(左右足及股凡二十二穴)
1.隐白∶二穴木也,在足大指端内侧,去爪甲角如韭叶。足太阴脉之所出也,为井。治腹胀喘满,不
得安卧,呕吐食不下,暴泄,衄血,卒尸蹶不识人,足寒不能温。针入三分。今附妇人
月事过时不止,刺之立愈。
2.大都∶二穴火也,在足大指本节后陷中。足太阴脉之所流也,为荥。治热病汗不出,手足逆冷,腹
满善呕,烦热闷乱,吐逆,目弦。可灸三壮,针入三分。
3.太白∶二穴土也,在足内侧核骨下陷中。足太阴脉之所注也,为 。治身热烦满,腹胀食不化,呕
吐,泄脓血,腰痛,大便难,气逆霍乱,腹中切痛。可灸三壮,针入三分。
4.公孙∶二穴在足大指本节后一寸,别走阳明、太阴络。治寒疟,不嗜食,卒面肿,烦心,狂言,腹
虚胀如鼓。可灸三壮,针入四分。
5.商丘∶二穴金也,在足内踝下微前陷中。足太阴脉之所行也,为经。治腹胀,肠中鸣不便,脾虚令人
不乐,身寒,善太息,心悲气逆,痔疾,骨疽蚀,绝子,魇梦。可灸三壮,针入三分。
6.三阴∶二穴在内踝上三寸,骨下陷中,足太阴、厥阴、少阴之交会。治 癖,腹中寒,膝股内痛,
气逆,小便不利,脾病身重,四肢不举,腹胀肠鸣,溏泄,食不化,女子漏下不止。可灸三壮,针入三分。昔
有宋太子性善医术,出苑逢一怀娠妇人。太子诊曰∶是一女也。令徐文伯亦诊之,此一男一女也。太
子性急,欲剖视之。臣请针之,泻足三阴交,补手阳明合谷,应针而落,果如文伯之言。故妊娠不可刺也。
7.漏谷∶二穴,亦名太阴络,在内踝上六寸骨下陷中。治 癖冷气,心腹胀满,食饮不为肌肤,湿痹
不能久立。针入三分。
8.地机∶二穴,亦名脾舍,足太阴 ,别走上一寸空,在膝下五寸。治女子血瘕,按之如汤沃股内至
膝,丈夫溏泄,腹胁气胀,水肿腹坚,不嗜食,小便不利。可灸三壮,针入三分。
9.阴陵泉∶二穴水也,在膝下内侧辅骨下陷中,伸足取之。足太阴脉之所入也,为合。又曲膝取之。
治腹中寒,不嗜食,膈下满,水胀腹坚,喘逆不得卧,腰痛不得俯仰,霍乱,疝瘕,小
便不和,气淋,寒热不节。针入五分。
10.血海∶二穴在膝膑上内廉白肉际二寸中。治女子漏下恶血,月事不调,逆气腹胀。可灸三壮,针五分。
11.箕门∶二穴在鱼腹上越筋间,动脉应手在阴股。《内经》
一云在股上起筋间。治淋,遗溺,鼠鼷肿痛,小便不通。可灸三壮。
(左右足部及大腿部位共有二十二个穴位)
1.隐白:双侧共二穴,五行属木。位于足大趾末端内侧,距离趾甲角约如韭菜叶宽度处。为足太阴脾经气血所出之处,属井穴。主治腹胀、气喘胸闷、无法安卧、呕吐、饮食难下、突发腹泻、鼻出血、突然昏厥不省人事、足部寒冷无法温暖。进针深度三分。现补充治疗妇女月经过期不止,针刺此穴可立即痊愈。
2.大都:双侧共二穴,五行属火。位于足大趾本节(第一跖趾关节)后方的凹陷中。为足太阴脾经气血所流注之处,属荥穴。主治热病汗不出、手足逆冷、腹部胀满且易呕吐、烦热闷乱、吐逆、目眩。可艾灸三壮,进针深度三分。
3.太白:双侧共二穴,五行属土。位于足内侧核骨(第一跖骨基底)下方的凹陷中。为足太阴脾经气血所灌注之处,属输穴。主治身体发热、烦闷胀满、腹胀、食物不消化、呕吐、泄脓血、腰痛、大便困难、气逆霍乱、腹中剧烈疼痛。可艾灸三壮,进针深度三分。
4.公孙:双侧共二穴,位于足大趾本节后方一寸处,别行联络阳明经与太阴经的络脉。主治寒疟、食欲不振、突然面部浮肿、心烦、胡言乱语、腹部虚胀如鼓状。可艾灸三壮,进针深度四分。
5.商丘:双侧共二穴,五行属金。位于足内踝下方略向前方的凹陷中。为足太阴脾经气血所运行之处,属经穴。主治腹胀、肠鸣、排便不畅、脾虚导致的情绪低落、身体寒冷、喜欢叹气、心中悲伤气逆、痔疮、骨疽溃烂、绝育、恶梦。可艾灸三壮,进针深度三分。
6.三阴交:双侧共二穴,位于内踝尖上三寸,胫骨后缘凹陷中,是足太阴脾经、足厥阴肝经、足少阴肾经三条阴经的交会穴。主治积聚癖块、腹部寒冷、膝股内侧疼痛、气逆、小便不利、脾病导致身体沉重、四肢不能抬举、腹胀肠鸣、便溏泄泻、食物不消化、女子崩漏不止。可艾灸三壮,进针深度三分。过去宋太子精通医术,在御苑遇到一位怀孕妇人。太子诊断说:“这是女孩。”令徐文伯也进行诊断,他说:“这是一男一女。”太子性情急躁,想要剖开查看。臣子请求针刺,泻足三阴交,补手阳明大肠经合谷穴,应针而落胎,果然如文伯所言。因此妊娠期间不可随意针刺。
