(左右及股凡三十穴)
1.厉兑∶二穴金也,在足大指次指之端,去爪甲如韭叶。足阳明脉之所出也,为井。治尸厥口噤气绝,
状如中恶,心腹胀满,热病汗不出,寒热疟,不嗜食而肿,足 寒,喉痹,齿龋,
恶风,鼻不利,多惊好卧。针入一分,可灸一壮。
2.内庭∶二穴水也,在足大指次指外间陷中。足阳明脉之所流也,为荥。治四肢厥逆,腹胀满,数
欠,恶闻人声,振寒,咽中引痛,口 ,齿龋痛,疟不嗜食。可灸三壮,针入三分。
3.陷谷∶二穴木也,在足大指次指之间本节后陷中,去内庭二寸。足阳明脉之所注也,为 。治面
目浮肿及水病,善咽,肠鸣腹痛,热病汗不出,振寒疟疾。针入三分,留七呼,可灸三壮。
4.冲阳∶二穴在足跗上,去陷谷三寸。足阳明脉之所过也,为原。治偏风,口眼 斜,肘肿,齿龋痛,
发寒热,腹坚大,不嗜食,振寒,久狂登高而歌,弃衣而走,足缓履不收。针入五分,可灸三壮。
5.解溪∶二穴火也,在冲阳后一寸五分,腕上陷中。足阳明脉之所行也,为经。治风面浮肿,颜黑。厥
气上冲,腹胀,大便下重, 惊,膝股 肿,转筋,目眩,头痛,癫疾,烦心悲泣,
霍乱、头风,面目赤。针入五分,可灸三壮。
6.丰隆∶二穴在外踝上八寸下廉, 外廉陷中,别走太阴。治厥逆,胸痛如刺,腹中切痛,大小便难
涩,厥头痛,面浮肿,风逆,四肢肿,身湿,喉痹不能言。针入三分,可灸三壮。
7.下廉∶二穴,一名下巨虚,在上廉下三寸,当举足取穴。治少腹痛,飧泄,次指间痛,唇干,涎出
不觉,不得汗出,毛发焦,脱肉少气,胃中热不嗜饮食,泄脓血,胸胁少腹痛,暴惊狂
言非常,女子乳痈,喉痹, 肿,足跗不收。针入八分,可灸三壮。
8.条口∶二穴在下廉上一寸,举足取之。治膝 寒酸痛,足缓履不收,湿痹,足下热。针入五分,可灸三壮。
9.上廉∶二穴,一名上巨虚,在三里下三寸,当举足取之。
治飧泄,腹胁支满,狂走,夹脐腹痛,食不化,喘息不能行。可
灸三壮,针入三分。甄权云∶治藏气不足,偏风,腿 手足不仁,可灸以年为壮。
10.三里∶二穴土也,在膝下三寸, 外廉两筋间,当举足取之。足阳明脉之所入也,为合。治胃
中寒,心腹胀满,胃气不足,闻食臭,肠鸣腹痛,食不化。秦承祖云∶诸病皆治,食气,水气,蛊毒, 癖,
四肢肿满,膝 酸痛,目不明。华池云∶疗五劳羸瘦,七伤虚乏。胸中瘀血,乳痈。《外台》、《明堂》
云∶人年三十以上,若不灸三里,令气上冲目。可灸三壮,针入五分。
11.犊鼻∶二穴在膝膑下, 骨上,侠解大筋中。治膝中疼痛不仁,难跪起,膝膑臃肿,溃者不可治,
不溃者可疗。若犊鼻坚硬,勿便攻,先以洗熨,即微刺之愈。
12.梁丘∶二穴在膝上二寸两筋间。治大惊,乳痛,寒痹,膝不能屈伸。可灸三壮,针入三分。
13.阴市∶二穴,一名阴鼎,在膝上三寸,伏兔下,若拜而取
之。治寒疝,少腹痛,胀满,腰已下伏兔上寒如注水。针入三分,不可灸。
14.伏兔∶二穴在膝上六寸起肉,一本云膝盖上七寸。治风劳气逆,膝冷不得温。针入五分,不可灸。
15.髀关∶二穴在膝上伏兔后交分中。治膝寒不仁,痿厥,股内筋络急。针入六分。
(左右两侧及大腿部分共有三十个穴位)
1. 厉兑:左右各一穴,属金。位于足大趾与次趾(第二趾)的末端,距离爪甲边缘如韭菜叶宽度处。是足阳明胃经经脉之气所出的部位,为“井”穴。主治尸厥(突然昏倒、不省人事)、口噤(牙关紧闭)、气绝,症状类似中恶邪,心腹胀满,热病无汗,寒热往来的疟疾,食欲不振且伴有浮肿,足部发冷,喉痹(咽喉肿痛闭塞),龋齿疼痛,怕风,鼻塞不通利,易受惊吓且嗜睡。针刺深度一分,可艾灸一壮。
2. 内庭:左右各一穴,属水。位于足大趾与次趾外侧之间的凹陷处。是足阳明胃经经脉之气所流的部位,为“荥”穴。主治四肢厥逆(手足冰冷),腹胀满,频繁打哈欠,厌恶听到人声,战栗发冷,咽喉牵引性疼痛,口臭(原文缺字,据语境推测为口臭或口苦),龋齿疼痛,疟疾且食欲不振。可艾灸三壮,针刺深度三分。
3. 陷谷:左右各一穴,属木。位于足大趾与次趾之间,本节后的凹陷处,距离内庭穴二寸。是足阳明胃经经脉之气所注的部位,为“输”穴。主治面目浮肿及水肿病,容易吞咽困难(原文缺字,据语境推测为善噫或咽痛),肠鸣腹痛,热病无汗,战栗发冷的疟疾。针刺深度三分,留针七次呼吸的时间,可艾灸三壮。
4. 冲阳:左右各一穴。位于足背上方,距离陷谷穴三寸。是足阳明胃经经脉气所经过的部位,为“原”穴。主治偏风(半身不遂或面部歪斜),口眼歪斜,肘部肿胀,龋齿疼痛,忽冷忽热,腹部坚硬胀大,食欲不振,战栗发冷,长期狂躁、登高唱歌、脱衣奔跑,足部软弱无力无法穿鞋。针刺深度五分,可艾灸三壮。
5. 解溪:左右各一穴,属火。位于冲阳穴后一寸五分处,踝关节上方的凹陷中。是足阳明胃经经脉之气所行的部位,为“经”穴。主治面部风肿浮肿,面色发黑。厥气上冲,腹胀,大便下坠感,惊恐,膝股部肿胀,转筋(肌肉痉挛),头晕目眩,头痛,癫疾,心烦悲伤哭泣,霍乱,头风,面目发红。针刺深度五分,可艾灸三壮。
