膏肓俞穴，无所不治，主羸瘦虚损，梦中失精，上气咳逆，狂或失志误。取穴之法，令
人正
上角摸索至胛骨下头，其间当有四肋三间，灸中间根据胛骨之里，肋间深处是穴。骨容侧指许
，摩肋肉之表筋骨空处，按之但觉牵引骨节动。灸两胛中各一穴，至六百壮，多至千壮，当
觉气下砻上然如若水状，亦当有所下出，非无停痰宿疾则无所下也。若病患已困不能正坐，
当
亦然。乃以前法灸之。若不能久正坐，常伸两臂，亦可伏衣袱上伸两臂。令人挽两胛骨，使相
离，不尔胛骨遮穴不可得也。所伏衣袱当令大小常定，不然则失其穴。此灸讫后，令人阳气康
盛，当消息以自补养，身体平复。其穴在五椎之上四椎之下，横去六寸许，相准望取之。论曰
∶昔秦缓不救晋侯之疾，以在膏之下肓之上，针药所不及，即此
也。孙真人笑其拙，不能求得此穴，所以宿 难遣。若能用心方便，必得灸之，无疾不愈矣
。具而明白备载于此，学人仔细详审，根据法取之，无不得其真穴也。一取穴法，医者先自坐
，以目平正，却于壁上以墨作一大圈，却令患者坐，常使其目视圈，无得斜视别处，此亦良
法也。令灸人正坐，曲脊伸臂根据法，医士以指揣颈后脊骨，一节为一寸，自一柱至五柱，
逐一墨点记，令上下端直分明。且人有颈骨者，亦有无者，当以平肩为一柱是也。以四柱至
五柱，用秆心比量两柱上下远近，折为三分，亦以墨界脊上柱间，取第四柱下二分微多，五
柱上一分微少，用笔点定，横过相去六寸之中，左右以为两穴，交下远近之准。大要两柱上
下，协议身寸一寸三分七缠微缩，有无大段长短不同，以参考《甲乙经》。自大杼至尾 ，
作二十一柱，量三尺之数分之。若柱节分明，纵之尺寸不同，穴以柱数为定。若人肥大背浓
，骨节难寻，当以平脐十四柱命门穴为准。上自大杼，下至命门，折为一十四柱，每柱一寸
三分，合其穴无不真矣。
\r取膏肓穴法图像一\ph-h29.bmp\r（此即钓股图法）
\r取膏肓穴法图像二\ph-h30.bmp\r
膏肓俞穴，没有治不好的病，主要治疗身体消瘦、虚损劳伤，梦中遗精，气逆上冲咳嗽，精神狂乱或神志错乱。取穴的方法，让患者端正坐好，医者用手摸索至肩胛骨下缘，这里应当有四根肋骨和三个间隙，在中间根据贴近肩胛骨内侧、肋骨间深处的位置就是穴位。骨骼之间大约能容纳一根手指的宽度，触摸肋部肌肉表面的筋骨空隙处，按压时只感觉到牵引着骨节活动。灸两侧肩胛骨中间各一穴，每穴灸六百壮，多则灸一千壮，应当感觉到热气向下沉降，像水流动一样，也应当有痰浊等病理产物排出，如果不是体内有停滞的痰饮和陈旧的疾病，就不会有东西排出来。如果病人已经困倦不能端正坐着，也应该如此操作。用前面的方法施灸。如果不能长时间端正坐着，可以经常伸展两臂，也可以趴在衣袱上伸展两臂。让人拉开两侧肩胛骨，使它们分开，不这样的话，肩胛骨会遮挡穴位，无法取到。所趴的衣袱应当保持大小固定不变，否则就会失去准确的穴位。此灸法结束后，令人体内的阳气恢复康盛，应当斟酌情况自我调补养护，身体得以平复痊愈。该穴位位于第五椎之上、第四椎之下，横向距离脊柱约六寸，参照标准取穴。论述说：从前秦缓（医缓）没能治好晋侯的病，因为病位在膏之下、肓之上，针药都达不到，就是这个原因。孙思邈嘲笑他笨拙，不能求得这个穴位，所以陈年旧疾难以祛除。如果能用心寻找方便之法，必定能灸到这个穴位，没有治不好的病。详细明白地记载在这里，学习的人仔细审察，按照方法取穴，没有找不准真穴位的。另一种取穴法：医者先自己坐下，眼睛平视正前方，然后在墙上画一个大圆圈，让患者坐下，常使其眼睛注视圆圈，不得斜视别处，这也是个好方法。让施灸的人端正坐好，弯曲脊背伸展手臂，按照方法操作，医士用手指揣摸颈后的脊椎骨，一节算作一寸，从第一椎到第五椎，逐一用墨点标记，使上下端直分明。况且有的人有颈椎骨，有的人没有，应当以肩膀平齐处作为第一椎来计算。从第四椎到第五椎，用草秆的心比量两椎之间的上下远近，分为三分，也用墨线界标在脊背上椎骨之间，取第四椎下方二分多一点，第五椎上方一分少一点，用笔点定，横向经过相距六寸的中间，左右作为两个穴位，以此作为上下远近的标准。大要是在两椎骨上下，协议的身寸是一寸三分七厘微缩，每个人的长短不同，可以参考《甲乙经》。自大杼穴到尾骶骨，共有二十一椎，量三尺的长度来划分。如果椎骨节段分明，即使尺寸长短不同，穴位以椎骨数量为准。如果人肥胖背部厚实，骨节难寻，应当以平脐处的第十四椎命门穴为准。从上自大杼穴，下到命门穴，折为十四椎，每椎一寸三分，合起来的穴位没有不准确的。
The Gohuangshu (Gao Huang Shu, BL43) acupoint is capable of treating all diseases. It primarily addresses emaciation and deficiency exhaustion, nocturnal seminal emission, rebellious Qi with coughing and counterflow, mania, or loss of mental clarity and errors in judgment. The method for locating the point is as follows: instruct the patient to sit upright. The practitioner palpates upwards until reaching the lower edge of the scapula. There should be four ribs and three intercostal spaces. The point is located deep within the intercostal space, adjacent to the medial border of the scapula. The space between bones accommodates approximately one finger's width. Palpating the empty space between tendons and bones on the surface of the intercostal muscles, pressure elicits a sensation of traction moving the vertebral joints. Moxibustion is applied to each of the two points located in the middle of the scapular regions, 600 moxa cones per point, up to 1,000 cones. One should feel the Qi sinking downward, resembling the flow of water, and pathological products such as phlegm should be expelled. If there are no stagnant phlegm or chronic ailments, nothing will be expelled. If the patient is too weak to sit upright, the same procedure applies. Use the aforementioned method for moxibustion. If the patient cannot sit upright for long periods, they may extend both arms frequently, or lie prone on a cloth pad with arms extended. An assistant should pull the scapulae apart to separate them; otherwise, the scapulae will obscure the point, making it inaccessible. The cloth pad used for