最妙。
哑门（又名喑门、舌厌、舌横）位于项后入发际五分处，宛宛凹陷中。仰头取穴。为督脉与阳维脉的交会穴，入系于舌根。针刺二分，不可深刺。禁灸，灸了会让人失音。主治颈项强直急痛、不能言语。诸阳热盛，衄血不止。《百证赋》说：“兼用关冲穴，治疗舌缓不语是关键。”
风府（又名舌本）位于项上入发际一寸处，大筋内宛宛凹陷中。快速说话时肌肉会立起，停止说话时肌肉会落下。为督脉与阳维脉的交会穴。《热论》说：“巨阳（足太阳膀胱经），是诸阳经所属的经脉。其脉连于风府。”针刺三分，留针三次呼吸的时间。禁灸，灸了会让人失音。主治中风舌缓，咽喉肿痛，伤风头痛，项部拘急不能回顾，狂躁奔走，悲伤恐惧，惊悸想自杀。另一种说法主治泻胸中之热，与大杼、缺盆、中府穴同用。《席宏赋》说：“风府、风池寻得到，伤寒百病一时消。”又说：“从来风府最难寻，须用功夫度浅深。倘若膀胱气未散，更宜三里穴中寻。”《通元赋》说：“风伤项急求风府。”另外一条记载治疗感冒风寒呕吐不止。
脑户（又名迎风、会额、合颅）位于枕骨上，强间穴后一寸五分处。一说在发际上二寸。为督脉与足太阳膀胱经的交会穴。禁刺禁灸。刺中脑户会立即致死。也不可灸，灸了会让人失音。（此穴不在十三穴之内）
强间（又名大羽）位于后顶穴后一寸五分处。针刺二分，灸五壮。一说禁灸。主治头痛项强，目眩脑旋，烦心呕吐涎沫。《百证赋》说：“兼用丰隆穴，治疗剧烈头痛。”
后顶（又名交冲）位于百会穴后一寸五分处。枕骨上，针刺二分，灸五壮。主治颈项强直急痛，咽喉疼痛，恶风目眩。
百会（又名三阳五会、巅上、天满）位于前顶穴后一寸五分处。头中央旋毛心处，可容纳豆粒大小。直对两耳尖上方即是此穴。为督脉与足太阳膀胱经的交会穴，手足少阳、足厥阴肝经均会于此。针刺二分，灸五壮。《甲乙经》说：“刺三分，灸三壮。”一说灸头项部不得超过七七四十九壮。主治头风头痛，耳聋鼻塞，鼻衄，中风口噤不开，或多悲哭，小儿风痫惊风，脱肛久不愈。一说百病皆治，宜刺此穴二分，得气即泻。《席宏赋》说：“兼用太冲、照海、阴交穴，治疗咽喉疾病。”
前顶 位于囟会后一寸五分骨陷中。一说在百会前一寸。针刺二分，灸五壮。主治头风目眩，面赤肿，小儿惊痫，鼻多清涕，颈项肿痛，咽喉诸症。《神农经》说：“治疗小儿急慢惊风，可灸三壮，艾炷如小麦大小。”
囟会 位于上星穴后一寸陷中。针刺二分，灸五壮。小儿八岁以前禁针，因为其囟门未闭合，刺之不幸会导致夭折。主治脑虚冷痛，头风肿痛项痛，饮酒过多，头皮肿，风痫清涕。一说治疗目眩面肿，鼻塞不闻香臭，可灸十四壮。初灸时不痛，病去后则痛，痛就停止灸。若是鼻塞，灸至第四日渐退，七日痊愈。针入二分，留针三次呼吸的时间，得气即泻。凡是头风生白屑多睡，针刺效果更佳。针毕，用细盐和生麻油调和揩擦发根下，即可永除头风。
上星（一名神堂）位于鼻直上入发际一寸陷中，可容豆粒。针刺三分，留针六次呼吸的时间，灸五壮。一说宜用三棱针出血，以泻诸阳之热气。主治头风头痛，鼻血鼻涕鼻塞，目眩不能还视，睛痛。用三棱针刺，即可宣泄诸阳热气，不让其上冲头目。《玉龙赋》说：“治疗鼻渊头风。”
神庭 直鼻上入发际五分。头发高者以发际为穴，头发低者加二三分。为督脉、足太阳膀胱经、足阳明胃经的交会穴。灸三壮。禁刺，刺了会让人癫狂、面肿、目失明。一说灸七壮，至三七二十一壮。主治头风目泪诸症。凡喉风切禁针灸。
素髎（一名面王）位于鼻端准头。针刺一分。禁灸。主治鼻中息肉不消，多涕。一说治疗酒酢风，用三棱针出血有效。
水沟（一名人中）位于鼻下人中沟陷中。为督脉、手阳明大肠经、足阳明胃经的交会穴。针刺三分，留针六次呼吸的时间，得气即泻。灸三壮，艾炷如小麦大小。然而艾灸不及针刺见效快。主治中风口噤，牙关不开，卒中邪恶鬼击，不省人事。《神农经》说：“治疗小儿急慢惊风，灸三壮，艾炷如小麦大小。”
龈交（齿根肉）位于唇肉上齿缝中。为任脉、督脉二经的交会穴。针刺三分，逆刺。灸三壮。主治面赤心烦痛，鼻生息肉不消，目泪多眵赤痛，牙疳肿痛，小儿面疮久癣不除，点烙亦佳。《百证赋》说：“专治鼻痔。”
The Du vessel originates from the center below the lower abdomen. In women, it enters and connects to the Ting Kong (external urethral orifice), which is the opening of the urinary passage. Its collateral follows the genitalia, meets at the perineum (Huiyin), and winds around the anus posteriorly. A branch winds around the buttocks to reach the Foot-Shaoyin kidney