6. 丰隆:左右各一穴。位于外踝尖上八寸,胫骨前嵴外侧的凹陷中,别走足太阴脾经。主治四肢厥逆,胸痛如针刺,腹中剧烈疼痛,大小便困难涩滞,厥头痛(头痛连及头顶或剧烈头痛),面部浮肿,风邪逆乱,四肢肿胀,身体湿重,喉痹不能言语。针刺深度三分,可艾灸三壮。
7. 下廉:左右各一穴,又名下巨虚。位于上巨虚穴下三寸处,取穴时应抬起脚。主治少腹疼痛,完谷不化的泄泻,第二趾间疼痛,嘴唇干燥,流口水而不自知,无法出汗,毛发焦枯,肌肉消瘦、气短,胃中有热导致食欲不振,排泄脓血,胸胁及少腹疼痛,突发惊狂、言语失常,女子乳痈(乳腺炎),喉痹,足背肿胀,足背下垂无法抬起。针刺深度八分,可艾灸三壮。
8. 条口:左右各一穴。位于下巨虚穴上一寸处,取穴时应抬起脚。主治膝关节寒冷酸痛,足部软弱无力无法穿鞋,湿痹,足底发热。针刺深度五分,可艾灸三壮。
9. 上廉:左右各一穴,又名上巨虚。位于足三里穴下三寸处,取穴时应抬起脚。主治完谷不化的泄泻,腹部和胁肋部支撑胀满,狂跑乱走,脐旁腹痛,食物不消化,喘息无法行走。可艾灸三壮,针刺深度三分。甄权说:主治脏气不足,偏风,腿部及手足麻木不仁,可按照年龄数来施灸(即几岁灸几壮)。
10. 三里:左右各一穴,属土。位于膝盖下三寸,胫骨前嵴外侧两筋之间,取穴时应抬起脚。是足阳明胃经经脉之气所入的部位,为“合”穴。主治胃中寒,心腹胀满,胃气不足,闻到食物气味(或厌食),肠鸣腹痛,食物不消化。秦承祖说:各种疾病皆可治疗,包括食积、水饮停聚、蛊毒、癖块(腹内结块),四肢肿胀满闷,膝部寒冷酸痛,视力不明。华池说:治疗五劳羸瘦,七伤虚乏,胸中瘀血,乳痈。《外台秘要》、《明堂经》说:人年过三十,如果不灸足三里,会导致气上冲眼睛。可艾灸三壮,针刺深度五分。
11. 犊鼻:左右各一穴。位于膝盖髌骨下方,髌韧带两侧的凹陷中,夹持在大筋中间。主治膝关节疼痛且麻木不仁,难以跪起,膝盖髌骨周围肿胀,溃烂者不可治,未溃烂者可治疗。如果犊鼻穴处坚硬,不要直接针刺,先用汤洗热敷,然后轻微针刺即可痊愈。
12. 梁丘:左右各一穴。位于膝盖上二寸,两筋之间。主治大惊,乳房疼痛,寒痹,膝关节不能屈伸。可艾灸三壮,针刺深度三分。
13. 阴市:左右各一穴,又名阴鼎。位于膝盖上三寸,伏兔穴下方,取穴时呈跪拜姿势。主治寒疝,少腹疼痛,胀满,腰部以下至伏兔穴以上感觉寒冷如冷水灌注。针刺深度三分,不可艾灸。
14. 伏兔:左右各一穴。位于膝盖上六寸处的隆起肌肉上,另一版本说是膝盖上七寸。主治风劳气逆,膝盖寒冷无法温暖。针刺深度五分,不可艾灸。
15. 髀关:左右各一穴。位于膝盖上方,伏兔穴后方,肌肉纹理交界处。主治膝盖寒冷麻木不仁,痿厥(肢体萎软无力伴手足逆冷),大腿内侧筋络拘急。针刺深度六分。
(There are thirty acupoints in total on the left and right sides, including those on the thigh.)
1. Lidui (LI32): One point on each side, belonging to Metal. Located at the lateral end of the second toe, approximately the width of a leek leaf from the nail corner. It is the Jing-Well point where the Qi of the Foot-Yangming Stomach Meridian emerges. It treats Shijue (sudden collapse with loss of consciousness), trismus (lockjaw), and apparent cessation of breathing, resembling poisoning by evil influences; abdominal distension and fullness; heat diseases with anhidrosis; malaria with alternating chills and fever; edema accompanied by poor appetite; cold feet; throat obstruction (bi-syndrome); dental caries pain; aversion to wind; nasal congestion; susceptibility to fright and excessive sleepiness. Needle depth: 1 fen; Moxibustion: 1 zhuang.
