中府(肺募) 巨阙(心募) 期门(肝募) 章门(脾募) 京门(肾募)
按《难经》云∶阳病行阴,故令募在阴(腹曰阴,募皆在腹)。
东垣曰∶凡治腹之募,皆为原气不足,从阴引阳,勿误也。又曰∶六淫客邪,及上热下
寒,筋骨皮肉血脉之病,错取于胃之合及诸腹之募者,必危。
五脏俞穴(俞,犹委输之输,言经气由此而输于彼也。)
肺俞(三椎下各开寸半。) 心俞(五椎下各开寸半。)
肝俞(九椎下各开寸半。) 脾俞(十三椎下各开寸半。)
肾俞(十四椎下各开寸半。)
按《难经》云∶阴病行阳,故令俞在阳(背曰阳,俞皆在背)。
东垣曰∶天外风寒之邪,乘中而入。在人之背上,腑俞脏俞,是人之受天外风邪。亦有
二说。中于阳则流于经,此病始于外寒,终归外热,收治风寒之邪,治其各脏之俞。
腑会中脘 脏会章门 筋会阳陵泉 髓会绝骨 血会膈俞 骨会大杼 脉会太渊 气会膻中
《难经》云∶热病在内者,取会之气穴也。
《灵枢》杂症论∶人身上部病取手阳明经,中部病取足太阴经,下部病取足厥阴经,前
膺病取足阳明经,后背病取足太阳经。取经者,取经中之穴也。一病可用一二穴。
(《医学入门》)
针灸穴治大同,但头面诸阳之会。胸膈二火之地,不宜多灸。背腹阴虚有火者,亦不宜
灸,惟四肢穴最妙。凡上体及当骨处,针入浅而灸宜少;凡下体及肉浓处,针可入深灸多无
害。前经络注《素问》未载针灸分寸者,以此推之。
中府穴(肺之募穴) 巨阙穴(心之募穴) 期门穴(肝之募穴) 章门穴(脾之募穴) 京门穴(肾之募穴)
据《难经》记载:阳病传至阴分,所以募穴位于阴面(腹部属阴,所有募穴都在腹部)。
李东垣说:凡是治疗腹部的募穴,都是因为原气不足,应从阴引阳,不要弄错。又说:六淫外邪侵袭,以及上热下寒、筋骨皮肉血脉的疾病,如果错误地选取胃的合穴及各个腹部的募穴进行治疗,必定危险。
肺俞穴(第三椎骨下方,左右各旁开一寸半。) 心俞穴(第五椎骨下方,左右各旁开一寸半。)
肝俞穴(第九椎骨下方,左右各旁开一寸半。) 脾俞穴(第十三椎骨下方,左右各旁开一寸半。)
肾俞穴(第十四椎骨下方,左右各旁开一寸半。)
据《难经》记载:阴病传至阳分,所以俞穴位于阳面(背部属阳,所有俞穴都在背部)。
李东垣说:来自天外的风寒邪气,乘虚侵入人体。在人的背部,腑俞和脏俞,是人接受天外风邪的部位。对此也有两种说法。邪气中于阳分则流入经脉,这种病始于外寒,最终归结为外热,治疗风寒邪气,应治疗各脏的俞穴。
八会穴:腑会中脘穴,脏会章门穴,筋会阳陵泉穴,髓会绝骨穴,血会膈俞穴,骨会大杼穴,脉会太渊穴,气会膻中穴。
《灵枢》杂症论:人身上的部疾病取手阳明经,中部疾病取足太阴经,下部疾病取足厥阴经,前胸部位疾病取足阳明经,后背部位疾病取足太阳经。所谓取经,就是取经络中的穴位。一种病可以使用一两个穴位。
(出自《医学入门》)
针灸治疗的穴位大同小异,但头面部是诸阳经交会之处,胸部膈部是二火之地,不宜多施灸法。背部腹部阴虚有火的,也不宜施灸,只有四肢的穴位最好。凡是身体上部及骨骼突出处,针刺要浅,艾灸宜少;凡是身体下部及肌肉丰厚处,针刺可深,艾灸多也无害。此前经络著作引用《素问》未记载针灸分寸的地方,以此类推。
Zhongfu (LU-1, Front-Mu point of the Lung) Jueque (CV-14, Front-Mu point of the Heart) Qimen (LR-14, Front-Mu point of the Liver) Zhangmen (LR-13, Front-Mu point of the Spleen) Jingmen (GB-25, Front-Mu point of the Kidney).