7.漏谷:双侧共二穴,又名太阴络,位于内踝尖上六寸,胫骨后缘凹陷中。主治积聚癖块冷气、心腹胀满、饮食不能转化为肌肉营养、湿痹导致不能久立。进针深度三分。
8.地机:双侧共二穴,又名脾舍,属足太阴脾经郄穴,别行联络上一寸空处,位于膝下五寸。主治妇女血瘕,按压时感觉像热水浇在大腿内侧直至膝盖、男子便溏泄泻、腹胁气胀、水肿腹部坚硬、食欲不振、小便不利。可艾灸三壮,进针深度三分。
9.阴陵泉:双侧共二穴,五行属水,位于膝内侧辅骨(胫骨内侧髁)下方的凹陷中,伸足取穴。为足太阴脾经气血所入之处,属合穴。也可屈膝取穴。主治腹部寒冷、食欲不振、膈下胀满、水胀腹部坚硬、气喘逆乱无法平卧、腰痛无法俯仰、霍乱、疝气积聚、小便不调、气淋、寒热失调。进针深度五分。
10.血海:双侧共二穴,位于膝盖髌骨内侧上缘白肉际二寸处。主治妇女漏下恶血、月经不调、气逆腹胀。可艾灸三壮,进针五分。
11.箕门:双侧共二穴,位于鱼腹(腓肠肌内侧头)上方越过筋间,动脉应手处位于大腿内侧。《内经》另一说法称位于大腿上部起筋之间。主治淋证、遗尿、鼠鼷(腹股沟)肿痛、小便不通。可艾灸三壮。
(There are twenty-two acupoints in total on both lower limbs and thighs.)
1. Yinbai (SP1): Two points, Wood element. Located at the medial end of the big toe, approximately the width of a leek leaf from the corner of the toenail. It is the point where the Foot-Taiyin Spleen Meridian Qi emerges, classified as a Jing-Well point. Indications: Abdominal distension, asthma and chest fullness, inability to lie down comfortably, vomiting, difficulty eating, sudden diarrhea, epistaxis, sudden syncope with loss of consciousness, cold feet that cannot be warmed. Needle insertion depth: 3 fen. Additionally indicated for women with prolonged menstrual bleeding beyond the expected period; needling this point can stop it immediately.
2. Dada (SP2): Two points, Fire element. Located in the depression distal to the metatarsophalangeal joint of the big toe. It is the point where the Foot-Taiyin Spleen Meridian Qi flows, classified as a Ying-Spring point. Indications: Febrile diseases with anhidrosis, cold extremities, abdominal fullness with frequent vomiting, irritability and restlessness, regurgitation, vertigo. Moxibustion: 3 cones; Needle insertion depth: 3 fen.