2. Neiting (ST44): One point on each side, belonging to Water. Located in the depression between the lateral aspect of the second toe and the first toe. It is the Ying-Spring point where the Qi of the Foot-Yangming Stomach Meridian flows. It treats cold extremities (Jue-ni); abdominal distension and fullness; frequent yawning; aversion to human voices; shivering and chills; pulling pain in the throat; halitosis (or mouth disorders); dental caries pain; malaria with poor appetite. Moxibustion: 3 zhuang; Needle depth: 3 fen.
3. Xangu (ST43): One point on each side, belonging to Wood. Located in the depression proximal to the metatarsophalangeal joint of the second toe, 2 cun distal to Neiting. It is the Shu-Stream point where the Qi of the Foot-Yangming Stomach Meridian pours. It treats facial and ocular edema and water retention diseases; difficulty swallowing or belching; borborygmus and abdominal pain; heat diseases with anhidrosis; malaria with shivering and chills. Needle depth: 3 fen; retain needle for seven breaths; Moxibustion: 3 zhuang.
4. Chongyang (ST42): One point on each side. Located on the dorsum of the foot, 3 cun proximal to Xangu. It is the Yuan-Source point where the Qi of the Foot-Yangming Stomach Meridian passes. It treats hemiplegia or facial paralysis; deviation of the mouth and eye; elbow swelling; dental caries pain; alternating chills and fever; hard and distended abdomen; poor appetite; shivering and chills; chronic mania characterized by climbing high and singing, discarding clothes and running; foot weakness and inability to wear shoes properly. Needle depth: 5 fen; Moxibustion: 3 zhuang.
5. Jiexi (ST41): One point on each side, belonging to Fire. Located 1.5 cun posterior to Chongyang, in the depression above the ankle joint. It is the Jing-River point where the Qi of the Foot-Yangming Stomach Meridian travels. It treats facial edema due to wind; dark complexion; rebellious Qi rushing upward; abdominal distension; sensation of heaviness in defecation; fright; swelling of the knee and thigh; muscle spasms (charpaigne); dizziness; headache; epilepsy; irritability, sadness, and weeping; cholera-like disorder; cephalalgia due to wind; redness of the face and eyes. Needle depth: 5 fen; Moxibustion: 3 zhuang.
