足少阴肾经之脉。起于足小指之下斜趋足心之涌泉穴。出于然谷之下。循内踝之后。别入跟中。以上 内出
内廉上股内后廉。贯脊属肾。络膀胱。其直者。从肾上贯肝膈。入肺中循喉咙侠舌本。其支者。从肺出络心注胸中。
凡二十七穴。今取三穴。
涌泉(一名地冲) 在足心陷中。屈足卷指宛宛中。足少阴所出为井。刺三分。留三呼。灸三壮。主治喘咳有
血。心中结热。目眩颈痛。身热喉痹。足胫寒痛。转筋热厥。五指尽痛。足不践地。
然谷(一名龙涧一名然骨) 在足内踝前。起大骨下陷者中。足少阴所溜为荣。刺二分。留三呼。灸三壮。一
曰刺不宜见血。主治喘呼烦满咳血。喉痹消渴。舌纵心恐少气涎出。小腹胀。妇人阴挺出。月经不调。初生小儿脐
风撮口此穴主泻肾脏之热若治伤寒。亦宜出血白证赋云。此穴易醒脐风。
照海 在足踝内下一寸陷中容爪甲。一云在内踝下四分。微前高骨陷中。前后有筋上有踝骨。下有软骨。其穴
居中。神农经云。在内踝直下白肉际是穴。阴跷所生。刺四分。留六呼。灸三壮。一曰刺三分。灸七壮。主治咽干
呕吐。腹中气痛。拦江赋云。治噤口喉风。用三棱针出血即安。席宏赋云。兼百会太冲阴交。治咽喉疾。
足太阳膀胱之脉。起于目内 。上额交颠。其直者。从颠入络脑还出别下项。循肩膊内侠脊抵腰中。入循膂络
肾属膀胱其直者。从腰中下侠脊贯臀入 中。其直者。从膊内左右别下贯胛侠脊内过髀枢循髀外从后廉下合 中以
下贯 内。出外踝之后。循京骨至小指外侧。终于至阴。凡六十三穴。今取五穴。
睛明(一名泪乳) 在目内 外一分宛宛中。气府论注曰。手足太阳足阳明阴阳跷五脉之会。刺一分。留六呼。
灸三壮。甲乙经曰。刺六分。一曰禁灸。主治目痛视不明。见风泪出。 肉攀睛。白翳 痒疳眼头痛目眩。凡治雀
目者。可久留针。然后速出之。席宏赋云治目若未效。并合谷光明不可缺。灵光赋云。治 肉。
攒竹(一名始先一名员柱一名夜光一名光明) 在眉头陷者中刺一分。留六呼不宜灸。甲乙经云。灸三壮。明
堂用细三棱针刺之。宣泄热气。眼目大明刺三分。出血。主治目视KT KT 泪出。目眩瞳子痒。眼中赤痛。及腮
脸动不卧。玉龙赋云。兼头维。治目疼头痛。
通天(一名天归) 在承光后一寸五分。一曰横直百会旁一寸五分。刺三分。留七呼。灸三壮。主治头旋项痛
不能转侧。鼻塞偏风口 衄血。头重耳鸣青盲内障。
大杼 在项后第一椎下两旁。相去脊中各二寸陷中。
正坐取之。海论曰冲脉者。其输上在于大杼。气穴论曰。督脉别络手足太阳三脉之会。刺三分。留七呼灸五壮。
一曰禁灸。非有大急不可灸也。主治伤寒汗不出。腰脊项背强痛不得卧。喉痹烦满。头痛咳嗽。膝痛不可伸屈。
至阴 在足小指外侧。去爪甲角如韭叶。足太阳所出为井。刺一分。留五呼。灸三壮五壮。主治风寒头重。鼻
塞目痛生翳。胸胁痛。转筋心烦。足下热。小便不利。失精。席宏赋云。专治脚膝肿。百证赋云。兼屏翳。治遍身
痒痛之疾。张仲文。治妇人横产手先出。诸符药不效。为灸右脚小指尖三壮。炷如小麦。下火立产。
足少阴肾经的经脉,起始于足小趾之下,斜向汇聚于足心的涌泉穴,出于然谷穴下方,沿着内踝后方行走,分支进入脚跟之中,向上沿小腿内侧后缘上行,贯穿脊柱,归属于肾脏,联络膀胱。其直行支脉,从肾脏上行,贯穿肝脏和膈肌,进入肺部,沿着喉咙,夹行于舌根两侧。其分支,从肺部出来,联络心脏,注入胸中。
本经共有二十七穴,现选取其中三穴。
涌泉穴(又名地冲):位于足心凹陷处,屈足卷指时宛宛中的位置。是足少阴经所出为“井”穴的地方。针刺深度三分,留针三呼的时间,艾灸三壮。主治气喘咳嗽带血,心中郁结发热,目眩颈痛,身体发热喉痹,足胫部寒冷疼痛,筋脉拘挛热厥,五指尽痛,脚不能着地。
然谷穴(又名龙涧、然骨):位于足内踝前下方,大骨下凹陷处。是足少阴经所溜为“荣”穴的地方。针刺深度二分,留针三呼的时间,艾灸三壮。另一种说法认为针刺不宜见血。主治气喘呼叫、烦闷胀满、咳血,喉痹消渴,舌纵不收、心中恐惧、气短涎多,小腹胀满,妇女子宫脱垂,月经不调。初生小儿脐风撮口症,此穴主泻肾脏之热;若治疗伤寒,也宜刺出血。《白证赋》说:此穴容易唤醒脐风患儿。
照海穴:位于足内踝下一寸凹陷处,可容纳指甲盖大小。另一种说法是在内踝下四分,微前高骨凹陷处,前后有筋,上有踝骨,下有软骨,穴位居中。《神农经》说:在内踝直下的白肉际处即是此穴。属于阴跷脉所生之处。针刺深度四分,留针六呼的时间,艾灸三壮。另一种说法是针刺三分,艾灸七壮。主治咽干呕吐,腹中气痛。《拦江赋》说:治疗噤口喉风,用三棱针出血即可安宁。《席宏赋》说:配合百会、太冲、阴交穴,治疗咽喉疾病。
