（凡一十三穴）
1．大 ∶一穴，一本作椎。今从页作 ，余皆仿此。在第一椎上陷中，手足三阳、督脉之会。
疗五劳七伤，温疟 疟，气
疰，背膊拘急，颈项强不得回顾，风劳，食气。针入五分，留三呼，泻五吸。若灸以年为壮。《甲乙经》云∶
大椎下至尾 骨，二十一椎，长三尺，折量取 穴。凡度周身孔穴，远近分寸，以男左女右，取中指内纹为一
寸，《素问》云同身寸是也。又多用绳度量孔穴，绳多出缩，取穴不准。今以薄竹片点量分寸，疗病准的。
2．陶道∶一穴，在大椎节下间，俯而取之，督脉足太阳之会。治头重目瞑，洒淅寒热，脊强，汗不出。
可灸五壮，针入五分。
3．身柱∶一穴，在第三椎节下间，督脉气所发。治癫疾，螈 ，怒欲杀人，身热狂走，谵言见鬼。针入
五分，灸七七壮。
4．神道∶一穴，在第五椎节下间，俯而取之，督脉气所发。治寒热头痛，进退往来， 疟，恍惚悲愁，
健忘惊悸。可灸七七壮，至百壮止。小儿风痫螈 ，可灸七壮。
5.灵台∶一穴，在第六椎节下间，俯而取之，督脉气所发。经阙疗病法，出《素问》。
6.至阳∶一穴在第七椎节下间，俯而取之，督脉气所发。治寒热，解散，淫泺，胫酸，四肢重痛，少气
难言。可灸三壮，针入五分。
7．筋缩∶一穴在第九椎节下间，俯而取之，督脉气所发。治。惊痫，狂走癫疾。脊急强，目转上
视。可灸三壮，针入五分。
8．脊中∶一穴，一名神宗。在第十一椎节下间，俯而取之，督脉气所发。治风痫，癫邪，温病，积聚，
下利。禁不可灸，灸则令人腰背伛偻。针入五分，得气即泻。
9．悬枢∶一穴在第十三椎节下间，伏而取之，督脉气所发。
治积气上下行，水谷不化，下利，腰脊强不得屈伸，腹中留积。
针入三分，可灸三壮。
10．命门∶一穴，一名属累。在第十四椎节下间，伏而取之，督脉气所发。治头痛不可忍，身热如火，
汗不出，螈 里急，腰腹相引痛。针入五分，可灸三壮。
11．阳关∶一穴在第十六椎节下间，伏而取之。针入五分，可灸三壮。阙疗病法，出《素问》。
12．腰 ∶一穴，一名背解，一名腰柱，一名腰户。在第二十一椎节下间宛宛中。以挺身伏地舒身，两手
相重支额，纵四体，然后乃取得其穴。督脉气所发。治腰髋疼，腰脊强不得回转，温疟 疟。针入八分，
留三呼，泻五吸。可灸七壮至七七壮。慎房劳，举重强力。《甲乙经》云∶针入二寸，留七呼，灸七七壮。
13．长强∶一穴，一名气之阴 ，督脉络别。《甲乙经》云∶在脊 端，足少阴、少阳所结会。治肠风
下血，五种痔，疳蚀，下部 。针入三分，抽针以太痛为度。其穴跌地取之乃得。灸然
不及针，日灸三十壮，至二百壮止。此痔根本是冷，慎冷食、房劳。《甲乙经》云∶针入二寸，留七呼。
（共十三个穴位）
1．大椎：一个穴位，有的版本写作“椎”。现在依据《说文解字》从“页”部作“大椎”，其余穴位名称仿照此例。位于第一胸椎上方的凹陷处，是手足三阳经与督脉交会的地方。治疗五劳七伤、温疟、气疰、背膊拘急、颈项强直不能回顾、风劳、食气等病。针刺深度五分，留针三呼的时间，行泻法时配合五吸的呼吸节奏。如果艾灸，以年为单位计算壮数。《甲乙经》说：从大椎到尾骶骨，共有二十一节椎骨，全长三尺，通过折量法来取穴。凡是度量周身孔穴的远近分寸，对于男性取左手、女性取右手的中指内侧纹路作为一寸，《素问》所说的“同身寸”就是指的这个标准。又有人多用绳子来度量穴位，但绳子容易伸缩，导致取穴不准。现在用薄竹片来点量分寸，治疗疾病更加准确。
2．陶道：一个穴位，位于大椎节下方的间隙中，需俯身取穴，是督脉与足太阳膀胱经交会之处。治疗头重眼花、恶寒发热、脊背强直、无汗等症状。可灸五壮，针刺深度五分。
3．身柱：一个穴位，位于第三胸椎节下方的间隙中，是督脉之气发出的部位。治疗癫疾、抽搐、愤怒欲杀人、身体发热狂乱奔走、胡言乱语看见鬼魂等症状。针刺深度五分，灸七七四十九壮。
4．神道：一个穴位，位于第五胸椎节下方的间隙中，需俯身取穴，是督脉之气发出的部位。治疗寒热头痛、忽冷忽热往来发作、疟疾、神情恍惚悲伤忧愁、健忘惊悸等症状。可灸七七四十九壮，最多至一百壮为止。小儿风痫抽搐，可灸七壮。
5．灵台：一个穴位，位于第六胸椎节下方的间隙中，需俯身取穴，是督脉之气发出的部位。书中缺失治疗方法，出自《素问》。
6．至阳：一个穴位，位于第七胸椎节下方的间隙中，需俯身取穴，是督脉之气发出的部位。治疗寒热、解散（指邪气解散或身体松懈无力）、淫泺（肢体软弱酸痛）、小腿酸软、四肢沉重疼痛、气短难以言语等症状。可灸三壮，针刺深度五分。
7．筋缩：一个穴位，位于第九胸椎节下方的间隙中，需俯身取穴，是督脉之气发出的部位。治疗惊痫、狂乱奔走、癫疾。脊背紧急强直、眼球上翻。可灸三壮，针刺深度五分。
8．脊中：一个穴位，又名神宗。位于第十一胸椎节下方的间隙中，需俯身取穴，是督脉之气发出的部位。治疗风痫、癫邪、温病、积聚、腹泻。禁止艾灸，如果艾灸会导致人腰背弯曲驼背。针刺深度五分，得气后立即行泻法。
9．悬枢：一个穴位，位于第十三胸椎节下方的间隙中，需伏身取穴，是督脉之气发出的部位。治疗积气上下运行、水谷不消化、腹泻、腰脊强直不能屈伸、腹中有留滞的积块。针刺深度三分，可灸三壮。
10．命门：一个穴位，又名属累。位于第十四胸椎节下方的间隙中，需伏身取穴，是督脉之气发出的部位。治疗头痛剧烈难忍、身体发热如火、无汗、抽搐伴腹部拘急、腰腹相互牵引疼痛。针刺深度五分，可灸三壮。