meridian, combining with the collateral of the Foot-Taiyang bladder meridian. It ascends along the posterior medial aspect of the thigh, penetrates the spine, and attaches to the kidneys. The Du vessel and the Foot-Taiyang bladder meridian originate from the inner canthus of the eye, ascend to the forehead, intersect at the vertex, enter to network the brain, emerge again, descend separately to the nape, follow the interior of the shoulder blades, run alongside the spine to reach the middle of the waist, enter to network the kidneys. In men, it follows the penis down to the perineum, identical to women. Its straight branch rises directly from the lower abdomen, penetrates the center of the umbilicus, ascends through the heart, enters the throat, reaches the chin, circles the lips, and ascends to tie to the center below both eyes.
According to records: The Du vessel begins at Changqiang (DU1), runs along the midline of the back, ascends the spine to Fengfu (DU16), enters and attaches to the brain, and ends at Yinjiao (DU28). There are twenty-eight acupoints in total; thirteen are selected here.
Changqiang (DU1) [also known as Qi Zhi Yin, Jue Gu; *Ling Shu* calls it Qiong Gu, also named Gu Hao]: Located at the tip of the coccyx. Take the point while prone. It is the collateral of the Du vessel, diverging to the Ren vessel, and is the knot of the Foot-Shaoyin kidney meridian. Puncture 0.2 cun, retain for seven breaths. Moxibustion: 3 moxa cones. Indications: Stiffness and spasm of the lumbar spine, inability to bend or extend. Intestinal wind bleeding, five types of hemorrhoids, five types of strangury,下部 gan erosion ulcers, sunken fontanelle in infants, convulsions due to fright and epilepsy, rectal prolapse, bloody diarrhea. This point is the root for treating the five types of hemorrhoids. *Yu Long Fu* states: "Moxibustion on Chengshan combined with this point is best for hemorrhoids." This is an empirical experience. For young people suffering from wasting syndrome in summer, moxibustion on this point is excellent.