lying prone must remain fixed in size and position; otherwise, the accurate location of the point will be lost. After this moxibustion treatment, the body's Yang Qi recovers and flourishes. The patient should adjust their diet and lifestyle to nourish themselves, leading to physical recovery. The point is located above the fifth thoracic vertebra and below the fourth thoracic vertebra, approximately six cun laterally from the spine. Locate it according to standard measurements. It is stated: In ancient times, Bian Que (Yi Huan) failed to cure the Marquis of Jin because his disease was located "below the gao (heart fat) and above the huang (diaphragm fat)," where acupuncture and herbs could not reach. This refers to that very situation. Sun Simiao mocked him for being inept and unable to locate this point, which is why his chronic ailments persisted. If one applies oneself diligently to find the correct method, one can surely locate and moxibustate this point, and no disease will remain uncured. This is detailed and clearly recorded here. Students should examine it carefully and locate the point according to the method; the true point will invariably be found. Another method for locating the Gohuang point: The practitioner first sits down, looking straight ahead, and draws a large circle on the wall. The patient then sits and is instructed to gaze steadily at the circle without looking elsewhere. This is also an effective method. The person receiving moxibustation sits upright, bends the spine, and extends the arms according to the method. The practitioner palpates the spinous processes of the cervical and upper thoracic spine. Each segment is considered one cun. From the first to the fifth vertebra, mark each with ink dots, ensuring they are straight and distinct. Note that some individuals have prominent cervical vertebrae, while others do not; use the level of the shoulders as the reference for the first vertebra. Using the center of a reed stalk to measure the distance between the fourth and fifth vertebrae, divide this distance into three parts. Mark these divisions on the spine with ink. Take a point slightly more than two-thirds down from the fourth vertebra and slightly less than one-third up from the fifth vertebra, and mark it with a pen. Horizontally, across the midpoint of the six-cun lateral distance, mark the left and right points as the two locations, serving as the standard for vertical and horizontal alignment. Generally, the measurement between two vertebrae is approximately 1.37 cun (body inch), though individual heights vary; refer to the *Jia Yi Jing* (Classic of Acupuncture and Moxibustion by Huang Di Neijing Jia Yi). From the Dazhu (BL11) acupoint to the coccyx, there are twenty-one segments, measured against a three-chi length. If the vertebral segments are distinct, regardless of slight variations in linear measurement, the point location is determined by the vertebral count. If the person is obese with a thick back, making bony landmarks difficult to find, use the Mingmen (GV4) acupoint at the level of the umbilicus, corresponding to the fourteenth vertebra, as the standard. From Dazhu (BL11) above to Mingmen (GV4) below, divide into fourteen segments. Each segment is 1.3 cun. The resulting point locations will be accurate.
[Image Placeholder: Diagram for Locating Gohuang Point 1, i.e., Fishing Thigh Method]
[Image Placeholder: Diagram for Locating Gohuang Point 2]