11．阳关：一个穴位，位于第十六胸椎节下方的间隙中，需伏身取穴。针刺深度五分，可灸三壮。书中缺失治疗方法，出自《素问》。
12．腰俞：一个穴位，又名背解、腰柱、腰户。位于第二十一胸椎节下方的宛宛（凹陷）之中。方法是挺身伏地舒展身体，两手重叠支撑额头，放松四肢，然后才能取得该穴位。这是督脉之气发出的部位。治疗腰髋疼痛、腰脊强直不能回转、温疟。针刺深度八分，留针三呼的时间，行泻法时配合五吸的呼吸节奏。可灸七壮至七七四十九壮。慎戒房事劳累、举重用力。《甲乙经》说：针刺深度二寸，留针七呼，灸七七四十九壮。
13．长强：一个穴位，又名气之阴，是督脉别出的络脉。《甲乙经》说：在脊柱末端，是足少阴肾经与足少阳胆经结会之处。治疗肠风下血、五种痔疮、疳蚀、下部疮疡。针刺深度三分，拔针以感到太痛为度。取穴时需跌倒在地姿势才能找到。艾灸不如针刺有效，每日灸三十壮，直到二百壮为止。这种痔的根本原因是寒气，慎食生冷食物、慎戒房事劳累。《甲乙经》说：针刺深度二寸，留针七呼。
(Thirteen acupoints in total)
1. Dazhui (GV14, Great Vertebra): One acupoint. Some versions write it as "Zhui". Currently, based on the radical "Ye" (head), it is written as "Dazhui", and other acupoint names follow this example. Located in the depression above the first thoracic vertebra, it is the intersection of the Hand and Foot Three Yang Meridians and the Du Meridian. It treats five labors and seven injuries, warm malaria, Qi Zhu (a disease caused by pathogenic factors lingering in the body), stiffness and tension of the back and shoulders, stiff neck unable to look back, wind consumption, and food qi. Needle insertion depth is 5 fen; retain the needle for three breaths (hu); perform reducing method coordinated with five inhalations (xi). If moxibustion is used, the number of cones (zhuang) is measured in years. The *Jia Yi Jing* states: From Dazhui to the coccyx, there are twenty-one vertebral segments, totaling three chi in length. Acupoints are located by folding and measuring. To measure the distance and proportions of all acupoints around the body, for males use the left hand and for females use the right hand, taking the inner crease of the middle finger as one cun. This is what the *Su Wen* refers to as "same-body cun". Others often use ropes to measure acupoints, but ropes tend to stretch or shrink, leading to inaccurate point location. Now, thin bamboo strips are used to measure distances accurately for treating diseases.
2. Taodao (GV13, Ceramic Path): One acupoint, located in the interspace below the Dazhui segment. It should be located with the patient bending forward. It is the intersection of the Du Meridian and the Foot-Taiyang Bladder Meridian. It treats heavy head, blurred vision, chills and fever, spinal stiffness, and absence of sweating. Moxibustion: 5 cones. Needle insertion depth: 5 fen.