足太阳膀胱经的经脉,起始于目内眦,上行至额部,交会于头顶。其直行支脉,从头顶入络脑部,复出分别下行项部,沿着肩膊内侧,夹脊柱下行抵腰部中,入循脊旁肌肉联络肾脏,归属于膀胱。其直行支脉,从腰部中下行,夹脊柱贯穿臀部,进入腘窝中。另一条直行支脉,从肩膊内侧左右分别下行,贯穿肩胛,夹脊柱内侧,经过髋关节,沿大腿外侧后缘下行,在腘窝中汇合,向下穿过小腿肚,出于外踝之后,沿着京骨穴行至小趾外侧,终于至阴穴。本经共有六十三穴,现选取其中五穴。
睛明穴(又名泪乳):位于目内眦外一分凹陷处。《气府论注》说:是手足太阳、足阳明、阴阳跷五脉的交会穴。针刺深度一分,留针六呼的时间,艾灸三壮。《甲乙经》说:针刺六分。另一种说法禁止艾灸。主治目痛视物不明,遇风流泪,胬肉攀睛,白翳瘙痒疳眼,头痛目眩。凡是治疗雀盲眼的,可以久留针,然后迅速出针。《席宏赋》说:治疗眼疾如果未见效,并合谷、光明二穴不可缺。《灵光赋》说:治疗胬肉。
攒竹穴(又名始先、员柱、夜光、光明):位于眉头凹陷处。针刺一分,留针六呼,不宜艾灸。《甲乙经》说:艾灸三壮。《明堂》主张用细三棱针刺之,以宣泄热气,使眼目明亮。针刺三分,出血。主治视物模糊流泪,目眩瞳子痒,眼中赤痛,以及腮脸动不安卧。《玉龙赋》说:配合头维穴,治疗目疼头痛。
通天穴(又名天归):位于承光穴后一寸五分。另一种说法是横直百会穴旁一寸五分。针刺三分,留针七呼,艾灸三壮。主治头晕项痛,不能转侧,鼻塞偏风口歪,鼻衄血,头重耳鸣,青盲内障。
大杼穴:位于项后第一椎下两旁,距离脊中各二寸的凹陷处。正坐取穴。《海论》说:冲脉的输穴上在于大杼。《气穴论》说:督脉别络,是手足太阳三脉的交会穴。针刺三分,留针七呼,艾灸五壮。另一种说法禁止艾灸,除非病情非常紧急否则不可艾灸。主治伤寒汗不出,腰脊项背强痛不得卧,喉痹烦满,头痛咳嗽,膝痛不可伸屈。
至阴穴:位于足小趾外侧,距离爪甲角如韭菜叶宽处。是足太阳经所出为“井”穴的地方。针刺一分,留针五呼,艾灸三壮或五壮。主治风寒头重,鼻塞目痛生翳,胸胁痛,转筋心烦,足下热,小便不利,失精。《席宏赋》说:专治脚膝肿。《百证赋》说:配合屏翳穴,治疗遍身痒痛之疾。张仲文治疗妇人横产手先出,各种符药无效,灸右脚小指尖三壮,艾炷如小麦大小,火下即能顺利生产。
The meridian of Foot-Shaoyin Kidney originates below the little toe, slants towards Yongquan (K1, Spring) in the center of the sole. It emerges below Ran Gu (KI2), follows behind the medial malleolus, and a branch enters into the heel. Ascending from there, it emerges on the inner aspect of the leg, runs along the posterior medial border of the thigh, penetrates the spine, and connects with the Kidneys, branching to link with the Bladder. The straight branch ascends from the Kidneys, passes through the Liver and diaphragm, enters the Lungs, follows the throat, and flanks the root of the tongue. Another branch emerges from the Lungs, links with the Heart, and pours into the chest.
There are twenty-seven acupoints in this meridian; three are selected here.