Yamen (DU15) [also known as Yin Men, She Yan, Heng She]: Located 0.5 cun above the posterior hairline, in the depression. Take the point with the head extended. It is the intersection of the Du vessel and the Yang Wei vessel, entering to connect to the root of the tongue. Puncture 0.2 cun; do not puncture deeply. Moxibustion is prohibited; moxibustion causes aphonia. Indications: Stiffness and spasm of the neck and nape, inability to speak. Excess heat of all yang meridians, persistent epistaxis. *Bai Zheng Fu* states: "Combining with Guanchong (LI16) is crucial for treating flaccid tongue and inability to speak."
Fengfu (DU16) [also known as She Ben]: Located 1 cun above the posterior hairline, in the depression within the large tendons. When speaking quickly, the muscle rises; when stopping speech, the muscle settles. It is the intersection of the Du vessel and the Yang Wei vessel. *Re Lun* states: "Ju Yang (Foot-Taiyang bladder meridian) belongs to all yang meridians. Its channel connects to Fengfu." Puncture 0.3 cun, retain for three breaths. Moxibustion is prohibited; moxibustion causes aphonia. Indications: Wind-stroke with flaccid tongue, swelling and pain of the throat, common cold with headache, stiff neck unable to look back, mania running about, sadness and fear, palpitations with suicidal ideation. Another view holds it treats draining heat from the chest, used together with Dazhu (BL11), Quepen (ST12), and Zhongfu (LU1). *Xi Hong Fu* states: "Find Fengfu and Fengchi, and hundred diseases of shanghan vanish at once." It further says: "Fengfu has always been hard to locate; one must measure depth carefully. If bladder qi has not dispersed, seek Sanli (ST36)." *Tong Yuan Fu* states: "For wind injuring the neck causing stiffness, seek Fengfu." Another record indicates treatment for vomiting due to cold-wind invasion.
Naohu (DU17) [also known as Ying Feng, Hui E, He Lu]: Located 1.5 cun posterior to Jiangjian (DU18) on the occipital bone. One source says 2 cun above the hairline. It is the intersection of the Du vessel and the Foot-Taiyang bladder meridian. Puncture and moxibustion are prohibited. Puncturing Naohu causes immediate death. Moxibustion is also forbidden; it causes aphonia. (This point is not among the thirteen selected points.)
Qiangjian (DU18) [also known as Da Yu]: Located 1.5 cun posterior to Houding (DU19). Puncture 0.2 cun, moxibustion 5 cones. One source prohibits moxibustion. Indications: Headache and stiff neck, vertigo and spinning sensation, irritability, vomiting of saliva and froth. *Bai Zheng Fu* states: "Combining with Fenglong (ST40) treats severe headaches."
Houding (DU19) [also known as Jiao Chong]: Located 1.5 cun posterior to Baihui (DU20). On the occipital bone, puncture 0.2 cun, moxibustion 5 cones. Indications: Stiffness and spasm of the neck and nape, sore throat, aversion to wind, vertigo.
Baihui (DU20) [also known as San Yang Wu Hui, Dian Shang, Tian Man]: Located 1.5 cun posterior to Qianding (DU21). At the center of the hair whorl on the head, size of a bean. Directly opposite the midpoint between the ears. It is the intersection of the Du vessel and the Foot-Taiyang bladder meridian; the Hand-Shaoyang, Foot-Shaoyang, and Foot-Jueyin liver meridians all converge here. Puncture 0.2 cun, moxibustion 5 cones. *Jia Yi Jing* states: "Puncture 0.3 cun, moxibustion 3 cones." One source says moxibustion on the head and neck should not exceed 49 cones. Indications: Head wind and headache, deafness, nasal congestion, epistaxis, wind-stroke with locked jaw, excessive weeping, pediatric wind-epilepsy and convulsions, chronic rectal prolapse. One view states it treats all diseases; puncture 0.2 cun, drain upon obtaining qi. *Xi Hong Fu* states: "Combining with Taichong (LR3), Zhaohai (KI6), and Yinjiao (SP6) treats throat disorders."