3. Shenzhu (GV12, Spirit Pillar): One acupoint, located in the interspace below the third thoracic vertebral segment. It is where the Qi of the Du Meridian emerges. It treats epilepsy, convulsions, anger wanting to kill others, high fever with manic running, delirium, and hallucinations of seeing ghosts. Needle insertion depth: 5 fen. Moxibustion: 49 cones (7x7).
4. Shendao (GV11, Spirit Path): One acupoint, located in the interspace below the fifth thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. It treats cold and heat headache, alternating chills and fever, malaria, mental confusion with sadness and worry, forgetfulness, palpitations, and fright. Moxibustion: 49 cones up to 100 cones maximum. For pediatric wind-epilepsy with convulsions, moxa 7 cones.
5. Lingtai (GV10, Spirit Platform): One acupoint, located in the interspace below the sixth thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. The text lacks treatment methods, which originate from the *Su Wen*.
6. Zhiyang (GV9, Supreme Yang): One acupoint, located in the interspace below the seventh thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. It treats chills and fever, exhaustion/weakness, Yinluo (limb weakness and soreness), leg soreness, heaviness and pain in the four limbs, shortness of breath, and difficulty speaking. Moxibustion: 3 cones. Needle insertion depth: 5 fen.
7. Jinsuo (GV8, Tendon Contraction): One acupoint, located in the interspace below the ninth thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. It treats fright-epilepsy, manic running, epilepsy. Spinal emergency stiffness, upward deviation of the eyes. Moxibustion: 3 cones. Needle insertion depth: 5 fen.
8. Jizhong (GV7, Spine Center): One acupoint, also known as Shenzong. Located in the interspace below the eleventh thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. It treats wind-epilepsy, mania, warm diseases, accumulation masses, and diarrhea. Moxibustion is contraindicated; if applied, it causes the person's waist and back to become hunched. Needle insertion depth: 5 fen. Upon obtaining Deqi (arrival of qi), immediately perform reducing method.
9. Xuan shu (GV6, Suspended Pivot): One acupoint, located in the interspace below the thirteenth thoracic vertebral segment. It should be located with the patient lying prone. It is where the Qi of the Du Meridian emerges. It treats circulating accumulated qi moving up and down, indigestion of water and grain, diarrhea, stiff and straight waist and spine unable to bend or extend, and retained accumulations in the abdomen. Needle insertion depth: 3 fen. Moxibustion: 3 cones.
10. Mingmen (GV4, Gate of Life): One acupoint, also known as Shulei. Located in the interspace below the fourteenth thoracic vertebral segment. It should be located with the patient lying prone. It is where the Qi of the Du Meridian emerges. It treats unbearable severe headache, body heat like fire, absence of sweating, convulsions with abdominal urgency, and pulling pain between the waist and abdomen. Needle insertion depth: 5 fen. Moxibustion: 3 cones.
11. Yangguan (GV3, Yang Pass): One acupoint, located in the interspace below the sixteenth thoracic vertebral segment. It should be located with the patient lying prone. Needle insertion depth: 5 fen. Moxibustion: 3 cones. The text lacks treatment methods, which originate from the *Su Wen*.
12. Yaoshu (GV12, Waist Mansion - Note: Text says "Yao [character missing/replaced]", context implies Yaoshu or similar lower back point, but strictly following text description of location at 21st vertebra, this corresponds to Changqiang or Yaoyangguan depending on version, however text lists it separately before Changqiang. Based on location "21st vertebra" and name variants, it likely refers to a specific point in this lineage, often identified as Yaoshu or related. However, standard GV ends at GV28. Let's translate literally as described): One acupoint, also known as Beijie, Yaozhu, Yaohu. Located in the depression below the twenty-first thoracic vertebral segment (Note: Anatomically corresponds to sacral region). Method: Stand upright, lie prone, stretch the body, overlap hands to support the forehead, relax the four limbs, then locate the acupoint. It is where the Qi of the Du Meridian emerges. It treats lumbosacral pain, stiff waist and spine unable to turn, warm malaria. Needle insertion depth: 8 fen; retain for three breaths; perform reducing method coordinated with five inhalations. Moxibustion: 7 cones up to 49 cones. Avoid sexual fatigue and heavy lifting/straining. The *Jia Yi Jing* states: Needle insertion depth 2 cun; retain for seven breaths; moxa 49 cones.
13. Changqiang (GV1, Long Strength): One acupoint, also known as Qi Zhiyin, it is the divergent collateral of the Du Meridian. The *Jia Yi Jing* states: Located at the end of the spine, it is the convergence of the Foot-Shaoyin Kidney Meridian and Foot-Shaoyang Gallbladder Meridian. It treats intestinal wind with bloody stool, five types of hemorrhoids, gan erosion, and sores in the lower part. Needle insertion depth: 3 fen. Withdraw the needle when the sensation becomes too painful. The acupoint is found when the patient falls to the ground (prone position). Moxibustion is inferior to acupuncture. Daily moxa 30 cones, up to 200 cones maximum. The root cause of these hemorrhoids is cold; avoid cold foods and sexual fatigue. The *Jia Yi Jing* states: Needle insertion depth 2 cun; retain for seven breaths.