Yongquan (KI1, also known as Di Chong): Located in the depression in the center of the sole, when the foot is flexed and toes curled. It is the Jing-Well point where the Foot-Shaoyin meridian emerges. Needle 0.3 cun, retain for three breaths, moxa 3 cones. Indications: Asthma and cough with blood, heat knot in the heart, vertigo and neck pain, fever and throat obstruction, cold and pain in the lower legs, spasmodic heat syncope, pain in all five toes, inability to stand on the feet.
Ran Gu (KI2, also known as Long Jian or Ran Gu): Located anterior to the medial malleolus, in the depression below the prominent bone. It is the Ying-Spring point where the Foot-Shaoyin meridian flows. Needle 0.2 cun, retain for three breaths, moxa 3 cones. Some say needling should not cause bleeding. Indications: Panting and calling, irritability and fullness, hemoptysis, throat obstruction and wasting-thirst, tongue deviation, fearfulness, shortness of breath with salivation, lower abdominal distension, uterine prolapse in women, irregular menstruation. For neonatal tetanus (umbilical wind with clenched mouth), this point drains heat from the Kidneys; if treating Cold Damage, bleeding via needling is also appropriate. *Bai Zheng Fu* states: This point easily awakens patients with umbilical wind.
Zhaohai (KI6): Located one cun below the tip of the medial malleolus, in a depression that can accommodate a fingernail. Another view places it four fen below the medial malleolus, in the depression of the slightly elevated anterior bone, with tendons anterior and posterior, the malleolus above, and soft bone below, with the point centered. *Shen Nong Jing* states: It is at the junction of white skin directly below the medial malleolus. It is generated by the Yin Qiao vessel. Needle 0.4 cun, retain for six breaths, moxa 3 cones. Another view says needle 0.3 cun, moxa 7 cones. Indications: Dry throat, vomiting, qi pain in the abdomen. *Lan Jiang Fu* states: Treats locked-jaw throat wind; bleeding with a three-edged needle brings immediate relief. *Xi Hong Fu* states: Combined with Baihui (GV20), Taichong (LR3), and Yinjiao (RN7), it treats throat diseases.
