\r阴维脉穴图\p06-d26a50.bmp\r(七穴)
内关∶心包经穴去掌二寸两筋间紧握拳取之主心胆脾胃之病与公子小主客相应凡治必先取内关而刺之
阴维之穴起筑宾,府舍大横腹哀循,期门天突连舌本,此是阴维脉维阴。
阴维脉分寸歌
阴维脉起足少阴,内踝之上寻筑宾,少腹之下称府舍,大横
平脐是穴名,此穴去中三寸半,行至乳下腹哀明,期门直乳二肋
缝,天突结喉下一寸,喉上中央舌本下,穴名廉泉通肾津。
阴维起于诸阴之交者,谓起于足少阴肾经之内踝后上 分中筑宾穴,与足太阴交于少腹下去腹中行三寸半
府舍穴,又平脐去中行三寸半大横穴,又行至乳下二肋端缝之下二寸腹哀穴,又与足厥阴交于乳下二肋端缝
期门穴,又与任脉交于结喉下一寸宛宛中天突穴,从天突上行,在颔下结喉上,口中舌本下廉泉穴而
终。此阴维脉气所发也。
\r带脉穴图\p06-d26a51.bmp\r(六穴)
临泣∶二穴足少阳经穴少阳所注为 主四肢头项耳目齿咽诸病与外关主客相应凡治必先取临泣而刺之
带起少阳带脉穴,绕行五枢维道间,京门之下居 上,周回季胁束带然。
带脉穴分寸歌
带脉部分足少阳,季胁寸八是其乡,由带三寸五枢穴,过章五三维道当。
带脉穴在季胁下一寸八分,从带脉穴下三寸即五枢穴也。从
五枢下行,过肝经之章门穴下五寸三分,即维道穴也。
考正带脉穴道
带脉之穴,李时珍谓起于季胁之章门,循带脉又与足少阳会于五枢、维道,左右凡八穴。张介宾《类经》
谓脉气所发,在季胁下一寸八分,穴名带脉。又与足少阳会于维道,凡四穴。《金鉴》与《针灸大成》均言带
脉五枢、维道凡六穴。考之《图经》带脉、五枢、维道三穴,属带脉之会。章门穴,乃脾之募藏之
会,非带脉之会也。时珍穴之四,介宾穴之二,较之《图经》俱有差失。今遵《图经》、《金鉴》、《大成》
穴属,而缕绘之,以质后之贤者。
【阴维脉穴图】(共七个穴位)
内关:属于手厥阴心包经的穴位,位于手掌后两寸处,两筋之间。取穴时需紧握拳头。此穴主治心脏、胆腑、脾脏和胃腑的疾病。在治疗时,它作为“主”穴与“客”穴(外关)相互对应,凡是治疗相关病症,必须先选取内关穴进行针刺。
阴维脉的穴位起始于筑宾穴,接着经过府舍穴、大横穴、腹哀穴,再连接到期门穴、天突穴,并延伸至舌根部,这就是阴维脉维系阴气的路径。
《阴维脉分寸歌》
阴维脉起始于足少阴肾经,在内踝上方寻找筑宾穴;少腹下方称为府舍穴;大横穴平齐肚脐,这是该穴的名称;此穴距离身体正中线三寸半;走到乳房下方的腹哀穴便清晰可见;期门穴直对乳头,位于第二肋间隙;天突穴在结喉下方一寸处;喉部中央、舌根下方有一个名为廉泉的穴位,通连肾经津液。
阴维脉起于诸阴经交汇之处,意思是起始于足少阴肾经内踝后方上四分处的筑宾穴,在此处与足太阴脾经相交;向下至腹部,距离腹前正中线三寸半的位置是府舍穴;又平齐肚脐,距离腹前正中线三寸半的位置是大横穴;再向下行至乳房下方、第二肋骨端缝隙下二寸的位置是腹哀穴;此处又与足厥阴肝经相交于乳房下方第二肋骨端缝隙处的期门穴;再与任脉相交于结喉下方一寸凹陷处的天突穴;从天突穴向上行,在下巴下方、结喉上方、口腔内舌根下方的廉泉穴结束。这些就是阴维脉气所发出的穴位。
【带脉穴图】(共六个穴位)
临泣:即足少阳胆经的足临泣穴,共两个。足少阳经气灌注于此,主要主治四肢、头项、耳目、牙齿和咽喉的各种疾病。它与外关穴互为“主”、“客”相应关系。凡是治疗相关病症,必须先选取临泣穴进行针刺。
带脉起始于足少阳胆经的带脉穴,绕行于五枢穴和维道穴之间,京门穴位于其下方,环绕季胁如同束带一般。
《带脉穴分寸歌》
带脉部分属于足少阳胆经,季胁下一寸八分是其所在之地;从带脉穴向下三寸是五枢穴;经过章门穴下五寸三分是维道穴。
带脉穴位于季胁下一寸八分处,从带脉穴向下三寸即是五枢穴。从五枢穴向下行,经过肝经的章门穴下方五寸三分处,即是维道穴。
考证修正带脉穴道
李时珍认为带脉穴起始于季胁的章门穴,沿带脉行走,又与足少阳胆经会合于五枢穴、维道穴,左右共计八个穴位。张介宾在《类经》中认为脉气所发之处,在季胁下一寸八分,穴名带脉;又与足少阳胆经会合于维道穴,共计四个穴位。《医宗金鉴》与《针灸大成》均记载带脉、五枢、维道共计六个穴位。考证《针灸图经》,带脉、五枢、维道三个穴位,属于带脉的交会穴。而章门穴,乃是脾脏募穴与脏腑之气汇聚之处,并非带脉的交会穴。李时珍所说的四个穴位,张介宾所说的两个穴位,与《针灸图经》相比都有偏差。现在遵循《针灸图经》、《医宗金鉴》、《针灸大成》的穴位归属,详细绘制出来,以请教后来的贤者。
[Diagram of the Yin Linking Vessel Acupoints] (Seven acupoints)
Neiguan (PC6): An acupoint of the Pericardium Meridian of Hand-Jueyin, located two cun distal to the wrist crease between the two tendons. When taking this point, the patient should make a tight fist. This point is indicated for diseases of the Heart, Gallbladder, Spleen, and Stomach. In treatment, it corresponds as the "Master" (Zhu) and "Guest" (Ke) pair with Waiguan (TE5). For treating related disorders, Neiguan must be selected first for needling.
