(左右凡一十二穴)
1.云门∶二穴在巨骨下,侠气户傍各二寸陷中,动脉应手,手太阴脉气所发。治喉痹,胸中烦满,
气上冲心,咳喘不得息,胸胁短气,肩痛不得举臂。《甲乙经》云∶可灸五壮,针入
三分,刺深使人气逆,故不宜深刺。
2.中府∶二穴肺之募,一名膺中 。在云门下一寸,乳上三肋间,动脉应手,足太阴之会。治肺系急,
胸中痛悚悚,胆热,呕逆上气,咳唾浊涕,肩背痛风,汗出腹胀,食不下,喉痹,肩
息,肤骨痛,寒热。针入三分,留五呼,可灸五壮。
3.周荣∶二穴在中府下一寸六分陷中,仰而取之,足太阴脉
气所发。治胸胁支满,不得俯仰,饮食不下,咳唾稠脓,针入四分。
4.胸乡∶二穴在周荣下一寸六分陷中,仰而取之,足太阴脉气所发。治胸胁支满,引胸背痛,卧不得
转侧。针入四分,可灸五壮。
5.天溪∶二穴在胸乡下一寸六分陷中,仰而取之,足太阴脉气所发。治胸中满痛,乳肿贲膺,咳逆上
气,喉中作声。针入四分,可灸五壮。
6.食窦∶二穴在天溪下一寸六分,举臂取之,足太阴脉气所
发。治胸胁支满,膈间雷鸣, 陆 陆,常有小声。针入四分,可灸五壮。
(左右凡八穴)
1.渊腋∶二穴在腋下三寸宛宛中,举臂得之,治胸满无力,
臂不举。禁不宜灸,灸之不幸,令人生肿蚀。马疡内溃者死,寒热者生,马疡可治,针入三分。
2.辄筋∶二穴在腋下三寸,复前一寸着胁,足少阳脉气所
发。治胸中暴满,不得卧喘息也。可灸三壮,针入六分。
3.大包∶二穴在渊腋下三寸,脾之大络,布胸胁中,出九肋间。治腹有大气,气不得息,胸胁中痛,
内实则其身尽寒,虚则百节皆纵。可灸三壮,针入三分。
4.天池∶二穴在乳后一寸,腋下三寸,着胁直腋撅肋间。一名天会,手心主、足少阳脉之会。治寒热,
胸膈烦满,头痛,四肢不举,腋下肿,上气,胸中有声,喉中鸣。可灸三壮,针入三分。
(左右两侧共十二穴)
1. 云门:双侧各一穴,位于巨骨穴下方,气户穴旁开各二寸的凹陷处,按压有动脉搏动感,为手太阴肺经经气所发之处。主治喉痹(咽喉肿痛闭塞),胸中烦闷胀满,气逆上冲心胸,咳嗽气喘导致呼吸急促困难,胸胁部短促气息,肩部疼痛致使手臂无法抬起。《甲乙经》记载:可艾灸五壮,针刺深度三分,若刺之过深会导致气机逆乱,因此不宜深刺。
2. 中府:双侧各一穴,是肺的募穴,又名膺中俞。位于云门穴下一寸,乳头上方第三肋间隙处,按压有动脉搏动感,为足太阴脾经与手太阴肺经的交会穴。主治肺系急迫病症,胸中疼痛伴有惊恐感,胆热,呕吐逆气,咳嗽吐浊痰鼻涕,肩背痛风,出汗伴腹胀,饮食难下,喉痹,肩息(呼吸困难时耸肩),肌肤骨骼疼痛,寒热往来。针刺深度三分,留针时间相当于五次呼吸的时间,可艾灸五壮。
3. 周荣:双侧各一穴,位于中府穴下一寸六分的凹陷处,取穴时需仰卧,为足太阴脾经经气所发之处。主治胸胁部支撑胀满感,身体不能前俯后仰,饮食难以下咽,咳嗽吐出稠厚脓痰。针刺深度四分。
4. 胸乡:双侧各一穴,位于周荣穴下一寸六分的凹陷处,取穴时需仰卧,为足太阴脾经经气所发之处。主治胸胁部支撑胀满感,牵引胸背疼痛,卧床时无法翻身侧卧。针刺深度四分,可艾灸五壮。
5. 天溪:双侧各一穴,位于胸乡穴下一寸六分的凹陷处,取穴时需仰卧,为足太阴脾经经气所发之处。主治胸中胀满疼痛,乳房肿胀波及胸部,咳嗽气逆上冲,喉咙发出声响。针刺深度四分,可艾灸五壮。
6. 食窦:双侧各一穴,位于天溪穴下一寸六分,取穴时需举起手臂,为足太阴脾经经气所发之处。主治胸胁部支撑胀满感,膈间肠鸣音如雷鸣,腹部发出“陆陆”声,常伴有细微声响。针刺深度四分,可艾灸五壮。
(左右两侧共八穴)
1. 渊腋:双侧各一穴,位于腋下三寸的宛宛(凹陷)处,举起手臂即可触及,主治胸中胀满无力,手臂无法抬起。禁止艾灸,若误灸不幸发生严重后果,可能导致人生肿疡溃烂。若马疡内溃则死亡,若仅有寒热症状则有望存活,马疡尚可治疗。针刺深度三分。
2. 辄筋:双侧各一穴,位于腋下三寸,向前一寸贴近胁部,为足少阳胆经经气所发之处。主治胸中突然胀满,无法平卧喘息。可艾灸三壮,针刺深度六分。
3. 大包:双侧各一穴,位于渊腋穴下方三寸,是脾的大络脉,分布于胸胁之中,出于第九肋骨间隙。主治腹中有大气积聚,气息不能顺畅呼吸,胸胁部疼痛。实证表现为全身寒冷,虚证表现为全身关节松弛无力。可艾灸三壮,针刺深度三分。
4. 天池:双侧各一穴,位于乳头后方一寸,腋下三寸,紧贴胁部直对腋窝、弯曲肋骨之间的空隙。又名天会,为手厥阴心包经与足少阳胆经的交会穴。主治寒热,胸膈烦闷胀满,头痛,四肢无法抬起,腋下肿胀,气逆上冲,胸中有声音,喉咙鸣响。可艾灸三壮,针刺深度三分。
(There are twelve acupoints in total on both sides.)