6. Fenglong (ST40): One point on each side. Located 8 cun superior to the lateral malleolus, in the depression lateral to the anterior crest of the tibia. It connects and branches to the Foot-Taiyin Spleen Meridian. It treats cold extremities; stabbing chest pain; severe abdominal pain; difficult and obstructed urination and defecation; Jue-headache (severe headache); facial edema; rebellious wind; limb swelling; bodily dampness; throat obstruction with aphonia. Needle depth: 3 fen; Moxibustion: 3 zhuang.
7. Xiajuxu (ST39): One point on each side, also known as Xiaguan. Located 3 cun distal to Shangjuxu. The point should be located with the leg raised. It treats hypogastric pain; undigested food diarrhea (Sun-xie); pain between the second toes; dry lips; involuntary salivation; anhidrosis; scorched hair; emaciation and shortness of breath; stomach heat with poor appetite; passage of pus and blood in stool; chest, hypochondriac, and hypogastric pain; sudden fright, mania, and abnormal speech; breast abscess in women; throat obstruction; dorsal foot swelling; foot drop (inability to lift the foot). Needle depth: 8 fen; Moxibustion: 3 zhuang.
8. Tiaokou (ST38): One point on each side. Located 1 cun superior to Xiajuxu. The point should be located with the leg raised. It treats cold and painful soreness of the knee; foot weakness and inability to wear shoes properly; damp-bi syndrome; heat in the soles of the feet. Needle depth: 5 fen; Moxibustion: 3 zhuang.
9. Shangjuxu (ST37): One point on each side, also known as Shangguan. Located 3 cun distal to Zusanli. The point should be located with the leg raised. It treats undigested food diarrhea; distension and fullness in the abdomen and hypochondrium; manic running; periumbilical abdominal pain; indigestion; dyspnea preventing walking. Moxibustion: 3 zhuang; Needle depth: 3 fen. Zhen Quan stated: It treats insufficiency of Zang-Qi, hemiplegia, and numbness of the legs and hands/feet. Moxibustion dosage can correspond to the patient's age in zhuang.
10. Zusanli (ST36): One point on each side, belonging to Earth. Located 3 cun distal to the lower border of the patella, between the two tendons lateral to the anterior crest of the tibia. The point should be located with the leg raised. It is the He-Sea point where the Qi of the Foot-Yangming Stomach Meridian enters. It treats cold in the stomach; cardiac and abdominal distension and fullness; insufficiency of Stomach Qi; sensitivity to food odors (or aversion to food); borborygmus and abdominal pain; indigestion. Qin Chengzu stated: It treats various diseases, including food stagnation, fluid retention, gu-toxin, pi-masses (abdominal lumps), limb swelling and fullness, cold and painful soreness of the knees, and blurred vision. Hua Chi stated: It treats five labors with emaciation, seven injuries with deficiency, blood stasis in the chest, and breast abscess. The *Waitai Miyao* and *Mingtang Jing* state: For individuals over thirty years old, if Zusanli is not moxibusted, Qi may rush upward affecting the eyes. Moxibustion: 3 zhuang; Needle depth: 5 fen.
11. Dubi (ST35): One point on each side. Located below the patella, on the bone, within the depression flanking the large tendon (patellar ligament). It treats knee pain with numbness; difficulty kneeling and rising; swelling of the patellar region. Ulcerated cases are incurable, but non-ulcerated cases can be treated. If the Dubi area is hard, do not needle immediately; first apply washing and hot compresses, then lightly needle to achieve recovery.
12. Liangqiu (ST34): One point on each side. Located 2 cun superior to the patella, between the two tendons. It treats sudden fright; breast pain; cold-bi syndrome; inability to flex and extend the knee. Moxibustion: 3 zhuang; Needle depth: 3 fen.
13. Yinshi (ST33): One point on each side, also known as Yinding. Located 3 cun superior to the patella, inferior to Futu. The point should be located in a kneeling posture. It treats cold hernia; hypogastric pain; distension and fullness; cold sensation in the area from the waist down to Futu, resembling pouring water. Needle depth: 3 fen; Moxibustion is contraindicated.
14. Futu (ST32): One point on each side. Located on the raised muscle mass 6 cun superior to the patella (another text states 7 cun). It treats rebellious Qi due to wind-labor; cold knees that cannot be warmed. Needle depth: 5 fen; Moxibustion is contraindicated.
15. Biguan (ST31): One point on each side. Located superior to the knee, posterior to Futu, at the junction of muscle fibers. It treats cold and numbness of the knee; Wei-Jue syndrome (limb flaccidity with cold extremities); tension of the meridians in the medial thigh. Needle depth: 6 fen.