3. Taibai (SP3): Two points, Earth element. Located in the depression below the medial cuneiform bone (nuclear bone) on the medial side of the foot. It is the point where the Foot-Taiyin Spleen Meridian Qi pours into, classified as a Shu-Stream point. Indications: Fever, irritability and fullness, abdominal distension, food stagnation, vomiting, purulent bloody diarrhea, low back pain, difficult defecation, rebellious Qi with cholera-like symptoms, severe abdominal pain. Moxibustion: 3 cones; Needle insertion depth: 3 fen.
4. Gongsun (SP4): Two points. Located 1 cun posterior to the metatarsophalangeal joint of the big toe, connecting to the Luo-connecting vessels of the Yangming and Taiyin meridians. Indications: Cold malaria, lack of appetite, sudden facial edema, heart vexation, delirious speech, abdominal deficiency bloating resembling a drum. Moxibustion: 3 cones; Needle insertion depth: 4 fen.
5. Shangqiu (SP5): Two points, Metal element. Located in the slight depression anterior to the medial malleolus. It is the point where the Foot-Taiyin Spleen Meridian Qi travels, classified as a Jing-River point. Indications: Abdominal distension, borborygmus and constipation, spleen deficiency causing melancholy, body coldness, frequent sighing, heart sorrow with rebellious Qi, hemorrhoids, bone abscesses with ulceration, infertility, nightmare sleep. Moxibustion: 3 cones; Needle insertion depth: 3 fen.
6. Sanyinjiao (SP6): Two points. Located 3 cun directly above the tip of the medial malleolus, in the depression behind the tibia. It is the intersection of the Foot-Taiyin Spleen, Foot-Jueyin Liver, and Foot-Shaoyin Kidney meridians. Indications: Masses and accumulations, abdominal cold, pain in the medial knee and thigh, rebellious Qi, dysuria, heaviness of the body due to spleen disease, inability to move the four limbs, abdominal distension with borborygmus, loose stools, food stagnation, uterine bleeding in women. Moxibustion: 3 cones; Needle insertion depth: 3 fen. Historically, Crown Prince Song was skilled in medicine. Encountering a pregnant woman in the imperial garden, he diagnosed, "This is a female fetus." Xu Wenbo also diagnosed, "It is one male and one female." The Crown Prince, impatient, wished to dissect to verify. A minister requested acupuncture, draining Sanyinjiao and tonifying Hegu (LI4). The fetus fell immediately upon needling, confirming Wenbo's diagnosis. Thus, pregnancy contraindicates unnecessary needling.
7. Lougu (SP8): Two points, also known as Taiyin Luo. Located 6 cun directly above the tip of the medial malleolus, in the depression behind the tibia. Indications: Cold qi associated with masses and accumulations, heart and abdominal fullness, poor nutritional conversion from diet, bi-syndrome due to dampness preventing prolonged standing. Needle insertion depth: 3 fen.
8. Diji (SP8): Two points, also known as Pi She (Spleen Residence), the Xi-Cleft point of the Foot-Taiyin Spleen Meridian. Located 5 cun below the knee. Indications: Blood masses in women, sensation of heat pouring from the medial thigh to the knee upon palpation, loose stools in men, abdominal and hypochondriac Qi distension, edema with hard abdomen, lack of appetite, dysuria. Moxibustion: 3 cones; Needle insertion depth: 3 fen.
9. Yinlingquan (SP9): Two points, Water element. Located in the depression below the medial condyle of the tibia on the medial side of the knee, accessed with the leg extended. It is the point where the Foot-Taiyin Spleen Meridian Qi enters, classified as a He-Sea point. Alternatively accessed with the knee flexed. Indications: Abdominal cold, lack of appetite, sub-diaphragmatic fullness, water retention with hard abdomen, asthma and rebellious Qi preventing supine position, low back pain preventing bending or straightening, cholera, hernia and masses, urinary dysfunction, Qi strangury, irregular chills and fever. Needle insertion depth: 5 fen.
10. Xuehai (SP10): Two points. Located 2 cun superior to the medial border of the patella, at the junction of white skin. Indications: Uterine bleeding with dark blood, irregular menstruation, rebellious Qi and abdominal distension. Moxibustion: 3 cones; Needle insertion depth: 5 fen.
11. Jimen (SP11): Two points. Located above the medial head of the gastrocnemius muscle ("fish belly"), between the tendons, where the arterial pulse is palpable in the medial thigh. Another interpretation in the *Neijing* places it among the raised muscles in the upper thigh. Indications: Strangury, urinary incontinence, swelling and pain in the inguinal region (rat groin), urinary obstruction. Moxibustion: 3 cones.