1. Yunmen (Cloud Gate, LU-2): There are two points, located below Jugu (LU-1), each two cun lateral to Qihu (ST-15), in the depression where arterial pulsation is palpable. This point is where the Qi of the Hand-Taiyin Lung Meridian emerges. It treats throat obstruction (Bi syndrome of the throat), irritability and fullness in the chest, Qi rushing upward to the heart, coughing and wheezing with inability to breathe smoothly, shortness of breath in the chest and hypochondrium, and shoulder pain preventing arm elevation. The *Jia Yi Jing* states: Moxibustion five moxa cones can be applied; needle insertion depth is three fen. If needled too deeply, it causes Qi rebellion, so deep needling is not advisable.
2. Zhongfu (Central Treasury, LU-1): There are two points, which are the Front-Mu points of the Lung, also known as Yingzhong Shu. Located one cun below Yunmen, in the intercostal space of the third rib above the nipple, where arterial pulsation is palpable. It is the meeting point of the Foot-Taiyin Spleen Meridian. It treats acute conditions of the lung system, painful and fearful sensations in the chest, Gallbladder heat, vomiting and rebellious Qi, coughing up turbid sputum and nasal discharge, wind-pain in the shoulder and back, sweating accompanied by abdominal distension, difficulty in eating, throat obstruction, shoulder breathing (dyspnea with shrugging shoulders), pain in skin and bones, and alternating chills and fever. Needle insertion depth is three fen; retain the needle for the duration of five breaths; moxibustion five moxa cones can be applied.
3. Zhourong (Abundant Surroundings, SP-19): There are two points, located in the depression one cun and six fen below Zhongfu, taken while supine. This point is where the Qi of the Foot-Taiyin Spleen Meridian emerges. It treats distending fullness in the chest and hypochondrium, inability to bend forward or backward, difficulty in swallowing food, and coughing up thick purulent sputum. Needle insertion depth is four fen.
4. Xiongxiang (Chest Village, SP-20): There are two points, located in the depression one cun and six fen below Zhourong, taken while supine. This point is where the Qi of the Foot-Taiyin Spleen Meridian emerges. It treats distending fullness in the chest and hypochondrium, pain radiating from the chest to the back, and inability to turn over in bed. Needle insertion depth is four fen; moxibustion five moxa cones can be applied.
5. Tianxi (Heavenly Stream, SP-21): There are two points, located in the depression one cun and six fen below Xiongxiang, taken while supine. This point is where the Qi of the Foot-Taiyin Spleen Meridian emerges. It treats fullness and pain in the chest, breast swelling extending to the chest, rebellious coughing and ascending Qi, and sounds produced in the throat. Needle insertion depth is four fen; moxibustion five moxa cones can be applied.
6. Shidou (Food Sinus, SP-22): There are two points, located one cun and six fen below Tianxi, taken with the arm raised. This point is where the Qi of the Foot-Taiyin Spleen Meridian emerges. It treats distending fullness in the chest and hypochondrium, borborygmus like thunder in the diaphragm, "Lu Lu" sounds in the abdomen, often accompanied by faint noises. Needle insertion depth is four fen; moxibustion five moxa cones can be applied.
(There are eight acupoints in total on both sides.)
1. Yuanye (Abyss Armpit, GB-22): There are two points, located in the hollow depression three cun below the axilla, accessible by raising the arm. It treats chest fullness with weakness and inability to lift the arm. Moxibustion is contraindicated; if mistakenly applied and misfortune occurs, it may cause human patients to develop swelling and ulceration. If the abscess ruptures internally, death ensues; if only chills and fever are present, survival is possible; such abscesses are treatable. Needle insertion depth is three fen.
2. Zhejin (Rib Binding, GB-23): There are two points, located three cun below the axilla, one cun anteriorly touching the ribs. This point is where the Qi of the Foot-Shaoyang Gallbladder Meridian emerges. It treats sudden severe fullness in the chest, inability to lie flat due to wheezing. Moxibustion three moxa cones can be applied; needle insertion depth is six fen.
3. Dabao (Great Wrap, SP-21): There are two points, located three cun below Yuanye. It is the Great Luo vessel of the Spleen, distributing within the chest and hypochondrium, emerging between the ninth ribs. It treats accumulation of excessive Qi in the abdomen causing inability to breathe smoothly, and pain in the chest and hypochondrium. In excess patterns, the body feels cold throughout; in deficiency patterns, all joints become flaccid. Moxibustion three moxa cones can be applied; needle insertion depth is three fen.
4. Tianchi (Heavenly Pool, PC-1): There are two points, located one cun behind the nipple, three cun below the axilla, touching the ribs directly opposite the axilla and between the bent ribs. Also known as Tianhui, it is the meeting point of the Hand-Jueyin Pericardium Meridian and the Foot-Shaoyang Gallbladder Meridian. It treats chills and fever, irritability and fullness in the chest and diaphragm, headache, inability to lift the four limbs, swelling in the axilla, rebellious Qi, sounds in the chest, and ringing in the throat. Moxibustion three moxa cones can be applied; needle insertion depth is three fen.