Qianding (DU21): Located 1.5 cun posterior to Xinhui (DU22) in the bony depression. One source says 1 cun anterior to Baihui. Puncture 0.2 cun, moxibustion 5 cones. Indications: Head wind and vertigo, red and swollen face, pediatric epilepsy, profuse clear nasal discharge, swelling and pain of the neck, various throat conditions. *Shen Nong Jing* states: "For pediatric acute and chronic convulsions, moxibustion 3 cones, cone size like a wheat grain."
Xinhui (DU22): Located in the depression 1 cun posterior to Shangxing (DU23). Puncture 0.2 cun, moxibustion 5 cones. Puncture is prohibited in children under eight years old because the fontanelle is not closed; puncturing may unfortunately cause premature death. Indications: Cold pain due to brain deficiency, head wind and swelling/pain of the neck, excessive alcohol consumption, scalp swelling, wind-epilepsy with clear nasal discharge. One view states it treats vertigo and facial swelling, nasal congestion with loss of smell/taste; moxibustion 14 cones. Initially, there is no pain during moxibustion; pain arises as the disease leaves, at which point stop moxibustion. For nasal congestion, symptoms recede by the fourth day and resolve completely by the seventh day. Puncture 0.2 cun, retain for three breaths, drain upon obtaining qi. For head wind with dandruff and excessive sleepiness, acupuncture is particularly effective. After needling, mix fine salt with raw sesame oil and rub the hair roots; this permanently eliminates head wind.
Shangxing (DU23) [also known as Shen Tang]: Located in the depression 1 cun above the posterior hairline, directly above the nose, size of a bean. Puncture 0.3 cun, retain for six breaths, moxibustion 5 cones. One source suggests using a three-edged needle to bleed to drain heat from all yang meridians. Indications: Head wind and headache, epistaxis, rhinorrhea, nasal congestion, vertigo with inability to focus vision, painful eyes. Using a three-edged needle drains excess heat from all yang meridians, preventing it from rushing upward to the head and eyes. *Yu Long Fu* states: "Treats sinusitis and head wind."
Shenting (DU24): Located 0.5 cun above the posterior hairline, directly above the nose. For those with a high hairline, the hairline itself is the point; for those with a low hairline, add 0.2-0.3 cun. It is the intersection of the Du vessel, Foot-Taiyang bladder meridian, and Foot-Yangming stomach meridian. Moxibustion 3 cones. Puncture is prohibited; puncturing causes mania, facial swelling, and blindness. One source says moxibustion 7 cones, up to 21 cones. Indications: Head wind, tearing, and other conditions. Acupuncture and moxibustion are strictly prohibited for throat wind (hou feng).
Suliao (DU25) [also known as Mian Wang]: Located at the tip of the nose. Puncture 0.1 cun. Moxibustion is prohibited. Indications: Nasal polyps that do not subside, excessive nasal discharge. One source states it treats alcoholic rhinitis; bleeding with a three-edged needle is effective.
Shuigou (DU26) [also known as Renzhong]: Located in the depression of the philtrum. It is the intersection of the Du vessel, Hand-Yangming large intestine meridian, and Foot-Yangming stomach meridian. Puncture 0.3 cun, retain for six breaths, drain upon obtaining qi. Moxibustion 3 cones, cone size like a wheat grain. However, moxibustion is less effective than acupuncture. Indications: Wind-stroke with locked jaw, clenched teeth, sudden attack by evil spirits/qi, unconsciousness. *Shen Nong Jing* states: "For pediatric acute and chronic convulsions, moxibustion 3 cones, cone size like a wheat grain."
Yinjiao (DU28) [gum junction]: Located in the gum crease where the upper lip meets the teeth. It is the intersection of the Ren and Du vessels. Puncture 0.3 cun, oblique insertion. Moxibustion 3 cones. Indications: Red face, irritability, pain, nasal polyps that do not subside, excessive tearing, red and painful eyes, gingival gangrene and swelling, pediatric facial sores and chronic tinea; cauterization is also good. *Bai Zheng Fu* states: "Specifically treats nasal polyps."