According to the *Nan Jing* (Classic of Difficult Issues): "Yang diseases manifest in Yin, therefore the Mu points are located on the Yin side" (The abdomen is considered Yin; all Mu points are located on the abdomen).
Li Dongyuan stated: "Whenever treating the Mu points of the abdomen, it is due to a deficiency of Yuan Qi (Source Qi); one should draw Yang from Yin, do not make mistakes." He further stated: "For invasions by the Six Excesses (pathogenic factors), as well as conditions of upper heat and lower cold, or diseases of the sinews, bones, skin, flesh, and vessels, erroneously selecting the He-Sea points of the Stomach and various abdominal Mu points for treatment will inevitably lead to danger."
Back-Shu points of the Five Zang Organs (Shu, like a transport hub, indicates that Jing-Qi flows through here to be transported elsewhere.)
Feishu (BL-13, Shu point of the Lung) (Located below the third thoracic vertebra, 1.5 cun lateral to both sides.) Xinshu (BL-15, Shu point of the Heart) (Located below the fifth thoracic vertebra, 1.5 cun lateral to both sides.)
Ganshu (BL-18, Shu point of the Liver) (Located below the ninth thoracic vertebra, 1.5 cun lateral to both sides.) Pishu (BL-20, Shu point of the Spleen) (Located below the thirteenth thoracic vertebra, 1.5 cun lateral to both sides.)
Shenshu (BL-23, Shu point of the Kidney) (Located below the fourteenth thoracic vertebra, 1.5 cun lateral to both sides.)
According to the *Nan Jing*: "Yin diseases manifest in Yang, therefore the Shu points are located on the Yang side" (The back is considered Yang; all Shu points are located on the back).
Li Dongyuan stated: "Wind-cold pathogens from heaven enter via the middle. On the human back, the Fu-Shu and Zang-Shu points are where the body receives wind-cold pathogens from heaven." There are also two interpretations regarding this. If pathogenic factors strike the Yang aspect, they flow into the meridians; such diseases begin with external cold and ultimately resolve into external heat. To treat wind-cold pathogens, one should treat the Shu points of the respective Zang organs.
Eight Hui Meeting Points: The Fu-Hui point is Zhongwan (CV-12); the Zang-Hui point is Zhangmen (LR-13); the Jin-Hui point is Yanglingquan (GB-34); the Sui-Hui point is Jiexu (GB-39); the Xue-Hui point is Geshu (BL-17); the Gu-Hui point is Dazhu (BL-11); the Mai-Hui point is Taiyuan (LU-9); the Qi-Hui point is Danzhong (CV-17).
The *Nan Jing* states: "For heat diseases located internally, select the Qi-acupoints of the Hui points."
The *Ling Shu* (Spiritual Pivot) discusses miscellaneous diseases: For diseases in the upper part of the body, select the Hand-Yangming Meridian; for diseases in the middle part, select the Foot-Taiyin Meridian; for diseases in the lower part, select the Foot-Jueyin Meridian; for diseases in the anterior chest, select the Foot-Yangming Meridian; for diseases in the posterior back, select the Foot-Taiyang Meridian. "Selecting the meridian" means selecting acupoints within that meridian. One disease may be treated with one or two acupoints.
(From *Yixue Rumen* / Introduction to Medicine)
The indications for acupuncture and moxibustion at acupoints are largely similar. However, the head and face are the convergence of all Yang meridians; the chest and diaphragm are areas of Fire; these areas are not suitable for extensive moxibustion. For the back and abdomen, if there is Yin deficiency with Fire, moxibustion is also not suitable. Only the acupoints on the four limbs are most excellent. For the upper body and areas overlying bone, needling should be shallow, and moxibustion should be minimal; for the lower body and areas with thick muscle, needling can be deep, and excessive moxibustion causes no harm. For previous meridian texts citing the *Su Wen* (Basic Questions) which did not record specific measurements for acupuncture and moxibustion, these principles serve as a reference for deduction.