The acupoints of the Yin Linking Vessel begin at Zhubin (KI9), proceed through Fushhe (SP13), Daheng (SP15), and Fu'ai (SP16), then connect to Qimen (LR14), Tiantu (CV22), and extend to the root of the tongue. This constitutes the pathway where the Yin Linking Vessel connects and regulates Yin.
*Song on Measurements of the Yin Linking Vessel*
The Yin Linking Vessel originates from the Foot-Shaoyin Kidney Meridian; seek Zhubin (KI9) above the medial malleolus. Below the lower abdomen lies Fushhe (SP13); Daheng (SP15) is level with the umbilicus, which is its name. This point is three and a half cun lateral to the midline. Proceeding to below the breast, Fu'ai (SP16) becomes clear. Qimen (LR14) is directly below the nipple in the second intercostal space. Tiantu (CV22) is one cun below the laryngeal prominence. In the center of the throat, below the root of the tongue, lies the acupoint Lianquan (CV23), which communicates with the Kidney meridian's fluids.
The Yin Linking Vessel originates from the intersection of all Yin meridians, meaning it starts at Zhubin (KI9), located four fen above the posterior aspect of the medial malleolus on the Foot-Shaoyin Kidney Meridian, where it intersects with the Foot-Taiyin Spleen Meridian. Descending to the lower abdomen, three and a half cun lateral to the anterior midline, is Fushhe (SP13). Again, level with the umbilicus and three and a half cun lateral to the anterior midline, is Daheng (SP15). Further descending to two cun below the end of the second rib under the breast, is Fu'ai (SP16); here it intersects with the Foot-Jueyin Liver Meridian at Qimen (LR14), located in the end of the second rib under the breast. It then intersects with the Conception Vessel at Tiantu (CV22), one cun below the laryngeal prominence in the depression. Ascending from Tiantu, beneath the chin, above the larynx, and below the root of the tongue inside the mouth, lies Lianquan (CV23), where it terminates. These are the points where the Qi of the Yin Linking Vessel emerges.
[Diagram of the Belt Vessel Acupoints] (Six acupoints)
Linqi (i.e., Zulinqi GB41): Two acupoints belonging to the Foot-Shaoyang Gallbladder Meridian. The infusion of Foot-Shaoyang Qi occurs here, primarily indicating diseases of the four limbs, head and neck, ears, eyes, teeth, and throat. It corresponds as the "Master" and "Guest" pair with Waiguan (TE5). For treating related disorders, Linqi must be selected first for needling.
The Belt Vessel originates from the Belt Vessel acupoint of the Foot-Shaoyang Gallbladder Meridian, winding around between Wushu (GB27) and Weidao (GB26). Jingmen (GB25) lies below it, encircling the hypochondrium like a belt.
*Song on Measurements of the Belt Vessel Acupoints*
The Belt Vessel portion belongs to the Foot-Shaoyang Gallbladder Meridian; eight fen below the costal margin is its location. Three cun below the Belt Vessel point is Wushu (GB27); passing five cun and three fen below Zhangmen (LR13) leads to Weidao (GB26).
The Belt Vessel acupoint is located one cun and eight fen below the costal margin. Three cun below the Belt Vessel point is Wushu (GB27). Descending from Wushu, passing five cun and three fen below Zhangmen (LR13) of the Liver Meridian, is Weidao (GB26).
*Examination and Correction of Belt Vessel Acupoints*
Li Shizhen stated that the Belt Vessel acupoints originate from Zhangmen (LR13) at the costal margin, follow the Belt Vessel, and intersect with the Foot-Shaoyang Gallbladder Meridian at Wushu (GB27) and Weidao (GB26), totaling eight acupoints bilaterally. Zhang Jiebin in *Lei Jing* (Classified Classic) stated that the points where the vessel Qi emerges are one cun and eight fen below the costal margin, named Belt Vessel (GB26); and they intersect with the Foot-Shaoyang Gallbladder Meridian at Weidao (GB26), totaling four acupoints. *Yi Zong Jin Jian* (Golden Mirror of Medicine) and *Zhen Jiu Da Cheng* (Great Compendium of Acupuncture and Moxibustion) both state that Belt Vessel (GB26), Wushu (GB27), and Weidao (GB26) total six acupoints. Examining *Tu Jing* (Illustrated Classic), Belt Vessel (GB26), Wushu (GB27), and Weidao (GB26) are the meeting points of the Belt Vessel. Zhangmen (LR13) is the Front-Mu point of the Spleen and the meeting point of the Zang organs, not a meeting point of the Belt Vessel. Li Shizhen's four acupoints and Zhang Jiebin's two acupoints both deviate from *Tu Jing*. Now, following the acupoint attributions of *Tu Jing*, *Yi Zong Jin Jian*, and *Zhen Jiu Da Cheng*, I have drawn them in detail to consult with future scholars.