The meridian of Foot-Taiyang Bladder originates at the inner canthus, ascends to the forehead, and intersects at the vertex. The straight branch enters the brain from the vertex, emerges again, descends separately to the nape, runs along the medial shoulder blade, flanks the spine, reaches the waist, enters the paraspinal muscles, links with the Kidneys, and belongs to the Bladder. Another straight branch descends from the waist, flanks the spine, penetrates the buttocks, and enters the popliteal fossa. Yet another straight branch descends separately from the shoulders on both sides, penetrates the scapula, flanks the spine internally, passes through the hip joint, follows the lateral posterior thigh, converges in the popliteal fossa, descends through the calf, emerges behind the lateral malleolus, follows Jinggu (BL65) to the lateral side of the little toe, ending at Zhiyin (BL67).
There are sixty-three acupoints in this meridian; five are selected here.
Jingming (BL1, also known as Lei Ru): Located one fen outside the inner canthus, in a depression. *Qifu Lun Zhu* notes: It is the intersection of the Hand and Foot Taiyang, Foot Yangming, and Yin and Yang Qiao vessels. Needle 0.1 cun, retain for six breaths, moxa 3 cones. *Jia Yi Jing* states: Needle 0.6 cun. Another view prohibits moxibustion. Indications: Eye pain, blurred vision, tearing upon exposure to wind, pterygium, leukoma, itching and gan eye disease, headache, vertigo. For treating night blindness, the needle may be retained for a long time before rapid withdrawal. *Xi Hong Fu* states: If treatment for eye disorders is ineffective, Hegu (LI4) and Guangming (GB37) must not be omitted. *Ling Guang Fu* states: Treats pterygium.
Canzhu (BL2, also known as Shi Xian, Yuan Zhu, Ye Guang, or Guang Ming): Located in the depression at the medial end of the eyebrow. Needle 0.1 cun, retain for six breaths, moxibustion is generally contraindicated. *Jia Yi Jing* states: Moxa 3 cones. *Ming Tang* suggests using a fine three-edged needle to vent heat, making the eyes bright. Needle 0.3 cun to bleed. Indications: Blurred vision with tearing, vertigo, itching of the pupil, redness and pain in the eyes, facial twitching preventing sleep. *Yu Long Fu* states: Combined with Touwei (ST8), it treats eye pain and headache.
Tongtian (GV31? No, BL3): Located one cun and five fen posterior to Chengguang (BL3). Another view states it is one cun and five fen lateral to Baihui (GV20). Needle 0.3 cun, retain for seven breaths, moxa 3 cones. Indications: Dizziness and neck pain with inability to turn the head, nasal congestion, facial paralysis, epistaxis, heavy head, tinnitus, blindness, and internal cataracts.
Dazhu (BL11): Located bilaterally two cun lateral to the spinous process of the first thoracic vertebra, in the depression. Take in a sitting position. *Hai Lun* states: The Shu point of the Chong Mai is located at Dazhu. *Qixue Lun* states: It is a collateral of the Du Mai and an intersection of the Hand and Foot Taiyang meridians. Needle 0.3 cun, retain for seven breaths, moxa 5 cones. Another view prohibits moxibustion unless the condition is extremely urgent. Indications: Inability to sweat in Cold Damage, stiffness and pain in the lumbar spine, neck, and back preventing lying down, throat obstruction with irritability and fullness, headache, cough, knee pain with inability to extend or flex.
Zhiyin (BL67): Located on the lateral side of the little toe, about the width of a leek leaf from the corner of the nail. It is the Jing-Well point where the Foot-Taiyang meridian emerges. Needle 0.1 cun, retain for five breaths, moxa 3 or 5 cones. Indications: Wind-cold causing heavy head, nasal congestion, eye pain with leukoma, chest and hypochondriac pain, spasms, irritability, heat in the soles, difficult urination, seminal emission. *Xi Hong Fu* states: Specifically treats swelling of the feet and knees. *Bai Zheng Fu* states: Combined with Pingyi (?), it treats generalized pruritus and pain. Zhang Zhongwen treated a woman with transverse presentation (hand presenting first); when charms and medicines failed, he moxa'd the tip of the right little toe for 3 cones, sized like a wheat grain, resulting in immediate delivery.